Kua tirohia ō lipids, ō cholesterol rānei i ēnei rā tata nei? I tō whiwhinga i taua pūrongo, i pōhēhē koe i te kitenga i ngā kupu pēnei i te LDL, HDL, me te Triglycerides? Ahakoa i kī mai tō tākuta whānau, "He teitei rawa tō cholesterol, whakahaerea mā te kai me te inu," ki tō whakaaro kāore i te ngāwari te whakahaere pērā i tāna i kī ai? Ahakoa te nui o tō whakahaere i tō kai me tō whakakori tinana, kāore pea tō taumata cholesterol e heke iho ana. Mena koinā, he mea nui tēnei tuhinga māu. I tēnei rā, me kōrero tātou mō tētahi tākuta e tohunga ana ki ngā raruraru cholesterol me te ngako toto.
Hei whakarāpopototanga, ko wai te tohunga lipid?
He tākuta te tohunga lipid e tohunga ana ki ngā lipid, arā, ngā matū ngako i roto i ō tātou toto. Pērā i te tohunga ngakau he tohunga mō ngā mate ngakau, i te tohunga endocrinologist rānei he tohunga mō te mate huka, he tohunga anō hoki te tohunga lipid mō ngā raruraru e pā ana ki te lipid .
He mea nui ēnei ngako mō te hanga pūtau i roto i tō tātou tinana me te penapena pūngao. Engari ko te raruraru ko te nui rawa o ēnei ngako ka kohia ki roto i te toto. Ina tupu tēnā, ka arahi pea ki ngā mate kino pērā i te mate manawa me te whiu.
Ka mahi tahi te tohunga lipid me tō tākuta tiaki tuatahi me te tohunga ngakau ki te waihanga i tētahi mahere maimoatanga hei pupuri i ō taumata lipid ki te taumata hauora.
He aha ngā mate hauora matua e rongoatia ana e te tohunga lipid?
E rua ngā momo cholesterol kua kitea pea e koe i roto i tō pūrongo cholesterol: LDL me HDL.
- LDL (Lipoprotein Kiato-Iti): Koinei te mea e kiia nei e tātou ko te "cholesterol kino." Ina piki ake ēnei taumata, ka taea e rātou te hanga ki runga i ngā pakitara o ō tātou uaua toto.
- HDL (Ripoporoiti Kīanga-Teitei): Koinei te mea e kiia nei e tātou ko te "cholesterol pai." Ka āwhina i te tango i te cholesterol taikaha mai i te toto ka kawe ki te ate kia puta atu i te tinana.
Ina ngaro te taurite i waenga i te LDL me te HDL, ka puta mai ngā mate maha. Kia mārama ake tātou ki tēnei mai i te ripanga i raro nei.
| Kupu Hauora | Te tikanga noa iho |
|---|---|
| Te nui o te cholesterolemia | Korekore totoKa piki ake te rahi anake. |
| Te nui o te ngako toto | Te pikinga ake o ngā momo lipids (ngako) katoa i roto i te toto. |
| Te nui o te triglyceridemia | He pikinga ake i roto i te toto o tētahi momo ngako e kiia nei ko ngā triglycerides . |
| Hyperlipidemia Whakakotahi | He pikinga wā kotahi o te cholesterol me te triglycerides i roto i te toto. |
Ki te kore ēnei āhuatanga e rongoatia tika, ka taea e ngā putunga ngako e kiia nei ko ngā papaki te hanga i roto i ngā pakitara o ngā uaua toto. Ka taea e tēnei te aukati i ngā uaua toto, ka nui ake te tūponotanga o te mate manawa, te whiu rānei.
Ka ngana te tohunga lipid ki te whakahaere i ō taumata lipid me te ārai i ēnei āhuatanga kino kei puta.
Me pēhea te whakahaere i ēnei āhuatanga?
Hei whakahaere i ō taumata cholesterol, ka tohutohu tuatahi ngā tākuta kia whakarerekē koe i tō momo noho.
- Te taunga ki tētahi kai hauora, iti te ngako.
- Te noho kaha me te whakakori tinana i ia rā.
- Ki te kai paipa koe, kati rawatia.
Engari i ētahi wā, ko te raruraru, kāore e ranea te mahi i tēnei anake. Whakaarohia, i roto i ētahi whānau, ahakoa te nui o tā rātou whakahaere i tā rātou kai me te whakakori tinana, kāore ā rātou cholesterol e heke. Ko te take o tēnei he āhuatanga ira i ahu mai i ō rātou mātua, i ō rātou uri rānei. He āhuatanga motuhake tēnei e kiia nei ko te Familial Hypercholesterolemia (FH) . Nā tēnei āhuatanga FH, ka ngoikore te tukanga tango i te LDL, te cholesterol kino rānei, mai i te tinana. Nō reira, ka piki te taumata LDL ki te taumata kino.
Me huri te āhua noho o te tangata whai mate ira nei, me whakamahi rongoā hoki. Koinei te wāhi e tino hira ai te tohungatanga o te tohunga lipid.
Me pēhea taku mōhio me haere ahau ki tētahi tohunga ngutu?
He pātai tēnei nā te tini o te tangata. Me toro atu rānei te hunga katoa he nui te cholesterol ki tētahi tohunga lipid? Ko te whakautu, kāore i te nuinga o te wā. Ko tāu mahi tuatahi ko te toro atu ki tō tākuta whānau (Tākuta Whānau / GP).
Heoi anō, ka taea e koe te whakaaro ki te toro atu ki tētahi tohunga reo i roto i ēnei āhuatanga e whai ake nei:
- Mena he uaua ki a koe te whakahaere i tō taumata cholesterol, triglyceride rānei mā te whakamahi i ngā rongoā me ngā tohutohu a tō tākuta whānui.
- Mena kei te whakapaetia koe, kei te tākutatia rānei kei a koe tētahi mate cholesterol tuku iho (pēnei i te FH) (hei tauira, mena he maha ngā mema o tō whānau kua pāngia e ngā mate manawa i te wā taitamariki).
- Mena ka pāngia koe e ngā pānga taha nui rawa atu i te whakamahinga o ngā rongoā.
- Mena he maha atu anō ō mate, pērā i te mate huka me te toto toto tiketike, me te cholesterol anō hoki.
I roto i ēnei āhuatanga, ka tukuna koe e tō tākuta whānau ki tētahi tohunga pērā. Nō reira, ki te mea he ruarua āu mō tēnei mea, kōrerohia ki tō tākuta i te tuatahi mō tēnei mea.
He aha ngā tohu e tika ana hei mahi hei tohunga lipidologist?
He mea nui hoki kia mōhio koe ki tēnei. He mara tino motuhake te lipidology. I Sri Lanka, kāore i te tīariari hei tohu hauora taketake motuhake.
Ko te tikanga, ka tukuna he tākuta kua oti i a ia te tohu tohunga hauora kua whakamanahia e te poari ki tēnei mahi. Hei tauira:
- Tākuta ngakau
- Tohunga Endocrinologist
- Tohunga Rongoā Whānui
Ka mahi te tākuta tohunga, pērā i te tohunga lipid, hei tohunga lipid i muri i te rangahau motuhake mō te whakahaere lipid me te whiwhi mātauranga hōhonu me te wheako ki roto. Ko te tikanga he tino tohunga, he wheako hoki ngā tākuta i tēnei mara.
Karere Tangohia ki te Kāinga
- He tākuta te tohunga lipidology e tohunga ana ki te rongoā i ngā raruraru e pā ana ki ngā ngako toto, inā koa te cholesterol me ngā triglycerides.
- Ka taea e te taumata LDL ("cholesterol kino") me te triglyceride te arahi ki ngā mate kino pēnei i te mate ngakau me te whiu.
- He mea tino nui te oranga hauora (te kai, te whakakori tinana), engari mō ētahi tāngata, nā ngā take ira, kāore e ranea te mahi anake.
- Mena he uaua ki a koe te whakahaere i ō taumata cholesterol, he hītori whānau rānei tōu mō tēnei, kōrero ki tō tākuta mō tēnei mea, ā, whakaarohia kia tukuna koe ki tētahi tohunga.
- Kaua e wehi i ngā tau kei runga i tō pūrongo mō te cholesterol. Kaua hoki e warewaretia. Ka taea e koe te noho ora mā te tiki i ngā tohutohu hauora tika me te whakahaere i taua mea.
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