Cholesterol - lāʻau lapaʻau

Pono kou kino i ka cholesterol e hana pono. Akā ʻoi aku ka nui o ke kōkōkō i loko o kou koko ke kumu e kūkulu ai nā waihona i nā paia o loko o kāu kīʻaha koko. Kapa ʻia kēia kūkulu ʻia he pāka. Hoʻopili ia i kou mau aʻa a hiki ke hōʻemi a kū i ke kahe o ke koko. Hiki i kēia ke alakaʻi i ka puʻuwai puʻuwai, hahau, a me ka hoʻopili ʻana o nā aʻa ma kahi ʻē aʻe i kou kino.

Manaʻo ʻia ʻo Statins nā lāʻau lapaʻau maikaʻi loa e hoʻohana ai no ka poʻe e pono i nā lāʻau e hoʻohaʻahaʻa i kā lākou kolesterol.

Hyperlipidemia - lāʻau lapaʻau; ʻO ka paʻakikī o nā aʻa - statin

Hoʻoemi ʻo Statins i kou makaʻu i ka maʻi puʻuwai, hahau, a me nā pilikia pili ʻē aʻe. Hana lākou i kēia ma ka hoʻohaʻahaʻa ʻana i kāu kolamu LDL (maikaʻi).

ʻO ka hapa nui o ka manawa pono ʻoe e lawe i kēia lāʻau no ke koena o kou ola. I kekahi mau hihia, ʻo ka hoʻololi ʻana i kou nohona a me ka lilo ʻana o ke kaupaona keu e ʻae iā ʻoe e hōʻoki i ka lawe ʻana i kēia lāʻau.

Loaʻa ka liʻiliʻi o ka LDL a me ka huina kolesterol e hōʻemi i kou makaʻi o ka maʻi puʻuwai. Akā ʻaʻole pono nā kānaka āpau ke lawe i nā statins e hoʻohaʻahaʻa ai i ka cholesterol.

E hoʻoholo kāu mea mālama ola i kāu mālama ʻana ma muli o:

• ʻO kāu nui, HDL (maikaʻi), a me LDL (ʻino) pae kolesterol
• Kou makahiki
• ʻO kou moʻaukala o ka maʻi kō, ke koko kiʻekiʻe, a i ʻole nā ​​maʻi puʻuwai
• ʻO nā pilikia olakino ʻē aʻe i hoʻokumu ʻia e ka kolesterol kiʻekiʻe
• E puhi paha ʻoe ʻaʻole paha
• ʻO kou makaʻi i ka maʻi puʻuwai
• ʻO kou lāhui

Pono ʻoe e lawe i nā statins inā he 75 a ʻoi paha kāu liʻiliʻi, a he moʻolelo kāu o:

• Nā pilikia puʻuwai ma muli o nā aʻa liʻiliʻi i loko o ka puʻuwai
• Hahau a i ʻole TIA (mini stroke)
• Auric aneurysm (kahi ʻōhū i ke aʻa nui i kou kino)
• Ka hoʻopili ʻana o nā aʻa i kou mau wāwae

Inā ʻoi aku ʻoe ma mua o 75, hiki i kāu mea hāʻawi ke kuhikuhi i kahi mahele haʻahaʻa o kahi statin. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i nā hopena ʻē aʻe.

Pono ʻoe e lawe i nā statins inā he 190 mg / dL kāu ʻoi aku ka LDL a ʻoi paha. Pono ʻoe e lawe i nā statins inā aia kāu LDL cholesterol ma waena o 70 a 189 mg / dL a:

• He maʻi diabetes kou a ma waena o nā makahiki 40 a me 75
• He maʻi diabetes kou a me ka makaʻu nui i nā maʻi puʻuwai
• Nui kou makaʻu i ka maʻi puʻuwai

Makemake paha ʻoe a me kāu mea hāʻawi e noʻonoʻo i nā statins inā 70 a 189 mg / dL kāu LDL kolamu.

• He maʻi diabetes kou a me ka pilikia waena no ka maʻi puʻuwai
• He pilikia kou no ka maʻi puʻuwai

Inā loaʻa ʻoe i kahi makaʻu kiʻekiʻe no ka maʻi puʻuwai a kū mau ka kiʻekiʻe o kāu LDL kolokolo me ka mālama statin, e noʻonoʻo paha kāu mea hāʻawi i kēia mau lāʻau i ka hoʻohui i nā statins.

• ʻO Ezetimibe
• Nā mea kāohi iā PCSK9, e like me alirocumab a me evolocumab (Repatha)

Ua hoʻonohonoho nā kauka i kahi pae pae no kāu LDL kolamu. Akā i kēia manawa ke hōʻemi nei ka nānā i kāu makaʻi no nā pilikia i hoʻokumu ʻia e ka hoʻopili ʻana o kāu mau aʻa. E nānā paha kāu mea hāʻawi i kāu pae kolesterol. Akā ʻaʻole makemake iki ʻia ka hoʻāʻo pinepine ʻana.

E hoʻoholo ʻoe a me kāu mea hāʻawi i ke ʻano o ka statin āu e lawe ai. Inā loaʻa iā ʻoe nā kumu pilikia, pono ʻoe e lawe i nā koina kiʻekiʻe. aiʻole hoʻohui i nā ʻano lāʻau ʻē aʻe. Nā mea e noʻonoʻo ai kāu mea lawelawe i ke koho ʻana i kāu lapaʻau.

• ʻO kāu pae, HDL, a me nā pae LDL kolamu ma mua o ka mālama ʻana
• Inā loaʻa ʻoe i ka maʻi o ke aʻa coronary (ka mōʻaukala o ka angina a i ʻole ka puʻuwai puʻuwai), kahi moʻolelo o ka hahau ʻana, a i ʻole nā ​​aʻa liʻiliʻi i kou mau wāwae.
• Inā he diabetes kou
• Ke puhi paha ʻoe a i ʻole ke kiʻekiʻe o kou kiʻekiʻe

ʻO nā lāʻau kiʻekiʻe ke alakaʻi i nā hopena i ka manawa. No laila e noʻonoʻo pū kāu mea hāʻawi i kāu mau makahiki a me nā mea pilikia no nā hopena ʻaoʻao.

• Kolesterol
• Kūkulu plaque i nā aʻa

ʻAhahui Diabetes ʻAmelika. ʻO ka maʻi Cardiovascular a me ka mālama ʻana i nā pilikia: nā kūlana o ka mālama olakino ma diabetes-2020. Mālama Diabetes. 2018; 43 (Hōʻawi 1): S111-S134. PMID: 31862753 pubmed.ncbi.nlm.nih.gov/31862753/.

Fox CS, Golden SH, Anderson C, et al. Hōʻike hou i ka pale ʻana i ka maʻi maʻi maʻi maʻi i nā mākua me ka maʻi diabetes type 2 e like me nā hōʻike hou: kahi ʻōlelo ʻepekema mai ka American Heart Association a me ka American Diabetes Association. Kaapuni. 2015; 132 (8): 691-718. PMID: 26246173 pubmed.ncbi.nlm.nih.gov/26246173/.

ʻO Genest J, Libby P. Nā maʻi lipoprotein a me nā maʻi maʻi ʻōpū. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 48.

Grundy SM, Pōhaku NJ, Bailey AL, et al. ʻO 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Alakaʻi e pili ana i ka mālama ʻana i ke kōkōkō koko: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force on Clinical Practice Guide. . ʻO J Am Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.

ʻO ka Pūʻali Hana lawelawe lawelawe US. ʻO ka ʻōlelo koi hope loa: hoʻohana statin no ka pale mua ʻana i ka maʻi maʻi maʻi maʻi i loko o nā mākua: ka lāʻau pale. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/statin-use-in-adults-preventive-medication1. Hoʻohou Nowemapa 2016. Loaʻa iā Malaki 3, 2020.

ʻO ka ʻōlelo hōʻuluʻulu ʻōlelo lawelawe a ka U.S. Preventive Services. Hoʻohana Statin no ka pale mua ʻana i ka maʻi maʻi ʻōpū i nā mākua: ka lāʻau pale. www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication. Hoʻohou Nowemapa 2016. Loaʻa iā Pepeluali 24, 2020.

• Angina
• Hoʻokomo ʻia ka Angioplasty a me stent - carotid artery
• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea
• Maʻi maʻi aʻa Carotid
• ʻOki kino o Carotid artery - hāmama
• Maʻi maʻi coronary
• Maʻi hohola
• ʻOki kino bypass
• ʻOki kino bypass - minimally invasive
• ʻO ka maʻi puʻuwai a me ka papaʻai
• Nā pae kolesterol kiʻekiʻe
• Holo ke ākea peripheral - wāwae

• Hoʻoponopono aneurysm aorta ʻōpū - wehe - hoʻokuʻu
• Angina - hoʻokuʻu
• Angina - he aha e nīnau aku ai i kāu kauka
• Hoʻokomo ʻia ka Angioplasty a me stent - carotid artery - hoʻokuʻu
• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea - hoʻokuʻu
• Aortic aneurysm hana hou - endovascular - hoʻokuʻu
• Aibrial fibrillation - hoʻokuʻu
• ʻO ka pata, ka margarine, a me nā aila kuke
• ʻOki kino aʻa Carotid - hoʻokuʻu
• Cholesterol - he aha e nīnau aku ai i kāu kauka
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• Puʻuwai puʻuwai - hoʻokuʻu
• Ka hōʻeha puʻuwai - he aha e nīnau aku ai i kāu kauka
• Maʻi maʻi puʻuwai - nā mea weliweli
• Hewa ka puʻuwai - he aha e nīnau aku ai i kāu kauka
• Ke koko kiʻekiʻe - he aha e nīnau aku ai i kāu kauka
• Papaʻai Mediterranean
• Holo ke ākea peripheral - wāwae - hoʻokuʻu
• Hahau - hoʻokuʻu

• Kolesterol
• Nā Lapaʻau Cholesterol
• ʻO Cholesterol kiʻekiʻe i nā keiki a me nā ʻōpio
• LDL: Ke Cholesterol "maikaʻi"
• Statins