Kolesterol kiʻekiʻe - keiki

ʻO Cholesterol kahi momona (i kapa ʻia hoʻi he lipid) e pono ai i ke kino e hana pono. Nui a hewahewa nā ʻano kolesterol. ʻO nā mea e kamaʻilio nui ʻia nei:

• Huina kolesterol - ua hui pū ʻia nā cholesterols āpau
• ʻO ka lipoprotein kiʻekiʻe (HDL) kolesterol - i kapa ʻia ʻo ka kolesterol maikaʻi
• Kolesterol lipoprotein haʻahaʻa (LDL) haʻahaʻa - kapa ʻia ʻo kolesterol maikaʻi

Hiki i ka nui o ke kolesterol maikaʻi ke hoʻonui i ka manawa o ka loaʻa ʻana o ka maʻi puʻuwai, hahau, a me nā pilikia ʻē aʻe.

ʻO kēia ʻatikala e pili ana i ke kolesterol kiʻekiʻe i nā keiki.

ʻO ka hapa nui o nā keiki me ke kolesterol kiʻekiʻe he hoʻokahi a ʻoi paha nā mākua i loaʻa he kolesterol kiʻekiʻe. ʻO nā kumu nui o ke kolesterol kiʻekiʻe i nā keiki:

• ʻO ka mōʻaukala ʻohana o ka kiʻekiʻe kolesterol
• Ka momona a momona paha
• Papaʻai pono ʻole

Hiki i kekahi ʻano olakino ke alakaʻi i ka kolesterol kūpono, me:

• Diabetes
• ʻO ka maʻi kīwī
• Maʻi maʻi ate
• Pahu thyroid paʻa ʻole

ʻO kekahi mau maʻi i hoʻoili ʻia i waena o nā ʻohana e alakaʻi i ka pae kolesterol a me nā pae triglyceride. Pākuʻi ʻia lākou:

• ʻO hypercholesterolemia ʻohana
• ʻO ka hyperlipidemia hui pū ʻia
• ʻO ka dysbetalipoproteinemia ʻohana
• ʻO ka hypertriglyceridemia ʻohana

Hana ʻia kahi hōʻike kolokolo e ʻike pono i ke koko kiʻekiʻe o ke koko.

Kuhi ʻia nā ʻōkuhi mai ka National Heart, Lung, a me Blood Institute e nānā i nā keiki āpau no ke kolesterol kiʻekiʻe:

• Ma waena o nā makahiki 9 a me 11
• Hou ma waena o 17 a 21 mau makahiki

Eia naʻe, ʻaʻole nā ​​pūʻulu akamai a pau e paipai i ka nānā ʻana i nā keiki āpau a ma kahi o ka nānā ʻana i ka nānā ʻana i nā keiki i ka nui o ka makaʻu. ʻO ke kumu e hoʻonui ai i ka pilikia o ke keiki e like me:

• Loaʻa i nā mākua o ke keiki ka nui o ke kō koko o 240 mg / dL a ʻoi paha
• He lālā ʻohana ko ke keiki me ka moʻolelo o ka maʻi puʻuwai ma mua o ka makahiki 55 i nā kāne a me nā makahiki 65 i nā wahine
• He pilikia ko ke keiki, e like me ka maʻi kō a i ʻole ke kiʻekiʻe o ke koko
• Loaʻa i ke keiki kekahi ʻano olakino, e like me ka maʻi puʻupaʻa a i ʻole ka maʻi ʻo Kawasaki
• ʻO ke keiki momona (BMI i 95th pakeneka)
• Puhi paka ke keiki

ʻO nā pahuhopu nui no nā keiki ʻo:

• LDL - Ma lalo o 110 mg / dL (ʻoi aku ka maikaʻi o nā helu haʻahaʻa).
• HDL - Ma mua o 45 mg / dL (ʻoi aku ka maikaʻi o nā helu kiʻekiʻe).
• Huina kolesterol - Ma mua o 170 mg / dL (ʻoi aku ka maikaʻi o nā helu haʻahaʻa).
• Triglycerides - Ma lalo o 75 no ke keiki a hiki i 9 mau makahiki a ʻoi aku ma lalo o 90 no nā keiki he 10 a 19 mau makahiki (ʻoi aku ka maikaʻi o nā helu haʻahaʻa).

Inā maikaʻi ʻole nā ​​hopena o ka cholesterol, loaʻa i nā keiki kekahi mau hoʻokolohua ʻē aʻe e like me:

• Hōʻoia ke kō kō (glucose) e nānā no ka maʻi kō
• Nā hoʻāʻo hana hakuʻala
• Hōʻike ka hana thyroid i mea e nānā ai i kahi gland thyroid
• Nā hoʻāʻo hana ate

E nīnau paha ka mea mālama ola o kāu keiki e pili ana i ka mōʻaukala a i ʻole ka moʻolelo ʻohana o:

• Diabetes
• Hypertension
• Ka momona
• Nā ʻano meaʻai maikaʻi ʻole
• Ka nele o ka hoʻoikaika kino
• Hoʻohana paka

ʻO ke ala ʻoi loa e mālama ai i ka kolesterol kiʻekiʻe me nā meaʻai me ka hoʻoikaika kino. Inā nui ke kaumaha o kāu keiki, ʻo ka lilo ʻana o ka kaumaha e kōkua i ka mālama ʻana i ke kiʻekiʻe o ka cholesterol. Akā ʻaʻole pono ʻoe e kaohi i ka papaʻai o kāu keiki ke ʻole e koi ka mea hāʻawi a kāu keiki iā ia. Akā, hāʻawi i nā meaʻai olakino a paipai i ka hoʻoikaika kino.

KA HANA ME KA HANA

Kōkua i kāu keiki i nā koho meaʻai kūpono e ka hahai ʻana i kēia mau lula.

• ʻAi i nā meaʻai i kiʻekiʻe maoli i ka fiber a haʻahaʻa i ka momona, e like me nā hua, nā huaʻai, a me nā mea kanu
• E hoʻohana i nā mea momona momona, nā mea ʻono, a me nā lole
• Hōʻalo i nā meaʻai i kiʻekiʻe i ka momona momona a hoʻonui ʻia ke kō
• E hoʻohana i ka waiū skim a i ʻole nā ​​waiū momona momona a me nā huahana waiū
• Hōʻalo i nā mea inu kō, e like me ka soda a me nā mea inu hua ʻono
• ʻAi i ka ʻiʻo wiwi a pale i ka ʻiʻo ʻulaʻula
• ʻAi iʻa hou aku

Paipai i kāu keiki e hoʻoikaika kino. Pono nā keiki o nā makahiki 5 a ʻoi aku paha e hana ma ka liʻiliʻi 1 hola i ka lā. Nā mea ʻē aʻe hiki iā ʻoe ke hoʻopili pū:

• E hana ma ke ʻano he ʻohana. E hoʻolālā pū i nā hele wāwae a me nā holo kaʻa ma kahi o ka pāʻani ʻana i nā pāʻani wikiō.
• Paipai i kāu keiki e komo i ke kime haʻuki a i ʻole nā ​​kime haʻuki kūloko.
• Palena i ka manawa o ka pale i ʻole ma mua o 2 mau lā i ka lā.

ʻO nā ʻanuʻu ʻē aʻe e pili ana i ke aʻo ʻana i nā keiki e pili ana i ka makaʻu o ka paka.

• E hoʻolilo i kou home i wahi kuni ʻole.
• Inā puhi ʻoe a i ʻole kāu pakanā, e hoʻāʻo e haʻalele. Mai puhipaka a puni kāu keiki.

THERAPY O KA LAKU

Makemake paha ka mea hāʻawi i kāu keiki i kāu keiki e lawe i ka lāʻau no ke kolokaola inā ʻaʻole holo ka nohona. No kēia pono ke keiki:

• Ma ka liʻiliʻi he 10 mau makahiki.
• Loaʻa i kahi pae LDL kolamu 190 mg / dL a ʻoi paha ma luna o 6 mau mahina o ka ukali ʻana i kahi papaʻai olakino.
• Loaʻa i kahi pae LDL kolamu 160 mg / dL a ʻoi aku paha me nā mea ʻino ʻē aʻe.
• Loaʻa ka moʻolelo ʻohana o ka maʻi maʻi ʻōpū.
• Loaʻa i hoʻokahi a ʻoi paha mau mea pilikia no ka maʻi maʻi ʻōpū.

Pono paha nā kamaliʻi me ke kiʻekiʻe loa o ka cholesterol e hoʻomaka i kēia mau lāʻau ma mua o ka makahiki 10. E haʻi ke kauka o kāu keiki iā ʻoe inā pono paha kēia.

Nui a hewahewa nā ʻano lāʻau e kōkua e hoʻohaʻahaʻa i ke kiʻekiʻe o ke kō kolesterol. Hana nā lāʻau i nā ʻano like ʻole. ʻO Statins kekahi ʻano lāʻau e hoʻohaʻahaʻa i ka cholesterol a ua hōʻoia ʻia e hōʻemi i ka manawa o ka maʻi puʻuwai.

Hiki i nā pae kolesterol kiʻekiʻe ke alakaʻi i ka paʻakikī o nā aʻa, i kapa ʻia ʻo atherosclerosis. Kū kēia i ka wā e kūkulu ai ka momona, ka kolesterol, a me nā mea ʻē aʻe i nā paia o nā aʻa a hana i nā hale paʻakikī i kapa ʻia he places.

I ka hala ʻana o ka manawa, hiki i kēia mau pālahalaha ke ālai i nā aʻa a kumu i nā maʻi puʻuwai, ka hahau ʻana, a me nā ʻōuli ʻē aʻe a i ʻole nā ​​pilikia i loko o ke kino.

ʻO nā maʻi i hoʻoili ʻia i waena o nā ʻohana e alakaʻi pinepine i ke kiʻekiʻe o ke kiʻekiʻe o ka cholesterol e ʻoi aku ka paʻakikī e kaohi.

Nā maʻi lipid - keiki; Hyperlipoproteinemia - keiki; Hyperlipidemia - keiki; Dyslipidemia - keiki; Hypercholesterolemia - keiki

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ʻO Chen X, Zhou L, Hussain M. Lipids a me ka dislipoproteinemia. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 17.

ʻO Daniels SR, Couch SC. Nā maʻi lipid i nā keiki a me nā ʻōpio. I: Sperling MA, ed. Sperling Pediatric Endocrinology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 25.

ʻO Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nā kīnā i ka metabolism o lipids. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 104.

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Remaley AT, Days Spring TD, Warnick GR. Lipids, lipoproteins, apolipoproteins, a me nā mea ʻē aʻe o ka maʻi puʻuwai. I: Rifai N, ed. ʻO Tietz Textbook of Clinical Chemistry a me nā Molecular Diagnostics. ʻElua huaʻōlelo St Louis, MO: Elsevier; 2018: chap 34.

ʻO ka Pūʻali Hana Hana Hana US, Bibbins-Domingo K, Grossman DC, Curry SJ, et al. ʻO ka loiloi no nā maʻi lipid i nā keiki a me nā ʻōpio: US Preventive Services Task Force Hōʻike Manaʻo. JAMA. 2016; 316 (6): 625-633. PMID: 27532917 www.pubmed.ncbi.nlm.nih.gov/27532917/.