E nīnau i ka mea loea: Nā nīnau e pili ana i ka Alkohola a me nā Thinners Koko

Anter
- 1. Pehea ka weliweli ke inu i ka waiʻona inā wau ma ka lahilahi o ke koko?
- 2. He aha nā makaʻi o ka inu lama ʻana ma kaʻu lāʻau?
- 3. He aha nā hōʻailona e kāhea aku ai i ke kauka?
- 4. Pehea e hoʻopili ai ka inu ʻana i ka waiʻona i kaʻu kolesterol kiʻekiʻe a i ʻole ka makaʻu ʻana i nā pilikia cardiovascular ʻē aʻe?
- 5. ʻOkoʻa paha kekahi o nā lahilahi o ke koko ma mua o nā mea ʻē aʻe i kēia mea, a i ʻole nā mea like a pau me ka makaʻu?
- 6. Aia kekahi mau pono hana a kumuwaiwai paha e kōkua mai iaʻu e hōʻemi i kaʻu inu ʻana i ka waiʻona?
1. Pehea ka weliweli ke inu i ka waiʻona inā wau ma ka lahilahi o ke koko?
Wahi a ka, ʻo ka inu kūpono ka mea inu hoʻokahi i kēlā me kēia lā no nā wahine a ʻelua mau mea inu i kēlā me kēia lā no nā kāne.
Nui a hewahewa nā kumu e hoʻoholo ai i ka weliweli o ka inu ʻana i ka waiʻona i ka lawe ʻana i nā mea lahilahi. Minamina, ʻokoʻa kēia mau mea no kēlā me kēia.
No ka hapa nui, palekana ka inu wai ʻona kūpono no ka poʻe ʻoiai e lawe ana i nā mea lahilahi o ke koko inā ʻaʻohe ou pilikia olakino nui a ke olakino maikaʻi loa ʻoe. He mea nui e hōʻoia i kēia me kāu kauka.
2. He aha nā makaʻi o ka inu lama ʻana ma kaʻu lāʻau?
Inā loaʻa iā ʻoe nā pilikia olakino hoʻomau e pili pū ana me kou ake a i ʻole nā puʻupaʻa, e hoʻopili ia i ka metabolism (a haki paha) o ka lahilahi o ke koko. Hiki paha i kou koko ke lahilahi a hoʻokau iā ʻoe i ka makaʻu kiʻekiʻe loa i nā pōpilikia kahe e hoʻoweliweli nei i ke ola.
ʻOiai inā he ate kou a me nā puʻupaʻa e hana maʻamau, hiki i ka waiʻona ke hoʻokau i ka hiki i kou ake ke metabolize i nā hui ʻē aʻe. Hiki iā ia ke kaupalena i kou mau puʻupaʻa i ka excreting i nā mea make i wāwahi ʻia a i ʻole nā lāʻau, e like me ka lahilahi o kou koko i kuhikuhi ʻia. Hiki i kēia ke alakaʻi i ka hopena weliweli like o ka anticoagulation nui.
3. He aha nā hōʻailona e kāhea aku ai i ke kauka?
ʻO ka mea ma luna o nā mea lahilahi o ke koko e hoʻonui i kou makaʻu i ke kahe ʻana. ʻO nā ʻehaʻeha kekahi o nā kumu maʻamau o ke kahe ʻana o ke koko, akā i kekahi manawa hiki iā ʻoe ke kahe i ke kahe.
Hoʻopili nā hōʻailona hae ʻulaʻula i ka nui o ke kahe o ke koko i ʻike ʻia i ka mimi, ka noho, ka luaʻi, a mai kahi ʻeha kino paha. E ʻimi koke i ka lāʻau lapaʻau e hōʻoki i ke kahe ʻana a hāʻawi i ke ola e like me ka mea e pono ai.
Aia kekahi mau hanana maʻamau o ke kahe ʻana o loko e pili a pili ʻole paha me kahi ʻeha hōʻeha. Hiki iā lākou ke paʻakikī e hoʻomaopopo a hana no ka mea ʻaʻole maopopo leʻa i ka wā mua, akā ʻo nā ʻeha i ke poʻo kahi mea nui a pono e nānā ʻia e kahi mea mālama ola.
ʻO nā ʻōuli maʻamau o ke kahe ʻana o loko e:
- ʻūpā
- nāwaliwali
- luhi
- maule ana
- ʻōpū ʻōpū
- ke kūlana noʻonoʻo i hoʻololi ʻia
- ke koko haʻahaʻa haʻahaʻa loa (ʻo kēia kahi pilikia olakino, a pono ʻoe e ʻimi koke i ka lāʻau lapaʻau)
ʻIke paha ʻoe i nā ʻūlū liʻiliʻi ma kou ʻili i ka wā e ʻeha ai nā kīʻaha koko liʻiliʻi mai nā hana o kēlā me kēia lā. ʻAʻole kēia ka mea nui e hopohopo nui inā ʻaʻole nui a i ʻole kahi markolor discoloration.
4. Pehea e hoʻopili ai ka inu ʻana i ka waiʻona i kaʻu kolesterol kiʻekiʻe a i ʻole ka makaʻu ʻana i nā pilikia cardiovascular ʻē aʻe?
Loaʻa nā pōmaikaʻi olakino koʻikoʻi a me ka nui o ke olakino, akā ʻaʻole like ka poʻe āpau. Aia kekahi mau pilikia e pili ana i ka nui o ka inu lama.
A 2011 i hui pū ʻia me 84 mau noiʻi noiʻi ma mua ua ʻike ʻia ua hōʻemi ka poʻe inu ʻona i ka nui o ka make ʻana o ka maʻi puʻuwai a me ka maʻi hahau, a me ka hoʻoliʻiliʻi o ka hoʻomohala ʻana i nā maʻi o ke aʻa aʻa (CAD) a me nā maʻi ʻino ʻole i hoʻohālikelike ʻia me nā mea inu ʻole.
Loaʻa ka makaʻu haʻahaʻa loa o ka make ʻana o CAD i nā mea inu ʻona e ʻai ana ma kahi o hoʻokahi a ʻelua mau mea ʻona pū kekahi. Ua loaʻa kahi hopena kūlike ʻole me ka make ʻana o ka hahau a me nā hahau make ʻole. ʻO kēia meta-analysis ke kumu o nā lula ʻona inu i kēia manawa.
Loaʻa ka inu ʻona ʻana o ka wai ʻona, ka hapanui i nā waina ʻulaʻula, i mea e hoʻonui iki ai i kāu HDL (maikaʻi) kolesterol.
5. ʻOkoʻa paha kekahi o nā lahilahi o ke koko ma mua o nā mea ʻē aʻe i kēia mea, a i ʻole nā mea like a pau me ka makaʻu?
Aia ma mua o hoʻokahi ʻano o ka lahilahi o ke koko a hana lākou i nā ala like ʻole i loko o ke kino.
ʻO kekahi o nā wīwī koko loa e hoʻohana mau ʻia nei ʻo warfarin (Coumadin). ʻO nā mea lahilahi o ke koko i loaʻa i kēia lā, ʻoi loa aku ka hopena o ka warfarin e ka inu ʻana i ka waiʻona. Eia nō naʻe, ʻaʻole pili ka ʻai kūpono i ka metabolism o warfarin.
I loko o nā makahiki i hala iho nei, ua hoʻomohala ʻia kahi papa hou o nā mea lahilahi. Hāʻawi lākou i nā pono he nui ma luna o warfarin, akā loaʻa iā lākou kekahi mau mea maikaʻi ʻole. E kamaʻilio me kāu kauka e pili ana i nā pono a me nā pilikia.
ʻO kēia mau mea hōʻemi koko hou, aia nā mea hoʻopukapuka thrombin pololei, e like me dabigatran (Pradaxa), a me nā mea hoʻopili Xa, e like me rivaroxaban (Xarelto), apixaban (Eliquis), a me edoxaban (Savaysa). ʻAʻole pili ka ʻano o kā lākou hana i ka inu waiʻona. ʻOi aku ka palekana o ka ʻai ʻana i ka waiʻona inā aia ʻoe i ke olakino olakino maikaʻi āpau a ua hōʻoia me kāu kauka.
E kamaʻilio me kāu kauka lawelawe e ʻike i ka mea lahilahi o ke koko āu e kūpono ai.
6. Aia kekahi mau pono hana a kumuwaiwai paha e kōkua mai iaʻu e hōʻemi i kaʻu inu ʻana i ka waiʻona?
ʻO ka kaohi ʻana e ʻai wale i ka nui o ka wai ʻona he mea paʻakikī paha no kekahi poʻe. ʻAʻole ia e koi ʻia e hoʻomaka e inu i ka waiʻona inā ʻaʻole maʻamau.
No ka poʻe i loaʻa ka pilikia me ka waiʻona, aia nā kumuwaiwai a me nā pono hana e kōkua ai e hōʻemi i ka lawe ʻana i ka waiʻona. ʻO ka National Institute on Alcohol Abuse and Alcoholism (NIAAA) kekahi o nā keʻena he nui o ka National Institute of Health (NIH), a he kumuwaiwai kūʻokoʻa, e hoʻohui ana i nā mea āpau e pili ana i ka wai ʻona.
Inā ʻoe e ʻike he palupalu ʻoe i ka hōʻino ʻana i ka wai ʻona, mai hoʻokomo iā ʻoe iho i kahi ʻano e hoʻowalewale i ka lawe nui ʻana.
ʻOiaʻiʻo, eia nā mea lawelawe olakino e kōkua a kākoʻo iā ʻoe ma ke ala.
ʻO Kauka Harb Harb kahi mea maʻi puʻuwai non-invasive e hana nei ma loko o ka Northwell Health System ma New York, kikoʻī ʻia ma ka Halemai Kula ʻo North Shore, pili pū me ke Kulanui ʻo Hofstra. Ua hoʻopau ʻo ia i ke kula kauka ma ke Kulanui Kauka Lapaʻau ʻo Iowa Carver ma Iowa City, Iowa, ka lāʻau i loko ma ka Cleveland Clinic ma Cleveland, Ohio, a me ka lāʻau cardiovascular ma Henry Ford Health System ma Detroit, Michigan. Ua neʻe ʻo Kauka Harb i New York City, e koho ana i kahi ala ʻoihana i ka lāʻau lapaʻau ma ke ʻano he kākoʻo polopeka ma ke Kula Lapaʻau ʻo Donald lāua ʻo Barbara Zucker ma Hofstra / Northwell. Ma laila, aʻo a hana ʻo ia me nā mea hoʻomaʻamaʻa puʻuwai puʻuwai a me nā haumāna lapaʻau. He hoa ʻo ia no ke Kulanui ʻAmelika o Cardiology (FACC) a me ka papa ʻAmelika i hōʻoia ʻia i ka cardiology maʻamau, echocardiography, a me ka hoʻāʻo koʻikoʻi, a me ka cardiology nukelea. He kauka kau inoa ʻo ia i ka wehewehe vascular (RPVI). ʻO ka mea hope loa, ua loaʻa iā ia ka ʻike puka puka ma ke olakino lehulehu a me ka hoʻokele ʻoihana e hāʻawi i ka noiʻi a me ka hoʻokō ʻana i ka mālama ola kino.