Kolesterol

Anter

• Hōʻuluʻulu Manaʻo
• He aha ka kolesterol?
• He aha ka HDL, LDL, a me VLDL?
• He aha ke kumu o ke kolesterol kiʻekiʻe?
• He aha ka mea e hāpai ai i kuʻu makaʻi i ka kiʻekiʻe o ke kolesterol?
• He aha nā pilikia olakino hiki i ke kolesterol kiʻekiʻe ke kumu?
• Pehea e ʻike ʻia ai ke kolesterol kiʻekiʻe?
• Pehea e hiki ai iaʻu ke hoʻohaʻahaʻa i kaʻu kolesterol?

Hōʻuluʻulu Manaʻo

He aha ka kolesterol?

ʻO Cholesterol kahi waxy, mea momona-like i loaʻa i nā hunaola āpau i kou kino. Pono kou kino i kahi kolesterol e hana i nā homone, wikamina D, a me nā mea e kōkua ai iā ʻoe e ʻānai i nā meaʻai. Hana kou kino i nā kolesterol āpau e pono ai. ʻIke pū ʻia ʻo Cholesterol i nā meaʻai mai nā kumu holoholona, ​​e like me nā yolks egg, meat, a me ka tī.

Inā loaʻa ka nui o kāu kōkōkō i kou koko, hiki iā ia ke hui pū me nā mea ʻē aʻe i loko o ke koko e hana i ka pā. Paʻa ka plaque i nā paia o kou aʻa. ʻIke ʻia kēia kūkulu ʻana o ka pāka ʻo atherosclerosis. Hiki iā ia ke alakaʻi i ka maʻi o ke aʻa coronary, kahi e lilo ai nā aʻa o kāu coronary i ʻololī a i ālai ʻia paha.

He aha ka HDL, LDL, a me VLDL?

ʻO HDL, LDL, a me VLDL nā lipoproteins. He hui lākou o ka momona (lipid) a me ka protein. Pono e hoʻopili i nā lipida i nā protein i hiki ai iā lākou ke neʻe ma waena o ke koko. Loaʻa nā kumu like ʻole o nā lipoproteins:

• Kū ka HDL i lipoprotein kiʻekiʻena kiʻekiʻe. Kāhea ʻia ia i kekahi manawa he "maikaʻi" kolesterol no ka mea lawe ia i ka cholesterol mai nā ʻāpana ʻē aʻe o kou kino e hoʻi i kou ake. Lawe aku kou akepaʻa i ka cholesterol mai kou kino.
• Kū ka LDL no ka lipoprotein haʻahaʻa haʻahaʻa. Kāhea ʻia ia i kekahi manawa he "ʻino" kolesterol ma muli o ke kiʻekiʻe o ka pae LDL e alakaʻi ai i ka buildup o ka pā i kāu mau aʻa.
• Kū ʻo VLDL i lipoprotein haʻahaʻa haʻahaʻa haʻahaʻa. Kāhea kekahi poʻe iā VLDL he "kolekole" kolesterol ma muli o ka hāʻawi pū ʻana i ka plake i loko o kāu aʻa. Akā ʻokoʻa ʻo VLDL a me LDL; Hāpai nui ʻo VLDL i nā triglycerides a hāpai nui ʻo LDL i ka kolesterol.

He aha ke kumu o ke kolesterol kiʻekiʻe?

ʻO ke kumu maʻamau o ke kolesterol kiʻekiʻe kahi ʻano ola maikaʻi ʻole. Hiki i kēia ke komo

• Nā ʻano ʻai maikaʻi ʻole, e like me ka ʻai ʻana i nā momona momona. Hoʻokahi ʻano, momona momona, loaʻa i loko o kekahi mau ʻiʻo, nā huahana waiū, kokoleka, nā mea i hoʻomoʻa ʻia, a me nā meaʻai hohonu a me nā meaʻai i hana ʻia. ʻO kekahi ʻano, trans fat, aia i loko o kekahi mau meaʻai palai a hoʻoponopono ʻia. Hiki i ka ʻai ʻana i kēia mau momona ke hoʻāla i kāu kolamu LDL (ʻino).
• Ka nele o ka hoʻoikaika kino, me ka nui o ka noho a me ka hoʻoikaika kino iki. Hoʻohaʻahaʻa kēia i kāu HDL (maikaʻi) kolesterol.
• Puhipaka, kahi e hoʻohaʻahaʻa ai i ka HDL kolesterol, keu hoʻi i nā wahine. Hāpai pū kekahi i kāu kolamu LDL.

Hoʻokumu pū paha nā genetics i nā kānaka i loaʻa ka kolesterol kiʻekiʻe. ʻO kahi laʻana, ʻo ka hypercholesterolemia ʻohana (FH) kahi ʻano hoʻoilina o ka kolesterol kiʻekiʻe. Hiki i nā kūlana olakino ʻē aʻe a me kekahi mau lāʻau ke kumu i ka kiʻekiʻe o ke kolesterol.

He aha ka mea e hāpai ai i kuʻu makaʻi i ka kiʻekiʻe o ke kolesterol?

Hiki i nā ʻano mea like ʻole ke hāpai i kou makaʻu no ka kolesterol kiʻekiʻe:

• Makahiki. Piʻi kou kiʻekiʻe o ke kōkō i kou wā ʻelemakule. ʻOiai ʻoi aku ka liʻiliʻi o ka mea maʻamau, ʻo ka poʻe ʻōpio, me nā keiki a me nā ʻōpio, hiki ke loaʻa i ka kolesterol kiʻekiʻe.
• Hoʻoilina. Hiki ke holo i ke koko kiʻekiʻe i loko o nā ʻohana.
• Kaumaha. ʻO ka momona a i ʻole ka momona e hāpai i kāu pae kolesterol.
• Heihei. Hiki i kekahi mau lāhui ke hoʻonui i ka makaʻu o ka kiʻekiʻe o ka cholesterol. ʻO kahi laʻana, ʻoi aku ka nui o nā kiʻekiʻe o ʻAmelika ʻAmelika i nā kiʻekiʻe HDL a me LDL kolamu ma mua o nā keʻokeʻo.

He aha nā pilikia olakino hiki i ke kolesterol kiʻekiʻe ke kumu?

Inā he nui kāu waihona o ka pālau i loko o kāu aʻa, hiki i kahi ʻāpana o ka pāhi ke haki (haki). Hiki i kēia ke hana i kahi kīʻaha koko e hana ma luna o ka papa. Inā nui ka nui o ka ʻaukā, hiki i ka hapanui a i ʻole ke kāpae i ke kahe o ke koko i loko o ke aʻa coronary.

Inā hoʻemi ʻia a kahe ʻia ke kahe o ke koko waiwai oxygen i kou puʻuwai puʻuwai, hiki iā ia ke kumu i ka angina (ʻeha o ka umauma) a i ʻole ka hōʻeha puʻuwai.

Hiki i ke plaque ke kūkulu i loko o nā aʻa ʻē aʻe i kou kino, me nā aʻa e lawe i ke koko momona i kou lolo a me nā lālā. Hiki i kēia ke alakaʻi i nā pilikia e like me ka maʻi carotid artery, stroke, and peripheral arterial disease.

Pehea e ʻike ʻia ai ke kolesterol kiʻekiʻe?

ʻAʻohe hōʻailona a hōʻailona paha i loaʻa iā ʻoe ke kiʻekiʻe o ka cholesterol. Aia kahi hōʻike koko e ana i kāu pae kolesterol. I ka manawa a pehea kou manawa e loaʻa ai kēia hōʻoia ma muli o kou mau makahiki, nā kumu pilikia, a me ka mōʻaukala ʻohana. ʻO nā ʻōlelo aʻoaʻo ākea:

No ka poʻe 19 a ʻoi paha mau makahiki:

• ʻO ka hōʻike mua ma waena o nā makahiki 9 a 11
• Pono nā keiki e hōʻoia hou i kēlā me kēia 5 mau makahiki
• Hiki i kekahi mau keiki ke hōʻoia i kēia hoʻokolohua e hoʻomaka ana ma ka makahiki 2 inā aia kahi moʻolelo ʻohana o ke koko kiʻekiʻe o ke koko, ka puʻuwai puʻuwai, a me ka hahau ʻana

No ka poʻe i piha ka makahiki 20 a ʻoi paha:

• Pono nā ʻōpio ʻōpio e hōʻoia i kēlā me kēia 5 mau makahiki
• ʻO nā kāne 45 a 65 a me nā wahine 55 a 65 paha mau makahiki e loaʻa iā ia i kēlā me kēia 1 a 2 mau makahiki

Pehea e hiki ai iaʻu ke hoʻohaʻahaʻa i kaʻu kolesterol?

Hiki iā ʻoe ke hoʻohaʻahaʻa i kāu kolamu ma o nā loli ola olakino naʻau. Pākuʻi lākou i kahi papaʻai meaʻai olakino puʻuwai, mālama ʻana i ke kaupaona, a me ka hoʻoikaika kino maʻamau.

Inā loli wale ke ʻano nohona ʻaʻole e hoʻohaʻahaʻa i kāu kolesterol, pono paha ʻoe e lawe i nā lāʻau. Loaʻa kekahi ʻano o nā lāʻau hoʻoliʻiliʻi kolesterol i loaʻa, me nā statins. Inā ʻoe e lawe i nā lāʻau e hoʻohaʻahaʻa i kāu kolesterol, pono ʻoe e hoʻomau me nā loli o ke ʻano.

Hiki i kekahi poʻe me ka hypercholesterolemia ʻohana (FH) ke loaʻa i kahi lāʻau i kapa ʻia ʻo lipoprotein apheresis. Hoʻohana kēia lapaʻau i kahi mīkini kānana e hemo iā LDL cholesterol mai ke koko. A laila hoʻihoʻi ka mīkini i ke koena o ke koko i ke kanaka.

NIH: National Heart, Lung, a me Blood Institute

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