ʻO ke ake a me ka Cholesterol: ka mea āu e ʻike ai

Anter

• Nā pae olakino olakino i loko o ke kino
• Hoʻopilikia ka hana ate
• Maʻi maʻi ʻaʻona momona ʻole
• Cirrhosis
• Nā lāʻau
• Nā hopena o ke kōpaʻa kiʻekiʻe
• Ka wā e ʻike ai i ke kauka
• Kānāwai
• Lapaʻau
• Hana's
  
• Hōʻalo
  
• Outlook
• Kāohi

Hoʻolauna a me ka nānā

He mea nui ka pae kaulike kolesterol i ka mālama ʻana i ke olakino maikaʻi. ʻO ke akepaʻa kahi ʻāpana ʻike ʻole ʻia o kēlā hana.

ʻO ke akepaʻa ka nui gland i loko o ke kino, aia ma ka ʻaoʻao ʻākau o luna o ka ʻōpū. ʻO ia ke kino o ka kino detoxer o nā lāʻau a me nā mea haole ʻē aʻe. Mālama ia i ka glycogen, ka mea a ke kino e hoʻohana ai no ka ikehu. He mea nui nō hoʻi ia i ka metabolizing momona, nā waihā, a me nā protein. Hana ke ake olakino i kēia āpau me ka ʻike ʻole ʻia.

ʻO kahi hana nui a ke akepaʻa ka hana a hoʻomaʻemaʻe i ke kino. ʻO ka hapa nui o ka nānā ʻana i ka kolesterol e wehewehe i kona hiki no nā hopena olakino weliweli. Akā pono ka cholesterol i ka hana ʻana o nā homone, ka wikamina D, a me nā enzyme e pono ai no ka digestion.

ʻO nā pūpū i kapa ʻia he lipoproteins e halihali i ka cholesterol a puni ke kino. ʻElua ʻano nui nā lipoproteins kiʻekiʻe (HDL) a me nā lipoproteins haʻahaʻa (LDL). ʻO ke "kiʻekiʻe" a me ka "haʻahaʻa" e pili ana i ka mahele like o ka protein i ka momona i ka pūʻolo. Pono ke kino i nā ʻano ʻelua i nā kaulike i hoʻoponopono ʻia.

Nā pae olakino olakino i loko o ke kino

He mea nui ia e ʻike i nā pae o HDL ("maikaʻi" cholesterol), LDL ("maikaʻi" cholesterol), a me ka nui o ke kōkōlō i kou kino. ʻO kahi kuhi koʻikoʻi o ka nui o ka cholesterol ʻo HDL, a me LDL, a me ka hapalima o ke kolu o nā ʻano momona i kapa ʻia ʻo triglyceride.

Paipai ka mea i nā pae aʻe:

Nā pae HDL ma kahi o 40 milligrams ma ka deciliter (mg / dL) o ke koko. ʻO nā mea liʻiliʻi ma mua o ka mea e hoʻonui ai i kou makaʻi o ka maʻi puʻuwai. ʻO kahi pae ma kahi o 60 mg / dL e kōkua i ka hoʻohaʻahaʻa ʻana i kou makaʻi no ka maʻi puʻuwai.

Hoʻopilikia ka hana ate

Hiki i nā pilikia hana ate ke pale i ka hiki o ka meaola ke hana a hoʻomaʻemaʻe paha i ka cholesterol. Hiki i nā kūlana ʻelua ke hana i kahi spike i ka cholesterol a hoʻopili i ke olakino o ke kanaka. Hiki i nā kūlana aʻe ke hoʻopili i ke akepaʻa i ke ala e kumu ʻole ai nā pae kolesterol.

Maʻi maʻi ʻaʻona momona ʻole

ʻO ka hana maʻamau o ke akepaʻa ka hika ʻole nonalcoholic fatty maʻi maʻi (NAFLD). Hoʻopili ia ma kahi o hoʻokahi hapahā o ka heluna kānaka. ʻIke pinepine ʻia i waena o ka poʻe i kaupaona ka nui a loaʻa i ka maʻi diabetes.

Pili ka NAFLD me ka dyslipidemia, nā pae ʻē aʻe o ka kolesterol a me nā mea like i loko o ke koko. Hiki i ka NAFLD ke hoʻonāukiuki, i nā mea kūpono ʻole i ka hāʻawi ʻana o ke kino i ka momona.

Uhi ka NAFLD i kahi pae o nā kūlana. Ma loko o ka NAFLD ʻoi aku ka nui o ka steatohepatitis non-alkohol (NASH). ʻO kahi kuhi o ka NASH e alakaʻi pinepine ai i ka cirrhosis, ka ʻole o ke ake, a me ka maʻi maʻi hepatocellular.

Cirrhosis

Hiki i ka Cirrhosis ke hana i ka scarring a pale i ke akepaʻa mai ka hoʻokō ʻana i nā hana metabolic maʻamau. ʻO ke ʻano he hopena i ka ʻeha wā lōʻihi i ka nahenahe. Hiki i ka ʻeha ke hoʻopili i ka mumū mai kahi maʻi e like me ka hepatitis C. Ma hope o ka maʻi hepitis C, ʻo ka hōʻino waiona lōʻihi ka kumu pinepine o ka cirrhosis ma United States.

Nā lāʻau

ʻO kekahi kumu nui o nā pilikia o ke akepaʻa ka hōʻino ʻia mai nā lāʻau. ʻO ka hana a ke akepaʻa e hoʻopili i nā kemika i ke kino. ʻO ia ka mea e maʻalahi ai i ka hōʻeha mai ka lāʻau lapaʻau, over-the-counter, a i ʻole nā ​​lāʻau leʻaleʻa.

ʻO nā hōʻeha ate i hoʻopili ʻia i ka lāʻau a me nā lāʻau e pili ana i kēia mau ʻano.

Hepatitis huehue

Nā lāʻau lapaʻau e pili pū ana:

• acetaminophen
• bromfenac
• isoniazid
• nevirapine
• ritonavir
• troglitazone

Hepatitis maʻi

Nā lāʻau lapaʻau e pili pū ana:

• dantrolene
• halehua
• methyldopa
• minocycline
• nitrofurantoin

Hoʻohui kumu a i ʻole hepatitis atypical

Nā lāʻau lapaʻau e pili pū ana:

• Nā mea kāohi ACE
• ʻākela amoxicillin-clavulanic
• chlorpromazine
• erythromycin
• sulindac

ʻO steatohepatitis nononalcoholic

Nā lāʻau lapaʻau e pili pū ana:

• amiodarone
• tamoxifen

ʻO steatosis Microvesicular

Nā lāʻau lapaʻau e pili pū ana:

• Nā NRTI
• waikawa valproic

Maʻi Veno-occlusive

Nā lāʻau lapaʻau e pili pū ana:

• busulfan
• cyclophosphamide

Ma hope o ka hoʻōki ʻana i ka lāʻau, ʻaʻole nui ka ʻino o ke ake a emi pinepine. I nā hihia kakaikahi, hiki i ka hōʻino ke koʻikoʻi a paʻa paha.

Nā hopena o ke kōpaʻa kiʻekiʻe

ʻO nā kiʻekiʻe kiʻekiʻe o ka LDL cholesterol e hoʻonui i ka makaʻu o nā waihona momona ma nā moku e lawe i ke koko i ka puʻuwai. Hōʻike nā pae haʻahaʻa o HDL kolesterol i ka hiki ʻole i ke kino ke hoʻomaʻemaʻe i nā papa a me nā waihona momona ʻē aʻe mai ke kino. Hoʻokumu nā kūlana ʻelua i kahi pilikia no ka maʻi puʻuwai a me ka puʻuwai puʻuwai.

Ka wā e ʻike ai i ke kauka

Hiki i ka hōʻino o ke ake ke holomua no nā mahina a i ʻole mau makahiki me ka ʻole o nā ʻōuli. I ka manawa e hōʻike ʻia ai nā ʻōuli, nui ka pōʻino o ke ake. Pono kekahi mau ʻōuli e kipa i ke kauka. Pākuʻi ʻia kēia mau mea:

• jaundice (ʻili melemele a me nā maka)
• luhi
• nāwaliwali
• nalo ʻai ʻole
• hōʻiliʻili o ka wai i loko o ka ʻōpū
• ʻaʻano maʻalahi e paopao maʻalahi

Kānāwai

Hiki paha i ke kauka ke hōʻoia i nā pilikia o ke ake ma ka nānā ʻana i kāu mau ʻōuli a me ka hoʻopiha ʻana i kahi moʻolelo olakino. Hiki iā ʻoe ke hoʻokolohua i kāu hana ate. Pākuʻi ʻia kēia mau hoʻāʻo

Hōʻike ʻenema ate: ʻO nā ʻenima maʻamau i kēia panela ka alanine transaminase, aspartate transaminase, alkaline phosphatase, a me gamma-glutamyl transpeptidase. Hōʻike nā pae kiʻekiʻe o kekahi o kēia mau enzyme i ka hōʻino.

Hōʻoiaʻiʻo protein protein: Hiki i nā pae haʻahaʻa o nā proteins globulin a me albumin ke hōʻike i ka nalo ʻana o ka hana ate. ʻO Prothrombin kahi protein akepona e pono ai no ka hoʻopili ʻana. ʻO kahi ana hoʻokolohua maʻamau ke ana i ka lōʻihi o ke kō ʻana o kou koko. Hiki i ka manawa hōʻuluʻulu lohi ke kumu o ka nele o ka prothrombin a me ka hōʻino o ke ake.

Hōʻike Bilirubin: Lawe ke koko i ka bilirubin i ke akepaʻa a me ka gallbladder. A laila huki ʻia i loko o ka pahu. Hiki i ke koko i ka mimi a i ʻole bilirubin keu i ke koko ke hōʻike i ka hōʻino o ke ake.

Paneli lipoprotein hoʻokahi: Hoʻomaʻo pū ka papa i ke kō kolesterol a me nā tryglycerides pū. Kuhi ʻia ke koko ma hope o ka hoʻokē ʻai ʻana.

Lapaʻau

Hoʻomaka pinepine ka mālama ʻana i nā maʻi o ka ate me ke kamaʻilio ʻana i ke ʻano o ke kumu. Kāhea nā ʻano ʻokoʻa o ke akepaʻa no nā loli dietary kikoʻī, akā he mau ʻōlelo aʻoaʻo ākea kā ka American Liver Foundation.

Hana's

• ʻAi i nā hua, nā huaʻai, nā lau, kaʻiʻo a me nā pī, ka waiū, a me ka aila i ka like. ʻO nā meaʻai momona ka fiber.
• Noho hydrated.

Hōʻalo

• nā meaʻai i kiʻekiʻe i ka momona, kō, a me ka paʻakai
• ʻāpana pūpū maka a i moa ʻole paha
• ʻalekohola

ʻO ka mālama ʻana i ke kiʻekiʻe o ke kōkōlika pū kekahi i nā lula papaʻai e like me nā maʻi ate. Hoʻokomo pinepine ʻia ka lāʻau olakino o ka kolesterol kiʻekiʻe i kahi papa o nā lāʻau i kapa ʻia statins. Ua nānā nā kānaka noiʻi inā palekana nā statins no ka poʻe me nā maʻi ate e hoʻohana ai.

"Ma ka laulaha, palekana nā statins i nā mea maʻi me nā maʻi ate," wahi a David Bernstein, MD, FACG, ke poʻo o ka hepatology ma Northwell Health, a me ke kauka lapaʻau ma Hofstra Northwell School of Medicine ma Hempstead, NY. "ʻO nā mea maʻi i hōʻemi i ka cirrhosis e pono ke nānā pono ʻia, akā i ka laulā, palekana lākou."

"Aia kahi makaʻu? ʻAe, akā he wahi makaʻu liʻiliʻi loa ia a nānā ʻia nā mea maʻi i loko o ka mua ʻekolu a ʻeono mahina, "wahi a Bernstein.

Outlook

ʻO nā hana therapeutic hoʻohiki i ka kaohi pono o ka kolesterol, ʻoiai i waena o ka poʻe me ka maʻi ate. Akā mau ka loli o ka nohona a me ka mālama ʻana i ka papaʻai i mau mea nui a maikaʻi hoʻi o ke ala piha i ka kaohi kolesterol me ke komo ʻana o ke ake.

Kāohi

Hōʻike ka pehea e kaohi ai i nā kiʻekiʻe o ke koko kolesterol me ka papaʻai a me nā loli nohona:

Hōʻike ʻo Bernstein i kēia mau kulekele nohona aʻoaʻo he ʻōlelo aʻoaʻo maikaʻi no kēlā me kēia mea e hoʻāʻo nei e mālama i ka cholesterol i loko o ka hōʻoia, e like me nā mea me ka pilikia nui o ka maʻi ate.