Pehea e hoʻonui ai i ka pae o ka maikaʻi - HDL cholesterol: 8 mau ala

ʻO ka Hypercholesterolemia, kahi ʻano i hoʻokiʻekiʻe ʻia ai ka nui o ka cholesterol koko, i loko o ka papa inoa o nā mea koʻikoʻi e pili ana i ka ulu ʻana o ka myocardial infarction. Hoʻokomo ka naʻau o ke kanaka i ka kolamu nui, no laila ʻaʻole pono ʻoe e ʻai ia me ka meaʻai.

ʻO nā mea pili i nā momona e kapa ʻia nā lipids. ʻO ka lipids, ma ka manawa ʻelua, he ʻelua mau ʻanoʻano nui - cholesterol a me ka triglycerides, i lawe ʻia e ke koko. Ke halihali i ka kolamu ma ke koko a kūleʻa ia, ua hoʻopaʻa ʻia i nā protein. Ua kapa ʻia kēlā kolamu me ka lipoprotein.

He kiʻekiʻe nā Lipoproteins (HDL a i ʻole HDL), haʻahaʻa (LDL) a haʻahaʻa loa (VLDL). Hōʻike ʻia kēlā me kēia hōʻike i ka hopena o ka hoʻomohala ʻana i nā maʻi o ka ʻōnaehana cardiovascular. ʻO ka hapa nui o ka cholesterol koko i loko o nā lipoproteins low density (LDL). Hoʻopau lākou i nā kolamu i nā pūpuna a me nā meakanu, ʻoiai hoʻi ma o nā arteri coronary i ka puʻuwai a ma luna aʻe.

ʻO Cholesterol i loaʻa i ka LDL (lipoproteins haʻahaʻa haʻahaʻa) hana i ke kuleana nui i ka hana ʻana i nā plakika (hōʻiliʻili i nā mea momona) ma nā paia o loko o nā arteri. I ka huli ʻana, ʻo kēia nā kumu o nā sclerosis o nā kīʻaha koko, nā coronary arteri, a me ka nui o ka hōʻeha o ka infococote myocardial i kēia hihia.

ʻO kēia ke kumu i kapa ʻia ai ka LDL cholesterol "hewa." Ke hoʻokiʻekiʻe nei nā kumu maʻamau o LDL a me VLDL - ʻo ia kahi e hoʻomaka ai nā kumu i ka hoʻomaka ʻana o nā maʻi cardiovascular.

ʻO HDL (nā lipoproteins density kiʻekiʻe) ke kaʻi aku nei i ka kolesterol ma ke koko, akā ma ke ʻano he HDL, ʻaʻole i komo ka waiwai i ka hoʻokumu ʻana i nā pōkole. I ka ʻoiaʻiʻo, ʻo ka hana o nā pale i hana i HDL ka hoʻoneʻe ʻana i ka kololi nui mai nā kiko o ke kino. ʻO kēia hiʻohiʻona e hoʻoholo i ka inoa o kēia kolamu: "maikaʻi."

Inā hoʻonui ʻia nā ʻōpiopio HDL (lipoproteins kiʻekiʻe kiʻekiʻe) i ke koko o ke kanaka, ua ʻokoʻa ka nui o ka maʻi o ka maʻi cardiovascular. ʻO Triglycerides kekahi huaʻōlelo no nā momona. ʻO ka ʻōpala ke kumu nui a nā ikehu a lawe ʻia i kēia hiʻona ma HDL.

Ma ka ʻāpana, nā triglycerides e komo i ke kino me nā ʻōpala pū me ka meaʻai. Ināʻoi aku ka nui o nā kāohi, nā huki a me ka waiʻona i loko o ke kino, a laila ʻoi aku ka nui o nā calorie ma mua o ka maʻamau.

I kēia hihia, hoʻomaka ka hoʻouka ʻana o kahi nui o nā triglycerides, kahi e pili ana i ka HDL.

Ke halihali ʻia ka triglycerides i loko o nā pū i ka lipoproteins like e hoʻopuka ai i ka kolamu. Aia kekahi pilina pololei ma waena o ka hopena o ka hoʻomohala ʻana i nā maʻi cardiovascular a me nā kiʻekiʻe triglycerides kiʻekiʻe, ʻoiaʻiʻo hoʻi inā HDL ma lalo o ka maʻamau.

He mea e hana

1. Inā hiki, hoʻokaʻawale i kahi mau mea momona mai ka meaʻai. Inā hōʻemi ka ʻike o nā momona i ka ikehu i hoʻolako ʻia e ka meaʻai ma kahi o 30%, a me ka hapa hapa o nā momona saturated e waiho ana ma mua o 7%, ʻo ia ʻano ka hoʻololi ʻana i ke ʻano nui o ka hoʻokō ʻana i ke kolamu o ke koko maʻamau. ʻAʻole pono e hoʻokaʻawale i ke kīpē mai ka meaʻai.
2. Pono e hoʻololi ʻia nāʻaila a me nā momona saturated me nā polyunsaturated, no ka laʻana, ka hinu soya, ka ʻaila oliva, ka ʻāpono, ka puʻu ʻana, ka palaoa. ʻO kaʻai ʻana i nā meaʻai momona i nā momona saturated e hoʻemi ʻia i ka liʻiliʻi. Ke hoʻāla nei lākou i ka pae o LDL a me VLDL iʻoi aku ma mua o nā mea hoʻohana ʻē aʻe. ʻO nā holoholona āpau, kekahi mau mea kanu (ka palu a me ka aʻa waiu) a me nā ʻaina hydrogenated i nā momona momona.
3. Mai ʻai i nā meaʻai i loaʻa nā palaka trans.ʻO lākou ka ʻāpana o ka hydrogenated a ʻoi aku ka weliweli me lākou ʻoi aku ke kiʻekiʻe no ka puʻu ma mua o nā momona saturated. Hoʻomaopopo ka mea hana i nā ʻike āpau e pili ana i nā momona trans i ka pale huahana.

Nui! E ho'ōki i ka ʻai ʻana i nā meaʻai e loaʻa ai ka kolamu. No ka hoʻopau i ka intake o "bad" (LDL a me VLDL) kolamu i loko o ke kino, ua lawa ia e hōʻole i nā momona momona (ʻoi aku no nā momona saturated).

Inā ʻaʻole, hiki ʻo LDL iʻoi aku ka kiʻekiʻe ma mua o ka maʻamau.

ʻO ka huahana i hāpai ʻia ai ka cholesterol:

• hua manu
• waiū piha
• loloa
• nā mollusks
• meaola o nā holoholona, ​​kūikawā o nā nuku.

Hōʻike ka loiloi ʻana i ka hoʻohaʻahaʻa ʻana i ka cholesterol e hāʻawi i ka hoʻohana ʻana i ka fiber o ka mea kanu.

Nā kumuwaiwai huaʻai o ka mea kanu:

Hoʻomaopopo ʻia e kiʻi i nā mea pākahi keu i ke kino inā ʻoi aku ka nui o ke kaumaha ma mua o ka mea maʻamau. Aia i loko o ka poʻe me ka obesity ka manawa hoʻolaʻa e kū pinepine ai ka cholesterol. Inā hoʻāʻo ʻoe e nalowale i ka 5-10 kg, e loaʻa ana kēia i ka hopena koʻikoʻi ma ka hōʻailona kolamu a hoʻomaʻamaʻa i ka lawaiʻa, e like me ka hōʻike ʻana he koko.

E nānā i ka ʻike e kōkua i ke kani no ke ana ʻana i ka cholesterol.

He waiwai like ka hoʻoikaika kino. Loaʻa iā ia ka hana nui ma ka mālama pono i ka hana naʻau maikaʻi. No ka hana i kēia, hiki iā ʻoe ke hoʻomaka me ka holo ʻana, hele keke, hele ʻana i ke kau inoa i ka ʻauʻau ʻauʻau. Ma hope o ka hoʻomaka ʻana o nā papa, e hōʻike ana kekahi hōʻike koko i ka hoʻokiʻu ʻole ʻia ka cholesterol.

Aʻo ka piʻi haʻahaʻa o ke ala (ʻo ke kiʻekiʻe aʻe ka maikaʻi) a me ka mahiʻai e loaʻa kahi hopena maikaʻi ma ke kino holoʻokoʻa a ma ke ʻano o ka hoʻohaʻahaʻa i ka cholesterol.

Pono e haʻalele ʻia ka ulaula a hoʻokahi. Eia ka mea i hoʻopiʻi i nā mea hoʻomohala i ka hōʻeha o ka puʻuwai a me nā kīʻaha koko, e mālama pū kekahi i nā pae kolepa ma mua o ka maʻamau. Ma hope o 20 mau makahiki a ʻoi aku ka nui, pono e hoʻopili ʻia kahi loina o nā kolamu ma kahi o ka manawa i kēlā me kēia 5 mau makahiki.

Pehea ka hana ʻana

ʻO kahi kōmole lipoprotein (ka mea i kapa ʻia ʻo ke ʻano loiloi) he ana i ka ʻike o ka kolamu o ka kolamu, HDL (lipoproteins kiʻekiʻe kiʻekiʻe), LDL, VLDL a me nā triglycerides.

Ke hana nei i nā kikoʻī, pono e hoʻokō ʻia ka nānā ʻana ma kahi ʻōpū ʻole. Me ka nui o ka makahiki, e loli ana ka nui o ka cholesterol, e hoʻonui ʻia ka nui o nā maʻi āpau.

Laha ʻia kēia kaʻina hana i nā wahine i ka wā menopause. Eia kekahi, aia kahi ʻano hoʻoilina no ka hypercholesterolemia.

No laila, ʻaʻole ia he mea pili i ka nīnau ʻana i ko lākou poʻe hoahānau e pili ana i kā lākou mau māka kolala (inā i hoʻokō ʻia kahi ʻano hōʻike like ʻokoʻa), e ʻike ai inā maʻa o nā hōʻailona āpau.

Inā ke kiʻekiʻe o ka kolamu o ke kō i ke koko, he mea hoʻonāukiuki kēia no ka hoʻomohala ʻana i nā maʻi cardiovascular. No laila, i ka hiki ʻana i kahi hōʻemi i kēia maʻa i kahi mea maʻi a kuhikuhi i ka hoʻomaʻamaʻa kūpono, pono i ke kauka ke noʻonoʻo i nā kumu āpau, e pili ana:

• koko koko kiʻekiʻe
• ulaula
• ka loaʻa ʻana o ka maʻi naʻau ma nā pili pili pono.
• nā makahiki o ke ahonui (nā kāne ma hope o 45, nā wahine ma hope o 55 makahiki).
• Ua emi ʻo HDL (≤ 40).

Pono kekahi mau maʻi e mālama i ka lāʻau lapaʻau, ʻo ia hoʻi, ʻo ke koho ʻana i nā lāʻau lapaʻau e hoʻohaʻahaʻa i nā lipids koko. Akā inā ʻaʻole e lawe i nā lāʻau lapaʻau, pono e poina e kekahi no ka nānā ʻana i ka meaʻai kūpono a me ka hana kino.

I kēia lā, aia nā ʻano o nā lāʻau lapaʻau e kōkua i ka mālama ʻana i ka hana lipid kūpono. Koho ia kahi ʻano kūpono e kahi kauka - he endocrinologist.

Nā ala kūlohelohe e hoʻonui ai i ka cholesterol HDL

Loaʻa i kou ola ka hopena hoʻokahi ma ka HDL cholesterol. No laila, ʻo ka hana ʻana i nā loli i kou mau lā a me ka mana piha o kāu mau hana, e like me ka ʻai mau a me nā hana kūlohelohe, hiki ke alakaʻi i nā pae olakino o nā lipoproteins kiʻekiʻe, e hiki ke hōʻemi i ka pilikia o nā pilikia e pili ana i ke ola.

Ke hoʻokalakala nei kāu mau kulana i ka hoʻoholo ʻana i ka maikaʻi o kou kino e hana i ka HDL a me nā ʻano kolamu ʻē aʻe. ʻAʻole hiki iā ʻoe ke hoʻowalewale i kāu mau ʻano kulana, akā hiki iā ʻoe ke kāohi i kou ʻano. Eia kekahi o nā ala maʻalahi maʻalahi e hoʻonui ai i kāu kolamu HDL:

ʻO ka lipoproteins density kiʻekiʻe - he aha ia a a he aha nāʻano o ke kumu

ʻO Cholesterol, ka mea e kahe leʻe ma ke kahe o ke koko, i hoʻokaʻawale ʻia i loko o nā māhele ʻelua - "maikaʻi" (HDL) cholesterol a "maikaʻi" - LDL. Pili loa kēia hoʻokaʻawale i ke ʻano o nā hana a me nā ʻano o kēlā me kēia ʻano.

ʻO LDL (ka haʻahaʻa haʻahaʻa haʻahaʻa) hoʻokō i kahi hana koʻikoʻi i ka hoʻokumu ʻana i nā leʻaleʻa vale atheromatous. Hoʻololi ʻia nā molekule o kēia hapa i ke kāwili pū ʻana a hana i nā konglomerates ma waena o nā hua endothelial. No laila ke hoʻomaka nei ke kaʻina o ka sclerosis o ka paia vaskular, ma nā huaʻōlelo ʻē aʻe - ulu ka atherosclerosis. He maʻi formidable kēia e hōʻemi ai i ka olakino o ke ʻōnaehana cardiovascular no nā makahiki a e hōʻāwele i ka puʻuwai puʻuwai, hōʻeha ʻana, ka puʻe ischemic, a me nā aneurysms.

He maikaʻi "HD" kolamu koko. Ua aie i kona inoa i na waiwai. Hoʻokomo ka molekole protein e hana i HDL i ka hoʻoneʻe ʻana i nā kolamu nui mai nā kiko o nā kino a me nā pā vascular. Ma ke ʻano he kānāwai, he haʻahaʻa loa nā kumu HDL maʻamau - ko lākou koʻikoʻi i ke koko e pono ma ka waena mai 0.7 a 1.94 mmol / l, nā kāne a me nā wahine.

I nā mea kikoʻī nui loa, ke hōʻike ʻia nā kau o nā kolamu maikaʻi e ka makahiki ma ka papa ma lalo.

ʻOi aku ka HDL ma mua o ka maʻamau - he aha ka manaʻo. Ke manaʻoʻiʻo ia inā ʻike ka HDL i ka hoʻonui ʻia o ka HDL, e hoʻemi nui ana nā pilikia mai ka ʻōnaehana kaomi. Akā, ua hoʻonohonoho ʻia ka palena o ka maʻamau o ke kumu. ʻOiai ke piʻi ʻana o ka HDL i loko pono iho, ʻaʻole ia e kau i ka pōʻino, hiki iā ia ke hōʻike pololei i kahi nui o nā kaʻina hana i loko o ke kino.

ʻO ka hoʻonui ʻana i ka kolamu maikaʻi a ka nānā. ʻO kahi ʻē aʻe, ʻo ia ka manawa o ka hapai, ke hoʻoh ʻoi aʻe nā kiʻekiʻe āpau o ka loiloi biochemical i ke koko ma mua o ka hōʻike, a ua manaʻo ʻia he ʻano nui ka maʻi o ka maʻi. ʻO ka plasenta he ʻano kolamu, no laila, no kona hoʻokumu ʻana, pono ka nui o nā protein lawe me nā lipids. Eia kekahi, ʻo ka hoʻonui ʻana o ka hana o nā hormones, ke kinikini o nā momona, ke alakaʻi nei i ka hoʻonui i ko lākou pono.

I ka nui o nā kūlana kulekele, inā ke kiʻekiʻe ʻia ka cholesterol HDL, ʻo ia ka mea i haʻahaʻa loa ka hopena o ka atherosclerosis a i ʻole nā ​​maʻi vascular ʻē aʻe. Noho like me kēia, hiki i nā lipoproteins i hāpai ʻia ke ʻano i nā kumu maikaʻi ʻole:

• Ka inu pia. Ma muli o nā hopena olakino e pili ana i ka ate, a pana ʻia kāna mau hana detoxification. Elevated HDL kekahi o nā māka o kēia kaʻina hana.
• ʻO ka cirrhosis biliary.
• ʻO nā maʻi āpau o ka Hepatic - hepatosis momona, a ʻo nā mea i hoʻohālikelike ʻia nā hana nui, ʻo ke kūlohelohe o nā lipoproteins o nā māhele āpau.
• Hopu ʻia i hōʻike ʻia ʻo hypercholesterolemia. I kēia maʻi, hoʻonui i ka biosynthesis o nā pauku lipid ʻē aʻe, no laila, e hoʻokumu i ka maʻi maʻi, pono e mālama nui ʻaʻole i HDL wale nō, akā i nā mea hōʻike i hoʻonui ʻia i nā lipid profile.
• Kanaka thyroid - hypothyroidism.
• Kuke maikaʻi ʻole - ke komo ʻana o ka nui o nā meaʻai i loaʻa i nā momona holoholona.
• Hoʻopau a maikaʻi ʻole, ʻano noho ʻole hoʻi. ʻO nā molekole Cholesterol o nā papa liʻiliʻi liʻiliʻi i ke koko. Ke halihali ʻia lākou i nā ʻine a me nā ʻuna ola ʻē aʻe. Ke alakaʻi nei kekahi kanaka i kahi ulu o ka maʻi luhi, ʻaʻole koi ka cholesterol i ka nui o ka mea e loaʻa ai i ke kahe koko. Ma muli o ka pono ʻole, hiki i kēia ʻano nui ke hoʻololi i kahi hapa haʻahaʻa haʻahaʻa a hoʻomaka e noho i ka endothelium vascular.
• Laula

Wahi a nā helu loea, ʻo ka nui o ka HLL e hōʻike pinepine nei i ka pōʻino a me ka hoʻokomo o ka momona momona i ka meaʻai. I ka manawa pinepine, ua loaʻa i nā meaʻai nā substrates no ka cholesterol ma ka haʻahaʻa a me ke koikoi kiʻekiʻe. No laila, me kēlā ʻano etiology, ma hope o "HDL", hiki i ka "hōʻeha" ke kolamu a me ka triglycerides i ke koko.

He aha e hana ai a hōʻemi paha

Hoʻokumu i nā waiwai o ke kiʻekiʻe o ka HDL kiʻekiʻe, ʻaʻole hiki ke hoʻonohonoho paha i kahi maʻi a hana paha i kekahi mau ʻōlelo hōʻike. Pono e ʻike i ka hoʻonui ʻia o nā māka palapala lipid holoʻokoʻa - ke koʻokoʻo i ka hoʻokaʻa o ke koko o ka lua kolamu, kona hewa a me ka hapa maikaʻi, triglycerides, a me ka coefficient atherogenic. Wahi a ke koena o ke kiʻi lāʻau lapaʻau, hiki i ke kauka ke hana i kekahi mau papa inoa.

ʻO nā kumu kumu maʻamau o nā kolamu kiʻekiʻe (HDL) kahi kīnā ʻole paʻa ʻole, nele i ka hoʻōho, a me nā hana ʻino. I mea e hoʻoponopono hou ai i ka paukū lipid, pono ʻoe e hana mua ma kēia etiological triad.

Paipai ʻia kahi meaʻai i kēlā me kēia lā. ʻO nā momona momona, lard, spicy, fried, smoked dish, meaʻai wikiwiki a me nā momona momona e lawe ʻia ʻole mai kona ʻano. Hāʻawi ʻia ka makemake i nā mea kanu mea kanu, ʻaʻole ia e hoʻohālikelike wale i nā waiwai o HDL a me LDL, akā loaʻa kekahi mau hopena maikaʻi e pili ana i ka macroorganism.

Hiki i kahi HDL kiʻekiʻe i kahi lula ma ka lipid ka ʻike ʻana i nā waiwai maʻalahi, ʻaʻole ia kahi hōʻailona no ka kuhikuhi ʻana i ka lāʻau lapaʻau a hoʻoponopono ʻia e ka lāʻauʻai. Inā ʻoi aku ka paʻakikī o ka neʻe mai ke kumu a ʻoi aku ka nui o nā ʻōhua lipid, a laila ma hope o ka nīnau ʻana, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau mai ka pūʻulu o nā statins - Rosart, Rosuvastatin, Atorvastatin a me nā mea ʻē aʻe.

ʻO ka kālai kiʻi profil Lipid he mea koʻikoʻi i kahi ola olakino, ʻoi loa no nā poʻe kahiko. Nui nā maʻi vascular a me nā puʻuwai huli i kahi manawa asymptomatic latent, hiki ke ʻike ʻia e like me nā hoʻokolohua hōʻoia. Inā aia kekahi mau mea i hoʻonui ʻia i loko o lākou, pono e hoʻopili koke i ka mea loea e hoʻomaka i ka mālama ʻana i ka manawa a pale i nā hopena koʻikoʻi.

ʻO ka wehewehe ʻana o HDL

Ma kahi o 80% o ka cholesterol o ka mea i hoʻoulu ʻia i ke kino, ʻo ia ka mea pono o ka ate. ʻO ke koena 20% ka hoʻopili ʻia me ka meaʻai. Hoʻokomo kēia mea i ka hana o nā hormones, ka hoʻokumu ʻana o nā membrane me nā aila bile. ʻO Cholesterol kahi waiwai i hoʻopiʻi maikaʻi ʻole ʻia i nā wai. Hoʻomoʻa ʻia kona halihali e ka ʻā i hana ʻia, ka ʻano o nā protein kūikawā - apolipoproteins.

ʻO kēia kiko - nā protein me ka cholesterol - i kapa ʻia he lipoprotein. Nā ʻano like ʻole o kēia ʻano mea ma o nā moku, nā mea i ʻōmaka mai nā ʻano like like (ka protein a me ka cholesterol). Hoʻolaha wale ka wae o nā ʻāpana.

Aia he mau lipoproteins:

• haahaa waiwai nui (VLDL),
• nā palena haʻahaʻa (LDL)
• kamaʻo kiʻekiʻe (HDL).

ʻO nā mea ʻelua ʻelua i liʻiliʻi ka liʻiliʻi o ka kolamu, ua aneane lākou a piha i nā protein. He aha ka manaʻo inā hoʻohaʻahaʻa ka HDL, hiki iā ʻoe ke nānā me kāu kauka. No ka mea nui aku ka nui o ka pūnao protein i ka nui o ka kolamu, a laila pili ka HDL i ka "kolesterol maikaʻi."

ʻO ka pahuhopu nui o HDL ka lawe ʻana i nā lipid ka mea nui loa i ka puʻu, me ka pahuhopu o ka hana hou ʻana. Ua kapa ʻia kēia ʻano ʻoi, kahi 30% o ke kolamu koko. Inā no kekahi kumu nui o LDL ma mua o ka HDL, a laila kuhihewa ʻia kēia me ka hoʻokumu ʻana o nā plak atherosclerotic, ka mea, i hōʻiliʻili ʻia i loko o nā moku, hiki ke hōʻeha i nā ala ʻino o ka ʻōnaehana SS, ma ka hōʻeha o ka naʻau a me ka ʻeha.

Nā hōʻailona kuhikuhi

Hiki i nā pae kolona maikaʻi ke loli ma muli o nā kumu like ʻole. Loaʻa kahi hōʻailona HDL i kēlā me kēia kūlana.Inā haʻahaʻa ka HDL, ʻo ia ka mea i loaʻa ka hopena o kahi pathology e like me ka atherosclerosis.

Wahi a nā helu helu e hōʻike nei, hiki iā ʻoe ke hoʻoholo i ka pilikia o nā maʻi CVD:

1. ʻO HDL o 1.0 mmol / L i kahi kāne pākeke a me 1,3 mmol / L i nā wahine e hōʻike ana i kahi kūlana kiʻekiʻe o ka atherosclerosis.
2. Nā hōʻike hōʻike i nā ʻāpana o ka hapalua ikaika o ke kaiāulu a ma nā wāhine ke hōʻike pū nei i ka hopena maʻamau o ka hiki ʻana o ka ʻike o ka pathology.
3. ʻO kahi hōʻailona o 1.55 mmol / L e hōʻike ana i kahi haʻahaʻa haʻahaʻa o ka hoʻomaka ʻana o ka maʻi.

Manaʻo nā hōʻailona o ka LDL cholesterol i kahi keiki ma lalo o 14 mau makahiki no ke kaikamahine he makahiki - mmol / l, no kahi kāne ʻōpio - no ka wahine ma lalo o 30 makahiki - no kahi kāne o ka like o ka makahiki - nā wahine he mau makahiki - nā kāne - nā wahine ma mua o 40 - kāne -

Inā hoʻohaʻahaʻa ʻia ka HDL, ʻo ia ka mea e pili ana ka pilikia o nā pathologies CVD. I kēia hihia, pono ia e wehewehe i ke kumu a hana i nā hana e hoʻonui ai i ka kolamu kūpono.

Nā Kānāwai Kūʻē kiʻekiʻe (High Density Cholesterol): ʻO nā kumu o ka hōʻemi a me nā Methods no ka hoʻomaikaʻi ʻana i nā pae HDL

He nui nā kumu no ka hiki ke hōʻemi i ka hōʻailona o nā lipoproteins density kiʻekiʻe i ke kino. Pehea e hoala ai i ka cholesterol kiʻekiʻe-kiʻekiʻe (maikaʻi ke kolamu e kōkua ana i ka wehe ʻana i nā kolea maikaʻi ʻole mai ke koko a i ka ate) hiki ke nānā aku me kāu kauka.

ʻO ka hoʻohaʻahaʻa i ka cholesterol kiʻekiʻe kiʻekiʻe e hiki ke hoʻāhu ʻia e nā kumu:

1. ʻO ka momona nui a koʻikoʻi paha. Kūkulu ʻia kēia ʻano me ka hoʻohaʻahaʻa nui i nā pae HDL ma muli o nā loli i hiki i ka lipid metabolism.
2. ʻO kaʻai kūpono ʻole a me ke ola kino. ʻO ka hōʻino maikaʻiʻana i nā meaʻai a me nā momona, ke nele o ka ʻai, ka ʻai ʻana, ka hoʻohana ʻana i ka mea ʻai wikiwiki a me nā meaʻai maʻalahi i ke ʻano koke a i ʻole ma ke ʻano he poloka ka koloka i loko o nā moku a hoʻēmi i kā lākou excretion mai ke kino. Hāʻawi kahi hana hana haʻahaʻa i ka nui o ka kolamu ma ke koko.
3. ʻO ka heleʻana o nā pathologies e hele mai ana ma kahi ʻano maʻi. Hiki i kekahi mau pathologies hoʻohaʻahaʻa i ka pae o ka cholesterol kiʻekiʻe-kiʻekiʻe kiʻekiʻe. Ma muli o nā kaʻina pathological, ʻike ʻia ka hiʻohiʻona o nā hemahema i nā hana metabol. Hiki ke hōʻemi ʻia i ka ʻike o ka waiwai ma muli o ka hepatitis, pathologies oncological, nā maʻi thyroid, a me ka cirrhosis.
4. ʻO ka hiki ʻana o nā mea pili. Ua hōʻike ʻia no ka hōʻino ʻana i ka waiʻona, e like me ka uahi ʻana, hoʻonāukiuki i ka hōʻemi o ka pae o ka cholesterol maikaʻi i ke koko.
5. Ke lawe nei i nā lāʻau lapaʻau. Pono ka poʻe me ka mai o kahi maʻi maʻi e inu i nā lāʻau lapaʻau like ʻole i ko lākou ola āpau i mea e mālama ai i ke olakino a pale i ka hoʻonui ʻana i nā maʻi. ʻO ka hapanui o nā lāʻau lapaʻau hou e hoʻopilikia maoli i ka momona o ka metabolism a hoʻonāukiuki i ka loaʻa ʻana o nā palau ʻole. Hoʻopilikia ʻia ka hōʻemi o ka neʻe o ka cholesterol maikaʻi, ma ke ʻano he kānāwai, ma o ka lawe ʻana i nā diuretics, nā anabolic steroid, beta-blockers.
6. ʻO ka paleʻai hormonal. ʻO nā maʻi o ka hanana i ka wā o ka gestation ke alakaʻi i ka hōʻemi o ka neʻe o HDL. ʻO ka hoʻololi ʻana i ka papa o ka hormonal i hoʻokahi makahiki a ʻelua paha ma hope o ka hānau ʻana. Ua hui pū ʻia ka menopause me kahi kaila o nā pae estrogen. Ka hilinaʻi nui o ka HDL e pili ana i ka estrogen, me ka mea e pili ana kēia hormon i ka synthes o ka cholesterol maikaʻi. Hiki i ke kauka ke kuhikuhi i ka hāmeʻe o ka hormone, ma ke ʻano ka lawe ʻana iā Climodien.
7. ʻO ka heleʻana o nā kalima o nā ʻōpū a me nā ʻōnaehana urinary, nāwā o ke ake, ʻona waiʻona, hypertension, maʻi maʻi, CVD ailments.

ʻĀmaʻomaʻo

Hōʻalo nā ʻōnaehana mai ke ʻano o ka cholesterol maikaʻi ʻole me ke kākala. Inā hoʻohaʻahaʻa ka kiʻekiʻe-density cholesterol, a laila hōʻike kēia i kahi mea ʻole i nā hana metabolic, ʻoi aku ka metabolism momona.

Ua hele pū ʻia ka maʻi me kēia mau ʻike:

• ka hiʻohiʻona o ka xanthomas (melemele-kaomi i kau ʻia ma luna o ka ʻili),
• haʻahaʻa haʻahaʻa
• nā hoʻomanaʻo hoʻomanaʻo,
• ka popo ʻana o nā lima lima o nā ʻāpana a me nā haʻahaʻa haʻahaʻa.
• kahi mele kikoʻī (puʻuwai a me nā palpitations)
• ka pōkole o ka hanu (loaʻa ʻelua ma hope o ka hana a ma hope o ke kaumaha).

ʻO ka hiʻohiʻona o kēia alana āpau no ka hoʻopili ʻia ʻana o ka lumen vascular ma muli o ke kahe ʻana o nā kolamu cholesterol i loko.

ʻO kahi hoʻolōʻihi lōʻihi i ka pae o nā lipid maikaʻi e halihali me ka uhi ʻana o nā kīʻaha koko. I ka wā e hiki mai ana, hiki i ka neʻe ʻana o ke kaʻa i kekahi mau ʻāpana o ke kino.

Nā ala e hoʻomaʻamaʻa i HDL a me ka lapaʻau

I mea e hoʻoponopono hou ai i ka ʻike ʻana o nā lipids maikaʻi i ke kino, ua kuhikuhi ʻia nā lāʻau lapaʻau aʻe.

• Nā mea hoʻonani pūlū kikowaena Cholesterol: Ezetrol. Mālama i ka pale ʻana i ka lilo ʻana o nā momona i loko o nā ʻōpū.
• Kākoʻo o nā moʻo huile: Cholestyramine, Colestipol. Hoʻonui nā lāʻau lapaʻau i kēia hui i ka hoʻopili ʻana i nā aihue bile e ka ate.
• Fibratov: Clofibrate, Fenofibrate, a me Gemfibrozil.
• Nā ʻāpana: Cerivastatin, Lovastatin, Fluvastatin. E hāʻawi i ka pale i ka syntl o HDL a me ka pale ʻana o nā enzymes e pili ana i ka puʻuwai.

E ʻike pono i nā ʻōnaehana kolamu o ke koko e nā kānaka e hōʻeha nei i nā pilikia CCC, ka momona nui, nā momona, a me nā mea e alakaʻi nei i kahi ʻano hana ola ʻole, ka uahi a inu ka wai ʻona.

Pono e hoʻomaopopo e hiki ai i nā hana maʻamau o ke kolamu o ke koko, e lawe wale ana i nā lāʻau lapaʻau wale nō.

ʻO ka mea mua, pono nā poʻe i kū i kekahi pilikia e loli i ko lākou ola

• E hele i loko no ka haʻuki a ʻana paha i ka hoʻomaʻamaʻa kino. Aerobics, holo, ʻauʻau, holoholo a me ke ʻano uila - pau kēia mau mea e kōkua i ka hoʻomaikaʻi ʻana i ke ʻano maʻamau a me ka maikaʻi a hoʻonui hoʻi i ka HDL.
• He kōkua kūpono a kaupaʻa ʻia e hoʻomaʻamaʻa i ka cholesterol koko. Kūkulu ʻia nā mea ʻai mai nā momona, ke kō, ka paʻakai, nā mea ʻea, nā mea ʻai, nā mea ʻoluʻolu, a me nā mea inu ʻawa. ʻO ka hoʻopili ʻana i ka meaʻai me nā huahana me nā momona momona - nā hua kanu a pau, nā lau a pau a me nā hua e kōkua ʻaʻole i ka hoʻoponopono ʻana wale nō, akā i ka hoʻonui ʻana i nā pae HDL.
• Hoʻomaopopo ikaika nā kauka a me nā mea lapaʻau e hoʻopiʻi i kāu kau ʻana i nā meaʻai i nā momona momona, nā momona momona, a me nā ʻaihā. Hoʻopilikia ka meaʻai i ke kino, ʻoiai inā pau i ka nui.
• Kū i ka ulaula a me ka inu wai. Hoʻopau i ka hoʻopauʻana i ka hāʻawi i ka hoʻonāukiuki i ke koʻikoʻi o ka cholesterol maikaʻi.

Kāohi

Ke pale nei i nā pilikia olakino, ma ka hoʻohaʻahaʻa ʻana i HDL, ʻoi aku ka maʻalahi ma mua o ka mālama ʻana iā lākou ma hope. I mea e pale ai i ka wā e loaʻa mai ai kahi maʻi, ua ʻōlelo ʻia e ʻai pololei, hāʻawi i nā ʻano ʻino, hoʻokani pāʻani.

Loaʻa ka poʻe i loaʻa ka malfunction i ka momona metabolism:

• e mālama i ka hypertension, lawe i nā lāʻau lapaʻau i kauoha ʻia e kāu kauka i ka manawa kūpono.
• inu pinepine i nā ʻaina antiplatelet, no ka laʻana, ka acetylsalicylic acid,
• mālama i nā maʻi maʻi
• ʻōhumu e hoʻoponopono i nā hōʻike no ka cholesterol,
• pili i ka waikele nikotinic
• alakaʻi i kahi ʻano ola maikaʻi loa.

Lipoproteins High Density High (HDL): He aha kēia a he aha kā lākou hana, nā kumu a me nā hopena o ka hoʻonui

ʻAʻohe pilikia i ke kino i ka hoʻonui ʻana o HDL. ʻO kēia hapa o ka kolamu i kapa ʻia ʻo "maikaʻi", ʻaʻole ia e kau i ka paia o nā kīʻaha koko a ʻaʻole i kumu e hoʻomohala ai i ka atherosclerosis.

Akā, e like me kēlā me kēia kuhikuhi, pono e mālama i ka waiwai o HDL. Hiki i ka pale hoʻokaumaha ke hōʻike i ke ʻano o ka maʻi koʻikoʻi.

E noʻonoʻo ka poʻomanaʻo i ka hana nui o ka HDL a me nā kumu no ka neʻe ʻana o ka hōʻailona i kēiaʻano.

Kāla a me nā lipoproteins density kiʻekiʻe (HDL): he aha ia?

Kālā Cholesterol - Eia kahi palapala ʻono o ka momona no ke kino.Ma kēia hoʻohālike, hoʻokomo i nā ʻili, a ua hana mai ka triglycerides - nā huahana o ka haʻalulu ʻana o nā momona i loko o ka pā liʻiliʻi. I ke kino o ke kanaka, hana ka cholesterol i nā hana penei:

• he hale hana hale, he wahi o ka paia o na papale,
• ua hoʻōla ʻia i nā kiko me ka hoʻokuʻu ʻana o ka ikehu no nā hana biochemical,
• komo i ke kāpili ʻana o nā hana sex (i nā kāne a me nā wahine).

Ma kahi o 80% o ka waiwai e hoʻoili ʻia i ka puʻu. Hoʻololi ka ʻili i nā loina i kau mai i loko o nā molekiola kolamu. Ma kahi o 20% e komo i ke kino mai ka waho. Loaʻa ka cholesterol i loko o ka caviar iʻa, nā momona momona, margarine a me nā meaʻai i ʻai (ʻaʻole i loaʻa i ka aila ʻaila ponoʻī, akā hana ʻia i ka wā e kolo ai).

ʻO nā ʻōnaehana biochemical a pau i ke kino o ke kanaka i automated. Mālama ke kino i kahi kiʻekiʻe o ka cholesterol a me ka triglycerides i ke koko i loko o nā palena maʻamau, ʻoiai hiki. ʻO ka momona momona i ke kahe koko e "ʻili ʻia" e nā konglomerates kūikawā - kiʻekiʻe lipoproteins kiʻekiʻe (HDL, HDL).

ʻO kēia kahi o nā protein a me nā momona momona. Hoʻopili ʻia nā ʻōpala momona i nā peke; Hoʻopili lākou i nā pūpuna ate a no laila lawe i ka conglomerate unmistakably i ko lākou wahi i hele ai.

Aia kekahi mau māhele ʻē aʻe o ka cholesterol - LDL a me VLDL (haʻahaʻa a me nā lipoproteins density haʻahaʻa loa). Kūpono ia mau pahu, akā no ka meaʻaʻaʻa. I kēia hoʻohālikelike, e pālahalaha ana ke kolamu mai ka palu i nā kiko. ʻO LDL lāua ʻo VLDL e hoʻokūkū ana i nā moku a hana i nā pāpaʻi kolesterol. Hoʻomaopopo kēia mau mea hoʻohua "cholesterol" maikaʻi ʻole.

Kuhi ʻia ka conglomerate e ka pulu no ka hoʻohālikelike ʻana o ka nui o nā momona momona i loko o ka peke i ka nui o nā protein ma luna o kona mau maka.

Me ka hoʻonui a emi paha i loko o ka HDL, ua pā mai nā maʻi. ʻAʻole hiki ke hoʻoholo i kahi kūʻokoʻa mai lākou. Hāʻawi ʻia nā hualoaʻa e nā hoʻokolohua koko biochemical. ʻO ka biomaterial i lawe ʻia mai kahi vein a i ʻole kahi manamana lima. Ma hope o ka noiʻi ʻana i loko o ka hale hana, ua hōʻiliʻili ʻia kahi kōpili lipid koko (ka pae o ka loaʻa o nā ʻano o nāʻokoʻa o ka momona o ka momona). Loaʻa iā ia: HDL, LDL, VLDL, ka nui o ka kolamu, triglycerides.

Hoʻopili ʻia ka loiloi ma ka ʻōpū ʻole, ʻaʻole hiki iā ʻoe ke ʻai i nā hola 8 ma mua o ke kaʻina hana, lawe nō i ka lāʻau lapaʻau pū kekahi. Hiki iā lākou ke hoʻokaʻawale i nā hopena. Hōʻole ʻia ka inu ʻawaʻī 2 mau lā ma mua o ke kaohi ʻana.

Hoʻoholo ʻia ka overpricing o HDL ʻaʻole wale e ka mea o kona pono. Hoʻopili ʻia nā hapa āpau o ke kolamu, a helu ʻia ka index atherogenic. Hōʻike ia i ke kūlana o ka hana lipid metabolism ma ka laulā. Hoʻololi ʻia ka HDL mai ka heluna nui. Ua hoʻokaʻawale mau ʻia ka helu i koe e HDL. ʻO kēia ka hopena. Ma hope o ka nānā ʻana i ka mākeke atherogenic hiki iā mākou ke kamaʻilio e pili ana i ke kaʻe o kekahi hapa.

I nā kāne a me nā kāne, ua ʻokoʻa ka maʻamau o ke kolamu ma muli o nā hiʻohiʻona o ka metabolism a me ke kino holoʻokoʻa. Pono ke kino wahine i nā momona hou, ʻo ia ke kumu no ka hōʻailona ʻana o ka estrogen (ʻoi aku ka wahine kāne wahine).

Me ka nui o ka makahiki, e hemo ana ka metabolism, a hoʻonui ʻia ke ʻano HDL. Hoʻololi lohi iki ʻia ka kolamu meaʻai. Pono ka nui o HDL e halihali i ia me nā keu o nā mea ʻē aʻe i ka ate, inā ʻaʻole e noho lākou ma nā paia o nā moku. Inā hoʻonui ʻia nā lipoproteins kiʻekiʻe ma kahi kanaka ʻelemakule, nui ka ulu ʻana o ka ulu ʻana i ka atherosclerosis.

Papa 1. ʻO ke ʻano o ka HDL i nā wahine ma o lākou mau makahiki.

Lipoproteins kiʻekiʻe kiʻekiʻe (HDL) - he aha ia

I kekahi manawa, i ka nānā ʻana o ka palaki lipid, ʻike ʻia ua hoʻonui ʻia a hōʻemi paha ia ke kiʻekiʻe o ka HDL: he aha ka manaʻo? I kā mākou loiloi, e loiloi mākou i nā mea e ʻokoʻa ai ma waena o ka lipoproteins o ka palena kiʻekiʻe a me ka haʻahaʻa haʻahaʻa, nā kumu no nā kuhi hewa ʻana i nā loiloi o ka mea mua mai ke ʻano maʻamau, a me nā ʻano kumu e hoʻonui ai.

ʻO kā Cholesterol he waiwai ia e like me ka momona i ke kino o ke kanaka i kaulana i loko. Nui nā noiʻi lāʻau lapaʻau e pili ana i ka ulia o kēia pūhui. Hoʻopili lākou āpau āpau i nā kolamu koko nui a me nā maʻi like ʻole e like me ka atherosclerosis.

ʻO Atherosclerosis i kēia lā kekahi o nā maʻi maʻamau i loko o nā wahine ma hope o 50 mau makahiki a me nā kāne ma hope o 40 makahiki. ʻO nā makahiki i hala iho nei, ʻike ʻia ka pathology i ka poʻe ʻōpio a hiki i ka wā kamaliʻi.

Hoʻohālikelike ʻia ka atherosclerosis e ke ʻano o ka waiho ʻana o ka kolamu ma ka paia o loko o nā moku - nā ʻalopili atherosclerotic e hoʻopili maoli ana i ka lumen o nā kīneka a waiho i kahi mau hewa ʻole o ke kahe koko i nā kino o loko. ʻO ka mea mua, ʻo nā ʻōnaehana e hana nui ai i nā minuke āpau a pono pono i ka komo ʻana o ka oxygen a me nā mea momona - ua pā ʻia ka cardiovascular a me nā ʻōnaehana.

ʻO nā pane maʻamau o ka atherosclerosis:

• ʻephlelo huna
• ʻO ke ʻano iskemeka ONMK - neʻe cerebral,
• maʻi ʻeha coronary, angina pectoris,
• myocardial pili hewa
• nā maʻi i loko o nā moku o ka pūlima, nā haʻahaʻa haʻahaʻa.

Ua ʻike ʻia ka lilo ʻana o ka cholesterol kiʻekiʻe i ka hana nui o ke ʻano o ka maʻi. I mea e hoʻomaopopo ai i ka ulu ʻana o ka atherosclerosis, pono ʻoe e aʻo hou e pili ana i ka biochemistry o kēia ʻano mea kanu i loko o ke kino.

ʻO ke kolamu he mea ia o kahi kaina momona e like me ke ʻano loea, e like me ke kaohi ʻana i ka kemika, pili i nā alcohols momona. I ka haʻiʻana i kona mau hopena maikaʻiʻole i ke kino, mai poina e pili ana i nā hana koʻikoʻi koʻikoʻi e hana nei kēia mea:

• hoʻoikaika i ka membrane cytoplasmic o kēlā me kēia sela o ke kino o ke kanaka, hana i ʻoi aku ka maʻalea a paʻa i ka paʻa;
• hoʻoponopono i ka hāmeʻe o nā pā o nā cell, pale i ka komo ʻana o kekahi mau mea momona a me nā mea lito i litoe i loko o ka cytoplasm,
• he ʻāpana o ka kūloko adrenal - glucocorticosteroids, mineralocorticoids, sex hormones,
• komo i ka hana o ka huaʻala o ka huaʻai a me ka huaora D e nā ʻoka huʻu.

ʻO ka hapa nui o nā kolamu (e pili ana iā 80%) ma ke kino e nā hepatocytes, a hele wale nō ka 20% me ka meaʻai.

ʻAʻole loaʻa i nā puna o nā mea kanu nā lipid saturated, no laila, komo ka kolamu exogenous i ke kino ma ke ʻano o ka momona o ka holoholona - ka ʻiʻo, ka iʻa, ka moa, ka waiū a me nā huahana waiū, nā hua.

Hoʻopili ʻia nā kūmole Endogenous (intrinsic) i loko o nā kōpona ate. He mea ʻole i loko o ka wai, no laila, e lawe ʻia ana i nā wahi i nānā ʻia e nā kahu ʻai kūikawā - apolipoproteins. ʻO ka pūhui biochemical o ka kolamu a me ka apolipoprotein i kapa ʻia he lipoprotein (lipoprotein, LP). Mamuli o ka nui a me nā hana, hoʻokaʻawale ʻia nā lāʻau āpau i:

1. ʻO ka lipoproteins haʻahaʻa haʻahaʻa (VLDL, VLDLP) - ka hapa nui loa o ka kolamu, ka nui o nā triglycerides. Hiki i kā lākou anana ke hiki ma 80 nm.
2. Lipoproteins haʻahaʻa haʻahaʻa (LDL, LDL) - kahi pākine-momona momona, e paʻa ana i kahi mololeka apolipoprotein a me ka nui o ka cholesterol. ʻO ka awelika waena he –18–26 nm.
3. ʻO ka lipoproteins kūloko kiʻekiʻe (HDL, HDL) - ka hapa liʻiliʻi o ka cholesterol, ke kiko o ka pāʻina a ʻaʻole eʻoi aku i ka 10-11 nm. ʻO ka nui o ka hapa o ka protein i loko o ka hoʻopihapiha he nui i ka nui o ka momona.

He lipoproteins haʻahaʻa haʻahaʻa a haʻahaʻa (LDL - koʻikoʻi) ka nui i nā hāpau o atherogen o ka cholesterol. He paʻakikī kēia mau wahi nui a paʻakikī e neʻe ma ka moku peripheral a hiki ke "nalo" i kahi ʻāpana o nā molekala momona i ka wā e kipa aku ai i nā mea kikoʻī. Noho kēlā mau lehelehe i ka papakū o ka pā o loko o nā kīʻaha koko, e hoʻoikaika ʻia e ka hoʻopili pili, a laila hoʻolilo ʻia, a hana i ka pālika maikaʻi atherosclerotic. No kā lākou hiki ke hoʻonāukiuki i ka hoʻomohala ʻana o ka atherosclerosis, ua kapa ʻia ʻo LDL a me VLDL ka kolu "kino".

Hiki i nā lipoproteins kiʻekiʻe loa, ke kuʻi, hiki ke hoʻomaʻemaʻe i nā kīʻaha o nā momona momona e hōʻuluʻulu i ko lākou ʻaoʻao. ʻOi liʻiliʻi a brisk, hopu lākou i nā palupalu lipid a lawe aku iā lākou i ka hepatocytes no ka hoʻōla hou ʻana i ka nui o nā puna a me ka hoʻopuka ʻana mai ke kino ma o ka huina. No kēia mana, ua kapa ʻia ka HDL cholesterol i "maikaʻi."

No laila, ʻaʻole hewa ka pau loa o ke kolamu ma ke kino. ʻO ka hiki ke hoʻomohala ʻana i ka atherosclerosis i kēlā me kēia mea maʻi e hōʻike ʻia ʻaʻole wale nō e ka indie o ka OX (ka nui a me ka kolamu) i ka hoʻāʻo ai i ke koko, akā aia nō hoʻi i ka ratio ma waena o LDL a me HDL. ʻOi aku ka kiʻekiʻe o ka hapa o ka mua a me ka haʻahaʻa - ʻo ka lua, ʻoi aʻe ka ulu ʻana o ka dyslipidemia a me ka hoʻokumu ʻana i nā pli atherosclerotic ma nā paia o nā kīʻaha koko. ʻO kahi pilina kūlike kekahi i ʻoiaʻiʻo: hiki ke hoʻonui ʻia ka HDL i manaʻo ʻia he haʻahaʻa haʻahaʻa o ka hoʻomohala ʻana i ka atherosclerosis.

Hiki ke hoʻokolohua i ke koko me he ʻāpana o ke kaomi lipid - kahi loiloi piha o ka momona metabolism i loko o ke kino, a i ʻole kūʻokoʻa ʻole. No ka hōʻoia ʻana i ka hopena o ka hōʻike ʻokoʻa a hiki ke kūpono, pono ka poʻe maʻi e hahai i kēia mau ʻōlelo paʻa:

1. Nānā nui ʻia nā lipoproteins kiʻekiʻe e nānā ʻia ma kahi ʻōpū ʻole i ke kakahiaka (mai kahi 8.00 a 10.00).
2. ʻO ka ʻai hope loa e lilo i mau hola he 10-12 ma mua o ka lawe ʻana i nā biomaterial.
3. ʻO 2-3 mau lā ma mua o ka hoʻokolohua, kāpae i ka ʻai i nā meaʻai momona a pau.
4. Inā ʻoe e lawe nei i kekahi mau lāʻau lapaʻau (me nā huaora a me nā meaʻaiʻaiʻai), pono e haʻi aku i kāu kauka e pili ana i kēia. Malia paha e kuhikuhi iā ʻoe ʻaʻole e inu i nā kīpē no nā lā 2-3 ma mua o ka hoʻāʻo. Hoʻopuka pili i nā hopena hōʻike e lawe ana i ka antibiotics, nā hormones, nā huaora, ka omega-3, NSAIDs, glucocorticoids, etc.
5. Mai uahi ma kahi o 30 mau minuke ma mua o ka hoʻāʻo.
6. Ma mua o ke komo ʻana i ka lumi hoʻohuihui koko, e noho no 5-10 mau minuke i ka mālie a ho'āʻo e makaʻu ʻole.

No ka hoʻoholo ʻana i ke kiʻekiʻe o ka lipoproteins density kiʻekiʻe, lawe ʻia ke koko mai kahi vein. ʻO ke kaʻina ponoʻī e lawe i hoʻokahi a i ʻekolu minuke, a ʻo ka hopena o ka huli ʻana e mākaukau i ke kakahiaka aʻe (i kekahi manawa - ma hope o kekahi mau hola). Me ka ʻike i loaʻa, ʻike ʻokoʻa ka ʻike (maʻamau) i loko o kēia keʻena kikowaena i ka palapala loiloi. Hana ʻia kēia no ka mea maʻalahi o ka decoding hōʻike hoʻāʻo.

Hoʻomaopopo pinepine nā kauka i ke koko e hoʻoholo i nā kolamu no nā kāne a me nā wahine i hiki i nā makahiki 25-35. ʻOiai me nā huaʻōlelo lipid maʻamau, pono e hoʻihoʻi ʻia ka ho'āʻo i kēlā me kēia 5 mau makahiki.

A he aha ke ʻano o ka lipoproteins kiʻekiʻe kiʻekiʻe i kahi kanaka olakino? Heʻokoʻa ke ʻano o ka maʻamau o ka wahine a me nā kāne ma kēia hapa o ka cholesterol. Hōʻike ʻia nā waiwai lipid kumu i ka papa ma lalo.

Wahi a ke kikowaena noiʻi NICE, kahi hōʻemi o 5 mg / dl i nā kiʻekiʻe kiʻekiʻe o ka lipoprotein e hoʻonui i ka nui o ka hōʻeha o ke kanulau vascular (hōʻeha hōʻeha, ka hōʻeha) ma ka 25%.

No ka loiloi i ka hōʻino o ka hoʻomohala ʻana i ka atherosclerosis, me ka hōʻeha a me nā maʻi koi, pono ia e noʻonoʻo i ka māhele o ke kiʻekiʻe lipoproteins kiʻekiʻe i ka kolamu nui.

Inā hoʻohaʻahaʻa ʻia ka HDL ma muli o nā kiʻekiʻe nui o ka lipher atherogenic, ua ʻike mua paha ka mea maʻi i nā atherosclerosis. ʻO ka mea i hoʻopiʻi ʻia i nā mea kikoʻī o ka dyslipidemia, ʻoi aku ka ikaika o ka hana ʻana o nā koleka koleko i loko o ke kino.

ʻAʻole loaʻa ka piʻi ʻana me ka pinepine. ʻO ka ʻoiaʻiʻo, ʻaʻohe minamina o ka hapa o kēia hapa o ka kolamu: ʻo ka lipoproteins kiʻekiʻe-kiʻekiʻe ka nui o ke kino, ka haʻahaʻa o ka pilikia o ka hoʻomohala ʻana i ka atherosclerosis.

Ma nā hihia'ē aʻe, ua nānā ʻia nā haunaele nui i ka momona o ka momona o ka momona, a lilo nui ka HDL. ʻO nā kumu kumu ʻole o kēia ʻano.

• hoʻoilina kāna hoʻoilina,
• ka maʻi hepatitis
• nā loli cirrhotic i loko o ke ake,
• lilo wai maʻi,
• waiʻona.

I kēia hihia, pono ia e hoʻomaka i ka mālama ʻana i nā maʻi lalo.ʻAʻole loaʻa i nā hana kūikawā i hoʻolālā ʻia e hoʻohaʻahaʻa i ka pae o HDL i ka lāʻau lapaʻau ʻaʻole i hoʻokumu ʻia. ʻO kēia ʻāpana o ka cholesterol e hiki ai ke hoʻomaʻemaʻe i nā moku o nā palaki a hoʻopaʻa i ka pale ʻana o ka atherosclerosis.

ʻO nā papa haʻahaʻa o ka HDL i ke kino he nui ka maʻamau ma mua o ke kiʻekiʻe. ʻO kēia kūloko o ka loiloi mai ke ʻano maʻamau e pili i:

• diabetes mellitus, hypothyroidism a me nā maʻi ʻē aʻe o ka hormonal,
• maʻi pūpū luhi: hepatitis, cirrhosis, nā maʻi kanesa,
• ke kuʻuna o nā keiki
• hoʻoilina (genetically determin) type IV hyperlipoproteinemia,
• kaʻeha hoʻonā pili ʻana
• ka nui o ke kōpana o nā kiko'ī atherogenic o ka cholesterol me ka meaʻai.

He mea nui e kāpae i nā kumu i loaʻa ai a, inā hiki, e hāpai i ka hōʻemi o ka HDL cholesterol i ka pae kūpono. Pehea e hana ai i kēia, e noʻonoʻo i ka māhele ma lalo.

Hiki iā ke hoʻonui i ke kiko o nā lipoproteins kiʻekiʻe ma ke koko inā loaʻa kekahi pūʻali e hoʻoponopono e hoʻoponopono i ka meaʻai, ke ʻano a me ke ʻano o ke kaumaha o ke kino. Inā i loaʻa ʻia ka dyslipidemia e kekahi maʻi o nā kino o loko, pono e hoʻopau ʻia kēia mau kumu inā hiki.

ʻO ke ola ka mea mua e pono e nā mea maʻi me ka HDL haʻahaʻa e mālama pono ai. E hahai i nā ʻōlelo a nā kauka:

A ʻoiaʻiʻo, e kipa pinepine i kāu kauka. E kōkua pū ka hana me ke kanaka lapaʻau i ka hana maʻamau i nā meaʻehaʻeha o ka hiki ʻana me ka hana maʻalahi. Hoʻowahāwahā ʻole ʻo ia i nā ʻōmole i ʻōlelo ʻia e ka mea lapaʻau no ka mālama olakino, hana i nā hoʻokolohua ma ka lehelehe spider 1 manawa i 3-6 mau mahina a ʻike i nā kīʻaha o ka puʻuwai a me nā puʻuwai inā he mau hōʻailona o ka lawa o ke koko i kēia mau mea.

He mea nui hoʻi ka meaʻai no ka dyslipidemia. ʻO nā lula o ka pānaa therapeutic hiki ke hoʻonui i ke kiʻekiʻe o ka HDL e loaʻa:

1. Kaʻai momona (a hiki i ka 6 manawa i ka lā), ma nā wahi liʻiliʻi.
2. Pono ka lawa o nā calorie haʻahaʻa o nā meaʻai e hoʻopiha i nā kumu o ka ikehu, akā ʻaʻole nui. ʻO ka awelika kumukūʻai ma ka pae o 2300-2500 kcal.
3. ʻAʻole pono ka nui o ka momona i komo i ke kino i ka lā a pau e hoʻonui i ka 25-30% o ka nui o nā kaloliola. ʻO kēia, ʻoi ka nui o nā mea i manaʻo ʻia e hoʻokaʻawale i nā momona unsaturated.
4. Hoʻohui i nā meaʻai me nā mea e hiki ai ke kiʻekiʻe o ka kolamu "hewa": lard, momona pipi, offal: utuk, ʻeleu, ʻano iʻa o ke kīwī, margarine, ka ʻaila kuke.
5. Hoʻopili i nā huahana e loaʻa iā LDL. No laila, no ka laʻana, ʻai ʻia nā ʻiʻo a me nā moa me kahi pāʻina hypocholesterol e ʻai ʻole ma mua o 2-3 mau manawa i ka pule. ʻOi aku ka maikaʻi e kāhuli iā ia me ka protein o ka ʻai piha i ka momona - soybeans, legumes.
6. ʻAi ʻia ka lawa o ka fib. Pono nā huaʻai a me nā mea kanu i ke kumu o nā poʻe maʻi me ka atherosclerosis. Loaʻa lākou i ka hopena maikaʻi ma ka hana o ka gastrointestinal tract a hikiʻole ke hoʻopili i ka hoʻonui ʻana o ka hana HDL i ka ate.
7. Hoʻokomo ʻia i ka lāʻai o ka bran: ʻoat, rye, etc.
8. Hoʻokomo i kaʻai o nā meaʻai e hoʻonui ai i nā kiʻekiʻe HDL: iʻa iʻa kai lau, nā hua ʻala, nā aila kūlohelohe - ʻoliva, ka lā, nā hua pākahi, etc.

Hiki ke hoʻonui ʻia ka HDL me nā meaola meaʻai e hoʻohana ai nā biologically i loaʻa i nā omega-3 polyunsaturated fatty acid i waiwai i ka "exogenous" cholesterol maikaʻi.

Wahi a nā helu helu, ma kahi o 25% o ka heluna o ka honua ma mua o 40 mau makahiki e loaʻa ana i ka atherosclerosis. Mai ka makahiki a wīwī, e ulu nei ka mea ulu i waena o nā poʻe'ōpio i ka makahiki 25-30 mau makahiki. ʻO ka hoʻonāukiuki ʻana o ka momona o ka momona ma ke kino he pilikia koʻikoʻi e pono ai ka hoʻopili pū ʻana a me ka mālama ʻana i ka manawa. A i nā loli o ke kiʻekiʻe o ka HDL i nā loiloi, mai hele ʻole ʻia e ka lāʻau loea.

ʻO ka lipoproteins kiʻekiʻe e hoʻopuni i ka plasma koko. ʻO kā lākou waiwai nui he anti-atherogenic. ʻO kēia mau lipoproteins e pale ai i nā moku mai ka hoʻohemo ʻana o nā palaki atherosclerotic ma ko lākou mau paia.No kēia waiwai, ua kapa ʻia lākou (HDL) i ka maikaʻi kolala, no ka mea ua hoʻoneʻe aku lākou i ka kolamu kaʻai ma o ka lawe ʻana i ka puʻuwai. Ke hopohopo nei kekahi mau maʻi e hoʻonui ʻia ka HDL cholesterol e nā hoʻokolohua o ke koko. Kono pono kēia i nā poʻe me nā pilikia o ka ʻōnaehana cardiovascular, ʻoiai, he nui kona hopena o ka hoʻomohala ʻana i ka atherosclerosis.

Hāʻawi ʻo HDL i ka hoʻoili ʻana a me ke kinai ʻana i nā momona mai ke kino, no laila, ua kapa ʻia lākou he kolala maikaʻi.

ʻO ka ʻike o ka LDL a me ka kolamu holoʻokoʻa e nānā pū ʻia. He mea nui ia e ʻike ma muli o ka hoʻopiʻi ʻana o nā lipoproteins i ka nui o ka cholesterol, e hoʻonui ʻia ana paha iā ia.

No ka hoʻoholo ʻana i ka waiwai o nā lua a me nā lipoproteins o nā lako like ʻole, lawe ʻia ke koko mai kahi vein i ke kakahiaka, ma ka ʻōpū ʻole. E like me nā hopena o nā hoʻokolohua hoʻokolohua, hoʻokumu ʻia kahi hua lipid e ʻike ʻia ana ka manaʻo o ke koko o ka nui o ka kolamu, kiʻekiʻe, haʻahaʻa a haʻahaʻa me ka lipoproteins density, a me ka triglycerides. Hoʻopili ʻia nā hōʻailona āpau i ke kūʻokoʻa o kekahi i kekahi, a laila hui pū pū.

I mea e hoʻomaopopo ai i ke kumuhana, ʻo ka mea mua, he pono e aʻo i ka mea o ka atherosclerosis. I ka ʻepekema nei, he maʻi maʻi vascular kēia i hoʻoneʻe ʻia e ka lipid impaired a me ka metabolism protein, i hele pū me ka hōʻuluʻulu ʻana o ka kolamu a me kekahi mau māhele o nā lipoproteins i ka lumen o nā kīʻaha koko ma ke ʻano o nā plika atheromatous. E maʻalahi, nā mea hoʻonā o ka kolamu a me kekahi mau mea ʻē aʻe i ka paia o ka moku, e hoʻēmi ana i kāna throughput. ʻO ka hopena, ke piʻi nei ka kahe koko. E hoʻopau i ka pale ʻana. I kēia hihia, ʻaʻole i komo ke koko i ka ʻāʻī a pale a hoʻoulu paha i ka necrosis - necrosis.

Nā pale o ke kolamu a me nā lipids ma nā paia o nā pili koko ke alakaʻi i ka atherosclerosis.

He lipoproteins nā lipoproteins āpau o nā pānaʻi like ʻole, ka neʻe kahe i ke koko. He nui loa ka nui o nā lipids liʻiliʻi (ma ke ʻano he cell cell) ʻaʻole hiki iā lākou ke komo i ka pā vascular. ʻAʻole i hōʻino ʻia ka hoʻopiʻi ʻana a ʻaʻole hoʻomohala ka atherosclerosis i hōʻike ʻia ma luna nei. Akā e hoʻomanaʻo pono inā e hoʻonui ʻoe iā lākou, a laila hiki ke hoʻomohala ʻia ka hoʻomohala ʻana o ka pancreatitis, kahi maʻi o ka pancreas.

Hiki i nā lipids haʻahaʻa liʻiliʻi ke komo i ka paia o ka moku. Eia kekahi, me ka pono o nā ʻili o ke kino i loko o lākou, e hele hou ka lipids i ka ʻoni lau, i kapa ʻia "ma ka ʻōlelo". Inā ʻaʻole nui ka nele, a kiʻekiʻe ke kahe ʻana o ke koko, a laila komo ka LDL i ka pā a noho i loko. Eia kekahi, ʻo nā kaʻina hoʻomohala ʻokoʻa ʻaʻole i loaʻa ke kumu o ka atherosclerosis.

ʻO HDL ka liʻiliʻi loa o kēia mau lipid. ʻO kā lākou pono ma ka hana me ka hiki ke maʻalahi i ka komo ʻana i ka paia o ka moku a haʻalele iā ia. Eia kekahi, loaʻa iā lākou kahi hopena antioxidant, ke hoʻololi nei i ke ʻano o ka hoʻohuli ʻana i nā lipine haʻahaʻa-low i loko o nā plika atherosclerotic.

Hoʻomaopopo ʻia ka LDL cholesterol he "hewa", no ka mea me ka nui o ka pā o nā kahe koko he mau papa e hiki ke hōʻaheʻe i ke kahe koko ma loko o ka moku, e hoʻoweliweli ana i ka atherosclerosis a me ka hoʻonui nui aʻe i ka maʻi o ka naʻau (ka maʻi coronary, hōʻeha hōʻeha) a me ka ʻeha

ʻĀnō ke maopopo iā ia ke kumu e kapa ʻia ai nā lipid kiʻekiʻe-kiʻekiʻe ʻoi aku ka maikaʻi o ka cholesterol maikaʻi a maikaʻi paha. E kūmole loa ia ke kumu no ka loiloi ʻana ʻaʻole wale nō i ka kolamu a pau, akā nā hui pū kekahi.

Eia naʻe, mai hopohopo i ka heluhelu ʻana i ka mīkini e pili ana i luna. ʻAʻole kēia ka manaʻo ke hoʻomau nei ka pākēkē i nā moku, a ʻo kā lākou mau mea i hala ke ʻano he manawa maʻamau wale nō. ʻO ka maʻamau, hana pinepine nā mīkini lipid regulation. Hoʻokahi wale nō me ka makahiki, i ke alo ʻana o kahi ola ʻole a i ʻole nā ​​ʻano like ʻole, ua hana hewa kēia kaʻina hana. ʻAʻole i hoʻopaʻa ʻia nā hoʻonā i ka wā like, i nā minuke a i ʻole mau hola, akā no ka manawa lōʻihi paha. Akā mai haʻalele i ka mea lapaʻau.

Hiki iā ia ke palekana me ka haʻahaʻa o kēia mau lipoproteins e ʻoi aku ka pilikia ma kahi kiʻekiʻe. Inā hoʻonui ʻia ka HDL i ka hoʻāʻo ai i ke koko, ke manaʻo nei ko lākou hoʻonui e pale aku i ka atherosclerosis, kahi ʻano antiatherogenic. Ma ke ʻano kānalua, ma lalo o kekahi mau kūlana, hiki i nā helu overestimated o kēia hōʻailona ke hoʻomohala i ka hopohopo, me nā helu he nui loa, lilo nā lipoproteins density kiʻekiʻe loa.

ʻAʻole hoʻonui ka hoʻonuiʻana i nā pae HDL!

ʻO nā kumu no ka hoʻonui ʻana i ke kiʻekiʻe o kēia hapa lipoprotein:

• Nā genetic mutations e hopena i ka overproduction a i ʻole ka hoʻēmi ʻana ma ka hoʻopihapiha o ke kolamu maikaʻi.
• Lāukiuki i ka waikahe, aemaise i ke kahua o ka cirrhosis.
• ʻO ka cirrhosis mua loa.
• Hāpopo
• Ke lawe nei i kekahi mau lāʻau lapaʻau: insulin, glucocorticoids.
• ʻO ka hyperalphapipoproteinemia Familial. ʻAʻole ia e ukana ʻia e kekahi mau hōʻailona, ​​ʻaʻole hoʻopilikia ʻo ka mea maʻi i kekahi mea, ke hele mai i ka mālamalama me ka loaʻa ʻole o ka ʻike ʻole ʻia.
• Malia paha he hoʻonui i nā wahine e mākaukau nei e lilo i makuahine. He kūpono kēia i ka hopena o ka hopena o ka wā e hāpai ai, i ka wā e hiki pālua ʻia ka helu.

ʻO ka kolamu kiʻekiʻe ma ka wā hāpai e pili pū me ka ʻoiaʻiʻo a ma ke kino ka nui o ka hoʻonui ʻana i ka metabolid lipid a me ke kāpae ʻana i nā hormones e nā neʻe adrenal.

ʻO nā kumu no nā haʻahaʻa HDL haʻahaʻa:

• Naʻi maʻi mellitus.
• ʻO ka Hyperlipoproteinemia type IV.
• ʻO nā maʻi o ka aʻoki a me nā ate.
• ʻO nā huehue a me nā maʻi pūpū.

Pono ʻoe e hoʻomaopopo he mākaukau hoʻokahi o ka hōʻailona o HDL i kēlā me kēia a i ʻole ke ʻano o ke kino. Hiki ke hana i nā mea like i ka hoʻohālikelike ʻana me ke kiʻekiʻe o ka kolamu a me LDL.

Hōʻike ʻia kēia, ʻo ka mea mua, ma ka mea i kapa ʻia ʻo ka hoʻokūkū atherogenic. Hoʻoholo ʻia ia e like me kēia ʻano iho: hoʻemi ʻia ka cholesterol kiʻekiʻe loa mai ke kolamu holoʻokoʻa, a laila hoʻokaʻawale hou ʻia ka hopena hopena e HDL. Hoʻohālikelike ʻia nā koikoi hopena i nā mana maʻamau. Ma ka awelika, ʻaʻole pono e kiʻekiʻe i luna o ka 2.5-3.5 i nā kāne (ma muli o ka makahiki) a ʻaʻole i kiʻekiʻe o ka 2.2 i ka wahine. ʻOi aku ka kiʻekiʻe o ka mea paʻa, ʻoi aku ka kiʻekiʻe o ka hopena o ka maʻi naʻau coronary. Ka huli ʻana i ka loiloi matematika maʻalahi, hiki iā ʻoe ke hoʻomaopopo e ʻoi aʻe ka kiʻekiʻe o ka kolamu a me nā lipoproteins liʻiliʻi, ʻoi aku ka nui o ka coefficient, a me nā ʻōlelo ʻē. Ke hōʻoia hou nei i ka hana palekana o nā proteid kiʻekiʻe-kiʻekiʻe. No laila, inā e hoʻokiʻekiʻe ʻia ka lua a me ka HDL, ʻo ia ka mea ma ka nui o ka coefficient e hoʻohaʻahaʻa ʻia, akā pono e noʻonoʻo e pili ana i ka hōʻemi ʻana i nā loea kolamu. Inā e hoʻokiʻekiʻe wale ʻia ka HDL, ʻo ia ke kumu no ka hopohopo ʻole.

ʻAʻole hiki ke hoʻokaʻawale i nā mea kiʻekiʻe kiʻekiʻe a me nā haʻahaʻa haʻahaʻa ma o ka coefficient. Hōʻike ʻia lākou ma ke kūʻokoʻa o kēlā me kēia.

Inā ʻaʻole i ʻike nā kumu no ka hoʻonui ʻana i nā lipoproteins kūloko kiʻekiʻe a he hauʻoli nō kou olakino, a laila e kipa aku ʻoe i kāu kauka. Heʻoiaʻiʻo kēia inā inā hāʻawi ʻia ke koko, no ka laʻana, me kahi mahele o kahi noiʻi a i ʻole no nā kumu ʻē aʻe i pili pololei i ka hele ʻana i ke kauka no nā pilikia me ka ʻōnaehana cardiovascular.

Mai hopohopo inā koho ke kauka i nā hana hōʻike hou aku. Pono lākou no ka noi ʻana piha o nā kumu o nā loli i nā helu koko.

ʻElua mau pule ma mua o ka hoʻopaʻa ʻana, pono ia e hoʻopau i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka pae o lipids i ke koko, inā ʻaʻole hoʻoholo ka pahuhopu i ka nānā ʻana i ka hopena o ka lapaʻau me kēia mau lāʻau.

Loaʻa i nā loiloi a ke kauka ke maʻalahi, akā he mea nui ka manaʻo. I ka hoʻomaka ʻana, pono ʻoe e kaupalena i ka ʻai ʻana o nā kaila, ka puʻupuʻu, nā kīʻī saturated i loko o ka pata, ka momona, ka momona momona, margarine a me nā huahana ʻē aʻe. Pono lākou e hoʻololi i nā momona polyunsaturated, kahi e waiho ai i ka aila ʻoliva, nā iʻa salmon a me nā mea ʻē aʻe. Inā nui ko ʻoe kaumaha, pono e lilo ia. Loaʻa kēia ma ka hoʻoponopono ʻana i ka meaʻai a me ka hoʻonui ʻana i nā hana kino.E hoʻāʻo e hāʻawi i ka inu ʻokoʻa loa a hoʻopau i ka ulaula.

E pono e ukali ʻia kēia mau ʻōuli e kēlā poʻe e loaʻa nā helu koko, akā ʻaʻole makemake i nā hoʻopiʻi i ka wā e hiki mai ana.

Inā hele ikaika nā ʻōkuhi ma waho o nā mea i ʻae ʻia, a laila hiki ke kuhikuhi ʻia ka lāʻau lapaʻau. Akā ʻo kāna hana kūpono e hana i nā manawa he nui aʻe e pili i nā ʻōlelo koi ma luna.

I ka hoʻonui ʻia ʻana o ka kolamu koko, a me nā ʻāpana pilikino ʻē aʻe, i ka nānā mua, e like paha. Akā inā hopohopo a me ka panic ma mua o ka manawa.

Ke piʻi nei ka kolamu HDL a he aha ke kumu

ʻAʻole pau ke ʻano o ka mālama ʻana i nā kūlana pathological cardiovascular me ka ʻole o ka nānā ʻana i ka nānā ʻana o nā ʻano like ʻole o ka cholesterol. I kekahi manawa hōʻike i kahi hoʻohālike o nā ʻōkuhi lipid koko: hoʻokiʻekiʻe ʻia ka HDL cholesterol. He aha ke ʻano?

ʻO ka ʻoiaʻiʻo ʻoi aku ka kiʻekiʻe lipoproteins pale i ka hoʻomohala ʻana o ka atherosclerosis. Akā ʻo ka nui o ka lipoproteins haʻahaʻa haʻahaʻa e hoʻonui i ka hopena o ka hōʻeha ʻana o ka naʻau, nā hōʻeha, a me ka pohō i ka hana o nā nenoai. Ma ka manawa like, ʻo kahi loli i nā pae HDL ma mua o ka maʻamau ka mea e hōʻike i nā pilikia olakino koʻikoʻi.

Ua ʻike ʻia he nui ka lawelawe o ke kolamu ma loko o ke kino. Me ka ʻole o kēia mau mea, ʻaʻole hiki ke hana o ka pono ola. Hoʻopili ia ʻo Cholesterol ma ka hana o kekahi mau hormone (testosterone, progesterone, estrogen, cortisol), ergocalciferol (vitamin D), a me nā waikawa. I ka manawa like, nui ka ʻikepili i ka hopena maikaʻi o ka kolamu ma ke kino.

Ke kau nei nā kumu o ka hopena maikaʻiʻole o ka cholesterol i kona hoʻonohonoho a me ka neʻe ʻana i ke koko. ʻAʻole homogeneous i ka mea i ka hoʻonohonoho, akā e kau pū me nā lipoproteins density kiʻekiʻe, haʻahaʻa lipoproteins low haʻahaʻa. Eia kekahi, nā triglycerides a me ka huahana oxidation huahana - oxysterols - hiki ke neʻe i loko o ke koko. Ua hoʻokumu 'ia e LDL, oxysterols a me triglycerides e hoʻohana i nā mea ikaika i ka hana o nā plher atheromatous.

ʻO ka lipoproteins kiʻekiʻe e hoʻoneʻe ana i ka kolesterol i ka ate no ka hana hou a me ka hoʻopā ʻana mai ke kino. ʻO ke kiʻekiʻe o ka pae HDL, ʻoi aku ka maikaʻi o ka hana ʻana i kā lākou hana, e pale ana i ka hoʻohemo ʻana o nā plas atheromatous i loko o nā moku. ʻO kēia ke kumu e mālama i ka cholesterol maikaʻi "maikaʻi" i ka hoʻomohala ʻana o ka atherosclerosis.

ʻOkoʻa ke kūlana me nā lipoproteins haʻahaʻa haʻahaʻa. Ke kāpae nei kā lākou hana i ka kolesterol i nā puna a me nā ipu koko. ʻO LDL ka mea hoʻomaka nō ka hoʻoneʻe o nā hormones, ka vitamina D. Inā kiʻekiʻe aʻe ke kiʻekiʻe o ka lipoproteins haʻahaʻa haʻahaʻa ma mua o ka maʻamau, ʻoi loa ka nui o nā kolesterol e hoʻomaka i ka hoʻouluulu ʻana i nā paia arterial, hana i ka atherosclerotic plaques. Ke alakaʻi nei kēia kūlana i kahi hoʻohaʻahaʻa i ka lumen o nā moku koko a me ka hoʻomohala ʻana o nā pathologies ischemic (puʻuwai puʻuwai, hōʻeha).

"Maikaʻi" a "maikaʻi" kolamu ma ke kino e pili pono ana kekahi me kekahi. ʻO ka moloproteins kiʻekiʻe kaumaha moloproteins hopu a excent cholesterol i loaʻa mai LDL. Inā lilo ka pae o ka "ʻino" kino i ke koko ma mua o ka maʻamau, ua pau ka hele ʻana me ka meaʻai, hoʻomaka ka paʻakai i ka synthesize iā ia. ʻO ka hōʻemi o ka neʻe o ka HDL ma kahi kūlana like i alakaʻi i ka ulu ʻana o ka atherosclerosis.

ʻO Triglycerides, kahi kumu o ka ikehu i ke kino, me ka lipoproteins haʻahaʻa haʻahaʻa e hiki ke hoʻopilikia i ka hoʻokumu ʻana i nā plika atherosclerotic. Hiki mai kēia kūlana i ka hihia i ʻoi aku ka kiʻekiʻe o nā momona i ke koko ma mua o ka maʻamau, a me ka kolamu "maikaʻi", ma muli o kāna haʻahaʻa haʻahaʻa, pau ka hoʻokō i nā hana o ka hoʻololi LDL.

Ke hoʻonui nui nei i ka triglycerides me ka nui o ka ʻai ʻana i nā meaʻai i momona i nā momona holoholona.

ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i nā hormones, me ka nui o ka waikawa ascorbic, e hoʻonui i ka nui o ka triglycerides i loko o ke koko, e hoʻonāukiuki i ka hoʻomohala ʻana i ka thrombosis, atherosclerosis.

ʻO nā Oxysterols nā umauma waena i hoʻokumu ʻia i ka wā o ke kāpili ʻana i nā waikawa bile, nā hormone steroid. Eia nō naʻe, komo ka ʻaumsterols e komo i ke kino me ka meaʻai, ʻo ka pilikia o nā kahe koko. Hiki i kēia mau pūhui ke hoʻonāukiuki i ka hoʻokumu ʻana o nā palani atherosclerotic. Aia nā Oxysterols i ka nui ma o nā hua yolks huaʻai, ka ʻiʻo iʻa, ka iʻa, me ka waiū waiū, a hoʻomoʻa i ka pata.

ʻO ka maʻamau, kahi hōʻike koko no ka hoʻopiʻi ʻana i ka cholesterol a me ka triglycerides e kuhikuhi ʻia e ke kauka e hoʻoholo i ke kumu o ke koko kiʻekiʻe, me nā maʻi cardiovascular, endocrine pathologies, i ka wā o ka hoʻohana ʻana i nā lāʻau hormonal. ʻAʻole kahi loiloi no ka cholesterol i kahi o nā kāne no ka makahiki o 35, a no nā wahine ma luna o 40.

Ma mua o ke aʻo ʻia ʻana, ʻaʻohe mau lā i hōʻike ʻia e ʻai i nā meaʻai i momona. Hana ʻia ka nānā ʻana ma kahi ʻōpū ʻole. Hoʻomaʻamaʻa, hōʻeha a me ka uahi ʻana ma mua o ka lawe ʻana i ke koko no ka cholesterol ke ʻano o ka hopena o ka hoʻopaʻa ʻana.

No ka hoʻoholo ʻana i ka nui o ka cholesterol e pili ana i ka olakino o kekahi kanaka, pono e loiloi i kekahi mau ʻāpana. ʻO kēia ka pae o ka kolamu piha, triglycerides, a me ka neʻe o ka HDL a me LDL i ke koko. No nā kāne a me nā wahine o nā ʻokoʻa makahiki, ʻokoʻa nā ʻano o nā hōʻailona.

ʻO ka ho'ākāka a me ka loiloi o ka ʻikepili i loaʻa i ka wā o ke kaila o ke koko no nā ʻano he nui o nā lipids ka mea i lawe ʻia e ke kauka e noʻonoʻo ana i ka makahiki a me ka ʻano o ke kanaka. Aia kekahi mau kūlana no ka ʻike o ka piha kolamu, LDL, HDL, triglycerides no nā wahine a me nā kāne. Pono ka transcript o ke kaila e hōʻike i kahi kuhikuhi atherogen. ʻO kēia hōʻailona ka manaʻo o ka māhele ma waena o nā lipoproteins density kiʻekiʻe a me ka haʻahaʻa. I nā huaʻōlelo aʻe, pehea ka maikaʻi o ka kolamu "maikaʻi" ma mua o ka "maikaʻi."

ʻO kekahi manawa, hoʻololi ka ʻōlelo lipid (hoʻāʻo i ke koko no nā ʻano ʻoi o nā momona) no ka hoʻopilikia ʻana ma lalo o ka hopena o nā mea pili kino. I nā kāne, ʻoi aku ka pili o ka cholesterol a me ka triglycerides i ka wā o nā makahiki. I nā wahine, ua hoʻonui ʻia nā hōʻailona o ka kolokola "maikaʻi" a me nā lipids i ka wā hāpai, ma hope o ka hoʻomaka ʻana o ka menopause. ʻOi aku ka kiʻekiʻe o nā lipoproteins haʻahaʻa a me nā triglycerides ma mua o nā mea maʻamau i nā kūlana kaumaha, hoʻonui i ka hana kino.

Pono kahi hōʻike lipid koko e pili ana i ka ʻike e pili ana i ka kolamu nui. He ʻano like paha ke ʻano o ka mea i kuhikuhi i ka makahiki a me ke ʻano o ke kanaka. Kūleʻa ka nui o ka kolamu ma ka poʻe elemakule a hiki ke hiki i 6.5-7 mmol / lita. I nā wahine, ʻike pinepine ʻia nā pae kolikoli e hoʻohālikelike ʻia i ka poʻe i ka wahine ʻē aʻe. ʻO ka emi iki o ka neʻe i ka cholesterol i mālama ʻia i ka wā postoperative, me ka myocardial infarction, maʻi bacterial koʻikoʻi.

ʻO ka hōʻailona integral e pili ana, ka mea e hoʻopili ai i ka hoʻopalike ʻana o ka profile lipid, he lipoproteins haʻahaʻa haʻahaʻa. Me ka hoʻonui nui o ka LDL, i ka hopena o ka hoʻouluʻana i nā pilikia vascular nui, hoʻonui ka ischemia a me ka atherosclerosis.

I nā kāne, ua hoʻohaʻahaʻa ʻia nā kumu o nā haʻuki lipoprotein haʻahaʻa a hiki i ka makahiki he kanakolu i hoʻohālikelike ʻia me nā hoa ʻē aʻe o ka kāne like ʻole. ʻO kēia hōʻailona e pili ana i ka 1.6 mmol / lita i nā keikikāne 5-10 mau makahiki a hiki i 4.27 mmol / liter i nā kāne he kanakolu. I nā wahine, hoʻonui pinepine nā LDL i ka 1.8 mmol / lita ma ka makahiki ʻelima i 4.25 mmol / lita ma 30.

A laila, a hiki i kanalima mau makahiki, he kiʻekiʻe iki ka nui o LDL i nā kāne ma mua o nā wahine o kēlā mau manawa like o ke ola a hiki i ka 5.2 mmol / lita.ʻO ka pae kiʻekiʻe loa o ka cholesterol "kino" ua hoʻopaʻa ʻia ma hope o 55 mau makahiki a ua ʻike ʻia i loko o ka maʻamau maʻamau a hiki i ka 5.7 mmol / liter i nā makahiki he kanahikukū.

I ka papa koko no ke kolamu, e hōʻike ʻia kahi hōʻailona o ka pae o ka lipoproteins density kiʻekiʻe. Ma ke ʻano he kānāwai, he haʻahaʻa loa ka ʻike ʻana o HDL a ma waena o ka nui o 0.7–1.94 mmol / liter no nā kāne a i ʻole nā ​​wahine o nā makahiki like ʻole. ʻO kahi haʻahaʻa haʻahaʻa o lipoproteins kokoke i ka manawa pinepine e hoʻonui ka ulu ʻana o nā ala no ka hoʻomohala ʻana i ka naʻau a me nā kīʻaha koko.

Ke manaʻoʻiʻo ia ʻo ka ʻoi aku o ka mea kiʻekiʻe o ka lipoproteins kiʻekiʻe, ʻoi aku ka maikaʻi e pili i ka pae o ke olakino o ke kanaka. ʻOiaʻiʻo, pale nui ke kiʻekiʻe o ka HDL i ka hana ʻana o nā pāpaʻi atherosclerotic. Eia nō naʻe, ʻo ka ʻike kiʻekiʻe i nā lipoproteins kiʻekiʻe e hiki ke hōʻike i nā maʻi koʻikoʻi.

Ua ʻike ʻia hepatitis ma kahi o ke ʻano, ʻo ka biliary cirrhosis, hoʻomaloka ka lōʻihi, ka hoʻolōʻihi o ka hoʻōla i hiki ke hoʻonui i ka ʻike o ka lipoproteins density kiʻekiʻe. ʻO ia ke kumu, i ka wā e kāpae ai i kahi kiʻi lipid, he mea nui ia e hoʻolohe i nā māka HDL marginal.

Wahi a ka atherogenicity, hiki iā ʻoe ke nānā i ka hopena maoli o ka atherosclerosis. Ua ho'ākāka ʻia ka kēkelie me ke ʻano o ka ʻokoʻa ma waena o ka kolamu a me ka hoʻoliʻiliʻi ʻana o ka HDL i ka nui o nā lipoproteins kiʻekiʻe. ʻOi aku ka kiʻekiʻe o ka atherogenicity, ʻoi aku ka nui o ka ʻihi o kahi kanaka e hoʻomohala i ka maʻi vascular, ka hōʻeha ʻana i ka naʻau, ke kīkē, a me hypertension.

Loaʻa nā palena atherogen e ʻae ana no ka poʻe ʻōpio mai ka 3. Ma hope o ke kanakolu mau makahiki, hiki i ka atherogenicity ka hōʻea i ka 3.5, a i ka wā ʻelemakule - 7.0.

Hoʻokomo ka pākū ma ka hanana koʻikoʻi no ka hoʻomohala ʻana i ka atherosclerosis inā hoʻonui ʻia ka ʻike ʻana o ka triglycerides i ke koko. I nā wahine, maʻamau ka hoʻololi ʻana o kēia hōʻailona ma ka 0.4 a i 1.6 mmol / lita, a i loko o nā kāne he mau mea e pili ana i ka 0.5-2.8 mmol / lita. Hōʻemi ka pae o ka triglycerides i ka hihia o ka nū o ka ʻōpio, nā maʻi pulmonological, nā kīnā ʻole. ʻO nā kumu no ka hoʻonui nui ʻana o ka triglycerides e pili ana me ka diabetes mellitus, viral a i ʻole nā ​​mea hōʻeha ʻawaʻawa.

ʻO ka loiloi o ka hana ʻana i nā ʻano like ʻole o ka cholesterol ka mea i hiki i ke kauka ke pale i ka hoʻomohala ʻana o ka atherosclerosis, hypertension, a pale i ka hoʻopaʻa ʻia ʻana o ka puʻuwai puʻuwai a me nā hahau. Nui nā ala e hoʻomaikaʻi ai i ka ʻike kiʻi lipid. ʻO ka mea mua, pono ʻoe e haʻalele i ka hoʻohui ʻana nikotine, mai hōʻino i nā mea inu ʻawaʻawa, lawe i kahi ala kūpono i ka hoʻoikaika kino. He mea nui ia e ʻai i nā meaʻai i loaʻa ka kolesterol "maikaʻi", ka nui o nā pectins, ka hapa liʻiliʻi o nā momona a me nā pākūkū.

No ka hōʻemi i ka atherogenicity, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau kūikawā: statins, fibrates, antioxidants, a me nā lāʻau lapaʻau e hoʻomaʻamaʻa i ka hana ate. I kekahi manawa, no ka hōʻemi ʻana i ka pae o ka cholesterol "kino", pono e hōʻole i ka lawe ʻana i nā lāʻau lapaʻau e pili ana i nā hormone. ʻO ka hoʻololi ʻana i ka kūlana psychoemotional ua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ka hoʻopunipuni lipid. He mea nui e lawe i ke kuleana no kou olakino a me kēlā me kēia manawa, me kāu kauka, e loiloi i ka hoʻoilo ʻana o ka cholesterol i ke koko.

1. 
   Evsyukova I.I., Kosheleva N.G. Diabetes mellitus. Nā ʻōpū a me nā keiki hou, Miklos -, 2009. - 272 c.
2. 
   Okorokov A.N. Diagnosis o nā maʻi o nā kino o loko. Kūpono 4. Diagnosis o nā maʻi o ka ʻōnaehana koko, ʻ literaturelelo Pelekane - M., 2011. - 504 c
3. 
   ʻO Gurvich, ʻo Mikhail Diet no ka maʻi diabetes / Mikhail Gurvich. - M .: GEOTAR-Media, 2006. - 288 p.

E haʻi iaʻu iaʻu. ʻO Elena koʻu inoa. Ua hana wau ma ka endocrinologist ma mua o 10 mau makahiki. Ke manaʻoʻiʻo nei wau he kanaka mākeke wau i kaʻu kahua a makemake wau e kōkua i nā malihini a pau i ka pūnaewele e hoʻonā i nā paʻakikī a ʻaʻole pēlā nā hana.ʻO nā ʻikepili a pau no ka pūnaewele e hōʻiliʻili a hoʻomaʻamaʻa maikaʻi i mea e hōʻike ʻia e like me nā mea e pono ai ka ʻike. Ma mua o ka hoʻopili ʻana i ka mea i hōʻike ʻia ma ka pūnaewele, he kūkākūkā mandatory me nā mea loea.

1. E kāpae i ka ulaula (inā ʻoe e uahi)

Ke alakaʻi aku nei ka ulaula i ka hiki ʻana o nā maʻi like ʻole, me ka poʻe maʻi ʻoi aku o nā mea he 15 mau ʻōpū, nā puʻuwai a me nā maʻi vascular, nā maʻi o ka pūpū, nā maʻi o ka ʻōpiopio, a pēlā aku. Hōʻike nā haʻawina ʻo ka hōʻemi ʻana i ka hōʻili ʻana o ka HDL a hoʻonui i ka nui o ka maʻi o ka naʻau coronary. I mea e pale aku ai i ka hoʻomohala ʻana o nā maʻi o ka ʻōnaehana cardiovascular, a me ka loaʻa ʻana o nā hōʻeuʻeu o ka puʻuwai a me nā ʻōiwi, ua ʻōlelo aku nā loea i ka hoʻomau ʻana i ka ulaula.

2. ʻOi aku ka hoʻoikaika kino

I mea e mālama pono ai i kou kino, pono ʻoe e hoʻonui i kāu ʻano kino i kēlā me kēia lā, ʻoiai inā ʻoe e alakaʻi i ke ʻano maʻalahi. ʻO ka hoʻonui nui aʻe i ka hana kino e kōkua pololei i ka hoʻonui i ke kiʻekiʻe o ka "maikaʻi" HDL cholesterol, ʻo ia kekahi o nā pono he nui o ka pāʻani ʻōpio. ʻO ka hana Aerobic ka koho maikaʻi loa no ka hānai ʻana i ka koleka HDL. E pili ana kēia:

• hele
• ke holo nei
• ʻauʻau
• mau papa hula
• hili
• nā pāʻani pāʻani (pôpeku, volleyball, basketball, handball, tennis, a me nā mea).

3. Hoʻemi i ka momona nui

Inā nui ʻoe a keu paha, ʻoi aku ka nui o ka paona a hiki i kekahi mau paona ke hoʻomaikaʻi i nā kiʻekiʻe o ka HDL kolamu. ʻO ka emi ʻana o ke kaupaona kino no kēlā me kēia 3 kg alakaʻi i kahi hoʻonui i ke kiʻekiʻe o ka lipoproteins kiʻekiʻe e 1 milligram i deciliter.

4. Eʻai i nā palaka maikaʻi

I mea e hoʻonui ai i ka HDL a me ka kolamu holoʻokoʻa, pono ʻoe e pale i ka ʻai ʻana i nā lepa trans, kahi maʻamau i ʻike ʻia i loko o nā margarine paʻakikī, nā mea i hoʻomoʻa ʻia, a me nā meaʻai wikiwiki. Pono e hāʻawi i ka makemake i ka ʻai ʻana i nā momona maikaʻi i ka avocados a me ka aila avocado, ʻaila ʻoliva, nā mea a me nā iʻa aila. Kōkua nā momona maikaʻi i ke kaulike o ka LDL cholesterol ma ke hoʻohaʻahaʻa ʻana iā ia a me ka hoʻonui ʻana i ka cholesterol HDL, a laila e kōkua ana i ke olakino maikaʻi.

5. E hōʻemi i kāu hōʻemi ʻana i nā calcium hoʻoliʻiliʻi

ʻO kahi kīnā kiʻekiʻe i nā pahū i hoʻolaʻemae ʻia e like me ka papa keʻokeʻo, ka laila keʻokeʻo, ka pasta, ke kō, a me nā mea hou aku, he hopena maikaʻi ʻole kou pae HDL cholesterol. ʻO ka hōʻemi i ka kauʻana i kēia ʻano o ka nui i ka momona e kōkua iā ʻoe e hoʻomaikaʻi i kāu kiʻekiʻe kiʻekiʻe-lipoprotein kiʻekiʻe. E makemake i ka hoʻohana ʻana i nā meaʻai i loko o nā haʻalulu paʻakikī a me nā meaʻaiʻai (nā mea kanu, nā huaʻai a me nā huaʻai a pau) - hiki iā ia ke mālama i kahi kiʻekiʻe o HDL a pale i ka hoʻomohala ʻana o nā maʻi o nā kīʻaha koko a me ka puʻuwai.

6. E inu i ka wai liʻiliʻi a i ʻole ke inu i ka inu ʻokoʻa

ʻAʻole lawe ka pōpoki i nā pōmaikaʻi i ke kino, a ʻo kona hoʻohana ʻana ke hōʻeha wale nō. Inā inu ʻoe i ka waiʻona, kau palena ia i ka mea liʻiliʻi. I ka ʻoiaʻiʻo, ua hoʻohālikelike ʻia me ka hoʻohana ʻana i ka wai inu wai nui me ka kolepa HDL kiʻekiʻe. Inā inu ʻoe i ka waiʻona, e hoʻāʻo e hāʻawi i ka makemake i ka waina ʻulaʻula maoli (i ka loli) a me ka maʻamau o kāu kolamu "maikaʻi".

7. E hoʻonui i nā huina niacin

ʻO Niacin ka huika ʻo ka nikotinic, kāhea ʻia ka vitamin B³ a i ʻole vitamin PP. Hoʻohana kou kino i ka niacin e hoʻokuʻu i ka ikehu mai ka meaʻai inā ʻeli ʻia. Kōkua kēia vitamin i ka mālama ʻana i ke olakino o kāu ʻōnaehana, nā mikina, ka ʻili, ka lauoho, a me nā maka.Loaʻa ka hapa nui o ka makacin mai ka meaʻai. Eia nō naʻe, me ka hoʻohaʻahaʻa ʻia o ka pae kolamu HDL, i mea e hoʻāla ai, ua hoʻākāka pinepine ʻia nā niacin i ke ʻano o nā mea hoʻohui.

Hiki ke lawe ʻia i ka waikawa Nicotinic ma nā haʻahaʻa haʻahaʻa, ʻoiai ke kūpono o nā loiloi no ka hoʻohana ʻana, no ka mea, ʻo ka lawe ʻana i kēia mau mea, hiki i nā manawa ke makemake i nā hopena like ʻole, ʻoiai inā lawe ʻia i nā dosis kiʻekiʻe. ʻO kēia mau hopena ʻaoʻao o ka lawe ʻana i nā niacin:

• mokaʻi maʻi
• kūleʻa a ʻili paha hoʻi i ka ʻili
• nā pilikia ʻeha
• pilikia pilikia
• pilikia pilikia

I ka loaʻa ʻana o ka niacin lawa loa i ka meaʻai, pono ʻoe e hoʻokomo i kekahi mau meaʻai i loko o kēia mau momona i kāuʻai o kēlā me kēia lā, e like me:

• ʻai manu
• mau moa moa (mai ka moa moa)
• huʻakai
• ʻōpū
• nui ka ate
• tuna
• mau ʻala hoʻāla
• pipi ʻaʻala manu
• nā hua kanu meli
• avocado

E hoʻāʻo e ʻai i kekahi o kēia mau meaʻai maikaʻi loa a ka niacin e hoʻonui maoli i kāu "maikaʻi" HDL kolamu.

8. Nā lāʻau lapaʻau

Hiki i kekahi o nā lāʻau lapaʻau āu e lawe ai i ke emi ʻana o ka hōʻiliʻili HDL i kou kino? Ua hiki! ʻO nā lāʻau lapaʻau e like me ka anabolic steroid, beta blockers, benzodiazepines a me nā progestins hiki ke hoʻohaʻahaʻa i ka lipoproteins kiʻekiʻe. Inā ʻoe e lawe i kekahi o kēia mau lāʻau, e haʻi i kāu kauka e pili ana iā ia, a inā hiki, e hoʻāʻo e loli i kēia mau lāʻau me nā huahana kūlohelohe e hiki ai nō hoʻi ke hoʻonā i kou pilikia.

He aha ka HDL cholesterol?

ʻO ka huina o ka kolamu e hōʻike i ka nui o nā lipid i ke koko, me LDL, HDL a me triglycerides. Eia nō naʻe, ʻo ka huina no ka kolamu ka nui o nā lipoproteins low-density (LDL), kahi i kapa ʻia ʻo "cholesterol" kino. Hiki i kahi kiʻekiʻe o LDL ke alakaʻi i ka hoʻokumu ʻana i nā palakela kolamu ma nā paia o nā kīkala, e hoʻonui ana i ka hoʻomohala ʻana i ka maʻi cardiovascular, a me ka loaʻa ʻana o ka puʻuwai puʻuwai a me nā puʻupuʻu. Hoʻonui ka LDL i ka hopena o ka hoʻomohala ʻana i nā maʻi aripeka peripheral i hiki ke ulu inā kūʻoki i nā kolo nā hopena a me ka lumen o nā wahī e hāʻawi i ke koko i nā wāwae. ʻO ka nūhou ka mea e ʻoi aku ka kiʻekiʻe o kāu HDL o ka cholesterol "maikaʻi", ke hoʻohaʻahaʻa i kāu pae LDL.

He aha ka HDL? ʻO HDL ka mea nui lipoproteins density, kahi i kapa ʻia ka kolesterol maikaʻi maikaʻi. ʻO ka lipoproteins kūloko kiʻekiʻe, ma ke kānāwai, e hana e like me ka nui o nā kolamu o ka nui o ke kolamu i loko o ke koko, kahi a lākou e hoʻi hou ai i ka ate, kahi a laila e wāwahi.

ʻOi aku ka paʻakikī o HDL ma mua o ka mea a mākou i manaʻo mua ai. Ua manaʻo ʻia ʻia ʻo nā lipoproteins kiʻekiʻe e like me ke ʻano o ka meaʻokoʻa, akā i kēia manawa i manaʻo ʻia he ʻohana ʻōpala o nāʻokoʻa like ʻole. Loaʻa i nā HDL āpau ka lipids (nāʻu), nā kolamu a me nā protein (apolipoproteins). ʻO kekahi mau ʻano o ka lipoproteins density kiʻekiʻe e pili ana i ke ʻano, ʻoiai ʻē aʻe ka ʻano like. Hoʻokaʻawale kekahi mau ʻano o ka HDL kino i ka kolokela i ke koko a ʻo kekahi mau ʻano ʻē aʻe o ka hemahema o ka cholesterol. ʻO kekahi mau ʻano o ka HDL pololei kolamu ma ke ala hewa (a i LDL a me nā pūlima) a i ʻole e pale i ka LDL cholesterol i kahi ala e lilo ai ia i mea hōʻeha ma nā ʻāpana.

ʻO nā hopena e like ʻole nei o ka HDL kekahi o nā kumu e hoʻohaʻahaʻa pinepine ai ka kolamu LDL kolamu i kahi ʻoi aku ka pale ma mua o ka pale ʻana a me ka puʻuwai. Eia nō naʻe, ʻo ka honua olakino, ma ka lāʻau lapaʻau o kēia wā a me ka holistic, ke ʻae loa nei ka hoʻokiʻekiʻe ʻana i ka HDL haʻahaʻa he neʻe maʻalahi loa no ke olakino, no ka mea, he haʻahaʻa ʻoi aku ka haʻahaʻa o kēia ʻano kolamu ma mua o ke kiʻekiʻe LDL cholesterol.

Wahi a nā haʻawina, ʻo ka pae kiʻekiʻe o ka HDL cholesterol maikaʻi kāne a me nā wahine he 60 milligrams o ka cholesterol i ka deciliter o ke koko.Inā emi iki ka pae o HDL i ke kino o ke kanaka ma mua o 40 milligrams o ke kolamu no ka deciliter o ke koko a i ʻole ka pae o HDL i ka wahine e haʻahaʻa loa ia ma mua o 50 milligrams o kēlā kolamu i ka deciliter o ke koko, a laila e manaʻo ʻia ka nui o ka morbidity, inā paha i ka maʻi naʻau. ʻOiai inā ʻoi aku ka kiʻekiʻe o ka HDL ma mua o ka hopena akā he haʻahaʻa ma mua o ka pae kiʻekiʻe, e aʻo ʻia ʻoe e hana e hoʻonui i nā lipoproteins kiʻekiʻe e hōʻemi i ka nui o ka maʻi o ka naʻau.

ʻO ka ʻokoʻa ma waena o HDL a me Lesterol LDL

E like me kā mākou i ʻike, he maikaʻi "HDL," aʻo LDL ka "kino" ʻano kolamu. Eia kekahi o nā ʻike pili e pili ana i kēia mau ʻano o ka cholesterol:

• lipoproteins kiʻekiʻe kiʻekiʻe
• ʻO ka "cholesterol" maikaʻi
• hoʻonui ka nui me kā lākou meaʻai kūpono
• i nā mea hōʻemi haʻahaʻa HDL
• e kōkua ana i ka hoʻoliʻoli i ka LDL cholesterol a kāpae i nā arteri
• ka pae kiʻekiʻe e hōʻemi i ka pilikia o nā pilikia koʻikoʻi me ka puʻuwai a me nā naʻau

• lipoproteins haʻahaʻa haʻahaʻa
• Palepole maikaʻi ʻole
• hoʻonui ka māhuahua me nā meaʻai kūpono
• hoʻonui ka uahi LDL
• ʻo ia ke kumu nui o ka hōʻuluʻulu o ka kolamu a me ka hoʻokuʻu ʻana o nā huaʻi
• ʻoi aku ka kiʻekiʻe o ka pae kiʻekiʻe o ka ulu ʻana o nā pilikia koʻikoʻi me ka puʻuwai a me nā kīʻaha koko
• pili ʻia ka momona ma ke kiʻekiʻe o ka LDL a me nā pae haʻahaʻa o HDL

ʻO ka noʻonoʻo hope loa ma HDL Cholesterol

Inā maopopo ʻole ʻoe i kāu pae HDL, hiki iā ʻoe ke ʻike ma o ka hāʻawi ʻana i kahi ʻano koko (profile lipid). Hāʻawi kēia helu aniani i kahi manawa e loaʻa ai i ka nui o ka maʻamau o ka cholesterol, me kona mau lālā pilikino, e komo pū ana me HDL a me LDL. ʻAʻohe mea ʻike maopopo ʻole a i ʻole nā ​​hōʻailona o ka cholesterol LDL kiʻekiʻe a me ka kolamu HDL haʻahaʻa, no laila e koʻikoʻi ke nānā i kāu kolamu o ke koko i ka maʻamau e mālama pono ai i ke ola olakino!

E hoʻomanaʻo ʻo kekahi o nā ala maikaʻi e hoʻonui ai i kāu cholesterol maikaʻi "HDL" inā e hoʻohaʻahaʻa ana i kāu kolesterol LDL "maikaʻi" i ka hoʻohemo ʻana i ka ulaula, hoʻōla maʻamau, hōʻemi ʻana i ka momona nui, ʻai ʻana i nā momona momona, hoʻemi ʻana i kāu kaila o ka mea hoʻoneʻe i hoʻokaʻawale, a hoʻemi ʻana i kāu kaila ka waiʻona a me ka hōʻole hou ʻana, ka nui o ka ʻai ʻana i nā meaʻai momona a niacin a me ka hōʻole ʻole e lawe i kekahi lāʻau lapaʻau. E hana i kēia mau kiʻinaʻi a nānā i ke ala o kāu HDL cholesterol i ke kiʻekiʻe a me ka piʻi ʻana o ka maʻi ʻeha o ka puʻuwai a me nā hōʻeha.

He aha ka HDL i kahi hōʻike koko biochemical?

ʻO ka HDL ka cholesterol kiʻekiʻe kiʻekiʻe. Hōʻike ʻia kēia hapa o nā mea nui o ka lipoprotein e ka nui liʻiliʻi liʻiliʻi. I ke kino o ke kanaka, ʻo ka lipoproteins kiʻekiʻe e hana nui i nā hana nui:

• hopu a hoʻoneʻe i ka koloka haʻahaʻa a emi haʻahaʻa loa mai ke koko a i ka ate no ka hoʻohana hou ʻana mai ke kino ma ke ʻano he bile.
• ka hoʻomaʻemaʻe ʻana i nā paia o nā vascular o ka waihona o ka triglycerides a me nā lipoproteins NP a me SNP,
• hoʻemi i ka nānāʻike koko a me ka hoʻohiolo ʻana o kona mau kūlana rheological,
• hoʻemi i ka hopena o ka hoʻomohala ʻana i ka microthrombi,
• hoʻomaikaʻi a hoʻihoʻi i nā waiwai elastic o nā pā vascular,
• komo i ka normalization o ka pākuhi,
• ho'ēmi i ka hopena o ka hoʻomohala ʻana i ka maʻi metabolic and obesity,
• hoʻowahāwahā i ka hoʻomohala ʻana a me ka holomua hou o ka atherosclerosis.

Pono e hoʻomaopopo ʻia ma nā wahine ma mua o menopause, hiki ke nānā ʻia nā waiwai kolala maʻamau ma mua o ka nui o ke kaumaha. ʻO kēia no ka hope o ka hormonal, kahi lawa lawa o ka estrogen i ke koko he mea kūlohelohe ia o ka pale aku i nā maʻi cardiovascular. ʻO ia ke kumu, ma nā wahine ma mua o menopause, atherosclerosis hoʻomaʻamaʻa ʻaʻole i hiki mai.I nā kāne, ua hala ʻole kekahi ʻano mea pale palekana, no laila, kākau pinepine lākou i ka hōʻea ʻana i ka atherosclerotic waha o nā kīʻaha koko, a me nā hōʻeha a me ka puʻuwai puʻuwai i ka wā ʻōpio.

Nā hōʻailona no ka hoʻokolohua no ka lipoprotein VP

ʻO ka hoʻoili ʻana i nā hapa o ka cholesterol e hiki ai iā ʻoe ke:

• ka loiloi i ka nui o ka puʻuwai o ka cardiovascular (ka ulu ʻana o ka hoʻomohala ʻana i ka maʻi naʻau coronary, ka angina pectoris, nā hōʻeuʻeu o ka puʻuwai, ka pākoko, a me nā mea hou aku.)
• hoʻomaopopo i nā kūleʻa i ka palaki lipid a me ka atherosclerosis o nā kīʻaha koko,
• e kāohi i loko o ka dinamics ka hopena o ka meaʻai a me ka hoʻomau ʻana i ka hoʻomehana lipid-lowering therapy.

Pēlā nō hoʻi, hoʻokō ʻia nā loiloi no ka cholesterol a me kāna mau pākana.

• nā maʻi o ka ate a me ka pancreas,
• jaundice
• maʻi maʻi
• mahuahua trombosis,
• ka loaʻa ʻana o ka maʻi naʻau coronary, ka angina pectoris a me nā maʻi ʻē aʻe o ka CVS,
• kaʻeha cerebrovascular,
• haʻi maʻi
• hapai (i komo pū ʻia me kahi hoʻonohonoho o nā haʻawina maʻamau),
• kuhihewa
• ʻopi momona.

Pehea e hoʻomākaukau ai no ka nānāʻana?

Hana ʻia ka ʻōlapa koko me ka ʻōpū ʻole. I kekahi mau lā ma mua o ka hoʻopaʻa ʻana, e ʻai ʻia nā meaʻai momona a me nā palaoa, nā ʻaluna, ka wai ʻona mai ka ʻai. Ma ka kuapo o ka nānā ʻana, ua hoʻoneʻe ʻia ke ʻano pilikino a me ke kaumaha, a me ka ulaula.

Ma mua o ka nānā ʻana, ʻae ʻia ka inu wai. Kālai, inu, soda a me nā waiʻaole e pāpā ʻia i ka inu.

Pono e ʻike ʻia nā kauka a me nā limahana hana e pili ana i nā lāʻau lapaʻau i lawe ʻia e ka mea maʻi. ʻO kēia ma muli o kaʻoiaʻiʻo he nui nā lāʻau lapaʻau e alakaʻi i nā hopena maikaʻi ʻole a i ʻole nā ​​hopena maikaʻi ʻole.

E hoʻonui paha nā pae HDL i ka wā e lawe ai i ka cyclofenil, oral contraceptives, estrogens, fibroic acid derivatives (clofibrate ®, gemfibrozil ®), lovastatin ®, pravastatin ®, simvastatin ®, hoʻōla molopinic, phenobarbital ®, captopril ® Q, carbamaz , furosemide ®, nifedipine ®, verapamil ®.

Hiki ke ʻike ʻia nā hopena maikaʻi ʻole i ka wā o ka mālama ʻana me nā androgens, nā beta-blockers (ʻoi aku ʻole-cardioselective), cyclosporin ®, diuretics, interferon ®, interleukin, thiazides.

Leka ʻO ka Lūlū Kupa lipoprotein kiʻekiʻe no nā kāne a me nā wahine

ʻOkoʻa iki ka maʻamau o HDL i nā kāne a me nā wahine, ma muli o ka ʻokoʻa i ka hormonal background. Eia nō hoʻi, ʻike kau ʻia nā makahiki o nā ʻano o ka nui o nā waiwai o VP lipoproteins. Hiki ke kākau ʻia nā waiwai kūlohelohe: milimole i pālita a i ʻole milligram no dl. ʻOkoʻa paha nā ʻikepili i nā ʻoihana ʻē aʻe, ma muli o ka hoʻohana ʻana o nā ʻano loiloi ʻē aʻe.

Loaʻa nā helu koʻikoʻi o HDL i ke koko o nā wahine a me nā kāne i ka papaʻaina:

Hiki ʻia nā lipoproteins kiʻekiʻe e hoʻonui ʻia: he aha ke ʻano?

Ma ka maʻamau, ʻo ke koho ʻana ke kumu o ka hoʻonui ʻana o ka HDL i nā wahine. I ka wā o ka hānau ʻana o kahi keiki, he hoʻonui nui ka cholesterol i kahi maʻamau a ʻaʻole ia e koi i ke kauka. Eia naʻe, he piʻi nui a koʻikoʻi nui i nā haʻawina lipoprotein haʻahaʻa a haʻahaʻa loa e koi ai i kahi meaʻai lipid-hoʻemi haʻahaʻa, ʻoiai ka hapanui o nā lāʻau hōʻemi kolesterol-contraindicated i ka wā hapai.

Hiki i ke kiʻekiʻe o ka cholesterol ke kiʻekiʻe i ka wā hāpai a hiki i ka nui o ke kaohi ʻana i ke koko, ke hoʻonui ʻana i ke koko, ke koko hypoxia a me ka hala o ke kaila plasenta, ka hoʻoluhi ʻana i ka hoʻomohala ʻana i ka wā male, ka wahine hoʻokauwili, ka hemahema maʻamau, a laila.

ʻO nā kumu nui no ka hoʻonui ʻana o nā lipoproteins kiʻekiʻe ma nā wahine a me nā kāne:

• kinipola hōʻano (obesity),
• nā ala endocrinological (type 1 a me ke ʻano type type 2 mellitus, ʻ ,lelo Cush, hypothyroidism, etc.),
• ʻeha ka maʻi a me ka maʻi nephrotic a i ʻole nā ​​pilikia renal)
• hoʻoluhi i ke koʻikoʻi, hopohopo, mania, kūlana kaumaha
• nā hoʻoilina hoʻoilina o ka lipid metabolism,
• nā maʻi o ka ʻāʻī a me nā pāpale wai,
• jaundice hapai,
• waiʻona
• paleka pancreatic

Eia kekahi, ʻo ke kumu o ka hoʻonui nui ʻana o ka lipoproteins e hiki ke inu i ka nui o nā meaʻaiʻai-kolamu (huaʻai, nā hua ʻai, nā huahana momona momona, a me nā mea).

Hoʻoilo ʻia ka HDL cholesterol: he aha ke ʻano?

Hiki ke ʻike ʻia ke emi ʻana o nā lipoproteins kiʻekiʻe e ʻike ʻia inā he maʻi ka mea:

• maʻi mūhū wā nui
• ka ʻaʻa o ka bile
• hypolipoproteinemia,
• maʻi mellitus maʻiʻi
• ʻopi momona
• maʻi pūpū
• nā puʻuwai naʻau
• hoʻoilina ʻōpiopio
• anemia kaumaha
• nūpepa myeloproliferative hanana,
• anorexia
• ho pau ka kino a me ke kino,
• myocardial pili hewa
• is strokeic stroke
• maʻi maʻi coronary.

Pehea e hōʻike ʻia ai nā hemahema lipid?

I ka piʻi ʻana o nā ʻike o ke koko no ka hewa “cholesterol” kino, ʻaʻole i ukali ʻia e nā maʻi maʻi neʻe ma mua o ka hoʻomaka ʻana o nā hōʻeha (atherosclerosis, maʻi ʻeha coronary, a pēlā aku). ʻO ka hoʻomohala ʻana o nā loina atherosclerotic o nā paia vascular e hōʻike ʻia ma o ka ʻike ʻia ʻana e:

• pōkole o ka hanu i ka wā e hoʻoikaika ai i ke kino,
• mokokaike penikala,
• ʻeha a me ka hōʻeha,
• nāwaliwali mau, nā lethargy, nā hoʻomanaʻo hoʻomanaʻo a me ka hana,
• humauni
• ka holo ʻana o nā ʻōiwi ma ka ʻōpū o ka manamana lima, umauma o nā manamana lima,
• ʻeha ma hope o ka sternum.

Pehea e hana maʻamau ai i nā lipoproteins?

Pono nā lāʻau lapaʻau e pili ana i ka hoʻohaʻahaʻa i ka cholesterol ke ʻano kūlohelohe e kekahi loea a lawe ʻia ma lalo o ka mālama ʻana i ka ʻoihana.

Pono e hāpai ʻia i ka noʻonoʻo pono e hoʻopōmaikaʻi ka hoʻomaʻamaʻa. Ma waho o ka hoʻohiʻona maʻamau o ka meaʻai (lipid-downing diet), hōʻemi a me ka hoʻoponopono ʻana i ke ola (ka haʻalele ʻana i ka ulaula a me ka inu ʻona, ka hoʻopoina ʻana i ke ʻano kino, a pēlā aku), ʻaʻole e hāʻawi ka mea lapaʻau i nā hopena pono.

Hoʻokomo kahi lipid-kaila liʻiliʻi i ka hōʻole ʻana a i ʻole ka hoʻoponopono ʻana i ka hoʻohana ʻana i nā meaʻai i momona a me ke kūlohelohe, ka wehe ʻana mai ka iʻa o nā momona, nā iʻa, ʻokiʻoki i nā meaʻai, nā muffins hou, soda, etc.

Pono e hoʻonui ai i ka ʻai i nā lau o nā lau a me nā hua, nā huaʻi a me ka iʻa, nā iʻa haʻahaʻa haʻahaʻa. Hoʻohana ʻia nō hoʻi e lawe i nā mea waiwai i loaʻa i ka huaora B, nā huaora A, E, a me C, omega-3 mau momona momona (ʻaila iʻa), magnesium a me ka zinc.