ʻO ka atherosclerosis kahi maʻi poli o ka polyetiological vascular, ka mea i hui pū ʻia e ka lawe ʻana o nā lipids i ko lākou kinipōpō, ka hoʻomohala ʻana i nā ʻōnaehana maʻi maʻi, ka mea e alakaʻi ai i nā ʻano pelekikena i ʻōlelo ʻia no ka hoʻopulapula o ka vascular lumen a i ʻole ka hoʻokumu ʻana i nā māka koko.
Atherosclerosis ʻoi aku ka ʻike a me ka ʻike i waena o ka lehulehu o kēia manawa, a me nā loilo lapaʻau hewa hiki ke alakaʻi i nā hopena hōʻeha.
Hoʻokaʻawale pinepine ʻia kāna mau ʻike mua, a nānā pinepine ʻole nā kānaka iā lākou, e hele mai ana i nā kauka wale nō ma hope o nā hoʻonā ʻana. ʻO ia ke kumu e pili pono ai ke kumuhana o ka atherosclerosis.
No ke aha i kū ai ka arteriosclerosis?
E like me ka hōʻike ʻana ma ka wehewehe o ka atherosclerosis iho, ua loaʻa kēia maʻi i ke kumu āpau.
ʻO kaʻoiaʻiʻo, hiki i kēlā me kēia kanaka ke alakaʻi i ke kūkuluʻana i kahi laha vascular. Eia nō naʻe, ʻo ka hui maʻamau o nā kumu ʻekolu a i ʻole he kumu i hoʻohui pū ai i ka hoʻonui i ka morbidity
No laila, eia he ʻekolu hui o nā hopena pilikia no ka atherosclerosis. ʻO ka hui mua e pili i nā mea hikiʻole.
ʻOi aku ka makua a me ka ʻelemakule - nā kānaka ma mua o 40-50 o nā mea maʻalahi loa, no ka mea, ʻaʻole iʻoi aku ka ikaika o kā lākou mau moku me ka ikaika ma mua o ko lākou wā ʻōpio, a me nā kaʻina metabolic i hoʻopau pinepine ʻia a hoʻopuni hewa.
Predisposition henene - ʻo ia kekahi o nā wahi mua i ka papa inoa o nā kumu o ka atherosclerosis. Hoʻopilikia pinepine nā hoahānau pili kokoke i ka atherosclerosis like i nā hōʻailona, a me ka hoʻokaʻawale ʻana i nā ʻano hoʻoilina no ka hoʻohālikelike ʻana o ka lipid metabolism disturbance, kahi mea i koi mua no ka hoʻomohala ʻia o nā maʻi.
ʻO nā kāne - hoʻomaka lākou e ʻike i nā hōʻailona mua o ka atherosclerosis ma ka awelika 10 mau makahiki ma mua a ʻehā mau manawa pinepine ma mua o nā wahine.
ʻO ka ulaula - he hopena maikaʻi ʻole o ka pūnao a me nā ʻōnaehana vascular. Ma muli o ka hoʻolaha mau ʻana i ka nikotine, hoʻonui ka nui o ka ulu ʻana o ka bronchitis. Me ke ala, hoʻohaʻahaʻa ka nikotine i nā ʻano elastic o ka paia vascular, hoʻonui i kona permeability a hoʻopau i kekahi. ʻO kēia kahi kūlana maikaʻi loa no ka komo ʻana o ka kolamu atherogen i loko o ka membrane o nā lāʻau, a ma hope no ka wikiwiki o ka hoʻokumu ʻana i nā plik atherosclerotic.
Nā maʻi hypertension - me kēia ʻano kuʻuna, hoʻonaninani ka nui o ke koko, a paʻa nā moku i loko o kahi kūlana spasmodic. Hoʻonui ka lōʻihi o ka lāʻau i ke kaohi ʻana o ko lākou ʻoihana huelo, ka ʻānai ʻana i kahi o nā fibers o ka choroid, ʻo ia hoʻi, e hoʻomaʻamaʻa i ka ulu ʻana o ke kolamu nui a me kona hoʻoiho ʻana i ke membrane o loko o nā huaʻai.
ʻO ka hui ʻelua o nā pōpilikia he hopena a hoʻololi ʻole paha i kahi mea i hoʻohuli ʻia. Hiki i kahi kanaka ke hoʻopilikia iā lākou. ʻO kēia mau mea e like me:
- ʻO ka Hyperlipidemia, hypercholesterolemia a me hypertriglyceridemia he nui ka nui o nā lipids (nāʻuina), ka nui o ka kolamu a me nā triglycerides. ʻO ia mai ka pālahalaha lipid impaired kahi i hoʻowalewale ʻia i ka hoʻokalakupua mua o ke ʻano o ka hana plika, ka mea e pili ana i ka cholesterol me nā lipoproteins low density.
- Ka holi koko hoʻoneʻe (hyperglycemia) a me ka maʻi mellitus - aneane nā maʻi āpau me ka maʻi maʻi e hoʻomohala i ka nui o nā hoʻopiʻi ma mua o ka manawa, ʻo ia ka microangiopathy a me ka macroangiopathy (hōʻino i nā kīʻaha liʻiliʻi a me nā mea nui), e hoʻomohala ana ma muli o ka hoʻolaha ʻana i ke kiʻekiʻe nā manaʻo paʻaki. I ka wā e loaʻa ai, luku maoli ʻia nā moku mai loko, a mau nō ka hana mau ʻana no ka komo ʻana o ke kolamu i loko o lākou.
- ʻO ka haʻahaʻa haʻahaʻa o nā lipoproteins density kiʻekiʻe - kolesterol e pili pū me kēia ʻano lipoproteins i kapa ʻia ʻo "maikaʻi", a me ka nui o kona mau kumu ʻaʻole i alakaʻi i ka hana plana. I ka wā o ka mālamaʻana, ke ho'āʻo nei nā kauka e hoʻokō i ka hoʻonui ʻana i nā lipoproteins kiʻekiʻe-a me ka hoʻohaʻahaʻa i nā haʻahaʻa-hina haʻahaʻa (atherogenic).
- ʻO ka metabolic syndrome ka hui pū ʻana o nā hōʻailona, kahi e waiho ai i nā momona nui i loko o ka ʻōpū (a i ʻole ka momona o ke kikowaena, ʻōpū o ka ʻōpū), ka hoʻohaʻahaʻa i ka holomua o ka glucose (ʻo kona ʻano kūlike ʻole, akā ʻaʻole naʻe ka maʻi maʻi maʻi maʻi), he hoʻonui nui aʻe o ka triglycerides a me hypertension;
- ʻO ka palaualelo o ka hormonal - nā wahine i loko o ka manawa climacteric, a me kahi mea no ke kanaka me ka endocrine pathologies (hyperthyroidism, ʻO ka maʻi Hisenko-Cush) i mea nui loa i ka maʻi ʻeha.
A ma ka hope loa, nā pūʻulu hope o nā hihia pili - i kapa ʻia "nā mea ʻē aʻe." Eia ka mea penei:
- ʻO ka nele o ka hoʻomaʻamaʻa, a i ʻole ke ola a me ka nui o ke ola, ka poʻe e hoʻolilo i ka manawa nui i ko lākou manawa i ke keʻena, i ka kamepiula a i ka hale paha, e hele wikiwiki ana, lilo i ka ikaika a me ka hoʻoikaika kino, lilo i ka naʻau, lilo i ka ikaika a me ka elasticity, a lilo i ka spasm. He puka puka āpau kēia no ka kolesterol.
- Nā manaʻo maʻamau - ʻoi loa ka hopena paʻakikī i nā ʻōnaehana āpau. Hoʻonohonoho lākou i ka ʻōnaehana hoʻonāukiuki, e alakaʻi ana i ka hoʻokuʻu i ka nui o nā adrenaline. ʻO Adrenaline, ma ka hopena, e hoʻopili ʻoi i nā moku koko. ʻO nā ʻano pinepine o nā hanana i hoʻohuli ʻole ʻia i ka nīnū palū o nā āina, a alakaʻi i nā hopena i luna.
Eia kekahi, ʻo ka hōʻino ʻana o ka waiʻona i kēia hui - ʻo ka waiʻona ka mea i loko o ka meaʻawa. Me ka manawa mau ka kao mau loa o ke kino, hoʻopau koke ia i nā kiko āpau, e hōʻole i ka metabolism i loko o lākou, e komo ana ka lipid metabolism.
Eia kekahi, hiki ke waiho ʻia i ke kolamu ma ke ʻano o nā pākahi.
ʻO nā hiʻohiʻona o ka pathogenesis o atherosclerosis
Hōʻino ka pale i ka paia o ka moku ma lalo o ka mana o kekahi mau ʻano o waho i kapa ʻia he hoʻololi. Ke alakaʻi nei ka hoʻololi i ka hana o ka lula o ka pā o ka wahī - ka ka hopena endothelium. Ma muli o ka hana endothelial, hoʻonui nui ʻia ka ulu vascular, ka hana ʻana o nā mea kūikawā e hōʻeuʻeu i ke kōpiko o ke koko a me ka hoʻopili ʻana i ka lumen o ka moku.
ʻO ka hoʻololi ʻana o ke ʻano maʻi ma ka hihia o ka atherosclerosis e hana ma lalo o ka hopena o ke kolamu nui o nā kolamu, nā maʻi like ʻole, a i ʻole ka nui o nā hormones. Ma hope o kekahi manawa, aia ka infiltration, ʻo ia hoʻi, ka impregnation, ka limu o loko o ka ʻili o ke kaʻi ʻana e nā neʻe i nā ʻili i loko o ke koko i kapa ʻia he monocytes. Ke hoʻohuli nei nā Monocytes i loko o nā nela macrophage, ka mea hiki ke hōʻiliʻili i nā esters kolesterol. Ua hoʻohuli ʻia nā mea i hōʻiliʻili ʻia i loko o nā ʻili huamo, ka mea i kapa ʻia ʻo nā lipid ka mea i kapa ʻia ma ka intima. Hoʻopili i nā macrophages i nā mea kūikawā e hōʻeuʻeu i ka synthes o ka hoʻopili pili. Hoʻohili ʻia ka lihi maʻamau o nā hāmeʻa ma o ka ʻā ʻana huehue. I ka ʻepekema ʻepekema, ua kapa ʻia kēia kaʻina hana he sclerosis.
Sclerosis a me atherosclerosis: he aha ka ʻokoʻa? ʻOkoʻa ka Sclerosis i ka atherosclerosis i loko o ia mea e kū ʻole ʻole ana i nā lipids atherogen, a me ka atherosclerosis me ko lākou komoʻana.
ʻO nā kaʻina āpau āpau i luna, ke alakaʻi nei i ka huhū maʻi i nā moku. Hoʻoulu mālie nā lau kōpili atherosclerotic. He ʻōmole polū a puni ka polapona. Hoʻokaʻawale ʻia nā ʻōpala mua a i kakahiaka. ʻĀnō, a i ʻole ka ʻāʻulu o nā polu, he melemele lākou, ʻaʻole ʻae ʻia a ʻaʻole ʻike ʻia me nā ʻano noiʻi ʻē aʻe. Inā hōʻino a pohō paha ka pā melemele, a laila he ʻano koko, e alakaʻi ana i ka maʻi coronary syndrome.
No kahi manawa lōʻihi, pōkole, ʻeleʻele paha, nā ʻāpana ʻōpala. Ua kapa ʻia lākou he fibrotic. Ua kiʻi lākou ma nā wahi a puni o ka moku holoʻokoʻa a hoʻouluulu ʻia ka hemodynamic koʻikoʻi, i hōʻike ʻia ma ka hoʻouka kaua.
Wahi a pathogenesis, ʻokoʻa ka hōʻike ʻana o nā wahi 3 o ka atherosclerosis.
ʻO ka mea mua ka hoʻokumu ʻana o nā lehelehe lipid. Hoʻonohonoho ʻia lākou ma nā wahi palena o ka paia vascular. Hōʻike ʻia kēia pae mana e ka loaʻa ʻole o ka paʻakikī o nā hōʻailona.
ʻO ka lua - kāhea ʻia hoʻi ka liposclerosis. Ma kēia ʻanuʻu, hoʻoemi ʻia ke kīkala kolone a ka ʻōpala, hoʻomaka lākou e hoʻokaʻawale, a hoʻomaikaʻi i nā huahana decompposic i ke kaʻina o ka pakanihā-a me ka hoʻowalewale ʻana i ka hoʻopili ʻana o ka ʻili hoʻohui, i hopena i ka hoʻokumu ʻana o ka pāla fibrous. Ma muli o kēia, aia kahi māhele ʻokoʻa o ka lumen vascular a me ka hoʻoluhi ʻana i ka microcirculation.
ʻO ke kolu ka atherocalcinosis. Hōʻike ʻia ke kahua e ka hiʻohiʻona o ke kiʻi kauka piha, me nā hoʻopiʻi koi ʻana.
I ka ʻina hoʻokele, hiki mai ka hōʻeha pinepine o ka angina, aia kahi pilikia o ka hoʻomohala ʻana i ka myocardial infarction, stroke a gangrene paha.
ʻO ke kiʻi kino o ka atherosclerosis
Hōʻike ʻia nā hōʻike olakino o ka atherosclerosis ma kahi o nā pli atherosclerotic, ʻo ia hoʻi, ua moku kahi moku.
He ʻano ʻokoʻa loa nā hōʻailona like ʻole. Aia he mau pahu nui nui i hiki ke hōʻeha ʻia i kēia maʻi. Hiki i kahi kaʻina hoʻihoʻi ʻia i ka atherosclerotic ke pili i nā moku aʻe.
Nā arteri Coronary - lawe lākou i ke koko momona ka oxygen i ka puʻuwai. I ka wā e pōʻino ai lākou, ʻaʻole i loaʻa i ka myocardium ka nui o ka oxygen, a hiki ke hōʻike kēia iā ia iho i ke ʻano o ka hoʻouka ʻana o ka angina ʻano. ʻO Angina pectoris kahi hōʻike hōʻike pololei o ka maʻi naʻau coronary (CHD), kahi mau mea maʻi e ʻike ai i kahi wela wela, e hoʻihoʻi ana ma hope o ka sternum, pōkole o ka hanu a me ka makaʻu i ka make.
Ua kapa ʻia ʻo Angina pectoris nā angina pectoris. Hōʻike pinepine ʻia kēlā mau maʻi i ka wā o ka hoʻoikaika kino o ka hoʻoikaika ʻokoʻa, akā naʻe, me ke kaʻina holo ʻana, hiki ke hūnā i ka hoʻomaha. A laila ua ʻike ʻia lākou me ka hoʻomaha angina pectoris. ʻO ka hōʻeha nui i ka nā neʻe e hiki ke alakaʻi i ka coronarosclerosis (e hoʻohuli ana i ka palena o loko o ka lāʻau coronary me ka ʻono pili), a, ʻo ia, hiki ke alakaʻi i ka myocardial infarction - necrosis, "necrosis" o ka pae myocardial. ʻO ka mea kaumaha, ma kahi o nā hapalua o nā hihia, hiki i ka hōʻeha ʻeha ke alakaʻi i ka make.
Aorta - ke keʻena thoracic i pinepine i ka ʻeha. I kēia hihia, like nā hōʻailona like me ka atherosclerosis coronary. E hoʻopiʻi ka poʻe maʻi i nā ikaika, ka hoʻopaʻa ʻana i ka ʻeha ma ka umauma, kahi e hāʻawi ai i nā lima hema a me nā hema, ʻāʻī, ke kua a me ka ʻōpū. E hoʻonui ʻia kēlā mau naʻau me ka nui o nā ikaika, nā manaʻo ikaika.
Me ka hoʻonui nui ʻana o ka aorta, hiki i ka hewa ke ale a me ka hoʻowalewale o ka leo ma muli o ke koi ʻana o ka laryngeal lohi. E pili paha i ka waihona aortic. I kēia hihia, hiki ke hoʻopiʻi ka hoʻopiʻi o nā maʻi maʻi, no ka laʻana, ka dizz, ka palupalu nui, i kekahi manawa nāwaliwali, nā hōʻeha ʻōpū. Ke haʻalele nei ka pahu brachiocephalic (brachiocephalic) mai kahi kikowaena aortic - kahi moku nui loa, kahi e hiki ai ke hoʻopilikia ʻia ma nā membrane aortic.
Nā wahī Cerebral (nā moku cerebral) - a loaʻa ke ʻano o ka symptomatology. I nā hōʻailona mua o ka atherosclerosis, hopohopo nā poʻe maʻi e nā mea hoʻomanaʻo i ka hoʻomanaʻo, lilo lākou i nā paʻi maoli, e loli pinepine ko lākou naʻau. Aia paha he mau headache a me nā loli hala cerebrovascular (hōʻeha ʻia ischemic attack). No kēlā mau mea maʻi, he ʻano nui ka hōʻailona ʻo Ribot: hiki iā lākou ke hoʻomanaʻo mau i nā hanana o nā makahiki i hala, akā hiki ʻole ke haʻi iki i kahi mea i hana ʻia i kahi lā a i ʻole ma mua. ʻAʻole pōʻino ka hopena o kēia mau hōʻino - hiki i kahi hōʻeha ke hoʻomohala (make o kahi ʻāpana o ka lolo).
ʻO nā ʻenehana Mesenteric (a i ʻole mesenteric) - i kēia hihia, ua pili ke kī ʻana i nā moku e komo ana i ka mesentery o ka ʻōpū. Kahi ʻia kēlā ʻano kaʻina hana. E nānā ka poʻe i nā wela ma ka ʻōpū, ka puʻu ʻana o ka maʻi (constipation or diarrhea). ʻO kahi hopena koʻikoʻi paha paha he puʻuwai ʻeha o ka ʻōpū, a ma hope iho he gangrene.
He hana koʻikoʻi koʻikoʻi nā wahalaʻa. ʻO ka mea mua, hoʻomaka ka poʻe maʻi e hoʻonui i ka pume, a aneane hiki ʻole ke hoʻēmi me ia me ke kōkua o nā lāʻau lapaʻau. ʻO kēia ka mea i kapa ʻia ʻo ka renal (kūloko, hōʻailona o ka maʻi) hypertension. Aia kekahi puʻupuʻu kekahi ma nā ʻāina lumbar, nā liʻiliʻi liʻiliʻi i ka urination. Hiki i ke kaʻina hana nui ke alakaʻi i ka hana ʻole o ka pilikia.
ʻO nā haʻalulu o nā haʻahaʻa haʻahaʻa - ua komo kēia i ka wahine, popliteal, tibial a me nā hāhā o ka wāwae o hope. ʻO kā lākou atherosclerosis ka mea pinepine ka hemahema, ʻo ia hoʻi, ke pani ʻana i ka lumen o ka moku.
ʻO ka hōʻailona mua loa he "maʻi intermittent claudication" - ʻaʻole hiki i nā mea maʻi ke hele lōʻihi no ka ʻole o ka noho ʻana. ʻAe pinepine lākou i ka hoʻōki no ka hoʻopiʻi ʻana i ka hikiwawe o nā wāwae a me nā wāwae, kahi manaʻo hōʻā i kahi mea lahilahi, ke kino pale a iʻole ka cyanosis, ka manaʻo o nā "goose bumps". E like me nā hoʻopiʻi ʻē aʻe, hoʻoweliweli pinepine i ka ulu ʻana o nā lauoho ma luna o nā wāwae, keʻokeʻo i ka ʻili, ka helehelena o nā ulia trophic ulia lōʻihi, kahi loli i loko o ke ʻano a me nā kala o nā kui.
ʻO kekahi hōʻeha liʻiliʻi i ka ʻili e alakaʻi i nā ulia trophic, kahi e hiki mai ana ma hope i ke gangrene. Hoʻopilikia nui kēia no nā maʻi maʻi, a no laila uaʻike ikaika ʻia lākou e mālama i ko lākou mau wāwae, e kāʻei i nā kāmaʻa kāʻili ʻole ʻole, mai ʻoki i ko lākou mau wāwae a mālama pono iā lākou. Hōʻalo paha nā pulsation o nā ʻāpana o ke kaʻa o ka hopena o nā haʻahaʻa haʻahaʻa.
ʻO nā hōʻailona āpau o luna e hui pū ʻia i loko o Lerish syndrome.
Nā hōʻailona Diagnostic no ka atherosclerosis
Kuhi ʻia ka maʻi maʻi o ka atherosclerosis ma luna o kekahi mau loiloi. ʻO ka mea mua, ua loiloi ʻia nā hoʻopiʻi a ka mea maʻi, a ke hilinaʻi nei iā lākou, hiki i kahi ke kuhi hewa wale nō i kahi i hele mai ai nā loli.
No ka hōʻoia ʻana i ka maʻi ma mua, ua noi ʻia ke kāpili a me nā hana noiʻi noiʻi.
Ma waena o nā ala noiʻi noiʻi, makemake ʻia kahi hōʻike hoʻoliʻiliʻi a biochemical, kahi e loiloi ai i ka pae o ka kolamu. I ka manawa pinepine me ka atherosclerosis, e hoʻonui ʻia ia. ʻO ke kumu o ka heluna nui o 2.8-5.2 mmol / L. No kahi kiʻi hou aku nei o ka lipid komposisi o ke koko, ua kuhikuhi ʻia kahi kōmike lipid.
Ua hōʻike ʻia ia nā pae o nā ʻano lipids āpau i ko mākou kino:
- huakini piha;
- lipoproteins haʻahaʻa haʻahaʻa ("bad" cholesterol);
- nā lipoproteins haʻahaʻa loa;
- waena lipoproteins waena;
- lipoproteins kūloko kiʻekiʻe ("maikaʻi" cholesterol);
- triglycerides;
- chylomicrons.
ʻO nā loli maʻamau o ka lipid profile ka hoʻonui ʻana i ka pae o ka lipoproteins haʻahaʻa haʻahaʻa a me ka kaila o ka nui o nā lipoproteins kiʻekiʻe.
No ka ʻike pono ʻana i nā maʻi maʻi, ua hoʻouna ʻia lākou no ka angiography (kahi hōʻike vascular me ka hoʻomaka ʻana o ka mea hoʻohālikelike), ultrasound intravascular, compact tomography (CT) a me nā magneto resonance imaging (MRI).
Hāʻawi kēia mau ala iā ʻoe e ʻike i ka hele ʻana o nā loli like ʻole i ke kaena o nā kīʻaha koko, e hoʻoholo i ke kiʻekiʻe o ko lākou stenosis (ʻiliʻili) a i ʻole e hōʻino ʻia hou.
ʻO nā hana Therapeutic no ka atherosclerosis
ʻO ka lōʻihi o ka lawelawe ʻana o ka atherosclerosis, he hana paʻakikī, a pono ke koi i kahi lōʻihi mai ka mea maʻi a me kāna kauka.
Aia i kekahi mau papa i pono e ukali ʻia me hui pū kekahi.
Pono e mālama kūleʻa a hui pū ʻia, no laila ua hoʻopili pili ʻia nā hōʻailona a me ke mālama ʻana i ka atherosclerosis. Eia nā mea kumu pilikino o ka maʻi:
- lāʻau lapaʻau lāʻau;
- ka hana ʻai ʻaʻano;
- hoʻoikaika kino kino;
- ka hoʻohana ʻana o ka hana ʻōiwi (koho);
- ka pale ʻana o ka laha ʻana o ke kaʻina.
Hoʻokomo ʻia ka lāʻau lapaʻau o ka atherosclerosis i ka hoʻohana ʻana i nā lāʻau lapaʻau lipid-hoʻohaʻahaʻa (e hoʻohaʻahaʻa i ka pae o lipids, i ka cholesterol kūikawā). ʻO kēia mau māhele o nā lāʻau lapaʻau e like me nā statins (Atorvastatin, Rosuvastatin, Akorta), nā fibrates (Fenofibrate, Besofibrate), ka wai o ka lau o anion (Cholestyramine, Colestipol) a me ka mākaukau hoʻonaninani nikotinic (Nicotinamide, Vitamin B3) ʻOi maikaʻi ka maikaʻi lākou ma mua o ka hiamoe, no ka mea, ʻo ka nui o ka cholesterol i hua ʻia e ko mākou kino i ka pō. Hoʻohana pū ʻia ka hoʻohana ʻana i nā mea paʻakikī o nā huaora, nā minerala a me nā mea nānā i ke kaʻina, e kōkua i ka hoʻomaikaʻi ʻana i ke kahe o ke koko a hōʻemi i nā pilikia, ua ʻōlelo pū ʻia. ʻO Antispasmodics (Papaverine, No-Shpa), ka hoʻoheheʻe ʻia nā kīʻaha koko, hana pono.
ʻO ka mea ʻai no nā mea maʻi me ka atherosclerosis ke wehe i ka papaʻaina o ka uala, paʻakai, nā pā i ʻai, nā meaʻai wikiwiki, nā ʻoliʻoli, ka nui o ka paʻakai, kaʻula, nā momona momona. Ma kahi o ka mea, ua ʻōlelo ʻia e ʻai i nā mea ʻai hou a me nā huaʻai, nā hua like ʻole, nā iʻa momona haʻahaʻa, ʻānai kai a inu i ka liʻiliʻi a hoʻokahi hapalua lita wai o ka wai maʻemaʻe i kēlā me kēia lā.
Pono pono ke kino pilikino no ka hoʻolilo ʻana a me ka hoʻoikaika kino kino. ʻO ke kaupaona ʻana he kumu kūpono koʻikoʻi no ka hoʻomohala ʻana i ke ʻano maʻi type 2, kahi e loaʻa ai nā moku, a hiki i kahi lesi atherosclerotic ʻaʻole lākou e pōmaikaʻi iā lākou. I kēia hihia, ʻōlelo ʻia kēlā me kēia lā no ka liʻiliʻi o hoʻokahi hola i kahi lā. Hiki iā ʻoe ke hana i nā ʻeneki māmā, ʻaʻole hoʻi ka hana kino olakino, e like me ka lepa māmā.
Maikaʻi maikaʻi nā lāʻau lapaʻau no ka mālama ʻana i ka home. Hiki iā ia ke laka flax, aila linseed aila, infusions a me nā decoction mai nā ʻano lāʻau like ʻole. Hoʻopili hou nā mea hoʻohui biologically (ʻo nā papa hana meaʻai) kūpono hoʻi.
ʻO ka pale ʻana i ka hoʻonui ʻana i ka cholesterol ke pale i ka piʻi ʻana o ka maʻi. No ka hana ʻana i kēia, pono ʻoe e haʻalele i ka hana ʻino (inu wai ʻawa a me ka uahi), a ʻano hoʻi ka ʻōnaehana ʻana ma ke ʻano haʻuki, e hāhai i kaʻai a emi ʻole ka makaʻu.
Pehea e mālama ai i ka atherosclerosis vascular i wehewehe ʻia i ka wikiō ma kēia ʻatikala.
