ʻO ka maʻi metabolic - pehea e nānā ai a mālama ʻia

Loaʻa ka loaʻaʻana o nā meaʻai kiʻekiʻe, ke kaʻa o ka pilikino, a me ka hana maʻalahi, no ka mea i loko o nā ʻāina hoʻomohala, kokoke i ka hapakolu o ka heluna o ka poʻe i loaʻa ka pilikia ma ka ololi. ʻO ka metabolic syndrome kahi paʻakikī o kēlā mau pilikia. Hoʻohālikelike ʻia ia e ka momona, he keu nui o ka cholesterol a me ka insulin, kahi ʻino i ka kahe o ka glucose mai ke koko i loko o nā ʻiʻo. Loaʻa i ka poʻe maʻi ke koko kiʻekiʻe, ka momona mau, ka nui ʻana i ka pōloli.

I ka hopena hope loa, nā maʻi metabolic e alakaʻi i ka atherosclerosis, thrombosis, diabetes mellitus, maʻi ʻeha, a me nā ʻeha. Ua wānana ʻia e hiki i ka makahiki e hiki mai ana, lilo nā kānaka me ka metabolic syndrome i 1.5 mau manawa hou aku, a ma ka hui ʻelemakule hiki ke piʻi ka nui o nā maʻi.

Ka hopena o ka metabolic - he aha ia

I hope i nā makahiki he kanawalu o ka makahiki i hala, ua loaʻa ka pilina ma waena o ke kaumaha nui, type 2 type diabetes, angina pectoris a me hypertension. Ua ʻike ʻia he mau mea maʻamau kēia i nā poʻe me ka obesity e like me ka android android, inā e hoʻopili ʻia ka nui o nā momona i ka puʻu o luna, ʻo ia hoʻi ma ka ʻōpū. I ka hala ʻana o 80s, ua hoʻokumu ʻia ka wehewehe hope o ka metabolic syndrome: ʻo kēia ka hui pū ʻana o ka metabolic, ka hormonal a me nā pilikia e pili ana, ke kumu kumu o ka kū ʻana o ka insulin a me ka hoʻonui ʻana o ka hana insulin.

ʻO ka maʻi maʻi a me nā hoʻohaʻahaʻa manaʻo e hana ia i ka wā ma mua

• Ka hana maʻamau o ke kō -95%
• Hoʻokuʻuina o ka pua thrombosis - 70%
• Hoʻopau i kahi puʻuwai ikaika -90%
• Hoʻopau i ke kiʻekiʻe o ke koko - 92%
• ʻO ka hoʻonuiʻana i ka ikehu i ka wā, hoʻomaikaʻi i ka hiamoe i ka pō -97%

Ma muli o ke ʻano o ka ʻano o ka hormonal, ka hoʻokūkū metabolic pinepine i nā maʻi kāne. ^ E Ha yM. ʻO ia ke kumu i hoʻonui ʻia ai ka make mai nā maʻi cardiovascular. I nā wahine, hoʻonui nui ʻia ka hopena ma hope o ka menopause, ke pau ka hana ʻana o ka estrogen.

ʻO ka mea hoʻonāukiuki nui o ka metabolic syndrome ka mea i manaʻo ʻia he nui ka hoʻonui ʻana i ke kūlohelohe i ka insulin hormone. Ma muli o ka nui o nā huamona i ka meaʻai, nui ka nui o ke kō i ke koko ma mua o ke kino e pono ai. ʻO ka mea hoʻohana nui o ka glucose ka mea naʻau, ma ka hana o ke olakino e pono ai lākou he ʻumi mau manawa. Ke hana ʻole o ka hoʻoikaika kino a me ka nui o ke kō, ka hoʻomaka ʻana o nā ʻōpū o ke kino e hoʻopaʻa i ka pau ʻana o ka glucose i loko o lākou. Hoʻomaʻa ʻole nā ​​mea iʻa aku iā lākou e ʻike i ka insulin, ʻo ia ke kumu nui o ke kōkō i ka kiko. Māhuahua iki aku, hoʻonui i ka maʻi diabetes 2.

ʻO ka pancreas, ka loaʻa i ka ʻike e hoʻomaka līlū ka glucose i nā ʻāpana, ua hoʻoholo e hoʻolaʻa i ka metabolism o nā pakanā a hana i ke ʻano o ka nui o ka insulin. Ke hoʻonui nei i ke kaohi o kēia hormone hoʻonāukiuki i ka hoʻoneʻe ʻana o ka adipose kiko, e alakaʻi ana i ka hopena i ka momona. Me kēia mau loli i ke koko, hele mai ka dyslipidemia - hōʻemi iki ka cholesterol low-a me ka triglycerides. ʻO nā loli i ka loli maʻamau o nā pathologically aʻeha e pili i nā kīʻaha.

I ka hoʻohuiʻana i ke kū'ē o ka insulin a me ka hyperinsulinemia, ke manaʻo nei ka mea aʻe i nā kumu o ka metabolic syndrome:

1. Hoʻonui nui ia i ka momona visceral ma muli o ke kalepona nui i ka meaʻai.
2. ʻO nā maʻi o ka maʻi - nui cortisol, norepinephrine, nele o ka progesterone a me ka ulu lāʻau. I nā kāne - kahi hōʻemi o ka testosterone, i nā wāhine - ʻo kona hoʻonui.
3. Uwe nui i ka nui o nā momona saturated.

ʻO wai ka mea maʻalahi loa i ka MS

Hoʻomaopopo ʻia e hoʻomaʻamaʻa i ka hoʻomaʻamaʻa maʻamau e ʻike i ka metabolic syndrome i nā poʻe āpau i pilikia.

Nā hōʻailona no ka hui ʻana.

• ke hoʻonui nui ʻana i waena o ke kaomi (> 140/90);
• ka momona momona a i ʻole ka hanu (ma ka ʻōpū);
• haʻahaʻa haʻahaʻa o ka hana kino;
• ka hāpai ʻana i nā mea inu maikaʻi;
• hoʻonui mahuahua ka lauoho ma ka alo a me nā limu ma nā wahine;
• Ua hoʻomaopopo ʻia i ka maʻi mellitus a i ʻole ka mea i hoʻonaninani i ka glucose i kūpono;
• maʻi maʻi coronary;
• nā pilikia me nā kīʻaha koko ma nā wāwae;
• atherosclerosis a me kahi ulia cerebrovascular;
• kohola
• polycystic ovary, haehuleka o nā kāne, infertility i nā wahine;
• erectile dysfunction a hoʻoemi ʻia potency i loko o nā kāne.

Nā hōʻailona o ka metabolic syndrome

Hoʻomaka ka hana ma ka metabolic me nā maʻi liʻiliʻi ma ka liʻiliʻi, e hoʻomohala, me ka hōʻuluʻulu i nā maʻi concomitant. ʻAʻohe ona hōʻailona kūpono ʻole - ka ʻeha, ka nalowale o ka ʻike, aiʻole ke kiʻekiʻe wela, no laila ʻaʻole lākou e nānā i nā loli i ke kino, ke hopu ʻana i ka manawa o ka metabolic syndrome e hōʻō ai i ka hopena koʻikoʻi i ke kino.

Nā hōʻailona maʻamau:

• meaʻai ʻole me ke kīkē wikiwiki ʻaʻole hoʻopō. ʻAʻole lawa kahi kīʻaha me kahi huaʻai, pono ke kino i ka mea ʻaina a me ka pastry me kaʻaila momona;
• lohi i ka meaʻai e alakaʻi i kahi ʻano o ka huhū, hōʻoluʻolu ke ʻano, e hoʻonāukiuki i ka huhū;
• i ke ahiahi hele nui ʻia ka momona, ʻoiai inā ʻaʻohe hana kino i ke ao;
• kau ka momona, kau ʻia ka momona ma hope, poʻohiwi, ʻōpū. ʻO ka hoʻohui i nā momona subcutaneous, ʻo ka mānoanoa o ka maʻalahi o ka puʻuwai, e hoʻonui i ka nui o ka kuʻekuʻe ma muli o nā ukana momona a puni nā kino o loko;
• He mea paʻakikī ke hoʻoikaika iā ʻoe iho e ala aʻe i mua, e hele i kekahi kilomita hou, e hele i luna o ke ala, ʻaʻole hoʻi ma ke alapiʻi;
• i kēlā me kēia manawa, hoʻomaka ka puʻuwai ikaika, nā maʻi i piʻi i nā kiʻekiʻe o ka insulin i ka metabolic syndrome;
• ʻeha nā naʻau ʻeha a i ʻole kekahi manaʻo o ka constriction i kekahi manawa ma ka umauma;
• ke pii o ka ʻāʻawa o ke poʻo;
• ʻeha, hele wale ka hanu;
• ʻokoʻa ʻia ka ʻulaʻula ma muli o ke vasospasm ma ka ʻāʻī a me ka umauma;
• mahuahua kaʻai ʻai ma muli o ka manaʻo mau i ka makewai a me ka waha maloʻo;
• ua haki ʻia ka hana maʻamau o nā neʻe i loko o ka bowel, pinepine ka constipation. Hāʻawi ka Hyperinsulinemia i ka metabolic syndrome i kahi hoʻolohi ʻana i ka hoʻoneʻe ʻana. ʻO ka nui o nā kālaiʻa, hoʻonui ka hana o ke kino;
• hoʻonui hoʻonui ʻia, ʻoi loa ka pō.

Ua hoʻokū ʻia ua hoʻoili ʻia ka predisposition i ka maʻi metabolic, no laila, hui pū ka hui hoʻopili i nā poʻe nona nā mākua a me nā hoahānau i loaʻa ka maʻi o ka ʻōpū, ke koko kiʻekiʻe, ka diabetes mellitus a i ʻole ka pale ʻana i ka insulin, nā pilikia naʻau, nā veins varicose.

ʻO nā hōʻailona o ka metabolic hōʻailona i ʻike ʻia e kahi hoʻokahe koko:

MS Diagnosis

Inā makemake ʻoe i kahi maʻi metabolic, pono ʻoe e hoʻopili i kahi endocrinologist. Hiki i nā mea hana'ē aʻe ke hoʻopili i ka mālama ʻana i nā maʻi concomitant - he cardiologist, ke kauka maʻi vascular, kahi lapaʻau, mea maʻi rheumatologist, kahi mea hoʻomaʻamaʻa.

ʻO ke kaʻina no ka hoʻomaʻamaʻa ʻana i ka ʻeha:

1. ʻO kahi hōʻike o ka mea maʻi e hoʻomaopopo ai i nā hōʻailona o ka maʻi metabolic, ka hoʻoilina wīwī, ka pae o ka hana a me nā ʻano meaʻai.
2. Ke hōʻiliʻili nei i kahi anamnesis o ka maʻi: i ka wā ʻike i nā mea pono ʻole, ʻike ʻia ka momona, ua piʻi ka neʻe, aia ka nui o ke kō.
3. ʻIke nā wahine i ke kūlana o ka ʻōnaehana hānau - nā maʻi ma mua, ka wā hāpai, ka wahine hānau, ka maʻamau o nā kāne.
4. ʻO ka nānā kino:

• e hoʻoholo i ke ʻano o ka momona, nā wahi nui no ka ulu ʻana o ke kiko adipose;
• Hoʻoholo ʻia ka noho pōkole. Me OT> 80 cm i loko o nā wahine a me 94 cm i nā kāne, ʻikea ka maʻi metabolic i nā hihia he nui;
• Hoʻohālikelike i ka māhele o nā pū i nā hope. He koikoi ma luna o ka hui ʻana i nā kāne a me 0.8 i nā wahine e hōʻike i kahi hiki ke kiʻekiʻe o ka hana hoʻokūkū.
• Hoʻomili ʻia ka ʻōlelo kikoʻī o ke kino (ka māhele o ka paona i ke kiʻekiʻe ʻehā, ua hōʻike ʻia ke paona i kg, kiʻekiʻe i m). A BMI ma luna o 25 e hoʻonui i ka pilikia o ka metabolic syndrome, me kahi BMI> 40, ʻike ʻia ke kiʻekiʻe o ka mea kipi.

1. Hōʻike i ka noiʻi biochemical e ʻike ai i nā abnormalities i ke kumu o ke koko. Ma kahi o nā noiʻi aʻe i luna, hiki ke kuhikuhi ʻia nā hoʻokolohua no ka insulin a me ka leptin:

• overestimated hana pinepine ka nui o ka insulin i ka mea maʻi. Ma ka pae o ka wikiwiki o ka glucose a me ka insulin, hiki i kekahi ke hoʻokolokolo i ka nui o ka paleʻana i kahi mea maʻi a hoʻolaha i ka hoʻomohala mua ʻana o ka maʻi mellitus;
• kuʻi ka leptin me ka momona, ʻoi loa ka nui o ka meaʻai, e alakaʻi ana i ke kō o ke kō.

1. ʻO ke ana ʻana, ka hoʻopaʻa ʻana i ka cardiogram.
2. No ka hiʻona, pono paha ʻoe e:

• bioimpedanceometry e loiloi i ka ʻike o ka wai a me nā momona i ke kino;
• kaloli kūlohelohe e helu i nā nui o ka nui o ka mea maʻi e pono ai i kēlā me kēia lā.

ʻO ka hōʻike ʻana i ka maʻi metabolic ma ka hōʻano hou o ka maʻi o ka maʻi o ka maʻi. E like me nā hualoaʻa o ke aʻo ʻana, ma ka hopena, ua wehewehe ʻia nā ʻāpana āpau o ka maʻi: hypertension (code for ICB-10 I10), huʻai (code E66.9), hyperglycemia, dyslipidemia, ʻokoʻa hoʻokaʻawale i ka glucose.

ʻO ka Hana Metabolic Syndrome

ʻO ke kumu no ka mālamaʻana i ka metabolic syndrome e pakele ai i ka momona nui. No kēia, hoʻoponopono ʻia ke ʻano o nā meaʻai, ua hoʻemi ʻia kona ʻano calorie, ua hōʻike ʻia nā papa hoʻonaʻauao kino i kēlā me kēia lā. ʻIke ʻia nā hopena mua o ia ʻano nā lāʻau lapaʻau ʻole ke loaʻa ka mea maʻi me ka ʻōpū o ka ʻōpū e pili ana i ka 10% o ka paona.

Eia kekahi, hiki i ke kauka ke kuhikuhi i nā huaʻala, nā mea kanu ʻai, nā mea lapaʻau e hoʻomaikaʻi i ka metabolism me ka hoʻoponopono ʻana i ke ʻano o ke koko.

Wahi a nā loiloi lapaʻau no ka mālama ʻana i ka metabolic syndrome, ʻo ka 3 mau mahina mua, ʻaʻole i kuhikuhi ʻia nā mea maʻi i nā lāʻau lapaʻau. Hoʻonohonoho ʻia nā meaʻai no lākou, hoʻopuka ʻia nā hoʻomaʻamaʻa kino. ʻO ka hopena, ʻo ke kaumaha, hoʻonaninani paha, hoʻomaʻamaʻa pinepine ke kolamu, ua hoʻomaikaʻi ka naʻau o ka insulin.

Me ka obesity morbid, hiki ke hoʻohana pono i nā kaʻina hana ʻoiatric: ʻoi aku ka nui o ka gastric bypass hui a me ka bandage gastroplasty. Hoʻemi lākou i ka nui o ka ʻōpū a hiki i ka mea maʻi me kahi maʻi ʻai e ʻike piha ai mai kahi hapa o ka meaʻai.

Inā ʻaʻole i hoʻi ka nui o ke koko i ka hana maʻamau i loko o 3 mau mahina, ua hoʻākāka ʻia nā lāʻau lapaʻau e mālama i nā pilikia i koe: nā mea hoʻoponopono o ka momona a me ka metabolism, a me nā lāʻau lapaʻau e hōʻemi i ke koko.

Ka hoʻohana ʻana i ka lāʻau lapaʻau

ʻĀʻana

ʻO ke ala maoli e hoʻomaʻamaʻa i ke kaumaha o ke kaumaha ma ka metabolic syndrome ke hana ʻana i kahi nui o ka ikehu. ʻO ka hihia wale nō paha, hoʻohana ke kino i nā momona momona e hana i ka ikehu. ʻO ka maʻi koʻikoʻi o ka pūpū he maʻi maʻi ia. ʻOiai ma hope o ka pohō ʻana o ke kaupaona ʻana i ke ʻano maʻamau, aia mau ka hoʻoweliweli ʻana o ka hoʻi hou ʻana. No laila, ʻaʻohe mea e koe, pehea e hoʻomau mau ai i nā maʻi metabolic, no ke koena o koʻu ola, ʻo ka nui ma muli o nā ʻano lāʻau ʻole - ka hoʻonaʻauao kino a me ka meaʻai kūpono. Ma hope o ka loaʻa ʻana o ka hopena i makemake ʻia, pono e kuhikuhi ʻia nā hana a nā kauka a me ka mea maʻi i ka mālama ʻana i nā manawa lōʻihi.

Kuhi ʻia ka helu kalaiwa a no ka emi ʻana o ka mea maʻi ma mua o 2-4 kg i hoʻokahi mahina. Kuhi ʻia ka ikehu ma muli o ka hōʻemi nui ʻana o nā momona holoholona a me kahi ʻāpana - nā huikala. ʻO ka hapa haʻahaʻa o nā kaloli o nā lā no nā wāhine he 1200 kcal, no nā kāne - 1500 kcal, me nā momona e pili ana i ka 30%, kākākaʻa - 30-50 (30% inā hoʻonui nui ke kō a loaʻa paha ka piʻi ʻana o ka insulin), nā protein - 20-30 (inā ʻaʻole inā) nephropathy).

ʻO nā mea kuʻuna i ka meaʻai therapeutic i loko o ka metabolic syndrome:

1. Ma ka liʻiliʻi 3 ʻai, maikaʻi 4-5. Loaʻa ʻole nā ​​lōlihi "lōʻihi" lōʻihi.
2. ʻO nā momona momona (iʻa, ka aila kālala) pono e hana i ka hapa o ka hapa o kā lākou nui. ʻO ka ʻai ʻana i nā momona holoholona pono e hui pū ʻia e ka lawelawe ʻana i nā meaʻuala a i ʻole nā ​​mea ʻai ʻole.
3. ʻO nā puna wai maikaʻi loa o nā iʻa me nā huahana waiʻai. Mai kaʻai - nā moa a me ka mea ʻai.
4. ʻOi aku ka makemake o ka palaka lā i ka wikiwiki (ʻoi aku ka nui o nā minamina momona) ʻO nā lole momona, nā pastries, ka laiki keʻokeʻo, nā ʻanuʻu i kālai ʻia e ka buckwheat a me ka oatmeal, ka bran roti.
5. Pono ka hāʻawi ʻana i ka meaʻai ma kahi o 30 g o ka fiber i kēlā me kēia lā. No ka hana ʻana i kēia, pono ka papa ʻaina i nā lau ʻai hou.
6. Me ka piʻi ʻana o ka paʻakai, kaupalena ʻia ka paʻakai ma ka 1 tī i ka lā.Inā hoʻohui ʻoe i ka paʻakai i ka meaʻai, hiki iā ʻoe ke hoʻohana i ka ʻono hou o nā kīʻaha i kekahi mau pule.
7. No ka hoʻonui i ka komo ʻana o ka pāhare pālolo, pono ʻoe e hoʻokomo i loko o ka meaʻai i nā mea kanu ʻōmaʻomaʻo, nā kīpū, nā kaloti maka.
8. No 1 kg o ke kino pono ka liʻiliʻi o 30 ml o ka wai. Tīpī, nā wai ʻona a me nā mea inu ʻē aʻe me ka wai maʻemaʻe. ʻO ka meaʻokoʻa wale nō ka hupa rosehip.

Pono ke kaupaona ʻana no ka momona: he mau hoʻi ikaika i ka momona no nā malama ʻeono, a laila no ka manawa like, e hoʻonui iki i nā calorie e hoʻopaʻa i ka paona. Inā pono ʻoe e lilo i ka momona, e hoʻomaʻi hou i ka neʻe.

ʻ Tipslelo ʻ Lifelelo Ola

Inā ʻoe e hoʻokau i kahi meaʻai haʻahaʻa-kalo loa i ka manawa lōʻihi, e iho ana ka huina o ke kino i loko o ke kino, e like me nā ʻano kumuwaiwai, e 15 a 25%. ʻO ka hopena, ua hoʻemi ʻia ka hopena o ka hōʻemi nui ʻana. No ka hoʻonui i ka ikehu i ka mālamaʻana i ka metabolic syndrome, ua kauoha ʻia ka hana kino. Eia nō hoʻi, me ka hana o nā māhina ikaika, e emi ana ka pale ʻana o ka insulin, hoʻōloki ʻo triglycerides, maikaʻi ka kolamu maikaʻi, nā pūlima puʻuwai, hiki i ka pūʻai a me ka lako o oxygen i nā ʻāpana e hoʻonui.

Ua loaʻa i nā mea maʻi me ka metabolic syndrome ka mea i hoʻokomo i ka hoʻomaʻamaʻa maʻamau i ko lākou ola, ʻoi aku ka liʻiliʻi o ka loaʻa ʻana o ka maʻi. Hoʻopili maikaʻi loa kahi hana Aerobic. ʻAʻole pono ka hoʻomaʻamaʻa ikaika ʻana me ke kaupaona kiʻekiʻe, inā he piʻi ka paʻakikī.

ʻO kahi aʻo Aerobic kekahi ʻano haʻuki e hana ai kahi hapa nui o nā mea pono i ka manawa lōʻihi, a hoʻonui ka nui o ka puʻuwai. No ka laʻana, ka holo ʻana, tennis, pā uila, aerobics. Hoʻomaka kūmole nā ​​papa i ʻole e hoʻolalelale i nā mea maʻi me ka metabolic syndrome, ʻo ka hapanui o lākou i pāʻani ai i nā haʻuki i kēia wā ʻōpiopio. Inā kuhi ka mea hiki i ka mea maʻi ke hoʻokō iā lākou, hoʻāʻo lākou i ka hana o ke puʻuwai a me nā kīʻaha koko ma luna o kahi papa wahi āpau a hoʻomaʻamaʻa paha - he hoʻāʻo ʻana a i ʻole ka ergometry.

Hoʻomaka nā workout me kahi huakaʻi 15-mau minuke, e hoʻonui mālie ana i ka wikiwiki a i mau manawa a hiki i hoʻokahi hola o ka lā. E kiʻi i ka hopena i makemake ʻia, pono ʻia ma ke ʻano he ʻekolu manawa i ka hebedoma, a ʻoi aku ka maikaʻi i kēlā me kēia lā. ʻO ka palena haʻahaʻa o ka pule he 150 mau minuke. ʻO kahi hōʻailona o kahi hoʻomaʻamaʻa maikaʻi e hoʻonui ai i ka puʻuwai o ka puʻuwai i 70% o kona kiʻekiʻe nui (i helu ʻia ʻo 220 mau minuke makahiki).

Hoʻopili i kahi mea olakino olakino a me ka hana pilikino, ʻo ka mālama ʻana no ka metabolic syndrome e pono e hoʻopili i ka ulaula a me ka hōʻemi pono i ka wai ʻona. ʻO ke ola me ka pale ʻole e alakaʻi i ka hoʻonui i ka cholesterol maikaʻi e ka 10%, me ka wai ʻole - ma ka 50% e hōʻemi ana i ka pae o ka triglycerides.

Kāohi

Ua loaʻa ka ʻekolu o nā kānaka noho o Lūkini mai kahi metabolic syndrome. I mea e hāʻule i ko lākou mau papaʻi, pono ʻoe e alakaʻi i kahi ola olakino a maʻamau i nā ʻano ʻike.

ʻO nā ʻōlelo kūkā no ka pale ʻana i ka maʻi metabolic:

1. ʻAi ʻia ka meaʻai, nā meaʻai ʻāpana liʻiliʻi. ʻO ka lawelawe ʻana i nā mea kanu i ka wā o kēlā me kēia pāʻina, nā huaʻai no ka mea ʻala ma mua o kahi keke e hoʻemi nui ia i ka hopena o ka hōʻino.
2. Mai pololi, inā ʻaʻole inā makemake ke kino e hoʻokaʻawale i kēlā me kēia kaloli.
3. Hana i ka nui o kou ola. Hoʻolālā i kou lā i kahi e loaʻa ai kahi wahi no ka hele a me ka hale hoʻokipa.
4. E hoʻohana i nā manawa āpau e neʻe hou aku - e hana i ke kakahiaka, e hele i ka ʻāpana o ka hana e hana ai ma ka wāwae, kiʻi i ʻīlio a hele pū me ia.
5. E ʻimi i kahi pāʻani i hiki iā ʻoe ke manaʻo i ka hauʻoli o ke neʻe ʻana. E koho i ka lumi leʻaleʻa maikaʻi, nā lako lako, nā kāmaʻa hāmeʻa māmā. Hoʻopili i ke hui o nā poʻe like-manaʻo. ʻO ka hōʻoluʻolu wale nō ʻoe i ka hāmeʻa hiki iā ʻoe ke hana i kou ola āpau.
6. Inā ʻoe i ka pilikia, hana pinepine ʻia nā hōʻike kolesterol. Inā hele i kahi maʻi maʻi diabetes ma waena o kou mau ʻohana a ʻoi aku paha ma mua o 40 mau makahiki he nui - he hoʻokolohua hoʻonaninani glucose hou.

E like me kāu e ʻike ai, ke noho ʻana i ke olakino a ke noho nei me ka leʻaleʻa, ʻaʻole ia he paʻakikī.