Nā ʻano o hypercholesterolemia a me kona hopena i ka hoʻomohala ʻana o nā maʻi

ʻAʻole maʻi he maʻi Hypercholesterolemia. ʻO kēia ka maʻi kahi e kiʻekiʻe ai ka nui o ka lipid koko.

He ʻano like ʻole ia i ke ʻano like ʻole o kēlā ʻano hanana, akā, ʻoiai, inā hoʻokaʻawale ʻole ʻia, hiki i nā hopena ke lilo ʻole i kuhihewa ʻole. He hypercholesterolemia pinepine ia i ke kumu o ka pilikia hana i ka naʻau, a ma ke ʻano he hopena ke ʻano o ka vascular, a me nā maʻi a me nā hoʻopiʻi.

ʻO Atherosclerosis kekahi o nā hoʻopiʻi loa ʻana o ka hypercholesterolemia, no laila e pono ai ke ʻike i kēia maʻa pathological. E kōkua kēia ʻaʻole wale e ʻike a pale i kona kūkulu ʻia ʻana, akā e koho pū i ke ʻano loiloi maikaʻi loa i kahi hihia.

He aha ka hypercholesterolemia?

ʻO ka Hypercholesterolemia kahi manaʻo Helene e hoʻomaʻemaʻe i ke kolamu kiʻekiʻe koko. ʻAʻole hiki ke kapa ʻia kēia ʻōuli i ka ʻike maʻamau o ka maʻi, akā, he ʻano ʻokoʻa, akā, he mea paʻakikī kēia no nā kānaka.

He mea maʻamau aʻe i ka male kāne o ka nohona a hiki i ke kumu i nā maʻi like ʻole.

• diabetes mellitus;
• ischemia cardiac;
• maʻi maʻi pālolo;
• kolamu kolamu;
• atherosclerosis;
• momona momona.

Hiki ke hōʻike ʻia ka hypercholesterolemia maʻemaʻe inā inā ka lita o ka kolamu koko a he 200 mg a i ʻole. Hāʻawi ʻia ʻo ia i kahi code no ka mkb 10 - E78.0.

ʻAuhea mai ka nui o ka kolamu?

ʻO Cholesterol he mea like me ka momona, ʻo ka hapa nui ka mea i synthesized e ke kino iho a he wale nō ma o 20% wale nō ka meaʻai. Hoʻohanaʻia no ka hoʻokumuʻana o ka vitamin D, ka hana o nā mea e hoʻolaha ai i ka lawe ʻana i nā meaʻai a me ke hoʻokumu ʻana i nā hormones.

Ke hele nei o hypercholesterolemia, ʻaʻole hiki i ke kino ke hoʻomaʻamaʻa i ka nui o ka momona. Hoʻomaʻamaʻa pinepine kēia i ka hope o ka momona, i ka manawa i ʻai ai kekahi kanaka i nā mea momona a ua kīleʻa mau mea ʻai i nā meaʻai.

Eia kekahi, ʻoi aku ka nui o nā kolamu e mālama ʻia me nā maʻi e pili ana a me nā hana kino a pau.

• maʻi ate
• hypothyroidism (hana molekela a i ʻole);
• hoʻohana lōʻihi o nā lāʻau lapaʻau (progestins, steroid, diuretics);
• hopohopo a me ke kaumaha;
• nā loli ma ke ʻano o ka hormonal;
• ʻālaʻi nephrotic.

Ma ka hoʻomaka mua ʻana, ua hala ʻole nā ​​hōʻailona, ​​e lilo ka ʻike nui i ka wā o ka hoʻomau ʻana o ka haunaele. Ma hope mai, unuhi kēia i nā hōʻailona i loaʻa i ka hypertension a i atherosclerosis, ʻoi loa ka mea o kēia hanana me kēia maʻi.

Nā ʻano o ka maʻi a me kā lākou ʻokoʻa

Hoʻololi kēia ʻano ma kēia kumu i ke kumu i ulu ai.

Ma keʻano holoʻokoʻa, aia kahi 3 o ka maʻi o kēia maʻi, eia:

• ma mua;
• kapu;
• alimentary.

Ua aʻo ʻia i ka palapala kumu, no laila i kēia lā ʻaʻohe ala e hōʻoia ai i kona kāpae ʻia. Akā, e like me ke kumumanaʻo Fredrickson, he hoʻoilina no ia a hoʻomaka mua hoʻi e pili me ka haki ʻana i nā ʻano o nā gen. ʻO ka ʻano homozygous ka lawe ʻia ʻana o ka maʻi i ke keiki mai nā mākua ʻelua, heterozygous - ua hoʻoili ʻia ka hua aʻa ʻia mai kekahi o nā mākua.

Aia he 3 mau hiʻohiʻona:

• lipoproteins kūlohelohe;
• pilikia pili kino;
• ka hoʻohālikelike ʻana i nā ʻenemi huakaʻi.

ʻO ke ʻano lua o ka hypercholesterolemia ua hele mai me nā pilikia a me nā maʻi no ke kino, hiki iā lākou ke komo:

• endocrine;
• hepatic;
• hālohelohe.

ʻO ke kolu o ke ʻano, alimentary, e ala mai ma muli o ke ʻano kūpono ʻole, nā hana maikaʻi ʻole a me ka nele o ka haʻuki.

I nā kumu paha ke ʻano penei:

• ulaula
• inu wai inu kino;
• kaʻai maʻamau o ka momona momona;
• laau nalo;
• nele i ka hoʻoikaika kino;
• nā meaʻai molī me ka hoʻohui hoʻohui.

ʻO ka papa o waho o kēlā me kēia puka i ka kikoʻī like ʻole, me ka ʻole o nā hōʻike o waho. Hiki ke hana i ka maʻi maʻi ma ke kumu o kahi hōʻike koko inā he kiʻekiʻe ka cholesterol i ka 5.18 mmol i 1 pā.

ʻO nā hiʻohiʻona o ka hypercholesterolemia familial

Hoʻomaka kekahi ʻano ʻohana i ka hānau ʻana a hui pū ʻia i ke ao holoʻokoʻa. ʻO kēia ʻano maʻi i loaʻa i ke ʻano maʻamau, ʻo ia ka domini autosomal, i lawe ʻia ʻia mai kekahi o nā mākua (ʻano heterozygous) a i ʻole (homozygous) paha.

Ma ka ʻano he hezyzygous, ʻo ka hapa wale nō o nā mea hoʻokipa B E e hana i ka mea maʻi, a ua hāʻule ka pinepine o nā hihia ma kahi hoʻokahi mai 500. I kēlā mau kānaka, ma aneane ka nui o ka kolamu o ke koko ma mua o ka maʻamau, e hōʻea ana mai 9 a 12 mmol / lita.

Hiki ke hoʻoholo ʻia kahi ʻano heterozygous o ka hypercholesterolemia familial inā:

• nā kolesterola ma nā tendons, e ʻoi aku ka mānoanoa ʻē aʻe o lākou;
• corneal lipid arch (ʻaʻole nānā ʻia);
• ischemia cardiac (i nā kāne ma hope o 40, i nā wahine a ma hope aku).

Pono e mālama i ka maʻi maʻi mai ka wā kamaliʻi, e mālama ana i ka prophylaxis a me ka hahai ʻana i kahi meaʻai. He mea nui ʻole ke poina e pili i kēia mau ana i ke ola holoʻokoʻa.

Hoʻomaka nā pilikia o ka naʻau ma mua o ka makahiki o 20, ʻaʻole hiki ke mālama ʻia iā lākou me ka lāʻau lapaʻau, no laila pono ke hele ʻana kahi maʻi paʻakai.

Me ka hypercholesterolemia homozygous familial, ʻike ʻia ka hewa ʻaʻole wale nō ma ka ʻāina tendon, akā ua hoʻopiʻi ʻia hoʻi i nā ʻūhā, nā kuli, nā ʻili a me nā ʻili kūwaho o ka waha waha.

Ua hala pū kekahi mau hihia ma ka ʻeha o ka naʻau ma ka pēpē a me hoʻokahi hapa makahiki. No ka mālama aku, hoʻohana ʻia nā hana e like me plasmapheresis a i ʻole plasmosorption.

Hiki i kahi helehelena mua o ka infarction myocardial hiki ke haʻi i kahi ʻano hoʻoilina o ka hypercholesterolemia, aʻo nā mea e like me ka momona a me ka maʻi mellitus.

Nā hōʻike haukapila

ʻO ka Hypercholesterolemia ke ala pololei i ka hiki ʻana o ka atherosclerosis, ʻokoʻa ka hopena i loko o ka transience, kahi e kau nei i ke kumu o ka pathology.

Me ka hypercholesterolemia familial, pili ʻole ka lipoproteins e hui pū me ka cholesterol, e hoʻihoʻi ʻia ana i kēlā me kēia lālā kūikawā.

Hōʻike pū nā pololi kolesterol, alakaʻi lākou i nā pilikia e like me:

• nā maʻi hōʻemi;
• nā pilikia i ka hana o ka lāʻau coronary;
• ka piha piha o ke koko i nā wahi a pau o ke kino.

Ke alakaʻi nei kēia mau mea i nā maʻi ʻē aʻe, akā ʻoi aku ka nui o ka loaʻa ʻana i ka myocardial infarction a i ke wā ʻōpiopio. Hoʻohālikelike ʻia nā pae kolesterol me nā maʻi e ʻike ʻia. ʻO nā hui āpau e loaʻa ana i ka hypercholesterolemia ke kōkua pilikino ponoʻī no ka hoʻopiʻi ʻana.

Ka hoʻomāhuā ʻana o ka maʻi

ʻAʻole hiki ke ʻike i ka cholesterol kiʻekiʻe me ka ʻole o nā noiʻi kūikawā a i ʻole ʻike ʻia nā hōʻailona e hōʻailona ana i ka hele ʻana o ia ʻano maʻi pathological.

I ka hapanui pinepine, aʻo ka poʻe e pili ana i kā lākou maʻi ma ke ʻano ke nānā ʻana i kahi lāʻau lapaʻau. I kekahi hihia, pono ʻoe e hele i ka haukapila e ʻike i kahi nui o nā hōʻike hōʻike.

E pili paha i kēia ka papa inoa o nā papa inoa e pili nei:

• nā ʻike i loaʻa ma o ka nīnau ʻana i ka mea maʻi a me kāna hoʻopiʻi e pili ana i ka hōʻike ʻana o nā pākia, xanthelasma, a;;
• ka hoʻokolokolo kino;
• hoʻokaʻa koko;
• urinalysis;
• ka ʻōlelo hōʻike a kahi lehelehe lipid;
• hoʻāʻo ʻia ke koko no ka make ʻole;
• nā hoʻokolohua koko biochemical;
• hoʻoʻiliʻili genetics.

Hoʻomaka ia me ka kūkākūkā e pili ana i ke kūlana me ka mea maʻi, pono ia e haʻi e pili ana i kona mau manaʻo, ka hiʻohiʻona o nā puka hou ma ka ʻili, pehea ka lōʻihi o ka manawa, a pane pololei hoʻi i nā nīnau o ke kauka. E loaʻa i kēia ʻike nā kuleana nui a, inā ʻoiaʻiʻo, ʻoi aku ka maʻalahi e hoʻohālikelike i nā hopena o nā loiloi me ka hoʻopiʻi a ka mea maʻi.

No ka laʻana, e pili nā nīnau i ka lōʻihi o ka lōʻihi o xanthomas - ke ʻano o nā nodules keʻokeʻo ma nā papa o nā tendons. Hōʻike ʻia nā polikaka lipid o ka kornea ma, e hōʻike ana i kekahi rima a puni ka kornea o ka maka, ua waiho ʻia ke kolamu ma loko.

A laila, hoʻomaka kahi mālamalama e pili ana i nā maʻi i loaʻa i ka mea maʻi ma mua a he aha nā mākua a kona makua kāne, ʻo ia ka mea e pili ai i ka hoʻokaʻa ʻana me ka ʻona maʻi, ka ʻoihana o ka mea maʻi.

Ma ka hoʻokolokolo kino, hiki iā ʻoe ke kiʻi i kahi kiʻi piha me nā puka ma ke kino.

ʻO ka hoʻokolohua koko, ka hoʻāʻo me ka noiʻi biochemical hiki ke kōkua i ka ʻike ʻana i ka foci maʻi a me ka hoʻomohala ʻana i nā maʻi kūʻē i ka wā o ke ala o ka pathology E kōkua ka biochemistry koko e hoʻokumu i ka ʻike kūpono o ka kolamu, ka palaka, a me ka wāwahi ʻia o nā mea i loko o nā kōpona o ke koko, i mea e ʻike ai i ka hopena o nā polokalamu a me nā kino.

ʻO kekahi o nā haʻawina nui loa he kiʻi lipid. ʻO ia ka mea hiki ke kōkua i ka hoʻokumu ʻana i ka hoʻomohala ʻana o ka atherosclerosis, mahalo i ka hoʻopaʻa ʻana o nā lipids (ʻoi aku ka momona momona).

Hoʻokahele ʻia nā lipids i ko kēia ʻano inoa:

• atherogenic (like-momona-like - kumu atherosclerosis);
• antiatherogenic (pale i ka atherosclerosis).

ʻO kekahi hōʻike hou aʻe e koi ai i kahi loiloi immunological e ʻike i ke kiʻekiʻe o ka pale ʻana i nā hāmona i loko o ke koko. E kōkua kēia i mea e hōʻoia ai a hoʻoholo ai i ka hāʻule ʻana o nā maʻi, ʻoiai nā mea kanu o ke koko e luku ai i nā mea pili i nā ʻāina ʻē, a i ka ʻole o kā lākou hana, hoʻōla ʻia nā microorganism.

ʻO ka hana hope o ka maʻi maʻi e pono ai ka lawe ʻana i nā hoʻokolohua mai nā hoahānau e hiki ke hoʻomaopopo pono i ke ʻano o ke ʻano o ka hypercholesterolemia i manaʻo ʻia a he aha ka hana o ka hoʻoilina i kekahi hihia.

Hoʻohana ʻia

Hiki ke mālama ʻia ka Hypercholesterolemia me ka hoʻohana ʻana i nā lāʻau lapaʻau kūikawā, aia kekahi mau ala e hōʻemi ai i ka hopena o nā ʻōpiopio me ka ʻole o ka lāʻau lapaʻau.

ʻO ka lāʻau lapaʻau

ʻO nā lāʻau lapaʻau e pili ana i nā lāʻau lapaʻau e hakakā i nā patology:

• Nā ʻākala (hōʻemi i ka kolamu, hoʻōla i ka ʻaihue, hāʻawi i ka pale i nā moku intact, akā hiki ke hoʻopōʻino i ka ate, no laila ʻaʻole kūpono ke lāʻau no nā maʻi o kēia ʻupena);
• ʻO Ezetimibe (ʻo ia mau lāʻau ke keakea i ka kaomi o ka kolamu e nā pūnao, akā ʻaʻole kūlike ka maikaʻi o ka hopena no ka loaʻa ʻana o ka hapanui o ka kolamu e ka kino o ia iho);
• Pākuʻi (e hoʻemi i nā triglycerides a hoʻonui i ka lipoproteins kiʻekiʻe kiʻekiʻe);
• Sequestrants (holoi i ka kolamu mai i nā momona momona, akā ʻo ka mea minuke ʻo ia ka mea hiki ke hoʻopilikia i ka lawe ʻana i ka meaʻai a me nā mea momona ʻona.

I nā hihia koʻikoʻi o ka maʻi, pono e hoʻomaʻemaʻe i ke koko, e hoʻoponopono ana i kona ʻano a me nā ʻona, no ka mea ua lawe ʻia ma waho o ke kino.

Nā pono wikiō mai Kauka Malysheva e pili ana i ka hypercholesterolemia turun.

Pehea e hoʻoponopono maʻamau ai i ke ʻano me ka lāʻau ʻole?

ʻO ka lāʻau lapaʻau ʻole, ka mea e hoʻomoʻa ʻia e ka mea maʻi ma hope o ke kūkā kamaʻilio mua me ke kauka, he mea nui hoʻi ia.

Aia i ka:

• ka mālama ʻana i ke kaupaona ma nā pae maʻamau;
• hāmeʻa makemake ʻia;
• ka hōʻole ʻana i nā momona holoholona;
• hāʻawi i nā hana maikaʻi.

Aia nā ahalulu olakino e kōkua i ka hakakā ʻana me ka hypercholesterolemia, akā pono pono e hoʻohana ʻia ma hope o ke kūkā me ke kauka, no ka mea ʻole e hōʻeha hou iā ʻoe iho.