Ole toto maualuga ole toto maualuga

Cholesterol o se gaʻo (e taʻua foi o le lipid) e manaʻomia e lou tino e galue lelei. O le tele o le leaga o le kolisi e mafai ona faʻateleina ai lou avanoa e maua ai faʻamaʻi fatu, papala, ma isi faʻafitauli.

Ole faʻafomaʻi ole toto maualuga ole toto o le lipid faʻaletonu, hyperlipidemia, poʻo le hypercholesterolemia.

E tele ituaiga kolesterol. O mea na sili ona talanoa iai o:

• Aofaʻiga kolisi - ua faʻatasia uma cholesterols
• Kolisi lipoprotein maualuga (HDL) maualuga - e masani ona taʻua ole "lelei" kolesterol
• O le maualalo o le lipoprotein (LDL) cholesterol - e masani ona taʻua o le "leaga" cholesterol

Mo le tele o tagata, o le le masani ai le maualuga o le kolenitia e mafua ona o se le lelei le olaga. E masani ona aofia ai le 'ai i meaʻai e tele gaʻo. O isi ituaiga olaga e:

• Ova nava
• Leai se faamalositino

O nisi tulaga o le soifua maloloina e mafai foi ona taitai atu ai i le le talafeagai cholesterol, aofia ai:

• Maʻi suka
• Faamai fatugao
• Polycystic ovary syndrome
• Maitaga ma isi tulaga e faʻateleina ai le maualuga o fafine fafine
• Malosiaga totoa

O vailaʻau e pei o fualaʻau faʻapitoa e taofiofia ai le fananau mai, vailaʻau e faʻaalu ai vai (vai fualaʻau), beta-blockers, ma nisi vailaʻau e faʻaaoga e togafitia ai le faʻanoanoaga e ono faʻatupuina ai foi le maualuga o le toto. E tele faʻafitauli e pasia e aiga e mafua ai le le lelei o le kolesterol ma le triglyceride. E aofia ai:

• Aiga faʻateleina hyperlipidemia
• Aiga faʻapitoa
• Aiga maualuga hypercholesterolemia
• Aiga maualuga hypertriglyceridemia

O le ulaula e le mafua ai le maualuga o le maualuga o le toto, ae mafai ai ona faʻaititia lou HDL (lelei) cholesterol.

Ua faia le suʻega ole toto e faʻamaonia ai le faʻamaʻi ole lipid. Eseese tagata atamamai fautuaina ese amataga amataga mo tagata matutua.

• Fautuaina amata tausaga i le va o le 20 i le 35 mo aliʻi ma le 20 i le 45 mo fafine.
• Tagata matutua e masani ona iai le tulaga ole kolisi e le manaʻomia le toe faia o le suʻega ile 5 tausaga.
• Toe fai le suʻesuʻega vave pe a fai e iai suiga i le olaga (aofia ai le faʻatupulaia o le tino ma meaʻai).
• Tagata matutua ma le talaʻaga o maualuga maualuga kolesterol, suka, fatugaʻo faʻafitauli, fatu fatu, ma isi tulaga manaʻomia tele faʻateleina suʻesuʻega.

E taua le galue ma lau fomaʻi tausi soifua e faʻatulaga au sini faʻatoto. O isi taʻiala fou e faʻataʻitaʻi ai fomaʻi mai le faʻatutuina o tulaga maʻoti o le suka. Nai lo lena, latou te fautuaina vailaʻau eseʻese ma tui faʻamoemoeina i le talafaʻasolopito o se tagata ma tulaga lamatia tulaga faʻamaumauga. O nei taʻiala e suia mai lea taimi i lea taimi a o tele atu faʻamatalaga mai suʻesuʻega suʻesuʻe ua avanoa.

Taulaʻi lautele o:

• LDL: 70 i le 130 mg / dL (o numera maualalo e sili atu)
• HDL: Sili atu ile 50 mg / dL (maualuga numera e sili atu)
• Aofaʻiga o le suka: Itiiti ifo ile 200 mg / dL (o numera maualalo e sili atu)
• Triglycerides: 10 i le 150 mg / dL (o numera maualalo e sili atu)

Afai e le masani ai au faʻaiuga o le kolesterol, e ono iai foʻi isi faʻataʻitaʻiga e pei o le:

• Toto suka (kulukose) faʻataʻitaʻi e suʻe mo le maʻisuka
• Suʻesuʻega o galuega a fatugaʻo
• O le faʻataʻitaʻiga o le galue o le thyroid e vaʻai ai mo le le galue malosi o le kulo

Laʻasaga e mafai ona e faia e faʻaleleia ai ou tulaga kolesterol ma fesoasoani ai e puipuia faʻamaʻi fatu ma le faʻafuaseʻi o le fatu e aofia ai:

• Tuʻu le ulaula. Lenei le tasi suiga sili ona tele e mafai ona e faia e faʻaititia ai lou ono aʻafia i le fatu fatu ma faʻateia.
• Taumafa i meaʻai e masani ona laʻititi le gaʻo. E aofia ai fatu, fualaʻau 'aina, ma fualaʻau.
• Faʻaaoga mea maualuluga-gaʻo i luga, sosi, ma ofu.
• Aloese mai meaʻai e maualuga ai le gaʻo gaʻo.
• Faʻamalositino e le aunoa.
• Leiloa mamafa pe a fai ua e lapoʻa.

Atonu e manaʻo lau tausimaʻi ia oe e inu fualaʻau mo lou kolesterol pe a fai e le ola ni suiga o le olaga. O lenei e faʻamoemoe i:

• Lou tausaga
• Pe i ai ni maʻi fatu i le fatu, maʻi suka, pe o isi faʻafitauli o le tafe o le toto
• Pe oe ulaula pe ova lapopoʻa
• Pe o iai oe i le toto maualuga poʻo le maʻisuka

E te ono manaʻomia ni vailaʻau e tuʻu ai i lalo lou cholesterol:

• Afai e maua oe i le fatu fatu po o le maʻisuka
• Afai oe i ai i se tulaga lamatia mo fatu fatu (tusa lava pe e te leʻi i ai ni faʻafitauli fatu)
• Afai o lau LDL cholesterol e 190 mg / dL pe maualuga atu

Toetoe lava tagata uma ono maua le soifua maloloina penefiti mai LDL cholesterol e maualalo ifo nai lo 160 i le 190 mg / dL.

E tele ituaiga o vailaʻau e fesoasoani e tuʻu ai i lalo le toto toto maualuga. E eseese auala e galue ai fualaʻau. O Statins o se tasi ituaiga fualaʻau e tuʻuina ifo ai le toto ma ua faʻamaonia e faʻaititia ai le avanoa e maua ai i le maʻi fatu. O loʻo avanoa isi vailaʻau pe a fai e maualuga lou aʻafiaga ma statins e le tuʻuina i lalo le maualuga o lou tulaga o le kolesterol. E aofia ai ma le ezetimibe ma PCSK9 mea e taofia.

Ole maualuga ole toto maualuga e mafai ona taitai atu ai ile faamaʻaʻa o alatoto, e taʻua foi ole atherosclerosis. E tupu lea pe a faʻaputuputu le gaʻo, cholesterol, ma isi vailaʻau i puipui o alatoto ma fausia ai ni maʻa faigata e taʻua o ni maamaa.

I le aluga o taimi, o nei maa faʻamau e mafai ona poloka ai alatoto ma mafua ai faʻamaʻi fatu, stroke, ma isi faʻailoga poʻo faʻafitauli i le tino atoa.

O faʻaletonu e pasia e aiga e masani ona maualuga ai le maualuga o le kolisi e faigata ona taofiofia.

Cholesterol - maualuga; Faʻafitauli o le lipid; Hyperlipoproteinemia; Hyperlipidemia; Dyslipidemia; Hypercholesterolemia

• Angina - faʻateʻaina
• Angioplasty ma stent - fatu - faʻateʻaina
• Vailaau Antiplatelet - P2Y12 tagata taofi
• Aspirin ma faʻamaʻi fatu
• O le toaga pe a uma lou fatu oso
• Toaga pe a e maua i le fatu fatu
• Pata, margarine, ma suauʻu kuka
• Catheterization fatu - faʻateʻaina
• Cholesterol ma ituaiga olaga
• Cholesterol - togafitiga o vailaʻau
• Cholesterol - o le a le mea e te fesili ai i lau fomaʻi
• Faʻatonutonuina lou toto maualuga
• Maʻi suka - puipuia le faʻamaʻi o le fatu ma faʻamaʻi
• O gaʻo meaʻai na faʻamatalaina
• Motugaafa meaai vave
• Maʻi fatu - faʻateʻa
• Taotoga alo i le fatu - faʻateʻa ese
• Taotoga alo i le fatu - laitiiti leaga osofaʻiga - lafoa o le tino
• Maʻi fatu - afaina tulaga
• Le manuia fatu - suavai ma diuretics
• Le fatu fatu - mataʻituina fale
• Heart pacemaker - faʻateʻaina
• Faʻafefea ona faitau igoa taumafa
• Meaʻai maualalo o le masima
• Meaʻai i Metitirani
• Ta - faʻateʻa
• Ituaiga 2 suka - o le a le fesili i lau fomaʻi

• Cholesterol gaosia
• Faʻamaʻi o alatoto toto
• Cholesterol
• Faʻavaeina gaioiga o atherosclerosis

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Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA taiala i luga o le puleaina o le toto toto: o se lipoti a le American College of Cardiology / American Heart Association Task Force on Clinical Practice Guide. . J Am Coll Cardiol. 2019; 73 (24); e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.

Robinson JG. Faʻaletonu o le lipid metabolism. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 195.

Faʻamatalaga mulimuli a le US Preventive Services Task Force. Faʻaaogaina Statin mo le muamua puipuiga o faʻamaʻi fatu fatu i tagata matutua: vailaʻau puipuia. www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication. Faʻafouina Novema 13, 2016. Avanoa Fepuari 24, 2020.

US Puipuiga o Galuega Tautua; Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Suʻega mo faʻamaʻi lipid i tamaiti ma tamaiti: US Preventive Services Task Force faʻamatalaga fautuaina. IAMA. 2016; 316 (6): 625-633. PMID: 27532917 pubmed.ncbi.nlm.nih.gov/27532917/.