Kodi kufotokozera kwa metabolic syndrome, Zizindikiro ndi kupewa matenda ashuga

Tikukupatsani kuti muwerenge nkhaniyi pamutuwu: "tanthauzo la metabolic syndrome, zizindikiro ndi kupewa matenda a shuga" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Nthawi zambiri, wodwala amakupanga matenda osiyanasiyana a shuga, makamaka metabolic. Chizindikiro chazindikirochi chimadziwika ndi kulephera kwa mtima, mavuto ndi kupsinjika, kunenepa kwambiri, kuchuluka kwa magazi, komwe kumachitika motsutsana ndi maziko akumva insulin. Izi ndizodziwika ndi mtundu wa 2 shuga. Njira yothetsera vutoli ndi mankhwala, zakudya zamagulu ochepa, masewera olimbitsa thupi. Koma metabolic syndrome imatha kukhala chothandizira kukulitsa matenda a shuga.

Kanema (dinani kusewera).

Pansi pa kagayidwe kachakudya matenda amatanthauza kuchuluka kwamafuta am'madzi am'mimba, momwe ma cellular ndi minofu yamtundu wa insulin imatsitsidwa nthawi imodzi. Odwala omwe ali ndi metabolic syndrome, kunenepa kwambiri kumawonekera pokhudzana ndi maziko a kagayidwe kachakudya. Otsatirawa ndi gwero lalikulu lomwe limapangitsa kuti metabolic syndrome:

Kanema (dinani kusewera).

kulolerana kwa chakudya chambiri,
kuchuluka minofu insulin,
mafuta ochepa kagayidwe,
kuchuluka kwa thrombosis,
onenepa kwambiri.

Ngati zifukwa zosachepera ziwiri mwa zifukwa zili pamwambazi zimawonedwa, ndiye kuti mwayi wopanga matenda a metabolic ukuwonjezeka kwambiri.

Malinga ndi ziwerengero za WHO, anthu 60 miliyoni omwe ali ndi vuto la metabolic amatha kukhala ndi matenda ashuga mpaka pamlingo wina kapena wina. Matendawa amawonekera osati mwa anthu okalamba, m'zaka zaposachedwa kuchuluka kwa achinyamata omwe ali ndi metabolic syndrome akweza kwambiri. Metabolic syndrome imadziwonetsera nthawi zambiri ndipo imalumikizidwa ndi moyo wolakwika wa anthu.

Kusokonezeka kwa metabolic mu mtundu 1 kapena matenda ashuga a 2 amayamba chifukwa cha kuperewera kwa zakudya komanso kusachita masewera olimbitsa thupi. Mu metabolic syndrome pa matenda a shuga, ubale womwe umakhalapo pakati pa insulin ndi insulin-sensit komanso receptors umasokonekera. Chomwe chimapangitsa kukula kwa matendawa ndi kukana insulini, komwe kumayambitsa kuyambika kwa matenda ashuga. Vutoli limayamba pazifukwa izi:

chibadwa
kusazindikira kwa insulin receptors,
chitetezo chokwanira, chomwe ma antibodies ena amapangidwa.
kupangika kwa insulin, komwe sikungatenge nawo gawo la insulin.

Zomwe zimayambitsa kukula kwa kagayidwe kachakudya ndi mawonekedwe amtsogolo a shuga ndi:

chakudya cholakwika, chomwe chimayang'aniridwa ndi mafuta ndi chakudya,
moyo wopanda pake, pomwe munthu samayenda kwambiri ndipo samachita masewera olimbitsa thupi opepuka,
kuthamanga kwa magazi
zovuta zomwe zimapangitsa kuchuluka kwa shuga m'thupi kumachulukitsa ndikupanga insulin.
mankhwala osokoneza bongo a insulin, omwe nthawi zambiri amawonedwa kwa odwala omwe ali ndi matenda a shuga a insulin,
kusokonekera kwamafuta,
zosintha zokhudzana ndi zaka: okalamba, achinyamata.

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Zizindikiro za metabolic syndrome mu shuga

Njira ya pathological imadziwika ndi chitukuko chosalala komanso chosasangalatsa, chifukwa chomwe chiwopsezo cha kuwonekera kwa moyo wa munthu chikuchulukirachulukira.Ndi metabolic syndrome, zizindikiro zotsatirazi zimadziwika:

Kusinthaku kumakulirakulira ndikumakhala ndi njala.
Kutopa kumawonjezeka chifukwa chakuti maselo amthupi amakhala akusowa chakudya nthawi zonse.
Chilango chasweka, chifukwa cha ichi munthu amafunafuna kudya maswiti.
Kugunda kwa mtima kukuchulukirachulukira chifukwa chochita insulin yambiri.
Pali ululu mu mtima ndi m'mutu chifukwa cha kufupika kwa mitsempha yamagazi.
Pali kumverera kwa nseru ndi kufuna kusanza.
Mgwirizano umasweka.
Pali ludzu losatha ndi kuyanika kunja kwa mucosa wamlomo, komwe kumayimira kukula kwa matenda ashuga.
Kudzimbidwa pafupipafupi kumachitika chifukwa cha kukomoka kwa m'mimba.
Kuchulukitsa thukuta, makamaka usiku.

Ndikothekanso kuzindikira kukula kwa kagayidwe kachakudya pogwiritsa ntchito mawonetsedwe akunja:

kunenepa kwam'mimba, komwe munthu amachira m'mimba, mapewa,
mawanga ofiira pakhungu, lomwe limawonekera chifukwa cha kuchepa kwa mitsempha yamagazi,
kusintha kwa kuthamanga kwa magazi.

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Insellitus yodalira matenda a shuga ndi vuto la metabolic syndrome. Anthu omwe akupatuka motere ali pachiwopsezo ndipo amatha nthawi 2 kuposa ena kuti apezeke ndi matenda ashuga.

Zowopsa pakukula kwa matenda ashuga zikuwoneka ngati zili kwa odwala omwe ali ndi vuto labwino la shuga. Kukula kwa matenda oterewa m'matenda a shuga kumayenderana ndi kusokonekera kwa maselo ndi zimakhala kuti apange insulin. Kupatuka uku ndikomwe kumapangitsa kuti shuga ikhale yayikulu. Zikondwererozi zimagwira ntchito ndi mphamvu zowonjezereka ndipo, pakapita nthawi yochepa, zimaletseratu kupanga insulini. Chifukwa cha kuchuluka kwamphamvu kwa glucose m'madzi amadzimadzi, kapamba amathandizira kupanga insulin. Pambuyo pake, njira za metabolic zimasokonekera, ndipo munthu amapezeka ndi insellitus yodalira matenda a shuga. Pangozi ndi anthu omwe ali ndi vuto lotere:

matenda oopsa
onenepa
matenda amtsempha wamagazi
mafuta a chiwindi matenda
cholowa cholowa.

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Ndikovuta kuzindikira pawokha matenda a shuga; odwala otere amafunika kufunsa endocrinologist kapena othandizira. Dotolo amayesa wodwala ndikuwonetsa mbiri ya matenda. Njira zoyenera polemba koyamba ndi:

masekeli
kuyeza kwa kuzungulira m'chiuno ndi m'chiuno,
muyezo magazi.

Pambuyo pake, adotolo amayeza muyezo woloza thupi, pomwe iye amagawa mayeso ndi kutalika kwa munthuyo. Nthawi zambiri, zizindikiro zikuyenera kukhala pazosiyanasiyana za 18.5-25. Ngati index ikupitilira malire a 25, ndiye kuti kunenepa kwambiri kwadziwika. Kuphatikiza apo, kuyesa kwa labotale pakhungu ndi magazi kumafunika. Chiwerengero chotsatira cha magazi chikuwonetsa chitukuko cha matenda osokoneza bongo motsutsana ndi maziko a metabolic syndrome:

kuchuluka kwa triglycerides ndi glucose,
yachepetsa cholesterol "yabwino"
kuchuluka kwambiri mafuta m'thupi cholesterol,
kulolerana kwa shuga.

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Ma syndromes a metabolism a mtundu 2 a shuga amawopsa kwambiri ku thanzi la munthu ndi moyo. Pankhaniyi, chithandizo chamankhwala chimafunika. Choyamba, wodwala yemwe ali ndi matenda oterewa ayenera kusinthana ndi zakudya zapadera ndikudziwonjezera ntchito zamagalimoto. Ngati wodwalayo atsatira zakudya, ndiye kuti m'miyezi isanu ndi umodzi yoyambirira amatha kuthekera kwambiri ndikuchepetsa thupi.

Ngati wodwala akudwala matenda oopsa, omwe akuphatikizapo kukula kwa metabolic syndrome. Kenako mankhwala a antihypertensive amaperekedwa. Ndi zoletsedwa kumwa mankhwala amtunduwu nokha, akuyenera kuyikidwa ndi adokotala, kutengera zotsatira za mayeso a labotale komanso mkhalidwe wa wodwalayo.Ndi kupatuka mu metabolism yamafuta, ma statins ndi ma fiber amapatsidwa, omwe amatha kutsitsa mafuta m'thupi.

Kuti muthane ndi insulin, muyenera kumwa mankhwala omwe amachepetsa shuga.

Kuthetsa kagayidwe, mavitamini ma protein amapatsidwa.

Chithandizo chovuta cha metabolic syndrome chimaphatikizapo mavitamini ndi michere yama mineral yomwe imakupatsani kusintha kagayidwe. Pothana ndi kunenepa kwambiri, dokotala amafotokozera wodwala mankhwala otsatirawa:

zoletsa zomwe zimamwa mafuta,
mankhwala omwe amachepetsa chilakolako chofuna kudya,
mankhwala othandizira.

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Sizotheka kuchotsa kagayidwe kazakudya popanda kuwona zakudya. Wodwalayo ayenera kutsatira zakudya zamafuta ochepa kuti abwezeretse mphamvu za khungu ku insulin komanso kuti achepetse kuchuluka kwa cholesterol. Amaloledwa kudya zakudya zomwe zimachepetsa shuga m'magazi. Izi zimaphatikizapo mbale zam nyama zamtundu uliwonse, mazira, nsomba zamitundu yosiyanasiyana ndi mkaka, tchizi, masamba obiriwira, mtedza. Zakudya zotere zimasonyezedwa kwa odwala omwe apanga kale matenda a shuga osagwirizana ndi vuto la kufooka kwa metabolism. Ndikulimbikitsidwa kuti zakudya zotere zimapangidwa nthawi ndi nthawi kuti muchepetse kagayidwe ka metabolic mwa anthu omwe ali pachiwopsezo.

Pansi pa metabolic syndrome pamamveka vuto la metabolic, lomwe likuwonetsa kuwopsa kwa matenda amtima komanso matenda osagwirizana ndi insulin. Chomwe chimayambitsa matenda amenewa ndi kusakhazikika kwa maselo ku insulin. Odwala amadwala shuga wambiri. Komabe, sizilowa kuchuluka komwe kumafunikira minofu.

Metabolic syndrome ndi kuwonjezeka kwa kuchuluka kwa mafuta ochulukirapo pomwe akumachepetsa chidwi cha maselo ndi minyewa yathupi kupita ku insulin. Odwala amapezeka kuti ali ndi kunenepa kwambiri. Asayansi aku America kumayambiriro kwa zaka za m'ma 90. Zazaka zapitazi, zidapezeka kuti metabolic syndrome imadziwonekera mwa munthu ngati ali ndi ziwiri mwa izi:

kulekerera kwa chakudya chamthupi,
kuwonjezera kukana kwa minofu ya thupi kupita ku insulin,
kuphwanya mafuta kagayidwe kachakudya mthupi,
kuchuluka kwa magazi
kuchuluka kwa kuthamanga kwa magazi
kunenepa.

Zambiri za WHO zikuwonetsa kuti ku Europe kokha, anthu osachepera 60 miliyoni ali ndi metabolic syndrome, ndiye kuti, nthawi yomweyo amakhala ndi mwayi waukulu wodwala matenda a shuga. Milandu yachitukuko cha kagayidwe kachakudya pakati pa achinyamata yawonjezeka pafupipafupi. Ili ndi vuto limodzi mwazofala zamankhwala, zomwe zimagwirizanitsidwa makamaka ndi njira yolakwika.

Insulin, popanda kukokomeza, ndi imodzi mwamafuta ofunika kwambiri kwa anthu. Koma kuti ikhale yogwira ntchito, imafunika kumangirira zolandilira zomwe zimakhala ndi insulin. Ndi njira iyi yokha yomwe imatha kulowa mu cell ndikukwaniritsa ntchito zake, makamaka zokhudzana ndi kayendetsedwe ka glucose.

Metabolic syndrome imangophwanya njira yokhazikika yazomwezi. Kukana kwa insulin ndi chifukwa chachikulu cha matenda amenewa, omwe amayambitsanso matenda a shuga. Zimayambitsa kukana insulini:

cholowa
insulin receptor insensitivity
ntchito ya chitetezo chamthupi chomwe chimatulutsa ma antibodies ena,
metabolic syndrome chifukwa cha kukana insulini imatha kukhala chifukwa chopanga insulin yachilendo, siyotheka kutenga nawo mbali pa insulin.

Metabolic syndrome ilinso ndi zifukwa zina.

Zakudya zamafuta ambiri. Amayambitsa kunenepa kwambiri ndipo amathandizira kuti pakhale cholesterol yambiri. Kuchuluka kwa shuga ndi mafuta zimatha kuyambitsa matenda ashuga.
Moyo wopanda ntchito. Chifukwa cha kuchepa kwa ntchito zamagalimoto, kuchuluka kwa kagayidwe kazakudya kamachepa.Zimayambitsa kunenepa kwambiri komanso matenda a shuga.
Kukhalitsa komanso kusaphunzitsidwa kwakhala kukuwonjezeka. Chifukwa cha izi, kufalikira kwa magazi kosokoneza kumasokonekera, zomwe zimathandizanso kuchepa kwamamvekedwe a minofu kupita ku insulin.
Chifukwa cha kuzolowera zakudya zochepa zama calori, munthu amasokoneza kagayidwe. Maselo ndi minofu amayamba "kupulumutsa" mphamvu. Njirayi imayambitsa kunenepa kwambiri. Kukhala wonenepa nthawi yayitali komanso kudya mosasamala kungayambitse matenda ashuga.
Kupsinjika kumasokoneza kupangika kwa insulin pakukulitsa kuchuluka kwa shuga.
Kutenga glucagon, corticosteroids, mahomoni a chithokomiro amawonjezera kuchuluka kwa glucose, popeza ali otsutsana ndi insulin.
Mankhwala osokoneza bongo kwambiri a insulin, omwe nthawi zambiri amapezeka mwa anthu omwe amadwala matenda a shuga.
Mavuto am'mbuyo mwa mahomoni.
Zosintha zokhudzana ndi zaka.
Apnea

Chifukwa chake, makina a chitukuko cha matenda a shuga ndi kuti, chifukwa cha ntchito yochepa, mphamvu zamagetsi zomwe zimayambitsa kulumikizana kwa maselo ndi insulin ndizowonongeka. Chifukwa cha izi, kapamba amatulutsa timadzi tambiri uja. Chifukwa cha hyperinsulinemia, kunenepa kwambiri kumayamba, metabolism yamafuta imasokonekera, kupanikizika kumawuka. Pomaliza, kusungunuka kwa insulini kumachulukitsa kuchuluka kwa shuga ndi zotsatirapo zonse zoyipa. Zonsezi movutikira ndikukula metabolic syndrome.

Kagayidwe kachakudya matenda amayamba imperceptibly, zomwe zimapangitsa kuti zikhale zoperewera. Makamaka, odwala amadandaula za zizindikiro zotere.

Njala yopsinjika.
Kutopa kwambiri chifukwa choti maselo amthupi amakhala ndi njala nthawi zonse. Komabe, izi zimachitika motsutsana ndi maziko a kuchuluka kwa shuga m'magazi.
Chilala. Mwamuna koposa zonse amafuna maswiti.
Zosangalatsa pamtima. Izi ndichifukwa cha ntchito ya insulin.
Ululu mumtima.
Ululu m'mutu (wogwirizanitsidwa ndi kupendekera kwa ziwiya zomwe zimadyetsa ubongo).
Kuchepetsa mseru
Kuphwanya mgwirizano wa mayendedwe.
Kuuma, kuuma kwa mucosa wamlomo kumawonetsa kuti munthu amadwala matenda a shuga.
Kuchulukitsa kudziwikiratu kudzimbidwa, makamaka chifukwa cha kusokonezeka kwa dongosolo logaya chakudya.
Kuchuluka thukuta, makamaka usiku.

Kunja, kagayidwe kachakudya kake kamazindikira zizindikilo zotere.

Kunenepa kwambiri pamimba. Amawonetsedwa ndikuwoneka kwamafuta pamimba ndi mapewa (otchedwa be belly). Mafuta oyamba amayamba kumanga ziwalo. Mafuta amayamba kubisala zinthu zomwe zimakhala ndi phindu pokhudzana ndi kunenepa kwambiri ndikukulitsa kuchuluka kwa zinthu zomwe zimakhudzidwa ndikuyamba magazi.
Maonekedwe ofiira pakhungu amalumikizidwa ndi kupindika kwamitsempha yamagazi.
Zizindikiro zamagazi azisintha.

Kusintha kwotsatira kwa labotali kumachitika:

triglycerides kuchuluka
kuchuluka kwa komwe kumadziwika kuti cholesterol yabwino kumatsika komanso mosiyanasiyana, kuchuluka kwa cholesterol yochuluka kwambiri kumawonjezeka,
kuthamanga kwa glucose misempha imakwera
kulolerana kwa shuga kumakulirakulira
mamolekyulu a protein amapezeka mumkodzo chifukwa cha matenda a impso.

Izi zikusonyeza kuti munthu amakula ndi matenda ashuga.

Matenda a shuga mellitus (osadalira insulini) ndi imodzi mwazovuta zazikulu za metabolic syndrome. Anthu omwe ali ndi vuto lotere la metabolic ali pachiwopsezo cha shuga kawiri ndi theka nthawi zambiri kuposa zina. Odwala omwe ali ndi kulekerera kwa glucose amakhalanso ndi chiopsezo chowonjezeka cha matenda a shuga.

Ubwenziwu makamaka umachitika chifukwa chakuti kusokonekera kwa maselo ndi minofu ya thupi kupita ku insulin kumayambitsa chitukuko cha matenda ashuga. Zikondazo zimayamba kugwira ntchito kuti zivalidwe ndipo posakhalitsa zimakana kutulutsa insulini. Kuchulukana pafupipafupi kwa glucose kumapangitsa kuti kapamba apange insulini yambiri. Machitidwe a metabolic m'thupi amakhumudwa, ndipo munthu amadwala matenda a shuga omwe amadalira insulin.

Gulu lachiwopsezo limaphatikizapo odwala omwe ali ndi matenda otsatirawa:

matenda oopsa
kunenepa (makamaka kutchulidwa),
matenda a mtima
mafuta achilengedwe a chiwindi,
moyo wongokhala, makamaka pambuyo pa zaka 35,
cholowa m'mavuto.

Othandizira, endocrinologists nthawi zambiri amatenga nawo mbali pakuzindikira matendawa. Choyamba, dokotala amachita mayeso ndi mbiriyakale. Onetsetsani kuti mumayeza kulemera kwa thupi, kusuntha kwa m'chiuno, chiuno, kuthamanga kwa magazi. Mlozera wamasamba amthupi mumayezedwa: chifukwa ichi, kulemera kwa munthu (mu kilogalamu) kumagawidwa ndi chisonyezo cha kukula mumamita ndi masentimita, awiri. Mwachitsanzo, ndi thupi lolemera makilogalamu 80 ndi kutalika kwa 1.7 m, mndandanda uwu udzakhala 80 / (1.7 * 1.7) = 80 / 2.89 = 27.6. Zowonjezera zake ndi 18.5-25. Pankhaniyi, tikulimbana ndi kunenepa kwambiri, ndiye kuti, ndi kunenepa kwambiri kwa thupi.

Kuyesedwa kwa labotale pakhungu kumakhalanso kovomerezeka. Kuwunika kwa biochemistry kumathandizira kuzindikira zovuta zomwe zili ndi matendawa.

Ngati wodwala ali ndi zizindikiro za metabolic syndrome, ndikofunikira kuyamba chithandizo mwachangu. Choyamba, uku ndikofunika kudya zakudya zoyenera komanso kusintha kwa zinthu zolimbitsa thupi. Kutsatira mwadongosolo zakudya kumathandizira kuchepa kwamphamvu kwa thupi m'miyezi isanu ndi umodzi yoyambirira.

Chithandizo cha matenda oopsa amakhala makamaka pakumwa mankhwala a antihypertensive. Ayenera kukhala ndi zotsatira zokhalitsa. Ndi dokotala yekhayo amene angasankhe mankhwalawo ndi mankhwalawa pamaziko a anamnesis, mayeso a labotale, komanso mikhalidwe ya wodwala.

Chithandizo cha matenda a metabolism yamafuta amaphatikiza kugwiritsa ntchito ma statins ndi ma fibrate. Amachepetsa cholesterol yamagazi. Kuwongolera kofunikira kwa kukana insulini: chifukwa cha ichi, ndikofunikira kumwa mankhwala ochepetsa shuga.

Chithandizo cha kagayidwe kachakudya sikosatheka popanda kutenga mavitamini, mankhwala omwe amateteza kagayidwe. Kunenepa kwambiri kumachitika:

Kukhazikitsidwa kwa zoletsa zamafuta,
kudya zopondera
kupereka mankhwala

Kuchiza matenda a metabolic, makamaka ngati wodwala wapezeka kuti ali ndi kunenepa kwambiri, zimakhala bwino kwambiri ngati amadwala zakudya zochepa. Izi makamaka chifukwa chakuti ndizosatheka kumuchiritsa kwathunthu lero, mwatsoka. Komabe, imatha kuwongoleredwa bwino. Zakudya zotsika mtengo zamatenda a metabolic ndizomwe zimakhala bwino kwa wodwala.

Kuchita kumawonetsa kuti kuchiza matenda amtunduwu "ndimatenda", kumwa mankhwala osokoneza bongo, ndi zina zambiri, sikuthandiza. Popanda chilimbikitso chodwala, wodwalayo amathandizanso kuti asinthe matenda a metabolic.

Vuto la kunenepa kwambiri kwam'mimba, kusamva bwino kwa maselo ndi minofu ya thupi kupita ku insulin, cholesterol yamagazi yayikulu ndi triglycerides imathetseka bwino ndi chakudya chochepa cha carb. Chofunikira chake ndichakuti odwala matenda ashuga, mosasamala mtundu wake, ndikofunikira kudya zakudya zomwe zimachepetsa shuga m'magazi:

nyama iliyonse
mazira
nsomba ndi mkaka,
tchizi, komanso batala
masamba onse obiriwira
mtedza.

Ndizakudya ichi ndi metabolic syndrome yomwe imawonedwa ngati yabwino kwambiri. Zakudya zina sizikulolani kuti muzilamulira shuga. Zakudya zoterezi ndizabwino kwa iwo omwe amapezeka ndi matenda ashuga. Kupatula apo, kuwerengera kwa glucose kumabwereranso kwazovuta m'masiku ochepa chabe.

Kupewa kagayidwe kachakudya kagayidwe kachakudya kali moyo wokangalika, kulimbana ndi zizolowezi zoipa, zakudya zoyenera. Anthu omwe ali ndi cholowa chosagwirizana ndi matenda a shuga ayenera kupendedwa ndi dokotala pafupipafupi. Kuwongolera kusokonezeka kwa malingaliro, komanso chithandizo chanthawi yovutitsa matenda oopsa, akuwonetsedwa. M'pofunika kuwunika kupewa kupewa zovuta za matenda ashuga.

Metabolic syndrome imadziwika kuti ndi yodziwika bwino.Masiku ano, kulosera zamatenda kumakhumudwitsa, madokotala akukhulupirira kuti m'zaka zikubwerazi chiwerengero cha odwala omwe ali ndi metabolic syndrome chizingochulukirapo. Maziko a matendawa ndi zovuta za kusokonekera kwa kagayidwe, zomwe zimayambitsa matenda osokoneza bongo omwe amabwera chifukwa cha insulin. Vutoli limakhala lothandiza komanso likuwonekera chifukwa cha kuchuluka kwa matenda a mtima, kusokonekera kwa ntchito kwa erectile, komanso kukanika kwa chiwindi. Metabolic syndrome imafuna kupezeka mwachangu komanso njira yoyenera yochizira.

Metabolic syndrome ndi gulu la zovuta zomwe zimakhudzana ndi minyewa yomwe imakhudzana ndi insulin, kuperewera kwa lipid ndi purine metabolism, kunenepa kwambiri pamimba komanso kukulitsa matenda oopsa.

Kuyanjana kwa matenda ndi metabolic syndrome X, Reaven syndrome ndi insulin kukana syndrome.

Ndi metabolic syndrome, ubongo, mtima, kapamba ndizowonongeka

Kutsutsa kwa insulin kumawonedwa ngati chinthu chofunikira kwambiri pakukula kwa matendawa, chifukwa chake, chidwi cha insulin receptors chimachepa, mafuta ndi glucose amayikidwa mu minofu ya adipose, kuphulika kwake kumasokonezeka, malondololo a kapamba pakapita nthawi, omwe pamapeto pake amayambitsa matenda a shuga. Kuphatikiza apo, izi zimabweretsa zovuta zazikulu ndi zotengera, zimawonjezera ntchito ya mtima.

Gulu lomwe likupanga matendawa limaphatikizapo:

onenepa kwambiri omwe ali ndi matenda amtima wamthupi,
azimayi amakana
odwala okhazikika omwe amamwa mowa kwambiri ndi chikonga.

Zomwe zimayambitsa kukula kwa metabolic syndrome zimaganiziridwa:

Mitundu ya chibadwa. Mwa anthu ena, insulitivity ndi cholowa.
Zakudya zopanda pake. Ichi ndi chimodzi mwazinthu zazikulu pakukula kwa matenda. Mafuta ambiri ndi chakudya chamagulu ambiri zimapangitsa kunenepa kwambiri, zimayambitsa kusokonezeka kwa metabolic komanso kuchepetsa chidwi cha maselo ku insulin.
Khalidwe labwino. Kuperewera kwa masewera olimbitsa thupi kumathandizanso kuti mavuto azachilengedwe azisokonezeka komanso kusweka kwamafuta.
Yaitali mankhwala ochizira ochepa matenda oopsa. Chithandizo choterocho nthawi zambiri chimasokoneza kayendedwe ka magazi, kamene kamayambitsa matenda a insulin.

Metabolic Syndrome Itha Kupangitsa Mankhwala Ena

Zomwe zimayambitsa ngozi zakukula kwa matenda:

kusintha kokhudza okalamba
mitundu yosiyanasiyana ya kusokonezeka kwa mahomoni, makamaka mwa azimayi pa nthawi ya kusamba,
nthawi yayitali yovuta
kumangokhalira kupumira m'maloto (ziphuphu),
zizolowezi zoipa.

Matendawa amakula pang'onopang'ono, kotero poyambira mawonekedwe ake sawoneka, koma zizindikiro zotsatirazi zimapezekanso:

kusasangalala, kukwiya panthawi yanjala,
kutopa kwambiri
kugunda kwa mtima
kuwawa pamtima,
mutu
kupuma mseru, kusowa kwa mgwirizano,
kamwa yowuma, ludzu losatha,
kuphwanya chopondapo (kudzimbidwa),
thukuta kwambiri, makamaka usiku.

Zizindikiro zakunja za matendawa ndizofunikira zazikulu zamafuta.

Ndi metabolic syndrome, munthu amakhala ndi m'mimba, mafuta am'mapewa, komanso mbali zina za thupi

Kuthamanga kwa magazi, komwe nthawi zambiri kumayendera limodzi ndi metabolic syndrome, kumawonetsedwa ndi kufiyira khosi ndi chifuwa.

Kuyesa kwachipatala:

cholesterol yayikulu
kupezeka kwa mapuloteni mumkodzo,
kuchuluka kwa uric acid,
shuga wambiri.

Zithunzi za chithunzi cha chipatala muubwana komanso pakati

Mwa amayi apakati, kuphwanya kwamkati mwa chiberekero cha chiberekero kumalembedwa, chiopsezo cha zovuta pakubala mwana chikuwonjezeka, nthawi zambiri ana amabadwa onenepa kwambiri.

Ana omwe ali ndi matendawa ndi onenepa kwambiri, amapumira msanga, kusokonezeka kwa mitsempha ya mtima, mavuto ndi chitukuko cha kugonana.

Matendawa amatsimikiziridwa pakuwunika, komanso kugwiritsa ntchito njira zakulera ndi njira zina. Katswiriyu amayeza, amayeza mchiuno ndipo amawerengera mndandanda wa kuchuluka kwa thupi, kupitilira momwe amasonyezera kunenepa. Matenda a Laborator ndi awa:

kusanthula kwa cholesterol,
kusanthula kwa shuga
chosonyeza lipid kagayidwe,
kutsimikiza kwa milingo ya ma triacylglycerols,
mayeso a uric acid.

Kunenepa kwambiri komwe kumayambira mu metabolic syndrome kumadziwika ndi katswiri pakufufuza koyambirira, kuyeza mawonekedwe a chiwalo cha wodwalayo

Ngati ndi kotheka, akatswiri amafufuza kuwunika kwa magazi masiku onse (kuthamanga kwa magazi), ECG, kuyezetsa magazi a mitsempha ndi mtima, kuphunzira momwe chiwindi chikugwirira ntchito.

Cholinga chakuchiza matenda a metabolic ndikusintha kulemera kwa wodwalayo ndikubwezeretsanso kagayidwe kazinthu kake ka kagayidwe kachakudya ndi mahomoni. Kuti mukwaniritse, gwiritsani ntchito njira iyi:

Kutsatira ndi zakudya zochepa zopatsa mphamvu.
Kuchita masewera olimbitsa thupi.
Kumwa mankhwala.
Kugwiritsa ntchito mankhwala wowerengeka.

Muyeso wofunikira kwambiri pochiza matendawa ndi mtundu wa zakudya.

Ndikofunikira kudziwa kuti zakudya zokhwima, chifukwa chake, kuwonda kwambiri sikulimbikitsidwa, chifukwa ma kilogalamu omwe amapita msanga amathanso kubwerera mwachangu.

Chizindikiro chodziwika bwino ndi kuchepa kwa 5-10% pa kulemera kwa thupi pachaka. Kuti mukwaniritse zomwe mukufuna, muyenera kudya magawo ang'onoang'ono a 5-6 patsiku, osapitirira 1700-1900 kcal patsiku, kuphika zakudya zosiyanasiyana, kuchepetsa kuchuluka kwa mchere.

Kuti muchepetse njira zama metabolic, ndikofunikira kutsatira regimen. Ndikulimbikitsidwa kumwa madzi osachepera 1.5 malita. Bwino kumwa madzi oyera, mutha kupaka zipatso zopanda zitsamba, tiyi wazitsamba.

masamba, zipatso zosapezekanso,
nkhuku zodala, ng'ombe, kalulu,
nsomba zam'nyanja ndi nsomba,
zopatsa mkaka zochepa
mkate wa ndani
tiyi wazipatso ndi zakumwa,
mpunga, barele wa peyala, phala la buckwheat.

makeke ndi makeke,
nsomba zamafuta ndi nyama,
zokometsera komanso zonunkhira
saus, mayonesi, zonunkhira,
sodas zabwino
tchizi chamafuta kwambiri, kirimu wowawasa, tchizi chanyumba,
zipatso zabwino za shuga.

Metabolic syndrome. Zomwe zimayambitsa, zizindikiro ndi zizindikiritso, kuzindikira ndi kuchiza kwa matenda amisempha

Tsambali limapereka zidziwitso zakumbuyo. Kuzindikira moyenera komanso kuchiza matendawa ndizotheka kuyang'aniridwa ndi dokotala wodziwa ntchito yake. Mankhwala aliwonse amakhala ndi zotsutsana. Kufunsira kwa akatswiri kumafunika

Metabolic syndrome - Izi ndizosintha zomwe zimakhudzana ndimatenda a metabolic. Hulin insulin imaleka kuzindikiridwa ndi maselo ndipo sikukwaniritsa ntchito zake. Pankhaniyi, insulin kukana kapena insulin insensitivity imayamba, yomwe imapangitsa kuti magazi asungunuke ndi maselo, komanso pathological kusintha mu machitidwe ndi minofu yonse.

Masiku ano, malinga ndi gawo la 10 lapadziko lonse lapansi la matenda, metabolic syndrome satengedwa ngati matenda osiyana. Awa ndi vuto pamene thupi limadwala matenda anayi:

matenda oopsa
kunenepa
matenda a mtima
lembani matenda ashuga 2.

Matendawa ndiwowopsa kotero kuti madotolo adawatcha "maloto owopsa". Zimabweretsa zotsatira zoyipa kwambiri: mtima atherosulinosis, kuchepa kwamphamvu kwa ovency ndi polycystic, stroko ndi mtima.

Ziwerengero zamatenda a metabolic.

M'mayiko otukuka kumene anthu ambiri amakhala mongoyembekezera, 10-25% ya anthu opitilira 30 ali ndi zovuta izi. Mu gulu la okalamba, Zizindikiro zimawonjezeka mpaka 40%.Chifukwa chake ku Europe, chiwerengero cha odwala chimaposa anthu 50 miliyoni. Pakadutsa zaka zana zikubwerazi, izi ziwonjezeka ndi 50%.

Kwazaka makumi awiri zapitazi, chiwerengero cha odwala pakati pa ana ndi achinyamata chakwera kufika pa 6.5%. Chiwerengerochi chochititsa mantha chimagwirizanitsidwa ndi kulakalaka chakudya chamafuta.

Metabolic syndrome imakhudza makamaka amuna. Azimayi amakumana ndi matendawa atasiya kusamba komanso atatha. Mukugonana kofowoka patatha zaka 50, chiopsezo chokhala ndi metabolic syndrome chikuwonjezeka kasanu.

Tsoka ilo, mankhwala amakono sangathe kuchiza matenda a metabolic. Komabe, pali nkhani yabwino. Zosintha zambiri zomwe zimabwera chifukwa cha metabolic syndrome zimasinthidwanso. Chithandizo choyenera, zakudya zoyenera komanso moyo wathanzi zimathandizira kukhazikika kwazinthu kwanthawi yayitali.

Insulin m'thupi imagwira ntchito zambiri. Koma ntchito yake yayikulu ndikulumikizana ndi ma insulin omwe amalumikizana ndi cell iliyonse. Pambuyo pake, zimagwirira zoyendetsa glucose kuchokera kumalo ang'onoang'ono kupita mu cell zimayamba. Chifukwa chake, insulin "imatsegula chitseko" cha khungu la glucose. Ngati ma receptor samayankha insulin, ndiye kuti mahomoni enieniwo ndi glucose amadziunjikira m'magazi.

Limagwirira kukula kwa kagayidwe kachakudya matenda

Kuchita masewera olimbitsa thupi ochepa komanso kuperewera kwa zakudya m'thupi kumayambitsa kusokonezeka kwa mphamvu ya ma receptor omwe amalumikizana ndi insulin.
Zikondazo zimatulutsa insulini yambiri kuti athane ndi kusagwirizana kwa maselo ndikuwapatsa shuga.
Hyperinsulinemia (kuchuluka kwa insulini m'magazi) kumayamba, komwe kumayambitsa kunenepa kwambiri, kuperewera kwa lipid metabolism, ndi ntchito ya mtima, komanso kuthamanga kwa magazi.
Mafuta osaphatikizidwa amakhalabe m'magazi - hyperglycemia imayamba. Kuzungulira kwamphamvu kwa glucose kunja kwa cell ndi kutsika mkati kumapangitsa kuwonongeka kwa mapuloteni ndi mawonekedwe a ma radicals aulere, omwe amawononga cell nembanemba ndikupangitsa kukalamba kwawo kusanachitike.

Matendawa amayamba osadziwika. Zilibe kupweteka, koma sizikhala zoopsa.

Kuthamanga kwa magazi (popanda mankhwala a antihypertensive)

Kuthamanga kwa magazi kwa systolic (kumtunda) kumapitilira 130 mm Hg. Art.
kuthamanga kwa diastolic (kutsika) kupitirira 85 mm Hg. Art.

Laborator Zizindikiro za metabolic syndrome

Ndi dokotala uti yemwe ndiyenera kulumikizana ndi ine ngati wonenepa kwambiri?

Endocrinologists amathandizira metabolic syndrome. Koma powona kuti kusintha kwamitundu yambiri kumachitika m'thupi la wodwalayo, kufunsira kungafunike: katswiri, wamtima, wazakudya.

Poika dokotala (endocrinologist)

Poll

Ngati mndandanda uli mgawo la 25-30, izi zikuwonetsa kunenepa kwambiri. Miyezo yazowonjezera yoposa 30 imawonetsa kunenepa kwambiri.

Mwachitsanzo, kulemera kwa mzimayi ndi 90 kg, kutalika kwa 160 cm. 90/160 = 35.16, komwe kumawonetsa kunenepa kwambiri.

Kupezeka kwa striae (matanda otambalala) pakhungu.

Laboratory matenda a metabolic syndrome

Chithandizo cha mankhwala a kagayidwe kachakudya umalimbana ndi mayamwidwe a insulin, kukhazikika misempha ya glucose komanso matenda a metabolism.

Radkevich V. Matenda a shuga, GREGORY -, 1997. - 320 p.
Nikolaychuk L.V. Chithandizo cha matenda ashuga ndi zomera. Minsk, nyumba yosindikiza "Mawu Amakono", 1998, masamba 255, kufalitsa makope 11,000.
Vitaliy Kadzharyan und Natalya Kapshitar Mtundu wachiwiri wa matenda ashuga: njira zamakono zamankhwala / Vitaliy Kadzharyan und Natalya Kapshitar. - M: LAP Lambert Academic Publishing, 2015 .-- 104 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10.Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Metabolic syndrome - ndi chiyani

Kumbuyoko zaka makumi asanu ndi limodzi za zana lomaliza, ubale udapezeka pakati pa onenepa kwambiri, matenda ashuga a 2, angina pectoris ndi matenda oopsa. Zinapezeka kuti zovuta izi ndizofala kwambiri mwa anthu omwe ali ndi kunenepa kwambiri malinga ndi mtundu wa admin, pomwe mafuta ochulukirapo amawaika kumtembo wapamwamba, makamaka m'mimba. Chakumapeto kwa ma 80s, tanthauzo lomaliza la metabolic syndrome lidapangidwa: uku ndi kuphatikiza kwa metabolic, mahomoni ndi zovuta zina, chomwe chimayambitsa chinali insulin.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

Matenda a shuga ndi omwe amayambitsa pafupifupi 80% yonse yamikwingwirima ndi kuduladula. Anthu 7 mwa anthu 10 amafa chifukwa cha mitsempha ya mtima kapena ubongo. Pafupifupi nthawi zonse, chifukwa chomaliza chomaliza ndi chimodzimodzi - shuga wamwazi.

Shuga akhoza ndipo amayenera kugwetsedwa, apo ayi. Koma izi sizichiritsa matendawa, koma zimangothandiza kulimbana ndi kufufuza, osati zomwe zimayambitsa matendawa.

Mankhwala okhawo omwe amavomerezeka pamankhwala othandizira odwala matenda ashuga komanso amagwiritsidwa ntchito ndi ma endocrinologists pantchito yawo ndi awa.

Kugwiritsa ntchito bwino kwa mankhwalawa, kuwerengera malinga ndi njira yokhazikika (kuchuluka kwa odwala omwe achiwonjezere kuchuluka kwa odwala omwe ali pagulu la anthu 100 omwe adachitiridwa chithandizo):

Matenda a shuga - 95%
Kuthetsa kwa mitsempha thrombosis - 70%
Kuthetsa kwa kugunda kwamtima kwamphamvu - 90%
Kuthana ndi kuthamanga kwa magazi - 92%
Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku - 97%

Opanga si bungwe lazamalonda ndipo amalipidwa ndi chithandizo cha boma. Chifukwa chake, tsopano wokhala aliyense ali ndi mwayi.

Chifukwa cha chikhalidwe cha mahomoni, metabolic syndrome Nthawi zambiri amapezeka mwa amuna . Ichi ndichifukwa chake ali ndi mwayi waukulu wakufa ndi matenda amtima. Mwa amayi, chiopsezo chimakula kwambiri pambuyo kusintha kwa kubereka, pamene kupanga kwa estrogen kumayima.

Provocateur wamkulu wa metabolic syndrome amawerengedwa kuti ndi kuwonjezeka kwa minyewa yolimbana ndi insulin ya mahomoni. Chifukwa cha kuchuluka kwa chakudya chamagulu m'zakudya, mumakhala shuga wambiri m'magazi kuposa momwe thupi limafunikira. Wogula wamkulu wa glucose ndi minofu, panthawi yogwira ntchito yazakudya amafunika nthawi makumi ambiri. Pakakhala kulimbitsa thupi ndi shuga wambiri, maselo amthupi amayamba kuletsa kuchuluka kwa shuga mwa iwo okha. Ma receptor awo amasiya kuzindikira insulin, yomwe ndiye wochititsa wamkulu wa shuga m'minofu. Kukula pang'onopang'ono.

Zikondazo, zitalandira chidziwitso chakuti glucose imayamba kulowa m'maselo, likuganiza zothamangitsa kagayidwe kazakudya ndikupanga insulin yambiri. Kuwonjezeka kwa kuchuluka kwa timadzi timeneti kumapangitsa kuti minofu ya adipose ifike, ndipo pamapeto pake kumapangitsa kunenepa kwambiri. Kuphatikiza pa kusintha kumeneku m'magazi, dyslipidemia imachitika - cholesterol chochepa-komanso triglycerides imadziunjikira. Kusintha kwazomwe zimapangidwa ndimitsempha yamagazi imakhudza mitsempha.

Kuphatikiza pa insulin kukana ndi hyperinsulinemia, zotsatirazi zimawoneka ngati zomwe zimayambitsa metabolic syndrome:

Kuwonjezeka kwakukulu kwa mafuta a visceral chifukwa cha zopatsa mphamvu zopatsa mphamvu m'zakudya.
Mavuto a mahomoni - kuchulukitsa kwa cortisol, norepinephrine, kusowa kwa progesterone ndi kukula kwa mahomoni. Mwa amuna - kuchepa kwa testosterone, mwa akazi - kuchuluka kwake.
Zakudya zambiri zamafuta.

Ndani angatengeke kwambiri ndi MS

Ndikulimbikitsidwa kuti anthu onse omwe ali pachiwopsezo awunikidwe pafupipafupi kuti adziwe metabolic syndrome.

Zizindikiro zokhala m'gululi:

kuchuluka kwakanthawi (> 140/90),
kunenepa kwambiri kapena m'mimba (m'mimba),
zolimbitsa thupi zochepa,
kudzipereka pakudya kopanda thanzi,
kukula kwa tsitsi kumaso ndi miyendo mwa akazi,
matenda a shuga kapena,
matenda a mtima
mavuto amitsempha yamagazi m'miyendo,
atherosulinosis ndi ngozi yamitsempha,
gout
polycystic ovary, kusamba kwachilendo, kusagona mwa akazi,
kukanika kwa erectile kapena kuchepa kwa potency mwa amuna.

Kuzindikira kwa MS

Matenda a metabolic a wodwalayo ali ndi kuwonjezereka ka 23 pangozi ya kufa ndi vuto la mtima, mu theka la zovuta izi zimabweretsa matenda a shuga. Ichi ndichifukwa chake ndikofunikira kuzindikira koyambirira, pomwe kupatuka kuzikhalidwe kumakhala kochepa.

Ngati mumakayikira matenda a metabolic, muyenera kulumikizana ndi endocrinologist. Akatswiri ena atha kutenga nawo mbali pazithandizo zamankhwala othandizira - mtima, katswiri wa mtima

Njira yodziwira matendawa:

Kafukufuku wodwala kuti adziwe mawonekedwe a kuperewera kwa metabolic, cholowa cholakwika, kuchuluka kwake kwa zochitika ndi machitidwe a thanzi.
Kupeza anamnesis a matendawa: pamene zotupa zimadziwika, kunenepa kwambiri kumawonekera, kodi kukakamizidwa kumawuka, kodi kunalibe shuga wambiri.
Amayi amapeza mkhalidwe wamachitidwe obadwira - matenda apakale, pakati, kubereka.
Kuyeserera kwakuthupi:

Amazindikira mtundu wa kunenepa kwambiri, malo akuluakulu omwe kukula kwa minofu ya adipose,
kuyeza kuzungulira kwa m'chiuno. Ndi OT> 80 cm mwa akazi ndi 94 cm mwa amuna, metabolic syndrome imawonedwa nthawi zambiri,
amawerengetsa chiuno mchiuno. Mgwirizano wokwanira pamwamba pa amuna ndi 0,8 mwa akazi umawonetsa kusokonezeka kwakukulu kwa metabolic,
kuchuluka kwa mndandanda wa thupi amawerengedwa (kuchuluka kwa kulemera mpaka kutalika kwakutali, kulemera kumafotokozedwa makilogalamu, kutalika kwa m). BMI pamwambapa 25 imawonjezera chiopsezo cha metabolic syndrome, ndi BMI> 40, kuthekera kwa kuphwanya kumawerengedwa kwambiri.

Okusobola okusobola okwegayirira okulaba obukambwe mu ngeri ey’omusaayi. Kuphatikiza pa maphunziro omwe ali pamwambapa, kuyesa kwa insulin ndi leptin kungathe kutumizidwa:

overestimated insulin nthawi zambiri amatanthauza kukanira kwa insulin. Mwa kuchuluka kwa glucose komanso insulin, munthu amatha kuwunika zovuta zomwe wodwala amakana komanso ngakhale ataneneratu za matenda omwe angayambitse matenda a shuga.
leptin amadzuka ndi kunenepa kwambiri, kudya kwambiri, kumabweretsa kuwonjezeka kwa shuga m'magazi.

Kuyeza kwa kukakamiza, kujambula ndi mtima.
Pa kunenepa kwambiri, mungafunike:

bioimpedanceometry kuwunika zamadzi ndi mafuta m'thupi,
calorimetry osalunjika kuti awerenge kuchuluka kwa zopatsa mphamvu zomwe wodwala amafunikira patsiku.

Kuzindikiritsa kagayidwe ka metabolic m'gulu laposachedwa lapadziko lonse la matenda sikumachotsedwa. Malinga ndi zotsatira za kafukufukuyu, pomaliza, zigawo zonse za matendawa zimafotokozedwa: matenda oopsa (code for ICB-10 I10), kunenepa kwambiri (code E66.9), dyslipidemia, kulolerana kwa shuga.

Chithandizo cha Metabolic Syndrome

Maziko a matenda a metabolic syndrome ndikuchotsa kunenepa kwambiri. Kuti tichite izi, kapangidwe kazakudya kamasinthidwa, zopangidwa ndi kalori yake zimachepetsedwa, makalasi a maphunziro a thupi a tsiku ndi tsiku amabweretsedwa. Zotsatira zoyambirira za mankhwala osagwiritsa ntchito mankhwalawa zimayamba kuonekera pamene wodwala yemwe ali ndi kunenepa kwambiri pamimba ataya pafupifupi 10% ya kulemera.

Kuphatikiza apo, adotolo atha kukulemberani mavitamini, zakudya zopatsa thanzi, mankhwala omwe amasintha kagayidwe kazakudya ndikuwongolera kapangidwe ka magazi.

Malinga ndi malangizo azachipatala othandizira matenda a metabolic syndrome, miyezi itatu yoyambirira, odwala sanalembedwe mankhwala. Amakonzedwa ndi zakudya, zolimbitsa thupi zimayambitsidwa.Zotsatira zake, limodzi ndi kuchepa thupi, kupanikizika, cholesterol imakhala yodziwika bwino, kumverera kwa insulin kumakhala bwino.

Kusiyanako ndi odwala BMI> 30 kapena BMI> 27 osakanikirana ndi matenda oopsa, kusokonezeka kwa lipid metabolism kapena mtundu wachiwiri wa matenda ashuga. Pankhaniyi, ndikofunikira kuchiza matenda a metabolic komanso kunenepa kwambiri ndi chithandizo cha mankhwala.

Ndi kunenepa kwambiri, kugwiritsa ntchito njira zopangira ma bariatric ndikotheka: opaleshoni ya m'mimba ndi bandage gastroplasty. Amachepetsa kuchuluka kwa m'mimba ndipo amathandizira wodwala omwe ali ndi vuto lakudya kuti azitha kumva kuti ali ndi chakudya chochepa.

Ngati kuchuluka kwa magazi sikunabwerere mwachidziwikire mkati mwa miyezi itatu, mankhwala amawunikira kuti athane ndi mavuto otsala: kukonza mafuta ndi kagayidwe kazakudya, komanso mankhwala ochepetsa magazi.

Kugwiritsa ntchito mankhwala osokoneza bongo

Kuchepetsa Kuthandiza

Orsoten, Xenical, Orliksen, Listata

Malangizo a kagayidwe kazakudya

Glucophage, Bagomet, Siofor, Glycon

Lipid kagayidwe kachakudya

Atoris, Liprimar, Tulip

Nicotinic acid + laripiprant

Ezetrol, Ezetimibe, Lipobon

Gulu la mankhwala osokoneza bongo	Zogwira ntchito	Mfundo yogwira ntchito	Mayina amalonda
Hypolipidemic othandizira	Imalepheretsa mayamwidwe am'matumbo, 30% ya triglycerides imachotsedwera ndowe, zomwe zimachepetsa chakudya chamagulu.	Kuchepetsa kukana kwa insulin ndi kaphatikizidwe wa shuga m'chiwindi, kuchepetsa kulowa kwake m'magazi kuchokera m'matumbo aang'ono. Kulandiridwa ndi metabolic syndrome ndi 31% kumachepetsa chiopsezo cha matenda ashuga.
Alpha Glucosidase Inhibitors	Imasokoneza ntchito ya ma enzyme omwe amaphwanya polysaccharides. Zotsatira zake, shuga wochepa amalowa m'magazi.	Kugwiritsa ntchito bwino cholesterol yoyipa (mpaka 63% ya ziwerengero zoyambirira). Amagwiritsidwa ntchito pochiza matenda a atherosulinosis mu shuga ndi matenda a metabolic.	Rosulip, Roxer
Atorvastatin	Kuchepetsa magazi triglycerides, kuonjezera cholesterol yabwino.
Nicotinic acid, zotumphukira zake	Imaletsa kumasulidwa kwamafuta acid kuchokera ku mafuta a visceral. Loputopu amathetsa mavuto obwera chifukwa cha chikonga.
Cholesterol mayamwidwe zoletsa	Zimalepheretsa kusinthana kwa cholesterol kuchokera pachakudya kudzera mu epithelium ya intestine yaying'ono kulowa m'magazi.
ACE zoletsa	Fosinopril	Wonjezerani mitsempha yamagazi. Musachepetse ntchito ndi mafuta ochulukirapo. Osakhudza kwambiri kagayidwe.	Monopril, Fozicard
ACE zoletsa	Ramipril		Hartil, Amprilan
Calcium calcium blockers	Verapamil	Zimalepheretsa kulowa kwa calcium m'matumbo, zomwe zimapangitsa kuti zikule. Amagwiritsidwa ntchito pochiza matenda a myocardial ischemia ndi nephropathy mu shuga.	Isoptin, Finoptin
Calcium calcium blockers	Felodipine		Felodip

Kusankha kwa chithandizo chamankhwala ndi njira zina ndikofunikira kwa dokotala. Mankhwala onse omwe ali pamwambawa ndi akulu kwambiri ndipo ngati atengedwa molakwika, sangangochiritsa matenda a metabolic, komanso amawonjezera mayendedwe ake.

Kudya

Njira yokhayo yochizira kulemera kwakukulu mu metabolic syndrome ndikupanga kuperewera kwa mphamvu kwa nthawi yayitali. Pokhapokha ngati izi, thupi limagwiritsa ntchito mafuta osungirako kuti apange mphamvu. Kunenepa kwambiri pamimba ndi matenda osachiritsika. Ngakhale atachepetsa thupi pazomwe zimachitika, nthawi zonse pamakhala chiwopsezo cha kuyambiranso. Chifukwa chake, palibe chomwe chatsala, momwe mungathanirane ndi vuto la metabolic mosalekeza, kwa moyo wanga wonse, makamaka chifukwa cha njira zopanda mankhwala - maphunziro akuthupi komanso zakudya zoyenera. Mukakwaniritsa zotsatira zomwe mukufuna, kuyesayesa kwa madokotala ndi wodwala kuyenera kukhala ndi cholinga choti akhalebe kwanthawi yayitali.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus.Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wapanga kukhazikitsidwa komwe kumavomerezana ndi kukwera mtengo kwa mankhwalawa. Ku Russia, odwala matenda ashuga mpaka Marichi 6 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Calorie kudya amawerengedwa kuti wodwalayo sanakhetse zosaposa 2-4 kg pamwezi. Kuperewera kwa mphamvu kumapangidwa chifukwa cha kuchepa kwamphamvu kwamafuta a nyama komanso pang'ono - chakudya. Mtengo wotsika kwambiri wa caloric tsiku lililonse kwa azimayi ndi 1200 kcal, kwa amuna - 1500 kcal, wokhala ndi mafuta ayenera kukhala pafupifupi 30%, chakudya - 30-50 (30% ngati shuga yachulukitsidwa kapena kupezeka kwakukulu kwa insulin), mapuloteni - 20-30 (ngati sichoncho nephropathy.

Mfundo zachithandizo zochizira metabolic syndrome:

Zakudya zitatu kapena zitatu, makamaka 4-5. Nthawi yayitali "yanjala" ndiyosavomerezeka.
Mafuta osasinthika (nsomba, mafuta a masamba) azipanga zoposa theka la kuchuluka kwawo. Kudya mafuta azinyama kuyenera kutsatana ndi kuphatikiza masamba kapena masamba osaphika.
Magulu abwino a protein ndi nsomba ndi mkaka. Kuyambira nyama - nkhuku ndi ng'ombe.
Zakudya zopatsa mphamvu zimakondedwa pang'onopang'ono (). Maswiti, makeke, mpunga woyera, mbatata yokazinga imasinthidwa ndi buckwheat ndi oatmeal, mkate wa chinangwa.
Zakudya zopatsa thanzi ziyenera kupereka osachepera 30 g wa fiber tsiku lililonse. Kuti muchite izi, menyu amayenera kukhala ndi masamba ambiri atsopano.
Ndi kupsinjika kowonjezereka, mchere umangokhala supuni 1 patsiku. Ngati mumawonjezera mchere pang'onopang'ono, mutha kuzolowera zakudya zatsopano mu masabata angapo.
Kuti muwonjezere kudya kwa potaziyamu, muyenera kuphatikiza muzakudya zobiriwira zobiriwira, nyemba, kaloti zosaphika.
Pa 1 makilogalamu thupi ayenera kukhala osachepera 30 ml amadzimadzi. Tiyi, timadziti ndi zakumwa zina zimasinthidwa ndimadzi oyera. Chosiyana ndi msuzi wa rosehip.

Chithandizo cha kunenepa kwambiri chiyenera kukhala chosakhalitsa: kutaya mafuta mwachangu kwa miyezi isanu ndi umodzi, kenako kwa nthawi imodzimodzi, kuwonjezera kuchuluka kwa zopatsa mphamvu. Ngati mukufunikira kuchepetsa thupi komabe, bwerezani kuzungulira.

Ngati mumatsatira zakudya zamafuta ochepa kwa nthawi yayitali, kagayidwe kake mthupi kamachepa, malinga ndi magawo osiyanasiyana, ndi 15 mpaka 25%. Zotsatira zake, phindu la kuchepa thupi limachepetsedwa. Kuonjezera mphamvu pakumwa matenda a kagayidwe kachakudya, zochita zolimbitsa thupi ndizovomerezeka. Komanso, pogwira minofu yogwira, kukana insulini kumachepa, kutsika kwa triglycerides, cholesterol yabwino imakula, masitima a mtima, kuchuluka kwamapapu ndi kupatsidwa kwa oksijeni ku ziwalo kumakulirakulira.

Kukhazikitsidwa kuti odwala omwe ali ndi matenda a metabolic omwe abweretsa maphunziro pafupipafupi m'miyoyo yawo sakonda kukumana ndi matendawa. Kuchita masewera olimbitsa thupi kumachepetsa kwambiri. Kuchita zolimbitsa thupi mwamphamvu kwambiri.

Maphunziro a aerobic ndi masewera aliwonse omwe gawo lalikulu la minofu limagwira kwa nthawi yayitali, ndipo kugunda kwamtima kumawonjezeka. Mwachitsanzo, kuthamanga, tennis, njinga, aerobics. Makalasi amayamba pang'onopang'ono kuti asamachulukitse odwala omwe ali ndi metabolic syndrome, ambiri mwa iwo omaliza adachita masewera achinyamata akutali. Ngati pali kukaikira kuti wodwalayo amatha kuthana nawo, amayesa ntchito yamtima ndi mitsempha yamagazi pamtunda wamtunda kapena njinga yochitira masewera olimbitsa thupi - kuyesa kosagwedezeka kapena ergometry ya njinga.

Kuyeserera kumayamba ndi kuyenda kwa mphindi 15, pang'onopang'ono kuthamanga ndi kutalika kwa ola limodzi patsiku. Kuti mukhale ndi chidwi, maphunziro ayenera kuchitika katatu pamlungu, ndipo makamaka tsiku ndi tsiku. Katundu wochepera sabata iliyonse ndi mphindi 150. Chizindikiro cha kulimbitsa thupi kogwira ntchito ndi kuwonjezeka kwa kugunda kwa mtima mpaka 70% ya pafupipafupi (kuwerengera zaka 220).

Kuphatikiza pa chakudya chopatsa thanzi komanso kuchita masewera olimbitsa thupi, chithandizo cha metabolic syndrome chikuyenera kuphatikizapo kusiya kusuta fodya komanso kupewa mowa kwambiri. Moyo wopanda fodya umabweretsa kuchuluka kwa cholesterol wabwino ndi 10%, popanda mowa - mwa 50% amachepetsa kuchuluka kwa triglycerides.

Kupewa

Aliyense wachitatu wokhala ku Russia ali ndi metabolic syndrome. Kuti musagwere m'magulu awo, muyenera kukhala ndi moyo wathanzi komanso kumayesedwa nthawi zonse.

Idyani zakudya zabwino, zosakonzedwa pang'ono. Kupereka ndiwo zamasamba nthawi iliyonse ya chakudya, zipatso za mchere m'malo mwa keke zimachepetsa kwambiri kuphwanyidwa.
Musafe ndi njala, apo ayi thupi liyesa kuyika pambali kalori iliyonse yowonjezera.
Chitani zinthu zabwino kwambiri pamoyo wanu. Konzani tsiku lanu kuti likhale ndi malo ogona komanso masewera olimbitsa thupi.
Gwiritsani ntchito mwayi uliwonse kuti musunthire kwambiri - Chitani masewera olimbitsa thupi m'mawa, kuyenda mbali ina yogwira ntchito kumapazi, kupeza galu ndikuyenda naye.
Pezani masewera omwe mungasangalale nawo poyenda. Sankhani chipinda chabwino kwambiri, zida zamakono, zovala zowoneka bwino. Muzicheza ndi anthu amodzimodzi. Pokhapokha mutasangalala ndi masewerawa ndi pomwe mungachite izi moyo wanu wonse.
Ngati muli pachiwopsezo, nthawi ndi nthawi mumachita mayeso a cholesterol. Ngati pali odwala matenda a shuga pakati pa abale anu kapena muli ndi zaka zopitilira 40 - mayeso owonjezereka a shuga.

Monga mukuwonera, kukhala wathanzi ndikukhala ndi zosangalatsa sikovuta.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito.

Metabolic syndrome ndi zovuta zovuta zama metabolic, zomwe zimawonetsa kuti munthu ali ndi chiopsezo chowonjezereka cha matenda amtima komanso matenda a shuga 2. Cholinga chake ndikuti chiwopsezo chovuta kwambiri cha minyewa chimachitika. Chithandizo cha metabolic syndrome ndi ichi. Ndipo pali mankhwala ena othandiza omwe mungaphunzire pansipa.

Insulini ndiye "fungulo" lomwe limatsegula "zitseko" pamimba, ndipo mwa izo, glucose amalowa kuchokera m'magazi mkati. Ndi metabolic syndrome m'magazi a wodwala, kuchuluka kwa shuga (glucose) ndi insulin m'magazi kumakwera. Komabe, shuga salowa m'maselowo mokwanira chifukwa "lokoyo ndiwotupa" ndipo insulini imalephera kutseguka.

Izi kagayidwe kachakudya amatchedwa, i.e., kukana kwambiri minofu ya thupi kuchita insulin. Nthawi zambiri amakula pang'onopang'ono ndipo zimatsogolera kuzizindikiro zomwe zimazindikira mtundu wa metabolic. Inde, ngati matendawa atha kupangidwa nthawi, kotero kuti mankhwalawo ali ndi nthawi yoletsa matenda ashuga ndi mtima.

Mabungwe ambiri azachipatala apadziko lonse akupanga njira zodziwira matenda a metabolic. Mu 2009, zolembedwa "Harmonization of the metabolic syndrome" zidasindikizidwa, pomwe adasaina:

US National Heart, Lung, and Blood Institute,
World Health Organisation
International Atherosulinosis Society,
International Association for the Study of Kunenepa.

Malinga ndi chikalatachi, matenda a metabolic amadziwika ngati wodwala ali ndi njira zitatu zomwe zalembedwa pansipa:

Kuchulukitsa kuzungulira m'chiuno (kwa amuna> = 94 cm, kwa akazi> = 80 cm),
Mlingo wa triglycerides m'magazi umaposa 1,7 mmol / l, kapena wodwalayo akalandira kale mankhwala othandizira dyslipidemia,
High density lipoproteins (HDL, "good" cholesterol) m'magazi - ochepera 1.0 mmol / l mwa amuna komanso pansi pa 1.3 mmol / l mwa azimayi,
Kuthamanga kwa magazi kwa Systolic (pamwambapa) kumapitilira 130 mm Hg. Art. kapena diastolic (kutsika) kuthamanga kwa magazi kupitirira 85 mmHg. Art., Kapena wodwalayo akutenga kale mankhwala othandizira matenda oopsa,
Kuthamanga glucose wamagazi> = 5.6 mmol / L, kapena chithandizo chikuchitidwa kuti muchepetse shuga.

Asanatuluke njira zatsopano zopezera matenda a metabolic, kunenepa kwambiri kunali kofunikira kuti adziwe matenda. Tsopano yakhala imodzi mwazinthu zisanu zokha. Matenda a shuga ndi matenda a mtima siogwiritsa ntchito kagayidwe kachakudya, koma matenda oopsa.

Zoyambitsa ndi Zoopsa

Zomwe zimayambitsa kukula kwa metabolic syndrome zimaganiziridwa:

Mitundu ya chibadwa. Mwa anthu ena, insulitivity ndi cholowa.
Zakudya zopanda pake. Ichi ndi chimodzi mwazinthu zazikulu pakukula kwa matenda. Mafuta ambiri ndi chakudya chamagulu ambiri zimapangitsa kunenepa kwambiri, zimayambitsa kusokonezeka kwa metabolic komanso kuchepetsa chidwi cha maselo ku insulin.
Khalidwe labwino. Kuperewera kwa masewera olimbitsa thupi kumathandizanso kuti mavuto azachilengedwe azisokonezeka komanso kusweka kwamafuta.
Yaitali mankhwala ochizira ochepa matenda oopsa. Chithandizo choterocho nthawi zambiri chimasokoneza kayendedwe ka magazi, kamene kamayambitsa matenda a insulin.

Metabolic Syndrome Itha Kupangitsa Mankhwala Ena

Zomwe zimayambitsa ngozi zakukula kwa matenda:

kusintha kokhudza okalamba
mitundu yosiyanasiyana ya kusokonezeka kwa mahomoni, makamaka mwa azimayi pa nthawi ya kusamba,
nthawi yayitali yovuta
kumangokhalira kupumira m'maloto (ziphuphu),
zizolowezi zoipa.

Matendawa amakula pang'onopang'ono, kotero poyambira mawonekedwe ake sawoneka, koma zizindikiro zotsatirazi zimapezekanso:

kusasangalala, kukwiya panthawi yanjala,
kutopa kwambiri
kugunda kwa mtima
kuwawa pamtima,
mutu
kupuma mseru, kusowa kwa mgwirizano,
kamwa yowuma, ludzu losatha,
kuphwanya chopondapo (kudzimbidwa),
thukuta kwambiri, makamaka usiku.

Zizindikiro zakunja za matendawa ndizofunikira zazikulu zamafuta.

Ndi metabolic syndrome, munthu amakhala ndi m'mimba, mafuta am'mapewa, komanso mbali zina za thupi

Kuthamanga kwa magazi, komwe nthawi zambiri kumayendera limodzi ndi metabolic syndrome, kumawonetsedwa ndi kufiyira khosi ndi chifuwa.

Kuyesa kwachipatala:

cholesterol yayikulu
kupezeka kwa mapuloteni mumkodzo,
kuchuluka kwa uric acid,
shuga wambiri.

Zolemba Pathology

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

kulolerana kwa chakudya chambiri,
kuchuluka minofu insulin,
mafuta ochepa kagayidwe,
kuchuluka kwa thrombosis,
onenepa kwambiri.

Ngati zifukwa zosachepera ziwiri mwa zifukwa zili pamwambazi zimawonedwa, ndiye kuti mwayi wopanga matenda a metabolic ukuwonjezeka kwambiri.

Kukonzanso zakudya

Muyeso wofunikira kwambiri pochiza matendawa ndi mtundu wa zakudya.

Ndikofunikira kudziwa kuti zakudya zokhwima, chifukwa chake, kuwonda kwambiri sikulimbikitsidwa, chifukwa ma kilogalamu omwe amapita msanga amathanso kubwerera mwachangu.

masamba, zipatso zosapezekanso,
nkhuku zodala, ng'ombe, kalulu,
nsomba zam'nyanja ndi nsomba,
zopatsa mkaka zochepa
mkate wa ndani
tiyi wazipatso ndi zakumwa,
mpunga, barele wa peyala, phala la buckwheat.

makeke ndi makeke,
nsomba zamafuta ndi nyama,
zokometsera komanso zonunkhira
saus, mayonesi, zonunkhira,
sodas zabwino
tchizi chamafuta kwambiri, kirimu wowawasa, tchizi chanyumba,
zipatso zabwino za shuga.

Zosankha zabwino za tsiku ndi metabolic syndrome - gome

Chakudya cham'mawa

phala la buckwheat
mafuta ochepa
anakanda mazira
madzi kapena tiyi.

Chakudya cham'mawa chachiwiriZipatso zosatsika (apulo, lalanje, peyala, ndi zina).Chakudya chamadzulo

msuzi wamasamba
masamba osangalatsa
nyama yankhuku yophika,
compote wopanda shuga.

Chakudya chamadzulo

masamba saladi
nsomba yophika
tiyi

Chakudya chachiwirikapu ya kefir kapena yogurt yamafuta ochepa

Zochita zolimbitsa thupi

Zotsatira zabwino za matendawa zitha kuchitika mothandizidwa ndi zolimbitsa thupi. Kuchita masewera olimbitsa thupi kumathandizira kuchepetsa kuchepa kwa thupi komanso kukhazikika kwa njira za metabolic.

Kuti mukwaniritse izi, kumbukirani kuti kuchita masewera olimbitsa thupi kuyenera kukhala kokhazikika komanso koyenera kwa thanzi lanu. Kuphunzitsa kuyenera kuyamba ndi katundu wochepa, pang'onopang'ono kuwonjezera nthawi yawo komanso zovuta. Kuphatikiza apo, muyenera kuyang'anira kukoka.

Zothandiza metabolic syndrome ndikuyenda njinga

Mwa makalasi omwe amathandizira chidwi cha insulin, pali:

kusambira
kuthamanga
kuyendetsa njinga
makalasi ovina.

Ndi zovuta zomwe zilipo, tikulimbikitsidwa kugwiritsa ntchito masewera olimbitsa thupi okhala ndi katundu wochepa, makamaka, mitundu yosiyanasiyana yazokonda, mikono, etc.

Mankhwala

Kuchiza ndi mankhwala kumalimbana kuti muchepetse kulemera kwa thupi, kusintha shuga ndi mafuta kagayidwe. Mankhwala otsatirawa amagwiritsidwa ntchito:

Hypolipidemic agents (fibrate, statins). Chotsani "cholesterol yoyipa", sinthani uric acid.
Mankhwala omwe amachepetsa insulin.
Mankhwala omwe amakhudza mphamvu ya insulin. Amathandizira kuchepetsa kulakalaka komanso kumenya mapaundi owonjezera.
Mankhwala omwe amateteza kuthamanga kwa magazi ndi metabolism (zoletsa, olimbana ndi calcium).
Mavitamini
Njira zochizira kunenepa.

Ndi kagayidwe kachakudya matenda, odwala ndi mavitamini

Zithandizo za anthu

Mankhwala achikhalidwe pochiza matenda a metabolic amapereka njira zothandizira kuthana ndi kunenepa kwambiri. Kuti muchite izi, gwiritsani ntchito mankhwala osiyanasiyana azitsamba, mankhwala a juwisi, mankhwalawa ndi dzungu, beetroot, chivwende, etc.

Kukambirana koyambirira ndi adokotala ndikofunikira! Kudzichitira nokha mankhwala sikovomerezeka.

Zonenedweratu ndi zovuta zotheka

Matenda a m'thupi a metabolic syndrome ndiabwino kwambiri, pokhapokha ngati panali njira yonse yothandizira pamankhwala komanso momwe wodwalayo anasinthira. Kupanda kutero, pamakhala chiopsezo chotenga zovuta zazikulu, monga:

mtundu 2 shuga
myocardial infaration
matenda a musculoskeletal system,
kulephera kwa m'mapapo.

Mndandanda wa zifukwa

Kusokonezeka kwa metabolic mu mtundu 1 kapena matenda ashuga a 2 amayamba chifukwa cha kuperewera kwa zakudya komanso kusachita masewera olimbitsa thupi.Mu metabolic syndrome pa matenda a shuga, ubale womwe umakhalapo pakati pa insulin ndi insulin-sensit komanso receptors umasokonekera. Chomwe chimapangitsa kukula kwa matendawa ndi kukana insulini, komwe kumayambitsa kuyambika kwa matenda ashuga. Vutoli limayamba pazifukwa izi:

chibadwa
kusazindikira kwa insulin receptors,
chitetezo chokwanira, chomwe ma antibodies ena amapangidwa.
kupangika kwa insulin, komwe sikungatenge nawo gawo la insulin.

Zomwe zimayambitsa kukula kwa kagayidwe kachakudya ndi mawonekedwe amtsogolo a shuga ndi:

chakudya cholakwika, chomwe chimayang'aniridwa ndi mafuta ndi chakudya,
moyo wopanda pake, pomwe munthu samayenda kwambiri ndipo samachita masewera olimbitsa thupi opepuka,
kuthamanga kwa magazi
zovuta zomwe zimapangitsa kuchuluka kwa shuga m'thupi kumachulukitsa ndikupanga insulin.
mankhwala osokoneza bongo a insulin, omwe nthawi zambiri amawonedwa kwa odwala omwe ali ndi matenda a shuga a insulin,
kusokonekera kwamafuta,
zosintha zokhudzana ndi zaka: okalamba, achinyamata.

Bweretsani ku zomwe zalembedwa

Kodi pali ubale wanji ndi shuga?

Insellitus yodalira matenda a shuga ndi vuto la metabolic syndrome. Anthu omwe akupatuka motere ali pachiwopsezo ndipo amatha nthawi 2 kuposa ena kuti apezeke ndi matenda ashuga.

Zowopsa pakukula kwa matenda ashuga zikuwoneka ngati zili kwa odwala omwe ali ndi vuto labwino la shuga. Kukula kwa matenda oterewa m'matenda a shuga kumayenderana ndi kusokonekera kwa maselo ndi zimakhala kuti apange insulin. Kupatuka uku ndikomwe kumapangitsa kuti shuga ikhale yayikulu. Zikondwererozi zimagwira ntchito ndi mphamvu zowonjezereka ndipo, pakapita nthawi yochepa, zimaletseratu kupanga insulini. Chifukwa cha kuchuluka kwamphamvu kwa glucose m'madzi amadzimadzi, kapamba amathandizira kupanga insulin. Pambuyo pake, njira za metabolic zimasokonekera, ndipo munthu amapezeka ndi insellitus yodalira matenda a shuga. Pangozi ndi anthu omwe ali ndi vuto lotere:

matenda oopsa
onenepa
matenda amtsempha wamagazi
mafuta a chiwindi matenda
cholowa cholowa.

Bweretsani ku zomwe zalembedwa

Njira zoyendera

masekeli
kuyeza kwa kuzungulira m'chiuno ndi m'chiuno,
muyezo magazi.

kuchuluka kwa triglycerides ndi glucose,
yachepetsa cholesterol "yabwino"
kuchuluka kwambiri mafuta m'thupi cholesterol,
kulolerana kwa shuga.

Bweretsani ku zomwe zalembedwa

Chithandizo chikuyandikira

Ngati wodwala akudwala matenda oopsa, omwe akuphatikizapo kukula kwa metabolic syndrome. Kenako mankhwala a antihypertensive amaperekedwa.Ndi zoletsedwa kumwa mankhwala amtunduwu nokha, akuyenera kuyikidwa ndi adokotala, kutengera zotsatira za mayeso a labotale komanso mkhalidwe wa wodwalayo. Ndi kupatuka mu metabolism yamafuta, ma statins ndi ma fiber amapatsidwa, omwe amatha kutsitsa mafuta m'thupi.

Kuti muthane ndi insulin, muyenera kumwa mankhwala omwe amachepetsa shuga.

zoletsa zomwe zimamwa mafuta,
mankhwala omwe amachepetsa chilakolako chofuna kudya,
mankhwala othandizira.

Bweretsani ku zomwe zalembedwa

Zakudya zamagulu

Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?

Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.

Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa matenda ashuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda aposachedwa a shuga. Werengani nkhani >>

Chithandizo: Udokotala ndi wodwalayo

Zolinga zakuchiritsa metabolic syndrome ndi:

Kuchepetsa thupi kunenepa, kapena kusiya kuyimitsidwa kwamafuta,
Matenda a kuthamanga kwa magazi, mawonekedwe a cholesterol, triglycerides m'magazi, i.e., kukonza mtima wamavuto.

Ndikosatheka kuchiritsa matenda a metabolic. Koma mutha kuilamulira bwino kuti mukhale ndi moyo wautali wopanda matenda ashuga, vuto la mtima, stroke, zina. Ngati munthu ali ndi vutoli, ndiye kuti chithandizo chake chimayenera kuchitika kwa moyo wonse. Gawo lofunika la chithandizo ndi maphunziro a odwala komanso chidwi chofuna kusintha moyo wawo.

Chithandizo chachikulu cha metabolic syndrome ndi chakudya. Zochita zawonetsa kuti ndizopanda phindu kuyesera konse kumamatira ku zakudya zina "zanjala". Mosakayikira mudzataya posachedwa, ndipo kunenepa kwambiri kumayamba kubwerera. Mpofunika kuti muigwiritse ntchito kuwongolera metabolic syndrome.

Njira zina zochizira metabolic syndrome:

kuchuluka zolimbitsa thupi - izi zimapangitsa chidwi cha minofu,
kusiya kusuta fodya komanso kumwa kwambiri mowa,
muyezo pafupipafupi magazi ndi chithandizo cha matenda oopsa, ngati zichitika,
kuwunikira zizindikiro za "zabwino" ndi "zoyipa" cholesterol, triglycerides ndi shuga wamagazi.

Tikukulangizaninso kuti mufunse za mankhwala omwe amatchedwa. Yakhala ikugwiritsidwa ntchito kuyambira kumapeto kwa zaka zam'ma 1990 pofuna kuwonjezera chidwi cha maselo kuti apange insulin. Mankhwalawa amapindulitsa odwala omwe ali ndi kunenepa kwambiri komanso matenda a shuga. Ndipo pakadali pano, sanawululire zotsatira zoyipa kwambiri kuposa zochitika za kudzimbidwa.

Anthu ambiri omwe adapezeka kuti ali ndi matenda a metabolic amathandizidwa kwambiri pochepetsa chakudya chamagulu muzakudya zawo. Munthu akatembenukira ku chakudya chamafuta ochepa, titha kuyembekezera kuti:

mulingo wa triglycerides ndi cholesterol m'magazi amatulutsa,
kuthamanga kwa magazi
adzachepa.

Maphikidwe Ochepa a Zakudya Zam'thupi Amakhala

Koma ngati zakudya zamafuta ochepa ndikuwonjezera mphamvu zolimbitsa thupi sizigwira ntchito mokwanira, ndiye kuti pamodzi ndi dokotala mutha kuwawonjezera metformin (siofor, glucophage) kwa iwo. M'mavuto ovuta kwambiri, pamene wodwala ali ndi index ya thupi> 40 kg / m2, chithandizo cha opaleshoni yamafuta chimagwiritsidwanso ntchito. Amatchedwa opaleshoni ya bariatric.

Momwe mungapangire matenda a cholesterol ndi triglycerides m'magazi

Mu metabolic syndrome, odwala nthawi zambiri amakhala ndi magazi ochepa chifukwa cha cholesterol ndi triglycerides. Pali cholesterol yaying'ono "yabwino" m'magazi, ndipo "yoyipa", m'malo mwake, imachulukitsidwa. Mlingo wa triglycerides umachulukanso. Zonsezi zikutanthauza kuti ziwiya zimakhudzidwa ndi atherosulinosis, kugunda kwa mtima kapena stroko ndikungoyang'ana pakona. Kuyesedwa kwa magazi kwa cholesterol ndi triglycerides onse amatchedwa "lipid sipekitiramu." Madokotala amakonda kulankhula ndi kulemba, akuti, ndikukuwuzani kuti muyesedwe mayeso a lipid sipekitiramu. Kapenanso, choyipa cha lipid sichabwino. Tsopano mudzadziwa kuti ndi chiyani.

Kusintha magazi a cholesterol ndi triglyceride magazi, madokotala nthawi zambiri amakupatsani zakudya zama calorie ochepa komanso / kapena mankhwala a statin. Nthawi yomweyo, amawoneka bwino, amayesa kuwoneka osangalatsa komanso okopa. Komabe, chakudya chamafuta sichithandiza konse, ndipo mapiritsi amathandiza, koma amayambitsa zovuta zina. Inde, ma statins amasintha kuchuluka kwa magazi a cholesterol. Koma ngakhale amachepetsa kufa si chowonadi ... pali malingaliro osiyanasiyana ... Komabe, vuto la cholesterol ndi triglycerides lingathetsedwe popanda mapiritsi owononga komanso okwera mtengo. Komanso, izi zitha kukhala zosavuta kuposa momwe mukuganizira.

Kudya kwama calorie ocheperako nthawi zambiri sikuchepetsa mphamvu ya magazi ndi triglycerides. Kuphatikiza apo, mwa ena odwala, mayeso amawonjezereka. Ichi ndichifukwa choti chakudya chamafuta "chanjala" chambiri chimadzaza ndi chakudya. Mothandizidwa ndi insulin, chakudya chomwe mumadya chimasanduka triglycerides. Koma amangokhala ma triglycerides anga omwe ndikanafuna kuti akhale ochepa m'magazi. Thupi lanu sililekerera chakudya chamthupi, ndichifukwa chake metabolic syndrome yakula. Mukapanda kuchitapo kanthu, imasinthira bwino kukhala shuga 2 kapena mwadzidzidzi tsoka lamavuto.

Sakuyenda pachitsamba kwa nthawi yayitali. Vuto la triglycerides ndi cholesterol limathetseka bwino. Mlingo wa triglycerides m'magazi amatulutsa pambuyo 3-4 masiku kutsatira! Chitani mayeso - mudzionere nokha. Cholesterol imayenda bwino pambuyo pake, patatha milungu 6. Chitani kafukufuku wa magazi a cholesterol ndi triglycerides musanayambe "moyo watsopano," komanso kubwereza. Onetsetsani kuti kudya zakudya zochepa zamafuta kumathandizadi! Nthawi yomweyo, imachepetsa kuthamanga kwa magazi. Uku ndikupewa weniweni wamatenda a mtima ndi sitiroko, popanda kumva kuwawa kwanjala. Zowonjezera zothandizira kupsinjika komanso kwa mtima zimakwaniritsa zakudya bwino. Amawononga ndalama, koma mtengo umalipira, chifukwa mumakhala wokondwa kwambiri.

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Kodi chizindikiro cha metabolic syndrome ndi chiyani?

Pazonse zomwe tafotokozazi, matenda oopsa okha ndi chizindikiro cha metabolic syndrome. Ngati munthu ali ndi hepatosis yamafuta, ndiye kuti mwina ali ndi matenda a metabolic kapena a 2 matenda ashuga. Komabe, kunenepa kwambiri kwa chiwindi sikuwonetsedwa monga chizindikiro cha MS.

Kodi mayeso a metabolic amadziwika bwanji ndi mayeso a cholesterol?

Chitsimikizo chazomwe chikuwonetsa matenda a metabolic amachepetsa "cholesterol" chabwino chokha.

Ndi mayeso ati amwazi omwe amayenera kutengedwa kuti athe kuwonetsetsa kuti ali ndi vuto la mtima?

Kodi matenda a triglycerides m'magazi ndi otani?

Njira yayikulu yochepetsera ndi zakudya zamafuta ochepa. Maphunziro akuthupi samathandizira kuti matenda a triglycerides akhale m'magazi, kupatula akatswiri othamanga omwe amaphunzitsa kwa maola 4-6 patsiku.

Zotsatira zoyipa za mankhwala a cholesterol statin ndi ziti?

Catad_tema Metabolic Syndrome - zolemba

Ndani akudwala?

Khalidwe la anthu amakono ndi losiyana kwambiri ndi makolo athu. Ambiri okhala ndi vuto lodana ndi thupi, zomwe zimatsogolera pakupanga ma pathologies angapo, makamaka metabolic syndrome. Izi ndizowona makamaka kwa okhala m'maiko otukuka.

Malinga ndi ziwerengero, mpaka 30% ya anthu azaka zopitilira 30 amakhudzidwa ndi matendawa. Okalamba akamakula, anthu ochulukirapo okhala ndi metabolic syndrome. Ku Europe, chiwerengerochi chili pafupi 50%.

Metabolic syndrome imakulanso mwa ana. Zaka makumi angapo zapitazi, chiwerengero cha ana odwala ndi achinyamata ku Europe chawonjezeka, ndipo chiwerengerochi chayandikira 6.5%. Amakhulupirira kuti kuchuluka kwa ana odwala kumalumikizidwa ndi zakudya zopanda thanzi zomwe zimakhala ndi chakudya chamafuta, mafuta, chakudya chofulumira.

Ali aang'ono, matenda a metabolic ambiri amakhala mwa amuna. Mwa akazi, matendawa amapezeka motsutsana ndi maziko akumusamba. Mwayi wokhala ndi matendawa azimayi atasiya kusamba umachulukitsidwa ka 5.

Zomwe zimayambitsa matendawa

Choyambitsa chachikulu cha matendawa ndikukula kwa insulin kukana mwa anthu. Insulin ndiye mahomoni ofunika kwambiri omwe amachititsa kuti glucose ayambe. Pachifukwa ichi, timadzi timene timalumikizana ndi ma membrane apadera pamtundu wa cell, kenako khungu limatha kunyamula molekyu ya glucose kupita ku cytoplasm. Ngati munthu ayamba kutsutsana ndi insulin, ndiye kuti pali ma cell ena osakwanira, kapena sangathe kumangiriza. Zotsatira zake, kukoka kwa glucose kumalephera, ndipo kumadziunjikira m'magazi. Izi zimabweretsa kukula kwa metabolic syndrome.

Zifukwa zakukanira insulini:

Zabadwa. Mwa anthu, kapangidwe ka mapuloteni a insulin kapena ma receptor akhoza kusokonezeka, kuchuluka kwawo kumatha kuchepa.
Khalidwe labwino. Kuyenda kochepa kumabweretsa kuti thupi silimapanga michere yonse kuchokera ku chakudya komanso kusungira mafuta "m'masalo".
Zakudya zopanda thanzi, kumwa kwambiri mafuta.
Mafuta ochulukirapo, omwe safunika kuti akwaniritse zofuna zamphamvu za thupi, amawaika mu minofu yamafuta, kunenepa kwambiri kumayamba. Kuphatikiza apo, mafuta achilengedwe ambiri omwe amapezeka m'mafuta a nyama amakhudza kwambiri phospholipid wosanjikiza maselo am'mimba ndipo zimakhudza mayendedwe a glucose m'maselo.

Komabe, ndikofunikira kumvetsetsa kuti ndizosatheka kusiyiratu kugwiritsa ntchito mafuta, chifukwa mafuta achilengedwe ndi ofunikira kuti kagayidwe kachakudya kazikhala ndimapangidwe am'mimba. Mafuta ophika masamba okhala ndi mafuta osakwaniritsidwa ambiri amakhala othandiza makamaka kwa thupi la munthu.

Kumwa mankhwala ena omwe amakhudza kagayidwe.
Kuphatikiza apo, metabolic syndrome imatha kukhala motsutsana ndi maziko a:

kunenepa
kusasamala kwa thupi,
zizolowezi zoipa
kupsinjika, kukhumudwa,
kuthamanga kwa magazi.

Zizindikiro zamatsenga

Matendawa amakula pang'onopang'ono. Zizindikiro zimawonjezeka pang'onopang'ono ndipo magawo oyamba samakhudza thanzi la munthu komanso moyo wawo.

Glucose ndiye "mafuta" oyambira ma cell, amapereka mphamvu kuzinthu zonse za metabolic mthupi.Ndi chitukuko cha kukana kwa insulini m'magazi a anthu, kuchuluka kwa glucose komwe kuli, koma sikulowa m'maselo, ndipo alibe michere. Izi zimayambitsa zizindikiro zomwe zimadziwika ndi metabolic syndrome:

Zizindikiro zama Psychological: kusinthasintha, kupsinjika, kupsa mtima. Izi zikuwonetsedwa zimakhudzana ndi kusakwanira kwa shuga m'mitsempha ya ubongo.
Kukhala ndi chakudya komanso kusuta kwa maswiti. Chizindikiro ichi chimayamba chifukwa cha kuchepa kwa glucose m'maselo.
Kutopa kwakanthawi, kuchepa kwa ntchito, popeza kusowa kwa glucose kumabweretsa kusowa mphamvu.
Udzu wokhazikika womwe umayamba chifukwa cha kuchuluka kwa shuga m'magazi.

Matendawa akamakula, zizindikiro zina zimawonekera.

Kunenepa kwambiri pamimba (kufalikira kwa minofu yamafuta m'mimba ndi mapewa).
Kukweza usiku ndikusokoneza tulo. Kuphwanya kugona kwausiku kumayambitsa kugona komanso kutopa kwambiri ndikukulitsa chiwopsezo cha kukula.
Kuchulukitsa kwa magazi, kuphatikiza usiku. Pankhaniyi, munthu sangakhale ndi chizindikiro cha vutoli (nseru, chizungulire), ndipo sangadziwe kuti kupsinjika kumafika pazovuta zina.
Kuukira (mtima palpitations) komwe kumayamba chifukwa cha kuchuluka kwa insulin m'magazi. Zomwe zimachitika pakadutsa nthawi zimayambitsa kukhuthala kwa minofu ya mtima, kutsekeka kwa magazi kumitima yeniyeni komanso kukula kwa matenda a mtima.
Ululu wamtima umayamba kutsutsana ndi maziko a minofu ya mtima. / Li>
Malo ofiira pakhungu la chifuwa ndi khosi, mawonekedwe ake omwe amaphatikizidwa ndi kuthamanga kwa magazi.
Nthawi zina, pali chitukuko cha yade ndi opuwala yofanana kugwira ntchito kwa impso. Poyerekeza ndi kuwonjezeka kwa uric acid m'magazi, wodwalayo atha kukhala ndi matenda a gouty.
Kuchulukitsa thukuta komwe kumachitika chifukwa cha insulin m'magazi.
Khansa ya m'mimba, chizungulire cholumikizana ndi kusokonezeka kwa magazi ku ubongo.
Kudzimbidwa pafupipafupi komwe kumachitika chifukwa chakuti kumbuyo kwa kuyika kwa cholesterol m'matumbo, matumbo amayamba kugwira ntchito moipa.

Kuzindikira matendawa

Metabolic syndrome imapezeka pamaziko a mbiri yakale ndi zotsatira za kuyezetsa magazi. Kudziwitsa kumafunikira kukhalapo kwa kunenepa kwambiri pamimba, kuthamanga kwa magazi (pamtunda wa 130 ndi 80 mm Hg), kuchuluka kwa glucose m'magazi komanso kuphwanya kwina kwa magawo amomwe amachititsa michere.

Kuti mudziwe momwe wodwalayo alili, zimachitikanso:

kupenda kwam'mimba pamimba,
electrocardiogram
kuyeza kwa magazi tsiku lililonse,
zopangidwa tomography.

Moyo

Osachepera, ndipo mwina ndizofunikira kuposa kumwa mankhwala, komanso moyo wa wodwalayo. Kusintha kwakukulu kwa moyo wanu ndi gawo loyamba pakuwongolera kunenepa kwambiri komanso mavuto ena okhudzana nawo.

Muyenera kutsatira zakudya komanso kuchepetsa kunenepa kwambiri. Mafuta achinyama amachotsedwa kwathunthu. Ndikulimbikitsidwanso kuti muchepetse kudya zakudya zamafuta othamanga.
Kuteteza kagayidwe kachakudya ndi kuteteza kukula kwa matenda oyanjana, ndikofunikira kusiya kusuta, kuledzera.
Kuchita masewera olimbitsa thupi pafupipafupi ndikofunikira kwambiri pakuwongolera thupi komanso kupewa kukula kwa matenda a mtima.
Normalization wa boma masana, kugona tulo usiku.

Kuchita masewera olimbitsa thupi kumathandizira kutentha mafuta ndikuwonjezera metabolism, zomwe zimalepheretsa kuwonjezera kulemera. Odwala omwe ali ndi metabolic syndrome amalimbikitsidwa kuti azichita maphunziro apakatikati kwa magawo anayi pa sabata.Masewera monga kuyenda ndi kuthamanga, kupalasa njinga ndi kugudubuza, kusambira, kuvina ndi koyenera, koma maphunziro ena aliwonse omwe amasangalatsa wodwala ndi oyenera. Ndikofunika kwambiri kuti munthu samapita kumasewera kuchokera pansi pa ndodo, koma amasangalala ndi njirayi.

Ndikofunikira kuyamba kusewera masewera ndikuphunzitsa mwamphamvu kwambiri, ndikuwonjezera pang'onopang'ono. Kutalika kwa maphunziro kuyenera kukhala theka la ola. Ndikofunikanso kuchita masewera olimbitsa thupi m'mawa uliwonse, ndikuyenda usiku uliwonse. Ngati mumasewera masewera pafupipafupi, izi sizingokupangitsani kuchepa thupi, komanso kukonza thanzi lanu lonse, kuphatikiza malingaliro komanso momwe mukumvera.

Mkhalidwe wama malingaliro amunthu ndiofunikira kwambiri mu matendawa. Metabolic syndrome si matenda omwe amachiritsidwa ndi mankhwala osavuta; kuyesedwa kuyenera kuchitidwa kuti athe kukonza thanzi. Chofunikira pankhaniyi ndikumvetsetsa kuti matendawa ndi owopsa, ndikuyamba kusintha moyo wanu.

Kuchita masewera olimbitsa thupi ndi othandizira abwino kwambiri pamenepa. Pogwiritsa ntchito zolimbitsa thupi, "mahomoni okondweretsa" amapanga ma endorphin, omwe amapangitsa kuti azikhala ndi mphamvu komanso asinthe. Kupambana kulikonse kwamasewera kumalimbikitsa kuchita zatsopano komanso zatsopano, osati masewera, komanso moyo. Zonsezi zimathandiza kuthana ndi matendawa ndikukhala ndi moyo wonse, osalemedwa ndi zotsatira za metabolic syndrome.

Ndi kagayidwe kachakudya matenda, muyenera kutsatira kadyedwe kake komanso kuchepetsa kuchuluka kwa mafuta ndi chakudya. Zakudya zoterezi ndizothandiza pakuwongolera kunenepa kwambiri.

Ndikofunika kumvetsetsa kuti kudya sikutanthauza kufa ndi njala kapena kudya zakudya zochepa zopatsa mphamvu. Munthu sayenera kumva njala nthawi zonse. Pankhaniyi, kusinthika kwake kumachepa, ndipo ndi anthu ochepa kwambiri omwe amatha kudzitamandira kuti ali ndi mphamvu zokwanira zopewera chakudya chotere. Kuphatikiza apo, njala imayambitsa kusokonekera mu thanzi, kuchepa kwa chitetezo chokwanira.

Ndi metabolic syndrome, zakudya zamafuta ochepa zimasonyezedwa. Nthawi yomweyo, mndandanda wazinthu zovomerezeka ndizotakata kwambiri, ndipo kuchokera kwa iwo mutha kuphika zakudya zingapo zokoma. Chikhalidwe cha tsiku ndi tsiku cha chakudya choterechi ndi 1600-1900 kcal. Muyenera kudya m'magawo ang'onoang'ono 4-5 patsiku. Izi zikuthandizira kuthana ndi njala. Pakati pa chakudya, mumatha kudya zipatso.

Zipatso ndi zipatso zopanda zipatso,
masamba abwino komanso osankhika
chimanga (barele, barele wa peyala, burwheat, mpunga wamafuta),
mkate wa chinangwa
zamasamba zamasamba.

Ndikofunikira kuti muchepetse kuthira kwa madzi ndi lita imodzi ndi theka patsiku (kuphatikiza supu). Mutha kumwa mankhwala azitsamba, mchere wamadzi, timinyewa tatsopano wopanda shuga.

Zomwe siziyenera kupatula pakudya:

confectionery, chokoleti,
kuphika
nyama yamafuta ndi nsomba,
Zakudya zamzitini, masoseji, nyama zosuta,
oat, semolina, mpunga woyera, pasitala,
skim mkaka ndi mkaka,
nyama mafuta margarine
zipatso zokoma (nthochi, mphesa, masiku),
mayonesi ndi msuzi,
shuga.

Hypoglycemic mankhwala

Musanayambe mankhwala a pharmacotherapy kapena limodzi nawo, zakudya zochepa zopatsa mphamvu zimakhazikitsidwa ndipo boma lochita zolimbitsa thupi limasankhidwa.

Popeza kuti kukana kwa insulini ndiko maziko a metabolic syndrome Development development, othandizira a hypoglycemic ndi mankhwala osankha.

Acarbose mkati ndi chakudya choyamba: 50-100 mg 3 r / tsiku, kwa nthawi yayitali, kapena
Metforminum mkati musanadye chakudya cham'mawa komanso nthawi yogona: 850-1000 mg 2 r / tsiku, kwa nthawi yayitali, kapena
Pioglitazone pakamwa, ngakhale kudya zakudya, 30 mg 1 tsa / tsiku, kwa nthawi yayitali.

Mwa mwambo, m'maiko ambiri, pafupifupi metrinin ya tsiku lililonse ya mankhwalawa sapitilira 1000 mg, pomwe zotsatira za kafukufuku wa UKРDS zimadziwika kuti ndi njira yothandiza kwambiri kwa odwala omwe ali ndi matenda a shuga a 200 mellitus 2500 mg / tsiku.Mlingo wapamwamba tsiku lililonse wa metformin ndi 3000 mg. Mankhwala a Metformin amalimbikitsidwa ndi kuwonjezeka kwapang'onopang'ono kwa mlingo womwe umayang'aniridwa ndi kuchuluka kwa shuga m'magazi.

Zotsatira zakugwiritsa ntchito acarbose zimatengera mlingo: mankhwalawa akachuluka mankhwalawo, mafuta ochepa amawonongeka ndikuyamwa matumbo ang'onoang'ono. Kuchiza kuyenera kuyamba ndi kachigawo kakang'ono ka 25 mg ndipo pakatha masiku awiri, kuchulukitsa mpaka 50 mg, kenako mpaka 100 mg. Pankhaniyi, kukula kwa zoyipa kumatha kupewedwa.

Pokhapokha pakufunika, mankhwalawa ayenera kugwiritsidwa ntchito - zotumphukira za sulfonylurea ndi insulin. Tikuyenera kudziwa kuti mankhwalawa amatha kuperekedwa kwa metabolic syndrome pokhapokha kuwonongeka kwa matenda a shuga a 2, ngakhale kuchuluka kwa metformin komanso kudya komanso kuchita masewera olimbitsa thupi. Musanaganize zokhudzana ndi sulfonylurea kapena zotumphukira za insulin, ndikofunikira kuyamba kugwiritsidwa ntchito kwa metformin ndi acarbose kapena pioglitazone ndi rosiglitazone pamiyeso yomwe ili pamwambapa.

Chithandizo cha dyslipidemia

Chithandizo cha dyslipidemia mu metabolic syndrome chimaphatikizapo kulimbana ndi insulin, kupewa matenda ophatikizika, komanso ndi chithandizo chamankhwala, chomwe chimaphatikizapo kusintha kwa moyo ndi kugwiritsa ntchito mankhwala a antilipidemic.

Njira zomwe zimapangidwira kukonza kagayidwe ka lipid mu metabolic syndrome:

kuwonda
Kuchepetsa kudya zam'mimba zosakanikirana,
kuchepetsa kudya kwamafuta ambiri.
kukhathamiritsa kwa shuga wamagazi,
kusiya kwa mankhwala omwe angapangitse matenda a lipid metabolism:
- osasankha beta blockers,
- mankhwala okhala ndi androgenic
- phenucol
- kukonzekera kulera
kuchuluka zolimbitsa thupi
kusuta kusuta
mahomoni obwezeretsanso mankhwala ndi estrogen mu nthawi ya postmenopausal.

Mankhwala osankhidwa a metabolic syndrome omwe ali ndi kuchuluka kwakukulu kwa cholesterol ndi LDL ndi ma statins. Makonda ayenera kuperekedwa kwa mankhwala omwe amagwira ntchito kwa nthawi yayitali, omwe zotsatira zake zimawonekera. Pafupifupi onse ofufuza amawaganizira kuti ndi mankhwala osankha pothandizira matenda a lipid metabolism odwala omwe ali ndi matenda amtundu wa 2. Mankhwalawa amayenera kuyamba ndi mlingo wochepa (5-10 mg), ndi kuwonjezeka pang'onopang'ono ndikuyang'aniridwa ndi cholesterol yamagazi:

Calcium wa atorvastatin pakamwa, ngakhale kudya zakudya, 10-80 mg, 1 r / tsiku, kwa nthawi yayitali kapena
Simvastatin pakamwa madzulo, mosasamala kanthu za kudya, 5-80 mg, 1 p / tsiku, kwa nthawi yayitali.

Mu kagayidwe kachakudya matenda okhala ndi kuchuluka kwa triglycerides, mafupa a III a mafupa (gemfibrozil) amalimbikitsidwa. Mwa kuchepetsa kapangidwe ka triglycerides m'chiwindi poletsa kuphatikiza kwa LDL, gemfibrozil imawonjezera chidwi cha insulin. Kuphatikiza apo, imakhala ndi phindu pa ntchito ya magazi ya fibrinolytic, imasokonezeka mu metabolic syndrome:

Gemfibrozil m'mawa ndi madzulo mphindi 30 musanadye 600 mg 2 r / tsiku, kwa nthawi yayitali.

Mu metabolic syndrome yokhala ndi dyslipidemia ndi hyperuricemia, fenofibrate ndi mankhwala osankha, amathandizira kuchepetsa mulingo wa uric acid m'magazi ndi 10-28%.

Fenofibrate (micronized) mkati nthawi imodzi mwazakudya zazikulu 200 mg 1 r / tsiku, kwa nthawi yayitali.

Antihypertensive mankhwala

Chithandizo cha ochepa matenda oopsa mu kagayidwe kachakudya ali ofanana ndi mankhwalawa ochepa matenda oopsa mtundu 2 shuga. Pharmacotherapy iyenera kuyambitsidwa pokhapokha zovuta za mayendedwe a wodwalayo ndi mankhwala osankhidwa a ACE inhibitors ndi angiotensin receptor blockers tsopano azindikiridwa (Mlingo umasankhidwa payekha motsogozedwa ndi kuthamanga kwa magazi).Kuthamanga kwa magazi kwa metabolic syndrome ndi 130/80 mmHg. Art. Kuti akwaniritse chandamale, odwala ambiri amafunikira kupereka mankhwala osachepera awiri. Chifukwa chake, ngati monotherapy singagwire bwino ntchito ndi ACE inhibitors kapena angiotensin receptor blockers, ndikofunika kuwonjezera thiazide diuretic (pamiyeso yotsika komanso mosamala) kapena othandizira calcium (kukondera kumaperekedwa kwa mitundu yayitali). Ndi tachycardia, extrasystoles kapena arrhythmias, mtima beta-blockers amagwiritsidwanso ntchito.

Zizindikiro za matendawa

Matendawa sangathe kudziwonetsa kwa nthawi yayitali, omwe samalola kuti awonekere koyambirira. Ndi njira ya asymptomatic yomwe imayimira chowopsa chachikulu. Mankhwalawa atangoyamba kumene, zimayamba kuchepa mphamvu.

Zizindikiro zotsatirazi za metabolic syndrome zimasiyanitsidwa:

munyengo yanjala, kusinthika kwa munthu kumatsikira, komwe kumafotokozedwa ndi kusakwanira kwa glucose m'maselo aubongo,
kumva mopanda kutopa ndi kuchuluka kwa kutopa kochititsidwa ndi kuperewera kwa mphamvu m'maselo a minofu,
mankhwala osokoneza bongo a zakudya zotsekemera zomwe zimapangitsa kuti maselo aubongo azikhala ndi shuga,
kuchuluka kwa mtima chifukwa cha kuchuluka kwa shuga m'magazi,

kupweteka mu mtima kumayambitsa cholesterol amana mu ziwiya zomwe zimatsutsana ndimatenda a mtima,
mutu chifukwa cha vasoconstriction chifukwa cha cholesterol amana,
kusokonezeka kwa msana ndi mseru ndi chifukwa cha kuthamanga kwa magazi chifukwa cha kusayenda bwino kwamitsempha yamagazi muubongo,
kukamwa kowuma ndi ludzu losatha limayamba ndi kuchuluka kwa shuga m'magazi,
kudzimbidwa chifukwa cha kufooka kwamatumbo ndikuchepa kwa chimbudzi,
kutuluka thukuta usiku kumachitika chifukwa cha insulin pamitsempha yamkati yamanjenje.

Mungatani

Pochiza matenda a metabolic, ndikofunikira kuti mutsatire malangizo onse a dokotala. Pokha pachitika izi, kukonza metabolism kudzakhala kokwanira.
Njira zoyeserera kuchepetsa kuchuluka kwa mafuta am'mimba ndi othandiza kwambiri. Zochita zitha kugawidwa muzakudya zopatsa thanzi komanso zolimbitsa thupi zolimbitsa thupi. Chakudyacho chimapangidwa poganizira thupi, zaka, jenda, kuchuluka kwa zolimbitsa thupi ndi zakudya zomwe odwala amakonda. Zakudya zamafuta ndi chakudya chamagulu ochepa. Mpweya wambiri wazakudya umayambitsidwa muzakudya. Kuchepa kwambiri kwa thupi kumayambitsa kukhudzika kwa insulin, kuchepa kwa systemic hyperinsulinemia, matenda a lipid ndi kagayidwe kazakudya, komanso kuchepa kwa magazi.

Kuti mukwaniritse cholingacho, ndikofunikira kutsatira zakudya zochepa zopatsa mphamvu ndikuchita masewera olimbitsa thupi. Gawo lamafuta sayenera kupitilira 25-30% ya zakudya zopatsa mphamvu za tsiku ndi tsiku. Ndikofunikira kupatula chakudya cham'mimba chambiri, kuwonjezera kumwa kwa zinthu zomwe zili ndi mafuta oopsa (wowuma) ndi mafuta osagaya chakudya (CHAKUDYA CHAKUDYA).

Kunenepa kwambiri

Pharmacotherapy ya kunenepa kwambiri ngati gawo la metabolic syndrome imatha kuyamba ndi BMI> 27 kg / m2:

Orlistat - mkati musanadye, nthawi yayikulu kapena itatha chakudya 120 mg 3 r / tsiku. zosaposa zaka 2 kapena
Sibutramine pakamwa, mosasamala kanthu za kudya, 10 mg 1 r / tsiku (ndi kuchepa kwa thupi ndi osachepera 2 kg masabata 4 oyambira, mankhwalawa amawonjezeka mpaka 15 mg 1 r / tsiku, osapitirira chaka chimodzi.

Njira zochizira matenda

Metabolic syndrome imatha kuthandizidwa ndikusintha chikhalidwe ndi zizolowezi zathu. Ndipo kukonza mkhalidwe wodwala kumathandizira kutenga mankhwala omwe amachepetsa mawonetseredwe a matendawo.

Kusamalira mankhwala kumathandizira kuti chidwi cham'magazi a thupi chikhale ndi shuga, komanso kukhazikika pamlingo wake m'magazi. Kuphatikiza apo, mankhwalawa amatha kusintha kagayidwe ka lipid m'thupi, zomwe zimapangitsa kuchepa kwamafuta amthupi.
Kuchulukitsa zolimbitsa thupi kumatha kukonza njira za metabolic ndikuwonjezera chidwi cha thupi pakupanga glucose. Pachifukwa ichi, odwala amapatsidwa masewera olimbitsa thupi, omwe amapangidwa polingalira za mthupi lawo.
Sinthani mumachitidwe azakudya pochepetsa kuchuluka kwamafuta ndi mafuta. Njirayi ikufuna kukonza kagayidwe kachakudya mthupi ndikuchotsa kunenepa kwambiri. Pazifukwa izi, osati kalori yotsika, koma zakudya zamafuta ochepa zimagwiritsidwa ntchito, zomwe zimakupatsani mwayi kuti musamve njala, kudya chokoma komanso chokhutiritsa.

Pomaliza

Kuti muchepetse moyo mu matendawa ndikuwongolera, ndikofunikira kukhala munthawi yake kuti mudzawone dokotala ndikutsatira mosamalitsa malangizo ake onse. Njira yokhayo ndi yomwe ingapewe zovuta zomwe zimayambitsidwa ndi matendawa. Ndi metabolic syndrome, matenda oopsa ndi chinthu wamba chomwe chimawopseza moyo wa wodwalayo.

Ndikofunikanso kuchita chilichonse kuti muthane ndi kunenepa kwambiri. Kupatula apo, kuchuluka kwa mafuta ndi mtundu wa androgenic sikukongoletsa akazi kapena ana. Pankhaniyi, dongosolo la masewera olimbitsa thupi liyenera kupangidwa, kukhazikitsa komwe kumakupatsani mwayi wowonjezera minofu.

M'malo mwa mafuta odzaza ndi chakudya chamafuta othamanga, ndikofunikira kuphatikiza zakudya zambiri zomwe zimakhala ndi fiber (fiber) muzakudya. Kuphatikiza apo, CHIKWANGWANI chilinso chomanga thupi, koma chimatengedwa pang'onopang'ono, popanda kuchititsa insulin kulowa m'magazi.

Pamene kulemera kwa thupi kumachepa, chidwi cha insulini chimayamba kubwerera m'maselo a thupi, komanso kukonza kagayidwe kake komanso kuthamanga kwa magazi.

Ольга Melikhova Olga Aleksandrovna - dokotala endocrinologist, wazaka 2.

Amathandizira kupewa, kuzindikira komanso kuchiza matenda a endocrine system: chithokomiro cha chithokomiro, kapamba, “adrenal gland, gland pituitary, gland gland”

Mitundu iwiri ikutsogolera pakati pa zoyambitsa kufa, chifukwa chake kupewa izi ndi vuto lofunikira nthawi yathu. Pamtima popewa matenda aliwonse kulimbana ndi zinthu zoopsa. Mawu akuti metabolic syndrome amagwiritsidwa ntchito ngati mankhwala pofuna kudziwika koyambirira ndikuchotsa ziwopsezo zomwe zimayambitsa matenda a mtima ndi matenda a shuga.

Metabolic syndrome ndi gulu la zinthu zomwe zingawononge matenda a mtima ndi matenda a shuga. Kuphwanya komwe ndi gawo la metabolic syndrome, kumakhala osadziwika kwa nthawi yayitali, nthawi zambiri kumayamba kuubwana komanso unyamata, mosalekeza kumabweretsa matenda atherosclerotic, matenda ashuga, matenda oopsa. Nthawi zambiri, odwala omwe ali ndi kunenepa kwambiri, omwe ali ndi "pang'ono" shuga ochulukirapo, ndipo kuthamanga kwa magazi pamlingo wapamwamba sikupatsidwa chidwi. Pokhapokha ngati izi zitha kukhala matenda oopsa pomwe wodwala amalandila chithandizo.

Ndikofunikira kuti zinthu zoopsa zizindikiritsidwe ndikuwongoleredwa koyambirira zisanachitike zovuta zam'mtima. Pa izi, kuyambitsa ndikugwiritsa ntchito lingaliro ngati metabolic syndrome kumatenga gawo lalikulu.

Kuti athandizidwe ndi odwala ndi akatswiri, njira zokhazikika zakhazikitsidwa zomwe zimaloleza, ndikuwunika pang'ono, kuti adziwe metabolic syndrome. Pakadali pano, madokotala ambiri amagwiritsa ntchito tanthauzo limodzi la metabolic syndrome lomwe liperekedwa ndi International Diabetes Federation: kuphatikiza kwa kunenepa kwam'mimba komanso njira zina ziwiri zowonjezera (dyslipidemia, kusokonezeka kwa kagayidwe kazakudya, kuphatikiza matenda oopsa) .

Kuzindikira kagayidwe kachakudya matenda

Ngati ndi kotheka, adotolo adzalembetsa mayeso ena:

Kuwunika kwa magazi tsiku lililonse, kuthamanga kwa magazi, ma ECG, mtima ndi mtsempha wamagazi, kutsimikiza kwa mapangidwe am'magazi am'magazi, chiwindi ndi ntchito ya impso, kutsimikiza mtima kwa magazi patatha maola 2 mutatha kudya kapena mutatha kuyesa magazi pakamwa.

Mankhwala a metabolic a metabolic

Pharmacotherapy a kagayidwe kachakudya umalimbana kuchiza kunenepa, kusokonezeka kwa kagayidwe kazakudya, ochepa matenda oopsa ndi dyslipidemia.

Mpaka pano, metformin (Siofor, Glucofage) amagwiritsidwa ntchito pochiza zovuta za carbohydrate metabolism mu metabolic syndrome. Mlingo wa Metformin umasankhidwa motsogozedwa ndi misempha yamagazi. Mlingo woyambirira nthawi zambiri amakhala 500-850 mg, muyezo wa tsiku ndi tsiku ndi 2,5 mpaka g. Mosamala, mankhwalawa amayenera kuperekedwa kwa odwala okalamba. Metformin imaphatikizidwa kwa odwala omwe ali ndi vuto la impso ndi kwa chiwindi. Nthawi zambiri, metformin imalekeredwa bwino, kusokonezeka kwa m'mimba kumachitika pakati pamavuto, chifukwa chake amalimbikitsidwa kuti azidyedwa nthawi yakudya kapena itatha.

Ndi mankhwala osokoneza bongo kapena kuphwanya zakudya, hypoglycemia ingachitike - kuchepa kwa shuga m'magazi. Hypoglycemia imawonetsedwa ndi kufooka, kunjenjemera m'thupi, kumverera kwanjala, kuda nkhawa. Pankhaniyi, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi mukamalandira metformin. Ndibwino ngati wodwalayo ali ndi glucometer - chida chodziyimira pawokha shuga kunyumba.

Orlistat (Xenical) imagwiritsidwa ntchito kwambiri pochiza kunenepa kwambiri. Mlingo ndi 120 mg mkati kapena mkati mwa ola limodzi mutatha kudya (koma osapitirira katatu patsiku). Pankhani ya mafuta ochepa omwe amapezeka muzakudya, orlistat imaloledwa kuphonya. Mankhwalawa amachepetsa kuyamwa kwa mafuta m'matumbo, chifukwa chake, ngati wodwalayo akuchulukitsa kuchuluka kwa mafuta m'zakudya, ndiye kuti zotsatirapo zoyipa zake zimachitika: kutuluka kwamafuta kuchokera ku anus, flatulence, kukakamiza pafupipafupi kuti musiyane.

Odwala omwe ali ndi dyslipidemia, osagwiritsa ntchito bwino mankhwala kwa miyezi 3 kapena 6, amapatsidwa mankhwala ochepetsa lipid, omwe amaphatikiza ma statins kapena ma fibrate. Mankhwalawa ali ndi malire osagwiritsidwa ntchito komanso owopsa, ayenera kutumizidwa ndi adokotala okha.

Mankhwala a antihypertensive omwe amalimbikitsidwa ndi metabolic syndrome amaphatikizapo angiotensin-kutembenuza ma enzyme inhibitors (enalapril, lisinopril), calcium njira blockers (amlodipine) ndi imidosaline receptor agonists (rilmenidine, moxonidine). Kusankhidwa kwa mankhwalawa kumachitika ndi katswiri kapena wamtima payekhapayekha, kutengera nthawi yayitali yamankhwala.

Mavuto a kagayidwe kachakudya matenda

Monga tafotokozera pamwambapa, kagayidwe kachakudya kali pachiwopsezo chotenga matenda akuluakulu a mtima ndi matenda ashuga, motero kuyang'aniridwa kwakukulu kuyenera kuperekedwa pakulimbana kwake ndi chithandizo.

Dokotala endocrinologist Fayzulina N.M.

Zomwe zimachulukitsa chiopsezo chokhala ndi matenda amtima, mtundu 2 shuga komanso matenda ena angapo. M'malo mwake, si matenda otere, koma amayimira gulu la zinthu zomwe nthawi zambiri zimachitika limodzi, kukulitsa mwayi wa matenda akulu.

Mawu akuti "metabolic syndrome" adayambitsidwa posachedwa - mu 80s ya XX century. Ili ndi limodzi mwamavuto akulu azaumoyo m'maiko ambiri. Chiwerengero cha akuluakulu omwe ali ndi vuto la metabolic amafika 25-30% m'maiko ena. Amapezeka kwambiri m'maiko a East Asia, Latin America, USA, ndi ku mayiko ena a ku Europe.

Ngati m'mbuyomu metabolic syndrome imawonedwa ngati matenda a anthu achikulire, tsopano kuchuluka kwa achinyamata omwe akudwala matendawa kwawonjezeka. Zilinso chimodzimodzi pakati pa amuna ndi akazi, koma posachedwapa pakhala pakuwonjezereka kwa azimayi azaka zakubala - izi zitha kukhala chifukwa cha kubereka, kugwiritsa ntchito njira zakulera pakamwa, ndi polycystic ovary syndrome.

Kuphatikiza pa matenda amtima komanso matenda a shuga, matenda a metabolic amachititsa kuti munthu asamamwe mowa kwambiri, matenda angapo oncological, kuphatikiza khansa ya m'mawere, matumbo akulu, ndi Prostate. Ubale wa metabolic syndrome ndi kupezeka kwa psoriasis ndi zovuta zina za neuropsychiatric zinaululidwanso.

Kupanga kwa kagayidwe kachakudya sikamveka bwino. Kuchiza odwala ndi ntchito yovuta. Nthawi zina, moyo wathanzi - chakudya choyenera, kuchita masewera olimbitsa thupi - kuchepetsa chiopsezo chokhala ndi matenda oopsa.

Metabolic Syndrome X, Riven Syndrome, Insulin Resistance Syndrome, New World Syndrome.

Metabolic syndrome X, mtima metabolic syndrome, dysmetabolic syndrome, matenda X, Reaven syndrome.

Kuzindikira kwa metabolic syndrome kumakhazikitsidwa pamaso pa zizindikiro zitatu kapena zingapo zotsatirazi:

kunenepa kwam'mimba - m'chiuno masentimita opitilira 94 mwa amuna ndi 80 cm mwa akazi,
kuthamanga kwa magazi pamtunda wa 130/80,
cholesterol yayikulu magazi,
okwera magazi triglycerides,
kuwonjezeka kwa ndende ya magazi.

Zambiri zokhudzana ndi matendawa

Kukula kwa metabolic syndrome kumakhazikika pamtundu wa chibadwa komanso zinthu zingapo zakunja: zolimbitsa thupi, kusowa zakudya m'thupi. Amakhulupirira kuti gawo lotsogolera limaseweredwa ndi kusokonekera kwa minofu ya adipose komanso kukula kwa insulin.

Chizindikiro cha metabolic syndrome ndimomwe amadziwika kuti kunenepa kwambiri pamimba. Ndi iyo, minofu ya adipose imayikidwa pamimba ndipo kuchuluka kwa "mkati" mafuta kumawonjezereka (kunja izi zitha kukhala zowoneka bwino). Mafuta am'mimba achulukitsa kukana insulini, mosiyana ndi subcutaneous.

Insulin ndi mahomoni omwe amapangidwa ndi maselo a beta a kapamba ndipo amakhudzidwa ndi mitundu yonse ya kagayidwe. Mothandizidwa ndi insulin, shuga amalowa m'maselo amisempha osiyanasiyana a thupi, komwe amawagwiritsa ntchito ngati mphamvu. Glucose owonjezera m'chiwindi amadziunjikira monga glycogen kapena amagwiritsidwa ntchito popanga mafuta acids. Insulin imachepetsanso kuwonongeka kwa mafuta komanso mapuloteni. Ngati insulin ikulimbana ndi maselo, thupi limafunanso zochuluka za timadzi timeneti. Zotsatira zake, kuchuluka kwa insulin ndi glucose m'magazi kumakwera, kugwiritsidwa ntchito kwa glucose ndi maselo kumasokonekera. Kuchuluka kwa shuga m'magazi kumawononga khoma lamitsempha ndipo kumasokoneza magwiridwe antchito, kuphatikizapo impso. Insulin yochulukirapo imayambitsa kusungidwa kwa sodium ndi impso, chifukwa, kukulira kuthamanga kwa magazi.

Kuchepa kwa minofu ya Adipose kumathandizira kwambiri pakupanga insulin. M'matumbo am'mimba, maselo amafuta amakulitsidwa, kulowetsedwa ndi macrophages, zomwe zimapangitsa kuti amasulidwe ambiri a cytokines - chotupa necrosis factor, leptin, resistin, adiponectin ndi ena. Zotsatira zake, kuyanjana kwa insulin ndi ma receptor pafoni kumasokonezedwa. China chowonjezera pakukula kwa kukaniza ndikunenepa kwambiri, chifukwa insulin imatha kudziunjikira m'maselo amafuta.

Kukana kwa insulini kumakhudzanso kagayidwe ka mafuta: kuchuluka kwa lipoproteins ochepa (VLDL), otsika osalimba lipoproteins (LDL), triglycerides imachulukitsa, kuchuluka kwa lipoproteins yapamwamba (HDL) kumachepa. Ma lipoproteins otsika kwambiri ndi kachigawo kakang'ono ka cholesterol yomwe imakhudzidwa ndikupanga cell khoma komanso kapangidwe ka mahomoni ogonana. Komabe, kuwonjezereka kwa LDL ("cholesterol yoyipa") kungapangitse mapangidwe a atherosulinotic malo mu khoma la chotengera komanso ku matenda a mtima. Mankhwala okhala ndi lipoprotein okwera, Komabe, ndi "cholesterol" wabwino.Amatenga nawo gawo pakusamutsa cholesterol owonjezereka ku chiwindi, komanso kupewa mapangidwe a atherosrance. Pogwiritsa ntchito lipoprotein yotsika kwambiri komanso triglycerides, yomwe imawonedwa mu metabolic syndrome, kuchuluka kwa "cholesterol" yabwino "nthawi zambiri kumachepa.

Kuphatikiza apo, ndi metabolic syndrome, khoma lamitsempha limakhala louma, ntchito ya thrombotic ya magazi imachuluka, ndipo kuchuluka kwa ma cytokines ovomerezeka. Zonsezi kuwonjezera ngozi ya matenda amtima.

Chifukwa chake, metabolic syndrome ndi zovuta za mikhalidwe ya pathological yomwe imagwirizana kwambiri. Njira yopanga kagayidwe kachakudya sikamveka bwino.

Pakakhala chithandizo choyenera, metabolic syndrome imatha kudzetsa matenda ena owopsa pazaka zingapo: matenda a mtima, makamaka matenda a mtima, mtundu 2 matenda a shuga. Zimawonjezeranso mwayi wa kuwonongeka kwa chiwindi ndi chitukuko cha matenda a mtima, matenda a impso, ndi khansa.

Ndani ali pachiwopsezo?

Zambiri.
Kukhala ndi moyo wongokhala.
Anthu opitilira zaka 60.
Odwala matenda a shuga a 2 kapena omwe achibale awo amadwala.
Anthu omwe ali ndi matenda a mtima, kuthamanga kwa magazi.
Amayi omwe ali ndi polycystic ovary syndrome.

Kuzindikira kwa metabolic syndrome kumakhazikika polemba deta, mbiri, zotsatira za labotale ndi maphunziro othandizira. Chitsimikiziro chachikulu chodziwitsa za kunenepa kwambiri pamimba, koma sichikuwonetsa kukhalapo kwa metabolic syndrome mwa iyo yokha, koma kuphatikiza ndi zingapo zowonjezera zotsimikiziridwa ndi kusanthula.

Ndikofunikira kuyesa kudziwa chomwe chimayambitsa kunenepa kwambiri, komwe kungayambitsidwe, mwachitsanzo, ndi matenda a endocrine system.

C-yogwira mapuloteni, kuchuluka. Uwu ndi puloteni yovuta kwambiri yomwe imapangidwa m'chiwindi. Kuphatikizika kwake kumadalira mulingo wa pro-kutupa cytokines. Amatenganso nawo gawo pakupanga zolembedwa za atherosulinotic. Ndi metabolic syndrome, mulingo wake umakwezedwa.
Gluu m'madzi a m'magazi. Kagayidwe kachakudya matenda amakhala ndi kuchuluka kuchuluka kwa shuga.
Cholesterol - lalitali kwambiri lipoproteins (HDL). Ichi ndi kachidutswa kakang'ono ka cholesterol yomwe imalepheretsa mapangidwe a atherosulinotic malo. Ndi metabolic syndrome, HDL imatha kuchepetsedwa.
Cholesterol - otsika osalimba lipoproteins (LDL). Tengani nawo gawo pakupanga zolembedwa za atherosulinotic. Ndi kagayidwe kachakudya matenda akhoza kuchuluka.
C cholesterol yathunthu - kuchuluka kwazigawo zonse za magazi a lipoprotein, chomwe chimawonetsa kwambiri metabolism yamafuta. Ndi metabolic syndrome, nthawi zambiri imakwezedwa.
Cholesterol - otsika kwambiri osalimba lipoproteins (VLDL). Amapangidwa m'chiwindi ndipo amanyamula ma phospholipids, triglycerides, cholesterol. Akamasulidwa ku chiwindi kulowa m'magazi, amasinthana ndi mankhwala ndikupanga ma lipoproteins ochepa. Ndi metabolic syndrome, zomwe zili mu VLDL zimachuluka.
Triglycerides. Amapangidwa m'matumbo kuchokera m'mafuta azakudya. Amayikidwa mu minofu ya adipose ndipo amadyedwa ndi maselo momwe amafunikira mphamvu. Ndi metabolic syndrome, triglycerides imakwezedwa.
Serum C-peptide ndi mapuloteni omwe amamangidwa kuchokera ku proinsulin panthawi yopanga insulin. Kuyeza kuchuluka kwa C-peptide kumakupatsani mwayi wongoyerekeza kuchuluka kwa insulini m'magazi. Mu metabolic syndrome, mulingo wa insulin ndipo, motero, C-peptide nthawi zambiri imachulukitsidwa.
Microalbumin mkodzo - mapuloteni omwe amachotsedwa ndi impso mu matenda, mwachitsanzo, ndi matenda a shuga a nephropathy.
Insulin ndi mahomoni a pancreatic, omwe nthawi zambiri amakwera ndi metabolic syndrome, omwe amafunika kulipira kukana kwa maselo ku mahomoni awa.
Homocysteine ndi amino acid wopangidwa pa kagayidwe ka methionine. Kuwonjezeka kwa msinkhu wake kumathandizira ku thrombosis komanso kukulitsa matenda a mtima.

Njira zina zofufuzira

Kuyeza kwa magazi. Metabolic syndrome imadziwika ndi kuthamanga kwa magazi pamtunda wa 130/85.
Kuyesedwa kwa glucose - kuyeza kuchuluka kwa shuga m'magazi musanatsegule shuga (ndiko kuti, musanatenge njira ya shuga), komanso pambuyo pa mphindi 60 ndi 120 mutatha. Amagwiritsidwa ntchito pofufuza kusokonekera kwa shuga, komwe kumatha kuwonedwa ndi metabolic syndrome.
Electrocardiography (ECG) ndi yolemba za kusiyana komwe kumachitika komwe kumachitika ndi mtima. Amakulolani kuti muwunikire ntchito ya mtima, kuzindikira zizindikiro za matenda owopsa kapena matenda a mtima.
Angiography, computed tomography - njira zoganiza zomwe zimakuthandizani kuti muunike momwe mtima ndi mtima wake ulili.

Chomwe chimathandizira odwala omwe ali ndi metabolic syndrome ndikuti akwaniritse komanso kukhalabe ndi kulemera koyenera. Kwa izi, zakudya, masewera olimbitsa thupi amagwiritsidwa ntchito. Matenda a kunenepa komanso kukhala ndi moyo wathanzi kumachepetsa chiopsezo chokhala ndi zovuta za metabolic syndrome.

Mankhwala amagwiritsidwa ntchito kutengera kufalikira kwa kusintha kwina kwa ma pathological: ochepa matenda oopsa, kusokonezeka kwa chakudya cham'mimba kapena lipid metabolism.