Metabolic syndrome > Matenda a shuga

Metabolic syndrome ndimndandanda wazinthu zina mwanjira ya matenda ndi matenda omwe angayambitse kukula kwa matenda a shuga, stroke ndi matenda a mtima.

Metabolic syndrome imaphatikizapo: ochepa ochepa oopsa, kukana insulini, kuwonjezeka kwa visceral fat misa, hyperinsulinemia, yomwe imayambitsa kusokonezeka kwa lipid, carbohydrate ndi purine metabolism.

Choyambitsa chachikulu cha matendawa ndi moyo wopanda thanzi wokhala ndi mashuga komanso mafuta ochulukirapo m'zakudya zopatsa thanzi komanso masewera olimbitsa thupi ochepa.

Mutha kuyimitsa chitukuko cha kagayidwe kachakudya poyesa kusintha moyo wanu.

Zoyambitsa Metabolic Syndrome

Pakadali pano, sizinakhazikitsidwe ndendende ngati kuwoneka kwa matendawa kudabuka chifukwa chobadwa nawo kapena kumayamba kokha chifukwa cha zinthu zakunja.

Ofufuza ena amakhulupirira kuti metabolic syndrome imayamba munthu atakhala ndi chibadwa chimodzi kapena zingapo zomwe zimalumikizana zomwe zimayambitsa ziwalo zonse za matendawa, pomwe ena amangokakamira zinthu zapadera.

Vuto lamphamvu za chibadwidwe chamtsogolo komanso kakulidwe ka matenda obwera chifukwa cha kagayidwe kachakudya sikimamveka bwino.

Zinthu zakunja zomwe zikuthandizira kuwoneka kwa metabolic syndrome zimaphatikizapo:

Zakudya zopanda pake komanso zopatsa thanzi. Kudzikundikira kwa mafuta ochulukirapo m'thupi kumachitika chifukwa cha kudya kwambiri, kuphatikiza zinthu zomwe zili ndi mafuta achilengedwe, kuchuluka kwake komwe kumapangitsa kusintha kwa ma phospholipids a membrane wam'maselo ndi zosokoneza pakuwonetsa mitundu yomwe imayambitsa insulini kulowa mu cell,
Kuchepetsa zolimbitsa thupi. Hypodynamia imabweretsa kuchepa kwa lipolysis ndikugwiritsa ntchito triglycerides mu adipose ndi minofu minofu, kuchepa kwa kupatsirana kwa minyewa yamatayala a shuga, omwe amachititsa kukula kwa insulin,
Matenda oopsa. Nthawi zambiri, izi zimachitika ngati gawo lalikulu pakukula kwa metabolic syndrome. Kusagwirizana kwa nthawi yayitali komanso matenda osakanikirana kwa magazi kumabweretsa kuphwanya magazi kozungulira, kuchepa kwa minofu ya insulin,
Kuletsa Kugona Apnea Syndrome. Chofunikira kwambiri pakukula kwa izi ndi kunenepa kwambiri komanso zovuta zina zomwe zimayambitsa kupuma.

Zizindikiro za metabolic syndrome

Zizindikiro zazikulu za metabolic syndrome zimaphatikizapo:

Kunenepa kwambiri pamimba ndi mtundu wa kunenepa kwambiri komwe kumapangidwa minofu ya adipose pamimba. Kunenepa kwambiri pamimba (ku Europe) akuti ndi pomwe kukula kwa mkazi kumakhala kwakukulu kuposa masentimita 80, kwa mwamuna woposa 94 cm,
Matenda oopsa. Matenda oopsa a arterial akuti ndi pomwe gawo la magazi a systolic limaposa 130 mm. Hg. Art., Ndi diastolic - oposa 85 mm. Hg, komanso ngati munthu amamwa mankhwala a antihypertensive,
Kuwonongeka kwa kagayidwe kazakudya. Kukhalapo kwa vutoli kukuwonetsedwa ngati shuga ya magazi imaposa 5.6 mmol / l, kapena wodwala akamagwiritsa ntchito mankhwala ochepetsa shuga.
Kuwonongeka kwa lipid kagayidwe. Kuti muwone ngati izi zikuchitika, kuchuluka kwa cholesterol yapamwamba kwambiri ya lipoproteins ndi triacylglycerides kutsimikizika. Ngati mulingo wa triacylglycerides upitilira 1.7 mmol / L, ndipo lipoproteins ali m'munsi mwa 1.03 mmol / L (mwa amuna) ndi pansi pa 1.2 mmol / L (mwa akazi), kapena dyslipidemia ali kale kulandira chithandizo, ndiye kuti lipid metabolism imasokonekera mu thupi.

Kuzindikira kagayidwe kachakudya matenda

Maphunziro otsatirawa amachitidwa kuti apeze zizindikiro za metabolic syndrome:

Kuyesa kwa Ultrasound kwamitsempha yama mtima ndi mtima,
Kuyang'anira kuthamanga kwa magazi tsiku ndi tsiku,
Electrocardiography
Kutsimikiza kwa lipids ndi shuga m'magazi,
Maphunziro a impso ndi chiwindi.

Zambiri

Metabolic syndrome (Syndrome X) ndi matenda a comorbid omwe amaphatikizapo ma pathologies angapo nthawi imodzi: matenda a shuga, matenda oopsa, kunenepa kwambiri, matenda a mtima. Mawu akuti "Syndrome X" adayamba kulembedwa kumapeto kwa zaka za zana la 20 ndi wasayansi waku America a Gerald Riven. Kuchuluka kwa matendawa kumayambira 20 mpaka 40%. Matendawa nthawi zambiri amakhudza anthu azaka 35 mpaka 65, makamaka odwala amuna. Mwa akazi, chiopsezo cha matenda atasiya kusamba chikuwonjezeka nthawi 5. Zaka 25 zapitazi, chiwerengero cha ana omwe ali ndi vutoli chakwera mpaka 7% ndipo akupitilizabe.

Mavuto

Metabolic syndrome imatsogolera ku matenda oopsa, atherosulinosis yamitsempha yamagazi ndi mitsempha yamagazi muubongo ndipo, chifukwa chake, kugunda kwa mtima ndi sitiroko. Mkhalidwe wa insulin kukana kumayambitsa kukula kwa mtundu 2 matenda a shuga ndi zovuta zake - retinopathy ndi matenda ashuga. Mwa abambo, chizindikiro chothandizira chimapangitsa kufooka kwa potency ndi vuto la erectile. Mwa akazi, matenda X ndi omwe amachititsa kuti ovary polycystic, endometriosis, ndi kuchepa kwa libido. Mu nthawi yobereka, msambo komanso msambo wa kubereka ndi zotheka.

Chithandizo cha Metabolic Syndrome

Chithandizo cha Syndrome X chimaphatikizapo zovuta zochizira matenda ophatikizira kulemera, magawo a kuthamanga kwa magazi, magawo a labotale komanso kuchuluka kwa mahomoni.

Mphamvu yamphamvu. Odwala amafunika kupatula chakudya cham'mimba chophika mosavuta (makeke, maswiti, zakumwa zotsekemera), chakudya chofulumira, zakudya zamzitini, kuchepetsa kuchuluka kwa mchere ndi pasiti wambiri. Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo masamba abwino, zipatso zamkati, chimanga, nsomba ndi nyama zochepa. Chakudya chimayenera kudyedwa nthawi 5-6 patsiku m'magawo ang'onoang'ono, kutafuna kwathunthu osamwa madzi. Kuchokera zakumwa ndikwabwino kusankha tiyi wobiriwira kapena yoyera, zakumwa za zipatso ndi ma compotes popanda kuwonjezera shuga.
Zochita zolimbitsa thupi. Pakakhala zotsutsana kuchokera ku minculoskeletal system, kuthamanga, kusambira, kuyenda kwa Nordic, Pilates ndi aerobics ndikulimbikitsidwa. Zochita zolimbitsa thupi zizikhala zokhazikika, mwinanso katatu pa sabata. Kuchita masewera olimbitsa thupi m'mawa, kuyenda tsiku lililonse paki kapena lamba wamtchire ndikothandiza.
Mankhwala. Mankhwala amathandizidwa kuti azichiza kunenepa kwambiri, kuchepetsa kuthamanga kwa magazi, komanso kusintha matendawa ngati mafuta ndi chakudya. Pankhani ya kulekerera kwa glucose, kukonzekera kwa metformin kumagwiritsidwa ntchito. Kuwongolera kwa dyslipidemia ndi kusachita bwino kwa chakudya kumachitika ndi ma statins. Kwa matenda oopsa, ACE inhibitors, calcium blockers, diuretics, beta-blockers amagwiritsidwa ntchito. Kuti achulukitse kulemera, mankhwala amathandizidwa kuti achepetse kuyamwa kwa matumbo m'matumbo.

Zotsogola ndi kupewa

Ndi matenda anthawi yake komanso chithandizo cha metabolic syndrome, matendawa ndi abwino. Kuzindikira kwapang'onopang'ono kwa matenda ndi kusakhalapo kwa zovuta zovuta kumayambitsa zovuta kuchokera ku impso ndi mtima dongosolo. Kupewera kwa matendawa kumaphatikizapo kudya mokwanira, kukana zizolowezi zoyipa, kuchita masewera olimbitsa thupi nthawi zonse. Ndikofunikira kuwongolera osati kulemera kokha, komanso magawo a chithunzi (m'chiuno mozungulira). Pamaso pa concomitant endocrine matenda (hypothyroidism, shuga mellitus), kuyan'ana kwa kafukufuku wa endocrinologist ndikuwunikira mayendedwe a horoni.

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. Tikukulimbikitsani kuti mugwiritse ntchito zakudya zamafuta ochepa kuti muchepetse metabolism yanu.

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 metformin (siofor, glucophage). 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 Apa

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 ndi chakudya chamafuta ochepa. 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.

Zotsatira

Mayankho olondola: 0 kuchokera 8

Palibe mutu 0%

Ndi yankho
Ndi cholembera

Kodi chizindikiro cha metabolic syndrome ndi chiyani?

Senile dementia
Mafuta a hepatosis (kunenepa kwambiri kwa chiwindi)
Kuchepetsa kupuma poyenda
Mafupa a nyamakazi
Hypertension (kuthamanga kwa magazi)

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?

"Chabwino" High Density Cholesterol (HDL) mwa Amuna
C cholesterol yonse pamwamba pa 6.5 mmol / L
Cholesterol yamagazi "Olakwika" 4-5 mmol / l

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?

Fibrinogen
Homocysteine
Pulidi ya Lipid (yonse, "yoyipa" komanso "yabwino" cholesterol, triglycerides)
C-yogwira mapuloteni
Lipoprotein (a)
Mahomoni a chithokomiro (makamaka azimayi opitirira 35)
Zonse zomwe zalembedwa

Kodi matenda a triglycerides m'magazi ndi otani?

Zakudya zoletsedwa zamafuta
Kuchita masewera
Zakudya zamafuta ochepa
Zonsezi pamwambapa kupatula zakudya "zamafuta ochepa"

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?

Chiwopsezo chowonjezeka chaimfa chifukwa cha ngozi, ngozi zamimoto
Kuperewera kwa Coenzyme Q10, chifukwa cha kufooka, kufooka, kutopa kwakanthawi
Kupsinjika, kusokonezeka kwa kukumbukira, kusinthasintha
Kuwonongeka kwa Potency mwa amuna
Zotupa pakhungu
Kusanza, kusanza, kutsegula m'mimba, kudzimbidwa, matenda ena ammimba
Zonsezi pamwambapa

Ubwino weniweni wotenga ma statins ndi chiyani?

Kutupa kobisika kumachepetsedwa, komwe kumachepetsa chiopsezo cha kugunda kwamtima
Mafuta a cholesterol amatsitsidwa mwa anthu omwe amakwezeka kwambiri chifukwa cha zovuta zamtundu ndipo sangakhale ovomerezeka pakudya.
Mkhalidwe wazachuma wamakampani opanga mankhwala ndi madokotala ukuyenda bwino
Zonsezi pamwambapa

Kodi njira zina zotetezeka ndi ma statins ndi ziti?

Mkulu nsomba mafuta kudya
Zakudya zamafuta ochepa
Zakudya ndi zoletsa zamafuta azakudya ndi zopatsa mphamvu
Kudya mazira a mazira ndi batala kuti muwonjezere cholesterol yabwino "(inde!)
Chithandizo chamano cha mano kuti muchepetse kutupa
Zonsezi pamwambapa, kupatula zakudya "zanjala" zoletsa mafuta ndi zopatsa mphamvu

Ndi mankhwala ati omwe amathandizira kukana insulin - chachikulu chomwe chimayambitsa metabolic syndrome?

Metformin (Siofor, Glucofage)
Sibutramine (Reduxin)
Piritsi za Phentermine

Mutha kungotenga metformin monga momwe dokotala wakupangirani. Mapiritsi ena onse omwe alembedwa amathandizira kuti muchepetse thupi, koma zimayambitsa zotsatira zoyipa, zimawononga thanzi. Pali zambiri zowonongeka kuchokera kwa iwo kuposa zabwino.

Zakudya za metabolic syndrome

Zakudya zachikhalidwe za metabolic syndrome, zomwe nthawi zambiri zimalimbikitsidwa ndi madokotala, zimaphatikizapo kuchepetsa kudya kwa calorie. Ambiri mwa odwala safuna kuti azitsatira, ngakhale atakumana ndi chiyani. Odwala amatha kupirira "ndikumva ululu" kuchipatala, moyang'aniridwa ndi madokotala.

M'moyo watsiku ndi tsiku, zakudya zama calorie ochepa omwe amakhala ndi metabolic syndrome ziyenera kuonedwa ngati zopanda ntchito. M'malo mwake, tikulimbikitsani kuti muyese zakudya zopatsa mphamvu zamafuta ochulukitsa malinga ndi njira ya R. Atkins ndi katswiri wa matenda ashuga a Richard Bernstein. Ndi chakudyachi, mmalo mwa chakudya, zimatsimikiziridwa pazakudya zomwe zimakhala ndi mapuloteni, mafuta athanzi komanso CHIKWANGWANI.

Chakudya chopatsa mphamvu zamagulu ochepa chimakhala chamtima komanso chokoma. Chifukwa chake, odwala amatsatira izi mosavuta kuposa zakudya "zanjala". Zimathandizira kwambiri kuwongolera metabolic syndrome, ngakhale kuti calorie kudya si ochepa.

Pa tsamba lathu mupeza zambiri zamomwe mungachiritsire matenda ashuga komanso metabolic syndrome wokhala ndi chakudya chochepa chamafuta. Kwenikweni, cholinga chachikulu popanga malowa ndikulimbikitsa kudya zakudya zamagulu ochepa m'malo mwa chakudya “chanjala” kapena, “chakudya chokwanira”.

Ndinalandila magazi mayeso a shuga kwa 43g 5.5 pamwezi pamimba yopanda kanthu kuchokera pachala changa 6.1 pasabata 5.7 kodi izi zikutanthauza chiyani ndikuyenera kuchita

> zikutanthauza chiyani ndi zoyenera kuchita

Moni Kodi mukuganiza kuti zakudya za Ducan ndizothandiza pochiza matenda a metabolic?

Sindimakhulupiriranso kuti mutha kudya kwambiri tsiku limodzi sabata, ndipo palibe chomwe chidzachitike. Ngakhale lingaliro lotere limatsimikiziridwa ndi gwero lina lovomerezeka, kupatula Dukan. Koma ndikuopa kudzipenda. Ndimadya zakudya zamafuta ochepa masiku 7 pasabata.

Nanga bwanji taurine? Kodi izi ndizopindulitsanso kagayidwe ka metabolic?

Inde, taurine imachulukitsa chidwi cha minyewa kupita ku insulin, kumachepetsa kuthamanga kwa magazi. Ndi bwino kuigwiritsa.

Moni Kodi ndizotheka kutenga taurine kapena zakudya zina zilizonse zamagetsi zokhala ndi metformin? Kodi metformin imayikidwa molondola ngati muyenera kumwa kawiri pa tsiku - m'mawa mutatha kadzutsa komanso madzulo mukadya?

Kodi ndizotheka kutenga taurine kapena zakudya zina zilizonse zofunikira

Ngati muli ndi metabolic syndrome, werengani nkhaniyi ndikuchita zomwe akunena. Kuphatikiza, imwani zowonjezera.

Amasankhidwa Molondola

Ndikofunika kuti musamamwe metformin musanadye komanso pambuyo chakudya, koma ndi chakudya. Mlingo wa tsiku ndi tsiku utha kugawidwa mu 2 kapena 3 Mlingo, kutengera mlingo.

Ndikufuna upangiri. Shuga wabwereranso kwazakudya zokhala ndi chakudya chamafuta ochepa, koma kulemera ... ndidawerenga, kuwerenga ndipo sindimamvetsetsa chilichonse - ndiyenera kuyambanso kumwa shuga? Kutalika kwa 158 cm, kulemera 85 kg, zaka 55.

Kodi ndiyeneranso kutenga glucophage?

mwina sizipweteka

Phunzirani zizindikiro za kuchepa kwa mahomoni a chithokomiro, pezani mayeso a magazi awa mahomoni, makamaka a T3 aulere. Ngati hypothyroidism yatsimikiziridwa, ichani.

Tsoka ilo, chidziwitso chothandiza chokhudza vutoli - mpaka pano mu Chingerezi chokha.

Moni, pafupifupi miyezi itatu yapitayo ndinapezeka ndi matenda a shuga a mtundu wa 2. Ngakhale ndimakayikira za kupezeka kwa matendawa, ndimangodya zakudya zotsika mtengo, ndikuthira shuga 4.6-4.8, nditatha kudya 5.5- mpaka 6. Kodi ndiyenera kutenga metformin? Kutalika ndi 168 cm, kulemera ndi 62, kunali 67 kg.

Usiku wabwino
Mwamuna (wazaka 40, 192 cm / 90 makilogalamu, m'chiuno 95 cm) adalandira zotsalazo:
Magazi triglycerides 2.7 mmol / L
HDL cholesterol 0.78
LDL cholesterol 2.18
Glycated hemoglobin 5.6% (HbA1c 37.71 mmol / mol)
Kuthamanga glucose 5.6 mmol
Mtunda nthawi zambiri umakhala wokwera, 130/85 mm Hg

Kodi izi zitha kuonedwa ngati chizindikiro chakukhala ndi chizindikiro cha metabolic?

Adotolo, sanazindikire zoopsa zilizonse, adalangiza kudya chimanga ndi chakudya chamagulu ...

P.S. Banja lonse lidayamba kutsatira zakudya zamafuta ochepa.

Moni Ndilibe matenda ashuga, koma vuto la metabolic lapezeka pakufufuza kwakanthawi kwa dokotala yemwe akudziwa za iye. Ndimalola Glucofage kutalika 2000, shuga m'mawa 5.4-5.8. Panali chokumana nacho chochepa komanso chopambana moyenera ndi zakudya zama carb pang'ono miyezi itatu yapitayo. Ndiye kwa pafupifupi miyezi iwiri sizinatheke kupanga bungwe. Tsopano pali mphamvu ndi nthawi. Masiku awiri ngati chiyambi. Pali chizungulire komanso kufooka, koma ndikudziwa kuthana nawo. Ndipo matenda am'mimba anali odabwitsa komanso osasangalatsa kwambiri. Sindikukhulupirira kuti 100 iyi ilumikizidwa. Ndikufuna kumveketsa: kodi kutsegula m'mimba kumatha kukhala kudya zakudya zama carb ochepa? (Amakonda kulemba za zinthu zomwe zimapangitsa kuti munthu azikalamba) Kodi kupweteka kwamkati ndi cholecystitis zingakhudze izi (nthawi zambiri palibe chomwe chimandivuta, izi zimachitika ndi ultrasound ndikuwunika)? Ngati izi zikuchitika chifukwa cha kusintha kwa kadyedwe, ndiye mungatani kuti muwongolere vutoli mwa kudya zakudya zamafuta ochepa, koma osazunza m'mimba? Zikomo

Moni Sergey! Zikomo chifukwa chondisamalira! Ndili ndi zaka 57, kutalika 168cm, kulemera kwa 103kg. Ndimatenga L-thyroxine (autoimmune chithokomiro), mitsempha ya varicose, zilonda zam'mimba, ndimachotsa chikhodzodzo komanso matenda oyipa - kufunikira kwa thrombocytopenia, mwina komanso matenda oopsa (koma sindimakonda kuyeza kukakamizidwa ndipo sindinapite kwa dokotala. Pomwe ndimayeza, nthawi zina 160 / 100) Khazikitsani - zomwe mukufuna!
Zaka zingapo zapitazo, shuga adayamba kukwera. Tsopano: glucose-6.17-6.0, glycated hemoglobin-6.15, c-peptide-2.63, cholesterol-5.81, LPVSC-1.38,
LPSN-3.82, aerogenicity coefflements-3.21, homocysteine-9.54, triglycerides-1.02, protein-1 yogwira mapuloteni-1, mapulateleti-635 (matenda a magazi).
Masabata awiri apitawa, ndafika patsamba lanu mwangozi ndipo mwanjira ina ndinachita mantha nditawerenga. Sindinawonetsetse zizindikiro zanga ... Ngakhale kuti miyezi 6 yapitayo ndinalemera makilogalamu 113 ndipo ndinasankha kusamalira thanzi langa. Ndidakhala ndi njala kamodzi pa sabata, ( mukumva bwanji za tsiku limodzi lanjala sabata? Ndikufuna kupitiliza) Ndinayamba kuchita masewera olimbitsa thupi m'mawa, kudya mkate wochepa, sindinadye pambuyo pa 6 pm. Zotsatira zake zinali "-10 kg." Koma chomwe chidandidabwitsa ndichakuti mawunikidwewo sanasinthe.
Masabata awiri apitawa ndidayamba kutsatira zakudya zamafuta ochepa, ndimamwa mapiritsi a Magne B6 4 tsiku lililonse (kupsinjika kunatsika kwambiri-110-115 / 70. Nditamwa mapiritsi 6, anali 90/60). Ndimayeza zisonyezo, koma sindinayese chipangiz changa. Zizindikiro zikulumphira, muyenera kuchita cheke.
Ndi chakudya, zonse ndizovuta - sindimakonda nyama! Mimba yanga imapweteka ngakhale ndimadzi, masamba amakhalanso ndi zowawa, ndimadya nsomba, koma simumadya nsomba izi katatu patsiku! Ndimadya mazira, nyemba za katsabola kwa masabata awiri awa omwe ndidadya kuposa moyo wanga wonse ... ndikufuna kudya nthawi zonse ndipo ndikufuna china chake chofunda, chofewa komanso chopanda mphamvu ... Ndinayamba kudya tchizi cha kanyumba kirimu wowawasa 2 pa sabata (ndimapanga kuchokera ku kefir). shuga, ngati kuti sikumera ... Zinatenga 2kg, kulembedwera Chaka Chatsopano. Ichi ndiye chiyambi. Ndi zakudya zamtunduwu, sindingathe kuzimilira kwa nthawi yayitali chifukwa cha ululu m'mimba mwanga ...
Ndikufuna ndikufunseni, mwina mwayankha, koma sindinawerenge ndemanga zanu zonse. Munadwala matenda ashuga, onenepa kwambiri, ochulukitsa shuga. Mwatha kusintha zonse. Bwanji simunasinthe kukhala moyo wabwino, ngati anthu athanzi? Kupatula apo, mutha kukhala ndi moyo wathanzi, kuyang'anira kunenepa kwanu, kudya mwachizolowezi ...

Masana abwino. Ndili ndi funso, kapena malingaliro anu amandisangalatsa. Ndili ndi zaka 31, kutalika-164 masentimita, kulemera kwa makilogalamu 87, mwezi wapitawo ndidapezeka ndi metabolic syndrome, endocrinologist mwanjira yake adalemba zakudya zama calorie ochepera 2 nthawi 850 mg. Nditangoona zotsatira za mayeso, nthawi yomweyo ndinasinthira ku chakudya chochepa chamafuta omwe munalimbikitsa, Metformin inayamba kutenga.Zotsatira zake zikuwoneka, kulemera kunachepa ndi 7 kg, shuga samadumpha mutatha kudya .. Koma chithandizo ichi chikudetsa nkhawa amayi anga, bambo anga anamwalira m'chilimwe cha 2017 oncology, kotero amayi akutsimikiza kuti matenda ake Lingaliroli lidakwiyitsidwa ndi zakudya za Kremlin (zakudya zazitali kwa nthawi yayitali malinga ndi malamulo ake, zopitilira chaka), popeza zimakhazikitsidwa ndi mapuloteni .. Ndipo atangomva kuti ndikupitiliza kudya zakudya zamafuta ochepa pafupifupi moyo wanga wonse, adatsala pang'ono kusangalala. Mukuganiza kuti lingaliro lake ndi loona? Mwina tandiuza komwe ndingawone maphunziro a sayansi pavutoli.

Nkhaniyi ndiyabwino .. Zikomo chifukwa chazidziwitso zatsopano. Ndikofunika kusindikiza pafupipafupi izi. Ngati pali cholephera kuperewera kwa mahomoni a chithokomiro mu hypothyroidism, chonde chosindikizira .. Ndiyeso ziti zomwe ziyenera kuchitidwa ndi hypothyroidism kutsimikizira izi /
Kodi pali kusiyana kotani pakati pa Diabeteson MR ndi Diabeteson B? Kutenga zaka zoposa 8, ndikufunika ndisinthe? Zikuwoneka kuti ndizofunikira? Shuga 7.8 mmol / L

Kuteteza kwa Metabolic Syndrome

Popewa kukula kwa metabolic syndrome, ndikofunikira kusiya kumwa mafuta ambiri, shuga. Mlozera wa misa wambiri uyenera kusungidwa pa 18.5-25.

Chofunika kwambiri ndimachitachita olimbitsa thupi. Njira zosachepera 10,000 ziyenera kutengedwa patsiku.

Chifukwa chake, metabolic syndrome si matenda odziyimira pawokha, koma mndandanda wazizindikiro zomwe pakapita nthawi zingayambitse kukula kwa zovuta zamtima ndi matenda a shuga. Pofuna kupewa izi, ndikofunikira kuchitapo kanthu panthawi yake popewa komanso kulandira chithandizo.