Metabolic syndrome: zimayambitsa ndi magawo a chitukuko, Zizindikiro, matenda, chithandizo

Metabolic syndrome ndi chipatala komanso labotale zovuta kudziwa zomwe zimachitika ndi zovuta za metabolic. Pathology imakhazikitsidwa ndi insulin chitetezo kapena kukana kwa maselo ndi zotumphukira zimakhala ndi insulin.. Kutenga chidwi kwa mahomoni omwe amachititsa kuti shuga ayambe kutayika, njira zonse mthupi zimayamba kuchitika. Odwala, kagayidwe ka lipids, purines, zakudya zimasokonezeka. Mwazi wamagazi umakwera, ndipo m'maselo mumakhala kuchepa.

Kumapeto kwa zaka za zana la 20, asayansi ochokera ku America adaphatikiza masinthidwe osiyanasiyana a metabolism mthupi la munthu kukhala amodzi. Pulofesa Riven, akuwunika mwachidule zotsatira za kafukufuku wa olemba ena ndi zomwe adazipenya, zomwe amazitcha pathology "Syndrome X". Anatsimikizira kuti kukana kwa insulini, kunenepa kwambiri kwa visceral, matenda oopsa komanso ischemia ya myocardial ndi chizindikiro cha mkhalidwe umodzi wa pathological.

Choyambitsa chachikulu cha matendawa ndi chibadwa. Ntchito yayikulu pakukula kwa matendawa imaseweredwa ndi njira yolakwika, kupsinjika ndi kusasamala kwa mahomoni. Mu hypodynamic anthu omwe amakonda zakudya zamafuta kwambiri komanso zama carb kwambiri, chiopsezo chokhala ndi matenda amizere ndi chambiri. Zakudya zama calorie apamwamba, zoyendera anthu komanso kugwira ntchito zina ndi zina zomwe zimayambitsa kusokonekera kwa metabolic ambiri mwa anthu otukuka. Pakadali pano, kagayidwe kazachilengedwe ka kufalikira kumayerekezedwa ndi mliri kapena ngakhale mliri. Matendawa nthawi zambiri amakhudza amuna azaka 35-65. Izi zimachitika chifukwa cha mawonekedwe a mahomoni abambo. Mwa akazi, matendawa amakula pambuyo poyambira kusamba, pamene kupanga kwa estrogen kumatha. Mibadwo yokhazikika yamatenda am'mimba idalembedwa pakati pa ana ndi achinyamata, koma kuwonjezereka kwa kuchuluka kwa anthu m'gulu lino kwadziwika posachedwapa.

Anthu omwe ali ndi matendawa amawonetsa matenda angapo obisika kamodzi: matenda ashuga, kunenepa kwambiri, matenda oopsa komanso mtima waschemia. Chofunika kwambiri pakupanga kwawo ndi kukana insulini. Odwala, mafuta amadziunjikira pamimba, nthawi zambiri kamvekedwe ka mitsempha yamagazi kamakwera, kupuma movutikira, kutopa, kupweteka kwa mutu, Cardialgia, kumverera kwanjala kosatha. Hypercholesterolemia ndi hyperinsulinemia zimapezeka m'magazi. Kutupa kwa minofu kukukulira.

Kuzindikira matendawa kumatengera deta yomwe imapezeka pakuwunika kwa wodwala ndi endocrinologist. Chofunika kwambiri ndizizindikiro za kuchuluka kwa mzere, kuzungulira kwamchiuno, mawonekedwe a lipid komanso glucose wamagazi. Mwa njira zothandizira, zopindulitsa kwambiri ndi izi: ultrasound ya mtima ndi muyeso wa kuthamanga kwa magazi. Metabolic syndrome imavuta kuchiza. Chithandizo chimakhala ndikuwona zakudya zapadera zomwe zimakupatsani mphamvu yochepetsa thupi, komanso kugwiritsa ntchito mankhwala omwe amabwezeretsa kuchepa kwa thupi. Pakakhala chithandizo chapanthawi yake komanso chokwanira, mavuto omwe amayambitsa moyo atha kukhala: atherosermosis, stroke, kugunda kwa mtima, kusabala, kubereka, mafuta a hepatosis, gout.

Metabolic syndrome - vuto lachipatala mwachangu lomwe limayambitsidwa ndi moyo wopanda thanzi wa anthu ambiri. Pofuna kupewa zovuta zamatendawa, ndikofunikira kudya moyenera, kusintha thupi, kulimbitsa thupi, kusiya mowa ndi kusuta. Pakadali pano, matendawa samachiritsidwa kwathunthu, koma zosintha zambiri zomwe zimachitika mthupi la wodwalayo zimasinthidwanso. Kuchita masewera olimbitsa thupi komanso kukhala ndi moyo wathanzi kudzakuthandizani kukhazikika kwazonse.

Zamoyo

Metabolic syndrome ndi polyetiological pathology yomwe imachitika mothandizidwa ndi zinthu zosiyanasiyana. Kukana insulini kumapangidwa mwa anthu omwe ali ndi cholowa chambiri. Izi ndi zomwe zimayambitsa matenda. Jini lochotsa kagayidwe m'thupi lili pa chromosome 19. Kusintha kwake kumabweretsa kusintha kwa kuchuluka ndi mtundu wa ma receptor omwe amakhudzidwa ndi insulin - amakhala ochepa kapena amasiya kuzindikira mahomoni. Chitetezo chathupi chimapanga ma antibodies omwe amatchinga ma cell a receptor.

Zina zomwe zimayambitsa matenda a metabolic ndi monga:

Zakudya zopanda pake zomwe zimapangitsa kuti pakhale chakudya chamafuta ambiri komanso chakudya chamagulu ambiri m'zakudya, kudya mopitirira muyeso, kudya kwambiri calorie komanso kumwa osakwanira,
Kulephera kuchita masewera olimbitsa thupi, kusachita masewera olimbitsa thupi komanso zinthu zina zomwe zimachepetsa kagayidwe kachakudya,
Spasms yamitsempha yamagazi ndi kusokonezeka kwa magazi chifukwa cha kusinthasintha kwa kuthamanga kwa magazi ndikuyambitsa kusokonezeka kosalekeza pakupezeka kwa magazi kwa ziwalo zamkati, makamaka ubongo ndi myocardium,
Psycho -kutengeka kwambiri kwa mankhwalawa - kupsinjika pafupipafupi, kutuluka kwa zokumana nazo, zokumana nazo, zochitika zosamvana, kuwawa kwa kutayika ndi katundu wina yemwe amaphwanya lamulo la ziwalo ndi minofu.
Hormonal kusalingana kumayambitsa matenda kagayidwe kachakudya, kuchuluka mafuta pamimba ndi mapangidwe a visceral-pamimba kunenepa.
Kutsekeka kwakanthawi kochepa mu tulo, kumayambitsa ubongo hypoxia ndikulimbikitsa chinsinsi cha kukula kwa mahomoni, omwe amachepetsa chidwi cha maselo kuti apange insulin,
Kutenga ma insulin antagonists - glucocorticosteroids, njira zakulera za pakamwa, mahomoni a chithokomiro, komanso antidepressants, adrenergic blockers ndi antihistamines,
Chithandizo chokwanira cha matenda osokoneza bongo a shuga ndi insulin, chomwe chimakulitsa kuchuluka kwa mahomoni m'magazi ndipo chimathandizira kuti azidana kwambiri ndi zolandilira ndi kupangika pang'onopang'ono kwa insulin.

Kuchepetsa chidwi cha insulin ndi njira yachisinthiko yomwe imalola kuti thupi likhale ndi moyo chifukwa chanjala. Anthu amakono, kudya zakudya zopatsa mphamvu kwambiri komanso kukhala ndi vuto la chibadwa, amathanso kukhala ndi vuto la kunenepa kwambiri komanso metabolic syndrome.

Mwa ana, zomwe zimayambitsa matendawa ndizikhalidwe zodyetsa, kulemera pang'ono, komanso moyo wokhala ndi moyo komanso zachuma. Achichepere amadwala matenda am'mimba chifukwa chosowa zakudya mokwanira komanso kuchita masewera olimbitsa thupi mokwanira.

Insulin ndi timadzi tomwe timagwira ntchito zingapo zofunika, pomwe gawo lake lalikulu limapezeka ndi maselo amthupi. Amamangirira ma receptors omwe amakhala pakhoma la cell, ndikuwonetsetsa kuti malowedwe amoto mu cell kuchokera kumalo akunja. Pamene ma receptor amataya chidwi ndi insulin, glucose ndi mahomoni enieniwo amadziunjikira m'magazi munthawi yomweyo. Chifukwa chake, kukana insulini ndiye maziko a matenda, omwe amatha chifukwa cha zifukwa zingapo.

Zochita za insulin ndizabwinobwino. Ndi kukana kwa insulini, khungu sililabadira kupezeka kwa mahomoni ndipo njira ya glucose siyotseguka. Insulin ndi shuga zimakhalabe m'magazi

Mukamadya chakudya chambiri cham'madzi, kuchuluka kwa shuga m'magazi kumawonjezeka. Zimakhala zoposa zomwe thupi limafunikira. Minofu ya glucose imadyedwa panthawi yogwira ntchito. Ngati munthu akhala moyo wongokhala ndipo nthawi yomweyo amadya chakudya chamafuta ambiri, glucose amadziunjikira m'magazi, ndipo maselo amaletsa kudya kwake. Zikondamoyozo zimaphatikizira kupanga insulin. Kuchuluka kwa mahomoni m'magazi akafika manambala ovuta, ma cell a cell adzaleka kuzizindikira. Umu ndi momwe kukana insulin kumapangidwira. Hyperinsulinemia, imathandizira kunenepa kwambiri ndi dyslipidemia, yomwe imakhudza mitsempha yamagazi.

Gulu lowopsa la metabolic syndrome limapangidwa ndi anthu:

Omwe nthawi zambiri amakhala ndi kuthamanga kwa magazi
Kunenepa kwambiri kapena kunenepa kwambiri
Kukhala ndi moyo wongokhala
Kugwiritsa ntchito chakudya chamafuta ndi mafuta,
Kuledzera zizolowezi zoyipa
Kuvutika ndi matenda a shuga 2, matenda a mtima, matenda amitsempha,
Kukhala ndi abale omwe ali ndi kunenepa kwambiri, matenda ashuga, matenda amtima.

Makulidwe a patomorphological a matendawa atha kuyimiridwa motere:

Kulephera kuchita masewera olimbitsa thupi komanso kuperewera kwa zakudya,
Kuzindikira kwamphamvu kwa ma receptor omwe akuchita ndi insulin,
Kuchuluka kwa mahomoni m'magazi,
Hyperinsulinemia,
Dyslipidemia,
Hypercholesterolemia,
Kunenepa kwambiri
Matenda oopsa
Matenda a mtima,
Hyperglycemia,
Kupangidwe kwa ma radicals aulere pakuwonongeka kwa mapuloteni,
Zowonongeka m'maselo a thupi.

Mlingo wa chitukuko cha matenda a zam'thupi, owonetsa pathogenesis:

Koyamba - dysglycemia, kukhalanso ndi chizolowezi cha pancreatic, kusowa kwa shuga ndi matenda a mtima,
Pang'onopang'ono - kukula kwapang'onopang'ono kwa kulolera kwa glucose, kusowa kwa kapamba, hyperglycemia,
Chachikulu - kukhalapo kwa matenda osokoneza bongo, kutchulidwa kwa kapamba.

Kodi matendawa amawonekera bwanji?

Pathology imayamba pang'onopang'ono ndipo imawonetsedwa ndi zizindikiro za matenda a shuga, matenda oopsa a m'magazi komanso matenda a mtima.

Odwala amadandaula za:

Zofooka
Kutha
Kuchepetsa ntchito
Chisoni
Zosokoneza tulo
Kusintha kwa malingaliro
Kukonda
Kukana kwa nyama nyama ndi mankhwala osokoneza bongo,
Kuchulukitsa chilakolako
Wanjala
Polyuria.

Zizindikiro za mtima, tachycardia, kupuma movutikira kulumikizana ndi ziwonetsero zambiri za thupi. Pali kusintha m'mimba, komwe kumawonetsedwa ndi kudzimbidwa, kuphuka, colic. Kudya zakudya zotsekemera kumachepetsa nthawi yanu.

Anthu omwe ali ndi matendawa amakhala ndi mafuta onyansa pamimba, pachifuwa, pamapewa. Amakhala ndi mafuta omwe amayikidwa mkati. Izi ndiye zotchedwa kunenepa kwambiri, zomwe zimatsogolera ku kusokonezeka kwa zinthu zomwe zakhudzidwa. Adipose minofu imagwiranso ntchito endocrine. Amatulutsa zinthu zomwe zimayambitsa kutupa ndikusintha ma magazi a magazi. Kudziwitsa za kunenepa kwambiri kwam'mimba kumachitika ngati kukula kwa chiuno mwa amuna kumafika 102 masentimita, ndipo mwa akazi 88. Chizindikiro chakunja cha kunenepa kwambiri ndi striae - burgundy kapena cyanotic yopapatiza mikwingwirima yosiyanasiyana pakhungu la pamimba ndi m'chiuno. Malo ofiira m'thupi lakumwambako ndi chiwonetsero cha matenda oopsa. Odwala amakhala ndi mseru, kugundana ndi kupwetekedwa mutu, pakamwa youma, matenda oopsa usiku, chizungulire, kugwedezeka kwa malekezero, kuthina kwa "ntchentche" pamaso pa maso, kuzindikira kusuntha.

Njira zoyenera

Kuzindikira matenda a metabolic kumayambitsa zovuta zina pakati pa akatswiri. Izi ndichifukwa chosowa zizindikiro zenizeni, kuwonetsa kukhalapo kwa matenda enaake. Zimaphatikizanso kuyesa kwa wodwala ndi endocrinologist, zosunga za mbiri yakale yazachipatala, kufunsira kowonjezera ndi katswiri wazakudya, mtima, gynecologist, andrologist. Madokotala amazindikira ngati wodwalayo ali ndi vuto lotengera kunenepa kwambiri, momwe thupi lake lasinthira m'zaka zonse za moyo wake, kuchuluka kwa kuthamanga kwa magazi komwe amakhala nako, kaya ali ndi matenda amtima komanso wamitsempha.

kudziwa njira metabolic syndrome

Panthawi yoyeserera, akatswiri amalabadira za kupezeka kwa striae ndi mawanga ofiira pakhungu. Kenako dziwani zambiri za wodwalayo kuti muwone kunenepa kwambiri kwa visceral. Kuti muchite izi, pimitsani gawo lanu. Kutengera kukula ndi kulemera, mndandanda wamasamba a thupi amawerengedwa.

Laborator matenda a matenda - kutsimikiza mu magazi:

Kuphatikizika kwa zinthu izi ndikwambiri kwambiri kuposa kwazinthu. Mapuloteni amapezeka mumkodzo, chomwe ndi chizindikiro cha matenda ashuga.

Njira zofufuzira zopangira zida zili ndi phindu lothandizira. Odwala amayeza kuthamanga kwa magazi kangapo patsiku, electrocardiogram amalembedwa, ma ultrasound a mtima ndi impso, ultrasonography, radiography, CT ndi MRI ya endocrine glands imachitidwa.

Njira yochiritsa

Chithandizo cha matendawa ndicholinga chofuna kukhazikitsa mphamvu zamafuta ndi chakudya chamafuta, kuchepetsa kulemera kwa wodwalayo, kuthetsa zizindikilo za matenda ashuga komanso kuthana ndi matenda oopsa. Zochizira matenda a mtima, malingaliro apadera azachipatala adapangidwa ndikugwiritsidwa ntchito, kukhazikitsa komwe ndikofunikira kuti zotsatira zake zitheke.

Mankhwala othandizira pakudya ndiofunika kwambiri pochiritsa matenda. Mwa anthu omwe atha kunenepa kwambiri, kuthamanga kwa magazi ndi shuga m'magazi zimasinthidwa mwachangu, zizindikiro za matendawa zimacheperachepera, ndipo chiopsezo chovuta kwambiri chimachepa.

Mfundo zoyenera kudya:

Kupatula pa zakudya zam'madzi osavuta - ma muffin, confectionery, maswiti, zakumwa zoziziritsa kukhosi, komanso chakudya chofulumira, zakudya zamzitini, nyama zosuta, masoseji,
Chepetsa zakudya zamchere, pasitala, mpunga ndi semolina, mphesa, nthochi,
Kugwiritsa ntchito masamba abwino ndi zipatso, zitsamba, mbewu monga chimanga, nsomba ndi nsomba, zakudya zam'nyanja, zamkaka zopanda shuga,
Zakudya zopatsa mphamvu 5-6 pa tsiku pazigawo zochepa maola atatu aliwonse osadya kwambiri komanso kufa ndi njala,
Zakumwa zololedwa - zakumwa zopanda zipatso ndi ma compotes, mankhwala azitsamba opanda shuga, mchere wamadzi,
Kupatsa thanzi kwa mavitamini, mchere, michere yazakudya.

Odwala omwe ali ndi vutoli ayenera kutsatira zakudya zamagulu ochepa pamoyo. Kuletsa kwamphamvu kwa zopatsa mphamvu kumapereka zotsatira zabwino polimbana ndi kunenepa kwambiri, koma si aliyense amene angalimbane ndi boma ili. Odwala amakhala ndi kufooka, kusabala, komanso kusinthasintha. Nthawi zambiri pamakhala kusokonezeka ndi kususuka kwa kususuka. Ichi ndichifukwa chake mapuloteni a nyama ayenera kukhala maziko azakudya. Kudya mafuta osakwanira - gwero lalikulu lamagetsi, kumapangitsa kuti pakhale kuchuluka kwa mafuta osungira, omwe amathandiza kuchepetsa thupi. Woopsa milandu, pakalibe mphamvu yawofatsa mankhwala a kunenepa, ntchito ikuchitika - chapamimba kapena biliopancreatic shunting.

Zochita zolimbitsa thupi zimawonetsedwa kwa odwala omwe alibe matenda a musculoskeletal system. Zothandiza kwambiri ndikuthamanga, kupalasa njinga, kusambira, kuyenda, kuvina, kuyendetsa ndege, kuphunzitsa mphamvu. Kwa anthu omwe ali ndi zoletso zina zathanzi, ndikokwanira kuchita masewera olimbitsa thupi m'mawa ndi kuyenda mu mpweya wabwino.

Mankhwala - mankhwala a magulu osiyanasiyana a pharmacological:

Mankhwala osokoneza bongo polimbana ndi hyperglycemia - Metformin, Siofor, Glucofage,
Mankhwala ochepetsa lipid kutsitsa dyslipidemia - "Rosuvastatin", "Fenofibrate",
Othandizira a antihypertgency kuti achulukitse kuthamanga kwa magazi - Moxonidine, Kapoten, Perineva,
Mankhwala omwe amaletsa kuyamwa kwa mafuta - "Xenical", "Orsoten",
Mankhwala omwe amachepetsa kulakalaka - "Fluoxetine."

Kukonzekera kwa pharmacological kumasankhidwa payekhapayekha kwa wodwala aliyense, poganizira zomwe zimachitika mthupi, gawo la pathology, etiological factor ndi zotsatira za hemogram. Musanayambe chithandizo ndi mankhwala osokoneza bongo, muyenera kuyesa njira zonse zosagwiritsa ntchito mankhwala - zakudya, masewera, moyo wathanzi. Nthawi zina izi ndizokwanira kuthana ndi kagayidwe kachakudya koyambira komanso koyenera.

Njira zolimbitsa thupi zimathandizira mphamvu ya zakudya komanso mankhwala. Nthawi zambiri, odwala amatchulidwa kutikita minofu, chipinda cha Hyperbaric, myostimulation, cryotherapy, matope mankhwala, hirudotherapy.

Mankhwala achikhalidwe polimbana ndi kagayidwe kachakudya sikothandiza kwambiri.Ikani diuretic, diaphoretic, choleretic chindapusa, komanso phytochemicals yomwe imathandizira kagayidwe. Ma infusions odziwika kwambiri ndi decoctions a chicory muzu, ma stigmas, dandelion rhizomes, nthangala za borage.

Kupewa

Njira zoteteza chitukuko cha metabolic syndrome:

Zakudya zoyenera
Zochita zolimbitsa thupi
Kusiya zizolowezi zoipa,
Nkhondo yolimbana ndi kusachita masewera olimbitsa thupi,
Kutulutsidwa kwa kupsinjika kwamanjenje, kupsinjika, kutopa,
Kumwa mankhwala okhazikitsidwa ndi dokotala
Kuwunikira pafupipafupi kuthamanga kwa magazi ndi kuwunika kwa kolesterol,
Kuwongolera kunenepa ndi magawo a thupi,
Kuyesedwa kwamankhwala ndikuwunikira kosalekeza ndi endocrinologist komanso kuyesedwa kwakanthawi kwa mahomoni.

Kuthamanga kwa matenda am'mbuyomu komwe kumayambika nthawi moyenera komanso mosankhidwa bwino. Kuzindikira mochedwa komanso kusowa kwa chithandizo chokwanira ndizomwe zimayambitsa zovuta zazikulu komanso zowopsa m'moyo. Odwala amakhala ndi mtima komanso impso.

Kunenepa kwambiri, angina pectoris ndi matenda oopsa ndizo zimayambitsa kufa mwachangu kwa anthu mamiliyoni ambiri. Izi pathologies zimachitika motsutsana maziko a metabolic syndrome. Pakadali pano, anthu ambiri padziko lapansi ndi onenepa kwambiri kapena onenepa kwambiri. Tiyenera kukumbukira kuti anthu oposa 50% amafa chifukwa cha kuperewera kwa mphamvu ya m'mitsempha.

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 zinthu zomwe zimayambitsa mtima.

Ndikosatheka kuchiritsa matenda a metabolic. Koma mutha kuiwongolera bwino kuti mukhale ndi moyo wautali wopanda matenda ashuga, vuto la mtima, stroke, etc. 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 "zoipa" cholesterol, triglycerides ndi glucose wamagazi.

Tikukulangizaninso kuti mufunse za mankhwala omwe amatchedwa. Yakhala ikugwiritsidwa ntchito kuyambira kumapeto kwa zaka za 1990s kuti ichulukitse 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 kuwonjezeranso 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, imakwezedwa. 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.

Kupititsa patsogolo zotsatira za kuyesedwa kwa magazi kwa cholesterol ndi triglycerides, madokotala nthawi zambiri amakupatsani zakudya zama calorie ochepa komanso / kapena 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.

Sangoyenda 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 zamagulu ochepa kumathandizadi! Nthawi yomweyo, imachepetsa kuthamanga kwa magazi. Uku ndiko kupewa kwenikweni kwa kugunda kwa mtima ndi sitiroko, komanso popanda kumva kukoma kwa njala. Zowonjezera zothandizira kupsinjika komanso kwa mtima zimakwaniritsa zakudya bwino. Amawononga ndalama, koma mtengo umalipira, chifukwa mumakhala wokondwa kwambiri.

Nthawi Yakwana: 0

Zotsatira

Mayankho olondola: 0 kuchokera 8

Ndi yankho
Ndi cholembera

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

Zomwe zimachitika:

The etiology sichikudziwika. Pali maphunziro omwe akuwonetsa gawo la zotsatirazi pakukula kwa MS:
■ onjezera mamvekedwe amachitidwe amanjenje omvera,
■ kukana insulini,
■ Hyperandrogenism,
Kuchepa kwa insulin-kukula,
■ ntchito yama pro-yotupa ya cytokines (TNF-a, mapuloteni othandizira, IL-6, IL-10).
Metabolic syndrome - gawo loyamba la matenda ashuga 2, limasiyana ndi khola lomaliza, popeza kutsutsana ndi insulin panthawi imeneyi kumapanikizika chifukwa cha hyperinsulinemia. Kutsika kwa kulemera kwa thupi powonjezera zochitika zamagalimoto ndi regimen yokwanira kumachepetsa chiopsezo chokhala ndi matenda a shuga a 2 ndi 30-50% kale pa siteji iyi.
Zokhudza mahomoni ogonana pamatumbo a lipid:
Estrogens:
- kuchuluka kwa lipoprotein lipase m'zigawo zazikazi,
- Kudzikundikira kwa lipids kuti kupereke mphamvu zamagetsi nthawi yapakati komanso pakubala.
Progesterone:
- progesterone zolandilira zomwe zimapezeka m'mimba m'mimba zowonda,
- amatenga nawo gawo pa adipose minofu metabolism,
- ndi mpikisano wa glucocorticoids awo cholandilira mu maselo amafuta kumapeto kwa luteal gawo, amalimbikitsa mphamvu yamagetsi,
- mwa azimayi a postmenopausal, kusowa kwa progesterone kumafotokozera kuchepa kwa kagayidwe.
Kuwongolera estrogen kupangidwa kwa leptin ndi adipocytes kumachitika kudzera munjira yabwino yoyankha. Leptin - mahomoni apuloteni opangidwa ndi maselo amafuta, chizindikiro cha ubongo chokhudza kukwera kwa gawo, ponena za kuchuluka kwa mphamvu m'thupi.
Zomwe zimagawidwa kwa minofu ya adipose zimatsimikiziridwa ndi mahomoni ogonana: estrogens ndi progesterone ndi omwe amachititsa kuti mafuta agwiritsidwe ntchito m'thupi la zigawo zazikazi (gynoid), androgens m'mimba (android).
Adipose minofu ndi malo omwe amapanga zowonjezera-gonadal synthesis ndi metabolism ya estrogens, mkati momwe P450 aromatase imakhudzidwira.
Kuchepa kwam'mimba komanso makamaka ma visceral kunenepa kwambiri kumayambitsa matenda amtima, chifukwa cha anatomical komanso zokhudza thupi zomwe zimakhala ndi adipose minofu. Kupereka kwake magazi kumayenda bwino, njira za metabolic zimachulukanso, ndipo ma cell a mafuta amakhala ndi kachulukidwe kakakulu ka p-adrenergic receptors (kukondoweza kwawo kumabweretsa lipolysis) ndi kachulukidwe kochepa kwambiri ka a adrenergic receptors ndi insulin receptors, omwe amalimbikitsidwa ndi lipolysis. & Nbsp & nbsp
Kuchulukitsa kwa lipolysis mu adipose minofu ya m'mimba-visceral kumayambitsa kuwonjezeka kwamphamvu yamafuta acids mu kayendedwe kazinthu, komwe kumayambitsa kusokonezeka kwa metabolic: kunenepa kwambiri kwa insulini, kuchuluka kwa shuga, insulini, VLDLP ndi triglycerides m'magazi.
Ndi kukana kwa insulini, lipid oxidation siyokakamizidwa ndipo, mwakutero, kuchuluka kwamafuta acids amamasuka kumaselo amafuta. Kuphatikiza apo, mafuta ochulukirapo a asidi aulere amachititsa kuti gluconeogenesis, achepetse kaphatikizidwe ndikupwanya kuphwanya cholesterol-VLDL ndi triglycerides, komwe kumayendera limodzi ndi kuchepa kwa milingo ya cholesterol-HDL. Dyslipoproteinemia, nawonso, imakulitsa mkhalidwe wa insulin kukana, monga zikuwonekera, mwachitsanzo, ndi kuchepa kwa chiwerengero cha insulin receptors mu minofu ya chandamale ndi kuwonjezeka kwa zomwe zili mu LDL-C.
Ubale pakati pa ochepa matenda oopsa ndi hyperinsulinemia wafotokozedwa ndi:
Kuonjezeranso kwa sodium mu impso (antidiuretic effect),
■ kukondoweza kwa mtima wamanjenje omvera komanso kupanga katekisimu,
■ kuchuluka kuchuluka kwa minyewa yosalala minyewa ndi kusintha kwa kuchuluka kwa sodium ayoni mu mtima endothelium.
Mu menopausal MS, motsutsana ndi kufooka kwa mahomoni ogonana, kuchuluka kwa mapuloteni omwe amamangiriza ma steroid ogonana kumatsitsidwa, zomwe zimapangitsa kuwonjezeka kwa zomwe zili mu free androjeni m'magazi, zomwe zimapangitsa kutsika kwa misempha ya HDL ndikupangitsa insulin kukaniza ndi hyperinsulinemia.
Mukunenepa kwambiri komanso kukana insulini, zomwe zimapangitsa kuti proinflammatory reaction TNF-a, IL-6, plasminogen-1 activator inhibitor (IAP-1), mafuta achilengedwe aulere, angiotensinogen II, adziyambitsa, zomwe zimayambitsa kusokonekera kwa endothelial, kupsinjika kwa oxidative, komanso kuperewera kwa cytokines. kukula kwa insulin kukana.
Chiyanjano pakati pa he hetatic dongosolo ndi insulin kukana chikufotokozedwa ndi mgwirizano mwachindunji pakati pa mulingo wa insulin ndi zochita za zinthu VII, X ndi (IAP-1): insulini imalimbikitsa kutulutsa kwawo.
Zigawo zonse za metabolic syndrome: kukana insulini, dyslipoproteinemia, kuchepa kwa mtima wamanjenje - zimalumikizana, koma zonsezi zimagwirizanitsidwa ndi kunenepa kwambiri pamimba, zomwe zimawerengedwa ngati chizindikiro chachikulu cha metabolic syndrome.

Kupatulidwa kwa MS ndikofunikira kwambiri kuchipatala, chifukwa izi, mbali imodzi, zikukula mosinthika, ndipo, ndizotsatira za pathogenesis osati zamitundu iwiri yokha, komanso matenda oopsa oopsa komanso.
Kuphatikiza apo, malinga ndi kuchuluka kwa zinthu zazikulu zomwe zimayambitsa chitukuko cha matenda a mtima ophatikizidwa ndi MS (mtundu wapamwamba wa kunenepa kwambiri, kulolerana kwa glucose, AH) amafotokozedwa ngati "quartet yakufa". MS imaphatikizapo zigawo zikuluzikulu zotsatirazi:
■ kukana insulini,
■ hyperinsulinemia ndi milingo yokwera ya C-peptide,
Matenda olekezera m'magazi,
■ hypertriglyceridemia,
Kuchepa kwa HDL ndi / kapena kukwera kwa LDL,
■ m'mimba (android, visceral) kunenepa kwambiri,
■ AG,
■ Hyperandrogenism mwa akazi,
■ & nbsp & nbsp & nbsp & nbsp & nbsp & nbsp; okwera m'matumbo a glycated hemoglobin ndi fructosamine, mawonekedwe a mapuloteni mumkodzo, mkodzo wa purine metabolism,
MS ikhoza kuwoneka mwanjira iliyonse mwa mindandanda; zigawo zonse za matendawa sizimawonedwa nthawi zonse.
Kunenepa kwambiri pamimba ndiye chizindikiro chachikulu cha metabolic syndrome.
Nthawi zambiri, msambo umasokonezedwa ndi mtundu, metrorrhagia,. Ma ovaries a polycystic nthawi zambiri amapezeka.
Kunenepa kwambiri kumawonjezera chiopsezo cha:
matenda amtima,
matenda obanika kugona (osautsa),
matenda ashuga,
nyamakazi,
matenda oopsa
matenda a chiwindi,
khansa yapakati,
mavuto azamisala
khansa ya m'mawere.
Kugona kopanda tulo kumawonedwa mu 60-70% ya anthu onenepa kwambiri. Kusagona masana, mtima, ischemia, hyperventilation syndrome, matenda oopsa a m'mapapo, kulephera kwa mtima ndi chikhalidwe.

Cholinga cha chithandizo: Kuchepetsa thupi, kubwezeretsa ntchito za kubereka ngati zingaphwanyike.

Kugwiritsa kwa kagayidwe kachakudya matenda a metabolic kuphatikiza:
a. Kupanga ndi kukonza kwa zomwe wodwalayo akulimbikitsani kuti achepetse thupi,
b. kulumikizana pafupipafupi ndi wodwala ndikupanga komanso kulumikizana kwa zolinga zapakati pa chithandizo ndi kuwongolera zakwaniritsa.
Chithandizo chosamwa:
- Maphunziro a odwala.
- Rational hypo - ndi eukaloric zakudya.
- Kuchulukitsa zolimbitsa thupi.
- Kusintha kwakhalidwe.
- Mankhwala othandizira opaleshoni oyenera kuchepetsa kuchuluka kwa m'mimba.
Chithandizo cha mankhwala:
- Kusankhidwa kwa serotonin ndi norepinephrine reuptake inhibitor (sibutramine) 10-15 mg patsiku: kumayambitsa kuyambiranso komanso kuchuluka kwa kumverera kwodzaza ndipo, chifukwa chake, kutsika kwa kuchuluka kwa chakudya chomwe mumadya. Mlingo woyamba wa sibutramine ndi 10 mg patsiku. Ndi kuchepa kwa thupi zosakwana 2 kg kwa milungu 4, mlingo umakulitsidwa mpaka 15 mg patsiku. Mankhwala ndi contraindicated ochepa ochepa matenda oopsa.
- Mankhwala otumphukira - orlistat imalepheretsa matumbo a enzymatic, kuchepetsa kuchuluka kwamafuta acids ndi monoglycerides m'matumbo aang'ono. Mlingo wothandiza kwambiri ndi wa 120 mg katatu patsiku. Pamodzi ndi kuchepa thupi panthawi yothandizidwa ndi xenical, normalization kapena kuchepa kwakukulu kwa kuthamanga kwa magazi, kuchuluka kwa cholesterol, LDL-C, triglycerides kunadziwika, zomwe zikuwonetsa kuchepa kwa chiopsezo chokhala ndi matenda amtima. Xenical imalekeredwa bwino komanso yotetezeka.
- Ma antidepressants - kusankha ma serotonin reuptake inhibitors akuwonetsedwa kwa odwala omwe ali ndi nkhawa komanso zovuta, zovuta zam'mimba komanso neurotic bulimia: fluoxetine - tsiku lililonse 20 mpaka 60 mg kwa miyezi itatu kapena fluvoxamine 50-100 mg patsiku kwa miyezi itatu.
Mankhwala a pathogenetic a menopausal MS - mankhwala othandizira mahomoni.

Kuchepetsa thupi kwambiri kumapeto kwake kumathandiza kuchepetsa chiopsezo chokhala ndi matenda amtima, kupewa matenda ashuga amtundu wa 2, komanso kuchepetsa zomwe zimachitika chifukwa cha ziphuphu zakumaso ndi nyamakazi. Njira zothandizira kukwaniritsa zotsatira zomaliza pambuyo pa kunenepa kwambiri ndizovuta kwambiri ndipo zimaphatikizapo:
- Matenda a lipid metabolism,
- kuchepa kwa kuthamanga kwa magazi, ndende ya insulin, cytokines ya pro-yotupa, chiopsezo cha thrombosis, oxidative nkhawa.
Popeza oligomenorrhea nthawi zambiri imawonedwa mwa azimayi amsinkhu wobala omwe ali ndi vuto la MS, monga lamulo, kuchepa kwa thupi kwa 10% kapena kupitirira apo kumapangitsa kuti azimayi azisamba 70% azimayi ndikubwezeretsanso kwa ovulation mu 37% ya amayi opanda mankhwala a mahomoni. HRT yokhala ndi MMS imathandizira kuchepetsa kuchepa kwa thupi, kutsitsa mzere wozungulira / m'chiuno, ndikuwongolera kuchuluka kwa insulin komanso mawonekedwe a magazi a lipid.

Kulimbitsa thupi kosalekeza kumawonjezera chiopsezo cha matenda amtima, kuwonongeka kwa minofu ndi mafupa, komanso matenda ena amtundu wa chiberekero (endometrial hyperplasia, DMC, kufooka kwa njira zakulera za chiberekero pakubala).

Chimodzi mwazinthu zodziwika bwino komanso zowopsa zamunthu masiku ano zimadziwika kuti metabolic syndrome. Madokotala samati izi zimachitika ndi matenda amodzi ndi m'modzi, m'malo mwake, ndi kuphatikiza kwa matenda ena akulu a metabolic ndi mtima dongosolo. Pathology imakhala yofala pakatikati, makamaka mwa amuna, koma patatha zaka 50, metabolic syndrome imachulukanso mwa akazi. Izi zikuchitika chifukwa cha kuchepa kwa kupanga kwa estrogen panthawiyi. Posachedwa, matenda azachipatala akufalikira, pafupifupi gawo limodzi mwa magawo anayi a mayiko otukuka ali ndi vuto la metabolic. Anayambanso kudabwitsa ana. Izi zimachitika chifukwa chokhala phee komanso kudya zakudya zamagulu ambiri.

Metabolic syndrome mwa akazi: ndi chiyani

Izi matenda si matenda osiyana. Metabolic syndrome imaphatikizanso kuphatikiza kwa nthenda zinayi zazikulu izi:

mtundu 2 shuga
matenda oopsa
matenda a mtima
kunenepa.

Matenda onsewa ndi akulu mwa iwo okha, koma akaphatikizidwa, amakhala owopsa kwambiri. Chifukwa chake, madokotala amatcha metabolic syndrome ndi "quartet yakufa." Popanda chithandizo chokwanira, matendawa nthawi zambiri amabweretsa zovuta zambiri ngakhale kufa. Chifukwa chake, ndikofunikira kudziwa matenda a metabolic mu nthawi yake. Zomwe zimadziwika nthawi zambiri kwa azimayi panthawi yopereka. Ndipo azimayi ambiri amagwirizanitsa matenda awo ndi kusamba. Chifukwa chake, dokotala amafunsidwa kale kumapeto kwa chitukuko cha matenda a zamitsempha, kusintha kwa mtima kumaonekera. Koma mothandizidwa ndi chithandizo choyenera, ndizotheka kuyimitsa kupitilira kwa zovuta zaumoyo. Ngakhale amakhulupilira kuti matenda azachipatala sangachiritsidwe kwathunthu.

Metabolic syndrome mwa akazi: kufotokozera

Kusintha kwakukuru kumeneku pakati paumoyo wathanzi kumalumikizidwa ndi kusokonezeka. Chachikulu ndi kukhazikitsa kusazindikira maselo kwa insulini. Zotsatira zake, timadzi timeneti timalephera kukwaniritsa ntchito zake, ndipo glucose samatengekedwa ndi minofu. Izi zimapangitsa kuti ziwalo zonse zisinthe, makamaka ubongo.

Ntchito yayikulu ya insulin ndikuyambitsa magwiritsidwe a shuga m'magazi. Koma ngati ma receptor omwe akukhudzidwa ndi izi akhalabe opanda chidwi ndi timadzi tambiri, njirayi imasokonekera. Zotsatira zake, glucose samamwa, insulin imapangidwa, ndipo amadziunjikira m'magazi.

Kuphatikiza apo, metabolic syndrome mwa akazi imadziwika ndi kuwonjezeka kwa cholesterol "yoyipa" ndi triglycerides chifukwa cha kuchuluka kwa uric acid ndi kusalinganika kwa mahomoni. Chifukwa cha zosintha izi, kuthamanga kwa magazi kumakwera, kunenepa kwambiri kumawonekera, ndipo ntchito yamtima wasokonezeka.

Kusintha konseku kumachitika m'thupi pang'onopang'ono. Chifukwa chake, sizotheka mwachangu kuzindikira akazi a metabolic. Zizindikiro zake zimapezeka ngati kusintha kukukhudza ntchito ya ziwalo zambiri. Koma, choyamba, chifukwa cha kuperewera kwa zakudya m'thupi komanso moyo wongokhala, chidwi cha maselo ku insulin chimasokonezedwa. Zotsatira zake, kapamba amayamba kupanga kuchuluka kwa mahomoni awa kuti apereke glucose m'maselo. Kuchuluka kwa insulini m'magazi kumabweretsa zovuta za metabolic, makamaka kuyamwa kwa mafuta. Kunenepa kwambiri kumayamba, kuthamanga kwa magazi kumakwera. Ndipo kuchuluka kwa shuga m'magazi kumayambitsa matenda a shuga, komanso kuwonongeka kwa mapuloteni omwe amapanga maselo, omwe amachititsa kukalamba msanga.

Zimayambitsa metabolic syndrome mwa akazi

Kusintha kwachilengedwe m'thupi ndi matenda amenewa kumalumikizidwa ndi kusazindikira maselo kupita ku insulin. Ndi njirayi yomwe imayambitsa zonse zomwe zimadziwika ndi metabolic syndrome mwa akazi. Zomwe zimapangitsa kuti insulin ikane.

Kodi metabolic syndrome imawoneka bwanji?

Pathology imayamba kufalikira, m'zaka zaposachedwa yakhala ikuwonekera kwambiri muunyamata. Koma mawonetsedwe ake ambiri samadziwika pamigawo yoyamba. Chifukwa chake, odwala nthawi zambiri amatembenukira kwa dokotala pamene kuphwanya kwakukulu mu ntchito ya ziwalo zamkati ndi machitidwe zimawonedwa kale. Kodi munthu angadziwe bwanji munthawi yake kuti matenda a metabolic amapezeka mwa akazi? Zizindikiro za matenda a m'matumbo zingakhale motere:

kutopa, kuchepa mphamvu, kuchepa kwa ntchito,
ndikudyera nthawi yayitali, machitidwe oyipa amawonekera, ngakhale okwiya,
Nthawi zonse ndimafuna maswiti, kugwiritsa ntchito zakudya zamafuta kumathandizanso kuti mtima ukhale wabwino,
pali kugunda kwamtima kwadzidzidzi, kenako - kupweteka mumtima,
Mutu umagwera nthawi zambiri ndipo kuthamanga kwa magazi kumakwera,
nseru, pakamwa pouma komanso ludzu lochulukirapo limatha
chimbudzi chimachepetsa, kudzimbidwa kumawonekera,
Zizindikiro za matenda a dongosolo la mantha a ubongo - - tachycardia, thukuta kwambiri, kusokonekera kwa kayendedwe ka mayendedwe ndi ena.

Palinso zizindikiro zakunja za matenda awa. Dokotala wodziwa zambiri amatha kudziwa za metabolic syndrome mwa akazi pang'onopang'ono. Chithunzi cha odwala chotere chimawonetsa chizindikiro chodziwika kwa onse: kunenepa kwambiri ndi mtundu wam'mimba. Izi zikutanthauza kuti mafuta amadziunjikira makamaka pamimba. Kuphatikiza apo, osati mu minofu yaying'ono, komanso kuzungulira ziwalo zamkati, zomwe zimasokoneza ntchito yawo. Amakhulupirira kuti kunenepa kwam'mimba kumachitika ngati kukula kwa chiuno cha mkazi kupitilira masentimita 88.

Kuphatikiza apo, mutha kuwona mawanga ofiira pakhosi ndi pachifuwa chapamwamba. Maonekedwe awo amaphatikizidwa ndi vasospasm ndi kuthamanga kapena kupsinjika.

Mavuto ndi zotsatira za metabolic syndrome

Ichi ndi matenda osachiritsika omwe ali ndi zovuta zamankhwala. Popanda chithandizo choyenera, metabolic syndrome mwa akazi imabweretsa zotsatira zoyipa. Nthawi zambiri, kusokoneza kwamitsempha yamagazi kumayambitsa myocardial infarction kapena stroke. Matenda a atherosulinosis, thrombophlebitis, kapena matenda a mtima apatsitsika angayambenso.

Ndipo chithandizo chosayenera cha matenda a shuga a mtundu wa 2 chimayambitsa kukula kwa mawonekedwe ake omwe amadalira insulin. Kuchulukana kwotalikilapo kwa shuga m'magazi ndimomwe kumayambitsa khungu, kukalamba msanga, komanso kusagwira bwino ntchito kwa zotumphukira. Gout kapena mafuta a chiwindi amathanso kuyamba. Odwala awa nthawi zambiri amakhala osakhudzidwa, choncho nthawi zambiri amakhala ndi chimfine, bronchitis, ndi chibayo.

Ngati metabolic syndrome imayamba mwa azimayi amsinkhu wobereka, izi zimatha kubala. Inde, kuphwanya matendawa kumakhudza chakudya chokha komanso mafuta a metabolism. Ziwalo zonse ndi minofu zimavutika, kusokonezeka kwa mahomoni nthawi zambiri kumawonedwa. Thumba losunga mazira la polycystic, endometriosis, kuchepa kwa kugonana, kusamba kwa msambo kumatha.

Kuzindikira kagayidwe kachakudya matenda

Nthawi zambiri, odwala omwe ali ndi zizindikiro zotere amapita kwa akatswiri. Pambuyo pofufuza ndikusunga mbiri yachipatala, wodwalayo amatumizidwa kwa endocrinologist kuti amupimenso ndi kusankha njira zamankhwala. Kafukufuku wodwala amakupatsani mwayi wowona mawonekedwe a moyo ndi zakudya, kukhalapo kwa matenda osachiritsika. Kuphatikiza apo, endocrinologist imayesa wodwalayo kunja: imayesa mchiuno, imawerengera index yolimba. Koma osati mwa zizindikiro izi ndi metabolic syndrome mwa akazi otsimikiza. Kuzindikira kwa matenda a zam'mimba kumakhalanso ndi mayeso a labotale. Nthawi zambiri, kuyezetsa magazi ndi mkodzo kumachitika chifukwa cha izi. Kukhalapo kwa metabolic syndrome kumasonyezedwa ndi izi:

okwera triglycerides,
kuchepa kwa ndende ya lipoproteins yapamwamba,
kuchuluka kwa cholesterol yoyipa,
shuga m'mimba yopanda 5.5 mmol / l,
kuchuluka kwa insulin ndi leptin,
Ma mamolekyulu a mapuloteni komanso kuchuluka kwa uric acid amapezeka mumkodzo.

Kuphatikiza apo, njira zina zoyeserera zimagwiritsidwanso ntchito. Kuyesedwa kwa kulolera kwa glucose, zizindikiro zamagazi,

Dokotalayo amatha kukupatsani mankhwala a chithokomiro cha mtima. Chizindikiro chofunikira komanso mtundu wa mahomoni a wodwalayo.

Mfundo zachithandizo

Wodwala aliyense amafunikira njira yothandizira payekha. Chithandizo cha metabolic syndrome mwa akazi chimayikidwa malinga ndi kuchuluka kwa magazi, kuchuluka kwa kunenepa kwambiri komanso kupezeka kwa matenda oyanjana. Ntchito zake zazikulu ndikuyenera kuchepetsa kuchepa kwa thupi, kuonjezera mphamvu ya maselo kuti apange insulini, kusintha njira zama metabolic ndi kuthamanga kwa magazi, kuwongolera mahomoni ena ndikuwongolera magwiridwe antchito a mtima.

Nthawi zambiri, njira zotsatirazi zimagwiritsidwa ntchito pochiza:

Zakudya zapadera za metabolic syndrome mwa akazi ndi njira yovomerezeka komanso yothandiza kwambiri yochepetsera kunenepa komanso kuchepetsa matenda
wodwalayo akulangizidwanso kuti asinthe moyo wake powonjezera zolimbitsa thupi.
Mankhwala osiyanasiyana amagwiritsidwa ntchito kukonza zosokoneza pakugwira ntchito kwa ziwalo zamkati,
kuthandizira kwamalingaliro ndikukhalabe ndi malingaliro abwino ndikofunikira kwambiri kwa amayi omwe ali ndi izi.

Kuphatikiza apo, wodwalayo angagwiritsenso ntchito njira zina. Mothandizidwa ndi maphikidwe a mankhwala achikhalidwe, kagayidwe kamapangidwira, kulemera kwa thupi kumachepetsedwa, kufalikira kwa magazi kumatheka. Imagwira mu sanatorium pochiza matenda a metabolic azimayi. Malangizo a physiotherapy omwe amagwiritsidwa ntchito pamenepo, kusintha kagayidwe kazakudya ndi lipid metabolism, kukhazikitsa bata kwamanjenje, kuchepetsa matenda othamanga kwa magazi. Chothandiza kwambiri pazolinga izi ndi balneotherapy, kutikita minofu, mchere wamadzi am'madzi, electrotherapy.

Mankhwala ochizira matenda a metabolic

Chithandizo cha mankhwala chimakhazikitsidwa kutengera kuuma kwa zizindikiro za matenda. Nthawi zambiri, mankhwalawa amagwiritsidwa ntchito kuteteza matenda a lipid ndi carbohydrate kuti achulukitse chidwi cha maselo kuti apange insulin, komanso kutsitsa magazi komanso kusintha mtima. Nthawi zina mankhwalawa amagwiritsidwa ntchito kuti thupi lizisintha. Mankhwala amasankhidwa ndi dokotala payekha atapima mayeso athunthu.

Zochizira matenda a lipid metabolism, mankhwala a statin ndi fibrate gulu amadziwika. Itha kukhala Rosuvastatin, Lovastatin, Fenofibrat.
Kupititsa patsogolo kuyamwa kwa shuga ndi maselo ndikuwonjezera chidwi chawo ku insulin, njira zapadera ndi mavitamini amafunikira. Awa ndi "Metformin", "Glucophage", "Siofor", "Alpha Lipon" ndi ena.
Ngati metabolic syndrome imayamba mwa azimayi okana, mankhwala a mahomoni amagwiritsidwa ntchito. Izi zitha kukhala mankhwala okhala ndi estradiol ndi drospirenone.
ACE inhibitors, calcium blockers kapena diuretics amagwiritsidwa ntchito kuti magazi azikhala bwino komanso kuti mtima uzigwira bwino ntchito. Mankhwala odziwika bwino ndi Captopril, Felodipine, Bisoprolol, Losartan, Torasemide ndi ena.

Nthawi zambiri, chithandizo cha kagayidwe kachakudya mu azimayi omwe ali ndi mankhwalawa cholinga chake ndi kuwonda. Potere, njira zimagwiritsidwa ntchito zomwe zimalepheretsa chidwi cha mai komanso kukonzanso malingaliro a mayi akamakana chakudya. Izi mwina, mwachitsanzo, mankhwala "Fluoxetine." Gulu lina limakulolani kuti muchotse mwachangu mafuta m'matumbo, osalola kuti aloledwe m'magazi. Uku ndi Orlistat kapena Xenical. Ndiosafunika kuti kagayidwe kachakudya kagwiritsidwe ntchito ka mankhwala otchuka ngati kunenepa kwambiri monga Prozac, Reduxin, Sibutramin, komanso zowonjezera zamankhwala pakompyuta popanda kufunsa dokotala.

Metabolic Syndrome

Kuti akhazikitse njira za metabolic ndikuwonjezera chidwi cha maselo kuti apange insulin, ndikofunikira kwambiri kuwonjezera zochita za wodwalayo. Koma mukasewera masewera ndikofunikira kutsatira malamulo angapo, ndiye kuti mankhwalawa a kunenepa kwambiri ndi othandiza:

muyenera kusankha masewera omwe angakusangalatseni, chifukwa muyenera kukhala osangalala.
zolimbitsa thupi zizikhala tsiku lililonse kwa ola limodzi,
Katundu akuyenera kuchuluka pang'onopang'ono, wina sangathe kugwira ntchito mopitirira muyeso,
Simungathe kuthana ndi kuthamanga kwa magazi, kuphwanya kwambiri mtima kapena impso.

Ndi maphunziro ati omwe angathandize anthu omwe ali ndi metabolic syndrome? Kwa azimayi ochepera zaka 50, masewera olimbitsa thupi a anaerobic ndi maphunziro olimbitsa thupi ndi oyenera. Uku ndikuthamanga, kuphunzitsa pa simulators, squats, kusambira mothamanga, aerobics. Patatha zaka 50, ndibwino kumangoyenda, kusambira, kuvina mwakachetechete, kupalasa njinga.

Zakudya zoyenera za metabolic syndrome

Kuchepetsa thupi ndiye cholinga chachikulu cha mankhwalawa. Koma kuti musavulaze thanzi kwambiri, kuchepa thupi kuyenera kukhala pang'onopang'ono. Amakhulupirira kuti thupi limazindikira, popanda kupsinjika, kutayika kwa 3% kwa misa yoyambirira. Izi ndi pafupifupi ma kilogalamu 2-4. Mukamachepetsa thupi msanga, machitidwe a metabolic amachepetsa kwambiri. Chifukwa chake, mkazi amalimbikitsidwa kuyang'anitsitsa chisankho cha zakudya. Ndikofunika kuti chakudyacho chizikoka payekha ndi dokotala. Poterepa, kuchuluka kwa kunenepa kwambiri, kupezeka kwa zovuta, msinkhu wa wodwalayo udzakhudzidwa.

Zakudya za metabolic syndrome mwa akazi ziyenera kukhala zochepa m'mankhwala ndi mafuta. Muyenera kusiyira confectionery, kuphika ndi kuphika, maswiti, nyama yamafuta ndi nsomba, zakudya zamzitini, mpunga, nthochi, zoumba, mafuta abwino ndi zakumwa za shuga. Zakudyazo ziyenera kukhala ndi masamba obiriwira, zipatso zosapsa, nyama yochepa-mafuta, nsomba ndi mkaka, buledi wazonse wa tirigu, chakudya chokhala ndi barele. Kuphatikiza apo, muyenera kutsatira malamulo awa: