Metabolic syndrome: kuzindikira ndi kuchiza. Zakudya za metabolic syndrome

Metabolic syndrome ndi zovuta zovuta zama metabolic, zomwe zimawonetsa kuti munthu ali ndi chiopsezo chowonjezeka cha matenda amtima komanso matenda a shuga 2. Cholinga chake ndikuti chiwopsezo chovuta kwambiri cha minofu ndikuchititsidwa ndi insulin. Chithandizo cha metabolic syndrome ndichakudya chochepa chamafuta ndikuchita masewera olimbitsa thupi. Ndipo pali mankhwala ena othandiza omwe mungaphunzire pansipa.

Insulini ndiye "fungulo" lomwe limatsegula "zitseko" pazomera, ndipo mwa izo, glucose amalowa m'magazi mkati. Ndi metabolic syndrome m'magazi a wodwala, kuchuluka kwa shuga (glucose) ndi insulin m'magazi kumakwera. Komabe, glucose simalowa mokwanira m'maselo chifukwa chitsekocho chikuchita dzimbiri (insulin) ndipo insulin imalephera kutsegula.

Izi kagayidwe kachakudya amatchedwa insulin kukaniza, 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.

Kuzindikira kagayidwe kachakudya matenda

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

• US National Mtima, Lung, ndi magazi Institute;
• World Health Organisation;
• International Society of Atherosulinosis;
• 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 mankhwalawa kuchiza 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 magazi glucose> = 5.6 mmol / L, kapena chithandizo chikuchitidwa kuti muchepetse shuga.

Asanayambe 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.

Chithandizo: Udokotala ndi wodwalayo

Zolinga zakuchiritsa metabolic syndrome ndi:

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

Sizotheka masiku ano 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 lofunikira la chithandizo ndi maphunziro a odwala komanso chofuna kuti musinthe ndikukhala ndi moyo wathanzi.

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 kwa zochitika zolimbitsa thupi - izi zimapangitsa chidwi cha zimakhala kuti insulin;
• 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 otchedwa metformin (siofor, glucophage). Yakhala ikugwiritsidwa ntchito kuyambira kumapeto kwa zaka zam'ma 1990 kuonjezera 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 akasintha zakudya zamagulu ochepa, munthu angayembekezere kuti:

• mulingo wa triglycerides ndi cholesterol m'magazi amatulutsa;
• kuthamanga kwa magazi kuchepa;
• adzachepa.

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 mungapangitsire magazi a cholesterol ndi triglycerides

Ndi 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 sitiroko basi. 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 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 imayamba. Mukapanda kuchitapo kanthu, imasinthira bwino kukhala shuga 2 kapena mwadzidzidzi tsoka.

Sangoyenda pachitsamba kwa nthawi yayitali. Vuto la triglycerides ndi cholesterol limathetseka bwino ndi chakudya chamafuta ochepa. Mlingo wa triglycerides m'magazi amakhazikika pambuyo masiku 3-4 omvera! Chitani mayeso - mudzionere nokha. Cholesterol imayenda bwino pambuyo pake, patatha milungu 6. Chitani kafukufuku wa magazi a cholesterol ndi triglycerides musanayambe moyo watsopano, ndipo kenanso. Onetsetsani kuti kudya zakudya zochepa zamafuta kumathandizadi! Nthawi yomweyo, imachepetsa kuthamanga kwa magazi. Uku ndiko kupewa kwenikweni kwa matenda a mtima ndi sitiroko, popanda kumva kuwawa chifukwa cha njala. Zowonjezera zothandizira kupsinjika komanso kwa mtima zimakwaniritsa zakudya bwino. Amawononga ndalama, koma mtengo umalipira, chifukwa mudzakhala wokondwa kwambiri.

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, tikukulimbikitsani kuti muyesere zakudya zoletsa zopatsa mphamvu mthupi malinga ndi njira ya R. Atkins ndi katswiri wa matenda ashuga a Richard Bernstein. Ndi chakudyachi, mmalo mwa chakudya, zimatsimikizika 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 kagayidwe kachakudya ka zakudya zochepa. Kwenikweni, cholinga chachikulu pakupanga tsambali ndikukulitsa chakudya chopatsa mphamvu kwa anthu odwala matenda ashuga m'malo mwa chakudya “chanjala” kapena zakudya zabwino.