Lero, atsogoleri pankhani yaimfa ndi matenda amtima wamatenda (stroke, myocardial infarction) ndi mtundu 2 wa matenda a shuga, ndichifukwa chake anthu akhala akulimbana ndi matenda awa kwa nthawi yayitali. Pa mtima wa njira zodzitetezera ku matenda aliwonse ndikuchotsa zoopsa.
Metabolic syndrome ndi mawu omwe amagwiritsidwa ntchito pochita zamankhwala pozindikira koyambirira ndikuchotsa zovuta zomwe zimayambitsa matenda ashuga ndi mtima. Pakatikati pake, metabolic syndrome ndi gulu lomwe limayambitsa matenda a shuga ndi mtima.
Kuphatikizidwa ndi kagayidwe ka metabolic, kusokonezeka kumakhalabe kosadziwika kwa nthawi yayitali. Nthawi zambiri, amayamba kupanga ali mwana kapena unyamata ndikupanga zomwe zimayambitsa matenda ashuga, matenda atherosclerotic, ndi ochepa matenda oopsa.
Nthawi zambiri odwala onenepa kwambiri; shuga wokwezeka pang'ono; kuthamanga kwa magazi, komwe kuli kumtunda kwa chizolowezi, samapatsidwa chidwi. Wodwala amalandila chithandizo chokhacho pokhapokha ngati pali zoopsa zomwe zingaphatikizidwe ndi matenda oopsa.
Ndikofunikira kuti zinthu ngati izi zizindikiridwe ndikuwongoleredwa koyambirira, osati mtima
Kuti athandizidwe ndi akatswiri komanso odwala okha, njira zomveka zakhazikitsidwa zomwe zidapangitsa kuti azindikire metabolic syndrome poyeserera pang'ono.
Masiku ano, akatswiri ambiri azachipatala amatengera tanthauzo limodzi lomwe limadziwika ndi metabolic syndrome mwa amayi ndi abambo.
Linaperekedwa ndi International Diabetes Federation: kuphatikiza kwa kunenepa kwam'mimba ndi njira zina ziwiri zowonjezera (matenda oopsa, kukhathamiritsa kwa kagayidwe kazakudya, dyslipidemia).
Zizindikiro zapadera
Poyamba, ndikofunikira kulingalira za metabolic syndrome, momwe zimakhalira ndi zizindikiro zake mwatsatanetsatane.
Chizindikiro chachikulu komanso chofunikira ndi kunenepa kwambiri pamimba. Ichi ndi chiyani Ndi kunenepa kwambiri pamimba, minofu ya adipose imayikidwa makamaka pamimba. Kunenepa kotereku kumatchedwanso "android" kapena "mtundu wa apulo." Ndikofunika kuzindikira kunenepa kwambiri mu shuga.
Kunenepa kwambiri "gynoid" kapena "mtundu wa peyala" kumadziwika ndi kufalikira kwa minofu ya adipose pamtchafu. Koma kunenepa kwamtundu wamtunduwu sikuti ndi zotsatira zoyipa ngati zomwe zidachitika kale, chifukwa chake sizikugwirizana ndi zomwe zimapezeka mu metabolic syndrome ndipo sizingaganizidwe pamutuwu.
Kuti muwone kuchuluka kwa kunenepa kwambiri pamimba, muyenera kutenga masentimita ndikuyeza voliyumu m'chiuno mtunda wamtunda pakati pa malekezero a ilium ndi ma arches okwera mtengo. Kukula kwa chiuno kwamunthu wa fuko la Caucasus, wopitilira 94 masentimita, ndi chizindikiro cha kunenepa kwambiri pamimba. Mzimayi amakhala ndi chiuno chotalika masentimita 80, chimayimira chimodzimodzi.
Kuchuluka kwa kunenepa kwambiri kwa fuko la Asia ndikovuta kwambiri. Kwa amuna, voliyumu yovomerezeka ndi 90 cm, kwa akazi imakhalabe yomweyo - 80 cm.
Tcherani khutu! Zomwe zimayambitsa kunenepa sizingokhala zongonenepa kwambiri komanso moyo woipa. Matenda akulu a endocrine kapena ma genetic angayambitse matenda awa!
Chifukwa chake, ngati zizindikiro zomwe zalembedwa pansipa zilipo zokhazokha kapena palimodzi, muyenera kulumikizana ndi kuchipatala posachedwa kuti mufufuze ndi endocrinologist yemwe amachotsa kapena kutsimikizira mitundu yachiwiri ya kunenepa:
- khungu louma;
- kutupa;
- kupweteka kwa mafupa
- kudzimbidwa
- matanda otambalala pakhungu;
- kuwonongeka kwamawonekedwe;
- khungu limasintha.
Njira zina:
- Matenda oopsa a arterial - matenda amtundu amadziwika ngati magazi a systolic ali ofanana kapena opitilira 130 mm Hg. Art., Ndi diastolic ndi wofanana kapena wamkulu kuposa 85 mm RT. Art.
- Kuphwanya phokoso. Kuti mudziwe izi, kuyesedwa kwa magazi pamagazi kumafunika, komwe kuli kofunikira kudziwa mulingo wa cholesterol, triglycerides ndi lipoproteins yapamwamba. Zomwe matendawa amafotokozera ndi izi: triglycerides wamkulu kuposa 1.7 mmol / l; Chizindikiro cha lipoprotein yapamwamba kwambiri ndiosakwana 1.2 mmol mwa akazi ndi ochepera 1.03 mmol / l mwa amuna; kapena njira yokhazikika yochizira dyslipidemia.
- Kuwonongeka kwa kagayidwe kazakudya. Izi zimatsimikiziridwa ndikuti shuga yothamanga magazi imaposa 5.6 mmol / l kapena kugwiritsa ntchito mankhwala ochepetsa shuga.
Kuzindikira
Ngati zizindikiro sizikuwoneka bwino komanso matenda ake sanadziwike bwinobwino, dokotala amafunsira mayeso ena. Kuzindikira kagayidwe kachakudya ndi motere:
- Kuyesa kwa ECG;
- kuyang'anira tsiku lililonse kuthamanga kwa magazi;
- Ultrasound yamitsempha yamagazi ndi mtima;
- mtima magazi lipids;
- Kutsimikiza kwa shuga 2 pambuyo chakudya;
- kuphunzira impso ndi chiwindi ntchito.
Momwe muyenera kuchitira
Choyamba, wodwalayo ayenera kusintha kwambiri moyo wake. Kachiwiri ndi kugwiritsa ntchito mankhwala osokoneza bongo.
Kusintha kwakhalidwe ndi:
- kusintha kwa zakudya ndi zakudya;
- kukana zizolowezi zoipa;
- kuchuluka zolimbitsa thupi ndi zolimbitsa thupi.
Popanda malamulowa, kulandira mankhwala osokoneza bongo sikungabweretse zotsatira zoyenera.
Upangiri wa zaumoyo
Zakudya zokhwima kwambiri, makamaka, kusala ndi metabolic syndrome sikulimbikitsidwa. Kulemera kwa thupi kuyenera kuchepa pang'onopang'ono (5 -10% mchaka choyamba). Ngati kulemera kumachepera mofulumira, zimakhala zovuta kwambiri kuti wodwalayo azisungabe pazomwe akwaniritsa. Ndataya kwambiri makilogalamu, nthawi zambiri, mumabwereranso.
Kusintha zakudya kumakhala kothandiza komanso kothandiza:
- m'malo mwa nyama nyama ndi masamba masamba;
- kuchuluka kwa ulusi ndi ulusi wazomera;
- Kuchepetsa mchere.
Msuzi, chakudya mwachangu, makeke, mikate yoyera siyiyenera kuperekedwa kuchakudya. Supu yophika masamba iyenera kukula, ndipo nyama zamphaka zosafunikira zimagwiritsidwa ntchito ngati nyama. Nkhuku ndi nsomba zikuyenera kuwotchera kapena kuwiritsa.
Mwa njere, tikulimbikitsidwa kugwiritsa ntchito buckwheat ndi oatmeal; mpunga, mapira, ndi barele ndizololedwa. Koma semolina ndiyofunika kuchepetsa kapena kuthetseratu. Mutha kuyesa chisonyezo cha chimanga cha glycemic kuti muwerengere bwino chilichonse.
Zamasamba monga: beets, kaloti, mbatata, akatswiri azakudya amalangizidwa kuti asamadye 200 gr. patsiku. Koma zukini, radishi, letesi, kabichi, tsabola belu, nkhaka ndi tomato zitha kudyedwa popanda malamulo. Izi zamasamba zimakhala ndi fiber zambiri ndipo ndizothandiza kwambiri.
Zipatso ndi zipatso zimatha kudyedwa, koma osapitirira 200-300 gr. patsiku. Mkaka ndi mkaka uyenera kukhala wopanda mafuta ambiri. Catch tchizi kapena kefir patsiku zitha kudyedwa magalasi 1-2, koma zonona mafuta ndi kirimu wowawasa ziyenera kudyedwa mwa apo ndi apo.
Mwa zakumwa, mutha kumwa khofi wofooka, tiyi, msuzi wa phwetekere, misuzi ndi zipatso zabwino kuchokera ku zipatso za acidic popanda shuga komanso makamaka zopangidwa kunyumba.
Zomwe zimayenera kukhala zolimbitsa thupi
Zochita zolimbitsa thupi zimalimbikitsidwa kuti ziwonjezeke pang'onopang'ono. Ndi metabolic syndrome, amakonda kupatsidwa kuthamanga, kuyenda, kusambira, masewera olimbitsa thupi. Ndikofunikira kuti mitolo ikhale yokhazikika komanso yolumikizana ndi kuthekera kwa wodwala.
Mankhwala
Pofuna kuchiritsa matendawa, muyenera kuthana ndi kunenepa kwambiri, matenda oopsa kwambiri, kusokonezeka kwa kagayidwe kazakudya, dyslipidemia.
Masiku ano, metabolic syndrome imathandizidwa ndi metformin, mlingo womwe umasankhidwa pakuwongolera kuchuluka kwa shuga m'magazi. Nthawi zambiri kumayambiriro kwa chithandizo, ndim 500-850 mg.
Tcherani khutu! Kwa anthu achikulire, mankhwalawa amadziwitsidwa mosamala, ndipo odwala omwe ali ndi vuto la chiwindi ndi impso, metformin imatsutsana.
Mwachilengedwe, mankhwalawa amalekeredwa bwino, koma mavuto omwe amadza chifukwa cha m'mimba adakalipo. Chifukwa chake, tikulimbikitsidwa kugwiritsa ntchito metformin mukatha kudya kapena panthawi yachakudya.
Pophwanya zakudya kapena mankhwala osokoneza bongo, hypoglycemia imayamba. Zizindikiro za mkhalidwewo zimawonetsedwa ndi kunjenjemera ndi kufooka mthupi lonse, kuda nkhawa, kumverera kwanjala. Chifukwa chake, mulingo wa shuga m'magazi uyenera kuyang'aniridwa mosamala.
Zabwino, wodwalayo ayenera kukhala ndi glucometer kunyumba, yomwe imakupatsani mwayi wowunika shuga kunyumba, mutha kugwiritsa ntchito Aychek glucometer, mwachitsanzo.
Pochiza kunenepa kwambiri, Orlistat (Xenical) ndiyotchuka lero. Musamalandire kangapo katatu patsiku, pachakudya chachikulu.
Ngati zakudya zomwe zili pachakudya sichakudya, mutha kudumphira kumwa mankhwalawo. Zotsatira za mankhwalawa zimakhazikitsidwa ndi kuchepa kwa mayamwidwe amafuta m'matumbo. Pachifukwa ichi, pakuwonjezeka kwamafuta m'zakudya, zotsatira zoyipa zingachitike:
- zokhumba pafupipafupi zopanda kanthu;
- chisangalalo;
- mafuta amatuluka kuchokera ku anus.
Odwala omwe ali ndi dyslipidemia, ndi kusagwira ntchito kwachakudya chokwanira, amadziwika kuti amamwa mankhwala ochepetsa lipid ochokera m'magulu a mafupa ndi ma statins. Mankhwalawa ali ndi zoperewera komanso zovuta zake zoyipa. Chifukwa chake, ndi adokotala okhawo omwe akuyenera kulandira mankhwala.
Kuchepetsa kwa magazi komwe kumagwiritsidwa ntchito mu metabolic syndrome kumakhala ndi angiotensin kutembenuza ma enzyme inhibitors (lisinopril, enalapril), imidosaline receptor agonists (moxonidine, rilmenidine), calcium channel blockers (amlodipine).
Kusankhidwa kwa mankhwala onse kumachitika palokha.
Mwina zotheka matenda
Zakhala zikunenedwa pamwambapa kuti metabolic syndrome imatha kukhala pachiwopsezo cha matenda a shuga ndi mtima. Chifukwa chake, kupewa kwake ndi chithandizo chake ziyenera kuperekedwa mwachidwi.
