ʻNdlelo Metabolika: Diagnosis a me ka Hoʻōla

ʻO ke kinipona ʻo metabolikola kekahi ʻano o kekahi mau mea i ke ʻano o nā kūlana pathological a me nā maʻi e hiki ke alakaʻi i ka hoʻomohala ʻana i ka maʻi mellitus, stroke a me nā maʻi puʻuwai.

Pākuʻi ʻia ka metabolic: ʻo ke ake o ke hypertension, ka pale ʻana i ka insulin, ka nui o ka momona momona visceral, hyperinsulinemia, nā mea hōʻeha o ka lipid, ka hoʻoneʻe, a me ka metaboline purine.

ʻO ke kumu nui o kēia maʻi ka mana ola me ka hake ʻole a me nā momona i momona i ka momona nui a me kahi haʻahaʻa o ka hana kino.

Hiki iā ʻoe ke pani i ka hoʻomohala ʻana i ka metabolic syndrome ma ke hoʻololi ʻana i kou ʻano.

Nā kumu o ke kumu lāʻau Metabolic

I kēia manawa, ʻaʻole akū i maopopo ke nānā ʻia o ka nānā ʻana o kēia maʻi ma muli o ka heredity a i ʻole ke ulu wale ʻia ma lalo o ke ʻano o nā kumu o waho.

Manaʻo kekahi poʻe noiʻi e ulu ka metabolic syndrome i ka manawa i loaʻa ai i kekahi ke ʻano hoʻokahi a keu paha ke ʻano e pili ana i kēlā me kēia ʻano i ka hoʻohui ʻana i nā ʻāpana a pau o kēia maʻi, ʻo ka poʻe ʻē aʻe e koi i ka hoʻohanohano o nā mea exogenous.

ʻO ka pilikia o ka hopena o ka heredity ma ka hopena a me ka hoʻomohala ʻana i nā maʻi i hoʻokumu ʻia e ka metabolic syndrome e ʻike maopopo ʻole ʻia.

ʻO nā mea o waho e hāʻawi i ka helehelena o ka metabolic syndrome e pili ana:

  • He pono maikaʻi a me kaʻai nui. ʻO ka hōʻiliʻili ʻana o ka momona momona ma ke kino e hele mai ma muli o ka overeating, me nā huahana e loaʻa ana i nā momona momona saturated, ʻo ka nui o ia mea e alakaʻi ai i nā loli hou i nā phospholipids o nā membranes a me nā hanaʻino i ka hōʻike o nā gena kuleana no ka hai ʻana i ka insulin i loko o ka pūnaa,
  • Hoemi ʻia ke ʻano kino. Ke alakaʻi nei ka hypodynamia i ka hoʻolōʻihi i ka lipolysis a me ka hoʻohana ʻana i ka triglycerides i nā pā adipose a me nā ʻiʻo, nā ʻāpana o ka unuhi ʻana ma ke kino o nā mea halihali glucose, kahi e kū ai ka hoʻomohala ʻana o ka insulin.
  • He maʻi haole. ʻO ka pinepine, hana kēia ʻano kumu ma ke ʻano o ka hoʻomohala ʻana i ka metabolic syndrome. Kāohi ʻole ʻia a lōʻihi ka lōʻihi i ka hala ʻana i ke kaʻe o ke koko o peripheral, he hōʻemi i ka pale ʻana i ka ʻōnaehana insulin.
  • ʻO ka maʻi Synoma ʻAno Hoʻoikaika. ʻO ka mea nui i ka hoʻolālā ʻana i kēia kūlana, ʻo ia ka momona a me nā pilikia ʻē aʻe e pili ana i ka hoʻopilikia ʻana i ka hanu.

Nā hōʻailona o ka metabolic syndrome

ʻO nā ʻōuli koʻikoʻi o ka ma ka metabolic syndrome ka:

  • ʻO ka momona ʻōpū o ke ʻano he ʻano o ka momona o kahi i lawe ʻia i ka kiko adipose ma loko o ka ʻōpū. ʻO ka ʻōpū o ka umauma (ma ʻEulopa) ka ʻōlelo ʻana i ka wā o ka nui o ka ʻōpū o ka wahine i ʻoi aku ma mua o 80 cm, no ke kāne ʻoi aku ma mua o 94 cm,
  • He maʻi haole. Kuhi ʻia ka hypertension i ke ʻano o ka pae o ke kaila koko systolic ma mua o 130 mm. Hg. Art., A me ka diastolic - ʻoi aku ma mua o 85 mm. Hg, like pū kekahi kanaka ke lawe i nā lāʻau antihypertensive,
  • ʻO ka paleʻana i nā kaola kāohi. Hōʻike ʻia ka hele ʻana o kēia ʻano inā ʻoi aku ka nui o ke kōpaʻa koko ma mua o 5.6 mmol / l, a i ke hoʻohana ʻana nō ka mea maʻi i ka lāʻau hoʻoliʻi haʻahaʻa.
  • Hāpai i ka lipid molihine. E ʻike i ka hiki ʻana i kēia lawehala, ke hoʻoholo nei ka pae kolamu o ka lipoproteins density kiʻekiʻe a me ka triacylglycerides. Inā heʻoi aku ka pae o ka triacylglycerides ma mua o 1.7 mmol / L, a me nā lipoproteins ma lalo o 1.03 mmol / L (i nā kāne) a ma lalo o 1,2 mmol / L (i nā wahine), a i ʻole lapaʻau ʻia ka dyslipidemia e mālama ʻia, a laila hoʻopilikia ka lipidroteins ma ke kino.

Diagnosis o ka maʻi pālua

Hana ʻia nā haʻawina ʻokoʻa e hōʻike ai i nā hōʻailona o ka metabolic syndrome:

  • ʻO ka nānā ʻana i ka paona kaila o nā pili koko a me ka puʻuwai,
  • ʻO ka nānā ʻana i kēlā me kēia lā ke koko,
  • Electrocardiography
  • ʻO ka hoʻoholoʻana o ka lipids a me ka glucose i loko o ke koko,
  • ʻO nā hana haʻawina a me nā hana āpau.

Hoike ʻike

ʻO ka maʻi metabolic (Syndrome X) kahi maʻi comorbid e loaʻa ana i kekahi mau pathologies i ka manawa hoʻokahi: diabetes mellitus, hypertension arterial, obesity, maʻi ʻeha coronary. ʻO ka huaʻōlelo "Syndrome X" i hana mua ʻia ma ka hopena o ka makahiki 20 a e ka ʻepekema ʻAmelika Gerald Riven. ʻO ka laha o ka maʻi mai ka 20 a 40%. Hoʻomaʻi pinepine ʻia ka maʻi i ka poʻe i nā makahiki 35 a hiki i ka 65 mau makahiki, ka nui o nā maʻi maʻi kāne. I nā wahine, ʻo ka loaʻa o ka pilikia ma hope o ka menopause e hoʻonui i ka 5 mau manawa. No nā makahiki he 25 i hala iho nei, ua hoʻonui ka nui o nā keiki me kēia maʻi i ka 7% a hoʻomau i ka hoʻonui.

Nā hopena

Kaʻi ʻana i ka metabolic syndrome i ke hypertension, atherosclerosis o ka coronary arteries a me nā kīʻaha koko o ka lolo a ma ka hopena, hōʻeha ka naʻau a me ka hahau. ʻO ke kūlana o ka kū'ē o ka insulin e hana ai i ka hoʻomohala ʻana o ke ʻano maʻi mellitus type 2 a me kona mau hoʻopiʻi - retinopathy a me nephropathy diabetes. I nā kāne, ua hāʻawi ka hōʻailona paʻakikī i ka nāwaliwali o ka potency a me ka hana erectile impaired. I nā wahine, ʻo ka maʻi X ke kumu o ka polycystic ovary, endometriosis, a me kahi hoʻemi ʻana o ka libido. I ka wā hānau, hiki i ke alikaʻi a me ke kūkulu ʻana o ka infertility.

ʻO ka Hana Metabolic Syndrome

Hoʻomaopopo ka mālama ʻana o Syndrome X i ka therapy paʻakikī e pili ana i ka hoʻololi maʻamau, nā ʻōnaehana koko, nā ʻāpana ʻalani a me nā pae hormonal.

  • Mana mode aku. Pono ka mea maʻi e hoʻokaʻawale aʻe i nā hāmeʻe kūlele maʻalahi (nā pastry, nā ʻono, nā mea ʻona), ka meaʻai wikiwiki, nā meaʻai kīkī, e kaupalena i ka nui o ka paʻakai a me ka pasta i hoʻopau. ʻAi ka meaʻai i kēlā me kēia lā i nā lau ʻai, nā hua ʻai, nā cereals, nā ʻano haʻahaʻa o nā iʻa a me ka iʻa. Pono ke hoʻopau ʻia i ka meaʻai i nā manawa he 5-6 i ka lā ma nā wahi liʻiliʻi, ʻalā pono ʻole a inu i ka wai. Mai nā mea inu maikaʻi ʻoi aku ka maikaʻi ke koho i ʻōmaʻomaʻo ʻōmaʻomaʻo a i ʻole keʻokeʻo ʻōmaʻomaʻo, nā mea inu hua a me nā mea kāwili ʻole me ka hoʻohui ʻole o ke kō.
  • Hoʻohana pilikino. ^ E Ha yM. I ka haʻalele ʻana o nā contraindications mai ka musculoskeletal system, jogging, swimming, Nordic walking, Pilates and aerobics. Pono ka hana kino, ma ka liʻiliʻi he 2-3 manawa i ka pule. Hoʻomaʻamaʻa ka hoʻomaʻamaʻa kakahiaka, nā hele i kēlā me kēia lā i ka mākeke a i ʻole ke kahe ʻo ka nahele.
  • ʻO ka lāʻau lapaʻau. ^ E Ha yM. Hoʻomaʻamaʻa ʻia nā lāʻau lapaʻau e mālama i ka momona, hoʻemi i ke koko, a hoʻoponopono i ka metabolism o nā momona a me nā momi. I ka hihia o ka hoʻohaʻahaʻa glucose kumu ʻole, e hoʻohana ʻia nā hoʻomākaukau metformin. Ke hoʻoponopono nei i ka dyslipidemia me ka maikaʻi ʻole o ka meaʻai e lawe ʻia ana e nā statins. No nā maʻi hypertension, ua lawe ʻia ʻo ACE inhibitors, hoʻohana i nā kalaki saluran, nā diuretics, nā beta-blockers. No ka hoʻohiolo ʻana i ka paona, ʻōlelo ʻia nā lāʻau lapaʻau e hōʻemi ana i ka lawe ʻana mai o nā momona i loko o nā wahie.

ʻO ka wānana a me ke kālai

Me ka hoʻokolohua manawa a me ka mālama ʻana i ka metabolic syndrome, ʻoluʻolu ke kūmole maikaʻi. ʻO ka ʻike maka o ka pathology a me ka haʻalele ʻana o ka ulia pōpilikia e hōʻeha i nā hoʻopiʻi koʻikoʻi mai nā keiki a me ka ʻōnaehana cardiovascular. ʻO ka hōʻoki ʻana i ka maʻi maʻi me ka mālama ʻana i ka ʻai kaulike, hōʻole i nā hana maikaʻi ʻole, hoʻomaʻamaʻa maʻamau. Pono e kāohi wale, ʻaʻole wale ka paona, akā ʻo nā ʻāpana o ke kiʻi (ʻo ka hope o ka pale). Ma ke ala o nā maʻi endocrine concomitant (hypothyroidism, maʻi diabetes mellitus), ʻike ʻia ka nānā ʻana e kahi endocrinologist a me kahi noiʻi o ka ʻano o ka hormonal.

Hoʻomaʻamaʻa: kuleana o ke kauka a me ke ahonui iā ia iho

ʻO nā pahuhopu o ka mālama ʻana i ka metabolic syndrome ʻo:

  • ka kaumaha o ke kaumaha ma kahi pae maʻamau, a i ʻole ka liʻiliʻi i ka hoʻomau ʻana o ka momona,
  • ka hoʻōho ʻana o ke kaho o ke koko, kōpana kolamu, triglycerides i loko o ke koko, i.e., hoʻoponopono i nā mea pili puʻuwai o ka cardiovascular.

ʻAʻole hiki i kēia wā ke mālama maoli i ka maʻi metabolic. Akā hiki iā ʻoe ke hoʻoponopono pono i mea e ola ai i kahi ola olakino ʻole me ka ʻole o ka maʻi maʻi, ka hōʻeha ʻana o ka puʻuwai, ka puʻu, a me nā mea ʻē aʻe. ʻO kahi mea nui o ka mālama ʻana i ka hoʻonaʻauao hoʻomanawanui a me ka manaʻo kaheʻe ʻana i ka ola kino.

ʻO ka hoʻohana nui ʻana no ka maʻi metabolic nā meaʻai. Ua hōʻike ʻia ka hoʻomaʻamaʻa ʻana he mea ʻole ia e hoʻāʻo hou e hoʻokau i kekahi o nā kīʻaha "pōloli". E lilo koke nō ʻoe i ka wikiwiki a he hoʻi paha ke kaumaha. Manaʻo mākou e hoʻohana ʻoe i kahi meaʻai haʻahaʻa-haʻahaʻa haʻahaʻa e kāohi i ka metabolabous syndrome.

Nā kumuwaiwai hou aku no ka mālama ʻana i ka metabolic syndrome:

  • mahuahua i ka hana kino - e hoʻomaikaʻi i kēia i ka naʻau kino i ka insulin,
  • kaʻa ʻana i ka inu a me ka inu ʻawaʻawa nui,
  • kahi meaka nui o ka neʻe ʻana o ke koko a me ka mālama ʻana o ka hypertension, inā ua kū,
  • ke kuhikuhi ʻana i nā ʻōnaehana o ka "maikaʻi" a me "bad" cholesterol, triglycerides a me ka hoʻokahe koko.

Manaʻo mākou iā ʻoe e nīnau e pili ana i kahi lāʻau lapaʻau i kapa ʻia ʻo metformin (siofor, glucophage). Hoʻohana ʻia ia mai ka makahiki 1990 e hoʻonui ai i ka ʻike ʻana o nā ʻoli i ka insulin. Loaʻa kēia lāʻau lapaʻau i nā mea maʻi me ka momona a me ka maʻi diabetes. A i kēia lā, ʻaʻole ʻo ia i hōʻike i nā hopena ʻaoʻao i ʻoi aku ka paʻakikī ma mua o nā hihia episodic o ka indigestion.

ʻO ka hapa nui o ka poʻe i hōʻike ʻia me ka metabolic syndrome e kōkua nui i ka hoʻopau ʻana i nā hāmeʻe i kā lākou papaʻai. Ke hoʻololi nei kahi kanaka i kaʻai haʻahaʻa-haʻahaʻa, hiki iā mākou ke manaʻo e loaʻa iā ia:

  • ka pae o ka triglycerides a me ka kolamu ma ke koko, e hoʻomaʻamaʻa,
  • kahe koko koko
  • e pohō ai ʻo ia.

Hoʻopau iki nā lāʻau ʻaina kalona liʻiliʻi


Akā inā ʻaʻole maikaʻi maikaʻi kaʻai haʻahaʻa a me ka hoʻoikaika kino kino, a laila e hui pū me kāu kauka hiki iā ʻoe ke hoʻohui i ka metformin (siofor, glucophage) iā lākou. I nā hihia koʻikoʻi nui loa, i ka wā a loaʻa i ka mea maʻi he index mass body> 40 kg / m2, ʻoi aku ka lāʻau lapaʻau ʻana i ka maʻi o ka momona. Kāhea ʻia ʻo ia ʻo ʻoiatric surgery.

Pehea e hoʻomaikaʻi ai i ka cholesterol a me ka triglycerides i ke koko

Ma ka metabolic syndrome, ʻo nā mea maʻi e loaʻa pinepine ke koko i ka nui o ke kolamu a me ka triglycerides. Aia kahi liʻiliʻi o ka "maikaʻi" kolamu ma ke koko, a "hewa", ma kahi, hoʻāla ʻia. Hoʻonui pū ʻia ka pae o ka triglycerides. Hoʻopau wale kēia mau mea āpau i nā moku e ka atherosclerosis, kahi puʻuwai a i ʻole kahi wili e kokoke ana i ka kihi. Hōʻike pinepine ʻia nā ʻōnaehana koko no ka cholesterol a me ka triglycerides i kapa ʻia ʻo ka "lipid spra." ʻIke nā kauka e ʻōlelo a kākau, e ʻōlelo lākou, ke kuhikuhi aku nei au iā ʻoe e lawe i nā hoʻokolohua no ka mālama lipid. A i ʻole ʻehā ʻia, he hemahema ka spra islam. Ano, e ike oe ano.

No ka hoʻomaikaʻi ʻana i nā koloka a me nā lāʻau hoʻololi triglyceride, maʻa mau nā kauka e kuhikuhi i kahi meaʻai haʻahaʻa-calorie a me / a me nā lāʻau lapaʻau statin. Ma ka manawa like, hana lākou i kahi hiʻohiʻona akamai, hoʻāʻo e nānā i ke ʻanoʻike aʻikeʻike. Eia naʻe, he mau mea pōloli ʻole e kōkua i ka kōkua ʻole, a kōkua nā pōpoki, akā e hoʻokau i nā hopena koʻikoʻi. ʻAe, hoʻomaikaʻi nā statins i nā helu koko kolamu. Akā inā hoʻemi lākou i ka make ma ka mea maoli ... aia nā manaʻo like ʻole ... Eia naʻe, hiki ke hoʻonā ʻia ka pilikia o ke kolamu a me nā triglycerides me nā pā pōʻino a maikaʻi. Eia kekahi, ʻoi aku ka maʻalahi o kēia ma mua o kou manaʻo.

ʻO kahi kīʻaha haʻahaʻa haʻahaʻa, ʻaʻole maʻamau i hoʻoponopono i ke kolamu koko a me ka triglycerides. Eia kekahi, i kekahi mau mea maʻi, ʻoi aku ka maikaʻi o nā hoʻokolohua. ʻO kēia no ka mea, ʻo ka 'pōloli' haʻahaʻa haʻahaʻa kaumaha e luhi me nā minamina. Ma lalo o ke kaomi o ka insulin, nā haʻalulu āu e ʻai ai i lilo i ka triglycerides. Akā o kēia mau triglycerides makemake wau e emi i ka liʻiliʻi o ke koko. ʻAʻole hiki i kou kino ke ʻae i nā kākeka, ʻo ia ke kumu i ulu ai ka maʻi metabolic. Inā ʻaʻole ʻoe e nānā i nā hana, e huli pono i ka maʻi type 2 a i ʻole hoʻopau i ka hōʻeha cardiovascular.

ʻAʻole lōʻihi lākou e hele a puni ka lāʻau. Hoʻoholo kūpono ka pilikia o ka triglycerides a me ka cholesterol e nā meaʻai haʻahaʻa-haʻahaʻa. ʻO ka pae o ka triglycerides i loko o ke koko e hoʻomaʻamaʻa ma hope o nā lā 3-4 o ka hoʻokō o! Lawe i nā hōʻike - a ʻike iā ʻoe iho. E hoʻomaikaʻi ʻo Cholesterol ma hope o nā pule he 4-6. E lawe i nā hōʻike koko no ke kolamu a me ka triglycerides ma mua o ka hoʻomaka ʻana i ke "ola hou", a laila hou hou. E hōʻoia pono i ka meaʻai haʻahaʻa-haʻahaʻa makemake kōkua i ke! Ma ka manawa like, ma ka maʻamau ia i ke koko. ʻO kēia ka pale maoli o ka hoʻoulu ʻana i ka naʻau a me ka hahau, a me ka hoʻoluhi ʻole ʻana o ka pōloli. ʻO nā lako no ke kaomi a me ka puʻuwai e hoʻopiha maikaʻi i ka meaʻai. Ke kūʻai nei lākou i ke kālā, akā ke uku ʻole nā ​​uku, no ka mea, e ʻoliʻoli ana ʻoe.

Nā hopena

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  1. Me ka pane
  2. Me kahi hōʻailona nānā

He aha ka hōʻailona o ka metabolic syndrome:

  • Dementia kenile
  • ʻO ka maʻi hepatosis momona (huʻu o ka aupa)
  • Hoʻopili iki i ka hanu ke hele wāwae
  • Nā hui kūloko
  • Hypertension (kiʻekiʻe koko)

ʻO nā mea āpau i luna, ʻo ka hypertension wale kahi hōʻailona o ka metabolic syndrome. Inā loaʻa i ka hepatosis momona kā kekahi kanaka, a laila ua manaʻo paha ʻo ia i ka metabolic syndrome a maʻamau paha i ka maʻi diabetes 2. Eia naʻe, ʻaʻole kuhi ʻia ka momona o ka ate i ka hōʻailona o MS.

ʻO nā mea āpau i luna, ʻo ka hypertension wale kahi hōʻailona o ka metabolic syndrome. Inā loaʻa i ka hepatosis momona kā kekahi kanaka, a laila ua manaʻo paha ʻo ia i ka metabolic syndrome a maʻamau paha i ka maʻi diabetes 2. Eia naʻe, ʻaʻole kuhi ʻia ka momona o ka ate i ka hōʻailona o MS.

Pehea e loaʻa ai ka metabolic syndrome e nā maʻi cholesterol?

  • "Maikaʻi" Cholesterol High Density (HDL) i nā kāne
  • Kālā kolamu ma luna o 6.5 mmol / L
  • “Hewa” kino kolamu> 4-5 mmol / l

ʻO ka hoʻomaʻamaʻa kūlana maʻamau no ka hoʻopaʻaʻana i ka metabolic syndrome ua hōʻemi wale ʻia i ka "cholesterol" maikaʻi.

ʻO ka hoʻomaʻamaʻa kūlana maʻamau no ka hoʻopaʻaʻana i ka metabolic syndrome ua hōʻemi wale ʻia i ka "cholesterol" maikaʻi.

He aha nā hoʻokolohua koko e pono e nānā i ka hiki o ka puʻuwai naʻau?

  • Fibrinogen
  • Pūlea
  • Lipid panel (laulā, "maikaʻi" a "maikaʻi" kolesterol, triglycerides)
  • ʻO ka protein c-reactive
  • Lipoprotein (a)
  • ʻO ka hormone thyroid (ʻoi aku paha ma nā wahine he 35 a ʻoi aku paha)
  • Pau nā papa inoa i noi ʻia

He aha ka hoʻomohala i ke kiʻekiʻe o ka triglycerides i ke koko?

  • ʻO ka momonaʻai momona
  • Ke hana nei i nā haʻuki
  • ʻO kaʻai haʻahaʻa haʻahaʻa
  • ʻO nā mea a pau i luna ke ʻole o ka ʻai "haʻahaʻa haʻahaʻa"

ʻO ka lāʻau lapaʻau nui ka meaʻai haʻahaʻa-haʻahaʻa. ʻAʻole hiki i ke aʻo kino ke hoʻomaʻamaʻa i ka pae o ka triglycerides i ke koko, ke ʻole nā ​​loiloi loea e hoʻomaʻamaʻa i nā hola 4 i ka lā.

ʻO ka lāʻau lapaʻau nui ka meaʻai haʻahaʻa-haʻahaʻa. ʻAʻole hiki i ke aʻo kino ke hoʻomaʻamaʻa i ka pae o ka triglycerides i ke koko, ke ʻole nā ​​loiloi loea e hoʻomaʻamaʻa i nā hola 4 i ka lā.

He aha nā hopena pili i nā lāʻau lapaʻau statin?

  • I ka hoʻonui ʻia ʻana o ka make mai nā ulia pōpilikia, nā mākaʻi kaʻa
  • ʻO ka hemahema o Coenzyme Q10, ma muli o ka luhi, nāwaliwali, nā maʻi luhi
  • ʻO ke kaumaha, nā hoʻomanaʻo hoʻomanaʻo, nā puʻu ʻana
  • ʻO ka hōʻemi kino i ka kāne
  • ʻO ka ʻōpū
  • ʻAno, holo maikaʻi, ʻōpū, constipation, ʻoluʻolu ʻē aʻe
  • O nā mea āpau ma luna

He aha ka pōmaikaʻi maoli o ka lawe ʻana i nā statins?

  • Hoʻemi ʻia ka ʻaihue huna, ʻo ia ka mea e hōʻemi ai i ka hoʻouka ʻana o ka naʻau
  • Hoemi ʻia ke kolamu o ke koko i nā kānaka i hoʻokiʻekiʻe ʻia ma muli o nā maʻi genetic a ʻaʻole hiki ke hoʻonui ʻia i ka ʻaina.
  • Ke hoʻomaikaʻi nei ke kūlana kālā o nā lāʻau lapaʻau a me nā kauka
  • O nā mea āpau ma luna

He aha nā mea palekana hou aʻe i nā statins?

  • Kūkulu nui nāʻaila ʻaina ʻaʻa
  • ʻO kaʻai haʻahaʻa haʻahaʻa
  • Liki me ka paʻa o ka momona meaʻai a me nā ʻono
  • ʻAi i ka hua yolks a me ka waiū e hoʻonui ai i ka cholesterol "maikaʻi" (ʻae!)
  • Ma ka lapaʻau ʻia nā niho lapaʻau e hōʻemi ai i ka huhū nui
  • ʻO nā mea a pau i luna, koe wale nō ka mea "pōloli" me ka paʻa o ka momona a me nā ʻona

He aha nā lāʻau lapaʻau e kōkua ai i ka pale ʻana i ka insulin - ke kumu nui o ka metabolic syndrome?

  • Metformin (Siofor, Glucofage)
  • Sibutramine (Reduxin)
  • Pākaʻi Phentermine Diet

Hiki iā ʻoe ke lawe i ka metformin e like me ke kauka ʻana e kāu kauka. ʻO ke koena o nā paila i papa inoa ʻia e kōkua i ka emi ʻana o ka momona, akā e hōʻeha i nā hopena koʻikoʻi, hoʻopau i ke olakino. He nui nā manawa ʻeha aku mai ʻoi aku ka maikaʻi.

Hiki iā ʻoe ke lawe i ka metformin e like me ke kauka ʻana e kāu kauka. ʻO ke koena o nā paila i papa inoa ʻia e kōkua i ka emi ʻana o ka momona, akā e hōʻeha i nā hopena koʻikoʻi, hoʻopau i ke olakino. He nui nā manawa ʻeha aku mai ʻoi aku ka maikaʻi.

Meaʻai no ka metabolic syndrome

ʻO ka meaʻai maʻamau no ka metabolic syndrome, ka mea i hōʻike pinepine ʻia e nā kauka, pili i ka palena ʻana i ka helu calorie. ʻAʻole makemake ka hapanui o nā maʻi i ka pili i nā mea a lākou e kū nei. Hiki i nā mea maʻi ke hoʻomanawanui i ka "mau mālamalama pōloli" wale nō ma kahi o kahi haukapila, ma lalo o ka mākaʻikaʻi mau ʻana o nā kauka.

I ke ola o kēlā me kēia lā, pono ke noʻonoʻo ʻia kahi meaʻai haʻahaʻa-calorie me ka metabolic syndrome ʻaʻole pono ia. Ma kahi o mākou, manaʻo mākou e hoʻāʻo i ka mea ʻai hoʻokaʻawale i ka kalaiwa e like me ke ʻano a R. Atkins a me ka maʻi maʻi maʻi o Richard Bernstein. Me kēia meaʻai, ma kahi o nā pale, e pili ana ka manaʻo nui i nā meaʻai i momona ka momona, nā momona maikaʻi a me nā fiber.

ʻO ka ʻai haʻahaʻa haʻahaʻa ka puʻuwai a ʻono hoʻi. No laila, ʻoi aku ka mea maʻi me ia i ka ʻoi aku ma mua o kaʻai "pololi". Kōkua ia i ka nui e lawe i ka mana o ka metabolic syndrome, ʻoiai ʻaʻole i kaupalena ʻia ka helu calorie.

Ma kā mākou pūnaewele ʻike ʻoe i nā ʻike kikoʻī e pili ana i ka mālama ʻana i ka maʻi diabetes a me ka metabolic syndrome me kahi meaʻai haʻahaʻa-haʻahaʻa. ʻOiai, ʻo ka pahuhopu nui o ka hoʻokumu ʻana i kēia pūnaewele ka hoʻolaha ʻana i ka ʻai liʻiliʻi haʻahaʻa o ka maʻi diabetes ma mua o ka "ʻai pōloli" a ʻole, ʻoi aku ka maikaʻi.

Ua loaʻa iaʻu kahi hōʻike koko koko no ka 43g 5.5 i hoʻokahi mahina ma ka ʻōpū ʻole mai kahi manamana lima 6.1 i ka hebedoma 5.7 he aha kēia hana a he aha ka hana

> he mea ia e haaa a a me ka mea

Aloha Manaʻo ʻoe e hoʻohana maikaʻi ana ka meaʻai Ducan i ka mālamaʻana i ka metabolic syndrome?

ʻAʻole wau e manaʻo hou e hiki iā ʻoe ke hoʻomaʻī ma mua o hoʻokahi lā i ka hebedoma, ʻaʻohe mea hoʻi. ʻOiai ʻo kēlā manaʻo like i hōʻoia ʻia e kekahi kumu waiwai hou, koe wale nō no Dukan. Akā hopohopo wau e nānā iaʻu iho. ʻAi wau i ka meaʻaiʻai haʻahaʻa 7 mau lā i ka hebedoma.

Pehea e pili ai i ka taurine? Loaʻa paha kēia kīleʻai no ka metabolic syndrome?

ʻAe, hoʻonui ka taurine i ka mālamalama o nā ʻili i ka insulin, e hoʻohaʻahaʻa i ke koko. He maikaʻi ke lawe.

Aloha Hiki paha ke lawe i ka taurine a i ʻole nā ​​meaʻaiʻaiʻai me nā metformin? Ua wehewehe pono ʻia ka metformin inā pono ʻoe e inu ʻelua palua i ka lā - i ke kakahiaka ma hope o ka ʻaina kakahiaka a i ke ahiahi ma hope o ka pāʻina?

Hiki paha ke lawe i ka taurine a i ʻole nā ​​meaʻai lāʻau ʻē aʻe

Inā ʻoe i ka metabolic syndrome, a laila e aʻo i kēia ʻatikala a hana i ka mea e ʻōlelo ai. Hoʻohui, lawe i nā mea hoʻohui.

Ua Hoʻohuikau ʻia ʻo Metformin

Hoʻolaha ʻia e lawe i ka metformin ʻaʻole ma mua a ma hope o ka ʻai, akā me ka meaʻai. Hiki i ka la i kēlā me kēia lā ke hoʻokaʻawale i nā 2 a i 3 paha dosis, e pili ana i ka nui o ka wai.

Pono au i kekahi ʻōlelo aʻo. Ua hoʻihoʻi hou ka Sugar i kahi maʻamau me ka meaʻai haʻahaʻa haʻahaʻa, akā ke kaumaha ... ua heluhelu wau, e heluhelu a ʻaʻole maopopo wau i nā mea āpau - pono wau e hoʻomaka hou i ka glucophage hou aʻe? Ka kiʻekiʻe 158 cm, ke kiʻekiʻe 85 kg, 55 makahiki mau makahiki.

E hoʻomaka anei au e lawe hou i ka glucophage?

ʻaʻole paha ia e hōʻino

E aʻo i nā hōʻailona o ka nele o ka hormone thyroid, lawe i nā hoʻāʻo koko no kēia mau hormon, ʻoi aku kahi T3 manuahi. Inā hoʻopaʻa ʻia ka hypothyroidism, mālama iā ia.

Eia nō naʻe, ʻike maoli ka ʻike ʻolelo e pili ana i kēia pilikia - a hiki wale i ka ʻōlelo Pelekane.

Aloha oe, ua helu ʻia au me ka maʻi type 2 i ʻekolu mahina i hala aku nei, ʻoiai ua kanalua wau no ka ʻike ʻana o ka maʻi, ua pili au i ka meaʻai haʻahaʻa, ʻo ke kōʻai wikiwiki ʻo 4.6-4.8, ma hope o ka ʻai ʻana i ka 5.5- a 6. Pono wau e lawe i ka metformin? 168 cm ke kiʻekiʻe, 62 he paona, he 67 kg.

Aloha ahiahi
ʻO ke kāne (40 mau makahiki, 192 cm / 90 kg, ʻili 95 cm) i loaʻa i nā hopena hōʻike:
Nā kuʻi koko koko 2.7 mmol / L
HDL cholesterol 0.78
LDL cholesterol 2.18
Hemoglobin Glycated 5.6% (HbA1c 37.71 mmol / mol)
Ka hoʻopuehu 5.6 mmol
Maʻamau ka lōʻihi o ka lōʻihi, 130/85 mm Hg

Hiki i kēia ke manaʻo i nā hōʻailona o ka loaʻa ʻana o ka metabolic hōʻailona?

ʻAʻole i nānā ke kauka, i ka pilikia, ua ʻōlelo e ʻai i nā cereals a me nā mea laʻa paʻakikī ...

P.S. Ua hoʻomaka ka ʻohana holoʻokoʻa e pili ana i ka papaʻaʻai haʻahaʻa.

Aloha ʻAʻohe nō wau i ka maʻi diabetes, akā ua ʻike ʻia kahi maʻi metabolic ma o ka ʻimi ʻana i kahi kauka i ʻike e pili ana iā ia. ʻAe wau iā Glucofage i ka lōʻihi o ka makahiki 2000, ke kōpaʻa i ke kakahiaka 5.4-5.8. Aia kahi pōkole a me ka hoʻopōmaikaʻi maikaʻi ʻana me ka meaʻai haʻahaʻa-mau haʻahaʻa e pili ana i 3 mau mahina i hala. A laila kokoke mau mahina ʻelua hikiʻole ke hoʻonohonoho pono. I kēia manawa ka ikaika a me ka manawa. I nā lā ʻelua ma ke hoʻomaka. Aia ka dizziness a me ka nāwaliwali, akā ʻike wau pehea e launa ai me lākou. A ʻoi ka pīhoihoi a me ka maikaʻi loa. ʻAʻole wau i 100% e pili ana e pili ana kēia pili. Makemake wau e wehewehe: hiki i ka hopena ke hopena i ka hoʻololi ʻana i nā diet-low low? (E kākau pinepine lākou e pili ana i ka anti-aging kūlana) Hiki paha i ka pancreatitis maʻi a me ka cholecystitis ke hoʻopilikia i kēia (ma ka mea maʻamau ʻole kekahi mea e hoʻopilikia iaʻu, hana ʻia kēia e ka ultrasound a me ka nānā ʻana)? Inā he hopena kēia o ka hoʻololi o ka meaʻaiʻai, a laila pehea lā ʻoe e hoʻoponopono ai i ke kūlana ma ka ʻai ʻana i ka mea ʻai haʻahaʻa kaʻai ʻana, akā me ka hoʻohaʻā ʻole ʻana o ka pēpē? Manaʻohaʻi

Aloha Sergey! Mahalo i kou manaʻo! He 57 koʻu makahiki, kiʻekiʻe 168cm, kaupaona 103kg. Lawe au i ka L-thyroxine (autoimmune thyroiditis), varicose veins, gastric ulcer, hoʻoneʻe i ka ʻōpū o ka puʻuwai a me ka hopena maikaʻi loa - thrombocytopenia koʻikoʻi, malia paha he hypertension (akā ʻike pinepine ʻole wau i ke kaumaha a ʻaʻole i hele i ke kauka. 100) hoʻonohonoho - aha ʻoe e pono ai.
ʻO kekahi mau makahiki i hala iho nei, ua hoʻomaka ka gula ma ke ʻano: I kēia manawa: glucose-6.17-6.0, hemoglobin glycated-6.15, c-peptide-2.63, kolamu-5.81, LPVSC-1.38,
LDL-3.82, ka coefficient o aerogenicity-3.21, homocysteine-9.54, triglycerides-1.02, c-reactive protein-1, platelets-635 (maʻi koko).
Iʻelua mau pule i hala aku nei, ua hiki ʻole iaʻu i kāu pūnaewele a i kekahi manawa i makaʻu wau i ka heluhelu ʻana. ʻAʻole au i mālama koʻikoʻi i kaʻu mau hōʻailona ... ʻoiai ʻo 6 mau mahina i hala ua kaupaona nei i ka kg kg kg a ua hoʻoholo e mālama i koʻu olakino, ua pōloli wau i hoʻokahi manawa i ka hebedoma, ( Pehea ʻoe e ʻike ai i ka lā pōloli i ka hebedoma? makemake wau e hoʻomau) hoʻomaka wau e hana i ke ʻano i ke kakahiaka, e ʻai i ka berena, ʻaʻole wau i ʻai i ka hola 6. He hua ko "-10 kg." Akā, ʻo ke ʻano hopohopo iaʻu no ka loli ʻole nā ​​loiloi.
Iʻelua mau pule i hala aku nei ua hoʻomaka wau e hoʻopili i kahi meaʻai haʻahaʻa haʻahaʻa, inu wau i ka papa Magne B6 4 papa i kēlā me kēia lā (ua hoʻohiolo loa ka paʻu-110-115 / 70. I koʻu inu ʻana i nā papa 6, ʻo 90/60) ua ana wau i nā hōʻailona, ​​akā ʻaʻole naʻe au i hoʻāʻo. Ke lele nei nā ʻōkuhi, pono ʻoe e hana i kahi loiloi.
Me kahi meaʻai, paʻakikī loa nā mea a pau - ʻaʻole wau makemake i ka ʻai! Ua hōʻeha koʻu ʻōpū mai ka wai, nā mea kanu nō hoʻi ka ʻeha, ʻai wau i ka iʻa, akā ʻaʻole ʻoe e ʻai i kēia iʻa 3 mau lā i ka lā! ʻAi wau i nā huaʻai, nā pīpī asparagus no kēia mau 2 wiki uaʻai wau i ʻoi ma mua o koʻu ola holoʻokoʻa ... makemake wau eʻai i nā manawa āpau a makemake au i kahi mea ʻoluʻolu, ʻoluʻolu a me nā volumous ... ua hoʻomaka wau e ʻai i ka pīa ʻaī me ka kirīmi mau 2 mau manawa i ka hebedoma (Hana wau ia mai ke kefir). huka, me he mea la ʻaʻole e ulu ... Ua lawe ia 2kg, ka mea hou i ka Makahiki Hou. ʻO kēia ka hoʻomaka. Me kēia ʻano o nā meaʻai, ʻaʻole hiki iaʻu ke kū i ka wā lōʻihi ma muli o nā hōʻeha i loko o kuʻu ʻōpū ...
Ua makemake wau e nīnau iā ʻoe, e hāʻawi paha i kēia pane, akā ʻaʻole wau i heluhelu i kāu mau ʻōlelo āpau. Ua loaʻa iā ʻoe ka prediabetes, ka momona nui, ke hoʻonui ʻana i ke kō. Pēlā ʻoe i hoʻohuli ai i nā mea āpau. Ma hope o nā mea a pau, hiki iā ʻoe ke alakaʻi i kahi ola olakino, mālama i kou paona, ʻai ma ke ʻano ...

Mahele ahiahi.Miaʻu kaʻu nīnau, a i ʻole paha o kou manaʻo i makemake mai iaʻu I ka makahiki 31 oʻu, kiʻekiʻe-164 cm, ke kaumaha-87 kg, hoʻokahi mahina i hala ua maʻi ʻia au me ka metabolic syndrome, nā endocrinologist maoli i kahi meaʻai haʻahaʻa-calorie a me ka metformin i mau manawa 250 850 mg. ʻIke wale wau i nā hopena o nā hoʻokolohua, huli koke i ka ʻai haʻahaʻa mea haʻahaʻa mea āu i makemake ai, ua hoʻomaka maoli ʻo Metformin e lawe ʻia nā hopena. Ua ʻike ʻia nā hopena, ua hoʻemi ʻia ke kaumaha ma ka 7 kg, ʻaʻole kokolo ka hilo ma hope o ka ʻai ʻana, akā hopohopo nui kēia no koʻu makuahine, ua make koʻu makuakāne i ke kauwela o 2017 oncology, no laila ua maopopo ka māmā o kāna maʻi Ua hoʻonāukiuki ʻia ka manaʻo e ka meaʻai Kremlin (ʻoi loa i ka manawa kūpono e like me kona mau kānāwai, ʻoi aku ka nui o hoʻokahi makahiki), ʻoiai ua hoʻokumu ʻia ia i nā protein. A i ka manawa i lohe ai ʻo wau e hoʻopili i kahi meaʻai haʻahaʻa haʻahaʻa loa i ka aneane o koʻu ola a puni, aneane loaʻa iā ia kahi haʻalulu. ? Pehea kou noʻonoʻo ʻana i kāna ʻepekema? Pēlā paha e haʻi iaʻu i kahi e ʻike ai i nā ʻike ʻepekema o kēia pilikia.

Ua maikaʻi loa kēia ʻatikala .. Aloha ʻoe no ka ʻike hou. He mea maikaʻi ke paʻi pinepine ʻia i kēia mau ʻōlelo. Inā kahi ʻatikala he nele o nā hormones thyroid i ka hypothyroidism a me ka mālama ʻana i ka hypothyroidism, e ʻoluʻolu e paʻi iā ia. He aha nā hōʻike e pono ai me ka hypothyroidism e hōʻoia i kēia maʻi /
He aha ka ʻokoʻa ma waena o ka maʻi Diabeton MR a me Diabeton B ʻoiai ke lawe nei ma mua o 8 mau makahiki, pono wau e hoʻololi? ʻIke paha iaʻu? Kāma 7.8 mmol / L

Hōʻalo Uila Metabolic

I mea e pale ai i ka hoʻomohala ʻana o ka metabolic syndrome, pono ia e haʻalele i ka ʻai ʻana i nā nui o nā momona, ke kō. Pono e mālama ʻia nā nūhou kino kino ma ka 18.5-25.

ʻO ka mea nui hoʻi ka hana kino. Ma ka liʻiliʻi he 10,000 e hana ʻia i kēlā me kēia lā.

No laila, ʻo ka metabolic syndrome ʻaʻole ia he maʻi kūʻokoʻa, akā he hoʻonohonoho o nā hōʻailona pathological e hiki ke alakaʻi i ka hoʻomohala ʻana o nā maʻi cardiovascular a me ka maʻi mellitus. I mea e pale ai i kēia, pono e lawe i nā manawa kūpono no ka pale ʻana a me ka mālama ʻana.

Waiho I Kou ManaʻO HoʻOpuka