ʻO ka maʻi metabolic
ʻO ka metabolic syndrome kahi maʻi a me ka lāʻau kikowaena hōʻailona o nā hōʻailona e hele nei me nā maʻi metabolic. Kūkulu ʻia ka pathology i ka lawaiʻa o ka insulin a i ʻole ke kūʻē ʻana o nā pūpū a me nā kiko peripheral i ka insulin.. ^ E Ha yM. I ka wā e nalowale ai ka naʻau o ka hormone no ka piʻi ʻana o ka glucose, hoʻomaka nā hana āpau i ke kino e hele hewa. I ka hoʻomanawanui, hoʻopau ka metabolism o nā lipids, nā hoʻomaʻemaʻe, nā huapalapala. Ke piʻi nei ke kiʻekiʻe o ke koko, a ma loko o nā pūpū ke nele.
I ka hopena o ke kenekulia 20, ua hui pū nā kānaka ʻepekema mai ʻAmelika i nā loli like ʻole o ka metabolic i loko o ke kino kanaka i hoʻokahi ʻāpana. Ua haʻi ʻo Kauka Riven, i ka hopena o nā haʻawina o nā mea kākau a me kāna mau nānā, i kapa ʻia ka pathology "Syndrome X". Hōʻoiaʻiʻo ʻo ia i ka pale ʻana i ka insulin, ka momona o visceral, hypertension a me myocardial ischemia he mau hōʻailona o kahi kūlana o ka pathological.
ʻO ke kumu nui o ka maʻi kuʻuna. ʻO ka hana koʻikoʻi i ka hoʻomohala ʻana o ka maʻi e mālama ʻia me ka ke ola kino ʻole, ke kaumaha a me ke ʻano pale ʻana i ka hormonal. I nā poʻe hypodynamic makemake nui i nā meaʻai momona a me ke kaola kiʻekiʻe, ʻo ka hopena e pili ana i ka hoʻomohala ʻana i nā patology he kiʻekiʻe. ʻO nā meaʻai kiʻekiʻe-kaloli, kahi halihali pilikino a me ka hana sedentary he mau mea exogenous i ka hopena o ka metabolic disorders ma ka hapa nui o nā kānaka āpau o nā'āina. I kēia manawa, hoʻohālikelike i ka metabolic syndrome ma ka maʻamau a me kahi maʻi maʻi a i ʻole kahi maʻi maʻi. ʻO ka maʻi pinepine ka hopena i nā kāne 35-65 mau makahiki. ʻO kēia ma muli o nā hiʻohiʻona o ka hormonal background o ke kino kāne. I nā wahine, ulu ka maʻi ma hope o ka hoʻomaka ʻana o ka menopause, ke pau ka hana ʻana o ka estrogen. Hoʻokaʻawale ʻia nā hihia o nā pathology i waena o nā keiki a me nā ʻōpio, akā ʻo ka hoʻonui nui aʻe o ka piʻi ʻana o ka manawa i loko o kēia ʻano makahiki he mea maʻamau.
ʻO nā poʻe me ka maʻi maʻi e hōʻike i nā hōʻailona o nā maʻi multifactorial i hoʻokahi manawa: maʻi o ka maʻi maʻi, ka huehue, hypertension a me ischemia cardiac. ʻO kahi pilina nui ma kā lākou uluʻana ke kū'ē i ka insulin. I nā maʻi, hōʻiliʻili ka momona i loko o ka ʻōpū, hoʻokoe pinepine ʻia nā leo kīʻaha koko, pōkole o ka hanu, nā ʻōpū, ke poʻo, ka cardialgia, a me ka mau ʻana o ka pōloli, e kū mai ana. Loaʻa ka Hypercholesterolemia a me ka hyperinsulinemia i ke koko. Hoʻomaka ka uptake glucose keu.
Hoʻokumu ʻia ka maʻi Dioma ma muli o nā ʻikepili i loaʻa i ka wā o ka hoʻokolokolo maʻamau o ka mea maʻi e ka endocrinologist. ʻO ka mea nui nui, nā mākaʻi o ka index mass body, waist circumference, lipid spectrum a me ke koko glucose. Kahi i nā ala hana, ʻo ka mea i ʻike ʻia ka: ultrasound o ka puʻuwai a me ke ana o ka hiki ʻana o ke koko. He paʻakikī i ka mālamaʻana i ka metabolic. Hoʻokomo ʻia ka hoʻomaʻamaʻa ʻana i ka nānā ʻana i kahi meaʻai kūikawā e hiki ai iā ʻoe ke hoʻomaʻamaʻa i ke kaumaha o ke kino, a me ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻihoʻi ana i ka metabolism impaired. Ke nele nei i ka manawa kūpono a me ka lawa, ua hoʻomohala ka hoʻopiʻi i nā ola: atherosclerosis, stroke, hōʻeha o ka naʻau, impotence, infertility, hepatosis momona, gout.
ʻO ka maʻi Metabolic - kahi pilikia olakino ma muli o kahi ola kino ʻole o ka hapanui o ka heluna. ^ E Ha yM. I mea e hōʻalo ai i nā hoʻopiʻi koʻikoʻi o ka pathology, pono ia e ʻai pono, hoʻohiolo i ke koʻikoʻi o ke kino, hoʻomaʻamaʻa, hāʻawi i ka waiʻona a me ka ulaula. I kēia manawa, ʻaʻole hoʻomaʻamaʻa ʻia ka maʻi nui, akā ʻo ka hapa nui i hoʻololi ʻia i loko o ke kino o ka mea maʻi. ʻO ke kūleʻa hoʻokūkū a me ke ola kino e kōkua ai i ka hoʻokō paʻa ʻana o ke ʻano maʻamau.
Nā mea ʻoliala
ʻO ka mahele metabolic kahi ala poli polyological e hele ana ma lalo o ke ʻano o nā mea like. Hoʻokumu ʻia ka pale kūlohelohe i loko o nā mea pilikino me ka hoʻoili koʻikoʻi. ʻO ke kumu nui kēia o ka maʻi maʻi. ʻO ka gene ka hoʻopili i ka metabolism i loko o ke kino aia ma ka chromosome 19. Ke neʻe nei kona hoʻonaninani me kahi loli i ka nui a me ka maikaʻi o nā receptors i nānā i ka insulin - lilo lākou i liʻiliʻi a i ʻole lākou e ʻike i ka hormone. Hoʻokomo ka ʻōnaehana pale i nā antibodies e poloka i kēlā mau ʻōhua receptor.
ʻO nā kumuhana ʻē aʻe e hoʻonāukiuki i ka hopena o ka metabolic ka helu ʻana:
- ʻO kaʻaiʻai maikaʻiʻole me ka nui o nā momona a me nā mea momona aʻai i ka meaʻai, ka ʻai ʻana, ka lawehala mau ʻana, ka nui o ka calorie a pau i kaʻai ʻana i ka ʻai.
- Ka nele o ka hoʻōho ʻana, nele i ka hana kino a me nā mea ʻē aʻe e hoʻolohi i ka metabolism,
- Nā puʻuwai o ke kīʻaha koko a me nā pilikia o ka pōʻai ma muli o ke kahe ʻana o ke kō koko, a e alakaʻi ana i ka hoʻomau i ka hoʻomau ʻia o ke kahe koko i loko o nā ʻōpū kūwī, ʻo ia hoʻi ka lolo a me myocardium,
- ʻO ka overstrain psycho-naʻau - ke kaumaha pinepine, nā waʻa o nā manaʻo, nā manaʻo, nā kūlana hakakā, nā ʻehaʻeha o ka pohō a me nā ukana ʻē aʻe e hōʻole ana i ka hoʻoponopono ʻana o ka neurohumoral a me nā ʻiʻo,
- ʻO ka pale haʻahaʻa o ka hormonal e alakaʻi i nā maʻi metabolic, ka haʻalele ʻana o ka momona i ka ʻōpū a me ke kūkulu ʻana i nā momona o ka visceral-abdominal,
- ʻO ka hopu ʻana i ke kaʻa pōkole pōkole i ka hiamoe, e hoʻoiho ana i ka hypoxia lolo a hoʻonui i ka hiʻona o ka ulu ulu ʻana, e hōʻemi ana i ka hoʻoweliweli ʻana o nā cell i ka insulin,
- ʻO ka lawe ʻana i ka antagonist insulin - glucocorticosteroids, waha i ka maʻi ʻaʻai, nā hormone thyroid, a me nā antidepressants, blockers adrenergic a me nā antihistamines,
- ʻO ka hoʻomaʻamaʻa ʻole o ka maʻi mellitus me ka insulin, e hoʻonui ai i ka nui o ka hormone i loko o ke koko a hāʻawi i ka hoʻohui i nā receptors me ka hōʻemi kaohi ʻana i ka pale ʻana i ka insulin.
ʻO ka hōʻemi ʻana i ka naʻau o ka insulin he hana hoʻololi e hiki ai i ke kino ke ola i ka pōloli. ʻO ka poʻe o kēia wā, e ʻai ana i nā meaʻai kiʻekiʻe-calorie a me kahi predisposition genetic, holo i ka hopena o ka hoʻomohala ʻana i ka momona momona a me ka metabolic syndrome.
I nā keiki, nā mea hānai o nā maʻi e hānai i nā hana maʻamau, haʻahaʻa o ka hānau hānau, a me nā kūlana ola a me ka hoʻokele waiwai. Hoʻomaʻamaʻa ka poʻe ʻōpio i ka pathology ma ka haʻalele ʻana o ka meaʻai kūpono a me ka hana kino olakino.
ʻO ka insulin ka hanina he hana i kekahi o nā hana koʻikoʻi, aia ka mea nui i ka hānai ʻia o ka glucose e nā mau kino o ke kino. Hoʻohālikelike ia i nā mea ʻona e kū ana ma ka paia o ka pā, a mālama i ka komo ʻana o nā hāmeʻe i loko o ke kōpae mai ka papa o ka extracellular. Ke pau ka nānā ʻana i ka naʻau o ka insulin, ka glucose a me ka hāmeʻa e hōʻiliʻili i ke koko i ka manawa like. No laila, ʻo ka kū'ē o ka insulin ke kumu o ka patology, hiki ke hoʻopiʻi ʻia e nā kumu he nui.
He ʻano maʻamau ka hana o ka insulin. Me ka pale ʻana o ka insulin, ʻaʻole pane mai ka ʻolua ma mua o ka hormone a ʻaʻole i wehe ke kahawai no ka glucose. Noho ka Insulin a me ke kō i loko o ke koko
Ke ʻai nei i ka nui o nā waihona laikama māmā, hoʻonui ka nui o ka glucose i ke koko. Ua lilo ia ma mua o ka pono o ke kino. Pau ka glucose i ka wā o ka hana ikaika. Inā alakaʻi kekahi kanaka i kahi nohona maluhia a ma ka manawa like e ʻai i ka meaʻai kākāʻai kiʻekiʻe, a hoʻokaʻawale ka glucose i loko o ke koko, a paʻa nā cellere i kāna hāmeʻe ʻana. Ke uku nei ka pancreas i ka hana o ka insulin. Ke loaʻa ka nui o ka hormone i ke koko i nā helu koʻikoʻi, hoʻopau nā cellers i ka ʻike. ʻO kēia ke ʻano o ka pale ʻana o ka insulin. ʻO ka Hyperinsulinemia, ma ka huli ʻana, e hoʻoulu i ka momona a me ka dyslipidemia, i pili i ka pathologically i nā kīʻaha koko.
ʻO ka pūʻulu pilikia no nā metabolic syndrome e hui ʻia o nā kānaka:
- ʻO wai ka nui o ke koko kiʻekiʻe
- ʻO ka momona a me ke kau paha
- Ka alualu ʻana i kahi nohona hana maʻalahi,
- Ka hōʻaha ʻana i nā momona momona a me ke kala,
- Hoʻohui ʻia i nā hana ʻino
- ʻEha ʻia mai ke ʻano type type 2, ke ʻōpū puʻuwai coronary, nā maʻi vascular,
- Ke loaʻa nei ka ʻohana me ka momona nui, ka maʻi maʻi, ka maʻi naʻau.
Hiki i ke ʻano o nā hiʻohiʻona scologally pathomorphological o ke keʻena ke hōʻike penei:
- ʻO ka nele o ka hoʻomaʻamaʻa a me ka meaʻai maikaʻi ʻole,
- Hoʻemi ka hoʻonaninani ʻana i nā ʻenemi e hoʻopili ana me ka insulin,
- I ka hoʻonui ʻia o ka hormone i loko o ke koko,
- Hyperinsulinemia,
- Dyslipidemia,
- Haumāna,
- Nā ʻilima
- Hertertension
- Hōʻōkoʻi Cardiovascular,
- Haumakua,
- ʻO ka hoʻokumu ʻana o nā ʻenehana manuahi i ka wā e uhaʻi nei i nā protein,
- Hōʻino i nā puʻupuʻu kino.
ʻO ke ʻano o ka hoʻomohala ʻana o ka pathology, e hōʻike ana i kona pathogenesis:
- Initial - dysglycemia, mālama pono i ka hana o ka pancreatic maʻamau, nele o ka maʻi diabetes a me ka maʻi puʻuwai,
- Hōʻaha nā - holomua i hoʻomohala ʻia i ka hoʻomanawanui i ka glucose, dysfunction pancreatic, hyperglycemia,
- Ke kaumaha - ka heleʻana o ka mellitus o ka maʻi mellitus, kahi māka i haʻi ʻia o ka pancreas.
Pehea e hōʻike ʻia ai ka maʻi maʻi?
Hoʻololi ka holokikiki a ke hōʻike ʻia nei e nā hōʻailona o ka maʻi mellitus, diabetes hypertension a me ka maʻi naʻau coronary.
Hoʻopiʻi nā mea maʻi i:
- Weupuaa
- Waha haole
- Hoʻoholo i ka hana
- Hoʻopilikia
- ʻO nā wahi hiamoe hiamoe
- Laka ʻaole
- Hoohui
- Ka hōʻole ʻia o nā kīʻaha iʻa a me ke kīpē i nā ʻono,
- Hoʻonui ka momona
- Kahakaha
- Polyuria.
ʻO nā hōʻailona o ka puʻuwai, tachycardia, pōkole o ka hanu e hui pū i nā hōʻailona maʻamau o ka asthenization o ke kino. Aia nā loli i ka ʻoihana kūwali, hōʻike ʻia e ka constipation, bloating, colic. ʻO ka ʻai ʻana i nā meaʻai momona kā hoʻomaʻamaʻa iki i kou ʻano.
ʻO nā poʻe me ka maʻi maʻi ua loaʻa i kahi papala o ka momona ma ka ʻōpū, ka umauma, nā poʻohiwi. Hoʻokomo ʻia ko lākou momona i nā ʻōpū o loko. ʻO ia ka mea i kapa ʻia ʻo obesity visceral, alakaʻi i ka pili o nā pā i hoʻopili ʻia. Hana pū ka pā Adipose i kahi hana endocrine. Hoʻōla ia i nā mea e hoʻokūkī ai a hoʻololi i nā ʻano o ka rheological o ke koko. Hana ʻia ke maʻi o ka ʻōpū o ka ʻōpū i ka wā i hiki ai i ka nui o nā pūhaka i loko o nā kāne ka 102 cm, a i ka wahine 88. ʻO ka hōʻailona waho o ka ʻōpū o ke kākā - striae - burgundy a i ʻole cyanotic hū nā wīwī o nā ākea ʻokoʻa ma ka ʻili o ka ʻōpū a me nā pūhaka. ʻO nā wahi ʻulaʻula ma ke kino o luna ke hōʻike nei i kahi hypertension. Loaʻa ka poʻe maʻi i ka nausea, ka uʻi a me ka palu o ke poʻo, ka maloʻo maloʻo, ka hyperhidrosis i ka pō, haki, ka weliweli o nā palahalaha, flickering o "mau lele" i mua o nā maka, discoordination o ka neʻe.
Nā hōʻailona Diagnostic
Diagnosis o ka metabolic syndrome e pilikia ai kekahi mau pilikia ma waena o nā loea. ʻO kēia no ka nele o nā hōʻailona kikoʻī, e hōʻike ana i ka loaʻa ʻana o kahi maʻi kikoʻī. Aia i ka hoʻokolokolo maʻamau o ka mea maʻi e kahi endocrinologist, hōʻiliʻili i ka ʻikepili moʻoʻepekema moʻoʻōlelo, nā kūkākūkā hou me kahi mea ʻai, cardiologist, gynecologist, andrologist. ʻIke nā kauka inā inā loaʻa ka mea maʻi i ka predisposition genetic i ka momona, pehea i loli ai ke kino o kona kino i kona wā o kona ola, he ʻano o ke ʻano koko i loaʻa iā ia, inā i ʻeha ia i ka puʻuwai a me nā maʻi vascular, ma nā kūlana i ke ola.
nā maʻi maʻi diagnostic no ka maʻi metabolic
I ka wā o ka hoʻokolokolo ʻana, mālama pono nā poʻe loea i ka heleʻana o nā striae a me nā ʻulaʻula i ka ʻili. A laila e hoʻoholo i ka ʻikepili antthometometric o ka mea maʻi e ʻike i ka momona visceral. No ka hana i kēia, e ana i ka ʻalani hope. Hoʻokumu ʻia ma ka ulu a me ke kaupaona, ke helu ʻia nei ka ʻōlelo kikoʻī o ke kino.
ʻO ka maʻi Laboratory maʻi o ke kuʻuna - hoʻoholo i ke pae koko:
ʻOi aku ka kiʻekiʻe o kēia mau mea iʻoi aku ma mua o ka maʻamau. Loaʻa ka prototein i loko o ka urine, kahi hōʻailona o ka nephropathy diabetes.
Loaʻa kahi kaʻina noiʻi noiʻi i ka waiwai kōkua. Hoʻokaʻawale ʻia nā mea maʻi i ke koko koko i kekahi mau manawa i ka lā, ua hoʻopaʻa ʻia ka electrocardiogram, ka hoʻohana ʻana i ka ultrasound o ka puʻuwai a me nā puʻupaʻa, ultrasonography, x-ray, CT a me ka MRI o nā kūloko endocrine.
He kaʻina hoʻōla
Hoʻomaʻamaʻa ka mālama ʻana mai o ka maʻi maʻi i ka hoʻoliʻiliʻi ʻana o ka momona o nā momona a me nā haʻahaʻa kākoki, me ka hoʻohaʻahaʻa ʻana i ke kaumaha o ka mea maʻi, kāpae i nā hōʻailona o ka maʻi maʻi a me ka hoʻoulu ʻana i ka hypertension arterial. No ka mālamaʻana i ka pathology, ua hoʻokumu ʻia nā ʻōlelo lapaʻau kūikawā hou a hoʻohana ʻia, ke kau ʻia o kahi mea he koi ia no kahi hopena maikaʻi.
He mea koʻikoʻi loa ka lāʻau lapaʻauʻai i ka mālama ʻana o ka pathology. I ka poʻe i pale i ka momona, hoʻōla ʻia ke koko a me ke kō koko koko, hōʻemi ka nui o nā maʻi o ka maʻi, a hoʻemi ʻia ka hopena o nā hōʻeha koʻikoʻi.
ʻO nā kuʻuna o ka meaʻai kūpono:
- Ma waho aʻe o ka meaʻai o nā kaona māmā - nā muffins, confectionery, nā ʻūhū, nā mea ʻona, a me ka meaʻai wikiwiki, nā meaʻai a pau, nā mea ʻai, nā kīloti,
- Hoʻopili i nā meaʻai paʻakai, pasta, nā pāʻai a me ka semolina, nā hua waina, nā maiʻa,
- Ka hoʻohana ʻana o nā lau i nā lau ʻai hou, nā lau, nā lau, nā ʻiʻo, ka ʻiʻo ʻai a me ka iʻa, nā kai lawaiʻa, nā huahana wai ʻole e honi ana.
- Kūpono ka ʻai manawa 5-6 i kēlā lā i kēia lā ma nā wahi liʻiliʻi i kēlā me kēia ʻekolu mau hola me ka ʻaihue ʻole a me ka pōloli,
- Hāʻawi ʻia - nā wai inu ʻono ʻole a me nā compotes, teas herbal without sugar, mineral water,
- ʻO ka hoʻonaniʻana o ka meaʻai me nā huaora, nā minelala, ke ake kai papaʻa.
ʻO nā maʻi me ka maʻi maʻi e nānā i kahi meaʻai haʻahaʻa haʻahaʻa no ke ola. Hāʻawi kahi hana paʻa i nā kalori i nā hopena maikaʻi i ka hakakā ʻana me ka momona nui, akā ʻaʻole hiki i nā mea āpau ke kū i kēia aupuni. Loaʻa ka poʻe maʻi i ka nāwaliwali, make ʻole, a me ke ʻano maikaʻi. Hoʻololi pinepine i nā haʻalulu a me nā pale o ka luhilahi. ʻO ia ke kumu i lilo ai nā protein holoholona i ke kumu o ka ʻai. Ke nele nei i ka pauna o ke kala - ka kumu nui o ka ikehu, alakaʻi i ka ʻai o nā waihona momona i hōʻiliʻili ʻia, i mea e waiwai ai i ka hoʻolilo momona. I nā hihia koʻikoʻi, me ka haʻalele o ka hopena o ka mālama conservative o ka momona, e hana ana kekahi hana - gastric a biliopancreatic shunting.
Hōʻike ʻia ka hana pilikino no nā poʻe maʻi ʻaʻohe maʻi o ka ʻōnaehana musculoskeletal. ʻO ka mea pono e holo pono ana, ke holo huakaʻi, ka ʻauʻau ʻana, ka hele ʻana, ka hula, nā aerobics, ke aʻo ikaika. No nā poʻe me ke kaupalena olakino, lawa ia e hoʻokō i nā hoʻomaʻamaʻa kakahiaka i kēlā me kēia lā a holoholo i ka lewa wai.
Lāʻau lapaʻau lāʻau - ke koho ʻana i nā lāʻau lapaʻau o nā ʻano lāʻau lapaʻau like ʻole.
- ʻO nā meaʻawaʻawa no ka hakakā me hyperglycemia - Metformin, Siofor, Glucofage,
- ʻO nā lipine haʻahaʻa-hoʻoneʻe ʻana no ka hoʻoponopono ʻana o ka dyslipidemia - "Rosuvastatin", "Fenofibrate",
- Nā hui antihypertensive e hoʻohou i ke kahe koko - Moxonidine, Kapoten, Perineva,
- Nā lāʻau lapaʻau e hōʻole ana i ke kaʻina o ke kōpaʻa momona - "Xenical", "Orsoten",
- ʻO nā lāʻau lapaʻau e hōʻemi ai i ka momona - "Fluoxetine."
Koho ʻia ka hoʻomākaukau lāʻau Pharmacological no kēlā me kēia maʻi, e noʻonoʻo ana i ke ʻano maʻamau o ke kino, ka wahi o ka pathology, etiological factor a me nā hopena hemogram. Ma mua o ka hoʻomaka ʻana i ka mālama ʻana me nā lāʻau lapaʻau, pono ʻoe e hoʻāʻo i nā ala āpau i ka lāʻau lapaʻau - ka meaʻai, ke ʻano haʻuki, ke olakino, ke ola kino. I kekahi manawa lawa kēia e hoʻokō i ka metabolic syndrome o kahi pae mua a me ka pae ʻana.
Hoʻopuka nā kaʻina physiotherapeutic i ka hopena o nā kīʻaha me nā lāʻau lapaʻau. ʻO ka maʻamau, nā maʻi i kuhikuhi i ka massage, ke keʻena hyperbaric, myostimulation, cryotherapy, lapa lepo, hirudotherapy.
ʻAʻole maikaʻi loa ka lāʻau lapaʻau kuʻuna i ka hakakā me nā metabolic syndrome.E noi i ka diuretic, diaphoretic, ka uku koleretic, a me ka phytochemical e hāpai i ka hana hoʻokūkū. ʻO nā infusions kaulana a me nā decoction o chicory aʻa, stigmas palaoa, dandelion rhizomes, nā hua borage.
Kāohi
ʻO nā hana e pale ai i ka hoʻomohala ʻana o ka metabolic syndrome:
- ʻO kaʻai kūpono
- Hoʻoikaika kino holoʻokoʻa
- Hāʻawi i nā hana maikaʻi ʻole,
- ʻO ke kaua e pili ana i ka hana kūlohelohe,
- Hoʻopilikia i nā nīnū palū i ke kaumaha, luhi, luhi i ke kaumaha,
- Lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka
- ʻO ka nānā pinepine ʻana i ke koko a me ka nānā ʻana i nā manawa maʻamau i ka kolamu,
- ʻO ka kāohi o ke kaupaona a me ke kaupaona kino,
- ʻO ka nānā loea maʻamau me ka mālama mau ʻana e ka endocrinologist a me nā wā hoʻāʻo loea no ka hormone.
Hoʻomaopopo ka hoʻomaʻamaʻa ʻana o nā pathology me ka manawa kūpono a me ka koho pololei ʻana i ka mālama ʻana i ka hapa nui. ʻO ka hala ʻana o ka hopena a me ka nele o ka lāʻau kūpono ke kumu o nā pilikia hōʻeha a me nā mea hoʻoweliweli. Hoʻopau koke nā poʻe maʻi i ka hoʻomau ʻana o ka puʻuwai a me nā puʻuwai.
ʻO nā maʻi nui, nā angina pectoris a me hypertension ke kumu o ka make mua ʻana o nā miliona miliona. Hoʻopilikia kēia mau ala i ke kūkaʻi o ka metabolic syndrome. I kēia manawa, ʻoi ka nui o nā poʻe noho ma ka honua. Pono e hoʻomanaʻo ʻia ma mua o ka 50% o ka poʻe e make mai ka coronary insufficiency a pili i nā mea kūlohelohe.
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 olakino.
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 ua hoʻohana ʻoe ia e hoʻomalu i ka metabolic 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 ulaula a me ka inu ʻawa 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 ka "hewa" cholesterol, triglycerides a me ka hoʻokahe koko.
Manaʻo mākou iā ʻoe e nīnau e pili ana i ka lāʻau lapaʻau i kapa ʻia. 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 koʻikoʻi 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.
Palapala liʻiliʻi ʻaihue haʻahaʻa
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 hopena o nā hōʻike koko no ka cholesterol a me ka triglycerides, maʻa mau nā kauka i kuhikuhi i kahi meaʻai haʻahaʻa-calorie a me / a i ʻole nā lāʻau 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 lawe i nā hana, e huli pono i ka maʻi type 2 a i ʻole hoʻopau i ka palaka cardiovascular.
ʻAʻole lākou e hele a puni ka lāʻau. ʻO ka pilikia o ka triglycerides a me ka cholesterol maikaʻi e hoʻopau i nā momona. 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.
Kau wā: 0
Nā hopena
Nā pane kūpono: 0 mai 8
- Me ka pane
- Me kahi hōʻailona nānā
- diabetes type 2
- haʻi maʻi
- maʻi maʻi coronary
- ʻopi momona.
- luhi, luhi i ka ikaika, hoʻemi ʻia ka hana,
- me ka hoʻomaha lōʻihi i ka ʻai ʻana, kū ʻia kahi ʻano maikaʻi ʻole, ʻoi aku ka hōʻeha.
- Makemake mau wau i nā sweets, ʻo ka hoʻohana ʻana o nā kalupana e hoʻomaikaʻi a hoʻomaikaʻi i ke ʻano,
- aia ka puʻuwai wikiwiki, a laila - ʻeha ma ka puʻuwai,.
- nānā pinepine nā poʻo ma ke ʻano o ke koko,
- pōʻai, hāhaʻi maloʻo a nui aʻe ka makewai
- lohi ka hoʻoweliweli ʻana, hele i ka constipation,
- nā hōʻailona o ka pathology o ke auʻenehana autonomic e hoʻomohala - tachycardia, kaomi nui loa, ka hoʻonohonoho ʻana o nā neʻe a me nā mea'ē aʻe.
- hoʻāla ʻia
- hōʻemi iki ʻia o nā lipoproteins density kiʻekiʻe,
- ka hoʻokiʻekiʻe ʻana o ka cholesterol kino,
- he hūnā loko o ka ʻōpū ma kahi o 5.5 mmol / l,
- kiʻekiʻe ka wela o ka insulin a me ka leptin,
- Loaʻa nā molekole protein a me nā kiʻekiʻe o ka uric acid i loko o ka urine.
- kahi kīʻai kūikawā no ka metabolic syndrome ma ka wahine he ʻano kauoha a ʻoi loa ka hopena e hōʻemi i ka paona a me ka hoʻokō ʻana i nā kaʻina metabolic,
- ua ʻōlelo ʻia nō hoʻi ka mea maʻi e hoʻololi i kona ʻano ola e ka hoʻonui ʻana i ka hana kino kino,
- e hoʻohana ʻia nā lāʻau like ʻole e hoʻoponopono i nā pilikia i ka hana ʻana o nā kino o nā kino,
- ʻO ke kākoʻo noʻonoʻo a mālama i ka ʻano kūpono maikaʻi loa i mea nui loa no nā wahine me kēia ʻano pili.
- No ka mālamaʻana i ka maʻi metabolism, ʻo ka lāʻau o ka statin a me ka hui fibrate. Hiki iā Rosuvastatin, Lovastatin, Fenofibrat.
- E hoʻomaikaʻi i ka lilo ʻana o nā glucose i nā cell a hoʻonui i ko lākou naʻau i ka insulin, pono nā ʻano kūikawā a me nā huaora. ʻO kēia ka "Metformin", "Glucophage", "Siofor", "Alpha Lipon" a me nā mea ʻē aʻe.
- Inā ulu ka metabolic syndrome i nā kāne menopausal, hoʻohana ʻia ka lāʻau hormone. ʻO ia mau lāʻau lapaʻau e pili ana i ka estradiol a me ka drospirenone.
- Hoʻohana ʻia nā ACE inhibitors, hoʻohana ʻia nā mea huna saluran calcium a diuretics paha e hana hou i ke koko a hoʻomaikaʻi i ka hana naʻau. ʻO nā lāʻau maʻamau loa ʻo Creensril, Felodipine, Bisoprolol, Losartan, Torasemide a me nā mea ʻē aʻe.
- pono ʻoe e koho i ke ʻano o ka pīpī e lawe ai i ka leʻaleʻa, no ka mea, pono ʻoe e komo i kahi ʻea maikaʻi,
- ʻO nā mea hana e pono ai i kēlā me kēia lā no ka liʻiliʻi o hoʻokahi hola.
- pono e hoʻonui pinepine ʻia nā mea laha, ʻaʻole hiki ke hoʻouka nui,
- ʻAʻole hiki iā ʻoe ke hana i ke kahe koko kiʻekiʻe, nā hewa nui o ka naʻau a me nā pūpū.
- Pono ʻoe eʻai i loko o nā wahi liʻiliʻi, akā ʻaʻole nō e ʻae i nā wā hoʻomaha ma waena o nā papaʻai.
- meaʻai kuke ʻia i nā meaʻai, kālai ʻia a ʻālua ʻia.
- pau nā meaʻai a pau e ʻānai ʻia,
- ʻaʻole hiki ke holoi ʻia ka meaʻai,
- pono ʻoe e hoʻopaʻa i ka paʻakai paʻakai,
- kauoha ʻia kahi papa ʻai kai.
He aha ka hōʻailona o ka metabolic syndrome:
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?
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?
He aha ka hoʻomohala i ke kiʻekiʻe o ka triglycerides i ke koko?
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?
Catad_tema Metabolic Syndrome - mau ʻatikala
Nā kumu i loaʻa:
ʻAʻole ʻike ʻia ka etiology. Aia nā haʻawina e hōʻike ana i nā hana o nā mea e pili ana i ka hoʻomohala ʻana o ka MS:
■ hoʻonui i ka leo o ka ʻōnaehana hoʻonāukiuki,
■ kū'ē i ka insulin,
■ hyperandrogenism,
■ ka hemahema o ka ulu like ʻana o ka insulin,
■ ka hana o nā cytokine pro-inflammatory (TNF-a, protein C-reactive, IL-6, IL-10).
Ka hopena o ka metabolic - ka mua o ka helehelena o ka maʻi mellitus type 2, heʻokoʻa ʻole i ka hopena hope loa, no ka mea, ua paʻa ka kū ʻana o ka insulin i kēia hana ma muli o ka hyperinsulinemia. ʻO ka emi ʻana o ke kaumaha o ke kino ma o ka hoʻonui ʻana i ka hana motor a me ka hoʻopiʻi kūpono.
Ka hopena o nā hormones sex i ka lipid tissue:
Kahukapuka:
- hoʻonui i ka hana o ka lipoprotein lipase ma ka wahi o ka wahine feminis,
- ʻO ka hōʻiliʻili o nā lipid e hoʻolako i ka mālama o ka ikehu i ka wā o ka wā hāpai a me ka lactation.
Nā Progesterone:
- nā mea loaʻa progesterone i loaʻa i ka momona o ka ʻōpū o ka ʻōpū,
- e komo i ka hoʻoponopono ʻana o ka pānaʻina o ka adipose tissue,
- kahi mea hoʻokūkū o nā glucocorticoids no ko lākou poʻe mea nānā i nā momona momona i ka hopena luteal hope, hoʻonui i ka hoʻohanaʻana i ka ikehu,
- i nā wahine postmenopausal, ʻo ka haʻalele o ka progesterone e wehewehe i ka hoʻolōʻihi i ka metabolism.
Ka hoʻoponopono ʻana o ka hana estrogen hana o ka leptin e ka adipocytes e hele mai nei ma o ka hopena pane maikaʻi. Leptin - kahi hine protein synthesized e nā selela momona, hōʻailona i ka lolo e pili ana i ka paepae saturation, e pili ana i ka lawa o ka ikehu i ke kino.
Kuhi ʻia ke ʻano o ke kahe ʻana o ka pili adipose e nā sex sex: estrogens a me progesterone ke kuleana no ka localization o ka momona i ka wahi poki-femoral (gynoid), androgens ma loko o ka ʻōpū (android).
ʻO ka kiko Adipose ka pūnaewele o synt synthes-gonadal a me ka metabolism o ka estrogens, i loko o ke ʻano o P450 aromatase pili.
ʻO ka ʻōpū a me ka hana pinepine o ka visceral obesity kahi pilikia no nā maʻi cardiovascular, ma muli o ke ʻano kikoʻī a me nā physiological kikoʻī o ia ʻano adipose. Māhuahua ka hoʻokahe koko, hoʻōla ka hana o ka metabolic, a he nui nā momona momona o nā p-adrenergic receptors (ko lākou hoʻoulu ʻana e alakaʻi i ka lipolysis) me ka haʻahaʻa haʻahaʻa haʻahaʻa o a-adrenergic receptors a me nā receptors insulin, e hōʻeuʻeu ana e lipolysis. & Nbsp & nbsp.
Lipolysis intous i loko o ka adipose kiko o ka ʻōpū-visceral o ka ʻōpū e alakaʻi i ka nui o ka pae o nā momona momona i loko o ke kaila o ka ʻōnaehana, ka mea e hoʻokūkū ai i ka metabola aila o ka ʻōpū o ka ʻōpū: ka pale ʻana i ka insulin, hoʻonui i ka glucose, insulin, VLDLP a me ka triglycerides i ke koko.
Me ka pale ʻana o ka insulin, ʻaʻole paʻa ka lipid oxidation a, no laila, ua hoʻokuʻu ʻia ka nui o nā momona momona i hoʻokuʻu i nā momona momona. Eia kekahi, ʻo ka nui o nā waikawa momona luhi e hana i ka gluconeogenesis, e hoʻolako i ka synthesis a pale aku i ka hoʻopau ʻana o ka cholesterol-VLDL a me ka triglycerides, ka mea i hui pū ʻia e ka hōʻemi o nā pae o ka cholesterol-HDL. ʻO ka Dyslipoproteinemia, ma ka huli ʻana, e hoʻonāukiuki i ke ʻano o ke kūlohelohe o ka insulin, e like me ka mea i ʻike ʻia, i ka hoʻohālike ʻana, me ka hoʻēmi ʻana o ka nui o nā ʻāpana o ka insulin i nā ʻāpala kiko me ka nui o ka manaʻo o LDL-C.
ʻO ka pilina ma waena o ka hypertension a me ka hyperinsulinemia e wehewehe ʻia e:
■ hoʻonui ʻo sodium reabsorption i loko o nā keiki (hopena antidiuretic),
■ ka hoʻoulu ʻana o ka ʻōnaehana hoʻonāukiuki a me ka hana catecholamine,
■ hoʻonui i ka hoʻonui ʻia o nā pakanui hoʻoneʻe o vascular a me kahi hoʻololi i ka ʻoi o nā kī ʻana o ka sodium i ka endothelium vascular.
I ka menopausal MS, kūʻē i ka mōʻaukala o ka nele o ka hormone hoʻonaninani, hoʻohaʻahaʻa ʻia ke ʻano o ka protein e hoʻopaʻa ana i nā steroid sex, kahi e piʻi ai i ka hoʻonui o nā ʻike o nā androgens free i ke koko, hiki iā lākou iho ke hoʻohaʻahaʻa i nā pae HDL a kumu i ke kūʻē ʻana i ka insulin a me ka hyperinsulinemia.
I ka hoʻonāukiuki a me ka kūleʻa o ka insulin, hana ʻia nā mea e kū ai ka hopena o ka maʻi o ka MAX-a, IL-6, plasminogen-1 activator inhibitor (IAP-1), nā waikiko momona manuahi, angiotensinogen II, e hana ana i ka hopena o ka endothelial disfunction, ka hoʻopilikia oxidative, a me kahi kaʻi ʻana o nā cytokines ka hoʻomohala ʻana o ka pale ʻana o ka insulin.
ʻO ka pilina ma waena o ka ʻōnaehana kiʻekiʻe loa a me ka kūleʻa o ka insulin e wehewehe ʻia e kahi pilina pili ma waena o ka pae o ka insulin a me ka hana o nā ʻano VII, X a me (IAP-1): hoʻonāukiuki i ka huna o kā lākou huna.
ʻO nā mea āpau o ka maʻi metabolic: ka pale ʻana i ka insulin, dyslipoproteinemia, hyperactivity o ka system syile o ka sympathetic - e hoʻopili ʻia, akā pono kēlā me kēlā me kēia e pili ana i ka ʻōpū o ka ʻōpū, i manaʻo ʻia he hōʻailona nui o ka metabolic syndrome.
He hōʻona nui nā ka puʻuwai o MS, no ka mea, ʻo kēia kūlana, ma kekahi ʻaoʻao, e hoʻomohala i ka kūkulu hou ʻana, a ma ka ʻaoʻao ʻē aʻe, ʻo ke kumu ia o ka pathogenesis ʻaʻole wale nō 2 mau ʻano, akā ke ʻano nui o ka hypertension a.
Eia kekahi, e like me ka helu o nā mea nui e pili ana i ka hoʻomohala ʻana o ka maʻi naʻau coronary i loko o ka ʻōpū (kēmea o ke ʻano nui o ka momona, ka hoʻohaʻahaʻa i ka hoʻohaʻahaʻa i ka glucose, AH) i manaʻo ʻia he "quartet make". Hoʻokomo ʻia ka MS i kēia mau mea nui:
■ kū'ē i ka insulin,
■ nā hyperinsulinemia a me ka kiʻekiʻe o C-peptide,
■ huamukala maʻi glucose
■ hiplikelopia,
■ ka hōʻemi o ka HDL a me / a me ka hoʻonui i LDL,
■ ʻo ka ʻōpū (android, visceral) ʻano hānō,
■ AG,
■ hyperandrogenism i nā wahine,
■ & nbsp & nbsp & nbsp & nbsp & nbsp & nbsp; ke kiʻekiʻe o ke kiʻekiʻe o ka hemoglobin glycated a me ka fructosamine, ke ʻano o ka protein i ka urine, metabolism purine.
Hiki i MS ke hōʻike i ke ʻano o kekahi o nā papa inoa, ʻaʻole mālama ʻia nā māhele āpau o ka maʻi maʻi.
ʻO ka momona homdominal ke hōʻailona koʻikoʻi o ka maʻi ma ka metabolic syndrome.
ʻO ka pinepine, ke hilahila ʻia ke kaʻe ʻana o ka menstrual e nā ʻano, metrorrhagia,. Hōʻike pinepine ʻia nā ovaries Polycystic.
Hoʻonui ka obesity i ka hopena o:
maʻi maʻi maʻi,
ʻōnoʻomaʻa hiamoe apnea (snoring),
diabetes mellitus,
okohola,
hipertension aʻai,
panoke o ke ake,
kanesa maʻi,
nā pilikia noʻonoʻo
umauma maʻi 'aʻai.
Loaʻa ka apnea hiamoe i ka 60-70% o nā poʻe momona. ʻO ka hiamoe ʻana i ka lā, cardiac, ischemia myocardial, maʻi hyperventilation, pulmonary hypertension, cardiovascular failed he ʻano.
ʻO ke kumu o ka mālama ʻana: ka hānai ʻana i ke kaupaona ʻana, hoʻihoʻi hou i nā hana hoʻohuli i ka hihia o kā lākou lawehala.
Hoʻohana maikaʻi i ka metabolic syndrome e pili ana i:
a..e.a I. ka hoʻokumu a me ka mālama ʻana i ka hoʻoikaika o ka mea maʻi i ka pohō kau,
na B. hoʻopili pinepine me ka mea maʻi me ka hoʻopili a me ka hoʻonohonoho ʻana i nā pahuhopu waena o ka mālama a me ka kāohi o kā lākou loaʻa ʻana.
ʻO ka hoʻopaʻa lāʻau ʻole:
- Kūpono no nā maʻi.
- Rational hypo - a me ka pono eukaloric.
- Hoʻonui ka hana kino.
- Ka hoʻokō ʻana o ka nohona.
- Hoʻohana ka maʻi maʻi ma ka hōʻemi ʻana i ka nui o ka ʻōpū.
Nā lāʻau lapaʻau:
- Nā serotonin koho a me ka norepinephrine reuptake inhibitor (sibutramine) 10-15 mg i kēlā me kēia lā: hoʻouka i ka hoʻomaka a me ka hoʻolōʻihi o ka manaʻo i ka piha, a ma muli o kahi hōʻemi o ka nui o ka ʻai i hoʻopau ʻia. ʻO ka maʻa mua o ka sibutramine he 10 mg i kēlā me kēia lā. Me ka pohō o ke kaumaha o ke kino e emi ana ma mua o 2 kg no 4 mau pule, e hoʻonui ʻia ka nui i ka 15 mg i kēlā me kēia lā. Hoʻokomo ʻia ka lāʻau i ka hypertension arterial.
- Ke lāʻau lapaʻau peripheral - ua pani ʻia ka orlistat i nā ʻōnaehana enzymatic intestinal, hoʻemi ʻana i ka nui o nā momona momona a me nā monoglycerides i loko o kahi pākī liʻiliʻi. ʻO ka hopena maikaʻi loa e 120 mg 3 mau manawa i ka lā. Me ka hoʻohaʻahaʻa ʻana i ka wā o ka hoʻōla me ka xenical, normalization a i ʻole ka hoʻemi nui ʻana o ke kaomi koko, ke ʻano o ka nui o ka kolamu, LDL-C, triglycerides, kahi mea e hōʻike ana i ka emi o ka hōʻemi o ka hoʻomohala ʻana i nā maʻi cardiovascular. Hoʻomaʻi maikaʻi ʻia ʻo Xenical a palekana.
- Antidepressants - ua koho ʻia nā inhibotter serotonin inhibitors no nā mea maʻi me ka hopohopo a me ke kaumaha kaumaha, nā panic attack a me ka neurotic bulimia: fluoxetine - kahi pākahi o kēlā me kēia lā he 20 a 60 mg no 3 mau mahina a he fluvoxamine 50-100 mg i kēlā me kēia lā no 3 mau mahina.
ʻO ka maʻi lapaʻau o ka pathogenetic o menopausal MS - ʻoi aku ka hoʻololi o ka hormone.
ʻO ka hoʻohaʻahaʻa ʻana i ke kaumaha o ke kino e kōkua hope i ka hōʻemi ʻana i ka hoʻomohala ʻana i ka maʻi cardiovascular, ka pale ʻana i ka maʻi diabetes type 2, a me ka hoʻohaʻahaʻa ʻana i ka ulu ʻana o nā apnea a me ka osteoarthritis. ʻO nā mīkini e hoʻokō ai i ka hopena hope loa ma hope o ka hoʻolilo ʻana o ke kaupaona ua paʻakikī a hoʻopili ʻia:
- ka hana maʻamau o ka hana lipid metabolism,
- ka hōʻemi o ke kahe o ke koko, ke kūpaʻa o ka insulin, nā cytokine pro-inflammatory, ka loaʻaʻana o ka thrombosis, ke kaumaha oxidative.
No ka mea ke nānā pinepine ʻia ka oligomenorrhea i nā wahine o ka makahiki o ka hānau ʻana me ka ʻōpala o MS, ma ke ʻano he nui, he hōʻemi ʻana i ka paona kino o 10% a ʻoi paha ua kōkua i ka normalization o nā kāne haole i 70% o ka wahine a me ka hoʻihoʻi hou o ka ovulation ma 37% o nā wahine me ka lāʻau ʻole hormonal. Kōkua ka HRT me ka MMS i ka hoʻemi ʻana i ke kaumaha o ke kino, e hoʻohaʻahaʻa i ka lehelehe noho 'eha, a e hōʻemi pono i nā pae o ka insulin a me ka wahīheʻe lipid koko.
Ke hoʻonui nei ka nui o ke kaupaona ʻana i ka nui o ka maʻi o ka maʻi cardiovascular, ka hoʻopōʻino i ka ʻōnaehana musculoskeletal, a me kekahi mau maʻi ʻawaʻī a me nā maʻi gynecological (endometrial hyperplasia, DMC, nāwaliwali o ka hana kontrakile o ka ʻōpū i ka wā hānau.
ʻO kahi ala maʻamau a koʻikoʻi hoʻi i ke kanaka nei i kēia manawa i manaʻo ʻia ʻo ia ka metabolic syndrome. ʻAʻole kauka i nā kauka i kēia ʻano i nā maʻi o ka poʻe hoʻokahi, akā, he hui pū ʻana o kekahi mau maʻi metabolic koʻikoʻi a me nā ʻōnaehana cardiovascular. He mea maʻamau ke ʻano o ka hulina i ka wā waena, ʻoi aku ka nui o nā kāne, akā ma hope o ke mau makahiki he 50, ʻoi aku ka maʻamau o ka metabolic syndrome i nā wahine. ʻO kēia ma muli o ka emi ʻana o ka hana hana estrogen i kēia manawa. ʻO kēia manawa, ʻoi aku ka nui o ka patology ma kahi o ka hapaha o ka nui o nā ʻāina kīwila e hōʻeha ʻia i ka metabolic syndrome. Ua hoʻomaka pū kekahi ʻo ia e pīhoihoi i nā keiki. ʻO kēia no kahi hana maʻalahi a me kahi laikona kalaiʻa i ka hapa nui o nā kānaka.
Ka hopena o ka metabolic i nā wahine: he aha ia
ʻAʻole kēia ala holoholo i ka maʻi ʻokoʻa. Hoʻopili ka lāʻau metabolic i ka hui pū ʻana o kēia mau maʻi koʻikoʻi ʻehā:
He maʻi koʻikoʻi kēia maʻi āpau i loko o lākou iho, akā i ka hui pū ʻana, lilo lākou i ʻoi aku ka pilikia. No laila, kapa nā kauka i ka metabolic syndrome he "quartet make." Me ka ʻole o ka mālama kūpono, alakaʻi pinepine nā pathology i nā hoʻopiʻi koʻikoʻi a me ka make. No laila, he mea nui loa ka nānāʻana i ka metabolic syndrome i nā wahine ma ke manawa. ʻO nā mea e ʻike pinepine ʻia ai ia i nā wahine i ka wā menopause. A pili nui nā wāhine i kā lākou maʻi me ka menopause. No laila, ua kūkākūkā ʻia ke kauka i nā manawa hope o ka hoʻomohala ʻana o ka pathology, i ka manawa e ʻike ai nā loli i ka ʻōnaehana cardiovascular. Akā me ke kōkua o ka hoʻokūkū kūpono, hiki nō paha ke kāpae i ka holomua o nā pilikia o ke olakino. ʻOiai ʻaʻole manaʻo ʻia ʻaʻole hiki ke hoʻōla maikaʻi ʻia ka pathology.
Ka hopena o ka metabolic i nā wahine: wehewehe
ʻO kēia hāpili o nā loli i ka mokuahi o ka olakino e pili pū ana i ka pilikia.ʻO ka mea nui i ka hoʻomohala ʻana o ka insensitivity cell i ka insulin. Ma muli o kēia, ua pau ka homa e hoʻokō i kāna mau hana, ʻaʻole hoʻopili ʻia ka glucose i nā kiko. Ke alakaʻi nei kēia i nā loli i ka palolo i nā iwi āpau, ʻoi aku ka pilikia o ka lolo.
ʻO ka hana nui o ka insulin ka mea e hoʻowalewale i ka ʻano o nā kaʻili o ka pona i loko o ke kō. Akā inā inā mau loa ka mea i komo i loko o kēia ulu ʻana i kēia hāmeʻa, ua pilikia ka hana. Ma muli o kēia, ʻaʻole hoʻopiʻi ka glucose, ua hoʻomoʻa wale ʻia ka insulin, a hōʻiliʻili lākou i ke koko.
Eia kekahi, ʻo ka metabolic syndrome ma ka wahine ke ʻano o ka hoʻonui ʻana i ka pae o ka "maikaʻi" kolesterol a me ka triglycerides ma muli o ka nui o ka waikiko uric a me ka hoʻomaʻamaʻa hormonal. I ke hopena ʻana o kēia mau loli, e piʻi mai ke koko, piʻi ke anuanu, a e hāhai ʻia ka hana o ka puʻuwai.
Hōʻike liʻiliʻi kēia mau hoʻololi i ke kino. No laila, ʻaʻole hiki koke ke kiʻi i ka metabolic syndrome i nā wahine. Loaʻa nā hōʻailona o ia i ka wā e hoʻopiʻi ai nā loli i ka hana o nā nui kino. Akā ma ka mea mua, ma muli o ka malnitation a me kahi keola e noho nei, ka hopena o ka mālamaʻana i nā cell i ka insulin. I ka hopena, hoʻomaka ka pancreas e hana i nā ʻoi aku o kēia hāmeʻa e hāʻawi i ka glucose i nā pū. ʻO ka nui o ka insulin i loko o ke koko e alakaʻi i ka maʻi metabolic, ʻoi loa ke kaʻina o ka momona o ka momona. Hoʻopuka ka uluʻana, piʻi mai ke kahe koko. A ka nui aʻe o ka glucose i loko o ke koko e alakaʻi ai i ka mellitus no ka maʻi mellitus, a me ka hoʻopau ʻia ʻana o ka pale palena o nā sela, kahi e hoʻomaka ai ka wā kahiko.
ʻO nā kumu o ka maʻi metabolic i nā wahine
Pili nā hoʻololi i ke kino me ke ʻano me kēia pathology me ka insensitivity o nā pona i ka insulin. ʻO kēia kahi kaʻina e hoʻokau i nā hōʻailona āpau e hōʻike i ka metabolic syndrome i nā wahine. ʻOkoʻa ʻē nā kumu no ka pale ʻana o ka insulin.
Pehea e hōʻike ʻia ai ka metabolic syndrome
Hoʻokūhū ʻia nā Patology, i nā makahiki i hala aku nei ua kū nui ʻia i ka wā ʻōpio. Akā ʻaʻole i ʻike ʻia ka nui o kāna mau ʻike ma nā papa mua. No laila, huli pinepine nā mea maʻi i ke kauka ke nānā hewa ʻia nei nā hana a me nā ʻōnaehana kūloko. Pehea e hiki ai i kekahi ke hoʻoholo i ka manawa e ulu ai ka metabolic syndrome i nā wahine? Nā ʻano hōʻailona o ke kulekele penei:
Aia pū kekahi mau hōʻailona waho o kēia alahele. Hiki i ke kauka lapaʻau ke hoʻomaʻamaʻa i ka maʻi metabolic i nā wahine ma ke nānā aku. Hōʻike ke kiʻi o kēlā mau maʻi i kahi maʻi maʻamau no nā mea āpau: obesity e ke ʻano o ka ʻōpū. Kuhi i kēia mea e hōʻiliʻili nui i ka momona ma loko o ka ʻōpū. Eia kekahi, ʻaʻole wale i loko o ka kiko subutan, akā e hoʻopuni ana i nā kino o loko, e hoʻohuli hou aku i kā lākou hana. Manaʻo ia aia paha ka ulu ʻana o ka ʻōpū ma nā pūpū o ka wahine ma mua o ka 88 sentimita.
Eia kekahi, ʻike ʻoe i nā ʻulaʻula ʻulaʻula ma ka ʻāʻī a me ka umauma umauma. Hoʻohui ʻia ko lākou helehelena me ka vasospasm me ka piʻi ʻana o ka paʻakikī a paʻakikī paha.
ʻO nā hopena a me nā hopena o ka hopena metabolic
He pila holoholo kēia me kahi papa lapaʻau koʻikoʻi. Ma waho o ka mālama kūpono, metabolic syndrome in the women alakaʻi i nā hopena koʻikoʻi. ʻO ka manawa pinepine, ʻo ka hoʻonāukiuki i nā moku koko ke kumu i hoʻoiho ʻia ai ka myocardial infarction a i ʻole ka hahau ʻana. Atherosclerosis, thrombophlebitis, a i ʻole ka maʻi naʻau coronary e ulu pū kekahi.
A me ka hana kūpono ʻole o ka maʻi diabetes 2 ʻano alakaʻi i ka hoʻomohala ʻana o kāna ʻano hana hilinaʻi insulin. ʻO ka hoʻonui hoʻonui lōʻihi i ka glucose o ke koko ke kumu o ka makapō, ka wā kahiko, a me ka hana hewa ʻana o nā moku peripheral. Hiki ke ulu pū i ka momona a i ʻole ka momona momona. Hoʻomaʻamaʻa pinepine kēia mau maʻi i ka immunocompromised, no laila e hoʻopiʻi pinepine lākou i nā anu, bronchitis, a me ka maʻi pneumonia.
Inā ulu ka metabolic syndrome i nā wahine o ka makahiki o ka hānau ʻana, hiki i kēia ke hōʻeha i ka infertility. ʻOiaʻiʻo, ʻo ka mau hōʻino i kēia alahele ʻaʻole ka hopena o ka mea kalai a me ka momona o ka momona. Hoʻomaʻamaʻa nā ʻōpala āpau a me nā kiko āpau, nā pilikia āpau o ka hormonal. Polycystic ovaries, endometriosis, hōʻemi i ka hana sex, hoʻomohala i nā haehae.
Diagnosis o ka maʻi pālua
ʻO ka maʻamau, ʻo nā mea maʻi me nā hōʻailona like ʻole e hele i kahi mea lapaʻau. Ma hope o ka nānā ʻana a me ka hōʻiliʻili ʻana i ka mōʻaukala olakino, haʻi ʻia ka mea maʻi i ka endocrinologist no ka hoʻokolokolo hou a me ke koho ʻana i nā ʻano lapaʻau. ʻO kahi hoʻokolokolo o ka mea maʻi e hiki ai iā ʻoe ke hoʻoholo i nā ʻano o ke ʻano o ke ʻano a me ka hoʻōla ʻana, ka hele ʻana o nā maʻi maʻi. Eia kekahi, hana ka endocrinologist i kahi hoʻokolohua o waho o ka mea maʻi: hoʻopaʻa i ka pūhaka, e helu ana i ka mokulele a me ke ʻano. Akā ʻaʻole wale kēia mau mea hōʻailona i ka metabolic syndrome i wahine i hoʻoholo ʻia. Hoʻokomo pū kekahi o nā helehelena i nā hoʻokolohua hoʻokolohua. ʻO ka manawa pinepine, ua hoʻokau ʻia nā hoʻokolohua koko a me ka urine no kēia. Kuhi ʻia ka ʻike ʻana o ka metabolic syndrome e nā hōʻailona like ʻole:
Hoʻohui, hoʻohana ʻia nā ʻano loiloi ʻē aʻe. ʻO nā hoʻāʻo ʻana no ka hoʻomanawanui i ka glucose, nā kuhikuhi pili koko.
Hiki i ke kauka ke kuhikuhi i ka ultrasound o ka momona thyroid, a i ʻole nā pituitary gland, ECG o ka naʻau. ʻO kahi hōʻailona nui hoʻi ka hope o ka hormonal o ka mea maʻi.
Nā kuʻina mālama
Pono kēlā me kēlā me kēia kanaka i kahi hoʻokokoke kū hoʻokahi. Hoʻomaopopo ka mālama ʻia ʻana o ka maʻi metabolic i nā wāhine ma muli o nā helu koko, ke kiʻekiʻe o ka momona a me ka noho ʻana o nā maʻi concomitant. ʻO kāna mau hana nui, ʻo ia ka hoʻemi ʻana i ke kaupaona o ke kino, hoʻonui i ka ʻike ʻana i nā sel i ka insulin, e hoʻohiolo i nā kaʻina metabolic a me ke kaʻe koko, hoʻoponopono pono i nā pae hormonal a hoʻomaikaʻi i ka hana ʻana o ka ʻōnaehana cardiovascular.
I ka manawa pinepine, ua hoʻohana ʻia nā ʻano ʻoi aku no ka mālama ʻana:
Eia kekahi, hiki i ka mea maʻi ke noi i nā ala ʻē aʻe. Me ke kōkua o nā kuʻuna lāʻau lapaʻau kuʻuna, hoʻonaninani ka metabolism, hoʻemi ʻia ke kaumaha o ke kino, hoʻomaikaʻi ʻia ke kahe koko. He kūpono ia i loko o kahi keʻena e mālama i ka metabolic syndrome i nā wahine. ʻO nā loina o ka physiotherapy i hoʻohana ʻia ma laila, hoʻomaikaʻi i ka protein me ka hoʻoneʻeʻana o nā lipid metabol, e hōʻoluʻolu i ke ʻano o nā nīnū, hoʻololi i ke koko. ʻO ka mea eʻoi aku ka maikaʻi no kēia mau pahuhopu ʻo ka balneotherapy, massage, mineral water intake, electrotherapy.
ʻO nā mea maʻi no ka mālamaʻana i ka metabolic syndrome
Hoʻomaʻamaʻa ʻia ka lāʻau lapaʻau e pili ana i ka paʻakikī o nā hōʻailona o ka pathology. I ka manawa pinepine, ua hoʻohana ʻia nā lāʻau lapaʻau e hoʻolaʻa i ka lipid a me nā metabolism, e hoʻonui ai i ka naʻau o nā sela i ka insulin, a me ka hoʻohaʻahaʻa ʻana i ke koko a hoʻomaikaʻi i ka hana o ka naʻau. I kekahi manawa hoʻohana ʻia nā lāʻau lapaʻau e hoʻomaʻamaʻa i ka hoʻonaninani o ka hormonal. Ua koho pono ʻia nā lāʻau lapaʻau e ke kauka ma hope o ka hoʻopaʻa ʻana.
ʻO ka pinepine, ʻo ka mālama ʻana i ka metabolic syndrome ma nā wahine me nā lāʻau lapaʻau e kuhikuhi ana i ka hoʻoluhi kaumaha. I kēia hihia, hoʻohana ʻia nā mea e poloka ai i ka makemake a hoʻomaikaʻi i ke ʻano noʻonoʻo o ka wahine i ka wā e hōʻole ʻia ai ka meaʻai. ʻO kēia paha, no ka laʻana, ʻo ka lāʻau lapaʻau "Fluoxetine." Hiki i kahi hui ʻē aku iā ʻoe e hoʻoiho koke i nā momona mai nā ʻōpū, ʻaʻole i ʻae ʻia iā lākou e hoʻokomo ʻia i loko o ke koko. ʻO kēia ka Orlistat a i ʻole Xenical. He mea pono ʻole ia no ka metabolic syndrome e hoʻohana ai i nā lāʻau anti-obesity kaulana e like me Prozac, Reduxin, Sibutramin, a me ka mea e hoʻolako ai i nā meaʻai i kēia wā me ka ʻole o ka kūkā ʻana i ke kauka .. Hiki iā lākou ke hōʻeha i nā hopena maʻi koʻikoʻi.
ʻNdlelo Kukui Kaomi
No ka hoʻonohonoho i nā kaʻina metabolic a hoʻonui i ka ʻike pono ʻana o nā cell i ka insulin, he mea koʻikoʻi loa ia e hoʻonui i ke kino kino o ka mea maʻi. Akā i ka wā e pāʻani ai i ka haʻuki e pono ai e nānā i kekahi mau lula, a laila e pono ka maikaʻi o ka mālamaʻana i nā momona:
He aha nā aʻo e kōkua ai i ka poʻe me ka maʻi metabolic? No nā wahine ma lalo o 50, he kūpono ka hana anaerobic a me ke aʻo ikaika. He mea hōʻaleʻale kēia, ʻo ka hoʻomaʻamaʻa ʻana i nā simulators, squats, ʻauʻau i ka wikiwiki wikiwiki, aerobics. Ma hope o 50 mau makahiki, ʻoi aku ka maikaʻi o ka hana ʻana iā Nordic e hele wāwae, kaukau ʻana, keʻa mālie, ka leʻa uila.
ʻO ka meaʻai kūpono no ka metabolic syndrome
ʻO ka lilo kaumaha ke kumu nui o ka mālama ʻana i kēia ala. Akā i ka hiki ʻole ke hoʻopōʻino i ka olakino ʻoi aku, ʻoi ka lilo ʻana o ke kaumaha e holo lohi. Ke manaʻoʻiʻo nei ka ʻike o ke kino, me ka ʻole o ka minamina, ka pohō o ka uku o 3% o ka pā mua. He aneane kēia o 2-4 kilogram. Inā e hoʻolōʻihi ʻoe i ka paona wikiwiki, e hoʻohemo ana nā kaʻina loina metabolic i ʻoi aku. No laila, ua ʻōlelo ʻia ʻo ka wahine e nānā nui i ke koho ʻana o ka papa ʻaina. Ke kuhikuhi ʻia nei e huki ʻia ka mea ʻai e ke kauka. Ma kēia hihia, ʻo ka loaʻa o ka nui o ka momona, ke nānā ʻana i nā hoʻopiʻi, ka makahiki o ka mea maʻi e mālama pono ʻia.
ʻO ka papaʻai no ka metabolic syndrome ma nā wāhine e hoʻohaʻahaʻa i nā haʻahaʻa a me nā momona. Pono ʻoe e haʻalele i ka confectionery, kīʻaha a me ka loiloi, ka ʻaila, ka momona momona a me ka iʻa, nā meaʻai aia, ka laiki, ka maiʻa, ka loina, nā mea momona a hoʻolaʻa i nā mea momona. ʻO ka mea ʻai e pono ai nā lau o nā ʻōmaʻomaʻo, nā huaʻai ʻole i hoʻopiha ʻia, ka ʻiʻo haʻahaʻa, nā iʻa a me nā huahana pāwī, nā hua palaoa a pau, ka bako, ka ʻeli. Eia kekahi, pono e hahai i kēia mau lula: