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:

  1. ʻO wai ka nui o ke koko kiʻekiʻe
  2. ʻO ka momona a me ke kau paha
  3. Ka alualu ʻana i kahi nohona hana maʻalahi,
  4. Ka hōʻaha ʻana i nā momona momona a me ke kala,
  5. Hoʻohui ʻia i nā hana ʻino
  6. ʻEha ʻia mai ke ʻano type type 2, ke ʻōpū puʻuwai coronary, nā maʻi vascular,
  7. 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:

  1. Initial - dysglycemia, mālama pono i ka hana o ka pancreatic maʻamau, nele o ka maʻi diabetes a me ka maʻi puʻuwai,
  2. Hōʻaha nā - holomua i hoʻomohala ʻia i ka hoʻomanawanui i ka glucose, dysfunction pancreatic, hyperglycemia,
  3. 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.

  1. ʻO nā meaʻawaʻawa no ka hakakā me hyperglycemia - Metformin, Siofor, Glucofage,
  2. ʻO nā lipine haʻahaʻa-hoʻoneʻe ʻana no ka hoʻoponopono ʻana o ka dyslipidemia - "Rosuvastatin", "Fenofibrate",
  3. Nā hui antihypertensive e hoʻohou i ke kahe koko - Moxonidine, Kapoten, Perineva,
  4. Nā lāʻau lapaʻau e hōʻole ana i ke kaʻina o ke kōpaʻa momona - "Xenical", "Orsoten",
  5. 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

  1. Me ka pane
  2. Me kahi hōʻailona nānā

    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:

    • diabetes type 2
    • haʻi maʻi
    • maʻi maʻi coronary
    • ʻopi momona.

    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:

    • 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.

    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:

    • 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.

    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:

    • 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.

    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.

    • 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.

    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:

    • 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.

    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:

    • 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.

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