Metabolic syndrome - chimwe chezvinhu zvinopisa, izvo zvinosanganiswa zvakasiyana-siyana zvinokanganisa upenyu hwehupenyu hwevanhu. Ne syndrome iyi, kurapwa kweupenyu hwose uye utano hwehutano hunodiwa.
Metabolic syndrome - chii ichocho?
Izvo zvakagadziriswa zvemuviri wemuviri unobatana nehutachiona hwemetabolism uye kusagadzikana kwehomoni zvinotsanangurwa mukurapa sechirwere chematambudziko emagetsi. Izvo zviitiko zvakakwirira pakati pevanhu vakuru, zvisinei izvi zvinetso zvinotanga kuumbwa nguva dzose kunyange muhuduku, asi zvisingasvikiki kwenguva yakareba.
Mumakore achangobva kupfuura, chinangwa chemuitiro we "metabolic syndrome" zvishoma nezvishoma chakawedzera. Panguva ino, izwi iri rinoreva kusanganiswa kwezvinhu zvisina kuipa zvinoita kuti ivhu rive nekuvandudza rudzi rwechirwere cheshuga uye zvirwere zvepfungwa. Dambudziko remagetsi rinosanganisira zvinhu zvakadai zvakanyanya:
- kunononoka kwekunzwa kwemuviri maviri kusvika kune insulin (insulin kudzivisa) maererano nechekuwedzera kwezinga re insulini uye glucose muropa;
- high blood pressure ;
- visceral obesity (kuunganidza mafuta mudumbu remuviri uye mafuta emukati anowanikwa munzvimbo dzakapoteredza nhengo dzomukati);
- kukanganisa katehydrate, lipid uye purine metabolism.
Metabolic syndrome - zvikonzero zve
Zvimwe zvikonzero zvehutachiona hwemagetsi hazvisati zvanyatsoongororwa, asi insulini kushorwa ndiyo chinhu chikuru mukugadzirwa kwayo, chirwere umo masero emitumbi anoita zvisingafananidzi kuitwa kwe insulin. Insulin inonzi hormone yakagadzirwa mumapancasi uye inobatanidzwa mumagadzirirwo emagetsi. Apo insulini inosungira kune zvinogamuchirwa zvinoshandiswa mumasero masvingo, glucose inotakurudzirwa kumasero emasisita uye mamwe matukisi kuti ashandiswe semhepo inobva.
Muzviitiko apo masero emagetsi anoramba asingabatsiri nehomoni iyi, glucose haigoni kupinda masero uye inowedzera muropa, inokanganisa mitsipa yeropa nekuvhiringidza basa rezvizhinji. Masero emuviri nekuda kwekushaya simba, anotambura nekushaya mvura. Mukuwedzera, pane kuwedzerwa muropa uye insulini pachayo, iyo inoshungurudza zvakanyanya endocrine nemamwe maitiro mumuviri.
Kurwisana kwemasero ku insulin, iyo inokonzera chirwere chemagetsi, inogona kuwirirana nezvinhu zvinotevera:
- maitiro ehutachiona - kuvapo kweropa rakagadziriswa, nekuda kwekuti inogamuchirwa yemasero inenge isinganzwisisi ne insulin;
- chikafu chisina kunaka - kuwedzera kudyiwa kwemakrohydrate uye nemafuta ane zvigadzirwa;
- kusakwanisa kuita basa rakakwana - kusakwana kwekufamba, zvichiita kuti kuderera kwechiyero chezvinhu zvose zvinokonzerwa nemagetsi;
- kuwedzerwa kwenguva refu mukumanikidzwa kwemuviri, zvichiita kukanganisa kweropa kupararira mumakumbo emakumbo;
- kushungurudzika mupfungwa, zvichikonzera kushungurudzika kwekugadzirwa kwehomoni uye kugadzikana kwezviviri zvomuviri kwavari;
- kutora mimwe mishonga inoderedza glucose inoshandiswa nemasero: corticosteroids, utachiona-hunokonzera mahomoni, zvirongwa zvekudzivirira pamuviri, nezvimwe;
- zvirwere zvehomoni zvinosangana nehutano hwekugadzirwa kwemakemikari epabonde, mahomoni e thyroid;
- miitiro yakaipa (kunyanyisa kudhakwa doro, kusvuta).
Metabolic Syndrome - Zviratidzo
Kana tikatarisa zvimwe zvidimbu zvehutano hwemagetsi, munguva dzakawanda, kuvapo kwaro mumurwere kunonzi kana zvitatu kana zvinopfuura zvinetso zvinotevera zvichinzi:
- kuneta, kwakaratidzwa nechepakati mukati mebhanhire rinopfuura 94 cm mumarume uye kupfuura masendimita 80 muvakadzi;
- kuwedzera kweropa kudarika 140/90 mm Hg. p.
- yepamusoro yezinga repasi mashoma lipoproteins muropa - kupfuura 3 mmol / l;
- kuderera kwehuwandu hwepamusoro-density lipoproteins muropa - pasi pe1 mmol / L mumarume uye pasi pe 1.2 mmol / L kune vakadzi;
- kuwedzera kwezinga re triglycerides muropa - kupfuura 1.7 mmol / l;
- kuwedzera mukutsanya ropa yehuga - kupfuura 6.1 mmol / l;
- kukanganisa kwekushongedza glucose - muzinga weglucose maawa maviri mushure mekutora glucose solution mukati 7.8-11.1 mmol / l.
Mukuwedzera pakuunganidza mafuta kunowanikwa munharaunda yepamuviri mudumbu remadziro uye bhanhire refudzi, zvinotevera zvipatara zvinoratidzwa zvinogona kuonekwa mune chirwere chiri pasi pekufungisisa:
- kuwedzera kuneta;
- manzwiro ekuoma mumuromo ;
- ganda rakaoma;
- kuwedzera kudya;
- kazhinji kukurudzira kurinate;
- kupfupika kwemhepo ;
- kuwedzera kutuka;
- propensity to constipation;
- kusagadzikana kwekuenda kumwedzi;
- apathetic attitude;
- kugona;
- kurwisa kwekukurumidza kwenhamba yemwoyo;
- kunetseka.
Metabolic Syndrome - Kuongororwa
Kuti uise hutachiona, chirwere chemagetsi chinofanira kusiyaniswa kubva pamaronda ane zviratidzo zvakafanana, somuenzaniso, iyo Itenko-Cushing syndrome. Nokudaro, kuongororwa kwakaitwa kunoitwa, iyo inotanga nekusanganiswa kweamnesis, kugadzirisa zvikwangwani, kuenzanisa uremu hwemuviri uye rutivi rwebhanhire. Zvadaro, maitiro anoverengeka uye ma laboratory anopiwa, pakati payo:
- chiyero cheropa (kusanganisira kuongorora zuva nezuva);
- muedzo wekushushikana kweglucose;
- kutsunga cholesterol , triglycerides muropa;
- kudzidza nezvekuvhara data;
- kutsunga kwezvakanyorwa muropa remakemikari e thyroid, adrenals, hormone dzepabonde;
- kutsunga kwehuwandu hwe insulini;
- urini kuongorora mapuroteni;
- computed tomography ye adrenal glands;
- magnetic resonance imaging kana kuti computed tomography ye gland pituitary;
- Ultrasound ye thyroid gland;
- kunyoresa kwemoyo;
- electrocardiography;
- polysomnography.
Metabolic syndrome - kurapwa
Kuedza kuziva nzira yekurapa chirwere chemagetsi, chinofanira kunzwisiswa kuti hazvibviri kuporesa muviri zvachose pamberi pezvinetso zvakadaro, asi zvinokwanisika kuzvichengetedza kuburikidza nekuramba uchichitevera mazano ekurapa. Maitiro makuru ekurapa anosanganisira kurapwa kwemishonga inokonzera mishonga muvakadzi yakaderedzwa kusvika kuzvinhu zvina:
- kubviswa kwehuwandu hunorema;
- mutemo weropa;
- murairo wezvigadzirwa zvemagetsi;
- kudzivirira kwezvirwere zvepfungwa.
Metabolic Syndrome - Clinical Mazano
Iyo nzira yekurapa inomunhu mumwe nomumwe, zvichienderana nekukanganisa uye huwandu hwavo, asi mumamiriro ese ezvinhu, varwere vane chirwere chemagetsi vanorayirwa kuti vangashandura sei mararamiro avo. Varwere vanofanira kutarisana nekurapa kwenguva refu, kuziva chido chekutungamira mararamiro akanaka, kurega kusvuta uye kunwa doro. Mutoro wezuva nezuva unotarisirwa, huwandu hwahwo hunoenderana nemamiriro emurwere nemakore. Tinosarudza mitambo yakadai sokushambira, kufamba, kumhanya.
Pharmacotherapy inogona kusanganisira kushandiswa kwemishonga yakadaro:
- kunyora-kuderedza zvinodhaka (Fenofibrate, Rosuvastatin);
- zvinodhaka kuderedza insulin kusagadzikana (Metformin, Glucophage);
- antihypertensive drugs (Felodipine, Captopril);
- zvinoreva kurapwa kwekuneta (Reduxin, Orlistat);
- kunyomba-kuderedza zvinodhaka (rosuvastatin, lipostat), nezvimwewo.
Kudya muhutano hwemagetsi
Izvo zvinodikanwa kuti kudya kunoshandiswa kwechirwere chemagetsi mumadzimai kwakagadzwa chikafu chezvokudya uye chiremera chemuviri, kusimba kwekuita muviri uye zvimwe zviratidzo. Varwere vazhinji vanokurudzirwa kuchengeta diary yezvokudya. Kurasikirwa kwehuremu kunofanira kuwedzera zvishoma nezvishoma - mumwedzi inobvumirwa kurambidza kupfuura 2-4 kg. Mitemo inokosha yekudya kwakanaka kune avo vane chirwere chemagetsi chinotevera:
- zvishoma, zvikamu 5-6 pazuva, pasina nguva yakareba pakati pekudya;
- kuramba kubva pakudya zvinokurumidza;
- chinorambidzwa zvakakosha pakudya kwemahydrohydrates uye mafuta;
- kuderedza kunwa kwemunyu;
- sumo yezvimwe zviratidzo zvekudya mukati mekudya;
- miriwo uye michero inofanira kuumba chetatu chemazuva ose;
- Miti inofanira kubikwa, kubikwa, kubikwa.
Metabolic syndrome - kurapwa nemishonga yevanhu
Kuita kurapwa kwechirwere chemagetsi, varwere vazhinji vanoshandisa rubatsiro rwekurapa kwakasiyana. Mimwe yemishonga yemishonga ine hypoglycemic effect, kubatsira kusimbisa zvirongwa zvemagetsi, kusimbisa kushungurudzika, kunosimbiswa uye kusimbiswa nemakore akawanda ezvakaitika. Mushure mekubvunza chiremba, unogona kushandisa recipe inotevera.
Herbal Decoction
Zvisungo:
- Mbeu dzakaoma dzakaoma - 50 g;
- uswa wrestler - 50 g;
- dandelion (midzi, maruva) - 25 g;
- jira re bilberry - 25 g;
- mvura - 250 litita;
- Ground cinnamon - yechina teaspoon.
Kugadzirira nekushandiswa:
- Gadzirira mishonga yekuunganidza.
- Dururirai tafura 2. spoons emvura yekuunganidza.
- Birai hafu yenguva, tsanidza maminitsi makumi maviri.
- Kushungurudza.
- Tora katatu pazuva usati wapedza kudya pagirazi remvura, uwedzere sinamoni.
Metabolic syndrome - mhinduro
Zvinonzwisisika kuti kana kusina kukwana kwakakwana kuneta uye zvirwere zvemagetsi 10-20 makore mushure mokutanga kwekusimudzira kunotungamirira kune arteriosclerosis yemidziyo. Mukuwedzera, kufambira mberi kwehutano uku kunowanzokonzera kukura kwezvirwere zvakadaro:
- ischemic heart disease;
- myocardial infarction;
- kurohwa;
- heart failure;
- chirwere cheshuga mellitus;
- gout.
Metabolic syndrome muvakadzi
Mumazuva ekupedzisira-menopausal, maererano nekuguma kweestrogen production, chirwere cheshuga mellitus, chirwere chemagetsi chinowanikwa muhafu yevakadzi chinowanikwa kakawanda. Mukuwedzera, njodzi yekurapa inowedzera panguva yekuita gumbo. Kugadzirisa kwezvinetso izvi, kana pane chiremera chakakura chokuwedzeredza, kunogona kuva kusununguka nekuda kwekukundikana kwebasa rekuvhara.
Metabolic syndrome muvarume
Mumamiriro ezvinhu apo kurongeka kunodiwa kwehutachiona hwemagetsi hakuiti munhurume dzevarume, erectile dysfunction inogona kuva chiitiko chisingafadzi, chinosangana nezvinetso zvepfungwa. Kazhinji kuonekwa kwokutanga kwekuputsika kunowanikwa kune varume vakasvika kusvika makore makumi mana. Muchiitiko ichi, chikamu ichi chevarwere chinonyanya kukanganisa dambudziko rekudzivirira ropa kumoyo wemutsipa pamwe nemugumisiro unouraya.
Metabolic syndrome muvana
Mumakore achangobva kupfuura, kuongororwa uye kurapwa kwechirwere chemagetsi kunowedzera kushandiswa kurwisana nevana nevechiri kuyaruka. Kazhinji izvi zvinokonzerwa nekudya kusina kukodzera, kudyidzana, maitiro ekugadzirisa. Kana iwe usingapindure zvakakwana nekuputsa muhuduku, dambudziko rinowanzoenda mberi mushure mehupenyu hwose.
Metabolic syndrome - kudzivirira
Zvichigoverwa nemigumisiro yakakomba yehutachiona hwemagetsi, chii chaunofanira kuita kuti udzivise, vanhu vazhinji vanofarira. Kudzivirira zviyero zviri nyore uye zvinotyisa:
- kuramba tsika dzakaipa;
- kudya kwakaringana;
- yakagadzirirwa basa;
- kuongororwa kwechiremba nguva dzose kune varwere vari pangozi.