I-metabolic syndrome - enye yezinkinga ezivuthayo, okuyinto inhlanganisela ye-pathologies ehambisanayo engozini impilo yabantu. Ngalesi sifo, ukwelashwa okuqhubekayo nokuqapha impilo kuyadingeka.
I-metabolic syndrome - iyini?
Iqoqo lezinkinga zomzimba zomzimba ezihlotshaniswa nokuphelelwa amandla kwe-metabolism nokuhluleka kwe-hormone kuchazwe emithi njenge-syndrome yezinkinga zemithi. Isigameko sikhulu phakathi kwabantu abadala, kepha lezi zinkinga ziqala ukwakha njalo ngisho nasebuntwaneni, kanti zisalokhu zingabonakali isikhathi eside.
Eminyakeni yamuva, umqondo womqondo "we-metabolic syndrome" uye wanda kancane kancane. Okwamanje, leli gama lisho inhlanganisela yezinto ezingavamile ezidala inhlabathi ekuthuthukiseni uhlobo lwesifo sikashukela nesifo senhliziyo. I-syndrome ye-metabolic ihlanganisa izingxenye ezinjalo ezibalulekile ze-pathological:
- ukwehla kokuzwela kwezicubu zomzimba kuya kwe-insulin (ukuvimbela i-insulin) ngokumelene nesizinda sezinga eliphakeme le-insulin ne-glucose egazini;
- umfutho wegazi ophezulu ;
- ukukhuluphala kwe-visceral (ukuqoqwa kwamafutha esifundeni esiswini kanye namafutha angaphakathi azungeze izitho zangaphakathi);
- ukwephulwa kwe-carbohydrate, i-lipid kanye ne-purine metabolism.
I-metabolic syndrome - izimbangela
Izizathu ze-syndrome ye-metabolic azikaze zihlolwe ngokugcwele, kodwa ukumelana nokuvikela i-insulin kuyisici esiyinhloko ekubunjweni kwayo, isifo lapho amangqamuzana omzimba asabela ngokungalungile kwisenzo se-insulin. I-insulini i-hormone yokwenziwa kwamaphakethe futhi ihileleke ezinkambisweni zemithi. Lapho i-insulin ibophezela ezimpilweni ezibucayi ezindongeni zamaseli, i-glucose ihanjiswa kumaseli omzimba kanye nezinye izicubu ezisetshenziswa njengomthombo wamandla.
Ezimweni lapho ama-receptors amangqamuzana engahlali engathintwa yi-hormone, i-glucose ayikwazi ukungena amangqamuzana futhi iqoqa egazini, imonakalisa imikhumbi yegazi futhi iphazamise umsebenzi wezinhlaka eziningi. Amaseli omzimba ngenxa yalokhu kungabi namandla, aphethwe yi-déshydration. Ngaphezu kwalokho, kukhona ukuqoqwa egazini nase-insulin ngokwayo, okuyinto ethinta kabi i-endocrine nezinye izinqubo emzimbeni.
Ukumelana kwamaseli kuya kwi-insulin, okubangela ukuthi i-syndrome ye-metabolic syndrome, ingathintwa nezici ezilandelayo:
- izici zofuzo - ukutholakala kofuzo oluguquguqukayo, ngenxa yokuthi ama-receptors amangqamuzana awanandaba ne-insulin;
- Ukudla okungekho emthethweni - ukusetshenziswa ngokweqile kwe-carbohydrate nemikhiqizo equkethe amafutha;
- ukungabi nokusebenza okwanele ngokomzimba - ukungabi nokuhamba, okuholela ekunciphiseni izinga lezinqubo zonke;
- ukwanda okwesikhashana kokucindezela komzimba, okwenza ukwephulwa kwegazi kwegazi ngezicubu zomzimba;
- ukucindezeleka kwengqondo, okubangela ukuphazamiseka kokukhiqizwa kwe-hormone kanye nokusabela kwamathisisi omzimba kubo;
- ukuthatha imithi ethile eyanciphisa ukutholakala kwe-glucose ngamaseli: i-corticosteroids, ama-hormone we-thyroid-stimulating, ukuvimbela izitho zomlomo, njll;
- izifo ze-hormonal ezihambisana nesifo sokukhiqizwa kwamahomoni ocansi, amahomoni wegciwane;
- imikhuba emibi (ukuphuza kakhulu utshwala, ukubhema).
I-Metabolic Syndrome - Izimpawu
Uma sicabangela izindlela ezicacile ze-syndrome ye-metabolic, ezimweni eziningi, ukutholakala kwalo esigulini kuthiwa lapho kuphawulwa izifo ezilandelayo ezintathu noma ngaphezulu:
- ukukhuluphala, okubonakala ngesibalo ebhontwini elingaphezu kuka-94 cm emadodeni futhi ngaphezulu kwama-80 cm kwabesifazane;
- Ukucindezelwa kwegazi okungaphezu kuka 140/90 mm Hg. p.
- izinga eliphakeme lama-lipoprotein aphansi egazini - angaphezu kuka-3 mmol / l;
- ukwehla kwenani lama-lipoprotein aphakeme kakhulu egazini - ngaphansi kwe-1 mmol / L emadodeni nangaphansi kwe-1.2 mmol / L kubesifazane;
- izinga eliphakeme le-triglycerides egazini - okungaphezu kuka-1.7 mmol / l;
- ukwanda kokuzila i-blood glucose - ngaphezu kuka-6.1 mmol / l;
- ukwephula ukubekezelelana kwe-glucose - izinga le-glucose amahora amabili ngemuva kokuthatha isisombululo se-glucose ngaphakathi kwe-7.8-11.1 mmol / l.
Ngaphezu kokuqoqa ama-fatty deposits endaweni yodonga lwangaphakathi lwesisu nangobhande besikhwama, lezi zibonakaliso ezilandelayo zemitholampilo zingabonakala kwi-syndrome ecatshangelwayo:
- ukhathala okwandayo;
- ukuzwa komile emlonyeni ;
- isikhumba esomile;
- ukwandisa ukudla;
- isifiso esiningi sokuvuthwa;
- ukuphefumula ;
- ukujuluka okukhulu;
- isisindo sokuqothulwa;
- ukungahambi kahle komjikelezo wesimiso;
- isimo sengqondo sokunganakwa;
- ukulala;
- ukuhlaselwa kwesilinganiso senhliziyo esheshayo;
- ukuxuba.
I-Metabolic Syndrome - Ukuxilongwa
Ukuze kutholakale ukuxilongwa, i-syndrome ye-metabolic kumele ihlukaniswe kusukela ekuguleni okubonakalayo okubonakalayo, isibonelo, i-Itenko-Cushing syndrome. Ngakho-ke, kuhlolwa ngokucophelela, okuqala ngokuqoqwa kwama-anamnesis, ukulungisa izikhalazo, isisindo somzimba nokulinganisa kwebhande. Okulandelayo, kunezindlela eziningi zamathuluzi nama-laboratory abelwe, phakathi kwazo:
- ukulinganisa kwengcindezi yegazi (kubandakanya ukuqapha kwansukuzonke);
- ukuhlolwa kokubekezelelana kwe-glucose;
- ukuzimisela kwe- cholesterol , i-triglyceride egazini;
- ukutadisha idatha ye-clotting;
- ukuzimisela kokuqukethwe egazini lamahomoni e-thyroid, ama-adrenals, ama-hormone ezocansi;
- ukuzimisela kwenani le-insulin;
- ukuhlaziywa kwamanzi emaprotheni;
- i-tomography ehlanganisiwe yezingqungquthela ze-adrenal;
- imaging resonance magnetic noma tomography computed we-pituitary gland;
- I-Ultrasound ye-gland yegciwane;
- ukudweba kwenhliziyo;
- i-electrocardiography;
- i-polysomnography.
I-metabolic syndrome - ukwelashwa
Ukuzama ukuthola indlela yokwelapha isifo se-metabolic, kufanele kuqondwe ukuthi akunakwenzeka ukuphulukisa ngokuphelele umzimba lapho kukhona izinkinga ezinjalo, kodwa kungenzeka ukuthi uzigcine ngaphansi kokulawulwa ngokulandela izincomo zezokwelapha njalo. Imisebenzi eyinhloko yokwelashwa ehilela ukwelashwa kwesifo samathambo emantombazaneni yancipha ibe izingxenye ezine:
- ukuqedwa kwesisindo esiningi;
- ukulawulwa komfutho wegazi;
- ukulawulwa kwezinqubo zokuxubha;
- ukuvimbela izifo zenhliziyo.
I-Metabolic Syndrome - Izincomo Zomtholampilo
Indlela yokwelapha yedwa, kuye ngokuthi ukuphuka nokulingana kwayo, kodwa kuzo zonke izimo, iziguli ezine-syndrome eziphathelene nokuxilonga zikwaziswa ngendlela yokulungisa indlela yabo yokuphila. Iziguli kufanele zibhebhethele ekwelapheni isikhathi eside, zikhomba isifiso sokuhola impilo enempilo, ukuyeka ukubhema nokuphuza utshwala. Umthwalo wenyama wansuku zonke uyadingeka, izinga lawo kuxhomeke esimweni sesiguli kanye nobudala. Okukhethwa yizemidlalo njengokubhukuda, ukuhamba, ukugijima.
I-Pharmacotherapy ingabandakanya ukusetshenziswa kwalawo mithi:
- izidakamizwa ezinciphisa i-lipid (Fenofibrate, Rosuvastatin);
- izidakamizwa ukunciphisa ukumelana ne-insulin (Metformin, Glucophage);
- izidakamizwa ezinamandla (Felodipine, Captopril);
- kusho ukwelashwa kokukhuluphala (Reduxin, Orlistat);
- izidakamizwa ezinciphisa i-lipid (rosuvastatin, lipostat), njll.
Yidla ngesifo se-metabolic syndrome
Kuyinto efiselekayo ukuthi ukudla emzimbeni wesifo samabhomu kwabesifazane kuye kwaqokwa njengomuntu wesidlo sokudla okunomzimba womzimba, ukuqina komzimba kanye nezinye izinkomba. Iziguli eziningi zinconywa ukugcina idayari yokudla. Ukulahlekelwa kwesisindo kufanele kube kancane kancane - ngenyanga kuyavunyelwa ukulahla ngaphezu kuka 2-4 kg. Imithetho eyisisekelo yokudla okunempilo kulabo abane-syndrome ye-metabolic kanje:
- izingxenye ezincane, izikhathi ezingu-5-6 ngosuku, ngaphandle kwekhefu elide phakathi kokudla;
- ukwenqaba kokudla okusheshayo;
- umkhawulo obukhali ekudleni kwama-carbohydrate namafutha kalula;
- ukunciphisa uketshezi kosawoti;
- Ukwethulwa kwe-fiber ngaphezulu yokudla ekudleni;
- imifino nezithelo kufanele zenze ingxenye eyodwa kwezintathu zemihla ngemihla;
- Imikhiqizo kufanele iphekwe, isetshenziswe, ibhakwe.
I-metabolic syndrome - ukwelashwa ngamakhambi abantu
Ukusebenzisa ukwelashwa kwesifo se-metabolic, iziguli eziningi zisebenzisa usizo lwemithi ehlukile. Eminye imikhiqizo ye-herbal ine-hypoglycemic effect, isiza ekusunguleni izinqubo zokusebenzisa umzimba, ukuvuselela ingcindezi, eqiniswayo futhi eqinisekisiwe iminyaka eminingi yokuhlangenwe nakho. Emva kokubonisana nodokotela, ungasebenzisa iresiphi elandelayo.
I-Decoction ye-Herbal
Izithako:
- ama-pod omisiwe omisiwe - 50 g;
- utshani wrestler - 50 g;
- dandelion (izimpande, izimbali) - 25 g;
- iqabunga le-bilberry - 25 g;
- amanzi - 250 amalitha;
- I-Ground sinamoni - ithisipuni yesine.
Ukulungiselela nokusebenzisa:
- Lungiselela ukuqoqwa kwamifino.
- Thela ithebula eli-2. izinkezo zokuqoqwa kwamanzi.
- Ubilise ihafu yehora, ugcizelela imizuzu engu-20.
- Ukucindezeleka.
- Thatha kathathu ngosuku ngaphambi kokudla engilazini yomhluzi, enezela isinamoni.
I-metabolic syndrome - imiphumela
Kuthiwa ukuthi lapho kungekho khona ukwelashwa okwanele kanye nesifo se-metabolic 10-20 emva kokuqala kokuthuthukiswa kuholele ekutheni i-arteriosclerosis yezimpahla. Ngaphezu kwalokho, ukuqhubeka kwalesi sifo kubangelwa ukuthuthukiswa kwezifo ezinjalo:
- ischemic isifo senhliziyo;
- i-infarction ye-myocardial;
- ukushaywa;
- ukuhluleka kwenhliziyo;
- isifo sikashukela mellitus;
- i-gout.
I-metabolic syndrome yabesifazane
Esikhathini sesikhathi sokuthunyelwa kwamadoda, ngokuphathelene nokuphela kokukhiqizwa kwe-estrogen, isifo sikashukela, isifo se-metabolic esiyingqayizivele sabantu besifazane siyatholakala kaningi. Ngaphezu kwalokho, ingozi yokugula iyakhula ngesikhathi sokubeletha. Ukuphikisana nalezi zinkinga, uma kunezinga eliphakeme lokukhuluphala, kungaba yindlala ngenxa yokuhluleka komsebenzi we-ovarian.
I-metabolic syndrome emadodeni
Ezimweni lapho ukulungiswa okudingekayo kwe-syndrome ye-metabolic kungenziwa ezigulini zesilisa, ukungasebenzi kahle kwe-erectile kungaba umphumela ongajabulisayo, ohambisana nezinkinga ezingokwengqondo. Ngokuvamile ukubonakaliswa kokuqala kokuphulwa kubonakala kumadoda asefike eminyakeni engamashumi amane. Kulesi simo, le ngxenye yeziguli ingozi enkulu kakhulu yokunciphisa ukunikezwa kwegazi emisipha yenhliziyo ngomphumela obulalayo.
I-metabolic syndrome ezinganeni
Eminyakeni yamuva, ukuxilongwa nokuphathwa kwe-syndrome ye-metabolic kuyasetshenziswa ngokumelene nezingane kanye nentsha. Ngokuvamile lokhu kungenxa yokudla okungalungile, i-hypodynamia, ukugujwa kwezakhi zofuzo. Uma ungaphenduli ngokwanele ukwephulwa ebuntwaneni, inkinga ngokuvamile ihamba ngokuhamba kwesikhathi kuyo yonke impilo.
I-metabolic syndrome - ukuvimbela
Njengoba kunikezwe imiphumela embi yesifo se-metabolic, okumelwe ukwenze ukuvimbela, abantu abaningi banesithakazelo. Izinyathelo zokuvimbela zilula futhi zenzeke:
- ukulahla imikhuba emibi;
- ukudla okulinganiselayo;
- umsebenzi owenziwe ngokomzimba;
- ukuhlola okwelashwa okuvamile kweziguli ezisengozini.