Namuhla, abaholi ngenani lokushona kwezifo zezifo zenhliziyo (isifo sohlangothi, ukufakwa kwe-myocardial) kanye nohlobo 2 lwesifo sikashukela, ngakho-ke ubuntu kudala balwa nenkani ngalezi zifo. Enhliziyweni yezinyathelo zokuvimbela noma yisiphi isifo ukuqedwa kwezimpawu zobungozi.
I-Metabolic syndrome yigama elisetshenziselwa ezokwelapha ukuthola ukutholakala kwaso kanye nokususa izinto eziyingozi kusifo sikashukela nesenhliziyo. Emgogodleni wayo, i-metabolic syndrome iyiqembu lezici ezisengozini yesifo sikashukela nesenhliziyo.
Kuhlanganiswe nohlaka lwe-metabolic syndrome, ukuphazamiseka kuhlala kungabonakali isikhathi eside. Imvamisa, baqala ukwakha ebuntwaneni noma ebusheni bese benza izimbangela zesifo sikashukela, izifo ze-atherosclerotic, ne-arterial hypertension.
Ngokuvamile iziguli ezikhuluphele; ushukela ophakeme wegazi; umfutho wegazi, osemkhawulweni ophezulu wesilinganiso, awunikezwa ukunakwa okufanele. Isiguli sithola ukwelashwa kuphela lapho izindlela zobungozi zifaka phakathi ukuthuthukiswa kwesifo esibi.
Kubalulekile ukuthi izinto ezinjengalezi zikhonjwe futhi zilungiswe kusenesikhathi, hhayi lapho i-cardiac
Ukuze kube lula odokotela kanye neziguli ngokwazo, kuye kwasungulwa izindlela ezicacile ezenze ukuthi ukwazi ukubona i-metabolic syndrome ngokuhlolwa okuncane.
Namuhla, iningi lochwepheshe bezokwelapha baphendukela encazelweni eyodwa eveza i-metabolic syndrome kwabesifazane nakwabesilisa.
Kwaphakanyiswa i-International Diabetes Federation: inhlanganisela yokukhuluphala esiswini nganoma yiziphi izindlela ezimbili ezengeziwe (umfutho wegazi, i-carbohydrate metabolism, i-dyslipidemia).
Izimpawu zokuphawula
Okokuqala, kufanelekile ukubheka i-metabolic syndrome, izindlela zayo nezimpawu ngokuningiliziwe.
Isikhombisi esiyisisekelo nesiphoqayo ukukhuluphala kwesisu. Yini le Ngokukhuluphala kwesisu, izicubu ze-adipose zifakwa ikakhulukazi esiswini. Ukukhuluphala okunjalo kubizwa nangokuthi "i-android" noma "uhlobo lwe-apula." Kubalulekile ukuqaphela ukukhuluphala kushukela.
Ukukhuluphala "gynoid" noma "uhlobo lwethanga" kubonakaliswa ngokufakwa kwezicubu ze-adipose emathangeni. Kepha lolu hlobo lokukhuluphala alunemiphumela emibi njengaleyo eyedlule, ngakho-ke ayisebenzi ezimisweni zesifo se-metabolic futhi ngeke kubhekwe ngalo kulesi sihloko.
Ukubona izinga lokukhuluphala kwesisu, udinga ukuthatha isentimitha bese ulinganisa ivolumu yesinqe maphakathi nebanga phakathi kwemikhawulo ye-ilium nemidwebo ebizayo. Usayizi okhalweni wendoda okuyohlanga lweCaucasus, okungaphezu kwama-94 cm, kuyinkomba yokukhuluphala esiswini. Owesifazane unevolumu yasesinqeni esingaphezu kuka-80 cm, amasignali afanayo.
Izinga lokukhuluphala lesizwe sase-Asia linamandla okuthe xaxa. Kwabesilisa, ivolumu evumelekile ingu-90 cm, kwabesifazane ihlala injalo - 80 cm.
Nakani! Imbangela yokukhuluphala akukhona nje ukugcoba ngokweqile kanye nendlela yokuphila engalungile. Izifo ezinkulu ze-endocrine noma zofuzo zingadala le ndlela yokusebenza!
Ngakho-ke, uma izinkomba ezibalwe ngezansi zingezodwa noma zihlanganile, kufanele uthinte isikhungo sezokwelapha ngokushesha ukuze uhlolwe ngudokotela ongapheli ozokhipha noma aqinisekise izinhlobo zesibili zokukhuluphala:
- isikhumba esomile;
- ukudumba;
- izinhlungu zamathambo
- ukuqunjelwa
- ukwelula amamaki esikhunjeni;
- ukungaboni kahle
- umbala wesikhumba uyashintsha.
Ezinye izindlela:
- I-Arterial hypertension - kutholakala ukuthi i-pathology uma umfutho wegazi we-systolic ulingana noma weqa i-130 mm Hg. Ubuciko., Ne-diastolic ilingana noma inkulu kune-85 mm RT. Ubuciko.
- Ukwephulwa komkhono we-lipid. Ukunquma le-pathology, kuhlolwa igazi elinemithambo yegazi, okudingeka ukunquma izinga le-cholesterol, triglycerides kanye ne-lipensens ephezulu ye-lipoprotein. Izindlela zesifo zichazwa kanjena: ama-triglycerides amakhulu kune-1.7 mmol / l; inkomba ye-lipoprotein ephezulu kwabantu ingaphansi kwe-1,2 mmol kwabesifazane futhi ingaphansi kwe-1,03 mmol / l emadodeni; noma iqiniso elisunguliwe lokwelashwa kwe-dyslipidemia.
- Ukwephula umzimba we-carbohydrate metabolism. Le pathology ifakazelwa iqiniso lokuthi izinga likashukela wegazi elisheshayo lidlula i-5.6 mmol / l noma ukusetshenziswa kwezidakamizwa eziphonsa ushukela.
Ukuxilongwa
Uma izimpawu zingacacile futhi i-pathology ingcacile, udokotela obonayo unquma ukuhlolwa okwengeziwe. Ukuxilongwa kwe-metabolic syndrome kungokulandelayo:
- Ukuhlolwa kwe-ECG;
- ukuqapha nsuku zonke kwengcindezi yegazi;
- I-Ultrasound yemithambo yegazi nenhliziyo;
- ukuzimisela kwe-lipids yegazi;
- ukuzimisela ushukela wegazi amahora ama-2 ngemuva kokudla;
- ukutadisha umsebenzi wezinso nesibindi.
Ungaphatha kanjani
Okokuqala, isiguli kufanele sishintshe kakhulu indlela yaso yokuphila. Endaweni yesibili ukwelashwa ngezidakamizwa.
Izinguquko zokuphila yilezi:
- ushintsho ekudleni nasekudla;
- ukwenqaba imikhuba emibi;
- ukukhulisa ukusebenza komzimba nokungasebenzi komzimba.
Ngaphandle kwale mithetho, ukwelashwa ngezidakamizwa ngeke kulethe imiphumela ebonakalayo.
Incomo yabondli
Ukudla okuqinile kakhulu futhi, ikakhulukazi, ukuzila ukudla nge-metabolic syndrome akunconywa. Isisindo somzimba kufanele sehlise kancane (5 -10% ngonyaka wokuqala). Uma isisindo sincipha ngokushesha, kuzoba nzima kakhulu isiguli ukusigcina sisezingeni elifanelekile. Ngilahlekelwe kakhulu amakhilogremu, ezimeni eziningi, ubuyela futhi.
Ukushintsha indlela odla ngayo kuzoba usizo kakhulu futhi kuphumelele:
- ukushintshwa kwamafutha ezilwane ngamafutha emifino;
- ukwanda kwenani lemicu kanye nefreyimu yezitshalo;
- ukunciphisa usawoti kokudla.
Isoda, ukudla okusheshayo, i-khekhe, isinkwa esimhlophe akufanele kukhishwe ekudleni. Isobho elinemifino kufanele likhona, futhi izinhlobo zenyama ezingenasithelo zisetshenziswa njengemikhiqizo yenyama. Izinkukhu nezinhlanzi kufanele zibanjiswe noma zibiliswe.
Kuma-okusanhlamvu, kunconywa ukusebenzisa i-buckwheat ne-oatmeal; ilayisi, amabele, nebhali kuvunyelwe. Kodwa i-semolina ifiseleka ukunciphisa noma ukuqeda ngokuphelele. Ungacwilisa inkomba ye-glycemic yezinhlamvu ukuze ukubala kahle konke.
Imifino enjengokuthi: i-beet, izaqathe, amazambane, izazi zezondlamzimba ziyalulekwa ukuthi zingadluleli ngaphezulu kwe-200 gr. ngosuku. Kepha ama-zucchini, ama-radish, ulethisi, iklabishi, upelepele wensimbi, ukhukhamba notamatisi kungadliwa ngaphandle kwemikhawulo. Le mifino inothile ku-fiber ngakho-ke ilusizo olukhulu.
Amajikijolo nezithelo kungadliwa, kepha kungabi ngaphezu kwama-200-300 gr. ngosuku. Ubisi nemikhiqizo yobisi kufanele kube kokuqukethwe okunamafutha amancane. Ushizi we-cottage shizi noma i-kefir ngosuku ungadliwa izingilazi ezi-1-2, kepha ukhilimu omningi no-ukhilimu omuncu kufanele kudliwe ngezikhathi ezithile kuphela.
Kwiziphuzo, ungaphuza ikhofi elibuthakathaka, itiye, ujusi wamatamatisi, amajusi nezithelo ezinosiwe ezinoshukela ngaphandle koshukela futhi kungcono kwenziwe ekhaya.
Okufanele kube umsebenzi womzimba
Ukuzivocavoca umzimba kunconywa ukwanda kancane kancane. Nge-metabolic syndrome, ukukhetha kufanele kunikezwe ukugijima, ukuhamba, ukubhukuda, izivivinyo zokuzivocavoca. Kubalulekile ukuthi imithwalo ijwayelekile futhi ihambisane nekhono lesiguli.
Ukwelashwa ngezidakamizwa
Ukuze welapha lesi sifo, udinga ukuqeda ukukhuluphala, umfutho we-arterial, ukuphazamiseka kwe-carbohydrate metabolism, dyslipidemia.
Namuhla, i-metabolic syndrome iphathwa nge-metformin, umthamo wayo okhethiwe lapho ulawula izinga le-glucose egazini. Imvamisa ekuqaleni kokwelashwa, ngu-500-850 mg.
Nakani! Kubantu asebekhulile, umuthi ubekwa ngokuqapha, futhi ezigulini ezinenkinga yesibindi nezinso ukusebenza, i-metformin iyaphulwa.
Imvamisa, umuthi ubekezelelwa kahle, kepha imiphumela emibi ngendlela yokuphazamiseka kwamathumbu isekhona. Ngakho-ke, kunconywa ukusebenzisa i-metformin ngemuva kokudla noma phakathi nayo.
Uma kwenzeka wephula isidlo noma udla umuthi ngokweqile, i-hypoglycemia ingakhula. Izimpawu zesimo zivezwa ukuthuthumela nobuthakathaka emzimbeni wonke, ukukhathazeka, umuzwa wendlala. Ngakho-ke, izinga le-glucose egazini kumele ligadwe ngokucophelela.
Ngokufanelekile, isiguli kufanele sibe ne-glucometer ekhaya, ekuvumela ukuthi uhlole njalo izinga likashukela wegazi ekhaya, ngokwesibonelo, ungasebenzisa i-Aychek glucometer.
Ekwelapheni ukukhuluphala, i-Orlistat (Xenical) ithandwa kakhulu namuhla. Ungayidli kathathu ngosuku, ngesikhathi sokudla main.
Uma ukudla ekudleni kungenamafutha, ungakwazi ukweqa ukuphuza umuthi. Umphumela wesidakamizwa uncike ekwehleni kokufakwa kwamafutha emathunjini. Ngalesi sizathu, ngokukhuphuka kwamafutha ekudleni, imiphumela emibi engahle ibe khona:
- izinkanuko ezihlala zingenalutho;
- ukuthopha;
- ukugcwala kwamafutha okuvela ku-anus.
Iziguli ezine-dyslipidemia, ngokungasebenzi kahle kokulashwa isikhathi eside kokudla, zinqunywa izidakamizwa ezinciphisa i-lipid ezivela emaqenjini e-fibrate nama-statins. Le mithi inemikhawulo ebalulekile nemiphumela emibi kakhulu. Ngakho-ke, udokotela ohambelayo kuphela okufanele anikeze usizo.
Izingcindezi ezisehlisa umfutho wegazi ezisetshenziswa ku-metabolic syndrome ziqukethe ama-angiotensin aguqula ama-enzyme inhibitors (lisinopril, enalapril), imidosaline receptor agonists (moxonidine, rilmenidine), i-calcium blockers (amlodipine).
Ukukhetha zonke izidakamizwa kwenziwa ngawodwana.
Izinkinga ezingaba khona zesifo
Sekushiwo ngenhla ukuthi i-metabolic syndrome iyingozi yokuthuthukisa isifo sikashukela kanye nesifo senhliziyo. Ngakho-ke, ukuvimbela kwayo nokwelashwa kwayo kufanele kunikezwe ukunakwa okukhethekile.
