Yini i-metabolic syndrome, izimpawu, ukuxilongwa nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Ukwelashwa kwesifo se-metabolic syndrome
• Ukwelashwa kwemvelo
• Ukwelashwa ngemithi

I-Metabolic syndrome ifana nesethi yezifo ezihlangana zingakhulisa ubungozi bomuntu bokuba nezinguquko zenhliziyo nemithambo yegazi. Phakathi kwezinto ezingaba khona ku-metabolic syndrome ukuqoqwa kwamafutha esifundeni sesisu, izinguquko kumazinga e-cholesterol kanye ne-triglyceride, ukukhuphuka kwengcindezi yegazi nokujikeleza kweglucose.

Kubalulekile ukuthi izici ezihlobene ne-metabolic syndrome zikhonjwe futhi ziphathwe ngokuyalelwa yi-endocrinologist, i-cardiologist noma udokotela ojwayelekile, ukuze kugwenywe izinkinga. Ukwelashwa kuqukethe, ezimweni eziningi, ekusetshenzisweni kwemithi esiza ukulawula amazinga kashukela, i-cholesterol nengcindezi, ngaphezu komkhuba wemisebenzi ejwayelekile yomzimba kanye nokudla okunempilo futhi okunempilo.

Izimpawu eziyinhloko

Izimpawu nezimpawu zesifo se-metabolic zihlobene nezifo umuntu anazo, futhi zingaqinisekiswa:

• Ama-Acanthosis nigricans: amabala amnyama asentanyeni nasezibayeni zesikhumba;
• Ukukhuluphala: ukuqongelela kwamafutha esiswini, ukukhathala, ukuphefumula kanzima nokulala, ubuhlungu emadolweni nasemaqakaleni ngenxa yokukhuluphala ngokweqile;
• Isifo sikashukela: umlomo owomile, isiyezi, ukukhathala, umchamo okweqile;
• Umfutho ophakeme: ikhanda, isiyezi, ukukhala ezindlebeni;
• I-cholesterol ephezulu ne-triglycerides: ukuvela kwama-pellets wamafutha esikhumbeni, okuthiwa i-xanthelasma nokuvuvukala kwesisu.

Ngemuva kokuhlola izimpawu nezimpawu ezethulwe ngumuntu, udokotela angakhombisa ukuthi kwenziwa uchungechunge lwezivivinyo ukukhomba ukuthi ngabe umuntu unazo yini ezinye zezici ezihlobene nesifo se-metabolic syndrome, ngakho-ke, ukwelashwa okufanele kakhulu kungakhonjiswa.

Ukuxilongwa kwenziwa kanjani

Ukuze kutholakale ukuxilongwa kwesifo se-metabolic syndrome, kuyadingeka ukwenza ezinye izivivinyo ezivumela ukukhonjwa kwezinto ezingahlobana nalesi sethi sezifo kanye nengozi eyengeziwe yezifo zenhliziyo. Ngakho-ke, ukuqinisekisa ukuxilongwa, umuntu kufanele okungenani abe nezinto ezi-3 ezilandelayo:

• Ishukela ukuzila ukudla phakathi kuka-100 no-125 nangemva kokudla phakathi kuka-140 no-200;
• Umjikelezo wesisu phakathi kuka-94 no-102 cm, kwabesilisa nabesifazane, phakathi kuka-80 no-88 cm;
• Ama-triglycerides aphezulu, ngaphezulu kuka-150 mg / dl noma ngaphezulu;
• Ingcindezi ephezulu, ngenhla kwe-135/85 mmHg;
• I-cholesterol ye-LDL phezulu;
• I-cholesterol ye-HDL phansi.

Ngaphezu kwalezi zinto, udokotela ubheka nomlando womndeni nendlela yokuphila, njengokuvama kokuvivinya umzimba nokudla, ngokwesibonelo. Kwezinye izimo, ezinye izivivinyo ezifana ne-creatinine, i-uric acid, i-microalbuminuria, i-C-reactive protein (CRP) kanye ne-glucose tolerance test, eyaziwa nangokuthi yi-TOTG, nayo ingakhonjiswa.

Ukwelashwa kwesifo se-metabolic syndrome

Ukwelashwa kwesifo se-metabolic syndrome kufanele kuboniswe ngudokotela ojwayelekile, i-endocrinologist noma i-cardiologist ngokusho kwezimpawu nezimpawu ezethulwe ngumuntu nezifo anazo. Ngale ndlela, udokotela angakhombisa ukusetshenziswa kwamakhambi afanele ecaleni ngalinye, ngaphezu kokuncoma izinguquko endleleni yokuphila nangendlela yokuphila.

Ukwelashwa kwemvelo

Ukwelashwa kwesifo se-metabolic syndrome kufanele kuqale kufake phakathi izinguquko endleleni yokuphila, ngokubhekisisa izinguquko zokudla okunempilo nokusebenza komzimba. Imihlahlandlela eyinhloko ifaka phakathi:

• Ukuncipha emsimbeni kuze kube yilapho i-BMI ingaphansi kwama-25 kg / m2, futhi nokunciphisa amafutha esiswini, njengoba ingozi yesifo senhliziyo iphakeme kulolu hlobo lwesiguli;
• Yidla ukudla okunomsoco futhi unempilo, ugwema ukusebenzisa usawoti ekudleni futhi ungadli ukudla okunoshukela kakhulu noma okunamafutha, njengokudla okuthosiwe, iziphuzo ezithambile nokudla okulungiselelwe ngaphambilini, isibonelo. Bona ukuthi ukudla okufanele kufanele kube njani ku: Ukudla kwesifo se-metabolic syndrome;
• Yenza imizuzu engu-30 yokuzivocavoca umzimba usuku, njengokuhamba, ukugijima noma ukuhamba ngebhayisikili. Kwezinye izimo, udokotela angancoma uhlelo lokuzivocavoca noma adlulisele isiguli kumelaphi womzimba.

Uma kwenzeka lezi zimo zengqondo zinganele ukulawula isifo se-metabolic syndrome, udokotela angancoma ukusetshenziswa kwemithi.

Ukwelashwa ngemithi

Imithi yesifo se-metabolic syndrome ijwayele ukunikezwa udokotela lapho isiguli singakwazi ukwehlisa isisindo, ukwehlisa ushukela wegazi kanye namazinga e-cholesterol futhi kunciphise umfutho wegazi ngezinguquko ekudleni nasekuzivocavoca umzimba kukodwa. Kulezi zimo, udokotela angaqondisa ukusetshenziswa kwemithi ku:

• Yehlisa umfutho wegazi, njenge-losartan, i-candesartan, i-enalapril noma i-lisinopril;
• Nciphisa ukumelana ne-insulin nokwehlisa ushukela egazini, njenge-metformin noma i-glitazones;
• Nciphisa i-cholesterol ne-triglycerides, njenge-rosuvastatin, i-atorvastatin, i-simvastatin, i-ezetimibe noma i-fenofibrate;
• Ukuncipha emsimbeni, njenge-phentermine ne-sibutramine, evimbela isifiso sokudla noma i-orlistat, evimbela ukumuncwa kwamafutha.

Kubalulekile ukuthi ukwelashwa kwenziwe ngokuyalelwa ngudokotela ukuze kugwenywe izinkinga.

Bheka amathiphu amaningi kule vidiyo elandelayo esiza ekwelapheni isifo se-metabolic syndrome: