Nā metabolic syndrome: ka maʻi a me ka mālama. Meaʻai no ka metabolic syndrome

ʻO ka wili o ka metabolic kahi paʻakikī o nā kahe metabolic, kahi e hōʻike ai i ke kanaka i nui ka piʻi o ka maʻi cardiovascular a me ka maʻi type 2. ʻO ke kumu no ka mea ilihune ʻilihune i nā hana o ka insulin. ʻO ka mālamaʻana o ka metabolic syndrome kahi haʻahaʻa-kaohiʻona a me ka hana hoʻoikaika kino. A aia kekahi lāʻau lapaʻau ʻē aʻe e aʻo ai ʻoe ma lalo.

ʻO Insulin ka "kī" e wehe i nā "pani" ma ka membrane cell, a ma o lākou mau mea, e komo ka glucose i ke koko i loko. Me kahi metabolic syndrome i ke koko o ka mea maʻi, hiki i ke kiʻekiʻe o ke kō (glucose) a me ka insulin i ke koko. Eia naʻe, ʻaʻole lawa ka glucose i loko o nā pūpiki no ka mea "ka lohi ana ka laka" a nalo ka insulin i kona hiki ke wehe.

Ua kapa ʻia kēia hili metabola i ka kū i ka insulin, i.e., kū'ē i ka nui o nā ʻāpana kino i ka hana o ka insulin. Hoʻoulu pinepine ia a alakaʻi i nā maʻi e hōʻike ana i ka maʻi metabolic. ʻOiai, inā hiki ke hoʻoholo ʻia ka maʻi ma ka manawa, no laila ka manawa ke mālama i ka maʻi a me ka maʻi cardiovascular.

ʻO ka maʻi kuʻuna o ka metabolic syndrome

Nui nā hui olakino olakino e hoʻomohala nei i nā kūmole e hoʻohālikelike ai i ka metabolic syndrome ma nā maʻi. I ka makahiki 2009, ua paʻi ʻia ka palapala "Harmonization o ka wehewehe ʻana i ka maʻi metabolic" ma kahi o lākou i kākau inoa ai:

• US National Heart, Lung, a me Institute Institute;
• World Health Organization;
• International Association o Atherosclerosis;
• International Association for the Study of Obesity.

Wahi a kēia palapala, ʻike ʻia ka metabolic syndrome inā he maʻi liʻiliʻi ma lalo o ʻekolu mau koi e hōʻike nei ma lalo nei:

• Hoʻonui ʻia i nā ʻōpū kūpono (no nā kāne> = 94 cm, no nā wahine> = 80 cm);
• Loaʻa ka pae o ka triglycerides i ke koko ma mua o 1.7 mmol / l, a i ʻole ke kiʻi i ka mea maʻi i ka lāʻau lapaʻau e mālama i ka dyslipidemia;
• ʻO ka lipoproteins kiʻekiʻe koʻikoʻi (HDL, "maikaʻi" cholesterol) i loko o ke koko - e emi iho ma mua o 1.0 mmol / l i nā kāne a ma lalo o 1,3 mmol / l i nā wahine;
• ʻO ke kaomi koko (Systolic) kiʻekiʻe ma mua o 130 mm Hg. ʻAniā. a i ʻole e diastolic (haʻahaʻa) i ke kahe koko ma mua o 85 mmHg. Art., A ua lawe mua nei ka mea maʻi i ka lāʻau no ka hypertension;
• Hoʻopuka ʻaʻa i ke koko glucose> = 5.6 mmol / L, a i ʻole ke hana ʻia ke nānā ʻana e hoʻohaʻahaʻa i ke kōhi koko.

Ma mua o ka hiki ʻana mai o nā loiloi hou no ka pākuʻi ʻana o ka metabolic syndrome, ʻo ka momona ua hoʻomaʻamaʻa mua no ka maʻi ʻana. I kēia manawa ua lilo ia i kekahi o nā ʻelima elima. ʻO nā maʻi maʻi mellitus a me nā maʻi naʻau coronary ʻaʻole ia he mau mea o ka maʻi metabolic, akā kahi maʻi kūʻokoʻa kūʻokoʻa.

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 ma ka liʻiliʻi e pani i ka holomua 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 lā ke hoʻomaʻamaʻa maoli i ka metabolic syndrome. 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 inā he pilikia kēia kanaka, a laila pono e hoʻokō ʻia kāna ʻano maʻi no ke ola. ʻO kahi mea nui o ka mālama ʻana i ka hoʻonaʻauao hoʻomanawanui a me ka manaʻo kaheʻe ʻana i ka ola olakino.

ʻO ka hoʻohanaʻana nui no ka metabolic syndrome he 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 e hoʻohana ʻoe i kahi meaʻai haʻahaʻa-haʻahaʻa haʻahaʻa e kāohi i ka metabolabous syndrome.

Nā kumuwaiwai hou aku no ka mālama ʻana i ka metabolic syndrome:

• hoʻonui i ke kino kino - hoʻonui kēia i ka hoʻololi ʻana o nā kino i ka insulin;
• me ka inu ʻana i ka ulaula;
• ke ana pinepine o ka neʻe ʻana o ke koko a me ka mālama ʻana iā hypertension, inā he mea;
• ke kuhikuhi ʻana i nā ʻōnaehana o ka "maikaʻi" a me ka "hewa" cholesterol, triglycerides a me ka hoʻoliʻi koko.

Manaʻo mākou iā ʻoe e nīnau e pili ana i kahi lāʻau lapaʻau i kapa ʻia ʻo metformin (siofor, glucophage). 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 paʻakikī 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-low, hiki i kekahi ke manaʻo e loaʻa iā ia:

• ka pae o ka triglycerides a me ka kolamu ma ke koko;
• e hoʻoheheʻe ʻia ke koko;
• e pohō ai ʻo ia.

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 ke kolamu o ke koko a me nā triglycerides

Me ka metabolic syndrome, ʻo nā mea maʻi e loaʻa pinepine ke koko o ka toto no ka 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 kēia mau mea āpau e pili ana nā moku e ka atherosclerosis, he 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 aʻe, he hemahema ka spra islam. Ano, e ike oe ano.

E hoʻomaikaʻi i nā hopena o nā hōʻike koko no ka cholesterol a me ka triglycerides, e kuhikuhi pinepine nā kauka i kahi meaʻai haʻahaʻa-calorie a me / nā lāʻau lapaʻau statin. Ma ka manawa like, hana lākou i kahi hiʻohiʻona akamai, e hoʻāʻo e nānā hoihoi a me kaʻike. 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 me ka mea ʻole ... he mau manaʻo ʻē aʻe ... Akā, hiki ke hoʻoholo ʻia ka pilikia o ka kolamu a me nā triglycerides me nā pōpilikia maikaʻi a koʻikoʻi. Eia kekahi, ʻoi aku ka maʻalahi o kēia ma mua o kou manaʻo.

ʻO ka pāʻina haʻahaʻa haʻahaʻa, ʻaʻole maʻamau ia e hoʻohālikelike i ka cholesterol 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 nānā i nā hana, e huli pono i ka maʻi type 2 a i ʻole hoʻopau i ka hōʻeha cardiovascular.

ʻAʻole lākou e hele a puni ka lāʻau. Hoʻoholo kūpono ka pilikia o ka triglycerides a me ka cholesterol e nā meaʻai haʻahaʻa-haʻahaʻa. 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 ka 4 mau pule. 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 haʻahaʻa haʻahaʻa haʻahaʻa kōkua kōkua maoli! Ma ka manawa like, ma ka maʻamau ia i ke koko. ʻO kēia ka pale maoli o ka hoʻoulu ʻana o ka naʻau a me ka hahau, me ka loaʻa ʻole o ka ʻeha i ka pōloli. ʻO nā lako no ke kaomi a me ka puʻuwai e hoʻopiha maikaʻi i ka meaʻai. Kūleʻa ko lākou kālā, akā uku nā kumukūʻai, no ka mea, e ʻoliʻoli ana ʻoe.

Meaʻai no ka metabolic syndrome

ʻO ka meaʻai maʻamau no ka metabolic syndrome, ka mea i hōʻike pinepine ʻia e nā kauka, pili i ka palena ʻana i ka helu calorie. ʻAʻole makemake ka hapanui o nā maʻi i ka pili iā ia, ʻaʻole paha kahi o lākou e kū ai. Hiki i nā mea maʻi ke hoʻomanawanui i ka "mau ʻīlio pōloli wale nō" i kahi o ka haukapila, ma lalo o ka mākaʻikaʻi mau ʻana o nā kauka.

I ke ola o kēlā me kēia lā, pono ke noʻonoʻo ʻia kahi meaʻai haʻahaʻa-calorie me ka metabolic syndrome me ka hana ʻole. Ma kahi o mākou, manaʻo mākou e hoʻāʻo i ka mea ʻai hoʻokaʻawale i ka kalaiwa e like me ke ʻano a R. Atkins a me ka maʻi maʻi maʻi o Richard Bernstein. Me kēia meaʻai, ma kahi o nā pale, e pili ana ka manaʻo nui i nā meaʻai i momona, nā momona momona a me nā fiber.

ʻO ka ʻai haʻahaʻa haʻahaʻa ka puʻuwai a ʻono hoʻi. No laila, ʻoi aku ka mea maʻi me ka maʻalahi ma mua o nā meaʻai ʻaina "pololi". Kōkua ia i ka nui e lawe i ka mana o ka metabolic syndrome, ʻoiai ʻaʻole i kaupalena ʻia ka helu calorie.

Ma kā mākou pūnaewele ʻike mākou i nā ʻike kikoʻī e pili ana i ka mālama ʻana i ka maʻi diabetes a me ka metabolic syndrome me kahi meaʻai haʻahaʻa-haʻahaʻa. ʻOiai, ʻo ka pahuhopu nui o ka hoʻokumu ʻana i kēia pūnaewele ka hoʻolaha ʻana i ka ʻai liʻiliʻi haʻahaʻa o ka maʻi diabetes ma mua o ka "ʻai pōloli" a ʻole, ʻoi aku ka maikaʻi.