I kēia mau lā, nā alakaʻi i ka helu o ka make i nā maʻi o ka pūnaehana cardiovascular (stroke, myocardial infarction) a me nā ʻano type diabetes 2, no laila ua lōʻihi ka hakakā ʻana o ke kanaka me ka maʻi ʻana o kēia mau maʻi. Ma ka naʻau o nā mea i pale aku ai i ka maʻi āpau ʻo ka hoʻopau ʻana o nā mea pilikia.
ʻO ka metabolic syndrome ka huaʻōlelo i hoʻohana ʻia ma ka hana lapaʻau no ka ʻike mua a me ka hoʻopau ʻana i nā mea e pili ana i ka maʻi o ka maʻi maʻi a me ka maʻi cardiovascular. I kona kumu, ʻo ka metabolic syndrome he pūʻulu o nā mea no ka maʻi maʻamau a me ka maʻi cardiovascular.
Hoʻokomo i loko o ke kaila o ka metabolic syndrome, hoʻomau ʻole ʻia nā luhi no ka manawa lōʻihi. Hoʻomaʻama pinepine, hoʻomaka lākou i ka pae ʻana i ka wā kamaliʻi a i ʻole nā ʻōpio a hana i nā kumu o ka maʻi maʻamau, nā maʻi atherosclerotic, a me ka hypertension arterial.
ʻO nā mea maʻi pinepineʻole; hoʻokiʻekiʻe iki i ke koko; ke koko, ke kau nei ma luna o ka palena kiʻekiʻe o ke kumu, ʻaʻole i hāʻawi ʻia ka mālama pono. Loaʻa i ka mea maʻi ka nānā ʻana i nā lāʻau lapaʻau inā hiki i nā mea pili i ka pilikia ke komo i ka hoʻomohala ʻana i kahi maʻi koʻikoʻi.
He mea nui ia e ʻike a hoʻoponopono ʻia i kēlā mau kumu i ka wā e hiki ai, a ʻaʻole i ka wā i kāhea ʻia ka cardiac
No ka hōʻoluʻolu o nā mea hoʻomaʻi a me nā mea maʻi ponoʻī iā lākou iho, ua hoʻokū ʻia nā kūloko ʻo i hiki ke hōʻike i ka metabolic syndrome me ka hōʻike liʻiliʻi.
I kēia lā, ʻo ka hapa nui o nā mea lapaʻau e hoʻohana pono i kahi wehewehe hoʻokahi e hōʻike ana i ka maʻi metabolic i nā wahine a me nā kāne.
Ua kuhikuhi ʻia e ka International Diabetes Federation: kahi hui o ka ʻōpū o ka ʻōpū me kekahi o nā mea hou ʻelua (ʻoi aku ka momona o ka maʻi, a me ka hoʻokūkū o ka pale o ka pale o ka nui o ka pelu, dyslipidemia).
Nā hōʻailona hōʻailona hōʻailona
E hoʻomaka me ka mea pono, e noʻonoʻo pono i ka metabolic syndrome, a me kāna mau hōʻailona a me nā hōʻailona ma nā kikoʻī hou aku.
ʻO ka hōʻailona nui a me ka mana i ka ʻōpū o ka ʻōpū. He aha kēia Me ka ʻōpū o ka ʻōpū, hoʻoiho ʻia ka iwi adipose i loko o ka ʻōpū. Ua kapa ʻia kēlā ʻano ʻōpiopio i ka "android" a i ʻole ka "apple type." He mea nui ia e hoʻomaopopo i ka luhi i ka maʻi maʻi maʻi maʻi.
ʻO ka Obesity "gynoid" a i ʻole "type type" ʻano hiʻohiʻona e ka lawe ʻana o ke kiko adipose i loko o nā ʻūhā. Akā ʻaʻole kēia mau ʻano o ka momona loa i nā hopena koʻikoʻi e like me ka mea ma mua, no laila e pili ʻole i nā kulekele o ka metabolic syndrome a ʻaʻole e noʻonoʻo ʻia i kēia kumuhana.
I mea e hoʻoholo ai i ke kiʻekiʻe o ka hakahaka o ka ʻōpū, pono ʻoe e lawe i ka centimeter a hoʻopaʻa i ka nui o ka pūhaka ma ka waena o ka mamao ma waena o nā kihi o ka ilium a me nā kumu kūʻai kime. ʻO ka nui o ka pūhaka o ke kāne no ka lāhui Caucasian, ʻoi aku ma mua o 94 cm, he hōʻailona kahi o ka ʻōpū o ka ʻōpū. Loaʻa i ka wahine kekahi lōlō o ka ʻōpū ma mua o 80 cm, hōʻailona like.
ʻOi aku ka nui o ka wikiwiki o ka lahui ma Asia. No nā kāne, kahi 90 cm ka nui e ʻae nei, no nā wahine i mau ka ia - 80 cm.
E makaʻala! ʻAʻole hiki ke kumu ke hoʻonāukiuki wale aku a me ke ʻano maʻamau. ʻO nā maʻi endocrine a i ʻole nā hanana genetic ke kumu i kēia pathology!
No laila, inā he mau mele i hōʻike ʻia ma lalo nei a i ʻole hui ʻia, pono e kiʻi ʻoe i ke kikowaena lapaʻau i ka hiki koke ana no ka hoʻokolokolo e kahi endocrinologist nāna e hoʻokae a hōʻoia paha i nā ʻano lua o ka momona.
- maloʻo maloʻo;
- kuolo;
- ʻeha ka iwi
- constipation
- nā māka ma ka ʻili;
- ʻike ʻole i ka nānā;
- Hoʻololi ka kala ʻōuli.
Nā kulekele ʻē aʻe:
- Hypertension Arterial - hōʻike mai kahi pathology inā e kūlike paha ke kahe koko o ke systolic a i ʻole a i ʻole 130 mm Hg. Art., A e like ka diastolic a i ʻole ma ka 85 mm RT. ʻAniā.
- Nā kuhi hewa o ka lehelehe waha. I mea e hoʻoholo ai i kēia pathology, koi pono kahi hōʻike koko biochemical, pono ia e hoʻoholo i ke pae o ka cholesterol, triglycerides a me nā lipoproteins kiʻekiʻe. ʻO nā manaʻīa no ka maʻiʻelima e wehewehe ʻia ma lalo nei: triglycerides ʻoi aku ma mua o 1.7 mmol / l; ka hōʻailona o ka lipoproteins density kiʻekiʻe ma mua o 1.2 mmol i nā wahine a he hōʻemi ma mua o 1.03 mmol / l i nā kāne; a i ʻole kuhi paʻa e pili ana i ka mālama ʻana o ka dyslipidemia.
- ʻO ka paleʻana i nā kaola kāohi. Hōʻike ʻia kēia kulekele e ka mea ʻoi ke kiʻekiʻe o ke kō koko koko nui ma mua o 5.6 mmol / l a i ʻole ka hoʻohana ʻana i nā lāʻau hoʻohi i ke kō.
Diagnosis
Inā hewa ʻole nā hōʻailona a ʻaʻole maopopo ka patology, ke kauka nei i kau i ka hōʻike hou aku. ʻO ka hui ʻana mai ka metabolic syndrome penei:
- Hoʻoponopono ʻo ECG;
- ke kiko o ka ʻike koko i kēlā me kēia lā;
- ʻO ka paila o nā kīʻaha koko a me ka puʻuwai;
- ka hopena o nā lipids koko;
- ka hoʻoholoʻana o ke kōpaʻa koko 2 mau hola ma hope o kahi pāʻina;
- ke aʻo ʻana o ka hana a me ka hana ate.
Pehea e mālama ai
ʻO ka mea mua, pono e hoʻololi ka mea maʻi i kona ʻano. Ma ka lua kahi e mālama ai i ka lāʻau lapaʻau.
ʻO nā loli ola
- hoʻololi i kaʻai a me kaʻai;
- hoole ana i ka hana ino;
- hoonuiia ai ka hana kino kino me ka hana ole kino.
Ma waho o kēia mau lula, ʻaʻole e lawe ka lāʻau lapaʻau i nā hopena ʻike.
Nā ʻōlelo hoʻolālā Nutrist
ʻAʻole koʻikoʻi nā papa meaʻai me ka mea nui loa, a hoʻokē ʻai ʻana i ka ʻaina me ka metabolic syndrome. Pono ke emi ʻana o ka paona kino (5 -10% i ka makahiki mua). Inā emi ka paona nui, he pilikia nui ia no ka mea maʻi e hoʻomau ia ma ka pae i hoʻopaʻa ʻia. Ua nalowale hoʻi nā kilograms, ma ka hapa nui, e hoʻi hou.
ʻO ka hoʻololi ʻana i ka meaʻai, e ʻoi aku ka maikaʻi a me ka maikaʻi:
- ka hoʻolapalapa ʻana i nā momona holoholona i nā palaʻai lau;
- ka hoʻonui ʻana o ka nui o nā fibers a me nā fiber plant;
- hoemi ʻia ka komo ʻana o ka paʻakai.
ʻO Soda, nā meaʻai wikiwiki, ka meaʻai wīwī, kīhai ʻole i ka papa keʻokeʻo mai ka meaʻai. Pono i ka ʻai iʻa mauʻu, a me nā ʻano ʻai i ʻai ka pipi i lilo i mau huahana. Pono ka ʻī a iʻa ʻia nā moa a iʻa.
I nā cereal, ua ʻōlelo ʻia e hoʻohana i ka buckwheat a me ka oatmeal; ʻo ka laiki, millet, a me ka bale. Akā makemake ʻia ʻo semolina e kaupalena ʻole e hoʻopau loa. Hiki iā ʻoe ke hoʻomaikaʻi i ka pōpilikia glycemic cereals e hoʻoponopono pono i nā mea āpau.
ʻO nā mea kanu e like me: nā kāloti, kaloti, nā ʻuala, ua ʻōlelo ʻia nā mea kanu meaʻai e hoʻopau i nā mea hou aku ma mua o ka 200 gr. i ka la. Akā, ʻo ka zucchini, ʻeha, ka ʻupena, ka ʻōpala, ka pepa ʻōpala, nā kukama a me nā ʻōmato ke ʻai ʻia me nā pale ʻole. Kālai kēia mau mea ʻai i ka fiber a no laila he mea waiwai nui.
Hiki ke ʻai ʻia nā hua a me nā huaʻai, akā inā ʻaʻole ma mua o 200-300 gr. i ka la. ʻO ka waiū a me nā huahana hanaʻai e pono ka liʻiliʻi momona. ʻO ka kuke kuke a i ʻole kefir ka lā i kēlā me kēia lā e ʻai ʻia i ke aniani 1-2, akā pono ke ʻai wale i ka momona o ka momona a me ka momona ʻono.
ʻO nā mea inu, hiki iā ʻoe ke inu i ke kofe nāwaliwali, kaʻaila, ka wai i kāmato, ka wai momona a me ka hua momona i loko o ka wai me ka wai ʻole a maikaʻi ʻia ka home.
He aha ka hana kino
Hoʻomaopopo ʻia ka hana pilikino e hoʻonui liʻiliʻi. Me ka metabolic syndrome, pono e hāʻawi i ka makemake i ka holo, ke hele ʻana, ka ʻauʻau ʻana, ka mea hoʻomaʻamaʻa haʻahaʻa. He mea nui e pono a hoʻopili ʻia nā ukana me nā hiki o ka mea maʻi.
ʻO ka lāʻau lapaʻau
I mea e ho'ōla ai i ka maʻi maʻi, pono ʻoe e hoʻokuʻu i ka momona o ke kui, nā hypertension arterial, nā hōʻeha o ka metabolism, nā hōʻoki hewa.
I kēia lā, ua hoʻomaʻamaʻa ʻia ka metabolic syndrome me ka metformin, kahi i koho ʻia i ka wā e kāohi ana i ke kiʻekiʻe o ka glucose i ke koko. ʻO ka maʻamau ma ka hoʻomaka ʻana o ka mālama ʻana, he 500-850 mg.
E makaʻala! No nā poʻe kuʻuna, ua kuhikuhi ʻia ka lāʻau lapaʻau me ka mālama ʻana, a ma ka poʻe maʻi me ka maʻi aho a me ka hana ʻana, ua kohi ʻia ka metformin.
ʻO ka maʻamau, ʻaeʻa maikaʻi ʻia ka lāʻau lapaʻau, akā ke mau nei ka hopena o ke ʻano i loko o ke ʻano o nā maʻi gastrointestinal. No laila, e'ōlelo ʻia e hoʻohana i ka metformin ma hope o ka papaʻaina a i ka wā e noho ai.
I ka hihia o ka hōʻino ʻole i ka meaʻai a i ʻole ka mea nui i ka lāʻau lapaʻau, hiki i ka hypoglycemia ke ulu. Hoʻomaopopo ka hōʻailona o ke ʻano e ka haʻalulu a me ka nāwaliwali i loko o ke kino, ka hopohopo, ka manaʻo i ka pōloli. No laila, pono e mālama pono i ka pae o ka glucose i ke koko.
ʻO ke kūpono, pono ka mea maʻi i ka glucometer ma ka home, kahi e ʻae ai iā ʻoe e kiaʻi pinepine i ka pae koko koko ma ka home, hiki iā ʻoe ke hoʻohana i ka Aychek glucometer, no ka laʻana.
I ka mālamaʻana i ka momona, ua kaulana loa ʻo Orlistat (Xenical) i kēia lā. ʻAʻole ia e lawe ma mua o ʻekolu mau manawa i ka lā, i ka wā nui.
Inā ʻaʻole momona ka meaʻai i ka meaʻai, hiki iā ʻoe ke skiplo i ka lawe ʻana i ka lāʻau lapaʻau. Hoʻokumu ʻia ka hopena o ka lāʻau i ka hōʻemi ʻana i ka hoʻowalewale ʻana o nā momona i loko o nā ʻōpū. No kēia kumu, me ka hoʻonui o ka momona i ka meaʻai, hiki mai paha nā hopena ʻaoʻao maikaʻi ʻole:
- nā makemake pinepine e hūnā ʻole;
- pāhawewe;
- holo wai ʻaʻe mai ka kolo.
ʻO nā mea maʻi me ka dyslipidemia, me ka ʻike ʻole o ka mālama ʻana i ka lāʻau lōʻihi, ua kau ʻia i nā lāʻau lipid-hoʻēmi mai nā pūʻulu o nā fibrates a me nā statins. He mau palena nui nā lāʻau lapaʻau a me nā hopena koʻikoʻi. No laila, ʻo ke kauka komo hele wale nō e kuhikuhi iā lākou.
ʻO ke kaomi o ke koko e hoʻokaʻawale ana i nā lāʻau i hoʻohana ʻia i ka metabolic syndrome e pili ana i ka angiotensin e hoʻohuli ana i ka ʻohi o ka enzyme (lisinopril, enalapril), nā agonist receptor imidosaline (moxonidine, rilmenidine), nā konohala kalima kalima (amlodipine).
Ke lawe ʻia nei ka koho o nā lāʻau āpau.
ʻO nā ʻōlelo kūpono paha ka maʻi
Ua ʻōlelo ʻia ma luna aʻe o ke ʻano o ka metabolic syndrome ka mea e hoʻonui ai i ka maʻi mellitus a me nā maʻi cardiovascular. No laila, pono ke pale a me ka mālama ʻana i ka mālama kūikawā.
