Matenda amadzimadzi

Matenda amadzimadzi ndi dzina la ziwopsezo zomwe zimachitika limodzi ndikuwonjezera mwayi wokhala ndi mtsempha wamagazi, kupwetekedwa, ndi mtundu wa 2 shuga.

Matenda amadzimadzi amapezeka kwambiri ku United States. Pafupifupi gawo limodzi mwa anayi achimereka amakhudzidwa. Madokotala sakudziwa ngati matendawa amachitika chifukwa chimodzi. Koma zoopsa zambiri za matendawa ndizokhudzana ndi kunenepa kwambiri. Anthu ambiri omwe ali ndi matenda amadzimadzi amauzidwa kuti ali ndi matenda ashuga, matenda oopsa kwambiri (kuthamanga kwa magazi) kapena hyperlipidemia wofatsa (mafuta ambiri m'magazi).

Zowopsa ziwiri zomwe zimayambitsa matenda amthupi ndi izi:

• Kulemera kwina kuzungulira pakati komanso kumtunda kwa thupi (kunenepa kwambiri). Mtundu wa thupi lino ungafotokozedwe ngati "mawonekedwe apulo."
• Insulin resistance - Insulin ndi timadzi timene timapangidwa m'matenda. Insulini imafunika kuthandizira kuchepetsa kuchuluka kwa shuga m'magazi. Kukana kwa insulin kumatanthauza kuti maselo ena mthupi amagwiritsira ntchito insulini moyenera kuposa momwe zimakhalira. Zotsatira zake, kuchuluka kwa shuga wamagazi kumakwera, komwe kumapangitsa kuti insulin ikwere. Izi zitha kuwonjezera kuchuluka kwamafuta amthupi.

Zina mwaziwopsezo ndizo:

• Kukalamba
• Chibadwa chomwe chimakupangitsani kuti mukhale ndi vutoli
• Kusintha kwa mahomoni amphongo, achimuna, komanso opsinjika
• Kusachita masewera olimbitsa thupi

Anthu omwe ali ndi matenda amadzimadzi nthawi zambiri amakhala ndi chimodzi kapena zingapo zomwe zingagwirizane ndi vutoli, kuphatikizapo:

• Kuchuluka kwa chiwopsezo cha magazi
• Kuchuluka kwa zinthu zamagazi zomwe ndi chizindikiro cha kutupa mthupi lonse
• Mapuloteni ochepa otchedwa albumin mu mkodzo

Wothandizira zaumoyo wanu adzakuyesani. Mudzafunsidwa za thanzi lanu lonse komanso zizindikiro zilizonse zomwe muli nazo. Mayeso amwazi atha kulamulidwa kuti muwone kuchuluka kwa shuga wamagazi, cholesterol, ndi triglyceride.

Mutha kupezeka kuti muli ndi matenda amadzimadzi ngati muli ndi zizindikiro zitatu kapena zingapo izi:

• Kuthamanga kwa magazi kofanana kapena kupitirira 130/85 mm Hg kapena mukumwa mankhwala othamanga magazi
• Kusala shuga wamagazi (shuga) pakati pa 100 mpaka 125 mg / dL (5.6 mpaka 7 mmol / L) kapena mwapezeka kuti mukumwa mankhwala a shuga
• Kuzungulira m'chiuno kwakukulu (kutalika m'chiuno): Kwa amuna, mainchesi 40 (masentimita 100) kapena kupitilira apo; azimayi, mainchesi 35 (masentimita 90) kapena kupitilira apo [a anthu ochokera ku Asia ochokera masentimita 90 a amuna ndi masentimita 80 azimayi]
• Cholesterol Wotsika wa HDL (wabwino): Kwa amuna, ochepera 40 mg / dL (1 mmol / L); azimayi, ochepera 50 mg / dL (1.3 mmol / L) kapena mukumwa mankhwala ochepetsa HDL
• Kusala kwa triglycerides kofanana kapena kupitilira 150 mg / dL (1.7 mmol / L) kapena mukumwa mankhwala kuti muchepetse triglycerides

Cholinga cha chithandizo ndikuchepetsa chiopsezo cha matenda a mtima, kupwetekedwa, ndi matenda ashuga.

Wothandizira anu amalangiza kusintha kwa moyo kapena mankhwala:

• Kuchepetsa thupi. Cholinga ndikutaya pakati pa 7% ndi 10% ya kulemera kwanu kwapano. Muyenera kuti mudye zopatsa mphamvu 500 mpaka 1,000 patsiku. Zakudya zosiyanasiyana zitha kuthandiza anthu kukwaniritsa izi. Palibe zakudya zabwino kwambiri kuti muchepetse thupi.
• Pezani masewera olimbitsa thupi mwamphamvu mphindi 150 pamlungu monga kuyenda. Chitani zolimbitsa thupi kuti mulimbitse minofu yanu masiku awiri pasabata. Kuchita masewera olimbitsa thupi mwamphamvu kwakanthawi kochepa ndi njira ina. Funsani omwe akukuthandizani kuti muwone ngati muli ndi thanzi labwino kuti muyambe pulogalamu yatsopano.
• Chepetsani cholesterol yanu mwa kudya zakudya zopatsa thanzi, kuonda, kuchita masewera olimbitsa thupi, ndi kumwa mankhwala ochepetsa mafuta m'thupi, ngati pakufunika kutero.
• Chepetsani kuthamanga kwa magazi anu mwa kudya mchere wochepa, kuonda, kuchita masewera olimbitsa thupi, ndi kumwa mankhwala, ngati kuli kofunikira.

Wopereka wanu atha kulangiza aspirin yotsika tsiku lililonse.

Ngati mumasuta, ino ndiyo nthawi yoti musiye. Funsani omwe akukuthandizani kuti akuthandizeni kusiya. Pali mankhwala ndi mapulogalamu omwe angakuthandizeni kusiya.

Anthu omwe ali ndi vuto la kagayidwe kachakudya ali ndi chiopsezo chotalikirapo chokhala ndi matenda amtima, mtundu wa 2 shuga, sitiroko, matenda a impso, komanso kusowa magazi mwendo.

Itanani omwe akukuthandizani ngati muli ndi zizindikilo za vutoli.

Insulin kukana matenda; Matenda X

• Muyeso wam'mimba wam'mimba

Tsamba la American Heart Association. Za matenda amadzimadzi. www.heart.org/en/health-topics/metabolic-syndrome/about-metabolic-syndrome. Idasinthidwa pa Julayi 31, 2016. Idapezeka pa Ogasiti 18, 2020.

Webusaiti ya National Heart, Lung, ndi Blood Institute. Matenda amadzimadzi. www.nhlbi.nih.gov/health-topics/metabolic-syndrome. Idapezeka pa Ogasiti 18, 2020.

Raynor HA, Champagne CM. Udindo wa Academy of Nutrition and Dietetics: Njira zothanirana ndi kunenepa kwambiri kwa akulu. Zakudya Zamtundu wa J Acad. 2016; 116 (1): 129-147. PMID: 26718656 pubed.ncbi.nlm.nih.gov/26718656/.

Ruderman NB, Shulman GI. Matenda amadzimadzi. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 43.