Kodi metabolic syndrome, zizindikilo, matenda ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe matendawa amapangidwira
• Chithandizo cha matenda amadzimadzi
• Chithandizo chachilengedwe
• Chithandizo ndi mankhwala

Matenda a kagayidwe kake amafanana ndi matenda omwe kuphatikiza kungapangitse kuti munthu akhale ndi vuto losintha zamtima. Zina mwazinthu zomwe zimapezeka pamatenda amadzimadzi ndizochulukitsa mafuta m'mimba, kusintha kwama cholesterol ndi triglyceride, kuchuluka kwa magazi komanso kuzungulira kwa shuga.

Ndikofunikira kuti zinthu zokhudzana ndi kagayidwe kachakudya zizidziwike ndikuchiritsidwa molingana ndi malangizo a endocrinologist, cardiologist kapena dokotala wamba, kuti mavuto azitha kupewedwa. Mankhwalawa amakhala, nthawi zambiri, kugwiritsa ntchito mankhwala omwe amathandiza kuchepetsa kuchuluka kwa shuga, cholesterol komanso kupsinjika, kuphatikiza pakuchita masewera olimbitsa thupi komanso kudya zakudya zopatsa thanzi.

Zizindikiro zazikulu

Zizindikiro za kagayidwe kachakudya ndizokhudzana ndi matenda omwe munthuyo ali nawo, ndipo akhoza kutsimikiziridwa:

• Acanthosis nigricans: ndimadontho akuda m'khosi ndi m'mapewa a khungu;
• Kunenepa kwambiri: kudzikundikira mafuta am'mimba, kutopa, kupuma movutikira ndi kugona, kupweteka m'mabondo ndi akakolo chifukwa chonenepa kwambiri;
• Matenda ashuga: pakamwa pouma, chizungulire, kutopa, kukodza kwambiri;
• Kuthamanga: mutu, chizungulire, kulira m'makutu;
• High cholesterol ndi triglycerides: mawonekedwe a mafuta pakhungu, otchedwa xanthelasma ndi kutupa m'mimba.

Pambuyo pofufuza zizindikilo zomwe munthuyo wapereka, adotolo atha kuwonetsa kuti mayesero angapo amachitika kuti azindikire ngati munthuyo ali ndi zina mwazokhudzana ndi matenda amadzimadzi ndipo chifukwa chake, chithandizo choyenera kwambiri chitha kuwonetsedwa.

Momwe matendawa amapangidwira

Kuti adziwe kuti matenda a kagayidwe kachakudya apangidwe, ndikofunikira kuchita mayeso ena omwe amalola kuzindikira zinthu zomwe zingakhudzane ndi matendawa komanso chiwopsezo chowonjezeka cha matenda amtima. Chifukwa chake, kuti atsimikizire matendawa, munthuyo ayenera kukhala ndi zinthu zitatu izi:

• Shuga kusala kudya pakati pa 100 ndi 125 ndipo mutatha kudya pakati pa 140 ndi 200;
• Kuzungulira kwa m'mimba pakati pa 94 ​​ndi 102 cm, mwa amuna ndi akazi, pakati pa 80 ndi 88 cm;
• Mkulu triglycerides, pamwamba pa 150 mg / dl kapena kupitirira apo;
• Kuthamanga, pamwamba pa 135/85 mmHg;
• LDL cholesterol mkulu;
• Cholesterol ya HDL otsika.

Kuphatikiza pa izi, dotolo amalingaliranso mbiri yakubanja ndi moyo, monga kuchuluka kwa masewera olimbitsa thupi komanso zakudya, mwachitsanzo. Nthawi zina, mayesero ena monga creatinine, uric acid, microalbuminuria, C-reactive protein (CRP) ndi mayeso a kulolerana kwa glucose, omwe amadziwikanso kuti TOTG, amathanso kuwonetsedwa.

Chithandizo cha matenda amadzimadzi

Chithandizo cha matenda a kagayidwe kachakudya chikuyenera kuwonetsedwa ndi asing'anga, endocrinologist kapena katswiri wamtima molingana ndi zizindikilo zomwe zimaperekedwa ndi munthuyo ndi matenda omwe ali nawo. Mwanjira imeneyi, adotolo amatha kuwonetsa kugwiritsa ntchito njira zoyenera pamlandu uliwonse, kuphatikiza pakuwonetsa kusintha kwa moyo ndi moyo.

Chithandizo chachilengedwe

Chithandizo cha matenda amadzimadzi choyambirira chimayenera kukhala ndi kusintha kwa moyo, mosamala kwambiri pakusintha kwa kagwiritsidwe ka zakudya ndi zolimbitsa thupi. Malangizo akulu ndi awa:

• Kuchepetsa thupi mpaka BMI ili pansi pa 25 kg / m2, komanso kuchepetsa mafuta am'mimba, chifukwa chiopsezo cha matenda amtima chimakhala chachikulu pamtundu uwu wodwala;
• Idyani chakudya choyenera komanso wathanzi, kupewa kugwiritsa ntchito mchere pakudya komanso kusadya zakudya zopatsa shuga kapena zamafuta, monga zakudya zokazinga, zakumwa zozizilitsa kukhosi ndi zakudya zokonzedweratu, mwachitsanzo. Onani momwe chakudya choyenera chiyenera kukhalira mu: Zakudya zamatenda amadzimadzi;
• Chitani zolimbitsa thupi kwa mphindi 30 tsiku, monga kuyenda, kuthamanga kapena kupalasa njinga. Nthawi zina, adokotala amalangiza mapulani azolimbitsa thupi kapena kutumiza wodwalayo kwa othandizira.

Ngati malingaliro awa sali okwanira kuwongolera matenda amadzimadzi, adotolo angavomereze kugwiritsa ntchito mankhwala.

Chithandizo ndi mankhwala

Mankhwala a kagayidwe kachakudya nthawi zambiri amaperekedwa ndi dokotala pomwe wodwalayo sangathe kuonda, kutsitsa shuga m'magazi komanso kuchuluka kwama cholesterol ndikuchepetsa kuthamanga kwa magazi ndikusintha kwa zakudya ndi masewera olimbitsa thupi okha. Nthawi izi, adokotala amatha kuwongolera kugwiritsa ntchito mankhwala ku:

• Kuchepetsa kuthamanga kwa magazi, monga losartan, candesartan, enalapril kapena lisinopril;
• Kuchepetsa kukana kwa insulin ndikuchepetsa shuga m'magazi, monga metformin kapena glitazones;
• Pezani cholesterol ndi triglycerides, monga rosuvastatin, atorvastatin, simvastatin, ezetimibe kapena fenofibrate;
• Kuchepetsa thupi, monga phentermine ndi sibutramine, yomwe imaletsa kudya kapena orlistat, yomwe imaletsa kuyamwa kwamafuta.

Ndikofunika kuti chithandizocho chichitike molingana ndi malangizo a dokotala kuti zitha kupezeka zovuta.

Onani maupangiri ena muvidiyo yotsatirayi yomwe ikuthandizira kuchiza matenda amadzimadzi: