Ua loaʻa anei iā ʻoe kēia maʻi? E kamaʻilio kākou e pili ana i ka (Metabolic Syndrome)!

ʻO ka huaʻōlelo "Metabolic Syndrome" paha e kani iki ana i ka weliweli iā ʻoe. He huaʻōlelo nui paha ia, akā ma nā huaʻōlelo maʻalahi, he hui pū ʻana ia o kekahi mau pilikia olakino e pili ana e hui pū ana e hana i kahi kūlana i loko o kou kino. Ua like ia me kahi pūʻolo. He mea nui e makaʻala i kēia no ka mea hiki iā ia ke kau iā ʻoe i kahi pilikia kiʻekiʻe o ka loaʻa ʻana o nā kūlana koʻikoʻi e like me ka maʻi puʻuwai, ka maʻi diabetes type 2, a me ka hahau.

He aha maoli ka `(Metabolic Syndrome)`?

I ka ʻōlelo maʻalahi, ʻaʻole he maʻi hoʻokahi ka `(Metabolic Syndrome)`. He hōʻiliʻili ia o kekahi mau pilikia olakino e hui pū ana i loko o kou kino. Hiki i kēia mau pilikia ke hōʻino i kāu `( Cardiovascular system)`, hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi diabetes, a hoʻomākaukau i ke ala no nā maʻi e like me ka hahau ʻana . Eia kekahi, hoʻonui ia i ka pilikia o `(Atherosclerosis)`, ka hōʻiliʻili ʻana o ka momona i loko o nā paia o kou mau aʻa, e hoʻohaiki ana iā lākou, a e hōʻino ana i nā ʻano kino like ʻole i loko o kou kino.

Ua kapa ʻia kēia he mea ʻē aʻe, ua lohe paha ʻoe iā ia:

• ʻO ka maʻi maʻi X
• ʻO ka maʻi kū'ē insulin
• ʻO ka maʻi Dysmetabolic

Akā, pili kēia mau inoa a pau i ke kūlana hoʻokahi.

Pehea e ʻike ai inā loaʻa iaʻu ka `(Metabolic Syndrome)`? (Nā pae hoʻohālikelike)

ʻElima mau mea nui a nā kauka e nānā ai e hoʻoholo ai inā loaʻa iā ʻoe ka `(Metabolic Syndrome)`. Inā loaʻa iā ʻoe ma ka liʻiliʻi he ʻekolu o kēia mau ʻelima, hiki iā ʻoe ke ʻōlelo ua loaʻa iā ʻoe kēia maʻi. E nānā kākou he aha lākou?

1. Kaumaha nui o ka ʻōpū:

• I ka ʻōlelo maʻalahi, he piʻi ʻana ia o ke anapuni o kou ʻōpū. Inā ʻoi aku ka pūhaka o ke kāne ma mua o 40 ʻīniha (ma kahi o 102 kenimika) a inā ʻoi aku ka pūhaka o ka wahine ma mua o 35 ʻīniha (ma kahi o 88 kenimika), he hōʻailona kēia. Ua like kēia me ka loaʻa ʻana o kahi "papa momona" a puni kou ʻōpū.

2. Hoʻonui ʻia nā pae triglyceride i loko o ke koko (Hypertriglyceridemia):

• He ʻano momona nā Triglycerides i loko o kou koko. Inā he 150 mg/dL (milligrams no ka deciliter) a ʻoi aku paha kou pae, he mea weliweli nō hoʻi kēlā.

3. Nā pae haʻahaʻa o ka cholesterol maikaʻi (HDL):

• ʻO ka cholesterol HDL ka mea a mākou e kapa nei he "cholesterol maikaʻi." He mea maikaʻi ia no ke kino. Inā ma lalo o 40 mg/dL kēia pae HDL i loko o ke kāne, a ma lalo o 50 mg/dL i loko o ka wahine, he mea hopohopo nō hoʻi ia.

4. Nā pae kō koko kiʻekiʻe:

• Inā he 100 mg/dL a ʻoi aku paha kou pae kō koko ke nānā ʻoe i kou kō koko ma mua o ka ʻai ʻana (hoʻokē ʻai) i ke kakahiaka, he mea weliweli kēia.
• Inā ma waena o 100 a me 125 mg/dL, he prediabetes kou. ʻO ia hoʻi, ua kokoke ʻoe e loaʻa i ka maʻi diabetes.
• Inā ʻoi aku ia ma mua o 125 mg/dL, ua loaʻa paha iā ʻoe ka Type 2 Diabetes.

5. Ke koko kiʻekiʻe:

• Pili nō hoʻi kēia inā he 130 mmHg a ʻoi aku paha kou koko (systolic) a/a i ʻole 85 mmHg a ʻoi aku paha (diastolic).

E hoʻomanaʻo, ʻoiai inā loaʻa kekahi o kēia mau kūlana iā lākou iho, hoʻonui lākou i kou pilikia o ka loaʻa ʻana o nā maʻi e like me ka maʻi puʻuwai, ka maʻi diabetes, a me ka hahau. Akā i ka wā e hui pū ai ʻekolu a ʻoi aku paha o kēia mau kūlana, piʻi nui kou pilikia. No laila, inā ua ʻike ʻia ʻoe me ka Metabolic Syndrome, e noʻonoʻo he hōʻailona ia e hoʻololi i kāu mau ʻano olakino a hoʻemi i kou pilikia.

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo `(Metabolic Syndrome)`?

ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. No ka laʻana, ua ʻōlelo ʻia he hapakolu o nā pākeke ma ʻAmelika Hui Pū ʻIa i loaʻa i kēia maʻi. Me he mea lā ke piʻi nei kēia maʻi ma Sri Lanka.

He aha nā hōʻailona o ka `(Metabolic Syndrome)`?

ʻO ka mea kūikawā e pili ana i kēia, ʻaʻole nā ​​​​kūlana āpau e pili ana i ka `(Metabolic Syndrome)` e hōʻike i nā hōʻailona. No laila, ʻo nā hōʻailona āu e loaʻa nei e pili ana i ka mea o nā mea ʻelima i ʻōlelo ʻia ma luna e hoʻopilikia iā ʻoe. No ka laʻana, ʻo nā mea e like me ke koko kiʻekiʻe, nā triglycerides kiʻekiʻe, a me ka cholesterol HDL haʻahaʻa ʻaʻole ia e hoʻoulu i nā hōʻailona nui.

Eia nō naʻe, i ka piʻi ʻana o ke kō koko (Hyperglycemia), ʻike paha kekahi poʻe i nā hōʻailona e like me:

• ʻEleʻele ka ʻili ma nā wahi e like me nā ʻāʻī lima, ke kua o ka ʻāʻī, a me nā ʻaoʻao, me he mea lā ua uhi ʻia i ka lepo (Acanthosis nigricans).
• ʻIke pōwehiwehi.
• Makewai nui (Polydipsia).
• Pono e mimi pinepine, ʻoi aku hoʻi i ka pō.
• Luhi mau ka manaʻo.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa e ʻike i ke kauka no ka ʻōlelo aʻo.

No ke aha mākou e loaʻa ai kēia `(Metabolic Syndrome)`? (Nā kumu)

Aia kekahi mau kumu e kōkua ai i ka ulu ʻana o ka "Metabolic Syndrome," he ʻano paʻakikī maoli nō ia. Akā, manaʻoʻiʻo nā kānaka noiʻi ʻo ke kumu nui ʻo ia ka " Insulin Resistance ."

E noʻonoʻo e pili ana i ia mea, ʻo ka insulin kahi hormone i hana ʻia e ko kākou pancreas he mea nui ia no ke ola a kaohi i nā pae kō koko. ʻO ke kū'ē ʻana o ka insulin ke pane ʻole pono kou mau ʻiʻo, momona, a me nā hunaola akepaʻa i kēia insulin.

No nā kumu like ʻole, ʻaʻole paha e pane pono kēia mau cell i ka insulin. ʻO ke ʻano kēia, ʻaʻole hiki i nā cell ke omo pono a mālama i ka glucose (kō) mai ke koko. Ua kapa ʻia kēia he kūʻē ʻana i ka insulin. ʻO ka hopena, hoʻomaka kāu pancreas e hana i ka insulin hou aʻe e kāohi i nā pae kō koko kiʻekiʻe. Ua kapa ʻia kēia he hyperinsulinemia .

Inā ʻaʻole hiki i kou kino ke hana i ka insulin lawa e kāohi pono ai i kou pae kō koko, e piʻi aʻe kou pae kō koko (hyperglycemia), hiki ke alakaʻi i ka prediabetes a i ʻole ka maʻi diabetes type 2. Hiki i ke kūʻē ʻana o ka insulin a me ka hyperinsulinemia ke kōkua pū i:

• Ka momona.
• Maʻi cardiovascular.
• Maʻi akepaʻa momona.
• ʻO ka maʻi ʻōpū Polycystic (PCOS).

Eia kekahi o nā kumu nui e hoʻopilikia ai i ke kūpaʻa ʻana o ka insulin:

• ʻO ka momona o ka ʻōpū a i ʻole ka momona nui: Hoʻokuʻu nā ʻāpana momona i loko o ke kino i nā kemika (i kapa ʻia ʻo proinflammatory cytokines) e hoʻopilikia i ka hana a ka insulin. ʻO ka nui o ka momona ma kou kino, ʻo ka nui o ka hopena maikaʻi ʻole i ke ʻano o ka hana ʻana o ka insulin. Ua hōʻike ʻia nā haʻawina e hoʻonui ka momona o ka ʻōpū i ke kūʻē ʻana i ka insulin. ʻOi aku ka nui o ka momona a puni nā ʻōpū o loko (ka momona visceral) e hoʻonui i ke kūʻē ʻana i ka insulin ma mua o ka momona subcutaneous (ka momona ma lalo o ka ʻili). Akā hāʻawi nā mea ʻelua i ka metabolic syndrome.
• ʻAʻole hana kino: Pono kou mau ʻiʻo i ka nui o ka glucose a me ka glucose i mālama ʻia (glycogen) e hana. Ke hoʻoikaika kino ʻoe, lilo kou kino i mea ʻoi aku ka maʻalahi i ka insulin, a hoʻomohala kou mau ʻiʻo i ka hiki ke omo i ke kō mai ke koko. ʻO ka hoʻoikaika kino ʻole e hiki ke alakaʻi i ke kūʻē ʻana o ka insulin.
• ʻO kekahi mau lāʻau lapaʻau: ʻO nā Corticosteroids, kekahi mau lāʻau koko kiʻekiʻe, kekahi mau lāʻau HIV, a me kekahi mau lāʻau psychiatric hiki ke hoʻoulu i ke kū'ē ʻana o ka insulin.
• ʻIke Hoʻoilina: Hiki i nā ʻike hoʻoilina āu e hoʻoilina ai mai kou mau mākua ke hoʻopilikia i ke kūʻē ʻana o ka insulin. Hiki nō hoʻi ke loaʻa kahi mana hoʻoilina ma ka momona, ke koko kiʻekiʻe, a me ka cholesterol kiʻekiʻe.

Pehea e ʻike ai nā kauka i ka `(Metabolic Syndrome)`? (Diagnosis)

Inā manaʻo ʻoe he maʻi metabolic kou, e nānā mua kāu kauka iā ʻoe a laila e kauoha i kekahi mau hoʻāʻo koko. Hiki iā lākou ke nānā i kou koko a ana i kou anapuni pūhaka.

Eia nā hoʻāʻo koko i hana pinepine ʻia:

• Panel lipid: Ke ana kēia i ʻehā ʻano cholesterol a me nā pae triglyceride.
• Papa Metabolic Kumu (BMP): Ke ana kēia i ʻewalu mau mea i loko o kou koko a hāʻawi i kahi manaʻo o kou olakino holoʻokoʻa.
• Hoʻāʻo glucose hoʻokē ʻai: ʻOiai ke ana nei ka BMP i nā pae kō koko, inā ʻaʻole ʻoe i ʻai i kēlā manawa, hiki i kāu kauka ke noi iā ʻoe e hoʻokē ʻai no 8-12 mau hola ma mua o ka lawe ʻana i kahi hoʻāʻo kō koko.

Ma muli o nā hopena o kēia mau hoʻokolohua a me nā mea i ʻike ʻia i ka wā o ka hoʻokolokolo kino, inā loaʻa iā ʻoe ma ka liʻiliʻi he ʻekolu o nā pae ʻelima i ʻōlelo ʻia ma luna, ua ʻike ʻia ʻoe me ka "Metabolic Syndrome".

ʻO kēia mau hoʻāʻo koko he mau hoʻokolohua maʻamau ia, no laila hiki i kāu kauka ke loaʻa kahi manaʻo e pili ana i kēia kūlana ʻoiai inā ʻoe e hana nei i kahi hoʻokolohua no kekahi mea ʻē aʻe.

Pehea e mālama ʻia ai ka Metabolic Syndrome?

ʻO nā pahuhopu nui o ka mālama ʻana i ka "Metabolic Syndrome" ʻo ia ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o nā maʻi puʻuwai a me ka maʻi diabetes type 2, inā ʻaʻole ʻoe i loaʻa iā ia. Hiki paha i kēia ke pili i ka lāʻau lapaʻau a me/a i ʻole nā ​​​​​​hoʻololi ʻana i ke ʻano o ka nohona.

Nā loli o ke ola - ʻo kēia ka mea nui loa!

He mea nui loa ka hoʻololi ʻana i ke ʻano o ka nohona e kāohi ai i nā kūlana e kōkua ai i ka "Metabolic Syndrome." ʻO kēia mau hoʻololi:

• E mālama a e hoʻoikaika paha no ke kaumaha olakino: Hiki i kāu kauka ke ʻōlelo aku e hōʻemi ʻoe i ke kaumaha keu. Ua ʻike ʻia kekahi noiʻi ʻo ka hōʻemi ʻana i ka 7% wale nō o kou kaumaha keu hiki ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi diabetes type 2 ma 58%.
• Hoʻoikaika kino mau: He nui nā pono o ka hoʻoikaika kino. Kōkua ia i ke kaua ʻana i ke kūʻē ʻana o ka insulin, mālama i kou ʻōnaehana cardiovascular olakino, a kōkua iā ʻoe e hōʻemi i ke kaumaha. He mea maikaʻi ka hoʻoikaika kino iki. Akā ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino, e nīnau i kāu kauka i ke ʻano o ka hoʻoikaika kino kūpono iā ʻoe.
• E ʻai i ka meaʻai olakino no ka puʻuwai: E haʻi aku paha kāu kauka a meaʻai meaʻai paha iā ʻoe e pale i ka ʻai ʻana i nā kalapona he nui (nā mea e hoʻoulu ai i ka hana ʻana o ka insulin). E haʻi aku nō hoʻi lākou iā ʻoe e hōʻemi i nā momona maikaʻi ʻole, ke kō, ka ʻiʻo ʻulaʻula, a me nā starch i hoʻomaʻemaʻe ʻia. Akā, e haʻi aku lākou iā ʻoe e ʻai i ka meaʻai holoʻokoʻa i kiʻekiʻe i nā mea kanu, nā huaʻai, nā palaoa holoʻokoʻa, ka iʻa, a me nā ʻiʻo lean. ʻO ka ʻai Mediterranean kahi laʻana maikaʻi o ka ʻai olakino no ka puʻuwai.
• E hiamoe maikaʻi: He mea nui ka hiamoe maikaʻi no ke olakino holoʻokoʻa. ʻO ka nele o ka hiamoe a me nā kūlana e pili ana i ka hiamoe (e like me ka sleep apnea) hiki ke kōkua i ka hoʻonui ʻia a i ʻole ka hoʻomaka hou ʻana o ka metabolic syndrome. Inā he mau pilikia hiamoe kāu, e kamaʻilio me kāu kauka.
• E hōʻalo a hoʻōki paha i ka puhipaka: Hiki i ka puhipaka ke hoʻohaʻahaʻa i kāu cholesterol HDL (maikaʻi) a hoʻokiʻekiʻe i kou koko. Hiki iā ia ke hōʻino i kou mau kīʻaha koko a hoʻoulu i ka maʻi ʻaʻai coronary. Inā ʻoe e puhipaka, e ho'āʻo e hoʻōki.
• Ka mālama ʻana i ke kaumaha:Inā kiʻekiʻe kou pae o ka "hormone stress" cortisol no ka manawa lōʻihi, hiki ke piʻi aʻe kou triglycerides, ke kō koko, a me ke koko. E ʻimi i nā ala e hoʻokele ai i kou kaumaha, e like me ka hoʻoikaika kino, yoga, mindfulness, a i ʻole nā ​​​​hoʻomaʻamaʻa hanu.

Nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe

Hiki i nā lāʻau lapaʻau like ʻole a me nā ʻano lapaʻau ke kōkua i ka kaohi ʻana i nā kūlana e kōkua ai i ka metabolic syndrome. ʻO kēia mau mea:

• Nā lāʻau hoʻohaʻahaʻa kolesterol: ʻO nā Statins kahi ʻano lāʻau lapaʻau e kōkua ai i ka lawe ʻana i nā pae cholesterol i kahi pae olakino.
• Nā lāʻau antihypertensives: Hoʻohaʻahaʻa kēia mau lāʻau i kou koko ma nā ʻano like ʻole. ʻO nā laʻana e komo pū me nā thiazides, nā ACE inhibitors, a me nā calcium channel blockers.
• Nā lāʻau lapaʻau waha no ka maʻi diabetes: Hoʻohaʻahaʻa kēia mau lāʻau i kou pae kō koko ma nā ʻano like ʻole. ʻO kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo metformin.
• ʻO ke ʻoki kino Bariatric: ʻO kēia nā ʻoki kino i hana ʻia e kōkua i ka poʻe momona e hōʻemi i ke kaumaha. Hiki i kāu kauka ke ʻōlelo aku i kēia ʻano ʻoki kino inā ʻaʻole i holo pono nā ʻano hana hōʻemi kaumaha ʻē aʻe a inā ʻoi aku ka nui o nā pilikia olakino o kou momona ma mua o ke ʻoki kino.
• Lapaʻau no nā maʻi hiamoe: Inā loaʻa iā ʻoe kahi maʻi hiamoe, no ka laʻana, kahi mīkini CPAP no ka apnea hiamoe a i ʻole nā ​​​​lāʻau hiamoe no ka insomnia, hiki i nā mea like me ia ke kōkua.
• Psychotherapy: He "talking therapy" kēia. Aia kekahi mau lāʻau lapaʻau e kōkua iā ʻoe e ʻike a hoʻololi i nā manaʻo, nā manaʻo, a me nā ʻano maikaʻi ʻole. No ka laʻana, hiki iā ia ke kōkua iā ʻoe e hoʻokele i ke kaumaha a hoʻomaopopo a hoʻololi i nā ʻano ʻai maikaʻi ʻole.

Hiki ke hoʻohuli ʻia ka Metabolic Syndrome?

ʻAe, hiki iā ʻoe! Hiki ke hoʻohuli ʻia ka Metabolic Syndrome. Hiki i nā hoʻololi ʻana i ke ʻano o ka nohona ke hoʻomaikaʻi nui i kou olakino. Hiki i nā lāʻau lapaʻau ke kōkua. E hana pū kāu kauka me ʻoe e ʻike i ka hoʻolālā maikaʻi loa nāu.

Hiki ke pale ʻia ka Metabolic Syndrome?

ʻAʻole hiki iā ʻoe ke hoʻololi i kekahi o nā kumu e kōkua ai i ka Metabolic Syndrome, e like me kou genetics a me kou mau makahiki. Eia nō naʻe, ʻo nā loli like o ke ʻano o ka nohona e kōkua ai i ka mālama ʻana i ka Metabolic Syndrome hiki ke kōkua i ka pale ʻana i kona ulu ʻana.

Inā he moʻolelo ko kekahi o kou ʻohana no ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol kiʻekiʻe, mai poina e haʻi i kāu kauka e pili ana i ia mea.

He mea nui hoʻi ka loaʻa ʻana o nā nānā maʻamau. Hiki i kāu kauka ke nānā i kāu cholesterol, triglycerides, ke koko, a me nā pae kō koko. ʻO ka wikiwiki o kou ʻike ʻana i nā pilikia, ʻo ka wikiwiki o kou hiki ke hoʻololi i ke ʻano o ka nohona a me ka ʻōlelo ʻana i nā lāʻau lapaʻau e hōʻemi i kou pilikia.

He aha nā pilikia e hiki ke kū mai ma muli o ka `(Metabolic Syndrome)`?

Hiki i ka Metabolic Syndrome ke hana i nā ʻano pilikia like ʻole, ʻo ia hoʻi:

• Maʻi puʻuwai.
• ʻO ka stenosis aortic (ka hoʻohaiki ʻia ʻana o ka valve aortic i loko o ka puʻuwai, e ālai ana i ke kahe koko).
• ʻO ka fibrillation atrial (Atrial fibrillation a i ʻole Afib).
• ʻO ka maʻi thromboembolic, e.g. venous thromboembolism.
• Hahau.
• Ka hōʻino ʻana i nā ʻōpū, ʻoiai ka pancreas, ke ake, ka gallbladder, a me nā puʻupaʻa.
• ʻO kekahi mau ʻano maʻi kanesa, e like me ke kanesa colon, ke kanesa umauma, a me ke kanesa prostate.
• ʻO ka maʻi diabetes ʻano 2.
• Ka mumū mau loa a me nā pilikia o ka ʻōnaehana pale.
• Ka hana ʻino ʻana o ka erectile i nā kāne.
• Nā pilikia e like me ka preeclampsia, eclampsia, a me ka maʻi diabetes gestational i ka wā hāpai.
• Nā pilikia me ka noʻonoʻo a me ka hoʻomanaʻo.

ʻO ka nūhou maikaʻi, hiki ke hoʻohuli ʻia ka metabolic syndrome me nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau. ʻO ka nui o nā hoʻololi āu e hana ai e pale i kou olakino, ʻoi aku ka maikaʻi o kou kūlana.

Āhea wau e ʻike ai i kaʻu kauka?

Inā loaʻa iā ʻoe ka Metabolic Syndrome, he mea nui loa ia e hoʻomau i ka ʻimi ʻana i ka ʻōlelo aʻoaʻo a me ka lāʻau lapaʻau. Pono ʻoe e ʻike i kāu kauka no nā mea e like me:

• No ka nānā ʻana i kou kūlana: Pono paha ʻoe e nānā pinepine i kou koko a i ʻole e hana i nā hoʻāʻo koko e nānā i kāu triglyceride a me nā pae cholesterol. E hōʻoia e hele i kāu kauka i kēlā me kēia lā.
• Inā he mau nīnau kāu e pili ana i kāu hoʻolālā lapaʻau: E haʻi i kāu kauka inā loaʻa iā ʻoe nā hopena ʻaoʻao mai kāu lāʻau lapaʻau a i ʻole inā manaʻo ʻoe e pono ʻoe e hoʻōki i ka lawe ʻana. Eia kekahi, e nīnau inā he mau nīnau kāu e pili ana i kāu papaʻai a i ʻole ka hoʻolālā hoʻoikaika kino.

Hiki ke hoʻoluhi ʻia ka ʻike ʻana ua loaʻa iā ʻoe ka Metabolic Syndrome. Akā e hoʻomanaʻo, he nui nā ala e hoʻokele ai a hoʻohuli paha iā ia. E noho pū kāu kauka me ʻoe i kēlā me kēia ʻanuʻu o ke ala. E kiʻi i kā lākou kākoʻo a me nā ʻōlelo aʻoaʻo. Eia lākou e kōkua.

Leka Hoʻihoʻi Hope Loa

ʻAe, i kēia manawa ua loaʻa iā ʻoe kahi manaʻo maikaʻi aʻe o ka mea a mākou i kamaʻilio ai (Metabolic Syndrome). Mai hopohopo , he kūlana hiki ke hoʻokele ʻia kēia.

ʻO ka mea nui loa,Ke ʻike mua ʻana iā ia a me ka hana ʻana i nā hoʻololi e pono ai ke ʻano o ka nohona. Hiki i nā hoʻololi liʻiliʻi ke hua mai i nā hopena nui.

• E makaʻala i kou kaumaha, ʻoiai ka momona o ka ʻōpū.
• E hana i kekahi mau hoʻoikaika kino i kēlā me kēia lā.
• E ho'āʻo e ʻai i ka meaʻai olakino.
• E ho'ōki i ka puhipaka.
• E hōʻemi i ke kaumaha.
• E hana i nā hoʻokolohua lapaʻau i ka manawa kūpono.

Ma ka hana ʻana i kēia mau mea, hiki iā ʻoe ke pale iā ʻoe iho mai ka `(Metabolic Syndrome)` wale nō, akā, mai nā maʻi ʻē aʻe he nui. Aia kou olakino ma kou mau lima!

ʻO ka maʻi Metabolic, ke kū'ē'ē ʻana o ka insulin, ka maʻi diabetes, ka maʻi puʻuwai, ke koko kiʻekiʻe, ka cholesterol, ka hoʻomalu ʻana i ke kaumaha