Ua haʻi aku anei kāu kauka iā ʻoe ua kiʻekiʻe iki kou koko, ke hoʻomaka nei ke piʻi aʻe o ke kō koko, ke piʻi nei kāu cholesterol, a pēlā aku? Malia paha ua piʻi aʻe kou kaumaha a puni kou ʻōpū. ʻOiai ke ʻano o kēia mau mea me he mau pilikia olakino maʻamau lā ma o lākou iho, ke hui pū kekahi o lākou, hiki iā lākou ke lilo i hōʻailona hōʻailona o kahi maʻi koʻikoʻi. ʻO ia ka mea a mākou e kapa nei he Metabolic Syndrome .
I ka pōkole, he aha ka Metabolic Syndrome?
ʻAʻole he maʻi hoʻokahi ka Metabolic Syndrome. He hōʻiliʻili ia o kekahi mau mea pilikia olakino e pili ana. Ke hui pū ʻia kēia mau kūlana, hoʻonui nui lākou i kou pilikia o ka loaʻa ʻana o ka maʻi puʻuwai, ka hahau ʻana, a me ka maʻi diabetes type 2 i ka wā e hiki mai ana. Ua ʻike ʻia hoʻi ia e nā inoa ʻē aʻe, e like me `(Syndrome X)` a i ʻole `(Insulin resistance syndrome)`.
E noʻonoʻo i kēia ʻano, ʻoi aku ka nui o ka pilikia ke hoʻouka mai ʻekolu a ʻehā paha mau ʻenemi i ka manawa hoʻokahi ma mua o ke kaua ʻana me hoʻokahi ʻenemi. Pēlā nō ia me kēia. He pilikia kēlā me kēia o kēia mau mea nona iho. Akā i ka wā e hui pū ai ʻekolu a ʻoi aku paha o lākou, e piʻi nui aʻe ka pilikia.
Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka Metabolic Syndrome?
I mea e ʻike ʻia ai ka maʻi Metabolic Syndrome, pono e loaʻa ma ka liʻiliʻi he ʻekolu o nā kumu ʻelima. Ua like kēia me kahi papa inoa. E nānā kākou i ke ʻano o lākou.
| Kumu Hoʻopilikia | Ana ʻana |
|---|---|
| Kaumaha ʻōpū keu | Ka anapuni o ka pūhaka: ʻOi aku ma mua o 40 ʻīniha no nā kāne, ʻoi aku ma mua o 35 ʻīniha no nā wahine. |
| Nā triglycerides kiʻekiʻe | ʻO 150 mg/dL a ʻoi aku paha ka nui o ka triglyceride i loko o ke koko. |
| ʻO ka cholesterol HDL haʻahaʻa (kolesterol maikaʻi) | Pae HDL (kolesterol maikaʻi): Ma lalo o 40 mg/dL i nā kāne, ma lalo o 50 mg/dL i nā wahine. |
| Ke kō koko kiʻekiʻe | ʻO ka pae kō koko hoʻokē ʻai he 100 mg/dL a ʻoi aku paha (ʻo 100-125 e hōʻike ana i ka prediabetes, a ʻo 125 a ʻoi aku paha e hōʻike ana i ka maʻi diabetes). |
| Ke koko kiʻekiʻe | Ke kaomi koko o 130/85 mmHg a ʻoi aku paha (kaomi systolic o 130 a ʻoi aku paha a/a i ʻole ke kaomi diastolic o 85 a ʻoi aku paha). |
ʻO ka mea nui, ʻaʻole kēia he mea hiki iā ʻoe ke hoʻoholo nou iho. ʻO kāu kauka ka mea nāna e hana i kēia mau hoʻokolohua a haʻi pololei iā ʻoe inā loaʻa iā ʻoe kēia maʻi a i ʻole.
He aha nā hōʻailona o kēia maʻi?
ʻO ka pilikia nui ma ʻaneʻi, ʻo ka nui o nā mea e pili ana me ka Metabolic Syndrome (e like me ke koko kiʻekiʻe a me ka cholesterol) ʻaʻohe hōʻailona o waho . ʻO ia ke kumu i ʻike ʻole ai ka poʻe he nui ua pilikia lākou.
Eia nō naʻe, ke piʻi nui ke kō koko, e ʻike ʻia paha kekahi mau hōʻailona. ʻO kēia mau mea:
- ʻEleʻele ka ʻili ma nā ʻēheu, ke kua o ka ʻāʻī, a me nā ʻaoʻao (Acanthosis nigricans).
- ʻIke pōwehiwehi.
- Hoʻonui ʻia ka make wai.
- ʻO ka pono pinepine e mimi, ʻoi aku hoʻi i ka pō.
- Ka luhi nui o ke kino.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike pono i ke kauka a e noi i ka ʻōlelo aʻo.
No ke aha mākou e ulu ai i ka Metabolic Syndrome? He aha ke kumu nui?
Nui nā kumu no kēia, akā manaʻoʻiʻo nā kānaka noiʻi ʻo ke kumu kumu he ʻano i kapa ʻia ʻo ke kūʻē ʻana o ka insulin .
No laila, he aha kēia ʻano o ke kū'ē ʻana i ka insulin?
E hoʻomaopopo maʻalahi kākou. Pono ke kōpaʻa (glucose) i loko o ka meaʻai a kākou e ʻai ai e komo i loko o nā ʻāpana o ko kākou kino ma ke ʻano he ikehu. ʻO ke kī e wehe ai i nā puka i kēia mau ʻāpana he hormone i kapa ʻia ʻo insulin . Hana ʻia kēia e ko kākou pancreas.
ʻO ke kū'ē ʻana o ka insulin ʻo ia hoʻi, ʻaʻole pane pono nā pūnaewele i loko o kou kino i kēia kī i kapa ʻia ʻo ka insulin. Ua like ia me ka loaʻa ʻana o kahi kī akā ʻaʻole hiki ke wehe i ka puka. A laila, ʻaʻole hiki i ke kō i loko o ke koko ke komo i loko o nā pūnaewele a hōʻiliʻili i loko o ke koko.
I mea e uku ai, hoʻomaka kāu pancreas e hana i ka insulin hou aʻe. Akā i ka hala ʻana o ka manawa, lilo kēlā i mea lawa ʻole. ʻO ia ka manawa e piʻi ai ke kiʻekiʻe o ke kō koko, e alakaʻi ana i nā maʻi e like me ka maʻi diabetes.
ʻO nā kumu aʻe e kōkua i ka pale ʻana o ka insulin:
- Momona: ʻO ka momona, ʻoi aku hoʻi a puni ka ʻōpū, hoʻopuka i nā kemika e hoʻopilikia i ka hana o ka insulin.
- ʻAʻole hoʻoikaika kino: Ke hoʻoikaika kino mākou, hoʻohana ko mākou mau ʻiʻo i ke kō. Ke nele mākou i ka hoʻoikaika kino, lilo ko mākou mau cell i mea ʻike ʻole i ka insulin.
- Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau steroids (corticosteroids), kekahi mau lāʻau lapaʻau koko, a me kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo ke hana i kēia.
- Mana hoʻoilina: ʻO nā genes i hoʻoili ʻia mai kēlā hanauna a i kēia hanauna he mana ko lākou ma kēia.
Hiki ke hoʻomalu ʻia a hoʻōla ʻia kēia maʻi?
ʻAe! Hiki nō iā ʻoe. ʻO kēia ka nūhou maikaʻi loa. ʻAʻole hiki ke hoʻohuli ʻia ka Metabolic Syndrome. ʻElua mau mea nui e hiki ke hana ʻia: nā hoʻololi ʻana i ke ʻano o ka nohona a me ka mālama ʻana inā pono.
1. Nā Hoʻololi ʻana i ke ʻAno o ka Nohona - ʻO kēia ka mea nui loa!
- E mālama i ke kaumaha olakino: E ho'āʻo e hoʻemi i ke kaumaha keu e like me ka ʻōlelo a kāu kauka. Ua ʻike ʻia kekahi noiʻi ʻo ka lilo ʻana o 7% wale nō o kou kaumaha keu hiki ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi diabetes ma 58%.
- Hoʻoikaika kino mau: E hana i kekahi mea e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana no 30 mau minuke i ka lā. Kōkua kēia i ka hōʻemi ʻana i ke kūʻē ʻana o ka insulin, mālama i kou puʻuwai i ke olakino, a kōkua i ka kaohi ʻana i ke kaumaha.
- ʻAi olakino no ka puʻuwai: E hōʻemi i kāu ʻai ʻana i nā meaʻai kiʻekiʻe i ka kalapona (berena, laiki, mea ʻono), nā mea momona, ka ʻiʻo ʻulaʻula, a me nā meaʻai i hana ʻia. Akā, e hoʻokomo i nā mea kanu, nā huaʻai, nā legumes, a me nā ʻiʻo wīwī e like me ka iʻa a me ka moa.
- E hiamoe lawa: ʻO nā pilikia e like me ka insomnia a me ka hāhā ("(Sleep apnea)`) hiki ke hoʻonui i kēia ʻano. No laila, he mea nui ka hiamoe maikaʻi.
- Hōʻalo i ka puhipaka: Hiki i ka puhipaka ke hoʻohaʻahaʻa i ka cholesterol maikaʻi (HDL) a hoʻonui i ke koko.
- Ka hoʻokele ʻana i ke kaumaha: Hiki i ke kaumaha nui ke hana i nā hormonal incompletes i loko o ke kino, e alakaʻi ana i ka hoʻonui ʻia o ke kō koko, ke koko, a me nā pae cholesterol. Hiki ke hoʻokele ʻia ke kaumaha ma o nā hana e like me ka yoga, ka noʻonoʻo ʻana, a me nā hoʻomaʻamaʻa hanu.
2. Nā lāʻau lapaʻau
Inā paʻakikī kēia kūlana e kaohi me nā loli o ke ʻano o ka nohona wale nō, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau.
- Nā lāʻau lapaʻau kolesterol: No ka laʻana, statins.
- Nā lāʻau lapaʻau no ke koko kiʻekiʻe: Nā ʻano lāʻau lapaʻau like ʻole e hoʻohaʻahaʻa i ke koko.
- Nā lāʻau lapaʻau no ka maʻi diabetes:ʻO Metformin kahi lāʻau lapaʻau i hoʻohana pinepine ʻia no kēia kumu.
Pono e hana ʻia kēia mau mea a pau ma ke ʻōlelo aʻo a kāu kauka.
He aha ka mea e hana inā hoʻowahāwahā ʻia ka Metabolic Syndrome?
Inā ʻaʻole mālama ʻia kēia ʻano, hiki ke ulu aʻe nā pilikia koʻikoʻi i ka hala ʻana o ka manawa.
- Maʻi puʻuwai
- Hahau
- ʻAno 2 diabetes
- Ka hōʻino ʻana i nā ʻōpū e like me ke akepaʻa a me nā puʻupaʻa
- Ka hoʻonui ʻia o ka pilikia o kekahi mau ʻano maʻi kanesa
- Nā pilikia i ka wā hāpai
No laila, he mea naʻauao ke lawe i kēia ma ke ʻano he ʻōlelo aʻo a hana koke i nā hana e pono ai.
Leka Lawe-Home
- ʻAʻole ka maʻi metabolic he maʻi hoʻokahi, akā he hui pū ʻana o kekahi mau kumu pilikia.
- Hōʻike ʻia kēia kūlana e ke alo o ʻekolu o nā mea ʻelima: ka momona o ka ʻōpū, ke koko kiʻekiʻe, ke kō koko kiʻekiʻe, nā triglycerides kiʻekiʻe, a me ka cholesterol maikaʻi haʻahaʻa.
- ʻO ke kumu nui o kēia he kūlana i kapa ʻia ʻo ke kūʻē ʻana o ka insulin.
- ʻO ka mea maikaʻi loa, hiki ke hoʻohuli ʻia. ʻO nā hoʻololi ʻana i ke ʻano o ka nohona ka lāʻau lapaʻau ikaika loa no kēia.
- He mea nui loa e ʻike pinepine i kāu kauka, e hana i nā hoʻokolohua e pono ai, a e hahai i kāna mau kuhikuhi. Mai hopohopo, e kōkua kāu kauka iā ʻoe ma kēia huakaʻi.
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