He natna hi i tawk ve tawh em? (Metabolic Syndrome) chungchang hi han sawi ila!

"Metabolic Syndrome" tih thumal hi i tan chuan a hlauhawm deuh mai thei. Thumal lian tak angin a lang thei a, mahse a awlsam zawngin sawi ila, hriselna lama harsatna inzawm engemaw zat inzawmkhawm a ni a, chu chuan i taksaah dinhmun a siam a ni. Package deal ang mai a ni. Hei hi hriat a pawimawh a, a chhan chu heart disease, type 2 diabetes, leh stroke ang chi natna khirh tak tak i neih theihna chance a sang zawk thei a ni.

`(Metabolic Syndrome)` hi eng nge ni tak tak?

A awlsam zawngin `(Metabolic Syndrome)` hi natna pakhat chauh a ni lo. I taksaa hriselna lama harsatna engemaw zat inzawmkhawm a ni. Heng harsatnate hian i `( Cardiovascular system)` a tichhe thei a, zunthlum vei theihna a tipung thei a, stroke ang chi dinhmun pawh a hawng thei bawk. Chu bâkah, `(Atherosclerosis)`, i thisen kalna bang-a thau a punkhawm a, a tizau a, i taksa peng hrang hrang a tichhe thei bawk.

Hei hi thil dang an ti a, i hre tawh mai thei:

• `Syndrome X` tih a ni
• `Insulin laka invenna natna`
• Dysmetabolic natna (Dysmetabolic syndrome) a ni

Mahse heng hming zawng zawng hian dinhmun inang a kawk a ni.

Engtin nge `(Metabolic Syndrome)` ka vei tih ka hriat theih ang ? (Diagnosis tehfung) 1.1.

Doctor ten `(Metabolic Syndrome)` i vei leh neih loh hriat chian nan thil pawimawh panga a awm a. Heng panga zinga pathum tal i neih chuan he natna hi i nei tih i sawi thei ang. Eng nge an nih i en ang u?

1. Pum chhunga rit lutuk: 1.1.

• A awlsam zawngin i pum chhung vel a tihpunna a ni. Mipa kawr chu inches 40 (centimetre 102 vel) aia sang a nih a, hmeichhe kawr chu inches 35 aia sang (centimetre 88 vel) a nih chuan hei hi chhinchhiahna pakhat a ni. Hei hi i pum vel "fat layer" awm ang mai a ni.

2. Thisenah triglyceride level a sang (Hypertriglyceridemia): 1.1.

• Triglycerides hi i thisena thau chi khat a ni. I level 150 mg/dL (milligrams per deciliter) aia sang a nih chuan chu pawh chu a hlauhawm hle.

3. Cholesterol tha (HDL) level hniam:

• HDL cholesterol hi "cholesterol tha" kan tih hi a ni. Taksa tan a tha. He HDL level hi mipaah ​​40 mg/dL hnuai lam a nih a, hmeichhiaah 50 mg/dL hnuai lam a nih chuan chu pawh chu ngaihtuahawm tak a ni.

4. Thisen sugar level sang: 1.1 .

• Zing chaw ei (chaw nghei) hmaa i thisen sugar i check hunah i thisen sugar level 100 mg/dL aia sang a nih chuan hei hi a hlauhawm hle.
• 100 leh 125 mg/dL inkar a nih chuan prediabetes i nei tihna a ni. Chu chu zunthlum vei tur i ni tihna a ni.
• 125 mg/dL aia sang a nih chuan Type 2 Diabetes i vei a rinawm ber.

5. Thisen sang: 1.1 .

• Hei hi i thisen sang 130 mmHg aia sang (systolic) leh/ emaw 85 mmHg aia sang (diastolic) a nih chuan a hman theih bawk.

Heng natnate hi a mah chauha awm mah se, thinlung natna, zunthlum, leh stroke ang chi natna i vei theihna a tipung tih hre reng ang che. Mahse, heng dinhmun pathum emaw a aia tam emaw a lo awm dun chuan i hlauhawmna chu nasa takin a pung a ni . Chuvangin Metabolic Syndrome i vei tih hmuhchhuah a nih chuan i hriselna tihdanglamna tur leh i hlauhawmna tihziaawmna tur warning sign ah ngai rawh.

He natna hi engtiang chiahin nge `(Metabolic Syndrome)` tia koh a nih?

Hei hi a takah chuan i ngaihtuah aiin a tam zawk. Entîr nân, United States-a puitling hmun thuma ṭhena hmun khat vêl chuan he natna hi an nei niin an sawi. Sri Lanka-ah pawh hetiang dinhmun hi a pung zel niin a lang.

`(Metabolic Syndrome)` natna lan chhuah dan chu engte nge ni?

Hemi chungchanga thil danglam tak chu `(Metabolic Syndrome)` nena inzawm condition zawng zawng hian symptom a nei vek lo. Chuvangin i symptoms neih chu a chunga kan sawi tak thil panga zingah hian eng thilin nge nghawng che tih ah a innghat a ni. Entirnan, thisen sang, triglycerides sang, leh HDL cholesterol hniam ang chi thil hian a tlangpuiin symptom lian tham a thlen lo.

Mahse, thisen sugar level a san chuan (Hyperglycemia) mi thenkhat chuan symptoms an nei thei a, chungte chu:

• Armpit, kawr hnung leh sir ang chi hmuna vun thim, bawlhhlawhin a khuh ang maia awm (Acanthosis nigricans).
• Mit hmuh a fiah lo.
• Tuihâl lutuk (Polydipsia).
• Zun fo ngai, a bik takin zan lamah.
• Chau tih hriat reng reng.

Heng symptoms te hi i neih chuan doctor pan a, thurawn lak a pawimawh hle.

Engvangin nge he `(Metabolic Syndrome)` hi kan neih? (A chhan) .

``Metabolic Syndrome'' lo awm chhan hi thil engemaw zat a awm a, a takah chuan network buaithlak deuh a ni. Mahse zirchiangtute chuan a chhan ber chu ``Insulin Resistance '' a ni an ti.

Ngaihtuah teh, insulin hi kan pancreas atanga siam hormone a ni a, nunna atana pawimawh tak leh thisen sugar level control tu a ni. Insulin resistance chu i taksa ruh, thau leh thin cell te hian he insulin hi an chhang tha lo a nih chuan a ni.

Chhan hrang hrang avangin heng cell te hian insulin an dawng tha lo thei a ni. Chumi awmzia chu, thisen atanga glucose (sugar) chu cell-te hian an la lut tha thei lo va, an khawlkhawm thei lo tihna a ni. Hei hi insulin resistance an ti a. Chuvang chuan i pancreas hian thisen sugar level sang control turin insulin tam zawk a siam tan ta a ni. Hei hi hyperinsulinemia an ti a .

I taksain i thisen sugar level dik taka control turin insulin a siam chhuak thei lo a nih chuan i thisen sugar level a sang ang (hyperglycemia), chu chuan prediabetes emaw type 2 diabetes emaw a thlen thei a ni. Insulin resistance leh hyperinsulinemia hian hetiang hian a pui thei bawk:

• Thau lutuk.
• Lung leh thisen zam natna.
• Fatty liver natna a ni.
• A rilru a buai em em a, a rilru a hah em em bawk a.

Insulin resistance tichhe thei thil pawimawh thenkhat chu hetiang hi a ni:

• Belly fat or obesity: Taksa chhunga thau cell-te hian chemical (proinflammatory cytokines an tih) an tichhuak a, chu chuan insulin hnathawh a tibuai a ni. I taksaah thau i neih tam poh leh insulin hnathawh danah nghawng tha lo tak a nei thei a ni. Zirna hrang hrangah chuan a bik takin pum thau hian insulin resistance a tipung tih hmuhchhuah a ni. Internal organs vel thau (visceral fat) hian subcutaneous fat (vun hnuaia thau) aiin insulin resistance a tipung zawk a ni. Mahse an pahnih hian metabolic syndrome a thlen thei a ni.
• Taksa tihchak loh: I taksa ruhte hian hna an thawh theih nan glucose leh stored glucose (glycogen) tam tak an mamawh a ni. Exercise i tih hian i taksain insulin a sensitive zawk a, i taksa ruhte hian thisen atanga sugar lakluh theihna an nei chho ta a ni. Exercise tlem lutuk hian insulin resistance a thlen thei.
• Damdawi thenkhat: Corticosteroid, thisen sang damdawi thenkhat, HIV enkawlna thenkhat, leh rilru lam damdawi thenkhat te hian insulin resistance a thlen thei.
• Genetics: I nu leh pate hnen atanga i rochun gene te hian insulin resistance a nghawng thei bawk. Tin, thau lutuk, thisen sang, leh cholesterol sangah hian genetic influence a awm thei bawk.

Engtin nge doctor ten `(Metabolic Syndrome)` an hmuhchhuah? (Diagnosis) tih a ni.

Metabolic syndrome i nei thei nia i ngaih chuan i doctor chuan a enfiah hmasa ang che a, chutah chuan thisen test vawi tam tak a ti ang. I thisen sang an check thei a, i kawr vel pawh an teh thei bawk.

Hengte hi thisen test dan tlangpui chu an ni:

• Lipid panel: Hei hian cholesterol leh triglyceride level chi li a teh a.
• Basic Metabolic Panel (BMP): Hei hian i thisenah thil pariat vel a teh a, i hriselna zawng zawng hriat theihna a pe bawk.
• Fasting glucose test: BMP hian thisen sugar level teh mahse, chutih laia chaw i ei loh chuan i doctor chuan thisen sugar test i neih hmain darkar 8-12 chhung chaw nghei turin a ti thei che a ni.

Heng test result leh taksa enfiahna neih chhunga thil hmuhchhuah te a\angin a chunga kan sawi tak criteria panga zinga pathum tal i neih chuan ``Metabolic Syndrome'' i nei tih hmuhchhuah a ni.

Heng thisen test te hi routine test a nih tlangpui avangin i doctor hian thil dang test i neih pawhin he natna chungchang hi clue a hmu thei mai thei.

Metabolic Syndrome hi engtin nge enkawl a nih?

``Metabolic Syndrome`` enkawlna tum ber chu thinlung natna leh type 2 diabetes i vei theihna tur tihtlem a ni a, i la neih loh chuan. Hei hian damdawi leh/ emaw nunphung tihdanglamna a huam thei.

Nunphung inthlak danglam - hei hi a pawimawh ber a ni!

``Metabolic Syndrome`` thlentu dinhmunte control turin nunphung tihdanglam a pawimawh hle.`` Heng inthlak danglamnate hi:

• I taksa rihna hrisel tak vawng reng emaw, neih tum emaw: I doctor chuan i taksa rihna tam lutuk tihtlem turin a rawt thei che a ni . Zirna pakhatah chuan i taksa rihna tam lutuk 7% chauh tihtlem chuan type 2 diabetes vei theihna chu 58% in a tihniam thei tih a tarlang.
• Exercise neih fo: Exercise thatna hi chhiar sen loh a ni. Insulin resistance dona kawngah a pui a, i cardiovascular system a ti hrisel a, i taksa rihna tihtlem nan a pui bawk. Exercise tlemte pawh hi a hlawkthlak hle. Mahse exercise program i tan hmain i doctor hnenah eng level nge exercise i tan a tha tih zawt hmasa phawt ang che.
• Lung hrisel ei rawh: I doctor emaw dietitian emaw chuan carbohydrates (insulin tam zawk siam chhuahna tichaktu) ei tam lutuk lo turin a hrilh mai thei che. Tin, thau hrisel lo, sugar, sa sen, leh refined starch te tihtlem turin an hrilh bawk ang che. Chu ai chuan, thlai, thei, whole grains, sangha leh sa thau lo tamna whole foods diet ei turin an hrilh ang che. Mediterranean diet hi thinlung hrisel ei leh in entir nan a tha hle.
• Mut tha rawh: Mut that hi hriselna zawng zawng atan a pawimawh hle. Mut tlem leh mut kaihhnawih thil (sleep apnea ang chi) te hian metabolic syndrome a ti na zual emaw, a lo awm thar leh thei a ni. Mut harsatna i neih chuan Doctor nen inbia ang che.
• Meizial zuk loh emaw, bansan emaw: Meizial hian i HDL (tha) cholesterol a tihniam thei a, i thisen sang a tisang thei bawk. I thisen kalna kawng a tichhe thei bawk a, coronary artery disease a thlen thei bawk. Meizial i zuk chuan bansan tum ang che.
• Stress enkawl dan:I "stress hormone" cortisol level hi rei tak a san chuan i triglycerides, thisen sugar, leh thisen sang te a sang thei a ni. I rilru hahna tihtlem dan tur zawng la, chu chu exercise, yoga, mindfulness, a nih loh leh thawk chhuahna exercise te hi a ni.

Damdawi leh enkawlna dangte

Damdawi leh enkawlna hrang hrang hian metabolic syndrome thlentu dinhmunte chu a thunun thei a ni. Chung zingah chuan:

• Cholesterol tihhniamna damdawi: Statins hi damdawi chi khat a ni a, cholesterol level hrisel takah a thlen thei a ni.
• Antihypertensives: Heng damdawi te hian kawng hrang hrangin i thisen sang a tihniam thin. Entirnan thiazides, ACE inhibitor, leh calcium channel blocker te hi a ni.
• Zunthlum damdawi ei: Heng damdawi te hian kawng hrang hrangin i thisen sugar level a tihniam a. Damdawi hman tam ber pakhat chu metformin a ni.
• Bariatric surgery: Heng surgery te hi thau lutuk te taksa rihna tihtlem nan an tih thin a ni. I doctor chuan he surgery chi hi a rawt thei a, chu chu i taksa rihna tihtlem dan dangin a hlawhtlin loh chuan leh i thau lutuk hian operation aiin hriselna atana hlauhawmna a thlen tam zawk a nih chuan.
• Mut harsatna enkawlna: Mut lama harsatna i neih chuan, entirnan, mut theih lohna atana CPAP machine emaw, mut theih lohna damdawi emaw, chutiang thilte chuan a pui thei a ni.
• Psychotherapy: Hei hi "talking therapy" a ni. Hrisel lohna, ngaihtuahna leh nungchang hrisel lote hriatchhuah leh tihdanglam theihna tur enkawlna chi hrang hrang a awm a. Entirnan, stress control emaw, ei leh in hrisel lo hriatthiam leh thlak danglam emaw a pui thei che a ni.

Metabolic Syndrome hi tihdanglam theih a ni em?

Ni e, i ti thei! Metabolic Syndrome hi tihdanglam theih a ni. Nunphung thlak danglam hian i hriselna nasa takin a tichangtlung thei a ni. Damdawi pawhin a pui thei bawk. I doctor chuan i tana ruahmanna tha ber zawng turin a thawkpui ang che.

Metabolic Syndrome hi a veng thei ang em?

Metabolic Syndrome thlentu thil thenkhat, i genetics leh kum ang chi te hi i thlak danglam thei lo. Mahse, Metabolic Syndrome enkawlna atana puitu nunphung inthlak danglamna ang chiah hian a lo awm loh nan a pui thei bawk.

I chhungkuaa tu pawhin zunthlum, thisen sang, cholesterol sang nei tawh an awm a nih chuan i doctor hnenah hrilh theihnghilh suh.

Checkup neih fo a pawimawh bawk. I doctor chuan i cholesterol, triglycerides, thisen sang leh thisen sugar level te a enfiah thei a ni. Harsatna eng pawh i hriat chian hma chuan nunphung i thlak danglam thuai thei a, i hlauhawmna tihziaawmna tur enkawlna tur i rawt thei bawk.

`(Metabolic Syndrome)` avanga harsatna awm thei te chu engte nge ni?

Metabolic Syndrome hian harsatna hrang hrang a thlen thei a, chung zinga ṭhenkhat chu:

• Lung natna.
• Aortic stenosis (thinlung chhunga aortic valve a tawi a, thisen kal a tikhawlo).
• Atrial fibrillation (Atrial fibrillation emaw Afib emaw a awm thei).
• Thromboembolic natna, e.g. venous thromboembolism a awm thin.
• Thai.
• Organ, a bik takin pancreas, liver, gallbladder leh kidney te chhiatna.
• Cancer chi thenkhat, colon cancer, hnute cancer, leh prostate cancer te hi a ni.
• Type 2 Diabetes a ni.
• Chronic inflammation leh immune system lama harsatna nei te.
• Mipaah ​​chuan erectile dysfunction a awm thin.
• Naupai laia harsatna awm thei, preeclampsia, eclampsia, leh gestational diabetes te.
• Ngaihtuahna leh hriatrengna lama harsatna.

Thu lawmawm tak chu nunphung thlak danglam leh damdawi ei hian metabolic syndrome hi a tidanglam thei tih hi a ni. I hriselna venhimna atana inthlak danglamna i siam tam poh leh i dinhmun a tha zawk.

Engtikah nge ka doctor ka hmuh ang?

Metabolic Syndrome i neih chuan damdawi lam thurawn leh enkawlna i zawn chhunzawm a pawimawh hle. I doctor hnenah thil chi hrang hrang i hmuh tur a ni:

• I dinhmun enfiah nan: I thisen sang enfiah fo emaw, i triglyceride leh cholesterol level enfiah nan thisen test neih emaw a ngai mai thei. Nitin doctor pan ngei ngei tur a ni.
• I enkawl dan tur chungchanga zawhna i neih chuan: I damdawi ei avanga side effect i neih emaw, i ei tawh loh a ngai nia i hriat emaw chuan i doctor hnenah hrilh rawh. Tin, i ei leh in emaw, i exercise plan emaw chungchanga zawhna i neih chuan zawt bawk ang che.

Metabolic Syndrome i vei tih hriat chu a buaithlak thei hle. Mahse, enkawl dan emaw, tihdanglam emaw dan tam tak a awm tih hre reng ang che. I doctor chuan i kalna apiangah a awmpui ang che. An thlawpna leh thurawn dawng rawh. Anni hi tanpui turin an awm a ni.

Take-Home Thuchah hnuhnung ber

Okay, chuti a nih chuan tunah chuan kan sawi tawh (Metabolic Syndrome) kha i hre chiang zawk tawh ang. Don't worry , hei hi manageable condition a ni.

A pawimawh ber chu, .A hmaa hriatchhuah a, a tul anga nunphung tihdanglam. Hrilhfiahna tenau te hian rah tha tak a chhuah thei a ni.

• I rihna chungchangah fimkhur la, a bik takin pum thau hi fimkhur rawh.
• Nitin exercise engemaw zat ti thin ang che.
• Ei leh in hrisel ei tum ang che.
• Meizial zuk kha bansan rawh.
• Stress tihziaawm rawh.
• A hun takah medical checkup la rawh.

Hengte i tih hian `(Metabolic Syndrome)` chauh ni lo, natna dang tam tak lakah i inveng thei a ni. I hriselna chu i kutah a awm!

` Metabolic Syndrome, insulin resistance, zunthlum, thinlung natna, thisen sang, cholesterol, taksa rihna control