Kodi inunso mwakumanapo ndi matendawa? Tiyeni tikambirane za (Metabolic Syndrome)!

Mawu akuti "Metabolic Syndrome" angakumvekereni ngati owopsa pang'ono. Angamveke ngati mawu akuluakulu, koma mwachidule, ndi kuphatikiza kwa mavuto angapo okhudzana ndi thanzi omwe amabwera pamodzi kuti apange vuto m'thupi lanu. Zili ngati mgwirizano wapaketi. Ndikofunikira kudziwa izi chifukwa zingakuikeni pachiwopsezo chachikulu chotenga matenda oopsa monga matenda a mtima, matenda a shuga amtundu wachiwiri, ndi sitiroko.

Kodi `(Metabolic Syndrome)` kwenikweni ndi chiyani?

Mwachidule, `(Metabolic Syndrome)` si matenda amodzi. Ndi mndandanda wa mavuto angapo azaumoyo omwe amabwera m'thupi lanu. Mavutowa amatha kuwononga `(dongosolo lanu la mtima )`, kuwonjezera chiopsezo chanu chotenga matenda a shuga, komanso kutsegula njira ya matenda monga sitiroko . Kuphatikiza apo, kumawonjezera chiopsezo cha `(Atherosclerosis)`, kusonkhanitsa mafuta m'makoma a mitsempha yanu, kuwachepetsa, ndikuwononga ziwalo zosiyanasiyana m'thupi lanu.

Izi zimatchedwa china chake, mwina munamvapo za izi:

• `Matenda X`
• Matenda a "Insulin Resistance Syndrome"
• Matenda a Dysmetabolic

Koma mayina onsewa amatanthauza zomwezo.

Kodi ndingadziwe bwanji ngati ndili ndi `(Metabolic Syndrome)`? (Zimene zimafunika kuti munthu adziwe matenda)

Pali zinthu zisanu zazikulu zomwe madokotala amafufuza kuti adziwe ngati muli ndi `(Metabolic Syndrome)`. Ngati muli ndi zitatu mwa zisanuzi, munganene kuti muli ndi vutoli. Tiyeni tiwone kuti ndi chiyani?

1. Kulemera kwambiri m'mimba:

• Mwachidule, ndi kuwonjezeka kwa kuzungulira kwa mimba yanu. Ngati chiuno cha mwamuna chili ndi mainchesi opitilira 40 (pafupifupi masentimita 102) ndipo ngati chiuno cha mkazi chili ndi mainchesi opitilira 35 (pafupifupi masentimita 88), ichi ndi chizindikiro chimodzi. Izi zili ngati kukhala ndi "mafuta" ozungulira mimba yanu.

2. Kuchuluka kwa triglyceride m'magazi (Hypertriglyceridemia):

• Ma triglycerides ndi mtundu wa mafuta m'magazi mwanu. Ngati mulingo wanu ndi 150 mg/dL (mamiligalamu pa decilita imodzi) kapena kupitirira apo, zimenezonso ndi zoopsa.

3. Kuchepa kwa cholesterol yabwino (HDL):

• Cholesterol ya HDL ndi yomwe timaitcha kuti "cholesterol yabwino." Ndi yabwino kwa thupi. Ngati mulingo wa HDL uwu uli pansi pa 40 mg/dL mwa mwamuna, ndipo pansi pa 50 mg/dL mwa mkazi, imeneyonso ndi nkhani yodetsa nkhawa.

4. Kuchuluka kwa shuga m'magazi:

• Ngati shuga m'magazi mwanu ndi 100 mg/dL kapena kupitirira apo mukayesa shuga m'magazi mwanu musanadye (kusala kudya) m'mawa, izi ndi zoopsa.
• Ngati muli ndi shuga woposa 100 mpaka 125 mg/dL, ndiye kuti muli ndi matenda a shuga omwe akuyembekezeka kuyamba . Izi zikutanthauza kuti muli pafupi kuyamba matenda a shuga.
• Ngati ili pamwamba pa 125 mg/dL, mwina muli ndi matenda a shuga a mtundu wa 2.

5. Kuthamanga kwa magazi:

• Izi zimagwiranso ntchito ngati kuthamanga kwa magazi anu kuli 130 mmHg kapena kupitirira apo (systolic) ndi/kapena 85 mmHg kapena kupitirira apo (diastolic).

Kumbukirani, ngakhale matenda aliwonsewa atakhalapo okha, amawonjezera chiopsezo chanu chotenga matenda monga matenda a mtima, matenda a shuga, ndi sitiroko. Koma zinthu zitatu kapena zingapo zikachitika limodzi, chiopsezo chanu chimawonjezeka kwambiri . Chifukwa chake ngati mwapezeka ndi Metabolic Syndrome, ganizirani ngati chizindikiro chochenjeza kusintha zizolowezi zanu zaumoyo ndikuchepetsa chiopsezo chanu.

Kodi vuto limeneli limatchedwa `(Metabolic Syndrome)` ndi lofala bwanji?

Izi zimachitika kawirikawiri kuposa momwe mungaganizire. Mwachitsanzo, akuti pafupifupi gawo limodzi mwa magawo atatu a akuluakulu ku United States ali ndi vutoli. Zikuoneka kuti vutoli likuwonjezekanso ku Sri Lanka.

Kodi zizindikiro za `(Metabolic Syndrome)` ndi ziti?

Chinthu chapadera pa izi ndichakuti si matenda onse okhudzana ndi `(Metabolic Syndrome)` omwe amasonyeza zizindikiro. Chifukwa chake zizindikiro zomwe muli nazo zimadalira pa zinthu zisanu zomwe zatchulidwa pamwambapa zomwe zimakukhudzani. Mwachitsanzo, zinthu monga kuthamanga kwa magazi, triglycerides yambiri, ndi cholesterol yotsika ya HDL nthawi zambiri sizimayambitsa zizindikiro zazikulu.

Komabe, pamene shuga m'magazi akukwera (hyperglycemia), anthu ena amatha kuona zizindikiro monga:

• Khungu limakhala lakuda m'malo monga m'khwapa, kumbuyo kwa khosi, ndi m'mbali, ngati kuti laphimbidwa ndi dothi (Acanthosis nigricans).
• Maso osawoneka bwino.
• Ludzu lochuluka (polydipsia).
• Kufunika kukodza pafupipafupi, makamaka usiku.
• Kumva kutopa nthawi zonse.

Ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kukaonana ndi dokotala kuti akupatseni upangiri.

Nchifukwa chiyani timapeza `(Metabolic Syndrome)`? (Zoyambitsa)

Pali zinthu zingapo zomwe zimathandiza kuti ``Metabolic Syndrome'' ikule, kwenikweni ndi njira yovuta kwambiri. Koma ofufuza amakhulupirira kuti chifukwa chachikulu ndi ``Insulin Resistance .''

Taganizirani izi, insulin ndi mahomoni opangidwa ndi kapamba wathu omwe ndi ofunikira pa moyo ndipo amayang'anira kuchuluka kwa shuga m'magazi. Kukana insulini kumachitika pamene minofu yanu, mafuta, ndi maselo a chiwindi sayankha bwino insulin iyi.

Pazifukwa zosiyanasiyana, maselo amenewa sangayankhe bwino insulin. Izi zikutanthauza kuti maselowo sangathe kuyamwa bwino ndikusunga shuga (shuga) kuchokera m'magazi. Izi zimatchedwa insulin resistance. Zotsatira zake , kapamba wanu amayamba kupanga insulin yambiri kuti alamulire kuchuluka kwa shuga m'magazi. Izi zimatchedwa hyperinsulinemia .

Ngati thupi lanu silingathe kupanga insulin yokwanira kuti ilamulire bwino shuga m'magazi mwanu, shuga m'magazi mwanu adzakhala okwera (hyperglycemia), zomwe zingayambitse matenda a shuga asanafike kapena mtundu wachiwiri. Kukana insulini komanso hyperinsulinemia zingathandizenso:

• Kunenepa kwambiri.
• Matenda a mtima.
• Matenda a chiwindi chamafuta.
• Matenda a Polycystic Ovary (PCOS).

Nazi zina mwazinthu zazikulu zomwe zimakhudza kukana kwa insulin:

• Mafuta a m'mimba kapena kunenepa kwambiri: Maselo amafuta m'thupi amatulutsa mankhwala (otchedwa proinflammatory cytokines) omwe amasokoneza ntchito ya insulin. Mafuta ambiri m'thupi lanu, amatha kusokoneza kwambiri momwe insulin imagwirira ntchito. Kafukufuku wasonyeza kuti mafuta a m'mimba makamaka amawonjezera kukana kwa insulin. Mafuta ozungulira ziwalo zamkati (mafuta a visceral) amatha kuwonjezera kukana kwa insulin kuposa mafuta apansi pakhungu (mafuta omwe ali pansi pa khungu). Koma zonsezi zimathandiza kuti thupi lizigwira ntchito bwino.
• Kusachita masewera olimbitsa thupi: Minofu yanu imafuna shuga wambiri ndi shuga wosungidwa (glycogen) kuti igwire ntchito. Mukachita masewera olimbitsa thupi, thupi lanu limakhala lomvera kwambiri insulin, ndipo minofu yanu imapanga mphamvu yoyamwa shuga m'magazi. Kusachita masewera olimbitsa thupi mokwanira kungayambitse kukana insulin.
• Mankhwala ena: Corticosteroids, mankhwala ena othamanga magazi, mankhwala ena a HIV, ndi mankhwala ena amisala angayambitse kukana insulin.
• Majini: Majini omwe mumalandira kuchokera kwa makolo anu amathanso kukhudza kukana kwa insulin. Pakhozanso kukhala ndi mphamvu ya majini pa kunenepa kwambiri, kuthamanga kwa magazi, komanso cholesterol yambiri.

Kodi madokotala amazindikira bwanji `(Metabolic Syndrome)`? (Kuzindikira)

Ngati mukuganiza kuti mwina muli ndi vuto la metabolic syndrome, dokotala wanu adzayamba wakuyezani kaye kenako n’kulamula kuti muyesedwe magazi kangapo. Angayeze kuthamanga kwa magazi anu ndikuyeza kuchuluka kwa chiuno chanu.

Izi ndi mayeso a magazi omwe nthawi zambiri amachitidwa:

• Lipid panel: Izi zimayesa mitundu inayi ya cholesterol ndi triglyceride.
• Gawo Loyambira la Kagayidwe ka Metabolic (BMP): Limeneli limayesa zinthu zisanu ndi zitatu m'magazi mwanu ndipo limapereka chithunzi cha thanzi lanu lonse.
• Kuyesa shuga m'magazi: Ngakhale kuti BMP imayesa kuchuluka kwa shuga m'magazi, ngati simunadye panthawiyo, dokotala wanu angakufunseni kuti musale kudya kwa maola 8-12 musanayesere shuga m'magazi.

Kutengera zotsatira za mayesowa ndi zomwe zapezeka panthawi yowunika thupi, ngati muli ndi zifukwa zitatu mwa zisanu zomwe zatchulidwa pamwambapa, mumapezeka kuti muli ndi ``Metabolic Syndrome''.

Kuyezetsa magazi kumeneku nthawi zambiri kumakhala kochitidwa nthawi zonse, kotero dokotala wanu akhoza kudziwa bwino za vutoli ngakhale mutayesedwa china chake.

Kodi Metabolic Syndrome imachiritsidwa bwanji?

Zolinga zazikulu zochizira ``Metabolic Syndrome`` ndikuchepetsa chiopsezo chanu chotenga matenda a mtima ndi matenda a shuga amtundu wa 2, ngati mulibe kale. Izi zitha kuphatikizapo mankhwala ndi/kapena kusintha moyo wanu.

Kusintha kwa moyo - ichi ndiye chinthu chofunikira kwambiri!

Ndikofunikira kwambiri kusintha moyo wanu kuti muwongolere matenda omwe amayambitsa ``Metabolic Syndrome``. Kusinthaku ndi:

• Sungani kapena yesetsani kukhala ndi thupi labwino: Dokotala wanu angakulangizeni kuti muchepetse thupi lopitirira muyeso. Kafukufuku wina adapeza kuti kuchepetsa 7% yokha ya thupi lanu lopitirira muyeso kungathandize kuchepetsa chiopsezo chanu chokhala ndi matenda a shuga a mtundu wa 2 ndi 58%.
• Kuchita masewera olimbitsa thupi nthawi zonse: Ubwino wa kuchita masewera olimbitsa thupi ndi wosawerengeka. Kumathandiza kulimbana ndi kukana insulin, kusunga dongosolo lanu la mtima ndi lathanzi, komanso kumakuthandizani kuchepetsa thupi. Ngakhale kuchita masewera olimbitsa thupi pang'ono n'kopindulitsa. Koma musanayambe pulogalamu yochita masewera olimbitsa thupi, funsani dokotala wanu mlingo woyenera wa masewera olimbitsa thupi.
• Idyani zakudya zopatsa thanzi mtima: Dokotala wanu kapena katswiri wa zakudya angakuuzeni kuti musamadye chakudya chopatsa thanzi kwambiri (chomwe chimalimbikitsa kupanga insulin yambiri). Angakuuzeninso kuti muchepetse kudya mafuta osapatsa thanzi, shuga, nyama yofiira, ndi starch yokonzedwa bwino. M'malo mwake, angakuuzeni kuti mudye zakudya zonse, zomwe zili ndi ndiwo zamasamba, zipatso, tirigu wonse, nsomba, ndi nyama zopanda mafuta ambiri. Zakudya za ku Mediterranean ndi chitsanzo chabwino cha zakudya zopatsa thanzi mtima.
• Gonani bwino: Gonani bwino ndikofunikira pa thanzi lanu lonse. Kusagona mokwanira komanso matenda okhudzana ndi kugona (monga sleep apnea) kungayambitse kuipiraipira kapena kuyambanso kwa matenda a metabolic syndrome. Ngati muli ndi vuto la kugona, lankhulani ndi dokotala wanu.
• Pewani kapena siyani kusuta: Kusuta kungathe kuchepetsa cholesterol yanu ya HDL (yabwino) ndikukweza kuthamanga kwa magazi. Kungathenso kuwononga mitsempha yanu yamagazi ndikuyambitsa matenda a mitsempha ya mtima. Ngati mukusuta, yesani kusiya.
• Kuthetsa kupsinjika maganizo:Ngati kuchuluka kwa "hormone yopsinjika" mu cortisol yanu kwakhala kokwera kwa nthawi yayitali, triglycerides yanu, shuga m'magazi, ndi kuthamanga kwa magazi zitha kukwera. Pezani njira zothanirana ndi kupsinjika maganizo kwanu, monga kuchita masewera olimbitsa thupi, yoga, kusamala, kapena kuchita masewera olimbitsa thupi opumira.

Mankhwala ndi mankhwala ena

Mankhwala ndi njira zosiyanasiyana zochiritsira zingathandize kuwongolera matenda omwe amayambitsa matenda a metabolic syndrome. Izi zikuphatikizapo:

• Mankhwala ochepetsa cholesterol: Ma statin ndi mtundu wa mankhwala omwe amathandiza kukweza cholesterol m'magazi kukhala yathanzi.
• Mankhwala Oletsa Kuthamanga kwa Magazi: Mankhwalawa amachepetsa kuthamanga kwa magazi m'njira zosiyanasiyana. Zitsanzo zake ndi monga thiazides, ACE inhibitors, ndi calcium channel blockers.
• Mankhwala omwa a matenda a shuga: Mankhwalawa amachepetsa shuga m'magazi mwanu m'njira zosiyanasiyana. Limodzi mwa mankhwala omwe amagwiritsidwa ntchito kwambiri ndi metformin.
• Opaleshoni ya Bariatric: Awa ndi opaleshoni yomwe imachitika kuti ithandize anthu onenepa kwambiri kuchepetsa thupi. Dokotala wanu angakulangizeni opaleshoni yamtunduwu ngati njira zina zochepetsera thupi sizinagwire ntchito komanso ngati kunenepa kwanu kukuika pachiwopsezo chachikulu pa thanzi kuposa opaleshoni.
• Chithandizo cha matenda ogona: Ngati muli ndi vuto la kugona, mwachitsanzo, makina a CPAP a mphumu yogona kapena mapiritsi ogona a kusowa tulo, zinthu ngati zimenezo zingakuthandizeni.
• Chithandizo cha maganizo: Ichi ndi "chithandizo cholankhula." Pali njira zingapo zochizira zomwe zimakuthandizani kuzindikira ndikusintha malingaliro, malingaliro, ndi machitidwe osafunikira. Mwachitsanzo, zingakuthandizeni kuthana ndi nkhawa kapena kumvetsetsa ndikusintha zizolowezi zosafunikira pakudya.

Kodi Metabolic Syndrome ikhoza kuthetsedwa?

Inde, mungathe! Matenda a Kagayidwe kachakudya amatha kubwezeretsedwa. Kusintha kwa moyo wanu kungathandize kwambiri thanzi lanu. Mankhwala angathandizenso. Dokotala wanu adzagwira nanu ntchito kuti apeze njira yabwino kwambiri kwa inu.

Kodi Metabolic Syndrome ingapewedwe?

Simungasinthe zina mwa zinthu zomwe zimayambitsa matenda a Metabolic Syndrome, monga majini anu ndi ukalamba wanu. Komabe, kusintha komweko kwa moyo komwe kumathandiza kuchiza matenda a Metabolic Syndrome kungathandizenso kupewa kukula kwake.

Ngati wina m'banja mwanu ali ndi mbiri ya matenda a shuga, kuthamanga kwa magazi, kapena cholesterol yokwera, musaiwale kuuza dokotala wanu za izi.

Ndikofunikanso kupita kukayezetsa nthawi zonse. Dokotala wanu amatha kuyang'anira cholesterol yanu, triglycerides, kuthamanga kwa magazi, ndi kuchuluka kwa shuga m'magazi. Mukazindikira mavuto mwachangu, mudzatha kusintha moyo wanu mwachangu ndikukupatsani chithandizo chochepetsera chiopsezo chanu.

Kodi ndi mavuto ati omwe angabwere chifukwa cha `(Metabolic Syndrome)`?

Metabolic Syndrome ingayambitse mavuto ambiri, ena mwa iwo ndi awa:

• Matenda a mtima.
• Kuchepa kwa valavu ya aorta mumtima (kuchepa kwa valavu ya aorta mumtima, kutsekereza kuyenda kwa magazi).
• Kuzizira kwa mtima (Atrial fibrillation kapena Afib).
• Matenda a thromboembolic, mwachitsanzo venous thromboembolism.
• Stroke.
• Kuwonongeka kwa ziwalo, makamaka kapamba, chiwindi, ndulu, ndi impso.
• Mitundu ina ya khansa, monga khansa ya m'matumbo, khansa ya m'mawere, ndi khansa ya prostate.
• Matenda a Shuga a Mtundu Wachiwiri.
• Matenda otupa komanso chitetezo chamthupi nthawi zonse.
• Kulephera kwa erectile mwa amuna.
• Mavuto omwe amabwera chifukwa cha mimba monga preeclampsia, eclampsia, ndi matenda a shuga a mimba.
• Mavuto ndi kuganiza ndi kukumbukira.

Nkhani yabwino ndi yakuti matenda a kagayidwe kachakudya amatha kuthetsedwa ndi kusintha moyo wanu komanso mankhwala. Kusintha kochuluka komwe mungapange kuti muteteze thanzi lanu, kumakhala bwino.

Ndiyenera kupita liti kwa dokotala wanga?

Ngati muli ndi matenda a Metabolic Syndrome, ndikofunikira kwambiri kupitiliza kufunafuna upangiri ndi chithandizo chamankhwala. Muyenera kuwona dokotala wanu pazinthu monga:

• Kuti muwone momwe mulili: Mungafunike kuyesedwa kuthamanga kwa magazi nthawi zonse kapena kuyesedwa magazi kuti muwone kuchuluka kwa triglyceride ndi cholesterol m'magazi anu. Onetsetsani kuti mukupita kwa dokotala tsiku lililonse.
• Ngati muli ndi mafunso okhudza dongosolo lanu la chithandizo: Uzani dokotala wanu ngati muli ndi zotsatirapo zoyipa chifukwa cha mankhwala anu kapena ngati mukuona kuti muyenera kusiya kumwa. Komanso, funsani ngati muli ndi mafunso okhudza zakudya zanu kapena dongosolo lanu lochita masewera olimbitsa thupi.

Kupeza kuti muli ndi Metabolic Syndrome kungakhale kovuta kwambiri. Koma kumbukirani kuti pali njira zambiri zothetsera kapena kuthetseratu vutoli. Dokotala wanu adzakhala nanu panjira iliyonse. Pezani thandizo ndi upangiri wawo. Ali pano kuti akuthandizeni.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, tsopano mwamvetsa bwino zomwe takhala tikukambirana (Metabolic Syndrome). Musadandaule , iyi ndi vuto lomwe lingathe kuthetsedwa.

Chofunika kwambiri ndi chakuti,Kuzindikira msanga ndikusintha moyo wanu. Kusintha pang'ono kungapereke zotsatira zazikulu.

• Samalani ndi kulemera kwanu, makamaka mafuta a m'mimba.
• Chitani masewera olimbitsa thupi tsiku lililonse.
• Yesetsani kudya zakudya zabwino.
• Siyani kusuta.
• Chepetsani kupsinjika maganizo.
• Pitani kuchipatala nthawi yake.

Mwa kuchita izi, mutha kudziteteza osati ku `(Metabolic Syndrome)` yokha, komanso ku matenda ena ambiri. Thanzi lanu lili m'manja mwanu!

Matenda a Kagayidwe kachakudya, kukana insulini, matenda a shuga, matenda a mtima, kuthamanga kwa magazi, cholesterol, kuwongolera kulemera