Ese nawe wahuye n'iyi ndwara? Reka tuvuge kuri (Syndrome ya Metabolic)!

Ijambo "Metabolic Syndrome" rishobora kumvikana nk'aho riteye ubwoba gato kuri wewe. Rishobora kumvikana nk'ijambo rikomeye, ariko mu magambo make, ni uruvange rw'ibibazo byinshi by'ubuzima bifitanye isano bihurira hamwe bigatera indwara mu mubiri wawe. Ni nk'amasezerano. Ni ngombwa kubimenya kuko bishobora kugushyira mu kaga gakomeye ko kurwara indwara zikomeye nk'indwara z'umutima, diyabete yo mu bwoko bwa 2, na stroke.

`(Syndrome ya Metabolic)` ni iki mu by'ukuri?

Mu magambo make, `(Syndrome ya Metabolic)` si indwara imwe. Ni uruhurirane rw'ibibazo byinshi by'ubuzima bihurira mu mubiri wawe. Ibi bibazo bishobora kwangiza `(Sisitemu y'umutima )` yawe, byongera ibyago byo kurwara diyabete, ndetse bikanatanga inzira y'indwara nka stroke . Byongeye kandi, byongera ibyago byo kurwara `(Atherosclerosis)`, ibinure byiyongera mu nkuta z'imitsi yawe, bikayigabanya, kandi bikangiza ingingo zitandukanye z'umubiri wawe.

Ibi byitwa ikindi kintu, ushobora kuba warigeze kubyumva:

• `Sindrome X`
• `Indwara yo kunanirwa kwa insuline`
• Indwara ya Dysmetabolic

Ariko aya mazina yose avuga ku mimerere imwe.

Namenya nte ko mfite `(Metabolic Syndrome)`? (Ibipimo byo gusuzuma indwara)

Hari ibintu bitanu by'ingenzi abaganga bareba kugira ngo bamenye niba ufite `(Metabolic Syndrome)`. Niba ufite nibura bitatu muri ibi bitanu, ushobora kuvuga ko ufite iyi ndwara. Reka turebe ibyo ari byo?

1. Uburemere bwinshi bw'inda:

• Mu magambo make, ni ukwiyongera k'umuzenguruko w'inda yawe. Niba ikibuno cy'umugabo kirenga santimetero 102 (hafi santimetero 102) kandi niba ikibuno cy'umugore kirenga santimetero 88 (hafi santimetero 88), iki ni ikimenyetso kimwe. Ibi ni nko kugira "uruti rw'ibinure" ruzengurutse igifu cyawe.

2. Ubwiyongere bw'urugero rwa triglyceride mu maraso (Hypertriglyceridemia):

• Triglycerides ni ubwoko bw'ibinure biri mu maraso yawe. Niba urugero rwawe ruri kuri 150 mg/dL (miligarama kuri desilita imwe) cyangwa irenga, nabyo ni akaga.

3. Igipimo gito cya cholesterol nziza (HDL):

• Cholesterol ya HDL ni cyo twita "cholesterol nziza." Ni nziza ku mubiri. Niba iki gipimo cya HDL kiri munsi ya 40 mg/dL ku mugabo, kandi kiri munsi ya 50 mg/dL ku mugore, icyo nacyo ni ikibazo gihangayikishije.

4. Isukari nyinshi mu maraso:

• Niba igipimo cy'isukari mu maraso yawe kiri kuri 100 mg/dL cyangwa kirenze iyo usuzumye isukari mu maraso yawe mbere yo kurya (kwiyiriza ubusa) mu gitondo, ibi ni akaga.
• Niba uri hagati ya 100 na 125 mg/dL, uba ufite prediabetes . Ibyo bivuze ko uri hafi kurwara diyabete.
• Niba kiri hejuru ya 125 mg/dL, birashoboka cyane ko urwaye Diyabete yo mu bwoko bwa 2.

5. Umuvuduko ukabije w'amaraso:

• Ibi kandi birakora niba umuvuduko w'amaraso yawe uri 130 mmHg cyangwa hejuru yayo (systolic) na/cyangwa 85 mmHg cyangwa hejuru yayo (diastolic).

Wibuke ko nubwo hari imwe muri izi ndwara ihari ubwayo, yongera ibyago byo kurwara indwara nk'umutima, diyabete, na stroke. Ariko iyo eshatu cyangwa nyinshi muri izi ndwara zibaye hamwe, ibyago byawe biriyongera cyane . Niba rero usanzwe urwaye indwara ya Metabolic Syndrome, fata nk'ikimenyetso cy'umuburo wo guhindura ingeso zawe z'ubuzima no kugabanya ibyago byawe.

Iyi ndwara yitwa `(Metabolic Syndrome)` ikunze kugaragara gute?

Ibi mu by’ukuri bikunze kugaragara kurusha uko wabitekereza. Urugero, bivugwa ko hafi kimwe cya gatatu cy’abantu bakuru muri Leta Zunze Ubumwe za Amerika bafite iyi ndwara. Bisa nkaho iyi ndwara irimo kwiyongera no muri Sri Lanka.

Ni ibihe bimenyetso bya `(Metabolic Syndrome)`?

Ikintu cyihariye kuri ibi ni uko atari indwara zose zijyanye na `(Metabolic Syndrome)` zigaragaza ibimenyetso. Bityo rero ibimenyetso ufite biterwa n'ikintu kimwe muri bitanu byavuzwe haruguru kikugiraho ingaruka. Urugero, ibintu nk'umuvuduko ukabije w'amaraso, triglycerides nyinshi, na cholesterol nke ya HDL akenshi ntabwo bitera ibimenyetso bikomeye.

Ariko, iyo igipimo cy'isukari mu maraso kizamutse (Hyperglycemia), bamwe mu bantu bashobora kugira ibimenyetso nk'ibi bikurikira:

• Uruhu rwijimye mu bice nko mu kwaha, inyuma y'ijosi, no ku mpande, nk'aho rwuzuyemo umwanda (Acanthosis nigricans).
• Kubona nabi.
• Inyota ikabije (Polydipsia).
• Gukenera kunyara kenshi, cyane cyane nijoro.
• Kumva unaniwe igihe cyose.

Niba ufite ibi bimenyetso, ni ngombwa cyane kubonana na muganga kugira ngo akugire inama.

Kuki turwara iyi `(Metabolic Syndrome)`? (Impamvu)

Hari ibintu byinshi bigira uruhare mu iterambere rya "Metabolic Syndrome", mu by'ukuri ni urusobe rw'ibintu bigoye. Ariko abashakashatsi bemeza ko impamvu nyamukuru ari "Insulin Resistance ."

Tekereza kuri ibi, insuline ni imisemburo ikorwa na pancreas yacu, ikaba ari ingenzi mu buzima bwayo kandi ikagenzura urugero rw'isukari mu maraso. Kudakora insuline ni igihe imitsi yawe, ibinure n'umwijima bitakira neza iyi insuline.

Kubera impamvu zitandukanye, izi selile zishobora kudakira neza insuline. Ibi bivuze ko selile zidashobora kwinjiza no kubika isukari (isukari) mu maraso neza. Ibi byitwa insuline resistance. Kubera iyo mpamvu, pancreas yawe itangira gukora insuline nyinshi kugira ngo igenzure urugero rw'isukari mu maraso ruri hejuru. Ibi byitwa hyperinsulinemia .

Niba umubiri wawe udashobora gukora insuline ihagije yo kugenzura neza urugero rw'isukari mu maraso yawe, urugero rw'isukari mu maraso yawe ruzaba ruri hejuru cyane (hyperglycemia), bishobora gutera diyabete itaratangira cyangwa diyabete yo mu bwoko bwa 2. Kudakora insuline na hyperinsulinemia nabyo bishobora kugira uruhare muri ibi bikurikira:

• Umubyibuho ukabije.
• Indwara z'umutima n'imitsi.
• Indwara y'umwijima urimo ibinure byinshi.
• Indwara y'intanga ngabo (PCOS).

Dore bimwe mu bintu by'ingenzi bigira ingaruka ku kudashobora kwa insuline:

• Ibinure byo mu nda cyangwa umubyibuho ukabije: Uturemangingo tw’ibinure mu mubiri dusohora imiti (izwi nka cytokines zitera ubushyuhe) ibangamira imikorere ya insuline. Uko ibinure byinshi mu mubiri wawe, niko bishobora kugira ingaruka mbi ku buryo insuline ikora. Ubushakashatsi bwagaragaje ko ibinure byo mu nda by’umwihariko byongera ubudahangarwa bwa insuline. Ibinure bikikije ingingo z’imbere (ibinure byo mu nda) bishobora kongera ubudahangarwa bwa insuline kuruta ibinure biri munsi y’uruhu (ibinure biri munsi y’uruhu). Ariko byombi bigira uruhare mu gutera indwara ya metabolisme.
• Kutagira imyitozo ngororamubiri: Imitsi yawe ikenera isukari nyinshi na glucose yabitswe (glycogen) kugira ngo ikore. Iyo ukoze imyitozo ngororamubiri, umubiri wawe urushaho kumva insuline, kandi imitsi yawe ikura ubushobozi bwo kwinjiza isukari mu maraso. Kudakora imyitozo ngororamubiri bihagije bishobora gutuma insuline idakora neza.
• Imiti imwe n'imwe: Corticosteroids, imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso, imiti imwe n'imwe ivura virusi itera SIDA, hamwe n'indi miti yo mu mutwe ishobora gutera ubudahangarwa bwa insuline.
• Genetike: Genetike uvukana n'ababyeyi bawe ishobora no kugira ingaruka ku kutagira insuline. Hashobora kandi kugira ingaruka ku kubyibuha ku mubyibuho ukabije, umuvuduko ukabije w'amaraso, na cholesterol nyinshi.

Ni gute abaganga basuzuma indwara ya '(Metabolic Syndrome)'? (Isuzuma)

Niba utekereza ko ushobora kuba ufite indwara ya metabolisme, muganga wawe azabanza kugusuzuma hanyuma agategeka ko upimwa amaraso menshi. Bashobora gusuzuma umuvuduko w'amaraso no gupima umuzenguruko w'ikibuno cyawe.

Ibi ni byo bipimo by'amaraso bikunze gukorwa:

• Igipimo cy'ibinure: Iki gipimo cy'ubwoko bune bwa cholesterol na triglyceride.
• Igice cy'ibanze cya Metabolic Panel (BMP): Iki gipima ibintu bigera ku munani mu maraso yawe kandi kigatanga igitekerezo cy'ubuzima bwawe muri rusange.
• Isuzuma rya glucose yo kwiyiriza ubusa: Nubwo BMP ipima urugero rw'isukari mu maraso, niba utararya icyo gihe, muganga wawe ashobora kugusaba kwiyiriza ubusa amasaha 8-12 mbere yo gupimwa isukari mu maraso.

Hashingiwe ku bisubizo by'ibi bizamini n'ibyavuye mu isuzuma ry'umubiri, niba ufite nibura bitatu muri bitanu byavuzwe haruguru, uba ufite "Metabolic Syndrome".

Ibi bipimo by'amaraso akenshi biba ari ibipimo bisanzwe, bityo muganga wawe ashobora kumenya neza iyi ndwara nubwo waba urimo gukorerwa ikindi gipimo.

Indwara ya Metabolic Syndrome ivurwa ite?

Intego nyamukuru zo kuvura "Metabolic Syndrome" ni ukugabanya ibyago byo kurwara indwara z'umutima na diyabete yo mu bwoko bwa 2, niba utarayirwaye. Ibi bishobora kuba bisaba imiti cyangwa guhindura imibereho yawe.

Guhindura imibereho - iki ni cyo kintu cy'ingenzi cyane!

Ni ingenzi cyane guhindura imibereho kugira ngo hagenzurwe indwara zigira uruhare mu gutera "Metabolic Syndrome." Izi mpinduka ni izi:

• Komeza cyangwa uharanire kugira ibiro bizima: Muganga wawe ashobora kukugira inama yo kugabanya ibiro bikabije. Ubushakashatsi bumwe bwagaragaje ko kugabanya ibiro birengeje 7% gusa by'ibiro byawe birengeje urugero bishobora kugabanya ibyago byo kurwara diyabete yo mu bwoko bwa 2 ku kigero cya 58%.
• Imyitozo ngororamubiri isanzwe: Ibyiza byo gukora imyitozo ngororamubiri ni byinshi cyane. Ifasha kurwanya insuline idakira, ikomeza ubuzima bwiza bw'imitsi n'amaraso, kandi ikagufasha kugabanya ibiro. Ndetse no gukora imyitozo ngororamubiri mike ni ingirakamaro. Ariko mbere yo gutangira gahunda yo gukora imyitozo ngororamubiri, baza muganga wawe urwego rw'imyitozo ngororamubiri rukubereye.
• Kurya indyo yuzuye ubuzima bw'umutima: Muganga wawe cyangwa inzobere mu mirire bashobora kukubwira kwirinda kurya karubohidrati nyinshi (zituma insuline ikorwa cyane). Bazakubwira kandi kugabanya ibinure bitari byiza, isukari, inyama zitukura, n'ibinyampeke byatunganyijwe. Ahubwo bazakubwira kurya indyo yuzuye, irimo imboga nyinshi, imbuto, ibinyampeke byuzuye, amafi, n'inyama zitarimo ibinure byinshi. Indyo yo mu nyanja ya Mediterane ni urugero rwiza rw'indyo yuzuye ubuzima bw'umutima.
• Gusinzira neza: Gusinzira neza ni ingenzi ku buzima muri rusange. Kudasinzira neza no kubura ibitotsi bifitanye isano no gusinzira (nk'indwara yo kubura umwuka wo mu mutwe) bishobora gutuma indwara ya metabolic syndrome irushaho kwiyongera cyangwa igatangira kugaragara. Niba ufite ibibazo byo gusinzira, vugana na muganga wawe.
• Irinde cyangwa ureke kunywa itabi: Kunywa itabi bishobora kugabanya cholesterol nziza ya HDL (ifite ubuziranenge) no kongera umuvuduko w'amaraso. Bishobora kandi kwangiza imiyoboro y'amaraso no gutera indwara z'imitsi ifata imitsi. Niba unywa itabi, gerageza kurireka.
• Gucunga imihangayiko:Niba urugero rwa "hormone ya stress" ya cortisol yawe ruri hejuru igihe kirekire, triglycerides zawe, isukari mu maraso, n'umuvuduko w'amaraso bishobora kwiyongera. Shaka uburyo bwo gucunga stress zawe, nko gukora imyitozo ngororamubiri, yoga, kwitonda, cyangwa imyitozo yo guhumeka.

Imiti n'ubundi buryo bwo kuvura

Imiti itandukanye n'uburyo bwo kuvura bishobora gufasha mu kugenzura indwara zigira uruhare mu gutera indwara ya metabolike. Muri zo harimo:

• Imiti igabanya cholesterol: Statines ni ubwoko bw'imiti ifasha mu gutuma cholesterol igera ku rugero rwiza.
• Imiti igabanya umuvuduko w'amaraso: Iyi miti igabanya umuvuduko w'amaraso mu buryo butandukanye. Urugero, harimo imiti igabanya umuvuduko w'amaraso mu mubiri, imiti igabanya ubukana bw ... n'imiti igabanya ubukana bw'amaraso mu mubiri.
• Imiti ikoreshwa mu kunywa ivura diyabete: Iyi miti igabanya urugero rw'isukari mu maraso mu buryo butandukanye. Imwe mu miti ikoreshwa cyane ni metformin.
• Kubaga Bariatric: Ubu ni ukubaga bikorwa kugira ngo bifashe abantu bafite umubyibuho ukabije kugabanya ibiro. Muganga wawe ashobora kukugira inama yo kubaga ubu bwoko bw'ubu buryo niba ubundi buryo bwo kugabanya ibiro butakoze kandi niba umubyibuho wawe ukabije uteza ibyago byinshi ku buzima kuruta kubagwa.
• Uburyo bwo kuvura indwara zo gusinzira: Niba ufite ikibazo cyo gusinzira, urugero, imashini ya CPAP ivura indwara yo kubura umwuka wo gusinzira cyangwa ibinini byo gusinzira ku ndwara zo gusinzira, ibintu nk'ibyo bishobora gufasha.
• Ubuvuzi bw'imitekerereze: Ubu ni "uburyo bwo kuvura mu buryo bwo kuvuga." Hari uburyo butandukanye bwo kuvura bugufasha kumenya no guhindura ibyiyumvo, ibitekerezo, n'imyitwarire mibi. Urugero, bushobora kugufasha gucunga stress cyangwa gusobanukirwa no guhindura ingeso mbi zo kurya.

Ese indwara ya metabolike ishobora gusubizwa inyuma?

Yego, urashobora! Indwara ya metabolike irashobora guhindurwa. Guhindura imibereho bishobora guteza imbere cyane ubuzima bwawe. Imiti nayo irashobora gufasha. Muganga wawe azakorana nawe kugira ngo aguhe gahunda ikubereye.

Ese indwara ya metabolike ishobora kwirindwa?

Ntushobora guhindura bimwe mu bintu bigira uruhare mu gutera indwara ya Metabolic Syndrome, nk'imiterere y'uturemangingo twawe n'imyaka yawe. Ariko, impinduka zimwe na zimwe mu mibereho zifasha mu kuvura indwara ya Metabolic Syndrome nazo zishobora gufasha kuyirinda.

Niba hari umuntu wo mu muryango wawe ufite amateka ya diyabete, umuvuduko ukabije w'amaraso, cyangwa cholesterol nyinshi, ntukibagirwe kubimenyesha muganga wawe.

Ni ngombwa kandi kwisuzumisha buri gihe. Muganga wawe ashobora kugenzura cholesterol yawe, triglycerides, umuvuduko w'amaraso, n'urugero rw'isukari mu maraso. Uko ushobora kumenya ibibazo vuba, ni ko ushobora guhindura imibereho yawe vuba kandi ukakugira inama yo kuvura kugira ngo ugabanye ibyago byo kurwara.

Ni izihe ngorane zishobora guterwa na `(Metabolic Syndrome)`?

Indwara ya Metabolic Syndrome ishobora gutera ibibazo byinshi bitandukanye, bimwe muri byo birimo:

• Indwara z'umutima.
• Stenosis y'imitsi ifungana (kugabanuka k'umuyoboro w'imitsi ifungana mu mutima, bigatuma amaraso atembera neza).
• Gucika intege mu mutima (Atrial fibrillation cyangwa Afib).
• Indwara ya thromboembolic, urugero nko kugabanya imitsi mu mitsi.
• Indwara yo mu bwonko (stroke).
• Kwangirika kw'ingingo, cyane cyane pancreas, umwijima, agasabo k'inkari n'impyiko.
• Amoko amwe na amwe ya kanseri, nka kanseri y'amara, kanseri y'ibere, na kanseri ya prostate.
• Diyabete yo mu bwoko bwa 2.
• Ibibazo by'ububyimbirwe n'ubudahangarwa bw'umubiri bidakira.
• Kudakora neza kw'imibonano mpuzabitsina ku bagabo.
• Ingorane mu gihe cyo gutwita, nko kuba umwana atwite atwite, kuba afite ubumuga bwo mu nda, ndetse no kuba afite diyabete yo mu gihe cyo gutwita.
• Ibibazo byo gutekereza no kwibuka.

Inkuru nziza ni uko indwara ya metabolic syndrome ishobora gukurwaho iyo uhinduye imibereho yawe n'imiti. Uko ushobora guhindura byinshi kugira ngo urinde ubuzima bwawe, niko urushaho kumererwa neza.

Ni ryari ngomba kubonana na muganga wanjye?

Niba ufite indwara ya metabolike, ni ngombwa cyane gukomeza gushaka inama n'ubuvuzi kwa muganga. Ugomba kujya kwa muganga wawe kugira ngo ubone ibintu nk'ibi:

• Kugira ngo ukurikirane uko umeze: Ushobora gukenera gusuzumwa umuvuduko w'amaraso yawe buri gihe cyangwa gupimwa amaraso kugira ngo urebe urugero rwa triglyceride na cholesterol yawe. Menya neza ko ujya kwa muganga wawe buri munsi.
• Niba ufite ibibazo ku bijyanye na gahunda yawe yo kuvurwa: Bwira muganga wawe niba ufite ingaruka mbi zikomoka ku miti yawe cyangwa niba wumva ugomba kuyihagarika. Nanone, mubaza niba ufite ibibazo ku bijyanye n'imirire yawe cyangwa gahunda yawe yo gukora imyitozo ngororamubiri.

Kumenya ko ufite indwara ya Metabolic Syndrome bishobora kugukomerera cyane. Ariko ibuka ko hari uburyo bwinshi bwo kuyirwanya cyangwa kuyisubiza inyuma. Muganga wawe azaba ari kumwe nawe muri buri ntambwe. Shaka ubufasha n'inama zabo. Bari hano kugufasha.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Noneho rero, ubu ufite igitekerezo cyiza cy'icyo twavuzeho (Metabolic Syndrome). Ntugahangayike , iyi ni indwara ishobora gukemuka.

Ikintu cy'ingenzi cyane ni uko,Kubimenya hakiri kare no guhindura imibereho ikenewe. Impinduka nto zishobora gutanga umusaruro ukomeye.

• Witondere ibiro byawe, cyane cyane ibinure byo mu nda.
• Kora imyitozo ngororamubiri buri munsi.
• Gerageza kurya indyo yuzuye.
• Reka kunywa itabi.
• Gabanya stress.
• Suzuma kwa muganga ku gihe.

Ukoze ibi bintu, ushobora kwirinda indwara zitari `(Metabolic Syndrome)` gusa, ahubwo no kwirinda izindi ndwara nyinshi. Ubuzima bwawe buri mu maboko yawe!

` Indwara ya Metabolic Syndrome, ubudahangarwa bwa insuline, diyabete, indwara z'umutima, umuvuduko ukabije w'amaraso, cholesterol, kugenzura ibiro