Ngaba nawe ukhe wadibana nesi sifo? Masithethe nge-(Metabolic Syndrome)!

Igama elithi "Metabolic Syndrome" lisenokuvakala lisoyikisa kancinci kuwe. Lisenokuvakala njengegama elikhulu, kodwa ngokulula, liyindibaniselwano yeengxaki zempilo ezinxulumeneyo ezidibanayo ukuze zenze imeko emzimbeni wakho. Lifana nesivumelwano esidibeneyo. Kubalulekile ukuqaphela oku kuba kunokukubeka emngciphekweni omkhulu wokufumana izifo ezinzulu ezifana nesifo sentliziyo, isifo seswekile sohlobo lwesibini, kunye nesifo sohlangothi.

Yintoni kanye kanye `(Metabolic Syndrome)`?

Ngamafutshane, `(Metabolic Syndrome)` ayisosifo siqhelekileyo. Yingqokelela yeengxaki ezininzi zempilo ezidibana emzimbeni wakho. Ezi ngxaki zingonakalisa `(inkqubo yentliziyo )` yakho, zonyuse umngcipheko wokuba nesifo seswekile, kwaye zivule indlela yeemeko ezifana nestroke . Ngaphezu koko, zonyusa umngcipheko `(i-Atherosclerosis)`, ukuqokelelana kwamafutha eludongeni lwemithambo yakho, ukuyinciphisa, kwaye yonakalise amalungu ahlukeneyo emzimbeni wakho.

Oku kubizwa ngokuba yinto eyahlukileyo, mhlawumbi ukhe weva ngayo:

• `Isifo X`
• `Isifo sokuxhathisa i-insulin`
• Isifo se-Dysmetabolic

Kodwa onke la magama abhekisa kwimeko efanayo.

Ndingazi njani ukuba ndine-`(Metabolic Syndrome)`? (Iindlela zokuxilongwa)

Kukho izinto ezintlanu eziphambili ezijongwa ngoogqirha ukuze bafumanise ukuba unayo na `(Metabolic Syndrome)`. Ukuba unezintathu kwezi zintlanu ubuncinane , ungatsho ukuba unale meko. Masibone ukuba zeziphi?

1. Ubunzima besisu obugqithisileyo:

• Ngamafutshane, kukwanda komjikelezo wesisu sakho. Ukuba isinqe sendoda singaphezulu kwee-intshi ezingama-40 (malunga neesentimitha ezili-102) kwaye ukuba isinqe somfazi singaphezulu kwee-intshi ezingama-35 (malunga neesentimitha ezingama-88), olu luphawu olunye. Oku kufana nokuba "nomaleko otyebileyo" ojikeleze isisu sakho.

2. Amanqanaba aphezulu e-triglyceride egazini (i-Hypertriglyceridemia):

• Iitriglycerides luhlobo lwamafutha egazini lakho. Ukuba inqanaba lakho liyi-150 mg/dL (ii-milligrams nge-deciliter nganye) okanye ngaphezulu, oko kuyingozi.

3. Amanqanaba aphantsi e-cholesterol elungileyo (HDL):

• I-cholesterol ye-HDL yinto esiyibiza ngokuba yi-"cholesterol elungileyo." Ilungile emzimbeni. Ukuba eli nqanaba le-HDL lingaphantsi kwe-40 mg/dL kwindoda, kwaye lingaphantsi kwe-50 mg/dL kwibhinqa, nalo ngumba oxhalabisayo.

4. Amanqanaba aphezulu eswekile egazini:

• Ukuba inqanaba leswekile egazini lakho liyi-100 mg/dL okanye ngaphezulu xa ujonga iswekile egazini lakho ngaphambi kokutya (ukuzila ukutya) kusasa, oku kuyingozi.
• Ukuba iphakathi kwe-100 kunye ne-125 mg/dL, unesifo seswekile esingaphambi kokuba ukhulelwe . Oko kuthetha ukuba usecicini lokufumana isifo seswekile.
• Ukuba ingaphezulu kwe-125 mg/dL, kusenokwenzeka ukuba unesifo seswekile sohlobo lwesibini.

5. Uxinzelelo lwegazi oluphezulu:

• Oku kuyasebenza nokuba uxinzelelo lwakho lwegazi luyi-130 mmHg okanye ngaphezulu (i-systolic) kunye/okanye i-85 mmHg okanye ngaphezulu (i-diastolic).

Khumbula, nokuba kukho naziphi na kwezi meko, ziyandisa umngcipheko wakho wokufumana izifo ezifana nesifo sentliziyo, isifo seswekile, kunye nesifo sohlangothi. Kodwa xa ezintathu okanye ngaphezulu kwezi meko zenzeka kunye, umngcipheko wakho uyanda kakhulu . Ngoko ke ukuba ufunyaniswe uneMetabolic Syndrome, yithathe njengesilumkiso sokutshintsha imikhwa yakho yempilo kwaye unciphise umngcipheko wakho.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-`(Metabolic Syndrome)`?

Oku kuqheleke kakhulu kunokuba unokucinga. Umzekelo, kuthiwa malunga nesithathu sabantu abadala eMelika banale meko. Kubonakala ngathi le meko iyanda naseSri Lanka.

Zithini iimpawu ze-`(Metabolic Syndrome)`?

Into ekhethekileyo ngale nto kukuba ayizizo zonke iimeko ezinxulumene ne-`(Metabolic Syndrome)` ezibonisa iimpawu. Ngoko ke iimpawu onazo zixhomekeke ekubeni zeziphi kwezi zinto zintlanu zikhankanyiweyo apha ngasentla ezikuchaphazelayo. Umzekelo, izinto ezifana noxinzelelo lwegazi oluphezulu, i-triglycerides ephezulu, kunye ne-cholesterol ephantsi ye-HDL azisoloko zibangela naziphi na iimpawu ezinkulu.

Nangona kunjalo, xa amanqanaba eswekile egazini enyuka (i-Hyperglycemia), abanye abantu banokubona iimpawu ezifana nezi:

• Ubumnyama besikhumba kwiindawo ezifana namakhwapha, umva wentamo, nasemacaleni, ngokungathi sigqunywe luthuli (i-Acanthosis nigricans).
• Umbono ofipheleyo.
• Ukoma kakhulu (i-Polydipsia).
• Ukufuna ukuchama rhoqo, ingakumbi ebusuku.
• Ndiziva ndidiniwe ngalo lonke ixesha.

Ukuba unale mpawu, kubaluleke kakhulu ukubona ugqirha ukuze akunike ingcebiso.

Kutheni sifumana le `(Metabolic Syndrome)`? (Izizathu)

Kukho izinto ezininzi ezinegalelo ekuphuhlisweni kwe-"Metabolic Syndrome," eneneni yinethiwekhi enzima. Kodwa abaphandi bakholelwa ukuba imbangela ephambili "yi-Insulin Resistance ."

Cinga ngayo, i-insulin yi-hormone eveliswa yi-pancreas yethu ebalulekileyo ebomini kwaye ilawula amanqanaba eswekile egazini. Ukumelana ne-insulin kwenzeka xa izihlunu zakho, amafutha kunye neeseli zesibindi zingaphenduli kakuhle kule insulin.

Ngenxa yezizathu ezahlukeneyo, ezi seli zisenokungaphenduli kakuhle kwi-insulin. Oku kuthetha ukuba iiseli azikwazi ukufunxa nokugcina i-glucose (iswekile) egazini ngokufanelekileyo. Oku kubizwa ngokuba yi-insulin resistance. Ngenxa yoko, i-pancreas yakho iqala ukuvelisa i-insulin engaphezulu ukulawula amanqanaba aphezulu eswekile egazini. Oku kubizwa ngokuba yi -hyperinsulinemia .

Ukuba umzimba wakho awukwazi ukuvelisa i-insulin eyaneleyo ukulawula ngokufanelekileyo amanqanaba eswekile egazini lakho, amanqanaba eswekile egazini lakho aya kuba phezulu (i-hyperglycemia), nto leyo enokukhokelela kwi-prediabetes okanye isifo seswekile sohlobo lwesibini. Ukuxhathisa i-insulin kunye ne-hyperinsulinemia nazo zinokuba negalelo koku:

• Ukutyeba kakhulu.
• Isifo sentliziyo.
• Isifo sesibindi esinamafutha.
• I-Polycystic Ovary Syndrome (PCOS).

Nazi ezinye zezinto eziphambili ezichaphazela ukuxhathisa i-insulin:

• Amafutha esiswini okanye ukutyeba kakhulu: Iiseli zamafutha emzimbeni zikhupha iikhemikhali (ezibizwa ngokuba zii-cytokines ezibangela ukuvuvukala) eziphazamisana nokusebenza kwe-insulin. Okukhona unamafutha amaninzi emzimbeni wakho, kokukhona zinokuchaphazela kakubi indlela esebenza ngayo i-insulin. Izifundo zibonise ukuba amafutha esiswini ngokukodwa anyusa ukuxhathisa i-insulin. Amafutha ajikeleze amalungu angaphakathi (amafutha e-visceral) anokuthi anyuse ukuxhathisa i-insulin kunamafutha angaphantsi kolusu (amafutha angaphantsi kolusu). Kodwa zombini ezi zinto zinegalelo kwi-metabolic syndrome.
• Ukungawusebenzisi kakuhle umzimba: Izihlunu zakho zifuna iglucose eninzi kunye neglucose egciniweyo (glycogen) ukuze zisebenze. Xa uzilolonga, umzimba wakho uba nomdla ngakumbi kwi-insulin, kwaye izihlunu zakho ziphuhlisa amandla okufunxa iswekile egazini. Ukungazilolongi ngokwaneleyo kunokukhokelela ekuchaseni i-insulin.
• Amayeza athile: Ii-corticosteroids, amanye amayeza oxinzelelo lwegazi oluphezulu, amanye amayeza e-HIV, kunye namanye amayeza engqondo anokubangela ukunganyangeki kwe-insulin.
• I-Genetics: I-genes oyizuzé kubazali bakho inokuchaphazela ukunganyangeki kwe-insulin. Kunokubakho nefuthe le-genetic ekutyebeni kakhulu, uxinzelelo lwegazi oluphezulu, kunye ne-cholesterol ephezulu.

Oogqirha bayixilonga njani `(Metabolic Syndrome)`? (Ukuxilongwa)

Ukuba ucinga ukuba usenokuba une-metabolic syndrome, ugqirha wakho uza kuqala akuhlole aze emva koko akuyalele uvavanyo lwegazi oluninzi. Basenokujonga uxinzelelo lwegazi lakho baze balinganise umjikelo wesinqe sakho.

Ezi ziimvavanyo zegazi ezidla ngokwenziwa:

• Iphaneli yeLipid: Oku kulinganisa iintlobo ezine zamanqanaba e-cholesterol kunye ne-triglyceride.
• I-Basic Metabolic Panel (BMP): Le ilinganisa izinto ezisibhozo egazini lakho kwaye inika umbono wempilo yakho iyonke.
• Uvavanyo lweglucose yokuzila ukutya: Nangona i-BMP ilinganisa amanqanaba eswekile egazini, ukuba awukatyi ngelo xesha, ugqirha wakho unokukucela ukuba uzile ukutya iiyure ezisi-8 ukuya kwezili-12 ngaphambi kokuba wenze uvavanyo lweswekile egazini.

Ngokusekelwe kwiziphumo zezi mvavanyo kunye neziphumo ngexesha lovavanyo lomzimba, ukuba uneempawu ezintathu kwezintlanu ezikhankanyiweyo apha ngasentla, ufunyaniswa ukuba une-"Metabolic Syndrome".

Olu vavanyo lwegazi ludla ngokuba luvavanyo oluqhelekileyo, ngoko ke ugqirha wakho unokukwazi ukufumana ulwazi ngale meko nokuba uvavanywa kwenye into.

Iphathwa njani iMetabolic Syndrome?

Iinjongo eziphambili zokunyanga i-"Metabolic Syndrome" kukunciphisa umngcipheko wokuba nesifo sentliziyo kunye nesifo seswekile sohlobo lwesibini, ukuba awukabi naso. Oku kunokubandakanya amayeza kunye/okanye utshintsho kwindlela yokuphila.

Utshintsho kwindlela yokuphila - le yeyona nto ibalulekileyo!

Kubaluleke kakhulu ukwenza utshintsho kwindlela yokuphila ukuze kulawulwe iimeko ezibangela i-"Metabolic Syndrome." Ezi nguqu zezi:

• Gcina okanye uzame ukuba nobunzima obusempilweni: Ugqirha wakho unokucebisa ukuba unciphise ubunzima obugqithisileyo. Olunye uphando lufumanise ukuba ukunciphisa ubunzima obugqithisileyo yi-7% kuphela kunokunciphisa umngcipheko wokuba nesifo seswekile sohlobo lwesibini ngama-58%.
• Ukuzilolonga rhoqo: Iingenelo zokuzilolonga azinakubalwa. Kunceda ekulweni nokuxhathisa i-insulin, kugcina inkqubo yakho yentliziyo isempilweni, kwaye kukunceda unciphise ubunzima. Nokuba ukwenza umthambo omncinci kuyanceda. Kodwa ngaphambi kokuba uqalise inkqubo yokuzilolonga, buza ugqirha wakho ukuba loluphi udidi lokuzilolonga olufanelekileyo kuwe.
• Yitya ukutya okunempilo kwentliziyo: Ugqirha wakho okanye ingcali yokutya mhlawumbi uya kukuxelela ukuba ungatyi iicarbohydrate ezininzi (ezikhuthaza ukuveliswa kwe-insulin engaphezulu). Baya kukuxelela nokuba unciphise amafutha angenampilo, iswekile, inyama ebomvu, kunye nesitatshi esicociweyo. Endaweni yoko, baya kukuxelela ukuba utye ukutya okupheleleyo, okunemifuno emininzi, iziqhamo, iinkozo ezipheleleyo, intlanzi, kunye nenyama engenamafutha. Ukutya kwaseMedithera ngumzekelo omhle wokutya okunempilo kwentliziyo.
• Lala kakuhle: Ukulala kakuhle kubalulekile kwimpilo iyonke. Ukungalali kakuhle kunye neemeko ezinxulumene nokulala (ezifana ne-sleep apnea) zinokubangela ukuba isifo se-metabolic syndrome sibe sibi okanye siqale ngokutsha. Ukuba uneengxaki zokulala, thetha nogqirha wakho.
• Kuphephe okanye uyeke ukutshaya: Ukutshaya kunokunciphisa i-cholesterol yakho ye-HDL (elungileyo) kwaye kunyuse uxinzelelo lwakho lwegazi. Kungonakalisa nemithambo yegazi yakho kwaye kubangele isifo semithambo yegazi. Ukuba uyatshaya, zama ukuyeka.
• Ukulawula uxinezeleko:Ukuba amanqanaba akho e-"stress hormone" cortisol aphezulu ixesha elide, i-triglycerides yakho, iswekile yegazi, kunye noxinzelelo lwegazi zinokunyuka. Fumana iindlela zokulawula uxinzelelo lwakho, ezinje ngokuzilolonga, i-yoga, ukuqaphela, okanye ukuzilolonga ukuphefumla.

Amayeza kunye nolunye unyango

Amayeza kunye nonyango olwahlukeneyo lunokunceda ukulawula iimeko ezibangela isifo se-metabolic syndrome. Ezi ziquka:

• Amayeza okwehlisa i-cholesterol: Ii-statins luhlobo lwamayeza anceda ekunyuseni amanqanaba e-cholesterol kwinqanaba elisempilweni.
• Amayeza okulwa noxinzelelo lwegazi: La mayeza anciphisa uxinzelelo lwegazi ngeendlela ezahlukeneyo. Imizekelo ibandakanya i-thiazides, i-ACE inhibitors, kunye ne-calcium channel blockers.
• Amayeza omlomo esifo seswekile: La mayeza ehlisa amanqanaba eswekile egazini lakho ngeendlela ezahlukeneyo. Elinye lamayeza asetyenziswa kakhulu yi-metformin.
• Utyando lweBariatric: Olu lutyando olwenziwa ukunceda abantu abatyebileyo ukuba banciphise umzimba. Ugqirha wakho angacebisa olu hlobo lotyando ukuba ezinye iindlela zokunciphisa umzimba azisebenzanga kwaye ukuba ukutyeba kwakho kukubeka emngciphekweni omkhulu kwimpilo kunotyando.
• Unyango lweengxaki zokulala: Ukuba unengxaki yokulala, umzekelo, umatshini we-CPAP we-sleep apnea okanye iipilisi zokulala zokungalali, izinto ezinjalo zinokukunceda.
• Unyango lwengqondo: Olu "lunyango lokuthetha." Kukho iindlela ezahlukeneyo zonyango ezikunceda ukuchonga nokutshintsha iimvakalelo, iingcinga kunye nokuziphatha okungafanelekanga. Umzekelo, lunokukunceda ulawule uxinzelelo okanye uqonde kwaye utshintshe imikhwa yokutya engafanelekanga.

Ngaba iMetabolic Syndrome ingaguqulwa?

Ewe, unako! I-Metabolic Syndrome inokuguqulwa. Utshintsho kwindlela yokuphila lunokuyiphucula kakhulu impilo yakho. Amayeza nawo anokunceda. Ugqirha wakho uza kusebenza nawe ukufumana icebo elifanelekileyo kuwe.

Ngaba iMetabolic Syndrome ingathintelwa?

Awunakutshintsha ezinye zezinto ezibangela iMetabolic Syndrome, njengemfuza yakho kunye nobudala bakho. Nangona kunjalo, utshintsho olufanayo kwindlela yokuphila olunceda ekunyangeni iMetabolic Syndrome lunokunceda ekuthinteleni ukuba ikhule.

Ukuba kukho umntu kusapho lwakho onembali yesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye i-cholesterol ephezulu, ungalibali ukuxelela ugqirha wakho ngaloo nto.

Kubalulekile nokuba uhlolwe rhoqo. Ugqirha wakho unokujonga i-cholesterol yakho, i-triglycerides, uxinzelelo lwegazi, kunye namanqanaba eswekile egazini. Okukhona unokubona iingxaki ngokukhawuleza, kokukhona ungenza utshintsho kwindlela ophila ngayo kwaye ucebise unyango lokunciphisa umngcipheko wakho.

Ziziphi iingxaki ezinokubakho ngenxa ye-`(Metabolic Syndrome)`?

I-Metabolic Syndrome inokubangela iingxaki ezininzi, ezinye zazo ziquka:

• Isifo sentliziyo.
• I-Aortic stenosis (ukuncitshiswa kwevalvu ye-aortic entliziyweni, okuthintela ukuhamba kwegazi).
• I-Atrial fibrillation (i-Atrial fibrillation okanye i-Afib).
• Isifo se-Thromboembolic, umz. i-venous thromboembolism.
• Istroke.
• Ukonakala kwamalungu omzimba, ingakumbi ipancreas, isibindi, inyongo kunye nezintso.
• Ezinye iintlobo zomhlaza, ezifana nomhlaza wamathumbu amakhulu, umhlaza wamabele, kunye nomhlaza weprostate.
• Uhlobo lwesibini lwesifo seswekile.
• Ukudumba okungapheliyo kunye neengxaki zenkqubo yomzimba yokuzikhusela.
• Ukungasebenzi kakuhle kwe-erectile kumadoda.
• Iingxaki ngexesha lokukhulelwa, ezifana ne-preeclampsia, i-eclampsia, kunye nesifo seswekile sokukhulelwa.
• Iingxaki zokucinga nokukhumbula.

Iindaba ezimnandi zezokuba i-metabolic syndrome inokupheliswa ngokutshintsha indlela ophila ngayo kunye namayeza. Okukhona unokwenza utshintsho oluninzi ukukhusela impilo yakho, kokukhona uphila ngcono.

Ndifanele ndimbone nini ugqirha wam?

Ukuba uneMetabolic Syndrome, kubaluleke kakhulu ukuqhubeka ufuna iingcebiso zonyango kunye nonyango. Kuya kufuneka ubone ugqirha wakho ngezinto ezifana nezi:

• Ukujonga imeko yakho: Kusenokufuneka uhlolwe uxinzelelo lwakho lwegazi rhoqo okanye uvavanywe igazi ukuze kuhlolwe amanqanaba akho e-triglyceride kunye ne-cholesterol. Qiniseka ukuba uya kugqirha wakho yonke imihla.
• Ukuba unemibuzo malunga nesicwangciso sakho sonyango: Xelela ugqirha wakho ukuba unemiphumo emibi evela kumayeza akho okanye ukuba uziva ngathi kufuneka uyeke ukuwasebenzisa. Kwakhona, buza ukuba unemibuzo malunga nokutya kwakho okanye isicwangciso sakho sokuzilolonga.

Ukufumanisa ukuba uneMetabolic Syndrome kunokuba nzima kakhulu. Kodwa khumbula, zininzi iindlela zokuyilawula okanye ukuyiguqula. Ugqirha wakho uya kuba nawe kuyo yonke inyathelo. Fumana inkxaso kunye neengcebiso zabo. Balapha ukukunceda.

Umyalezo Wokugqibela Wokuya Ekhaya

Kulungile, ngoku unombono ongcono wento ebesithetha ngayo (iMetabolic Syndrome). Ungakhathazeki , le yimeko elawulekayo.

Eyona nto ibalulekileyo kukuba,Ukuyibona kwangethuba nokwenza utshintsho olufunekayo kwindlela yokuphila. Utshintsho oluncinci lunokuvelisa iziphumo ezinkulu.

• Lumka ngobunzima bakho, ingakumbi amafutha esiswini.
• Yenza umthambo yonke imihla.
• Zama ukutya ukutya okunempilo.
• Yeka ukutshaya.
• Nciphisa uxinzelelo.
• Fumana uhlolo lwezonyango ngexesha.

Ngokwenza ezi zinto, ungazikhusela kungekuphela nje kwi-`(Metabolic Syndrome)`, kodwa nakwezinye izifo ezininzi. Impilo yakho isezandleni zakho!

Isifo seMetabolic, ukuxhathisa i-insulin, isifo seswekile, isifo sentliziyo, uxinzelelo lwegazi oluphezulu, i-cholesterol, ukulawula ubunzima