Ingabe nawe uke wahlangana nalesi sifo? Ake sixoxe nge-(Metabolic Syndrome)!

Igama elithi "Metabolic Syndrome" lingase lizwakale liyesabisa kancane kuwe. Lingase lizwakale njengegama elikhulu, kodwa ngamafuphi, liyinhlanganisela yezinkinga eziningana zempilo ezihlobene ezihlangana ndawonye ukuze zakhe isimo emzimbeni wakho. Kufana nesivumelwano esihlanganisiwe. Kubalulekile ukuqaphela lokhu ngoba kungakubeka engozini enkulu kakhulu yokuthola izimo ezibucayi njengesifo senhliziyo, isifo sikashukela sohlobo lwesibili, kanye nesifo sohlangothi.

Iyini ngempela `(Isifo Sokushaqeka Kwemithambo Yegazi)`?

Kalula nje, `(Metabolic Syndrome)` akusona isifo esisodwa. Kuyiqoqo lezinkinga eziningana zempilo ezihlangana emzimbeni wakho. Lezi zinkinga zingalimaza `(uhlelo lwakho lwenhliziyo )`, zandise ingozi yakho yokuthola isifo sikashukela, futhi zivule indlela yezimo ezifana nesifo sohlangothi . Ngaphezu kwalokho, kwandisa ingozi `(i-Atherosclerosis)`, ukunqwabelana kwamafutha ezindongeni zemithambo yakho, ukuyinciphisa, futhi kulimaze izitho ezahlukene zomzimba wakho.

Lokhu kubizwa ngokuthi okunye, kungenzeka ukuthi uke wezwa ngakho:

• `Isifo X`
• 'I-Insulin Resistance Syndrome'
• I-Dysmetabolic syndrome

Kodwa wonke la magama abhekisela esimweni esifanayo.

Ngingazi kanjani ukuthi ngine-`(Metabolic Syndrome)`? (Izindlela zokuxilonga)

Kunezinto ezinhlanu eziyinhloko odokotela abazibhekayo ukuze banqume ukuthi unayo yini `(Metabolic Syndrome)`. Uma okungenani unezintathu kulezi ezinhlanu, ungasho ukuthi unalesi simo. Ake sibone ukuthi ziyini?

1. Isisindo esiningi esiswini:

• Kalula nje, kuwukwanda komjikelezo wesisu sakho. Uma ukhalo lwendoda lungaphezu kwamasentimitha angu-40 (cishe amasentimitha angu-102) futhi uma ukhalo lowesifazane lungaphezu kwamasentimitha angu-35 (cishe amasentimitha angu-88), lokhu kuyisibonakaliso esisodwa. Lokhu kufana nokuba "nongqimba olunamafutha" oluzungeze isisu sakho.

2. Amazinga e-triglyceride akhuphukile egazini (i-Hypertriglyceridemia):

• Ama-triglycerides awuhlobo lwamafutha egazini lakho. Uma izinga lakho lingu-150 mg/dL (ama-milligram nge-deciliter ngayinye) noma ngaphezulu, lokho nakho kuyingozi.

3. Amazinga aphansi e-cholesterol enhle (i-HDL):

• I-cholesterol ye-HDL yilokho esikubiza ngokuthi “i-cholesterol enhle.” Ilungele umzimba. Uma leli zinga le-HDL lingaphansi kuka-40 mg/dL kumuntu wesilisa, futhi lingaphansi kuka-50 mg/dL kowesifazane, lokho nakho kuyindaba yokukhathazeka.

4. Amazinga aphezulu kashukela egazini:

• Uma izinga likashukela egazini lakho lingu-100 mg/dL noma ngaphezulu uma uhlola ushukela egazini lakho ngaphambi kokudla (ukuzila ukudla) ekuseni, lokhu kuyingozi.
• Uma kuphakathi kuka-100 no-125 mg/dL, unesifo sikashukela esingaphambi kwesikhathi . Lokho kusho ukuthi useduze nokuqala isifo sikashukela.
• Uma kungaphezu kuka-125 mg/dL, kungenzeka ukuthi unesifo sikashukela sohlobo lwesibili.

5. Umfutho wegazi ophakeme:

• Lokhu kusebenza futhi uma umfutho wegazi wakho u-130 mmHg noma ngaphezulu (i-systolic) kanye/noma u-85 mmHg noma ngaphezulu (i-diastolic).

Khumbula, noma ngabe kukhona noma yiziphi zalezi zimo ezikhona zodwa, zandisa ingozi yakho yokuthola izifo ezifana nesifo senhliziyo, isifo sikashukela, kanye nesifo sohlangothi. Kodwa uma ezintathu noma ngaphezulu zalezi zimo zenzeka ndawonye, ​​​​ingozi yakho iyanda kakhulu . Ngakho-ke uma utholakale une-Metabolic Syndrome, bheka njengesibonakaliso sesixwayiso sokushintsha imikhuba yakho yezempilo nokunciphisa ingozi yakho.

Sivame kangakanani lesi simo esibizwa ngokuthi `(Metabolic Syndrome)`?

Lokhu empeleni kuvame kakhulu kunalokho ongakucabanga. Isibonelo, kuthiwa cishe ingxenye eyodwa kwezintathu yabantu abadala e-United States banalesi simo. Kubonakala sengathi lesi simo siyanda naseSri Lanka.

Yiziphi izimpawu ze-`(Metabolic Syndrome)`?

Into ekhethekile ngalokhu ukuthi akuzona zonke izimo ezihlobene ne-`(Metabolic Syndrome)` ezibonisa izimpawu. Ngakho-ke izimpawu onazo zincike ekutheni yiziphi izici ezinhlanu ezishiwo ngenhla ezikuthintayo. Isibonelo, izinto ezifana nomfutho wegazi ophakeme, ama-triglycerides aphezulu, kanye ne-cholesterol ephansi ye-HDL ngokuvamile azibangeli izimpawu ezinkulu.

Kodwa-ke, lapho amazinga kashukela egazini ekhuphuka (i-Hyperglycemia), abanye abantu bangase babe nezimpawu ezifana nalezi:

• Ubumnyama besikhumba ezindaweni ezifana namakhwapha, ngemuva kwentamo, nasemaceleni, njengokungathi simbozwe uthuli (i-Acanthosis nigricans).
• Umbono ofiphele.
• Ukoma ngokweqile (i-Polydipsia).
• Ukudinga ukuchama njalo, ikakhulukazi ebusuku.
• Ukuzizwa ukhathele ngaso sonke isikhathi.

Uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela ukuze akunike iseluleko.

Kungani sithola lokhu `(Isifo Sokusha Kwemithambo Yegazi)`? (Izimbangela)

Kunezici eziningana ezifaka isandla ekuthuthukisweni kwe-"Metabolic Syndrome," empeleni iyinethiwekhi eyinkimbinkimbi. Kodwa abacwaningi bakholelwa ukuthi imbangela eyinhloko " ukumelana ne-insulin."

Cabanga ngakho, i-insulin iyi-hormone ekhiqizwa yi-pancreas yethu ebalulekile empilweni futhi elawula amazinga kashukela egazini. Ukumelana ne-insulin kwenzeka lapho imisipha yakho, amafutha, kanye namaseli esibindi engasabeli kahle kule insulin.

Ngezizathu ezahlukene, la maseli angase angasabeli kahle ku-insulin. Lokhu kusho ukuthi amaseli awakwazi ukumunca nokugcina i-glucose (ushukela) egazini. Lokhu kubizwa ngokuthi ukumelana ne-insulin. Ngenxa yalokho, ama-pancreas akho aqala ukukhiqiza i-insulin eningi ukulawula amazinga aphezulu kashukela egazini. Lokhu kubizwa ngokuthi i-hyperinsulinemia .

Uma umzimba wakho ungakwazi ukukhiqiza i-insulin eyanele ukulawula amazinga kashukela egazini lakho ngendlela efanele, amazinga kashukela egazini lakho azophakama (i-hyperglycemia), okungaholela ku-prediabetes noma isifo sikashukela sohlobo 2. Ukumelana ne-insulin kanye ne-hyperinsulinemia nakho kungasiza kulokhu:

• Ukukhuluphala ngokweqile.
• Isifo senhliziyo.
• Isifo sesibindi esinamafutha.
• I-Polycystic Ovary Syndrome (PCOS).

Nazi ezinye zezinto eziyinhloko ezithinta ukumelana ne-insulin:

• Amafutha esiswini noma ukukhuluphala: Amaseli amafutha emzimbeni akhipha amakhemikhali (abizwa ngokuthi ama-cytokine abangela ukuvuvukala) aphazamisa ukusebenza kwe-insulin. Uma unamafutha amaningi emzimbeni wakho, kulapho angathinta khona indlela esebenza ngayo i-insulin. Izifundo zikhombisile ukuthi amafutha esiswini ikakhulukazi andisa ukumelana ne-insulin. Amafutha azungeze izitho zangaphakathi (amafutha e-visceral) cishe akhulisa ukumelana ne-insulin kunamafutha angaphansi kwesikhumba (amafutha angaphansi kwesikhumba). Kodwa kokubili kunegalelo ku-metabolic syndrome.
• Ukuntuleka kokuzilolonga: Imisipha yakho idinga ushukela omningi kanye ne-glucose egciniwe (glycogen) ukuze isebenze. Uma uzilolonga, umzimba wakho uba nomuzwa okhudlwana ku-insulin, futhi imisipha yakho ithuthukisa ikhono lokumunca ushukela egazini. Ukungazilolongi ngokwanele kungaholela ekumelaneni ne-insulin.
• Imithi ethile: Ama-corticosteroids, eminye imithi yomfutho wegazi ophakeme, eminye imithi yokwelapha i-HIV, kanye neminye imithi yengqondo kungabangela ukumelana ne-insulin.
• Izakhi zofuzo: Izakhi zofuzo ozizuza kubazali bakho nazo zingathinta ukumelana ne-insulin. Kungaba khona nethonya lezakhi zofuzo ekukhuluphaleni ngokweqile, umfutho wegazi ophakeme, kanye ne-cholesterol ephezulu.

Odokotela bakuthola kanjani ukuthi une-`(Metabolic Syndrome)`? (Ukuxilongwa)

Uma ucabanga ukuthi unesifo se-metabolic syndrome, udokotela wakho uzoqala akuhlole bese eyala ukuhlolwa kwegazi okuningana. Bangase bahlole umfutho wegazi lakho futhi balinganise umjikelezo wesinqe sakho.

Lezi yizivivinyo zegazi ezivame ukwenziwa:

• Iphaneli ye-lipid: Lokhu kulinganisa izinhlobo ezine zamazinga e-cholesterol kanye ne-triglyceride.
• Iphaneli Eyisisekelo Ye-Metabolic (BMP): Lokhu kulinganisa izinto ezingaba yisishiyagalombili egazini lakho futhi kunikeza umbono wempilo yakho iyonke.
• Ukuhlolwa kwe-glucose yokuzila ukudla: Ngisho noma i-BMP ilinganisa amazinga kashukela egazini, uma ungakadli ngaleso sikhathi, udokotela wakho angakucela ukuthi uzile ukudla amahora angu-8-12 ngaphambi kokuthatha ukuhlolwa kweshukela egazini.

Ngokusekelwe emiphumeleni yalezi zivivinyo kanye nokutholakele ngesikhathi sokuhlolwa ngokomzimba, uma unezimfuneko ezintathu kwezinhlanu ezishiwo ngenhla, utholakala une-"Metabolic Syndrome".

Lokhu kuhlolwa kwegazi kuvame ukuba ukuhlolwa okuvamile, ngakho udokotela wakho angase akwazi ukuthola inkomba ngalesi simo ngisho noma uhlolwa okunye.

Iphathwa kanjani i-Metabolic Syndrome?

Imigomo eyinhloko yokwelapha i-"Metabolic Syndrome" ukunciphisa ingozi yakho yokuthola isifo senhliziyo kanye nesifo sikashukela sohlobo 2, uma ungenaso kakade. Lokhu kungase kuhilele imithi kanye/noma ukushintsha indlela yokuphila.

Izinguquko zendlela yokuphila - lokhu kuyinto ebaluleke kakhulu!

Kubaluleke kakhulu ukwenza izinguquko endleleni yokuphila ukuze kulawulwe izimo ezibangela "i-Metabolic Syndrome." Lezi zinguquko yilezi:

• Gcina noma ulwele ukuthola isisindo esinempilo: Udokotela wakho angase akuncome ukuthi wehlise isisindo esiningi. Ucwaningo olulodwa luthole ukuthi ukunciphisa isisindo sakho esingu-7% kuphela kunganciphisa ingozi yakho yokuthola isifo sikashukela sohlobo 2 ngo-58%.
• Ukuzivocavoca njalo: Izinzuzo zokuzivocavoca azinakubalwa. Kusiza ekulweni nokumelana ne-insulin, kugcina uhlelo lwakho lwenhliziyo luphilile, futhi kukusiza ukwehlisa isisindo. Ngisho nokuzivocavoca okuncane kuyazuzisa. Kodwa ngaphambi kokuqala uhlelo lokuzivocavoca, buza udokotela wakho ukuthi yiliphi izinga lokuzivocavoca elikufanele.
• Yidla ukudla okunempilo kwenhliziyo: Udokotela wakho noma isazi sokudla cishe uzokutshela ukuthi ugweme ukudla ama-carbohydrate amaningi (okushukumisa ukukhiqizwa kwe-insulin eningi). Bazokutshela nokuthi unciphise amafutha angenampilo, ushukela, inyama ebomvu, kanye nesitashi esicwengisisiwe. Esikhundleni salokho, bazokutshela ukuthi udle ukudla okunempilo okuphelele, okunemifino eminingi, izithelo, okusanhlamvu okuphelele, inhlanzi, kanye nenyama engenamafutha amaningi. Ukudla kwaseMedithera kuyisibonelo esihle sokudla okunempilo kwenhliziyo.
• Lala kahle: Ukulala kahle kubalulekile empilweni iyonke. Ukuntuleka kokulala kanye nezimo ezihlobene nokulala (njenge-sleep apnea) kungabangela ukuwohloka noma ukuqala okusha kwe-metabolic syndrome. Uma unezinkinga zokulala, khuluma nodokotela wakho.
• Gwema noma uyeke ukubhema: Ukubhema kunganciphisa i-cholesterol yakho ye-HDL (enhle) futhi kunyuse umfutho wegazi lakho. Kungalimaza nemithambo yegazi yakho futhi kubangele isifo semithambo yenhliziyo. Uma ubhema, zama ukuyeka.
• Ukulawula ukucindezeleka:Uma amazinga akho e-cortisol "ye-stress hormone" ephezulu isikhathi eside, ama-triglycerides akho, ushukela wegazi, kanye nomfutho wegazi kunganda. Thola izindlela zokulawula ukucindezeleka kwakho, njengokuzivocavoca umzimba, i-yoga, ukuqaphela, noma ukuzivocavoca kokuphefumula.

Imithi kanye nezinye izindlela zokwelapha

Imithi ehlukahlukene kanye nokwelashwa kungasiza ekulawuleni izimo ezibangela i-metabolic syndrome. Lokhu kufaka phakathi:

• Imithi yokwehlisa i-cholesterol: Ama-statin uhlobo lomuthi olusiza ukuletha amazinga e-cholesterol ezingeni elinempilo.
• Imithi yokunciphisa umfutho wegazi: Le mithi yehlisa umfutho wegazi ngezindlela ezahlukene. Izibonelo zifaka phakathi ama-thiazides, ama-ACE inhibitors, kanye nama-calcium channel blockers.
• Imithi yomlomo yesifo sikashukela: Le mithi yehlisa amazinga kashukela egazini lakho ngezindlela ezahlukene. Omunye wemithi esetshenziswa kakhulu yi-metformin.
• Ukuhlinzwa kwe-Bariatric: Lokhu ukuhlinzwa okwenziwa ukusiza abantu abakhuluphele kakhulu ukuba banciphise isisindo. Udokotela wakho angancoma lolu hlobo lokuhlinzwa uma ezinye izindlela zokunciphisa isisindo zingasebenzi futhi uma ukukhuluphala kwakho kubeka engcupheni impilo yakho kunokuhlinzwa.
• Ukwelashwa kwezinkinga zokulala: Uma unenkinga yokulala, isibonelo, umshini we-CPAP we-sleep apnea noma amaphilisi okulala okulala, izinto ezinjalo zingasiza.
• Ukwelapha Ngengqondo: Lokhu "ukwelapha ngokukhuluma." Kunezindlela eziningi zokwelapha ezikusiza ukuthi ubone futhi ushintshe imizwa, imicabango, kanye nokuziphatha okungenampilo. Isibonelo, kungakusiza ukuthi uphathe ukucindezeleka noma uqonde futhi ushintshe imikhuba yokudla engaphilile.

Ingabe i-Metabolic Syndrome ingabuyiselwa emuva?

Yebo, ungakwazi! I-Metabolic Syndrome ingaguqulwa. Izinguquko zendlela yokuphila zingayithuthukisa kakhulu impilo yakho. Imithi nayo ingasiza. Udokotela wakho uzosebenza nawe ukuthola uhlelo olufanele wena.

Ingabe i-Metabolic Syndrome ingavinjelwa?

Awukwazi ukushintsha ezinye zezici ezibangela i-Metabolic Syndrome, njengezakhi zofuzo zakho kanye nobudala bakho. Kodwa-ke, izinguquko ezifanayo zendlela yokuphila ezisiza ekwelapheni i-Metabolic Syndrome zingasiza nasekuvimbeleni ukuthi ingakhuli.

Uma kukhona emndenini wakho onomlando wesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol ephezulu, ungakhohlwa ukutshela udokotela wakho ngakho.

Kubalulekile futhi ukuthi uhlolwe njalo. Udokotela wakho angaqapha i-cholesterol yakho, ama-triglycerides, umfutho wegazi, kanye namazinga kashukela egazini. Uma usheshe wabona noma yiziphi izinkinga, kulapho usheshe wenze izinguquko endleleni yokuphila futhi uncome izindlela zokwelapha ukuze unciphise ingozi yakho.

Yiziphi izinkinga ezingaba khona ngenxa ye-`(Metabolic Syndrome)`?

I-Metabolic Syndrome ingadala izinkinga eziningi, ezinye zazo ezihlanganisa:

• Isifo senhliziyo.
• I-Aortic stenosis (ukuncipha kwevalvu ye-aortic enhliziyweni, okuvimbela ukugeleza kwegazi).
• I-Atrial fibrillation (i-Atrial fibrillation noma i-Afib).
• Isifo se-Thromboembolic, isib. i-venous thromboembolism.
• Isifo sohlangothi.
• Ukulimala kwezitho zomzimba, ikakhulukazi i-pancreas, isibindi, i-gallbladder, kanye nezinso.
• Ezinye izinhlobo zomdlavuza, njengomdlavuza wamathumbu amakhulu, umdlavuza webele, kanye nomdlavuza wendlala yesitho sangasese sowesilisa.
• Isifo Sikashukela Sohlobo 2.
• Ukuvuvukala okungapheli kanye nezinkinga zesimiso somzimba sokuzivikela.
• Ukungasebenzi kahle kwe-Erectile kwabesilisa.
• Izinkinga ngesikhathi sokukhulelwa, njenge-preeclampsia, i-eclampsia, kanye nesifo sikashukela sokukhulelwa.
• Izinkinga zokucabanga nokukhumbula.

Izindaba ezinhle ukuthi i-metabolic syndrome ingaguqulwa ngokushintsha indlela yokuphila kanye nemithi. Uma ungenza izinguquko eziningi ukuze uvikele impilo yakho, kulapho uphila kangcono khona.

Kufanele ngimbone nini udokotela wami?

Uma une-Metabolic Syndrome, kubaluleke kakhulu ukuqhubeka nokufuna iseluleko sezokwelapha kanye nokwelashwa. Kufanele ubonane nodokotela wakho ngezinto ezifana nalezi:

• Ukuqapha isimo sakho: Kungase kudingeke ukuthi uhlolwe umfutho wegazi njalo noma uhlolwe igazi ukuze kuhlolwe amazinga akho e-triglyceride kanye ne-cholesterol. Qiniseka ukuthi uya kudokotela wakho nsuku zonke.
• Uma unemibuzo mayelana nohlelo lwakho lokwelashwa: Tshela udokotela wakho uma unemiphumela emibi evela emithini yakho noma uma uzizwa sengathi udinga ukuyeka ukuyisebenzisa. Futhi, buza uma unemibuzo mayelana nohlelo lwakho lokudla noma lokuzivocavoca.

Ukuthola ukuthi une-Metabolic Syndrome kungaba yinto enzima kakhulu. Kodwa khumbula, kunezindlela eziningi zokuyiphatha noma ukuyibuyisela emuva. Udokotela wakho uzoba nawe kuzo zonke izinyathelo. Thola ukwesekwa neseluleko sabo. Balapha ukuzokusiza.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, manje usunombono ongcono ngalokho ebesikhuluma ngakho (i-Metabolic Syndrome). Ungakhathazeki , lesi yisimo esilawulekayo.

Into ebaluleke kakhulu ukuthi,Ukuyibona kusenesikhathi nokwenza izinguquko ezidingekayo endleleni yokuphila. Izinguquko ezincane zingaletha imiphumela emikhulu.

• Qaphela isisindo sakho, ikakhulukazi amafutha esiswini.
• Zivocavoce nsuku zonke.
• Zama ukudla ukudla okunempilo.
• Yeka ukubhema.
• Nciphisa ukucindezeleka.
• Thola ukuhlolwa kwezokwelapha ngesikhathi.

Ngokwenza lezi zinto, ungazivikela hhayi nje kuphela ku-`(Metabolic Syndrome)`, kodwa nakwezinye izifo eziningi. Impilo yakho isezandleni zakho!

I- Metabolic Syndrome, ukumelana ne-insulin, isifo sikashukela, isifo senhliziyo, umfutho wegazi ophakeme, i-cholesterol, ukulawula isisindo