Metabolic syndrome - ke eng mme e amana joang le lefu la tsoekere?

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Metabolic syndrome ke bothata ba metabolic, bo khetholloang ka ho eketseha ho sa tloaelehang ha li-deposits tsa mafura ka mpeng ho potoloha litho tsa ka hare hammoho le khatello ea mali le lipontšo tse ling tse sa tloaelehang.
Sesosa se tobileng sa pathology ke ho fokotseha ha kutloisiso ea insulin. Boemo ba methapo ea methapo bo ferekane le nts'etsopele ea maloetse a tebileng haholoanyane - mofuta oa II lefu la tsoekere, atherosclerosis.

Metabolic syndrome ke eng?

Metabolic syndrome ha se bokuli ka kutloisiso ea bongaka: ke bokuli bo rarahaneng bo nang le tloaelo ea ho tsoela pele. Lebaka le ka sehloohong la ho holisoa hoa boemo bona ke ho fokola habonolo ha lisele tsa sethoathoa ho ea ketsong ea "insulin" ea "hormone".

Ho hanyetsa insulin ho tšoauoa ka tsoelo-pele ea butle-butle: anomaly e joalo ha e etsahale ka tšohanyetso. Haeba matšoao a karabelo ea "tishu" e fokotsehileng ho insulin a fumanoa sethaleng sa pele, ho ka etsahala haeba metabolic syndrome e sa tlosoe, joale tsoelo-pele ea eona e thibetsoe.

Ho ea ka lipalo-palo, palo e atileng ea metabolic syndrome har'a baahi ba linaha tse tsoetseng pele ke 10-20%. Pele ho ne ho lumeloa hore mofuta ona oa bophelo bo botle o tsebahala ka batho ba lilemo tse mahareng, empa haufinyane tjena, lingaka lefatšeng ka bophara li hlokometse keketseho e tsitsitseng ea kholo ea kholo har'a bacha le bacha. Leha ho le joalo, phehisano e kholo ea batho ba nang le metabolic syndrome ke basali kamora lilemo tse 30.

Lisosa tsa pathology

Boemo ba mamello ea insulin hangata bo hlaha ho tsoa ho semelo sa motho lipakeng tsa lefutso lena.

Leha ho le joalo, lisosa tsa kantle li ka boela tsa baka nts'etsopele ea "metabolic syndrome" e boletsoeng.

  • Phepo e seng molaong (tlholeho ea lijo tse tlisoang ke sehlopha sa lijo tse potlakileng lijong, lijo tse senyehileng);
  • Khatello ea maikutlo, khatello ea maikutlo le ho tšoha haholo;
  • Hypodynamia (ho haella ha mesebetsi ea makoloi);
  • Mosebetsi oa Sedentary;
  • Mokhoa o sa tloaelehang oa ho phomola;
  • Ho khaotsa ho ilela basali.

Ho ba teng ha lithane tse ngata tsa "adipose" 'meleng le pele ho nts'etsopele ea ts'oaetso ea metabolic ke ntho e kotsing ea ho hlaha ha insulin.

Kahoo, ho ba teng ha mafura a 'mele ho lebisa bothateng bo boholo le ho feta.

Matšoao le litlamorao

Metabolic syndrome e baka liphetoho tsa methapo tsamaisong eohle ea 'mele.

Letšoao le tsebahalang ka ho fetisisa la boemo bona ke botena ba ka hare (visceral).
 Mofuta ona oa botenya o baka methapo e mengata ea methapo ea kutlo e lebisang likhatellong tse fapaneng tsa metabolic le lits'ebetso tse bohloko 'meleng. Kaha adipose tiske ka boeona ke setho se seholo sa endocrine mme ke mohloli oa metsoako e sebetsang, tekanyo ea hare ea 'mele oa motho (homeostasis) e ferekanngoa le keketseho ea karolo ea mafura.

Mokhahlelong oa pele, metabolic syndrome e asymptomatic, empa litabatabelo tsa tšitiso ea metabolic li ka ba teng leha e sa le monyane, nako e telele pele ho hlaha maemo a tebileng a kliniki.

Ponahatso ea pele ea metabolic syndrome e ka ba khatello ea methapo ea mali le dyslipidemia (tšebeliso e sa tloaelehang ea marako a likepe tsa methapo).

Sebopeho se seng matšoao a metabolic syndrome ke:

  • Botenya ba Visceral: ntlha ea boemo bona ke sebaka se ntseng se eketseha sa letheka (matšoao a latelang a bontša ho ba teng ha lefu la thuto ea mafu - ho feta 100 cm ho banna le basali ba fetang 88 cm ho basali);
  • Ho hanyetsa insulin le boemo bo phahameng ba hormone ena maling;
  • Pele atherosulinosis le lipontšo tsa maloetse a lefu la pelo ka mokhoa oa litlhaselo tsa angina;
  • Ho hema hanyane
  • Mokhathala;
  • Ts'ebetso e fokotsehile;
  • Takatso e feteletseng ea lijo;
  • Polydipsia (lenyora la pathological);
  • Ho ntša metsi kapele;
  • Ho fufuleloa ka matla;
  • Khafetsa hlooho ea hlooho;
  • Letlalo le omeletseng.
Ho haella ha phello ea kalafo le taolo e loketseng ea metabolic syndrome ho ka lebisa ho li-pathologies tse tebileng haholoanyane:

  • mafura a mafura,
  • cirrhosis
  • gout
  • polycystic ovary ho basali,
  • ho hloka mamello ho banna
  • thrombosis
  • myocardial infarction
  • stroke
  • lefu la tsoekere.

Metabolic Syndrome le lefu la tsoekere

Ho hanyetsa insulin le liponahatso tsa eona (ho eketseha ha glucose e potlakileng, lipalangoang tse nang le phepo ea 'mele ea nama ea nama ea phepelo ea mmele liseleng) ke tšitiso e tobileng ho nts'etsopele ea mafu a phehellang a metabolic - ka mantsoe a mang, mofuta II lefu la tsoekere.

Lefu lena le hlaha ha mathata a metabolism a metabolism ea carbohydrate e fihla pele. Kotsi ea ho ba le lefu la tsoekere le syndrome ea metabolic e boletsoeng e phahameng haholo. Ke ka lebaka leo ho tseba lefu lena ho leng bohlokoa haholo. Ntho ea bohlokoa ka ho tšoanang ke taolo e felletseng ea metabolic syndrome maemong a bongaka ha e fumanoa.

Ts'oaetso

Metabolic syndrome ha se bokuli ka kutloisiso ea bongaka
Ho ata ha bothata bona bo fapaneng ba metabolic butle-butle ho ntse ho hola seoa sa seoa linaheng tse tsoetseng pele. Lithuto tsa bongaka lilemong tsa morao tjena li tiisa kamano pakeng tsa botenya ka lebaka la metabolic syndrome le kotsi e eketsehang ea hlahala ea bohloko.

Potso e hlaha: o ka khetholla metabolism joang qalong ea kholo ea eona ea kholo?
Letšoao le ka sehloohong ke boemo ba tsoekere. Ho lekola khafetsa index ea glycemic ke mokhoa o motle oa ho khetholla mathata a metabolic ka nako e nepahetseng le ho fana ka phello e lekaneng ea kalafo.

Ha ho fumanoa, mokhoa o ts'epahalang ka ho fetisisa oa ho bona ts'oaetso ea lefu lena ke tlhahlobo ea mali a biochemical e u lumellang ho tseba:

  • Hyperglycemia ea hoseng (tsoekere e eketsehileng ea plasma);
  • Matšoao a mamello ea tsoekere;
  • Triglycerides e phahamisitsoeng;
  • Boemo ba k'holeseterole e phahameng.

Lits'ebetso tse ling tsa ts'oaetso tse khethollang mathata a metabolic ke:

  1. tlhahlobo ea khatello ea mali
  2. tlhatlhobo ea kantle ea mokuli,
  3. tekanyo ea boima le bophara ba letheka,
  4. nalane e qaqileng ea lefu lena.

Liphetho tsa kalafo ho metabolic syndrome

Mekhoa ea phekolo bakeng sa lefu la metabolic e itšetlehile ka tekanyo ea pherekano ea metabolic le ho ba teng ha maloetse a kopaneng.
Lipheo tsa mantlha tsa kalafo:

  • khalemelo ea lik'habohaedreite le lipid metabolism,
  • ho felisoa ha lipontšo tsa lefu la sethoathoa - botenya, khatello ea methapo ea mali, atherosclerosis, matšoao a lefu la tsoekere,
  • ho na le mekhoa ea ho lokisa ka mokhoa o ikhethileng oa ho hanyetsa insulin.

Ha ho na kalafo e tobileng bakeng sa boemo bona - maemong 'ohle, lingaka li theha lenaneo la phekolo ea motho ka mong. Taolo e lekantsoeng ea "metabolic syndrome" mohato oa pele oa phetoho ea methapo ea methapo e tla thusa ho qoba kalafo e matla ea lithethefatsi bakeng sa atherosclerosis, lefu la coronary le lefu la tsoekere nakong e tlang.

Khalemelo ea botenya

Boemong ba pele, mosebetsi o ka sehloohong oa mokuli le ngaka e eang (setsebi-endocrinologist se sebetsa kalafong ea metabolic syndrome) ke ho tsitsisa matšoao a boima.
Haeba o sa khone ho fokotsa boima ba 'mele, ho hlokahala hore o emise ho tsoela pele hoa botenya.

Bakeng sa morero ona, kalafo ea ho ja e sebelisoa. Ho ikoetlisa ho bontšitse hore ha ho na thuso ho latela lijo life kapa life tse "lapileng", hobane kapele kapa kamora ho phatloha ho itseng, mokuli o qala ho nona haholo, ebe boima bo feteletseng bo khutla. Ka hona, lingaka tse ngata li khothaletsa lijo tse theko e tlase ea carb.

Lethathamo la lijo tse thibetsoeng li kenyelletsa lik'habohaedreite tse "potlakileng" - liswiti, lijo-thollo, sopho, lijo tse potlakileng. Nama e mafura e khothalletsoa feela ka bongata bo fokolang: khetho e lokela ho fuoa mefuta ea lijo tse nang le mafura a fokolang kapa liprotheine tsa meroho. Ntle le lijo-thollo, meroho e mecha, litholoana li kenyelelitsoe lijong.

Lijo tse nang le phepo e nepahetseng li tla u lumella ho atleha ho laola metabolic syndrome le ho thibela tsoelo-pele ea eona. Leha ho le joalo, motho o lokela ho tseba hore ho phekola (ho felisa) boemo bona ha ho khonehe ka botlalo, mme le ho phomola hanyenyane feela lijong ho ka mpefatsa boemo ka nako efe kapa efe.

Mehato e meng ea kalafo

Lits'ebetso tse ling tsa kalafo tsa metabolic syndrome li kenyeletsa:

  • Ho ikoetlisa khafetsa - ho tsamaea, ho matha, ho etela letamong, ho palama baesekele;
  • Ho khaotsa ho tsuba le tšebeliso ea joala ka botlalo
  • Ho lekola khafetsa khatello le liphallelo tsa lipontšo tsa khatello ea mali;
  • Tlhahlobo e tsoelang pele ea k'holeseterole, triglycerides le tsoekere.

Ka linako tse ling bakuli ba hanyetsang insulin ba fuoa meriana e boletsoeng (Metformin, Siofor, Glucofage) e eketsang kutloisiso ea methapo ea kutlo ho insulin. Chelete ena e thusa ho thibela nts'etsopele ea lefu la tsoekere. Maemong a thata ka ho fetisisa a kliniki, kalafo e matla ea ho ba le botena e ka bontšoa. Lithane tse ngata tsa "adipose" li tsoa 'meleng - mokhoa ona oa kalafo o bitsoa "opereishene ea bariatric."

Meriana (fenofibrate) e boetse e sebelisoa ho lokisa mathata a lipid. Lithethefatsi tsa Thiazolidine li theola tsoekere e ngata, li tsitsisa khatello ea mali le ho qhala cholesterol e mpe. Ka nako e ts'oanang, bophahamo bo sa tloaelehang ba marako a arter bo fokotseha.

Metabolic syndrome ha se tšoaetso ea bongaka: boemo bona bo ke ke ba nkuoa e le lefu le felletseng. Le ha ho le joalo, lena ke lebaka le matla la ho lokisoa ha mokhoa oa bophelo le lijo, hobane litlamorao tsa mathata a metabolic li ka ba mpe ebile li sa fetohe.

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