Kev ntsuas mob metabolic: kuaj mob thiab kho mob. Kev noj haus rau cov mob metabolic syndrome

Kev mob ntshav siab yog ib txoj kev nyuaj ntawm lub cev zaub mov, uas qhia tau tias ib tug neeg muaj kev pheej hmoo mob ntshav siab ntau dua thiab cov ntshav qab zib hom 2. Qhov laj thawj rau nws yog qhov tsis zoo ua rau cov ntaub so ntswg mus rau kev ua ntawm cov tshuaj insulin. Kev kho mob ntawm cov zom zaub mov muaj txiaj ntsig yog lub cev tsis rog plab zom mov thiab kev tawm dag zog. Thiab tseem muaj lwm txoj kev siv yeeb tshuaj uas koj yuav paub txog hauv qab no.

Cov tshuaj insulin yog "qhov tseem ceeb" uas qhib "lub qhov rooj" ntawm lub cell cell, thiab los ntawm lawv, cov piam thaj nkag ntawm cov ntshav sab hauv. Nrog tus kab mob metabolic nyob hauv tus neeg mob cov ntshav, cov ntshav qab zib (ntshav qabzib) thiab insulin hauv cov ntshav nce siab. Txawm li cas los xij, cov piam thaj tsis tau txais txiaj ntsig mus rau hauv lub hlwb vim tias lub "xauv tau xeb" thiab insulin poob nws lub peev xwm qhib nws.

Qhov teeb meem metabolic no yog hu ua insulin tsis kam, i.e., ntau dhau kev tiv thaiv ntawm lub cev nqaij mus rau kev ua ntawm insulin. Feem ntau nws maj mam loj hlob zuj zus thiab ua rau cov tsos mob uas kuaj pom tus mob metabolic syndrome. Zoo, yog tias kev kuaj mob tuaj yeem ua sijhawm, kom txoj kev kho mob muaj sijhawm tiv thaiv tus mob ntshav qab zib thiab mob plawv.

Kev kuaj mob ntawm tus kab mob metabolic

Ntau lub koom haum kho mob thoob ntiaj teb tab tom tsim kho cov txheej txheem los soj ntsuam cov tsos mob hauv metabolic hauv cov neeg mob. Hauv xyoo 2009, daim ntawv "Harmonization ntawm lub ntsiab txhais ntawm kev mob metabolic" tau luam tawm, nyob rau hauv uas lawv tau kos npe:

• Asmeskas Lub Tebchaws Lub Plawv, Lub Ntsws, thiab Lub Cev Ntshav;
• Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv;
• International Society ntawm Atherosclerosis;
• Cov Koom Haum Thoob Ntiaj Teb rau Kev Tshawb Xyuas Kev pham.

Raws li daim ntawv no, kev kuaj mob metabolic yog kuaj yog tias tus neeg mob yam tsawg kawg peb yam ntawm cov qauv uas tau teev hauv qab no:

• Nce duav raws qhov ntev (rau cov txiv neej> = 94 cm, rau cov poj niam> = 80 cm);
• Qib ntawm triglycerides hauv cov ntshav siab tshaj 1.7 mmol / l, lossis tus neeg mob twb tau txais kev kho mob los kho dyslipidemia;
• Cov lipoproteins ntau ntom (HDL, cov roj "zoo") hauv cov ntshav - tsawg dua 1.0 mmol / l rau cov txiv neej thiab qis dua 1.3 mmol / l hauv cov poj niam;
• Systolic (ntshav sab saud) siab dua 130 hli Hg. Kos duab. lossis diastolic (qis dua) ntshav siab tshaj 85 mmHg. Kos duab., Lossis tus neeg mob twb tau noj tshuaj kho mob ntshav siab;
• Kev yoo ntshav cov piam thaj> = 5.6 mmol / L, lossis kev kho mob tau ua kom txo qis ntshav qab zib.

Txog thaum cov qauv tshiab rau kev kuaj mob ntawm tus mob metabolic tshwm, kev rog yog qhov yuav tsum tau ua ua ntej ntawm kev kuaj mob. Tam sim no nws tau ua tsuas yog ib ntawm tsib qhov kev ntsuas no. Mob ntshav qab zib mellitus thiab mob plawv mob ntshav tsis yog cov khoom ntawm cov khoom noj ntawm lub cev metabolic syndrome, tab sis ua mob ywj siab.

Kev Kho Mob: lub luag haujlwm ntawm tus kws kho mob thiab tus neeg mob nws tus kheej

Lub hom phiaj ntawm kev kho tus mob metabolic yog:

• poob phaus kom txog qib uas ib txwm muaj, lossis tsawg kawg tso tseg qhov muaj mob ntawm kev rog;
• normalization ntawm ntshav siab, roj ntshav profile, triglycerides nyob rau hauv cov ntshav, i.e., kev txhim kho ntawm cov kab mob plawv.

Nws yog tsis yooj yim sua hnub no los kho tus mob metabolic tiag. Tab sis koj tuaj yeem tswj tau nws tus kheej kom zoo txhawm rau kom lub neej muaj kev noj qab haus huv ntev ntev yam tsis muaj ntshav qab zib, mob plawv, mob stroke, thiab lwm yam Yog tias ib tug neeg muaj cov teeb meem no, ces yuav tsum kho nws lub neej. Ib qho tseem ceeb ntawm kev kho mob yog kev kawm tus neeg mob thiab kev mob siab hloov mus rau lub neej noj qab nyob zoo.

Kev kho mob tseem ceeb tshaj plaws rau cov kev mob metabolic yog kev noj haus. Kev xyaum tau qhia tias nws tsis zoo siv txawm tias sim ua raws li qee qhov kev noj zaub mov "tshaib plab". Koj yuav inevitably poob sai dua los sis tom qab, thiab cov phaus tshaj yuav tam sim ntawd rov qab. Peb pom zoo kom koj siv cov khoom noj muaj protein tsawg los tswj koj cov kev mob rog metabolic.

Cov kev ntsuas ntxiv rau kev kho mob ntawm tus kab mob metabolic:

• kev ua haujlwm ntawm lub cev ntau ntxiv - qhov no txhim kho qhov rhiab ntawm cov ntaub so ntswg mus rau insulin;
• txiav luam yeeb thiab haus cawv ntau dhau;
• ntsuas kev ntsuas ntshav siab thiab kev kho ntshav siab, yog tias nws tshwm sim;
• kev ntsuas ntsuas cov txiaj ntsig "zoo" thiab "tsis phem" cov roj, triglycerides thiab ntshav qab zib.

Peb tseem qhia koj kom nug txog cov tshuaj hu ua metformin (siofor, glucophage). Nws tau siv txij li thaum xyoo 1990 los mus ua kom qhov kev mob siab ntawm cov hlwb rau insulin. Cov tshuaj no pab tau cov neeg mob rog rog thiab ntshav qab zib. Thiab txog hnub tim, nws tsis tau hais tawm cov kev mob tshwm sim uas hnyav dua li ntu raug mob ntawm kev tsis taus plab.

Coob tus neeg uas tau txheeb pom tias muaj cov kev mob tshwm sim hauv lub cev tau pab zoo heev los ntawm kev txwv tsis pub cov rog hauv lawv cov pluas noj. Thaum ib tus neeg hloov mus rau kev noj haus nrog cov zaub mov tsis muaj rog, ib tus tuaj yeem cia siab tias nws muaj:

• theem ntawm triglycerides thiab roj (cholesterol) hauv cov ntshav normalizes;
• ntshav siab yuav txo qis;
• nws yuav poob phaus.

Tab sis yog tias kev noj zaub mov muaj protein tsawg thiab ua kom lub cev ua haujlwm tsis txaus, ces ua ke nrog koj tus kws kho mob koj tuaj yeem ntxiv metformin (siofor, glucophage) rau lawv. Hauv cov xwm txheej loj tshaj plaws, thaum tus neeg mob tau lub cev lub cev qhov ntsuas hnyav> 40 kg / m2, kev phais mob rog dhau kuj tseem siv. Nws hu ua phais plab hlaub.

Yuav ua li cas cov roj ntshav thiab roj triglycerides li qub

Nrog lub cev metabolic syndrome, cov neeg mob feem ntau muaj cov ntshav tsis zoo rau cov roj (cholesterol) thiab triglycerides. Tsuas muaj cov roj "kom zoo" hauv cov ntshav, thiab "tsis zoo", ntawm qhov tsis tooj, yog nce siab. Cov theem ntawm triglycerides tseem nce. Tag nrho cov no txhais tau tias cov hlab ntsha cuam tshuam los ntawm atherosclerosis, mob plawv nres lossis hlab ntsha tawg ntho ncig lub kaum. Kev ntsuam xyuas ntshav rau cov roj (cholesterol) thiab triglycerides yog suav nrog kev hu ua "lipid spectrum." Cov kws kho mob nyiam hais lus thiab sau ntawv, lawv hais tias, Kuv qhia koj kom coj kev tshuaj ntsuam rau lipid spectrum. Los yog qhov tsis zoo, lub lipid spectrum yog qhov tsis zoo. Tam sim no koj yuav paub tias nws yog dab tsi.

Txhawm rau txhim kho cov txiaj ntsig ntawm kev ntsuas ntshav rau cov roj (cholesterol) thiab triglycerides, cov kws kho mob feem ntau tau sau ntawv noj zaub mov kom tsawg thiab / lossis cov tshuaj noj statin. Nyob rau tib lub sijhawm, lawv ua lub ntsej muag ntse, sim saib kom zoo saib thiab txaus ntseeg. Txawm li cas los xij, kev tshaib plab tsis pab txhua, thiab tshuaj kho pab, tab sis ua rau muaj kev cuam tshuam loj. Yog lawm, statins txhim kho cov ntshav muaj roj cholesterol. Tab sis txawm hais tias lawv txo cov kev tuag yuav tsis yog qhov tseeb ... muaj ntau lub tswv yim sib txawv ... Txawm li cas los xij, teeb meem ntawm cov roj cholesterol thiab triglycerides tuaj yeem daws tau yam tsis muaj teeb meem thiab cov ntsiav tshuaj kim. Ntxiv mus, qhov no yuav yooj yim dua qhov koj xav.

Kev noj zaub mov kom lub cev tsis muaj qhov ntau tsis ua rau cov ntshav roj thiab triglycerides li qub. Ntxiv mus, hauv qee cov neeg mob, cov kev sim tau txawm phem dua. Qhov no yog vim tias cov zaub mov “tshaib plab” yog cov rog zaub mov ntau dhau. Nyob hauv kev cuam tshuam ntawm cov tshuaj insulin, cov carbohydrates koj noj tig mus rau hauv triglycerides. Tab sis tsuas yog cov triglycerides zoo li no Kuv xav tau tsawg los ntawm cov ntshav. Koj lub cev tsis ua siab ntev rau cov carbohydrates, uas yog vim li cas cov kev mob metabolic tau tshwm sim. Yog tias koj tsis ntsuas, nws yuav ncaj qha rau hauv hom 2 mob ntshav qab zib lossis dheev kawg hauv kev mob plawv.

Lawv yuav tsis taug kev hauv hav zoov ntev ntev. Qhov teeb meem ntawm triglycerides thiab roj (cholesterol) yog zoo kawg nkaus daws teeb meem los ntawm kev noj zaub mov kom tsawg. Qib triglycerides hauv cov ntshav normalizes tom qab 3-4 hnub ua raws! Coj mus kuaj - thiab saib koj tus kheej. Cov roj khov ua kom zoo dua tom qab, tom qab 4-6 lub lis piam. Ua ntsuas ntshav rau cov roj (cholesterol) thiab triglycerides ua ntej pib lub neej tshiab, thiab tom qab ntawv rov qab los. Nco ntsoov tias cov zaub mov carbohydrate tsawg yuav pab tau! Nyob rau tib lub sijhawm, nws normalizes ntshav siab. Nov yog kev tiv thaiv lub plawv thiab mob stroke tiag, yam tsis muaj mob tshaib plab. Cov tshuaj txhawb rau kev ua kom siab thiab rau lub siab ua kom cov zaub mov zoo. Lawv raug nyiaj, tab sis cov nqi them tawm, vim tias koj yuav zoo siab dua.

Kev noj haus rau cov mob metabolic syndrome

Kev noj zaubmov kom zoo rau lub cev metabolic syndrome, uas feem ntau pom zoo los ntawm cov kws kho mob, suav nrog kev txwv cov calories. Feem ntau ntawm cov neeg mob tsis xav ua raws li nws, tsis hais txog qhov teeb meem lawv. Cov neeg mob tuaj yeem tiv dhau "kev tshaib nqhis dej" nkaus xwb hauv lub tsev kho mob, hauv qab kev saib xyuas tas li ntawm cov kws kho mob.

Hauv lub neej txhua hnub, kev noj zaub mov kom muaj calorie tsawg nrog metabolic syndrome yuav tsum txiav txim siab tsis tau. Hloov chaw, peb xav kom koj sim noj cov zaub mov uas muaj carbohydrate-txwv noj raws li tus qauv ntawm R. Atkins thiab kws kho mob ntshav siab Richard Bernstein. Nrog rau cov pluas noj no, hloov ntawm cov khoom noj carbohydrates, qhov tseem ceeb yog hais txog cov khoom noj muaj protein ntau, cov rog zoo thiab fiber.

Kev noj zaub mov kom tsis muaj roj-ntau carbohydrate yog hearty thiab qab. Vim li ntawd, cov neeg mob ua raws li nws tau yooj yim dua li “tshaib plab” cov pluas noj. Nws pab tau ntau yam coj los tswj cov kev mob metabolic syndrome, txawm hais tias kom tsawg los yuav tsis muaj ntau.

Ntawm peb lub vev xaib koj yuav pom cov ncauj lus kom ntxaws qhia txog yuav ua li cas kho ntshav qab zib thiab mob metabolic nrog kev noj haus kom tsis rog. Qhov tseeb, lub hom phiaj tseem ceeb ntawm kev tsim lub vev xaib no yog txhawm rau txhawb kev noj haus kom tsawg rau cov ntshav qab zib kom tsis txhob noj zaub mov "tshaib plab" lossis, kom zoo tshaj, "noj kom".