Niaj hnub no, cov thawj coj hauv cov naj npawb ntawm cov neeg tuag yog cov kab mob ntawm cov hlab plawv (mob hlab ntsha tawg, myocardial infarction) thiab hom ntshav qab zib hom 2, yog li tib neeg tau ntev thiab tawv ncauj tawm tsam nrog cov kev mob no. Hauv plawv ntawm kev tiv thaiv kev tiv thaiv tawm tsam ib qho kab mob yog kev tshem tawm cov kev muaj feem txaus ntshai.
Metabolic syndrome yog ib lo lus siv rau hauv kev kho mob rau kev paub ntxov thiab tshem tawm cov kev pheej hmoo txaus rau ntshav qab zib thiab kab mob plawv. Ntawm nws cov tub ntxhais tseem ceeb, kev mob tshwm sim metabolic yog ib pawg ntawm cov kev pheej hmoo rau ntshav qab zib thiab kab mob plawv.
Muaj nyob rau hauv lub moj khaum ntawm kev mob metabolic, kev ntshawv siab tsis tau poob mus ntev ntev. Feem ntau, lawv pib tsim nyob rau hauv menyuam yaus lossis thaum tiav hluas thiab tsim qhov ua rau muaj ntshav qab zib, mob atherosclerotic, thiab mob ntshav siab.
Feem ntau cov neeg mob rog; ntshav me ntsis kom ntshav qabzib; ntshav siab, nyob rau ntawm qhov txwv sab sauv ntawm qhov txwv tsis pub, vim tsis saib xyuas. Tus neeg mob tau txais kev kho mob tsuas yog thaum txoj kev pheej hmoo ua rau muaj kev loj hlob ntawm ib qho mob loj heev.
Nws yog ib qho tseem ceeb uas yuav tau txheeb xyuas qhov tseeb thiab kho sai li sai tau, thiab tsis yog thaum lub plawv mob
Rau qhov yooj yim ntawm cov kws kho mob thiab cov neeg mob lawv tus kheej, cov ntsiab lus meej tau tsim tsa uas ua rau nws muaj peev xwm kuaj mob metabolic syndrome nrog kev kuaj mob tsawg kawg.
Niaj hnub no, cov kws kho mob feem ntau siv rau ib qho lus txhais uas yog tus yam ntxwv kev mob cuam tshuam rau poj niam thiab txiv neej.
Nws tau thov los ntawm International Diabetes Federation: kev sib koom ua ke ntawm kev rog rog nrog rau ob qho kev cai ntxiv (kev tiv thaiv mob ntshav qis, cov roj ntsha tsis ua hauj lwm ntawm cov metabolism, dyslipidemia).
Cov tsos mob tshwm sim
Yuav pib nrog, nws tsim nyog xav tias yog tus mob metabolic syndrome, nws cov qauv thiab cov tsos mob hauv kev qhia ntau dua.
Qhov taw qhia tseem ceeb thiab yuav tsum tau ua yog kev rog rog plab. Dab tsi yog qhov no Nrog kev rog plab, daim phuam adipose yog tso nyiaj ntau hauv plab. Cov rog no tseem hu ua "hauv xov tooj ntawd" lossis "hom kua." Nws yog ib qho tseem ceeb kom paub txog kev rog rog ntshav qab zib.
Kev pham "gynoid" lossis "pear type" yog tus cwj pwm los ntawm qhov ua kom poob ntawm cov ntaub so ntswg adipose hauv tus ncej. Tab sis hom kev rog no tsis muaj teeb meem loj li yav dhau los dhau los, yog li nws tsis siv rau cov txheej txheem ntawm tus kab mob metabolic thiab yuav tsis xav txog hauv cov ncauj lus no.
Txhawm rau txiav txim siab qhov theem ntawm lub plab muaj rog, koj yuav tsum siv sijhawm ib xees thiab ntsuas lub duav ntim hauv nruab nrab ntawm qhov kev ncua deb ntawm qhov xaus ntawm ilium thiab cov hneev nqi. Lub duav loj me ntawm ib tug txiv neej zwm rau haiv neeg Caucasian, ntau dua 94 cm, yog qhov taw qhia ntawm lub plab rog. Ib tug poj niam muaj lub duav qhov ntim ntau dua 80 cm, cim tau zoo ib yam.
Kev rog rog rau cov Neeg Esxias cov tebchaws no nruj dua. Rau cov txiv neej, qhov tso cai ntim tau yog 90 cm, rau cov poj niam nws tseem zoo li qub - 80 cm.
Ua tib zoo mloog! Qhov ua rau kev rog rog tsis tuaj yeem tsuas yog ua dhau thiab lub neej tsis ncaj ncees. Mob hnyav endocrine lossis kab mob caj ces tuaj yeem ua rau kab mob no!
Yog li, yog tias cov tsos mob tau sau hauv qab no tau pom zoo lossis ua ke, koj yuav tsum hu rau lub tsev kho mob sai li sai tau rau kev kuaj mob los ntawm tus kws kho mob endocrinologist uas yuav cais tawm lossis lees paub cov ntawv ntxiv ntawm kev rog:
- daim tawv nqaij qhuav;
- o tuaj;
- mob pob txha
- cem quav
- ncab cov nqaij ntawm cov tawv nqaij;
- pom kev tsis zoo;
- daim tawv nqaij hloov xim.
Lwm yam qauv:
- Arterial hypertension - qhov kab mob pathology raug kuaj yog tias systolic cov ntshav siab sib npaug lossis siab tshaj 130 hli Hg. Kos duab., Thiab diastolic sib npaug los yog ntau dua 85 hli RT. Kos duab.
- Kev ua txhaum ntawm lipid spectrum. Txhawm rau txiav txim siab cov kab mob pathology no, yuav tsum kuaj ntshav biochemical, uas yog tsim nyog los txiav txim siab txog qib roj, triglycerides thiab lipoproteins ntau ntom. Cov txheej txheem rau cov mob kas cees yog txhais raws li hauv qab no: triglycerides ntau dua 1.7 mmol / l; qhov taw qhia ntawm cov lipoproteins uas ntau ntom muaj tsawg dua 1.2 mmol hauv cov poj niam thiab tsawg dua 1,03 mmol / l hauv cov txiv neej; los yog qhov tseeb tsim ntawm kev kho mob ntawm dyslipidemia.
- Ua txhaum ntawm cov metabolism hauv cov metabolism. Qhov kab mob kev pov thawj no yog pov thawj qhov tseeb tias qhov ntshav siab ceev cov ntshav qab zib ntau dua li 5,6 mmol / l lossis kev siv tshuaj txo cov ntshav qab zib.
Kev kuaj mob
Yog tias cov tsos mob tsis meej thiab cov kab mob tseem tsis tau meej, tus kws kho mob sau ntawv yuav tshuaj xyuas ntxiv. Kev kuaj mob ntawm tus kab mob metabolic yog raws li nram no:
- ECG tshuaj xyuas;
- soj ntsuam ntshav siab txhua hnub;
- Ultrasound ntawm cov hlab ntshav thiab lub plawv;
- kev txiav txim siab ntawm cov ntshav lipids;
- kev txiav txim siab ntawm cov ntshav qab zib 2 teev tom qab noj mov;
- kawm txog lub raum thiab lub siab ua haujlwm.
Yuav kho li cas
Ua ntej tshaj plaws, tus neeg mob yuav tsum radically hloov nws txoj kev ua neej. Hauv qhov thib ob yog kev siv tshuaj kho.
Kev ua neej hloov yog:
- hloov pauv kev noj haus thiab kev noj haus;
- kev tsis kam nrog kev coj phem;
- ntxiv dag zog ua haujlwm nrog lub cev tsis ua haujlwm.
Yog tsis muaj cov kev cai no, kev kho tshuaj yuav tsis nqa cov txiaj ntsig pom.
Cov lus pom zoo ntawm khoom noj khoom haus
Kev noj zaub mov nruj heev thiab, tshwj xeeb tshaj yog, yoo mov nrog cov teeb meem metabolic tsis pom zoo. Lub cev hnyav yuav tsum maj mam maj mam (5 -10% nyob rau thawj xyoo). Yog tias qhov nyhav nyhav sai sai, nws yuav nyuaj heev rau tus neeg mob ua kom nws ntawm qib ua tiav. Poob Poob phaus, nyob rau hauv Feem ntau, rov qab los dua.
Hloov cov zaub mov yuav pab tau ntau dua thiab muaj txiaj ntsig:
- hloov cov tsiaj ua rog nrog cov rog zaub;
- qhov nce ntawm cov xov paj thiab nroj tsuag fiber ntau;
- txo ntsev noj kom tsawg.
Cov dej qab zib, cov khoom noj ceev, ncuav pastry, khob cij dawb yuav tsum muab cais tawm cov khoom noj. Cov zaub kua zaub yuav tsum muaj, thiab cov nqaij ntshiv ntawm cov nqaij nyug yog siv los ua cov nqaij. Nqaij qaib thiab ntses yuav tsum tau muab rhaub los yog hau.
Ntawm cov cereals, nws pom zoo kom siv cov buckwheat thiab oatmeal; mov, millet, thiab barley raug tso cai. Tab sis semolina xav tau los txwv los yog tshem tawm tag nrho. Koj tuaj yeem ua kom zoo glycemic Performance index ntawm cereals kom suav tseeb txhua yam.
Cov zaub xws li: beets, carrots, qos yaj ywm, cov khoom noj khoom haus tau qhia kom tsis txhob haus ntau tshaj 200 gr. ib hnub. Tab sis zucchini, radishes, zaub xas lav, zaub qhwv, tswb txob, dib thiab txiv lws suav tuaj yeem noj tau yam tsis muaj kev txwv. Cov zaub no yog cov nplua nuj hauv fiber ntau thiab yog li siv tau ntau.
Cov txiv hmab txiv ntoo thiab txiv hmab txiv ntoo tuaj yeem noj tau, tab sis tsis ntau tshaj 200-300 gr. ib hnub. Mis nyuj thiab cov khoom siv mis nyuj ua yuav tsum muaj cov ntsiab lus tsawg rog. Tsev cheese lossis kefir ib hnub tuaj yeem noj 1-2 tsom iav, tab sis roj muaj roj thiab qab zib yuav tsum tau noj qee zaus xwb.
Ntawm cov dej qab zib, koj tuaj yeem haus cov kas fes uas tsis muaj zog, tshuaj yej, kua txiv lws suav, kua txiv thiab kua txiv txiv qaub uas tsis muaj suab thaj thiab nyiam dua hauv tsev.
Dab tsi yuav tsum yog lub cev qoj ib ce
Kev tawm dag zog lub zog yog qhov pom zoo kom nce zuj zus. Nrog lub cev metabolic syndrome, xum yuav tsum tau muab rau kev khiav, taug kev, ua luam dej, ncaws pob. Nws yog ib qho tseem ceeb tias cov khoom siv thauj khoom yog li niaj zaus thiab cuam tshuam nrog tus neeg mob lub peev xwm.
Tshuaj kho mob nkeeg
Txhawm rau txhawm rau kho tus mob, koj yuav tsum tau tshem tawm cov kev rog, kev mob ntshav siab, kev cuam tshuam ntawm cov metabolism carbohydrate, dyslipidemia.
Niaj hnub no, kev mob siab ntsws metabolic tau kho nrog metformin, cov koob tshuaj uas raug xaiv thaum tswj cov theem ntawm cov piam thaj hauv cov ntshav. Feem ntau thaum pib kho, nws yog 500-850 mg.
Ua tib zoo mloog! Rau cov neeg laus, cov tshuaj yog kho nrog ceev faj, thiab hauv cov neeg mob uas muaj lub siab tsis ua haujlwm thiab lub raum tsis ua haujlwm, metformin yog contraindicated.
Feem ntau, cov tshuaj tau zoo rau, tab sis kev phiv nyob rau hauv txoj kev mob plab zom mov tseem muaj. Yog li, nws raug nquahu kom siv cov metformin tom qab noj mov lossis thaum nws.
Thaum muaj kev ua txhaum ntawm kev noj zaub mov noj lossis nrog kev siv ntau tshaj ntawm cov tshuaj, hypoglycemia tuaj yeem tsim kho. Cov tsos mob ntawm tus mob yog qhia los ntawm kev tshee thiab tsis muaj zog thoob plaws lub cev, ntxhov siab, qhov zoo nkaus li ntawm kev tshaib plab. Yog li, cov theem ntawm cov piam thaj hauv cov ntshav yuav tsum tau ua tib zoo saib xyuas.
Qhov tsim nyog, tus neeg mob yuav tsum muaj glucometer nyob hauv tsev, uas tso cai rau koj soj ntsuam cov ntshav qab zib kom qis hauv tsev, koj tuaj yeem siv Aychek glucometer, piv txwv.
Hauv kev kho kev rog, Orlistat (Xenical) niaj hnub nrov heev. Noj nws tsis ntau tshaj peb zaug hauv ib hnub, thaum tseem noj mov tseem ceeb.
Yog tias cov khoom noj hauv cov khoom noj tsis rog, koj tuaj yeem hla kev noj tshuaj. Cov nyhuv ntawm cov tshuaj yog ua raws li qhov txo qis hauv kev nqus ntawm cov rog hauv cov hnyuv. Vim li no, nrog kev nce hauv cov rog hauv cov zaub mov noj, qhov tsis zoo tshwm sim tuaj yeem tshwm sim:
- nquag xav npliag;
- ua tsis taus pa;
- oily ntws tawm los ntawm qhov quav.
Cov neeg mob nrog dyslipidemia, nrog qhov tsis muaj txiaj ntsig ntawm kev noj zaub mov ntev ntev, raug kho cov tshuaj lipid-txo cov tshuaj los ntawm cov pab pawg ntawm fibrates thiab statins. Cov tshuaj no muaj qee qhov kev txwv thiab muaj kev phiv loj heev. Yog li, tsuas yog tus kws kho mob uas tuaj koom thiaj yuav tsum tau sau ntawv rau lawv.
Cov tshuaj ntshav siab txo qis cov tshuaj siv hauv cov metabolic syndrome muaj cov tshuaj angiotensin hloov enzyme inhibitors (lisinopril, enalapril), imidosaline receptor agonists (moxonidine, rilmenidine), calcium channel blockers (amlodipine).
Kev xaiv ntawm txhua cov tshuaj yog nqa tawm ntawm tus kheej.
Muaj teeb meem tshwm sim ntawm tus kab mob
Nws twb tau hais los saum toj no lawm tias cov kev mob metabolic yog ib qho phom sij los tsim tus mob ntshav qab zib mellitus thiab kab mob plawv. Yog li ntawd, nws txoj kev tiv thaiv thiab kev kho yuav tsum tau muab tshwj xeeb.
