Kev mob ntshav siab ntsws: Kev kuaj mob thiab kho mob
Kev mob ntshav khov yog teeb ntawm qee yam hauv daim ntawv ntawm txoj kev mob thiab kab mob uas tuaj yeem ua rau kev txhim kho ntshav qab zib, mob stroke thiab kab mob plawv.
Cov kev mob ua ke muaj xws li: mob ntshav liab, tiv thaiv insulin, nce visceral rog pawg, hyperinsulinemia, uas ua rau muaj teeb meem ntawm lipid, carbohydrate thiab purine metabolism.
Lub hauv paus tseem ceeb ntawm tus mob no yog qhov tsis zoo ntawm lub neej muaj suab thaj thiab cov rog uas muaj cov khoom noj khoom haus ntau dhau thiab muaj qhov kev qoj ib ce tsawg.
Koj tuaj yeem nres kev txhim kho kev mob metabolic los ntawm kev hloov koj txoj kev ua neej.
Ua rau mob Metabolic Syndrome
Nyob rau tam sim no, nws tsis tau meej tsim seb cov tsos mob ntawm tus mob no yog vim muaj keeb lossis vim nws muaj kev txhim kho tsuas yog nyob hauv tus ntawm lwm yam.
Qee cov kws tshawb nrhiav ntseeg tias tus mob metabolic tshwm sim thaum ib tus neeg muaj ib lossis ntau lub noob sib txuas lus ib leeg muaj kev cuam tshuam rau txhua yam ntawm tus kab mob no, thaum lwm tus hais txog qhov tshwj xeeb ntawm cov kab mob sib txawv.
Qhov teeb meem ntawm lub luag haujlwm ntawm txoj kev muaj keeb kwm rau kev tshwm sim thiab kev txhim kho tom qab ntawm cov kab mob tshwm sim los ntawm cov teeb meem tshwm sim ntawm lub cev tsis tseem muaj kev to taub zoo.
Cov xwm txheej sab nraud los ua rau pom cov tsos mob hauv lub cev muaj xws li:
- Irrational thiab ntau dhau kev noj haus. Kev txuam nrog cov rog ntau hauv lub cev tshwm sim vim kev noj ntau dhau, suav nrog cov khoom muaj cov roj nyeem cov roj ntsha, qhov tshaj ntawm qhov ua rau cov kev hloov pauv hauv cov phospholipids ntawm lub qog ua cell thiab cuam tshuam hauv kev qhia txog cov noob muaj lub luag haujlwm rau insulin signaling mus rau ntawm tes,
- Txo kev qoj ib ce. Hypodynamia ua rau kev qeeb hauv lipolysis thiab kev siv ntawm triglycerides hauv adipose thiab cov leeg nqaij, qhov txo qis ntawm kev hloov pauv hauv cov leeg nqaij ntawm cov piam thaj, uas ua rau kev txhim kho ntawm insulin tsis kam,
- Arterial tawg. Feem ntau cov feem ntau, qhov xwm txheej no yog qhov tseem ceeb hauv kev txhim kho cov kab mob metabolic. Kev tswj tsis tau thiab lub caij ntev ntawm cov hlab ntsha ua rau qhov kev ua txhaum ntawm cov ntshav ncig, txo qis ntawm cov nqaij insulin tsis kam,
- Obstructive Sleep Apnea Syndrome. Lub ntsiab tseem ceeb hauv kev tsim cov mob no yog kev rog dhau thiab lwm yam kev tsis txaus siab ua rau lub ntsws ua pa.
Cov tsos mob ntawm tus mob metabolic
Cov tsos mob tseem ceeb ntawm cov kev mob metabolic yog:
- Kev rog rog yog ib hom kev rog nyob rau hauv uas muaj deposition adipose ntaub so ntswg hauv plab. Kev rog rog (hauv Tebchaws Europe) tau hais tias thaum lub duav loj npaum li cas ntawm tus poj niam siab tshaj 80 cm, rau tus txiv neej ntev dua 94 cm,
- Arterial tawg. Arterial hypertension tau hais tias yog thaum theem ntawm systolic ntshav siab ntau dua 130 hli. Hg. Art., Thiab diastolic - ntau dua 85 hli. Hg, zoo li thaum ib tus neeg tab tom noj tshuaj antihypertensive,
- Kev ua txhaum ntawm cov metabolism hauv cov metabolism. Qhov pom ntawm tus mob no yog qhia yog tias cov piam thaj hauv ntshav siab tshaj 5,6 mmol / l, lossis thaum tus neeg mob siv tshuaj txo cov ntshav qab zib,
- Tsis hnov qab lipid metabolism. Txhawm rau kom paub tseeb tias qhov kev ua txhaum no tshwm sim, qib roj cholesterol ntawm lipoproteins siab thiab triacylglycerides raug txiav txim siab. Yog tias theem ntawm triacylglyceride ntau dua 1.7 mmol / L, thiab lipoproteins qis dua 1.03 mmol / L (hauv cov txiv neej) thiab qis dua 1.2 mmol / L (hauv cov poj niam), lossis dyslipidemia twb tau kho, ces lipid metabolism yog cuam tshuam hauv lub cev.
Kev kuaj mob ntawm tus kab mob metabolic
Cov kev tshawb fawb hauv qab no yog ua los kuaj cov tsos mob ntawm tus kab mob metabolic:
- Kev kuaj ntshav ntawm cov hlab ntsha thiab lub plawv,
- Kev soj ntsuam ntshav siab txhua hnub,
- Electrocardiography
- Kev txiav txim siab ntawm cov lipids thiab cov piam thaj hauv cov ntshav,
- Kev tshawb fawb ntawm lub raum thiab mob siab ua haujlwm.
Cov ntaub ntawv dav dav
Kev mob ntshav siab (Syndrome X) yog kab mob comorbid uas suav nrog ntau cov pathologies tib lub sijhawm: mob ntshav qab zib mellitus, mob ntshav nce hlwb, rog rog, mob plawv. Lub sijhawm "Syndrome X" tau tshwm sim thawj zaug thaum xaus ntawm lub xyoo pua 20th los ntawm American tus kws tshawb fawb Gerald Riven. Qhov ntau ntawm cov kabmob muaj li ntawm 20 txog 40%. Tus kab mob feem ntau cuam tshuam rau cov neeg hnub nyoog 35 mus rau 65 xyoo, feem ntau yog cov neeg mob txiv neej. Rau cov poj niam, qhov kev pheej hmoo ntawm tus mob tom qab lawm lub cev nce 5 zaug. 25 xyoos dhau los, cov menyuam yaus ntawm qhov tsis zoo no tau nce mus rau 7% thiab tseem nce ntxiv.
Teeb meem
Kev mob ntshav txhaws ua rau cov ntshav siab heev, atherosclerosis ntawm cov hlab ntshav hlab ntsha thiab cov hlab ntshav ntawm lub paj hlwb thiab, vim li ntawd, mob plawv thiab mob stroke. Lub xeev ntawm insulin tsis kam ua rau kev loj hlob ntawm hom 2 mob ntshav qab zib mellitus thiab nws cov teeb meem - retinopathy thiab ntshav qab zib nephropathy. Hauv cov txiv neej, cov tsos mob nyuaj ua rau muaj qhov ua kom tsis muaj zog thiab ua kom lub cev tsis muaj zog. Rau cov poj niam, mob ntsws X yog qhov ua rau mob polycystic ovary, endometriosis, thiab txo qis hauv libido. Hauv lub hnub nyoog yug me nyuam, ib lub hnub coj khaub ncaws thiab kev txhim kho ntxiv lawm tshob muaj peev xwm ua tau.
Kev Kho Mob Metabolic
Kev Kho Mob Ntawm Tus Mob X koom nrog txoj kev kho mob tsom rau kev ua kom lub cev yuag, ntshav tsis txaus, ntsuas lub zog thiab cov tshuaj hormones.
- Fais fab tuag hom. Cov neeg mob yuav tsum tsis suav cov zaub mov uas tsis yooj yim (cov ncuav qab zib, khoom qab zib, dej qab zib), cov zaub mov ceev, cov kaus poom zaub mov, txwv cov ntsev thiab nplej zom kom tsawg. Cov zaub mov noj txhua hnub yuav tsum muaj cov zaub tshiab, txiv hmab txiv ntoo raws caij nyoog, zaub mov, nqaij rog uas muaj roj tsawg thiab ntau yam ntses. Cov zaub mov yuav tsum tau noj 5-6 zaug nyob rau ib hnub hauv feem me, ntxo kom huv thiab tsis txhob haus cov dej haus. Los ntawm cov dej qab zib nws yog qhov zoo dua los xaiv cov tsis muaj qab zib ntsuab lossis dej tshuaj yej dawb, haus cov txiv hmab txiv ntoo thiab kev sib piv tsis muaj qhov qab zib ntxiv.
- Lub cev qoj ib ceCov. Thaum tsis muaj contraindications los ntawm kev musculoskeletal system, dhia ua luam dej, ua luam dej, Nordic taug kev, Pilates thiab aerobics raug pom zoo. Kev tawm dag zog lub cev yuav tsum tsis tu ncua, tsawg kawg 2-3 zaug hauv ib lub lim tiam. Kev tawm dag zog thaum sawv ntxov, taug kev txhua hnub hauv tiaj ua si lossis hav zoov txoj siv yog siv tau.
- Siv tshuaj khoCov. Cov tshuaj kho mob raug kho rau kev rog, txo cov ntshav siab, thiab cov metabolism hauv cov rog rog thiab carbohydrates li qub. Thaum muaj qhov ua tsis taus cov ntshav qabzib, kev npaj tshuaj metformin yog siv. Kev kho ntawm dyslipidemia nrog kev tsis muaj txiaj ntsig ntawm kev noj haus yog nqa tawm los ntawm statins. Rau kev kub siab, ACE inhibitors, calcium channel blockers, diuretics, beta-blockers yog siv. Txhawm rau qhov hnyav, cov tshuaj tau hais tias txo qhov nqus ntawm cov rog hauv txoj hnyuv.
Kev twv ua ntej thiab Kev Tiv Thaiv
Nrog kev kuaj mob kom raws sij hawm thiab kev kho mob ntawm tus kab mob metabolic, qhov pom tias mob tau yog qhov zoo. Kev tshawb txog kab mob lig thiab ncua sijhawm tsis kho ntau yam ua rau muaj mob hnyav los ntawm lub raum thiab cov hlab plawv. Kev tiv thaiv ntawm tus mob suav nrog kev noj zaub mov zoo, kev tsis lees paub tus cwj pwm tsis zoo, kev tawm dag zog tas li. Nws yog ib qho tsim nyog los tswj tsis tsuas qhov hnyav, tab sis kuj qhia txog qhov ntsuas ntawm daim duab (duav ib ncig). Nyob rau ntawm qhov muaj tus kab mob endocrine concomitant (hypothyroidism, ntshav qab zib mellitus), soj qab taug qab los ntawm tus kws tshuaj endocrinologist thiab kawm txog qib hormonal pom zoo.
Kev Kho Mob: lub luag haujlwm ntawm tus kws kho mob thiab tus neeg mob nws tus kheej
Lub hom phiaj ntawm kev kho mob metabolic syndrome yog:
- poob phaus mus rau theem ib txwm, los yog tsawg kawg nres 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.
Tam sim no tsis yooj yim sua kom kho tau 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. 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 hwm koj cov kev mob rog metabolic.
Cov kev ntsuas ntxiv rau kev kho mob ntawm tus kab mob metabolic:
- kev ua kom lub cev ntau ntxiv - qhov no txhim kho cov nqaij mos rhiab rau insulin,
- txiav kev haus luam yeeb thiab haus cawv ntau dhau,
- kev ntsuas kev ntsuas ntshav siab thiab kev kho ntshav siab, yog tias nws tshwm sim,
- ntsuas ntsuas cov roj "zoo" thiab "tsis zoo" 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.
Yuav luag txhua tus neeg uas tau txheeb pom tias kev mob tshwm sim hauv lub cev yog qhov pab tau zoo los ntawm kev txwv cov zaub mov hauv lawv lub cev. Thaum ib tus neeg hloov mus rau kev noj haus nrog cov zaub mov tsis muaj rog, peb tuaj yeem cia siab tias nws muaj:
- theem ntawm triglycerides thiab roj (cholesterol) hauv cov ntshav normalizes,
- txo cov ntshav siab
- nws yuav poob phaus.
Noj Zaub Mov Kom Tau Tsawg Carbohydrate Rau Qhov No
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 cholesterol thiab roj triglycerides li qub hauv cov ntshav
Hauv cov kab mob metabolic syndrome, cov neeg mob feem ntau muaj cov ntshav tsis zoo rau cov roj (cholesterol) thiab triglycerides. Muaj cov roj cholesterol "zoo" hauv cov ntshav, thiab "tsis zoo", ntawm qhov tsis tooj, nce ntxiv. 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 xwb ncig lub kaum. Kev kuaj ntshav rau cov roj (cholesterol) thiab triglycerides yog 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 txhawm rau txhim kho cov roj cholesterol thiab triglyceride kuaj ntshav, cov kws kho mob feem ntau sau ntawv qhia cov zaub mov tsis muaj calorie thiab / lossis 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 noj 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 uas tsis muaj calorie feem 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 tsis muaj roj "tshaib plab" yog overloaded nrog carbohydrates. 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 ncig lub 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 ntxiv. Nco ntsoov tias kev noj zaub mov kom tsawg-carbohydrate yeej pab! Nyob rau tib lub sijhawm, nws normalizes ntshav siab. Nov yog kev tiv thaiv lub plawv thiab mob stroke tiag, thiab tsis muaj qhov tshaib plab tsis paub ntau yam. 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.
Tshawb Tau
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Dab tsi yog ib qho cim qhia ntawm kev mob metabolic:
- Senile dementia
- Rog rog hepatosis (rog dhau ntawm lub siab)
- Ua tsis taus pa thaum taug kev
- Mob pob qij txha
- Tawg (ntshav siab)
Ntawm tag nrho cov saum toj no, tsuas yog tawg yog qhov cim ntawm kev mob ntawm metabolic. Yog tias ib tus neeg muaj cov kab mob rog hepatosis, yog li nws yuav muaj qhov mob metabolic syndrome lossis hom 2 mob ntshav qab zib. Txawm li cas los xij, kev mob siab rog yog kev tsis lees paub tias yog tus cim ntawm MS.
Ntawm tag nrho cov saum toj no, tsuas yog tawg yog qhov cim ntawm kev mob ntawm metabolic. Yog tias ib tus neeg muaj cov kab mob rog hepatosis, yog li nws yuav muaj qhov mob metabolic syndrome lossis hom 2 mob ntshav qab zib. Txawm li cas los xij, kev mob siab rog yog kev tsis lees paub tias yog tus cim ntawm MS.
Kev ntsuas mob metabolic tau kuaj tau li cas nrog kev kuaj ntshav?
- Cov Cholesterol Zoo (HDL) Hauv Cov Txiv Neej
- Tag nrho cov roj (cholesterol) siab tshaj 6.5 mmol / L
- Cov roj ntsha hauv cov ntshav tsis zoo "4-5 mmol / l."
Cov kev cai rau kev kuaj ntshav kuaj mob tsuas yog txo cov "roj" zoo.
Cov kev cai rau kev kuaj ntshav kuaj mob tsuas yog txo cov "roj" zoo.
Kev kuaj ntshav dab tsi yuav tsum tau ua los ntsuas qhov pheej hmoo ntawm lub plawv nres?
- Fibrinogen
- Homocysteine
- Lipid vaj huam sib luag (feem ntau, "tsis zoo" thiab cov "roj" zoo, triglycerides)
- C-nti protein
- Lipoprotein (a)
- Cov thyroid hormones (tshwj xeeb tshaj yog cov poj niam tshaj 35)
- Tag nrho cov npe ntsuam xyuas
Dab tsi normalizes qib triglycerides hauv cov ntshav?
- Noj cov rog rog
- Ua kis las
- Kev noj zaub mov kom tsawg
- Tag nrho cov saum toj no tsuas yog noj zaub mov "tsis muaj roj"
Cov kev kho mob tseem ceeb yog noj zaub mov kom tsis tshua muaj ntsev. Kev tawm dag zog lub cev tsis pab ua kom cov qeb ntawm triglycerides hauv cov ntshav, tshwj tsis yog cov kws ncaws pob tshaj lij uas cob qhia 4-6 teev nyob rau ib hnub.
Cov kev kho mob tseem ceeb yog noj zaub mov kom tsis tshua muaj ntsev. Kev tawm dag zog lub cev tsis pab ua kom cov qeb ntawm triglycerides hauv cov ntshav, tshwj tsis yog cov kws ncaws pob tshaj lij uas cob qhia 4-6 teev nyob rau ib hnub.
Cov tshuaj phiv los sis tshuaj statin tshwm sim yog dab tsi?
- Txhawb kev ploj tuag los ntawm kev sib tsoo, tsheb sib tsoo
- Coenzyme Q10 tsis muaj peev xwm, vim qhov ntawd ua kom nkees, qaug zog, mob nkees
- Kev ntxhov siab, nco qab tsis meej, hloov pauv mus ob peb vas
- Potency tsis meej rau cov txiv neej
- Daim tawv nqaij ua pob (ua xua)
- Xeev siab, ntuav, raws plab, cem quav, lwm yam kev mob plab zom mov
- Tag nrho cov saum no
Qhov txiaj ntsig zoo ntawm kev noj statins yog dab tsi?
- Kev zais hluav taws xob tsawg dua, uas txo txoj kev pheej hmoo ntawm lub plawv
- Cov ntshav siab nyob hauv cov ntshav tau qis qis rau cov neeg uas nce siab vim yog kev mob caj ces thiab tsis tuaj yeem yoog tau los ntawm kev noj haus.
- Cov nyiaj txiag zoo ntawm cov tuam txhab tshuaj thiab cov kws kho mob txhim kho
- Tag nrho cov saum no
Txoj kev nyab xeeb dab tsi dua rau cov statins?
- Ntses noj roj ntses ntau ntxiv
- Kev noj zaub mov kom tsawg
- Kev noj zaub mov nrog kev txwv kev noj haus cov rog thiab calories ntau
- Noj qe qe thiab butter kom cov roj ("zoo") (yog!)
- Kev kho hniav caries kho kom txo qis qhov mob
- Txhua yam saum toj no, tsuas yog noj zaub mov "tshaib plab" nrog kev txwv txiav cov rog thiab calories
Cov tshuaj dab tsi pab nrog cov tshuaj insulin - qhov tseem ceeb ua rau muaj kev mob siab ntawm metabolic?
- Metformin (Siofor, Glucofage)
- Sibutramine (Reduxin)
- Phentermine Cov Tshuaj Ntsiav Tshuaj Noj
Koj tsuas tuaj yeem noj cov tshuaj metformin raws li koj tus kws kho mob hais. Cov so ntawm cov tshuaj uas teev tau pab kom poob phaus, tab sis ua rau muaj kev mob tshwm sim ntau, ua kom muaj kev noj qab haus huv. Muaj ntau cov sij hawm muaj kev raug mob ntau dua los ntawm lawv zoo dua.
Koj tsuas tuaj yeem noj cov tshuaj metformin raws li koj tus kws kho mob hais. Cov so ntawm cov tshuaj uas teev tau pab kom poob phaus, tab sis ua rau muaj kev mob tshwm sim ntau, ua kom muaj kev noj qab haus huv. Muaj ntau cov sij hawm muaj kev raug mob ntau dua los ntawm lawv zoo 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 zaub mov tsis muaj mob. 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 taus kev tshaib nqhis dej nkaus xwb hauv cov chaw kho mob hauv tsev kho mob, hauv qab kev tswj hwm ntawm tus kws kho mob tas li.
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, tsis txhob siv cov khoom noj carbohydrates, qhov tseem ceeb yog hais txog cov khoom noj muaj protein ntau, cov rog rog thiab fiber.
Kev noj zaub mov kom tsis muaj roj-ntau carbohydrate yog hearty thiab qab. Yog li, 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 kev noj haus ntawm lub cev metabolic syndrome, txawm hais tias kom tsawg los 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".
Kuv tau txais kev kuaj ntshav qab zib rau 43g 5.5 hauv ib hlis ntawm lub plab khoob los ntawm kuv tus ntiv tes 6.1 hauv ib lim tiam 5.7 nws txhais li cas thiab yuav ua li cas
> nws txhais li cas thiab ua li cas
Nyob zoo Koj puas xav tias Ducan noj tau zoo rau kev kho tus mob metabolic syndrome?
Kuv tseem tsis ntseeg tias koj tuaj yeem ua tau ib hnub ib lub lim tiam, thiab yuav tsis muaj dab tsi rau nws. Txawm hais tias lub tswv yim no tau lees paub los ntawm lwm tus neeg tau txais kev pom zoo, tsuas yog Ducane. Tab sis kuv ntshai mus soj ntsuam ntawm kuv tus kheej. Kuv noj cov zaub mov uas tsis muaj carb ntau 7 hnub hauv ib as thiv.
Yuav ua li cas txog taurine? Cov tshuaj no puas tau txais txiaj ntsig zoo rau lub txiaj ntsig metabolic?
Yog lawm, taurine nce rhiab heev ntawm cov ntaub so ntswg mus rau insulin, txo qis ntshav siab. Nws yog qhov zoo rau nws coj.
Nyob zoo Puas yog nws ua tau kom noj taurine lossis lwm yam tshuaj noj pab nrog metformin? Puas yog metformin sau kom raug yog tias koj yuav tsum haus nws ob zaug ib hnub - thaum sawv ntxov tom qab noj tshais thiab yav tsaus ntuj tom qab noj hmo?
Puas yog nws tuaj yeem noj taurine lossis lwm yam tshuaj noj pab ntxiv
Yog tias koj muaj mob metabolic syndrome, tom qab kawm cov kab lus no thiab ua nws hais. Xws li, noj tshuaj pab.
Yog Metformin Raug Hloov Kho
Nws raug nquahu kom noj cov tshuaj metformin tsis yog ua ntej thiab tom qab khoom noj, tab sis nrog zaub mov. Qhov koob tshuaj txhua hnub tuaj yeem faib ua 2 lossis 3 koob tshuaj, nyob ntawm seb noj ntau npaum li cas.
Kuv xav tau ib co lus qhia. Cov piam thaj rov qab coj los noj nrog kev noj zaub mov kom tsawg hauv lub cev, tab sis qhov hnyav ... Kuv nyeem, nyeem thiab kuv tsis nkag siab txhua yam - kuv puas yuav tsum pib noj ntshav qabzib dua? Qhov siab 158 cm, hnyav 85 kg, hnub nyoog 55 xyoos.
Kuv puas yuav tsum pib noj cov piam thaj dua?
tej zaum nws yuav tsis mob
Kawm cov tsos mob ntawm cov thyroid hormones txaus, kuaj ntshav rau cov tshuaj hormones no, tshwj xeeb yog T3 pub dawb. Yog tias hypothyroidism paub tseeb, kho nws.
Hmoov tsis zoo, cov ntaub ntawv muaj txiaj ntsig zoo tiag txog cov teeb meem no - kom deb li deb lus Askiv xwb.
Nyob zoo, Kuv tau kuaj pom tus mob ntshav qab zib hom 2 peb lub hlis dhau los, txawm hais tias kuv muaj kev ua xyem xyav txog qhov tsis tseeb ntawm kev kuaj mob, kuv ua raws li kev noj zaub mov qis, yoo qab zib yog 4.6-4.8, tom qab noj 5.5- rau 6. Kuv puas yuav tsum tau noj tshuaj metformin? Qhov siab yog 168 cm, hnyav yog 62, yog 67 kg.
Nyob zoo os
Tus txiv (40 xyoo, 192 cm / 90 kg, duav 95 cm) tau txais qhov kev xeem no:
Ntshav triglycerides 2.7 mmol / L
HDL roj 0.78
LDL cov roj cholesterol 2.18
Glycated hemoglobin 5.6% (HbA1c 37.71 mmol / mol)
Kev yoo mov cov piam thaj 5.6 mmol
Qhov kev ncua deb yog feem ntau siab, 130/85 hli Hg
Qhov no puas tuaj yeem suav tias yog cov tsos mob metabolic?
Tus kws kho mob, tsis tau ceeb toom txog kev pheej hmoo, qhia kom noj cereals thiab ua cov nyiaj carbohydrates ua ke ....
P.S. Tag nrho tsev neeg tau pib ua raws li cov khoom noj muaj carb qis.
Nyob zoo Kuv tsis muaj ntshav qab zib tau, tab sis tus kab mob metabolic tau pom los ntawm kev tshawb nrhiav ntev ntev rau tus kws kho mob uas paub txog nws. Kuv lees txais Glucofage ntev 2000, qab zib thaum sawv ntxov 5.4-5.8. Muaj ib qho kev kawm luv luv thiab tau txais txiaj ntsig zoo nrog kev noj zaub mov kom tsawg-carb ntau txog 3 lub hlis dhau los. Tom qab ntawd yuav luag ob lub hlis nws tsis tuaj yeem npaj tsim. Tam sim no muaj lub zog thiab sijhawm. Ob hnub pib. Muaj kiv taub hau thiab tsis muaj zog, tab sis kuv paub yuav ua li cas nrog lawv. Thiab cov dej zom zaws yog qhov ceeb thiab tsis txaus siab heev. Kuv tsis 100% paub tseeb tias qhov no sib cuam tshuam. Kuv xav hais meej: kev mob plab zom mov tuaj yeem hloov mus rau cov zaub mov muaj cov zaub mov tsis zoo? (Feem ntau lawv sau txog qhov tshwm sim los tiv thaiv kev noj zaub mov tsis zoo tuaj yeem ua rau muaj tus mob ua tsis taus pa thiab cholecystitis cuam tshuam rau nws (feem ntau tsis muaj dab tsi thab kuv, qhov no yog ua los ntawm ultrasound thiab tsom xam))? Yog tias qhov no yog qhov tshwm sim ntawm kev hloov pauv ntawm kev noj zaub mov, yog li koj tuaj yeem kho cov xwm txheej li cas los ntawm kev noj zaub mov ntawm cov zaub mov qis, tab sis tsis muaj qhov ua rau lub plab zom mov? Ua tsaug rau koj
Nyob zoo Sergey! Ua tsaug rau koj rau mloog! Kuv yog 57 xyoo, qhov siab 168cm, qhov hnyav 103kg. Kuv noj L-thyroxine (autoimmune thyroiditis), leeg mob hlab ntsha, lub plab zom mov, tshem tawm lub zais zis thiab qhov mob tsis zoo tshaj plaws - qhov tseem ceeb ntawm thrombocytopenia, tej zaum tseem kub siab (tab sis kuv tsis tshua ntsuas ntshav thiab tsis mus cuag kws kho mob. Thaum kuv ntsuas, qee zaum 160 / 100) .Teem - qhov koj xav tau!
Ob peb xyoos dhau los, qab zib pib nce. Tam sim no: piam thaj-6.17-6.0, glycated hemoglobin-6.15, c-peptide-2.63, cholesterol-5.81, LPVSC-1.38,
LDL-3.82, coefficient ntawm aerogenicity-3.21, homocysteine-9.54, triglycerides-1.02, c-reactive protein-1, platelets-635 (kab mob ntshav).
Ob lub lis piam dhau los, Kuv tau tuaj rau koj lub xaib thiab qee qhov kuv ntshai thaum kuv nyeem. Kuv tsis tau ntsuas kuv qhov hnyav ... Txawm hais tias 6 lub hlis dhau los kuv hnyav txog 113 kg thiab txiav txim siab saib xyuas kuv li kev noj qab haus huv. Kuv tau tshaib plab ib zaug ib lub lim tiam, ( Koj xav li cas txog ib hnub tshaib plab ib asthiv? Kuv xav xav txuas ntxiv) Kuv pib qoj ib ce thaum sawv ntxov, noj mov tsawg dua, Kuv tsis tau noj tom qab 6 teev tsaus ntuj. Qhov txiaj ntsig ntawm "-10 kg."
Ob lub lis piam dhau los kuv tau pib ua raws li cov zaub mov tsis muaj carbohydrate tsawg, Kuv haus Magne B6 4 ntsiav tshuaj ib hnub (qhov siab poob qis-110-115 / 70. Thaum kuv haus 6 ntsiav tshuaj, nws yog 90/60) Kuv ntsuas qhov ntsuas, tab sis kuv tsis tau ntsuas kuv lub cuab yeej. Cov ntsuas yog dhia, koj yuav tsum tau ua ib daim tshev.
Nrog zaub mov noj, txhua yam yog qhov nyuaj heev - Kuv tsis nyiam nqaij! Kuv lub plab mob txawm tias los ntawm dej, zaub los kuj ua rau mob mob, Kuv noj ntses, tab sis koj yuav tsis noj cov ntses no 3 zaug ib hnub! Kuv noj qe, asparagus taum rau 2 lub lis piam Kuv noj ntau dua rau tag nrho kuv lub neej ... Kuv xav noj txhua lub sijhawm thiab kuv xav tau ib yam dab tsi sov, mos thiab voluminous ... Kuv pib noj cov tsev cheese nrog qaub cream 2 zaug hauv ib lub lis piam (Kuv ua nws tus kheej los ntawm kefir). qab zib, txhais tau hais tias tsis loj hlob ... Nws siv 2kg, nrhiav rau Xyoo Tshiab. Qhov no yog qhov pib. Nrog hom khoom noj khoom haus zoo li no, kuv tuaj yeem sawv tsis tau ntev ntev vim tias mob hauv kuv lub plab ...
Kuv xav nug koj, tej zaum koj tau muab cov lus teb no, tab sis kuv tsis tau nyeem tag nrho koj cov lus. Koj tau mob ntshav qab zib, rog, ntshav qab zib. Koj tswj tau rov qab mus rau txhua yam. Tom qab tag nrho, koj tuaj yeem ua lub neej noj qab haus huv, saib xyuas koj qhov hnyav, noj zaub mov ib txwm ...
Zoo thaum tav su. Kuv muaj lus nug, lossis qhov koj xav tau kuv nyiam. Kuv muaj 31 xyoo, qhov siab-164 cm, hnyav-87 kg, ib lub hlis dhau los Kuv tau kuaj pom tus mob metabolic syndrome, tus kws kho mob endocrinologist tau qhia txog kev noj zaub mov kom tsawg thiab muaj mis metformin 2 zaug 850 mg. Kuv nyiam. Kuv tsuas yog pom qhov tshwm sim ntawm kev ntsuam xyuas, tam sim hloov mus rau kev noj zaub mov kom tsawg cov zaub mov uas koj pom zoo, Metformin tau pib noj tiag tiag. Cov txiaj ntsig tau pom zoo, qhov hnyav dua li 7 kg, piam thaj tsis hla tom qab noj mov. Tab sis qhov kev kho no txhawj heev rau kuv niam, kuv txiv tuag thaum lub caij sov 2017 oncology, yog li niam thiaj paub tseeb tias nws tus kab mob Lub tswv yim tau npau taws los ntawm Kremlin kev noj haus (noj zaub mov ntev ntev raws li nws cov cai, ntau tshaj li ib xyoo), vim nws yog los ntawm cov khoom noj. Thiab sai li sai tau thaum nws hnov tias kuv yuav tawm mus rau kev noj zaub mov kom muaj cov zaub mov kom tsawg rau kuv lub neej feem ntau, nws yuav luag muaj lub cev tsis zoo. Koj xav tias nws qhov kev tshawb xav muaj tseeb li cas? Tej zaum qhia rau kuv qhov twg mus pom qhov kev tshawb fawb txog qhov teeb meem no.
Cov ntawv xov xwm zoo heev .. Ua tsaug rau koj cov ntaub ntawv tshiab .. Nws raug nquahu kom luam tawm cov ntawv zoo li no ntau zaus. Yog tias muaj ib tsab xov xwm tsis txaus cov thyroid hormones hauv hypothyroidism thiab kev kho mob ntawm hypothyroidism, thov sau nws. Cov kev sim dab tsi yuav tsum ua nrog hypothyroidism kom paub meej tias qhov mob no /
Qhov txawv ntawm Diabeton MR thiab Diabeton B Dab Tsi? Siv sijhawm ntau dua 8 xyoo, kuv puas yuav tsum tau hloov pauv? Nws zoo nkaus li kuv tsim nyog? Qab Zib 7.8 mmol / L
Kev tiv thaiv tus mob Metabolic
Txhawm rau tiv thaiv kev txhim kho ntawm cov kab mob metabolic, nws yog ib qho tsim nyog yuav tsum tso tseg kev noj cov zaub mov muaj roj ntau ntau, qab zib. Kev ntsuas lub cev qhov ntau yuav tsum ceev ceev ntawm 18.5-25.
Ntawm qhov tseem ceeb tshaj plaws kuj yog kev tawm dag zog. Tsawg kawg 10,000 kauj ruam yuav tsum tau ua nyob rau hauv ib hnub.
Yog li, cov kev mob metabolic tsis yog tus kab mob ntawm tus kheej, tab sis teeb tsa ntawm cov tsos mob pathological, uas dhau sijhawm tuaj yeem ua rau txoj kev txhim kho cov hlab plawv mob ntshav qab zib thiab ntshav qab zib mellitus. Txhawm rau tiv thaiv qhov no, nws yog ib qho tsim nyog yuav tsum ua kom ntsuas lub sijhawm kom tiv thaiv thiab kho mob.