Metabolic maʻi pale

ʻO Metabolic Syndrome kahi inoa no kahi hui o nā mea pilikia e kū pū a hoʻonui i ka manawa kūpono e loaʻa ai nā maʻi coronary artery, hahau, a me ka maʻi diabetes type 2.

ʻO ka maʻi Metabolic ka mea maʻamau i United States. Ma kahi o ka hapahā o nā ʻAmelika i hoʻopilikia ʻia. ʻAʻole maopopo i nā kauka inā hoʻokahi kumu ke kumu o ka maʻi. Akā ʻo ka nui o nā pilikia no ka maʻi e pili ana i ka momona. Ua haʻi ʻia nā poʻe he nui me ka maʻi metabolic e loaʻa mua i ka maʻi diabetes, hypertension mua (ke koko kiʻekiʻe) a i ʻole hyperlipidemia haʻahaʻa (nā momona momona i ke koko).

ʻO nā kumuhana koʻikoʻi ʻelua no ka maʻi metabolic:

• ʻO ke kaona keu a puni ka waena a me nā ʻaoʻao luna o ke kino (ka momona nui). ʻO kēia ʻano o ke kino e wehewehe ʻia ma ke ʻano "apple-shaped."
• ʻO ke kūpaʻa ʻo Insulin - ʻO ka insulin ka hone i hana ʻia i ka pancreas. Pono ka insulin e kōkua i ke kaohi i ka nui o ke kō i ke koko. ʻO ke kūpaʻa insulin ka mea o kekahi mau pūnaewele i ke kino e hoʻohana ai i ka insulina ma mua o ka maʻamau. A ʻo kahi hopena, piʻi aʻe ke kō kō, e kumu ai e piʻi ai ka insulin. Hiki i kēia ke hoʻonui i ka nui o nā momona o ke kino.

ʻO nā kumu ʻē aʻe e pili pū me:

• ʻElemakule
• Nā Genes e hoʻonui iā ʻoe e hoʻomohala i kēia ʻano
• Hoʻololi i nā kāne, wahine, a me nā hormones koʻikoʻi
• Ka nele o ka hoʻoikaika kino

ʻO ka poʻe i loaʻa i ka maʻi metabolic pinepine i hoʻokahi a i ʻole nā ​​kumu ʻē aʻe e hoʻopili ʻia me ke ʻano, e like me:

• Hoʻonui i ka makaʻu no ke kāpili ʻana i ke koko
• Hoʻonui i nā pae o nā mea koko i hōʻailona o ka palahū ma loko o ke kino
• ʻO nā liʻiliʻi o kahi protein i kapa ʻia ʻo albumin i ka mimi

E nānā kāu mea mālama ola iā ʻoe. E nīnau ʻia ʻoe e pili ana i kou olakino holoʻokoʻa a me nā ʻōuli āu e loaʻa nei. Kauoha ʻia paha nā hoʻokolohua koko e nānā i kāu kō kō, a me ke kō, a me nā pae triglyceride.

E ʻike ʻia paha ʻoe me ka maʻi metabolic inā loaʻa iā ʻoe he ʻekolu a ʻoi paha o nā hōʻailona aʻe:

• Kūlike ke kiʻekiʻe o ke koko a i ʻoi aku paha ma mua o 130/85 mm Hg a i ʻole lawe ʻoe i ka lāʻau no ke kiʻekiʻe o ke koko
• ʻO ka hoʻokēʻai ʻana i ke kō kō (glucose) ma waena o 100 a 125 mg / dL (5.6 a 7 mmol / L) a i ʻole ua ʻike ʻia ʻoe a ke lawe nei ʻoe i nā lāʻau no ka maʻi kō.
• Ka pōʻai pūhaka nui (ʻo ka lōʻihi a puni ka pūhaka): No nā kāne, 40 ʻīniha (100 kenimika) a ʻoi aku paha; no nā wahine, 35 ʻīniha (90 kenimika) a ʻoi aʻe [no ka poʻe kūpuna ʻAsia 35 ʻīniha (90 cm) no nā kāne a 30 ʻīniha (80 cm) no nā wahine]
• Low HDL (maikaʻi) cholesterol: No nā kāne, ma lalo o 40 mg / dL (1 mmol / L); no nā wahine, ma lalo o 50 mg / dL (1.3 mmol / L) a i ʻole lawe ʻoe i ka lāʻau no ka hoʻoliʻiliʻi HDL
• ʻO nā pae hoʻokēʻai o nā triglycerides i like a i ʻoi aku paha ma mua o 150 mg / dL (1.7 mmol / L) a i ʻole lawe ʻoe i ka lāʻau i nā triglyceride haʻahaʻa

ʻO ka pahuhopu o ka mālama ʻana e hōʻemi i kou makaʻi no ka maʻi puʻuwai, hahau, a me ka maʻi kō.

Paipai kāu mea hāʻawi i nā loli nohona a lāʻau paha:

• Lilo kaupaona. ʻO ka pahuhopu ke nalo ma waena o 7% a me 10% o kāu kaumaha i kēia manawa. E ʻai paha ʻoe i ka 500 a i ka 1000 o ka liʻiliʻi o nā calorie i kēlā me kēia lā. Hiki i nā ʻano papaʻai like ʻole ke kōkua i ka poʻe e hoʻokō i kēia pahuhopu. ʻAʻohe meaʻai hoʻokahi 'ʻoi aku ka maikaʻi e lilo i ka kaumaha.
• E kiʻi i 150 mau minuke i ka hebedoma o ka hoʻoikaika kino e like me ka hele wāwae. Hana i nā hoʻoikaika kino e hoʻoikaika i kou mau mākala i 2 mau lā o ka pule. ʻO ka hoʻoikaika ikaika kiʻekiʻe no nā wā pōkole kahi koho ʻē aʻe. E hōʻoia me kāu mea lawelawe e ʻike inā pono ʻoe i ke olakino e hoʻomaka i kahi papahana hoʻoikaika kino hou.
• E hoʻohaʻahaʻa i kāu kolamu ma ka ʻai ʻana i nā meaʻai olakino, ka lilo ʻana o ka paona, ka hoʻoikaika kino ʻana, a me ka lawe ʻana i nā lāʻau hoʻohaʻahaʻa kolesterol, inā pono.
• E hoʻohaʻahaʻa i kou kaomi koko ma ka ʻai ʻana i ka paʻakai, ka lilo ʻana o ka paona, ka hoʻoikaika kino ʻana, a me ka lawe ʻana i ka lāʻau, inā pono.

E ʻōlelo paha kāu mea hāʻawi i ka aspirin haʻahaʻa i kēlā me kēia lā.

Inā puhi ʻoe, ʻo kēia ka manawa e haʻalele ai. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele. Aia nā lāʻau a me nā papahana i hiki ke kōkua iā ʻoe e haʻalele.

Loaʻa ka poʻe me ka maʻi metabolic i kahi manawa lōʻihi o ka hoʻomohala ʻana i nā maʻi puʻuwai, ʻano diabetes 2, hahau, maʻi ʻōpū, a me nā lako koko maikaʻi ʻole i nā wāwae.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona a i ʻole nā ​​hōʻailona o kēia ʻano.

Insulin resistence syndrome; Syndrome X

• Ana ana i ka ʻōpū o ka ʻōpū

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. E pili ana i ka maʻi metabolic. www.heart.org/en/health-topics/metabolic-syndrome/about-metabolic-syndrome. Hoʻohou i Iulai 31, 2016. Loaʻa iā ʻAukake 18, 2020.

Pūnaewele National Heart, Lung, a me Blood Institute. Metabolic maʻi pale. www.nhlbi.nih.gov/health-topics/metabolic-syndrome. Loaʻa iā ʻAukake 18, 2020.

Raynor HA, Champagne CM. ʻO ke kūlana o ka Academy of Nutrition and Dietetics: nā hana no ka mālama ʻana i ka momona a me ka momona i nā mākua. ʻO J Acad Nutr Diet. 2016; 116 (1): 129-147. PMID: 26718656 pubmed.ncbi.nlm.nih.gov/26718656/.

ʻO Ruderman NB, Shulman GI. Metabolic maʻi pale. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 43.