Umzimba Syndrome Kwabesifazane: Izimbangela Nezingozi Ukwelashwa

Omunye zokugula ezivamile futhi iyingozi kumuntu yesimanje manje kubhekwe lo syndrome umzimba. Lokhu isimo odokotela musa ezihlobene nezifo ezithile, kodwa kunalokho inhlanganisela izifo eziningi ezinkulu umzimba kanye uhlelo senhliziyo nemithambo yegazi. I zokugula kuvamile Amadoda asekhulile phakathi ikakhulukazi, kodwa sekuphele iminyaka engu-50 landile syndrome umzimba kwabesifazane. Lokhu kungenxa ukwehla zokukhiqiza i-estrogen sikhathi. Eminyakeni yamuva, i-pathology isiba kwande, cishe ingxenye yesine yabantu bakhona lamazwe ophucukile uhlushwa umzimba syndrome. Yashaya wayebukeka ingane. Lokhu kungenxa kokuzivivinya yokuphila futhi carbohydrate okuvamile kubantu abaningi.

syndrome umzimba kwabesifazane: kuyini

Lokhu zokugula akusona isifo ehlukile. By syndrome umzimba zihlanganisa inhlanganisela izifo ezine sina:

• thayipha sikashukela 2;
• nomfutho wegazi ophezulu;
• isifo senhliziyo,
• ukukhuluphala.

Zonke lezi zifo mabi ngokwako, kodwa ndawonye ziba yingozi nakakhulu. Ngakho-ke, odokotela shayela umzimba syndrome "quartet esibulalayo". Ngaphandle kokwelashwa eyanele, i-pathology ngokuvamile kuholela sengozini yokuthola izifo ngisho nokufa imbala. Ngakho-ke kubaluleke kakhulu ekuhlonzweni ngesikhathi esifanele syndrome umzimba kwabesifazane. Kuyini kwaziwe ikakhulukazi izintokazi e nambili kuya kwabadala. Futhi abesifazane abaningi sizihlanganise ukucobeka yabo esicongweni. Ngakho-ke, udokotela iphathwa kakade emabangeni ngasekupheleni yesifo, lapho kukhona izinguquko uhlelo senhliziyo nemithambo yegazi. Kodwa ngosizo ukwelashwa abanekhono namanje kungenzeka ukuba anqande Ukulandelana iziyaluyalu sinempilo. Nakuba kunenkolelo ukuthi zokugula akwelapheki ngokuphelele.

syndrome umzimba kwabesifazane: incazelo

Lokhu iqoqo izinguquko esimeni sempilo lihlotshaniswa kahle umzimba izinqubo. Lowo oyinhloko - ukuthuthukiswa insensitivity insulin amaseli. Ngenxa yalokho kwale hormone kungaqali umsebenzi, kanye glucose akuyona amuncwa izicubu. Lokhu kuholela izinguquko sokugembula kuzo zonke izitho, ikakhulukazi ubuchopho uyahlabeka.

Umsebenzi oyinhloko we-insulin - sethula indlela zithutha glucose iseli. Kodwa uma la mangqamuzana ezazihilelekile kulesi, akuzona nozwelo le hormone, inqubo siphukile. Ngenxa yalokho, i-glucose akuyona amuncwa umzimba, insulini ngaphezulu ikhiqizwa futhi buthelela egazini.

Ngaphezu kwalokho, syndrome umzimba kwabesifazane libhekene ukwanda ezingeni "elimazayo 'cholesterol ne-triglyceride ngenxa iziyaluyalu lipid umzimba. Kukhona isamba ngokweqile uric acid kanye nesizinda hormone. Ngenxa yalezi zinguquko, kukhuphuke blood pressure, kukhona ukukhuluphala, kahle inhliziyo umsebenzi.

Zonke lezi zinguquko ukuthuthukisa emzimbeni kancane kancane. Ngakho-ke akuyona ngokushesha ngangokunokwenzeka ukuxilonga syndrome umzimba kwabesifazane. Izimpawu ke atholakala lapho izinguquko ezithinta nokusebenza kwezitho eziningi. Kodwa okokuqala, ngenxa imikhuba yokudla emibi futhi zokuphila sedentary i- nozwela amaseli insulin. Ngenxa yalokho, amanyikwe iqala ukukhiqiza ngaphezulu le hormone ukuqinisekisa ukuthi amaseli glucose. Inani elikhulu insulin egazini kuholela ukuphazamiseka umzimba, ikakhulu inqubo ukumuncwa amafutha. Ukhuluphele, kukhuphuke blood pressure. Futhi ngokweqile igazi glucose kuholela sikashukela, kanye ukubhujiswa cell ulwelwesi amaprotheni esibangela ukushwabana kwesikhumba ngaphambi kwesikhathi.

Izizathu sokuthuthukiswa syndrome umzimba kwabesifazane

izinguquko sokugembula e umzimba ngalesi zokugula okuhlobene cell insensitivity insulin. Le nqubo ebangela ukuba zonke izimiso izimpawu agcwele syndrome umzimba kwabesifazane. Izimbangela insulin zingase zihluke.

• Ezimweni eziningi, le zokugula kwenzeka ngenxa ukusetshenziswa ngokweqile carbohydrate okunamafutha ukudla. Ngenxa yalokho, igazi kuza eziningi glucose ne-fatty acid. Abanalo isikhathi ugxile futhi imali ezicutshini. Ngakho-ke, ukukhuluphala eba. A okunamafutha acid imbangela izinguquko kumaseli obuzenza ukuzwela insulin.
• Isimanga siwukuthi kodwa-kilojoule amaningi ukudla okunamafutha nakho kungaholela iziyaluyalu umzimba. Umzimba kwenza amafutha kwezicubu izinqolobane, kuphumele glucose sibi ugxile.
• Nokungawuvivinyi umzimba ebangela okwehlisa ka izinqubo umzimba. Ikakhulukazi ngoba lokhu ukumuncwa okhathazekile kwamafutha ukuthi zibekwe izicubu ongama futhi izitho zangaphakathi.
• Ngezinye izikhathi kungase le syndrome umzimba kwabesifazane kubangelwe yofuzo. Kulokhu, ukuphila umzimba nokudla okungenamsoco ngokushesha ukuthuthukisa ukukhuluphala.
• Ezinye izidakamizwa kungabangela insensitivity lamaseli insulin. It corticosteroids, yegilo inkanuko hormone, nokukhandela imbeleko temlomo na imithi ethile sikashukela.
• ukucindezeleka njalo futhi eside ukucindezeleka kwengqondo ukuphazamisa ekukhiqizweni kwama-hormone. Ngokuvamile lokhu kubonakala ukukhiqizwa insulini kanye nozwela amaseli kuso.
• thuthuva kwama-hormone kuholele yokuthi ngokuvamile ukuthuthukisa syndrome umzimba kwabesifazane nambili kuya kwabadala. Lokhu kungenxa ukwehla estrogen.
• iziyaluyalu kwegazi, umfutho wegazi ophezulu noma umoya-mpilo yokulamba zobuchopho futhi ukunciphisa nozwela amaseli insulin.

Kanjani syndrome umzimba

Pathology eba kungaqashelwa, ngokuya kubonakala kakade esemncane eminyakeni yamuva. Kodwa abaningi zako emabangeni kokuqala kungukuthi waphawula. Ngakho ngokuvamile iziguli afune usizo lwezokwelapha, lapho kwakukhona okungahambi sína izibilini izinhlelo. Kungenzeka kanjani ukuba sithole isikhathi ukuthi uthuthukisa syndrome umzimba besifazane? Ngezimpawu zesifo kungabandakanya:

• ukukhathala, ukungabi namandla, kwehle ukusebenza;
• emva isikhathi eside ukudla lapho ucasukile, ngisho ubudlova;
• njalo ufuna amnandi, engayitholi carbohydrate ngcono isimo futhi kuthuthukisa kwemizwa;
• kuza palpitations inhliziyo, bese - ubuhlungu enhliziyweni yami;
• ngokuvamile ukuphathwa ikhanda, anda umfutho wegazi;
• bangezwa isicanucanu, nomlomo owomile kanye ukoma owandiswayo;
• siyehla avele ukugaya, ukuqunjelwa;
• izimpawu zokugula we autonomic nervous system ukuthuthukisa - tachycardia, ukujuluka ngokweqile, incoordination, nabanye.

Kukhona futhi izimpawu zangaphandle yalesi sifo. Kuvele udokotela abanolwazi kakade unganakile ungakwazi ukuxilonga syndrome umzimba kwabesifazane. Izithombe salezi ziguli ikhombisa inani lazo zonke uphawu ukukhuluphala ohlobo besisu. Lokhu kusho ukuthi amafutha aqoqana ikakhulukazi esiswini. Futhi hhayi kuphela izicubu ongama, kodwa futhi emhlabeni izitho zangaphakathi, elibuye kuphazamisa umsebenzi wabo. Kukholakala ukuthi ukukhuluphala besisu iyakhiwa, uma okhalweni besifazane sibe sikhulu kunesihlalo 88 amasentimitha.

Ngaphezu kwalokho, ungase uphawule izimpawu abomvu esentanyeni yayo nasesifubeni engenhla. Umbala wawo kungenxa spasm semithambo ngomfutho ophakeme noma ukucindezeleka.

Izinkinga kanye nemiphumela umzimba syndrome

Lokhu zokugula ezingamahlalakhona Yiqiniso ezinzima emtholampilo. Ngaphandle kokwelashwa kahle syndrome umzimba kwabesifazane kungaholela emiphumeleni engathí sina. Ezimweni eziningi, umsebenzi ezitsheni ukwephulwa kubangela isilethikusebenza noma ukushaywa unhlangothi. Kungase futhi ukuthuthukisa isifo sokuqina kwemithambo yegazi, thrombosis noma ezingamahlalakhona ischemic isifo senhliziyo.

Indlela yokwelapha esebenza okungalungile abanesifo sikashukela sohlobo 2 kuholela ukuthuthukiswa insulin ancike ezakheke ngayo. kokuphakama isikhathi eside amazinga igazi glucose kuyimbangela eyinhloko yobumpumputhe, ukuguga ngaphambi kwesikhathi, ukuphazamiseka yegazi neuropathy. Ukuvuvukala Kwamalunga futhi ingaqala noma steatosis hepatic. Lezi ziguli kuvame encishisiwe amasosha omzimba, ngakho ayevame uhlushwa imikhuhlane, ukucinana kwemigudu yokuphefumula kanye nenyumoniya.

Lapho ukuthuthukisa syndrome umzimba e nabesifazane asebeneminyaka efanele yobudala zokuzala, kungabangela inkinga yokungabi nenzalo. Ngemva yokuphazamiseka lesi sifo sithinta hhayi kuphela ama-carbohydrate fat umzimba. Ithinta zonke kwezitho nezicubu zivame waphawula ukuphazamiseka kwama-hormone. Kwangathi ukuthuthukisa amaqanda polycystic, i-endometriosis, kwehle libido, ukuphazamiseka kokuya esikhathini.

Ukuxilongwa umzimba syndrome

Ngokuvamile, iziguli ezinemishini izimpawu beqala ukuza owelapha. Ngemva wokuhlola kanye anamnesis isiguli siqondiswe i endocrinology ukuze iyohlolwa okwengeziwe futhi ukukhethwa Izindlela zokwelapha. inhlolovo isiguli ukunquma izici yokuphila kanye nokudla, khona isifo sakhe esingamahlalakhona. Ngaphezu kwalokho, i-endocrinology owenza luhlolo lwangaphandle isiguli: yokulinganisa okhalweni selilonke, umzimba mass index sinquma. Kodwa hhayi kuphela zizathu kuchazwe syndrome umzimba kwabesifazane. zokugula uphethwe futhi uqhuba izifundo laboratory. Ngokuvamile, ukuhlolwa wire egazi noma omchamo. Ukuba khona syndrome umzimba kuboniswa izinkomba ezifana:

• isigqugquzeli triglyceride ezingeni;
• okuhlushwa ukuncipha okusezingeni eliphezulu kwabantu lipoproteins ;
• amazinga anda cholesterol embi;
• ngokuzila ukudla glucose ezingeni akuyona esingaphansi 5.5 mmol / l;
• emakamu eliphezulu insulin kanye leptin;
• Kutholwe amaprotheni umchamo-molecule futhi kwaphakanyiswa amazinga uric acid.

Ngaphezu kwalokho, ukusebenzisa nezinye izindlela luhlolo. ukuhlolwa engenziwa ukubekezelelana cwaningo glucose izinkomba of igazi ekunqandeni, ukuqapha blood pressure. Udokotela wakho angase akunikeze yegilo ultrasound, i-MRI we nezindlala adrenal noma indlala pituitary inhliziyo ECG. Isikhombisi esibalulekile futhi hormone lesiguli.

izinkombandlela ukwelashwa

Isiguli ngasinye kudinga indlela ngamunye. Ukwelashwa nokuvikelwa syndrome umzimba kwabesifazane kunikezelwe kuye igazi imingcele, degree of ukukhuluphala nezifo ezihlobene. Imisebenzi esemqoka kufanele kube ukunciphisa isisindo somzimba, okwandisa nozwela amaseli insulin, lo ukuzinza lokugayeka kokudla wegazi lazo wawungcono, ukulungiswa kwama-hormone nokwenziwa ngcono uhlelo senhliziyo nemithambo yegazi.

kuvame kakhulu ukuba kusetshenziswe i-yokwelapha lezi zindlela:

• Ukudla akhethekile syndrome umzimba kwabesifazane kuphoqelekile nesebenza kahle indlela isisindo ukulahlekelwa futhi ukuzinza we izinqubo umzimba;
• Iziguli batuse izinguquko yokuphila, okwandisa umsebenzi ngokomzimba;
• nokuqondisa kwezitho zangaphakathi wasebenzisa izidakamizwa ezahlukene;
• abesifazane nalesi sifo kubaluleke kakhulu ukwesekwa ngokwengqondo futhi kulondolozwe isimo sengqondo esiqondile.

Ngaphezu kwalokho, isiguli zingasebenzisa ezinye izindlela. Nge imithi yendabuko Ungadliwa umzimba evamile, isisindo somzimba encishisiwe, kwegazi kuyathuthuka. Ngokuphumelelayo e esibhedlela ukwelapha syndrome umzimba kwabesifazane. Izimiso Physiotherapy isicelo khona, ngcono lipid kanye carbohydrate umzimba, athobe isimiso sezinzwa, kujwayeleke blood pressure. Indlela ephumelela kakhulu ngalezi zinjongo, balneotherapy, massage, edonsa amanzi amaminerali, electrotherapy.

Amalungiselelo ekwelapheni umzimba syndrome

ukwelashwa izidakamizwa ezinqunyiwe kuye kobukhulu izimpawu isifo. Ezisetshenziswa kakhulu izidakamizwa ngenxa ukuzinza of lipid kanye carbohydrate umzimba, ukuthuthukisa nozwela amaseli insulin futhi kunciphise umfutho wegazi futhi sithuthukise inhliziyo umsebenzi. Ngezinye izikhathi imithi ezisetshenziswa ukuzinza amazinga ama-hormone. Izidakamizwa akhethwe udokotela ngamunye sekuhloliwe egcwele.

• Ukuze ekwelapheni izifo lipid umzimba prescribers iqembu statin futhi fibrates. Kungenzeka "Rosuvastatin," "Lovastatin," "Fenofibrate".
• Ukuze uthuthukise abatholako glucose by amaseli bese ukuthuthukisa ukuzwela kwabo insulin, udinga amathuluzi akhethekile amavithamini. Lokhu "Metformin" "Glucophage", "Siofor", "Alfa lipon" nabanye.
• Lapho ukuthuthukisa syndrome umzimba kwabesifazane menopause yokwelapha i-hormone isetshenziswa. Lokhu kungaba ukwakhiwa equkethe drospirenone futhi estradiol.
• ACE inhibitor zisetshenziselwa kujwayeleke blood pressure kanye ngcono inhliziyo umsebenzi, blocker-calcium channel isisu. Izidakamizwa ezivamile "Captopril" Felodipine "," bisoprolol "" Losartan "" Torasemide "nabanye.

Ngokuvamile ekwelapheni syndrome umzimba kwabesifazane ngemithi okuhloswe ngaso isisindo ukunciphisa. Kulokhu, izindlela baqashwe ukuvimba iphango futhi kuthuthukisa isimo ngokwengqondo abesifazane ukwenqaba ukudla. Lokhu kungaba, isibonelo, i-izidakamizwa "fluoxetine". Elinye iqembu izidakamizwa ngoba ukukhuluphala kusheshe bahoxe ekungeneleni amafutha esiswini, singavumeli ukuba angena igazi. Lokhu "Orlistat" futhi "Xenical". Engathandeki syndrome umzimba ukusebenzisa zindlela ethandwa ukukhuluphala ngokuthi "Prozac", Reduxine "" Sibutramine ", kanye Izithako yesimanje wezokudla ngaphandle kokubonisana udokotela wakho. Bangaphinde zibe nemiphumela engemihle.

Indlela Yokuphila futhi umzimba syndrome

Ukuze ulungise umzimba futhi ukwandisa abe nozwela amaseli insulin, kubalulekile ukwandisa umsebenzi zomzimba zogulayo. Kodwa ezemidlalo imithetho embalwa ukuze babonwe, impatho ukukhuluphala kungaba ngempumelelo:

• ukhethe uhlobo sport ukuthi kungaba mnandi, ngoba isidingo bahlanganyele ajabule;
• ukuqeqeshwa kufanele kube okungenani ibe ihora elilodwa;
• Layisha kuyadingeka ukwandisa kancane kancane, akunakwenzeka ngokweqile;
• Ngeke abhekane nokucindezela nokuphikisa okwandayo, nokwephula wenhliziyo noma izinso.

Ikuphi ukuqeqeshwa kuzosiza abantu umzimba syndrome? Ukuze abesifazane ezingaphansi kweminyaka engu-50 ngeke yini ukusondela anaerobic umthwalo futhi ukuqeqeshwa amandla. Lokhu ukugijima, ukuqeqeshwa ku simulators,-sit-ups, ngibhukuda ngesivinini, Ukuvivinya umzimba ngendlela. Ngemva kweminyaka engu-50 kangcono ukwenza Ukuhamba kwe-Nordic, ukubhukuda, ukudansa ezolile, ibhayisikili ogibele.

Ukudla okunomsoco futhi umzimba syndrome

Ukuncipha komzimba - lena umgomo oyinhloko ekwelapheni lesi egunjini lokuhlolwa kwezifo. Kodwa lokho akufakazeli ukuthi ukulimaza impilo yakho nakakhulu, kwesisindo kufanele kube kancane kancane. Kukholakala ukuthi umzimba uyabubona ukucindezeleka ngaphandle kokulahleka inyanga 3% we mass yasekuqaleni. Kumayelana 2-4 kg. Uma ulahlekelwa isisindo umzimba ngokushesha wehlisa ijubane nakakhulu. Ngakho-ke, yena uzodinga qiniseka ukulalelisisa ukukhethwa yokudla. Kuyinto efiselekayo ukuthi ekudleni lalakhiwa ngamunye udokotela. Kulokhu, kuzothatha ku-akhawunti degree of ukukhuluphala, ukuba khona izinkinga, ubudala isiguli.

Ukudla umzimba sifo ngo abesifazane kufanele kunama-carbohydrate ezimbalwa kanye amafutha. Kuyadingeka ukuba ayiyeke le okunoshukela bhaka ehla, amaswidi, nokunamanoni nenhlanzi, okusemathinini ukudla, irayisi, ubhanana, amagilebhisi omisiwe, amafutha elicwengisiswe neziphuzo okunoshukela. Ukudla kufanele kufake imifino eluhlaza, izithelo ezingenashukela, inyama ebomvu, inhlanzi kanye nemikhiqizo yobisi, ukolweni lonke isinkwa, nokunye okufana nokolweni, nebhali groats. Ngaphezu kwalokho, kudingeka alandele le mithetho:

• kunesidingo izingxenyana ezincane, kodwa gwema amakhefu omkhulu phakathi ukudla;
• imikhiqizo engcono ukupheka, isitshulu noma wabhaka;
• Zonke ukudla kufanele kahle baba imilutha ye;
• ukudla ayikwazi baphuze;
• udinga nomkhawulo kusawoti;
• Kunconywa ukugcina umbhalo wokudla kwansuku zonke.

Ukuvimbela umzimba syndrome

Kukholakala ukuthi abesifazane abaningi banamuhla beyizidlova lokhu egunjini lokuhlolwa kwezifo. Ngakho-ke kuyadingeka ukwazi ukuthi baziphathe kanjani ukuze kuvinjelwe ukuthuthukiswa kwe-syndrome umzimba:

• ukudla ngendlela efanele, singadlile futhi musa ukulandela ukudla okunama-kilojoule amancane;
• ukuhambisa ngaphezulu, ukuze sihlanganyele emidlalweni;
• ibhekane massage njalo futhi Physiotherapy Yiqiniso;
• ngemva kweminyaka engu-40, ukuqapha ezingeni cholesterol kanye glucose egazini;
• give up silungise imikhuba emibi futhi ukudla okusheshayo.

Lokhu zokugula manje okutholakala ku-wonke umuntu wesithathu. Kubaluleke ngokukhethekile ukuqapha isisindo sabo abesifazane emva kweminyaka 50, njengoba syndrome umzimba kwephula kakhulu imisebenzi yonke imigwamanda. Ngakho-ke, lapho izimpawu isifo lokuqala kufanele ubonane nodokotela ukuze uthole usizo. Futhi kubalulekile ukuba ningabi nje kuphela screening Ukukhetha ukudla ngabanye, kodwa futhi ukwesekwa ngokwengqondo.