Dab tsi yog metabolic syndrome, cov tsos mob, kuaj mob thiab kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav kuaj li cas
• Kev kho mob rau cov kab mob metabolic
• Kev kho ntuj
• Kev kho mob nrog tshuaj

Kev mob ntshav siab yog ua raws li cov kab mob ua ke tuaj yeem ua rau tib neeg muaj kev pheej hmoo ntawm kev hloov pauv plawv. Ntawm cov xwm txheej uas yuav tshwm sim hauv cov teeb meem hauv metabolic yog tsub zuj zuj ntawm cov rog hauv plab, hloov pauv hauv cov roj (cholesterol) thiab triglyceride, nce ntshav siab thiab cov ntshav qabzib ntau ntau.

Nws yog ib qho tseem ceeb uas cuam tshuam nrog cov kev cuam tshuam ntawm cov metabolic syndrome tau txheeb xyuas thiab kho raws li cov lus qhia ntawm endocrinologist, kws kho plawv lossis kws kho mob, kom cov teeb meem tuaj yeem zam dhau. Cov kev kho mob muaj, feem ntau, hauv kev siv tshuaj uas pab tswj cov theem ntawm cov piam thaj, roj thiab ntshav siab ntxiv, ntxiv rau kev coj ua dej num lub cev tsis tu ncua thiab noj zaub mov zoo thiab muaj txiaj ntsig.

Cov tsos mob tseem ceeb

Cov paib thiab cov tsos mob ntawm tus mob metabolic cuam tshuam nrog cov kab mob uas tus neeg muaj, thiab tuaj yeem kuaj tau:

• Acanthosis nigricans: yog cov pob tsaus nti ncig lub caj dab thiab hauv cov qhov quav ntawm daim tawv nqaij;
• Kev pham: tsub zuj zuj ntawm lub plab muaj rog, nkees, ua pa nyuaj thiab pw tsaug zog, mob hauv lub hauv caug thiab pob taws vim yog rog dhau;
• Ntshav Qab Zib: qhov ncauj qhuav, kiv taub hau, nkees, tso zis dhau heev;
• Kev kub siab: mob taub hau, kiv taub hau, suab nrov hauv pob ntseg;
• Cov roj (cholesterol) thiab triglycerides: cov tsos ntawm pellets ntawm cov rog ntawm daim tawv nqaij, hu ua xanthelasma thiab mob plab.

Tom qab kuaj xyuas cov cim thiab cov tsos mob qhia los ntawm tus neeg, tus kws kho mob tuaj yeem qhia tau tias qhov kev sim ntau yam yuav tsum tau ua kom paub tseeb tias tus neeg muaj qee yam cuam tshuam txog kev mob tshwm sim thiab vim li no, kev kho mob uas tsim nyog tshaj plaws tuaj yeem qhia tau.

Yuav kuaj li cas

Rau kev kuaj mob ntawm tus kab mob metabolic yuav tsum tau ua, nws yog qhov yuav tsum tau ua qee qhov kev sim uas tso cai rau kev txheeb xyuas ntawm cov xwm txheej uas yuav cuam tshuam nrog cov kab mob no thiab muaj kev pheej hmoo ntxiv ntawm cov kab mob plawv. Yog li, txhawm rau paub meej tias kev kuaj mob, tus neeg yuav tsum muaj tsawg kawg yog 3 yam ntawm cov hauv qab no:

• Cauj kev yoo mov ntawm 100 thiab 125 thiab tom qab noj mov ntawm 140 thiab 200;
• Ib ce loj puag ncig nruab nrab ntawm 94 thiab 102 cm, nyob rau txiv neej thiab poj niam, thaj tsam li 80 txog 88 cm;
• Siab triglycerides, siab dua 150 mg / dl lossis siab dua;
• Siab siab, tshaj 135/85 mmHg;
• LDL cov roj cholesterol siab siab;
• HDL roj tsawg.

Ntxiv rau cov ntsiab lus no, tus kws kho mob kuj suav nrog tsev neeg keeb kwm thiab kev ua neej, xws li kev nquag ua si lub cev thiab zaub mov noj, piv txwv. Muaj qee kis, lwm yam kev kuaj xws li creatinine, uric acid, microalbuminuria, C-reactive protein (CRP) thiab kuaj ntshav qabzib, tseem hu ua TOTG, kuj tseem yuav qhia tau.

Kev kho mob rau cov kab mob metabolic

Txoj kev kho rau tus mob metabolic syndrome yuav tsum tau qhia los ntawm cov kws kho mob feem ntau, endocrinologist lossis tus kws kho plawv raws li cov cim qhia thiab cov tsos mob uas tau qhia los ntawm tus neeg thiab cov mob uas lawv muaj. Ua li no, tus kws kho mob tuaj yeem qhia txog kev siv cov kev kho tsim nyog rau txhua kis, ntxiv rau qhia txog kev hloov pauv hauv kev ua neej thiab kev ua neej.

Kev kho ntuj

Kev kho mob rau cov metabolic syndrome yuav tsum xub muaj kev hloov pauv hauv kev ua neej, nrog kev tshwj xeeb rau kev hloov khoom noj thiab lub cev ua si. Cov txheej txheem tseem ceeb muaj xws li:

• Poob phaus txog thaum BMI qis dua 25 kg / m2, thiab tseem yuav txo cov rog plab, vim qhov pheej hmoo ntawm kev mob plawv ntau dua hauv cov neeg mob no;
• Noj zaub mov kom haum thiab noj qab nyob zoo, zam kev siv ntsev rau hauv pluas noj thiab tsis txhob noj cov piam thaj lossis zaub mov ntau, xws li kib zaub mov, dej haus thiab cov khoom ua ntej npaj, piv txwv. Saib seb cov khoom noj kom zoo yuav tsum zoo li hauv: Noj zaub mov rau metabolic syndrome;
• Ua 30 feeb ntawm kev muab lub cev ua haujlwm ib hnub, nyiam taug kev, khiav lossis caij tsheb kauj vab. Muaj qee kis, tus kws kho mob yuav tawm tswv yim kom tawm dag zog lossis xa tus neeg mob mus rau kws kho mob lub cev.

Yog tias cov cwj pwm no tsis txaus los tswj tus mob metabolic syndrome, tus kws kho mob yuav pom zoo kom siv cov tshuaj.

Kev kho mob nrog tshuaj

Cov tshuaj noj rau lub cev metabolic syndrome feem ntau yog kws kho mob sau tseg thaum tus neeg mob tsis tuaj yeem poob ceeb thawj, txo qis ntshav qab zib thiab roj cholesterol thiab txo cov ntshav siab nrog kev hloov pauv ntawm kev noj zaub mov noj thiab kev tawm dag zog ib leeg. Hauv cov rooj plaub no, tus kws kho mob tuaj yeem qhia txog kev siv tshuaj rau:

• Txo cov ntshav siab, xws li losartan, candesartan, enalapril lossis lisinopril;
• Txo cov tshuaj insulin ua kom tsawg thiab txo cov ntshav qab zib, xws li metformin lossis glitazones;
• Txo cov roj cholesterol thiab triglycerides, xws li rosuvastatin, atorvastatin, simvastatin, ezetimibe lossis fenofibrate;
• Poob phaus, xws li phentermine thiab sibutramine, uas inhibit qab los noj mov lossis orlistat, uas txwv tsis pub cov rog.

Nws yog ib qho tseem ceeb tias kev kho mob yog ua tiav raws li tus kws kho mob tau taw qhia kom thiaj zam kev nyuaj.

Txheeb xyuas cov lus qhia ntxiv nyob rau hauv cov yeeb yaj kiab hauv qab no uas pab hauv kev kho mob ntawm metabolic syndrome: