Dr. Vesela Mikhneva: Metabolic syndrome tau muab zais tom qab "npias plab"

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Dr. Vesela Mikhneva: Metabolic syndrome tau muab zais tom qab "npias plab"
Dr. Vesela Mikhneva: Metabolic syndrome tau muab zais tom qab "npias plab"
Anonim

Nyob rau lub caij ntuj sov, peb tau mob siab rau qhov hnyav tshaj thiab nce lub duav ncig. Feem ntau, lawv tuaj yeem yog vim muaj cov kab mob metabolic, ib tus kab mob uas khiav hauv qhov zais cia thiab feem ntau cov neeg tsis paub tias nws muaj. Lub lim tiam dhau los, cov kws kho mob tshwj xeeb los ntawm Lub Tsev Kho Mob rau Endocrinology thiab Metabolic Diseases ntawm Tub Rog Kho Mob Academy-Sofia tau tshuaj xyuas 40 tus neeg dawb uas yog ib feem ntawm "Ua ke Tawm Tsam Metabolic Syndrome" phiaj xwm. Lub siab xav ntawm cov kws kho mob tshwj xeeb yog rau cov tib neeg kom xyuam xim rau qhov hnyav tshaj, uas tom qab hloov mus rau kev rog rog, arterial hypertension, hom ob ntshav qab zib thiab impaired lipid metabolism. Peb tham txog metabolic syndrome thiab ua rau nws tshwm sim nrog Major Dr. Vesela Mikhneva

Puas yog metabolic syndrome yog tus kab mob, Dr. Mikhneva?

- Metabolic Syndrome yog ib yam kab mob. Nws tseem hu ua Syndrome X. Nws suav nrog ntau yam - ntshav siab, hnyav dhau, cuam tshuam lipid profile, o, insulin tsis kam lossis mob ntshav qab zib mellitus hnyav thiab muaj kev pheej hmoo ntawm cov kab mob plawv. Visceral rog - los yog hu ua npias plab, yog qhov feem ntau tshwm sim ntawm metabolic syndrome. Tau kawg, qee qhov ntawm cov khoom yuav tshwm sim, lwm tus yuav raug cais tawm, tab sis nyob rau hauv txhua rooj plaub lawv nyob hauv tus kab mob no, uas cuam tshuam nrog kev pheej hmoo ntawm ntshav qab zib mellitus thiab kab mob plawv. Los ntawm qhov kev xav no, peb siv zog los tiv thaiv cov neeg mob no, vim tias kev rog rog thiab rog rog tsis yog qhov tsis zoo, lawv tsis yog qhov tshwm sim xwb, tab sis muaj teeb meem kev noj qab haus huv loj uas ua rau tus txiv neej niaj hnub no. Yog li ntawd, thaum peb tham txog metabolic syndrome, peb tab tom tham txog tus kab mob ntawm lub xyoo pua 21st, txawm tias xyoo pua 22nd. Yog vim li cas yog, ntawm chav kawm, ntau - immobility, noj tsis zoo, kev nyuaj siab, tibneeg hu tauj coob lub neej txhua hnub.

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Cov txheej txheem kuaj mob niaj hnub no yog dab tsi?

- Cov txheej txheem kuaj mob yog sib xyaw ua ke ntawm ntau yam tsos mob. Nyob rau hauv lub moj khaum ntawm metabolic syndrome, lawv hloov yuav luag txhua xyoo, tab sis feem ntau muaj xws li arterial hypertension, i.e. thaum ntshav siab tshaj 140 tshaj 80.

Lwm qhov kev ntsuas hnyav - nrog lub duav ncig ntawm ntau dua 102 cm rau cov txiv neej thiab 88 cm rau poj niam. Kev yoo mov ntshav qab zib - tsawg kawg 8 teev tom qab noj mov kawg, siab dua 6.1mmol / l, nrog rau qib triglycerides siab dua 1.7mmol / l lossis HDL cov roj cholesterol qis dua 1.0mmol / l.

"npias plab" hauv cov txiv neej, feem ntau yog qhov teeb meem loj vim tias nws yog ib qho cim ntawm kev rog hauv lub cev, thiab nws yog ib qho cim ntawm daim siab ua haujlwm, lub raum ua haujlwm tsis txaus. Txawm li cas los xij, cov neeg mob no tsis tas yuav puv. Piv txwv li, 95% ntawm lawv rog dhau thiab rog, tab sis muaj 5% uas yog cov neeg normosthenic thiab tseem muaj cov kab mob metabolic. Tom qab ntawd nrog qee qhov kev kuaj ntshav peb tuaj yeem mus rau qhov kev kuaj mob.

Puas yog Bulgarian raug kev txom nyem los ntawm X syndrome?

- Raws li cov ntaub ntawv tshiab ntawm Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv, kwv yees li 40% ntawm cov neeg rog rog thiab rog, thiab qhov no siv rau Bulgaria ib yam nkaus. Nyob rau hauv xyoo tas los no, tus lej no tau nce ntxiv ntawm cov neeg laus thiab cov tub ntxhais hluas, txawm tias cov menyuam yaus. Cov no yog cov xwm txheej uas xyoo dhau los tsis tau xav txog txhua, tsis muaj kev saib xyuas rau lawv. Nws txawm ntseeg tias me ntsis fluffy me nyuam noj qab nyob zoo, tab sis tam sim no peb to taub tias qhov no tsis yog li ntawd. Kev rog rog, rog rog, thiab cov kab mob metabolic yog qhov kev kwv yees ntawm kev pheej hmoo ntawm cov hlab plawv, qhov pib mob ntshav qab zib mellitus, thiab ntau lwm yam teeb meem uas twb muaj los ntawm cov kab mob no. Thiab yog li ntawd peb kho lawv ua ke nrog cov npoj yaig los ntawm lwm qhov tshwj xeeb.

Puas yog metabolic syndrome puas muaj hnub nyoog nyiam?

- Feem ntau tsis muaj qhov nyiam. Raws li kuv tau hais ua ntej, peb kuj tuaj yeem ntsib cov menyuam yaus uas rog thiab rog, thiab hmoov tsis zoo peb pom nws ntau dua. Peb cov me nyuam zaum pem hauv ntej ntawm lub computer, nyob rau hauv pem hauv ntej ntawm TVs, noj tsis zoo nrog chips thiab cov khoom noj uas muaj calorie ntau ntau. Rau qhov loj, rau txoj kev loj hlob ntawm tus kab mob no, peb kuj muaj tsev neeg, thaum cov niam txiv muaj kev pheej hmoo siab rog thiab rog, nws yog ib qho zoo heev uas lawv cov me nyuam tseem pheej tsim tus kab mob no nyob rau qee lub sijhawm. Tau kawg, tom qab qee lub sijhawm, ib tus neeg cov metabolism hauv qeeb qeeb, tshwj xeeb tshaj yog cov poj niam laus, thiab qhov no ua rau qhov hnyav nce, uas yuav tsum tau zam nyob rau theem ua ntej, ua ntej cov kev hloov hormonal pib.

Tus kws kho mob endocrinologist yuav tsum tau sau cov txheej txheem kho mob uas tsim nyog txhawm rau tiv thaiv cov kab mob metabolic. Nws tsuas yog hais tias cov poj niam yuav tsum tau saib xyuas cov tsos mob thaum muaj hnub nyoog ntxov. Yuav tsum muaj kev hloov pauv loj hauv kev ua neej thiab kev noj haus.

Muaj ntau ntau yam tshuaj poob phaus muaj nyob hauv khw, peb puas yuav ntseeg lawv?

- Tseeb nws yog. Kev ua lag luam yog tag nrho ntawm ntau yam tshuaj rau kev txo qhov hnyav, tab sis kuv tus kheej cov lus qhia yog coj mus rau hauv kev saib xyuas ntawm tus kws kho mob - tus kws kho mob endocrinologist lossis kws noj zaub mov, thiab tsis yog raws li cov lus qhia ntawm cov kws qhia qoj. Feem ntau ntawm cov neeg mob kuj muaj ib tug xov tooj ntawm co-morbidities uas yuav tsum tau txiav txim siab thaum twg kev noj zaub mov kom raug pom zoo. Ib tug neeg uas muaj kab mob gastroenterological lossis twb tau kuaj mob ntshav qab zib tsis tuaj yeem pom zoo noj zaub mov uas yuav cuam tshuam rau nws tus kab mob tseem ceeb. Thiab vim li no, peb pib kho cov cim tseem ceeb, kho lawv.

Ntawm qhov tod tes, nws paub tias yog, raws li peb tsoom fwv, tus neeg mob txo, hais, 10-20 kilograms ntawm nws lub cev hnyav, ntshav siab kuj poob ntau. I.e. Qee zaum, thaum lawv poob phaus, lawv tus mob kuj zoo dua. Qhov no kuj tseem siv tau rau kev kho mob ntshav qab zib kom ceev ceev. Qhov no yog ib qho xwm txheej uas tau saib tsis tau hauv ntau qhov xwm txheej. Qee tus neeg mob hais tias, "Kuv cov ntshav qab zib siab me ntsis, tsis muaj dab tsi tshwj xeeb", tab sis nws hloov tawm tias qhov no yog qhov teeb meem, vim tias tom qab noj mov lawv nce lawv cov ntshav qab zib ntau, thiab lawv kuj muaj hyperinsulin thiab insulin tsis kam, uas peb twb muaj lawm. Peb yuav tsum kho nrog kev pab ntawm tshuaj.

Peb txhua tus paub tias kev noj zaub mov kom raug yog lub hauv paus ntawm kev noj qab haus huv. Dab tsi yog qhov yuam kev tshaj plaws hauv qhov no uas cov neeg Bulgarians ua txhawm rau ua cov neeg mob tshaj plaws hauv Tebchaws Europe?

- Ib qho yuam kev tseem ceeb hauv txoj kev uas tus neeg Bulgarian noj, piv txwv li, yog nws tsis noj tshais. Nws sawv nrog ib khob kas fes thiab luam yeeb, nws tsis noj txhua hnub, nws maj nrawm, tsis muaj sijhawm, thiab thaum yav tsaus ntuj nws zaum ntawm lub rooj tshaib plab. Ces nws hais tias, "Zoo, kuv tsuas noj ib hnub ib zaug, ua cas kuv ho tsis poob?" Yog li nws yuav poob phaus li cas thaum nws noj zaub mov ntau heev hauv qhov "ib hnub ib zaug" frenzy ntawm kev tshaib kev nqhis.

Yog li tej yam no yuav tsum tau saib xyuas. Yog tias koj xav kom poob phaus, npaj cov zaub mov zoo, uas, ntawm chav kawm, muaj calories tsawg, tab sis tsis tshem tawm tag nrho cov zaub mov ntawm lub neej txhua hnub. Tsis txhob hla mov noj. Nws yog qhov zoo tshaj plaws noj thaum sawv ntxov, noj su thiab yav tsaus ntuj, ntxiv 2 khoom noj txom ncauj nyob nruab nrab ntawm (xws li txiv hmab txiv ntoo). Kev txav mus los kuj tseem ceeb heev. Yog tsis txav ib tug neeg, txawm tias nws noj qab nyob zoo, nws ua tsis tau dab tsi. Xaiv ib qho kev ua si uas haum rau koj thiab koj nyiam. Yog tias koj tsis xav ua ib qho kev ua kis las, xyuas kom koj taug kev tsawg kawg 40 feeb hauv ib hnub.

Cov qauv noj mov tseem ceeb heev, vim tias yog niam txiv noj tsis zoo, lawv tus menyuam kuj yuav muaj tus cwj pwm zoo li no. Thiab nws yog ib txwm xav tias tom qab lub sijhawm nws tseem yuav dhau los ua tus neeg rog thiab mob.

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