Metabolic syndrome

Metabolic syndrome o se igoa mo se kulupu o tulaga lamatiaga e tutupu faʻatasi ma faʻateleina le avanoa e maua ai i le coronary artery faamaʻi, stroke, ma le maʻisuka ituaiga 2.

Metabolic syndrome e taatele i le Iunaite Setete. E tusa o le tasi vaefa o Amerika ua afaina. Fomaʻi e le o mautinoa pe o le faʻamaʻi e mafua mai i le tasi mafuaʻaga tasi. Ae ole tele o aʻafiaga ole faʻamaʻi e fesoʻotaʻi ma le puta tele. Tele o tagata e maua ile metabolic syndrome e masani ona taʻu iai sa iai muamua ile maʻi suka, vave toto (toto maualuga) poo hyperlipidemia vaivai (gaʻo maualuga ile toto).

O mea taua e lua e sili ona taua mo metabolic syndrome o:

• Faʻaopoopoga pauna faataamilo i le ogatotonu ma luga vaega o le tino (totonugamo puta). Lenei ituaiga tino e mafai ona faʻamatalaina o le "apu-foliga."
• Teteʻeina o inisalini - O le insulin o se homone na gaosia i le papala. E manaʻomia le insulin e fesoasoani e faʻatonutonu le aofaʻi o suka i le toto. Insulin tetee o lona uiga o nisi sela i le tino faʻaaogaina le inisalini laititi lelei nai lo masani. O le mea ua tupu, ua oso foʻi le suka i luga ole toto, e mafua ai ona oso i luga le inisalini. Lenei ono faʻateleina le aofaʻi o gaʻo tino.

Isi lamatiaga tulaga aofia ai:

• Matua
• Kenese e ono atili ai ona e atiaʻe lenei tulaga
• Suiga i tane, fafine, ma homone popole
• Leai se faamalositino

Tagata e maua i le metabolic syndrome e masani ona i ai le tasi pe sili atu isi mea e ono fesoʻotaʻi ma le tulaga, e aofia ai:

• Faʻatele le aʻafiaga o le faʻaputuputu o le toto
• Faʻateleina vaega o le toto mea o se faʻailoga o le fulafula i le tino atoa
• Laʻititi aofaʻi o polotini e taʻua o le albumin i le miaga

O le a suʻesuʻeina oe e lau tausi soifua maloloina. O le a fesiligia oe e uiga i lou soifua maloloina lautele ma soʻo se faʻailoga o loʻo e maua. Ole suʻega ile toto e ono okaina e siaki lou toto suka, suka, ma le triglyceride tulaga.

E le taumate ole a maua oe ile faʻamaʻi ole metabolic pe a fai e tolu pe sili atu foʻi faʻailoga nei:

• Toto toto tutusa pe maualuga atu nai lo 130/85 mm Hg pe o loʻo e inu vailaʻau mo toto maualuga
• O le anapogi toto suka (kulukose) i le va o le 100 i le 125 mg / dL (5.6 i le 7 mmol / L) pe na maua oe ile maʻi ma o loʻo inu vailaʻau mo le maʻisuka
• Lapoʻa sulugatiti (umi faataamilo i sulugatiti): Mo tamaloloa, 40 inisi (100 senitimita) pe sili atu; mo fafine, 35 inisi (90 senitimita) pe sili atu [mo tagata tupuʻaga Asia 35 inisi (90 cm) mo aliʻi ma 30 inisi (80 cm) mo fafine]
• Low HDL (lelei) cholesterol: Mo aliʻi, laititi ifo ile 40 mg / dL (1 mmol / L); mo fafine, lalo ifo o le 50 mg / dL (1.3 mmol / L) pe o loʻo e inu vailaʻau mo le faʻaititia o le HDL
• Anapogi tulaga o triglycerides tutusa pe sili atu nai lo 150 mg / dL (1.7 mmol / L) poʻo oe o loʻo inu vailaʻau i lalo triglycerides

O le faʻamoemoe o togafitiga o le faʻaititia o le ono maua i faʻamaʻi fatu, stroke, ma maʻi suka.

O le a fautuaina e lau tautua le suiga o le olaga poʻo vailaʻau:

• Leiloa mamafa. O le sini ia leiloa i le va o le 7% ma le 10% o lou mamafa o loʻo iai nei. Masalo e te manaʻomia le 'ai 500 i le 1,000 toʻaitiiti kaloli i le aso. Eseese filifiliga o meaʻai e mafai ona fesoasoani i tagata ia ausia lenei faʻamoemoe. E leai se 'mea' lelei e tasi e faʻaalu ai le pauna.
• Maua le 150 minute ile vaiaso ole faamalositino malosi e pei ole savali. Fai faamalositino e faʻamalosia ai ou maso 2 aso i le vaiaso. Faamalositino maualuga mo vaitaimi puʻupuʻu o se tasi filifiliga. Siaki i lau tautua pe faʻapea e te soifua maloloina lelei e amata se fou polokalama faʻamalositino.
• Tuʻu i lalo lou kolisi i le 'aiina o meaʻai maloloina, le paʻu o pauna, faʻamalositino, ma inu vailaʻau e faʻaititia ai le kolesterol, pe a manaʻomia.
• Tuʻu i lalo lou toto i le 'ai tele i le masima, paʻu o le pauna, faʻamalositino, ma inu vailaʻau, pe a manaʻomia.

E ono fautuaina e lau tautua le aspirin e maualalo le inumaga i aso uma.

A e ulaula, o le taimi lenei e te tuʻu ai. Fesili i lau tautua mo le fesoasoani faʻamavae. E i ai vailaʻau ma polokalama e mafai ona fesoasoani ia te oe faʻamavae.

O tagata e maua i le metabolic syndrome ua i ai le tele o taimi lamatiaga o le maua i faʻamaʻi fatu, ituaiga 2 suka, stroke, fatugaʻo faʻamaʻi, ma le le lava o le toto maua i vae.

Valaʻau lau tautua pe a iai ni faʻailoga poʻo ni faʻailoga o lenei tulaga.

Insulin tetee teteega; Syndrome X

• Fua fua girth fua

'Upega Tafaʻilagi a le American Heart Association. E uiga i le faʻamaʻi o le metabolic. www.heart.org/en/health-topics/metabolic-syndrome/about-metabolic-syndrome. Faʻafou Iulai 31, 2016. Avanoa Aukuso 18, 2020.

National Heart, Lung, ma le Blood Institute 'upega tafaʻilagi. Metabolic syndrome. www.nhlbi.nih.gov/health-topics/metabolic-syndrome. Avanoa i Aukuso 18, 2020.

Raynor HA, Champagne CM. Tulaga o le Academy o meaʻai ma Dietetics: fesoasoani mo le togafitiga o le soona mamafa ma obesity i tagata matutua. J Acad Nutr Meaʻai. 2016; 116 (1): 129-147. PMID: 26718656 pubmed.ncbi.nlm.nih.gov/26718656/.

Ruderman NB, Shulman GI. Metabolic syndrome. I totonu: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Matutua ma Tamaiti. 7th ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 43.