Back Clinic Metabolic Syndrome Functional Medicine Team. Ili ndi gulu la zinthu zomwe zimaphatikizapo kuthamanga kwa magazi, shuga wambiri wamagazi, mafuta ochulukirapo m'chiuno m'chiuno, komanso kuchuluka kwa cholesterol kapena triglyceride. Izi zimachitika pamodzi, kuonjezera chiopsezo cha munthu kudwala matenda a mtima, sitiroko, ndi shuga. Kukhala ndi chimodzi mwazinthu izi sizikutanthauza kuti munthu ali ndi metabolic syndrome. Komabe, chilichonse mwa izi chimawonjezera chiopsezo cha matenda oopsa. Kukhala ndi zambiri mwa izi kukhoza kuonjezera chiopsezo kwambiri. Mavuto ambiri okhudzana ndi metabolic syndrome alibe zizindikiro.
Komabe, chiuno chachikulu chozungulira ndi chizindikiro chowonekera. Kuonjezera apo, ngati munthu ali ndi shuga wambiri m'magazi, akhoza kukhala ndi zizindikiro za matenda a shuga, kuphatikizapo ludzu lochuluka, kukodza, kutopa, ndi kusawona bwino. Matendawa amalumikizidwa kwambiri ndi kunenepa kwambiri / kunenepa kwambiri komanso kusagwira ntchito. Zimalumikizidwanso ndi vuto lotchedwa insulin kukana. Nthawi zambiri, dongosolo la m'mimba limaphwanya zakudya kukhala shuga (glucose). Insulin ndi mahomoni opangidwa ndi kapamba omwe amathandiza shuga kulowa m'maselo kuti azitha mafuta. Anthu omwe ali ndi vuto la insulin kukana ma cell awo nthawi zambiri samayankha insulin, ndipo shuga sangathe kulowa m'maselo mosavuta. Zotsatira zake, kuchuluka kwa shuga m'magazi kumakwera ngakhale kuti thupi limayesa kuwongolera shuga mwa kutulutsa insulin yambiri.
Dr. Jimenez, DC, akupereka momwe angapewere matenda a atherosclerosis pogwiritsa ntchito mankhwala osiyanasiyana omwe angathandize kuchepetsa zotsatira za matenda a mtima. Pomvetsetsa zomwe zimayambitsa vutoli, akatswiri ambiri okhudzana ndi matenda a mtima amatha kupanga njira yothetsera zizindikirozi zomwe zimagwirizana ndi ziwalo zofunika kwambiri ndi minofu ndi ndondomeko ya chithandizo chaumwini. Timavomereza odwala kwa othandizira ovomerezeka omwe amapereka njira zochizira matenda amtima omwe amatha kubwezeretsa magwiridwe antchito amthupi ndikuwongolera thanzi la munthu. Timayesa munthu aliyense ndi zizindikiro zake powapereka kwa azachipatala omwe timalumikizana nawo potengera zotsatira za matenda awo kuti amvetsetse bwino. Timazindikira kuti maphunziro ndi njira yabwino kwambiri yofunsa opereka athu mafunso okhudza zomwe wodwalayo akudziwa komanso zizindikiro zake. Dr. Jimenez, DC, amagwiritsa ntchito chidziwitsochi ngati ntchito yophunzitsa. chandalama
Cardiovascular System & Atherosclerosis
Dr. Alex Jimenez, DC, akupereka: Thupi likakumana ndi zovuta zosiyanasiyana zomwe zimayambitsa kupweteka kwa minofu ndi mafupa, zitha kukhala chifukwa chakuchulukirachulukira kwazomwe zimakhudza dongosolo lamtima. M'thupi lomwe limagwira ntchito bwino, dongosolo lamtima limagwira ntchito ndi machitidwe osiyanasiyana, kuphatikiza minofu ndi mafupa, pulmonary system, endocrine system, dongosolo lapakati lamanjenje, komanso m'matumbo. Mtima ndi chimodzi mwa ziwalo zofunika kwambiri mu dongosolo la mtima lomwe limapereka magazi odzaza ndi okosijeni ku minofu, minofu, ndi ziwalo zosiyanasiyana kuti zigwire ntchito bwino. Magazi odzaza ndi okosijeni amanyamulanso zinthu zina kuti azizungulira m'thupi, monga mahomoni, mapuloteni, ndi michere yomwe imayenera kugwiritsidwa ntchito pambuyo pake. Komabe, zinthu zachilengedwe zikayamba kusokoneza thupi, zimatha kusokoneza dongosolo la mtima ndipo zimatha kuwononga kwambiri. Kufikira pamenepo, imatha kuyambitsa matenda amtima m'kupita kwanthawi ndikupangitsa kupweteka kwathupi. Kafukufuku wambiri komanso kafukufuku wasonyeza kuti matenda amtima akadali nambala wani padziko lonse lapansi omwe amayambitsa kufa komanso kudwala m'thupi. Angayambitsenso zinthu zina zomwe zingakhudze thupi.
Imodzi mwa matenda amtima omwe angayambitse kusokonezeka kwa mtima ndi atherosulinosis. Atherosulinosis ndi kuchuluka kwa zolembera (mafuta, kolesterolini, ndi zinthu zina zolimba, zomata) zomwe zimamangika pakapita nthawi m'mitsempha ya mitsempha zomwe zimatha kuchepetsa kuthamanga kwa magazi, zomwe zimapangitsa kuti magazi aziyenda pang'onopang'ono m'mitsempha. Kuyenda kukakhala kotsekeka, kungayambitse ischemia yokhudzana ndi kutsekeka kwa magazi chifukwa cha madera osiyanasiyana a thupi osapeza magazi okwanira ndi okosijeni kuti agwire bwino ntchito.
Kutupa kogwirizana ndi atherosulinosis
Dr. Alex Jimenez, DC, akupereka: Izi zikachitika, pakhoza kukhala kusalinganika kwa LDLs (low-density lipoproteins) komwe kumatha kukhala ndi zizindikiro zosiyanasiyana pakapita nthawi zomwe zingayambitse kupweteka kwa minofu ndi mafupa. Zina mwazifukwa zomwe zingayambitse kusalinganika kwa LDL zomwe zimagwirizanitsidwa ndi atherosulinosis zingaphatikizepo izi:
Kutupa kosalekeza
Kulephera kwa chitetezo chamthupi
Kupsinjika kwa oxidative mu vascular system
Zakudya zoperewera
Kuwonetsa fodya
Genetics
Matenda a mtima omwe analipo kale
Zosokoneza zosiyanasiyana zikatha kuwononga LDL, imatha kukhala ndi okosijeni pakapita nthawi, kuwononga khoma lamtima ndi mtima, ndikuyambitsa macrophage ndi mapulateleti. Kufika pamenepo, macrophages akangoyamba kudya, amapangika kukhala maselo a thovu ndiyeno amaphulika ndi kutulutsa peroxidation, zomwe zikutanthauza kuti amawononga mtsempha wamagazi.
Kuyang'ana pafupi ndi LDL yokhala ndi okosijeni, imatha kukhala biotransform kukhala zolembera zotupa ndipo imalumikizidwa ndi kutupa kwa mitsempha. Polimbana ndi kutupa kwa mitsempha, thupi limatha kupanga metabolic endotoxemia. Metabolic endotoxemia ndipamene milingo ya LPS (lipopolysaccharides) imakwezeka ngakhale pali kupezeka kwa matenda m'thupi. Kufikira pamenepo, imatha kulumikizana ndi matumbo a dysbiosis ndi matenda otupa osatha kuti alimbikitse chitetezo chamthupi kuti chiwonjezere ma cytokines otupa a NFkB ndikuyambitsa kupweteka kwa minofu ndi mafupa.
Pakakhala kuwonjezeka kwa kutupa chifukwa cha atherosulinosis kapena matenda aliwonse amtima omwe munthu angakhale nawo, zizindikilo ndi zizindikilo zimatha kusiyanasiyana kutengera komwe amakhala. Kulemera kwambiri, kuthamanga kwa magazi, kuwonjezereka kwa okosijeni, kuchuluka kwa triglycerides, kuchepa kwa HDL, ndi zina zotero, kungakhudze thupi ndikupangitsa kuti likhale losagwira ntchito. Zinthu zamakanikizi zimatha kukhudza dysbiosis mumayendedwe amtima ndi m'matumbo, zomwe zimapangitsa kuti pakhale zovuta monga IBS, metabolic syndrome, ndi matenda amtima.
Mankhwala Ochepetsa Kutupa
Dr. Alex Jimenez, DC, akupereka: Ndiye titani kuti tichepetse kutupa komwe kumakhudzana ndi atherosulinosis kumayambitsa kupweteka kwa minofu ndi mafupa? Njira imodzi yomwe anthu ambiri angachitire izi ndi kudya zakudya zopatsa mphamvu zochepa, ndipo shuga wambiri amatha kutsitsa kuchuluka kwa glycemic m'thupi kumatha kuchepetsa chiopsezo cha matenda amtima. Njira ina ndikuyesa zakudya za ku Mediterranean, zomwe zimaphatikizapo mapuloteni owonda, mtedza, mafuta owonjezera a azitona, ndiwo zamasamba zopatsa thanzi, zipatso zatsopano, ndi mbewu zonse kuti muchepetse zizindikiro zotupa kuti musapitirire kuyambitsa zovuta m'thupi. Ngakhale zowonjezera ndi zopatsa thanzi monga glutathione ndi omega-3s zimatha kuchepetsa kutupa kosatha komanso zovuta zamtima ndi mtima mwa kukulitsa ma antioxidant awo kuti asunge redox homeostasis ndikuwongolera kupsinjika kwa okosijeni m'thupi.
Njira inanso yomwe anthu angapewere matenda a atherosclerosis ndiyo kuchita masewera olimbitsa thupi pafupipafupi. Chizoloŵezi chochita masewera olimbitsa thupi ndi njira yabwino kwambiri yopititsira mtima kupopa ndikulola minofu kuyenda. Zochita zolimbitsa thupi zilizonse monga yoga, Crossfit, kuvina, kusambira, kuyenda, ndi kuthamanga zidzalola kuti mpweya wambiri ukhale m'mapapo, zomwe zimapangitsa kuti mtima utulutse magazi ambiri kuti alole kufalikira kwa ziwalo zosiyanasiyana, minofu, ndi minofu. Kuphatikiza apo, masewera olimbitsa thupi aliwonse amatha kuchepetsa kuchuluka kwa zolembera m'mitsempha ndikuchepetsa kutupa kwa minofu ndi mfundo zomwe zimakhudza thupi.
Chisamaliro cha Chiropractic & Kutupa
Dr. Alex Jimenez, DC, akupereka: Ndipo pomaliza, chithandizo chamankhwala monga chisamaliro cha chiropractic chingathandize kubwezeretsa magwiridwe antchito amthupi kudzera pakuwongolera msana. Tsopano, chisamaliro cha chiropractic chikugwirizana bwanji ndi matenda amtima ngati atherosclerosis? Pamene thupi likulimbana ndi kutupa ndi kupsinjika maganizo kosatha komwe kumakhudzana ndi atherosulinosis, kuchepa kwa magazi kungayambitse kusokonezeka kwa chiwalo chamkati ndikusokoneza zizindikiro zomwe zimaperekedwa kuti zifike ku ubongo. Kotero pamene zizindikiro zopatsirana zimatsekedwa, zingayambitse kugwedezeka kwa msana ku msana ndikupempha kupweteka kumtunda, pakati, ndi kumunsi kwa msana, khosi, chiuno, ndi mapewa. Kufikira pamenepo, chiropractor imaphatikizapo kuwongolera kwamakina ndi manja kuti akonzenso msana ndikulola kuti mgwirizano ndi minofu zibwerere m'thupi. Panthawi imodzimodziyo, chisamaliro cha chiropractic chingagwire ntchito limodzi ndi othandizira ena azachipatala kuti apange ndondomeko ya chithandizo chaumwini chomwe chimalola thupi kuti liyambe kuchira.
Kutsiliza
Cholinga chathu ndi kuchepetsa kutupa ndi kupsyinjika kwa okosijeni m'thupi kuti achepetse zotsatira za matenda a mtima okhudzana ndi ululu. Kuphimba njira zosiyanasiyana zopewera matenda a atherosclerosis kuti asakhudze dongosolo la mtima m'thupi kungathandize ziwalo zofunika kwambiri ndi minofu kuti isatulutse kutupa komwe kumakhudzana ndi ululu. Kuphatikizira zakudya zopatsa thanzi komanso zoletsa kutupa, kumwa mankhwala owonjezera, kuchita masewera olimbitsa thupi, ndi kupita kuchipatala kungapangitse kusintha kwakukulu m'thupi. Njirayi ingakhale yotopetsa, koma zotsatira zake zidzasintha pang'onopang'ono ntchito za thupi ndikuthandizira munthuyo kukhalabe panjira ya thanzi ndi thanzi.
Dr. Alex Jimenez, DC, akupereka: Poyang'ana malangizowa, titha kuwunika momwe wodwalayo akukumana ndi vuto, kubwera ndi kafukufuku wa momwe angachepetsere zinthu zomwe zimayambitsa kusagwira bwino ntchito kwa thupi la wodwalayo, ndikubwera ndi dongosolo lamankhwala lamunthu lomwe limalimbikitsa wodwala kutenga nawo mbali ndikugwira ntchito ndi othandizira ena azachipatala kuti atsimikizire kuti munthuyo ali ndi thanzi labwino. Zonse sizimatayika, chifukwa pali njira zochepetsera dyslipidemia yokhudzana ndi metabolic syndrome.
Kuchiza monga chisamaliro cha chiropractic kungathandize kubwezeretsa machitidwe a thupi kudzera m'maganizo a msana m'madera a khomo lachiberekero, thoracic, ndi lumbar kuti achepetse kuuma ndi kubwezeretsanso kuyenda kwa munthuyo. Zakudya zotsutsana ndi kutupa ndi kuchita masewera olimbitsa thupi zingathandize kuchepetsa kutupa ndi kuchepetsa mafuta a kolesterolini omwe munthu akulimbana nawo. Ndipo potsiriza, kuchita masewera olimbitsa thupi kungathandize kuchepetsa kupsinjika maganizo ndikuwongolera kayendetsedwe kake kamagulu ndi minofu ya thupi. Mankhwala onsewa amagwira ntchito limodzi pokhudzana ndi thanzi la munthu, chifukwa thupi ndi makina ovuta. Kuphatikizika kwa mankhwala ogwira ntchito ndi chisamaliro cha chiropractic kumatha kulola anthu kuti ayambe kusintha pang'ono m'miyoyo yawo kuti abwezeretse thanzi lawo ndikukhala opanda ululu ku matenda a metabolic omwe amakhudzana ndi dyslipidemia. Kukumbukira kuti zimatenga nthawi kuti machiritsowa awonetse zotsatira zakumva bwino kungapangitse kuti ulendo wanu ukhale wabwino.
Dr. Alex Jimenez, DC, akuwonetsa zotsatira za metabolic syndrome zomwe zimatha kusokoneza magwiridwe antchito a thupi. Metabolic syndrome ndi vuto lomwe limayamba kuchokera ku insulin kukana mpaka kutupa ndi kupweteka kwa minofu. Poganizira momwe munthu aliyense alili wosiyana, timayang'ana momwe metabolic syndrome imayenderana ndi kusagwira ntchito kwa insulin komanso kulumikizidwa ndi kutupa. Timatsogolera odwala kwa othandizira ovomerezeka omwe amapereka chithandizo chamankhwala chogwira ntchito chokhudzana ndi metabolic syndrome kuti abwezeretse magwiridwe antchito amthupi. Timavomereza wodwala aliyense ndi zizindikiro zake powatumiza kwa azithandizo omwe timalumikizana nawo kutengera momwe akudwala kuti amvetsetse bwino zomwe akukumana nazo. Timamvetsetsa kuti maphunziro ndi njira yabwino kwambiri yofunsa opereka athu mafunso osiyanasiyana omwe amagwira ntchito pakudziwa kwa wodwalayo. Dr. Jimenez, DC, amagwiritsa ntchito mfundoyi ngati ntchito yophunzitsa. chandalama
Zotsatira za Metabolic Syndrome
Dr. Alex Jimenez, DC, akupereka: Metabolic syndrome ndi gulu lazovuta zomwe zimatha kukhudza thupi ndikuyambitsa zovuta zina ku ziwalo zofunika komanso magwiridwe antchito a minofu ndi olowa. Matenda a Metabolic amathanso kugwirizana ndi matenda ena monga matenda a shuga komanso kukana insulini, zomwe zingayambitse ululu wotchulidwa m'malo osiyanasiyana amthupi. Mwachitsanzo, ululu wammbuyo wokhudzana ndi metabolic syndrome ukhoza kukhala wonenepa kwambiri. Chifukwa chake m'nkhani yapitayi, tidawona momwe tingadziwire zomwe zimayambitsa metabolic syndrome. Poyesa kumvetsetsa kuti ndi anthu angati omwe amatha kukhala ndi metabolic syndrome, tiyenera kuyang'ana zomwe akudya, moyo wawo wamtundu wanji, komanso ngati ali ndi mikhalidwe yomwe idakhalapo kale. Zonsezi zimachitika akamayesedwa ndi dokotala wawo wamkulu.
Chinanso choyenera kuyang'ana mukazindikira odwala omwe ali ndi metabolic syndrome ndikuyang'ana majini awo. Kaya ndi moyo wa munthu kapena chilengedwe, kuyang'ana majini a munthu, mudzapeza phenotype ina mu ndondomeko ya DNA. Kufikira pamenepo, ngati wina ali ndi moyo wotupa wophatikizidwa ndi ma genetic code yapadera, madotolo azachipatala amatha kuzindikira mulu wa comorbidities zomwe zimakhudza munthuyo. Ndi chidziwitsochi, madokotala amatha kudziwitsa odwala awo kuti ngati sasintha pang'ono, akhoza kukhala pachiwopsezo chokhala ndi zovuta zomwe zingakhudze matupi awo ndikupangitsa kupweteka kwa minofu, ziwalo, ndi mafupa.
Functional Medicine & Metabolic Syndrome
Dr. Alex Jimenez, DC, akupereka: Izi ndi zomwe kukambirana kwamankhwala kumakhudza chifukwa tikuyesera kuthana ndi vutolo lisanayambike zovuta za microvascular ndi macrovascular ngakhale m'thupi. Popeza metabolic syndrome ndi gulu lamavuto, kodi imatha kulumikizana ndi zovuta zina monga kusowa kwa insulin?
Chabwino, izo zikhoza. Thupi likapanda kupanga insulin yokwanira kuti lipereke mphamvu m'thupi, zimatha kuyambitsa kutupa kosatha. Chifukwa chake kaya ndi moyo wosakhala bwino, kusagwira bwino ntchito kwa ma microbiome, visceral adiposity, kapena kupsinjika kosalekeza, kutupa komwe kumalumikizidwa ndi kusagwira ntchito kwa insulin kumatha kuyendetsa olamulira a HPA kukhala mopitilira muyeso. Nthawi zina sizingakhale chifukwa cha kutupa. Zitha kukhala zokhudzana ndi kukanika kwa mitochondrial. Chifukwa chake poyang'ana kuwunika kwa munthu yemwe ali ndi vuto la metabolic syndrome, mumayang'ana nthawi yawo, moyo wawo, komanso kusalinganika kwachipatala komwe kumayendetsa zolembera zotupa kuti zikhudze thupi. Detayo imatha kuyang'ananso zizindikiro za chipongwe cha mitochondrial ndi ma comorbidities omwe angapangitse kukanika kwa insulin komwe kungayambitse kukula kwa metabolic syndrome. Chidziwitsochi chidzapatsa madokotala ogwira ntchito zachipatala kudziwa zomwe ali ndi chibadwa m'matupi awo.
Aliyense ndi wosiyana, ndipo kusamalira mapulani apadera a chithandizo kwa iwo kungapereke zotsatira zokhalitsa m'tsogolomu. Chifukwa chake zikafika pamachitidwe ogwirira ntchito komanso odziwika bwino a metabolic syndrome omwe amakhudzana ndi zovuta zina zosiyanasiyana, ndikofunikira kufananiza ndikusiyanitsa njira zonse ziwiri kuti mudziwe zomwe wodwalayo ayenera kuganizira kuchita kuti akhalenso ndi thanzi komanso thanzi. Izi zitha kukhala kuchokera kumankhwala omwe angagwire ntchito kwa munthu, ndi zakudya zotani zomwe zingachepetse zolembera zotupa ndikuwongolera kupanga mahomoni, kapena kuchuluka kwawo kolimbitsa thupi. Kufikira pamenepo, tidzachiza chifukwa chake pogwiritsa ntchito njira zosiyanasiyana zopitirira mankhwala ndi opaleshoni momwe tingathere ndipo, panthawi imodzimodziyo, timakumana ndi odwala kumene ali chifukwa nthawi zina anthu amachita bwino ndi kulowererapo kwa moyo. Mosiyana ndi izi, ena omwe ali ndi ziwopsezo zambiri amafunikira nthawi yochulukirapo yowunikira komanso kuyezetsa matenda.
Kulephera kwa insulini komwe kumayenderana ndi kutupa
Dr. Alex Jimenez, DC, akupereka: Cholinga chathu chachikulu ndikuzindikira kukanika kwa insulin komwe kumakhudzana ndi kutupa komwe kumagwirizana ndi metabolic syndrome. Zotsatira za labotale kuchokera kwa othandizira azachipatala omwe timalumikizana nawo zitha kutiuza nkhani ya zomwe wodwala akukumana nazo ndikuzindikira ngati tikufunika kuyika zakudya zomwe thupi liyenera kukonza kapena kuchotsa poizoni, tinene, zomwe zimasokoneza luso. athupi kuti adzikonzere okha kulephera kwa insulin. Chifukwa kupewa izi zomwe zimagwirizanitsidwa ndi metabolic syndrome zitha kuthandiza anthu ambiri kukhalanso ndi thanzi labwino.
Popeza tonsefe tili ndi ma microbiomes osiyanasiyana, chinthu chokongola chokhudza mankhwala ogwira ntchito ndikuti amabweretsa chidziwitso chomwe chiyenera kuyankhidwa pamene matupi athu akulimbana ndi kutupa ndi kusokonezeka kwa insulini zomwe zimatipangitsa kuyankha ndikugwiritsa ntchito yankho limenelo monga kumvetsetsa kwa microbiome yathu. Zimatithandiza kuchepetsa zotsatira za zovuta zambiri ndi zizindikiro zokhudzana ndi metabolic syndrome zomwe sitingadziwe ngakhale titazisiya osathandizidwa. Pozindikira zomwe zimabweretsa mavuto m'matupi athu, titha kusintha pang'ono pa moyo wathu watsiku ndi tsiku kuti tikhale abwino komanso thanzi lathu.
Kutsiliza
Dr. Alex Jimenez, DC, akupereka: Ndi zomwe tanena, monga tanena kale, metabolic syndrome imatha kukhala zinthu zambiri zomwe zimaphatikizapo kutupa, kukana insulini, kunenepa kwambiri, komanso kusagwira bwino ntchito kwa mahomoni komwe kumatha kukhala zovuta za somato-visceral kapena visceral-somatic zomwe zimakhudza ziwalo ndi magulu a minofu. Nkhani zonsezi zikayamba kukhudza thupi, zimatha kuyambitsa mikhalidwe yomwe ilipo kale yomwe ingayambitse kupweteka kwamagulu ndi minofu. Pankhani ya thanzi ndi thanzi, kuchiza zotsatira za metabolic syndrome kumatha kuchita zodabwitsa kwa thupi, malingaliro, ndi mzimu. Kupanga kusintha pang'ono pa moyo kungapereke zotsatira zabwino zambiri ndikubwezeretsanso magwiridwe antchito a thupi.
Dr. Alex Jimenez, DC, akuwonetsa kuti ndi anthu angati omwe angazindikire chifukwa cha metabolic syndrome. Metabolic syndrome ndi gulu lazinthu kuyambira kukana insulini mpaka kupweteka kwa minofu ndi mafupa. Poganizira momwe munthu aliyense amasiyana, timayang'ana momwe metabolic syndrome imayenderana ndi matenda amtima. Timatumiza odwala kwa othandizira ovomerezeka omwe amapereka chithandizo chamtima chokhudzana ndi metabolic syndrome kuti athetse zovuta zomwe zimakhudza thupi ndikuwonetsetsa kuti wodwalayo ali ndi thanzi labwino kudzera muzamankhwala osiyanasiyana. Timavomereza wodwala aliyense powatumiza kwa azachipatala omwe timalumikizana nawo malinga ndi momwe alili kuti amvetsetse bwino zomwe akuchita nazo moyenera. Tikumvetsetsa kuti maphunziro ndi njira yabwino kwambiri yofunsa opereka athu mafunso osiyanasiyana ovuta kuti wodwalayo adziwe. Dr. Jimenez, DC, amagwiritsa ntchito chidziwitsochi ngati ntchito yophunzitsa. chandalama
Kodi Metabolic Syndrome Ndi Chiyani?
Dr. Alex Jimenez, DC, akupereka: Lero, tiyamba kukulitsa lens pa metabolic syndrome. Malinga ndi momwe mankhwala amagwirira ntchito, ambiri samachitcha kuti metabolic syndrome. Mawu ena omwe amagwiritsidwa ntchito pofotokoza matendawo anali:
Dysmetabolic syndrome
Hypertriglyceridemic m'chiuno
Insulin resistance syndrome
Obesity syndrome
Syndrome X
Metabolic syndrome ndi gulu lazovuta zomwe zimatha kukhudza moyo watsiku ndi tsiku wa munthu ndikuyambitsa zovuta zosiyanasiyana zomwe zingayambitse thupi kusagwira ntchito. Chifukwa chake mu 2005, malangizo atatu a ATP adatiuza kuti odwala ayenera kukwaniritsa njira zitatu mwa zisanu kuti adziwe matenda a metabolic. Chifukwa chake izi ndi kuzungulira m'chiuno, komwe kumakhudza kuchuluka kwa visceral, kuthamanga kwa magazi, shuga wamagazi, triglycerides, ndi HDL. Ndiyeno inu mukuwona zodulidwa pamenepo. Chifukwa chake mu International Diabetes Federation diagnosis criteria, zindikirani kuti pamafunika kukhala ndi kunenepa kwambiri, koma motsatana ndi mitundu yamitundu yozungulira m'chiuno. Kotero mmalo mwa atatu mwa asanu, muyenera kukhala ndi mmodzi, ndiyeno awiri ena mwa anayi ayenera kukumana. Chifukwa chake mumawona ena mofanana ndi kale, koma amangogawidwa mosiyana mu dongosolo la matenda. Tsopano tiyeni tikambirane za kudulidwa kwa mafuko.
Chifukwa chake ngati ndinu waku America wodyedwa ndi chimanga, chiuno mwanu ndi mainchesi 40 ngati mwamuna ndi mainchesi 35 ngati mkazi. Tsopano, ngati inu munali ochokera kumadera osiyanasiyana a dziko lapansi, ziwerengero za kuzungulira m’chiuno ndizosiyana kaya fuko ndi Asiya, Hispanic, African, European, kapena Middle East. Poyang'ana matenda a kagayidwe kachakudya poyang'ana kwambiri kusiyana kwamtundu wina, mukhoza kuona kuti anthu ambiri angayambe kukwaniritsa zofunikira za metabolic syndrome ngati madokotala atagwiritsa ntchito mfundo zokhwima zokhudzana ndi mafuko kuti adziwe odwala awo kuti ali ndi matenda a metabolic. Kuzindikira kwina kumawonanso komwe kutsekemera kwa visceral kuli panthawi yoduka ndikuwonanso zina zowonjezera za insulin kukana. Zinthu zina kupatula kukana insulini zimatha kupangitsa kuti machitidwe amthupi asamagwire bwino ntchito, zomwe zimapangitsa kuti ziwopsezo zomwe zingayambitse kupweteka kwa metabolic syndrome kukhudza minofu ndi magulu a minofu. Thupi likakanika kugwira ntchito chifukwa cha metabolic syndrome, limatha kukhudzanso machitidwe ofunikira amthupi monga dongosolo lamtima. Tsopano metabolic syndrome imalumikizana bwanji ndi mtima?
Kodi Metabolic Syndrome Imalumikizana Bwanji ndi Cardiovascular System?
Dr. Alex Jimenez, DC, akupereka: Mukayang'ana momwe zizolowezi zamunthu zimakhudzira thupi lawo, mutha kuwona kuti zomwe zikuwonetsa momwe zinthu za metabolic zimakhudzira chiwopsezo chonse cha cardiometabolic. Chidziwitsochi chimathandiza madokotala ndi odwala kudziwa za LDL cholesterol, BMIs, mbiri ya banja, ndi kuthamanga kwa magazi. Tiyerekeze kuti munthu ali ndi matenda amtima omwe analipo kale okhudzana ndi metabolic syndrome. Zikatero, ndikofunikira kudziwa ngati shuga wawo wakwera kapena watsika ndikuwona momwe angathanirane ndi ziwopsezo zomwe zimakhudzana ndi cardiometabolic syndrome. Izi ndi zinthu zofunika kwambiri pachiwopsezo zomwe ziyenera kubweretsedwa pazokambirana za metabolic kukanika kuti mumvetsetse bwino.
Tsopano pali njira zochepetsera zotsatira za metabolic syndrome yokhudzana ndi matenda amtima. Pokulitsa zambiri kuchokera ku zotsatira za mayeso a wodwalayo, titha kuyang'ana kupyola pa chiopsezo cha cardiometabolic; titha kudziwa zomwe zimayambitsa zomwe zili kupitilira kwa zinthu izi zomwe zimakhudza thupi. Izi zitha kukhala nkhani zambiri monga momwe munthu akuchitira masewera olimbitsa thupi, momwe amachitira ndi kupsinjika ndi kutupa, komanso zakudya zomwe amadya.
Pozindikira zotsatira izi, titha kuzindikira zinthu zopitilira metabolic syndrome ndikuwona zovuta zina zomwe zimayambitsa metabolic syndrome. Madokotala ambiri amadziwitsa odwala awo momwe ma insulin awo amakwezera, zomwe zingawapangitse kukana insulini ndikutaya ma cell awo a beta. Pamene kukana kwa insulini kumagwirizana ndi metabolic syndrome, anthu ambiri ayenera kuzindikira kuti majini awo amathanso kugwira ntchito. Anthu ena ali ndi majini omwe amawayendetsa ndi mtundu womwewo wa kusokonezeka kwa moyo, kutupa, kusagwira ntchito bwino, komanso kukana insulini. Majini awo amafanananso ndi vuto la kuthamanga kwa magazi kapena kusokonezeka kwamisala kwa lipid. Zomwe ziwopsezo za cardiometabolic zimabweretsa zovuta zomwe zimakhudza thupi, ndikofunikira kwambiri kukhala ndi mankhwala ogwira ntchito omwe amayang'ana kwambiri kuti adziwe komwe kumayambitsa kusagwira bwino ntchito mthupi.
Insulin Resistance & Metabolic Syndrome
Dr. Alex Jimenez, DC, akupereka: Chifukwa chake pankhani ya kukana insulini, ndikofunikira kuzindikira kusagwira bwino ntchito kwa maselo a beta m'thupi ngati kapamba sangathe kupanga insulin yokwanira kuti isanduke shuga. Izi zikachitika, anthu amayamba kukhala ndi glycemia wokwera, ndipo ngati ipitilira kukwera nthawi inayake, amakhala atayamba kale kukhala ndi matenda amtundu wa 2. Kufikira pamenepo, thupi limakhala ndi kuchepa kwa insulini, zomwe zimapangitsa kuti zolandilira m'thupi zisakhale zomata komanso zogwira ntchito.
Insulin yokwanira ikamayenda m'thupi ndikugwira ntchito yake, kuchuluka kwa shuga m'magazi sikufika pachimake kuti mukhale matenda a shuga. Tsopano, tiyerekeze kuti thupi limasunga magwiridwe antchito a cell a beta. Zikatero, ma receptor a insulin sagwira ntchito, zomwe zimapangitsa kuti kapamba ayambe kutulutsa insulini kuti athe kulimbana ndi kukana kumeneku, zomwe zimapangitsa kuti munthu akhale pachiwopsezo chachikulu cha insulin. Mwa kukhazikika kwa insulini, anthu ambiri amatha kuwongolera kuchuluka kwa shuga m'matupi awo. Komabe, tiyerekeze kuti munthu amadwala matenda a shuga. Zikatero, zonse zomwe insulin imatulutsidwa ndi kukanika kwakukulu kwa biology komwe kumawonetsa matenda ena ambiri osapezeka ndi matenda a shuga.
Kutsiliza
Chifukwa chake, kulephera kwa insulini kumatha kulumikizidwa ndi matenda amtima chifukwa cha kusasankha bwino kwa moyo, kadyedwe, komanso kuchita masewera olimbitsa thupi. Pochita ndi metabolic syndrome yokhudzana ndi zinthu zowopsa izi, imatha kupangitsa kuti thupi lisagwire ntchito ndikupangitsa kupweteka kwa ziwalo, minofu, ndi mafupa. Izi zingayambitse kunenepa kwambiri komanso matenda a shuga ngati sizikugwiridwa bwino. Kuyamba chizoloŵezi kungathandize kuchepetsa kukana kwa insulini mwa kudya moyenera, kugona mokwanira, kuchita zinthu mwanzeru, ndi kuchita maseŵera olimbitsa thupi kungathandize kusintha thupi ndi maganizo.
Dr. Alex Jimenez, DC, akuwonetsa momwe zomwe zimayambitsa ndi zotsatira za chiopsezo cha cardiometabolic zingakhudzire thanzi la munthu. Cardiometabolic syndrome imatha kukhudza munthu aliyense kudzera m'mayendedwe amoyo ndikuyambitsa zizindikiro zowawa zomwe zingakhudze thanzi lawo. Timatumiza odwala kwa othandizira ovomerezeka omwe amapereka chithandizo chamtima chokhudzana ndi metabolic syndrome kuti athetse zovuta zomwe zimakhudza thupi ndikuwonetsetsa kuti wodwalayo ali ndi thanzi labwino kudzera muzamankhwala osiyanasiyana. Timavomereza wodwala aliyense powatumiza kwa azachipatala omwe timalumikizana nawo malinga ndi momwe alili kuti amvetsetse bwino zomwe akuchita nazo moyenera. Tikumvetsetsa kuti maphunziro ndi njira yabwino kwambiri yofunsa opereka athu mafunso osiyanasiyana ovuta kuti wodwalayo adziwe. Dr. Jimenez, DC, amagwiritsa ntchito chidziwitsochi ngati ntchito yophunzitsa. chandalama
Zomwe Zimayambitsa & Zotsatira Za Kuopsa kwa Cardiometabolic
Dr. Alex Jimenez, DC, akupereka: Tsopano, tikulowa m'nthawi yatsopanoyi, anthu ambiri akuyesera kupeza njira zothanirana ndi chiopsezo cha cardiometabolic. Chifukwa chake mu chiwonetserochi, tiwona wakupha nambala wani m'maiko ambiri amakono; matenda amtima amatanthauzidwa ngati gulu la zinthu zomwe zimakhudza mtima. Zinthu zambiri zimagwirizanitsidwa ndi matenda amtima omwe amakumana ndi metabolic syndrome. Mawu akuti cardiometabolic akuwonetsa kuti tikambirana zazambiri kuposa chiopsezo cha mtima.
Cholinga ndicho kupeza malingaliro pa zokambirana zakale zokhudzana ndi chiopsezo cha mtima chokhudzana ndi kayendedwe ka magazi. Tonse tikudziwa kuti kayendedwe ka thupi, kupuma, ndi mafupa ali ndi zigawo zosiyana zomwe zimakhala ndi ntchito zosiyanasiyana kuti thupi ligwire ntchito. Vuto ndilakuti thupi limagwira ntchito m'machitidwe osiyanasiyana osadalirana. Zimabwera palimodzi ndikulumikizana ngati ukonde.
The Circulatory System
Dr. Alex Jimenez, DC, akupereka: Choncho dongosolo la kayendedwe ka magazi limathandiza kunyamula mitsempha ya magazi ndi kulola mitsempha ya mitsempha kunyamula maselo ndi zinthu zina monga mahomoni kuchokera kumalo ena kupita kwina. Chitsanzo chingakhale ma receptor anu a insulin omwe amasuntha zidziwitso mthupi lanu lonse komanso zolandilira shuga zomwe zimagwiritsidwa ntchito ngati mphamvu. Ndipo mwachiwonekere, mitundu ina yonse ya olankhulana imayang'anira momwe zoyendera zimachitikira m'thupi. Tsopano thupi si lotsekedwa lokhazikika dera lolumikizidwa kudzera kunja. Zinthu zambiri zimatha kukhudza thupi mkati ndi kunja komwe kumatha kukhudza khoma la arterial ndikuyambitsa zovuta zomwe zimakhudza dongosolo lamtima. Tsopano, chikuchitika ndi chiyani pakhoma lamtsempha lomwe limayambitsa zinthu zambirimbiri m'thupi?
Zinthu zikayamba kukhudza khoma lamkati mkati, zimatha kupangitsa kuti plaque ikhale m'mitsempha yamagazi komanso ngakhale kukhudza kukhulupirika kwa makoma akunja a mitsempha. Izi zikachitika, LDL kapena low-density lipoprotein imatha kukula ndikupangitsa kuchuluka kwa cholesterol. Kufikira pamenepo, thupi likakhala ndi zizolowezi zoipa, zimatha kupangitsa kuti thupi likhale pachiwopsezo chachikulu cha mtima. Pamene thupi likugwira ntchito ndi matenda amtima omwe ali pachiwopsezo chachikulu, amatha kuyambitsa kuthamanga kwa magazi, shuga, kapena metabolic syndrome. Izi zimapangitsa kuti thupi likhale ndi kupweteka kwa minofu ndi mafupa kumbuyo, m'khosi, m'chiuno, ndi pachifuwa, kutchula zochepa chabe, ndipo zingayambitse munthu kulimbana ndi kutupa m'matumbo, mafupa, ndi minofu.
Zinthu Zogwirizana ndi Cardiometabolic Risk Factors
Dr. Alex Jimenez, DC, akupereka: Koma chochititsa chidwi n’chakuti, sipanafike posachedwapa pamene mabungwe amene amalamulira mulingo wathu wa kasamalidwe kathu akusamalira izi mozama, ponena kuti zikufunika kukhala mbali ya malangizowo chifukwa deta imaonekera kwambiri kuti mmene moyo wa munthu umakhudzira thanzi lake. Deta imatha kutengera momwe zakudya zina, monga zakudya zaku Mediterranean, zingasinthire zizolowezi zamunthu. Momwe kupsinjika kumayenderana ndi matenda a cardiometabolic. Kapenanso kuchuluka kwa masewera olimbitsa thupi kapena kugona komwe mukugona. Zinthu zachilengedwe izi zimagwirizana ndi momwe ziwopsezo za cardiometabolic zimakhudzira thupi. Podziwitsa odwala zomwe zikuchitika ndi matupi awo, amatha kusintha pang'ono ku zizolowezi zawo za moyo. Tsopano tiyeni tiwone momwe zakudya zingakhudzire munthu yemwe ali ndi chiopsezo cha cardiometabolic.
Pokambirana za zakudya, anthu ambiri amatha kuona zotsatira za zakudya zamtundu wa ku America komanso momwe zingayambitse kuwonjezeka kwa caloric pakati pa adiposity. Pokambirana za zakudya, ndi bwino kuzindikira zomwe munthuyo akudya, zomwe zimayambitsa chiopsezo cha cardiometabolic m'matupi awo. Madokotala amagwira ntchito limodzi ndi akatswiri a kadyedwe kuti apeze yankho loti akwaniritse kuchuluka kwa mapuloteni omwe munthu aliyense amafunikira, kuchuluka kwa masamba ndi zipatso zomwe atha kudya, komanso zomwe zimawawa kapena zovuta zomwe zingapewe. Kufikira pamenepo, kudziwitsa odwala za kudya zakudya zopatsa thanzi, zopatsa thanzi komanso zopatsa thanzi kudzawathandiza kumvetsetsa zomwe amaika m'matupi awo komanso momwe angasinthire zotsatira zake. Tsopano munthu aliyense ndi wosiyana monga momwe zakudya zina zimakhalira kwa anthu ena pamene ena satero, ndikofunikanso kuti polangiza odwala za zomwe akudya ndi kudya komanso za nthawi. Anthu ena amasala kudya kuti ayeretse matupi awo pochotsa poizoni ndikulola maselo am'thupi kupeza njira zosiyanasiyana zogwiritsira ntchito mphamvu.
Momwe Zakudya Zakudya Zimagwirira Ntchito Mu Cardiometabolic Syndrome
Dr. Alex Jimenez, DC, akupereka: Koma kodi mumadziwa kuti kuchuluka kwa zopatsa mphamvu muzakudya zokhazikika zaku America kumatha kuwononga matumbo athu, ndikupangitsa kuti matumbo asapitirire, ndikupanga zochitika zodziwika bwino zomwe zimatchedwa metabolic endotoxemia zomwe zimayambitsa kutupa? Ubwino ndi kuchuluka kwa zakudya zimatha kusokoneza ma microbiome athu, zomwe zimatsogolera ku dysbiosis ngati njira ina yotupa. Ndipo kotero mumapeza chitetezo chamthupi ichi ndi kusokoneza komwe kumapangitsa kusamba kosalekeza komwe majini anu akusamba. Kutupa kumatha kukhala kwabwino kapena koyipa kutengera kuopsa kwa zomwe zikuchitika m'thupi. Ngati thupi likuvulala chifukwa chovulala kapena likukumana ndi zovuta zazing'ono, kutupa kumatha kuchiritsa. Kapena ngati kutupa kuli koopsa, kungachititse kuti khoma la m'mimba lipse n'kutulutsa poizoni ndi tizilombo toyambitsa matenda m'thupi lonse. Izi zimadziwika kuti matumbo otayirira, omwe angayambitse kupweteka kwa minofu ndi mafupa okhudzana ndi kunenepa kwambiri. Chifukwa chake tikufuna kukulitsa zokambiranazo pazakudya chifukwa kunenepa kwambiri kumakhudza zakudya zopanda thanzi. Nthawi zambiri amati ndife odyetsedwa komanso osadyetsedwa bwino ngati anthu. Chifukwa chake tikufuna kuti tithe kuchepetsa mayendedwe a kunenepa moyenera. Ndipo tikufuna kubweretsa zokambirana zazikuluzikulu zokhudzana ndi thanzi labwino. M'kupita kwa zaka, anthu ambiri amadziwa bwino momwe chilengedwe chawo komanso moyo wawo zimakhudzira matenda amtima kapena mtima.
Tiyenera kuzindikira kuti thupi la munthu limakhala mu chikhalidwe cha chikhalidwe ichi chomwe chimatsimikizira kuthekera kwa thanzi. Tikufuna kuchititsa odwala kuti adziwitse zamphamvu kwambiri zolimbana ndi kutupa m'miyoyo yawo komanso momwe amasankhira moyo wawo. Ndipo sitikukambirana za mafashoni monga kuvala spandex ndikupita ku masewera olimbitsa thupi kamodzi pamwezi; tikukamba za mayendedwe atsiku ndi tsiku komanso momwe mungachepetsere khalidwe lokhala chete lokhudzana ndi matenda a cardiometabolic syndrome. Tidakambirana momwe ngakhale kukhudzidwa kwa kupsinjika kumatha kulimbikitsa atherosulinosis, arrhythmias, ndi kagayidwe kachakudya m'thupi ndikuyambitsa zovuta zosiyanasiyana zomwe zingakhudze thanzi la munthu.
Kupanikizika & Kutupa Udindo Mu Thupi
Dr. Alex Jimenez, DC, akupereka: Kupsinjika maganizo, monga kutupa, kungakhale kwabwino kapena koipa, malingana ndi mmene zinthu zilili. Chifukwa chake kupsinjika kumatha kukhudza kuthekera kwa munthu kuti agwire ntchito padziko lapansi pamene tikulowa muzovuta za biology zomwe zimachitika chifukwa cha kupsinjika kwakukulu komanso kosatha komanso momwe tingathandizire odwala athu. Tiyenera kumvetsetsa kuti tiyenera kudziyika tokha mu nsapato za odwala athu poganizira momwe tingachepetsere kupsinjika kwakanthawi kuti tichepetse chiopsezo cha cardiometabolic ndikuwongolera moyo wabwino.
Chifukwa chake posakhazikika pakuyesa chilichonse nthawi imodzi kuti muchepetse chiopsezo cha cardiometabolic, kutenga zonse zomwe timaphunzira ndikuziphatikiza pang'onopang'ono m'miyoyo yathu yatsiku ndi tsiku zitha kukhudza kwambiri momwe timawonekera, momwe timamvera komanso zomwe timadya zimatha kusintha thanzi lathu. -kukhala. Dr. David Jones anati, “Ngati zonse zimene timachita ndi kulankhula za zimenezi ndipo zonse zimene timachita n’kudziŵa zimenezi, sizimagwira ntchito yonse imene tili nayo monga cholinga kwa odwala athu.”
Tiyenera kudzichotsa tokha kuchoka pa siteji yodziwa kupita ku siteji yochitira chifukwa ndipamene zotsatira zidzachitika. Chifukwa chake poyang'ana chithunzi chachikulu, titha kubwezeretsa thanzi lathu ku matenda a cardiometabolic poyang'ana komwe vuto likuchitika m'matupi athu ndikupita kwa akatswiri osiyanasiyana omwe amatha kupanga dongosolo lamankhwala kuti achepetse kupsinjika ndi kutupa m'matupi athu komwe kungathe. kuchepetsa zotsatira za cardiometabolic syndrome.
Kutsiliza
Dr. Alex Jimenez, DC, akupereka: Chifukwa chake ngati anthu ambiri akukumana ndi ziwopsezo zamtima, amakhala ndi machitidwe odziwika bwino awa, kusokonekera kwa biology, kaya kukhudzana ndi kutupa, kupsinjika kwa okosijeni, kapena kusokonekera kwa insulin, zonse zikuchitika pansi. . Muzamankhwala ogwira ntchito, tikufuna kupita kumtunda munyengo yatsopanoyi ya thanzi la cardiometabolic. Tikufuna kupititsa patsogolo chilengedwe ndi moyo kuti ziwononge biology yadongosolo kuti zikhale bwino kuti athe kulola kuthekera kwa epigenetic kwa wodwala kukhala pachiwonetsero chake chathanzi.
Popereka zida zoyenera kwa odwala, madokotala ambiri ogwira ntchito zamankhwala amatha kuphunzitsa odwala awo momwe angabwezeretse thanzi lawo pang'ono nthawi iliyonse. Mwachitsanzo, munthu akulimbana ndi kupsinjika maganizo kosatha, kumayambitsa kuuma kwa khosi ndi msana, zomwe zimapangitsa kuti asathe kuyendayenda. Madokotala awo amatha kupanga dongosolo lophatikiza kusinkhasinkha kapena kutenga kalasi ya yoga kuti muchepetse nkhawa m'matupi awo ndikukumbukira. Chifukwa chake popeza chidziwitso chofunikira chachipatala chokhudza momwe munthu akuvutikira ndi cardiometabolic, madotolo ambiri amatha kugwira ntchito limodzi ndi othandizira azachipatala kuti apange dongosolo lachithandizo lothandizira aliyense amene akudwala matenda a cardiometabolic.
