Yawan kiba a cikin mata da maganin maza, abinci
Endocrinologists suna bincikar lafiyar kiba lokacin da tarin yawaitar tsotse nama suke a cikin ciki da ciki.
Hakanan ana iya kiran wannan nau'in kiba mai yawa ga android (saboda rarraba kitsen ƙwayoyin jikin mutum), tsakiya ko visceral. Wannan shine, ga likitocin waɗannan ma'anar waɗannan maganganu suna da alaƙa, kodayake akwai bambance-bambance tsakanin kiba tsakanin ƙwayar ciki: a cikin Latin, ciki yana nufin "ciki", kuma viscera na nufin "insides". Ya juya cewa a farkon yanayin ana nuna yanayin ƙoshin mai, kuma a cikin na biyu an jaddada cewa wannan kitse ba subcutaneous bane, amma na ciki ne kuma yana cikin omentum, fatattakar mai ƙoshin ƙwaƙwalwa da kewayen gabobin visceral kansu.
A cikin adadin kwayoyin halitta na yau da kullun, wannan ƙwayar adipose yana aiki a matsayin kariya a gare su, amma ƙwayoyin da suka wuce kima - kiba mai ciki - suna da mummunar tasiri kan lafiyar.
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Epidemiology
A cewar wasu ƙididdigar, kusan tsofaffi biliyan 2.3 suna da ƙiba a cikin duniya, kuma a cikin shekaru ukun da suka gabata adadin su ya haɓaka sama da sau 2.5. Misali, a Amurka, akalla kashi 50% na maza masu shekaru 50 zuwa 79 kuma kusan kashi 70% na mata a wannan zamanin suna masu kiba. Kuma an gano cutar kiba a hade da cutar sankara a cikin Amurkawa miliyan 38.8 - tare da kashi 0.8% a madadin maza. Aƙalla kashi 32% na yawan balagaggun Amurka (miliyan 47) suna da cututtukan metabolism.
Yawan mutanen Kanada da suka wuce shekaru 18 wadanda suka wuce kiba sun karu sosai, kodayake yawancin BMI ba su wuce 35 - wato aji na kiba.
Masana ilimin cututtukan dabbobi na kasar Brazil sunce kashi 26.7% na ‘yanmatan Brazil masu shekaru 7-10 kuma 34.6% na‘ yan matan daidai da wannan suna da kiba ko kuma wani kiba, mafi yawan lokuta abune na ciki.
Yawan masu fama da kiba sun ƙaru a Australia, Mexico, Faransa, Spain, Switzerland, 27% na maganganun cututtukan ƙwayar cuta na maza, 38% - mata.
A cikin 'yan Birtaniyar, kiba kusan kusan ya ninka a cikin shekaru 30 da suka gabata, wanda ya kai kashi 22-24% na yawan mutanen Burtaniya.
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Sanadin yawan kiba
Mabuɗin abubuwan fashewa na haifar da nau'in kiba na ciki suna da alaƙa da take hakkin ɓangaren ƙwayar cuta na yawan adadin kuzari da ƙimar kuzarin da aka karɓa - tare da amfani mai yawa. Tare da salon tsinkaye, ƙarfin da ba a amfani da shi a cikin nau'i na triglycerides yana tara abubuwa a cikin adipocytes (ƙwayoyin farin adipose nama). Af, ana sa kiba mai yawa ta yawan cin abinci mai mai yawa, amma ta abinci mai wadatar da carbohydrates, tunda yawan wuce hadarin glucose a ƙarƙashin rinjayar insulin ana samun sauƙin canzawa zuwa triglycerides. Don haka irin waɗannan haɗarin haɗari don kiba kamar rashin abinci mai gina jiki da rashin aikin motsi, babu mai shakka.
Daya daga cikin alamun sanadin yawan kiba a cikin maza shine giya. Abin da ake kira "giya na ciki" ya bayyana saboda barasa (gami da giya) yana ba da adadin kuzari ba tare da darajar abinci mai mahimmanci ba, kuma lokacin da waɗannan adadin kuzari ba su ƙona ba, kitsen mai zai iya ƙaruwa a cikin mahaifa na ciki.
Cin abinci ma yana daya daga cikin dalilan rashin wuce gona da iri: mutane da yawa suna da dabi’ar “saka wa kansu abinci,” wato “kwace” damuwa da duk wani motsin rai (zamuyi magana kan pathogenesis wannan sabon abu a kasa).
Abubuwan da ke haifar da kiba a ciki suna da alaƙa da haɓakar ƙwayoyin furotin-peptide da kwayoyin steroid, neuropeptides da neurotransmitters (catecholamines), tare da hulɗar su, matakin kulawa da masu karɓa da kuma daidaitawar tsarin juyayi na juyayi mai juyayi. Sau da yawa, matsalolin endocrine ana ƙaddara su da asalin halitta.
Kamar yadda endocrinologists lura, yawan kiba a cikin maza (wanda da farko suna da kitsen visceral fiye da mata) saboda raguwar testosterone (dihydrotestosterone).Rage raguwar samar da steroids na jima'i, kamar yadda ya juya, yana ba da gudummawa ga karuwar masu karɓar masu karɓar kyallen a cikin kasusuwa, duk da haka, an rage yawan jin daɗin karɓar siginar, don haka, yaduwar sigina zuwa ga neuroreceptors na hypothalamus, wanda ke tsara yawancin ayyukan endocrine a cikin jiki, an gurbata.
Yawan kiba a cikin mata yana tasowa, a matsayin mai mulki, bayan farawar menopause, kuma an yi bayani ta hanyar raguwar saurin kwazon kwayar estradiol a cikin gidan kwai. Sakamakon haka, ba kawai catabolism na brown adipose nama canje-canje ba, har ma da rarrabuwa a jiki. A wannan yanayin, yawan kiba a ciki tare da BMI na al'ada ana lura da shi sau da yawa (shine, tare da ƙididdigar taro na jiki wanda ba shi da girma sama da 25). Kwayoyin polycystic suna ba da gudummawa ga kiba, da rage matakin kwayoyin halittun mace. Bugu da kari, hypothyroidism, rashi na thyroxine hormone thyroxine da kwayar motsa jiki mai narkewa (wanda ke haifar da ƙwayar ƙwayar ƙwayar mahaifa), wanda ke taka muhimmiyar rawa a cikin aikin metabolism na gaba ɗaya, ana ɗauka a matsayin haɗari ga haɗarin ƙwayar visceral a cikin mata.
Yawan kiba a cikin mata bayan haihuwa ta tsoratar da wadanda suka sami karin kilo a lokacin daukar ciki fiye da yadda ya kamata (kuma wannan alamu ne na kusan kashi 43% na mata masu juna biyu). Hakanan yana bayar da gudummawa ga kiba da kuma kara girman jikin mutum kafin daukar ciki, musamman akasarin wani babban sinadarin prolactin na jini a cikin jini (wanda aka samar yayin lactation kuma yana motsa canzawar glucose zuwa mai). Haɓakar kiba a cikin mahaifa bayan haihuwar na iya zama ɗayan sakamakon Sheehan da ke haɗuwa da mummunar asarar jini yayin haihuwa, wanda ke haifar da lalacewar ƙwayoyin ƙwayoyin cuta.
Daga cikin canje-canje na cututtukan cututtukan cututtukan ƙwayar cuta na endocrine, waɗannan halaye masu haɗari don tara mai a cikin rami na ciki an bambanta:
- syntara yawan haɓakar hormone adrenocorticotropic (ACTH) ta hanjin ƙwaƙwalwar ciki tare da rage yawan haɓakar hormone, beta da gamma-lipotropins,
- yawan wuce haddi na glucocorticoids (kwayoyin steroid) tare da rikice-rikice na aikin adrenal bawo,
- increasedara yawan aikin insulin ta hanyar ƙwayar ƙwayar ƙwayar cuta yayin da yake rage samar da glucagon hormone (haɓakar lipolysis - fashewar triglycerides a cikin ƙwayoyin mai).
A zahiri, haɗuwa da waɗannan abubuwan suna haifar da kiba a cikin mahaifa. Kiba mara nauyi wani bangare ne na cutar sikila kuma yana da alaƙa kai tsaye ga duka karuwar ƙonewar nama (juriya) ga insulin, haɓakar hyperinsulinemia da haɓakar glucose na jini, da hauhawar jini - babban matakan triglycerides a cikin jini da ƙananan matakan lipoproteins mai yawa (HDL). A lokaci guda, bisa ga binciken asibiti, a cikin 5% na lokuta, ciwo na rayuwa yana kasancewa a cikin nauyin jiki na al'ada, a cikin 22% - a cikin kiba kuma a cikin 60% na marasa lafiya tare da kiba na ciki.
Tashin kitse na visceral a cikin rami na ciki na iya faruwa tare da cututtukan Cushing (Cutar Hisenko-Cushing), tare da ciwon giya wanda ke haifar da cutar kansa (insulinoma), tare da kamuwa da kumburi, insulinoma ko raunin radadi ga hypothalamus, haka kuma a cikin marasa lafiya da ke da wuya syndromes na kwayoyin halitta (Lawrence-Moon, Cohen, Kafinta, da sauransu).
Kiba mai ciki na iya haɓaka cikin yara da matasa masu fama da cutar Frelich neuroendocrine syndrome (adiposogenital dystrophy), sakamakon sakamako ne na raunin craniocerebral, nemoplasms, ko ƙwaƙwalwar kwakwalwa tare da meningitis ko encephalitis.
Wasu magunguna, irin su steroids da magungunan da ake amfani da su don rashin lafiyar kwakwalwa, na iya haifar da kiba.
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Yawan kiba a cikin maza da mata: sanadin da magani
Kiba mai yawan ciki cuta ce da ake yawaita kitse a ciki da kuma babba.Wata cuta tana tasowa lokacin da adadin kuzari daga abinci basu amfani kuma ana ajiye su lafiya kamar mai.
Lokacin da ya wuce kiba, ana sanya wani abu na adipose nama a saman gabobin ciki kuma ana kiransa visceral. Mai Visceral mai ƙarfi yana ɗaure gabobin ciki, matsi, yana hana aiki na yau da kullun. Adadin nama yana shiga cikin jijiyoyin jini, wanda ke ɗaukar jarin da sel ke haifarwa. Wannan hormone yana amsa damuwa ga damuwa kuma yana ba da gudummawa ga cin zarafin metabolism.
| Bidiyo (latsa don kunnawa). |
Sanadin cutar sune:
- Juyarwa
- Rashin motsa jiki,
- Ciwon ciki a jiki,
- Cutar ta thyroid
- Ciki
- Cututtukan cututtukan zuciya (damuwa, damuwa, fargaba),
- Sakamakon sakamako bayan ɗaukar magunguna (hormones, kwantar da hankali, magungunan ƙwayoyin cuta),
- Tsarin gado.
Iri Kiba mai yawa
- Zuciyar kiba. Fat mai rufe jakar zuciya, aikin zuciya yana damuwa.
- Kiba mai hanta (hepatosis mai kitse). Yana haifar da keta alleamarin ƙabilanci da kuma kawar da abubuwa masu cutarwa a jiki.
- Kiba koda. Yankin mai mai yawa yana lalata aikin urinary, tsawan fitsari yana faruwa. A sakamakon haka - samuwar duwatsun, hanyoyin raɗaɗi da kumburi a cikin tsarin ƙwayar cuta.
- Kibalar ƙwayar ƙwayar cuta - yana haifar da rudani a cikin tsarin narkewa.
Akwai matakai biyu na kiba a cikin jiki: ci gaba da kwanciyar hankali. Tare da ci gaba mai gudana, ana lura da ci gaba mai nauyi, tare da tsayayyen mataki, ƙimar da aka samu ba ta canzawa.
Don sanin abin da nauyi yake a al'ada, yi amfani da tsari mai sauƙi: Height (cm) - 100 = nauyi na al'ada. Misali: 189cm-100 = 89, wato, tare da haɓakar cm 189, nauyin yakamata ya zama kilogiram 89. Kuskuren halatta shine raka'a 8-10. Dangane da wannan tsari, ana bambanta matakan kiba 4:
Digiri na 1. Wuce kima jiki shine 8 kg. Cutar ba ta haifar da wata damuwa ga mutane ba. Yayin motsa jiki, gajeriyar numfashi yana bayyana, da sauri yana hutawa.
Digiri na biyu. Nauyi ya wuce na al'ada ta hanyar kilogiram na 10-15. Rage numfashi, zufa yana bayyana ko da ƙananan ƙoƙarin jiki. Kafafu da sauri sun gaji, kumbura da yamma. Mutumin ɗan adam yana fuskantar canje-canje, adonin da ke bayyane yana bayyana akan ciki, makamai.
Digiri 3. Kiba shine 50% ko fiye na nauyi na al'ada. Haɓakawa a cikin kaya a kan zuciya da ƙananan ƙafafunsa ba su dace da motsin mutum ba. An rage yawan motsa jiki.
Digiri 4. Yana da matukar wuya. Mai kiba ya wuce al'ada ta hanyar sau 4-5. Mai haƙuri a zahiri ba ya motsa kuma ba zai iya bauta wa kansa ba. Lalacewa a cikin zuciya, hanta, kodan da sauran gabobin jiki bala'i ne. Ba tare da taimakon likita ba, mutum ya mutu.
Cutar na bayyana kanta babu tsammani. A farko, ana tsinkaye nauyin kiba a hankali, ana danganta shi da "yanayin rashin damuwa". A wannan lokacin, mai visceral mai hankali yana tara jikin ciki, hannaye, kirji, yana buɗe gabobin ciki. Ganyayyun kitse yana fara samar da hormone wanda yake taimakawa yawan ci. Kwayoyin jikinta suna rage jijiyoyin gabobin zuwa insulin, wanda hakan ke haifar da abubuwan da ake bukata don aukuwar ciwon sukari. Abun ci yana ƙaruwa, an zaɓi fifiko ga mai yaji, mai kitse, abinci mai soyayye, kayan lefe.
Yawan tara kitse a cikin maza da mata ya ɗan bambanta.
A cikin mata, kitse na jikin mutum yana tarawa musamman a cikin yanki na kugu, hips, da gindi (abin da ake kira "kunnen kunne").
A cikin maza, ciki ya fara girma da fari. Saboda yanayin kwanciyar hankali da gamsarwa, an sanya kitsen visceral a cikin maganin shafawa. Abin da ake kira "ciki na giya" ya bayyana.Kayan mai a ciki yana girma, mutum yana jagorantar zaman rayuwa, nutsuwarsa tana ƙaruwa sosai ... Daga wannan mummunan da'irar akwai hanyar guda ɗaya kaɗai - cin abinci da wasanni.
A cikin tsayayyen mataki na digiri 3 da 4 na kiba, alamun cutar sun bayyana da ƙarfi:
- rauni, rauni, rashin tausayi,
- rashin ci,
- m shortness na numfashi
- zafi, rashin jin daɗi a cikin zuciya,
- take hakkin urination da aikin garkuwa,
- yanayin neurotic
- karuwa a cikin cholesterol da sukari na jini,
- zafi, kumburi na ƙananan ƙarshen, musamman da yamma.
Dangane da nazarin likita, mutanen da ke da kiba a ciki suna da haɗarin ƙirƙirar ciwo na rayuwa (juriya na insulin) lokacin da ƙwayoyin jikin mutum suka sami haƙuri. A cikin manyan maganganun, haɓakar ciwon sukari ya halatta.
Baya ga hyperglycemia, kiba mai ciki sau da yawa tana da ƙara yawan ƙwayar lipids a cikin jini, kuma ƙari ga lipoproteins masu ƙarancin ƙarfi (ƙwaƙwal mara kyau). Tare da wuce haddi mai yawa na lipoproteins, abubuwan da ake kira plasta cholesterol sun tashi, sakamakon abin da barazanar samuwar canje-canje na atherosclerotic, bugun jini da infarction myocardial yana ƙaruwa sosai.
Ga mata, nau'in kiba na ciki shima yana da haɗari saboda yana haifar da samar da kwayoyin halittar jima'i na namiji, waɗanda ke haɗuwa cikin ƙwayoyin ƙwayoyin mahaifa da kuma adrenal cortex. Saboda wannan rashin daidaituwar hormonal a cikin mata, an samar da hirsutism - haɓakar gashi-nau'in namiji. Bugu da kari, tare da samarwa da kwayoyin halittar maza masu jima'i, yanayin haila yana cikin damuwa.
Babban burin da ake yi na yaki da kiba shine a cire kiba mai gani a jiki.
Idan akwai mummunan aiki na aikin hormonal na jiki, yana da buƙatar yin duban dan tayi na glandar thyroid. Dangane da sakamakon binciken, an tsara magungunan hormonal.
Increasearin sukari na jini wata alama ce mai ba da tsoro ga farkon cutar kamar su ciwon sukari. Abubuwan da ke tattare da magani masu rikitarwa ana gudanar da su ne wadanda ke rage glucose jini. A irin waɗannan halayen, wajibi ne a yi yaƙi tare da sanadin (cuta), kuma ba tare da tasirin sa ba (kiba).
Idan kiba tayi yawa, za'ayi hanyoyin samar da magani a hade tare da endocrinologist da immunologist.
Masana'antar harhaɗa magunguna tana ba da zaɓi da yawa na magunguna don rage kiba. Sun bambanta cikin tasiri, hanyar aikace-aikace:
- don rage ci,
- haifar da jin cikakken ciki,
- haɓaka ƙarfin makamashi,
- bada gudummawa ga saurin fashewar kitse a jiki.
Ana ɗaukar magunguna kawai kamar yadda likita ya umurce shi. Kuna iya zaɓar shayi kawai don asarar nauyi akan kanku.
Wannan aikin tiyata wanda ake fitar da mai daga wuraren matsalolin jikin. An nuna shi a cikin mummunan yanayi (kiba 3-4 matakai). Wannan aiki mai sauki ne, ana aukuwa ne a karkashin maganin sa barci. A cikin zama daya, har zuwa kilogram 6 na mai aka fitar dashi. Ana dawo da nakasa yayin rana. Don cimma sakamako mafi kyau, yana da kyau a sanya riguna ta musamman na tsawon watanni 3.
Idan ba'a lura da mummunan lamuran gabobi da tsarin ba, ana inganta ingantaccen shirin asarar nauyi. Ya ƙunshi abinci mai gina jiki, motsa jiki, da kuma shawarar mai ilimin psychotherapist.
Da farko dai, ya zama dole don rage yawan abinci mai kalori.
Ban da abinci:
- da wuri
- pies
- Sweets
- kuki
- yin burodi
- Kayan kwalliya
- abincin gwangwani
- kyafaffen nama
- kayan lambu da aka zaɓa
- kifi mai gishiri
- nama mai kitse
- dankali, taliya,
- ruwa mai walƙiya
- yaji kayan ciye-ciye.
Abun da yakamata a hada a abinci a kowace rana ya hada da:
- kayan lambu, 'ya'yan itãcen marmari,
- burodi launin ruwan kasa
- zuma (a madadin sukari),
- kayan kiwo,
- nama mai laushi
- kifi
- ganye
- qwai
- vinaigrette.
Tasirin menu don kowace rana zai taimaka wajen yin likita - mai gina jiki. Kuna buƙatar cin abinci sau da yawa (5-6 sau a rana), a cikin ƙananan rabo (bautar ba ya wuce gram 250).Da dare, dole ne ku sha gilashin yogurt ko yogurt mai ƙanƙan mai.
Sau ɗaya a mako azumi kwanaki ne m (apple, gida cuku, nama, shinkafa, 'ya'yan itace, kiwo).
Koyaya, ba tare da motsa jiki ba, sakamakon magani zai zama sakaci.
Don rage wuce kima, yana da mahimmanci cewa kuzarin da aka kawo tare da abinci ba kawai yana ɓacewa gabaɗaya ba, har ma yana jin rashi. A irin waɗannan halaye, ilimin ta jiki yana zuwa ga ceto.
Kayan da aka zaɓa da darussan darasi:
- yana taimaka lalata gaba daya,
- horar da zuciya
- yana ƙarfafawa kuma yana inganta ƙwayar tsoka,
- yana taimaka wajen ƙona kitse, rage nauyin jiki,
- yana haɓaka aikin tsarin huhun,
- yana ƙaruwa da aikin ɗan adam da mahimmanci.
Ana yin jerin darussan akan "daga mai sauki zuwa rikitarwa":
- Matakin farko ya hada da wasu karin motsa jiki don dumama, shimfiɗa, haɓaka gwiwa, motsawa cikin matakai daban-daban.
- Bayan haka, ana kara darussan motsa jiki: tafiya, haske yana gudana, squats, tsalle a wurin.
- Kuma kawai a lokacin ne zaka iya shiga cikin yin matsi, tura-talla, gudu-nesa da sauransu.
- Don ƙarfafa sakamakon, yana da amfani don yin iyo, tseren keke, wasan tennis, Nordic tafiya.
Irin waɗannan hanyoyin sun hada da acupuncture, wanka na Rasha, sauna.
Ana amfani da Acupuncture cikin nasara don maganin kiba na ciki. Sakamakon kunnawa da wuraren nazarin halittu, tsarin metabolism yana ƙaruwa a cikin jiki, nauyi a hankali amma a hankali yana faɗi. Hanyar yana da ɗan ciwo. An saka allura na musamman a takamaiman maki akan jikin na mintuna da yawa. Tasirin ya wuce duk tsammanin. Mahimmanci, wannan hanya ba ta da wata illa.
Tasirin wanka da saunas ya danganta ne da tsarin fitar ruwa daga jikin mutum. Babban zazzabi a cikin dakin tururi yana kunna tafiyar matakai na rayuwa, yana haɓaka tarin kitse da cire ruwa mai yawa daga jiki. Ba abin mamaki ba ana kiran wanka na Rasha "mai warkar da jiki da ruhu."
Yana da kyau a la'akari da cewa ziyarar ɗakin tururi tana da yawa a cikin cututtuka da yawa:
- hauhawar jini
- zuciya
- fargaba
- cututtukan fata masu kamuwa da fata (eczema, rubella, chickenpox),
- cututtukan fungal.
Kuna iya ƙarin koyo game da kiba a cikin bidiyo mai zuwa:
Kiba mai kyau za'a iya maganin ta. Babban abu shine mutum ya sami ƙarfi a cikin kansa don canza salon rayuwarsa, yana bin shawarar likita sosai.
Yawan kiba: nau'o'in kiba, magani, sanadin, rage cin abinci
Daga cikin nau'o'in kiba da ake da su, mafi kyawu kuma masu haɗari ga lafiya shine kiba na ciki. Tare da wannan cutar, yawan ƙwayar adipose nama yana faruwa a cikin jikin mutum da ciki. Nemo daki-daki yadda hatsarin halin kiba yake ga mutum, yadda ake kamanta shi da kuma irin hanyoyin da ake bi dashi.
Matsalar wuce kima yana samun ƙaruwa. Yawan yawan adadin kuzari da rashin aiki na jiki babu makawa yana haifar da kiba. Ba kowa bane a shirye don tuntuɓar ƙwararru.
Yawancin suna gwada hanyoyin marasa daidaituwa na magani: magungunan jama'a, kayan abinci masu gina jiki, samfuran da aka tallata su a cikin kafofin watsa labarai. Sakamakon irin wannan jiyya ko ba ya nan ko kuma yana da yanayi na ɗan gajeren lokaci.
Yanke shawarar da ta dace shine fahimtar asalin cutar, bi shawarwarin kwararru da kuma hada kai don yakar fat mai.
Lokacin da ake bincikar kiba na ciki, ana iya rarrabe alamun masu zuwa:
- Canja siffar nau'in "apple". Adadin nama yana mai da hankali akan ciki.
- Malfunctions na yanayin hormonal, ƙara yawan abun ciki na testosterone.
- Halin damuwa, hali don "kama" matsalolin.
- Cin abinci mara izini, sakamakon "distred ciki."
A kusan dukkanin marasa lafiya da ke da irin wannan cutar, rabo daga kugu zuwa kwatangwalo 0.9: 1 ko 1: 1.Hadarin mai kiba mai yawa shine yawanci yakan haifar da cutar sikari da kuma wasu ƙarin cututtuka, kamar su:
- Hauhawar jini,
- Insulin juriya
- Kasawa a cikin uric acid metabolism,
- Ciwon zuciya
- Hawan jini
- Loadara kayatarwa akan jiki gabaɗayan, sutturar jikin mutum.
Medicine ya san nau'ikan kiba 3:
Karshen nau'in ya zama mafi gama gari. Idan likitocin da suka gabata sun lura da saurin kashi a cikin maza, yanzu mata ma sun kamu da wannan cutar.
Likitocin sun lura cewa akwai wasu dalilai da ke haifar da tarin nau'in mai mai ciki:
- Sedentary salon.
- Tsarin gado na rashin daidaituwa ga tsarin enzymatic.
- Tsarin rashin tsari don abinci mai gina jiki.
- Ovearfin tunanin mutum ko jaraba ga abincin takarce.
- Almubazzaranci.
- Cututtukan endocrinological.
- Ga mata: canje-canje na hormonal a lokacin daukar ciki ko wasu yanayin ilimin.
- Ciwon ciki, da shan magunguna iri-iri don bi da shi, ko shan magungunan hormonal na yau da kullun.
Tare da haɗuwa da yawancin waɗannan abubuwan, damar da ke tattare da kiba tayi girma sosai. A irin waɗannan halayen, yana da mahimmanci kula da yanayin nauyin ku kuma gudanar da hanyoyin warkewa da hanyoyin kariya waɗanda ke inganta lafiyarku.
Hanyoyi don yin rigakafi da magani na kiba na ciki: yadda zaka rabu da kitse ciki
Kasancewa da kuma kiyaye ayyukan jiki suna taka rawa sosai. Duk wani kaya yana tallafawa da haɓaka tsokoki, ƙara yawan kuzari na yau da kullun da inganta haɓaka.
Ba'a ba da shawarar farawa da wasanni masu aiki sosai ba, kamar motsa jiki ko motsa jiki mai ƙarfi, saboda wannan yana ƙaruwa da nauyi a kan zuciya kuma yana iya haifar da ƙarin cututtuka. A matakin farko, ya kamata a yi amfani da motsa jiki na motsa jiki, motsa jiki, yin iyo, tare da haɗa su da abinci mai kyau.
Lokacin tattara menu, kuna buƙatar la'akari ba kawai adadin ba, har ma da ingancin samfuran. Abubuwan sunadarai yakamata su zama tushen abinci yayin da suke rage adadin kitse da carbohydrates. Soyayyen, mai dadi, cin zallan gari an haramta. Abincin ya kamata ya ƙunshi kayan lambu na halitta, 'ya'yan itatuwa, hatsi, bambanta.
A cikin lura da lokuta masu rikitarwa musamman, likitoci na iya tsara kwayoyi masu tallafawa da yawa don rage yunwar ko damuwa. Tare da su, ikon sarrafawa zai zama mafi sauƙi. Koyaya, akwai sakamako masu illa, irin su jaraba.
Yana da mahimmanci a shirya abinci a gaba kuma shirya duk abincin da ke samar da makamashi, yawan cin abubuwa masu amfani a jiki.
A irin wannan abincin ya kamata ya kasance:
- Isassun 'ya'yan itatuwa, kayan marmari,
- duk hatsi, wanda ya ƙunshi adadin zare, mai tallafawa hanjin,
- man alade, maye gurbin man shanu da ganyen kayan lambu,
- nama mai laushi
- kowane irin kifi ne.
Giya:
- Ruwa
- ganye shayi
- koren kayan marmari ko kuma yankakken freshly juice din.
Ware daga cikin abincin:
Ruwan sha, soda,
- Abinci mai sauri
- nama mai kitse
- duk nau'ikan kiyayewa
- mai, kitse mai nauyi.
Cikin matsakaici:
Kwayoyi (almonds, gyada waɗanda ba a ɗauka), ƙara zuwa salads.
Nau'in kiba: abubuwanda ke haifar, digiri, yadda ake rabu da mu
Endocrinologists suna bincikar lafiyar kiba lokacin da tarin yawaitar tsotse nama suke a cikin ciki da ciki.
Hakanan ana iya kiran wannan nau'in kiba mai yawa ga android (saboda rarraba kitsen ƙwayoyin jikin mutum), tsakiya ko visceral. Wannan shine, ga likitocin waɗannan ma'anar waɗannan maganganu suna da alaƙa, kodayake akwai bambance-bambance tsakanin kiba tsakanin ƙwayar ciki: a cikin Latin, ciki yana nufin "ciki", kuma viscera na nufin "insides".Ya juya cewa a farkon yanayin ana nuna yanayin ƙoshin mai, kuma a cikin na biyu an jaddada cewa wannan kitse ba subcutaneous bane, amma na ciki ne kuma yana cikin omentum, fatattakar mai ƙoshin ƙwaƙwalwa da kewayen gabobin visceral kansu.
A cikin adadin kwayoyin halitta na yau da kullun, wannan ƙwayar adipose yana aiki a matsayin kariya a gare su, amma ƙwayoyin da suka wuce kima - kiba mai ciki - suna da mummunar tasiri kan lafiyar.
A cewar wasu ƙididdigar, kusan tsofaffi biliyan 2.3 suna da ƙiba a cikin duniya, kuma a cikin shekaru ukun da suka gabata adadin su ya haɓaka sama da sau 2.5. Misali, a Amurka, akalla kashi 50% na maza masu shekaru 50 zuwa 79 kuma kusan kashi 70% na mata a wannan zamanin suna masu kiba. Kuma an gano cutar kiba a hade da cutar sankara a cikin Amurkawa miliyan 38.8 - tare da kashi 0.8% a madadin maza. Aƙalla kashi 32% na yawan balagaggun Amurka (miliyan 47) suna da cututtukan metabolism.
Yawan mutanen Kanada da suka wuce shekaru 18 wadanda suka wuce kiba sun karu sosai, kodayake yawancin BMI ba su wuce 35 - wato aji na kiba.
Masana ilimin cututtukan dabbobi na kasar Brazil sunce kashi 26.7% na ‘yanmatan Brazil masu shekaru 7-10 kuma 34.6% na‘ yan matan daidai da wannan suna da kiba ko kuma wani kiba, mafi yawan lokuta abune na ciki.
Yawan masu fama da kiba sun ƙaru a Australia, Mexico, Faransa, Spain, Switzerland, 27% na maganganun cututtukan ƙwayar cuta na maza, 38% - mata.
A cikin 'yan Birtaniyar, kiba kusan kusan ya ninka a cikin shekaru 30 da suka gabata, wanda ya kai kashi 22-24% na yawan mutanen Burtaniya.
Mabuɗin abubuwan fashewa na haifar da nau'in kiba na ciki suna da alaƙa da take hakkin ɓangaren ƙwayar cuta na yawan adadin kuzari da ƙimar kuzarin da aka karɓa - tare da amfani mai yawa. Tare da salon tsinkaye, ƙarfin da ba a amfani da shi a cikin nau'i na triglycerides yana tara abubuwa a cikin adipocytes (ƙwayoyin farin adipose nama). Af, ana sa kiba mai yawa ta yawan cin abinci mai mai yawa, amma ta abinci mai wadatar da carbohydrates, tunda yawan wuce hadarin glucose a ƙarƙashin rinjayar insulin ana samun sauƙin canzawa zuwa triglycerides. Don haka irin waɗannan haɗarin haɗari don kiba kamar rashin abinci mai gina jiki da rashin aikin motsi, babu mai shakka.
Daya daga cikin alamun sanadin yawan kiba a cikin maza shine giya. Abin da ake kira "giya na ciki" ya bayyana saboda barasa (gami da giya) yana ba da adadin kuzari ba tare da darajar abinci mai mahimmanci ba, kuma lokacin da waɗannan adadin kuzari ba su ƙona ba, kitsen mai zai iya ƙaruwa a cikin mahaifa na ciki.
Cin abinci ma yana daya daga cikin dalilan rashin wuce gona da iri: mutane da yawa suna da dabi’ar “saka wa kansu abinci,” wato “kwace” damuwa da duk wani motsin rai (zamuyi magana kan pathogenesis wannan sabon abu a kasa).
Abubuwan da ke haifar da kiba a ciki suna da alaƙa da haɓakar ƙwayoyin furotin-peptide da kwayoyin steroid, neuropeptides da neurotransmitters (catecholamines), tare da hulɗar su, matakin kulawa da masu karɓa da kuma daidaitawar tsarin juyayi na juyayi mai juyayi. Sau da yawa, matsalolin endocrine ana ƙaddara su da asalin halitta.
Kamar yadda endocrinologists lura, yawan kiba a cikin maza (wanda da farko suna da kitsen visceral fiye da mata) saboda raguwar testosterone (dihydrotestosterone). Rage raguwar samar da steroids na jima'i, kamar yadda ya juya, yana ba da gudummawa ga karuwar masu karɓar masu karɓar kyallen a cikin kasusuwa, duk da haka, an rage yawan jin daɗin karɓar siginar, don haka, yaduwar sigina zuwa ga neuroreceptors na hypothalamus, wanda ke tsara yawancin ayyukan endocrine a cikin jiki, an gurbata.
Yawan kiba a cikin mata yana tasowa, a matsayin mai mulki, bayan farawar menopause, kuma an yi bayani ta hanyar raguwar saurin kwazon kwayar estradiol a cikin gidan kwai.Sakamakon haka, ba kawai catabolism na brown adipose nama canje-canje ba, har ma da rarrabuwa a jiki. A wannan yanayin, yawan kiba a ciki tare da BMI na al'ada ana lura da shi sau da yawa (shine, tare da ƙididdigar taro na jiki wanda ba shi da girma sama da 25). Kwayoyin polycystic suna ba da gudummawa ga kiba, da rage matakin kwayoyin halittun mace. Bugu da kari, hypothyroidism, rashi na thyroxine hormone thyroxine da kwayar motsa jiki mai narkewa (wanda ke haifar da ƙwayar ƙwayar ƙwayar mahaifa), wanda ke taka muhimmiyar rawa a cikin aikin metabolism na gaba ɗaya, ana ɗauka a matsayin haɗari ga haɗarin ƙwayar visceral a cikin mata.
Yawan kiba a cikin mata bayan haihuwa ta tsoratar da wadanda suka sami karin kilo a lokacin daukar ciki fiye da yadda ya kamata (kuma wannan alamu ne na kusan kashi 43% na mata masu juna biyu). Hakanan yana bayar da gudummawa ga kiba da kuma kara girman jikin mutum kafin daukar ciki, musamman akasarin wani babban sinadarin prolactin na jini a cikin jini (wanda aka samar yayin lactation kuma yana motsa canzawar glucose zuwa mai). Haɓakar kiba a cikin mahaifa bayan haihuwar na iya zama ɗayan sakamakon Sheehan da ke haɗuwa da mummunar asarar jini yayin haihuwa, wanda ke haifar da lalacewar ƙwayoyin ƙwayoyin cuta.
Daga cikin canje-canje na cututtukan cututtukan cututtukan ƙwayar cuta na endocrine, waɗannan halaye masu haɗari don tara mai a cikin rami na ciki an bambanta:
- syntara yawan haɓakar hormone adrenocorticotropic (ACTH) ta hanjin ƙwaƙwalwar ciki tare da rage yawan haɓakar hormone, beta da gamma-lipotropins,
- yawan wuce haddi na glucocorticoids (kwayoyin steroid) tare da rikice-rikice na aikin adrenal bawo,
- increasedara yawan aikin insulin ta hanyar ƙwayar ƙwayar ƙwayar cuta yayin da yake rage samar da glucagon hormone (haɓakar lipolysis - fashewar triglycerides a cikin ƙwayoyin mai).
A zahiri, haɗuwa da waɗannan abubuwan suna haifar da kiba a cikin mahaifa. Kiba mara nauyi wani bangare ne na cutar sikila kuma yana da alaƙa kai tsaye ga duka karuwar ƙonewar nama (juriya) ga insulin, haɓakar hyperinsulinemia da haɓakar glucose na jini, da hauhawar jini - babban matakan triglycerides a cikin jini da ƙananan matakan lipoproteins mai yawa (HDL). A lokaci guda, bisa ga binciken asibiti, a cikin 5% na lokuta, ciwo na rayuwa yana kasancewa a cikin nauyin jiki na al'ada, a cikin 22% - a cikin kiba kuma a cikin 60% na marasa lafiya tare da kiba na ciki.
Tashin kitse na visceral a cikin rami na ciki na iya faruwa tare da cututtukan Cushing (Cutar Hisenko-Cushing), tare da ciwon giya wanda ke haifar da cutar kansa (insulinoma), tare da kamuwa da kumburi, insulinoma ko raunin radadi ga hypothalamus, haka kuma a cikin marasa lafiya da ke da wuya syndromes na kwayoyin halitta (Lawrence-Moon, Cohen, Kafinta, da sauransu).
Kiba mai ciki na iya haɓaka cikin yara da matasa masu fama da cutar Frelich neuroendocrine syndrome (adiposogenital dystrophy), sakamakon sakamako ne na raunin craniocerebral, nemoplasms, ko ƙwaƙwalwar kwakwalwa tare da meningitis ko encephalitis.
Wasu magunguna, irin su steroids da magungunan da ake amfani da su don rashin lafiyar kwakwalwa, na iya haifar da kiba.
Menene kiba mai ciki?
Daga Latin "ciki" an fassara shi a matsayin ciki. Yawan kiba nau'in cuta wani yanayi ne wanda adon mai ke tarawa a wannan yankin. A cikin silhouette, mutum yana fara kama da apple, kuma ƙididdigar ƙwayar jikin mutum (BMI) a cikin marasa lafiya na mutum ya kasance a cikin kewayon al'ada kuma bai wuce 25. A rayuwar yau da kullun, ana kiran wannan nau'in mai mai kamar namiji ko "giya na ciki".
Sau da yawa wannan cuta tana shafar maza. Yawan kiba a cikin mata ba ya zama ruwan dare gama gari, amma irin wadannan halaye ma suna wanzu. Wannan nau'in kiba mai yawa ana ɗauka ɗayan haɗari mafi haɗari, saboda tsawon lokaci, mai yana rufe gabobin ciki:
Yawancin adibas suna cikin gida a cikin hanji, wanda shine dalilin da yasa bangon gaban peritoneum ya canza. Duk wannan yana kara kaya a jikin wadannan gabobin, yana rushe karfin jiki da samarda jini, wanda hakan ke haifar da rashin aiki da tsarin jikin mutane da yawa. Bugu da kari, mai kitse yana haifar da abubuwa masu guba da yawa, wanda aka cika tare da haɓakar ciwan kansa da zubar jini. Kiba ga maza a cikin mata na iya haifar da matsala a cikin sake zagayowar ko haɓaka gashi a jiki, yanayin bayyanar da halayen namiji.
Kiba kamar tuffa sau da yawa sakamakon rashin abinci mai gina jiki ne, musamman idan ana haɗuwa da yawan abinci tare da yanayin rayuwa. Yawancin lokuta ana samun gado da yawa daga iyaye zuwa yara, saboda haka, ba a cire tsararrakin ƙwayar halittar jini ba. A irin waɗannan halayen, ya kamata duk danginsa su mallaki abinci. Akwai wasu dalilai na haɓakar kiba irin na ciki:
- rashin daidaituwa na hormonal,
- dysfunction na hypothalamus,
- Rashin maganin serotonin (hormone yana da juriya da halayyar kwakwalwa),
- miyagun halaye na dogon lokaci,
- magani mara kan gado, gami da magungunan hormonal da psychotropic.
Rarrabawa
A cikin mutum lafiyayye, yawan kitse na visceral shine kimanin kilogram 3. Tare da kiba a ciki, adadinta yana ƙaruwa sosai. An kirkiro ilimin sankara ta hanyar ɗayan hanyoyi biyu:
- Adadin nama yana buɗe tsokoki masu mahimmanci. Wannan shi ne kiba ta tsakiya, wanda yake da wahala rasa nauyi. Bugu da ƙari, kitse a kusa da gabobin yana da haɗari, saboda a tsawon lokaci yana haifar da rashin aiki a cikin aikin su. Jiyya a wannan yanayin ya haɗa da tsauraran abinci a hade tare da wasanni da shan magunguna wanda likitanka ya umarta.
- Kayan ɗamara ya tara a fata. Wannan shi ne kiba babba a cikin mahaifa, wanda yafi sauƙin kawarwa. Therapy dogara ne kan motsa jiki da kuma karancin kalori.
Gabaɗaya, ana iya ɗaukar kiba irin na ciki a gida. Don yin wannan, auna ƙarar kugu da kwatangwalo. An tabbatar da ilimin ilimin halittar mutum idan adadinsu ya yi daidai ko suka fi 1 a cikin maza, daidai yake da ko sama da 0.85 a cikin mata. Ari, zaku iya tantance tsananin cutarwar:
- Na farko. Ana gano shi idan yawan kumburin ya wuce 80 cm a cikin mata kuma 94 cm a cikin maza.
- Na biyun. A wannan matakin, matsatsin matsakaicin keɓance tsakanin 81.2-08.6 cm cikin mata kuma 94.2-101.3 cm cikin maza.
- Na ukun. Mataki na ƙarshe, lokacin girman madaidaicin maza ya wuce 102.6 cm, cikin mata - 88.9 cm.
Siffar halayyar shine babban maɗaurin kugu saboda hauhawar haɓakar ƙwayar ciki. Marasa lafiya tare da wannan ganewar asali sun lura da saurin bugun zuciya koda bayan ƙarfin motsa jiki. A kan wannan tushen, ana ƙara yawan yin zagi, ƙanshin wuta da ƙyallen maƙaryaciya, waɗanda ba a taɓa yin sa ba. Sauran alamun halayen ciki masu kiba:
- jihar tawayar
- ƙwannafi
- take hakkin aiki da tsarin narkewa,
- varicose veins,
- mayuka
- dyslipidemia - take hakkin mai metabolism,
- rashin haihuwa
- haila rashin daidaituwa a cikin mata,
- rage aiki
- rage yin jima'i,
- Canza jini,
- nauyi a ciki bayan cin abinci,
- karuwar ci
- hali na sanyi,
- hawan jini.
Matsaloli da ka iya yiwuwa
Babban haɗarin tarawa mai mai yawa na visceral shine damfara a cikin gabobin ciki, wanda ke rushe aikin su, zai haifar da hauhawar motsi da jini. A cewar wasu binciken, irin wannan adibas suna haifar da samar da cortisol, hormone mai damuwa. Saboda wannan abu, mutum yana jin tashin hankali koyaushe. A sakamakon haka, gabobin suna aiki sosai.
Wani abu wanda aka hada shi saboda kitse na visceral shine hormone mai kumburi, saboda wanda koda sananniyar sanyi na iya yin muni.An shigar da wadannan hanyoyin masu zuwa a cikin jerin rikice-rikice na nau'in kiba na ciki:
- rage iko
- bugun zuciya
- gout
- take hakkin uric acid metabolism,
- ciwon sukari mellitus
- asma,
- Cutar Alzheimer
- haila
- bayyanar jikin jikin mace mara gashi,
- rashin haihuwa
- polycystic ovary syndrome,
- bugun jini, bugun zuciya,
- mai hanzari na hanta,
- gishiri saka a cikin gidajen abinci,
- na lissafi cholecystitis.
Binciko
Mataki na farko a cikin gano wannan cutar shine nazarin tarihin likitan haƙuri: wannan shine yadda likita zai iya kafa tushen tsinkaye don haɓakar kiba. Bugu da ƙari, ƙwararren masanin ya tattara ƙwaƙwalwar ananesis. Don yin wannan, yana koyon bayani game da abinci da aikin jiki na mai haƙuri, ya fayyace kasancewar ɗabi'u mara kyau. Ana tantance matakin kiba kamar haka:
- Likita ya tattauna da mara lafiya game da alamomin da kuma lokacin bayyanar su.
- Bayan haka kuma, kwararren yana gudanar da aikin bugun zuciya da kuma tsotsar bangon gaban bangon ciki.
- Mataki na gaba shine auna kewaye da ciki, aunawa da kuma auna ma'aunin sassan jikin mutum.
Mataki na biyu na ganewar asali shine binciken dakin gwaje-gwaje. An wajabta gwadawa gaba ɗaya da gwajin ƙwayoyin cuta ga mai haƙuri. Suna taimakawa gano ƙarancin ciki a cikin halittar ruwan ɗabi'ar ɗan adam da aka bayar, wanda ke halayyar nau'in kiba na ciki. Ana ɗaukar gwajin jini don triglycerides, insulin, glucose, cholesterol. An bincika fitsari na haƙuri game da adadin cortisol. Ana amfani da hanyoyin bincike na kayan aiki:
- Rana hoto ta amfani da matsakaiciyar matsakaici. A cikin kiba, wannan binciken ba shi da labari, amma yana iya gano maganin adenoma.
- Daidaitawa da kuma tasirin maganadisu (CT, MRI). Ana gudanar da waɗannan nazarin don gano canje-canje ko matsayin lalacewar gabobin ciki.
- Nazarin duban dan tayi (duban dan tayi) na ciki na ciki. Wannan hanya ta wajaba don auna yawan kitse na mai gani.
- Cutar Gastroscopy An wajabta shi kusan dukkanin marasa lafiya da cututtukan narkewa. Hanyar ta ƙunshi bincika ganuwar ƙwayar gastrointestinal ta amfani da endoscope, wanda aka saka ta bakin bakin cikin esophagus.
Jiyya don kiba a ciki
Kula da wannan kiba mai wahala ce. Jiyya na iya ɗaukar lokaci mai yawa, saboda dole marasa lafiya su yi asarar kilogram masu yawa. Gabaɗaya, tsarin kulawa yana haɗa da fannoni masu zuwa:
- canjin rayuwa
- canzawa zuwa daidaitaccen, kalori-maras kyau, amma daidaitaccen abinci,
- gabatarwar da tsarin aikin yau da kullun na isasshen yawan motsa jiki,
- lura da concomitant cututtuka,
- shan magani kamar yadda likita ya umarce shi.
An zaɓi hadadden tsarin motsa jiki da akayi daban-daban ga kowane mai haƙuri, yin la'akari da ƙimar kiba da matsayin lafiya. Wani mahimmin yanayi don cin nasarar jiyya shine halayyar tunani. Mai haƙuri yana buƙatar fahimtar cewa asarar nauyi da inganta ingantacciyar rayuwa mai yiwuwa ne kawai tare da sha'awar mutum. Idan mutum bai sake nazarin tsarin abincinsa, halayensa, aikin jiki ba, to babu wani magani da zai taimaka masa wajen kula da lafiyarsa. Magunguna suna cikin jiyya, amma a haɗuwa tare da abinci da wasanni. Likitocin na iya tsara wadannan magunguna:
- Metformin. Babban abin nuna alama don amfani shine nau'in 1 da nau'in ciwon sukari na 2. Bugu da kari, ana bada shawarar Metformin ga marasa lafiya da masu kiba sosai. An wajabta mata don maganin kwayar cutar ta polycystic, amma a ƙarƙashin kulawar likita ne kawai. Babban tasirin Metformin shine raguwa a cikin shan gulukos daga hanji gaba da asalin karuwar hankalin jijiyoyin jikin mutum zuwa insulin.
- Orlistat. Substanceayan abu ɗaya a cikin maganin yana toshe hanyar shigowar triglycerides zuwa jini, wanda ke haifar da ƙarancin kuzari. Saboda wannan, jikin mutum ya tattara fats daga cikin ajiyar sa.Ana amfani da miyagun ƙwayoyi don kiba don ragewa da kiyaye nauyi, amma kawai a kan tushen tsarin abinci.
- Sibutramine. Wannan miyagun ƙwayoyi yana da sakamako na anorexigenic, sabili da haka, ana amfani dashi don kula da mara lafiya tare da ƙayyadaddun taro na jiki na 30 ko fiye. Sakamakon ciwan Sibutramine, jin daɗin satiety yana inganta, kuma ana rage ci.
Yanayin iko
Biye da karancin kalori mai mahimmanci yanayi ne mai mahimmanci don magance kiba. Ka rage abun cikin kalori ta raka'a 300-500 idan aka kwatanta da irin abincin da dan Adam yake saba dashi. Rashin nauyi yana faruwa ba kawai ta rage darajar kuzarin abincin ba, har ma ta maye gurbin samfuran masu cutarwa tare da waɗanda ke da lafiya. Haramcin ya hada da:
- sukari
- Butter yin burodi
- sodas mai dadi
- Sweets
- Kayan kwalliya
- soyayyen dankali
- naman alade
- mayonnaise, ketchup,
- mai mai mai kayayyakin abinci,
- Semi-gama kayayyakin.
Yi jita-jita ya kamata a steamed, stewed ko gasa. Ya kamata ku ƙi ƙyamar gabaɗaya - ana iya samun su daga mai kayan lambu, avocados, tsaba, kwayoyi, da kifi mai mai. An bada shawara don haɗa samfuran masu zuwa a cikin abincin:
- kiwo tare da karancin mai,
- abincin teku
- qwai
- abinci mai jingina
- wake
- Fresh kayan lambu da 'ya'yan itatuwa
- abinci mai hatsi
- hatsi.
Aiki na Jiki
Tun da yake yawan nauyin jiki yana da alaƙa da yawan aiki na rashin motsa jiki (salon tsinkaye), muhimmin yanayi don raguwa shine karuwa a cikin aiki na jiki. Game da wani wasa na musamman, ya kamata ka nemi likita, tunda ba duk nau'ikan su sun dace da mutanen da ke da nauyin jiki sosai ba. Idan kun cika nauyi, zaku iya amfani da zaɓuɓɓuka masu zuwa don aikin jiki:
- Stressarancin damuwa a kan gidajen abinci shine yin iyo. Don ƙimar nauyi mai nauyi, darussan 3-4 a mako ɗaya na mintuna 45-60 sun isa.
- Hanya mafi sauki don ƙara yawan motsa jiki shine tafiya. Abin da ya fi mahimmanci a nan ma ba shi da sauri, amma lokaci. Don tafiya na awa 1, jiki yana kashe kimanin 400 kcal.
- Aikin lambu, tafiya, wasanni masu aiki a cikin iska mai kyau.
Bayan kawai rage girman nauyi, zaka iya ƙara nauyin wutar lantarki - motsa jiki tare da dumbbells da sauran kayan aiki. Wannan ya zama dole don hana fata sagging bayan nauyi asara. Duk abubuwan motsa jiki ya kamata a raba su a ranar mako. Misali, a ranar Litinin, a sauke tsokoki na kafafu, a ranar Laraba - da bayan, ranar Asabar - girkin kafada. A karshen kowane darasi, zaku iya horar da rashin ku. Yana da mahimmanci kada a overdo shi, in ba haka ba ƙarar ciki zata ƙara ƙaruwa, tunda ƙashin tsoka shima zai yi girma a ƙarƙashin ƙashin mai.
Jiyya na tiyata
Tare da kowane nau'in kiba, magani na tiyata ana nuna shi ne kawai idan magani mai ra'ayin mazan jiya ba shi da tasiri. Alamar don irin wannan hanyar warkewar jiyya - tsawon watanni 3 bayyananniyar riko ga abincin bai samar da sakamako ba. A wannan yanayin, la'akari da yanayin mai haƙuri, likita zai iya ba da zaɓuɓɓuka da yawa don maganin tiyata:
- Yin bandeji Wannan aikin tiyata ne don kiba wanda aka sa bandeji a saman ciki. Zobe ne, wanda a sahun aikace-aikacen yana ba da kunkuntar gabobin. Saboda wannan, an raba ciki zuwa sassan 2 - ƙanana da babba. Masu karɓar Saturn suna kasancewa a cikin ɓangaren ɓangaren ɓangaren, wanda ƙarami ne a ciki. Godiya ga rabuwa da ƙananan ɓangaren, mutum yana cike da sauri.
- Kewaya tiyata. Tare da irin wannan aiki, ba kawai ciki ba, har ma da karamin hanji ya shafa. Daga cikin rami na ciki, likitan tiyata ya ɗauki ƙananan sassan nama, wanda daga baya ya samar da sabon karamin ciki: an sanya shi saman babban ciki. Saboda wannan, mara lafiya a nan gaba ba zai iya cin abinci mai yawa ba.
- A tsaye filastik. Wannan wani nau'in ciki ne. Babban mahimmin aikin shine a tsai da kai tsaye a ciki don a cire manyan wuraren da suka wuce haddi ko kuma a magance tsananin kiba.
- Gabatarwa zuwa rami na balloon ciki. Wannan hanya ana kiranta balloon.Tare da shi, an gabatar da balan-balan na silicone roba a cikin ciki, yana da adadin 400-700 ml. A wurin, na'urar tana kumbura da mamaye wani sashi na sashin jiki. Hanyar ba rauni ba ce, mara lafiyar ma ba dole ne ya kwana a asibiti ba. Silinda ba wai kawai ba ya barin cin abinci mai yawa ba, amma kuma yana fusata masu karbar jikewa, saboda abin da ya zo da sauri.
Hanyoyin jama'a
Za'a iya amfani da madadin magani maimakon ƙari ga babban maganin da likita ya umarta. Girke-girke na jama'a na taimaka wajan rage yawan ci, ƙananan cholesterol na jini, da kuma daidaita narkewar abinci. Ana ɗauka waɗannan masu tasiri:
- Don 250 ml na ruwa, ɗauki 1 tbsp. l yankakken burdock. Bude kayan albarkatu da ruwan zãfi, bar shi daga minti 30-60. Kafin amfani, iri, sha maganin a 0.5 tbsp. rabin awa kafin kowane abinci.
- Ana ƙara ganyayen tsabtatattun ganye na plantain ko starfish kullun zuwa salads. Wannan ganye yana tafiya sosai tare da dankali, horseradish, albasa.
- Niƙa cikin foda 2-3 tbsp. l fenugreek tsaba. Yi amfani da maganin a baki sau 2-3 a rana don 1 tsp.
- Haɗa 1 tbsp. l yankakken nettle, Dandelion, faski, ganyen senna, Mint da Dill. A sha 2 tbsp. l tarin, zuba musu gilashin ruwan zãfi. Kunsa kwandon tare da broth, bar na tsawon awanni 2. Sha maganin a safiyar yau don 2 tbsp.
- Zuba 1 tbsp. l busassun furanni 200 ml na ruwan zafi, a kawo a tafasa sannan a yi duhu tsawon minti 10. Yi amfani da samfurin lokacin rana, sha shi dumi.
Yin rigakafin
Wani muhimmin yanayi don rigakafin wuce haddi da kiba shine lafiyayyen abinci mai gina jiki. Madadin carbohydrates mai sauƙi (Sweets), kuna buƙatar amfani da jinkirin a cikin nau'in hatsi daga hatsi daban-daban. Abincin ya kamata ya ƙunshi yawancin 'ya'yan itatuwa da kayan marmari, saboda suna da wadatar fiber. Abubuwan amfani da kayan kiwo tare da ƙarancin mai. Baya ga daidaita abinci mai gina jiki, rigakafin ya hada da wadannan matakan:
- isasshen magunguna wanda likita ya wajabta masu,
- manne wa tsarin rayuwa mai aiki,
- barin mummunan halaye,
- kawar da damuwa da gajiya da damuwa,
- karfafa tsokoki na ciki,
- lura da cututtukan da ke tattare da rauni wanda akwai haɗarin samun kiba mai yawa.
Lokacin da suke magana game da kiba na ciki
Babban mahimmancin ganewar asali na asibiti na kowane nau'i na kiba shine BMI (ƙididdigar ƙwayar jikin mutum) na 25-30 kuma mafi girma. Hakanan yana da mahimmanci a ƙaddara mahimmancin hanyoyin inganta cutar, tsananin ƙarfinsa da nau'in. A lokaci guda, siffofin adadi da ma'aunai waɗanda aka tsara tare da nauyi mai nauyi suna jagorarsu.
Abubuwan da ke haifar da ƙarancin ciki na ciki suna kasancewa ne da yawaitaccen ƙwayar kitse a cikin ciki da a cikin babba, tare da ɗaukar wuya, fuska, wuyan kafada. Ana kuma kiranta saman, android, kuma an kwatanta adadi da apple. Maza yawanci suna magana ne game da kasancewar cikin “giya” a ciki, har da rashin shan giya.
Binciken kyauta game da nauyin da ya wuce kima a asibiti Dr. Bormental, gudanar don yin rajista yanzu kuma ku sami kyauta!
Sauye sauye zuwa kugu tare da wannan nau'in kiba kusan ba a samo shi ba, kuma tare da adadi mai yawa shine gaba ɗaya ba ya nan. An kara girman ciki kuma an zagaye shi, a fili yake ficewa daga layin fitsarin, ba za'a iya sake dawo da shi koda da kwance a bayan sa. A lokaci guda, gindi da ƙananan hancin suna kama da ƙarancin “nauyi mai nauyi” koda kuwa akwai ƙwayar kiba a kansu.
Mabudin asibiti mai mahimmanci don irin wannan ilimin:
- Increasearin girma a cikin OT (keɓewar kunshin ciki) fiye da alƙawarin al'ada. Ga mata, wannan adadi kada ya wuce 88cm, ga maza - 102cm. Ana ɗaukar ma'aunin ƙuƙwalwa a matsayin maɓallin nunawa na yau da kullun don ganewar yau da kullun na ƙurar ciki.
- Canja a cikin rabo tsakanin kugu da kwatangwalo. A cikin mata, wannan siga ya zama fiye da 0.85, a cikin maza - fiye da 1.0.
Hoton "apple" ba kwatankwacin tsarin mulki ba ne, bai kamata ka rubuta shi zuwa ga tsokoki na ciki na marasa ciki ba. Wannan wata cuta ce mai ma'ana da yaduba tare da tabbatar da babban haɗarin ci gaba da cututtuka daban-daban. Ana ba da shawarar mutanen da suke da irin wannan matsalar su nemi likita, saboda yana iya zama da wahala mata su rabu da ƙoshin mahaifa kuma su iya fuskantar matsaloli da suka gabata ba tare da taimakon kwararrun likita ba.
Koyi dalilan yin kiba da kuma yadda ake hanzarin rasa nauyi
Yi rajista don firamare kyauta
maraba da mai gina jiki!
Abin da ke ba da gudummawa ga wannan ilimin
Don kiba mai ciki na faruwa:
- Sedentary salon.
- Abincin da ba a daidaita ba. Mutanen da ke da haɗari ga kiba sun fi son abinci mai narkewa mai narkewa, tare da ƙima na ƙima na dabba a cikin abincinsu, yawan cin abinci na abubuwan ƙarancin abinci, wasu abinci na carbohydrate, abin da ake kira "ɓataccen abinci" (chipswallan kara, masu fashewa tare da kayan ɗora abinci, cookies, da sauransu). Motsa jiki, yawancin abubuwan ciye-ciye suma suna da mahimmanci.
- Rashin daidaituwa na endocrine. Zai yiwu a danganta shi da lokacin daukar ciki da lactation, zaɓi mara kyau na maganin hana haihuwa, lalata ƙwayar thyroid da tsarin hypothalamic-pituitary, da kuma amfani da wasu magungunan hormonal. Babban mahimmancin canje-canje kuma yayin canje-canje a cikin lokacin haila.
- Wasu rikice-rikice na kwakwalwa (galibi na bakan-damuwa na damuwa), yin amfani da maganin cututtukan cututtukan mahaifa, magungunan ƙwayoyin cuta da sauran kwayoyi tare da tasirin psychotropic.
- Magana ga shan giya.
- Rashin wahala na yau da kullun, maimaita yawan damuwa na psychoemotional, overwork
- Rashin bacci, rashin kiyaye yanayin fara bacci (alal misali, tare da jujjuyawar yau da kullun, aikin canzawa, da sauransu).
Hakanan yana iya kasancewa asalin halitta ne.
Me yasa kuke buƙatar kitse na visceral?
Tushen kowane nau'in nama na adipose sune ƙwayoyin mai - adipocytes. Suna da ikon tara mai, wanda ya mamaye kusan duk yankinncinsu na cytoplasm. Wannan “keɓaɓɓiyar ajiyar ƙasa” ne na kuzari wanda yake cinye lokacin ɓacin rai ko rashin wadatar sauran hanyoyin. Adadin nama yana shiga cikin thermoregulation, yana karewa da goyan bayan mahimman tsarin halittar jiki. Amma ayyukanta basa ƙarewa a can.
Ganyayyaki mai kitse tsari ne na rayuwa wanda a halin yanzu yake, ana daidaita shi da gabobin sassan jiki na endocrine. Kuma zuwa mafi girman wannan yana dacewa da kitse na visceral. Yana hada abubuwa masu aiki da kayan halitta wadanda ke kunshe da tsarin aiwatar da tsari da yawa a jikin mutum:
- Estrogens da aka samo daga adrenal androgens a ƙarƙashin rinjayar aromatase adipocyte. Suna haɗu cikin jikin ɗan adam, kuma tare da kiba, matakin wannan hormone ya zama babban mahimmanci a asibiti.
- Leptin wani hormone ne mai daukar nauyin samuwar ji na cikakke. Wani muhimmin sashi na tsarin tsari na kuzari a jikin mutum, yana shiga cikin ka'idar ci da kuma kula da hankalin kwayar halitta zuwa insulin.
- Adiponectin wani kwaro ne wanda kuma ke da alhakin samar da makamashi na cikin gida. Yana shiga cikin daidaitawar glucose da metabolism mai narkewa a cikin kasusuwa na kasusuwa, myocardium da a cikin hanta. Hakanan yana da anti-atherosclerotic (anti-atherogenic) da kuma tasirin anti-mai kumburi.
- Amrani. Hakan lamari ne ga angiotensin na hormone, wanda ke da tasirin vasoconstrictor don haka yana ba da gudummawa ga haɓakar hawan jini.
- Abubuwan da ke tattare da cututtukan da ba takamaiman maganin kumburi da halayen rigakafi a cikin jiki: prostaglandins, interleukin 6 (IL6), tumor necrosis factor α (TNFα). Wasu daga cikinsu suna tsara haɓakar sel kuma suna cikin ɓangaren kariya na kariya.
- Insulin-kamar girma girma 1 (IPFR1), wanda ke tsara tsarin rayuwar sel, yawan yaduwar su (rarrabuwa, haɓaka da kuma keɓantarwa).
- Adrenomedullin.Yana da vasodilating da antioxidant sakamako, yana kare zuciya daga lalacewa (sakamako na zuciya)
- Fibrinogen, wanda ke da hannu cikin aiwatar da ayyukan coagulation na jini.
Adadin nama shima shine asalin tushen mai mai mayuka (wanda ba'a tantance) mai mai ba. A cikin jikin, sun kasance muhimmin ma'aunin makamashi don ƙwayoyin tsoka kuma ana canza su zuwa triglycerides da phospholipids, waɗanda aka kashe akan aikin membranes tantanin halitta da ɓoye abubuwa da yawa masu aiki.
Kitsen mai gani yana da muhimmanci a cikin tsarin kayan aiki na jiki. Canje-canje a cikin yawansa yayi mummunar illa ga yanayin kiwon lafiya, kuma yawancin rikice-rikice masu tasowa kusan ba za a iya canzawa ba kuma ana alaƙa da haɗarin mace-mace wanda bai kai ga haihuwa ba. Su ne waɗanda a mafi yawan lokuta suka zama dalilin zuwa likita, kuma sau da yawa kiba kamar yadda tushen cutar ya kasance ba tare da kulawa mai kyau ba. Wannan hanya tana rage tasirin magani kuma yana cutar da ci gaban.
Hadarin da ya wuce hadadden fiber visceral
Yawan tarin kitse na visceral yana haifar da rashin daidaituwa na endocrine, tare da samar da hadadden cuta na sakandare. Wannan shi ake kira syndrome metabolism. Yana ƙara haɗarin haɗarin haɓaka wasu cututtuka, tare da shan kashi na gabobin jiki da tsarin jikin mutum.
Babban alamun bayyanar cututtuka a cikin kiba sun hada da:
- Anara yawan matakan ƙwayar ƙwayar ƙwayar triglycerides, cholesterol kyauta da ƙananan ƙwayoyin lipoproteins. Wannan rashin daidaitaccen bayanin martaba na lipid shi ake kira atherogenic dyslipidemia, yana bayar da gudummawa ga ajiyar cholesterol a ƙarƙashin ƙwarya (ciki membrane) na jijiya tare da haɓakar atherosclerosis.
- Levelsara matakan mahaɗa pro-mai kumburi. Wannan yana ba da gudummawa ga ba da takamaiman lalacewar ganuwar jijiyoyin jini, myocardium (ƙwayar zuciya), gidajen abinci da sauran sassan jiki, yana rage jinkirin farfadowa, yana ƙara haɗarin rikitarwa da cututtuka na kullum.
- Canje-canje a cikin metabolism metabolism a cikin nau'i na juriya insulin (rage ƙwayar sel na insulin) tare da ramawar insulinemia (ƙara matakan insulin a cikin jini). Wannan yana ba da izinin ci gaban nau'in mai ciwon sukari na biyu mai biyo baya kuma yana tallafawa rikicewar abinci da ke akwai. Haka kuma, juriyawar insulin na iya wanzu ba tare da raguwa ba a cikin yarda da glucose, gami da cikin mutanen da suke da BMI mai dan kadan.
- Canje-canje a cikin farfadowa na jijiyoyin jijiyoyin bugun jini, sanadiyyar hauhawar jini.
- Rage darajar ingancin kariyar rigakafi.
- Tsarin tsarin haihuwa.
- Lationetare tsarin coagulation na jini, tare da tsinkayar jini zuwa ga thrombosis.
Rashin damuwa a cikin cututtukan metabolism ana haifar da shi ba kawai ta hanyar canji a cikin adadin homones da ke tattare da lipocytes ba. Tsarin endocrine yana aiki bisa ka'idodin amsawa, kuma duk wani ɓarna da ya bayyana yana haifar da yanayin ƙaddamarwar hormonal sakandare. Sabili da haka, ga mutane da yawa masu kiba bai isa su bi tsarin abinci ba. Wataƙila suna buƙatar magani ta ƙwararren ƙwaƙwalwar ƙwaƙwalwar mahaifa, tunda yana magance ƙoshin mahaifa ba tare da gyara matsayin hormonal ba koyaushe zaɓi ne mai amfani.
Abubuwan da ke haifar da kiba daga ciki
An danganta nau'in kiba mai mahimmanci ga dalilai masu haɗari don haɓaka yawancin cututtuka. Yawancinsu ainihin rikice-rikice ne na cuta na rayuwa, yayin da wasu ke haɗuwa da rikice-rikice na biomechanical sakandare.
Mafi yawan abubuwan da suka fi yawa kuma mummunan tasirin cutar sanadi a cikin kiba:
- Cutar cututtukan zuciya, sanadiyyar lalacewa ta hanyar canje-canje atherothrombotic a cikin tasoshin jini (cardiac). Mutanen Obese suna kamuwa da cutar cututtukan zuciya da jin zafi da kasala na zuciya, rauni na zuciya, bugun zuciya.Nazarin ya nuna cewa samun nauyi ga kowane 10% yana haifar da haɓakar haɗarin haɓakar cututtukan zuciya na zuciya a cikin shekaru 5 da 10%.
- Hauhawar jini da haɗarin haɗarin cututtukan jijiyoyin bugun zuciya (bugun zuciya da bugun jini) da kuma encephalopathy na kullum. Koda karuwar 5% na nauyin jikin mutum yana kara haɗarin haɓakar hauhawar jini ta 30% (a cikin shekaru 4 masu zuwa).
- Insulin juriya da nau'in ciwon sukari na 2.
- Atherogenic dyslipidemia, tare da cututtukan atherosclerotic daga cikin manyan jiragen ruwa. Mafi sau da yawa, ana samun filayen cholesterol a cikin thoracic da na ciki aorta, a cikin carotid arteries, a cikin tasoshin zuciya, kwakwalwa, kodan, da kuma jijiyoyin ƙananan ƙarewa. Zasu iya toshe kusan kashi 70-80% na ƙwayar jirgi, wanda aka ɓoye tare da haɓakar ischemia (yunwar oxygen) a cikin sassan jini.
- Rage haihuwa. An danganta su da karuwa a cikin ɓangaren ƙwayoyin kwayoyi marasa ƙwaƙwalwa na estrogens kuma tare da canje-canje na sakandare a cikin matakin sauran kwayoyin jima'i. Mata suna fuskantar rikice-rikice na tsarin-mata-maza, babban yiwuwar rashin haihuwa. A cikin kiba, jinkirta ci gaban jima'i zai yiwu. A cikin maza, lalatawar adadi na faruwa ne bisa ga nau'in mace, ana iya rage libido da iko, gynecomastia ya bayyana.
Kiba kuma yana kara hadarin kansa. Mata suna iya saurin kamuwa da cutar sankarar mahaifa (muguwar lalacewar ƙwayar ciki na cikin mahaifa) da kuma kansar nono, kuma maza suna da haɗarin kamuwa da cutar kumburin ciki.
Rashin rikitarwa mara kiba
A cikin kiba, wasu rikice-rikice ana samun sau da yawa waɗanda basu da alaƙa kai tsaye ga raunin rayuwa. Misali, adibakar visceral na taimakawa ga cikas ga aiki na gabobin ciki, wanda ya fito a cikin ruba da damfara mai “kwasfa”. Cutar koda, koda, da zuciya suna fama da wannan.
Mutane masu kiba suma suna da nasaba da canje-canje a cikin kashin baya da manyan jiragen ruwa. Yawan kiba koyaushe yana haifar da nauyin wuce kima akan tsarin musculoskeletal, amma tare da kiba mai ƙwaƙwalwa na ciki, haɗarin lalata ƙwaƙwalwar ƙwayar cuta shine mafi girma. Wannan yana da alaƙa ba kawai tare da rikicewar metabolism ba, har ma tare da juyawa a tsakiyar nauyi da kuma canji a cikin ƙirar kashin tare da haɓaka mai girma a cikin ciki.
Har ila yau yana da alaƙa da haɗarin ƙwayar jijiyoyi na jijiyoyin baya da gabobin kasusuwa. Yawan kitse na kitse na ciki da haɓaka a cikin jijiyoyin ciki-suna rushewar jijiyoyin jiki daga ƙananan jikin, wanda, a kan asalin rashin isasshen aikin jiki, yana haifar da ci gaban jijiyoyin varicose.
Shin babban ciki ne koda yaushe kiba?
Yana da mahimmanci a fahimci cewa yawan ci gaba a ciki ana iya haifar dashi ba kawai ta hanyar adadin mai mai yawa ba, har ma ta hanyar ilimin hauka a cikin ramin ciki. Misali, bincike na iya bayyana tarin ruwa (ascites), girman girma (tumo) na asali daban-daban, yaduwar mahaifa da tsawan hanji, da sauran cututtuka.
Ana iya haɗuwa da waɗannan matsalolin tare da yin kiba. Yawan kaya mai kitse mai zurfi a cikin wannan yanayin yana rufe alamun, wanda ke haifar da zuwa ziyarar likita daga baya kuma ba tare da ɓata lokaci na farawar magani ba. Sabili da haka, mutanen da ke da nauyin jiki fiye da kima kada su yi watsi da shawarar kwararru da jarrabawa, musamman a gaban alamun alamun tsoro daga tsarin narkewa ko hanta. Bayyanar cututtuka ma wajibi ne idan da alama ba za ku iya yin asara ba tare da kiba a ciki, kuma a ciki yana aukuwa cikin girma sosai tare da rage girman jiki.
Wata hanyar haifar da zubar ciki yayin rashin girman kiba shine kebewar fatarar visceral mai. Abin takaici shi ne sauti, amma na yanzu bodybuilders zamani fuskantar wannan matsalar.Suna da ƙarancin kitse mai zurfi da ƙayyadaddun mahaifa na fili, wanda aka haɗu da ciki na ciki. Dalilin wannan rashin daidaituwa shine ciwo na rayuwa.
Irin waɗannan rikice-rikice a cikin kayan jikin jiki suna da alaƙa da wucin gadi wanda ke haifar da rashin daidaituwa na hormonal wanda ke faruwa lokacin da aka yi amfani da wasu kwayoyi don haɓaka haɓakar tsoka (hauhawar jini). Mafi haɗari a wannan batun sune kudade da aka dogara da hormone girma, wanda kuma ake kira hormone girma. Ba wai kawai suna haifar da rikicewar yanayin rayuwa ba, har ila yau suna iya taimakawa ga wuce gona da iri na gabobin ciki da sassan jikin mutum.
Abin da jarrabawa ake bukata
Yawan kiba a ciki yana buƙatar cikakken tsarin kula da warkewa, yana da kyau a kawar da wannan matsalar ƙarƙashin kulawar likita. Kafin fara magani, yana da kyau a sha yin gwaji don a tantance tsananin cutar mahaifa da rikice-rikice. Binciken zai kuma taimaka wajen gano dalilai masu tayar da hankali da cututtukan da ke haifar da jinkirin cimma burin.
Tabbataccen ganewar asali ga nau'in ƙwayar ciki mai aiki a ciki ya haɗa da:
- Tattaunawa da mai ilimin hanyoyin kwantar da hankali (na asali kuma dangane da sakamakon jarrabawar), tare da kimantawa game da matakin hawan jini, gyara alamu na anthropometric da ƙuduri na BMI. A wasu cibiyoyin likitanci, ana gudanar da irin wannan binciken ta hanyar kwararru mai gina jiki tare da keɓancewar asali na warkewa.
- ECG
- Gwajin jinin kwayoyin. Ana duba glucose na jini, jimlar bilirubin da gabobinsa, urea, creatinine, jimlar furotin, bayanin martaba (triglycerides, jimlar cholesterol, gungun lipoprotein). Idan ya cancanta, bincika sauran alamun.
- Shawarwarin Endocrinologist
- Bayyana juriya na insulin da rikice-rikice na metabolism metabolism: ƙuduri na matakan insulin azumi, gwajin haƙuri haƙuri. Irin wannan binciken ne yawanci ke bayar da umarnin endocrinologist.
Idan an gano alamun atherosclerosis, cututtukan zuciya da jijiyoyin jini, hauhawar jini, karkacewa a cikin metabolism metabolism da sauran rikice-rikice, ana iya yin bincike mai zurfi. Ana iya kiran mai haƙuri don duban dan tayi na gabobin ciki, duban dan tayi na manyan tasoshin da zuciya, ga likitan zuciya. Mata masu matsalar rashin haila yakamata a bincika su ta hanyar likitan mata.
Har ila yau, binciken yana buƙatar marasa lafiya masu kiba, waɗanda da farko sun je likita don cututtukan da ke haɗuwa da kiba. Tabbas, kawar da kiba zai rage hadarinsu na cututtukan zuciya da rikitarwa na ƙwaƙwalwar ƙwaƙwalwa, rama maganin cutar ta yanzu da inganta haɓaka gaba ɗaya.
Abinda yakamata ayi. Ka'idojin jiyya
Yin jiyya don ƙoshin ƙwayar ciki ya kamata a yi niyya don rage nauyin jiki, gyara tsoffin ƙwayoyin endocrine da cuta na rayuwa, da kuma rama irin matsalolin da suka gabata. Irin wannan hanyar da za a iya haɗawa da ita zai inganta matsayin lafiyar yanzu, rage haɗarin mummunan haɗari na jijiyoyin bugun gini (bugun jini, bugun zuciya) kuma ya zama rigakafin cututtuka da yawa.
Ya kamata a fahimta cewa ba shi yiwuwa a kawar da ƙimbin mai kiba ta hanyar filastik, liposuction, tausa, allura ko hanyoyin kayan aikin. Suna da ikon kawar da ƙananan ƙwayar subcutaneous, ba tare da warware asalin matsalar ba tare da kawar da matsalolin cuta na rayuwa.
Amma har yanzu ana amfani da jiyya don kiba. Idan akwai alamomi, ana yin ayyukan ne da nufin rage girman ƙoshin ciki. Wadannan na iya hadawa da sanya balloon, sanya shunt, ko iyakance ganuwar sashin jiki.
Amma a mafi yawan lokuta, isasshen magani na cututtukan ciki-visceral na kiba ya dogara ne akan rikice-rikice na ra'ayin mazan jiya. A wannan yanayin, ana zaɓin maganin magunguna daban-daban. An wajabta shi don rashin ingancin matakan rashin magunguna, a gaban tsananin rashin daidaituwa na rikicewar metabolism, rikitarwa rikitarwa.
Yaya ake bi da kiba?
Tushen ra'ayin mazan jiya ya hada da abubuwa da yawa:
- Hypocaloric rage cin abinci. Shawarwarin sun hada da iyakanceccen iya aiki na carbohydrates da fats, haɓaka furotin da fiber. Abincin yakamata ya samar da isasshen adadin bitamin da ma'adanai. Adadin abincin da aka ba da shawarar ba ya wuce 25% na yawan abincin (yawanci 80-100 g / rana), yayin da babu fiye da 10% daga cikinsu ya kamata su fito daga tushen dabbobi. Lokacin cinye carbohydrates, zaɓi ya kamata a ba wa nau'ikan da za a iya digo su (daɗaɗɗun carbohydrates daga hatsi), yawan ƙananan samfurori daga farin fiber 2c kuma an yarda da hatsi na hatsi gaba ɗaya. An tattara abincin ne ta hanyar masanin abinci ko masanin abinci mai gina jiki, yin la’akari da abubuwan da ake buƙata na mai haƙuri, ikonsa na kuɗi, salon rayuwa da kuma yanayin cin zarafin da aka gano.
- Activityara yawan motsa jiki, akasari saboda rashin aiki da bai dace ba da motsa jiki na yau da kullun. Shawarwarin sun hada da yin tafiya yau da kullun, iyakance amfani da haɓaka da sufuri, dumama-kullun yayin aiki na yau da kullun, ziyartar wuraren shakatawa, da kuma yin tsarin darussan da malamin ya zaɓa. Yayin da juriya da iyawar mutum ke ƙaruwa, kaya yana iya haɗa da keken keke, ziyartar shirye shiryen motsa jiki, motsa jiki tare da kayan wasanni, da sauransu.
- Tabbatar da isasshen lokacin bacci na dare (aƙalla 7-8 a jere). Wannan yana inganta tsarin endocrine, yana ba ku damar rage matakin damuwa na ciki, yana ba da gudummawa ga kyakkyawan kula da halin cin abinci.
- Shan taba.
- Psychotherapeutic goyon baya, psychocorrection.
- Magunguna don jure insulin idan abinci bai daidaita ta ba. A saboda wannan, ana iya ba da izinin wakilai na maganin hypoglycemic na ƙungiyoyi daban-daban, mafi yawan lokuta magani na zabi shine metformin.
- Amfani da magungunan da ke rage adadin yawan kitse a cikin hanjin. An ba da fifiko ga wakilan da ke hana aikin hanji da na hanji.
- Maganin magani na rikicewar cututtukan zuciya da ke ciki, hauhawar jijiyoyin jini, ci gaban dyslipidemia na asibiti.
Kiba kiba da haɗarin cututtukan zuciya sune ɗayan matsalan magunguna na yau da kullun. Haka kuma, asarar nauyi aƙalla 5-10% ta fiye da 1/3 yana rage yiwuwar rikitarwa mai rikitarwa da rikicewar jijiyoyin jiki. Sabili da haka, an shawarci mutanen da ke da nau'in apple da su rabu da kiba a ciki da wuri-wuri. Wannan zai taimaka wajen kara tsammanin rayuwa da inganta ingantacciya, da kuma nisantar wasu cututtukan sakandare da yawa.
Abdominal (visceral) mai kiba - menene
Matsalar wuce kima yana samun ƙaruwa. Yawan adadin kuzari da rashin aiki na jiki babu makawa yana haifar da kiba. Ba kowa bane a shirye don tuntuɓar ƙwararru.
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Yawancin suna gwada hanyoyin marasa daidaituwa na magani: magungunan jama'a, kayan abinci masu gina jiki, samfuran da aka tallata su a cikin kafofin watsa labarai. Sakamakon irin wannan jiyya ko ba ya nan ko kuma yana da yanayi na ɗan gajeren lokaci.
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Yanke shawarar da ta dace shine fahimtar asalin cutar, bi shawarwarin kwararru da kuma hada kai don yakar fat mai.
Lokacin da ake bincikar kiba na ciki, ana iya rarrabe alamun masu zuwa:
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- Canja siffar nau'in "apple". Adadin nama yana mai da hankali akan ciki.
- Malfunctions na yanayin hormonal, ƙara yawan abun ciki na testosterone.
- Halin damuwa, hali don "kama" matsalolin.
- Cin abinci mara izini, sakamakon "distred ciki."
A kusan dukkanin marasa lafiya da ke da irin wannan cutar, rabo daga kugu zuwa kwatangwalo 0.9: 1 ko 1: 1.
Hadarin mai kiba mai yawa shine yawanci yakan haifar da cutar sikari da kuma wasu ƙarin cututtuka, kamar su:
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- Hauhawar jini,
- Insulin juriya
- Kasawa a cikin uric acid metabolism,
- Ciwon zuciya
- Hawan jini
- Loadara kayatarwa akan jiki gabaɗayan, sutturar jikin mutum.
