Hnub no, qhov teeb meem ntawm kev rog ntawm cov menyuam yaus yog qhov mob hnyav tshaj plaws. Ob peb xyoos dhau los, qhov teeb meem no tsis muaj nyob, thiab tam sim no ntau tus niam txiv tuav lawv lub taub hau, nrhiav txoj hauv kev los kho lawv tus menyuam. Tus kab mob no tshwm sim los ntawm cov menyuam yaus thaum ntxov, thaum pom cov ceg thiab caj npab. Yog lawm, peb tsis tau tham txog cov menyuam mos noj qab nyob zoo tam sim no, vim tias ntau tus poob phaus nrog lub hnub nyoog, thiab qhov hnyav rov qab mus rau qhov qub. Ntawm no peb tab tom tham txog qhov tseeb tias cov niam txiv tsis tuaj yeem ntes lub sijhawm thaum lub puab tsaig loj loj tuaj mus rau qhov teeb meem loj. Vim li cas cov menyuam yaus hnyav dhau thiab yuav ua li cas nrog nws? Koj yuav pom cov lus teb rau cov lus nug no hauv peb cov ntaub ntawv.
Qhov laj thawj tseem ceeb
Ntau tus kws kho mob txhawj xeeb txog tus kab mob no. Tom qab tag nrho, qhov no yog ib qho kev tsis zoo, tsis quav ntsej uas tuaj yeem ua rau muaj qhov tshwm sim txaus ntshai. Yog li ntawd, ntau qhov kev tshawb fawb tau mob siab rau qhov teeb meem no nyob rau xyoo tas los no.
Yog li, qhov ua rau rog rog hauv menyuam yaus suav nrog:
- Kev noj zaub mov tsis zoo. Tau kawg, qhov no yog qhov laj thawj tshaj plaws rau qhov pib ntawm tus kab mob. Tus me nyuam noj ntau calorie ntau tshaj qhov nws xav tau. Raws li, nws tau nce phaus ntxiv, thiab cov txheej txheem no nyuaj rau nres. Tsim nyogrov xav txog cov cai ntawm kev noj zaub mov rau menyuam yaus, tsis suav cov khoom noj ceev, ncuav qab zib thiab khoom qab zib.
- Heredity. Kev rog rog hauv cov menyuam yaus kuj tshwm sim vim muaj qhov hnyav dhau ntawm cov neeg laus. Raws li cov txiaj ntsig ntawm ntau cov kev tshawb fawb, yog tias ib tus niam txiv rog dhau, qhov tshwm sim ntawm qhov kev kuaj mob tib yam hauv tus menyuam yog 40%. Yog niam thiab txiv muaj teeb meem, kev pheej hmoo yuav nce mus txog 80%.
- Kev ua neej nyob. Niaj hnub no lub neej yog tag nrho ntawm kev lom zem ntawm lub computer xwm. Kev rog rog hauv cov menyuam yaus thiab cov tub ntxhais hluas tshwm sim vim tsis muaj kev ua si ntawm lub cev. Kev ua si hauv online tau hloov cov dej num sab nraum zoov xws li ncaws pob thiab ntaus pob. Qhov xwm txheej no hnyav zuj zus los ntawm qhov piv txwv tsis zoo ntawm cov niam txiv uas so hauv pem hauv ntej ntawm TV, pw ntawm lub rooj zaum.
- Hormones. Kev ua txhaum ntawm kev ua haujlwm ntawm cov qog endocrine ua rau rog rog. Muaj ntau yam kab mob uas provoke qhov tshwm sim ntawm qhov hnyav tshaj. Cov no suav nrog cov kab mob ntawm cov qog adrenal, pancreas, thyroid caj pas, thiab lwm yam.
- YItsenko-Cushing syndrome. Nrog rau tus kab mob no, muaj kev nce qib ntawm cov tshuaj hormones lub luag haujlwm rau kev tsim cov tshuaj insulin. Raws li qhov tshwm sim, tus menyuam muaj roj ntau ntxiv, ua ke nrog kev loj hlob me me.
Signs
Cov tsos mob tseem ceeb yog qhov tsos. Hauv cov menyuam yaus, muaj cov txheej txheem ntawm cov rog subcutaneous thiab cov rog tso rau hauv lub duav, nraub qaum, sternum, thiab lwm yam. Lwm yam cim qhia ntawm kev rog hauv cov menyuam yaus thiab cov tub ntxhais hluas kuj tuaj yeem txheeb xyuas:
- tawm hws ntau dhau, ua tsis taus pathaum lub sij hawm cev xeeb tub;
- ntshav siab, txo qis kev ua haujlwm;
- tseem ceeb deformation ntawm daim duab, deposition ntawm cov rog nyob rau hauv ntau qhov chaw ntawm lub cev;
- mob taub hau thiab kiv taub hau;
- mob hauv cov leeg thiab pob qij txha.
Cov tsos mob ncaj qha nyob ntawm hom kab mob, peb yuav tham txog lawv me ntsis tom qab. Vim muaj kev hloov pauv ntawm qhov tsos, tus me nyuam feem ntau ua rau kev nyuaj siab, nws txoj kev hwm tus kheej txo qis. Yog li ntawd, ntxiv rau kev kho mob, tus me nyuam tseem yuav tau txais kev pab cuam lub hlwb.
Kev faib cov rog rog hauv cov menyuam yaus
Yog cov niam txiv pom kev hloov pauv ntawm tus cwj pwm sab nraud ntawm lawv tus menyuam lub sijhawm, qhov teeb meem tuaj yeem daws tau yooj yim. Txhawm rau ua kom yooj yim dua, raws li kev tshawb fawb, cov kws tshaj lij tuaj nrog qee qhov kev faib tawm ntawm kev rog:
- Primary (alimentary, exogenous-constitutional).
- Secondary (piv txwv li endocrine).
Muaj plaub qib kev rog hauv cov menyuam yaus:
- Tus me nyuam qhov hnyav tshaj li qhov qub li ntawm 15-25%. Outwardly, tsis muaj kev hloov tshwj xeeb, tus me nyuam zoo li me ntsis noj. Feem ntau, cov niam txiv tsis pom qhov teeb meem nyob rau theem no, xav tias kev noj qab haus huv yog tus yuam sij rau kev noj qab haus huv.
- Ntawm no lub cev hnyav tshaj li tus qauv los ntawm 26-50%. Tus me nyuam muaj thawj qhov teeb meem, nws nyuaj rau nws nce tus ntaiv, ua tsis taus pa tshwm sim. Muaj kev tawm hws ntau ntxiv, thawj cov tsos mob ntawm kev nyuaj siab, o ntawm sab sauv thiab sab qis.
- Tshaj qhov hnyav li qub los ntawm 51-100%. Hauv qhov xwm txheej notus me nyuam hnov mob tas li ntawm cov pob qij txha, ntshav siab. Qhov phem tshaj plaws yog cov ntshav qab zib mellitus tsim, thiab qhov no yog kab mob kho tsis tau. Tsis tas li ntawd, kev rog hauv cov menyuam yaus, tshwj xeeb tshaj yog qib thib peb, ua rau muaj kev thuam ntau ntawm cov phooj ywg. Qhov no ua rau kev puas siab puas ntsws thiab kev xav.
- Tus me nyuam qhov hnyav yog ntau dua ob npaug ntawm tus qauv. Raws li koj nkag siab, qhov no yog hom kab mob siab heev, uas nyuaj rau kho.
Kev phom sij rau tus menyuam
Kev hnyav dhau tsis yog qhov teeb meem zoo nkauj xwb. Ntxiv nrog rau kev thab plaub cov phooj ywg, tus kab mob tuaj yeem ua rau lwm yam tshwm sim. Xws li peb tab tom tham txog kab mob yam ntxwv ntawm cov neeg laus. Yog li dab tsi hem kev rog rau tus menyuam?
Yog tias koj tsis quav ntsej cov tsos mob lossis mus txog qhov kev kho mob tsis muaj txiaj ntsig, koj tuaj yeem kis tau ntau yam kab mob. Feem ntau, ntshav qab zib mellitus, daim siab dystrophy, mob plawv ischemia, kub siab, thiab lwm yam. Cov kab mob plab hnyuv ntawm tus me nyuam tshwj xeeb yog cuam tshuam. Yog li, cov menyuam rog rog yuav raug kuaj pom muaj kab mob xws li pancreatitis, cholecystitis, thiab lub siab rog. Lub plawv kuj tseem yuav raug kev txom nyem, vim muaj mob atherosclerosis thiab angina pectoris.
Tab sis qhov hnyav tshaj plaws poob rau ntawm pob txha, pob qij txha thiab pob txha mos. Txhua feeb lawv yuav tsum tiv taus qhov hnyav dhau. Nyob rau hauv xws li ib tug loj, deformation ntawm lub cev yog inevitable, uas ua rau ib tug hloov nyob rau hauv proportions thiabmob heev.
Problems of Psychology
Kev rog rau cov menyuam yaus yog qhov laj thawj zoo rau cov txiv neej kom lom zem thiab luag. Nws tsis yog lawv qhov txhaum vim lawv tsis nkag siab qhov xwm txheej hnyav. Cov niam txiv yuav tsum liam. Tom qab tag nrho, lawv tsis pom qhov hloov pauv ntawm tus menyuam hauv lub sijhawm. Cov tub ntxhais hluas rog rog pom tias nws nyuaj heev rau kev sib txuas lus nrog lawv cov phooj ywg. Nws yog ib qho nyuaj rau tsim kom muaj kev sib cuag nrog lwm tus hais mav, hloov mus rau ib puag ncig kev sib raug zoo. Ntxiv rau, cov me nyuam rog rog feem ntau muaj teeb meem pw tsaug zog.
Cov menyuam yaus ua phem rau lawv qhov tsis paub, thiab yog li ntawd lawv tuaj yeem ua rau tus menyuam sib txawv ntawm sab nraud. Hmoov tsis zoo, kev raug mob thaum yau ua rau muaj kev cuam tshuam rau lub neej. Yog li ntawd, qhov xwm txheej no hu rau cov lus nug txog lub neej ntxiv thiab kev tsim tsev neeg. Tus ntxhais yog nws tso tseg thiab tsis tua tus kab mob no, yug me nyuam tsis zoo.
Cov niam txiv yuav tsum saib xyuas tsis yog tsuas yog noj qab haus huv xwb, tab sis kuj tseem muaj kev noj qab haus huv ntawm tus menyuam. Yog tias koj twb tau ntsib teeb meem zoo li no, koj yuav tsum ua raws li tag nrho cov lus pom zoo rau kev kho mob rog hauv cov menyuam yaus los ntawm koj tus kws kho mob.
Diagnosis
tshawb pom tus kab mob raws sij hawm yuav nres kev txhim kho ntawm pathology nrog rau kev teem caij kho kom zoo. Thawj qhov kev kuaj mob yog ua los ntawm cov niam txiv, ntsuas qhov pom ntawm tus menyuam. Yog tias nws zoo li niam thiab txiv tias tus menyuam hnyav dhau, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Cov lus nug tshwm sim: tus kws kho mob twg kuv yuav tsum coj tus menyuam? Rau pib, nyob rau hauv txhua rooj plaub, nws yog tsim nyog mus ntsib ib tug kws kho mob. Yav tom ntej, yog tias tsim nyog, nws yuav xa koj musrau kev tshawb fawb rau lwm tus kws tshaj lij.
Kev kuaj pom kev rog hauv cov menyuam yaus yog nyob ntawm cov txiaj ntsig ntawm cov txheej txheem hauv qab no:
- noj anamnesis, hauv lwm lo lus, tus kws kho mob ua qhov kev sib tham tob kom paub seb tus yam ntxwv ntawm kev noj haus, kev ua si lub cev, thiab lwm yam.;
- anthropometry - ntawm no tus kws kho mob sau npe ntsuas qhov siab thiab lub cev qhov hnyav, lub duav ncig, lub duav thiab lwm yam ntaub ntawv tsim nyog;
- bioelectrical impedance txoj kev yog kev ntsuas ntawm lub thickness ntawm daim tawv nqaij quav nyob rau hauv kev sib piv nrog adipose ntaub so ntswg.
Thaum kawg nkag siab txog qhov ua rau pathology, tus kws kho mob menyuam yaus xa tus menyuam mus rau kws kho mob hlwb, endocrinologist, kws kho mob noj zaub mov, kws kho plawv, kws kho hlwb, thiab lwm yam. Tau kawg, qhov no tsis tshwm sim hauv txhua kis, tab sis tsuas yog yog tias tsim nyog. Yog tias koj xav tau kom paub meej qhov kev kuaj mob, lwm yam kev kho mob kuj tseem ua tiav: biochemical thiab kev kuaj ntshav dav dav, kuaj ultrasound ntawm cov thyroid caj pas, sib nqus resonance kho ntawm lub caj pas pituitary.
Yuav ua li cas kom poob phaus?
Nyob ntawm qhov kev rog rog thiab cov laj thawj uas ua rau muaj tus mob no, kev kho mob tau sau tseg. Lub luag haujlwm tseem ceeb yog txhawm rau tshem tawm cov hauv paus hniav ntawm qhov teeb meem. Txawm li cas los xij, qhov kev xaiv zoo tshaj plaws yog kev kho mob uas suav nrog:
- khoom noj kom raug;
- normalization ntawm lub cev ua si;
- tshuaj kho.
Lub sijhawm rov qab los puv sijhawm ntev heev, yog li kev daws teeb meem yuav tsum tau ua tiag tiag. Txhua kauj ruamNws yog ib qho tsim nyog los koom tes nrog tus kws kho mob uas tuaj koom, thiab ua raws li tag nrho nws cov lus pom zoo. Yog li, cia peb saib cov kev kho mob kom ntxaws ntxiv.
Kev noj haus thiab kev tawm dag zog
Yog tsis muaj khoom noj khoom haus thiab kev tawm dag zog, nws tsis tuaj yeem daws qhov teeb meem. Cov txheej txheem no yog tsom tsis tau tsuas yog ntawm kev poob phaus, tab sis kuj tseem tiv thaiv kev rov qab los ntxiv. Yog hais tias tus me nyuam muaj ib tug kab mob ntawm thawj degree, ces nws yuav tsum tau muab tshuaj noj kom zoo, uas koj yuav txo tau lub cev hnyav. Lwm yam xwm txheej tsis raug muab rau hauv qhov no.
Kev noj zaub mov rau menyuam yaus rog yog suav nrog tus kws kho mob endocrinologist. Tus kws kho mob tshwj xeeb coj mus rau hauv tus account cov ntsiab lus me tshaj plaws ntawm lub cev thiab sau cov khoom noj kom zoo tshaj plaws hauv txhua kis. Qhov hnyav poob qis yog qhov tsim nyog, nws tsuas yog ua rau qhov xwm txheej hnyav dua. Yog li, tus kws kho mob endocrinologist tshawb xyuas lub cev xav tau cov protein, carbohydrates, rog thiab cov vitamins, thiab tsuas yog tom qab ntawd ua kom noj zaub mov.
Feem ntau, txhua hom tsiaj rog, nplej zom, khoom qab zib, ncuav qab zib, semolina, thiab lwm yam yog cais tag nrho. Cov nqaij muaj roj tsawg, cov tsev cheese thiab kefir tau pom zoo rau kev noj. Lub khob cij tsuas yog tshwj xeeb, ua los ntawm cov hmoov nplej wholemeal, piv txwv li "Borodinsky". Lub ntsiab ntawm cov zaub mov yog zaub thiab txiv hmab txiv ntoo.
Raws li kev tawm dag zog kho mob rau cov menyuam rog rog, qhov nyuaj yuav tsum suav nrog kev ua luam dej, aerobics, kis las thiab ua si sab nraum zoov. Txhawm rau ua kom yooj yim rau tus menyuam kom nyiam ua kis las, cov niam txiv yuav tsum ua lawv tus kheej tus yam ntxwv thiab txhawb tus menyuam kom ua tiav. Tsim nyogpib me me: taug kev nrog koj tus menyuam yam tsawg ib nrab teev txhua hnub. Yam tsawg kawg, qhov no yuav txhim kho tus menyuam txoj kev noj qab haus huv thiab tiv thaiv kev loj hlob ntawm cov teeb meem.
kev pab puas siab ntsws
Nws yog qhov nyuaj rau overestimate qhov tseem ceeb ntawm kev puas siab puas ntsws, uas yog qhov chaw hauv tsev neeg. Tus menyuam yuav xav tau kev txhawb nqa tas mus li, uas tsuas yog muab los ntawm cov neeg nyob ze. Peb yuav tsum qhia lub tswv yim hais tias peb yuav tsum tsis txhob nyob rau hauv qhov hnyav, peb yuav tsum nyob rau.
Raws li twb tau sau tseg lawm, cov menyuam yaus no dhau los ua cov khoom thuam ntawm txoj kev. Hauv cov xwm txheej nyuaj tshwj xeeb, cov txiv neej tau siv los ua lub luag haujlwm ntawm tus neeg dag thiab tsis tuaj yeem tawm ntawm nws. Tom qab ntawd tsuas yog kev pab ntawm tus kws kho kev puas siab puas ntsws uas tsim nyog yuav cawm koj. Ntau yam hauv kev kho mob rog rog hauv cov menyuam yaus nyob ntawm kev koom tes ntawm niam txiv. Cov lus pom zoo rau lawv:
- tham ntxiv nrog koj tus menyuam, muab kev txhawb nqa rau nws;
- ua piv txwv, muab cov khoom noj tsis zoo thiab noj nrog koj tus menyuam;
- npaj lub kaum kev ua kis las, txhawb kev hlub ntawm kev coj noj coj ua los ntawm koj tus kheej tus yam ntxwv;
- txhawb thiab qhuas koj tus menyuam ntau dua, tham txog nws qhov originality thiab uniqueness, ua kev zoo siab txawm tias qhov ua tiav tsawg tshaj plaws;
- xaiv khaub ncaws zoo rau koj tus menyuam. Linen yog zoo meej raws li cov khoom siv, vim nws pom kev zais cov ntaub ntawv zoo nkauj. Qhov no yog qhov tsim nyog los tshem tawm cov complexes.
Drug therapy
Txoj kev no tsis tshua tau sau tseg, vim tias nws cov txiaj ntsig tau nug. Lub ntsiab lus ntawm kev kho tshuaj yog txo qis qhov qab los noj mov. Hauv lwm lo lus, tus kws kho mob sau cov tshuaj tom qab haus cawv uasme nyuam yuav tsis xav noj ib pliag.
Tib lub sijhawm, feem ntau cov tshuaj uas muaj peev xwm daws tau qhov teeb meem raug txwv rau cov menyuam yaus hnub nyoog qis dua 16 xyoo. Txoj kev kho no tsuas yog siv rau theem thib peb ntawm kev rog. Tom qab ntawd tus kws kho mob yuav sau cov tshuaj hauv qab no:
- "Orlistat". Cov tshuaj uas inhibits plab hnyuv lipases.
- "Metformin". Yog tias kev rog dhau ua rau ntshav qab zib, qhov no yog cov tshuaj uas tuaj yeem pab tau.
- "Phentermine". Psychostimulant, qab los noj mov suppressant.
massage
Thaum kuaj mob, cov kws kho mob ntsuas qhov loj ntawm cov ntaub so ntswg adipose. Qhov no yog ua kom nkag siab tias muaj roj ntau npaum li cas tso. Yog hais tias qhov teeb meem nyob rau hauv cov teeb meem metabolic, ces ib qho ntawm cov kev kho mob zoo tshaj plaws yog massage. Nrog nws, koj tuaj yeem ua cov hauv qab no:
- Y txhim kho metabolism;
- txo cov rog rog hauv qee thaj chaw;
- txhim kho qhov dav dav ntawm lub cev musculoskeletal;
- normalize nqaij tone;
- nce kev ua haujlwm thiab elasticity ntawm cov leeg nqaij.
Ib txhia me nyuam muaj teeb meem plawv, nyob rau hauv cov ntaub ntawv nws yog tsim nyog los ua qhov kev tshwm sim nrog ceev faj heev. Tsuas yog tus kws tshaj lij uas tsim nyog tuaj yeem zaws qhov xwm txheej no.
Surgery
Peb yuav tsis xav txog qhov kev nthuav dav no, vim nws tsis siv rau cov neeg muaj hnub nyoog qis dua 18 xyoo. Qhov no tsis tsim nyog yog tias tus neeg mob tus mobntau los yog tsawg dua qub. Kev phais (piv txwv li, bandaging lossis gastric bypass) tsuas yog siv tau yog tias muaj cov cim qhia tseem ceeb. Piv txwv li, muaj qhov tshwm sim ntau ntawm kev tuag yog tias tsis ua haujlwm. Feem ntau, ib txoj kev radical yog siv nyob rau hauv kev sib raug zoo rau cov menyuam yaus uas tau kuaj pom tias muaj qib plaub ntawm kev rog.
Kev Tiv Thaiv
Kev tiv thaiv yuav tsum tau coj los ntawm menyuam yaus. Ib tug menyuam uas tau noj ntau dhau yuav tsis loj hlob sai. Tab sis qhov cuam tshuam cov metabolism yog qhov nyuaj heev los kho. Qhov tseeb, kev tiv thaiv kev rog hauv cov menyuam yaus zoo ib yam li kev kho tus kab mob no. Hauv lwm lo lus, nws suav nrog ob lub ntsiab lus tseem ceeb: kev ua lub cev thiab kev noj zaub mov kom raug.
Txij thaum yau, qhia koj tus menyuam kom noj qab haus huv, zam cov khoom noj yooj yim, chips thiab dej qab zib. Nws raug nquahu kom pub tus menyuam plaub zaug hauv ib hnub, zoo dua nyob rau tib lub sijhawm.
Raws li cov tub ntxhais hluas, lawv feem ntau xaiv xaiv ua si hauv computer. Cov hauj lwm ntawm cov niam txiv yog txaus siab rau tus me nyuam hauv kev ua si, nws yog ib qho tsim nyog los txhawb kom muaj kev ua tiav, txawm tias qhov tsis tseem ceeb tshaj plaws. Tsis txhob hnov qab txog kev txhawb nqa lub hlwb. Yog tias koj tus menyuam hnyav dhau, ua raws li nws tus phooj ywg. Hauv qhov no, txawm tias lub sijhawm ntev ntawm kev kho mob yuav dhau los tsis pom.
Kev rog hauv menyuam yaus yog qhov teeb meem loj heev. Hmoov tsis zoo, qhov sib txawv yog qhov tsis zoo, thiab txhua xyoo muaj ntau dua li cov xwm txheej no. Cov niam txiv yuav tsum ua tib zoo saib xyuas tus menyuam txoj kev noj haus, txhawb nqakev ua si lub cev. Nws yog qhov zoo tshaj rau koj tus kheej ua piv txwv, ces nws yuav yooj yim rau tus me nyuam hloov. Txhawm rau daws qhov teeb meem thoob ntiaj teb, koj yuav tsum tawm tsam nws hauv txhua tsev neeg.
