Dokotala-azimayi
Mafuta obirira si mafuta "owonjezera," omwe amangotipatsa mavuto. Ichi ndi chinthu chofunika kwambiri pa njira yobereka (pamodzi ndi mazira ochuluka). Maselo a mafuta ali ndi mapuloteni apadera aromatase, omwe amatembenuza mahomoni amphongo ndi anyrogens kukhala akazi a estrogens. Zomwezi zimayambitsanso njira zofunikira kwambiri zoberekera. Pakusamba kwa kusamba, pamene ntchito ya ovariya imatha pang'onopang'ono, minofu ya mafuta imakhala yaikulu ya estrogens.
Ngozi. Mayi amene ali ndi thupi lolemera, mlingo wa estrogen umatha kusintha masiku osiyana siyana, ndiye kuti ali ndi vuto la kunenepa kwambiri amachititsa kuti chiwerengero chonse chikhale chokwera, monga momwe maselo amadzaza. Izi zimabweretsa zolakwira zosiyanasiyana. Mwachitsanzo, kutaya magazi kwachiberekero kapenanso kufalikira kwa chiberekero (endometrium), chifukwa chifukwa cha kusintha kwa mahomoni, sikunakanidwe kwathunthu. Mpata wa polycystic ovaries ukuwonjezeka, chifukwa ndi kuchulukitsa kutembenuka kwa androgens kwa estrogens, glands zachiwerewere kugonana amayamba kutulutsa androgens zambiri kuti akhalebe bwino. Kuwonjezera apo, estrogens zimapangitsa selo kugawidwa ndi kukula. Kuchuluka kwawo kungawononge kukula kwa minofu ndi kukula kwa zotupa mu njira yobereka.
Langizo: Ngati muli ndi kulemera kwakukulu, pali kusintha kwa msambo, kukula kwa tsitsi (hirsutism), kukhudzana ndi amayi kapena amayi a zachipatala-endocrinologist. Pezani ultrasound ndikupereka magazi kwa mahomoni. Pokonzekera kukayezetsa, munthu ayenera kutsatira malangizo a dokotala patsiku la kusamba, kumene kuli koyenera kupereka magazi. Kawirikawiri amalimbikitsidwa kutenga: LH, FSH - pa tsiku la 3-5 la ulendo; Estradiol - pa tsiku lachisanu lachisanu ndi chiwiri kapena la 21-23; progesterone - pa tsiku la 21-23; prolactin, 17-OH-progesterone, DHA-sulfate, testosterone pa tsiku la 7 mpaka 9.
Dotolo-dokotala wotchedwa endocrinologist
Ngati muli olemera kwambiri, ndiye kuti dokotala wamagetsi ndiwe wamkulu wanu dokotala. Kulemera kwakukulu nthawi zonse kumagwirizanitsidwa ndi matenda am'thupi - kunenepa kwambiri, kuposa momwe amachitira. Matenda a endocrine ndi kulemera kwa thupi zimagwirizanirana, kudalira wina ndi mzake ndipo zimatha kugwirizanitsa. Choncho matenda ena a chithokomiro (mwachitsanzo, hypothyroidism) amachititsa kulemera kwa thupi, zovuta kudya. Ndipo mosiyana, kulemera kwa nthawi yaitali kumadzetsa kusintha kwa ma hormonal, kumasokoneza chithokomiro, kutayika kwa thupi.
Ngozi. Choncho, pokhala ndi kulemera kwakukulu, matenda ovuta kwambiri amadzimadzi amatulutsa - insulini kukana, kumene maselo sangagwiritse ntchito insulini. Zotsatira zake, thupi silingathe kupanga shuga. Iwo umasonkhana mu magazi. Malinga ndi chikhalidwe ichi, pali kusintha kwa kapangidwe, ndipo shuga imapangidwa.
Langizo: Kamodzi pachaka kwa munthu aliyense, komanso pamaso pa kulemera kolemera kapena kulemedwa kwa miyezi - miyezi isanu ndi umodzi muyenera kupereka magazi kwa shuga. Ngati kuli kotheka, dokotala akhoza kuwonjezera mayeso okhwimitsa kusakanikirana ndi glucose (amatsimikizira kuti njira yotulutsira insulini imatha bwanji). Kuonjezera apo, chaka chili chonse cholimbikitsidwa kuti chikhale ndi chithokomiro cha chithokomiro, kuchipatala komanso kuyeza magazi. Ngati dokotala akudandaula kwambiri, adzaika mayeso ena.
Katswiri wa zamoyo
Mafuta ndi matenda a thupi, ndipo ngati minofu ndi mafupa, amafunikira magazi. Powonjezera kulemera, kupatsa makoswe atsopano, mitsempha yambiri ya magazi ndi magazi ambiri amafunikira. Pakulemera kwa 0,5 makilogalamu iliyonse, mumakhala ndi makilomita 1.5 pa mitsempha. Ganizirani za kulemedwa pamtima, ngati mutapeza makilogalamu 10.15 kapena 20!
Ngozi. Anthu omwe ali ndi zolemera kwambiri amakhalanso ndi "choopsa" cha "cholesterol" m'magazi, omwe amaikidwa pamakoma a mitsempha ndi kuchepetsa kuthamanga kwa magazi kumtima. "Magalimoto" anu amayenera kugwira ntchito mwamphamvu, ndipo amapeza mphamvu zochepa. Matendawowa amatchedwa atherosclerosis. M'kupita kwa nthawi, izi zingayambitse matenda ena a mtima: matenda a mtima, matenda oopsa, komanso kuonjezera chiopsezo cha mtima ndi kupwetekedwa.
Langizo: Yang'anani pa mlingo wa kolesterolo m'magazi. Mungapereke magazi po polyclinic pamalo anu okhala, kapena mu labotale yolipidwa. Kutumiza kwa magazi kumapangidwira mimba yopanda kanthu. Madzulo a chakudya, osasakaniza zakudya zomwe mafuta akukwera kwambiri, musadye chakudya chomaliza. Miyezo ya cholesterol yonse -3,0-6,0 mmol / l. Mtengo woyenera ndi <5 mmol / l. Mliri wa "cholesterol" (LDL) -1,92-4,82 mmol / l ndi "wothandiza" (HDL) - 0,7-2,28 mmol / l.
Dokotala wa Orthopedic
Ndi mapaundi ena owonjezera, pali katundu wambiri pamalumikizi ndipo amayamba kuvala minofu yamatenda yomwe imapereka kwa miyendo. Malingana ndi zotsatira za kafufuzidwe, pafupifupi katundu pamalumiki paimaima ndi 80-100% ya kulemera kwa thupi, pamene kuyenda kumawonjezeka kufika 300%, ndipo pakuyenda mofulumira ndi kuthamanga - kufika ku 350-500% kulemera kwake. Izi zikutanthauza kuti, pamagulu pamene mukuyenda ndipo mukuyenera kunyamula, zomwe zimakhala zolemera 3-5 nthawi zonse. Ndipo tsopano yesetsani kulingalira munthu yemwe ali ndi matenda amadzimadzi - kunenepa kwambiri ndi kulemera kwa makilogalamu 150. Ndi phazi lililonse pamapazi a mapazi ake, katunduyo amagwera mpaka 400-700 makilogalamu! Ali wamng'ono, minofu ya munthu yokhala ndi matumbo amathabe kulimbana ndi katundu wambiri ndi kukakamizidwa. Koma kodi ziwalozo zimatha kunyamula katundu wokalamba ngati okalamba, pamene kukomoka kwa karotila kumachepa kwambiri?
Ngozi. Kawirikawiri, zonse zimathera mwachisoni - pali chiwonongeko chathunthu. Pachifukwa ichi, njira yokhayo yopezera munthu kumapazi ndi kuchita opaleshoni ya prostate. Kuwonjezera apo, kunenepa kwambiri ndi kunenepa kwambiri kumabweretsa chitukuko cha matenda a msana, zomwe zimapangitsa chitukuko cha osteochondrosis ndi intervertebral hernias.
Langizo: Pitirizani kulemera kwanu. Pofuna kuchepetsa kulemera kwake, musapitirize kuwonjezereka kwambiri pamalumiki - izi zikhoza kukhala zovuta kwambiri. Ndi bwino kutembenukira kwa katswiri, iye adzakupangirani inu zovuta zamaphunziro. Yesetsani kuonetsetsa kuti chakudyacho, ngakhale chakudya, chinali chodzaza, mwinamwake ziwalozo zidzasoŵa zakudya zoperewera. Zakudyazi ziyenera kuphatikizapo mkaka, nsomba, mbale ndi gelatin.
Dziyeseni nokha
Malingaliro a chikhalidwe choyenera kwa aliyense wa ife amasiyana ndipo amamangiriridwa ku maonekedwe abwino a munthu aliyense. Chifukwa chake, madokotala adatulukira njira yowonjezera yachipatala - chiwerengero cha thupi (BMI). Kuti mudziwe, gawanizani kulemera kwanu mu kilogalamu ndi kutalika kwa mamita, masentimita. Chiwerengero ndi BMI. BMI = kulemera (makilogalamu) / kutalika (m) 2 . BMI osakwana 18.5 - kusowa kulemera. BMI kuyambira 18.5 mpaka 24.9 ndiyomweyi. Ndili ndi ndondomekoyi ndi chiyembekezo chokhalira moyo. BMI kuchokera 25.0 mpaka 27.0 - muli pafupi kwambiri. BMI iposa 30 - izi zimasonyeza kukhalapo kwa matenda opatsirana - kunenepa kwambiri.