Chiremba-gynecologist
Mafuta ane mafuta haasi kungoti "okuwedzera" mafuta, izvo zvinongotipa matambudziko chete. Ichi chinhu chakakosha chekubereka (pamwe chete nemashizha emuviri). Mafuta emafuta ane enzyme chaiyo aromatase, iyo inoshandura hutachiona hwemadzimai e-androgens kuva vakadzi vesrogro. Izvo, zvakare, dzinodzora nzira dzinonyanya kukosha dzehutano hwekubereka. Mukudarika kwemwedzi, kana basa remashizha rinowedzera zvishoma nezvishoma, mishonga yakawanda inova ndiyo inonyanya kukosha yeserojeni.
Dambudziko. Apo mukadzi ane hutano hwemazuva ose, uwandu hwewesrogen unokwanisa kukwanisa pamazuva akasiyana ehutenderedzwa, ipapo mukadzi ane hutano hwakanyanya anochengetedza huwandu hwehutano huri kumusoro, sezvo masero ane mafuta akazadza. Izvi zvinotungamirira kumarudzi akasiyana-siyana ekuputsa. Semuenzaniso, kusagadzikana kwehutachiona hwekuita ropa kana kupararira kwemuviri wechibereko (endometrium), nokuti nekuda kwekuchinja kwehomoni, haisi kurambwa zvachose. Mikana ye polycystic ovaries inowedzera, nokuti nekuwedzera kuchinjwa kwe androgens kune estrogen, maitiro evanhukadzi zvepabonde anotanga kubudisa akawanda uyerogens kuitira kuti varambe vachienzanisa. Mukuwedzera, estrogen inokurudzira kushandiswa kwemasero nekukura. Kuwedzerwa kwavo kunogona kukonzera kukura kusingadzorwi kwezvisikwa uye kukura kwemakumbo muhutano hwekubereka.
Zano: Kana uine, pamwe nekurema kwakanyanya, pane kuchinja mumwedzi, kuwedzera kwebvudzi rekudzivirira bvudzi (hirututism), taura neGynecologist kana gynecologist-endocrinologist. Wanai ultrasound uye ipai kuongororwa ropa kwehomoni. Paunenge uchigadzirira kuongorora, munhu anofanira kutevera mazano achiremba pamusoro pezuva rekuenda kumwedzi, umo zvakakosha kupa ropa. Inowanzokurudzirwa kutora: LH, FSH - pazuva re 3-5 kusvika kumwedzi; Estradiol - musi we5th-7 kana 21-23; progesterone - musi we 21-23 zuva; prolactin, 17-OH-progesterone, DHA-sulfate, testosterone musi we7-9.
Chiremba-endocrinologist
Kana iwe uri kunyanya kuwandisa, ipapo mupurologotologist ndiye iwe dhikuru wako chiremba. Kuwedzerwa kuwedzera kunowanzobatanidzwa nechirwere chemagetsi - kuora, pane zvakananga uye uyu nyanzvi anobatanidzwa. Izvozvo zvinogadziriswa uye zvinorema, zvinotendana kune mumwe uye zvinogona kuita kuti zvive pamwe. Saka, zvimwe zvirwere zvehutano hwetroroid (somuenzaniso, hypothyroidism) zvinogona kukonzera kuwedzera mumuviri, zvakaoma kudya. Uye zvakasiyana-siyana, nguva yakareba inorema kukura kwayo inokonzera dzimwe sarmonal inoshanduka, inokanganisa utachiona gland, kusagadzikana kwemasabolism.
Dambudziko. Saka, pamberi pekurema kwakanyanya, chirwere chakakomba chemagetsi chinowanzoumbwa - insulin kudzivirira, umo masero asingagoni kushandisa zvakakwana insulini. Somugumisiro, muviri unenge usingakwanisi kushandisa glucose. Inowedzera muropa. Mukurwisana nemamiriro ezvinhu akadai, kune kuchinja mune pancreas, uye chirwere cheshuga chinoumbwa.
Zano: Kamwe kamwe pagore kumunhu chero upi noupi, uye pamberi pekurema kwakanyanya kana kukuremedza hutano - mwedzi mitanhatu ipi neipi unoda kupa ropa kuti ushuga. Kana zvichidikanwa, chiremba anogona kuwedzera kuisa glucose tolerance test (inotarisa kubudirira kwe insulin-kubudisa nzira). Mukuwedzera, gore negore rakakurudzirwa kuti rive nehuwandu hwehutachiona hutachiona, kliniki uye biochemical blood test. Kana chiremba ari kukanganisa kukanganisa kwakakomba, achagadza mimwe miedzo.
Cardiologist
Mafuta ndiwo maviri emumuviri, uye semasumbu uye mapfupa, vanoda ropa. Pakuwedzerwa pfuma, kupa mishonga mitsva, mimwe midziyo yeropa uye ropa rakawanda rinodiwa. Pamusoro pe 0.5 kg wehutachiwana hwaunowana, unoda anenge 1.5 km yemidzi yeropa. Funga nezvemutoro uri pamwoyo, kana ukawana 10.15 kana 20 kg!
Dambudziko. Vanhu vane uremu hunorema vanewo huwandu hwakanyanya hwe "hukuvadza" cholesterol muropa, iyo inowanikwa pamasvingo emiromo uye inoita kuti ropa riyerere kusvika pamwoyo. "Motokari" yako inofanira kushanda nesimba, uye inowedzera simba. Ichi chiitiko chinonzi atherosclerosis. Nokufamba kwenguva, zvinogona kutungamirira kukurudzirwa kwezvirwere zvepfungwa: coronary heart disease, hypertension, uyewo kuwedzera njodzi yekurwadziwa kwemwoyo uye kurohwa.
Nhungamiro: Ramba uchitarira mazinga echolesterol muropa. Iwe unogona kugovera ropa mupolyclinic panzvimbo yako yekugara, kana mubharesiti inobhadharwa. Kuuya kweropa kunoitwa kunze kwepamuviri isina chinhu. Mumazuva ezvokudya, kusanganisa zvokudya izvo mafuta anowanikwa akakwirira, usapedza kudya kwekupedzisira. Maitiro echolesterol -3,0-6,0 mmol / l. Nhamba yakakurudzirwa inonzi <5 mmol / l. Nhamba ye "inokuvadza" cholesterol (LDL) -1,92-4,82 mmol / l uye "inobatsira" (HDL) - 0,7-2,28 mmol / l.
Physician
Negadziriro yemapundi mapaundi, kune rimwe mutoro pamapatendi uye unotanga kupfekedza mutsara unoteterera hunoita kuti uende kumakumbo. Maererano nemigumisiro yekutsvakurudza, muvhareji wepamusoro pamajoini panguva yekumire iri 80-100% yechipimo chemuviri, apo kufamba kunowedzera kusvika 300%, uye munguva yekufamba nokukurumidza uye kumhanya-kusvika ku 350-500% pauwandu hwayo. Izvi zvinoreva, pazvibatanidzwa paunofamba uye iwe unofanirwa kutakura, izvo zvinokwana katatu kuwanda kwehutatu hwemuviri. Uye zvino edza kufungidzira munhu ane chirwere chemagetsi - kurema uye kurema kwe-150 kg. Nechitsotsi chimwe nechimwe pazvikamu zvetsoka dzake, mutoro unodonha kusvika ku400-700 kg! Pazera remakore, hutachiona hwemunhu huchiri kukwanisa kumira mitoro yakawanda uye kuomeswa. Asi majoini achakwanisa kutakura mutoro wakadaro kune vakwegura, apo kusununguka kwekatekete kunoderera zvikuru?
Dambudziko. Kazhinji, zvose zvinoguma zvinosuruvarisa - pane kuparadzwa kwakakwana kwekubatana. Muchiitiko ichi, nzira chete yekuisa munhu pamakumbo avo ndeyekuita chirwere cheprosthetic. Mukuwedzera, kuwandisa uye kuneta kunotungamirira kukurudzirwa kwezvirwere zvemupenya, zvichiita kuti kuve nekushamba kwe osteochondrosis uye intervertebral hernias.
Zano: Chengeta uremu hwako pasi pekutonga. Pakurasika kwekurema, usawedzera zvakanyanya mutoro pazvibatanidzwa - izvi zvinogona kungowedzera. Zviri nani kutendeukira kunyanzvi, iye achakudziridza iwe dambudziko rekudzidzisa muviri. Edza kuva nechokwadi chokuti kudya, pasinei nokudya, kwaive kwakakwana, zvisinei zvikamu zvichange zvichishaya kushayikwa kwezvibereko. Kudya kunofanira kusanganisira mishonga yemakese, hove, ndiro nejelatin.
Zviongorore iwe pachako
Idzo pfungwa dzechimiro chakanaka cheumwe neumwe wedu chinopesana uye dzinosungirirwa kune zvinyorwa zvemashoko zveumwe munhu mumwe nomumwe. Nokudaro, vanachiremba vakabvisa chimiro chechirwere chechirwere chakasimba - muviri mashizha index (BMI). Kuti uzvizive, zviparadzanisa utoro hwako mu kilograms nekukwirira mumamita, squared. Nhamba yacho ndiyo BMI. BMI = kuyerwa (kg) / kureba (m) 2 . BMI pasi pe18.5 - kushaya kuyerwa. BMI kubva 18.5 kusvika ku24.9 ndiyo inowanzo. Izvo nehurukuro iyi ndiyo nguva yakareba yehupenyu. BMI kubva pa25 kusvika ku27.0 - uri pedyo nekuwedzeresa. BMI inodarika 30 - izvi zvinoratidza kuvapo kwechirwere chemagetsi - kuneta.