Suam ntawm cov rog. Ua, cov tsos mob, mob thiab kev kho mob ntawm rog

Ib tug ntawm cov teeb meem ntawm cov haiv neeg nyob rau hauv lub nees nkaum-thawj ib puas xyoo tau ua rog. Tus kab mob yog "nrhiav neeg ua hauj" tshiab adherents nyob ib ncig ntawm lub ntiaj teb no. Qhov no yog vim rau cov neeg pluag noj cov zaub mov, sedentary txoj kev ua neej, ib tug xov tooj tseem ceeb ntawm tus mob endocrine pathologies thiab ntau lwm yam tseem ceeb. Cia rog txhais tau tias hnyav yog tsis muaj zog vim nqaij compression, tab sis nyob rau cov nuj nqis ntawm cov roj deposits nyob rau hauv ntau qhov chaw ntawm lub cev. Cov kev piam sij ntawm rog? Saib cov neeg uas nyhav dhau heev lawm tej kws kho mob yuav hu rau ib tug teb yog vim li cas, thiab nyob rau hauv thawj qhov chaw yuav tsum tau kab mob plawv, cov hlab ntsha, pob qij txha thiab cov pob txha, ib tug ua txhaum ntawm cov dej-ntsev metabolism. Nyob rau hauv tas li ntawd, tus kab mob no yog ib qhov nyuaj rau lub neej kev, raws li nyob rau hauv hnub no lub koom txoos yog yeej los ntawm tiam sis nyob rau hauv cov kev ua si thiab noj qab nyob zoo txoj kev ua neej.

etiology

Tus kab mob yog "rog" muaj peev xwm yuav tsim rau ib tug ntau yam yog vim li cas. Cov feem ntau pom tseeb yog tus tsis muaj kev qoj ib ce, ces muaj yog ib tug mismatch ntawm tau txais calorie ntau ntau thiab pov tseg zog. Qhov thib ob qho ua ntau heev luj yog ib tug ua txhaum ntawm lub hnyuv ib ntsuj av. Qhov no yuav ua tau ib tug disadvantage ntawm pancreatic enzymes, cov yuav txo tau ntawm lub siab, teeb meem nrog rau cov kev zom zaub mov. Nyob rau hauv tas li ntawd, txoj kev pheej hmoo ntawm cov rog tej zaum yuav ib tug determinate ntawm lub caj theem.

Muaj yam tseem ceeb uas pab koj qhov hnyav nce, no muaj xws li:
- kev siv cov tej dej qab zib los yog noj cov zaub mov uas muaj ib tug ntau ntawm cov piam thaj;
- endocrine kab mob xws li hypogonadism, hypothyroidism, pancreas mob;
- puas siab puas ntsws mob (noj ntshawv siab);
- tas mus li kev nyuaj siab thiab tsis muaj kev pw tsaug zog;
- hormonal los yog psychotropic tshuaj.

Evolution ntawm lub coos nyob rau hauv 2 lab lub xyoo tau muab lub mechanism ntawm tsub zuj zuj ntawm muab kev pab cuam nyob rau hauv cov ntaub ntawv koj mam li nco dheev khiav luv luv ntawm khoom noj khoom haus. Thiab yog hais tias yeej muaj tseeb rau ancient cov neeg, cov niaj hnub tus txiv neej tsis yuav tsum tau xws "storerooms". Txawm li cas los, peb lub cev yog tsim nyob rau hauv xws li ib tug txoj kev uas nws reacts stereotypically li zoo thiab cov yam ntxwv tsis zoo los ntawm sab nraum. Yog li ntawd, cov teeb meem ntawm rog tam sim no uas sawv sharply.

pathogenesis

Cai ntawm lub tso nyiaj thiab yuav sawv kev depot roj yog mob los ntawm ib tug complex sis ntawm lub paj hlwb thiab lub endocrine qog. Lub ntsiab ua tsub zuj zuj ntawm ib tug loj npaum li cas ntawm lipids yog ib tug mismatch ntawm lub cerebral cortex thiab cov hypothalamus. Nws yog muaj hais tias yog qhov chaw ntawm qab los noj mov cov kev cai. Lub cev yuav tsum tau ntau noj lub zog noj, yog li tag nrho cov tshaj yog tshuav "nyob rau hauv cia", uas ua rau yus nce phaus thiab qhov tshwm sim ntau heev adipose cov ntaub so ntswg.

Tej cov neeg pluag kom sib haum center tej zaum yuav ib tug congenital mob thiab kis tau los ntawm kev kawm. Tsis tas li ntawd, tej teeb meem tej zaum los ntawm kev raug mob, o, mob endocrine pathology.

Thaum lub pituitary caj pas, adrenal cortex thiab - pancreatic hlwb pib muaj ib tug pathological kev ua si thiab tus nqi ntawm cov kev loj hlob hormone txo sharply, yuav luag tag nrho cov ntawm cov rog thiab piam thaj, uas nkag rau hauv lub cev, tso nyob rau hauv cov nqaij thiab kabmob. Qhov no ua rau morphological mob ntawm lub siab, raum, cov thyroid.

Classification BMI

Ib suam ntawm rog yog zoo tshaj plaws mus pib nrog ib tug uas yog lub npe hu mus rau lub pej xeem. Raws li ib tug txoj cai, cov thawj mob ntawm tus kab mob no yog nqa tawm raws li ntsuas ua rau lub cev huab hwm coj index (BMI). Qhov no quotient nqi tau tom qab faib hnyav nyob rau hauv kilograms los ntawm qhov siab nyob rau hauv meters squared. Muaj cov nram qab no gradation ntawm rog nyob rau hauv qhov ntsuas no:

1. loj tshaj - yog hais tias tus BMI yog tsawg dua los sis sib npaug zos rau 18.5.
2. Tej lub cev hnyav - lub cev huab hwm coj index yuav tsum nyob rau hauv lub chav 18.5 25.
3. Pre-rog - ib tug BMI xws li ntawm 25 mus rau 30 cov ntsiab lus. Thaum no tus taw tes, nws tsub kom kev pheej hmoo ntawm co-morbidities xws li tawg, bedsores thiab pob tw ntse.
4. Kev pham muab tso rau hauv 1 degree thaum lub BMI yog 30 mus rau 35.
5. Rog qib 2 - lub Performance index yog nyob ze rau 40 cov ntsiab lus.
6. Rog qib 3 thiaj paub tias yog thaum lub cev huab hwm coj index siab tshaj 40 ntsiab lus, thaum ib tug neeg muaj comorbidities.

Etiopatogenetichesky kev faib

Cov nram qab no faib ntawm rog yog ib yam ntawm cov feem ntau ncauj lus kom ntxaws nyob rau hauv cov cheeb tsam no, txij li thaum nws yuav siv sij hawm mus rau hauv tus account cov ua rau thiab mechanisms ntawm tus kab mob loj hlob. Raws li qhov no raug rho tawm thawj thiab rog. Txhua yam ntawm lawv nws muaj nws subclasses.

Yog li, thawj rog muab faib mus rau hauv:
- gluteal-femoral;
- mob plab;
- vim noj ntshawv siab;
- kev nyuaj siab;
- txhais los ntawm metabolic syndrome.

Nyob rau hauv lub thib ob, symptomatic rog yuav neeg plaub subtypes:

1. Mob muaj keeb puas noob.
2. Cerebral provoked hlav, kab mob los yog autoimmune hlwb puas tsuaj.
3. Endocrine tshwm sim los ntawm ua hauj lwm ntawm lub qog caj pas cov kev cai ntawm lub hypothalamic-pituitary system, lub adrenal qog thiab gonads.
4. Tshuaj txuam nrog kev noj steroids, hormonal contraceptives thiab cytostatics.

Clinico-pathogenetic kev faib

Yog hais tias peb coj tus mechanisms uas ua rau lub rov tshwm sim ntawm tshaj qhov hnyav, nws tseem tau mus ua xws li ib tug kev faib ntawm rog:

- alimentary thiab constitutive. Qhov hnyav nce yog txuam nrog ib tug dhau heev lawm ntawm rog nyob rau hauv kev noj haus thiab sedentary. Nws manifests nws tus kheej, feem ntau yog nyob rau hauv thaum yau thiab yuav sib txuas lus nrog ib tug roj ntsha predisposition.
- Hypothalamic. Qhov nce nyob rau hauv cov ntaub so ntswg adipose yog vim hypothalamic kev puas tsuaj thiab, raws li ib tug tsim nyog tau, ib tug ua txhaum ntawm nws neuroendocrine muaj nuj nqi.
- endocrine. Hauv plawv ntawm fatness yog ib tug pathology ntawm lub endocrine qog - lub pituitary, thyroid, adrenal qog.
- Iatrogenic. Kev pham tshwm sim los ntawm kev kho mob kev pab. Qhov no tej zaum yuav noj tshuaj, hloov los yog ib feem tshem tawm ntawm qhov kev raug mob ntawm lub endocrine system nyob rau hauv lub chav kawm ntawm kev kho mob thiab ntau yam ntxiv.

Classification los ntawm localization ntawm adipose cov ntaub so ntswg

Tom qab kev ntsuam xyuas ntawm cov neeg mob nrog rog twb pom hais tias tsis yog txhua txhua ntawm nws yog faib sib npaug. Yog li ntawd, thaum lub sij hawm, nws tau raug bred rog kev faib raws li tus yam ntxwv ntawm qhov chaw ntawm lub cev muaj roj.

Tus thawj hom, kuj hu ua sab sauv, aka hauv xov tooj ntawd, yus nyob rau hauv uas feem ntau yuav tsub kom lub sab sauv ib nrab ntawm lub cev, lub ntsej muag, caj dab thiab ob txhais tes. Nws tshwm sim feem ntau nyob rau hauv cov txiv neej, tab sis nws muaj peev xwm kuj yuav pom nyob rau hauv cov poj niam uas tau nkag mus rau lawm. Ib tug xov tooj ntawm tus sau phau ntawv cav hais tias muaj yog ib qhov txuas ntawm no hom ntawm rog thiab kev pheej hmoo ntawm kev tsim cov ntshav qab zib raws li zoo raws li cov kab mob ntawm cov hlab plawv system.

Qhov thib ob hom, hauv qab los yog gynoid yog ib tug sau ntawm fatty cov ntaub so ntswg nyob rau hauv lub ncej puab thiab pob tw, thiab yog xav paub ntau ntau nyob rau hauv qhov zoo nkauj ib nrab ntawm cov tib neeg. Tus naj npawb ntawm cov poj niam yuav siv sij hawm rau hauv daim ntawv ntawm "txiv moj coos". Tsis tas li ntawd muaj peev xwm tsim nyob rau hauv thaum yau, yog tias aggravated ua txhaum cai ntawm cov ib txwm noj cov zaub mov. Comorbidities nyob rau hauv rooj plaub no yuav tsum yog tus pathology ntawm txha nqaj qaum, pob qij txha thiab qis extremities vascular network.

Qhov thib peb hom - mixed los yog intermediate rog. Nyob rau hauv cov ntaub ntawv no, tus luj ntau dua los yog tsawg tusyees faib los ntawm lub cev los ntawm smoothing kab duav, caj dab, pob tw.

Nyob rau hauv kev txiav txim los mus txiav txim uas yog lub hom rog hu ua tus neeg mob, nws yog tsim nyog los mus txiav txim tus piv ntawm qhov ib ncig ntawm lub duav rov sauv thiab lub duav. Yog hais tias cov poj niam no daim duab loj dua 0.85, thiab cov txiv neej ntau dua tshaj ib, nws yuav sib cav hais tias ib tug neeg thawj version ntawm lub tsev ntawm adipose cov ntaub so ntswg.

morphological kev faib

Thaum rog hloov cuam tshuam tag nrho cov theem ntawm lub koom haum ntawm lub neej, tsis yog lub cev raws li ib tug tag nrho, tab sis kuj tus neeg nruab nrog cev, cov nqaij thiab txawm mus rau lub hlwb. Adipocytes (rog hlwb), yuav undergo ib tug zoo los yog ntau kev hloov. Nyob rau hauv no tso tawm:

1. Hypertrophic rog. Nws yog yus muaj los ntawm ib qho txawv txav nce nyob rau hauv lub loj ntawm roj hlwb, thaum lawv muaj pes tsawg tseem zoo li qub.
2. Hyperplastic rog, nyob rau hauv uas lub adipocytes koom faib. Qhov no daim ntawv tshwm sim nyob rau hauv cov me nyuam thiab yog kho heev heev, li ntawd, yuav ua li cas los txo tus naj npawb ntawm hlwb yuav tsis tshua muaj kev txhoj puab heev txoj kev.
3. Mixed rog raws li cov zajlus kom muaj kev pov plob ib tug sib tov ntawm ob yav dhau los sawv daws yuav. Uas yog, lub hlwb yog tsis tsuas nce, tab sis lawv yog qhov ntau dua.

Cov kev faib ntawm rog nyob rau hauv cov me nyuam

Raws li statistics, nyob rau hauv Russia muaj txog 12% ntawm cov me nyuam raug kev txom nyem los ntawm rog. Ntawm no, 8.5% ntawm nroog pej xeem thiab 3.5% - nyob deb nroog. Rog nyob rau hauv cov me nyuam thiab cov tub ntxhais hluas tau ua li ntawd heev pathologies uas pediatricians tau txiav txim siab yuav ua kom paub ib tug tshwj xeeb seem nyob rau hauv nws txoj kev kawm ua hauj lwm nrog cov niam txiv rau cov khoom noj. Kev pham xam tau tias yog yuav ib lub xeev uas tus me nyuam hnyav tshaj 15% ntawm vim nws muaj hnub nyoog. Yog hais tias correlated nrog BMI, nws cov nuj nqis yuav yuav los ze zog mus rau 30 cov ntsiab lus.

Paub qhov txawv ob hom ntawm rog cov me nyuam yaus: thawj thiab. Thawj tshwm sim los, raws li ib tug txoj cai, malnutrition, thaum ntxov lure los yog tsis kam los ntawm lub mis mis nyuj rau nyuj. Tab sis nws kuj yuav raws roj ntsha, yog ib tsev neeg yog yeej los ntawm cov neeg uas nyhav dhau heev lawm. Tab sis txawm nyob rau hauv cov ntaub ntawv no, tus me nyuam tsis tau yug los nrog ib tug tuab, nws cia li tub ceevxwm cia koj metabolism, thiab nrog rau txoj kev noj cov zaub mov thiab ib ce muaj zog, nws yuav cia koj luj nyob rau hauv ib txwm txwv. Tseem ceeb heev rau thawj rog yog cov thawj peb lub xyoo ntawm lub neej thiab tiav nkauj tiav nraug.

Secondary rog yog txuam nrog lub xub ntiag ntawm nrhiav endocrine ntshawv siab. Cov kev uas txiav txim rau lub degree ntawm lub teeb ntawm tshaj hnyav yog tseem debatable. Cov nram qab no teev tau npaj:
- 1 degree - ceeb thawj ntau dua tshaj li 15-25% ntawm kwv yees;
- 2nd theem - los ntawm 25 mus 49% poob;
- 3 degree - lub loj yog ntau dua nyob rau hauv 50-99%;
- Qib 4 - nyhav dhau heev lawm nyob rau hauv ob los yog ntau tshaj lub sij hawm ntau tshaj qhov txwv lub hnub nyoog.

cov tsos mob

Cov tsos mob ntawm rog yeej zoo ib yam li txhua lwm yam, qhov txawv tsuas nyob rau hauv lub uniformity ntawm lub tsev dhau heev lawm fiber, thiab nyob rau hauv lub xub ntiag ntawm nrog pathologies los yog lawv qhaj ntawv.

Feem ntau cov feem ntau tshwm sim nyob rau hauv cov neeg mob alimentary rog, uas yog txuam nrog rau cov kev ua txhaum ntawm ib tug ib txwm noj cov zaub mov. Raws li ib tug txoj cai, xws li tus neeg muaj ib tug kev tshuaj ntsuam genetic predisposition koj qhov hnyav nce, thiab ntau tau ntawm cov khoom noj ua rau koj qhov hnyav nce. Cov tsos mob tshwm sim nyob rau hauv tag nrho cov neeg hauv tsev neeg, raws li lawv collectively mov. Nyob rau hauv tas li ntawd, qhov no hom ntawm rog nws cov neeg laus cov poj niam uas ua ib tug sedentary txoj kev ua neej vim lawv txom nyem kev kho mob.

Rog 1 degree cai nyob rau hauv feem ntau ntawm cov neeg uas tsis tu ncua dhau, tshwj xeeb tshaj yog nyob rau hauv lub yav tsaus ntuj. Qhov no tshwm sim vim hais tias rau noj tshais thiab noj su tsis muaj sij hawm thiab muaj siab. Tshaib plab neeg thaum noj hmo haus txhua hnub calorie ntau ntau thiab mus pw.

Hypothalamic rog yog yus tsis tau tsuas yog koj qhov hnyav nce, tab sis kuj muaj cov tsos mob ntawm tus mob ntawm lub paj hlwb thiab endocrine kev cai. Kev pham loj hlob sai heev thiab yog feem ntau tsis txuam nrog ib tug kev hloov nyob rau hauv cov khoom noj. Rog tshwm feem ntau nyob rau hauv pem hauv ntej saum npoo ntawm lub plab mog, ncej puab thiab pob tw. Tej zaum yuav ua trophic hloov: qhuav tawv nqaij, stretch marks, cov plaub hau tsis tau. Cov neeg mob tsis txaus siab ntawm insomnia, mob taub hau thiab kiv taub hau. Neurologist feem ntau yuav ntes txawv txav nyob rau hauv lawv lub teb.

diagnostics

Cov neeg uas muaj rog muaj ib tug tsis tshua txo thuam rau nws mob, yog li kom koj yaum tau los yog yuam kom lawv mus rau tus kws kho mob txawm rau ib tug yooj yim kev sib tham - tsis yooj yim teeb meem. Nws yog ib heev lwm - cov neeg mob endocrinologist los yog neurologist. Lawv lawv tus kheej xav tau mus soj ntsuam thiab txo qhov ceeb thawj rau ib tug hais rov qab.

Cov feem ntau siv qauv tshau rau cov mob ntawm nyhav dhau heev lawm - ib tug BMI ntawm cov rog. Qhov ntawd yog yuav ua li cas lub sij hnyav tshaj ib tug yuav. Yuav kom txiav txim seb qhov heev yog ib qho tseem ceeb tsis tau tsuas yog los ua pov thawj rau hauv lub hav zoov ntawm tshaj phaus, tiam sis kuj lub fact tias nws yog siv nyob rau cov nuj nqis ntawm adipose ntaub so ntswg, thiab tsis yog tus mob pawg. Yog li ntawd, nyob rau hauv kev kho mob xyaum muaj kev koom ua kom paub txoj kev mus txiav txim raws nraim roj loj es tag nrho lub cev muaj ceeb thawj.

Norma yog txiav txim raws li tej ntaub ntawv sau los ntawm cov kws kho mob los ntawm ntau yam specialties ntau lub xyoo ntawm kev xyaum. Rau txhua tus txiv neej pw, hnub nyoog, thiab lub cev lwg muaj ntxhuav twb xam qhov tseem ceeb thiab kev cai ntawm pathology. Zaum tau nrhiav tau hais tias centenarians hnyav 10% tsawg tshaj li ib txwm. Kev txhawj kev rog thiaj paub tias yog nyob rau hauv lub rov qab cov ntaub ntawv, thaum 10% los ntawm qhov hnyav dhau lawm lub sab sauv txwv ntawm lub permissible.

Muaj ntau ntau cov qauv los mus laij lub zoo tagnrho lub cev hnyav. Ib tug ntawm lawv paub tag nrho cov poj niam - los ntawm txoj kev loj hlob nyob rau hauv yuav tsum tau mus coj ib puas centimeters. Cov uas ua tus xov tooj yog cov yam nqi. Tab sis nws yog heev zwj ceeb thiab unreliable txoj kev tshawb no. Ntau tseeb yog qhov BMI los yog Quetelet index, uas tau raug qhia saum toj no. Xab qhov ib ncig ntawm lub duav rov sauv thiab lub duav, dhau lawm, nws yog ib yam uas tseem ceeb heev nyob rau hauv lub characterization ntawm rog, txij thaum lub qhov chaw ntawm cov rog nyob rau hauv qhov ua rau, uas yog tshwm sim los ntawm qhov hnyav nce.

kev kho mob

Lub sib ntaus tawm tsam rog yog ua maliciously thiab qhov txhia chaw. Tam sim no rau hauv xov xwm koom nce ib tug noj qab nyob zoo txoj kev ua neej thiab lub cult ntawm tus zoo nkauj, kev ntaus kis las lub cev. Ntawm cov hoob kawm, coj qhov teeb meem no rau absurdity tsis nqi nws, tab sis cov kev taw qhia ntawm cov hluas zog yog dua dekadansnaya Yitonia.

Cov yooj yim hauv paus ntsiab lus ntawm kev kho mob ntawm rog muaj xws li:
- ib tug noj cov zaub mov nplua nuj nyob rau hauv txoj carbohydrates thiab fiber, vitamins, ceev thiab tshuaj ntsuab. Nco ntsoov tsis txhob ci, khoom qab zib thiab fizzy dej qab zib.
- ib ce muaj zog, uas yuav tsum ntxiv dag zog rau lub cev thiab ceev li metabolism.
- cov tshuaj kom txo tau qhov hnyav thiab qhov qab los noj mov;
- hlwb;
- phais kho mob.

Yuav kom ua tau ntev-lub sij hawm tau txhua yam ntawm kev kho mob, koj yuav tau hloov koj cov zaub mov thiab zaus ntawm cov zaub mov. Nws yog ntseeg hais tias noj cov zaub mov yog sib tsis tau nyob rau hauv sib ntaus tawm tsam rog, tab sis lawv pab ntsaub lub tiav nyhav thiab tiv thaiv kab mob rov qab. Lub World Health Organization xav los mus laij lub caloric cov ntsiab lus ntawm cov khoom noj uas tus neeg mob siv nyob rau hauv tej hom, thiab maj mam txo tus nqi ntawm cov calorie ntau ntau. Nws yog tsim nyog mus cuag lub cim ntawm 1500 - 1200 kcal, muab hais tias tus neeg uas tsis tshooj koj tus kheej lub cev.

Hlwb yog aimed ntawm strengthening lub willpower thiab nws tus kheej-tswj nyob rau hauv kev sib raug zoo rau cov zaub mov kom tsawg thiab dependence rau ceev ceev khoom noj khoom haus thiab tej dej qab zib. Tshuaj nyob rau hauv tus txheej txheem ntawm qhov ceeb thawj yuav txo tau pab tau xwb luv luv-term nyhuv. Tom qab discontinuation ntawm cov ntsiav tshuaj, tus neeg mob rov qab mus rau lub yav dhau los txoj kev ntawm lub neej, thiab tsis ua raws li cov tswv yim pom zoo tau txais nyob rau paug. Txawm tias muaj tseeb hais tias tam sim no lub lag luam kws muaj ib tug loj xaiv ntawm kev kho mob rau nyhav dhau heev lawm, yuav luag tag nrho cov ntawm lawv txwv tsis pub vim hais tias ntawm cov kev phiv.

Yuav kom phais txoj kev muaj xws li suturing lub plab, nrov nyob rau hauv lub sixties ntawm lub xeem caug xyoo. Lub essence ntawm lub lag luam yog hais tias lub cev yog muab faib ua ob teej qhov chaw, thiab mus rau ib tug tsawg sutured cov hnyuv. Yog li, lub pais plab ntim yog txo, thiab tus nqi ntawm tso cai ntawm lub zaub mov yuav ntau dua. Qhov thib ob xaiv - pais plab banding. Cov mob sab mounted nplhaib uas narrows lub lumen ntawm cov hlab pas thiab cov zaub mov kov ib co chaw khuam siab, annoying saturation chaw, uas tus neeg mob yuav noj tsawg.

Yuav ua li cas hom ntawm cov rog yog cov feem ntau txaus ntshai? Tej zaum tag nrho. Tsis muaj ib tug yuav hais tias lub nce yog pab tau rau tib neeg. Cov heev theem nyob rau yuav ua li cas lub sij hnyav tshaj qhov txhia qhov, thiab tej comorbidities nws muaj.