Udokotela-gynecologist
Izicubu ezinamafutha akuzona nje "amafutha" engeziwe, okusinika kuphela izinkinga. Lokhu kuyisici esibalulekile esimisweni sokuzala (kanye nama-ovari). Amangqamuzana amafutha ane-enzyme e-aromatase ekhethekile, ephendulela ama-hormones e-sex etrogens e-estrogens yabesifazane. Labo, nabo, balawula izinqubo ezibaluleke kakhulu ohlelweni lokuzala. Ngesikhathi sokuya esikhathini, uma umsebenzi we-ovarika kancane kancane, izicubu ezinamafutha ziba umthombo omkhulu wama-estrogens.
Ingozi. Uma owesifazane onesisindo somzimba esivamile, izinga le-estrogen linamandla okuguqula ngezinsuku ezahlukene zomjikelezo, khona-ke owesifazane okhulupheleyo ugcina izinga lonke liphakeme njalo, njengoba amangqamuzana amafutha egcwalisa. Lokhu kuholela ezinhlotsheni ezahlukene zokuphulwa. Isibonelo, ukuphuma kwe-uterine okungafanelekile noma ukwanda kwesibindi sesisu (endometrium), ngoba ngenxa yezinguquko ze-hormone, akwenqatshiwe ngokuphelele. Amathuba ama-ovaries we-polycystic akhula, ngoba ngokuguqulwa kwe-androgens ku-estrogens, ukugonywa kobulili kwabesifazane kuqala ukukhiqiza ama-androgens amaningi ukuze alondoloze ibhalansi. Ngaphezu kwalokho, i-estrogens ikhuthaza ukuhlukaniswa kwamaseli nokukhula. Ukweqile kwabo kungabangela ukukhula okungalawulwa kwezingcubu kanye nokuthuthukiswa kwezicubu ohlelweni lokuzala.
Ithiphu: Uma unayo, kanye nesisindo esiningi, kunezinguquko kumjikelezo wesimiso, ukukhula kwezinwele zomzimba ngokweqile (i-hirsutism), thintana nomjozi wezinkinga zomzimba noma umjozi wezinkinga zokubeletha-endocrinologist. Thola i-ultrasound bese unikeza ukuhlolwa kwegazi ngamahomoni. Lapho ulungiselela ukuhlolwa, umuntu kufanele alandele izincomo zodokotela mayelana nosuku lokuya esikhathini, lapho kudingeka khona ukunikela ngegazi. Ngokuvamile kunconywa ukuthatha: LH, FSH - ngosuku lwesishiyagalolunye lomjikelezo; I-Estradiol - ngosuku lwesihlanu noma lwesi-21-23; progesterone - ngosuku lwesi-21-23; prolactin, 17-OH-progesterone, i-DHA-sulfate, i-testosterone ngosuku lwama-7-9.
Udokotela-endocrinologist
Uma ukhuluphele kakhulu, i-endocrinologist ingudokotela wakho oyinhloko. Isisindo esiningi ngokweqile sihlotshaniswa nesifo se-metabolism - ukukhuluphala, kunalokho ngqo futhi lochwepheshe usuke ehlanganyela. Uhlelo lwe-endocrine nesisindo somzimba lihlangene, lithembeke komunye nomunye futhi lungenza ithonya elilodwa. Ngakho-ke, ezinye izifo ze-gland yegciwane (isibonelo, hypothyroidism) zingabangela ukwanda kwesisindo somzimba, kunzima ukudla. Futhi ngokuphambene nalokho, isisindo esiningi ngokweqile ngokwayo senza ezinye izinguquko ze-hormonal, ziphazamise isifo se-thyroid, umzimba.
Ingozi. Ngakho-ke, phambi kwesisindo esiningi, isifo esiyinkimbinkimbi se-metabolic ngokuvamile sakhiwa - ukumelana nokufaka i-insulin, lapho amangqamuzana angakwazi ukusebenzisa ngokugcwele i-insulin. Ngenxa yalokho, umzimba awusoze wakwazi ukucubungula i-glucose. Iqoqa egazini. Ngokumelene nalesi sizinda, kunezinguquko kumaphakethe, futhi isakhi sikashukela sakhiwe.
Ithiphu: Kanye ngonyaka kunoma yimuphi umuntu, futhi lapho ubhekene nesisindo esiningi ngokweqile noma obunzima - njalo ngemva kwezinyanga eziyisithupha udinga igazi ngoshukela. Uma kunesidingo, udokotela angabeka ngaphezu kwalokho ukuhlolwa kwe-glucose ukubekezelelana (kunquma ukusebenza kahle kwe-insulin-release release mechanism). Ngaphezu kwalokho, ngonyaka unconywa ukuba ube ne-ultrasound yengqungquthela yegciwane, ukuhlolwa kwegazi nokwelashwa kwegazi. Uma udokotela esolwa ngokuphulwa okukhulu, uzobe ebeka izivivinyo ezengeziwe.
I-cardiologist
Amafutha yizicubu zomzimba, futhi njengamathunjwa namathambo, badinga igazi. Ngesikhathi sokuzuza isisindo, ukuhlinzeka ngezicubu ezintsha, imithwalo yegazi kanye negazi elengeziwe liyadingeka. Kuzo zonke izisindo eziyi-0.5 kg ozithola, udinga cishe 1.5 km wemithwalo yegazi. Cabanga ngomthwalo osenhliziyweni, uma uthola 10.15 noma 20 kg!
Ingozi. Abantu abanesisindo esiningi banesisindo esiphezulu se-cholesterol "engozini" egazini, elifakwa ezindongeni ze-arteries futhi unciphise ukugeleza kwegazi enhliziyweni. "I-" motor "yakho kufanele isebenze kanzima, futhi ithola amandla amancane. Lesi simo sibizwa ngokuthi i-atherosclerosis. Ngokuhamba kwesikhathi, kungaholela ekuthuthukiseni ezinye izifo zenhliziyo: isifo se-coronary, isifo somfutho wegazi ophakeme, futhi sandisa ingozi yokuhlaselwa inhliziyo kanye nokushaywa yisifo sohlangothi.
Ithiphu: Qaphela izinga le-cholesterol egazini. Unganikela ngegazi ku-polyclinic endaweni yakho yokuhlala, noma ku-laboratory ekhokhelwayo. Ukulethwa kwegazi kwenziwa ngesisu esingenalutho. Ebusuku bokudla, ungafaki ukudla lapho okuqukethwe okunamafutha kuphezulu kakhulu, ungenzi ukudla okugcina kucebile. Izindlela zokudla kwe-cholesterol -3,0-6,0 mmol / l. Izinga eliphakanyisiwe lithi <5 mmol / l. Izinga le "cholesterol" elimazayo (LDL) -1,92-4,82 mmol / l futhi "eliwusizo" (i-HDL) - 0,7-2,28 mmol / l.
Udokotela we-Orthopedic
Ngeqoqo lamakhilogremu engeziwe, kukhona umthwalo owengeziwe emajoyini futhi uqala ukugqoka izicubu zethambo ezinomzimba ohlinzeka ukuhamba emlenzeni. Ngokusho kwemiphumela yocwaningo, isilinganiso somthwalo emajoyini ngesikhathi sokuma singama-80-100% wesisindo somzimba, kuyilapho ukuhamba kukhula kuya ku-300%, futhi ngesikhathi sokuhamba okusheshayo nokugijima-kufika ku-350-500% isisindo sayo. Lokhu kungukuthi, ngamalunga uma uhamba futhi kufanele ulayishe, okungukuthi izikhathi ezingu-3-5 isisindo somzimba esiphelele. Futhi manje zama ukucabanga ngomuntu onesifo somzimba - ukukhuluphala nesisindo esingaba ngu-150 kg. Ngezinyathelo zonke ezingxenyeni zezinyawo zakhe, umthwalo wehlela ku-400-700 kg! Lapho usemncane, izicubu zomuntu zisaqhubeka nokwazi ukubhekana nemithwalo ephezulu nokucindezelwa. Kodwa ingabe amajoyina azokwazi ukuthwala umthwalo omkhulu kulabo asebekhulile, lapho ukuqina kwe-cartilage kuyancipha kakhulu?
Ingozi. Ngokuvamile, konke kuphela ngokudabukisayo - kukhona ukubhujiswa okuphelele kwejoyina. Kulesi simo, indlela yodwa yokubeka umuntu ezinyaweni ukwenza ukuhlinzeka ngokweqile. Ngaphezu kwalokho, ukukhuluphala ngokweqile nokukhuluphala kuholela ekuthuthukiseni izifo zomgogodla, okwenza ukuthuthukiswa kwe-osteochondrosis ne-intervertebral hernias.
Ithiphu: Gcina isisindo sakho ngaphansi kokulawula. Ngendlela yokulahlekelwa isisindo, musa ukwandisa kakhulu umthwalo emajoyini - lokhu kungabe kubi kakhulu. Kungcono ukuphendukela kuchwepheshe, uzokuhlakulela isakhiwo esiyinkimbinkimbi semfundo. Zama ukuqinisekisa ukuthi ukudla, naphezu kokudla, kwakugcwele, kungenjalo amalunga azobhekana nokuntuleka kwezakhi. Ukudla kufanele kufake imikhiqizo yobisi, inhlanzi, izitsha nge-gelatin.
Zihlole wena
Imiqondo yombono ofanelekayo ngamunye wethu uhlukile futhi uboshelwe emibonweni yobuhle yomuntu ngamunye. Ngakho-ke, odokotela bathatha umshini wesibonakaliso esiqinile sezokwelapha - indikimba ye-mass mass (BMI). Ukuze ukwazi, hlukanisa isisindo sakho kilogram ngokuphakama ngamamitha, isikwele. Isibalo yi-BMI. BMI = isisindo (kg) / ukuphakama (m) 2 . I-BMI engaphansi kwe-18.5 - ukungabi nesisindo. I-BMI esuka ku-18.5 kuya ku-24.9 iyinhlangano evamile. Kule nkomba yikhona isikhathi esiphezulu sokuphila. I-BMI kusuka ku-25.0 kuya ku-27.0 - usesondele kakhulu. I-BMI idlula u-30 - lokhu kubonisa ukuthi kukhona isifo se-metabolic - ukukhuluphala.