Kunyanya Kushungurudzika
Back Clinic Oxidative Stress Chiropractic uye Functional Medicine Team. Oxidative stress inotsanangurwa sekuvhiringidza mukuenzanisa pakati pekugadzirwa kweiyo reactive oxygen (free radicals) uye antioxidant kudzivirira. Mune mamwe mazwi, iko kusaenzana pakati pekugadzirwa kwemahara radicals uye kugona kwemuviri kupikisa kana kubvisa zvinokuvadza kuburikidza ne neutralization ne antioxidants. Oxidative stress inotungamira kune akawanda pathophysiological mamiriro mumuviri. Izvi zvinosanganisira neurodegenerative zvirwere, kureva, chirwere cheParkinson, chirwere cheAlzheimer, kuchinja kwemajini, kenza, kusingaperi kuneta kwechirwere, fragile X syndrome, chirwere chemwoyo neropa, atherosclerosis, kukundikana kwemoyo, chirwere chemoyo, uye zvirwere zvinopisa. Oxidation inoitika pasi pemamiriro akati wandei:
masero anoshandisa glucose kuita simba
Kuneta
by Dr Alex Jimenez Heart Health , Kunyanya Kushungurudzika
Kune vanhu vari kutsvaga kuvandudza hutano hwemoyo, kushandisa prunes kunogona kubatsira kutsigira hutano hwemoyo?
Prunes uye Utano hweMwoyo
Prunes, kana ma plums akaomeswa, michero ine fiber yakawanda-inovaka muviri-yakaomeswa pane nyowani plums uye inobatsira kugaya uye bowel kufamba. (Ellen Lever et al., 2019 ) Tsvakurudzo itsva inoratidza kuti vanogona kupa zvakawanda kupfuura kugaya uye kusununguka kwekuvhara, maererano nezvidzidzo zvitsva zvakaratidzwa kuAmerican Society for Nutrition. Kudya prunes zuva nezuva kunogona kuvandudza cholesterol mazinga uye kuderedza oxidative kusagadzikana uye kuzvimba.
Kudya maprunes mashanu kusvika gumi pazuva kunogona kutsigira hutano hwemoyo.
Utano hwemoyo hunobatsira hwekushandisa nguva dzose hwakaonekwa muvarume.
Muvakadzi vakura, kugara vachidya prunes kwakanga kusina kukanganisa pacholesterol yakazara, shuga yeropa, uye insulini.
Imwe ongororo yakawana kuti kudya 50-100 magiramu kana mashanu kusvika gumi prunes zuva nezuva kwakabatana nekuderedzwa kwechirwere chemoyo. (Mee Young Hong et al., 2021 )
Kudzikira kwecholesterol nezviratidzo zvekuzvimba kwakakonzerwa nekuvandudzwa kwemazinga eantioxidants.
Mhedziso yaive yekuti prunes inogona kutsigira hutano hwemoyo.
Prunes uye Fresh Plums
Kunyangwe zvidzidzo zvakaratidza kuti prunes inogona kutsigira hutano hwemwoyo, izvo hazvireve kuti plums nyowani kana prune juice inogona kupa mabhenefiti akafanana. Nekudaro, hapana akawanda zvidzidzo nezve mabhenefiti eplums nyowani kana prune muto, asi zvinogoneka kuti vangadaro. Zvisinei, kumwe kutsvakurudza kunodiwa. Fresh plums dzakaomeswa mumhepo inopisa inovandudza kukosha kwekudya uye hupenyu hwesherufu yemuchero, iyo inogona kunge iri chikonzero iyo yakaomeswa shanduro inochengetedza zvimwe zvinovaka muviri. (Harjeet Singh Brar et al., 2020 )
Vanhu vangangofanira kudya akawanda plums kuti vawane mabhenefiti akafanana.
Kudya 5-10 prunes kunoratidzika kunge kuri nyore pane kuedza kuenzana nechiyero chimwe chete, kana kupfuura, cheprum itsva.
Asi chero sarudzo inokurudzirwa pachinzvimbo cheprune muto sezvo michero yakazara ine fiber yakawanda, inoita kuti muviri unzwe wakaguta, uye yakaderera mumacalorie.
Mabhenefiti Kune Vechidiki
Yakawanda yetsvagurudzo yakaitwa pavakadzi vepomenopausal nevarume vanopfuura makore makumi mashanu neshanu, asi vanhu vadiki vanogonawo kubatsirwa nekudya prunes. Kudya kwakapfuma mumichero nemiriwo kunoonekwa sehutano, saka kuwedzera prunes kune imwe yekudya kunowedzera kune hutano hunobatsira. Kune vanhu vasingade prunes, michero yakaita semaapuro nemabheri inokurudzirwa zvakare kune hutano hwemoyo. Zvisinei, michero inongoumba chikamu chimwe chete chezvokudya, uye zvakakosha kuisa pfungwa pakudya kwakakwana nemiriwo, maruva, uye mafuta ane utano. Prunes ine fiber yakawanda, saka vanhu vanokurudzirwa kuti vawedzere zvishoma nezvishoma mumaitiro avo ezuva nezuva, sezvo kuwedzera yakawandisa panguva imwe chete kunogona kukonzera kugwamba, kuputika, uye / kana. kuvimbiswa .
Kukunda Congestive Heart Kukundikana
VIDEO
References
Lever, E., Scott, S. M., Louis, P., Emery, P. W., & Whelan, K. (2019). Mhedzisiro yeprunes pane stool inobuda, gut transit nguva uye gastrointestinal microbiota: A randomized controlled trial. Kliniki chikafu (Edinburgh, Scotland), 38 (1), 165-173. doi.org/10.1016/j.clnu.2018.01.003
Hong, M. Y., Kern, M., Nakamichi-Lee, M., Abbaspour, N., Ahouraei Far, A., & Hooshmand, S. (2021). Dried Plum Consumption Inovandudza Yese Cholesterol uye Antioxidant Capacity uye Inoderedza Kuzvimba muVakadzi Vane Utano hwePostmenopausal. Nyaya yezvokudya zvemishonga, 24 (11), 1161-1168. doi.org/10.1089/jmf.2020.0142
Harjeet Singh Brar, Prabhjot Kaur, Jayasankar Subramanian, Gopu R. Nair & Ashutosh Singh (2020) Mhedzisiro Yemakemikari Pretreatment paKuomesa Kinetics uye Physio-kemikari Mamiriro eYellow European Plums, International Journal yeFruit Science, 20:sup2, S252-S , DOI: 279/10.1080
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Mamiriro Ekutongwa , utano , Kunyanya Kushungurudzika , kushushikana , Mishonga , Video , Viscerosomatic Reflex , Wellness
VIDEO
ziviso
Dr. Alex Jimenez, DC, anopa kuti kusagadzikana kusingaperi kunogona kukanganisa sei muviri uye kuti inopindirana sei nekuzvimba mune ino 2-chikamu mutsara. Part 1 yakaongorora kuti kushushikana kunopindirana sei nezviratidzo zvakasiyana-siyana zvinokanganisa mazinga emajini emuviri. Chikamu 2 chinotarisa kuti kuzvimba uye kusagadzikana kusingaperi kunoenderana sei nezvinhu zvakasiyana zvinogona kutungamira mukukura kwemuviri. Isu tinotumira varwere vedu kune vane certified varapi vanopa marapirwo aripo kune vanhu vazhinji vanotambura nekushushikana kusingaperi kwakabatana nemoyo, endocrine, uye immune system inokanganisa muviri uye nekuzvimba. Isu tinokurudzira mumwe nemumwe wevarwere vedu nekuvataura kune vanobatana nevanorapa maererano nekuongorora kwavo zvakakodzera. Isu tinonzwisisa kuti dzidzo inzira inofadza kana uchibvunza vatinopa mibvunzo pakukumbira nekunzwisisa kwemurwere. Dr. Jimenez, DC, anongoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Kushushikana Kunogona Kutitapura Sei?
Dr. Alex Jimenez, DC, anopa:
Hasha dzakabatanidzwa nezvikamu zveatrial fibrillation. Paunofunga nezvazvo, iadrenaline inodururwa mumuviri uye ichikonzera coronary constriction. Zviri kuwedzera kurova kwemoyo. Zvose izvi zvinogona kukonzera arrhythmia. Uye haifanirwe kunge iri AFib. Inogona kuva APCs uye VPCs. Ikozvino, kumwe kutsvagisa kunonakidza kwakabuda nezve telomerase uye telomeres. Telomeres zvivharo zvidiki pamakromosomes, uye telomerase ndiyo enzyme yakabatana nekuumbwa kwetelomere. Uye zvino, tinogona kunzwisisa kuburikidza nemutauro wesainzi, uye tave kutanga kushandisa tekinoroji nekushandisa sainzi nenzira yatisingamboite kuti tinzwisise kukanganisa kwekushushikana patelomeres uye telomerase enzymes.
Zvinhu Zvinotungamira Kukunetseka Kusingaperi
Dr. Alex Jimenez, DC, anopa:
Zvakadini nerusarura rwemarudzi mabhokisi aya pano anoratidza rusarura rwepamusoro runotungamira kune yakaderera telomere kureba, iyo vazhinji vedu takambofunga nezvayo. Saka, kupfupika kwe telomere kureba kunotungamira kune yakawedzera njodzi yegomarara uye kufa kwese. Kenza yezviitiko zvekenza i22.5 pamakore 1000 emunhu-makore muboka diki retelomere, ndima 14.2 muboka repakati, uye 5.1 muboka rakareba retelomere. Shorter telomeres inogona kutungamirira mukusagadzikana kwechromosome uye kuguma mukuumbwa kwegomarara. Saka, ikozvino tinonzwisisa, kuburikidza nemutauro wesainzi, kukanganisa kwekushushikana pane telomerase enzyme uye kureba kwetelomere. Sekureva kwaDr. Elizabeth Blackburn, 58 vakadzi vasati vaenda kumwedzi vaive vachengeti vevana vavo vanorwara zvisingaperi vhesi vakadzi vaive nevana vane hutano. Vakadzi vakabvunzwa kuti vanoona sei kushushikana muhupenyu hwavo uye kana zvichikanganisa hutano hwavo nekukanganisa kuchembera kwavo.
Ndiwo waive mubvunzo wechidzidzo ichi pavakatarisa kureba kwetelomere ne telomerase enzyme, uye izvi ndizvo zvavakawana. Zvino, izwi rakakosha pano rinoonekwa. Hatifanire kutonga kunetsa kwemumwe nemumwe. Kushungurudzika ndekwemunhu, uye dzimwe dzemhinduro dzedu dzinogona kunge dziri genetic. Semuenzaniso, mumwe munhu ane homozygous comps ane gene ine usimbe angave ane kunyanya kunetseka kupfuura mumwe munhu asina iyi genetic polymorphism. Mumwe munhu ane MAOA muMAOB angave ane kuzvidya mwoyo kupfuura mumwe munhu asina iyo genetic polymorphism. Saka pane genetic chikamu kumhinduro yedu, asi izvo zvaakawana zvakaonekwa kushushikana kwepfungwa. Uye nhamba yemakore ekutarisira vana vanorwara kwenguva refu yaibatanidzwa nehurefu hwetelomere uye kushomeka kwekuita kwetelomerase, zvichipa chiratidzo chekutanga chekuti kushungurudzika kunogona kukanganisa telomere kuchengetedza uye hupenyu hurefu.
Nzira Yokushandura Sei Kushushikana Kwedu?
Dr. Alex Jimenez, DC, anopa:
Uye vazhinji vedu tine dzidziso dzedu dzekuti sei izvi zvichiitika. Uye imhaka yekuti kana takaora mwoyo, hatiti, “Aa, ndichadya nhungirwa dzebrussels, uye ndichatora iwo mavhitamini B, uye ndichaenda kunze kunoekisesaiza, uye ndichambofungisisa.” Saka post-MI yakazvimiririra njodzi yechiitiko kushushikana. Mafungiro edu maererano nekuora mwoyo anoita kuti tisakwanise kushanda zvakanaka uye anogona kuita kuti miviri yedu iite nyaya dzinobata nhengo dzedu dzakakosha, tsandanyama, uye majoini. Saka, kuora mwoyo mutambi mukuru, sezvo 75% yevakafa mushure meMI inobatana nekuora mwoyo, handizvo? Saka kutarisa varwere, ikozvino, iwe unofanirwa kubvunza mubvunzo: Kuora mwoyo kunokonzera dambudziko here, kana kuti chirwere checytokine chatove chichitungamirira kuchirwere chemoyo chinokonzera kuora mwoyo? Isu tinofanirwa kuverengera zvese izvi mukati.
Uye zvakare imwe ongororo yakatarisa pamusoro pe4,000 vanhu vasina chirwere checoronary pakutanga. Pakuwedzera kwega kwega kwemapoinzi mashanu pachiyero chekuora mwoyo, iyo yakawedzera njodzi ne15%. Uye avo vane hukuru hwekuora mwoyo zvibodzwa vaive ne40% yepamusoro coronary artery chirwere uye 60% yepamusoro yerufu. Saka kazhinji munhu wese anofunga kuti chirwere checytokine chinotungamira kuMI, chirwere chevascular, uye kushushikana. Uye zvino, hongu, kana iwe uine chiitiko, uye iwe ukabuda nenyaya dzakawanda dzakapoteredza, tinoziva kuti vanhu vakaora mwoyo vane kuwedzera kaviri mukufa, kuwedzera kashanu murufu mushure mekurwadziwa kwemoyo, uye migumisiro yakaipa nekuvhiyiwa. Zvakafanana neizvi, chii chakatanga, huku kana zai?
Kuora Mwoyo Kwakabatana Sei Nekushushikana Kusingaperi?
Dr. Alex Jimenez, DC, anopa:
Gut Inflammation & Chronic Stress
Dr. Alex Jimenez, DC, anopa:
Uye mune iyi kesi, vakatarisa maomega-3s uye vhitamini D mazinga, saka padiki, cheki ye omega-3 uye vhitamini D level inotenderwa muvarwere vedu vese. Uye zvechokwadi, kana iwe uchigona kuwana kuongororwa kuzere kwekushushikana-kukonzeresa kuzvimba. Chimwe chimiro chaunofanira kutarisa kana tasvika pakushushikana-kunokonzerwa kuzvimba is osteoporosis mumajoini. Vanhu vazhinji vane osteoporosis vachave nekurasikirwa kwemasuru, kusagadzikana kwekudzivirira muviri, mafuta akapoteredza midline, uye shuga yepamusoro yeropa inosanganiswa nekuchembera, uye inogona kubva kune yakakwirira cortisol mazinga mumuviri.
Yakakwira cortisol chirwere chemoyo njodzi dzakapetwa kaviri muvanhu vanotora yakakwira ma steroid. Zvidiki zvidiki zvema steroid hazvina njodzi yakafanana, saka haina hombe dhiri. Zvechokwadi, tinoedza kubvisa varwere vedu kubva kune steroids. Asi pfungwa iri pano ndeyokuti cortisol ihomoni inoshungurudza uye ihomoni inoshungurudza inosimudza BP uye inoisa uremu pakati pepakati, inoita kuti tive nechirwere cheshuga, inokonzera insulini kuramba, uye urongwa hahuperi. Saka, cortisol mutambi mukuru, uye kana zvasvika pamushonga unoshanda, isu tinofanirwa kutarisa akasiyana maedzo ane chekuita neakakwira mazinga ecortisol senge kunzwa kwechikafu, 3-day stool valve, nutra-valve, uye adrenal stress. index test yekutarisa zviri kuitika nevarwere. Kana paine yakawedzera tsitsi tsinga tsinga uye yakakwira cortisol, takakurukura zvese kubva kucoagulopathy kusvika pakuderera kwekuchinja kwemoyo, kufutisa kwepakati, chirwere cheshuga, uye hypertension.
Hukama hwevabereki & Chronic Stress
Dr. Alex Jimenez, DC, anopa:
mhedziso
Dr. Alex Jimenez, DC, anopa:
Kusagadzikana kusingaperi kunogona kutungamirira kune dzakawanda nyaya dzinogona kuenderana nehurwere uye kusashanda zvakanaka mumamhasuru nemajoini. Inogona kukanganisa gut system uye inotungamira mukuzvimba kana ikasachengetwa nekukasira. Saka kana zvasvika pakukanganisa kwekushushikana kunokanganisa hupenyu hwedu hwezuva nezuva, zvinogona kuva zvinhu zvakawanda, kubva kumamiriro asingaperi kusvika kunhoroondo yemhuri. Kudya zvokudya zvinovaka muviri zvakakwirira mu antioxidants, kurovedza muviri, kudzidzira pfungwa, uye kuenda kumishonga yemazuva ose kunogona kuderedza migumisiro yekusingaperi kushungurudzika uye kuderedza zviratidzo zvinosanganiswa zvinopindirana uye zvinokonzera kurwadziwa kumuviri. Tinogona kuenderera mberi nerwendo rwedu rwehutano uye hutano husina kurwadziwa nekushandisa nzira dzakasiyana dzekudzikisa kusagadzikana kusingaperi mumiviri yedu.
Disclaimer
by Dr Alex Jimenez Chiropractic , Mamiriro Ekutongwa , utano , Kunyanya Kushungurudzika , kushushikana , Mishonga , Video , Viscerosomatic Reflex , Wellness
VIDEO
ziviso
Dr. Alex Jimenez, DC, anopa kuti kushungurudzika kunogona kukanganisa sei vanhu vakawanda uye kuwirirana nemamiriro ezvinhu akawanda mumuviri mune iyi 2-part series. Isu tinotumira varwere vedu kune vane certified varapi vanopa akawanda aripo marapirwo kune vanhu vazhinji vanorwara nehypertension yakabatana nemoyo, endocrine, uye immune system inobata muviri. Isu tinokurudzira mumwe nemumwe wevarwere vedu nekuvataura kune vanobatana nevanorapa maererano nekuongorora kwavo zvakakodzera. Isu tinonzwisisa kuti dzidzo inzira inofadza kana uchibvunza vatinopa mibvunzo pakukumbira nekunzwisisa kwemurwere. Dr. Jimenez, DC, anongoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Mapindiro Anoita Stress Muviri
Dr. Alex Jimenez, DC, anopa:
Chero chingave chiitiko chekutanga, chinonyanya kukosha maonero atinoita chiitiko. Zvinorevei kwatiri? Maonero edu here? Kana muviri uchipfuura nechiitiko chekutanga ichi, chinogona kukonzera maonero ekutungamira kumhinduro uye mhedzisiro pamuviri wedu. Saka maonero ndizvo zvese sezvatinotaura nezvekushushikana uye mhinduro yekushushikana. Ikozvino, isu tine anopfuura 1400 emakemikari maitiro anoitika mumuviri. Saka kune chinangwa chehurukuro iyi, tichakurukura zvitatu zvakakosha: adrenaline uye neuro-adrenaline, aldosterone, uye zvechokwadi, cortisol.
Uye nei izvi zvichikosha? Nokuti chimwe nechimwe cheizvi chine simba guru pachirwere chemwoyo. Iye zvino, muma1990, vanachiremba vakawanda vakanga vava kutanga kunzwisisa kushanda kwekunetseka pamuviri wenyama. Uye chii chinoitika kuvanhu kana HPA-axis yavo ikaratidza kuti vari panjodzi votanga kufashamira miviri yavo nemahomoni ekushushikana? Zvakanaka, tinoona kuwedzera coagulation. Isu tinoona shanduko mune renin uye angiotensin system. Inosimudzira. Isu tinoona kuwedzera uremu muvanhu uye insulin kuramba. Izvo zvisingazivikanwe nevanhu vazhinji ndezvekuti lipids inova isina kujairika nekushushikana. Anenge mumwe nemumwe wevarwere vedu anoziva kuti tachycardia uye arrhythmia zvinoitika kana adrenaline yedu ichiyerera, uye kuwedzera kweropa redu. Zvino, funga pamusoro peizvi kuburikidza nemutauro wemishonga.
Mumakore ekuma1990, vanachiremba vaipa aspirin nePlavix panguva yekubatana. Isu tinoenderera mberi nekupa maACE uye maARB kuvarwere vedu. Iko kukanganisa kwecortisol kunokonzera uremu uye insulin kuramba. Tinopa statins; tinopa metformin. Isu tinopa beta blockers yeiyo, tachycardia, uye calcium blockers yeiyo high blood pressure. Saka chero mahormone anotanga kuvhurwa nekushushikana, isu tine mushonga watiri kushandisa kuenzanisa izvo. Uye kutaura chokwadi, kwemakore, takataura nezve kunaka kwe beta blockers kumoyo. Zvakanaka, kana iwe uchifunga nezvazvo, beta blockers inovhara adrenaline. Saka kana vanachiremba vakatarisa pane izvi, vanotanga kufunga, "Zvakanaka, pamwe tinoda kufungisisa nekufungisisa, handiti? Tiri kushandisa mishonga yese iyi, asi tingada kutarisa dzimwe nzira dzekushandura kushushikana mupfungwa. ”
Chii chinonzi Vasoconstriction?
Dr. Alex Jimenez, DC, anopa:
Isu tinoona kukanganisa kwecortisol, kwete kungosimudza BP, kwete kungokonzera chirwere cheshuga uye insulin kuramba, asiwo kuisa mafuta emudumbu kutenderedza midline. Uyezve, sezvauchaona mumaminetsi mashoma, pane zvinongedzo pakati pezviitiko zvinoshungurudza uye arrhythmias seatrial fibrillation uye kunyangwe ventricular fibrillation. Kekutanga mukurapa, mune zvemwoyo, tine chirwere chinonzi takosubo cardiomyopathy, icho chinodanwa nerudo chinonzi broken heart syndrome. Uye ichi chirwere umo myocardium inorohwa nehana kusvika pakukonzera kuomarara kwe ventricular basa kana kusashanda zvakanaka. Uye kazhinji, izvi zvinokonzerwa nenhau dzakaipa uye chiitiko chinoshungurudza mupfungwa. Zvinoita sekuti munhu anoda kuisirwa moyo. Saka kana isu tichifunga nezve yekare Framingham njodzi zvinhu, tinoti, ndeipi yeiyi inokanganiswa nekushushikana?
Zviratidzo zvepfungwa
Dr. Alex Jimenez, DC, anopa:
Tichataura nezve kutsika kwemoyo, izvo zvinokanganiswa nekushushikana. Uye, chokwadika, kushushikana kunokanganisa kukwanisa kwedu kurwisa utachiona. Uye tinoziva kuti vanhu vari pasi pekunetsekana kana vabaiwa. Semuyenzaniso, maCleco lasers anoshanda asi haaburitse masoja ekudzivirira chirwere paanenge achinetseka. Uye, chokwadi, sezvauchaona muminiti, kushushikana kwakanyanya kunogona kukonzera kufa kamwe kamwe kwemoyo, MI, zvichingodaro. Saka mutambi akaipa anofuratirwa. Uye kune vazhinji vevarwere vedu, kushushikana kunotyaira chitima. Saka kana tichitaura nezvekudya nhungirwa dzemabrussels necauliflower uye, munoziva, miriwo yakawanda yemashizha yakasvibira, uye mumwe munhu ari pasi pekunetsekana kukuru zvekuti ari kuedza kufunga kuti, “Ndichaswera sei? ” Havasi kunzwa chimwe chezvimwe zvinhu zvatiri kukurudzira.
Saka, kusagadzikana kusingaperi uye kusagadzikana kusagadzikana, kungave kushushikana, kunetseka, kana kutya, isa tsoka yedu pane accelerator uye kumutsa inonzwira tsitsi sisitimu. Isu tinoziva kuti zvinhu zvimwechete zvatinoona nekuchembera, sezvauchaona muminiti, zvakabatana nekuwedzera kwemazinga emahomoni ekushushikana, kunyanya cortisol. Saka ingave osteoporosis, kuderera kwemapfupa emapfupa, endothelial dysfunction, platelet activation, hypertension, central obesity, kana insulin resistance, izvi zvinobva mukupindura kwekunetseka. Uye isu tinofanirwa kuve nehurongwa hwevarwere vedu kuti tingaite sei izvi. American Institute of Stress inotaura kuti 75 kusvika 90% yevose vanoshanyira varapi vehutano vanoshanyira zvinokonzerwa nezvinetso zvine chokuita nekushungurudzika. Uye ndizvo zvakanyanyisa, asi nekutarisa varwere uye kwavaipinda navo, vanotaura nyaya dzavo kuna vanachiremba vavo. Migumisiro yacho yakafanana; hazvina basa kana kwaiva kutemwa nemusoro, kushushikana kwetsandanyama, angina, arrhythmia, kana ura unogumbuka; inenge nguva dzose ine chimwe chinokonzera kushungurudzika.
Acute & Chronic Stress
Dr. Alex Jimenez, DC, anopa:
Uye chinzvimbo ichocho chinotungamira sei kumatambudziko makuru ekurapa sekenza, chirwere chemoyo, uye kufa kamwe kamwe mune ramangwana? Saka vakatarisa zviitiko makumi mana nematatu zvinoshandura hupenyu, vakazviisa pekutanga, uye vakazvinyora zvakare muma43s. Uye vamwe vavo vakaramba vakadaro. Vakapa gadziriso mamakisi kuchiitiko, uye ipapo vakatarisa nhamba dzaizobatanidzwa nehosha huru. Saka, semuenzaniso, chiitiko chinoshandura hupenyu. Nhamba yekutanga, 1990 inoshandura hupenyu, kufa kwemurume/mukadzi. Chero ani zvake anogona kuenderana nazvo. Kurambana kwaiva nhamba yechipiri, kuparadzana nhamba yechitatu, uye kuguma kwemutezo wepedyo wemhuri. Asi zvakare wakaona kuti zvimwe zvinhu zvakaiswa zvimiro izvo, iwe unogona kusaenzana nazvo, kuve chiitiko chikuru chinoshandura hupenyu chinogona kukanganisa mhinduro yekushushikana semuchato kana pamudyandigere.
mhedziso
Dr. Alex Jimenez, DC, anopa:
Disclaimer
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Mamiriro Ekutongwa , utano , Kunyanya Kushungurudzika , Mishonga , Video , Viscerosomatic Reflex , Wellness
VIDEO
ziviso
Dr. Alex Jimenez, DC, anopa kuti hypertension inobata sei muviri wemunhu uye zvimwe zvikonzero zvinogona kuwedzera hypertension muvanhu vakawanda mune iyi 2-part series. Isu tinoendesa varwere vedu kune vane certified varapi vanopa akawanda aripo marapirwo kune vanhu vazhinji vanorwara nehypertension yakabatana nemoyo uye immune system inobata muviri. Isu tinokurudzira mumwe nemumwe wevarwere vedu nekuvataura kune vanobatana nevanorapa maererano nekuongorora kwavo zvakakodzera. Isu tinonzwisisa kuti dzidzo inzira inofadza kana uchibvunza vatinopa mibvunzo pakukumbira nekunzwisisa kwemurwere. Dr. Jimenez, DC, anongoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Maitiro Ekutsvaga Hypertension
Dr. Alex Jimenez, DC, anopa: Ngatidzokerei kumuti wesarudzo kuitira kuti utange kufunga nezvekuti uchashandisa sei go-to-it modhi mumishonga inoshanda kune hypertension uye kuti unotanga sei kuongorora munhu ane hypertension zviri nani pane kuvaudza kuti BP yavo yakakwira. . Muviri unopesvedzerwa nekuzvimba, oxidative kusagadzikana, kana immune system? Iri kukanganisa endothelial basa kana vascular smooth muscle kubva kune iwo matatu mapoka ekuita, kuzvimba, oxidative kusagadzikana, kana immune system? Isu tinosarudza diuretic calcium channel blocker kana ACE inhibitor here? Uye kuti uite izvozvo, zvakakosha muchikamu chedu chekuunganidza. Kutora nhoroondo yekurapa uye nguva yeBP yavo, iwe unowana ruzivo nezve kukuvadzwa kwenhengo kune mibvunzo. Iwe uri kutarisa kune avo anthropometrics.
Izvi zvinosanganisira mibvunzo inotevera:
Ndezvipi zviratidzo zvekuzvimba? Chii chinonzi biomarkers uye zviratidzo zvekiriniki?
Izvo zvinotsanangurwa kuburikidza nekiriniki sarudzo muti. Uye uchitoita izvozvo, uchawedzera uye gadzirisa lens yako pane zvaungaone mumurwere wako ane hypertension. Ngati wedzerei kuchirongwa chenguva kuti hypertension inotanga rinhi? Nguva yakatarwa yehypertension inotanga chaizvo panguva yekuzvara. Zvakakosha kubvunza murwere wako kana aive ezera rekutanga kana rakakura redzidzo. Amai vavo vaiva nestress here? Vakakurumidza kuzvarwa here kana kuti nguva isati yakwana? Paive nekushushikana kwekudya pamuviri wavo here? Kana vakazviziva, unogona kuita vanhu vaviri vane saizi yeitsvo yakafanana, asi munhu akange asina mapuroteni akakwana panguva yekuzvitakura anogona kuita 40% shoma glomeruli. Kuziva izvo zvinoshandura magadzirisiro aunoita mushonga makumi emakore gare gare kana uchiziva kuti vanogona kunge vane 40% shoma glomeruli.
Nguva Yekudzvanywa Kweropa
Dr. Alex Jimenez, DC, anopa: Saka zvakakosha kutora nguva yeBP yavo. Zvadaro zvakakoshawo kuziva zviri kuitika patinotanga kuronga uye kuunganidza data kuburikidza ne biomarkers; iwo ekutanga biomarkers anokupa zviratidzo zvekuti vane nyaya ne insulin lipids, vangave vaine matambudziko nevascular reactivity, autonomic nervous system balance, kusaenzana, coagulation, kana immune toxin mhedzisiro. Saka ichi chinhu chine musoro kudhinda nekuti, mumurwere wako ane hypertension, izvi zviri kuburikidza neiyo biomarkers iwe unogona kutanga kuwana ruzivo rwekuti ndedzipi nzvimbo dzekusashanda dzinokanganisa kuzvimba, kushushikana kweoxidative, uye mhinduro yekudzivirira uye kuti ma biomarker aya anoratidza sei izvozvo. ruzivo kwauri. Izvi zvine musoro kuti uve pamberi pako kuti ubatsire kushandura pfungwa dzako nezve hypertension uye zvakare zvinoita kuti iwe ugone kunatsa humwe hunhu hwemunhu ari kune rimwe divi re stethoscope yako nenzira yakasarudzika, chaiyo.
Asi ngatitangei pakutanga. Murwere wako ane high blood pressure here? Isu tinoziva kuti zvichienderana nekuguma kwenhengo mhedzisiro yecomorbidities yavo, unogona kumhanyisa mumwe munhu kukwira kweropa kana uine dambudziko rakakura muuropi neitsvo kana moyo, asi mamwe nhungamiro iripo. Yedu 2017 American Heart Association mirayiridzo yezvikamu zveBP yakanyorwa pano. Vakanyungudika uye vadzikira kumashure nekudzoka kwemakumi emakore apfuura, asi izvi zviri pachena. Sezvo yakakwira BP, chero chinhu chiri pamusoro pe120, chakanyatso chinja kuti vangani vanhu vatinotanga kuona kana kufunga nezve zvikonzero zveBP yavo. Saka tichadzoka kune izvi, kunyanya munyaya yekutibatsira kutarisa kuti tinoisa sei vanhu vane nyaya dzeBP.
Mamiriro Ekuita Kuyera Kuwedzera Kweropa
Dr. Alex Jimenez, DC, anopa: Nhanho yekutanga ndeipi? Ndizvo here kuti BP yako inotorwa sei? Vanoriongorora kumba here? Vanouya nenhamba idzodzo kwauri here? Unoongorora sei kukwira kweropa mukiriniki yako? Unowana sei kuverenga chaiko mukiriniki yako? Heano maitiro ekuyera nemazvo BP uye mibvunzo yekufunga kana uri kuita zvese izvi.
Iwe unobvunza murwere wako kana vanga vaine caffeine muawa yekupedzisira? Kuti vakamboputa muawa yapfuura here? Vakapinzwa muutsi muawa yokupedzisira here? Nzvimbo yauri kutora BP inodziya uye yakanyarara here? Vagere vakatsigira musana pachigaro vakaisa makumbo pasi here? Iwe unoshandisa roll-yakatenderedza tafura yekurembera ruoko rwako padanho remoyo? Vagere patafura yebvunzo makumbo avo akarembera, uye mubatsiri mukoti anosimudza ruoko rwavo oisa mupete yavo yeaxillary kuti vabate ruoko rwavo ipapo? Tsoka dzavo dziri pasi here? Vagarapo kwemaminitsi mashanu here? Vaita maekisesaizi here mumaminetsi makumi matatu apfuura?
Iwe unogona kunge uine systolic blood pressure kana zvese zviri mumaitiro. Heino dambudziko. Kune 10 kusvika 15 millimeters emercury yakakwirira kana zvasvika pakugara nekutora ropa. Zvakadini nekukura kwecuff? Tinoziva makore zana apfuura; vanhu vakuru vazhinji vaive nedenderedzwa repamusoro remaoko risingasviki masendimita makumi matatu nematatu. Vanopfuura 33% yevanhu parizvino vane denderedzwa repamusoro remaoko rinodarika masendimita makumi matatu nematatu. Saka saizi yecuff yakasiyana kune inotenderedza 61% yevarwere vako vakuru, zvichienderana nehuwandu hwako. Saka iwe unofanirwa kushandisa cuff yakakura. Saka tarisa kuti BP inounganidzwa sei muhofisi yako. Ngatitii BP yakakwira muvarwere vako; saka tinofanira kubvunza, zviri normal here? Hukuru.
Mhando dzakasiyana dzeHypertension
Dr. Alex Jimenez, DC, anopa: Yakakwira nekuda kwewhite-coat hypertension? Vane BP yakajairika, yakakwira kunze kwekiriniki, kana hypertension yakavharwa? Kana kuti vanongogara vaine hypertension zvinova zvinonetsa? Tichataura nezvazvo. Saka kana iwe uchidudzira, zvakakoshawo kufunga ambulatory blood pressure yekutarisa. Saka kana uine munhu ane hypertension uye usingazive kana BP ichidzika uye uri kuyedza kuona kuti vane hypertension, unogona kushandisa maawa makumi maviri nemana ekutarisa BP. Zvinorehwa masikati ropa pamusoro pe24 pamusoro pe130 ndeye hypertension iyo inoreva husiku hweropa kupfuura 80 pamusoro pe110 ndeye hypertensive. Saka nei izvi zvakakosha? Huwandu hweBP inodzika kusvika pa65% husiku nekuda kwenyaya yekudonha kweropa. Kutadza kudonha kweropa paunenge wakarara usiku kunogona kukonzera matambudziko anogona kukanganisa munhu zuva rese.
Kana murwere wako akarara usiku, inofanira kudonha inenge 15% pavanenge vakarara. Kana vasina-dipping blood pressure, inosanganiswa necomorbidities. Ndeapi mamwe eaya comorbidities mukusanyudza BP yeropa? Mamwe emamiriro anoenderana nekusanyura kweropa kunosanganisira:
Congestive Heart Disease Mwoyo Mwoyo Cerebrovascular Disease Kukanganisa Mwoyo Kusakundikana Kutadza Kwerenal Kusingaperi Silent Cerebral Infractions
Co-morbidities Yakabatana Nekusina-Ropa Kuwedzera
Dr. Alex Jimenez, DC, anopa: Aya ndiwo macomorbidities ane chekuita nekusakwira kweropa. Tose tinobvuma kuti kukwira kweBP hakuna kunaka mumamiriro ese iwayo. Saka kana iwe ukatarisa kumapoka evanhu vakasiyana kana mamwe macomorbidities, kusadonha kweropa kunonyanya kusanganiswa nevanhu vane sodium-sensitive, vanhu vane renal insufficiency, vanhu vane chirwere cheshuga, vanhu vakasiya ventricular hypertrophy, vanhu vane refractory hypertension. kana autonomic nervous system dysfunction uye pakupedzisira, kufema kwehope. Saka, kusadonha kweropa kunowedzera kushamwaridzana kwako ne subclinical cardiac kukuvara. Zvakanaka, Reverse dipping zvinoreva kuti iwe unowedzera hypertension usiku uye inokwira zvakanyanya kupfuura masikati ine hukama nehemorrhagic sitiroko. Uye kana uine mumwe munhu ane nocturnal hypertension, unofanira kutanga kufunga pamusoro pezvinhu zvakadai se carotid arteries uye kuwedzera carotid, mukati memukati makobvu. Iwe unotanga kufunga nezve kuruboshwe ventricular hypertrophy uye unogona kuzviona paEKG. Hezvino izvo zvatinoziva nezve nocturnal hypertension. Nocturnal hypertension iropa rehusiku rinopfuura 120 pamusoro pe70. Inobatanidzwa nekufungidzira kukuru kwehutano hwemwoyo uye kufa.
Kana uine hypertension yehusiku, inowedzera njodzi yako yekufa kubva kuchirwere chemoyo ne29 kusvika 38%. Tinofanira kuziva zviri kuitika usiku kana takarara, handiti? Zvakanaka, chii chimwe kunatsa? Kumwe kunatsa kuziva kuti kuzorora kweropa kunodzorwa nerenin-angiotensin system yako. Kumuka kweropa kunodzorwa nehurongwa hwako hwekunzwira tsitsi. Saka ngatitaure pamusoro pekuti renal angiotensin system yavo inofambisa sei hypertension yavo yehusiku, uye iwe unofunga nezvemishonga yavari kutora. Iwe unogona kushandura dosing yemishonga kusvika manheru. Zvakanaka, zvidzidzo zvakaratidza kuti kana uine hypertension yehusiku uye usiri-dipper, zviri nani kutora yako ACE inhibitors, ARBs, calcium channel blockers, uye mamwe mabeta blockers usiku usati warara. Asi zvine musoro kuti iwe haungafambise diuretics yako kusvika husiku, kana iwe uchave nekukanganisa kurara.
Kugadzirisa Masikati & Husiku Hwekudzvanywa Kweropa
Dr. Alex Jimenez, DC, anopa: Saka kana tikasagadzirisa BP yemasikati neyehusiku, tinofanira kufunga nezvezvinokonzeresa BP. Ndeipi avhareji yeBP yemazuva ese uye yako ine mwero yekurara yeropa. Isu tinoziva kuti kukwira kweropa muvanhu vechidiki vane hypertensive chete inosvika 9% yenguva. Saka zvichireva kuti systolic mutoro ungangoita 9% kupesana nevakura, ingangoita 80% yeropa remutoro ndeye systolic. Uye saka kana iwe uine yakakwira systolic mutoro, iwe une mamwe matambudziko uye magumo-organ kukuvara. Saka zvatiri kutaura nezvazvo kubatsira kuziva murwere wako ane hypertension; nguva yavo ndeyei? Chii chinonzi phenotype yavo? Vanongori nehypertension masikati here, kana kuti vari hypertensive husiku futi? Tinofanira kutarisa kuti chii chinobatsira kuenzanisa izvozvo.
Heino imwe pfungwa, ingangoita 3.5% yevanhu vane hypertension ndiyo ine genetic chikonzero. Chete 3.5% yevanhu majini avo anokonzera hypertension. Simba riri pazasi pematrix uye nekuziva mapatani aya, handiti? Saka iwe unotarisa kurovedza muviri, kurara, kudya, kushushikana, uye hukama. Saka tinoziva kuti aya mana anozvimiririra anobatsira kuona BP. Isu tichaongorora renal angiotensin system, plasma vhoriyamu painobatirira pane yakawandisa mvura, yechipiri munyu mutoro, uye endothelial kusagadzikana. Kusagadzikana mune chero ipi zvayo kunogona kukonzera hypertension. Isu tanga tichitaura nezve imwe inogona kutungamira kune hypertension: chinongedzo pakati pe insulin kuramba uye hypertension.
Iyi diagrammatically inokupa iwe pfungwa yekusangana kwe physiologic pakati pe insulin kuramba uye hypertension. Inokanganisa kuwedzera kwekunzwira tsitsi uye kuwedzera renal-angiotensin system chiyero. Saka ngatitorei maminetsi mashoma pane renin-angiotensin system nzira angiotensinogen yakadzika kusvika kuangiotensin maviri. Isu tinotora mukana weaya ma enzymes nekupa inhibitors kune angiotensin-inoshandura enzymes muvarwere vedu vane hypertensive. Yakakwira angiotensin maviri inotungamira kune yemoyo hypertrophy, inotungamira kune tsitsi chikamu constriction, kuwedzera vhoriyamu yeropa, sodium fluid, kuchengetwa, uye aldosterone kuburitswa. Unogona here kubvunza nezvemurwere wako biomarkers? Unogona here kubvunza kana vakakwirisa renin mazinga?
Tarisa Zviratidzo
Dr. Alex Jimenez, DC, anopa: Zvakanaka, unogona. Iwe unogona kutarisa plasma renin basa uye aldosterone mazinga. Zvakakosha kuita izvi kana murwere wako ane hypertensive uye asati ambotora mishonga nokuti apa ndipo apo nitrous oxide yakakosha. Apa ndipo pane yako endothelial nitric oxide synthase iripo. Apa ndipo paunenge uine sheer uye hemodynamic stress. Apa ndipo panowanikwa kudya kwearginine kana nharaunda inobata nitric oxide inoita basa rakadaro muhutano hweiyi layer ye endothelia. Kana ukaiisa pamwe chete neimwe nzira, nenzira inoshamisa, kana kuti muziso repfungwa dzako, inovhara matare etenisi matanhatu muavhareji mukuru. Inzvimbo huru yepamusoro. Uye izvo zvinokonzeresa endothelial dysfunction haisi nhau nyowani kune vanhu mune inoshanda mushonga. Kuwedzera oxidative kusagadzikana uye kuzvimba zvinhu zviviri zvatataura zvinotamba mhedzisiro.
Uye zvino, tarisa zvimwe zvezvimwe zvikamu izvi, ADMA yako ichikwidziridzwa uye yakabatana ne insulin kuramba. Zvose zvinotanga kuumba pamwe chete mumatrix inopindirana. Saka iwe unotarisa imwe comorbidity mu cardiometabolic syndrome, uye inokanganisa imwe comorbidity. Iwe unoerekana waona kudyidzana pakati pavo kana hyperhomocysteinemia, inova imwe-kabhoni metabolism marker, zvichireva kuti uri kutarisa kukwana kwefolate, b12, b6, riboflavin, uye icho chiitiko chenyu-carbon metabolism. Saka ngatitarisei mamwe eaya ari kubuda enjodzi mamaki ekuvandudza uye kuronda muvarwere vane hypertension. Ngationgororei zvakare ADMA zvakare. ADMA inomirira asymmetric dimethyl arginine. Asymmetric, dimethyl arginine ndeye biomarker ye endothelial dysfunction. Iyo molecule inhibits nitric oxide synthase apo inokanganisa endothelial basa, uye mune zvose zvinokonzerwa ne cardiometabolic syndrome, ADMA inogona kukwidziridzwa.
mhedziso
Saka, sekuongorora nekukurumidza, L-arginine inoshandurwa kuita nitric oxide kuburikidza ne nitric oxide synthase, uye nitric oxide kukwana inotungamira kune vasodilation. ADMA inovharisa shanduko iyi. Uye kana yako ADMA mazinga akakwira uye yako nitric oxide mazinga akadzikira, saka wadzikira nitric oxide platelet aggregation inowedzera muLDL oxidation. Saka zvinhu zvakawanda zvinoderedza nitric oxide kana kuti zvinosanganisirwa neakadzika nitric oxide mazinga, apnea yekurara, low dietary arginine, protein, zinc insufficiency, uye kuputa.
Disclaimer
by Dr Alex Jimenez Chiropractic , Functional Medicine , Kunyanya Kushungurudzika , kushushikana
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Munhu wese anobata nazvo kushushikana pane imwe nguva muhupenyu hwavo. Kungave kubvunzurudzwa kwebasa, zuva rekupedzisira rakakura, chirongwa, kana bvunzo, kushushikana kuripo kuchengetedza muviri uchishanda mune yega yega mamiriro ari kufamba nemuviri. Kushungurudzika kunogona kubatsira kugadzirisa muviri rokuzvidzivirira uye kubatsira metabolize homeostasis sezvo muviri unowedzera simba rawo zuva rose. Pakubata ne kusingaperi kunetseka inogona kukonzera kusagadzikana kwemetabolism mumuviri senge kusagadzikana kweura, kuzvimba, uye kuwedzera kwemazinga eglucose eropa. Kushungurudzika kwenguva refu kunogonawo kukanganisa mafungiro uye hutano hwemunhu, madyiro, uye kunaka kwekurara. Chinyorwa chanhasi chichatarisa kana kushushikana kuri chinhu chakanaka kana chakaipa, kuti kunobata sei muviri, uye mhedzisiro yezvinoitwa nekusingaperi kusagadzikana kumuviri. Endesa varwere kune vane certified, vane hunyanzvi vanopa vanorapa ura kune vanhu vanotambura autonomic neuropathy. Isu tinotungamira varwere vedu nekutaura kune vatinoshanda navo vekurapa zvinoenderana nekuongorora kwavo kana zvakakodzera. Isu tinoona kuti dzidzo yakakosha pakubvunza mibvunzo ine njere kune vatinopa. Dr. Alex Jimenez DC anopa ruzivo urwu sebasa rekudzidzisa chete. Disclaimer
Inishuwarenzi yangu inogona kuibhadhara here? Hongu, zvingadaro. Kana iwe usina chokwadi, heino chinongedzo kune vese vanopa inishuwarenzi vatinovhara. Kana uine chero mibvunzo kana zvinokunetsa, ndapota fonera Dr. Jimenez pa915-850-0900
Kuita Stress Kwakanaka Here Kana Kuti Kwakaipa?
Unonzwa uchifunganya nguva dzose here? Zvakadini nekunzwa musoro unogara uchinetsa? Kunzwa kuremerwa uye kurasikirwa nekutarisa kana kukurudzira? Zvose izvi zviratidzo zvinhu zvinoshungurudza izvo munhu ari kusangana nazvo. Zvidzidzo zvekutsvakurudza zvakatsanangura kushushikana kana cortisol sehomoni yemuviri inopa zvakasiyana siyana pamabasa akasiyana muhurongwa hwega hwega. Cortisol ndiyo yekutanga glucocorticoid iyo inobva kune adrenal cortex. Panguva imwecheteyo, iyo HPA (hypothalamus-pituitary-adrenal) axis inobatsira kugadzirisa kugadzirwa uye kuvharirwa kwehomoni iyi kune yese yemuviri. Iye zvino cortisol inogona kubatsira uye kukuvadza muviri, zvichienderana nemamiriro ezvinhu ari munhu. Zvimwe zvidzidzo zvetsvakurudzo zvakataurwa kuti cortisol inotanga uye inokanganisa huropi nemuviri wese sezvo kushushikana muchimiro chayo chakanyanya kunogona kukonzera kuti muviri ugadzirise uye urarame. Mhinduro dzakaoma kubva kucortisol dzinobvumira neural, moyo, immune, uye metabolic basa mumuviri.
Inobata Sei Muviri weMetabolism?
Ikozvino cortisol inokanganisa metabolism yemuviri kana ichidzorwa mukutenderera kunononoka, kwakadzikama kunoderedza corticotropin-releasing hormone (CRH) uye inowedzera kukura kwehomoni (GH). Zvidzidzo zvekutsvaga zvakaratidza kuti kana adrenal glands ichibudisa cortisol, inotanga kuva nekubatana kwakaoma ne hypothalamus uye pituitary glands munheyo uye endocrine systems. Izvi zvinokonzeresa kuti adrenal uye thyroid basa mumuviri ribatanidzwe zvakanyanya apo iri pasi pekutonga kwe hypothalamus uye tropic mahormone. Iyo thyroid inokwikwidza neadrenal nhengo ye tyrosine. Zvidzidzo zvekutsvaga zvakawana kuti tyrosine inoshandiswa kugadzira cortisol pasi pekunetsekana uku ichidzivirira cognitive basa kuderera kunoteerera kushushikana kwemuviri. Nekudaro, kana muviri ukatadza kuburitsa yakakwana tyrosine, inogona kukonzera hypothyroidism uye kuita kuti cortisol hormone ive isingaperi.
Muchidimbu Pamusoro Pekushushikana-Vhidhiyo
VIDEO
Wakambonzwa kurwadziwa nemusoro kunongoerekana kwaitika pasina kwaunobva? Wagara uchiwedzera uremu kana kupera uremu here? Iwe unonzwa uchinetseka kana kushushikana nguva dzose kuti zviri kukanganisa kurara kwako here? Izvi zvese zviratidzo uye zviratidzo zvemazinga ako ecortisol achishanduka kuita chimiro chavo chisingaperi. Vhidhiyo iri pamusoro inoratidza zvinoita kushushikana kumuviri wako uye kuti zvinogona kukonzera zviratidzo zvisingadiwe. Kana paine kushushikana kusingaperi mumuviri, iyo HPA axis (neuro-endocrine) haina kuenzana nekuda kwekushushikana-kwepakati activators zvinosanganisira autoimmune thyroid chirwere (AITD). Kana paine kushushikana kusingaperi mumuviri, zvinogona kukonzera kugadzirwa kwakanyanya kwemakomisheni ekuzvimba mumuviri anogona kugadzira IR. Izvo zvinopisa zvinhu zvinogona kukuvadza kana kusaita insulin receptors inotungamira kune insulin kuramba. Izvi zvinobva zvabatsira pakuparara kwechimwe kana zvimwe zvinhu zvinodiwa kuti upedze hurongwa hwekutakura glucose mumuviri.
Mhedzisiro yeChisingaperi Cortisol Mumuviri
Kana paine kusagadzikana kusingaperi mumuviri uye kusati kwarapwa kana kuderedzwa pakarepo, zvinogona kutungamirira kune chimwe chinhu chinonzi allostatic load. Allostatic mutoro unotsanangurwa sekupfeka uye kubvaruka kwemuviri nehuropi nekuda kwekusagadzikana kusingaperi kana kusashanda kwemasisitimu emuviri anowanzo kubatanidzwa mumatambudziko ezvakatipoteredza uye kugadzirisa. Zvidzidzo zvekutsvaga zvakaratidza iyo allostatic load inokonzera kuwanda kwekuvanzika kwemahomoni senge cortisol uye catecholamine kupindura kune zvisingaperi zvinoshungurudza zvinokanganisa muviri. Izvi zvinoita kuti HPA axis iite chimwe chezvinhu zviviri: kushanda zvakanyanya kana kutadza kuvhara mushure mezviitiko zvinoshungurudza zvichikonzera kukanganisa kurara. Dzimwe nyaya dzinoitwa nekusingaperi kusagadzikana kumuviri dzinogona kusanganisira:
Kuwedzera insulin secretion uye mafuta deposition Yakashandurwa immune function Hypothyroidism (adrenal kuneta) Sodium nemvura kuchengetedza Kurasika kwekurara kweREM Kusagadzikana mupfungwa uye mupfungwa Kuwedzera kwemoyo wengozi zvinhu
Zviratidzo izvi zvinoita kuti muviri usashande, uye tsvakurudzo zvidzidzo zvakaratidza kuti zvinonetsa zvakasiyana-siyana zvinogona kukuvadza muviri. Izvi zvinogona kuita kuti zviome zvakanyanya kuti munhu agone kurarama nekushushikana uye kuzvideredza.
mhedziso
Pakazara, kushushikana kana cortisol ihomoni iyo muviri inoda kushanda nemazvo. Kusagadzikana kwepfungwa mumuviri kubva kune kwakasiyana siyana zvinonetsa kunogona kukonzera akawanda metabolic dysfunctions senge hypothyroidism, kuwedzera huremu, insulin kuramba, uye metabolic syndrome, kutaura zvishoma. Kusagadzikana kwepfungwa kunogonawo kukonzera kusagadzikana kwekurara sezvo HPA axis yakasungirirwa kumusoro uye inogona kuita sekudzikamisa zvishoma. Kana vanhu vatanga kuwana nzira dzekubata neaya akasiyana zvinonetsa, vanogona kuderedza kushushikana kwavo kudzoreredza kune zvakajairika uye kusanetsekana.
References
Jones, Carol, naChristopher Gwenin. "Cortisol Level Dysregulation uye Kuwandisa Kwayo-Ndiyo Chisikwa Alarm Clock?" Physiological Reports , John Wiley and Sons Inc., Ndira 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7749606/ .
McEwen, Bruce S. "Mitemo Yepakati Yekushungurudzika Mahomoni Muhutano uye Chirwere: Kunzwisisa Dziviriro uye Inokuvadza Migumisiro Yekushungurudzika uye Kushushikana Kwepfungwa." European Journal of Pharmacology , US National Raibhurari yeMishonga, 7 Kubvumbi 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2474765/ .
McEwen, Bruce S. "Kushushikana kana Kushushikana: Chii Chinosiyana?" Zvinyorwa zvePsychiatry & Neuroscience: JPN , US National Raibhurari yeMishonga, Gunyana 2005, www.ncbi.nlm.nih.gov/pmc/articles/PMC1197275/ .
Rodriquez, Erik J, nevamwe. "Allostatic Load: Kukosha, Zvicherechedzo, uye Zvibodzwa Sarudzo muVashoma uye Nekusiyana Kwevanhu." Chinyorwa cheUrban Health: Bulletin yeNew York Academy yeMishonga , Springer US, Kurume 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6430278/ .
Thau, Lauren, nevamwe. "Physiology, Cortisol - Statpearls - NCBI Booksherufu." Mu: StatPearls [Internet]. Treasure Island (FL) , StatPearls Publishing, 6 Sept. 2021, www.yori.nlm.nih.gov/books/NBK538239/ .
Mudiki, Simon N. "L-Tyrosine Kuderedza Migumisiro Yekushushikana?" Zvinyorwa zvePsychiatry & Neuroscience: JPN , US National Raibhurari yeMishonga, Chivabvu 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC1863555/ .
Disclaimer
by Dr Alex Jimenez Chiropractic , Kunyanya Kushungurudzika , Viscerosomatic Reflex , Wellness
ziviso
Sezvo nyika iri kuramba ichifamba, vanhu vakawanda vanofanira kutsungirira mamiriro anonetsa kukanganisa miviri yavo uye hutano. Muviri unoda mahormone akafanana cortisol kuti irambe ichishanda sezvo inokanganisa immune, nervous, cardiovascular, uye musculoskeletal systems , kungotaura zvishomanana. Rimwe basa rinokosha rinodiwa nemuviri iglucose, iyo inoda simba kuti irambe ichifamba. Mamiriro ezvinhu anoita kuti mazinga ecortisol uye mazinga eglucose akwire mumuviri anogona kutungamira kune zvisingaperi nyaya senge chirwere cheshuga uye kusagadzikana kusingaperi. Izvi zvinoita kuti munhu wacho ashungurudzike uye ave mumamiriro ezvinhu akaoma kana akasadzorwa pakarepo. Chinyorwa chanhasi chinoongorora kuti cortisol neglucose zvinokanganisa sei muviri uye kubatana kwakabatana pakati pekushushikana neshuga. Endesa varwere kune vane certified, vane hunyanzvi vanopa vanonyanya kudzvinyirira manejimendi uye endocrine marapiro kune vane chirwere cheshuga. Isu tinotungamira varwere vedu nekutaura kune vatinoshanda navo vekurapa zvinoenderana nekuongorora kwavo kana zvakakodzera. Isu tinoona kuti dzidzo yakakosha pakubvunza mibvunzo ine njere kune vatinopa. Dr. Alex Jimenez DC anopa ruzivo urwu sebasa rekudzidzisa chete. Disclaimer
Inishuwarenzi yangu inogona kuibhadhara here? Hongu, zvingadaro. Kana iwe usina chokwadi, heino chinongedzo kune vese vanopa inishuwarenzi vatinovhara. Kana uine mibvunzo kana zvinokunetsa, tapota fonera Dr. Jimenez pa915-850-0900.
Cortisol Inobata Sei Muviri?
Wanga uchisangana nematambudziko ekurara usiku here? Zvakadini nekutemwa nemusoro kunogara kuchinetsa zuva rese? Kana kuti wakamboona kurasikirwa nehuremu hwakanyanya kana kuwedzera uremu kwakatenderedza midsection yako? Zvimwe zvezviratidzo izvi zviratidzo zvekuti cortisol yako uye glucose mazinga akakwira uye anogona kukanganisa muviri wako. Cortisol ihomoni inogadzirwa mu endocrine system uye inogona kubatsira kana kukuvadza kumuviri kana ikasagara ichiongororwa. Zvidzidzo zvekutsvaga zvakatsanangura cortisol seimwe yeakakurumbira glucocorticoids yakavanzwa kunze nekuda kwemhinduro yebiochemicals yemuviri, inoratidzwa neHPA (hypothalamic-pituitary-adrenal) axis inobatsira yekuziva zviitiko. Nekudaro, kana iwo mazinga ecortisol achinja asingaperi mumuviri nekuda kwemamiriro ezvinhu anoita kuti muviri ushaye basa, zvinogona kukanganisa munhu zvakanyanya uye kukonzera kusaenzana muiyo HPA axis. Zvimwe zvezviratidzo izvo chisingaperi cortisol inotungamira kumuviri zvinogona kusanganisira:
Hormonal kusaenzana Insulin kushorwa Kuwedzera kwehuwandu Kuwedzera mu visceral "dumbu" mafuta Kuwedzera cortisol kubuda Matambudziko ekudzivirira muviri
Allergy uye Asthma Inflamed Joints Kupora kurovedza muviri kwakashata
Rumwe ruzivo rwakapa kuti kuvapo kwecortisol mumuviri kunogona kubatsira kuwedzera kuwanikwa kweglucose yeropa kuuropi. Ne cortisol inopa kushanda kwenhengo, glucose yeropa inopa simba kumuviri.
Mashandiro eCortisol & Glucose Mumuviri
Cortisol inobatsira kukurudzira huwandu hweglucose muchiropa, ichibvumira block protein synthesis kusundira amino acids kuita shuga yemuviri. Izvi zvinozivikanwa sefatty acid liberation biotransformed kuita glucose. Kana izvi zvikaitika, zvinobatsira kukurudzira visceral mafuta ekuchengetedza kana glucose yakawandisa ikasashandiswa, nokudaro zvichikonzera kuwanda. Zvidzidzo zvekutsvaga zvakaratidza kuti kushaikwa kwecortisol kunogona kukonzera kudzikira kwekugadzirwa kweglucose yehepatic mumuviri. Izvi zvinokonzeresa hypoglycemia, uko muviri usina shuga yakakwana muhurongwa hwayo. Tsvakurudzo yakawedzerwa inoratidza iyo cortisol inopindura kune chero kunetseka kunobata munhu ane yakaderera mazinga eglucose asi anogonawo kuva akanaka mushure mekutakura glucose. Kugadzirisa glucose yemuviri uye cortisol mazinga anogona kubatsira kufambira mberi kwechirwere cheshuga.
Maitiro eCortisol akabatana neType 2 Diabetes- Vhidhiyo
VIDEO
Wakambosangana nemamiriro ezvinhu anoshungurudza anoita kuti tsandanyama dzako dziite sei? Zvakadini nekunzwa shuga yako yeropa ichikwira kumusoro kana pasi? Iwe unonzwa kuzvimba mhedzisiro mumuviri wako wese izvo zvinoita kuti varwadze? Kushungurudzika kunogona kukonzera zvinokuvadza kumuviri, kuita kuzvimba, kuwedzera kunzwira tsitsi, uye kuderedza glucocorticoid kupindura. Kushushikana mupfungwa kunogona zvakare kuve kwakabatana nechirwere cheshuga, sezvo vhidhiyo iri pamusoro inoratidza kuti kushushikana kwehomoni cortisol yakabatana sei nerudzi rwechipiri chirwere cheshuga. Zvidzidzo zvetsvakiridzo zvataura iyo cortisol inogona kuve yakashata yakabatana nemakanika e insulin kuramba, kuwedzera beta-sero basa uye kuwedzera insulin inoburitswa mumuviri. Izvi zvinogona kuve nengozi kune vanhu vazhinji vane chirwere cheshuga chisati chavapo uye vanga vachinetsekana nguva dzose.
The Interwoven Connection Between Stress & Diabetes
Kubatana pakati pekushushikana nechirwere cheshuga kunoratidzwa se tsvakurudzo zvidzidzo zvakawanikwa kuti iyo pathophysiology yekushushikana uye chirwere cheshuga yakawedzera insulin kuramba njodzi yemuviri. Kana munhu ari kutarisana nekushushikana kusingaperi, zvinogona kukonzera kuti vave nematambudziko akawanda senge:
Cold kusashivirira Kuderera kwekuziva uye manzwiro Kunzwa kwekudya Simba rakaderera zuva rose
Kana izvi zvikaitika, muviri unenge uri panjodzi huru yekuva ne insulin kuramba uye Type 2 chirwere cheshuga. Zvidzidzo zvetsvakiridzo zvataura Chirwere ichocho chechirwere cheshuga chinoratidzwa ne insulin resistance uye beta-cell dysfunction. Iyo glucocorticoid mumuviri inogona kuve yakawandisa kukanganisa maseru, zvichikonzera kusashanda. Zvimwe zvidzidzo zvekutsvakurudza zvakaratidza kuti chero kushushikana kunofungidzirwa kunogona kuve chinhu chakakosha chenjodzi chinokanganisa muviri chete, senge hypertension, BMI (body mass index), kana mhando yekudya asi inogona kukonzera kukwira kwerudzi rwechipiri chirwere cheshuga. Kana vanhu vachiwana nzira dzekudzikisa kusagadzikana kwavo kusingaperi, zvinogona kubatsira kubata mazinga avo eglucose kubva pakusvika padanho rakakosha.
mhedziso
Kushushikana kwemuviri kusingaperi kunogona kukonzera kusanzwa kwe insulin uye kuita kuti chirwere cheshuga chive chisati chavapo. Muviri unoda cortisol neglucose kuti urambe uchishanda uye uve nesimba rekufamba. Apo vanhu vanotanga kutambura nekusingaperi kushungurudzika uye chirwere cheshuga, zvinogona kuva zvakaoma kutarisira; zvisinei, kuita shanduko diki kumuviri sekutsvaga nzira dzekudzikisa kushushikana, kudya chikafu chine hutano, uye kutarisa mazinga eglucose kunogona kubatsira muviri kugadzirisazve glucose uye cortisol mazinga kune zvakajairika. Kuita izvi kunogona kurerutsa vanhu vazhinji vanoda kuenderera mberi nerwendo rwehutano vasina kushushikana.
References
Adam, Tanja C, nevamwe. "Cortisol Inobatanidzwa Nezvisizvo neInsulin Sensitivity muOverweight Latino Vechidiki." Journal of Clinical Endocrinology uye Metabolism , The Endocrine Society, Gumiguru 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC3050109/ .
De Feo, P, nevamwe. "Kupa kweCortisol kune Glucose Counterregulation muVanhu." IAmerican Journal yePhysiology , US National Raibhurari yeMishonga, Chikunguru 1989, pubmed.ncbi.nlm.nih.gov/2665516/ .
Hucklebridge, FH, nevamwe. "Iyo Inomutsa Cortisol Mhinduro uye Ropa Glucose Mazinga." Life Sciences , US National Raibhurari yeMishonga, 1999, pubmed.ncbi.nlm.nih.gov/10201642/ .
Joseph, Joshua J, naSherita H Golden. "Cortisol Dysregulation: The Bidirectional Link pakati peStress, Depression, uye Type 2 Diabetes Mellitus." Annals weNew York Academy of Sciences , US National Raibhurari yeMishonga, Kurume 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5334212/ .
Kamba, Aya, et al. "Kudyidzana pakati peYakakwira Serum Cortisol Mazinga uye Yakaderera Insulin Secretion muGeneral Population." PloS One , Public Library yeScience, 18 Mbudzi 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5115704/ .
Lee, Do Yup, et al. "Technical and Clinical Aspects yeCortisol seBiochemical Marker yeChronic Stress." BMB Reports , Korean Society yeBiochemistry uye Molecular Biology, Kubvumbi 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4436856/ .
Thau, Lauren, nevamwe. "Physiology, Cortisol." Mu: StatPearls [Internet]. Treasure Island (FL) , StatPearls Publishing, 6 Sept. 2021, www.ncbi.nlm.nih.gov/books/NBK538239 .
Disclaimer
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Foot Orthotics , utano , Injury Care , Nerve Injury , Kunyanya Kushungurudzika , Remedies , Mishonga , Wellness
Muviri muchina unoshanda zvakanaka unogona kutsungirira chero chinhu chinokandwa munzira yawo. Nekudaro, kana ikakuvara, kupora kwemuviri kunova nechokwadi chekuti muviri unogona kudzoka kumabasa awo ezuva nezuva. Kupora kwemhasuru yakakuvara kunosiyana nemuviri wese. Zvichienderana nekuti kukuvara kwacho kwakakura sei uye kuti kupora kuchatora nguva yakareba sei, muviri unogona kupora kusvika kumazuva mashoma kusvika kumwedzi mishoma. Imwe yeanonyanya kuporesa maitiro ayo muviri unofanirwa kutsungirira ndeye kuputika kwecalcaneal tendon.
Iyo Calcaneal Tendon
Iyo calcaneal tendon kana iyo Achilles tendon itete gobvu iri kuseri kwegumbo. Iyi tsandanyama-tendon ndiyo inoita kuti muviri ufambe uchifamba, uchimhanya, kana kutosvetuka. Kwete izvozvo chete, iyo calcaneal tendon ndiyo yakasimba pane tendon mumuviri, uye inobatanidza gastrocnemius uye soleus muscles pachitsitsinho pfupa. Kana iyo calcaneal tendon inoputika, nzira yekuporesa inogona kupera kubva kumavhiki kusvika kumwedzi kusvikira yapora zvakakwana.
Iko Kurapa Mhedzisiro yeLow Laser Therapy
Imwe yenzira dzinogona kubatsira yakakuvadzwa calcaneal tendons 'kupora maitiro ndeye yakaderera laser therapy. Dzidzo dzakaratidza iyo yakaderera laser therapy inogona kukurumidzira yakakuvadzwa tendon kugadzirisa mushure mechikamu cheronda. Kwete izvozvo chete asi muzinga Kuitwa kwe Ultrasound uye yakaderera Laser therapy yakadzidzwa kuve majenti emuviri ekurapa kukuvara kwetendon. Zvidzidzo zvakaratidza kuti musanganiswa wepasi pasi laser therapy uye ultrasound ine zvinhu zvinobatsira panguva yekudzoreredza maitiro ekurapa calcaneal tendon kukuvara.
Chidzidzo chakawanikwa kuti kana varwere vari kurapwa nekuda kwecalcaneal tendons, mazinga avo ehydroxyproline akatenderedza nzvimbo yakarapwa anowedzera zvakanyanya ne ultrasound uye yakaderera laser t.herapy. Muviri wepanyama biochemical uye biomechanical zvimiro pane yakakuvara tendon inowedzera, nekudaro ichikanganisa maitiro ekuporesa. Imwe ongororo yakaratidza iyo yakaderera laser therapy inogona kubatsira kuderedza fibrosis uye kudzivirira oxidative kusagadzikana mune inoshungurudza calcaneal tendon. Chidzidzo chacho chakatoratidza kuti mushure mokunge calcaneal tendon inoshungurudzika, kuputika, angiogenesis, vasodilation, uye extracellular matrix inoumbwa munzvimbo yakakanganiswa. Saka kana varwere vari kurapwa nelaser therapy yakaderera kwemazuva gumi nemana kusvika makumi maviri nerimwe, kusaenzana kwavo kwenhoroondo kunoderedzwa, kuderedza collagen concentration uye fibrosis; kudzivirira oxidative kusagadzikana kubva kuwedzera mumuviri.
mhedziso
Pakazara, zvinonzi mhedzisiro yelaser therapy yakaderera inogona kubatsira kukurumidza kupora maitiro ekugadzirisa iyo calcaneal tendon. Mhedzisiro inovimbisa yakaratidza kubva yakaderera laser therapy inogona kubatsira kugadzirisa iyo yakakuvadzwa tendon, kuderedza oxidative kusagadzikana uye kudzivirira fibrosis kubva mukukwira, zvichikonzera mamwe matambudziko pane yakakuvara tendon. Uye nekubatanidzwa kweultrasound, iyo calcaneal tendon inogona kupora nekukurumidza kuti muviri uenderere mberi nemabasa emazuva ese pasina kukuvara kwenguva refu.
References:
Demir, Huseyin, et al. "Kuenzanisa kweMigumisiro yeLaser, Ultrasound, uye Yakasanganiswa Laser + Ultrasound Kurapa muKuedza Tendon Healing." Lasers muKuvhiya uye Mushonga , US National Raibhurari yeMishonga, 2004, pubmed.ncbi.nlm.nih.gov/15278933/ .
Fillipin, Lidiane Isabel, et al. "Low-Level Laser Therapy (LLLT) Inodzivirira Oxidative Stress uye Inoderedza Fibrosis muRat Traumatised Achilles Tendon." Lasers muKuvhiya uye Mushonga , US National Raibhurari yeMishonga, Gumiguru 2005, pubmed.ncbi.nlm.nih.gov/16196040/ .
Oliveira, Fla'via Schlittler, et al. Mhedzisiro yeLow Level Laser Therapy (830 Nm ... - Medical Laser . 2009, medical.summuslaser.com/data/files/86/1585171501_uLg8u2FrJP7ZHcA.pdf .
Wood, Viviane T, et al. "Collagen Shanduko uye Realignment Inokonzerwa neLow-Level Laser Therapy uye Low-Intensity Ultrasound muCalcaneal Tendon." Lasers muKuvhiya uye Mushonga , US National Raibhurari yeMishonga, 2010, pubmed.ncbi.nlm.nih.gov/20662033/ .
