Casos Clinicos Práctica Sindrome Metabolico

 

OM_N_ OABIBON_ WPÍOVBOM _BIFPNKC KCVM@ßABON BIFBOMOBNIC_5 ci tnfns ans omsns oaëibons fc`c trm`memrsc fc kmicrm onnrfbimfm ci ans lrupns5 OM_N OABIBON Iµ = Zmrÿi fc 6= mýns fc cfmf oni mitcocfcitcs fc tm`mqubskn fcsfc am mfnacsociobm dmstm ca knkcitn motuma, n`csbfmf lrmfn BB, dbpcrtcisbÿi mrtcrbma fc =7 mýns fc fbmlinstbon. Omrfbnpmtbm bsquâkbom tbpn milnr milnr bicstm`ac oni cijcrkcfmf kninvmsn ci fcsocifcitc mitcrbnr fbmlinstbomfm dmoc 3 mýns mýns y FK0 fc < mýns fc fbmlinstbon oni mjcotmobÿi m ÿrlmins fbmim tbpn rctbinpmtëm y icjrnpmtëm fbm`âtbom, ci bisujbobciobm rcima orÿibom cstmfbn ?. Ci su prbkcrm rcvbsbÿi dmoc 3 mýns oni pcsn fc =70 hl, trbpac csquckm mitbfbm`âtbon + bisuabim y D`M=o fc 2. _c ac prcsorb`bÿ motbvbfmf jësbom y knfbjbomobnics m cstban fc mabkcitmobÿi oni fbskbiuobÿi fc 3 hl fc pcsn quc pcrkbtbÿ suspcisbÿi fc bisuabim y rcfuoobÿi ci fnsbs fc mitbfbm`âtbons ? kcscs fcspuâs. _bi rcvbsbÿi pnstcrbnr dmstm ca knkcitn motuma. Ci cstm nomsbÿi moufc pnr oumfrn fc lmstrncitcrbtbs mlufm oni vnkbtn y fbmrrcm fc 3 fëms fc cvnauobÿi, fctcrbnrn fc am juiobÿi rcima oni orcmtbibim fc =.3 dmoc dmoc ui mýn m 0.= ci cstc bilrcsn, ma`ukbiurbm fc =77kl/fA. M am cxpanrmobÿi jësbom tcickns ans sblubcitcs sblubcitcs fmtns5 Vmaam = 6.  Vbcic sëifrnkc kctm`ÿabon> 3.  Vbcic cijcrkcfmf rcima ca pmobcitc> OM_N OABIBON Iµ ?  Kmsouabin fc 30 mýns fc cfmf. Mitcocfcitc fc pmfrc jmaacobfn pnr pmiorcmtbtbs mlufm. Ci ans pcrsnimacs pmtnaÿlbons5 cx `c`cfnr fc mprnx. 47 lr fc ctmina ma fëm, suspcifbfn = mýn  prcvbnn m onisua  prcvb onisuatm tm motuma motuma.. Wcsn fc 27 hl, cstmturm =:4 ok, dbpcrtci dbpcrtcisbÿi sbÿi mrtcrbma fc 3 mýns fc fbmlinstbon, fbsabpbfckbm. Mickbm dbpnornkbom kbornobtbom c dbpntbrnbfbskn su`oaëibon. _c ac dbzn fbmlinstbon fc smronbfnsbs mjcotmo mjcotmobÿi bÿi (crbtckm bitrmtnrmobom (mfcinpmtëms dbabmrcs lrmifcs mjcotmobÿi bitcrstbobma puaknimr) yoni cxtrm tnríobom infnsn y mrtrbtbs) pmrm an ouma rcob`bÿy trmtmkbcitn oni cstcrnbfcs oni `ucim rcspucstm oaëibom ci rcamobÿi m smronbfnsbs ci ca onitrna 4 kcscs fcspuâs, sbi ck`mrln fcsmrrnaan sëifrnkc kctm`ÿabon onkn oniscouciobm fc su trmtmkbcitn cstcrnbfcn oni mpmrbobÿi fc DVM, FK0 quc rcqubcrc fnsbs matms fc bisuabim y fbsabpbfckbm kbxtm oni dbpcronacstcrnackbm c dbpcrtrblabocrbfckbm, rmzÿi pnr am ouma tuvn quc rcfuobrsc trmtmkbcitn cstcrnbfcn m fnsbs fc 3-=7 kl fc prcfibsnim /06 ds. Fcsfc am rcfuoobÿi fc fnsbs dm tcibfn oumtrn cpbsnfbns fc pmiorcmtbtbs (ctbnanlëm cinabom + dbpcrtrblabocrbfckbm y ca õatbkn oursn oni pscufnqubstc pmiorcmtbon) quc mkcrbtmrni bilrcsn m SOB ci trcs fc cstms nomsbnics y kuatbpacs bitcrimkbcitns ci urlciobms pnr fnanr m`fnkbima oni cacvmobÿi fbsorctm fc mkbamsm pmiorcítbom y ci tnfns ans ans omsns ca oumfrn fc fnanr rc`cafc m mimalcsbm. Onacobstcotnkbm ci scluifn cpbsnfbn fc pmiorcmtbtbs. Bilrcsmfn ci cstm nomsbÿi pnr n`struoobÿi funfcima scouifmrbm m rcmlufbzmobÿi fc pmiorcmtbtbs orÿibom. VMO fc m`fnkci knstrn pscufnqubstc fc 6.3 ok frcimfn m cstnkmln oni lrmi mjcotmobÿiBBbijamkmtnrbm fc lrmsm pcrbpmiorcmtbom quc sc Cspacinkclmabm cxtbcifc dmobm am sclkcitn fc dëlmfn, fnifc tmk`bâi dmy írcm dbpnfcism. fc pnrobÿi =7 ok. bijcrbnr fc

 

CJ5 paâtnrm yuluamr BB, mukcitn fc lrmsm ocrvboma y m`fnkbima, dbpnvcitbamobÿi lcicrmabzmfm. Cxtrckbfmfcs bijcrbnrcs oni cfckm ++ y cstblkms fc bisujbobciobm vcinsm. In vmrbocs Vmaam5 =:4, pcsn5 =0= hl, obiturm =?7 ok VM5 =63/27 JO5 =73xk JP5 03xk smt5 2?%. Lauonsm ompbamr5 0=7kl. Lauonsm ocitrma5 024kl. Vrblaboârbfns Vrblaboârbfns55 =::7 kl , Onacstcrna tntma ?3?kl, V_D :.03. VMO fc tnrmx5 sbi cvbfciobm fc smronbfnsbs motbvm. Fc cstc omsn oaëibon fblm ustcf, oni su lrupn5

=.- BKO motuma y su pcsn bfcma. 0.- Fbmliÿstbons prn`m`acs y pnrquc onisbfcrm omfm uin fc caans ?.- _ulcrciobm fc pami fc mabkcitmobÿi y knfbjbomobnics ma cstban fc vbfm 6.- Wrn`m`ac kcomibskn jbsbnpmtnaÿlbon bkpabomfn ci ca omsn fc fbm`ctcs OM_N OABIBON Iµ 6  Kmsouabin fc 3: mýns fc cfmf, trm`memfnr fca írcm fc am smauf quc cs civbmfn m am onisuatm fc Kcfbobim Bitcrim pnr cacvmobÿi fc VM snan ci `rmzn fcrcodn ci trcs fctcrkbimobnics fbstbitms, am  prbkcrm fc caam caamss ci uim jcrbm fc am smauf smauf.. Jukmfnr motbv motbvnn fc =7 oblmrrbaa oblmrrbaans ns pnr fëm, maond maondnabskn nabskn ‑snobma‛ fc ? ocrvczms omfm jbi fc sckmim. _cfcitmrbn. Mitcocfcitc fc lmstrbtbs fcsfc dmoc 3  mýns. Fbsabpbfckbm fbmlinstbomfm dmoc ? mýns, trmtmkbcitn pnr fns kcscs oni dbpnabpckbmitc, sbi sclubkbcitn pnstcrbnr. Am cxpanrmobÿi jësbom kucstrm msbkctrëm ci tnkms fc VM ci cxtrckbfmfcs supcrbnrcs5 `rmzn fcrcodn =