MomonaʻO ia ka inoa i hāʻawi ʻia i ke kūlana o ka hōʻiliʻili ʻana o ka momona i loko o ke kino e hōʻemi ai i ke olakino. No ka helu ʻana i ke kūlana obesity, hana ʻia ka loiloi ʻana o ke kino ma luna o ke kiʻekiʻe a me ke kaumaha. I ka helu ʻana i ka helu helu kino, hana ʻia ke kaʻina hana ma ka puʻunaue ʻana i ke kaumaha ma nā kilokani me ka huinahā o ke kiʻekiʻe i nā mika. ʻO ka helu helu helu kino ma luna o 30, ʻo ia hoʻi, ua paʻa nā kānaka. Inā ʻoi aku kēia waiwai ma mua o 40, ʻo ia ke ʻano o ka momona o nā kānaka.
Hoʻopili nā ʻiʻo momona i ka nui o nā mea hormonal a me nā mea kemika e pili ana i nā ʻōnaehana āpau. ʻO kekahi mau mea huna e wehe i nā kānaka a huki nā palena o ka saturation i nā pae kiʻekiʻe a me ka momona e holomua. Hoʻokumu ʻia e nā kumu he nui ka maʻi momona Hoʻopilikia ia i nā ʻāpana he nui o ke kino kanaka. No kēia kumu, no ka mālama ʻana i kēia maʻi, pono e hoʻolālā ʻia kahi kaʻina kahi i ʻoi aku ma mua o hoʻokahi lālā e hana like ana a pono e hoʻokō ʻia nā kaʻina hana.
lapaʻau obesity ʻO ka mea mua, hana ʻia nā loiloi e ka endocrinologist, psychiatrist, nutritionist a me ka hoʻoponopono kino i nā mea maʻi e noi ana no ka ʻoki. Inā pono, pono e mālama ʻia nā mea maʻi e nā loea cardiology a me ka umauma. Eia kekahi, he mea nui e ʻike ʻia nā mea maʻi kūpono e nā kauka lapaʻau maʻamau i loaʻa ka ʻike i ka ʻoihana bariatric.
ʻO nā mea maʻi āpau e noi ana e nānā pono ʻia e pili ana i nā kumu i lalo o ka pilikia obesity, nā pilikia noʻonoʻo, nā mea ʻai, a me nā kūlana olakino. Ma muli o nā loiloi i hana ʻia e like me nā hoʻokolohua, ua mākaukau nā papahana lapaʻau kūpono no nā maʻi. Hiki i nā papahana lapaʻau ke komo i ka lāʻau lapaʻau a i ʻole nā koho lapaʻau ʻokiʻoki, e pili ana i nā ʻano o nā maʻi, a me nā meaʻai olakino a me nā hoʻomaʻamaʻa.
He aha ka maʻi obesity?
maʻi momona Aia ia ma waena o nā pilikia olakino koʻikoʻi ma ka honua holoʻokoʻa, ʻoi aku hoʻi ma nā ʻāina kūkulu. Ke nānā nei i ka ʻikepili o ka World Health Organization, ua ʻike ʻia he 1,9 biliona poʻe o ka honua i ke kaumaha a ʻo 600 miliona o lākou he obese.
ʻO ka momona, ka mea i lilo i mea maʻamau a puni ka honua, pili nui i ka maikaʻi a me ka lōʻihi o ke ola o nā maʻi. Akā hiki ke mālama ʻia ka momona. Ka lapaʻau ʻana i ka maʻi ʻobesity No kēia, hoʻomaʻamaʻa a, inā pono, hoʻohana ʻia nā ʻano hana ʻokiʻoki me ka meaʻai. ʻO nā maʻi e like me ka puʻuwai, ka hiamoe moe, ke koko kiʻekiʻe, ka maʻi ʻaʻai koko, ka maʻi maʻi umauma, ka maʻi prostate hiki ke hoʻoholo ʻia i nā maʻi i lanakila i ka pilikia obesity. Ma kēia ala, hiki i nā maʻi ke hana i kahi ala i kahi ola olakino maikaʻi loa.
ʻO ka momona ka maʻi i loaʻa i ka wā e ʻai ai ka poʻe i ka nui o nā calorie ma mua o ka hiki ke ʻai a hoʻonui i ka momona i loko o ke kino ma mua o ka mea maʻamau. ʻO ka momona momona ke kumu o nā maʻi make a pōkole ke ola kanaka. ʻO ka helu helu kino ma luna o 40 i kapa ʻia he morbid obesity.
ʻO wai ka mea hiki ke loaʻa i ka ʻoki ʻana i ka Obesity?
ʻO ka poʻe me ka helu helu kino ma waena o 35-40, a me ka poʻe me ka maʻi maʻi type 2 ma muli o ka momona, ka hiamoe moe, a me ke kiʻekiʻe kiʻekiʻe e manaʻo ʻia he momona morbid ma ke ʻano o ka hana bariatric. Hiki ke ʻoki ʻia i loko o nā poʻe maʻi me ka maʻi diabetes type 2 hou a me nā maʻi metabolism ma muli o ka momona a ʻo kona helu kino kino ma waena o 30-35.
ʻOi ʻia ka meaʻai ma ke ʻano he koho lapaʻau mua i nā poʻe me nā maʻi maʻi obese morbidly. Eia naʻe, inā ʻaʻole i kūleʻa nā meaʻai ma lalo o 6 mau mahina a hoʻohana ʻia ma ka liʻiliʻi ʻelua, ʻaʻole hoʻomau ʻia ka ʻai ʻana. I kēia hihia, ʻo ke koho lapaʻau kūpono ʻo ia ke ʻoki. Pono e hana 'ia ke oki i ka hikiwawe loa.
He aha nā mea pilikia o ka Obesity?
Wahi a nā ʻōlelo i hana ʻia e nā hui olakino ma ka honua, ʻo ka momona i waena o nā maʻi 10 ʻoi loa ka pilikia. I kēia lā, ʻo ka momona kekahi o nā maʻi hiki ke pale ʻia ma hope o ka puhi ʻana. ʻOiai e hakakā nei me ka momona, pono nā mea maʻi e hoʻololi i kā lākou mau ʻai a me ke ʻano o ka nohona. Nā kumu pilikia o ka momona He mea koʻikoʻi loa ka makaʻala o nā kānaka.
Nā Kumu Kaiapuni
I kēia lā, ua kaupalena ʻia nā kumu kino no nā keiki e noho ana ma nā kūlanakauhale nui. Hiki i nā keiki ke komo i nā hana kino ma nā papa hoʻonaʻauao kino ma ke kula. No kēia kumu, he mea nui ke kuhikuhi ʻana i nā keiki i nā haʻuki i ka wā kamaliʻi ma ke ʻano o ka pale ʻana i ka momona.
ʻO kekahi o nā pilikia e noʻonoʻo ʻia e pili ana i nā pōʻino kaiapuni ʻo ka hoʻohana ʻana i nā kamepiula a me ke kīwī. ʻO kēia mau kūlana e hoʻemi nui ai nā keiki i ka ikehu a mālama i ka ikehu i ka lā. Eia kekahi, ʻo ka ʻai ʻana i nā meaʻai ʻōpala i mua o ke kīwī a i ʻole kamepiula ke ala no ka momona.
Meaʻai kūpono
ʻOiai inā ʻaʻole ʻai nā keiki me ka momona ma mua o kā lākou mau hoa, hiki ke piʻi ke kaumaha no ka mea ʻoi aku ka liʻiliʻi o ka neʻe. ʻO ka haʻahaʻa haʻahaʻa o ka ikehu o nā keiki e huki i ka manaʻo ʻo ia kekahi o nā kumu pilikia no ka loaʻa ʻana o ke kaumaha.
ʻO ka nele i ka manawa hānai i nā keiki, ka ʻai ʻana i hoʻokahi a ʻelua paha i ka lā, a me ka ʻai ʻana i nā meaʻai kiʻekiʻe-calorie e like me ka carbohydrates a i ʻole fatty fries kekahi o nā kumu nui o ka piʻi ʻana o ke kaumaha o nā keiki.
Nā Kumu Genetic
Aia he 80% ka nui o ka momona i loko o ke keiki e hānau ʻia ma muli o ke kaumaha o nā mākua. Inā nui wale kekahi o nā mākua, hāʻule ka pilikia i 40%. ʻO kekahi o nā kumu nui o ka momona ʻaʻole i ʻai nui ka poʻe maʻi, akā ʻaʻole i pau ka ikehu e like me ka mea i ʻai ʻia. Ua ʻike ʻia ka liʻiliʻi o nā ʻohana o nā keiki e hakakā nei me ka pilikia obesity i nā hana kino.
Nā Hormone
Pono e nānā pono ʻia nā keiki me nā pilikia obesity e nā loea maʻi hormone. Loaʻa paha i kekahi mau keiki me nā pilikia obesity ka thyroid gland a me nā maʻi ʻeleʻele adrenal. Eia kekahi, hiki ke ʻike ʻia nā pilikia maʻi diabetes i kēia mau keiki.
He aha nā kumu o ka maʻi obesity?
ʻO ka ʻai ʻole a me ke kaulike ʻole, ka ʻai ʻana i ka meaʻai wikiwiki, ka hana ʻole ʻana i nā haʻuki ke kumu o ka piʻi ʻana o ke kaumaha a me nā pilikia me ka lubrication i kekahi mau mea koʻikoʻi. ʻO ka ʻai ʻole ʻana i ka meaʻai i ka wā pōloli lōʻihi, ka ʻai ʻana i nā meaʻai i loko o ka carbohydrate a me nā meaʻai sugary kekahi o nā hewa kūpono e hoʻopilikia ai i ka momona.
ʻO ke kaumaha o nā mākua ʻelua e hoʻonui i ka nui o ka momona i nā keiki. ʻO nā maʻi thyroid gland, diabetes, adrenal gland maʻi i waena o nā pilikia obesity. I mea e pale aku ai i nā pilikia lubrication, ʻo ka lawe ʻana i ka meaʻai olakino a me ke ʻano ola kino mai ka wā kamaliʻi kekahi o nā pilikia koʻikoʻi.
He aha nā papa obesity?
ʻO ka poʻe me ka helu helu kino o 35-40, a me ka poʻe i loaʻa i ka maʻi diabetes type 2, sleep apnea, a me ke kiʻekiʻe ma muli o ka momona, ua manaʻo ʻia he morbidly obese ma ke ʻano o ka ʻoki ʻana bariatric. Hiki ke noʻonoʻo ʻia ke ʻoki ʻana no nā poʻe maʻi me ke kōpaʻa ʻano 2 hou a me nā maʻi metabolism ma muli o ka momona a ʻo kona helu kino kino ma waena o 30-35. ʻoki ʻoki ʻāʻī ʻO ia kekahi o nā ʻano ʻoki i makemake nui ʻia.
Ma nā helu helu helu kino kino, ua loiloi ʻia nā helu obesity o ka World Health Organization. Ke puunaue na kanaka i ko lakou kaumaha me ka huinahalike o ko lakou kiekie, e hoike mai ana ka hopena i ka obese a i ole.
· He nāwaliwali ka poʻe ma lalo o 18,5 kg/m
· ʻO nā kānaka me ke kaumaha maʻamau o 18,5-24,9 kg / m
· ʻO ka poʻe ma waena o 25-29,9 kg/mXNUMX ke kaumaha
· ʻO ka poʻe ma waena o 30-39,9 kg / m he obese
· ʻO ka poʻe i ʻoi aku ma mua o 40 kg/m ua manaʻo ʻia he koʻikoʻi koʻikoʻi (morbidly obese).
Ka pilina ma waena o ka maʻi maʻi a me ka momona
Hoʻopili ʻia ka maʻi diabetes a me ka momona. I ka loaʻa ʻana o ke kaumaha o ka poʻe, aia ka piʻi ʻana o ka pale ʻana i ka insulin. ʻO ka hopena, hiki i nā maʻi ke loaʻa i ka maʻi diabetes. Eia kekahi, hiki i nā kānaka ke loaʻa ke kaumaha ma muli o ka maʻi diabetes. Hiki i nā poʻe maʻi maʻi maʻi type 2 ke loaʻa ke kaumaha ma muli o kā lākou hoʻohana ʻana i ka insulin.
ʻAʻole maʻamau kēia maʻi i ka hihia o ka maʻi diabetes type 1. ʻO ke kumu i ʻike nui ʻia ai i ka maʻi maʻi type 2 ʻo ia ka piʻi ʻana o ka nui o ka insulin i hana ʻia e ke kino a me ka hoʻohana ʻana i nā lāʻau lapaʻau ma muli o ka piʻi ʻana o ke kūʻē ʻana o nā kānaka. ʻAi ʻāʻī liʻiliʻi ʻO ia kekahi o nā ʻano hana i hoʻohana ʻia i ka ʻokiʻoki bariatric.
He aha nā ʻano lapaʻau ʻo Morbid Obesity?
ʻO ka piʻi nui ʻana o ka momona nui a me ka morbid i kēia manawa ua piʻi nui ma muli o ka loli ʻana o ka nohona a me nā ʻano meaʻai o nā maʻi. Hoʻokahi hapakolu o ka heluna kanaka o nā ʻāina i kūkulu ʻia, ʻoi aku hoʻi ʻo ʻAmelika a me ʻEnelani, he pilikia obesity. kaʻe ʻōpū Hoʻohana pinepine ʻia i ka mālama ʻana i ka momona.
ʻO ka momona, kū'ē i ka manaʻo kaulana, ʻaʻole ia he manaʻo wale ka loaʻa ʻana o ke kaumaha. Hiki ke hoʻoulu ʻia nā pilikia lapaʻau ʻē aʻe e like me ka maʻi cardiovascular, type 2 diabetes, sleep apnea, pilikia hui, pilikia dermatological, pilikia psychological. I ka poʻe maʻi obesity, ʻaʻole hiki ke piʻi nui i ka ʻiʻo adipose ma lalo o ka ʻili. Ma kahi kokoke i nā ʻāpana āpau, aia ka piʻi ʻana o ka lubrication a me nā ʻiʻo momona a puni.
ʻOiai ʻaʻole i ʻike nui ʻia i waena o ka lehulehu, hoʻonui pū ka momona i ka pilikia o ka ulu ʻana i ka maʻi kanesa. Ua hōʻike ʻia kekahi mau noiʻi ʻoi aku ka nui o nā pilikia me ka makuahine a me ka pēpē ma mua o nā makuahine i nāwaliwali a hāpai ʻia ma hope o ke kaʻina bariatric.
No nā poʻe maʻi i hoʻohana ʻia ka ʻoki ʻana o ka momona?
Hiki ke koho ʻia nā ʻano hana ʻokiʻoki i nā poʻe maʻi me ka morbid obesity i loaʻa ke kūlana kiʻekiʻe o ka hoʻomohala ʻana i nā pilikia koʻikoʻi. Hoʻopau piha i ka ʻōpū Me kēia, hiki i nā kānaka ke hoʻopau i ka maʻi obesity. ʻO nā lāʻau lapaʻau nā koho lapaʻau radical loa e hāʻawi i nā hopena maikaʻi loa i nā kūlana o kēia mau lā. ʻOiai inā e nalowale ka kaumaha o nā poʻe maʻi obese no kekahi manawa me nā papahana ʻai a me ka hoʻoikaika kino, ʻoi loa ka haʻahaʻa o kā lākou holomua. Eia kekahi, ʻoi aku ka kiʻekiʻe o ka pilikia o nā maʻi e loaʻa hou ke kaumaha.
Ma muli o ka hoʻololi ʻana o ka metabolism i nā mea maʻi e mālama ana i ka lāʻau lapaʻau, aia ka nalo nui o ka ʻai, ʻoi aku ka nui ma hope o ke kāʻei ʻana i ka lima gastrectomy. Ma muli o ka emi ʻana o ka nui o ka ʻōpū, e kaupalena ʻia ka ʻai ʻana i nā maʻi. No kēia kumu, ʻaʻole kūpono ka hoʻohālikelike ʻana i nā ʻano hana ʻoki a me nā ʻano lāʻau lapaʻau e pili ana i ka holomua. Eia nō naʻe, he kaʻina hana ʻokiʻoki ma muli o kēia mau noi. Eia kekahi, he mea nui e noʻonoʻo he hoʻoholo koʻikoʻi. ʻO ke kaʻe ʻana o ka ʻōpū liʻiliʻi Ma hope, hoʻomaka nā maʻi e lilo i ke kaumaha maʻalahi.
I nā poʻe maʻi obesity morbid, pono e hana ʻia nā hana ʻokiʻoki me nā ala multidisciplinary. Pono e loiloi ʻia nā mea maʻi e nā loea endocrinology, kahi meaʻai meaʻai a, inā pono, kahi psychologist. Ma mua o ka hana ʻana, pono e loiloi ʻia nā mea maʻi e ka endocrinologist inā loaʻa iā lākou nā pilikia hormonal a inā kūpono lākou no ka ʻoki.
Ma mua o ka hana ʻana, pono e mālama ʻia e hana i kahi endoscopy i mea e ʻike ai i kahi pathology ʻē aʻe i loko o ka ʻōpū. Pono e hoʻomaopopo ʻia nā mea maʻi e nā meaʻai e pili ana i ka hānai ʻana ma mua a ma hope o ka hana. ʻOi aku i nā mahina mua, he mea koʻikoʻi ka hahai ʻana i ka hoʻololi ʻana o ka meaʻai a me ka metabolism i ke kūlana hou. Eia kekahi, pono e nānā ʻia nā mea maʻi e pili ana i ko lākou kūlana noʻonoʻo ma mua o ke kaʻina. ʻAʻole pololei ia no ka poʻe me ka maʻi psychiatric koʻikoʻi, ka waiʻona a i ʻole ka lāʻau lapaʻau, a me nā poʻe maʻi momona ʻaʻole hiki ke hoʻomaopopo i nā kikoʻī o ka hana e hana i ke ʻoki. Hoʻokahi-injection gastric bypass oki Inā hiki, pono ke kāko'o piha 'ohana i ka po'e e hānau.
ʻO ka hoʻoikaika a me ka ʻae ʻana o ka ʻohana ma nā pae āpau o ka ʻai ʻana ma ka home a hiki i ke kaʻina hana he mea nui e like me nā hoʻoholo o nā maʻi. ʻO nā ʻokiʻoki obese Morbid ka hapa nui o nā noi palena. Hiki ke hana ʻia nā noi no ka absorption impaired a i ʻole ka hui pū ʻana o nā mea ʻelua. Inā ʻaʻohe mea keakea ʻē aʻe, hiki ke hana ʻia nā ʻokiʻoki me ka laparoscopically, ʻo ia hoʻi, pani ʻia.
Noi no ka Obesity Surgery
ʻO ka ʻōpū o ka ʻōpū
I ka ʻoki ʻana i ka lima o ka ʻōpū, ma kahi o 75-80% o ka ʻōpū i wehe ʻia. Ma muli o ka haʻalele ʻana o ka ʻōpū ma hope o ka hana ʻana me he paipu lā, ua kapa ʻia ka inoa e like me kēia. No ka mea ua wehe ʻia ka hapa nui o ka ʻōpū a he 50-100 ml wale nō ke koena, ʻo ka nui o ka meaʻai i ʻai ʻia he palena. ʻO ka ʻoki lima ʻāʻī ka hiʻohiʻona o ke ʻano o ka ʻoki ʻana. Kōkua ia i ka hoʻemi ʻana i ka ʻai ʻana a me ke kaumaha.
Ma muli o ka emi ʻana o ka hormone appetite i kapa ʻia ʻo ghrelin, ka mea i hūnā ʻia mai ka ʻāpana o ka ʻōpū i ka ʻoki ʻana i ka lima gastrectomy, ma hope o ke kaʻina hana, ʻike nā mea maʻi i ka emi nui o ka ʻai. He mea maikaʻi ia e hoʻonui ai i ka holomua o ka poʻe maʻi e hoʻi ʻole i ko lākou makemake kahiko ma hope o ke kaʻina.
He kiʻekiʻe loa ka hopena o ka ʻoki lima ʻōpū i ka maʻi diabetes a me ke kiʻekiʻe. ʻO ka mea nui, ʻaʻole pono ka lāʻau lapaʻau waha wale no nā lāʻau i hoʻohana ʻia e nā maʻi maʻi diabetes a me nā maʻi hypertensive. E hoʻomaka koke kēia mau hopena maikaʻi ma hope o ke kaʻina.
ʻAi ʻĀpana
kāʻei ʻōpū I ka noi, hana ʻia ka hana ma ke ʻano o ke kaʻe ʻana i ka hapa nui a hiki i kahi ʻāpana liʻiliʻi ma hope o ka waiho ʻana o ka esophagus. Ma kēia kaʻina hana, hana ʻia ka hana ma ka lawe ʻana i ka ʻōpū liʻiliʻi i ka ʻāpana o ka ʻōpū a humuhumu e like me ke ʻano hana. No kēia kumu, ua hoʻemi ʻia ka nui o ka ʻōpū a ua pio kekahi ʻāpana o ka ʻōpū. Ma kēia ala, e emi ana ka nui o ka meaʻai i ʻai ʻia a e hoʻopilikia ʻia ka absorption. Ma kēia ala, ʻoi aku ka maikaʻi o ka mālama ʻana i ke kō koko o nā maʻi maʻi maʻi i hilinaʻi i ka insulin.
Pehea e hoʻoholo ʻia ai ke ʻano hana e makemake ʻia?
I kēia lā, ʻaʻohe ʻokoʻa ʻenehana nui ma waena o nā hana ʻelua. No ka mea, ʻoi aku ka physiological o ka hana ʻana i ka lima gastrectomy, he haʻahaʻa ka nui o nā pilikia a me ka make pili i ka hana. Hana ʻia nā ʻoki lima ʻōpū i ka manawa pōkole loa. ʻOi aku ka maʻalahi o ka hoʻohana ʻana i ka ʻokiʻoki. ʻO ka lima ʻāʻī a i ʻole ka ʻoki ʻana Hoʻoholo nā kauka i kahi o nā lāʻau i kūpono.
Ma hope o nā ʻenehana ʻelua, hiki i nā maʻi ke loaʻa hou ke kaumaha i loko o 3-4 mau makahiki. Inā makemake ʻia ke kāʻei lima lima, hiki ke hoʻohana ʻia ka resleeve a i ʻole gastric bypass i kēia mau maʻi. Inā loaʻa i ka poʻe maʻi ke ala ʻai ma mua, ʻaʻole loaʻa iā lākou ka manawa no ka lua o ka lapaʻau ʻana inā loaʻa hou ke kaumaha. ʻO ka mea e ʻike ʻia ma ʻaneʻi, ʻo ka ʻenehana hana makemake e hoʻoholo pono ʻia no nā maʻi ma muli o nā hoʻokolohua a me nā hoʻokolohua e hana ʻia e ke kauka.
ʻO ka hoʻopiʻi koʻikoʻi ma ka lima gastrectomy a me nā ʻoki ʻoki ʻana i ka ʻōpū, ʻo ia ka leakage a i ʻole nā pilikia koko. Me ka hoʻomohala ʻana i nā ʻenehana hou a me ka ʻike, ua hōʻemi ʻia kēia mau pilikia i kahi nui. ʻOi ʻia nā ʻano hana invasive liʻiliʻi ma kēia mau ʻenehana ʻelua. Ma kēia ala, ʻoi aku ka maʻalahi o ka poʻe maʻi e hoʻi i ko lākou ola maʻamau ma hope o ka ʻoki ʻana.
ʻO ka Obesity Surgery ma Tureke
Ma muli o ka hoʻokō maikaʻi ʻia ʻana o ke kaʻina obesity ma Turkey, kaulana loa ia i ka mākaʻikaʻi olakino. Eia kekahi, ma muli o ke kiʻekiʻe o nā haole ma Turkey, hiki i nā poʻe maʻi e hele mai ana mai nā ʻāina ʻē ke loaʻa ke ʻoki i nā kumukūʻai kūpono loa. ʻO nā kumukūʻai o ke kaʻina hana Bariatric ma Turkey Hiki iā ʻoe ke kelepona mai iā mākou no ka loaʻa ʻana o ka ʻike kikoʻī e pili ana.
Waiho i ka Manao