Nea ɛsɛ sɛ wuhu fa Class III Obesity ho

So wo nipadua mu duru nso haw wo kɛse? Ɛmfa ho mmɔden biara a wobɛbɔ no, wo mu duru a wobɛtew so no nyɛ mmerɛw sɛnea wususuw no? Ebia wususuw sɛ, "Minnidi yiye, minni ɔpɛ sɛ mɛteɛteɛ m'apɔw mu." Nanso nokwarem no, kɛseyɛ mmoroso nyɛ ɔpɛ a wonni anaa adidi so tumi a wonni. Ɛyɛ tebea a emu yɛ den kɛse, a enni sabea a ehia sɛ wɔsa. Ɛno ne nea yɛreka ho asɛm nnɛ.

Dɛn ne Kwase III Kɛseyɛ?

Sɛ yɛbɛka no tiawa a, Class III Obesity ne kɛseyɛ mmoroso a emu yɛ den sen biara. Kan no na wɔfrɛ no "Morbid Obesity," nanso saa asɛmfua no te sɛ nea ɛnyɛ dɛ kakra, enti mprempren nnuruyɛfo de edin "Class III Obesity" di dwuma.

Ade a wɔtaa de susuw kɛseyɛ mmoroso ne Body Mass Index (BMI) . Eyi yɛ akontaabu a ɛnyɛ den a ɛkyerɛ sɛ ebia wowɔ mu duru a ɛfata ma wo tenten anaa.

• Sɛ wo BMI yɛ 40 anaa nea ɛboro saa a, wobu no sɛ Class III Obesity.

Nanso kae sɛ ɛnyɛ bere nyinaa na BMI yɛ susuw a ɛyɛ pɛpɛɛpɛ 100%. Ɛtɔ mmere bi a, ogumadifo a ne ntini yɛ den betumi anya BMI a ɛkɔ soro, nanso ɔnyɛ kɛse mmoroso. Enti, sɛ oduruyɛfo hwehwɛ wo mu a, ɛnyɛ wo BMI nko na ɔbɛhwɛ, na mmom nneɛma afoforo te sɛ w’asen ne wo honam ani srade a ɛyɛ den nso.

Dɛn ne kɛseyɛ mmoroso ho sɛnkyerɛnne ne ɔhaw ahorow?

Nsɛnkyerɛnne pɔtee biara nni hɔ a ɛyɛ soronko wɔ Class III Obesity ho. Nsɛnkyerɛnne titiriw ne BMI a ɛboro 40. Nanso, saa tebea yi betumi aka yɛn nipadua no afã horow na ɛde akwahosan mu nsɛnnennen a emu yɛ den aba. Eyi ne nea ɛsɛ sɛ yɛde yɛn adwene si so kɛse.

Momma yɛnhwɛ akwahosan ho haw atitiriw a ebetumi aba esiane eyi nti no bi wɔ ase ha.

Dɛn nti na eyi rekɔ so? Dɛn na ɛde kɛseyɛ mmoroso ba?

Nnipa pii gye di sɛ aduan dodow a yedi ne apɔw-mu-teɛteɛ dodow a ɛnkari pɛ na ɛma yɛn mu duru yɛ kɛse. Ɛno yɛ nokware kodu baabi. Sɛ yedi calories pii sen nea yɛn nipadua hyew a, ahoɔden a ɛboro so no sie nipadua no mu sɛ srade (adipose tissue).

Nanso asɛm no nkɔ awiei wɔ hɔ. Eyi yɛ asɛm a emu yɛ den yiye.

Nneɛma afoforo pii wɔ hɔ a ɛka eyi:

• Awosu: Ebia ɛbɛyɛ wo nwonwa sɛ wubehu sɛ wɔahu awosu mu nkwaadɔm bɛboro 15 a ɛne kɛseyɛ mmoroso wɔ abusuabɔ. Nnipa binom awosu mu yɛ den sɛ wɔn mu duru yɛ kɛse. Awosu mu tebea horow bi te sɛ Prader-Willi syndrome nso betumi ama obi ayɛ kɛse mmoroso.
• Nkwammoaa a ɛnkari pɛ: Nkwammoaa yɛ nneɛma a tumi wom yiye wɔ yɛn nipadua mu. Tebea horow a ɛfa hormone ho te sɛ hypothyroidism, Cushing’s syndrome, ne polycystic ovary syndrome (PCOS) betumi ama obi mu duru akɔ soro a ɔmpɛ.
• Nnuru bi: Nnuru bi a wonom, sɛ nhwɛso no, nnuru a ekum adwenemhaw, nnuru a ekum adwene mu yare, ne corticosteroids nso betumi ama wo mu duru ayɛ kɛse sɛ nea efi mu ba.
• Asetra ne Amammerɛ mu Nneɛma: Susuw ho hwɛ, dawurubɔ dodow ahe na ɛwɔ television ne intanɛt so a ɛfa nnuan a ahoɔdennuru pii wom na ɛyɛ ntɛm ho? Wɔ Sri Lanka mpo no, mprempren ɛnyɛ den sɛ wubenya "Shot-Eats" sotɔɔ anaa baabi a wɔyɛ paanoo, nanso ɛyɛ den sɛ wubenya nhabannuru ne nnuaba pa bi. Afei nso, nnuan a yedi no fã kɛse dɔɔso mprempren sen kan no.
• Nneɛma a atwa yɛn ho ahyia ne sikasɛm: Ɛtɔ mmere bi a, nnuan a wɔde di ntɛmntɛm no bo nyɛ den na ɛnyɛ den sɛ wobenya sen nnuan a ahoɔden wom. Afei nso, sɛ wote baabi a mmeae a ahobammɔ wɔ anaa mmɔnten so atrae biara nni hɔ a wobɛnantew na woateɛteɛ w’apɔw mu a, ɛno nso betumi ama wo mu duru ayɛ kɛse.

Nneɛma afoforo a ɛma asiane a ɛwɔ hɔ sɛ obi mu duru bɛkɔ soro no yɛ kɛse

Wɔ nneɛma a yɛaka ho asɛm wɔ atifi hɔ no akyi no, nneɛma yi nso betumi ama asiane a ɛwɔ hɔ no ayɛ kɛse:

• Nna a wonnya: Nhwehwɛmu ada no adi sɛ abusuabɔ bi da nnipa a wɔda nnu nnɔnhwerew 7 da biara ne wɔn BMI a ɛkɔ soro ntam.
• Adwennwen a enni sabea: Sɛ wo ho yeraw wo bere tenten a, wo nipadua no ma nkwaadɔm te sɛ ``Cortisol.`` Saa nkwaadɔm yi di yɛn ɔkɔm ne ahoɔden a yɛde yɛ adwuma no so, na ebetumi ama yɛn mu duru ayɛ kɛse.
• Mfe: Bere a worenyin no, wo nipadua no mu nneɛma a ɛsakra no brɛ ase, na ɛma asiane a ɛwɔ hɔ sɛ wo mu duru bɛkɔ soro no yɛ kɛse.
• Bɔbeasu: Mpɛn pii no, mmea nipadua mu srade dɔɔso sen mmarima, na wɔn mu duru nso betumi ayɛ kɛse bere a wɔyem ne bere a wɔagyae brayɛ no.

Ɔkwan bɛn so na oduruyɛfo hu saa tebea yi?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛyɛ nneɛma pii de asi tebea yi so dua.

1. Body Mass Index (BMI) Akontaabu: Nea edi kan no, wɔsusuw wo tenten ne wo mu duru na wobu wo BMI ho akontaa.

2. Asen mu ntwemu susuw: Eyi nso yɛ susudua a ɛho hia yiye, efisɛ srade a ɛwɔ yafunu no ho no ma asiane a ɛwɔ hɔ sɛ wobenya nneɛma te sɛ komayare no yɛ kɛse.

• Wɔ mmea fam no: Sɛ ɛboro nsateakwaa 35 a
• Wɔ mmarima fam no: Sɛ ɛboro nsateakwaa 40 a
• (Wɔ yɛn a yefi Asia Kesee Fam fam no, nnuruyɛfo bu gyinapɛn ahorow a ɛba fam mpo sɛ asiane wom.)

3. Mogya mu nhwehwɛmu ne nhwehwɛmu afoforo: Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu ahorow na ama woahu sɛ ebia aduruyɛ mu tebea afoforo bi wɔ hɔ a ɛma wo mu duru yɛ kɛse anaa, na wahu nsɛnnennen a kɛseyɛ mmoroso de ba.

Dɛn ne ayaresa ahorow no? Yɛyɛ dɛn di eyi ho dwuma?

Eyi ne ɔfã a ɛho hia sen biara. Kae sɛ ayaresa biara nni hɔ a ɛfata obiara. Wubehia ayaresa nhyehyɛe a ɛfa wo ho pɔtee, a egyina wo nipadua, w’asetra kwan, ne w’akwahosan botae ahorow so. Wo duruyɛfo bɛboa wo wɔ eyi mu.

Wobetumi akyekyɛ akwan titiriw a wɔfa so sa yare no mu akuw anan:

1. Nsakrae a ɛba asetra mu wɔ apɔwmuden mu

Eyi ne nea wogyina so yɛ ayaresa.

• Nsakrae a ɛba wɔ aduan mu:Wubetumi ne aduan ho ɔbenfo bi ahyia ayɛ aduan a ɛkari pɛ a ɛfata wo ho nhyehyɛe. Eyi nkyerɛ sɛ wubehuruw adidi, na mmom wubedi nneɛma a ɛfata, dodow a ɛfata, wɔ mmere a ɛfata mu.
• Apɔw-mu-teɛteɛ: Ɛnyɛ sɛ apɔw-mu-teɛteɛ ye ma wo mu duru a ɛso tew nko, na mmom eye ma w’adwene nso. Nanso, mfi ase nyɛ apɔw-mu-teɛteɛ a emu yɛ den prɛko pɛ. Wo ne wo duruyɛfo nkasa mfa apɔw-mu-teɛteɛ ko a ɛfata wo ne bere tenten a ɛsɛ sɛ woyɛ ho asɛm.
• Da pa: Ɛho hia sɛ wunya nnɔnhwerew 7-8 nna pa da biara.
• Adwennwen ano aduru: Adwennwen yɛ ade titiriw a ɛma obi mu duru yɛ kɛse. Nneɛma te sɛ adwennwen ne ahomegye apɔw-mu-teɛteɛ betumi aboa wo ma woadi adwennwen so.

2. Suban ne Adwene mu Ayaresa

Ɛtɔ mmere bi a, ebia adwene mu ntease ahorow bi wɔ yɛn adidi mu. Wɔtaa hu tebea horow te sɛ adwenemhaw ne dadwen ka kɛseyɛ mmoroso ho. Enti, sɛ wo ne adwene ho ɔbenfo bɛkasa (Talk Therapy) a, ebetumi aboa kɛse. `(Cognitive Behavioral Therapy - CBT)` yɛ ɔkwan biako a etu mpɔn a wɔfa so yɛ eyi.

3. Nnuru a wɔde di dwuma

Sɛ asetra mu nsakrae nkutoo nnɔɔso sɛ ɛbɛhwɛ wo mu duru so a, ebia wo duruyɛfo bɛkyerɛw nnuru a ɛbɛboa wo ma wo mu duru so atew. Saa nnuru yi yɛ adwuma titiriw denam wo kɔm a ɛhyɛ wo so na ɛma wote nka sɛ woama bere a woadi kakraa bi akyi no so.

Nhwɛsoɔ: `(Orlistat)`, `(Liraglutide)`, `(Semaglutide)`

4. Oprehyɛn ne akwan a wɔfa so ma obi mu duru so tew

Wobetumi asusuw akwan yi ho ama nnipa a wɔn mu duru boro so kɛse na wɔadi nkogu wɔ akwan afoforo nyinaa so. Eyinom ahorow atitiriw abien na ɛwɔ hɔ.

• Endoscopic procedures: Nneɛma a ɛnyɛ oprehyɛn a ɛfa endoscope (tube a mfoninitwa afiri wom) a wɔde fa ano no mu na ama yafunu no ayɛ ketewaa. Sɛ nhwɛso no: Endoscopic Sleeve Gastroplasty (ESG) a wɔde yɛ adwuma.
• Bariatric oprehyɛn: Eyinom yɛ oprehyɛn.
• Gastric Bypass Surgery: Wɔyɛ yafunu no fã ketewaa bi na wɔde bata dwensɔtwaa ketewa no ho tẽẽ.
• Sleeve Gastrectomy: Woyi yafunu no fã kɛse bi, na ɛma yafunu no yɛ ketewaa.

Ɛwom sɛ oprehyɛn ahorow yi betumi de aba pa ara aba de, nanso asiane ne nsɛnnennen nso wɔ mu. Enti, eyi yɛ gyinaesi a anibere wom paa. Ɛsɛ sɛ wo ne wo duruyɛfo susuw eyi ho kyɛ.

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ worehyia ɔhaw wɔ wo mu duru a wobɛhwɛ so a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn. Sɛ wuhu no a, nsɛm yi a wubebisa no no bɛboa no paa.

Awiei koraa no, akwantu a ɛbɛma obi mu duru so atew no betumi ayɛ den. Ebia nneɛma a ɛkɔ soro ne nea ɛba fam bɛba wɔ kwan no so. Nanso ɛnyɛ nea entumi nyɛ yiye. Sɛ́ anka wobɛbɔ mmɔden sɛ wobɛyɛ nsakrae kɛse prɛko pɛ no, yɛ nsakrae ketewaa biako bere koro mu. Kae sɛ sɛ wo mu duru nyinaa so tew te sɛ 5% anaa 10% mpo a, ebetumi anya nneɛma te sɛ wo mogya mmoroso, asikre dodow, ne srade dodow so nkɛntɛnso pa kɛse . Akyinnye biara nni ho sɛ ɛbɛma w’asetra atu mpɔn.