So worepere sɛ wubedi wo mu duru so? Ebetumi afi Hypothalamic Obesity (HyOb) mu!

Ɛnnɛ yɛrebɛka kɛseyɛ mmoroso tebea pɔtee bi ho asɛm. Ɛmfa ho sɛnea wudi w’aduan ne w’apɔw-mu-teɛteɛ so no, ɛtɔ mmere bi a ɛyɛ den sɛ wobɛtew wo mu duru so, ɛnte saa? Ɛtɔ da bi a, ebia ntease bi wɔ hɔ a wunsusuw ho. Ɛno yɛ tebea a ɛte saa no mu biako, hypothalamic obesity, anaa sɛnea yɛfrɛ no `(HyOb)` tiawa.

Dɛn ne hypothalamic kɛseyɛ mmoroso?

Sɛ yɛbɛka no tiawa a, Hypothalamic Obesity (HyOb) yɛ kɛseyɛ mmoroso tebea a ɛba bere a w’amemene no fã ketewaa bi nanso ɛho hia yiye a wɔfrɛ no hypothalamus no ntumi nyɛ adwuma yiye no. Susuw ho sɛ saa hypothalamus yi te sɛ dan ketewa bi a wɔhwɛ yɛn nipadua so. Ɛwɔ w’amemene no ase. Ɛyɛ nneɛma pii a ɛho hia yiye te sɛ yɛn hormone ahorow a ɛhwɛ so, yɛn aduan ho akɔnnɔ a ɛhwɛ so, ne ɔkwan a nipadua no fa so hyew calories (yɛfrɛ eyi metabolism) a ɛhwɛ so . Enti, sɛ saa hypothalamus yi sɛe ɔkwan biara so a, nneɛma a mekaa ho asɛm no nyinaa yɛ basaa. Ɛno ne bere a wufi ase yɛ kɛse a wuntumi nni so na woyɛ kɛse mmoroso.

Dɛn ne hypothalamic kɛseyɛ mmoroso ho sɛnkyerɛnne?

Wɔ saa tebea yi mu no, wubetumi anya yare no ho sɛnkyerɛnne te sɛ:

• Mu duru a ɛkɔ soro ntɛmntɛm: Ebia wobɛte nka sɛ wo mu duru rekɔ soro ntɛmntɛm a wuntumi nsusuw ho.
• Ɔkɔm a wuntumi nni so: Sɛ wudidi kosi wo yafunu mu mpo a, wote nka sɛ ɛsɛ sɛ wudi pii. Ɛtɔ da bi a, ɔkɔm yi tumi yɛ den araa ma ɛbɛyɛ nea wontumi nni so, ɛmfa ho sɛnea wubedi aduan no.
• Nneɛma a ɛma nipadua no yɛ adwuma a ɛba fam: Eyi kyerɛ sɛ sɛnea wo nipadua hyew calories na ɛkora srade no brɛ ase. Eyi betumi ama wo mu duru ayɛ kɛse sɛ wunnidi kakraa bi mpo a.
• Mu duru a ɛkɔ soro ɛmfa ho sɛ wɔabara calorie anaasɛ aduan a wodi: Ebia wubebisa sɛ, "Dɛn nti na me mu duru yɛ kɛse saa ɛmfa ho sɛnea midi kakraa bi no?" Eyi yɛ tebea yi ho sɛnkyerɛnne titiriw.
• Ɔbrɛ a wobɛte nka bere nyinaa anaasɛ wuntumi nna (Insomnia): Esiane sɛ nipadua no tumidi nhyehyɛe no asɛe nti, ebia wobɛte ɔbrɛ ne nna nka bere nyinaa. Ebia nnipa binom mpo benya tebea bi a ɛne sɛ wontumi nna anadwo.
• ‍ (‍ - `Exercise intolerance`): ‍ ‍ .

Dɛn nti na saa hypothalamic kɛseyɛ mmoroso yi ba?

Nea ɛde tebea yi ba titiriw ne hypothalamus a ɛsɛe, opira, anaasɛ ɛka . Sɛnea madi kan aka no, hypothalamus no di nneɛma te sɛ yɛn akɔnnɔ, calorie a yɛhyew, ne srade a yɛde sie so. Enti sɛ ɛsɛe a, saa nneɛma yi nyinaa kɔ yiye na yɛn mu duru yɛ kɛse.

Nneɛma a ɛma wonya nkɛntɛnso titiriw no bi ni:

• Amemene mu akisikuru:Nhwɛsoɔ bi ne akisikuru te sɛ `(Craniopharyngiomas)`, `(Gliomas)`, `(Hamartomas)` ne `(Pituitary adenomas)`. Saa akisikuru yi betumi asɛe hypothalamus no ankasa, anaasɛ ebetumi asɛe sɛ oprehyɛn a wɔyɛ de yi akisikuru no mu ɔhaw. Nokwarem no, nnipa a wɔwɔ hypothalamic kɛseyɛ mmoroso `(HyOb)` no mu bɛboro fã fi akisikuru bi a wɔfrɛ no `(Craniopharyngiomas)` .
• Amemene mu opira: Mogya a ɛtɔ, ɔyare mmoawa, anaa amemene no mu ahonhon te sɛ nea efi kar akwanhyia anaa asehwe mu ba no betumi asɛe hypothalamus no.
• Awosu mu tebea horow: Sɛ nhwɛso no, ebia mmofra a wɔwo wɔn a wɔwɔ awosu mu tebea horow te sɛ Prader-Willi syndrome no fi awosu mu hypothalamic dwumadi asɛe.

Ɛnyɛ obiara na saa tebea yi ka no wɔ ɔkwan koro so. Ebia ɔkɔm de wo bere nyinaa, bere a woadi nnuan ne nnuan nketenkete mpo awie no. Ebia wobɛkɔ so ayɛ kɛse bere a woatew aduan a wudi so na woateɛteɛ w’apɔw mu kɛse mpo akyi. Eyi betumi ayɛ abasamtu kɛse.

Dɛn ne nsɛnnennen a ebetumi afi hypothalamic kɛseyɛ mmoroso mu aba?

Saa tebea yi betumi de akwahosan ho haw afoforo aba, na ebi ne:

• Ɛyɛ den sɛ wobɛhwɛ mogya mmoroso anaa koma a ɛbɔ so.
• Asikreyare a Ɛto so 2.
• Mmerɛbo mu yare a srade wom.
• Electrolyte a ɛnkari pɛ wɔ nipadua no mu.
• Dae ho haw anaasɛ circadian rhythm a wɔsɛe no.
• Nipadua ho mfonini a enye anaasɛ adwene ne nkate mu nsunsuanso afoforo.

Nea ɛho hia no, sɛe hypothalamus no nso betumi aka ɔkwan a ɛne pituitary gland no di nkitaho . Nnipa pii a wɔayɛ kɛse mmoroso wɔ hypothalamic mu nso wɔ tebea bi a wɔfrɛ no hypopituitarism , a ɛyɛ bere a pituitary gland no ntumi nyɛ hormone biako anaa nea ɛboro saa a ɛdɔɔso.

Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya hypothalamic kɛseyɛ mmoroso?

Sɛ wokɔ oduruyɛfo nkyɛn a, obetie wo yare no ho sɛnkyerɛnne no yiye, ayɛ wo nipadua mu nhwehwɛmu, na wabisa w’ayaresa ho abakɔsɛm. Sɛ woka sɛ, "Mayɛ nsakrae wɔ asetra mu, mateɛteɛ m'apɔw mu, na mahwɛ m'aduan, nanso mintumi ntew me mu duru so," ebia oduruyɛfo no besusuw sɛ wowɔ saa tebea yi (HyOb). Ebia wobebisa nso sɛ ebia woapira wo ti nnansa yi anaa.

Ɛno akyi no, ebia wɔbɛhyɛ wo sɛ yɛ sɔhwɛ ahorow te sɛ eyinom:

• Mogya mu nhwehwɛmu de hwɛ sɛnea hormone dodow te: Sɛ hormone dodow bi nkɔ so daa a, wobetumi akyerɛ sɛ ebia hypothalamus no asɛe anaa.
• Amemene mu mfoniniyɛ mu nhwehwɛmu: Hwɛ sɛ amemene no asɛe anaaWobetumi ayɛ CT scan (Computed Tomography scan) bi. Eyi ho hia titiriw sɛ wo tipira nnansa yi wɔ akwanhyia bi mu a.

Mfe bɛn na hypothalamic kɛseyɛ mmoroso ba?

Wɔtaa hu saa tebea yi wɔ mmofra a wɔadi fi mfe 5 kosi 14. Eyi te saa efisɛ ɛtaa fi amemene mu akisikuru. Nanso, ɛho hia sɛ yɛkae sɛ ebetumi aba wɔ mfe biara mu .

Ɔkwan bɛn so na wɔsa hypothalamic kɛseyɛ mmoroso?

Sɛ yɛbɛka nokware a, mprempren wonni aduru anaa ayaresa pɔtee biara a wɔde sa yare yi. Ɛno yɛ bummer kakra. Nanso, wo duruyɛfo ne wo bɛyɛ adwuma de ahwehwɛ ɔkwan a eye sen biara a wobɛfa so adi wo sɛnkyerɛnne ahorow no ho dwuma na ama w’asetra nyinaa atu mpɔn. Esiane sɛ nnuru a wɔde sa kɛseyɛ mmoroso a wɔtaa de di dwuma no ntumi nyɛ adwuma nti, ebia nnuruyɛfo bɛsɔ ayaresa ahorow ahwɛ.

Ayaresa foforo bi ne:

• Nnuru: Nnuru bi a wɔde sa kɛseyɛ mmoroso, te sɛ GLP-1 agonists , betumi aboa ma wɔasiw aduan ho akɔnnɔ ano na wɔatew ɔkɔm so. Afei nso, nnuru a ɛma nipadua no nya ahoɔden betumi abɔ mmɔden sɛ ɛbɛma pituitary gland ne hypothalamus no dwumadi atu mpɔn akodu baabi.
• Oprehyɛn a wɔbɛyɛ de ayi akisikuru: Sɛ nhyɛso a efi amemene mu akisikuru bi mu sɛe hypothalamus no a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn nyi akisikuru no. Bere a eyi betumi ama ahotɔ kakra no, wɔ nsɛm dodow no ara mu no, ɔsɛe a ɛba hypothalamus no so daa.
• Yafunu mu oprehyɛn: Wɔtaa de eyi di dwuma sɛ ɔkwan a etwa to, bere a akwan afoforo nyinaa adi nkogu akyi.

Sɛ mewɔ `(HyOb)` a, dɛn na ɛsɛ sɛ midi?

Adidi nhyehyɛe biara nni hɔ a ɛfata obiara a ɛka sɛ "eyi ne nea ɛsɛ sɛ wudi." Ɛsɛ sɛ wo ne aduannuru ho ɔbenfo anaa aduan ho ɔbenfo yɛ adwuma de hu nnuan a eye ma wo. Bere a ɛsono obiara no, wɔhyɛ nnipa dodow no ara fo sɛ wonni nnuan a ahoɔden wom pii (nhabannuru, nam a ɛnyɛ den, mpataa, atoko, nnuaba, aburow a wɔayam) ne nnuan a wɔnyɛ ho adwuma pii (nneɛma a ɛyɛ dɛ te sɛ kukisi, keeki, nnuan a wɔakyekyere) .

Dɛn na ɛsɛ sɛ obi a ɔwɔ hypothalamic kɛseyɛ mmoroso hwɛ kwan?

Hypothalamic kɛseyɛ mmoroso a wobɛtra ase no betumi ayɛ den . Esiane sɛ wonni ayaresa pɔtee biara mma no nti, ebehia sɛ wo ne w’aduruyɛfo kuw no yɛ adwuma yiye hwehwɛ akwan a wobɛfa so adi wo sɛnkyerɛnne ahorow no ho dwuma na w’asetra atu mpɔn. Ɛtaa ba sɛ wobɛte abasamtu nka bere a woasɔ kɛseyɛ mmoroso ayaresa a wɔtaa de di dwuma ahwɛ na entumi nyɛ adwuma no.

Nea ɛho hia sen biara ne sɛ wobɛte ase sɛ ɛnyɛ biribiara a woyɛe anaa woannyɛ na ɛde saa sɛnkyerɛnne ahorow yi ba.Wo ne wo nnuruyɛfo nkasa na woanya mmoa a wuhia. Ebia nea ɛka mmoa yi ho ne adwene ne nneyɛe ho ɔbenfo a wobɛkɔ akɔka sɛnea wobegyina tebea yi ano ho asɛm.

So wobetumi asiw `(HyOb)` ano?

Nea ɛyɛ awerɛhow no, wontumi nsiw eyi ano . Ebetumi afi nneɛma te sɛ akwanhyia, opira, anaa amemene mu akisikuru. Nanso, wubetumi ayɛ nneɛma te sɛ eyi de atew asiane a ɛwɔ hɔ no so:

• Hyɛ dade kyɛw na bɔ wo ti ho ban na amma amemene no anpira. Hwɛ yiye titiriw bere a wote sakre, moto, na wode wo ho hyɛ agumadi a asiane wom mu no.
• Kɔ aduruyɛ mu nhwehwɛmu daa. Oduruyɛfo a wobɛkɔ akɔhwɛ daa na wɔahwɛ w’akwahosan no yɛ ɔkwan pa a wobɛfa so ahu ayaresa tebea ahorow ntɛm.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wowɔ hypothalamic kɛseyɛ mmoroso ho sɛnkyerɛnne te sɛ wo mu duru a ɛkɔ soro ntɛmntɛm na ɔkɔm de wo bere nyinaa a , kɔ wo duruyɛfo nkyɛn ntɛm ara. Eyi ho hia titiriw sɛ wowɔ akisikuru bi a ɛka wo hypothalamus anaasɛ wo ti apira nnansa yi a.

Wunim, tebea bi a enni ayaresa anaa ayaresa a ɛfata a wobɛtra ase no betumi ayɛ den. Sɛ wuhia ahotɔ, mmuae a emu da hɔ, na biribiara te nka sɛ ɛyɛ wo den a, ebetumi ayɛ wo den. Nanso wo ne w’akwahosan kuw no nyɛ adwuma na woanya ano aduru a ɛbɛyɛ adwuma ama wo. Ebia ɛbɛhwehwɛ sɛ wɔbɛsɔ nneɛma ahorow ahwɛ, anaasɛ ebetumi afa nnuru ne oprehyɛn ho. Nanso, w’akwahosan kuw no wɔ hɔ sɛ wɔbɛboa wo. Ɛyɛ papa nso sɛ wo ne obi a wowɔ ne mu ahotoso bɛkasa afa sɛnea wote nka ho. Wobetumi aboa wo ma woanya akwan a wobɛfa so agyina wo tebea no ano.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti momma yɛnbɔ nneɛma a ɛho hia paa a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu no bi mua:

• Hypothalamic obesity (HyOb) yɛ kɛseyɛ mmoroso tebea a emu yɛ den a ɛba esiane hypothalamus a ɛsɛe nti .
• Mu duru a ɛkɔ soro ntɛmntɛm ne ɔkɔm a wontumi nni so ne sɛnkyerɛnne atitiriw.
• Nea ɛde ba no bi ne amemene mu akisikuru, amemene mu opira, ne awosu mu tebea horow .
• Mprempren wonni aduru pɔtee biara anaa ayaresa a wɔapene so , nanso wobetumi adi sɛnkyerɛnne ahorow no ho dwuma.
• Eyi nyɛ wo mfomso .
• Ɛho hia yiye sɛ wobɛhwehwɛ aduruyɛfo afotu sɛ wowɔ sɛnkyerɛnne ahorow a.
• Hwehwɛ mmoa fi nnuruyɛfo kuw no hɔ na sɛ ɛho hia a, hwehwɛ adwene ne nneyɛe ho ɔbenfo.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Sɛ wowɔ ɔhaw bi a ɛte sɛɛ a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛ mu afotu mmom sen sɛ wobɛbɔ mmɔden sɛ w’ankasa wubegyina ano.

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