Worepere sɛ wobɛhwɛ wo mu duru so? Ebia ɛbɛyɛ Hypothalamic Obesity (HyOb) – Nirogi Lanka

Ɛnnɛ wɔ Nirogi Lanka no, yɛpɛ sɛ yɛka ɔkwan soronko bi a wɔfa so ma yɛn mu duru yɛ kɛse ho asɛm. So wuhu sɛ ɛyɛ abasamtu sɛ ɛmfa ho mmɔden biara a wobɔ wɔ aduan ne apɔw-mu-teɛteɛ ho no, nsenia no renhinhim kɛkɛ? Ebetumi aba sɛ ade bi a ɛhyɛ ase a wunsusuw ho na ɛrekɔ so. Yɛreka tebea bi a wɔfrɛ no Hypothalamic Obesity, anaasɛ kɛkɛ (HyOb) ho asɛm .

Dɛn ne Hypothalamic Obesity (HyOb)?

Sɛ yɛbɛka no tiawa a, Hypothalamic Obesity (HyOb) yɛ tebea a emu yɛ den a ɛma wo mu duru kɔ soro a efi wo hypothalamus —w’amemene no fã ketewaa bi nanso ɛho hia ma ɛyɛ nwonwa —a ɛnyɛ adwuma yiye na ɛde ba. Fa no sɛ hypothalamus sɛ wo nipadua no mfinimfini abantenten a ɛhwɛ so, a ɛwɔ w’amemene no ase. Ɛhwɛ dwumadi ahorow a ɛho hia so, a nea ɛka ho ne wo hormone ahorow a ɛhwɛ so, w’akɔnnɔ a ɛhwɛ so, ne wo nipadua mu nneɛma a ɛsakra (sɛnea wo nipadua hyew calories) so. Sɛ hypothalamus no sɛe a, nhyehyɛe ahorow a ɛhwɛ nneɛma so yi hinhim, na ɛma obi mu duru kɔ soro ntɛmntɛm a wontumi nni so.

Dɛn ne Hypothalamic Obesity ho sɛnkyerɛnne ahorow?

Wɔ saa tebea yi mu no, wubetumi ahu sɛnkyerɛnne ahorow a edidi so yi:

• Mu duru a ɛkɔ soro ntɛmntɛm: Ebia wubehu sɛ wo mu duru kɔ soro ntɛmntɛm a ɛyɛ hu.
• Ɔkɔm a wontumi nni so (Hyperphagia): Sɛ wudi aduan a ɛyɛ dɛ wie mpo a, ebia wobɛte ɔpɛ a ɛkɔ so, a ɛboro so sɛ wubedi a ɛte sɛ nea wuntumi nsiw ano no nka.
• Nneɛma a ɛma nipadua no yɛ adwuma a ɛba fam: Tumi a wo nipadua no tumi hyew calories na ɛhwɛ srade a ɛkora so no sɛe, na ɛma ɛyɛ den sɛ wobɛtew wo mu duru so bere a wunnidi kakraa bi mpo no.
• Mu duru a ɛkɔ soro ɛmfa ho sɛ wɔabara calorie: Ebia wubehu sɛ woresusuw ho sɛ, “Dɛn nti na meda so ara reyɛ kɛse ɛmfa ho sɛ madi aduan pa?” Eyi yɛ tebea no agyiraehyɛde.
• Ɔbrɛ a ɛkɔ so daa anaa nna a wontumi nna: Sɛ wo nipadua no tumidi nhyehyɛe no mu yɛ basaa a, ebetumi ama woabrɛ a enni sabea anaasɛ nea ɛne no bɔ abira no, ɛyɛ den sɛ wobɛda anaasɛ wobɛda.
• Apɔw-mu-teɛteɛ a wontumi nnyina ano: Ebia wubehu sɛ apɔw-mu-teɛteɛ a emu nyɛ den mpo de ɔbrɛ kɛse ba, na ɛma ɛyɛ den sɛ wobɛkɔ so ayɛ apɔw-mu-teɛteɛ.

Dɛn nti na Hypothalamic Obesity ba?

Wɔ Nirogi Lanka no, yɛpɛ sɛ wote ase sɛ tebea yi fi ɔsɛe, opira, anaa nhyɛso a ɛba hypothalamus so titiriw . Esiane sɛ saa beae yi na ɛma w’akɔnnɔ ne w’ahoɔden kari pɛ nti, ɔhaw biara sɛe saa nneɛma a ɛho hia yi.

Nneɛma pɔtee a ɛde ba no bi ne:

• Amemene mu Akisikuru:Tebea horow te sɛ craniopharyngiomas, gliomas, hamartomas, ne pituitary adenomas betumi apira hypothalamus no tẽẽ, anaasɛ oprehyɛn a wɔbɛyɛ de ayi afi hɔ no betumi asɛe ade a ɛto so abien. Nokwarem no, HyOb nsɛm no mu bɛboro fã ne craniopharyngioma wɔ abusuabɔ.
• Amemene mu Apirakuru a Ɛyɛ Hu (TBI): Akwanhyia anaa opira a ɛde nhyɛso ba atiridiinini mu, ɛhohoro, anaa mogya tu wɔ baabi a ɛbɛn hypothalamus no betumi ama obi ayɛ adwuma yiye.
• Awosu mu tebea horow: Ɔhaw te sɛ Prader-Willi syndrome betumi ama hypothalamic a ɛnyɛ adwuma yiye aba fi awo mu.

Ɛsono sɛnea obiara nya HyOb mu osuahu. Ebetumi ayɛ abasamtu a ɛyɛ nwonwa sɛ wobɛpere ɔkɔm ne wo mu duru a ɛkɔ soro bere nyinaa ɛmfa ho mmɔden biara a wobɛbɔ sɛ wubedi aduan na woateɛteɛ w’apɔw mu no. Yɛsrɛ sɛ monhu sɛ eyi yɛ aduruyɛ mu tebea, na ɛnyɛ ankorankoro huammɔdi.

Dɛn ne nsɛnnennen a ebetumi afi Hypothalamic Obesity mu aba?

Saa tebea yi betumi de akwahosan ho nsɛnnennen a ɛto so abien pii aba, a nea ɛka ho ne:

• Mogya mmoroso anaa koma a ɛbɔ a ɛnkɔ yiye.
• Asikreyare a Ɛto so 2.
• mmerɛbo mu yare a srade wom a ɛnyɛ nsa.
• Electrolyte a ɛnkari pɛ.
• Dae mu haw anaasɛ circadian rhythm a ɛyɛ basaa.
• Adwene mu nkɛntɛnso, a nipadua ho mfonini a enye anaa nkate mu ahokyere ka ho.

Ɛho hia sɛ yɛhyɛ no nsow sɛ mpɛn pii no sɛ hypothalamus no sɛe no ka sɛnea ɛne pituitary gland no di nkitaho . Ankorankoro pii a wɔwɔ HyOb nso nya hypopituitarism , tebea a ɛma pituitary gland no ntumi nyɛ hormone biako anaa nea ɛboro saa a ɛho hia a ɛdɔɔso.

Ɔkwan bɛn so na nnuruyɛfo hu Hypothalamic Obesity?

Sɛ wokɔ wo duruyɛfo nkyɛn a, wɔbɛyɛ wo nipadua mu nhwehwɛmu a edi mũ, ahwɛ w’ayaresa ho abakɔsɛm mu, na wɔasusuw wo yare no ho sɛnkyerɛnne ahorow ho. Sɛ wobɔ amanneɛ sɛ woayɛ asetra mu nsakrae ne apɔw-mu-teɛteɛ a entumi mmaa wo mu duru so tew a, ebia wo duruyɛfo besusuw sɛ HyOb. Wɔbɛbisa ti a wɔapirapira nnansa yi biara nso ho asɛm.

Eyi akyi no, wobetumi ahyɛ sɛ wɔnyɛ sɔhwɛ pɔtee bi:

• Mogya mu nhwehwɛmu a wɔyɛ de hu sɛnea hormone dodow te: Hormone agyiraehyɛde ahorow a ɛnkɔ so daa betumi ama wɔanya nsɛnkyerɛnne a ɛho hia a ɛfa hypothalamic dwumadi ho.
• Mfoniniyɛ mu nhwehwɛmu: Wobetumi de CT scan (Computed Tomography) anaa MRI ahwehwɛ honam fam adanse a ɛkyerɛ sɛ woapirapira wɔ hypothalamic mu, na sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ woapirapira wo ti nnansa yi a, ɛho hia titiriw.

Mfe bɛn na hypothalamic kɛseyɛ mmoroso taa ba?

Bere a wɔtaa hu tebea yi wɔ mmofra a wɔadi fi mfe 5 kosi 14 mu —mpɛn pii no esiane nneɛma a ɛhyɛ ase te sɛ amemene mu akisikuru nti—ɛho hia sɛ wɔkae sɛ ebetumi ada adi wɔ mfe biara mu .

Ɔkwan bɛn so na wɔsa hypothalamic kɛseyɛ mmoroso?

Sɛ yɛbɛka no tẽẽ a, mprempren aduru biara nni hɔ anaa ayaresa biako pɛ a wɔapene so wɔ amansan nyinaa mu a wɔde sa tebea yi. Bere a eyi betumi ate nka sɛ ɛyɛ abasamtu no, wo Nirogi Lanka akwahosan kuw no ne wo bɛyɛ adwuma abɛn de adi wo sɛnkyerɛnne ahorow ho dwuma na ama w’asetra nyinaa atu mpɔn. Esiane sɛ akwan a wɔfa so tew wo mu duru so a wɔtaa fa so no ntaa nyɛ nea etu mpɔn nti, ebia wo nnuruyɛfo bɛhwehwɛ akwan horow a wɔayɛ ama wo no mu.

Ayaresa a wobetumi apaw bi ne:

• Nnuru: Nnuru bi a wɔde siw wo mu duru ano, te sɛ GLP-1 agonists , betumi aboa ma w’akɔnnɔ ayɛ yiye na ama ɔkɔm ho nkate a emu yɛ den no so atew. Bio nso, wobetumi de ayaresa a egyina hormone so adi dwuma de aboa ma wɔaboa pituitary gland ne hypothalamus dwumadi.
• Oprehyɛn a wɔbɛyɛ de ayi akisikuru: Sɛ nhyɛso a efi amemene mu akisikuru bi mu resɛe hypothalamus no a, ebia wo duruyɛfo a ɔyɛ oprehyɛn no bɛkamfo akyerɛ sɛ wonyi mfi hɔ. Bere a eyi betumi ama wo ho atɔ wo no, yɛsrɛ sɛ hyɛ no nsow sɛ ɔsɛe a hypothalamus no asɛe dedaw no taa yɛ nea ɛtra hɔ daa.
• Gastric bypass oprehyɛn: Wɔtaa bu eyi sɛ ɔkwan a etwa to bere a wɔawie nneɛma afoforo a wɔde wɔn ho hyɛ mu no nkutoo.

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

Aduane biara nni hɔ a "ɛfata obiara". Ɛsɛ sɛ wo ne Aduan Ho Ɔbenfo anaa Aduan Ho Ɔbenfo a ɔyɛ adwumaden yɛ adwuma de yɛ aduan ho nhyehyɛe a wɔayɛ ama w’ahiade pɔtee. Bere a ɛsono ankorankoro biara no, abenfo dodow no ara kamfo kyerɛ sɛ wɔmfa wɔn adwene nsi nnuan a ahoɔdennuru wom (nhabannuru, nam a ɛnyɛ den, mpataa, nhaban momono, nnuaba, ne aburow a wɔayam) so bere a wɔto nnuan a wɔayɛ no yiye (nnɔkɔnnɔkɔwade, keeki, ne nnuan a wɔadi kan ahyɛ mu) ano hye katee .

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

Akyinnye biara nni ho sɛ tebea yi a wobɛtra ase no yɛ den . Esiane sɛ aduru biako biara nni hɔ nti, ɛho behia sɛ wo ne wo Nirogi Lanka ayaresabea kuw no yɛ biako yiye na woahu akwan a eye sen biara a wobɛfa so adi sɛnkyerɛnne ahorow ho dwuma. Ɛyɛ ade a ɛfata koraa sɛ wobɛte abasamtu nka sɛ nneɛma a wɔyɛ de tew wo mu duru so a wɔtaa yɛ no mma nea wɔhwɛ kwan mma a.

Nea ɛho hia sen biara no, yɛsrɛ sɛ te ase sɛ saa sɛnkyerɛnne ahorow yi nyɛ wo mfomso.Wo ne w’akwahosan ho adwumayɛfo nni nkitaho pefee wɔ w’ahiade ho. Ebia nea ɛka mmoa a wɔbɛhwehwɛ nso ho ne sɛ wo ne adwene ho ɔbenfo bi behyiam asusuw akwan horow a wɔbɛfa so agyina ano ne adwene mu yiyedi ho.

So wobetumi asiw (HyOb) ano?

Nea ɛyɛ awerɛhow no, mpɛn pii no, tebea yi fi nneɛma te sɛ adwenemhaw anaa akisikuru a ɛwɔ ase mu na wontumi nsiw ano tẽẽ . Nanso, wubetumi atew asiane a ɛwɔ hɔ sɛ wubepira w’amemene mu nyinaa so denam:

• Nneɛma a wode bɔ wo ho ban a wode bedi dwuma: Hyɛ dade kyɛw bere nyinaa bere a worekɔ sakre so, worekɔ moto so, anaasɛ wode wo ho ahyɛ agumadi a wɔde di nkitaho mu na ama woabɔ wo ti ho ban afi adwenemhaw ho.
• Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Ɛho hia sɛ wɔkɔhwɛ obi daa na ama wɔahu akwahosan mu ɔhaw biara ntɛm.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wuhu hypothalamic kɛseyɛ mmoroso ho sɛnkyerɛnne te sɛ wo mu duru a ɛkɔ soro ntɛmntɛm a wontumi nkyerɛkyerɛ mu ne ɔkɔm a ɛkɔ so daa a wontumi nnya ano , yɛsrɛ wo yɛ nhyehyɛe kɔ wo duruyɛfo nkyɛn ntɛm ara. Eyi ho hia titiriw sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ hypothalamic tumors anaasɛ wo ti apira nnansa yi a. Sɛ biribi si ntɛm a, yɛsrɛ wo, di nkitaho wɔ 911 anaa wo mpɔtam hɔ adwumayɛbea a ɛhwɛ ntɛmpɛ so.

Yegye tom sɛ tebea bi a wobedi ho dwuma a wonni ayaresa a wɔahyɛ da ayɛ no betumi ate nka sɛ ɛyɛ den. Wo Nirogi Lanka hwɛ kuw no wɔ ha sɛ wɔbɛboa wo wɔ sɔhwɛ ne mfomso nhyehyɛe a wɔde hwehwɛ nea ɛyɛ adwuma yiye ma wo nipadua no mu. Ɛnyɛ wo nkutoo na wowɔ eyi mu; fa wo ho to wɔn a wɔde mmoa ma ne mmoa nhyehyɛe a wogye di so na aboa ma woafa akwantu yi mu nkate ne honam fam afã horow no so.

Nneɛma a ɛho hia a wɔde kɔ (Take-Home Message) .

Sɛ yɛbɛbɔ yɛn nkɔmmɔbɔ no mua a, nsɛntitiriw a ɛsɛ sɛ yɛkae ni:

• Hypothalamic obesity (HyOb) yɛ kɛseyɛ mmoroso tebea a emu yɛ den a ɛba esiane hypothalamus a ɛsɛe w’amemene mu nti.
• Mu duru a ɛkɔ soro ntɛmntɛm ne ɔkɔm a wontumi nni so ne n’ayaresa mu agyiraehyɛde atitiriw.
• Nea ɛde ba titiriw betumi ayɛ amemene mu akisikuru, amemene mu opira a ɛyɛ hu, ne awosu mu tebea horow bi .
• Mprempren, ayaresa pɔtee biara nni hɔ anaasɛ ayaresa a ɛfata biara nni hɔ a wɔde sa tebea yi, ɛwom sɛ yebetumi abom adi wo sɛnkyerɛnne ahorow ho dwuma yiye de.
• Yɛsrɛ sɛ kae sɛ eyi nyɛ wo mfomso .
• Sɛ worehyia saa sɛnkyerɛnne ahorow yi a, ɛho hia sɛ wohwehwɛ nnuruyɛfo animdefo afotu .
• Yɛhyɛ nyansa sɛ wo ne w’aduruyɛ kuw titiriw no nyɛ biako na sɛ ɛho hia a, wo ne ɔfotufo bi nsusuw ho na ama woanya nkate fam mmoa.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Sɛ worehyia saa dadwen yi a, yɛsrɛ sɛ nhu amane wɔ kommyɛ mu; akwahosan ho ɔbenfo a wobɛkɔ wo nkyɛn no yɛ anammɔn a eye sen biara a wobɛfa so ama wo yiyedi ne Nirogi Lanka.

Nsɛmfua titiriw: hypothalamic kɛseyɛ mmoroso, HyOb, hypothalamus, kɛseyɛ mmoroso, mu duru a ɛkɔ soro, hormone, amemene mu akisikuru