Yu tink se yu fat? Lɛ wi lan mɔ bɔt fɔ fat!

Tide wi go tɔk bɔt wan tɔpik we bɔku pipul dɛn gɛt, bɔt sɔntɛnde dɛn nɔ kin tɔk bɔt fayn. Dat na fɔ fat pasmak . Sɔntɛm yu de tink bɔt dis bak, ɔr sɔmbɔdi wae yu sabi gɛt dis sik. E kin rili kɔmplikt smɔl, ɛn na wɛl bɔdi prɔblɛm we kin de fɔ lɔng tɛm. Bɔt nɔ wɔri, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na dis fat pasmak?

Fɔ tɔk am simpul wan, fɔ fat pasmak na fɔ gɛt mɔ fat pas aw yu bɔdi nid. I nɔ jɔs bi fɔ "fɔ gɛt bɔku bɔku bɔdi." Dɔktɔ dɛn kin tek am se na sik we nɔ de mɛn ɛn we nɔ izi fɔ du . Bikɔs i kin gɛt big impak pan yu ɔl yu wɛlbɔdi ɛn kwaliti layf. Sɔntɛnde, i kin afɛkt bak aw yu de fil bɔt yusɛf ɛn aw yu de tink.

Bɔt mɛmba wan tin, if yu fat, nɔto yu wangren de. Bɔrku pipul wae gɛt dis sik ɔlsay na di wɔl, ivin na wi kɔntri. De tin wae impɔtant pas ɔl na dat dɔktɔ kin ɛp yu fɔ fɛn di tritmɛnt ɛn di we aw fɔ mɛn dis.

Wetin na di sayn dɛm we de sho se pɔsin fat?

Infakt, no patikyula sayn nɔ de fɔ sho se pɔsin fat. Dat min se, i at fɔ se wantɛm wantɛm se, "A fat bikɔs a gɛt dɛn tin ya ɛn dɛn tin ya." Bɔt, dɔktɔ go no if yu fat ɔ yu nɔ fat bay we i luk tu men tin dɛn:

1. Bɔdi Mas Indeks (BMI): Dis de sho if yu gɛt nɔmal wet fɔ yu ayt. Dɔktɔ dɛn kin yuz dis ``(BMI)`` valyu fɔ klas di fat.

2. Bodi shep: Di men tin we yu go luk hia na yu wes sirkumferens .

Bɔdi Mas Indeks (BMI) Klasifikɛshɔn

Dɔktɔ dɛn kin klas fat pasmak to tri men klas bay yu ``BMI`` valyu. Dis klasification de sho us step yu nid fɔ tek fɔ lɔs weit.

• Klas I fat: BMI (bɔdi mas indeks) bitwin 30 ɛn 35 kg/m2.
• Klas II fat: BMI (bɔdi mas indeks) bitwin 35 ɛn 40 kg/m2.
• Klas III fat: BMI na 40 kg/m2 ɔ mɔ.

Bɔt mɛmba wan tin, yu BMI nɔmɔ nɔ go ebul fɔ tɛl yu ustɛm yu gɛt prɔblɛm wit yu wɛlbɔdi. Na wan tin nɔmɔ we de sho se sɔntin de apin.

Di Sɛkɔnfɛreshɔn na di Wɛst

Usay yu kin kip bɔku fat na yu bɔdi kin afɛkt bak di wɛlbɔdi prɔblɛm dɛn we pɔsin kin gɛt we i fat. Di U.S. Centers for Disease Control and Prevention (CDC) bin tɔk se if uman in wɛst pas 35 inch ɛn pas 40 inch fɔ man, dat kin bi sayn fɔ se i go gɛt mɔ prɔblɛm dɛn lɛk sik dɛn we de ambɔg in at ɛn di blɔd ɔ tayp 2 dayabitis.

Wetin na di tin dɛn we kin mek pɔsin fat?

Fɔ tɔk am simpul wan, i kin mek pɔsin fat bikɔs i de it mɔ pas wetin yu bɔdi nid.Kalori na wetin yu de it. Bɔt wetin mek wi de it bɔku tin? Nɔto wan rizin nɔ de fɔ dis, bɔku rizin dɛn kin de. Tink bɔt am...

• Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn we yu kin tek fɔ ɔda sik kin mek yu gɛt mɔ wet. Fɔ ɛgzampul, mɛrɛsin fɔ mɛn pwɛl hat, stɛroyd, mɛrɛsin fɔ epilepsy, sɔm mɛrɛsin fɔ dayabitis, ɛn beta-blɔk.
• Disabilities: Big pipul ɛn pikin dɛm wae gɛt disabled na dɛn bɔdi ɔr fɔ lan kin gɛt bɔrku risk fɔ fat. Dis kin bi bikɔs i nɔ gɛt bɛtɛ bɔdi, i nɔ gɛt spɛshal edyukeshɔn, ɛn i nɔ gɛt tin dɛn fɔ du.
• Bad it: Fɔ it mɔ kalori pas wetin di bɔdi nid, it dɛn we dɛn dɔn prosɛs pasmak, it ɛn drink dɛn we gɛt shuga, ɛn sɛtyuret fat na di men tin dɛn we kin mek pɔsin fat. Imajin aw yu go it bɔku shuga if yu de drink wan bɔtul drink we gɛt shuga ɛvride!
• Jɛnɛtiks: Risach dɔn sho se sɔm patikyula jin dɛn de (obesity-susceptibility genes) we kin afɛkt di we aw pipul dɛn we fat kin want fɔ it. Bɔt i nɔ klia yet if dis jɛnɛtik mek-ap na di sem pan ɔl pipul dɛn we gɛt bɔku bɔku bɔdi.
• Nɔ ebul fɔ du tin wit yu bɔdi: We yu wach TV, ple vidio gem, ɛn spɛn bɔku tɛm na yu fon ɔ laptɔp, dat kin mek yu nɔ spɛn bɔku tɛm fɔ ɛksesaiz.
• Nɔ slip: If wi nɔ slip fɔ sɛvin awa ɛvride, dat kin afɛkt di ɔmon dɛn we de kɔntrol wi angri.
• Stress: We yu strɛs, yu bren ɛn yu bɔdi de mek mɔ ɔmon lɛk kɔtisol, we de kɔntrol angri. Dis kin mek yu kray fɔ "kɔmfɔt it" we gɛt bɔku fat ɛn shuga. Dɛn kin kip dɛn it ya as fat we pasmak na yu bɔdi.
• כndalayn hεlth prכblεm dεm: We yu de gεt wet kin bi bak wan sayd ifekt fכ kכndyushכn dεm lεk Mεtabolik Sindrom εn Polisistik Ovari Sindrom (PCOS). Mental hεlth prכblεm lεk Anxiety εn Diprεshכn kin mek bak yu want fכ it tin dεm we gεt hכy kalori we de mek di bren in pleshכn sεnta dεm.

Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i fat?

If yu fat, dat kin afɛkt yu bɔdi bɔku we dɛn. Fɔ ɛgzampul, i kin mek yu bɔdi chenj ɛn dat kin mek yu gɛt bɔku siriɔs sik dɛn. Fɔ fat kin gɛt dairekt ɛn indayrɛkt ifɛkt bak pan yu ɔl wɛl bɔdi.

Di Chenj dɛn we De Na di Mɛtabolik

yu mεtabolism na di prכsεs we di kalori dεm we yu de it de kכnvכlt to εnεji εn yuz am fכ fכl yu bכdi. We yu bɔdi it mɔ kalori pas aw i kin yuz, di ɛkstra kalori dɛn kin chenj to fat ɛn kip am na yu bɔdi in fat sɛl dɛn. we nכ tisu nכ de fכ kip dεn fεt dεm ya, di fεt sεl dεm sεf kin big. Dis na aw fɔ du amdi fεt sεl dεm we big de mek כmon dεm εn כda kεmεkal dεm we de mek di bכdi inflameshn.

Dis inflamɛns kin mek pɔsin nɔ gɛt insulin . Yu bɔdi nɔ kin ebul fɔ yuz insulin fɔ mek yu blɔd shuga ɛn fat lɛvɛl go dɔŋ. If yu blɔd shuga ɛn fat bɔku, dat kin mek yu blɔd prɛshɔn bak. We ɔl dɛn tin ya kam togɛda, dɛn kin kɔl am mɛtabolik sindrom . Dis sik kin kam pan pipul dɛm wae fat pasmak. I kin mek bak yu gɛt dɛn sik ya:

• Di sik dɛm wae de kam wit di at ɛn di blɔd: If yu fat pasmak, i kin mek yu gɛt at sik, mɔr lɛk korona at sik, at atak, at kin pwɛl, ɛn strok.
• Fat Liva Sik: Di fat we pasmak na di blɔd de travul go na di liva, we de filta di blɔd. We di liva bigin fɔ gɛda bɔku fat, i kin mek di liva inflamɛns (Epatitis) ɛn i kin mek di liva pwɛl fɔ lɔng tɛm (Cirrhosis).
• Gal ston: Bikɔs ɔf di kɔlɔstrel we de na di blɔd we de go ɔp, di kɔlɔstrel kin de na di gal blad, we kin mek di risk fɔ gɛt kɔlɔstrel gal ston ɛn gal blad sik.
• Kidni Sik: Ay blɔd prɛshɔn, dayabitis, ɛn liva sik na sɔm pan di men tin dɛn we kin mek pɔsin gɛt sik na in kidni we nɔ de dɔn.
• Tayp 2 Dayabitis: Mɔs pan pɔsin we fat, i kin mek i gɛt tayp 2 dayabitis.

Statistikin, fɔ fat kin mek pɔsin day bifo tɛm bikɔs ɔf ɛnitin. Bɔt risach dɔn sho se ivin smɔl smɔl we yu lɔs yu wet (bitwin 5% ɛn 10%) i kin ridyus dis risk.

Dairekt ifɛkt dɛn

di fεt we pasmak na yu bכdi kin put prεshכn pan yu respiratory כgan dεm εn put strεs εn strεs pan yu mכskul εn skel sistεm. Dis kin mek yu gɛt tin dɛn lɛk:

• Atraytis we pɔsin kin gɛt
• Asma we gɛt asma
• Bak pen
• Obesity Hypoventilation Syndrome we de mek pɔsin fat pasmak
• Slip apnɛa fɔ slip

Apat frɔm dat, if pɔsin fat, dat kin mek i gɛt dɛn sik ɛn tin dɛn ya:

• Sɔm kayn kansa: Fɔ ɛgzampul, kansa na di εsophageal, pankrias, kɔlon, brɔst, uterin, ɛn ovarian kansa.
• Pwɛl hat ɛn Mud Disɔda.
• Infεtiliti na uman dεm εn di kכmplikεshכn dεm we uman bεlε.
• Prɔblɛm fɔ mɛmba ɛn kɔgnishɔn: inklud wan risk fɔ gɛt sik dɛn lɛk Alzaima ɛn dis maynia sik.

Aw fɔ no se pɔsin fat?

We yu go to dɔktɔ, i go mɛzhɔ yu wet, ayt, ɛn yu wes rawnd. Dɛn kin aks yu bak fɔ du bɔdi kɔmpɔzishɔn tɛst, lɛk bon dɛnsiti tɛst ɔ bayɔɛlektrik impedans analisis. Dis tɛst de mɛzhɔ yu bɔdi kɔmpɔzishɔn bay we i de sɛn ilɛktrik kɔrɛnt tru yu bɔdi ɛn mɛzhɔ di spid we i de travul.

Bɔt, di tin we impɔtant pas ɔl na dat, i impɔtant fɔ no yu ɔl yu wɛlbɔdi. Di dɔktɔ go aks yu dɛn kwɛstyɔn ya:

• Yu mɛdikal histri ɛn tritmɛnt dɛm: Dɛn go aks yu bak bɔt di mɛrɛsin dɛm wae yu de tek. Dɛn kin aks yu bak bɔt ɛni mɛrɛsin we yu famili gɛt.
• Yu wet histri: Dɛn go aks yu bak if yu dɔn tray fɔ lɔs wet bifo ɛn aw yu ɛkspiriɛns bin bi.
• Di we aw yu de liv yu layf: Tin dɛn lɛk di we aw yu de it naw, aw yu de slip, ɛn aw yu de du tin dɛn we yu de du insay di de.
• Yu maynd wɛl bɔdi: Dɛn kin aks yu bɔt tin dɛm wae de afɛkt yu maynd wɛl bɔdi, lɛk strɛs, bikɔs tin dɛm lɛk strɛs kin mek bak yu it pasmak.

Di dɔktɔ go chɛk yu impɔtant sayn dɛn bak ɛn i kin tɛl yu fɔ du sɔm blɔd tɛst. Dɛn kin yuz dis kɔmplit infɔmeshɔn fɔ no if pɔsin fat ɛn ɔda tin dɛn we gɛt fɔ du wit am (if ɛni wan de).

Aw dɛn kin trit pɔsin we fat?

Yu dɔktɔ go wok wit yu fɔ mek wan plan fɔ lɔs yu wet we go fayn fɔ yu. Bikɔs ɔlman difrɛn, i kin tek sɔm tɛm fɔ tray ɛn mek mistek fɔ fɛn di tritmɛnt we go wok fɔ yu.

Di chenj dɛn we de apin na di it we dɛn de it

Yu na pɔsin we spɛshal. So ɛni chenj we yu mek to di it dɛn we yu de it, fɔ mek i fit yu. We dɛn de fɔ mek it dɛn we gɛt wɛlbɔdi ɛn we ful-ɔp wit it dɛn we gɛt wɛlbɔdi. Yu dɔktɔ kin tɛl yu bɔt aw fɔ it we sayɛns dɔn pruv, lɛk di Mɛditarenian Dayt ɔ di DASH Diet . Dɛn tin ya nɔto it dɛn we de stɔp pɔsin fɔ it, we nɔ fayn lɛk ɔda it dɛn. Dɛn kin tan lɛk wan sɛt fɔ fayn fayn tin dɛn fɔ ɛp yu fɔ rich di tin dɛn we yu dɔn plan fɔ it.

Fɔ mek di tin dɛn we yu de du ɛvride bɔku

Aktiviti de bɔn di kalori dɛn. Bɔku we dɛn de fɔ mek yu du mɔ ɛvride. Tray fɔ ad smɔl ɛksesaiz to yu de.

Mental wɛlbɔdi sɔpɔt

Kɔnsul, sɔpɔt grup, ɛn kɔgnitiv bihayvya tɛrapi (CBT) kin ɛp yu fɔ mek fayn chenj. Dɛn kin ɛp yu bak fɔ kɔntrol yu strɛs ɛn bia wit tin dɛm wae de mek yu fil ɛn yu maynd wae de woke agens yu.

Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku bɔku bɔdi

Yu dɔktɔ kin tɛl yu fɔ ad mɛrɛsin to yu weit lɔs plan. Mɛrɛsin nɔto di kɔmplit ansa fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi, bɔt dɛn kin ɛp yu fɔ bia wit am ɔda we dɛn. Fɔ ɛgzampul,Di tin dɛn we de mek yu nɔ want fɔ it kin blok sɔm pan di sayn dɛn na yu bren we kin afɛkt yu angri. Di U.S. Food and Drug Administration (FDA) dɔn gri fɔ yuz dɛn mɛrɛsin ya fɔ mek pɔsin fat:

• Bupropion-naltrexone (Contrave®): I kin mek yu nɔ want fɔ it ɛn di it we yu de it nɔ bɔku.
• GLP-1 agonists: Kɔntrol di apɛtit, mek yu fil ful fast fast, ɛn i kin bak fɔ mek di blɔd shuga lɛvɛl go dɔŋ. Ozempic® na ɛgzampul fɔ wan GLP-1 agonist.
• Semaglutide (Wegovy®) ɛn/ɔ Tirzepatide (Zepbound®): I de mek pɔsin nɔ want fɔ it. Dɔktɔ dɛn kin jɔyn dis mɛrɛsin bak wit wan GLP-1 agonist.
• Liraglutide (Saxenda®): I de mek pɔsin nɔ want fɔ it ɛn i de mek di bɔdi slo.
• Orlistat (Xenical®, Alli®): I de ridyus di fεt we de kכmכt na yu intestin.
• Phentermine-topiramate (Qsymia®): I de ridyus yu angri.
• Phentermine (Adipex-P®, Lomaira®, Suprenza®): I de mek yu nɔ want fɔ it. Dɛn dɔn gri fɔ yuz am fɔ tri mɔnt wan tɛm.

Ɔpreshɔn fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi (Bariatric Surgery) .

If yu gɛt Klas III fat, bariatric ɔpreshɔn kin bi opshɔn fɔ yu. dis כpεrayshכn dεm de wok bay we dεn de chenj yu dijestiv sistεm – כltεm di bεlε, εn sכmtεm di sכmכl intestכn – fכ kכntro di כmכnt כf kalori dεm we yu kin it εn abzכp. Dɛn kin ridyus bak di angri signal dɛm we de kɔmɔt na yu dijestiv sistɛm to yu bren. Bɔku kayn ɔpreshɔn dɛn de fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi:

• Switch we de na di duodenal
• Gastrik Band (Lap Band) `(Gastrik Band - LAP band)`
• Baypas na di gastric (Roux-en-Y) .
• Gastrik Sliv (Sliv Gastrectomy) .

Yu tink se dɛn go ebul fɔ mek pɔsin nɔ fat?

I izi fɔ mek yu nɔ fat pas fɔ trit am wans i dɔn sɛt in. Dat na bikɔs yu bɔdi de manej yu bɔdi wet insay wan we we de shift gia as i de balans yu angri signal wit di amɔnt ɔf ɛnaji we yu de spɛn fɔ du tin dɛn we yu de du ɛvride. we yu bכdi dכn establish nyu, hכy "sεt pכynt," na dat i de kכnsidr yu nyu bεslayn wet. Da nyu sɛt pɔynt de kin mek yu wet go ɔp na di skel ɔ BMI chɔt.

If yu pe atɛnshɔn to yu abit ɛn mek sɔm chenj dɛn we mek sɛns naw, dat go ɛp yu fɔ mek yu nɔ fat tumara bambay. Na sɔm ɛgzampul dɛn ya:

• Mek smɔl chenj dɛn:Yu gɛt abit we gɛt bɔku kalori, lɛk fɔ it snek ɛvride ɔ drink we gɛt shuga we yu "pik"? Tink bɔt fɔ chenj am. If yu tek ɛkstra 150 kalori ɛvride, i kin ad 10 pawn (lɛk 4.5 kg) insay wan ia. Dat na di sem tin wit wan smɔl paket chips ɔ tu sandwich kuki dɛn we dɛn dɔn dubl.
• Ad fɔ du tin wit yu bɔdi: Ɔda we de fɔ fɛn tin we go fayn fɔ yu ɛn yu fitnɛs lɛvɛl, ɛn tink bɔt wetin yu go du fɔ bɔn ɛkstra 150 kalori ɛvride.
• Bay tin dɛn bay wilful: Briŋ it dɛn we gɛt wɛlbɔdi na os ɛn kip dɛn. We yu go na do, limit swit ɛn trit fɔ spɛshal ɔkayshɔn dɛn.
• Impruv ɔl di wɛlbɔdi: Ridyus di skrin tɛm, kɔmɔt na do ɛn gɛt sɔm fresh briz. Manej yu strɛs, rigul yu ɔmon lɛvɛl, ɛn tray fɔ slip fayn. Fokus pan gud chenj ɛn du tin dɛn we go mek yu gɛt wɛlbɔdi, pas fɔ jɔs tink bɔt di impak we yu de tray fɔ du pan yu wet.

Wetin kin apin if yu fat pasmak?

If yu fat, dat kin mek yu gɛt sɔm siriɔs wɛlbɔdi prɔblɛm dɛn. Bɔt fɔ fat nɔr min se yu go gɛt dɛn kayn sik ya ɔr yu nɔr go ebul fɔ du natin fɔ mek yu nɔr gɛt dɛn. Mɛmba se if yu lɔs jɔs 5% to 10% pan yu wet, dat kin ridyus yu wɛlbɔdi prɔblɛm dɛn bad bad wan. If yu wok pan wan tritmɛnt plan fɔ lɔng tɛm, dat kin ɛp yu fɔ kɔntinyu fɔ gɛt di wet we yu de lɔs.

Aw yu kin mek di wet we yu bin dɔn lɔs nɔ kam bak?

Yu kin tink se wans yu rich wan patikyula wet, yu weit lɔs joyn dɔn dɔn. Bɔt fɔ fat pasmak na sik we kin de fɔ lɔng tɛm. Dat min se yu nid fɔ kɔntinyu fɔ du di tin dɛn we yu bin du fɔ lɛf fɔ it bɔku bɔku it, lɛk fɔ bay tin dɛn bay wilful ɛn fɔ de du tin fɔ sɔm dez insay di wik.

If yu fat, yu kin fil lɛk se natin nɔr de fɔ du fɔ kɔntrol yu sik. Wi kin ɔndastand dɛn filin ya, ɛn dɛn kin rili kɔmɔn. If yu tink se yu fat, tɔk to dɔktɔ. I kin ɛp yu fɔ fɛn wan plan fɔ yuz yu wet we go wok fɔ yu.

Di tin we impɔtant pas ɔl fɔ kɛr go na os frɔm dis atikul

Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we yu nid fɔ mɛmba:

• Fɔ fat nɔto simpul tin. Na siriɔs, lɔng tɛm sik wae kin afɛkt yu wɛl bɔdi.
• Bɔku rizin dɛn kin de fɔ dis. Bɔku tin lɛk di jin, di say we wi de, di we aw pɔsin de liv in layf, ɛn di we aw i de fil kin afɛkt dis.
• Bɔku prɔblɛm dɛn kin apin. Di risk kin bɔku fɔ gɛt tin dɛn lɛk dayabitis, at sik, ɛn kansa.
• Bɔt, dɛn kin ebul fɔ kɔntrol am. As di mεdikal advays se, dεn kin kכntro dis kכndyushכn wit chenj dεm we yu de it, εksεsayz, εn if nid de, mεdikeshכn כ כpεrayshכn.
• Ivin smɔl chenj kin mek big impak.Ivin if yu lɔs smɔl wet, dat kin mek yu nɔ gɛt bɛtɛ wɛlbɔdi.
• Nɔto yu wan de. Nɔ fred fɔ tɔk bɔt dis ɛn aks fɔ ɛp. Gɛt ɛp frɔm dɔktɔ, pɔsin we sabi bɔt it, ɛn sɔntɛm pɔsin we de gi advays.
• Di tin we impɔtant pas ɔl na fɔ tek kia ɔf yusɛf ɛn kɔntinyu fɔ tink gud wan.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, mek shɔ se yu tɔk to dɔktɔ. Dɛn go gayd yu fɔ du dis waka di we we go fayn fɔ yu.

` Fat, We yu de lɔs, Wɛlbɔdi, BMI, Dayabitis, At sik