Yu kin rili wɔri bak bɔt yu bɔdi wet? Ilɛk aw yu tray tranga wan, fɔ lɛf fɔ it bɔku bɔku it nɔ kin izi lɛk aw yu tink? Sɔntɛm yu tink se, "A nɔ de it fayn, a nɔ gɛt di wilpawa fɔ ɛksesaiz." Bɔt fɔ tru, fɔ fat nɔto we pɔsin nɔ want fɔ du sɔntin ɔ we i nɔ ebul fɔ kɔntrol insɛf fɔ it. Na wan sik wae kin tranga pasmak, wae nɔr kin te, wae nid fɔ gɛt tritmɛnt. Na dat wi de tok abaut tide.
Wetin na Klas III Fat?
Fɔ tɔk am simpul wan, Klas III Fat na di kayn we we kin mek pɔsin fat pasmak. Dɛn bin de kɔl am "Morbid Obesity," bɔt da wɔd de bin de mek i nɔ fayn smɔl, so naw dɔktɔ dɛn de yuz di nem "Klas III Obesity."
Wan tin we dɛn kin yuz fɔ no if pɔsin fat na di Body Mass Index (BMI) . Dis na simpul kɔlkyulɛshɔn we de sho if yu gɛt wɛlbɔdi wet fɔ yu ayt.
- If yu BMI na 40 ɔ pas dat, dɛn kin tek am se na Klas III Fat.
Bɔt mɛmba se, nɔto ɔltɛm BMI na 100% kɔrɛkt mɛzhɔmɛnt. Sɔntɛnde, atlet we gɛt mɔsul dɛn kin gɛt ay BMI, bɔt i nɔ fat. So, we dɔktɔ de chɛk yu, i nɔ go jɔs chɛk yu BMI, bɔt i go chɛk ɔda tin dɛn lɛk di say we yu wes de ɛn di tik we yu skin fat layt tik.
De impɔtant tin na dat dis na sik wae dɛn kin trit. Pan ɔl we no sɔlv nɔ de fɔ wan nɛt, yu ɛn yu dɔktɔ kin wok togɛda fɔ mek wan plan fɔ gɛt wɛlbɔdi wet we go wok fɔ yu.
Wetin na di sayn dɛm ɛn prɔblɛm dɛm wae kin kam wae pɔrsin fat pasmak?
Nɔr patikyula sayn nɔr de wae de fɔ Klas III Fat. Di men sayn na di BMI we pas 40. Bɔt dis sik kin afɛkt difrɛn pat dɛn na wi bɔdi ɛn mek wi gɛt siriɔs wɛlbɔdi prɔblɛm. Dis na wetin wi nid fɔ pe atɛnshɔn to mɔ.
Lɛ wi luk sɔm pan de big big wɛl bɔdi prɔblɛm dɛm wae kin kam bikɔs ɔf dis dɔŋ ya.
| Di bɔdi sistɛm | Sɔm prɔblɛm ɛn sik dɛn we kin apin |
|---|---|
| At ɛn blɔd vesel dɛn | At sik, ay blɔd prɛshɔn (Hypertension), fat we de na di at (Atherosclerosis) . |
| Di sistɛm we de mek pɔsin ebul fɔ blo | Snor ɛn slip apnɛa (Obstructive Sleep Apnea), i nɔ kin izi fɔ blo bikɔs i fat (Obesity Hypoventilation Syndrome - OHS) . |
| di εndokrin sistεm (hכmon dεm) . | Tayp 2 Dayabitis, Mɛtabolik Sindrom |
| Bɔn ɛn jɔyn dɛn | Ɔstiɔ-arayt, mɔ na di ni ɛn hip |
| Liva ɛn kidni dɛn | Fat Liva Disease, Kidni Disease |
| Risk fɔ gɛt kansa | Di risk fɔ gɛt kansa na pankrias, kɔlon, bɔdi, ɛn liva kin bɔku |
| Mental wɛlbɔdi biznɛs | Pwɛl hat ɛn ɔda prɔblɛm dɛn we kin kam wit pɔsin in maynd |
| Riprodaktiv wɛlbɔdi | Fεtiliti ishu dεm we de afekt di abiliti fכ uman εn man fכ bכn pikin |
Wetin mek dis de apin? Wetin na di tin dɛn we kin mek pɔsin fat?
Bɔku pipul dɛn biliv se di wet we wi de gɛt na bikɔs di it we wi de it ɛn di ɛksesaiz we wi de du nɔ de balans. Dat na tru te to sɔm mak. we wi it mכr kalori pas aw wi bכdi de bכn, di εnεji we pasmak de stכr insay di bכdi lεk fεt (adipose tissue).
Bɔt di stori nɔ de dɔn de. Dis na tin we rili kɔmpleks.
Di tin we impɔtant pas ɔl: Mɛmba se, Klas III Fat nɔto bikɔs yu nɔ gɛt pawa fɔ du sɔntin ɔ yu nɔ ebul fɔ kɔntrol aw yu de it.
Bɔku ɔda rizin dɛn de we kin afɛkt dis:
- Jɛnɛtiks: Yu go sɔprayz fɔ no se dɛn dɔn no se i pas 15 jin dɛn we gɛt fɔ du wit fɔ fat. Sɔm pipul dɛn kin gɛt wet fɔ gɛt bɔku bɔku bɔdi. Sɔm tin dɛn we kin apin to pɔsin in jɛnɛtiks, lɛk Prader-Willi syndrome kin mek bak pɔsin fat.
- Ɔmon nɔ balans: Ɔmon na tin dɛn we rili pawaful na wi bɔdi. di kכndyushכn dεm we gεt כmon lεk haypotayroydism, Cushing in sεndrכm, εn polycystic ovary syndrome (PCOS) kin mek yu wet gεt we yu nכ want.
- Sɔm mɛrɛsin dɛm: Sɔm mɛrɛsin dɛm wae yu kin tek, fɔ ɛgzampul, mɛrɛsin wae de mek pɔrsin gɛt pwɛl hat, mɛrɛsin wae de mɛk pɔrsin fil bad, ɛn kɔtikosterɔyd, kin mek bak yu gɛt bɔku bɔku bɔdi as sayd ɛfɛkt.
- Sɔshial ɛn Kɔlchɔ Fakta: Jɔs tink bɔt, ɔmɔs advatayzmɛnt dɛn de na tɛlivishɔn ɛn intanɛt fɔ it we gɛt bɔku kalori ɛn fast fud? Ivin na Sri Lanka, i izi naw fɔ fɛn "Shot-Eats" shɔp ɔ bekeri, bɔt i at fɔ fɛn sɔm gud vɛjitebul ɛn frut dɛn. Dɔn bak, di pat saiz dɛn fɔ di it dɛn we wi de it dɔn big pasmak naw pas aw i bin de bifo.
- Di tin dɛn we de apin na di envayrɔmɛnt ɛn ikɔnomi: Sɔntɛnde, fast fud nɔ dia ɛn i izi fɔ fɛn pas it dɛn we gɛt fayn fayn tin dɛn fɔ it. Dɔn bak, if yu de na say usay sef ples ɔ pak nɔ de fɔ waka ɛn ɛksesaiz, dat kin mek bak yu bɔdi gɛt mɔ wet.
Ɔda tin dɛn we kin mek pɔsin gɛt mɔ wet
Apat frɔm di rizin dɛn we wi dɔn tɔk bɔt, dɛn tin ya kin mek yu gɛt mɔ prɔblɛm bak:
- Nɔ slip: Risach dɔn sho se wan link de bitwin pipul dɛm wae nɔr de slip fɔ 7 awa ɛvride ɛn wae dɛn gɛt BMI pasmak.
- Krכnik strεs: If yu strεs fכ lכng tεm, yu bכdi de rilis כmon dεm lεk ``Cortisol.`` dεn כmon dεm ya de kכntro wi angri εn εnεji mεtabolism, we kin mek wi gεt wet.
- Ej: As yu de ol, yu bɔdi de slow fɔ mek yu bɔdi gɛt mɔ wet.
- Jɛnda: Bɔku tɛm, uman dɛn kin gɛt mɔ bɔdi fat pas man dɛn, ɛn dɛn kin gɛt mɔ wet bak we dɛn gɛt bɛlɛ ɛn we dɛn kin lɛf fɔ gɛt bɛlɛ.
Aw dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ, i go tek sɔm step fɔ kɔnfirm dis sik.
1. Bɔdi Mas Indeks (BMI) Kɔlkyulɛshɔn: Fɔs, dɛn kin mɛzhɔ yu ayt ɛn wet ɛn kɔl yu BMI.
2. We yu de mɛzhɔ di say we yu de wɛst: Dis na impɔtant tin bak fɔ mɛzhɔ, bikɔs di fat we de rawnd di bɛlɛ de mek yu gɛt tin dɛn lɛk at sik.
- Fɔ uman dɛn: If i pas 35 inch
- Fɔ man dɛn: If i pas 40 inch
- (Fɔ wi we kɔmɔt na Sawt Eshia, dɔktɔ dɛn kin tek ivin valyu dɛn we smɔl as sɔntin we de mek wi gɛt prɔblɛm.)
3. Blɔd tɛst ɛn ɔda tɛst dɛn: Yu dɔktɔ kin tɛl yu fɔ du difrɛn tɛst dɛn fɔ si if ɔda tin dɛn de we de mek yu gɛt bɔku bɔku bɔdi ɛn fɔ no us prɔblɛm dɛn we kin mek yu fat pasmak.
| Nem fɔ di tɛst | Wetin dɛn de tɛst? |
|---|---|
| Lipid Profayl | Di kɔlɔstrel na di blɔd ɛn di triglisrayd lɛvɛl |
| Ɛmoglobin A1C (HbA1C) . | Fɔ no if yu gɛt dayabitis ɔ bifo yu gɛt dayabitis |
| Tɛst dɛn we di liva de wok | Fɔ lan bɔt aw di liva de wok ɛn aw di fat de put am |
| Ɔmon we de mek pɔsin gɛt tayroyd (TSH) . | Fɔ chɛk aw di tayroyd de wok |
| Ilɛktrokardiogram (EKG) . | Fɔ chɛk aw di at de wok |
Wetin na di tritmɛnt dɛn? Aw wi kin dil wit dis?
Dis na di pat we impɔtant pas ɔl. Mɛmba se, no wan saiz tritmɛnt nɔ de. Yu go nid fɔ gɛt tritmɛnt plan we go spɛshal fɔ yu, bay aw yu bɔdi, aw yu de liv yu layf, ɛn aw yu want fɔ gɛt wɛlbɔdi. Yu dɔktɔ go ɛp yu wit dis.
Dɛn kin sheb di men we dɛn fɔ trit am to 4 kategori:
1. Fɔ chenj di we aw pɔsin de liv in layf we gɛt wɛlbɔdi
Dis na di bɛnifit fɔ tritmɛnt.
- Di chenj dɛn we dɛn kin mek na di it we dɛn de it:Yu kin mit wit pɔsin we sabi bɔt it fɔ plan fɔ it tin we go fayn fɔ yu. Dis nɔ min se yu fɔ skip fɔ it, bɔt yu fɔ it di rayt tin, di rayt amɔnt, di rayt tɛm.
- Fɔ du bɔdi wok: Ɛksesaiz nɔto jɔs fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi, bɔt i fayn fɔ yu maynd wɛlbɔdi bak. Bɔt nɔ bigin fɔ du ɛksɛsayz we yu de tray tranga wan wan tɛm. Tɔk to yu dɔktɔ bɔt us kayn ɛksɛsayz we fayn fɔ yu ɛn aw lɔng yu fɔ du am.
- Gud slip: I impɔtant fɔ gɛt 7-8 awa gud slip insay wan de.
- Stress management: Stress na wan big tin wae kin mek yu gɛt bɔku bɔku bɔdi. Tin dɛn lɛk fɔ tink gud wan ɛn fɔ du ɛksɛsayz fɔ blo kin ɛp yu fɔ kɔntrol di strɛs.
2. Bihayvya ɛn Saykotɛrapi
Sɔntɛnde, saykilɔjik rizin dɛn kin de biɛn di we aw wi de it. Bɔrku tɛm, dɛn kin si tin dɛm lɛk pwɛl hat ɛn wɔri wit wae pɔrsin fat pasmak. So, fɔ tɔk to pɔsin we de stɔdi bɔt pɔsin in maynd (Talk Therapy) kin rili ɛp. `(Cognitive Behavioral Therapy - CBT)` na wan fayn we we dɛn kin yuz fɔ dis.
3. Di mɛrɛsin dɛn we dɛn kin yuz
If di chenj we yu de chenj yu layf nɔmɔ nɔ go du fɔ kɔntrol yu wet, yu dɔktɔ kin gi yu mɛrɛsin fɔ ɛp yu fɔ lɛf fɔ it bɔku bɔku it dɛn. Dɛn mɛrɛsin ya kin wok mɔ bay we dɛn de kɔntrol yu angri ɛn mek yu fil ful afta yu dɔn it smɔl.
Ɛgzampul dɛn: `(Ɔrlistat)`, `(Liraglutayd)`, `(Sɛmaglutayd)`
Dɛn mɛrɛsin ya fɔ jɔs tek ɔnda dɔktɔ advays . Dɛn kin gɛt sayd ɛfɛkt, so yu dɔktɔ go ɛp yu fɔ pik di rayt mɛrɛsin fɔ yu.
4. Ɔpreshɔn ɛn di we aw dɛn kin du am fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi
Dɛn kin tink bɔt dɛn we ya fɔ pipul dɛn we gɛt bɔku bɔku bɔdi ɛn we dɔn fel ɔl di ɔda we dɛn. Tu men kayn dɛn de.
- εndoskopik we dεn kin du: Na we dεn nכ de du כpεrayshכn we involv fכ put εndoskop (tכb wit kεmεra) tru di mכt fכ mek di bεlε sכmכl. Fɔ ɛgzampul: Ɛndoskopik Sliv Gastroplasti (ESG).
- Bariatric ɔpreshɔn: Dɛn ɔpreshɔn ya na ɔpreshɔn.
- Gastric Bypass Surgery: Dɛn kin mek wan smɔl pat pan di bɛlɛ ɛn kɔnɛkt am dairekt to di smɔl intestin.
- Sliv Gastrectomy: Dɛn kin pul wan big pat pan di bɛlɛ, we kin mek di bɛlɛ smɔl.
Pan ɔl we dɛn ɔpreshɔn ya kin gi rili fayn tin, dɛn kin gɛt prɔblɛm dɛn bak ɛn dɛn kin gɛt prɔblɛm dɛn bak. So, dis na rili siriɔs tin fɔ disayd. Yu fɔ tɔk bɔt dis fɔ lɔng tɛm wit yu dɔktɔ.
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
If yu gɛt prɔblɛm fɔ kɔntrol yu wet, nɔ shem fɔ go to dɔktɔ. We yu si am, if yu aks am dɛn kwɛstyɔn ya, dat go rili ɛp am.
| Aks yu dɔktɔ. |
|---|
| - A gɛt ɛni ɔda sik we kin mek a gɛt mɔ wet? |
| - Di mɛrɛsin dɛm we a de tek go mek a gɛt mɔ wet? |
| - Us abit na mi layf we dɔn afɛkt dis kɔndishɔn pas ɔl? |
| - Us ɔda wɛlbɔdi prɔblɛm dɛn we a dɔn gɛt bikɔs ɔf mi wet? |
| - Us tritmɛnt opshɔn dɛn a gɛt? |
| - A fɔ go to pɔsin we sabi bɔt it? |
| - Yu tink se mɛrɛsin ɔ ɔpreshɔn fɔ lɔs mi wet rayt fɔ mi? |
Fɔ dɔn, di waka fɔ lɛ pɔsin lɛf fɔ it bɔku bɔku it kin tranga. Sɔntɛm, tin dɛn kin apin we de go ɔp ɛn dɔŋ na di rod. Bɔt i nɔto tin we nɔ pɔsibul. Bifo yu tray fɔ mek big chenj wan tɛm, mek wan smɔl chenj wan tɛm. Mɛmba se ivin if yu lɔs smɔl lɛk 5% ɔ 10% pan yu ɔl yu wet kin gɛt big fayn impak pan tin dɛn lɛk yu blɔd prɛshɔn, shuga lɛvɛl, ɛn kɔlɔstrel lɛvɛl . I go mɔs mek yu layf bɛtɛ.
Mɛsej we dɛn kin kɛr go na os
- Fɔ fat pasmak (Klas III Fat) nɔto pɔsin in yon wikɛd tin, bɔt na kɔmpleks mɛdikal kɔndishɔn we bɔku tin dɛn we gɛt fɔ du wit in jɛnɛtik, ɔmon, ɛn di envayrɔmɛnt kin afɛkt.
- Dis sik kin mek pɔsin gɛt bɔku siriɔs wɛlbɔdi prɔblɛm dɛn lɛk dayabitis, at sik, ɛn kansa, bɔt dɛn kin trit am fayn fayn wan.
- Di tritmɛnt we dɛn kin pik kin difrɛn frɔm wan pɔsin to ɔda pɔsin ɛn i kin bi fɔ chenj di we aw pɔsin de liv in layf, fɔ tek mɛrɛsin, ɛn sɔntɛnde ivin ɔpreshɔn.
- If yu de wɔri bɔt yu wet, tɔk to yu dɔktɔ wantɛm wantɛm ɛn mek wan tritmɛnt plan we go fayn fɔ yu.
- Sɛlibret ivin smɔl smɔl win dɛn! If yu lɔs smɔl lɛk 5% pan yu ɔl yu wet, dat kin mek big difrɛns to yu wɛlbɔdi.
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