Tide wi go tɔk bɔt wan smɔl patikyula ɔbisiti kɔndishɔn. Ilɛk aw yu de kɔntrol di it dɛn we yu de it ɛn ɛksesaiz, sɔntɛnde i nɔ kin izi fɔ lɛ yu lɛf fɔ it bɔku bɔku it dɛn, nɔto so? Sɔntɛnde, rizin kin de we yu nɔ kin tink bɔt. Dat na wan pan dεn kayn kכndyushכn ya, haypothalamic obesity, כ as wi kכl am `(HyOb)` fכ sכt.
Wetin na hypothalamic obesity?
Fɔ tɔk am simpul wan, Hypothalamic Obesity (HyOb) na wan sik we de mek yu fat we wan smɔl bɔt rili impɔtant pat na yu bren we dɛn kɔl haypothalamus nɔ de wok fayn. Tink bɔt am dis haypothalamus tan lɛk smɔl kɔntrol rum na wi bɔdi. I de na di say we yu bren de. I de du bɔku impɔtant tin dɛm lɛk fɔ kɔntrol wi ɔmon dɛm, fɔ kɔntrol wi apɛtit, ɛn fɔ manej di we aw di bɔdi de bɔn di kalori dɛm (wi kɔl dis mɛtabolism) . So, if dis haypothalamus damej eni we, ol di tin dem we a menshon kin mes. Na da tɛm de yu kin bigin fɔ gɛt bɔku bɔku bɔdi we yu nɔ ebul fɔ kɔntrol ɛn fat.
Wetin na di sayn dɛm wae de sho se pɔrsin fat pasmak?
Na dis kayn tin, yu kin gɛt sɔm kayn sik lɛk:
- We yu de gɛt bɔku bɔku bɔdi kwik kwik wan: Yu kin fil lɛk se yu wet de go ɔp di we aw yu nɔ go ebul fɔ imajin.
- Angri we yu nɔ ebul fɔ kɔntrol: Ivin afta yu dɔn it te yu bɛlɛ ful-ɔp, yu kin fil lɛk se yu nid fɔ it mɔ. Sɔntɛnde, dis angri kin so tranga dat i nɔ kin ebul fɔ kɔntrol am, ilɛksɛf yu it bɔku tin.
- lכw mεtabolik rεt: Dis min se di rεt we yu bכdi de bכn kalori εn stכr fεt de slo. Dis kin mek yu gɛt bɔku bɔku bɔdi ilɛksɛf yu nɔ it bɛtɛ.
- We yu de gɛt bɔku bɔku wet pan ɔl we yu nɔ de it bɔku kalori ɔ yu de it: Yu kin wɔnda se, "Wetin mek a kin gɛt bɔku bɔku wet ilɛksɛf a nɔ it bɛtɛ?" Dis na wan impɔtant sayn fɔ dis sik.
- Fɔ fil taya ɔltɛm ɔr nɔr ebul fɔ slip (Insomnia): Bikɔs di bɔdi in kɔntrol sistɛm de ambɔg, yu kin fil taya ɛn slip ɔltɛm. Sɔm pipul dɛn kin ivin gɛt wan sik we dɛn nɔ kin ebul fɔ slip na nɛt.
- I nɔ kin ebul fɔ du bɔku tin dɛn (we nɔ kin tek ɛksɛsayz): If yu fil taya pasmak ivin if yu ɛksesaiz smɔl, dat kin mek i nɔ izi fɔ du ɛksɛsayz.
Wetin mek dis hypothalamic obesity kin apin?
Di men tin we kin mek dis sik na di damej, injuri, ɔ impak pan di haypothalamus . As a bin dɔn tɔk, di haypothalamus de kɔntrol tin dɛn lɛk aw wi want fɔ it, aw wi de bɔn kalori, ɛn aw wi de kip fat. So we i dɔn pwɛl, ɔl dɛn tin ya kin kɔmɔt na do ɛn wi kin gɛt mɔ wet.
Na sɔm pan di rizin dɛn we rili impɔtant:
- Tumɔs dɛn na di bren:εgzampl dεm na tכmכro dεm lεk `(Craniopharyngiomas)`, `(Gliomas)`, `(Hamartomas)` εn `(Pituitary adenomas)`. dis tכmכro dεm kin pwεl di haypothalamus insεf, כ dεn kin pwεl as kכmplikεshכn fכ כpεrayshכn fכ pul di tכmכro. infakt, mכr dan haf pan pipul dεm we gεt haypothalamic obesity `(HyOb)` na wan kayn tכmכro we dεn kכl `(Craniopharyngiomas)` .
- Bren injury: Blɔd, infɛkshɔn, ɔ swel na di bren, lɛk we i gɛt motoka aksidɛnt ɔ we i fɔdɔm, kin pwɛl di haypothalamus.
- di jεnεtik kכndishכn dεm: fכ egzampl, pikin dεm we dεn bכn wit jεnεtik kכndyushכn lεk Prader-Willi syndrome kin gεt di haypothalamic fכnshכn we dεn bכn wit dεm.
Nɔto ɔlman kin afɛkt dis sik di sem we. Yu kin fil angri ɔltɛm, ivin afta yu dɔn it tin dɛn ɔltɛm ɛn snek dɛn. Yu kin kɔntinyu fɔ gɛt mɔ wet ivin afta yu dɔn ridyus di it we yu de it ɛn yu dɔn du ɛksɛsayz mɔ. Dis kin mek yu at pwɛl bad bad wan.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin fat pasmak?
Dis sik kin mek yu gɛt ɔda wɛl bɔdi prɔblɛm, sɔm pan dɛn na:
- I nɔ kin izi fɔ kɔntrol di blɔd prɛshɔn ɔ di at rit.
- Tayp 2 Dayabitis.
- Fat liva sik.
- Ilektrolayt imbalans na di bɔdi.
- Slip prɔblɛm ɔ disrɔpshɔn pan di sirkadian ritm.
- Pɔrsin in bɔdi nɔr fayn ɔr ɔda sayd ɛfɛkt dɛm wae kin kam pan pɔrsin in maynd ɛn filin.
di impɔtant tin na dat, we di haypothalamus pwɛl kin afɛkt bak di we aw i de tɔk to di pituitary gland . Bɔrku pipul dɛm wae gɛt hypothalamic obesity kin gɛt wan sik bak wae dɛn kɔl hypopituitarism , wae na wae di pituitary gland nɔr de prodyuz inof wan ɔr mɔr ɔmon.
Aw dɔktɔ dɛn kin no if pɔsin gɛt hypothalamic obesity?
We yu go to dɔktɔ, i go tek tɛm lisin to yu sik dɛn, du ɛgzam fɔ yu bɔdi, ɛn aks yu bɔt yu mɛdikal istri. If yu se, "A dɔn chenj mi layf, a dɔn du ɛksɛsayz, ɛn wach aw a de it, bɔt a nɔ ebul fɔ lɔs mi wet," di dɔktɔ kin sɔprayz se yu gɛt dis sik (HyOb). Dɛn kin aks bak if yu dɔn gɛt injuri na yu ed i nɔ tu te yet.
Afta dat, dɛn kin tɛl yu fɔ du tɛst dɛn lɛk dɛn wan ya:
- Blɔd tɛst fɔ chɛk di ɔmon lɛvɛl: If sɔm ɔmon lɛvɛl nɔ de ɔltɛm, dɛn kin no if di haypothalamus dɔn pwɛl.
- Bren imej tɛst: Chɛk fɔ si if di bren dɔn pwɛlDɛn kin du CT skan (Computed Tomography scan). Dis impɔtant mɔ if yu nɔ tu te yet we yu gɛt aksidɛnt.
Na us ej di hypothalamic obesity kin apin?
Dɛn kin no dis sik mɔ pan pikin dɛm wae ol bitwin 5 ɛn 14. Dis na bikɔs bɔrku tɛm na bren tumor kin kam wit am. Bɔt i impɔtant fɔ mɛmba se i kin apin pan ɛni ej .
Aw dɛn kin trit di hypothalamic obesity?
Fɔ tɔk tru, naw nɔr gɛt mɛrɛsin ɔr patikyula tritmɛnt fɔ dis sik. Dat na wan bit of a bummer. Bɔt yu dɔktɔ go wok wit yu fɔ fɛn di bɛst we fɔ kɔntrol yu sik dɛn ɛn fɔ mek yu layf bɛtɛ. Bikɔs di standad tritmɛnt fɔ fat nɔ kin wok, dɔktɔ dɛn kin tray difrɛn tritmɛnt dɛn.
Sɔm ɔda tritmɛnt dɛn na:
- Mɛrɛsin: Sɔm mɛrɛsin fɔ fat, lɛk GLP-1 agonists , kin ɛp fɔ kɔntrol di we aw pɔsin want fɔ it ɛn nɔ angri. Dɔn bak, ɔmon mɛrɛsin dɛn kin tray fɔ mek di pituitary gland ɛn di haypothalamus wok fayn te to sɔm mak.
- Ɔpreshɔn fɔ pul di tumbu: If di haypothalamus dɔn pwɛl bikɔs ɔf prɛshɔn we di bren tumor de prɛs, yu dɔktɔ kin se yu fɔ du ɔpreshɔn fɔ pul di tumbu. Pan ɔl we dis kin gi sɔm rilif, bɔku tɛm di damej we di haypothalamus kin gɛt kin de sote go.
- Gastric bypass surgery: Dɛn kin yuz dis as las tin fɔ du, afta ɔl di ɔda we dɛn nɔ wok.
Wetin a fɔ it if a gɛt `(HyOb)`?
No wan saiz-fit-ɔl it plan nɔ de we se "dis na wetin yu fɔ it." Yu fɔ wok wit pɔsin we sabi bɔt it ɔ pɔsin we sabi bɔt it fɔ no us it dɛn we go fayn fɔ yu. Pan ɔl we ɔlman difrɛn, dɛn kin advays bɔku pipul dɛn fɔ it tin dɛn we gɛt mɔ tin fɔ it (vɛjitebul, mit we nɔ gɛt bɛtɛ trɛnk, fish, ligɛm, frut, ɔl gren) ɛn it dɛn we dɛn nɔ dɔn prosɛs (swit lɛk kuki, kek, it dɛn we dɛn pak) .
Wetin pɔsin we gɛt hypothalamic obesity fɔ ɛkspɛkt?
Fɔ liv wit hypothalamic obesity kin tranga . Bikɔs nɔr patikyula tritmɛnt nɔr de fɔ am, yu go nid fɔ woke klos wit yu mɛdikal tim fɔ fɛn we fɔ kɔntrol yu sik ɛn fɔ mek yu liv bɛtɛ layf. Na kɔmɔn tin fɔ fil bad we yu dɔn tray fɔ yuz standad tritmɛnt fɔ fat ɛn dɛn nɔr de woke.
De tin wae impɔtant pas ɔl na fɔ ɔndastand se dɛn sik ya nɔr kin kam wit ɛnitin wae yu du ɔr nɔr du.Tɔk to yu dɔktɔ dɛn fɔ gɛt di sɔpɔt we yu nid. Dis sɔpɔt kin inklud fɔ go to saikɔlɔjis fɔ tɔk bɔt aw fɔ bia wit dis situeshɔn.
Yu tink se dɛn kin mek `(HyOb)` nɔ apin?
Bɔt i sɔri fɔ no se dɛn nɔ go ebul fɔ stɔp dis . I kin kam wit tin dɛm lɛk aksidɛnt, injury, ɔr bren tumor. Bɔt yu kin du tin dɛn lɛk dis fɔ ridyus di prɔblɛm we yu gɛt:
- Wear ɛlmɛt ɛn protɛkt yu ed fɔ mek yu nɔ gɛt injury na yu bren. Tek tɛm mɔ we yu de rayd baysikul, motoka, ɛn du spɔt dɛn we denja.
- Gɛt dɔktɔ chɛk-ap ɔltɛm. Fɔ go to dɔktɔ ɔltɛm ɛn fɔ mek dɛn chɛk yu wɛlbɔdi na fayn we fɔ no difrɛn kayn mɛrɛsin kwik kwik wan.
Ustɛm a fɔ go to mi dɔktɔ?
If yu gɛt sayn dɛn we de sho se yu fat pasmak, lɛk fɔ gɛt bɔku bɔku bɔdi kwik kwik wan ɛn fɔ angri ɔltɛm , go to yu dɔktɔ wantɛm wantɛm. Dis impɔtant mɔ if yu gɛt tumbu we de afɛkt yu haypothalamus ɔ if yu jɔs gɛt injuri na yu ed.
Yu no, fɔ liv wit wan sik wae nɔr gɛt mɛrɛsin ɔr standad tritmɛnt kin tranga. We yu nid fɔ gɛt fridɔm, ansa dɛn klia wan, ɛn ɔltin fil se yu nɔ go ebul fɔ du am, i kin mek yu at pwɛl. Bɔt wok wit yu wɛlbɔdi tim fɔ fɛn sɔlv we go wok fɔ yu. I kin min fɔ tray difrɛn tin dɛn, ɔ i kin min fɔ tek mɛrɛsin ɛn ɔpreshɔn. Bɔt, yu wɛlbɔdi tim de fɔ ɛp yu. I fayn bak fɔ tɔk to pɔsin we yu biliv bɔt aw yu de fil. Dɛn kin ɛp yu fɔ fɛn we fɔ bia wit yu sik.
Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
Okay, so lɛ wi sɔma sɔm pan di impɔtant tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:
- Hypothalamic obesity (HyOb) na wan bad bad sik we de mek pɔsin fat we di haypothalamus dɔn pwɛl .
- We yu de gɛt bɔku bɔku bɔdi kwik kwik wan ɛn angri we yu nɔ ebul fɔ kɔntrol na di men sayn dɛm.
- Di tin dɛn we kin mek i apin na di bren we gɛt tumbu, di bren we kin wund, ɛn di tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks .
- Naw, no patikyula mɛrɛsin nɔr de ɔr tritmɛnt wae dɛn dɔn gri fɔ , bɔt dɛn kin ebul fɔ kɔntrol di sayn dɛm.
- Dis nɔto yu fɔlt .
- I rili impɔtant fɔ go to dɔktɔ if yu gɛt sɔm sayn dɛn.
- Aks di sɔpɔt frɔm di mɛdikal tim ɛn if nid de, to pɔsin we de stɔdi bɔt pɔsin in maynd.
A op se dis infɔmeshɔn go ɛp yu. If yu gɛt prɔblɛm lɛk dis, i go fayn fɔ mek yu go to dɔktɔ pas fɔ tray fɔ bia wit am fɔ yusɛf.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Na Intermedin (Intermedin / MSH) na ɔmon we de chenj di skin kɔlɔ?
Yɛs! Dɛn kin kɔl dis bak MSH (Melanocyte-stimulating hormone). dis na wan sכm gland we de כnda wi bren (Pituitary) de mek am, εn i de tεl di sεl dεm na wi skin fכ ‘mek mכr blak/brawn (Melanin).' We wi go na do na di san, wi skin kin dak izi wan bikɔs ɔf dis ɔmon, bikɔs da blak kɔlɔ de kin stɔp UV rayt fɔ mek wi gɛt kansa na di skin.
💬 Dis ɔmon de mek di skin dak we uman gɛt bɛlɛ?
Na so i bi! di tεm we di bεlε de (spεshal insay di fכs mכnt dεm), di lεvεl fכ dis MSH כmon de inkrεs wan wan. na dat mek mama dεm we gεt bεlε kin gεt dak spat na sכm pat dεm na dεn fes (Melasma/Pregnancy mask), εn wan dak layn (Linea nigra) de apia dכn di midul pan dεn bεlε.
💬 Dis ɔmon gɛt fɔ du wit angri ɛn sɛks drayv?
Yɛs, i sɔprayz fɔ no se i gɛt sɔntin fɔ du wit am! apat frכm we di skin de dak, dis intamedin (MSH) כmon de go na wi bren εn i de ple wan rili imכtant rol fכ ‘apεtit sכpreshכn’. I de intavyu bak dairekt wan fɔ mek uman ɛn man dɛn want fɔ du mami ɛn dadi biznɛs mɔ ɛn mɔ.
` haypothalamic obesity, HyOb, hypothalamus, obesity, weit gεn, כmon, bren tכmכro
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