Yu kin fil sɔm tɛm lɛk "Oh, a luk fat smɔl"? Sɔntɛm yu kin fil lɛk se yu dɔn stɔp we yu wɛr dres. Dis na rili prɔblɛm we bɔku pipul dɛn na wi kɔntri gɛt tide. Bɔt pan ɔl we wi kin tink bɔt dis ‘fat’ as simpul tin, sɔntɛnde i kin siriɔs smɔl pas dat. Na mεdikal, wi kin kכl dis kכndyushכn fat, כ `(Obesity)`. Dis nɔto jɔs prɔblɛm wit aw wi de luk, bɔt na sik we kin de fɔ lɔng tɛm we kin afɛkt wi ɔl wi wɛlbɔdi. So lɛ wi tɔk bɔt dis tide, lɛk se wi de tɔk to wi padi, rili simpul wan.
Wetin rili na fɔ fat?
Fɔ tɔk am simpul wan, fɔ fat na we yu bɔdi de gɛda bɔku bɔku fat we nɔ fayn fɔ yu bɔdi. Nɔto sɔntin we kin apin wan nɛt, bɔt na as tɛm de go. Dis na di rizin we mek wi kɔl am sik we nɔ de mɛn. Dis sik kin afɛkt yu gladi at na layf, yu maynd wɛl bɔdi, ɛn yu kɔnfidɛns pan yusɛf.
Bɔt mɛmba se nɔto yu wangren de gɛt dis prɔblɛm. Bɔrku pipul de sɔfa wit dis sik ɔlsay na di wɔl ɛn na wi kɔntri bak. Di tin we impɔtant pas ɔl na dat, tritmɛnt ɛn we fɔ mɛn dis de. If yu tɔk to yu dɔktɔ, yu kin fɛn di bɛst sɔlv fɔ yu bɔdi ɛn wɛlbɔdi.
Aw dɛn kin no if pɔsin fat? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Fat nɔto wan sik wae de mek pɔrsin gɛt sɔm patikyula sayn dɛm lɛk fiva ɔr kol. Bifo dat, dɔktɔ go no if yu fat ɔ yu nɔ fat bay we i de du bɔku tin dɛn.
- Bɔdi Mas Indeks (BMI): Dis na di we aw dɛn kin yuz mɔ. I de kɔl if yu gɛt wɛlbɔdi wet fɔ yu ayt. Di valyu we de kɔmɔt de sho us kategori yu fɔdɔm insay.
- Wɛst Sɛkɔnfɛreshɔn: Usay yu bɔdi fat de kip impɔtant bak. di fεt we pasmak, mכtalman we de rawnd di bεlε, de mek di hεlth risk bכku. Dis na wetin dɛn kin yuz fɔ mɛzhɔ di say we di wɛst de.
Klasifikɛshɔn bay BMI valyu
Dɔktɔ dɛn kin yuz BMI fɔ sheb di pɔsin we fat to tri men klas dɛn. Dis klasification de rili ɛp fɔ plan tritmɛnt.
| Klas fɔ Fat pasmak | Di valyu fɔ BMI (kg/m2) . |
|---|---|
| Klas I Fat pasmak | 30 to ɔnda 35 ia |
| Klas II Fat pasmak | 35 to ɔnda 40 ia |
| Klas III Fat pasmak | 40 ɔ pas dat |
Bɔt mɛmba wan tin. BMI na jɔs wan jenɛral gaydlayn. Sɔntɛnde, pɔsin we de du ɛksɛsayz fayn ɛn we dɔn gɛt mɔsul mas kin gɛt ay BMI. So, i nɔ fayn fɔ mek yu disayd fɔ du sɔntin pan dis nɔmɔ.
Wetin yu wes sɛkɔnfrɛns se
We yu kɛr bɔku fat rawnd yu bɛlɛ, dat kin mek yu gɛt sik dɛn lɛk at sik ɛn Tayp 2 Dayabitis. Jɛnɛral wan, dɛn kin tek di wɛst we pas 35 inch fɔ uman ɛn pas 40 inch fɔ man as sɔntin we kin mek i gɛt prɔblɛm.
Wetin mek wi big so? Wetin na di rizin dɛn?
Na wan rili besik lɛvɛl, fat kin apin we yu tek mɔ kalori frɔm it pas aw yu bɔdi de bɔn. Bɔt wetin mek dat kin apin? Bɔku rizin dɛn de fɔ dis. I nɔ jɔs bi wan tin, na bɔku tin dɛn we dɛn jɔyn togɛda.
- Di abit fɔ it: Dis na di men rizin. If wi it bɔku kalori, mɔ di it dɛn we dɛn dɔn mek wit ɔltra-prosɛs, drink ɛn it dɛn we gɛt shuga, ɛn it dɛn we gɛt ɔyl (lɛk shɔt it ɛn fried rays), di bɔdi kin gɛt mɔ kalori pas aw i nid. di rεst kalori dεm de stכr insay di bכdi lεk fεt.
- We wi nɔ de du ɛksɛsayz: Wit di we aw wi de liv wi layf tide, di we aw wi de du bɔdi wok dɔn go dɔŋ bad bad wan. Bikɔs ɔf di wok we pɔsin kin sidɔm, wach TV, ɛn spɛn mɔ tɛm na fon, di bɔdi nɔ kin bɔn smɔl kalori.
- Jɛnɛtiks: Yɛs, jin dɛn kin du sɔntin. Risach dɔn sho se sɔm pipul dɛn kin fat bay di we aw dɛn jin kin afɛkt tin dɛn lɛk fɔ it ɛn di we aw dɛn de du tin. If yu gɛt famili histri fɔ fat, yu kin gɛt smɔl prɔblɛm.
- Sɔm mɛrɛsin dɛn: Mɛrɛsin lɛk antidipreshan, stɛroyd, sɔm mɛrɛsin fɔ dayabitis, ɛn beta-blɔk kin mek bak yu gɛt mɔ wet.
- We pɔsin nɔ de slip fayn:If wi slip fɔ lɛs 7 awa insay di de, dat kin mek di ɔmon dɛn we de kɔntrol wi angri nɔ de wok fayn. Na dat mek pipul dɛm wae nɔr kin slip fayn kin fil lɛk fɔ it bɔrku tɛm.
- Stress: We yu strɛs, yu bɔdi kin mek mɔ ɔmon dɛn lɛk kɔtisol. Dɛn ɔmon dɛn ya kin mek pɔsin angri mɔ ɛn mɔ. Dɔn bak, we yu strɛs, bɔku tɛm yu kin it "kɔmfɔt it" we gɛt bɔku shuga ɛn fat. Dɛn tin ya kin mek pɔsin gɛt mɔ wet.
- Ɔda mεdikal kכndyushכn dεm: Kכndyushכn dεm lεk mεtabolik sεndrכm εn polycystic ovary syndrome (PCOS) kin mek bak yu wet gεt as sayd ifekt.
Us wɛlbɔdi prɔblɛm dɛn we pɔsin kin gɛt we i fat?
Fat na wan sik wae kin afɛkt ɔlmost ɔl di sistɛm na yu bɔdi, ɛn dis kin mek yu gɛt bɔku siriɔs sik dɛm.
| Di kayn prɔblɛm we yu gɛt | Di sik dɛn we gɛt fɔ du wit di mɛrɛsin ɛn di tin dɛn we kin apin to am |
|---|---|
| Ishu dɛn we de apin na di Mɛtabolik | |
| Tayp 2 Dayabitis | If pɔsin fat, dat kin mek di bɔdi nɔ gɛt insulin. Dis min se di ɔmon we dɛn kɔl insulin we de kɔntrol di blɔd shuga na di bɔdi nɔ kin ebul fɔ wok fayn. Dis na di men tin we kin mek pɔsin gɛt dayabitis. |
| At sik ɛn ay blɔd prɛshɔn | If pɔsin fat, dat kin mek pɔsin gɛt ay kɔlɔstrel ɛn ay blɔd prɛshɔn, we kin mek i gɛt prɔblɛm dɛn lɛk at atak ɛn strok. |
| Fat Liva Sik we pɔsin kin gɛt | di fεt we pasmak na di liva kin mek yu gεt siriכs kכndyushכn lεk epataytis εn, as tεm de go, sirosis. |
| Kidni Sik we pɔsin kin gɛt | Dayabitis ɛn ay blɔd prɛshɔn kin mek di kidni pwɛl. |
| Dairekt Fizik Ifɛkt dɛn | |
| Di prɔblɛm dɛn we kin apin to pɔsin we gɛt jɔyn (Atraytis) . | εkstra wet de put mכr prεshכn pan di joyn dεm lεk di kכn dεm εn di hip dεm, we kin mek di joyn dεm stif εn pen as tεm de go. |
| Snor ɛn slip apnɛa | di fεt we de na di nεk εria kin blכk di say we di briz de blo εn mek di brith stכp we i de slip. Dis na tin we rili denja. |
| Risk fɔ gɛt kansa | If pɔsin fat, i kin mek i gɛt bɔku kayn kansa, lɛk na di εsophageal, di pankrias, di brɔst, ɛn di uterin. |
| Ɔda prɔblɛm dɛn | If pɔsin fat, i kin mek i gɛt tin dɛn bak lɛk we uman nɔ ebul fɔ bɔn pikin, we i gɛt bɛlɛ, we i gɛt pwɛl at, we i kin gɛt bak pen, ɛn we i kin gɛt asma. |
Di gud nyus na dat ivin if yu lɔs 5% to 10% pan yu wet naw, dat kin rili ridyus yu risk fɔ gɛt bɔku pan dɛn sik ya.
Aw dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ fɔ tɔk bɔt dis, i go aks yu sɔm kwɛstyɔn dɛn fɔ ɛp yu fɔ gɛt bɛtɛ pikchɔ bɔt yu ɔl wɛlbɔdi biznɛs.
- Yu mɛdikal histri: Aks bɔt ɔda sik dɛn we yu gɛt, di mɛrɛsin dɛn we yu de tek, ɛn di sik dɛn we yu gɛt na yu famili (lɛk dayabitis ɛn at sik).
- Yu wet istri: I de aks yu bɔt tin dɛn lɛk if yu dɔn tray fɔ lɛf fɔ it bɔku bɔku it bifo ɛn if dɛn we dɛn de bin wok fayn.
- Di we aw yu de liv yu layf:Dɛn kin aks yu bɔt aw yu de it, ɔmɔs ɛksesaiz yu de du ɛvride, ɛn aw yu de slip.
- Yu maynd wɛl bɔdi: I de tɔk bak bɔt tin dɛm lɛk strɛs ɛn tɛnsiɔn wae yu de gɛt, bikɔs dat kin ɛp bak fɔ mek yu gɛt bɔku bɔku bɔdi.
Apat frɔm dat, dɛn go mɛzhɔ yu wet, ayt, ɛn di say we yu wes de rawnd. Yu kin du blɔd tɛst bak fɔ chɛk yu blɔd prɛshɔn, blɔd shuga, ɛn kɔlɔstrel lɛvɛl. Ɔl dis go ɛp yu dɔktɔ fɔ no if yu fat ɔ yu gɛt ɔda wɛlbɔdi prɔblɛm dɛn we gɛt fɔ du wit yu sik.
Wetin na di tritmɛnt dɛn fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi?
Dis na waka we difrɛn fɔ ɛnibɔdi. Wetin kin wok fɔ wan pɔsin nɔ kin wok fɔ ɔda pɔsin. So yu dɔktɔ go mek wan plan we go fayn fɔ yu. Dis inklud sɔm impɔtant tin dɛn.
1. Fɔ chenj di tin dɛn we yu de it
Dis nɔ min se yu fɔ stɔp fɔ it ɔ it ɔl di fayn fayn it dɛn. I min se yu fɔ yus to it fayn ɛn balans. Yu kin tɔk to yu dɔktɔ ɔ pɔsin we sabi bɔt it fɔ mek wan it plan we go fayn fɔ yu. fכ egzampl, sayɛns pruv hεlty it pat dεm de lεk di `(Mεditarenian it)` כ di `(DASH it)`. We i kam pan wi it, fɔ ridyus di rays we de na di plet ɛn ad mɔ vɛjitebul, grɛn, fish, ɛn lentil na fayn tin fɔ bigin.
2. Inkrisayz fyzikal aktiviti
Ad at le 30 minit fɔ ɛksesaiz ɛvride to di tin dɛn we yu kin du ɛvride, lɛk fɔ waka, fɔ rayd baysikul, ɔ fɔ swim. Start wit smɔl smɔl tin dɛn. If yu tek di stej instead fɔ tek di ɛlivat ɔ waka go na di stoa, dat kin mek big difrɛns.
3. Mental wɛlbɔdi ɛn advays
If yu gɛt abit fɔ it wit yu maynd bikɔs ɔf strɛs ɔr wɔri, i impɔtant fɔ gɛt ɛp. Kɔnsul, sɔpɔt grup, ɔr kɔgnitiv bihayvya tɛrapi (CBT) kin ɛp.
4. Mɛrɛsin fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi
Sɔntɛnde, wit di chenj we yu de chenj yu layf, dɔktɔ kin gi yu mɛrɛsin bak fɔ ɛp yu fɔ lɛf fɔ it bɔku bɔku it dɛn. Dɛn tin ya kin ɛp fɔ mek yu nɔ want fɔ it ɛn kɔntrol yu angri. Bɔt dɛn fɔ jɔs tek dɛn tin ya ɔnda dɔktɔ in sɔpɔtishɔn. Sɔm ɛgzampul dɛn na:
- ``Bupropion-naltrekson (Kɔntrav®)''.
- `Liraglutayd (Saxenda®)`
- `Ɔrlistat (Xenical®)`
- `Semaglutide (Wegovy®)` - Na wan kayn we fɔ di dayabitis drɔg `(Ozempic®)` we dɛn dɔn gri fɔ mek pɔsin lɔs in wet.
5. Ɔpreshɔn fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi (Bariatric Surgery) .
Dis kin fayn fɔ pipul dɛm wae gɛt klas III fat (BMI 40+) wae gɛt prɔblɛm fɔ lɔs dɛn wet tru ɔda we dɛm. Dis ɔpreshɔn kin min fɔ ridyus di sayz na di bɛlɛ ɔ chenj di we aw di it de tek di it. Dis kin mek di it we pɔsin kin it nɔ bɔku.
- ``Gastrik Sliv'' (Sliv Gastrektomi) .
- Baypas na di gastric (Roux-en-Y) .
- Gastrik Band (LAP band) .
Aw yu kin mek yu nɔ gɛt bɔku bɔku bɔdi bak afta yu dɔn lɛf fɔ it bɔku bɔku it dɛn?
Bɔku pipul dɛn kin tink se fɔ lɛf fɔ it bɔku bɔku it na di tin we at pas ɔl. Bɔt fɔ tru, fɔ kɔntinyu fɔ gɛt di wet we yu de lɔs, i nɔ kin izi fɔ yu. Mɛmba se fɔ fat na sik we nɔ de mɛn. Dis min se i nid fɔ de manej am fɔ lɔng tɛm.
- Kɔntinyu fɔ mek smɔl chenj dɛn: Kɔntinyu fɔ praktis di gud abit dɛn we yu bin gɛt we yu de lɔs yu bɔdi (dɛn wata instead fɔ drink tin dɛn we gɛt shuga, it layt it na nɛt).
- Nɔ stɔp fɔ du ɛksɛsayz: Ɛksesaiz nɔ jɔs impɔtant fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi, bɔt fɔ mek yu gɛt wɛlbɔdi bak. So na aktif ɛvride.
- Kip fayn it na os: Tek tɛm wit di it we yu de kam wit na os. Kip tin dɛn lɛk frut, vɛjitebul, ɛn nɛt na os. Limit fɔ briŋ tin dɛn we dɛn dɔn prosɛs ɛn swit dɛn.
- Tink bɔt ɔl yu wɛl bɔdi: slip fayn, kɔntrol strɛs, ɛn pe atɛnshɔn fɔ gɛt wɛl bɔdi ɛn gladi, nɔto jɔs bɔt yu wet.
If yu gɛt dis prɔblɛm, yu kin fil lɛk se yu nɔ go ebul fɔ pas dis fɔ yusɛf. Dat na nɔmal tin. Di tin we impɔtant pas ɔl na fɔ nɔ fred fɔ aks fɔ ɛp. Tɔk to yu dɔktɔ tide. I go mek wan plan we go fayn fɔ yu ɛn we yu go ebul fɔ du. Dis joyn nɔto wan we yu de go tru yu wan.
Mɛsej we dɛn kin kɛr go na os
- Fat nɔto jɔs tin we pɔsin kin si, na tin we kin mek pɔsin gɛt bɔku siriɔs sik dɛn lɛk dayabitis ɛn at sik.
- Dis nɔto jɔs bikɔs i les ɔ i de it pasmak. Bɔku tin dɛn kin afɛkt am, lɛk di jin, ɔmon, strɛs, ɛn sɔm mɛrɛsin dɛn.
- Ivin if yu lɔs smɔl lɛk 5% pan yu ɔl yu wet kin ridyus yu wɛlbɔdi prɔblɛm dɛn bad bad wan.
- Nɔ fala di difrɛn ‘krash it’ we dɛn kin si na intanɛt, bɔt fɔ tru, yu fɔ go to yu dɔktɔ fɔ gɛt sayɛns plan we go fayn fɔ yu.
- Mɛmba se dis nɔto gol fɔ shɔt tɛm, bɔt na fɔ chenj yu layf fɔ lɔng tɛm. Wit peshɛnt ɛn dedikeshɔn, yu kin tek step fɔ gɛt wɛlbɔdi layf.
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