I thau i ti em? Thau lutuk chungchang hi i zir belh ang u!

Vawiin hian thupui pakhat, mi tam takin an neih, mahse a chang chuan sawi mumal lo tak tak kan sawi dawn a ni. Chu chu thau lutuk a ni . Hei hi nang pawhin i ngaihtuah ve mai thei a, i hriat mi pakhatin he natna hi a nei ve mai thei bawk. A nihna takah chuan a buaithlak deuh a, hun rei tak chhunga hriselna lama harsatna a ni. Mahse, lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

He thau lutuk hi eng nge ni?

A awlsam zawngin sawi ila, thau lutuk hi i taksa mamawh aia thau tam zawk neih hi a ni. "Thil thau lutuk" mai mai a ni lo. Doctor te chuan natna khirh tak leh buaithlak takah an ngai a ni . A chhan chu i hriselna zawng zawng leh nunphung zawng zawngah nghawng lian tak a nei thei a ni. A chang chuan mahni inngaihhlutna leh rilru hriselna a nghawng thei bawk.

Mahse thil pakhat hre reng ang che, i thau lutuk chuan nangmah chauh i ni lo. Khawvel hmun hrang hrangah, kan ramah pawh hetiang natna vei hi an tam hle. A pawimawh ber chu doctor-in hei hi a tul anga enkawlna leh enkawl dan tur zawng turin a pui thei che a ni.

Thau lutuk chhinchhiahnate chu engte nge ni?

Dik tak chuan thau lutuk chhinchhiahna chiang tak a awm lo. Chu chu, "Hetiang leh heng thilte hi ka neih avangin ka thau lutuk" tih nghal a harsa tihna a ni. Mahse, doctor chuan i thau leh thau loh chu thil pawimawh pahnih enin a hre thei ang:

1. Body Mass Index (BMI): Hei hian i san zawng a zirin i rihna pangngaia i awm leh awm loh a teh a ni. Doctor te chuan he ``(BMI)`` value hi thau lutuk hi classified nan an hmang thin.

2. Taksa pianzia: Hetah hian en tur ber chu i kawrfual vel hi a ni .

Taksa Mass Index (BMI) hmanga thliar hranna

Doctor te chuan thau lutuk hi i ``BMI`` value atanga thlirin class lian pathum ah an then thin. He classification hian i taksa rihna tihtlem nan eng step nge i tih tur tih a hril a ni.

• Class I thau lutuk: BMI (body mass index) kg/m2 30 leh 35 inkar a ni.
• Class II thau lutuk: BMI (body mass index) kg/m2 35 leh 40 inkar a ni.
• Class III thau lutuk: BMI 40 kg/m2 aia sang.

Mahse thil pakhat hre reng ang che, i BMI chauh hian hriselna atana hlauhawm i neih dan chiang takin a sawi thei lo. Indicator pakhat chauh a ni.

Waist Circumference a ni

I taksaa thau tam lutuk i dahna hmun hian thau lutuk hian hriselna lama harsatna a thlen theihte pawh a nghawng thei bawk. U.S. Centers for Disease Control and Prevention (CDC) chhinchhiah danin, hmeichhia tan chuan a kawrfual inches 35 aia tam leh mipa tan inches 40 aia tam chu cardiovascular disease emaw type 2 diabetes ang chi natna vei theihna a sang zawk tihna a ni thei.

Thau lutuk chhante chu engte nge ni?

A awlsam zawngin sawi ila, thau lutuk hi i taksa mamawh aia tam ei avanga lo awm a ni.Calorie hi i ei tur a ni. Mahse, engvangin nge kan ei tam em em? Hei hi chhan pakhat chauh a awm lo, chhan tam tak a awm thei. Ngaihtuah teh...

• Damdawi thenkhat: Damdawi thenkhat chu natna dang atana i ei hian i taksa rihna a tipung thei a ni. Entirnan, antidepressant, steroid, epilepsy damdawi, zunthlum damdawi thenkhat, leh beta-blockers te.
• Rualbanlo: Puitling leh naupang taksa emaw zirlai lama harsatna nei te chu thau lutuk an nih theihna a sang zawk. Hei hi taksa lama harsatna, zirna bik, leh hmanraw tlakchham vang pawh a ni thei.
• Ei leh in dan tha lo: Taksa mamawh aia tam calorie ei te, ultra-processed foods, sugary foods and drinks, leh saturated fat te hi thau lutuk thlentu lian ber an ni. Nitin sugary drink bottle khat i in chuan engzat nge sugar i ei ang tih han ngaihtuah teh!
• Genetics: Research atanga a lan dan chuan mi thau lutuk te ei duhna tichhe thei gene bik (obesity-susceptibility genes) a awm tih hmuhchhuah a ni. Mahse, he genetic makeup hi mi thau lutuk zawng zawngah a inang vek em tih erawh hriat chian a la ni lo.
• Taksa tihchak loh: TV en te, video game khelh te, phone emaw laptop emawa hun hman tam lutuk hian exercise neih hun tur a ti tlem a ni.
• Mut tlakchham: Ni khata darkar sarih tal mut loh hian kan riltam thununtu hormone te a nghawng thei a ni.
• Stress: I stress lai hian i thluak leh taksa hian cortisol ang chi hormone a siam tam zawk a, chu chuan riltam a thunun a ni. Hei hian thau leh sugar tamna "comfort foods" i duh phah thei a ni. Heng ei tur te hi i taksaah thau tam lutuk angin an dahkhawm thin.
• Hriselna lama harsatna awm thei: Taksa rihna hi Metabolic Syndrome leh Polycystic Ovary Syndrome (PCOS) ang chi natna avanga side effect a ni thei bawk. Rilru lam harsatna, Anxiety leh Depression te hian thluak nuam tihna hmun tichaktu calorie tamna ei duhna a thlen thei bawk.

Thau lutuk avanga harsatna awmte chu engte nge ni?

Thau lutuk hian i taksa hi kawng tam takin a nghawng a ni. Entirnan, metabolic changes a siam a, chu chuan natna khirh tak tak tam tak i vei theihna a tipung a ni. Obesity hian i hriselna zawng zawngah direct leh indirect-in nghawng a nei thei bawk.

Metabolic inthlak danglamna

I metabolism chu i ei tur calorie te chu chakna ah a chantir a, i taksa tichak turin a hmang thin. I taksain a hman theih aia tam calorie a ei chuan a calorie tam zawk chu thauah a chang a, i taksa thau cell-ah a dah khawm thin. Heng thau dahkhawmna tur tissue a awm tawh loh chuan thau cell te ngei pawh hi an lian chho zel a ni. Hetiang hi a niFat cell lian zawk hian taksaah inflammation thlentu hormone leh chemical dang a tichhuak a.

He inflammation hian insulin resistance a thlen thei a ni . I taksa hian thisen sugar leh thau level tihhniam nan insulin a hmang thei lo. Thisen thlum leh thau tam lutuk hian thisen sang a thlen thei bawk. Heng zawng zawng hi a inzawm khawm chuan metabolic syndrome an ti a ni. He syndrome hi thau lutuk zingah a awm fo thin. Tin, a hnuaia natnate hi i vei theihna a tipung bawk:

• Cardiovascular diseases: Thau lutuk hian thinlung natna a tipung a, a bik takin coronary artery disease, heart attack, congestive heart failure, leh stroke te a tipung a ni.
• Fatty Liver Disease: Thisen a thau tam lutuk hi liver-ah a kal a, chu chuan thisen a filter a. Liver hian thau a khawlkhawm tam tan chuan chronic liver inflammation (Hepatitis) leh hun rei tak chhunga liver chhiatna (Cirrhosis) a thlen thei a ni.
• Gallstones: Thisen cholesterol level sang vangin gallbladder-ah cholesterol a awm a, chu chuan cholesterol gallstones leh gallbladder natna vei theihna a tipung a ni.
• Kidney Disease: Thisen sang, zunthlum, leh thin natna te hi kal natna khirh tak thlentu ber zinga mi an ni.
• Type 2 Diabetes: A bik takin thau lutuk hian type 2 diabetes vei theihna a tipung a ni.

Statistics-ah chuan thau lutuk hian eng thil vang pawha thih hmaa thihna a tipung a ni. Mahse, zirchianna atanga a lan dan chuan taksa rihna tlemte (5% leh 10%) inkar pawhin he hlauhawmna hi a tihziaawm thei a ni.

Direct effects a awm

Taksa thau tam lutuk hian i thawkna peng hrang hrangah pressure a siam thei a, i musculoskeletal system-ah harsatna leh harsatna a siam thei bawk. Hei hian hetiang dinhmun hi a thlen thei a ni:

• Arthritis natna a ni
• Asthma natna a ni
• Hnung lam natna
• Obesity Hypoventilation Syndrome a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk
• Mut theih lohna (sleep apnea) a awm

Tin, thau lutuk hian a hnuaia natna leh dinhmun hrang hrangte hi a tipung bawk:

• Cancer chi thenkhat: Entirnan, chaw kawng, pancreatic, colon, hnute, uterine, leh ovarian cancer te.
• Depression leh Mood Disorder te a awm thei.
• Hmeichhiaah nau pai theih lohna leh naupai laiin harsatna a awm thin.
• Hriatrengna leh hriatna lama harsatna: Alzheimer natna leh dementia ang chi natna hlauhawmna sang tak te pawh a tel.

Engtin nge thau lutuk hi kan hriat theih ang?

Doctor i hmuh chuan i rih zawng, i san zawng leh i kawr vel chu a teh ang. Taksa composition test pawh tihsak i ni thei bawk a, chu chu bone density test emaw bioelectrical impedance analysis emaw a ni thei bawk. He test hian i taksa chhunga electrical current thawn chhuakin i taksa composition a teh a, a kal chak dan a teh bawk.

Mahse, a pawimawh zawk chu i hriselna zawng zawng hriat a pawimawh. Doctor chuan a hnuaia zawhnate hi a zawt ang che:

• I damdawi lam chanchin leh i enkawl dan: I damdawi ei tur chungchang pawh zawh i ni ang. I chhungte damdawi lam dinhmun eng pawh zawh theih i ni bawk.
• I taksa rihna chanchin: I taksa rihna tihtlem i tum tawh em tih leh i thil tawn chu engtin nge a awm tih pawh zawh i ni ang.
• I nunphung: Tuna i ei leh in dan te, i mut dan te, leh nitin i thawhrim dan te.
• I rilru hriselna: I rilru hriselna tichhe thei thil, stress ang chi chungchang zawhna i dawng thei a, a chhan chu stress ang chi thil hian ei tam lutuk a thlen thei bawk.

Doctor chuan i vital signs te pawh a check ang a, thisen test thenkhat pawh a order mai thei bawk. He thu kimchang hi thau lutuk leh a kaihhnawih thil dang (a awm chuan) hriatchhuah nan hman a ni.

Engtin nge thau lutuk hi enkawl a nih?

I doctor chuan i tan a tha tur weight loss plan siam turin a thawkpui ang che. Mi zawng zawng hi kan danglam vek avângin, i tâna ṭha ber tûr enkawlna zawng tûr chuan trial and error engemaw chen a ngai mai thei.

Ei leh in lama inthlak danglamna

Mimal danglam bik i ni. Chuvangin i ei leh in lama i tihdanglam apiang chu nangmah ang zela siam tur a ni. Chaw hrisel tak tak, ei tur hrisel tak tak nena khat, ei tur hrisel siam dan tur a awm. I doctor chuan scientifically proven ei leh in tur ruahmanna, Mediterranean Diet emaw DASH Diet emaw te chu a rawn rawt thei ang. Hengte hi diet dang angin restrictive, negative diet an ni lo. I ei leh in lama i thil tumte thlen theihna tura kaihhruaina tha tak tak set ang deuh an ni.

Nitin hnathawh tihpun

Activity hian calorie a halral thin. Nitin hnathawh tihpunna tur kawng tam tak a awm a. I ni khatah exercise tlem tal dah belh tum ang che.

Rilru hriselna lama tanpuina

Counselling, support group, leh cognitive behavioral therapy (CBT) te hian inthlak danglamna tha tak siam turin a pui thei che a ni. Tin, stress enkawl dan tur leh i dodaltu emotional leh psychological factors te hmachhawn turin an pui thei bawk che a ni.

I taksa rihna tihtlem nana damdawi

I doctor chuan i taksa rihna tihtlem dan tur ruahmannaah damdawi dah belh turin a rawt mai thei. Damdawi hi taksa rihna tihtlem chhanna famkim a ni lo va, mahse kawng dangin a hmachhawn thei che a ni. Entir nan,Appetite suppressants hian i thluaka signal thenkhat, i riltamna tichhe thei chu a block thei a ni. A hnuaia damdawi te hi U.S. Food and Drug Administration (FDA) chuan thau lutuk enkawlna atan a pawm a ni:

• Bupropion-naltrexone (Contrave®): Duh duhna leh ei tur i ei tamna a ti tlem thei.
• GLP-1 agonists: Ei duhna a control a, i chaw ei chak a, thisen sugar level a tihniam thei bawk. Ozempic® hi GLP-1 agonist entirnan a ni.
• Semaglutide (Wegovy®) leh/ emaw Tirzepatide (Zepbound®): Ei duhna a ti tlem. Doctor-te pawhin he damdawi hi GLP-1 agonist nen an hmang dun thei bawk.
• Liraglutide (Saxenda®): Ei duhna a ti tlem a, chaw ei a tikhawtlai bawk.
• Orlistat (Xenical®, Alli®): I intestines atanga thau lakluh a ti tlem.
• Phentermine-topiramate (Qsymia®): I riltam a tiziaawm.
• Phentermine (Adipex-P®, Lomaira®, Suprenza®): I ei duhna a ti tlem. Thla thum chhung hman phalsak a ni.

Taksa rihna tihtlem nana zai (Bariatric Surgery) .

Class III obesity i neih chuan bariatric surgery hi i tan chuan duhthlan tur a ni thei. Heng surgery te hian i digestive system – a tlangpuiin pum, a chang chuan small intestine – tihdanglam hmangin hna a thawk a, chu chuan calorie i ei theih leh i lakluh theih zat a control thei a ni. I digestive system atanga i thluak thlenga riltam signal kal thin te pawh an tihtlem thei bawk. Weight loss surgery hi chi hrang hrang a awm a:

• Duodenal Switch a ni
• Gastric Band (Lap Band) `(Gastric Band - LAP band)` tih hi a ni
• Gastric Bypass (Roux-en-Y) hmanga tih theih a ni.
• Gastric Sleeve (Sleeve Gastrectomy) hmanga tihdam theih a ni.

Thau lutuk hi ven theih a ni em?

Obesity hi vawi khat a lo set tawh hnua enkawl ai chuan ven a awlsam zawk a, chu chu i taksain i taksa rih zawng a enkawl dan chuan gear a thlak danglam a, nitin hnathawhna hmanga i riltam signal te chu i chakna i hman zat nen a inthlau hle a ni. I taksain "set point" thar, sang zawk a din hnuah, chu chu i baseline weight thar anga a ngaih chu a ni. Chu set point thar chuan i taksa rihna chu scale emaw BMI chart emaw-ah a ti sang thei a ni.

I tih dan ngaihven a, tuna thil awmze nei tak tak tihdanglamna chuan nakin lawkah thau lutuk lo turin a pui thei a ni. Entirna thenkhat chu hetiang hi a ni:

• Hrilhfiahna tenau te siam rawh:Calorie tamna tih dan i nei em, nitin chaw ei emaw, "i pick up" thin sugary drink emaw ang chi hi? Chu chu thlak danglam chu ngaihtuah rawh. Ni khata calorie 150 pek belh chuan kum khat chhungin pound 10 (kg 4.5 vel) a tipung thei a ni. Chu chu chips packet te tak te emaw, double-stuffed sandwich cookies pahnih emaw nen a inang a ni.
• Taksa tihchak belh: A dang pawhin nangmah leh i fitness level nena inmil activity zawng la, ni khata calorie 150 extra halral theihna tura i tih theih dan tur ngaihtuah rawh.
• Tumruh taka thil lei: In lamah ei tur hrisel rawn keng la, vawng reng rawh. I chhuah dawn chuan sweets leh treats te hi hun bik atan chauh tihtlem thin ang che.
• Overall wellness tihchangtlun: Screen hun tihtlem la, pawnah chhuak la, boruak thianghlim la rawh. I stress kha enkawl la, i hormone level kha regulate la, mut tam tum ang che. I thawhrimnain taksa rihna a nghawng dan ngaihtuah mai ai chuan, inthlak danglamna \ha leh thil hrisel tak takte chu ngaihtuah zawk rawh.

I thau lutuk chuan eng nge thleng?

Thau lutuk hian hriselna lama harsatna lian tham thenkhat i neih theihna a tipung a ni. Mahse, thau lutuk hian chutiang dinhmun chu i nei dawn tihna emaw, chutiang venna tur engmah i ti thei lo tihna a ni lo. I taksa rihna 5% atanga 10% chauh tihtlem hian i hriselna atana hlauhawmna nasa takin a tihziaawm thei tih hre reng ang che. Hun rei tak chhunga enkawl dan tur ruahmanna siam hian i taksa rihna tihtlem chu a vawng reng thei che a ni.

Engtin nge i taksa rihna tihtlem chu a lo kir leh loh nan i ven?

Vawikhat i taksa rihna engemaw chen i thlen chuan i taksa rihna tihtlem kawng chu a tawp tawh niin i ngai mai thei. Mahse thau lutuk hi natna rei tak a ni. Chu chu i taksa rihna tihtlem nâna i thil tihte, tumruh taka thil lei leh kar khata ni engemaw zât active taka awm ang chite chu i chhunzawm zel a ngai tihna a ni.

I thau lutuk a nih chuan i dinhmun enkawl dan tur engmah i tih theih loh angin i inhria mai thei. Heng rilru put hmangte hi hriatthiam theih a ni a, a hluar hle bawk. I thau lutuk nia i hriat chuan Doctor nen inbia ang che. I tana tha tur weight management plan zawng turin a pui thei che a ni.

He thuziak atanga in lama hruai tur pawimawh ber

Okay, chuvangin, kan sawi tawh atang chuan hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• Thau lutuk hi thil awlsam a ni lo. I hriselna tichhe thei, hun rei tak chhunga natna khirh tak a ni.
• Hei hi chhan tam tak a awm thei. Hei hi genes, environment, nunphung leh rilru hriselna ang chi thil tam takin a nghawng thei a ni.
• Harsatna tam tak a awm thei. Zunthlum, thinlung natna, cancer ang chi thilte a awm theihna a sang hle.
• Mahse, enkawl theih a ni. Damdawi lam thurawn angin he natna hi ei leh in thlak danglam, exercise, leh a tul chuan damdawi emaw surgery emaw hmanga control theih a ni.
• Hrilhfiahna tlemte pawh hian nghawng lian tak a nei a ni.Tlemtea taksa rihna tihtlem pawhin hriselna atana hlauhawmna a tihziaawm thei.
• Nangmah chauh i ni lo. Hemi chungchang sawi leh tanpuina dil hlau suh. Doctor, nutritionist, leh counselor hnen atangin tanpuina la rawh.
• A pawimawh ber chu mahni in enkawl a, positive taka awm hi a ni.

Hemi chungchanga zawhna dang i neih chuan doctor nen inbia ngei ang che. He zinkawng hi i tana tha tur angin an kaihruai ang che.

` Thau lutuk, Thau lutuk, Hriselna, BMI, Zunthlum, Lung natna