Class III Obesity chungchanga hriat tur awmte

I taksa rih zawng pawh i ngaihtuah nasa em? Engtiang pawhin bei mah la, taksa rihna tihtlem hi i ngaihtuah angin a awlsam lo em ni? "Ka ei dik lo, exercise neih duhna ka nei lo," tiin i ngaihtuah mai thei. Mahse a nihna takah chuan thau lutuk hi duhthlanna tlakchhamna emaw, ei leh in chunga thunun theih lohna emaw a ni lo. A buaithlak zawk, a rei zawk, enkawl ngai a ni. Chu chu vawiina kan sawi tum chu a ni.

Class III Obesity hi eng nge ni?

A awlsam zawngin sawi ila, Class III Obesity hi thau lutuk na ber a ni. Hmanlai chuan "Morbid Obesity" an ti thin a, mahse chu thumal chu a nuam lo deuh a, chuvang chuan tunah chuan doctor-te chuan "Class III Obesity" tih hming hi an hmang ta a ni.

Thau lutuk tehna atana hman tlanglawn tak chu Body Mass Index (BMI) . Hei hi i san zawng nena inmil tura i taksa rihna hrisel takah i awm leh awm loh hriat theihna tur chhut dan awlsam tak a ni.

• I BMI 40 aia sang a nih chuan Class III Obesity anga ngaih a ni.

Mahse, BMI hi 100% a dik taka tehna a ni ngai lo tih hre reng ang che. A chang chuan athlete thau tha tak chuan BMI sang tak a nei thei a, mahse a thau lutuk lo. Chuvangin, doctor-in a enfiah che chuan i BMI chauh ni lovin, thil dang, i kawr vel leh i vun thau layer thickness te pawh a check ang.

Thau lutuk hian eng symptoms leh complications nge a neih?

Class III Obesity-ah hian symptom bik a awm lo. A lan chhuahna ber chu BMI 40 aia tam a ni a, mahse he natna hian kan taksa peng hrang hrang a nghawng thei a, hriselna lama harsatna lian tak a thlen thei a ni. Hei hi kan ngaihven ber a ngai a ni.

Hemi avanga hriselna lama harsatna lian tham lo awm thei thenkhat chu a hnuaiah hian han thlir ila.

Engvangin nge hetiang hi a lo awm? Thau lutuk chhante chu engte nge ni?

Mi tam tak chuan taksa rihna hi kan ei leh in leh exercise kan tih zat inthlauhna avanga lo awm niin an ngai. Chu chu eng emaw chen chu a dik a ni. Kan taksain a hal aia tam calorie kan ei hian a chakna tam lutuk chu taksaah thau (adipose tissue) angin a khawlkhawm thin.

Mahse thawnthu hi chutiang chuan a tawp lo. Hei hi thil buaithlak tak a ni.

Hei hi a nghawng chhan dang tam tak a awm bawk:

• Genetics: Thau lutuk nena inzawm gene 15 chuang hmuhchhuah a nih thu i hriat chuan mak i ti mai thei. Mi thenkhat chu genetically predisposed an ni a, an taksa rihna a tipung thin. Genetic condition thenkhat, Prader-Willi syndrome te pawhin thau lutuk a thlen thei bawk.
• Hormone inthlauhna: Kan taksaah hian hormone hi thil chak tak a ni. Hormone nena inzawm, hypothyroidism, Cushing’s syndrome, leh polycystic ovary syndrome (PCOS) te hian duh loh zawnga taksa rihna a tipung thei a ni.
• Damdawi thenkhat: Damdawi thenkhat i ei, entirnan, antidepressant, antipsychotics, leh corticosteroids te hian side effect angin i taksa rihna a tipung thei bawk.
• Social and Cultural Factors: Ngaihtuah teh, television leh internet-ah hian calorie tamna, fast food advertisement engzat nge awm? Sri Lanka-ah pawh tunah chuan "Shot-Eats" dawr emaw, Bakery emaw hmuh a awlsam tawh hle a, mahse thlai leh thei tha engemaw zat hmuh a harsa tawh hle. Tin, kan ei tur ei tur portion size pawh tunah chuan a hma aiin a lian zawk hle bawk.
• Environment leh economic factors: A chang chuan fast food hi ei tur tha tak tak aiin a man a tlawm zawk a, hmuh a awlsam zawk bawk. Tin, kea kal leh exercise neihna tur hmun him leh park awm lohna hmuna i awm chuan chu chuan taksa rihna a tipung thei bawk.

Thil dang, taksa rihna tihpunna tipungtu

A chunga kan sawi takte bakah hian heng thilte hian i risk a tipung thei bawk:

• Mut tlem: Zirchiannaah chuan ni khata darkar 7 aia tlem mut leh BMI sang zawk inzawmna a awm tih hmuhchhuah a ni.
• Chronic stress: Hun rei tak i stress chuan i taksa hian ``Cortisol.`` ang chi hormone a tichhuak thin.Heng hormone te hian kan riltam leh chakna metabolism a control a, chu chuan taksa rihna a tipung thei a ni.
• Kum: I upat deuh deuh chuan i taksa metabolism a ti hniam a, chu chuan i taksa rihna a tipung a ni.
• Gender: Hmeichhia hian mipa aiin taksa thau an nei tam tlangpui a, naupai leh menopause lai pawhin an thau a tipung thei bawk.

Engtin nge doctor hian he natna hi a hriat theih ang?

Doctor pan tura i kal chuan he natna hi finfiah turin step engemaw zat a la ang.

1. Body Mass Index (BMI) chhut dan: A hmasa berin i san zawng leh i rih zawng teh a, i BMI chhut a ni.

2. Waist circumference tehna: Hei pawh hi tehna pawimawh tak a ni a, a chhan chu pum vela thau awm hian thinlung natna ang chi thil a thlen theihna a tipung a ni.

• Hmeichhia tan: Inches 35 aia tam a nih chuan
• Mipa tan: Inches 40 aia tam a nih chuan
• (South Asian hnam chhuak kan nih avangin doctor-te chuan value hniam zawk pawh hi risky takah an ngai a ni.)

3. Thisen test leh test dang: I doctor chuan i taksa rihna tipungtu damdawi lam thil dang a awm leh awm loh hriat nan leh thau lutuk avanga harsatna awmte hriat chian nan test hrang hrang neih a rawt thei ang.

Enkawlnate chu engte nge ni? Engtin nge he thil hi kan hmachhawn ang?

Hei hi a pawimawh ber a ni. Mi zawng zawng tan enkawlna pakhat chauh a awm lo tih hre reng ang che. I taksa, nunphung leh hriselna lama i thil tumte a zirin i tan bik enkawlna ruahmanna i mamawh ang. Hemi kawngah hian i doctor chuan a pui ang che.

Enkawl dan tlangpui chu chi li-ah then theih a ni a, chungte chu:

1. Hrisel taka nun dan thlak danglam

Hei hi enkawlna bulpui ber a ni.

• Ei leh in lama inthlak danglamna:I duh ang balanced diet ruahman turin dietitian nen in inhmu thei ang. Hei hian chaw ei skip tihna a ni lo va, thil dik tak, a zat tur dik tak, a hun takah ei tur a ni.
• Taksa tihchak: Exercise hi taksa rihna tihtlem nan a tha mai ni lovin, i rilru hriselna atan pawh a tha hle. Mahse, vawi khatah exercise hahthlak tak tak tih tan suh. I doctor nen eng exercise nge i tan a tha tih leh eng chen nge i tih tur tih te sawipui rawh.
• Mut tha: Ni khatah darkar 7-8 vel mut that a pawimawh.
• Stress management: Stress hi taksa rihna tipungtu lian tak a ni. Meditation leh thawk lakna exercise ang chi thilte hian stress control nan a pui thei che a ni.

2. Nungchang leh rilru lam enkawlna

A châng chuan kan ei leh in hnuaiah hian rilru lam thil a awm thei bawk. Depression leh anxiety ang chi dinhmun hi thau lutuk nen hian hmuh tur a awm fo bawk. Chuvangin psychologist (Talk Therapy) nena inbiakna neih hi a \angkai hle thei a ni. `(Cognitive Behavioral Therapy - CBT)` hi chutiang atana hmanraw tangkai tak pakhat a ni.

3. Damdawi chi hrang hrang

Nunphung tihdanglam ringawt pawh hian i taksa rihna control nan a tawk lo a nih chuan i doctor chuan i taksa rihna tihtlem nan damdawi a pe thei che a ni. Heng damdawi te hian i riltam thunun a, ei tlem te ei hnua i rilru a tiharh avangin hna a thawk ber a ni.

Entirnan: `(Orlistat)`, `(Liraglutide)`, `(Semaglutide)` tih te hi a ni

4. Weight loss surgery leh tih dan tur

Heng hmanrua te hi mi thau lutuk leh hmanraw dang zawng zawng hlawhchham tawhte tan ngaihtuah theih a ni. Chungte chu chi hnih lian tak a ni.

• Endoscopic procedures: Surgery ni lo, ka chhunga endoscope (camera nei tube) dahin pum chu a te zawka siam a ni. Entirnan: Endoscopic Sleeve Gastroplasty (ESG) hmanga tih a ni.
• Bariatric surgery: Hengte hi surgery a ni.
• Gastric Bypass Surgery: Pum chhung hmun te tak te siam a ni a, chu chu small intestine nen direct-in a inzawm a ni.
• Sleeve Gastrectomy: Pum chhung hmun zau tak chu lakchhuah a ni a, chu chuan pum a ti te zawk a ni.

Heng surgery te hian result tha tak tak pe thei mahse, risk leh complication a nei bawk. Chuvangin hei hi thutlukna pawi tak a ni. Hei hi i doctor nen rei tak i sawiho tur a ni.

I doctor zawh tur zawhna

I rihna enkawl harsatna i neih chuan doctor pan hreh suh. I hmuh hunah heng zawhnate zawh hian a \angkai hle ang.

A tawp berah chuan taksa rihna tihtlem tura zinkawng hi a harsa thei hle. Kawngpuiah hian sang leh hniam a awm thei. Mahse thil theih loh a ni lo. Vawi khata inthlak danglamna lian tak siam tum ai chuan, a vawi khatnaah inthlak danglamna tenau pakhat siam rawh. I taksa rihna zawng zawng atanga 5% emaw 10% emaw chauh tihtlem pawhin i thisen sang, sugar level, leh cholesterol level ang chi thilah nghawng tha tak a nei thei tih hre reng ang che I nunphung a tichangtlung ngei ang.