Nang pawhin thau lutuk i tuar ve em? Hemi chungchang hi awlsam takin han sawi ila!

"Aw, ka thau deuhin ka lang" tih hi a chang chuan i inhria em? Dress i hak hian i tang ang maiin i inhria mai thei. Hei hi a takah chuan tunlaia kan rama mi tam takin harsatna an tawh chu a ni. Mahse he ‘thau’ hi a awlsam angah ngai mah ila, a chang chuan chu aia pawi deuh pawh a ni thei. Damdawi lamah chuan he dinhmun hi thau lutuk, emaw (Obesity) kan ti thin. Hei hi hmel lan dan chauh ni lovin, hun rei tak chhunga kan hriselna zawng zawng tichhe thei dinhmun a ni. Chuvangin vawiin hian he thu hi sawi ila, kan thianpa nen kan inbia ang maiin, awlsam takin.

Thau lutuk hi eng nge ni tak tak?

A awlsam zawngin, thau lutuk chu i taksaa thau hrisel lo tak tak awmkhawmna a ni. Zan khata thil thleng a ni lo va, hun kal zelah a ni zawk. Hei vang hian natna khirh tak kan ti a ni. Hetiang dinhmun hian i nunah i hlimna te, i rilru hriselna te, leh i inrintawkna te a nghawng thei a ni.

Mahse, he harsatna hi nangmah chauhin i hmachhawn lo tih hre reng ang che. Khawvel hmun hrang hrangah leh kan ramah pawh hetiang natna vei hi an tam hle. A pawimawh ber chu hei hi enkawl dan leh enkawl dan tur a awm a ni. Doctor i biak chuan i taksa leh hriselna atana solution tha ber i hmu thei ang.

Engtin nge thau lutuk hi teh a nih? Eng nge a lan chhuah dan?

Obesity hi natna chi khat, khawsik emaw, khawsik emaw ang chi natna chi khat a ni lo. Chu ai chuan doctor chuan i thau leh thau loh chu tehna engemaw zat a\angin a hre ang.

• Body Mass Index (BMI): Hei hi hmanraw hman tlanglawn ber a ni. I san zawng a zirin i taksa rihna hrisel takah i awm leh awm loh a chhut chhuak thin. A result value hian eng category-ah nge i tlak tih a hril a ni.
• Waist Circumference: I taksa thau dahkhawmna hmun pawh hi a pawimawh hle. Thau tam lutuk, a bik takin pum chhehvelah hian hriselna atana hlauhawmna a tipung a ni. Hei hi waist circumference hmanga tehna a ni.

BMI value atanga thliar hran a ni

Doctor-te chuan BMI hmangin thau lutuk hi chi thum-ah an ṭhen a. He classification hian enkawlna ruahmannaah a pui hle.

Mahse thil pakhat hre reng ang che. BMI hi kaihhruaina tlangpui chauh a ni. A chang chuan exercise tha tak nei leh taksa ruh (muscle mass) nei tawh chuan BMI a sang zawk thei a ni. Chuvang chuan he thu ringawt hian thutlukna siam hi a tha lo.

I kawrfual vel hian eng nge a sawi

I pum vel a thau tam lutuk phurh hian thinlung natna leh Type 2 Diabetes ang chi natna i vei theihna a tipung a ni. A tlangpuiin hmeichhia tan chuan waist circumference inches 35 aia tam leh mipa tan inches 40 aia tam chu risk factor anga ngaih a ni.

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Engvangin nge kan lian em em? A chhan engte nge ni?

Basic level-ah chuan thau lutuk hi i taksain a hal aia tam ei tur atanga calorie i ei hian a lo awm thin. Mahse, engvangin nge chutiang chu a lo awm? Hei hi chhan tam tak a awm a. Thil pakhat chauh a ni lo, thil tam tak inzawmkhawm a ni.

• Dietary habits: Hei hi a chhan ber a ni. Calorie tam tak kan ei chuan, a bik takin ultra-processed foods, sugary drinks leh foods, leh oily foods (short-eats leh fried rice ang chi) kan ei chuan taksain a mamawh aia tam calorie a hmu a ni. Calorie la awm chu taksaah thau angin a dah khawm a ni.
• Exercise neih loh: Tunlai kan nunphung nen hian taksa tihchakna a tlahniam nasa hle. Sedentary job, TV en leh phone-a hun hman tam vangte hian taksain calorie a hal tlem zawk thin.
• Genetics: Ni e, genes hian chanvo a nei a ni. Research atanga a lan dan chuan mi thenkhat chu an genes hian ei duhna leh metabolism ang chi thil a nghawng dan atang hian thau lutuk an nei duh hle. Chhungkaw history-a thau lutuk i neih chuan i hlauhawmna a sang deuh mai thei.
• Damdawi thenkhat: Damdawi antidepressant, steroid, zunthlum damdawi thenkhat, leh beta-blockers te pawhin taksa rihna a tipung thei bawk.
• Mut tlakchhamna:Ni khata darkar 7 aia rei lo mut hian kan riltam thununtu hormone hnathawh a tibuai a. Chuvang chuan mut mut tawk lote chuan chaw ei tam duhna an nei thin.
• Stress: I stress lai hian i taksa hian cortisol ang chi hormone a siam tam zawk thin. Heng hormone te hian riltam a tipung a. Tin, i stress lai hian "comfort foods" sugar leh thau tamna i ei fo bawk. Chungte chuan taksa rihna a tipung thei a ni.
• Damdawi lam thil dang: Metabolic syndrome leh polycystic ovary syndrome (PCOS) ang chi natna hian side effect angin taksa rihna a tipung thei bawk.

Thau lutuk hian eng hriselna lama harsatna nge a thlen theih?

Obesity hi i taksa system zawng zawng deuhthaw a nghawng thei a, natna khirh tak tak engemaw zat i vei theihna a tipung thei a ni.

Thu lawmawm tak chu tuna i rihna 5% atanga 10% vel tihtlem pawhin heng natna tam tak i vei theihna hi nasa takin a ti tlem thei a ni.

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

Hemi chungchang sawi tura doctor i pan hunah chuan i hriselna zawng zawng hriat chian nan zawhna tlemte a zawt ang che.

• I damdawi lam chanchin: Natna dang i neih te, damdawi i ei te, leh chhungkaw natna (zunthlum leh thinlung natna ang chi) te zawt rawh.
• I taksa rihna chanchin: I taksa rihna tihtlem i tum tawh em tih leh chutiang hmanrua chu a hlawhtling em tih te a zawt che a ni.
• I nunphung: 1.1.I ei leh in dan te, ni khata exercise i tih zat te, i mut dan te an zawt thin.
• I rilru hriselna: I tawrh mek stress leh tension ang chi thil te pawh a sawi a, chu chuan i taksa rihna a nghawng thei bawk a ni.

Chu bâkah, i rih zawng, i san zawng leh i kawr vêl chu teh a ni ang. I thisen sang, thisen thlum leh cholesterol level enfiah nan thisen test i nei thei bawk. Heng zawng zawng hian i doctor chu i thau em tih emaw, i dinhmun nena inzawm thei hriselna lama harsatna dang i neih leh neih loh emaw a hriat theih nan a pui ang.

I taksa rihna tihtlem nan hian eng enkawlna nge awm?

Hei hi mi tinte tana zinkawng inang lo tak a ni. Mi pakhat tana hnathawk chu mi dang tan a thawk lo mai thei. Chuvangin i doctor chuan i tana tha tur ruahmanna a siam ang. Hei hian thil pawimawh engemaw zat a huam a ni.

1. I ei leh in thlak danglam

Hei hian eitur tui tak tak ei leh ei zawng zawng i bansan a ngai tihna a ni lo. Ei leh in hrisel leh inthlau tak hman thiam tihna a ni. I doctor emaw nutritionist emaw nen inbiain i duh ang diet plan i siam thei ang. Entirnan, scientifically proven healthy eating patterns (Mediterranean diet) emaw (DASH diet) emaw ang chi a awm. Kan ei tur lam hawi chuan plate-a buhfai awm zat tihtlem a, thlai, greens, sangha, leh lentils te dah belh hi bul tanna tha tak a ni.

2. Taksa tihpun

Nitin i thil tih tur, kea kal, cycle khalh emaw, tui chawi emaw-ah ni khata minute 30 tal exercise neih belh tur a ni. Thil tenawm tak tak atang hian tan la rawh. Elevator ai chuan stairs-a kal emaw, dawr lam pan emaw chuan danglamna nasa tak a thlen thei a ni.

3. Rilru hriselna leh counselling

Stress emaw, lungkhamna emaw avanga emotional eating i tih dan i neih chuan tanpuina lak a pawimawh. Counselling, support group emaw, cognitive behavioral therapy (CBT) emaw hian a pui thei a ni.

4. Rihna tihtlem nana damdawi

A châng chuan, nun dân inthlâk danglamna rualin, doctor chuan i taksa rihna tihtlem nân damdawi a pe thei bawk. Chûngte chuan i ei duhna a tihziaawm thei a, i rilṭâmna a thunun thei bawk. Mahse, hengte hi damdawi lam enkawlna hnuaiah chauh lak tur a ni. Entirna thenkhat chu:

• Bupropion-naltrexone (Contrave®) hmanga tihdam theih a ni''.
• Liraglutide (Saxenda®) tih a ni
• Orlistat (Xenical®) tih a ni
• Semaglutide (Wegovy®) - Zunthlum damdawi (Ozempic®) chi khat, taksa rihna tihtlem nana pawm a ni.

5. Rihna tihtlem nana zai (Bariatric Surgery) .

Hei hi class III obesity (BMI 40+) nei, kawng dang hmanga taksa rihna tihtlem harsatna nei tan a tha tlangpui. He surgery hian pum lian leh te tihtlem emaw, ei tur lakluh dan tihdanglam emaw a huam a ni. Hei hian chaw ei theih zat a tikhawtlai a ni.

• Gastric Sleeve'' (Sleeve Gastrectomy) tih hi a awm lo.
• Gastric Bypass (Roux-en-Y) hmanga tih theih a ni.
• Gastric Band (LAP band) te hi an awm a.

Engtin nge i taksa rihna tihtlem hnuah i thau lehzual loh nan i ven theih ang?

Mi tam tak chuan taksa rihna tihtlem hi thil harsa ber niin an ngai. Mahse a nihna takah chuan i taksa rihna tihtlem chu vawn reng chu a harsa zawk. Thau lutuk hi natna rei tak a ni tih hre reng ang che. Hei hian hun rei tak enkawl a ngai tihna a ni.

• Hrilhfiahna tenau te siam zel ang che: I taksa rihna tihtlem lai khan i tih dan tha (sugary drinks aiah tui in, zan lama chaw rit lo ei) te kha practice chhunzawm zel ang che.
• Exercise hi chawlhsan suh: Exercise hi taksa rihna tihtlem nan chauh ni lovin, hrisel taka awm theihna atan pawh a pawimawh hle. Chuvangin nitin active takin awm rawh.
• In lamah chaw hrisel vawng rawh: In lama chaw i rawn kente chu fimkhur rawh. Thei, thlai, leh nut ang chi thil te chu in lamah dah thin ang che. Processed foods leh sweets rawn luh khap rawh.
• Overall wellness ngaihtuah la: mut tlem la, stress control la, i rihna chauh ni lovin, hrisel leh hlim taka awm chu ngaihtuah rawh.

Hetiang harsatna hi i neih chuan nangmah chauhin hei hi i paltlang thei lo ang tih i hre mai thei. Chu chu thil pangngai a ni. A pawimawh ber chu tanpuina dil hlau lo hi a ni. Vawiin hian i doctor nen inbia ang che. I tana tha tur leh i tih theih tur ruahmanna a siam ang. He zinkawng hi nangmah chauhin i paltlang tur a ni lo.