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.

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.

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.

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.