Kei te āwangawanga nui hoki koe mō te taumaha o tō tinana? Ahakoa te kaha o tō ngana, ehara te whakaiti taumaha i te mea ngāwari pērā i tō whakaaro? Tērā pea kei te whakaaro koe, "Kāore au i te kai tika, kāore i a au te kaha ki te whakakorikori tinana." Engari i roto i te ao tūturu, ehara te momona i te kore kaha ki te kaha, i te kore rānei e taea te whakahaere i te kai. He mate uaua ake, he mate mau tonu e hiahia ana kia rongoatia. Koinei tā tātou e kōrero nei i tēnei rā.
He aha te Momonatanga Akomanga III?
Ki te whakarapopoto, ko te Momona Akomanga III te momo momona tino kino. I mua ko te "Momona Matepukupuku," engari he ahua kino te ahua o taua kupu, nō reira ka whakamahia e ngā tākuta te ingoa "Momona Akomanga III."
Ko te Tāurangi Papatipu Tinana (BMI) tētahi inenga e whakamahia whānuitia ana hei ine i te momona. He tātaitanga māmā tēnei e whakaatu ana mēnā kei te taumaha hauora koe mō tō teitei.
- Mena he 40, neke atu rānei tō BMI, ka kiia tēnei he Momona Waenga III.
Engari kia maumahara, ehara i te mea he tika 100% te ine i te BMI. I ētahi wā, ka nui te BMI o te kaitākaro uaua pai, engari kāore ia i te momona. Nō reira, ina tirohia koe e te tākuta, ehara i te mea ka tirohia e ia tō BMI anake, engari ka tirohia anō hoki e ia ētahi atu mea pēnei i te porowhita o tō hope me te matotoru o te paparanga ngako o tō kiri.
Ko te mea nui, he mate ka taea te rongoā. Ahakoa kāore he otinga i roto i te pō kotahi, ka taea e kōrua ko tō tākuta te mahi tahi ki te waihanga i tētahi mahere hei whakatutuki i tētahi taumaha hauora e pai ana māu.
He aha ngā tohu me ngā raruraru o te momonatanga?
Kāore he tohu motuhake e pā ana ki te Momona Akomanga III. Ko te tohu matua ko te BMI neke atu i te 40. Heoi, ka pā pea tēnei āhuatanga ki ngā wāhanga rerekē o tō tātou tinana, ā, ka puta he raruraru hauora nui. Koinei te mea me aro nui tātou ki tēnei.
Kia tirohia ētahi o ngā raruraru hauora nui ka puta mai i tēnei i raro nei.
| Pūnaha tinana | Ngā raruraru pea me ngā mate |
|---|---|
| Ngā uaua ngākau me ngā toto | Te mate manawa, te toto toto tiketike (hypertension), ngā putunga ngako i roto i ngā uaua toto (atherosclerosis) |
| Pūnaha manawa | Te ngongoro me te apnea moe (Obstructive Sleep Apnea), ngā uauatanga manawa nā te momona (Obesity Hypoventilation Syndrome - OHS) |
| Pūnaha endocrine (ngā homoni) | Mate Huka Momo 2, Mate Pūmua |
| Ngā wheua me ngā hononga | Osteoarthritis, inā koa o ngā turi me ngā hope |
| Ate me ngā whatukuhu | Mate Ate Ngako, Mate Tākihi |
| Te mōrearea o te mate pukupuku | Te pikinga ake o te mōrearea ki ngā mate pukupuku o te pancreas, te koroni, te ū, me te ate |
| Hauora hinengaro | Te pouri me ētahi atu raruraru hauora hinengaro |
| Hauora whānau | Ngā raruraru momona e pā ana ki te kaha o ngā wāhine me ngā tāne ki te whānau tamariki |
He aha tēnei e tupu nei? He aha ngā take o te momonatanga?
He tokomaha te hunga e whakapono ana ko te pikinga o te taumaha ka puta mai i te kore taurite i waenga i te nui o te kai e kainga ana e tātou me te nui o te whakakori tinana e mahia ana e tātou. He pono tēnei ki tētahi taumata. Ina nui ake ngā kaora e kainga ana e tātou i tā te tinana e tahuna ana, ka rongoatia te pūngao nui ki roto i te tinana hei ngako (ngā kiko ngako).
Engari kāore te kōrero i mutu i reira. He take tino uaua tēnei.
Ko te mea nui: Kia mahara, ehara te momo momona Akomanga III i te mea kāore koe i te kaha ki te whakahaere i tāu kai, i te kore rānei e taea e koe te whakahaere i tāu kai.
He maha atu anō ngā take e pā ana ki tēnei:
- Ira: Tērā pea ka miharo koe ki te mōhio kua kitea neke atu i te 15 ngā ira e hono ana ki te momona. Ko ētahi tāngata he tino pāngia e te ira ki te piki o te taumaha. Ko ētahi āhuatanga ira, pērā i te mate Prader-Willi, ka taea hoki te whakararu i te momona.
- Ngā taurite kore o ngā homoni: He tino kaha ngā homoni i roto i ō tātou tinana. Ka taea e ngā āhuatanga e pā ana ki ngā homoni pērā i te hypothyroidism, te mate a Cushing, me te mate ovary polycystic (PCOS) te whakanui ake i te taumaha kāore e hiahiatia.
- Ētahi rongoā: Ko ētahi rongoā e tangohia ana e koe, hei tauira, ngā rongoā antidepressants, ngā antipsychotics, me ngā corticosteroids, ka taea hoki te whakanui i te taumaha hei pānga taha.
- Ngā Take Hapori me ngā Take Ahurea: Whakaarohia, e hia ngā pānuitanga kei runga i te pouaka whakaata me te ipurangi mō ngā kai tere, he nui te kaora? Ahakoa i Sri Lanka, he māmā ake te kimi i tētahi toa "Shot-Eats", i tētahi toa tunu kai rānei, engari he uaua ki te kimi i ētahi huawhenua me ngā hua pai. Waihoki, he nui ake ngā rahinga o ngā kai e kainga ana e tātou i mua.
- Ngā āhuatanga taiao me te ōhanga: I ētahi wā he iti ake te utu o ngā kai tere, he māmā ake hoki te kimi i ngā kai whai kiko. Waihoki, ki te noho koe i tētahi rohe kāore he wāhi haumaru, he papa rānei hei hikoi me te whakakori tinana, ka taea hoki e tēnā te whakapiki i te taumaha.
Ētahi atu āhuatanga e whakanui ake ai i te mōrearea o te taumaha
Haunga ngā take o runga ake nei, ka taea hoki e ēnei āhuatanga te whakanui ake i tō mōrearea:
- Te kore moe: Kua kitea e ngā rangahau he hononga i waenga i te hunga e moe ana i raro i te 7 hāora i te rā me te BMI teitei ake.
- Te ahotea mau tonu: Ki te roa te wā e ahotea ana koe, ka tukuna e tō tinana ngā homoni pēnei i te "Cortisol." Mā ēnei homoni e whakahaere tō tātou hiakai me te pākia o te pūngao, ka piki ake ai te taumaha.
- Tau: I a koe e pakeke haere ana, ka puhoi haere te pākia o te tinana, ka piki ake te mōrearea o te pikinga o te taumaha.
- Ira Tangata: He nui ake te ngako o te tinana o ngā wāhine i ngā tāne, ā, ka piki ake pea tō rātou taumaha i te wā e hapu ana, e pāngia ana hoki e te wā pāheketanga.
Me pēhea te tātaritanga a te tākuta i tēnei mate?
Ina haere koe ki te tākuta, ka mahi ia i ētahi mahi hei whakaū i tēnei mate.
1. Tātaitanga Taupū Papatipu Tinana (BMI): Tuatahi, ka inehia tō teitei me tō taumaha, kātahi ka tātaihia tō BMI.
2. Te ine i te porowhita o te hope: He ine tino nui anō hoki tēnei, nā te mea ka nui ake te mōrearea o ngā mea pēnei i te mate manawa mēnā ka tāpaetia te ngako ki te puku.
- Mō ngā wāhine: Mena he nui ake i te 35 inihi
- Mō ngā tāne: Mena he nui ake i te 40 inihi
- (Ki te hunga o Āhia ki te Tonga, ki ngā tākuta he mōrearea ngā uara iti iho.)
3. Ngā whakamātautau toto me ētahi atu whakamātautau: Ka tūtohu pea tō tākuta i ngā momo whakamātautau hei tirotiro mēnā he mate hauora kē atu kei te whai wāhi ki te pikinga o tō taumaha, me te kimi hoki i ngā raruraru e puta mai ana i te momona.
| Ingoa o te whakamātautau | He aha te mea e whakamatautauria ana? |
|---|---|
| Kōtaha Ngako | Ngā taumata cholesterol toto me te triglyceride |
| Te Hemoglobin A1C (HbA1C) | Hei tautuhi i te mate huka, i te mate mua rānei o te mate huka |
| Ngā Whakamātautau Mahi Ate | Hei ako mō te mahi ate me te putunga ngako |
| Te Hormone Whakaohooho Tairoiro (TSH) | Hei tirotiro i te mahi a te tairoi |
| Te hiko o te manawa (EKG) | Hei tirotiro i te mahi a te ngākau |
He aha ngā maimoatanga? Me pēhea tā tātou whakatau i tēnei?
Koinei te wāhanga tino nui. Kia maumahara, kāore he maimoatanga kotahi e pai ana mō te katoa. Me whai mahere maimoatanga koe e hāngai ana ki a koe, e hangai ana ki tō tinana, ki tō momo noho, me ō whāinga hauora. Mā tō tākuta koe e āwhina ki tēnei.
Ka taea te wehewehe i ngā tikanga matua o te maimoatanga ki ngā wāhanga e whā:
1. Ngā huringa oranga hauora
Koinei te pūtake o te maimoatanga.
- Ngā huringa o te kai:Ka taea e koe te tūtaki ki tētahi tohunga kai hei whakarite i tētahi kai taurite e pai ana ki a koe. Ehara i te mea me waiho noa ngā kai, engari me kai i ngā mea tika, i ngā rahinga tika, i ngā wā tika.
- Korikori tinana: Ehara i te mea he pai te korikori tinana mō te whakaiti taumaha anake, engari he pai hoki mō tō hauora hinengaro. Heoi, kaua e tīmata i te mahi korikori tinana taumaha i te wā kotahi. Kōrero ki tō tākuta mō te momo korikori tinana e tika ana māu me te roa o te wā me mahi koe.
- Moe pai: He mea nui kia moe pai mō te 7-8 hāora ia rā.
- Te whakahaere i te ahotea: Ko te ahotea tētahi o ngā tino take o te pikinga o te taumaha. Mā ngā mahi pēnei i te whakaaroaro me ngā mahi manawa ka āwhina i a koe ki te whakahaere i te ahotea.
2. Te Whakaora Hinengaro me te Whanoke
I ētahi wā, tera pea he take hinengaro kei muri i ā tātou tikanga kai. He maha ngā wā ka kitea ngā āhuatanga pēnei i te pouri me te manukanuka me te momona. Nō reira, he tino āwhina te kōrero ki tētahi tohunga hinengaro (Talk Therapy). Ko te `(Cognitive Behavioral Therapy - CBT)` tētahi tikanga whai hua mō tēnei.
3. Ngā rongoā
Mena kāore e ranea ngā huringa āhua noho anake hei whakahaere i tō taumaha, ka tohua pea e tō tākuta he rongoā hei āwhina i a koe ki te whakaiti i tō taumaha. Ko te mahi nui a ēnei rongoā mā te whakahaere i tō hiakai me te whakakī i a koe i muri i te kai iti.
Tauira: `(Orlistat)`, `(Liraglutide)`, `(Semaglutide)`
Me tango noa ēnei rongoā i raro i te tohutohu a te taote . Tērā pea he pānga taha, nō reira mā tō tākuta koe e āwhina ki te whiriwhiri i te rongoā tika māu.
4. Ngā pokanga me ngā tikanga whakaiti taumaha
Ka taea te whakaaro ki ēnei tikanga mō te hunga tino taumaha rawa, ā, kua rahua i ngā tikanga katoa. E rua ngā momo matua o ēnei.
- Ngā tikanga endoscopic: Ngā tikanga kore-pokanga e uru ana ki te whakauru i tētahi endoscope (he ngongo me te kāmera) mā te waha hei whakaiti i te puku. Hei tauira: Endoscopic Sleeve Gastroplasty (ESG).
- Ngā pokanga Bariatric: He pokanga ēnei.
- Pokanga Ārai Puku: Ka hangaia he wāhanga iti o te puku, ā, ka honoa tika ki te whekau iti.
- Te tango i te puku o te ringaringa: Ka tangohia he wāhanga nui o te puku, ka iti ake te puku.
Ahakoa he tino pai ngā hua ka puta mai i ēnei pokanga, he mōrearea me ngā raruraru anō hoki kei roto. Nō reira, he whakatau tino nui tēnei. Me kōrero roa koe mō tēnei ki tō tākuta.
Ngā pātai hei pātai atu ki tō tākuta
Ki te mea kei te raru koe ki te whakahaere i tō taumaha, kaua e mangere ki te toro atu ki te tākuta. Ina kite koe i a ia, he tino āwhina te pātai atu i ēnei pātai ki a ia.
| Pātai atu ki tō tākuta. |
|---|
| - He mate anō kei ahau hei take e piki ai tōku taumaha? |
| - Ka piki ake te taumaha i ngā rongoā ka tangohia e au? |
| - He aha ngā āhuatanga o tōku āhua noho i tino pā ki tēnei mate? |
| - He aha atu ngā raruraru hauora kua pā mai ki ahau nā te taumaha? |
| - He aha ngā kōwhiringa maimoatanga kei a au? |
| - Me toro atu ahau ki tētahi tohunga kai? |
| - He tika te rongoā whakaiti taumaha, te pokanga rānei mōku? |
Hei whakamutunga, he uaua te haerenga ki te whakaiti taumaha. Tērā pea he pikinga, he hekenga i te ara. Engari ehara i te mea kāore e taea. Engari kaua e ngana ki te hanga i tētahi huringa nui i te wā kotahi, engari me hanga tētahi huringa iti i ia wā. Kia maumahara ahakoa te whakaiti i te 5%, 10% rānei o tō taumaha katoa, ka pā nui ki ngā mea pēnei i tō toto toto, tō taumata huka, me tō taumata cholesterol . Ka tino whakapai ake i te kounga o tō oranga.
Karere Tangohia ki te Kāinga
- Ehara te momona nui (Momona Akomanga III) i te ngoikore whaiaro, engari he āhuatanga hauora uaua e pāngia ana e te maha o ngā āhuatanga ira, homoni, me te taiao.
- Ka hua mai i tēnei āhuatanga he maha ngā raruraru hauora nui, pērā i te mate huka, te mate manawa, me te mate pukupuku, engari ka taea te rongoā angitu.
- He rerekē ngā whiringa maimoatanga i ia tangata, i ia tangata, ā, ka uru pea ki ngā huringa momo noho, ngā rongoā, ā, i ētahi wā ko te pokanga.
- Ki te mea kei te āwangawanga koe mō tō taumaha, kōrero tonu atu ki tō tākuta, ka whakawhanake i tētahi mahere maimoatanga e tika ana māu.
- Whakanuia ngā wikitoria ahakoa iti! Mā te whakaiti i te 5% noa iho o tō taumaha katoa ka nui te pānga ki tō hauora.
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