Une hanyawo zvakanyanya nehuremu hwemuviri wako here? Kunyangwe uchiedza zvakadii, kuderedza huremu hakusi nyore sezvaunofunga? Pamwe unofunga kuti, "Handidyi zvakanaka, handina simba rekuita maekisesaizi." Asi kutaura chokwadi, kufuta hakusi kushaya simba rekuita maekisesaizi kana kushaya simba rekudya. Idambudziko rakaoma uye risingaperi rinoda kurapwa. Ndizvo zvatiri kutaura nezvazvo nhasi.
Chii chinonzi Kufutisa kweClass III?
Zvichitaurwa zviri nyore, Kufutisa kweClass III ndiyo mhando yakanyanya yekufutisa. Yaimbonzi "Morbid Obesity," asi izwi iroro rainzwika serakashata, saka vanachiremba vava kushandisa zita rekuti "Class III Obesity."
Chiyero chinowanzo shandiswa kuyera kufuta iBody Mass Index (BMI) . Uku kuverenga kuri nyore kunoratidza kana uine huremu hwakanaka zvichienderana nehurefu hwako.
- Kana BMI yako iri 40 kana kupfuura, inoonekwa seClass III Obesity.
Asi yeuka, BMI haisi nguva dzose inoyera zvakakwana. Dzimwe nguva mutambi ane tsandanyama dzakanaka anogona kuva neBMI yakakwira, asi haana kufuta. Saka, kana chiremba akakuongorora, haazongotaridzi BMI yako chete, asiwo zvimwe zvinhu zvakaita sekutenderera kwechiuno chako uye ukobvu hweganda rako.
Chinhu chakakosha ndechekuti chirwere ichi chinorapika. Kunyange hazvo pasina mhinduro yekukurumidza, iwe nachiremba wako munogona kushanda pamwe chete kugadzira hurongwa hwekuti muwane huremu hwakanaka hunoshanda kwamuri.
Ndezvipi zviratidzo nematambudziko ekufutisa?
Hapana zviratidzo chaizvo zvinoonekwa chete muClass III Obesity. Chiratidzo chikuru iBMI inodarika 40. Zvisinei, chirwere ichi chinogona kukanganisa nhengo dzakasiyana dzemuviri wedu uye kukonzera matambudziko makuru ehutano. Izvi ndizvo zvatinofanira kunyatsoteerera.
Ngatitarisei mamwe ematambudziko makuru ehutano anogona kumuka nekuda kweizvi pazasi.
| Sisitimu yemuviri | Matambudziko nezvirwere zvinogona kuitika |
|---|---|
| Mwoyo netsinga dzeropa | Chirwere chemwoyo, BP (BP), mafuta ari mutsinga (atherosclerosis) |
| Sisitimu yekufema | Kushaya simba rekufema (Obstructive Sleep Apnea), kutadza kufema nekuda kwekufuta (Obesity Hypoventilation Syndrome - OHS) |
| Sisitimu yeEndocrine (mahormone) | Rudzi rwechipiri rwechirwere cheshuga, chirwere chemetabolic |
| Mapfupa nemapfundo | Osteoarthritis, kunyanya yemabvi nemuchiuno |
| Chiropa neitsvo | Chirwere cheChiropa Chine Mafuta, Chirwere cheItsvo |
| Njodzi yekenza | Kuwanda kwenjodzi yekenza yepancreatic, colon, mazamu, uye chiropa |
| Hutano hwepfungwa | Kuora mwoyo nezvimwe zvinetso zvehutano hwepfungwa |
| Hutano hwekubereka | Matambudziko ekushaya mbereko anokanganisa kugona kwevakadzi nevarume kuita vana |
Sei izvi zvichiitika? Ndezvipi zvinokonzera kufuta?
Vanhu vazhinji vanotenda kuti kuwedzera uremu kunokonzerwa nekusawirirana pakati pehuwandu hwechikafu chatinodya nehuwandu hwemaekisesaizi atinoita. Izvozvo ndezvechokwadi kusvika pamwero wakati. Patinodya macalorie akawanda kupfuura anoshandiswa nemuviri wedu, simba rakawandisa rinochengetwa mumuviri semafuta (mafuta).
Asi nyaya yacho haigumiri ipapo. Iyi inyaya yakaoma zvikuru.
Chinonyanya kukosha: Yeuka, Kufutisa kweClass III hakukonzerwi nekushaya simba rekuzvisarudzira kana kutadza kudzora kudya kwako.
Kune zvimwe zvikonzero zvakawanda zvinokanganisa izvi:
- Majini: Ungashamisika kuziva kuti majini anopfuura gumi nemashanu akawanikwa ane chekuita nekufutisa. Vamwe vanhu vane hutachiona hwemajini hunokonzeresa kuwedzera uremu. Mamwe majini, akadai sePrader-Willi syndrome, anogonawo kukonzera kufuta.
- Kusawirirana kwemahormone: Mahormone zvinhu zvine simba zvikuru mumiviri yedu. Matambudziko ane chekuita nemahormone akadai se hypothyroidism, Cushing's syndrome, uye polycystic ovary syndrome (PCOS) anogona kukonzera kuwedzera uremu kusingadiwe.
- Mimwe mishonga: Mimwe mishonga yaunotora, semuenzaniso, mishonga inorwisa kuora mwoyo, mishonga inorwisa pfungwa, uye corticosteroids, inogonawo kukonzera kuwedzera uremu semhedzisiro.
- Zvinhu Zvinoita Nezvemagariro Evanhu Netsika: Ingofungai, pane kushambadzira kungani kuripo paterevhizheni nepaindaneti kwechikafu chinopa macalorie akawanda uye chinobikwa nekukurumidza? Kunyangwe muSri Lanka, zvava nyore kuwana chitoro che "Shot-Eats" kana bhekari, asi zvakaoma kuwana miriwo nemichero yakanaka. Uyewo, huwandu hwezvikafu zvatinodya hwakura kupfuura kare.
- Zvinhu zvakatipoteredza uye zvehupfumi: Dzimwe nguva chikafu chinokurumidza chinodhura uye chiri nyore kuwana pane chikafu chinovaka muviri. Zvakare, kana uchigara munzvimbo isina nzvimbo dzakachengeteka kana mapaki ekufamba netsoka nekurovedza muviri, izvo zvinogonawo kubatsira mukuwedzera uremu.
Zvimwe zvinhu zvinowedzera njodzi yekuwedzera uremu
Kuwedzera kune zvikonzero zviri pamusoro apa, zvinhu izvi zvinogonawo kuwedzera njodzi yako:
- Kushaya hope: Ongororo yakawana hukama huripo pakati pevanhu vanorara pasi pemaawa manomwe pazuva neBMI yakakwira.
- Kushushikana kusingaperi: Kana wakashushikana kwenguva yakareba, muviri wako unoburitsa mahormone akaita se "Cortisol." Mahormone aya anodzora nzara yedu uye simba redu, izvo zvinogona kukonzera kuwedzera uremu.
- Zera: Sezvaunokura, mashandiro emuviri wako anoderera, zvichiwedzera njodzi yekuwedzera uremu.
- Murume kana Mukadzi: Vakadzi vanowanzova nemafuta akawanda mumuviri kupfuura varume, uye vanogonawo kuwedzera uremu panguva yekuzvitakura uye panguva yekuenda kumwedzi.
Chiremba anoongorora sei chirwere ichi?
Paunoenda kunoona chiremba, anotora matanho akati wandei kuti asimbise chirwere ichi.
1. Kuverenga Body Mass Index (BMI): Kutanga, kureba kwako nehuremu zvinoyerwa uye BMI yako inoyerwa.
2. Kuyera denderedzwa rechiuno: Uku kuyera kwakakoshawo, nekuti mafuta akaunganidzwa akakomberedza dumbu anowedzera njodzi yezvinhu zvakaita sechirwere chemwoyo.
- Kune vakadzi: Kana kureba kwayo kuri kupfuura masendimita makumi matatu nemashanu
- Kune varume: Kana kureba kwayo kuri kupfuura masendimita makumi mana
- (Kune avo vedu vanobva kuSouth Asia, vanachiremba vanoona kunyange zvinhu zvakaderera sezvine njodzi.)
3. Kuongororwa kweropa nedzimwe bvunzo: Chiremba wako anogona kukurudzira bvunzo dzakasiyana-siyana kuti aone kana paine zvimwe zvirwere zviri kukonzera kuwedzera uremu hwako uye kuti aone kuti ndeapi matambudziko anokonzerwa nekufutisa.
| Zita rebvunzo | Chii chiri kuyedzwa? |
|---|---|
| Mbiri yeLipid | Cholesterol yeropa uye mazinga e triglyceride |
| Hemoglobin A1C (HbA1C) | Kuongorora chirwere cheshuga kana chirwere cheshuga chisati chatanga |
| Kuedzwa kweChiropa | Kuti udzidze nezve mashandiro echiropa uye kuiswa kwemafuta |
| Hormone Inokurudzira Thyroid (TSH) | Kuongorora mashandiro e thyroid |
| Kuongororwa kweElektrocardiogram (EKG) | Kuongorora mashandiro emoyo |
Mishonga yacho ndeipi? Tingaita sei neizvi?
Ichi ndicho chikamu chakakosha. Yeuka, hapana mushonga mumwe chete unokodzera zvese. Uchada chirongwa chekurapa chakanangana newe, zvichienderana nemuviri wako, mararamiro ako, uye zvinangwa zvehutano hwako. Chiremba wako achakubatsira neizvi.
Nzira huru dzekurapa dzinogona kukamurwa kuita mapoka mana:
1. Kuchinja mararamiro ane hutano
Iyi ndiyo hwaro hwekurapa.
- Kuchinja mukudya:Unogona kusangana nenyanzvi yezvekudya kuti uronge kudya kwakaringana kunokukodzera. Izvi hazvirevi kuti unofanira kupotsa kudya, asi kudya zvinhu zvakakodzera, nehuwandu hwakakodzera, panguva dzakakodzera.
- Kurovedza muviri: Kurovedza muviri hakusi kungobatsira kuderedza uremu chete, asiwo kunobatsira pahutano hwepfungwa dzako. Zvisinei, usatange kuita maekisesaizi anorema panguva imwe chete. Taura nachiremba wako nezvekuti rudzii rwemaekisesaizi rwakakunakira uye kuti unofanira kuaita kwenguva yakareba sei.
- Kurara zvakanaka: Zvakakosha kurara zvakanaka kwemaawa manomwe kusvika masere pazuva.
- Kudzora kushushikana: Kushushikana ndicho chikonzero chikuru chekufuta. Zvinhu zvakaita sekufungisisa uye maekisesaizi ekufema zvinogona kukubatsira kudzora kushushikana.
2. Kurapa Maitiro uye Pfungwa
Dzimwe nguva panogona kunge paine zvikonzero zvepfungwa zvinokonzera kudya kwedu. Matambudziko akadai sekuora mwoyo uye kuzvidya mwoyo anowanzoonekwa pamwe chete nekufutisa. Nokudaro, kutaura nenyanzvi yezvepfungwa (Talk Therapy) kunogona kubatsira zvikuru. `(Cognitive Behavioral Therapy - CBT)` ndiyo imwe nzira inoshanda inoshandiswa pakuita izvi.
3. Mishonga
Kana kuchinja mararamiro ako chete kusina kukwana kudzora huremu hwako, chiremba wako anogona kukupa mishonga yekukubatsira kuderedza huremu. Mishonga iyi inonyanya kushanda nekudzora nzara yako uye kuita kuti unzwe wakaguta mushure mekudya zvishoma.
Mienzaniso: `(Orlistat)`, `(Liraglutide)`, `(Semaglutide)`
Mishonga iyi inofanira kungotorwa chete kana yapihwa mazano nachiremba . Inogona kuva nemigumisiro yakaipa, saka chiremba wako achakubatsira kusarudza mushonga wakakunakira.
4. Kuvhiyiwa kwekudzikisa huremu uye nzira dzekurapa nadzo
Nzira idzi dzinogona kufungwa nezvadzo kune vanhu vakafuta zvakanyanya uye vakatadza dzimwe nzira dzese. Kune mhando mbiri huru dzenzira idzi.
- Maitiro eEndoscopic: Maitiro asingashandisirwe pakuvhiya anosanganisira kuisa endoscope (chubhu ine kamera) nemuromo kuti dumbu rive diki. Semuenzaniso: Endoscopic Sleeve Gastroplasty (ESG).
- Kuvhiyiwa kweBariatric: Uku kuvhiyiwa.
- Kuvhiyiwa kweGastric Bypass: Chikamu chidiki chedumbu chinogadzirwa uye chinobatana zvakananga neura hudiki.
- Kubviswa kwedumbu nemaoko: Chikamu chikuru chedumbu chinobviswa, zvichiita kuti dumbu rive diki.
Kunyangwe kuvhiyiwa uku kuchigona kupa mhedzisiro yakanaka kwazvo, kune njodzi nematambudziko. Saka, ichi chisarudzo chakakomba zvikuru. Unofanira kukurukura izvi kwenguva yakareba nachiremba wako.
Mibvunzo yekubvunza chiremba wako
Kana uchinetseka nekuderedza uremu hwako, usazeza kuona chiremba. Paunomuona, kumubvunza mibvunzo iyi kuchakubatsira zvikuru.
| Bvunza chiremba wako. |
|---|
| - Ndine chimwe chirwere chingave chiri kukonzera kuwedzera kwehuremu hwangu here? |
| - Mishonga yandinoshandisa ichaita kuti uremu huwedzere here? |
| - Ndedzipi tsika dzakanyanya kukanganisa dambudziko iri muhupenyu hwangu? |
| - Ndezvipi zvimwe zvinetso zvehutano zvandakasangana nazvo nekuda kwehuremu hwangu? |
| - Ndedzipi nzira dzekurapa dzandinadzo? |
| - Ndinofanira kuona nyanzvi yezvekudya here? |
| - Mishonga yekuderedza uremu kana kuvhiyiwa kwakakodzera kwandiri here? |
Pakupedzisira, rwendo rwekudzikisa uremu runogona kuva rwakaoma. Panogona kunge paine kukwira nekudzika munzira. Asi hazvigoneki. Pane kuedza kuita shanduko huru panguva imwe chete, ita shanduko diki imwe chete panguva. Yeuka kuti kunyangwe kudzikisa huremu hwako ne5% kana 10% kunogona kuva nemigumisiro yakanaka pazvinhu zvakaita seBP yako, huwandu hweshuga, uye huwandu hwecholesterol . Izvi zvichavandudza hupenyu hwako zvechokwadi.
Mharidzo Yekuenda Nayo Kumba
- Kufutisa kwakanyanya (Class III Obesity) hakusi kushaya simba kwemunhu, asi chirwere chakaoma chinokonzereswa nezvinhu zvakasiyana-siyana zvemajini, mahormone, uye zvakatipoteredza.
- Dambudziko iri rinotungamira kumatambudziko akawanda ehutano akakomba, akadai sechirwere cheshuga, chirwere chemwoyo, uye kenza, asi rinogona kurapwa zvinobudirira.
- Nzira dzekurapa dzinosiyana kubva kumunhu kuenda kumunhu uye dzingasanganisira kuchinja mararamiro, mishonga, uye dzimwe nguva kunyange kuvhiyiwa.
- Kana uchinetseka nehuremu hwako, taura nachiremba wako nekukasika uye gadzira hurongwa hwekurapa hwakakunakira.
- Pemberera kunyangwe kukunda kudiki! Kuderedza huremu hwako ne5% chete kunogona kubatsira zvikuru pahutano hwako.
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