Kunenepa - mwangozi

Kulemera kopanda dala ndikuti mumakhala wonenepa osayesera kutero ndipo simukudya kapena kumwa kwambiri.

Kunenepa pamene simukuyesera kutero kungakhale ndi zifukwa zambiri.

Metabolism imachedwetsa mukamakula. Izi zimatha kuyambitsa kunenepa ngati mumadya kwambiri, kudya zakudya zolakwika, kapena osachita masewera olimbitsa thupi.

Mankhwala omwe angayambitse kunenepa ndi awa:

• Mapiritsi oletsa kubereka
• Corticosteroids
• Mankhwala ena amagwiritsidwa ntchito pochiza matenda osokoneza bongo, schizophrenia, ndi kukhumudwa
• Mankhwala ena amagwiritsidwa ntchito pochiza matenda ashuga

Kusintha kwa mahormone kapena mavuto azachipatala amathanso kuyambitsa kunenepa mosakonzekera. Izi zitha kuchitika chifukwa cha:

• Matenda a Cushing
• Chithokomiro chosagwira ntchito, kapena chithokomiro chochepa (hypothyroidism)
• Matenda a Polycystic ovary
• Kusamba
• Mimba

Kuphulika, kapena kutupa chifukwa cha kuchuluka kwa madzi mumisempha kumatha kupangitsa kunenepa. Izi zikhoza kukhala chifukwa cha kusamba, mtima kapena impso kulephera, preeclampsia, kapena mankhwala omwe mumamwa. Kulemera kwakanthawi kofulumira kumatha kukhala chizindikiro cha kusungidwa kwamadzimadzi koopsa.

Mukasiya kusuta, mutha kunenepa. Anthu ambiri omwe amasiya kusuta amapindula mapaundi 4 mpaka 10 (2 mpaka 4.5 kilograms) m'miyezi 6 yoyambirira atasiya. Ena amatenga mapaundi 25 mpaka 30 (11 mpaka 14 kilogalamu). Kulemera uku sikungokhala chifukwa chodya kwambiri.

Chakudya chopatsa thanzi komanso pulogalamu yochita masewera olimbitsa thupi itha kukuthandizani kuti muchepetse kunenepa kwanu. Lankhulani ndi omwe amakuthandizani azaumoyo kapena katswiri wazakudya zamomwe mungapangire chakudya choyenera ndikukhala ndi zolinga zenizeni.

Osayimitsa mankhwala aliwonse omwe angayambitse kunenepa osalankhula ndi omwe amakupatsani.

Lumikizanani ndi omwe amakupatsani ngati muli ndi zizindikiro zotsatirazi ndi kunenepa:

• Kudzimbidwa
• Kulemera kwambiri mopanda chifukwa chodziwika
• Kutaya tsitsi
• Muzimva kuzizira pafupipafupi kuposa kale
• Kutupa mapazi ndi kupuma movutikira
• Njala yosalamulirika yomwe imatsagana ndi kugundana, kunjenjemera, ndi thukuta
• Masomphenya akusintha

Omwe amakupatsani mayeso adzayesa kuwerengera thupi lanu ndikuwerengera index ya thupi lanu (BMI). Woperekayo amathanso kufunsa mafunso, monga:

• Mwalemera motani? Kodi mwalemera msanga kapena pang'onopang'ono?
• Kodi mukuda nkhawa, kupsinjika, kapena kupsinjika? Kodi muli ndi mbiri yakukhumudwa?
• Mumamwa mankhwala ati?
• Ndi zisonyezo zina ziti zomwe muli nazo?

Mutha kukhala ndi mayeso otsatirawa:

• Kuyesa magazi
• Kuyesa kuyeza milingo ya mahomoni
• Kuunika kwa zakudya

Omwe akukuthandizani atha kupereka malingaliro azakudya ndi zolimbitsa thupi kapena akutumizireni wazakudya. Kunenepa komwe kumayambitsidwa ndi kupsinjika kapena kumva chisoni kungafune upangiri. Ngati kunenepa kumachitika chifukwa cha matenda, chithandizo (ngati chilipo) chazoyambitsa chimaperekedwa.

• Kuchita masewera olimbitsa thupi
• Kuchita masewera olimbitsa thupi
• Ma calories ndi mafuta potumikira

Boham E, PM PM, DeBusk R. Kunenepa kwambiri. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 36.

Bray GA. Kunenepa kwambiri. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: mutu 7.

Malamulo a Maratos-Flier E. Chakudya ndi thermogenesis. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 25.