Nā pilikia olakino o ka momona

ʻO Obesity kahi kūlana olakino kahi kahi nui o nā momona o ke kino e hoʻonui ai i ka manawa o ka hoʻomohala ʻana i nā pilikia olakino.

Loaʻa i ka poʻe me ka momona ka manawa kiʻekiʻe o ka hoʻomohala ʻana i kēia mau pilikia olakino.

• ʻO ke kō glucose kiʻekiʻe (kō) a i ʻole ka maʻi kō.
• Ke koko kiʻekiʻe (hypertension).
• ʻO ke koko kiʻekiʻe a me nā triglycerides (dislipidemia, a i ʻole nā ​​momona o ke koko kiʻekiʻe).
• Nā hōʻeha puʻuwai ma muli o ka maʻi puʻuwai coronary, puʻuwai puʻuwai, a me ka hahau.
• ʻO nā pilikia iwi a me nā hui, ʻoi aku ka nui o ke kaupaona i ka iwi a me nā hono. Hiki i kēia ke alakaʻi i ka osteoarthritis, kahi maʻi e ʻeha ai ka ʻeha pū a me ka ʻoʻoleʻa.
• Ke kū nei ka hanu ʻana i ka wā hiamoe (sleep apnea). Hiki i kēia ke kumu i ka luhi o ke ao a me ka hiamoe, nānā ʻole, a me nā pilikia i ka hana.
• Nā pilikia Gallstones a me nā ake.
• Kekahi mau maʻi maʻi maʻi.

ʻEkolu mau mea i hiki ke hoʻohana ʻia e hoʻoholo inā hāʻawi ka momona o ke kanaka iā lākou i kahi manawa kiʻekiʻe e ulu i nā maʻi e pili ana i ka momona.

• Helu nui lehulehu (BMI)
• Ka nui o ka pūhaka
• ʻO nā kumu ʻē aʻe i loaʻa i ke kanaka (kahi mea weliweli kekahi mea e hoʻonui i kou manawa e loaʻa ai kahi maʻi)

Hilinaʻi pinepine ka poʻe loea i ka BMI e hoʻoholo ai inā kaumaha nui ke kanaka. Kuhi ka BMI i kāu pae o ka momona o ke kino e pili ana i kou kiʻekiʻe a me kou kaumaha.

Ke hoʻomaka nei ma 25.0, ke kiʻekiʻe o kāu BMI, ʻoi aku ka nui o kāu makaʻu i ka hoʻomohala ʻana i nā pilikia olakino pili i ka momona. Hoʻohana ʻia kēia mau pae o BMI e wehewehe i nā pae o ka makaʻu:

• Kaupaona (ʻaʻole momona), inā ʻo BMI ka 25.0 a 29.9
• ʻO ka papa 1 (haʻahaʻa haʻahaʻa) ka momona, inā ʻo BMI ka 30.0 a 34.9
• ʻO ka papa 2 (haʻahaʻa haʻahaʻa) ka momona, inā ʻo BMI ka 35.0 a 39.9
• ʻO ka papa 3 (kiʻekiʻe) ka momona, inā like ka BMI a ʻoi aku paha ma mua o 40.0

Nui nā pūnaewele me nā helu helu e hāʻawi i kāu BMI ke komo ʻoe i kou kaupaona a me kou kiʻekiʻe.

ʻO nā wahine me ka pūhaka i ʻoi aku ma mua o 35 iniha (89 centimita) a me nā kāne me ka nui o ka pūhaka ma mua o 40 ʻīniha (102 centimetres) i hoʻonui i ka makaʻu no ka maʻi puʻuwai a me ka maʻi diabetes 2. ʻO nā kānaka me nā kino "ʻāpala" (ʻoi aku ka nui o ka pūhaka ma mua o nā pūhaka) a he nui hoʻi ka nui o ka makaʻu no kēia mau ʻano.

ʻO ka loaʻa ʻana o kahi mea pilikia ʻaʻole ia he kumu e loaʻa ai ʻoe i ka maʻi. Akā hoʻonui ia i ka manawa āu e makemake ai. ʻAʻole hiki ke hoʻololi i kekahi mau kumu pilikia, e like me ka makahiki, ka lāhui, a me ka mōʻaukala ʻohana.

ʻO ka nui o nā mea i loaʻa iā ʻoe, ʻo ka nui o ka hoʻomohala ʻana i ka maʻi a i ʻole ka pilikia olakino.

Hoʻonui ʻia kou makaʻu i ka hoʻomohala ʻana i nā pilikia olakino e like me ka maʻi puʻuwai, hahau ʻana, a me nā pilikia puʻuwai inā momona ʻoe a loaʻa i kēia mau kumu pilikia.

• Ke koko kiʻekiʻe (hypertension)
• ʻO ke koko kiʻekiʻe a triglycerides paha
• ʻO ke kō glucose kiʻekiʻe (kō), he hōʻailona o ka maʻi kōkō ʻelua

ʻAʻole hoʻokumu ʻia kēia mau mea ʻē aʻe no ka maʻi puʻuwai a me ka hahau e ka momona.

• Loaʻa i kahi lālā o ka ʻohana ma lalo o ka makahiki 50 me ka maʻi puʻuwai
• ʻO ka hana ʻole kino a i ʻole kahi noho nohona
• Puhi paka a hoʻohana ʻana paha i nā huahana paka o kekahi ʻano

Hiki iā ʻoe ke kaohi i kēia mau mea pilikia ma ka hoʻololi ʻana i kou nohona. Inā loaʻa ʻoe i ka momona, hiki i kāu mea mālama olakino ke kōkua iā ʻoe e hoʻomaka i kahi papahana hōʻemi kaumaha. ʻO kahi pahuhopu hoʻomaka o ka nalo ʻana o 5% a 10% o kou kaumaha i kēia manawa e hōʻemi loa i kou makaʻu i ka hoʻomohala ʻana i nā maʻi e pili ana i ka momona.

• Ka momona a me ke olakino

Cowley MA, Brown WA, Considine RV. Ka momona: ka pilikia a me kāna hoʻokele. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 26.

ʻO Jensen MD. Ka momona I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 220.

ʻO Moyer VA; ʻO ka Pūʻali Hana lawelawe lawelawe US. Ke nānā ʻana a me ka hoʻokele ʻana o ka momona i nā mākua: ʻ Prelelo aʻoaʻo a ka US Preventive Services Task Force. ʻO Ann Intern Med. 2012; 157 (5): 373-378. PMID: 22733087 www.ncbi.nlm.nih.gov/pubmed/22733087.

• Ka momona