Ka momona

ʻO ka nui o ka momona ʻo ka momona o ke kino. ʻAʻole like ia me ka keu kaupaona, ʻo ia hoʻi ke kaupaona nui ʻana. Hiki ke kaupaona ʻia kekahi kanaka mai ka mākala a i ʻole ka wai, a me ka momona loa.

ʻO ka manaʻo o nā huaʻōlelo ʻelua he ʻoi aku ke kaumaha o ke kanaka ma mua o ka mea i manaʻo ʻia he olakino no kona kiʻekiʻe.

ʻO ka lawe ʻana i nā calorie hou aʻe ma mua o ke kuni ʻana o kou kino i hiki ke alakaʻi i ka momona. ʻO kēia no ka mālama ʻana o ke kino i nā calorie i hoʻohana ʻole ʻia e like me ka momona. Hiki ke kumu i ka momona e:

• ʻO ka ʻai ʻana i nā meaʻai hou aʻe ma mua o ka hiki i kou kino ke hoʻohana
• Ke inu nui nei i ka waiʻona
• ʻAʻole lawa ka hoʻoikaika kino

He nui ka poʻe momona i lilo i ka nui o ke kaupaona a hoʻihoʻi iā lākou i ka manaʻo no lākou ka hewa. Hoʻopiʻi lākou iā lākou iho no ka loaʻa ʻole o ka makemake e mālama i ka kaumaha. He nui ka poʻe e loaʻa hou ke kaumaha ma mua o ka lilo.

I kēia lā, ʻike mākou he kumu nui ka biology i hiki ʻole i kekahi poʻe ke mālama i ka kaumaha. ʻO kekahi poʻe e noho ana ma kahi like a ʻai i nā meaʻai like e lilo i poʻe momona, ʻo kekahi poʻe ʻaʻole. He ʻōnaehana paʻakikī ko kā mākou mau kino e mālama i ko mākou kaupaona i kahi pae olakino. I kekahi poʻe, ʻaʻole holo maʻamau kēia ʻōnaehana.

ʻO ke ala a mākou e ʻai ai i ka wā kamaliʻi hiki ke hoʻopili i ke ʻano o ka ʻai a nā mākua.

ʻO ke ala a mākou e ʻai ai i nā makahiki he nui i lilo i ʻano maʻamau. Hoʻopili ia i ka mea a mākou e ʻai ai, ke ʻai mākou, a me ka nui o kā mākou ʻai.

Hiki iā mākou ke manaʻo ua hoʻopuni ʻia mākou e nā mea e maʻalahi ai ka ʻai nui a paʻakikī hoʻi e hoʻomau i ka hana.

• Manaʻo ka poʻe he nui ʻole o lākou manawa e hoʻolālā a hana i nā meaʻai olakino.
• Hoʻonui ka poʻe i kēia mau lā pāka hana ma ka hoʻohālikelike ʻana i nā hana ʻeleu i ka wā i hala.
• ʻO ka poʻe me ka manawa manuahi liʻiliʻi he manawa liʻiliʻi paha kā lākou e hoʻoikaika kino ai.

ʻO ka huaʻōlelo ʻai maʻi ʻo ia ka hui o nā kūlana olakino e nānā pono ʻole i ka ʻai ʻana, kaʻai ʻana, ka lilo ʻana a i ʻole ka loaʻa ʻana o ke kaumaha, a me ke ʻano o ke kino Hiki paha i kahi kanaka ke keu, ukali i kahi papaʻai pono ʻole, a loaʻa i kahi maʻi ʻai āpau i ka manawa like.

I kekahi manawa, nā pilikia olakino a i ʻole nā ​​mālama ʻana i kumu e loaʻa ai ka waiwai, e like me:

• ʻO ka thyroid underactive (hypothyroidism)
• ʻO nā lāʻau e like me nā lāʻau kaohi hānau, antidepressants, a me nā antipsychotics

ʻO nā mea ʻē aʻe i hiki ke kumu i ka loaʻa ʻana o ke kaumaha ka:

• Ka haʻalele ʻana i ka puhipaka - He nui ka poʻe i haʻalele i ka puhipaka e loaʻa iā 4 a 10 mau paona (lb) a i ʻole 2 a 5 mau kilo (kg) i nā mahina ʻeono i hala ma hope o ka haʻalele ʻana.
• Kaumaha, hopohopo, kaumaha, a ʻaʻole hiamoe maikaʻi.
• Menopause - Loaʻa paha i nā wahine ka 12 a 15 lb (5.5 a 7 kg) i ka wā menopause.
• Hāpai - ʻAʻole e nalo nā wahine i ke kaumaha i loaʻa iā lākou i ka wā hāpai.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mōʻaukala, ka ʻai ʻana, a me nā hana hoʻoikaika kino.

ʻO nā ala maʻamau ʻelua e loiloi ai i kou kaupaona a ana i nā pilikia olakino e pili ana i kou kaupaona.

• Helu nui lehulehu (BMI)
• Ke anapuni ke puhaka (ke ana o kou pūhaka i nā ʻīniha a i ʻole kenimika)

Hoʻomaulia ʻia ʻo BMI me ka hoʻohana ʻana i ke kiʻekiʻe a me ke kaupaona. Hiki iā ʻoe a me kāu mea hāʻawi ke hoʻohana i kāu BMI e koho ai i ka nui o kāu momona o ke kino.

ʻO ke ana ʻana o kou pūhaka kahi ala ʻē aʻe e kuhi ai i ka nui o kāu momona o ke kino. ʻO ke kaupaona keu a puni kou waenakonu a ʻōpū paha e hoʻonui ai i kou makaʻu no ka maʻi diabetes type 2, maʻi puʻuwai, a me ka hahau ʻO ka poʻe me nā kino "ʻāpala" (ʻo ia hoʻi ka mālama ʻana i ka momona a puni ko lākou pūhaka a he kino haʻahaʻa ko lākou pū) me ka nui o ka pilikia no kēia mau maʻi.

Lawe ʻia nā ana o ka ʻili i mea e nānā ai i ka pākēneka momona o kou kino.

Hana ʻia nā hoʻokolohua koko e nānā no nā pilikia o ka thyroid a i ʻole ka hormone e hiki ai ke alakaʻi i ka loaʻa ʻana o ke kaupaona.

KA HOʻOLOLI ANA I KOU OLA LIFESTYLE

ʻO kahi nohona hana a me ka nui o ka hoʻoikaika kino, me ka ʻai olakino, ʻo ia ke ala palekana loa e lilo ai ka paona. ʻOiai ʻo ka hōʻemi kaumaha haʻahaʻa hiki ke hoʻomaikaʻi i kou olakino. Pono paha ʻoe i kākoʻo he nui mai ka ʻohana a me nā hoaaloha.

ʻO kāu pahuhopu nui e aʻo i nā ala olakino hou o ka ʻai ʻana a hoʻolilo iā lākou i ʻāpana o kāu hana maʻamau o kēlā me kēia lā.

He paʻakikī ka poʻe he nui e hoʻololi i kā lākou ʻano maʻamau a me nā ʻano. Ua hana paha ʻoe i kekahi ʻano mau no ka lōʻihi o ka manawa a ʻike paha ʻaʻole maikaʻi lākou, a hana paha ʻoe me ka noʻonoʻo ʻole. Pono ʻoe e hoʻoikaika e hoʻololi i ka nohona. E hoʻololi i ka hana i kahi o kou ola i ka wā lōʻihi. ʻIke he lōʻihi ka manawa e hana ai a mālama i kahi loli i kou nohona.

Hana pū me kāu mea hoʻolako a me kāu mea hānai e hoʻonohonoho pono i ka helu ʻana o ka calorie o kēlā me kēia lā e kōkua iā ʻoe e lilo i ka paona ʻoiai ʻoe e olakino nei. E hoʻomanaʻo inā ʻoe e hoʻolōʻihi i ke kaumaha a paʻa mau, e mālama paha ʻoe iā ia. Hiki i kāu dietitian ke aʻo iā ʻoe e pili ana i:

• Nā koho meaʻai olakino ma ka home a me nā hale ʻaina
• Meaʻai māmā
• ʻO ka heluhelu ʻana i nā lepiliʻai a me nā kūʻai kūʻai maikaʻi olakino
• Nā ala hou e hoʻomākaukau ai i ka meaʻai
• Ka nui o ka mahele
• Mea inu ono

ʻO nā papaʻai nui loa (ʻoi aku ma mua o 1,100 calories i kēlā me kēia lā) ʻaʻole i manaʻo ʻia he palekana a hana maikaʻi paha. ʻAʻole lawa kēia mau ʻano papaʻai i nā wikamina a me nā minelala. ʻO ka hapa nui o ka poʻe e lilo ana ke kaupaona i kēia ala e hoʻi i ka ʻai nui a lilo i ka momona hou.

E aʻo i nā ala e mālama ai i ke koʻikoʻi ma mua o ka meaʻai māmā. ʻO nā laʻana paha he noʻonoʻo, yoga, a hoʻoikaika kino paha. Inā kaumaha a kaumaha nui ʻoe, e kamaʻilio i kāu mea hāʻawi.

NA LAAU LAPAAU ME NA HANA HERBAL

ʻIke paha ʻoe i nā hoʻolaha no nā mea hoʻopihapiha a me nā lāʻau lapaʻau e koi ana e kōkua lākou iā ʻoe e lilo i ka paona. ʻAʻole paha he ʻoiaʻiʻo kekahi o kēia mau koi. A hiki i kekahi o kēia mau mea hoʻopihapiha ke loaʻa i nā hopena koʻikoʻi. E kamaʻilio i kāu mea hāʻawi ma mua o ka hoʻohana ʻana iā lākou.

Hiki iā ʻoe ke kūkākūkā me nā lāʻau lapaʻau hōʻemi kino me kāu mea hāʻawi. Nui ka poʻe e lilo ma ka liʻiliʻi he 5 lb (2 kg) ma ka lawe ʻana i kēia mau lāʻau, akā hiki ke loaʻa hou iā lākou ke kaumaha ke kū lākou i ka lawe ʻana i ka lāʻau ke ʻole lākou i hoʻololi i ka nohona.

NA MEA HANA

Bariatric (kaupaona-lilo) ʻoki hiki hoʻemi i ka makaʻu o kekahi mau maʻi i ka poʻe me ka momona momona. ʻO kēia mau pilikia me:

• Pākuʻi
• Diabetes
• Maʻi maʻi puʻuwai
• Piʻi koko kiʻekiʻe
• ʻAlena moe
• Kekahi mau maʻi maʻi maʻi
• Hahau

Hiki i ke ʻoki kino ke kōkua i ka poʻe i nui loa ka momona no 5 mau makahiki a ʻoi paha a ʻaʻole i lilo ka kaumaha mai nā ʻano lāʻau ʻē aʻe, e like me ka papaʻai, hoʻoikaika kino, a i ʻole ka lāʻau.

ʻO ke kaha wale nō ka pane no ka pohō kaumaha. Hiki iā ia ke hoʻomaʻamaʻa iā ʻoe e ʻai liʻiliʻi, akā pono ʻoe e hana nui i ka hana. Pono ʻoe e hoʻoikaika i ka papaʻai a me ka hoʻoikaika kino ma hope o ke kahakaha ʻana. E kamaʻilio i kāu mea hāʻawi e aʻo inā he koho maikaʻi ke ʻoki ʻana nou.

ʻO nā ʻoki hōʻemi kaumaha me:

• Hoʻopaʻa gastric laparoscopic
• ʻOki kino Gastric
• Gastrectomy lima
• Kuapo Duodenal

He maʻalahi ka poʻe he maʻalahi ka ukali ʻana i ka papaʻai a me ka papahana hoʻoikaika kino inā lākou e hui pū me kahi hui o nā poʻe me nā pilikia like.

Hiki ke ʻike hou aku i ka ʻike a me ke kākoʻo no ka poʻe me ka momona a me ko lākou mau ʻohana ma: Obesity Action Coalition - www.obesityaction.org/community/find-support-connect/find-a-support-group/.

ʻO ka nui ka hoʻoweliweli olakino. Hoʻokumu ke kaupaona keu i nā pilikia i kou olakino.

Morbid momona; Momona - momona

• ʻOki kino kik Gastric - hoʻokuʻu
• Pehea e heluhelu ai i nā lepili ʻai
• Hoʻopaʻa ʻōpū Laparoscopic - hoʻokuʻu
• ʻO kāu papaʻai ma hope o ke kahakaha ʻana o ka ʻōpū

• Ka momona o ke keiki
• Ka momona a me ke olakino

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ʻO Jensen MD. Ka momona I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 207.

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Pilitsi E, Farr OM, Polyzos SA, et al. Pharmacotherapy o ka momona: loaʻa nā lāʻau a me nā lāʻau i lalo o ka hoʻokolokolo. Metabolism. 2019; 92: 170-192. PMID: 30391259 pubmed.ncbi.nlm.nih.gov/30391259/.

Raynor HA, Champagne CM. ʻO ke kūlana o ka Academy of Nutrition and Dietetics: nā hana no ka mālama ʻana i ka momona a me ka momona i nā mākua. ʻO J Acad Nutr Diet. 2016; 116 (1): 129-147. PMID: 26718656 pubmed.ncbi.nlm.nih.gov/26718656/.

Richards WO. Momona momona. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier: 2017: chap 47.

ʻO Ryan DH, ʻo Kahan S. Nā ʻelinelelo Aʻoaʻo no ka hoʻokele momona. ʻO Med Clin North Am. 2018; 102 (1): 49-63. PMID: 29156187 pubmed.ncbi.nlm.nih.gov/29156187/.

Semlitsch T, Stigler FL, Jeitler K, Horvath K, Siebenhofer A. Ka mālama ʻana i ka kaupaona a me ka momona i ka mālama mua ʻana-He ʻōnaehana ʻōnaehana o nā alakaʻi kūwaho e pili ana i nā hōʻike kūwaho. ʻO Obes Rev. 2019; 20 (9): 1218-1230. PMID: 31286668 pubmed.ncbi.nlm.nih.gov/31286668/.