Kucacile ukuba, siva ezininzi malunga ne-epestinal fetes kule ntsuku. Ngenxa yobuncwane benkcazelo kunye nophando oluqhubekayo kwizizathu kunye nokulawulwa kokunyanya, kunceda ukuba ube nokuqonda okusebenzayo kwamanye emigqaliselo ephosekileyo xa uthetha malunga nokukhululeka nokukhuluphala.
Iinkcazo
Igama elithi "ogqithiseleyo," ngokweStatman's Medical Dictionary, livela kwisiLatini "obesus," esithetha "inqatha," kwaye inxaxheba ekudlulileyo "obedere," oku kuthetha "ukutya, udle."
Amaziko okuLawula kunye nokuVimbela izifo (CDC) ichaza ukukhuluphala kubantu abadala njengengxowankulu ye-body (BMI) ye-30.0 (kg / m2) okanye ngaphezulu, kwaye i-BMI ye-25.0 - 29.9 ibonisa ukugqithisa.
Ziyintoni "Ubunzima bokuzibulala"?
Igama elithi "ukukhuluphala ngokugqithiseleyo" kubhekisela ekutyepheni "okwaneleyo ukukhusela umsebenzi oqhelekileyo okanye umsebenzi we-physiologic" (uStmanman). Ukugqithisa ngokugqithiseleyo kudlalwa kwi-BMI ye-40.0 okanye ngaphezulu.
Ukunyanyisa njengeSifo
Ngo-2013, i-American Medical Association (AMA) yavakalisa ngokusemthethweni ukunyamezela ukuba isifo, ukuvuma "inzuzo enkulu yobutyebi kunye nezoqoqosho ekunyanyeni njengoko kufuna ukuba unyango, uphando kunye nemfundo ingqalelo kwezinye izifo zonyango jikelele.
Impembelelo yokuvuma ngokusemthethweni ukunyameka njengesifo esingapheliyo kulindeleke ukuba singabonakali nje ngongxaki phakathi koluntu jikelele kodwa nokuba nefuthe kumgaqo-nkqubo kuwo onke amanqanaba. Ithemba kukuba abalawuli bomgaqo-nkqubo baya kuziva ukuba banomdinga omkhulu wokuxhaswa kunye nokuphumeza unyango lwe-fetes kunye neenkqubo zokungenelela, ngelixa abahlawuli-ntlawulo benkampani yesithathu baya kuba baninzi amathuba okubuyisela oogqirha kunye nabanye abaqeqeshi bezempilo ukuze baphathe unyango kunye nokulawulwa kokunyanya ngokweqile njengesifo esaziwayo.
Kutheni le Ntsingiselo Ingxaki?
Imilinganiselo ye-BMI isetyenzisiweyo njengenxalenye yenkcazo ekhokelwayo ekukhombiseni ukuba izigulane zinokuthi zivumeleke ukuba utyunjwe ngokunyuka kwesisindo okanye imithi yokulahlekelwa ngumzimba. Ngaloo ndlela, ukuxilongwa "kokunyanya ukugqithisa," esekelwe kwisilinganiselo se-BMI se-40.0 okanye ngaphezulu, unokufumana isigulane unyango ngokuhlinzwa okwenzakalayo okanye unyango oluthile lokunciphisa umzimba.
Olunye uvavanyo lwemali ye-BMI kukuchaza isigaba se-I, iklasi yesi-II, kunye ne-III ye-fatiness. Ngokwezikhokelo zwelonke zesizwe, ukuba ne-BMI ukusuka kwi-30.0 ukuya kwi-34.9 ibeka isigulane "kwiklasi endigqithiseleyo"; I-BMI ukusuka kwi-35.0 ukuya kwi-39.9 ibonisa ukuba "uluhlu lwesibili" lukhulu; kwaye i-BMI ye-40.0 okanye ngaphezulu ichaza "iklasi ye-III ekhuluphele (ukukhuluphala ngokweqile").
Ukulinganisa okunjalo kunokubonisa ubungakanani beengozi yokukhathazeka ngokwe-fetes, efana nesifo somhlaza, isifo senhliziyo, ukutshabalalisa, ukuphazamiseka kokuphazamiseka kokulala , kunye ne-2 yesifo sikashukela ukususela kwengozi ezininzi zezi ngxaki ziphakama ngokulingana nokunyuka kwe-BMI kunye nobukhulu bokugqithisa .
Imithombo:
I-American Medical Association House yabathunywa: ISigqibo 420 - Ukuqaphela ukunyanyisa njengeSifo. Jensen MD, uRyan DH, Apovian CM, et al.
Benson SS. Ubutyebi obukhulu eTennessee: Impembelelo yePolisi yokuLungisa ukuThengisa njenge "Isifo." Tennessee Medicine. NgoJanuwari 2014; 27-30.
Umhlahlandlela we-AHA / ACC / / TOS wokuLawula ukuPhulukisa kunye nokunyaniseka kwaBantu abadala: Ingxelo ye-American College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuSebenza kunye ne-Obesity Society. Ukuhamba . papashwa ngoNovemba 12, 2013.
Bonow RO, Mann DL, Zipes DP, Libby P. Braunwald Intliziyo yeZifo: Iincwadi zeziNyango zeCardiovascular. 9th. Ch. 79. Elsevier: Saunders, 2012.
> I-Stedman's Medical Dictionary. 25 Edition. Williams & Wilkins. 1990.