Cov ntaub ntawv tshiab tshaj tawm los ntawm phau ntawv xov xwm kho mob thoob ntiaj teb The Lancet qhia tias muaj 90 lab tus tib neeg rog rog hauv Suav teb, ntawm 12 lab raug suav tias yog rog rog. Raws li World Obesity Day ze ze, cov kws tshaj lij taw qhia tias kev rog rog tuaj yeem ua rau muaj teeb meem hauv plawv, txawm tias muaj teeb meem hauv plab zom mov, teeb meem hauv nruab nrog cev, teeb meem puas siab ntsws, thiab ntau dua. Rau cov neeg rog rog, kev poob phaus yuav tsum tau hais txog.
"Hauv txoj kev xav, kev rog rog yog cov tsos mob tshwm sim los ntawm qhov hnyav nce, uas yuav cuam tshuam rau kev ua haujlwm ntawm ntau lub cev." Xib fwb Wang Yong, tus lwm thawj coj ntawm Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv thiab Mob Ntshav Qab Zib ntawm Cov Kws phais mob ntawm Tuam Tshoj Medical Doctor Association thiab lwm tus thawj coj ntawm Lub Tsev Kho Mob Plaub Ntug ntawm Tuam Tsev Kho Mob University, tau hais tias WHO lub ntsiab lus ntawm kev rog yog nyob ntawm lub cev qhov ntsuas.
Xib fwb Liang Hui, tus lwm thawj coj ntawm Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv thiab Mob Ntshav Qab Zib ntawm Tuam Tshoj Medical Doctor Association thiab tus thawj coj ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Metabolism ntawm Thawj Tsev Kho Mob ntawm Nanjing Medical University, tau hais tias tam sim no, cov yam ntxwv ntawm kev rog rog hauv Suav teb. suav nrog qhov feem ntau ntawm plab rog rog, nce nrawm ntawm cov tub ntxhais hluas rog rog, thiab ntau dua ntawm kev rog rog nyob rau sab qaum teb dua li sab qab teb. Nws ntseeg tias feem coob ntawm cov neeg rog rog hauv Suav teb tuaj yeem cuam tshuam nrog lawv txoj kev ua neej, xws li kev noj zaub mov muaj calorie ntau. Tsis tas li ntawd, cov kab mob xws li kev ua qias tuaj ib puag ncig, kev ntxhov siab ntawm kev puas siab puas ntsws, thiab qee qhov kev mob ntsws ntev ua lub luag haujlwm tseem ceeb hauv kev tsim kev rog.
Kev rog yog lub hauv paus ntawm cov kab mob, thiab los ntawm lub taub hau mus rau ntiv taw, txhua lub cev thiab lub cev tuaj yeem raug mob los ntawm kev rog lossis tsim cov kab mob. Xib fwb Liang Hui ntxiv, piv txwv li, mob stroke yog ze ze rau kev rog, suav nrog hyperlipidemia, hyperinsulinemia, ntshav qab zib, thiab lwm yam, thiab qhov pom tseeb tshaj plaws uas cuam tshuam txog kev ua pa yog pw tsaug zog apnea syndrome. Tsis tas li ntawd, kev rog rog kuj tseem muaj feem cuam tshuam rau kev sib deev cov tshuaj hormones thiab fertility, thiab muaj feem xyuam nrog ntau cov qog.
Nws tau tshaj tawm tias kev tswj qhov hnyav yuav tsum tau saib xyuas lub sijhawm ntev ntawm lub zog kom tsawg, ntxiv dag zog rau kev tawm dag zog thiab kev ua si lub cev, hloov kev ua neej nyob tsis muaj zog, thiab yog tias tsim nyog, koom tes nrog kev kho tshuaj raws li kev qhia ntawm tus kws kho mob. Rau cov tib neeg rog rog hnyav, kev phais qhov hnyav kuj tuaj yeem ua tau yog tias tsim nyog.
Tus neeg zoo li cas thiaj li tsim nyog rau kev phais phais lossis phais metabolic? Xib Fwb Liang Hui tau hais tias Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv thiab Mob Ntshav Qab Zib ntawm Tuam Tsev Kho Mob Suav thiab Lub Koom Haum Endocrinology ntawm Tuam Tshoj Medical Association tau tsim cov lus qhia sib xws. Yog tias lub cev qhov ntsuas qhov ntsuas siab tshaj 32.5, kev phais kom poob phaus raug pom zoo tsis hais seb puas muaj ntshav qab zib lossis tsis muaj. Yog tias lub cev qhov ntsuas qhov ntsuas siab tshaj 32.5, qhov ua tau ntawm tus kheej yuag poob qis heev, thiab qhov hnyav no yuav ua rau muaj kev pheej hmoo; Yog tias lub cev qhov ntsuas qhov nruab nrab ntawm 27.5 thiab 32.5, thiab muaj 2 mus rau 3 cov kab mob metabolic thiab cov teeb meem metabolic, kev phais yuav tsum tau txiav txim siab rau kev kho mob. Hais txog lub hnub nyoog ntawm tus neeg mob, lub hnub nyoog pom zoo yog nyob nruab nrab ntawm 16 thiab 65 xyoo. Ntawm qhov tod tes, peb yuav tsum ceev faj tias qee tus neeg mob yuav muaj contraindications rau kev phais lossis tshuaj loog.
Nws yuav tsum raug sau tseg tias kev siv tshuaj loog rau kev phais kom poob phaus yog qhov nyuaj rau cov kws kho mob tshuaj loog. Xibfwb Liu Cunming, tus tswvcuab ntawm Anesthesiology Branch ntawm Tuam Tshoj Medical Association thiab tus thawj coj ntawm Lub Tsev Haujlwm Saib Xyuas Kev Khomob ntawm Thawj Tsev Kho Mob ntawm Nanjing Medical University, tau qhia tias ua ntej kev phais, cov neeg mob no muaj ntau yam mob, ua pa tsis ua haujlwm, thiab feem ntau muaj kev nyuaj siab. los yog autism. Tom qab tuaj txog ntawm chav ua haujlwm, muaj teeb meem hauv kev saib xyuas neeg mob. Tus neeg mob muaj cov roj subcutaneous tuab, ua rau nws nyuaj rau nrhiav cov leeg rau kev txhaj tshuaj lossis txav tus neeg mob. Thaum lub sij hawm tshuaj loog induction theem, cov neeg rog rog xaiv cov tshuaj loog dav dav thiab ua rau lub plab intubation thaum siv tshuaj loog. Tab sis vim tias cov neeg mob no lawv tus kheej tsis muaj cov kab mob ua pa tsis zoo, muaj apnea syndrome lossis snoring, thiab tom qab noj tshuaj me ntsis, lawv txoj kev ua pa tau yooj yim tag nrho, uas yog qhov nyuaj heev. Tom qab kev phais, tus neeg mob yuav tsum tau rov qab mus rau lub xeev uas ua tau raws li lawv tus kheej xav tau txhawm rau tshem tawm cov trachea thiab catheter thiab rov qab mus rau lub xeev qub tom qab tshuaj loog. Yog tias siv tshuaj loog, tshwj xeeb tshaj yog cov leeg nqaij so, tus neeg mob cov leeg nqaij yuav txo qis thiab ua pa nyuaj, ua rau nws nyuaj rau tshem tawm cov catheter tom qab phais. Qhov no xav kom cov kws kho mob siv qee cov antagonists rau tus neeg mob.
Xib fwb Yu Yonghao, Tus Thawj Coj ntawm Tianjin Institute of Anesthesiology thiab Tus Thawj Coj ntawm Lub Tsev Haujlwm Saib Xyuas Tshuaj loog ntawm General Tsev Kho Mob ntawm Tianjin Medical University, tau taw qhia tias lub hom phiaj kawg ntawm kev poob phaus metabolism tsis yog rau kev zoo nkauj. Qhov teeb meem loj tshaj plaws rau cov neeg mob rog yog tias lawv los ntawm kev hloov pauv hauv lub cev, uas yog qhov tshwm sim ntawm ntau yam comorbidities. Nyob rau hauv cov ntaub ntawv no, tus neeg txoj kev xav yog hais tias ib zaug cov indications tau ntsib, phais yuav tsum tau ua sai li sai tau.
Nyob rau hauv kev teb rau kev mloog los ntawm ntau tus neeg mus rau kev kho mob kev zoo nkauj hauv kev poob phaus, cov kws tshaj lij ceeb toom tias qhov kev cuam tshuam ntxov tshaj plaws ntawm kev kho mob zoo nkauj hauv kev poob phaus yog cov kev phais ua rau cov rog subcutaneous, xws li liposuction, liposuction, thiab lipotomy. Txawm li cas los xij, qhov tseeb, cov rog subcutaneous muaj qee lub zog khaws cia uas tiv thaiv tib neeg lub cev, uas muaj txiaj ntsig zoo rau feem ntau. Dab tsi yog qhov teeb meem tiag tiag rau lub cev lub cev ua haujlwm yog visceral rog.

