Lokho Abantu Abakuqapheli Uma Bekhuluma Ngesisindo Nempilo

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Uma kwenzeka ungakaqapheli, kunengxoxo ekhulayo yokuthi ungaba yini "ononile kepha onempilo" noma cha, sibonga ngokwengxenye ukunyakaza okuhle komzimba. Futhi ngenkathi abantu bevame ukucabanga ukuthi ukukhuluphala ngokweqile kuyinto embi ngokuzenzakalela empilweni yakho, ucwaningo lukhombisa ukuthi inkinga inzima kakhulu kunalokho. (Olunye isizinda lapha: Siyini Isisindo Esinempilo Noma kunjalo?)

Okokuqala, ngenkathi ukukhuluphala kungakwengeza engcupheni yezinkinga zempilo njengesifo senhliziyo, i-osteoarthritis, nomdlavuza, idatha iphinde iphakamise ukuthi konke abantu abakhuluphele ngokweqile banezinga elifanayo lobungozi bezempilo. Ucwaningo lwe-European Heart Journal luveze ukuthi labo ababekhuluphele ngokweqile kodwa abanomfutho wegazi ojwayelekile, ushukela wegazi, nezinombolo ze-cholesterol babengekho engcupheni enkulu yokubulawa umdlavuza noma isifo senhliziyo kunaleso esisezingeni “elijwayelekile” le-BMI. Muva nje, kwenziwa isifundo se- Ijenali ye-American Medical Association ithole ukuthi i-BMI enempilo kunayo yonke empeleni "ikhuluphele ngokweqile." Ukunqoba umphakathi we-body-pos.

Kepha ucwaningo olusha olusazoshicilelwa oluvela eNyuvesi yaseBirmingham e-UK kungenzeka lubize “okukhuluphele kodwa kufanelekile” okungabazekayo, ngokusho kwe-BBC. Labo abakhuluphele kodwa abanempilo enhle emzimbeni (okusho ukuthi umfutho wegazi labo, ushukela wegazi, i-cholesterol, namazinga e-triglyceride angaphakathi kwebanga elijwayelekile) basesengozini enkulu yokuba nesifo senhliziyo, unhlangothi, nokuhluleka kwenhliziyo, kusho abacwaningi e-European Union. Congress on Obesity.

Ucwaningo olukhulu luhlanganisa abantu abangaphezu kwezigidi ezingu-3.5 futhi okwamanje lusabuyekezwa ukuze lushicilelwe kumajenali, okusho ukuthi alukahlolisiswa ngokuphelele okwamanje. Lokho kushiwo, okutholakele kubalulekile uma behlola. Imiphumela ingase isho ukuthi odokotela bangancoma ukuthi abantu abakhuluphele behlise isisindo, kungakhathaliseki ukuthi babonisa ezinye izici eziyingozi noma babonakala befanelekile, kuchaza uRishi Caleyachetty, Ph.D., umcwaningi oholayo kulo msebenzi.

Lokhu akubanciphisi lonke olunye ucwaningo “olukhuluphele kodwa olufanele”, nokho. “Kunomehluko omkhulu phakathi kokukhuluphala ngokweqile nokukhuluphala ngokweqile,” kusho uJennifer Haythe, M.D., umsizi kaprofesa e-Columbia University. Ngokobuchwepheshe, ukukhuluphala kusho ukuthi une-BMI ephakathi kuka-25 no-29.9, futhi ukukhuluphala kusho ukuthi une-BMI engama-30 noma ngaphezulu. “Angimangazi ukuthi imininingwane yalolu cwaningo olusha ikhombisa ukuthi abantu abawela esigabeni sokukhuluphala ngokweqile banengozi eyengeziwe yokuphila impilo yonke yesifo senhliziyo,” kuphawula uDkt. Haythe, ohlale encoma ukuthi iziguli ezine-BMI ezisesigabeni sokukhuluphala zilahlekelwe. isisindo ngenxa yezizathu zempilo. Ngakolunye uhlangothi, uthi ubungozi bezempilo obuhambisana nokuba nje a okuncane ukukhuluphala akuzona serious. (Ngokwalokho okukufaneleyo, abanye abasubathi abanohlonze bawela esigabeni sokukhuluphala noma esikhuluphele ngokweqile ngokuya nge-BMI yabo, okufakazela ukuthi akufanele uhambe ngalolo lodwa.)

Ekugcineni, odokotela basadabukile ngalesi sihloko. Yize ecabanga ukuthi kuphephe kakhulu ezigulini ukuba sezingeni elibizwa ngokuthi "elijwayelekile", uDkt. Haythe uthi abantu bangakhuluphala ngokweqile futhi balingane. "Ungakhuluphala ngokweqile, ugijime umncintiswano, futhi ube sesimweni esihle ngokombono wenhliziyo."

Futhi akufani nabantu abanezisindo "ezinempilo" abangatholi isifo senhliziyo. "Kube nezikhathi eziningi lapho ngithole khona futhi ngelaphe isifo senhliziyo esibi kumuntu ogijima kakhulu, ongakhuluphele ngokweqile, usemncane kakhulu, futhi unezici ezimbalwa eziyingozi," kusho uHanna K. Gaggin, MD, MPH, udokotela wenhliziyo eMassachusetts General Hospital.

Lokho akusho ukuthi ukugcina isisindo esinempilo kuwukumosha isikhathi. UDkt. Gaggin uchaza ukuthi yize ubungozi besifo senhliziyo bebujwayele ukubhekwa ngendlela yabantu (njengakuqala, kususelwa engcupheni yokuthi umuntu angathola isifo senhliziyo ngokuthi abanye abanesisindo esifanayo bathole isifo senhliziyo), indlela yamanje kuba okomuntu siqu kakhulu futhi komuntu ngamunye. Bangu eziningi izinto ezihlanganayo ukunquma ubungozi besifo senhliziyo somuntu ngamunye, njengokudla, izinga lokuqina, i-cholesterol, umfutho wegazi, ubudala, ubulili, ubuhlanga, nomlando womndeni. “Kudingeka ucabangele yonke imininingwane yomuntu,” uyanezela.

“Uma kubhekwa inketho, angicabangi ukuthi ukukhuluphala kuyinto enempilo,” usho kanje. “Kodwa uma uqhathanisa umuntu okhuluphele futhi ophile saka, ozivocavocayo futhi odla kahle, nomuntu ongakhuluphali kodwa ongazenzi lezo zinto, umuntu ophile kahle yilowo onemikhuba enempilo. Uphawula ukuthi isimo esikahle kungaba isisindo esinempilo futhi ukuzivocavoca futhi udle kahle, kepha iqiniso nokuhle akuhambisani ngaso sonke isikhathi.

Ngakho-ke ekugcineni, kubonakala kungakabi yisikhathi ukubiza "ngamafutha kodwa afanele" inganekwane. Ngemuva kwakho konke, ubungozi besifo senhliziyo bususelwa ekubulaweni kwezinto, hhayi nje inombolo oyibonayo esikalini. Ukunaka umsoco wakho kanye nemikhuba yokuzivocavoca kunezinzuzo (ngokomzimba nangokwengqondo!) Noma ngabe unesisindo esingakanani.

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