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肥胖症手术 你 吗?

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肥胖症手术 你 吗?

by jenius
December 19, 2019
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肥胖症手术 你 吗?
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上一期,《我要健康MY HEALTH》报导了强生马来西亚有限公司日前推行的“肥胖症手术让你重获新生”活动,致力于提高肥胖症的治疗标准。在马来西亚,肥胖症的问题逐渐使人民感到堪忧。我国甚至在榜上有名,成了“亚洲最肥胖国家”。这是我国人民健康出现危机的警报!

相比起重度肥胖症的成人,接受肥胖症手术的患者已经证实能活得更长久,心脏病和中风的发生率更少、罹患某些癌症的风险更低,而且罹患II型糖尿病、高血压、睡眠呼吸窒息症和心脏病的机率也更低。

然而,这项手术并非是一种简单的减轻体重方法。一般外科兼肥胖症手术外科医生Mustafa Mohammed Taher指出:“手术后的成功率很大程度取决于患者对于维持健康生活方式的恒心与毅力。”因此,要达到持久的减重目标,患者就必需承诺完全改变生活方式。

肥胖症:事出必有因

肥胖症(Obesity)是由于体内过多脂肪而造成的一种慢性疾病,而此疾病产生的原因包括环境、基因与行为等因素。

人的体重和脂肪水平是通过人体内复杂的系统信号来调节,即控制食欲、消化、能量平衡与新陈代谢,使体重和脂肪保持在稳定的水平。

一般而言,身体质量指数(Body Mass Index,BMI)是衡量一个成人是否拥有肥胖问题的指标,而世界卫生组织将肥胖症和体重过重的成人定义为:

•BMI值30或以上者,即属于肥胖症;

•BMI值等同或多于25者,即属于体重

过重。

事实上,肥胖症是一种需要预防与治疗的疾病,因为这可能引发超过40种其它的疾病,其中包括II型糖尿病、心脏疾病和一些癌症等疾病。

减重手术:患者的福音

无论是为了健康或美观着想,肥胖症是让人感到困扰的一个问题。很多肥胖症患者通过运动和调节饮食来减轻体重,但对他们而言,这些方式往往都极具挑战性。事实上,肥胖症还可以透过手术治疗的方式来解决。

肥胖症手术(Bariatric Surgery)已获得证实,在帮助患者减轻体重和维持体重方面可发挥重大作用。这项手术可以通过使用胃束来缩小胃部或切除部分胃来达到减重的效果。

肥胖症手术的好处并不只是减轻体重,现实世界中有多项研究表明,肥胖症手术可降低医疗成本、减少住院率,以及减少对糖尿病、血脂异常和高血压药物的依赖性。这些都是伴随减轻体重而来的良好成效,最终达到改善或缓解疾病的结果。

体重超越了你的理想体重超过45公斤

进行肥胖症手术的条件

全球有超过1.84亿人符合接受肥胖症手术的医疗条件。虽然这是重度肥胖症最有效、最持久的治疗方法,却仅有不到1%的患者进行这项手术。其中进行肥胖症手术的条件为:

存在与肥胖症相关的健康问题

身体某些方面的正常功能受损

•食欲失调

•能量平衡异常

•内分泌功能障碍

•不孕不育

•非酒精性脂肪肝疾病(NAFLD)

•血脂异常

症状

•身体脂肪增加

•与身体脂肪积累有关的症状,如关节

疼痛、行动不便、睡眠呼吸中止症。

相关性合并症

•II型糖尿病

•心血管疾病

•癌症

•骨质疏松症

•多囊性卵巢症候群

年龄介于

其它减重方式都无法达成减重效果

没有精神或药物依赖问题


马来西亚成人肥胖症的盛行率高达 30.6% ,而体重过重的盛行率为 33.4%

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