Mental factors in their most experts believe that mental illness caused by obesity has its own factors: ① there is some kind of mental illness associated with diabetes have the phenomenon of endocrine disorders and neurotransmitter imbalance. ② closely related to both genetic and, in particular the multi-gene genetic type 2 diabetes, schizophrenia and genetic similar to the way. ③ emotional instability, to patients with endocrine disorders. ④ patients lose initiative does not think of movement, lazy, childish behavior, regardless of the consequences greedy, but not beautiful, and so on.
The role of antipsychotic drugs currently used antipsychotics, there are varying degrees of weight gain in patients so that the side effects. ① such as the direct effect of the drug, blocking 5 - HT, and other neurotransmitters, resulting in patients with bulimia, do not want activities. ② drug indirect role in the suppression of the central nervous system, the patient fell all day and lifeless, more than the normal physiological need for sleep, as well as energy consumption is too small, too fat to form savings. ③ drugs on cholinergic receptor, patients often makes sense to drink water and dry mouth, or drink sugary drinks and fruit and easy to have a sense of hunger, appetite and hyperactivity.
Correct anti-fat treatment
Mental patients in the clinical treatment must be integrated treatment approach in order to obtain anti-fat treatment correct, and achieved satisfactory results.
① science and clinical medicine research, antipsychotic drugs on patients with body weight differences, with an average weight gain from weak to strong order are: perphenazine, haloperidol (F piperidyl alcohol), chlorpromazine, S Lee pyridazine (methionine pyridazine), clozapine. In the election-time to take into account all factors, weighing the pros and cons. ② use of scientific method: the type of medication at least, the lowest dose, the onset of the fastest, the best control of symptoms, side effects at least, the shortest time, and the lowest rate of relapse. To achieve this, the core of the problem is that the dose of medication and treatment time.
① reasonable diet diet should have "three more than 1 limit." That is, restrictions on sugar (especially sweet) food, limit fat intake, energy intake restriction (and other staple food refers to the amount of non-staple food); eating more low-energy food (such as low-sugar fruits, leafy vegetables and fiber food). ② when guiding patients dine slowly, focusing on a sense of full belly, a sense of this as soon as they stop eating. Please doctors calculate the best nutrition in patients with the necessary nutrition, converted into quantitative food supply.
Brisk walking each day to strengthen temper 45 to 60 minutes per week for at least 5 days away, to increase energy expenditure, suppress appetite, maintain a healthy weight and increase a sense. Practice has proved that training for men than women, and overweight women are more suitable weight training.
Surgical treatment of surgery, including vertical-linked stomach and the formation of gastric bypass surgery. This type of surgery in general can lose weight 40% to 70%. But for the mentally ill, the surgery has some risk. At present, for a variety of weight loss drugs, I do not recommend for good. Slimming products because, to some extent to worsen the symptoms of patients with mental illness.
Showing posts with label obese. Show all posts
Showing posts with label obese. Show all posts
Tuesday, November 4, 2008
Wednesday, October 15, 2008
Why obese people with fatty liver?
Fatty liver is more common in obese people as a complication of many obese people after a super-B and liver aspiration inspection found that often occurred in the liver steatosis, while there have been severe fatty liver. Liver tissue examination showed that: about 50% of the combined fatty liver, especially abdominal obesity occurred in people more opportunities for fatty liver. Why?
Originally, the normal liver contains only a small amount of fat, about 4% - 7%. This is a small amount of fat in the half for the neutral fats (triglycerides), for the rest of the PC and a small amount of cholesterol. Synthesis of fatty liver is neutral and use of the main organs, not fat storage sites. Liver will continue to enter the synthesis of fatty acids in the liver triglyceride, and soon a new synthesis of triglycerides in lipoprotein (mainly very low density lipoprotein) in the form of release into the blood circulation. But when the liver's synthesis of triglycerides and operation of the imbalance, a large number of neutral fat in the liver can be formed when the accumulation of fatty liver.
Abdominal fat people are prone to fatty liver, because the fat around the abdomen to stimulate the cells to a more sensitive, resulting in abdominal fat by the liver cells to be transmitted to the increase in fatty acids. Fatty liver in addition to the blocked part of the synthesis of cholesterol and phospholipids, the major synthetic triglycerides, triglyceride synthesis of new liver cells with rough endoplasmic reticulum of the synthetic APO, the formation of VLDL ─ ─ triglycerides Ester released into the blood when the liver's synthesis of triglycerides in liver more than its ability to transfer out, or the formation of VLDL output took place obstacles can lead to accumulation of triglycerides in the liver and fatty liver occurred.
In addition, the number of obese people have impaired glucose tolerance and hyperinsulinemia in obesity prevalence of fatty liver played an important role. Surrounding tissue as a result of lower insulin sensitivity, the ability of muscle glucose uptake was also reduced, so that glucose can not fully be used, the excess glucose continuously to stimulate a large number of insulin-secreting islet cells.
The role of insulin in the liver, glucose and fatty acid synthesis of a large number of triglycerides, and subsequent endogenous fatty liver and hyperlipidemia.
As a result, obese patients with abdominal obesity in particular, patients should actively cooperate with the weight loss treatment, fundamentally the prevention and treatment of fatty liver.
Originally, the normal liver contains only a small amount of fat, about 4% - 7%. This is a small amount of fat in the half for the neutral fats (triglycerides), for the rest of the PC and a small amount of cholesterol. Synthesis of fatty liver is neutral and use of the main organs, not fat storage sites. Liver will continue to enter the synthesis of fatty acids in the liver triglyceride, and soon a new synthesis of triglycerides in lipoprotein (mainly very low density lipoprotein) in the form of release into the blood circulation. But when the liver's synthesis of triglycerides and operation of the imbalance, a large number of neutral fat in the liver can be formed when the accumulation of fatty liver.
Abdominal fat people are prone to fatty liver, because the fat around the abdomen to stimulate the cells to a more sensitive, resulting in abdominal fat by the liver cells to be transmitted to the increase in fatty acids. Fatty liver in addition to the blocked part of the synthesis of cholesterol and phospholipids, the major synthetic triglycerides, triglyceride synthesis of new liver cells with rough endoplasmic reticulum of the synthetic APO, the formation of VLDL ─ ─ triglycerides Ester released into the blood when the liver's synthesis of triglycerides in liver more than its ability to transfer out, or the formation of VLDL output took place obstacles can lead to accumulation of triglycerides in the liver and fatty liver occurred.
In addition, the number of obese people have impaired glucose tolerance and hyperinsulinemia in obesity prevalence of fatty liver played an important role. Surrounding tissue as a result of lower insulin sensitivity, the ability of muscle glucose uptake was also reduced, so that glucose can not fully be used, the excess glucose continuously to stimulate a large number of insulin-secreting islet cells.
The role of insulin in the liver, glucose and fatty acid synthesis of a large number of triglycerides, and subsequent endogenous fatty liver and hyperlipidemia.
As a result, obese patients with abdominal obesity in particular, patients should actively cooperate with the weight loss treatment, fundamentally the prevention and treatment of fatty liver.
Monday, October 13, 2008
Simple obesity in patients with a good selection of ways to lose weight
This is a benevolent see benevolence, see the Wise-chi. However, the most commonly used method of weight loss as follows:
(1) diet therapy: all the patients with simple obesity, diet control in the process of weight loss therapy is the most used and most basis, the simplest method of weight loss. Diet therapy, including low-energy, low energy and short-term fasting therapy and other methods. In addition to diet therapy for patients with the food intake of total energy control, but also on the life of patients with eating habits and behavior modification process.
(2) physical activity: physical activity is most likely to be Ju You have no risk of pain and weight loss methods. If you are a sports fan, your campaign will run more fun. Movement on the health benefits do not have to say, the key to perseverance is needed, so that will achieve sustained weight loss. If physical activity and diet control combined together, well, in patients with obesity can be physical exercise Method There are many, each based on the actual situation of their own choice. In general, to choose to moderate amount of exercise; make his muscles have been training the whole body movement is appropriate.
(3) weight loss medication: market products (including slimming food) a lot of variety, but what a truly effective, but it is difficult conclusion. In foreign markets, as a result of服用减肥药caused by the death of disputes from time to time. At present, the medical profession on whether the drug alone can really achieve the purpose of weight loss, there is a lot of controversy. If diet and exercise therapy had no significant effect of the proper selection, or the use of the drug as a weight loss diet in the treatment of the kind of aid, we believe that is feasible. But if such drugs are not sure about the use or better.
(4) surgical treatment: surgery for obesity treatment method has been nearly 50 years. The main surgical treatment applied to re-use diet and exercise therapy ineffective in patients with severe obesity. For those patients with severe obesity and body shape have their own special requirements of patients to adopt that method of selection of weight loss surgery can be an immediate impact. However, due to surgery for patients with the risk of choosing surgery, patients should think twice before they act, not the use of conventional. Choice of surgical treatment of patients must be some indication in order to carry out surgery.
(5) other treatments: gene therapy for the treatment of obesity to open up a new heaven and earth, but is still at the stage of research of traditional Chinese medicine syndrome differentiation, weight loss, as well as traditional Chinese medicine, acupuncture, Ear, massage, qigong, and other treatment methods have been proved to be Part of an effective obesity treatment. It is worth mentioning that traditional Chinese medicine acupuncture, Ear, massage therapy, as used by the body to adjust the overall function of the weight loss to achieve the objective, but also on human health will not have any side effects, who are interested in , The patient can give it a try.
(1) diet therapy: all the patients with simple obesity, diet control in the process of weight loss therapy is the most used and most basis, the simplest method of weight loss. Diet therapy, including low-energy, low energy and short-term fasting therapy and other methods. In addition to diet therapy for patients with the food intake of total energy control, but also on the life of patients with eating habits and behavior modification process.
(2) physical activity: physical activity is most likely to be Ju You have no risk of pain and weight loss methods. If you are a sports fan, your campaign will run more fun. Movement on the health benefits do not have to say, the key to perseverance is needed, so that will achieve sustained weight loss. If physical activity and diet control combined together, well, in patients with obesity can be physical exercise Method There are many, each based on the actual situation of their own choice. In general, to choose to moderate amount of exercise; make his muscles have been training the whole body movement is appropriate.
(3) weight loss medication: market products (including slimming food) a lot of variety, but what a truly effective, but it is difficult conclusion. In foreign markets, as a result of服用减肥药caused by the death of disputes from time to time. At present, the medical profession on whether the drug alone can really achieve the purpose of weight loss, there is a lot of controversy. If diet and exercise therapy had no significant effect of the proper selection, or the use of the drug as a weight loss diet in the treatment of the kind of aid, we believe that is feasible. But if such drugs are not sure about the use or better.
(4) surgical treatment: surgery for obesity treatment method has been nearly 50 years. The main surgical treatment applied to re-use diet and exercise therapy ineffective in patients with severe obesity. For those patients with severe obesity and body shape have their own special requirements of patients to adopt that method of selection of weight loss surgery can be an immediate impact. However, due to surgery for patients with the risk of choosing surgery, patients should think twice before they act, not the use of conventional. Choice of surgical treatment of patients must be some indication in order to carry out surgery.
(5) other treatments: gene therapy for the treatment of obesity to open up a new heaven and earth, but is still at the stage of research of traditional Chinese medicine syndrome differentiation, weight loss, as well as traditional Chinese medicine, acupuncture, Ear, massage, qigong, and other treatment methods have been proved to be Part of an effective obesity treatment. It is worth mentioning that traditional Chinese medicine acupuncture, Ear, massage therapy, as used by the body to adjust the overall function of the weight loss to achieve the objective, but also on human health will not have any side effects, who are interested in , The patient can give it a try.
Saturday, October 11, 2008
How to diagnose elderly obese?
For old age of diagnosis of obesity, is the first to examine the reasons for the rise of obesity, the difference is caused by disease or simple obesity.
According to the National Integrated Traditional and Western Medicine in obesity research meeting the standards set by the simple old age of the diagnostic criteria for obesity:
(1) from the history, physical examination and laboratory tests with the exception of symptoms (or secondary) of fat. Simple obesity in the appropriate conditions (water activities) weight changes significantly.
(2) more than the standard weight of more than 20% of body weight, fat percentage over 30%. According to the distribution of fat in patients with obesity, obesity can be divided into body-size (body fat), abdominal (to a large number of abdominal fat accumulation mainly), trunk-type (to the main trunk fat), Tunxing (mainly the accumulation of fat in the buttocks ).
Except for the symptoms of obesity could be considered for the following examinations: X-ray examination: whether to expand the sella, there are obvious bone osteoporosis. Blood test: Determination of cortisol, T3, T4, determination. Check urine: 17 - hydroxybutyrate, 17 --determination.
According to the National Integrated Traditional and Western Medicine in obesity research meeting the standards set by the simple old age of the diagnostic criteria for obesity:
(1) from the history, physical examination and laboratory tests with the exception of symptoms (or secondary) of fat. Simple obesity in the appropriate conditions (water activities) weight changes significantly.
(2) more than the standard weight of more than 20% of body weight, fat percentage over 30%. According to the distribution of fat in patients with obesity, obesity can be divided into body-size (body fat), abdominal (to a large number of abdominal fat accumulation mainly), trunk-type (to the main trunk fat), Tunxing (mainly the accumulation of fat in the buttocks ).
Except for the symptoms of obesity could be considered for the following examinations: X-ray examination: whether to expand the sella, there are obvious bone osteoporosis. Blood test: Determination of cortisol, T3, T4, determination. Check urine: 17 - hydroxybutyrate, 17 --determination.
Parents of obese children are vulnerable fat
A new study showed that newborn infants are not necessarily great in adolescent obesity, but if their parents are super obese, those babies grow up on the easy obesity. The study pointed out that from adolescence to the baby, the size of the shape of their environment have a strong influence. Investigators found that obese by the great children born to parents in adolescent obesity risk than the general 5.7 times higher than that of children, mothers aspects of the more obvious factors.
The researchers pointed out that the old theory that once the mother during pregnancy weight increases too, they give birth to a child's life will be on obesity. But the new research is that there is no need for mothers to their children to avoid obesity and diet during pregnancy deliberately. After the birth of the growth period is the most influential body of a child's time.
Obesity can lead to a variety of chronic diseases such as heart disease, diabetes and some cancers, and so on. Research shows that over the past 20 years, the number of obese children increased.
The researchers pointed out that the old theory that once the mother during pregnancy weight increases too, they give birth to a child's life will be on obesity. But the new research is that there is no need for mothers to their children to avoid obesity and diet during pregnancy deliberately. After the birth of the growth period is the most influential body of a child's time.
Obesity can lead to a variety of chronic diseases such as heart disease, diabetes and some cancers, and so on. Research shows that over the past 20 years, the number of obese children increased.
Obese women prone to four types of disease
With the improvement of living standards, people generally eat well, less dynamic, coupled with access to high-tech, intelligent times, a significant reduction in the human body to pay, with the result that the number of obese soared.
Obesity not only affects the size the United States, will bring some harm to the body and a variety of complicated disease, the human body a lot. There are well-known obesity caused by high blood pressure, diabetes, coronary heart disease such as cardiovascular and cerebrovascular diseases.
In an interview with reporters learned that people often do not know, obesity is also easy to merge some of the women's gynecological diseases, such as: ovarian insufficiency, endometrial cancer, ovarian cancer, infertility, and other diseases, this reporter interviewed a woman Beijing Friendship Hospital Professor Wu Shanshan, director of obstetrics and physical rehabilitation medicine physician FANGLIN.
Diseases: breast cancer
Most of abdominal obesity in female-dominated, although easy to eliminate belly fat, but cardiovascular disease and breast cancer have a greater potential hazard. Moreover, the incidence of breast cancer, development and estrogen, estrogen in the body fat of women In addition to the secretion of ovarian part may be generated by the adipose tissue considerable estrogen, estrogen, the higher the level of the more susceptible to breast cancer. As a result, female-controlled prevention of breast cancer is the weight of one of the measures can not be ignored.
Symptoms of breast cancer: breast lumps are on a long, long the majority of mass in the breast above the outside, round shape and irregular-shaped, hard mass, and be able to move early. Most of the patients feel no pain. When the skin tumor, with varying degrees of multi-point depression. Some patients may have a nipple discharge or Yixue. However, due to the mass of breast cancer in many ways very similar to benign tumors of the breast and, therefore, to reach mass alone can not determine the nature of it, we have to go to hospital for examination.
Two diseases: ovarian cancer, endometrial cancer
Obesity is the endometrial cancer risk factors, most of the obese are suffering from high blood pressure, high blood sugar, endocrine hormone disorder, in which estrogen-induced endometrial cancer is a major factor, especially in obese menopausal women. Therefore, in order to reduce endometrial cancer incidence, it is necessary to control obesity and reduce the degree of obesity. Once high-risk groups menstrual disorders, menopause, or delay in postmenopausal abnormal vaginal bleeding should go to hospital for medical examination as soon as possible.
Endometrial cancer symptoms: irregular bleeding, increased vaginal discharge, yellow in water samples or blood samples. If the infiltration of advanced cancer or around the nerve can occur in the lower abdomen and lumbosacral pain, lower limb and foot and radiation. Endometrial cancer at an early stage so gynecological examination no significant abnormality, and by the late, there will be increasing the uterus, soften, fixed, Gongpang a nodular-block.
Ovarian-cancer: ovarian cancer occur in the ovarian cancer. Incidence in Gynecology in second only to cervical cancer, ranking the second place. Clinical manifestations: abdominal discomfort, abdominal pain, abdominal swelling, menstrual disorders, symptoms of oppression, and so on. In addition, ovarian cancer is no symptom at an early stage and it can be easily transferred. Late patients will obviously suffering from weight loss, severe anemia, and other phenomena. Ovarian cancer was particularly prevalent in the general menopausal and postmenopausal women.
Three diseases: abnormal menstruation, ovarian insufficiency
Simple obesity women abnormal menstruation, in some weight loss, will be able to return to normal. Abnormal menstrual symptoms: on and off after a rare frequency, delay menstruation, after a short month, the amount of bleeding too much or too little, and so on. Generally speaking, multiple abnormal menstruation and menopause in adolescence. In addition, during gynecological examinations, pelvic there is no organic diseases.
In the lower abdomen, hip, hip obese menopausal women should be vigilant if it is too low reproductive gonadotropin-induced obesity, the kinds of obesity and ovarian failure, when at 46, 47-year-old female menopause, the ovaries do not ovulation and cause Functional menstrual disorders, this may also be massive bleeding. Subcutaneous fat into estrogen also easy to rise to the extension after the menopause. Collectively referred to as ovarian insufficiency syndrome. Abnormal menstrual easily lead to anemia and affect the normal life and work.
Four diseases: Infertility
Infertility caused by ovulation is the main reason for the obstacles, showed no ovulation, ovulation, and other delays. Infertile women with irregular periods were related. And stored in the subcutaneous fat to stimulate the endometrium, may cause irregular menstruation. At the same time suffer from endocrine disorders, low thyroid function in patients with obesity also cause infertility. To this end, the experts recommended that women will be the best body weight controlling weight in the range of plus or minus 10%.
In addition, due to obesity and slow response action, but also vulnerable to a variety of injuries, car accident, which led to the fracture or sprain.
Chinese women are the most prominent central obesity, also known as the "Apple", so that the body fat in the central spine of the cost, easy to neck, lumbar, intervertebral disc disease, and so on. In addition, the "Apple" were smaller in the leg, and another body weight, the weight of all the pressure in both legs, cause bone and joint diseases, such as: knee, hip and foot joints and so on.
Obesity not only affects the size the United States, will bring some harm to the body and a variety of complicated disease, the human body a lot. There are well-known obesity caused by high blood pressure, diabetes, coronary heart disease such as cardiovascular and cerebrovascular diseases.
In an interview with reporters learned that people often do not know, obesity is also easy to merge some of the women's gynecological diseases, such as: ovarian insufficiency, endometrial cancer, ovarian cancer, infertility, and other diseases, this reporter interviewed a woman Beijing Friendship Hospital Professor Wu Shanshan, director of obstetrics and physical rehabilitation medicine physician FANGLIN.
Diseases: breast cancer
Most of abdominal obesity in female-dominated, although easy to eliminate belly fat, but cardiovascular disease and breast cancer have a greater potential hazard. Moreover, the incidence of breast cancer, development and estrogen, estrogen in the body fat of women In addition to the secretion of ovarian part may be generated by the adipose tissue considerable estrogen, estrogen, the higher the level of the more susceptible to breast cancer. As a result, female-controlled prevention of breast cancer is the weight of one of the measures can not be ignored.
Symptoms of breast cancer: breast lumps are on a long, long the majority of mass in the breast above the outside, round shape and irregular-shaped, hard mass, and be able to move early. Most of the patients feel no pain. When the skin tumor, with varying degrees of multi-point depression. Some patients may have a nipple discharge or Yixue. However, due to the mass of breast cancer in many ways very similar to benign tumors of the breast and, therefore, to reach mass alone can not determine the nature of it, we have to go to hospital for examination.
Two diseases: ovarian cancer, endometrial cancer
Obesity is the endometrial cancer risk factors, most of the obese are suffering from high blood pressure, high blood sugar, endocrine hormone disorder, in which estrogen-induced endometrial cancer is a major factor, especially in obese menopausal women. Therefore, in order to reduce endometrial cancer incidence, it is necessary to control obesity and reduce the degree of obesity. Once high-risk groups menstrual disorders, menopause, or delay in postmenopausal abnormal vaginal bleeding should go to hospital for medical examination as soon as possible.
Endometrial cancer symptoms: irregular bleeding, increased vaginal discharge, yellow in water samples or blood samples. If the infiltration of advanced cancer or around the nerve can occur in the lower abdomen and lumbosacral pain, lower limb and foot and radiation. Endometrial cancer at an early stage so gynecological examination no significant abnormality, and by the late, there will be increasing the uterus, soften, fixed, Gongpang a nodular-block.
Ovarian-cancer: ovarian cancer occur in the ovarian cancer. Incidence in Gynecology in second only to cervical cancer, ranking the second place. Clinical manifestations: abdominal discomfort, abdominal pain, abdominal swelling, menstrual disorders, symptoms of oppression, and so on. In addition, ovarian cancer is no symptom at an early stage and it can be easily transferred. Late patients will obviously suffering from weight loss, severe anemia, and other phenomena. Ovarian cancer was particularly prevalent in the general menopausal and postmenopausal women.
Three diseases: abnormal menstruation, ovarian insufficiency
Simple obesity women abnormal menstruation, in some weight loss, will be able to return to normal. Abnormal menstrual symptoms: on and off after a rare frequency, delay menstruation, after a short month, the amount of bleeding too much or too little, and so on. Generally speaking, multiple abnormal menstruation and menopause in adolescence. In addition, during gynecological examinations, pelvic there is no organic diseases.
In the lower abdomen, hip, hip obese menopausal women should be vigilant if it is too low reproductive gonadotropin-induced obesity, the kinds of obesity and ovarian failure, when at 46, 47-year-old female menopause, the ovaries do not ovulation and cause Functional menstrual disorders, this may also be massive bleeding. Subcutaneous fat into estrogen also easy to rise to the extension after the menopause. Collectively referred to as ovarian insufficiency syndrome. Abnormal menstrual easily lead to anemia and affect the normal life and work.
Four diseases: Infertility
Infertility caused by ovulation is the main reason for the obstacles, showed no ovulation, ovulation, and other delays. Infertile women with irregular periods were related. And stored in the subcutaneous fat to stimulate the endometrium, may cause irregular menstruation. At the same time suffer from endocrine disorders, low thyroid function in patients with obesity also cause infertility. To this end, the experts recommended that women will be the best body weight controlling weight in the range of plus or minus 10%.
In addition, due to obesity and slow response action, but also vulnerable to a variety of injuries, car accident, which led to the fracture or sprain.
Chinese women are the most prominent central obesity, also known as the "Apple", so that the body fat in the central spine of the cost, easy to neck, lumbar, intervertebral disc disease, and so on. In addition, the "Apple" were smaller in the leg, and another body weight, the weight of all the pressure in both legs, cause bone and joint diseases, such as: knee, hip and foot joints and so on.
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