Pehea e hoʻomaʻamaʻa ai i kā mākou mau keiki: ʻO ka momona a me ke kaupaona ʻana i ke keiki a me ka wā ʻōpio - nā ʻōlelo alakaʻi
ʻO kekahi o nā pilikia koʻikoʻi o ko mākou manawa e kū nei i nā keiki a me nā ʻōpio. Ke māhuahua nei ka nui o nā maʻi i kēlā me kēia lā a weliweli wale nō kēia. He mea maʻalahi loa kēia wehewehe ʻana i kēia ʻano, no ka mea, ʻo ke kumu nui loa ka nui o ka momona o ka hana ʻole o ka hana kino, a me ka ʻai maikaʻi ʻole.
I kekahi mau hihia, hiki i ka momona ke hopena i ka hoʻopulepule ʻana o nā aʻi o ka thyroid, neoplasms i loko o ka lolo, a me nā pilikia olakino ʻē aʻe. No kēia kumu, kuleana wale nō kēlā me kēia makua e nānā pono i ke ʻano o ke olakino o kā lākou keiki, a ʻo kēlā me kēia ʻano ʻike ʻana i ke kaupaona e pono a mākaʻikaʻi e nīnau aku i ke kauka.
Inā hoʻomaka ka ʻōpiopio e ulu i ka wā kamaliʻi, a laila hiki iā ia ke hōʻeha i nā maʻi hōʻeha. I nā keiki momona kaumaha, nui ka ulu ʻana o nā maʻi like ʻole:
- maʻi mellitus maʻiʻi
- haehae maʻi
- pūpū hema
- nā maʻi o ka ʻāʻī.
Aia i ka wā ʻelemakule, e hoʻomoʻi ʻia nā mea maʻi i ka hoʻomohala ʻana i ka wā nui o ka infertility, myocardial infarction, a me ka maʻi ʻeha coronary.
E hilinaʻi nui ʻia nā ʻanā o ka mālama ʻana i ka momona e pili ana i kāna kahua a me nā ʻōnaehana aʻe:
- mea kūpono ʻai
- ka hana kino kino
- lāʻau lapaʻau ai 'ole ka lāʻau lapaʻau (inā pono).
Ma ka nui, ʻike pono ʻoe i ke ʻano o ka hoʻomaka ʻana e kamaʻilio e pili ana i ka pohō o nā ʻano ʻokoʻa like ʻole. ʻO ke kaumaha o kēlā me kēia keiki kūikawā e hilinaʻi pololei i kāna ʻano wahine, ke kiʻekiʻe, a me ka predisposition genetic.
ʻAʻole e lilo ka mea nui i ka kūlana nui o ka olakino a me nā hana ʻai.
Ua ʻike ʻo ka lāʻau lapaʻau i nā ala e ʻike ai i ka nui o ke kaumaha o ke kino ma ke keiki.
ʻO nā kumu nui o ka hoʻonāukiuki i nā keiki
Aia he 2 nui o nā kikuhopu:
- lohi (no ka maikaʻi o ka ʻai maikaʻi a me ka nele o ka hana kino o ke keiki),
- endocrine (e pili ana i nā keiki a me nā wā'ōpiopio me nā pilikia koʻikoʻi o nā kūpaʻa endocrine: nā kupanaha adrenal, nā momona thyroid, a me nā ovaries).
Hoʻokumu ʻia i kekahi o nā hōʻailona hoʻohālikelike e hele pū me ka obesity, hiki i kekahi ke kuhikuhi i ke kumu o kēia kaʻina.
Inā lilo ke keiki a pau loa, a laila pono ʻoe e makaʻala i kona mau mākua. Inā mālama ʻia ke kaupaona momona i loko o lākou, a laila hiki iā mākou ke kamaʻilio e pili ana i ka pono ʻole o ka ʻai.
Hiki i kēlā ʻohana ke ʻai i kahi nui o nā meaʻai kiʻekiʻe o ke kalapona i kēlā me kēia lā, kahi nui i nā mea momona a me nā momona. Inā pēlā, ʻoi aku paha, ʻeha ke keiki mai ke ʻano o ke kau hiʻona.
I kēlā kūlana, e piha loa ka nui o ke koʻikoʻi o ke keiki ma muli o ka mismatch ma waena o nā kalona i hoʻopau ʻia a me ka ikaika i pau. ʻO kēia hemahema ikaika ka hopena o ka hōʻemi haʻahaʻa haʻahaʻa.
Inā mākou e kamaʻilio e pili ana i nā pēpē, a laila momona ka hopena o ka hoʻopiʻi ʻana i nā meaʻai hōʻihapiha, i nui loa i nā pōkuʻi a me nā momona. Loaʻa paha nā keiki ʻekahi i nā paona keu inā makemake lākou i nā manawa āpau e pāʻani ai i nā pāʻani kamepiula a i ʻole e nānā ana i ke kīwī. Loaʻa ke ikehu a pau mai ka meaʻai i ka depot momona.
ʻO kahi mea nui e hōʻike pono ana i ka momona hānai nui o ka pōʻaiʻai a me ka ala ʻole o ke ola.
Ma nā hihia i ʻoi aku ka nui o ke keiki ma mua o ka hānau ʻana a i ʻole aia i kahi kau i ka hoʻomohala ʻana, ʻo ia nei ke ʻano nui o ka ʻuhoe ma muli o nā pilikia congenital me ka nui o ka maʻi thyroid.Hiki ke hōʻike ʻia i ka pōkole.
- h ?? ea
- e paʻa ana ke poʻo.
Eia kekahi, ke mākaʻikaʻi ʻia i ka ʻūhā o ke alo o ka pēpē. E hōʻike aku nā mea a pau i luna.
I nā hanana i ʻike ʻia ka hānai o nā leʻaleʻa like ʻole e pili ana i ke ʻano o ka lohi ʻana o ka noʻonoʻo, ka nāwaliwali o ka ʻōpū a me ka strabismus, a laila ma kēia hihia ke kamaʻilio e pili ana i ka noho ʻana o ka mau aʻa a me ke ʻano, no ka laʻana, Down syndrome, Prader-Willi syndrome (e like me ke kiʻi).
ʻO ka maʻa mau i nā keiki a me nā wā'ōpiopio. Nā Hoʻomaka
Inā hui pū ʻia ka popo o kekahi pae e kēia mau hōʻailona, a laila i loaʻa ka hopena i ka hypothyroidism:
- luhi, luhi
- nāwaliwali
- hiamoe
- haʻahaʻa haʻahaʻa haʻahaʻa
- mea momona maikaʻi ʻole
- maloʻo maloʻo
- constipation
- mau ʻeke ma lalo o nā maka.
Hōʻike ʻia kēia ʻano o ka hypothyroidism i nā pilikia me ka hana o ke kelepona thyroid, a me nā hemahema o ka iodine. Ma ke kānāwai, kahi maʻi, inā ʻoi aku ka mea ma mua o ke kaikamahine i ka wā ʻōpiopio, hiki ke hōʻeha i ka menstruation (amenorrhea) a i ʻole nā hewa ʻē aʻe o kēia haki.
Inā waiho ʻia ke kaumaha nui ma luna o ka ʻōpū, ʻāʻī, ke alo, a laila hiki ke ʻeha ke keiki mai ka maʻi ʻeha a Hisenko-Cush. Hoʻohana ʻia kekahi me nā hōʻailona ʻē aʻe, no ka laʻana, disproportionately ʻokiʻoki i nā lima a me nā wāwae, ka wikiwiki wikiwiki o ka neʻe ʻana i ka hōʻailona o ke kala poni (kā lākou i kapa ʻia ka striae).
Me kēia maʻi, loaʻa ka nui overabundance o nā hormones i hana ʻia e nā kelepa adrenal i loaʻa.
Inā hoʻonāukiuki ʻia nā ʻōpiopio o nā ʻokoʻa i loko o nā keiki, a laila hiki iā lākou ke hōʻike i ke ʻano o kahi ʻōpū. E kū'ē i ke kua o nā pilikia koʻikoʻi a me nā migraines, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe.
- ka hoʻonui ʻia ʻana o ka umauma (ma nā keikikāne a me nā kaikamahine). Hiki ke hoʻomaopopo ʻia ka Galactorrhea (huna ʻia o ka waiū mai nā gona). Inā e hele kēia, a ke kamaʻilio nei mākou e pili ana i ka prolactinoma - kahi ʻōpio i ka kelepaʻi pituitary e hana ai i ka prolactin (ʻo ka hormone ka mea e hana i ka waiū i ka wā lactation). Eia kekahi, hiki i ka prolactinoma ke hiki i nā keikikāne. I kēia hihia, ʻo ka hoʻonui ʻia ʻana o ka umauma, ka ʻeha, a me nā hōʻike ʻē aʻe o ke kiʻekiʻe kiʻekiʻe e hopu ʻia ka hoʻokaumaha ʻia,
- i ka hihia ke hui pū nei nā hōʻailona o ka hypothyroidism i kēia mau ʻōmaʻomaʻo, a laila, ʻoi aku ka nui o ka hoʻonāukiuki i ka wā'ōpiopio i ka ʻōpū o ka maʻi maʻi. I ka hopena, aia kahi kuhi o ka hana o ka hormone hoʻokalakupua i ke kūlohelohe o ka thyroid,
- me ka hoʻohui o nā hōʻike ʻano ʻokoʻa o ka maʻi ʻana o ka puʻuwai o Hisenko-Cush, aia kahi kūlana kiʻekiʻe o ka maʻi o ka maʻi pituitary. ʻO ia neoplasm e hoʻohua i ka nui o ka hana o ka ACTH (adrenocorticotropic hormone), nāna e hoʻopuka i ka hoʻokuʻu ʻana i nā glucocorticosteroids e nā mea hoʻopiʻi adrenal.
Aia aia nā maʻi i loaʻa i kahi wā ʻōpio keʻike i nā hōʻailona o ke wā lohi a publi and gynecomastia. ʻO ke kumu nui e pono ai ke kaʻina i hiki ke kapa ʻia ka adiposogenital dystrophy. Hoʻopilikia ʻia kēia maʻi ma ka nele o nā hormones pituitary e hoʻoikaika i ka hoʻomohala ʻana i nā keli mammary.
I nā kaikamahine, hōʻike kēia mau hōʻailona i ka hiki ʻana o ka ovary polycystic.
He aha ka hopena koʻikoʻi o ka hoʻonāukiuki?
Hiki i ke kīhāpai i nā keiki (kiʻi) hiki ke hōʻeha i nā maʻi ma mua i nā ʻano o kēia makahiki.
- haʻi maʻi
- cirrhosis o nā ʻiʻo
- maʻi maʻi coronary.
ʻO kēia mau maʻi e hiki ke hoʻomāhuahua i ka maikaʻi o ke keiki a hōʻemi i ke ʻano o kona ola.
ʻO nā hua ʻōlelo e pili ana i ka momona o ke ʻano nui.
- Mai ka pūnaehana cardiovascular: atherosclerosis, ke koko kiʻekiʻe, ke ake ʻana o ka naʻau paʻa ʻole, ka angina pectoris. ʻO kēia mau pilikia, ka ʻano o ka poʻe ʻelemakule, he nui nā pilikia no nā keiki momona.
- Mai ka pūnaehana hana ʻana: ka hana mau a ka maʻi o ka gallbladder (cholecystitis), nā hana lele o ka pancreas (pancreatitis), hemorrhoids, constipation pinepine. Hoʻomoe ka momona ma ke akea i ka lipid hepatosis (steatosis). Hōʻike ʻia kēia maʻi e ka lawa o ka hana kō ma muli o ka neʻe o ka kiko adipose maʻamau. ʻO nā mea pinepine loa, ʻo ka steatosis i kumu o ka cirrhosis o ka ate,
- Mai nā iwi a me nā hana, nā deformities o ka iwi, hiki ke nānā ʻia ka ʻeha ma nā ʻōpū, a me nā wāwae ʻeleʻele. Hoʻomaʻamaʻa nā keiki keu momona mai ka valgus deformation o nā kuli (mau wāwae i ka ʻano o ka leka X)
- Me kahi hema no ka hormone, ka mea i hana ʻia e ka pancreas a i ka ʻike ʻana i ka hoʻoliʻi ʻana o ka glucose, hana i ka diabetes mellitus o ka ʻano o ka papa. Nā hōʻailona hōʻailona o ka maʻi maʻi: ka hiamoe, ka make mau, ka nui nui ʻana, nāwaliwali, nā neʻe pinepine,
- E hōʻeha nā keiki ʻōlima i nā maʻi hiamoe e like me ka snoring a me ka apnea (intermittent lack o ka hanu).
ʻO nā wahine ʻōpio mai ke wā kamaliʻi he nui nā manawa e noho nawaliwali no ke ola.
I nā ʻanoʻokoʻa, kiʻekiʻe loa i nā keiki a me nā ʻōpio ke lilo i mea koi mua no nā pilikia lehulehu. E loaʻa nō iā ia nā pilikia paʻakikī i ka kamaʻilio ʻana me nā hoa o lākou.
Hoʻopiʻi pinepine i kēia kiʻi, hiki i ke kaumaha ka mea hiki ke hoʻonāukiuki i ka momona me ka hoʻohui i ka lāʻau lapaʻau, ka ʻawaʻawa a me nā meaʻai ʻole, no ka laʻana, bulimia a i ʻole anorexia (e like me ke kiʻi).
Pehea e mālama ʻia ai ka momona?
Hoʻopau pololei nā mea hana i ka hoʻokaʻawale ʻana i nā pauna keu aʻe i kahi keiki. Ma waho ʻole, kā ke kauka hōʻike:
- mea ʻai olakino
- hooulu kino kino kino,
- lāʻau lapaʻau lāʻau
- hoʻōki manuahi (inā pono).
ʻO ka lōʻihi loa o ka mālama ʻana i ka momona o ka wā kamaliʻi a me kona wā'ōpiopio. Pono e hoʻopaʻa ʻia kēlā me kēia ma waena o nā mākua o ke keiki maʻi a me ke kauka.
Ma ka hoʻonaʻauao olakino a me ke aʻo ʻana
ʻO ka pahuhopu nui o ka meaʻai a me ke kau ʻana, ʻaʻole ia wale ka lilo ʻana o ka mea kaumaha, akā ke pale aku i ka maikaʻi o ka hoʻonui ʻana i ke kaupaona ʻana. I ka maʻi lahilahi, e hōʻike ke keiki wale nō i ka meaʻai i hoʻolālā ʻia no ka pohō.
Pono kaʻina o ke kau. ʻO ka lele koke ʻana i ke kaupaona ʻike ʻole ʻole ʻia
Pono e hoʻopili ʻia nā mea kanu kūikawā e like me ka nā loiloi o ka endocrinologist. E noʻonoʻo ke kauka i nā hiʻohiʻona pilikino a pau o ke kino maʻi o ke keiki maʻi a helu i kāna pono o kēlā me kēia lā no nā momona, nā huameka, nā pūmua, nā mea i nā trace, a me nā huaora. Hiki iā ia, no ka laahi,.
E pili ana i ka hoʻonaʻauao kino:
- ʻauʻau
- aerobics
- nā pāʻani waho,
- mea ʻōpio.
I mea e loaʻa i kahi keiki ke makemake i ka haʻuki, e pono i kēlā me kēia makua e hoʻokumu i kāna ʻano ponoʻī a paipai iā ia no nā loaʻa ʻana.
ʻOiai ʻo ka mau hele ʻana o 30 mau minuke maʻamau i kēlā me kēia lā e kōkua i ka holomua o ka pono o ke keiki, a hōʻemi i ka hopena o ka ulu ʻana o nā ʻōpiopio o nā ʻāpana ʻokoʻa.
E hoʻokō ʻia he hana koʻikoʻi e ka ʻohana ʻoluʻolu e naʻauao ai. He mea nui e kōkua i ke keiki i kūlou i ke kau ʻana i ke kau momona loa a ʻike pono ʻaʻole hiki iā ʻoe ke noʻonoʻo i kēia.
ʻO nā makahiki mai 7 a hiki i ka 12 (14.5 mau makahiki) he manawa mau loa, he prepubertal (ʻoi aku ka wā ma mua o puberty). ʻO ka hapa liʻiliʻi ma ka hoʻomaka ʻana o ka wā ʻōpiopio he 8 (8.5 mau makahiki), ʻo ka hoʻomaka hou he 14.5 mau makahiki
(nui aʻe i nā keikikāne). Aia i kēia manawa i kū mai nā ʻokoʻa o ka wahine i ka dinamics o ka loaʻa kālā.
ʻOi aku ka uku o nā kaikamahine i ʻoi aku ma mua o nā keikikāne, ka mea i hui pū ʻia me ka hoʻomaka mua o ka ulu ʻana i ka moekolohe. Ma keʻano holoʻokoʻa, ʻo ia ka mea o kēia mau mākua e hoʻolauleʻa ai i ka hoʻomaka o ka momona, i kapa pinepine ʻia o ka makahiki - 8 mau makahiki.ʻO ka mea, ʻo ia ka manawa o ka "ʻai hewa maikaʻi" i waiho ʻia ma mua a hoʻomaka ʻia ka maopopo, "hōʻeuʻeu ʻia" e ka hoʻomaka ʻana o ke ʻano o nā keaka o ka wahine a me ka hoʻonui ʻia ʻana o ka maʻi o ka insulin, he hormon e kōkua i ka hoʻoliʻi i ka glucose.
Nui ka nui o ka insulin, ma muli o ka hopena "kuapo" a no ke kuʻe ʻana. Ka mea i huli ia i kahi pōʻaiapī: ʻoi aku ka nui o ka insulin - ua komo hou ka glucose, ʻoi aku ka nui o ka glucose. Mālamalama pehea e uhai ai i kēia pōpoki - ho'ēmi i ka hoʻohanaʻana i nā kapoole "māmā". Inā ʻaʻole, ʻo ia ka manawa o ke ʻano he waena a ʻoi aku kekahi mea kupaianaha hou aʻe.
ʻO kahi mea nui i nā hiʻohiʻona o ka momona o ka manawa ma kēia manawa: inā he kaikamahine me ka pohō i komo i ka wā ʻōpiopio, ʻo ia ka mea hoʻonāukiuki e hōʻeha iā ia i ka hoʻokumu ʻana o ka ʻōnaehana hormonal, inā he keikikāne ke komo ʻana, pili nui (a ke ʻole o ka helu 4 o ka momona) ʻaʻole ia e alakaʻi i ka hala nui o ka wā puberty. . ^ E Ha yM.
ʻO ka testosterone, ma kēia hihia, he "magic". ʻO ia, me ka ulu ulu ʻana o ka hormone (a hana nui ʻia ia e nā keikikāne i ka wā kamaliʻi ma o nā kaikamahine), hoʻokumu i kahi metabolism maikaʻi no ka "melting fats". I nā kaikamahine, kūlike ka mea āpau. Hole ka wahine - estradiol pinepine mau manawa i hoʻolako i ka assimilation o ke kaulahao o nā momona momona a me ko lākou weheʻana i nā momona depots.
I loko o kēia manawa, pono ia e hoʻomaka e hana i ka keiki i nā haʻuki maʻamau. , e aʻo aku, i ka hoʻopaʻi kūʻokoʻa. He mea nui ia inā ma mua o nā maka o ke keiki e lilo i ʻano hoʻohālike o ka pākeke. He mea nui ia e aʻo i nā kaikamahine e aʻo i nā plastics - ka hula, ka hale hoʻokūkū. Hoʻonohonoho wale nā keikikāne, no laila ʻaʻole kumu ke kumu pāʻani. ʻO ka mea nui i ka neʻe ʻana, 3-5 mau manawa i ka hebedoma, ma kahi o 30 mau minuke i ka lā.
I kēia manawa no ke olakino. Hāʻawi wau i kahi hiʻohiʻona o ka ration o ka SK1 no ka makahiki i hāʻawi ʻia a me kahi hoʻonohonoho o nā huahana i ʻae ʻia. ʻAʻole paʻakikī ke ʻike i kēia mea meaʻai i ka mea maʻamau me ka meaʻaiʻai a 8 Pevzner i nā pākeke.
Pono e haʻalele: mau mea momona, mau kalo, nā mea ʻono a me nā kīʻaha paʻakai, nā mea momona momona a me nā iʻa, nā kīwī, ka waiʻakai, nā hua ʻai wai, soda, nā pāliki, nā puʻu, nā kīwaha, nā lā a pau, nā kīlani, nā huaila, xylitol, sorbitol, pōkole, me ka mahiʻai, nā nati, nā huaʻoni, mayonnaise , ketchup a me na mea awa.
Lohi: pata a 2 kūmole, oliva a me ka aila ʻaila a hiki i ka 1 sime, mau mea iʻa i ka 2 mauʻu (maiʻa i nā mea kanu i ka ʻala), ka ʻuala, ka pālaʻi, ka pasta, nā ʻuala (kāleʻa / mashed) a hiki i ka 6-7 tbsp. la l i ka wā e kuke ai, ʻo ia nā huahana e ʻai wale ʻia ma ka wā awakea, hua ma hope o 2-3 lā ma ke ʻano o ka omelet, palaoa 2-3 ʻokoʻa i ka lā (ʻaʻole bourget, ʻaʻole palaoa āpau, nui ka ʻano), mau kekeʻa mau manawa 2 i ka hebedoma, hua a hiki 3 mau ʻāpana i kēlā me kēia (lālani i 2-3 mau lā, ua palena ʻia nā hua waina), ke kō i honi ʻia i ka ʻāpana 1 i loko o kaʻaila, 2-3 mau lā i ka lā, marmalade ma ka wai kūlohelohe - 1 ʻāpana a i ʻole marshmallow 1 ʻāpana, (me he mea ʻokoʻa), nā kuki 2 Nā ʻomi type "Mary", jam a me kaʻaela ʻaʻole i oi ma mua o 1-2 tsp
I ʻae ʻia: nā lau momona, nā mea kanu lau, nā ʻiʻo lau a me ka iʻa (ma ke ʻano o ka meatballs, meatballs), stewed, major rabbit, beef, turkey, perch, cod (meatballs), cottage cheese a he 5% momona (i ke kakahiaka - kūlohelohe, i ke ahiahi - casserole a cheesecakes ), nā pīpī liʻiliʻi, nā ʻōpio a hiki i nā papa 6 i loko o kahi ʻano kuke (koe wale nō ʻo semolina, ka liʻiliʻi o ka palaoa), ka waiū, kefir, ka ʻono a hiki i ka 2-3 aniani i kēlā me kēia lā.
Ka ʻai liʻiliʻi a hiki i ka 5-6 manawa i ka lā.
Hōʻikeʻike honua no ke keiki i kēia makahiki:
Kakahiaka: kekahi pīpī waiū 6-7 mau punetēna, ʻai palaoa (a ʻokiʻoki paha), ka berena, kīwī ʻono maʻa 200 ml.
2 kakahiaka kakahiaka: ʻaila kai 200 ml.
ʻAiʻaina: huehala iʻa 100-150 gr, mea ʻala a i ʻāpala paha 200 ml, ka moa kime 100 gr, ʻala uala 100 gr, hua malo aono 200 ml, palaoa rula 60 gr.
Snack: mea kīwī ʻaina 150 kākā, ʻaila rye maloʻo 1 pc., Compote, a iʻa paha, a i ʻole ka mea ʻai i ka wai 200 ml.
ʻAi pāʻina: cutlet ʻai, palaoa ʻalaʻa 200 g, 1 ʻoki palaoa palaoa, 200 ml kī.
I ka pō: kefir 150 ml.
ʻAno maoli, me nā ʻokoʻa o ka momona, ua hōʻike ʻia ke ʻano o nā kaloli o ka meaʻai i ke kū hoʻokahi, i kēia wā, a me ka ʻokoʻa ʻole o ka ʻokoʻa wahine.
I loko o kēia manawa, hiki i ka obesity 3-4 degere hiki ke hoʻokomo ʻia i loko o ka hana nā lā wikiwiki - Ua mākaukau ke kino o nā keiki no kēia. ʻO ka lalo o ka haʻahaʻa o ka hoʻohaʻahaʻa ʻana i nā kaloli o ka meaʻai i ka 1000 kcal i kahi lā 1 ka manawa no ka pule.Hoʻohapaka me ka hoʻomaka ʻana me ka lā ʻai o ka "protein" - curd, ʻiʻo a me ka waiū paha, ma hope lākou e hoʻololi i ka lā a ʻai i ka wā ʻai ʻaina, maikaʻi ia e hoʻohana ʻana i nā lā ʻelua hoʻaina: 1 lā - protein, 2 lā - kālepaʻa. ʻAʻole kaupalapa ʻia ka wai i kēia mau lā.
ʻO kekahi kumu nui i ka mālama ʻana i ka momona o ka momona o ka ʻaihue ʻana i ka momona ma ka ʻai ʻana i ka nui, akā haahaa ka nui, ka nui o ka protein monotonous protein!
Ma hope o ka pau ʻana o ka hana ʻai sub-calorie, i ka wā e loaʻa ai ke kaupaona koʻikoʻi, he neʻe i ke kākoʻo ʻana i ka meaʻai me ka hoʻolōʻihi o ka "huahana huahana", hiki iā ʻoe ke hoʻomau i ka hana o ka lā wikiwiki.
Mai ka makahiki 9 he mau makahiki, no ka kaumaha o ke keiki me ke kiʻekiʻe o ka momona, hiki i ka pathological hyperinsulinism, hiki ke mālama ʻia nā lāʻau lapaʻau. Akā ua nīnau ʻia kēia nīnau e kahi kauka a i ʻole kūkākūkā paha o nā kauka!
I nā makahiki he 0-1, 1-7, 7-14.5, ʻaʻole mākou e kamaʻilio e pili ana i ka hoʻolilo kaumaha, a he mea nui kēia e hoʻomaopopo ai, akā, ʻo ka hoʻopiʻi o ka loaʻa ʻana (e hoʻomau ana ka paona, "kū ʻo ke kaupaona ʻia"), akā i ka hā o ka makahiki o ia wā ʻoʻelemakule , e kamaʻilio mākou e pili ana i ka lilo kaumaha.
KE PONO KA PEA KE PILI ANA I NA HANA I KA ANAKANA (ka manaʻo pilikino):
Mai haʻi aku i ke keiki ʻo ia he "kānalua" a "palaualelo ʻole." E haʻi iā ia e hoʻomaopopo ʻoe i ka paʻakikī o ka hana ʻana i ke koho ʻona (“olakino”) i ka ʻai.
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Mai hana hewa i kāu keiki i kāna ʻano ʻai. E hoʻomaikaʻi iā ia inā ʻike ʻoe ua ʻai kūpono.
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Mai haʻi aku i ke keiki ʻaʻole ʻo ia e kōkua iā ia iho. E noi i kāu keiki pehea e hiki ai iā ʻoe ke kōkua iā ia e ʻai pololei.
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Mai hoʻonāukiuki i kāu keiki me ka pohō kaumaha. E haʻi iā ia i ka mea e maikaʻi ai inā nā mea paʻakikī iki.
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Mai hōʻino e pili ana i kou momona pono'ī a me pehea "hoʻoweliweli" i ka ʻai. Hōʻike i kahi hoʻohālike maikaʻi a hana i nā mea āpau e manaʻo ai e hana kāu keiki.
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Mai hāʻawi i kahi loiloi maikaʻi ʻole i nā poʻe ʻē aʻe (mau hoaaloha, pili pili, nā mea aloha) i momona nui. E ʻike i nā mea nani a pau i kāu keiki: o kona mau maka, kona lauoho, kāna mau hana maikaʻi, koho i nā lole, a me nā mea.
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Mai wehewehe i ke keiki e hauʻoli ʻo ia wale nō me ke kaupaona maʻamau. E kamaʻilio me kāu keiki e pili ana i nā hopena kūpono o ka hana ʻana ma kou kaumaha.
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Mai haʻi i kāu keiki ʻo ka lilo ʻana o ka mea momona nui kona hewa. E wehewehe, ʻoi aku ka paʻakikī o kekahi poʻe ke kaohi i ko lākou kaumaha ma mua o nā mea'ē aʻe - ʻaʻole kūpono ke ola, akā, mahalo paha lākou i nā mea ʻē aʻe!
Makemake pū wau e kamaʻilio e pili ana i kekahi kumuhana hoihoi e like me nā pae kaulike ʻO Tanita me nā mea noiʻi momona wai i loko o ke kino. Inā inā lākou e hoʻokaʻawale ʻia i nā pākeke, a laila ʻaʻole lākou e hana "no ka poʻe keiki, no ka mea, ʻo kā WHO (ka World Health Organization) ʻaʻole i hoʻokō piha i nā kūlana kūpono no ka ʻike o ka momona / wai i loko o ke kino o nā keiki o nā makahiki like ʻole. No laila, ʻaʻole hiki ke hoʻokokoke kūʻokoʻa i kēia mau ʻāpana, no ka mea ʻaʻole kaumaha.
E hoʻomau i ka ....... i ka ʻaoʻao aʻe e kamaʻilio ai wau no ka momona keu ke kaʻana aku nei i ka momona o nā kaikamahine a me ke koʻikoʻi o nā keikikāne i ka wā ʻōpiopio.
He aha nā meaʻino ma nā keiki -
ʻO kahi kūlana e ʻoi aku ai ke koʻikoʻi o ke kino o ke keiki ma mua o ka lōʻihi o ke kau he nui ma mua o 15%, a me kahi mau kuhikuhi e like me ke ʻano he nui kino kino ka mea ma mua o 30 paha.
Hōʻike nā ʻikepili noiʻi i nā ʻāina CIS ma Ukraine, Russia, Belarus a me nā ʻāina ʻē aʻe o ka USSR ma mua, he 12% ka nui o nā keiki. 8.5% o nā mea e noho ana ma nā kūlanakauhale, e ʻeha ana, a ma waena o nā keiki e noho ana ma nā kua ʻāina, ʻo kēia pakeneka he 5.5.
I kēia mau lā i ka honua ka nui o ka nui o nā keiki me nā momona he nui, no ka mea e pono e mālama nā keiki pediatred i kēia pilikia, ʻoiai, nā endocrinologists o nā keiki. ʻOi aku ma mua o ka hapalua o nā pākeke me kahi maʻi o ka momona, ua hoʻomaka kēia mau kaʻina hana i ka wā kamaliʻi a i ʻole nā ʻōpio.ʻOi aku ka uluʻana o kahi keiki i ka ulu, ʻoi aku ka nui o kona hiki ke loaʻa ka endocrine, cardiovascular, a me ka hoʻohuli. Hoʻonui hoʻi ka huelo i ka hopena o nā pilikia a me nā maʻi o ka hoʻopili a me ka ʻōnaehana musculoskeletal.
ʻO ke ahulau i loko o nā keiki he ʻano pale mai, no laila he mea nui ia e makaʻala i nā hana pale, e kūkākūkā ʻia me nā mea kikoʻī ma lalo.
Ka helu ʻana o ka momona i nā keiki
Aia he 2 ʻano hoʻonāukiuki i nā keiki:
Hiki i ka mea nui ke hānai (kahi i pili pū me ka meaʻai kūpono) a i ʻole ke kumukānāwai exogenously (lawe ʻia e "ka hoʻoilina" mai nā mākua). Ma ka puka hope, ʻaʻole hoʻoili ke keiki i ka momona momona, akā nā hiʻohiʻona o ke ala o nā kaʻina loina metabolic i loko o ke kino.
Nā momona lohi pinepine ia i kēia manawa:
ʻO ka momona hoʻonāʻau ma nā keiki he endocrine - me nā maʻi o nā ovaries i nā keiki wahine, a me nā maʻi o nā kelepa adrenal a / a ʻole ka ʻōmaʻomaʻo thyroid. Ke kūpaʻa nei nā ʻike no ka hoʻoholo ʻana i nā momona i nā keiki i kēia lā e ka poʻe kūkā. ʻO ka poʻe noiʻi Gayvoronskaya A.A. manaʻo e hoʻokaʻawale i ka momona i ʻehā mau kūlana:
- Keʻelele - ka mea keu ma ke kau o 15-24%
- II tikina - ka mea keu ma ke kau o 25-49%
- Kahi a III - ka mea keu ma ke kau o 50-99%
- IV tikā - keu aku o ka maʻamau maʻamau ma 100% a i ʻole
Wahi a nā helu helu, ʻo ka maʻa nui loa i ka 80% o nā keiki no ka I-II degree.
He aha nā mea e kahakaha ai / nā kumu o ke kau i loko o nā keiki:
Hiki ke ulu i ka nui o nā keiki i nā kumu. ʻO nā mea hana i waena o ka genetics e komo pū i ka hana. I nā 100% o nā hihia, ʻo ka hohonu o ka momona o kahi momona he mea hōʻemi ikaika, ka mea i hoʻemi ʻia e ka arshod a me ka piʻi nui ʻana o ka ikehu.
Inā loaʻa i nā ʻōmālua nā mākua, a laila ʻo 80% ka loaʻa ʻana o kā lāua keikikāne a me kā lāua kaikamahine. Inā makemake wale ka makuahine, a laila maʻa ke ala o ke keiki i ke ʻano like me 50%, a inā he makua wale nō, a laila 38%.
I ka pilikia aia nā keiki nā hānau ʻia me ke kaumaha ma mua o 4 kg , pū me nā mea i loaʻa i ko lākou mau kālā i uku ʻia ma mua o ka pākaukau, ka mea e ʻai nei ma ka mea kūlohelohe. Hiki ke ulu mai nā ʻōkuhi ma nā pēpē ma muli o ka nui o nā pānaehana kiʻekiʻe-calorie a me nā kuhihewa ʻole.
ʻO ka hapa nui o nā keiki ʻōpio a me nā keiki kula haki ʻia ka meaʻai, a loaʻa ke keiki i ka hana pilikino . ^ E Ha yM. Hōʻike ka ʻōpiopio i ka wā "wikiwiki" ʻoi loa (maʻalahi ka maʻalahi), nā momona momona (loaʻa mai ka hua "wikiwiki wikiwiki"), wai kūmole, ka wai mai ka hale kūʻai a me ka wai me ka hilo ma mua o kaʻai. Eia naʻe, ma ka nui o nā keiki hānai, ʻaʻole nui ka protein, fiber a me ka wai i ka meaʻai.
He mea koʻikoʻi kahi ʻano noho kino . ^ E Ha yM. Hoʻoweliweli ka meaʻino i nā mea ʻaʻole i komo i kekahi hāmeʻa, ʻaʻole e pāʻani i nā pāʻani ikaika, mai hele i nā papa hoʻonaʻauao kino a i ʻole ka hana ʻana ma luna o lākou. Hoʻopilikia i nā mea pilikia: ke kaumaha o ka noʻonoʻo, e alakaʻi i ka manawa pinepine o ka kamepiula a i ʻole ka pona e ka TV.
Hiki i ke kumu o ka momona (me ke kaumaha) i nā keiki kūlana kūlana :
- ʻO ka maʻi ʻO Prader-Vilia
- Nā maʻi haʻihaʻi
- ʻNdlelo Kokua o Cohen
- ʻO Lawrence-Moon-Beadle Syndrome
- ʻO ka maʻi Itsenko-Cush
- adstrose-genital dystrophy
- hoʻopili encephalitis
- ka maʻi ʻehaʻeha o ka lolo
- nā lolo ʻōpū
- hoʻākoakoa ʻano neurosurgical
I kekahi manawa hiki ke hoʻonāukiuki i ka momona nā kumu manaʻo :
- he ulia
- papa mua
- make o nā ʻohana
- hōʻike ke keiki i kahi pepehi kanaka a i ʻole ia hana hewa
ʻO Pathogenesis (he aha ka mea e hana nei?) I ka wā hema loa i nā keiki:
ʻO pathogenesis o kahi momona ʻAʻole paʻa ia i kona kumu. ʻO ka ʻai nui, ʻoi aku hoʻi me kahi kikoʻī aʻe o nā hāmeʻe kiʻekiʻe, ke kumu o ka hyperinsulinism. ʻO ka hopena he hypoglycemia, kahi mea e hōʻeha ai i kahi pōloli i kahi keiki.ʻO ka Insulin ka hormone lipogenetic koʻikoʻi i loaʻa ka hopena anabolic a pili i ke kūmole o ka triglycerides ma ka kiko adipose.
ʻO ka hōʻemi ʻana o ka momona ma mua o ka maʻamau ka hele ʻana me ka loli lua. Hoʻonui ka hana ʻana o ka hormone adrenocorticotropic, ʻike pinepine ʻia ka hypercorticism, ka ʻike ʻana o ka ventromedial a me ka ventro-lateral nuclei i nā hōʻailona o ka pōloli a me ka māʻona, etc.
Manaʻo nā mea noiʻi i ke kauā i nā keiki i nā hana ʻoi a nā maʻi anu. ʻO nā cytokines o ka adipose kiko a me nā loli i ka pūpili lipid o ka serum koko, a me ka hoʻōla ʻana i nā hana lipoperoxidation he mea nui i ka pathogenesis.
Adipocytes hoʻonani ka iwi adipose i nā enzyme e hoʻoponopono i ka lipoprotein, leptin a me nā momona momona. Inā ʻaʻole e pane ka "kikowaena meaʻai" i ka leptin, a laila ma hope o ka ʻai ʻana, ʻaʻole i make nā keiki. ʻO ka nui o ka leptin e pili ana i ka nui o ka insulin i ke kino. Pēlā nō hoʻi e hoʻoponopono nā keʻena pōloli i ka cholecystokinin, serotonin, norepinephrine.
Hoʻomaopopo ka ʻano o ka thermogenesis meaʻai, ʻoiai me nā hormone thyroid, enteric hormones o ka duodenum. Inā he haʻahaʻa haʻahaʻa loa ke kino o ka hopena, a laila ma hope o ka ʻai ʻana e makemake ai ke keiki e ʻai. Hoʻonui pū ka Appetite ma muli o ke kaila nui o ka opiates endogenous a i ʻole neuropeptide-x.
Nā ʻōmaka o Obesity i nā Keiki:
ʻO ka hōʻailona nui o ka momona i nā keiki - ʻoi aku ka nui o ke aniani o ka momona subcutaneous. Eia nō kekahi, nā hōʻailona o ka hānō e pili ana i ka hoʻolōʻihi i ka hoʻolālā ʻana i nā mākeke kaʻa, ka hana ʻole, ka lohi ʻana i nā hopena kūlohelohe, constipation, a me ka ulu ʻana o nā maʻi like ʻole.
Me ka momona obimentity i loko o nā keiki Nānā nā kauka i nā momona momona ma loko o ka ʻōpū, nā pūhaka, nā pelvis, ke kua, nā umauma, nā pūpū, ka maka. I nā makahiki 7-16 makahiki, i kēlā mau hiʻohiʻona, ʻike ʻia nā hōʻailona: ka hoʻohaʻahaʻa i ke hoʻohaʻomaʻi hoʻokaʻawale ʻana, pōkole o ka hanu, hoʻonui ʻia ke koko. I ka ʻumikumamāono o nā makahiki, hoʻoponopono nā keiki i ka ʻokoʻa ma ka metabolic syndrome, ka mea i hōʻike ʻia ʻaʻole wale e ka momona, akā, e ke kū ʻana i ka insulin, hypertension a me ka dyslipidemia. Me ka hoʻonāukiuki, loaʻa paha i kahi keiki kahi pale o ka metabolism uric.
ʻO ka momona maʻamau ala e like me ka hopena o ka maʻi lalo, nā mana hōʻike e hoʻopololi me kāna mau hōʻailona. No ka laʻana, me ka maʻi maʻi o ka hypothyroidism congenital, hoʻomaka ke keiki e hoʻopaʻa i kona poʻo pōkole, noho a hele a hele, lele nā niho ona ma hope ma mua o nā pēpē olakino. Loaʻa ka hypothyroidism i hoʻopaʻa ʻia ma nā keiki i ka wā ʻōpiopio, inā e ulu ana i loko o ke kino. Ma kahi o ka momona, i kēlā mau kūlana, hoʻopaʻa nā mea maʻi i nā hōʻailona e like me ka nāwaliwali, luhi, ka hoʻohaʻahaʻa o ka hana kula, ʻo ka makemake e moe i ka manawa hewa, lilo ka ʻili, a hoʻopau ʻia nā haehae kāne i nā kaikamahine.
I ʻO ka huelo o Cushoid i nā keiki (Ke kūlike nei nā sindona momona) i nā ʻāʻī, ke alo, ka ʻōpū, a me nā pūhaka a me nā wāwae a me nā wāwae. I ka wā ʻōpiopio, hiki i nā kaikamāhine ke loaʻa amorrhea.
Inā hui pū ka momona i nā keiki me ka prolactinoma , laila, e hoʻonui i ka hui nā mummary, i kapa ʻia ʻo gynecomastia ma ka ʻōlelo ʻepekema. Pili pū i kēia mau keiki kāne. ʻO nā ʻōpū hoʻi ke ʻano:
Hāʻawi i ka huapalapala a me ka polycystic ovary nā hōʻailona ma hope (i hui pū ʻia me ka hoʻokumu ʻana o ka paona nui) Me ka adiposogenital dystrophy, nā kāne kāne i loaʻa cryptorchidism, heʻeha, he penis underdeveloped, he hoʻomohala ʻana o nā ʻano moekolohe pili pae lua, a me ka adenorrhea i nā maʻi wahine.
Nā Hoʻohālikelike o nā Obesity i nā Keiki
Me ka obesity, aia kahi hopena o nā maʻi:
- hypertonic
- atherosclerosis
- diabetes type 2
- ʻinalelo angina pectoris
- cholecystitis mauole a me cholelithiasis
- ʻeleʻele
- constipation
- (kahi hiki ke hoʻoulu i ka muri cirrhosis)
Me ka nui o ka momona a me ka momona, loaʻa pinepine nā keiki i nā maʻi ʻai e like me ka budimia a me ka anorexia, me ka hiamoe o ka hiamoe, e like me ka hiamoe apnea a me nā pihi.Mai ka hana i ka mea i nui ka nui o nā keiki ma luna o nā iwi a me nā ʻuhane, aia ka scoliosis, posture impaired, hallux valgus deformity, arthrosis, mau wāwae wāwae. Inā makemake nui kahi kanaka mai ka wā kamaliʻi, a laila piʻi nui ʻo ia i ka loaʻa ʻole o kahi pēpē.
Ma waena o nā hopena e pili ana i ka nānāʻana o ka momona, he mea kūpono e hōʻike i ke kūlana melancholy a me ke kaumaha, neʻe kaʻawale, ka ʻakaʻaka mai nā hoaaloha a me nā hoa hana, ka hana kolohe, etc.
Diagnosis o ka Obesity i nā Keiki:
Kohi ke kauka i kahi anamnesis, me ka ʻike no ka hānai ʻana o ke keiki mai ka hānau ʻana a hiki i ka 1 makahiki, ʻoi aku ka ʻai o ke pēpē no kēia lā, a wehewehe i ke kiʻekiʻe o ka hoʻoikaika kino. ʻO kahi hoʻokolohua pahuhopu ke komo nei anthropometry no kēlā mau hōʻailona:
- ʻūhā pumehana
- ka kaumaha kino kino
- kino kikoʻōlelo
- hips
Aia nā papa inoa keneta kūikawā e hoʻohālikelike ai nā ʻikepili. E pili ana iā lākou, hiki iā ʻoe ke hoʻoholo inā he keu a keu paha ke keiki. No ka nānā ʻana i ka lehulehu, hiki i kahi pāʻina o ka mānoanoa o ka ʻili o ka ʻili, a hiki i ka ala kūlohelohe o ka bioelectric (e hoʻoholo i ka nui o nā kiko adipose i loko o ke kino o kahi keiki).
No ka hoʻoholo ʻana i ka etiology o ka momona, pono a kūkākūkā me nā mea lapaʻau e like me ke kanaka neurologist pediatric, endocrinologist, geneticist, a me ka gastroenterologist. Hiki i nā kauka ke kuhikuhi i kahi hoʻokolokolo koko biochemical:
- hoʻolaha hoʻokolohua glucose
- kekuhi
- lipoproteins
- waawa uric
- triglycerides
- ʻaʻano protein
- hōʻike ʻaihue
Pono nō hoʻi nā noiʻi hormonal:
- prolactin
- insulin
- T4 St.
- cortisol koko a me ka urine
Nā noiʻi noiʻi hou (pono i loko o kekahi mau hihia):
- ʻO ka hoʻomaʻamaʻa nuiʻana o ka gland thyroid
- Makai Pituitary MRI
- Electroencephalography
Pehea e hoʻoholo ai: nā maʻi diagnostics
He maʻalahi loa ka pane i ka nīnau "pehea e hoʻomaopopo ai i ke keiki maemae o ke keiki" a nānā ʻole - mai ka nānā ʻole iā ia mai ke ʻano o "koʻu pahu haki mau ka maikaʻi", akā me ka nānā, nani.
Ma hope o ʻelua mau makahiki, ʻaʻohe pono ke keiki i nā ʻōmole o nā momona i ke kino, ʻoi pū ma ka ʻōpū o luna. Inā ʻike iā ia i nā iwi i hiki ke helu ʻia, ʻaʻohe kumu no ka hopohopo. Mai ke kau he ʻeono makahiki, emi ikaika nā lima a me nā wāwae (wāwae) a kaupaona ʻia ke kaumaha ma ke kino.
No laila, inā he puʻe puʻupuʻu a me nā wāwae, i kāu keiki ʻehiku, he mea nui loa ia.
Pehea ʻoe e kūʻai ai i nā lole no ke keiki? I kūʻai aku i mau mea i ʻelua a ʻekolu mau makahiki, no ka mea, e hoʻonui ka pahu, a paʻa loa nā lima. ʻO Waist ka mea nui ka hōʻailona nui, ʻo nā keiki kiʻekiʻe ke kūʻai aku i nā lole no ka wā kahiko ma muli o ka ulu ʻana, a pono hoʻi ke kahakaha nā kaʻe e kūpono nā lole.
ʻO kaʻoiaʻiʻo, ʻaʻole kēia kahi māka maikaʻi maikaʻi loa, ʻoiai ʻo kekahi mau keiki he nui ka nui, akā naʻe he ʻano tummies kēlā me ke ʻano o nā makahiki, akā pono e noʻonoʻo ʻia. He mea kūpono hoʻi e nīnau i kāua hoa aloha i ka mea a lākou e manaʻo ai, akā e hoʻāʻo e hoʻokumu i ka nīnau i hiki iā lākou ke pane pololei.
Akā hoʻohana nā pediatricians i kahi papaʻaina kūikawā no kēia, no ka mea e ʻike ʻoe i ka nui o ke keiki o kekahi makahiki a me ke kiʻekiʻe. ʻO kēia mau hōʻailona kikoʻī o ka paona a me ke kiʻekiʻe o nā keikikāne, a hiki ke loli ka nui o nā kaikamahine ma ka liʻiliʻi liʻiliʻi mai ka palena haʻahaʻa ma lalo o ka 0.5-1 kilograms, a me ka ulu ʻana o ka 1.5-2 kenimika ma ke kuhikuhi o ka hoʻoemi.
Manaʻo ʻia ka paona i ka mea momona ma ke keiki, inā ʻoi aku ia ma luna o ka maʻamau ma o 5-10%, inā ʻoi aku ma mua o 20%, a laila ua noʻonoʻo ʻia kēia mea he momona.
ʻO ke kaupaona momona no nā keiki a i hoʻokahi makahiki ʻO nā kaupaona momona no nā kaikamahine mai 0 a 10 mau makahiki ʻO nā paona momona no nā keikikāne mai ka 0 a 17 mau makahiki
Inā kaumaha koʻikoʻi ʻoe
Ke mua e hoʻomoe koke i kāu keiki mai ka meaʻai momona a wikiwiki.
ʻO kēia meaʻai ka mea hoʻohui ikaika dopamine (ʻike "Hoʻohui Dopamine: pehea e pale ai i nā kuko no ka meaʻai, nā mea inu, ka ʻona. Kāohi hoʻokūkū), ʻo ke keiki, ma muli o kona makahiki, ʻaʻole hiki ke lanakila ʻia!
Hoʻomaopopo i ka loaʻa ʻole o kahi keiki hoʻokahi ka pahuhopu e lilo i momona a ʻaʻole i manaʻo nui i ka momona e loaʻa ai ka momona, ʻaʻole maopopo ʻo ia i ka lawe ʻana iā ia iho. He lua kou mea i makemake ai iā ia.
Hōʻoiaʻiʻo e kipa i nā kauka aʻe: pediatrician (ʻoihana), endocrinologist o nā keiki, gastroenterologist, neurologist, a psychologist. Ke lawe ʻia nei nā haʻawina hou: he hōʻike koko biochemical, noiʻi hormonal, etc.
Pono e mālama ʻia ka lāʻau lapaʻau ma hope o ka hoʻopaʻa ʻana o ke kauka, ma ka ʻōlelo noi a ka poʻe loea. ^ E Ha yM. Pono e hoʻokō ʻia ʻo ka lāʻauʻai ma lalo o ka nānā ʻana o ka mea pediatrician a i ʻole kekahi mea hoʻoponopono maikaʻi.
Pono e hoʻokau i ke keiki i ka makemake ʻana i nā haʻuki.
Koho ka hapanui o nā mākua i kahi haʻuki no kā lākou keiki. He hewa maʻamau kēia. ^ E Ha yM. Ke noʻonoʻo nei ua moemoe ʻia ke keikikāne e lilo i mea hoʻokūkū poʻokela Olimpika, a ua hoʻouna ʻia ia e ʻauʻau, a i ʻole ke kaikamahine a nā mea e manaʻo nei i ka hana huaka i ke kau inoa. ʻOi aku ka maikaʻi ke hāʻawi iā ia i nā koho he nui, ma waena kahi e koho ai i kahi mea āna e makemake ai.
ʻO kahi kumu maikaʻi no kēlā me kēia haʻuki a no ke kino e lilo ʻauʻau, inā he keu kou a keu aku paha. E hoʻomaka i ka hele wāwae lōʻihi, e hoʻomaka i ka hana i ke kakahiaka. ^ E Ha yM. Huaʻōlelo: hui pu.
A e noʻonoʻo e hoʻomanaʻo i kēlā ʻaʻole hoʻoikaika. ^ E Ha yM. Pono ʻoe e hoʻomanawanui a hoʻoikaika maikaʻi i kāu keiki e neʻe i mua i kā lākou mau pahuhopu.
A ʻo ka mea nui loa: pono e hoʻololi iā ʻoe iho.
Hoʻopili ke keiki i nā mea āpau mai nā mākua, ʻoiai inā ʻaʻole maopopo. Inā hoʻomau mau ka poʻe makua i ka manawa, a laila, hana lākou i ke keiki i kēia. ʻO ka hoʻolaha hoʻolaha ubiquitous, ke hoʻolilo i ka hui ulu me nā ʻōmaʻomaʻi ʻē aʻe i nā ʻāina ʻē aʻe. Hoʻomaka a hoʻomaka ʻia me nā mea inu huki, nā kuki, nā kīlea kekaho, ke kīkī a me ka ʻaila.
I kekahi mau ʻohana, no kekahi kumu, aia kahi manaʻo mau e pono ka honi no ka hana o ka lolo. Me kēia, akā, ʻaʻole wale ka meli ka ʻai, he ʻōpala a me nā hua! Heluhelu "ʻO kaʻai IIFM meaʻaiʻai: ʻo ka mea maikaʻi loa ka momona o ka momona?".
ʻAʻole pono ʻoe i ka wai momona ma ka home! Ua kākau ʻia nā mea a pau "100% kūlohelohe" a hiki i kahi multivitamin. ʻOiaʻiʻo, manaʻo nā mākua, ʻoi aku ka momona o ka ʻimi ma mua o ka soda. Akā kēlā ke kō i loko o kēia waiʻaila a hiki i ka hapalua o ke aniani i kēlā me kēia pēpē, a e komo koke ʻia i ka wikiwiki ma muli o ka nalo ʻana i ka wai, ʻaʻohe mea e manaʻo e pili ana i ia.
Ua nīnau paha ʻoe - no ke aha ka wai ʻona maʻamau, ma hope o ke kū ʻana, e hoʻopili ʻia ana i loko o nā ʻāpanaʻehā, a like nā wai o ka ʻeke mai ke kāʻei?
Ke hōʻike hou ʻia nei ma ka United States nā keiki e inu ana ma mua o 2 mau aniani o ka waiʻaʻai i kēlā me kēia lā e ulu mālie a nui hoʻi. ʻAʻole i ʻike ʻia inā e māʻona lākou i ko lākou make i ka wai a me ka waiū. ʻO kahi nui o nā meli maʻalahi e hiki ke alakaʻi i ka momona a me kahi hoʻonui nui o ka hoʻomohala ʻana i ka maʻi type 2.
Hāʻawi ʻoe i nā hoʻowalewale āpau a hele i kēia ala me ka ʻohana āpau! Pēlā, ʻaʻole ʻoe e mālama i ke olakino olakino o ke keiki, akā, ʻo ka mea (ʻo ka mea nui like ka nui) mālama i ka noʻonoʻo kino.
Mai waiho wale ke keiki i kona mau pilikia. ʻAʻole pono e hoʻopiʻi i kekahi, e hoʻonohonoho i ka makaʻu, a pēlā aku ʻaʻole i koi aku e hōʻino a inoa paha i ke keiki! ʻAʻole e alakaʻi kahi huli i ka mea hewa. ʻAʻole pono e hoʻopiʻi i ka kindergarten me ka hoʻomaʻamaʻa ʻole o ka hānai, ka makuahine, me kāna mau poki a i ʻole ʻoe.
ʻO ka mea nui ma kēia kūlana ke hoʻomaopopo ʻana i ka pilikia a me ke kumu a hakakā pū me ka hakakā ʻole ʻole.
Kāne liʻiliʻi
Kuhi i kahi kīʻaha kaʻawale no kāu keiki, ʻoi aku ka liʻiliʻi. ^ E Ha yM. Ma kahi pā liʻiliʻi, ʻo kahi ʻāpana i kāpīpī ʻia e lawa ʻia, a ʻo kahi kīʻaha liʻiliʻi e kiʻi hou i nā meaʻai mai ka pā i ka manawa pinepine. ʻO kahi nui o nā neʻe e kōkua e hoʻopunipuni i ke kino, a e hiki koke mai kahi manaʻo piha.
No kēia, pono ia e hoʻonohonoho i kahi lewa o ke keiki no ke meaʻai. ʻOi aku ka maikaʻi o ke pani ʻana i ke TV, radio, ʻaʻole hoʻi i komo i kāna mau kamaʻilio ʻana. A ʻoi aku ka maikaʻi o ka ʻoluʻolu i kēia manawa. E hāʻawi kēia iā ia e hoʻokau piha piha i ka meaʻai a me kāna mau ʻike.
ʻO ka pale ʻana o ka pilikia
He maʻalahi loa ka pane: e kiaʻi iā ʻoe iho. Pōleʻa hauʻoli i nā mea ola olakino. I loko o ka ʻohana, he mea maʻamau ka kuke mau ʻana a me ka leʻaleʻa i nā meaʻai a pau. ka nānā ʻana i nā lula pili.
I loko o ka ʻohana, hele lākou i ka hana pāʻani a e hoʻāʻo e hoʻoulu i ke aloha no ka neʻe o ke keiki. ʻAʻole kēlā ʻohana ʻohana e hele iā McDonald i kēlā me kēia lā 2 lā.
ʻAʻole pono e hānai i nā keiki, ʻoi aku ka mea liʻiliʻi, me kā lākou meaʻai punahele.
ʻAe kāu keiki e ʻai ai i kahi cola a laila hāʻule i ka moena me kahi ʻoki i loko o kona ʻōpū? ʻO kaʻoiaʻiʻo, ke hoʻopiʻi a me ka McDonald, aia hoʻokahi mea loea! * Pelekane * "ʻAʻohe o mākou i kēia!" ʻO kēia ka mea mua i kēlā ʻano hoʻohālikelike. "
ʻAʻole kūpono ia nā meaʻai like i kahi keiki, ʻaʻole kēlā mea hana kāna digestive e like me kāu. E noʻonoʻo i nā mea āu e hāʻawi ai i nā keiki. E hoʻomaopopo pono e pili ana ʻoe i ka mea āu e hana ai.. ^ E Ha yM. A ʻo ka mea pinepine, inā maʻi kāu keiki ma hope o ka hele ʻana i ka cafe, e noʻonoʻo e pili ana paha ʻoe i nā hana āpau.
Pihoihoi wale nā mākua: "ʻAe kuʻu keiki i ka pīpī / chocolates / cola ka nui, he aha kaʻu e hana ai?" E kala wale, akā pehea lā e ʻike ai kāu keiki i ka ʻono o kēlā meaʻai? Ala akula ka p? Pehea ʻoe e aʻo ai i nā keiki liʻiliʻi e ʻai i nā meaʻai mai ka wā kamaliʻi?
ʻO kaʻoiaʻiʻo, ʻoi aku ka maʻalahi o ka hānai i kahi keiki me nā mea poʻokela ʻole ma mua o ka ʻiʻo me nā mea ʻai. Akā ʻaʻole hiki i nā keiki ke hoʻopiʻi no kā lākou "addiction": ponoʻo ka lolo "ʻoki" iā lākou e koi i kēia meaʻai, no ka mea ʻoi loa ka wikiwiki a me ka wikiwiki e hoʻoheheʻe ʻia. Ua hiki i ka hāmeʻa ua mākaukau nā keiki o kēia mau manawa e hoʻololi i nā huaʻai hou no ka pipi nāu!
Mai hana i ka hilahila ma kou poʻo, e kūlike.
ʻAʻole maopopo ka keiki i ke kumu o ka lā ʻoluʻolu ʻoi loa, a me ka ʻē aʻe. He mana maikaʻi ʻole ʻoe nona (hiki) ke noʻonoʻo, hiki paha ke keiki ke noʻonoʻo ʻo ia a me ka makuakāne e hāʻawi iā ia i kekahi mea maikaʻi ʻole? A ʻaʻole ʻai i kēlā mau meaʻai āu e hoʻoulu nui ai.
ʻAʻole pono ʻoe e pili ana i kēia "Hana / Nanā / Nūahine e hana hewa mai, mai hana ʻoe." Mau nō nā keiki a e nānā mau iā ʻoe. ^ E Ha yM. Kūpono mau ʻia kēlā mau ʻano lapuwale: hala ka māmā i ke ala i kahi mālamalama ulaula, a laila weliweli nā keiki i hana pēlā. Puhi lākou ʻo Pahu, akā paʻa i ke kāʻei, ke aʻo ʻana ua hānai a kā lāua keiki i kahi nīhi.
Hiki iā ʻoe ke haʻi aʻe e like me kou makemake e ʻai pono ai a pōmaikaʻi, akā inā makemake kāu keiki i Moscow Sausage, hoʻolei lākou i ka ʻalā ma loko o ke kula, ʻaʻole lākou makemake e ʻai i nā lau, ʻai lākou i kahi sandwich a i ʻole “e hoʻomākaukau nei mākou i ka huehue me ka mayonnaise me koʻu kupunawahine”, a laila he pono ka wahaheʻe i ko lākou nani a pau. Inā inu ʻoe i ka pia me nā keke, e hana pū kāu mau keiki.
A ʻo ka helu "ʻai wau i ka meaʻai wikiwiki, a ʻai ʻoe i kou broccoli maʻemaʻe" - ʻaʻole hana.
Mai hōʻino a hōʻino paha i ke keiki.
I ia mau ʻano makahiki, kū pinepine nā kūlana i ka wā e loli ai nā keiki i ka ʻino ʻole i ka meaʻai. I kēia kūlana, ʻae ʻia ka ʻai ʻana me kahi hana hou - ke hoʻopakele a me ka pale mai nā ʻike maikaʻi ʻole a me ke kaumaha kino. A i ka wā i ʻelemakule loa, kahi kanaka i kāhea ʻia me kahi ala maʻalahi e hōʻoluʻolu i ke kaumaha mai ka wā kamaliʻi, hou, me kekahi ʻano maikaʻi ʻole, nā mea hou e hopu i nā pilikia.
E hōʻike i kāu aloha me ka meaʻai ʻole.
ʻO ka makemake e hānai i ke keiki (maʻa mau ka momona) pili pinepine me ka makemake e hōʻike iā ia i kona aloha. I ka hihia o ka maʻi - me ka makemake e kōkua, inā ʻaʻole nui e hilinaʻi iā ʻoe, akā pono ʻoe e hana i kekahi mea.
ʻOi aku ka pale iā ia, honi, kamaʻilio me ia, nānā i nā kiʻi ʻoniʻoni, heluhelu nā puke ma kahi moena a hiamoe pū me ka hiamoe. I kēia hihia, e hauʻoli ʻo ia, e manaʻoʻiʻo iaʻu, me ka ʻole o nā palupalu. Mai kiola iā ia, e like me kā ka mea pūliki, kīwī, Kinder-pihoihoi a me nā mea ʻē aʻe, mai ʻōlelo e "Pono ʻoe e ʻai, ʻai hou!". Loaʻa iā ia ka ikaika, a pēlā nō, akā ʻo ka moʻomeheu o ka ʻai ʻana i ʻole ma laila.
E hoʻomanaʻo, inā ʻike ʻole kekahi keiki i nā huahana hou i loko o ka meaʻai, he mea maʻamau kēia, no ka mea, ʻaʻole ʻo ia i hālāwai me ia ma mua - no laila, pale ʻo nā keiki iā lākou iho mai ka palekana. Ua ʻike ʻo ia i kēia broccoli i ka manawa mua loa i kona ola ʻana, a ua ulana ʻo ia i kēia ʻano ʻike ʻole ʻia i loko o kona waha, a ʻo ka hā aʻe, ua ʻā ʻo lākou!
Hōʻoiaʻiʻo e hōʻike iā ia a ʻai ka mama a me ka makuakāne i ka mea a lākou e hāʻawi nei. ^ E Ha yM. Hoʻololi holomua kēia holomua i ka manaʻo maikaʻi a hilinaʻi i ke ala o ka meaʻai a nā mākua e hāʻawi ai.
E hoʻonaʻauao i nā keiki e pili ana i nā pono a me nā rula o ka maikaʻi o ka meaʻai a me ka haʻuki..
Mahalo i nā nūpepa a me nā helu o ka nani o kēia wā, he paʻakikī i nā ʻōpio āpau o kēia manawa. E hōʻike iā lākou i nā pūnaewele a me nā nūpepa kūpono, inā ʻaʻole paʻakikī loa e hoʻomaʻemaʻe i nā pilikia ma hope.
A e noʻonoʻo pono e mālama i nā ʻohana.
ʻO kou kupunawahine aloha, i loaʻa nā keiki i ka manawa, a ʻaʻole manaʻo e palena iā lākou i nā mea āpau. I ka hopena, ʻaʻole ma ka hua a me nā mea kanu, ua ʻai nā keiki mai nā makahiki ʻelua i ke kālai ʻana ma nā pāpālina ʻelua. He ʻoiaʻiʻo, he paʻakikī loa ka paipai ʻana i kahi pākeke i ola mai ke kaua, akā hiki ke loaʻa nā mea āpau inā e mālama nui ʻoe i kāu keiki.
A me kahi bonus, ke hōʻike nei mākou iā ʻoe i kahi koho puʻupuʻu:
Nā ʻōlelo aʻoaʻo a nā kāne akamai: 10 mau hiʻohiʻona o ka pehea e hoʻohālikelike ai i kahi ʻano o ke keiki
ʻO ka mea hoʻolālā Nikita Ivanov i ʻōlelo e pili ana i nā lula e kōkua iā ia e hānai i ʻelua mau keiki.
- Pono ke kaupalena ʻana i ka palekana a me ke kūʻokoʻa pilikino o kekahi. E hoʻonohonoho maʻalahi iā lākou e like me ka maʻalahi. Me nā mea āpau, e hoʻāʻo kūleʻa ke keiki.
- Hoʻomaopopo mua ʻia ka hoʻopaʻi ma mua. Hoʻopili i kahi pilina kumu kumu ʻole i nā ʻeha o nā keiki a me nā mākua. ʻO ka ʻōhū a nā kūpuna makua a me nā kīʻaha koʻikoʻi i nā hōʻailona me kahi e pono ai ka pākeke e holo i kahi psychiatrist.
- ʻO lāua pū me ka makuakāne. Inā hoʻopaʻi ʻia ka makuahine, a laila ʻaʻole pale ka makuakāne i ka hoʻopaʻi. ʻAʻole kēia he leʻaleʻa nā mākua i ke keiki. He hoʻopaʻi kēia wale no ka pili hewa.
- ʻO ke kūlana he wā kūpono hou kēia, ʻaʻole ke kuleana hou. Mai ʻōlelo aku i kahi keiki makua he keiki makua ʻo ia a no laila e hōʻaiʻē ʻoe i kekahi mea. Hoʻopake ʻia kēia i kona wā kamaliʻi a me ka pilina me nā kaikaina a me nā kaikuahine. ʻAʻole āna makemake i kekahi mea, no ka mea, ʻaʻole ia i hānau ʻia i mua o kāna manaʻo ponoʻī.
- ʻO nā keiki ka ʻōhumu o nā mākua. ʻOi aku ka palaualelo hou a hoʻomaha ʻole paha i ke keiki, nā ʻōwili a kūlike hoʻi e pono ai ka pākeke. Hoʻopili nā keiki i nā pākeke, e huli ana i kahi hoʻohālike i loko o lākou no ke ʻano a me nā hiʻohiʻona.
Nā hiʻohiʻona makahiki
Ma muli o ke ʻano o ka adipose tissue i loko o ke kino me ka hoʻoulu ʻia o nā ʻano like ʻole, ʻokoʻa ka pae o ke ʻano o ka ʻōpiopio o ka wā e pili ana i nā hiʻohiʻona pili makahiki.
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- i loko o nā keiki i lalo o hoʻokahi makahiki o mua, ke kūkulu ʻia ka mua mua o ka lāʻau adipose a loaʻa ʻole ka ʻōmū.
- 1-3 mau makahiki - he wā koʻikoʻi i ka wā a hoʻohiki ai nā mākua a me nā ʻohana i ke pēpē me ka pale ʻana - ʻo ia ke ʻano mua i ka wā i ʻike ʻia ai nā hōʻailona o ka maʻi.
- 3-5 mau makahiki - paʻa ka ulu ʻana o nā momona, ʻike pinepine nā pilikia momona.
- 5-7 mau makahiki - ka lua koʻikoʻi o ka hana, hōʻailona ʻia e ka hoʻonui ʻana i ka momona o ke kino,
- 8-9 mau makahiki - ua loaʻa pinepine nā keiki i ke kula mua i nā pilikia koʻikoʻi, no ka mea, ke ola ikaika, ka hoʻonaʻauao kino, a me nā haʻawina e hiki ai iā lākou ke hoʻolilo i ka nui o nā calorie;
- He makahiki hanohano ke koʻo 10-11 a eia nō naʻe, he mea koʻikoʻi loa nā mākua e hoʻomākaukau i ke keiki ʻōpiopio no ka wā e hiki mai ana a e hoʻolilo iā ia i loko o ka ʻai kino,
- 12-13 mau makahiki - aia i kēia makahiki e loli ka hoʻololi ʻana o ka maʻi hormonal i loko o ke kino ʻōpio ma muli o ka wā ʻōpiopio, e lilo pinepine nei ia i kahi manawa no ka waiho ʻana o nā paona keu.
Hoʻomaopopo i ka manawa koʻikoʻi ma ke ola o ke keiki, hiki i nā mākua ke mālama nui i ka pilikia o ke kaumaha nui loa i kēia mau papa. Mālama kēia iā ʻoe e hoʻoponopono i nā mea āpau i nā papa mua, ke holo ʻole ka maʻi.
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Kahi helu
Ua ʻoi aku nā kauka i kahi mea hoʻokahi ma mua o ka hoʻoilo o ka pōpilikia kamaliʻi: e etiology, hopena, degree, etc. A no nā mākua i ka hele ʻana i loko o lākou, ua lawa ka ʻike ʻikepili.
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ʻO ka mua, hiki i ka maʻi ke:
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- kumu mua - ma muli o ka heredity a me congenital pathologies
- kekaho - loaʻa ma muli o ka malnino a me ka hoʻoikaika kino.
ʻO ka lua, aia kahi papa kūikawā e kōkua i ke koho ʻana i ka momona i kahi keiki ma ke ʻano make kino o ke kino (BMI), i helu ʻia e ke ʻano:
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I (BMI) = M (ke kaumaha ma kilema) / H 2 (kiʻekiʻe i nā mika).
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- Keʻelele
ʻAʻole hoʻonāwili liʻiliʻi ka mea liʻiliʻi ma kahi keiki i ka hopohopo i nā mākua. Ua hauʻoli lākou i kāna hana kupaianaha kupanaha a me nā pipi ʻona maikaʻi. ʻAʻole i manaʻo ʻia nā mea maʻi o nā mea maʻi e hoʻopiʻi ʻia i ke olakino maikaʻi o kā lākou keiki. I ka ʻoiaʻiʻo, ua maʻalahi ke hoʻōla ʻia o ka momona o ka pae 1 ma ka pāʻani ʻana i nā hāmeʻa a me nā meaʻai kūpono. Akā ma muli o kēlā ʻano hana ʻōpiopio, ʻokoʻa loa kēia.
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- II tikina
E holomua ka maʻi, kahi e piʻi ai i ka momona o 2 mau kekelē. I kēia manawa, ʻike ʻia ka pōkole o ka hanu a me ka nui o ka lulu. ʻAʻole neʻe nui nā keiki a kani pinepineʻole. Hoʻomaka ka pilikia ma ka hoʻonaʻauao kino ma ke kula a me ka hoʻoponopono ʻana i ka nohona ma ka lumi papa.
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- Kahi a III
Ma kēiaʻano, ua hōʻike hou ka maʻi iā ia iho i ka piha, no laila he paʻakikī ke nānā ʻole iā ia. Hoʻomaka ka ʻōpū o nā wāwae, hoʻāi ke koko, e piʻi ka nui o ke kō. Hele hema ʻole ke keiki, huhū me ke kaumaha.
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No laila, hiki i nā mākua ke hoʻoholo i ke kiʻekiʻe o ka momona ma ka home. Mālama kēia iā ʻoe e ʻimi i ke kōkua olakino i kahi manawa kūpono.
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ʻAno maʻamau a me ke kāwiliwai
Hāpai i nā pae, e hōʻike ʻia ka nui o ke kaumaha ma kahi papa ma o ka makahiki, kahi, e like me ka WHO, e hōʻiliʻili ʻia nā waiwai pathological o ke kaupaona kino. No nā keikikāne a me nā kaikamahine, ʻokoʻa nā hiʻohiʻona. Eia kekahi, pono lākou e hoʻoponopono hou ʻia e pili ana i ka ulu ʻana.
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ʻO ka paona o nā kaikamahine 1-17 mau makahiki, e like me WHO
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ʻO ka paona o nā keikikāne 1-17 mau makahiki, e like me WHO
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Inā kiʻekiʻe ke keiki, e ʻae ʻia e hoʻonui iki i nā ʻāpana i hāʻawi ʻia i ka papa ʻaina.
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E hele nā mākua a me ke keiki iā ia iho ma ke Kula o Obesity me ka nele ʻole. No laila, kāhea nā kauka i kahi ʻano e hiki ke hoʻoponopono i ka ʻai i ka hana pono a me ka hana kino kūpono. Kuhi ʻia kēia ʻano hoʻoikaika hoʻoikaika i ke kumu o ka hopena. Aia ia ma laila ke kuhikuhi nei i nā ʻōlelo lapaʻau no ka mālama ʻana i nā patology
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ʻO ka mea mua, ma ke kūloko ʻōpiopio, ua kuhikuhi ʻia kahi lāʻau lapaʻau, hoʻokaʻina ʻia e like me ka papaʻaina a Pevzner Helu 8. Ma waho o ia mea, hiki ʻole ke mālama i kēia maʻi.
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ʻO ka meaʻai kūikawā no nā keiki hānai e like me ka papa ʻo Pevzner e kono pū me nā huahana i hiki ke ʻai i kā lākou ʻai ma ia ʻano nui.
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- berena (coarse a bran) paha - a hiki i 170 gr i kēlā me kēia lā,
- nā huahana susu a hiki i ka 1,5% momona - 200 g,
- mau hupa (kalo liʻiliʻi) - 220 g,
- moa, moa, pipi momona a me ka iʻa - 180 gr,
- millet, kāwele a me ka palaoa wili - 200 gr,
- Pau nā kuke ʻai ʻole ma nā ʻano āpau
- nā huaʻaʻina ʻole ʻole - 400 g,
- tiʻa, uzvar, ʻāpī hou i nā ʻuʻina - i kekahi nui.
Hōʻikeʻike papahele no ka lāhonu 2 tikelē
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I ka helu mua, hiki ke ʻai ʻia i kaʻai me ka meli, ʻoi aku nā hua momona momona, nā hua momona, nā meaʻai i loko. I 3 mau degere, pau ka aila ʻaila a me kahi ulana ʻē aʻe i ka meaʻai i haʻalele ʻia.
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ʻO nā alakaʻi alakaʻi kai olakino:
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- lawelawe ka nui ʻana
- 5-wā mana mode fractional,
- ʻaina ʻaina - 3 mau hola ma mua o ka hiamoe.
- ka nui o ka wai,
- ka wehe piha ʻana o ka meaʻai wikiwiki, nā pōloli, nā kīʻaha, kēkē.
Nā meaʻai meaʻaiʻai a nā keiki:
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- mea ʻaina a me ka lāla lau,
- beetroot and carrot casserole,
- kukui maloʻo
- palopole palupalu palu
- ʻai momona
- luke ʻaina
- ʻoki ʻōpala i loko o kahi pālua a me nā mea ʻē aʻe.
Nā kiʻi momona
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- Kukui ʻia
150 karā o ka momona momona i hoʻomaʻemaʻe ʻia i nā tendons a me ka kiʻiʻoniʻoni, e paʻi ʻana i 2-3 mau manawa ma kahi kāwili ʻai. E hoʻolapalapa i kahi papa o ka laiki, maloʻo, e hoʻomoʻi i ka ʻai o ka minced. Eia hou, e kipa i ka wahi o ka palaoa, hoʻohui i ka hapahā o ka ʻalī o ka palaoa a me ka 5 mauʻu o ka pata. Hoʻopili i ka nui holoʻokoʻa me kahi blender. Kāwī i nā kī liʻiliʻi liʻiliʻi, waiho i loko o ka pā paila i hoʻomoʻa ʻia me ka aila, ninini i ka wai anuanu, e hoʻolapalapa no 10 mau minuke.
Kālepa 2 mau kāloti liʻiliʻi a me 2 mau māla lau. Kālepa i ka ʻala. E kāwili i nā mea kanu i kuhi ʻia, e hoʻohui i ka 100 ka nui o nā pīni keʻokeʻo, ʻoki i ka hapalua 4 mau huaʻai a cherry. E ninini i ka 500 ml aila lau a iʻa ʻia paha. Kuke ma hope o ka hoʻoluhi ʻana no ka hapalua hola. Ka hoʻāʻo ʻana me ka paʻakai o ke kai. E hoʻohui i kahi meaʻala haʻahaʻa-iti momona ma mua o ka lawelawe ʻana.
E kāwele i ka maiʻa nui nui a me kahi ʻōpala o nā ʻalemona i kahi kāwili. Kāwili iā lākou me nā kaloti kō. Hoʻohui i 200 g o ka oatmeal, 10 ml o ka meli, 20 ml o ka wai lemon. E hoʻopiha i nā kukuna me ka hua i hopena, e waiho i loko o ka pahu manu. Ma hope o 2 mau hola, neʻe iā lākou i loko o ka friji no hoʻokahi hola. E lawelawe no kaʻaila.
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Hoʻohana kino
ʻAʻole hoʻopau kā ka hoʻonāukiuki i nā keiki me ka ʻole o ka hana pono kino. Manaʻoʻo ia:
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- kaʻai no kēlā me kēia lā no 1 mau hola (inā ʻoi aʻe wale nō)
- ʻoi aku ka nui o kēia mau hana i ka aerobics,
- nā pāʻani
- nā hoʻokūkū
- huakaʻi
- Nā hana maikaʻi
- ʻano hana like ʻole no ka pohō kaumaha.
ʻO ka lāʻau lapaʻau
Ma muli o nā contraindications pili i nā makahiki no ka hapa nui o ka lāʻau, ua palena ʻia ka lāʻau lapaʻau o ka maʻi.
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I kekahi mau hihia, e like me ka hōʻike a nā poʻe loea, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau i hiki mai i kahi keiki.
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- ʻO Orlistat - ʻae ʻia mai ka makahiki 12, e kōkua ana i nā kīʻaha e hoʻopili ʻia i loko o ka pākuhi liʻiliʻi,
- Ua hoʻohālikelike ʻia ʻo Metformin mai 10 mau makahiki me ka maʻi mellitus type II.
ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e like me Octreotide, Leptin, Sibutramine, ua hoʻonui ʻia ka hormone ulu i nā haʻawina ʻepekema a me nāʻike ʻepekema ʻaʻole ʻia ʻia no ka mālama ʻana i ka momona o ka wā ʻōpiopio.
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Wahi a nā haʻawina, ʻoi aku kaʻai ʻana, ke hoʻonaʻauao kino a me nā lāʻau lapaʻau i ka mea ʻaʻole i ikaika loa. Ma kēia mea, i kekahi mau ʻāina, ua mālama ʻia ka momona o ke keiki me ka pau ʻole. Eia nō naʻe, ua hōʻike ʻia nā hoʻokolohua lapaʻau i ka hoʻohana ʻana o nā bariatrics i nā keiki a me nā ʻōpio (a i hoʻohālikelike ʻia me nā pākeke) e ukali ʻia me nā hoʻopiʻi postoperative, hoʻokaumaha haʻahaʻa, a me nā hana pinepine i ka loaʻa kālā. I ka Lūkini Lūkini, ua pāpā ʻia kēlā mau hana no ka mālama ʻana i ka momona o ka poʻe i lalo o ka makahiki 18.
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ʻO nā hana ʻo WHO i ka helu ʻana o ka momona ʻōpiopio
Ma ka 4.2006, ua hoʻokuʻu ʻia ka WHO Standard Indicators for Development Child, kahi i hoʻonohonoho ʻia i nā pōpoki e ʻike ʻia ai nā keiki o lalo iho o 5 mau makahiki he nui ka momona.A no nā keiki mai 5 mau makahiki a, like pū no nā wā ʻōpio, ua hoʻokuʻu ka World Health Organization i ka "Reference Data on Development," kahi i hoʻohana ʻia ai nā data mai ka National Center for Health Statistics.
Ka Hoʻōla ʻana o ka Obesity i nā Keiki:
ʻO ka hana mua i ke kapa ʻana i ka momona, ʻo ia ka nānā ʻana i nā meaʻai a me ka meaʻai ʻana i ke keiki ʻaʻole wale ke keiki, akā ʻo kona ʻohana nō hoʻi. Ma waho o ka hāʻawi ʻole ʻana i nā momona kālele (kūlohelohe), hiki ʻole a hiki ʻole ke hoʻēmi i ke kaumaha, akā ʻaʻole nui. He mea paʻakikī i nā keiki e haʻalele i kēia ʻano mea ʻai, no laila hiki ke kaumaha i ka ʻai ʻana no lākou. Pono e hoʻokūkū i ke keiki a me nā mea e noho ana ʻo ia, nā hana o ke ola kino - ke ola kino.
Ma hea e hoʻomaka ai i ka hoʻoponopono ʻana i ka mana
- ʻO ka mea mua, pono ʻoe e hōʻemi i ka nui o ka hapa - ka meaʻai e ʻai ai ke keiki i ka manawa 1.
- E hoʻololi i nā wai inu wai momona me ka wai (wai wai me ka ʻole aʻaila a i aila paha, kānana).
- ʻO ka papa meaʻai me nā huaʻai a: a, o ka paina, nā ʻōpala, nā ʻōpala, nā aniani, nā melemele, nā meloni, nā wai, nā ʻōpala, a me nā mea.
- Pono nā momona o ka momona haʻahaʻa. Pono e haʻalele i ka puaʻa, hāʻawi i ka makemake i ka moa. He ʻai ʻia hoʻi ka iʻa momona maikaʻi.
- E hoʻokomo i nā ʻano lauʻai he nui a me nā lau ʻai i kāu meaʻaiʻai e hiki ai, kahi e hōʻemi ai i ka pōloli a pale i ka constipation.
- Pono e pale i nā meaʻai hoʻonaninani, ʻo ia hoʻi nā mea e pili ana i ka hoʻohana ʻana o nā huahana wale nō (mono-diets: ʻĀpana, waiʻu, a me nā mea ʻē aʻe).
- Pono e hoʻolauna i ka manaʻo o ka "hōʻino ʻole o ka hoʻoponopono" - i ka ʻai ʻana o ke keiki i kahi mea mai nā mea i hoʻolālā ʻole ʻia. No kēlā mau hōʻino ʻaʻole pono e hoʻonāukiuki i ka pēpē. Pono e hoʻonohonoho i kahi hoʻopaʻi maikaʻi: noho i lalo i 20 mau manawa a lele i ka nūpepa 30 mau manawa. Pēlā pūlohelohe kūpono hoʻi "keke", pani-up, jogging, torsion hoop, etc.
E hoʻoikaika hou ke ola o kāu keiki. Hiki ke hoʻopaʻa ʻia i nā haʻuki haʻuki, e hāʻawi wale i kāu pēpē i pono e hana i kahi koho kūʻokoʻa. No ka hana i kēia, hiki iā ʻoe ke lawe iā ia i nā hui hāmeʻa, e hōʻike ana i nā ʻano o nā hana ʻōpio i hiki iā ia ke koho. Hana ʻia kahi hana leʻaleʻa (a me ke ʻano). Pono maʻamau ke ʻano.
I kekahi mau hihia, hiki ke hū ʻia ka momona ma muli o ka maʻi hypothalamic-pituitary, ke ʻano ka lolo o ka ʻōnaehana hormonal, bulimia, a laila, a laila loaʻa ke keiki i ka pōloli i ka pō, hoʻonui ʻia ka momona i ka pō, Rosia striae ma nā hope, nā poʻohiwi, ka ʻōpū, ka ʻōpū. hyperpigmentation o nā kauā, ʻāʻī, a me nā mea penei:
- haʻahaʻa meaʻai haʻahaʻa
- ʻai ʻaina 6 mau lā i ka lā (fractional)
- ka hoʻonohonoho ʻana o nā lā hookeai (ka lau, ka ʻai)
- ʻōnaehana hana ʻōnaehana
- ʻano ʻōpiopio ikaika
- hānai
- physiotherapy
Hiki ke mālama ʻia ka momona ma loko o nā keiki. i loko o kahi , akā, inā ua hoʻolako ʻia kēlā mea e ke kauka hele mai. He mea pono ke hoʻomaha i nā hōʻola olakino e ke kai, no ka mea, ʻoi aku ka hana metabolic i ke kino i hoʻohālikelike hou ʻia ma lalo o ke ʻano o ka ea o ke kai.
Inā make nui ke keiki i ʻoi aku ma mua o ka mea maʻamau, a laila e kuhikuhi ke kauka i ka laxatives, anorexigenic a me nā lāʻau thyroid.
ʻO nā hopena lapaʻau homeopathic no ka mālamaʻana i ka momona nui ma nā keiki:
- antimonium crudum
- tsimitsifuga
- lycopodium
- helidonum
- Hepela
- ʻO ka Grafites Cosmoplex S
- ʻĀpana waihona
- Kauhiaweʻo thyroid
- Pūkumili Aku
Pono ka mālama ʻana i nā lāʻau lapaʻau me ka mālama ʻia ʻana o ka endocrinologist lapaʻau. I kekahi manawa aia ka manaʻo e hoʻomaʻamaʻa i nā lāʻau lapaʻau o nā mea lapaʻau - no ka laʻana, inā paha, he momona ka hakahaka a me kona mau hōʻeha i ka wā kokoke. Ua kapa ʻia nā ʻāpana o ka ʻoihana e mālama ai i ka momona bariatria .
He aha hiki ai iā ʻoe ka pololi?
Me ka hoʻoluhi ʻana o ke kaumaha, e like me nā loea, pono e hoʻemi ʻia ke kaumaha o ke kino ma ka 500-800 g i kēlā me kēia pule. Akā ʻokoʻa paha kēia mau ʻōuli i ka makahiki o ke keiki, kona kaumaha a me nā hōʻailona olakino.I kekahi manawa ke kūkulu nei ke kauka i kahi mea ʻai no kahi keiki ʻānai e ʻae iā ʻoe e nalowale i ka 1.5 kg o ka momona nui ma ka hebedoma. Akā e pono nō e mālama ʻia nā meaola i lalo o ka mālama mākaʻikaʻi koʻikoʻi.
ʻO nā kīʻaha i hāʻawi ʻia e emi aku i nā mea i ʻōlelo ʻia ma luna aʻe o ka manawa pōkole hiki ke hōʻeha i ke olakino, a koʻikoʻi. Eia kekahi, ma hope o nā kīʻaha like, hiki ke hoʻihoʻi nui ke kaumaha, no ka mea ua hoʻokuʻu ʻia nā hana mālama ponoʻī i loko o ke kino (ke manaʻo nei ke kino ua hele mai ka pōloli, a laila hoʻāʻo e kiʻi i ke kaupaona ʻia).
I ka wā wikiwiki, ua hoʻokō ʻia ka lawa o ka ikehu ma ke kino. Inā ʻaʻohe glucose hou i loko o ke koko, hoʻomaka ka hopena o nā hale kūlohelohe i ke ʻano o ka glycogen. ʻAi wale ke kino no 24 mau hola hookeai. A laila e hoʻomaka ka haʻalulu e wāwahi i lalo, a, e like me kāu e ʻike ai, ua kūkulu ʻia ko mākou kino i ka nui o nā protein - me ka pūhaka puʻuwai. A ke hoʻomaka wale ka hoʻopau ʻana o nā momona.
I ka pōloli ʻana a ke keiki a i ʻole kaʻai kūpono, ʻaʻole nele ke kino i nā mea pono e pono ai ka nui a me nā huaora. Hoʻolaha kēia i ka meaʻo ka hoʻoneʻe a ka metabolism, no ka mea "kūpono" ke kauona, akā ʻaʻole i hoʻemi ʻia. Inā hōʻemi loa ke kaumaha, ʻaʻohe manawa ke hoʻololi i ke kino. No ka mea, aia ka nāwaliwali o nā ʻōpū, pale ʻia ka ʻili, hoʻonāukiuki i ka pānaehana ʻana.
Kahu o ka hānai me ka ikehu ikaika o nā keiki hemo
Hiki iā ʻoe ke hoʻomaopopo i ke kumu o kahi keiki luhi keu inā ʻoe e mālama i kahi diary meaʻai kūikawā no 1 pule. Hoʻomaopopo ia i nā mea a pau i ʻai ʻia i ka lā - i ka wā o nā papa nui a me nā mea ʻai. Loaʻa ka maikaʻi o ka heluʻana i ka calorie intake a hana i kahi helu no nā protein, mau, nāʻaila. Ma ka moʻolelo like, hiki iā ʻoe ke helu i ka momona i puhi ʻia. Inā inu, e like me kāu koho, ʻoi aku ka nui o ka ʻai, a laila maopopo ke kumu no ke kaumaha nui ma nā keiki.
ʻO nā lāʻau e hōʻemi ana i ka laweʻana o nā palaka a me nā mea i kālaiʻia
Kuhi ʻia nā lāʻau lapaʻau e like me ka kauka ʻana i ke kauka i kekahi mau mea no ka hoʻonāukiuki i nā keiki, i ka hoʻēmi ʻana i nā kao o nā momona a me nā momi. No laila, hiki ke hoʻemi i ka nui o ka ikehu o ka meaʻai i hoʻopau ʻia, e hoʻopilikia maikaʻi i ke kaʻina hana o ka nalo momona.
ʻO kekahi mau makahiki i hala aku nei, ua kaulana kekahi lāʻau lapaʻau e like me xenical (). Hoʻopili i ka lipase (kahi digestive enzyme), e hoʻolaha ana i ka lilo ʻana o nā momona i ka pāpaʻi ʻana. No laila, ma kahi o 30% o nā lemela i ʻai ʻia "hele i waho" o ke kino me ka hoʻonele ʻole ʻana ma nā wahi āpau. ʻO Xenical kahi hana hou i ka mālamaʻana i ka momona. Akā ua hōʻike ka hoʻomaʻamaʻa ʻana i ke lawe ʻana i ka mea palaki momona e kōkua i nā mea ʻai i ka momona momona. ʻO nā ʻōmole lae, e hele ma waena o nā ʻōpū, alakaʻi i ka indigestion, e hoʻoiho ai i ka lemela, nā maʻi ʻeha, a me nā mea ʻē aʻe.
No laila, e koho pono i ka mea maʻi ma waena o ka lawe ʻana i nā meaʻai momona a me nā lāʻau lapaʻau i kapa ʻia i luna. Me ka hōʻoleʻole i ka lāʻau lapaʻau a me ka neʻe ʻana i kahi meaʻai maʻamau, ke olakino, ka paona a me ke ʻano o ka ʻōpū. ʻO ia kahi, xenical kahi psychotherapeutic ma mua o kahi hopena kino.
ʻO ka lāʻau lapaʻau like kaulana hoʻi ʻo ia ka chitosan. Hoʻopaʻa ia i ka momona i loaʻa i ka meaʻai i loko o nā koina hiki ʻole i ke ʻano, kahi mea e waiho ai i ke kino. Ka ʻōlelo kūʻokoʻa kūʻokoʻa e ʻōlelo ana ka chitosan inā kōkua wale nō kekahi i ka ʻai i nā meaʻai haʻahaʻa. ʻAʻole pili ka ʻelua mau lāʻau i ka lawe ʻana mai o nā ʻaina, ʻo ia ka pilikia nui i ka ʻai ʻana i nā keiki momona keu.
I waena o nā mea ʻalaka kalaiwa kāhea ʻia (acarbo-za), lipobay a me ka polyphepan. Hoʻokumu lākou i nā hopena ʻino, e noʻonoʻo pono ana i ka wā e hoʻohana ai i kēia mau lāʻau e mālama i nā keiki:
- kaʻina hoʻokaumaha
- ʻoki i loko o ka ʻōpū
- he ʻano hūnā
- ʻO nā maʻi hoʻowalewale pale
Pēlā, ʻo ke keiki me ka momona nui, ʻoiai inā lawe ʻana i nā lāʻau lapaʻau kūikawā no ka momona, pono e hānai i ka ʻai a me ka hana i nā meaʻai kūpono.
Kākoʻo o ka Obesity i nā keiki:
Pono nā mākua, nā kauka a me nā kumu a me nā kumu aʻoaʻo e komo i ka hana ʻana i ke keʻakeʻa i ka pale ʻana i ka ʻōpiopio o ka wā kamaliʻi.ʻO ka hana mua, pono e hoʻomaopopo nā mākua i ka mea nui o ka meaʻai kūpono a me ka ola kino e ola ai. Pono e hoʻonaʻauao i ke keiki i ka ʻai kūpono o ka ʻai a hoʻonohonoho i kāna hoʻoponopono nui me ka pae e pono ai ka hoʻoikaika kino.
ʻO ka lua hana ʻo ke kūkulu ʻana i ka makemake o ke keiki i ka hoʻonaʻauao kino a me ka haʻuki. Pono e hana ʻia kēia e nā kumu a me nā mākua. Pono nā mākua e lilo i kumu hoʻohālike o ke ola olakino, ʻaʻole nā kao e ʻōlelo ai i kekahi mea, akā hana ʻia. Aia aia kahi pono e kūkulu i nā papahana screening e maopopo ai ka momona a me nā hoʻopiʻi ma waena o nā keiki a me nā ʻōpio.
Pono e nīnau ʻia nā kauka iā ʻoe inā he Obesity i nā keiki.
He mea ʻeha paha kāu? Makemake ʻoe e ʻike i nā ʻikepili hou aʻe e pili ana i ka Obesity i nā keiki, kona mau kumu, nā hōʻailona, ka hōʻino a me nā pale pale, ke ʻano o ka maʻi a me kaʻai ma hope o ia? A i ʻole makemake paha ʻoe i ka hoʻokolokolo? Hiki iā ʻoe e hana me ke kauka - haukapila Eurolabepela mau i kāu lawelawe! E nānā nā kauka maikaʻi loa iā ʻoe, e nānā i nā hōʻailona o waho a e kōkua i ka hoʻoholo ʻana i ka maʻi ma o nā hōʻailona, aʻo ʻoe iā ʻoe a hāʻawi i nā kōkua kūpono a hana i kahi maʻi maʻi. Hiki iā ʻoe ke kāhea i ke kauka ma ka home . ^ E Ha yM. ʻO ka hale lapaʻau Eurolabepela wehe iā ʻoe a puni ka uaki.
Pehea e kamaʻilio ai i ke haukapila:
Kelepona o kā mākou keʻena ma Kiev: (+38 044) 206-20-00 (multi-channel). Koho ke kakauolelo o ka haukapila e koho ia oe i kahi la a me ka hora o ka hele ʻana i ke kauka. Hoʻomaopopo ʻia ko mākou hoʻonohonoho a me nā kuhikuhi. E nānā hou i nā kikoʻī āpau e pili ana i nā lawelawe a pau o ka haukapila ma ona.
Inā ʻoe i hana mua i kekahi noiʻi, poina e lawe i kā lākou hopena no ka kūkā ʻana me ke kauka. Inā ʻaʻole i pau nā haʻawina, hana mākou i nā mea pono a pau i kā mākou keʻena a me nā mea hana o mākou i nā ʻoihana ʻē aʻe.
Me oe? Pono e akahele nui i kou olakino holoʻokoʻa. ʻAʻole mālama ka poʻe nā hōʻailona maʻi a ʻaʻole maopopo lākou e hiki i kēia mau maʻi ke hoʻoweliweli i ka ola. Nui nā maʻi i ka hoʻomaka mua ʻole e hōʻike iā lākou iho i loko o ko mākou mau kino, akā ma ka hopena ka mea i palaka ʻia, ʻaʻole naʻe, ʻoi loa ka hana e mālama iā lākou. Aia kēlā me kēia maʻi i kāna mau hōʻailona kikoʻī, nā hōʻike o waho - nā mea i kapa ʻia nā hōʻailona o ka maʻi . ^ E Ha yM. ʻO ka hoʻomaopopo ʻana i nā hōʻailona pili ka hana mua i ka maʻi maʻi i ka maʻi nui ma ka laulā. No ka hana i kēia, pono i nā manawa he nui i ka makahiki e kauka e kahi kauka , ʻaʻole wale ia e pale i kahi maʻi weliweli, akā, e mālama pū i ka noʻonoʻo olakino ma ke kino a me ke kino holoʻokoʻa.
Inā makemake ʻoe e nīnau i kahi kauka i kahi nīnau - e hoʻohana i ka māhele kūkākūkā pūnaewele, aia paha ʻoe e ʻike i nā pane i kāu mau nīnau ma laila e heluhelu nā ʻōlelo mālama pilikino . ^ E Ha yM. Inā makemake ʻoe i nā loiloi o nā lapaʻau a me nā kauka, e hoʻāʻo e ʻike i ka ʻike e pono ai ʻoe ma ka pauku. E kau inoa i ke kahua lapaʻau Eurolabepela e hoʻomau i nā nūhou loa a me ka ʻike hou ʻana i ka punaewele, e hoʻouna koke ʻia i kāu leka uila.
ʻO nā maʻi ʻē aʻe mai ka hui Nā maʻi o ke keiki (pediatrics):
ʻO Bacillus cereus i nā keiki |
ʻO ka maʻi Adenovirus i nā keiki |
Hoʻopiʻo Alimentary |
Allatic diathesis i nā keiki |
Alluncic conjunctivitis i nā keiki |
Allergic rhinitis i nā keiki |
Angina i nā keiki |
Atrial septal aneurysm |
ʻO Aneurysm i nā keiki |
Hoʻopiʻi i nā keiki |
ʻO ka ʻĀina Arelaʻi |
He hypertension arterial ma loko o nā keiki |
Ascaridosis i nā keiki |
Asphyxia o ka hānau hānau hou |
Atmat dermatitis i nā keiki |
Autism i nā keiki |
Nā Rabies ma nā kamaliʻi |
ʻO Blepharitis i nā keiki |
Mau poloka i nā keiki |
Lateral cyst o ka ʻāʻī i nā keiki |
ʻO ka maʻi o Marfan (syndrome) |
ʻO ka maʻi ʻo Hirschsprung i nā keiki |
ʻO ka maʻi Lyme (borreliosis-tikiki) i nā keiki |
ʻO ka maʻi 'o Legionnaires i nā keiki |
ʻO ka maʻi ʻo Meniere i nā keiki |
ʻO nā Botulism i nā keiki |
ʻO ka honu Bronchial i nā keiki |
Brobchopulmonary dysplasia |
ʻO Brucellosis i nā keiki |
ʻO ke kanulau typhoid i nā keiki |
ʻO Qatar kaiāulu ma nā keiki |
ʻO ka pox moa i nā keiki |
ʻO nā conjunctivitis Viral i nā keiki |
ʻEpauhea Hana Loaʻa i nā keiki |
ʻO ka leishmaniasis Visceral i nā keiki |
ʻO ka maʻi HIV i nā keiki |
ʻO ka hōʻeha hānau Intracranial |
Ka ʻeha hōʻeha o kahi keiki |
Nā ʻōpū hōʻāha o ka congenital (CHD) i nā keiki |
ʻO ka maʻi hemorrhagic o ka pēpē |
ʻO ka ʻeha hemorrhagic me ka renal syndrome (HFRS) i nā keiki |
ʻO ka vasculitis hemorrhagic i nā keiki |
Hemophilia i nā keiki |
ʻO ka maʻi hemophilus i nā keiki |
Hana ʻia ma lalo o ke aʻo ʻana i nā keiki |
ʻO ka pilikia ma ka nunui o ke kaumaha ma nā keiki |
ʻ languagelelo Geographic i kahi keiki |
ʻO Hepatitis G ma nā keiki |
ʻO Hepatitis A i nā keiki |
ʻO Hepatitis B nā keiki |
ʻO Hepatitis D i nā keiki |
ʻO Hepatitis E i nā keiki |
ʻO Hepatitis C i nā keiki |
Herpes i nā keiki |
Nā keiki kāne i nā keiki hou |
ʻO ka maʻi hydrocephalic i nā keiki |
ʻO ka Hyperactivity i nā keiki |
ʻO ka Hypervitaminosis i nā keiki |
ʻO ka excitability Hyper i nā keiki |
ʻO ka hypovitaminosis ma nā keiki |
He hypoxia hānai |
Hypotension i nā keiki |
Hypotrophy ma ke keiki |
ʻO ka histiocytosis i nā keiki |
ʻO Glaucoma i nā keiki |
Loaʻa |
ʻO Gonoblenorrhea i loko o nā keiki |
ʻO ka maʻi ma nā keiki |
ʻO Dacryoadenitis i nā keiki |
ʻO nā Dacryocystitis i nā keiki |
ʻO ke kaumaha i nā keiki |
ʻO Dysentery (shigellosis) i nā keiki |
ʻO ka Dysbacteriosis ma nā keiki |
ʻO ka nephropathy like ʻole ʻo Dysmetabolic i nā keiki |
ʻO diphtheria i nā keiki |
Benign lymphoreticulosis ma nā keiki |
Anemia pale hao i kāu keiki |
Kau ka melemele i nā keiki |
ʻO ka maʻi epilepsy i loko o nā keiki |
ʻO Kalikimaka (GERD) i nā keiki |
ʻO nā immunodeficiency i nā keiki |
ʻO Impetigo i nā keiki |
Hoʻomoana o loko |
Hoʻokomo ʻia ka mononucleosis hopohopo i nā keiki |
Kekuhi o ka septum nasal i nā keiki |
Isopic neuropathy i loko o nā keiki |
ʻO Campylobacteriosis i nā keiki |
ʻO Kanaliculitis i nā keiki |
ʻO Candidiasis (thrush) i nā keiki |
Carotid-cavernous anastomosis i nā keiki |
ʻO Keratitis i nā keiki |
Klebsiella i nā keiki |
ʻO nā typhus i ʻoki ʻia i nā keiki |
ʻO ka encephalitis mau-hopu i nā keiki |
ʻO Clostridiosis ma nā keiki |
Ke kōpū o ka aorta i nā keiki |
ʻO ka leishmaniasis Cutaneous i nā keiki |
ʻO Pertussis i nā keiki |
ʻO Coxsackie- a me ka maʻi ECHO i nā keiki |
ʻO ke kuʻihuʻi i nā keiki |
ʻO ka maʻi Coronavirus i nā keiki |
Measles i na keiki |
ʻAno-ʻaoʻao |
ʻO ka maʻi Craniosynostosis |
ʻO Urticaria i nā keiki |
ʻO Rubella i nā keiki |
ʻO Cryptorchidism i nā keiki |
Kūpono ma kahi keiki |
ʻO nā poliuma ʻaila i nā keiki |
ʻO ka maʻi hemorrhagic Crimean (CHF) i nā keiki |
Q ka pehu i nā keiki |
ʻO labyrinthitis i nā keiki |
ʻO ka nele o Lactase i nā keiki |
Laryngitis (pili) |
Hānau ʻia hou |
Leukemia i nā keiki |
Allergy Allergy i na keiki |
Leptospirosis ma nā keiki |
Lethargic encephalitis i nā keiki |
Lymphogranulomatosis i nā keiki |
Lymphoma i nā keiki |
Listeriosis i nā keiki |
ʻO Ebola i nā keiki |
Nā ʻōkuhi epilepsy i nā keiki |
Malabsorption i nā keiki |
Malaria i nā keiki |
MARS i nā keiki |
ʻO ka Mastoiditis i nā keiki |
Meningitis i nā keiki |
ʻO ka maʻi Meningococcal i nā keiki |
M menococcal meningitis i nā keiki |
ʻO ka maʻi Metabolic i nā keiki a me nā wā'ōpiopio |
ʻO Myasthenia gravis i nā keiki |
Migraine i loko o nā keiki |
ʻO kaʻu Myopoplasmosis i nā keiki |
ʻO ka dyocophy myocardial i nā keiki |
Myocarditis i nā keiki |
ʻO ka epilepsy wā kamaliʻi o Myoclonic |
ʻO ka stenosis Mitral |
ʻO Urolithiasis (ICD) i nā keiki |
ʻO nā fibrosis Cystic i loko o nā keiki |
ʻO nā media otitis o waho i nā keiki |
Hoʻokū ʻia nā huaʻōlelo ma nā keiki |
Neurosis ma nā keiki |
He papau nā lula Mitral |
Ke kīpē nei ka piʻokeʻo |
ʻO ka lohe ʻana o Sensorineural i nā keiki |
ʻO Neurofibromatosis i nā keiki |
Diabetes insipidus i nā keiki |
ʻO ka maʻi Neprotic i nā keiki |
ʻO Epistaxis i nā keiki |
ʻO ka hana ʻeha-compulsive i loko o nā keiki |
Objective branchitis ma nā keiki |
ʻO Omsk hemorrhagic fever (OHL) i nā keiki |
ʻO Opisthorchiasis i nā keiki |
Hana ʻo Herpes i nā keiki |
Hoʻokomo ʻia nā polapola i nā keiki |
ʻO nā hana o ke kuʻi spinal a me nā kuʻi i nā keiki |
ʻŌpū pepeiao |
ʻOnnithosis ma nā keiki |
Hoʻopiʻi ka rickettsiosis i nā keiki |
Hoʻopau i ka renal acute i nā keiki |
ʻO nā pinworms i nā keiki |
Sinusitis huehue |
Hoʻopuka i ka stomatitis herpetic i nā keiki |
ʻO ka pancreatitis acute i nā keiki |
Pyelonephritis huehue i nā keiki |
ʻO ka edema ʻo Quincke i nā keiki |
Hoʻokūkū ʻia ʻo Otitis i nā keiki (ʻeha) |
ʻOmtomosis i nā keiki |
Otosclerosis i nā keiki |
ʻO ka maʻi pneumonia i nā keiki |
Parainfluenza i nā keiki |
Paracussis i nā keiki |
Paratrophy i nā keiki |
ʻO ka tachycardia Paroxysmal i nā keiki |
ʻO nā ʻōpala i nā keiki |
ʻO ka Pericarditis i nā keiki |
ʻO ka stenosis Pyloric i nā keiki |
Allergy keiki pēpē |
Nā keiki ʻoluʻolu |
ʻO ka maʻi pocococcal keiki |
ʻO nā maʻi poloka ma nā keiki |
ʻO ka maʻi māmā ma nā keiki |
ʻO ka hōʻeha kino ʻana i nā keiki |
Hoʻonui nā kikoʻai intraocular |
No nā makahiki he nui, ua ʻike nā ʻepekema i ka hoʻonui ʻana o ka nui o nā keiki momona keu. Ke nānā nei nā kauka a me nā mea lapaʻau i kēia pilikia koʻikoʻi, no ka mea e pili ana ka obesity i nā hopena koʻikoʻi. A i nā aneane āpau, hakakā kēia i ka momona nui ma ke ola ʻana.
ʻO ka huelo he maʻi ʻo ia ke ʻano o ke ʻano maʻi, kahi i hoʻoilo ʻia e ka ʻaʻalima ma ka hana metabolism a hele pū ʻia me ka hōʻemi ʻana o ka momona o ka momona i ke kino.
Hoʻokomo pinepine ka kiko adipose i ke kino o ke kanaka i nā mea maʻamau. Hana ka hoʻokumu mua ʻana mai ka lā hānau o ke pēpē a hiki i ka 9 mau mahina. A hiki i ka 5 mau makahiki, ʻoi aku ka ulu ʻana o ka momona. ʻO ka ulu ulu e 5-7 mau makahiki. ʻO ka mea hope loa - i ka makahiki o ka wā puberty o ke kino a me kona hoʻoneʻe hou ʻana - mai 12 a 17 mau makahiki.
No laila, ua hoʻokaʻawale nā kauka i nā manawa koʻikoʻi nui o ka maʻi.
- a hiki i 3 mau makahiki - he keiki liʻiliʻi,
- 5-7 makahiki - kauā mua o ke kula,
- 12-17 makahiki makahiki - ʻōpio.
Nā kumu kumu o ke kau ʻana ma kahi wā kahiko
E wehewehe pono i nā kumu o ka maʻi hiki i ka endocrinologist wale nō. ʻElua mau mea nui i pili i ka hoʻomohala ʻana o ka pathology i nā keiki.
- Alimentary (pilikia ʻia e nā meaʻai kūʻai ʻole a me ka hoʻohaʻahaʻa haʻahaʻa).
- Endocrine (nā pilikia ma muli o ka hana hōʻino o ka ʻenehana endocrine).
ʻO ka nui o ka huelo i nā keiki a me nā wā'ōpiopio ma muli o nā maʻi metabolic a me ka hana haʻahaʻa. ʻO ka hoʻohaʻahaʻa ʻana i ka pale o ka ikehu ka pili me ka hoʻohana ʻana i ka ʻai o ka meaʻai kiʻekiʻe-calorie a me ka hoʻohana nui ʻana i ka ikehu.
Ka ʻike ʻole o nā pōʻino a pau, keʻai ʻole nā keiki i nā huahana a pau, ʻeke loa, ka meaʻai wikiwiki, holoi ʻia me nā mea ʻala.
He mea nui kēia! ʻO Hypodynamia kekahi o nā kumu no ka hoʻonui ʻana o ka nui o nā keiki e maʻi ana i ka kaumaha nui. Makemake nā kamaliʻi o kēia mau lā i nā pāʻani o waho e noho ana i mua o kahi kamepiula, TV a me nā pono.
"ʻ syndromelelo ʻohana", ʻo ke kumu o ka maʻi, ʻaʻole i liʻiliʻi. Hāʻawi ka Obesity i nā mākua ʻelua i kahi 80% e hōʻoia e ʻike ʻia nā maʻi like i loko o ke keiki.
Aia ka hopena kiʻekiʻe loa e hoʻomohala i ka pohō i nā pēpē keiki hou e kau ana ma luna o 4 kg, me nā pēpē e loaʻa koke ke kaumaha i nā makahiki ʻelua o ke ola. ʻO ka hoʻomaka mua ʻana o nā meaʻai hoʻopiha (a hiki i ka 6 mau mahina) a me ka pau ʻana o ka umauma hiki nō hoʻi ke kumu o ka maʻi.
Aia kekahi mau kumu no ka loaʻa ʻana o ke kaumaha nui loa i nā keiki e pili ana i ka palaki holomua.
- congenital hypothyroidism (nele i nā hormone thyroid),
- ke kuʻuna o ka kelepona adrenal (ʻ'slelo a Hisenko-Cush),
- nā maʻi hōʻeha o ka lolo, nā ʻeha hōʻeha o ka traumatic, nā māka e alakaʻi ai i ka hoʻohaunaele ʻana i ka gion pituitary,
- adstrose-genital dystrophy.
ʻO ka pinepine, ʻo ka maʻi metabolic e hoʻopuka i nā kumu psycho-emotional. Hiki i kēia i ke ʻano o ka lewa i ka kula, ke kaumaha koʻikoʻi ma muli o ka nalowale o nā hoahānau a i ʻole ka pīhoihoi a ke keiki e hōʻike nei i kahi hewa.
Nā hopena hiki paha ke hoʻopiʻi
Hoʻopilikia i nā hemahema i ka ulu pinepine ʻana o nā maʻi like ʻole. Hoʻonui kēia i ka pilikia o ka maʻi a me ka make mua.
He aha ka hoʻonā ʻana e alakaʻi ai i ka wā kamaliʻi a me nā ʻōpio:
- i nā maʻi o ka ʻōnaehana cardiovascular (hypertension, stroke, angina pectoris, cardiac ischemia),
- i nā maʻi o ka papa gastrointestinal (maʻi o nā pancreas, duodenum, gastritis, hōʻemi ate, hemorrhoids, constipation),
- i nā maʻi o ka pūnaehana endocrine (ka haʻalele ʻana o ka pancreas, nā kelepaʻi adrenal a me ka ʻōnaehana thyroid),
- i nā maʻi o ka ʻōnaehana o ka musculoskeletal (deformations o nā iwi a me nā ʻāpana, ke ʻano o nā wāwae ʻolo, nā varicose veins i nā wāwae).
- maʻi noʻonoʻo (sleep apnea syndrome, hiamoe kuapo, psychosocial disorders),
- e hōʻemi i ka hana reproduction male a me ka infertility wahine i ka wā e hiki mai ana.
ʻO nā kauka wale nō ke ʻike i ka momona o nā keiki, akā ʻo nā mākua ke kumu mua i ʻike i nā hōʻailona luhi o ka maʻi. No kēia, he mea nui e nānā i ke ʻano o ke ola o ke keiki, kāna hana ʻano a me ka hana kino, hoʻololi i ke ʻano.
Nā hōʻailona o ka hoʻonāukiuki i kahi pēpē:
- momona momona
- pinepine kūloko maʻi,
- constipation.
Nā hōʻailona o ka luhou i kahi keiki o ke kula mua (5-7 mau makahiki):
- momona momona
- ka momona loa
- ke ʻano o ke kāʻei o ka hanu i ka wā o ka hele a me ka hoʻoikaika,
- deformation o ke kiʻi ma ka ʻōpū, nā ʻūhā, nā lima a me nā poʻohiwi (kūkulu ʻia ke kūloko adipose),
- hoonui pinepine i ka paipai.
Nā hōʻailona o ka luhi i nā wā'ōpiopio 12-17 makahiki:
- hai hou ia, pauku luna, nā hōʻailona,
- mea momona
- i nā kaikamahine - kūlohelohe kāne
- kūleʻe a me ka ʻeha
- hoʻonui hoʻonui ʻia
- ka huhū pinepine o nā lima a me nā wāwae, eha ʻeha i nā ʻōpū,
- nā kūlana kaumaha.
Pehea e hōʻoia ai i kahi maʻi?
ʻO ke kumu no ka hele ʻana i ke kauka nā mea ʻike i nā mākua nānā i hiki ke ʻike i nā hōʻailona weliweli mua o ka hoʻonāukiuki i kahi keiki. Hoʻomaka ke kauka i ka maʻi maʻi ma o ka hōʻiliʻili ʻana o ka ʻike e pili ana i ke keiki (nā ʻano e hānai ai a hiki i hoʻokahi makahiki, nā hiʻohiʻona o kēia manawa, ke ʻano ola, nā pae hoʻoikaika kino, nā maʻi maʻi).
ʻO ka hana hope e pili ana i ka maʻi maʻi i ka hōʻiliʻili ʻana o ka ʻikepili anthropometric: kaʻai o ka hope, ka hope, nā paona kino. E pili ana i kēia mau kuhikuhi, ua kuhikuhi ke kauka i ka kaha o ke kino a ke keiki (BMI) a hoʻohālikelike ʻia e ia me nā papa inoa o ka centile special e hoʻomohala ʻia e WHO.
Ka helu? E koi maʻalahi ʻo BMI ke hoʻoholo i ke kiʻekiʻe o ka paʻakikī o ka maʻi a hoʻohālikelike ʻia e nā ʻano huaʻala aʻe: BMI = koʻikoʻi kino kino (kg) / kiʻekiʻe (m²).
Ma ka loaʻa i ka waiwai hōʻike, hiki i ke kanaka ke hoʻoholo i ke kiʻekiʻe o ka momona. E kōkua ke papa aʻe ma lalo nei.
I mea e hoʻoholo ai i nā kumu kumu o ka maʻi, hiki i ka pediatrician ke kuhikuhi i kēia mau ho'āʻo aʻe:
- Hōʻike koko koko biochemical. Hiki iā ia ke hoʻoholo i ka nui o ka glucose i loko o ke koko, kolamu, uric acid. ʻO ka pae o ka protein o ALT a me AST (transaminases i loko o ke koko) e hoʻoholo i ka kūlana o ka ate.
- ʻO ke kaohiʻana o ka pae o nā hormones o nā ʻano like ʻole i ke koko a me ka urine. Ua kuhikuhi ʻia inā hiki i ke kauka ke hoʻomohala i ka hoʻomohala ʻana i ka pohō ma kahi papa hormonal. Ua hoʻoholo ʻia ke pae o ka insulin, cortisol, TSH, estradiol a me nā hormone ʻē aʻe.
Eia kekahi, i mea e wehewehe ai i ka maʻi maʻi, hiki ke hoʻouna ʻia no nā hoʻokolokolo hou.
- ʻO ka hoʻonāukiuki o nā keleko thyroid,
- ʻO CT, MRI a me EEG o ka lolo (inā i manaʻo ʻia ka pathuitary pathology).
I ka hoʻoholo ʻana i ke kumu o ka momona, ke kau nei ke kauka i kahi mālama holoʻokoʻa, ka mea e pili ana i ka ʻōlelo aʻe:
- Ka hoʻoponopono ʻana o ka meaʻai a me ka ʻai ʻai.
- Hoʻomakai hoʻomaʻamaʻa photherapyotherapy.
- ʻO ka lāʻau lapaʻau.
- Hana maʻi (inā pono).
Hoʻoholo maikaʻi
Hoʻopili pololei i kahi mea lapaʻau e kōkua i ka mea maʻi-nutristist. ʻO kāna pahuhopu e hoʻohaʻahaʻa i ka hoʻokumu ʻana o ka momona subcutaneous a hoʻoikaika i ka huki ʻana o nā waiwai i hōʻiliʻili ʻia. ʻO kaʻai no kahi keiki me ka hiʻona e like me ka ʻokoʻa a me ka uku ʻana i ka mea hiki. Pono ʻoe e hoʻomanaʻo i nā keiki ma lalo o 3 mau makahiki o ka makahiki, he maʻi contraindicated.
ʻO ka ʻai ʻana i nā keiki me ka momona ua pili i nā pāʻina fractional 6-7 mau manawa i ka lā ma kahi liʻiliʻi. Hana maikaʻi ʻia ka wā ma waena o nā papaʻai ma kahi o 3 mau hola. ʻO ka kīʻaha nui kiʻekiʻe-kalori e kāohi i ka papa o ka hapa mua o ka lā, i ka manawa o nā hana nui. No kaʻaina kakahiaka a me ka ʻaina awakea, ua hoʻomākaukau ʻia nā kīʻaha a me nā iʻa mai nā ʻano momona haʻahaʻa.
ʻO nā huahana susu, ʻo ka waiū i hoʻomohala ʻia me ka haʻahaʻa haʻahaʻa o ka momona e ʻoi aku ka maikaʻi. I nā lā a pau, ke kalai ʻia i ke ʻano o ke kāhi kuke i loko o ka meaʻai.
No ka mea, ʻo ke kalaka ke kumu nui o ka momona o ke kino, ua ʻōlelo ʻia e hoʻokaʻawale i ka berena keʻokeʻo, ka kō, ka waiʻaila, ka sodas, ka pasta, mālama a me nā ʻono mai ka meaʻai.
Nui! I ka kuke ʻai, pono e hoʻēmi i ke kaʻina hana ʻana i ka aila. Hiki ke hoʻolapalapa ʻia nā huahana, ʻaihue, ʻuma a hoʻopau hou.
Ua hoʻolālā ʻia kahi meaʻai kūpono e ka Soviet nutrist M. Pevzner. Me ka pahuhopu o ka mālama ʻana i ka momona o nā keiki a me nā wā'ōpiopio, ua hana ʻo ia i ka helu ʻona 8, ʻo ia nō ka hoʻokō ʻia e nā kauka. Hoʻolālā ʻia ka meaʻai i kekahi mau mana o ka papa o ke ʻano, ka hakahaka i mea e kūlike i ka hoʻohana ʻana o ke kino i ka hana o nā mea pono.
Aia ka papa helu 8 e pili ana i nā huahana nui:
- bran a iʻaʻaʻa berena - 100-170 g i kēlā me kēia lā,
- nā huahana o ka haʻahaʻa o ka momona momona - 180-200 g i kēlā me kēia lā,
- ʻai momona, ka moa, ka iʻa momona haʻahaʻa - 150-180 g i kēlā me kēia lā,
- mau hupa me ka liʻiliʻi o nā ʻuala - a i kahi o 220 g,
- mai ka palaoa wale nō, millwheat a me ka palaoa - a hiki i ka 200 g o ka palaoa i kēlā me kēia lā,
- nā mea kanu a pau ma ka helu helu ʻole o nā ʻano kuke ʻina like ʻole,
- nā huaʻai, maikaʻi ʻole ka lohi - a hiki i 400 g i kēlā me kēia lā.
- tiʻa, ka miki a me ka waiʻona.
Eia kekahi o nā papa hana no ka papa helu 8, i hoʻolālā ʻia e kōkua i ke keiki i ka momona momona:
I kuke ʻia ma ka wai, kaʻai me ke kō, kōlepa.
ʻOu ʻuala a me ka ʻala lapala, ʻala kuke, huaʻai rosehip.
ʻO ka mea ʻai i ka ʻai a i ʻole ʻaʻa ʻia, kākē ʻia me ka palaoa iʻa a i ʻole iʻa, i hōʻili ʻia ka hua me ka lau.
Kaleka ʻaina me ke kefir.
ʻO ka iʻa ʻāpala, ka ʻai kuke me ka ʻaila ʻaila. Ma mua o ka hele ʻana e moe - he aniani o ka kefir momona-momona.
Hoʻomaopopo nā loiloi a pau no nā keiki hānai i ka aneane pau ʻole o ka paʻakai, ka momona a me ka pata, no laila he mea paʻakikī loa, he hou a ʻono ʻole i nā keiki.
E hoʻomaikaʻi i ka ʻano noʻonoʻo o ke keiki i ka wā e ʻai ai, paipai ʻia nā mākua e hoʻohana i ko lākou mau noʻonoʻo a pau a hoʻolālā i nā kīʻaha i lawelawe ʻia. Hiki ke lilo i mau kiʻiʻoniʻoni, nā hoʻohālike a me nā kikoʻī hou mai nā huahana. E kuke mau ʻia nā mea kanu maloʻo a maikaʻi i ka hoʻopakele.
Hoʻomakai hoʻomaʻamaʻa photherapyotherapy
ʻO kahi ʻāpana ʻānō o ka mālama ʻana i ka momona o ka wā kamaliʻi he hana kino. E kaukaukau e ke kauka komo i ka mea pono e pono ai ka hoʻomaʻamaʻa ʻana o ka hoʻomaʻamaʻa, a e hāʻawi ʻia i ka nui o ka kaumaha.
Eia kekahi, ʻo nā loiloi no nā keiki hānai e pili ana i nā ʻāpana haʻuki, nā huakaʻi hele i waho i kēlā me kēia wā, ʻauʻau, ka hele ʻana a me ke kai ʻana, ka wā hoʻomaha. Pono maʻamau ke ʻano. Ua hele mai paha nā mākua waiwai me ka hoʻopaʻi ma ke ʻano o ka hoʻopiʻi (10 push-up, 30 squats, etc.) i kēlā me kēia lā nā ukana.
ʻAʻohe! Ke hana maʻalahi nei ke kiʻi ʻana me ke kaulike ma ka asphalt. Ma hope o ke kiʻi ʻana, paʻi ka keiki a ʻūhū ʻo ia i kāna mau haun.
Nā hopena
ʻO ka mea maikaʻi loa e pili ana i kēia mau mea a pau ka mea i hoʻoweliweli ai kēia ʻano. ʻO ka mea pōʻino, ʻaʻole maopopo nā mākua i ka pōpilikia āpau o ka maʻi. I ka manawa ʻo nā hopena hiki ke hōʻeha loa - ʻo ka make (me ka helu 3).
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I waena o nā ʻōleʻa maʻamau.
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- ʻneapiha
- haehae maʻi
- kekekekikia
- hoʻouluhua,
- kūlia
- maʻi maʻi
- lohi a wikiwiki paha i ka ulu ʻana i ka moekolohe,
- ke ʻano o ka ʻōnaehana musculoskeletal: osteoarthritis, maʻiʻino kīwaha, spondylolisthesis,
- nā huakini o nā kaʻe kino: ka pale ʻana i ka insulin, ka hoʻomanawanui i ka hoʻohaʻahaʻa glucose, ka wikiwiki o ka glycemia,
- ʻO ka uluhua o ke akea: hepatosis a me steatohepatitis nā kūlana maʻamau loa i nā keiki,
- relatif androgen deficiency,
- Mīkini II nā maʻi mellitus,
- nā maʻi ʻeha: ka pale ʻana o nā pancreas, gastritis, hemorrhoids, constipation,
- pūpū hema
- nā maʻi noʻonoʻo, nā maʻi noʻonoʻo noʻonoʻo,
- ka hoʻohaʻahaʻa i nā hana reproduction male, wahine infertility ma kēia hope aku.
Pono e hoʻomaopopo nā mākua i nā keiki hānai. No laila, ʻo kā lākou hana nui e pale i ke hoʻomohala ʻana o nā hanana, a inā i hana ʻia kēia mea, e hana i nā mea āpau e ho'ōla ai i ke keiki. ʻAi koke koke ka ʻelemakule, ʻoi aku ka nui o ka manawa no ka hoʻihoʻi a me ke ola kūleʻa e loaʻa mai ana iā ia i ka wā e hiki mai ana.
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Nā kumu o ke kaumaha
Aia kekahi kumu nui e hāpai i ke kūkulu ʻana o ka momona.
- i ke kino hele maikaʻi ʻole i ke ʻano o ke ola kino,
- ka heleʻana o nā maʻi endocrine (nā maʻi o nā ate, nā kelepona adrenal, nā kaila thyroid, ovaries).
He mana koʻikoʻi ka mea hoʻoilina. I ka wā'ōpiopio, hoʻonaninani nā keiki i ko lākou ola: e alakaʻi i kahi ala maʻalahi, eʻai i ka nui o nā meaʻai aʻai.
Ka nui o nā meaʻai wikiwiki, nā mea ʻawaʻawa ʻawaʻawa, nā sweets, ke hoʻolilo manawa i ka manawa ma ke kamepiula e hāʻawi nei i ka hana maʻamau o kēlā me kēia lā a me ke ʻano o nā keiki. Hōʻalo kēia mau pīnohi i ka metabolism, hoʻoikaika i ka hoʻomohala ʻana o nā pathologies i nā pūnaehana kino āpau a hoʻonāukiuki i ka nānā ʻana o ke kaumaha nui ma ke keiki.
Hoʻopilikia ka maʻi Endocrine i ka ratio kūpono o ke kiʻekiʻe a me ke kaupaona, akā ʻoi aku ka liʻiliʻi o ke kaupaona ʻana. ʻO ka pale ʻana i ka hoʻonāukiuki i nā keiki a me nā pākeke e pale i ka hōʻino o ke olakino a me ke ʻano.
He aha nā mea e hoʻopili ai i ke ʻano o ke kaumaha nui
ʻO ka haʻalele ʻana o kahi genis predisposition a me nā pathologies endocrine, ʻo ia nā mea i hala e hoʻonui i ka momona:
- nele i ka hana kino pono,
- nā koʻikoʻi pinepine a me nā manaʻo ikaika,
- ke kino maikaʻi ʻole - ka ʻai i ke kīpē i alakaʻi i ka hoʻomohala ʻana i ka bulimia, anorexia a me nā maʻi ʻē aʻe,
- ka hoʻohana 'ana i ka nui o nā mea' ai momona e hoʻoneʻe ana, nā meaʻai i kiʻekiʻe i ke kō,
- ʻO ka hopohopo hiamoe, kūikawā - ka nele i ka hiamoe,
- ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻopilikia ai i ka ʻoihana sentral, me ka hoʻoulu ʻana a ʻae paha.
Ma nā hihia ākea ka hapanui, hiki ke hū ʻia ka momona mai ka hoʻokau ʻana (e. ʻO ka poino i nā keʻa o ka pituitary a i ʻole ka cortex adrenal e hoʻonāukiuki i ka hiʻohiʻona ʻana o ke kaumaha nui. ʻO ke kāohi ʻana i ka momona mai ka wā ʻōpio e kōkua i ka pale ʻana i nā pilikia olakino e kū ana i ka nui o ke kaumaha.
Pehea e loiloi ai i ka hoʻolaha ʻāina
Hoʻopiliʻia nā huapalapala e like me BMI. Hiki iā ʻoe ke helu i kēia helu iā ʻoe iho. He mea lawa ke ʻike i kou kaupaona a kiʻekiʻe.
Pono e hoʻokaʻawale i ke koʻikoʻi o ke kino e ke kiʻekiʻe square. ʻO kahi mea hoʻohālikelike, ʻo ka wahine kekahi paona o 55 kg me ke kiʻekiʻe o 160 cm.ʻO ka nānā ʻana e like me kēia:
55 kg: (1.6 x 1,6) = 21.48 - i kēia hihia, kūpono ke paona i ka kiʻekiʻe o ka mea maʻi.
A BMI ma mua o 25 e hōʻike ana i ke kaumaha nui, akā ʻaʻole ia e hoʻokau i kahi olakino olakino. Pono hoʻomaka ka pale ʻana i ka momona ma mua o ka hiki, a ʻaʻole inā hiki ke BMI ke ʻoi aku ma mua o ka 25. I ka manawa o ke kaumaha kino o ke kanaka e hoʻomaka wale e hoʻonui, a pau ka hana maʻalahi ʻana i kēia kaʻina ma kahi o ke kau o ka momona.
Nā pāʻālua BMI
Ma hope o ke kau ʻana i kāu kaha kuhikuhi o ka paukū iwi, pono ʻoe e hoʻoholo inā he ʻano iki o ke ʻano a i ʻole a:
- inā, i ka helu ʻana, he helu i emi mai ka 16 i loaʻa, e hōʻike ana i kahi hewa nui o ke kaumaha o ke kino,
- 16-18 - lawa ʻole momona, ʻoi aku ka nui o nā kaikamahine āpau no kēia hōʻailona.
- 18-25 - ke kaupaona maikaʻi no ke olakino olakino
- 25-30 - ka hele ʻana o ka nui o ke kaumaha, ʻaʻole i hoʻopōʻino i ka moku olakino, akā i waho ke kāʻili wale aku i ka ʻano o ke kiʻi,
- ʻoi aku ma mua o 30 - ka hele ʻana o ka hinuhinu o nā ʻāpana like ʻole, e koi ana i ka hoʻōki ma waena.
Ma mua o ka momona keu, ʻoi aku ka maikaʻi o ka hoʻololi koke ʻana i kou ʻano ola a hoʻihoʻi i nā ʻokoʻa kala.Inā ʻaʻole, e māhuahua iki ka uku, a ma hope iho e paʻakikī nui ana e hoʻi i nā kūlana kūpono. Hoʻomaka ʻia ka pale ʻana i ka momona ma nā keiki i koʻu wā ʻōpio loa. ʻO ia hoʻi, pono e mālama pono i ka kanu a me ka hana a kāu mau keiki.
Nā ʻano o Obesity
Hoʻokaʻawale ʻia nā ʻano ʻehā o kēiaʻano e pili ana i kahi o kahi pakeneka nui o ke kaumaha nui:
- Ke kūpaʻa (ʻōpū) - ke kūkulu ʻia ke kao momona i ka nui o ke kino o luna a ma luna o ka ʻōpū. ʻO kēia ʻano ʻokoʻa pinepine e hōʻike ʻia i nā kāne. He hopena maikaʻi ka hānai o ka puʻuwai ma ke olakino holoʻokoʻa, ma muli o ka hoʻomaka ʻana o ka maʻi maʻi, ka hahau, ka puʻuwai a i ʻole ka hypertension.
- ʻO ka haʻahaʻa (femoral-gluteal) - nā wahi momona i hoʻopaʻa ʻia ma nā ʻūhā a me nā ʻoki. Ua hōʻike ʻia i ka maʻa wahine. E hoʻonāukiuki i ka nānā ʻana o ka lawa ʻole o venous, nā maʻi o nā ʻili a me nā spine.
- Hoʻohui (hui ʻia) - kūkulu ʻia ka momona i ke ahiahi ma loko o ke kino.
Hiki ke hoʻoponopono ʻia nā ʻano o ke kahuhipa me nā ʻano kino. No laila, ʻo ke kiʻi "apple" i hiʻohiʻona ia e ka hiʻohiʻona o ka nui o ka paona ma luna o ka ʻāpana o ke kino a ma ka ʻōpū, a ma ke ʻano o ka ʻano "pear" momona e hoʻopaʻa ʻia i loko o nā ʻūhā, nā ʻoki a me ka ʻōpū.
Pono ke ʻoki ʻana i ka momona o nā maʻi maʻi makua, ʻoiai i kēia manawa ke loaʻa nā pilikia ma ka ʻoihana endocrine a hoʻemi ʻia ka metabolism.
ʻO ka lāʻau lapaʻau
Kauka kauka nā kauka lapaʻau i nā lāʻau lapaʻau wale nō me ka helu 3 o ka momona nui. ʻO kēia no ka mālamaʻana i nā lāʻau āpau e hāpai i ka makemake a e hōʻemi i ka paona, ua contraindicated ma nā keiki i lalo o 15 makahiki o kona mau makahiki.
Hoʻokumu ʻia nā ʻano hana hou o ka mālama ʻana i nā momona i nā keiki ma loko o ka lāʻau lapaʻau ʻole-lāʻau. Hoʻomaʻamaʻa pinepine, ʻo ka hoʻomākaukau homopathic i liʻiliʻi i ka pōpilikia o ke kino o ke keiki e komo i ka paʻakikī paʻakikī.
Hana hoʻomaʻamaʻa
Aia kekahi mau pilikia koʻikoʻi o ka papa o ka maʻi i ka wā e pono ai no ka hoʻopiʻi ʻana ma ka maʻi (ʻeha hoʻonāukiuki a i ʻole nā kūlana i ola ʻia ma muli o kāna hoʻopiha). A laila hiki i nā kauka ke mālama i ka hoʻokō.
Hoʻomaʻamaʻa ʻia ka hana hoʻomalu no ka mālama ʻana i ka momona (bariatrics), akā ke hoʻomaʻamaʻa nei nā kauka i nā mea he 40 mau ʻano ʻoi ʻoiatric e kōkua i ka hoʻopau ʻana i nā hopena o nā momona o nā keiki.
ʻOkiʻoki
ʻO ka pilikia o ka hoʻonāukiuki i nā keiki hiki ke hoʻōho iā ia iho i ka manawa o ka hānau ʻana i ke pēpē, no laila ʻoi aku ka poʻe loea e hoʻomaka i ka pale ʻana ma mua o kona hānau ʻia ʻana. Pono ka makuahine e manaʻo ai e mālama i ka ʻai kaulike a hoʻomanaʻo i nā pōpilikia o ka overeing.
ʻO nā hana nui e pale ʻia i pale ʻia e pale ai i ka hoʻonāukiuki i nā keiki a me nā wā'ōpiopio i hōʻemi ʻia i nā pae aʻe.
Loaʻa iā ia kahi meaʻai kaulike, ka nānā ʻana i ka meaʻai i ka hora a me ke wehe ʻana i nā meaʻai maikaʻi a me nā mea inu mai ka papa inoa.
Hāʻawi ia i kahi ola olakino, hoʻonaʻauao kino, haʻuki a me nā pāʻani o waho, ka mea paʻa o ka noho ʻana ma mua o kahi kamepiula a i ʻole ka TV.
I ke ʻano o ke keiki, nui ke ʻano noʻonoʻo i kona ʻohana. Hiki i kahi ʻōpiopio maʻa mau ke kaumaha i ke kaumaha, kahi e hoʻonāukiuki wale ʻia ai ka hele ʻana o ka maʻi. No laila, he mea nui nā kākoʻo a me kahi kūlana maikaʻi o nā mākua. ʻAʻole wale nā ʻōlelo aʻoaʻo i ka mea e hana a pehea, akā, ʻo ke hoʻoikaika ʻana me nā hoʻohālike pilikino.
He pilikia koʻikoʻi loa ka ʻōpiopio. ʻO kēia maʻi ka maʻi pono e hoʻopaʻa iā ia iho i ka wā ʻōpio a pākeke. Pono e nānā pono nā mākua i ke keiki a pono hoʻi iā ia e mālama i ke ʻano kūpono. ʻAe, ʻo ia ke kī i kona palekana a olakino maikaʻi.
Aloha kākou kela poʻe, ʻO Olga Ryshkova wau. ʻO ka mua, hoʻoholo i kahi hoʻolālā. ʻO ka hoʻolālā no ka mālama ʻana i ka momona o nā keiki a me nā ʻōpio a me nā mea hou aʻe nei;
1. Mai hana hōʻino.Pono ka palekana e mālama ai i ka olakino olakino a me ka noʻonoʻo o ke keiki.
2. Pono ke koi haʻahaʻa haʻahaʻa-calorie e koi ka hoʻonohonoho ʻana me ke kauka a me ka mālama kiaʻi.
3. Pono ka mea hoʻohui i ka meaʻai, nā hopena hana a me nā hana kino. ʻOi aku ka maikaʻi o kēia ma mua o ka maʻi unidirectional (no ka laʻana, ʻo ka ʻai wale nō).
4. Inā ʻaʻole ke kumu o ka momona, ʻaʻole i pau ka nui o ka calorie, ʻaʻole pono ʻoe e hilinaʻi i ka hoʻomākaukau ʻana i ka lāʻau lapaʻau. I kēia lā, ʻaʻohe hopena kūpono o ka hopena a me ka palekana o nā lāʻau i hoʻohana ʻia e mālama ai i ka momona o nā keiki. Hoʻohālikelike ia me nā pākeke, ka nīnau no ka ʻaʻole o ko lākou hopena lōʻihi i ka lawe ʻana i ke kaumaha, akā, ʻo ka hoʻokumu ʻana i nā hoʻopiʻi a me nā maʻi concomitant ʻaʻole i aʻo ʻia. E noho mākou i ka lāʻau lapaʻau i kahi haʻahaʻa loa.
5. Mākaukau ka ʻohana āpau no ka hoʻomaka ʻana o nā hoʻololi a loaʻa i kahi hana i loko o lākou. Paipai ka makua i ke ʻai ʻana i ka meaʻai a hoʻomaʻamaʻa i ka ulu ʻana o ka hoʻomaʻamaʻa ʻana.
6. Pono ʻoe e mākaukau no nā pilikia a mai haʻalele. ʻAʻole wau makemake e huhū iā ʻoe, akā e like me nā helu honua, ʻo 10-15% wale nō o nā keiki a me ka ʻōpio ua pau ka paona, ʻo ka koena paha e noho ma ka pae o ka nui, a hoʻomau paha e hōʻiliʻili. Ua mālama nā mākua.
Hoʻopau i ka lāʻau lapaʻau a me ka regimen hoʻomaʻamaʻa ke ʻano o ka mālama ʻana no nā keiki me ka momona.
Meaʻai no nā keiki a me nā'ōpiopio i ka momona a me nā momona paha e haʻahaʻa loa i nā momona kāʻai a me nā momona holoholona, kiʻekiʻe i ka momona a me nā nui o ka waiora. Hoʻolālā ʻia no kahi lōʻihi loa a ʻaʻole pono ia e pale i ka ulu kino a me ka noʻonoʻo o ke keiki. No ka mālamaʻana i ka momona o ke kaupaʻa ʻana, e hoʻohana pinepine nā ʻāina post-Soviet i ka papa ʻaina kīkē.
He aha ke ʻano o ke ʻano maʻi no nā honu?
Ua hoʻoholo ʻoe e hana koʻikoʻi me ka mālama ʻana i ka momona o kahi keiki. No laila ua hele wale ka lele i kāu mau manaʻo. Ke hopohopo nei ʻoe i kona olakino a me kāna mau hoa. ʻO ka hana aʻe, pono ʻoe e hana i nā mea āpau e hoʻoikaika i ke keiki e nalowale i ke kaumaha. E hoʻomohala i kahi ʻano o ka koi ʻana e paipai iā ia e hana i nā pae mua, hana i kekahi "koa". Pēlā e hoʻokae ke keiki i ka ʻōnaehana o ka hana kino a me ka mea pono a ʻaʻole pono e "dive" i loko o ka friji i kāu waiho ʻole.
ʻO ka make ʻana ke kumu o ka hoʻokuʻu ʻana o dopamine - ka momona o ka leʻaleʻa. E hoʻololi i ka leʻaleʻa o ka ʻai me nā leʻaleʻa ʻē aʻe e like me kou makahiki a kau i kou ʻohana ma loko. ʻO ka hali ʻana i kahi ʻano hou e pono ai me ka ʻole o ka pale ʻana o ke keiki a i ʻole nā ʻōpio.
Pono au e ʻōlelo ka hana ʻana o ka lāʻau lapaʻau me ka pilikia nui o ka ʻōpio i nā makahiki he 13 o ka makahiki. Paʻa nā kamaliʻi i ke ʻano hana, a me nā ʻōpio ua ʻoi aku ka paʻakikī.
Ke hōʻuluʻulu nei - pono e hoʻokomo i nā mea e hoʻōla ai i ka hoʻoulu ʻia e hoʻokō i ka pahuhopu a me kāohi ponoʻī e ke keiki a i ʻole ka ʻōpio.
ʻO nā huaʻehā a me ka momona.
ʻO ka palaka Hallyʻo i ke kumu o ka momona o nā keiki a me nā wā'ōpiopio, ʻaʻole maʻamau ka mea, akā ʻike ia. Ua lawe ʻo Mom i Sasha 15-makahiki makahiki i kā mākou keʻena ma hope o ka hakakā ʻana me kona makemake a hoʻohuihui ʻia e ka friji. Ua hōʻike ʻia ka hoʻokolohua nei i ka palu o nā kaila adrenal, kahi kiʻekiʻe o ka insulin (hyperinsulinism), kahi i mālama ai i ka glucose i ka haʻahaʻa haʻahaʻa a hoʻoiho i ka makemake o ka "wolf" ma Sasha.
Ua lōʻihi wau i ka nānā ʻana i ke kumu o ka "ʻai nui" a "ʻai i kahi liʻiliʻi" he kumuhana nui loa ia. A eia naʻe, inā ʻai nui kāu keiki a ʻaʻole hiki iā ʻoe ke hana i kahi mea e pili ana iā ia a ʻo kāu mau hoʻāʻo e hōʻemi i ka helu calorie he aneane, ʻaʻohe e ʻike i kāu keiki.Ua kākau wau e pili ana i kēia ma ka ʻatikala "He aha nā haki e hoʻohāʻau ai i ka loaʻa ʻana o ka ʻōpiopio i kahi keiki", ʻaʻole wau e haʻi.
E pili ana i ka mālamaʻana i nā lāʻau lapaʻau.
Hoʻomaka wale ʻia ka hoʻomākaukau ʻana i ka lāʻau lapaʻau e nā kauka. ʻO nā maʻi no ka mālama lapaʻau he kaumaha nui loa, nā hōʻailona o ka hyperinsulinism, ka hoʻomanawanui i ka hoʻohaʻahaʻa glucose. Maʻa iki nā lāʻau lapaʻau e hiki ke hoʻohana ʻia ma ka mālama ʻana i nā keiki hānai.
ʻO ke paahana wale nō i hōʻoia ʻia ia he palekana i ka wā i hoʻohana ʻia ai i nā keiki mai kahi o ka ʻike ʻana o ka honua kaiaulu ʻo Metformin. Hoʻohana ʻia ia ma ka hihia o ka hoʻāʻo ʻia i nā pahuhopu peʻa a i ʻole type 2 diabetes. Hōʻoiaʻiʻo ʻia ka hopena a me ka palekana o kona hoʻohana ʻana e nā mea loea.
ʻO kēia manawa, ua hōʻike lākou i ka hoʻohana pono ʻana o nā lāʻau lapaʻau homeopathic i nā keiki e hoʻopilikia i nā kikowaena o ka pōloli a me ka momona, akā, ʻaʻohe ʻike kūpono kūpono i ke kahua o ka honua e pili ana iā lākou.
No ke aha ʻaʻole e hōʻole ʻia ka mālama?
ʻAʻole hiki iā ia ke manaʻolana i ka hoʻokō ʻana i kahi wā'ōpiopio nona nā mākua iho e ʻai i nā meaʻai kiʻekiʻe. Inā ʻaʻole hoʻonohonoho ka makuahine i nā pāʻina olakino i ka lā o ke kula, ke "pōmaikaʻi ʻo ke keiki" no kēia ma ke kūʻai ʻana i mau keke, nā kuki, nā kuki, ka pīkoi a i ʻole, nā mea e ʻai ai ka sandwich.
Hoʻohui ʻia kēia mea i ka manaʻo maikaʻi ʻole o ka poʻe hoa ʻōpio - ʻo ke kaumaha ma ke kumu no ka huhū, a pili i nā ʻōpio e hoʻāʻo ʻole e kū i waho a hilahila e ʻai “ʻaʻole i nā meaʻai e like me nā poʻe āpau” (ʻo ia hoʻi, nā kīwī, mau keke a me nā mea hou aʻe). i nā papa hoʻonaʻauao kino ma ke kula, ʻaʻole ʻoe e komo i ka haʻuki pāʻani ma hope o nā papa.
Hoʻopili kēia i ka hoʻokaumaha iā ʻoe iho i nā wā'ōpiopio, e lilo i kumu o ka hopohopo i ke kaumaha kaumaha a wehewehe i ka ʻoiaʻiʻo o kahi laʻa o ka hoʻowalewale ʻana i ka nalo ʻana o ke kaumaha. ʻO kēia ka hana ma ka ʻaoʻao o nā mākua e hōʻike ana i ka nele o ka mākaukau no ka mālama pono ʻana i ka ʻōpiopio i nā keiki a me nā ʻōpio a alakaʻi i ka hana ʻike ʻole.
No laila ke komo nei kāu keiki i ka 10-15% o ka hoʻōla ʻia o ka momona.
Pehea e ho'ōla ai i ka momona o nā keiki a me nā wā'ōpiopio me ka ʻoluʻolu o ka manaʻo noʻonoʻo mai ka ʻohana, ka ʻano maikaʻi ʻole o nā ʻōnaehana, ka nele o nā meaʻai kūpono i ke kula a me ka loaʻa o nā papa hoʻonaʻauao kūlohelohe kūikawā, ka nele o nā loea loiloi kūpono ma ka wahi o ka noho e hiki ke kōkua me ke koho i nā huahana, ka hoʻoponopono regimen, a hoʻolako i ke kākoʻo psychological?
ʻO kou hoʻowalewale hao wale nō i kāu keiki e ulu ai i ke olakino maikaʻi, ʻaʻole ke keʻaʻa ʻia me ka atherosclerosis, nā huhū naʻau, hypertension a me ka maʻi diabetes, e kōkua iā ʻoe e lanakila i nā mea āpau a loaʻa kahi hopena kūpono. E aʻo nō ʻoe i ke ʻano o ka ʻai ʻana, e hōʻemi i ka nui o ka hopohopo i kāu keiki a nānā i ka kākoʻo o nā ʻohana. E kūleʻa ʻoe.
ʻO ka maʻi huakaʻi o ka momona
Ke hoʻohana ʻia nei nā hana diagnostic:
- kino kikoʻōlelo
- nā ana uila o ka adipose a me ka non-adipose kiko i loko o ke kino,
- ke ana ka paona
- ka nui o ka momona subcutaneous,
- hōʻike koko - hoʻohana i kahi maʻi e hana i ke ʻano o ka nui o ke kaumaha.
Aia i nā hopena, hiki i ke kauka ke hana i kahi hopena e pili ana i ka hele a ʻole i loaʻa mai ka maʻi. Kōkua i ka hoʻonāukiuki i nā keiki a me nā wā'ōpiopio i ka mālama pono ʻana i nā hana maʻamau o ke kino i ka wā ʻelemakule a me ka ʻelemakule.
Hoʻohana ʻia
I kekahi mau pilikia, ʻaʻole mālama ʻia ke kaupaona momona ʻoiai me ka mea eʻai pono ai a me ka hoʻoikaika kino e kūpono ai. I kēia hihia, hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau kūpono e hāʻawi ana i ka hoʻolilo ʻana. Pono ke ʻalo ʻana o ka momona a me ka maʻi diabetes inā he maʻi maʻi maʻi ka mea maʻi.
Inā ulu ka mea maʻi me ka huakaʻi i nā maʻi o ka ʻōnaehana cardiovascular, ka ʻeha ʻana a me ka musculoskeletal system, pono pono e lawe i nā lāʻau lapaʻau i hoʻoponopono mua i kēia mau pilikia. Pono e hoʻohana pū ʻia ka hoʻohana ʻana i ia ʻano lāʻau me kahi loli i kou nohona maʻamau, a, inā pono, me ka hoʻohana ʻana i nā lāʻau lapaʻau e hōʻeuʻeu i ke kaumaha.
Hoʻole ʻia ia ke koho a lawe i nā lāʻau lapaʻau no ka hoʻoluhi ʻana i ke kaupaona ʻole me ke kūkā ʻana me ke kauka. ʻAʻole hāʻawi nā huahana hoʻolaha i ka hopena i makemake ʻia, a me nā lāʻau lapaʻau e pono ai e kuhikuhi wale ma hope o ka hoʻomaʻamaʻa ʻana e ke kauka akamai. Ma muli o ka nui o nā contraindications a me nā hopena o ka hopena, pono e mālama ʻia nā lāʻau like ʻole ma lalo o ka mākaʻi ʻana o ke kauka i kahi ʻano hoʻohala.
ʻO nā hopena o ka uluna kikoʻī
Inā ʻaʻole ʻoe e hōʻoia i ke kumu o ka nui loa o ke kaumaha ma ka manawa a hoʻomaka i ka mālama ʻana i ka pohō i ka manawa, hiki mai nā hihia koʻikoʻi. Pono ka pale ʻana i ka hoʻonāukiuki i ka wā ʻelemakule e pale i ka hopena o nā maʻi concomitant a me nā kūlana, e like me:
- nā maʻi o nā pūpū a me nā iwi,
- koko koko kiʻekiʻe
- nā maʻi ʻāpana a me nā ʻōpū
- nā wahi hiamoe hiamoe
- manaʻo ʻino
- hoʻonui i ke kolamu,
- makika
- nā mea ʻai ʻai
- maʻi maʻi
- maʻi maʻi maʻi
- make mua.
ʻO ka kaupaona hōʻemi maikaʻi ʻole e hoʻopilikia i ke kūlana maʻamau o ka mea maʻi a me kona olakino. ʻO ka momona o ke kino, ʻoi aku ka paʻakikī e ʻoi aku ka paʻakikī o ke kino i ka hana. Hōʻalo nā kaʻina hana a me ka hanu, ka hoʻoweliweli ʻana, ka holo ʻana o ke koko, ua hoʻemi ʻia ka hana o ka lolo, ua ʻike ʻia nā maʻi o ka wahi hoʻomehana a me nā hana hoʻohālikelike.
Meaʻai no ka momona
I ka hoʻonāukiuki, kuhikuhi ke kauka i ka mea maʻi i kahi mea lapaʻau e mālama ana i nā makemake o ke keiki a i ʻole ka pākeke a hana i kahi meaʻai hou. Pono e pale i ka hoʻonāukiukiʻana i nā ʻōpiopio i kahi mea noʻonoʻo me ka hui pū ʻana me nā ʻōlelo loiloi kumu. ʻO nā mea nui a me nā ʻōlelo koʻikoʻi e:
- ka palena o ka hoʻohana ʻana i nā momona, ka palaoa a me nā meaʻai kiʻekiʻe, nā meaʻai maʻalahi, nā kīpī, nā kīʻaha, nā meaʻai kiʻekiʻe i ke kō,
- ka hoʻohana ʻana i nā huahana skim dairy,
- ʻO ke kumu o ka meaʻai maʻamau i kēlā me kēia lā e pono i nā lau momona a me nā hua.
- ʻoi ka ʻiʻo a me nā iʻa i makemake ʻia nā momona momona, steamed, hoʻomoʻa ʻia a kope ʻia paha,
- ka palena o nā meaʻai kiʻekiʻe i ka sodium,
- hoʻemi i ka nui o nā kalapika (ref), palaoa, ʻona,
- ʻai i ka manawa like
- e noʻonoʻo e ʻai i ka ʻaina kakahiaka
- hoʻololi i nā mea inu me ka wai maʻemaʻe a inu i nā lita 2-3 i kēlā me kēia lā.
Pono e kūʻai pono i nā huahana olakino a kuke i ka home. Me ka hoʻomohala ʻana i ka momona nui, ʻaʻole e hāʻawi kēia mau ʻōlelo i ka hopena maikaʻi, e koi pono ia i ka mālama paʻa ʻana e nā mea kanu meaʻai a me ka meaʻai paʻa.
Hoʻopuka kino kūlohelohe i ka momona
Hōʻikaʻi i ka hopena o ka meaʻaiʻaiʻai e hāʻawi i ka hoʻomaʻamaʻa liʻiliʻi. Pono e koho i ke kōpaʻa maikaʻi loa i ke ʻano ʻole o ke kino. Inā ʻaʻole, e paʻakikī loa ana ke hoʻowalewale iā ʻoe iho i nā papa. Pono kaʻuhane ke hāʻawi i ka lewa a me nā manaʻo maikaʻi.
Pono e pale i ka hoʻonāukiuki i nā keiki me ka hoʻohaʻahaʻa ʻana i ka manawa i hoʻolilo ʻia ma kahi kamepiula a TV paha i 1-2 mau lā i ka lā. ʻO ke koena o ka manawa e pono ai ʻoe e hoʻoikaika, hele i nā hui haʻuki a hoʻomaʻamaʻa paha ma ka home, ʻoi ʻole ka hoʻomaʻemaʻe e hoʻomaʻemaʻe i ka hale, joging ,ʻauʻau a hōʻoluʻolu paha. Ua koho nā mea āpau i nā papa i ko lākou makemake.
Hoʻopili: hoʻomaʻemaʻe a me ke kāohi
Pono e mālama pono i ka maʻi maʻi. Ma kēia hihia, ke nānā i kahi meaʻai, ke ola ikaika a me ka hiamoe maikaʻi ka mea e hoʻolaʻa i ka paona a hoʻihoʻi i ka ʻano i makemake ʻia i ke kino.I nā hihia liʻiliʻi, hiki i ka lāʻau lapaʻau hōʻemi ka nui a me ka ʻoi paha i ka wā e hana ai ka hōʻemi ʻana i ka nui o nā ʻōpū.
I mea e pale ai i ka hoʻomohala ʻana o ka momona, pono ʻoe e pili i nā kī koʻikoʻi:
- hāʻawi maikaʻi i ka meaʻai olakino a ʻaʻole i ʻai i nā mea e pono ai no ka hana piha o ke kino.
- alakaʻi i kahi ʻano ola - inā he luhi ka hana, a ma kāu manawa maʻamau ʻoe e hele ai i nā haʻuki, e hele hoʻi i ka lewa hou,
- he mea nui e loaʻa i ka hiamoe kūpono a pale aku i nā kūlana koʻikoʻi e hiki ai ke hoʻonāukiuki i ka metabola a i ʻole nā hopena endocrine gland.
E hahai i nā lula āpau e pale ai i ka momona. ʻO nā kumu, ke pale ʻana a me ka mālama ʻana i ka momona o nā Frole e pili i ka pili a i ke hoʻololi ʻana i ke ʻano o ke ola a hoʻi i ka nui o ke kino.
He aha ke ʻano o ka ʻōpiopio?
No laila, kapa ʻia nā ʻōpiopio i kahi kūlana i hoʻonui ʻia ai ke kaumaha o ko lākou kino ma o lākou mau hōʻailona. ʻO kēia pilikia ka mea ma o ka ʻano hana maʻalahi, ka pōʻino, kekahi mau kumu noʻonoʻo a i ʻole nā hoʻonāukiuki hormonal. ʻOi aku ka maikaʻi o ka poʻe o ka poʻe momona ma mua o ke kamaliʻi, ʻoi ʻia ka myocardial infarction, a me ischemia cardiac.
Nā kumu o ke kauā ʻana i nā keiki a me nā ʻōpio
Ke hoʻolauna nei i ke kaumaha kino kino ma muli o nā kumu like ʻole. Ma muli o lākou, ua hoʻokaʻawale ʻia nā mea koʻikoʻi ʻelua:
- Alimentary. I kēia hihia, ʻoi aku ka nui o ke kaumaha o ke kino he hopena o ka nohona noho maikaʻi ʻana a me nā meaʻai pono ʻole.
- Endocrine. ʻOi aku kahi koʻikoʻi. Me ia, kū mai nā pilikia koʻikoʻi ma muli o ka metabolic syndrome, nā maʻi o nā kelepa adrenal, nā kaila thyroid a me nā ovaries i nā kaikamahine.
Hiki wale i ke kauka ke hoʻomaopopo i ke kumu pilikino e pili ana i ke ʻano loiloi, kamaʻilio pū me ke keiki a me nā mākua a me nā kula ʻē aʻe. ʻO ka uluʻana o nā keiki i nā ʻōpio e ulu ma muli o nā ala e like me:
- ʻĀpilima. ʻAʻole kēia ke kumu maʻamau, no ka mea inā me kahi predisposition genetic, koi nui ka meaʻai nui no ka loaʻa nui.
- ʻOha momona homenital. ʻO kēia ka poʻe i hānau ʻia ma ke kaupaona ʻana ma mua o 4 kg. Hōʻike ʻia kēia ʻano ma kahi o 1% o nā hihia.
- Haki i ka meaʻai. ʻO ke kumu maʻamau ka loaʻa ʻana o ka paona. ʻAʻoleʻai ka mea maʻi i ka manawa like, a ʻo ka papa ʻaina i nā meaʻai maikaʻi ʻole.
- ʻO ka nele o ka hoʻoikaika kino. Ke hiamoe lōʻihi nei i ka lā, ke noho nei i nā pāʻani, e nānā ana i ke TV a i ʻole ke hele ʻana i ka kamepiula i mea e loaʻa ai ka momona.
- Hypothyroidism Ma kēia maʻi e alakaʻi ai i ka nele o ka iodine i loko o ke kino, ke kumu nei ka hopena o ka endocrine. Hāʻawi kēia ʻano i ka hoʻonui ʻana i ke kaumaha o ke kino.
- Nā maʻi i loaʻa. ʻAʻole wale nā kumu genetic e alakaʻi i ka lawe nui. Hiki iā ia ke kūʻē i ke ʻano o:
- meningitis
- ʻĀnana Prader-Willi,
- hoʻopili encephalitis
- ʻOhi ka maʻi Cohen
- ʻO ka wili o Ischenko-Cush,
- nā lolo ʻōpū.
ʻO ka paona a me ka pakuhi kiʻekiʻe
80% o nā keiki ua loaʻa kahi papa mua a me ka lua. No ka hoʻoholoʻana i ke ʻano o ke alapine, pono ʻoe e ʻike pololei i ka paona. Hoʻohālikelike ka koʻikoʻi o ke kaupaona kino me nā waiwai maʻamau, ka mea i hōʻike ʻia i ka papa waena. Loaʻa he mau helu he hoʻokahi. ʻO ka mea mua, ʻo ke kaupaona awelika, e pili ana i ka makahiki - mai 1 makahiki 3 mau mahina a hiki i 17 mau makahiki. Hoʻopili ia, ke hōʻike ʻia nei ka ʻano o ke kaupaona kino, ma loko e hiki ai iā ia ke loli me ka hōʻeha ʻole i ka olakino. Ma waho aʻe o ke kaupaona, ʻo ka papa o ka centile ka nui hoʻi o ka nui o ka ulu ʻana no kēlā me kēia makahiki a me ka wā o nā hōʻailona olakino.
Hoʻomaʻi o nā ʻōpū o ʻApeline i ka wā'ōpiopio
ʻO ka pae mua a me ka koʻikoʻi o nā ʻōpiopio i nā wā ʻōpiopio he mau hōʻailona maʻamau, ʻo ia hoʻi nā hōʻailona hōʻailona o kēlā me kēia ʻano. ʻIke ʻia ka mea nui me ka maka ʻōhū - ʻo ia nā ʻōhumu kino nui ma muli o ke ake nui o ka momona, e like me ka ʻike ma ke kiʻi. ʻO nā hōʻailona o ka momona momona i loko o nā ʻōpiopio:
- ʻaʻano pōkole
- koko koko kiʻekiʻe
- nele i ka makemake i ka hoʻoikaika kino,
- nā momona momona i nā wahi ʻokoʻa o ke kino.
Hōʻike ʻia nā hōʻailona o ka endocrine i waena o nā pilikia me ka nui o ka gland thyroid, ovaries, a me nā kumulima adrenal. ʻO nā hōʻailona o kēia kūlana:
- mea momona maikaʻi ʻole
- mau ʻeke ma lalo o nā maka
- nāwaliwali
- hiamoe
- mea momona
- maloʻo maloʻo
- maikaʻi ka hana i ke kula
- constipation.
Ke hoʻonā nui ʻia ka momona ma ke poʻo, hiki iā ia ke hōʻailona o kahi ʻōlo. E kū'ē i ke ʻano o kēia pilikia, hiki ke ʻike ʻia nā hōʻailona like ʻole:
- gynecomastia - he hoʻonui i ka nui o nā kūmole momona i nā keikikāne a me nā kaikamahine,
- ʻO ka galactorrhea - ka hoʻokuʻu ʻana o ka waiū mai nā laumalia kālā,
- kuʻe ʻana o ke ʻano o ke kāne kāne,
- development lag lag i ka wā ʻōpiopio.
ʻO ka pōpilikia i kau ka momona ma kahi keiki
ʻO ke kaumaha koʻikoʻi ma kahi keiki e hiki ke hana i nā maʻi i ʻike ʻole ʻia i ke wā kamaliʻi. ʻaʻole lākou e pōʻino i ka maikaʻi o ke ola, akā e hōʻemi ana i kona lōʻihi. No kēia kumu, ua manaʻo ʻia ke kuʻuna i ka wā ʻōpiopio i ke ala he mea kino. Hiki ke pilikia i nā ʻōnaehana ʻokoʻa. ʻO ke ahonui i nā kaikamahine e hoʻonāukiuki i ka hopena o ke kāne. Ma muli o ka emi ʻana o nā pae progesterone, hiki i nā pilikia kuhihewa e ulu a hiki i ka wā e hiki mai ana.
Nā hopena a me nā hopena
ʻAʻole wale ke olakino, akā luhi hoʻi ka olakino noʻonoʻo i ka momona nui. ʻO nā mea hoʻowahāwahā o ka poʻe kau, ke ʻole ka leʻaleʻa me ka manaʻo pilikino a me nā ʻike mau loa e alakaʻi i ke kaumaha mau loa, kahi e hoʻonui wale ai i ke kūlana a alakaʻi i ka noho kaʻawale. Nui nā ʻōpiopio e ulu i nā wāwae palupalu, posture maikaʻi, scoliosis a me nā arthrosis. Hoʻohui pū me kēia mau pilikia a me nā pilikia o ka noʻonoʻo, nā kumu momona keu nui o ke kino:
- ʻO ka maʻi Cardiovascular. ʻO ka maʻi hypertension, atherosclerosis, kūleʻa o ka naʻau paʻakikī, ka hoʻokaʻawale ʻana ka angina pectoris ma aneʻi.
- Nā kuʻuna o nā iwi a me nā hui. Hoʻopili kēia i nā deformities skeletal, wāwae wāwae, scoliosis, ʻeha like pū.
- Nā maʻi Endocrine. I ka hihia o ka mahu o ka insulin, ulu nā ʻano maʻi type 2.
- Nā maʻi ʻiliā. I kēia hui, ua ʻike pinepine ʻia ka constipation, cholecystitis (ka maʻi ʻaole o ka puhopu), ʻo ka pancreatitis (ka mumū o nā pancreas). Ma muli o nā waihona momona i loko o ka ate, ulu ka lipid hepatosis.
- ʻO nā maʻi noʻonoʻo. ʻO nā ʻōmumu ma kēia māhele he haunaele hiamoe, nā maʻi apn moe hiamoe (ʻoi aku ka hanu), nā maʻi noʻonoʻo psychosocial.
ʻO ka ʻikepili o ka ʻike pēpē
I mea e hoʻoholo ai i nā kumu kumu o ka pilikia o ka nui o ka paona, hoʻomaka ke kauka me ka hoʻokolokolo. Kālele ʻo ia i nā mākua e pili ana i ka meaʻai. E pili ana i nā pēpē hou, pono ka ʻike loea e ka mea e pili ana i ka hānai ʻana a hiki i ka makahiki. E pili ana i nā keiki makua, pono ke ʻike e ke kauka e pili ana i kā lākou ʻai, ke ʻano kino, ka pae kino o ke kino kūlohelohe a me ka hele mai o nā maʻi maʻi concomitant.
ʻO ka helu ʻana i ka ʻike anthropometric a me ke ka helu BMI
I ke helu BMI, pono ʻoe e ana i ke kaumaha o ke kino a me ke kiʻekiʻe. Lawe ʻia ka waiwai mua i kilogram, ʻo ka lua - m. Ke kiʻekiʻe no ke hoʻololi ʻana i ke ʻano. A laila, pono e hoʻokaʻawale ʻia kēia waiwai e ka paona kino i nā kilogram. Kuhi ka ʻōiwi BMI maʻamau - ke kaupaona (kg) / kiʻekiʻe pahu (sq.m). Inā hoʻohālikelike ʻoe i ka BMI helu helu a me nā kumu helu maʻamau, hiki iā ʻoe ke koho i ka hele ʻana o ka momona i kahi ʻōpiopio.
ʻO ke kūleʻa Bioelectric
ʻO kēia ke ala o bio-impedance kaʻina, ʻo ia kahi ana o ka mānoanoa o ka ʻili o ka ʻili e pili ana i ka kiko o adipose. Aia ia ma ka māhele o non-invasive a maʻalahi loa. ʻO ke ʻano ponoʻī ia e kau ʻia ma ka ʻoiaʻiʻo o nā ʻāpana ʻokoʻa o ke kino ma ko lākou ala ponoʻī e hiki ke hana i kahi o nā kahe ʻalohi nāwaliwali. I ka wā o ke kaʻina hana, ua kuhikuhi pololei ʻia ka hapa pakeneka o ka wai, ʻoiai ʻo ka momona ka hoʻoholo ʻana me ka ʻole. ʻO nā helu paepae no ka maʻi maʻi he 95 mau keneta.
Nā diagnostic Laboratory a me ka ʻimi noiʻi
E hōʻoia ka hope o ke kumu o ke koʻikoʻi i ka wā'ōpiopio, ke kauka nei ke kauka i nā mau haʻawina hou. ʻO kā lākou papa inoa ka pae o kēia kaʻina hana:
- Hōʻike koko koko biochemical. Hōʻike ia i ka pae o ka glucose, cholesterol a me ka triglycerides, ka nui o ka hoʻonui ʻana i ka hiki i ka maʻi diabetes a me ka atherosclerosis. I ka hoʻoholo ʻana i ke kalona, hiki i ka mea mākaukau ke hana i ka hopena pili i ke ʻano o ke akeʻa.
- Nā hoʻāʻo a me ka hoʻāʻo ʻia no ka hormone. Ua kuhikuhi ʻia e ke kauka i kahi hihia o ka mea i hopohopo i ke ʻano endocrine o ka nui o ke kaumaha o ke kino. Ma ka hihia o ka hypothyroidism congenital i loko o ke koko, ua ʻike ʻia kahi hōʻemi o ka nui o nā hormone thyroid.
- Ka hoʻohana 'ana i ka resonance résonance (MRI) a me ka tomography compute (CT). Pono kēia mau kaʻina hana inā he kānalua i ka manawa e loaʻa ai kahi kelepona pituitary i loko o ke kao a me nā maʻi ʻē aʻe.
ʻO ka lāʻau lapaʻau
He mea nui e aʻo i nā contraindications a me nā hopena ʻaoʻao ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, no ka mea he nui nā lāʻau lapaʻau i pāpā ʻia i nā ʻōpio. Hoʻokahi wale ke kauka i kahi lāʻau lapaʻau. Hiki i ke kauka ke kuhikuhi ʻia:
- ʻO Orlistat - ʻae ʻia mai ka makahiki 12,
- Metformin - i hoʻohana ʻia mai nā makahiki he 10,
- Phentermine - pilikia o ke koko kiʻekiʻe
- Fluoxetine - hōʻike i kahi hihia o nā apnea nocturnal a me bulimia.
Kōkua psychological
Hoʻohālikelike ka poʻe'ōpiopio e ka mea a lākou e ola nei i kēia manawa, no laila, ʻo ka mea e hana nei i kēia manawa he mea nui aku iā lākou. I ia mau kūlana, pono ia e wehewehe i ka hopena o ka ʻōpiopio i ko lākou ola ma hope, ma hope o 10 mau makahiki. ʻOi aku ka maikaʻi o ka hoʻomaopopo ʻana i nā ʻaoʻao maikaʻi ʻole o ke kaupaona ʻana ma ka hōʻike ʻana i ke keiki me nā kūlana kūikawā. Aia kekahi mau laʻaupō maʻalahi e hoʻolako i ke keiki i ke kākoʻo psychological:
- e hana pū i kahi papa kūʻai, e hoʻopili wale i nā huahana pono i laila,
- ʻoliʻoli me nā huaʻōlelo - "E kau ko luna kaupaona ma luna o ke ʻano i kēia manawa, akā ke hana nei mākou i kēia pilikia a paʻa paha".
- wehewehe aku i ka pāʻani i ka hana hana, ʻaʻole ia he hana, akā he manawa ʻē aʻe nō hoʻi e leʻaleʻa i kahi nohona, no laila e hiki ke koho i nā mea āna e makemake ai,
- e wehewehe he mea ʻole ka hoʻowahāwahā o ka poʻe ʻōhua, no ka mea ʻoi aku ka nui o ka ʻike ʻana o ke kanaka iā ia iho, ʻaʻole i nā manaʻo o ka poʻe ʻē aʻe, akā pau ka hōʻike ʻia ʻana mai ma ke ʻano hoʻohālike, akā i ke ʻano o ka kāhea ʻana i ka inoa.
- hoʻoholo i ke kuleana o nā mea uila i ke ola o kahi keiki, e wehewehe e noho ma hope o lākou no ka manawa lōʻihi e hoʻopalike ai i ke olakino, a no ka manawa lōʻihi ka hana ʻana i ka mea like e hoʻemi ana i ka leʻaleʻa o kēlā ʻano hanana.
ʻO ka pale ʻana i ka maʻi
ʻO nā hana e pale ai i ka ʻōpiopio i nā wā'ōpiopio ua like like ia me ka mea o ka mālama ʻia ʻana. ʻO nā hana nui ka meaʻai a me ka hana kino. He mea nui ia mai ka wā liʻiliʻi e hoʻomaʻamaʻa i ke keiki i ka mea e pono ai ke olakino a hiki i kona wā ʻōpiopio ke ʻike iā ia. Pono ka hele ʻana i kēlā me kēia lā i ke aniani hou, nā pāʻani a i ʻole nā haʻuki e hele i ke ʻano o ke ao no nā keiki a pau. ʻO ka pale ʻana i ke kauā ʻana i nā keiki ma loko o ka kaohi ʻana i ke kūlana ʻona, keu i nā wā ʻōpio. No ka hana ʻana i kēia, pono pono ʻoe e kamaʻilio pinepine me ke keiki, e makemake i kona ola a me nā pilikia.
ʻO nā mākaʻikaʻi ma nā keiki a me nā wā'ōpiopio: ke kiʻi, ka mālama a me ka pale ʻana o nā pilikia. ʻO nā meaʻino a me nā keiki a me nā keiki: nā kumu a me nā mālama ʻana
- ka hopena o ka metabola maʻi, i hele pū me ka lawe nui ʻana i ka kiko adipose ma ke kino. Hōʻike ʻia ka nui o nā maʻi i nā keiki me ka hoʻonui nui o ke kino a me ka neʻe ʻana i ka hoʻomohala ʻana o ka constipation, cholecystitis, hypertension arterial, dyslipidemia, insulin resistance, the genital gland disfunction, arthrosis, flat feet, sleep apnea, bulimia, anorexia, etc. ka paona kino, BMI a me ka nui o nā hōʻailona maoli ma luna o nā mea i koi ʻia (e like me nā papa o ka centile). ʻO ka mālama ʻana i ka hoʻonāukiuki i nā keiki me ka mālama ʻana i ka ʻai, nā hana kino pilikino, psychotherapy.
I kekahi manawa he hōʻike mōʻaukala keiki i kahi pilina ma waena o ka momona a me nā ʻano luhi o waho: ke komo ʻana i ke kula, he ulia, ka make o nā hoahānau kāne, etc.
Nā hōʻailona o ka luhi i nā keiki
ʻO kahi hōʻailona nui o ka momona o nā keiki he hoʻonui i ka momona o ka momona subcutaneous. I nā keiki ʻōpio, hiki ke hana paha i nā hōʻailona o ka nui o ka momona lohi, kahi lohi i ka hoʻokumu ʻana i nā loea motor, ka hū ʻana i ka constipation, ʻano kūlohelohe, a me nā maʻi maʻi.
Me ka momona o ka alimentary, ua nui ka momona o nā keiki ma ka ʻōpū, ka pelvis, nā hips, ka ʻili, ke kua, ka maka, nā luna o luna. I ke kula kula, ʻaʻohe pōkole o nā keiki nei, hoʻoneʻe i ke ahonui i ka hoʻohaʻahaʻa, a me ke koko kiʻekiʻe. I ka wā puberty, ua ʻike ʻia he hapahā o nā keiki me ka metabolic syndrome, kahi ʻano i ka ʻōpū o ka maʻi, ka maʻi hypertension, kū'ē i ka insulin a me ka dyslipidemia. E pale aku i ke kua o ka momona, e hoʻomohala pinepine nā keiki i nā maʻi metabolic o ka uric acid a me ka nephropathy dysmetabolic.
Hoʻomaka ka ʻōpiopio ma nā keiki i ke kua o kahi maʻi alakaʻi a hui pū ʻia me nā hōʻailona maʻamau o ka hopena. No laila, me ka hypothyroidism congenital, hoʻomaka nā keiki e paʻa i ko lākou poʻo, e noho ana a hele, hele ka manawa hoʻāno i kā lākou manawa. Hoʻomau pinepine ka hypothyroidism i ka wā o ka wā ʻōpiopio ma muli o ka nele o ka iodine. I kēia hihia, ma waho o ka momona, ua loaʻa nā keiki i ka palupalu, nā nāwaliwali, ke hiamoe nei, hōʻemi i ka hana o ke kula, ka maloʻo maloʻo, nā kāne kekeʻe kāne i nā kaikamahine.
ʻO nā hōʻailona ʻākena o Cushoid obesity (me ka maʻi ʻana o Theenko-Cush i nā keiki) he mau momona momona i loko o ka ʻōpū, ka maka a me ka ʻāʻī, aʻo nā wāwae e lahilahi. I nā kaikamahine ma ka wā hānau, ua nānā ʻia ʻo ʻAmorrhea a me ka hirsutism.
ʻO ka hui pū ʻana o ka momona i nā keiki me ka hoʻonui ʻana i ka umauma (gynecomastia), galactorrhea, ka ʻeha, ka dysmenorrhea i nā kaikamahine hiki ke hōʻike i ka hele mai o prolactinoma.
Inā, ma kahi o ka momona momona, hopohopo ke kaikamahine no ka ʻili o ka lau, ʻili, ka nui o ka lauoho ulu ʻana, ke kāne haehae, a ma ke ʻano kiʻekiʻe o ka hopena hiki iā mākou ke manaʻo e loaʻa iā ia ka maʻi polycystic ovary. I nā keikikāne me ka adiposogenital dystrophy, obesity, cryptorchidism, gynecomastia, underdevelopment o ka uʻi a me nā hiʻohiʻona kūkaʻi pili kino, i loko o nā kaikamahine - ka haʻaleleʻana o nā kāne.
Nā kumu o ke kāʻino ma nā keiki
ʻO ke kumu nui no ka hilahila o ke kau ʻōleʻa i ka wā kamaliʻi e noʻonoʻo ʻia ana he mea nui. ʻO kēia ka hiʻohiʻona maʻamau o ka momona nui. ʻO ka predisposition i kaʻelele i kēia hihia ua hoʻoili ʻia. ʻO ka hewa i nā meaʻaiʻai e alakaʻi ai i ka momona: ka hoʻohana ʻana i ka meaʻai wikiwiki, nā momona a me nā meaʻai i kālai ʻia, nā mea ʻala maikaʻi a hoʻohuihui ʻia. ʻAʻole hui pū ʻia kēia ʻano hina o nā maʻi i ke kino.
I ka nui o nā hihia, me ke ola kino, ʻaʻole i holomua ka nui o ka momona, i loko o nā keiki, ma o ka makahiki 10 mau makahiki, e hoʻi ka kaumaha i ke ʻano. ʻO ka 25-30% wale nō ka hapa nui o ka lā nui a hiki i ka wā ʻōpio. Hōʻike ʻia ka puka ʻelua o ka obesity ma muli o nā maʻi like ʻole, nā mea hoʻoilina a loaʻa mai, me ka hoʻohālike, me ka maʻi mellitus a i ʻole nā mana abnormalities i ka hana a me ka ʻoihana endocrine.
Ka hopena o ka momona ma ke kino o ke keiki
ʻAʻole hiki i nā keiki momona momona ke kūʻokoʻa ʻole i ka hana pilikino, hoʻokūkū i nā haʻuki ʻano, pāʻani i nā pāʻani waho. Ke hele mālie nei ke kūlana o ke olakino. I nā keiki, ʻike ʻia nā mea paʻakikī e pili ana i ka nui o ke kaumaha. ʻAʻole i maʻalahi kahi mau keiki e like me ke kula: ka hoʻowalewale ʻia e nā hoa ʻē, ʻaʻole makemake lākou e launa pū me lākou.
He ʻehā mau leʻa o ka momona:
- ʻOi aku ka nui o ka momona - ke kaumaha o ke kino o ke keiki ma mua o ka 15-25%,
- ʻOi aku ka nui o ka momona o II - ka paona o ke kino o ka pēpē ma mua o ka 25-55%,
- ʻOi aku ka momona o ke kaukau nui III - 50-100% keu o ke kaupaona kino o ke kino,
- ʻO ka momona obesity IV - ʻoi aku ma mua o 100% o ke kaumaha o ke kino maʻamau.
ʻO ke kiʻekiʻe o ka pae kiʻekiʻe, ʻoi aku ka nui o ka hoʻonāukiuki i ka neʻe a me ka posture i ke keiki. I nā keiki momona ʻokoʻa, aia ke kua i loko o kahi kūlana hakahiki, nāwaliwali o nā ʻōpū o kaʻōpū, nāwaliwali o nā wāwae, helehelena nā wāwae, papatahi. E luhi nui nā keiki. ʻO ka hopena, loaʻa ke keiki diaper rash, eczema, lilo ke kino i nā maʻi like ʻole. ʻO ka maʻi glucose ma ke kino e alakaʻi i ka wā ʻōpiopio i nā kaikamahine. I nā keiki momona lōlani, e puka wikiwiki nā lono, ua ʻike ʻia ka osteoarthrosis i ka wā ʻōpio.
Loaʻa i ka hui pilikia no ka hoʻonāukiuki i nā keiki:
Ma ka nui a kauka nā mākua: inā ʻehaʻeha loa kahi makua, hiki i ka nui o ka ʻōpū i kahi keiki māhuahua i 2 mau manawa, inā ʻelua mau mākua - ma 5 mau manawa,
- nā mākua a i ʻole nā hoahānau pili koko he mau mea kūponoʻole i ka ʻoihana endocrine a i ʻole ka maʻi diabetes,
Ka mea i hoʻohuli i ka meaʻai kūlohelohe, keu i ka wā e nui ai ke kalo nui,
ʻO nā pēpē mua a me nā pēpē me ka haʻahaʻa hānau haʻahaʻa,
Me nā maʻi congenital o ka ʻōnaehana endocrine.
ʻO ka mālama ʻana i ka momona i nā keiki 8, 9, 10, 11, 12 mau makahiki
Ke koho nei i ke koho ʻana o ka meaʻai a me ke kau ʻana i ka pae o ka momona. ʻAʻole koi ke koʻikoʻi o kaʻu degere i ka lāʻau lapaʻau. He lawa ke hoʻonui i ke kino pilikino, palena palena i ka kamepiula i nā hola 2 i ka lā a me ke kaupaona i ka mea ʻai. ʻO ka kaumaha o ke keiki e hoʻi hou i ka maʻamau.
Pono ka lua o ka momona ʻoi loa i ka hoʻoponopono maikaʻi ʻana o ka olakino. Pono e kaupalena i ka nui o nā kānana refractory i ke kumukūʻai e kuke ai a hoʻemi i ka loaʻa o nā kaloli o ka meaʻai ma muli o nā pālū. I ka hoʻohālikelike ʻia me kēia, pono ke alakaʻi i ke ʻano ola.
ʻO ke kolu a me ka ʻehā o ka ʻūhā nui e pono ai ka mālama ʻana i kahi haukapila. Pono ke kaupalena maoli ke keiki i ka ʻai. Ma ka paʻa koʻikoʻi ka mea i mālama ʻia: i loko o nā wahi liʻiliʻi a hiki i 6 mau lā i ka lā. I kēia hihia, hoʻopili wale ʻia ka mea hoʻoponopono meaʻai a hoʻoponopono i nā meaʻai o nā keiki. ʻO nā lāʻau lapaʻau a me nā mea i hoʻolako ʻia e hoʻolālā ʻia no ke hoʻemi ʻana i nā paona ʻaʻole i kuhikuhi ʻia no nā keiki ma lalo o 15 mau makahiki o ka makahiki. ʻAʻole ke hana maʻi maʻi maʻi.
Pehea e koho ai i kahi meaʻai no ke kino o ke keiki no ka momona?
Kino nā meaʻai i loko o ka manaʻo maʻamau no ka mea ulu nui i nā mea ulu. Maikaʻi loa nā keiki i ʻoi aku ka momona i ka meaʻai, no laila he mea paʻakikī loa no ia keiki e koho i kahi papa hana. I ka mua, e hana nā hana kahiko a me nā stereotypes. ʻO ke kumu nui no ka hānai ʻana o ke kaupaona ʻana i nā keiki i piha ʻia ʻo 8-12 makahiki ʻo ia ka hoʻololi o ka ʻohana holoʻokoʻa i ka meaʻai kūpono. ʻAʻole maikaʻi ke ʻai wale no ka meaʻai, akā ʻo ka momona hoʻi, inā ʻaʻole e hōʻole wale ke keiki e ʻai.
Pono ka hoʻomaʻamaʻa o ke keiki i ka ʻai ʻana i nā lau momona a me nā hua. Makemake nui loa nā keiki i ka ʻai o nā meaʻai ikaika. No ka papa hana, hiki iā ʻoe ke koho i nā lau me nā ʻano like ʻole o nā aniani, nā saladi kauwela me ka ʻaila ʻoliva. E nānā ka ipu i ka ʻono, e hoʻāo hou i kahi makemake. Pono e kaupalena i ka hoʻohana ʻana i nā wai ʻaʻai kūʻai, loaʻa lākou i kahi nui o ke kō a me nā mea mālama.
ʻO nā meaʻai Semi i loko o ka papaʻai o nā keiki chubby i ʻae ʻia akā, me ka liʻiliʻi o ka momona, e like me ka iʻa, ka ʻuaʻi a i ka moa paha. ʻAʻole hiki ke moa ʻia nā huahana semi-i hoʻopau ʻia, ʻoi aku ka maikaʻi o ka hoʻomoʻo ʻana iā lākou me ka liʻiliʻi o ka momona. Hoʻohana i nā huahana me ka nui o ke kōkau i ka papahele: nā ʻuala, ka laiki, nā cereals ʻē aʻe. Hoʻopaʻa i ka pasta a me ka berena. Hoʻohana ʻia ka nui o nā huaʻai a me ka paʻakai ma nā nui. ʻAʻole iʻoi aku ka nui o ka paʻakai ma mua o 10 g i kēlā me kēia lā.
Pono e mālama ʻia ka hoʻomaʻamaʻa ʻana i ka meaʻai maʻamau. Pono ka hoʻoponopono ʻia o ka meaʻai. Pono e hoʻokaʻawale i ka hoʻohana ʻana o ka meaʻai i ke ahiahi a i ka pō, e kāpae i ka overeating, ʻoi loa i ke ahiahi. Pono nō hoʻi e haʻalele i ka hoʻohana ʻana o nā huahana confectionery a hoʻopaʻa i ka nui o ke kō.ʻO ka ʻuala a me nā cereal i lawelawe ʻia ma ke ʻano he ʻaoʻao hana e hōʻemi ʻia i nā lawelawe no 2/3. Hoʻopili maikaʻi ke koena o ka mahele i nā mea kanu a me nā hua i ʻole ʻia.
He aha nā huahana e pono ai e haʻalele?
Hōʻike ʻia ʻole e hoʻolilo i ka keiki i pāpā ʻia i nā meaʻai mai ka wā kamaliʻi, ʻoiai ke kūkulu ʻia ʻana o nā makemake makemake a me nā mea ʻai ʻai i kēia manawa. I kahi momona, pono ke kāpae ʻia nā huahana aʻe:
- nā mea momona maikaʻi, ʻoi loa ke ʻano o ka synthetic,
- kuki, aila hau, nā ʻaina, nā pastries.
- hue ka wai i loko o ka wai i loko o ka 1 lita i kēlā me kēia lā (30 ml no 1 kg o ka paona o ke keiki),
- nā huahana no nā snacking ma ke holo,
- waiū kalaka kiʻekiʻe a i ʻole nā ʻono ʻaila.
- kaupalena kou intake o ka hua keokeo
- mayano a me kaʻono kala,
- nā kīʻaha momona
- nā meaʻai iʻa ʻia.
Kākoʻo keu
Pono e hoʻomanaʻo ʻia ua hoʻoilina ke keiki i ka ʻai ʻana o kona mau mākua. ʻO ka ʻai ʻana o kahi mea ulu e pono ai ka hoʻohui i nā cereals, mea kalop, ʻai, ʻai, i ka waiu, huaʻai a hoʻoulu ʻia, nā lau ʻai, nā huaʻai, nā huahana i loko o ka pā. ʻO ka hana o nā mākua ke hoʻomau hoʻohālikelike i ka hoʻonui ʻana i kekahi huahana. Pono ka ʻaina kakahiaka, ʻaina awakea a me ka ʻaina ʻaina. ʻAʻole ʻae ʻia nā ʻōhua no ke keiki e hele i ke kula a ʻaʻohe ʻaina kakahiaka kakahiaka.
Kaʻai pēpē pēpē - Diet
ʻO ka ʻai ʻana i kahi keiki o 8-12 mau makahiki ke hoʻokaʻawale ʻia i ʻehā mauʻai. ʻO ka papa ʻaina mua ʻo 25-30% o ka nui o ka meaʻai. ʻO ka ʻaina lua ka mea e 10-15%, ʻaina awakea - 40-45%, ʻaina awakea - 15-20% o ka meaʻai i kēlā me kēia lā. No ka ʻaina kakahiaka a me ka ʻaina awakea, pono e hoʻomākaukau i nā kīʻaha me ka nui o ka momona (nā hua, ʻai, nā iʻa), a no ka pāʻina ʻaina, nā kīʻaha lau nahele, kūpono nā huahana pā. ʻO ka hui pūʻana o nā protein, nāʻaiʻai a me nā mea kākoki pono ʻia 1: 1: 3 (a i ʻole 4).
Aia ka nui o nā kīʻaha i kēlā me kēia lā i na makahiki he 3-7 makahiki - 1400-800 g i nā kula 7-11 makahiki he makahiki - 2100-2300 g i na opio 11-15 mau makahiki - 2400-2700 g . ^ E Ha yM. I ke kau ʻana i kahi papaʻai, pono pono e noʻonoʻo ʻia nā mea kanu i nā hola kula. Pono nā haumāna ʻōpio (7-10 mau makahiki) i ka hoʻomaha piha ma ke kula ma ka pihi mua, a me nā kīmona ahiahi holoʻokoʻa i ka lua o ka manawa (10-14 mau makahiki). ʻO ka pono o ka calorie lā i kēlā me kēia keiki no nā keiki he 5-8 mau makahiki he kau a hiki i ka 2000-2400 kcal, ka makahiki 8-12 mau makahiki - 2400-2800 kcal, no nā wā'ōpiopio ma lalo o 16 makahiki a hiki i ka 3000 kcal.
Pono e hoʻomanaʻo ʻia ʻaʻole hiki i kekahi ke hoʻololi i kekahi huahana me kekahi. ʻO kēia no ka hopena o ka huahana āpau i kahi set o nā huaora a me nā minela. ʻO nā mea kanu a me nā huaʻai, nā kīʻaha ʻai i loaʻa i kā lākou ʻano like ʻole o nā waikona amino, aia kekahi o ka hapa i nā huahana ʻē aʻe.
- ʻO ke kikowaena haʻahaʻa. Ala wale ia no ka maʻi hōʻino a hoʻoili ʻia paha. Eia kekahi, ʻaʻole ke lawe i ka leʻaleʻa ponoʻī e ka hoʻoilina, akā, nā mea e hōʻeha ai i ka metabolabous o ke kino. Inā noʻonoʻo ka makuahine i ka momona, a ma ka 50% o nā hihia, e hele kēia mau maʻi i ka pēpē. Inā loaʻa iā 38% ka makuakāne, ʻelua o 80%.
- Nā momona momona. Hoʻoulu ia e nā maʻi i loaʻa, no ka laʻana, ka ʻōnaehana endocrine.
Hāʻawi i ka 4 i nā keiki:
- ʻO ke kekelē (ma luna o ke kaumaha ma mua o ka paona a 15-24%),
- Kahi II (ʻo ke kaupaona ma luna o ka pa alima e 25-49%),
- ʻO III kekona (ke kaupaona ma luna o ka pa alima e 50-99%),
- ʻAno IV (paona ma luna o ka maʻamau ma mua o ka 100%).
I kahi 80% o nā hihia o ka momona o ka maʻamau, ua loaʻa iaʻu kahi II a me II. ʻO ka hele ʻana o kahi paona liilii loa i loko o kahi keiki, e like me ke kānāwai, ʻaʻole ia e hoʻolilo i kekahi hopohopo i nā mākua. ʻO ka hapa pinepine, ke ʻoliʻoli nei lākou i ka ʻono maikaʻi o ke keiki, a mālama pono ʻia lākou i ka maʻi maʻi o nā pediatricians me ka ʻāʻī, ke hoʻopaʻapaʻa nei i ko lākou kūlana me "ka maikaʻi, maikaʻi kona ʻano."
Inā ʻaʻole i mālama ʻia ka meaʻai i ka papa mua o ka momona, a laila hoʻomau ka maʻi a hoʻomau i loko o ka mana II. Pipi ke kiko o ka hanu, momona nui, hoʻomaka ke keiki i kahi neʻe iki a hōʻike pinepine ʻia kahi ʻano maikaʻi ʻole. Eia naʻe, eia kekahi mau mākua ʻaʻole i wikiwiki e mālama i kā lākou keiki. Ke hoʻomau nei ka maʻi. Inā hiki i ka papaʻai ke hoʻoponopono i ke kūlana ma nā papa mua ʻelua, a laila ma nā hanana hou aʻe he paʻakikī nui loa nā mea a pau.
Inā ʻoi aku ka paona o ke keiki ma mua o 50% kiʻekiʻe aʻe ma mua o ka maʻamau, a laila e loaʻa ka maʻi kiʻekiʻe o III. I kēia manawa, hoʻomaka nā ʻōpū o nā wāwae e hōʻeha i ke keiki'ōpiopio, ke piʻi nei ke kaumaha, a piʻi ka nui o ke kō koko. Ke huhū ʻo ia ke keiki, hele ʻia nā mea paʻakikī, kahi e hoʻonāukiuki ai i ke kaumaha. Puhi ʻia ke kūlana e nā ʻakaʻaka mai nā hoa. Aia ma kēia pae ke hoʻomaka nei nā mākua e hana i kekahi mea. Eia nō naʻe, ʻaʻole hiki i kahi meaʻai maʻamau ke hoʻoponopono i ka pilikia o kēlā meʻa.
I ke kula kula a me nā ʻōpio
Me ka hoʻomaka ʻana o ke ola kula, hoʻomaka nā keiki e neenee aku, a me ke kālā kīʻaha e kūʻai i nā bun, a i nā pahu a me nā meaʻai kiʻekiʻe. Hoʻohui i kēia nā manaʻo koʻikoʻi nā keiki keiki i kahi ʻano maʻamau no lākou, a ʻike maopopo ʻia nā kumu no ke kaupaona ʻana.
ʻO ka maʻi nui i nā keiki a me nā wā'ōpiopio i pinepine ʻia e:
- ʻAi ʻole o ka hiamoe
- ʻO ka maʻi maʻamau
- ʻO ka hapa o ka meaʻai
- Huli nā loli i ke kino (akilele),
- Ma o ka luhi.
He mea koʻikoʻi ia e hōʻike pinepine ana i ka momona o nā wā ʻōpiopio.
ʻO ka hoʻomohala ʻana i ka hiʻona o nā keiki a me nā wā'ōpiopio, e like me ka poʻe keiki ma lalo o ʻekolu mau makahiki he hoʻomaka, e hoʻomaka me ka mōʻaukala lāʻau. Maʻa ke kiʻekiʻe, ke kaupaona, nā umauma, nā pūlū a me nā ʻūhā, helu ʻia ʻo BMI. Ke hoʻohana nei i nā papa kuʻuna koʻikoʻi, ʻike ʻia ka pilina o kēia mau panana a hana ʻia kahi maʻi kūpono.
E hoʻokū i ke kumu o ke kauā i nā keiki e koho:
- koko no biochemistry, kahi e hoʻoholo ai i ka pae o ke kō, ke kolamu a me nā mea ʻē aʻe e hoʻonui ai i ka loaʻa o ka ʻōuli o ka momona. Me ka hoʻonui ʻia o ka pae glucose, e kau ʻia nā hoʻokolohua hou.
- Nā hoʻāʻo a me ka hoʻāʻo ʻia ka lāʻau no ka lāʻau e hoʻoholo ai i ka maʻi endocrine.
- Hoʻohālikelike a magnetic resonance imaging inā ʻike ʻia ka maʻi pituitary.
Ma kahi o ka pediatrician a me ka mea kūpono nutrist, pono paha ʻoe e hele i loko o ka endocrinologist, he neurologist, he gastroenterologist a me nā kauka hou. Aia nō i ka maʻi āpau e pili ana iā ʻoe e mālama ai.
Nā hiʻohiʻona hana
Inā ʻike ʻoe he nui loa kāu keiki, pono pono e ʻimi aku i ka mea nāna e mālama i ka mea ʻai. ʻAʻole paha ia e pono i kahi meaʻai kūikawā. ʻOi aku ka nui o nā maʻi i nā wā mua ma ka hoʻomaʻamaʻa. Inā ua hala ke ahulau i loko o ka papa III a IV paha, a laila pono ʻoe e hana koke i ka hiki.
ʻO ka mea mua, ʻo ka mālama ʻana i ka momona o nā keiki e pono ai ke hoʻoponopono ʻia.
ʻO ka meaʻai kekahi:
- 1 lawelawe ho'ēmi ana
- ʻO ka hana kūpono me ka lula ʻana o ka pāʻina elima mau manawa i ka lā (ʻoi aku ka ʻohana āpau). I kēia hihia, ʻaʻole pono e ʻai ʻia kahi pāʻina ma mua o ʻekolu mau hola ma mua o ka hiamoe.
- Ke hoʻololi nei i nā kīʻaha kīʻaha me ka wai,
- Ke komo ʻana i ka hana maʻamau i kēlā me kēia lā i nā huaʻai hou, nā hua a me nā lau ʻai (no ka maʻi maʻi, nā hua momona e ʻae ʻia)
- Loaʻa ʻia mai ka papa o ka momona momona, ka iʻa,
- ʻAi ʻia ka ʻike wai
- Ke kaupalena nei i ka hoʻohana ʻia ʻana o nā kaila "wikiwiki": nā huahana palaoa, pasta,,
- ʻO ka hoʻopau ʻana i ka ʻai (mai nā sweets, hāʻawi i kāu keiki, ka lau maloʻo, nā hua maloʻo, marmalade, marshmallows a me kahi kalaponaʻeleʻele)
- Hoʻopili i ke kō a ka paʻakai, kāpae i nā ʻohi a ʻohi a ʻohi i nā meaʻai.
- Waiho ʻole i ka meaʻai wikiwiki, nā kīʻī, nā mau mea nui a me nā mea hou aku.
I loko o kēia manawa, hoʻohālikelike ʻia ke keiki i loko o kēlā me kēia meaʻai, e kau pū ai. No ka mea e hoʻonui wale lākou i ka papa o ka maʻi. I ka papa o ka lā pono ʻoe e hoʻokomo i nā hele wāwae, mau i ka liʻiliʻi he 30 mau minuke, a pāʻani i ke ʻano haʻuki 3-5 mau manawa i ka hebedoma. I ke kakahiaka ʻoi aku ka maikaʻi o nā hana hoʻomaʻamaʻa.
ʻO ka lāʻau lapaʻau, ʻo ia hoʻi he mau loiloi, i kuhikuhi wale ia e ke kauka.
ʻO ke kaumaha i nā keiki i kēia mau lā ka pilikia maʻamau. 5.5% o nā keiki he momona a he 11,8% o nā keiki he keu loa, a ma waena o nā ʻōpio he 15% a 25%. I nā'āina, kahi mau keiki hānai e like me 1.5 ka manawa ma mua o ke kaona. Ma kahi hapaha o nā kānaka makua o ka honua he obese. Hoʻonui kēia pakeneka i kēlā me kēia makahiki.No ke aha la hoi? A pehea e kaua? E helu pūpū pū me ia.
ʻO ke anuanu ke kumu o ka hapalua o nā hihia o ka maʻi mellitus, kahi hapaha o nā hihia o ka maʻi naʻau coronary a me ke kumu o nā maʻi ʻē aʻe he nui, ʻo ia hoʻi oncology.
ʻO ka huelo he maʻi maʻi mau e ke ʻano o nā maʻi ma ka metabola. I ka momona, ua hoʻopili ʻia ka nui o ka ikehu i loko o ke kino me ka meaʻai ma mua o ka hiki ke hoʻopau ʻia. Hoʻokomo ʻia nā hana ma ke kino e like me ka momona.
1. Nā mea kūlohelohe
I ke ao hou, ua loaʻa mua kēia kumu o ka momona.
- Ma mua ka ʻai ʻana i nā mea kanu ʻokoʻa me ka nui o ke kīpopū i ka wā e hiki mai ana. ʻO ka ʻai ʻana i nā hana a me nā moʻomeheu, ka ʻai ʻana i nā meaʻai kākaleka a me ka nui o ka ʻai, ka meaʻai wikiwiki, i ke ʻano e ʻai ai i ke ahiahi a me ka pō.
- Hoʻohui haʻahaʻa kino.
ʻO nā ʻano maʻamau maʻamau loa i nā keiki
- ʻO nā hiʻona maʻalahi ma muli o nā mea kūlohelohe.
- ʻO ka haaheo Exogenous-kumukūʻai ma muli o ka hoʻohui ʻana o nā mea kūlohelohe a me nā hiʻohiʻona hoʻoilina.
I ka papa mua o kēlā ʻano hoʻohālikelike i nā keiki, maʻamau, ʻike ʻia ka hana ʻana i nā hana o nā ʻiʻo a me nā ʻōnaehana. Me nā II a me nā kekona o hope o ka momona, ʻike lākou.
Loaʻa nā keiki i kekahi ʻano o ka momona - cerebral, hypothalamic, endocrine. Eia, ʻo ke kau i ke anuanu kekahi o nā hōʻailona o ka maʻi lalo e pono ai ke ʻike i ke ʻano o ka mālama kūpono no ke keiki.
Me ke kūloko ʻana i ka pae
ʻO ka papahana hoʻolimalima momona e hoʻomohala ʻia e ka endocrinologist, me nā mākua a me nā mea maʻi, kūpono wale nō i nā poʻe ʻōpio ʻaʻole i ulu hou i ka lōʻihi. Ma ke ʻano he kānāwai, ʻoi aku ka makahiki ma mua o 15-16 mau makahiki.
No nā keiki e hoʻomau nei, e ulu ʻia kahi papahana e mālama i ka paona mua, no ka mea inā ulu ke keiki, akā ʻaʻole e hoʻonui ka nui o kona kino, a laila e emi ka nui o ke momona i kona kino.
Mālama a hōʻemi iki paha i ke koʻikoʻi o ke kino, kauoha ʻia ke ʻano No. 8. Ke kōene waiwai 1900 kcal. ʻAʻole i haʻalele nā meaʻai kiʻekiʻe-calorie mai i ka meaʻai, akā kaupalena, hōʻemi i ka nui o nā meaʻai me ka haʻahaʻa kaloli haʻahaʻa i loko o ka meaʻaiʻai, a me ka hoʻonui ʻana i ka nui o nā meaʻai haʻahaʻa.
Me nā degere III-IV i ka momona
No nā keiki me ka kiʻekiʻe o ka momona o obesity III-IV, ʻo ka nui o ka pohō o 500 g i kēlā me kēia hebedoma i manaʻo ʻia he palekana, no nā ʻōpio a me nā pākeke - 1600 g i hoʻokahi pule.
Maanei lākou e hoʻohana ai i ka papaʻaina 8B me ka waihona calorie o 1500 kcal, e hoʻoneʻe i nā meaʻai kiʻekiʻe a me nā awelika ʻia, waiho i nā meaʻai me ka haʻahaʻa haʻahaʻa haʻahaʻa.
I kekahi mau hihia, e hoʻohana i ka papaʻaina o 8O, me ka waihona o ka calorie o 500-600 kcal i kēlā me kēia lā. ʻO nā meaʻai haʻahaʻa wale nō ka noho ʻole ma ia ʻaina a ʻo ka nui o kā lākou lehulehu.
Hoʻohana pilikino
Pono ka hana kino no ke keiki o ke keiki a mua keiki a me ke kula a me nā ʻōpio hoʻi i kahi ʻoi aku 1 mau hola i kēlā me kēia lā, ʻoi aku ka nui ma mua o ka hola.
ʻO nā hāmeʻa hōʻailona ākea no nā keiki lime kaʻauʻau a me ka aerobics wai. Ke hele nei ma ka wikiwiki, holo, ke kaʻa uila, ʻae ʻia ka ski.
Kāhea ʻia ka lele a lele ʻana: mekameka, hakakā, acrobatics, aerobics.
ʻO nā lāʻau lapaʻau e hōʻemi i ka momona, hoʻemi i ka kaomi ʻana o nā mea like i ka ʻōpū a me nā ʻōpū i loko o nā keiki, e hoʻohana wale ʻia me ka kiʻekiʻe o ka momona, i loko o ka hale hoʻomaha, ma lalo o ka mākaʻi o nā kauka.
Nānā
Ke nānā nei ke keiki o kahi maʻi ʻōpiopio e ka endocrinologist a me ka pediatrician, ka mea mua i kēlā me kēia 3 mahina, inā hiki ke hoʻōla maikaʻi i ka paona, i kēlā me kēia ʻeono mahina. I kēlā me kēia makahiki, nānā ʻia ke keiki ma luna.
Pili i nā momona a nā keiki. Makemake au iā ʻoe e nalo momona!
ʻO nā ʻōmomoʻa kekahi o nā pilikia maʻamau i ka honua kahi i nalowale i kona hānai.
Inā hana pinepine ʻia ka ʻōpiopio ma mua i nā pākeke, i kēia manawa ke hoʻomohala nei nā kauka i kēia pilikia i nā keiki. E hoʻomaka i ka hakakā me kēia maʻi, pono ʻoe e ʻike i nā kumu o kāna hanana ʻana.
He aha ka pae o ka momona o nā keiki i loko o nā keiki, nā hōʻailona a me ka wehewehe o ka maʻi o ka lā 1st, 2nd, 3 a me 4, ʻoi hoʻi ke ʻano o ka loiloi ʻana i ka pākēlē o ke kino o ke keiki mai ka 1 a 10 mau makahiki a hiki ke loaʻa i kā mākou loiloi.
ʻO ka wehewehe ʻana o ka maʻi, nā kumu
ʻO ke kuʻuna he ala mānoʻomaʻo. Hoʻohālikelike ia e kahi meʻe o nā kaʻina metabolic, ka mea e alakaʻi ai i ka hōʻiliʻili o ka momona i ke kino.
ʻOi aku ka momona ma mua o nā keiki: hiki iā ia ke hōʻeha i nā maʻi o ke ake o ka gastrointestinal, puʻuwai, ʻeha nā endocrine gland.
Hiki iā ʻoe ke ho'ōla i ka pēpē, akā He maʻi paʻakikī loa ka maʻi. Hoʻomaopopo nā kauka i ka mālama pono ʻana i nā mea kanu, loiloi i ke ola holoʻokoʻa o ke pēpē. He mea nui ia e kūlohelohe kino, e lawa ka hiamoe.
I kekahi mau hihia, nā lāʻau lapaʻau e noʻonoʻo ana i ka normalization metabolism e kōkua i ke kaua i ka maʻi.
- Henereri predisposition.
- Hāpai i ka hoʻonāukiuki.
- ʻO kaʻai kūpono ʻole, ka ʻai ʻana o nā momona, nā meaʻai junk.
- ʻO ka nele o ka hoʻoikaika kino.
- Nā maʻi neuroendocrine.
- Hōʻino i ka hana maʻamau i kēlā me kēia lā.
- ʻO ka nele o ka hiamoe.
- ʻO nā Chromosomal a me nā syndromes genetic.
- Hemoblastosis
Ua hoʻonāukiuki kēia mau mea i ka waiwai nui i nā keiki. I mea e hānai ai i ke pēpē, pono ia e ʻike i ke kumu kumu. A laila pono e hoʻemi i ka paona a mālama i ka hopena i loaʻa.
ʻO ka Hypothalamic
ʻO kēia kekahi o nā ʻano o ka maʻi me ka hoʻoiho wikiwiki ʻana i nā momona momona. Ka momona momona e hōʻike wikiwiki ai , Loaʻa pinepine ka waiho ʻana i loko o ka ʻōpū, nā pūhaka, nā ʻokiʻoki.
Hōʻike ʻia ma muli o nā loli i ka hypothalamus, gland gland. Ke alakaʻi nei kēia i ka mea i kahi makemake kīnā ʻole o kekahi, loaʻa iā ia ka nui o nā calorie ma mua o ka mea pono.
Nā hōʻailona o kēia ʻano:
- ʻO ka hōʻiliʻili wikiwiki o ka momona momona.
- Hoʻonui kaho.
- Nā ʻōpiopio.
- Nā loeaʻike.
- Nā kiki kala manu-crimson ma nā wahi momona.
- Nā Aliʻi.
- Pāʻeha.
- ʻO nā hana hoʻonāukiuki.
Me ke ʻano o kēia maʻi i ʻike ʻia . ^ E Ha yM. ʻO ka mea i loaʻa ʻole ma mua e loaʻa iā ia i nā makahiki ʻelua ma 20-30 kg.
E kōkua ia i ka hoʻihoʻi ʻana i ka paona ma o ka hoʻohuihui ʻana i ka hana o nā hypothalamus, pituitary gland.
Kumukānāwai
ʻO ke kumu nui no ka ʻike ʻia ʻana o kēia ʻano maʻi. , i hoʻohui ʻia e ka momona nui. Hiki ke waiho ʻia i ka momona ma nā wahi like o ke kino o ke kanaka.
ʻAʻole ʻai maikaʻi nā kānaka me kēia ʻano ʻano ʻano, no laila, e hoʻomaʻamaʻa i ko lākou kino kino, ua manaʻo ʻia e loiloi i ka papa hana a hana hou i nā haʻuki.
Ma waho aʻe o ka hōʻiliʻili o ka momona, lawena nā mea maʻi, aʻaila ka ʻili . ^ E Ha yM. ʻO nā hōʻailona o ka maʻi ke komo i ka hiamoe, mau ka ʻōpū, ka ʻōpū o ka ʻōpū.
Endocrine
Me kēia palapala hōʻiliʻili ka momona ma muli o ka hana hewa ʻana o nā kuhi endocrine . ^ E Ha yM. ʻO ka maʻamau, mālama pololei ka hana ʻana o kekahi mau hormone, no laila e ulu ana ka momona momona.
Nā hōʻailona o ka luhi endocrine:
- Hoʻonui ka momona.
- Kaaudeana
- Kahula
- Lūlū.
- ʻO kaʻawaʻawa ma ka waha.
- Hoʻemi ka potency.
- ʻO nā lawehala kāne.
Hoʻopilikia ka poʻe maʻi i ka edema, ka ʻeha pūlima, kahi pōkole o ka hanu, ʻoiai me ka hoʻōla kino kino.
Hiki i ka hopohopo, huhū, hoʻonanea ka manawa, nāwaliwali, ke hiamoe ʻole, a me ka hōʻeha.
Alimentary
Loaʻa ia ma muli o ka nele o ka hana kino a me ka pono kino. Hana pololei ka ʻōnaehana endocrine, ʻaʻole i ʻino. Hoʻokumu pinepine ka momona i ka maʻamau o ka ʻōpū a me nā kuʻekuʻe.
- E ulu ana ke kōpena o ka momona.
- Hoʻololi ka naʻau.
- KeHulelehe.
- He kaumaha ma ka ʻōpū.
- Weupuaa.
E hoʻoponopono i nā paona kino, ʻōlelo ʻia ke keiki e neʻe hou aku a ʻai pono .
Ke maʻalahi nei i ka mālama ʻana i kēia ʻano maʻi, no ka mea ʻaʻole i mālama ʻia nā hana hōʻino nui i nā hana o nā kino.
Kahi pāʻālua (ka papa makahiki)
Hoʻomaʻamaʻa nā kauka i nā ʻehā ʻehā o ka maʻi. No ka hoʻoholo ʻana iā lākou, ua helu ʻia ka ʻōlelo kikoʻī o ke kino. He ʻano kēia i loko o ke ʻano kiʻekiʻe a me ke kaumaha o ke pēpē.
Ua mahele ʻia nā hopena i nā ʻāpana a i ʻole pae o ka uluhua i nā keiki.
- ʻO ka mea mua - ʻo ke kaupaona o ke kaupaona ma mua o 15-24%.
- ʻO ka lua - uaʻoi aku ma mua o ka maʻamau a 25-50%.
- Ekolu - ka nui o nā kumukūʻai maʻamau he 50-100%.
- ʻO ka ʻehā - ʻoi aku ka hōʻailona ma ka maʻamau o ka 100% ma mua o ka 100%.
Hōʻike ke kiʻi i nā kiʻekiʻe o nā momona nui i nā keiki (1, 2, 3, a me 4):
ʻO nā ʻōlelehana ma lalo nei ke ʻano maʻamau no nā makahiki ʻē aʻe: