Showing posts with label and diagnosis. Show all posts
Showing posts with label and diagnosis. Show all posts

obesity symptoms, causes, and diagnosis

obesity symptoms, causes, and diagnosis
 obesity symptoms, causes, diagnosis
Obesity is excess body volume on account of excessive accumulation of unwanted fat.

People need someone fat to store energy, as heat insulation, cushioning, along with other functions.
The common woman has more unwanted fat than men. Comparison between normal-weight unwanted weight is around 25-30% in females and 18-23% that face men.
Women with additional unwanted fat from 30% unwanted fat and men using more than 25% are believed obese.

Anyone who has a weight 20% higher than the middle value range of normal weight is known as obese.
Obesity is classified into 3 groups:
# Light Obesity: 20-40% overweight
# Obesity are: 41-100% overweight
# Severe obesity: excess body mass> 100%.
Severe obesity found possibly 5% of those that are obese.

Attention it isn't just addressed to the quantity of fat deposited, but in addition the positioning of excess fat accumulation. Pattern of unwanted fat distribution that face men and ladies are likely to differ.
Women are likely to hoard fat inside the hips and buttocks, this provides a concept just like a pear. Whereas in men usually hoard fat around the stomach, to ensure that gives a review of the apple.
But it is no absolute thing; sometimes on some men appears to be a pear and ladies appear to be apples, especially after menopause.
childhood obesity
A person that buried many fat in the abdomen could be weaker to numerous illnesses regarding obesity. They have a and the higher. Pear better picture as opposed to picture associated with an apple.

To tell apart the 2nd picture, finds ways to determine whether you happen to be shaped like an apple or possibly a pear, ie by calculating precisely waist to hip.
Waist measured for the narrowest point, as you move the hip was measured with the widest point; ago waist size divided by hip size.
A woman that has a waist size 87.5 cm and 115 cm hip size, possess a waist-to-hip ratio of 0.76.
Women with a waist: hip over 0.8 or men that has a waist: hip more than 1, say an apple shaped.

CAUSE
Scientifically, obesity is due to consuming more calories than are important with the body.
Reason behind the imbalance between calorie intake and burning is still unclear.

Obesity involves several factors:

   1. Genetic factors.
      Obesity has a tendency to run, so it is shown to possess a genetic cause. But close relatives share not merely genes but in addition living habits, which may promote obesity.
      Often tough to separate the lifestyle factors with genetic factors.
      Recent research indicates the average genes influence 33% of any person's weight.

   2. Environmental factors.
      Gene is a factor in many cases of obesity, but an individual's environment also plays an important role. This environment includes behavioral / lifestyle patterns (eg things know about eat you bet often times anyone eats and exactly how their activities).
      Anyone certainly are unable to change their genetic pattern, but he can change diet and activity.

   3. Psychological factors.
      What on earth is in a very person's mind can affect diet plan.
      Some people reacted to his emotions by eating.

      One way of emotional distress is usually a negative self-perception. This disorder is often a significant issue in numerous young ladies who suffer from obesity, and will cause excessive awareness about obesity and discomfort in social interactions.

      There are two abnormal eating patterns that might be the reason obesity is eating huge quantities (binge) and erode night (during the night eating syndrome).
      Both diets tend to be triggered by stress and disappointment. Binge comparable to bulimia nervosa, when a person eats very many in number, the gap in binge this is simply not as well as spewing back some tips i had eaten. As a result, the calories consumed quite definitely.
      Around the night eating syndrome, was reduced appetite in the morning and as well as excessive eating, agitation and insomnia at night.

   4. Health factors.
      Some illnesses may result in obesity, including:
      - Hypothyroidism
      - Cushing syndrome
      - Prader-Willi Syndrome
      - Several neurological disorders that may cause a large amount of eating.

   5. Drugs.
      Certain drugs (including steroids and many anti-depressants) can cause putting on weight.

   6. Growth factor.
      Helping the size or number of fat cells (or both) cause increasing amount of fat stored in your body.
      Obese people, particularly those carrying excess fat when people are young, might have fat cells sampak more more than people of normal weight.
      Number of fat cells is not reduced, because the fat loss only works by lowering the volume of fat in each cell.

   7. Physical exercise.
      Insufficient physical exercise might be one of many factors behind the increasing incidence of obesity in the midst of an affluent society.
      Those who find themselves inactive need fewer calories. Somebody that has a tendency to consume foods containing more fat and balanced exercise, will be obese.

SYMPTOMS
Excessive accumulation of fat below the diaphragm and the chest area wall can suppress the lungs, causing difficulty in breathing and shortness of breath, get the job done patient is simply a mild activity.

Respiratory disorders may occur while sleeping and cause temporary cessation of breathing (sleep apnea), in order that daily people often feel sleepy.

Obesity may cause a variety of orthopedic problems, including mid back pain and aggravate osteoarthritis (especially in the hip, knee and ankle).

Commonly found skin disease.
Someone who is obese carries a body surface is actually comparatively narrow in comparison with their weight, making sure that body heat cannot be removed efficiently and even more sweat.

Often found edema (swelling caused by accumulation of fluid) from the leg and ankle.


COMPLICATIONS

Obesity it isn't just unsightly however it is a dire health dilemma. Obesity is directly harmful to one's health.
Obesity raises the risk of some chronic diseases like:
- Diabetes type 2 symptoms (arising in adulthood)
- Blood pressure levels (hypertension)
- Stroke
- Heart attack (MI)
- Heart failure
- Cancer (some kinds of cancer, for example prostatic adenocarcinoma and colon cancer)
- Gallbladder stones and bladder stones
- Gout and gout
- Osteoarthritis
- Sleep apnea (failure to breathe normally while sleeping, causes reduced oxygen levels within the blood)
- Pickwickian syndrome (obesity associated with facial redness, underventilasi and sleepy).

Diagnosis
obesity articles

Measuring extra fat.

Hard to measure a person's body fat. Following methods require special equipment and completed by trained personnel:
# Underwater weight, weight measurements performed in water after which it excess fat is calculated in line with the volume of water remaining.
# BOD POD is an egg-shaped chamber which has been computerized. Once one enters the BOD POD, the remainder number of air is used to measure unwanted weight.
# DEXA (dual energy X-ray absorptiometry), resembling bone skening. X-rays are utilized to determine the quantity and of unwanted fat.

2 following ways more standard and uncomplicated:
# Long-skin, skin fold thickness in a number of body parts is measured with the term (a computer device metallic that resemble forceps).
# Bioelectric impedance analysis (analysis of bioelectrical resistance), the person stands with a particular scale along with a harmless electric current that flows with the body and analyzed.

The examination can provide inaccurate results or even created by experts.


Table weight-height.

This table has been used since ages to determine whether one is overweight.
The table normally has a weight range for the particular height.

The issue that arises is that do not know the location where the best tables that you should used. Many tables can be utilized, with a selection of different weight range. Some tables include frame size, age and sex, not additional tables.
Disadvantages on this table may be the table won't separate extra fat and excess muscle. Seen on the table, a very muscular person may seem obese, a lot fact not.


Bmi (BMI).

BMI is usually a measurement that connects (compare) weight to height.
BMI is a mathematical formula the location where the body weight (in kilograms) divided by height (in meters) squared.
Someone believed to obesity in the event the BMI valuation on 30 or even more.

TREATMENT
Calorie restriction and increased physical activity is an essential component inside damaging body volume. Both of these components can also be essential in maintaining weight after weight loss.
Has to be changing your the pattern of physical activity and begin living healthy diet regime.

Step one for obesity is always to assess unwanted fat and health risk by calculating BMI.
Health threats connected with obesity will increase in accordance with increasing BMI:
# Low risk: BMI <27
# Intermediate risk: BMI 27-30
# Dangerous: BMI 30-35
# The danger is incredibly high: BMI 35-40
# Danger is incredibly high: BMI of 40 or maybe more.

The type and severity of exercise, and calorie restriction on each patient takes a different approach plus the drugs are adjusted to circumstances.
# Patients with low health hazards, the diet was (1200-1500 calories / day for women, 1400-2000 calories / day for guys) in addition to sports
# Patients with good health risk, low-calorie diet (800-1200 calories / day for female, 1000-1400 calories / day for guys) in conjunction with sports
# Patients rich in health risk or high, get anti-obesity drug which has a low calorie diet and exercise.

Probability of long-term fat reduction are successful will probably be higher if the doctor getting work done in a professional team involving dieticians, psychologists and exercise specialists.
This team help you the affected person to:
- Achieve an unchangeable life style change
- Monitor patient progress
- Provide support and positive encouragement
- Find and reduce reasons for stress
- Prevent recurrence.


Drugs.

There's two main types of drugs used to treat obesity:

   1. Drugs that reduce appetite, for instance fenfluramin, deksfenfluramin, fentermin.
   2. Drugs that block the absorption of nutrients from your gut, for example, orlistat (blocking fat absorption in the intestine).


Feelings of hunger and satiety regulated by brain chemicals called neurotransmitters. Degrees of neurotransmitters are serotonin, norepinephrine and dopamine.
Anti-obesity drugs that suppress appetite work by increasing the degrees of these neurotransmitters with the junction between the nerve endings from the brain (known as the synapse may be the junction). Fenfluramin (fen) and deksfenfluramin suppress appetite primarily by helping the relieve serotonin by nerve cells. But fen and deksfen been withdrawn from your market since September 1997 as the drug fen causes pulmonary hypertension and heart valve damage.

Fentermin suppress appetite by inducing the relieve norepinephrine by nerve cells. Fentermin it could nevertheless be employed to treat obesity, but only for short term (a few weeks).
The side results of this drug are headache, insomnia (difficulty sleeping), irritability and restlessness.


Selecting a weightloss program which is safe and successful.

Elements that needs to be considered in deciding on a fat burning plan:

   1. Diet have to be safe and meet all of the recommended daily requirements (vitamins, minerals and protein). Diet for losing fat must be low in calories.
   2. Weightloss routine must be directed to the extra weight loss slowly and steady.
   3. Before diet program begins, a thorough medical checkup.
   4. Program to come should include weight maintenance after fat reduction achieved. Weight maintenance may be the most difficult part of weight loss.
      The chosen program will include modifications in eating routine and physical exercise are permanent, to alter lifestyle previously supporting the extra weight gain.
      The offer must be organized behavior change, including education in healthy eating routine and long-term plan to tackle weight problems.


Obesity is often a chronic condition (chronic). Obesity is normally considered a brief condition which might be treated for a lot of months which has a strict diet.
Weight loss is really a long-term effort. To be safe and effective, any weightloss routine ought to be geared towards long-term approach.

Surgery should only be performed in severe obesity. In general, surgery is safe and efficient.

PREVENTION
Are you prone to becoming obese, currently overweight or at a healthy weight, you can make a plan to counteract extra weight and unhealthy-related health issues. And in addition, measures to stop putting on weight is the same as the steps to shed pounds:

   1. daily exercise, healthful eating, a lengthy-term resolve for monitor everything you eat and drink.
   2. Exercise regularly. Essentially the most points you're able to do to stop extra weight should be to start exercising regularly. According to the American College of Sports Medicine, you need to get 150-250 minutes of moderate-intensity activity a week to prevent extra weight. Moderately intense training including walking and swimming fast.
   3. Eat well and snacks. Concentrate on low-calorie, nutrient-dense foods, like fruits, vegetables and grains. Avoid fats and limit sweets and alcohol. Keep in mind that there is no one food offers the many nutrients you will need. Choose a various foods each day. You'll be able to still have a tiny amount of high fat foods, high calorie occasionally. Be sure you choose foods that promote healthy weight and healthiness more often than you decide on foods that are not healthy.
   4. Know and get away from food traps that create one to eat. Identify situations that trigger out-of-control eating. Seek to keep a journal and record everything you eat, simply how much consume, when you eat, your emotions and how your hunger. After a few years, you will note a pattern emerge. You'll be able to prepare yourself and develop strategies to cope with this sort of situation and remain in charge of your eating behavior.
   5. Monitor excess fat regularly. People that weigh at least a week are more successful keep weight down. Monitoring your weight let you know whether your time and effort to work will help you detect small weight before they become big problems.
   6. Stay consistent. Hold a wholesome diet-in the week, on weekends, along with the midst of any holiday vacation and raise your chances for long lasting success.

In the event you really want to prevent extra weight, a great venue would be to focus on a lively lifestyle that features eating plan an enjoyable, yet healthy and lower in calories.

metabolic acidosis symptoms, causes, and diagnosis

metabolic acidosis symptoms, causes, and diagnosis
metabolic acidosis symptoms, causes, and diagnosis

Metabolic acidosis is excessive blood acidity, which is characterized by low levels of bicarbonate in the blood.

When increasing acidity beyond pH buffer system, the blood will actually become acidic.

Along with the decrease in blood pH, breathing becomes deeper and faster as the body attempts to reduce excess acid in the blood by reducing the amount of carbon dioxide.
In the end, the kidneys also try to compensate for this situation by issuing more acid in the urine.
But both mechanisms could be exceeded if the body continually produces too much acid, resulting in severe acidosis and coma ending with.

CAUSE
Cause of metabolic acidosis can be grouped into 3 main groups:

   1. The amount of acid in the body can be increased if taking an acid or a substance that is converted into acid.
      Most of the material that causes acidosis is considered toxic when eaten.
      Examples are methanol (wood alcohol) and an anti-freeze (ethylene glycol).
      Overdose of aspirin can cause metabolic acidosis.
   2. Body can produce more acid through metabolism.
      Body can produce excessive acid as a result of some disease; One of them is diabetes mellitus type I.
      If diabetes is not controlled properly, the body will break down fat and produces acids called ketones.
      Excessive acid is also found in an advanced stage of shock, where lactic acid is formed from the metabolism of sugar.
   3. Metabolic acidosis can occur if the kidneys are unable to remove the acids in the proper amount.
      Even the amount of acid that can cause acidosis normalpun if the kidneys are not functioning normally.
      Renal dysfunction is known as renal tubular acidosis, which can occur in patients with renal failure or patients with disorders that affect the kidneys' ability to dispose of acid.


The primary cause of metabolic asidois:
# Kidney failure
# Renal tubular acidosis (renal deformities)
# Diabetic Ketoacidosis
# Lactic acidosis (increased lactic acid)
# Toxic materials such as ethylene glycol, an overdose of salicylate, methanol, paraldehyde, or ammonium chloride asetazolamid
# Losing bases (eg bicarbonate) through the digestive tract due to diarrhea, ileostomy or colostomy.

SYMPTOMS
Mild metabolic acidosis may not cause symptoms, but sufferers usually experience nausea, vomiting and fatigue.
Breathing becomes deeper or a little faster, but most people do not pay attention to this.

In line with worsening acidosis, the patient began to experience tremendous fatigue, drowsiness, nausea and experiencing the confusion.
If acidosis worsens, blood pressure can drop, causing shock, coma and death.

Diagnosis
Diagnosis is usually made based on the results of acidosis blood pH measurements were taken from arterial blood (radial artery in the wrist).
Arterial blood is used as an example as inaccurate venous blood to measure blood pH.

To determine the cause, measurement of carbon dioxide and bicarbonate levels in the blood.

It may take additional tests to help determine the cause.
For example, high blood sugar levels and the presence of ketones in the urine usually indicate an uncontrolled diabetes.
Presence of toxic materials in the blood indicate that metabolic acidosis is caused by poisoning or overdose.

Sometimes done by microscopic examination of the urine and the urine pH measurement.

TREATMENT
Treatment depends on the cause of metabolic acidosis.
For example, diabetes is controlled with insulin or poisoning solved by removing the toxic substances from the blood.
Sometimes need dialysis to treat severe overdose or poisoning.

Metabolic acidosis can also be treated directly.
When mild acidosis, which required only intravenous fluids and treatment of the cause.
In the event of severe acidosis, bicarbonate may be given intravenously; however bicarbonate only provide temporary relief and may be dangerous.