Kalmar "kiba" tana jefawa a kusa da yawa, kuma wani lokaci mazai iya bayyana abin da ake nufi. Shin yana nufin wanda yake da kisa ko yana da nauyin nauyi? Ko kuma ya fi haka? To, akwai maganin likita don kiba , kazalika da kalmar "ƙima."
A cikin maganin maganin likita, kalmar "karba" ta kasance ta zama kalmar sirri (kamar yadda, "kiba da kiba") kamar yadda ya dace.
Irin wannan amfani yana da tasiri wajen bayyana cewa ƙima da kiba suna cikin ɓangare na cuta-ƙarin a ƙasa.
Maganar likita don ƙima ta dogara ne akan ma'auni na jiki (BMI). An auna BMI a raka'a na kg / m 2 , wanda ke nufin cewa yana buƙatar tsawo da nauyi don lissafi. BMI masu lissafi suna samuwa don amfani da su, irin su wanda aka ba da dama a nan. Kawai shigar da bayaninku don koyon BMI.
Girman nauyi an kwatanta shi ne BMI na 25.0 - 29.9 kg / m 2 . An kwatanta BMI na yau da kullum tsakanin 18.5 da 24.9. Samun BMI da ke ƙasa da 18.5 ya ware ɗaya a matsayin nauyin nauyi.
Menene Abune?
Kamar dai yadda ƙananan zafin jiki ya ke, bayanin magungunan kiwon lafiya na ƙudan zuma ya danganta akan lissafin BMI. Don a ƙayyade shi a matsayin obese, mai haƙuri dole ne BMI na 30.0 ko mafi girma. BMI na 40.0 ko mafi girma ana kiranta "ƙurar ƙari," kuma shawarwarin ƙasashe ya bada shawara don ganowa marasa lafiya wanda zasu cancanci aikin tiyata.
Ya kamata a lura da cewa, wasu 'yan wasa da ke da ƙwayar murya suna iya samun babban BMI wanda shine saboda sun fi nauyin tsoka fiye da gabar jiki. Saboda haka, BMI yana nufin ya zama wani ɓangare na kima mafi kwarewa.
Me ya sa yake da matsala?
Yawancin bincike sun nuna cewa yiwuwar rashin lafiya sakamakon (sakamakon irin cututtuka kamar ciwon daji, cututtuka na zuciya da jijiyoyin ƙwayar cuta , ciwon sukari , hawan jini , da sauransu), da kuma mutuwar da ba a taɓa mutuwa ba, ya kara ƙaruwa kamar yadda BMI ta ƙaru.
Kuma ma'anar asibiti na kiba (BMI na 30.0 ko mafi girma) ana amfani da su a lokuta da yawa don ƙayyade zaɓuɓɓukan magani.
Har ila yau, akwai abubuwan da suka shafi inshora da kuma abin da za a yi la'akari da lafiyar likita. A shekara ta 2013, kungiyar likitoci ta Amurka (AMA) ta bayyana cewa cutar ta zama cuta, ta amince da "babban cibiyoyin jin dadin jama'a da kuma tattalin arziki don neman kula da lafiyar, bincike, da kuma ilimin ilimi na sauran manyan cututtuka na duniya."
Har ila yau, a shekarar 2013, Cibiyar Harkokin Kasuwancin Amirka, Cibiyar Nazarin Kasuwanci ta {asar Amirka, da kuma Cibiyar Sadarwa ta {asashen Duniya, ta fitar da sababbin abubuwan da ake bukata, wanda aka tsara a matsayin "Lissafi na ACCF / AHA / TOS na 2013" don Gudanar da Girma da Kiba a cikin Adult. "
Yau ana sa ran tasiri akan yarda da ƙudan zuma a matsayin rashin lafiyar cutar ba kawai don wayar da kan jama'a game da matsala a cikin jama'a ba har ma da tasiri manufofin a duk matakai. Masu sharhi na siyasa zasu iya jin dadi mafi girma don buƙata da aiwatar da magungunan magunguna da shirye-shiryen shigarwa, yayin da masu biyan kuɗi na uku zasu iya karɓar likitoci da sauran likitocin kiwon lafiya don magancewa da kuma kula da kiba a matsayin cututtukan da aka sani.
Har zuwa Cibiyoyin Kula da Magungunan Magunguna da Magunguna (CMS), an riga an rarraba kiba a matsayin rashin lafiya tun daga shekara ta 2004. Tun daga ranar 29 ga watan Nuwamban shekarar 2011, Medicare ya kori kudin likita ga marasa lafiya da ganewar asali. Wannan na iya hada da nunawa tare da BMI da ƙuƙwalwar waƙar, ƙididdiga na abincin, da kuma haɓakar halayyar halayya. Har ila yau, ana iya yin amfani da takalmin aikin tiyata a wasu ka'idoji.
Ƙididdiga a ƙarƙashin tsare-tsaren kiwon lafiya na gida na iya bambanta; Duk da haka, a karkashin Dokar Kulawa ta Kulawa ta 2010 (ACA), ana buƙatar sababbin tsare-tsaren kiwon lafiya don rufe ayyukan da aka ƙaddara "A" (shawarar da aka ba da shawarar) ko "B" (shawarar da Amurka ta tanadar. (USPSTF).
An ba da cikakken bayanin "B" ga maza da yara ta hanyar USPSTF, saboda haka ne za'a buƙaci sabon tsarin kiwon lafiya don rufe nauyin kiba, wanda, kamar yadda muka gani a sama, yawanci yana farawa ne tare da binciken BMI kuma zai iya haɗawa da ƙuƙwalwar kagu da abincin abinci kima. Ƙarin bayani game da tsare-tsaren kiwon lafiya don sauran zaɓuɓɓukan gudanarwa da haɗari masu mahimmanci, duk da haka, za su ci gaba da bambanta. Wasu masu insurers, misali, suna ba da shawarwari na tarho, yayin da wasu ke ba da korar lafiyar jiki ko kuma waɗanda suke ba da hidima ga ayyuka masu nauyi-nauyi irin su Weight Watchers.
Sources
Ƙungiyar Harkokin Kiwon Lafiya na Amirka: Resolution 420 - Kula da Iyaye a matsayin Cututtuka . Jensen MD, Ryan DH, Apovian CM, et al.
2013 AIHA / ACC / TOS Sharuɗɗa na Gudanar da ƙima da kiba a cikin Adalai: Rahoton Cibiyar Harkokin Kasuwancin Kasuwancin Amurka da Ƙungiyar Ƙungiyar Ƙungiyar Amurkancin Amurka kan Ka'idojin Ɗabi'a da Ƙungiyar Haɗi (Wallafa a cikin labaran Nuwamba 27, 2013). Yanayi.
Benson SS. Kiba a Tennessee: Hanyoyin Gudanar da Labarin Iyaye a matsayin "Ciwo." Tennessee Medicine. Janairu 2014; 27-30.