Truyền khẩu: Người lớn tuổi hay bị bụng bự to ra là vì bị bệnh phù thủng do chai gan?

Thực nghiệm: Người bị bệnh phù thủng tức là nước ứ đọng trong thành bụng (ascite) thường thấy trong bệnh nhân bị chai gan nặng hay hư thận. Nước ứ đọng trong thành bụng là vì gan thận bị hư nên cơ thể giữ nước lại trong bụng làm cho bụng to ra giống như đàn bà có thai. Tuy nhiên, bệnh phù thủng rất là ít và thường những bệnh nhân bị bệnh này bị bệnh nặng nên cơ thể rất là uể oải, mệt nhọc, chân bị phù v.v..


Ða số những người lớn tuổi bị bụng to thật ra là vì mập nên mỡ đọng lại trong thành bụng làm cho bụng phì như ông địa. Trong cơ thể chúng ta từ lúc mới sanh thành bụng là nơi chứa đựng nhiều tế bào mỡ nhất. Mỡ cũng ở khắp các bộ phận khác trong cơ thể như ở chân tay, nhưng ít hơn nhiều so với mỡ ở bụng và mông.  Con người chúng ta hoạt động tay chân nhiều hơn là với bụng hay mông nên tay chân chúng ta cũng có tế bào mỡ nhưng nhỏ hơn và ít hơn so với bắp thịt, gân.

Ngược lại bụng và mông ít được hoạt động cho nên tế bào mỡ to và nhiều hơn ở các phần này trong cơ thể.  Người lớn tuổi thường ít hoạt động và tập thể thao và cơ thể đốt năng lượng cũng ít đi hơn so với thời kỳ còn trẻ cho nên dễ lên cân dễ mập.  Lúc mập thì tế bào mỡ to ra và lớn hơn cho nên chỗ bụng và mông nhiều mỡ tức vòng eo và vòng mông phải to và phình ra nhiều nhất. Bụng to vì nhiều mỡ là một điều không tốt cho sức khoẻ dễ bị bệnh tim và cao áp huyết.

Truyền khẩu: Nếu mập bụng thì tập thể thao bụng nhiều hay mặc quần chật sẽ làm tan mỡ bụng, eo thon lại?

Thực nghiệm: Tập bụng chỉ làm to bắp thịt bụng to ra cũng như tập tạ, chạy bộ, nhảy dây làm cho bắp vai, bắp vế nở nang “vai u thịt bắp” nhưng không làn tan mỡ bụng.  Mỡ chỉ tan đi và phải tan đều mỡ toàn cơ thể khi cơ thể chúng ta tiêu thụ các tế bào mỡ này dùng cho năng lượng cơ thể. Muốn được như vậy chúng ta phải giảm ăn và tập thể thao để năng lượng cơ thể cần dùng (hoạt động, tập thể thao) nhiều hơn là năng lượng chúng ta hấp thụ (qua ăn uống).  Như vậy thì cơ thể sẽ phải dùng tế bào mỡ trong cơ thể biến thành năng lượng và như vậy thì tế bào mỡ sẽ nhỏ và biến mất đi. Khi cơ thể dùng tế bào mỡ thì dùng tế bào ở khắp nơi trong cơ thể không nhất thiết chỉ tế bào mỡ ở bụng mặc dù chỉ tập thể thao ở bụng. Cho nên nếu tập thể thao bụng mà bụng vẫn đầy mỡ thì dù bắp thịt bụng có rắn chắc và nở nang đến đâu cũng bị mỡ che mất. Còn mặc quần chật thì không thể nào làm tan mỡ được ngược lại có thể làm đau bụng khó chịu vì bị bó quá chặt.


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Bác sĩ Trịnh Ngọc Huy, MD, AGAF, FAASLD -- Bác sĩ Trịnh Ngọc Huy chuyên khoa Bệnh Tiêu Hóa và Gan. Bác sĩ Huy tốt nghiệp y khoa tại Northwestern University School of Medicine; tốt nghiệp chuyên khoa Bệnh Nội Thương tại UCLA VA Wadsworth và tốt nghiệp chuyên khoa Bệnh Tiêu Hóa và Gan tại University of California, Irvine. Bác sĩ Huy hiện đang làm việc với Trung Tâm Chuyên Khoa Tiêu Hóa và Gan San Jose Gastroenterology, MC tại San Jose, California

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