Mankhwala ochepetsa kunenepa

Pali mankhwala osiyanasiyana omwe amagwiritsidwa ntchito pochepetsa thupi. Musanayese mankhwala ochepetsa thupi, omwe amakuthandizani pa zaumoyo akulimbikitsani kuti muyesere njira zosagwiritsira ntchito mankhwala ochepetsa thupi. Ngakhale mankhwala ochepetsa kunenepa amatha kukhala othandiza, kuchepa thupi konse komwe kumapezeka kumakhala kochepa kwa anthu ambiri. Kuphatikiza apo, zikuwoneka kuti kulemera kudzapezekanso mankhwala atayimitsidwa.

Mankhwala angapo ochepetsa thupi alipo. Pafupifupi mapaundi 5 mpaka 10 (2 mpaka 4.5 kilogalamu) atha kutayika pomwa mankhwalawa. Koma sikuti aliyense amataya thupi akamawatenga. Anthu ambiri amapezanso kulemera atasiya kumwa mankhwala, pokhapokha atasintha moyo wawo wonse. Zosinthazi zikuphatikiza kuchita masewera olimbitsa thupi kwambiri, kudula zakudya zopanda thanzi pazakudya zawo, ndikuchepetsa kuchuluka komwe amadya.

Muthanso kuwona zotsatsa za mankhwala azitsamba ndi zowonjezera zomwe zimati zimakuthandizani kuti muchepetse kunenepa. Zambiri mwazonenazi sizowona. Zina mwazowonjezera izi zitha kukhala ndi zovuta zina.

Chidziwitso cha akazi: Amayi apakati kapena oyamwitsa sayenera kumwa mankhwala azakudya. Izi zikuphatikizapo mankhwala azitsamba, azitsamba, komanso owonjezera pakampani. Pa-counter pamakhala mankhwala, zitsamba, kapena zowonjezera zomwe mungagule popanda mankhwala.

Mankhwala osiyanasiyana ochepetsa thupi afotokozedwa pansipa. Onetsetsani kuti mukulankhula ndi omwe akukuthandizani za mankhwala omwe akukuyenerani.

ORLISTAT (XENICAL NDI ALLI)

Orlistat imagwira ntchito pochepetsa kuyamwa kwa mafuta m'matumbo pafupifupi 30%. Ikuvomerezedwa kuti igwiritsidwe ntchito kwakanthawi.

Pafupifupi mapaundi 6 (3 kilogalamu) kapena mpaka 6% ya kulemera kwa thupi kumatha kutayika mukamagwiritsa ntchito mankhwalawa. Koma sikuti aliyense amataya kunenepa akamamwa. Anthu ambiri amabwezeretsanso kulemera kwazaka ziwiri atasiya kugwiritsa ntchito.

Zotsatira zoyipa kwambiri za orlistat ndi kutsegula m'mimba komwe kumatha kutuluka mu anus. Kudya zakudya zochepa zamafuta kumatha kuchepetsa izi. Ngakhale izi zimakhala zoyipa, anthu ambiri amalekerera mankhwalawa.

Xenical ndiye mtundu wa orlistat omwe woperekayo angakupatseni. Muthanso kugula orlistat popanda mankhwala omwe amatchedwa Alli. Mapiritsiwa ndi theka lamphamvu la Xenical. Orlistat amawononga pafupifupi $ 100 kapena kupitilira apo pamwezi. Ganizirani ngati mtengo wake, zotsatirapo zake, ndi kuchepa kwakuchepa komwe mungayembekezere kuli koyenera kwa inu.

Thupi lanu silingatenge mavitamini, michere, ndi michere yambiri yazakudya mukamagwiritsa ntchito orlistat. Muyenera kumwa multivitamin tsiku lililonse mukamagwiritsa ntchito orlistat.

MADENGA AMENE AMAPEREKA CHAKUDYA

Mankhwalawa amagwira ntchito muubongo wanu pakupangitsa kuti musakhale ndi chidwi ndi chakudya.

Sikuti aliyense amataya thupi akamamwa mankhwala. Anthu ambiri amapezanso kulemera atasiya kumwa mankhwalawo, pokhapokha atasintha moyo wawo wonse. Lankhulani ndi omwe amakupatsirani za kulemera komwe mungayembekezere kutaya pomwa mankhwala aliwonse.

Mankhwalawa amapezeka kokha mwa mankhwala. Zikuphatikizapo:

• Phentermine (Adipex-P, Lomaira, Phentercot, Phentride, Pro-Fast)
• Fentamini pamodzi ndi topiramate (Qsymia)
• Benzphetamine, Phendimetrazine (Bontril, Obezine, Phendiet, Prelu-2)
• Diethylpropion (Tenuate)
• Naltrexone kuphatikiza bupropion (Contrave)
• Chilombo (Belviq)

Ndi lorcaserin ndi fentamini / topiramate okha omwe amavomerezedwa kuti agwiritsidwe ntchito kwakanthawi. Mankhwala ena onse amavomerezedwa kuti agwiritsidwe ntchito kwakanthawi kochepa kuposa milungu ingapo.

Onetsetsani kuti mukumvetsetsa zotsatira zoyipa za mankhwala ochepetsa thupi. Zotsatira zoyipa zimatha kuphatikiza:

• Wonjezerani kuthamanga kwa magazi
• Mavuto akugona, kupweteka mutu, mantha, ndi kugundana
• Nseru, kudzimbidwa, ndi pakamwa pouma
• Matenda okhumudwa, omwe anthu ena onenepa kwambiri amalimbana nawo kale

Ngati muli ndi matenda ashuga omwe amafunikira chithandizo ndi mankhwala, mungafune kufunsa omwe amakupatsirani mankhwala a shuga omwe amachititsa kuti muchepetse thupi. Izi zikuphatikiza:

• Kanagliflozin (Invokana)
• Dapagliflozin (Farxiga)
• Dapagliflozin kuphatikiza ndi saxagliptin (Qtern)
• Dulaglutide (Trulicity)
• Empagliflozin (Jardiance)
• Kutali (Byetta, Bydureon)
• Liraglutide (Victoza)
• Lixisenatide (Adlyxin)
• Metformin (Glucophage, Glumetza, ndi Fortamet)
• Semaglutide (Ozempic)

Mankhwalawa savomerezedwa ndi a FDA kuti athetse kuchepa thupi. Chifukwa chake simuyenera kuwamwa ngati mulibe matenda ashuga.

Mankhwala osokoneza bongo; Shuga - kuwonda mankhwala; Kunenepa kwambiri - kuwonda mankhwala; Kulemera - mankhwala kuwonda

Apovian CM, Aronne LJ, Bessesen DH, et al .; Bungwe la Endocrine. Kuwongolera kwamankhwala kunenepa kwambiri: malangizo othandizira a endocrine Society. J Clin Endocrinol Metab. 2015; 100 (2): 342-362. PMID: 25590212 www.ncbi.nlm.nih.gov/pubmed/25590212. (Adasankhidwa)

Jensen MD. Kunenepa kwambiri. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 220.

[Adasankhidwa] Klein S, Romijn JA. Kunenepa kwambiri. Mu: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, olemba. Buku la Williams la Endocrinology. Wolemba 13. Philadelphia, PA: Elsevier; 2016: chap 36.

Mordes JP, Liu C, Xu S. Mankhwala ochepetsa thupi. Curr Opin Endocrinol Matenda a shuga. 2015; 22 (2): 91-97. PMID: 25692921 www.ncbi.nlm.nih.gov/pubmed/25692921.

• Kulemera Kunenepa