Kuopsa kwa thanzi la Sibutramine

Zamkati

• 1. Kuchuluka kwa chiwopsezo cha matenda amtima
• 2. Kukhumudwa ndi nkhawa
• 3. Bwererani kulemera yapita
• Nthawi yosiya kugwiritsa ntchito sibutramine
• Yemwe sayenera kugwiritsa ntchito
• Momwe mungatengere sibutramine mosamala

Sibutramine ndi mankhwala omwe amawonetsedwa ngati othandizira kuchepetsa kulemera kwa anthu omwe ali ndi index ya thupi yopitilira 30 kg / m2, atamuyesa mwamphamvu dokotala. Komabe, popeza zimathandizira kuchepetsa kunenepa, imagwiritsidwa ntchito mosasankha, ndipo zotsatira zoyipa zambiri zanenedwapo, pamlingo wamtima, zomwe zapangitsa kuti kuyimitsidwa kwake kugulitsidwe ku Europe ndikuwongolera kwambiri zamankhwala ku Brazil.

Chifukwa chake, mankhwalawa ayenera kugwiritsidwa ntchito ndi upangiri wa zamankhwala, chifukwa zoyipa zake zimatha kukhala zowopsa ndipo sizimalipira phindu lochepetsa. Kuphatikiza apo, kafukufuku wina akuwonetsa kuti, akasiya mankhwala, odwala amabwerera kulemera kwawo kwapakale mosavuta ndipo nthawi zina amalemera, kupitirira kulemera kwawo kwapakale.

Zotsatira zoyipa kwambiri zomwe zingachitike mukamagwiritsa ntchito sibutramine ndi:

1. Kuchuluka kwa chiwopsezo cha matenda amtima

Sibutramine ndi mankhwala omwe amachulukitsa chiopsezo cha infarction ya myocardial, stroko, kumangidwa kwamtima komanso kufa kwamtima, popeza ili ndi zovuta zina monga kuthamanga kwa magazi komanso kusintha kwa kugunda kwa mtima.

2. Kukhumudwa ndi nkhawa

Nthawi zina, kugwiritsa ntchito sibutramine kumalumikizidwanso ndikukula kwa kukhumudwa, psychosis, nkhawa ndi mania, kuphatikiza kuyesa kudzipha.

3. Bwererani kulemera yapita

Kafukufuku wina akuwonetsa kuti, akasiya kumwa mankhwala, odwala ambiri amabwerera kulemera kwawo kwapakale mosavuta komanso nthawi zina amakhala ndi mafuta ochulukirapo, kutha kupitirira kulemera komwe anali nako asanayambe kumwa sibutramine.

Zotsatira zina zoyipa zomwe zingayambitsidwe ndi chida ichi ndi kudzimbidwa, mkamwa mouma, kusowa tulo, kupweteka mutu, kutuluka thukuta komanso kusintha kwa kukoma.

Nthawi yosiya kugwiritsa ntchito sibutramine

Ngakhale adotolo atakulangizani sibutramine kuti muchepetse kunenepa, mankhwalawa ayenera kuthetsedwa ngati atachitika:

• Kusintha kwa kugunda kwa mtima kapena kuwonjezeka kwathanzi pamavuto amwazi;
• Matenda amisala, monga nkhawa, kukhumudwa, psychosis, mania kapena kuyesa kudzipha;
• Kuchepa kwa thupi osachepera 2 kg pakatha milungu inayi yothandizidwa ndi mulingo wambiri;
• Kuchepa kwa thupi pakatha miyezi itatu ya chithandizo chochepera 5% poyerekeza ndi koyambirira;
• Kukhazikika kwa kuchepa kwa thupi pansi pa 5% poyerekeza ndi koyambirira;
• Kuwonjezeka kwa makilogalamu atatu kapena kupitilirapo kwa thupi mutayika kale.

Kuphatikiza apo, mankhwalawa sayenera kupitilira chaka chimodzi ndikuwunika pafupipafupi kuthamanga kwa magazi ndi kugunda kwa mtima.

Yemwe sayenera kugwiritsa ntchito

Sibutramine sayenera kugwiritsidwa ntchito mwa anthu omwe ali ndi mbiri yazovuta zazikulu zakulakalaka, matenda amisala, Tourette's syndrome, mbiri yamatenda amtima, kuponderezana kwamtima, tachycardia, zotumphukira zamatenda, arrhythmias ndi matenda am'magazi, matenda oopsa, hyperthyroidism, prostate hypertrophy , pheochromocytoma, mbiri ya kugwiritsa ntchito mankhwala osokoneza bongo komanso kumwa mowa mopitirira muyeso, kutenga pakati, kuyamwa ndi okalamba opitilira zaka 65.

Momwe mungatengere sibutramine mosamala

Sibutramine iyenera kugwiritsidwa ntchito pokhazikitsidwa ndi zamankhwala, pambuyo pofufuza mosamalitsa zaumoyo wa munthuyo ndikukwaniritsa zomwe udokotala ananena, zomwe zimayenera kuperekedwa ku pharmacy panthawi yogula.

Ku Brazil, Sibutramine itha kugwiritsidwa ntchito kwa odwala onenepa omwe ali ndi BMI ya 30 kapena kupitilira apo, kuphatikiza pazakudya ndi zolimbitsa thupi.

Pezani zambiri za sibutramine ndikumvetsetsa zomwe zikuwonetsa.