Kusagwirizana Kwenikweni

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Pankhani yotaya kulemera kwakukulu, kutaya mapaundi ndi theka la nkhondo. Monga aliyense amene anayamba wayang'anapo Wotayika Kwambiri mukudziwa, ntchito yeniyeni imayamba mukamenya nambala yanu yamatsenga chifukwa zimangofunika kuyesetsa kuti musunge. (Kuphatikizansopo, onetsetsani kuti mukudziwa Choonadi Chokhudza Kuwonda Pambuyo Wotayika Kwambiri.)

Elna Baker akudziwa momwe kulimbanaku kulili koona. Woseka komanso wolemba posachedwa adagawana nkhani yakuchepetsa kwake kwa 110-pounds ndi podcast yotchuka Moyo waku America. Atakhala wonenepa kwambiri kapena wonenepa kwambiri m'moyo wake wonse, pamapeto pake adaganiza zochepetsa thupi ali ndi zaka makumi awiri ndipo adasainira ku chipatala chochepetsa thupi ku New York City. Adataya mapaundi a 100 m'miyezi isanu ndi theka yokha mwa kudya zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi komanso ... kumwa fentamini yomwe dokotala wake adamulamula.

Phentermine ndi mankhwala ofanana ndi amphetamine omwe anali theka la mafuta ochepetsa mafuta a Fen-Phen, omwe adachotsedwa pamsika mu 1997 kafukufuku atapeza kuti 30 peresenti ya anthu omwe amamwa adakumana ndi mavuto amtima. Phentermine imapezekabe ndi mankhwala payokha, koma tsopano imagulitsidwa ngati chithandizo chamankhwala "chanthawi yochepa".

Pomaliza, woonda, Baker adazindikira kuti ndi zonse zomwe amayembekeza kuti zidzakhala. Mwadzidzidzi anali kupeza mwayi wopeza ntchito, kupeza zachikondi, ngakhalenso kugula kwaulere, zonse chifukwa cha munthu yemwe anali atangolowa kumene. Pambuyo pake adachitidwa opaleshoni yodula khungu kuti asinthe kusintha kwake. (Musati muphonye: Amayi Enieni Amagawana Maganizo Awo Pakuchita Opaleshoni Yotayitsa Kunenepa. Chifukwa chake adabwerera ku zomwe amadziwa kuti zimagwira ntchito.

"Pano pali zomwe sindimauza anthu. Ndimangotenga phentermine. Ndimatenga kwa miyezi ingapo pachaka, kapena nthawi zina ndimamva ngati theka la chaka. Sindingathe kuyitanidwanso, chifukwa chake ndimagula Mexico kapena pa intaneti, ngakhale zinthu zapaintaneti ndi zabodza ndipo sizigwira ntchito, "adavomereza pawonetsero. "Ndikudziwa momwe izi zimamvekera. Ndikudziwa bwino momwe zimakhalira."

Koma ndizovuta bwanji kukhalabe ochepetsa thupi? Ndipo ndi anthu angati omwe akugwiritsa ntchito njira zovutirapo ngati za Baker kuti atero? Kafukufukuyu ndi wotsutsana, kunena pang'ono. Kafukufuku wina wotchulidwa kawirikawiri, wofalitsidwa mu New England Journal of Medicine, anapeza kuti munthu mmodzi kapena aŵiri mwa anthu 100 alionse amene amaonda amakhalabe otanuka zaka ziŵiri zapitazo, pamene kufufuza kwina kunaika chiŵerengerocho kufupi ndi asanu peresenti. Ndipo kafukufuku wa UCLA adapeza kuti gawo limodzi mwa magawo atatu a dieters amapezanso kulemera kwambiri kuposa momwe adataya poyamba. Ziwerengerozi zimatsutsidwa kwambiri, komabe, ndi maphunziro ena, kuphatikizapo iyi yofalitsidwa ndi American Journal of Nutrition, kunena kuti mantha ndi ochuluka kwambiri ndipo pafupifupi 20 peresenti ya dieters adzasunga kutaya kwawo kwa nthawi yaitali.

Kusokonezeka kwakukulu kumawoneka kuti kumachitika chifukwa choti maphunziro omwe anthu amakhala nawo kwa nthawi yayitali pochepetsa thupi ndi osowa komanso okwera mtengo kwambiri, chifukwa chake nthawi zambiri timasiyidwa ndimaphunziro otengera kudzidziwitsa tokha-ndipo anthu amakhala abodza odziwika kulankhula za kulemera kwawo, kudya kwawo, ndi zizoloŵezi zolimbitsa thupi.

Koma mulimonse momwe mungasankhire, imasiya anthu osachepera 80% ali m'malo okhumudwitsa kuti abwezeretse kulemera konse komwe adagwira molimbika kuti ataye. Chifukwa chake sizosadabwitsa kuti anthu ambiri amatembenukira kuzowonjezera zokayikitsa, mapiritsi amsika wakuda, komanso zovuta zamankhwala kuti achepetse kunenepa. Kafukufuku wina amene magaziniyi inachita Tsopano Amanena kuti mayi m'modzi mwa akazi asanu ndi awiri adati adagwiritsa ntchito mankhwala osokoneza bongo, kaya ndi mankhwala kapena osaloledwa, kuti achepetse thupi. Kuphatikiza apo, pafupifupi theka adanena kuti adagwiritsa ntchito mankhwala azitsamba ndipo 30 peresenti adavomereza kuti azitsuka pambuyo pa chakudya. Kafukufuku wina adalemba gawo limodzi mwa kuphulika m'malamulo a ADHD, monga Adderall ndi Vyvanse, ndikudziwika kwawo pamsika wakuda, kufikira zotsatira zawo zodziwika bwino zakuchepetsa thupi.

Tsoka ilo, njirazi zonse zimakhala ndi zovuta zina zodziwika bwino kuyambira kudalira matenda mpaka kufa. Koma ndiye mtengo wake Baker akuti ndi wokonzeka kulipira kuti asunge mwayi womwe wapeza chifukwa chokhala wowonda. "Ndinaganiza kale kuti [phentermine] itha kukhala kuti ikukhudza thanzi langa. Zimamveka choncho," adatero. "Mwadala sindinayesepo zotsatira zoyipa."

Ndizosatheka kunena ndendende kuti ndi angati omwe amatembenukira ku njira zosimidwa kuti achepetse kunenepa chifukwa anthu amazengereza kuuza ofufuza (kapena akukana) za kugwiritsa ntchito mankhwala osokoneza bongo kapena kudya molakwika koma nkhani ya Baker imamveketsa bwino chinthu chimodzi: Zikuchitika ndipo ife onse ayenera kulankhula za izo kwambiri. (Ndipo posachedwa, chifukwa Pali Vuto Lalikulu Lapanenepa Padziko Lonse.)

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