Sibutramine: ndi chiyani, mungamwe bwanji ndi zotsatirapo zake

Zamkati

• Ndi chiyani
• Momwe mungatenge
• Kodi sibutramine amachepetsa bwanji kulemera
• Zotsatira zoyipa
• Yemwe sayenera kutenga

Sibutramine ndi mankhwala omwe amagwiritsidwa ntchito pochiza kunenepa kwambiri, chifukwa amachulukitsa msanga kukhuta, kulepheretsa chakudya chochulukirapo kuti chisadye ndikupangitsa kuti muchepetse kunenepa. Komanso, chida ichi kumawonjezera thermogenesis, amene amathandiza kuti kuwonda.

Sibutramine imagwiritsidwa ntchito ngati makapisozi ndipo itha kugulidwa kuma pharmacies achizolowezi mwanjira zodziwika bwino kapena pansi pa dzina lamalonda la Reductil, Biomag, Nolipo, Plenty kapena Sibus, mwachitsanzo, popereka mankhwala.

Mankhwalawa ali ndi phindu lomwe limatha kusiyanasiyana pakati pa 25 ndi 60 reais, kutengera dzina lazamalonda ndi kuchuluka kwa makapisozi, mwachitsanzo.

Ndi chiyani

Sibutramine imawonetsedwa ngati chithandizo cha anthu onenepa kwambiri pakakhala BMI yoposa 30 mg / m², yomwe ikutsatiridwa ndi katswiri wazakudya kapena endocrinologist, mwachitsanzo.

Chithandizochi chimagwira ntchito powonjezera mwachangu kukhutira, ndikupangitsa kuti munthu adye chakudya chochepa, ndikuwonjezera thermogenesis, yomwe imathandizanso kuti muchepetse kunenepa. Dziwani zambiri za momwe sibutramine imagwirira ntchito.

Momwe mungatenge

Mlingo woyambira woyenera ndi kapisozi 1 wa 10 mg patsiku, woyendetsedwa pakamwa, m'mawa, kapena wopanda chakudya. Ngati munthuyo sataya osachepera 2 kg m'masabata anayi oyamba a chithandizo, pangafunike kuwonjezera mlingo mpaka 15 mg.

Chithandizo chiyenera kutha mwa anthu omwe samvera mankhwala ochepetsa thupi pakatha milungu inayi ndi mlingo wa 15 mg tsiku lililonse. Kutalika kwa mankhwala sikuyenera kupitilira zaka ziwiri.

Kodi sibutramine amachepetsa bwanji kulemera

Sibutramine amachita poletsa kubwezeretsanso kwa ma neurotransmitters serotonin, norepinephrine ndi dopamine, pamlingo waubongo, kuchititsa kuti zinthuzi zizikhala zochulukirapo komanso nthawi yolimbikitsira ma neuron, zomwe zimapangitsa kuti munthu akhale wosangalala komanso kuti awonjezere kuchepa kwa thupi, komwe kumabweretsa kuchepa kwa Kunenepa. Komabe, kafukufuku wowerengeka amatsimikizira kuti posokoneza sibutramine, anthu ena amabwerera kulemera kwawo kwapakale mosavuta ndipo nthawi zina amakhala onenepa kwambiri, kupitirira kulemera kwawo kwapakale.

Kuphatikiza apo, kuchuluka kwa ma neurotransmitters kumakhalanso ndi vuto la vasoconstrictor ndipo kumabweretsa kuwonjezeka kwa kugunda kwa mtima ndi kuthamanga kwa magazi, zomwe zimawonjezera chiopsezo chodwala matenda amtima kapena sitiroko.

Pazifukwa izi, asanaganize zakumwa mankhwalawo, munthuyo ayenera kudziwa kuopsa kwa sibutramine, ndipo akuyenera kuyang'aniridwa ndi dokotala nthawi yonse yothandizidwa. Dziwani zambiri za zoopsa zathanzi la sibutramine.

Zotsatira zoyipa

Zotsatira zoyipa zomwe zimatha kuchitika ndikugwiritsa ntchito sibutramine ndikudzimbidwa, mkamwa mouma, kusowa tulo, kuchuluka kwa kugunda kwa mtima, kugunda, kuthamanga kwa magazi, vasodilation, nseru, kuwonjezeka kwa zotupa zomwe zilipo kale, delirium, chizungulire, kumva khungu monga kuzizira, kutentha, kumva kulasalasa, kupanikizika, kupweteka mutu, nkhawa, thukuta kwambiri ndikusintha kwakomedwe.

Yemwe sayenera kutenga

Sibutramine imatsutsana mwa anthu omwe ali ndi mbiri ya matenda ashuga lembani mtundu wa 2 wokhala ndi chiopsezo chimodzi, monga matenda oopsa kapena cholesterol, anthu omwe ali ndi matenda amtima, mavuto akudya monga anorexia amanosa kapena bulimia, omwe amagwiritsa ntchito ndudu pafupipafupi komanso akagwiritsa ntchito mankhwala ena monga mankhwala am'mimba amphongo, antidepressants, antitussives kapena chilakolako suppressants.

Kuphatikiza apo, musanagwiritse ntchito mankhwalawa, muyenera kudziwitsa dokotala kapena wazakudya pazovuta monga kuthamanga kwa magazi, matenda amtima, khunyu kapena glaucoma.

Sibutramine sayenera kutengedwa pamene thupi la BMI ndi lochepera 30 kg / m², komanso limatsutsana ndi ana, achinyamata, okalamba opitilira 65, ndipo sayeneranso kugwiritsidwa ntchito ndi amayi apakati, amayi omwe akuyesera kutenga pakati ndi pa nthawi yoyamwitsa.

Onani zoponderezera zina zomwe zimakhudzanso zomwezo ndikuthandizani kuti muchepetse kunenepa.