Chithandizo cha kunenepa kwambiri

Zamkati

• 1. Mankhwala onenepa kwambiri
• 2. Opaleshoni ya Bariatric
• Malangizo oti musataye mankhwala

Njira yabwino kwambiri yothandizira kunenepa kwambiri ndi kudya kuti muchepetse thupi komanso kuchita masewera olimbitsa thupi, komabe, ngati izi sizingatheke, pali njira zina zamankhwala zothandiza kuchepetsa kudya komanso kudya kwambiri, monga Sibutramine ndi Orlistat, kapena, pomaliza pake, bariatric Kuchita opaleshoni, komwe kumachepetsa gawo loyamwa chakudya ndi mundawo m'mimba.

Gawo loyamba, lothandizira ndi kupewa kunenepa kwambiri, nthawi zonse liyenera kukhala chiwongolero chakumwa kwa kalori, kuwerengedwa molingana ndi zakudya zomwe mumadya nthawi zonse komanso kuchuluka kwa kulemera komwe mukufuna kutaya, makamaka ndi zakudya zokhala ndi zipatso, ndiwo zamasamba, ulusi ndi madzi, malinga ndi katswiri wazakudya. Kuti mudziwe momwe zakudya zoyenera kuchepa ziyenera kukhalira, onani zakudya zathu zachangu komanso zolemetsa.

Komabe, kuwonjezera pa zakudya ndi masewera olimbitsa thupi, mankhwala ena onenepa omwe angatsogozedwe ndi endocrinologist kapena katswiri wazakudya, kuphatikiza:

1. Mankhwala onenepa kwambiri

Kugwiritsa ntchito mankhwala osokoneza bongo kumawonetsedwa potsatira izi:

• BMI wamkulu kuposa 30kg / m2;
• BMI yoposa 27kg / m2, ndimatenda ena okhudzana ndi matendawa, monga matenda ashuga, cholesterol komanso kuthamanga kwa magazi;
• Anthu omwe ali ndi vuto lililonse la kunenepa kwambiri omwe sangathe kuonda ndi zakudya komanso masewera olimbitsa thupi.

Mankhwala osokoneza bongo akuyenera kulunjika kwa anthu omwe akutenga nawo gawo pakusintha moyo wawo, ndikuwongolera zakudya ndi zochitika, chifukwa apo ayi sizikhala zokhutiritsa.

Zosankha zamankhwala ochepetsa thupi ndi:

Palinso mankhwala omwe amagwiritsidwa ntchito pochiza matenda ena omwe angathandize kuthana ndi kunenepa kwambiri, monga mankhwala ochepetsa nkhawa, ndipo zitsanzo zina ndi Fluoxetine, Sertraline ndi Bupropion.

Mankhwalawa atha kugwiritsidwa ntchito ndi malangizo okhwima achipatala, makamaka ngati akudziwa kugwiritsa ntchito mankhwalawa, monga ma endocrinologists ndi akatswiri azakudya, chifukwa cha kuchuluka kwa zovuta, zomwe zimafunikira chidwi ndikuwunika nthawi ndi nthawi.

2. Opaleshoni ya Bariatric

Kuchita opaleshoni ya Bariatric kumawonetsedwa pazochitika zotsatirazi:

• Kunenepa kwambiri, ndi BMI yoposa 40kg / m2;
• Kunenepa kwambiri, ndi BMI yopitilira 35mg / m2, yogwirizana ndi matenda osaneneka onenepa, monga matenda ashuga, kugona tulo, kuthamanga kwa magazi, cholesterol, matenda amtima, stroke, arrhythmias ndi osteoarthritis.

Mitundu ina ya maopareshoni omwe amachitidwa kwambiri ndi awa:

Njira ina yothandizira kuti pasakhale zovuta zambiri ndiyo kuyika zibaluni zazing'ono, zomwe zimawoneka ngati zolimbikitsa kwa anthu ena kuti achepetse kudya kwakanthawi.

Mtundu wa opaleshoni yomwe ikuwonetsedwa kwa munthu aliyense amasankhidwa ndi wodwalayo molumikizana ndi dokotala wam'mimba, yemwe amawunika zosowa za munthu aliyense ndi njira zomwe zingagwirizane bwino. Kumvetsetsa bwino momwe zimachitikira komanso momwe akuchira pochitidwa opaleshoni ya bariatric.

Malangizo oti musataye mankhwala

Chithandizo cha kunenepa kwambiri sichophweka kutsatira chifukwa chimaphatikizapo kusintha kadyedwe ndi moyo womwe wodwala wachita kwa moyo wake wonse, chifukwa chake malangizo othandizira kuti musataye mankhwalawa ndi awa:

1. Khazikitsani zolinga sabata iliyonse zomwe mungathe kukwaniritsa;
2. Funsani katswiri wazakudya kuti asinthe kadyedwe ngati ndizovuta kutsatira;
3. Sankhani zolimbitsa thupi zomwe mumakonda, ndikuzichita pafupipafupi. Pezani zomwe ndizochita zabwino kwambiri kuti muchepetse kunenepa;
4. Lembani zotsatirazo, mukuyesa mapepala kapena zithunzi za sabata iliyonse.

Kanemayo, onani maupangiri ofunikira kuchokera kwa katswiri wazakudya kuti muchepetse thupi mosavuta:

Chitsogozo china chofunikira chokhala ndi chidwi chochepetsa thupi ndikutsatira mwezi ndi mwezi kapena kotala ndi wazakudya ndi adotolo, kuti zovuta kapena zosintha zilizonse pakachiritso zithetsedwe mosavuta.

Ndikofunikira kukumbukira kuti pali mapulogalamu aulere ochepetsa thupi, omwe amapangidwa ndi zipatala zamayunivesite omwe ali ndi chithandizo chamankhwala m'maiko onse, ndipo ndizotheka kudziwa za omwe atumizidwa ndikufunsidwa kuchipatala.