Mankhwala ochepetsa thupi a Meridia ndi mayendedwe ake: Malangizo ogwiritsira ntchito ndi zotheka zina
Kwa azimayi ambiri ngakhale abambo, kufuna kuchepetsa thupi nthawi zina kumakhala lingaliro lenileni. Ndipo nthawi ina, kuchepa thupi sikungathenso kuunika mokwanira zotsatira zomwe zochita zawo zingatsogole. Masiku ano, zida zingapo zakonzedwa ndikuyambitsidwa kuti zigulitsidwe kuti muchepetse kunenepa. Kugwiritsa ntchito kumakupatsani mwayi wosavuta komanso mwachangu. Koma mankhwala ngati amenewa amabweretsa mavuto ena m'thupi. Pankhani ya mapiritsi owopsa azakudya, mankhwala omwe ali ndi sibutramine ayenera kuwunikidwa. Izi zikutanthauza "Lindaksa", komanso analogue lindaxa - mankhwala "Meridia". Palinso mankhwala apakhomo othandizira kuchepetsa thupi - Reduxin. Lingalirani za machitidwe a zida izi mwatsatanetsatane.
Sibutramine ndi chinthu chomwe chili pafupi kwambiri ndi zinthu zingapo za psychotropic malinga ndi momwe zimakhalira. Chifukwa chakuti ndi gawo la mankhwala a Lindaxa kapena analog of lindaxa, kuchepa thupi ndi njirazi sikumva njala, kumva kupepuka, kufuna kusuntha kwambiri komanso mwachangu. Zonsezi, mosakayikira, zimathandizira kuti munthu azidya zakudya zochepa, ndipo mapaundi owonjezera amasungunuka pafupi ndi maso athu. Kuphatikiza apo, mapiritsi a Lindax alinso ndi serotonin, yomwe popanda chifukwa imatchedwa "chisangalalo cha chisangalalo". Chifukwa chake, kuchepetsa thupi mothandizidwa ndi mankhwalawa, m'malingaliro, kuyenera kutsagana ndi chisangalalo komanso chisangalalo. Koma vuto la mankhwalawa lidakulirakulira.
Anthu ambiri ali ndi chidwi ndi funso - pali kusiyana kotani pakati pa sapxin ndi lindaxa, kapena pali kusiyana kotani pakati pa Meridia ndi lindaxa? Mayina osiyanasiyana, magulu osiyanasiyana amitundu - kodi pali kusiyana kulikonse pazomwe mungagwiritse ntchito pakuchepetsa thupi? Tiyeni tiwone.
Mwambiri, ndikulakwa kunena kuti malonda a Meridia ndi analogue ya lindaxa. M'malo mwake, mankhwala a Lindax ndi analogue a Meridia, omwe ndi otsika mtengo. Mankhwala "Meridia" adavomerezedwa m'dziko lathu, mosiyana ndi mapiritsi ena omwe ali ndi sibutramine. Ndipo kusiyana kwa mtengo kumangochitika chifukwa cha kufalitsa kokwanira kwa mapiritsi awa. Ngakhale, kumbali ina, m'maiko angapo ku Europe, komanso ku America ndi Australia, kwa zaka zingapo mankhwalawa ali oletsedwa kwambiri ndipo amafananizidwa ndi psychotropic. Zomwe zili ndi lindaxese, ndi meridians, ndi sapxin ndizofanana - ndi sibutramine (10 mg) ndi ochulukitsa angapo (makamaka, MCC ndi serotonin). MCC - microcrystalline cellulose, ngakhale siyomwe imagwiritsidwa ntchito kwenikweni, imapangidwabe kuthandiza sibutramine kuti munthu amene akuchepetsa thupi asamve njala. MCC yokha, yolowa m'mimba, imatupa ndikudzaza malo ake onse, ndipo sibutramine imayenderana ndi dongosolo lamanjenje lamkati.
Monga mukuwonera, kaya mugule lindax kapena analog iliyonse ya lindax, kusankha kwanu sikungakhudze phindu la njira yochepetsera thupi. Koma tsopano ndikufuna kutchera khutu kumbali yotsatila yomwe mumamwa mankhwalawa (komanso ambiri) a mankhwala a sibutramine. Izi, mwachidziwikire, ndizotsatira zoyipa zomwe zimakhala zofanana kwambiri ndi zomwe zimachitika mutatha kutenga zinthu zama psychotropic:
- kupsinjika kwa kupuma ndi mawonekedwe amoto,
- kusinthasintha kwa mtima,
- kumva kuda nkhawa komanso mantha,
- kuphwanya chiwindi.
Mwa njira, malinga ndi kuwunika kwa kuchepa thupi pa sibutramine, zotsatirazi zimawonekera pokhapokha poyambira kumwa mapiritsi, kenako ndikutha. Koma musasangalale ndi izi. Kuchita bwino kumangotanthauza kuti thupi lako limagwiritsidwa ntchito sibutramine.
Tiyenera kukumbukira kuti mankhwalawa "Lindaksa" kapena m'malo aliwonse a Lindaksa (amatanthauza "Reduxin" kapena "Meridia") sanapangidwe pachifukwa chake kuti muthe kutaya mapaundi angapo owonjezera posachedwa ndi nyengo ya pagombe. Mankhwalawa amayenera kuperekedwa ndi adokotala okha komanso kwa okhawo omwe ali ndi vuto lina la kunenepa kwambiri, ndiye kuti, kwa iwo kudalira kwathunthu ndi vuto lakumaso ndivuto lenileni.
Kutulutsa mawonekedwe ndi kapangidwe kake
Meridia imapezeka mu mawonekedwe a makapisozi olimba a gelatin:
- Ndi kapu wamtambo ndi thupi lachikasu, 10 mg iliyonse
- Ndi chivindikiro cha buluu ndi thupi loyera, 15 mg iliyonse.
Makapisozi ali ndi sibutramine hydrochloride ndi zotuluka: MCC, lactose monohydrate, magnesium stearate, colloidal silicone dioxide.
14 ma kapisozi m'matumba.
Contraindication
Meridia adalembedwa mu:
- Mavuto akulu kudya, kuphatikiza anorexia nervosa kapena bulimia amanosa,
- Kupezeka kwa zomwe zimayambitsa kunenepa (mwachitsanzo, ndi hypothyroidism),
- Gilles de la Tourette's Syndrome (matenda wamba),
- Matenda amisala
- Matenda a Cerebrovascular, kuphatikiza ngozi yochepa yam'mimba
- Matenda amtima (mbiri yakale komanso yapano), kuphatikiza matenda a mtima (angina pectoris, infarction ya myocardial), kuwonongeka kwa matenda a mtima, matenda am'matumbo am'mimba, tachycardia, arrhythmia,
- Mankhwala, mankhwala kapena mowa,
- Thirotooticosis,
- Matenda osagwirizana a magazi oopsa (okhala ndi kuthamanga kwa magazi pamwamba pa 145/90 mm Hg),
- Benign Prostatic hyperplasia
- Angle -otseka glaucoma,
- Kusokonekera kwambiri kwa chiwindi kapena impso,
- Pheochromocytoma,
- Lactase akusowa, lactose tsankho, shuga-galactose malabsorption,
- Hypersensitivity to the yogwira ntchito (sibutramine) kapena othandizira omwe amapanga makapisozi.
Tengani Meridia adatsutsana nthawi yomweyo ndi:
- Mao inhibitors (ndikofunikira kuti muzisunga nthawi yayitali masiku 14 pakati pa kugwiritsa ntchito mankhwala),
- Hypnotics, yomwe imaphatikizapo tryptophan,
- Mankhwala osokoneza bongo omwe amathandizira pakhungu lamkati ndikulepheretsa serotonin reuptake (mwachitsanzo, antidepressants, antipsychotic),
- Mankhwala ena omwe amagwiritsidwa ntchito pakatikati pochiritsa matenda amisala kapena kuchepetsa thupi.
Komanso, simungatenge Meridia kupita kumiyala ndi amayi oyembekezera, ana ochepera zaka 18 ndi okalamba woposa zaka 65.
Kusamala kumafuna kumwa mankhwalawa:
- Glaucoma
- Mbiri yamiyambo yamoto ndi yamawu,
- Kulephera kwazungulira kwa magazi,
- Mbiri yakale yophatikiza matenda oopsa
- Khunyu
- Matenda a m'mitsempha ya coronary ndi kugwidwa (kuphatikiza mbiri),
- Kuchuluka kwa magazi, kusokonezeka kwa magazi,
- Mavuto a chiwindi kapena impso zovuta.
Mlingo ndi makonzedwe
Mlingo wa Meridia, malinga ndi malangizo, umayikidwa payekhapayekha. Zimatsimikizika ndi kulekerera kwa mankhwalawa komanso kugwira ntchito kwake bwino kwamankhwala.
Monga lamulo, kumayambiriro kwa chithandizo, kapisozi 1 ya 10 mg patsiku imayikidwa. Ngati pakatha mwezi umodzi misa yachepa ndi zosakwana 2 kg, mlingo wa tsiku ndi tsiku umachulukitsidwa mpaka 15 mg. Ngati m'mwezi wotsatira mphamvu za kuwonda sizikuyenda bwino, kugwiritsa ntchito Meridia kudatha.
Makapisozi amayenera kumwedwa m'mawa popanda kutafuna ndi kumwa ndi kapu yamadzi. Kudya zakudya sizikhudzana ndi phindu la mankhwalawa.
Ngati mkati mwa miyezi itatu sizinali zotheka kuchepetsa thupi ndi 5% kuchokera ku gawo loyambirira, chithandizo chimayimitsidwa. Ndi mphamvu zabwino komanso kusowa kwa zovuta, nthawi yotenga Meridia ndi chaka chimodzi.
Zotsatira zoyipa
Nthawi zambiri, mukamagwiritsa ntchito Meridia, mavuto amayamba m'mwezi woyamba wa chithandizo. Pang'onopang'ono, kusinthasintha kwawo komanso kuuma kwawo kumafooka. Mwambiri, zolakwazo zimasinthidwa osati kwambiri.
Nthawi zambiri, mukatenga Meridia, pakamwa pouma, kusowa tulo komanso kudzimbidwa kumawonedwa. Zotsatira zamaphunziro azachipatala komanso zotsatsa malonda, zidapezeka kuti kugwiritsa ntchito mankhwalawa kumatha kubweretsa kusokonezeka kwamachitidwe osiyanasiyana amthupi:
- Chizungulire, kugona, kupweteka mutu, paresthesia, kukokana, nkhawa, kusintha kwa kukoma (dongosolo lamkati lamanjenje),
- Palpitations, tachycardia, atrive fibrillation, kuchuluka kwa magazi, vasodilation / flash of the khungu ndi kumva kutentha (mtima dongosolo),
- Kuchulukana kwamatumbo, mseru (dongosolo logaya chakudya),
- Kutemera (khungu)
- Thrombocytopenia (hematopoietic system),
- Thupi lawo siligwirizana (chitetezo cha mthupi),
- Kukhumudwa, malingaliro ofuna kudzipha, psychosis, kudzipha ndi mania (matenda amisala),
- Kuwona koperewera (gawo lamasomphenya).
Komanso kugwiritsidwa ntchito kwa Meridia kumatha kubweretsa zovuta zina zam'mimba, kwamikodzo komanso kubereka.
Pazinthu zomwe zimachitika kawirikawiri pakubwezeretsa mankhwala, chilimbikitso chowonjezereka ndi mutu zimadziwika.
Ngati bongo, matenda oopsa, tachycardia, chizungulire, ndi mutu umayamba.
Malangizo apadera
Meridia imatha kutengedwa pokhapokha ngati njira zonse zosagwiritsa ntchito mankhwala sizinathandize.
Kuchepetsa thupi kumayenera kukhala kokwanira komanso kuyang'aniridwa ndi dokotala wodziwa ntchito. Kuphatikizidwa kwa njira zochizira kuyenera kuphatikizapo kusintha kwa moyo ndi zakudya, komanso kuchuluka kwa zochitika zolimbitsa thupi.
Analogues a Meridia ndi:
- Ndi yogwira - Slimia, Lindax, Goldline,
- Mwa limagwirira zake - Reduxin, Fepranon.
Zomwe mankhwala amachepetsa
Vutoli la kuchepetsa kunenepa kwambiri limavutitsa anthu ambiri, chifukwa chake makampani opanga mankhwala amatipatsa njira zambirimbiri zothetsera kugwiritsa ntchito mankhwala osokoneza bongo. Kutsatsa ku Moscow, St. Petersburg ndi m'mizinda ina ku Russia kumaulutsa pofalitsa za mwayi wogula makapu omwe nthawi yomweyo amachepetsa thupi. Ma pharmacin opezeka pa intaneti amalamula kuyitanitsa malonda ndi kutumiza kwaulere, muyenera kungogula ndikuyamba kumwa mapiritsi kapena ufa. Sizovuta kudziwa mndandanda wazida wazopanga kusiyanitsa zomwe opanga akupanga ndi zenizeni.
Kuti mupeze mapiritsi abwino a zakudya, muyenera kumvetsetsa zomwe mankhwalawa amagwira ndi momwe thupi lawo limathandizira. Zinthu zonse zodziwika zamankhwala zitha kugawidwa m'magulu akulu:
- Chowonjezera chilimbikitso (anorectics, anorexigenic mankhwala). Gululi limakhudza magawo apakati pakukonda kwamalamulo, ndikuchepetsa.
- Zimapangitsa kuti muzimva kukomoka. Gululi limaphatikizapo zakudya zowonjezera zomwe zimatupa m'mimba, ndikuthandizira kuchepetsa kuchuluka kwa chakudya.
- Kuletsa kuyamwa kwa mafuta m'mimba. Mafuta amalowa mthupi limodzi ndi chakudya, koma samamwetsa chifukwa cha mankhwala omwe amwedwa.
- Zodyetsa ndi zakumwa zina. Kuchepetsa thupi kumatheka chifukwa chakuchotsa madzi ochulukirapo komanso kuyeretsa matumbo.
- Hormonal Bwezeretsani kuchepa kwa mahomoni pamene sanapangidwe mokwanira ndi thupi, mofananirana, amathandizira kuchepetsa thupi.
Kuphatikiza pa ma pharmacological othandizira, zowonjezera zamankhwala zimapangidwanso, zomwe zimakhudzanso ndi mankhwala ochepetsa thupi. Pakati pawo pali magulu otsatirawa:
- zakudya zopatsa thanzi - pang'onopang'ono muchepetse kudya, kusintha kagayidwe, kamakhala ndi zinthu zochepa zamankhwala,
- parapharmaceuticals - muli zinthu zomwe zili pafupi ndi mankhwala, khazikitsani mtima wofuna kudya, kutentha mafuta.
Mankhwala apakati
Mapiritsi ambiri odziwika olemera amachokera pa kukhudzika kwa ubongo, makamaka makamaka pa kuponderezedwa kwa kubwezeretsanso kwa mahomoni serotonin ndi norepinephrine. Chifukwa cha zomwe amachita, mahomoni ambiri amadziunjikira, munthu samakhala wokhumudwa komanso wosasangalala, zomwe zikutanthauza kuti akufuna kudya zochepa. Izi ndi njira zamphamvu zochepetsera chidwi komanso kulemera, zomwe zimakhala ndi zotsatirapo zovuta: psychoses yayikulu, kusokonezeka kwa magazi, kusokonezeka kwa malingaliro, mutu.
Lipase zoletsa
Mankhwala odziwika komanso amakono azamankhwala omwe amachepetsa - Listata, Xenical, Orsoten khalani pamlingo wamatumbo, komwe amatchinga pancreatic lipase. Mafuta amawonongeka ndi enzyme yapadera - lipase. Zoletsa zimalepheretsa kupanga enzyme, chifukwa chomwe kugawanika sikumachitika, mafuta samayatsidwa m'magazi, koma amadziunjikira m'matumbo, omwe amathandizidwa mu ndowe. Mphamvu ya mankhwalawa pakuchepetsa kuchuluka kwa zopatsa mphamvu.
Zotsatira za pharmacological
Meridia ndi mankhwala omwe amagwiritsidwa ntchito pochiza kunenepa kwambiri. Zochita zake zimadziwika ndi zomwe zimapangitsa kuti pakhale chidwi chodzaza, chomwe chimachitika mwachangu kuposa momwe ntchito isanayambire mankhwalawa.
Ichi ndichifukwa cha zochita za metabolites zokhudzana ndi ma pulayimale oyambira ndi sekondale, ndizoletsa za kubwezeretsanso kwa dopamine, serotonin ndi norepinephrine.
Bongo
Nthawi zambiri vuto la bongo umajambulidwa:
- tachycardia
- mutu
- chizungulire
- ochepa matenda oopsa.
Ambiri amalankhula za kuchepa kwambiri kwa thupi, komanso za kufunsira kwake kwa mankhwalawa pambuyo pakutha kwa mankhwalawo.
Komanso, zoyipa zomwe zimachitika chifukwa cha mankhwalawa pakathupi pogwiritsa ntchito nthawi yayitali komanso mtengo wokwera kwambiri wa Meridia umakonda kutchulidwa.
Mankhwala a analozera a Meridia ali ndi izi:
Lindax ndi mankhwala ochizira kunenepa. Amagwiritsidwa ntchito mu milandu yomweyo ngati Meridia. Potengera njira yoyendetsera ndi kumwa, mankhwalawa onse ndiofanana.
Zotsatira zoyipa zimachitika mwezi woyamba wogwiritsidwa ntchito ndipo nthawi zambiri zimawonetsedwa motere:
- kufuna kudya pang'ono,
- kudzimbidwa
- kamwa yowuma
- kusowa tulo
Nthawi zina, kusintha kwa kugunda kwa mtima, kuwonjezeka kwa magazi, kukomoka, kukhumudwa, kupweteka mutu, thukuta.
Contraindication kuti agwiritse ntchito ndi:
- zovuta zamtima zatsopano,
- tachycardia ndi arrhythmia,
- CHF ikuyenera kubwezera,
- TIA ndi stroko,
- Hypersensitivity pamagawo a mankhwala,
- kusintha kwamakhalidwe,
- zoyambitsa kunenepa,
- mavuto amisala
- matenda oopsa osagwirizana,
- Kutenga ma inhibitors a MAO, Tryptophan, antipsychotic, antidepressants,
- Matenda a chithokomiro,
- ochepera zaka 18 ndi wopitilira 65,
- mimba
- nthawi yoyamwitsa.
Milandu ya bongo pakugwiritsa ntchito Lindax sizinachitike. Chifukwa chake, kuwonjezeka kokha kwa zizindikiro zoyipa kumayembekezeredwa.
Goldine ndi mankhwala omwe amagwiritsidwa ntchito pochiza kunenepa kwambiri. Zizindikiro zakugwiritsira ntchito ndizofanana ndi Meridia. Njira yogwiritsira ntchito ndiyomweyi, koma mlingo ungakhale wophatikizira 10 ndi 15 mg komanso 5 mg pazosalolera bwino.
Mapiritsi A Kuwala Kwa Golide
Zotsatira zoyipa zimachitika m'mwezi woyamba wamankhwala ndipo nthawi zambiri zimakhala zotsatirazi:
- kugona kusokonezedwa
- kamwa yowuma
- kudzimbidwa
- kusowa kwa chakudya
- nseru
- kutuluka thukuta kwambiri.
Si kawirikawiri pali: kukhumudwa, kupweteka kwa mutu, kupweteka kwa mutu, tachycardia ndi arrhythmia, kuthamanga kwa magazi, kuchuluka kwa zotupa, chizungulire, kutupira pakhungu, mseru komanso kutuluka thukuta kwambiri.
Kutsutsana kwa Goldline kuli motere:
- aimpso ndi chiwindi ntchito.
- zoyambitsa kunenepa,
- matenda amisala
- nkhupakupa
- kulephera kwa mtima
- zolakwika zamtima wobadwa nazo
- thyrotoxicosis,
- mimba ndi mkaka wa m`mawere
- ochepera zaka 18 ndi wopitilira 65,
- matenda oopsa osagwirizana,
- kumwa ma inhibitors a MAO ndi mankhwala ena omwe amagwiritsa ntchito dongosolo lamanjenje lamkati,
- Hypersensitivity pamagawo a mankhwala.
Sliema ndi mankhwala othana ndi kunenepa kwambiri, ali ndi zofanana ndi Meridia. Njira yofunsira imagwiranso ntchito.
Zotsatira zoyipa zomwe zimachitika nthawi zambiri:
- kudzimbidwa
- kugona kusokonezedwa
- mutu ndi chizungulire,
- magazi.
Zotsatira zoyipa za m'mbuyo, kupweteka kumbuyo ndi m'mimba, chilimbikitso chowonjezereka, ludzu lakumimba, nseru, pakamwa kowuma, kugona, ndi kukhumudwa ndizosowa.
Zotsatira za mankhwala Slimia ndi:
- Hypersensitivity pamagawo a mankhwala,
- matenda a m'maganizo,
- matenda oopsa osagwirizana,
- mimba ndi mkaka wa m`mawere
- Kutenga Mao zoletsa,
- zaka zosakwana 18 ndi zopitilira 65.
Reduxin ndi analogue wa Meridia, amenenso ndi mankhwala ochizira kunenepa. Njira yoyendetsera Reduxine ndi payekha ndipo ikhoza kuperekedwa kuyambira 5 mg mpaka 10 mg. Ndikofunika kumwa mankhwalawa m'mawa kamodzi patsiku, osafuna kutafuna komanso kumwa madzi ambiri.
- ndi anorexia manthaosa kapena bulimia amanosa,
- pamaso pa matenda amisala.
- ndi matenda a Gilles de la Tourette,
- ndi pheochromocytoma,
- ndi Prostatic hyperplasia,
- ndi vuto laimpso,
- ndi chithokomiro,
- ndi matenda amtima,
- ndi kuphwanya kwambiri chiwindi.
- kugwiritsa ntchito ma inhibitors a MAO munthawi yomweyo,
- ndi matenda oopsa osagwirizana,
- pa mimba
- pazaka zosakwana 18 ndi zopitilira 65,
- ndi mkaka wake,
- pamaso pa hypersensitivity ku zigawo za mankhwala.
Reduxin 15 mg
Zotsatira zake ndi izi:
- kamwa yowuma
- kusowa tulo
- mutu, womwe umatha kukhala ndi chizungulire komanso kumva kuda nkhawa,
- kupweteka kumbuyo
- kusakhazikika
- kuphwanya kwamtima
- kusowa kwa chakudya
- nseru
- thukuta
- ludzu
- rhinitis
- thrombocytopenia.
Pankhani ya bongo, wodwalayo walimbikitsa mavuto ena.
Sibutramine
Sibutramine, Meridia ndi mankhwala osokoneza bongo omwe machitidwe awo amathandizira kuchiza kunenepa kwambiri. Njira yoyendetsera Sibutramine imayikidwa pa 10 mg ndi 5 mg ingagwiritsidwe ntchito ngati simukumvetsetsa bwino. Ngati chida ichi chikuyenda bwino, tikulimbikitsidwa kuti pakatha milungu inayi mlingo wa tsiku ndi tsiku uwonjezeke mpaka 15 mg, ndipo nthawi yochokera nthawi ya chithandizo ndi chaka chimodzi.
Mankhwala Sibutramine ali ndi zotsutsana zingapo:
- neurotic anorexia ndi bulimia,
- matenda osiyanasiyana amisala
- Matenda a Tourette
- Hypersensitivity
- pamaso pa matenda amtima.
- aimpso ndi chiwindi ntchito,
- mimba ndi mkaka wa m`mawere
- zaka zosakwana 18 ndi zopitilira 65.
Kukhalapo kwa zoyipa zilizonse zovuta sikumawonedwa. Zotsatira zoyipa:
Makanema okhudzana nawo
Pazokhudzana ndi kugwiritsidwa ntchito kwa mapiritsi a Sibutramine Reduxin, Meridia, Lindas:
Meridia ndi mankhwala othandiza kunenepa kwambiri. Ili ndi mtengo wokwera mtengo, monga mitundu yake yambiri. Nthawi zambiri zimawononga thupi. Komabe, kusankha komwe kuli kwabwino: Meridia kapena Riduxin, kapena fanizo lina la mankhwalawa, ndikofunikira pamakhalidwe ake.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Phunzirani zambiri. Osati mankhwala. ->
Mankhwala a Hormonal
Gululi la mankhwala ochepetsa thupi silinapangidwe, koma limagwira ntchito nthawi zina. Kukhazikitsidwa kwa mahomoni ndikofunikira pakugwiritsa ntchito bwino gland ya endocrine, zomwe zimayambitsa kunenepa kwambiri. Naturalization ya bwino kumabweretsa kukonzanso kulemera, chifukwa chake, mahomoni amtundu amadziwika ngati njira yochepetsera thupi. Kumwa mankhwalawa osaneneka komanso kuwunikira dokotala kumabweretsa zotsatirapo zoyipa kwambiri.
Okodzetsa ndi mankhwala ofewetsa thupi pofuna kuchepetsa thupi
Malangizo a adokotala okhudza mchere wambiri tsiku lililonse samatsatiridwa. Nthawi zambiri kuchuluka kwake kumapitilira zomwe zimachitika, chifukwa pomwe owonjezera sodium (chinthu chachikulu) amakhumudwitsa posunga madzi. Ma diuretics amachotsa madzimadzi owonjezera, zomwe zimayambitsa kuwonda. Laxative nthawi zambiri imagwiritsidwa ntchito ngati mankhwala ochepetsa thupi. Zotsatira zamtunduwo, kulemera kwake kumachepa.
Ma diuretics ndi mankhwala othandizira kukhosi ndi njira yachangu yochotsekera makilogalamu angapo, koma zotsatira za kudya kwawo sizikhala zazitali. Ndizosatheka kuyitananso kugwiritsa ntchito mankhwalawa kuti muchepetse kunenepa. Pali zotsutsana zingapo komanso zoyipa zomwe zimabwera chifukwa cha mankhwala okodzetsa komanso kuthekera kosokoneza bongo kwa mapiritsi a laxative. Ngakhale mankhwala ndi otsika mtengo, sayenera kuzunzidwa.
Mafuta Ochotsa Mafuta
Gulu lina lazopeza zolemetsa ndi zoteteza mafuta. Otsatsa akuti mutamwa mapiritsi achilengedwe, mutha kupangitsa kuti thupi lanu lichepe popanda kusintha zakudya, kulimbitsa thupi ndi kuchita masewera olimbitsa thupi. Pali magawo awiri akuluakulu a blockers: omwe ali ndi orlistat ndi chitosan. Woyamba amatulutsa lipase ndikuchulukitsa kuchuluka kwa mafuta omwe amachotsera ndowe. Chitosan amapanga gelamu mozungulira mafuta, ndichifukwa chake m'malovu amathiridwa mafuta mwachilengedwe. Mankhwala a Chitosan amalepheretsanso lipase ya pancreatic.
Mankhwala a Psychotropic
Madera ena aubongo ali ndi vuto lodzaza ndi njala. Mankhwala a Psychotropic kuti achepetse kulemera amakhudza madera awa, amatha kuchepetsa nkhawa. Kusungunula kwa chakudya kumabweretsa kuchepa thupi. Kugwiritsa ntchito mankhwalawa mankhwalawa kunenepa kwambiri kungokulitsa odwala achikulire pambuyo povomerezedwa ndi katswiri. Mankhwala amatha kusokoneza thupi, choncho amayenera kugwiritsidwa ntchito kwambiri. Mankhwala odziwika a psychotropic ochepetsa thupi ndi monga:
- Meridia,
- Reduxin,
- Rimonabant,
- Sibutramine.
Zakudya zowonjezera zimagwiritsidwa ntchito pazinthu zosiyanasiyana: kubwezeretsanso kuchuluka kwa mavitamini, kuyeretsa thupi, kusintha ntchito ya mtima, impso, chiwindi ndi machitidwe ena ndi ziwalo. Nthawi zambiri machitidwe othandizira zakudya amaperekedwa kuti muchepetse kunenepa. Mwachikhalidwe, kuphatikiza kwa zowonjezera kumagawidwa mu michere ndi parapharmaceuticals. M'gulu lililonse muli mankhwala omwe amalimbikitsa kuchepetsa thupi.
Nutraceuticals
Amadziwika kuti ma nutraceuticals ndi mankhwala omwe amakhala ndi mankhwala ochepa. Zabwino kwambiri ndizomwe zimapangira zinthu zachilengedwe zokha zomwe zimatha kukhudza thupi. Kuchepetsa thupi kumatheka chifukwa chopondereza kulakalaka thupi, kuyeretsa thupi, kuphatikiza apo, mavitamini ndi michere amapezeka muzakudya zofunika kuti mukhale ndi thanzi.
Parapharmaceuticals
Ma supplements, omwe amatchedwa parapharmaceuticals, amagwira ntchito ngati mankhwala, chifukwa chake ayenera kugwiritsidwa ntchito malinga ndi malingaliro komanso kuyang'aniridwa ndi madokotala. Monga gawo la zinthu zomwe zimachokera ku chomera ndi njuchi, nsomba zam'nyanja. Ma parapharmaceuticals amathandizira m'njira zosiyanasiyana pakuchepetsa thupi. Malinga ndi lingaliro lamachitidwe, agawidwa m'mitundu iyi:
- mafuta owotchera mafuta - pewani kuyamwa kwa mafuta omwe akubwera kapena imathandizira kuwotchera mafuta osungidwa,
- anorectics - pondani njala,
- zinthu zowola - musalole kudya zowonjezera, zotupa m'mimba,
- kuyeretsa tiyi - zophatikiza zamafuta a diuretic, mankhwala ofewetsa thukuta kapena choleretic omwe amatsuka poizoni.
Malonda othandiza kuchepetsa thupi
Mankhwala ochepetsa thupi, omwe amatsogolera pakuwonongeka kwa makilogalamu owonjezera, angagulidwe m'masitolo ogulitsa mankhwala ndi intaneti. Pali mankhwala angapo otchuka ochokera kuma gulu osiyanasiyana azamankhwala ndi zakudya zamagulu omwe ali ndi maudindo akuluakulu motsatira malonda. Zina mwazomwe zimayambitsa kusowa kwa chakudya, zina pogwiritsa ntchito njira zamankhwala zimathandizira kuti muchepetse mafuta ochulukirapo, ena amadzaza m'mimba, ndikuthandizira kuthetsa njala mwachangu.
Poyamba njira zothandiza kuti muchepetse thupi ndi Reduxin. Awa ndimankhwala omwe amakhudza pakatikati pa masisitidwe omwe amakhala mu ubongo. Chifukwa cha kudya, munthu samva ludzu, amadya zochepa komanso amachepetsa thupi. Reduxin imathandizira kagayidwe, kumalimbikitsa kuchepa kwamafuta. Ubwino wake ndiwakuti zimathandizira kuchepa thupi. Imwani mapiritsi 1 kamodzi patsiku. Zoyipa za mankhwalawa ndizotsatira zoyipa zambiri, contraindication komanso mwayi wambiri kulemera mutachisiya. Mtengo wa mapiritsi sunakhale wabwino kwambiri - kuchokera ku ma ruble 2178 pazinthu 30.
Palibe mankhwala omwe amadziwika kuti amachepetsa thupi - Xenical. Zomwe zimagwiritsidwa ntchito ndi orlistat, zomwe zimalepheretsa lipase. Mankhwalawa salola kuti mafuta amwe, koma amachotsa limodzi ndi ndowe. Zotsatira zoyipa zomwe zimakhudzana ndi kusintha kwa chopondapo. Phwando limasankhidwa kuyambira 1 mpaka 3 pa tsiku. Ubwino waukulu wa mankhwalawa ndi ocheperako pazotsatira zoyipa, ogwira ntchito mokwanira. Zoyipa zamankhwala zimaphatikizira kuwonongeka komwe kungachitike chifukwa cha kusowa kwa zopatsa mphamvu. Mutha kugula makapisozi 21 kwa ma ruble 1126.
Pa msika waku Russia ukufunika Orsoten. Mtengo wotsika mtengo (kuchokera pa ma ruble 769 pa makapu 21 aliwonse) ndikulonjeza kutsimikizira kwa wopanga kumakopa ogula. Gawo lalikulu la mapiritsiwo ndi pamlomo wamkamwa. Kuchepetsa mankhwala pogwiritsa ntchito chinthuchi kumasokoneza mayamwidwe amthupi kuchokera m'matumbo am'mimba. Tengani makapu atatu. patsiku. Mankhwala amachepetsa thupi, zotsatira zake zimadziwika kale kumayambiriro kwa makonzedwe. Zoyipa za mankhwalawa ndizotheka kwakukulu kwa zotsatira zoyipa kuchokera ku ntchito ya m'mimba.
Mwa zina mwazomwe mankhwala omwe amachepetsa kunenepa amaphatikizapo Zakudya zamagetsi. Zochita za mankhwalawa zimatengera mphamvu ya zinthu zomwe zimagwira pa ma neuropeptides a machulukitsidwe. Zakudya zam'mimba zimachepetsa kudya ngakhale kuwonjezeka kwa masewera olimbitsa thupi, kutsatira zakudya popanda kuwononga thanzi. Zowonjezera sizimayambitsa chizolowezi, zimathandizira kuponya mpaka 4 makilogalamu pamwezi, zimasintha mawonekedwe. Mutha kumwa mapiritsi mpaka zidutswa 6 patsiku.
Njira zochepetsera kunenepa zili ndi maubwino angapo: kulekerera bwino, sikuyambitsa kusokonezeka m'thupi. Opusa Zakudya zamagetsi - magwiridwe antchito othandizira pakudya sakhala okwanira nthawi zonse, malinga ndi kuwunika nthawi zina, zotulukapo zake zidalandira zero. Amadziwika kuti zakudya zama calorie ochepa ndizofunikira kotero kuti zomwe zimapangitsa zimapangitsa kuti munthu azikhala wonenepa. Mtengo wa makapisozi ndi wotsika - pafupifupi 522 ma ruble pa zidutswa zana.
Kuchokera kwa wopanga Esvalar mndandanda wonse wazakudya zothandizira kuchepetsa thupi ndikulowa mumsika wogula Turboslim. Mankhwala osokoneza bongo amachita mosiyanasiyana pathupi, koma zotengera ziyenera kukhala zomwezi - kuwonda. Zina mwa zakudya zotchuka zochokera ku Esvalarikhoza kutchedwa:
- Tsiku la Turboslim - zimakhudza kagayidwe, kuphwanya mafuta,
- Usiku wa Turboslim - kumathandizira kumwa calorie usiku,
- Tiyi wa Turboslim - Amathandizira ntchito yamatumbo, amachotsa poizoni,
- Turboslim khofi - Amachepetsa chilakolako cha chakudya, imathandizira kuyamwa kwa zinthu,
- Kirimu wa Turboslim - Amapereka kuchepa kwa thupi m'dera linalake la thupi,
- Turboslim Calorie Blocker - imalepheretsa kusintha kwamafuta ndi chakudya chamafuta,
- Turboslim Alpha - lipoic acid ndi carnitine imathandizira kagayidwe.
Wopanga akuti kudziwa bwino zomwe zimayambitsa kunenepa komanso kusankha njira yoyenera, mutha kuthana ndi mapaundi owonjezera. Ndemanga pakugwiritsa ntchito bwino mankhwala onse ndizotsutsana. Zakudya zina zopatsa thanzi zimathandiza kuti muchepetse kunenepa, ena satero. Zotsatira zoyipa ndizochepa. Mtengo wake umatengera mtundu wamalonda komanso kuchuluka kwa phukusi. Mwachitsanzo Kalori blocker No. 40 ingagulidwe ruble 461.
Kupikisana kwa Leovit
Njira yachilendo yochepetsera thupi imapereka zovuta Leovit. Zogulitsa ndi seti yazinthu zophikira nthawi yomweyo, zopangira masiku 5. Chiwerengero cha zopatsa mphamvu mu zakudya ndizochepa, magawo ndi ochepa, kotero njira yochepetsera thupi imayamba. Ubwino wa njirayi umaphatikizapo kugwiritsidwa ntchito kosavuta, kuchuluka kwa mavitamini ndi michere, kuchepa thupi. Zoyipa - kuthekera kwakukulu kwa kuwonda, pali zovuta zina kuchokera pa tiyi wamankhwala odzola ndi zakudya. Mtengo wa tata ndi ma ruble 916.
MCC - ma cellcose a microcrystalline
Thupi siligaya cellulose, limadzaza m'mimba, ndikuchepetsa chakudya chama calorie. Mapindu ake MCC - Kuchita bwino polimbana ndi kunenepa kwambiri, kuyeretsa kwamatumbo, chitetezo cha thupi. Kuti muthane ndi kunenepa kwambiri, muyenera kumwa piritsi 1, yomwe ili ndi 500 mg yogwira ntchito, pang'onopang'ono kuwonjezera mlingo wake mpaka zidutswa 50 patsiku. Kuchepetsa kwa mankhwalawa ndi mwayi wokhala ndi mavuto am'mimba komanso chidwi chambiri pambuyo phunziroli. Mtengo MCC - kuchokera ku ma ruble 115 pa mapiritsi 100 aliwonse.
Zotsatira zoyipa ndi contraindication
Kutengera mtundu wamankhwala omwe amachepetsa thupi, mawonekedwe ndi zina, zotsatira zoyipa zomwe zimachitika chifukwa cha kayendetsedwe zimasiyanasiyana. Nthawi zambiri zotsatirazi zimachitika:
- zosokoneza tulo
- mutu
- matenda amkuwa
- nkhawa zopanda maziko
- tuluka thukuta,
- zokonda mtima.
Musanayambe kumwa mankhwala ochepetsa thupi, muyenera kufunsa dokotala, chifukwa ambiri a iwo ali ndi contraindication. Kuchepetsa thupi mothandizidwa ndi zakudya zamagetsi komanso mankhwala samaloledwa pazotsatirazi:
- mimba
- kuyamwa
- achichepere ndi okalamba
- matenda oopsa.
Kunenepa kwambiri ndi 45 kg. Ndidayesa kuchepetsa thupi pazakudya zosiyanasiyana, koma sizinachitike. Microcrystalline cellulose inandithandiza kutuluka pansi. Ndimagwiritsa ntchito musanadye, ndiye kuti sindikufuna kuzidya. Popewa kudzimbidwa, ndimamwa madzi ambiri.
Ndimafunafuna njira yosavuta yochepetsera kulemera ndipo ndidagula Reduxin pamalangizo a mzanga. Atayamba mankhwalawa, kudwala mutu kwambiri komanso kusowa tulo kunayamba. Mukamakana mapiritsi, zonse zidabwezeretsa. Sindimayesanso kugwiritsa ntchito mankhwala osokoneza bongo, ndimachepetsa thupi kudya zakudya zolimbitsa thupi ndikupita ku masewera olimbitsa thupi.