Mapiritsi a Xenical ndi kufanana kwake ndi kuchepa thupi

Sikuti aliyense amatha kuchepera thupi potsatira zakudya okhwima; endocrine, mavuto a mahomoni amatha kutenga nawo mbali. Pofuna kuthamanga njira yochepetsera kunenepa kwambiri, madokotala amapereka mankhwala apadera kwa odwala. Zina mwazomwe zimagwiritsidwa ntchito kwambiri ndi Orsoten ndi Xenical. Mankhwalawa amathandizira kuti achepetse thupi, amachepetsa chidwi cha kudya, komabe pali kusiyana pakati pawo. Zomwe zili bwino - Orsoten kapena Xenical, muphunziranso zambiri.

Kukhala wonenepa kwambiri ndi vuto la zamankhwala. Amapanga katundu m'mafupa, mafupa, mafinya a subcutaneous amatha kulimbikira kwambiri, komanso kunenepa kwambiri, kuphatikizapo ziwalo zamkati. Maola ogwiritsa ntchito samathandizira nthawi zonse kuti muchepetse thupi, ndipo pambuyo pazakudya zolimba, ma kilos atayika amabwerera mwachangu. Kuti muchepetse njirayi ndikupangitsa kuti ikhale yovuta kwambiri kwa thupi, zina zapadera zimagwiritsidwa ntchito.

Zizindikiro za kunenepa

Chiwerengero cha anthu omwe akudwala kunenepa kwambiri chikuchulukirachulukira. Zizindikiro za matenda:

• Ululu m'dera lumbar,
• Migraines
• Kusintha kosinthasintha
• Kuchulukitsa thukuta
• Kupuma pang'ono
• Kutupa kwamiyendo,
• Kupsinjika kwa magazi kumatsika
• Vuto kugona
• Lethargy.

Mukayamba kuthana ndi vuto la kunenepa kwambiri, ndiye kuti bwinoko. Ngati simupanga kalikonse, mutha kubweretsa vutoli kunenepa kwambiri kwamkati, komwe kumakhala kovuta kwambiri kuthana nako.

Kodi ndichifukwa chiyani zakudya zofunikira m'thupi zimafunikira?

Orsoten ndi Xenical ndizowonjezera zachilengedwe zomwe zimagwiritsidwa ntchito pochotsa mafuta am'deralo ndikuchepetsa njala. Pa gawo la Russian Federation amavomerezedwa kuti agwiritse ntchito, pali satifiketi zapamwamba. Nthawi ya maphunzirowa, pamakhala kuwotchera mafuta kosungirako, poizoni, poizoni amachotsedwa, kutupira kumachoka, kulemera kumachitika.

Njira ya chimbudzi imasintha pang'onopang'ono, motero, zotsatira zake zimakhala zolimbikira. Monga bonasi, mudzakhala bwino pakhungu, kugwiritsa ntchito njira zotsitsimutsa kwam'manja. Mukamaliza maphunzirowa, zotsatira zake zidzakhalabe nanu - ngati simudya kwambiri, kulemera sikudzapezeka. Popeza zakudya zophatikiza zakudya zimapangisa glycogen, kulakalaka pang'onopang'ono kumachepa, ndipo simudya kwambiri. Popita nthawi, kufunika kwa kudya zakudya zamafuta ambiri, chakudya chochedwa, zakudya zazing'ono zimatha, mudzachepetsa kukula kwake ndikukhaliratu mofulumira kuposa kale.

Onetsetsani kuti mukuwerenga: Laxatives Opambana Olemetsa

Mapiritsi ochepetsa thupi amathandizidwa kuti azigwiritsidwa ntchito ngati kulemera kwa thupi kupitilira imodzi mwa 10% kapena kuposerapo, moyo wanu sugwira ntchito, pamakhala kulakalaka kochuluka kwa chakudya choyipa, chokoma. Maphunzirowa (koma muyenera kutsatira malamulo a kuvomerezedwa) ndikokwanira kuti muchepetse kunenepa kwambiri, kukhala wochepa thupi, komanso kupewa kukula kwa kunenepa kwambiri.

Mfundo za mankhwalawa

Mankhwala Xenical ndi a gulu la mankhwala kuwonda, zomwe zimakhudza kagayidwe.

Wopanga mapiritsi awa azakudya ndi kampani yaku Swiss Hoffman La Roche Ltd.

Malinga ndi malangizo ogwiritsa ntchito ndi kuwunika kwa madotolo, mphamvu ya mankhwalawa imachokera pazoletsa za lipase, enzyme yomwe imatulutsa kapamba.

Chifukwa cha izi, gawo lamafuta omwe amalowa mthupi la munthu palimodzi ndi chakudya amatsekedwa.

Pakapita kanthawi, osapeza mafuta okwanira kuchokera ku chakudya, thupi lathu limayamba kukhathamiritsa mafuta osafunikira.

Ngati mumagwiritsa ntchito zakudya zochepa zopatsa mphamvu ndikuchita masewera olimbitsa thupi kuti muchepetse thupi, ndiye kuti zotsatirazi zidzakhala zodabwitsa, monga zikuwonekera ndi zithunzi ndi kuwunika kwa ambiri omwe akuchepetsa thupi.

Xenical ndi analogues ake, Orsoten ndi Xenalten, ndi amodzi mwa mankhwala ochepa omwe amayesedwa mwachipatala ndipo amaloledwa kuchiza kunenepa.

Kuchita kwawo kumawonjezereka ngati mumamwa mapiritsi ochepetsa thupi kuphatikiza mankhwala ochepetsa shuga, chifukwa shuga ndiwothandizanso kunenepa kwambiri.

Xenical (Orsoten, Xenalten) imakhudza thupi ndi:

1. - matenda oopsa,
2. - atherosulinosis,
3. - matenda a shuga.

Ndili othokoza chifukwa chake zotsatira za kuchepa thupi zimatheka. Vutoli likalowa m'thupi, limakumana ndi lipase, enzyme yomwe imapangidwa ndi kapamba. Lipase ndiye chinthu chomwe chimayambitsa kuphwanya mafuta.

Chifukwa chake, mafuta osakwanira salowa m'magazi ndipo sakhala mthupi monga momwe zimakhalira. Popeza chakudya chama calorie chimachepetsedwa, thupi liyenera kulembetsa zosungira zamagetsi zomwe zilipo ndikuzisintha kukhala mphamvu.

Orlistat palokha siyilowa m'magazi ndipo singatengeke.

Komabe, mapiritsi a Xenical onenepa kwambiri ali ndi vuto lalikulu: kumakhala kuchuluka kwa mafuta m'zotulu, zomwe zimapangitsa kuti chopondacho chikhala madzi, ndipo ndizovuta kwambiri kuzilamulira.

Ndemanga za madokotala amachenjeza za zovuta izi ndikukulangizani kuti chithandizo chithandizidwe mu nthawi yaulere yoyang'aniridwa ndi endocrinologist, chifukwa mphamvu ya mankhwalawa imathamanga kwambiri.

Mawonekedwe a phwando

Xenical ndi Orsoten imagwiritsidwa ntchito katatu patsiku, kapisozi imodzi kwa ola limodzi mutatha kudya. Ngati mudadya pang'ono, kapena chakudya sichinali chosafunikira, kalori yotsika, simungathe kumwa piritsi. Zakudya ndizofunikira kwambiri - ngati mumadya kwambiri, zakudya zovulaza, ndiye kuti simungachepetse thupi. Kukana mafuta kumayenera kukhala kosapatula - ngati muwachotsera pachakudyacho, Xenical sangakhale ndi chomangira m'mimba. Yang'anani pamapuloteni, zakudya zamasamba. Poyamba, thupi limamangidwanso, ndiye kuti mizere yake siyikhala yofunikira kwambiri, ndiye kuti mudzayamba kuchepa thupi kwambiri.

Contraindication

Mndandanda wa zotsutsana ndi Orsoten ndi Xenical ndi wokhazikika pagulu lawo:

• Mavuto a malabsorption,
• Cholestasis
• Hypersensitivity pamagawo ena a mankhwala,
• Kuchepetsa, pakati,
• Zaka za ana.

Mukumwa mapiritsiwa, ndikotheka kufinya chopondapo, kupweteka m'mimba, kusakhazikika kwa magazi, mavuto am'matumbo, m'mimba, komanso kusokonezeka kwama metabolism amafuta. Odwala ambiri amadandaula za kuwonongeka kwa mano, mano.

Orsoten ndi Xenical - pali kusiyana kotani?

Chifukwa chake, onse mankhwalawa amagwiritsidwa ntchito pakuchepetsa thupi, ali ndi zotsatira zofananira komanso mndandanda wa contraindication. Kuti mudziwe zoyenera kuchepetsa kuwonda - Xenical kapena Ortoxen, muyenera kudziwa kusiyana pakati pa njira izi.

Onetsetsani kuti mukuwerenga: Maphikidwe othandiza kuchokera ku chowawa kuti muchepetse thupi

Oyamba kugulitsa anali mapiritsi a Xenical. Amapangidwa ku Switzerland, mpaka 2007, analibe fanizo. Chidacho ndichokwera mtengo, makamaka ngati muwerengera mtengo wamaphunziro atatu miyezi itatu. Popita nthawi, makampani opanga mankhwala adazindikira kuti kufunikira kwa mankhwalawa kunali kokulirapo, koma ogula adachita mantha ndi mtengo wake wokwera. Analogue yoyamba ya Xenical inali ndendende Orsoten. Pali kusiyana pakapangidwe, koma ndi kochepa, chifukwa mankhwalawa amaphatikizidwa mu gulu limodzi la pharmacological la zoletsa zam'mimba ndi chapamimba. Chomwe chimagwiritsidwa ntchito ndi mapiritsi ndi orlistat; mfundo zomwe zimagwiranso ntchito ndizofanana kwambiri m'njira zambiri.

Orlistat pambuyo kudya amayamba kulimbitsa lipases m'matumbo, kotero iyenera kumwedwa mosamala mukatha kudya. Zotsatira zake, milomo imalephera kuthana ndi mafuta, ndipo singatengeke. Chifukwa chake, ngakhale nditakhala ndi zakudya zopatsa mphamvu zambiri, mphamvu imalowa m'thupi mokwanira, kuchepetsa thupi kumayambira kale m'masiku oyamba kudya. Kapisozi imodzi ya Orsoten ndi Xenical ili ndi 120 mg ya orlistat. Mankhwalawa amatha kugwiritsidwa ntchito ngati ali ndi matenda ashuga, koma ndibwino kuonana kaye ndi dokotala.

Kusiyana kwakukulu

Xenical imathandiza pa matenda ashuga. Mankhwala oyamba amachepetsa cholesterol, amakongoletsa glycated hemoglobin, amachepetsa glycemia. Kusiyana kwachiwiri ndi mtengo. Ortosen amatenga pafupifupi 2 times otsika mtengo. Ngati mukukayika za kutha kwa kusintha kwa mankhwalawa, dokotala.

Ndibwino - Orsoten kapena Xenical? Malinga ndi lingaliro lamachitidwe, mankhwalawa ndi ofanana, koma popeza Orsoten ndi wotsika mtengo, amazigula pafupipafupi. Zotsatira zoyipa zimakhala zofanana; malinga ndi ndemanga, zimatsala pang'ono kuzimiririka kuchepa kwamafuta azakudya za tsiku ndi tsiku. Zovuta zoyipa zambiri sizimachitika nthawi ya chithandizo, koma kusanza, nseru, ndi m'mimba zimatha. Ndizowona kuchepa thupi ndi zoletsa zina - ngati mungapitirize kudya chilichonse mosagwirizana ndi boma, mankhwalawo sangapereke zomwe zikufunika.

Onetsetsani kuti mwawerengera: Malamulo a kuvomereza komanso kugwira ntchito bwino kwa madzi ndi mandimu kuti muchepetse kunenepa

Alla "Tinaona zaka 10 zapitazo, mwachidziwikire, adalembedwa ndi adokotala pamaziko a zofufuza. Ndinakhutira ndi zotsatira zake - sindinataya makilogalamu 50, koma ndinachotsa madokotala ena owonjezera. "Kuletsa zakudya pazoperewera kumaperekedwa mosavuta, kotero ndikukulimbikitsani kuti musatsatire zakudya zowonjezera, koma kudya."

Rita "Mankhwalawa onse ndiabwino - ndimamwa Xenical pomwe Ortosen kulibe, ndiye ndidasankha kupulumutsa. Sindikonda zomwe ndimamwa kwa nthawi yayitali, koma zotsatira zake zimakhala "zathanzi" komanso zolimbikira. Kutumiza mavoliyumu kumachepetsedwa pang'onopang'ono, ndiye sikukulemera. Xenical adabereka mwana asanabadwe, Ortosen pambuyo panga, mankhwalawa ndi omwewo pankhani yothandiza. ”

Marina "Poyamba ndimayesa Reduxine, imagwira ntchito mwachangu kwambiri, koma sunganene kuti ndi yotetezeka komanso yothandiza. Kupsinjika, mavuto ogona - iyi si mndandanda wathunthu wazotsatira zoyipa zanga za thupi. Xenical adakonda kwambiri - inde, osati mwachangu, koma thanzi labwino. Poyamba, kutsegula m'mimba kunandivutitsa, ndimaona kuti ndikofunikira kuchepetsa mafuta - ndidachichotsa, ndipo chidandithandiza. "Ndataya makilogalamu 6 m'miyezi iwiri, miyezi isanu ndi umodzi yadutsa - kulemera sikunabwerere."

Inna Ndizachisoni, koma Ortosen sanandithandizepo - nditha kutaya 3 makilogalamu kotero ndikumaletsa malire zokhudzana ndi zakudya. Kuma adamwanso, kukhuta, adati ndikufunika kukayezetsa ndikayezetsa mayeso - mwina Ortosen sakundiyenerera. Ndili wokondwa kuti mtengo wake ulipobe - Xenical, ndinayang'ana, zimawononga ndalama zowirikiza kawiri, ndipo iyi ndi phukusi limodzi, koma ndikufunika kwambiri. "

Lena "Amayi onenepa kwambiri a Xenical, thupi lolemera lisanadwalidwe ndipo palibe chomwe chidawathandiza, motero ali wokondwa. Koma amayi ali ndi matenda ashuga. ”

Mungagwiritse ntchito bwanji, ndipo muthane ndi ndani?

Pali zisonyezo zingapo zogwiritsira ntchito mapiritsi a zakudya izi, koma chachikulu chimakhalabe ndi kunenepa kwambiri.

1. - kunenepa kwambiri,
2. - panjira yotsika komanso yocheperako pang'onopang'ono yochepetsa thupi, komanso yokhala ndi zopatsa mphamvu zochepa.
3. - kupewa kubweza kulemera kwam'mbuyo mutachepetsa thupi,
4. - ndi matenda a shuga komanso matenda oopsa, ngati nkosatheka kugwiritsa ntchito zakudya zapadera kapena zolimbitsa thupi.

Buku lamalangizo

Nthawi yolandirira - pasanathe ola limodzi kuchokera nthawi yakudya. Ngati chakudya chochepa kapena calorie ochepa, ndiye kuti mutha kudumphira piritsi.

Ndikofunikira kwambiri kudya moyenera panthawi yogwiritsira ntchito mankhwalawa. Izi sizitanthauza kukana kwathunthu mafuta, apo ayi kugwiritsa ntchito Xenical sikungathandize, chifukwa sangakhale ndi chomangirira m'matumbo. Komabe, zakudya zamagulu ochepa zopatsa mphamvu zokhala ndi mapuloteni komanso zakudya zamasamba ndizofunikira. Zikatero, mafuta amachoka pang'onopang'ono, ndipo thupi limapanganso dongosolo latsopano.

Zotsatira zoyipa

Amapezeka mu mankhwala aliwonse.

Xenical (Orsoten, Xenalten) zingayambitse:

1. - m'mimba kupweteka
2. Kutsegula m'mimba
3. - zikuluzikulu,
4. Fecal kulephera
5. -m'mimba zokhumudwitsa ndi matumbo,
6. - kuphwanya mafuta kagayidwe:
7. - kuwonongeka kwa mano ndi mano.

Mtengo wapakati

Zakudya zam'mapiritsi "Xenical" (Orsoten) ndi mankhwala okwera mtengo.

Chifukwa chake, muchipatala, mankhwalawa amatenga ma ruble 800 (mtengo wa makapisozi 21 mu paketi yonyamula ndi 120 mg aliyense).

Mtengo umayikidwa ngati wopanga ndiye kampani yoyambirira yaku Swiss.

Analogue "Xenalten", wopanga yemwe ali woweta, koma ali ndi mawonekedwe ofananawo, amatenga pafupifupi ma ruble 500 pachikuto chimodzi, momwe muli makapisozi 21.

Chifukwa chake, phukusi limodzi (21 ma PC.) Ndikokwanira sabata.

Chifukwa chake, kwa sabata limodzi kuti athane ndi kunenepa kwambiri, wodwalayo adzafunika ma ruble 500 mpaka 800, kutengera kuchuluka kwa mankhwalawo kuti agule ndi zomwe amapanga.

Dziwani kuti nthawi yosamwa mankhwalawa siinakhazikitsidwe: amatchulidwa ndi dokotala aliyense payekha.

Ndemanga za iwo omwe ataya thupi akuwonetsa kuti mutha kutenga Xenical kapena mawonekedwe ake kuti muchepetse thupi kwakanthawi, ngakhale mu miyezi 4.

Pali ndemanga zotsutsana pankhani ya mankhwala Orsoten kapena Xenical.

Ngati tikuwona kuwunika kwa madotolo, amawona kuti ndi njira yabwino yochepetsera kunenepa polimbana ndi kunenepa kwambiri, koma amachenjeza kuti munthu sayenera kudalira zotsatira zamwadzidzidzi. Awa ndi mankhwala omwe akhala akuchita kwa nthawi yayitali. Kugwiritsa ntchito mankhwala kapena analogue, mwachitsanzo, Orsoten, muyenera kutsatira zakudya zochepa zama calorie, chifukwa palibe mankhwala omwe angaletse mafuta ochokera ku zakudya zopatsa mphamvu kwambiri.

Ndemanga zomwe zimachepetsa thupi zimagawidwa "m'misasa" iwiri:

1. - ndemanga za iwo omwe adamwa mankhalawo kwa nthawi yayitali ndipo adakondwera ndi zotulukazo, monga zikuwonekera ndi zithunzi zodabwitsazi,
2. - ndemanga za omwe akutsutsa kumwa mankhwala aliwonse kuti achepetse thupi. Malingaliro omalizawa ndi omveka, popeza malangizowa amachenjeza za kukonzekera kwa Xenical pamayendedwe oyipa omwe siwokonzekera wina ndi mnzake.

Chifukwa chake, kuwunika kumawonetsa kuti mutha kugwiritsa ntchito Xenical kapena Orsoten, koma muyenera kuyang'anitsitsa momwe muliri.

Ndi mankhwala ati omwe amagwira bwino ntchito pamzerewu?

Reduxin ndi mankhwala ena omwe amalimbikitsidwa kuti achepetse thupi. Koma, mosiyana ndi Xenical, Orsoten, kapena Xenalten, Reduxine amachita ubongo.

Reduxin amathandizira mwamphamvu kumva kwamtendere, chifukwa cha chakudya chomwe chimadyedwa chimakhala chochepa.

Reduxin imakupatsani mwayi kuti muchepetse kulemera pang'onopang'ono (pafupifupi 0.5 - 1 makilogalamu pa sabata), kuti iwo omwe akufuna kuchepa thupi mwachangu kwa Chaka Chatsopano asachite.

Mwanjira imeneyi, Reduxine ndi ofanana ndi Xenical slimming kapena Orsoten kukonzekera, zomwe zimafunanso nthawi yayitali kuti mukwaniritse izi.

Mango a Corelia akuchepera thupi patsiku

Reduxin imakhala ndi sibutramine m'mapangidwe ake: siyowonjezera ndipo ndiotetezeka. Komabe, monga mankhwala aliwonse, Reduxine ali ndi contraindication.

Ndikwabwino kuti musatenge Reduxine:

1. - ndi kulephera kwa chiwindi ndi impso,
2. - matenda oopsa,
3. - ischemic matenda a mtima,
4. - glaucoma,
5. - mavuto amisala,
6. - matenda a mtima,
7. - mavuto azakudya
8. - kudalira chikonga ndi mowa.

Reduxin ali ndi zovuta zochepa zomwe zimakhudza kugunda kwa mtima komanso kuthamanga kwa magazi.

Chifukwa chake, Xenical ndi Reduxin ndi ofanana chifukwa ndi njira zotetezera kunenepa.

Reduxine ndiyabwino kwa iwo omwe sangakwanitse kugula chimbudzi chosalamulirika nthawi zonse, monga momwe zilili ndi Xenical.

Reduxin amachepetsa chilala, chifukwa kwa iwo omwe amakhala ndi moyo wakhama ndipo akufuna kuchepetsa thupi, ndibwino kuti muzisankha. Zithunzi za omwe amachepetsa thupi zimatsimikizira izi.

Xenical ndi Reduxine, ngakhale ali osiyana mu mawonekedwe ake ndi mawonekedwe ake, mankhwalawa amalimbikitsidwa ndi madokotala.

Ngati mukufunikiradi kuchepetsa thupi ndi mankhwala, ndibwino kuti musankhe omwe apita kafukufuku wazachipatala ndikuyesera kupewa mankhwala omwe ali ndi ndemanga zotsutsana.

Orsoten kapena Xenical: ndemanga ndi zambiri

Kuchita bwino kwa kumwa mapiritsi, komanso zakudya, masewera, zimatengera kulondola kwawomwe amagwiritsidwa ntchito mwaukadaulo wina. Chifukwa chake, "Orsoten" (kapena Xenical: ndemanga za iwo ali ofanana) amatengedwa ngati maziko, koma chofunikira kwambiri ndikugwiritsa ntchito bwino mawonekedwe a munthu.

Mankhwalawa amagwiritsidwa ntchito pothana ndi kunenepa kwambiri. Muyenera kumvetsetsa kuti amathandiza pankhani ya matenda, osati ngati mukufuna kuthana ndi ma kilogalamu osafunikira. Komanso, ali m'gulu la chithandizo chokwanira, chomwe chimaphatikizanso okondedwa ndi ambiri, "Orsoten" kapena "Xenical":

• kusintha kwa moyo
• makulidwe a zakudya
• kusiya zizolowezi zoipa,
• kuchuluka kwa magalimoto.

Palibe chilichonse mwamagawo omwe atchulidwa pamwambapa chomwe chingasiyidwe. Mankhwala amangokhala othandizira owonjezera. Zokha, sangathe kuchita zozizwitsa. Pankhani ya kunenepa kwambiri, njira yokwanira yothetsera vutoli, ntchito yayitali, yopweteka ndiyofunikira.

"Orsoten" kapena "Xenical": ndizomwe zili

Zilibe kanthu kuti musankhe Orsoten kapena, m'malo mwake, Xenical. Mankhwala onsewa ndi ochokera mgulu la mankhwala omwewo. Ndi zoletsa za lipases zam'mimba. Gawo lawo lothandizira ndi orlistat. Chifukwa chake, mawonekedwe omwe amagwira mankhwalawa ndi amodzi ndi ofanana. Chifukwa chake, njira zawo za kachitidwe ndizofanana kwambiri. Ndemanga za Xenical ndi Orsoten ndi zofanana.

Thupi lotchedwa orlistat, likulowa m'matumbo, limalepheretsa matumbo ndi m'mimba. Malilime amatha kumapangidwanso ndipo sangathenso kuphwanya mafuta. Mafuta osachiritsika salinso otanganidwa. Zotsatira zake, kuchuluka kwa zopatsa mphamvu zomwe zimachokera ku chakudya kumachepetsedwa kwambiri. Kulemera kwa thupi kumayamba kuchepa tsiku lachiwiri.

Tengani "Orsoten" kapena "Xenical" (mayina achi Latin) ayenera kumwedwa katatu patsiku ndikudya (kapena pambuyo pake). Kulandila kumatha kupitiliza kwa nthawi yayitali, chifukwa pali zotsatira zoyipa zilizonse. Pambuyo pakupita miyezi 2-3, mutha kupeza zotsatira zabwino. Komabe, ndikofunikira kukumbukira kuti ndemanga za Xenical kapena Orsoten ndizabwino pokhapokha, kuphatikiza kumwa mapiritsi, kunalinso masewera olimbitsa thupi komanso zakudya.

Ndikofunikira kuti musamangogwira bwino kulemera kwanu, komanso kuti musinthe molondola. Choyamba, muyenera kuonetsetsa kuti mukufunitsitsa kuchepetsa thupi. Kuphatikiza apo, kuyang'ana mwachangu nthawi zonse kungathandize. Izi siziri konse zovuta. Muyenera kupuma bwino, mwachitsanzo, musanakagone, kenako ingoganizirani za thupi lanu. Yesani kumva momwe munthu amakhudzidwira ndikakhuta ndi thupi lake. Izi ndizothandiza kwambiri kuposa kugula Xenical kapena Orsoten potengera ndemanga zokayikitsa.