Kuchuluka kwa Orsoten: mitengo muma pharmacies kutengera mtundu wa mankhwalawo

Dzina la malonda: Orsoten

Dzina losafunikira lamankhwala onse: Orlistat

Fomu ya Mlingo: makapisozi

Zinthu zogwira ntchito: orlistat

Gulu la Pharmacotherapeutic: mankhwala zochizira kunenepa ndi zoletsa zam'mimba lipases.

Mankhwala:

Chopinga chenichenicho cha lipases yam'mimba, yomwe imakhala ndi mphamvu yayitali, imakhala yothandiza pakubwezeretsa m'mimba ndi matumbo ang'onoang'ono, ndikupanga mgwirizano wolumikizana ndi gawo lamatumbo la m'mimba ndi lipases yamatumbo, motero, ma enzyme amatha kutaya mphamvu zamafupipafupi, zomwe zimabwera m'njira zofunikira. mafuta acids aulere ndi monoglycerides, popeza ma triglycerides osaphatikizidwa samatengedwa, kuchuluka kwa zopatsa mphamvu m'thupi kumachepa, komwe kumayambitsa sn kuwonda, njira yothandizira ya mankhwalawa imachitika popanda kulowetsedwa mwa dongosolo, kusintha kwa orlistat kumawonjezera kuchuluka kwa mafuta mu ndowe kale maola 24-48 mutatha kumwa mankhwalawo, mutatha kusiya kwa mankhwalawa, mafuta omwe amapezeka mumagazi nthawi zambiri amabwerera pamlingo wawo woyambirira pambuyo pa 48- Maola 72

Zisonyezero zogwiritsidwa ntchito:

Kuchiza kwa nthawi yayitali kwa odwala omwe ali ndi kunenepa kwambiri ndi index ya thupi (BMI) ≥ 30 kg / m2, kapena odwala onenepa kwambiri (BMI ≥ 28 kg / m2), kuphatikiza okhala ndi zoopsa zomwe zimakhudzana ndi kunenepa kwambiri, kuphatikiza zakudya zamagulu ochepa zama calorie, orsoten zitha kutumikiridwa pamodzi ndi mankhwala a hypoglycemic komanso / kapena zakudya zochepa zopatsa mphamvu kwa odwala omwe ali ndi matenda a shuga 2 kapena onenepa kwambiri.

Zoyipa:

Matenda a malabsorption, cholestasis, kutenga pakati, kuyamwa, ana ochepera zaka 18 (kuchita bwino ndi chitetezo sichinaphunzire), hypersensitivity to orlistat kapena chilichonse cha mankhwalawa.

Mlingo ndi makonzedwe:

Mlingo umodzi wovomerezeka ndi 120 mg, kapisozi imatsukidwa ndi madzi, imakumwa nthawi yomweyo musanadye chakudya chachikulu, pakudya kapena osapitirira ola limodzi mutatha kudya, ngati chakudyacho chidatsika kapena ngati chakudyacho chilibe mafuta, ndiye kuti orlistat ingatengedwe kuphonya, Mlingo wa orlistat wopitilira 120 mg katatu / tsiku sizikuwonjezera kuchiritsa kwake, nthawi yayitali yochepera zaka 2, kusintha kwa mankhwala sikofunikira kwa odwala okalamba kapena odwala omwe ali ndi vuto la chiwindi kapena impso, chitetezo ndi mphamvu Kugwiritsa ntchito orlistat pochiza ana osakwana zaka 18 sikunakhazikitsidwe.

Zotsatira zoyipa:

Zotsatira zoyipa zimawonedwa makamaka kuchokera m'matumbo am'mimba ndipo zimayambitsidwa ndi kuchuluka kwa mafuta m'zimbudzi, nthawi zambiri zovuta zomwe zimawoneka zimakhala zofatsa komanso zazifupi, mawonekedwe a izi zimawonekera koyambira koyambira kwamiyezi itatu yoyambirira (koma osapitirira imodzi), ndi Kugwiritsa ntchito orlistat nthawi yayitali kumachepetsa zotsatira zoyipa kuchokera kugaya chakudya: kuyamwa, limodzi ndi zotulutsa kuchokera ku rectum, kupempha kunyoza, mafuta onenepa / mafuta opaka, mafuta magawano ochokera ku rectum, chimbudzi, zotupa, zofewa zamafuta m'matumbo (chiwonetsero chazirala), kupweteka / kusasangalala pamimba, kuchuluka kwamatumbo, kupweteka / kusapeza mu rectum, kufunikira kochotsa, kufalikira, kuwonongeka kwa mano ndi mano, hypoglycemia odwala ndi mtundu 2 matenda osokoneza bongo, kawirikawiri - diverticulitis, matenda a chiwindi, chiwindi, mwina kwambiri, kuchuluka kwa chiwindi transaminases ndi zamkati phosphatase, kuchokera chapakati mantha dongosolo: mutu, nkhawa, matupi awo sagwirizana: kuyabwa, zotupa, urticaria, angioedema kumwamba edema, bronchospasm, anaphylaxis, chosowa kwambiri - bullous totupa Other: chimfine zizindikiro, kutopa, matenda a thirakiti chapamwamba kupuma, mkodzo thirakiti matenda, dysmenorrhea.

Mogwirizana ndi mankhwala ena:

Odwala omwe amalandila warfarin kapena anticoagulants ena ndi orlistat, kuchepa kwa prothrombin, kuwonjezeka kwa INR kungawonedwe, komwe kumabweretsa kusintha kwa magawo a hemostatic, kuyanjana ndi amitriptyline, biguanides, digoxin, fibrate, fluoxetine, losartan, phenytoin, kulera pamlomo, kundent, kuphatikizapo kumasulidwa pang'onopang'ono), sibutramine, furosemide, capopril, atenolol, glibenclamide kapena ethanol sanawonedwe, kumawonjezera bioavailability ndi lipid-kutsitsa mphamvu pravastatin, kukulitsa kuchuluka kwake kwa plasma ndi 30%, kuchepa kwa thupi kumatha kusintha kagayidwe mwa odwala omwe ali ndi matenda osokoneza bongo, chifukwa chake ndikofunikira kuchepetsa kuchuluka kwa othandizira a hypoglycemic, chithandizo ndi orlistat chitha kusokoneza kuyamwa kwa mavitamini osungunuka a mafuta (A, D, E, K). Ngati multivitamini akutsimikiziridwa, ndiye kuti sayenera kumwedwa asanadutse maola 2 mutatha kumwa orlistat kapena asanagone, mutamwa orlistat ndi cyclosporine, kuchepa kwa kuchuluka kwa cyclosporine m'madzi a m'magazi, chifukwa chake ndikofunikira kuti nthawi zambiri azindikire kuchuluka kwa kuchuluka kwa cyclosporine m'madzi a m'magazi, mwa odwala omwe alandila amiodarone, kuwunika kwachipatala ndi kuwunika kwa ECG kuyenera kuchitika mosamala, popeza Milandu ya kuchepa kwa ndende ya amiodarone m'madzi a m'magazi amafotokozedwa.

Tsiku lotha ntchito: Zaka 2

Zoyenera kufalitsa kuchokera kuma fakitoli: mwa mankhwala

Wopanga: KRKA-RUS, Russia.

Kutulutsa Fomu

Mankhwala omwe amafunsidwa amapezeka ngati mawonekedwe a makapisozi ataliitali, yokutidwa ndi chipolopolo chosalowerera ndale. Mapiritsi ndi toni ziwiri, yoyera komanso yachikaso. Zosankha zamtundu wina wa kapisozi ndizothekanso.

Mitundu yowala ya buluu ndi burgundy imagwiritsidwa ntchito. Mmodzi kapisozi wa mankhwalawa amaphatikizapo 120 mg ya orlistat, komanso kuchuluka kochepa kwa omwe amapereka osagwirizana ndi momwe amathandizira thupi.

Zakudya za Orsoten Mapiritsi a 120 mg

Ndalama zomwe zatulutsidwa Orsotin Slim. Amasiyanitsidwa ndi mlingo wochepetsedwa komanso chitetezo chachikulu chathanzi. Piritsi limodzi la mankhwalawa limaphatikizapo theka la zinthu zomwe zimagwira - ma 60 milligram okha.

Orsoten amatengedwa pakamwa kokha, nthawi zambiri kapisozi imodzi nthawi. Mankhwala osapitilira atatu sayenera kumwa tsiku lililonse. Chifukwa chake, tsiku lililonse mlingo wa mankhwalawa kwa anthu akuluakulu si wopitilira 360 mg. Kupitilira apo sikulimbikitsidwa.

Kuwonjezeka kwa mlingo wa Orsoten kumapangitsa kuti pakhale zovuta zina zoyipa.

Katundu wa mankhwala

Ma CD a Orsoten ndi paketi yamakhadi okhala ndi matuza a foil - zitatu, zisanu ndi chimodzi kapena khumi ndi ziwiri.

Chithuza chimodzi chimakhala ndi makapisozi asanu ndi awiri a mankhwalawo.

Mlingo wina wopangidwa ndi wopanga sapezeka. Ndi kuthekera kwakukulu, mitundu ina ya mankhwalawa yomwe imapezeka pamsika ndi yabodza.

Pakona yakumtunda kwa bokosilo pali dzina la malonda ndi chizindikiro chakuti "Orsoten" ndi chizindikiro chokhala ndi mapepala ogulitsa. Pansi pa mbali yakutsogolo kuli chiwerengero cha makapisozi a mankhwala omwe amapezeka phukusi, komanso logo yomwe akupanga.

Kumbuyo kwa phukusi pali code bar, komanso zidziwitso pazomwe zilipo, malingaliro osungirako ndi kulandiridwa pokhapokha akuwongoleredwa ndi katswiri, mlingo. Mbali yakusinthayi ilinso ndi chidziwitso chokwanira cha wopanga, kuphatikizapo dzina, adilesi, manambala olumikizirana ndi kuchuluka kwa zilolezo.

Alumali moyo wa mankhwalawa umafika zaka zitatu, malinga ndi kutentha kwa boma.

Mayina a mankhwalawo, kuchuluka kwa zinthu zomwe zimagwira mu kapu imodzi, komanso chidziwitso cha mawonekedwe ake ndi dzina la kampani yopereka ya Orsoten zimasindikizidwa pachimake. Kuphatikiza apo, zinthu zonsezi zimapezeka pa selo lililonse momwe piritsi imasungidwira. Chifukwa chake ndizosatheka kusokoneza chiyambi cha Orsoten choyambitsa ndi mankhwala ena.

Wopanga

Kupanga mankhwalawa kumachitika ndi kampani yopanga mankhwala Krka.

Ichi ndi kampani yayikulu yapadziko lonse lapansi, yomwe ikuluzikulu ikuluikulu ndiyo kumasulidwa kwa mankhwala omwe amadziwika kuti ndi amtundu wamba.

Kampaniyo idawonekera mu 1954 ndipo lero ikupereka zinthu zake kumayiko makumi asanu ndi awiri padziko lonse lapansi. Maofesi opitilira 30 oimira kampaniyo. Mu Russian Federation mulinso zida zopangira kampaniyo.

Orsoten ndi cholowa mmalo mwazinthu zabwino kwambiri zaku Germany ndi ku Austrian.

Krka samangotulutsa mankhwala oletsa kuthana nawo. Assortment ya kampaniyi imaphatikizaponso mankhwala komanso Chowona Chanyama. Gawo lalikulu la malonda ndi mankhwala omwe amagwiritsidwa ntchito kuti achepetse kulemera, kuthamanga ndi kagayidwe.

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Ku Russian Federation, mankhwalawa amapezeka kawiri kawiri m'mizinda yambiri. Izi sizosadabwitsa, chifukwa Russia ndi umodzi mwamisika itatu yayikulu ya kampani ya Krka, yachiwiri ku Slovenia ndi Poland.

Mtengo wa ma CD umayamba kuchokera ku ma ruble 750.

Pa mtengo uwu, malo ogulitsa mankhwalawa amapereka Orsoten ndi Mlingo wa 120 mg, wokhala ndi matuza atatu apadera a mapiritsi asanu ndi awiri. Komabe, poganiza kuti kumwa mankhwalawo ndi kochepera mwezi, zimakhala zomveka kugula phukusi lalikulu la mankhwalawo.

Chifukwa chake, paketi yokhala ndi makapu a 42 idzagula ma ruble 1377. Ndipo kugula kwa "chuma" chachikulu kwambiri cha matuza 12 wamba ndi ma ruble 2492. Popeza moyo wa alumali wa Orsoten pansi pazoyenera ndi zaka ziwiri kwa bokosi wamba la katoni ndi zaka zitatu zokutira pulasitiki, kugula kwa mlingo waukulu kwambiri kudzapulumutsa ma ruble atatu pachikuto chilichonse.

Wotsika mtengo kwambiri mankhwala amatha kukhala wabodza!

Ndemanga za odwala omwe Orsoten adawerengedwa ndizabwino kwambiri. Mphamvu yabwino yokwanira komanso mwachangu mphamvu ya mankhwala m'thupi imadziwika.

Mwambiri, ndemanga za ntchito zinagawidwa motere:

• 55% ya odwala amalankhula za kuchepa thupi mwezi woyamba kumwa mankhwalawo,
• 25% ikuwonetsa kuti kulemera kwake sikunasinthe kapena kuchuluka pang'ono,
• 20% inasiya kumwa Orsoten chifukwa cha zovuta kapena chifukwa china mpaka zotsatira zikuwoneka.

Kuphatikiza apo, gawo la ndemanga limawonetsa kuwonjezeka mofulumira pambuyo pakutha kumwa mankhwalawa. Zotsatira zake, kulemera kwa thupi kunaposa zomwe zinali zoyambirira pafupifupi 5-6%.

Zotsatira zabwino zakwaniritsidwa ndi omwe adamwa mankhwalawo nthawi yomweyo ndi kubereka, komanso kuchita masewera olimbitsa thupi nthawi zonse. Pankhaniyi, odwala oposa 80% adatha kuchepetsa kulemera panthawi yoyamba maphunziro, ndipo mwa 75% yaiwo kulemera konseko kudakhazikitsidwa ngakhale atangomaliza Orsoten.

Kuwonetsera kwakukulu kwa machitidwe a mankhwalawa kumatha kuzindikira ngati kumasulidwa kwa mafuta kuchokera ku anus. Nthawi yomweyo, odwala ena akunena kuti ndizosatheka kuwongolera izi.

Zotsatira zoyipa zachiwiri ndi kupezeka kwa mutu. Palinso milandu ya hypoglycemia ndi kuchepa mphamvu kwa chitetezo chokwanira, zomwe zimapangitsa kuti azitha kutenga matenda opatsirana, makamaka matenda opumira komanso chimfine.

Kanema wawayilesi ya "Live wathanzi!" Ndi Elena Malysheva momwe amachepetsa thupi popanda kuvulaza thupi:

Chifukwa chake, ndikofunikira kupeza mawu omaliza - Orsoten ndiwothandiza, womwe zochita zake zimakhazikitsidwa kuti athe kuchepetsa kuyamwa kwamafuta m'matumbo.

Komabe, ndikofunikira kukumbukira - osati zakudya zamafuta zokha, komanso kudya kwambiri michere kumapangitsa kuti munthu azichita kunenepa kwambiri komanso kunenepa kwambiri. Orsoten samakhudzanso mayamwidwe a shuga ndi thupi komanso kapangidwe kazachilengedwe kaphatikizidwe ndi kudziunjikira kwamafuta kuchokera ku chakudya chochuluka chotengedwa ndi chakudya ndi zakumwa zotsekemera.

Mitengo ya orsoten ku malo ogulitsa mankhwala ku Moscow

Ndemanga za madokotala za orsoten

Wodziwika bwino generic, amachepetsa kuyamwa kwamafuta. Yoyenera kugwiritsidwa ntchito pafupipafupi kwa odwala omwe amamwa kcal ochulukirapo, komanso "pakufunidwa" (mwachitsanzo, tchuthi). Ali ndi niche inayake pakusankhidwa kwake. Kukhazikitsidwa kwa machitidwe a ana ndikotheka.

Pali zotsatira zoyipa kuchokera m'matumbo am'mimba, zimachepetsa kuyamwa kwa mavitamini osungunuka a mafuta.

Idasankhidwa atakumana ndi katswiri.

Amagwiritsidwa ntchito pochiza kunenepa kwambiri komanso kunenepa kwambiri kuwonjezera pa chidziwitso chamankhwala othandizira kudya, kuchita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi, kuphatikiza komwe kumapereka zotsatira zabwino.

Zotsatira zoyipa zilipo, sizikugwiritsidwa ntchito muubwana, ndikofunika kuchenjeza za zotsatira zoyipa zomwe zimakhudzana ndi kuyamwa kwa mavitamini osungunuka a mafuta.

Mankhwalawa ndi olepheretsa cham'mimba kwambiri pakamwa, m'mawu ena, chifukwa chakuti ma triglycerides samatenga, kuchuluka kwa zopatsa mphamvu zomwe zimalowa m'thupi kumachepa, ndipo munthu amachepetsa. Dziwani kuti mankhwalawa sioyenera odwala onse onenepa. Komabe, ndizofunikira kwambiri kwa odwala omwe amakonda kudya kwambiri komanso kudya zakudya zopatsa mphamvu kwambiri, makamaka pa gawo loyamba la kuchepetsa thupi, zikavuta kwambiri kuti wodwala asinthe mtundu wina wazakudya! Musaiwale kutsatira malingaliro a dokotala wanu, ndiye kuti zonse zichitike!

Zonse, mankhwala abwino.

Nthawi zambiri pamakhala zoyipa zakumaso kwa chimbudzi chotayirira (chabwino kwa anthu omwe akudwala kudzimbidwa), zikwangwani zamafuta pansalu zimadziwika, zomwe zimafuna kugwiritsidwa ntchito kowonjezereka kwa ma pads (kwa amayi, kwa amuna, mbali iyi yovuta ndizovuta), mtengo wa mankhwalawo ndiwokwera kwambiri.

"Orsoten" amachepetsa kuyamwa kwa mavitamini osungunuka a mafuta A, D, E, K. Ngati wodwalayo adya kwambiri, ndiye kuti mukamamwa mankhwalawo nthawi zambiri pamachitika zovuta zina.

Palibe mankhwala ochepetsa thupi. Orsoten samathetsa vutoli. Kutengera zakumbuyo za mankhwalawa, pakhoza kukhala kuchepa kwakudya, pokhapokha mankhwala atengedwa.

Mankhwala abwino, malinga ndi malamulo ovomerezeka.

Zotsatira zotsimikizika pakuchepetsa thupi, kuphatikiza kusungidwa kwa malamulo azakudya zabwino komanso kukula kwa kayendetsedwe ka mota. Zimapezeka pamtengo. Zogulitsidwa nthawi zonse, pafupifupi mu mankhwala aliwonse. Zotsatira zoyipa ndizochepa kwambiri, ngati osagwiritsa ntchito zakudya zamafuta.

Ndemanga za wodwala za orsotene

Zinali zovuta kwambiri kuti ndiyambe kumenya nkhondoyi ndi kunenepa kwambiri. Panali zoyeserera zambiri ndipo zonse zinalephera. Nthawi zina amasunga chakudyacho kwa sabata limodzi, koma kutha kwake sanawone zotsatira ndikuwaphwanya. Koma ndidapeza njira yopulumukira. Chithandizo cha ku Europe "Orsoten" chinandithandiza, nditayamba kudya ndinayamba kuwona kuti kulemera kunayamba kuchoka mwachangu. Mwakulangizidwa ndi dokotala, anapitiliza kumwa mankhwalawa. Mankhwala siotsika mtengo kwambiri, koma amalungamitsa mtengo wake. Ndamva kuchokera kwa abwenzi kuti sioyenera aliyense, koma ndikuganiza kuti ndikofunikira, kuyesera kuyamba kuzitenga kwa aliyense amene akufuna kukwaniritsa zotsatira zake posachedwa. Ndikulangizani!

Kuphatikizidwa ndi chidzalo, nthawi zonse kufunafuna yankho logwira, kuyesera ndipo sanadandaule! Zotsatira zake ndizododometsa: 10 makilogalamu pamwezi otsala popanda zovuta zambiri. Siotsika mtengo, koma imalungamitsa zotsatira zake. Ndakhala ndikugwiritsa ntchito kwa chaka chimodzi, ndine wokondwa kuti ndapeza mankhwalawa. Ndipo palibe zoyipa, monga kudzimbidwa kapena khungu loyipa. 100% mankhwala anga!

Kulakalaka kukhutiritsa chakudya changa bwino sikundisiya; ndimalolera kudya pang'ono pambuyo pa zisanu ndi chimodzi ndipo sikuchepetsa kuchuluka kwa chakudya konse. Popita nthawi, adayamba kuona kuti mwachionekere wawonda, anzawo akutembenukira kwa iwe, ndazindikira kuti ndiyenera kusiya. Komabe, zoletsa muzakudya sizinathandize, adakhumudwa, koma adapitilizabe kulimbana. Adapita kukaonana ndi dokotala, ndidalangizidwa ndi Orsoten, ndikulonjeza kuti kuchepetsa magawo sikufunika, ndipo zotsatira zake zimakhala zodabwitsa. Ndidayamba kumwa, patatha sabata limodzi masikelo adaonetsa kuchepa, adapitiliza kulandira chithandizo, kutsatira malangizo omwe adalembedwa, posachedwa Zizindikiro zidafikira. Tsopano ndimagwiritsa ntchito zomwe ndimakonda, ndipo sindimapeza makilogalamu.

Anatenga "Orsoten", adakonda kwambiri mankhwalawa pochizira kunenepa kwambiri komanso kunenepa kwambiri. Vuto la kunenepa kwambiri nthawi zonse, koma upangiri wa endocrinologist adaganiza zoyesa, ndipo mankhwalawo adakwaniritsidwa. Anasintha kadyedwe kake ndikumutenga Orsoten. Ndiye mpulumutsi wanga, - wataya 15 kg. Panthawi ya tchuthi, mumatenga piritsi limodzi ndikuyiwalako za mapaundi owonjezera. Mankhwalawa ndi bomba ndipo, koposa zonse, amakhala otetezeka, chifukwa samatengedwa m'magazi.

Orsoten, wathunthu ndi kalabu yolimbitsa thupi, adandiuza kuti azindipanga ndi endocrinologist. Ndili ndi matenda a shuga a 2 + onenepa kwambiri. Pansi pamzere: kusakhazikika kunali koyambirira, komanso m'masiku ogwiririra ntchito zakudya zamafuta. Kuyambira pa Julayi 2018 mpaka pano, ma kilogalamu 18 adatsitsidwa, ngakhale kuti adakwanitsa kupita ku masewera olimbitsa thupi ndikuyamba kupitanso kawiri pa sabata. Chifukwa chake, ngati mankhwalawo ndi oyenera kwa inu, ndiye kuti pali zovuta kuchokera pamenepo.

Adatenga "Orsoten" miyezi iwiri ali ndi chiyembekezo chosazindikira kuti iyi ndi "piritsi yamatsenga" yakuchepetsa. Nthawi yomweyo, ndinayesetsa kutsatira zakudya, chifukwa Zotsatira zoyipa zimaphatikizira ziwalo zotayirira, kupweteka kwam'mimba ndi mkuntho, komanso kutulutsa mafuta kosalamulirika. Kuphatikiza pazotsatira zoyipa, ngakhale pazakudya zamafuta ochepa, sizinachitike. -1kg kwa miyezi iwiri sizotsatira (ndiye kuti kulemera kwake kunali makilogalamu 97, zaka 32). Patatha mwezi umodzi wambiri atatha kudya, kulemera kunakula ndi 3 makilogalamu ndikudya kosalekeza. Sindikupangira kuti mutenge nokha, popanda kupereka mankhwala ndikuwunika dokotala, ndibwino kungodya molondola. Mtengo wa maphunzirowa ndi wokwera (imwani miyezi 2-3 kumvetsetsa ngati pali zotulukapo).

Ndemanga zanga mwina zikuwoneka ngati zotamandika kwambiri kwa inu, koma ndimakondwera ndi mankhwalawa. Ndinayamba kutenga Orsoten nditabadwa mwana wanga wachiwiri. Molondola, chaka chotsatira, pamene ine ndinali nditasiya kale kuyamwitsa. Sindikudziwa ngati nkotheka kumwa mankhwalawa ngati mkaka wina, koma sindinatenge ziwopsezo, ndipo ndinangoyamba kumwa pokhapokha ndasiya mwana kuyamwa. Mankhwala ndi othandizadi. Ndidathandizidwa kuti ndizikhala bwino sabata limodzi, kunalibe mafuta ambiri. Ena adanena kuti mankhwalawa amatha kukhala ndi mavuto, koma sindinawone konse, kuchepa thupi kunalibe mavuto komanso kuvulaza thanzi.

Atandichita opareshoni, ndinayamba kulemera msanga, ndipo nthawi yomweyo ndinapita kwa dotolo ndi vutoli. Anandipatsa miyezi isanu ndi umodzi yakuchepa kwa thupi pa Orsotene mafuta blocker. Popeza kale ndinali wocheperako, miyezi isanu ndi umodzi inkawoneka kwa ine motalika, koma ndinadzozedwa nditawona zotsatira. Zotsatira zake, 13 makilogalamu adapita panthawiyi osadya, chilichonse monga adanena.

Kunenepa kwambiri ndi banja lathu, ndipo ngati pali zovuta zomwe zingachitike, ndizovuta kwambiri kuthana nazo. Ndimapulumutsidwa ndi Ortosen, ndimamwa nthawi ndi nthawi mpaka ndidzafika polemera - 65 kg.

Nthawi zonse ndimagula phukusi laling'ono la Orsoten kwa sabata limodzi ku tchuthi, kuti asandipe. Ma buffet pa tchuthi ndi zikondwerero zapanyumba ndizopamwamba kwambiri zopatsa mphamvu, koma Orsoten amandipulumutsa ku mafuta ochulukirapo. Amangoziletsa. Zaka zingapo zapitazo, ndinakhala pachaka kwa chaka chathunthu.

Ndidayenera kukhala bwino nditabadwa mwana, koma kodi mupezadi nthawi yamasewera ndi mwana wanu? Popanda kupsinjika mosafunikira pa "Orsoten" adatenga 8 kg m'miyezi isanu. Wina anganene kwa nthawi yayitali, koma kubweza pang'ono pang'onopang'ono kunenepa ndikubweza thupi. Miyezi yowerengeka iyi inali yokwanira kuti ndiyesetse kagayidwe, ine ndinangozolowera kudya bwino.

O, atsikana, musayese Reduxine. Uwu ndi mtundu wina woopsa, osati wowachiritsa. Ndinamupsera nkhawa kwambiri mpaka ndinamuopa kwambiri. Ndatsala pang'ono kugona, sindikufuna chilichonse. Kenako analavulira, kusiya kumwa, adotolo adandisamutsira ku Orsoten. Nkhani yosiyanatu! Kusunthika kumakhala kosalala, monga nthawi zonse, kulemera kumatsikiranso pang'onopang'ono. Mwambiri, ndimalangiza aliyense.

Ndinayesanso kumwa Xenical nthawi imodzi, ndiwokondedwa. Chabwino, ndimaganiza kuti mtengo udzakhala wolungamitsidwa ndi mtundu, koma ayi. Kuchokera kwa iye ndinali wofooka kwambiri. Wopatsa zakudya adandiwuza kuti ndilandire Orsoten, ndipo adandithandizira kuonda kwambiri. Popanda zotsatila zilizonse.

Otsatira a HLS akuti masewera okha amathandizira kuchepetsa thupi, koma siine anga. Kupita ku masewera olimbitsa thupi, thukuta pamadzi opanga ma simulators pamtunda ... chabwino, zosatheka! Ndiosavuta kwa ine. Ndinadzisankhira Orsotin Slim. Iwo adamulangiza pa pharmacy. Ndakhala m'mwezi wachiwiri, mayendedwe akadali ocheperako, 3 makilogalamu, koma ali!

Panthawi yolandila "Orsoten" zidapezeka kuti ndisanamvetsetse kuti ndi mafuta angati omwe amapezeka. Ndinayenera kukonza, ndipo sindinadandaule. Makilogalamu 11 otayidwawo sanabwerere. Kupatula apo, ndinakhetsa thupi kuchokera ku zopatsa mphamvu zochuluka. Ndimayamika dokotala wanga komanso wopanga "Orsoten": mankhwala abwino, othandiza komanso otsika mtengo kuposa ma analogu: "Xenical" ndi "Leafs".

Mosiyana ndi mankhwala omwe amagwira ntchito pa psyche, Orsoten amangogwira mayamwidwe amafuta - amawalepheretsa. Sindinayese Reduxine konse, zinayambitsa kupsinjika kwa bwenzi langa, ndipo kulemera kwake sikunachepe. "Orsoten" adandisankhira chifukwa sindingathe kudya kwambiri - thupi ndiloleza. 1.5 - 2 kg pamwezi amandisiya pa "Orsotnene", ndikupitiliza kumwa.

Zomwe sindinayesere kuchepera thupi! Ndipo zolimbitsa thupi ndizokhazikika (panali kumangomva kutopa kuchokera kwa iwo), ndipo zakudya ndizosiyana (ndizabwino kuti sindinakhale ndi m'mimba), ndi dziwe (ichi ndi chinthu chabwino, ngakhale sindikuchepetsa thupi chifukwa chosambira). "Orsoten" anathandizira kuchotsa pansi, tsopano ndi 2 kg. Zotsatira zake ndi zolimbikitsa, palibe mavuto omwe adawonedwa.

Ndakhala ndikumwa mankhwalawa kwakanthawi. Kusintha kwa kuwonda kumawonekera. Nthawi zambiri panali zotsatira zoyipa kuphwanya m'mimba. Kulakalaka kudachepa. Woyang'anira wanga adati Orsoten amachepetsa kuyamwa kwa mavitamini, omwe ndi abwino. Kwa miyezi iwiri ya zakudya zoyenera, ndikuphatikiza ndi Orsoten, ndataya 7 kg., Zomwe ndimawona kuti ndizabwino kwambiri. Kwa anthu omwe akutsatira chithunzichi, mankhwalawa ndi oyenera kumwa ndikudya zakudya zamafuta.

Nthawi zambiri ndimayang'anira kuwonda kwanga komanso zakudya. Koma munthawi yovuta imodzi, kwa ine kunenepa kwambiri. Sindinathe kudzipangitsa kuti ndichepe thupi, motero ndinasankha kugwiritsa ntchito mapiritsi kuti ndikadzilimbitsa. Wogulitsa mankhwalawa adalimbikitsa mankhwalawa kwa ine. Koma, monga momwe zidakhalira pambuyo pake, pakuchepetsa thupi, sizigwira ntchito konse ayi, koma zingathandize kuti musamachulukenso. Muyenera kumwa mapiritsi awa mukamadya mafuta, ndiye kuti amachotsa bwino mafuta mwanjira, zomwe zimathandiza kuti mafuta awa asamayikidwe kumbali ndi m'mimba. Koma mafuta omwe ali kale m'malo awa a thupi, sapita kulikonse. Mukamadya zakudya zamafuta ochepa, simuyenera kumwa. Kulakalaka sikuchepetsedwa konse. Ndidakhala sabata zitatu, zotsatira zake ndi ziro. Tsopano watha kale kulemera, ayambanso kudya, ndimamwa mapiritsiwa ndikamadya kena kenakake mafuta nthawi ya tchuthi, kuti asalemere.

Mankhwala abwino kwambiri ochepetsa thupi, ndipo madokotala amavomereza, ndikulimbana ndi mapaundi owonjezera, ndinatsimikizika kuchokera pazomwe ndinakumana nazo. Satha kuthana ndi kunenepa kwambiri, "Orsoten" adatha kupirira bwino ntchitoyi. Ndimasangalala ndi zotsatirazi.

Nditatenga, ndidawona kusintha kosiyanasiyana pamavolumu ndi zovala, ndipo kunayamba kuonekera, pomwe ndimamwa theka, ndimamwa mapiritsi 42. Ndikuganiza zotsatira zake zingandisangalatse. Nthawi yomweyo ndimayesetsa kuchita Cardio tsiku lililonse, ngati zingatheke, ndipo ndikudziika ochepa maswiti. Pakadali pano, ndikufuna kunena kuti mankhwalawa amagwiradi ntchito. Manambala onse abwino pamiyeso!

Dotolo adandiuza kuti mpaka pano ndi njira zokhazokha za ku Europe zomwe zitha kudalirika, kotero chifukwa chochepetsa thupi European Orsoten idandilangiza. Koma zotsatira zake ndi zabwino, osachotsa kale zisanu. Chifukwa chake ndili wokondwa.

Ndimamwa Orsoten. Madokotala amavomereza chida cha European - kotero mutha kuchepa thupi popanda kuwopa kubzala chiwindi kapena kuwononga m'mimba mwanu. Ndipo kulemera, njira, kumachokeradi!

Orsoten adayesera izi patchuthi cha Chaka Chatsopano, mlongo wake adanyamula. Kenako anandipulumutsa mwachindunji! Tsopano ndikuganiza z kumwa maphunziro, motero ndinatenga ma CD anga kuti ndikayesere maphunziro.

Anasiyidwa osagwira ntchito ndipo popeza kukhala kunyumba nthawi zonse kumapeza ndalama zochulukirapo. Ndinaganiza zochepetsa thupi, koma zakudya sizinathandize. Ndinawerenga za Orsoten pa intaneti, ndimaganiza kuti ndi mapiritsi amatsenga, koma tsoka, mankhwalawa sanandithandizire. Ndinkamwa zonsezo monga momwe zidalembedwera m'malangizo, ndinapenda zakudya zanga ndikulowa m'masewera kwambiri, koma kulemera kwake kunali kutatsala pang'ono kutha, kudali 96, ndipo kudakwaniritsidwa kukhala 94 patatha mwezi, koma izi sizotsatira zomwe ndimayembekezera. Sindinakhale ndi zotsatirapo zoyipa kuchokera pamaphukusi awa, koma sizinakhalepo ndi zotsatirapo zabwino.

Ndidawerama nyambo iyi pofuna kufunafuna wowoneka bwino komanso wokongola. Popeza sinditsatira zakudya ndipo ndimakonda kudya chakudya chokoma ndi chopatsa thanzi, ndidaganiza kuti njira yochepetsera thupi yandiyenera bwino. Ndidawerenga kale za mankhwalawa, ndidazindikira kuti ndemanga ndizosiyana: pali zabwino, komanso zambiri zoyipa. Zotsika mtengo zidagwira ntchito, ndidaganiza zokhala nawo mwayi. Ndinawona makapisozi momveka bwino, monga momwe analimbikitsira, koma palibe chapadera chomwe chinachitika. Zovala zowumitsa zimawonekera ndipo nthawi zina m'mimba zimapweteka. Kulakalaka monga momwe kunaliri ndikutsalira, ngakhale ndimayesetsa kudya zochepa kuposa masiku onse. Khalani ndi ine komanso kunenepa kwambiri.

Ndinagula mankhwalawa ndili ndi chiyembekezo chodya ndi kunenepa. Mtengo wake ndi wokwera mtengo pang'ono - umatenga pafupifupi ma ruble 3,000, mankhwalawa amatenga kapisozi imodzi katatu patsiku. Sanandiyenerere, mwina chifukwa ndikuti kulemera kwanga sikunali kwambiri - 67 kg. Angabzalidwe chiwindi "chabwino", sindikukulimbikitsani kumwa mankhwalawa!

Kulemera kwambiri kwa ine ndi vuto lalikulu ndi thanzi komanso moyo wamunthu. Chilichonse chatsika, sindinkafuna kukhala ndi moyo. Ndili ndi matenda ashuga, chifukwa chake bwino, amangokula m'lifupi. Ndidayesera mitundu yonse ya zakudya, ndipo matenda anga anali ochepa aiwo, ndipo palibe omwe adabweretsa phindu lililonse. Mankhwala ochepetsa thupi amalemekezedwa kwambiri, palibe chomwe chinatsalira kupatula mafuta. Ndipo mphindi zomaliza, endocrinologist adalangiza Orsoten. Mwezi womwewo ndinataya 2 kg, osati zochuluka, koma palibe malire a chisangalalo, ndipo ndikupitilizabe kuchepa koma moyenera kuchepetsa thupi. Munthu akhoza kunena kuti sindimawona zotsatira zoyipa zilizonse.

Kufotokozera kwapfupi

Orsoten (yogwira pophika - orlistat) ndi mankhwala wochizira kunenepa kwambiri. Masiku ano, kufalikira kwa kunenepa kumapereka chifukwa chokwanira kudziwa ngati si mliri, ndiye vuto lalikulu kwambiri lachipatala chamakono. Chifukwa chake, malinga ndi Global Database of Body Mass Index yolembedwa patsamba la WHO, onenepa kwambiri m'maiko otukuka amakhudzidwa ndi 23% (Japan) mpaka 67% (USA). Mafuta ochulukirapo a thupi amathandizira kutenga matenda a mtima ndi shuga, zomwe ndi zina mwazomwe zimayambitsa kufa. Popeza pamwambapa, chithandizo chokwanira cha kunenepa kwambiri nthawi zonse chiyenera kukhala chowunikira oyang'anira mtima, ma endocrinologists ndi madokotala a akatswiri ena. Zochita zomwe cholinga chake ndikuchotsa mafuta osungira a visceral, zimakhudza ambiri pazovuta za metabolic zomwe zimakhudzana ndi kunenepa kwambiri. Ngakhale kuchepa pang'ono kwa 5-10% kumayendetsedwa ndi kuchepa kowonekeratu kwa zochitika zamtundu wa concomitant. Poganizira kuti zomwe zimayambitsa kunenepa kwambiri ndizochita zolimbitsa thupi molumikizana ndi kusachita masewera olimbitsa thupi, chithandizo chiyenera kukhazikitsidwa pakumanga chakudya ndi mafuta "katundu" osaposa 25-30% ya okwanira tsiku ndi tsiku a calorie osakanikirana ndi masewera olimbitsa thupi omwe amachitika mu mawonekedwe a aerobic. Kuonjezera phindu la mankhwalawa, "othandizira" a pharmacological amagwiritsidwa ntchito, omwe amadziwika kuti Orsoten. Ndi cholepheretsa champhamvu cham'mimba komanso ma pancreatic lipases a nthawi yayitali, kupondereza kufalikira kwa lipid ndi mayamwidwe pafupifupi 30%. Nthawi yomweyo, orsotene amachepetsa kuchuluka kwamafuta acids ndi monoglycerides mu lumen yam'mimba, yomwe imaphatikizira kuwonongeka kwa solubility ndi mayamwidwe a cholesterol komanso kuchepa kwa kuchuluka kwake m'madzi a m'magazi. Chimodzi mwazinthu zabwino za orsotene ndi kusankha kwakanema kwa ma enzymes m'mimba ndikutsiriza "kusaloledwa" pokhudzana ndi mapuloteni, chakudya ndi phospholipids.

Mankhwalawa amangogwira ntchito m'matumbo, popanda njira iliyonse. Zotsatira zamaphunziro ambiri azachipatala zimangowonetsa mphamvu zake yochepetsera kulemera kwamthupi, komanso kubwezeretsa mulingo wa lipids wamagazi kumachitidwe azamoyo. Zinawonetsedwa kuti kugwiritsa ntchito orsoten kwa miyezi 12 molumikizana ndi kukonza kwa njira (kuchotsedwa kwa zolakwika zamthupi, zolimbitsa thupi) kunapangitsa kutsika kwa thupi ndi 5% kapena kupitilira mu 35-65% ya odwala ndi 10% kapena kuposa mu 29- 39% ya odwala. Mankhwala a Orsoten ochokera ku kampani yopanga mankhwala ku Slovenia "Krka" ndiwofotokozedwawu wochokera ku ("F. Hoffman La Roche Ltd." (Switzerland)) Asayansi aku Russia ochokera ku Federal State Institution "Endocrinological Research Center" (Moscow) anayerekeza kugwira bwino ntchito pokhudzana ndi kuchepetsa thupi xenical and orsoten: Zotsatira za phunziroli zinawonetsa kufanana kwa mankhwalawa onse, mphamvu yawo yofanana mwa odwala onenepa, komanso kufanana kwawo pachitetezo. Phunziroli, chithandizo cha orsotene chinalola anthu ambiri (pafupifupi 52%) odwala onenepa kuti achepetse kuchepa kwa thupi kuposa 5% pambuyo pa miyezi 3 ya pharmacotherapy. Kutaya mafuta owonjezera thupi panthawi yamankhwala a orsotene kunakhudza kwambiri chiopsezo cha Cardio - matenda am'mimba ndi matenda ashuga komanso kukonza moyo wa odwala.

Orsoten amapezeka m'mapiritsi. Malinga ndi malingaliro ambiri, mlingo umodzi wa mankhwalawo ndi 120 mg. Orsoten amatengedwa asanadye (kutanthauza chakudya cholimba, osati zopepuka), mkati mwa ola limodzi kapena itatha. Kaphimbidwe kamatsukidwa ndi madzi okwanira. Ngati mukufuna kukonza "chakudya" chosavuta, ndiye kuti mutha kudumphanso kapena kudya. Mlingo wa mankhwala oposa 120 mg katatu patsiku sizikuthandiza.

Pharmacology

Inhibitor yeniyeni ya lipases yam'mimba yokhala ndi mphamvu yayitali. Imakhala ndi achire mu lumen yam'mimba ndi matumbo ang'onoang'ono, ndikupanga mgwirizano wolumikizana ndi gawo loyambira la gawo la m'mimba ndi matumbo lipases. Mosakhazikika mwanjira iyi, enzyme imataya mphamvu yake yophwanya mafuta azakudya mu mawonekedwe a triglycerides kulowa mu mafuta aulere acids ndi monoglycerides.Popeza ma triglycerides osaphatikizidwa samayamwa, kuchuluka kwa zopatsa mphamvu m'thupi kumachepa, zomwe zimapangitsa kuchepa kwa thupi.

Achire zotsatira za mankhwala ikuchitika popanda mayamwidwe zokhudza zonse kufalitsidwa. Kuchita kwa orlistat kumabweretsa kuwonjezeka kwa mafuta omwe amapezeka mumayimbidwe omwe ali kale maola 24-48 mutatha kumwa mankhwalawa. Pambuyo pakutha kwa mankhwalawa, mafuta omwe amakhala mumadzimadzi nthawi zambiri amabwerera ku mawonekedwe ake atatha maola 48-72.

Pharmacokinetics

Kuyamwa kwa orlistat ndizochepa. Maola 8 mutatha kumwa mankhwalawa, mankhwala osasinthika am'magazi sayenera kutsimikizika (ndende yochepera 5 ng / ml). Palibe zizindikiro zakumvera, zomwe zimatsimikizira kuyamwa pang'ono kwa mankhwalawo.

Mu vitro, orlistat ndizoposa 99% zomanga ndi mapuloteni a plasma (makamaka lipoproteins ndi albin). Pochulukirapo, orlistat imatha kulowa m'magazi ofiira.

Orlistat imapukusidwa makamaka khoma lamatumbo ndikupanga ma metabolacogic metabolites: M1 (hydrolyzed anayi lactone ring) ndi M3 (M1 yokhala ndi zotsalira za N-formylleucine).

Njira yayikulu yotsatsira ndikuchotsa matumbo - pafupifupi 97% ya mankhwala, omwe 83% - osasinthika.

Cumulative excretion wa impso wazinthu zonse zomwe zimapangidwa ndi orlistat, ndizochepera 2% ya mlingo womwe unatengedwa. Nthawi yochotsa kwathunthu ndi masiku 3-5. Orlistat ndi metabolites atha kupukusidwa ndi bile.

Bongo

Milandu yama bongo osokoneza bongo sinafotokozedwe.

Zizindikiro: kumwa kamodzi kwa orlistat 800 mg kapena angapo Mlingo wambiri mpaka 400 mg katatu / tsiku kwa masiku 15 sizinayende limodzi ndi zovuta zosiyanasiyana. Kuphatikiza apo, mlingo wa 240 mg katatu kapena tsiku, woperekedwa kwa odwala omwe ali ndi kunenepa kwambiri kwa miyezi 6, sizinachititse kuti pakhale zovuta zingapo.

Chithandizo: vuto la mankhwala osokoneza bongo a orlistat, tikulimbikitsidwa kuti muzitsatira wodwalayo kwa maola 24.

Kuchita

Odwala omwe amalandila warfarin kapena ma anticoagulants ena ndi orlistat, kuchepa kwa prothrombin, kuwonjezeka kwa INR kungawonedwe, komwe kumabweretsa kusintha kwa magawo a heestatic.

Kuchita ndi amitriptyline, biguanides, digoxin, fibrate, fluoxetine, losartan, phenytoin, kulera pamlomo, phentermine, nifedipine (kuphatikizapo kuchedwa kutulutsidwa), sibutramine, furosemide, Captopril, atenolom, ethenolol, anati.

Iwo kumawonjezera bioavailability ndi hypolipidemic zotsatira za pravastatin, kuwonjezera ndende yake mu plasma ndi 30%.

Kuchepetsa thupi kumatha kukonza kagayidwe kachakudya kwa odwala matenda a shuga, chifukwa chake ndikofunikira kuchepetsa kuchuluka kwa othandizira a hypoglycemic.

Chithandizo cha Orlistat chitha kusokoneza mayankho a mavitamini osungunuka (A, D, E, K). Ngati multivitamini akulimbikitsidwa, ndiye kuti sayenera kumwedwa osadutsa maola awiri mutatha kumwa orlistat kapena musanagone.

Ndi munthawi yomweyo makonzedwe a orlistat ndi cyclosporine, kuchepa kwa kuchuluka kwa cyclosporin m'madzi a m'magazi, motero tikulimbikitsidwa kuti nthawi zambiri kudziwa kuchuluka kwa cyclosporin m'magazi a magazi.

Odwala omwe alandila amiodarone, kuwunika kwachipatala ndi kuwunika kwa ECG kuyenera kuchitika mosamala kwambiri, chifukwa Milandu ya kuchepa kwa ndende ya amiodarone m'madzi a m'magazi amafotokozedwa.

Zotsatira zoyipa

Zotsatira zoyipa zimawonedwa makamaka kuchokera m'matumbo am'mimba ndipo zimachitika chifukwa cha kuchuluka kwa mafuta mu ndowa. Nthawi zambiri zovuta zomwe zimawonongeka zimakhala zofatsa ndipo zimakhala ndi mawonekedwe osakhalitsa. Maonekedwe a izi adawonedwa koyambirira kwamankhwala 3 miyezi yoyamba (koma osapitirira imodzi). Pogwiritsa ntchito orlistat nthawi yayitali, kuchuluka kwa zotsatira zoyipa kumachepa.

Kuchokera pamimba: chakudya cham'mimba, chokhala ndi zotulutsidwa kuchokera ku rectum, kulimbikitsa kudzipatula, mafuta am'madzi, zotupa zamafuta kuchokera ku rectum, zotayirira zotulutsa, zopondapo zofewa, mafuta amkati mwa ndulu (steatorrhea), kupweteka / kusapeza bwino pamimba, kuchuluka kwamatumbo, kupweteka / kusasangalala mu rectum, kufunikira kovunduka, kusakhazikika kwa fecal, kuwonongeka kwa mano ndi mano, osafunikira kwambiri, diverticulitis, matenda a ndulu, hepatitis, mwina kwambiri, ntchito yowonjezera ya hepatic transaminases ndi alkaline phosphatase.

Metabolism: hypoglycemia mwa odwala matenda a shuga a 2.

Kuchokera kumbali yamanjenje apakati: kupweteka mutu, kumva kuda nkhawa.

Thupi lawo siligwirizana: kawirikawiri - kuyabwa, zidzolo, urticaria, angioedema, bronchospasm, anaphylaxis.

Kuchokera pakhungu: chosowa kwambiri - chotupa champhongo.

Zina: matenda ngati chimfine, kutopa, matenda apamwamba thirakiti, matenda amkodzo, dysmenorrhea.

• chithandizo cha nthawi yayitali cha anthu onenepa kwambiri okhala ndi chindoko chachikulu (BMI) ≥30 kg / m 2, kapena odwala onenepa kwambiri (BMI ≥28 kg / m 2), kuphatikiza okhala ndi zoopsa zomwe zimakhudzana ndi kunenepa kwambiri, kuphatikizapo zakudya zamagulu ochepa zopatsa mphamvu.

Orsoten ® imatha kutumikiridwa limodzi ndi mankhwala a hypoglycemic komanso / kapena zakudya zochepa zopatsa mphamvu kwa odwala omwe ali ndi matenda a shuga 2 kapena onenepa kwambiri.

Contraindication

• aakulu malabsorption syndrome,
• cholestasis
• mimba
• mkaka wa m'mawere (yoyamwitsa),
• ana ndi achinyamata ochepera zaka 18 (zoyenera ndi chitetezo sizinaphunzire),
• Hypersensitivity to orlistat kapena chilichonse cha mankhwala.

Mimba komanso kuyamwa

Malinga ndi zotsatira za kafukufuku wamakedzana, teratogenicity ndi embryotoxicity sizinawoneke mukamamwa orlistat. Palibe zambiri zachipatala pakugwiritsa ntchito orlistat pa nthawi ya pakati, chifukwa chake, mankhwalawa sayenera kutumikiridwa panthawiyi.

Chifukwa palibenso deta yogwiritsa ntchito panthawi ya mkaka wa m'mawere, orlistat siyenera kuyikidwa pa mkaka wa mkaka.

Malangizo apadera

Orlistat imathandiza pakuwongolera kwakanthawi kochepa thupi (kuchepa kwa thupi, kuisunga pamlingo woyenera komanso kupewa kubwezeretsa kulemera kawiri). Kuchiza ndi orlistat kumabweretsa kusintha kwa mbiri ya zinthu zomwe zili pachiwopsezo ndi matenda okhudzana ndi kunenepa kwambiri (kuphatikizapo hypercholesterolemia, kulolerana kwa glucose, hyperinsulinemia, matenda oopsa a matenda oopsa, mtundu wa 2 shuga mellitus), ndi kuchepa kwamafuta a visceral.

Kuchepetsa thupi mukamalandira mankhwala a orlistat kungakhale limodzi ndi chindapusa chokwanira cha kagayidwe kazakudya kwa odwala omwe ali ndi matenda a shuga 2, omwe amachepetsa mlingo wa mankhwala a hypoglycemic.

Kuonetsetsa kuti odwala ali ndi chakudya chokwanira, ndikofunikira kuti muthe kukonzekera multivitamin.

Odwala ayenera kutsatira malangizo azakudya. Ayenera kulandira zakudya zopatsa thanzi, zopatsa mphamvu zochepa zopatsa mphamvu zopanda mafuta opitilira 30% m'mafuta. Zakudya zamafuta a tsiku ndi tsiku ziyenera kugawidwa m'magulu atatu azakudya zazikulu.

Momwe zimayambira zimakhudzana ndi m'mimba thirakiti limatha kuchuluka ngati mafuta atengedwa ndi chakudya chamafuta (mwachitsanzo, 2000 kcal / tsiku,> 30% ya calorie yolowa tsiku lililonse imabwera m'mafuta, omwe amakhala pafupifupi 67 g yamafuta). Odwala ayenera kudziwa kuti akamatsata zakudya zenizeni (makamaka zamafuta ochulukirapo), sangakhale ndi zovuta zina. Zakudya zamafuta ochepa zimachepetsa mwayi wamavuto kuchokera m'matumbo am'mimba ndipo zimathandiza odwala kuwongolera komanso kuwongolera kudya mafuta.

Ngati pakatha milungu 12 ya mankhwala palibe kuchepa kwa thupi ndi osachepera 5%, orlistat iyenera kusiyidwa.