Kunenepa kwambiri pamimba > Matenda a shuga

Kusabereka
Kutopa
Mitsempha ya Varicose
Kukhumudwa
Kutentha kwa mtima
Kusamba kwamwamuna
Kudzimbidwa
Kupuma pang'ono
Chizolowezi cha kuzizira
Kuchulukitsidwa kwamafuta m'mimba
Kuchepetsa ntchito
Kuchepetsa kugonana
Kuchulukitsa pamimba

Kunenepa kwambiri pamimba ndikofala kwambiri, koma nthawi yomweyo, mtundu wowopsa kwambiri wonenepa kwambiri. Ndikofunika kudziwa kuti matenda omwe nthawi zambiri amakhudza amuna, ndipo azimayi amakula nthawi zambiri. Khalidwe losayenera komanso zomwe zimayambitsa matenda zimatha kukhala gwero la matenda. Kuphatikiza apo, chidwi cha chibadwidwe chakubadwa sichimapatula.

Kuphatikiza pa kuwonjezeka pang'onopang'ono kwa kuchuluka kwa m'mimba, chithunzi cha chipatalachi chimapangidwa ndi zizindikiro zotere - kutopa, kuchepa mphamvu, kufupika, kutsika chilakolako chogonana komanso kusabereka.

Ndi dokotala wokha yemwe angadziwe zoyenera ndikuwona chifukwa chake munthu amayamba kunenepa kwambiri malinga ndi mtundu wam'mimba, womwe umachokera pazidziwitso zomwe zimapezeka panthawi yoyesedwa, mayeso a labotale komanso njira zothandizira.

Mutha kuthana ndi kudzikundikira kwa minofu ya adipose pamimba pogwiritsa ntchito njira zosasinthika, mwachitsanzo, pakumwa mankhwala ndikuchita masewera olimbitsa thupi olimbitsa mtima kumalimbitsa minofu yam'mimba. Komabe, makamaka m'malo ovuta kwambiri, njira yokhayo yothandizidwa ndi opareshoni.

Mtundu wam'mimba wamafuta kwambiri nthawi zambiri umachitika chifukwa chokhala ndi moyo wosayenera, ndiko kuti, kuperewera kwa zakudya m'thupi. Komabe, kudya kwambiri si chinthu chokhacho chomwe chimalowetsa ku matenda.

Matendawa amayambitsidwa ndi:

magwiridwe antchito a hypothalamus, momwe malo operekera zakudya omwe amayang'anira masanjidwe amapezeka. Kupatuka kotereku kumabweretsa kuti ngakhale munthu adye zochuluka motani, amakhala akumva njala. Muzochitika zotere, kumangodyetsa zakudya zochepa ndikusewera masewera sikokwanira - maziko azithandizo ndi ntchito ya psychotherapist ndi wodwala,
kusowa kwa serotonin, yomwe ndi mahomoni omwe amayambitsa kukhazikika kwa malingaliro ndi malingaliro abwino, chifukwa chake amatchedwanso mahomoni achisangalalo. Kuperewera kwa zinthu zotere kumabweretsa chitukuko chamayiko omwe anthu ena amakonda kumenya nkhondo chifukwa chomwa zakudya zambiri zopanda pake,
Kukhala moyo wongokhala - Kukhala malo antchito komanso kukanidwa kwathunthu pamasewera kumapangitsa kuti thupi lizikundana kwambiri.
kusiya kwa nthawi yayitali zizolowezi zoyipa, monga kumwa zakumwa zoledzeretsa, zomwe, zimapangitsanso chidwi chake,
kusakwanitsa kwa mahomoni
Kugwiritsa ntchito mosafunikira mankhwala, monga mahomoni ndi ma psychotropic zinthu.

Musaiwale kuti chomwe chimayambitsa kunenepa kwambiri m'mimba ndicho chibadwa. Podziwa izi, munthu angathe kuletsa popanda kudziyimira kuchuluka kwa minofu ya adipose mdera lamtundu wa peritoneal - chifukwa cha izi ndizokwanira kutsogola moyo wokangalika ndikudya moyenera.

Mwa amayi, kuvutikaku nthawi zambiri kumachitika chifukwa cha kubereka komanso kubereka.

Gulu

Kunenepa kwambiri kwam'mimba mwa akazi ndi amuna ali ndi njira zingapo:

kudziunjikira kwa maselo amafuta pansi pa khungu ndiye mtundu wabwino kwambiri wamatenda, chifukwa amadzibweretsera bwino kuchithandizo chokhazikika, chokhala ndi zolimbitsa thupi komanso zakudya. Mavuto pazinthu zotere ndi osowa kwambiri,
Kupangidwa kwa minofu ya adipose kuzungulira ziwalo zofunika - ndikutaya mapaundi owonjezera kumakhala kovuta kwambiri. Kuphatikiza apo, pali kuthekera kwakukulu kwa mapangidwe owopsa amoyo. Nthawi zambiri, chithandizo chamankhwala chimaphatikizapo kulowererapo kwa madokotala.

Pathology imakhala ndi magawo atatu azovuta:

Gawo 1 - m'chiuno mwa amuna mulibe kupitirira masentimita 94, ndipo mwa akazi masentimita 80,
Gawo lachiwiri - zizindikiro mwa amuna zimasiyana masentimita 94.2 mpaka 101.3, mwa akazi - kuchokera pa 81.2 mpaka 88.6 cm.,
Gawo lachitatu - m'malo oterowo, gawo la chiuno mwa amuna limayambira 102.6 masentimita ndi pamwamba, ndipo mwa akazi - 88.9 ndi masentimita ena.

Zizindikiro

Ndi kunenepa kwambiri pamimba, chithunzi cha chipatala chimaphatikizanso kuphatikiza kwa zizindikiro zotsatirazi:

kuchuluka kwam'mimba,
kukana kwa cellulini ku insulin, komwe nthawi zambiri kumabweretsa mtundu wachiwiri wa matenda ashuga,
kuchuluka kwa mawu,
dyslipidemia,
kusintha kwa magazi,
kuchepa kugonana,
kupuma movutikira, kuwonekera ngakhale ndi zolimbitsa thupi pang'ono,
amuna ndi akazi osabereka
kuphwanya kwa msambo mu akazi
kutopa ndi kuchepa kwa magwiridwe
chitukuko cha dziko lokhumudwitsa,
kutentha kwapakati kotumphukira kwa zam'mimba zomwe zili m'mphepete,
Mitsempha ya varicose ya m'munsi,
kukula kwa matenda obanika kutulo,
kukhudzana pafupipafupi ndi chimfine
kuphwanya magwiridwe antchito.

Tiyenera kukumbukira kuti ndi kuchulukana kwa minofu ya adipose kuzungulira ziwalo zamkati, zimatha kutsogolera kuonekera kwa zizindikiro zosonyeza kusagwira ntchito kwawo. Zolinga zomwe ambiri amakhala nazo ndi izi:

mtima ndi chiwindi
impso ndi kapamba,
zotengera ndi bokosi loyika zinthu,
matumbo akulu ndi ang'ono,
mapapu.

Ndizofunikira kudziwa kuti zisonyezo zofanana za kunenepa zimawonedwa mwa amayi ndi abambo.

Zizindikiro

Dokotala wa gastroenterologist kapena endocrinologist amatha kudziwa zifukwa zoyambira kuchuluka kwa thupi m'mimba ndikupereka chithandizo chokwanira. Kuphatikiza apo, kufunsidwa kwa akatswiri azakudya kumafunika.

Njira yodziwira kunenepa kwam'mimba mwa abambo ndi amayi imaphatikizanso magawo angapo, yoyamba yomwe umalimbana:

kuwerenga mbiri yamatendawa - izi zipangitsa kudziwa zoyambitsa matenda,
kusonkhanitsa ndi kusanthula mbiri ya moyo - izi ziyenera kuphatikizapo chidziwitso chokhudza zakudya, zolimbitsa thupi, thanzi la m'maganizo komanso kuzolowera zizolowezi zoipa,
kuwunika bwino - kuphatikiza khomalo ndi kupindika kwa khoma lakunja kwam'mimba, kuyeza kuzungulira kwam'mimba ndikuzindikira kuchuluka kwam'mimba mothandizidwa ndi wodwala aliyense,
kafukufuku watsatanetsatane wodwala - kuphatikiza chithunzi chokwanira, kuti azindikire kuuma kwa zizindikiro ndikukhazikitsa gawo la matenda.

Gawo lachiwiri pakuzindikiritsa kufufuzaku ndi labotale, komwe kumangoyesedwa ndikuwunika magazi mokwanira, komwe kukuwonetsa kusintha kwa mawonekedwe ake a matenda ngati amenewo.

Gawo lomaliza la kuzindikira ndikukhazikitsa mayeso othandiza, omwe mwa awa:

Ultrasound yam'mimba
gastroscopy
radiology pogwiritsa ntchito wothandizira,
CT ndi MRI - kudziwa zotupa zamkati.

Nkhondo yolimbana ndi kunenepa kwambiri yam'mimba ndi yovuta ndipo imatenga nthawi yayitali.

Kuphatikiza mankhwala okhala ndi:

Khalidwe limasintha
ulemu pakuchepetsa zakudya,
kuchita masewera olimbitsa thupi,
kumwa mankhwala
Chithandizo cha concomitant pathologies.

Mankhwala othandiza kwambiri ndi awa:

"Orlistat" - amachepetsa kuyamwa kwamafuta m'matumbo,
"Sibutramine" - mankhwala oletsa kupanikizika,
"Rimonabant" - amatanthauza gulu la otsutsa, amachepetsa chilimbikitso ndipo amalimbikitsa kuchepa kwamphamvu thupi,
Metformin
"Pramlintide" - imapanga chodzaza,
"Exenatide Bayeta."

Zakudya ndi zochiritsira zolimbitsa thupi zimapangidwa payekhapayekha kwa wodwala aliyense, zomwe zimatengera kuopsa kwa matendawa. Komabe, mulimonse, chithandizo chamankhwala chiyenera kukhala chokwanira.

Ndi kuperewera kwa njira zolimbikira, komanso ndi magawo ambiri a maphunzirowo, chithandizo cha kunenepa kwambiri pamimba mu maukwati onse awiri kumatanthauza opareshoni. Kulowererapo cholinga chake ndikuchotsa matumbo pang'ono kapena kuchepa kwa m'mimba.

Ndizofunikira kudziwa kuti pankhaniyi, mankhwala wowerengeka sapereka zotsatira zabwino, ndipo nthawi zina amatha kukulitsa vutoli ndikuwadzetsa zovuta.

Mavuto omwe angakhalepo

Mtundu wam'mimba wamafuta onenepa ndimatenda owopsa omwe angayambitse zovuta zambiri zowopsa. Mndandanda wazomwe matendawa ndi owopsa akuphatikizapo:

matenda oopsa owopsa
kulephera kukhala ndi ana
shuga yachiwiri yomwe imayamba chifukwa cha insulin,
polycystic ovary syndrome,
michere
sitiroko
matenda a mtima
mafuta achilengedwe a chiwindi,
kuchuluka cholecystitis,
chiwopsezo cha oncology ndi njira zotupa,
kudziunjikira kwa cholesterol yambiri m'mitsempha yamagazi, yomwe imaphwanya zakudya zamkati,
kulephera kwa mtima
mchere umalowa m'malo.

Kupewa komanso kudwala

Popewa kukula kwa kunenepa kwambiri pamimba, malamulo osavuta a kupewa ayenera kutsatiridwa:

kukana moyo wonse zizolowezi zoipa,
zopatsa thanzi komanso zopatsa thanzi,
kukhala ndi moyo wachangu,
kulimbitsa kosalekeza kwam'mimba,
kugwiritsa ntchito bwino mankhwala monga momwe dokotala amafotokozera,
kupewa kupewetsa nkhawa kwambiri,
kuyesedwa kwachipatala pafupipafupi ndi kuchezera akatswiri onse.

Kukula kwa matendawa kumatengera kwathunthu pazinthu zingapo - kuopsa kwa njira yake, gulu la wodwalayo, kupezeka kwa matendawo komanso kuyang'anitsitsa kwamalangizo a adokotala.

Chiwopsezo chachikulu cha matenda

Vutoli limatha kuyambitsa matenda am'mtima, amanjenje. Komanso, kunenepa kwambiri sikuti kungakhale ngozi kwa thanzi, komanso kungakhale chiwopsezo chachikulu pamoyo. Zofananazi zimatha kukhala mwa amuna ndi akazi. Choyambirira, sikuti munthu ndi wodwala kapena msinkhu yemwe amatenga nawo mbali, koma moyo wake.

Njira yochitira kunenepa ndi yosavuta. Munthawi yochepa, mafuta a munthu amakhala pafupifupi ma kilogalamu atatu, nthawi zina amapitilira pang'ono kapena pang'ono. Wodwala nthawi zambiri amatha kupezekanso kakhumi. Kuchulukaku kumadzaza m'matumbo ndikupanga khoma lakutsogolo kwa peritoneum, komwe kupunduka kumachokera. Imaphimba ziwalo zamkati, zimawakakamiza, kuwaletsa kugwira ntchito moyenera, ndikuyambitsa zovuta ndi zovuta zina.

Ndi kunenepa kwambiri, chiwopsezo cha matenda oopsa ndi angina pectoris amachulukirachulukira. Pali ziwonetsero kuti 2-4 nthawi zambiri zowonjezera kuposa odwala.
Odwala omwe ali ndi kunenepa kwambiri pamimba ndiwowonjezera peresenti ya odwala omwe ali ndi vuto la mtima komanso stroko.
Magazi ndi magazi a m'mimba amatha kusokonekera kwambiri.
Kuwonongeka kwa chiwindi ndi impso kumatha kuchitika.
Zikondamoyo, zomwe zimapangidwanso ngati thupi, zimakhalanso ndi matenda otere.
Mwayi wa matenda amitundu yosiyanasiyana umachulukirachulukira.
Mavuto a oncological nthawi zambiri amawonekera mwa anthu omwe ali ndi vuto lotere.

Amakhulupirira kuti ngakhale chimfine, ma virus komanso matenda opuma chimakhala chotalikirapo, chovuta kwambiri kwa odwala omwe ali ndi kunenepa kwambiri, kuposa omwe amakhala ndi mafuta abwinobwino amthupi.

Chizindikiro chachikulu cha kunenepa kwambiri kwam'mimba mwa abambo ndi amayi ndi kuchuluka kwambiri kwa mafuta kumtunda, kuyambira kuchokera pamimba. Pali zovuta. Mutha kuyankhula za matenda a m'mimba pomwe chiuno cha mkazi chimaposa masentimita eyiti, ndipo bambo amakhala ndi masentimita 90.

Zizindikiro zoopsa kwambiri za matendawa zimatha kukhala zovuta m'mthupi.

Type 2 matenda a shuga.
Dyslipidemia.
Kukana insulini.
Matenda oopsa.
Uric acid kagayidwe kazinthu.
Kuchulukitsa zomwe zili m'thupi la mahomoni otchedwa nkhawa - cortisol, omwe amapangidwa ndi mafuta.
Mafuta am'mimba amatulutsa mahomoni ena otchedwa interleukin-6. Ndi zochulukirapo, ngakhale chimfine chopanda vuto chimatha kukhala ndi zovuta komanso zotsatirapo zake.
Mwa amuna, pali zochulukitsa za estrogen mthupi, zomwe zimabweretsa zovuta zazikulu za potency ndi libido, luso la kubereka.
Amayi onenepa nthawi zambiri amakhala ndi vuto la kubereka kapena kulephera kupirira mwana.

Mahomoni owonjezera mulimonsemo amavulaza thupi ndi machitidwe ake onse. Madokotala amazindikira kuchuluka kwa cholesterol "choyipa" m'matumba. Anthu amatha kudwala pafupipafupi, kudzimbidwa. Nthawi yomweyo, kuwonjezeka kwamafuta sikuti kumangochokera, komanso kumakula.

Zoyambitsa zamafuta m'mimba

Choyambitsa chachikulu chomwe chimapangitsa kuti m'mimba pakhale mafuta m'mimba ndi chifuwa ndikulephera kutulutsa mphamvu zomwe zimalandira ndi chakudya. Amalowa mkati molingana ndi ma kilocalories, omwe thupi sangathe kuwononga chifukwa chochepa zolimbitsa thupi. Ndiye kuti, kudya kwambiri komanso kukhalanso ndi moyo kumabweretsa mafuta.

Kulephera kuchita masewera olimbitsa thupi.
Kuvutitsidwa kwa maswiti, zakudya zamafuta oopsa kwambiri, kusuta nyama, zipatso.
Ma genetic amatsogolera pamavuto a enzymatic system.
Kudyetsa kwambiri nkhawa - "Kulanda" mayiko amanjenje ndi maswiti kapena chakudya china.
Matenda a Endocrine.
Kukhumudwa, matenda a kutopa kwambiri.
Kumwa mankhwala a mahomoni kapena psychotropic kwa nthawi yayitali.
Sinthani mu thupi lanu (kutenga pakati, kusamba).

Vutoli limakulirakulira msanga ngati palibe chomwe chachitika kuti aletse. Mafuta amapezeka mwadzidzidzi, ndipo wodwalayo akayamba kuliza belu, ndiye kuti kuzichotsanso sizivuta. Komabe, munthu safunika kuganiza kuti ndizosatheka kubwezeretsanso thupi lanu kwina.

Kusiyana pakati pa kunenepa kwambiri kwa akazi ndi abambo

Kunenepa kwambiri kwa akazi ndi kovulaza, koma osati mochuluka ngati kunenepa kwambiri kwa amuna. Amuna amadwala kwambiri, amadwala kwambiri, ndipo amafa msanga.
Amayi amadziunjikira minofu yamafuta kwambiri mwachangu. Chifukwa chake chilengedwe cha nthawi yayitali chimateteza wopitiliza kukhosi kuti asazizidwe ndi njala.
Kuchepetsa thupi kwa mkazi ndikosavuta kuposa mwamuna.

Momwe mungachotsere kunenepa kwam'mimba mwa amayi ndi abambo

Chithandizo cha vutoli chikafika pakuwonjezeka kapena kwakukulu chimachitika pokhapokha poyang'aniridwa ndi ogwira ntchito zachipatala. Kuyesera kwanu sikungatulutse zotere pamlingo wotere, chifukwa vutoli limasokonezeka pakugwira ntchito kwa ziwalo zamkati ndipo limadzala ndi zotsatira zoyipa. Ngati mungazindikire matendawa pa nthawi yake, ndiye kuti kuchita masewera olimbitsa thupi, kukonza thupi kudzakuthandizani kuthana ndi vutoli.

Maganizo

Kuchiza matenda aliwonse kuyenera kuyamba pomwe wodwalayo akukonzekera. Ndiye kuti, mkhalidwe wake wamaganizo ndi wamaganizidwe ndikofunikira kwambiri.Komanso, muyenera kukhazikitsa munthu osati kungobweretsanso chithunzi chokongola, komanso kuchiritsa kuphwanya kwamkati.

Muyenera kumvetsetsa kuti kunenepa kwambiri pamimba sikubwera kokha - kumayambitsa zovuta zina zamagulu onse. muyenera kukhala ndi zolinga nokha, kuzizindikira, kumvetsetsa, kuvomera, ndipo pokhapokha pitani ndi chithandizo chamankhwala.

Zakudya zoyenera

Zakudya za kunenepa kwambiri pamimba zimapangidwa m'njira yoti zizitha kuchepetsa kuchuluka kwa kalori tsiku ndi tsiku mpaka zikwaniritse zosowa. Thupi siliyenera kulandira zochulukirapo kuposa momwe angagwiritsire ntchito, ndilo lamulo.

Nutritionists amalimbikitsa kuchepetsa kumwa kwamphamvu zamafuta, mafuta am nyama. Koma fiber ndi mapuloteni ziyenera kuyambitsidwa muzakudyazo moyenera. Mchere, zokometsera ndi zonunkhira zotentha kuchokera muzakudya ziyenera kuchotsedwa ngati zingatheke. Pewani kuphika, nanenso, koma yophika, kusenda komanso kuphika pang'ono. Iwo akulangizidwa kuti musinthane ndi zakudya zochepa mpaka kasanu patsiku.

Musaiwale kuwonjezera zamasamba ndi zipatso muzakudya. Ngati ndi kotheka, amayenera kumamwa zosaphika, koma zitha kuwiritsa kapena kuwotcha. Ena mwa iwo, mwachitsanzo, biringanya, amatha kudya nthawi iliyonse masana popanda kuvulaza thanzi.

Kuchita masewera olimbitsa thupi pafupipafupi

Komabe, ziribe kanthu momwe mumayesera, koma kudya kwama hypocaloric kamodzi kuti muchepetse kunenepa, kuchotsa kunenepa kwam'mimba sikokwanira. Pansi pazakudya zatsopano, kagayidwe kake kamachepetsa, ndipo mafuta, ngati sangadziunjike, sadzachoka. Ndikofunikira kwambiri kuyendetsa masewera olimbitsa thupi kutiathandizira kutsegula kwa chithandizo cha mankhwalawa.

Palibenso chifukwa chodzikakamira nokha mu masewera olimbitsa thupi mpaka thukuta lamagazi, kumangobweretsa zokhumudwitsa, kukhumudwitsidwa, ndipo kungayambitse kusokonezeka kwamanjenje. Ndikofunika kufunsa dokotala yemwe adzakupatseni mankhwala ake, mwachitsanzo, katatu pa sabata. Kuphatikiza apo, muyenera kuyenda kwambiri, kusiya pamalo okwera, komanso kuyenda pafupipafupi kapena kuyenda njinga komwe munkakonda kugwiritsa ntchito magalimoto kapena zoyendera pagulu.

Kukonza mankhwala

Ambiri akuyembekeza kuti adotolo awapatsa mapiritsi ozizwitsa ndipo mafuta ochulukirapo kuchokera m'mimba adzidzimiririka, ngati kuti ndi matsenga, koma izi sizichitika. Mankhwala amathandizidwa pokhapokha pakatha milungu khumi ndi iwiri, njira zokwanira (zolimbitsa thupi, zolimbitsa thupi) zalephera. Mankhwala osiyanasiyana ophatikiza mafuta omwe amathetsa njala, antidepressants amatha kukhazikitsidwa.

Dokotala yekha ndi amene angadziwe kuti ndi mankhwala ati omwe ali otetezeka kwambiri kwa wodwala. Chifukwa chake, ndizoletsedwa kugwiritsa ntchito mankhwalawa nokha. Izi zitha kubweretsa mavuto akulu, omwe amayenera kuthandizidwa kwakanthawi.

Zithandizo zamankhwala kutengera jenda

Ngati amayi amatha kuchepetsa thupi ndi kulemera kwakanthawi kambiri, ndiye kuti izi sizikupezeka kwa abambo. Atsikana ena amangofunika kudya, popeza kuchuluka kwawo kumatha msanga, osangotsata.

Atsikana okhala ndi kunenepa kwambiri amayenera kuchita zambiri ndikuyendetsa njinga pafupipafupi apa sikokwanira. Izi zikuchitika chifukwa cha kuchuluka kwa minofu, komwe, monga fakitale yomwe ikupanga mahomoni. Zimakhala zovuta kuti bambo azitha kunenepa kwambiri, komanso zimvutanso kunena kwa iye.

Kuteteza Kunenepa

Njira zomwe zimachitika munthawi yake kuti muimitse zizindikirazo, komanso kuti muchepetse zomwe zimayambitsa kunenepa kwambiri, zimakhala ndi zotsatira zoyenera kwambiri. Ngakhale kuchepa kwa thupi zosachepera 10-12%, kumachepetsa kale ngozi yakufa koyambirira. Chifukwa chake, kupewa ndikofunikira kwambiri.

Mankhwala opatsa mphamvu ayenera kuyambitsidwa m'thupi momwe angathere. Tiyenera kudya zakudya zathu zomwe titha kuzikwaniritsa.
Ndi makonzedwe amtundu, ndikofunikira kuti muchepetse kudya zamafuta ndi mafuta ochepa.
Zakudya zamasamba komanso zakudya zamapuloteni ziyenera kupezeka m'zakudya.
Zochita zolimbitsa thupi popanda kutengeka zimayambitsa kukhalabe mawonekedwe. Sikoyenera kuphunzitsa kasanu sabata. Kudzakhala kuvina kokwanira, kuyenda, kupalasa njinga, kuthamanga m'mawa - zomwe aliyense amakonda.

Ngati simukuwona kalikonse, koma kusakhutira ndi mawonekedwe anu ndi thupi lanu, muyenera kupita kwa dokotala, kukayezetsa ndi endocrinologist, ndikuyankhula ndi katswiri wazakudya. Pambuyo pokhapokha izi zitha kukhala zowona.

Kodi kunenepa kwam'mimba ndi chiyani?

Matenda amtunduwu amatanthauza kudziunjikira kwamphamvu kwa thupi kumtunda komanso m'mimba. Ntchito zachipatala imaneneratu za anthu onenepa kwambiri:

Chiwopsezo cha kukhala ndi zotupa za khansa ndizowonjezereka 15.
Kuthekera kwa matenda amtima wapamtima kumawonjezeka katatu.
Kuopsa kwa sitiroko kumakhala kotalika maulendo 56 kuposa anthu athanzi.

Kwa munthu amene ali ndi kulemera kwabwino, mafuta omwe amapezeka mozungulira ziwalo. Odwala omwe ali ndi matenda amtunduwu, mafuta amaphimba ziwalo zamkati, chifukwa chomwe amakhala opsinjika ndipo amakakamizidwa kugwira ntchito mpaka kumapeto.

Zambiri za chitukuko mwa akazi

Zowoneka ngati zonenepa mu atsikana:

Pangozi ndi azimayi omwe anali onenepa kwambiri asanabadwe kapena kuwapeza ali ndi mwana. Izi zimawonedwa mwa 40% ya atsikana. Zinthu zimachulukirachulukira pakukula mkaka, pamene ayambe kupanga prolactin, zomwe zimapangitsa kuti shuga asandulike.
Ngati kubadwa kwa mwana kumayendetsedwa ndi kuchepa kwambiri kwa magazi, zomwe zidapangitsa kuti ziwonongeke pakhungu, Sheehan syndrome ikhoza kuwoneka, chimodzi mwazizindikiro zake ndi kunenepa kwambiri pamimba.
Nthawi zambiri, kunenepa kwambiri m'mimba kumawonedwa mwa azimayi pa nthawi ya kusamba. Izi ndichifukwa chakupanga kochulukirapo kwa extradiol, komwe kumakhudza kugawidwanso kwamafuta amthupi. Pankhaniyi, BMI (index yam'mimba) ikhoza kukwera pamwamba pa 25-27.
Chithokomiro chodwala, makamaka hypothyroidism. Kuchepa kwa mahomoni opangidwa ndi pituitary gland kumabweretsa kuchepa kwa metabolism, komwe kumayambitsa kunenepa kwambiri.
Kupezeka kwa polycystic ovary, pafupipafupi zinthu zovuta.

Mitundu ya kunenepa kwambiri pamimba komanso kuopsa kwa matenda

Matendawa amagawidwa m'mitundu ingapo:

Kunenepa kwambiri kumasiyana ndi ena chifukwa chakuti mafuta amadzunjikana pamimba. Chifukwa cha kuchuluka kwa m'mimba, mawonekedwe a thupi amafanana ndi apulo. Mtunduwu ndi woipa kwambiri pa thanzi la munthu. Vutoli limawoneka kale pamagawo oyamba a kunenepa kwambiri ndi kuwonjezeka pang'ono kwa thupi. Kudzikundikira kwamafuta pakhoma lam'mimba lakunja kumayambitsa kuchepa kwa kayendedwe kake, kupuma komanso kulephera kwamkati mwa m'mimba. Izi zimasokoneza mtima ndi matumbo.
Kunenepa kwambiri kwa Cushingoid kumawonekera ndi matenda a Itsenko-Cushing's. Matendawa amadziwika ndi kuphwanya dongosolo la hypothalamus-pituitary-adrenal gland. Chifukwa chachikulu cholephera ndi hypercorticism. Pathology imayamba chifukwa cha mapangidwe a pituitary adenoma, omwe amatha kuwoneka chifukwa chogwiritsa ntchito kwambiri corticosteroids panthawi yochizira matenda a kutupa ndi autoimmune. Hypercorticism imawonetsedwa posankha kudzikundikira kwa minofu ya adipose. Mafuta imakhazikika pankhope, mapewa, pamimba ndi pachifuwa.
Monga mfule. Zikuwoneka mu kuperewera kwenikweni kwa testosterone m'thupi. Zomwe zimayambitsa kunenepa kwam'mimba mwa amuna ndi matenda obadwa nawo, zotupa, kutupa kwa testicles ndi gland. Kuyika mafuta kumachitika kumimba ndi m'mimba.

Zizindikiro za Kunenepa Kwam'mimba

Mtundu wam'mimba wazizindikiro zamafupa nthawi zambiri amatsikira mafuta ochulukirapo a thupi kumtunda ndi pamimba. Mutha kupezeka ndi chiuno chambiri. Kuphatikiza apo, kunenepa kumawonetsedwa ndi kukula kwa zotsatirazi:

Matenda a shuga.
Matenda oopsa.
Kukana insulini.
Kuchepetsa uric acid kagayidwe.
Dyslipidemia.

Phunziroli, madokotala adapeza kuti mafuta a visceral amakhala ngati gawo la endocrine ndipo amatulutsa nkhawa ya cortisol ya nkhawa. Chifukwa cha ichi, thupi laumunthu limakhala lovuta, lomwe limakakamiza ziwalo kuti zigwire ntchito mopitilira muyeso. Mafuta amatulutsanso mahomoni ena - interleukin-6. Chifukwa cha kuchuluka kwa mahomoni otupa, matenda aliwonse angayambitse kukula kwa zovuta.

Monga zikuwonekera mwa akazi

Chizindikiro chachikulu cha kunenepa kwam'mimba mwa akazi ndi gawo lotalika masentimita 80. Mafuta awo amadziunjikira makamaka m'chiuno ("makutu am'mimbamu"). Chifukwa cha kuchuluka kwa mahomoni achimuna mwa atsikana, msambo umasokonezeka, cholesterol imadziunjikira m'matumbo, thirakiti la m'mimba silitha kukonza chakudya chomwe chikubwera, chifukwa chake odwala akudwala kudzimbidwa. Mwa anthu omwe ali ndi matendawa, ziphuphu zakumaso zimakonda kuchitika, limodzi ndi kupuma.

Zizindikiro mwa amuna

Ndi kunenepa kwam'mimba mwa amuna, "m'mimba mwa mowa" amapangidwa. Kuphatikiza apo, kunenepa kwa admin kumawonetsedwa:

Zofooka.
Lethargy.
Chisoni.
Chilango chosalamulirika.
Kupuma pang'ono.
Ululu mumtima.
Zovuta za neurur.

Momwe mungathane ndi kunenepa kwam'mimba

Chithandizo cha kunenepa kotere ndi chovuta, chifukwa ndizosatheka kuchepetsa thupi pogwiritsa ntchito zakudya zochepa zopatsa mphamvu. Muyezo chithandizo

Sinthani m'moyo wokhala.
Kusintha kwa chakudya chamagulu.
Kuyambitsa ntchito zolimbitsa thupi.
Kuthetsa matenda ofanana.
Kumwa mankhwala apadera.

Kunenepa kwambiri

Ngati munthu wavumbulutsa kusintha kwakukulu kwa mahomoni, dokotala amamulembera mankhwala a mahomoni. Ku Russia, jakisoni wa intramuscular wa Sustanol ndi Omnadren amagwiritsidwa ntchito nthawi zambiri. Limagwirira awo:

Kudzera minofu, chinthucho chimalowa m'magazi.
Pambuyo pa maola 24, kuchuluka kwa testosterone kumakwera, thanzi, kusinthika, chikhumbo chakugonana chimakulirakulira.
Zotsatira zake zimapitilira masiku 14 ndikuchepa kwapang'onopang'ono kwa miyezo ya testosterone.

Mankhwalawa ndiofala chifukwa cha mtengo wawo wotsika, koma amagwiritsidwa ntchito ocheperako chifukwa kudumpha mu testosterone milingo sikofunikira pa matenda a kunenepa kwambiri. Chifukwa chake, mankhwalawa Nebido nthawi zambiri amapatsidwa mankhwala. Zilonda zimachitika masiku 10 aliwonse, pomwe palibe kusintha kwakuthwa mu zomwe zili mu testosterone.

Ngati mankhwala a mahomoni aperekedwa kwa wodwala, katswiri atha kupereka mankhwala otsatirawa:

Orlistat. Zimapanga kuchepa kwa mphamvu komwe kumalipiriridwa ndi kuwotcha mafuta amthupi.
Sibutramine. Imawonjezera kumverera kwodzaza.
Fluoxetine. Mankhwala ndi a gulu la antidepressants, chifukwa chake amalimbikitsidwa kwa anthu kuti kunenepa kwambiri kumayambitsidwa chifukwa chodya kwambiri chifukwa cha kukhumudwa.
Metformin. Amachepetsa shuga.
Reduxin. Mankhwalawa ali ndi mphamvu, ndichifukwa chake adalola anthu kutaya mapaundi owonjezera. Komabe, ili ndi zovuta zambiri, motero Unduna wa Zaumoyo udawalemba ngati wamphamvu komanso woletsa kugulitsa mankhwala.

Liposuction

Pa nthawi ya opareshoni, wosanjikiza wamafuta omwe amachotsedwa amawonongeka ndi mankhwala osokoneza bongo kapena laser. Kenako, ma cannulas okhala ndi ma hoses amawayikidwa pansi pa khungu kudzera m'ming'alu yaying'ono. Chojambulachi chimaphatikizika ndi katswiri wopewa kupopera mafuta. Mawonekedwe a cannulas adapangidwa kuti mitsempha ndi minofu zisawonongeke panthawi yomwe ikuchitika.

Opaleshoni imachitidwa pansi pa opaleshoni wamba, kutengera zovuta za kulowererapo komanso zofuna za wodwalayo. Pambuyo pa ndondomekoyi, masamba omwe amaponya matendawa amakulungika ndi kukhazikitsa ma drains. Nthawi zina mafuta omwe amachotsedwa amawasinthira ku ziwalo zina zamthupi zomwe zimafunikira kupatsidwa voliyumu. Popeza minofu ya adipose ndi ya anthu, imazika mizu mwachangu. Kwa milungu itatu atachitidwa opaleshoni, wodwala yemwe wonenepa kwambiri, wambiri m'mimba mwa azimayi ayenera kuvala zovala zamkati zomwe zimachotsa edema ndikupanga silhouette.

Zakudya zamankhwala

Maziko othandizira matendawa ndi zakudya. Zakudya zama calorie ochepera m'mimba mwa azimayi zimatanthauzira:

Kudya zakudya zopanda mafuta a nyama.
Chepetsa shuga.
Kubwezeretsanso kuchuluka kwa mchere wamadzi.

Nutritionists amalangiza kuyambitsa kusintha kwa zakudya zopatsa thanzi mwa kusintha zakudya zamafuta ochepa:

Kugula zinthu zamkaka kokha ndi zero zomwe zili ndi mafuta.
M'malo mwa nkhumba, yikani nyama yotsalira kapena chifuwa cha nkhuku.
Chips m'malo ndi chimanga.

Zinthu zophika buledi ndi zotakata ziyenera kusiyidwa kwathunthu, koma ngati izi sizikugwira ntchito, masangweji azichitika ndikugwiritsa ntchito zofukiza zowuma, ndipo muffin ndi biscuit ziyenera kusinthidwa ndi makeke ndi oatmeal.

Kuchita masewera olimbitsa thupi a kunenepa kwambiri pamimba

Kuchita masewera olimbitsa thupi ndikofunikira pa mankhwala a kunenepa kwambiri. Muyenera kupita ku malo ochitira masewera olimbitsa thupi ndi katswiri wophunzitsira, popeza masewera olimbitsa thupi amasankhidwa kwa munthu aliyense, kutengera kuchuluka kwa kunenepa kwambiri, mawonekedwe a matendawa komanso kupezeka kwa matenda olimba. Madokotala amalimbikitsa kuti odwala ayambe kumayendera pafupipafupi mpweya wabwino kuti akonzekeretse thupi.

Njira zina zochizira

Njira zabwino kwambiri za wowerengeka zothandizira anthu kunenepa kwambiri zimatengedwa ngati nthangala za fenugreek ndi mbewu zambiri kuchokera ku banja lankhondo. Wokhala pampweya wamphepete ndikutsatira malangizo a dokotala, mbewu zimathandizira cholesterol yamagazi. Izi zimatheka chifukwa cha zomwe tannins, pectin, hemicellulose ndi saponin amapanga.

Kuphatikiza apo, masamba oyambira, mizu ya burdock ndi udzu wowunikira amathandizira kuti muchepetse kunenepa kwambiri. Kuchokera pa burdock, mutha kukonzekera kutumiza kwa kumeza musanadye, ndipo mbewu zina zonsezo ziyenera kuwonjezeredwa ku saladi, chifukwa zimathandizira kuti muchepetse kudya.

Zambiri

Kunenepa kwambiri kwam'mimba kumatchedwanso kunenepa, ma visceral, kunenepa kwamtundu wa amuna ndi kunenepa kwamtundu wa apulo. Mu ICD-10, imawerengedwa kuti "Matenda a endocrine system, mavuto azakudya ndi zovuta zama metabolic". Vuto la kulemera kwambiri lakhala likudziwika kuyambira nthawi ya Hippocrates, koma kuchita bwino pochiza matendawa ndi kochepa kwambiri, ndipo zizindikiro za matenda akuchulukira. Zomalizirazi zimagwirizanitsidwa ndi chitukuko cha malonda ogulitsa zakudya, zizolowezi zamagulu osadya komanso zochita za anthu.

Malinga ndi WHO, onenepa kwambiri ali ndi 30% ya anthu padziko lapansi. Amuna amakonda kwambiri kunenepa kwam'mimba; m'zaka makumi angapo zapitazi, kuchuluka kwa matendawa pakati pa ana ndi achinyamata kwachuluka.

Pamakhalidwe olimbitsa thupi, kunenepa kwambiri kumakhala kwamalamulo-kwamalamulo komanso amawu. Njira yoyamba ndi yofala kwambiri, chifukwa cha kubadwa kwa makolo komanso moyo wawo. Malinga ndi zomwe madotolo amakumana nazo, kuchuluka kwa kulemera kotengera endocrine ndi ma pathologies ena sizachilendo. Mndandanda wa zomwe zimayambitsa kunenepa kwambiri pamimba ndi izi:

Mawonekedwe. Matenda obadwa ndi chibadwa ndi chimodzi mwazomwe zimayambitsa matendawa 25-70% ya milandu. Makhalidwe a kagayidwe kachakudya njira, zinthu zofunika kuti kagayidwe kachakudya kagayidwe kachakudya ndi matenda ashuga amatengera kwa makolo.
Mtundu wa chakudya. Zakudya zopatsa mphamvu zochulukirapo zimapangitsa kunenepa kwambiri, kugwiritsa ntchito kwambiri nthawi yamadzulo ndi usiku, kusintha kuchokera pachakudya chamakolo kupita ku mafakitale. Mafuta, zakudya zopepuka, komanso mowa zimadalira chakudya chamagulu.
Mavuto akudya. Zokonda pa chakudya zimatsimikiziridwa ndi malingaliro abanja ndi mayiko okhudzana ndi chakudya ndi thanzi la m'mutu. Pazovuta zam'maganizo, kusinthana kwa ma endorphin ndi serotonin kumasokonezeka, kugwiritsa ntchito maswiti ndi mowa kumakhala "kukhathamiritsa", ndipo kusuta kumapangidwa.
Kulephera kuchita masewera olimbitsa thupi. Kuwonjezeka kwa kuchuluka kwamafuta nthawi zambiri kumayamba chifukwa cha kusachita bwino m'moyo watsiku ndi tsiku - kugwiritsa ntchito mphamvu mosakwanira kuchokera ku chakudya. Mafuta ndi zakudya zamafuta omwe sanawonongeke ndi thupi poyendetsa galimoto zimakonzedwa ndikusungidwa “depo”.
Mavuto a Endocrine Hypercorticism, insulinoma, hypogonadism ndi hypothyroidism zimabweretsa kunenepa kwambiri. Matendawa amakhumudwitsidwa ndikusintha kwa katulutsidwe ka mahomoni, chifukwa chake, kulakalaka kudya kumawonjezera, chizolowezi chodya mafuta ambiri, lipolysis imachepetsa.

Nthawi zambiri, kunenepa kwam'mimba chifukwa cha magwero ake kumayambira mwalamulo. Matendawa amatengera cholowa, kudya kwambiri komanso kuchita masewera olimbitsa thupi. Kudya kwambiri kumabweretsa kuchuluka kwa shuga m'magazi komanso kukula kwa hyperinsulinemia - kuchuluka kwa insulin, kukondweretsa, chilimbikitso cha matenda. Mwanjira imeneyi, bwalo loipa limapangidwa lomwe limapangitsa kuchuluka kwa chakudya.

Kupezeka kwanjala ndi satiety zimatengera ntchito ya ventrolateral ndi ventromedial hypothalamic nuclei. Zochitika pakatikati pa njala zimayendetsedwa ndi dopaminergic system, ndipo malo a satiety amagwira ntchito molingana ndi adrenergic regulation. Ndi chitukuko cha kunenepa kwam'mimba, kupatuka kwapakatikati kapena kwachiwiri (kutsika) kumatsimikiziridwa m'malo onse a neuroendocrine - mu kapamba, hypothalamus, pituitary, chithokomiro, gland.

Mavuto

Anthu omwe ali ndi vuto la kunenepa kwambiri amatha kukhala ndi matenda a shuga a 2, omwe amachitika chifukwa cha kulolera kwa glucose, mawonekedwe a hyperinsulinemia yokhazikika, komanso matenda oopsa. Mavuto ambiri amakhudzana ndi metabolic syndrome, yomwe imadziwika ndi hyperglycemia, carbohydrate yosayenera, dyslipidemia. Poyerekeza ndi zovuta za kagayidwe kazakudya, ma atherosselotic zolembera amapanga pa makoma amitsempha yamagazi.

Mwa amayi, kunenepa kwambiri pamimba kumayambitsa kusokonekera kwa mahomoni, makamaka, kumayambitsa ntchito yowonjezera ya ma adrenal gland omwe amapanga androgens. Izi zikuwonetsedwa ndi kukula kwa tsitsi kumaso, chifuwa ndi kumbuyo (mtundu wamphongo). Mwambiri magawo kunenepa, kusabereka amadziwika, mwa amuna - kuwonongeka mu potency, kuphwanya kubereka ntchito.

Zomwe zimayambitsa kunenepa kwambiri m'mimba mwa amayi ndi abambo

Pafupifupi 65 peresenti ya kunenepa kwambiri mwa amuna kumachitika chifukwa chodya mopitirira muyeso. Mwa azimayi, kuchuluka kumeneku kumakhala kochepa pang'ono, chifukwa nthawi zambiri amayamba kulemera kwambiri chifukwa cha kuwonongeka kwa dongosolo la endocrine. Kunenepa kwambiri pamimba kumakhala kochepa kwambiri mwa amuna kuposa akazi. Chowonadi ndi chakuti mahomoni ogonana achikazi, makamaka estrogen, amathandizira kuti pakhale kuchuluka kwa minofu ya adipose pamimba.

Zomwe zimayambitsa kunenepa kwambiri m'mimba mwa amayi ndi abambo kuwonjezera pa kuperewera kwa zakudya m'thupi:

kusasamala kwa mahomoni,
kapamba
matenda ashuga
kumangokhala, kumangokhala
kumwa mankhwala a antipsychotic ndi mahomoni,
chibadwire.

Osatengera chomwe chimayambitsa kunenepa kwambiri, ndimankhwala oyenera komanso kuyesetsa kwa wodwalayo, ndizotheka kupeza ochepa.

Kodi madigiri a kunenepa kwambiri ndi ati?

Onse atatuwa alipo:

Choyamba: Kunenepa kwambiri kwamthupi kuchokera pa kilogalamu isanu mpaka fifitini. Mkhalidwe wotere sukumakhala ndi mavuto azaumoyo, koma kuchokera pakuwoneka wokongola, kukwanira kotereku sikowoneka bwino kwa ambiri.
Chachiwiri: owonjezera makilogalamu khumi ndi asanu mpaka makumi anayi. Pakadali pano, mafuta ochulukirapo samangoyikidwa m'mimba, komanso mikono, miyendo, khosi, ndikulimbitsa ziwalo zamkati. Mofananamo, matenda ambiri ophatikizana amayamba.
Gawo lachitatu la kunenepa kwambiri limayikidwa kwa wodwala pamaso pa mapaundi 40 kapena kupitilira apo. Ichi ndi matenda oopsa kwambiri, omwe moyo wabwino ndiwosatheka.

Momwe mungasiyanitsire kunenepa kotereku kwa ena

Kunenepa kwambiri kwam'mimba mwa akazi kumadziwika ndi kuchuluka kwa mafuta m'munsi m'chiuno, m'chiuno, matako (otchedwa khutu makutu). Zokongola, izi ndi zoyipa, koma vuto lalikulu lili m'mavuto azaumoyo, mafuta akayamba kukula ziwalo zamkati. Chifukwa chake, mtundu woyipa kwambiri wonenepa kwambiri.

Kunenepa kwambiri pamimba mwa amuna kumadziwika makamaka ndi kukula kwamimba. Mbali ndi m'chiuno zingakhalebe zofanana. Kunja, zikuwoneka koyipa konse. Anthu onenepa kwambiri mwa amuna amatchedwa "mowa tummy." Kuphatikiza pa kunenepa kwambiri, kufooka, kupuma movutikira, kuchepa kwa chilakolako chogonana komanso ngakhale kubereka kumawonedwa.

Zotsatira za kunenepa

Awa ndimankhwala okhwima omwe amalembedwa. Mankhwala omwe angagule akhoza kutengedwa kuchokera kwa endocrinologist. Yalimbikitsidwa kuti igwiritsidwe ntchito ndi anthu omwe ali ndi BMI yopitilira 35 mayunitsi.

Chithandizo cha kunenepa kwambiri pamimba ndi anorectics ndikuti wodwalayo amataya kulakalaka kwake atamwa mapiritsi. Kuphatikiza apo, sibutramine (chigawo chachikulu chomwe chimagwiritsa ntchito mankhwalawa) imatha kuyika thupi kukhala mkhalidwe wa thermogenesis, ndipo thupi palokha limawotcha mafuta ake eniokha.

Ma anorectics odziwika kwambiri komanso ogwira mtima a kunenepa kwam'mimba:

Reduxine nthawi ina adatulutsa bomba lomwe limaphulika pakati pa anthu onenepa kwambiri. Kwa miyezi ingapo, odwala amataya theka la unyinji wakewo. Zotsatira za mankhwalawa ndizodabwitsa kwambiri. Koma ili ndi zovuta zambiri, chifukwa chake Unduna wa Zaumoyo udaganiza kuti Reduxine ayenera kuyikidwa mgulu la zinthu zamphamvu komanso oletsedwa kuti asagulitsidwe kwaulere.
Meridia ndi mankhwala osokoneza bongo opangidwa ku Germany. M'malo ogulitsa mankhwala achi Russia, sapezeka kwenikweni. Komabe, nzika zathu zodabwitsazi sizidatayike ndipo zidatengedwa kuchokera kumalire a Germany ndalama za pachaka za mankhwalawa kuti achepetse thupi.

Zotsatira zoyipa za mankhwala anorectic

Onse a Reduxin ndi Meridia ndi othandiza kwambiri mu kunenepa kwambiri pamimba. Aliyense amene waonapo za mankhwalawa m'moyo weniweni adzatsimikizira kuti: mafuta pamimba amachoka mwachangu, munthu "amakomoka" m'miyezi itatu kapena inayi, ngati mpira wowola.

Koma pachilichonse pamakhala mtengo. Okonzeka kuchitira kunenepa kwam'mimba, amayi ndi abambo ayenera kudziwa zoyipa za anorectics:

kusowa tulo kumayamba mwa 55 peresenti ya odwala omwe adayamba kudya anorectics, kale sabata yoyamba kuvomerezeka ndipo osachokapo mpaka piritsi litachotsedwa,
chifukwa cha kusowa chakudya kwathunthu, kuchepa kwa mavitamini ndi michere kumayamba, chifukwa chomwe kugwira ntchito kwamkati kumasokonekera, tsitsi limayamba kutuluka, khungu limafooka, misomali ya msomali.
wodwalayo amamva kufooka komanso kusasangalala ndi phwando panthawi yolandila, yomwe imasinthidwa kwambiri ndi euphoria yochepa (mu psychiatry, matendawa amatchedwa bipolar neurosis),
Zotsatira zoyipa zamisala zimayamba kuvutitsa wodwala kuyambira tsiku lachiwiri lovomerezeka, izi ndi nkhawa, hypochondria, kukayikira, chisangalalo chopanda pake,
Mapiritsi onse okhala ndi sibutramine mu kapangidwe kake amawononga poizoni wama mtima ndipo amaletsedwa mwamphamvu kwa anthu omwe ali ndi matenda a mtima.

Maupangiri othandizira kunenepa: Ubwino kapena Wopweteketsa?

Mwa azimayi azaka zaposachedwa, kwakhala kwachilendo kuthana ndi kunenepa kwambiri pamimba ndi ma SSRIs (kusankha serotonin reuptake inhibitors). Ngakhale kuti gululi la mankhwalawa limapangidwa pofuna kuchiza matenda amisala, anthu masauzande ambiri akwanitsa kuphwanya m'mimba.

Matumbo am'mimba mwa azimayi amawonongeratu mawonekedwe, zomwe zimabweretsa kukula kwamayiko okhumudwitsa. Kukonzekera kwa gulu la SSRIs kumathetsa njala, kusintha kusintha kwamthupi ndikuthandizira kuwonjezera zochita za wodwalayo. Mwa zochita zawo, amafanana kwambiri ndi mankhwalawa potengera sibutramine, omwe amafotokozedwa pamwambapa. Ndipo antidepressants ali ndi zovuta zina. Nthawi zambiri amachititsa kudalira mankhwala osokoneza bongo.

Palibe chifukwa chake muyenera kutenga mankhwala opanikizika osokoneza bongo kuti muchepetse thupi komanso kuti muchepetse kunenepa kwambiri. Awa ndi mankhwala osokoneza bongo oopsa, omwe amatha "kuzungulira" kwa moyo wanu wonse.

Mafuta ndi chakudya chamafuta am'mimba

Mapiritsiwa amakonda kwambiri kuperekedwa ndi endocrinologists. Kodi lingaliro lawo pa chiyani pamtundu wamatumbo amanenepa?

Mafuta blockers (Orsoten ndi Xenical) amaletsa kuyamwa kwamafuta amthupi. Amatuluka opanda chindewu. Chifukwa cha njirayi, zakudya zonse zopatsa mphamvu za wodwala tsiku ndi tsiku zimachepetsedwa ndi gawo lachitatu, mafuta osungunuka akusungunuka pamaso pawo.

Ma carbohydrate blockers nawonso ali ndi vuto lofananalo, amangoletsa kuyamwa kwa chakudya, osati mafuta, chakudya. Mapiritsi awa azithandiza okonda maswiti, makeke, makeke, makeke. Komanso, ma blocker a carbohydrate ayenera kutengedwa mwa odwala matenda ashuga.

Maphunziro akuthupi

Anthu omwe ali ndi matenda onenepa m'mimba nthawi zambiri amakhala moyo wongokhala. Makamaka ichi ndiye chifukwa chazidziwitso zawo.

Ngati onenepa kwambiri opitilira 40 makilogalamu, ndizoletsedwa kuyambitsa makalasi mwachangu. Muyenera kuyamba ndi masewera olimbitsa thupi osavuta tsiku ndi tsiku: kupendekera, kuloza miyendo ndi mikono yanu, kugona pansi (kupindika, kukankha, "lumo"). Kufanana ndi makalasi, muyenera kuyesa kuchepetsa zopatsa mphamvu zonse za zakudya za tsiku ndi tsiku.

Odwala omwe ali ndi kunenepa kwambiri osakwana ma kilogalamu makumi awiri adzalandiridwa ndi manja awiri ndi manja aliwonse ndi masewera olimbitsa thupi. Pautumiki wawo amakhala ophunzirira za Ellipsoid, chopondera, kusambira padziwe, kuphunzitsa ndi dumbbells ndi zojambulajambula. Kuti tichotse kulemera kwakukulu m'mimba (10-15 makilogalamu) pamafunika pafupifupi miyezi isanu ndi umodzi yophunzitsidwa mosalekeza katatu mpaka kanayi pa sabata. Chofunikira - makalasi ayenera kukhala achangu kwambiri.

Malangizo Pazakudya Zabwino: Momwe mungapangire chakudya kuti mimba yanu isakule?

Zakudya zomwe zimafunikira kupatula kamodzi kuchokera pachakudya kwa iwo omwe akufuna kukhala ndi mimba yopyapyala:

zopangidwa ndi ufa wa tirigu (chakudya chokha chopangidwa kuchokera ku mbewu zosaloledwa chololedwa),
mphesa ndi nthochi
zopangidwa mkaka zokhala ndi mafuta oposa 5%,
mbatata, beets,
chakudya chofulumira
zakumwa zoziziritsa kukhosi
mmatumba otsekemera (mutha kumangomwa odzipaka okha okha),
zakumwa zoledzeretsa.

Ochita masewera ambiri amadzilola okha kudya nawo nkhomaliro. Koma musakhale olingana nawo. Ngati wodwalayo anali ndi mbiri ya kunenepa kwambiri pamimba, ndiye kuti chizolowezi chake chikhalabe ndi moyo. Ndipo wodwala amayenera kuwunika zakudya zawo mulimonse.

Kodi ndizotheka kuchititsa maphunziro kusala kudya kunenepa kwambiri?

Masiku ano, otsatira ambiri a kusala kwachithandizo (njira ya Bragg) amalimbikitsa anthu onenepa kuti azikhala ndi njala kwa sabata kapena mwezi umodzi. Mosakayikira, iyi ndi njira yabwino kwambiri yothandizira kunenepa kwambiri kwam'mimba mwa akazi. Musapusitsidwe ndi zolakwika.

Kwa anthu omwe ali ndi kunenepa kwambiri pamimba, kufa ndi njala ndi chifukwa chabwino "chotsirizira" thanzi lawo lathanzi kale. Kafukufuku wa Laborator awonetsa kuti munthu wathanzi lathunthu yekha ndi amene amatha kusamutsa kusakhalapo kwa chakudya ndi madzi popanda zotsatira. Endocrinologists ndi akatswiri azakudya (monga anthu onse omwe ali ndi maphunziro apamwamba a zamankhwala) samalangiza aliyense ku machitidwe oyipa ngati awa a kuchiritsa thupi ngati kuchiritsa kwachithandizo.

Vegetarianism, veganism ndi zakudya zosaphika chakudya cha kunenepa m'mimba

Amakhulupirira kuti machitidwe ena azakudya amachiritsiratu matenda ambiri ndipo m'nthawi yochepa amatha kuthetseratu kunenepa kwambiri pamimba. Izi ndi zida zamagetsi:

kusaka nyama kumatanthauza kukana nyama, nsomba, caviar,
veganism amatanthauza kukana kwathunthu chakudya cha nyama zomwe zimachokera ndikudya masamba okha, zipatso, mtedza - zinthu zomwe chilengedwe chimapatsa munthu,
Zakudya zopatsa thanzi zimaphatikizapo kudya zakudya zosaphika zokha, popanda mankhwala enaake.

Iliyonse yamagetsi awa ali ndi otsatira mazana mazana padziko lonse lapansi. Pa chithunzi chawo mutha kuwona anthu anzeru, othamanga komanso osangalala. Koma musathamangire mu dziwe ndi mutu wanu: anthu ambiri, chifukwa chazolowera zakudya zabwino, apeza mavuto akulu azaumoyo. Izi ndi zovuta za kagayidwe kazakudya, shuga, kapamba, matenda osiyanasiyana am'mimba. Onetsetsani kuti mukumane ndi endocrinologist ndikuwunika mayeso musanayambe ku veganism kapena zakudya zosaphika.

Maphunziro othandizira kunenepa

Nthawi zambiri chithandizo cha kunenepa m'mimba mwa akazi chimachitika ndi kusala kudya. Njirayi imagwiritsidwa ntchito pokhapokha ngati pali contraindication. Kusala koyenera kumayendera limodzi ndi kuchira kwa machitidwe onse othandizira amoyo.

Kutopa kumatha mwa wodwalayo ndipo kugwira ntchito kwa mitsempha kumathandizanso. M'masiku oyambirira, pamakhala kuchepa thupi kwambiri - mpaka 2 kg patsiku. M'tsogolomu, wodwala amataya 300 g tsiku lililonse.

Kusala kuli ndi izi:

Kuchulukitsa kwa masewera olimbitsa thupi sikukhudza kuchepa kwa thupi.
Amayi, omwe nthawi zambiri amakhala ndi njala, samazindikira zotere monga zatsopano kubizinesi iyi.
Ndi matenda akulu am'mimba, kusala kudya sikuletsedwa.
Kusala kouma kumaloledwa kuchitidwa pokhapokha masiku awiri atatu. M'tsogolomu, muyenera kuwonjezera kuchuluka kwa madzi akumwa.
Pamaso pa matenda akulu, njira yochepetsera thupi imachepa.
Zaka za mkazi zimakhala ndi phindu pa kusala kudya. Wamng'ono kwambiri, kuchepa kwake kwamphamvu thupi kumachepa.

Kutalika kwa kuyesa koyamba sikuyenera kupitirira masiku atatu.

Thandizo la wazamisala

Mitundu ndi mitundu iliyonse ya kunenepa kwambiri imatha kuyambitsidwa ndi psychosomatics. Kuledzera kwa chakudya kumachitika pakakhala zovuta zambiri kapena kusakhutira ndi zomwe muli nazo. Muzu wa vutoli umayikidwa ubwana, mwana akamakhazikitsidwa ndi chikhalidwe chopatsa thanzi.

Poyang'ana makolo ake, amagwiritsa ntchito mavuto ake, omwe amachititsa kuti azidalira chakudya. M'nthawi yakudziwika, chakudya chimathandiza kuchotsa mavuto.

Koma kuwonjezera apo, kuyankhula moona mtima ndi katswiri wama zamaganizo kumafunikira. Adziwitsa zomwe zimayambitsa matenda ndikupereka chithandizo, chomwe maziko ake ndi chidwi. Nthawi zina, matenda a Hypnosis angafunike.

Kuthandiza kunenepa m'mimba sikugwira ntchito nthawi zonse. Ndikulimbikitsidwa kufunafuna thandizo kuchokera kwa akatswiri. Adzasankha njira yabwino kwambiri komanso yabwino yochepetsera kunenepa. Pambuyo pochita zochizira, ndikofunikira kuti muzikhala ndi zakudya zoyenera komanso kuchita masewera olimbitsa thupi.