Momwe mungatengere Xenalten - malangizo ogwiritsira ntchito kuchepa thupi, ndemanga za madokotala ndi kuchepa kwa thupi ndi zithunzi zisanachitike kapena zitatha

Xenalten ikupezeka mu mawonekedwe a makapisozi No. 1 okhala ndi kapu ndi thupi lamtambo, zomwe zili m'miyeso (grisi 7 kapena 21 chilichonse m'matumba a chithuza, mu bokosi la makatoni a 1, 2, 3, 6, kapena 12).

Zomwe zimagwiritsidwa ntchito ndi mankhwala ndi orlistat: 120 mg mu 1 kapisozi.

Zigawo zothandiza: sodium carboxymethyl starch (sodium starch glycolate), povidone, cellcrystalline cellulose, sodium lauryl sulfate ndi talc.

Mapangidwe a Shell: gelatin, titanium dioxide, utoto wabuluu wamtundu wina.

Zizindikiro zogwiritsidwa ntchito

Xenalten anagwiritsa ntchito mankhwalawa kunenepa kwambiri kwa odwala omwe ali ndi kuchuluka kwa 30 kg / m 2 kapena kupitirira 28 kg / m 2 pamaso paziwopsezo zina, monga matenda oopsa, matenda a shuga kapena dyslipidemia. Amagwiritsidwa ntchito kuphatikiza ndi zakudya zochepa zopatsa mphamvu.

Komanso, mankhwalawa amalembedwa kuti achepetse chiwopsezo cha kubwereza thupi kawiri pambuyo pochepetsedwa.

Contraindication

• Cholestasis
• Malabsorption syndrome,
• Ntchito mogwirizana ndi cyclosporine,
• Osakwana zaka 18
• Mimba
• Kuyamwitsa
• Hypersensitivity pamagawo a mankhwala.

Mosamala, Xenalten imagwiritsidwa ntchito nephrolithiasis ndi mbiri ya hyperoxaluria.

Zotsatira zoyipa

• Matumbo am'mimba: Nthawi zambiri - kupweteka kapena kusasangalala pamimba, bata, matumbo omasuka, mayendedwe owonjezereka, matumbo a matumbo, kutulutsa kwamkati kuchokera ku rectum, kutulutsidwa kwa mpweya ndi zotulutsa zina (zotsatirazi nthawi zambiri zimakhala zofatsa, ndizosakhalitsa komanso zimachitika koyambirira kwamankhwala (m'miyezi itatu yoyambirira), kuchuluka kwawo kumachuluka mafuta akudya, izi zimatha kuchotsedwa pakudya bwino, makamaka poyerekeza kuchuluka kwa zakudya mafuta), kawirikawiri - kusasangalala kapena kupweteka kwa rectum, fecal incontinence, bloating, zofunda zofewa, chingamu ndi mano.
• Njira yothandizira kupumula: pafupipafupi - matenda apamwamba a thirakiti la kupuma, nthawi zambiri - matenda apakati a kupuma,
• Machitidwe amsempha: nthawi zambiri - kupweteka mutu,
• Thirakiti yam'mimba: nthawi zambiri amatenga matenda
• Matenda owononga chitetezo: kawirikawiri - wotupa, urticaria, kuyabwa, bronchospasm, anaphylaxis, angioedema,
• Chiwindi ndi ma biliary thirakiti: kawirikawiri - hepatitis, kuchuluka kwa transaminases ndi zamchere phosphatase,
• Zina: pafupipafupi - chimfine, nthawi zambiri - kufooka, nkhawa, dysmenorrhea.

Malangizo apadera

Musanalembe Xenalten, ndikofunikira kupatula zomwe zimayambitsa kunenepa, mwachitsanzo, hypothyroidism.

Munthawi yamankhwala, muyenera kutsatira zakudya zopatsa mphamvu zopitilira 30% zopatsa mphamvu zamafuta, zopatsidwa ndi masamba ndi zipatso. Kuchuluka kwa mafuta tsiku ndi tsiku, mapuloteni ndi zakudya zimayenera kugawidwa m'magawo atatu. Popeza orlistat imachepetsa mayamwidwe mavitamini ena osungunuka, mavitamini a multivitamin omwe amakhala ndi mavitamini osungunuka a mafuta amathandizidwa kuti athe kulipira kuchepa kwawo. Ayenera kutengedwa maola awiri asanafike 2 kapena 2 atatha Xenalten.

Kumwa Mlingo wambiri - oposa 120 mg katatu patsiku - sikuwonjezera.

Xenalten sanapangidwe kuti adzagwiritse ntchito ana.

Nthawi zina, mukumwa orlistat, kuchuluka kwa oxalates mu mkodzo ndikotheka.

Odwala omwe sanalandire zowonjezera mavitamini pazifukwa zodzitetezera, pakapita maulendo awiri kapena angapo motsatizana ndi dokotala pazaka zoyambirira ndi ziwiri zamankhwala ndi mankhwala, kuchepa kwa kuchuluka kwa mavitamini mu plasma kunawululidwa.

Odwala ena, mwachitsanzo, omwe ali ndi bulimia kapena anorexia, amatha kuzunza Xenalten.

Popeza mayamwidwe a Vitamini K amatha kuchepa mukamamwa orlistat, mwa odwala omwe akutenga warfarin nthawi yayitali, ndikofunikira kuyang'anira magawo a kuphatikizika kwa magazi.

The kuphatikiza mankhwala kuwonda thupi akhoza limodzi ndi kusintha kagayidwe kachakudya matenda a shuga, zomwe zimafuna kuchepetsa Mlingo wa insulin kapena m`kamwa hypoglycemic wothandizila (metformin, sulfonylurea, etc.).

Ngati, pambuyo pa masabata 12 ogwiritsa ntchito Xenalten, kuchepa kwa thupi kunali kochepera 5% ya kulemera koyambirira, ndikofunikira kufunsa dokotala za kufunsa kwa mankhwalawa.

Kutalika kwa chithandizo sikuyenera kupitirira 2 years.

Orlistat ilibe vuto lililonse pamalingaliro amomwe zimachitika, ma acuity owoneka, komanso kuthekera kochita chidwi.

Kuyanjana kwa mankhwala osokoneza bongo

Xenalten osavomerezeka kwa odwala omwe amatenga cyclosporine. Ngati kugwiritsa ntchito kuphatikiza koteroko ndikofunikira, cyclosporine iyenera kutengedwa maola 2 asanafike kapena maola awiri mutatha kumwa orlistat. Pa mankhwala, ndikofunikira kuwongolera zomwe zili mu cyclosporine m'madzi a m'magazi.

Ndi munthawi yomweyo kugwiritsa ntchito zochita zachindunji, kuphatikiza warfarin, kuchepa kotheka kwa milingo ya prothrombin komanso kusintha kwa zofunikira za zomwe zikuwonetsa kuchuluka kwapadziko lonse lapansi (INR), motero, ndikofunikira kuyang'anira INR.

Mankhwala osavomerezeka kuti aperekedwe nthawi imodzi ndi acarose, chifukwa osatengera momwe amachitira pharmacokinetic.

Orlistat imachepetsa kuyamwa kwa betacarotene pazowonjezera za chakudya ndi 30% ndipo imalepheretsa kuyamwa kwa vitamini E mu mawonekedwe a tocopherol acetate ndi 60%.

Ngati multivitamini akulimbikitsidwa nthawi yomweyo ngati Xenical, ayenera kumwedwa osachepera maola 2 mutamwa kapena musanagone.

Orlistat imawonjezera bioavailability, plasma ndende (30%) ndi hypolipidemic zotsatira za pravastine.

Xenalten ikhoza kuchepa bioavailability wa kulera pakamwa. Popewa kutenga pakati posagwiritsidwa ntchito ndi mankhwalawa, vuto la kutsegula m'mimba kwambiri, njira zina zakulera ziyenera kugwiritsidwa ntchito.

Orlistat imatha kutsitsa plasma amiodarone ngakhale atamwa kamodzi. Kugwiritsa ntchito kuphatikiza kotereku ndizotheka pokhapokha ngati dokotala akuwuzani.

Kufotokozera za mankhwalawa

Mankhwala Xenalten amapezeka mu mawonekedwe a gelatin makapisozi olimba. Mtundu, umatha kukhala woyera kapena wabuluu wokhala ndi zocheperako mkati. Kutulutsa mawonekedwe - makapisozi okhala mu cell phukusi lopangidwa ndi PVC film ndi aluminium lacquered foil yosindikizidwa mu zidutswa 21 kapena 7. Mapaketi a carton a Xenalten amakhala ndi mapaketi 12 a mankhwalawa.

Kapangidwe ka kapisozi

Malinga ndi malangizo ogwiritsira ntchito, Xenalten, kuwonjezera pa orlistat, imaphatikizanso microcrystalline cellulose, yomwe imalepheretsa kudya komanso imapereka chithunzi cham'mimba chokwanira. Zina zomwe zatsalira zili pokonzekera kuchepetsa thupi mu milingo yaying'ono ndipo zimagwiritsidwa ntchito ngati maziko a mankhwalawo. Awa ndi sodium lauryl sulfate, sodium carboxymethyl wowuma, talc ndi povidone.

Limagwirira a zochita za mapiritsi

Poona ndemanga za iwo omwe adachepetsa thupi mu 2017, zotsatira za kutenga Xenalten ndizabwino. Kuchita kwa gawo lalikulu la orlistat kumakuthandizani kuti muchepetse thupi mofulumira. Thupi likalowa m'thupi, limakumana ndi lipase, enzyme yomwe imayambitsa mafuta. Orlistat imaletsa ntchito zachilengedwe za thupi, kotero kuti mafuta osasankhidwa samalowa m'magazi, samatengedwa ndipo samazengereza. Thupi likafuna mphamvu, limatembenukira kumafuta omwe asungidwa kale ndikuwadziwa. Xenalten amachotsedwa m'thupi kudzera m'matumbo.

Momwe mungatenge Xenalten kuti muchepetse kunenepa

Chofunikira pakugwiritsa ntchito mankhwala Xenalten pakuchepetsa thupi ndiko kukonzekera, komwe kumakhala kusintha zakudya. Masabata angapo asanalandire makapisozi, zakudya zopatsa mphamvu zochepa zimakhala zofunika. Muyenera kudya masamba ndi zipatso zambiri, ndipo mafuta ochepa amachepetsa. Amaloledwa kutenga mafuta 30% okha kuchokera pachakudya chokwanira cha kalori. Musanagwiritse ntchito mapiritsi a Xenalten, ndikofunika kupimidwa kuchipatala kuti muwone chomwe chimayambitsa kunenepa kwambiri.

Makapisozi a Xenalten ayenera kumwedwa 1 kamodzi katatu / tsiku kwa ola limodzi mutatha kudya kapena nthawi ya chakudya. Mankhwala sangathe kupitirira, popeza pamakhala chiopsezo chotenga matenda otsekula m'mimba ndi zotsatira zina zoyipa. Kutalika kwa maphunzirowa kumatsimikiziridwa ndi adokotala. Imatha kukhala miyezi itatu mpaka zaka ziwiri. Zotsatira zoyambirira za kuchepa thupi zimawonekera kale masabata awiri mutayamba kumwa makapisozi.

Kodi ndingathe kuyigwiritsa ntchito panthawi yapakati komanso mkaka wa m'mawere?

Pa nthawi yoyembekezera, orlistat imatsutsana. Izi ndichifukwa choti palibe maphunziro odalirika azachipatala omwe angatsimikizire chitetezo chake pa thanzi la amayi ndi mwana wosabadwa. Sizikudziwikanso ngati gawo logwira limayamwa mkaka wa m'mawere, chifukwa chake silikulimbikitsidwa kutenga makapisozi a Xenalten pa mkaka wa m`mawere.

Kugula?

Mutha kugula Xenalten muchipatala malinga ndi zomwe dokotala wakupatsani kapena kuyitanitsa ndi makalata. Pogula mankhwala muchipatala cha pa intaneti, chimakhala chotsika mtengo pang'ono, ngakhale kuganizira mtengo wake. Mtengo wa mankhwala ochepetsa thupi zimatengera kuchuluka kwa mapiritsi omwe ali phukusili, chifukwa chake ndikopindulitsa kwambiri kuyitanitsa mankhwalawo nthawi yomweyo mankhwalawo. Mutha kugula Xenalten kuti muchepetse zamafuta muma pharmacies:

1. ZdravZona (Moscow, Kulakova St., 20).
2. Violet (St. Petersburg, Spassky Lane, d14 / 35).
3. Delta (Omsk, Volochaevskaya St., 15).
4. Ambulansi (Tomsk, pr. Komsomolsky, 37b).
5. Forte (Chelyabinsk, Yaroslavskaya St., 15).
6. Bio-pharmacy (Kiev, Blvd. Davydova, 12).

Kodi Xenalten amatenga ndalama zingati? Mu 2016, mtengo m'masitolo aku Moscow ku mankhwalawa ndi pafupifupi ma ruble 700 a phukusi la 21caps. M'mafakitala m'mizinda ina ya Russia, mtengo wamankhwala ofanana ndi kuchepa thupi umasiyana kuchokera ku 760 - 900 rubles. Ku Ukraine, Xenalten kuti asasunthike kulemera akhoza kugulidwa kwa 580 - 650 hryvnia.

Xenalten Structural Analogs

1. Allie. Malinga ndi mawuwa, amagwiritsidwa ntchito kuchepa thupi kuphatikiza zakudya zamagulu ochepa. Chizindikiro cha kunenepa. Imachepetsa zonse zopatsa mphamvu zama calorie ndi chiwopsezo chochepetsa thupi. Kusankhidwa kwambiri, motero, sikukhudza mayamwidwe ndi kuwonongeka kwa mapuloteni ndi chakudya. Momwe mankhwalawa amalephera kupezeka limodzi.
2. Xenical. Mankhwala ochepetsa kunenepa kwambiri ndi oletsa matenda a m'mimba. Imasintha kagayidwe m'thupi, imakhala ndi lipid yotsitsa. Kutalika kwakanthawi kwamankhwala kumalimbikitsidwa kuchotsa odwala onenepa kwambiri. Mankhwalawa ayenera kugwiritsidwa ntchito limodzi ndi zakudya zopatsa mphamvu zochepa.
3. Mndandanda. Cholepheretsa mafuta ku chakudya. Amachepetsa kumverera kwa njala, amachepetsa zopatsa mphamvu zopatsa mphamvu. Mukamamwa piritsi limodzi, pafupifupi gawo limodzi mwa mafuta omwe amalowa mthupi ndi otsekedwa. Acacia chingamu, chomwe ndi gawo la mankhwalawa, salola kuti mafuta asonkhane m'magulu akulu. Amachepetsa kuchuluka kwa insulin.
4. Orlimax. Makapisozi a kunenepa kwambiri ndi orlistat yogwira ntchito. Mphamvu ya mankhwalawa imapangitsa kuletsa lipase. Kusiyana ndi Xenalten kumangokhala pazinthu zothandizira. Pa chithandizo, ndikotheka kusintha njira zamatenda monga matenda a shuga, dyslipidemia, ochepa matenda oopsa, kuwonongeka kwa lipid metabolism. Sicholinga cha machitidwe a mwana.
5. Orsoten. Analogue ina ya mankhwalawa ndi Xenalten. Malinga ndi malangizowo, Orsoten amathandizira kukonza kwa mafuta omwe amapezeka ndi madzi mosungirako, amalepheretsa kuyamwa kwa mafuta, ndikuletsa kugwira ntchito kwa lipase. Fotokozerani mankhwalawa kunenepa kwambiri kwa thupi kuposa 30 makilogalamu / m2 kapena kuwonda msanga.

Xenalten kapena Xenical - ndibwino?

Mankhwalawa ndi ofanana pakuphatikiza, motero, amafanana mu kachitidwe ka zochita. Xenalten kapena Xenical itangolowa mgaye m'mimba, kuchuluka kwa mankhwala omwe amachitika mu pancreatic enzymes amachepa, ndipo thupi limalephera kutaya mafuta. Mankhwalawa ali ndi opanga osiyanasiyana ndi mitengo. Ksenikal ndi wochokera ku Switzerland, chifukwa chake mtengo wake ndiwokwera kuposa wa Russia Xenalten.

Ndemanga za akatswiri azaumoyo

Sergey Lisovsky (Zambiri pantchito zaka zoposa 15):

Nthawi zambiri, kuwunika kwa akatswiri azakudya za madokotala ku Xenalten kumakhala koyipa, koma machitidwe anga ndakumana ndi zabwino za makapisozi amenewa. Inde, muyenera kuwerengera molondola ndi kumwa mankhwalawa kwa mwezi umodzi kuti mumve zotsatira zake, koma osazigwiritsa ntchito molakwika. Kuphatikiza apo, nthawi zonse ndimalimbikitsa kuti makasitomala anga azitsatira zakudya zochepa zama calorie ndikuchita masewera olimbitsa thupi panthawi yochepa.

Natalya Kolomoychenko (wagwira ntchito zaka 7):

Sindilangiza anthu kuti azigwiritsa ntchito mapiritsi alionse azakudya. Ndikhulupirira kuti aliyense amatha kuchepetsa thupi popanda kuvulaza thanzi. Kupatula apo, Xenalten ndi mankhwala omwe ali ndi zotsatirapo komanso chiopsezo chopanga cholestasis, kutsegula m'mimba, chimfine, kapena matenda ena. Ndikufuna kudziwa kuti magulu amtundu wa odwala omwe amachepetsa thupi ndi mankhwalawa amachepetsa kuopsa kwa zovuta zawo mthupi. Xenalten iyenera kutengedwa pakamwa ndi kuyang'aniridwa kuchipatala.

Zithunzi zisanachitike komanso zitatha kuwonda

Ngati simungathe kuchepetsa thupi mwanjira yachikhalidwe, ndipo kumverera kwanjala kumakusangalatsani usana ndi usiku, pezani chithandizo ndi makapisozi a Xenalten. Nkhondo yolimbana ndi kunenepa kwambiri ipita mwachangu komanso mokwanira, chifukwa kupangika kwa mankhwalawa kumaphatikizapo chinthu chogwira ntchito chomwe chimaletsa kuwonongeka kwa mafuta. Ingoyiyi musayiwale kufunsa dokotala wanu za mwayi wogwiritsa ntchito Xenalten kuti muchepetse thupi kuti muchepetse zoopsa zoyipa. Zowoneka ndi zithunzi zidzakulimbikitsani kuti mumenyane ndi mapaundi owonjezera.

Ndemanga zowonjezera zonenepa

Larisa, wazaka 29: Nditawerenga ndemanga zokhudzana ndi kuchepetsa thupi pa Xenalten pamsanja, ndidaganiza zoyamba izi, ngakhale mtengo wake sunali wotsika. Kwa miyezi itatu ndinataya ma kilogalamu 7 okha, ngakhale ndimayembekezera zotsatira zabwino. Sindinawone zotsatira zoyipa, nthawi zina pamakhala chimbudzi, koma ndikuganiza izi ndizowonetsera kuti zomwe zimapangidwira zikugwira. Kuchita kwa mankhwala osokoneza bongo sikunawone ndi ma multivitamini ndi Cyclosporine, kotero ndidawatenga maola awiri nditatha Xenalten.

Olga, wazaka 45: Ndinkafunafuna mankhwala otsika mtengo kwambiri oti ndichepetse thupi, popeza kuweruza ndi ndemanga za madokotala, ndikofunikira kumwa iwo kwa miyezi ingapo. Ndinkafuna kugula Orsoten, koma sindinapeze. Mankhwala adapereka analogue - Xenalten. Ndinkamwa mwezi umodzi ndipo ndinataya 10 kg! Ndipo makamaka sanadzipatse chakudya. Chokhacho - sindimakonda maswiti, kotero kuchepetsa thupi kunali kosavuta. Ndinkaphunziranso kunyumba kunyumba tsiku lililonse, ndipo sindinaphonye kulandira konse Xenalten, chifukwa tsopano ndimakondwera kwambiri ndi mawonekedwe anga.

Zogwira ntchito ndi zinthu zake

Mankhwala osokoneza bongo a Xenalten amapangidwa ku Russia ku kampani yopanga mankhwala a Obolenskoye. Mankhwalawa amagulitsidwa m'mabotolo abuluu kapena oyera, mkati mwake momwe ufa wonunkhira womwe umagwira ndiwowonekera.

Mankhwala yogwira mankhwala a "Xenalten" ndi orlistat. Mankhwalawa amathandiza kugaya, kusungunula komanso kupatula mafuta. 1 kapisozi muli 120 mg yogwira ntchito.

Zowonjezera zina za mankhwala:

• Microcrystalline mapadi,
• Sodium dodecyl sulfate,
• Crystalline mineral talc,
• Sorbent polyvinylporrilidone,
• Kuphika ufa wa sodium wowuma,
• Colouring titanium dioxide,
• Utoto wopangidwa ndi buluu,
• Collagen gelatin.

Chipangizocho chimapezeka mu matuza a contour a 7 ndi 21 ma PC. Mbalezi zimadzaza makatoni a ma 1, 2, 3, 6 ndi 12 ma PC.

Kodi mankhwalawa amagwira ntchito bwanji?

Xenalten ndi mankhwala otumphukira omwe amalowetsa ma enzyme omwe amaphwanya mafuta kuti asatengeke. Orlistat imayamba kugwira ntchito m'matumbo ang'onoang'ono ndi m'mimba, momwe imaphatikizira ndi ma enzyme. Zotsatira zake, kuphwanya kwamafuta, komwe kumalowa m'magawo am'mimba mwa mawonekedwe a triglycerides, ndikoletsa.

Chifukwa cha zimagwirira ntchito za orlistat, mafuta samayamwa, kuchuluka kwa zopatsa mphamvu kumachepa, thupi limayamba kugwiritsa ntchito zinthu zomwe zilipo. Patatha masiku ochepa chiyambireni chithandizo, mafuta owonjezera pazinthu zopeka amawonekera. Njira yochepetsera thupi imayamba. Malangizo a mankhwalawa "Xenalten" akuwonetsa kuti kuyamwa kwamafuta kumachepetsedwa pafupifupi 30%.

Mlingo wa mayamwidwe a orlistat ndi wochepa. Maola 8 mutatenga kapisozi, kuchuluka kwa zinthu zomwe zimagwira m'magazi ndi mwanabele sizinawoneke. Kutalika kwa thupi kwakanthawi, komwe kumapangitsa kuti mankhwalawo akhale otetezeka polimbana ndi kunenepa kwambiri.

Xenalten imapukusidwa m'mimba yotsekemera ndipo imasinthidwa kukhala zinthu zamagetsi zamagetsi. Patatha maola awiri mutamwa mapiritsi, ndende ya yogwira imachepetsedwa ndi 50%. Orlistat imapukusidwa makamaka ndi ndowe ndi bile.

Mawonekedwe

Choyamba, Xenalten amasiyana ndi njira zina zomwe zimakhalapo popanda kupuma. Itha kutengedwa nthawi iliyonse masana, osawopa kuti mu maola angapo padzakhala chikhumbo chovuta kupita kuchimbudzi. Zomwe zili pansi zamankhwala ambiri amakono chifukwa cha kuchepa thupi zimachitika ndendende chifukwa zimakhala ndi thupi zolimba kwambiri, koma nthawi yomweyo. Kulemera kwambiri kumachoka mwachangu, koma patatha milungu ingapo kubweranso.

Xenalten nayo imakhala yofatsa. Ndi iyo, mutha kuthana ndi 3, kukula kwa kilogalamu 5 m'masiku 7-10. Koma kulemera kwake kudzakhazikika, ndipo sikusintha m'mwamba kumapeto kwa maphunziro anu.

Momwe mungatengere Xenalten - malangizo ogwiritsira ntchito kuchepa thupi, ndemanga za madokotala ndi kuchepa kwa thupi ndi zithunzi zisanachitike kapena zitatha

Xenalten ndi mankhwala omwe amasamalira kunenepa kwambiri ndikuletsa kupundula pambuyo poonda. Gawo la orlistat lomwe limapangidwa limalepheretsa kuwonongeka kwa mafuta mwa kuwaletsa ndikuwachotsa m'thupi.

Malinga ndikuwunika kochepa, Xenalten amalimbikitsa kuyaka kwamphamvu kwamafuta komanso kunenepa kwambiri. Popeza mankhwalawo adapangidwira kuti azichepetsa thupi, amakhala ndi zotsutsana pang'ono, ndipo zoyipa sizimachitika kawirikawiri.

Mapiritsi a Xenalten siophatikiza othandizira, koma mankhwala owopsa omwe amapatsa munthu zotsatira zenizeni.

Xenalten: malangizo ogwiritsira ntchito, ma analogi otsika mtengo ndi kuwunika

Xenalten ndi mankhwala a pharmacological omwe amagwiritsidwa ntchito kwambiri pakati pa ambiri omwe ataya thupi. Momwe mungatenge, kuchuluka kwake, pali mitundu ina yotsika mtengo - malangizo mwatsatanetsatane wamagwiritsidwe ntchito mapiritsi a Xenalten. Tiyeni tizipita!

Moni abwenzi! Pofufuza njira yabwino yochepetsera thupi, mankhwala odziwika bwino a pharmacological nthawi zambiri amagwiritsidwa ntchito.

Izi zimayambitsidwa ndi mtima wofuna kukwaniritsa zotsatira mwachangu pambuyo poyesera kupweteka kuti muchepetse thupi mothandizidwa ndi zochitika zolimbitsa thupi komanso zakudya zoyenera.

Xenalten ndi mankhwala wamba omwe nthawi zambiri amapatsidwa ndi madokotala kuti athane ndi kunenepa kwambiri. Kodi njira yake ndi yofunika motani, koposa zonse, kodi njirayi ndiyotetezeka? Lero tiyankha mafunso onse osangalatsa.

Choyamba, muyenera kukumbukira kuti kugwiritsa ntchito mankhwala mosasamala popanda mankhwala a dokotala kungayambitse zotsatira zosasangalatsa. M'mafakitore, chida ichi chimagulitsidwa mosiyanasiyana malinga ndi mankhwala omwe apatsidwa, chifukwa chake kuyenera kuyesa mayeso oyambira kuchipatala. Izi zikuthandizira kuzindikira kufunika kogwiritsa ntchito mankhwala a pharmacological.

Malangizo ochepa onena momwe mungatengere:

1. Mmodzi kapisozi katatu patsiku. Malangizowo akuwonetsa kuti makapisozi amayenera kumwedwa katatu patsiku chakudya chachikulu. Yembekezani ola limodzi musanatenge. Pankhani ya mafuta ochulukirapo mu chakudya chomwe mumadya ndikuotenga kapisozi amatha kudumpha.

1. Kukonzekera. Sabata imodzi musanagwiritse ntchito mankhwalawa, muyenera kusintha zakudya zanu. Mimba iyenera kuzolowera bwino magawo ang'onoang'ono a chakudya, ku chakudya chomwe chili ndi mafuta ochepa. Chifukwa chokonzekera munthawi yake, kupsinjika kwamatumbo kumachepa.

1. Mlingo Mlingo wokhazikika ndi 120 mg ya mankhwalawa. Kuchulukitsa kuchuluka kumeneku kumachulukitsa kumachitika kwa zotsatira zoyipa. Ndikofunikira kusamba pansi ndi madzi oyera popanda mpweya kuti mumveke bwino.

1. Kugawa kwamphamvu. Monga lamulo, mankhwalawa amayikidwa limodzi ndi zakudya zomwe zimagawa mosamalitsa kuchuluka kwa mafuta, mapuloteni ndi chakudya chamagulu pakati pa chakudya chachikulu. Kulephera kutsatira izi sikungapereke zotsatira zomwe mukufuna.

Patsamba zambiri, mankhwalawa amafotokozedwa ngati mapiritsi, omwe si olondola. Zimapangidwa monga mawonekedwe a makapisozi ang'onoang'ono oyera kapena amtambo wabuluu. Chipolopolocho chimakhala ndi gelatin. The mankhwala:

1. Orlistat (imathandizira kuyamwa theka la zopatsa mphamvu zokha zomwe zatengedwa),

1. Microcrystalline mapadi,

Xenalten - mfundo yakukhudzana ndi thupi

Gawo lalikulu mu orlistat ndiloyang'anira kupondereza kwa lipase m'matumba a kapamba. Ichi ndi enzyme yomwe imakhudzidwa ndikugawa mafuta kukhala zigawo zina.

Mukatha kugwiritsa ntchito mankhwalawa, kuchepa kwa maselo amafuta ndikuwonjezereka kumachepetsa makamaka kawiri.
Chifukwa cha izi, kuchuluka kwa zopatsa mphamvu zomwe zimatsitsidwa kumachepetsedwa.

Izi zimakukakamizani kuti mugwiritse ntchito ndalama, zomwe zimaperekedwa ngati mafuta amthupi. Pambuyo maola 2, mankhwalawo amachotsedwa kwathunthu ku thupi.

Zotsatira zoyipa

Wopanga akuwonetsa mu malangizo a mankhwalawo mndandanda wazotsatira zoyipa zomwe zingachitike mutagwiritsidwa ntchito kwa nthawi yayitali. Choyamba muyenera kuganizira ngati mawonekedwe okongola ndi oyenera thanzi lanu. Monga lamulo, mavuto ambiri amatuluka m'mimba. M'miyezi yoyamba, zotsatirazi ndizotheka:

• kupita kuchimbudzi nthawi zonse,
• kutulutsa mafuta
• pafupipafupi
• kutsegula m'mimba
• zomverera zosasangalatsa mpaka kupweteka m'mimba,
• kulephera.

Mawonekedwe otere nthawi zambiri amayamba chifukwa cha kudya kwambiri. Mwachitsanzo, ngati mafuta azakudya zanu amafika 30% ya zakudya zopatsa mphamvu za tsiku ndi tsiku, ndiye kuti zotsatirapo zake zoyipa zimawonjezeka nthawi zambiri. Mankhwala samapangitsa kuti mafuta athe, koma amangochotsa zinthu m'njira yodziwika. Mndandandawu umaphatikizaponso:

• mawonetseredwe akunja chifukwa cha zochita zawo zonse.
• kutupa kwa pakhosi
• bronchospasm
• kupuma thirakiti matenda
• anaphylactic shock,
• migraine
• kulephera kwa msambo
• kumva kufooka, mantha amanjenje, nkhawa,
• kuwonongeka kwa mano enamel ndi magazi m`kamwa.

Xenalten - zambiri zowonjezera

Musanagwiritse ntchito, ndikulimbikitsidwanso kuti mudziwe zambiri kuti nthawi yonseyi idutse popanda zotsatirapo zoipa. Zomwe muyenera kudziwa:

• Kutalika Kutalika kwa maphunzirowa kumasiyanasiyana malinga ndi zomwe dokotala wakupatsani. Itha kukhala mwezi umodzi kapena iwiri yonse.
• Masamba ndi zipatso. Pazakudya zapadera, onetsetsani kuti muphatikiza zakudya zatsopano kuti muchepetse calorie. CHIKWANGWANI chimalimbikitsa kuchuluka kwakukwera, kuchepetsa kwambiri magawo.
• Mavitamini Ndikulimbikitsidwa kumwa ma multivitamini, omwe amathandiza kupewa kulowetsa mafuta m'makoma am'mimba. Amawamwa maola ochepa asanadye kapena asanagone.
• Kulera Kuti mupewe kukhala ndi pakati osakonzekera, kufunsa dokotala za momwe mankhwala amathandizira. Kumwa chinthu kungasokoneze magwiridwe antchito oletsa kubereka. Gwiritsani ntchito zida zina zodzitchinjiriza panthawiyi.

Ngati muli ndi mankhwala, mutha kugula mankhwalawo ku pharmacy iliyonse. Amadziwika kuti ndi njira yotsika mtengo yolemerera.

Zambiri bwanji? Phukusi lokhala ndi makapisozi 21 limawononga pafupifupi ma ruble a 600-1000, makapisozi a 42 - 1000-1200. Ndikofunika kugula zochuluka, chifukwa zimakhala zotsika mtengo kwambiri.

Mitengo yamapiritsi imadalira woimira malonda, mutha kufananizira mtengo pogwiritsa ntchito zinthu zapadera pa intaneti.

Mwa mankhwala omwewo, ndikofunikira kuwunikira:

Chifukwa chakukwera mtengo kwa malonda, funso lotsutsa limakhala lokhudza ndalama zotsika mtengo zomwe mungagule pa shopu yapa intaneti. Popeza makapisozi amayenera kumwedwa kwa nthawi yayitali, ndizotheka kusintha m'malo mwanjira zina.

Xenalten kapena Orsical: ndibwino bwanji? Nthawi zambiri, njira yotsirizirayi imalimbikitsidwa m'malo mwake. Pokomera izi, zinthu ngati izi:

• kuchuluka kwa zinthu
• nthawi yayitali yochotsa m'thupi.

Pankhani ya mtengo, zinthu zimatayika: makapu 84 adzagula pafupifupi ma ruble 3,000, zomwe zoletsedwa ndizambiri kugwiritsa ntchito mosalekeza.

Wotsika mtengo wotsutsana naye - Orsoten. Komabe, mndandanda wazowoneka zolakwika chifukwa chokhala ana ungakhale wowopsa. Chifukwa chake, mufunso la Xenalten kapena Orsoten, zomwe zili bwino, muyenera kulumikizana ndi katswiri. Chisankhocho chimapangidwa pamaziko a zotsatira za mayeso a zamankhwala, zomwe zimaganizira za mikhalidwe ya munthu.

Kubwereza Kusanthula

Pakati pa kuchepa thupi, chinthucho chidatchuka kwambiri chifukwa cha zotsatira zabwino. Kusanthula kwa zowunikira kukuwonetsa kuti sabata yoyamba, ambiri adakwanitsa chifukwa choyerekeza ma kilogalamu 5-7. Ndemanga yakuchepetsa thupi 2017 pamtengo, momwe mtengo wake wagulitsira amavomereza kuti 2016 inali yotsika mtengo.

Kumwa mankhwala ndi munthu wathanzi sikungathetse chinthu chabwino. Ngati kuchuluka kwa zotsatira zoyipa sikunalepheretse chidwi chofuna kuyesa pharmacology, ndiye kuti mfundo zochepa ziyenera kutchulidwa motsutsana ndi mankhwala:

1. Thupi lanu limatha kuchita zonse zokha. Thupi lathu ndi makina apadziko lonse lapansi omwe amatha kusintha kusintha kulikonse. Kulowerera mkati mwa dongosolo lovuta la thupi labwino ndi mankhwala kumatha kudzetsa thanzi.

1. Kuwonongeka kwa ndende. Kufooka mosalekeza, chizungulire, kusowa mphamvu kumakuperekezani nthawi yonseyi, osatchula kudzimbidwa. About zolimbitsa thupi kunja kwa funso, mulibe mphamvu zokwanira pa izi.

Nkhaniyi ndiyofunika kugawana ndi anzanu. Push

Dzina lachi Latin: XENALTEN

Mwini wa satifiketi yolembetsa: Wolembetsa ndi wopangidwa ndi FI OBOLENSKOYE CJSC (Russia)

Chithunzi chokonzekera XENALTEN ndicholinga chazidziwitso chokha. Wopangayo sanatiuze za kusintha pamapangidwe.

Makapisozi No. 1 yokhala ndi thupi komanso chivindikiro cha buluu yoyera kapena pafupifupi yoyera. Zomwe zili m'mabotolo ndi ma granules.

PRING microcrystalline cellulose 59.6 mg, sodium carboxymethyl starch (sodium starch glycolate) 38.0 mg, sodium lauryl sulfate 10,0 mg, povidone 10,0 mg, talc 2.4 mg.

Makapisozi olimba a gelatin (titanium dioxide,
gelatin, utoto wabuluu wamtundu). Kulemera kwapakati pazomwe zili mu kapisozi ndi 240 mg.

7 ma PC - matumba otumphuka (1) - mapaketi a makatoni. 7 ma PC. - matumba otumphuka (2) - mapaketi okhala ndi makatoni. 7 ma PC. - matumba otumphuka (3) - mapaketi a makatoni. 7 ma PC. - matumba otumphuka (6) - mapaketi a makatoni. 7 ma PC.

- matumba otumphuka (12) - mapaketi a makatoni. 21 ma PC. - matumba otumphuka (1) - mapaketi okhala ndi makatoni. 21 ma PC. - matumba otumphuka (2) - mapaketi okhala ndi makatoni 21 ma PC. - matumba otumphuka (3) - mapaketi okhala ndi makatoni. 21 ma PC.

- matumba otumphuka (6) - mapaketi a makatoni.

21 ma PC. - matumba otumphuka (12) - mapaketi a makatoni.

A inhibitor yeniyeni ya m'mimba lipases. Amapanga mgwirizano wolumikizana ndi gawo loyeserera la serine m'matumbo ndi ma pancreatic lipases mu lumen pamimba ndi matumbo ochepa.

Ma enzyme osayatsidwa amatha kutaya mafuta mu chakudya cha mtundu wa triglycerides (TG). Ma TG osagwiritsidwa ntchito samayamwa, ndipo kutsika kwa kashiamu kumabweretsa kuchepa kwa thupi.

Amawonjezera kuchuluka kwa mafuta mu ndowe 24-48 maola atamwa. Amapereka kuyendetsa bwino kwa thupi, kuchepetsa mafuta malo.

Ngati chiwonetsero cha ntchito, mayamwidwe a orlistat sichiyenera; mu mlingo woyenera wa mankhwala (120 mg 3 nthawi / tsiku), umalepheretsa kuyamwa kwa mafuta omwe amapezeka ndi pafupifupi 30%.

Mafuta akumwa ndi ochepa, maola 8 atamwa, orlistat yosasinthika mu plasma sinatsimikizidwe (ndende pansipa 5 ng / ml).

Kuwonetsedwa mwadongosolo kwa orlistat ndizochepa. Pambuyo pakumeza kwa 360 mg ya radioactively yolembedwa 14C-orlistat, nsonga ya plasma radioactivity idafikiridwa patatha pafupifupi maola 8, kuchuluka kwa orlistat kosasinthika kunali pafupi ndi malire kuti adziwe (osakwana 5 ng / ml).

M'maphunziro othandizira, kuphatikizapo kuyang'anira zitsanzo za plasma ya wodwala, orlistat yosasinthika idatsimikizika mopitilira muyeso m'magazi a plasma, ndipo magawo ake anali otsika (osakwana 10 ng / ml), osakhala ndi zizindikiro zakudzikundikira, zomwe zimagwirizana ndi kuyamwa pang'ono kwa mankhwalawa.

Mu vitro, orlistat ndioposa 99% omanga ma protein a plasma, makamaka lipoproteins ndi albin. Orlistat imalowa m'magazi ofiira.

Amapangidwa makamaka khoma la m'mimba thirakiti (GIT) ndikupanga ma cellacologic omwe sagwira ntchito (Mlonda wa hydrolyzed lactone) ndi M3 (Ml yokhala ndi zotsalira za N-formylleucine).

Pakufufuza kwa odwala onenepa omwe adyetsa 14C-orlistat, metabolites awiri, Ml ndi MH, adatenga pafupifupi 42% ya kuchuluka kwa plasma radioactivity.

Ml ndi M3 ali ndi mphete ya beta-lactone yotseguka ndikuwonetsa zochita zochepa zoletsa motsutsana ndi lipases (poyerekeza ndi orlistat, ali 1000 ndi 2500 nthawi zochepa, motsatana).

Popeza ntchito yotsika komanso kuchepa kwa plasma metabolites (pafupifupi 26 ng / ml ndi 108 ng / ml ya Ml ndi MH, motsatana, maola 2-4 atatha kumwa orlistat mu Mlingo wothandizirana), ma metabolites awa amawonedwa ngati achuma.

M metabolite wamkulu Ml ali ndi theka lalifupi-moyo (T1 / 2) (pafupifupi maola atatu), metabolite yachiwiri imachotsedwedwa pang'onopang'ono (T1 / 2 - maola 13.5). Odwala onenepa kwambiri, kuchuluka kwa ndende ya Ml metabolite (koma osati MOH) kumawonjezeka molingana ndi mlingo wa orlistat. Pambuyo pakukonzekera kamodzi pamlomo kwa 360 mg ya 14C-orlistat ndi odwala omwe ali ndi thupi labwino komanso onenepa kwambiri, kumasulidwa kwa orlistat yosagwiritsa ntchito m'matumbo inali njira yayikulu yotsatsira. Orlistat ndi metabolites ake Ml ndi MH nawonso amathandizidwa ndi bile. Pafupifupi 97% ya zinthu zomwe zimalembedwa mothandizidwa ndi ma radio zimapezeka ndi ndowe, kuphatikiza 83% - osasinthika.

Kutupa kwathunthu kwaimpso kwa radioactivity kwathunthu pakutenga 360 mg ya 14C-orlistat kunali kochepera 2%. Nthawi yakuchotsedwa kwathunthu ndi ndowe ndi mkodzo ndi masiku 3-5. Excretion ya orlistat idapezeka kuti ndi yofanana kwa odwala omwe ali ndi thupi lozama komanso kunenepa kwambiri. Kutengera ndi zochepa zochepa, T1 / 2 ya orlistat yovomerezeka imachokera ku maola 1-2.

Mkati, 120 mg (1 kapisozi) katatu kapena tsiku lililonse pakudya kapena osadutsa ola limodzi mutatha kudya (ngati chakudacho sichikhala ndi mafuta, ndiye kuti mutha kudumpha phwando).

Orlistat sichikhudzanso pharmacokinetics ya ethanol, digoxin (yodziwika mu mlingo umodzi) ndi phenytoin (zotchulidwa muyezo umodzi wa 300 mg), kapena bioavailability wa nifedipine (mapiritsi olanditsidwa otulutsidwa). Ethanol sichikhudza ma pharmacodynamics (mafuta am'mimbamo okhala ndi ndowe) komanso mawonekedwe a orlistat mwadongosolo.

Pogwiritsa ntchito munthawi yomweyo orchidat ndi cyclosporine, gawo lotsiriza la plasma limatsika (orlistat ndi cyclosporine sayenera kumwedwa panthawi imodzimodzi, kuti muchepetse kugwiritsidwa ntchito kwa mankhwala, cyclosporine iyenera kutengedwa maola 2 asanafike kapena maola awiri mutatha kumwa orlistat.

Pogwiritsa ntchito munthawi yomweyo ma warfarin kapena anticoagulants ena osakhudzana ndi orlistat, kuchuluka kwa prothrombin kungachepe ndipo phindu la chiwembu chapadziko lonse lapansi (MHO) lingasinthe, chifukwa chake kuwunika kwa MHO ndikofunikira.

Orlistat imachepetsa kuyamwa kwa betacarotene yomwe ili muzakudya zowonjezera ndi 30% ndipo imalepheretsa kuyamwa kwa vitamini E (mu mawonekedwe a tocopherol acetate) pafupifupi 60%.

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

Ndi makonzedwe a munthawi yomweyo ndi orlistat, mayamwidwe a mavitamini A, D, E ndi K. amachepetsa ngati multivitamini amayenera kutengedwa osachepera maola 2 mutatha Xenalten kapena asanagone.

Kuchepetsa thupi kumatha kukonza kagayidwe kachakudya kwa odwala matenda a shuga, chifukwa chake ndikofunikira kuchepetsa kuchuluka kwa mankhwala am'mlomo a hypoglycemic.

Kugwiritsira ntchito nthawi yomweyo kwa acarbose sikulimbikitsidwa chifukwa chakuchepa kwa data pamayendedwe a pharmacokinetic.

Pogwiritsa ntchito munthawi yomweyo ndi orlistat, kuchepa kwa mlingo wa amiodarone mu plasma pambuyo podziwika kamodzi. Kugwiritsa ntchito nthawi yomweyo kwa orlistat ndi amiodarone kumatheka pokhapokha ngati dokotala akuwalimbikitsa.

Orlistat imatha kuchepetsa bioavailability ya kulera kwapakamwa, yomwe ingayambitse kutenga pakati posakonzekera. Ndikulimbikitsidwa kugwiritsa ntchito mitundu ina ya njira zakulera pobayira m'mimba.

Zokhudzana mwadongosolo kwambiri ndi digoxin, amitriptyline, phenytoin, fluoxetine, sibutramine, atorvastatin, pravastatin, nifedipine, losartan, glibenclamide, furosemide, capopril, atenolol, ndi ethanol sizinawonedwe.

Orlistat imatsutsana panthawi yomwe ali ndi pakati chifukwa chosowa deta yachipatala yodalirika yotsimikizira chitetezo chazomwe imagwiritsidwa ntchito.

Sizikudziwika ngati orlistat imadutsa mkaka wa m'mawere, chifukwa chake kugwiritsa ntchito Xenalten panthawi yoyamwitsa sikulimbikitsidwa.

Xenalten sanapangidwe kuti adzagwiritse ntchito ana.

Kusintha kwazomwe zimachitika pansipa kumatsimikiziridwa motere: 1/10, nthawi zambiri> 1/100, 1/1000, 1/10 000, 30 kg / m2 kapena> 28 kg / m2 pamaso pazinthu zina zowopsa (shuga matenda ashuga, matenda oopsa oopsa, dyslipidemia).

(Kuwerengeredwa kwa BMI: BMI = M / P2, pomwe M ndi thupi, makilogalamu, P ndi kutalika, m.)

Panthawi yamankhwala, ndikofunikira kutsatira zakudya zopatsa thanzi, zopatsa mphamvu zochepa zopatsa mphamvu zopitilira 30% m'mafuta osakanizidwa ndi zipatso ndi ndiwo zamasamba (multivitamini wowonjezereka angagwiritsidwe ntchito kulipirira kuchepa kwa mayankho a mavitamini osungunuka).

Musanapereke mankhwala a orlistat, zomwe zimayambitsa kunenepa kwambiri, monga hypothyroidism, ziyenera kulembedwa.

Kuwonongeka kwa zotsatira zoyipa kuchokera m'matumbo am'mimba kumawonjezeka ndi mafuta ambiri mu chakudya (zoposa 30% ya zopatsa mphamvu tsiku ndi tsiku). Zakudya za tsiku ndi tsiku za mafuta, chakudya komanso mapuloteni ziyenera kugawidwa pakati pazakudya zitatu zazikuluzikulu.

Popeza orlistat imachepetsa mayamwidwe mavitamini ena osungunuka, odwala ayenera kutenga makonzedwe a multivitamin okhala ndi mavitamini osungunuka a mafuta kuti atsimikizire kuchuluka kwawo. Kuphatikiza apo, zomwe zili ndi mavitamini D ndi betacarotene mwa odwala onenepa kwambiri zitha kutsika kuposa anthu omwe si onenepa kwambiri.

Ma multivitamini amayenera kumwedwa ma 2 maola asanafike kapena maola awiri mutatha kumwa orlistat, mwachitsanzo, musanagone. Kulandila kwa orlistat mu Mlingo wopitilira 120 mg katatu / tsiku sikumawonjezera.

Ngati kuphatikiza ndi munthawi yomweyo orchidat yokhala ndi cyclosporine sikungapeweke, kuyang'anira zochitika za cyclosporin mu plasma ndikofunikira.

Odwala omwe sanalandire prophylactic vitamini zowonjezera, pakapita maulendo awiri kapena angapo motsatizana kwa dokotala mkati mwa zaka zoyambirira ndi zachiwiri zamankhwala ndi orlistat, kuchepa kwa kuchuluka kwa mavitamini mu plasma kunalembedwa.

Odwala ena, motsutsana ndi orchidat, zomwe zili mu oxalates mu mkodzo zimatha kuchuluka.

Monga ndimankhwala ena ochepetsa thupi, m'magulu ena a odwala (mwachitsanzo, anorexia manthaosa kapena bulimia), amatha kutukiridwa ndi orlistat.

Popeza mayamwidwe a Vitamini K akamatenga orlistat amatha kuchepa, odwala omwe amalandila orlistat motsutsana ndi maziko a nthawi yayitali ya warfarin, magawo a coagulation wamagazi amayenera kuyang'aniridwa.

Orlistat kuphatikizidwa kwa kuchepa thupi kungaphatikizidwe ndi kusintha kwa kagayidwe kazakudya ka shuga, komwe kadzafunika kuchepetsa milingo ya othandizira a hypoglycemic othandizira (zotumphukira za sulfonylurea, metformin, etc.) kapena insulin.

Ngati pambuyo pa milungu 12 yochizira ndi Xenalten, kuchepa kwa thupi kunali kosakwana 5% ya koyambirira, dokotala amayenera kuthandizidwa kuti adziwe ngati akupitiliza kulandira chithandizo ndi orlistat.

Kuchiza sikuyenera kupitilira zaka 2.

Xenalten sanapangidwe kuti adzagwiritse ntchito ana.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Siziwononga kuthekera koyendetsa magalimoto ndikukhala ndi makina oyenda.

XENALTEN ndi mankhwala omwe mumalandira.

Kudziika tokha mu Xenalten.

Ndinaganiza zokhala njira yosavuta ndikuchepera thupi ndi mankhwala osokoneza bongo. Ndi za mapiritsi awa kuntchito, mnzake wina adati. Sanamwe, mlongo wake akuwoneka kuti akuchepera thupi. Ndikufuna kucheza ndi munthu amene adawawona ndi kuwalandira m'maso mwawo, kodi pali zotulukapo?

Ndikufuna kuchepetsa thupi

moni ... Ndinagula kumatanthauza mapiritsi a xenalten ... ndipo sindinadandaule ndalama ... chitsiru ... ndinamwa masiku atatu ... sizinakwanirenso ... popeza impso zanga ndi chiwindi zinayamba kupweteketsa ... kapets ... sizodabwitsa kuti iwo amati chitsiru chimaphunzira pazolakwa zake ... komanso anzeru kwa alendo ... tsopano kwa ine mapiritsi ozizwitsa ngati awa ndi adani a anthu zotsatira zake ... tsopano ndimangodya chakudya chambiri kwa masiku awiri ... chinali 80 kg pakali pano 78 kg ... chonde ndipatseni zotsatira zina ... zikomo kwambiri chifukwa ndi chidwi chanu chifukwa ndimatha kumvera masamba nthawi zambiri

Xenalten Slim - malangizo, ntchito, ntchito, mavuto

Mankhwala othandizira Orlistat Orlistat ofanana ndi mankhwala