Amayeza okuphulukana nobunzima

Kukho amayeza ahlukeneyo asetyenziselwa ukunciphisa umzimba. Ngaphambi kokuzama amayeza okunciphisa umzimba, umboneleli wakho wezempilo uya kukucebisa ukuba uzame iindlela ezingezizo iziyobisi zokunciphisa umzimba. Ngelixa iziyobisi zokuphulukana nobunzima zinokuba luncedo, ilahleko yobunzima iyonke efezekisiweyo ibekelwe umda kubantu abaninzi. Ukongeza, kunokwenzeka ukuba ubunzima buya kuphinda bufumaneke xa amayeza emisiwe.

Amayeza amaninzi okunciphisa umzimba ayafumaneka. Malunga neepawundi ezi-5 ukuya kwezi-10 (ezi-2 ukuya kwezi-4.5 zeekhilogram) zingalahleka ngokuthatha la mayeza. Kodwa ayinguye wonke umntu ophulukana nobunzima ngelixa ebathatha. Uninzi lwabantu luphinda lubuye ubunzima emva kokuba beyekile ukuthatha amayeza, ngaphandle kokuba benze iinguqulelo zendlela yokuphila ezihlala zihleli. Olu tshintsho lubandakanya ukuzilolonga ngakumbi, ukusika ukutya okungenampilo kwizidlo zabo, kunye nokunciphisa inani abalityayo.

Unokubona neentengiso zamayeza esintu kunye nezongezo ezithi ziyakunceda ukunciphisa umzimba. Uninzi lwala mabango aluyonyani. Ezinye zezi zongezelelo zinokuba neziphumo ebezingalindelekanga ezibi.

Qaphela abafazi: Abafazi abakhulelweyo okanye abancancisayo akufuneki bathathe amayeza okutya. Oku kubandakanya amayeza, amayeza esintu, kunye neyeza zokuthenga. I-over-the-counter ibhekisa kumayeza, imifuno, okanye izongezo onokuzithenga ngaphandle kommiselo.

Amayeza ahlukeneyo okwehla kobunzima achaziwe apha ngezantsi. Qiniseka ukuba uthetha nomboneleli wakho malunga nokuba leliphi iyeza elifanelekileyo kuwe.

I-ORLISTAT (XENICAL NE-ALLI)

I-Orlistat isebenza ngokunciphisa ukufakwa kwamanqatha emathunjini malunga ne-30%. Kuvunyelwe ukusetyenziswa kwexesha elide.

Malunga neepawundi ezi-6 (iikhilogram ezi-3) okanye ukuya kuthi ga kwi-6% yesisindo somzimba sinokulahleka xa usebenzisa eli yeza. Kodwa ayinguye wonke umntu ophulukana nobunzima ngelixa ethatha. Abantu abaninzi baphinde bafumane ubunzima kwisithuba seminyaka emi-2 emva kokuba beyekile ukubusebenzisa.

Isiphumo esibi kakhulu se-orlistat isifo sohudo esinamafutha esinokuvuza kwi-anus. Ukutya ukutya okunamafutha okumbalwa kunokunciphisa oku. Ngaphandle kwale mpembelelo yecala, uninzi lwabantu luyalinyamezela eli yeza.

I-Xenical luphawu lwe-orlistat umboneleli wakho anokumisela wena. Unako kwakhona ukuthenga orlistat ngaphandle kagqirha phantsi kwegama Alli. Ezi pilisi sisiqingatha samandla eXenical. I-Orlistat ixabisa malunga ne- $ 100 okanye nangaphezulu ngenyanga. Cinga ukuba ngaba iindleko, iziphumo ebezingalindelekanga, kunye nelahleko encinci yokunciphisa umzimba onokuyilindela kufanelekile kuwe.

Umzimba wakho awunakufumana iivithamini, iiminerali, kunye nezinye izakha mzimba kukutya ngelixa usebenzisa i-orlistat. Kuya kufuneka uthathe imultivitamin yemihla ngemihla ukuba usebenzisa i-orlistat.

AMAYEZA AHLAWULELISA UMNTU OLALELA UKUDLA

La mayeza asebenza kwingqondo yakho ngokwenza ukuba ungabinomdla wokutya.

Asinguye wonke umntu ophulukana nobunzima ngelixa ethatha amayeza. Uninzi lwabantu luphinda lubuye ubunzima emva kokuba beyekile ukuthatha amayeza, ngaphandle kokuba benze iinguqulelo zendlela yokuphila ezihlala zihleli. Thetha nomboneleli wakho malunga nokuba ungalindela kangakanani ukulahleka ngokuthatha naliphi na la mayeza.

La mayeza afumaneka kuphela ngommiselo kagqirha. Ziquka:

• Phentermine (Adipex-P, Lomaira, Phentercot, Phentride, Pro-Fast)
• Phentermine edityaniswe ne-topiramate (Qsymia)
• I-Benzphetamine, iPhendimetrazine (iBontril, iObezine, iPhendiet, i-Prelu-2)
• I-Diethylpropion (iTenuate)
• INaltrexone idityaniswe nebupropion (Contrave)
• ILorcaserin (iBelviq)

Kuphela yi-lorcaserin kunye ne-phentermine / topiramate evunyiweyo ukuba zisetyenziswe ixesha elide. Zonke ezinye iziyobisi zivunyiwe ukuba zisetyenziswe ixesha elifutshane hayi ngaphezulu kweeveki ezimbalwa.

Qiniseka ukuba uyaziqonda iziphumo ebezingalindelekanga zamayeza okuphulukana nobunzima. Iziphumo ezinokubandakanya:

• Ukwanda koxinzelelo lwegazi
• Iingxaki zokulala, intloko ebuhlungu, uvalo kunye nokubetha
• Isihlunu, ukuqhina, kunye nomlomo owomileyo
• Uxinzelelo, abathi abanye abantu abatyebe kakhulu balwe nalo

Ukuba unesifo seswekile esidinga unyango ngamayeza, unokufuna ukubuza umboneleli wakho malunga namayeza eswekile abangela ukwehla kobunzima. Oku kubandakanya:

• I-Canagliflozin (i-Invokana)
• IDapagliflozin (Farxiga)
• I-Dapagliflozin idityaniswe ne-saxagliptin (Qtern)
• IDulaglutide (iTrulicity)
• I-Empagliflozin (iJardiance)
• Ngaphandle (Byetta, Bydureon)
• ILiraglutide (iVictoza)
• ILixisenatide (Adlyxin)
• IMetformin (iGlucophage, iGlumetza, kunye neFortamet)
• I-Semaglutide (iOzempic)

La mayeza akavunyelwanga yi-FDA ukunyanga ukunciphisa umzimba. Ke akufuneki ubathathe ukuba awunasifo seswekile.

Amayeza amayeza okunciphisa ubunzima bomzimba; Seswekile-ukunciphisa umzimba iziyobisi; Ukutyeba-iziyobisi zokunciphisa umzimba; Ukutyeba kakhulu-iziyobisi zokuphulukana nobunzima

I-Apovian CM, uAronne LJ, uBessesen DH, et al .; Umbutho we-Endocrine. Ulawulo lwe-Pharmacological lokutyeba kakhulu: isikhokelo sonyango se-endocrine Society. J Ikliniki ye-Endocrinol Metab. 2015; 100 (2): 342-362. IINKCUKACHA: 25590212 www.ncbi.nlm.nih.gov/pubmed/25590212.

UJensen MD. Ukutyeba kakhulu. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 220.

UKlein S, uRomijn JA. Ukutyeba kakhulu. Ku: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-13. IPhiladelphia, PA: Elsevier; 2016: isahluko 36.

UMordes JP, uLiu C, uXu S. Amayeza okunciphisa umzimba. I-Curr Opin Endocrinol Isifo seswekile. 2015; 22 (2): 91-97. IINKCUKACHA: 25692921 www.ncbi.nlm.nih.gov/pubmed/25692921.

• Ulawulo lobunzima