Iipilisi zokutya: Ngaba ziyasebenza ngokwenene?

Umxholo

• Ngaba iipilisi zokutya ziyimpendulo?
• Ukuphikisana kwepilisi
• Iipilisi zokutya ezivunyiweyo ze-FDA
• Ngaba kufanelekile ukuba ucinge ngokuthatha iipilisi zokutya?

Ukunyuka kwendlela yokutya

Umdla wethu kukutya unokusithwa kukuthanda kwethu ukunciphisa umzimba. Ukwehla kobunzima kuhlala kuluhlu oluphezulu xa kufikwa kwizigqibo zoNyaka oMtsha. Enkosi ngokuthandwa kweemveliso ezilahlekayo kunye neenkqubo, iipaji zaseMelika zikwafumana iibhiliyoni zeedola zincinci unyaka nonyaka.

Siphila kwihlabathi apho abantu abaninzi babhenela kwimilinganiselo egqithileyo ukunciphisa umzimba. Kule mozulu, iimveliso ezithembisa ukwehla kakhulu okanye ngokukhawuleza kokunciphisa umzimba kudale isikrokro kunye nembambano.

Kukho umahluko phakathi kwezongezelelo ezilahlekileyo zokunciphisa umzimba, kunye namayeza avunyiweyo yi-Food and Drug Administration (FDA) ukunceda abantu banciphise umzimba. Abanye abantu banokuxhamla ekusebenziseni la mayeza avunyiweyo yi-FDA phantsi kweliso labo, ukuba balandela ukutya okusempilweni kunye nokuzilolonga rhoqo. Nantsi into ekufuneka uyazi malunga nezi kuthiwa ziipilisi zokutya.

Ngaba iipilisi zokutya ziyimpendulo?

Uninzi lweengcali zempilo ziyavuma ukuba eyona ndlela isempilweni yokwehlisa umzimba kukuthatha umthambo rhoqo kunye nokutya ukutya okunezakha-mzimba ezifanelekileyo zokutya okusempilweni. Ukuqonda kunye nokuguqula isimo sakho sengqondo malunga nokutya kubalulekile ekunciphiseni ubunzima.

Ngokwezikhokelo ezivela kwi-American Heart Association kunye ne-American College ye-Cardiology, indibaniselwano yokutya okunempilo, ukonyuka kokuzilolonga, kunye nonyango lokuziphatha kunokunceda abantu baphulukane ne-5 ukuya kwi-10 leepesenti zobunzima babo kwiinyanga ezintandathu zokuqala zonyango.

Kodwa kwabanye abantu, oku akwanelanga. Ugqirha wakho unokukunceda ubone ukuba ngaba ungoyena mntu ulungeleyo amayeza okunciphisa ubunzima bomzimba, abizwa ngokuba ziipilisi zokutya. Ngokwezikhokelo, zinokuba zilungele wena ukuba:

• Unobunzima bomzimba (BMI) obungu-30 okanye ngaphezulu
• bobabini bane-BMI engama-27 okanye ngaphezulu kunye nezimo ezinxulumene nokukhuluphala
• khange ndikwazi ukulahla iponti enye ngeveki emva kweenyanga ezintandathu zokutya, ukuzivocavoca, kunye nokuziphatha

Amaziko oLawulo lweNtsholongwane kunye noThintelo abonelela ukukunceda ufumane i-BMI yakho. Isalathiso sinika umlinganiso wamafutha omzimba wakho ngokusekwe kubunzima bakho kunye nokuphakama. Ukuba unemisipha kakhulu, ayinakho ukubonelela ngesalathiso esichanekileyo senqanaba lobunzima bakho. Buza ugqirha wakho malunga nendlela efanelekileyo yokubala imeko yakho.

Kwiimeko ezininzi, abasetyhini abakhulelweyo, ulutsha, kunye nabantwana akufuneki bathathe iipilisi zokutya.

Ukuphikisana kwepilisi

Amayeza okuphulukana nobunzima aphikisana kakhulu. Inani leemveliso zisusiwe emarikeni emva kokubangela iingxaki zempilo. Enye yezona zidume kakhulu yayikukuhlanganiswa kwefenfluramine kunye ne-phentermine eyayithengiswa njengeFen-Phen. Le mveliso inxulunyaniswa nenani labantu abaswelekileyo, kunye neemeko zoxinzelelo lwegazi kunye nezivalo zentliziyo ezonakalisiweyo. Phantsi koxinzelelo oluvela kubavelisi bayisusile imveliso kwintengiso.

Ngenxa yale mbali kunye neziphumo ebezingalindelekanga ezinxulunyaniswa namayeza okuphulukana nobunzima, oogqirha abaninzi abakuthandi ukubayalela. UGqirha Romy Block, ingcali ye-endocrinologist e-Skokie, e-Illinois, uthi: “Ndikhe ndinike amayeza okutya ngamaxesha athile, kodwa ndiyathandabuza. Zininzi iziphumo ebezingalindelekanga ezifuna ukubekwa esweni, kubandakanya uxinzelelo lwegazi, isingqi sentliziyo, kunye nomoya. ”

Ibhloko yongeza ukuba uninzi lwabantu luphulukana neepawundi ezi-5 ukuya kwezi-10 ngokuthatha amayeza okuphulukana nobunzima. “Oku kuthathwa njengobalulekileyo luluntu lwezonyango, kodwa kuyadanisa kakhulu kwizigulana. Ngelishwa, oku kuhla kwesisindo kuyabuya ngokukhawuleza xa abaguli beyeka amayeza. ”

Iipilisi zokutya ezivunyiweyo ze-FDA

Amayeza okunciphisa umzimba asebenza ngeendlela ezahlukeneyo. Uninzi lunokunciphisa umdla wakho wokutya okanye linciphise amandla omzimba wakho wokufunxa amafutha kukutya. Amayeza athile okulwa noxinzelelo, isifo seswekile, kunye nokulwa nokubanjwa ngamanye amaxesha amiselwe ukunceda ukunciphisa umzimba.

Ukusetyenziswa kwexesha elifutshane, i-FDA ivumile la mayeza alandelayo:

• iphendimetrazine (iBontril)
• I-diethylpropion (iTenuate)
• benzphetamine (Didrex)
• phentermine (Adipex-P, Fastin)

Ukusetyenziswa kwexesha elide, i-FDA ivume la machiza alandelayo:

• uluhlu lwezinto (Xenical, Alli)
• phentermine / topiramate (Qsymia)
• naltrexone / bupropion (Contra)
• iliraglutide (iSaxenda)

NgoFebruwari 2020, uLawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) lwacela ukuba ilahleko yesisindo se-lorcaserin (Belviq) isuswe kwimarike yase-US. Oku kungenxa yenani elonyukayo lezehlo zomhlaza kubantu abathathe iBelviq ngokuthelekiswa ne-placebo. Ukuba umiselwe okanye uthatha iBelviq, yeka ukuthatha ichiza kwaye uthethe nomboneleli wakho wezempilo malunga nezinye iindlela zokulawula ubunzima.

Funda ngakumbi malunga nokurhoxa kwaye apha.

Ngaba kufanelekile ukuba ucinge ngokuthatha iipilisi zokutya?

Lumkela iimveliso ezithembisa ukunciphisa umzimba ngokukhawuleza nangokulula. Izongezo ezingaphezulu kwekhawuntara azilawulwa yi-FDA. Ngokutsho kwe-FDA, uninzi lwezo mveliso alusebenzi, kwaye ezinye zazo ziyingozi. Abalawuli baseburhulumenteni bafumene iimveliso ezithengiswa njengezongezo zokutya eziqulethe iziyobisi ezingavunyelwanga ukuba zisetyenziswe eMelika.

I-FDA evunyiweyo yeepilisi zokutya ezilahlekileyo ayiyimbumbulu yomlingo yokunciphisa umzimba. Abayi kusebenzela wonke umntu, bonke baneziphumo ebezingalindelekanga, kwaye akukho namnye kubo ongenabungozi. Kodwa izibonelelo ezithobekileyo abazibonelelayo zinokubodlula ubungozi ukuba umngcipheko wempilo onxulumene nokukhuluphala ubalulekile.

Buza ugqirha wakho ukuba ngaba amayeza amayeza okunciphisa umzimba akulungele. Ugqirha wakho unokubonelela ngolwazi oluthe kratya malunga neendlela ezikhuselekileyo nezisebenzayo zokulahla iipawundi ezingaphezulu kunye nokugcina ubunzima obunempilo.