Unyango lokutyeba kakhulu
Umxholo
Olona nyango lulungileyo lokutyeba kakhulu kukutya ukuze unciphise umzimba kunye nokuzilolonga rhoqo, nangona kunjalo, xa oku kungenakwenzeka, kukho iindlela zonyango ezinokukunceda ukunciphisa ukutya kunye nokutya kakhulu, njengeSibutramine kunye neOrlistat, okanye, kwimeko yokugqibela, bariatric uqhaqho, olucutha indawo yokufunxwa kokutya ziindlela zesisu.
Inyathelo lokuqala, lokunyanga nokuthintela ukutyeba kakhulu, kufuneka lihlale kukulawula ukusetyenziswa kweekhalori, kubalwa ngokokutya okuqhelekileyo kunye nobungakanani besisindo ofuna ukusilahla, ngokukhethekileyo ngokutya okuneziqhamo, imifuno, ifayibha kunye namanzi, njengoko kuyalelwe yingcali yezondlo. Ukufumanisa ukuba yeyiphi indlela yokutya efanelekileyo yokulahleka kwesisindo, jonga ukutya okutya okukhawulezayo kwaye okunempilo kokunciphisa umzimba.
Nangona kunjalo, ukongeza kukutya kunye nokusebenza komzimba, ezinye iindlela zonyango lokutyeba kakhulu ezinokukhokelwa yi-endocrinologist okanye i-Nutrologist, zibandakanya:
1. Amayeza okutyeba kakhulu
Ukusetyenziswa kwamachiza ukunyanga ukutyeba kubonisiwe kwezi meko zilandelayo:
- I-BMI enkulu kune-30kg / m2;
- I-BMI enkulu kune-27kg / m2, nezinye izifo ezinxulumene noko, ezinjengesifo seswekile, icholesterol ephezulu kunye noxinzelelo lwegazi;
- Abantu abanalo naluphi na uhlobo lokutyeba abangakwaziyo ukunciphisa umzimba ngokutya nangokwenza umthambo.
Unyango lweziyobisi kufuneka lujolise kubantu ababandakanyekayo kwinkqubo yokutshintsha indlela yokuphila, ngesikhokelo sokutya kunye nokuziqhelanisa nezinto ezenziwayo, kungenjalo ayizukuba nefuthe elonelisayo.
Izinketho zokunciphisa amayeza:
| Iindidi | IMIZEKELO | Indlela abasebenza ngayo | Imiphumela |
| Umnqweno wokucinezela | ISibutramine; Amfepramone; IFemproporex. | Bonyusa ukutyeba kunye nokunciphisa indlala, okunciphisa ukusetyenziswa kweekhalori yonke imihla, ngokunyusa ii-neurotransmitters ezinje nge norepinephrine, serotonin kunye ne-dopamine. | Ukunyuka kwentliziyo, ukonyusa uxinzelelo lwegazi, umlomo owomileyo, intloko ebuhlungu kunye nokuqaqanjelwa sisisu. |
| Abanciphisi bokufunxa kwiphecana lesisu | Uluhlu | Banqanda ezinye ii-enzymes esiswini nasemathunjini, ezithintela ukwetyisa kunye nokufunxwa kwenxalenye yamafutha ekutyeni. | Urhudo, iigesi ezinukayo. |
| Umchasi we-CB-1 receptor antagonist | Rimonabant | Bavimba ii-receptors zengqondo ukuthintela ukutya, ukonyusa ukutyeba kunye nokunciphisa ukungxamiseka kokutya. | Isicaphucaphu, ukutshintsha kwemozulu, ukuba nochuku, ixhala kunye nesiyezi. |
| Thermogenic | Ephedrine | Yandisa inkcitho yamandla imini yonke. | Ukubila okugqithisileyo, ukonyuka kwentliziyo, ukonyusa uxinzelelo lwegazi. |
Kukwakho amayeza asetyenziselwa ukunyanga ezinye izigulo ezinokukunceda ukulwa nokutyeba, njenge-anti-depressants, kwaye eminye imizekelo yiFluoxetine, Sertraline kunye neBupropion.
La machiza anokusetyenziswa kuphela ngokukhokelwa ngokungqongqo kwezonyango, ngakumbi anamava ekusetyenzisweni kwala machiza, njengee-endocrinologists kunye neezondlo, ngenxa yenani leziphumo ebezingalindelekanga, ezifuna ukuqwalaselwa ngamaxesha athile kunye nokujonga.
2. Utyando lweBariatric
Utyando lwe-Bariatric lubonakalisiwe kwezi meko zilandelayo:
- Ukutyeba okunganyangekiyo, kunye ne-BMI enkulu kune-40kg / m2;
- Ukutyeba okuphakathi, kunye ne-BMI enkulu kune-35mg / m2, enxulunyaniswa nezifo ezingalawulekiyo zokutyeba, ezinjengesifo seswekile, i-apnea yokulala, uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, izifo zentliziyo, ukubetha, i-arrhythmias kunye ne-osteoarthritis.
Ezinye iintlobo zotyando ezenziwa kakhulu zezi:
| Chwetheza | Kwenziwa njani |
| Ibhanti yesisu | Ibhendi ehlengahlengisiweyo ibekwe ukunciphisa ubukhulu besisu. |
| Ukudlula esiswini | Yenza ukuba isisu sinciphise ukuphambuka kwentsalela emathunjini. |
| I-Biliopancreatic shunt | Isusa inxenye yesisu, idale olunye uhlobo lokuphambuka ukuya emathunjini. |
| I-gastrectomy ethe nkqo | Ininzi yesisu esinoxanduva lokufunxa iyasuswa. |
Enye inketho yenkqubo engangenisi kangako kukubekwa kwebhaluni yeetragastric yethutyana, ebonakaliswe njengenkuthazo kwabanye abantu yokunciphisa ukusetyenziswa kokutya kangangexesha elithile.
Uhlobo loqhaqho luboniswe kumntu ngamnye ligqitywa sisigulana ngokudibeneyo nogqirha wesisu, ovavanya iimfuno zomntu ngamnye kunye nenkqubo efanelekileyo. Ukuqonda ngcono ukuba yenziwa njani kwaye ichacha njani kutyando lwe-bariatric.
Iingcebiso ngokungayeki unyango
Unyango lokutyeba kakhulu akukho lula ukulandela kuba kubandakanya ukutshintsha indlela yokutya kunye nendlela yokuphila eyenziwe sisigulana ubomi babo bonke, ke ezinye iingcebiso zokukunceda ungayeki unyango kunokuba:
- Misela iinjongo zeveki ezinokubakho ukufezekisa;
- Cela ingcali yezondlo ukuba ihlengahlengise indlela otya ngayo ukuba kunzima ukuyithobela;
- Khetha umthambo owuthandayo, kwaye uziqhelanise nawo rhoqo. Khangela ukuba yeyiphi eyona mithambo ilungileyo yokunciphisa umzimba;
- Rekhoda iziphumo, uthathe imilinganiselo ephepheni okanye ngeefoto zeveki.
Kule vidiyo ilandelayo, jonga iingcebiso ezibalulekileyo kwisondlo sokunciphisa umzimba ngokulula:
Esinye isikhokelo esibalulekileyo sokugcina ugxininiso lokwehla kobunzima kukugcina ukulandelelana rhoqo ngenyanga okanye ngekota kunye nesondlo kunye nogqirha, ukwenzela ukuba nabuphi na ubunzima okanye utshintsho ngexesha lonyango lusonjululwe ngokulula.
Kubalulekile ukuba ukhumbule ukuba kukho iinkqubo zokulahleka kwesisindo simahla, ezenziwa zizibhedlele zaseyunivesithi ngenkonzo ye-endocrinology kuwo onke amazwe, kwaye kunokwenzeka ukuba ufumanise malunga nokuhanjiswa kunye nokudibana kwiziko lezempilo.
Kucetyiswa Sithi
Iindidi zokulunywa ziimpukane, iimpawu kunye nonyango
