Kurema-kurasikirwa nemishonga

Kune mishonga yakati wandei inoshandiswa pakurasikirwa nehuremu. Usati waedza kurema-kurasikirwa nemishonga, wako wekuchengeta hutano anozokurudzira kuti iwe uedze isiri-zvinodhaka nzira dzekudzora huremu. Nepo kurema-kurasikirwa nemishonga kuchikwanisa kubatsira, hwese huremu hwekurema hunogumira kune vanhu vazhinji. Pamusoro pezvo, zvingangoita kuti huremu huchawanikwazve kana mishonga yamiswa.

Mimwe mishonga yekurema-kurasikirwa inowanikwa. Anenge mashanu kusvika gumi emapaunzi (2 kusvika ku4,5 kilograms) anogona kurasikirwa nekutora iyi mishonga. Asi havazi vese vanodzora huremu vachivatora. Vanhu vazhinji vanowana zvakare huremu mushure mekumira kwavo kutora mishonga, kunze kwekunge vaita hupenyu hwusingaperi shanduko. Shanduko idzi dzinosanganisira kurovedza muviri zvakanyanya, kucheka chikafu chisina hutano kubva kuzvikafu zvavo, uye kudzikisa huwandu hwese hwavanodya.

Iwe unogona zvakare kuona kushambadzira kwemishonga yemakwenzi uye zvinowedzera izvo zvinoti zvinokubatsira iwe kurasikirwa uremu. Zvakawanda zvezvirevo izvi hazvisi zvechokwadi. Zvimwe zvezvinowedzera izvi zvinogona kuve nemhedzisiro yakaipa.

Cherekedza vakadzi: Vakadzi vane pamuviri kana vanoyamwisa havafanire kutora mishonga yekudya. Izvi zvinosanganisira mushonga, mishonga yemakwenzi, uye mishonga inopfuura pakaunda. Over-the-counter inoreva mishonga, mahebhu, kana zvinowedzera zvaunogona kutenga pasina mushonga.

Mhando dzakasiyana dzekuderedza uremu dzakatsanangurwa pazasi. Ive neshuwa yekutaura nemupi wako nezve izvo mishonga yakakunakira iwe.

ORLISTAT (XENICAL AND ALLI)

Orlistat inoshanda nekuderedza kunwa kwemafuta muura neinenge 30%. Iyo inobvumidzwa kushandiswa kwenguva refu.

Anenge matanhatu mapaundi (matatu makirogiramu) kana anosvika ku6% yehuremu hwemuviri anogona kurasikirwa kana uchishandisa mushonga uyu. Asi havazi vese vanodzora huremu vachitora. Vanhu vazhinji vanowana zvakare huremu hwakawanda mukati memakore maviri mushure mekumira kuishandisa.

Iyo isingafadzi mhedzisiro mhedzisiro ye orlistat manyoka ane oiri anogona kubuda mukati meanus. Kudya mashoma emafuta echikafu kunogona kudzikisira izvi. Kunyangwe iri divi mhedzisiro, vanhu vazhinji vanoshivirira uyu mushonga.

Xenical ndiyo mhando ye orlistat mupi wako anogona kukuraira iwe. Iwe unogona zvakare kutenga orlistat pasina mushonga pasi pezita rekuti Alli. Aya mapiritsi hafu yesimba reXenical. Orlistat inodhura madhora zana kana kupfuura pamwedzi. Funga kana mutengo, mhedzisiro, uye diki uremu hwaunogona kutarisira kuti yakakosha kwauri.

Muviri wako unogona kusatora mavitamini akakosha, zvicherwa, uye zvimwe zvinovaka muviri kubva muchikafu paunenge uchishandisa orlistat. Iwe unofanirwa kutora multivitamin yemazuva ese kana iwe ukashandisa orlistat.

Mishonga YOKUTAMBUDZIRA CHIDZIDZO

Iyi mishonga inoshanda muuropi hwako nekuita kuti usanyanya kufarira chikafu.

Haasi munhu wese anorasikirwa nehuremu achitora mishonga. Vanhu vazhinji vanowana zvakare huremu mushure mekumira kutora mushonga, kunze kwekunge vaita hupenyu hwusingaperi shanduko. Taura nemupi wako nezve huremu hwakawanda hwaungatarisira kurasikirwa nekutora chero eiyi mishonga.

Iyi mishonga inowanikwa chete nemishonga. Zvinosanganisira:

• Phentermine (Adipex-P, Lomaira, Phentercot, Phentride, Pro-Fast)
• Phentermine inosanganiswa ne topiramate (Qsymia)
• Benzphetamine, Phendimetrazine (Bontril, Obezine, Phendiet, Prelu-2)
• Diethylpropion (Tenuate)
• Naltrexone inosanganiswa ne bupropion (Contrave)
• Lorcaserin (Belviq)

Chero lorcaserin uye phentermine / topiramate ndiyo inobvumidzwa kushandiswa kwenguva refu. Mimwe mimwe mishonga inogamuchirwa kuti ishandiswe kwenguva pfupi kwete kweanopfuura mavhiki mashoma.

Ive neshuwa iwe unonzwisisa mhedzisiro mhedzisiro yehuremu-kurasikirwa nemishonga. Migumisiro inogona kusanganisira:

• Kuwedzera kweropa
• Matambudziko ekurara, kutemwa nemusoro, kutya, uye kurohwa palpitations
• Nausea, kuvimbiswa, uye muromo wakaoma
• Kushungurudzika, uko vamwe vanhu vakafutisa vanorwisana nako

Kana iwe uine chirwere cheshuga chinoda kurapwa nemishonga, ungangoda kubvunza mupi wako nezve mishonga yeshuga inokonzera kurema-kurasikirwa. Izvi zvinosanganisira:

• Kanagliflozin (Invokana)
• Dapagliflozin (Farxiga)
• Dapagliflozin inosanganiswa ne saxagliptin (Qtern)
• Dulaglutide (Trulicity)
• Empagliflozin (Jardiance)
• Kuwedzera (Byetta, Bydureon)
• Liraglutide (Victoza)
• Lixisenatide (Adlyxin)
• Metformin (Glucophage, Glumetza, uye Fortamet)
• Semaglutide (Ozempic)

Iyi mishonga haibvumirwe neDFA kurapa kurema-kurasikirwa. Saka haufanire kuvatora kana usina chirwere cheshuga.

Kunyorwa uremu kurasikirwa nemishonga; Chirwere cheshuga - kurasikirwa nemishonga zvinodhaka; Kufutisa - kurasikirwa nemishonga zvinodhaka; Kufutisa - kurasikirwa uremu zvinodhaka

Apovian CM, Aronne LJ, Bessesen DH, et al .; Endocrine Sosaiti. Pharmacological manejimendi ekufutisa: endocrine Society kiriniki yekudzidzira nhungamiro. J Clin Endocrinol Metab. 2015; 100 (2): 342-362. PMID: 25590212 www.ncbi.nlm.nih.gov/pubmed/25590212.

Jensen MD. Kufutisa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 220.

Klein S, Romijn JA. Kufutisa. Mune: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Chinyorwa cheEndocrinology. 13 ed. Philadelphia, PA: Elsevier; 2016: chits.

Mordes JP, Liu C, Xu S. Mishonga yekuderedza uremu. Curr Opin Endocrinol Chirwere cheshuga Obes. 2015; 22 (2): 91-97. PMID: 25692921 www.ncbi.nlm.nih.gov/pubmed/25692921.

• Kudzora Kurema