Kurapa kufutisa
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Zvemukati
Mushonga wakanyanya wekufutisa une chikafu chekudzora huremu uye kugara uchirovedza muviri, zvisinei, kana izvi zvisingaite, pane nzira dzekurapa dzinobatsira kudzikisira kudya uye kudya zvakanyanya, senge Sibutramine neOrlistat, kana, mune yekupedzisira kesi, bariatric kuvhiya, izvo zvinoderedza nzvimbo yekumwiwa kwechikafu nedumbu remudumbu.
Nhanho yekutanga, zvese zvekurapa nekudzivirira kufutisa, inofanirwa kugara iri kutonga kwecalorie yekushandisa, yakaverengerwa maererano neyakajairwa kudya uye huwandu hwehuremu hwaunoda kurasikirwa, zvirinani nechikafu chakazara michero, miriwo, faibha nemvura, sekurairwa nenyanzvi yezvokudya. Kuti uwane kuti chii chakakodzera kurasikirwa uremu chikafu chinofanira kunge chiri, tarisa edu ekukurumidza uye ane hutano uremu hwekudya.
Nekudaro, mukuwedzera kune chikafu uye chiitiko chemuviri, mamwe marapirwo ekurema anogona kutungamirwa neye endocrinologist kana wezvehutano, anosanganisira:
1. Mishonga yekufutisa
Iko kushandiswa kwemishonga yekurapa kufutisa kunoratidzwa mune dzinotevera zviitiko:
- BMI yakakura kupfuura 30kg / m2;
- BMI yakakura kudarika 27kg / m2, nezvimwe zvirwere zvinoenderana, zvakaita seshuga, cholesterol yakawanda uye kuwedzerwa kweropa;
- Vanhu vane chero mhando yekufutisa vasingakwanise kudzikira uremu nekudya uye kurovedza muviri.
Kurapa kwezvinodhaka kunofanirwa kuve kunongedzera kuvanhu vari kuita chirongwa chekuchinja mararamiro, nedhairekitori yekudya uye kuita kwezviitiko, nekuti zvikasadaro hazvingagutsi.
Sarudzo dzekuderedza uremu mishonga ndeiyi:
| Mhando | MIENZANISO | Mashandiro avo | Zvimwe zvinokanganisa |
| Nzara inodzvinyirira | Sibutramine; Amfepramone; Femproporex. | Ivo vanowedzera kuguta uye vanoderedza nzara, iyo inoderedza kudyiwa kwemakori mukati mezuva rese, nekuwedzera maurotransmitter senge norepinephrine, serotonin uye dopamine. | Kuwedzera kwemwoyo, kuwedzerwa kweropa, muromo wakaoma, kurwadziwa nemusoro uye kushaya hope. |
| Kudzoreredza ekudzoresa mudumbu remudumbu | Orlistat | Dzinodzivisa mamwe maenzayimu mudumbu nemuura, ayo anovharira kugaya uye kupinza chikamu chemafuta muchikafu. | Manyoka, magasi anonhuwa. |
| CB-1 mupikisi anopikisa | Rimonabant | Ivo vanovharira mauropi receptors kuti adzivise chishuwo, kuwedzera kuguta uye kudzikisira kusagadzikana kwechikafu. | Nausea, manzwiro anochinja, kutsamwa, kushushikana uye dzungu. |
| Thermogenic | Ephedrine | Wedzera simba remagetsi zuva rese. | Kuwedzera kudikitira, kuwedzerwa kwemoyo, kuwedzerwa kweropa. |
Kune zvakare mishonga inoshandiswa kurapa zvimwe zvirwere zvinogona kubatsira kurwisa kufutisa, senge mishonga yekudzvinyirira, uye mimwe mienzaniso Fluoxetine, Sertraline neBupropion.
Iyi mishonga inongogona kushandiswa chete nekutungamirwa kwakasimba kwekurapa, kunyanya uine ruzivo mukushandisa kwemishonga iyi, sema endocrinologists uye vezvehutano, nekuda kwenhamba yemhedzisiro, inoda kutarisirwa nguva nenguva uye kuongorora.
2. Bariatric Kuvhiya
Bariatric kuvhiya inoratidzwa mune inotevera kesi:
- Kufuta kwakanyanya, ine BMI yakakura kupfuura 40kg / m2;
- Kufutisa kwepakati nepakati, ine BMI yakakura kupfuura 35mg / m2, inosangana nezvirwere zvisingadzoreki zvekufutisa, senge chirwere cheshuga, kufema kufema, kukwirisa kweropa, cholesterol yakawanda, hosha yemoyo, sitiroko, arrhythmias uye osteoarthritis.
Dzimwe mhando dzekuvhiya dzinoitwa zvakanyanya ndeidzi:
| Type | Zvinoitwa sei |
| Gastric bhendi | Bhendi rinogadziriswa rakaiswa kudzikisa hupamhi hwemudumbu. |
| Gastric yekupfuura | Iyo inokonzeresa dumbu kudzikira nekutsauka kweakasara kuenda kuura. |
| Biliopancreatic shunt | Inobvisawo chikamu chedumbu, ichigadzira imwe mhando yekutsausa kuenda kuura. |
| Vertical gastrectomy | Zvizhinji zvemudumbu zvinokonzeresa kutora zvinobviswa. |
Imwe sarudzo yemaitiro asina kuvhiringidza ndeye kuiswa kwebhaluni yenguva pfupi, inoratidzirwa sechikurudzira kune vamwe vanhu kudzora kushandiswa kwechikafu kwenguva.
Rudzi rwekuvhiya rwunoratidzwa kumunhu wega wega rwunosarudzwa nemurwere pamwe chete nachiremba wechiremba, anoongorora zvinodiwa nemunhu wega wega uye maitiro anogona kukodzera. Zvirinani nzwisisa kuti zvinoitwa sei uye kuti iri kupora sei kubva pakuvhiya kwebariatric.
Matipi ekurega kurapa
Kurapa kwekufutisa hakusi nyore kutevedzera nekuti zvinosanganisira kushandura tsika dzekudya nemararamiro akaitwa nemurwere kwehupenyu hwese, saka mamwe matipi ekubatsira kusarega kurapwa anogona kunge ari:
- Gadzira zvinangwa zvevhiki nevhiki zvinokwanisika kuzadzisa;
- Kumbira nyanzvi yezvokudya kuti igadzirise kudya kwacho kana zvichinyanya kuomarara;
- Sarudza kurovedza muviri kwaunoda, uye dzidzira kazhinji. Tsvaga kuti ndeapi maekisesaizi akanyanya ekuderedza uremu;
- Nyora zvawanikwa, uchitora zviyero pabepa kana nemifananidzo yevhiki.
Muvhidhiyo inotevera, ona akakosha matipi kubva kuna anoona nezvechikafu kuti uderedze uremu zviri nyore.
Imwe nhungamiro yakakosha yekuchengetedza tarisiro yekudzikisa huremu ndeyekuchengeta kuteedzesa kwemwedzi kana kwetatu neanoziva nezvehutano uye chiremba, kuitira kuti chero matambudziko kana shanduko panguva yekurapa zvigadziriswe zviri nyore.
Izvo zvakakosha kuti urangarire kuti kune emahara mapurogiramu ekudzora uremu, ayo anoitwa nezvipatara zveyunivhesiti zvine endocrinology sevhisi mumatunhu ese, uye zvinokwanisika kuziva nezve kuendeswa uye kubvunza kunzvimbo yehutano.
Zvinonakidza Nhasi
Osteitis fibrosa
