Mankhwala Osokoneza Ubwino Oposa 2021 Othandizira Kuchepetsa Kuwonjezeka, Ndi Ati Omwe Amagwira Ntchito Bwino Kwambiri?

 

Kodi ndinu onenepa kwambiri kapena onenepa kwambiri? Kodi mumalakalaka mutataya thupi lanu tsiku lililonse? Kunenepa kwambiri komanso anthu onenepa kwambiri ali pachiwopsezo chokhala ndi zovuta zambiri zomwe zimachepetsa kwambiri moyo wamunthu.

Anthu ambiri onenepa pamapeto pake amasankha kuyesa kuonda. Komabe, kuyambitsa zakudya ndi masewera olimbitsa thupi tsiku lililonse ndizovuta, ndipo anthu ambiri amawona kuti sangakwaniritse kudzipereka kwawo. Ena amawona kuti sangawoneke kuti achepetsa kulemera kwawo mosasamala kanthu za kusintha kwa zakudya ndi masewera olimbitsa thupi.

Anthu onenepa kwambiri kapena onenepa kwambiri omwe amalimbana ndi kuchepa kwamafuta angafunike chithandizo chamankhwala. Mankhwala ochepetsa thupi akupatseni yankho pazoyeserera zanu. Ovomerezeka ndi FDA mankhwala olemera itha kukuthandizani kuti muchepetse mafuta owonjezera, ndikubwezeretsanso thupi lanu ku BMI yathanzi.

Nkhaniyi imafotokoza zonse zomwe muyenera kudziwa mankhwala olemera. Tiona mtundu wa mankhwala ochepetsa thupi, mphamvu, chitetezo, ndi zotsatira zomwe mungayembekezere mukamagwiritsa ntchito mankhwala ochepetsa thupi.

 

Kodi Kunenepa Kwambiri N'kutani?

Kunenepa kwambiri ndi vuto lalikulu (chonde ndikhululukireni pun). Nthawi zambiri, kunenepa kwambiri kumafala pachuma chakumadzulo chotukuka, pomwe America ikutsogolera dziko laulere pakakhala kunenepa kwambiri pa anthu onse. Makampani azaumoyo amagawa anthu onenepa kwambiri monga anthu omwe ali ndi Body Mass Index (BMI) azaka 30 kapena kupitilira apo. Anthu onenepa kwambiri amakhala ndi ma BMIs apakati pa 25 mpaka 30.

Body Mass Index (BMI) ndiyeso yolemera thupi pokhudzana ndi kutalika. Pali ma calculator ambiri pa intaneti omwe amakupatsani njira yosavuta yowerengera BMI yanu. Kumvetsetsa BMI yanu komanso momwe imakhudzira thanzi lanu kumakupatsirani lingaliro la kuwopsa kwa thanzi lanu.

Mukafunsana ndi katswiri wazakudya, adzawerengera BMI yanu ndikuwona kuwopsa kwa thanzi lanu. Angathenso kulangiza dongosolo lamasinthidwe azakudya ndi kuyambitsa masewera olimbitsa thupi kuti muchepetse mafuta amthupi ndikubwezeretsanso thupi lanu ku BMI yathanzi.

Nthawi zambiri, wazakudya wanu kapena wamankhwala amalemba mapulani azakudya ndi zolimbitsa thupi kuti achire. Komabe, anthu ena atha kupeza kuti ali ndi vuto la kagayidwe kachakudya, monga matenda amadzimadzi, omwe amakulepheretsani paulendo wanu wonenepa.

Ngati ndi choncho, dokotala kapena dokotala akhoza kukupatsani mankhwala olemera mogwirizana ndi zomwe mumadya komanso zolimbitsa thupi.

 

Kunenepa Kwambiri - Mwachidule

Kunenepa kwambiri ndi matenda osachiritsika omwe amakhudza anayi mwa akulu khumi alionse aku America. Pafupifupi m'modzi mwa anthu aku America ali ndi vuto lakunenepa kwambiri paumoyo wawo. Akatswiri azachipatala ambiri amakhulupirira kuti kunenepa kwambiri kwayamba kukhala mliri pakati pa anthu aku America.

Matendawa ndiwowopsa ku America, poganizira kuti anthu onenepa ngati mamiliyoni anayi amafa chifukwa chazovuta zomwe zimachitika chaka chilichonse.

Tsoka ilo, kuchuluka kwa kunenepa kwambiri kwa ana ndi akulu kumakulabe. Pakati pa 1975 mpaka 2016, kuchuluka kwa kunenepa kwambiri kwa ana ndi achinyamata kwawonjezeka kanayi pagulu la anthu padziko lonse lapansi, kuyambira 4% mpaka 18%.

Ndiye, nchiyani chimapangitsa kunenepa kwambiri kwa anthu? Masiku ano, anthu ambiri ndi onenepa kwambiri kapena onenepa kwambiri m'madera onse padziko lapansi, kupatula ku Asia ndi kumwera kwa Sahara ku Africa. Poyamba akatswiri amaganiza kuti vuto la kunenepa kwambiri limachokera ku chuma chotukuka kumene anthu ali ndi mwayi wambiri wosankha zakudya zoyipa komanso ndalama zambiri zomwe angathe kuzipeza.

Komabe, anthu onenepa kwambiri komanso onenepa kwambiri akuchulukirachulukira m'mizinda m'maiko akutukuka kumene. Masiku ano, ana onenepa kwambiri komanso onenepa kwambiri amakhala kumayiko opeza ndalama zochepa. Malinga ndi kafukufuku, kuchuluka kwa kunenepa kwambiri m'malo amenewa ndi 30% kuposa kumadzulo.

 

Kodi Zizindikiro Za Kunenepa Kwambiri Ndi Ziti?

kunenepa sizimachitika mwadzidzidzi, ndikuwonjezeka kwazaka zamakhalidwe oyipa. Anthu ambiri omwe amayamba kunenepa samazindikira poyamba, kapena alibe nazo ntchito kwenikweni. Komabe, matenda awo akamakulirakulirabe, amatha kuyamba kuwona zizindikilo ndi zizindikilo za kunenepa kwambiri zomwe zimalowa m'moyo wawo watsiku ndi tsiku.

Zina mwazizindikiro za kunenepa kwambiri ndi izi:

• Khungu lotupa lokhala ndi zigamba zakuda zomwe zimawoneka m'malo ena.
• Kukula kwamatambasula.
• Edema (kutupa) m'miyendo m'munsi.
• Kupezeka kwa mitsempha ya varicose m'miyendo yakumunsi.

Anthu omwe azindikira izi amakhala ndi BMI yoposa 30. Amuna nthawi zambiri amakhala ndi chiuno chopitilira 40-mainchesi ndi 35 mainchesi mwa akazi. Anthu onenepa kwambiri amakhala ndi chizolowezi chotsika chifukwa cha kulemera kwawo.

Anthuwa atha kuwona kuti sangathe kutenga nawo mbali pamasewera, zosangalatsa, kapena zochitika zina. Mulingo wawo wathanzi ndiwosauka, ndipo sangathe kukwaniritsa zofunikira pamatupi awo. Kunenepa kwambiri komanso kunenepa kwambiri kumathanso kukhala ndi mavuto ndikudzidalira, kuwapangitsa kusiya moyo wapagulu.

Ngakhale kunenepa kwambiri kumakhudza thupi, kumakhalanso pachiwopsezo cha munthu amene akukumana ndi vuto lamaganizidwe. Anthu omwe akhudzidwa angakumane ndi zovuta zotsatirazi ku thanzi lawo lam'mutu chifukwa cha kunenepa kwambiri kapena kunenepa kwambiri.

• Kukhumudwa komanso kudzidalira.
• Kulemala ndi mavuto poyenda.
• Kulephera kugonana ndi kutayika kwa libido.
• Kudzimva kukhala olakwa komanso manyazi polephera kuthana ndi vuto la kunenepa kwambiri.
• Kuthawira pagulu komanso kudzipatula kwa ena.
• Magulu azachuma pantchito.

Monga tanenera, kunenepa kwambiri ndi kakhalidwe kabwino ka kagayidwe kamene kamayambitsa zovuta zingapo zaumoyo mwa omwe akukhudzidwa. Zinthu zingapo zimathandizira kukulitsa kunenepa kwambiri. Khalidwe, chibadwa, mahomoni, ndi kagayidwe kachakudya kamatha kusokoneza kuchuluka kwa thupi.

Komabe, chifukwa chachikulu chomwe chimakulitsa kunenepa kwambiri ndikungowonjezera kuchuluka kwa zopatsa mphamvu zomwe munthu amadya. Ma calories ndi muyeso wa muyeso wa mphamvu zomwe zili mchakudya. Aliyense ali ndi kuchuluka kwa zopatsa mphamvu zomwe amafunika kudya tsiku lililonse kuti azisamalira thupi komanso kukhala ndi thanzi labwino.

Kutsata kalori yanu yonse kumapangitsa thupi lanu kupeza zakudya zomwe zimafunikira m'masitolo amthupi. Zotsatira zake, munthu amene amadya zoperewera za kalori kwakanthawi azimva kuchepa kwamafuta ndikuchepetsa kunenepa kwake.

Anthu omwe amadya ma calories ochulukirapo kuposa gawo lawo amayamba kupeza mafuta amthupi. Poganizira kuti zakudya zambiri zaku America ndizofunika kwambiri, sizosadabwitsa kuwona kunenepa kwambiri padziko lonse lapansi ku US.

"Zakudya Zaku America" ​​za chakudya chofulumira, ma sodas, ndi maswiti zimabweretsa ma calorie masauzande ambiri mthupi, ndipo makina anu amasandutsa mphamvu yochulukirapo pachakudya kukhala malo ogulitsa mafuta. Anthu ambiri omwe ali ndi nkhawa kapena kupsinjika kwa chakudya amapita kuchakudya kuti chiwatonthoze.

Komabe, njirayi yakudya kuti mumve bwino imapangitsa kuti anthu azimva bwino kwambiri muubongo wawo. Amakonda kukhala omvera potulutsa dopamine muubongo akamadya zakudya zabwino. Chosangalatsa ndichakuti, dopamine ndiyonso njira yoyamba yamankhwala amitsempha yomwe imatulutsidwa muubongo pomwe omwe amamwa mankhwala osokoneza bongo amagwiritsa ntchito poizoni wawo.

Mankhwala osokoneza bongo monga cocaine, methamphetamine, ndi ena omwe amapanga mankhwalawa amachititsa kuti pakhale kuchuluka kwa dopamine muubongo, zomwe zimabweretsa chisangalalo. Ndizofanana, zochepa pang'ono, kwa anthu onenepa omwe amadzipeza okha osakonda kudya zakudya zopanda pake.

 

Zinthu Zowopsa Kwambiri

Monga matenda ena aliwonse amadzimadzi kapena matenda, pali zinthu zingapo zomwe zimawopsa omwe akukhudzidwa, kuwapangitsa kukhala otsogola kwambiri pakukula kwa kunenepa.

 

Genetics

Anthu omwe ali ndi makolo onenepa kwambiri amatha kukhala ndi zolemera zochulukirapo kuyambira ali ana komanso kutha msinkhu kufikira atakula.

 

Zosankha Zakudya Zosayenera

Zakudya zokhala ndi zakudya zambiri zopangidwa ndimakina ochepa, zomwe zimapangitsa kuti munthu akhale wonenepa kwambiri.

 

Soda ndi Zakumwa Zamphamvu

Zakumwa zoziziritsa kukhosi ndi zotetemera za mkaka zimakhala ndi mazana, kapena masauzande, a zopatsa mphamvu muntchito imodzi.

 

Moyo Wongokhala

Anthu omwe alibe masewera olimbitsa thupi komanso kusangalatsa thupi sawotcha mafuta owonjezera, omwe amatsogolera kunenepa.

 

Mankhwala ndi Matenda

Matenda a Prader-Willi ndi Cushing ndi zitsanzo za mavuto amadzimadzi omwe amachititsa kuti wokhudzidwayo alemere. Mankhwala monga beta-blockers amathanso kusokoneza kagayidwe kake, komwe kumabweretsa kunenepa.

 

Mavuto Azachuma

Ndi zakudya zopatsa thanzi zomwe zimakhala zodula, anthu ambiri aku America amangosankha kudya zakudya zachangu. Kuperewera kwa zipatso ndi nyama zamasamba m'maiko ena kumabweretsa "madera azakudya," komwe chakudya chofulumira chimakhala njira yokhayo yomwe mungadye.

 

Zina Zomwe Zimathandizira Kukula Kwambiri

Pregnancy

Amayi apakati amafunika kudya kwa awiri. Pambuyo pobadwa, amatha kupitiliza kudya mopitirira muyeso, zomwe zimapangitsa kulemera. Kusintha kwa mahomoni m'thupi nthawi yapakati komanso pambuyo pathupi kungapangitsenso kuti zikhale zovuta kwa amayi ena kutaya "mwana eyiti" atabadwa.

 

Kusuta Fodya

Kusiya kusuta kumawonjezera kuchuluka kwa kagayidwe kake. Thupi lanu likamatulutsa poizoni mthupi, limayamba kuchira chifukwa chodziyipitsa.

Kuchuluka kwa kagayidwe kake kumawonjezeka ndipo ziphuphu ndi ziwalo zimachira, zimafunikira chakudya chochulukirapo. Zotsatira zake, anthu omwe amasiya kusuta angafunike kuti athetse mwayi womwe wasiyidwa ndi chizolowezi pakudya mopitilira muyeso kapena pachakudya.

 

Kusagona Bwino

Kusagona bwino kumakhudza dongosolo la mahomoni, kuchititsa kuti ghrelin, mahomoni a njala azipanga kwambiri. Zotsatira zake, munthu wokhudzidwayo amatha kumva njala masana ndipo amakhala ndi zolakalaka zakudya zopanda thanzi.

 

kupanikizika

Anthu opsinjika kwambiri amatha kuyamba kudya mopitirira muyeso ngati njira yothanirana ndi kupsinjika kwamaganizidwe ndi kwamaganizidwe.

 

microbiome

Njira yathu yogaya chakudya imakhala kunyumba kwa mabakiteriya mamiliyoni ambiri, omwe amadziwika kuti "biomes." Ma biomes amasinthasintha zakudya zanu kuti akoke chakudyacho muchakudya chanu, ndikuchiyika m'magazi.

Komabe, ma biomes amasinthana ndi zosankha zanu. Chifukwa chake, ngati mumadya zakudya zachangu, zimakuvutani kuti muyambe kudya wathanzi. Izi ndichifukwa choti ma biomes amakana chakudya chatsopanocho, zomwe zimakupangitsani kuti muzilakalaka chakudya chomwe amakonda kudya.

 

Kodi Kuopsa Kwa Matenda Aakulu Ndi Chiyani?

Anthu onenepa kwambiri komanso onenepa kwambiri akukhala moyo womwe pamapeto pake umawadwalitsa. Zina mwaziwopsezo zomwe anthu omwe ali onenepa kwambiri ndi onenepa kwambiri ndi awa:

 

Matenda a Mtima ndi Stroke

kunenepa kumabweretsa kuthamanga kwa magazi, komwe kumayambitsa "matenda oopsa" mwa omwe akukhudzidwa. Anthu omwe ali ndi matenda oopsa amatha kuwonongeka kwa mtima komanso kuthekera kochita sitiroko kapena matenda amtima chifukwa chazotsatira zake.

 

Mtundu wa 2 Matenda a shuga

Anthu onenepa kwambiri komanso onenepa kwambiri amavutika kuti akhalebe ndi nkhawa ya insulin. Zotsatira zake kuti o0f amakhala ndi shuga wambiri wamagazi, wothandizidwayo amataya kapangidwe ka kapamba komanso kuthekera kwake kupanga insulin.

 

Mitundu Yapadera ya Khansa

Anthu onenepa amakhala pachiwopsezo chachikulu chotenga mitundu yotsatira ya khansa.

• Chiberekero
• Chotsitsa
• Endometrium
• n'kuwasanganiza
• Mimba
• Colon
• rectum
• Esophagus
• Chiwindi
• Gallbladder
• Mitundu
• Impso ndi Prostate

 

Matenda Ogaya

Anthu onenepa ali pachiwopsezo chachikulu chotenga vuto lakugaya m'mimba monga matenda a ndulu, kutentha pa chifuwa, GERD, ndi chiwindi.

 

Kulephera Kugonana ndi Kugonana

Kunenepa kwambiri kumathandizira kuti nthawi zizichitika mosabereka komanso kusabereka kwa amayi komanso kuwonongeka kwa erectile mwa amuna.

 

Kugonana ndi Apnea

Anthu onenepa kwambiri amakhala ndi mafuta ochulukirapo pakhosi, omwe amayendetsa njira zapaulendo akagona. Zotsatira zake, wokhudzidwayo atha kukhala ndi mpweya wochepa wamagazi. Kuperewera kwa magazi okosijeni kumabweretsa kutopa, kuchuluka kwa zovuta zamagulu ndi zamthupi, ngakhale kufa.

 

Osteoarthritis

Kunenepa kwambiri kumawonjezera kulemera kwa chimango chanu, ndipo mafupa ake amatengera vutoli. Zotsatira zake, chichereŵechereŵe chimajambalala kumathothoka kusiyana ndi anthu olemera thupi. Zotsatira zake, anthu onenepa kwambiri amatha kudwala nyamakazi m'malo awo am'munsi, kumbuyo, m'chiuno, mawondo, ndi akakolo kukhala malo olumikizidwa kwambiri.

 

Zizindikiro zazikulu za COVID-19

Malinga ndi kafukufuku, kunenepa kwambiri ndikofunikira kwambiri pakuthandizira zovuta zomwe zimachokera ku COVID-19. Anthu onenepa kwambiri amakhala ndi "zovuta" zingapo, monga matenda ashuga, matenda oopsa, ndi omwe atchulidwa pamwambapa. Zotsatira zake, amakhala ndi nthawi yovuta yolimbana ndi matendawa ndipo amakhala pachiwopsezo chokhala ndi zotsatira zoyipa.

 

Kodi Tingapirire Bwanji Kunenepa Kwambiri?

Njira zochizira kunenepa zimaphatikizapo kusintha zakudya za omwe akukhudzidwa ndikuyamba kuchita masewera olimbitsa thupi. Komabe, izi zimafuna kudzipereka ndikudzipereka kukwaniritsa zolinga zakuchepetsa thupi.

Wonenepa kwambiri kapena wonenepa kwambiri adzavutika kuti apange izi. Pachifukwa ichi, adotolo omwe amawunika kuchepa kwa wodwalayo amasintha pang'ono pachiyambi.

Kuyamba pang'onopang'ono ndikuchepetsa thupi kumalola kuti kagayidwe kake ka munthu ndi m'matumbo mwake zizolowere kusintha pang'ono pazomwe munthu amadwala kwambiri. Ogwira ntchito zaumoyo amalimbitsa kuchepa kwa 5% mpaka 10% m'miyezi isanu ndi umodzi, kuchepetsa BMI ya wodwalayo ndikupangitsa zovuta.

Ogwira ntchito zaumoyo adzawunika momwe akuyendera, kuyeza komanso kuyeza munthuyu sabata iliyonse kapena mwezi uliwonse kuti awone momwe akupitira patsogolo. Pamene chithandizo chamankhwala chikupita, dotoloyo amatha kuyambitsa zowonjezera zowonjezera. Zowonjezera izi zimathandiza anthu kudutsa m'mapiri ochepera kunenepa komwe kuchepa thupi kumachepetsa.

Zowonjezera zolemetsa zimathandizira kupititsa patsogolo kagayidwe kake, ngakhale pomwe wogwiritsa ntchito ali ndi vuto lochepa. Kudya kuchepa kwa kalori kumapeto kumachedwetsa kuchepa kwa kagayidwe kachakudya ndi kutayika kwamafuta. Kukhazikitsidwa kwa chowonjezera cholemetsa kumatha kuyambitsa kagayidwe kake, kumathandizira kuchepa thupi.

Tiyeni tiwone mozama zakudya zakunyumba, masewera olimbitsa thupi, komanso zowonjezera zingakuthandizeni kuti muchepetse kunenepa.

 

Kusintha kwa Zakudya

Ngakhale kuti kuwonda kumawoneka kovuta, zimangotsata mfundo imodzi yosavuta; kudya pang'ono kuposa momwe mumafunira tsiku ndi tsiku. Mukapita kukaona akatswiri azaumoyo kuti akawunike, amawerengera BMI yanu ndi zosowa zanu za tsiku ndi tsiku.

Mwachitsanzo, ngati muli ndi kalori ya tsiku ndi tsiku yokwanira 2,500-Ma calories, kudya pansi pa malirewa kumapangitsa kuti muchepetse thupi chifukwa chakuchepa kwa kalori. Thupi limayamba kugwiritsira ntchito malo ogulitsa mafuta kuti athetse mphamvu yazakudya zanu.

 

Pangani Zakudya Zabwino

Katswiri wanu wa zamankhwala amakulemberani zakudya zomwe mungakonde potengera zakudya zabwino zomwe mumakonda kudya. Ndikofunika kudziwa kuti mutha kuonda mukamadya chakudya chilichonse, bola mukamadya malire anu tsiku lililonse.

Kafukufuku wa 2010 wolemba Mark Haub adamuuza kuti asadye kanthu koma twinkies kwa milungu khumi. Mwina mukuganiza kuti chakudyacho chidamupatsa kulemera kwakukulu. Komabe, zotsatira za kafukufukuyu zidawonetsa kuti adataya mapaundi 27 modabwitsa m'masabata khumi. Kodi adachikoka bwanji? Zosavuta, amadya pansi pa kalori yake.

Musanaganize kuti ndi layisensi yodyera ma Twinkies ndi zakudya zopanda pake, ganiziraninso. Mtundu wazakudya zomwe mumadya umathandizanso kuti muchepetse kunenepa. Mwachitsanzo, Twinkies sichina koma shuga, zotetezera, madzi a chimanga, mafuta osapatsa thanzi, ndi ma carbs.

Thupi lanu silingakule bwino ndikudya zakudya zopanda mchere komanso mavitamini. Kudya zakudya za Twinkie kungakhale koyenera kuyesera, koma kukuwonongerani thanzi lanu mukangodya Twinkies ndi zakudya zopanda thanzi. Mutha kukhala ndi mavuto a shuga m'magazi, kuchepa kwama vitamini, komanso mavuto amadzimadzi.

Kudya chakudya chopatsa thanzi ndi zipatso, ndiwo zamasamba, nyama zowonda, ndi chakudya chochepetsako pang'onopang'ono kumatsimikizira kuti thupi lanu limapeza chakudya chomwe chimafunikira kuti mukhalebe wathanzi mukamachepetsa.

 

Yambitsani Pulogalamu Yolimbitsa Thupi

Kuchita masewera olimbitsa thupi ndichinthu chofunikira kwambiri pankhondo yothana ndi kunenepa kwambiri. Ngakhale ndizotheka kuti muchepetse thupi kudzera pazakudya zokha (mwa kudya pansi pa kalori yanu), mudzakhala ndi zotsatira zowonda mwachangu powonjezera zolimbitsa thupi pulogalamuyi.

Kuchita masewera olimbitsa thupi kumalimbikitsa kagayidwe kake, komwe kumakupangitsani kuwotcha malo ogulitsira mphamvu komanso mafuta. Anthu onenepa kwambiri amakhalanso moyo wongokhala, osachita masewera olimbitsa thupi kapena olimbitsa thupi.

Zotsatira zake, minofu imachita njira yotchedwa "atrophy," pomwe imangogona. Chifukwa chake, anthu onenepa kwambiri amafunika kuchita masewera olimbitsa thupi pang'onopang'ono.

Kulemba ntchito munthu yemwe akuphunzitseni kukuthandizani pakusintha thupi lanu kumakupatsani chilimbikitso komanso chidziwitso chomwe mungafune kuti muchepetse kunenepa ndikuthandizira kuti minofu yanu ipezeke bwino. Wophunzitsayo ayamba ndi ntchito yotambasula komanso yopepuka ya cardio pa chopondera, kukulitsa kulimba kwa kulimbitsa thupi kwanu momwe dongosolo lanu laminyewa limakhalira.

 

Chithandizo Cha Amankhwala Cha kunenepa Kwambiri

Anthu ena onenepa kwambiri komanso onenepa kwambiri sangayankhe mofanana ndi kudya mopitirira malire komanso kuchita masewera olimbitsa thupi monga ena. Ngati mukuvutika kuti muchepetse thupi, mungafunike chithandizo chamankhwala kuti chikuthandizeni kusiya mafuta ochulukirapo m'thupi lanu.

 

Mankhwala Mankhwala Ochepetsa Thupi

Anthu onenepa kwambiri omwe ali ndi ma BMIs opitilira 30 angafunike mankhwala ochepetsa kulemera kuti awathandize kulumpha kagayidwe, kupangitsa kuti achepetse kunenepa.

Matenda a kagayidwe kachakudya ndi gulu la zovuta zamagulu azaumoyo. Kuphatikiza kwa zovuta izi kumachepetsa kuchuluka kwa kagayidwe kachakudya mwa munthu amene wakhudzidwa. Chifukwa chake, ali ndi vuto lochepetsa thupi, ngakhale atakhala ndi zakudya zopanikiza, kuchita masewera olimbitsa thupi, komanso kugwiritsa ntchito zowonjezera zowonjezera.

Malinga ndi akatswiri azaumoyo, mankhwala ochepetsa thupi ndiabwino kwa anthu omwe ali ndi vuto lakuthupi, monga dyslipidemia, kuthamanga kwa magazi (matenda oopsa), kapena matenda amtundu wa chiwindi.

Kukhazikitsa mankhwalawa limodzi ndi pulogalamu yathanzi komanso zolimbitsa thupi kumathandizira kulimbitsa thupi. Zotsatira zake, wodwala wosamvera ayamba kuwona kuchepa kwa thupi.

 

Kodi Mankhwala Oletsa Kunenepa Kwambiri Ndiotani Ndipo Amagwira Ntchito Motani?

Mankhwala oletsa kunenepa kwambiri amathandizira akatswiri azachipatala kuthana ndi kunenepa mwa anthu omwe akukhudzidwa. Dokotala wanu adzakuyesani kuti muwone ngati mungakwanitse kumwa mankhwala ochepetsa thupi. Madokotala amapatsa odwala omwe ali ndi imodzi mwazinthu zotsatirazi mankhwala osokoneza bongo.

• Nthawi zambiri, mudzakhala ndi BMI yoposa 30.
• Muli ndi BMI yopitilira 27, yokhala ndi zovuta monga kuthamanga kwa magazi ndi matenda ashuga.

Mukakambirana ndi dokotala wanu za kuchepa kwanu, adzakufunsani kuti muwone ngati ndinu woyenera kugwiritsa ntchito mankhwala osokoneza bongo. Dokotala amapyola m'mbiri yanu yazachipatala, ndikukufunsani mafunso ofunika okhudzana ndi thanzi lanu.

Ngati ndinu woyenera, dokotala wanu atero; pitani pazabwino ndi zoyipa zogwiritsa ntchito mankhwala ochepetsa thupi pulogalamu yanu.

Ndikofunika kuzindikira kuti mankhwala ochepetsa thupi siabwino kuti agwiritsidwe ntchito pazochitika zonse. Mwachitsanzo, amayi apakati, kapena omwe akuyesera kutenga pakati, ayenera kupewa kugwiritsa ntchito mankhwala osokoneza bongo. Izi zimatha kukhudza kukula kwa fetus ndipo zimatha kusokonekera nthawi zina.

 

Kodi Mankhwala Ochepetsa Kunenepa Amagwira Ntchito Bwanji?

Mankhwala oletsa kunenepa kwambiri amavomerezedwa ndi FDA kuti agwiritsidwe ntchito kwakanthawi m'masabata 12 kapena kupitilira apo. Kafukufuku akuwonetsa kuti mankhwalawa amathandizira kwambiri kuchepa thupi poyerekeza ndi ma placebos m'magulu owongolera.

Kuwonjezera mankhwala ochepetsa thupi ngati chida chothandizira pulogalamu yathanzi komanso masewera olimbitsa thupi kumatha kukulitsa kuchepa kwa thupi. Malinga ndi kafukufuku, kuwonjezera kwa mankhwala ochepetsa kunenepa pulogalamu yanu kumatha kukulitsa kuchuluka kwamafuta pofika 3% mpaka 7% pakatha chaka.

Ngakhale izi zitha kumveka ngati kuchuluka kwakuchepa kwamafuta, ndizochuluka kwambiri.

 

Kodi Phindu La Mankhwala Ochepetsa Thupi Ndi Chiyani?

Mankhwala oletsa kunenepa kwambiri ali ndi maubwino angapo pakuchepetsa kuchuluka kwa kunenepa kwambiri komanso kunenepa kwambiri. Kuphatikiza mankhwalawa ndi zakudya zopatsa thanzi, kuchepa kwa kalori, ndi pulogalamu yochita masewera olimbitsa thupi, wodwalayo amayamba kuchepa msanga.

Nthawi zambiri, anthu onenepa kwambiri omwe amagwiritsa ntchito mankhwala ochepetsa thupi limodzi ndi thanzi lawo amakumana ndi kuchuluka kwa mafuta kwakuchepa kwa 3% mpaka 12% kuposa omwe sakugwiritsa ntchito mankhwalawa. Zotsatira zimasiyanasiyana malinga ndi munthu, koma kafukufuku akuwonetsa kuchepa kwakanthawi kozungulira pafupifupi 10% yama thupi onse m'masabata 12 atayamba mankhwalawa.

Chifukwa cha kuchepa thupi msanga, munthu wonenepa kwambiri amachepetsa shuga m'magazi komanso mafuta m'thupi komanso amachepetsa kuthamanga kwa magazi. Wodwalayo awonanso kusintha kwa kugona bwino, kuyenda molumikizana, komanso mphamvu masana.

Nthawi zambiri, kuwonda kwakukulu kumachitika m'miyezi isanu ndi umodzi yoyambirira yogwiritsa ntchito mankhwalawa.

 

Malangizo Ogwiritsira Ntchito Mankhwala Ochepetsa Thupi

• Nthawi zonse tsatirani malangizo amomwe mungapangire mankhwala ochepetsa thupi omwe adokotala anu adalemba.
• Gulani mankhwala anu ochepetsa kunenepa ku pharmacy yotchuka pa intaneti kapena m'sitolo.
• Gwiritsani ntchito mankhwala ochepetsa thupi ngati muli ndi pulogalamu yathanzi komanso masewera olimbitsa thupi.
• Onetsetsani kuti mukumvetsetsa zotsatira zoyipa komanso zoopsa zomwe zimachitika chifukwa chochepa
• Ngati simukuchepetsa thupi sabata yachitatu pogwiritsa ntchito mankhwala ochepetsa thupi, lipoti kwa dokotala.
• Onetsetsani kuti mumauza adotolo za mankhwala aliwonse ochepetsa thupi kapena zomwe mumamwa.
• Musagwiritse ntchito mankhwala osokoneza bongo ngati muli ndi pakati, mukuyamwitsa, kapena mukuyesera kutenga pakati.

 

Kodi Mitundu Ya Mankhwala Ochepetsa Kunenepa Ndi Chiyani?

Mankhwala oletsa kunenepa kwambiri amabwera m'magulu osiyanasiyana, iliyonse imakhala ndi zida zapadera. Kusankha mankhwala oyenera kuti muchepetse kunenepa ndi kukambirana komwe muyenera kukhala ndi dokotala wanu. Zina mwazofunikira pakumwa mankhwalawa ndi izi.

• Ubwino wochepetsa mankhwala osokoneza bongo.
• Kuchepetsa thupi Zotsatira zamankhwala osokoneza bongo.
• Mkhalidwe wanu wathanzi.
• Ndondomeko yanu yapano yamankhwala.
• Mbiri yanu yazachipatala.

Dokotala wanu adzayankha mafunso onsewa ndi ena akakuyesani ngati mungachepetse mankhwala.

Ndikofunika kuzindikira kuti sikuti aliyense ndi woyenera kulandira mankhwala ochepetsa thupi. Kutenga mtundu uliwonse wamankhwala ochepetsa kulemera kwanu popanda chilolezo cha dokotala ndichopusa komanso choopsa.

 

Ndi mankhwala ati omwe FDA imavomereza kuwonda?

Ngakhale pali mankhwala ambiri olimbana ndi kunenepa kwambiri, ndi owerengeka okha omwe amavomereza FDA. Kuyambira mu 2021, a FDA amavomereza mankhwala anayi otsatirawa kuti agwiritsidwe ntchito pochepetsa thupi.

• Orlistat (Xenical, Alli)
• Sibutramine
• Cetilistat
• Mankhwala a Lorcaserin Hydrochloride

A FDA pano akuyesa kuthandizira ndi chitetezo cha mankhwala achisanu ndi chimodzi, setmelanotide (IMCIVREE). Mgwirizanowu ndi woyenera kugwiritsidwa ntchito mwa anthu onenepa kwambiri omwe ali ndi vuto losabadwa la chibadwa. Komabe, adotolo akuyenera kuyesa zovuta izi asanavomereze kuti mugwiritse ntchito mankhwalawa pulogalamu yanu yochepetsa thupi.

Odwala atha kugwiritsa ntchito iliyonse mwa mankhwala asanu ovomerezeka a FDA omwe amalemetsa kulemera kwawo akapeza zotsatira zowoneka bwino ndipo osakhala ndi zovuta zoyipa zilizonse. Mavitaminiwa omwe amaletsa chilakolako chogwiritsa ntchito ogwiritsa ntchito amangoyenera kugwiritsidwa ntchito kwakanthawi m'masabata a 12.

 

Mankhwala Otchuka 4 Ochepetsa Thupi Padziko Lonse Pochiza Anthu Onenepa Ndi Anthu Olemera Kwambiri

Orlistat

Orlistat (Alli) ndi mankhwala omwe amagulitsidwa popanda mankhwala. Kafukufuku akuwonetsa kuti Orlistat imathandizira kwambiri kulemera kwa anthu onenepa mukamagwiritsidwa ntchito limodzi ndi pulogalamu yathanzi komanso masewera olimbitsa thupi. Kafukufukuyu akuwonetsanso kuti Orlistat ithandizira kutayika kwamafuta poyerekeza ndi kusagwiritsa ntchito mankhwalawa.

Mankhwala ochepetsa kunenepa kwambiri ndi oyenera kunenepa kwambiri komanso achikulire omwe ali ndi zaka zopitilira 18. Mankhwalawa ndi othandiza akagwiritsidwa ntchito limodzi ndi kuchepa kwa kalori, ndipo imagwira bwino ntchito ndi chakudya chamafuta ochepa. Xenical ndi mtundu wamphamvu wa Alli, womwe umapezeka kudzera mu mankhwala.

Orlistat ndiyofunikanso kugwiritsidwa ntchito kwa anthu omwe akuchitidwa opaleshoni yochepetsa thupi. Mankhwalawa amathandiza thupi kuthana ndi zovuta zomwe zimachitika pambuyo poti achite opaleshoni, kuwonetsetsa kuti wodwalayo akupitilizabe kutaya mafuta amthupi. Orlistat ndi gawo la mankhwala omwe amatchedwa "lipase inhibitors." Orlistat imatchinga kuyamwa kwamafuta m'thupi, kutulutsa mafuta aliwonse osatulutsidwa ndi matumbo anu. Ndi chifukwa chake madokotala amapereka mankhwala a orlistat limodzi ndi zakudya zopanda mafuta.

Kafukufuku akuwonetsa kuti Orlistat imachepetsa "mafuta owoneka bwino," malo osungira mafuta omwe amasonkhana kuzungulira pamimba pamunsi komanso zogwirizira zachikondi. Mafuta owoneka bwinowa ndi owopsa ndipo amatha kuyambitsa matenda monga kuthamanga kwa magazi, matenda ashuga, sitiroko, ndi matenda amtima mwa odwala.

 

Cetilistat

Mankhwala odana ndi kunenepa kwambiri ndi njira yoyesera ya kunenepa kwambiri yopangidwa ndi Alizyme. Kampaniyi ya biopharmaceutical idagwirizana ndi Takeda Pharmaceutical kuti apange mankhwalawa, omwe amadziwika kuti "Cetilistat" kapena (ATL-962).

Kugwiritsa ntchito kwa Cetilistat pambali pa zakudya zopatsa thanzi komanso zolimbitsa thupi kumachepetsa ma pancreatic lipases, ngati mankhwala othandiza kwa odwala matenda ashuga kapena dyslipidemia pambali pa kunenepa kwambiri. Monga Orlistat, Cetilistat imayamwa mafuta mu zakudya zanu, ndikuchotsa m'thupi poyenda.

Cetilistat imakhalanso ndi chilakolako champhamvu chosagwiritsa ntchito mankhwala osokoneza bongo. Mayeso azachipatala omwe anachitika pa Cetilistat mu 2008 akuwonetsa kuti amalimbikitsa kuchepa thupi mwa odwala. Kafukufukuyu akuwonetsanso kuti anthu onenepa kwambiri amalekerera Cetilistat, osakhala ndi zotsatirapo zochepa za Cetilistat.

 

Mankhwala a Lorcaserin Hydrochloride

Lorcaserin ndi mankhwala ena odana ndi kunenepa kwambiri omwe angagwiritsidwe ntchito kwa akulu. Kafukufuku akuwonetsa kuti Lorcaserin imathandizira kwambiri kuwonda ndipo imalepheretsa kubwereranso mukamaliza mankhwala. Mwalamulo, sayansi yazachipatala imayika Lorcaserin ngati "serotonin 2C (5-HT2C) receptor agonist."

Sayansi ya zamankhwala sichidziwika bwino pazomwe zimayambitsa kuchepa kwa wodwalayo. Komabe, akatswiri amaganiza kuti Lorcaserin amasankha molandila 5-HT2C mu hypothalamus. Hypothalamus ndi dera laubongo lomwe limayang'anira njala ndi chakudya chanu.

Lorcaserin imayendetsa mapulogalamuwa, kuthandiza wodwalayo kuchepetsa zakudya zawo. Zimatero popanga kumverera kokhuta kale pomwe mukudya. Zotsatira zake, wodwalayo amadzimva kuti wakhuta pomwe akudya chakudya chochepa kuposa momwe amachitira. Njirayi imathandizira kuti munthu wonenepa kwambiri akhalebe ndi vuto la kalori.

Lorcaserin ali ndi mtundu wa mankhwala omwe amayendetsedwa ndi ndandanda ya IV, ndipo amapezeka kudzera mwa dokotala ndi mankhwala. Kafukufuku wina akuwonetsa kuti Lorcaserin itha kuyambitsa kudalira mankhwalawa, motero dokotala adzawunika bwino momwe mungapititsire Lorcaserin.

 

Sibutramine

Sibutramine ndi mankhwala ena ochepetsa thupi omwe amasewera pa ubongo wa ubongo. Sibutramine imatha kusintha machitidwe a ma neurotransmitters muubongo, zomwe zimakhudza kulumikizana pakati paubongo ndi mitsempha yam'mimba.

Kugwiritsa ntchito Sibutramine kumalepheretsa kubwezeretsanso kwa dopamine, norepinephrine, ndi serotonin. Ma neurotransmitters amphamvuwa amapanga chisangalalo muubongo mukamadya zakudya zomwe mumakonda. Zotsatira zake, odwala amawona kuti sakulakalakanso chakudya chomwe amakonda komanso maswiti kapena soda, zomwe zimapangitsa kukhala kosavuta kusintha moyo wawo watsopano.

Sibutramine ndiyothandiza, pomwe odwala ambiri amawona kuchepa kwa 5% mpaka 10% kwa kulemera kwa thupi ndikugwiritsa ntchito kwa miyezi isanu ndi umodzi. Kafukufuku akuwonetsa kuti Sibutramine imagwira ntchito yochepetsa thupi kuposa momwe ingapangitsire mbiri ya lipid (cholesterol) mwa ogwiritsa ntchito.

 

Orlistat vs Cetilistat vs Lorcaserin hydrochloride (HCL), yomwe ndiyabwino kuchepa thupi?

Pankhani yosankha mankhwala olimbana ndi kunenepa kwambiri, muyenera kulankhula ndi dokotala wanu. Timaganiza kuti mankhwala othandiza kwambiri pakuchepetsa kunenepa ndi Orlistat, Cetilistat, ndi Lorcaserin, ndipo tifananitsa mphamvu ya aliyense kuti athetse kunenepa kwambiri.

Orlistat imagwira ntchito pochepetsa kuyamwa kwa mafuta azakudya ndi njira yogaya chakudya. Lorcaserin amachepetsa njala ndi kulakalaka chakudya, ndipo Cetilistat imapereka kuchepa kwa njala komanso kuyamwa pang'ono kwamafuta.

Kafufuzidwe kogwiritsa ntchito mankhwala ochepetsa kunenepa akuwonetsa kuti Lorcaserin ndiwothandiza kwambiri mwa atatuwa pochepetsa kuzungulira kwa m'chiuno pambuyo pakugwiritsa ntchito miyezi 12. Komabe, kafukufuku wina akuwonetsanso kuti pafupifupi 5% ya odwala amasiya kugwiritsa ntchito Orlistat ndi Lorcaserin chifukwa choyambitsa zovuta zoyipa.

Kafukufuku wina anayerekezera zotsatira za Cetilistat ndi Orlistat mwa odwala onenepa omwe ali ndi vuto la matenda ashuga. Pambuyo pa masabata a 12, kuchepa thupi mu gulu la Cetilistat kunali kwakukulu kuposa placebo komanso pafupifupi Orlistat.

Komabe, kafukufukuyu akuwonetsanso kuti zochitika zoyipa ndizofala kwambiri ndi Orlistat, gulu la Orlistat likukula zochitika zowopsa zambiri.

Ponseponse, zikuwoneka kuti Cetilistat ndiye njira yabwinoko. Ogwiritsa ntchito amapeza zovuta zoyipa zochepa ndi zoyipa kwinaku akusungabe zabwino za Orlistat ndi Lorcaserin.

 

FAQ Pazovuta Zamankhwala Ochepetsa Kunenepa

Q: Ndiyenera kuti ndiwone nthawi yayitali bwanji nditagwiritsa ntchito mankhwala ochepetsa thupi?

A: Kutalika kwa chithandizo chanu kumatengera kulekerera kwanu mankhwalawo ndi momwe angakuthandizireni kuti muchepetse thupi. Ngati mukugwiritsa ntchito mankhwala ochepetsa thupi popanda zovuta zilizonse ndikuwona zotsatira, adotolo anu azikupangitsani mpaka mutalengeza zovuta kapena kukwaniritsa zolinga zanu zakuchepetsa.

Mukayamba kugwiritsa ntchito mankhwalawa ndipo mulibe zotsatira zowonekera pakatha milungu itatu kapena inayi pamlingo wathunthu wamankhwala, lankhulani ndi dokotala wanu. Dokotala wanu amatha kusintha mankhwalawa kapena kukulangizani kuti musamwe mankhwala amtundu uliwonse.

Ngati simukuchepetsa thupi mukamamwa mankhwala ochepetsa kunenepa kwambiri, dokotala wanu amatha kusintha pulogalamu yanu yazakudya ndi masewera olimbitsa thupi. Akhozanso kukutumizirani kwa dokotala wa bariatric yemwe angakuyeseni ngati mukuchita opaleshoni ya bariatric kuti muchepetse kunenepa.

Popeza kuti kunenepa kwambiri sikumatha, odwala amafunika kukhala ndi moyo wosatha komanso kusintha kosintha zakudya kuti athe kutha pomwe adayambiranso.

 

Q: Kodi ndiyambanso kunenepa ndikasiya kugwiritsa ntchito mankhwala osokoneza bongo?

A: Odwala amatha kuyembekeza "kubwerera" atasiya kugwiritsa ntchito mankhwalawo. Komabe, nthawi zambiri, wodwalayo sangavutike kusintha mankhwalawo osapitirira mapaundi awiri kapena awiri.

Ndikofunikira kwa odwala kuti azikhala ndi zizolowezi zatsopano zodyera komanso zolimbitsa thupi kuti ziwathandize kulemera atasiya mankhwalawa. Malinga ndi malangizo abizinesi, anthu azichita masewera olimbitsa thupi mphindi 150 mpaka 300 sabata iliyonse. Odwala ayeneranso kuphatikiza kulimbitsa mphamvu pulogalamu yawo yochita masewera olimbitsa thupi kawiri pamlungu.

 

Q: Kodi inshuwaransi yanga itha kulipira mtengo wamankhwala anga oletsa kunenepa kwambiri?

A: Zimatengera kampani yanu ya inshuwaransi komanso mfundo zanu. Nthawi zambiri, onse omwe amapereka inshuwaransi azaumoyo amalipira gawo limodzi la mtengo wa mankhwalawo. Lumikizanani ndi inshuwaransi wanu ndipo muwafunse ngati muli ndi chivundikiro cha mankhwala ochepetsa thupi.

 

Q: Kodi ndichifukwa chiyani akatswiri azachipatala amagwiritsa ntchito mankhwala "opanda chizindikiro" kuti athetse kuwonda?

A: Nthawi zina, madotolo amatha kusankha kugwiritsa ntchito mankhwala ochepetsa kulemera kwina osagwiritsiridwa ntchito ndikuvomerezedwa ndi FDA. Njirayi imadziwika kuti kugwiritsa ntchito mankhwalawa "popanda chizindikiro" Dokotala wanu angakupatseni mankhwala oyenera kuchiza vuto lina ndikuwathandiza kunenepa kwambiri.

Komabe, pali mankhwala ochepa kwambiri oyenera kugwiritsidwa ntchito polemba zilembo pochepetsa thupi. Dokotala wanu angakulimbikitseni imodzi mwa mankhwala anayi ochepetsa kulemera omwe atchulidwa patsamba lino kuti muchepetse pulogalamu yanu. Ndikofunika kuti anthu amvetsetse kuti sayenera kugwiritsa ntchito mankhwala osokoneza bongo osalankhula ndi dokotala za izi.

 

Kodi Gulani Mankhwala Odalirika Ochepetsa Thupi Paintaneti

Mukakumana ndi dokotala wanu, akupatsani mankhwala oti muchepetse kutengera momwe mulili, kuti mudzaze zolemba zanu, muli ndi mwayi wopita ku malo ogulitsira mankhwala kapena mankhwala osokoneza bongo. Kuchepetsa Kunenepa Paintaneti Pharmacy ndiyabwino kwambiri, atha kutumiza mankhwalawo pakhomo panu, ndikupulumutsa nthawi yanu ku sitolo yamankhwala.

Ndi chinthu chofunikira kuti mumangogula mankhwala ochepetsa mphamvu pa intaneti kuchokera kwa omwe amapereka mankhwala osokoneza bongo, komanso mankhwala osokoneza bongo akuyenera kukupatsirani njira yowunika ngati mankhwala ochepetsa kulemera kwawo ali abwino. Musayambe kuitanitsa mankhwala awo kwa ogulitsa pa intaneti osamaliza zinthu zofunika kuzifufuza.

 

Zolemba Zosintha