Amaphilisi Wokudla: Ingabe Ayasebenza Ngempela?

-Delile

• Ngabe amaphilisi okudla ayimpendulo?
• Ukuphikisana kwamaphilisi okudla
• Amaphilisi okudla avunyelwe yi-FDA
• Ingabe kufanele ucabangele ukuthatha amaphilisi okudla?

Ukukhuphuka kokudla

Ukuthakazelisa kwethu ukudla kungaqedwa ukukhathazeka kwethu ngokunciphisa umzimba. Ukwehla kwesisindo kuvame ukugqamisa uhlu uma kukhulunywa ngezinqumo Zonyaka Omusha. Ngenxa yokuthandwa kwemikhiqizo nezinhlelo zokwehlisa isisindo, izikhwama zemali zaseMelika nazo zithola ukuncipha kwezigidigidi zamadola unyaka nonyaka.

Siphila ezweni lapho abantu abaningi bephendukela ezinyathelweni ezeqile zokwehlisa isisindo. Kulesi simo sezulu, imikhiqizo ethembisa ukwehlisa isisindo ngokweqile noma ngokushesha idale ukusola nokuphikisana okukhulu.

Kunomehluko phakathi kwezithasiselo zokwehlisa isisindo ezingalawulwa, nemithi evunyelwe yi-Food and Drug Administration (FDA) ukusiza abantu banciphise isisindo. Abanye abantu bangazuza ngokusebenzisa le mithi evunyelwe yi-FDA ngaphansi kweso labo kadokotela, uma futhi belandela ukudla okunempilo nokuzivocavoca umzimba njalo. Nakhu okumele ukwazi mayelana nalawa okuthiwa amaphilisi okudla.

Ngabe amaphilisi okudla ayimpendulo?

Ochwepheshe abaningi bezempilo bayavuma ukuthi indlela enempilo kakhulu yokwehlisa isisindo ukuzivocavoca umzimba njalo nokudla ukudla okunomsoco okwanele kwezingxenye zokudla okunempilo. Ukuqonda nokuguqula isimo sakho sengqondo ngokudla nakho kubalulekile ekunciphiseni isisindo.

Ngokweziqondiso ezivela ku-American Heart Association nase-American College of Cardiology, inhlanganisela yokudla okunempilo, ukuvivinya umzimba okwandayo, kanye nokwelashwa kokuziphatha kungasiza abantu ukuthi balahlekelwe ngamaphesenti ama-5 kuye kwayi-10 esisindo sabo ezinyangeni zabo eziyisithupha zokuqala zokwelashwa.

Kodwa kwabanye abantu, lokhu akwanele. Udokotela wakho angakusiza ukuthi unqume ukuthi ungumuntu olungele ukuthola imishanguzo yokwehlisa isisindo kadokotela, evame ukubizwa ngamaphilisi okudla. Ngokweziqondiso, zingakulungela kahle uma:

• unenkomba yomzimba (BMI) engama-30 noma ngaphezulu
• bane-BMI engama-27 noma ngaphezulu nezimo zezempilo ezihlobene nokukhuluphala
• angikwazanga ukwehla iphawundi elilodwa ngeviki ngemuva kwezinyanga eziyisithupha zokushintsha kokudla, ukuvivinya umzimba nokuziphatha

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo zihlinzeka ngokukusiza ukunquma i-BMI yakho. Inkomba inikeza isilinganiso samafutha omzimba wakho ngokuya ngesisindo sakho nokuphakama kwakho. Uma unemisipha kakhulu, ingahle inganikeli inkomba enembile yesimo sakho sesisindo. Buza udokotela wakho mayelana nendlela engcono yokubala isimo sakho.

Ezimweni eziningi, abesifazane abakhulelwe, intsha, nezingane akufanele bathathe amaphilisi okudla.

Ukuphikisana kwamaphilisi okudla

Imithi yokwehlisa isisindo iphikisana kakhulu. Imikhiqizo eminingi isusiwe emakethe ngemuva kokudala izinkinga ezinkulu zempilo. Enye yezinto ezidume kakhulu kwakuyinhlanganisela ye-fenfluramine ne-phentermine eyayimakethwa njenge-Fen-Phen. Lo mkhiqizo wawuxhunyaniswe nokufa okuningana, kanye namacala we-pulmonary hypertension kanye nama-valve wenhliziyo awonakele. Ngaphansi kwengcindezi evela ku-, abakhiqizi bakhipha umkhiqizo emakethe.

Ngenxa yalo mlando nemiphumela emibi ehambisana nemithi yokwehlisa isisindo, odokotela abaningi abathandi ukuyinikeza. UDkt.URomy Block, ongudokotela osebenza ngemithambo yegazi osebenza eSkokie, e-Illinois, uthi: “Ngiyayinikeza imishanguzo yokudla ngezikhathi ezithile, kodwa ngiyanqikaza. Kunemiphumela engemihle eminingi okudingeka ibhekwe, kufaka phakathi umfutho wegazi, isigqi senhliziyo, nomoya. ”

UBlock wengeza ukuthi abantu abaningi balahlekelwa kuphela amakhilogremu ama-5 kuye kwayi-10 ekuthatheni imishanguzo yokwehlisa isisindo. “Lokhu kubhekwa njengokubalulekile ngabezempilo, kodwa kuyaphoxa kakhulu ezigulini. Ngeshwa, lokhu kwehla kwesisindo okuncane kutholakala ngokushesha lapho iziguli ziyeka imithi. ”

Amaphilisi okudla avunyelwe yi-FDA

Imithi yokwehlisa isisindo isebenza ngezindlela ezahlukene. Iningi licindezela isifiso sakho sokudla noma linciphise amandla omzimba wakho wokumunca amafutha ekudleni. Imithi ethile elwa nokudangala, isifo sikashukela, kanye ne-anti-seizure kwesinye isikhathi iyabekwa ukusiza nokuncipha kwesisindo.

Ukusetshenziswa kwesikhashana, i-FDA ivume le mithi elandelayo yokwehlisa isisindo:

• i-phendimetrazine (Bontril)
• i-diethylpropion (iTenuate)
• i-benzphetamine (Didrex)
• phentermine (Adipex-P, Fastin)

Ukusetshenziswa kwesikhathi eside, i-FDA ivume le mithi elandelayo:

• i-orlistat (Xenical, Alli)
• phentermine / topiramate (Qsymia)
• naltrexone / bupropion (Contrave)
• i-liraglutide (Saxenda)

NgoFebhuwari 2020, i-Food and Drug Administration (FDA) yacela ukuthi i-lorcaserin (Belviq) yesisindo sokulahla isisindo isuswe emakethe yase-U.S. Lokhu kungenxa yokwanda kwamacala omdlavuza kubantu abathathe iBelviq ngokuqhathaniswa ne-placebo. Uma unqunyelwe noma uthatha uBelviq, yeka ukuthatha lesi sidakamizwa bese ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana namanye amasu wokulawulwa kwesisindo.

Funda kabanzi ngokuhoxa nalapha.

Ingabe kufanele ucabangele ukuthatha amaphilisi okudla?

Qaphela imikhiqizo ethembisa ukunciphisa isisindo ngokushesha futhi okulula. Izengezo ezithengiswa ekhawunteni azilawulwa yi-FDA. Ngokwe-FDA, iningi laleyo mikhiqizo ayisebenzi, kanti eminye yayo iyingozi. Abalawuli be-Federal bathole imikhiqizo emakethwa njengezithasiselo zokudla eziqukethe izidakamizwa ezingavunyelwe ukusetshenziswa e-United States.

Amaphilisi okudla okwehlisa isisindo avunyelwe yi-FDA akuyona inhlamvu yomlingo yokwehlisa isisindo. Ngeke zisebenzele wonke umuntu, bonke banemiphumela engemihle, futhi akekho noyedwa kubo ongenabo ubungozi. Kepha izinzuzo ezinesizotha abazinikezayo zingadlula izingozi uma izingozi zakho zezempilo ezihlobene nokukhuluphala zibalulekile.

Buza udokotela wakho ukuthi imishanguzo kadokotela yokwehlisa isisindo ilungile yini kuwe. Udokotela wakho anganikeza imininingwane eminingi ngamasu aphephile futhi asebenzayo wokunciphisa amakhilogremu amaningi nokugcina isisindo esinempilo.