Iqiniso Elinzima Lokugcina Isisindo sivaliwe

-Delile

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Uma kuziwa ekulahlekelweni isisindo esikhulu, ukulahla amakhilogremu kuyingxenye yempi. Njenganoma ngubani owake wabukwa Ukulahlekelwa Okukhulu Kakhulu uyazi, umsebenzi wangempela uqala ngemuva kokushaya inombolo yakho yomlingo njengoba kuthatha umzamo omkhulu, uma kungenjalo, wokuyigcina. (Futhi, qiniseka ukuthi uyalazi Iqiniso Mayelana Nokuzuza Kwesisindo Ngemva Ukulahlekelwa Okukhulu Kakhulu.)

U-Elna Baker uyazi ukuthi lo mzabalazo ungokoqobo kangakanani. Usomahlaya nombhali muva nje babelane ngodaba lokwehla kwesisindo sakhe esingamakhilogremu ayi-110 ne-podcast ethandwayo Lokhu kuphila kwaseMelika. Ngemva kokukhuluphala ngokweqile noma ukukhuluphala kakhulu ingxenye enkulu yokuphila kwakhe, wagcina enqume ukwehlisa isisindo esanda kweva eminyakeni engamashumi amabili futhi wabhalisa emtholampilo wokuncipha kwesisindo eNew York City. Wehlise amakhilogremu ayi-100 ezinyangeni ezinhlanu nohhafu nje ngokudla ukudla okunempilo, ukuzivocavoca umzimba ... nokuthatha i-phentermine udokotela wakhe amyale ngayo.

I-Phentermine yisidakamizwa esifana ne-amphetamine esasiyingxenye yesisindo esithandwayo sokunciphisa isisindo i-Fen-Phen, esakhishwa emakethe ngo-1997 ngemuva kocwaningo oluthola ukuthi amaphesenti angama-30 abantu abawasebenzisayo babhekana nezinkinga zenhliziyo. I-Phentermine isatholakala ngencwadi kadokotela iyodwa, kodwa manje isithengiswa njengendawo yokwelapha "yesikhashana" yokukhuluphala.

Ekugcineni ezacile, uB Baker wathola ukuthi kwakuyikho konke ayethemba ukuthi kuzoba yikho. Ngokuphazima kweso wayethola amathuba emisebenzi, ethola ezothando, futhi ethola nokudla kwamahhala, konke ngenxa yesibalo sakhe esisha. Ekugcineni wahlinzwa kakhulu okususwa kwesikhumba ukwenza ushintsho lwakhe luphelele. (Ungaphuthelwa: Abesifazane Bangempela Babelana Ngemicabango Yabo Ekuhlinzekeni Kokususa Isikhumba Kokulahlekelwa Isisindo.) Kodwa noma ebambelela ekudleni kwakhe okunempilo nangendlela yokuzivocavoca umzimba, ekugcineni uthole ukuthi isisindo siqale ukubuyela emuva. Ngakho-ke wabuyela kulokho ayazi ukuthi kuyasebenza.

"Nakhu engingakaze ngikutshele abantu. Ngisathatha i-phentermine. Ngiyithatha izinyanga ezimbalwa ngonyaka, noma kwesinye isikhathi kuzwakale sengathi isigamu sonyaka. Angisakwazi ukuyithola ibekiwe, ngakho ngiyayithenga IMexico noma i-inthanethi, yize izinto eziku-inthanethi zingamanga futhi zingasebenzi kahle, "uvumile kulolu hlelo. "Ngiyazi ukuthi kuzwakala kanjani lokhu. Ngazi kahle ukuthi konakele kangakanani."

Kepha kunzima kangakanani ukugcina ukulahleka kwesisindo? Futhi bangaki abantu asebephendukela ezindleleni zokungabi nathemba ezifana nezika-Baker ukuze benze njalo? Ucwaningo luyashayisana, ngisho kancane. Isifundo esisodwa esicashunwa njalo, esishicilelwe ku- I-New England Journal of Medicine, yathola ukuthi abantu abambalwa nje kuya kwababili kwabayikhulu abalahlekelwa isisindo balondoloza ukuncipha eminyakeni emibili edlule, kuyilapho olunye ucwaningo lubeka inani eliseduze namaphesenti amahlanu. Futhi ucwaningo lwe-UCLA luthole ukuthi ingxenye yesithathu yama-dieters empeleni ibuyisa isisindo esikhulu kunalokho ebikulahlekile ekuqaleni. Lezo zinombolo ziphikiswa kakhulu, noma kunjalo, nezinye izifundo, kufaka nalesi esishicilelwe ngu I-American Journal of Nutrition, bethi ukwethuka kudlula ngokweqile nokuthi cishe amaphesenti angama-20 ama-dieters azogcina ukulahlekelwa kwawo isikhathi eside.

Ukudideka okuningi kubonakala kususelwa eqinisweni lokuthi izifundo zabantu ezilawulwa isikhathi eside zokwehlisa isisindo azivamile futhi zibiza kakhulu, ngakho-ke sivame ukusala nezifundo ezincike ekuzibikeni kwakho-futhi abantu bangabaqambimanga ababi uma kuziwa bekhuluma ngesisindo sabo, ukudla abakudlayo, kanye nemikhuba yabo yokuzivocavoca umzimba.

Kodwa noma ngabe iyiphi inombolo oyikhethayo, isashiya okungenani amaphesenti angu-80 abantu esimweni esikhungathekisayo sokubuyisela sonke isisindo abasisebenze kanzima ukuze balahlekelwe. Ngakho-ke akumangazi ukuthi abantu abaningi baphendukela kwizithasiselo ezingabazisayo, amaphilisi emakethe emnyama, kanye nokuphazamiseka kokudla ukugcina isisindo sisukile. Okunye ukuhlola okwenziwa yilomagazini Manje uthi owesifazane oyedwa kwabayisikhombisa uthi basebenzise izidakamizwa, kungaba ngudokotela noma ezingekho emthethweni, ukunciphisa umzimba. Ngaphezu kwalokho, cishe isigamu sathi basebenzise izithako zemithi futhi amaphesenti angama-30 avumile ukuhlanza ngemuva kokudla. Uphenyo olwehlukile lwaveza okungenani ingxenye yokuqhuma emiyalweni ye-ADHD, njengo-Adderall noVyvanse, kanye nokuthandwa kwabo emakethe emnyama, kwaba nomphumela wabo owaziwayo wokunciphisa umzimba.

Ngeshwa, lezi zindlela zonke zineminye imiphumela emibi eyaziwayo esukela ekuncikelweni yisifo kuya ekufeni. Kepha leyo yinani uBaker athi uzimisele ukulikhokha ukugcina amalungelo awazuzile ngokuba mncane. "Bengicabanga ngaphambilini ukuthi [i-phentermine] kungenzeka ithinte impilo yami. Kuzwakala kanjalo," esho. "Angikaze ngamabomu ngisebenzise imiphumela emibi ku-Google."

Akunakwenzeka ukusho ngokuqondile ukuthi bangaki abaphendukela ezinyathelweni ezinzima zokugcina ukwehla kwesisindo njengoba abantu bemanqika ngokuqondakalayo ukutshela abacwaningi (noma bangase baphike) mayelana nokusebenzisa izidakamizwa noma ukuziphatha ngendlela ehlelekile yokudla kodwa indaba ka-Baker ikwenza kucace into eyodwa: Kuyenzeka futhi thina konke kudingeka ukuthi kukhulunywe ngakho ngaphezulu. (Futhi kungekudala, ngoba Kunenkinga Ebucayi Yomhlaba Wonke Yokukhuluphala.)

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