Ukwelapha ukukhuluphala
-Delile
Ukwelashwa okungcono kakhulu kokukhuluphala kungukudla ukuze unciphise umzimba nokuvivinya umzimba njalo, kepha-ke, uma lokhu kungenzeki, kunezinketho zemithi zokusiza ukunciphisa isifiso sokudla nokudla ngokweqile, njengeSibutramine ne-Orlistat, noma, ekugcineni, i-bariatric ukuhlinzwa, okunciphisa indawo yokumunca ukudla ngomgudu wamathumbu.
Isinyathelo sokuqala, kokubili ukuphatha nokwenqabela ukukhuluphala, kufanele ngaso sonke isikhathi kube ukulawula ukusetshenziswa kwekhalori, kubalwa ngokuya ngokudla okujwayelekile nenani lesisindo ofuna ukusilahla, okungcono ngokudla okunothe izithelo, imifino, i-fiber namanzi, njengokuyalelwa ngungoti wezokudla. Ukuthola ukuthi yikuphi ukudla okufanele kwesisindo okufanele kube yikho, hlola ukudla kwethu okusheshayo futhi okunempilo kokunciphisa umzimba.
Kodwa-ke, ngaphezu kokudla nokusebenza komzimba, ezinye izindlela zokwelapha ukukhuluphala okungaholwa yi-endocrinologist noma i-nutritionologist, zifaka:
1. Imithi yokukhuluphala
Ukusetshenziswa kwemithi yokwelapha ukukhuluphala kuboniswa ezimweni ezilandelayo:
- I-BMI enkulu kune-30kg / m2;
- I-BMI enkulu kune-27kg / m2, nezinye izifo ezihlobene, njengesifo sikashukela, i-cholesterol ephezulu nomfutho wegazi ophezulu;
- Abantu abananoma yiluphi uhlobo lokukhuluphala abangakwazi ukwehlisa isisindo ngokudla nangokuzivocavoca umzimba.
Ukwelashwa kwezidakamizwa kufanele kubhekiswe kubantu ababambe iqhaza ohlelweni lokushintsha indlela yokuphila, ngokuholwa kokudla kanye nokwenza kwemisebenzi, ngoba kungenjalo ngeke kube nomphumela ogculisayo.
Izinketho zemithi yokwehlisa isisindo yilezi:
| Izinhlobo | IZIBONELO | Basebenza kanjani | Okuqhamuka uma udla imishanguzo |
| Ukulambela ukudla | ISibutramine; I-Amfepramone; I-Femproporex. | Zandisa ukusutha futhi zinciphise indlala, enciphisa ukusetshenziswa kwama-calories usuku lonke, ngokwandisa ama-neurotransmitter afana ne-norepinephrine, i-serotonin ne-dopamine. | Ukunyuka kwenhliziyo, ukwanda kwengcindezi yegazi, umlomo owomile, ikhanda elibuhlungu nokuqwasha. |
| Izinciphisi zokumunca emgodini wamathumbu | I-Orlistat | Zivimbela ama-enzyme athile esiswini nasemathunjini, okuvimba ukugayeka nokumuncwa kwengxenye yamafutha ekudleni. | Uhudo, amagesi anukayo. |
| Umphikisi we-CB-1 receptor | URimonabant | Vimba ama-receptors obuchopho ukuvimbela isifiso sokudla, andise ukusutha futhi anciphise ukungafisi ukudla. | Isicanucanu, ukushintsha kwemizwelo, ukucasuka, ukukhathazeka nesiyezi. |
| Thermogenic | Ephedrine | Khulisa izindleko zamandla usuku lonke. | Ukujuluka ngokweqile, ukukhuphuka kwenhliziyo, ukukhuphuka kwengcindezi yegazi. |
Kukhona nemithi esetshenziselwa ukwelapha ezinye izifo ezingasiza ekulweni nokukhuluphala, njenge-anti-depressants, kanti ezinye izibonelo yiFluoxetine, Sertraline neBupropion.
Le mithi ingasetshenziswa kuphela ngokuqondiswa okuqinile kwezokwelapha, okungcono kakhulu nokuhlangenwe nakho ekusetshenzisweni kwalezi zidakamizwa, njengama-endocrinologists kanye ne-nutrologists, ngenxa yenani lemiphumela emibi, edinga ukunakwa nokuqashwa ngezikhathi ezithile.
2. Ukuhlinzwa kwe-Bariatric
Ukuhlinzwa kwe-Bariatric kuboniswe ezimweni ezilandelayo:
- Ukukhuluphala ngokweqile, nge-BMI enkulu kune-40kg / m2;
- Ukukhuluphala okulingene, ne-BMI enkulu kune-35mg / m2, ehlotshaniswa nezifo zokukhuluphala ezingalawulwa, njengesifo sikashukela, i-apnea yokulala, umfutho wegazi ophakeme, i-cholesterol ephezulu, izifo zenhliziyo nemithambo yegazi, isifo sohlangothi, i-arrhythmias ne-osteoarthritis.
Ezinye izinhlobo zokuhlinzwa ezenziwa kakhulu yilezi:
| Thayipha | Kwenziwa kanjani |
| Ibhendi yesisu | Ibhendi eguquguqukayo ibekwa ukunciphisa ubukhulu besisu. |
| Ukudlula esiswini | Kubangela isisu ukuncipha ngokuphambuka okusele kuya emathunjini. |
| I-Biliopancreatic shunt | Iphinde isuse ingxenye yesisu, idale olunye uhlobo lokuphambukisa emathunjini. |
| I-gastrectomy eqondile | Isisu esiningi esibhekele ukumuncwa siyasuswa. |
Enye indlela yenqubo engangeneki kangako ukubekwa kwebhaluni lesikhashana le-intragastric, elikhonjiswe njengesikhuthazo kwabanye abantu ukwehlisa ukusetshenziswa kokudla isikhathi esithile.
Uhlobo lokuhlinzwa olukhonjisiwe kumuntu ngamunye lunqunywa yisiguli ngokuhlangana nodokotela ohlinzayo wesisu, ohlola izidingo zomuntu ngamunye nenqubo efaneleke kahle. Ukuqonda kangcono ukuthi kwenziwa kanjani nokuthi ilulama kanjani ekuhlinzweni kwe-bariatric.
Amathiphu wokungayeki ukwelashwa
Ukwelashwa kokukhuluphala akulula ukulandela ngoba kubandakanya ukushintsha imikhuba yokudla nezindlela zokuphila ezenziwe yisiguli impilo yakho yonke, ngakho-ke amanye amathiphu okusiza ukungayeki ukwelashwa angaba:
- Sungula imigomo yamasonto onke engenzeka ukuyifinyelela;
- Cela isazi sokudla okunomsoco ukuthi silungise indlela yokudla uma kunzima kakhulu ukulandela;
- Khetha ukuzivocavoca umzimba okuthandayo, futhi ukujwayeze njalo. Thola ukuthi iziphi izivivinyo ezinhle kakhulu zokwehlisa isisindo;
- Rekhoda imiphumela, uthathe izilinganiso ephepheni noma ngezithombe zamasonto onke.
Kule vidiyo elandelayo, bona amathiphu abalulekile avela kusazi sokudla ukuze unciphise isisindo kalula:
Esinye isiqondiso esibalulekile sokugcina ukugxila ekwehliseni isisindo ukugcina ukulandelela njalo ngenyanga noma ngekota nokondla nodokotela, ukuze noma ikuphi ubunzima noma izinguquko ngesikhathi sokwelashwa zixazululwe kalula.
Kubalulekile ukukhumbula ukuthi kunezinhlelo zamahhala zokwehlisa isisindo, ezenziwa yizibhedlela zaseyunivesithi ezinenkonzo ye-endocrinology kuzo zonke izifundazwe, futhi kungenzeka ukuthi uthole ngokudluliselwa nokubonisana esikhungweni sezempilo.
Abelana
Okufanele Ukwazi Nge-Hyperspermia
