Xenalten amathandizira kuchepetsa kulakalaka, amachepetsa chiopsezo chokhala ndi matenda a shuga a 2 ndikuyambitsa njira yopsereza mafuta. Ntchito mankhwalawa kunenepa. Zowonetsedwa kwa odwala akuluakulu.
Dzinalo Losayenerana
Orlistat
ATX
A08AB01
Wopanga amatulutsa mankhwalawo ngati mawonekedwe a makapisozi, orlistat ndiye chinthu chachikulu chomwe chimafotokozera zotsatira za mankhwalawa.
Kutulutsa mafomu ndi kapangidwe kake
Wopangayo amatulutsa zinthuzo ngati makapisozi. Orlistat ndiye chinthu chachikulu chomwe chimatsimikizira mphamvu ya mankhwalawa.
Zotsatira za pharmacological
Mankhwala linalake ndipo tikulephera ntchito ya lipases. Enzulo amalephera kuletsa mafuta. Zakudya zama calorie zimachepa, ndipo mafuta amatsitsidwa ndi ndowe. Pali kuchepa kwa thupi.
Pharmacokinetics
Sichotseredwa m'mimba. Sipezeka m'madzi a m'magazi ndipo sadziunjikira m'thupi. Amamanga mapuloteni a plasma ndikulowa m'magazi ofiira a m'magazi. Biotransformed khoma la m'mimba thirakiti ndipo chimbudzi ndi ndowe.
Zizindikiro zogwiritsidwa ntchito
Mankhwala amathandizidwa kuti athandizidwe komanso kupewa kunenepa kwambiri ndi BMI ya ≥30 kg / m² kapena ≥28 kg / m² palimodzi ndi zakudya. Itha kugwiritsidwa ntchito kumbuyo kwa mtundu wa matenda ashuga a 2 shuga, cholesterol yayikulu ya plasma, ochepa matenda oopsa.
Mankhwala amapatsidwa mankhwala ochizira komanso kupewa kunenepa kuphatikiza ndi zakudya.
Contraindication
Sizoletsedwa kutenga makapisozi paz matenda ndi mikhalidwe ina:
- matumbo malabsorption syndrome;
- Hypersensitivity zigawo zikuluzikulu za mankhwala;
- kusayenda kwa bile;
- mimba
- yoyamwitsa.
Amakanizidwa kuti ayambe kulandira chithandizo ngati wodwala ali ndi zaka 18.
Ndi chisamaliro
Chenjezo liyenera kuchitidwa mu oxalate-calcium crystalluria ndi matenda a impso.
Momwe mungatenge Xenalten
120 mg amatengedwa musanadye chilichonse (osapitirira katatu pa tsiku). Mutha kutenga kapisozi mukatha kudya, koma osapitirira mphindi 60. Ngati chakudyacho chilibe mafuta, mutha kudumphira phwando. Kutalika kwa mankhwala kumatsimikiziridwa ndi adokotala.
120 mg imatengedwa musanadye chilichonse (osapitirira katatu pa tsiku), mutha kumwa kapisozi mukatha kudya, osapitirira mphindi 60.
Ndi matenda ashuga
Muyenera kutenga malinga ndi malangizo. Kupitilira muyeso wolimbikirayo sikukula.
Zotsatira zoyipa za Xenalten
Pa nthawi ya kukonzekera, mavuto akhoza kuchitika omwe amatha mankhwala atatha.
Matumbo
Stool imakhala mafuta mpaka kutsegula m'mimba. Nthawi zambiri pamakhala kusefukira, kupweteka pamimba.
Kuchokera ku chitetezo chamthupi
Chipangizocho chimatha kuyambitsa mavuto: kuyabwa kwa khungu, kutupa kwa minofu yolumikizira, kufinya kwa lumen ya bronchi, anaphylactic.
Pakati mantha dongosolo
Kutopa, kuda nkhawa, kupweteka mutu.
Kuchokera kwamikodzo
Matenda amtundu wa urinary amatha kuoneka.
Kuchokera ku kupuma
Pa mankhwala, chapamwamba komanso chochepa kupuma ndimatenda a matendawa. Maonekedwe a chifuwa akuwonetsa matenda opatsirana.
Pa mbali ya chiwindi ndi biliary thirakiti
Nthawi zina, zochitika zamchere phosphatase ndi hepatic transaminases zimachuluka.
Kuchokera impso ndi kwamikodzo
Nthawi zambiri - matenda opatsirana a impso ndi kwamikodzo thirakiti.
Zokhudza mphamvu pakuwongolera njira
Mankhwala sasokoneza kuthekera kwa kayendetsedwe ka machitidwe.
Malangizo apadera
Panthawi ya chithandizo, muyenera kutsatira zakudya komanso kuchepetsa kudya zamafuta. Kupanda kutero, zotsatira zoyipa kuchokera m'matumbo am'mimba zitha kuwoneka. Ndikofunika kusewera masewera ndikuchita maphunziro olimbikira kuti mukwaniritse zotsatira zabwino.
Kuperewera kwa zotsatira pambuyo pa miyezi 3 ya chithandizo ndi mwayi wofunsa dokotala. Njira ya mankhwala sayenera upambana 2 zaka.
Pamaso pa anorexia manthaosa ndi bulimia, amatha kutheka kwa mankhwalawa.
Amayi amafunika kugwiritsa ntchito njira zakulera panthawi yamankhwala, chifukwa chiopsezo cha kutenga pakati mosakonzekera chawonjezereka.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Chida sichigwiritsidwa ntchito panthawi yapakati. Ndikofunika kuti musiye kudyetsa musanayambe mankhwala.
Kuikidwa kwa Xenalten kwa ana
Mpaka zaka 18, mankhwalawa amatsutsana.
Gwiritsani ntchito mu ukalamba
Palibe deta pakugwiritsa ntchito mukalamba.
The ntchito aimpso kuwonongeka
Ngati muli ndi matenda a impso ndi oxalate nephropathy, muyenera kufunsa dokotala musanatenge.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Ngati cholestasis wapezeka motsutsana maziko aimpso chiwindi ntchito, mankhwala contraindication.
Xenalten bongo
Mankhwalawa samayambitsa zizindikiro zapadera ngati mulingo ukuwonjezeka.
Kuchita ndi mankhwala ena
Mankhwala amakhudzana ndi mankhwala ena motere:
- Kukonzekera kwa multivitamin kuyenera kutengedwa maola awiri musanayambe kapena mutamwa mankhwalawa kuti muchepetse thupi;
- kuphatikiza pamodzi ndi cyclosporine osavomerezeka;
- mankhwala kumawonjezera ndende ya Pravastatin mu madzi am`magazi;
- Amiodarone ndi Orlistat ayenera kumwedwa mosamala;
- Acarbose ali osavomerezeka pa mankhwala.
Kuchepetsa kwambiri kwa othandizira a hypoglycemic kungakhale kofunikira.
Kuyenderana ndi mowa
Ndi kumwa zakumwa zoledzeretsa, zotsatira zoyipa za m'mimba zimatha kukulirakulira.
Analogi
Ngati mankhwala alibe mankhwala, mutha kugula analog:
- Xenical
- Orsoten;
- Orlistat.
Mankhwala omwewo amatha kuyambitsa zovuta, chifukwa chake ndibwino kukaonana ndi dokotala musanagwiritse ntchito.
Kupita kwina mankhwala
Kuchipatala muyenera kupereka mankhwala kuchokera kwa dokotala.
Kodi ndingagule popanda kulandira mankhwala?
Tchuthi chotsutsana nchotheka ndikamaitanitsa pa intaneti.
Zochuluka motani
Mtengo wa mankhwala ku Russia umasiyana kuchokera ku ruble 1,500. mpaka 2000 rub.
Zosungidwa zamankhwala
Ndikwabwino kusungiratu zinthuzo pamatenthedwe ake oyambira kutentha mpaka + 25 ° C.
Tsiku lotha ntchito
Moyo wa alumali ndi zaka 2.
Ndi kumwa zakumwa zoledzeretsa, zotsatira zoyipa za m'mimba zimatha kukulirakulira.
Wopanga
CJSC Pharmaceutical Enterprise Obolenskoye, Russia.
Ndemanga za Xenalten
Chidacho chimathandizira odwala kuchepa thupi, komanso kuchepa kwa cholesterol ndi shuga m'magazi. Ndemanga zoyipa zimasiyidwa ndi odwala omwe sakanatha kuchepetsa kulemera kwakumbuyo ka vuto la mahomoni ndi zina zomwe zimapangitsa.
Madokotala
Evgenia Stanislavskaya, gastroenterologist
Mankhwalawa amaloledwa ndi odwala. Nthawi zina, kusefukira kwam'mimba, kupweteka kwam'mimba ndi chimbudzi zotayirira zimawonekera, koma zizindikirazi zimatha zokha. Ngati chakudyacho sichikhala chamafuta, mutha kudumphira kumwa mapiritsiwo, kenako ndikupitilira malingana ndi chiwembucho. Ngati mukulephera, muyenera kufunsa dokotala ndikuyezetsa.
Igor Makarov, wothandizira zakudya
Chombocho sichimavulaza thupi komanso chimachotsa mapaundi owonjezera. Chithandizo chiyenera kukhala chokwanira. Muyenera kupita kumasewera ndikudya moyenera. Mankhwalawa amathandizira kuchepetsa thupi komanso kuchepetsa ngozi ya matenda ashuga. Itha kutengedwa ndi matenda a shuga pakuchepetsa thupi komanso kuchepetsa kuchuluka kwa glucose kuphatikiza ndi Metformin ndi ena. Ngati pambuyo pa miyezi itatu sizotheka kutaya 5% yalemu wonse wamthupi, phwando limayimitsidwa.
Ngati mankhwala alibe Xenalten, mutha kugula analog mwachitsanzo, Orsoten.
Odwala
Elena, wazaka 29
Mothandizidwa ndi chida ichi lidayamba kuchepa thupi ndi 3.5 makilogalamu pamwezi. Sanachitenso khama, koma adayamba kudya zakudya zochepa, zomwe zimakhala ndi mafuta. Pa tsiku lachiwiri lolembetsa, ndinazindikira kuti chopondacho chimakhala mafuta, nthawi zina mpweya unkasokoneza. Mankhwala amalimbana ndi chilakolako cha kudya. Ndikukonzekera kumwa mankhwalawa kwa miyezi isanu ndi umodzi. Ndili wokondwa ndi zotsatira zake.
Kuchepetsa thupi
Maryana, wazaka 37
Orlistat Akrikhin adayamba kutenga atabadwa. Ndinagula mankhwala osokoneza bongo popanda mankhwala ndipo ndinayamba kumwa piritsi limodzi katatu patsiku ndikudya. Kwa miyezi 4 ndinataya 7 kg. Kuphatikiza apo anachita masewera olimbitsa thupi aerobic. Zotsatira zoyipa, ndinazindikira kusowa kwam'mimba, komwe kunayima pakatha milungu iwiri. Ndikumva bwino ndipo sindiyima pamenepo.
Larisa, wazaka 40
Ndinawerenga ndemangazo ndikuganiza zogula mankhwalawo. Ndinkamwa mapaketi awiri molingana ndi malangizo, koma pansi pa 95 makilogalamu, kulemera kwake sikuchepa. Posachedwa, chidutswa cha dzino latha - mankhwalawa salola kuti mavitamini ndi mchere azitha kulowa mosavuta. Ndinaganiza zosiya kumwa ndikuyesa njira zina.
