Masiku ano, kunenepa kwambiri komanso kunenepa kwambiri kumakhala mavuto akulu.
Malinga ndi malipoti a mabungwe osiyanasiyana azachipatala, ndizomwe zimapangitsa kuti munthu achepetse thupi kwambiri zomwe ndi zomwe zimakhudza thanzi la anthu.
Zotsatira zake, matenda a mtima ndi mitsempha yamagazi amakula, kuphatikizapo matenda oopsa, shuga. Thanzi la munthu wonenepa limakulirakulira, ndipo mphamvu yake yogwira ntchito imachepa.
Motere, mankhwala adapangidwa omwe amathandizira kuchepetsa thupi. Chimodzi mwazomwe zimachitika ndi mankhwala ngati Orsoten, zotsutsana ndi zoyipa zomwe tikambirana m'nkhaniyi.
Mfundo yogwira ntchito
Mankhwala onse, kudya komwe kumabweretsa kutsika kwa thupi, kumagawika m'magulu awiri. Gulu loyamba - awa ndi othandizira poyambitsa matenda. Gulu lachiwiri ndi mankhwala osalola kuti thupi la munthu lizipanga mafuta a chakudya. Orsoten ndi wa gulu lachiwiri la mankhwala.
Mankhwala Orsoten
Zomwe zimagwiritsidwa ntchito ndi Orsoten ndi Orlistat - chinthu chovuta kupangira mankhwala, chomwe chimasiyanitsa ndizomwe zimachitika ndizokhudza michere yopangidwa ndi thupi la munthu.
Kamodzi m'mimba, Orsoten amamasula chinthu chogwira ntchito, chomwe chimakhudzana ndi lipases, zomwe ndizofunikira pakuchepa kwa mafuta pakudya. Milomo yokhala ndi milomo siyingakhudze chakudya, chifukwa chomwe mafuta sakumizidwa m'makoma am'mimba ndipo osalowa m'magazi. Pambuyo pake, mafuta, limodzi ndi mankhwala omwe amagwira, amachotsedwa m'thupi panthawi yopuma.
Zochita zamankhwala zimakuthandizani kuti mupange kusowa kwamafuta mthupi.
Chifukwa chakuti m'mimba ndi matumbo a munthu sizingatheke kuyamwa mafuta, thupi limayamba kugwiritsa ntchito "zake zokha", ndikugawa zosungika. Chifukwa chake, pali kuchepa kofunikira kwa chiwerengero chawo komanso kuchepa kwa thupi la munthu amene akutenga Orsoten.
Pankhaniyi, zochita za zinthu zimakhala ndi nthawi yayitali. Chowonadi ndi chakuti Orlistat idasweka bwino pansi pa madzi a m'mimba, chifukwa chomwe chinthuchi sichimalowa m'magazi, chatsalira mumgawo wokugaya ndikupitilira kumanga ma enzyme omwe agawa mafuta. Kusinthidwa koteroko kwa mankhwalawa kumachepetsa kutsutsana kwa Orsoten - sikudutsa mu "zosefera" za thupi - chiwindi ndi impso ndipo sizikhala ndi zotsatirapo zosiyanasiyana za thupi la munthu.
Ngakhale maola 8 atatha kuperekera, mankhwalawa sapezeka m'magazi. Mankhwalawa amakonzedwa kokha m'matumbo am'mimba, ndikupanga ochepa omwe sagwira ntchito omwe amakhala ndi zotsika kwambiri pazomwe zimachitika pakukumba. Pamodzi ndi izi, kukhoza kwa Orlistat kulowa m'magazi ofiira, komabe, ochepa kwambiri, adapezeka.
Zisonyezero zamagwiritsidwe ntchito ndi mfundo zoyendetsera
Zizindikiro zazikulu za mankhwalawa ndizomwe zimapangitsa kunenepa kwambiri, kapena kunenepa kwambiri, komwe kumayendera limodzi ndikuwonjezera matenda ena.
Ndikulimbitsa thupi kwambiri zomwe sizingawononge thanzi la wodwalayo, Orsoten nthawi zambiri samasankhidwa.
Ndizovomerezeka kupereka mankhwalawa kwa odwala omwe ali ndi matenda a shuga a 2, limodzi ndi kunenepa kwambiri komanso kunenepa kwambiri. Pankhaniyi, mankhwalawa akuwonetsedwa pamodzi ndi othandizira a shuga. Mankhwala othandizira kunenepa kwambiri odwala matenda ashuga amachitika limodzi ndi zakudya zapadera komanso kuchita masewera olimbitsa thupi.
Mankhwala amatengedwa pakamwa. Mapiritsiwo amatsukidwa ndi madzi ambiri. Kulandila kumachitika musanadye, panthawi ya chakudya komanso mukatha kudya. Kuchuluka kwa Mlingo wa tsiku ndi tsiku kumatengera kangati patsiku lomwe wodwala amadya. Ngati chakudya pazifukwa zina chidina, ndiye kuti kumwa Orsoten sikofunikira.
Mlingo umodzi ndi kapisozi limodzi (120 mg) wa mankhwala Orsoten, kapena makapisozi awiri (60 mg) wa mankhwala Orsoten Slim.
Kuchulukitsa kwa mankhwalawa sikumachitika - kuwonjezeka kwa chinthu chogwira ntchito kulowa mgulu pamiyeso yoposa 120 mg sikuti kumathandizira pakuchiritsa.
Matenda a chiwindi ndi impso, komanso wodwala wachikulire, sindiye chifukwa chosinthira Mlingo pakuchepetsa.
Mankhwalawa amatha nthawi yayitali. Kuchita maphunziro a kumwa mankhwalawa kwa miyezi 24. Kupitilira nthawi yayitali ya chithandizo sikulimbikitsidwa. Maphunziro ochepera kuvomerezeka ndi miyezi itatu.
Contraindication
Ngakhale kuti thupi limawachepetsa, pali ma contraindication omwe amadziwika ndi Orsoten, kukhalapo kwake komwe ndi chifukwa chokana kumwa mankhwalawa.
Chodziwikiratu kwambiri ndi glucose-galactose malabsorption.
Mkhalidwe wamtunduwu ndi cholowa chamtundu, womwe umabweretsa zovuta za kuyamwa kwa michere m'mimba. Ichi ndichifukwa cha kulephera kwa mtundu wamayendedwe omwe akudwala matenda amtunduwu kusamutsa monosaccharides kudzera khoma lamatumbo. Kugwiritsa ntchito Orsoten kungakulitse vutoli ndikupangitsa zotsatira zoyipa ku thanzi la wodwalayo.
Contraindication ndi cholestasis - kuchepa kwa kutuluka kwa ndulu m'mimba chifukwa chakuchepa kwake. Zomwe zimayambitsa cholestasis, kumwa mankhwalawo motsutsana ndi maziko a matendawa ndizoletsedwa - izi zimatha kuperewera kwambiri kwa vitamini.
Simungagwiritsenso ntchito Orsoten pa nthawi yapakati - izi zimatha kusokoneza mwana wosabadwayo.
Sizoletsedwa kugwiritsa ntchito mankhwalawa panthawi yoyamwa. Kuletsa kumeneku sikugwirizana ndi kuthekera kwa zinthu zogwira ntchito zomwe zimayendetsedwa kudzera mkaka - izi siziphatikizidwa.
Kugwiritsa ntchito mankhwalawa kungakhudze mafuta omwe amakhala mkaka, chifukwa chomwe mwana sangalandire michere moyenera.
Sizikulimbikitsidwa kugwiritsa ntchito mankhwalawa kwa anthu ochepera zaka 18. Izi ndichifukwa chosowa kafukufuku pazamankhwala omwe amapezeka ndi ana. Pomaliza, kuphwanya kotsiriza ndi hypersensitivity ku zigawo zikuluzikulu za mankhwalawa - matupi awo sagwirizana, zosokoneza, ndi zina zambiri.
Zotsatira zoyipa
Zotsatira zoyipa zomwe zimapangitsa Orsoten zimagwirizana ndi momwe zimakhudzira matumbo. Kupezeka kwawo ndikosowa ndipo kumadutsa nthawi yofunikira kuchotsa mankhwalawa m'thupi. Zotsatira zoyipa zomwe zimakhala ngati Orsoten zimayamba ndi chakudya chosayenera, chotsatira ndi kugwiritsa ntchito mankhwalawa.
Nthawi zambiri, kulandiridwa kwa Orsoten kumayambitsa:
- kuchuluka kwamatumbo;
- chisangalalo;
- kutulutsa mafuta;
- fecal kulephera.
Kuwonetsera koyenera kwa zotsatira zoyipa nthawi zambiri sikufuna kusintha kwa kusintha kapena kutha kwa maphunzirowo.
Pofuna kuchepetsa mawonekedwe osafunikira a zochita za Orsoten, zakudya zapadera zimagwiritsidwa ntchito. Ndi zakudya zama hypocaloric, pamene kuchuluka kwamafuta sikumaposa 30% ya kuchuluka kwa zopatsa mphamvu, zotsatira zoyipa zimatha m'masiku ochepa.
Mu nthawi yoyamba maphunzirowa, odwala ena amathanso kumva zovuta za mankhwalawa pa mantha am'thupi. Nthawi zina, mutu, chizungulire, ndi mseru zimawonedwa. Nthawi zambiri pamakhala zovuta kugona, maloto osokoneza, nkhawa.
Ngati kuopsa kwa zotsatira zoyipa sikuchepa mkati mwa milungu inayi, kapena kudutsa mu mawonekedwe owopsa, osokoneza bongo, mankhwalawo amayimitsidwa.
Mwambiri, mavuto, ngakhale atachitika mwadzidzidzi, amadziwika ndi njira yofatsa yomwe siyamavutitsa odwala.
Ziwerengero zomwe zimatengedwa zaka zambiri pakumwa mankhwalawa zimalankhula za kulekerera bwino kwa mankhwalawa osiyanasiyana m'magulu. Malinga ndi malipoti, ochepera 9% ya odwala omwe adalembedwa Orsoten adasiya kumwa chifukwa chopanga zovuta.
Kuphatikiza ndi zinthu zina
Orsoten nthawi zambiri amagwiritsidwa ntchito molumikizana ndi mankhwala ochepetsa shuga - kusintha kagayidwe kazomwe amagwiritsa ntchito kumachepetsa kuchuluka kwa shuga m'magazi.
Izi zimabweretsa kufunika koti muchepetsetsetse mankhwala osokoneza bongo a hypoglycemic agents.
Sitikulimbikitsidwa kuti mutenge Orsoten ndi multivitamini. Pakati pa kudya ayenera kupita osachepera maola awiri.
Mothandizana ndi Orsoten ndi Pravastanin. Zotsatira zake, kuchuluka kwa mankhwalawa m'madzi a m'magazi kumatha kuwonjezeka ndi 30%, yomwe imayenera kukumbukiridwa pakumwa mankhwala pamodzi.
Kukumana kwa cyclosporine chifukwa chotenga Orsoten, m'malo mwake, kumachepa. Zomwezi zimawonedwa ndikuphatikiza kwa Orsoten ndi Amiodarone.
Funso lofunikira ndiloti Orsoten ndi mowa ndizogwirizana. Zotsatira zoyipa zakumwa za Orsotenom sizinawoneke.
Ngakhale izi, Orsoten ndi zakumwa za mowa sizabwino: kumwa mankhwalawa motsutsana ndi zakumwa zoledzeretsa kumatha kuchepetsa mphamvu ya mankhwalawa pafupifupi zero.
Chifukwa chake, munthawi yamankhwala tikulimbikitsidwa kumwa kwambiri mowa, komanso osagwirizana - osatinso kumwa mapiritsi. Chingakhale chanzeru kwambiri kukana zakumwa zotere nthawi yonse ya kumwa Orsoten.
Makanema okhudzana nawo
Ndemanga yakuchepetsa thupi za mankhwala Orsoten:
Mwambiri, Orsoten ndi chida chothandiza kunenepa, chogwiritsidwa ntchito limodzi ndi zakudya komanso masewera olimbitsa thupi apadera. Zolemba za mankhwalawa zimapangitsa kuti azichita zambiri pakayendetsedwe ka matenda osokoneza bongo - izi zimathandiza mkhalidwe wa odwala komanso zimachepetsa kufunika kwa mankhwala a insulin.
