2021 Wepamusoro Mukurumbira Wokurasikirwa Nehuremu Zvinodhaka & Zvekuwedzeredza Zvekurapa Kufutisa, Ndevapi Vanoshanda Zvakanakisa?

 

Uri kufuta here kana kufutisa? Iwe unoshuvira here kuti ungarasikirwe nehuremu hwemuviri kutakura kwako kutenderera zuva nezuva? Kufutisa uye vanhu vakafutisa vari panjodzi yekukudziridza huwandu hweshutu mamiriro ehutano ayo anoderedza zvakanyanya hupenyu hwehupenyu mumunhu.

Vanhu vazhinji vanofutisa vanozopedzisira vasarudza kuyedza uye kuonda. Zvisinei, kuunza kudya uye kurovedza muviri kune zvezuva nezuva kwakaoma, uye vanhu vazhinji vanoona kuti havagone kurarama maererano nekuzvipira. Vamwe vanoona kuti havagone kuratidzika sevanoregedza huremu hwakawandisa zvisinei nekugadziriswa kwekudya uye kurovedza muviri.

Kufutisa kana kufutisa vanhu vanorwira uremu vangangoda rubatsiro rwemishonga. Kurera uremu zvinodhaka ndinokupa iwe nemhinduro kune yako uremu hwekuedza. FDA-inogamuchirwa kurema kurasikirwa nemishonga inogona kukubatsira iwe kudurura huremu hunowedzera huremu, kudzorera muviri wako kune hutano BMI.

Iyi posvo inoburitsa zvese zvaunoda kuti uzive nezvazvo kurema kurasikirwa nemishonga. Tichatarisa mhando yehuremu hwemishonga, kushanda, kuchengetedzeka, uye mhedzisiro iwe yaunogona kutarisira kana uchishandisa uremu makomputa.

 

Kufutisa Chii?

Kufutisa idambudziko hombe (ndokumbirawo uregerere iyo pun). Kazhinji, kufutisa kwakazara munzvimbo dzekumadokero dzakasimukira hupfumi, neAmerica ichitungamira nyika yemahara muzviitiko zvekufutisa pahuwandu hwevanhu. Iyo indasitiri yehutano inoratidzira vanhu vakafutisa sevanhu vane Body Mass Index (BMI) yemakumi matatu kana anodarika. Kufutisa vanhu vane maBMI ari pakati pe30 kusvika 25.

Iyo Body Mass Index (BMI) chiyero chehuremu hwemuviri maererano nehurefu. Kune akawanda online macalculator anokupa iwe yakapusa nzira yekuverenga yako BMI. Kunzwisisa yako BMI uye kuti inoenderana sei nehutano hwako kunokupa iwe pfungwa yehutano hutano kune hupenyu hwako.

Kana iwe ukabvunza kune anokwanisa chikafu, vanozoverenga yako BMI uye voongorora njodzi kuhutano hwako. Ivo vanogona zvakare kukurudzira chirongwa cheshanduko yekudya uye kuunzwa kwekurovedza muviri kudzikisa mafuta emuviri uye kudzorera muviri wako kune hutano BMI.

Kazhinji, nyanzvi yako yekudya zvinovaka muviri kana nyanzvi yehutano anozogadzira chikafu uye chirongwa chekurovedza muviri kuti uwanezve hutano hwako. Nekudaro, vamwe vanhu vanogona kuwana vaine kusagadzikana kwemagetsi, senge metabolic syndrome, iyo inokanda iwe parwendo rwako rwekudzikira uremu.

Kana zvirizvo, nyanzvi yehutano kana chiremba anogona kuraira kurema kurasikirwa nemishonga pamwe chete nedhayeti yako uye chirongwa chekurovedza muviri.

 

Kufutisa - Chidimbu

Kufutisa chirwere chisingaperi chinokanganisa vana pavanhu gumi vemuAmerica. Anenge mumwe pagumi veAmerica vari kubata nemhedzisiro yekufutisa kwakanyanya pahupenyu hwavo. Vazhinji vezvehutano vanotenda kuti kufutisa kuri kuita chimwe chirwere muvanhu veAmerica.

Ichi chirwere kutyisidzira kwakakomba kune hutano hwevanhu vazhinji vekuAmerican, tichifunga nezvevanhu vanosvika mamirioni mana vanorema vanofa nematambudziko ane chekuita nemamiriro ezvinhu gore rega rega.

Nehurombo, iwo mwero wekufutisa muvana nevakuru unoramba uchikwira. Pakati pa1975 kusvika 2016, mwero wekufutisa muvana nevechidiki wakawedzera zvakapetwa kanokwana muhuwandu hwepasi rose, uchifambira mberi kubva pa4% kusvika pa18%.

Saka, chii chinotungamira kufutisa muhuwandu hwevanhu? Nhasi, vanhu vazhinji vakafutisa kana kufutisa mumatunhu ese epasi, kunze kweAsia neSub-Sahara Africa. Nyanzvi pakutanga dzaifunga kuti nyaya yekufutisa yakabva kune dzakasimukira hupfumi uko vanhu vane mukana wakakwira wekusarudza chikafu chisina kunaka uye mari yakawanda inoraswa.

Nekudaro, zviitiko zvekuwedzeredza uye kufutisa vanhu zviri kuwedzera mumatunhu emadhorobha mune hupfumi huri kusimukira. Nhasi, ruzhinji rwevana vakafutisa uye vakafutisa vanogara munyika dzakaderera nedzepakati. Zvinoenderana nekutsvagisa, mitengo yekufutisa mumatunhu aya iri makumi matatu muzana kupfuura kumadokero kwenyika.

 

Ndezvipi Zviratidzo zveKufutisa?

kufutisa hazviitike nehusiku, iko kuwanda kwemakore ekurarama zvisina hutano. Vanhu vazhinji vanotanga kuwedzera uremu havazvizive pakutanga, kana kuti havana hanya nazvo. Zvisinei, sezvo mamiriro avo achiwedzera, vanogona kutanga kucherechedza zviratidzo nezviratidzo zvekufutisa zvinopinda muhupenyu hwavo hwezuva nezuva.

Zvimwe zvezviratidzo nezviratidzo zvekufutisa zvinosanganisira zvinotevera.

• Ganda rakazvimba riine mavara akasviba anoonekwa mune dzimwe nzvimbo.
• Iko kuvandudza kwekutambanudza mamaki.
• Edema (kuzvimba) mumakumbo ezasi.
• Iko kuitika kwevaricose mutsinga munhengo dzezasi.

Vanhu vanocherekedza zviratidzo izvi vanowanzove neBMI inopfuura makumi matatu. Varume vanowanzove nechiuno chakapfuura makumi mana-masendimita uye masendimita makumi matatu muvakadzi. Kufutisa vanhu vane mucherechedzo unodzikira muhupenyu hwavo nekuda kwehuremu hwavo.

Vanhu ava vanogona kuona vasingakwanise kutora chikamu mumitambo, zvekuzvivaraidza nazvo, kana zviitiko zvemuviri. Hutano hwavo hwakasimba, uye havagone kusangana nezvinodiwa munzvimbo dzemabasa pamuviri wavo. Kufutisa uye vanhu vakafutisa vanogona zvakare kukudziridza matambudziko nekuzvivimba, zvichivaita kuti vadzokere pahupenyu hweveruzhinji.

Nepo kufutisa kune chirevo chemuviri, kunova nenjodzi yemunhu ari kunetseka mupfungwa. Vakatapurwa vanogona kusangana nezvinetso zvinotevera kuhutano hwavo hwepfungwa nekuda kwekurema kwavo kana kufutisa.

• Kushungurudzika uye kuzvitarisira pasi.
• Kuremara uye matambudziko nekufamba.
• Kuita zvepabonde kusagadzikana uye kurasikirwa kwe libido.
• Kunzwa kuve nemhosva uye kunyara pakusakwanisa kwavo kugadzirisa nyaya yekufutisa.
• Kudzoka kubva kunharaunda uye pakupedzisira kuzviparadzanisa nevamwe.
• Akadzika mashoma ezvekugadzirwa munzvimbo yebasa.

Sezvambotaurwa, kufutisa hwakanyanya husina hutano metabolic mamiriro zvichikonzera huwandu hwepanyama nyaya mune akabatwa munhu. Zvinhu zvakati wandei zvinobatsira mukukudziridza kufutisa. Maitiro, maitiro, mahormone, uye kusagadzikana kwemagetsi kunogona kukanganisa kuwanda kwemuviri.

Nekudaro, chikonzero chikuru chekusimudzira kufutisa kungori kuwanda kwemakoriori mune chikafu chemunhu. MaCalorie chikamu cheyero yesimba ririmo muchikafu. Wese munhu ane huwandu hwakatarwa hwemacalorie avanoda kudya zuva rega rega kuti vachengetedze mashandiro emuviri uye kugara zvakanaka.

Kusaita koriori yako zvachose kunokonzeresa kuti muviri wako utore chikafu chinodiwa kubva kuzvitoro zvemafuta emuviri. Nekuda kweizvozvo, munhu anodya kushomeka kwekoriori kwenguva yakareba anozoona kurasikirwa kwemafuta uye kudzikira kwehuremu hwavo.

Ivo vanhu vanogara vachidya macalorie mazhinji kupfuura avo chikumbaridzo vanotanga kuunganidza mafuta emuviri. Tichifunga nezvekuti zhinji dzekuAmerica chikafu chakanyanya-kukwirira mumacalorie, hazvishamise kuona iwo akanyanya mwero wefutisa munyika muUS.

"American Diet" yechikafu chinokurumidza, mashuga eshuga, uye zvihwitsi zvinounza zviuru zvemakoriri kumuviri, uye yako system inoshandura iro rakawandisa simba muchikafu kune zvitoro zvine mafuta. Vanhu vazhinji vane kushushikana kana kusagadzikana kwepfungwa vanotendeukira kuchikafu kuvanyaradza.

Nekudaro, zano iri rekudya kuti unzwe zvakanaka rinogadzira yakashata mhinduro loop muhuremu hwomunhu akafutisa. Ivo vanove vakapindwa muropa neiyo dopamine kuburitswa kubva muhuropi kana vachidya zvinonyaradza zvekudya. Sezvineiwo zvakakwana, dopamine zvakare ndiyo yekutanga neurochemical yakaburitswa muuropi kana vakapindwa muropa nezvinodhaka vachishandisa chepfu yavo yavakasarudza.

Zvinodhaka senge cocaine, methamphetamine, uye uppers zvinogadzira kuwanda kukuru kwedopamine muuropi, zvichitungamira mukunzwa kwekufara. Icho chiitiko chakafanana, chinongova chakareruka zvishoma, kune vanhu vakafutisa vanozviwana vakapindwa muropa nekudya chikafu chisina chikafu.

 

Kufutisa Njodzi Zviitiko

Kunge chero kumwe kusagadzikana kwemagetsi kana chirwere, pane seti yezvinhu zvine njodzi muvanhu vane njodzi, zvichivaita kuti vawedzere kugadzirirwa kuneta.

 

Genetics

Vanhu vane vabereki vakafutisa vanogona kusangana nehuremu hwakawanda mukutanga kwehudiki uye kuyaruka kuva munhu mukuru.

 

Chikafu chisina hutano Sarudzo

Kudya kwakakwira muzvikafu zvakagadziriswa zvine macalorie-dense, zvichitungamira mukusimudzira kwekurema.

 

Soda neMagetsi Zvinwiwa

Zvidhakwa zvinotapira uye mukaka unobata zvine mazana, kana zvisiri zviuru, zvemakoriori mukushandira kumwe chete.

 

Mararamiro Akagara

Vanhu vasina kurovedza muviri uye kukurudzira muviri hakusi kupisa mamwe macalorie, zvichikonzera kuremerwa.

 

Mishonga uye Zvirwere

Prader-Willi syndrome uye Cushing syndrome mienzaniso yezvinetso zvemagetsi zvinokonzeresa munhu akabatwa kuti awedzere uremu. Mishonga senge beta-blockers inogona zvakare kukanganisa metabolism, zvichitungamira mukurema.

 

Zvemagariro-Zvehupfumi Matambudziko

Nezvikafu zvinovaka muviri zviri kudhura, maAmerican mazhinji anongova nesarudzo yekudya chikafu chinokurumidza. Kushaikwa kwezvibereko zvitsva nemiriwo mune mamwe matunhu zvinotungamira mukuvandudzwa kwe "magwenga ezvokudya," uko chikafu chinokurumidza chichava sarudzo yega yekudya kwako.

 

Zvimwe Zvimwe Zvinopa Zvinhu Mukusimudzira Kufutisa

Kuberekwa

Vakadzi vane pamuviri vanoda kudya kwemaviri. Mushure mekuzvarwa, vanogona kuenderera nekuwedzera kudya, zvichikonzera kuwedzera huremu. Shanduko kumahormones mumuviri panguva uye mushure mekuzvitakura zvinogona zvakare kuomesa kune vamwe vakadzi kurasikirwa ne "mwana sere" mushure mekuzvarwa.

 

Kusvuta Kupedza

Kurega kusvuta kunowedzera yako metabolic rate. Sezvo muviri wako uchibuditsa huturu mumuviri, unotanga kupora kubva kune wega-chepfu.

Sezvo huwandu hwe metabolic hunowedzera uye nyama uye mitezo inopora, zvinoda zvimwe chikafu. Nekuda kweizvozvo, vanhu vanorega kuputa vangangoda kuzadza gasi rakasiiwa netsika nekunyanyisa-kudya kana kunwa.

 

Kurara Kwakashata Hunhu

Hunhu husina kunaka hwekurara hunokanganisa iyo hormonal system, zvichikonzera kuwanda-kugadzirwa kweghrelin, iyo nzara kemikari. Nekuda kweizvozvo, munhu akabatwa anogona kunzwa kunzwa nzara mukati mezuva uye aine zvishuwo zvezvikafu zvisina hutano.

 

kushushikana

Vanhu vakanyanya kushushikana vanogona kutanga kudya zvakanyanya senzira yekurarama nekushushikana mupfungwa uye nepfungwa.

 

microbiome

Nzira yedu yekugaya inogara kumamirioni ebhakitiriya anobatsira, anozivikanwa se "biomes." Biomes inoenderana nedhayeti yako yekudhonza iyo chikafu kubva muchikafu chako, uchichiisa muropa.

Nekudaro, biomes inoenderana nesarudzo dzako dzekudya. Naizvozvo, kana iwe ukadya chikafu chinokurumidza-chikafu, uchaona zvakaoma kutanga kudya zvine hutano. Imhaka yekuti mabiomes anopokana nechikafu chitsva, chichiita kuti ushuve chikafu chavanoshandisa kupedza.

 

Ndeapi Njodzi dzehutano Dzakanangana nekufutisa?

Kufutisa uye kufutisa vanhu vari kurarama mararamiro anozopedzisira aendesa kuhutano husina kunaka. Dzimwe dzenjodzi dzehutano dzinotarisana nevanhu vakafutisa uye vakafutisa dzinosanganisira zvinotevera.

 

Chirwere Chemwoyo uye Stroke

kufutisa inotungamira kukwirisa kweropa, zvichikonzera "hypertension" mumunhu akabatwa. Vanhu vane chirwere cheBP vanogona kusangana nekukuvara kwemoyo uye mukana wekurohwa neshuga kana chirwere chemwoyo nekuda kwekukanganisa kutenderera.

 

Type-2 Chirwere cheshuga

Vanhu vakafutisa uye vakafutisa vane matambudziko ekuchengetedza yavo "insulin senzwi." Nekuda kweizvozvo o0f inogara yakakwira mashuga eropa, munhu akabatwa anorasikirwa neyakajairika mashandiro epancreas uye kugona kwayo kuburitsa insulin.

 

Chaicho Kenza Mhando

Vanhu vakafutisa vane njodzi yakakwira yekuita mhando dzinotevera dzegomarara.

• Uterus
• Cervix
• Endometrium
• ovary
• Breast
• Colon
• Rectum
• Esophagus
• Chiropa
• Gallbladder
• rwatata
• Itsvo uye Prostate

 

Kuvhara Kwemanyoka

Vanhu vakafutisa vari panjodzi yakakwira yekuvandudza matambudziko ekugaya dumbu senge nduru chirwere, kuora moyo, GERD, uye nyaya dzechiropa.

 

Gynecological uye Zvepabonde Kusashanda

Kufutisa kunopa kune zvisina kujairika nguva uye kushaya mbereko muvakadzi uye erectile kudzvinyirira mune varume.

 

Kurara Apnea

Vanhu vakafutisa vane mamwe mafuta emuviri akakomberedza huro, kutadzisa nzira dzekufema panguva yekurara. Nekuda kweizvozvo, munhu akabatwa anogona kuwana yakaderera ropa okisijeni mazinga. Kushaikwa kweropajeni rine mweya kunotungamira mukuneta, kuwanda kwehutachiona uye hwepanyama kusagadzikana, uye kunyangwe rufu.

 

Osteoarthritis

Kufutisa kunowedzera huremu pafuremu rako, uye marangwanda anotora uyu mutoro. Nekuda kweizvozvo, shwashwa muzvibatanidzwa inopera nekukurumidza kupfuura vanhu vane huremu hwomuviri hwakajairika. Nekuda kweizvozvo, vanhu vakafutisa vanogona kusangana nekutanga kweosteoarthritis mumajoini avo, nechezasi kumashure, chiuno, mabvi, uye makumbo ari iwo akanyanya kubatwa majoini.

 

Yakakomba COVID-19 Zviratidzo

Zvinoenderana nekutsvaga, kufutisa chinhu chinotungamira mukushandira matambudziko anobva kuCOVID-19. Vanhu vane kufutisa vanowanzove ne "comorbidities" dzinoverengeka, senge chirwere cheshuga, BP, uye izvo zvakanyorwa pamusoro. Nekuda kweizvozvo, vane nguva yakaoma kubata nechirwere ichi uye nenjodzi yekuvandudza mhedzisiro.

 

Tinogona Sei Kubata Kufutisa?

Kurapa kwakagadzirirwa kurapa kufutisa kunosanganisira kugadzirisa kudya kweanokanganisa uye kuiswa kwekurovedza muviri. Nekudaro, izvi zvekurapa zvinoda kuzvipira uye kuzvipira kuzadzikisa zvinangwa zvekurema.

Akanyanya kufutisa kana kufutisa anozozviona zvakaoma kuti agadzirise zvinhu. Nechikonzero ichi, chiremba anoongorora huremu hwekurasikirwa mumhedzisiro murwere anoita shanduko diki pakutanga.

Kutanga zvishoma nezvishoma nehuremu hunobvumira iyo metabolism yemunhu uye gut biome kuti zvishoma nezvishoma ichinjike kune echikafu uye mararamiro ehupenyu anoitwa nemunhu akafutisa. Varapi vehutano vanotarisa ku5% kusvika 10% kuonda kwemwedzi mitanhatu, ichideredza BMI yemurwere uye zvichikonzera comorbidities.

Nyanzvi dzehutano dzinoongorora maitiro, kuyera uye kuyera munhu panguva dzevhiki kana dzemwedzi kuti vaone kufambira mberi kwavo. Sezvo kurapwa kuri kufambira mberi, murapi anogona kuunza uremu hwekuwedzera zvinowedzera. Izvi zvinowedzera zvinobatsira vanhu kupaza kuburikidza nehuremu-kurasikirwa materu apo kurema kunononoka.

Kurema kurasikirwa kwekuwedzera kunobatsira kuwedzera metabolism, kunyangwe kana mushandisi ari mune yakaderera mamiriro emakori macalorie. Kudya kushomeka kwekoriori kunopedzisira kwadzora huwandu hwemagetsi uye kurasikirwa kwemafuta. Kuunzwa kwehuremu hwekuwedzera kunowedzera kunogona kusvetukira mukutanga kwemetabolism, kuchikurumidza kuonda.

Ngatitorei zvakadzama kutarisa kumba kudya, kurovedza muviri, uye zvinowedzeredza zvinogona kuvandudza uremu.

 

Kugadziriswa Kwekudya

Nepo kuonda kuchiratidzika kunge kwakaoma, kunovira kune imwechete nyore musimboti; uchidya zvakaderera pane zvaunodya zuva nezuva. Kana uchishanyira nyanzvi yako yehutano kuti uongororwe, vanoverenga BMI yako uye zvaunoda zuva nezuva zvemakori.

Semuenzaniso, kana iwe uine zuva nezuva koriori chinodiwa che2,500-MaCalori, kudya pasi peichi muganho kunoguma nekurasikirwa nehuremu nekuda kwekushomeka kwekoriori. Muviri unotanga kugaya mafuta muzvitoro kuti uwane yekushomeka kwesimba mune kwako kudya.

 

Ita Zvisarudzo zvine Hutano Zvekudya

Mushandi wako wezvehutano anokugadzirira chikafu iwe zvichienderana nezvikafu zvine hutano zvaunofarira kudya. Izvo zvakakosha kuti uzive kuti iwe unogona kudzikira uremu nekudya chero chikafu, sekureba sekunge iwe uchidya pasi peyako yemazuva ese koriori muganho.

Chidzidzo che2010 naMark Haub chakaita kuti asadya chero chinhu asi twinkies kwevhiki gumi. Iwe ungangodaro unofunga kuti chikafu ichocho chakaita kuti iye awane hukuru hwakawanda hwehuremu. Nekudaro, mhedzisiro yekudzidza yakaratidza kuti akarasikirwa neanoshamisa 27-mapaundi mukati memasvondo gumi. Akaibvisa sei? Zvakareruka, aidya pasi pechikamu chake chekoriori.

Usati wafunga kuti iri rezinesi rekudya maTwinkies uye zvisina kudya chikafu, funga zvakare. Hunhu hwechikafu mune chako dhayeti chine basa rakakura mukuremerwa kwako. Semuenzaniso, Twinkies hapana chimwe kunze kweshuga, zvinodzivirira, manyuchi echibage, mafuta asina hutano, uye carbs.

Muviri wako haugone kubudirira pakudya kushomeka mumaminerari uye mavitamini. Kudya chikafu cheTwinkie kunogona kunge kwakanaka pakuyedza, asi zvinokuvadza hutano hwako kana iwe uchingodya Twinkies uye zvisina kudya chikafu. Iwe unogona kupedzisira uine matambudziko eshuga yeropa, kushomeka kwevhitamini, uye nematambudziko emagetsi.

Kudya chikafu chine hutano nemichero, miriwo, nyama isina mafuta, uye makarhydrate anononoka-kugaya zvinoita kuti muviri wako uwane chikafu chinodiwa kuti ugare uine hutano panguva yekurema kwako.

 

Tanga Chirongwa Chekuekisesaiza

Kurovedza muviri chinhu chakakosha muhondo yekurapa kufutisa. Kunyange zvichikwanisika kudzikisa huremu kuburikidza nekudya wega (nekudya pasi peyako koriori), iwe uchaona nekukurumidza kurasikirwa uremu mhedzisiro nekuwedzera kurovedza muviri muchirongwa.

Kuita maekisesaizi kunomutsa metabolism, zvichikonzera kuti upise simba rakawanda nemafuta ezvitoro. Vanhu vakafutisa vanotungamirawo "kugara", isina kurovedza muviri uye kukurudzira muviri kune tsandanyama system.

Nekuda kweizvozvo, mhasuru dzinoitwa muitiro unozivikanwa se "atrophy," uko kwavanorara. Naizvozvo, vanhu vakafutisa vanofanirwa kushanda kupinda kwavo muchirongwa chekurovedza muviri zvishoma nezvishoma.

Kuhaya wega murairidzi kuti akubatsire iwe nekushanduka kwemuviri wako kunokupa iwe rutsigiro uye ruzivo rwaunoda kuti uwedzere uremu hwako uye kubatsira iyo tsandanyama system kupora kubva kuatrophy. Mudzidzisi achatanga nekutambanudza uye nekureruka cardio basa pane yekutsika, ichiwedzera kusimba kwekushanda kwako sezvo yako tsandanyama system uye skeletal system inosimbisa.

 

Pharmacological Kurapa kwekufutisa

Vamwe vanhu vakafutisa uye vakafutisa vangatadza kupindurawo kune kudya kunovharidzira uye kurovedza muviri sevamwe. Kana iwe uchinetseka kudzikira uremu, ungangoda kupindirwa kwemishonga kuti ikubatsire iwe kudonhedza mafuta akawandisa mumuviri wako.

 

Kunyorerwa Kurasikirwa nehuremu Zvinodhaka

Vanhu vakafutisa vane maBMI akakurisa kupfuura makumi matatu vangangoda mishonga yekuremerwa uremu mishonga kuti ivabatsire nekusvetuka kwemetabolism, zvichikonzera kuonda.

Metabolic syndrome muunganidzwa weasina kunaka hutano hutano. Iko kusanganiswa kweaya matambudziko kunononoka chiyero chemetabolism mumunhu akabatwa. Naizvozvo, vane dambudziko rekudzikira uremu, kunyangwe nedziviriro yekudya, kurovedza muviri, uye kushandiswa kwehuremu hwekuwedzera.

Sekureva kwevashandi vezvehutano, kurasikirwa nemishonga zvinodhaka kwakakodzera kune vanhu vane matambudziko ekurapa ane chekuita nekufutisa, senge dyslipidemia, kuwedzerwa kweropa (hypertension), kana chirwere chechiropa chine mafuta.

Kuunza mishonga iyi pamwe chete nechikafu chine hutano uye chirongwa chekuekisesaiza kunogona kubatsira kuwedzera iyo metabolism. Nekuda kweizvozvo, murwere asingateereri anotanga kuona kuonda.

 

Ndeapi maAnti-Obesity Mishonga uye Anoshanda Sei?

Mishonga yekudzivirira kufutisa inobatsira varapi kurapa kufutisa mune vane njodzi. Chiremba wako achakuongorora kuti aone kana iwe uri mumiriri wehuremu hwekurapa zvinodhaka. Vanachiremba vanoraira uremu mishonga kune varwere vane imwe kana mbiri dzeanotevera nyaya.

• Kazhinji, iwe unenge uine BMI inodarika makumi matatu.
• Iwe une BMI inopfuura makumi maviri nemanomwe, ine matambudziko senge neBP uye chirwere cheshuga.

Kana uchinge wabvunza nachiremba wako nezve uremu hwako, vanozoongorora zvizere pauri kuti uone kana uri mukwikwidzi wehuremu hwekurapa zvinodhaka. Chiremba anoenda kuburikidza neyako yekurapa nhoroondo, achikubvunza iwe yakakosha mibvunzo nezve hutano hwako.

Kana iwe uri mukwikwidzi akakodzera, chiremba wako acha; enda pamusoro pezvakanaka nezvayakaipira zvekushandisa uremu kurwisa zvinodhaka muchirongwa chako.

Izvo zvakakosha kuti uzive kuti uremu hwekurasikirwa nemishonga haukodzeri kushandiswa mune zvese zviitiko. Semuenzaniso, vakadzi vane nhumbu, kana avo vari kuedza kubata pamuviri, vanofanirwa kudzivirira kushandiswa kwehuremu-kurasikirwa zvinodhaka. Aya makomponi anogona kukanganisa kukura kwechibereko uye anokonzeresa kupererwa nepamuviri mune dzimwe nguva.

 

Zvakadii Kuita Kurasikirwa Kwehuremu Zvinodhaka Zvinoshanda?

Prescription anti-obesity zvinodhaka zvine FDA tendero yekushandisa-kwenguva refu mumatunhu e12-mavhiki kana kupfuura. Kutsvagurudza kunoratidza kuti mishonga iyi inogadzira chakakosha pakurasikirwa nehuremu uchienzaniswa nenzvimbo dzinowanikwa munzvimbo dzinodzora.

Kuwedzera kurema kurasikirwa nemishonga sechishandiso chekubatsira kudya zvine hutano uye chirongwa chekurovedza muviri kunogona kuwedzera kurasikirwa kwekurema. Zvinoenderana nekutsvagisa, kuwedzerwa kwekurema kwemishonga zvinodhaka kuchirongwa chako kunogona kuwedzera mwero wekurasikirwa nemafuta ne3% kusvika 7% pamusoro pegore.

Kunyangwe izvo zvingaite senge kuwedzera kudiki mukurasikirwa kwemafuta, iri chairo huwandu hwakakosha.

 

Ndezvipi zvakanakira Kurasikirwa nehuremu Zvinodhaka?

Anti-kufutisa zvinodhaka zvine zvikomborero zvinoverengeka zvekuvandudza uremu hwehuwandu mukufutisa uye vanhu vakawandisa. Kubatanidza iyi mishonga nekudya zvine hutano, kushomeka kwekoriori, uye chirongwa chekurovedza muviri, murwere anowana kukurumidza kurasikirwa uremu.

Kazhinji, avo vanofutisa vanhu vanoshandisa kurema kurasikirwa nemishonga yekurapa pamwe nehurongwa hwavo hwehutano vanoona 3% kusvika 12% chiyero chikuru chekurasikirwa kwemafuta pane avo vasingashandisi mushonga. Mhedzisiro inosiyana kubva pamunhu kuenda kumunhu, asi kutsvagisa kunoratidza paavhareji uremu hwekutenderedza 10% yehuremu hwese hwemuviri mumasvondo gumi nemaviri mushure mekutanga kurapwa.

Nekuda kwekukurumidza kurasikirwa uremu, munhu akafutisa anoderedza shuga yeropa uye cholesterol mazinga uye anovandudza BP. Murwere anozoona zvakare kuvandudzwa kwehunhu hwekurara, kufamba pamwe chete, uye nemasimba masimba mukati mezuva.

Kazhinji, ruzhinji rwehuremu hwekurema hunoitika mumwedzi mitanhatu yekutanga yekushandisa mushonga.

 

Matipi Ekushandisa Kurera Kurema Zvinodhaka

• Gara uchiteedzera rairo yekupa uremu zvinodhaka izvo zvakaiswa nachiremba wako.
• Tenga yako yekuremerwa kurasikirwa nemishonga kubva kune inozivikanwa repamhepo pamhepo kana muchitoro.
• Ingoshandisa uremu kurasikirwa nemishonga kana iwe uine kudya kunovaka uye chirongwa chekuekisesaiza munzvimbo.
• Ita shuwa kuti iwe unonzwisisa kuonda kurasikirwa nemhedzisiro uye njodzi dzinosanganisirwa nekutora uremu
• Kana usiri kurasikirwa uremu pavhiki nhatu yekushandisa uremu kurapa mishonga, zvitaurire kuna chiremba wako.
• Ita shuwa kuti iwe unotaurira chiremba wako nezve chero huremu hwekurasikirwa nemishonga kana uremu hwekuwedzeredza hwauri kushandisa.
• Usambofa wakashandisa kurema kurasikirwa nemishonga kana iwe uri nepamuviri, uchiyamwisa, kana kuyedza kuve nepamuviri.

 

Ndeapi Mhando dzeKuremerwa Kurasikirwa Mishonga?

Anti-kufutisa zvinodhaka zvinouya mumakomputa akasiyana siyana, imwe neimwe iine yakasarudzika zvinhu. Kusarudza pamushonga wakakodzera wekuremerwa uremu hurukuro yaunoda kuva nachiremba wako. Zvimwe zvekufunga kwakakosha zvine chekuita nekutora mishonga zvinosanganisira zvinotevera.

• Kubatsira kwekurema uremu zvinodhaka.
• Kurera huremuMishonga yemishonga.
• Hutano hwako hwazvino.
• Yako yazvino mishonga chirongwa.
• Nhoroondo yako yekurapa.

Chiremba wako achamhanya nemimwe yese iyi mibvunzo uye nezvimwe kana achikuongorora kuti uremu kurapa zvinodhaka kurapwa.

Izvo zvakakosha kuti uzive kuti havazi vese munhu akakodzera mukwikwidzi wehuremu hwekurasikirwa nemishonga yekurapa. Kutora chero mhando yehuremu yekurapa mishonga pasina kubvumirwa nachiremba wako sarudzo yeupenzi uye ine njodzi.

 

Ndeapi maDrugs Ari FDA Anotenderwa Kune Kurasikirwa Kwehuremu?

Kunyange paine akawanda emishonga yekurwisa kufutisa, vashoma chete ndivo vane mvumo yekuchiva iyo FDA. Kubva muna 2021, iyo FDA inobvumidza anotevera madhiragi ekushandisa pakurapa uremu.

• Orlistat (Xenical, Alli)
• Sibutramine
• Cetilistat
• Lorcaserin Hydrochloride

Iyo FDA pari zvino iri kuongorora kushanda pamwe nekuchengetedzeka kwemushonga wechitanhatu, setmelanotide (IMCIVREE). Ichi chikamu chinokodzera kushandiswa muvanhu kufutisa neakajairika maitiro echisikigo. Nekudaro, chiremba wako anofanirwa kuyedza kusagadzikana uku asati akubvumidza iwe kuti ushandise mushonga mune yako uremu chirongwa.

Varwere vanogona kushandisa chero mashanu e12A-anotenderwa uremu-kurasikirwa madhiragi kana ivo vawana chinoonekwa mhedzisiro uye hapana chakakomba uremu kurasikirwa nemhedzisiro. Aya mahuremu-ekurasikirwa makomputa ayo anodzivisa kudya muvashandisi anongokodzera chete kushandiswa kwenguva pfupi-mune gumi-nemaviri mavhiki.

 

Wepamusoro 4 Wekurasikirwa nehuremu Zvinodhakwa Munyika Zvekurapa Kuwedzeredza & Kufutisa Vanhu

Orlistat

Orlistat (Alli) mushonga wepamusoro-the-counter unowanikwa pasina mushonga. Kutsvagurudza kunoratidza kuti Orlistat inoshanda zvinobatsira kurasikirwa nekurema muvanhu vakafutisa kana ikashandiswa pamwe chete nechikafu chine hutano uye chirongwa chekurovedza muviri. Chidzidzo ichi zvakare chinoratidza kuti Orlistat inokurumidza-kurasika kurasikirwa kwemafuta uchienzaniswa nekusashandisa mushonga.

Iyi anti-kufutisa mushonga wakakodzera kuwandisa uye kufutisa vanhu vakuru vanopfuura makore gumi nemasere. Mushonga uyu unoshanda kana uchishandiswa pamwe chete nekushomeka kwekoriori, uye unoita zvakanyanya nekudya kwemafuta mashoma. Xenical ishanduro ine simba yeAlli, inowanikwa kuburikidza nemushonga.

Orlistat inokodzerawo kushandiswa muvanhu vari kuvhiyiwa uremu. Mushonga unobatsira muviri nekugadzirisa iyo rebound mhedzisiro mushure mekuvhiyiwa, kuve nechokwadi kuti murwere anoramba achirasikirwa nemafuta emuviri. Orlistat chikamu chemhuri yemishonga inonzi "lipase inhibitors." Orlistat inovhara kunwa kwemafuta mugadziriro yekugaya, uchishatisa chero mafuta asina kubikwa kunze nekufamba kwematumbu. Ndosaka chikonzero ichi vanachiremba vanoraira orlistat kurapwa padyo neakaderera-mafuta chikafu.

Zvidzidzo zvinoratidza kuti Orlistat inoderedza "visceral mafuta," iyo gobvu mafuta zvitoro zvinounganidza kutenderedza pazasi dumbu uye nerudo anobata. Aya mafuta anoonekwa ane njodzi uye anogona kutungamira kumatambudziko ehutano senge neBP, chirwere cheshuga, sitiroko, uye chirwere chemwoyo muvarwere.

 

Cetilistat

Iyi anti-kufutisa mushonga ndeyekuyedza kurapa kwekurema kunogadzirwa naAlizyme. Iyi nyanzvi biopharmaceutical kambani yakabatana neTakeda Pharmaceutical kugadzira mushonga, unozivikanwa zviri pamutemo se "Cetilistat" kana (ATL-962).

Kushandiswa kweCetilistat padyo nekudya kunovaka muviri uye chirongwa chekurovedza muviri kunogumira pancreatic lipases, kuita senge kurapa kwakasimba kwevarwere vane chirwere cheshuga kana dyslipidemia pamwe nekufutisa. SaOrlistat, Cetilistat inonwisa mafuta mukudya kwako, ichiburitsa kubva mumuviri mukufamba kwematumbu.

Cetilistat zvakare ine simba rekudzvinyirira isina kana chinokanganisa neurochemistry muuropi. Miedzo yekurapa yakaitwa paCetilistat muna2008 inoratidza kuti inosimudzira kuonda kunokosha muvarwere. Tsvagiridzo zvakare inoratidza kuti kufutisa vanhu vane kutsungirira kwakanaka paCetilistat, ine mashoma eCetilistat mhedzisiro.

 

Lorcaserin Hydrochloride

Lorcaserin ndeimwe anti-kufutisa mushonga unowanikwa kuti ushandiswe muvakuru. Kutsvagurudza kunoratidza kuti Lorcaserin zvinobudirira inosimudzira kuonda uye inodzivirira iyo rebound mhedzisiro mushure mekupedza mushonga. Pamutemo, sainzi yekurapa inoronga Lorcaserin se "serotonin 2C (5-HT2C) receptor agonist."

Sayenzi yezvokurapa haina chokwadi nezve chaiyo nzira yekuzvarwa inokonzeresa kudzikira kwemurwere. Zvisinei, nyanzvi dzinofunga kuti Lorcaserin inosarudza iyo 5-HT2C receptor mu hypothalamus. Iyo hypothalamus inharaunda yeuropi inoitisa maneja yako uye kudya chikafu.

Lorcaserin inoita izvi zvinogamuchira, zvichibatsira murwere kudzikisa kudya kwavo. Izvo zvinoita saizvozvo nekugadzira iyo manzwiro ekugutsikana pakutanga paunenge uchidya. Nekuda kweizvozvo, murwere anonzwa kuguta achidya chikafu chidiki pane zvavaiwanzoita. Iri zano rinoita kuti zvive nyore kune munhu akafuta kuti arambe ari mukushomeka kwekoriori.

Lorcaserin ine kusarudzika senge chirongwa IV chinodzorwa chinodhaka, uye chinongowanikwa chete kuburikidza nachiremba wako nemushonga. Imwe tsvagiridzo inoratidza kuti Lorcaserin inogona kukonzera kuvimba nemushonga, saka chiremba wako anonyatso tarisa kufambira mberi kwako mushure mekutora Lorcaserin.

 

Sibutramine

Sibutramine chimwe chinoderedza uremu chinodhaka chinotamba pane iyo neurochemistry yeuropi. Sibutramine inogona kushandura maitiro emaurotransmitter muuropi, ichikanganisa kutaurirana pakati pehuropi nemitsipa mudumbu.

Uchishandisa Sibutramine inovhara iyo reuptake ye dopamine, norepinephrine, uye serotonin. Aya maurotransmitter ane simba anogadzira mafaro muuropi kana uchidya zvaunofarira zvekudya. Nekuda kweizvozvo, varwere vanoona vasisade chikafu chavanoda nekukurumidza uye zviwitsi kana soda, zvichiita kuti zvive nyore kuchinjira kune yavo nyowani mararamiro.

Sibutramine inoshanda, uye vazhinji varwere vachiona 5% kusvika 10% kudzikira muhuremu hwemuviri nekuwedzerwa kushandiswa kwemwedzi mitanhatu. Kutsvagurudza kunoratidza kuti Sibutramine inoshanda muhurongwa hwekudzora uremu kupfuura inogona kuvandudza iyo lipid (cholesterol) mbiri mune vashandisi.

 

Orlistat vs Cetilistat vs Lorcaserin hydrochloride (HCL), iri nani pakurasikirwa nekurema?

Kana zvasvika pakusarudza chaiyo anti-kufutisa mushonga, unofanirwa kutaura nachiremba wako. Isu tinofunga kuti anonyanya kushanda ekuremerwa uremu makomputa ekurapa kufutisa ndeyeOrlistat, Cetilistat, uye Lorcaserin, uye isu tichafananidza kushanda kweumwe neumwe kurapa kufutisa.

Orlistat inoshanda nekuderedza kunwa kwemafuta ezvekudya nenzira yekugaya. Lorcaserin inoderedza nzara uye zvishuwo zvekudya, uye Cetilistat inopa zvese kudzikisira kudya uye kunonoka kunwa mafuta.

Tsvagiridzo mukubudirira kweiyi uremu-kurasikirwa nemishonga inoratidza kuti Lorcaserin ndiyo inoshanda kwazvo yevatatu pakuderedza chiuno chakatenderera mushure memwedzi gumi nemiviri yekushandisa. Zvisinei, kumwe kutsvagurudza kunoratidzawo kuti kwakatenderedza 12% yevarwere vanorega kushandisa Orlistat neLorcaserin nekuda kwekutanga kwemhedzisiro mhedzisiro.

Chimwe chidzidzo chakafananidza mhedzisiro yeCetilistat kune Orlistat mune vakawandisa varwere vane chirwere cheshuga. Mushure memasvondo gumi nemaviri, kuonda muboka reCetilistat kwaive kwakakura kupfuura kwenzvimbo uye zvakada kufanana neOrlistat.

Zvisinei, chidzidzo chacho chinoratidzawo kuti zviitiko zvakashata zvinowanzoitika kuOrlistat, neboka reOrlistat richigadzira huwandu hwepamusoro hwezviitiko zvakashata.

Pakazara, zvinoita sekunge Cetilistat iri nani sarudzo. Vashandisi vanowana mashoma mashoma zviitiko zvakashata uye mhedzisiro pavanenge vachichengeta mabhenefiti eOrlistat neLorcaserin.

 

MIBVUNZO Pamusoro Pokurasikirwa Nehuremu Zvinodhaka

Q: Inguva yakareba sei ini ndoda kuona mhedzisiro mushure mekushandisa kurema kurasikirwa nemishonga?

A: Iyo nguva yekurapa kwako zvinoenderana nekushivirira kwako kwechirwere uye nekushanda kwaro mukubatsira iwe kuti uremerwe uremu uye uzvichengetedze. Kana iwe uri kubata nekurasikirwa uremu mushonga pasina chero mhedzisiro uye woona mhedzisiro, wako wezvechiremba anogona kukuchengeta iwe pazviri kusvikira iwe uchimhan'arira zviitiko zvakashata kana kusvika kune yako uremu zvinangwa.

Kana iwe ukatanga kushandisa mushonga uye usina mibairo inoonekwa mushure memavhiki matatu kana mana pane yakazara mushonga, taura nachiremba wako. Chiremba wako anogona kushandura mushonga kana kuraira pamusoro pako kutora chero nzira yekurwisa kufutisa mishonga.

Kana usiri kurasikirwa uremu paunenge uchishandisa yekurwisa-kufutisa mishonga, chiremba wako anogona kugadzirisa yako yekudya uye yekurovedza chirongwa. Ivo vanogona zvakare kukuendesa iwe kuna bariatric chiremba uyo anozokuongorora iwe kune bariatric kuvhiyiwa kuti uderedze huremu.

Sezvo kufutisa chiri chimiro chisingaperi, varwere vachazoda kuita mararamiro ehupenyu zvachose uye kugadzirisa dhayeti kuti vaone kuti havagumire kumashure kwavakatanga.

 

Q: Ini ndichatanga kuwedzera uremu zvakare mushure mekumisa kushandisa kwangu mishonga yekurwisa kufutisa?

A: Varwere vanogona kutarisira imwe nhanho ye "rebound" mushure mekumisa kushandiswa kwemushonga. Nekudaro, muzviitiko zvakawanda, murwere anozoona zviri nyore kuchinja kubva pamushonga pasina kuisa inopfuura pondo kana maviri.

Izvo zvakakosha kune varwere kuti vagadzire kutsva kudya uye kurovedza maitiro kuvabatsira ivo kuti vadzivirire uremu mushure mekuchinja kubva pamishonga. Zvinoenderana nemitemo yemubatanidzwa, vanhu vanofanirwa kuwana inosvika zana nemakumi mashanu kusvika mazana matatu emaminetsi ekuyera-kusimba chiitiko cheaerobic vhiki rega rega. Varwere vanofanirwa zvakare kuisa simba rekudzidzisa muchirongwa chavo chekurovedza muviri kaviri pasvondo.

 

Q: Inishuwarenzi yangu yehutano ichavhara here mari yemishonga yangu yekurwisa kuneta?

A: Zvinoenderana neinishuwarenzi uye nemitemo mune yako mutemo. Kazhinji, vese veinishuwarenzi ehutano vanobhadhara kanokwana chikamu chemitengo yemushonga. Bata wako inshuwarisi yehutano uye uvabvunze kana iwe uine chifukidzo chekureruka kurasikirwa nemishonga.

 

Q: Sei vashandi vehutano vachishandisa mishonga "off-label" kurapa kurasikirwa uremu?

A: Mune zvimwe zviitiko, vanachiremba vanogona kusarudza kushandisa yekuremerwa uremu mushonga kune chimwe chinangwa kunze kwekushandiswa kwayakaitwa uye FDA tendero. Iyi nzira inozivikanwa se "off-label" kushandiswa kwemushonga. Chiremba wako anogona kupa mushonga unokodzera kurapa imwe mamiriro uye kuushandisa kurapa kufutisa.

Nekudaro, kune mashoma kwazvo madhiragi akakodzera ekushandisa-kurebesa kushandiswa mukurema uremu. Chiremba wako angangokurudzira imwe yeanorema-kurasikirwa madhiragi akataurwa mune ino posvo yako uremu chirongwa. Izvo zvakakosha kuti vanhu vanzwisise kuti havafanirwe kumboshandisa chero huremu hwekurasikirwa nemishonga vasina kutaura nachiremba wavo nezvazvo.

 

How To Tenga Kuvimbika Kuonda Kwekushandisa Zvinodhaka Pamhepo

Mushure mekusangana nachiremba wako, vanokupa mushonga weyakakodzera kurasikirwa uremu mishonga zvichienderana nemamiriro ako ezvinhu, kuzadza script yako, une sarudzo yekuenda kuchitoro chemishonga kana online pharmacy. Kuonda Kupera Pamhepo Pharmacy zvakare zvakareruka, vanogona kutumira mishonga kusuo rako, kuchengetedza nguva yako kuchitoro chemishonga.

Chinhu chakakomba kuti iwe unongotenga huremu hwekurapa mishonga pamhepo kubva kune mukurumbira wehuremu zvinodhaka mutengesi, uye online pharmacy inofanira kukupa iwe nzira yekutarisa mhando yehuremu hwavo hwekurasikirwa nemishonga. Usambofa wakaraira yavo mishonga kubva kuhuremu kurasikirwa vatengesi vepaInternet vasina kupedzisa ruzivo rwekutanga iwe waunoongorora.

 

Zvinyorwa Zviri Kuitika