Ib qho teeb meem tam sim no rau qee tus neeg rog dhau. Feem ntau, pathology tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev ua txhaum ntawm cov txheej txheem metabolic hauv lub cev, tab sis kuj muaj lwm yam laj thawj. Nyob ntawm seb qhov kev loj hlob ntawm tus kab mob no, cov tshuaj tiv thaiv kev rog tau raug sau tseg, uas yuav pab txo lub cev qhov hnyav mus rau qib qub. Wb ua tib zoo saib seb qhov txiaj ntsig zoo tshaj plaws los pab tiv nrog qhov hnyav dhau.
Cas of rog
Kev rog dhau yog lub xeev ntawm lub cev uas muaj roj ntau hauv lub cev tshwm sim hauv cov ntaub so ntswg, kabmob thiab cov ntaub so ntswg subcutaneous. Ntxiv nrog rau cov teeb meem psychophysical, pathology ua rau muaj kev hloov pauv hauv kev ua haujlwm ntawm lub cev thiab lub cev. Raws li kev txheeb cais, cov poj niam muaj ob zaug yuav rog li txiv neej.
Qhov laj thawj tseem ceeb ntawm qhov pom ntawm phaus ntxiv yog overeating. Cov calorie ntau ntau uas nkag mus rau hauv lub cev nrog zaub mov tsis muaj sijhawm los siv thiab tso rau hauv cov ntaub so ntswg subcutaneous, ntawm cov kabmob sab hauv. Qhov maj mam nce ntawm cov rog no ua rau qhov hnyav nce.
Cov hauv qab no kuj tseem ua rau muaj kev rog rog:
- kev ua neej nyob;
- noj tsis txaus (noj ntau cov carbohydrates, noj ua ntej pw);
- kev nyuaj siab, ntxhov siab, insomnia;
- kab mob endocrine;
- ua haujlwm ntawm lub plab zom mov;
- tsis txaus siab hypothalamic-pituitary muaj nuj nqi;
- siv qee yam tshuaj (cov tshuaj hormonal, tshuaj tiv thaiv kev nyuaj siab);
- hloov pauv hormonal (menopause, cev xeeb tub);
- kev ua txhaum ntawm cov txheej txheem metabolic.
Kuv yuav pib noj tshuaj thaum twg?
Lub cev qhov ntsuas qhov ntsuas yog qhov ntsuas tseem ceeb rau kev txiav txim siab theem ntawm kev rog. Txhawm rau kom paub qhov BMI qhov tseem ceeb, koj yuav tsum ua kom yooj yim xam: faib tus neeg qhov hnyav los ntawm qhov siab (hauv meters) squared. Piv txwv li, nrog qhov hnyav ntawm 75 kg thiab qhov siab ntawm 168 cm, qhov ntsuas yuav yog: 75 / (1.68 × 1.68). Tom qab kev xam, peb tau txais qhov ntsuas tus nqi ntawm 26.57. WHO pom zoo kom txhais cov txiaj ntsig hauv qab no:
- ≦ 16 - Mob ntshav qab zib;
- 16-18, 5 - qis dua;
- 18, 5-25 qhov hnyav;
- 25-30 - muaj me ntsis ntawm pawg;
- 30-35 - thawj qib kev rog;
- 35-40 - theem ob ntawm tus kabmob;
- 40-50 - qib peb ntawm kev rog;
- ≧ 50 yog rog dhau.
Tom qab txiav txim siab txog theem ntawm txoj kev loj hlob ntawm pathology thiab ua qhov kev kuaj mob, tus kws kho mob tshwj xeeb yuav tsum xaiv cov tshuaj rau kev rog. Daim ntawv teev cov tshuaj uas yuav pab tau qhov teeb meem no,loj txaus. Ib txhia ntawm lawv raug tso tawm nruj me ntsis los ntawm cov tshuaj, vim hais tias lawv muaj ntau contraindications thiab phiv. Cov kws kho mob tshwj xeeb sim siv cov tshuaj kho mob tsuas yog tias lub cev qhov ntsuas ntau dua 30.
tshuaj ua haujlwm li cas?
Cov tshuaj rog rog muaj ntau lub tswv yim ntawm kev ua, tab sis lawv txhua tus sib koom tib lub hom phiaj ntawm kev poob phaus thiab tswj. Nyob ntawm lub hauv paus ntsiab lus ntawm kev ua haujlwm, cov tshuaj hauv qab no yog qhov txawv:
- tshuaj Anorectic yog cov tshuaj uas cuam tshuam rau qhov chaw satiety hauv lub hlwb thiab txo qis qab los noj mov. Vim lawv qhov kev ua, tus neeg mob pib noj zaub mov tsawg. Ntxiv nrog rau qhov ua tau zoo, cov tshuaj hauv pab pawg no kuj pab tsim kom muaj kev noj zaub mov zoo.
- Fat burners - thaiv kev nqus cov rog, yog li pab tshem tawm ntawm lub cev. Lawv tau muab faib ua ob peb pawg: thermogenetics (ua kom lub cev kub ntau), lipotropics (txhawb lub siab), cov khoom noj (ua kom cov kua tsib ntau ntxiv) thiab cov tshuaj hormonal (cuam tshuam rau cov thyroid caj pas).
- Laxatives - ua kom cov txheej txheem tshem tawm ntawm txoj hnyuv, tab sis tsis cuam tshuam rau lub cev hnyav.
- tshuaj diuretic - tshem tawm cov kua dej ntau dhau ntawm lub cev thiab tsis cuam tshuam cov rog subcutaneous.
Tshuaj rau kev rog: ib daim ntawv teev
Cov tshuaj zoo tshaj plaws rau kev kho mob rog yog cov uas tau muab los ntawm kws kho mob raws li tus kheej. Tus kws tshaj lij xaiv cov tshuaj nyob ntawm seb qhov ua rau rog dhau thiablub xub ntiag ntawm comorbidities. Kev noj tshuaj rau tus kheej hauv qhov no tuaj yeem ua rau muaj kev phom sij heev.
Cov tshuaj rog rog uas tau teev tseg hauv qab no tsuas yog sau tseg thaum kev noj zaub mov nruj thiab kev tawm dag zog tsis ua tiav. Cov tshuaj rog rog rog muaj xws li:
- Orthosen.
- Xenical.
- Meridia.
- Orlistat.
- "Reduxin".
- Liraglutide.
- YSibutramine.
- "Listat".
- "Lindax".
- Goldline.
- Laminin.
Txhua yam tshuaj muaj qhov zoo thiab qhov tsis zoo, uas yuav tsum paub ua ntej pib kho.
Sibutramine rau qhov hnyav tshaj
"Sibutramine" yog ib qho tshuaj anorexigenic zoo rau kev rog. Muaj nyob rau hauv daim ntawv ntawm cov tshuaj ntsiav thiab ntsiav tshuaj uas muaj sibutramine hydrochloride monohydrate. Cov khoom xyaw nquag txhim kho thermogenesis thiab txhawb kev tsim cov metabolites nquag uas inhibit qhov rov ua dua ntawm norepinephrine thiab serotonin.
Raws li ib feem ntawm kev kho mob nyuaj, "Sibutramine" tau noj rau kev rog rog hauv cov neeg mob uas muaj lub cev qhov ntsuas ntau dua 30. Nws kuj tau tso cai siv cov tshuaj rau kev rog rog ntawm keeb kwm ntawm ntshav qab zib mellitus (tsis yog- Insulin dependant).
YContraindications
Nrog rau siab rhiab heev rau cov khoom xyaw, kev noj zaub mov hnyav, kev puas siab puas ntsws, arterial hypertension, mob hnyav ntawm daim siab thiab ob lub raum, cev xeeb tub thiablactation, lub kaum sab xis kaw glaucoma, kab mob ntawm lub plawv thiab cov hlab ntsha, cov tshuaj no rau kev rog yog tsis siv. Kev kho tshiab yuav tsum tsuas yog tus kws kho mob tshwj xeeb.
Cov lus pov thawj tus neeg mob
Ntau tus neeg rog rog noj Sibutramine. Cov tshuaj tau ua pov thawj nws tus kheej ntawm qhov zoo thiab yeej pab tiv thaiv kev rog. Raws li kev pom zoo ntawm tus kws kho mob, cov ntsiav tshuaj xyaum tsis muaj kev phiv. Txawm li cas los xij, thaum lub sijhawm kho mob, cov tsos mob xws li qhov ncauj qhuav, ntxhov siab, ntxhov siab, mob taub hau, cem quav, tachycardia, arterial hypertension tseem tuaj yeem tshwm sim.
"Lindaxa": piav qhia ntawm cov tshuaj
Raws li cov kws tshaj lij, cov tshuaj zoo tshaj plaws rau kev rog rog yog cov uas tau sau tseg rau ntawm tus kheej thiab raug xaiv nyob ntawm tus neeg mob xav tau. Cov tshuaj "Lindaksa" (Czech koom pheej) muaj kev kho mob zoo. Cov nyhuv kho yog muab los ntawm cov tshuaj sibutramine.
Anorectic cuam tshuam rau cov chaw zov me nyuam lub luag haujlwm rau cov zaub mov saturation. Lub biotransformation ntawm cov khoom xyaw nquag tshwm sim nyob rau hauv daim siab, qhov twg active metabolites yog tsim.
Cov koob tshuaj "Lindaxa" raug xaiv ib tus zuj zus thiab nyob ntawm qib kev rog. Qhov pom zoo pib koob tshuaj yog 10 mg. Cov tshuaj tuaj yeem noj tsis hais zaub mov. Nce qhov koob tshuaj mus rau 15 mg yuav tsum yog qhov tsis muaj qhov pom kev kho mob. Duration ntawm kev kho mob - los ntawm 3 mus rau 12 lub hlis.
Contraindications rau kev teem sijhawm ntawm cov tshuaj muaj tib yam li cov tshuaj "Sibutramine". Rau qhov tsis tshua muaj tshwm sim tshwm sim tawm tsam keeb kwm yav dhaunoj "Lindaksa" tuaj yeem raug ntaus nqi rau tachycardia, qhov ncauj qhuav, nqhis dej, kiv taub hau, insomnia.
Tshuaj xyuas txog cov tshuaj "Liraglutide"
Cov tshuaj hypoglycemic rog Liraglutide yog siv los kho hom 2 mob ntshav qab zib mellitus thiab mob rog rog. Cov cuab yeej tso cai nyob rau hauv ntau lub teb chaws tsuas yog nyob rau hauv daim ntawv ntawm cov tshuaj "Victoza" (Denmark). Lwm lub npe lag luam rau cov tshuaj, Saxenda, tau tshwm sim hauv khw muag tshuaj hauv xyoo 2015 thiab ua haujlwm nws tus kheej ua cov tshuaj uas pab tiv thaiv qhov hnyav tshaj rau cov neeg laus.
"Liraglutide" yog ib daim qauv hluavtaws ntawm glucagon-zoo li peptide-1, uas yog tsim nyob rau hauv tib neeg txoj hnyuv thiab nquag ua haujlwm ntawm txiav txiav thiab txhawb kev tsim cov tshuaj insulin. Lub cev tsis tuaj yeem paub qhov txawv ntawm ib qho ntuj thiab ib qho enzyme sab nraud. Kev siv cov tshuaj tso cai rau koj maj mam kho lub ntuj tsim cov tshuaj insulin thiab txo cov suab thaj. Qhov no, nyob rau hauv lem, normalizes nqus cov as-ham los ntawm cov khoom noj.
Kev tshuaj xyuas ntawm cov neeg mob lees paub tias cov tshuaj muaj cov txiaj ntsig kho tau zoo. Cov cuab yeej siv tau yooj yim heev, vim tias nws muaj cov duab ntawm lub syringe cwj mem, uas yog siv rau kev faib tawm, tso cai rau koj los laij cov tshuaj kom raug. Cov tshuaj yog txhaj rau hauv lub xub pwg nyom, ncej puab lossis plab. Cov tshuaj tiv thaiv kev rog no tsuas yog muaj nyob rau hauv cov khw muag tshuaj nrog cov tshuaj.
Tus nqi ntawm cov tshuaj raws li liraglutide yog li ntawm 9,500 (Victoza, 2 koob txhaj) txog 27,000 rubles("Saxenda", 5 syringes). Cov kws kho mob tshwj xeeb feem ntau tsis siv cov tshuaj no los kho cov neeg mob ntshav qab zib thiab rog vim yog tus nqi siab.
Destination nta
Nws yog txwv tsis pub noj cov tshuaj hypoglycemic kom poob phaus hauv kev rog yam tsis muaj kws kho mob sau ntawv! "Liraglutide", "Saxenda" thiab "Victoza" tsis tuaj yeem siv rau hom 1 mob ntshav qab zib, mob siab thiab raum pathologies, cev xeeb tub, cov txheej txheem inflammatory hauv cov hnyuv, plawv tsis ua haujlwm (hom 3 thiab 4), thyroid neoplasms.
Kev kho mob tsuas yog yuav tsum txuas ntxiv yog tias tus neeg mob tau poob tsawg kawg 5% ntawm lawv lub cev hnyav hauv 16 lub lis piam. Yog tias cov txiaj ntsig tsis tuaj yeem ua tiav, nws yuav tsum xaiv lwm yam tshuaj kom tshem tawm phaus ntxiv.
YDrug "Orlistat"
Orlistat ntsiav tshuaj muaj cov nyhuv peripheral thiab pab kom poob phaus ntxiv yam tsis muaj teeb meem rau lub cev. Lub luag haujlwm tseem ceeb ntawm cov tshuaj yog los thaiv cov txheej txheem ntawm kev nqus thiab zom cov rog. Cov tshuaj tiv thaiv kev rog rog tuaj yeem txo cov roj cholesterol thiab qabzib, uas tuaj yeem siv los kho cov ntshav qab zib.
Orlistat yog ib qho inhibitor ntawm plab hnyuv lipases. Ua tsaug rau qhov kev ua tshuaj no, kev nkag mus ntawm triglycerides rau hauv cov ntshav raug thaiv, lub zog tsis txaus tshwm sim, ua rau muaj kev sib koom ua ke ntawm cov roj deposits los ntawm lub depot.
Cov tshuaj yuav tsum tsis txhob siv rau kev mob ntshav siab, nephrolithiasis,cholestasis, hyperoxaluria, cev xeeb tub thiab lactation. Orlistat tsis raug tshuaj rau cov menyuam yaus hnub nyoog qis dua 12 xyoos thiab cov neeg uas muaj mob malabsorption syndrome.
Tus kws kho mob thiab cov neeg mob hais li cas?
Feem ntau ntawm kev tshuaj xyuas txog cov tshuaj muaj cov lus pom zoo. Ntau tus neeg mob tuaj yeem poob txog 10 kg ntawm qhov hnyav tshaj hauv 8-12 lub hlis nrog kev pab ntawm cov tshuaj no rog. Kev tshuaj xyuas ntawm cov kws tshaj lij hais tias "Orlistat" yog ib qho ntawm ob peb cov tshuaj uas xyaum tsis ua rau muaj kev phiv. Qee lub sij hawm, cov ntaub ntawv raug kaw thaum cov quav thiab kev ua haujlwm ntawm lub plab zom mov raug cuam tshuam, muaj kev yaum kom defecate.
Means "Xenical"
Lwm yam tshuaj raws li orlistat yog Xenical. Cov tshuaj yog tsim nyob rau hauv Switzerland, uas cuam tshuam nws cov nqi. Koj tuaj yeem yuav ib qho kev kho rau kev rog rau 2300-2700 rubles. Xenical muaj nyob rau hauv daim ntawv ntawm turquoise gelatin capsules.
Raws li cov lus qhia, cov tshuaj tuaj yeem cuam tshuam rau cov enzymes hauv plab hnyuv uas txhawb kev zom zaub mov thiab nqus cov rog, uas yog, lipase. Ib qho txiaj ntsig tseem ceeb ntawm Xenical yog nws qhov cuam tshuam tsawg kawg nkaus. Cov tshuaj tuaj yeem noj rau lub sijhawm ntev txaus rau cov neeg mob uas muaj teeb meem nrog qhov hnyav dhau thiab qib qabzib siab. Ntxiv nrog rau kev noj tshuaj, koj yuav tsum tau ua raws li kev noj zaub mov uas tsis muaj calories thiab koom nrog kev ua lub cev nruab nrab.
Noj "Xenical" peb zaug hauv ib hnub, ib ntsiav tshuaj (120 mg) nrog zaub mov. Lub sijhawm ntawm kev kho mob thiab qhov yuav tsum tau kho cov tshuaj noj txhua hnub tsuas yog txiav txim rau tus kheej xwb.
Side effects
Rau cov kev mob tshwm sim tsis tu ncua, cov chaw tsim khoom hais txog kev ceev ceev kom tso quav, quav quav, flatulence, plab tsis xis nyob. Txhawm rau zam qhov tshwm sim tsis zoo, nws yog ib qho tsim nyog yuav tsum txwv tsis pub noj cov zaub mov muaj roj. Tsuas yog 2% ntawm cov neeg mob ntshav qab zib tau tsim muaj lub xeev hypoglycemic. Muaj peev xwm tshwm sim ntawm kev ua xua rau cov tshuaj nquag hauv daim ntawv ntawm urticaria, khaus, liab ntawm daim tawv nqaij. Tsis tshua muaj mob hnyav: bronchospasm, angioedema.
Fatty hepatosis yog ib qho mob hnyav ntawm daim siab. Feem ntau, tus kab mob no cuam tshuam rau cov neeg uas muaj teeb meem metabolic, rog dhau, tus cwj pwm tsis zoo, tsis muaj protein ntau, hypovitaminosis. Cov tsos mob ntawm thawj theem ntawm tus kab mob feem ntau tsis tshwm sim, thiab tus neeg mob nrhiav kev pab kho mob thaum muaj xwm txheej khiav. Txoj kev kho mob yog xaiv tom qab kuaj kuaj, ultrasound ntawm daim siab.
Txhawm rau sau tshuaj kho mob, koj yuav tsum sab laj nrog kws kho mob plab lossis kws kho kab mob siab. Cov tshuaj rau lub siab rog yog muab nrog rau kev tiv thaiv kev tiv thaiv. Yog tias qhov ua rau muaj tus kab mob hnyav dua, nws yog qhov yuav tsum tau ua raws li kev noj zaub mov noj (xws li 5), tshem tawm tag nrho cov zaub mov tsis zoo los ntawm kev noj zaub mov thiab koom nrog kev tawm dag zog lub cev. Kev phom sij rau lub cev yog qhov hnyav poob qis (ntau dua 700 g ib lub lis piam), uas tuaj yeem ua rau muaj kev loj hlob ntawm cov txheej txheem pathological.
kev kho mob
Cov tshuaj twg rau daim siab rog yuav pab tau tus kab mob? Ua ntej tshaj plaws, tus neeg mob yuav tau txais cov tshuaj uas normalizes kev ua haujlwm ntawm lub cev. Hepatoprotectors muaj cov khoom siv kho kom zoo dua qub - cov tshuaj uas txhawb kev ua haujlwm ntawm daim siab hlwb thiab tiv thaiv nws los ntawm qhov tsis zoo ntawm cov zaub mov tsis zoo, co toxins, thiab qee yam tshuaj. Cov tshuaj no suav nrog:
- "Heptral".
- Essentiale Forte.
- Essliver.
- Liv-52.
- Kasil.
Hauv kev kho mob siab, koj yuav tsum txo koj cov roj cholesterol. Cov tshuaj los ntawm pawg statin yuav tiv nrog txoj haujlwm no: Atoris, Liprimar, Crestor. Tsis tas li ntawd, koj yuav tau noj cov tshuaj antioxidants thiab vitamin complexes.
"Heptral": cov lus qhia
Heptral yog Fabkis txoj kev kho mob rau lub siab rog. Lub npe ntawm cov tshuaj nquag yog ademeteonin. Ib ntsiav tshuaj muaj 400 mg. Tib koob tshuaj ntawm cov khoom xyaw tseem muaj nyob rau hauv 5 ml ampoules. Cov tshuaj lyophilisate yog tsim rau ob leeg intramuscular thiab intravenous tswj rau cov neeg mob.
Cov tshuaj muaj detoxifying, choleretic, hepatoprotective, antioxidant thiab cholekinetic nyhuv ntawm lub cev. Tsis tas li ntawd, cov chaw tsim khoom thov hais tias cov tshuaj nquag muaj neuroprotective, antidepressant thiab antifibrosing zog. Cov tshuaj muaj peev xwm txhim kho cov kua tsib thiab ua kom tsis muaj zogadenosylmethionine (coenzyme).
Cov tshuaj no tau sau tseg rau kev rog rog, kab mob siab ntev, mob siab rau, encephalopathy, angiocholitis. Cov kab mob caj ces cuam tshuam rau lub voj voog adenosylmethionine thiab rhuav tshem homocystinuria lossis hyperhomocysteineemia yog contraindications rau kev siv Heptral.
Description of the drug "Liv-52"
Cov tshuaj rau lub siab rog "Liv-52" yog cov tshuaj hepatoprotector raws li cov khoom xyaw tshuaj ntsuab. Chicory noob, prickly caper keeb kwm, yarrow, cassia noob, tamarix thiab dub nightshade yog siv raws li active tshuaj. Cov npe ntawm cov khoom no tshwj xeeb yog steamed los ntawm kev sib xyaw ntawm lwm cov nroj tsuag rho tawm.
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj xim av tsaus thiab tee rau qhov ncauj. Cov tshuaj ntsuab ua ke muaj choleretic, hepatoprotective, anti-inflammatory thiab antioxidant nyhuv. Nrog nws cov kev pab, nws muaj peev xwm los thaiv txoj kev loj hlob ntawm degenerative thiab fibrotic hloov, qhib intracellular metabolic dab thiab restore hepatocytes.
Cov lus qhia rau kev teem caij tshuaj ntsuab yog cov kab mob xws li fatty hepatosis, kab mob siab ntawm ntau yam keeb kwm, cirrhosis ntawm daim siab. Koj tuaj yeem noj Liv-52 los kho kev rog. Hauv khw muag tshuaj, tus nqi nruab nrab ntawm cov tshuaj yog 380-450 rubles.
Tshuaj nyob rau hauv daim ntawv ntawm tee yuav raug sau rau kev tiv thaiv thiab kho lub hom phiaj rau cov me nyuam hnub nyoog tshaj 2 xyoos. Nws yog txwv tsis pub siv "Liv-52" thaum cev xeeb tub thiab lactation,as well as in case of hypersensitivity to the Cheebtsam ntawm cov khoom.
