Pehea e hoʻohana ai iā Listat?

ʻAʻole liʻiliʻi e hiki ke kaena i kahi kiʻi nani a me nā hope aspen. Hāʻawi ʻia kekahi o nā mea momona a Mother Nature, aʻo nā mea'ē aʻe loaʻa nā uku he nui ma ko lākou ola. A he kumu ʻē paha nā kumu no kēia, no ka laʻana, ka mālama ʻana me nā lāʻau lapaʻau. ʻO ka hapa nui loa, nānā paha nā kānaka i ka hoʻoneʻe momona i loko o ke ʻano o nā pānaʻi i kēlā me kēia ala. I loko o kēlā mau hihia a ke hoʻōla ʻole nei nā meaʻai a me nā hana kino kino, ʻo ka poʻe e ʻimi nei e nalowale i ka hoʻokaʻawale ʻana o nā mea momona i ka mea hope, i ko lākou manaʻo, ʻano - nā lāʻau lapaʻau lapaʻau no ka hoʻoluhi kaumaha. I kēiaʻatikala, aʻo mākou i kahi mea liʻiliʻi e pili ana i ka lāʻau lapaʻau e like me Listata.

"Listata" - he aha kēia lāʻau lapaʻau?

Ma ka hana o ka hana, he mea momona momona kēia mea hana. No laila, ʻaʻole i hoʻokomo ʻia ka momona i ke kino, a no laila e hōʻemi ʻia ka waihona kaloli o ka meaʻai.

ʻO ka lāʻau lapaʻau e hōʻemi a hoʻohemo i nā paona keu o "Listat" loiloi o nā kauka a me nā mea maʻi i hui pū ʻia. Akā ʻae lākou i ka manaʻo hoʻokahi e pono ke hoʻohui i ka lawe ʻana i ka lāʻau lapaʻau me kahi meaʻai hypocaloric. He mea kūpono ke hoʻonui i ka hoʻoikaika kino i kēia manawa. A laila e ʻike ʻia ka hopena o nā papa.

I ka wā mālama, pono ia e hōʻemi i ka momona o ka momona. ʻO kēia e hōʻemi i ka uluʻana o nā hopena pili. Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa ʻaina kukui polū e loaʻa ana i kahi oval. Hiki iā ʻoe ke kūʻai iā ia i loko o nā mākeke kūikawā. Mai kūʻai i nā huahana ma kahi ākea ʻole a e makaʻala i nā fakes!

He aha ka lāʻau lapaʻau i hana ʻia?

ʻO ka hoʻonohonoho o ka lāʻau lapaʻau ke komo pū me ka mea hana nui - orlistat. ʻO ka mea kanu, ke komo nei i ka pā gastrointestinal, hana ʻole i nā enzyme e wāwahi i ka momona. ʻAʻole hiki ke hoʻopili ʻia ka momona momona i ke kino o ke kanaka. Mai kēia mai ke komo i ka ʻāpana o ka momona i ka transit i hele i loko o nā wahi o ka ʻoniʻawa, me ke komo ʻole ʻana o ka ʻōnaehana ʻōnaehana. Aia kēlā me kēia papa i ka 60-120 mg o orlistat. ʻO ia hoʻi, kahi hapaha o nā palaʻa a pau e komo ana i ke kino i ālai ʻia i ka wā e lawe ai i ka 1 papa o ka lāʻau like ʻole me "Listata" no ka hoʻolilo nui. E wehewehe nā mea maʻi e pili ana i kēia lāʻau lapaʻau i nā hopena maikaʻi ʻole, e haʻi mākou iā ʻoe.

ʻO ka māhele nui o ka lāʻau lapaʻau ka huina acacia. ʻAʻole ia e ʻae i ka momona e hōʻiliʻili i loko o nā hāmeʻa nui, ʻo ia hoʻi, ua hui pū ia me nā mea like ʻole. ʻAʻole ka hopena o ke kinikona i ke kaumaha o ke kino i kekahi ala, akā hiki iā ia ke hoʻomanawanui hou i nā hopena o ka lāʻau. ʻO ia ia, e holomua ana ka ʻokoʻa o ka lāʻau "Listata" (nā loiloi o kekahi mau mea maʻi i kēia ʻoiaʻiʻo) e holomua ana. Ma muli o kāna mau hana ikaika, loaʻa iā Listata ma mua o nā lāʻau like like no ka pohō kaumaha.

Nā hōʻailona no ka hoʻohana ʻana

ʻO nā ʻōlelo ʻōlelo a ke kauka i kuhikuhi i kahi lāʻau lapaʻau e like me nā papa Listata (loiloi ʻo ka hoʻomanawanui e ʻike i kēia ʻike)

Ua maopopo ia mai nā papa wale nō e liʻiliʻi ai ka pōmaikaʻi. Pono ka lawe ʻana i nā lāʻau lapaʻau me ka meaʻai.

ʻĀina a me ke Keʻena

Loaʻa ka lāʻau lapaʻau i nā papa o nā ʻano like ʻole - 120 mg a me 60 mg (mini), 30-60 mau ʻāpana i kēlā me kēia pēpē. E lawe ʻia ka "Listata" i 3 mau manawa i ka lā no 120 mg, e hoʻomaʻamaʻa a ʻai ʻole ʻaʻole eʻoi aʻe ma mua o hoʻokahi hola ma hope o ka ʻai ʻana, inā ʻaʻole e holo ka mea hana. ʻO ke ala no ka mālama ʻana he 6 mau mahina.

Inā ʻaʻa kahi ʻaina a ʻai ʻole ka meaʻai, ʻaʻole ka lāʻau lapaʻau Listata (120 mg), nā loiloi o e waiho ʻia ma lalo nei, ʻaʻole ia. Ua kākau ʻia kēia i nā ʻōlelo kauoha no ka hoʻohana ʻana i kēia lāʻau lapaʻau. ʻO ka hoʻonui ʻana i nā pona ma luna o kēia ʻaʻole e hoʻonui i ka hopena therapeutic.

Nā hopena hopena

Hiki ke hopena paha nā hopena ʻaoʻao ma hope o ka lawe ʻana i ka lāʻau "Listata". Hōʻike nā loiloi o ka nalowale i ke kaupaona ʻana i nā hōʻailona kūpono ʻole a pau mai ka gastrointestinal tract.

ʻO nā hopena pili hope loa ka hiʻohiʻona o ka lālama List List slimming:

1. Hoʻonui i ka ʻaihue.
2. Hoʻolaha kūleʻe mai ke anus.
3. Koi waha ʻole ka hoʻopunipuni.
4. Ka huhū ʻo Fecal.
5. Hoʻopiʻi liʻiliʻi i ke kahe.

Eia kekahi, inā hoʻohana ʻia nā "Listat" i nā lāʻau papaʻai no kekahi mau mahina (loiloi e hōʻike ʻia ke ahonui i kēia ʻoiaʻiʻo), a laila ʻike ʻia nā hōʻailona ʻē aʻe, e like me:

1. Allhesic ʻohiʻā ʻili.
2. Laumapa.
3. ʻO nā wahi hiamoe hiamoe.
4. Ka hoʻokumu ʻana o nā ʻōpala.
5. Nā maʻi ʻaʻai.
6. ʻʻAla

Hōʻike i nā lāʻau lapaʻau'ē aʻe

Hōʻoiaʻiʻo e noʻonoʻo i ka mea like me "Listata" pili i nā lāʻau lapaʻau ʻē aʻe. ʻO ka mea hana i ka lāʻau lapaʻau (orlistat) alakaʻi i ka deactivation o nā momona-soluble enzyme. Kahi pū me nā momona, ʻaʻole i hoʻopaʻa ʻia ke kino o ke kanaka i ka nui o ka nui o nā huaora. Eia kekahi, ua uhi ʻia ka mucosa ʻōpū me ka momona undigested, a ʻo ia hoʻi, ʻaʻole i loaʻa hou kona kūlana mai kēia. ʻOiai i kaʻoiaʻiʻo, ʻaʻole ʻike ʻia ka hypovitaminosis ʻoiai ma hope o ka hoʻohana mau ʻana i ka lāʻau "Listata". ʻ suggestlelo i nā loiloi no ka hoʻohana ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau no ka hoʻohaʻahaʻa ʻana i ka hopena o ka hoʻohālikelike waha ʻana. Hiki i kēia ke alakaʻi i kahi wahine makemake ʻole. Ke hōʻemi nei ʻo Orlistat i ka hopena o nā lāʻau antiepileptic. I mea e pale ʻole ai i nā hōʻino i waena o nā lāʻau lapaʻau, pono pono e lawe i ka "Listat" i kahi kaʻawale mai nā lāʻau lapaʻau ʻē aʻe.

Hōʻike no ka pohō kau kaumaha

Ma ka hoʻoholo ʻana e nā loiloi he nui, "Listata" ʻaʻole ia he lāʻau maʻalahi no ka poʻe e alakaʻi nei i kahi ʻano hana. Mai ka huakaʻi mau ʻana i ka lua i hiki ʻole ke loaʻa i ka hana holomua. He mea maopopo ke kūpono nā hopena maikaʻi i hōʻino ʻia e ka orlistat, ma kēlā me kēia me ka hoʻopiʻi ʻana i ke ala maʻamau o ke ola maʻamau. Akā kēia mau hiʻohiʻona maikaʻi. Ma hope o nā mea a pau, ke hōʻole nei ke kanaka i nā mea momona momona, hoʻōla ka aihue. ʻO ia, makaʻu ke kanaka i nā hopena maikaʻi ʻole, a ma muli, ʻo ia ke hoʻēmi ʻana i ka ʻai me nā momona momona. A ʻo kēia e hiki iā ia ke hoʻomohala i ka nohona meaʻai maikaʻi e kōkua ai i ka wā e hiki mai ana.

Huhū kekahi kekahi wahine inā lawe lākou i ka lālani Listata (aia kekahi mau loiloi e pili ana i kēia pilikia), pono lākou e ʻaʻa i nā pale. Hoʻopili pinepine ʻia nā kumuho mai ka anus. Hoʻopiʻi ka poʻe maʻi i ka ʻeha o ka ʻōpū a hoʻonui i kona mau lemulewa. ʻAʻole nui ka poʻe e ʻae i ka lāʻau "Listata" a me kāna mau haʻawina.

ʻOiai ke kūlike ʻole o nā hōʻailona kūpono ʻole a ke kumu i lawe ʻia ai i ka lāʻau lapaʻau, ʻālua kāna hopena.

Nā Hoʻohui

Inā loaʻa kāu makemake mau e lilo i slimmer, hiki iā ʻoe ke hoʻohana i ka lāʻau lapaʻau "Listata" no ka lilo ʻana o ka momona. ʻO nā loiloi o ka poʻe kamaʻāina, nā ʻohana a me nā hoaaloha ʻaʻole wale nō ke kūʻē pai ʻana i kēia lāʻau lapaʻau. He mea kūkākūkā me kahi mea loea e pono ana, no ka mea i kekahi mau maʻi ua contraindicated. ʻAʻole hoʻohana ʻia kēia lāʻau lapaʻau i loko o nā hihia penei:

1. Hypersensitivity a me ka hoʻomanawanui i nā ʻāpana.
2. Cholestasis.
3. ʻO nā keiki a me nā ʻōpio, ʻo ia hoʻi, a hiki i ka 18 mau makahiki.
4. ʻO nā maʻi hōʻeha o nā maʻi ākea, nā pilikia o ka halihali a me ka hoʻopili ʻana o nā huaʻai i loko o nā pākuhi liʻiliʻi, etc.

ʻO ka hoʻohanaʻana i ka lāʻau lapaʻau i ka wā hāpai a me ka lactation

Aia paha nā data lapaʻau paʻa i ke palekana o ka lāʻau Listata? Hōʻike ka hōʻike o nā wahine hāpai i ka pale ʻana i ke kauka i ka lāʻau iā lākou. ʻAʻohe data palekana, no laila ua hana pololei ke kauka. Ma hope o nā mea a pau, ʻaʻole i ʻike ʻia e pili ana ka hopena o ka lāʻau lapaʻau no ka hoʻolilo kaumaha "Listat" i ka makuahine a me ka maʻa a me nā mea e hoʻoweliweli hou ʻia ai. ʻAʻole paʻa i ka paʻa o ka Orlistat i loko o ka waiū umauma. No laila, ʻaʻole pono ke hoʻohana ʻana i nā papa ʻainaʻai i ka wā o ka umauma.

Nā ʻōlelo kikoʻī kūikawā e hoʻohana ai

ʻO nā kumu nui o ka kaupaona ʻana ʻo ia ka meaʻai kūpono a me ka hana kino. Pono e hoʻokau pono i kēia mau rula ma mua o ka lawe ʻana i ka mākaʻi "Listata". Hoʻomaopopo nā loiloi hoʻomanawanui e pili ana i ka hoʻopili ʻana i ka meaʻai haʻahaʻa-haʻahaʻa me ka liʻiliʻi o ka momona momona (huaʻai, mea kanu), hiki iā ʻoe ke hōʻemi i ka hopena o nā hopena mai ka gastrointestinal tract. ʻOiai ke hilinaʻi nui nei nā poʻe he nui i ka lāʻau lapaʻau a piha loa, ʻoiai e poina ana ia e pili ana i ka mea kūpono a me nā haʻuki.

ʻO nā mea maʻi me nā pilikia ʻeha e pono ai ke kauka a ke kauka e pili ana i ka hoʻohana ʻana i ka lāʻau Listata, no ka mea aia kekahi mau maʻi.

Me ka uku kaumaha mai ka hoʻohana ʻana i nā papaʻai meaʻai i nā mea maʻi me ka maʻi maʻi, hiki i ka metabolism ke hana maʻamau. I kēia hihia, pono pū kekahi manaʻo e pono ai ke kauka. Ke hoʻoiho nei i nā paona keu i loko o ke kanaka, e hoʻemi ana ke koko a me ke kiʻekiʻe o ke kolamu o ke koko. Pono e hana i ke kauka i ka wā e kuhikuhi ana i nā lāʻau lapaʻau.

Inā ʻike ʻia kēia mau hōʻailona ma hope o ka lawe ʻana i nā papa Listat, pono koke ʻoe e ʻike i ke kauka a kūkākūkā e pili ana i ka lawe ʻana i ka lāʻau, me ka mea e hoʻomaka ai ke kaʻina o ka hana a ka maʻi ʻūlū.

1. Pāʻeha.
2. Weupuaa.
3. Pōʻeleʻele a i ka urine.
4. Kūʻai.

ʻO nā mea maʻi i lawe i ka lāʻau "Listata" waiho i nā loiloi ʻokoʻa: kūaloko, maikaʻi a me ka maikaʻi. E like me kāu e ʻike ai, i ka nui o nā poʻe, he nui nā manaʻo. Aia ia i ka pae ʻana o ke olakino o ke kanaka a me nā hiʻohiʻona o ke kino. ʻAʻole ia e kuhikuhi i ʻoe iā ʻoe iho i kekahi lāʻau lapaʻau, e komo pū ai i nā papa ʻai. ʻOiaʻiʻo, pono ʻoe e makemake i nā loiloi e pili ana i ka lāʻau lapaʻau, akā pono ʻoe e ʻimi i ke kauka no ke aʻo ʻana i ka hoʻohana ʻana o ia lāʻau a i ʻole kēlā lāʻau lapaʻau.

Pehea e hoʻohana ai: dosis a me ke ʻano o ka mālama ʻana

Lawe ʻia nā papa papa me ka wai.

ʻO ka mālama ʻana i nā mea maʻi ʻōpiopio me ka BMI o ka liʻiliʻi o 30 kg / m2 a i nā mea maʻi momona keu me ka BMI nona ka liʻiliʻi o 28 kg / m2, e hui pū ana me nā mea pili i ka maʻi obesity, i hui pū ʻia me kahi meaʻai haʻahaʻa haʻahaʻa.

ʻO nā pākeke a me nā keiki ma mua o 12 mau makahiki: ʻo ke ʻano i ʻōlelo ʻia i ka lāʻau, he 1 papa (120 mg) me kēlā me kēia papa nui (me ka ʻai a i ʻole e hala ma mua o 1 mau hola ma hope o ka ʻai).

I ka hui pū me nā lāʻau hypoglycemic (metformin, derivatives sulfonylurea a me / a i ʻole insulin) a / a i ʻole kaʻai pāʻina ʻana o nā hypocaloric i nā maʻi me ka maʻi diabetes mellitus type 2 he nui i ka momona a obese

Nā pākeke: ke kaukau ʻia o ka wai i manaʻo ʻia he 1 papa (120 mg) me kēlā me kēia papa nui (me ka ʻai a i ʻole eʻoi aʻe ma mua o ka hola 1 ma hope o ka ʻai).

Inā hele ʻoe i ka ʻaina ʻole a inā ʻole ka meaʻai i ka momona, hiki nō hoʻi iā ʻoe ke ʻoka i kahi kīʻaha.

Pono ka lawe ʻana i ka lāʻau lapaʻau me hui pūpono me ka pākeke a me ka hypocoric haʻalulu i loaʻa ʻole ma mua o 30% kaloli ma ke ʻano o nā momona. ʻO ka ke kau ʻana o ka lā i nā momona, nā pale a me nā ʻōleka e hoʻokaʻawale i waena o 3 mau kīʻai nui.

Ke hoʻonui nei i ka nui ma luna o ka mea i ʻōlelo ʻia (120 mg 3 mau manawa i ka lā) ʻaʻole ia e alakaʻi i ka hoʻonui ʻana i kona hopena therapeutic.

ʻO ka ʻoi a me ka palekana o ka lāʻau i loko o nā mea maʻi me ka maʻi aho a me / a me ka hana ʻana o ka pūpū, me ka mea maʻi a me nā keiki ʻoi aku ma lalo o ka 12 makahiki o ka nui, ʻaʻole i ʻike ʻia.

Ka hana lāʻau lapaʻau

ʻO Orlistat kahi ikaika ikaika, kikoʻī a me ka mea hoʻoweliweli o ka lipine gastrointestinal me kahi hopena lōʻihi. Lawe ʻia kona hopena therapeutic i loko o ka lumen o ka ʻōpū a me ka pūpiki liʻiliʻi a hoʻokumu ʻia i ka hoʻokumu ʻana o kahi paʻa covalent me ka ʻāina serine ikaika o ka gastric a me ka pancreatic lipases. Ma kēia hihia, lilo ka enzyme inactivated i ka hiki ke wawahi i nā momona ʻai i loko o ke ʻano o ka triglycerides i loko o nā momona momona a me nā monoglycerides. No ka mea ʻaʻole i hao ʻia nā triglycerides, ʻo ka emi ʻana o ka hopena o ka calorie intake e alakaʻi i ka emi ʻana o ke kaumaha o ke kino. Pēlā, e lawe ʻia ana ka hopena therapeutic o ka lāʻau me ka hoʻihoʻi ʻole ʻana i ka ʻōnaehana ʻōnaehana.

Hoʻomaka ka hopena o ka lāʻau i nā hola 24-48 ma hope o ka hoʻokele ʻana. Hoʻohana hou ka hana o nā lipro gastrointestinal ma kahi o 48-72 mau hola ma hope o ka pau ʻana o ka hoʻomaʻamaʻa ʻana.

I nā poʻe maʻi e lawe ana i ka orlistat, nui ka lilo o ke koʻikoʻi o ke kino ke hoʻohālikelike ʻia me nā mea maʻi e pili ana i ka mālama ʻana i ka meaʻai. Hoʻomaka ka liloʻana o ka paona i loko o nā mau hebedoma mua i hala ma hope o ka hoʻomaka ʻana o ka mālama ʻana a mau mai ka 6 a 12 mau mahina, ʻo ia hoʻi i nā mea maʻi me ka pane maikaʻi ʻole i ka mālama ʻana i nā meaʻai. ʻO ka hala mau o 2 mau makahiki, aia kahi holomua koʻikoʻi i ka hana i ka hopena o ka hopena metabolic e pili ana i ka momona. Eia kekahi, hoʻohālikelike me ka placebo, loaʻa kahi nui o ka momona o ke kino. Loaʻa ʻo Orlistat i ka pale ʻana i ka uku kaumaha. Loaʻa ka loaʻa ʻana o ke kaupaona hou, ʻaʻole iʻoi aku ma mua o 25% o nā nalowale, ua ʻike ʻia ma ka hapalua o nā mea maʻi, a ma ka hapalua o kēia mau maʻi, ʻo ka loaʻa ʻana o ke kaupaona kūlohelohe ʻaʻole i mālama ʻia, a i ʻike ʻia kahi emi hou.

ʻO ka poʻe maʻi me ka nui o ke kaumaha o ke kino a me ka momona a me ke ʻano 2 diabetes mellitus e lawe ai i ka orlistat no 6 mau mahina a 1 mau makahiki ka nui o ke kaumaha o ke kino ke hoʻohālikelike ʻia i ka poʻe maʻi e loaʻa ana i ka ʻai. Ma muli o ka emi ʻana o ka paona ʻana ma muli o ka emi ʻana o ka nui o ka momona i ke kino. Ke lawe ʻia nei ka lāʻau koholā, ua ʻike ʻia kahi hoʻomaikaʻi nui a me ka lapaʻau nui. Eia kekahi, i ka wā o orlistat therapy, kahi hōʻemi i ka hoʻoneʻeʻana o nā mea hypoglycemic agents, ka mālamaʻana i ka insulin, a me ka hoʻohaʻahaʻa hoʻi i ka pale ʻana i ka insulin e ʻike ʻia.

Me ka hoʻohana o ka lāʻau lapaʻau no 4 mau makahiki, ua hoʻemi nui ʻia ka pilikia o ka hoʻomohala ʻana i ke ʻano maʻi mellitus type 2 (e pili ana i ka 37% hoʻohālikelike ʻia me pletebo. ʻOi aku ka nui o ka hōʻemi ʻana i ka hopena i nā mea maʻi me ka hoʻomanawanui i ka hoʻohaʻahaʻa glucose kumu (e like me 45%).

Ke mālama nei i ke kaupaona ʻana o ke kino ma ke pae kiʻekiʻe e ʻike ʻia i ka wā holoʻokoʻa o ka hoʻohana ʻana i ka lāʻau.

Ke hoʻohana nei i ka lāʻau lapaʻau no 1 mau makahiki i ka wā'ōpiopio i ka wā'ōpiopio, hoʻemi ka nui o ka waihona kikoʻī kino o ke kino (BMI), e hoʻemi ana i ka momona momona, me ka ʻili a me nā poki a puni nā hui pletebo. Eia kekahi, ua nui ka emi ʻana o ke kahe koko o diastolic (BP) i hoʻohālikelike ʻia me ka hui pletebo.

Nosological ʻano papa (ICD-10)

Lapaʻau lāʻau

ʻO Orlistat kahi ikaika ikaika, kikoʻī a me ka mea hoʻoweliweli o ka lipine gastrointestinal me kahi hopena lōʻihi.Lawe ʻia kona hopena therapeutic i loko o ka lumen o ka ʻōpū a me ka pūpiki liʻiliʻi a hoʻokumu ʻia i ka hoʻokumu ʻana o kahi paʻa covalent me ka ʻāina serine ikaika o ka gastric a me ka pancreatic lipases. Ma kēia hihia, lilo ka enzyme inactivated i ka hiki ke wawahi i nā momona ʻai i loko o ke ʻano o ka triglycerides i loko o nā momona momona a me nā monoglycerides. No ka mea ʻaʻole i hao ʻia nā triglycerides, ʻo ka emi ʻana o ka hopena o ka calorie intake e alakaʻi i ka emi ʻana o ke kaumaha o ke kino. Pēlā, e lawe ʻia ana ka hopena therapeutic o ka lāʻau me ka hoʻihoʻi ʻole ʻana i ka ʻōnaehana ʻōnaehana.

Ma ka hopena o nā hopena o nā momona momona i loko o ka feces, hoʻomaka ka hopena o orlistat 24-48 mau hola ma hope o ka nānā ʻana. Ma hope o ka hoʻopau ʻana i ka orlistat, nā momona momona i nā moena ma hope o 48-75 mau hola i hoʻi pinepine i ka pae i hele ma mua o ka hoʻomaka ʻana o ka hopena.

ʻO ka poʻe maʻi e lawe ana i ka orlistat e hōʻike i ka nui o ka hoʻolilo ʻana o ke kaumaha me ka mea maʻi me ka lāʻau lapaʻau. Hoʻomaka ka liloʻana o ka paona i loko o nā mau hebedoma mua i hala ma hope o ka hoʻomaka ʻana o ka mālama ʻana a mau mai ka 6 a 12 mau mahina, ʻo ia hoʻi i nā mea maʻi me ka pane maikaʻi ʻole i ka mālama ʻana i nā meaʻai. ʻO ka hala mau o 2 mau makahiki, aia kahi holomua koʻikoʻi i ka hana i ka hopena o ka hopena metabolic e pili ana i ka momona. Eia kekahi, hoʻohālikelike me ka placebo, loaʻa kahi nui o ka momona o ke kino. Loaʻa ʻo Orlistat i ka pale ʻana i ka uku kaumaha. Loaʻa ka loaʻa ʻana o ka paona kaumaha, ʻaʻole iʻoi aku ma mua o 25% o ka nalowale, ua ʻike ʻia ma ka hapalua o nā maʻi, a ma ka hapa ʻē aʻe o nā maʻi, ʻaʻole i mālama ʻia ka nui o ke kaupaona ʻana, ʻaʻole hoʻi i kahi manawa hou.

ʻO ka poʻe maʻi me ka momona momona a me ka momona a me ke ʻano diabetes mellitus 2 e lawe ana i ka orlistat no 612 mau mahina he nui ka momona o ke kino e hoʻohālikelike ʻia me nā mea maʻi e loaʻa wale ana i ka meaʻai. Ma muli o ka emi ʻana o ka paona ʻana ma muli o ka emi ʻana o ka nui o ka momona i ke kino. Ke lawe ʻia nei ka lāʻau koholā, ua ʻike ʻia kahi hoʻomaikaʻi nui a me ka lapaʻau nui. Eia kekahi, i ka wā o orlistat therapy, kahi hōʻemi i ka hoʻoneʻeʻana o nā mea hypoglycemic agents, ka mālamaʻana i ka insulin, a me ka hoʻohaʻahaʻa hoʻi i ka pale ʻana i ka insulin e ʻike ʻia.

Me ka hoʻohana o orlistat no 4 mau makahiki, ua hoʻemi nui ʻia ka nui o ka hoʻomohala ʻana i ka maʻi diabetes mellitus type 2 (ma kahi o 37% i hoʻohālikelike ʻia me plasebo). ʻOi aku ka nui o ka hōʻemi ʻana i ka hopena i nā mea maʻi me ka hoʻomanawanui i ka hoʻohaʻahaʻa glucose kumu (e like me 45%).

Ke mālama nei i ke kaupaona ʻana o ke kino ma ke pae kiʻekiʻe e ʻike ʻia i ka wā holoʻokoʻa o ka hoʻohana ʻana i ka lāʻau.

Ke hoʻohana nei i ka orlistat no ka 1 makahiki, ʻoi aku ka liʻiliʻi o ka poʻe'ōpiopio i ka hōʻemi o ka index mass body (BMI), fat fat, a me nā ʻili a me nā poki i hoʻohālikelike ʻia i ka hui plasebo. Eia kekahi, ʻo nā mea maʻi e loaʻa ana i ka orlistat therapy i hōʻike i ka emi nui o ka DBP i hoʻohālikelike ʻia me ka hui pletebo.

Lapaʻau lāʻau

Kapehu. I loko o nā mea hana hana me ke kaumaha o ke kino a me ka momona, a me ka liʻiliʻi o ka hopena o orlistat. Ma hope o hoʻokahi kaʻe o ka waha he 360 ​​mg, ʻaʻole i loli ʻia ka orlistat i loko o ke kaila koko, ʻo ia ka mea ma lalo o ke ʻano o ka helu ana (ka liʻiliʻi ma mua o 5 ng / ml).

Ma keʻano holoʻokoʻa, ma hope o ka lawe ʻana i nā inanin therapeutic, ʻaʻole i loli orlistat i loko o ke kaila koko i ʻike ʻia i loko o nā hihia wale nō, aʻo ka liʻiliʻi o kona mau luhi (emi iho ma mua o 10 ng / ml a 0,02 μmol) paha. ʻAʻohe mau hōʻailona o ka hoʻopiʻi, ka mea e hōʻoia nei i ka liʻiliʻi o ka komo ʻana o ka orlistat.

Kahele. V_{e d} ʻaʻole hiki ke hoʻoholo, no ka mea ua hoʻopili maikaʻi loa ʻia ka Listlistat. In vitro a ʻo orlistat ma mua o ka 99% ka mea paʻa i ka protein plasma (ʻo ka nui me ka lipoproteins a me ka albumin). Ma ka liʻiliʻi liʻiliʻi, hiki i ka orlistat ke komo i nā sela koko ʻulaʻula.

Hāpai. ʻO Orlistat metabolism e hele nui ana i ka paia o ka ʻōpū. I nā mea maʻi me ka momona, ma kahi o 42% o ka hapa liʻiliʻi o orlistat, e loaʻa ana i ka hoʻopili ʻana o nā ʻōnaehana, i helu ʻia e ʻelua mau metabolites nui - ʻo M1 (ʻehā līlone lactone hydrolyzed-ʻehā) a me M3 (M1 me ka paleā N-formylleucine paʻa).

ʻO Molecules M1 a me M3 kahi anaka β-lactone hamama a hōʻemi loa ʻia ka lipase (nāwaliwali ma mua o orlistat, ʻo 1000 a me 2500 mau manawa, ia). Hāʻawi ʻia i kahi hana haʻahaʻa haʻahaʻa haʻahaʻa a me ka hoʻoliʻi ʻana o ka plasma liʻiliʻi (ma ka awelika 26 a me 108 ng / ml, kēlā) ma hope o ka lawe ʻana i nā dosis therapeutic, manaʻo kēia mau metabolites i hana ʻole ʻia.

Leʻaleʻa. I nā poʻe pilikino a me ke kaupaona ʻana, ke ala nui o ka hoʻopuka ke hoʻoponopono i nā orlistat ʻaʻole e loaʻa i loko o nā ʻawaʻawa. Ma kahi o 97% o ka loaʻa i kālia ʻia e hoʻopili ʻia ma o ka ʻōpū, me 83% i loko o ke ʻano o orlistat i loli ʻole. ʻO ka nui o ka hoʻopiha ʻāpana a me nā mea āpau i hoʻopili ʻia me ka orlistat kahi i emi mai ka 2% o ka nui i lawe ʻia. ʻO ka wā e hoʻopau ai i ka orlistat mai ke kino (ma o ka ʻōpū a me nā pōpoki) ʻo 3-5 lā. ʻO ke kahe o nā alanui excretion ma orlistat i nā mea hana ma ka mea hana he mea maʻamau a keu ka kaumaha. A ʻo ka orlistat a me nā metabolites M1 a me M3 paha e hoʻopili ʻia me ka bile.

Nā hui ahonui kūikawā

E na keiki. ʻAʻohe o nā kamaʻilio o ka orlistat a me nā metabolites (M1 a me M3) i loko o ke koko koko i nā keiki ʻaʻole ʻokoʻa nā poʻe i nā pākeke i ka hoʻohālikelike ʻana i nā koina like ʻole o ka orlistat. ʻO ka momona o kēlā me kēia lā i ka momona me nā feces he 27% meaʻai o ka meaʻai i ka wā o ka Orlistat therapy.

Nā hōʻikeʻike o ka laʻana Listata

E mālama i ka lōʻihi o nā maʻi o ka poʻe loka me ka BMI o ka liʻiliʻi o 30 kg / m 2 a i ʻole nā ​​mea maʻi momona me ka BMI o ka liʻiliʻi o 28 kg / m 2, incl. e pili ana i nā hopena koʻikoʻi e pili ana i ka momona, i hui pū me ka pāʻālua moderately hypocaloric,

i ka hui pū me nā lāʻau hypoglycemic (metformin, derivatives sulfonylurea a me / a i ʻole insulin) a / a i ʻole kaʻai pāʻina ʻana o nā hypocaloric i nā maʻi me ka maʻi diabetes mellitus type 2 he nui i ke kaumaha a obese.

ʻŌpū a me ka lactation

I nā noiʻi ʻana o nā palaka olakino i nā holoholona, ​​ʻaʻohe i nānā ʻia nā hopena teratogenic a me embryotoxic o orlistat. I ka loaʻa ʻole o kahi hopena teratogenic i nā holoholona, ​​ʻaʻole i manaʻo ʻia kahi hopena like i loko o nā kānaka. No ka mea ʻaʻohe data lapaʻau e pili ana i ka hoʻohana ʻana i ka orlistat i ka wā hāpai, ua contraindicated ka hoʻohana ʻana o Listat i nā wahine hāpai.

Ma muli o ka manaʻo ʻole o ka ʻikepili i ka hoʻokuʻu i ka orlistat me ka waiū umauma, ua contraindicated ka hoʻohana ʻana o Listat i ka wā o ka hoʻoulu ʻana.

Nā hopena hopena

ʻIkepili hoʻāʻo hoʻokūkū

ʻO nā hopena o ka lāʻau i ka systematized pili i kēlā me kēia o nā pūnaehana i ka neʻe o ka hanana, me ka hoʻohana ʻana i kēia ʻano i lalo nei: ʻano pinepine - ʻoi aku ma mua o 1/10, ka pinepine ma mua o ka 1/10, ka haʻahaʻa, ʻoi aku ka nui o ka 1/1000, ma mua o ka 1 / 100, loaʻa ʻole - ʻoi aku ia ma mua o ka 1/10000, ʻoi aku ka emiʻana o ka 1/1000, ʻaʻohe mea liʻiliʻi loa, me nā leka hoʻokahi - liʻiliʻi i ka 1/10000.

ʻO nā hopena hōʻeha a me ka hoʻohana ʻana i ka orlistat i loaʻa nui mai ka gastrointestinal tract a ma muli o ka hana pharmacological o orlistat, e pale ai i ka kao ʻana o nā momona ʻai. Hōʻike pinepine pinepine ʻia nā mea like e like me ke kaila o ka ʻāʻī mai ka lehelehe, ka mākeke me kahi nui o ka hoʻokuʻu ʻana, pono ke koi ʻana i ka defecate, steatorrhea, hoʻonui pinepine ʻia o ka neʻe ʻana i loko o ka ʻōpū, nā kīwaha, nāhelehe, nā ʻeha o ka ʻōpū a i ʻole hōʻino ʻia. Hoʻonui ka ulu o ka hoʻonui me ka hoʻonui ʻana i nā momona momona i ka meaʻai. Pono e ʻike ʻia nā mea maʻi e pili ana i ka hiki o nā hopena kūleʻa mai ka gastrointestinal tract a aʻo i ka pehea e pale aku ai iā lākou ma o ka hahai ʻana i kahi ʻai, ʻo ia hoʻi e pili ana i ka nui o ka momona o loko. ʻO ka hoʻohana ʻana i kahi meaʻai momona haʻahaʻa e hōʻemi ana i ka hopena o ka hopena mai ka gastrointestinal tract a pēlā e kōkua ai i nā mea maʻi e kāohi a hoʻoponopono i ka momona o ka momona. Ma ke ʻano he rula, he ʻoluʻolu a he transary kēia mau hopena. Noho lākou i loko o nā hana mua o ka mālama ʻana (ma nā mahina 3 mua), a ʻo ka hapa nui o nā poʻe maʻi ʻaʻole i kau hou aku i kēlā me kēia hanana o kēia mau ʻano.

Mai ka palaki kuʻekuʻe: pinepine - "palupalu" kīwaha, hōʻeha a ʻeha ʻole paha i ka rékile, fecal incontinence, pupule, ʻeha nā maʻi, ka maʻi ʻōpū.

ʻO nā manaʻo ʻino ʻē aʻe: pinepine pinepine - ʻeha, ʻo ka ʻeha hanu o ke kaumaha, maʻi, ʻeha e hoʻohaʻahaʻa i ka maʻi o ke kino, ʻōpū o ka maʻi urinary, dysmenorrhea, hopohopo, nāwaliwali.

I nā maʻi me ka maʻi diabetes mellitus type 2, ʻo ke ʻano a me ka pinepine o nā hanana ʻino ka mea i hoʻohālikelike ʻia i ka poʻe me ka poʻe maʻi ʻole me ka momona nui a me ka momona. ʻO nā hopena hopena hou wale nō i nā mea maʻi me ka diabetes mellitus type 2 he mau maʻi hypoglycemic i hana me ka pinepine o ka ʻoi aku o ka 2% a me ka ulu ʻana o ka liʻiliʻi o 1% i hoʻohālikelike ʻia me plasebo (hiki i ka hopena i hoʻonui ʻia no ka hoʻonaninohi a me ka metabolism), a me ke kahe mau nei.

I loko o kahi noiʻi haʻawina 4-makahiki, ʻaʻole ʻokoʻa ka maikaʻi o ka ʻike palekana ma ka loaʻa ʻana o nā haumāna 1 a me 2 mau makahiki. I ka manawa like, ʻo ka maʻamau holoʻokoʻa o nā hanana pōʻino mai ka gastrointestinal tract e emi i kēlā me kēia makahiki i ka manawa o 4 mau makahiki o ka lawe ʻana i ka lāʻau.

Ua hōʻike ʻia nā hihia kulekele i nā ʻano o nā maʻi alakanawai, nā hōʻike maʻamau o ka hōʻemi ʻia ʻana o nā ʻili o ka ʻili, ka huhū, urticaria, angioedema, bronchospasm a me anaphylaxis.

ʻO nā hihia ka hopena pinepine o ka pīhoihoi, he piʻi nui o ka hana o ka transaminases a me ka phosphatase alkaline, me ka mea pilikino paha, ka nui o nā hihia, ua hōʻike ʻia nā hihia o ka hoʻomohala ʻana i ka hepatitis (ua hoʻopiʻi ʻia kahi pilina kumu me ka hoʻokele orlistat a i ʻole nā ​​hoʻopili ʻana i nā mekanika hoʻomohala pathophysiological).

Me ka hana like o orlistat me nā anticoagulants kūpaʻa, nā hihia o ka emi ʻana o ka prothrombin, ke piʻi nei nā helu o ka MHO a me ka lāʻau anticoagulant unbalanced.

ʻO nā hihia o ke kaʻe o ka rectal, diverticulitis, pancreatitis, cholelithiasis, a me ka oxalate nephropathy ua hōʻike ʻia (ka ʻike pinepine ʻole i ʻike).

Me ka hoʻokolohua ʻōpiopio o nā lāʻau lapaʻau a me ka antiepileptic, ʻike ʻia nā hihia o ka hoʻomohala ʻana i ka hopu. (See. "Interaction").

Hoʻohui

ʻAʻohe mea i hui pū ʻia me ka orlistat me amitriptyline, atorvastatin, biguanides, digoxin, fibrates, fluoxetine, losartan, phenytoin, contraceptives oral, phentermine, pravastatin, warfarin, nifedipine GITS (gastrointestinal treatment with or ka pili ʻana i nā haʻawina o waena o nā lāʻau lapaʻau). Eia nō naʻe, he mea pono e nānā i ka hana o MHO me ka hoʻohui like ʻana me nā warfarin a i ʻole nā ​​anticoagulants kūlike.

Me ka hoʻokolohua hui ʻole o ka orlistat, kahi i emi ai o ka inu ʻana o nā huaora D, E a me beta-carotene i hoʻomaopopo ʻia. Inā makemake ʻia ka multivitamins, pono lākou e lawe ʻia ma kahi o 2 mau hola ma hope o ka lawe orlistat a i ʻole ʻo ka hiamoe.

Me ka hui pū ʻana o ka orlistat a me ka cyclosporine, ua ʻike ʻia kahi emi o ka cyclosporine i loko o ke koko koko, no laila, ua hoʻoholo pinepine ʻia nā neʻe o ka cyclosporin i loko o ke koko koko i ka wā e lawe ʻia ai ka cyclosporine a me orlistat.

I ka helu ʻana i ka amiodarone i ka wā o ka papa orlistat, ua hoʻokaʻawale ka hoʻokaʻina o ka ʻōnaehana o ka amiodarone a me ka desethylamiodarone (e ka 25-30%), akā naʻe, no ka paʻakikī o ka pharmacokinetics o amiodarone, ʻaʻole maopopo ka ʻike koʻikoʻi o kēia hanana. Hoʻohui a orlistat i ka hoʻomohala o ka lōʻihi me ka amiodarone hiki ke alakaʻi i ka emi ʻana o ka hopena therapeutic o ka amiodarone (ʻaʻohe mea i hoʻopaʻa ʻia nā noiʻi).

ʻO ka hoʻokaʻawale ʻana o nā orlistat a me ka acarbose e pono ke pale ma muli o ka nele o nā haʻawina ʻo pharmacokinetic.

Me ka hoʻokolohua ʻōpiopio o nā lāʻau a forlistat a me nā lāʻau antiepileptic, ua nānā ʻia nā hihia o ka hoʻomohala ʻana i ka lawe. ʻAʻole paʻa i kahi pilina kumu ma waena o ka hoʻomohala ʻana o ka make. Eia naʻe, pono e nānā pono nā mea maʻi no nā loli i hiki ke hele a i ʻole a i ʻole ka paʻakikī o ka ʻanikini maʻi.

ʻLoe a me ke kākele

I loko holoi ʻia me ka wai.

ʻO ka mālama ʻia ʻana o nā mea maʻi obese me kahi BMI o ka liʻiliʻi he 30 kg / m 2 a i ʻole nā ​​mea maʻi momona me ka BMI o ka liʻiliʻi o 28 kg / m 2, incl. e pili ana i nā hopena koʻikoʻi e pili ana i ka momona, i hui pū me ka pāʻālua moderately hypocaloric: ʻoi aku ka lōʻihi o nā pākeke a me nā keiki ma mua o 12 mau makahiki - ʻo ka papa ʻōlelo ʻo Listat e ʻōlelo ʻia ana he 1 papa. (120 mg) me kēlā me kēia papaʻai (me ka papa ʻaina a i ʻole ʻē aʻe ma mua o 1 mau hola ma hope o ka ʻai).

I ka hui pū me nā lāʻau hypoglycemic (metformin, derivatives sulfonylurea a me / a i ʻole insulin) a / a i ʻole kaʻai pāʻina ʻana o nā hypocaloric i nā maʻi me ka maʻi diabetes mellitus type 2 he nui i ke kaupaʻa a ʻohi paha: makua - ke pākaukau ʻana o Listat i 1 papa. (120 mg) me kēlā me kēia papaʻai (me ka papa ʻaina a i ʻole ʻē aʻe ma mua o 1 mau hola ma hope o ka ʻai).

Inā kīleʻa ʻia ka ʻai a ʻaʻohe momona paha ka meaʻai, a laila hiki ke ʻoni ʻia ka ʻaina o Listat.

Pono ka Listat e hui pū me kahi hui kaulike, moderately hypocaloric meaʻai e loaʻa ʻole ma mua o 30% kaloli ma ke ʻano o nā momona. ʻO ka ke kau ʻana o ka lā i nā momona, nā pale a me nā ʻōleka e hoʻokaʻawale i waena o 3 mau kīʻai nui.

ʻO ka hoʻonui ʻana o ka haʻahaʻa o Listat ma luna o ka lāʻau i ʻōlelo ʻia (120 mg 3 mau manawa i ka lā) ʻaʻole e hoʻonui i kona hopena therapeutic.

Nā hui ahonui kūikawā

ʻO ka ʻoi a me ka palekana o Listat i nā maʻi me ka maʻi aho a me / a me ka hana ʻana i ka maʻi, a me nā mea maʻi ma nā limahana a me nā keiki ma lalo o 12 mau makahiki, ʻaʻole e kūkā ʻia.

Ke keu

I nā poʻe pilikino me ke kaumaha o ke kino a me nā maʻi hānai, ʻo ka hoʻokele ʻana i nā pā o 800 miki a i ʻole nā ​​helu he nui o orlistat 400 mg 3 mau manawa i kahi lā no 15 mau lā ʻaʻole i ukali ʻia e ka hopena o nā hanana koʻikoʻi. Eia kekahi, loaʻa i nā mea maʻi me ka obesity ka hoʻohana ʻana i ka 240 mg o orlistat 3 mau manawa i kahi lā no nā mahina 6, ʻaʻole i hui pū ʻia e ka nui o ka hiki i nā hanana ʻino.

Ma nā hihia o ka nui o ka orlistat, ʻo ka loaʻa ʻole o nā hanana pōʻino i hōʻike ʻia, a i ʻole nā ​​hanana i kū like ʻole i kēlā me kēia e nānā ana i ka wā e lawe ai i ka orlistat i nā pomo therapeutic.

Ma ka hopena o ka overdose koʻikoʻi o ka orlistat, e pono e nānā i ka mea maʻi i nā hola 24. E like me nā haʻawina i nā kānaka a me nā holoholona, ​​ʻo kekahi hopena ʻōnaehana a hiki i ka pili me nā lipase-inhibiting o nā orlistat e hoʻohuli hou i ka wikiwiki.

Nā kūlana mālama

Hāʻawi ʻia ka lāʻau lapaʻau ma o ka lāʻau kau ʻana wale nō.

p, blockquote 50,0,0,0,0 ->

E hoʻomau i ka lāʻau lapaʻau i ka hiki ʻole o nā keiki. ʻAʻole pono ka mahana o ka wahi e mālama ai i nā kiʻekiʻe o 25, haʻahaʻa - ʻaʻole iʻoi aku ma mua o 70%.

p, blockquote 51,0,0,0,0 ->

E nānā i ka pauka no ka lā hoʻopau. ʻAʻole iʻoi aku i 2 mau makahiki mai ka lā o ka hana.

p, blockquote 52,0,0,0,0 ->

p, blockquote 53,0,0,0,0 ->

Hāʻawi ka mākeke lāʻau lapaʻau i kahi koho koho maikaʻi loa o nā lāʻau lapaʻau, ka papa hana koʻikoʻi o ia ʻo Orlistat. Hoʻohālike nā mea kikowaena e pili ana i ka hoʻopili ʻana, akā he mau mea kūlike a me nā huahana no kēlā me kēia mea kūʻai.

p, blockquote 54,0,0,0,0 ->

Hāʻawi mākou i kekahi o nā lāʻau lapaʻau like me ka awelika kumukūʻai:

p, he pāʻālua 55,0,0,0,0 ->

• Nā papa inoa Listata 120 mg, 30 pcs. (Izvarino-Pharma, Lūkia) - 874 mau rubles.,
• Xenalten mau kapena 120 mg, 21 pcs. (Obolenskoye FP, Lūkia) - 715 mau rubles.,
• Xenical capsles 120mg 21 pcs. (F. Hoffmann - La Roche Ltd (Switzerland) - 941 mau rubles.,
• Nā kālele Orsoten 120 mg, 21 pcs. (Krka, Slovenia) - 816 rubles.,
• ʻO Orlistat capsules 120 mg, 20 pcs. (IBN Hyan Pharmaceuticals, Suria) - 912 mau rubles.

Pono e hoʻomanaʻo ʻia ʻo ka mālama ʻana iā ʻoe iho me ka ʻole o nā ʻōlelo lapaʻau mua. ʻAʻole wale kēia e lawe i ka hopena i makemake ʻia, akā e hoʻonui i ka ʻano maʻamau.

Pehea e hana ai ka Listata a me nā mea e kū pū ana iā ia?

ʻO ka lāʻau lapaʻau ka mea paʻa o ka lipase gastric. Ma lalo o ka hana a ka lāʻau lapaʻau, hoʻokumu ʻia nā mea kanu kūikawā i loko o ke kino, ma muli o ke hiki i ka hiki ke wāwahi i nā momona a me nā pale. ʻO kahi hiʻohiʻona nui o ka hāmeʻa inā hoʻohana ia, ʻaʻole i hoʻowalewale ʻia nā mea ikaika e ka paia o ka gastric tract.

Mahalo i kēia, hana pinepine nā papa i nā hopena maikaʻiʻole (wale nō inā ʻaʻole i nānā ʻia ka lōʻihi o nā hana o ka hoʻokele a me nā dosage) a ʻaʻole i lilo i mea hoʻohui. E pale aku i ke kumu o ka emi ʻana o ka nui o ka nui o ka huahana huina, ua nānā ʻia kahi emi o ke kaumaha o ke kino.

ʻO Listata ʻaʻole hoʻohui hoʻohui biologically, ma muli o kāna mau mea ikaika, ua kapa ʻia ka lāʻau lapaʻau e like me ka lāʻau lapaʻau. Hōʻike ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana e nā mea maʻi e loaʻa ana i ka momona a me ke ʻano o ka hiho.

ʻO ka hana nui a ka lāʻau lapaʻau e orlistat, kōkua ia i ka hoʻolohi i ka synthes o nā mea enzymatic i hoʻopili ʻia i ka wā hōʻemi o nā momona i loko o ke kino. Ma muli o kēia waiwai, ʻoka ʻole ka ʻōpū i ka nui o nā momona mai ka meaʻai (ma kahi o 30%), ua lawe ʻia lākou ma ke ʻano kumu no ka ʻōpū o ka pūpū, a laila hoʻoneʻe ʻia mai ia manawa i ka wā o ka defecation.

ʻO ka mea nui ka lua o ka hana o ka huahana no ka hoʻolilo ʻana, ʻo ke kiki arabic (acacia gum). Mālama kēia mea i ka hana ʻana o nā hōʻuluʻulu nui o nā momona nui ma ka hoʻokaʻa ʻana iā lākou mai ke kino ma nā wahi liʻiliʻi. Ma muli o kēia, ua hoʻonā maikaʻi ʻia nā hopena ʻino ʻole, inā e kūpaʻa ʻia. ʻO kēia he pōmaikaʻi ʻo Leafa i hoʻohālikelike me nā mea like ʻē aʻe, e like me ka hoʻopili ʻana a me nā mea waiwai, nā lāʻau lapaʻau no ka mea luhi.

I ke ʻano o nā kumuwaiwai hou, ua hoʻohana ʻia ka microcellulose, magnesium stearate a me sodium lauryl sulfate.

Nā ʻōkuhi no ka hoʻohana

Pono e lawe i ka lāʻau lapaʻau e hahai ma muli o ke ʻano a me ka uku ʻana: 120 mg (1 papa) ʻekolu mau manawa o ka lā (me ka papaʻai nui, a i hoʻokahi hola ma hope o ka ʻai, akā, ʻaʻole i hala. Hāʻawi ʻia ka hoʻonui ʻana i ka maʻi, no ka mea e hiki ai i kēia ke hoʻonāukiuki i ka ulu ʻana o nā hopena maikaʻi ʻole, a ʻaʻole hoʻi i hoʻomaikaʻi i ka hopena o ka hoʻohana ʻana i ka lāʻau lapaʻau.

Eia kekahi, inā i loaʻa ka meaʻai i kekahi mau kalaka a me nā momona (no ka laʻana, aia ka papahele i ka huila kuke a me ka umauma moa o ka moa), e ʻōlelo ʻia e hoʻōla i ka lāʻau.

Nui! Koho ʻia ka lōʻihi o ke papa no ka mālama ʻana i ka hoʻohaʻahaʻa ʻana i ke kauka ponoʻī i kēlā me kēia hihia, he mea hiki ke lōʻihi mai 6 mau mahina a 4 mau makahiki.

Pono e noʻonoʻo ʻia ʻo kahi kanaka e hoʻāʻo nei e lilo i ka paona e pono ai e loiloi i kāna meaʻai ponoʻī. ʻOi loa, e hana i nā wahi liʻiliʻi heʻuʻuku, a komo pū i loko o nā huahana waihona i loaʻa nā momona i nā wahi liʻiliʻi. I ke kau ʻana o ke kauka iā Listat, ua ʻōlelo ʻo ia i ka hoʻohui ʻana i ka lāʻau lapaʻau e hahai i kahi laiki haʻahaʻa - pono ʻoe e ʻai ʻokoʻa, akā ʻokoʻa ka pālāīa o kēlā me kēia lā o ka ʻai āu e ʻai ai ma kahi o 1300-1500 kaloli. Ma lalo o ke kūlana o ka pāʻani haʻuki, hiki ke hoʻonui ʻia i ka nui i 1600-1900 kaloli.

Nā hopena ʻaoʻao a me ka overdose

Inā lawe ʻoe i nā pōpoki, hoʻopaʻi i ka hana i kuhikuhi ʻia, aia kahi hopena o nā hopena ʻaoʻao.

Nā hopena o ka lāʻau

E pili ana i ke ʻano o ke ʻōpū a me nā ʻawaʻī i ka wā e hoʻohana ai i ka lāʻau lapaʻau, hōʻeha ka puʻuwai, paipai pinepine ʻole i ka defecate, a i ʻole nā ​​mākau kuhi, a me ka hikiwawe o ka fecal hiki. No ka ʻaʻi ʻole ʻia o nā momona i ke kino, huila nā feces, e hoʻomaʻamaʻa pinepine ʻia kou kapa komo.

E pili ana i ka ʻōnaehana hematopoietic, hiki i ka hoʻokumu ʻana o ka anemia. Hoʻokumu kēia pathology me ka nui o ka hemoglobin i loko o ke kahawai i hoʻoili ʻia i loko o nā ʻāpana koko ʻulaʻula. Ke nānā nei i kēia kuhikuhi, ua ʻōlelo ʻia e hoʻomanawanui i ka lāʻau lapaʻau hau lapaʻau ma mua o ka lawe ʻana i ka lāʻau lapaʻau a ma ka hopena o ke papa. No ka mālamaʻana i ka hemoglobin i loko o ka laulā maʻamau, pono i nā meaʻai momona a hoʻohui pū i nā meaʻai.

Kuhi aku ka ʻōnaehana sentela i ka hana kūpono ʻole e Listata me ka ʻike ʻana o ke kaumaha ʻoluʻolu ma muli o ka hana hōʻeha, ʻoiai he ʻano maʻamau kēia a ʻaʻole i manaʻo ʻia he maʻi.

I mea e pale ai i ka hoʻomohala ʻana o nā hopena pathological maikaʻi, pono ʻoe e nīnau i ke kauka ma mua o ka hoʻohana ʻana i ka lau a i ka hopena o ka papa. Pono nō hoʻi e loiloi i kahi hoʻokolokolo e hoʻoholo i nā hoʻololi i loaʻa i ke kino.

Inā hoʻonui ʻia ka nui o ke ʻano o ka lāʻau lapaʻau, a no ka manawa lōʻihi loa, hoʻomohala ʻia nā ʻano hana i nā hanana ʻokoʻa. Akā i kēlā kūlana, e kuhikuhi ʻia ka nānā ʻana i ka mālama o ka mea maʻi i ke ao holoʻokoʻa. E like me ke kulekele, kahi hopena ʻōnaehana e pili pū me ka hoʻoluliluli ʻana o ka lipase ma lalo o ke ʻano o ka mea hana ikaika e hiki koke mai ana.

I loko o nā lāʻau lapaʻau, hiki iā ʻoe ke loaʻa nā lāʻau lapaʻau me kahi hopena like, ʻo ka mea ikaika no ia me ka orlistat. E pili ana kēia:

Eia kekahi, aia nā lāʻau lapaʻau me kekahi mea ikaika e loaʻa pū ana i ka hōʻemi momona: Liraglutid, Reduxin. Akā, makemake ʻia kekahi o kēia mau lāʻau lapaʻau no ka hoʻohana ʻana ma hope o nā ʻōlelo lapaʻau wale nō.

ʻO Listata a i ʻole Orlistat: ʻoi aku ka maikaʻi

Inā e hoʻohālikelike ʻoe i ka huahana hea a ʻoi aku paha - ʻo Orlistat a i Listata paha, e hoʻomaopopo ʻia he pono mua loa ka nui o ka maikaʻi o ka mea ma mua. Eia kekahi, ʻo Listata ka mea e hoʻonāukiuki i ka hoʻokumu ʻana o nā hopena pathological maikaʻi i ka hoʻohālikelike ʻana me Orlistat. Ma nā ʻōlelo holoʻokoʻa, ʻokoʻa ka loiloi o ka hana a nā lāʻau lapaʻau.

ʻO nā kumu kūʻai a me nā hua'ōlelo o ka hoʻomaha ma ka hale kūʻai

Hiki ke kūʻai wale ʻia ka Listata ma o ka hāʻawi ʻana i kahi papa lāʻau mai kahi kauka. ʻO ke kumukūʻai lāʻau ʻawaʻawa e pili ana i ka kokoke. 400 mau rubles, a ʻo ke kumukūʻai o nā kālā i kūkulu ʻia ma Switzerland e like me 1000 rubles.

E pōkole i ka lāʻau

ʻO nā loiloi e pili ana i "List" iʻike he mea kūpono ka lāʻau lapaʻau no nā mea he nui. He koi lāʻau lapaʻau e hiki ai iā ʻoe ke hoʻolōʻihi i ke kaupaona wikiwiki.

Hoʻopili wale kēia mea hana me ka hana ʻana o ka momona i ke kino. ʻAʻohe ona hopena hoʻonāukiuki i ke kino o ke kanaka. Hōʻike nā hōʻike ma "List" i manaʻo pinepine ʻia kēia lāʻau lapaʻau e nā kauka. No laila, ʻaʻole pono ia e noʻonoʻo ia he hoʻopunipuni kālā.

E hoʻokuʻu i ke ʻano

He aha ke ʻano o ka lāʻau lapaʻau e ʻike ai? ʻAʻole leʻoluʻolu i ke ʻano o kāna hoʻokuʻu ʻana i nā kānaka a pau.

ʻO ka mea ʻo ka loiloi e pili ana i ka "Listat" hoʻoiho i kahi hoʻohui olaola i loko o ia mea ʻaʻole maʻalahi e hoʻohana. Aia ke ʻano o ka lāʻau i loko o nā papa, i kālai ʻia me ka kinipola palupalu. Ua like lākou me nā kapules a.

Aia kekahi mau lāʻau lapaʻau like o nāʻokoʻa like ʻole. No ka laʻana, i hoʻolālā ʻia no nā 60 a he 90 mau pulama. ʻO ka hoʻokaʻawale, ʻaʻole nā ​​kūʻai "Blades" Sheets ".

I ka manawa hea e hoʻolohe ai i ka lāʻau lapaʻau i aʻo ʻia? Ma hope o nā mea a pau, ʻokoʻa nā loiloi o "Listat Mini" i hoʻokaʻawale i kēia huahana ʻaʻole me ka mea o ka pākaukau koi maʻalahi. ʻ saylelo ka poʻe e ʻoi aku ka maikaʻi o ka hoʻohana ʻana i kēlā mau peni i nā kūlana kūikawā.

ʻO kahi hōʻike nui wale no Listata kahi momona. Hoʻohana ʻia nā paila i mea hiki i ke kanaka ke nalowale i ka paona. ʻO lākou, e like me ka mea hana, he hopena koʻikoʻi. Ma waho o ka momona, ʻoi aku ka maikaʻi e lawe ʻole iā Listat.

ʻAʻole hiki i nā kānaka āpau ke hōʻeha i ka mālama ʻana me ka lāʻau lapaʻau i aʻo ʻia. ʻO wai ka "Listata" i hoʻohālikelike ʻia?

ʻO kēia poʻe ka mea i loaʻa i ka maʻi i lalo iho:

• nā hopena kūloko nui,
• ka hoʻomaloka pilikino i ka lāʻau,
• cholestasis
• ka manawa lawe ʻana i nā mea hoʻohālikelike waha,
• pilikia pilikia,
• maʻi pūpū
• nā makahiki o nā keiki.

Hiki paha ke hoʻohana i ke kumuhana laulima i aʻo ʻia i ka wā hāpai a i ka wā lactation. ʻO nā loiloi ma ka Listat Mini e hōʻike ana i nā wā i kākau inoa ʻia e pāpā i ka hoʻohana ʻana i nā kālā. Manea ʻia e haʻalele ʻole iā ia a hiki i ke ʻano o ka hoʻolālā ʻana o ka hāpai ʻana.

Ioaaaia

Heaha kahi Listata? Nānā ʻia nā ʻōlelo aʻo i ka hoʻohana, nā kumukūʻai, nā loiloi a me nā manaʻo o nā kauka e pili ana i kahi ʻano koi maʻamau i kā mākou nānā. Hoʻokani ka hana nui e ka mea kūpono o ke aʻo o ka mālama. Ma hope o nā mea āpau, kūʻai ikaika nā kānaka i nā kumukūʻai, akā pono ke kumu no ka mālama ʻana i nā maʻi like ʻole.

Ma kēia wahi, hōʻike ʻia nā loiloi i 2 ʻāpana - nā manaʻo maikaʻi a maikaʻi ʻole. Ua ʻōlelo ka nui o "Listata" ʻaʻole i kōkua i ka hōʻemi ʻana o ka paona. A i ʻole maikaʻi ʻole kāna hana ʻana iā ia.

Hōʻike i nā loiloi e hōʻemi ana i ke kaupaona ʻana ma ka "List" e kōkua maikaʻi i ka mea hana. Akā no nā hopena kiʻekiʻe loa, pono ʻoe e hoʻokokoke i ka hoʻopuka o ka paona ʻana i ke kāʻei kaumaha. ʻO ia hoʻi, ʻokoʻa a ʻai a hoʻomaʻamaʻa pono. A laila e hiki e nalowale i 10 kg i kēlā me kēia mahina. Ua nui kēia.

Kauka e pili ana i ka lāʻau lapaʻau

He nui ka poʻe e uku i kekahi kālā no ka lāʻau lapaʻau pono no ka hoʻolilo ʻana i ke kaumaha. He aha nā ʻōlelo a nā kauka e pili ana iā Listat?

Ua aneane uaʻike ʻo nā loea a pau i ka maikaʻi o ka lāʻau lapaʻau. I ka mālamaʻana i ka momona, ua hoʻonā pinepine ʻia kēia lāʻau lapaʻau. ʻO ka mea hanahana ma ka hana "Leaf" i mea e hoʻopili ai i kahi paʻa ʻole o nā momona. Ma muli o kēia, ua hoʻopau ʻia nā mea keu mai ke kino. ʻAʻole pili ka hopena o ke ola koi i nā pōʻino nui.

He mea nui ia e hoʻomaopopo nei e kamaʻilio nā poʻe loea e pili ana i ka hopena paʻa o ka lāʻau o ka meaʻai. No laila, i ke kaua kūʻē i ka momona, e hele a Listat me ka maʻalahi.

E pili ana i nā hiʻohiʻona

He mea nui ia e hoʻomaopopo i ka hoʻohana 'ana i ka lāʻau no ka noiʻi no ka pohō nui ʻana. ʻO ka meaʻoiaʻiʻo ʻo “Listata” hiki iā ʻoe ke kau palena wale i ka 30% o nā loea komo i loko. No ka hana kiʻekiʻe e pono ai ʻoe e:

• hōʻole i nā momona momona,
• alakaʻi i kahi ʻano hana ikaika
• e hahai i nā ʻōlelo a pau a kahi mea hānaiʻai,
• pale i ke kaumaha.

Ma kēia hihia wale nō ke manaʻolana nei mākou no ka hopena maikaʻi mai ka lāʻau lapaʻau me ka lālani Listata.

E like me kēlā me nā lāʻau ʻē aʻe, nā papa ʻaina mākou i aʻo ai he analogues. Ke loaʻa ʻana o ka lāʻau lapaʻau koʻikoʻi no ka lilo ʻana o ka mea kaumaha hikiʻole ke hiki.

Pehea e hoʻololi ai i ka "List"? Ua aʻo mākou i nā ʻōlelo aʻo, nā loiloi a me nā kumukūʻai o nā meaʻai lako. I waena o nā mea kikoʻī o nā kālā i ʻōlelo ʻia i hōʻike pinepine ʻia:

• "Orlimaks" (ʻO ka lāʻau lapaʻau Polaka no ka hoʻolilo kaumaha).
• "Orsoten".
• "Allie."
• Xenalten.

I loko o kēia mau meaʻaiʻai ʻai kai pau, ʻo ke ʻano ikaika like me ka orlistat. ʻOi aku ka maikaʻi e koho? Hoʻomaopopo ʻia e hoʻomālamalama i kēia nīnau me kāu kauka.

ʻŌpū a me ka lactation

Ma nā noiʻi o ka make huina o ka huaʻai i loko o nā holoholona, ​​ʻaʻohe makai teratogenic a me embryotoxic hopena o ka lāʻau lapaʻau. I ka loaʻa ʻole o kahi hopena teratogenic i nā holoholona, ​​ʻaʻole i manaʻo ʻia kahi hopena like i loko o nā kānaka. No ka mea ʻaʻohe data lapaʻau e pili ana i ka hoʻohana ʻana i ka lāʻau i ka wā hāpai, ua contraindicated ka hoʻohana ʻana o ka lāʻau lapaʻau.

Ma muli o ka loaʻa ʻole o ka ʻikepili ma ka ʻokoʻa o ka lālani me ka waiū umauma, ua contraindicated ka hoʻohana ʻana i ka lāʻau.