Ehia nā Orsoten: nā kumukūʻai i nā lāʻau lapaʻau ma muli o ke ʻano o ka lāʻau lapaʻau

ʻAna Kalepa: Orsoten

ʻO kahi inoa inoaʻole o ka lāʻau lapaʻau: Orlistat

Nā palapala ʻano: mau kapala

Mea waiwai: poʻomanaʻo

Hoʻolaha hui: kahi lāʻau lapaʻau no ka mālamaʻana i ka momona o kahi pale o ka lipine gastrointestinal.

Lapaʻi lāʻau

ʻO kahi mea paʻa o ka lipine gastrointestinal, ka hopena lōʻihi loa, e hōʻoki i ka hopena therapeutic ma ka lumen o ka ʻōpū a me ka ʻōpū liʻiliʻi, e hana ana i ka pilina covalent me ka pae o ka serine ikaika o nā lipine a me nā palupalu, a laila hoʻōki i ka enzyme i ka hiki ke hōʻemi i ka momona kāʻai, e hele mai ana i ke ʻano o nā triglycerides. nā wai momona momona a me nā monoglycerides, ʻoiai ʻaʻole i lawe ʻia ka triglycerides undigested, ke komo ʻana o ka ʻaina o ke kaloli ma ke kino. ka hoʻemi ʻana o ke kino, hoʻōla ʻia ka hopena o ka lāʻau ma ka hoʻoli ʻole ʻana o ka ʻōnaehana, ka hana o ka orlistat e hoʻonui i ka momona o ka momona i nā moʻo i 24-48 mau hola ma hope o ka lawe ʻana i ka lāʻau, ma hope o ka hoʻohemo ʻana i ka lāʻau, hōʻili ʻia ka momona momona i loko o nā feces ma ka pae mua ma hope o ka 48 72 hola

Nā hōʻailona no ka hoʻohana ʻana:

Hoʻomaʻamaʻa lōʻihi lōʻihi o ka poʻe maʻi me ka momona me kahi pūkanua kino (BMI) ≥ 30 kg / m2, a i ʻole nā ​​mea maʻi me ke kaumaha (BMI ≥ 28 kg / m2), me nā komo i nā mea pilikia e pili ana i ka momona, i hui pū me ka meaʻai haʻahaʻa haʻahaʻa, a ʻo ka orsoten hiki ke kauoha pū ʻia i hui pū ʻia me nā maʻi hypoglycemic a / a i ʻole ka mea haʻahaʻa haʻahaʻa haʻahaʻa ʻana i nā maʻi me ka maʻi diabetes type 2 i ke kaumaha a obese.

Nā pālua:

ʻ syndromelelo Hōʻehaʻeha ʻo Malabsorption, cholestasis, hapai, lactation (ka umauma o nā keiki), nā keiki ma lalo o ka 18 makahiki o ka makahiki (ʻo ia ka hana a me ka palekana ʻaʻole i aʻo ʻia), hypersensitivity i orlistat a i ʻole nā ​​mea ʻē aʻe o ka lāʻau lapaʻau.

Nā ʻoslelo a me ke hoʻoponopono:

ʻO ka dosis pākahi i ʻōlelo ʻia ʻia he 120 mg, holoi ʻia nā capsule me ka wai, lawe ʻia ma mua koke o kēlā me kēia papa nui, i ka wā o ka ʻai ʻana a i ʻole ma mua o ka hola 1 ma hope o ka ʻai ʻana, inā i kolo ʻia ka pāʻina a inā ʻaʻohe ʻai ka ʻai ʻana, a laila hiki ke lawe ʻia ka Orlistat. make, dosis o orlistat oi aku ma mua o 120 mg 3 mau manawa / lā ʻaʻole e hoʻonui i kona hopena therapeutic, ʻoi aku ka lōʻihi o ke kau ʻana ma mua o 2 mau makahiki, ʻaʻole pono ka hoʻoponopono ʻana i nā maʻi maʻi no nā maʻi maʻi a i ʻole nā ​​maʻi pāpaʻi a i ʻole ka hana maoli, palekana a me ka pono. ʻaʻole paʻa ma ka hoʻohana ʻana o orlistat i ka mālama ʻia ʻana o nā keiki ma lalo o ka makahiki 18.

Nā hopena ʻaoʻao:

Hōʻalo ka nui o nā hopena ʻino mai ka gastrointestinal tract a na ke ʻano o ka momona i loko o ka mea huʻu, ʻo ka maʻamau ka nānā ʻana i nā hopena ʻino a hilahila, ke ʻano nei ka ʻike ʻana i ke ʻano mua o ka mālama ʻana i nā malama ʻekolu mau mahina (akā naʻe ma mua o hoʻokahi hihia). hoʻomohala i ka hoʻohana ʻana o orlistat i ka helu o ka hopena o ka ʻaoʻao mai ke kaomi ʻana: flatulence, i hui pū ʻia e ka hoʻoheheʻe ʻana mai ka ʻāʻī, paipai ʻia i ka ʻāheu ʻana, nā aila / ʻaila ʻaila. hoʻokaʻawale mai ka ʻāʻī, nā kīʻaha palaka, nā kīʻaha palupalu, nā hōʻuluʻulu ʻana o nā momona i nā feces (steatorrhea), ʻeha / hōʻeha i loko o ka ʻōpū, piʻi ʻana i nā ʻōpū o ke alo, ʻehaʻeha / hōʻeha i ka līlī, hāpai nui i ka leʻaleʻa, nā incontinence fecal, hoʻopōʻino i nā niho a me nā kui. ʻO ka hypoglycemia ma nā maʻi me ka maʻi diabetes mellitus type 2, loa ke ʻano - diverticulitis, maʻi gallstone, hepatitis, hiki paha i kahi maʻi koʻikoʻi, hoʻonui nui loa o nā transaminases hepatic a me ka phosphatase alkaline, mai ke kikowaena kūloko o ka pūnao: ʻeha, ka hopohopo, nā hopena alerine: hōʻeha, ʻeha, urticaria, angioedema lani edema, bronchospasm, anaphylaxis, loa pohihihi - bullous poʻe noʻonoʻoʻole Other: maʻi palū-e like symptoms, luhi, nā mea palahēhē o ke keena naehana'āpana, urinary'āpana maʻiʻaʻai, dysmenorrhea.

Hoʻohui pili me nā lāʻau ʻē aʻe:

I ka poʻe maʻi e loaʻa ana i nā warfarin a i ʻole nā ​​anticoagulants a me nā orlistat, kahi hoʻemi ʻana i ka pae prothrombin, hiki ke nānā ʻia ka nui o ka INR, e alakaʻi ana i nā loli i nā ʻōkuhi hemostatic, kamaʻilio me ka amitriptyline, biguanides, digoxin, fibrates, fluoxetine, losartan, phenytoin, oral contraceptives, niment, me ka hoʻoluhi hoʻolōʻihi), sibutramine, furosemide, captopril, atenolol, glibenclamide a ethanol ʻaʻole i nānā, hoʻonui i ka bioavailability a me ka lipid-hoʻemi i ka hopena. pravastatin, hoʻonui i kona kaila plasma e 30%, hiki ke hoʻemi ka mea momona ke hoʻomaikaʻi i ka metabolism i nā mea maʻi me ka maʻi mellitus, ma muli o ia mea e pono ai ke hōʻemi i ka nui o nā ʻaina hypoglycemic waha, e mālama ana me ka orlistat i hiki ke hoʻopau i ka hoʻopio ʻana o nā momona-soluble vitamina (A, D, E, K). Inā makemake ʻia ka multivitamins, a laila pono lākou e lawe ma mua o 2 mau hola ma hope o ka lawe orlistat a i ʻole ma mua o ka wā e moe ai, ʻoiai e lawe ana i ka orlistat a me cyclosporine, ke emi ʻana i ka pae o ka cyclosporine i loko o ka aho koko, no laila e kuhi ʻia e koho pinepine i ka pae o ka hoʻokipa o ka cyclosporine i loko o ke koko koko, i nā mea maʻi e loaʻa ana i ka amiodarone, nānā loiloi a me ka nānā ʻana o ECG e mālama pono ʻia Ua hōʻike ʻia nā ala o kahi emi o ka emi ʻana o ka amiodarone i loko o ke kō koko koko.

Ka lā hiki: 2 makahiki

Nā kūlana o ka ʻae ʻana mai nā lāʻau lapaʻau: e ka papa lāʻau

Mea Hana: KRKA-RUS, Rūsia.

E hoʻokuʻu i ke ʻano

Loaʻa ka lāʻau lapaʻau i ka nīnau i ke ʻano o nā capsule elongated, i uhi ʻia me ka pūpū kūlohelohe. ʻO nā pōpō he ʻelua-leo, keokeo a me ka melemele. Nā koho ʻē aʻe capsule ʻē aʻe i hiki nō hoʻi.

Hoʻohana ʻia ka lole polū a me nā kala burgundy. Hoʻokahi pū kekahi o ka lāʻau lapaʻau me ka 120 mg o orlistat, a me kahi liʻiliʻi o nā mea laʻa e kūleʻa nei i ka hopena o kā lākou hopena ma ke kino.

Paola Orsoten Diet 120 mg

Ua hoʻokuʻu ʻia nā kālā Orsotin Slim. Hoʻohālikelike ʻia ia me ka hoʻohaʻemi ʻana a me ka palekana ʻoi aku ka palekana no ke olakino. Hoʻokahi papa papa o kēia lāʻau lapaʻau ka hapalua o ka nui o nā waiwai ikaika - 60 wale nō milligrams.

ʻO Orsoten i lawe wale ʻia ma ka ninaninau, maʻamau ka hoʻokahi o nā kapsul i ka manawa. ʻAʻole eʻoi aku ma mua o ʻekolu mau pika i kēlā me kēia lā. No laila, ʻo ka hopena o kēlā me kēia lā o ka lāʻau no nā poʻe pākeke ʻaʻole ʻoi aku ma mua o 360 mg. ʻAʻole ke aʻo ʻia.

ʻO ka hoʻonui ʻana i ka maʻa o ka Orsoten e alakaʻi i ka uluʻana o nā hopena ʻaoʻao kūpono ʻole.

ʻOkaʻoki lāʻau

ʻO ka pale ʻai a Orsoten kahi kīlei pōkole i loaʻa nā blil foil - ʻekolu, ʻehā paha a ʻelua paha ʻāpana.

Hoʻokahi i kahi ohe i ʻokiʻoki i ʻoki i ka lāʻau.

ʻAʻole loaʻa kahi maʻi ʻē aʻe o ka mea hana. Me kahi kiʻekiʻe kiʻekiʻe, ʻo nā ʻano hana ʻē aʻe i ʻike ʻia ma ke kūʻai aku he hoʻopunipuni.

Ma ke kihi ʻākau hema ka pahu, ka inoa o ka huahana a me ka hōʻailona ʻo "Orsoten" kahi kūʻai hoʻomanee. Ma ka ʻaoʻao o ka ʻaoʻao i mua o ka helu o ka capsules o ka lāpona i loaʻa i ka pahu, me ka hōʻailona o ka mea hana.

Ma ka hope o ke paʻa he commodity bar code, me ka ʻikepili ma luna o nā waihona, nā kikoo no ka mālama a me ka hoʻokipa ʻana wale nō e like me ka kuhikuhi ʻana e ka loea, dosage. Aia ka ʻaoʻao ʻikepili i loaʻa kahi ʻike piha e pili ana i ka mea hana, me ka inoa, ka helu, nā helu leka a me nā helu o nā palapala ʻae.

Loaʻa ka ola o ka noho o ka lāʻau i nā makahiki ʻekolu, e kau ana ma luna o ke ʻano mahana.

ʻO ka inoa o ka lāʻau lapaʻau, ka nui o ka hana o ka mea hana i loko o hoʻokahi pahu, me ka ʻike e pili ana i kona ʻano hana dosage a me ka inoa o ka hoʻopuka ʻana ʻo Orsoten i hoʻopuka ʻia ma ka papopo. Eia hou hoʻi, aia kēlā mau ʻike āpau i loaʻa i kēlā me kēia o nā kō i mālama ʻia ka pulu. No laila aneane hikiʻole ke hilahila i ke kīlea Orsoten hoʻomaka a me kekahi lāʻau lapaʻau hou.

Mea hana

Ke lawe ʻia nei ka hana o kēia lāʻau lapaʻau e ka hui lāʻau lapaʻau ʻo Krka.

He kūʻai kālā honua nui kēia, ka loiloi kūikawā ʻo ia ka hoʻokuʻu ʻana i nā lāʻau lapaʻau ākea kūpono loa i ʻike ʻia i nā lāʻau lapaʻau.

Ua puka mai ka hui i 1954 a i kēia lā ua lako kāna huahana i nā ʻāina he kanahiku a puni ka honua. ʻOi aku ma kahi o kanakolu mau keʻena luna o ka hui e hana. Loaʻa i ka Russian Federation kahi mau hana ʻoihana a nā hui.

ʻO Orsoten kahi mea pono kūleʻa maikaʻi no nā huahana Kelemānia a me Austrian.

ʻAʻole wale nā ​​huahana o Krka i nā lāʻau lapaʻau over-the-counter. Aia i ka ʻoihana a kahi hui nā lāʻau lapaʻau e like me nā lāʻau lapaʻau lāʻau. ʻO kahi mahele nui o nā huahana nā lāʻau e hoʻohana ana e hoʻomaʻamaʻa i ke kaumaha, ke kaomi a me ka metabolism.

Hoʻowahāwahā ka maʻi maʻi i kēia lāʻau e like me ke ahi!

Pono ʻoe e koi ...

I ka Russian Federation, ua loaʻa pinepine kēia lāʻau lapaʻau i nā kaulahao olakino o ka hapanui o nā kūlanakauhale. ʻAʻole kēia he mea kupanaha, no ka mea ʻo Rūsia kekahi o nā mākeke nui ʻekolu o ka hui ʻo Krka, lua wale nō i Slovenia a me Poland.

Hoʻomaka ke kumukūʻai o ka pauka mai 750 rubles.

No kēia kumukūʻai, hāʻawi nā hale lāʻau lapaʻau iā Orsoten me kahi dosis o 120 mg, nona ka ʻekolu o nā palaka leʻehiku o nā pūlima ʻehiku. Akā, i hāʻawi ʻia i ke ʻano o ka lawe ʻana i ka lāʻau i ka liʻiliʻi ma mua o hoʻokahi mahina, e ʻoi aku ka maikaʻi o ke kūʻai ʻana i kahi pālahalaha nui o ka lāʻau.

No laila, he pākeke o nā kapo he 42 no ka awelika o 1377 mau rubles. Aʻo ke kūʻai ʻana o ka ʻōpala nui "waiwai" ʻo 12 mau paleke maʻamau he 2492 mau rubles. Hāʻawi ʻia i ke ola ola o Orsoten ma lalo o nā kūlana kūpono ʻelua mau makahiki no ka pahu pahu pahu maʻamau a ʻekolu mau makahiki no ka pahu ʻala ʻōpala, ʻo ke kūʻai ʻana o ka nui nui no ka mālama ʻana i ʻekolu mau rubles i kēlā me kēia kapule.

ʻOhi ʻia ka lāʻau lapaʻau hiki i ka hoʻopunipuni!

Hōʻike maikaʻi ʻia nā loiloi o nā mea maʻi i kuhikuhi ʻia ʻo Orsoten. Kuhi maikaʻi kahi kūlana kiʻekiʻe a me ka wikiwiki o ka lāʻau i ke kino.

Ma ka laulā, ua māhele ʻia nā loiloi o ke noi penei:

• 55% o nā mea maʻi e kamaʻilio e pili ana i ka hoʻolilo ʻana o ka momona i ka malama mua o ka lawe ʻana i ka lāʻau lapaʻau,
• Hōʻike ka 25% i ka momona ʻaʻole i loli iki a i ʻole ka hoʻonui iki ʻia.
• Ua hoʻōki ka 20% i ka lawe ʻana iā Orsoten ma muli o nā hopena hopena a i ʻole nā ​​kumu ʻē aʻe a ʻike ʻia ka hopena.

Eia kekahi, ʻo kahi ma o nā loiloi e hōʻike nei i ka loaʻa ʻana o ka paona wikiwiki ma hope o ka pau ʻana o ka hopena. ʻO ka hopena, ua ʻoi aku ka paona o ke kino ma mua o ka mea ma o 5-6%.

Ua loaʻa nā hopena maikaʻi loa e ka poʻe i lawe i ka lāʻau lapaʻau i ka manawa like me ka hoʻāla ʻana o ka ʻai, a me ke ʻano o ka hoʻomaʻamaʻa maʻamau. I kēia hihia, ʻoi aku ma mua o ka 80% o nā maʻi nā mea e hōʻemi ai i ka paona ma ka papa mua, a ma ka 75% o lākou ua kau ʻia ka paona a ma hope o ka haʻalele ʻana o Orsoten.

ʻO ka hōʻike kino koʻikoʻi o ka hana o ka lāʻau lapaʻau e hiki ke hoʻomaopopo ʻia ʻo ka hoʻokuʻu ʻana o ka momona mai ka maʻi maʻi. I ka manawa like, ua ʻōlelo kekahi mau maʻi e hiki ʻole ke pale i kēia kaʻina hana.

ʻO ka hopena ʻelua ka hopena o kahi hōʻeha o ke poʻo. Aia kekahi mau hihia o ka hypoglycemia a me kekahi lohi i ka make ʻole, e alakaʻi ana i ka hiki ke hoʻopuʻi i nā maʻi ʻeha, ʻoi aku ka maʻi āpau a me nā maʻi puhipuhi.

ʻO ka hōʻike TV ma ka "Live Healthy!" Me Elena Malysheva i ka pehea e pohō ai ke kaupaona ʻole me ka hōʻeha ʻole i ke kino:

Pēlā, pono e huki i kahi hopena - ʻO Orsoten kahi adjuvant maikaʻi loa, nona ka hana e pili ana i ka hiki ke hoʻēmi i ka hoʻoikaika ʻana o nā momona i loko o ka ʻōpū.

Eia nō naʻe, he mea kūpono e hoʻomanaʻo - ʻaʻole wale nā ​​momona momona, akā ke hele pū kekahi o nā papa o ka nui o ka pale o ka pale ke hoʻonui i ka momona a me ka momona. ʻAʻole pili ʻo Orsoten i ka hoʻopili ʻana o nā honi e ke kino a me ke kaʻina kūlohelohe kūlohelohe a me ka hōʻiliʻili ʻana o nā momona mai ka huehue nui i lawe ʻia me ka meaʻai a me nā mea ʻala ʻawa.

Nā kumukūʻai no orsoten i nā lāʻau lapaʻau ma Moscow

ʻĀnō e pili ana i nā kauka e pili ana i ka orsoten

ʻO ka hoʻonuiʻana i ka hoʻonā, hoʻemi i ka hoʻopili ʻana o ka momona. He kūpono no ka hoʻohana maʻamau i nā maʻi e hoʻopau i ka kcal keu, a "ma ke noi" (no ka laʻana, nā hoʻomaha). Loaʻa kahi kikoʻī i loko o ka wā i koho ʻia ai. Aia paha ke kau ʻana ma nā hana a nā keiki.

Aia nā hopena ʻaoʻao mai ka gastrointestinal tract, ho'ēmi i ka laweʻana o nā momona-soluble o nā momona.

Koho ʻia ma hope o ka nīnau ʻana i kahi loea.

Hoʻohana ʻia ia i ka mālamaʻana i ka momona a me ke kau nui ma kahi o ka cognitive therapy o ka ʻai ʻana i ka ʻai, hoʻomaʻamaʻa ʻana a me nā hana pilikino, ka hui pū ʻana e hāʻawi i ka hopena maikaʻi loa.

ʻO nā hopena ʻaoʻao i kēia manawa, ʻaʻole i hoʻohana ʻia i ka wā kamaliʻi, pono ia e hōʻike e pili ana i nā hopena ʻaoʻao e pili ana i ka hoʻoliʻi ʻana o nā momona o ka momona o ka momona.

ʻO kēia lāʻau lapaʻau ka mea paʻa o ka lipases gastrointestinal, i ka ʻōlelo ʻē aʻe, ma muli o ka ʻike ʻole ʻia o nā triglycerides, ka nui o nā kaloli e komo ai i ke kino, a emi ana ke kanaka. Pono e hoʻomaopopo ʻia ʻaʻole pono nā lāʻau i nā maʻi maʻi hānai. Akā, he mea koʻikoʻi loa ia no nā poʻe maʻi e hele aʻai i ka ʻai a hoʻopau i nā meaʻai kiʻekiʻe, ʻoi loa hoʻi i ka papa mua o ke kaupaona ʻana, i ka wā paʻakikī loa ka mea maʻi e huli i kahi ʻano o kaʻai hou! Mai poina e hahai i nā ʻōlelo a ke kauka, a laila huli nā mea āpau!

I nā āpau āpau, kahi lāʻau maikaʻi.

ʻO ka pinepine ke loaʻa i ka hopena ma ke ʻano o nā kīwaha i ka hakahaka (maikaʻi no ka poʻe e loaʻa ana i ka constipation), i ʻike ʻia ka hōʻailona ʻōleʻa ma ka olonā, e pono ai ka hoʻohana hou ʻana i nā pā (no nā wahine, no ka kāne, ʻoi ka paʻakikī kēia hopena o ka hōʻemi)

ʻO "Orsoten" hōʻemi i ka lawe ʻana o nā momona-soluble vitamina A, D, E, K. Inā e ʻai nui ka mea maʻi i kahi kumukūʻai, a laila lawe ka lāʻau i nā hopena kūpono e hopena.

ʻAʻohe mea lapaʻau no ka pohō kaumaha. ʻAʻole i hoʻopau ʻo Orsoten i kēia pilikia. E kūʻē i ke kua o ka mea lapaʻau, hiki i ka mea e hōʻemi ai ka makemake nui, ʻoiai ua lawe ʻia ka lāʻau lapaʻau.

ʻO ka lāʻau maikaʻi, kūpono i nā kānāwai o ke komo ʻana.

ʻO ka hopena maikaʻi i ka hoʻolilo ʻana i ke kaupaona ʻana, i hui pū ʻia me ka nānā ʻana o nā lula o ka maikaʻi o ka meaʻai maikaʻi a me ka hoʻonui ʻana o ka noho kaʻa. Loaʻa ma ke kumu kūʻai. Mau kuai kuai ana, ma ke ano kuai. He liʻiliʻi ka hopena hopena, inā ʻaʻole e hōʻino i ka momona momona.

ʻO nā loiloi hoʻomanawanui e pili ana i ka orsotene

Ua paʻakikī loa au no ka hoʻomaka ʻana i ka hakakā me ke kaumaha ʻana nui. Nui nā ho'āʻo a pau ʻole. ʻO kekahi manawa i mālama lākou i ka papaʻai no hoʻokahi pule, akā ma hope o kona hele ʻana ʻaʻole ʻike lākou i ka hopena a haki lākou. Akā i loaʻa iaʻu kahi ala. Ua kōkua mai ko ka lāʻau maoli ʻo "Orsoten" ma hope o ka hoʻomaka ʻana i ka hoʻokomo ʻana i ka hoʻomaka ʻana e hoʻomaka ka nui o ka kaumaha. Ma ke ʻōlelo a ke kauka, ua hoʻomau ʻo ia e lawe i kēia lāʻau lapaʻau. ʻAʻole maʻalahi ka lāʻau lapaʻau, akā ua hōʻoia pololei i kona kumukūʻai. Ua lohe au mai nā hoaaloha ʻaʻole kūpono ia no nā poʻe a pau, akā ke manaʻo nei he mea kūpono ia, ʻoiai naʻe, e hoʻāʻo e hoʻomaka e lawe i kēlā Kūleʻa wau!

Kuhi ʻia i ka piha piha, e ʻimi mau ana i kahi hopena kūpono, hoʻāʻo a ʻaʻole hoʻi i mihi! Ke kū nei ka hopena: 10 kg i hoʻokahi mahina me ka pilikia ʻole. ʻAʻole maʻalahi ia, akā ke hōʻoia i ka hopena. Ua hoʻohana wau iā ia no kahi makahiki, hauʻoli wau no ka loaʻa ʻana o kēia lāʻau lapaʻau kūikawā. A ʻaʻole nā ​​hopena hopena, e like me ka indigestion a kino ʻole paha. 100% kaʻu lāʻau lapaʻau!

ʻAʻole makemake wau e hoʻopau i kaʻu pōloli iaʻu. Ke ʻae nei wau iaʻu iho e ʻai ʻai ma hope o ʻeono a ʻaʻole kau i ka nui o nā meaʻai. I ke kau ʻana, ua hoʻomaka ʻo ia e ʻike ua loaʻa ka momona, ua huli mai nā mea huli iaʻu iaʻu, ʻike wau he mea kūpono ke kū. Eia naʻe, ʻaʻole i holo ka palena o ka ʻai, ua huhū ʻo ia, akā ua hoʻomau ia i ka hakakā. Hele ʻo ia e ʻike i ke kauka, ua aʻo ʻia au e Orsoten, me ka hoʻohiki nei ʻaʻole i koi ʻia ka hōʻemi ʻana i nā mahele, a he mea ofo loa ka hopena. Hoʻomaka wau e lawe, a ma hope he hebedoma e hōʻike ana nā mea kaupaona iki, ʻoi aku ka hoʻomau ʻana o ka mālama ʻana, e pili ana i ka lāʻau i kuhikuhi ʻia, hiki koke ke kuhikuhi mai nā hōʻailona. I kēia manawa ua hoʻohana wau i ka mea aʻu e makemake ai, ʻaʻole loaʻa iaʻu nā kilogram.

Lawe ʻo "Orsoten", makemake maoli i kēia lāʻau lapaʻau no ka mālamaʻana i ka momona a me ke kaumaha nui loa. ʻO ka pilikia me ka momona kaumaha, mau nō ia, akā ma ka ʻōlelo aʻo a ka poʻe endocrinologist i hoʻoholo ai e hoʻāʻo, a ua huli maoli ka lāʻau i ke ala. Ua hoʻoponopono ʻo ia i kāna meaʻai a lawe i ka Orsoten. ʻO ia koʻu mea hoʻōla, - nalowale 15 kg. I ka wā hoʻomaha, lawe ʻoe i kahi pōkole a poina i nā mea kaupaʻa hou. ʻO ka lāʻau ka lāʻau he pōpō a he mea nui loa, ka palekana, no ka mea, ʻaʻole i komo i loko o ke koko.

ʻO Orsoten, i piha me kahi hui kūlima, i kuhikuhi ʻia e koʻu endocrinologist. ʻAe iaʻu i ka maʻi maʻi 'āpau 2 ke kau aku ʻoi. Ma lalo iho: ʻo ka huakaʻi ʻole i ka wā mua, a i nā lā o ka hōʻino o ka momona momona. Mai Iulai 2018 a i kēia manawa, ua hāʻule nā ​​18 kilograms, ʻoiai ua hoʻokele lākou e hele i ke kikowaena a me ka wai iʻoi aku ma mua o 1-2 mau manawa i ka hebedoma. No laila, inā kūpono ka lāʻau lapaʻau no ʻoe, a laila aia kahi hopena mai ia mea.

Hāpai iā "Orsoten" mau mahina 2 me ka lana o ka loulou naʻo kēia ka "magic pill" no ka poho kaumaha. I ka manawa like, ua hoʻāʻo wau e hoʻokō me ka ʻaʻai, no ka mea nā hopena ʻaoʻao ke komo i nā kīwaha, nā ʻeha o ka ʻōpū a me nā puahiwa, a me ka hala ʻole o ka momona. Ma kahi o nā hopena hopena, ʻoiai ma kaʻai momona haʻahaʻa, ʻaʻohe hopena. -1kg no 2 mau mahina ʻaʻole ʻo ia ka hopena (a laila ʻo ka kaumaha ʻo 97 kg, mau makahiki 32 mau makahiki). I hoʻokahi mahina ma hope o ka pau ʻana o ka hana, ke hoʻonui ʻia ke kaumaha ma 3 kg me ka mālama mau ʻana. ʻAʻole wau e kau i ka lawe iā ʻoe iho, me ke ʻano ʻole a me ka mālama ʻana i kahi kauka, ʻoi aku ka maikaʻi o kaʻai wale ʻana. Ua kiʻekiʻe ke kumukūʻai no ke papa (inu i nā mahina 2-3 e ʻike inā aia kekahi hopena).

E nānā paha iā ʻoe kaʻu loiloi iā ʻoe, akā ʻoliʻoli loa wau i kēia lāʻau lapaʻau. Ua hoʻomaka wau e lawe iā Orsoten ma hope o ka hānau ʻana o kaʻu keiki ʻelua. ʻOi aku hoʻi ka ʻoi aku, hoʻokahi makahiki ma hope mai, ke keʻena nei au i ka ʻokiʻoki ʻana. ʻAʻole au i ʻike inā hiki paha ke lawe i kēia lāʻau lapaʻau he mea lactating, akā, ʻaʻole wau i lawe i nā pilikia, a hoʻomaka e lawe wale nō ma hope o ka hoʻomaʻemaʻe ʻana i ke keiki mai ka umauma. ʻO ka maikaʻi loa ka lāʻau lapaʻau. Ua kōkua ʻia iaʻu e ʻano i loko o ka hebedoma, ʻaʻohe ʻano o nā ʻoki keu. Ua ʻōlelo kekahi i kēlā mau lāʻau hiki ke loaʻa nā hopena ʻokoʻa, akā ʻaʻole wau i ʻike iki iā lākou, ke nalowale ʻana o ke kaumaha me ka ʻole o nā pilikia a me ka hoʻopōʻino i ka olakino.

Ma hope o ka ʻoihana, hoʻomaka wau e lawe wikiwiki i ke kaumaha, a hele koke au i ke kauka me kēia pilikia. Hāʻawi mai ʻo ia iaʻu i ʻeono mau mahina o ka pohō kaumaha o ka physiological ma ka Orsotene fat blocker. Mai ka wā kahiko wau, e like me ka lōʻihi o koʻu mau mahina, ʻeono mahina, akā ua hoʻohuhū ʻia au i koʻu ʻike ʻana i ka hopena. ʻO ka hopena, hele ka 13 kg i kēia manawa me ka ʻole o kaʻai ʻana, nā mea āpau e like me kāna ʻōlelo.

ʻO ke kaumaha o ke kaumaha o ko mākou ʻohana, a inā aia kahi predisposition, paʻakikī loa ka hana ʻana. Mālama ʻia wau e Ortosen, inu wau ia manawa a hiki aku au i koʻu momona kūpono - 65 kg.

Ke kūʻai pinepine nei wau i kahi pūʻulu liʻiliʻi o Orsoten no hoʻokahi pule no nā lā hoʻomaha, i hiki ʻole ai ke loaʻa ka momona. Nui loa nā kalo i nā pōmaikaʻi ma nā hoʻomaha a me nā ʻoliʻoli home, akā mālama ʻo Orsoten iaʻu i ka momona momona. Hoʻopili wale ʻia ʻo ia. ʻO kekahi mau makahiki i hala iho nei, ua noho wau ma luna o ia makahiki no kahi makahiki a ua hele pono.

I pono wau e hele i ka helehelena ma hope o ka hānau ʻana, akā mau nō paha e loaʻa ke manawa no nā haʻuki me kāu pēpē? Ma waho o ke koʻikoʻi ʻole o ka "Orsoten" ua lawe ia 8 kg i 5 mau mahina. E ʻōlelo paha kekahi kekahi no ka manawa lōʻihi, akā ʻo ka hoʻihoʻi hou ʻana o ka paona i ke kino he kino kaumaha ko ka momona. Ua lawa kēia mau mahina i kēia iaʻu e hoʻomaikaʻi i ka metabolism, ua hoʻomaʻamaʻa wale wau i ka ʻai ʻana i ka pono.

E, nā kaikamahine, mai hoʻāʻo iā Reduxine. ʻO kēia ʻanoʻokoʻa o kēia ʻano makaʻu, ʻaʻole nā ​​ka maʻi. Ua hāʻule wau i loko o kahi ʻino kaumaha loa mai iā ia a makaʻu wau i kahi kūlana. Ua aneane wau e hiamoe, ʻaʻole makemake wau i kekahi mea. A laila, keʻokeʻo ʻo ia, kāpae i ka lawe ʻana, ua neʻe ke kauka iaʻu i Orsoten. He mea ʻokoʻa loa! ʻAnoʻoluʻolu ke ʻano, e like me ka manawa mau, kau ka lohi nei hoʻi ke kau. Ma keʻano laulā, kuhikuhi au i kēlā me kēia.

Ua hoʻāʻo wau e inu iā Xenical i ka manawa hoʻokahi, he mea ʻoluʻolu ia. ʻ, ua manaʻo wau e hoʻāpono ʻia ke kumukūʻai ma o ke ʻano, akā ʻaʻole. Mai a ia ua nawaliwali loa au. Ua kuhikuhi mai iaʻu i ka meaʻai meaʻai e hoʻololi iā Orsoten, a ua kōkua ʻo ia iaʻu i ka momona momona. Ke ʻole nā ​​hopena pili.

ʻ saylelo nā mea HLS he mea kōkua wale ka mea pāʻani i ka nalo ʻana, akā ʻaʻole nō wau. E hele ana i ke kuʻekuʻe, hōʻea ma laila i kēia mau simulators, ma ke ʻano papa ... maikaʻi loa, hiki ʻole! Na mea maʻalahi iaʻu. Ua koho wau i ka Orsotin Slim noʻu. Ua aʻo lākou iā ia ma ka hale kūʻai. Ke noho nei au ma luna o ia no ka mahina o ka lua, ua liʻiliʻi nā neʻe, 3 kg, akā ua!

I ka wā e hoʻokipa ai i ka "Orsoten" ua huli ia i mua o koʻu maopopo ʻole i ka nui o ka momona e loaʻa ana. Pono wau e hoʻoponopono, ʻaʻole ia e mihi. ʻAʻole i hoʻi ka hao ʻia 11 kg. Ma hope o nā mea a pau, ukuhi aku au i ke kino mai nā momona he nui. Mahalo wau i koʻu kauka a me ka mea hana "Orsoten": kahi lāʻau lapaʻau maikaʻi, kūpono a ma ka ʻoi aku ma mua o nā analogues: "Xenical" a me "Listy".

ʻAʻole e like i nā lāʻau lapaʻau e hana ana i ka psyche, hoʻopilikia wale ʻo Orsoten i ka loaʻa ʻana o nā momona. ʻAʻole wau i hoʻāʻo i Reduxine i kēia manawa, ua hōʻeha ia i ke kaumaha i koʻu kaikuahine, a ʻaʻole i emi ka paona. Ua koho ʻia ʻo "Orsoten" noʻu no ka mea hiki ʻole iaʻu ke mālama i kahi meaʻai nui - hiki ʻole ke kino. 1,5 - 2 kg mau mahina no ka mahina e waiho iaʻu ma "Orsotnene", hoʻomau wau e inu.

ʻO nā mea aʻu i hoʻāʻo ʻole e hoʻolilo i ka momona! A mau ka hana kino (ʻaʻole wale nō ke ʻano o ka ʻoluʻolu mai iā lākou), a ʻokoʻa ka hanu (maikaʻi ʻē ʻoe ʻaʻole iaʻu kahi ʻōpū mai lākou), a ʻo ka loko (he mea maikaʻi kēia, ʻoiai ʻaʻole au e emi ana ka momona mai ka ʻauʻau ʻana). Ua kōkua ʻo "Orsoten" e neʻe i nā mea mai ka ʻāina, aia i kēia manawa he 2 kg. E hōʻeuʻeu ka hopena, ʻaʻohe ʻaoʻao i ʻike ʻia.

Ua nui wau i ka lawe ʻana i kēia lāʻau lapaʻau. Kūpono nā loli o ka hoʻolilo kaumaha. I ka pinepine pinepine o ka hopena hopena i ka hana hewa ʻana o ka gastrointestinal tract. Ua emi maoli ka ʻokiʻoki. Ua ʻōlelo koʻu alakaʻi uʻi ʻoi aku ʻo Orsoten i ka hoʻoneʻe ʻana o nā huaora, he maikaʻi. No 2 mau meaʻai o ka pono kūpono, i hui pū ʻia me ka hoʻohana ʻana iā Orsoten, ua nalowale au i 7 kg., I manaʻo wau he hopena maikaʻi loa ia. No nā poʻe e hahai ana i ke kiʻi, kūpono kēia lāʻau lapaʻau e lawe ia me ka ʻai ʻana i nā mea momona.

ʻImi pinepine wau i koʻu koʻikoʻi a me ka olakino. Akā i hoʻokahi wā paʻakikī noʻu, loaʻa iaʻu ke kaupaona keu. ʻAʻole hiki iaʻu ke halihali iaʻu i ka nalo ʻana, no laila ua hoʻoholo wau e hana i nā lāʻau lapaʻau e hoʻoikaika ai iaʻu iho. Ua kono mai i ka lāʻau lapaʻau kēia lāʻau lapaʻau iaʻu. Akā, e like me ka mea i hope, no ka pohō kaumaha, ʻaʻole ia i kūpono pono, akā e kōkua ʻole i ka loaʻa ʻana o ke kaupaona. Pono ʻoe e lawe i kēia mau peni inā ʻai ʻoe i ka momona, a laila palekana lākou i ka momona ma ke ʻano kūlohelohe, nāna e kōkua i kēia momona wale nō e waiho ʻia ma nā ʻaoʻao a me ka ʻōpū. Akā ʻo ia ka momona aia ma kēia mau wahi o ke kino, ʻaʻole lākou e hele i kēlā me kēia wahi. Ke ʻai nei i nā meaʻai momona, ʻaʻole pono ʻoe e lawe ia mau mea. ʻAʻole hoʻemi ʻia ka ʻauwili. Ua hala wau i ʻekolu pule, ua kū ka hopena. I kēia manawa ua nalowale ia i ka momona, hoʻomaka eʻai ʻai kūpono, lawe wale wau i kēia mau peni ke ʻai wale nō wau i ka momona i ka wā hoʻomaha, no ka loaʻa ʻole o ka paona.

ʻO kahi lāʻau maikaʻi loa no ka lilo ʻana o ka mea kaumaha, a ʻae nā kauka, e hakakā nei me nā paona keu, uaʻike wau mai koʻuʻike iho. ʻAʻole hiki iā ia ke hoʻokō me ka kaumaha nui, "Orsoten" hakakā me kēia hana. Ua hauʻoli wau i ka hopena.

Ma hope o ka lawe ʻana, ʻike au i nā loli ʻē aʻe i loko o ka nui a me nā lole, a ma waho ua lilo ia i mea ʻike ʻia, ʻoiai iaʻu e inu ai i ka hapalua, lawe wau i nā papa he 42. Manaʻo wau e ʻoluʻolu iaʻu nā hopena. I ka manawa like wau e hoʻāʻo e hana i ka cardio i kēlā me kēia lā, inā hiki, a ua palena wau iaʻu iho i nā sweets. I kēia hana, makemake wau e ʻōlelo e hana maoli ka lāʻau. ʻO nā helu helu pālua maikaʻi i nā unahi!

Ua haʻi mai ke kauka iaʻu i kēia manawa wale nō ke kōkua ʻana o ka Pākīpika wale nō, no ka mea, no ka nalowale ʻana i ke kaumaha, ua ʻōlelo mai iaʻu ʻo European Orsoten. Akā maikaʻi nā hopena, ʻelima i ʻelima. No laila, hauʻoli wau.

Inu wau i ka Orsoten. Hoʻomaopopo nā kauka i ka lāʻau lapaʻauʻEulopa - no laila hiki iā ʻoe ke palekana maluhia i ka paona ʻole me ka makaʻu e kanu i ka naʻau a ʻuwī paha i kou ʻōpū. A me ka kaumaha, ma ke ala, hele a maikaʻi loa!

Ua hoʻāʻo ʻo Orsoten i kēia manawa i ka wā Makahiki Hou, ua ʻoki ʻia kona kaikuahine. Ua hoʻopakele koke ʻo ia iaʻu! ʻĀnō wau e noʻonoʻo nei i ka inu ʻana i kahi papa, no laila ua lawe wau i ka pōkole no kahi papa hoʻokolokolo.

Ua waiho ʻia ʻo ia ʻole ke hana a me ka noho mau ʻana ma ka home ua loaʻa nā uku keu. Ua hoʻoholo wau e hoʻolōʻihi i ke kaumaha, akā ʻaʻole i kōkua i kaʻai ʻana. Ua heluhelu wau e pili ana iā Orsoten ma ka Pūnaewele, ua manaʻo wau he pale kilokilo ia, akā naʻe, ʻaʻole ka kōkua kēia lāʻau lapaʻau iaʻu. Ua inu nō wau i ka pōpoki āpau e like me ka mea i kākau ʻia i loko o nā ʻōlelo aʻoaʻo, loiloi i kaʻu meaʻai a hele i loko no ka hana ikaika loa, akā ua aneane ke kaumaha, ua 96, a ua lilo i 94 mau mahina ma hope aʻe, akā ʻaʻole kēia kēia ka hopena aʻu i makemake ai. ʻAʻohe oʻu hopena ʻaoʻao mai kēia mau palupalu, akā ʻaʻohe hopena maikaʻi ʻole.

Ua hāʻule wau no kēia maunu i ka hahai ʻana i kahi kiʻi lahilahi a nani hoʻi. ʻOiai ʻaʻole wau e ukali i kahi papaʻai a makemake hoʻi e ʻai i ka meaʻai momona a me nā mea ʻoluʻolu, ua hoʻoholo wau e kū pono maikaʻi kēia ala no ka hōʻemi ʻana o ka paona. ʻO wau i heluhelu mua e pili ana i ka lāʻau lapaʻau, ua ʻike wau i nā ʻokoʻa ʻana o nā loiloi: aia nā mea maikaʻi, akā aia kekahi mau mea maikaʻi ʻole. ʻO ka kumu haʻahaʻa haʻahaʻa ka mea hana, ua hoʻoholo wau e lawe i kahi manawa kūpono. ʻIke maopopo i nā capsules, e like me ka mea i makemake ʻia, akā ʻaʻohe mea kūikawā i loaʻa. Hele mai nā kīwaha a hele i kekahi manawa e ʻeha ka ʻōpū. ʻO ka momona e like me ka mea a i waiho ʻia, ʻoiai ua hoʻāʻo wau e ʻai i ka liʻiliʻi ma mua o ka mea maʻamau. E noho me aʻu a me koʻu kaumaha.

Ua kūʻai au i kēia lāʻau lapaʻau me ka manaʻolana i ka ʻai ʻana a me ka hiʻona momona. He kumukūʻai iki ke kumukūʻai - ke kumukūʻai ma kahi o ʻelua kaukani mau rubles, ua lawe ka lāʻau lapaʻau i hoʻokahi kapiki i ʻekolu mau manawa i ka lā. ʻAʻole kūpono ʻo ia i kaʻu, ʻo ke kumu paha, ʻaʻole i kiʻekiʻe ka nui o koʻu koʻikoʻi - 67 kg. Hiki iā ia ke kanu i kahi kōʻai "maikaʻi", ʻaʻole au makemake e lawe i kēia lāʻau lapaʻau!

ʻO ke kaumaha nui ma kaʻu hihia he pilikia nui kēia ma ka olakino a me ke ola pilikino. Hoʻohe nā mea āpau, ʻaʻole wau makemake wale e ola. ʻO ka maʻi me ka maʻi diabetes, ʻo ia ke kumu, maikaʻi wale ka ulu ʻana o ka laulā. Ua hoʻāʻo wau i nā ʻano ʻaina like ʻole, me koʻu maʻi ʻole he liʻiliʻi kekahi o lākou, ʻaʻole kekahi o lākou i lawe i kekahi hopena kūikawā. ʻO nā lāʻau lapaʻau no ka hoʻemi ʻana o ke kaumaha ua hoʻohaumaha ʻia iaʻu, ʻaʻohe mea i koe e hana koe ke ʻole wale ka momona. A ma ka manawa hope loa, ʻōlelo ka mea endocrinologist iaʻu iā Orsoten. I loko o ka mahina ua loaʻa iaʻu he 2 kg, ʻaʻole nui, akāʻaʻohe palena o ka hauʻoli, a ke hoʻomau nei au e hele mālie akā e lilo ka hiʻona. Hiki i ke kanaka ke ʻōlelo aku ʻaʻole ʻaʻole wau i ʻike i nā hopena maikaʻi loa.

ʻO ka wehewehe pōkole

ʻO Orsoten (mea kanu ikaika - orlistat) kahi lāʻau lapaʻau no ka mālamaʻana i ka momona. I kēia lā, hāʻawi ka prevalence o ka momona i ke kumu e ʻike ai inā ʻaʻole ke kūlana o kahi maʻi maʻi, a laila ʻo kekahi o nā pilikia nui loa o ka mālama ola olakino hou. No laila, e like me ka Global Database of Body Mass Index i hōʻike ʻia ma ka pūnaewele WHO, ʻo ka nui o ke kaumaha ma nā ʻāina hoʻomohala ua pā ʻia e 23% (Iapana) a 67% (USA). Hoʻonui ka momona o ke kino i ka hopena o ka hoʻomohala ʻana i ka maʻi cardiovascular a me ka maʻi diabetes, kahi o nā kumu nui o ka make. Hāʻawi ʻia i luna o ka mea i luna aʻe, ʻoi aku ka maikaʻi o ka lālau ʻana me ka makaʻala o ka poʻe cardiologists, nā endocrinologists a me nā kauka o nā meaʻokoʻa ʻē aʻe. Nā hana e pili ana i ka wehe ʻana i nā puka momona momona visceral, maikaʻi i ka hapanui o nā maʻi metabolic pili i ka obesity. ʻO kekahi emi iki o ka hoʻolilo ʻana o 5-10% i ukali ʻia me ka ʻike pohō o ka loaʻa ʻana o nā pathologies concomitant. Ke noʻonoʻo nei i nā kumu kumu nui o ka momona nui i ka hanu ma ke ʻano he hana kūlohelohe kino, pono e kau ʻia ka hoʻomaʻamaʻa ʻana i ka hana ʻana i ka ʻai me ka momona "momona" ʻaʻole iʻoi aku ma mua o 25-30% o ka nui o ka nui o ka kaloli o kēlā me kēia lā i hui pū me nā hana pilikino i hana ʻia ma ke ʻano aerobic. No ka hoʻonui i ka hana o ia mau lāʻau, ua hoʻohana ʻia nā "kōkua" lapaʻau pharmacological, ʻo ia kekahi o ka lāʻau Orsoten. He mea paʻa loa ia o ka gastric a me ka pancreatic lipases o ka hana lōʻihi, ka pale ʻana i ke kaʻina hana o lipid breakdown a me ka absorption e pili ana i ka 30%. Ma ka manawa like, a me ka orsotene e hōʻemi i ka nui o nā waikawa momona a me nā monoglycerides i loko o ka lumen intestinal, kahi e hopohopo nei i kahi maʻi i ka solubility a me ka haʻalulu ʻana o ka cholesterol a me ka hoʻemi ʻana i kona neʻe ʻana i ka plasma koko. ʻO kekahi o nā pono o orsotene ʻo kāna koho kiʻekiʻe no nā enzyme i ka gastrointestinal tract a hoʻopau i "neutrality" e pili ana i nā protein, nā kākoi a me ka phospholipids.

Hoʻohana wale ʻia ka lāʻau lapaʻau i loko o ka wahi o ke gastrointestinal, me ka ʻole o ka hoʻomaʻamaʻa. Hōʻike nā hopena o nā haʻawina lehulehu he nui wale nō kona hiki ke hoʻemi pono i ke kūpaʻa o ke kino, akā ke hoʻihoʻi i ka pae o nā lipid koko i ka pilikino physiological. Ua hōʻike ʻia ʻo ka hoʻohana ʻana o ka orsoten no 12 mau mahina e pili ana me ka hoʻoponopono ʻana o ke ola (kinai ʻana i nā keʻai ʻai, a me ke ʻano hoʻoikaika kino) e hōʻoia i ka emi ʻana o ke kaumaha o ke kino ma ka 5% a i ʻole ma 35-65% o nā mea maʻi a ma ka 10% a keu paha i ka 29- 29 39% o nā maʻi. ʻO ka lāʻau lapaʻau ʻo Orsoten mai ka lāʻau lapaʻau lāʻau Slovenian "Krka" he ʻano hoʻohālikelike o ka xenical mua mai ("F. Hoffman La Roche Ltd." (Switzerland) ʻO nā kānaka ʻepekema Lūkini mai ka Federal State Institution "Endocrinological Research Center" (Moscow) i hoʻohālikelike i ka hopena e pili ana i ka hoʻemi ʻana i ke kaumaha o ke kino o nā lāʻau lapaʻau. xenical a me orsotene: Ua hōʻike ʻia nā hopena o ke aʻo ʻana i ka hoʻohālikelike o ka lāʻau lapaʻau o nā lāʻau ʻelua, ko lākou hoʻohālikelike ʻana i ka maʻi hānai, a me ka like o ko lākou ʻaoʻao palekana Ma kēia noiʻi ʻana, ʻae ʻia me ka orsotene ka nui o ka nui (ma kahi o 52%) o nā mea maʻi hānai e hōʻemi i ka hoʻemi ʻana o ke kaumaha o ke kino ma mua o 5% ma hope o 3 mau mahina o ka pharmacotherapy. -maʻi maʻi maʻi a me ka maʻi diabetes a hoʻomaikaʻi ka maikaʻi o ke ola o nā maʻi.

Loaʻa nā Orsoten i nā capsules. Wahi a nā ʻōmole holoʻokoʻa, hoʻokahi pākahi o ka lāʻau no ka 120 mg. Lawe ʻia ʻo Orsoten ma mua o ka papaʻaina (ʻo ia ka manaʻo o kaʻai paʻa paʻa, ʻaʻole ia i ʻōmole kukui), i loko o a i loko o 1 mau hola paha. Hōʻalo ʻia nā kāloti me ka nui o ka wai. Inā ʻoe e hoʻolālā i kahiʻaiʻai "ʻai" kūpono, a laila hiki iā ʻoe ke skip i kahi intake orsoten. ʻO nā make o ka lāʻau lapaʻau ma luna o 120 mg 3 mau manawa i ka lā ʻaʻole e hoʻonui i kona pono.

Lapaʻau

ʻO kahi paʻa ākea o nā lipases gastrointestinal me kahi hopena lōʻihi. Loaʻa ia he hopena therapeutic i loko o ka lumen o ka ʻōpū a me nā pūpili liʻiliʻi, hana i kahi paʻa covalent me ka pae o ka serine ikaika o ka gastric a me nā lipula. Hoʻohana ʻia i kēia ala, nalowale ka hiki i ka enzyme e wāwahi i nā momona momona i ke ʻano o ka triglycerides i loko o nā momona momona a me nā monoglycerides.Ma muli o ka huakaʻi ʻole a undigested triglycerides, ʻaʻole e pau ka komo ʻana o ke kōpaʻa ma ke kino, kahi e hoʻemi ai i ka paona kino.

Lawe ʻia ka hopena therapeutic o ka lāʻau lapaʻau me ka ʻole o ka lawe ʻana i loko o ka ʻōnaehana hoʻonohonoho. ʻO ka hana o ka orlistat e alakaʻi i ka hoʻonuiʻana i ka momona momona i loko o nā pōpoki ua 24-48 mau hola ma hope o ka lawe ʻana i ka lāʻau. Ma hope o ka hoʻokuʻu ʻana o ka lāʻau lapaʻau, ʻoi aku ka momona o ka momona i loko o nā feces i kona pae mua ma hope o 48-72 mau hola.

Lapaʻau lāʻau

Ua haʻahaʻa loa ka hāʻawi ʻana o ka orlistat. 8 mau hola ma hope o ka hoʻokomo ʻana i kahi papa lāʻau, ʻoiai ʻole i hoʻololi ʻole ʻia i ka Orlistat i ke koko, ʻaʻole paʻa ka manaʻo (ʻoi aku ka liʻiliʻi o ka 5 ng / ml). ʻAʻohe hōʻailona o ka hoʻopiʻi, e hōʻoiaʻiʻo i ka lawe ʻana o ka liʻiliʻi o ka lāʻau lapaʻau.

Ma ka vitro, ʻoi paha ka mea orlistat ma mua o 99% i hoʻopaʻa ʻia i nā protein plasma (ʻoi aku ka lipoproteins a me ka albumin). Ma ka liʻiliʻi liʻiliʻi, hiki i ka orlistat ke komo i nā sela koko ʻulaʻula.

Ka hana nui ʻo Orlistat i ka pā o ka ʻōpū ma ka hoʻokumu ʻana i nā metabolite i ʻole ke ʻano o ka pharmacologically: M1 (hydrolyzed four-membered lactone ring) a me M3 (M1 me ka pale o N-formylleucine i koe).

ʻO ke ala nui o ka hoʻopauʻana nā kau o nā ʻōpū - e pili ana i ka 97% o ka hopena o ka lāʻau, kahi o 83% - i loli ʻole.

ʻO ka hoʻohālikelike Cumulative e nā keiki o nā mea āpau i hoʻopili ʻia me ka orlistat, ʻoi aku ka liʻiliʻi ma 2% o ka nui i lawe ʻia. ʻO ka pau ʻana o ka manawa pau he 3-5 lā. ʻO Orlistat a me nā metabolites hiki ke hoʻopili ʻia me ka bile.

Ke keu

ʻAʻole hōʻike ʻia nā hihia o ka overdose.

Nā hōʻailona: ka lawe ʻana i kahi hoʻokahi o nā orlistat 800 mg a i ʻole ka nui o nā inikini a hiki i ka 400 mg 3 mau manawa / lā no 15 lā ʻaʻole i hele pū ʻia e nā hopena maikaʻi ʻole. Eia kekahi, he dosis o 240 mg 3 mau manawa / lā, i hāʻawi ʻia i nā mea maʻi me ka momona o nā mahina 6 mau mahina, ʻaʻole i hoʻonui i ka hopena maikaʻi loa.

Hana ʻia: i ka hihia o overdose o orlistat, ua manaʻo ʻia e nānā pono i ka mea maʻi no 24 mau hola.

Hoʻohui

I ka poʻe maʻi e loaʻa ana i nā warfarin a i ʻole nā ​​anticoagulants a me nā orlistat, kahi laʻa i waena o ka prothrombin level, e nānā ʻia kahi hoʻonui o INR, e alakaʻi ana i nā loli i nā ʻāpana hemostatic.

ʻO nā pilina me ka amitriptyline, biguanides, digoxin, fibrates, fluoxetine, losartan, phenytoin, contraceptives waha, phentermine, nifedipine (komo me ka hoʻokuʻu i hoʻolilo), sibutramine, furosemide, captopril, atenolom, ethenolol, nānā.

Hoʻonui ia i ka bioavailability a me ka hopena hypolipidemic o ka pravastatin, ke hoʻonui nei i kona kao i loko o ka plasma e 30%.

Hiki i ka hōʻemi o ka momona ke hoʻomaikaʻi i ka hana metabolism i loko o nā mea maʻi me ka mellitus maʻi diabetes, ma muli o kahi e pono ai e hōʻemi i ka hoʻonaninani o nā maʻi hypoglycemic waha.

ʻO Orlistat ka hopena e hiki ke hoʻopau i ka hoʻoliʻi ʻana i nā momona o ka momona (a, D, E, K). Inā makemake ʻia ka multivitamins, a laila pono lākou e lawe ʻia ma mua o 2 mau hola ma hope o ka lawe orlistat a i ʻole ʻo ka wā hiamoe.

Me ka hui like o ka orlistat a me ka cyclosporine, ua hoʻokaʻawale ʻia ka emi ʻana o ka nui o ka cyclosporin i loko o ke koko koko, no laila, e manaʻo ʻia e koho pinepine i ka pae o ke kūpaʻa o ka cyclosporin i loko o ke koko koko.

I nā poʻe maʻi e loaʻa ana i ka amiodarone, pono mālama ʻia ka nānā ʻana a me ka nānā ʻana o ka ECG Ua hōʻike ʻia nā ala o kahi emi o ka emi ʻana o ka amiodarone i loko o ke kō koko koko.

Nā hopena hopena

ʻO ka maʻi ʻino ka mea i nānā nui ʻia mai ka gastrointestinal tract a ma ke ʻano o ka nui o ka momona i nā loina. ʻO ka maʻamau ka maʻalahi o nā hopena ʻino i loaʻa ka helehelena e pili ana i ka hele. Ua ʻike ʻia ke ʻano o kēia mau hana ma ke kahua mua o ka mālama ʻana i nā malama 3 mau mua (akā naʻe ʻaʻole i hoʻokahi hihia). Me ka hoʻohana mau ʻana o ka orlistat, ka nui o nā hihia o ka hopena o ka hopena.

Mai ka papa hana ʻana: flatulence, along with discharge from the rectum, paipai i ka ʻeha, ka momona / aila stools, aila hoʻokuʻu mai loko o ka rectum, loose stools, soft stss, inclusions of fat in the feces (steatorrhea), ʻeha / hōʻeha i loko o ka ʻōpū, hoonui i ka piʻoloke ʻana, ʻehaʻeha / hōʻeha i ka līhika, makemake nui e hoʻonāukiuki, incontinence fecal, hoʻopōʻino i nā niho a me nā gums, aneʻi pinepine ka diverticulitis, maʻi gallstone, hepatitis, hiki ke ulu ikaika, hoʻonui ʻia ka hana o ka transaminases hepatic a me ka alkatine phosphatase.

Metabolism: hypoglycemia i nā maʻi me ka maʻi diabetes type 2.

Mai ka ʻaoʻao o ka pūnaehana poʻomanaʻo: headache, manaʻo i ke kaumaha.

He maʻi kūlohelohe: jarang - ʻeha, holo, urticaria, angioedema, bronchospasm, anaphylaxis.

Mai ka ʻāʻī: loloke loa - kahi pīhoihoi bullous.

Nā mea hou aʻe: nā maʻi maʻi flu, ka luhi, ka nui o ka hanu o ke kino maʻi, ka maʻi urinary tract, dysmenorrhea.

• Hoʻomaʻamaʻa lōʻihi o nā maʻi hānā me ka maʻi hakahaka me ke kino kikoʻī o ke kino (BMI) ≥30 kg / m 2, a i ʻole nā ​​mea maʻi me ke kaumaha (BMI ≥28 kg / m 2), me nā mea i nā mea maka e pili ana i ka obesity, i hui pū ʻia me ka pāʻai haʻahaʻa maʻalahi.

Hiki ke kuhikuhi ʻia ʻo Orsoten ® i ka hui pū me nā lāʻau hypoglycemic a me / a i ʻole ke ʻano haʻahaʻa-haʻahaʻa haʻahaʻa no nā mea maʻi me ka maʻi diabetes mellitus type 2 nui loa i ke kau a momona paha.

Nā Hoʻohui

• ʻālaʻi melabsorption,
• cholestasis
• hapai
• lactation (umauma),
• na keiki a me na opio malalo o na makahiki 18 (aole i ao ia ka pono a me ka palekana).
• hypersensitivity i orlistat a i ʻole kekahi mau mea o ka lāʻau.

ʻŌpū a me ka lactation

E like me nā hopena o nā noi preclinical, teratogenicity a me ka embryotoxicity i nānā ʻole i ka wā e lawe ai i ka orlistat. ʻAʻohe ʻikepili data i ka hoʻohana ʻana i ka orlistat i ka wā hāpai, no laila ʻaʻole pono ke kuhikuhi ʻana i ka lāʻau i kēia manawa.

No ka mea ka ʻikepili ma ka hoʻohana i ka wā o ka lactation, ʻaʻole pono e kuhikuhi ʻia ka papa kuhikuhi i ka wā o ka lactation.

Nā ʻōlelo kikoʻī

ʻO ka maikaʻi ʻo Orlistat no ka mālama lōʻihi o ka paona o ke kino (hoʻemi i ke kaumaha o ke kino, mālama ia i kahi pae kūpono a pale i ka hoʻonui nui ʻana o ke kaupaona ʻana). Ma ke ʻano me ka orlistat e alakaʻi i kahi hoʻomaikaʻi ʻana i ka ʻaoʻao o nā mea pili i nā pilikia a me nā maʻi e pili ana i ka momona (e pili ana i ka hypercholesterolemia, ka hoʻohaʻahaʻa ʻole ʻana i ka glucose, hyperinsulinemia, hypertension arterial, type 2 diabetes mellitus), a me kahi kaila o ka momona visceral.

ʻO ka hoʻemi kaumaha ʻana ma ka wā o ka mālama ʻana me ka orlistat hiki ke hele pū me ka hoʻomaikaʻi ʻana o ka uku hoʻohaʻawa i ka metabolism i nā maʻi me nā maʻi diabetes 2 ʻano, e hōʻemi ʻia ka nui o ka lāʻau hypoglycemic.

No ka hōʻoia ʻana i ka pono o ka ʻai no nā maʻi maʻi, ʻoi aku ia e lawe i ka hoʻomākaukau ʻana no multivitamin.

Pono nā mea maʻi e hahai i nā kulekele meaʻai. Pono lākou e loaʻa i kahi pāʻālua haʻahaʻa a hōʻemi haʻahaʻa haʻahaʻa inā ʻaʻole iʻoi aku ma mua o 30% mau ʻona ma ke ʻano o nā momona. Pono ka ʻili o ka momona i kēlā me kēia lā i loko o ʻekolu mau papaʻai.

Hiki paha ke hoʻonui ʻino loa mai ka ʻōpū o ka gastrointestinal inā lawe ʻia ka orlistat me ka ʻai momona i nā momona (no ka laʻana, 2000 kcal / lā,> 30% o ka nui o ka kalima o kēlā me kēia lā e hele mai ana ma ke ʻano o nā momona, ʻo ia hoʻi ma kahi o 67 g o ka momona). Pono ka poʻe maʻi e ʻike ʻoi aku ka pololei i ko lākou hahai ʻana i kahi meaʻai (ʻoi aku no ka nui o ka momona), ʻoi aʻe ka ulu ʻana i ka hopena maikaʻiʻole. ʻO ka liʻiliʻi o ka momona haʻahaʻa e hōʻemi i ka hopena o ka uluʻana o gastrointestinal a kōkua i ka poʻe maʻi e hoʻomalu a hoʻoponopono i nā kao momona.

Inā ma hope o 12 mau hemo o ka lapaʻau i hōʻemi ʻole ʻia ka nui o ke kino ma ka liʻiliʻi o 5%, pono e hoʻokaʻawale ke orlistat.