Ucabanga ukuthi ingane yakho ikhuluphele kancane kunezinye izingane ezingontanga yayo? Ungase ukhathazeke kakhulu ngesisindo sengane yakho. Lesi yisihloko esibucayi kakhulu. Abanye abantu bacabanga ukuthi lokhu kungenxa yokukhathala noma ukudla ngokweqile. Kodwa empeleni, ukukhuluphala kwengane kuyisimo esiyinkimbinkimbi kakhulu esinezimbangela eziningi zezokwelapha. Ngakho-ke namuhla, sizokhuluma ngemithi emisha efana ne-Wegovy okukhulunywa ngayo njengesixazululo salokhu.
Kungani ukukhuluphala kwengane kuyinto engathi sína kangaka?
Abantu abaningi, ngezinye izikhathi ngisho nodokotela, ekuqaleni babecabanga ukuthi izingane zikhuluphele ngoba azilawuli ukudla kwazo futhi azizivocavoci. Okusho ukuthi, abantu abaningi babecabanga ukuthi kulungile uma belawula lezo zinto ngengqondo yabo.
Kodwa manje ucwaningo luthole ukuthi kuthonywa izici eziningi zofuzo, ezomzimba, ezomnotho kanye nezendawo ezungezile . Kalula nje, akulona iphutha lengane noma labazali. Kuyisifo, njengesifo sikashukela noma umfutho wegazi ophakeme.
Abantu abaningi bacabanga ukuthi “amafutha azophela njengoba izingane zikhula.” Kodwa manje, ucwaningo selufakazele ngokusobala ukuthi lokhu akwenzeki. Uma kungelashwa, lokhu kukhuluphala kuyaqhubeka kuze kube yilapho umuntu esekhulile.
Uma ingelashwa, imiphumela iba mibi kakhulu:
- Umfutho wegazi ophakeme
- Isifo sikashukela
- Ukuthomba kwasekuqaleni
- Isibindi Esinamafutha
- Ukuphefumula komoya ngesikhathi sokulala
- Isifuba somoya
- Izinkinga zamathambo namalunga
- Izinkinga zengqondo (ukucindezeleka, ukuzethemba okuphansi)
- Ngisho nengozi yokufa ngaphambi kwesikhathi lapho usukhulile.
Ngakho-ke, izidakamizwa ezifana neWegovy manje sezikhulunywa ngazo ukulawula lesi simo esibucayi.
Isebenza kanjani isidakamizwa i-Wegovy (Semaglutide)?
Lena indaba ethakazelisayo kakhulu. Amathumbu ethu ngokwemvelo akhiqiza i-hormone ebizwa ngokuthi i-GLP-1 (i-peptide efana ne-Glucagon-1) . Le hormone yiyo ethumela isignali ebuchosheni bethu ukuthi sesisuthi, futhi asisadingi ukudla. Iphinde ilawule izifiso zethu zokudla.
Kodwa-ke, le hormone ye-GLP-1 ekhiqizwa yimizimba yethu ibhujiswa ngokushesha okukhulu. Ngakho-ke esikwenzayo nge -semaglutide ku-Wegovy ukuthi iziphatha njenge-hormone ye-GLP-1. Kodwa kunomehluko omkhulu. Lo muthi uhlala emzimbeni isikhathi eside, izinsuku eziningi. Ngakho-ke, noma udla kancane, usazizwa usuthi, kulula ukulawula ukudla kwakho, futhi uzizwa ulambile kancane.
Umuthi i-semaglutide ekuqaleni wawusetshenziswa kubantu abanesifo sikashukela ngaphansi kwamagama athi Ozempic kanye neRybelsus. Kamuva kwatholakala ukuthi usebenza kahle kakhulu ekunciphiseni isisindo futhi wavunyelwa ngaphansi kwegama elithi Wegovy.
Yiziphi izinzuzo nezingozi zokunikeza izingane lo muthi?
Njenganoma yimuphi umuthi, lo unezinzuzo nezinkinga zawo. Udokotela uzohlola izinhlangothi zombili ngokucophelela ngaphambi kokuthatha isinqumo sokunikeza ingane lo muthi.
Yiziphi izinzuzo?
Ucwaningo olwanyatheliswa kuyi-New England Journal of Medicine ngoDisemba 2022 lubonise ukuthi izingane ezikhuluphele kakhulu (ezineminyaka engu-12+) ezathola umjovo we-semaglutide kanye ngesonto amasonto angu-68 zithole ukwehla okumaphakathi kwe-body mass index (BMI) ngo-16% . Zalulekwa futhi ukuba zenze izinguquko endleleni yokuphila (ukwelulekwa ngendlela yokuphila).
Akukhona lokho kuphela,
- Usayizi okhalweni onciphile
- Ukuthuthukisa amazinga e-cholesterol
- Ukwehla kwama-triglycerides, uhlobo lwamafutha egazini
Kubonise imiphumela emihle kakhulu. Okumangazayo ukuthi lolu cwaningo luthole nokuthi lo muthi usebenza kahle kakhulu ezinganeni nakubantu abasha kunakubantu abadala.
Le miphumela mihle kakhulu kangangokuthi i-American Academy of Pediatrics incoma ukuthi izingane ezikhuluphele ezingaphezu kweminyaka eyi-12 zicabangele ukunikeza umuthi i-semaglutide, kanye nokwelulekwa ngokuzivocavoca kanye nokudla okunempilo. Phakathi kwezinketho zamanje, ukuhlinzwa kwe-bariatric (ukuhlinzwa kokunciphisa isisindo) ukuphela kokwelashwa okusebenza kahle njengalokhu.
Izingozi Nemiphumela Engemihle
Kudingeka futhi siqaphele ngobuqotho izingozi nemiphumela emibi yalo muthi.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi evamile | Isicanucanu, ukuhlanza, kanye nesifo sohudo kuyinto evamile emithini eminingi. Ngokuvamile kuyaphela ngokuhamba kwesikhathi njengoba umzimba ujwayela. |
| Izinto okufanele uzicabangele | Ezinye iziguli kubikwa ukuthi zinemisipha ephansi kanye nokuqina kwamathambo, ngakho-ke ukudla okucebile ngamaprotheni kanye nokuzivocavoca kubalulekile. |
| Imiphumela emibi engavamile kodwa emibi kakhulu | Akuvamile kakhulu (ngaphansi kuka-1%) ukuthi iziguli ziqale ukuba nezimo ezifana namatshe enyongo noma i-pancreatitis. Abanye odokotela bathi kudingeka ucwaningo olwengeziwe ukuze kutholakale ukuthi lokhu kunemiphumela yesikhathi eside yini ebuchosheni bomntwana obusakhula. |
Into ebalulekile ukuqhathanisa lezi zingozi nezingozi ezinkulu zempilo zokukhuluphala okungelashwa. Udokotela wenza lokho kulinganisela.
Ingabe lo muthi ungowokuphila konke?
Lona umbuzo obaluleke kakhulu. Ucwaningo luye lwabonisa ukuthi abantu abadala abanciphisa isisindo ngenkathi bethatha i-Wegovy baphinde bathole izingxenye ezimbili kwezintathu zesisindo abasilahlekele phakathi nonyaka ngemva kokuyeka umuthi.
Lokho kusho ukuthi lokhu kungaba umuthi wokuphila konke.
Cabanga ngakho, umuntu onesifo sikashukela kungase kudingeke athathe i-insulin impilo yakhe yonke. Umuntu one-cholesterol ephezulu uzoqhubeka nokuphuza imithi efana nama-statin. Ukukhuluphala ngokweqile kuyisifo esingapheli esinjalo. Uzama ukushintsha i-biology yomzimba ngomuthi, futhi uma uyeka ukuthatha lowo muthi, umzimba uqala ukusebenza ngendlela ofuna ngayo, okungukuthi, ngokwemikhuba yawo yakudala.
Ukucwaswa ngokukhuluphala kuyisithiyo esikhulu
Mhlawumbe lena inkinga embi kakhulu, imbi kakhulu kunemiphumela emibi yemithi. Indlela umphakathi obheka ngayo ukukhuluphala ngokweqile. Ukucabanga ukuthi "lesi akusona isifo, ubuvila."
Ngenxa yalezi zimo zengqondo ezingalungile,
- Izingane nabazali bayesaba futhi banamahloni okuya kudokotela. Bacabanga ukuthi, "Udokotela uzongithethisa angitshele ukuthi yini engalungile."
- Abanye abantu bacabanga ukuthi ngaphambi kokunikeza lolu hlobo lomuthi, ingane kufanele "ibonise" ngokunciphisa isisindo "ngemizamo yayo."
Cabanga nje, singakusho lokho kumuntu onesifo sikashukela? Ngeke sithi, "Kufanele uyeke ukudla amaswidi kuqala bese sizokunikeza imithi." Lokho akulungile ngokwezokwelapha. Ukukhuluphala ngokweqile nakho kuyisifo esidinga ukwelashwa.
Lomuthi awusiwo umlingo. Kufana nokulinganisa inkundla yokudlala. Okusho ukuthi, udala indawo elula nelula yokuba ingane ikwazi ukuphila impilo enempilo (ukudla okuhle, ukuvivinya umzimba). Ukuthatha umuthi nokudla noma yini oyifunayo akwanele.
Uma ukhuluma nodokotela wakho, uzogxila empilweni yengane yakho iyonke, hhayi isisindo sayo kuphela. Uzokusiza uqonde ukuthi ukukhuluphala akusikho "ubuthakathaka bokuziphatha" kodwa kuyisifo esiyinkimbinkimbi nesingapheli. I-Wegovy iyithuluzi elilodwa nje lokusiza ekwelapheni leso sifo.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhuluphala ngokweqile ebuntwaneni akulona iphutha lengane noma labazali. Kuyisifo esiyinkimbinkimbi nesingapheli esibangelwa izici eziningana zofuzo, zomzimba kanye nezemvelo.
- Imithi efana ne-Wegovy (Semaglutide) isiza ekunciphiseni isisindo ngokuthumela izimpawu ebuchosheni ukulawula ukudla nokunciphisa isifiso sokudla.
- Nakuba lo muthi unemiphumela emibi efana nokucanuzela kwenhliziyo nokuhlanza, ngokuvamile awubi mkhulu kangako kunezingozi ezinkulu zesifo sikashukela kanye nomfutho wegazi ophezulu okubangelwa ukukhuluphala okungalashwanga.
- Lokhu akuwona umlingo. Lokhu ukwelashwa okufanele kuhambisane nokudla okunempilo kanye nokuzivocavoca umzimba .
- Ngaphambi kokwenza noma yiziphi izinqumo, khuluma nodokotela wakho ngalokhu ngokukhululekile nangokwethembeka. Udokotela kuphela onganquma indlela yokwelapha engcono kakhulu yengane yakho.
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