Onaninso mapiritsi oyipa kwambiri omwe amavomerezedwa ndi FDA
Kodi mukuganiza zogwiritsa ntchito piritsi yolemetsa yolemetsa? Kapena mwinamwake mwamvapo za mankhwala a FDA omwe amavomereza kuti adye mankhwala. Kuyesera kupeza mankhwala otetezeka kukuthandizani kuchepa kungakhale kovuta. Gwiritsani ntchito ndondomekoyi kuti muthe kudutsa muzowona kuti mupindule mankhwala abwino kwambiri.
Kodi Mungagule Bwanji Piritsi Yoperewera Kwambiri?
Pali mitundu itatu ya mapiritsi omwe mungagule.
Mankhwala ochepetsa kuperewera kwa mankhwala ndi mankhwala omwe mungapite kudzera mwa dokotala wanu. Mankhwala osagwiritsa ntchito mankhwala kapena owonjezera (OTC) ndi mankhwala omwe safuna mankhwala. Ndipo potsiriza, pali zowonjezera zowonjezera zowonjezera kulemera komwe mungapeze m'masitolo ambiri a vitamini ndi malo osokoneza bongo. Zakudya zowonjezera mankhwala sizimatengedwa ngati mankhwala ndipo sichiyenera kutsata ndondomeko zolimba za chitetezo chomwe chimayang'anira mankhwala athu.
Njira yabwino yowunikira zokhudzana ndi kugwiritsira ntchito mapiritsi ena owonjezera kapena kupiritsa mapiritsi ndi wothandizira zaumoyo wanu. Kambiranani ndi dokotala wanu za kafukufuku wamakono zomwe zagwiritsidwa ntchito. Dokotala wanu adzakambilaninso momwe kutenga mapiritsi a zakudya kungagwirizanane ndi mankhwala ena ena ndipo mutha kupereka uphungu wabwino kwambiri wokhudzana ndi chitetezo cha zatsopano.
Mapiritsi Ovomerezeka Ovomerezeka a FDA
- Xenical (orlistat): Mankhwalawa amavomerezedwa ndi US Food and Drug Administration (FDA) kuyambira 1999. Xenical ndi lipase inhibitor yomwe imatanthawuza kugwira ntchito poletsa kutsekemera kwa mafuta. Dieters ayenera kutsata zakudya zochepa kapena amamva zotsatira zovuta.
Qsymia (phentermine ndi topiramate) : Mankhwala awiriwa mu Qsymia amagwira ntchito pamodzi kuti achepetse chilakolako ndikuchepetsa chakudya chanu. Dokotala wanu angakuuzeni ngati muli ndi BMI yoposa 30 kapena chiwerengero cha thupi la 27 ndi apamwamba komanso chikhalidwe cholemetsa monga mtundu wa shuga 2 kapena kuthamanga kwa magazi . Mankhwala amafunika kuthandizidwa pamodzi ndi moyo wokonzanso zosokoneza.
Belviq (lorcaserin) : Piritsi iyi yowonjezera imagwira ntchito poyambitsa serotonin receptors zomwe zimayambitsa njala. Powathandiza kuthetsa njala yanu, opanga mankhwala akuyembekeza kuti Belviq adzakuthandizani kuti mukhale okhutira mutadya chakudya chochepa. Amapezeka ndi mankhwala kwa odwala omwe ali ndi BMI ya 30 kapena chiwerengero cha thupi la 27 pamodzi ndi matenda okhudzana ndi kunenepa kwambiri.
Saxenda: (jekeseni la liraglutide [rDNA]] Mankhwalawa amathandizira dieters kuti amve bwino mwamsanga kuti adye pang'ono ndi kuchepa thupi. Saxenda ingagwiritsidwe ntchito ndi odwala omwe ali olemera kwambiri (omwe ali ndi BMI ya 30 kapena kuposa) kapena odwala omwe ali ndi BMI ya 27 kapena kuposa, ndi matenda okhudzana ndi kulemera monga matenda a shuga a mtundu wa 2, cholesterol chachikulu kapena kuthamanga kwa magazi.
Kusiyanitsa : (naltrexone hydrochloride ndi bupropion hydrochloride) Kuwonongeka kwa mankhwalawa kumakhudza kwambiri chigawo cha mitsempha kuti chiwonjezere chiwerengero cha ma calories omwe mumayaka ndi kuchepetsa chilakolako chanu. Piritsi la zakudya limaperekedwa pamodzi ndi pulogalamu yochepetsetsa ya calories ndi zochita masewero olimbitsa thupi pofuna kuthandiza anthu kulemera.
Vyvanse : (lisdexamfetamine dimesylate) Mankhwalawa ndi FDA-omwe amavomerezedwa kuti azisamalira matenda odyera, koma sakuvomerezedwa kuti awonongeke.
Phentermine: Phentermine imagulitsidwa pansi pa mndandanda wa mayina, kuphatikizapo Suprenza, Adipex-P , Kraftobese, ndi Teramine. Zimaperekedwa kwa kanthawi kochepa ndipo zimagwira ntchito pochepetsa chilakolako cha dieter. Malingana ndi ADA, ndiwo mapiritsi odyetsera kwambiri ku United States. Komabe, mankhwalawa akhoza kukhala chizoloƔezi; Zotsatira zake zingakhale kuphatikizapo kusowa tulo, kudzimbidwa ndi pakamwa.
Meridia (sibutramine): Chida chodetsa nkhawacho chinachotsedwa pamsika ku United States mu 2010. A FDA poyamba adavomereza chipangizocho, koma wopanga anasiya kuzipanga pambuyo kafukufuku wamaphunziro adasonyeza kuti ogwiritsa ntchito ali ndi chiopsezo chowonjezeka cha matenda a mtima ndi kupwetekedwa. A National Institutes of Health (NIH) amalimbikitsa kuti aliyense amene akugwiritsabe ntchito Meridia adziwane ndi dokotala wawo kuti akambirane njira zina zochiritsira.
Mipiritsi ndi Zowonjezera Zovuta Kwambiri ndi Zabwino Kwambiri
Ngati mulibe mankhwala kwa mankhwala odyera, mungayesedwe kuti mutenge piritsi kapena kuwonjezera piritsi.
Kumbukirani pamene mankhwala a OTC ndi a FDA omwe amavomerezedwa kuti atetezeke komanso athandizidwe, kuchepetsa kulemera kwa thupi sikuli. A FDA amadalira kampani yomwe imapangitsa iwo kutsimikiza kuti ali otetezeka. Choncho mukamagula zakudya zowonjezera zakudya kapena mankhwala othandizira kulemera kwa mchere muyenera kusamala kwambiri zomwe mumagula. A FDA samavomereza zonena zambiri zomwe makampani amapanga zokhudzana ndi katundu wawo. NthaƔi zambiri, zilembo zowonongeka zimapangidwa mwaluso kuti zipangizozi zikhale zomveka bwino kuposa momwe zilili.
- Alli (orlistat): Ichi ndi chokha chokhalira piritsi yolemetsa yovomerezedwa ndi FDA. Lili ndi mlingo wapang'ono wa mankhwala omwewo omwe ali mu Xenical . Dieters amene amatenga nawo ayenera kuchepetsa kudya ndi kusintha moyo wawo kapena kusintha kwao. Alli anachotsedwa mwadzidzidzi kumsika mu 2014 pambuyo poopseza, koma kampaniyo idatulutsanso mapiritsi a zakudya ndi phukusi lodziwika bwino .
- Garcinia cambogia : Izi zowononga kulemera kwazowonjezera zimachokera ku chipatso chomwe chimakula m'madera otentha. Amapezeka pamasitolo ogulitsa zakudya komanso ochokera kwa ogulitsa pa intaneti, koma zotsutsana zambiri zomwe ogulitsawo sanagwirizane nazo sizinawathandizidwe mobwerezabwereza m'zinthu zofalitsa zachipatala. Kafukufuku wina amene anafalitsidwa mu Critical Reviews mu Food Science and Nutrition anati palibe umboni wosonyeza kuti uli ndi mphamvu.
- Glucomannan : Dzina la chakudya chodziwika bwino choterechi sichimveka bwino koma mwinamwake mwakhala mukuwona zinthu zomwe zili ndi zowonjezerako. Lipozene chifukwa cha kulemera kwake ndi mankhwala otchuka kwambiri omwe ali ndi glucomannan. Mwatsoka, maphunzirowa akhala osadziwika ndipo sanathe kutsimikizira kuti fiber mankhwala ingakuthandizeni kuchepa thupi.
- Conjugated linoleic acid (CLA) : Chowonjezera ichi chawerengedwa mozama, koma zotsatira zasokonezedwa. Pezani kulemera kwake komwe mungathenso ngati mutenga CLA ndikuyendera dokotala musanatenge ndalama. Ma dieters ena adachulukitsidwa kuwonjezereka kwa insulini komanso mavitamini otsika a HDL pamene akudya mapiritsi.
- Mapulotoni a rasipiberi : Kuwonjezeka kwa kulemera kwake kunakhala kotchuka pambuyo pa Dr. Oz adanena pa TV yake. Koma palibe umboni wotsimikizira kuti mabakiterioni a rasipiberi angathandize anthu kuchepetsa thupi.
- Forskolin : Kuchokera kwachilengedwe kochokera ku coleus chomera kumalengezedwa ngati zakudya zowonjezera komanso mafuta. Koma pali zochepa zofufuza zomwe zachitika kotero kuti pali umboni wochepa wosonyeza kuti umagwiritsidwa ntchito ngati chowonjezera cholemetsa.
- Ephrra kapena Bitter Orange: Pamene ephedra analetsedwa ku msika mu 2004, zozizwitsa zofanana zofanana zinatenga malo ake. Ambiri amalengeza kuti iwo ndi ephedra-opanda komanso otetezeka ku dieters. Nthawi zambiri amakhala ndi lalanje lowawa (citrus aurantium), synephrine kapena octopine. Zina mwa zinthu zotchuka kwambiri, Xenadrine EFX ndi Advantra Z, zinayesedwa ndi ochita kafukufuku ndipo zikupezeka kuti zili ndi zotsatira zosaopsa pa mtima wamtima ndi kuthamanga kwa magazi.
- Chromium: Nthawi zina amagulitsidwa monga chromium picolinate, mankhwala omwe ali ndi mankhwalawa nthawi zambiri amadzinenera kukuthandizani kuwotcha mafuta owonjezera ndi kuchepetsa chilakolako chanu. Komabe, a NIH adapeza kuti chromium ilibe phindu lolemetsa. Chromium nthawi zambiri imadziwika kuti ndi yotetezeka, koma ikhoza kukhetsa chikwama chako popanda phindu lopindula.
- Tiyi yaukhondo: Green tea ikhoza kugwiritsidwa ntchito ngati chakumwa kapena piritsi. Kawirikawiri amagwiritsidwa ntchito kuthandizira kulemera kwa thupi kapena kupititsa patsogolo maganizo kapena kuchepetsa kuthamanga kwa magazi. Ngakhale tiyi wobiriwira ndi otetezeka pamene akudya mopitirira malire, pali umboni wochepa wosonyeza kuti umagwiritsidwa ntchito ngati mankhwala okwanira kwa nthawi yaitali.
- Hoodia: Zitsambazi zimagulitsidwa ngati njala yopondereza kwa dieters. Hoodia amachokera ku maluwa ndipo akhoza kudyedwa piritsi, mapiritsi kapena mawonekedwe a ufa. Palibe umboni wa sayansi wotsimikiziranso kuti hoodia ndi chilakolako chabwino chofuna kudya ndipo chitetezo chake sichinatsimikizidwe.
- Njuchi: Pali umboni wochepa wothandizira kugwiritsa ntchito njuchi mungu kuti uwonongeke. Ndipotu, akatswiri azachipatala a ScienceBasedMedicine.org amati mungu wa njuchi suli wotetezeka kapena wogwira ntchito. Kampani imodzi imangotchulidwa posachedwapa ndi Centers for Disease Control pofuna kupanga mabodza onyenga ndi onyenga pa zotsatira zawonjezera.
Ngati pulogalamu ya piritsi kapena kuperewera kwa zakudya zowonongeka zomwe simukuzilemba sizinalembedwe pamwambapa, pitani ku webusaiti ya National Institutes of Health Dietary Supplement Fact Sheet webusaitiyi. NIH imapereka mndandanda wa zakudya zowonjezera pamodzi ndi zomwe zilipo panopa zokhudzana ndi chitetezo ndi zogwira mtima. Ndipo kumbukirani kulankhula ndi dokotala wanu za piritsi kapena zakudya zowonjezera zomwe mukuziganizira.
Zotsatira:
Heidi Michels Blanck Ph.D., Mary K. Serdula MD, Cathleen Gillespie MS, Deborah A. Galuska Ph.D., Patricia A. Sharpe PhD, MPH, Joan M. Conway Ph.D., RD, Laura Kettel Khan Ph .D., Barbara E. Ainsworth Ph.D. "Kugwiritsa Ntchito Zakudya Zopanda Kulembetsa Zoperekera Kulemera Kwambiri Ndizofala pakati pa Achimerika." Journal ya American Dietetic Association March 2007, masamba 441-447.
EatRight.org Weight Management. American Dietetic Association. Idapezeka: December 15, 2011. https://www.ncbi.nlm.nih.gov/pubmed/19244669
Mzere Wowonjezera Zowonongeka. "Kusankha Pulogalamu Yowonongeka Kwambiri ya Kuperewera kwa Thupi". Dipatimenti ya Zaumoyo ya Umoyo ku United States, National Institutes of Health. Zapezeka: November 28, 2011. https://www.niddk.nih.gov/health-information/health-topics/weight-control/choosing-safe-successful-weight-loss-program/Pages/choosing-safe- kupambana -kuposa-kutaya-program.aspx
"Kuyeza Umboni pa Zilonda Zakudya". Federal Trade Commission. Idapezeka: November 28, 2011. Government PDF
"Zowonjezera Zakudya Zolimbitsa Thupi. Kuyang'anitsitsa Kwadongosolo Kwambiri Kunayang'ana Kwambiri pa Kuchita Malonda kuposa pa Chitetezo." Janet Heinrich Mtsogoleri, Thandizo la zaumoyo-Matenda a Umoyo. Zapezeka: November 25, 2011. Government PDF