The treatment of obesity of the third degree is primarily the appointment of a low-calorie diet, which is based on eating foods that are high in fiber, vitamins (nuts, grains, salads, fresh vegetables and fruits) and a small amount of carbohydrates (sugar, bakery and pasta). In parallel with the diet is recommended increased physical activity, exercise. If these methods do not result in a result, drug therapy is prescribed, which includes taking anorexigens. If the drug is ineffective, it is changed to another one. There are also surgical methods of treatment.
All drugs for weight loss are aimed at regulating weight by suppressing appetite, changing metabolism or assimilating calories. Suppression of appetite occurs with the help of catecholamines and their derivatives (amfepramone, fluoxatin). They lead to the accumulation in the central nervous system of the orphan and norepinephrine, which in turn have a depressing effect on the feeling of hunger.
Amfepromone - excites the center of satiation and suppresses the center of hunger. The dosage form is a dragee, a one-time dose of 25 mg per hour before meals, twice or thrice a day. Maximum can take no more than 100 grams per day. The course of treatment is 1.5-2.5 months, after a three-month break it can be repeated. The drug is contraindicated in hypertension, myocardial infarction, atherosclerosis, epilepsy and mental disorders, glaucoma, tumors, children under 12 years of age, pregnant. Adverse reactions are possible in the form of nausea, vomiting, weakness, increased blood pressure, allergic rashes.
The mechanism of action of other drugs is the blocking of cannabinoid receptors (rimonabant, acomplia).
Rimonabant - tablets are used to reduce weight along with a low-calorie diet and physical exertion. The daily dose is 20 mg. The drug can be taken for 2 years. Side effects are manifested as nausea, anxiety, diarrhea. It is not recommended for use by children, pregnant and lactating women, people with mental illnesses.
Anorexics are antidepressants that reduce appetite (sibutramine, reduxin, meridia).
Sibutramine is a crystalline powder soluble in water. It is taken in the morning, once a day for 10g, with a weak efficiency after a month, the dose is increased to 15g. Adverse reactions are possible on the part of the cardiovascular system: increased blood pressure, respiratory disorders. There may also be headaches, constipation, dry mouth. Contraindicated in children, the elderly, pregnant, during lactation, patients with epilepsy.
Accelerate the metabolism of thermogenics and lipotropics, in other words fat burners. Preparations orlistat, xenical, orsotene prevent the splitting of fats and their assimilation.
Orlistat - a powder that inhibits gastric and pancreatic lipases - enzymes that help break down fats. It is taken for 120g at the same time as every main meal, one hour after a meal. If the food is not fat, you can skip the reception. Has contraindications for use by pregnant, nursing, with increased sensitivity to the drug. Side effects - oily stool, frequent desires for defecation.
When losing weight, vitamins must necessarily be included in the diet, so as not to lose weight with weight loss, but to strengthen health. Knowing the influence of these or other vitamins on the processes occurring in the body, you can choose their optimal set that will help bring the expected result closer. So, vitamin D reduces the feeling of hunger, C and B8 - destroy fats, E - is necessary for the normal functioning of the immune and endocrine systems, vitamins of group B - are indispensable in the harmonious work of all human life systems: B2 - participates in metabolic processes, B3, B6 - normalizes sugar in the blood, stabilizes the hormonal background, B4 - provides fat metabolism, B5 - removes fats, sets up metabolism. Mandatory and vitamin Omega-3, which is not synthesized by the body. When taking vitamin complexes, sold in pharmacies, it is necessary to drink plenty of water (1.5-2 liters per day).
With obesity of the third degree, physiotherapy is successfully used, but it is necessary in combination with other methods: physical exercises, dietary nutrition, and sometimes medicinal treatment. Therapeutic gymnastics should be conducted every day for at least 20 minutes in different positions with the use of different muscle groups. Well reflexotherapy: acupuncture and laser puncture. Acupuncture is a part of Chinese culture, one of the directions of traditional alternative medicine. It consists in affecting individual zones of the body, the so-called meridians - the centers of human energy, needles. A laser for this purpose uses a laser. Assign and water procedures - circular shower, underwater massage and just swimming, as a form of physical activity.
In the arsenal of alternative treatment, various herbs that reduce appetite and normalize metabolism, low-calorie diets, recipes for dishes rich in fiber, therapeutic baths. To make baths make a decoction of aire, thyme, juniper, mint, hay, birch leaves. You can individually select and other medicinal herbs, the main principle - the opening of the pores of the body. Observe the following proportion: on a tablespoon of each herb take a half liter of water, boil for several minutes, insist for at least an hour. In the bathroom with warm water poured infusion. This procedure can be repeated several times a week.
From a bran of wheat prepare such drink: 200g of bran is poured with a liter of water, boil 10min. The cooled solution is taken before meals 4 times a day for 100-150 g. Successfully used and honey: in the morning on an empty stomach a teaspoon dissolve in a glass of slightly warm water, while filling the stomach, and the body receives the necessary vitamins and trace elements. Apple cider vinegar is a known remedy for obesity: 2 teaspoons are poured onto a glass of water, they are drunk half an hour before meals three times a day.
In addition to using herbs for water procedures, infusions, decoctions, and teas for oral administration are widely used. Such treatment entails improving the metabolism, reducing the feeling of hunger, cleaning the body of harmful toxins and toxins. To reduce the appetite will help infusion of the root of valerian: 70g per liter of cold water, drink in a day for 100-150g for 30min before eating. To combat obesity, such herbs are used: horsetail, bean pods, spores, immortelle, corn stigmas, birch buds, bark of buckthorn. You can use ready-made pharmacist diuretics.
Homeopathy in the treatment of obesity is used as part of complex measures to reduce weight, its effect is not instantaneous, but a low rate of complications speaks in its favor. There are constitutional, pathogenetic and etiotropic homeopathic preparations.
The constitutional means (depending on the type of person, his personality) include sepia, sulfur, barium carbonicum, ammonium carbonium, calcium carbonium.
Calcium carbonicum - is released in granules in various dilutions, improves metabolism. Doses are assigned individually. The drug has a number of contraindications: kidney stones, stomach ulcer, high blood pressure, hypersensitivity. There are side effects in the form of arrhythmia, a special taste in the mouth, nervousness, rapid fatigue.
Etiotropic drugs are prescribed for secondary obesity and they are directed at the cause, which provoked the appearance of excess weight. This is Acidum phosphoricum, Nuks vomica, anacardium, and iznatsiya.
Ignacy is a combined preparation of plant and animal components. It is an antidepressant agent, it is prescribed for various neurological pathologies. Issued in drops, a single dose for children under 2 years - 3 drops, 2 to 6 - 5 drops, after 6 years - 10. The solution drips under the tongue, can be planted in several tablespoons of water. Take 3 times a day, without mixing with food. Side effects can occur during the first stages of treatment from the disease to which treatment is directed. It is worth continuing treatment. Pregnant is not contraindicated, with allergies to the components of the drug should be interrupted application.
Nuks vomica - the plant components of the drug cause its hepatoprotective, laxative, anti-inflammatory effect. Drops are taken a quarter of an hour before meals or an hour after. For different ages, the dosage is different: 9-15 drops for small children and 30 drops for adults three times a day. Contraindications exist for pregnant women and for individual intolerance.
Pathogenetic drugs are also directed to the treatment of concomitant diseases. So, with cardiac pathologies, appoint lachezis, arnica, spiegelia; diseases of the food tract - nuks vomiku, calcium carbonium, mercurius dulcis; urological ailments - cantharia, thuja, bryonia, etc.
Spiegelia - tincture, in heart diseases is used in low dilutions. The dose is determined by the homeopath individually. Side effect is possible in the form of a strong palpitation, nausea, vomiting. Contraindicated in pregnancy, lactating women, with an allergic reaction to the drug.
Operative treatment is the most effective way to get rid of obesity. Indications for his conduct is a BMI greater than 40. In such diseases as type 2 diabetes, varicose veins, hypertension can resort to surgery and with a BMI of more than 35. In the world, two types of surgical intervention are most commonly used: gastric bypass (common in America, Canada) and gastric banding (Europe, Australia). Such operations are usually laparoscopic and give the chance to get rid of half the weight. The shunting method consists in the formation of a "small" stomach by crossing its upper part and connecting it to the small intestine. Thus, there is a decrease in the volume of the stomach from 2 liters to 20-50 ml. The method of bandaging is to impose a special bandage - a ring that divides the stomach into two parts: the upper and lower. Since the saturation receptors are in the upper smallest part, it does not take a lot of food to fill it and feel full.
Diet for obesity of 3 degrees
The most frequent culprit of obesity of the 3rd degree is still overeating, so the main task in dealing with it should be to establish proper nutrition. First of all, it must be fractional and frequent. Diet No. 8, recommended for obesity of grade 3, is based on low-calorie foods that provide saturation. It is necessary to remove fried, stewed, salty, spicy food from the diet. Also refuse from flour, pasta, cereals, potatoes, sweets: sugar, sweets, honey. There are more raw vegetables and fruits. Fats need to be limited, but not completely eliminated. A small amount of butter and unrefined vegetable will be needed by the body for metabolic processes. Limit foods containing large amounts of cholesterol - liver, eggs.
Menu for the week for obesity of 3 degrees
The menu for the week with obesity of grade 3 may include "thematic" days, focusing on one particular product. Food should be divided into 5-6 receptions, support the body with a decoction of wild rose - the source of many vitamins and minerals (a glass a day), and several cups of unsweetened coffee with milk are allowed:
- meat day (300-350 g of boiled lean meat, preferably chicken or turkey, boiled vegetables for garnish);
- vegetable ((beets, carrots, broccoli, celery root boiled) or cucumber (2 kg) in summer);
- apple (at least 2 kg, can be combined with a small amount of hard cheese);
- Milk (every two hours a glass of fat-free yogurt, kefir or milk);
- fat (300 g sour cream for 3 meals);
- fish (200-300 g boiled lean, you can with a small (30 g) portion of rice).
One day a week, with the permission of the doctor, can be made unloading, while drinking plenty of water.
Exercises for obesity of 3 degrees
Obesity requires physical exertion to stabilize metabolic processes, strengthen muscles, restore physical activity. It should be adaptive in nature, take into account chronic diseases, gradually involve in systemic studies. Begin the exercises for obesity of grade 3 is necessary with the morning ten-minute warm-up and dosed walking. The warm-up should include turning, tilting and rotating the head, exercises for the joints of the hands, elbows, forearms, feet, tilts to the different sides of the trunk. Then follows slow walking (2-3 km per hour). Gradually increases the physical load. Walking is replaced by a dosed run with an increase in the length of the distance, lessons are connected on the simulators. A three-minute run should be alternated with walking, resting, again go to jogging, during training on the simulators also need to pause.
Massage for obesity of 3 degrees
Massage for obesity of the third degree is indicated for improving blood circulation, stimulating metabolism, increasing oxidation-reduction processes, body tone, increasing energy costs. Massage is directed to the areas of accumulation of subcutaneous fat, to large muscles and uses a "suction" technique, i.e. Kneading, grinding, stroking, shaking, percussive techniques. Massage begins from the back, pass to the cervical spine, then to the buttocks and legs. Turn over on a back, massage a thorax, sides and arms or hand.