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Title: E-mail: itlambev@mail.bg

1
?????????? ???????? (??????)
???. ?-? ???? ?????? E-mail itlambev_at_mail.bg www.
medpharm-sofia.eu
2
OBESITAS ???????

????????????
????????????? ?????
???????????? ?????
????????? ?????
????? ????????????
????? ??????? (3/100 g)
????? ??? (. ?? 24 g/24 h)
??????????????
?????? ???
????? (???. ? ?? ??????????)
?????????? ?? ??????

3
47 gt ....
??? gt 35, ????. ?.?. ?????? ?? 30 ???
?????????, ???? ?? ???????? ?? ??, ??, ???????,
????????????, ???????? ??????,
????????????, ????????? ???????? ? ??.
4
(No Transcript)
5

???
?. ?. (kg)
???????? (m)2
????? 18.524.9
6
??????????? ??????? ????? ???? ?? ???
(European Guidelines, 2003) ??????? ?? 3
??????? ??????? (??)
?

???????? ?? ??????? gt 102 cm
??? ???? ? gt 85 cm ??? ????
???????????? 1,7 mmol/l
HDL-??????????
lt 1 mmol/l ??? ????
HDL-??????????
lt 1,3 mmol/l ??? ????
?? gt 130/85 mm Hg
??????? 6,1 mmol/l

?????????? ? ?? ? ???????????? ??? ?? ? ???????
???? ?? ???????? ?? ??.
7
LEPTIN ???????? ??????, ?????????? ? ??????????
?? ???????????. ??????? ????? ????????????
????????? ??????? ?? ?????????? ? ???????
???????, ???????? ????????? ??????????? ?
????????? ??????????? ???????. ???????? ?
????????????? ??????! GHRELIN ????????
??????, ????????? ?? ??????? ? ?????????.
??? ????????? ??????? ?? ????? ? ???????????? ?
?? ????????? ?????? ? ???????????????.
8
(No Transcript)
9
Orlistat Alli? ??????? 60 mg Xenical
caps. 120 mg ???????? ?????????? ?
???????? ?????? ??? ???????????
???????? 10 ?.?. ???? 6 ?? 8 ??????.
10
(No Transcript)
11
Metformin tabl. 500 ? 1000 mg
Sibutramine (p.o.)