الدكتور وائل العتال يوضح ضوابط عمليات نحت الجسم وتنسيق القوام
كتب: أحمد زينهم
قال الدكتور وائل العتال استشاري جراحة التجميل، إن الكثير من الأشخاص يرغبون في الحصول على جسم مثالي خالي من العيوب والتمتع بمظهر شبابي وجذاب لفترة طويلة، إلا أن السمنة الموضعية تمنعهم من تحقيق هذا الهدف، وتأتي عملية نحت الجسم لتحقيق ذلك والتخلص من تراكم الدهون الغير مرغوبة أو ترهلات الجسم.
وأضاف أن عمليات نحت الجسم هي عمليات لتشكيل مناطق معينة من الجسم بالشكل الذي يرغب به المراجع لإعطاء مظهر جذاب، ويختلف نحت الجسم عن الطرق التقليدية لعمليات شفط الدهون من حيث قدرتها على إبراز ملامح الجسم الجمالية بسلاسة، ليس فقط لتناسق شكل الجسم، بل أيضا لإعطاء مناطق معينة من الجسم الشكل المطلوب بالضبط، بالإضافة إلى ذلك تعتبر عمليات نحت الجسم وسيلة فعالة للحصول على جسم متناغم ومتناسق.
وأشار استشاري جراحة التجميل الدكتور وائل العتال إلى أن تقنية نحت الجسم ثلاثي الأبعاد هي ما يسمى بتقنية الفيزر التي تستخدم الموجات الصوتية عالية الدقة لتشكيل شكل الجسم مع التخلص من الدهون الموضعية، ونحت الجسم في حالتي الحركة والسكون، وتعد من التكنولوجيا المتقدمة جدا والنتائج مبهرة.
وأفاد بأن التقنية تعتمد على تردد الموجات الصوتية والحرارة حيث يتم تسخين الأنسجة الدهنية وتكسيرها بدقة دون التأثير على الأنسجة الأخرى، مما يجعلها خيارا آمنا وفعالا لنحت الجسم، حيث يمكن للتقنية التحكم بدقة في المناطق المراد تقليل الدهون فيها للحصول على نتائج مثالية ومرضية.
ويوضح الدكتور وائل، أن نحت الجسم بالفيزر يوفر إمكانية التخلص من الدهون المتراكمة في مناطق محددة مثل البطن والظهر والذراعين والفخذين، ويعتبر الخيار الأمثل لمن يعانون من صعوبة فقدان الدهون في هذه المناطق من خلال ممارسة الرياضة والنظام الغذائي، ويمكن للمريض ملاحظة النتائج بشكل واضح وسريع، حيث تتحسن ملامح جسمه ويصبح جسده أكثر تناسقا وانسيابية.
ويختتم الدكتور وائل العتال، بأن تقنيات شد الجلد الغير جراحية أثناء شفط الدهون بالفيزر مثل الچي بلازما أو أجهزة الإرجون بلازما تعتبر خيار ممتاز لعلاجات الترهلات المصاحبة لعمليات الشفط أو خسارة الوزن وهي تعتبر من أحدث التقنيات المستخدمة حاليا في عالم جراحة التجميل.
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An evidence of principle clinical test was performed in obese women to assess the safety and security, weight reduction and cardio-metabolic risk aspects of beloranib in the lack of dietary intervention or workout (Hughes et al., 2013). In a double-blind, placebo-controlled research, obese ladies were randomized to intravenous beloranib (0.1, 0.3, or 0.9 mg/m2) or sugar pill twice/wk for 4 wk. Beloranib (0.3 and 0.9 mg/m2) led to typical body weight management of 3.5% at the end of 4 wk, compared to 0.6% adhering to placebo. Beloranib (0.9 mg/m2) also produced a significant decrease in triglycerides and low-density lipoprotein cholesterol, C-reactive protein (pen of inflammation) and cravings, reviewed utilizing a visual analog scale. One of the most regular unfavorable effects of light or moderate intensity included headache, mixture website injury, nausea or vomiting and looseness of the bowels; nevertheless, no significant damaging occasions were located.
However, network evaluations of the brain and its dysfunction recommend that representatives with numerous and corresponding modes of action are more likely to reveal broad-based efficiency against core and comorbid signs and symptoms of clinical depression. Particular subsets of postsynaptic 5-HT receptors mediating antidepressant actions are under research (e.g., 5-HT4 and 5-HT6). Association of a clinically identified antidepressant device with a nonmonoaminergic element of activity is an appealing technique. For instance, agomelatine (a melatonin agonist/5-HT 2C villain) has medically tested activity in major clinical depression. Ultimately, drugs that subdue 5-HT reuptake and blunt hypothalamo– pituitary– adrenocorticotrophic axis overdrive, or that act at intracellular healthy proteins such as GSK-3β, might abrogate the negative effects of chronic tension on mood and neuronal honesty. This evaluation discusses the discovery and growth of twin- and triple-acting antidepressants, focusing on book principles and new medications divulged over the last 2 to 3 years.
While private reactions might differ, many individuals remain to experience substantial weight reduction and enhancements in metabolic health with continued use these medications. 7TM Pharma is establishing obinepitide, a double Y2– Y4 agonist and TM30339 a discerning Y4 agonist for weight problems. Recently 7TM Pharma divulged favorable results from a Phase I/II medical research study with obinepitide.208 The study was a double-blind, placebo-controlled dose-range finding study in overweight clients to review the results of obinepitide on food consumption. At present 7TM Pharma is analyzing the effects of obinepitide on weight reduction in a 28 day Phase II research in obese clients with outcomes expected in the very first quarter of 2008. BVT-5182, synthesised by Biovitrum, was the initial 5-HT6 antagonist to have actually been extensively reviewed as a possible anti-obesity medication prospect.
Based upon this proof, it appears that the sceptical view about the practicality of the Y5 receptor as an anti-obesity medicine target was correct. The Y1 receptor was thought to be a much more relevant target for advancement and various potent Y1 receptor villains have been reported to hinder food intake (Kamiji and Inui, 2007). Nevertheless, much of these substances suffer from bad bioavailability and pharmacokinetics making them inappropriate for growth. Although several brand-new chemical series have actually been exploited in the look for better medication prospects (Kamiji and Inui, 2007), to the most effective of our knowledge, none of these compounds has actually entered professional advancement. This research study discovered that tesofensine induced higher weight management in overweight rats than in lean Wistar rats.
Our algorithm inaccurately identified “head weaving stereotypy” in control rats, as these pets did not show this habits. This is because our algorithm recognized a component of the grooming sequence and misclassified it as stereotypy (describe S3 Video and [45], likely since grooming and head weaving share certain similarities (Fig 7C). Nevertheless, this “grooming” actions happened randomly with low likelihood (Fig 7C; Vehicle, i.p.) and with variable onset times (Fig 7D). Semaglutide and Tirzepatide are injectable drugs accepted by the FDA for the treatment of excessive weight.
Additionally, it is understood that tesofensine triggers α1 adrenergic receptors and, to a lesser level, dopamine D1 receptors [2– 4] It exhibits powerful antiobesity impacts, yet the underlying cellular systems are still being proactively explored. This research study initially aims to identify the neuronal correlates of tesofensine-induced fat burning in the Lateral Hypothalamus (LH) in lean and overweight rats.
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Thereare at the very least 14 serotonin receptor subtypes that modulate diverse physiologicalfunctions, ranging from hallucinations to contraction [69] Growth of serotonergic medicines as medicationsfor excessive weight has actually advanced a lot more swiftly since the serotonin 5-HT2Creceptor was recognized as the crucial regulator of satiety and feeding behavior instudies of computer mice with targeted receptor removal [16] Lorcaserin, a selective 5-HT2C receptor agonist( 15-fold and 100-fold selectivity over the 5-HT2A and5-HT2C receptors, specifically) was accepted in 2012 [70] Evidence from a number of studiessuggests that Lorcaserin has multiple psychological effects that contribute toweight loss, including altitude of satiation, reduction in yearning and reductionin impulsivity [69] Dose-dependent damaging intestinal effects were observed with tesofensine in the medical tests in addition to boosts in blood pressure and heart.
Clearly, extra systems of activity that can match the efficiency of these 2 medications would certainly rate, but to document this requires substantially long research studies. Underpowered 4-week, 6-week, 8-week and, also, 12-week studies without ideal registered medications as controls have actually greatly stopped working to document relative effectiveness. As lifestyle and behavioural treatments provide modest efficacy, obesity therapy methods must be escalated by adding medicinal and/or surgical interventions. Bariatric surgical procedure stands for the most effective strategy to fat burning, causing lowered mortality from CVD or cancer cells by 30% and 23%, respectively29. With progressively boosting laparoscopic procedures, hospitalization time lowers and bariatric surgical treatment raises total life expectancy by as much as 3 years29, with remarkable and sustainable renovations in blood pressure, glucose and lipid metabolism30. Nevertheless, surgical treatments are incapable of meeting the worldwide magnitude of medical need.
We assumed that this was because of tesofensine’s capability to modulate neuronal activity in the LH. Our electrophysiological results revealed that tesofensine created a stronger and larger inflection of LH set task in obese rats than in lean rats. This suggests that tesofensine might act, partly, by regulating neuronal task in the LH to lower food intake and promote weight loss. [newline] A lot more notably, we likewise located that tesofensine inhibited GABAergic neurons in the LH of Vgat-ChR2 and Vgat-IRES-cre transgenic computer mice. These neurons promote feeding habits optogenetically [8, 11], so the inhibition of these neurons by tesofensine may contribute to its appetite-suppressing effects. Besides its results on the LH, in rats, tesofensine did not create head weaving stereotypy at therapeutic doses, recommending that it may be a safer and much more tolerable choice to deal with weight problems than various other appetite suppressants such as phentermine. It also did not dramatically potentiate the acute suppression of sucrose intake generated by 5-HTP, yet it lengthened the weight loss induced by 5-HTP, a serotonin forerunner and cravings suppressant.
Hypothalamic damages cause disturbances in sleep-wake guideline with changes in the circadian rhythm, rest fragmentation, and boosted daytime somnolence (53, 54). Polysomnography in kids with craniopharyngioma shows rest patterns consistent hypersomnia and second narcolepsy (55, 56). This can be intensified by obstructive sleep apnoea additional to weight problems, bring about daytime somnolence secondary to inadequate sleep quality during the night (57 ). Considered that rest is taken into consideration to be a period of energy conservation, hypersomnia in clients with hypothalamic damages can cause a reduction in power expense (58 ). Concomitantly, although rest disturbance causes a rise in power expense, energy consumption surpasses this rise leading to a web weight gain (59 ). This is component is due to cravings dysregulation additional to a boost in ghrelin and reduction in leptin (60 ), bad diet high quality, interruption in the timing of eating, and a modification in eating practices that advertises consumption of higher calorific foods and emotional consuming (61 ).
In the years when rimonabant looked like the following fantastic hit, many huge firms were dealing with competing weight problems representatives, and had little incentive to get brand-new ones, particularly combinations based upon compounds that would go generic quicker than their very own candidates.
To conclude, Tesomet at a dose of 0.5 mg tesofensine and 50 mg metoprolol was well-tolerated, did not affect heart rate or high blood pressure, and resulted in a continual progressive weight management in adults with hypothalamic obesity. These preliminary outcomes are encouraging and support the continued examination of Tesomet for the therapy of gotten hypothalamic weight problems. Patients with hypothalamic obesity often have sleep disturbances and transformed circadian rhythm, possibly due to disruptions in melatonin signalling (7, 49). No new events or worsening of existing sleep apnoea were reported during the trial.
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