Kuchulukitsa ndi matenda omwe amadziwika kwambiri ndi minofu ya adipose, amayi oposa 40 ali ndi matenda makamaka. Matenda oterewa sakhala mu nthawi yochepa, nthawi zambiri zingapo zimapangitsa kuti izi zitheke.
Madokotala ndi opatsirana maganizo amadziŵa zinthu zazikulu zomwe zimakhudza kukula kwa kunenepa kwambiri :
moyo wokhazikika;
chibadwa chobadwa;
kumwa mowa wokoma kwambiri;
kudya kwambiri zakudya zamakono;
miyambo yambiri ya njala;
matenda aakulu a dongosolo la endocrine;
kupsinjika kaŵirikaŵiri;
kusowa kwa tsiku ndi tsiku, kusowa tulo;
kudalira maganizo pa chakudya.
Kulemera kwambiri ndi zotsatira zosasangalatsa komanso zoopsa zomwe zimabwera chifukwa cha kusokonezeka kwa mphamvu ya mphamvu pakati pa chakudya ndi mphamvu zomwe zimagwiritsidwa ntchito. Ndalama zopanda malipiro zimapangidwira pang'onopang'ono m'matenda amtundu wambiri, kuwonjezeka mwamphamvu mu chifuwa, mimba ndi ntchafu. Kusungidwa kwa mafuta kumakhudza kuphwanya khalidwe labwino la kudya, kumayambitsa kusokonezeka kwa mahomoni, kuchepetsa kuchepetsa mphamvu zamagetsi m'thupi.
Chizindikiro chachikulu cha kunenepa kwambiri ndi kunenepa kwambiri. Malinga ndi makilogalamu owonjezera, madigiri 4 a kunenepa kwambiri amadziwika. Anthu omwe akuvutika ndi madigiri a I ndi awiri, nthawi zambiri amawoneka akudwala, sazindikira. Ndili ndi madigiri olemera kwambiri, kufooka kwa thupi lonse, kugona nthawi zonse, kukwiya kumayamba kusokoneza. Pali kulephera kuntchito yamagetsi, nthawi zambiri kumakhala kowawa kwambiri pakamwa. Kuwonjezera pamenepo, miyendo, ziwalo zimasautsika, katundu pa msana ukuwonjezeka.
Kupewa kunenepa ndi kosavuta komanso kosangalatsa kusiyana ndi kuchiza. Zakudya zabwino ndi zochitika zolimbitsa thupi zimakulolani kuti musaganize za kunenepa kwambiri. Komabe, ngati mavutowa akuwonekera, chithandizo chiyenera kuyamba ndi kulimbikitsa mphamvu ndi zochitika zamaganizo, kukhazikitsa zolinga zabwino. Kuti mukwaniritse bwino, zokambirana ndi madokotala zidzakuthandizani.
Chithandizo chovuta kwambiri cha kunenepa kwambiri kumaphatikizapo magawo awiri - kuchita masewera olimbitsa thupi komanso zakudya. Pambuyo pofufuza bwinobwino, dokotala wodziŵa bwino ntchito amapereka njira yothandizira odwala ena. Miyezi itatu yoyamba ya mankhwala idzapangidwira kuchepetsa kulemera kwa thupi, ndiyeno miyezi ingapo idzafunika kulemera.
Asayansi-madokotala anapanga njira zotsatirazi zolemetsa:
Chakudya chokha, kulingalira za msinkhu wa wodwalayo, moyo wake, ntchito yake, chuma chake. Wopatsa thanzi amapanga zakudya zamasiku ndi tsiku zomwe zimalimbikitsa kulemera kwa thupi, ndipo pa nthawi yomweyo sizikulolani kuti mukhale ndi njala yowonongeka.
Pulogalamu yapadera yochita masewera olimbitsa thupi.
Nthawi zina chithandizo chamaganizo ndi katswiri wa zamoyo, katswiri wamaphunziro a sayansi ya zakuthambo, gastroenterologist kapena katswiri wa sayansi ya zokha amakulolani kuti muchotse kunenepa kwambiri.
Kusankhidwa kwa mankhwala osokoneza bongo omwe amachepetsa chilakolako.
Kulimbitsa thanzi la maganizo.
Phytotherapy, yomwe imathandiza kuti chilengedwe chikhale chokhazikika.
Ngati ndi kotheka, opaleshoni yoperekera kuchepa mafuta.
Tiyenera kukumbukira kuti ndi kunenepa kwambiri, ziwalo zonse za mkati za munthu zimasiya kugwira ntchito bwino, chiyero chofunika chimachepetsa, chimwemwe cha moyo chimasiya kusangalatsa. Choncho, kuchepetsa kunenepa kwambiri ndikulonjeza za thanzi komanso chimwemwe.