A DuPont usa 203 anos de ciência para formar a espinha dorsal de suas inovações. A ciência da DuPont cria revestimentos que impedem a corrosão de canos, materiais para gerar eletricidade a partir da luz, isolamento de transformador que não queima e elementos químicos que tratam profundamente o lixo. Por meio da ciência, a DuPont ajuda a manter seus clientes confortáveis.
Algo interessante de se fazer é um diário alimentar. Pegue um caderno ou um bloco e deixe exclusivamente para isso. Anote tudo o que você come no dia, com os horários e quantidades. Também registre a quantidade de água que ingeriu e atividade física caso tenha realizado. Isso vai lhe ajudar a enxergar o que realmente está comendo, e auxiliar na identificação dos erros alimentares e daquilo que poderia modificar.
Alimentos ricos em fibras proporcionam maior saciedade, logo a fome demora mais a aparecer, o que ajuda você a perder peso. As principais fontes de fibras são: frutas, cereais integrais, como arroz, trigo, centeio, cevada e a aveia. As leguminosas, como feijões, lentilha, grão de bico e ervilha e as verduras e legumes também contam com boas quantidades de fibras. As sementes, como a chia, linhaça e semente de abóbora, também tem fibras. Saiba tudo sobre as fibras.
2Duarte TB, Bonacin M, Ferreira CJH, Lara LAS, Brito LGO.Treatment of orgasmic urinary incontinence: a case report.Medicina (Ribeirão Preto) 2014;47(1): 00-http://revista.fmrp.usp.br/urinary incontinence (OUI) is low, especially amongwomen who refer multiple orgasms. Men who weresubmitted to radical prostatectomy, prevalence of or-gasmic incontinence is high, due to unknown reasons.4An Italian research found that, from 18% of sexuallyactive women with CUI, one third presented OUI.5Due to paucity of evidences about OUI, we present thiscase of a patient who did not succeed with pharmaco-logical treatment of OUI, presented a subjective curewith the use of feedback, electrostimulation, pelvic floormuscle treatment and behavioral modifications.Case rCase rCase rCase rCase reeeeeporporporporportttttWe attended a 50-year-old patient, phone op-erator, primiparous with a previous cesarean section,premenopausal status, presenting obesity, hypotire-oidism, fibromyalgia and insulin resistance. She usedmetformin, levotiroxine, folic acid and omeprazol. Shewas attended at our Service in August 2008, referringthat she has presented a great loss of urine duringorgasm for more than 15 years, causing an importantembarrassment, which took her to reduce her sexualfrequency. She also referred multiple orgasms (tenepisodes/intercourse), hyperactive sexual drive (sixsexual intercourses/week) and sexual relationship withtwo partners. One of them was not embarassed withher urine loss. Physical exam revealed a BMI of 35kg/m2 and genital examination did not have anychanges on vulva, cervix and vagina, as well as a nega-tive cough test. According to POP-Q classification1, itwas noted a grade 2 posterior defect, and bidigital examfound a decrease in pelvic muscle strength.Diagnosis was Overactive Bladder Syndrome(OAH) during orgasm (OUI). It was prescribed imi-pramine 25 mg/day associated with weight loss andbladder training. Three months later, she obtained apartial improvement of symptoms with reduction ofmicturition intervals. She referred intestinal constipa-tion, headache, trembling, and emotional fragility, whichwere probably secondary to imipramine. Patient didnot present any weight loss; imipramine was replacedby anticholinergics (oxibutinine 10 mg/d), without im-provement. An urodynamic study was performed,which confirmed detrusor overactivity, with an impor-tant urine leakage. No stress urinary incontinence wasdetected. However, patient did not improve urgencysymptoms after three years of medication.Patient was submitted to a posterior colporraphydue to symptoms of rectocele. Two years later, sheperformed a bariatric surgery (Sleeve type) and lost16 kilos in the first postoperative month, with an im-provement of urinary symptoms. At the same period,she interrupted the use of medications for OAB. Asshe still has complaints of orgasmic incontinence, pa-tient was referred to a physical therapy service for aweekly, 12-session-programme which included en-dovaginal electrostimulation for inhibition of detrusorcontractions (frequence: 10Hz, pulse width: 400µs andstimuli time: 20 min), biofeedback and pelvic floormuscle training (PFMT) for improvement of coordi-nation and strength of pelvic muscle floor, as well asorientations for home exercises. The first method waschosen according to our protocol.6Clinical assessment showed an increase of pel-vic muscle contraction strength. Patient referred animportant subjective improvement of irritative symp-toms (one episode with mild urine loss), however shestill presents rare episodes of urine loss during sexualactivity, probably related with stress component. Shealso refers a management difficulty with one of herpartners, who complained that he decreased his inter-est during sexual intercourse.DiscussionDiscussionDiscussionDiscussionDiscussionThis case shows, step by step, what measureswere used to treat OUI and, it shows the possibility ofthe lack of response from different interventions. Toour knowledge, it is the first report that describes acomplete subjective improvement from a multidisci-plinary non-pharmacological treatment. Moreover, itshows the complexity of dealing with sexual questions,once that a condition that causes sexual dysfunctionfor a person can mean a stimulus to other, such is thecase of one of her partners that gets stimulated withpatient´s loss of urine during orgasm. It is possible thatthis partner relates this fact with ejaculation, consid-ering that some reports that women also ejaculatesduring orgasm. Vaginal lubrication during sexual inter-course derives from transudes of vaginal wall,7 be-sides the secretions of uterine tubes, cervix and Skeneglands, and increases substantially considering thatexcitation is potentiated, finishing with orgasm. Thisliquid is usually clear, with no odor, similar to the liquidproduced by prostate on men.In this case, the eliminated liquid during orgasmsmelled and looked like urine. It is a difficult task toconfirm the diagnosis of OUI, because usually urody-namic study is negative for detrusor hyperactivity in
A maioria dos pacientes que passa por uma cirurgia bariatrica irá perder peso, muito peso… Embora a redução calórica proporcionada pela cirurgia seja considerada o passaporte para uma vida mais saudável, a excessiva perda de peso tem o seu preço. Perdas de 30-50% do peso corporal tipicamente irão resultar em excesso de pele, flacidez muscular e depósitos localizados de gordura localizada  em diversas regiões do corpo como: face, braços, abdomen, pernas… que podem necessitar de correções cirúrgicas para obtenção de uma estética corporal mais adequada, melhorando a aparência e auto estima do paciente pós bariatrico.

Hola Paloma, si ya vas a un nutricionista tendrías que consultarle tus dudas. Por lo que cuentas en tu mensaje puede que la dieta y la medicación no estén bien pautadas ya que no deberías tener tantas bajadas de azúcar y tampoco deberías subir de peso. Si quieres nosotras podríamos llevarte la parte nutricional de tu tratamiento, puedes ponerte en contacto con nosotras a través del formulario de contacto o vía telefónica. Un saludo.

«Si las tomas después de la comida, suman sus azúcares, que al ser de absorción rápida, se transforman inmediatamente en grasa por la subida de insulina. Sin embargo,antes de las comidas tienen efecto saciante, por su alto contenido en agua y fibra y, además, reducen el apetito», según el Dr. Jiménez Ucero. El kiwi, la piña, el melón y la sandía tienen menos azúcares. 


Pessoas com IMC acima de 35 kg/m2 portadoras de doenças graves e aquelas com IMC acima de 40 kg/m2 são candidatas à cirurgia bariátrica e metabólica, popularmente conhecida como cirurgia de redução de estômago ou cirurgia da obesidade. Mas o procedimento só é indicado depois de esgotadas todas as possibilidades de tratamentos clínicos, esclarece o cirurgião Ricardo Cohen, diretor do Centro de Obesidade, Diabetes e Cirurgia Bariátrica e Metabólica do Hospital Oswaldo Cruz, em São Paulo (SP).
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