Kodi mwatopa ndi kuyesa kuchepetsa thupi? Kodi mwatopa ndi kudya zakudya zochepa, kusala kudya, komanso kuchita masewera olimbitsa thupi? Nthawi zina, kunenepa kwambiri si chinthu chomwe chingalamuliridwe mosavuta. Pazochitika zotere, njira zina zonse zikalephera, tikambirana za njira yapadera yomwe madokotala amapereka lero. Imeneyi ndi opaleshoni yochepetsa thupi, kapena opaleshoni ya bariatric.
Kodi opaleshoni ya bariatric ndi chiyani kwenikweni?
Mwachidule, iyi ndi njira yochitira opaleshoni. Imagwiritsidwa ntchito kuthandiza anthu onenepa kwambiri kuchepetsa thupi. Koma si opaleshoni yokha yomwe imachotsa mafuta m'thupi monga liposuction. Chomwe chimachitika pano ndikusintha njira yanu yogayira chakudya .
Taganizirani izi, opaleshoni iyi imachita zinthu ziwiri zazikulu:
1. Zimachepetsa mimba yanu. Izi zimachepetsa kwambiri kuchuluka kwa chakudya chomwe mungadye nthawi imodzi. Mumamvabe kukhuta ngakhale mutadya pang'ono.
2. Mu opaleshoni zina, gawo la m'mimba mwanu laling'ono limaletsedwa. Izi zikutanthauza kuti thupi limayamwa ma calories ndi michere yochepa kuchokera muzakudya zomwe mumadya.
Njira zonsezi zimachepetsa kuchuluka kwa ma calories omwe thupi lanu limalandira. Sikuti zokhazo, komanso pambuyo pa opaleshoni iyi , zizindikiro za mahomoni zomwe zimauza ubongo wanu kuti muli ndi njala (zizindikiro za njala) zimachepanso. Choncho kumverera kofuna kudya nthawi zonse kumawongoleredwanso.
Chofunika kwambiri n’chakuti ichi si njira yongochepetsa thupi yokha. Kuti izi zitheke, muyenera kudzipereka kwambiri kusintha moyo wanu komanso zakudya zanu, musanachite opaleshoni komanso mutatha.
N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?
Anthu ambiri amaganiza kuti aliyense akhoza kuchepetsa thupi mwa kutsatira zakudya zabwino komanso kuchita masewera olimbitsa thupi. Izi ndi zoona nthawi zambiri. Koma kwa munthu wonenepa kwambiri (kalasi yachitatu), sizophweka. Kafukufuku wapeza kuti anthu onenepa kwambiri ngati amenewa sangakhale ndi vuto lochepetsa thupi kwa nthawi yayitali kudzera mu zakudya komanso masewera olimbitsa thupi okha.
Chifukwa chake n’chakuti thupi lathu likazolowera kunenepa kwambiri kwa nthawi yayitali, limaganiza kuti kulemera ndi 'kulemera kwachibadwa'. Tikayesa kuchepetsa thupi, thupi nthawi zonse limayesetsa kubwerera ku kulemera 'kwachibadwa' kumeneko. Opaleshoni iyi imathandiza kusintha njira imeneyo ndikupanga mkhalidwe womwe tingapezedi zotsatira kuchokera pakudya bwino komanso kuchita masewera olimbitsa thupi.
Ndi matenda ena ati omwe angathetsedwe ndi opaleshoniyi?
Kunenepa kwambiri sikuti ndi kungonenepa kwambiri, komanso kungayambitse matenda ambiri omwe angawononge moyo. Nkhani yabwino ndi yakuti matenda ambiriwa amatha kuthetsedwa ndi kuchepa thupi pambuyo pa opaleshoni ya bariatric.Yakonzedwa bwino kwambiri kapena yolamulidwa kwathunthu.
Nazi zina mwa zinthu zimenezi:
| Matenda | Mwachidule... |
|---|---|
| Cholesterol Yambiri | Kuwonjezeka kwa mafuta m'magazi. Izi zimatha kusungidwa m'mitsempha yamagazi ndikuyitseka. Izi zingayambitse matenda a mtima kapena sitiroko. |
| Kuthamanga kwa Magazi Kwambiri | Kupanikizika komwe kumawonjezeka magazi akamayenda m'mitsempha yamagazi kumawonjezeka. Izi zimawononga mitsempha yamagazi ndikuwonjezera chiopsezo cha matenda amtima ndi sitiroko. |
| Matenda a Shuga a Mtundu Wachiwiri | Pamene mafuta m'thupi akuchulukana, insulin imatha kukana. Izi zingayambitse matenda a shuga. Matendawa amatha kuthetsedwa kwambiri pochepetsa thupi. |
| Matenda a Mtima | Kunenepa kwambiri kumasokoneza magwiridwe antchito a mtima. Kumapangitsanso kuti mafuta aziunjikana m'mitsempha yamagazi, zomwe zimapangitsa kuti pakhale chiopsezo cha matenda a mtima. |
| Matenda a Impso | Matenda oyambitsidwa ndi kunenepa kwambiri, monga kuthamanga kwa magazi ndi matenda a shuga, amatha kuwononga impso komanso kupangitsa kuti zilephere kugwira ntchito. |
| Kulephera Kugona Bwino | Vuto limene pakhosi limatsekeka ndipo kupuma kumasiya mobwerezabwereza munthu akagona. Izi zimachepetsa mpweya wokwanira m'thupi ndipo zimatha kuwononga mtima. |
| Matenda a nyamakazi | Kunenepa kwambiri kumaika mphamvu zambiri pa mafupa monga mawondo. Izi zimatha kufooketsa mafupa ndikupangitsa kupweteka. Mukachepetsa thupi, mphamvu imeneyi imachepanso. |
| Khansa | Ngakhale kuti kugwirizana kumeneku sikukudziwika bwino, kunenepa kwambiri kwapezeka kuti kumawonjezera chiopsezo cha mitundu yoposa khumi ndi iwiri ya khansa. |
Ndani ali woyenera opaleshoni iyi?
Opaleshoni iyi si ya aliyense. Pali njira zina zochitira opaleshoniyi. Chinthu chachikulu chomwe chimaonedwa ndi index ya body mass index yanu, kapena BMI (Body Mass Index) . BMI ndi muyeso wosavuta womwe umayesa ngati muli ndi kulemera koyenera malinga ndi kutalika kwanu.
Kawirikawiri, omwe akuyenerera opaleshoni ndi awa:
- Ngati BMI ili 40 kapena kupitirira apo , izi zimaonedwa kuti ndi kunenepa kwambiri.
- Ngati muli ndi BMI ya 35 kapena kuposerapo , ndipo muli ndi vuto limodzi kapena angapo mwa matenda omwe atchulidwa pamwambapa okhudzana ndi kunenepa kwambiri (monga matenda a shuga, kuthamanga kwa magazi).
Kuyenerera kumeneku kumatsimikiziridwa ndi dokotala wanu atatha kukufufuzani ndikuchita mayeso ofunikira azachipatala.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Musanapatsidwe tsiku loti muchite opaleshoni, gulu lachipatala lidzaonetsetsa kuti mwakonzeka mwakuthupi ndi m'maganizo.
- Mudzayesedwa ndi gulu la madokotala apadera.
- Ubwino, kuipa, ndi zoopsa za opaleshoniyi zidzafotokozedwa mwatsatanetsatane.
- Kuyezetsa magazi ndi kusanthula kofunikira kumachitika kuti atsimikizire kuti opaleshoniyo ichitike bwino.
- Ngati mumasuta fodya, mumagwiritsa ntchito mankhwala osokoneza bongo, kapena mukumwa mowa mopitirira muyeso, muyenera kusiya kwathunthu musanachite opaleshoni .
- Masabata angapo opaleshoni isanachitike, dokotala wanu adzakuuzani kuti mutsatire zakudya zapadera (pre-bariatric surgery diet). Izi zimathandiza kuchepetsa mafuta m'mimba mwanu, zomwe zimapangitsa opaleshoni kukhala yotetezeka komanso yosavuta.
Kodi mitundu ikuluikulu ya opaleshoni yochepetsa thupi ndi iti?
Pali mitundu ingapo ikuluikulu ya opaleshoni ya bariatric. Dokotala wanu adzasankha mtundu womwe uli woyenera kwa inu kutengera thanzi lanu ndi zosowa zanu. Ma opaleshoni ambiriwa amachitidwa ndi laparoscopically, pogwiritsa ntchito kamera yomwe imayikidwa kudzera m'mabala ochepa ang'onoang'ono m'mimba. Izi zimapangitsa kuti munthu asamavutike kuchira komanso kuti azivulala pang'ono.
| Mtundu wa opaleshoni | Chikuchitika ndi chiyani? |
|---|---|
| Kuchotsa Manja M'mimba (Kuchotsa Manja M'mimba) | Uwu ndi mtundu wa opaleshoni wofala kwambiri padziko lonse lapansi masiku ano. Umaphatikizapo kuchotsa pafupifupi 80% ya mimba, ndikusiya chubu chaching'ono chooneka ngati nthochi. Izi zimachepetsa kuchuluka kwa chakudya chomwe mungadye komanso zimachepetsa kupanga mahomoni omwe amayambitsa njala. |
| Kudutsa M'mimba (Roux-en-Y) | Mu njira imeneyi, thumba laling'ono limachotsedwa kumtunda kwa mimba ndikulumikizidwa mwachindunji kumunsi kwa matumbo ang'onoang'ono. Izi zikutanthauza kuti chakudya chimadutsa gawo lalikulu la mimba ndi gawo loyamba la matumbo ang'onoang'ono. Izi zimachepetsa kuchuluka kwa chakudya chomwe chimadyedwa komanso kuchuluka kwa michere yomwe imayamwa m'thupi. |
| Kusintha kwa Duodenal (BPD-DS) | Opaleshoni iyi ndi yovuta pang'ono. Imafuna opaleshoni ya m'mimba komanso yodutsa gawo lalikulu la matumbo ang'onoang'ono. Ngakhale kuti ndi njira yothandiza kwambiri yochepetsera thupi komanso kuwongolera matenda monga matenda a shuga, imawonjezeranso chiopsezo cha kusowa kwa zakudya chifukwa kuyamwa kwa michere m'thupi kumachepa kwambiri. |
Kodi zoopsa za opaleshoni iyi ndi ziti?
Monga momwe zimakhalira ndi opaleshoni iliyonse, opaleshoni ya bariatric ikhoza kukhala ndi zoopsa komanso zotsatirapo zake. Koma chofunika kwambiri kukumbukira ndichakuti nthawi zambiri , zoopsa za matenda omwe amayamba chifukwa cha kunenepa kwambiri zimaposa zoopsa za opaleshoniyi.
Pali mitundu iwiri ikuluikulu ya zoopsa.
1. Mavuto ofala okhudzana ndi opaleshoni: kutuluka magazi, matenda, magazi kuundana, kupangika kwa hernia, mavuto okhudzana ndi mankhwala oletsa ululu.
2.Zotsatirapo zomwe zingachitike chifukwa cha kusintha kwa m'mimba:
- Matenda Otaya Madzi: Zizindikiro monga nseru, kupweteka m'mimba, kutsegula m'mimba, ndi thukuta zimachitika pamene chakudya chikuyenda mofulumira kwambiri kuchokera m'mimba kupita m'matumbo ang'onoang'ono. Izi zitha kuthetsedwa mwa kusintha zakudya zanu.
- Kusadya bwino: Kusowa kwa mavitamini ndi michere m'thupi kungachitike chifukwa cha kuchepa kwa kuyamwa kwa michere m'thupi. Izi zimafuna mavitamini owonjezera moyo wonse monga momwe dokotala wanenera.
- Miyala ya m'matumbo: Pali chiopsezo chotenga miyala ya m'matumbo mukataya thupi mwachangu.
Dokotala wanu adzakufotokozerani zoopsa zonsezi.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Mudzafunika kukhala m'chipatala kwa masiku angapo mutachita opaleshoni. Mukapita kunyumba, zimatenga milungu ingapo kuti mupumule ndikuyambiranso ntchito zanu zachizolowezi.
- Zakudya: Yambani ndi zakumwa choyamba, pang'onopang'ono musinthe zakudya zophikidwa bwino, zakudya zofewa, ndipo patatha milungu pafupifupi 12 mumayamba kuzolowera zakudya zolimba nthawi zonse.
- Kuyezetsa kwa Dokotala: M'chaka choyamba, muyenera kuonana ndi dokotala pafupipafupi ndikuyesedwa magazi kuti muwone kuchepa kwanu thupi ndi thanzi lanu.
- Kuchepetsa thupi: Pa avareji, pafupifupi 90% ya anthu amataya kulemera kwawo kopitirira 50%. Kuchepetsa thupi kumeneku kumachitika pang'onopang'ono m'zaka ziwiri zoyambirira.
- Khungu lochuluka: Mukachepetsa thupi kwambiri, khungu lanu limatha kugwa. Ngati pakufunika, mutha kuchitidwa opaleshoni ina (opereshoni yozungulira thupi) kuti muchotse khungu lochuluka patatha chaka chimodzi kapena ziwiri.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya Bariatric ndiyo njira yabwino kwambiri yothandizira kunenepa kwambiri (Class III Obesity).
- Iyi si njira yophweka; kuti mupambane, muyenera kukhala ndi moyo wathanzi komanso kudya zakudya zabwino kwa moyo wanu wonse mutachita opaleshoni.
- Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zomwe zingachitike, choncho ndikofunikira kukambirana izi ndi dokotala wanu ndikuwunika zabwino ndi zoyipa musanapange chisankho.
- Opaleshoni iyi sikuti imangothandiza kuchepetsa thupi, komanso imathandizanso kuwongolera matenda ambiri akuluakulu monga matenda a shuga, cholesterol yambiri, komanso kuthamanga kwa magazi.
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