Kodi inunso muli ndi vuto la kunenepa kwambiri? Nthawi zina, ngakhale mutalamulira bwanji zakudya zanu komanso kuchita masewera olimbitsa thupi, kuchepetsa thupi kungaoneke ngati maloto. Pazochitika zotere, njira zina zikalephera, tikambirana za njira yapadera yomwe madokotala amalimbikitsa lero. Imeneyi ndi opaleshoni yochepetsa thupi, kapena m'mawu azachipatala, Bariatric Surgery.
Kodi opaleshoni yochepetsa thupi imeneyi (Bariatric Surgery) ndi chiyani?
Mwachidule, uwu ndi mtundu wa opaleshoni yomwe imachitika kuti ithandize anthu omwe ali ndi kunenepa kwambiri kuchepetsa thupi. Dokotala wanu angakulangizeni opaleshoni yamtunduwu pokhapokha ngati mwayesapo njira zina zochepetsera thupi komanso ngati kunenepa kwanu kukuika pachiwopsezo chachikulu pa thanzi kuposa opaleshoni.
Opaleshoni imeneyi imaphatikizapo kusintha m'mimba mwanu . Nthawi zambiri, imakhudza m'mimba ndipo nthawi zina m'matumbo ang'onoang'ono. Izi zimachita zinthu ziwiri zazikulu:
1. Chepetsani kuchuluka kwa chakudya chomwe mungadye nthawi imodzi.
2. Amachepetsa kuchuluka kwa ma calories omwe thupi limayamwa.
Kuphatikiza apo, opaleshoni iyi imatha kulamulira zizindikiro za njala zomwe zimauza ubongo wanu kuti muli ndi njala. Koma iyi si njira yachangu "yamatsenga". Kuti opaleshoni iyi ipambane, imafunika kukonzekera bwino pasadakhale, komanso kusintha moyo wanu wonse pambuyo pa opaleshoni .
N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?
Opaleshoni iyi ndiyo njira yabwino kwambiri yochepetsera thupi kwa nthawi yayitali komanso bwino kwa munthu amene ali ndi kunenepa kwambiri (kalasi yachitatu). Kafukufuku wapeza kuti n'zovuta kwambiri kwa munthu amene ali pamlingo uwu kuchepetsa thupi ndikukhalabe ndi thupi kudzera mu zakudya ndi masewera olimbitsa thupi okha.
Taganizirani izi motere. Thupi lanu likazindikira kulemera kwanu kochulukirapo ngati "kwabwinobwino," limayesa kubwerera ku kulemerako. Opaleshoni ya bariatric imasintha momwe thupi lanu limagwirira ntchito zomwe mumadya. Kenako kusintha kwanu zakudya zabwino komanso moyo wanu kumatha kugwira ntchito, ndipo mutha kuchepetsa thupi ndikukhalabe ndi thanzi labwino.
Ndi matenda amtundu wanji omwe amayamba chifukwa cha kunenepa kwambiri omwe angachepetsedwe ndi opaleshoni iyi?
Kunenepa kwambiri ndi chinthu chomwe chimayambitsa matenda ambiri osatha omwe angakhale oopsa kwa moyo. Koma nkhani yabwino ndi yakuti matenda ambiriwa amatha kusintha kwambiri mutachita opaleshoni yochepetsa thupi. Ngati dokotala wanu asankha kuti mukufunika opaleshoniyi, mwina muli kale ndi matenda otsatirawa, kapena mungakhale pachiwopsezo chachikulu chotenga matendawa.
| Matenda | Mwachidule... |
|---|---|
| Cholesterol Yambiri | Kuwonjezeka kwa mafuta m'magazi. Izi zimatha kusonkhana m'mitsempha yamagazi ndikuyitseka. Izi zingayambitse sitiroko kapena matenda a mtima. |
| Kuthamanga kwa magazi (BP) | Liwiro la magazi m'mitsempha yamagazi ndi lalikulu kwambiri. Izi zimawononga makoma amitsempha yamagazi ndipo zimawonjezera chiopsezo cha matenda a mtima ndi sitiroko. |
| Kuchuluka kwa shuga m'magazi ndi matenda a shuga amtundu wa 2 | Mafuta ochulukirapo m'thupi amayambitsa kukana insulin. Iyi ndi sitepe yoyamba yopezera matenda a shuga. Ngati sathandizidwa, akhoza kuwononga mitsempha, mitsempha yamagazi, ndi ziwalo zina. |
| Matenda a Mtima | Kunenepa kwambiri kungafooketse ntchito ya mtima ndikupangitsa kuti mafuta azisungidwa m'mitsempha yamagazi, zomwe zimapangitsa kuti pakhale chiopsezo cha matenda a mtima. |
| Matenda a Impso | Matenda okhudzana ndi kunenepa kwambiri monga kuthamanga kwa magazi ndi matenda a shuga ndi omwe amachititsa matenda aakulu a impso. |
| Kulephera Kugona Bwino | Munthu akagona, mpweya wopita pamwamba umatsekeka ndipo kupuma kumasiya mobwerezabwereza. Izi zimachepetsa mpweya wokwanira womwe umafika m'ziwalo zofunika kwambiri m'thupi. |
| Matenda a nyamakazi | Kulemera kwambiri kumaika mphamvu yowonjezera pa mafupa monga mawondo, zomwe zimawonjezera chiopsezo chotenga matenda osachiritsika a mafupa. |
| Matenda a chiwindi amafuta osamwa mowa (NAFLD) | Thupi limayamba kusunga mafuta ochulukirapo m'chiwindi, zomwe zingayambitse kuwonongeka kwa chiwindi kwa nthawi yayitali. |
Ndani ali woyenera opaleshoni iyi?
Opaleshoni iyi si ya aliyense. Muyenera kukwaniritsa ziyeneretso zinazake. Chinthu chachikulu chomwe chimaganiziridwa ndi Body Mass Index (BMI) yanu. Mwachidule, iyi ndi index yomwe imayesa kulemera kwanu malinga ndi kutalika kwanu.
- Ngati BMI yanu ili 40 kapena kupitirira apo , izi zikutanthauza kuti ndinu wolemera pafupifupi mapaundi 100 (pafupifupi makilogalamu 45) kuposa kulemera kwanu koyenera.
- Ngati BMI yanu ili ndi 35 kapena kupitirira apo ndipo muli ndi vuto la thanzi lokhudzana ndi kunenepa kwambiri (monga matenda a shuga, kuthamanga kwa magazi).
Chofunika kwambiri ndichakuti chisankhochi chipangidwe ndi dokotala wanu. Iye adzakuyesani ndikuchita mayeso ofunikira kuti adziwe ngati opaleshoniyi ndi yoyenera kwa inu kapena ayi.
Kodi mitundu yodziwika bwino ya opaleshoni ndi iti?
Pali mitundu ingapo ya opaleshoni ya bariatric. Ambiri mwa iwo amachitidwa ndi laparoscopically. Izi zikutanthauza kuti kamera ndi zida zimayikidwa kudzera m'mabala angapo ang'onoang'ono, m'malo mopanga ming'alu yayikulu, zomwe zimapangitsa kuti machiritso azitha msanga, ululu ukhale wochepa, komanso zipsera zisakhale zambiri. Imeneyi ndi mitundu ina yodziwika bwino ya opaleshoni.
| Dzina la opaleshoni | Chimachitika mwachidule |
|---|---|
| Manja a M'mimba | Iyi ndi opaleshoni yofala kwambiri. Mu njira imeneyi, pafupifupi 80% ya mimba imachotsedwa, ndikusiya chubu chaching'ono chooneka ngati nthochi. Izi zimathandiza kuti mimba ikhale yokhuta mutadya chakudya chochepa, komanso zimachepetsa mahomoni a njala. |
| Kudutsa M'mimba | Mu njira imeneyi, thumba laling'ono limapangidwa kuchokera kumtunda kwa mimba ndikulumikizidwa kumunsi kwa matumbo ang'onoang'ono. Chakudya chimadutsa gawo lalikulu la mimba ndi gawo loyamba la matumbo. Izi zimachepetsa kuchuluka kwa chakudya chomwe chimadyedwa komanso kuchuluka kwa michere yomwe imayamwa. |
| Kusintha kwa Duodenal (BPD-DS) | Opaleshoni iyi ndi yovuta pang'ono. Imafuna opaleshoni ya m'mimba komanso opaleshoni ya m'mimba. Ndi yothandiza kwambiri pochepetsa thupi komanso kuwongolera matenda monga matenda a shuga. Komabe, ingayambitse kusowa kwa mavitamini chifukwa thupi limayamwa zakudya zochepa. |
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Kodi pali zoopsa zilizonse?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa ndi zotsatirapo zake, koma nthawi zambiri izi zimakhala zochepa poyerekeza ndi zoopsa zokhudzana ndi kunenepa kwambiri.
Zoopsa zokhudzana ndi opaleshoni
- Kutuluka magazi
- Matenda
- Magazi amaundana
- Kutsekeka kwa matumbo
- Kutuluka kwa madzi m'thupi
Zotsatirapo zomwe zingatheke pambuyo pa opaleshoni
- Matenda a Dumping: Zizindikiro monga nseru, kupweteka m'mimba, ndi kutsegula m'mimba zimachitika pamene chakudya chimadutsa m'matumbo mwachangu kwambiri. Zizindikiro zimenezi nthawi zambiri zimachepa pakapita nthawi.
- Kusadya bwino: Kusowa kwa mavitamini ndi michere kungachitike chifukwa cha kuchepa kwa kuyamwa kwa michere. Chifukwa chake, ndikofunikira kumwa zakudya zowonjezera zomwe dokotala wanu wakupatsani monga momwe walangizidwira.
- Miyala ya m'matumbo: Kuchepetsa thupi mwachangu kumawonjezera chiopsezo chokhala ndi miyala ya m'matumbo.
Gulu lanu lachipatala lidzakuthandizani kuthana ndi zonsezi. Choncho palibe chodetsa nkhawa. Ndikofunikira kupita kukaonana ndi dokotala pambuyo pa opaleshoni.
Ndiye kodi ubwino wa opaleshoniyi ndi wotani?
Ngakhale kuti pali zoopsa, ubwino wa opaleshoniyi ndi waukulu kwambiri.
- Kuchepetsa thupi kwambiri komanso kosatha: Iyi ndiyo njira yokhayo yomwe imapereka zotsatira zabwino komanso zanthawi yayitali. Pafupifupi 90% ya anthu amataya 50% ya kulemera kwawo kochulukirapo ndipo amapitirizabe.
- Kulamulira matenda a shuga ndi cholesterol: Anthu ambiri amatha kuchira kwathunthu ku matenda a shuga ndipo amasiya kumwa mankhwala.
- Thanzi labwino komanso moyo wautali: Kafukufuku wasonyeza kuti sikuti zimangochepetsa chiopsezo cha matenda oyambitsidwa ndi kunenepa kwambiri, komanso zimachepetsa chiopsezo cha imfa ndi pafupifupi 40%.
- Moyo wabwino: Mukachepetsa thupi, mumakhala osangalala, mutu wanu umakhala womveka bwino.Kudzidalira ndi kuchita zinthu kumawonjezeka.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya bariatric ndi njira yaikulu yachipatala ya kunenepa kwambiri. Si njira yokongoletsera thupi kapena "njira yosavuta yothetsera vuto."
- Kupambana kwa opaleshoniyi kumadalira kudzipereka kwanu kusintha zakudya ndi moyo wanu wonse.
- Ngakhale opaleshoni iyi ili ndi ubwino waukulu pa thanzi, ilinso ndi zoopsa zina ndi zotsatirapo zake.
- Muyenera kusankha ngati izi zili zoyenera kwa inu mutakambirana mozama ndi dokotala wanu.
- Ngati muli ndi vuto la kunenepa kwambiri, onetsetsani kuti mwaonana ndi dokotala wanu kuti mudziwe zambiri za izi ndikukambirana zomwe mungachite.
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