Yankho lamphamvu la kunenepa kwambiri: Tiyeni tiphunzire za opaleshoni ya Duodenal Switch mwachidule!

Kodi inunso muli ndi vuto lalikulu la kunenepa kwambiri? Mwina simunachitepo kanthu kuti muchepetse thupi. Kodi mwatopa ndi kuchita masewera olimbitsa thupi, kulamulira zakudya zanu, komanso kuchita chilichonse? Ngati ndi choncho, muyenera kuti mwamvapo kuti nthawi zina madokotala amalankhula za opaleshoni yochepetsa thupi. Timatcha opaleshoni iyi ('Bariatric surgery'). Lero tikambirana za opaleshoni imodzi yopambana kwambiri, komanso yovuta pang'ono. Imeneyi imatchedwa Duodenal Switch. Musadandaule, tikambirana chilichonse mosavuta.

Mwachidule, kodi Duodenal Switch iyi ndi chiyani?

Duodenal Switch ndi opaleshoni yomwe imachitika ngati chithandizo cha kunenepa kwambiri. Imafuna zinthu ziwiri zazikulu. Choyamba ndi kuchotsa gawo lalikulu la m'mimba mwanu ndikulichepetsa. Chachiwiri ndi kufupikitsa matumbo ang'onoang'ono, gawo la thupi lanu lomwe limayamwa chakudya chomwe mumadya.

Taganizirani izi motere. Zili ngati kutenga njira yachidule yopita ku chakudya chomwe mumadya. Kenako, chifukwa chakudyacho sichikuyenda mtunda wautali, kuchuluka kwa ma calories omwe thupi lanu limayamwa kumachepa. Izi zimapangitsa kuti muchepetse thupi bwino kwambiri.

Pali njira ziwiri zazikulu zochitira opaleshoni iyi:

1. Njira yachikhalidwe: `Biliopancreatic Diversion with Duodenal Switch (BPD/DS)`

2. Njira yosinthidwa: `Single Anastomosis Duodeno-ileal bypass yokhala ndi Sleeve Gastrectomy (SADI-S)`

Mayina onsewa angamveke ngati ovuta pang'ono, koma musadandaule. Dokotala wanu adzasankha njira yoyenera kwa inu ndikukufotokozerani bwino.

Kodi opaleshoni iyi ikuthandizani bwanji kuchepetsa thupi? Tiyeni tiwone bwino.

Opaleshoni iyi ili ndi magawo awiri akuluakulu. Magawo onsewa amachitidwa mu opaleshoni imodzi.

Gawo Loyamba: Kuchotsa Mimba M'manja

Mu izi, dokotala wa opaleshoni amachotsa pafupifupi 80% ya mimba yanu. Gawo laling'ono lotsalalo limapangidwa kukhala chubu, ngati nthochi. Timachitcha `(Sleeve Gastrectomy)`. Pambuyo pa izi, simudzatha kudya chakudya chambiri nthawi imodzi. Ngakhale mutadya pang'ono, mudzamva kukhuta. Chifukwa cha izi, kuchuluka kwa chakudya chomwe mumadya kumayendetsedwa zokha.

Gawo Lachiwiri: Kudutsa M'mimba

Gawo lotsatira ndi kufupikitsa kutalika kwa matumbo anu ang'onoang'ono. Matumbo athu ang'onoang'ono ndi komwe zakudya zambiri zomwe timadya zimalowa m'thupi lathu. Mu njira imeneyi, dokotalayo amadutsa gawo loyamba la matumbo ang'onoang'ono ndikulumikiza gawo lomaliza mwachindunji ku mimba yaying'ono yomwe yangopangidwa kumene.

Ndi kuphatikiza kwa njira ziwirizi komwe kumabweretsa kuchepetsa thupi. Izi ndi izi:

• Kuchuluka kwa chakudya chomwe mumadya kumachepa.
• Kuchuluka kwa ma calories omwe thupi limayamwa kuchokera ku zomwe mumadya kumachepa.

Kuphatikiza apo, opaleshoniyi imakhudzanso dongosolo la mahomoni lomwe limalamulira njala ndi kukhuta m'thupi lathu. Zotsatira zake, njala imachepa ndipo timamva kukhuta mwachangu.

Kodi opaleshoni iyi ndi yoyenera kwa ndani?

Opaleshoni iyi si ya aliyense. Madokotala amalimbikitsa opaleshoni iyi kwa anthu okhawo omwe ali pachiwopsezo chachikulu cha thanzi lawo chifukwa cha kunenepa kwambiri. Tiyeni tiwone omwe ali oyenerera kuchita izi.

Kodi ndi mavuto ati azaumoyo omwe angayambitsidwe ndi kunenepa kwambiri?

• Matenda a Shuga a Mtundu Wachiwiri
• Kuthamanga kwa Magazi Kwambiri
• Kuchuluka kwa cholesterol m'magazi
• Matenda a mtima
• Kupuma movutikira
• Matenda a chiwindi chamafuta (matenda a chiwindi a steatotic omwe amakhudzana ndi kagayidwe kachakudya)

Ngati muli ndi matenda amtunduwu, opaleshoni ya Duodenal Switch ingakuthandizeni kuchepetsa thupi komanso kukuthandizani kuwongolera matenda amenewo.

Kodi muyenera kuchita chiyani musanachite opaleshoni?

Ngati dokotala asankha kuti ndinu woyenera opaleshoniyi, sadzachita opaleshoniyo nthawi yomweyo. Asanayambe kuchita zimenezo, pali njira yoti akufufuzeni bwino ndikukonzekeretsani izi.

• Mayeso azachipatala: Mayeso a magazi ndi ma ECG amachitidwa kuti aone ngati thanzi lanu lakuthupi lili pamlingo womwe ungakuthandizeni kupirira opaleshoni.
• Kusiya zizolowezi zoipa: Ngati mumasuta kapena kumwa mowa, mudzapatsidwa upangiri woti musiye kusuta konse ndi kulandira chithandizo ngati pakufunika kutero.
• Uphungu wa zamaganizo:Uku ndi kusintha kwakukulu pa moyo wanu. Pambuyo pa opaleshoni, zinthu zambiri m'moyo wanu zidzasintha. Uphungu umaperekedwa kuti ukuthandizeni kukonzekera kusinthako m'maganizo mwanu.
• Chidziwitso: Misonkhano imachitika kuti ipereke kumvetsetsa kwathunthu za opaleshoniyo ndi momwe angakhalire ndi moyo pambuyo pake.
• Zakudya Zapadera: Milungu ingapo opaleshoni isanachitike, mudzapemphedwa kuti mutsatire zakudya zapadera. Izi zimaphatikizapo kudya zakudya zokhala ndi mapuloteni ambiri komanso mafuta ndi chakudya chochepa.

Kodi ubwino ndi kuipa kwa opaleshoniyi ndi kotani?

Monga opaleshoni ina iliyonse, opaleshoni iyi ili ndi zabwino zake, kuipa kwake, ndi zoopsa zake, ndipo ndikofunikira kumvetsetsa bwino za opaleshoniyi.

Kodi mungayembekezere chiyani mutachita opaleshoni?

Mudzafunika kukhala m'chipatala kwa tsiku limodzi kapena awiri mutachita opaleshoni. Zingatenge milungu iwiri kapena inayi kuti muchiritsidwe bwino. Panthawiyi, thupi lanu lidzasintha kwambiri.

Poyamba, mungakumane ndi mavuto osakhalitsa monga:

• Kumva kutopa kwambiri komanso kutopa
• Kusanza
• Kusintha kwa maganizo
• Kutaya tsitsi (izi ndi zakanthawi kochepa)
• Kupweteka kwa thupi
• Kumva kuzizira kuposa masiku onse

Chofunika kwambiri ndikulankhulana ndi dokotala wanu nthawi zonse. Muyenera kupita kukayezetsa nthawi zonse m'zaka ziwiri zoyambirira, kenako n’kumayang’aniridwa thanzi lanu ndi zakudya zanu nthawi ndi nthawi m’moyo wanu wonse.

Tidziwenso za mavuto omwe angakhalepo kwa nthawi yayitali.

Ngakhale opaleshoni iyi yapambana kwambiri, pali zinthu zingapo zomwe muyenera kusamala nazo pakapita nthawi.

Kusowa zakudya m'thupi

Ichi ndiye chiopsezo chachikulu . Popeza matumbo anu ang'onoang'ono sangathe kuyamwa michere, mumakhala ndi mwayi wochepa wopeza mavitamini ndi michere. Chifukwa chake muyenera kumwa mavitamini ndi michere yowonjezera monga momwe dokotala wanu wanenera kwa moyo wanu wonse. Muyeneranso kuyezetsa magazi anu nthawi ndi nthawi kuti muwone kuchuluka kwa zakudya zomwe mumadya.

Kutsegula m'mimba

Popeza chakudya sichigayidwa bwino, matenda monga matumbo pafupipafupi kapena kutsegula m'mimba amatha kuchitika. Komabe, ngati mutsatira malangizo a zakudya omwe dokotala wanu wakupatsani, izi zitha kuthetsedwa kwambiri.

Miyala ya m'matumbo

Mukachepetsa thupi mwachangu, chiwindi chanu chimapanga cholesterol yambiri, yomwe imatha kudziunjikira mu ndulu yanu ndikupanga miyala ya ndulu.

Kubwerera m'mimba m'mimba

Nthawi zina, chifukwa cha kusintha kwa magwiridwe antchito a ma valve am'mimba, ndulu imatha kulowa m'mimba.

Dokotala wanu adzakuyang'anirani mosamala pa zonsezi. Choncho chofunika kwambiri ndi kusachita mantha ndi kuuza dokotala wanu nthawi yomweyo ngati muli ndi vuto lililonse.