Zomwe muyenera kudziwa zokhudza opaleshoni ya 'Duodenal Switch' yokhudza kunenepa kwambiri (Duodenal Switch)

Kodi mukumva kusasangalala chifukwa kulemera kwa thupi lanu kwakwera kufika pamlingo wosalamulirika, kutanthauza kunenepa kwambiri? Kodi mukuvutika ndi matenda monga matenda a shuga ndi kuthamanga kwa magazi? Ndiye muyenera kuti mwamvapo za opaleshoni yochepetsa thupi. Lero tikambirana za opaleshoni imodzi yotere, yovuta pang'ono koma yopambana kwambiri, opaleshoni ya 'Duodenal Switch'. Iyi si opaleshoni ya aliyense, koma ndikofunikira kwambiri kudziwa izi.

Mwachidule, kodi opaleshoni ya Duodenal Switch ndi chiyani?

Duodenal Switch ndi mtundu wa opaleshoni ya bariatric yomwe imaphatikizapo zinthu ziwiri zazikulu: choyamba ndikuchotsa pafupifupi 80% ya mimba yanu ndikuyiyika m'manja yaying'ono . Chachiwiri ndikuchepetsa kutalika kwa matumbo anu ang'onoang'ono ndikufupikitsa .

Kusinthaku kuwiriku kumachepetsa kuchuluka kwa chakudya chomwe mungadye ndipo kumachepetsa kwambiri kuchuluka kwa ma calories omwe thupi lanu limayamwa. Zotsatira zake ndi kuchepa kwakukulu kwa kulemera kwa thupi. Ngakhale kuti opaleshoni iyi si yofala kwambiri poyerekeza ndi opaleshoni zina zochepetsa thupi, nthawi zambiri imabweretsa kuchepa kwakukulu kwa thupi.

Pali njira ziwiri zazikulu zochitira izi:

• Njira yachikhalidwe: Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
• Njira yamakono: Single Anastomosis Duodeno-Ileal bypass yokhala ndi Sleeve Gastrectomy (SADI-S)

Kodi opaleshoni iyi ingakuthandizeni bwanji kuchepetsa thupi?

Taganizirani izi ngati opaleshoni ya magawo awiri.

Gawo 1: Dokotala amachotsa gawo lalikulu la m'mimba mwanu (pafupifupi 80%). Gawo laling'ono lotsalalo limaoneka ngati nthochi, ngati chubu. Timatcha izi `(Sleeve Gastrectomy)`. Chifukwa mimba ndi yaying'ono, simungadye zambiri nthawi imodzi. Ngakhale mutadya pang'ono, mudzamva kukhuta.

Gawo 2: Kenako, mudzakhala ndi njira yodutsa m'mimba. Gawo loyamba la m'mimba mwanu laling'ono limadutsa ndipo gawo lomaliza limalumikizidwa mwachindunji ndi m'mimba watsopano. Zili ngati njira yachidule yopewera magalimoto pamsewu. Izi zikutanthauza kuti chakudya chambiri chomwe mumadya chimadutsa m'thupi lanu osagayidwa. Izi zikutanthauza kuti thupi limayamwa ma calories ndi michere yochepa kuchokera ku chakudya .

Pambuyo pa opaleshoni iyi, mumadya pang'ono ndipo thupi lanu limayamwa pang'ono chakudya chomwe mumadya. Komanso, opaleshoniyi imakhudza ntchito ya mahomoni m'thupi lanu. Ma mahomoni omwe amalamulira njala ndikukupangitsani kumva kukhuta nawonso amasintha, zomwe zingakuthandizeni kuchepetsa thupi.

Kodi opaleshoni iyi ikulangizidwa kwa ndani?

Iyi si opaleshoni ya aliyense. Imalimbikitsa makamaka anthu omwe ali ndi kunenepa kwambiri (Class III obesity). Dokotala wanu adzafufuza mosamala thanzi lanu ndikusankha ngati opaleshoniyi ndi yoyenera kwa inu kapena ayi.

Opaleshoni iyi nthawi zambiri imaganiziridwa kwa iwo omwe akukwaniritsa izi:

Kodi chimachitika ndi chiyani opaleshoni isanachitike?

Ngati dokotala asankha kuti ndinu woyenera opaleshoniyi, mudzatumizidwa kukayezetsa kangapo.

• Kuyezetsa matenda nthawi zonse kumachitika kuti muwone ngati thanzi lanu lili bwino.
• Ngati mukugwiritsa ntchito fodya, mowa, kapena mankhwala osokoneza bongo, timapereka chithandizo ndi chithandizo chomwe mukufuna kuti musiye kugwiritsa ntchito .
• Opaleshoni iyi ndi kusintha kwakukulu m'moyo wanu. Mudzatumizidwa kukalandira uphungu wa zamaganizo kuti muwone ngati muli okonzeka m'maganizo .
• Muyenera kupita kumisonkhano kuti mudziwe zambiri za opaleshoniyi komanso momwe mungasinthire moyo wanu pambuyo pake.

Mukamaliza zonsezi, mudzapatsidwa dongosolo lapadera la zakudya milungu ingapo opaleshoni isanachitike. Limaphatikizapo zakudya zokhala ndi mapuloteni ambiri, chakudya chochepa, komanso mafuta ochepa.

Kodi ubwino ndi kuipa kwake ndi kotani?

Monga china chilichonse, opaleshoni iyi ili ndi ubwino ndi kuipa kwake.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa tsiku limodzi kapena awiri. Zimatenga milungu iwiri kapena inayi kuti muchiritsidwe mokwanira. Panthawiyi, thupi lanu lidzasintha kwambiri.

Zizindikiro zakanthawi zomwe zingachitike panthawi yochira:

• Kumva kutopa kwambiri
• Kusanza
• Kutaya tsitsi (izi ndi zakanthawi kochepa)
• Kupweteka kwa thupi
• Kumva kuzizira m'thupi
• Kusintha kwa maganizo

Izi nthawi zambiri zimachepa pakapita nthawi.

Mavuto ndi kasamalidwe ka nthawi yayitali

Popeza opaleshoniyi ndi yaikulu, pali zinthu zingapo zofunika kuziganizira kwa nthawi yayitali.

• Kusadya bwino: Ili ndiye vuto lalikulu. Popeza matumbo anu ang'onoang'ono sakuyamwa bwino michere, muyenera kumwa mavitamini ndi michere yowonjezera moyo wanu wonse . Dokotala wanu adzayang'ana magazi anu nthawi ndi nthawi kuti atsimikizire kuti muli ndi zakudya zokwanira.
• Kutsegula m'mimba: Chifukwa cha kusagwira bwino ntchito kwa chakudya, ndowe zimatha kutayirira komanso kufalikira. Izi zitha kuthetsedwa potsatira mosamala ndondomeko ya zakudya yomwe dokotala wanu wakupatsani.
• Miyala ya m'matumbo: Kuchepetsa thupi kwambiri nthawi imodzi kumawonjezera chiopsezo chotenga miyala ya m'matumbo. Mungapatsidwe mankhwala oletsa izi.
• Kubwerera m'mimba: Nthawi zina, ndulu ndi magazi zimatha kuyenda m'mimba mobwerera m'mbuyo.

Kodi zizolowezi zanu zodyera zidzasintha bwanji mutachita opaleshoni?

Simungadye bwino nthawi yomweyo mutatha opaleshoni. Muyenera kupatsa mpata m'mimba mwanu kuti muchiritse ndikuzolowera chizolowezi chatsopano. Zakudya zanu zidzasintha pang'onopang'ono.

1. Zakudya Zopanda Madzi: Zinthu monga madzi a supu, tiyi wopanda shuga.

2. Zakudya Zam'madzi Zonse: Mkaka, yogati, supu zamadzimadzi.

3. Zakudya Zophikidwa: Zakudya zomwe zasakanizidwa bwino ndikuphwanyidwa bwino.

4. Zakudya Zofewa: Zinthu monga ndiwo zamasamba zophikidwa bwino ndi nsomba zofewa.

Zonsezi ziyenera kuchitika motsatira malangizo a dokotala wanu komanso katswiri wa zakudya. Zingatenge mwezi umodzi kapena kuposerapo kuti mubwerere ku zakudya zabwinobwino.