Kodi mwatopa ndi kuyesa zinthu zosiyanasiyana kuti muchepetse thupi? Mwina mwakhala mukuyesetsa kwambiri kulamulira zakudya zanu komanso kuchita masewera olimbitsa thupi tsiku lililonse, koma simunaone zotsatira zomwe mumayembekezera. Ili si vuto lanu lokha, anthu ambiri omwe akulimbana ndi kunenepa kwambiri akumanapo ndi izi. Chifukwa chake, ngati yankho la izi, lero tikambirana za njira yatsopano komanso yotetezeka yochepetsera thupi popanda kupita ku opaleshoni.
Kodi Endoscopic Sleeve Gastroplasty (ESG) ndi chiyani?
Dzinali lingamveke ngati lovuta pang'ono, koma kwenikweni ndi losavuta. Mwachidule, Endoscopic Sleeve Gastroplasty (ESG) ndi njira yomwe imachepetsa kuchuluka kwa m'mimba mwanu (m'mimba) popanda kuduladula. Ndi njira ina yabwino kwambiri m'malo mwa opaleshoni ya bariatric.
Ganizirani mimba yanu ngati thumba lalikulu la nsalu. Mu njira iyi, m'malo modula thumba kuchokera kunja, mumalisoka kuchokera mkati ndikupanga kabowo kakang'ono. Monga momwe zimakhalira panthawi ya gastroscopy, dokotala amaika chubu chopyapyala (endoscope) chokhala ndi kamera kakang'ono kolumikizidwa kudzera pakamwa panu kupita m'mimba mwanu. Kenako, pogwiritsa ntchito chipangizo chapadera cholumikizidwa ku chubucho, makoma a m'mimba amasonkhanitsidwa pamodzi ndikusokedwa pamodzi. Anthu ena amatcha izi "Njira ya Accordion" chifukwa mimba imapindidwa kuchokera mkati mwanjira iyi.
Pambuyo pa njirayi, mimba yanu yayikulu imakhala ngati chikwama chopyapyala, chooneka ngati nthochi. Izi zikutanthauza kuti imachepa ndi pafupifupi 30% ya kukula kwake kwakale.
Izi zili ndi ubwino waukulu ziwiri:
1. Kuchuluka kwa chakudya chomwe mungadye n'kochepa kwambiri chifukwa mimba yanu ndi yaying'ono. Mumamvabe kukhuta ngakhale mutadya pang'ono.
2. Popeza mimba ili ngati chubu chopyapyala, nthawi yomwe chakudya chimayendamo imawonjezeka. Choncho simukumva njala kwa nthawi yayitali.
Kodi chithandizochi n'choyenera kwa ndani?
Chithandizo cha ESG nthawi zambiri chimalimbikitsidwa kwa akuluakulu komanso nthawi zina ana aang'ono omwe ali ndi kunenepa kwambiri. Ngati ndinu wamkulu, mungafune kuganizira izi ngati index yanu ya body mass (BMI) ili ndi zaka zopitilira 30. Opaleshoni ya bariatric nthawi zambiri imalimbikitsidwa kwa anthu omwe ali ndi BMI yokwera kwambiri.
Ngati mwayesa kale kuchepetsa thupi kudzera mu zakudya ndi masewera olimbitsa thupi ndipo mwalephera, ndi nthawi yoti muganizire za njira yachipatala ngati iyi. Kwa iwo omwe sali oyenerera opaleshoni yayikulu, kapena omwe akuopa kapena osafuna kuchitidwa opaleshoni, ESG ndiye njira yabwino kwambiri pakati pa ziwirizi.
Chofunika kwambiri ndichakuti musanasankhe ngati izi ndi zoyenera kwa inu kapena ayi, muyenera kulankhula ndi katswiri, yemwe ndi gastroenterologist.
Ndi matenda ena ati omwe angawongoleredwe ndi (ESG)?
Kunenepa kwambiri sikuti ndi kungowonjezera thupi kokha, koma ndi vuto lovuta lomwe limakhudza thupi pakapita nthawi. Limawonjezeranso chiopsezo cha matenda ena ambiri oopsa.
Mwachitsanzo:
- Matenda a Shuga a Mtundu Wachiwiri
- Kuthamanga kwa Magazi Kwambiri
- Kuwonjezeka kwa cholesterol m'magazi
- Matenda a mtima
- Matenda a chiwindi chamafuta
- Kugona pang'ono ndi kupuma movutikira
Kuchepetsa thupi bwino kudzera mu njira ya (ESG) kungachepetse chiopsezo chotenga matenda amenewa. Ngati muli kale ndi vuto lotere, mukachepetsa thupi, zizindikirozo zitha kuchepetsedwa, ndipo mwina ngakhale mankhwala ake akhoza kuchotsedwa .
Kodi chimachitika ndi chiyani musanalandire chithandizo komanso mukalandira chithandizo?
Tiyeni tikambirane za njira imeneyi pang'onopang'ono.
Ndondomeko isanachitike
Inu ndi dokotala wanu mudzasankha limodzi ngati ndinu woyenera pa izi. Muyenera kuyesedwa kangapo kuti muchite zimenezo.
- Kufufuza thanzi: Kuyezetsa magazi ndi ECG kungachitike kuti muwone ngati thupi lanu lakonzeka kuchitidwa opaleshoni.
- Kufunsira kwa dokotala: Dokotala adzakambirana nanu mwatsatanetsatane za mbiri yanu ya thanzi, zakudya, moyo wanu, ndi zolinga zanu zochepetsera thupi.
- Maphunziro: Mudzadziwitsidwa mokwanira za ubwino, kuipa, ndi zoopsa za njira iyi. Chofunika kwambiri, mudzapatsidwa kumvetsetsa bwino za kusintha kwa nthawi yayitali komwe muyenera kusintha pa moyo wanu kuti ukhale wopambana.
Panthawi ya Ndondomekoyi
Simudzamva chilichonse pamene izi zikuchitika, chifukwa mumapatsidwa mankhwala oletsa ululu ndipo muli m'tulo tabwino.
1. Dokotala waluso (katswiri wa matenda a m'mimba kapena dokotala wa opaleshoni ya endoscopic) amaika chubu chokhala ndi kamera yotchedwa endoscope kudzera pakamwa panu ndikuchidutsa kudzera mu mmero mwanu kupita m'mimba mwanu.
2. Kenako, mpweya umalowetsedwa m'mimba kuti utulutse mpweya pang'ono. Izi zimathandiza kuti mkati mwake muwoneke bwino.
3. Akamaonera zithunzi kuchokera ku kamera pa chowunikira, dokotalayo amagwiritsa ntchito chipangizo chapadera chomwe chimalumikizidwa ku endoscope kuti asonkhanitse makoma a m'mimba ndikuyika masiketi pafupifupi 8 mpaka 10.
4. Misomali iyi ikamangidwa, mimba yaikulu imakhala ngati chubu chopyapyala.
Njira yonseyi imatenga pakati pa mphindi 60 ndi 90.Pokhapokha. Mukadzuka kuchokera ku mankhwala oletsa ululu, ngati palibe vuto lalikulu, mutha kupita kunyumba tsiku lomwelo. Ngati muli ndi ululu kapena nseru, mudzatulutsidwa kuchipatala mukalandira chithandizo.
Kodi mumamva bwanji mutalandira chithandizo?
Kodi ululu uli bwanji?
Anthu ambiri amatha kupweteka pang'ono m'mimba mwawo pamene akuchira. Anthu ena amatha kumva kupweteka kwambiri komanso nseru kwa masiku angapo. Komabe, kusasangalala kumeneku nthawi zambiri kumatha kuthetsedwa ndi mankhwala ochepetsa ululu. Ngati pakufunika kutero, dokotala wanu adzakupatsani mankhwala.
Kodi pali zakudya zapadera?
Inde, ndithudi. Muyenera kutsatira zakudya zokhwima kwambiri kwa mwezi woyamba kapena kuposerapo mutalandira chithandizo. Izi ndi zoti mimba yanu ikhale ndi nthawi yoti ichiritse pambuyo poti misomali yachotsedwa. Dokotala wanu adzakupatsani malangizo onse pankhaniyi.
Zakudya nthawi zambiri zimakhala motere:
1. Sabata yoyamba: Zakumwa zokha (monga supu, madzi a zipatso).
2. Sabata yachiwiri: Zakudya zophikidwa bwino.
3. Sabata lachitatu ndi lachinayi: Zakudya zolimba pang'ono komanso zofewa.
4. Patatha mwezi umodzi: Kuyamba kuzolowera pang'onopang'ono zakudya zolimba nthawi zonse.
Kodi ubwino ndi zoopsa za chithandizo cha ESG ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino ndi zoopsa zazing'ono. Ndikofunikira kuzisiyanitsa bwino ndikuzimvetsa.
| Ubwino | Zoopsa ndi zovuta |
|---|---|
| Kuchepetsa thupi kwambiri: Kawirikawiri, mutha kutaya pafupifupi 15%-20% ya kulemera konse kwa thupi lanu m'chaka choyamba. | Kusasangalala kwakanthawi: Kupweteka m'mimba, nseru, ndi kutentha pamtima kumatha kuchitika kwa masiku angapo. |
| Kuwongolera matenda ena: Kuwongolera matenda okhudzana ndi kunenepa kwambiri monga matenda a shuga ndi kuthamanga kwa magazi. | Mwayi wonenepanso: Ngati moyo ndi zakudya sizikulamulidwa bwino, pakapita nthawi mimba imatha kutambasulanso n’kukula, zomwe zimapangitsa kuti munthu anenepenso. |
| Kuchira mwachangu: Popeza si opaleshoni, nthawi yochira ndi yochepa kwambiri. Mutha kubwerera ku zochita zanu zachizolowezi mkati mwa sabata imodzi. | Chiwopsezo chochepa kwambiri: Chiwopsezo cha kuvulala pang'ono m'mimba kapena m'mero kuchokera ku endoscope, kapena kusokonezeka ndi mankhwala oletsa ululu, ndi chochepa kwambiri. |
| Palibe zipsera: Popeza palibe chocheka chilichonse pa thupi, palibe zipsera zakunja zomwe zatsala. |
Kodi pali kusiyana kotani pakati pa opaleshoni yanthawi zonse (Gastric Sleeve) ndi ESG?
Cholinga cha njira zonsezi ndi chimodzi: kuchepetsa mimba ndikuchepetsa kuchuluka kwa chakudya chomwe mungadye. Koma momwe amachitira izi ndi zosiyana kwambiri.
- Opaleshoni (Ya Manja A M'mimba): Iyi ndi opaleshoni yeniyeni . Mabala angapo amapangidwa m'mimba ndipo pafupifupi 80% ya mimba imachotsedwa . Uku ndi kusintha kosatha. Sikungasinthidwe.
- Chithandizo cha (ESG): Iyi si opaleshoni . Palibe mabala. Palibe gawo la m'mimba lomwe limadulidwa ndikuchotsedwa . Limangosokedwa ndikupindidwa. Chifukwa chake, iyi ndi njira yosavuta kupha anthu kuposa Gastric Sleeve Surgery.
Kusiyana kwina kofunikira ndi kwakuti mu opaleshoni ya Gastric Sleeve, gawo la m'mimba lomwe limadulidwa ndikuchotsedwa ndi komwe mahomoni athu a njala amapangidwa kwambiri. Kuchotsa gawo limenelo kumathandizanso kuchepetsa njala. Popeza m'mimba simudulidwa ndikuchotsedwa mu (ESG), mahomoni sakhudzidwa kwambiri. Chifukwa chake, opaleshoni ya Gastric Sleeve ingakhale yothandiza pang'ono kuposa (ESG) pakuchepetsa thupi. Komabe, zoopsa za opaleshoni nazonso ndizokwera.
Kunenepa kwambiri ndi vuto lovuta kwambiri. Chifukwa cha kusintha kwa mankhwala m'thupi, zimakhala zovuta kwambiri kwa anthu ambiri kuchepetsa thupi mwa kulamulira zakudya zawo bwino. Ngakhale opaleshoni yochepetsa thupi imakhala ndi zotsatira zabwino, si aliyense amene ali woyenera. Komanso, anthu ambiri amaopa kuchitidwa opaleshoni yayikulu. Chifukwa chake, njira monga (ESG) ndi njira yabwino kwa iwo.
Uthenga Wopita Nawo Kunyumba
- Endoscopic Sleeve Gastroplasty (ESG) ndi njira yamakono, yopanda opaleshoni yomwe imathandiza kuchepetsa kuchuluka kwa mimba ndikuchepetsa kulemera.
- Njira iyi ndi yoyenera kwambiri kwa iwo omwe adayesa njira zina zochepetsera thupi koma adalephera, koma sakufuna kapena sakuyenerera kuchitidwa opaleshoni yayikulu.
- Kuwonjezera pa kuchepetsa thupi, izi zimathandizanso kwambiri poletsa matenda monga matenda a shuga ndi kuthamanga kwa magazi.
- Kuti mupeze zotsatira zabwino kuchokera ku chithandizo, ndikofunikira kusintha zakudya ndi moyo wanu kwa nthawi yayitali . Izi si matsenga, ndipo khama lanu ndilofunika.
- Kuti mudziwe ngati njira iyi ndi yoyenera kwa inu, onetsetsani kuti mwafunsa upangiri kwa dokotala wodziwa bwino ntchito.
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