Kodi inunso muli ndi vuto la kunenepa kwambiri, kapena monga momwe madokotala amanenera, kunenepa kwambiri? Kodi mwatopa ndi kudya zakudya zochepa komanso kuchita masewera olimbitsa thupi? Ngati mukuopa kuchitidwa opaleshoni yayikulu yochepetsa thupi, lero tikambirana za yankho lomwe lili loyenera kwa inu, koma nthawi yomweyo, anthu ambiri sakudziwa za izi. Izi zitha kukhala chinthu chomwe chingasinthe moyo wanu.
Mwachidule, kodi Endoscopic Sleeve Gastroplasty (ESG) ndi chiyani?
Dzinali lingamveke lovuta, koma zomwe zimachitika mu njirayi ndi zosavuta. ESG ndi njira yamakono yochepetsera kukula kwa mimba yanu (m'mimba) popanda kudula kulikonse pathupi lanu. Iyi ndi njira ina yabwino m'malo mwa opaleshoni yochepetsa thupi (opaleshoni ya bariatric).
Tangoganizirani ... dokotala akuika chubu chopyapyala pakhosi panu. Chubu ichi chili ndi kamera kakang'ono kwambiri kolumikizidwa kumapeto. Timachitcha ichi kuti endoscope. Pogwiritsa ntchito kamera iyi, amagwiritsa ntchito chipangizo chapadera kuti asoke makoma a mimba yanu pamodzi. Anthu ena amatcha izi kuti "accordion procedure" chifukwa mimba imapindika ngati accordion.
Pambuyo pa izi, mimba yanu imachepa kufika pa gawo limodzi mwa magawo atatu (30%) a kukula kwake kwakale. Kenako zinthu ziwiri zimachitika:
1. Kuchuluka kwa chakudya chomwe mungadye nthawi imodzi ndi kochepa.
2. Mimba ikadzaza, zimatenga nthawi yaitali kuti itulutse madzi.
Izi zimakupangitsani kumva kukhuta ngakhale mutadya pang'ono, ndipo simukumva njala kwa nthawi yayitali.
Kodi chithandizochi ndi choyenera kwa ndani?
Mankhwalawa nthawi zambiri amalimbikitsidwa kwa anthu onenepa kwambiri. Ngati thupi lanu lili ndi BMI yoposa 30 , ndipo mwayesa njira zina zochepetsera thupi koma sizinaphule kanthu, mungafune kuganizira izi.
Iyi ndi njira yabwino kwambiri, makamaka kwa iwo omwe sali oyenerera opaleshoni yayikulu yochepetsa thupi (opaleshoni ya bariatric), kapena omwe sakufuna kutenga zoopsa za opaleshoni. Si yayikulu ngati opaleshoni, koma imapereka zotsatira zabwino kwambiri kuposa zakudya ndi masewera olimbitsa thupi.
Kunenepa kwambiri sikuti kungowonjezera thupi kokha. Kumawonjezeranso chiopsezo chotenga matenda ambiri oopsa, monga matenda a shuga (Type 2 Diabetes), kuthamanga kwa magazi, matenda a mtima, ndi matenda a chiwindi chamafuta. Kuchepetsa thupi ndi chithandizo monga ESG kungathandize kuwongolera matenda awa, ndipo nthawi zina ngakhale kuwachiritsa kwathunthu.
Kodi chimachitika ndi chiyani musanalandire chithandizo komanso mukalandira chithandizo?
Inu ndi dokotala wanu mudzasankha pamodzi ngati ndinu woyenera kugwiritsa ntchito mankhwalawa.
Ndondomeko isanachitike
Choyamba, mudzayesedwa mokwanira ndi dokotala. Kuyezetsa magazi kangapo kudzachitika kuti muwone ngati muli oyenera kulandira mankhwala oletsa ululu. Dokotala adzakudziwitsani za mbiri yanu ya thanzi, zakudya zomwe mumadya, moyo wanu, ndi zolinga zanu zochepetsera thupi. Adzakufotokozeraninso zabwino ndi zoyipa za chithandizochi, komanso kusintha kwa moyo wanu komwe muyenera kuchita kuti mupeze zotsatira zabwino kwa nthawi yayitali.
Panthawi ya Ndondomekoyi
Simudzamva chilichonse, chifukwa izi zimachitika muli mtulo wonse (mutapatsidwa mankhwala oletsa ululu).
- Izi zimachitika ndi dokotala wa gastroenterologist, dokotala yemwe ndi katswiri pa ntchito yokonza chakudya.
- Adzalowetsa endoscope kudzera pakamwa panu ndikuyipereka m'mimba mwanu.
- Zithunzi zochokera ku kamera pa endoscope zimawonedwa pa chowunikira, ndipo chipangizo chapadera chimagwiritsidwa ntchito kuyika masiketi pafupifupi 8-10 m'mimba, zomwe zimachepetsa kukula kwake.
| Zoona | Tsatanetsatane |
|---|---|
| Nthawi yogwiritsidwa ntchito | Pakati pa ola limodzi ndi limodzi ndi theka (mphindi 60-90). |
| Kukhala m'chipatala | Nthawi zambiri, mutha kupita kunyumba tsiku lomwelo. Mukangolandira chithandizo, mudzakhala ndi vuto lililonse (kupweteka, nseru). |
| Ululu | Pakhoza kukhala ululu wochepa m'mimba mukamachira. Izi zimatha pakatha masiku angapo. |
| Kubwerera kuntchito | Anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi mkati mwa sabata imodzi. |
Kodi pali kusiyana kotani pakati pa ESG ndi opaleshoni yochepetsera thupi nthawi zonse (Gastric Sleeve)?
Cholinga cha njira zonsezi ndikufinya mimba ndikuipanga kukhala "manja," kapena mawonekedwe ofanana ndi chubu. Koma pali kusiyana kwakukulu pa momwe imachitikira. Mudzamvetsa mosavuta izi mukayang'ana tebulo ili.
| Mbali | ESG (njira ya endoscopic) | Opaleshoni ya Manja a M'mimba (Opaleshoni) |
|---|---|---|
| Momwe mungachitire | Izi zimachitika poika endoscope kudzera pakamwa. | Izi zimachitika podula pang'ono m'mimba. |
| Kodi chimachita chiyani ndi mimba? | Chigawo china cha mimba chimasokedwa chotsekedwa. Palibe gawo lomwe limachotsedwa. | Pafupifupi 80% ya mimba imadulidwa ndi kuchotsedwa. |
| Kukhalitsa | Zosakhalitsa. Ngati pakufunika, zosokerazo zitha kuchotsedwa ndipo mimba ikhoza kubwezeretsedwanso kukhala yachibadwa. | Chokhazikika. Gawo lochotsedwa silingathe kubwezeretsedwanso. |
| Nthawi yochira | Mwachangu. Idzabwerera mwakale m'masiku ochepa. | Zimatenga nthawi yayitali. Zingatenge milungu ingapo. |
| Zotsatira pa njala | Sizimakhudza kwambiri mahomoni omwe amalamulira njala. | Njala imachepa kwambiri pochotsa gawo lomwe limapanga mahomoni a njala. |
Zotsatira ndi zomwe muyenera kutsatira
Anthu ambiri omwe amachita ESG amataya pakati pa 15% ndi 20% ya kulemera kwawo konse m'chaka choyamba. Izi ndizokwanira kuwongolera matenda okhudzana ndi kunenepa kwambiri.
Koma kumbukirani, izi si matsenga. Kuti mupeze zotsatira zabwino kwa nthawi yayitali, muyenera kutsatira zakudya zabwino komanso moyo wokangalika. Ndikofunikira kwambiri kutsatira malangizo azakudya omwe dokotala wakupatsani (zamadzimadzi -> chakudya choyeretsedwa -> chakudya chanthawi zonse) mwezi woyamba mutalandira chithandizo.
Kunenepa kwambiri si chinthu chomwe chingalamuliridwe mosavuta. Chifukwa cha kusintha kwa kapangidwe ka thupi, nthawi zina zimakhala zovuta kuchepetsa thupi mosasamala kanthu kuti mukuyesera kudya zakudya zotani komanso kuchita masewera olimbitsa thupi. Nthawi ngati zimenezi, chithandizo chopanda chiopsezo chachikulu monga ESG chingakhale ngati bwenzi lapamtima lomwe limakuwonetsani njira yopezera moyo wathanzi.
Uthenga Wopita Nawo Kunyumba
- ESG ndi njira yamakono yochizira yomwe imagwiritsa ntchito endoscope kuti ichepetse mimba ndikuchepetsa thupi popanda kuduladula kapena opaleshoni.
- Iyi ndi njira yoyenera kwambiri kwa anthu onenepa kwambiri (BMI 30+) koma akuopa kapena sakufuna kuchitidwa opaleshoni yayikulu.
- Nthawi yochira pambuyo pa chithandizo ndi yochepa ndipo chiopsezo cha zotsatirapo zake chimakhala chochepa kwambiri.
- Pa avareji, mutha kuyembekezera kuchepa kwa kulemera kwa thupi ndi 15%-20%.
- Chithandizo ichi chokha sichikwanira. Kuti mupeze zotsatira zabwino kwa nthawi yayitali, ndikofunikira kutsatira zakudya zabwino komanso moyo wathanzi.
- Onetsetsani kuti mwakambirana za chithandizochi ndi dokotala wanu kuti muwone ngati chili choyenera kwa inu.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu