Kodi mwatopanso kuyesa njira zosiyanasiyana zochepetsera thupi chifukwa cha kunenepa kwambiri? Nthawi zina, ngakhale titayang'anira bwanji zakudya zathu ndi masewera olimbitsa thupi, sitipeza zotsatira zomwe tikufuna. Kunenepa kwambiri sikuti ndi vuto la maonekedwe okha, komanso ndi chifukwa cha matenda ambiri oopsa monga matenda a shuga ndi kuthamanga kwa magazi. Chifukwa chake, mu mkhalidwe wotere, tikambirana za opaleshoni yapadera yomwe imathandiza kuchepetsa thupi mothandizidwa ndi sayansi ya zamankhwala masiku ano.
Kodi Opaleshoni ya Manja a M'mimba ndi Chiyani?
Mwachidule, opaleshoni ya m'mimba ndi opaleshoni yochepetsa thupi. Madokotala amatcha opaleshoni ya bariatric. Imafuna kuchepetsa kukula kwa mimba yanu. Ganizirani mimba yanu ngati thumba laling'ono. Mu opaleshoni iyi, pafupifupi 80% ya thumba limenelo, lomwe ndi gawo lalikulu, limadulidwa ndikuchotsedwa.
Kenako chomwe chatsala ndi kachidutswa kakang'ono ka m'mimba kofanana ndi chubu, kooneka ngati nthochi. Mawu oti "gastrectomy" kwenikweni amatanthauza kuchotsa gawo la m'mimba. Ichi ndichifukwa chake amatchedwanso "gastrectomy ya m'manja".
Kodi opaleshoni iyi ingakuthandizeni bwanji kuchepetsa thupi?
Iyi ndi njira yosavuta kwambiri. Mimba yanu ikachepa, chakudya chomwe mungadye nthawi imodzi chimakhala chochepa kwambiri. Izi zikutanthauza kuti simungadye kwambiri monga kale, ndipo mumamva kukhuta ngakhale mutadya pang'ono.
Koma ntchitoyo siimathera pamenepo. Chinthu china chofunika chimachitika. Mimba yathu ndiye imapanga mahomoni ambiri a njala. Popeza gawo lalikulu la m'mimba limachotsedwa, kupanga mahomoni amenewa kumachepanso kwambiri. Zotsatira zake, zinthu monga njala yosalekeza ndi chilakolako zimawongoleredwa. Chimodzi mwa zifukwa zazikulu zonenepa mutataya thupi ndi chilakolako chosalamulirika chofuna kudya. Chifukwa chake opaleshoniyi imaperekanso yankho la vutoli.
Kodi opaleshoni iyi ndi yoyenera kwa ndani kwenikweni?
Iyi si opaleshoni ya aliyense. Kuti muyenerere izi, muyenera kukwaniritsa zofunikira zina. Izi zidzasankhidwa ndi gulu lachipatala lotsogozedwa ndi dokotala wanu. Izi ndi zinthu zomwe nthawi zambiri zimaganiziridwa.
| Ziyeneretso | Kufotokozera Kosavuta |
|---|---|
| Kunenepa Kwambiri | BMI yanu iyenera kukhala ndi chiwerengero cha kulemera kwa thupi (BMI) choposa 40. Kapena, BMI yanu iyenera kukhala ndi chiwerengero cha kulemera kwa thupi choposa 35 ndipo muli ndi vuto lina la matenda lomwe limayamba chifukwa cha kunenepa kwambiri (monga matenda a shuga kapena kuthamanga kwa magazi). BMI ndi muyeso wa kulemera kwanu malinga ndi kutalika kwanu. |
| Njira zina zimalephera | Musanachite opaleshoni, muyenera kuti munayesapo kuchepetsa thupi koma simunapambane kudzera mu zakudya ndi masewera olimbitsa thupi. Nthawi zina, ngakhale makampani a inshuwalansi amafuna kuti mutenge nawo mbali mu pulogalamu yochepetsera thupi yoyang'aniridwa ndi dokotala kwa miyezi 3-6 musanavomereze opaleshoniyo. |
| Kukonzekera mwakuthupi ndi m'maganizo | Iyi ndi opaleshoni yaikulu. Ndipo muyenera kusintha moyo wanu wonse mukatha opaleshoni. Chifukwa chake, akatswiri azakudya, akatswiri a zamaganizo, ndi akatswiri ena adzafufuza ngati muli okonzeka mwakuthupi ndi m'maganizo pa izi. |
Chofunika kwambiri ndi chakuti dokotala wanu apange chisankho chomaliza ngati opaleshoniyi ndi yoyenera kwa inu. Choncho khalani omasuka komanso oona mtima kwa iye pankhaniyi.
Ndi matenda ena ati omwe angachiritsidwe ndi opaleshoni iyi?
Opaleshoni ya m'mimba sikuti imangochiza kunenepa kwambiri, komanso imapereka mpumulo ku matenda ena ambiri okhudzana ndi kunenepa. Matenda ena amatha kuchiritsidwa kwathunthu.
- Kukana kwa Insulin ndi Matenda a Shuga a Mtundu Wachiwiri
- Kuthamanga kwa magazi ndi matenda ena a mtima
- Kuchuluka kwa cholesterol m'magazi (hyperlipidemia) ndi atherosclerosis
- Matenda a Chiwindi cha Mafuta Osamwa Mowa
- Kulephera Kugona Bwino
- Kupweteka kwa mafupa ndi nyamakazi (Osteoarthritis)
Kodi opaleshoniyi imachitidwa bwanji?
Lingaliro la opaleshoni iyi lingakhale loopsa kwambiri, koma ndi ukadaulo wamakono, nthawi zambiri limachitika kudzera m'mabala ang'onoang'ono kwambiri.
Kukonzekera musanachite opaleshoni
Mukangoyenerera opaleshoni, dokotala wanu adzakupatsani zakudya zamadzimadzi kwa milungu iwiri. Izi ndi cholinga chochepetsa mafuta ena m'mimba ndi m'chiwindi mwanu ndikupangitsa opaleshoni kukhala yotetezeka. Simudzaloledwa kudya kapena kumwa chilichonse kwa maola 12 musanachite opaleshoni. Sungani m'mimba mwanu mulibe kanthu.
Pa nthawi ya opaleshoni
Opaleshoniyi imachitika pansi pa mankhwala oletsa ululu. Choncho simukumva chilichonse. Dokotalayo amaduladula pang'ono (pafupifupi 1-2 cm) m'mimba mwanu ndikuyika kamera (laparoscope) ndi zida zazing'ono. Opaleshoniyi imachitika poyang'ana zithunzi kuchokera ku kamera iyi pazenera. Njirayi imatchedwa opaleshoni ya laparoscopic . Popeza mimba siidula kwambiri, nthawi yochira imakhala yochepa ndipo ululu ndi wochepa. Kenako, monga tanenera kale, gawo losafunikira la m'mimba limalekanitsidwa ndikuchotsedwa ndi stapler ya opaleshoni. Opaleshoni yonseyi imatenga pafupifupi maola 1-1.5.
Kodi ubwino ndi zoopsa zomwe zingachitike ndi ziti?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina, koma poyerekeza ndi matenda omwe amayamba chifukwa cha kunenepa kwambiri, zoopsa za opaleshoniyi ndizochepa kwambiri.
| Ubwino | Zoopsa ndi Zovuta |
|---|---|
| Ndi yosavuta, yachangu, komanso yotetezeka kuposa maopaleshoni ena ochepetsa thupi. | Zoopsa za kanthawi kochepa: Kutuluka magazi, matenda, zomwe zimachitika chifukwa cha mankhwala oletsa ululu, komanso kutuluka kwa madzi m'mimba (zosowa kwambiri). |
| Popeza palibe kusintha komwe kumachitika m'matumbo, chiopsezo cha kusowa zakudya m'thupi kwa nthawi yayitali chimakhala chochepa. | Mavuto a nthawi yayitali: kusowa zakudya zokwanira (komwe kumafuna kuwonjezera mavitamini kwa moyo wonse), gastroesophageal reflux, miyala ya ndulu (yomwe ingafunike cholecystectomy). |
| Zimapereka kuchepetsa thupi bwino komanso zabwino zambiri pa thanzi. | Zilonda zimafinya m'mimba ndipo zimapangitsa kuti chakudya chizivuta kulowa (zingayambitse nseru ndi kusanza). |
Kodi moyo uli bwanji pambuyo pa opaleshoni?
Muyenera kukhala m'chipatala kwa tsiku limodzi kapena awiri mutachita opaleshoni. Zingatenge pafupifupi mwezi umodzi kuti muchiritse bwino ndikuyambanso kugwira ntchito.
Zakudya
Masabata angapo oyamba mudzakhala mukudya chakudya chamadzimadzi ndi chophwanyika (chakudya chofewa). Pang'onopang'ono, mudzazolowera zakudya zolimba nthawi zonse. Koma simudzatha kudya monga kale . Muyenera kupeza zakudya zokwanira kuchokera ku chakudya chomwe mumadya. Chifukwa chake , muyenera kumwa mavitamini ndi zowonjezera zakudya kwa moyo wanu wonse. Dokotala wanu komanso katswiri wazakudya adzakuuzani za izi.
Kuchepetsa thupi komwe kumayembekezeredwa
Kawirikawiri, mutha kutaya pafupifupi 25% - 30% ya kulemera konse kwa thupi lanu mkati mwa chaka choyamba kapena ziwiri. Tangoganizani kuti mukulemera makilogalamu 120. Kenako mutha kutaya pafupifupi makilogalamu 30-36. Izi zimadalira moyo womwe mumatsatira mutachita opaleshoni.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya m'mimba ndi kusintha kwakukulu, kosasinthika, komanso kwa moyo wonse. Uku si masewera.
- Ichi ndi "chida" chongokuthandizani kuchepetsa thupi. Pambuyo pa opaleshoni, muyenera kudzipereka kudya zakudya zoyenera komanso kuchita masewera olimbitsa thupi moyo wanu wonse.
- Opaleshoni ikhoza kuletsa kapena kuchiza matenda ambiri okhudzana ndi kunenepa kwambiri, monga matenda a shuga ndi kuthamanga kwa magazi.
- Musanapange chisankho chilichonse, lankhulani ndi dokotala wanu mokwanira za ubwino, kuipa, zoopsa, ndi moyo pambuyo pa opaleshoni, ndipo funsani mafunso anu onse.
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