Kunenepa kwambiri, komwe kumatanthauza kunenepa kwambiri kuposa momwe kungafunikire, ndi vuto lomwe anthu ambiri amakumana nalo masiku ano. Kaya amalamulira bwanji zakudya zawo komanso kuchita masewera olimbitsa thupi, ena amavutika kwambiri kuchepetsa thupi. Chifukwa chake, panthawi ngati iyi, anthu ena ayenera kuganizira za njira zamankhwala. Limodzi mwa njirazi ndi opaleshoni ya m'mimba yomwe tikukamba lero. Tiyeni tiwone chomwe chili, ndani woyenera, komanso zomwe muyenera kudziwa za izi.
Kodi opaleshoni ya m'mimba ndi chiyani?
Mwachidule, ichi ndi chipangizo chochitira opaleshoni chomwe chimayikidwa m'thupi kuti chithandize anthu omwe ali ndi kunenepa kwambiri kuchepetsa thupi. Ichi ndi chimodzi mwa mitundu ingapo ya opaleshoni yochepetsa thupi. Mu zamankhwala, timachitcha `(opaleshoni ya bariatric)`.
Opaleshoni iyi imaphatikizapo kuyika lamba wosinthika kuzungulira mimba yanu. Izi zimachepetsa kuchuluka kwa chakudya chomwe mungadye nthawi imodzi. Izi ndizosiyana pang'ono chifukwa sizimadula mimba m'zigawo monga momwe zimakhalira ndi maopaleshoni ena. Mtundu waukulu wa lamba wa m'mimba womwe umagwiritsidwa ntchito m'maiko ngati United States ndi `(Lap-Band)`.
Kodi izi zimagwira ntchito bwanji mkati mwa thupi?
Tangoganizirani mphete yaying'ono ikuyikidwa pamwamba pa mimba yanu. Mzere wa m'mimba uwu wapangidwa ndi silicone yofewa kwambiri. Ukhoza kudzazidwa, zomwe zikutanthauza kuti ukhoza kumangidwa kapena kumasulidwa ngati pakufunika kutero.
Chingwechi chimalumikizidwa ku "doko" laling'ono, kapena cholumikizira, pansi pa khungu ndi chubu. Dokotala wanu angagwiritse ntchito singano kuti aike madzi amchere kudzera mu "doko" ili kuti asinthe kulimba kwa chingwecho.
Mzerewo ukamangidwa, umapanga thumba laling'ono kumtunda kwa mimba. Mukadya, thumba ili limadzaza mwachangu. Kenako mumamva kukhuta mwachangu kwambiri . Chifukwa chake, kuchuluka kwa chakudya chomwe mumadya kumachepa zokha.
Kodi opaleshoni iyi ndi yoyenera kwa ndani?
Kawirikawiri, opaleshoni yochepetsa thupi imaganiziridwa ngati muli ndi matenda ena chifukwa cha kunenepa kwambiri ndipo simunathe kuchepetsa thupi kudzera m'njira zina (zakudya, masewera olimbitsa thupi). Dokotala wanu angakulangizeni kuti mupake bandeji ya m'mimba ngati mukufuna njira yosavulaza komanso yosinthika kuposa opaleshoni zina.
Tiyeni tsopano tiwone zina mwa zabwino ndi zoyipa za izi.
| Ubwino | Zoyipa |
|---|---|
| Mavuto pambuyo pa opaleshoni ndi ochepa poyerekeza ndi maopaleshoni ena. | Simungayembekezere kuchepetsa thupi kwambiri monga momwe zimakhalira ndi maopaleshoni ena. |
| Mimba kapena matumbo sizidulidwa kapena kulekanitsidwa. | Muyenera kuonana ndi dokotala nthawi zonse kuti musinthe bandeji (makamaka chaka choyamba). |
| Ngati kuli kofunikira, gululi likhoza kuchotsedwa opaleshoni. | Njira imeneyi si yotchuka kwambiri pakadali pano. Masiku ano, anthu ambiri amachitidwa opaleshoni monga `(sleeve gastrectomy)` kapena `(gastric bypass)`. |
Kodi mungachepetse thupi lotani ndi izi?
Kawirikawiri, mutha kutaya pafupifupi 40% ya kulemera kwanu kochulukirapo mkati mwa zaka ziwiri mutatha kuchitidwa opaleshoni ya m'mimba. Tiyerekeze kuti muli ndi makilogalamu 50 kuposa kulemera komwe mukufuna. Ndiye opaleshoniyi mwina ingakupangitseni kutaya makilogalamu pafupifupi 20 (40% mwa 50).
Komabe, zotsatirazi zimatha kusiyana malinga ndi munthu aliyense. Izi zimadalira kwambiri momwe mumasinthira moyo wanu komanso momwe mumadyera mukatha opaleshoni.
Kodi izi zingathandize ndi matenda oyambitsidwa ndi kunenepa kwambiri?
Inde, inde. Kuchepetsa thupi kungathandize kuchepetsa matenda ambiri omwe amayamba chifukwa cha kunenepa kwambiri. Mwachitsanzo:
- Cholesterol yambiri
- Kuthamanga kwa magazi
- Matenda a mtima
- Matenda a shuga amtundu wachiwiri
- Kulephera kugona mokwanira
- Matenda a chiwindi amafuta osakhudzana ndi mowa
Koma kumbukirani, opaleshoni iyi imangochepetsa kuchuluka kwa chakudya chomwe mumadya. Mosiyana ndi opaleshoni zina, siikhudza kwambiri kagayidwe ka thupi lanu kapena mahomoni.
Kodi ndingathe bwanji kuchitidwa opaleshoni?
Kuti dokotala akulimbikitseni opaleshoni yamtunduwu, muyenera kukhala ndi ziyeneretso zinazake.
| Kuyenerera | Kufotokozera |
|---|---|
| Chiŵerengero cha Misa ya Thupi (BMI) | Body Mass Index (BMI) ndi muyeso woti muli ndi kulemera koyenera malinga ndi kutalika kwanu. |
| BMI ya 40 kapena kuposerapo | Ngati BMI ili ndi zaka zoposa 40, chiopsezo chotenga matenda chifukwa cha kunenepa kwambiri chimakhala chachikulu kwambiri. |
| BMI ya 35 ndi matenda ena | Ngati BMI yanu ili ndi zaka zoposa 35 ndipo muli ndi matenda ena okhudzana ndi kunenepa kwambiri (monga matenda a shuga kapena kuthamanga kwa magazi). |
Kuphatikiza apo, muyenera kuyesedwa kangapo kuti muwonetsetse kuti muli ndi thanzi labwino lokwanira kuchitidwa opaleshoni. Ngati mukusuta kapena kugwiritsa ntchito mowa kapena mankhwala ena osokoneza bongo, muyenera kusiya kwathunthu musanayenerere opaleshoni .
Kodi opaleshoniyi imachitidwa bwanji?
Izi nthawi zambiri zimachitika pogwiritsa ntchito laparoscopically, zomwe zikutanthauza "opaleshoni ya keyhole." Opaleshoni yonseyi imachitika kudzera m'mabala ang'onoang'ono angapo m'mimba, osati m'mabala akulu.
1. Mankhwala Oletsa Kupweteka: Choyamba, mudzapatsidwa mankhwala oletsa kupweteka. Choncho simudzamva chilichonse panthawi ya opaleshoni, mudzakhala mukugona.
2. Kutupa kwa m'mimba: Dokotala adzakudula pang'ono m'mimba mwako ndikudzaza m'mimba mwako ndi mpweya wochepa wa carbon dioxide. Izi zithandiza kuti ziwalo ziwoneke bwino ndikulola opaleshoni.
3. Kuika kamera: Kenako laparoscope, chubu chopyapyala chokhala ndi kamera yaying'ono ndi kuwala kutsogolo, imayikidwa. Opaleshoniyo imachitika poyang'ana zithunzi kuchokera ku kamera iyi pa chowunikira.
4. Kuika mkanda: Zipangizo zofunika zimayikidwa kudzera m'mabala ena ang'onoang'ono, ndipo mkanda wa m'mimba umayikidwa mozungulira gawo lapamwamba la mimba ndikukhazikika. Kenako mimba imakhala ngati galasi la ola limodzi.
5. Kulumikiza doko: Chubu cholumikizidwa ndi mkanda uwu chimabweretsedwa pansi pa khungu ndikulumikizidwa ku doko. Izi zili pansi pa khungu.
6. Kumaliza: Chilichonse chikakonzeka, mpweya womwe uli m'mimba umachotsedwa ndipo mabowo ang'onoang'ono omwe adapangidwa amasokedwa. Ntchito yonseyi nthawi zambiri imatenga pakati pa mphindi 30 ndi 60 .
Kudya, kumwa ndi moyo pambuyo pa opaleshoni
Moyo wanu udzasintha kwambiri pambuyo pa opaleshoni.
- Chakudya: Kwa milungu ingapo yoyambirira, mudzatha kudya zakumwa ndi zakudya zophikidwa bwino. Kenako, pang'onopang'ono mutha kuyamba kudya zakudya zofewa kenako zakudya zolimba nthawi zonse. Komabe, mudzatha kudya pang'ono kwambiri . Kudya kwambiri kungayambitse kusanza. Chifukwa chake, ndikofunikira kusankha zakudya zopatsa thanzi komanso zabwino ndikuzitafuna bwino.
- Uphungu wa zachipatala: M'chaka choyamba mutachita opaleshoni, muyenera kuonana ndi dokotala nthawi zonse kuti musinthe kulimba kwa mkanda. Muyeneranso kuyezetsa magazi kuti muwonetsetse kuti thupi lanu likupeza zakudya zomwe likufunikira.
Kodi mavuto ndi zotsatira zake zingakhale zotani?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali chiopsezo cha mavuto, omwe ena mwa iwo angachitike pakapita nthawi.
| Mavuto/zotsatira zoyipa | Kufotokozera kosavuta |
|---|---|
| Kusanza ndi kusanza | Izi zimachitika kawirikawiri kumayambiriro. Izi zidzachepa mukayamba kuzolowera kudya pang'ono, kutafuna bwino. |
| Kudzimbidwa | Zingachitike chifukwa chovutika kumwa madzi okwanira. Kumwa madzi ndikofunika kwambiri. |
| Kubwerera m'mbuyo kwa gastroesophageal (GERD) | Ngati mkandawo ukhala wolimba kwambiri, ukhoza kuyambitsa kutentha pamtima (acid reflux). Nthawi zina mkandawo umayenera kuchotsedwa. |
| Mavuto a doko | Chitsekocho chingasunthe, chituluke, madzi otuluka, kapena kutenga kachilomboka. Izi zingafunike opaleshoni yaying'ono. |
| Kutsetsereka kwa gulu | Mzerewo ukhoza kutuluka pamalo pake. Izi zingakhudze kuchepetsa thupi. Nthawi zina, minofu ya m'mimba imatha kufa (necrosis), zomwe zimafunika opaleshoni yadzidzidzi. |
| Kuwonongeka kwa gulu | Pakapita nthawi, mkandawu ukhoza kuwononga khoma la m'mimba ndikudutsamo. Zikatero, mkandawu uyenera kuchotsedwa. |
| Kusalolera gulu | Matupi a anthu ena sachitapo kanthu ndi zinthu zakunja. Ngati nseru ndi kusapeza bwino zikupitirira, chogwiriracho chiyenera kuchotsedwa. |
Kodi gulu ili lakhalapo kwa nthawi yayitali bwanji?
Bandeji iyi idapangidwa kuti ivalidwe moyo wonse. Komabe, kafukufuku wasonyeza kuti pafupifupi 35%-40% ya anthu adzafunika kuchotsedwa bandejiyo patatha zaka pafupifupi 10. Izi zitha kukhala zofunikira pazifukwa zosiyanasiyana, monga kusachepetsa thupi monga momwe amayembekezera kapena zovuta zina. Anthu ena amapitilira opaleshoni yokhazikika komanso yothandiza kwambiri ya bariatric.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya m'mimba ndi opaleshoni yomwe imachitika kuti munthu achepetse thupi ndipo imatha kusinthidwa ndikuchotsedwa ngati pakufunika kutero.
- Izi zimachepetsa kuchuluka kwa chakudya chomwe mumadya ndipo zimakupangitsani kumva kukhuta mwachangu. Sizidula kapena kulekanitsa mimba.
- Poyerekeza ndi opaleshoni zina zochepetsera thupi, opaleshoni iyi imachepetsa thupi pang'ono. Komanso, muyenera kuonana ndi dokotala pafupipafupi kuti musinthe bandeji.
- Uku ndi kudzipereka kwakukulu. Muyenera kusintha kwathunthu zakudya zanu komanso moyo wanu mukatha opaleshoni.
- Pakapita nthawi, pamakhala chiopsezo cha mavuto monga kutsetsereka kwa mkanda ndi kuwonongeka kwa m'mimba.
- Musanapange chisankho chilichonse, ganizirani izi.Chofunika kwambiri ndikulankhula ndi dokotala wanu ndi kusankha njira yabwino kwambiri kwa inu.
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