Kodi mukuvutika ndi matenda a shuga a mtundu wachiwiri ndipo mukuvutika kuwongolera kulemera kwanu? Ngakhale kumwa mankhwala, kulamulira zakudya zanu, komanso kuchita masewera olimbitsa thupi sikungakhale kopindulitsa nthawi zonse. Koma kodi mukudziwa kuti kwa anthu ena, pali njira yamphamvu yomwe ingagwiritsidwe ntchito ngati yankho limodzi la mavuto onsewa? Imeneyi ndi opaleshoni yochepetsa thupi. Imeneyi imatchedwanso Bariatric Surgery. M'nkhaniyi, tikambirana momwe opaleshoniyi ingathandizire kuwongolera matenda a shuga komanso ngati ndi yoyenera kwa inu.
Kodi izi zikugwiradi ntchito? Kodi kafukufukuyu akuti chiyani?
Inde, iyi ndi njira yopambana kwambiri. Kwa anthu ena, shuga m'magazi mwawo amabwerera mwakale pambuyo pa opaleshoni iyi. Izi zikutanthauza kuti matenda awo a shuga amachira kwathunthu. Kenako mutha kuchepetsa kuchuluka kwa mankhwala omwe mumamwa, kapena kusiya kumwa konse.
Kafukufuku wamkulu pankhaniyi wapeza chinthu chodabwitsa kwambiri. Kafukufukuyu adakhudza anthu 400 omwe ali ndi matenda a shuga amtundu wa 2. Patatha zaka zisanu ndi chimodzi atachitidwa opaleshoni ya bariatric, 62% ya omwe adachitidwa opaleshoniyo analibe zizindikiro za matenda a shuga. Sikuti zokhazo, komanso kuchuluka kwa kuthamanga kwa magazi ndi cholesterol m'magazi awo kunakula kwambiri.
Tangoganizirani, gulu laling'ono la anthu, pakati pa 6% ndi 8%, omwe adagwiritsa ntchito mankhwala okha osati opaleshoni, ndi omwe adapeza zotsatira zabwino kwambiri. Kodi izi sizikusonyeza momwe opaleshoniyi ilili yamphamvu?
Kodi opaleshoni iyi ndi yoyenera kwa ine?
Dokotala wanu asanaganizire izi, choyamba ayenera kuganizira zinthu izi:
- Kodi BMI yanu ili ndi zaka zoposa 30? (BMI imayimira Body Mass Index. Ndi muyeso woti muli ndi kulemera koyenera malinga ndi kutalika kwanu.)
- Kodi muli ndi matenda a shuga a mtundu wa 2 kapena matenda a metabolism?
- Kodi mwayesapo njira zosiyanasiyana zochepetsera thupi koma simunathe kuzisungabe?
Ngati yankho la mafunso awa ndi 'inde', dokotalayo adzakufufuzani mokwanira kuti aone ngati mwakonzeka mwakuthupi ndi m'maganizo opaleshoniyi. Chifukwa ichi sichinthu chomwe chingachitike ndi opaleshoni imodzi yokha. Ndikofunikanso kudziwa ngati mwakonzeka kudzipereka kwambiri kusintha kwathunthu zizolowezi zanu zodya ndi kuchita masewera olimbitsa thupi kwa moyo wanu wonse.
Komanso, ngati muli ndi matenda ena, monga matenda a mtima, muyenera kupeza chilolezo kuchokera kwa katswiri wanu pa opaleshoniyi.
Kodi mitundu iyi ya opaleshoni ndi iti?
Pali mitundu ingapo ya opaleshoni yochepetsa thupi. Ma opaleshoni ena amachepetsa kukula kwa mimba yanu, zomwe zimakupangitsani kudya pang'ono. Ena amasintha momwe thupi lanu limayamwira ma calories ndi michere kuchokera ku chakudya. Palinso opaleshoni yomwe imaphatikiza njira zonse ziwiri.
Tiyeni tione mitundu ikuluikulu ya opaleshoni ndi ubwino ndi kuipa kwake.
| Mtundu wa opaleshoni | Ubwino | Zoyipa |
|---|---|---|
| Kudutsa M'mimba Kathumba kakang'ono kamapangidwa kuchokera kumtunda kwa mimba ndipo kamalumikizidwa mwachindunji ku matumbo ang'onoang'ono. Chakudya chimadutsa mbali yaikulu ya mimba. | - Pafupifupi 80% ya odwala amachira matenda a shuga. - Pafupifupi 60% - 80% ya kulemera kowonjezera kumachepa. | - Kuyamwa kwa mavitamini ndi michere m'thupi kumachepa. - Wosasinthika. - Kutaya chakudya (kusapeza bwino chifukwa cha chakudya chomwe chimalowa m'matumbo ang'onoang'ono mofulumira) kungachitike. |
| Manja a M'mimba Pafupifupi 80% ya mimba imachotsedwa, zomwe zimasiya mimba yaying'ono yooneka ngati nthochi. | - Odwala oposa 60% amachira matenda a shuga. - Amachepetsa kulemera kwambiri ndi pafupifupi 50%. - Ghrelin, mahomoni omwe amayambitsa njala, amachepa. | - Wosasinthika. - Kumwa mavitamini ndi mchere kungachepe. |
| Mzere Wam'mimba (Mzere Wam'mimba Wosinthika) Mzere wopumira umayikidwa mozungulira gawo lapamwamba la mimba, ndikupanga thumba laling'ono. | - Palibe kudula m'mimba kapena kusintha matumbo. - Zotsatirapo zochepa. - Lambayo ikhoza kusinthidwa kapena kuchotsedwa ngati pakufunika kutero. | - Kuchepetsa thupi ndi kochepa poyerekeza ndi njira zina (40%-50%). - Mavuto monga kutsetsereka kwa lamba angafunike opaleshoni ina. |
| Kusinthasintha kwa Biliopancreatic ndi Duodenal Switch Opaleshoni yovuta kwambiri yomwe imachotsa gawo lalikulu la m'mimba ndikusintha momwe chakudya chimadutsa. | - Opaleshoni yopambana kwambiri ya matenda a shuga. - Pafupifupi 60% - 70% ya kulemera kowonjezera kumachepa. | - Opaleshoni iyi ili ndi chiopsezo chachikulu cha zotsatirapo zoyipa. - Mavuto okhudzana ndi kugaya chakudya ndi kuyamwa kwa michere ndi omwe amapezeka kwambiri. |
Njira zina zamakono
Kuwonjezera pa maopaleshoni akuluakulu awa, palinso njira zina zingapo.
- Chipangizo Chopangira Magetsi: Chipangizo chaching'ono chamagetsi chimayikidwa pansi pa khungu m'mimba. Izi zimalamulira mitsempha (Vagus Nerve) yomwe imalumikiza ubongo ndi m'mimba, kuchepetsa njala.
- Baluni ya m'mimba: Iyi si opaleshoni. Baluni imayikidwa m'mimba kudzera pakamwa ndipo imafufuma, mofanana ndi endoscopy. Izi zitha kusiyidwa pamalopo kwa miyezi pafupifupi 6. Kuchuluka kwa chakudya chomwe mumadya kumachepa chifukwa kumachepetsa malo m'mimba. Izi ndi zakanthawi komanso zotsika mtengo.
Monga opaleshoni iliyonse yayikulu, pali zoopsa. Mwachitsanzo, pakhoza kukhala kutuluka magazi, matenda, ndi kubowoka kwa m'mero pambuyo pa opaleshoni. Ndicho chifukwa chake ndikofunikira kuti njirazi zichitike motsogozedwa ndi dokotala wodziwa bwino ntchito kuchipatala chabwino.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Iyi ndi gawo lofunika kwambiri. Opaleshoni ndi chiyambi chabe cha ulendo. Kuti mupitirizebe ndi zotsatira zake, muyenera kusintha moyo wanu kwamuyaya.
- Makhalidwe Odyera: Simudzatha kudya chakudya chambiri monga kale. Muyenera kudya pafupifupi theka la chikho kapena chikho chimodzi nthawi imodzi . Muyenera kusankha zakudya zokhala ndi mapuloteni ambiri (nsomba, nyama yopanda mafuta ambiri, nyemba, tchizi chopanda mafuta ambiri, yogati) ndi ndiwo zamasamba.
- Kuchita Masewera Olimbitsa Thupi: Kuchita masewera olimbitsa thupi tsiku ndi tsiku kuyenera kukhala chizolowezi chofunikira.
- Thandizo la Katswiri wa Zakudya: Popeza momwe thupi lanu limayamwira zakudya zimasintha mukachita opaleshoni, ndikofunikira kufunsa upangiri kwa katswiri wa zakudya. Izi zikuthandizani kuonetsetsa kuti mukupeza mavitamini ndi mchere womwe mukufuna.
- Khungu lopindika: Anthu ena amatha kupindika khungu atataya thupi kwambiri. Ngati pakufunika, mutha kuganizira za opaleshoni yokongoletsa pulasitiki pambuyo pake. Imeneyo ndi njira ina.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni yochepetsa thupi ingakhale njira yothandiza komanso yamphamvu yothetsera matenda a shuga amtundu wachiwiri komanso kunenepa kwambiri.
- Iyi si njira yachangu yothetsera vutoli. Mukachita opaleshoni, muyenera kudzipereka moyo wanu wonse kudya zakudya zoyenera komanso kuchita masewera olimbitsa thupi.
- Pali mitundu ingapo ya opaleshoni, iliyonse ili ndi ubwino, kuipa, ndi zoopsa zosiyanasiyana.
- Kaya izi ndi zoyenera kwa inu, mtundu wanji womwe uli wabwino, komanso zoopsa zake ndi zinthu zonse zomwe muyenera kukambirana ndi dokotala wanu . Musapange zisankho zochokera ku mphekesera.
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