Uriwo munhu anorwara nezvirwere zvakasiyana-siyana zvakaita sechirwere cheshuga neBP nekuda kwekufutisa here? Pamwe wakarovedza muviri, wakadzora kudya kwako, uye wakaita zvese zvaunogona, asi uchiri kunetseka nekuderedza uremu. Kana zvakadaro, unofanira kunge wakanzwa nezvekuvhiyiwa kwekuderedza uremu, kunozivikanwawo sekuti bariatric surgeries. Nhasi tiri kutaura nezvekuvhiyiwa kwegastric bypass, imwe yekuvhiyiwa kunowanzoitwa pasi rose.
Zvichitaurwa zviri nyore, chii chinonzi gastric bypass surgery?
Uku kuvhiyiwa kunoshandiswa kuderedza huremu uye kugadzirisa mashandiro emuviri. Kuvhiyiwa uku kunozivikanwawo nezita rayo rechiFrench rekuti "Roux-en-Y".
Zvichitaurwa zviri nyore, kuvhiyiwa uku kunosanganisira kuchinja kugaya chikafu. Kunoderedza huwandu hwechikafu chaunodya uye kunoderedza huwandu hwemacalorie anotorwa nemuviri wako. Izvi zvinonyanya kusanganisira kuchinja dumbu rako neura hwako hudiki.
Funga nezvedumbu rako sebhegi guru. Kuvhiyiwa uku kunoita kuti pave nebhegi diki, rakakura sezai, pamusoro pebhegi guru iroro. Zvadaro chikafu chatinodya chinopinda zvakananga mubhegi diki iri. Kubva ipapo, chikafu chinobatanidzwa zvakananga nechikamu chezasi cheura hwako hudiki.
Izvi zvinoreva kuti chikafu chaunodya chinopfuura chikamu chikuru chedumbu nechikamu chekutanga cheura hudiki. Kupfuura uku kunodzivirira muviri wako kuti usanyatso tora zvinovaka muviri nemacalorie ari muchikafu. Aya ndiwo maitiro aunoderedza uremu.
Kuvhiyiwa uku kwakakodzera ani chaizvo?
Kuvhiyiwa uku hakusi kwemunhu wese. Vanachiremba vanongokurudzira kune avo vane kufuta kwakanyanya. Kazhinji pane zvinhu zvishoma zvinofanira kuitwa kuti zvikwanise kuita izvi.
| Zvinodiwa Kuti Ukwanise | Tsananguro |
|---|---|
| Kufuta kwakanyanya (Kufuta kweClass III) | Kana body mass index yako (BMI) iri pamusoro pe40. |
| Kufuta zvakanyanya nezvimwe zvirwere | Kana BMI yako yadarika makore makumi matatu nemashanu uye uine chimwe kana zvimwe zvirwere zvinokonzerwa nekufutisa, zvakaita seshuga, BP, kana sleep apnea. |
| Chirwere cheshuga chisingadzoreki | Kuvhiyiwa uku kunogona kukurudzirwa kana chirwere cheshuga cherudzi rwechipiri chinokonzerwa nekufutisa chakaoma kudzora uye BMI iri pamusoro pe30. |
Chinhu chinonyanya kukosha ndechekuti usati wavhiyiwa, unenge wazvipira kuchinja mararamiro ako uye maitiro ako ekudya kwehupenyu hwako hwese. Iyi haisi mhinduro yenguva pfupi.
Pamusoro pezvo, chikwata chevanachiremba nedzimwe nyanzvi dzezvehutano dzichakuongorora usati wakurudzira kuvhiyiwa.
- Wakagwinya mumuviri nepfungwa here kuti uvhiyiwe?
- Kuongorora kana munhu anwa doro kana fodya.
- Tinoongororawo kana wakamboedza kuderedza huremu uchishandisa dzimwe nzira (kurovedza muviri, kudya) usati wavhiyiwa.
Ndezvipi zvakanakira kuvhiyiwa?
Chinhu chikuru chinobatsira pakuderedza uremu zvakanyanya. Kazhinji, mukati memakore maviri ekutanga mushure mekuvhiyiwa, unogona kurasikirwa neinenge 70% yehuremu hwako hwakawandisa . Kunyange zvazvo vamwe vanhu vachiwana huremu hushoma nekufamba kwenguva, unogona kuramba uchideredza huremu kwenguva refu neinenge 50%.
Pamusoro pekudzikisa huremu, kuvhiyiwa uku kunobatsirawo kudzora kana kurapa zvirwere zvakawanda zvinokonzerwa nekufutisa.
- Chirwere cheshuga cherudzi rwechipiri
- Kukwira kweropa (BP)
- Kolesteroli yakakwira muropa (Hyperlipidemia)
- Chirwere chemwoyo
- Chirwere chechiropa chine mafuta
- Gastritis uye chirwere chegastroesophageal reflux (GERD)
- Kubata kufema panguva yekurara (Obstructive sleep apnea)
- Osteoarthritis
Vanhu vazhinji vanokwanisa kumisa kana kutoderedza mishonga yavanotora yezvirwere izvi.
Kuvhiyiwa uku kunoitwa sei?
Parizvino, 90% yekuvhiyiwa kwedumbu kunoitwa ne laparoscopically . Izvi zvinosanganisira kucheka dumbu kadiki ka3-5 (kanenge hafu yeinji), uko kamera nezvishandiso zvekuvhiya zvinopinzwa. Nzira iyi inoita kuti marwadzo asanyanya kuderera, kupora nekukurumidza, uye matambudziko mashoma.
Kuvhiyiwa uku kunotora maawa maviri kusvika mana. Uchafanira kugara muchipatara kwemazuva maviri mushure mekuvhiyiwa.
Hapana njodzi nematambudziko enguva refu ekuvhiyiwa here?
Sekunge kune chero kuvhiyiwa kukuru, kune dzimwe njodzi. Zvisinei, idzi hadziwanzoitiki. Kana dzichiitwa nachiremba ane ruzivo, njodzi dzacho dzakaderera zvikuru.
| Rudzi rweNjodzi | Tsananguro |
|---|---|
| Njodzi Dzenguva Pfupi | |
| Njodzi dzinowanikwa pakuvhiyiwa | Utachiona hwemaronda, kubuda ropa rakawanda, maitiro ekushandisa mushonga weanesthesia. |
| Njodzi dzakanangana nekuvhiyiwa | Hernias, kuvharika kwematumbu madiki, uye kubuda kwemvura mudumbu. |
| Matambudziko Enguva Refu | |
| Chirwere cheDumping | Kana ukadya chikafu chine shuga yakawanda kana hupfu, zvinokurumidza kupinda muura hudiki, zvichikonzera zviratidzo zvakaita sekusvotwa, kurwadziwa mudumbu, uye manyoka. Izvi zvinogona kudzivirirwa nekudzora kudya kwako. |
| Kushaya chikafu chinovaka muviri | Nekuti kusvuta kwemuviri kunodzikira, zvakakosha kutora mavitamini nemaminerari akanyorwa nachiremba muhupenyu hwese. |
| Matombo eGallstone | Kudzikira uremu nekukurumidza kunowedzera njodzi yekubatwa nematombo emunduru. |
| Kureruka kwehuremu | Kana maitiro ekudya uye mararamiro zvikasachinjwa, nekufamba kwenguva, kukura kwedumbu kunogona kukura zvakare uye kukonzera kuwedzera uremu. |
Upenyu hwakaita sei mushure mekuvhiyiwa?
Ichi ndicho chinhu chinonyanya kukosha. Mushure mekuvhiyiwa, uchafanirwa kutevedzera hurongwa hwakasimba hwekudya.
- Vhiki shoma dzekutanga: Kudya zvine mvura chete.
- Mavhiki mashoma anotevera: Kudya kwakapfava.
- Mushure memwedzi miviri kusvika mitatu: Tangai kudya zvikafu zvakasimba zvishoma nezvishoma.
Zvakakosha kunyatsotevedzera mirairo yakapihwa nachiremba wako nenyanzvi yezvekudya.
- Zvikafu zvine mapuroteni akawanda: Zvakakosha kudya zvekudya zvine mapuroteni akawanda (hove, mazai, mukaka) kuti tsandanyama dzirambe dzakasimba.
- Dzivisa kudya zvine shuga uye zvine sitachi: Zvinwiwa zvinotapira, makeke, mabhisikiti, nechingwa zvinofanira kuderedzwa zvakanyanya sezvinobvira.
- Mavhitamini nemaminerari: Unofanira kutora mishonga yekuwedzera yawakanyorerwa nachiremba wako muhupenyu hwako hwese.
- Inwa mvura yakawanda: Zvakakosha kunwa marita maviri emvura pazuva. Zvisinei, usanwe mvura paunenge uchidya.
Munguva yekupora mushure mekuvhiyiwa, unogona kusangana nematambudziko enguva pfupi akadai sekuneta, kurwadziwa kwemuviri, uye kurasikirwa nebvudzi. Izvi zvinodzoka pazvakajairika nekufamba kwenguva.
Yeuka, kuvhiyiwa kwemudumbu hakusi mashiripiti. Inzira ine simba ichakubatsira kuderedza huremu. Kuti uwane zvakawanda kubva mazviri, zvinoda kuzvipira kukuru uye kushanda nesimba.
Kana uri kutamburawo nekufutisa, zvakakosha zvikuru kutaura nachiremba wako kuti uzive zvakawanda nezveizvi uye kuti usarudze kana izvi zvakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwemudumbu inzira huru yekuvhiya kune vanhu vakafutisa zvakanyanya uye zvirwere zvine chekuita nazvo. Haisi mhinduro yekukurumidza.
- Kuvhiyiwa uku kunogona kukonzera kudzikira kwehuremu zvakanyanya uye kunogonawo kubatsira kudzora zvirwere zvakaita sechirwere cheshuga neBP.
- Kubudirira kwekuvhiyiwa kunoenderana nekuzvipira kwako kuchinja zvekudya uye mararamiro muhupenyu hwako hwese.
- Mushure mekuvhiyiwa, zvinosungirwa kutora mavitamini nemaminerari akanyorerwa nachiremba kweupenyu hwese.
- Unofanira kusarudza kana kuvhiyiwa uku kwakakunakira mushure mekukurukura nachiremba wako.
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