Wanetawo here nekuedza nzira dzakasiyana dzekuderedza uremu nekuda kwekufutisa? Dzimwe nguva, zvisinei nekuti tinodzora sei kudya kwedu uye kurovedza muviri, hatiwane mhedzisiro yatinoda. Kufuta hakusi dambudziko rekutaridzika zvakanaka chete, asiwo inokonzera zvirwere zvakawanda zvakakomba zvakaita sechirwere cheshuga neBP. Saka, mumamiriro ezvinhu akadaro, tichataura nezvekuvhiyiwa kwakakosha kunobatsira mukuderedza uremu nerubatsiro rwesainzi yekurapa nhasi.
Chii chinonzi Gastric Sleeve Surgery?
Zvichitaurwa zviri nyore, kuvhiyiwa kwemaoko emudumbu kuvhiyiwa kwekuderedza uremu. Vanachiremba vanoti kuvhiyiwa kwe bariatric. Kunosanganisira kuderedza saizi yedumbu rako. Funga nezvedumbu rako sebhegi diki. Mukuvhiyiwa uku, inenge 80% yebhegi iroro, iro riri chikamu chikuru, rinochekwa robviswa.
Zvadaro chasara chete chidimbu chidiki chedumbu, chakaita sechubhu, chakaita sebhanana. Izwi rekuti "gastrectomy" rinoreva kubvisa chikamu chedumbu. Ndosaka richinziwo "sleeve gastrectomy".
Kuvhiyiwa uku kunokubatsira sei kuderedza huremu?
Iyi inzira iri nyore kwazvo. Kana dumbu rako richidzikira, huwandu hwechikafu chaunogona kudya panguva imwe chete hushoma. Izvi zvinoreva kuti haugone kudya zvakawanda sezvawaimboita, uye unonzwa wakaguta kunyangwe mushure mekudya zvishoma.
Asi basa harigumiri ipapo. Chimwe chinhu chakakosha chinoitika. Dumbu redu ndiro rinonyanya kugadzira mahormone enzara. Sezvo chikamu chikuru chedumbu chichibviswa, kugadzirwa kwemahormone aya kunodzikirawo zvikuru. Nekuda kweizvozvo, zvinhu zvakaita senzara inogara iripo uye zvishuwo zvinodzorwa. Chimwe chezvikonzero zvikuru zvekufuta mushure mekuderedza uremu ishuwo iyi isingadzoreki yekudya. Saka kuvhiyiwa uku kunopawo mhinduro kune izvozvo.
Kuvhiyiwa uku kwakakodzera ani chaizvo?
Uku kuvhiyiwa hakusi kwemunhu wese. Kuti ukwanise kuita izvi, unofanirwa kuzadzisa zvinodiwa. Izvi zvichasarudzwa nechikwata chevanachiremba chinotungamirirwa nachiremba wako. Izvi ndizvo zvinhu zvinowanzo fungwa nezvazvo.
| Chitupa | Tsananguro Iri Nyore |
|---|---|
| Kufutisa kwakanyanya | BMI yako inofanira kunge iri pamusoro pe40. Kana kuti, BMI yako inofanira kunge iri pamusoro pe35 uye une chimwe chirwere chinokonzerwa nekufuta (senge chirwere cheshuga kana BP yakakwira). BMI inoyera huremu hwako zvichienderana nehurefu hwako. |
| Dzimwe nzira dzinokundikana | Usati wavhiyiwa, unofanira kunge wakaedza kuderedza huremu kuburikidza nekudya uye kurovedza muviri asi usingabudirire. Dzimwe nguva, kunyange makambani einishuwarenzi anoda kuti utore chikamu muchirongwa chekuderedza huremu chinotariswa nachiremba kwemwedzi 3-6 usati wabvumidza kuvhiyiwa. |
| Kugadzirira kwemuviri nepfungwa | Uku kuvhiyiwa kukuru. Uye uchafanirwa kuchinja zvachose mararamiro ako mushure mekuvhiyiwa. Saka, nyanzvi dzezvekudya, nyanzvi dzepfungwa, nedzimwe nyanzvi dzichaongorora kana wakagadzirira mumuviri nepfungwa izvi. |
Chinonyanya kukosha ndechekuti chiremba wako ndiye achasarudza kana kuvhiyiwa uku kwakakunakira. Saka taura naye pachena nezvazvo.
Ndezvipi zvimwe zvirwere zvinogona kurapwa nekuvhiyiwa uku?
Kuvhiyiwa kwemaoko emudumbu hakungorapi mafuta akakora chete, asiwo kunopa zororo kubva kune zvimwe zvirwere zvakawanda zvine chekuita nazvo. Zvimwe zvirwere zvinogona kutorapwa zvachose.
- Kuramba Insulin uye Rudzi rwechipiri rweShuga
- Kukwira kweropa zvakanyanya nezvimwe zvirwere zvemwoyo zvine chekuita nazvo
- Kolesteroli yakakwira muropa (Hyperlipidemia) uye arteriosclerosis
- Chirwere cheChiropa Chine Mafuta Asina Doro
- Kuora Mwoyo Kusingadzoreki
- Kurwadziwa kwemajoini uye arthritis (Osteoarthritis)
Kuvhiyiwa uku kunoitwa sei?
Pfungwa yekuvhiyiwa uku inogona kutyisa zvikuru, asi neruzivo rwemazuva ano, inowanzoitwa nekucheka zvidimbu zvidiki.
Kugadzirira usati wavhiyiwa
Kana wangokwanisa kuvhiyiwa, chiremba wako achakupa kudya kwemvura kwemavhiki maviri. Izvi zvinoitirwa kuderedza mafuta ari mudumbu rako nechiropa uye kuita kuti kuvhiyiwa kwacho kuve kwakachengeteka. Hauzobvumirwi kudya kana kunwa chero chinhu kwemaawa gumi nemaviri usati wavhiyiwa. Chengeta dumbu rako risina chinhu zvachose.
Panguva yekuvhiyiwa
Kuvhiyiwa uku kunoitwa pasi peanesthesia. Saka hapana chaunonzwa. Chiremba anochekwa kadiki kadiki (anenge 1-2 cm) mudumbu mako uye anoisa kamera (laparoscope) nezvishandiso zvidiki. Kuvhiyiwa uku kunoitwa uchitarisa mifananidzo kubva pakamera iyi pachiratidziro. Nzira iyi inonzi laparoscopic surgery . Sezvo dumbu risina kuchekwa zvakanyanya, nguva yekupora ipfupi uye kurwadziwa kushoma. Zvadaro, sezvambotaurwa, chikamu chisingadikanwi chedumbu chinoparadzaniswa uye chinobviswa nekushandisa nzira yekuvhiya. Kuvhiyiwa kwese kunotora maawa angangoita 1-1.5.
Ndezvipi zvakanakira uye njodzi dzinogona kuitika?
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi dzinobatanidzwa, asi kana tichienzanisa nezvirwere zvinokonzerwa nekufutisa, njodzi dzekuvhiyiwa uku dzakaderera zvikuru.
| Zvakanakira | Njodzi & Matambudziko |
|---|---|
| Zviri nyore, zvinokurumidza, uye zvakachengeteka kupfuura mamwe maoparesheni ekuderedza uremu. | Njodzi dzenguva pfupi: Kubuda ropa, hutachiona, kusawirirana nechirwere chinotindivadza, uye kubuda kwemvura kubva mudumbu (zvishoma kwazvo). |
| Sezvo pasina shanduko dzinoitwa muura, njodzi yekusadya zvakakwana kwenguva refu yakaderera. | Matambudziko enguva refu: kushomeka kwezvokudya zvinovaka muviri (zvinoda kuwedzerwa mavitamini muhupenyu hwese), gastroesophageal reflux, matombo emudumbu (izvo zvingada cholecystectomy). |
| Inopa kudzikira kwehuremu kwakanaka uye mabhenefiti akawanda ehutano. | Mavanga anotetepa dumbu uye anoita kuti zviomere chikafu kupinda nepachiri (zvinogona kukonzera kuda kurutsa nekurutsa). |
Upenyu hwakaita sei mushure mekuvhiyiwa?
Uchafanira kugara muchipatara kwemazuva rimwe kana maviri mushure mekuvhiyiwa. Zvinogona kutora mwedzi kuti unyatsopora uye udzokere kubasa.
Kudya
Mavhiki mashoma ekutanga achapedzerwa pakudya kwemvura uye kwakapwanywa `(kudya kwakapfava)`. Zvishoma nezvishoma, uchajaira kudya kwakasimba nguva dzose. Asi hauzokwanisi kudya sepakutanga . Unofanira kuwana zvinovaka muviri zvakakwana kubva muchikafu chaunodya. Saka , uchafanira kutora mavhitamini nezvimwe zvinovaka muviri kweupenyu hwako hwese. Chiremba wako nenyanzvi yezvekudya vachakuzivisa nezveizvi.
Kudzikira kwehuremu kunotarisirwa
Kazhinji, unogona kurasikirwa neanenge 25% - 30% yehuremu hwako hwese mukati megore rekutanga kana maviri. Fungidzira uchirema 120 kgs. Ipapo unogona kurasikirwa neanenge 30-36 kgs. Izvi zvinoenderana nemararamiro aunoita mushure mekuvhiyiwa.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwemaoko emudumbu kuchinja kukuru, kusingachinjiki, uye kweupenyu hwese. Izvi hazvisi zvemutambo.
- Ichi chingori "chishandiso" chekukubatsira kuderedza huremu. Mushure mekuvhiyiwa, unofanirwa kuzvipira kudya zvakanaka uye kurovedza muviri kwehupenyu hwako hwese.
- Kuvhiyiwa kunogona kudzora kana kurapa zvirwere zvakawanda zvine chekuita nekufutisa, zvakaita sechirwere cheshuga neBP.
- Usati waita chero sarudzo, taura nachiremba wako zvakakwana nezvezvakanakira, zvakaipa, njodzi, uye hupenyu mushure mekuvhiyiwa, uye bvunza mibvunzo yako yese.
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