Kufuta, zvinoreva kuwedzera huremu kupfuura zvinodiwa, idambudziko riri kusangana nevanhu vazhinji nhasi. Zvisinei nekuti vanodzora sei kudya kwavo uye kurovedza muviri, vamwe vanhu vanoona zvakaoma kuderedza huremu. Saka, panguva yakaita seiyi, vamwe vanhu vanofanirwa kufunga nezvemhinduro dzekurapa. Imwe mhinduro yakadaro ndeyekuvhiyiwa kwegastric band yatiri kutaura nezvayo nhasi. Ngationei kuti chii, chakakodzera ani, uye zvaunoda kuziva nezvacho.
Chii chinonzi kuvhiyiwa kwebhandi remudumbu?
Zvichitaurwa zviri nyore, ichi chishandiso chekuvhiya chinoiswa mumuviri kubatsira vanhu vakafuta zvakanyanya kuderedza huremu. Ichi chimwe chemhando dzakasiyana dzekuvhiya kuderedza huremu. Mukurapa, tinodana izvi kuti `(bariatric surgery)`.
Kuvhiyiwa uku kunosanganisira kuisa bhandi rinogadziriswa rakatenderedza dumbu rako. Izvi zvinoderedza huwandu hwechikafu chaunogona kudya panguva imwe chete. Izvi zvakasiyana zvishoma nekuti hazvicheke dumbu zvachose kuita zvidimbu semamwe mavhiyirwo. Rudzi rukuru rwebhandi remudumbu riri kushandiswa munyika dzakadai seUnited States ndi`(Lap-Band)`.
Izvi zvinoshanda sei mumuviri?
Fungidzira rin'i diki rakaiswa pamusoro pedumbu rako. Iri bhandi remudumbu rakagadzirwa nesilicone yakapfava kwazvo. Rinogona kufefeterwa, zvichireva kuti rinogona kusimbiswa kana kusunungurwa sezvinodiwa.
Bhandi iri rakabatanidzwa kune "chiteshi" chidiki, kana kuti chinongedzo, pasi peganda nechubhu. Chiremba wako anogona kushandisa tsono kuisa mvura yemunyu kuburikidza ne "chiteshi" ichi kugadzirisa kuomarara kwebhandi.
Kana bhandi racho rakasimbiswa, rinogadzira kabhegi kadiki mudumbu. Paunodya, kabhegi aka kanozadzwa nekukurumidza. Wobva wanzwa kuguta nekukurumidza . Nokudaro, huwandu hwechikafu chaunodya hunodzikira otomatiki.
Kuvhiyiwa uku kwakakodzera ani?
Kazhinji, kuvhiyiwa kwekudzikisa huremu kunofungwa nezvako kana uine zvimwe zvirwere zvinokonzerwa nekufutisa kwako uye usina kukwanisa kudzikisa huremu uchishandisa dzimwe nzira (kudya, kurovedza muviri). Chiremba wako anogona kukukurudzira kuti uvhiyiwe gastric banding kana uchitsvaga imwe nzira isingapindi uye isingadzoreki pane dzimwe nzira dzekuvhiyiwa.
Ngatitarisei zvimwe zvakanakira nezvakaipira izvi.
| Zvakanakira | Zvakashata |
|---|---|
| Matambudziko mushure mekuvhiyiwa mashoma pane mamwe mavhiyiwa. | Haugoni kutarisira kudzikira kwehuremu zvakanyanya sezvinoitwa nemamwe maoparesheni. |
| Dumbu kana ura hazvichekwi kana kupatsanurwa. | Uchafanira kuona chiremba nguva nenguva kuti ugadzirise bhandi (kunyanya mugore rekutanga). |
| Kana zvichidikanwa, bhandi iri rinogona kubviswa nekuvhiyiwa. | Nzira iyi haisi kufarirwa zvakanyanya pari zvino. Mazuva ano, vanhu vazhinji vanovhiyiwa sekuti `(sleeve gastrectomy)` kana `(gastric bypass)`. |
Unogona kuderedza huremu hwakawanda sei neizvi?
Kazhinji, unogona kudzikisa huremu hwako hwakanyanya ne40% mukati memakore maviri mushure mekuvhiyiwa gastric band. Ngatitii une huremu hwakanyanya kupfuura huremu hwako hwakakodzera ne50 kg. Saka kuvhiyiwa uku kungangoguma nekurasikirwa nehuremu hunosvika makumi maviri (40% ye50).
Zvisinei, mhedzisiro iyi inogona kusiyana kubva pamunhu kusvika pamunhu. Izvi zvinonyanya kuenderana nekuti unochinja sei mararamiro ako uye maitiro ako ekudya mushure mekuvhiyiwa.
Izvi zvichabatsira here pazvirwere zvinokonzerwa nekufutisa?
Ehe, hongu. Kuderedza huremu kunogona kubatsira kudzora zvirwere zvakawanda zvinokonzerwa nekufutisa. Semuenzaniso:
- Kolesteroli yakakwira
- Kukwira kweropa
- Chirwere chemwoyo
- Chirwere cheshuga cherudzi rwechipiri
- Kumbomira kufema pakurara
- Chirwere chechiropa chine mafuta chisiri chedoro
Asi yeuka, kuvhiyiwa uku kunongogumira huwandu hwechikafu chaunodya. Kusiyana nedzimwe nzira dzekuvhiyiwa, hakuna kukanganisa zvakanyanya metabolism yako kana mahormone.
Ndingakwanisa sei kuvhiyiwa?
Kuti chiremba akurudzire kuvhiyiwa kwerudzi urwu, unofanira kunge uine zvimwe zvinodiwa.
| Kukodzera | Tsananguro |
|---|---|
| BMI (Muviri Wemuviri) | Body Mass Index (BMI) inzira yekuyera kana uine huremu hwakanaka zvichienderana nehurefu hwako. |
| BMI ye40 kana kupfuura | Kana BMI yadarika 40, njodzi yekubatwa nezvirwere zvinokonzerwa nekufutisa yakanyanya. |
| BMI ye35 uye chimwe chirwere | Kana BMI yako yadarika makore makumi matatu nemashanu uye uine chimwe chirwere chinokonzerwa nekufutisa (chakadai sechirwere cheshuga kana BP yakakwira). |
Pamusoro pezvo, uchafanirwa kuongororwa kakawanda kuti uve nechokwadi chekuti une hutano hwakakwana hwekuvhiyiwa. Kana ukasvuta kana kushandisa doro kana zvimwe zvinodhaka, uchafanira kurega zvachose usati wakwanisa kuvhiyiwa .
Kuvhiyiwa uku kunoitwa sei?
Izvi zvinowanzoitwa ne laparoscopically, zvinoreva "keyhole surgery." Kuvhiya kwese kunoitwa kuburikidza nekucheka diki mudumbu, pane kucheka kukuru.
1. Anesthesia: Kutanga, uchapihwa anesthesia yakajairika. Saka hauzonzwi chero chinhu panguva yekuvhiyiwa, uchange wakarara.
2. Kuzvimba kwedumbu: Chiremba achacheka dumbu diki ozviputira negasi diki recarbon dioxide mudumbu. Izvi zvichaita kuti nhengo dzemuviri dzionekwe zvakanaka uye zvinoita kuti uvhiyiwe.
3. Kuisa kamera: Zvadaro, laparoscope, chubhu diki ine kamera diki nechiedza pamberi, inoiswa. Kuvhiyiwa uku kunoitwa uchitarisa mifananidzo kubva pakamera iyi uchishandisa monitor.
4. Kusunga: Zvishandiso zvinodiwa zvinoiswa kuburikidza nekucheka kudiki, uye bhandi remudumbu rinoiswa rakatenderedza chikamu chepamusoro chedumbu uye rakasimbiswa. Dumbu rinozobva raita segirazi renguva.
5. Kubatanidza gomba: Chubhu yakabatana nebhandi iri inounzwa pasi peganda yobatanidzwa negomba. Iri riri pasi peganda.
6. Kupedzisa: Kana zvese zvangoiswa panzvimbo, gasi riri mudumbu rinobviswa uye maburi madiki akagadzirwa anosonerwa. Maitiro ese aya anogona kutora pakati pemaminitsi makumi matatu kusvika makumi matanhatu .
Kudya, kunwa uye mararamiro mushure mekuvhiyiwa
Hupenyu hwako huchachinja zvikuru mushure mekuvhiyiwa.
- Chikafu: Kwemavhiki mashoma ekutanga, uchangokwanisa kudya zvinwiwa nezvikafu zvakachekwa. Zvadaro, unogona kuenderera mberi zvishoma nezvishoma kune zvekudya zvakapfava uye pakupedzisira zvekudya zvakasimba nguva dzose. Zvisinei, uchangokwanisa kudya zvishoma chete . Kudya zvakawandisa kunogona kukonzera kurutsa. Saka, zvakakosha kusarudza chikafu chine hutano, chemhando yepamusoro uye kuchitsenga zvakanaka.
- Mazano ekurapa: Mugore rekutanga mushure mekuvhiyiwa, uchafanirwa kuona chiremba wako nguva nenguva kuti ugadzirise kuoma kwebhandi. Uchafanirwawo kuongororwa ropa kuti uve nechokwadi chekuti muviri wako uri kuwana chikafu chaunoda.
Ndezvipi zvinetso zvinogona kuitika uye migumisiro yazvo?
Sekunge kune chero kuvhiyiwa kupi zvako, pane njodzi yematambudziko, mamwe acho anogona kuitika nekufamba kwenguva.
| Dambudziko/mhedzisiro yedivi | Tsananguro iri nyore |
|---|---|
| Kusvotwa nekurutsa | Izvi zvinowanzoitika pakutanga. Izvi zvinodzikira kana wajaira kudya zvishoma, uchitsenga zvakanaka. |
| Kuzvimba | Zvinogona kukonzerwa nekuomerwa nekunwa mvura yakakwana. Kunwa mvura kwakakosha zvikuru. |
| Kudzoka kweropa mudumbu (GERD) | Kana bhandi rikanyanya kuoma, rinogona kukonzera chirungurira (acid reflux). Dzimwe nguva bhandi rinofanira kubviswa. |
| Matambudziko echiteshi | Chivharo chacho chinogona kufamba, kubuda, kubuda mvura, kana kutapukirwa nehutachiona. Izvi zvingada kuvhiyiwa kudiki. |
| Kutsvedza kwebhendi | Bhandi rinogona kubuda panzvimbo yaro. Izvi zvinogona kukanganisa kudzikira kwehuremu. Dzimwe nguva, nyama yemudumbu inogona kufa (necrosis), zvichizoda kuvhiyiwa nekukurumidza. |
| Kukukurwa kwebhandi | Nekufamba kwenguva, bhandi rinogona kukuvadza madziro edumbu ropfuura nepariri. Kana zvakadaro, bhandi racho rinofanira kubviswa. |
| Kusashivirirana kwebhendi | Miviri yevamwe vanhu inoramba ichiratidza kusafara nezvinhu zvekunze. Kana kuda kurutsa uye kusagadzikana zvikaramba zviripo, bhandi rinofanira kubviswa. |
Bhendi iri ravepo kwenguva yakareba sei?
Bhandi iri rakagadzirirwa kupfekwa kweupenyu hwese. Zvisinei, zvidzidzo zvakaratidza kuti vanhu vanosvika 35%-40% vachafanira kubviswa bhandi iri mushure memakore angangoita gumi. Izvi zvinogona kudiwa nekuda kwezvikonzero zvakasiyana-siyana, zvakaita sekusaderedza huremu sezvaitarisirwa kana matambudziko. Vamwe vanhu vanobva vavhiyiwa bariatric kwenguva refu uye inoshanda zvakanyanya.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwegastric band inzira yekuvhiya inoitirwa kuderedza huremu uye inogona kuchinjwa uye kubviswa kana zvichidikanwa.
- Izvi zvinoderedza huwandu hwechikafu chaunodya uye zvinoita kuti unzwe wakaguta nekukurumidza. Hazvicheki kana kuparadzanisa dumbu.
- Kana tichienzanisa nedzimwe nzira dzekuvhiya dzinoderedza uremu, izvi zvinoita kuti uremu hudzikire zvishoma. Zvakare, unofanira kuona chiremba nguva nenguva kuti ugadzirise bhandi.
- Uku kuzvipira kukuru. Uchafanira kuchinja zvachose maitiro ako ekudya uye mararamiro mushure mekuvhiyiwa.
- Nekufamba kwenguva, pane njodzi yematambudziko akadai sekutsvedza kwebhandi uye kukuvara kwedumbu.
- Usati waita chero chisarudzo, funga nezvazvo.Chinhu chinonyanya kukosha kutaura nachiremba wako wosarudza kuti ndeipi mhinduro yakakunakira.
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