Uri kunetseka nechirwere cheshuga cherudzi rwechipiri uye uri kunetseka kudzora huremu hwako here? Kunyangwe kutora mishonga, kudzora kudya kwako, uye kurovedza muviri zvingasave zvichiunza mhedzisiro yaunoda nguva dzose. Asi waizviziva here kuti kune vamwe vanhu, kune nzira ine simba inogona kushandiswa semhinduro imwe chete kumatambudziko ese aya? Kuvhiya kuderedza uremu. Uku kunonziwo Bariatric Surgery. Muchinyorwa chino, tichataura nezvekuti kuvhiya uku kunogona sei kudzora chirwere cheshuga uye kana kwakakunakira.
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Izvi zvinoshanda zvechokwadi here? Tsvagiridzo inoti chii?
Ehe, iyi inzira inobudirira zvikuru. Kune vamwe vanhu, huwandu hweshuga muropa ravo hunodzokera pahwakajairika mushure mekuvhiyiwa uku. Izvi zvinoreva kuti chirwere chavo cheshuga chapora zvachose. Ipapo unogona kukwanisa kuderedza huwandu hwemishonga yaunotora, kana kutorega kuishandisa zvachose.
Ongororo huru panyaya iyi yakawana chimwe chinhu chinoshamisa zvikuru. Ongororo iyi yaisanganisira vanhu 400 vane chirwere cheshuga cherudzi rwechipiri. Makore matanhatu mushure mekunge vavhiyiwa bariatric, 62% yeavo vakavhiyiwa vakanga vasina zviratidzo zvechirwere cheshuga. Kwete izvozvo chete, asi BP yavo necholesterol zvakavandudzikawo zvakanyanya.
Fungidzira, boka diki revanhu, vari pakati pe6% ne8%, vaishandisa mishonga chete kwete kuvhiyiwa, ndivo vakawana mhedzisiro yakanaka kudaro. Izvi hazviratidzi here kuti kuvhiyiwa uku kune simba rakadii?
Kuvhiyiwa uku kwakakodzera kwandiri here?
Chiremba wako anofanira kutanga afunga nezvezvinhu izvi asati afunga nezveizvi:
- BMI yako inodarika 30 here? (BMI inomirira Body Mass Index. Ichi chiyero chekuti une huremu hwakanaka here zvichienderana nekureba kwako.)
- Une chirwere cheshuga cheType 2 here kana kuti Metabolic Syndrome?
- Wakamboedza nzira dzakasiyana-siyana dzekuderedza uremu asi ukatadza kuramba uine huremu here?
Kana mhinduro yemibvunzo iyi iri 'hongu', chiremba achaita ongororo yakazara kuti aone kana wakagadzirira mumuviri nepfungwa kuvhiyiwa uku. Nekuti ichi hachisi chinhu chinogona kuitwa nekuvhiyiwa kamwe chete. Zvakakoshawo kuona kana wakagadzirira kuzvipira kukuru kuchinja zvachose maitiro ako ekudya nekurovedza muviri kwehupenyu hwako hwese.
Uyewo, kana uine zvimwe zvirwere, zvakaita sechirwere chemwoyo, uchafanirwa kuwana mvumo kubva kuna chiremba wako wekuvhiyiwa uku.
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Kune mhando dzakasiyana-siyana dzekuvhiya kuderedza uremu. Dzimwe nzira dzekuvhiya dzinoderedza kukura kwedumbu, zvichiita kuti udye zvishoma. Dzimwe nzira dzinochinja mashandisirwo anoita muviri wako macalorie nezvinovaka muviri kubva muchikafu. Kunewo nzira dzekuvhiya dzinosanganisa nzira dzese dziri mbiri.
Ngatitarisei mhando huru dzekuvhiyiwa uye zvakanakira nezvakaipira.
| Rudzi rwekuvhiyiwa | Zvakanakira | Zvakashata |
|---|---|---|
| Dumbu Rinopfuudzwa Kabhegi kadiki kanogadzirwa kubva kumusoro kwedumbu uye kanobatanidzwa zvakananga neura hudiki. Chikafu chinodarika chikamu chikuru chedumbu. | - Varwere vanosvika 80% vanopora kubva kuchirwere cheshuga. - Inenge 60% - 80% yehuremu hwakawedzerwa inoderedzwa. | - Kunwa kwemavhitamini nemaminerari mumuviri kunoderera. - Haidzokeri shure. - Dumping Syndrome (kusagadzikana kunokonzerwa nekufamba kwechikafu nekukurumidza muura hudiki) kunogona kuitika. |
| Sleeve yemudumbu Inenge 80% yedumbu inobviswa, zvichisiya dumbu diki rakaita sebhanana. | - Varwere vanopfuura 60% vanopora kubva kuchirwere cheshuga. - Inoderedza huremu hwakawandisa ne50%. - Ghrelin, hormone inokonzera nzara, inoderera. | - Haidzokeri shure. - Kunwa mavitamini nemaminerari kunogona kuderedzwa. |
| Bhendi Remudumbu (Bhendi Remudumbu Rinogadziriswa) Bhandi rinofefeterwa rinoiswa rakatenderedza chikamu chepamusoro chedumbu, zvichiita kuti pave nehomwe diki. | - Hapana cheki yemudumbu kana kugadziriswa kwemudumbu. - Migumisiro mishoma. - Tambo inogona kugadziriswa kana kubviswa kana zvichidikanwa. | - Kudzikira kwehuremu kushoma pane dzimwe nzira (40%-50%). - Matambudziko akadai sekutsvedza kwebhandi anogona kuda kuvhiyiwa zvakare. |
| Kuchinja kweBiliopancreatic neDuodenal Switch Kuvhiyiwa kwakaoma zvikuru kunobvisa chikamu chikuru chedumbu uye kunochinja nzira iyo chikafu chinopfuura nayo. | - Kuvhiyiwa kwakabudirira zvikuru kwechirwere cheshuga. - Inenge 60% - 70% yehuremu hwakawedzerwa inoderedzwa. | - Kuvhiyiwa uku kune njodzi huru yemigumisiro yakaipa. - Matambudziko ekugaya chikafu uye kunwa zvinovaka muviri ndiwo anonyanya kuitika. |
Dzimwe nzira dzemazuva ano
Kuwedzera kune uku kuvhiyiwa kukuru, kune dzimwe nzira dzinoverengeka.
- Mudziyo wemagetsi wekuisa zvinhu mumuviri: Mudziyo mudiki wemagetsi unoiswa pasi peganda mudumbu. Izvi zvinodzora tsinga (Vagus Nerve) inobatanidza uropi nedumbu, zvichideredza nzara.
- Bharumu remudumbu: Uku hakusi kuvhiyiwa. Bharumu rinopinzwa mudumbu nemuromo uye rinofuridzirwa, zvakafanana ne endoscopy. Izvi zvinogona kusiiwa panzvimbo yacho kwemwedzi inenge mitanhatu. Huwandu hwechikafu chaunodya hunoderera nekuti hunoderedza nzvimbo mudumbu. Izvi ndezvenguva pfupi uye hazvidhuri.
Kufanana nekuvhiyiwa kupi zvako kukuru, kune njodzi. Semuenzaniso, panogona kubuda ropa, hutachiona, uye kubooka kwegurokuro mushure mekuvhiyiwa. Ndosaka zvichikosha kuti maitiro aya aitwe pasi pekutarisirwa kwachiremba ane ruzivo muchipatara chakanaka.
Chii chinoitika mushure mekuvhiyiwa?
Ichi ndicho chikamu chakakosha. Kuvhiyiwa ingori kutanga kwerwendo. Kuti urambe uine mhedzisiro, uchafanira kuchinja mararamiro ako nekusingaperi.
- Maitiro Ekudya: Hauzombokwanisi kudya chikafu chakakura sezvawaiita kare. Uchafanira kudya hafu yekapu kana kapu imwe chete panguva . Unofanira kukoshesa zvekudya zvine mapuroteni akawanda (hove, nyama dzisina mafuta akawanda, bhinzi, chizi chisina mafuta akawanda, yogati) nemiriwo.
- Kurovedza muviri: Kurovedza muviri zuva nezuva kunofanira kuva tsika inosungirwa kuitwa.
- Rubatsiro rweNyanzvi yezvekudya: Sezvo nzira iyo muviri wako unotora zvinovaka muviri inochinja mushure mekuvhiyiwa, zvakakosha kutsvaga mazano kubva kune nyanzvi yezvekudya. Izvi zvichakubatsira kuve nechokwadi chekuti uri kuwana mavitamini nemaminerari aunoda.
- Ganda rinopera simba: Vamwe vanhu vanogona kuperezeka mushure mekurasikirwa nehuremu hwakawanda. Kana zvichidikanwa, unogona kufunga nezvekuvhiyiwa kwepurasitiki gare gare. Iroro ibasa rakasiyana.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwekudzikisa huremu kunogona kuva mhinduro inoshanda uye ine simba kune chirwere cheshuga cherudzi rwechipiri uye kufuta.
- Iyi haisi mhinduro yekukurumidza. Mushure mekuvhiyiwa, uchafanira kuzvipira kudya zvakanaka uye kurovedza muviri kwehupenyu hwako hwese.
- Kune mhando dzakasiyana dzekuvhiya, imwe neimwe ine zvakanakira, zvayakaipira, uye njodzi dzakasiyana.
- Kana izvi zvakakunakira, rudzii rwakanakisa, uye njodzi dziripo ndizvo zvese zvaunofanira kukurukura nachiremba wako . Usamboita sarudzo dzakavakirwa pamakuhwa.
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