Ngaba nawe ungumntu onengxaki yokutyeba kakhulu? Ngamanye amaxesha, nokuba ulawula kangakanani na ukutya kwakho kunye nokuzilolonga, ukunciphisa umzimba kunokubonakala ngathi liphupha. Kwiimeko ezinjalo, xa ezinye iindlela zingaphumeleli, siza kuthetha ngesisombululo esikhethekileyo esicetyiswa ngoogqirha namhlanje. Oko kukuthi utyando lokunciphisa umzimba, okanye ngokwezonyango, utyando lweBariatric.
Yintoni le ndlela yokunciphisa umzimba (Bariatric Surgery)?
Ngamafutshane, olu luhlobo lotyando olwenziwa ukunceda abantu abatyebe kakhulu ukuba banciphise umzimba. Ugqirha wakho angacebisa olu hlobo lotyando kuphela ukuba ukhe wazama ezinye iindlela zokunciphisa umzimba kwaye ukuba ukutyeba kwakho kukubeka emngciphekweni omkhulu kwimpilo kunotyando.
Olu tyando lubandakanya ukwenza utshintsho kwinkqubo yakho yokugaya ukutya . Amaxesha amaninzi, lubandakanya isisu kwaye ngamanye amaxesha amathumbu amancinci. Oku kwenza izinto ezimbini eziphambili:
1. Nciphisa ubungakanani bokutya onokukutya ngexesha elinye.
2. Yehlisa ubungakanani beekhalori ezifunxwa ngumzimba.
Ukongeza, olu tyando lunokulawula nemiqondiso yendlala exelela ingqondo yakho ukuba ulambile. Kodwa oku akusosisombululo "somlingo" esikhawulezileyo. Ukuze olu tyando luphumelele, kufuneka lulungiselelwe kakuhle kwangaphambili, kwaye utshintsho lobomi bonke emva kotyando .
Kutheni kufuneka wenze olu hlobo lotyando?
Olu tyando yeyona ndlela ilungileyo yokufumana ukwehla kobunzima ixesha elide nempumelelo kumntu onesifo sokutyeba kakhulu (ubunzima beklasi yesi-3). Uphando lufumanise ukuba kunzima kakhulu kumntu okule nqanaba ukunciphisa ubunzima aze abugcine ngokutya okunempilo nokuzilolonga kuphela.
Cinga ngale ndlela. Wakuba umzimba wakho uqaphela ubunzima bakho obugqithisileyo "njengesiqhelo," uzama ukubuyela kuloo bunzima. Utyando lweBariatric lutshintsha indlela umzimba wakho osebenza ngayo oko ukutyayo. Emva koko utshintsho lwakho lokutya okunempilo kunye nendlela ophila ngayo lunokusebenza ngokwenene, kwaye unokunciphisa ubunzima kwaye uhlale usempilweni.
Zeziphi iintlobo zezifo ezibangelwa kukutyeba kakhulu ezinokuthomalaliswa ngolu tyando?
Ukutyeba kakhulu yinto ebangela umngcipheko kwizifo ezininzi ezingapheliyo ezinokuba yingozi ebomini. Kodwa iindaba ezimnandi zezokuba uninzi lwezi meko zinokuphucuka kakhulu emva kotyando lokunciphisa umzimba. Ukuba ugqirha wakho ugqiba kwelokuba udinga olu tyando, usenokuba sele unezi meko zilandelayo, okanye usenokuba usemngciphekweni omkhulu wokuba nazo.
| Imeko yezonyango | Kalula nje... |
|---|---|
| I-Cholesterol ephezulu | Ukwanda kwamafutha (lipids) egazini. La mafutha anokuqokelelana kwimithambo yegazi aze ayivale. Oku kunokubangela isifo sohlangothi okanye ukuhlaselwa yintliziyo. |
| Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) | Isantya igazi elihamba ngaso kwimithambo yegazi siphezulu kakhulu. Oku konakalisa udonga lwemithambo yegazi kwaye kwandisa umngcipheko wokuhlaselwa sisifo sentliziyo kunye nokubetha kwentliziyo. |
| Amanqanaba aphezulu eswekile egazini kunye nesifo seswekile sohlobo lwesibini | Amafutha amaninzi emzimbeni akhokelela ekungamelani ne-insulin. Eli linyathelo lokuqala lokufumana isifo seswekile. Ukuba asinyangwa, singonakalisa imithambo-luvo, imithambo yegazi kunye namalungu omzimba. |
| Isifo sentliziyo | Ukutyeba kakhulu kunokubangela ukuba intliziyo ingasebenzi kakuhle kwaye kubangele ukuba amafutha agcinwe kwimithambo yegazi, nto leyo eyonyusa umngcipheko wokuhlaselwa yintliziyo. |
| Isifo sezintso | Izifo ezinxulumene nokutyeba kakhulu ezifana noxinzelelo lwegazi oluphezulu kunye nesifo seswekile zezona zinto ziphambili ezibangela isifo sezintso esingapheliyo. |
| I-Obstructive Sleep Apnea | Ngexesha lokulala, indlela yomoya ephezulu iyavalwa kwaye ukuphefumla kuyayeka ngokuphindaphindiweyo. Oku kunciphisa ubungakanani beoksijini efikelela kwizitho ezibalulekileyo zomzimba. |
| I-Osteoarthritis | Ubunzima obugqithisileyo bubeka uxinzelelo olongezelelekileyo kumalungu afana namadolo, nto leyo enyusa umngcipheko wokufumana izifo zamalungu eziwohlokayo. |
| Isifo sesibindi esinamafutha esinganxilisiyo (i-NAFLD) | Umzimba uqala ukugcina amafutha angaphezulu kwisibindi, nto leyo enokubangela umonakalo wesibindi ixesha elide. |
Ngubani ofanelekileyo kolu tyando?
Olu tyando alulungelanga wonke umntu. Kufuneka uhlangabezane neemfaneleko ezithile kulo. Eyona nto iphambili ejongwayo yiBody Mass Index (BMI) yakho. Ngamafutshane, olu luluhlu olulinganisa ubunzima bakho ngobude bakho.
- Ukuba i-BMI yakho ingama-40 nangaphezulu , oku kuthetha ukuba unzima ngeekhilogram ezili-100 (malunga neekhilogram ezingama-45) kunobunzima obufanelekileyo.
- Ukuba i-BMI yakho ingaphezulu kwama-35 kwaye unengxaki yempilo enxulumene nokutyeba kakhulu (umz. isifo seswekile, uxinzelelo lwegazi oluphezulu).
Eyona nto ibalulekileyo kukuba esi sigqibo senziwe ngugqirha wakho. Uza kukuhlola aze enze uvavanyo olufunekayo ukuze abone ukuba olu tyando lufanelekile na kuwe okanye akunjalo.
Ziziphi iintlobo zotyando ezixhaphakileyo?
Kukho iintlobo ezahlukeneyo zotyando lwe-bariatric. Uninzi lwazo lwenziwa nge-laparoscopically. Oku kuthetha ukuba ikhamera kunye nezixhobo zifakwa ngokusebenzisa imingxunya emininzi emincinci, endaweni yokwenza umngxunya omkhulu, nto leyo ekhokelela ekupholeni ngokukhawuleza, iintlungu ezincinci, kunye namanxeba amancinci. Ezi zezinye zezona ntlobo zixhaphakileyo zotyando.
| Igama lotyando | Kwenzeka ntoni ngokufutshane |
|---|---|
| Isandla Sesisu | Olu lolona tyando luqhelekileyo. Kule nkqubo, malunga ne-80% yesisu iyasuswa, kushiyeke umbhobho omncinci, omile okwebhanana. Oku kuvumela isisu ukuba sizive sigcwele emva kokutya ukutya okuncinci, kwaye kunciphisa iihomoni zendlala. |
| I-Gastric Bypass | Kule nkqubo, kwenziwa isikhwama esincinci esivela kwinxalenye ephezulu yesisu size sidityaniswe nenxalenye esezantsi yamathumbu amancinci. Ukutya kudlula inxalenye enkulu yesisu kunye nenxalenye yokuqala yamathumbu. Oku kunciphisa ubungakanani bokutya okutyiwayo kunye nobungakanani bezondlo ezifunxwayo. |
| Utshintsho lweDuodenal (BPD-DS) | Olu lutyando oluntsonkothileyo. Lubandakanya utyando lwesisu kunye notyando lwamathumbu. Lusebenza kakhulu ekunciphiseni ubunzima nasekulawuleni izifo ezifana nesifo seswekile. Nangona kunjalo, lunokubangela ukunqongophala kweevithamini kuba umzimba ufunxa izondlo ezimbalwa. |
Kwenzeka ntoni emva kotyando? Ngaba kukho naziphi na iingozi?
Njengakwezinye iintlobo zotyando, kukho iingozi kunye nemiphumo emibi, kodwa ezi zihlala zincinci kuneengozi ezinxulumene nokutyeba kakhulu.
Iingozi ezinxulumene notyando
- Ukopha
- Usulelo
- Amahlwili egazi
- Ukuvaleka kwamathumbu
- Ukuvuza kwe-anastomotic
Iziphumo ebezingalindelekanga emva kotyando
- I-Dumping Syndrome: Iimpawu ezifana nokucaphuka, ukuqaqamba kwesisu, kunye norhudo ziyenzeka njengoko ukutya kudlula emathunjini ngokukhawuleza. Ezi mpawu zihlala ziphela ngokuhamba kwexesha.
- Ukungondleki: Ukunqongophala kweevithamini kunye neeminerali kunokubakho ngenxa yokufunxwa okuncinci kwezondlo. Ke ngoko, kubalulekile ukuthatha izongezo ezichazwe ngugqirha wakho kanye njengoko kumiselwe.
- Amatye enyongo: Ukunciphisa umzimba ngokukhawuleza kwandisa umngcipheko wokuba namatye enyongo.
Iqela lakho lezonyango liza kukunceda ulawule yonke le nto. Ngoko ke akukho nto ibalulekileyo. Kubalulekile ukuya kutyelelo lokulandelela emva kotyando.
Ngoko ke zithini iingenelo zolu tyando?
Nangona kukho iingozi, iingenelo zolu tyando ziphezulu kakhulu.
- Ukunciphisa ubunzima obubalulekileyo nobuhlala buhleli: Le yindlela ekuphela kwayo enika iziphumo eziphumelelayo nezihlala ixesha elide. Malunga nama-90% abantu balahlekelwa yi-50% yobunzima babo obugqithisileyo baze babugcine.
- Ulawulo lwesifo seswekile kunye ne-cholesterol: Abantu abaninzi bayakwazi ukuchacha ngokupheleleyo kwisifo seswekile baze bayeke nokusela amayeza.
- Impilo entle nobomi obude: Uphando lubonise ukuba ayinciphisi nje kuphela umngcipheko wezifo ezibangelwa kukutyeba kakhulu, kodwa ikwanciphisa nomngcipheko wokufa ngenxa yesizathu ngasinye malunga nama-40%.
- Ubomi obungcono: Xa unciphisa umzimba, uziva wonwabile, intloko yakho icacile.Ukuzithemba kunye nemisebenzi kuyakhula.
Umyalezo Wokuya Ekhaya
- Utyando lweBariatric luyinkqubo enzima yezonyango xa umntu etyebe kakhulu. Asiyonkqubo yobuhle okanye "isisombululo esilula."
- Impumelelo yolu tyando ixhomekeke ekuzibopheleleni kwakho ekutshintsheni ukutya kwakho ubomi bonke kunye nendlela ophila ngayo.
- Nangona olu tyando luneengenelo ezinkulu zempilo, lukwanomngcipheko kunye nemiphumo emibi.
- Ufanele uthathe isigqibo sokuba oku kulungile na kuwe emva kwengxoxo enzulu nogqirha wakho.
- Ukuba nawe unengxaki yokutyeba kakhulu, qiniseka ukuba ubona ugqirha wakho ukuze afunde ngakumbi ngale nto aze axoxe ngeendlela onokukhetha kuzo.
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