Ngaba nawe ungumntu onengxaki yokutyeba kakhulu? Mhlawumbi awenzanga nto ukunciphisa umzimba. Ngaba udiniwe kukuzilolonga, ukulawula ukutya kwakho, nokwenza yonke into? Ukuba kunjalo, umele ukuba uvile ukuba ngamanye amaxesha oogqirha bathetha ngotyando lokunciphisa umzimba. Olu tyando silubiza ngokuba yi-"Bariatric surgery". Namhlanje siza kuthetha ngotyando oluphumelele kakhulu, kodwa oluyinkimbinkimbi kancinci. Olu lubizwa ngokuba yiDuodenal Switch. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula.
Ngamafutshane, yintoni le Duodenal Switch?
I-Duodenal Switch yinkqubo yotyando eyenziwa njengonyango lokutyeba kakhulu. Ibandakanya izinto ezimbini eziphambili. Eyokuqala kukususa inxalenye ebalulekileyo yesisu sakho kwaye uyenze ibe ncinci. Eyesibini kukunciphisa amathumbu amancinci, inxalenye yomzimba wakho efunxa ukutya okutyayo.
Cinga ngale ndlela. Kufana nokuthatha indlela emfutshane ukuya ekutyeni okutyayo. Emva koko, kuba ukutya kungahambi kakhulu, inani leekhalori ezifunxwa ngumzimba wakho liyancitshiswa. Oku kwenza kube lula ukunciphisa umzimba ngempumelelo.
Kukho iindlela ezimbini eziphambili zolu tyando:
1. Indlela yendabuko: `Ukuphambuka kweBiliopancreatic ngeDuodenal Switch (BPD/DS)`
2. Indlela eguquliweyo: `I-Single Anastomosis Duodeno-ileal bypass ene-Sleeve Gastrectomy (SADI-S)`
Omabini la magama asenokuvakala ngathi anzima kancinci, kodwa ungakhathazeki. Ugqirha wakho uza kukhetha indlela efanelekileyo kuwe aze akuchazele kakuhle.
Olu tyando lukunceda njani ukunciphisa umzimba? Makhe sijonge ngokusondeleyo.
Olu tyando lunamanyathelo amabini aphambili. Omabini la manyathelo enziwa kutyando olunye.
Inyathelo lokuqala: Utyando lwesisu olunemikhono
Kule meko, ugqirha otyandayo ususa malunga ne- 80% yesisu sakho. Inxalenye encinci eseleyo yenziwa ibe yityhubhu, njengebhanana. Oku sikubiza ngokuba yi-`(Sleeve Gastrectomy)`. Emva koku, awuyi kukwazi ukutya ukutya okuninzi ngaxeshanye. Nokuba utya kancinci, uya kuziva ugcwele. Ngenxa yoku, ubungakanani bokutya okutyayo bulawulwa ngokuzenzekelayo.
Inyathelo Lesibini: Ukudlula Kwamathumbu
Inyathelo elilandelayo kukufinyeza ubude bamathumbu akho amancinci. Amathumbu ethu amancinci kulapho uninzi lwezondlo ekutyeni esikutyayo zifunxwa khona emizimbeni yethu. Kule nkqubo, ugqirha wotyando udlula inxalenye yokuqala yamathumbu amancinci aze adibanise inxalenye yokugqibela ngqo nesisu esincinci esisandula ukwenziwa.
Ngamafutshane, xa ukutya kufikelela esiswini, kuyadlula inxalenye enkulu yamathumbu amancinci kuze kuye ngqo empundu. Oku kunciphisa kakhulu ixesha kunye nendawo umzimba onayo yokufunxa iikhalori kunye nezondlo ekutyeni.
Kukudityaniswa kwezi ndlela zimbini okukhokelela ekunciphiseni umzimba. Oko kukuthi:
- Ubungakanani obutyayo buyancipha.
- Ubungakanani beekhalori ezifunxwa ngumzimba koko ukutyayo buyancipha.
Ukongeza, olu tyando lukwachaphazela inkqubo yehomoni elawula indlala kunye nokwaneliseka emizimbeni yethu. Ngenxa yoko, indlala iyancipha kwaye siziva sigcwele ngokukhawuleza.
Ngubani olungele olu tyando?
Olu tyando alulolwawo wonke umntu. Oogqirha bacebisa olu tyando kuphela kubantu abasengozini enkulu yempilo yabo ngenxa yokutyeba kakhulu. Makhe sijonge ukuba ngubani ofanelekileyo ngokubanzi kolu tyando.
| Ukufaneleka | Inkcazo |
|---|---|
| Ukutyeba kakhulu (Ubunzima bodidi lwesithathu) | Ukuba i-body mass index yakho (BMI) ingama-40 okanye ngaphezulu. (I-BMI sisikali sokuba ubunzima bakho bufanelekile na ngokweenqanaba lobude bakho.) |
| Ukutyeba kakhulu nezinye izifo (Udidi lwesibini lokutyeba kakhulu kunye nezinye izifo ezibangelwa kukunganyamezelani) | Ukuba i-BMI yakho ingaphezulu kwama-35, kwaye unengxaki enkulu yempilo ebangelwa kukutyeba kakhulu. |
Zeziphi iingxaki zempilo ezinokubangelwa kukutyeba kakhulu?
- Uhlobo lwesibini lwesifo seswekile
- Igazi elonyukayo
- Amanqanaba aphezulu e-cholesterol egazini
- Isifo sentliziyo
- Ukuphelelwa ngamandla kokulala
- Isifo sesibindi esinamafutha (isifo sesibindi esibangelwa kukungasebenzi kakuhle kwe-metabolic)
Ukuba unezi ntlobo zezigulo, utyando lweDuodenal Switch lunokukunceda unciphise umzimba kwaye lukwakunceda ukulawula ezo zigulo.
Yintoni omele uyenze ngaphambi kotyando?
Ukuba ugqirha ugqiba kwelokuba ufanelekile kolu tyando, akayi kulwenza ngoko nangoko. Ngaphambi koko, kukho inkqubo yokukuhlola kakuhle nokukulungiselela oku.
- Uvavanyo lwezonyango: Uvavanyo lwegazi kunye nee-ECG zenziwa ukuze kubonwe ukuba impilo yakho yomzimba ikwinqanaba elikuvumela ukuba umelane notyando.
- Ukuyeka imikhwa emibi: Ukuba utshaya okanye usela utywala, uya kunikwa icebiso lokuba uyeke ngokupheleleyo kwaye ufumane unyango ukuba kuyimfuneko.
- Ingcebiso yengqondo:Olu lutshintsho olukhulu ebomini. Emva kotyando, izinto ezininzi ebomini bakho ziya kutshintsha. Kunikezelwa iingcebiso ukuze kukuncede ulungiselele olo tshintsho engqondweni.
- Ukwazisa: Kubanjwa iiworkshops ukuze kuqondwe ngokupheleleyo utyando kunye nendlela yokuphila emva koko.
- Ukutya okukhethekileyo: Kwiiveki ezimbalwa ngaphambi kotyando, uya kucelwa ukuba ulandele ukutya okukhethekileyo. Oku kuquka ukutya ukutya okuneproteni eninzi kunye namafutha kunye neecarbohydrate ezincinci.
Ziziphi iingenelo kunye neengxaki zolu tyando?
Njengalo naluphi na utyando, olu luneengenelo, iingxaki kunye neengozi zalo, kwaye kubalulekile ukuba nolwazi olucacileyo ngalo.
| Iingenelo | Iingxaki kunye neengozi |
|---|---|
| Inganciphisa ubunzima obuninzi kunezinye iindlela zotyando lokunciphisa ubunzima. | Kukho umngcipheko omkhulu kakhulu wokunqongophala kwesondlo, nto leyo efuna iivithamini kunye nezongezo zesondlo ubomi bonke. |
| Inika iziphumo eziphumeleleyo kakhulu kubantu abanesifo seswekile sohlobo lwesibini. | Ukuphuma kwamathumbu rhoqo okanye urhudo lunokwenzeka. |
| Ungatya okungaphezulu kancinci kunezinye iindlela zotyando. | Njengakwezinye iintlobo zotyando, kukho iingozi ezifana nosulelo, ukopha kakhulu, ukusabela kwi-anesthesia, kunye nokuqhekeka kwegazi. |
| Amathuba okuba ne-`dumping syndrome` mancinci (ukungonwabi okwenzeka kwangoko emva kokutya). | Iingxaki ezinje ngokwakheka kwe-hernia kunye nokuvaleka kwamathumbu amancinci zinokwenzeka. |
Yintoni onokuyilindela emva kotyando?
Kuya kufuneka uhlale esibhedlele usuku okanye ezimbini emva kotyando. Kungathatha iiveki ezimbini ukuya kwezine ukuze uphile ngokupheleleyo. Ngeli xesha, umzimba wakho uya kudlula kwiinguqu ezinkulu.
Ekuqaleni, unokufumana ukungakhululeki okwethutyana okufana noku:
- Ndiziva ndidiniwe kakhulu kwaye ndidiniwe
- Isicaphucaphu
- Ukutshintsha kweemvakalelo
- Ukulahleka kweenwele (oku kungokwexeshana)
- Intlungu yomzimba
- Ndiziva ndibanda kakhulu kunesiqhelo
Ungakhathazeki. Ezi zinto zihlala zisenzeka okwexeshana. Ezi ntlungu ziya kuphela kancinci kancinci njengoko umzimba wakho uqhelana nolu tshintsho lutsha.
Eyona nto ibalulekileyo kukuhlala unxibelelana nogqirha wakho. Kuya kufuneka uye kuhlolwa rhoqo kwiminyaka emibini yokuqala, uze emva koko uhlolwe impilo yakho kunye nenqanaba lesondlo sakho rhoqo ebomini bakho.
Masiqaphele neengxaki ezinokubakho ixesha elide.
Nangona olu tyando luphumelele kakhulu, kukho izinto ezininzi ekufuneka uzilumkele kwixesha elizayo.
Ukungondleki kakuhle
Le yeyona ngozi iphambili . Ekubeni amathumbu akho amancinci engakwazi ukufunxa izondlo, kunokwenzeka ukuba ube nokungabikho kweevithamini kunye neeminerali. Ngoko ke kuya kufuneka uthathe izongezo zeevithamini kunye neeminerali njengoko ugqirha wakho ekuyalele ubomi bakho bonke. Kuya kufuneka uvavanye igazi lakho rhoqo ukuze kuhlolwe amanqanaba akho esondlo.
Urhudo
Ngenxa yokuba ukutya akugaywa kakuhle, iimeko ezinje ngokuhamba rhoqo kwamathumbu okanye urhudo zinokubakho. Nangona kunjalo, ukuba ulandela imiyalelo yokutya enikwe ngugqirha wakho ngokuchanekileyo, oku kunokulawulwa kakhulu.
Amatye enyongo
Xa unciphisa umzimba ngokukhawuleza, isibindi sakho sivelisa i-cholesterol engaphezulu, enokuqokelelana kwinyongo yakho ize yenze amatye enyongo.
Ukubuyela kweBile
Ngamanye amaxesha, ngenxa yotshintsho ekusebenzeni kweevalvu zesisu, inyongo ingangena esiswini.
Ugqirha wakho uza kukubeka esweni yonke le nto. Ngoko ke eyona nto ibalulekileyo kukungaxhalabi kwaye uxelele ugqirha wakho ngoko nangoko ukuba unengxaki.
Umyalezo Wokuya Ekhaya
- I-Duodenal Switch lutyando oluphumelele kakhulu nolunzulu lokutyeba kakhulu. Esi asisosigqibo sokuthathwa lula.
- Olu tyando alugcini nje ngokwenza isisu sibe ncinci, kodwa lukwanciphisa indlela yokugaya ukutya. Ngenxa yoko, ukwehla kobunzima kwenzeka ngokukhawuleza.
- Eyona ngozi inkulu yolu tyando kukungabikho kokutya okunempilo. Ke ngoko, izongezo zevithamini kunye neeminerali ubomi bonke ziyimfuneko.
- Kubaluleke kakhulu ukugcina ubudlelwane obuhlala buhleli nogqirha kwaye uhlolwe rhoqo ubomi bakho bonke emva kotyando.
- Olu tyando sisixhobo nje. Impumelelo yotyando ixhomekeke ekuzinikeleni kwakho. Ukugcina ukutya okunempilo kunye nendlela yokuphila esebenzayo kubalulekile.
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