Oko kufuneka ukwazi malunga notyando lwe-'Duodenal Switch' lokutyeba kakhulu (iDuodenal Switch)

Ngaba unengxaki yokutyeba okungalawulekiyo, oko kukuthi, ukutyeba kakhulu? Ngaba unengxaki yezifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu? Ngoko ke kufuneka ukuba uvile ngotyando lokunciphisa umzimba. Namhlanje siza kuthetha ngotyando olunjalo, oluyinkimbinkimbi kancinci kodwa oluphumelele kakhulu, utyando lwe-'Duodenal Switch'. Olu asilotyando lomntu wonke, kodwa kubaluleke kakhulu ukukwazi oku.

Ngamafutshane, yintoni utyando lweDuodenal Switch?

I-Duodenal Switch luhlobo lotyando lwe-bariatric olubandakanya izinto ezimbini eziphambili: enye kukususa malunga ne-80% yesisu sakho kwaye siyenze ibe yingubo encinci . Eyesibini kukunciphisa ubude bamathumbu akho amancinci kunye nokuwenza abe mafutshane .

Olu tshintsho lumbini luthintela ubungakanani bokutya onokukutya kwaye lunciphisa kakhulu ubungakanani beekhalori ezifunxwa ngumzimba wakho. Isiphumo kukwehla okukhulu kobunzima bomzimba. Nangona le yinkqubo engaqhelekanga xa ithelekiswa nezinye iindlela zotyando lokunciphisa ubunzima, idla ngokukhokelela ekunciphiseni ubunzima kakhulu.

Kukho iindlela ezimbini eziphambili zoku:

• Indlela yendabuko: Ukuphambuka kweBiliopancreatic ngeDuodenal Switch (BPD/DS)
• Indlela yanamhlanje: I-Single Anastomosis Duodeno-Ileal bypass ene-Sleeve Gastrectomy (SADI-S)

Olu tyando lukunceda njani ukunciphisa umzimba?

Cinga ngayo njengotyando olunezinyathelo ezimbini.

Inyathelo 1: Ugqirha ususa inxalenye enkulu yesisu sakho (malunga ne-80%). Inxalenye encinci eseleyo imile okwebhanana, njengetyhubhu. Oku sikubiza ngokuba yi-`(Sleeve Gastrectomy)`. Ngenxa yokuba isisu sincinci, awunakutya okuninzi ngaxeshanye. Nokuba utya kancinci, uya kuziva ugcwele.

Inyathelo lesi-2: Okulandelayo, uza kuba ne-intestinal bypass. Inxalenye yokuqala yamathumbu akho amancinci iyadlula kwaye inxalenye yokugqibela iqhagamshelwe ngqo kwisisu esitsha. Kufana nendlela emfutshane yokuphepha izithuthi endleleni. Oku kuthetha ukuba uninzi lokutya okutyayo ludlula emzimbeni wakho lungatyiwa. Oku kuthetha ukuba inani leekhalori kunye nezondlo umzimba wakho ozifunxayo ekutyeni linciphile kakhulu .

Emva kolu tyando, utya kancinci kwaye umzimba wakho awufumani kutya okuninzi okutyayo. Kwakhona, olu tyando luchaphazela umsebenzi weehomoni zomzimba wakho. Iihomoni ezilawula indlala kwaye zikwenze uzive ugcwele nazo ziyatshintsha, nto leyo enokukunceda unciphise umzimba.

Ngubani ocebisa olu tyando?

Olu tyando alulolwawo wonke umntu. Lucetyiswa kakhulu kwabo batyebe kakhulu (iClass III obesity). Ugqirha wakho uza kuhlola impilo yakho ngononophelo aze agqibe kwelokuba olu tyando lufanelekile kuwe okanye akunjalo.

Olu tyando ludla ngokuqwalaselwa kwabo bahlangabezana nezi mfuno zilandelayo:

Kwenzeka ntoni ngaphambi kotyando?

Ukuba ugqirha ugqiba kwelokuba ufanelekile kolu tyando, uza kuthunyelwa kuthotho lweemvavanyo.

• Uvavanyo lwezonyango oluqhelekileyo lwenziwa ukujonga ukuba impilo yakho ikwimeko entle na.
• Ukuba usebenzisa icuba, utywala, okanye iziyobisi, sikunika uncedo kunye nonyango oludingayo ukuze uyeke ukuzisebenzisa .
• Olu tyando lutshintsho olukhulu ebomini bakho. Uza kuthunyelwa kwingcebiso yengqondo ukuze kuvavanywe ukuba ukulungele na ngokwengqondo .
• Kuya kufuneka uye kwiiseminari ukuze uzifundise ngolu tyando nendlela yokutshintsha indlela ophila ngayo emva koko.

Nje ukuba konke oku kugqityiwe, uza kunikwa isicwangciso esikhethekileyo sokutya kwiiveki ezimbalwa ngaphambi kotyando. Siquka ukutya okuneproteni eninzi, iicarbohydrate ezincinci, kunye namafutha aphantsi.

Zithini iingenelo kunye neengxaki?

Njengayo nayiphi na into, olu tyando luneengenelo kunye neengxaki.

Kwenzeka ntoni emva kotyando?

Emva kotyando, kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini. Kuya kuthatha malunga neeveki ezimbini ukuya kwezine ukuze uphile ngokupheleleyo. Ngeli xesha, umzimba wakho uya kudlula kwiinguqu ezinkulu.

Iimpawu zexeshana ezinokwenzeka ngexesha lokuchacha:

• Ndiziva ndidiniwe kakhulu
• Isicaphucaphu
• Ukulahleka kweenwele (oku kungokwexeshana)
• Intlungu yomzimba
• Ukuziva ubanda emzimbeni
• Utshintsho lweemvakalelo

Ezi zihlala zincipha ngokuhamba kwexesha.

Iingxaki kunye nolawulo lwexesha elide

Ngenxa yokuba olu lutyando olukhulu, kukho izinto ezininzi ekufuneka ziqwalaselwe kwixesha elide.

• Ukungondleki: Lo ngowona mceli mngeni mkhulu. Ngenxa yokuba amathumbu akho amancinci awafumani izakhamzimba kakuhle, kuya kufuneka uthathe izongezo zeevithamini kunye neeminerali ubomi bakho bonke . Ugqirha wakho uya kujonga igazi lakho rhoqo ukuqinisekisa ukuba amanqanaba akho esondlo afanelekile.
• Urhudo: Ngenxa yokungagaywa kakuhle kokutya, indle isenokukhululeka kwaye ihlale ihleli. Oku kungalawulwa ngokulandela ngokungqongqo isicwangciso sokutya esinikwe ngugqirha wakho.
• Amatye enyongo: Ukunciphisa umzimba kakhulu ngaxeshanye kwandisa umngcipheko wokuba namatye enyongo. Usenokunikwa amayeza okuthintela oku.
• Ukuphindaphindeka kweBile: Kwezinye iimeko, i-bile kunye negazi zinokubuyela umva ziye esiswini.

Iza kutshintsha njani indlela otya ngayo emva kotyando?

Awunakutya ngendlela eqhelekileyo kwangoko emva kotyando. Kufuneka unike inkqubo yakho yokwetyisa ixesha lokuphola nokuqhelana nenkqubo entsha. Ukutya kwakho kuya kutshintsha kancinci kancinci.

1. Ukutya Okucocekileyo Okuneswekile: Izinto ezifana namanzi esobho, iti engenaswekile.

2. Ukutya Okupheleleyo Kolwelo: Ubisi, iyogathi, iisuphu ezingamanzi.

3. Ukutya Okucoliweyo: Ukutya okuxutyiweyo kwaza kwacolwa kakuhle.

4. Ukutya Okuthambileyo: Izinto ezifana nemifuno ephekiweyo kakuhle kunye nentlanzi ethambileyo.

Zonke ezi nyathelo mazithathwe ngokwengcebiso kagqirha wakho kunye nengcali yesondlo. Kungathatha inyanga okanye ngaphezulu ukubuyela kwindlela eqhelekileyo yokutya.