Ngaba nawe ungumntu onengxaki yokutyeba kakhulu, okanye njengoko oogqirha bebiza njalo, utyebile kakhulu? Ngaba udiniwe kukutya ukutya nokuzilolonga? Ukuba uyoyika ukwenza utyando olukhulu lokunciphisa umzimba, namhlanje siza kuthetha ngesisombululo esifanelekileyo kuwe, kodwa kwangaxeshanye, abantu abaninzi abaziyo ngaso. Oku kusenokuba yinto enokutshintsha ubomi bakho.
Ngamafutshane, yintoni i-Endoscopic Sleeve Gastroplasty (ESG)?
Igama lisenokuvakala liyinkimbinkimbi, kodwa okwenzekayo kule nkqubo kulula kakhulu. I-ESG lunyango lwanamhlanje olunciphisa ubukhulu besisu sakho (isisu) ngaphandle kokusikwa naphi na emzimbeni wakho. Olu lolunye utyando oluhle endaweni yotyando lokunciphisa umzimba (utyando lwe-bariatric).
Khawucinge nje... ugqirha ufaka umbhobho omncinci emqaleni wakho. Le mbhobho inekhamera encinci kakhulu eqhotyoshelwe esiphelweni. Siyibiza ngokuba yi-endoscope. Besebenzisa le khamera, basebenzisa isixhobo esikhethekileyo ukuthunga iindonga zesisu sakho. Abanye abantu bayibiza le nto ngokuthi "inkqubo ye-accordion" kuba isisu siyagoba njenge-accordion.
Emva koko, isisu sakho sincipha sibe malunga nesithathu (30%) sobukhulu baso bangaphambili. Emva koko kwenzeka izinto ezimbini:
1. Ubungakanani bokutya onokukutya ngexesha elinye bulinganiselwe.
2. Xa isisu sigcwele, kuthatha ixesha elide ukukhupha isisu.
Oku kukwenza uzive uhluthi nasemva kokutya kancinci, kwaye awuziva ulambile ixesha elide.
Ngubani olu nyango lufanelekileyo kuye?
Olu nyango ludla ngokucetyiswa kubantu abatyebe kakhulu. Ukuba i-body mass index yakho (BMI) ingaphezulu kwama-30 , kwaye uzame ezinye iindlela zokunciphisa umzimba kodwa ungaphumeleli, ungacinga ngale nto.
Esi sisisombululo esihle kakhulu, ingakumbi kwabo bangafanelekanga ukwenza utyando olukhulu lokunciphisa umzimba (utyando lwe-bariatric), okanye abo bangafuni ukuthatha umngcipheko wotyando. Asingomsebenzi mkhulu njengotyando, kodwa sibonelela ngeziphumo eziphumelelayo ngakumbi kunokutya kunye nokuzilolonga.
Ukutyeba kakhulu akupheleli nje ekutyebeni. Kukwanyusa umngcipheko wokufumana izifo ezininzi ezinzulu, ezifana nesifo seswekile (uhlobo lwesibini lweswekile), uxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye nesifo sesibindi esinamafutha. Ukunciphisa umzimba ngonyango olufana ne-ESG kunokunceda ukulawula ezi zifo, kwaye ngamanye amaxesha kude kuzinyange ngokupheleleyo.
Kwenzeka ntoni ngaphambi nangexesha lonyango?
Wena nogqirha wakho niza kugqiba kunye ukuba nifanelekile na kule ngxaki.
Ngaphambi kweNkqubo
Okokuqala, kuya kwenziwa uvavanyo olupheleleyo lwezonyango. Kuya kwenziwa uvavanyo lwegazi oluninzi ukuze kubonwe ukuba ukulungele na ukufumana i-anesthesia. Ugqirha uya kuthetha nawe ngembali yakho yempilo, indlela yokutya, indlela yokuphila, kunye neenjongo zokunciphisa umzimba. Uya kuchaza nezinto ezilungileyo nezingalunganga zolu nyango, kunye notshintsho lwendlela yokuphila ekufuneka ulwenze ukuze ufumane iziphumo zexesha elide.
Ngexesha leNkqubo
Awuyi kuva nto, kuba oku kwenziwa xa ulele ngokupheleleyo (ufakwe i-anesthesia).
- Oku kwenziwa yingcali yezifo zesisu, ugqirha ogxile kwinkqubo yokugaya ukutya.
- Uza kufaka i-endoscope ngomlomo wakho aze ayidlulisele esiswini sakho.
- Imifanekiso evela kwikhamera ekwi-endoscope ijongwa kwisikrini, kwaye kusetyenziswa isixhobo esikhethekileyo ukufaka malunga nezititshi ezisi-8-10 ngaphakathi esiswini, nto leyo enciphisa ubukhulu baso.
| Inyani | Iinkcukacha |
|---|---|
| Ixesha elichithwe | Phakathi kweyure e-1 ukuya kwe-1.5 (imizuzu engama-60-90). |
| Ukuba sesibhedlele | Ixesha elininzi, ungaya ekhaya ngaloo mini inye. Kuphela xa kukho ukungakhululeki (iintlungu, isicaphucaphu) apho uza kungeniswa esibhedlele ukuze ufumane unyango. |
| Intlungu | Kusenokubakho iintlungu ezincinci njengoko isisu siphola. Oku kuya kuphela emva kweentsuku ezimbalwa. |
| Ukubuyela emsebenzini | Uninzi lwabantu lunokubuyela kwimisebenzi yesiqhelo kwisithuba seveki. |
Yintoni umahluko phakathi kwe-ESG kunye notyando oluqhelekileyo lokunciphisa umzimba (iGastric Sleeve)?
Injongo yezi ndlela zombini kukucinezela isisu size sibumbeke sibe "njengesikhini," okanye sibe ngathi yityhubhu. Kodwa kukho umahluko omkhulu kwindlela esenziwa ngayo. Uza kuyiqonda lula le nto xa ujonge le theyibhile.
| Umbono | I-ESG (indlela ye-endoscopic) | Isandla sesisu (utyando) |
|---|---|---|
| Indlela yokwenza | Oku kwenziwa ngokufaka i-endoscope ngomlomo. | Kwenziwa ngokwenza imingxunya embalwa emincinci esiswini. |
| Yintoni eyenzayo esiswini? | Inxalenye yesisu ithungwe ivaliwe. Akukho nxalenye isuswayo. | Malunga ne-80% yesisu iyanqunyulwa ize isuswe. |
| Uhlala uhleli | Ihlala ixesha elide. Ukuba kuyimfuneko, izititshi zingasuswa kwaye isisu singabuyiselwa kwimeko yesiqhelo. | Ihlala ihleli. Inxalenye esusiweyo ayinakuphinda ifakelwe. |
| Ixesha lokuchacha | Ngokukhawuleza. Iza kubuyela esiqhelweni kwiintsuku ezimbalwa. | Kuthatha ixesha elide. Kungathatha iiveki ezininzi. |
| Impembelelo kwindlala | Ayinampembelelo ingako kwiihomoni ezilawula indlala. | Indlala incitshiswa kakhulu ngokususa inxalenye evelisa iihomoni zendlala. |
Iziphumo kunye noko kufuneka ukulandele
Abantu abaninzi abenza i-ESG balahlekelwa phakathi kwe-15% kunye ne-20% yobunzima bomzimba wabo kunyaka wokuqala. Oku kwanele ukulawula izifo ezinxulumene nokutyeba kakhulu.
Kodwa khumbula, oku akuyonto imangalisayo. Ukuze ufumane iziphumo eziphumelelayo zexesha elide, kufuneka ngokuqinisekileyo ulandele ukutya okunempilo kunye nendlela yokuphila esebenzayo. Kubaluleke kakhulu ukulandela imiyalelo yokutya enikwe ngugqirha (ulwelo -> ukutya okucoliweyo -> ukutya okuqhelekileyo) kanye ngenyanga yokuqala emva konyango.
Ukutyeba kakhulu akuyonto inokulawulwa lula. Ngenxa yotshintsho kwikhemikhali yomzimba, ngamanye amaxesha kunzima ukunciphisa umzimba nokuba uzama ukutya okungakanani na nokuzilolonga. Ngamaxesha anjalo, unyango olungenabungozi kangako, olungenalo utyando olufana ne-ESG lunokuba njengomhlobo osenyongweni okubonisa indlela eya kubomi obusempilweni.
Umyalezo Wokuya Ekhaya
- I-ESG yindlela yonyango yanamhlanje esebenzisa i-endoscope ukunciphisa isisu nokunciphisa ubunzima ngaphandle kokusika okanye utyando.
- Olu khetho lufanelekile kakhulu kwabo batyebe kakhulu (BMI 30+) kodwa besoyika okanye bengafuni ukwenza utyando olukhulu.
- Ixesha lokuchacha emva konyango lifutshane kwaye umngcipheko weziphumo ebezingalindelekanga uphantsi kakhulu.
- Ngokomyinge, ungalindela ukwehla kobunzima bomzimba nge-15%-20%.
- Olu nyango lodwa alwanelanga. Ukuze ufumane iziphumo ezinde, kubalulekile ukulandela ukutya okunempilo kunye nendlela yokuphila.
- Qiniseka ukuba uxoxa ngolu nyango nogqirha wakho ukuze ubone ukuba lukulungele na.
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