Ngaba nawe ungumntu onengxaki yokutyeba kakhulu? Mhlawumbi awenzanga nto ukunciphisa umzimba. Uzame iindlela ezahlukeneyo zokutya, wazila ukutya, waza wenza umthambo, kwaye udiniwe. Kodwa awukabi nazo iziphumo ozifunayo? Mhlawumbi sele uve ngotyando lokunciphisa umzimba, ingakumbi utyando lwe-"gastric bypass". Ngoko ke namhlanje, masithethe ngale nto, ngokungathi sithetha nomhlobo, kwaye yonke into icacile.
Ngamafutshane, yintoni utyando lwesisu olubizwa ngokuba yi-gastric bypass?
Olu lutyando olwenziwa ukuze wehlise umzimba kwaye uphucule imetabolism yakho. Abanye abantu balubiza ngokuba yi-"Roux-en-Y". Ngamazwi alula, olu tyando lwenza utshintsho oluncinci kwinkqubo yakho yokugaya ukutya. Olu tshintsho lunciphisa ubungakanani bokutya onokukutya kwaye lunciphisa ubungakanani beekhalori ezifunxwa ngumzimba wakho ekutyeni.
Cinga ngayo, oku kuya kwenza izinto ezimbini eziphambili:
1. Ukunciphisa isisu: Ingxowa encinci enobukhulu obufana neqanda yenziwa phezulu kwesisu sakho. Isisu sakho esikhulu sihlala sinjalo. Oku kuthetha ukuba ungatya ukutya okuncinci ngexesha. Usaziva ugcwele nasemva kokutya okuncinci.
2. Ukudlula: Inxalenye encinci yamathumbu akho amancinci iqhagamshelwe kwesi sisu sisandul’ ukwenziwa. Oku kuthetha ukuba ukutya okutyayo kuyadlula inxalenye enkulu yesisu kunye nenxalenye yokuqala yamathumbu amancinci. Le ndlela yokudlula inciphisa amandla omzimba okufunxa ngokupheleleyo izondlo kunye neekhalori ekutyeni.
Le nkqubo yingakho ibizwa ngokuba lutyando "lokudlula".
Ngaba olu tyando lungenziwa ngumntu wonke? Okanye lufanelekile kubani?
Hayi, olu tyando alufanele wonke umntu. Oogqirha balucebisa kuphela kubantu abatyebe kakhulu ngokwezonyango . Lunokunceda ekulawuleni ezinye izifo ezibangelwa kukutyeba kakhulu (ezifana nesifo seswekile sohlobo lwesibini, uxinzelelo lwegazi oluphezulu, i-Obstructive Sleep Apnea, kunye ne-GERD).
Ngokubanzi, ukuze ufanelekele olu tyando, kufuneka ube nemiqathango elandelayo:
| Ukufaneleka | Inkcazo |
|---|---|
| Ukutyeba kakhulu (Ubunzima bodidi lwesithathu) | I-body mass index yakho, okanye i-BMI, kufuneka ibe ngama-40 okanye ngaphezulu. |
| Ukutyeba kakhulu nezinye izifo | Ukuba i-BMI yakho ingaphezulu kwama-35 , kufuneka ube nesifo esinye esibangelwa kukutyeba kakhulu, esifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu. |
| Isifo seswekile esingalawulekiyo | Ukuba unesifo seswekile sohlobo lwesibini esinzima ukusilawula ngenxa yokutyeba kakhulu kwaye i-BMI yakho ingaphezulu kwama-30 , ugqirha wakho angacebisa olu tyando. |
Kodwa khumbula, awunakuyenza nje le nkqubo yotyando ukuba unazo iziqinisekiso. Ugqirha wakho kunye neqela lezonyango baza kukuhlola ngononophelo ukuze babone ukuba ukulungele na ngokwengqondo nangokomzimba oku.
Ezinye izinto oogqirha abazijongayo ngaphambi kotyando
- Ukuzinikela kwakho ekutshintsheni indlela ophila ngayo: Oku akuyonto imangalisayo. Emva kotyando, kuya kufuneka utshintshe indlela otya ngayo ubomi bakho bonke . Baza kubona ukuba ukulungele na oko.
- Ukulungiselela ngokwasemzimbeni nangokwengqondo: Uvavanyo lwegazi nentliziyo luya kwenziwa ukuze kubonwe ukuba ungakwazi na ukunyamezela utyando. Imeko yakho yengqondo nayo iya kuhlolwa.
- Ukuzama ezinye iindlela: Ngamanye amaxesha, imibutho, efana neenkampani zeinshorensi, inokubuza ukuba ngaba ulandele indlela yokutya kunye nokuzilolonga phantsi kweliso likagqirha ngaphambi kotyando.
Kuza kulahleka ubunzima obungakanani ngotyando?
Le yingxaki kubantu abaninzi. Uza kulahlekelwa bubunzima obubalulekileyo kunyaka wokuqala okanye emibini emva kotyando. Ngokomyinge, uza kulahlekelwa malunga ne -70% yobunzima bakho obugqithisileyo. Abanye abantu banokufumana ubunzima obuncinci ngokuhamba kwexesha, kodwa nasemva kweminyaka engama-20, kukho abantu abaye bagcina umyinge we-50% yobunzima babo obugqithisileyo. Yimpumelelo enkulu leyo.
Lwenziwa njani utyando?
Kule mihla, olu tyando ludla ngokwenziwa kusetyenziswa indlela ebizwa ngokuba yi -laparoscopy . Oku kukwabizwa ngokuba yi-"keyhole surgery." Oku kuthetha ukuba endaweni yokwenza umngxuma omkhulu esiswini, olu tyando lwenziwa ngokusikwa okuncinci oku-3-5, apho kufakwa khona ikhamera kunye nezixhobo ezikhethekileyo. Oku kubangela ukuba igazi linciphe, iintlungu zinciphe, kwaye kukhawuleze kuphole.
Utyando lungathatha iiyure ezi-2 ukuya kwezi-4. Kuya kufuneka uhlale esibhedlele kangangeentsuku ezimbini emva koko.
Zithini iingozi kunye neengxaki ezinokubakho ngenxa yoku?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo. Ekubeni olu lutyando olukhulu, kubaluleke kakhulu ukuba uzazi.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Iingozi zexesha elifutshane (ezinxulumene notyando) | |
| Iintsholongwane | Iintsholongwane zingena kwizicucu. |
| Ukopha kakhulu | Ukopha kakhulu ngexesha okanye emva kotyando. |
| Iimpendulo kwi-anesthesia | Iimpendulo ezingalunganga zomzimba kumayeza okubulala iintlungu. |
| Iingxaki zexesha elide | |
| Isifo sokulahlwa kwenkunkuma | Iimpawu ezifana nokucaphuka, ukuqaqamba kwesisu, ukudumba, nokubila ziyenzeka njengoko ukutya kuhamba ngokukhawuleza emathunjini amancinci. Oku kunokwenzeka ingakumbi xa usitya ukutya okuneswekile eninzi kunye nomgubo. |
| Ukunqongophala kwesondlo | Ukufunxwa okuncinci kwezondlo kunokukhokelela ekusweleni kweevithamini kunye neeminerali (umz., i-iron, i-calcium, i-vitamin B12), nto leyo efuna izongezo zevithamini ubomi bonke . |
| Amatye enyongo | Kukho umngcipheko wokufumana amatye enyongo xa unciphisa umzimba ngokukhawuleza. |
| I-Hernia | Isitho esifana namathumbu esiphuma kwindawo yokusikwa. |
| Ukunyuka kwesisindo kwakhona | Ukuba awuyilandeli kakuhle imiyalelo kagqirha wakho kwaye awuyilawuli indlela otya ngayo, isisu sakho sinokukhula kancinci kancinci kwaye usenokutyeba kwakhona. |
Ubomi bunjani emva kotyando?
Le yeyona nxalenye ibalulekileyo. Utyando luqala nje kolu hambo.
Ixesha lokuchacha
Kuya kufuneka uphumle ekhaya iiveki ezimbalwa. Awuyi kukwazi ukwenza umsebenzi onzima kangangenyanga enesiqingatha. Kungathatha malunga neenyanga ezi-2-3 ukuqala ukutya ukutya okuqinileyo ngokuqhelekileyo. Ekuqaleni, kuyinto eqhelekileyo ukuziva udiniwe, ulahlekelwe ziinwele, kwaye ube neentlungu zomzimba .
Ukutya - Lo ngumahluko omkhulu!
Uza kunikwa isicwangciso esikhethekileyo sokutya oza kusilandela ubomi bakho bonke.
- Ukuqala ngokutya okumanzi: Iiveki zokuqala ezimbalwa zichithwa kwizinto ezifana nolwelo kunye neesuphu. Emva koko kancinci kancinci uqhubekele ekutyeni okucoliweyo nokuthambileyo.
- Iproteni yeyona nto ibalulekileyo ekutyeni kwakho: Iiproteni (intlanzi, inyama, amaqanda, iilentili) zifanele zibe sisithako esiphambili. Oku kubalulekile ekugcineni izihlunu zakho ziqinile.
- Kuphephe ukutya okuneswekile eninzi nomgubo: Kufuneka unciphise izinto ezifana neswekile, iilekese, isonka, nerayisi. Ezi zinokubangela i-"Dumping Syndrome" ekhankanyiweyo apha ngasentla.
- Ukusela amanzi amaninzi: Ufanele usele malunga neelitha ezi-2 zamanzi ngosuku. Kodwa akulunganga ukuwasela ngelixa usitya. Ufanele uwasele imizuzu engama-30 ngaphambi okanye emva kokutya.
- Izongezo zevithamini kunye neeminerali: Oku kuyimfuneko . Kufuneka uthathe iivithamini ezichazwe ngugqirha wakho yonke imihla ubomi bakho bonke.
Khumbula, olu tyando luluncedo kakhulu kuhambo lwakho lwempilo. Kodwa kufuneka usebenze nalo ukuze lusebenze. Aluyi kusebenza ngaphandle kokuzinikela kwakho.
Ekugqibeleni, utyando lwesisu oluhamba ngesantya esiphezulu luyinto ebalulekileyo. Kodwa xa ludibene nezifo ezinokubangelwa kukutyeba kakhulu, lunokuba yindlela etshintsha ubomi nesempilweni yokuphila. Ukuba ucinga ngalo, qiniseka ukuba udibana nengcali ukuze nixoxe ngezinto ezilungileyo nezingalunganga ngale nkqubo nogqirha wakho nize nenze isigqibo.
Umyalezo Wokuya Ekhaya
- Utyando lwe-gastric bypass lunyango oluphumelele kakhulu lokutyeba kakhulu.
- Oku kunciphisa inani lokutya onokukutya kunye nenani leekhalori ezifunxwa ngumzimba wakho.
- Oku akufanelekanga kuwo wonke umntu. Ugqirha uza kukucebisa oku ngokusekelwe kwi-BMI yakho kunye nezinye iimeko zempilo.
- Ukuze utyando luphumelele, kuya kufuneka utshintshe indlela otya ngayo nendlela ophila ngayo ubomi bakho bonke .
- Njengakwezinye iindlela zotyando, kukho iingozi kunye neengxaki. Xoxa ngazo ngononophelo nogqirha wakho.
- Emva kotyando, kuyimfuneko ukuthatha izongezo zevithamini kunye neeminerali ubomi bonke.
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