Ukutyeba kakhulu yingxaki enkulu yempilo abantu abaninzi abajongene nayo kwilizwe lethu nakwihlabathi liphela namhlanje. Ngamanye amaxesha, nokuba wenza umthambo kangakanani kwaye utya kangakanani, kunzima kakhulu ukunciphisa umzimba. Ngamaxesha anje ke apho oogqirha bacebisa utyando lokunciphisa umzimba kwabanye abantu. Ngoko ke namhlanje, masithethe ngotyando olukhulu olunjalo, utyando lwesisu olubizwa ngokuba yi-gastric bypass, abantu abaninzi abaye beva ngalo. Masiqonde nje ukuba luyintoni ngokwenene, lwenziwa njani, kwaye kwenzeka ntoni emva kwalo.
Kwenzeka ntoni ngokwenene ngolu tyando lwesisu?
Ngamafutshane, olu lutyando olunezinyathelo ezimbini.
Ludibanisa iindlela ezimbini zokunciphisa umzimba. Makhe sijonge ukuba zeziphi ezo nyathelo zimbini.
Inyathelo 1: Ukudala ingxowa encinci esiswini
Kule nto, ugqirha wotyando wahlula isisu sakho sibe ziinxalenye ezimbini. Enye inxalenye enkulu, enye inxalenye encinci kakhulu. Emva koko, inxalenye encinci iyathungwa okanye idityaniswe kunye ukuze kwenziwe ingxowa encinci. Ubungakanani bokutya obunokufakwa kule ngxowa incinci buncinci kakhulu, malunga nobukhulu bekomityi. Ngoko ke ngenxa yokuba unesisu esincinci kangaka, uziva
ugcwele nasemva kokutya kancinci . Ngoko ke ubuninzi bokutya okutyayo buyehla ngokuzenzekelayo. Sibiza le ndlela ngokuthi 'yindlela yokuthintela'. Oko kukuthi, inciphisa ubungakanani bokutya onokukutya.
Inyathelo lesiBini: Dlula
Ngoku, kukho loo ngxowa incinci yenziweyo, kwaye ugqirha uyayahlula kwinxalenye enkulu yesisu kunye nenxalenye yokuqala yamathumbu amancinci (i-duodenum). Emva koko, loo ngxowa incinci iqhagamshelwe ngqo kwinxalenye yamathumbu amancinci (i-jejunum). Le nkqubo yotyando ibizwa ngokuba
yi-"Roux-en-Y." Xa iqhagamshelwe ngale ndlela, ukutya okutyayo kuhamba ngqo kuloo ngxowa incinci ukuya kwinxalenye esezantsi yamathumbu amancinci. Oko kukuthi, idlula inxalenye yokuqala yamathumbu amancinci. Ngenxa yoku, umzimba ufunxa iikhalori ezincinci kunye nezondlo ekutyeni okutyayo. Le nkqubo ibizwa ngokuba yinkqubo 'yokungatyi'. Ngokwesiqhelo, omabini la manyathelo enziwa kutyando olunye, kwaye yonke inkqubo ibizwa ngokuba yi-
"Roux-en-Y gastric bypass." Amaxesha amaninzi, oogqirha benza olu tyando nge-laparoscopically. Oko kukuthi, utyando lwenziwa ngokufaka ikhamera kunye nezixhobo ngemingxuma emininzi emincinci, endaweni yokwenza umngxuma omkhulu esiswini. Nangona kunjalo, kwezinye iimeko, ukuba oku akunakwenzeka, utyando lunokufuneka lwenziwe ngokusikwa okukhulu esiswini (i-laparotomy).
Yintoni onokuyilindela emva kotyando?
Ekubeni olu lutyando olukhulu, kubalulekile ukuba uqaphele izinto ezithile. Kuya kufuneka uhlale esibhedlele iintsuku ezi-2 ukuya kwezi-3 emva kotyando. Kungathatha malunga neeveki ezi-2 ukuya kwezi-3 ngaphambi kokuba uqalise imisebenzi eqhelekileyo. Njengakuzo zonke iintlobo zotyando, kukho iingozi kunye neengxaki.
Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngayo yonke le nto ngaphambi kokuba wenze olu tyando uze ubuze yonke imibuzo yakho.
Makhe sijonge ezi ngxaki zinokwenzeka kwitheyibhile engezantsi.
| Uhlobo lwengxaki | Inkcazo kunye nomngcipheko |
|---|
| Iingxaki eziqhelekileyo | Ezi zinokwenzeka kubantu abali-10 kwabali-100 (10%) abaye batyandwa. Imizekelo: usulelo lwenxeba, iingxaki zokugaya ukutya, izilonda, ukopha. |
| Iingxaki ezinokuba yingozi okanye ezisongela ubomi | Ezi ziziganeko ezingaqhelekanga kakhulu (1% - 5%). Imizekelo: Ukuxhuzula kwemithambo yegazi, ukuhlaselwa yintliziyo, ukuvuza okuvela kwiindawo ezidityaniswe ngotyando, usulelo olunzima okanye ukopha. |
Kodwa khumbula,
lo mngcipheko uphantsi kakhulu kwizibhedlele ezinoogqirha abanamava abenze utyando olungaphezulu kwe-100 . Xa olu tyando lwenziwa ngugqirha onamava, umngcipheko wokufa ungaphantsi kwe-0.5% (oko kukuthi, ngaphantsi komnye kwi-200). Ukongeza, ukufunxwa kwezondlo emzimbeni kuyancitshiswa, nto leyo enokubangela ukunqongophala kwexesha elide kwezinto ezifana ne-iron kunye ne-calcium, nto leyo enokubangela izifo ezifana ne-anemia kunye ne-
osteoporosis. Nangona kunjalo,
ukuba uthatha izongezo zesondlo ezichazwe ngugqirha wakho ngokuchanekileyo kwaye wenze uvavanyo lwegazi lakho ngexesha, ungawunciphisa kakhulu lo mngcipheko.
Zithini iziphumo zotyando?
Ukunciphisa umzimba emva kotyando kudla ngokuba yimpumelelo enkulu. Ngokomndilili, izigulana zilahlekelwa
malunga nama-60% obunzima bazo obugqithisileyo . Umzekelo, khawucinge ukuba ubunzima bomntu obufanelekileyo yi-70 kg, kodwa okwangoku ubunzima bakhe yi-150 kg. Une-80 kg yobunzima obugqithisileyo. Emva kolu tyando, malunga ne-60% yobunzima obugqithisileyo, oko kukuthi, malunga ne-48 kg, bunokulahleka. Kunye nokunciphisa umzimba,
iingxaki ezininzi zempilo ezibangelwa kukutyeba kakhulu, ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, i-asthma, kunye ne-obstructive sleep apnea, zinokunyangwa ngokupheleleyo okanye zilawulwe kakhulu .
Kodwa khumbula oku kakuhle. Olu tyando aluyomilingo. Ukuba ufuna ukunciphisa umzimba kwaye ungakwenzi oko,Kufuneka wenze utshintsho oluhlala luhleli kwindlela ophila ngayo. Ukutya ukutya okuncinci kaninzi ngemini kunye nokuzilolonga rhoqo kubalulekile.
Ziziphi ezinye iintlobo zotyando lokunciphisa umzimba ezikhoyo?
Ukuba ucinga ngotyando lokunciphisa umzimba, kukho ezinye iindlela ezahlukeneyo ngaphandle kwe-gastric bypass. Makhe sijonge naleyo.
| Uhlobo lotyando | Indlela yokwenza oku kunye namanqaku abalulekileyo |
|---|
| Utyando lweMikhono | Olu lolona tyando lokunciphisa umzimba oluqhelekileyo lwenziwayo ehlabathini. Kulo, malunga nesiqingatha sesisu siyasuswa, kwaye inxalenye eseleyo ibunjwe ibe yityhubhu ende (isandla) njengengalo. Le ikwayinkqubo 'ethintelayo'. |
| I-Gastroplasty eneebhendi ezithe nkqo | Olu ludibaniso lwe-gastric stapling kunye ne-banding. Nangona kunjalo, alusasetyenziswa rhoqo ngenxa yeengxaki eziphezulu kunye nokunciphisa umzimba kancinci. |
| Ukuphambuka kweBiliopancreatic | Oku kufana ne-gastric bypass. Nangona kunjalo, apha i-stomach pouch iqhagamshelwe kwinxalenye esezantsi yamathumbu amancinci (ileum). Ke ngoko, inani leekhalori ezifunxwa ngumzimba liphantsi nangakumbi. Nangona kunjalo, olu lutyando olunzima ukulwenza kwaye umngcipheko wokungabikho kokutya okunempilo uphezulu kakhulu. |
Ekugqibeleni, ukwenza utyando olunje sisigqibo esikhulu ebomini. Ngoko ke ngaphambi kokuba wenze isigqibo, thetha nogqirha wakho malunga neendlela onokukhetha kuzo, izinto ezilungileyo nezingalunganga, kunye nento ekulungeleyo.
Umyalezo Wokuya Ekhaya
- Utyando lwe-Gastric bypass lutyando olukhulu lokunciphisa ubunzima olunamanyathelo amabini aphambili (ukunciphisa isisu kunye nokunciphisa isisu).
- Oku kunokunciphisa kakhulu ubunzima bomzimba kwaye kulawule izifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu .
- Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezithile.
- Impumelelo yotyando ixhomekeke ngokupheleleyo ekutshintsheni kwakho ubomi bakho (ukutya kunye nokuzilolonga) emva kotyando.
- Esi asisosigqibo esimele sithathwe lula. Kubalulekile ukuxoxa ngale nto nogqirha wakho ukuze ubone ukuba olu tyando lukulungele na.
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