Enye yezona ngxaki zinkulu abantu abaninzi abajongene nazo namhlanje kukunyuka kwesisindo. Akukho nto banokuyenza ukuze banciphise umzimba. Baya ejimini, balawule ukutya kwabo, kwaye benze imithambo eyahlukeneyo. Kodwa kwabanye, nokuba benza ntoni na, kunzima kakhulu ukufumana iziphumo ezifunwayo. Ukutyeba kakhulu, okanye njengoko sikubiza njalo, "ukutyeba kakhulu" akusiyongxaki yobuhle nje kuphela, kodwa kukwangunobangela wezifo ezininzi ezinzulu ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, kunye ne-cholesterol. Ngoko ke, namhlanje siza kuthetha ngendlela ephumelele kakhulu kwezonyango ukunceda abo banengxaki yokutyeba kakhulu. Oko kukuhlinzwa kwesisu.
Ngamafutshane, yintoni utyando lwesisu?
Utyando lwesisu olunemikhono, okanye njengoko oogqirha belubiza, "i-sleeve gastrectomy," lutyando lokunciphisa umzimba. Lukwabizwa ngokuba "lutyando lwe-bariatric." Okwenzeka apha kulula kakhulu. Inxalenye enkulu yesisu sakho, malunga ne-80%, isuswa ngotyando.
Cinga ngesisu sakho njengengxowa encinci. Emva kolu tyando, kususwa iqhekeza elikhulu lengxowa, kushiyeke inxalenye encinci, efana nebhanana, efana netyhubhu (isandla). Yiyo loo nto ibizwa ngokuba lutyando lwesisu. Eyona nto iphambili kolu tyando kukwenza isisu sibe sincinci kakhulu ngale ndlela.
Kulungile, unciphisa njani umzimba ngokunciphisa isisu sakho?
Ngoku usenokuba uzibuza, "Ndinganciphisa njani umzimba ngokunciphisa isisu sam?" Zimbini izizathu eziphambili zaloo nto.
1. Ukunciphisa ukutya okutyayo: Ekubeni isisu sakho sincinci kakhulu, ukutya onokukutya ngexesha elinye kuyancipha kakhulu. Nokuba ubusitya isitya esipheleleyo, emva kotyando uya kuziva ugcwele ngokutya okuncinci. Ngamafutshane, uya kuziva ugcwele ngokukhawuleza. Oku kulawula ngokwendalo ubungakanani beekhalori ezifunyanwa ngumzimba wakho.
2. Ukuncipha kweehomoni zendlala: Le yeyona ngongoma ibalulekileyo. Isisu sethu sivelisa ihomoni `(ghrelin)` eyihomoni ephambili ebangela indlala. Ekubeni malunga ne-80% yesisu isuswa ngexesha lotyando lwesisu, ubungakanani bale homoni eveliswayo nabo buyancipha kakhulu. Oku kuthetha ukuba indlala yakho kunye neminqweno yokutya iyancipha kakhulu. Isizathu esiphambili sokuphinda utyebe emva kokunciphisa umzimba kukufuna ukutya okungalawulekiyo. Olu tyando lukwabonelela ngesisombululo esihle saloo nto.
Eyona nto ibalulekileyo kukuba olu asilotyando lobuhle. Lwenzelwe ukulawula iingxaki zempilo ezibangelwa kukutyeba kakhulu.
Ngubani ofanelekileyo ukwenza olu tyando?
Olu asilotyando olunokwenziwa ngumntu wonke. Ugqirha uza kukuhlola ngononophelo aze akuthumelele olu tyando kuphela ukuba uhlangabezana neziqinisekiso ezithile. Makhe sibone ukuba zeziphi ezo ziqinisekiso.
| Ukufaneleka | Ingcaciso elula |
|---|---|
| Ukutyeba Okugqithisileyo | I-body mass index yakho, okanye i-BMI, kufuneka ibe ngama-40 nangaphezulu. I-BMI yindlela yokulinganisa ukuba unobunzima obufanelekileyo na ngobude bakho. Ngamanye amaxesha, ukuba i-BMI yakho imalunga nama-35 kwaye unezinye izifo ezinxulumene nokutyeba, ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu, usenokufaneleka kolu tyando. |
| Ezinye iindlela ziyasilela | Ngaphambi kotyando, bekufanele ukuba uzame ukunciphisa umzimba ngezinye iindlela, ezinje ngokutya okunempilo kunye nokuzilolonga. Ezinye iinkampani zeinshorensi zinokufuna ukuba uthathe inxaxheba kwinkqubo yokunciphisa umzimba elawulwa ngugqirha kangangeenyanga ezi-3-6 ngaphambi kokuba uvume utyando. |
| Ukulungiselela ngokwasemzimbeni nangokwengqondo | Olu lutyando olukhulu kwaye lutshintsho lobomi bonke. Ngoko ke kufuneka ulungiselele kakuhle, emzimbeni nasengqondweni. Ngaphambi kokuba uthathe isigqibo sokuba uyakufanelekela na olu tyando, kuya kufuneka udibane neqela leengcali zokutya, iingcali zengqondo, kunye nezinye iingcali. |
Zeziphi ezinye izifo ezinokunyangwa ngolu tyando?
Nangona injongo ephambili yotyando lwesisu ikukuhlisa umzimba, lunokulawula, kwaye ngamanye amaxesha lunyange ngokupheleleyo, ezinye izifo ezininzi ezibangelwa kukutyeba kakhulu.
- Ukuxhathisa i-insulin kunye nesifo seswekile sohlobo lwesibini
- Uxinzelelo lwegazi kunye nezifo zentliziyo ezinxulumene noko
- Amanqanaba aphezulu e-cholesterol egazini (i-Hyperlipidemia) kunye ne-arteriosclerosis
- Isifo sesibindi esinamafutha esinganxilisiyo (i-NAFLD)
- Ukuphazamiseka kokulala
- Intlungu yamalungu kunye ne-osteoarthritis
Olu tyando lunceda ekuncedeni izifo ezininzi ezinjalo.
Iqhubeka njani inkqubo yotyando?
Masibone ngoku ukuba kwenzeka ntoni ngaphambi, ngexesha, nasemva kotyando.
Yintoni omele uyenze ngaphambi kotyando?
Nje ukuba oogqirha bakho bafumanise ukuba ungumntu ofanelekileyo oza kutyandwa, uza kunikwa ukutya okukhethekileyo okumanzi kangangeeveki ezimbini ngaphambi kotyando. Oku kwenzelwe ukunceda ukunciphisa amanye amafutha angafunekiyo esiswini sakho nasesibindini, okwenza utyando lube lukhuselekile.
Ukongeza, awuyi kuvunyelwa ukuba utye okanye usele nantoni na kangangeeyure ezili-12 ngaphambi kotyando, njengoko isisu sakho kufuneka sibe singenanto kwaphela ngexesha lotyando.
Lwenziwa njani utyando?
Ngoku, uninzi lwexesha, olu tyando lwenziwa kusetyenziswa indlela ebizwa ngokuba yi-"laparoscopic surgery." Oko kukuthi, endaweni yokwenza i-incision enkulu nokuvula isisu, olu tyando lwenziwa ngokufaka ikhamera kunye nezixhobo ezikhethekileyo ngokusebenzisa i-incisions ezincinci kakhulu. Oku kukwabizwa ngokuba yi-"keyhole surgery." Le ndlela ayibuhlungu kangako kwaye ixesha lokuchacha lifutshane kakhulu.
1. Okokuqala, uza kufakwa phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto ngexesha lotyando, uza kube ulele.
2. Emva koko ugqirha wenza umngxuma omncinci kakhulu (malunga nesiqingatha se-intshi) esiswini sakho aze afake umbhobho omncinci kuso.
3. Igesi encinci yekhabhoni dayoksayidi idluliselwa kwityhubhu iye esiswini ukuze ivuthele umngxuma wesisu. Oku kuvumela amalungu angaphakathi ukuba abonakale ngokucacileyo.
4. Emva koko, kufakwa ikhamera encinci (i-laparoscope) ngetyhubhu. Ugqirha wenza utyando ngokubukela imifanekiso evela kwikhamera kwisikrini.
5. Kwenziwa umsike omnye okanye ngaphezulu omncinci, apho kufakwa khona izixhobo ezinde nezincinci ezifunekayo kutyando.
6. Ngokusebenzisa ezi zixhobo, inxalenye "yesinqe" yesisu ekufuneka ishiywe iyalinganiswa, kwaye inxalenye enkulu engeyomfuneko iyahlulwa kwaye inqunyulwe ngohlobo oluthile lwe-stapler (i-stapler yotyando).
7. Ekugqibeleni, inxalenye yesisu esusiweyo iyakhutshwa kwaye amanxeba amancinci athungwa avalwe.
Olu tyando luphela ludla ngokuthatha malunga neyure enesiqingatha.
Kwenzeka ntoni emva kotyando?
Kuya kufuneka uhlale esibhedlele usuku okanye ezimbini emva kotyando. Ngeli xesha, abasebenzi bezonyango baya kukunceda ukulawula iintlungu zakho kunye nokulawula iziphumo ebezingalindelekanga zexeshana, ezifana nokucaphuka.
Emva kokuba uphumile esibhedlele, kuya kufuneka ubone ugqirha wakho rhoqo. Uza kujonga ukwehla kwakho emzimbeni, nokuba ezinye iimeko zonyango ziyalawuleka na, nokuba kukho naziphi na iziphumo ebezingalindelekanga emva kotyando.
Ngaba kufuneka ndenze naluphi na utshintsho olukhulu kwindlela enditya ngayo nendisela ngayo emva kotyando?
Ewe, ngokuqinisekileyo. Le yeyona nxalenye inzima nebalulekileyo yolu hambo. Emva kotyando, kufuneka uqaphele kakhulu malunga nokutya nokusela ubomi bakho bonke.
- Iiveki ezimbalwa zokuqala:Ngeli xesha, ungatya kuphela izinto ezimanzi. Izinto ezifana nesuphu, ubisi, kunye nejusi yeziqhamo.
- Okulandelayo: Ungatshintshela kancinci kancinci kwindlela yokutya ethambileyo, efana nerayisi ecoliweyo, imifuno ecoliweyo, kunye neyogathi.
- Emva kweenyanga ezimbalwa: Ungaqala kancinci kancinci ukutya ukutya okuqinileyo rhoqo.
Kodwa khumbula, awunakuze utye ukutya okuninzi njengangaphambili. Ukutya okutyayo kufanele kube nesondlo kakhulu , kuba kufuneka ufumane zonke izondlo ezifunwa ngumzimba wakho ngobuninzi obuncinci.
Kwakhona, emva kotyando, kuya kufuneka uthathe izongezo zeevithamini kunye neeminerali ubomi bakho bonke. Oku kungenxa yokuba kunzima ukufumana zonke izondlo ezifunwa ngumzimba wakho ekutyeni kuphela ngenxa yokuncipha kokutya okutyayo.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezithile.
Iingenelo
- Xa kuthelekiswa nezinye iintlobo zotyando lwe-bariatric, olu lutyando olulula, olukhawulezayo, nolukhuselekileyo.
- Ekubeni utyando lungenzi tshintsho kumathumbu, umngcipheko wokungondleki kakuhle ixesha elide uphantsi.
- Unganciphisa ubunzima ngempumelelo kwaye ngaloo ndlela ulawule izifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu.
Iingozi kunye neengxaki
Umngcipheko weengxaki ezivela kolu tyando uphantsi kakhulu (ngaphantsi kwe-1%). Nangona kunjalo, kubalulekile ukuba uqaphele.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Iingozi zexesha elifutshane ezinxulumene notyando |
|
| Iingxaki zexesha elide |
|
Ndinganciphisa ubunzima obungakanani? Ngaba ndiza kuphinda ndibufumane?
Ngokwesiqhelo, ungalahlekelwa phakathi kwama-25% nama-30% obunzima bomzimba wakho uphela kunyaka wokuqala okanye emibini emva kotyando. Umzekelo, umntu onobunzima obuyi-120 kg angalahlekelwa malunga nama-30-36 kg. Eli nani lixhomekeke kwindlela ophila ngayo emva kotyando.
Abanye abantu banokuphinda batyebe kancinci ngokuhamba kwexesha, nokuba kungenxa yokuba babuyela kwimikhwa yabo yokutya yakudala okanye kuba isisu sabo sinwebeka ngokuhamba kwexesha. Ukuba oko kuyenzeka, kunokufuneka ucinge ngotyando lokuhlaziya. Oku kunokubandakanya ukuhlaziywa kotyando lokuqala okanye ukuguqulwa uye kolunye utyando lokunciphisa umzimba, olufana ne-gastric bypass.
Umyalezo Wokuya Ekhaya
- Utyando lwesisu olunemikhono yindlela esebenzayo kakhulu yokulawula ukutyeba kakhulu kunye nezifo ezinxulumene nako. Asiyonkqubo yobuhle.
- Olu lutshintsho olukhulu, olungenakujikwa, noluhlala luhleli. Ngoko ke funda kakuhle ngaphambi kokuba wenze isigqibo.
- Impumelelo yotyando ixhomekeke kuwe ngokupheleleyo. Kufuneka uzibophelele ekutyeni ubomi bakho bonke, ekuzilolongeni nasekuphileni ubomi obusempilweni emva kotyando.
- Olu tyando aluncedi nje kuphela ekunciphiseni umzimba, kodwa lukwanceda ekunyangeni izifo ezininzi ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu kunye ne-cholesterol.
- Ukuba ucinga ngolu tyando, thetha ngokukhululekileyo nogqirha oqeqeshiweyo okanye ugqirha wosapho lwakho ngalo ukuze uqonde ngokupheleleyo ukuba lukulungele na kwaye zeziphi izinto ezilungileyo nezingalunganga.
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