Ngaba udiniwe kuzama iindlela ezahlukeneyo zokunciphisa umzimba ngenxa yokutyeba kakhulu? Ngamanye amaxesha, nokuba silawula kangakanani ukutya kwethu nokuzilolonga, asifumani ziphumo zinqwenelekayo. Ukutyeba kakhulu akusiyongxaki nje yokubonakala, kodwa kukwangunobangela wezifo ezininzi ezinzulu ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu. Ngoko ke, kwimeko enjalo, siza kuthetha ngotyando olukhethekileyo olunceda ekunciphiseni umzimba ngoncedo lwesayensi yezonyango namhlanje.
Yintoni utyando lwesisu?
Ngamafutshane, utyando lwesisu olunemikhono lutyando lokunciphisa ubunzima. Oogqirha balubiza ngokuba lutyando lwe-bariatric. Lubandakanya ukunciphisa ubukhulu besisu sakho. Cinga ngesisu sakho njengengxowa encinci. Kolu tyando, malunga ne-80% yaloo ngxowa, eyinxalenye enkulu, iyasikwa ize isuswe.
Emva koko okuseleyo yi-"sleeve" encinci, efana nombhobho wesisu, efana nebhanana. Igama elithi "gastrectomy" lithetha ukususa inxalenye yesisu. Yiyo loo nto ikwabizwa ngokuba yi-"sleeve gastrectomy".
Olu tyando lukunceda njani ukunciphisa umzimba?
Le yindlela elula kakhulu. Xa isisu sakho sincipha, inani lokutya onokukutya ngexesha elinye lincinci kakhulu. Oko kuthetha ukuba awukwazi ukutya kakhulu njengoko wawuqhele ukutya, kwaye uzive uhluthi nasemva kokutya kancinci.
Kodwa umsebenzi awupheli apho. Kukho enye into ebalulekileyo eyenzekayo. Isisu sethu sisona sivelisi siphambili seehomoni zendlala. Ekubeni inxalenye enkulu yesisu isusiwe, ukuveliswa kwezi homoni nako kuncipha kakhulu. Ngenxa yoko, izinto ezifana nendlala engapheliyo kunye neminqweno ziyalawulwa. Esinye sezizathu eziphambili zokufumana ubunzima emva kokunciphisa umzimba yile nkanuko yokutya engalawulekiyo. Ngoko ke olu tyando lukwabonelela ngesisombululo kuloo nto.
Ngubani kanye kanye olu tyando lufanelekileyo kuye?
Olu asilotyando lomntu wonke. Ukuze ufanelekele oku, kufuneka uhlangabezane neemfuno ezithile. Oku kuya kugqitywa liqela lezonyango elikhokelwa ngugqirha wakho. Ezi zizinto ezihlala ziqwalaselwa.
| Isiqinisekiso | Ingcaciso Elula |
|---|---|
| Ukutyeba Okugqithisileyo | I-body mass index yakho (BMI) kufuneka ibe ngaphezulu kwama-40. Okanye, i-BMI yakho mayibe ngaphezulu kwama-35 kwaye unesinye isifo esibangelwa kukutyeba kakhulu (njengesifo seswekile okanye uxinzelelo lwegazi oluphezulu). I-BMI yindlela yokulinganisa ubunzima bakho ngobude bakho. |
| Ezinye iindlela ziyasilela | Ngaphambi kotyando, kufuneka ukuba uzame ukunciphisa umzimba kodwa wahluleka. Ngamanye amaxesha, neenkampani zeinshorensi zifuna ukuba uthathe inxaxheba kwinkqubo yokunciphisa umzimba elawulwa ngugqirha kangangeenyanga ezi-3-6 ngaphambi kokuba uvume utyando. |
| Ukulungiselela ngokwasemzimbeni nangokwengqondo | Olu lutyando olukhulu. Kwaye kuya kufuneka utshintshe ngokupheleleyo indlela ophila ngayo emva kotyando. Ke ngoko, iingcali zesondlo, iingcali zengqondo, kunye nezinye iingcali ziya kujonga ukuba ukulungele na ngokwasemzimbeni nangokwengqondo oku. |
Eyona nto ibalulekileyo kukuba ugqirha wakho uza kwenza isigqibo sokugqibela sokuba olu tyando lukulungele na. Ngoko thetha naye ngokukhululekileyo ngale nto.
Zeziphi ezinye izifo ezinokunyangwa ngolu tyando?
Utyando lwesisu olunemikhono alupheleli nje ekunyangeni ukutyeba kakhulu, kodwa lukwanceda nakwezinye izifo ezininzi ezinxulumene noko. Ezinye izifo zinokunyangeka ngokupheleleyo.
- Ukumelana ne-insulin kunye nesifo seswekile sohlobo lwesibini
- Uxinzelelo lwegazi kunye nezifo zentliziyo ezinxulumene noko
- I-cholesterol ephezulu egazini (i-Hyperlipidemia) kunye ne-arteriosclerosis
- Isifo sesibindi esinamafutha esinganxilisiyo
- I-Obstructive Sleep Apnea
- Intlungu yamalungu kunye nesifo samathambo (i-Osteoarthritis)
Lwenziwa njani utyando?
Ingcinga ngolu tyando inokuba yinto eyoyikisayo, kodwa ngobuchwepheshe bale mihla, idla ngokwenziwa ngokusikwa okuncinci kakhulu.
Ukulungiselela ngaphambi kotyando
Wakuba ufanelekile utyando, ugqirha wakho uza kukunika ukutya okumanzi kangangeeveki ezimbini. Oku kwenzelwa ukunciphisa amanye amafutha esiswini sakho nasesibindini kwaye wenze utyando lukhuseleke ngakumbi. Awuyi kuvunyelwa ukuba utye okanye usele nantoni na kangangeeyure ezili-12 ngaphambi kotyando. Gcina isisu sakho singenanto kwaphela.
Ngexesha lotyando
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo. Ngoko awuva nto. Ugqirha wenza imingxunya embalwa emincinci (malunga ne-1-2 cm) esiswini sakho aze afake ikhamera (i-laparoscope) kunye nezixhobo ezincinci. Olu tyando lwenziwa ngelixa ujonga imifanekiso evela kule khamera kwiscreen. Le ndlela ibizwa ngokuba lutyando lwe-laparoscopic . Ekubeni isisu singanqunyulwanga kakhulu, ixesha lokuchacha lifutshane kwaye iintlungu zincinci. Emva koko, njengoko bekutshiwo ngaphambili, inxalenye engafunekiyo yesisu iyahlulwa kwaye isuswe nge-stapler yotyando. Lonke utyando luthatha malunga neyure eyi-1-1.5.
Ziziphi iingenelo kunye neengozi ezinokubakho?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa xa kuthelekiswa nezifo ezibangelwa kukutyeba kakhulu, iingozi zolu tyando ziphantsi kakhulu.
| Iingenelo | Iingozi kunye neengxaki |
|---|---|
| Kulula, kuyakhawuleza, kwaye kukhuselekile kunezinye iindlela zotyando lokunciphisa umzimba. | Iingozi zexesha elifutshane: Ukopha, usulelo, iimpendulo kwi-anesthesia, kunye nokuvuza okuvela ekusikweni kwesisu (kunqabile kakhulu). |
| Ekubeni kungekho tshintsho lwenziwayo emathunjini, umngcipheko wokungondleki kakuhle kwesondlo kwixesha elide uphantsi. | Iingxaki ezihlala ixesha elide: ukunqongophala kokutya (okufuna ukongezwa kweevithamini ubomi bonke), i-gastroesophageal reflux, amatye enyongo (okunokufuna i-cholecystectomy). |
| Inika ukwehla kobunzima obuhle kakhulu kunye neenzuzo ezininzi zempilo. | Izicwili zesikhumba zinciphisa isisu kwaye zenze kube nzima ukuba ukutya kudlule (kunokubangela isicaphucaphu nokuhlanza). |
Ubomi bunjani emva kotyando?
Kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini emva kotyando. Kungathatha malunga nenyanga ukuba uphile ngokupheleleyo kwaye ubuyele emsebenzini.
Ukutya
Iiveki zokuqala ezimbalwa ziya kuchitha ukutya okumanzi nokucoliweyo `(ukutya okuthambileyo)`. Kancinci kancinci, uya kuqhelana nokutya okuqinileyo okuqhelekileyo. Kodwa awuyi kukwazi ukutya njengangaphambili . Kufuneka ufumane isondlo esiphezulu ekutyeni okutyayo. Ke ngoko , kuya kufuneka uthathe iivithamini kunye nezongezo zesondlo ubomi bakho bonke. Ugqirha wakho kunye nengcali yesondlo baya kukwazisa ngale nto.
Ukwehla kobunzima okulindelekileyo
Ngokwesiqhelo, ungalahlekelwa malunga ne -25% - 30% yobunzima bomzimba wakho uphela kunyaka wokuqala okanye emibini. Khawuthelekelele ukuba ubunzima bakho buyi-120 kg. Emva koko ungalahlekelwa malunga ne-30-36 kg. Oku kuxhomekeke kwindlela ophila ngayo emva kotyando.
Umyalezo Wokuya Ekhaya
- Utyando lwesisu olunemikhono lutshintsho olukhulu, olungenakuphikiswa, noluhlala luhleli. Asingomdlalo lo.
- Esi sisixhobo nje sokukunceda unciphise umzimba. Emva kotyando, kufuneka uzibophelele ekutyeni nasekuzilolongeni ubomi bakho bonke.
- Utyando lunokulawula okanye lunyange izifo ezininzi ezinxulumene nokutyeba kakhulu, ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu.
- Ngaphambi kokuba wenze naziphi na izigqibo, thetha nogqirha wakho ngokupheleleyo malunga neenzuzo, iingxaki, iingozi, kunye nobomi emva kotyando, kwaye ubuze yonke imibuzo yakho.
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