Ukutyeba kakhulu, okuthetha ukufumana ubunzima obungaphezulu kunokuba kuyimfuneko, yingxaki abantu abaninzi abajongene nayo namhlanje. Nokuba balawula kangakanani ukutya kwabo nokuzilolonga, abanye abantu bakufumanisa kunzima kakhulu ukunciphisa umzimba. Ngoko ke, ngexesha elinje, abanye abantu kufuneka bacinge ngezisombululo zonyango. Esinye sezo zisombululo lutyando lwebhendi yesisu esithetha ngalo namhlanje. Makhe sibone ukuba yintoni, ifanelekile kubani, kwaye yintoni ekufuneka uyazi ngayo.
Yintoni utyando lwebhendi yesisu?
Ngamafutshane, esi sisixhobo sotyando esifakwa emzimbeni ukunceda abantu abatyebe kakhulu ukuba banciphise umzimba. Le yenye yeentlobo ezahlukeneyo zotyando lokunciphisa umzimba. Kwezonyango, silubiza ngokuba yi-'(utyando lwe-bariatric)'.
Olu tyando lubandakanya ukubeka ibhendi ehlengahlengiswayo ejikeleze isisu sakho. Oku kunciphisa ubungakanani bokutya onokukutya ngexesha elinye. Oku kwahlukile kancinci kuba akusinqumli isisu sibe ngamacandelo ngokusisigxina njengezinye iindlela zotyando. Uhlobo oluphambili lwebhendi yesisu esetyenziswa ngoku kumazwe afana ne-United States yi-`(Lap-Band)`.
Isebenza njani le nto emzimbeni?
Khawuthelekelele indandatho encinci ibekwa phezulu kwesisu sakho. Le bhanti yesisu yenziwe ngohlobo lwe-silicone ethambileyo kakhulu. Ingavuthelwa umoya, oko kuthetha ukuba ingaqiniswa okanye ikhululwe njengoko kufuneka.
Le band iqhagamshelwe kwi "port" encinci, okanye isixhumi, phantsi kwesikhumba ngetyhubhu. Ugqirha wakho angasebenzisa inaliti ukufaka ulwelo lwe-saline kule "port" ukuze alungise ukuqina kweband.
Xa ibhande liqinisiwe, lenza ingxowa encinci kwinxalenye ephezulu yesisu. Xa usitya, le ngxowa izaliswa ngokukhawuleza. Emva koko uzive uhluthi ngokukhawuleza . Ke ngoko, ubungakanani bokutya okutyayo buyehla ngokuzenzekelayo.
Ngubani ofanelekileyo kolu tyando?
Ngokwesiqhelo, utyando lokunciphisa umzimba luqwalaselwa ukuba unezinye iingxaki zempilo ezibangelwa kukutyeba kakhulu kwaye awukwazanga ukunciphisa umzimba ngezinye iindlela (ukutya, umthambo). Ugqirha wakho unokucebisa ukuba ubophe isisu ukuba ufuna ukhetho olungenasithintelo kangako nolungaguqukiyo kunezinye iindlela zotyando.
Ngoku makhe sijonge ezinye zeengenelo kunye neengxaki zale nto.
| Iingenelo | Iingxaki |
|---|---|
| Iingxaki emva kotyando zimbalwa kunezinye iintlobo zotyando. | Awunakulindela ukwehla kobunzima njengoko kunjalo ngezinye iindlela zotyando. |
| Isisu okanye amathumbu awanqunyulwa kwaye awahlulwanga. | Kuya kufuneka ubone ugqirha rhoqo ukuze ulungise ibhendi (ingakumbi kunyaka wokuqala). |
| Ukuba kuyimfuneko, le bhendi ingasuswa ngotyando. | Le ndlela ayithandwa kakhulu okwangoku. Kule mihla, abantu abaninzi benza utyando olufana ne-`(sleeve gastrectomy)` okanye `(gastric bypass)`. |
Ungakanani ubunzima onokubunciphisa ngale nto?
Ngokwesiqhelo, ungalahlekelwa malunga ne-40% yobunzima bakho obugqithisileyo kwiminyaka emibini emva kokuba unebhendi yesisu. Masithi ungaphezulu ngobunzima obufanelekileyo ngeekhilogram ezingama-50. Olu tyando lunokubangela ukulahleka kweekhilogram ezingama-20 (40% kwezingama-50).
Nangona kunjalo, ezi ziphumo zinokwahluka kumntu nomntu. Oku kuxhomekeke kakhulu kwindlela otshintsha ngayo indlela ophila ngayo kunye nendlela otya ngayo emva kotyando.
Ngaba oku kuya kunceda kwizifo ezibangelwa kukutyeba kakhulu?
Ewe, ewe. Ukunciphisa umzimba kunokunceda ekulawuleni izifo ezininzi ezibangelwa kukutyeba kakhulu. Umzekelo:
- I-cholesterol ephezulu
- Igazi elonyukayo
- Isifo sentliziyo
- Uhlobo lwesibini lweswekile
- Ukuphazamiseka kokulala
- Isifo sesibindi esinamafutha esinganxulunyaniswanga notywala
Kodwa khumbula, olu tyando luthintela kuphela ubungakanani bokutya okutyayo. Ngokungafaniyo nezinye iindlela zotyando, alunampembelelo ingako kwimetabolism yakho okanye kwiihomoni.
Ndingakufanelekela njani utyando?
Ukuze ugqirha akucebise olu hlobo lotyando, kufuneka ube neemfaneleko ezithile.
| Ukufaneleka | Inkcazo |
|---|---|
| Isalathisi soBunzima boMzimba (i-BMI) | I-Body Mass Index (BMI) yindlela yokulinganisa ukuba ubunzima bakho bufanelekile na ngokweenqanaba lobude bakho. |
| I-BMI engama-40 okanye ngaphezulu | Ukuba i-BMI ingaphezulu kwama-40, umngcipheko wokufumana izifo ezibangelwa kukutyeba kakhulu uphezulu kakhulu. |
| I-BMI engama-35 kunye nesinye isifo | Ukuba i-BMI yakho ingaphezulu kwama-35 kwaye unesinye isifo esinxulumene nokutyeba (njengesifo seswekile okanye uxinzelelo lwegazi oluphezulu). |
Ukongeza, kuya kufuneka wenze uvavanyo lwezonyango oluninzi ukuqinisekisa ukuba usempilweni ngokwaneleyo ukuba ungatyandwa. Ukuba utshaya okanye usebenzisa utywala okanye ezinye iziyobisi, kuya kufuneka uyeke ngokupheleleyo ngaphambi kokuba ufanelekele utyando .
Lwenziwa njani utyando?
Oku kudla ngokwenziwa nge-laparoscopically, oko kuthetha "utyando lwe-keyhole." Lonke olu tyando lwenziwa ngokusikwa okuncinci okumbalwa esiswini, endaweni yokusikwa okukhulu.
1. I-Anesthesia: Okokuqala, uza kunikwa i-anesthesia eqhelekileyo. Ngoko awuyi kuva nto ngexesha lotyando, uza kube ulele.
2. Ukuvuvukala kwesisu: Ugqirha uza kwenza umngxuma omncinci esiswini sakho aze avuthele isisu sakho ngegesi encinci yekhabhoni dayoksayidi. Oku kuya kuvumela amalungu omzimba ukuba abonakale kakuhle aze avumele utyando.
3. Ukufakwa kwekhamera: Emva koko kufakwa i-laparoscope, ityhubhu encinci enekhamera encinci kunye nokukhanya ngaphambili. Utyando lwenziwa ngelixa kubukwa imifanekiso evela kule khamera kwisikrini.
4. Ukubopha: Izixhobo ezifunekayo zifakwa ngokusebenzisa ezinye iindlela ezincinci, kwaye ibhendi yesisu ibekwe ijikeleze inxalenye ephezulu yesisu kwaye iqiniswe. Emva koko isisu siba njengeglasi yeyure.
5. Ukuncamathisela isango: Ityhubhu eqhagamshelwe kule band iziswa phantsi kwesikhumba ize incamathiselwe kwisango. Eli liphantsi kwesikhumba.
6. Ukugqiba: Nje ukuba yonke into ibekwe endaweni yayo, igesi esesiswini iyasuswa kwaye imingxunya emincinci eyenziweyo iyathungwa. Le nkqubo yonke idla ngokuthatha imizuzu engama-30 ukuya kwengama-60 .
Ukutya, ukusela kunye nendlela yokuphila emva kotyando
Ubomi bakho buza kutshintsha kakhulu emva kotyando.
- Ukutya: Kwiiveki ezimbalwa zokuqala, uya kukwazi ukutya izinto ezimanzi kunye nokutya okucoliweyo kuphela. Emva koko, ungaqhubeka kancinci kancinci uye ekutyeni okuthambileyo uze ekugqibeleni utye ukutya okuqinileyo rhoqo. Nangona kunjalo, uya kukwazi ukutya okuncinci kakhulu . Ukutya kakhulu kunokubangela ukuhlanza. Ke ngoko, kubalulekile ukukhetha ukutya okunesondlo, okusemgangathweni kwaye ukuhlafune kakuhle.
- Ingcebiso yezonyango: Kunyaka wokuqala emva kotyando, kuya kufuneka ubone ugqirha wakho rhoqo ukuze ulungise ukuqina kwebhendi. Kuya kufuneka wenze uvavanyo lwegazi ukuqinisekisa ukuba umzimba wakho ufumana izondlo ozifunayo.
Ziziphi iingxaki ezinokubakho kunye nemiphumo emibi?
Njengakwezinye iintlobo zotyando, kukho umngcipheko weengxaki, ezinye zazo ezinokuthi zivele ngokuhamba kwexesha.
| Ingxaki/isiphumo esibi | Ingcaciso elula |
|---|---|
| Isicaphucaphu nokuhlanza | Oku kuqhelekile kwizigaba zokuqala. Oku kuya kuncipha njengoko uqhela ukutya kancinci, uhlafuna kakuhle. |
| Ukuqhinwa | Ingabangelwa kubunzima bokusela amanzi aneleyo. Ukusela amanzi acocekileyo kubaluleke kakhulu. |
| I-Gastroesophageal Reflux (GERD) | Ukuba ibhendi iyaqina kakhulu, inokubangela isitshiso sentliziyo (acid reflux). Ngamanye amaxesha ibhendi kufuneka isuswe. |
| Iingxaki zezibuko | Isango linokuhamba, liphume, livuza ulwelo, okanye losuleleke. Oku kunokufuna utyando oluncinci. |
| Ukutyibilika kwebhendi | Ibhendi ingaphuma endaweni yayo. Oku kunokuchaphazela ukwehla kobunzima. Ngamanye amaxesha, izicwili zesisu zinokufa (i-necrosis), nto leyo edinga utyando olungxamisekileyo. |
| Ukukhukuliseka kwebhendi | Ekuhambeni kwexesha, ibhendi inokonakalisa udonga lwesisu ize idlule kulo. Kwimeko enjalo, ibhendi kuya kufuneka isuswe. |
| Ukunganyamezelani kwebhendi | Imizimba yabanye abantu ayisabela kakuhle kwizinto zangaphandle. Ukuba isicaphucaphu kunye nokungonwabi kuyaqhubeka, ibhande kufuneka lisuswe. |
Lixesha elingakanani eli qela likhona?
Le bhendi yenzelwe ukunxitywa ubomi bonke. Nangona kunjalo, uphando lubonise ukuba malunga ne-35%-40% yabantu kuya kufuneka isuswe le bhendi emva kweminyaka eli-10. Oku kunokuba yimfuneko ngezizathu ezahlukeneyo, njengokunganciphisi ubunzima njengoko bekulindelwe okanye iingxaki. Abanye abantu emva koko baye benze utyando oluhlala luhleli nolusebenzayo ngakumbi lwe-bariatric.
Umyalezo Wokuya Ekhaya
- Utyando lwebhendi yesisu lutyando olwenziwayo ukuze kuncitshiswe ubunzima kwaye lunokutshintshwa kwaye lususwe ukuba kuyimfuneko.
- Oku kunciphisa ubungakanani bokutya okutyayo kwaye kukwenza uzive ugcwele ngokukhawuleza. Akusinqumli okanye kusahlukanise isisu.
- Xa kuthelekiswa nezinye iindlela zotyando zokunciphisa umzimba, olu lubangela ukwehla kobunzima kancinci. Kwakhona, kufuneka ubonane nogqirha rhoqo ukuze ulungise ibhendi.
- Oku kukuzibophelela okukhulu. Kuya kufuneka utshintshe ngokupheleleyo indlela otya ngayo nendlela ophila ngayo emva kotyando.
- Ekuhambeni kwexesha, kukho umngcipheko weengxaki ezinje ngokutyibilika kwebhendi kunye nokonakala kwesisu.
- Ngaphambi kokuba wenze nasiphi na isigqibo, cinga ngale nto.Eyona nto ibalulekileyo kukuthetha nogqirha wakho uze ugqibe ukuba sesiphi isisombululo esifanelekileyo kuwe.
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