Ngaba nawe ungumntu onengxaki enkulu yokutyeba kakhulu, okanye njengoko oogqirha bebiza njalo, utyebile kakhulu? Mhlawumbi awenzanga nto ukunciphisa umzimba. Uzame ukutya okuhlukeneyo, wenza umthambo kangangeeyure ezininzi... kodwa awukafumani ziphumo uzifunayo? Ngamaxesha anje abanye oogqirha bathetha ngeentlobo ezikhethekileyo zotyando lokunciphisa umzimba, oko kukuthi, 'utyando lwe-bariatric'. Olunye lolo tyando lutyando lwe-gastric band esithetha ngalo namhlanje.
Yintoni utyando lweSisu (iLap-Band)?
Ngamafutshane, esi sisixhobo esincinci esifakwa emzimbeni wakho ngotyando. Sisetyenziselwa ukunceda abantu abatyebe kakhulu ukuba banciphise umzimba. Olu luhlobo lotyando lokunciphisa umzimba. Lunciphisa ukutya onokukutya ngexesha elinye.
Khawucinge nje, ngokungafaniyo nezinye iindlela zotyando lokunciphisa umzimba, isisu asinqunyulwa ngokusisigxina okanye amathumbu ayatshintshwa. Endaweni yoko, kubekwa ibhendi encinci ejikeleze inxalenye ephezulu yesisu. Oku sikubiza ngokuba yibhendi yesisu. Uhlobo oluphambili olusetyenziswa ngoku kumazwe afana ne-United States ligama lophawu `(Lap-Band). Yiyo loo nto olu tyando lukwabizwa ngokuba yi-`Lap-Band` surgery.
Isebenza njani le gastric band?
Kulula kakhulu. Le bhendi yenziwe nge-silicone ethambileyo kakhulu. Ifana netyhubhu evuthelwayo. Ugqirha uyibeka phezulu kwesisu sakho, yenze indandatho.
Ngoku, le ring inetyhubhu encinci eqhotyoshelwe kuyo. Loo tyhubhu iphelela kwindawo encinci phantsi kolusu lwakho. Siyibiza ngokuba yi "port." Ugqirha wakho angasebenzisa inaliti kule "port" ukufaka ulwelo lwetyuwa ukuqinisa okanye ukukhulula i-band. Xa i-band iqinisiwe, indlela ephakathi kweendawo eziphezulu nezisezantsi zesisu sakho iyancipha.
Ngoku cinga ngento eyenzekayo xa usitya. Ukutya kuqala kuzalisa loo ndawo incinci phezulu kwesisu sakho. Ngenxa yokuba incinci, uziva uhluthi ngokukhawuleza, nokuba utya kancinci . Ngumgaqo osisiseko emva kwayo. Uziva ulambile kancinci, utya kancinci, kwaye ngokuhamba kwexesha, unciphisa umzimba.
Ngubani ofanelekileyo kolu tyando?
Ngokwesiqhelo, utyando lokunciphisa umzimba lwenziwa kubantu abatyebe kakhulu nabahlushwa zezinye izifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu, kwaye abaye bazama zonke ezinye iindlela (ukutya, umthambo) kodwa abakwazanga ukunciphisa umzimba.
Ugqirha wakho usenokuba ukuxelele ngotyando lweLap-Band, ingakumbi ukuba ufuna isisombululo esingangenisi ntsholongwane nesihlala sihleli kunezinye iindlela zotyando. Oku kungenxa yokuba alusiki isisu okanye lutshintshe amathumbu. Ibhendi ingasuswa nangaliphi na ixesha.
Kodwa kukho into enye ebalulekileyo ekufuneka uyikhumbule.
Xa kuthelekiswa nezinye iindlela zotyando lokunciphisa umzimba, ubungakanani bobunzima obulahlekayo ngeLap-Band buncinci kakhulu. Kwakhona, emva kotyando, ingakumbi kunyaka wokuqala, kuya kufuneka ubone ugqirha wakho rhoqo ukuze ulungise ukuqina kwebhendi.
Ngenxa yezi zizathu, oogqirha abaninzi namhlanje bajika baye kwezinye iindlela zotyando ezifana ne-sleeve gastrectomy kunye ne-roux-en-Y gastric bypass.
| Iingenelo | Iingxaki |
|---|---|
| Iingxaki ezikhawulezileyo emva kotyando azixhaphakanga. | Ukunciphisa umzimba kuncinci kunezinye iindlela zotyando. |
| Isisu okanye amathumbu awanqunyulwa. | Kufuneka ubone ugqirha rhoqo ukuze ibhande lilungiswe. |
| Ibhendi ingasuswa kwakhona ukuba kuyimfuneko. | Umngcipheko weengxaki uba phezulu ekuhambeni kwexesha. |
Ungakanani ubunzima onokubunciphisa ngeLap-Band?
Ngokwesiqhelo, ungalahlekelwa malunga ne-40% yobunzima bakho obugqithisileyo kwiminyaka emibini emva kokuba ne-`Lap-Band`. Khawuthelekelele ukuba ungaphezulu ngeekhilogram ezingama-50 kunobunzima obufanelekileyo. Emva koko ungalahlekelwa malunga neekhilogram ezingama-20. Kodwa oku kuyahluka kumntu nomntu. Isiphumo sixhomekeke ekubeni uyitshintsha kangakanani indlela ophila ngayo kunye nemikhwa yokutya emva kotyando.
Ngaba oku kuyanceda nakwizifo ezibangelwa kukutyeba kakhulu?
Ewe ngokwenene! Ukunciphisa umzimba kunokubonelela ngoncedo olukhulu kwizifo ezininzi ezibangelwa kukutyeba kakhulu. Umzekelo:
- I-cholesterol ephezulu
- Igazi elonyukayo
- Isifo sentliziyo
- Uhlobo lwesibini lweswekile
- Ukuphazamiseka kokulala
- Isifo sesibindi esinamafutha esinganxulunyaniswanga notywala
Nangona kunjalo, ngokungafaniyo nezinye iindlela zotyando lokunciphisa umzimba, oku akunampembelelo ingako kwimetabolism yomzimba okanye kwiihomoni. Yindlela yokutya ethintelayo ngokupheleleyo.
Yintoni efunekayo ukuze ufanelekele utyando?
Ugqirha wakho angakuxelela ngolu hlobo lotyando kwezi meko zilandelayo:
- Ukuba i-BMI yakho ingama-40 nangaphezulu, i-`BMI (Body Mass Index)` sisalathisi esilinganisa ukuba ubunzima bakho bufanelekile na ngokwebude bakho. I-BMI engaphezulu kwama-40 ithetha ukuba usemngciphekweni omkhulu wokufumana izifo ngenxa yokutyeba kakhulu.
- Ukuba i-BMI yakho ingaphezulu kwama-35 kwaye unesifo esinxulumene nokutyeba kakhulu (umz. isifo seswekile, uxinzelelo lwegazi oluphezulu).
Ukongeza, kuya kufuneka wenze uvavanyo lwezonyango oluninzi ukuze kubonwe ukuba usempilweni ngokwaneleyo na ukuba ungatyandwa. Oku kungabandakanya uvavanyo lwegazi kunye nokuhlolwa kwesisu. Ukuba utshaya okanye usela utywala kakhulu, kuya kufuneka uyeke ukwenza oko ngaphambi kokuba ufanelekele utyando.
Ingaba olu lutyando olukhulu?
Le yingxaki enxulumeneyo. Kodwa xa kuthelekiswa nezinye iintlobo zotyando ezinkulu, ixesha elithathwayo ukwenza olu tyando kunye nexesha lokuchacha lifutshane kakhulu. Kuba, kule mihla, olu tyando ludla ngokwenziwa njengotyando lwe-keyhole (utyando lwe-laparoscopic) .
Oku kuthetha ukuba endaweni yokusika isisu, lonke utyando lwenziwa ngokusika nje okuncinci, kufakwa ikhamera, kunye nezixhobo ezikhethekileyo. Oku kubangela ukuba iintlungu zingabi ninzi, ixesha lokuphola lingancinci, kwaye amanxeba anganciphi kakhulu.
Kwenzeka ntoni ngexesha lotyando?
Makhe sijonge inyathelo ngenyathelo indlela olu tyando olwenziwa ngayo:
1. Okokuqala, uza kunikwa i-anesthesia eqhelekileyo. Ngoko awuyi kuva nto ngexesha lotyando, uza kube ulele.
2. Emva koko ugqirha wenza umngxuma omncinci esiswini sakho. Kufakwa ipompo encinci nge-incision kwaye umngxuma wesisu uzaliswe yigesi yekhabhoni diokside. Oku kuvumela amalungu omzimba ukuba abonakale ngokucacileyo kwaye kuvumela utyando.
3. Okulandelayo, kufakwa ikhamera encinci (i-laparoscope) ngomngxuma ofanayo. Imifanekiso evela kule khamera iboniswa kwisikrini esikhulu.
4. Ugqirha wenza eminye imingxunya emincinci aze afake izixhobo ezinde nezincinci ngayo esiswini.
5. Emva koko i-gastric band ibekwa ijikeleze inxalenye ephezulu yesisu ize iqiniswe ukuze kwenziwe ingxowa encinci. Isisu sakho ngoku sijongeka njenge-hourglass. Kukho inxalenye encinci phezulu nenxalenye enkulu ezantsi.
6. Njengoko besitshilo ngaphambili, ityhubhu eqhagamshelwe kule band iqhagamshelwe kwi-'port' engaphantsi kwesikhumba.
7. Emva kokuba yonke into isendaweni yayo, igesi iyasuswa esiswini kwaye imingxunya emincinci iyathungwa.
Lonke eli xesha lithatha imizuzu engama-30 ukuya kwengama-60 kuphela.
Ukutya nokusela njani emva kotyando?
Oku kubaluleke kakhulu. Ugqirha wakho uza kukunika imiyalelo ekhethekileyo yokutya. Kuya kufuneka unamathele ekutyeni okumanzi kwiiveki ezimbalwa zokuqala de isisu sakho siphole. Emva koko uya kuqhubeka kancinci kancinci uye ekutyeni okucoliweyo, ukutya okuthambileyo, kwaye ekugqibeleni, ukutya okuqinileyo.
Xa uqala ukutya ukutya okuqinileyo kwakhona, kufuneka uqhele ukutya kancinci kakhulu . Kuba inxalenye ephezulu yesisu sakho ngoku incinci kakhulu. Ukutya kakhulu kunokubangela isicaphucaphu nokuhlanza. Kwakhona, kufuneka uqhele ukukhetha ukutya okusemgangathweni nokuhlafuna ukutya kwakho kakuhle ukuze umzimba wakho ufumane izondlo ozifunayo.
Zithini iziphumo ebezingalindelekanga kunye neengxaki ezinokubakho?
Njengalo naluphi na utyando, kukho iingozi kunye neengxaki ezinokubakho. Kubalulekile ukuzazi ezi zinto kwangethuba.
| Ingxaki/isiphumo esibi | Inkcazo kunye noko kufuneka ukwazi |
|---|---|
| Isicaphucaphu nokuhlanza | Oku kuqhelekile kwiintsuku zokuqala emva kotyando. Oku kuya kuncipha njengoko uqhele ukutya kancinci kwaye uhlafuna kakuhle. |
| Ukuqhinwa | Oku kunokwenzeka kuba kunzima ukusela amanzi aneleyo. Kubalulekile ukusela amanzi kancinci kancinci imini yonke, kunokuba uwasele ngexesha lokutya. |
| Ubunzima bokuginya | Ngamanye amaxesha kunokuba nzima ukuginya ukutya. Oku kunokulungiswa ngokukhulula ibhendi uze utye. Kungenjalo, xelela ugqirha wakho. |
| I-Gastroesophageal Reflux (GERD) | Oku kubhekisa kwiintlungu zesifuba. Oku kunokwenzeka xa ibhendi iqinile kakhulu. Oku kunokuncipha xa ibhendi ikhululiwe, kodwa oku kunokuchaphazela ukwehla kobunzima. |
| Iingxaki zezibuko | `I-port` engaphantsi kwesikhumba inokuhamba, ijike ijonge ezantsi, ivuze ulwelo, okanye yosulelwe. Oku kufuna utyando oluncinci. |
| Ukuthintela | Ukutya kunokubhajwa ukusuka phezulu kwesisu sakho ukuya ezantsi. Emva koko awuyi kukwazi ukutya. Ugqirha wakho angayikhulula ibhendi aze ayisuse. |
| Ukutyibilika kwebhendi | Ibhendi ingaphuma endaweni yayo. Ukuba oku kuyenzeka, ukwehla kobunzima kunokuphela. Nangona kunjalo, ukuba oku kwenzeka ngequbuliso, izicwili zesisu zingafa (i-stomach necrosis). Le yingxamiseko. Kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. |
| Ukukhukuliseka kwebhendi | Ekuhambeni kwexesha, ibhendi inokukhuhla udonga lwesisu ize ityhale isisu. Emva koko ibhendi ayizukusebenza kwaye inokubangela usulelo. Ngeli xesha, ibhendi kuya kufuneka isuswe. |
Ihlala ixesha elingakanani le Lap-Band?
Eli qela lenzelwe ukuhlala ubomi bonke, kodwa akukabonakali ukuba liza kuhlala ubomi bonke. Uphando lubonise ukuba phakathi kwama-35% nama-40% abantu bayalisusa eli qela emva kweminyaka eli-10.
Kunokubakho izizathu ezininzi zokususa ibhendi.
- Ukunganciphisi umzimba ngokwaneleyo.
- Iingxaki ezinje ngokuvuleka komqala.
- Intlungu ebuhlungu esifubeni.
- Iintsholongwane.
- Ibhendi iyatyibilika.
- Ukudlula kwesisu ngebhendi.
- Ityhefu yokutya.
Abanye abantu ekugqibeleni bayayisusa le band baze baqhubeke notyando oluhlala luhleli lokunciphisa umzimba oluneziphumo ezingcono.
Yintoni enokulindelwa kwixesha elizayo?
Naluphi na utyando lokunciphisa umzimba luxanduva olukhulu. Kufuneka uqwalasele ngononophelo izinto ezilungileyo nezingalunganga. Utyando lwebhendi yesisu alunamahluko.
Oku kungabonakala ngathi sisigqibo esilula ekuqaleni, kuba akubandakanyi ukusika amalungu omzimba afana nolunye utyando kwaye kunokususwa ukuba kuyimfuneko. Kodwa kufuneka ukhumbule ukuba kuya kufuneka ubone ugqirha wakho rhoqo, ulungise ibhandeji, kwaye mhlawumbi kuya kufuneka uphinde utyando kamva. Kuya kufuneka utshintshe nendlela otya ngayo ubomi bakho bonke .
Kwabanye abantu, eli lelona nyathelo likhulu abalidingayo ukuze benze utshintsho olukhulu ebomini babo, banciphise umzimba, baze baphile ubomi obusempilweni. Kwabanye, basenokungakwazi ukunciphisa umzimba ngokwaneleyo, okanye basenokuwuphinda bawufumane. Ukuba oko kuyenzeka, khumbula ukuba unezinye iindlela zonyango. Thetha nogqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- Utyando lwebhendi yesisu yindlela engeyiyo eyonzakalisayo kunezinye iindlela zokunciphisa ubunzima, kodwa ikwakhokelela ekunciphiseni ubunzima.
- Oku akusiyo "imilingo." Sisixhobo nje sokukunceda kuhambo lwakho lokunciphisa umzimba. Kufuna ukuzibophelela okukhulu ukutshintsha indlela otya ngayo nendlela ophila ngayo ubomi bakho bonke.
- Emva kotyando, ingakumbi kunyaka wokuqala, kubalulekile ukubona ugqirha wakho rhoqo ukuze ulungise ibhendi.
- Qaphela iingxaki ezinokuthi zivele ixesha elide. Xoxa nogqirha wakho ngazo zonke ezi zinto ngaphambi kotyando.
- Olu tyando alufanelekanga kuye wonke umntu. Ugqirha wakho uya kugqiba ukuba lukulungele na emva kovavanyo olucokisekileyo.
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