Ngaba unengxaki yesifo seswekile sohlobo lwesibini kwaye unengxaki yokulawula ubunzima bakho? Nokuba usela amayeza, ukulawula ukutya kwakho, kunye nokuzilolonga kusenokungabi naziphumo ezifunekayo rhoqo. Kodwa ubusazi na ukuba kwabanye abantu, kukho indlela enamandla engasetyenziswa njengesisombululo esinye kwezi ngxaki zombini? Oko kukutyanda ukunciphisa umzimba. Oku kukwabizwa ngokuba yiBariatric Surgery. Kweli nqaku, siza kuthetha ngendlela olu tyando olunokulawula ngayo isifo seswekile kunye nokuba lufanelekile na kuwe.
Ingaba oku kuyasebenza ngokwenene? Luthini uphando?
Ewe, le yindlela ephumelele kakhulu. Kwabanye abantu, amanqanaba eswekile egazini labo abuyela esiqhelweni emva kolu tyando. Oku kuthetha ukuba isifo sabo seswekile siphelile ngokupheleleyo. Emva koko unokukwazi ukunciphisa inani lamayeza owaselayo, okanye uyeke ukuwasela ngokupheleleyo.
Uphononongo olukhulu ngalo mba lufumanise into emangalisayo kakhulu. Olu phononongo lubandakanye abantu abangama-400 abanesifo seswekile sohlobo lwesibini. Emva kweminyaka emithandathu benziwe utyando lwe-bariatric, ama-62% abo batyandiweyo babengenazo iimpawu zesifo seswekile. Akunjalo nje kuphela, kodwa amanqanaba abo oxinzelelo lwegazi oluphezulu kunye ne-cholesterol nawo aphucuke kakhulu.
Khawucinge nje, liqela elincinci labantu, phakathi kwe-6% ne-8%, abasebenzise amayeza kuphela hayi utyando, abaye bafumana iziphumo ezintle kangaka. Ngaba oku akubonisi ukuba olu tyando lunamandla kangakanani?
Ingaba olu tyando lufanelekile kum?
Ngaphambi kokuba ucinge ngale nto, ugqirha wakho uza kuqala aqwalasele ezi zinto:
- Ingaba i-BMI yakho ingaphezulu kwama-30? (I-BMI imele i-Body Mass Index. Yindlela yokulinganisa ukuba ubunzima bakho bufanelekile na ngokweenqanaba lakho.)
- Ngaba une-Type 2 Diabetes okanye i-Metabolic Syndrome?
- Ngaba ukhe wazama iindlela ezahlukeneyo zokunciphisa umzimba ngaphambili kodwa awukwazanga ukuzigcina uphilile?
Ukuba impendulo yale mibuzo ithi 'ewe', ugqirha uya kwenza uvavanyo olupheleleyo ukuze abone ukuba ukulungele na ngokwasemzimbeni nangokwengqondo olu tyando. Kuba oku akuyonto inokwenziwa ngotyando olunye kuphela. Kukwabaluleke kakhulu ukumisela ukuba ukulungele na ukuzibophelela ekutshintsheni ngokupheleleyo indlela otya ngayo kunye nokuzilolonga ubomi bakho bonke.
Kwakhona, ukuba unezinye izifo, ezifana nesifo sentliziyo, kuya kufuneka ufumane imvume kwingcali yakho yolu tyando.
Ziziphi ezi ntlobo zotyando?
Kukho iintlobo ezahlukeneyo zotyando lokunciphisa umzimba. Ezinye iindlela zotyando zinciphisa ubukhulu besisu sakho, zikuvumela ukuba utye kancinci. Ezinye zitshintsha indlela umzimba wakho ofunxa ngayo iikhalori kunye nezondlo ekutyeni. Kukwakho notyando oludibanisa zombini ezi ndlela.
Makhe sijonge iintlobo eziphambili zotyando kunye nezinto ezilungileyo nezingalunganga ngazo.
| Uhlobo lotyando | Iingenelo | Iingxaki |
|---|---|---|
| I-Gastric Bypass Kwenziwa isikhwama esincinci esivela kwinxalenye ephezulu yesisu size sidityaniswe ngqo namathumbu amancinci. Ukutya kuyadlula uninzi lwesisu. | - Malunga nama-80% ezigulane ziyasinda kwisifo seswekile. - Malunga ne-60% - 80% yobunzima obungaphezulu buyancipha. | - Ukufunxwa kweevithamini kunye neeminerali emzimbeni kuyancipha. - Ayinakuguqulwa. - I-Dumping Syndrome (ukungonwabi okubangelwa kukungena kokutya ngokukhawuleza kakhulu emathunjini amancinci) kunokwenzeka. |
| Isandla Sesisu Malunga ne-80% yesisu iyasuswa, ishiye isisu esincinci esimile okwebhanana. | - Ngaphezulu kwama-60% ezigulane ziyasinda kwisifo seswekile. - Yehlisa ubunzima obugqithisileyo malunga ne-50%. - I-Ghrelin, i-hormone ebangela indlala, iyancipha. | - Ayinakuguqulwa. - Ukufunxwa kweevithamini kunye neeminerali kungancitshiswa. |
| Ibhendi Yesisu (Ibhendi Yesisu Ehlengahlengiswayo) Ibhendi efuthwayo ibekwa ijikeleze inxalenye ephezulu yesisu, nto leyo eyenza ingxowa encinci. | - Akukho kusikwa kwesisu okanye ukuguqulwa kwamathumbu. - Iziphumo ebezingalindelekanga ezimbalwa. - Umtya ungalungiswa okanye ususwe ukuba kuyimfuneko. | - Ukunciphisa umzimba kuncinci kunezinye iindlela (40%-50%). - Iingxaki ezinje ngokutyibilika kwebhanti zisenokufuna utyando kwakhona. |
| Ukuphambuka kweBiliopancreatic ngeDuodenal Switch Utyando oluntsonkothileyo olususa inxalenye enkulu yesisu kwaye lutshintshe indlela ukutya okudlula ngayo kuso. | - Utyando oluphumelele kakhulu lwesifo seswekile. - Malunga ne-60% - 70% yobunzima obungaphezulu buyancipha. | - Olu tyando lunengozi ephezulu yeziphumo ebezingalindelekanga. - Iingxaki zokugaya ukutya kunye nokufunxwa kwezondlo zezona zixhaphakileyo. |
Ezinye iindlela zanamhlanje
Ukongeza kolu tyando luphambili, kukho nezinye iindlela ezininzi.
- Isixhobo Sokufakelwa Umbane: Isixhobo esincinci sombane sifakwa phantsi kwesikhumba esiswini. Oku kulawula umthambo (iVagus Nerve) odibanisa ingqondo nesisu, nto leyo enciphisa indlala.
- Ibhaluni Yesisu: Olu asilotyando. Ibhaluni ifakwa esiswini ngomlomo ize ivuvuke, ngendlela efana ne-endoscopy. Le ingashiywa endaweni yayo kangangeenyanga ezi-6. Ubungakanani bokutya okutyayo buyancipha kuba kunciphisa indawo esiswini. Oku kungokwexeshana kwaye akubizi kakhulu.
Njengalo naluphi na utyando olukhulu, kukho iingozi. Umzekelo, kunokubakho ukopha, usulelo, kunye nokugqobhoka komqala emva kotyando. Yiyo loo nto kubalulekile ukuba ezi nkqubo zenziwe phantsi kweliso logqirha onamava esibhedlele esilungileyo.
Kwenzeka ntoni emva kotyando?
Le yeyona nxalenye ibalulekileyo. Utyando sisiqalo nje sohambo. Ukuze ugcine iziphumo, kuya kufuneka utshintshe indlela ophila ngayo ngonaphakade.
- Imikhwa yokutya: Awusoze ukwazi ukutya ukutya okuninzi njengangaphambili. Kuya kufuneka utye malunga nesiqingatha sekomityi okanye ikomityi enye ngexesha . Kufuneka ubeke phambili ukutya okuneproteni eninzi (intlanzi, inyama engenamafutha amaninzi, iimbotyi, itshizi enamafutha aphantsi, iyogathi) kunye nemifuno.
- Ukuzilolonga: Ukuzilolonga imihla ngemihla kufanele kube ngumkhwa onyanzelekileyo.
- Uncedo lwengcali yesondlo: Ekubeni indlela umzimba wakho ofunxa ngayo izondlo itshintsha emva kotyando, kubalulekile ukufuna iingcebiso zengcali yesondlo. Oku kuya kunceda ukuqinisekisa ukuba ufumana iivithamini kunye neeminerali ozifunayo.
- Ulusu oluwohlokayo: Abanye abantu banokuwohloka kolusu emva kokulahlekelwa bubunzima obukhulu. Ukuba kuyimfuneko, ungacinga ngotyando lweplastiki kamva. Leyo yinkqubo eyahlukileyo.
Umyalezo Wokuya Ekhaya
- Utyando lokunciphisa umzimba lunokuba sisisombululo esisebenzayo nesinamandla kakhulu kwisifo seswekile sohlobo lwesibini kunye nokutyeba kakhulu.
- Oku akusosisombululo sikhawulezileyo. Emva kotyando, kuya kufuneka uzibophelele ekutyeni nasekuzilolongeni ubomi bakho bonke.
- Kukho iintlobo ezahlukeneyo zotyando, nganye ineengenelo, iingxaki kunye neengozi ezahlukeneyo.
- Nokuba oku kulungile kuwe, loluphi uhlobo olufanelekileyo, kunye neengozi zeziphi izinto ekufuneka uzixoxe nogqirha wakho . Ungaze wenze izigqibo ngokusekelwe kumava.
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