Ngaba ubunzima bomntwana wakho buyakhula kwaye bube yingxaki enkulu kwimpilo yakhe? Ngamanye amaxesha, ukuzilolonga nokulawula ukutya kwakhe kukodwa kusenokunganeli. Ingakumbi xa kufikwa ekutyebeni kakhulu, kwandisa umngcipheko wokuba umntwana ahlupheke zizifo ezininzi ezinzulu ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu . Kwiimeko ezinjalo, oogqirha bacinga ngotyando lokunciphisa umzimba. Nangona igama lisenokuvakala lisoyikisa, kubaluleke kakhulu ukuba sikuqonde ngokupheleleyo oku.
Yintoni kanye kanye le nto kuthiwa lutyando lokunciphisa umzimba (Bariatric Surgery)?
Ngamafutshane, le yindlela yotyando enceda ulutsha kunye nabantu abadala abaselula ukuba balawule iingxaki zempilo ezibangelwa kukutyeba kakhulu baze bafumane ubunzima obusempilweni. Ayisusi amafutha emzimbeni. Endaweni yoko, itshintsha indlela umzimba ofunxa ngayo iikhalori kunye namandla avela ekutyeni okutyiwa ngumntwana.
Khawucinge nje, oku kunciphisa ubukhulu besisu. Emva koko, kutyiwa ukutya okuncinci, kwaye kuvakala imvakalelo yokugcwala. Kwezinye iintlobo zotyando, indlela yokutya nayo itshintshwa kancinci. Ngenxa yoku, ayizizo zonke iikhalori ekutyeni ezifunxwa ngumzimba. Oku akuyonto eyenziwa ngeenjongo zokuhombisa konke konke. Oogqirha bacebisa into efana nale kuphela ukuba ubunzima bomntwana bubangela iingxaki zempilo kangangokuba busongela ubomi bakhe.
Ufanele uzilungiselele njani ngaphambi kotyando?
Oku akuyonto inokwenziwa ngaxeshanye. Ekubeni esi sisigqibo esikhulu, umntwana ukulungele kangangeenyanga ngaphambi kotyando. Ugqirha uza kukuxilonga kakuhle aze enze uthotho lweemvavanyo ukuze abone ukuba umntwana ufanelekile na kolu tyando.
Eyona nto ibalulekileyo kukuba le yimizamo yeqela. Olu hambo lufuna inkxaso yomntu wonke: ugqirha wotyando, ugqirha wabantwana, ingcali yesondlo, ingcali yezengqondo, kunye nengcali yezonyango zomzimba.
Nazi ezinye zeemvavanyo eziphambili ekufuneka zenziwe ngaphambi kotyando:
| Uhlobo lovavanyo | Ujonge ntoni nje? |
|---|---|
| Uvavanyo lwegazi |
|
| Ezinye iimvavanyo |
|
| Iingcebiso | Kufuneka kudityanwe nomcebisi ukuze alungiselele umntwana olu tshintsho lukhulu engqondweni nangokweemvakalelo. Bafanele badibane nogqirha wezondlo kunye nengcali yokuzilolonga ukuze benze isicwangciso sendlela yokuphila emva kotyando. |
Kwenzeka ntoni ngokwenene ngexesha lotyando?
Kukho iintlobo ezimbini eziphambili zotyando ezicetyiswayo kubantwana abancinci. Zombini zenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba umntwana akayi kuva ntlungu.
| Uhlobo lotyando | Okwenzekayo kulula. |
|---|---|
| Utyando lweMikhono yeSisu / Utyando lweMikhono yeSisu | Kule nkqubo, ugqirha ususa inxalenye enkulu yesisu aze enze umkhono, ofana nebhanana. Isisu esitsha sincinci kakhulu, nto leyo ethintela ukutya onokukutya. Ikwanciphisa ukuveliswa kweehomoni ezivuselela indlala. |
| Utyando lweSisu (I-Gastric Bypass / Roux-en-Y Gastric Bypass) | Kule nkqubo, isisu sahlulwe sibe ziinxalenye ezimbini kwaye kwenziwa ingxowa encinci ngaphezulu. Emva koko ingxowa iqhagamshelwe ngqo emathunjini amancinci. Oku kudlula inxalenye enkulu yesisu kunye nenxalenye yokuqala yamathumbu amancinci. Oku kunciphisa ubungakanani bokutya okutyayo kwaye kunciphisa ubungakanani beekhalori kunye nezondlo ezifunxwa ngumzimba wakho. |
Olu tyando ludla ngokuthatha iiyure ezimbalwa, aze umntwana abekwe esweni kwigumbi lokunyamekela abagula kakhulu ade avuke emva kokufumana i-anesthesia.
Iphumelela kangakanani le nto? Ayinabungozi?
Impumelelo
Olu tyando lunokuphumelela kakhulu. Kodwa alungomlingo. Olu tyando sisixhobo nje sokukunceda. Ukuze uphumelele ixesha elide, kufuneka unamathele kukutya okunempilo kunye nenkqubo yokuzilolonga . Izifundo zibonise ukuba malunga nama-60% abantu abaselula abenza olu tyando balahlekelwa yi-20% okanye ngaphezulu yobunzima bomzimba wabo kwaye balondoloze loo bunzima ubuncinane iminyaka emi-5.
Iingozi
Njengalo naluphi na utyando, olu luneengozi ezithile.
- Usulelo.
- Ukopha.
- Amahlwili egazi.
- Ukunganyamezelani ne-anesthesia.
Ukongeza, kunokubakho iingxaki ezithile kulo tyando, njengoko umzimba uthatha ixesha ukuqhelana nale ndlela intsha yokutya.
- Ukuphelelwa ngamanzi emzimbeni: Kufuneka ulumke kakhulu malunga nobungakanani bamanzi owaselayo.
- Ukunqongophala kwezondlo: Ngenxa yokuba umzimba awukwazi ukufunxa izondlo, unokufuna ukuthatha izongezo zeevithamini kunye neeminerali ubomi bakho bonke. Ugqirha wakho uza kukunika iingcebiso ngale nto.
- Isicaphucaphu nokuhlanza: Le meko inokwenzeka ukuba utya ukutya okuninzi ngaxeshanye.
- Isitshiso sentliziyo.
- Ubunzima bamathambo obuphantsi.
- Inqanaba leswekile egazini eliphantsi (iswekile egazini eliphantsi).
Ukuba unemibuzo ngayo nayiphi na kwezi zinto, kufuneka uthethe nogqirha wakho ngoko nangoko.
Kuthatha ixesha elingakanani ukuphiliswa?
Kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini emva kotyando. Uza kuqala ngokutya okumanzi. Emva koko kancinci kancinci uye ekutyeni okucoliweyo, uze emva koko uye ekutyeni okuqinileyo okuqhelekileyo. Le nkqubo ingathatha malunga neeveki ezi-6.
Ngokwesiqhelo ungabuyela esikolweni emva kweeveki ezimbini. Nangona kunjalo, awuyi kuvunyelwa ukwenza izinto ezifana nemidlalo okanye ukuphakamisa iintsimbi kangangenyanga. Kuya kufuneka unciphise imisebenzi yomzimba ude uphile ngokupheleleyo. Uya kucetyiswa nokuba uphephe ukukhulelwa ubuncinane iinyanga ezili-18 emva kolu tyando.
Olu hambo lude. Kubalulekile ukuqhubeka ubona ugqirha wakho, ingcali yesondlo, kunye nomcebisi ukuze akunike iingcebiso. Emva kokuba unciphise umzimba kakhulu, ungacinga ngotyando olongezelelweyo ukuze ususe ulusu olugqithisileyo.
Umyalezo Wokuya Ekhaya
- Utyando lokunciphisa umzimba kubantwana abancinci sisigqibo esibalulekileyo sezonyango esiqwalaselwa kuphela ngabantwana abaneengxaki zempilo ezinzulu ngenxa yokutyeba kakhulu .
- Olu asilotyando lobuhle, kodwa lwenziwa ngenjongo yokuphucula impilo yomntwana iyonke.
- Utyando sisixhobo esinye nje kwindlela eya empumelelweni. Ukutya okunempilo kunye nokuzilolonga kubalulekile ukuze uphumelele ixesha elide.
- Le nkqubo ngokuqinisekileyo ifuna inkxaso yeqela eliquka oogqirha botyando, oogqirha babantwana, iingcali zesondlo, kunye neengcali zengqondo.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho kwaye ulandele rhoqo , nokuba sele utyando. Ukuba uhlangabezana neengxaki, yazisa ugqirha wakho ngoko nangoko.
Utyando, ukunciphisa umzimba, ukutyeba kakhulu, abantwana abancinci, utyando lwe-bariatric, i-gastric sleeve, i-gastric bypass, impilo yolutsha
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