Ingabe nawe ungumuntu ohlushwa ukukhuluphala? Ngezinye izikhathi, kungakhathaliseki ukuthi ulawula kangakanani ukudla kwakho nokuzivocavoca, ukwehlisa isisindo kungabonakala njengephupho. Ezimweni ezinjalo, lapho ezinye izindlela zehluleka, sizokhuluma ngesisombululo esikhethekile odokotela abasincomayo namuhla. Lokho ukuhlinzwa kokunciphisa isisindo, noma ngokwezokwelapha, ukuhlinzwa kwe-Bariatric.
Kuyini lokhu kuhlinzwa kokunciphisa isisindo (i-Bariatric Surgery)?
Kalula nje, lolu uhlobo lokuhlinzwa olwenziwa ukusiza abantu abakhuluphele kakhulu ukuba banciphise isisindo. Udokotela wakho angancoma lolu hlobo lokuhlinzwa kuphela uma uke wazama ezinye izindlela zokunciphisa isisindo futhi uma ukukhuluphala kwakho kubeka engcupheni impilo yakho kunokuhlinzwa.
Lokhu kuhlinzwa kuhilela ukwenza izinguquko ohlelweni lwakho lokugaya ukudla . Ngokuvamile, kuhilela isisu futhi ngezinye izikhathi amathumbu amancane. Lokhu kwenza izinto ezimbili eziyinhloko:
1. Nciphisa inani lokudla ongakudla ngesikhathi esisodwa.
2. Kunciphisa inani lama-calories amuncwa ngumzimba.
Ngaphezu kwalokho, lokhu kuhlinzwa kungalawula ngisho nezimpawu zendlala ezitshela ubuchopho bakho ukuthi ulambile. Kodwa lokhu akuyona ikhambi elisheshayo "elimangalisayo". Ukuze lokhu kuhlinzwa kuphumelele, kudinga ukulungiselela okuhle kusengaphambili, kanye nezinguquko zendlela yokuphila ngemva kokuhlinzwa .
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Lokhu kuhlinzwa kuyindlela engcono kakhulu yokufeza ukwehla kwesisindo kwesikhathi eside nempumelelo kumuntu onezinga eliphezulu lokukhuluphala (ukukhuluphala kwesigaba sesi-3). Ucwaningo luthole ukuthi kunzima kakhulu kumuntu okuleli zinga ukwehlisa isisindo futhi asilondoloze ngokudla nokuzivocavoca kuphela.
Cabanga ngale ndlela. Uma umzimba wakho ubona isisindo sakho eseqile "njengesijwayelekile," uzama ukubuyela kuleso sisindo. Ukuhlinzwa kwe-bariatric kushintsha indlela umzimba wakho ocubungula ngayo lokho okudlayo. Khona-ke izinguquko zakho zokudla okunempilo kanye nendlela yokuphila zingasebenza ngempela, futhi unganciphisa isisindo futhi uhlale uphilile.
Yiziphi izinhlobo zezifo ezibangelwa ukukhuluphala ezingaqedwa yilokhu kuhlinzwa?
Ukukhuluphala ngokweqile kuyisici esiyingozi sezifo eziningana ezingamahlalakhona ezingasongela impilo. Kodwa izindaba ezinhle ukuthi eziningi zalezi zimo zingathuthukiswa kakhulu ngemva kokuhlinzwa kokunciphisa isisindo. Uma udokotela wakho enquma ukuthi udinga lokhu kuhlinzwa, kungenzeka ukuthi usuvele unezimo ezilandelayo, noma ungase ube sengozini enkulu yokuba nazo.
| Isimo sezokwelapha | Kalula nje... |
|---|---|
| I-Cholesterol Ephezulu | Ukwanda kwamafutha (ama-lipid) egazini. Lokhu kunganqwabelana emithanjeni yegazi bese kuyivimba. Lokhu kungabangela isifo sohlangothi noma ukuhlaselwa yinhliziyo. |
| Umfutho wegazi ophezulu (i-Hypertension) | Isivinini igazi eligeleza ngaso emithanjeni yegazi siphezulu kakhulu. Lokhu kulimaza izindonga zemithambo yegazi futhi kwandisa ingozi yokuhlaselwa yinhliziyo kanye nokushaya kwenhliziyo. |
| Amazinga aphezulu kashukela egazini kanye nesifo sikashukela sohlobo 2 | Amafutha amaningi emzimbeni aholela ekumelaneni ne-insulin. Lesi yisinyathelo sokuqala sokuthola isifo sikashukela. Uma singelashwa, singalimaza imizwa, imithambo yegazi, kanye nezitho zomzimba. |
| Isifo senhliziyo | Ukukhuluphala ngokweqile kunganciphisa ukusebenza kwenhliziyo futhi kubangele ukugcinwa kwamafutha emithanjeni yegazi, okwandisa ingozi yokuhlaselwa yinhliziyo. |
| Isifo Sezinso | Izifo ezihlobene nokukhuluphala njengomfutho wegazi ophakeme kanye nesifo sikashukela ziyizimbangela ezinkulu zesifo sezinso esingamahlalakhona. |
| Ukuphefumula Kokulala Okungavinjelwe | Ngesikhathi sokulala, indlela yokuphefumula ephezulu iyavaleka futhi ukuphefumula kuyayeka ngokuphindaphindiwe. Lokhu kunciphisa inani lomoya-mpilo ofinyelela ezithweni ezibalulekile zomzimba. |
| I-Osteoarthritis | Ukukhuluphala ngokweqile kubeka ingcindezi eyengeziwe emalungeni afana namadolo, okwandisa ingozi yokuthola izifo zamalunga eziwohlokayo. |
| Isifo sesibindi esinamafutha angenalo utshwala (i-NAFLD) | Umzimba uqala ukugcina amafutha amaningi esibindini, okungadala umonakalo wesikhathi eside esibindini. |
Ubani ofanelekela lokhu kuhlinzwa?
Lokhu kuhlinzwa akulona olwawo wonke umuntu. Kufanele uhlangabezane nezimfanelo ezithile ngakho. Into eyinhloko ebhekwayo yi-Body Mass Index (BMI) yakho. Kalula nje, lokhu kuyinkomba elinganisa isisindo sakho ngobude bakho.
- Uma i-BMI yakho ingu-40 noma ngaphezulu , lokhu kusho ukuthi unesisindo esingamakhilogremu angu-45 (cishe amakhilogremu angu-45) kunesisindo sakho esifanele.
- Uma i-BMI yakho ingu-35 noma ngaphezulu futhi unenkinga yempilo ehlobene nokukhuluphala (isib. isifo sikashukela, umfutho wegazi ophakeme).
Into ebaluleke kakhulu ukuthi lesi sinqumo senziwe udokotela wakho. Uzokuhlola futhi enze izivivinyo ezidingekayo ukuze anqume ukuthi lokhu kuhlinzwa kulungile yini kuwe noma cha.
Yiziphi izinhlobo zokuhlinzwa ezivame kakhulu?
Kunezinhlobo eziningana zokuhlinzwa kwe-bariatric. Iningi lalezi zenziwa nge-laparoscopically. Lokhu kusho ukuthi ikhamera namathuluzi kufakwa ngokusebenzisa izimbobo eziningana ezincane, kunokwenza isimbozo esikhulu, okuholela ekupholeni okusheshayo, ubuhlungu obuncane, kanye nezibazi ezincane. Lezi ezinye zezinhlobo zokuhlinzwa ezivame kakhulu.
| Igama lokuhlinzwa | Kwenzekani ngamafuphi |
|---|---|
| Isikhwama Sesisu | Lolu ukuhlinzwa okuvamile kakhulu. Kule nqubo, cishe u-80% wesisu uyasuswa, kusale ipayipi elincane, elifana nobhanana. Lokhu kuvumela isisu ukuthi sizizwe sigcwele ngemva kokudla ukudla okuncane futhi kunciphisa ama-hormone endlala. |
| I-Gastric Bypass | Kule nqubo, kwakheka isikhwama esincane esivela engxenyeni engenhla yesisu bese sixhunyaniswa nengxenye engezansi yamathumbu amancane. Ukudla kudlula ingxenye enkulu yesisu kanye nengxenye yokuqala yamathumbu. Lokhu kunciphisa inani lokudla okudliwayo kanye nenani lezakhamzimba ezimuncwayo. |
| I-Duodenal Switch (BPD-DS) | Lokhu kuyindlela yokuhlinzwa eyinkimbinkimbi. Kuhilela kokubili ukuhlinzwa kwesisu kanye nokuhlinzwa kwamathumbu. Kusebenza kahle kakhulu ekunciphiseni isisindo nasekulawuleni izifo ezifana nesifo sikashukela. Kodwa-ke, kungabangela ukuntuleka kwamavithamini ngoba umzimba umunca izakhamzimba ezimbalwa. |
Kwenzekani ngemva kokuhlinzwa? Ingabe zikhona izingozi?
Njenganoma yikuphi ukuhlinzwa, kunezingozi nemiphumela emibi, kodwa lokhu kuvame ukuba ngaphansi kwezingozi ezihlobene nokukhuluphala ngokweqile.
Izingozi ezihlobene nokuhlinzwa
- Ukopha
- Ukutheleleka
- Amahlule egazi
- Ukuvaleka kwamathumbu
- Ukuvuza kwe-anastomotic
Imiphumela emibi engaba khona ngemva kokuhlinzwa
- I-Dumping Syndrome: Izimpawu ezifana nesicanucanu, ubuhlungu besisu, kanye nesifo sohudo zenzeka njengoba ukudla kudlula emathunjini ngokushesha kakhulu. Lezi zimpawu zivame ukuphela ngokuhamba kwesikhathi.
- Ukungondleki: Ukuntuleka kwamavithamini namaminerali kungenzeka ngenxa yokuncipha kokumuncwa kwezakhamzimba. Ngakho-ke, kubalulekile ukuthatha izithasiselo ezinikezwe udokotela wakho njengoba nje kubhaliwe.
- Amatshe enyongo: Ukwehla kwesisindo ngokushesha kwandisa ingozi yokuthola amatshe enyongo.
Ithimba lakho lezokwelapha lizokusiza ukuthi ubhekane nakho konke lokhu. Ngakho-ke akukho okufanele ukhathazeke ngakho. Kubalulekile ukuya ku -aphoyintimenti yokulandelela ngemva kokuhlinzwa.
Ngakho-ke yiziphi izinzuzo zalokhu kuhlinzwa?
Naphezu kwezingozi, izinzuzo zalokhu kuhlinzwa ziphezulu kakhulu.
- Ukwehlisa isisindo okuphawulekayo nokungapheli: Lena yindlela kuphela enikeza imiphumela yesikhathi eside nephumelelayo. Cishe abantu abangu-90% balahlekelwa u-50% wesisindo sabo esiningi futhi basilondoloze.
- Ukulawulwa kwesifo sikashukela kanye ne-cholesterol: Abantu abaningi bayakwazi ukululama ngokuphelele kwisifo sikashukela baze bayeke ngisho nokuphuza imithi.
- Impilo enhle nokuphila isikhathi eside: Ucwaningo lukhombisile ukuthi akugcini nje ngokunciphisa ingozi yezifo ezibangelwa ukukhuluphala, kodwa futhi kunciphisa ingozi yokufa nganoma yisiphi isizathu cishe ngo-40%.
- Impilo engcono: Uma wehlisa isisindo, uzizwa ujabule kakhulu, ikhanda lakho licacile.Ukuzethemba kanye nomsebenzi kuyakhula.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Bariatric kuyindlela yezokwelapha engathi sína yokukhuluphala ngokweqile. Akuyona inqubo yobuhle noma "indlela elula yokulungisa."
- Impumelelo yalokhu kuhlinzwa incike ekuzibophezeleni kwakho ekushintsheni ukudla nokuphila kwakho konke.
- Nakuba lokhu kuhlinzwa kunezinzuzo ezinkulu zempilo, futhi kunezingozi ezithile kanye nemiphumela emibi.
- Kufanele unqume ukuthi lokhu kulungile yini kuwe ngemuva kwengxoxo ejulile nodokotela wakho.
- Uma nawe uhlushwa ukukhuluphala ngokweqile, qiniseka ukuthi ubona udokotela wakho ukuze afunde kabanzi ngalokhu futhi axoxe ngezinketho zakho.
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