Ingabe nawe ungumuntu ohlushwa kakhulu ukukhuluphala? Mhlawumbe awukenzi lutho ukuze wehlise isisindo. Ukhathele ukuzivocavoca, ukulawula ukudla kwakho, nokwenza konke? Uma kunjalo, kumelwe ukuthi uke wezwa ukuthi ngezinye izikhathi odokotela bakhuluma ngokuhlinzwa kokunciphisa isisindo. Lokhu sikubiza ngokuthi ukuhlinzwa kokunciphisa isisindo (`ukuhlinzwa kwe-Bariatric`). Namuhla sizokhuluma ngokuhlinzwa okuphumelelayo kakhulu, kodwa futhi okuyinkimbinkimbi kancane. Lokhu kubizwa ngokuthi i-Duodenal Switch. Ungakhathazeki, sizokhuluma ngakho konke kalula.
Kalula nje, iyini le Duodenal Switch?
I-Duodenal Switch inqubo yokuhlinzwa eyenziwa njengokwelapha ukukhuluphala. Ihilela izinto ezimbili eziyinhloko. Eyokuqala ukususa ingxenye ebalulekile yesisu sakho bese uyenza ibe ncane. Eyesibili iwukufushanisa amathumbu amancane, ingxenye yomzimba wakho emunca ukudla okudlayo.
Cabanga ngale ndlela. Kufana nokuthatha indlela emfushane eya ekudleni okudlayo. Ngemuva kwalokho, ngenxa yokuthi ukudla akuhambi ibanga elide, inani lamakhalori umzimba wakho owamukelayo liyancishiswa. Lokhu kwenza kube nokwenzeka ukwehlisa isisindo ngempumelelo enkulu.
Kunezindlela ezimbili eziyinhloko zalokhu kuhlinzwa:
1. Indlela yendabuko: `Ukuphambuka kwe-Biliopancreatic nge-Duodenal Switch (BPD/DS)`
2. Indlela eguquliwe: `I-Single Anastomosis Duodeno-ileal bypass ene-Sleeve Gastrectomy (SADI-S)`
Womabili la magama angase azwakale eyinkimbinkimbi kancane, kodwa ungakhathazeki. Udokotela wakho uzokhetha indlela engcono kakhulu kuwe futhi akuchazele kahle.
Lokhu kuhlinzwa kukusiza kanjani ukwehlisa isisindo? Ake sibheke kabanzi.
Lokhu kuhlinzwa kuqukethe izinyathelo ezimbili eziyinhloko. Zombili izinyathelo zenziwa ekuhlinzeni okufanayo.
Isinyathelo sokuqala: Ukuhlinzwa Kwesisu Esinqeni
Kulokhu, udokotela ohlinzayo ususa cishe u-80% wesisu sakho. Ingxenye encane esele yenziwa ipayipi, njengebhanana. Lokhu sikubiza ngokuthi `(Sleeve Gastrectomy)`. Ngemva kwalokhu, ngeke ukwazi ukudla ukudla okuningi ngesikhathi esisodwa. Ngisho noma udla kancane, uzozizwa usuthi. Ngenxa yalokhu, inani lokudla okudlayo lilawulwa ngokuzenzakalelayo.
Isinyathelo Sesibili: Ukudlula Kwamathumbu
Isinyathelo esilandelayo ukufinyeza ubude bamathumbu akho amancane. Amathumbu ethu amancane yilapho iningi lezakhamzimba ekudleni esikudlayo limuncwa khona emizimbeni yethu. Kule nqubo, udokotela ohlinzayo udlula ingxenye yokuqala yamathumbu amancane bese exhuma ingxenye yokugcina ngqo nesisu esincane esisanda kudalwa.
Kalula nje, uma ukudla kufika esiswini, kudlula ingxenye enkulu yamathumbu amancane bese kuya ngqo endunu. Lokhu kunciphisa kakhulu isikhathi nendawo umzimba onayo yokumunca amakhalori nezakhamzimba ekudleni.
Ukuhlanganiswa kwalezi zindlela ezimbili okuholela ekunciphiseni isisindo. Okungukuthi:
- Inani olidlayo liyancipha.
- Inani lama-calories amuncwa ngumzimba kulokho okudlayo liyancipha.
Ngaphezu kwalokho, lokhu kuhlinzwa kuthinta nesimiso samahomoni esilawula indlala nokusutha emizimbeni yethu. Ngenxa yalokho, indlala iyancipha futhi sizizwa sigcwele ngokushesha.
Ubani lo kuhlinzwa ofaneleka kakhulu?
Lokhu akulona ukuhlinzwa kwawo wonke umuntu. Odokotela batusa lokhu kuhlinzwa kuphela kubantu abasengozini enkulu yempilo yabo ngenxa yokukhuluphala ngokweqile. Ake sibheke ukuthi obani abafanelekela lokhu.
| Ukufaneleka | Incazelo |
|---|---|
| Ukukhuluphala ngokweqile (Ukukhuluphala kwesigaba sesi-3) | Uma inkomba yakho yesisindo somzimba (i-BMI) ingu-40 noma ngaphezulu. (I-BMI iyisilinganiso sokuthi unesisindo esinempilo yini ngobude bakho.) |
| Ukukhuluphala kanye nezinye izifo (Ukukhuluphala kwesigaba sesi-2 okunezifo ezihambisana nakho) | Uma i-BMI yakho ingu-35 noma ngaphezulu, futhi unenkinga enkulu yempilo ebangelwa ukukhuluphala. |
Yiziphi izinkinga zempilo ezingabangelwa ukukhuluphala ngokweqile?
- Isifo Sikashukela Sohlobo 2
- Umfutho Wegazi Ophakeme
- Amazinga aphezulu e-cholesterol egazini
- Isifo senhliziyo
- Ukuphefumula komoya ngesikhathi sokulala
- Isifo sesibindi esinamafutha (isifo sesibindi esihambisana nokungasebenzi kahle kwe-metabolic)
Uma unalezi zinhlobo zezimo zezokwelapha, ukuhlinzwa kwe-Duodenal Switch kungakusiza ukuthi wehlise isisindo futhi kukusize ulawule lezo zimo zezokwelapha.
Yini okufanele uyenze ngaphambi kokuhlinzwa?
Uma udokotela enquma ukuthi uyakufanelekela lokhu kuhlinzwa, ngeke akwenze ngokushesha. Ngaphambi kwalokho, kunenqubo yokukuhlola kahle nokukulungiselela lokhu.
- Ukuhlolwa kwezokwelapha: Ukuhlolwa kwegazi kanye nama-ECG kwenziwa ukuze kubonakale ukuthi impilo yakho yomzimba isezingeni elikuvumela yini ukumelana nokuhlinzwa.
- Ukuyeka imikhuba emibi: Uma ubhema noma uphuza utshwala, uzonikezwa iseluleko sokuyiyeka ngokuphelele kanye nokwelashwa uma kudingeka.
- Ukwelulekwa ngokwengqondo:Lolu ushintsho olukhulu empilweni. Ngemva kokuhlinzwa, izinto eziningi empilweni yakho zizoshintsha. Ukwelulekwa kunikezwa ukuze kukusize ulungiselele lolo shintsho ngokwengqondo.
- Ukwazisa: Kuqhutshwa imihlangano yokufundisa ukuze kunikezwe ukuqonda okuphelele ngokuhlinzwa nokuthi umuntu angaphila kanjani ngemva kwalokho.
- Ukudla okukhethekile: Emasontweni ambalwa ngaphambi kokuhlinzwa, uzocelwa ukuba ulandele ukudla okukhethekile. Lokhu kuhilela ukudla ukudla okunamaprotheni amaningi kanye namafutha nama-carbohydrate aphansi.
Yiziphi izinzuzo kanye nokungalungi kokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo, amaphutha, kanye nezingozi zako, futhi kubalulekile ukukuqonda kahle.
| Izinzuzo | Ububi Nezingozi |
|---|---|
| Kunganciphisa isisindo esiningi kunezinye izindlela zokuhlinzwa zokunciphisa isisindo. | Kukhona ingozi enkulu kakhulu yokuntuleka kokudla okunempilo, okudinga amavithamini kanye nezithasiselo zokudla okunempilo impilo yonke. |
| Inikeza imiphumela ephumelela kakhulu kubantu abanesifo sikashukela sohlobo lwesibili. | Ukunyakaza kwamathumbu njalo noma uhudo kungase kwenzeke. |
| Ungadla okungaphezu kwalokho okwenziwa kwezinye izindlela zokuhlinzwa. | Njenganoma yikuphi ukuhlinzwa, kunezingozi ezifana nokutheleleka, ukopha ngokweqile, ukusabela kokubulala izinzwa, kanye nokuqhekeka kwegazi. |
| Mancane amathuba okuba ne-'dumping syndrome' (ukungakhululeki okwenzeka ngokushesha ngemva kokudla). | Izinkinga ezinjengokwakheka kwe-hernia kanye nokuvaleka kwamathumbu amancane zingaba khona. |
Yini ongayilindela ngemva kokuhlinzwa?
Kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili ngemva kokuhlinzwa. Kungathatha amasonto amabili kuya kwamane ukuze ululame ngokugcwele. Phakathi nalesi sikhathi, umzimba wakho uzodlula ezinguqukweni ezinkulu.
Ekuqaleni, ungase uzwe ukungakhululeki kwesikhashana okufana nalokhu:
- Ukuzizwa ukhathele kakhulu futhi ukhathele
- Isicanucanu
- Ukushintsha kwesimo sengqondo
- Ukulahlekelwa izinwele (lokhu kungokwesikhashana)
- Ubuhlungu bomzimba
- Ukuzizwa ubanda kakhulu kunokujwayelekile
Ungakhathazeki. Lokhu kuvame ukuba okwesikhashana. Lokhu kungakhululeki kuzonyamalala kancane kancane njengoba umzimba wakho ujwayela lolu shintsho olusha.
Into ebaluleke kakhulu ukuxhumana nodokotela wakho. Kuzodingeka uye kohlolwa njalo eminyakeni emibili yokuqala, bese uhlolwa njalo impilo yakho kanye namazinga akho okudla okunempilo phakathi nempilo yakho yonke.
Masiqaphele futhi izinkinga ezingaba khona isikhathi eside.
Nakuba lokhu kuhlinzwa kuphumelele kakhulu, kunezinto eziningana okufanele uziqaphele esikhathini eside.
Ukungondleki kahle
Lena ingozi enkulu . Njengoba amathumbu akho amancane engakwazi ukumunca izakhamzimba, kungenzeka kakhulu ukuthi ube nokuntuleka kwamavithamini namaminerali. Ngakho kuzodingeka uthathe izithasiselo zamavithamini namaminerali njengoba udokotela wakho ekuyalele impilo yakho yonke. Kuzodingeka futhi ukuthi igazi lakho lihlolwe njalo ukuze kuhlolwe amazinga akho okudla okunempilo.
Uhudo
Ngenxa yokuthi ukudla akugaywa kahle, izimo ezinjengokuhamba njalo kwamathumbu noma uhudo zingase zibe khona. Kodwa-ke, uma ulandela imiyalelo yokudla enikezwe udokotela wakho ngqo, lokhu kungalawulwa ngezinga elikhulu.
Amatshe enyongo
Uma wehlisa isisindo ngokushesha, isibindi sakho sikhiqiza i-cholesterol eningi, enganqwabelana enyongweni yakho bese yakha amatshe enyongo.
Ukubuyela emuva kwe-bile
Ngezinye izikhathi, ngenxa yezinguquko ekusebenzeni kwama-valve esisu, i-bile ingageleza iye esiswini.
Udokotela wakho uzokuqapha ngokucophelela konke lokhu. Ngakho-ke into ebaluleke kakhulu ukungesabi futhi utshele udokotela wakho ngokushesha uma uzizwa ungakhululekile.
Umlayezo Wokuya Nawe Ekhaya
- I-Duodenal Switch iyindlela yokuhlinzwa ephumelela kakhulu futhi engathi sína yokukhuluphala ngokweqile. Lesi akusona isinqumo okufanele sithathwe kalula.
- Lokhu kuhlinzwa akugcini nje ngokwenza isisu sibe sincane, kodwa futhi kunciphisa umgudu wokugaya ukudla. Ngenxa yalokho, ukwehla kwesisindo kwenzeka ngokushesha okukhulu.
- Ingozi enkulu yalokhu kuhlinzwa ukuntuleka kokudla okunempilo. Ngakho-ke, izithasiselo zamavithamini namaminerali impilo yonke ziyimpoqo.
- Kubaluleke kakhulu ukugcina ubuhlobo obuhlala njalo nodokotela futhi uhlolwe njalo impilo yakho yonke ngemva kokuhlinzwa.
- Lokhu kuhlinzwa kumane kuyithuluzi. Impumelelo yokuhlinzwa incike ekuzibophezeleni kwakho. Ukugcina ukudla okunempilo kanye nendlela yokuphila esebenzayo kubalulekile.
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