Okudingeka ukwazi ngokuhlinzwa kwe-'Duodenal Switch' kokukhuluphala ngokweqile (i-Duodenal Switch)

Ingabe uzizwa ungakhululekile ngoba isisindo somzimba wakho sikhuphuke safinyelela ezingeni elingalawuleki, okungukuthi, ukukhuluphala? Ingabe ulwa nezifo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme? Kufanele ukuthi uke wezwa ngokuhlinzwa kokunciphisa isisindo. Namuhla sizokhuluma ngokunye okunjalo, ukuhlinzwa okuyinkimbinkimbi kancane kodwa okuphumelelayo kakhulu, ukuhlinzwa 'kweDuodenal Switch'. Lokhu akusikho ukuhlinzwa kwawo wonke umuntu, kodwa kubaluleke kakhulu ukuqaphela lokhu.

Kalula nje, kuyini ukuhlinzwa kweDuodenal Switch?

I-Duodenal Switch uhlobo lokuhlinzwa kwe-bariatric oluhilela izinto ezimbili eziyinhloko: eyodwa ukususa cishe u-80% wesisu sakho bese usenza sibe yisikhwama esincane . Esesibili ukunciphisa ubude bamathumbu akho amancane nokuwafinyeza .

Lezi zinguquko ezimbili zikhawulela inani lokudla ongakudla futhi zinciphise kakhulu inani lama-calories umzimba wakho owamukelayo. Umphumela uba ukwehla okukhulu kwesisindo somzimba. Nakuba lokhu kungukuhlinzwa okungajwayelekile uma kuqhathaniswa nokunye ukuhlinzwa kokunciphisa isisindo, ngokuvamile kuholela ekunciphiseni isisindo kakhulu.

Kunezindlela ezimbili eziyinhloko zalokhu:

• Indlela yendabuko: Ukuphambuka kwe-Biliopancreatic nge-Duodenal Switch (BPD/DS)
• Indlela yesimanje: I-Single Anastomosis Duodeno-Ileal bypass ene-Sleeve Gastrectomy (SADI-S)

Lokhu kuhlinzwa kukusiza kanjani ukwehlisa isisindo?

Cabanga ngakho njengokuhlinzwa okunezinyathelo ezimbili.

Isinyathelo 1: Udokotela ususa ingxenye enkulu yesisu sakho (cishe u-80%). Ingxenye encane esele ibunjwe njengobhanana, njengepayipi. Lokhu sikubiza ngokuthi `(Sleeve Gastrectomy)`. Ngenxa yokuthi isisu sincane, awukwazi ukudla okuningi ngesikhathi esisodwa. Ngisho noma udla kancane, uzozizwa usuthi.

Isinyathelo sesi-2: Okulandelayo, uzoba nomgudu wokudlula kwamathumbu. Ingxenye yokuqala yamathumbu akho amancane iyadlula kanti ingxenye yokugcina ixhunywe ngqo esiswini esisanda kudalwa. Kufana nendlela emfushane yokugwema izimoto emgwaqweni. Lokhu kusho ukuthi ukudla okuningi okudlayo kudlula emzimbeni wakho kungagaywanga. Lokhu kusho ukuthi umzimba umunca amakhalori kanye nezakhamzimba ezimbalwa ekudleni .

Ngemva kwalokhu kuhlinzwa, udla kancane futhi umzimba wakho umunca kancane ukudla okudlayo. Futhi, lokhu kuhlinzwa kuthinta ukusebenza kwamahomoni omzimba wakho. Amahomoni alawula indlala futhi akwenze uzizwe usuthi nawo ayashintsha, okungakusiza ukuthi wehlise isisindo.

Kunconywa bani lokhu kuhlinzwa?

Lokhu akulona ukuhlinzwa kwawo wonke umuntu. Kunconywa kakhulu kubantu abanezinga eliphezulu lokukhuluphala (ukukhuluphala kwesigaba sesi-3). Udokotela wakho uzohlola ngokucophelela isimo sakho sempilo bese enquma ukuthi lokhu kuhlinzwa kukufanele yini noma cha.

Lokhu kuhlinzwa kuvame ukucatshangelwa kulabo abahlangabezana nalezi zidingo ezilandelayo:

Kwenzekani ngaphambi kokuhlinzwa?

Uma udokotela enquma ukuthi uyakufanelekela lokhu kuhlinzwa, uzothunyelwa ochungechungeni lokuhlolwa.

• Ukuhlolwa kwezokwelapha okuvamile kwenziwa ukuze kuhlolwe ukuthi impilo yakho isesimweni esihle yini.
• Uma usebenzisa ugwayi, utshwala, noma izidakamizwa, sikunikeza usizo kanye nokwelashwa okudingayo ukuze uyeke ukuzisebenzisa .
• Lokhu kuhlinzwa kuyinguquko enkulu empilweni yakho. Uzothunyelwa ukuze uthole ukwelulekwa ngokwengqondo ukuze kuhlolwe ukuthi usukulungele yini ngokwengqondo .
• Kuzodingeka uye emihlanganweni ukuze uzifundise ngokuhlinzwa nokuthi ungayishintsha kanjani indlela yakho yokuphila ngemva kwalokho.

Uma konke lokhu sekuqediwe, uzonikezwa uhlelo lokudla olukhethekile emasontweni ambalwa ngaphambi kokuhlinzwa. Luhlanganisa ukudla okunamaphrotheni amaningi, ama-carbohydrate aphansi, kanye namafutha aphansi.

Yiziphi izinzuzo kanye nokungalungi?

Njenganoma yini, lokhu kuhlinzwa kunezinzuzo kanye nokungalungi.

Kwenzekani ngemva kokuhlinzwa?

Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili. Kuzothatha cishe amasonto amabili kuya kwamane ukuze ululame ngokugcwele. Phakathi nalesi sikhathi, umzimba wakho uzodlula ezinguqukweni ezinkulu.

Izimpawu zesikhashana ezingase zivele ngesikhathi sokululama:

• Ukuzizwa ukhathele kakhulu
• Isicanucanu
• Ukulahlekelwa izinwele (lokhu kungokwesikhashana)
• Ubuhlungu bomzimba
• Ukuzizwa ubanda emzimbeni
• Izinguquko zesimo sengqondo

Lokhu kuvame ukuncipha ngokuhamba kwesikhathi.

Izinkinga zesikhathi eside kanye nokuphathwa kwazo

Ngenxa yokuthi lokhu kuwukuhlinzwa okukhulu, kunezinto eziningana okufanele uzicabangele esikhathini eside.

• Ukungondleki kahle: Lena inselele enkulu kunazo zonke. Ngenxa yokuthi amathumbu akho amancane awamunci kahle izakhamzimba, kuzodingeka uthathe izithasiselo zamavithamini namaminerali impilo yakho yonke . Udokotela wakho uzohlola igazi lakho njalo ukuqinisekisa ukuthi amazinga akho okudla anele.
• Uhudo: Ngenxa yokungagaywa kahle kokudla, indle ingase ikhululeke futhi ivame ukwenzeka. Lokhu kungalawulwa ngokulandela ngokuqinile uhlelo lokudla olunikezwe udokotela wakho.
• Amatshe enyongo: Ukwehlisa isisindo esiningi ngesikhathi esisodwa kwandisa ingozi yokuthola amatshe enyongo. Ungase unikezwe imithi yokuvimbela lokhu.
• Ukubuyela Kwe-Bile: Kwezinye izimo, i-bile negazi kungageleza emuva esiswini.

Imikhuba yakho yokudla izoshintsha kanjani ngemva kokuhlinzwa?

Awukwazi ukudla ngendlela evamile ngokushesha ngemva kokuhlinzwa. Udinga ukunikeza uhlelo lwakho lokugaya ukudla isikhathi sokululama nokujwayela inqubo entsha. Ukudla kwakho kuzoshintsha kancane kancane.

1. Ukudla Okuhlanzekile Okuwuketshezi: Izinto ezifana namanzi esobho, itiye elingenashukela.

2. Ukudla Okugcwele Okuwuketshezi: Ubisi, iyogathi, amasobho aloketshezi.

3. Ukudla Okucoliwe: Ukudla okuxutshwe kahle futhi kwagaywa kahle.

4. Ukudla Okuthambile: Izinto ezifana nemifino ephekiwe kahle nenhlanzi ethambile.

Zonke lezi zinyathelo kufanele zenziwe ngokweseluleko sikadokotela wakho kanye nochwepheshe wezokudla. Kungathatha inyanga noma ngaphezulu ukubuyela ekudleni okuvamile.