Ukhathele ukuzama izinto ezahlukene ukuze wehlise isisindo? Mhlawumbe ubulokhu uzama kanzima ukulawula ukudla kwakho nokuzivocavoca nsuku zonke, kodwa awukayiboni imiphumela obuyilindele. Lena akuyona inkinga yakho kuphela, abantu abaningi ababhekene nokukhuluphala baye babhekana nalokhu. Ngakho-ke, njengesixazululo salokhu, namuhla sizokhuluma ngendlela entsha nephephile yokwehlisa isisindo ngaphandle kokuya kohlinzwa.
Kuyini i-Endoscopic Sleeve Gastroplasty (ESG)?
Igama lingase lizwakale liyinkimbinkimbi kancane, kodwa empeleni lilula kakhulu. Kalula nje, i-Endoscopic Sleeve Gastroplasty (ESG) inqubo enciphisa umthamo wesisu sakho (isisu) ngaphandle kokusikwa. Kuyindlela enhle kakhulu yokuhlinzwa kwe-bariatric.
Cabanga ngesisu sakho njengesikhwama esikhulu sendwangu. Kule nqubo, esikhundleni sokusika isikhwama usuka ngaphandle, usithunga usuka ngaphakathi bese wenza isikhala esincane. Njengoba nje ngesikhathi sokuhlolwa kwesisu, udokotela ufaka ithubhu elincane (i-endoscope) elinekhamera encane exhunywe ngomlomo wakho esiswini sakho. Bese, besebenzisa idivayisi ekhethekile exhunywe kuthubhu, izindonga zesisu ziyahlanganiswa bese zithungwa ndawonye. Abanye abantu bakubiza lokhu ngokuthi "i-Accordion Procedure" ngoba isisu sigoqwa sisuka ngaphakathi ngale ndlela.
Ngemva kwale nqubo, isisu sakho esikhulu siba njengesigqoko esincane, esime njengobhanana. Lokhu kusho ukuthi sincipha cishe ngo-30% wobukhulu baso bangaphambilini.
Lokhu kunezinzuzo ezimbili eziyinhloko:
1. Inani lokudla ongakudla lilinganiselwe kakhulu ngoba isisu sakho sincane. Usazizwa usuthi ngisho noma udla kancane.
2. Ngenxa yokuthi isisu sinjengepayipi elincane, isikhathi esithathwa ukudla ukuhamba ngaso siyanda. Ngakho-ke awuzizwa ulambile isikhathi eside.
Ubani ofanele lolu hlobo lokwelashwa?
Ukwelashwa kwe-ESG kuvame ukunconywa kubantu abadala futhi ngezinye izikhathi izingane ezincane ezikhuluphele kakhulu. Uma ungumuntu omdala, ungase uthande ukucabangela lokhu uma i-body mass index yakho (BMI) ingaphezu kuka-30. Ukuhlinzwa kwe-Bariatric kuvame ukunconywa kubantu abane-BMI ephezulu kakhulu.
Uma usuvele uzame ukunciphisa isisindo ngokudla nokuzivocavoca umzimba futhi wehluleka, sekuyisikhathi sokucabangela inqubo yezokwelapha efana nale. Kulabo abangafaneleki ukuhlinzwa okukhulu, noma abesabayo noma abangathandi ukuhlinzwa, i-ESG iyindlela engcono kakhulu phakathi kwalokhu okubili.
Into ebaluleke kakhulu ukuthi ngaphambi kokunquma ukuthi lokhu kulungile yini kuwe noma cha, kufanele nakanjani ukhulume nochwepheshe, okungukuthi udokotela wezifo zamathumbu.
Yiziphi ezinye izimo zempilo ezingalawulwa nge (ESG)?
Ukukhuluphala ngokweqile akukhona nje ukukhuluphala. Kuyisimo esiyinkimbinkimbi esithinta umzimba ngokuhamba kwesikhathi. Futhi kwandisa ingozi yezifo eziningi eziyingozi.
Ngokwesibonelo:
- Isifo Sikashukela Sohlobo 2
- Umfutho Wegazi Ophakeme
- Amazinga e-cholesterol akhuphukile
- Isifo senhliziyo
- Isifo sesibindi esinamafutha
- Ukuhona kanye nokuphefumula komoya ngesikhathi sokulala
Ukwehlisa isisindo ngempumelelo ngendlela (ESG) kunganciphisa ingozi yokuthola lezi zifo. Uma usuvele unesifo esinjalo, uma wehlisa isisindo, izimpawu zingalawulwa, futhi mhlawumbe ngisho nemithi yazo ingayekwa .
Kwenzekani ngaphambi nangesikhathi sokwelashwa?
Ake sixoxe ngale nqubo isinyathelo ngesinyathelo.
Ngaphambi Kwenqubo
Wena nodokotela wakho nizonquma ndawonye ukuthi nikufanele yini lokhu. Kuzodingeka nihlolwe kaningana ukuze nikwenze lokho.
- Ukuhlolwa kwempilo: Ukuhlolwa kwegazi kanye ne-ECG kungenziwa ukuze kubonakale ukuthi umzimba wakho usukulungele yini ukubulawa yizinzwa okuvamile.
- Ukubonisana nodokotela: Udokotela uzokhuluma nawe kabanzi ngomlando wakho wezempilo, ukudla okudlayo, indlela yokuphila, kanye nemigomo yakho yokwehlisa isisindo.
- Imfundo: Uzokwaziswa ngokugcwele ngezinzuzo, ukungalungi, kanye nezingozi zale ndlela. Okubaluleke kakhulu, uzonikezwa ukuqonda okuhle ngezinguquko zesikhathi eside okuzodingeka uzenze endleleni yakho yokuphila ukuze uphumelele.
Ngesikhathi Senqubo
Ngeke uzwe lutho ngenkathi lokhu kwenziwa, ngoba unikezwa i-anesthesia ephelele futhi ulele ubuthongo obukhulu.
1. Udokotela onguchwepheshe (udokotela wesisu noma udokotela ohlinzayo we-endoscopic) ufaka ipayipi elinekhamera ebizwa ngokuthi i-endoscope ngomlomo wakho bese elidlulisela esiswini sakho nge-esophagus.
2. Ngemuva kwalokho, kufakwa igesi esiswini ukuze ifudumale kancane. Lokhu kuvumela ukuthi ingaphakathi libonakale kahle.
3. Ngesikhathi ebuka izithombe ezivela kukhamera eskrinini, udokotela usebenzisa idivayisi ekhethekile exhunywe ku-endoscope ukuhlanganisa izindonga zesisu bese efaka izitishi ezingaba ngu-8 kuya ku-10.
4. Uma lezi zithungo ziqinisiwe, isisu esikhulu siba sesimweni sepayipi elincane.
Lonke lolu hlelo luthatha imizuzu engama-60 kuya kwengama-90.Kuphela. Ngemva kokuvuka ekuhlinzweni kwe-anesthesia, uma kungekho ukungakhululeki okukhulu, ungaya ekhaya ngalolo suku. Uma uzwa ubuhlungu noma isicanucanu, uzokhishwa esibhedlela ngemuva kokwelashwa.
Uzizwa kanjani ngemva kokwelashwa?
Ubuhlungu bunjani?
Iningi labantu lingase libe nobuhlungu obuncane ngenkathi isisu sabo siphola. Abanye abantu bangase babe nobuhlungu obukhulu kanye nesicanucanu izinsuku ezimbalwa. Kodwa-ke, lokhu kungakhululeki ngokuvamile kungalawulwa ngezinhlungu zobuhlungu. Uma kudingeka, udokotela wakho uzokunikeza imithi.
Ingabe kukhona ukudla okukhethekile?
Yebo, impela. Kuzodingeka ulandele ukudla okuqinile kakhulu inyanga yokuqala noma ngaphezulu ngemva kokwelashwa kwakho. Lokhu kwenzelwa ukunikeza isisu sakho isikhathi sokululama ngemva kokususwa kwezithungo. Udokotela wakho uzokunikeza imiyalelo ephelele ngalokhu.
Ukudla kuvame ukuhamba ngale ndlela:
1. Isonto lokuqala: Uketshezi kuphela (izinto ezifana nesobho, ijusi yezithelo).
2. Isonto lesibili: Ukudla okucoliwe.
3. Isonto lesithathu nelesine: Ukudla okuqinile nokuthambile.
4. Ngemva kwenyanga: Ukujwayela kancane kancane ukudla okuqinile okuvamile.
Yiziphi izinzuzo nezingozi zokwelashwa kwe-ESG?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane. Kubalulekile ukuhlukanisa nokukuqonda ngokucacile lokhu.
| Izinzuzo | Izingozi nezinkinga |
|---|---|
| Ukwehla kwesisindo okuphawulekayo: Ngokuvamile, ungalahlekelwa cishe yi-15%-20% yesisindo sakho sonke somzimba ngonyaka wokuqala. | Ukungakhululeki okwesikhashana: Ubuhlungu besisu, isicanucanu, kanye nesilungulela kungase kwenzeke izinsuku ezimbalwa. |
| Ukulawulwa kwezinye izifo: Ukuthuthukiswa kwezifo ezihlobene nokukhuluphala njengesifo sikashukela kanye nomfutho wegazi ophakeme. | Amathuba okukhuluphala futhi: Uma indlela yokuphila nokudla kungalawulwa kahle, ngokuhamba kwesikhathi isisu singaphinde seluleke futhi sibe sikhulu, okubangela ukukhuluphala. |
| Ukululama okusheshayo: Njengoba kungesona ukuhlinzwa, isikhathi sokululama sifushane kakhulu. Ungabuyela emisebenzini evamile phakathi nesonto. | Ingozi ephansi kakhulu: Ingozi yokulimala okuncane esiswini noma emhubheni ovela ku-endoscope, noma ukusabela okungekuhle ekubulaweni yizinzwa, iphansi kakhulu. |
| Akukho zibazi: Njengoba kungekho zibazi ezisikiwe emzimbeni, akukho zibazi zangaphandle ezisele. |
Uyini umehluko phakathi kokuhlinzwa okuvamile (i-Gastric Sleeve) kanye ne-ESG?
Umgomo wazo zombili izindlela uyafana: ukunciphisa isisu nokunciphisa inani lokudla ongakudla. Kodwa indlela abakwenza ngayo ihluke ngokuphelele.
- Ukuhlinzwa (Ngesandla Esinqeni): Lokhu ukuhlinzwa kwangempela . Kwenziwa izimbobo eziningana esiswini futhi cishe u-80% wesisu uyasuswa . Lolu ushintsho oluhlala njalo. Alunakuguqulwa.
- Ukwelashwa (ESG): Lokhu akusihlinzwa . Akukho ukusikwa. Akukho ngxenye yesisu esinqunywayo bese isuswa . Ithungwa nje bese igoqwa. Ngakho-ke, le inqubo ayihlaseli kakhulu kune-Gastric Sleeve Surgery.
Omunye umehluko obalulekile ukuthi ekuhlinzweni kwe-Gastric Sleeve, ingxenye yesisu esinqunyiwe futhi sisuswe yilapho ama-hormone ethu endlala ekhiqizwa khona kakhulu. Ukususa leyo ngxenye kusiza nokulawula indlala. Njengoba isisu singanqunyiwe futhi sisuswe ku-(ESG), ama-hormone awathinteki kangako. Ngakho-ke, ukuhlinzwa kwe-Gastric Sleeve kungase kusebenze kangcono kune-(ESG) ekunciphiseni isisindo. Kodwa-ke, izingozi zokuhlinzwa nazo ziphakeme.
Ukukhuluphala ngokweqile kuyisimo esiyinkimbinkimbi kakhulu. Ngenxa yezinguquko zamakhemikhali emzimbeni, kunzima kakhulu kubantu abaningi ukwehlisa isisindo ngokulawula ukudla kwabo ngendlela evamile. Nakuba ukuhlinzwa kokunciphisa isisindo kunemiphumela emihle, akuwona wonke umuntu ofanele. Futhi, abantu abaningi besaba ukuhlinzwa okukhulu. Ngakho-ke, izindlela ezifana ne-(ESG) ziyisisombululo esihle kubo.
Umlayezo Wokuya Nawe Ekhaya
- I-Endoscopic Sleeve Gastroplasty (ESG) inqubo yesimanje, engadingi ukuhlinzwa esiza ukunciphisa umthamo wesisu nokunciphisa isisindo.
- Le ndlela ifaneleka kakhulu kulabo abaye bazama ezinye izindlela zokwehlisa isisindo kodwa behluleka, kodwa abazimisele noma abangafaneleki ukwenza ukuhlinzwa okukhulu.
- Ngaphezu kokwehlisa isisindo, lokhu kusiza kakhulu ekulawuleni izifo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme.
- Ukuze uthole imiphumela ephumelelayo ekwelashweni, kubalulekile ukwenza izinguquko zesikhathi eside ekudleni nasendleleni yokuphila. Lokhu akuwona umlingo, futhi umzamo wakho ubalulekile.
- Ukuze uthole ukuthi le ndlela ikufanele yini, qiniseka ukuthi ucela iseluleko kudokotela oqeqeshiwe.
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