Ingabe nawe ungumuntu ohlushwa ukukhuluphala ngokweqile, noma njengoba odokotela bekubiza kanjalo, ukukhuluphala ngokweqile? Ukhathele yini ukudla ukudla okunempilo nokuzivocavoca? Uma wesaba ukuhlinzwa okukhulu kokunciphisa isisindo, namuhla sizokhuluma ngesisombululo esifanele wena, kodwa ngesikhathi esifanayo, abantu abaningi abazi ngaso. Lokhu kungaba yinto engashintsha impilo yakho.
Kalula nje, iyini i-Endoscopic Sleeve Gastroplasty (ESG)?
Igama lingase lizwakale liyinkimbinkimbi, kodwa okwenzekayo kule nqubo kulula kakhulu. I-ESG iyindlela yokwelapha yesimanje enciphisa usayizi wesisu sakho (isisu) ngaphandle kokusikeka noma kuphi emzimbeni wakho. Lokhu kuyindlela enhle yokwelapha esikhundleni sokuhlinzwa kokunciphisa isisindo (ukuhlinzwa kwe-bariatric).
Cabanga nje... udokotela ufaka ipayipi elincane emphinjeni wakho. Leli payipi linekhamera encane kakhulu enamathiselwe ekugcineni. Lokhu sikubiza ngokuthi i-endoscope. Besebenzisa le khamera, basebenzisa idivayisi ekhethekile ukuthunga izindonga zesisu sakho ndawonye. Abanye abantu bakubiza ngokuthi "inqubo ye-accordion" ngoba isisu siyagoqeka njenge-accordion.
Ngemva kwalokhu, isisu sakho sincipha sibe cishe ingxenye yesithathu (30%) yobukhulu baso bangaphambilini. Bese kwenzeka izinto ezimbili:
1. Inani lokudla ongakudla ngesikhathi esisodwa lilinganiselwe.
2. Uma isisu sesigcwele, kuthatha isikhathi eside ukuqeda.
Lokhu kukwenza uzizwe usuthi ngisho nangemva kokudla kancane, futhi awuzizwa ulambile isikhathi eside.
Ubani lokwelashwa okufanelekela kangcono?
Lokhu kwelashwa kuvame ukunconywa kubantu abakhuluphele ngokweqile. Uma i-body mass index yakho (BMI) ingaphezu kuka-30 , futhi uke wazama ezinye izindlela zokunciphisa isisindo kodwa wahluleka, ungase uthande ukucabangela lokhu.
Lesi yisisombululo esihle kakhulu, ikakhulukazi kulabo abangafaneleki ukuhlinzwa okukhulu kokwehlisa isisindo (ukuhlinzwa kwe-bariatric), noma abangafuni ukuthatha izingozi zokuhlinzwa. Akuyona into enkulu njengokuhlinzwa, kodwa inikeza imiphumela ephumelelayo kakhulu kunokudla nokuzivocavoca.
Ukukhuluphala akugcini nje ngokukhuluphala. Kuphinde kwandise ingozi yokuthola izifo eziningi ezingathi sína, njengesifo sikashukela (uhlobo lwesibili lwesifo sikashukela), umfutho wegazi ophakeme, isifo senhliziyo, kanye nesifo sesibindi esinamafutha. Ukwehlisa isisindo ngokwelashwa okufana ne-ESG kungasiza ekulawuleni lezi zifo, futhi ngezinye izikhathi kuze kuzelaphe ngokuphelele.
Kwenzekani ngaphambi nangesikhathi sokwelashwa?
Wena nodokotela wakho nizonquma ndawonye ukuthi uyakufanelekela yini lokhu.
Ngaphambi Kwenqubo
Okokuqala, kuzokwenziwa ukuhlolwa okuphelele kwezokwelapha. Kuzokwenziwa ukuhlolwa kwegazi okuningana ukuze kubonakale ukuthi ukulungele yini ukuthola i-anesthesia ejwayelekile. Udokotela uzokhuluma nawe ngomlando wakho wezempilo, imikhuba yokudla, indlela yokuphila, kanye nemigomo yokunciphisa isisindo. Uzochaza futhi izinzuzo kanye nokubi kwalokhu kwelashwa, kanye nezinguquko zendlela yokuphila okudingeka uzenze ukuze ufinyelele imiphumela yesikhathi eside.
Ngesikhathi Senqubo
Ngeke uzwe lutho, ngoba lokhu kwenziwa ulele ngokuphelele (uphethwe yi-anesthesia).
- Lokhu kwenziwa ngudokotela wezifo zamathumbu, udokotela ogxile ohlelweni lokugaya ukudla.
- Uzofaka i-endoscope ngomlomo wakho bese eyidlulisela esiswini sakho.
- Izithombe ezivela kukhamera ekwi-endoscope zibukwa kusikrini, futhi kusetshenziswa idivayisi ekhethekile ukufaka izitishi ezingaba ngu-8-10 ngaphakathi esiswini, okunciphisa usayizi waso.
| Iqiniso | Imininingwane |
|---|---|
| Isikhathi esichithwe | Phakathi kwehora eli-1 neli-1.5 (imizuzu engama-60-90). |
| Ukuba sesibhedlela | Esikhathini esiningi, ungaya ekhaya ngalolo suku. Kuphela uma kukhona ukungakhululeki (ubuhlungu, isicanucanu) lapho uzolaliswa khona esibhedlela ukuze uthole ukwelashwa. |
| Ubuhlungu | Kungase kube nobuhlungu obuncane njengoba isisu siphola. Lokhu kuzophela ngemva kwezinsuku ezimbalwa. |
| Ukubuyela emsebenzini | Iningi labantu lingabuyela emisebenzini evamile cishe ngesonto. |
Uyini umehluko phakathi kwe-ESG nokuhlinzwa okuvamile kokwehlisa isisindo (i-Gastric Sleeve)?
Umgomo wazo zombili lezi zindlela ukucindezela isisu bese sibumba sibe "isikhwama," noma isimo esifana nethubhu. Kodwa kunomehluko omkhulu endleleni okwenziwa ngayo. Uzokuqonda kalula lokhu uma ubheka leli thebula.
| Isici | I-ESG (indlela ye-endoscopic) | Isikhwama Sesisu (ukuhlinzwa) |
|---|---|---|
| Indlela yokwenza | Lokhu kwenziwa ngokufaka i-endoscope ngomlomo. | Kwenziwa ngokwenza izimbobo ezimbalwa ezincane esiswini. |
| Kwenzani esiswini? | Ingxenye yesisu ithungwe ivaliwe. Akukho ngxenye esuswayo. | Cishe u-80% wesisu uyasikwa futhi ususwe. |
| Ukuphila Okuphakade | Ihlala isikhathi eside. Uma kudingeka, izithungo zingasuswa futhi isisu singabuyiselwa esimweni esijwayelekile. | Ihlala njalo. Ingxenye esusiwe ayikwazi ukufakwa kabusha. |
| Isikhathi sokutakula | Ngokushesha. Kuzobuyela esimweni esijwayelekile ezinsukwini ezimbalwa. | Kuthatha isikhathi eside. Kungathatha amasonto amaningana. |
| Umphumela endlaleni | Akunawo umthelela omkhulu kuma-hormone alawula indlala. | Indlala incishiswa kakhulu ngokususa ingxenye ekhiqiza ama-hormone endlala. |
Imiphumela nokuthi yini okufanele uyilandele
Abantu abaningi abenza i-ESG balahlekelwa phakathi kuka-15% no-20% wesisindo sabo sonke phakathi nonyaka wokuqala. Lokhu kwanele ukulawula izifo ezihlobene nokukhuluphala.
Kodwa khumbula, lokhu akuwona umlingo. Ukuze uthole imiphumela ephumelelayo yesikhathi eside, kufanele nakanjani ulandele ukudla okunempilo kanye nendlela yokuphila esebenzayo. Kubaluleke kakhulu ukulandela imiyalelo yokudla enikezwa udokotela (uketshezi -> ukudla okucoliwe -> ukudla okuvamile) phakathi nenyanga yokuqala ngemva kokwelashwa.
Ukukhuluphala akuyona into engalawulwa kalula. Ngenxa yezinguquko kumakhemikhali omzimba, ngezinye izikhathi kunzima ukwehlisa isisindo kungakhathaliseki ukuthi uzama ukudla nokuzivocavoca okungakanani. Ngezikhathi ezinjalo, ukwelashwa okungeyona ingozi kangako, okungeyona ukuhlinzwa njenge-ESG kungaba njengomngane omkhulu okukhombisa indlela eya empilweni enempilo.
Umlayezo Wokuya Nawe Ekhaya
- I-ESG iyindlela yokwelapha yesimanje esebenzisa i-endoscope ukunciphisa isisu nokunciphisa isisindo ngaphandle kokusikwa noma ukuhlinzwa.
- Lena inketho efanelekile kakhulu kulabo abakhuluphele ngokweqile (BMI 30+) kodwa besaba noma bengafuni ukuhlinzwa okukhulu.
- Isikhathi sokululama ngemva kokwelashwa sifushane futhi ingozi yemiphumela emibi iphansi kakhulu.
- Ngokwesilinganiso, ungalindela ukwehla kwesisindo somzimba ngo-15%-20%.
- Lokhu kwelashwa kukodwa akwanele. Ukuze uthole imiphumela yesikhathi eside, kubalulekile ukulandela ukudla okunempilo kanye nendlela yokuphila.
- Qiniseka ukuthi uxoxa ngalokhu kwelashwa nodokotela wakho ukuze ubone ukuthi kulungile yini kuwe.
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