Ingabe nawe ungumuntu ohlushwa kakhulu ukukhuluphala? Mhlawumbe awukenzi lutho ukuze wehlise isisindo. Uzame izinhlelo ezahlukene zokudla, wazila ukudla, futhi wazivocavoca, futhi ukhathele. Kodwa awukabi nayo imiphumela oyifunayo? Kungenzeka ukuthi uke wezwa ngokuhlinzwa kokunciphisa isisindo, ikakhulukazi ukuhlinzwa "kwe-gastric bypass". Ngakho-ke namuhla, ake sixoxe ngalokhu, njengokungathi sikhuluma nomngane, futhi konke kucacile.
Kalula nje, kuyini ukuhlinzwa kwesisu?
Lokhu ukuhlinzwa okwenziwa ukuze wehlise isisindo futhi uthuthukise indlela umzimba osebenza ngayo. Abanye abantu bakubiza nangokuthi ``Roux-en-Y''. Kalula nje, lokhu kuhlinzwa kwenza ushintsho oluncane ohlelweni lwakho lokugaya ukudla. Lolu shintsho lukhawulela inani lokudla ongakudla futhi lunciphisa inani lamakhalori umzimba wakho owamunca ekudleni.
Cabanga ngakho, lokhu kuzokwenza izinto ezimbili eziyinhloko:
1. Ukunciphisa isisu: Kudalwa isikhwama esincane esingangeqanda phezulu kwesisu sakho. Ingxenye esele yesisu sakho esikhulu ihlala ifana. Lokhu kusho ukuthi ungadla ukudla okuncane ngesikhathi. Usazizwa usuthi ngisho nangemva kokudla okuncane.
2. Ukudlula: Ingxenye encane yamathumbu akho amancane ixhunywe kulesi sisu esisanda kudalwa. Lokhu kusho ukuthi ukudla okudlayo kudlula ingxenye enkulu yesisu kanye nengxenye yokuqala yamathumbu amancane. Lokhu kudlula kunciphisa ikhono lomzimba lokumunca ngokugcwele izakhamzimba nama-calories ekudleni.
Le nqubo yingakho ibizwa ngokuthi ukuhlinzwa "kokudlula".
Ingabe lokhu kuhlinzwa kungenziwa yiwo wonke umuntu ngempela? Noma ubani okufanelekelayo?
Cha, lokhu akulona ukuhlinzwa kwawo wonke umuntu. Odokotela bakuncoma kuphela kubantu abakhuluphele kakhulu ngokwezokwelapha . Kungasiza futhi ekulawuleni ezinye izifo ezibangelwa ukukhuluphala (njengesifo sikashukela sohlobo 2, umfutho wegazi ophakeme, i-Obstructive Sleep Apnea, kanye ne-GERD).
Ngokuvamile, ukuze ufanelekele lokhu kuhlinzwa, kufanele ube nemibandela elandelayo:
| Ukufaneleka | Incazelo |
|---|---|
| Ukukhuluphala ngokweqile (Ukukhuluphala kwesigaba sesi-3) | Inkomba yakho yesisindo somzimba, noma i-BMI, kumele ibe ngu-40 noma ngaphezulu. |
| Ukukhuluphala ngokweqile kanye nezinye izifo | Uma i-BMI yakho ingu-35 noma ngaphezulu, kumele ube nesifo esisodwa okungenani esibangelwa ukukhuluphala, njengesifo sikashukela noma umfutho wegazi ophakeme. |
| Isifo sikashukela esingalawulwa | Uma unesifo sikashukela sohlobo lwesibili okunzima ukusilawula ngenxa yokukhuluphala futhi i-BMI yakho ingaphezu kwama-30 , udokotela wakho angase akuncome lokhu kuhlinzwa. |
Kodwa khumbula, awukwazi ukwenza lokhu kuhlinzwa uma uneziqu. Udokotela wakho kanye nethimba lezokwelapha bazokuhlola ngokucophelela ukuze babone ukuthi usukulungele yini ngokwengqondo nangokomzimba lokhu.
Ezinye izinto odokotela abazibhekayo ngaphambi kokuhlinzwa
- Ukuzibophezela kwakho ekushintsheni indlela yokuphila: Lokhu akuwona umlingo. Ngemva kokuhlinzwa, kuzodingeka ushintshe imikhuba yakho yokudla impilo yakho yonke . Bazobona ukuthi usukulungele yini lokho.
- Ukulungiselela ngokomzimba nangokwengqondo: Kuzohlolwa igazi nenhliziyo ukuze kubonakale ukuthi ungakwazi yini ukubekezelela ukuhlinzwa. Isimo sakho sengqondo sizohlolwa futhi.
- Ukuzama ezinye izindlela: Ngezinye izikhathi, izinhlangano, njengezinkampani zomshuwalense, zingase zibuze ukuthi ngabe ulandele yini indlela yokudla nokuzivocavoca ngaphansi kokuqondisa kukadokotela ngaphambi kokuhlinzwa.
Kuyoncipha isisindo esingakanani ngokuhlinzwa?
Lokhu kuyinkinga kubantu abaningi. Uzolahlekelwa isisindo esiningi phakathi nonyaka wokuqala noma emibili ngemva kokuhlinzwa. Ngokwesilinganiso, uzolahlekelwa cishe u-70% wesisindo sakho eseqile. Abanye abantu bangase bathole isisindo esincane ngokuhamba kwesikhathi, kodwa ngisho nangemva kweminyaka engaba ngu-20, kunabantu abaye balondoloza isilinganiso esingaba ngu-50% wesisindo sabo eseqile. Lokho kuyimpumelelo enkulu ngempela.
Kwenziwa kanjani ukuhlinzwa?
Kulezi zinsuku, lokhu kuhlinzwa kuvame ukwenziwa kusetshenziswa indlela ebizwa ngokuthi i-laparoscopy . Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole." Lokhu kusho ukuthi esikhundleni sokwenza i-incision enkulu esiswini, ukuhlinzwa kwenziwa ngokusika okuncane okungu-3-5, lapho kufakwa khona ikhamera namathuluzi akhethekile. Lokhu kuphumela ekuphumeni kwegazi okuncane, ebuhlungwini obuncane, nasekululameni okusheshayo.
Ukuhlinzwa kungathatha amahora amabili kuya kwamane. Kuzodingeka uhlale esibhedlela cishe izinsuku ezimbili ngemva kwalokho.
Yiziphi izingozi kanye nezinkinga ezingaba khona ngenxa yalokhu?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Njengoba lokhu kuwukuhlinzwa okukhulu, kubaluleke kakhulu ukuzazi.
| Uhlobo lwengozi | Incazelo |
|---|---|
| Izingozi zesikhashana (ezihlobene nokuhlinzwa) | |
| Izifo | Amagciwane angena ezinsikeni. |
| Ukopha okukhulu | Ukopha ngokweqile ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa. |
| Ukusabela ekubulaweni kwe-anesthesia | Ukusabela okubi komzimba emithini yokubulala izinzwa. |
| Izinkinga zesikhathi eside | |
| Isifo Sokulahla Inkunkuma | Izimpawu ezifana nokucanuzela kwenhliziyo, ubuhlungu besisu, ukuqunjelwa, nokujuluka kwenzeka njengoba ukudla kuhamba ngokushesha emathunjini amancane. Lokhu kungenzeka ikakhulukazi uma udla ukudla okunoshukela omningi nofulawa. |
| Ukuntuleka kokudla okunempilo | Ukuncipha kokumuncwa kwezakhamzimba kungaholela ekusweleni kwamavithamini namaminerali (isib., i-iron, i-calcium, i-vitamin B12), okudinga izithasiselo zamavithamini impilo yonke . |
| Amatshe enyongo | Kukhona ingozi yokuthola amatshe enyongo uma wehlisa isisindo ngokushesha. |
| I-Hernia | Isitho esifana namathumbu esiphuma endaweni yokusikwa. |
| Ukwanda kwesisindo futhi | Uma ungalandeli imiyalelo kadokotela wakho kahle futhi ungalawuli ukudla kwakho, isisu sakho singakhula kancane kancane futhi ungase ukhuluphale futhi. |
Injani impilo ngemva kokuhlinzwa?
Lena yingxenye ebaluleke kakhulu. Ukuhlinzwa kumane nje kuyisiqalo sohambo.
Isikhathi sokutakula
Kuzodingeka uphumule ekhaya amasonto ambalwa. Ngeke ukwazi ukwenza umsebenzi onzima cishe inyanga nesigamu. Kungathatha cishe izinyanga ezi-2-3 ukuqala ukudla ukudla okuqinile ngendlela evamile. Ekuqaleni, kuyinto evamile ukuzizwa ukhathele, ulahlekelwe izinwele, futhi ube nobuhlungu emzimbeni .
Ukudla - Lona umehluko omkhulu kunayo yonke!
Uzonikezwa uhlelo lokudla olukhethekile ozolulandela impilo yakho yonke.
- Ukuqala ngokudla okuwuketshezi: Amaviki ambalwa okuqala achithwa ezintweni ezifana noketshezi nesobho. Bese kancane kancane uqhubekela ekudleni okucoliwe nokuthambile.
- Iphrotheni iyinto ebaluleke kakhulu ekudleni kwakho: Iphrotheni (inhlanzi, inyama, amaqanda, udali) kufanele ibe yisithako esiyinhloko. Lokhu kubalulekile ekugcineni imisipha yakho iqinile.
- Gwema ukudla okunoshukela omningi nofulawa: Udinga ukunciphisa izinto ezifana noshukela, amaswidi, isinkwa, nelayisi. Lokhu kungabangela "i-Dumping Syndrome" eshiwo ngenhla.
- Ukuphuza amanzi amaningi: Kufanele uphuze cishe amalitha amabili amanzi ngosuku. Kodwa akukuhle ukuwaphuza ngenkathi udla. Kufanele uwaphuze imizuzu engama-30 ngaphambi noma ngemva kokudla.
- Izithasiselo zamavithamini namaminerali: Lokhu kuyimfuneko . Kufanele uthathe amavithamini owanikezwe udokotela wakho nsuku zonke impilo yakho yonke.
Khumbula, lokhu kuhlinzwa kuyithuluzi elinamandla ohambweni lwakho lwezempilo. Kodwa udinga ukusebenzisana nakho ukuze kusebenze. Ngeke kusebenze ngaphandle kokuzibophezela kwakho.
Ekugcineni, ukuhlinzwa kwesisu kuyisinqumo esingathi sína. Kodwa uma kuhlanganiswa nezifo ezingabangelwa ukukhuluphala ngokweqile, kungaba yindlela yokuphila eshintsha impilo nenempilo. Uma ucabanga ngakho, qiniseka ukuthi uhlangana nochwepheshe ukuze nixoxe ngezinzuzo nezingozi zenqubo nodokotela wakho bese nithatha isinqumo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-gastric bypass kuyindlela ephumelela kakhulu yokwelapha ukukhuluphala ngokweqile.
- Lokhu kunciphisa inani lokudla ongakudla kanye nenani lamakhalori umzimba wakho owamukelayo.
- Lokhu akufanele wonke umuntu. Udokotela uzokutusa lokhu ngokusekelwe ku-BMI yakho kanye nezinye izimo zezokwelapha.
- Ukuze ukuhlinzwa kuphumelele, kuzodingeka ushintshe indlela odla ngayo nendlela ophila ngayo impilo yakho yonke .
- Njenganoma yikuphi ukuhlinzwa, kunezingozi nezinkinga. Xoxa ngalokhu ngokucophelela nodokotela wakho.
- Ngemva kokuhlinzwa, kubalulekile ukuthatha izithasiselo zamavithamini namaminerali impilo yakho yonke.
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