Ingabe nawe ungumuntu ohlushwa izifo ezahlukahlukene ezifana nesifo sikashukela kanye nomfutho wegazi ophezulu ngenxa yokukhuluphala? Mhlawumbe usuzivocavocile, walawula ukudla kwakho, futhi wenza konke ongakwenza, kodwa usalwela ukwehlisa isisindo. Uma kunjalo, kumelwe ukuthi uke wezwa ngokuhlinzwa kokunciphisa isisindo, okwaziwa nangokuthi ukuhlinzwa kwe-bariatric. Namuhla sikhuluma ngokuhlinzwa kwe-gastric bypass, okunye kokuhlinzwa okwenziwa kakhulu emhlabeni.
Kalula nje, kuyini ukuhlinzwa kwesisu okubizwa ngokuthi i-gastric bypass?
Lolu uhlobo lokuhlinzwa olusetshenziselwa ukwehlisa isisindo kanye nokulungisa indlela umzimba osebenza ngayo. Lolu hlobo lokuhlinzwa lwaziwa nangegama lalo lesiFulentshi, elithi “Roux-en-Y”.
Kalula nje, lokhu kuhlinzwa kuhilela ukwenza izinguquko ohlelweni lwakho lokugaya ukudla. Kunciphisa inani lokudla okudlayo futhi kunciphisa inani lamakhalori umzimba wakho owamukelayo. Lokhu kuhilela kakhulu izinguquko esiswini sakho nasemathunjini amancane.
Cabanga ngesisu sakho njengesikhwama esikhulu. Lokhu kuhlinzwa kudala isikhwama esincane, esingangeqanda, phezu kwaleso sikhwama esikhulu. Bese ukudla esikudlayo kungena ngqo kulesi sikhwama esincane. Ukusuka lapho, ukudla kuxhunywe ngqo engxenyeni engezansi yamathumbu akho amancane.
Lokhu kusho ukuthi ukudla okudlayo manje kudlula ingxenye enkulu yesisu kanye nengxenye yokuqala yamathumbu amancane. Lokhu kudlula kuvimbela umzimba wakho ekumunceni ngokugcwele izakhamzimba nama-calories ekudleni. Lena yindlela onciphisa ngayo isisindo.
Ubani ngempela lo kuhlinzwa okufanelekelayo?
Lokhu kuhlinzwa akulona olwawo wonke umuntu. Odokotela batusa kuphela labo abakhuluphele kakhulu ngokwengqondo. Ngokuvamile kunezinto ezimbalwa okumele zenziwe ukuze ufanelekele lokhu.
| Izindlela Zokufaneleka | Incazelo |
|---|---|
| Ukukhuluphala ngokweqile (Ukukhuluphala Kwesigaba III) | Uma inkomba yakho yesisindo somzimba (i-BMI) ingaphezu kuka-40. |
| Ukukhuluphala ngokweqile kanye nezinye izifo | Uma i-BMI yakho ingaphezu kuka-35 futhi unesimo esisodwa noma ngaphezulu sezokwelapha esibangelwa ukukhuluphala, njengesifo sikashukela, umfutho wegazi ophakeme, noma i-sleep apnea. |
| Isifo sikashukela esingalawulwa | Lokhu kuhlinzwa kunganconywa uma isifo sikashukela sohlobo 2 esibangelwa ukukhuluphala kunzima ukusilawula futhi i-BMI ingaphezu kuka-30. |
Into ebaluleke kakhulu ukuthi ngaphambi kokuba wenze lokhu kuhlinzwa, uzibophezele ekushintsheni indlela yakho yokuphila kanye nemikhuba yakho yokudla impilo yakho yonke. Lesi akusona isisombululo sesikhashana.
Ngaphezu kwalokho, ithimba lodokotela nabanye ochwepheshe bezempilo lizokuhlola ngaphambi kokuncoma ukuhlinzwa.
- Ingabe uphilile ngokomzimba nangokwengqondo ukuze uhlinzwe?
- Ukuhlola ukuthi utshwala noma ugwayi usetshenzisiwe yini.
- Siphinde sicabangele ukuthi ngabe uke wazama yini ukunciphisa isisindo ngezinye izindlela (ukuzivocavoca, ukudla) ngaphambi kokuhlinzwa.
Ziyini izinzuzo zokuhlinzwa?
Inzuzo enkulu yalokhu ukwehla kwesisindo okukhulu. Ngokuvamile, phakathi neminyaka emibili yokuqala ngemva kokuhlinzwa, ungalahlekelwa cishe u-70% wesisindo sakho eseqile . Nakuba abanye abantu bethola isisindo esincane ngokuhamba kwesikhathi, ungalondoloza ukwehla kwesisindo isikhathi eside cishe ngo-50%.
Ngaphezu kokwehlisa isisindo, lokhu kuhlinzwa kusiza nokulawula noma ukwelapha ngokuphelele izifo eziningi ezibangelwa ukukhuluphala.
- Isifo Sikashukela Sohlobo 2
- Umfutho wegazi ophezulu (i-Hypertension)
- I-cholesterol ephezulu egazini (i-Hyperlipidemia)
- Isifo senhliziyo
- Isifo sesibindi esinamafutha
- Isifo se-Gastritis kanye nesifo se-reflux se-gastroesophageal (GERD)
- Ukukhonkotha (i-obstructive sleep apnea)
- I-Osteoarthritis
Abantu abaningi bayakwazi ukuyeka noma ukunciphisa imithi abayithathayo yalezi zifo.
Ukuhlinzwa kwenziwa kanjani?
Njengamanje, ukuhlinzwa kwesisu okungu-90% kwenziwa nge-laparoscopically . Lokhu kuhilela ukwenza izimbobo ezincane kakhulu ezingu-3-5 (cishe isigamu sesentimitha) esiswini, lapho kufakwa khona ikhamera namathuluzi okuhlinza. Le ndlela iholela ebuhlungwini obuncane, ukululama okusheshayo, kanye nezinkinga ezimbalwa.
Ukuhlinzwa kuthatha amahora amabili kuya kwamane. Kuzodingeka uhlale esibhedlela cishe izinsuku ezimbili ngemva kokuhlinzwa.
Azikho yini izingozi nezinkinga zesikhathi eside zokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezithile. Kodwa-ke, lezi ngokuvamile azivamile. Uma kwenziwa udokotela ohlinzayo onolwazi, izingozi ziphansi kakhulu.
| Uhlobo Lwengozi | Incazelo |
|---|---|
| Izingozi Zesikhathi Esifushane | |
| Izingozi ezihambisana nokuhlinzwa | Ukutheleleka ngamanxeba, ukopha ngokweqile, ukusabela kokubulala izinzwa. |
| Izingozi eziqondene nokuhlinzwa | Ama-Hernia, ukuvaleka kwamathumbu amancane, kanye nokuvuza kwe-anastomotic. |
| Izinkinga Zesikhathi Eside | |
| Isifo Sokulahla Inkunkuma | Uma udla ukudla okunoshukela noma ufulawa omningi, kungena ngokushesha emathunjini amancane, okubangela izimpawu ezifana nokucanuzela kwenhliziyo, ubuhlungu besisu, kanye nesifo sohudo. Lokhu kungagwenywa ngokulawula ukudla kwakho. |
| Ukungondleki kahle | Ngenxa yokuthi ukumuncwa kwezakhamzimba emzimbeni kuyancipha, kubalulekile ukuthatha izithasiselo zamavithamini namaminerali ezinikezwe udokotela impilo yonke. |
| Amatshe enyongo | Ukwehla kwesisindo ngokushesha kwandisa ingozi yokuba namatshe enyongo. |
| Ukubuyiselwa kwesisindo | Uma imikhuba yokudla nendlela yokuphila ingashintshi, ngokuhamba kwesikhathi, usayizi wesisu oncishisiwe ungakhula futhi uholele ekukhuluphaleni. |
Impilo injani ngemva kokuhlinzwa?
Lena yingxenye ebaluleke kakhulu. Ngemva kokuhlinzwa, kuzodingeka ulandele uhlelo lokudla oluqinile.
- Amaviki ambalwa okuqala: Ukudla okuwuketshezi kuphela.
- Emasontweni ambalwa azayo: Ukudla okuthambile.
- Ngemva kwezinyanga ezingu-2-3: Kancane kancane faka ukudla okuqinile.
Kubalulekile ukulandela ngokuqinile imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokudla.
- Ukudla okucebile ngamaprotheni: Kubalulekile ukudla ukudla okucebile ngamaprotheni (inhlanzi, amaqanda, ubisi) ukuze imisipha iqine.
- Gwema ukudla okunoshukela nokunesitashi: Iziphuzo ezinoshukela, amakhekhe, amabhisikidi, kanye nesinkwa kufanele kuncishiswe ngangokunokwenzeka.
- Amavithamini namaminerali: Kufanele uthathe izithasiselo ezinikezwe udokotela wakho impilo yakho yonke.
- Phuza amanzi amaningi: Kubalulekile ukuphuza okungenani amalitha amabili amanzi ngosuku. Kodwa-ke, gwema ukuphuza amanzi ngenkathi udla.
Ngesikhathi sokululama ngemva kokuhlinzwa, ungase ube nemiphumela emibi yesikhashana njengokukhathala, izinhlungu zomzimba, nokulahlekelwa izinwele. Lokhu kuzobuyela esimweni esijwayelekile ngokuhamba kwesikhathi.
Khumbula, ukuhlinzwa kwesisu okwenziwa nge-gastric bypass akuwona umlingo. Kuyithuluzi elinamandla elizokusiza ukwehlisa isisindo. Ukuze uthole okuningi kukho, kuzodinga ukuzibophezela okukhulu nomzamo wakho.
Uma nawe uhlushwa ukukhuluphala ngokweqile, kubaluleke kakhulu ukukhuluma nodokotela wakho ukuze ufunde kabanzi ngalokhu bese unquma ukuthi lokhu kulungile yini kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-gastric bypass kuyindlela enkulu yokuhlinzwa yokukhuluphala okukhulu kanye nezifo ezihlobene nakho. Akuyona ikhambi elisheshayo.
- Lokhu kuhlinzwa kungaholela ekunciphiseni isisindo okukhulu futhi kungasiza nasekulawuleni izimo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme.
- Impumelelo yokuhlinzwa incike ekuzibophezeleni kwakho ekushintsheni ukudla nokuphila kwakho konke.
- Ngemva kokuhlinzwa, kuyimpoqo ukuthatha amavithamini namaminerali anikezwe udokotela impilo yakho yonke.
- Kufanele unqume ukuthi lokhu kuhlinzwa kulungile yini kuwe ngemva kokuxoxa ngakho nodokotela wakho.
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