Uzizwa sengathi ukhuluphele kakhulu? Awukaze wenze lutho ukuze wehlise isisindo? Uke wazama ukudla ukudla okunempilo nokuzivocavoca, kodwa awukayiboni imiphumela oyifunayo? Ngezinye izikhathi, ukukhuluphala akuyona nje inkinga yobuhle, kodwa futhi kuyisici esiyingozi sezifo ezingathi sína njengesifo sikashukela kanye nomfutho wegazi ophakeme. Ezimweni ezinjalo, ikhambi elilodwa kuphela elitholakala kwisayensi yezokwelapha ukuhlinzwa 'kwe-Gastric Sleeve' esikhuluma ngakho namuhla.
Kalula nje, kuyini ukuhlinzwa kwe-Gastric Sleeve?
Lolu futhi uhlobo lokuhlinzwa kokwehlisa isisindo. Odokotela bakubiza ngokuthi "ukuhlinzwa kwe-bariatric." Lokhu kuhlinzwa kuhilela ukusika isisu sakho, isikhwama esigcina ukudla emathunjini akho. Cabanga ngesisu sakho njengebhaluni elincane. Lokhu kuhlinzwa kuhilela ukusika cishe u-80% walelo bhaluni bese ulisusa .
Bese kusele isisu esincane, esifana nepayipi, esime njengobhanana. Igama elithi 'gastrectomy' ngokwezwi nezwi lisho 'ukususa ingxenye yesisu.' Ngemva kwalokhu, isisu sakho siba sincane kakhulu.
Lokhu kuhlinzwa kukusiza kanjani ukwehlisa isisindo?
Kunezindlela ezimbili lokhu okusebenza ngazo.
1. Ukunciphisa inani lokudla okudlayo: Uma isisu sakho sisincane, inani lokudla ongakudla ngesikhathi esisodwa liyancipha kakhulu. Ngisho noma udla kancane, usazizwa usuthi. Kufana nokudla enkomishini encane esikhundleni sokudla epuletini elikhulu.
2. Ukulawula indlala: Lena yinto ebaluleke kakhulu. Indlala yethu kanye nezifiso zethu kubangelwa ama-hormone athile akhiqizwa yisisu. Uma ingxenye enkulu yesisu isusiwe, ukukhiqizwa kwala ma-hormone abangela indlala kuncipha kakhulu . Ngakho-ke, izinto ezifana nesifiso sokudla kanye nesifiso sokudla ziyalawulwa. Lokhu kuwusizo olukhulu ekungaphindeni isisindo ngemva kokunciphisa isisindo.
Ukuhlinzwa Kwesinqe Sesisu kuyindlela evame kakhulu yokunciphisa isisindo emhlabeni. Kodwa-ke, cishe yi-1% kuphela yalabo abangazuza kukho abahlinzwa ngempela.
Ubani ofanelekela ukuhlinzwa lokhu?
Lokhu akuyona indlela yokuhlinzwa wonke umuntu angayenza. Ukuze ufanelekele lokhu, ngokuvamile udinga ukuhlangabezana nalezi zidingo. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
| Ukufaneleka | Kuchazwe kalula |
|---|---|
| Ukukhuluphala Okukhulu | Kukhona inkomba ebala isisindo sakho ngobude bakho (i-BMI - Inkomba Yesisindo Somzimba) . Uma i-BMI yakho ingaphezu kuka-40, noma ingaphezu kuka-35 futhi unezinye izifo ezibangelwa ukukhuluphala (njengesifo sikashukela kanye nomfutho wegazi ophezulu), ungase uwele kulesi sigaba. |
| Ezinye izindlela ziyahluleka | Ngaphambi kokuhlinzwa, bekufanele ngabe uzame ezinye izindlela zokwehlisa isisindo (ukudla, ukuvivinya umzimba). Kungase kudingeke futhi ukuthi udlule ohlelweni lokunciphisa isisindo oluqondiswa udokotela izinyanga ezi-3-6. |
| Ukulungiselela ngokwengqondo nangokomzimba | Lokhu ukuhlinzwa okukhulu. Kudinga futhi izinguquko zokudla impilo yonke. Ngakho-ke ithimba lodokotela, ochwepheshe bezokudla, kanye nodokotela bezengqondo bazokuhlola ukuqinisekisa ukuthi usukulungele ngokomzimba nangokwengqondo lokhu. |
Yiziphi izifo ezingelapheka ngalolu hlinzeko?
Lokhu kuhlinzwa kungalawula, futhi ngezinye izikhathi kuze kwelaphe ngokuphelele, izifo eziningi ezibangelwa ukukhuluphala ngokweqile.
- Ukumelana ne-insulin kanye nesifo sikashukela sohlobo 2
- Umfutho wegazi ophakeme kanye nezifo zenhliziyo ezihlobene
- I-cholesterol ephezulu egazini (i-Hyperlipidemia) kanye nesifo semithambo yegazi
- Isifo sesibindi esinamafutha esingadakwanga
- Ukuphefumula kobuthongo okuvimbelayo
- Ubuhlungu bamalunga kanye ne-arthritis (i-Osteoarthritis)
Inqubo yokuhlinzwa yenzeka kanjani?
Lokhu kuyinto eyenzeka ngezinyathelo ezimbalwa.
Ngaphambi kokuhlinzwa
Uma usuzimisele ukuba umuntu ofanele ukuhlinzwa, uzonikezwa ukudla okumanzi cishe amasonto amabili ngaphambi kokuhlinzwa. Lokhu kwenzelwa ukunciphisa inani lamafutha esiswini sakho nasesibindini futhi kwenze ukuhlinzwa kuphephe. Kuzodingeka uyeke ukudla noma ukuphuza ngokuphelele amahora ayi-12 ngaphambi kokuhlinzwa.
Ngesikhathi sokuhlinzwa
Lokhu kuhlinzwa kuvame ukwenziwa "njengokuhlinzwa kwe-keyhole" (ukuhlinzwa kwe-laparoscopic). Lokhu kusho ukuthi esikhundleni sokwenza i-incision enkulu esiswini, kwenziwa ngokusika okuncane bese kufakwa ikhamera kanye nezinsimbi ezithambile.
1. Okokuqala, uzophelelwa yi-anesthesia ngokuphelele (uzobe ulele).
2. Udokotela ohlinzayo wenza inxeba elincane esiswini sakho bese efutha isisu sakho ngokufaka igesi kuso.
3. Bese kufakwa ikhamera bese izitho ezingaphakathi zibukwa kusikrini.
4. Faka amathuluzi ngokusebenzisa izimbobo eziningana ezincane, ulinganise indawo yesisu ofuna ukuyigcina, bese ususa okuseleAma-80% esimila ayasikwa futhi asuswe emzimbeni nge-stapler yokuhlinzwa.
5. Ekugcineni, thunga imigodi emincane ivaliwe.
Lonke lolu hlinzwa luvame ukuthatha cishe ihora nesigamu .
Ngemva kokuhlinzwa
Uzoba sesibhedlela usuku olulodwa noma ezimbili ngemva kokuhlinzwa. Emasontweni ambalwa okuqala, uzokwazi ukudla ukudla okumanzi kuphela. Ngemva kwalokho, ungashintshela kancane kancane ekudleni okuthambile, futhi ngemva kwezinyanga ezimbalwa, ungashintshela ekudleni okuqinile okuvamile. Kodwa-ke, kuzodingeka uthathe amavithamini kanye nezithasiselo zokudla okunempilo impilo yakho yonke , ngoba uzobe udla kancane futhi udinga ukuqinisekisa ukuthi umzimba wakho uthola izakhamzimba ozidingayo.
Yiziphi izinzuzo kanye nezingozi ezingaba khona?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa izingozi zokuphila nokukhuluphala zinkulu kakhulu.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Izinkinga zenzeka ngaphansi kwe-1%.
|
Unganciphisa isisindo esingakanani?
Ngokuvamile, ungalahlekelwa phakathi kuka-25% no-30% wesisindo sakho sonke somzimba phakathi nonyaka wokuqala noma emibili. Ake sithi unesisindo esingamakhilogremu angu-120. Lokho kungaba cishe amakhilogremu angu-30-36. Lokhu kuncike endleleni yokuphila oyilandelayo ngemva kokuhlinzwa.
Into ebaluleke kakhulu ukuthi lokhu kuhlinzwa akulona umlingo. Kumane kuyithuluzi elinamandla onalo. Ukuze uthole imiphumela ephumelelayo, kufanele uzibophezele ekudleni okunempilo kanye nendlela yokuphila esebenzayo impilo yakho yonke.
Ngezinye izikhathi, inani elincane kakhulu labantu lingase liphinde likhule isisindo ngokuhamba kwesikhathi. Uma lokhu kwenzeka, ungakhuluma nodokotela wakho ngakho bese ushintshela kolunye ukwelashwa uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa Kwemikhono Yesisu kuwukuhlinzwa okususa cishe u-80% wesisu sakho, okunciphisa ukudla okudlayo kanye nesifiso sakho sokudla.
- Lokhu kwenzelwa abantu abakhuluphele kakhulu futhi abanezifo ezihlobene futhi abangakwazanga ukwehlisa isisindo ngezinye izindlela.
- Ngenxa yokuthi lokhu kwenziwa ngenqubo ye-keyhole, kungaphola ngokushesha futhi ingozi iphansi kakhulu.
- Ukuze uthole imiphumela emihle ngemva kokuhlinzwa, udinga ukushintsha indlela odla ngayo nendlela ophila ngayo impilo yakho yonke.
- Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho ukuze uthole yonke imininingwane.
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