Ingabe nawe ungumuntu ohlushwa ukungakhululeki okuningi kanye nezifo ezahlukahlukene ngenxa yokukhuluphala ngokweqile? Mhlawumbe ubulokhu uzivocavoca futhi ulawula ukudla kwakho futhi manje usukhathele. Uma kunjalo, kuzobaluleka kakhulu ukuthi wazi ngalokhu kuhlinzwa kwe-Gastric Sleeve esikhuluma ngakho namuhla. Lokhu ukuhlinzwa okuphumelelayo okusetshenziswa kabanzi emhlabeni wonke njengokwelapha ukukhuluphala. Ake sibone ukuthi kuyini nokuthi kusebenza kanjani.
Kalula nje, kuyini ukuhlinzwa kwesisu?
Ukuhlinzwa kwesisu, noma ngokwezokwelapha, i-sleeve gastrectomy, uhlobo lokuhlinzwa kwe-bariatric lokunciphisa isisindo. Okwenzeka lapha kulula kakhulu. Udokotela ohlinzayo ususa ingxenye enkulu kakhulu yesisu sakho (ingxenye yesisu sakho emathunjini akho), cishe u-80%.
Cabanga nje, isisu sakho sifana nesikhwama esincane. Ngemva kwalokhu kuhlinzwa, kusele ingxenye encane kuphela yaleso sikhwama. Ingxenye esele ibunjwe njengobhanana, njengepayipi elincane. "Isikhwama" siyinto efana nengalo. Ngakho-ke lokhu kubizwa ngokuthi "isikhwama sesisu" ngoba isisu sishiywe njengengalo encane.
Kunezizathu ezimbili zokuthi kungani lokhu kuhlinzwa kungabangela ukwehla kwesisindo.
Ungase uzibuze ukuthi lokhu kukusiza kanjani ukwehlisa isisindo. Kunezizathu ezimbili eziyinhloko.
1. Isisu esincane: Manje isisu sakho sincane kakhulu. Ngakho-ke inani lokudla ongakudla ngesikhathi esisodwa lincane kakhulu. Awukwazi ukudla ipuleti elikhulu lelayisi njengakuqala. Uzizwa usuthi ngisho nangemva kokudla kancane. Ngenxa yalokhu, inani lamakhalori owadlayo ngosuku liyancipha ngokwemvelo.
2. Izinguquko zama-hormone: Lena yinto ebaluleke kakhulu. Okusenza silambe futhi sifise ukudla uhlobo lwe-hormone. La ma-hormone akhiqizwa kakhulu engxenyeni enkulu yesisu esiyisusa ngesikhathi sokuhlinzwa. Ngakho-ke uma leyo ngxenye isusiwe, ukukhiqizwa kwama-hormone abangela indlala nakho kuncipha kakhulu. Ngakho-ke, izinto ezifana nesifiso sokudla ngaphandle kwesizathu, isifiso sokudla ngokweqile siyalawulwa. Lokhu futhi kuwusizo olukhulu ekugcineni leso sisindo ngemva kokunciphisa isisindo.
Nakuba lokhu kuhlinzwa kuyindlela evame kakhulu yokunciphisa isisindo emhlabeni, bambalwa kakhulu abantu abangazuza kukho futhi bafanelekele ukuhlinzwa.
Ubani ngempela lo kuhlinzwa okufanelekelayo?
Lokhu akuyona indlela yokuhlinzwa engenziwa yiwo wonke umuntu. Udinga ukuhlangabezana nezimfanelo ezithile kulokhu. Odokotela benza lesi sinqumo ngemva kokuhlola ngokucophelela isimo sakho sempilo.
| Ukufaneleka | Incazelo |
|---|---|
| Ukukhuluphala Okukhulu | Inkomba yakho yesisindo somzimba (i-BMI) kumele ibe ngu-40 noma ngaphezulu. Noma, kumele ube ne-BMI engu-35 noma ngaphezulu futhi ube nesimo esihlobene nokukhuluphala njengesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol. |
| Ezinye izindlela ziyahluleka | Ngaphambi kokuhlinzwa, bekufanele ngabe uzame ukunciphisa isisindo ngokuzivocavoca nokudla. Ezinye izinkampani zomshuwalense zidinga ukuthi uhlanganyele ohlelweni lokunciphisa isisindo oluqondiswa udokotela izinyanga ezi-3-6 ngaphambi kokuvuma ukuhlinzwa. |
| Ukulungiselela ngokomzimba nangokwengqondo | Lokhu ukuhlinzwa okukhulu. Kudinga futhi izinguquko zokudla impilo yonke. Ngakho-ke ithimba lochwepheshe bezokudla, izazi zokusebenza kwengqondo, kanye nabanye ochwepheshe bezokwelapha bazokuhlola ukuqinisekisa ukuthi usukulungele ngokomzimba nangokwengqondo lokhu. |
Ezinye izifo eziphathwa ngokuhlinzwa kwesisu
Nakuba umgomo oyinhloko walokhu kuhlinzwa ukwehlisa isisindo, kungalawula, futhi ngezinye izikhathi kuphulukise ngokuphelele, ezinye izifo eziningi eziyingozi ezibangelwa ukukhuluphala ngokweqile.
- Uhlobo lwesibili lwesifo sikashukela kanye nokumelana ne-insulin
- Umfutho wegazi ophezulu (umfutho wegazi ophakeme) kanye nezifo zenhliziyo ezihlobene nazo
- I-cholesterol ephezulu egazini (i-Hyperlipidemia) kanye nezifo zemithambo yegazi
- Isifo sesibindi esinamafutha angewona utshwala (isifo sesibindi esinamafutha angewona utshwala)
- Ukuphefumula kobuthongo okuvimbelayo
- Ubuhlungu bamalunga kanye nobuhlungu bamadolo (i-Osteoarthritis)
Kwenziwa kanjani ukuhlinzwa?
Manje ake sibone ukuthi lokhu kuhlinzwa kwenziwa kanjani. Ungakhathazeki, lokhu kuvame ukwenziwa ngokusebenzisa ukuhlinzwa kwe-laparoscopic . Lokho kusho ukuthi akudingeki usike isisu sakho njengoba wawusenza. Esikhundleni salokho, wenza izimbobo ezincane ezingu-3-4 esiswini sakho bese ufaka ikhamera namathuluzi okuhlinza ngazo. Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole." Lokhu kusho ubuhlungu obuncane kanye nesikhathi sokululama ngokushesha.
Kwenzekani ngesikhathi sokuhlinzwa:
1. Okokuqala, uzolaliswa ngokuphelele. Lokhu kusho ukuthi ngeke uzwe lutho kuze kube yilapho ukuhlinzwa sekuphelile, futhi uzolala ngokuphelele.
2. Udokotela ohlinzayo uzokwenza ukusika okuncane, okungaba yisigamu sesentimitha, esiswini sakho bese efaka ipayipi elincane kuso.
3. Kufakwa inani elincane legesi yekhabhoni dioksijini ngepayipi ukuze kufuthwe isisu. Lokhu kuvumela izitho ezingaphakathi ukuba zibonakale kahle, okuvumela ukuhlinzwa.
4. Bese kufakwa ikhamera ebizwa ngokuthi i-laparoscope. Izithombe ezivela kuyo ziboniswa esikrinini esikhulu.
5. Izinto zokuhlinzwa zifakwa ngezinye izimbobo ezincane, futhi cishe u-80% wesisu uyahlukaniswa futhi ususwe kusetshenziswa i-stapler ekhethekile yokuhlinzwa.
6. Ingxenye yokugcina yesisu esusiwe iyakhishwa bese kuthi izimbobo ezincane ezenziwe zithungwe.
Ukuhlinzwa konke kuvame ukuthatha cishe ihora noma ihora nesigamu . Kuzodingeka uhlale esibhedlela usuku noma ezimbili ngemva kokuhlinzwa. Lokhu kuzosiza ekulawuleni ubuhlungu nokuqapha isimo sakho.
Injani impilo ngemva kokuhlinzwa?
Impilo yakho izoshintsha kakhulu ngemva kokuhlinzwa, ikakhulukazi imikhuba yakho yokudla.
- Ukudla emasontweni ambalwa okuqala: Ezigabeni zokuqala, uzodinga ukudla uketshezi kuphela. Ngemuva kwalokho, kancane kancane, uzojwayela ukudla okuwuketshezi olufana nesobho, bese kuba ukudla okuthambile, okucoliwe. Kuzothatha izinyanga ezimbalwa ngaphambi kokuba uqale ukudla ukudla okuqinile okuvamile.
- Amavithamini kanye nezithako zokudla okunempilo: Njengoba inani lokudla okudlayo lincane kakhulu, umzimba wakho ungase ungatholi izakhamzimba ezanele. Ngakho-ke, kuzodingeka uthathe izithako zamavithamini namaminerali ezinconywe udokotela wakho impilo yakho yonke .
- Ukuhlolwa kwezokwelapha: Ngemva kokuhlinzwa, kuzodingeka ubone udokotela wakho ngezikhathi ezithile ukuze ahlole ukwehla kwesisindo sakho, impilo yakho, kanye namazinga akho okudla.
Yiziphi izinzuzo nezingozi?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo zako kanye nezingozi ezincane. Kodwa khumbula, izingozi zokuphila nokukhuluphala zidlula kakhulu izingozi zalokhu kuhlinzwa.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Kulula, kuyashesha, futhi kuphephile kunezinye izindlela zokuhlinzwa zokunciphisa isisindo. | Izingozi zesikhashana (eziphansi kakhulu, ezingaphansi kuka-1%):Ukopha, izifo, ukusabela ekubulaweni yizinzwa, ukuvuza okuvela emgqeni we-stapler. |
| Ngenxa yokuthi ayishintshi amathumbu, amathuba okuba nezinkinga zokudla okunempilo isikhathi eside aphansi. | Izinkinga zesikhathi eside: ukuntuleka kokudla okunempilo (ukudla amavithamini kubalulekile), ukuba kubi kakhulu noma ukuqala okusha kwe-gastroesophageal reflux, amatshe enyongo (kungenzeka ngokunciphisa isisindo ngokushesha). |
| Inikeza izinzuzo ezinhle kakhulu zokunciphisa isisindo kanye nempilo. | Izicubu ezibomvu zingabangela isisu ukuba sinciphe futhi sivimbele ukudlula kokudla (kungase kube nokuhlanza kanye nesicanucanu). |
Kuyoncipha isisindo esingakanani?
Ngokuvamile, ungalahlekelwa phakathi kuka-25% no-30% wesisindo sakho sonke somzimba phakathi nonyaka wokuqala noma emibili ngemva kokuhlinzwa. Ake sithi unesisindo esingamakhilogremu angu-120. Khona-ke ungalahlekelwa cishe amakhilogremu angu-30-36. Kodwa lokhu kuncike endleleni yokuphila oyilandelayo ngemva kokuhlinzwa. Abanye abantu balahlekelwa isisindo esiningi nakakhulu.
Lokhu ukuhlinzwa okungenakuguqulwa. Ngakho-ke uma unquma ukukwenza, udinga ukulungela ukuzibophezela impilo yakho yonke ekushintsheni ukudla kwakho nendlela yakho yokuphila. Kodwa uma usukulungele ukwenza lokho kuzibophezela, lokhu kuhlinzwa kuzovula indlela entsha eya empilweni enempilo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesisu kuyindlela ephumelela kakhulu futhi ephephile yokwelapha ukukhuluphala ngokweqile.
- Lokhu akugcini nje ngokwenza isisu sibe sincane, kodwa futhi kunciphisa amazinga ama-hormone abangela indlala.
- Lokhu akufanele wonke umuntu. Ukufaneleka kunqunywa ngokusekelwe ku-BMI yakho kanye nezinye izimo zempilo.
- Ngemva kokuhlinzwa, kuzodingeka uzivumelanise nokudla okusha nendlela yokuphila impilo yakho yonke. Ukuthatha izithasiselo zamavithamini kuyinto ebalulekile.
- Indlela engcono kakhulu yokuthola ukuthi lokhu kuhlinzwa kulungile yini kuwe ukukhuluma ngakho ngokukhululekile nodokotela wakho noma nomeluleki .
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