Enye yezinkinga ezinkulu abantu abaningi ababhekene nazo namuhla ukukhuluphala. Cishe akukho lutho abangakwenza ukuze banciphise isisindo. Baya ejimini, balawule ukudla kwabo, futhi benze izivivinyo ezahlukahlukene. Kodwa kwabanye, kungakhathaliseki ukuthi benzani, kunzima kakhulu ukuthola imiphumela oyifunayo. Ukukhuluphala ngokweqile, noma njengoba sikubiza kanjalo, "ukukhuluphala ngokweqile" akuyona nje inkinga yobuhle, kodwa futhi kuyimbangela yezifo eziningi ezimbi njengesifo sikashukela, umfutho wegazi ophakeme, kanye ne-cholesterol. Ngakho-ke, namuhla sizokhuluma ngendlela ephumelela kakhulu kwezokwelapha yokusiza labo abahlushwa lolu hlobo lokukhuluphala. Lokho ukuhlinzwa kwesisu.
Kalula nje, kuyini ukuhlinzwa kwesisu?
Ukuhlinzwa kwesisu, noma njengoba odokotela bekubiza kanjalo, "i-sleeve gastrectomy," kuyindlela yokunciphisa isisindo. Kubizwa nangokuthi "ukuhlinzwa kwe-bariatric." Okwenzeka lapha kulula kakhulu. Ingxenye enkulu yesisu sakho, cishe u-80%, isuswa ngokuhlinzwa.
Cabanga ngesisu sakho njengesikhwama esincane. Ngemva kwalokhu kuhlinzwa, kususwa ingxenye enkulu yesikhwama, kushiye ingxenye encane, efana nebhanana, efana ne-tube (isikhwama). Yingakho ibizwa ngokuthi ukuhlinzwa kwesisu. Iphuzu eliyinhloko lalokhu kuhlinzwa ukwenza isisu sibe sincane kakhulu ngale ndlela.
Kulungile, wehlisa kanjani isisindo ngokunciphisa isisu sakho?
Manje ungase uzibuze, "Nginganciphisa kanjani isisindo ngokunciphisa isisu sami?" Kunezizathu ezimbili eziyinhloko zalokho.
1. Ukunciphisa inani lokudla okudlayo: Njengoba isisu sakho sincane kakhulu, inani lokudla ongakudla ngesikhathi esisodwa lincishisiwe kakhulu. Ngisho noma ubudla ipuleti eligcwele ukudla, ngemva kokuhlinzwa uzozizwa usuthi ngokudla okuncane nje. Kalula nje, uzozizwa usuthi ngokushesha. Lokhu ngokwemvelo kulawula inani lama-calories umzimba wakho owamukelayo.
2. Ukwehla kwama-hormone endlala: Leli yiphuzu elibaluleke kakhulu. Isisu sethu sikhiqiza i-hormone `(ghrelin)` okuyi-hormone eyinhloko ebangela indlala. Njengoba cishe u-80% wesisu ususwa ngesikhathi sokuhlinzwa kwesisu, inani lale hormone elikhiqizwayo nalo liyancipha kakhulu. Lokhu kusho ukuthi indlala yakho kanye nezifiso zakho zokudla kuyancipha kakhulu. Isizathu esiyinhloko sokuthola isisindo futhi ngemva kokulahlekelwa isisindo yisifiso sokudla esingalawuleki. Lokhu kuhlinzwa kunikeza nesisombululo esihle salokho.
Into ebaluleke kakhulu ukuthi lokhu akusikho ukuhlinzwa kobuhle. Kwenzelwa ukulawula izinkinga ezinkulu zempilo ezibangelwa ukukhuluphala ngokweqile.
Ubani ofanelekela ukuhlinzwa lokhu?
Lokhu akuyona indlela yokuhlinzwa engenziwa yiwo wonke umuntu. Udokotela uzokuxilonga ngokucophelela futhi akuthumelele lolu hlinzo kuphela uma uhlangabezana neziqu ezithile. Ake sibone ukuthi yiziphi lezo ziqu.
| Ukufaneleka | Incazelo elula |
|---|---|
| Ukukhuluphala Okukhulu | Inkomba yakho yesisindo somzimba, noma i-BMI, kufanele ibe ngu-40 noma ngaphezulu. I-BMI iyisilinganiso sokuthi unesisindo esinempilo yini ngobude bakho. Ngezinye izikhathi, uma i-BMI yakho icishe ibe ngu-35 futhi unezinye izimo ezihlobene nokukhuluphala, njengesifo sikashukela kanye nomfutho wegazi ophakeme, ungase ufanelekele lokhu kuhlinzwa. |
| Ezinye izindlela ziyahluleka | Ngaphambi kokuhlinzwa, bekufanele ngabe uzame ukunciphisa isisindo ngezinye izindlela, njengokudla nokuzivocavoca. Ezinye izinkampani zomshuwalense zingadinga ukuthi uhlanganyele ohlelweni lokunciphisa isisindo oluqondiswa ngokwezokwelapha izinyanga ezi-3-6 ngaphambi kokuvuma ukuhlinzwa. |
| Ukulungiselela ngokomzimba nangokwengqondo | Lokhu ukuhlinzwa okukhulu futhi ushintsho oluzohlala isikhathi eside. Ngakho-ke udinga ukulungiselela kahle, kokubili ngokomzimba nangokwengqondo. Ngaphambi kokunquma ukuthi uyakufanelekela yini ukuhlinzwa, kuzodingeka uhlangane nethimba lochwepheshe bezokudla, izazi zengqondo, kanye nabanye ochwepheshe. |
Yiziphi ezinye izifo ezingelapheka ngalolu hlinzeko?
Nakuba umgomo oyinhloko wokuhlinzwa kwesisu ukwehlisa isisindo, kungalawula, futhi ngezinye izikhathi kuphulukise ngokuphelele, ezinye izifo eziningi ezibangelwa ukukhuluphala ngokweqile.
- Ukumelana ne-insulin kanye nesifo sikashukela sohlobo 2
- Umfutho wegazi ophakeme kanye nezifo zenhliziyo ezihlobene
- Amazinga aphezulu e-cholesterol egazini (i-Hyperlipidemia) kanye ne-arteriosclerosis
- Isifo sesibindi esinamafutha esingesona esotshwala (i-NAFLD)
- Ukuphefumula kobuthongo okuvimbelayo
- Ubuhlungu bamalunga kanye ne-osteoarthritis
Lokhu kuhlinzwa kusiza ekunikezeni impumuzo ezifweni eziningi ezinjalo.
Inqubo yokuhlinzwa yenzeka kanjani?
Ake sibone ukuthi kwenzekani ngaphambi, ngesikhathi, nangemva kokuhlinzwa.
Yini okufanele uyenze ngaphambi kokuhlinzwa?
Uma odokotela bakho sebekutholile ukuthi ungumuntu ofanele ukuhlinzwa, uzonikezwa ukudla okukhethekile okuwuketshezi cishe amasonto amabili ngaphambi kokuhlinzwa. Lokhu kuhloswe ukusiza ekunciphiseni amanye amafutha angafuneki esiswini sakho nasesibindini, okwenza ukuhlinzwa kuphephe.
Ngaphezu kwalokho, ngeke uvunyelwe ukudla noma ukuphuza noma yini amahora ayi-12 ngaphambi kokuhlinzwa, njengoba isisu sakho kumele sibe singenalutho ngokuphelele ngesikhathi sokuhlinzwa.
Kwenziwa kanjani ukuhlinzwa?
Manje, isikhathi esiningi, lokhu kuhlinzwa kwenziwa kusetshenziswa indlela ebizwa ngokuthi "ukuhlinzwa kwe-laparoscopic." Okusho ukuthi, esikhundleni sokwenza ukusika okukhulu nokuvula isisu, ukuhlinzwa kwenziwa ngokufaka ikhamera namathuluzi akhethekile ngokusebenzisa izimbobo eziningana ezincane kakhulu. Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole." Le ndlela ayibuhlungu kakhulu futhi isikhathi sokululama sifushane kakhulu.
1. Okokuqala, uzofakwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho ngesikhathi sokuhlinzwa, uzobe ulele.
2. Udokotela ohlinzayo ube esesika isisu esincane kakhulu (cishe isigamu sesentimitha) esiswini sakho bese efaka ipayipi elincane kuso.
3. Igesi encane yekhabhoni dioksijini idluliselwa ngepayipi iye esiswini ukuze ifudumeze umgodi wesisu. Lokhu kuvumela izitho ezingaphakathi ukuba zibonakale kahle.
4. Okulandelayo, kufakwa ikhamera encane (i-laparoscope) ngepayipi. Udokotela wenza ukuhlinzwa ngokubuka izithombe ezivela kukhamera eskrinini.
5. Kwenziwa ukusikwa okukodwa noma ngaphezulu okuncane, lapho kufakwa khona izinto ezinde nezincane ezidingekayo ekuhlinzeni.
6. Kusetshenziswa la mathuluzi, ingxenye "yesikhwa" sesisu okudingeka ishiywe iyalinganiswa, bese ingxenye enkulu engadingekile ihlukaniswa bese inqunywa ngohlobo olukhethekile lwe-stapler (i-stapler yokuhlinzwa).
7. Ekugcineni, ingxenye yesisu esusiwe iyakhishwa bese kuthi imicu emincane ithungwe ivalwe.
Lonke lolu hlinzo luvame ukuthatha cishe ihora nesigamu.
Kwenzekani ngemva kokuhlinzwa?
Kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili ngemuva kokuhlinzwa. Phakathi naleso sikhathi, abasebenzi bezokwelapha bazokusiza ukulawula ubuhlungu bakho nokuphatha imiphumela emibi yesikhashana, njengesicanucanu.
Ngemva kokuphuma esibhedlela, kuzodingeka ubone udokotela wakho ngezikhathi ezithile. Uzoqapha ukwehla kwesisindo sakho, ukuthi ezinye izimo zezokwelapha ziyalawuleka yini, nokuthi ngabe kukhona yini imiphumela emibi ngemva kokuhlinzwa.
Ingabe kudingeka ngenze noma yiziphi izinguquko ezinkulu emikhubeni yami yokudla nokuphuza ngemva kokuhlinzwa?
Yebo, impela. Lena yingxenye eyinselele kakhulu futhi ebaluleke kakhulu yalolu hambo. Ngemva kokuhlinzwa, udinga ukuqaphela kakhulu ukuthi udlani futhi uphuzani impilo yakho yonke.
- Amaviki ambalwa okuqala:Phakathi nalesi sikhathi, ungadla uketshezi kuphela. Izinto ezifana nesobho, ubisi, kanye nejusi yezithelo.
- Okulandelayo: Ungashintshela kancane kancane ekudleni okuthambile, njengelayisi elicoliwe, imifino ecoliwe, kanye neyogathi.
- Ngemva kwezinyanga ezimbalwa: Ungaqala kancane kancane ukudla ukudla okuqinile okuvamile.
Kodwa khumbula, awukwazi ukudla ukudla okuningi njengakuqala. Ukudla okudlayo kufanele kube okunomsoco kakhulu , ngoba udinga ukuthola zonke izakhamzimba umzimba wakho ozidingayo ngamanani amancane.
Futhi, ngemva kokuhlinzwa, kuzodingeka uthathe izithasiselo zamavithamini namaminerali impilo yakho yonke. Lokhu kungenxa yokuthi kunzima ukuthola zonke izakhamzimba umzimba wakho ozidingayo ekudleni kuphela ngenxa yokuncipha kokudla okudlayo.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezithile.
Izinzuzo
- Uma kuqhathaniswa nezinye izinhlobo zokuhlinzwa kwe-bariatric, lokhu kuyindlela elula, esheshayo, futhi ephephile.
- Njengoba ukuhlinzwa kungenzi zinguquko emathunjini, ingozi yokuntuleka kokudla okunempilo isikhathi eside iphansi.
- Unganciphisa isisindo ngempumelelo enkulu ngaleyo ndlela ulawule izifo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme.
Izingozi Nezinkinga
Ingozi yezinkinga ezivela kulokhu kuhlinzwa iphansi kakhulu (ngaphansi kuka-1%). Kodwa-ke, kubalulekile ukuqaphela.
| Uhlobo lwengozi | Incazelo |
|---|---|
| Izingozi zesikhashana ezihlobene nokuhlinzwa |
|
| Izinkinga zesikhathi eside |
|
Nginganciphisa isisindo esingakanani? Ingabe ngizosiphinda ngisithole?
Ngokuvamile, ungalahlekelwa phakathi kuka-25% no-30% wesisindo sakho sonke somzimba phakathi nonyaka wokuqala noma emibili ngemva kokuhlinzwa. Isibonelo, umuntu onesisindo esingu-120 kg angalahlekelwa cishe ngu-30-36 kg. Leli nani lincike endleleni yokuphila oyilandelayo ngemva kokuhlinzwa.
Abanye abantu bangase baphinde bakhuluphale ngokuhamba kwesikhathi, kungaba ngenxa yokuthi babuyela emikhubeni yabo yokudla yakudala noma ngenxa yokuthi isisu sabo siyanwebeka ngokuhamba kwesikhathi. Uma lokho kwenzeka, kungadingeka ucabangele ukuhlinzwa kokulungisa. Lokhu kungabandakanya ukubuyekezwa kokuhlinzwa kokuqala noma ukuguqulwa uye kolunye ukuhlinzwa kokunciphisa isisindo, njenge-gastric bypass.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesisu okunemikhono kuyindlela ephumelela kakhulu yokulawula ukukhuluphala okukhulu kanye nezifo ezihambisana nakho. Akuyona inqubo yobuhle.
- Lolu ushintsho olukhulu, olungaguquki, oluzokwenzeka impilo yonke. Ngakho-ke funda kahle ngaphambi kokwenza isinqumo.
- Impumelelo yokuhlinzwa incike kuwe ngokuphelele. Kumelwe uzibophezele ekudleni impilo yakho yonke, ekuzivocavoceni, kanye nendlela yokuphila enempilo ngemva kokuhlinzwa.
- Lokhu kuhlinzwa akugcini nje ngokusiza ekunciphiseni isisindo, kodwa futhi kusiza ekwelapheni izifo eziningana ezifana nesifo sikashukela, umfutho wegazi ophakeme kanye ne-cholesterol.
- Uma ucabangela lokhu kuhlinzwa, khuluma ngokukhululekile nodokotela ohlinzayo onguchwepheshe noma udokotela womndeni wakho ngakho ukuze uqonde ngokugcwele ukuthi kulungile yini kuwe nokuthi yiziphi izinzuzo nezingozi.
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