Ingabe ukhathele ukuzama izindlela ezahlukene zokwehlisa isisindo ngenxa yokukhuluphala? Ngezinye izikhathi, kungakhathaliseki ukuthi silawula kangakanani ukudla kwethu nokuzivocavoca, asitholi imiphumela efiselekayo. Ukukhuluphala akuyona nje inkinga yokubukeka, kodwa futhi kuyimbangela yezifo eziningi ezimbi njengesifo sikashukela kanye nomfutho wegazi ophakeme. Ngakho-ke, esimweni esinjalo, sizokhuluma ngokuhlinzwa okukhethekile okusiza ekunciphiseni isisindo ngosizo lwesayensi yezokwelapha namuhla.
Kuyini Ukuhlinzwa Kwesinqe Sesisu?
Kalula nje, ukuhlinzwa kwesisu kuyindlela yokwehlisa isisindo. Odokotela bakubiza ngokuthi ukuhlinzwa kwe-bariatric. Kuhilela ukunciphisa usayizi wesisu sakho. Cabanga ngesisu sakho njengesikhwama esincane. Kulokhu kuhlinzwa, cishe u-80% walowo sikhwama, oyingxenye enkulu, uyasikwa bese ususwa.
Bese kusele "isikhwama" esincane, esifana nepayipi lesisu, esime njengobhanana. Igama elithi "gastrectomy" lisho ukususa ingxenye yesisu. Yingakho libizwa nangokuthi "isikhwama sokuhlinza isifuba".
Lokhu kuhlinzwa kukusiza kanjani ukwehlisa isisindo?
Lena indlela elula kakhulu. Uma isisu sakho sincipha, inani lokudla ongakudla ngesikhathi esisodwa lilinganiselwe kakhulu. Lokho kusho ukuthi awukwazi ukudla okuningi njengoba wawuvame ukudla, futhi uzizwa usuthi ngisho nangemva kokudla kancane.
Kodwa umsebenzi awupheli lapho. Kwenzeka okunye okubalulekile. Isisu sethu singumkhiqizi oyinhloko wama-hormone endlala. Njengoba ingxenye enkulu yesisu isuswa, ukukhiqizwa kwala ma-hormone nakho kunciphisa kakhulu. Ngenxa yalokho, izinto ezifana nendlala engapheli kanye nezifiso ziyalawulwa. Esinye sezizathu eziyinhloko zokwanda kwesisindo ngemva kokulahlekelwa isisindo yilesi sifiso sokudla esingalawuleki. Ngakho-ke lokhu kuhlinzwa kunikeza nesisombululo salokho.
Ubani ngempela lo kuhlinzwa okufanelekelayo?
Lokhu akulona ukuhlinzwa kwawo wonke umuntu. Ukuze ufanelekele lokhu, kufanele uhlangabezane nezindinganiso ezithile. Lokhu kuzonqunywa yithimba lezokwelapha eliholwa udokotela wakho. Lezi yizici ezivame ukucatshangelwa.
| Iziqu | Incazelo Elula |
|---|---|
| Ukukhuluphala Okukhulu | Inkomba yakho yesisindo somzimba (i-BMI) kumele ibe ngaphezu kuka-40. Noma, i-BMI yakho kumele ibe ngaphezu kuka-35 futhi unesinye isimo sezokwelapha esibangelwa ukukhuluphala ngokweqile (njengesifo sikashukela noma umfutho wegazi ophakeme). I-BMI iyisilinganiso sesisindo sakho ngobude bakho. |
| Ezinye izindlela ziyahluleka | Ngaphambi kokuhlinzwa, kumelwe ukuthi uzame ukwehlisa isisindo kodwa wehluleka ngokudla nokuzivocavoca. Ngezinye izikhathi, ngisho nezinkampani zomshuwalense zidinga ukuthi uhlanganyele ohlelweni lokunciphisa isisindo oluqondiswa udokotela izinyanga ezi-3-6 ngaphambi kokuvuma ukuhlinzwa. |
| Ukulungiselela ngokomzimba nangokwengqondo | Lokhu ukuhlinzwa okukhulu. Futhi kuzodingeka ushintshe ngokuphelele indlela yakho yokuphila ngemva kokuhlinzwa. Ngakho-ke, ochwepheshe bezokudla, izazi zokusebenza kwengqondo, nabanye ochwepheshe bazohlola ukuthi usukulungele yini ngokomzimba nangokwengqondo lokhu. |
Into ebaluleke kakhulu ukuthi udokotela wakho uzothatha isinqumo sokugcina sokuthi lokhu kuhlinzwa kukulungele yini. Ngakho khuluma naye ngokukhululekile ngalokhu.
Yiziphi ezinye izifo ezingelapheka ngalolu hlinzeko?
Ukuhlinzwa kwesisu ngemikhono akugcini nje ngokwelapha ukukhuluphala ngokweqile, kodwa futhi kunikeza impumuzo kwezinye izifo eziningi ezihlobene. Ezinye izifo zingase zelapheke ngokuphelele.
- Ukumelana ne-insulin kanye nesifo sikashukela sohlobo 2
- Umfutho wegazi ophakeme kanye nezifo zenhliziyo ezihlobene
- I-cholesterol ephezulu egazini (i-Hyperlipidemia) kanye ne-arteriosclerosis
- Isifo Sesibindi Esinamafutha Esingenalo Utshwala
- Ukuphefumula Kokulala Okungavinjelwe
- Ubuhlungu bamalunga kanye ne-arthritis (i-Osteoarthritis)
Kwenziwa kanjani ukuhlinzwa?
Umcabango walokhu kuhlinzwa ungethusa kakhulu, kodwa ngobuchwepheshe banamuhla, uvame ukwenziwa ngokusikwa okuncane kakhulu.
Ukulungiselela ngaphambi kokuhlinzwa
Uma usufanelekele ukuhlinzwa, udokotela wakho uzokunika ukudla okumanzi cishe amasonto amabili. Lokhu kwenzelwa ukunciphisa amanye amafutha esiswini sakho nasesibindini futhi wenze ukuhlinzwa kuphephe. Ngeke uvunyelwe ukudla noma ukuphuza noma yini amahora ayi-12 ngaphambi kokuhlinzwa. Gcina isisu sakho singenalutho nhlobo.
Ngesikhathi sokuhlinzwa
Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Ngakho awuzwa lutho. Udokotela ohlinzayo wenza izimbobo ezimbalwa ezincane (cishe u-1-2 cm) esiswini sakho bese efaka ikhamera (i-laparoscope) kanye namathuluzi amancane. Ukuhlinzwa kwenziwa ngenkathi ubuka izithombe ezivela kule khamera esikrinini. Le ndlela ibizwa ngokuthi ukuhlinzwa kwe-laparoscopic . Njengoba isisu singasikwanga kakhulu, isikhathi sokululama sifushane futhi ubuhlungu buncane. Ngemuva kwalokho, njengoba kushiwo ngaphambili, ingxenye engadingekile yesisu iyahlukaniswa futhi isuswe nge-stapler yokuhlinzwa. Ukuhlinzwa konke kuthatha cishe amahora angu-1-1.5.
Yiziphi izinzuzo kanye nezingozi ezingaba khona?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa uma kuqhathaniswa nezifo ezibangelwa ukukhuluphala, izingozi zalokhu kuhlinzwa ziphansi kakhulu.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Kulula, kuyashesha, futhi kuphephile kunezinye izindlela zokuhlinzwa zokwehlisa isisindo. | Izingozi zesikhashana: Ukopha, ukutheleleka, ukusabela ekubulaweni yizinzwa, kanye nokuvuza okuvela ekusikweni kwesisu (okungavamile kakhulu). |
| Njengoba kungekho zinguquko ezenziwayo emathunjini, ingozi yokushoda kokudla okunempilo ngokuhamba kwesikhathi iphansi. | Izinkinga zesikhathi eside: ukuntuleka kokudla okunempilo (okudinga ukungezelelwa kwamavithamini impilo yonke), i-gastroesophageal reflux, amatshe enyongo (okungadinga i-cholecystectomy). |
| Inikeza ukwehlisa isisindo okuhle kakhulu kanye nezinzuzo eziningi zezempilo. | Izicubu zezibazi zinciphisa isisu futhi zenze kube nzima ukuthi ukudla kudlule (kungabangela isicanucanu nokuhlanza). |
Injani impilo ngemva kokuhlinzwa?
Kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili ngemva kokuhlinzwa. Kungathatha cishe inyanga ukuthi ululame ngokugcwele futhi ubuyele emsebenzini.
Ukudla
Amaviki ambalwa okuqala azochithwa ekudleni okumanzi nokucoliwe `(ukudla okuthambile)`. Kancane kancane, uzojwayela ukudla okuqinile okuvamile. Kodwa ngeke ukwazi ukudla njengakuqala . Udinga ukuthola ukudla okunempilo okuphezulu ekudleni okudlayo. Ngakho-ke , kuzodingeka uthathe amavithamini kanye nezithasiselo zokudla okunempilo impilo yakho yonke. Udokotela wakho kanye nochwepheshe wezokudla bazokwazisa ngalokhu.
Ukwehla kwesisindo okulindelekile
Ngokuvamile, ungalahlekelwa cishe u-25% - 30% wesisindo sakho sonke phakathi nonyaka wokuqala noma emibili. Cabanga ukuthi unesisindo esingamakhilogremu angu-120. Ngemuva kwalokho ungalahlekelwa cishe amakhilogremu angu-30-36. Lokhu kuncike endleleni yokuphila oyilandelayo ngemva kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesisu kuyinguquko enkulu, engenakuguqulwa, futhi eqhubekayo impilo yonke. Lokhu akuwona umdlalo.
- Lokhu kumane nje "kuyithuluzi" lokukusiza unciphise isisindo. Ngemva kokuhlinzwa, udinga ukuzibophezela ekudleni nasekuzivocavoceni impilo yakho yonke.
- Ukuhlinzwa kungalawula noma kwelaphe izifo eziningi ezihlobene nokukhuluphala, njengesifo sikashukela kanye nomfutho wegazi ophakeme.
- Ngaphambi kokwenza noma yiziphi izinqumo, khuluma nodokotela wakho ngokugcwele ngezinzuzo, izinkinga, izingozi, kanye nokuphila ngemva kokuhlinzwa, bese ubuza yonke imibuzo yakho.
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