Ukukhuluphala ngokweqile, okusho ukukhuluphala ngokweqile kunokudingekile, kuyinkinga abantu abaningi ababhekene nayo namuhla. Kungakhathaliseki ukuthi balawula kangakanani ukudla kwabo nokuzivocavoca, abanye abantu bakuthola kunzima kakhulu ukwehlisa isisindo. Ngakho-ke, ngesikhathi esinjengalesi, abanye abantu kufanele bacabange ngezixazululo zezokwelapha. Esinye sezixazululo ezinjalo ukuhlinzwa kwe-gastric band esikhuluma ngakho namuhla. Ake sibone ukuthi kuyini, kufanele ngobani, nokuthi yini okudingeka uyazi ngakho.
Kuyini ukuhlinzwa kwe-gastric band?
Kalula nje, lena ithuluzi lokuhlinzwa elifakwa emzimbeni ukusiza abantu abakhuluphele kakhulu ukuba banciphise isisindo. Lena ingenye yezinhlobo eziningana zokuhlinzwa kokunciphisa isisindo. Kwezokwelapha, lokhu sikubiza ngokuthi `(ukuhlinzwa kwe-bariatric)`.
Lokhu kuhlinzwa kuhilela ukubeka ibhande elilungisekayo esiswini sakho. Lokhu kunciphisa inani lokudla ongakudla ngesikhathi esisodwa. Lokhu kuhlukile kancane ngoba akusinqumi unomphela isisu sibe yizingxenye njengezinye izindlela zokuhlinzwa. Uhlobo oluyinhloko lwebhande lesisu olusetshenziswa njengamanje emazweni afana ne-United States yi-`(Lap-Band)`.
Lokhu kusebenza kanjani ngaphakathi emzimbeni?
Cabanga ngendandatho encane ebekwa phezulu kwesisu sakho. Le bhande lesisu lenziwe ngohlobo oluthambile kakhulu lwe-silicone. Lingafuthwa, okusho ukuthi lingaqiniswa noma likhululwe njengoba kudingeka.
Le bhande ixhunywe "esigxotsheni" esincane, noma isixhumi, ngaphansi kwesikhumba ngepayipi. Udokotela wakho angasebenzisa inaliti ukufaka uketshezi lwe-saline ngale "sigxotsheni" ukuze alungise ukuqina kwebhande.
Uma ibhande liqinisiwe, lidala isikhwama esincane engxenyeni engenhla yesisu. Uma udla, lesi sikhwama sigcwala ngokushesha. Bese uzizwa usuthi ngokushesha okukhulu . Ngakho-ke, inani lokudla okudlayo liyancipha ngokuzenzakalelayo.
Ubani ofanele lolu hlinzo?
Ngokuvamile, ukuhlinzwa kokwehlisa isisindo kuyacatshangelwa uma unezinye izimo zezokwelapha ngenxa yokukhuluphala kwakho futhi ungakwazanga ukwehlisa isisindo ngezinye izindlela (ukudla, ukuvivinya umzimba). Udokotela wakho angase asikisele ukubopha isisu uma ufuna inketho engangenisi kakhulu futhi engaguquki kunezinye izindlela zokuhlinzwa.
Ake sibheke ezinye zezinzuzo kanye nokungalungi kwalokhu manje.
| Izinzuzo | Ukungalungi |
|---|---|
| Izinkinga ngemva kokuhlinzwa zimbalwa kunezinye izihlinzeko. | Awunakulindela ukwehla kwesisindo okuningi njengoba kwenzeka kwezinye izinhlinzeko. |
| Isisu noma amathumbu awasikwa futhi awahlukaniswa. | Kuzodingeka ubonane nodokotela njalo ukuze ulungise ibhande (ikakhulukazi ngonyaka wokuqala). |
| Uma kudingeka, leli bhande lingasuswa ngokuhlinzwa. | Le ndlela ayithandwa kakhulu okwamanje. Namuhla, abantu abaningi bahlinzwa njengokuhlinzwa kwesisu okufana ne-`(sleeve gastrectomy)` noma `(gastric bypass)`. |
Unganciphisa isisindo esingakanani ngalokhu?
Ngokuvamile, ungalahlekelwa cishe u-40% wesisindo sakho eseqile zingakapheli iminyaka emibili ngemuva kokuhlinzwa kwesisu. Ake sithi unesisindo esingamakhilogremu angu-50 ngaphezu kwesisindo sakho esifanele. Khona-ke lokhu kuhlinzwa cishe kuzoholela ekulahlekelweni cishe ngamakhilogremu angu-20 (40% kwangu-50).
Noma kunjalo, le miphumela ingahluka kumuntu nomuntu. Lokhu kuncike kakhulu endleleni oshintsha ngayo indlela yakho yokuphila kanye nemikhuba yakho yokudla ngemva kokuhlinzwa.
Ingabe lokhu kuzosiza ezifweni ezibangelwa ukukhuluphala ngokweqile?
Yebo, yebo. Ukwehlisa isisindo kungasiza ekulawuleni izifo eziningi ezibangelwa ukukhuluphala. Isibonelo:
- I-cholesterol ephezulu
- Umfutho wegazi ophakeme
- Isifo senhliziyo
- Isifo sikashukela sohlobo 2
- Ukuphefumula kobuthongo okuvimbelayo
- Isifo sesibindi esinamafutha esingahlobene notshwala
Kodwa khumbula, lokhu kuhlinzwa kunciphisa kuphela inani lokudla okudlayo. Ngokungafani nokunye ukuhlinzwa, akunawo umthelela omkhulu kumetabolism yakho noma ama-hormone.
Ngingakufanelekela kanjani ukuhlinzwa?
Ukuze udokotela ancome lolu hlobo lokuhlinzwa, kudingeka ube neziqu ezithile.
| Ukufaneleka | Incazelo |
|---|---|
| Inkomba Yesisindo Somzimba (i-BMI) | I-Body Mass Index (BMI) iyisilinganiso sokuthi unesisindo esinempilo yini ngobude bakho. |
| I-BMI engama-40 noma ngaphezulu | Uma i-BMI ingaphezu kuka-40, ingozi yokuthola izifo ngenxa yokukhuluphala iphezulu kakhulu. |
| I-BMI engama-35 kanye nesinye isifo | Uma i-BMI yakho ingaphezu kuka-35 futhi unesinye isifo esihlobene nokukhuluphala (njengesifo sikashukela noma umfutho wegazi ophakeme). |
Ngaphezu kwalokho, kuzodingeka wenze izivivinyo eziningana zezokwelapha ukuqinisekisa ukuthi uphilile ngokwanele ukuba uhlinzwe. Uma ubhema noma usebenzisa utshwala noma ezinye izidakamizwa, kuzodingeka uyeke ngokuphelele ngaphambi kokuba ufanelekele ukuhlinzwa .
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuvame ukwenziwa nge-laparoscopically, okusho ukuthi "ukuhlinzwa kwe-keyhole." Lonke lolu hlinzo lwenziwa ngokusikwa okuncane okuningana esiswini, kunokuba kusikwe okukhulu.
1. I-Anesthesia: Okokuqala, uzonikezwa i-anesthesia ejwayelekile. Ngakho ngeke uzwe lutho ngesikhathi sokuhlinzwa, uzobe ulele.
2. Ukuvuvukala kwesisu: Udokotela uzokwenza ukusika okuncane esiswini sakho bese efutha isisu sakho ngegesi encane ye-carbon dioxide. Lokhu kuzovumela izitho zomzimba ukuba zibonakale kahle futhi kuvumele ukuhlinzwa.
3. Ukufakwa kwekhamera: Bese kufakwa i-laparoscope, ipayipi elincane elinekhamera encane kanye nokukhanya ngaphambili. Ukuhlinzwa kwenziwa ngenkathi kubukelwa izithombe ezivela kule khamera kusikrini.
4. Ukubopha: Izinto ezidingekayo zifakwa ngokusika okuncane okuningana, bese ibhande lesisu libekwa lizungeze ingxenye engenhla yesisu bese liqiniswa. Isisu sibe sesibunjwa njengengilazi yehora.
5. Ukuhlanganisa imbobo: Ipayipi elixhunywe kule bhande lilethwa ngaphansi kwesikhumba bese linamathiselwa ku-mbobo. Lokhu kutholakala ngaphansi kwesikhumba.
6. Ukuqeda: Uma konke sekusendaweni, igesi esiswini iyasuswa bese kuthi izimbobo ezincane ezenziwe zithungwe. Le nqubo yonke ingathatha imizuzu engama-30 kuya kwengama-60 .
Ukudla, ukuphuza kanye nendlela yokuphila ngemva kokuhlinzwa
Impilo yakho izoshintsha kakhulu ngemva kokuhlinzwa.
- Ukudla: Emasontweni ambalwa okuqala, uzokwazi ukudla uketshezi nokudla okucoliwe kuphela. Ngemuva kwalokho, ungaqhubeka kancane kancane uye ekudleni okuthambile bese ekugcineni ukudla okuqinile okuvamile. Kodwa-ke, uzokwazi ukudla okuncane kakhulu . Ukudla kakhulu kungabangela ukuhlanza. Ngakho-ke, kubalulekile ukukhetha ukudla okunomsoco, okuseqophelweni eliphezulu nokukuhlafuna kahle.
- Iseluleko sezokwelapha: Ngonyaka wokuqala ngemva kokuhlinzwa, kuzodingeka ubonane nodokotela wakho njalo ukuze ulungise ukuqina kwebhande. Kuzodingeka futhi ukuthi uhlolwe igazi ukuqinisekisa ukuthi umzimba wakho uthola ukudla okunomsoco okudingayo.
Yiziphi izinkinga ezingaba khona kanye nemiphumela emibi?
Njenganoma yikuphi ukuhlinzwa, kunengozi yezinkinga, ezinye zazo ezingase zivele ngokuhamba kwesikhathi.
| Inkinga/umphumela ongemuhle | Incazelo elula |
|---|---|
| Isicanucanu nokuhlanza | Lokhu kuvamile ezigabeni zokuqala. Lokhu kuzoncipha njengoba ujwayela ukudla kancane, uhlafuna kahle. |
| Ukuqunjelwa | Kungabangelwa ubunzima bokuphuza amanzi anele. Ukuphuza uketshezi kubaluleke kakhulu. |
| I-reflux yesisu (i-GERD) | Uma ibhande liqina kakhulu, lingabangela isilungulela (i-acid reflux). Ngezinye izikhathi ibhande kufanele lisuswe. |
| Izinkinga zechweba | Imbobo ingahamba, iphume, ivuza uketshezi, noma itheleleke. Lokhu kungadinga ukuhlinzwa okuncane. |
| Ukushelela kwebhendi | Ibhande lingaphuma endaweni yalo. Lokhu kungathinta ukwehla kwesisindo. Ngezinye izikhathi, izicubu zesisu zingafa (i-necrosis), okudinga ukuhlinzwa okuphuthumayo. |
| Ukuguguleka kwebhande | Ngokuhamba kwesikhathi, ibhande lingalimaza udonga lwesisu futhi lidlule kulo. Uma kunjalo, ibhande kuzodingeka lisuswe. |
| Ukungabekezeleli ibhendi | Imizimba yabanye abantu isabela kabi ezintweni zangaphandle. Uma isicanucanu nokungakhululeki kuqhubeka, ibhande kufanele lisuswe. |
Sekuyisikhathi esingakanani leli qembu likhona?
Leli bhande lenzelwe ukugqokwa impilo yonke. Kodwa-ke, izifundo zibonise ukuthi cishe abantu abangu-35%-40% kuzodingeka basuswe ibhande ngemva kweminyaka engaba yi-10. Lokhu kungadingeka ngezizathu ezahlukahlukene, njengokunganciphisi isisindo esiningi njengoba bekulindelekile noma izinkinga. Abanye abantu bayaqhubeka nokuhlinzwa kwe-bariatric okuhlala njalo nokuphumelela kakhudlwana.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-gastric band inqubo yokuhlinzwa eyenziwa ukuze kwehliswe isisindo futhi ingashintshwa futhi isuswe uma kudingeka.
- Lokhu kunciphisa inani lokudla okudlayo futhi kukwenza uzizwe usuthi ngokushesha. Akusinqumi noma kuhlukanise isisu.
- Uma kuqhathaniswa nezinye izindlela zokuhlinzwa zokwehlisa isisindo, lokhu kuholela ekunciphiseni isisindo kancane. Futhi, kufanele ubonane nodokotela njalo ukuze ulungise ibhande.
- Lokhu ukuzibophezela okukhulu. Kuzodingeka ushintshe ngokuphelele imikhuba yakho yokudla nendlela yakho yokuphila ngemva kokuhlinzwa.
- Ngokuhamba kwesikhathi, kuba khona ingozi yezinkinga ezifana nokushelela kwebhande kanye nokulimala kwesisu.
- Ngaphambi kokwenza noma yisiphi isinqumo, cabanga ngalokhu.Into ebaluleke kakhulu ukukhuluma nodokotela wakho bese unquma ukuthi yisiphi isisombululo esikulungele.
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