Ingabe nawe ungumuntu ohlushwa kakhulu ukukhuluphala ngokweqile, noma njengoba odokotela bekubiza kanjalo, ukukhuluphala ngokweqile? Mhlawumbe awukenzi lutho ukuze wehlise isisindo. Uzame ukudla okuhlukahlukene, wavivinya umzimba amahora amaningi... kodwa awukayitholi imiphumela oyifunayo? Ngezinye izikhathi ezinjengalezi lapho abanye odokotela bekhuluma khona ngezinhlobo ezikhethekile zokuhlinzwa kokunciphisa isisindo, okungukuthi, 'ukuhlinzwa kwe-bariatric'. Enye yalezo zinhlinzeko ukuhlinzwa kwe-gastric band esikhuluma ngayo namuhla.
Kuyini Ukuhlinzwa Kwebhande Lesisu (i-Lap-Band)?
Kalula nje, lena idivayisi encane efakwa ngokuhlinzwa emzimbeni wakho. Isetshenziselwa ukusiza abantu abakhuluphele kakhulu ukuba banciphise isisindo. Lolu uhlobo lokuhlinzwa kokunciphisa isisindo. Lunciphisa inani lokudla ongakudla ngesikhathi esisodwa.
Cabanga nje, ngokungafani nezinye izindlela zokuhlinzwa zokwehlisa isisindo, isisu asinqunywa unomphela noma amathumbu ayashintshwa. Kunalokho, kubekwa ibhande elincane elizungeze ingxenye engenhla yesisu. Lokhu yilokho esikubiza ngokuthi ibhande lesisu. Uhlobo oluyinhloko olusetshenziswa njengamanje emazweni afana ne-United States igama lomkhiqizo elithi `(Lap-Band). Yingakho lokhu kuhlinzwa kubizwa nangokuthi ukuhlinzwa kwe-`Lap-Band`.
Isebenza kanjani le bhendi yesisu?
Kulula kakhulu. Le bhande yenziwe nge-silicone ethambile kakhulu. Ifana nepayipi elifuthwayo. Udokotela ulifaka phezulu kwesisu sakho, lenze indandatho.
Manje, le ndandatho inepayipi elincane elinamathiselwe kuyo. Leyo payipi iphelela endaweni encane ngaphansi kwesikhumba sakho. Siyibiza ngokuthi "i-port." Udokotela wakho angasebenzisa inaliti ngale "port" ukufaka uketshezi olunosawoti ukuze aqinise noma akhulule ibhande. Uma ibhande liqinisiwe, indlela ephakathi kwezingxenye eziphezulu nezingezansi zesisu sakho iyancipha.
Manje cabanga ngalokho okwenzekayo uma udla. Ukudla kuqala kugcwalisa leyo ngxenye encane phezulu kwesisu sakho. Ngenxa yokuthi kuncane, uzizwa usuthi ngokushesha, noma ngabe udla kancane . Yileso isimiso esiyisisekelo ngemuva kwakho. Uzizwa ulambile kancane, udla kancane, futhi ngokuhamba kwesikhathi, wehlisa isisindo.
Ubani ofanele lolu hlinzo?
Ngokuvamile, ukuhlinzwa kokwehlisa isisindo kwenziwa kubantu abakhuluphele kakhulu futhi abahlushwa ezinye izimo zezokwelapha ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme, futhi abaye bazama zonke ezinye izindlela (ukudla, ukuvivinya umzimba) kodwa abakwazanga ukwehlisa isisindo.
Udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlinzwa kwe-Lap-Band, ikakhulukazi uma ufuna ikhambi elingangenisi kakhulu futhi elihlala njalo kunezinye izindlela zokuhlinzwa. Lokhu kungenxa yokuthi alisiki isisu noma alishintshi amathumbu. Ibhande lingasuswa nganoma yisiphi isikhathi.
Kodwa kukhona into eyodwa ebalulekile okufanele uyikhumbule.
Uma kuqhathaniswa nezinye izindlela zokuhlinzwa zokwehlisa isisindo, inani lesisindo esilahlekile nge-Lap-Band lincane kakhulu. Futhi, ngemva kokuhlinzwa, ikakhulukazi ngonyaka wokuqala, kuzodingeka ubonane nodokotela wakho njalo ukuze ulungise ukuqina kwebhande.
Ngenxa yalezi zizathu, odokotela abaningi namuhla baphendukela kwezinye izindlela zokuhlinzwa ezifana nokuhlinzwa kwesisu kanye ne-roux-en-Y gastric bypass.
| Izinzuzo | Ukungalungi |
|---|---|
| Izinkinga ezisheshayo ngemva kokuhlinzwa azivamile. | Ukwehla kwesisindo kuncane kunezinye izindlela zokuhlinzwa. |
| Isisu noma amathumbu awasikwa. | Udinga ukubona udokotela njalo ukuze ulungise ibhande. |
| Ibhande lingasuswa futhi uma kudingeka. | Ingozi yezinkinga iphezulu ngokuhamba kwesikhathi. |
Unganciphisa isisindo esingakanani nge-Lap-Band?
Ngokuvamile, ungalahlekelwa cishe u-40% wesisindo sakho eseqile zingakapheli iminyaka emibili ngemuva kokusebenzisa i-'Lap-Band'. Cabanga ukuthi ungaphezu kwamakhilogremu angu-50 kunesisindo sakho esifanele. Ngemuva kwalokho ungalahlekelwa cishe amakhilogremu angu-20. Kodwa lokhu kuyahlukahluka kumuntu nomuntu. Umphumela uncike ekutheni ushintsha kangakanani indlela yakho yokuphila kanye nemikhuba yakho yokudla ngemva kokuhlinzwa.
Ingabe lokhu kuyasiza futhi ezifweni ezibangelwa ukukhuluphala ngokweqile?
Yebo impela! Ukwehlisa isisindo kunganikeza impumuzo enkulu ezifweni eziningi ezibangelwa ukukhuluphala. Isibonelo:
- I-cholesterol ephezulu
- Umfutho wegazi ophakeme
- Isifo senhliziyo
- Isifo sikashukela sohlobo 2
- Ukuphefumula kobuthongo okuvimbelayo
- Isifo sesibindi esinamafutha esingahlobene notshwala
Nokho, ngokungafani nezinye izindlela zokuhlinzwa zokwehlisa isisindo, lokhu akunawo umthelela omkhulu ekusebenzeni komzimba noma kuma-hormone. Kumane kuyindlela yokudla enemingcele ngokuphelele.
Yini edingekayo ukuze ufanelekele ukuhlinzwa?
Udokotela wakho angakutshela ngalolu hlobo lokuhlinzwa ezimweni ezilandelayo:
- Uma i-BMI yakho ingu-40 noma ngaphezulu, i-`BMI (Body Mass Index)` iyinkomba elinganisa ukuthi unesisindo esinempilo yini ngobude bakho. I-BMI engaphezu kuka-40 isho ukuthi usengozini enkulu yokuthola izifo ngenxa yokukhuluphala.
- Uma i-BMI yakho ingu-35 noma ngaphezulu futhi unesifo esihlobene nokukhuluphala (isib. isifo sikashukela, umfutho wegazi ophakeme).
Ngaphezu kwalokho, kuzodingeka wenze izivivinyo eziningana zezokwelapha ukuze kubonakale ukuthi uphilile ngokwanele yini ukuthi uhlinzwe. Lokhu kungafaka phakathi ukuhlolwa kwegazi kanye nokuskenwa kwesisu. Uma ubhema noma uphuza utshwala ngokweqile, kuzodingeka uyeke ukwenza kanjalo ngaphambi kokuba ufanelekele ukuhlinzwa.
Ingabe lokhu ukuhlinzwa okukhulu?
Lokhu kuyinkinga ehlobene ngempela. Kodwa uma kuqhathaniswa nezinye izinhlinzeko ezinkulu, isikhathi esithathwayo ukwenza lokhu kuhlinzwa kanye nesikhathi sokululama sifushane kakhulu. Ngoba, kulezi zinsuku, lokhu kuhlinzwa kuvame ukwenziwa njengokuhlinzwa kwe-keyhole (ukuhlinzwa kwe-laparoscopic) .
Lokhu kusho ukuthi esikhundleni sokusika isisu, lonke ukuhlinzwa kwenziwa ngokusika okuncane nje, kufakwa ikhamera, kanye namathuluzi akhethekile. Lokhu kuholela ekunciphiseni ubuhlungu, isikhathi sokuphola esincane, kanye nezibazi ezincane kakhulu.
Kwenzekani ngesikhathi sokuhlinzwa?
Ake sibheke kancane kancane ukuthi ukuhlinzwa kwenziwa kanjani:
1. Okokuqala, uzonikezwa i-anesthesia ejwayelekile. Ngakho-ke ngeke uzwe lutho ngesikhathi sokuhlinzwa, uzobe ulele.
2. Udokotela ohlinzayo ube esesika isisu sakho kancane (imbobo yokhiye). Kufakwa iphampu encane ngembobo bese kuthi ingaphakathi lesisu ligcwale umoya we-carbon dioxide. Lokhu kuvumela izitho ukuba zibonakale kahle futhi kuvumela ukuhlinzwa.
3. Okulandelayo, kufakwa ikhamera encane (i-laparoscope) ngembobo efanayo. Izithombe ezivela kule khamera ziboniswa esikrinini esikhulu.
4. Udokotela ohlinzayo wenza ezinye izimbobo ezincane eziningana bese efaka izinto ezinde nezincane ngazo esiswini.
5. Bese ibhande lesisu libekwa lizungeze ingxenye engenhla yesisu bese liqiniswa ukuze kwakheke isikhwama esincane. Isisu sakho manje sibukeka njengengilazi yehora. Kukhona ingxenye encane phezulu nengxenye enkulu phansi.
6. Njengoba sixoxile ngaphambili, ithubhu elixhunywe kule band lixhunywe 'esibukweni' ngaphansi kwesikhumba.
7. Ngemva kokuba konke sekusendaweni, igesi iyasuswa esiswini bese kuthintwa izimbobo ezincane.
Lonke lolu hlelo luthatha imizuzu engama-30 kuya kwengama-60 kuphela.
Kunjani ukudla nokuphuza ngemva kokuhlinzwa?
Lokhu kubaluleke kakhulu. Udokotela wakho uzokunikeza imiyalelo ekhethekile yokudla. Kuzodingeka unamathele ekudleni okumanzi emasontweni ambalwa okuqala kuze kube yilapho isisu sakho siphola. Ngemuva kwalokho uzoqhubeka kancane kancane uye ekudleni okucoliwe, ukudla okuthambile, bese ekugcineni, ukudla okuqinile.
Uma uqala ukudla ukudla okuqinile futhi, udinga ukujwayela ukudla ngobuningi obuncane kakhulu . Ngoba ingxenye engenhla yesisu sakho manje isincane kakhulu. Ukudla kakhulu kungabangela isicanucanu nokuhlanza. Futhi, udinga ukujwayela ukukhetha ukudla okuseqophelweni eliphezulu nokuhlafuna ukudla kwakho kahle ukuze umzimba wakho uthole umsoco owudingayo.
Yimiphi imiphumela emibi kanye nezinkinga ezingaba khona?
Njenganoma yikuphi ukuhlinzwa, kunezingozi nezinkinga ezingase zenzeke. Kubalulekile ukuzazi lezi zinto kusenesikhathi.
| Inkinga/umphumela ongemuhle | Incazelo kanye nalokho okufanele ukwazi |
|---|---|
| Isicanucanu nokuhlanza | Lokhu kuvamile ezinsukwini zokuqala ngemva kokuhlinzwa. Lokhu kuzoncipha njengoba ujwayela ukudla okuncane nokuhlafuna kahle. |
| Ukuqunjelwa | Lokhu kungenzeka ngoba kunzima ukuphuza amanzi anele. Kubalulekile ukuphuza amanzi kancane kancane usuku lonke, kunokuwaphuza kanye nokudla. |
| Ubunzima bokugwinya | Ngezinye izikhathi kungaba nzima ukugwinya ukudla. Lokhu kungalungiswa ngokukhulula ibhande bese udla. Ngaphandle kwalokho, tshela udokotela wakho. |
| I-reflux yesisu (i-GERD) | Lokhu kubhekisela ebuhlungwini besifuba. Lokhu kungenzeka uma ibhande liqinile kakhulu. Lokhu kungase kwehle uma ibhande likhululekile, kodwa-ke kungase kuthinte ukwehla kwesisindo. |
| Izinkinga ngechweba | `Imbobo` engaphansi kwesikhumba inganyakaza, iphenduke ibheke phansi, ivuza uketshezi, noma itheleleke. Lokhu kudinga ukuhlinzwa okuncane. |
| Ukuvinjelwa | Ukudla kungabhajwa kusukela phezulu esiswini sakho kuye phansi. Ngemuva kwalokho ngeke ukwazi ukudla. Udokotela wakho angakhulula ibhande bese elisusa. |
| Ukushelela kwebhendi | Ibhande lingaphuma endaweni yalo. Uma lokhu kwenzeka, ukwehla kwesisindo kungase kuphele. Kodwa-ke, uma lokhu kwenzeka ngokuzumayo, izicubu zesisu zingafa (i-stomach necrosis). Lesi yisimo esiphuthumayo. Kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. |
| Ukuguguleka kwebhande | Ngokuhamba kwesikhathi, ibhande lingagudla odongeni lwesisu bese licindezela esiswini. Ngemuva kwalokho ibhande ngeke lisebenze futhi lingabangela ukutheleleka. Kuleli qophelo, ibhande kuzodingeka lisuswe. |
Le Lap-Band ihlala isikhathi esingakanani?
Leli bhendi lenzelwe ukuhlala impilo yonke. Kodwa-ke, akukabonakali ukuthi lokhu kuzokwenzeka ngempela. Ucwaningo lubonise ukuthi abantu abaphakathi kuka-35% no-40% bayalisusa leli bhendi ngemva kweminyaka eyi-10.
Kungaba nezizathu eziningi zokususa ibhendi.
- Ukunganciphisi isisindo ngokwanele.
- Izinkinga ezifana nokukhula komphimbo.
- Ubuhlungu obukhulu esifubeni.
- Izifo.
- Ibhendi iyashelela.
- Ukudlula kwesisu ngebhandeshi.
- Ubuthi bokudla.
Abanye abantu bagcina sebeyisusile le bhande bese bedlulela kwezinye izindlela zokuhlinzwa zokunciphisa isisindo ezihlala njalo ezinemiphumela ephumelelayo kakhulu.
Yini engalindelwa esikhathini eside?
Noma yikuphi ukuhlinzwa kokwehlisa isisindo kuyisibopho esikhulu. Udinga ukucabangela ngokucophelela izinzuzo nezingozi. Ukuhlinzwa kwe-gastric band nakho akuhlukile.
Lokhu kungase kubonakale kuyisinqumo esilula ekuqaleni, njengoba kungabandakanyi ukusika izitho zomzimba njengezinye izihlinzeko futhi kungasuswa uma kudingeka. Kodwa futhi udinga ukukhumbula ukuthi kuzodingeka ubone udokotela wakho njalo, ulungise ibhande, futhi mhlawumbe kufanele uphinde uhlinzwe kamuva. Kuzodingeka futhi ushintshe imikhuba yakho yokudla impilo yakho yonke .
Kwabanye abantu, lesi yisinyathelo esikhulu kunazo zonke abasidingayo ukuze benze ushintsho olukhulu empilweni yabo, banciphise isisindo, futhi baphile impilo enempilo. Kwabanye, bangase bangakwazi ukwehlisa isisindo esanele, noma bangase basiphinde basithole. Uma lokho kwenzeka, khumbula ukuthi unezinye izindlela zokwelapha. Khuluma nodokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-gastric band kuyindlela engadingi ukungenelela okuningi kunezinye izindlela zokunciphisa isisindo, kodwa futhi kuholela ekunciphiseni isisindo.
- Lokhu akuyona "imilingo." Kumane kuyithuluzi lokukusiza ohambweni lwakho lokunciphisa isisindo. Kudinga ukuzibophezela okukhulu ukushintsha imikhuba yakho yokudla nendlela yakho yokuphila impilo yonke.
- Ngemva kokuhlinzwa, ikakhulukazi ngonyaka wokuqala, kubalulekile ukubona udokotela wakho njalo ukuze ulungise ibhande.
- Qaphela izinkinga zesikhathi eside ezingase zivele. Xoxa ngakho konke lokhu nodokotela wakho ngaphambi kokuhlinzwa.
- Lokhu kuhlinzwa akufanele wonke umuntu. Udokotela wakho uzonquma ukuthi kulungile yini kuwe ngemuva kokuhlolwa okuphelele.
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