Ingabe unenkinga ngesifo sikashukela sohlobo lwesibili futhi unenkinga yokulawula isisindo sakho? Ngisho nokuphuza imithi, ukulawula ukudla kwakho, kanye nokuzivocavoca kungase kungabi njalo kuveze imiphumela oyifunayo. Kodwa bewazi ukuthi kwabanye abantu, kukhona indlela enamandla engasetshenziswa njengesixazululo esisodwa salezi zinkinga zombili? Lokho ukuhlinzwa kokunciphisa isisindo. Lokhu kubizwa nangokuthi i-Bariatric Surgery. Kulesi sihloko, sizoxoxa ngendlela lokhu kuhlinzwa okungalawula ngayo isifo sikashukela nokuthi kufanele yini kuwe.
Ingabe lokhu kuyasebenza ngempela? Ucwaningo luthini?
Yebo, lena yindlela ephumelela kakhulu. Kwabanye abantu, amazinga abo kashukela egazini abuyela esimweni esijwayelekile ngemva kwalokhu kuhlinzwa. Lokhu kusho ukuthi isifo sabo sikashukela seselaphekile ngokuphelele. Khona-ke ungase ukwazi ukunciphisa inani lemithi oyithathayo, noma uyeke ukuyithatha ngokuphelele.
Ucwaningo olukhulu ngalesi sihloko luthole into emangalisayo kakhulu. Lolu cwaningo luhilele abantu abangu-400 abanesifo sikashukela sohlobo lwesibili. Eminyakeni eyisithupha ngemuva kokuhlinzwa kwe-bariatric, ama-62% alabo abahlinzwa babengenazo izimpawu zesifo sikashukela. Akukhona lokho kuphela, kodwa amazinga abo omfutho wegazi ophakeme kanye ne-cholesterol nawo athuthuke kakhulu.
Cabanga nje, iqembu elincane kuphela labantu, phakathi kuka-6% no-8%, abasebenzise imithi kuphela hhayi ukuhlinzwa, abathole imiphumela emihle kangaka. Lokhu akubonisi yini ukuthi lokhu kuhlinzwa kunamandla kangakanani?
Ingabe lokhu kuhlinzwa kufanelekile kimi?
Ngaphambi kokucabangela lokhu, udokotela wakho uzoqala acabangele lezi zinto:
- Ingabe i-BMI yakho ingaphezu kuka-30? (I-BMI imele i-Body Mass Index. Kuyindlela yokulinganisa ukuthi unesisindo esinempilo yini ngobude bakho.)
- Ingabe unesifo sikashukela sohlobo lwesibili noma i-Metabolic Syndrome?
- Uke wazama izindlela ezahlukene zokwehlisa isisindo ngaphambili kodwa wahluleka ukusilondoloza?
Uma impendulo yale mibuzo ingu-'yebo', udokotela uzobe esehlola ngokugcwele ukuze abone ukuthi usukulungele yini ngokomzimba nangokwengqondo lokhu kuhlinzwa. Ngoba lokhu akuyona into engenziwa ngokuhlinzwa okukodwa nje. Kubaluleke kakhulu futhi ukunquma ukuthi usukulungele yini ukuzibophezela okukhulu ekushintsheni ngokuphelele imikhuba yakho yokudla nokuzivocavoca impilo yakho yonke.
Futhi, uma unezinye izimo zezokwelapha, njengesifo senhliziyo, kuzodingeka uthole imvume kuchwepheshe wakho walokhu kuhlinzwa.
Yiziphi lezi zinhlobo zokuhlinzwa?
Kunezinhlobo eziningana zokuhlinzwa kokwehlisa isisindo. Ezinye izindlela zokuhlinzwa zinciphisa ubukhulu besisu sakho, okukuvumela ukuthi udle kancane. Ezinye zishintsha indlela umzimba wakho omunca ngayo amakhalori nezakhamzimba ekudleni. Kukhona futhi izindlela zokuhlinzwa ezihlanganisa zombili lezi zindlela.
Ake sibheke izinhlobo eziyinhloko zokuhlinzwa kanye nezinzuzo kanye nokungalungi kwazo.
| Uhlobo lokuhlinzwa | Izinzuzo | Ukungalungi |
|---|---|---|
| I-Gastric Bypass Kudalwa isikhwama esincane esivela engxenyeni engenhla yesisu bese sixhunywa ngqo emathunjini amancane. Ukudla kudlula ingxenye enkulu yesisu. | - Cishe ama-80% eziguli ayalulama kwisifo sikashukela. - Cishe u-60% - 80% wesisindo esengeziwe uyancipha. | - Ukumuncwa kwamavithamini namaminerali emzimbeni kuyancipha. - Akunakuguqulwa. - I-Dumping Syndrome (ukungakhululeki okubangelwa ukudla okungena ngokushesha emathunjini amancane) kungenzeka. |
| Isikhwama Sesisu Cishe u-80% wesisu uyasuswa, kusale isisu esincane esimise okwebhanana. | - Iziguli ezingaphezu kuka-60% ziyalulama esifweni sikashukela. - Yehlisa isisindo esiningi ngo-50%. - I-Ghrelin, i-hormone ebangela indlala, iyancipha. | - Akunakuguqulwa. - Ukumuncwa kwamavithamini namaminerali kungancishiswa. |
| Ibhendi Yesisu (Ibhendi Yesisu Elungisekayo) Ibhande elifuthwayo libekwa lizungeze ingxenye engenhla yesisu, okwenza kube nesikhwama esincane. | - Akukho ukusikwa kwesisu noma ukuguqulwa kwamathumbu. - Imiphumela emibi embalwa. - Ibhande lingalungiswa noma lisuswe uma kudingeka. | - Ukwehlisa isisindo kuncane kunezinye izindlela (40%-50%). - Izinkinga ezifana nokushelela kwebhande zingadinga ukuhlinzwa kabusha. |
| Ukuphambuka Kwe-Biliopancreatic Nge-Duodenal Switch Ukuhlinzwa okuyinkimbinkimbi kakhulu okususa ingxenye enkulu yesisu futhi kushintshe indlela ukudla okudlula ngayo kuso. | - Ukuhlinzwa okuphumelele kakhulu kwesifo sikashukela. - Cishe u-60% - 70% wesisindo esengeziwe uyancishiswa. | - Lokhu kuhlinzwa kunengozi enkulu kakhulu yemiphumela emibi. - Izinkinga zokugaya ukudla kanye nokumuncwa kwezakhamzimba yizona ezivame kakhulu. |
Ezinye izindlela zesimanje
Ngaphezu kwalokhu kuhlinzwa okuyinhloko, kunezinye izindlela eziningana.
- Idivayisi Yokufakelwa Ngogesi: Idivayisi encane kagesi ifakwa ngaphansi kwesikhumba esiswini. Lokhu kulawula inzwa (i-Vagus Nerve) exhumanisa ubuchopho nesisu, okunciphisa indlala.
- Ibhaluni Lesisu: Lokhu akusilo ukuhlinzwa. Ibhaluni lifakwa esiswini ngomlomo bese livuvukala, njengokusho kwe-endoscopy. Lingashiywa endaweni cishe izinyanga eziyisithupha. Inani lokudla okudlayo liyancipha ngoba linciphisa isikhala esiswini. Lokhu kungokwesikhashana futhi akubizi.
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi. Isibonelo, kungase kube nokopha, ukutheleleka, kanye nokubhoboka komphimbo ngemva kokuhlinzwa. Yingakho kubalulekile ukuba lezi zinqubo zenziwe ngaphansi kokuqondisa kukadokotela ohlinzayo onolwazi esibhedlela esihle.
Kwenzekani ngemva kokuhlinzwa?
Lena yingxenye ebaluleke kakhulu. Ukuhlinzwa kumane nje kuyisiqalo sohambo. Ukuze ugcine imiphumela, kuzodingeka ushintshe indlela yakho yokuphila unomphela.
- Imikhuba yokudla: Ngeke ukwazi ukudla ukudla okuningi njengoba wawunjalo ngaphambili. Kuzodingeka udle cishe uhhafu wendebe noma indebe eyodwa ngesikhathi . Kufanele ubeke phambili ukudla okucebile ngamaprotheni (inhlanzi, inyama engenamafutha amaningi, ubhontshisi, ushizi onamafutha amancane, iyogathi) kanye nemifino.
- Ukuzivocavoca: Ukuzivocavoca kwansuku zonke kufanele kube umkhuba ophoqelelwe.
- Usizo lukaSochwepheshe Wezokudla: Njengoba indlela umzimba wakho omunca ngayo izakhamzimba ishintsha ngemva kokuhlinzwa, kubalulekile ukufuna iseluleko sikasochwepheshe wezokudla. Lokhu kuzokusiza ukuqinisekisa ukuthi uthola amavithamini namaminerali owadingayo.
- Isikhumba esiwohlokayo: Abanye abantu bangase babhekane nokuwohloka kwesikhumba ngemva kokulahlekelwa isisindo esiningi. Uma kudingeka, ungacabanga ngokuhlinzwa kwepulasitiki kamuva. Leyo inqubo ehlukile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokwehlisa isisindo kungaba yisisombululo esisebenza kahle kakhulu nesinamandla kokubili isifo sikashukela sohlobo 2 kanye nokukhuluphala ngokweqile.
- Lokhu akulona ikhambi elisheshayo. Ngemva kokuhlinzwa, kuzodingeka uzibophezele ekudleni nasekuzivocavoceni impilo yakho yonke.
- Kunezinhlobo eziningana zokuhlinzwa, ngayinye inezinzuzo, ukungalungi, kanye nezingozi ezahlukene.
- Ukuthi lokhu kulungile yini kuwe, uhlobo luni olungcono kakhulu, nokuthi yiziphi izingozi yizinto okufanele uzixoxe nodokotela wakho . Ungalokothi wenze izinqumo ngokusekelwe kumahemuhemu.
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