Iinkqubo ezininzi zokupasa umzimba zifumaneke kunyango lwezigulana ezithile ezinexinzelelo. Nangona ezinye zeenkqubo ziye zasebenza kwiminyaka emininzi, indlela abanokusebenzisana ngayo kunye nokuchaphazela impilo yengqondo yezigulane ngokunyamezela akuzange zifundwe ngokujulile. Uhlalutyo lweencwadi ezikhoyo zizama ukutshintsha oko, nangona kunjalo.
Yintoni i-Bariatric Surgery?
Igama elithi "utyando lwe-bariatric" lisebenza kwiinkqubo zokuphanda eziye zaphuhliswa ukunyanyisa ukunyameka kwaye ngokugqithiseleyo zenza ukuba ilahleko lenzeke. Ezi zibandakanya i- gastric bypass , i- bandage banding , kunye ne-gastric sleeve (i-sleeve gastrectomy), phakathi kwezinye, eziye zaphuhliswa unyango lokugqithisa.
Ubani Okhethiweyo weBarricry Surgery?
Ngokwezikhokelo zokunyamezela ezikhutshwe yi-American Heart Association (AHA), i-American College of Cardiology (ACC), kunye ne-Obesity Society (TOS), ukuhlinzwa ngonyango kungabakho ukhetho kwizigulane zabantu abadala abahlangabezana nemigangatho ethile.
Le miqathango ichaza isalathisi somzimba we-mass (i-BMI) engama-40 okanye ngaphezulu, okanye i-BMI engama-35 okanye ngaphezulu kwisigulane esinezinye izimo zonyango (ezibizwa ngokuba yi "imeko ezixhatshazwayo") ezibangelwa ukukhuluphala.
Ikomidi lokubhala ngokunyamezela ukunyamezela akufumananga ubungqina obaneleyo bokunconywa ngokugqithiswa kwezigulane ezine-BMIs eziwela ngaphantsi kwezi nqununu.
Isikhokelo esilandelayo siphakamisa oogqirha bokukhathalela abasemgangathweni kunye nabanye banakekela izigulane ezinobunene kakhulu nge-BMI ephezulu ukuba bazame "unyango lokuziphatha kunye okanye ngaphandle kwe-pharmotherapy" kuqala, kwaye ukuba oko akuzange kusebenze kunye nezinye iindlela zokutya kunye nokuphila ukuze kufezekiswe ukulahlekelwa kwesisindo esaneleyo, i-bariatric utyando lunokuqwalaselwa.
I-Bariatric Surgery Impact Health mentally?
Uhlalutyo lwama-meta oluhlalutyo lweencwadi ezifunyenweyo zokufumana uphando oluthile lufumene iimpapasho ezingama-68 ezichazwe kwiimeko zempilo yengqondo kwimeko yokuhlinzwa ngonyango.
Ngokwababhali bokufunda, "Phakathi kwezigulane ezifunayo kunye nokuqhutyelwa ngogonyamelo lwezobunjineli, izimo zengqondo zengqondo eziqhelekileyo ... ziyixinzelelo kunye nokutya okudliwayo ."
Ngokukodwa, i-19% yezigulane zifunyenwe ukuba zinexinzelelo kwaye i-17% ifumanekile ukuba idliwayo yokutya ingxaki.
Nangona kungekho ukuxinezeleka okanye ukungadli ngokutya ukuphazamiseka kuye kwafunyaniswa ukuba kuhambelana nokungafani kwiziphumo ezizimeleyo emva kokuhlinzwa, kubonakala ukuba utyando lwe-bariatric ngokwayo lwaba nefuthe elihle kwizigulane ezinexinzelelo.
Abaphandi bafumene ukuba utyando lwama-analatric lwaluhlala luhambelana namazinga aphantsi okudandatheka emva kokusebenza. Utyando lweBariatric lwalunxulumene nokunciphisa ubunzima beempawu zokudakumba.
Ababhali abaphengululi baphetha ngokuthi "imeko zempilo yengqondo zixhaphake phakathi kwezigulane zonyango-ikakhulukazi, ukudandatheka kunye nokutya okuxilisayo." Baye baqonda inkxaso "yombutho phakathi kokuhlinzwa ngokugqithiseleyo kunye namazinga aphantsi okudandatheka [emva kokuhlinzwa]."
Imithombo:
UDawes AJ, Maggard-Gibbons M, Maher AR, et al. Izimo zempilo yengqondo phakathi kwezigulana ezifunayo kunye nokuhlinzwa ngonyango: i-meta-analysis. JAMA 2016; 315: 150-163.
Jensen MD, uRyan DH, Apovian CM, et al. 2013 I-AHA / ACC / i-TOS isikhokelo sokulawulwa kokugqithisa nokugqithisa kubantu abadala: ingxelo ye-American College of Cardiology / American Heart Association Task Force kwi-Practice Guidelines kunye ne-Obesity Society [epapashwe kwi-intanethi ngoNovemba 27, 2013]. J Am Coll Cardiol.
UJensen MD, uRyan DH. Izikhokelo ezintsha zokutyeba: isithembiso kunye nokwenzeka. JAMA 2014; 311: 23-24.