Ukunyuka Kwempahla Ukuguqula Ubomi Bakho Kwiindlela Ezingalindelekanga
Ngaba ucinga ngophando lotyando? Kungakhathaliseki ukuba yiyiphi intsebenzo yokulahlekelwa ubunzima oyikhethayo, inqubo ingaba yindleko kwaye iya kufuna ukuba wenze utshintsho olukhulu kwiindlela zakho zokuphila. Unokuzibuza ukuba i-gastric bypass iyayixabisa. Okanye ukuba ezinye iinkqubo ezinjenge-balloon yegastric, i-sleeve gastrectomy, okanye i-lap band ibaluleke kakhulu ingozi. Ukuze wenze isigqibo esona sigqibo, qiniseka ukuba uthethe ugqirha wakho malunga nomgangatho wobomi emva kokuhlinzwa kokulahleka kwesisindo.
Indlela Ubomi Ubushintsha Ngayo Emva Kokunyuka Kwemithi Yokukhubazeka
Ubomi emva kokuhlinzwa kokulahleka kwesisindo akusoloko kukho izigulane ezizilindeleyo. Esinye isigulane esilandelayo sokugonywa sisigxininisa, "ukuba awukwazi ukwenza utshintsho olukhulu kwisimo sakho sengqondo, uya kuphinda uye (ubukhulu)." Utshintsho olukhulu oluthetha ngalo lubandakanya utshintsho ekudleni kwakho, indlela ophila ngayo, ubomi bakho boluntu, ubudlelwane bakho kunye neemvakalelo zakho. Ngamanye amaxesha, utshintsho luya kumangaliswa kwizigulana ezithemba ukuba utyando lokulahlekelwa yindlala kunokunika indlela elula yokuphuma kwindleko yokulahlekelwa kwesisindo.
Izifundo ezininzi ziye zabonisa ukuba izigulane zijongene nomgangatho wobomi obuphuculweyo emva kokuhlinzwa ngonyango. Kodwa amagqirha amaninzi kunye nezigulane ziza kukuxelela, utshintsho olulungileyo luvela kwezinye iingxaki kunye nezibandezelo, ngokunjalo. Ngaphambi kokuba ukhethe ukhetho lokulahleka kwesisindo, qiniseka ukuba ucinga ngezinto ezintle kunye nezinguqu ezinokuthi ungayifumana.
Iinguqu ezi-7 eziqhelekileyo emva kokuphelelwa kweBatriric
- Umsebenzi onzima. Ukunyusa ukulahlekelwa ngumzimba akuyona enye indlela yokutya kunye nokuzivocavoca- yongeza kwidlo kunye nokuzivocavoca. Enyanisweni, iindlela zokutya ezifanelekileyo kunye nokuzivocavoca rhoqo kubaluleke ngakumbi emva kokuhlinzwa ngonyango. Kufuneka uchithe usuku ngalunye uqhuba ukuziphatha okunempilo. Kufuneka ubhala iphepha lokutya kwakho, ufunde iincwadi kunye ne-intanethi ye-intanethi, "kusho omnye isigulane. Kwabanye, ukuzibophelela kuninzi kunokuba kulindeleke.
- Imikhwa emitsha yoluntu . Imisebenzi oyithandayo ngaphambi kokuba utyando ingabi yimisebenzi oqhubekayo ukuyithatha inxaxheba emva kokuhlinzwa. UDkt. Ninh T. Nguyen, MD, udokotela ogqirha we-bariatric kunye nomongameli wangaphambili we-American Society ye-Metabolic and Bariatric Surgery (ASMBS) ithi le nto ingabonisa iingxaki ezibalulekileyo kwezinye izigulane. Uchaza ukuba, "unganakho ukuthatha inxaxheba kwiimeko zentlalontle ezijongene nokutya kwaye kunoko ufunde ukucwangcisa ukuphuma kwezentlalo ezibandakanya umenzi wenyama."
- Ubuhlobo obulahlekileyo okanye obunzima . Ukutshintshwa kwezenzo zentlalo kunokuphazamisa nokudelela abahlobo obenakho ngaphambi kokuhlinzwa. Kufuneka usebenze nentsapho yakho kunye nabahlobo ukuba bamkele ukuziphatha okutsha kuba bafuna ubomi buhlale oko kwakunjalo, "kuchaza omnye isigulane. Kwaye njengoko uDkt Nguyen eseza, izigulane ezininzi zenza isangqa esitsha sentlalo kunye nabahlobo abasandul 'ukugqiba.
- Ukudumala ngokomzwelo. Ukuba ulindele ukutyunjwa kwesisindo ukuxazulula iingxaki zentlalo okanye zengqondo kwaye wenze ubomi bube bhetele, unokuphelelwa lusizi. Abanye abantu abanobunzima basebenzisa ukutya ukuze bathuthuzele. Oku akuyona ingxaki yokuba utyando lunokuyicombulula. Ukuba imiba yeemvakalelo ikhona phambi kokuhlinzwa, kuya kuba khona emva kokuhlinzwa.
- Ngaphezulu kwesikhumba. Ukulahlekelwa kwesisindo sakho kunokubonelela ngemiphumo emihle kwinqanaba, kodwa kusenokuba ungathandi oko ubona kwisibuko. Ulusu oluninzi luyinkathazo kwizigulane ezininzi ezilahlekelwa isisindo. UDkt. Nguyen uthi yinto ebalulekileyo yokugula izigulane ezininzi ze-bariatric. Isisombululo sesikhumba esilula singabandakanya utyando olongezelelweyo kunye nokuzivocavoca.
- Ukusetyenziswa kakubi kotywala. Ezinye izigulane ezithotyelwayo, ngokukodwa i-gastric bypass kunye ne-sleeve gastrectomy, zineengxaki zokusebenzisa utywala kwiminyaka emva kokuhlinzwa. Uphando olupapashwe yi- JAMA lubonisiwe ukuba ngenxa yokuba iinkqubo ziguqula indlela yokusela utywala eqhutyelwa emzimbeni, ezinye izigulana ziba sebunciphekweni bokusetyenziswa kakubi.
- Ukuphakama kwesisindo. Nangona amazinga okuphumelela ekusebenziseni ukunyuka kwesisindo aqhubekile ekuphuculeni, ubunzima obunokuphindaphinda kwiminyaka emva kokuhlinzwa ngokugqithisileyo kubonakala kakhulu. Ngokutsho kwe-ASMBS, izigulane zilahlekelwa bunzima kakhulu kwiminyaka emibili yokuqala emva kokuhlinzwa. Ngomatshini weminyaka emihlanu, ubukhulu bobunzima buyaphinda buyinto efanayo, kunye nezigulane zigcina umyinge wama-50 ekhulwini ekulahlekeni kwabo ubunzima.
Ngaba i-Gastric Bypass ibalulekile?
Zonke iindlela zokuhlinzwa zineengozi kunye neenzuzo zokuqwalasela. Kwezinye izigulane, ukuba nenkqubo ye-bariatric, njenge-gastric bypass, iyayifaneleka. Umguli ozinikeleyo, utyando lokulahlekelwa isisindo ngumsebenzi osebenzayo wokulahlekelwa isisindo.
Kuye kwabonisa ukuba isebenzayo ekunciphiseni impembelelo yeemeko ezininzi ezinxulumene nokugqithisa okunjenge-type 2 yeswekile, i-apnea yokulala, nesifo senhliziyo
Kodwa kubalulekile ukwenza umsebenzi wesikolo ngaphambi kokuhlinzwa. UDkt Nguyen uthi ininzi yezigulane zakhe ziza kuye ngokulindelayo ngokuphila kwabo emva kokuhlinzwa. Uthi kule mini kunye nobudala phantse wonke umntu owaziyo umntu oye wayenenkqubo ye-bariatric ukuze kube lula ukufumana umntu othetha naye. Nangona kunjalo, uchitha malunga neenyanga ezintathu ukulungiselela izigulane zakhe kwiinguqu zomzimba nezengqondo eziza kuba nazo.
Ukuba ucinga ukuhlinzwa, funda ngokubanzi njengoko unako malunga nenkqubo ngokwayo kunye neenguqu oya kuyenza ebomini bakho. Xoxa nabahlobo kunye nosapho, umniki-nkonzo oyintloko kunye nomgqirha oqinisekisiweyo webhodi ngaphambi kokuba wenze isigqibo sokugqibela.
Imithombo:
Ukufikelela kuKhathalelo. Ubuninzi boMzimba kunye noPhepha loBugcisa lweeMathambo kunye neBariatric. Umbutho waseMelika weMetabolic & Bariatric Surgery. https://asmbs.org/
UJohn B. Alley, MD, FACS, uStephen J. Fenton, MD, FACS, uMichael C. Harnisch, MD, uDonovan N. Tapper, MD, uJason M. Pfluke, MD, uRichard M. Peterson, MD, MPH, FACS " Umgangatho wobomi emva komkhono wesigxina kunye nokulungelelaniswa kwebhanki. " Ugqirha lwe-Obesity ofanayo kunye nezifo ezihambelana noMatshi 5, 2011.
Wendy C. King, PhD; Jia-Yuh Chen, MS; UJames E. Mitchell, MD; UMelissa A. Kalarchian, PhD; UKristine J. Steffen, PharmD, PhD; UScott G. Engel, i-PhD; UAnita P. Courcoulas, MD, MPH; UWalter J. Pories, MD; USusan Z. Yanovski, MD. Ukuxhaphaka koMngcipheko wokuSebenzisa utywala ngaphambi nangemva kweBariatric Surgery I- Journal ye-American Medical Association Juni 20, 2012.