Njengoko ilizwi lihambayo: Amaxesha amaninzi abiza amanyathelo angqongqo, kwaye umzekelo wamva kukuba ubhubhane obunzima bomntwana . Kubantwana kunye nabaselula abakulungele ukufumana utywala obukhulu , unyango lwexesha lokugqibela luqwalaselwa ngokubanzi: Utyando lweBariatric.
Utyando-ukulahlekelwa ngokugqithiseleyo ngoku kubonwa njengongenelelo olulungelelwano lwabantu abancinci abancinci abanobunzima obuchaphazelekayo kwimpilo kwaye bazama ezinye iindlela zokunciphisa ubunzima ngaphezu kweenyanga ezintandathu-kodwa bengaphumeleli.
Ubungqina bubonisa ukuba utyando lunokunceda la bantwana baphephe ukuxhalaba okunxulumene nokugqithisa okunjengesifo sikashukela, ukuphazamiseka kokugula kokugula, kunye nomfutho wegazi ophezulu. Uphando olusuka e-Saudi Arabia lufumene ukuba abantwana abagqithisileyo, abaneminyaka emi-5 ukuya kweyesi-21, ababenokuhlinzwa okwenziwe nge-bariatric balahlekelwa ngamaphesenti angama-62 obunzima babo obunzima emva kweminyaka emibini-kwaye uninzi lwazo lwazisombulula i-cholesterol yabo engaqhelekanga, uxinzelelo lwegazi oluphezulu, iimpawu ze-apnea zokulala, kunye nesifo sikashukela.
Nangona kunjalo, nangona ezi zinzuzo ezifikelelekayo, ukusetyenziswa kotyando lwe-bariatric phakathi kwabantwana abaselula banamathele ukususela ngo-2003 e-US, ngokutsho kwe-2013. Iindleko kunye nokufikelela ekunyamekelweni kuya kuba yimiba ephambili "ekusebenziseni okuphantsi kwenkqubo yokuguqula ubomi kwintombazana kunye namantombazana asezingeni elincinci lentlalo," abaphengululi baphetha.
Iinkqubo ezahlukeneyo zabantwana abahlukeneyo
Kukho iindlela ezahlukeneyo zobugcisa bokuhlinzwa kunye nokuba yeyiphi enye into ebhetele kubantwana okanye abatsha abazange bazimisele.
Ngomsebenzi wokuhlinzwa ogqirha iRoux-en-Y, udokotela ohlinzayo udala isikhwama esincinci kwisisu, esebenzisa izicwangciso zokugcoba, kwaye unamathele esikhwameni kwinqumbo elincinci lomathumbu omncinci. Esi sikhwama sinokubamba kuphela isahlulo sokutya esisisu esisisigxina singakwazi, ngoko kunyanzela umntu ukuba adle ukutya okungaphantsi.
Ngaphezu koko, ngenxa yokuba ukutya okudliwe yimida enkulu kwinxalenye yesisu nangomathumbu angaphezulu, iikhalori ezimbalwa zixutywa ekudleni.
Ngomsebenzi wokubhinqa ngesisu, i-bandic silicone band eguqulwayo isetyenziswe ngaphaya kwe sondlo ukudala isikhwama esincinci; le mida yokutya umntu angadla kunye nokunyusa iimvakalelo zokuzaliswa ngokukhawuleza. Yindlela eyingcipheko yokungcwatshwa kwe-bariatric, kwaye ayinakuphazamisa ukuxutywa kwezondlo ngendlela yokugonywa kwesantya. Ibhendi ingatshintshwa, ibenze ibe nzima okanye ikhululeke, ukuze ikwazi ukungena kwiimfuno zokulahlekelwa kwesisindo somntu, kwaye inokususwa, ukuba kuyimfuneko.
I-laparoscopic sleeve gastrectomy inciphisa ubungakanani besisu ngama-75 ekhulwini, eshiya "umkhono" omncinci okanye ityhubhu kwindawo yayo; oku kumlinganiselo wokutya umntu angadla ngexesha elinye. Ngenxa yokuba ayidluli emathunjini, inqubo ayikuphazamisi ukuxutywa kwezondlo-kodwa inokunciphisa inani le-ghrelin, ihommoni yelambile, eyenziwa yisisu, ngaloo ndlela ibe negalelo ekulahlekeni kwexesha elide. Njengoko utyando lwe-gastric surpass, le nkqubo ayinakuguqulwa.
Izifundo zokuqala zifumene le nkqubo ye-bariatric ukuba ikhuseleke kwaye isebenze phakathi kwabaselula, kunye neziphumo ezifutshane ezifana nezo ziphakathi kwabantu abadala.
Kwisifundo se-345 kwinkqubo yabaselula kunye nabaselula, abaphandi baseJamani bafumene ukuba ubuchule bokuqhathaniswa kwesi sihlandlo kubangelwa ukugaya i-gastric kunye ne-gastric overpass, elandelwa yi-sleeve gastrectomy. Emva konyaka, i-gastric bypass yavelisa ukunciphisa ubuninzi bokuhamba, emva kwe-sleeve gastrectomy kwaye isisu sokubhinqa-kodwa zonke iinkqubo ezintathu zenze ukuba kubekho ukulahleka kwesisindo kunye neengxaki ezimbalwa.
Uvavanyo lwe-2013 kwiYunivesithi yaseMiami School of Medicine kwakhona lwafumanisa ukuba abantwana abaneminyaka eli-10 ukuya ku-19 abafumana ukuhlinzwa ngonyama ngokuphindaphinda kabini kwintsikelelo yesisindo emva komnyaka njengabo babenokuguqulwa kwebhodi yokuguqula umzimba.
Okwangoku, uphando olwenziwe ngo-2012 kwiZiko lezoNyango lwezoNyango likaZwelonke eWashington, DC, lafumanisa ukuba abantwana abaselula abasweleyo balahlekelwa ngamashumi e-40 ekhulwini lomzimba wabo ngenxa yesisindo se-laparoscopic sleeve gastrectomy.
Ukukhathazeka Okukhulu
Naphezu kwezi mpu melelo, ukulandelelwa kwexesha elide kwi-articular surgery kubantwana kunye nabaselula abasweleyo. Okwangoku, akukho ndlela yokukwazi okwenzekayo kwixesha lokuphila kubantwana ababenokuhlinzwa okwenziwa yi-bariatry kuba le nkqubo ayifumanekanga kwisizukulwana sabazali xa bebantwana. Ukufumana ingqiqo kwimilinganiselo yexesha elide, ukunyanya ukukhula komzimba, kunye neentlobo zeengxaki ezinokuthi zenzeke kwiminyaka kamva (emva koko, imizimba yabantwana isakhula) ibaluleke kakhulu ekufumaneni ubulumko bokusebenzisa le nkqubo kulabo mncinane kakhulu ukuvota.
Kwakhona kubalulekile ukukhumbula ukuba ukutyunjwa kwe-bariatric akuyiyo i-panacea yokukhuluphala komntwana. Njengabantu abadala, utyando lokulahlekelwa ngumzimba kwiintsana ezigqithiseleyo luyingxenye yesisombululo. Abo bahambayo kwinkqubo kufuneka badle imichilo yokutya okunempilo kunye nokusebenza ngokuqhelekileyo ekusebenzeni ubomi. Ngaphandle koko, banokubuyisela abanye okanye ubuninzi besisindo abalahlekileyo.
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