Ukukhusela nokuPhatha ukutya okunqongopheleyo emva kokuPhelelwa koPhulo lokuLawula
Ukungondleki emva kokuba utyando lokulahlekelwa isisindo singabangela ingxaki yokuphila esongela ubomi kwiinyanga kunye neminyaka emva kokuhlinzwa. Lo mngcipheko wokungondleki uyaziwa kwaye uyinxalenye yemfundo esengaphambili yokunikezelwa kwezigulane. Iinkqubo ezithile, ngokukodwa isisu esiswini siphucula ukulahlekelwa kwemithwalo yokulahleka, ziyakwazi ukukhokelela ukungondleki.
Oko kwathiwa, kulula ukuba izigulane ezigqithisileyo zingagxininisi ingozi ebunxulumene nokuhlinzwa kwegazi. Kwabaninzi, ukuva umntu uthi enye ingozi yokuhlinzwa "ilahlekelwa bunzima" ivakala ngathi iphupha lizaliseka, kungekhona isigulo esingapheliyo nesokukhubazeka esingaholela ekufakeni izibhedlele nokufa.
Ukuqonda umngcipheko wokungondleki kunye nokuba ungathinteka kangakanani, uthathe amanyathelo okuthintela ukungondleki, kwaye usebenze ngokukhawuleza xa iimpawu zokungondleki zikhoyo zingathetha ukuphucula okude kwimpilo yexesha elide ngaphandle kokuzihlawulela iinjongo zokulahlekelwa kwesisindo .
Yintoni ukungondleki?
Ukungondleki kwimeko eyenzeka ngenxa yokungabi namandla kwamacronutrients (iivithamini, amaminerali) macronutrients (i-calorie iyinxalenye ye-fat, i-carbohydrate kunye neprotheni). Zininzi iintlobo zokungondleki. Ezinye zivela kwiikhalori ezimbalwa, ezinye, njenge-kwashiorkor, zikhula ukusuka kwintlupheko eninzi yeprotheni.
Imiphumo yokungondleki kwimiba engabonakaliyo kwaye ibe yingozi.
Kukho izizathu ezibini ezibalulekileyo ukuba izigulane zezigulane zihlakulela ukungondleki: zithatha ezimbalwa izondlo, umzimba awukwazi ukucwangcisa kakuhle izondlo ezithathayo, okanye ukudibana kwezi zinto zibini.
Izinto zobungozi
Iindlela zokusondeza i-gastric zinomngcipheko ophezulu wokungondleki njengoko zinciphisa isixa isigulane sinokutya kwaye sinciphise umlinganiselo wesondlo umzimba onokuwufumana. Ukuphambuka kwe-biliopancreatic kunye noshintsho lwe-duodenal lwenziwa ngaphantsi kwexesha elidlulileyo e-United States ngenxa yengozi yokutya ukungondleki.
Ukuhlinzwa ngokugqithiseleyo kweRoux En Y kuhlanganiswe nokungondleki. Utyando olwenyuka ubukhulu besisu kodwa alitshintshi ukukwazi ukufumana izondlo, ezifana nokuqhaqha isisu okanye isondo se-sleeve gastrectomy, akunakwenzeka ukuba kubangele ukungondleki.
Izigulane ezihlakulela imiba engahambelaniyo eyanciphisa amandla okufumana izondlo kwi-intestine nazo zisengozini. Imiqathango efana nesifo sengqondo sesifo okanye isifo sikaCrohn sinokuyenza nayiphi na imiba enokungondleki ngokugqithiseleyo ekunciphiseni amandla omzimba wokufumana izondlo.
Ezinye izinto ezinobungozi bokungondleki ziquka ukutya ukutya okuncinci kwizondlo, ukukhetha ukutya okungenamsoco phezu kokutya okupheleleyo, ukusela iikhalori ngendlela ye-soda okanye utywala endaweni yokutya okuphezulu okunomsoco, ukungaphumeleli ukulandelelana rhoqo kunye nodokotela ogqirha, kwaye ungaphumeleli ukuthabatha kunye nezibonelelo ezinqunyiwe.
Izimpawu kunye neMpawu
Iimpawu zokungondleki zihluka ngohlobo lokungondleki, kodwa ngokuqhelekileyo, ukungondleki kukubangela ukukhathala, ubuthathaka, ukunganakwa, isikhumba esomileyo, kunye neenwele ezinqabileyo okanye ezinobunzima.
Kwabanye abantu, kunokukho utshintsho oluphawulekayo kwiminwe yabo, ukuphulukiswa kwesilonda esingenakunokuthi kubekho, okanye amehlo omeleyo kunye neentlobo zegazi ezinokuphuma.
Thintelo
Kukho iindlela ezimbini eziphambili zokukhusela ukungondleki emva kokuhlinzwa kwegastric bypass surgery.
Indlela yokuqala kukutya ukutya okunotyeko ekutya okunesondlo. Oku kuthetha ukutya iziqhamo, imifuno kunye neproteinyini ephilileyo kunye nokuphepha iikhalori ezingenanto ezivela kwintsebenzo yokutya, ishukela kunye neziyobisi. Enye indlela yokongeza izongezelelo ekudleni kwakho kwansuku zonke, ezi zinokuba ligunya lomyalelo okanye zikhoyo apho iivithamini zithengiswa khona, kuxhomekeke kwiimfuno zakho.
Ngokutsho kweMerika Society ye-Metabolic and Bariatric Surgery, ukuxhaswa kwiinyanga ezilandelayo ukuhlinzwa kufuneka kubandakanye, ubuncinci :
- 1-2 i-multivitamine yabantu abadala abaneeminerali ezinesinyithi, i-folic acid kunye ne-thiamine.
- 1200 ukuya kwi-1500 mg ye-calcium ebalulekileyo ukusuka ekudleni kunye nasezincediseni.
- Ubuncinane ama-3000 kwiiyunithi zama-vithamini D
- IVithamini B12
- 45-60 mg yesongezelelo seHensi
Izinyango Zonyango
Ukunyanga kokungondleki, emva kokuba kuphuhlisiwe, kuya kuba nobudlova kunokuba iziphakamiso zokuthintela. Ukuthintela kubalulekileyo, kodwa xa kungenakwenzeka, unyango luyimfuneko. Izongezelo zamandla ezinesigqirha zingasetyenziselwa, izongezelo eziphezulu zokusela izondlo zingenakongezwa ekudleni, kwaye kwiimeko ezinzima kakhulu kwizibhedlele kunye nokuphathwa kwe-IV isondlo zingasetyenziswa.
Izibonelelo emva kokuPiliswa
Izibonelelo ezisetyenzisiweyo zokuthintela ukungondleki ziza kuphungula ukulahleka komzimba kwaye ziyakwazi ukuphucula amanqanaba ombane kunye neemvakalelo zentlalo-ntle, ezo ziyakwenza ngcono umsebenzi kunye nokulahleka kwesisindo. Ukuthatha izongezelelo ezinqunyiwe, ezinokuba yiyona dose enkulu kunazo zonke ezikhoyo kwi-counter, kubalulekile ukugcina impilo enempilo.
> Umthombo:
> Umbutho waseMerika weMetabolic and Bariatric Surgery. Izikhokelo zesiklinikhi zenkxaso yesondlo, ukuxhaswa kwemithi kunye nokuxhaswa kwezonyango zegulati yokugulisa i-bariatric 2013. http://asmbs.org/2013/04/aace-tos-and-asmbs-medical-guidelines-for-clinical-practic-practice-for-perioperative-nutrition-met- i-bariatric-surgery-patient