Ukunyameka kwemithwalo yokulahleka, eyaziwa nangokuthi utyando lwe-bariatric, ngenye yeendlela zokonyango ezinconywayo zonyango kubantu abalwa nokukhuluphala. Olu hlobo lotyando alukho ngeendlela ezimfutshane zokulahleka kwesisindo okanye ngokufumana umzimba okhangayo. Utyando lweBariatric lugqirha oluqhutywayo lwenjongo ephambili yokuguqula nokukhusela iingxaki zempilo zokunyanya.
Iingxaki zokunyanyisa ziquka isifo sikashukela, isifo senhliziyo, uxinzelelo lwegazi , kunye nesifo . Uninzi lweziphumo zecala ezichaphazelekayo zempilo ziyaziwa ukuba zikhokele ekubetheni. Enyanisweni, i-stroke yinkoliso ebomini yokuguqula ukunyanya. Phantse iipesenti ezingama-12 ukuya ku-18 zabantu abanobuchopho abahlaliyo ngelixa abo basinda baphila ngamava okufutshane. Kuqikelelwa ukuba abasindileyo beza kuba nama- 12 1/2 kwiminyaka ngaphambi kokufa . Ukuphila njengomntu osindileyo wesiqhelo kudla ngokubhekisela kwiminyaka yokukhubazeka kwakunye neendleko ezinkulu zezimali zokubetha .
Nangona kunjalo, utyando olunzulu luyinkqubo ephambili yokuhlinzwa. Ukuba uqwalasele ukutyunjwa kwe-bariatric okanye ukuba ugqirha wakho ucebisa ukuba ukhangele kuyo, kufuneka uwazi ezinye zezi zinto ezisiseko malunga nobudlelwane bawo kunye nobungozi bokuhlaselwa.
Yintoni i-Bariatric Surgery?
Utyando lwe-Bariatric kunye nokuhlinzwa ngokunyameka komzimba yindlela yokuhlinzwa eyenzelwe ngamabomu ukwenzela ukulahleka ubunzima kunye nokuthintela ukunyuka kwesisindo.
Kukho iintlobo ezininzi zokuhlinzwa ngokulahleka komzimba. Ngokomzekelo, i-passpass bypass yinkqubo ebuyisela ukuxhamla phakathi kwamathumbu amancinci nesisu, ekugqibeleni iholele ekhaleni elincinci elithathelwe emzimbeni. Emva kwendlela yokugaya isisu, ukutya umntu adlayo kungena emathunjini amancinci emva nje kokungena esiswini.
Isisu apho iindawo ezininzi zokutya zilungiselelwe ukuba zifakwe kumathumbu amancinci, ngoko ixesha elincinci kwisisu liphumela kwiikhalori ezimbalwa ezixutywayo ukusuka ekudleni ukuya emzimbeni.
Inkqubo yokuguqulwa kwegastric kunye neenkqubo zesondlo zomzimba zintlobo zokuhlinzwa ngokulahleka komzimba ezibandakanya ukukhipha isahlulo sesisu ukuze kube ncinane. Emva kwesisu segastric, isisu sancinciwe ngokobukhulu kwaye ngoko akunakulungele ukutya ngokutya. Ukunyamekela emva kwendlela yokugaya isisu kungabangela ukuhlanza. Ukutya okuncinane kuthetha iikhalori ezimbalwa, ezikhokelela ekulahlekeni kwesisindo.
Enye yezinye iindidi eziqhelekileyo zokutyunjwa kwe-bariatry yi-banding band. Ukubhinqa ngesisu kubandakanya ukufaka ibhola kummandla wesisu ukuze uvelise ukuzaliseka-njengokuthi isisu sisincinci. Esi sizathu sokuzaliseka esiphumela emva kokutya ukutya okuncinci kokutya kukuvimbela ukutywala. Zonke ezi ndlela zindlela ezisebenzayo zokukhawulelana nekhalori kwaye zenzeke kokubili ukulahlekelwa ubunzima kunye nokuthintela ukuzuza ubunzima.
Iinkqubo ezifana 'ne-tummy tucks' kunye ne-liposuction akuzona iintlobo zokuhlinzwa ezithathwa njengophando lokulahleka kwesisindo okanye utyando lwe-bariatric. Ezi ntlobo zenkqubo zisusa iinqatha okanye isikhumba emzimbeni ukuba 'ziyihlobe' umlo kunye nobukhulu bomzimba.
Abanalo impembelelo kwisixa seekhalori umntu angadla kwaye abanalo neenzuzo ezifanayo zempilo njengophando lwe-bariatric.
Uncedo lwe-Bariatric Surgery luthintela njani u-Stroke?
Ukunyanyiswa kunxulumene neemeko eziphezulu zesifo. Indlela ephilileyo yokulahlekelwa isisindo ngokuqhelekileyo ngokusebenzisa isicwangciso sokuguqula indlela yokuphila equka ukutya nokuzilolonga. Ukutya okunesondlo ukulahlekelwa kwesisindo kugxininise ekufumaneni izondlo eziyimfuneko ngokutya ukutya okunomsoco ngenkqubela ekunciphiseni ubunzima nge-calorie restriction.
Ukuzivocavoca ukulahlekelwa isisindo kugxininiswe rhoqo kwizinto eziphathekayo ezisebenzisa iikhalori, ezifana nokuhamba, okanye ukuzivocavoca kwe-aerobic ezifana nokuhamba okanye ukuhamba ngeebhayisikili.
Abanye abantu, nangona kunjalo, abakwazi ukulahlekelwa ubunzima obukhulu ngokweendlela zokuphila zodwa. Yaye, xa umntu ekhulu kunene, kunokuba nzima ukufikelela kwisisindo esifanelekileyo ngokutya kunye nokuzilolonga. Ubunzima obuchanekileyo okanye isicatshulwa somzimba (BMI) esaneleyo ukulungiselela iingxaki zempilo zingahluka kubantu abahlukeneyo. Kwezinye iimeko, ugqirha wakho unokumisela ukulahleka kwesisindo ukuze ukwazi ukuphepha iingxaki zokunyanya ukugqithisa, kwaye, ngokuxhomekeke kwimeko yakho, ukuhlinzwa ngonyango kunganconywa njengendlela yokukhetha.
Ingaba i-Bariatric Surgery iyanceda ngokwenene ukukhusela isisu?
Iqela lokuphanda elibandakanya i-Institute of Cardiovascular Institute evela kwiYunivesithi yaseManchester e-UK iququzelele iziphumo zezifundo ezili-14 ezihlukeneyo malunga nesiphumo sokuhlinzwa. Idatha ibonise ukuba kukho ama-50 ekhulwini okunciphisa ukufa kwabantu phakathi kwabathathi-nxaxheba ababenobungcali bonyango kunye nomngcipheko owancitshiswayo wokubethelwa kwesifo kunye nesifo senhliziyo phakathi kwabathathi-nxaxheba abanobuchopho be-bariatric.
Elinye iqela labaphandi elenziwe iqela elivela kwiiyunivesithi ezininzi e-United States, kuquka iYunivesithi yase-Utah, iYunivesithi yase-Alabama eBirmingham, iYunivesithi yaseBrigham neYunivesithi yaseTill Cornell, ihlolisise umphumo wokuhlinzwa ngonyango kwizifo zonyango. Iziphumo zibonise ukuba izigulane ezigqithisileyo ezinobungqina be-bariatric zafumana ithuba eliphantsi kakhulu lokufa kwesifo xa kuthelekiswa nabantu ababenokugqithiseleyo ababengazange baphelelwe ukusila.
Esinye seziphumo zovavanyo lwama-baratric kwaba ukuhla kwelokuphuhlisa uhlobo lwesifo sikashukela se-mellitus kunye nokuguqulwa kohlobo lwesifo sikashukela phakathi kwabo babesele benalo. Ngokutsho kweNcwadi ye-American College of Surgeons, izigulane ezine-type 2 zesifo sikashukela se-diabetes mellitus ezinobuchopho be-bariatric zafumana ukunciphisa ama-60-80 ekhulwini kwiziganeko ze-vascular ezifana ne-stroke ne-heart attack.
Ingaba Iindleko / Inzuzo Okufanele?
Enyanisweni, ukuhlinzwa ngokunyameka kwemithwalo yinkqubo enkulu, ngoko kubalulekile ukuqwalasela ukuba inzuzo ifanelekile ingozi. Kukho iziphumo ezibi kunye neengxaki zonyango lwe-bariatric, kubandakanywa ukungondleki, i-anemia kunye nezitenxo ze-hormone. Ngokubanzi, ukuhlinzwa kokulahlekelwa kwesisindo kuye kwaboniswa ukuthintela ukufa, kwaye ukukhuselwa kwesifo sisiqhelo sizathu esikhulu saloo nzuzo. Enyanisweni, ngokweendaba ezikhutshwe yi-American Heart Association, iinkampani ze-inshorensi zempilo zandisa iikhrayitheriya ezisetyenziswayo xa kuziwa ekuhlawuleleni ukuhlinzwa ngonyango.
Kwabanye abantu, ingozi yokuhlinzwa ngokunyuka kwesisindo ibaluleke kakhulu ngelixa abanye ingozi iyakunyamezela ngokubhekiselele kwizibonelelo zezempilo. Ukuthi okanye ungayi kuba ngcono xa utyunjwa ngokunyuka kwesisindo okanye ngeendlela zokungabikho zokucutha ukulahleka kwemilinganiselo kuxhomekeke kwizinto ezininzi ofuna ukuxoxa ngazo neqela lakho loogqirha.
Imithombo:
I-All-Caus and Caus-Specific Mortality edibene neBariatric Surgery: Ukuhlaziywa, i-Adams TD, i-Mehta TS, i-Davidson LE, i-Hunt SC, iingxelo ze-Atherosclerosis zangoku, uDisemba 2015
Utyando lweBariatric kunye neempembelelo zalo kwisifo senhliziyo kunye nokufa: ukuhlaziywa okucwangcisiweyo kunye nokuhlaziywa kweemeta, uKwok CS, Pradhan A, Khan MA, Anderson SG, Keavney BD, Myint PK, Mamas MA, Loke YK, International Journal of Cardiology, Epreli 2014
Utyando lweBariatric ludibene nokunciphisa ubunzima obukhulu bezinto ezincinci kunye neengxaki ezincinci ezinomdla ngokugqithiseleyo izigulane ezine-type 2 zesifo sikashukela, i-Johnson BL, i-Blackhurst DW, i-Latham BB, i-Cull DL, i-Bour ES, i-Oliver TL, i-Williams B, i-Taylor SM, i-Scott JD, Umbhalo we-American College of Surgeons, ngo-Apreli 2013