I-Specialty Treatment of Obesity and Lossight Loss
I-Bariatrics liSebe leyeza elijongene nophando, unyango kunye nokuthintela ukukhuluphala . Igama elithi bariatrics lithathwe kwi- baro ye -Greek baro- oko kuthetha ukuba bunzima okanye baninzi. Intsimi ye-bariatrics iquka ukutya, ukuzivocavoca, unyango, imichiza kunye nokuhlinzwa-konke okujoliswe ekuphumezeni nasekugcineni ukulahleka kwesisindo.
Umboneleli wezempilo unokwenza ngokukhethekileyo kwi-bariatrics, kodwa akuthethi ukuba ugqirha.
Isondlo sezondlo esinobuchule be-bariatrics kuya kuba ngumntu osisigxina ekuncedeni izigulane ukukhusela okanye ukunqoba ukukhuluphala kunene, njengokuba ugqirha onguchwepheshe be-bariatrics uza kunika iinkonzo zonyango kulabo bantu. Iinkalo ezininzi zononophelo lwempilo zinokuba nabantu abakhethekileyo kwi-bariatrics.
Ukusetyenziswa okuqhelekileyo kwegama elithi "bariatrics" libhekiselele kwingingqi yonyango ejongene nokukhuluphala ngokwezinto ezinokukhetha. Utyando lweBariatric luquka iinkqubo zokuba zenze ixeshana okanye zinciphise ubuninzi besisu okanye zinciphise inani lokutya ezinokugaya kwaye zisetyenziswe njengeekhalori emzimbeni. Ezinye iinkqubo ze-bariatriki zenza zombini, njenge-roux en y, inqubo eyenza isinciphisa isayizi sesisu kunye nokunciphisa inani leekhalori umzimba ongazifumana.
Abagqirha beBariatric: IMfundo kunye neZatifikethi
Oogqirha abasebenzisa iyeza ze-bariatric e-US bangaba yi-board-certified by the American Board of Obesity Medicine (ABOM).
Ngokuqhelekileyo, ugqirha uza kugqiba ukuhlala kwiiyeza zentsapho, unyango lwangaphakathi, okanye utyando jikelele ngaphambi kokuqhubela uqeqesho olongezelelweyo ukufumana isatifikethi se-ABOM.
Abagqirha baseBariatric ngamagqirha aqeqeshelwe utyando kuquka iinkqubo zokupasa nge-bariatric. Abagqirha abangabagqirha abagqithiseleyo kunyango lokunyanyisa bayaziwa njengabaratricians.
Ukongezelela ekujonganeni nokukhuluphala, abazali be-bariatrici ngokuqhelekileyo bayazi kakuhle kwizifo ezidibeneyo ezihlala zikhona kunye nokukhuluphala, kuquka isifo sikashukela , isifo se-arthritis nesifo senhliziyo.
Iindlela zokuNyango ezingapheliyo
Nangona i-bariatricians iya kugxininisa ukungenelelo okungaphelelwanga kwonyango lokuqala, uphando lubonisa ukuba ezi zinto ziyimpumelelo emfutshane kwaye ziyimpumelelo engapheliyo. Ukongenelela kwangaphambili kunokubandakanya ukutya okulindelekileyo, iinkqubo zokuzilolonga, kunye neendlela zokuziphatha ezinzulu ukujolisa nokulungisa iindlela zokutya ezimbi.
Amachiza angasetyenziswa kwakhona. Phakathi kwabo:
- I-Belviq (i-lorcaserin) igxininisa isondlo ngokusebenzisa ummiselo we-serotonin olawula ukusebenza kwe-gut.
- I-Byetta (exenatide) isetyenziselwa ukhathalela uhlobo lwesifo sikashukela se-2 kodwa sinokukhuthaza ukulahleka kwesisindo ngokunciphisa ukukhutshwa kwesisu nokukwenza umntu azive ekhulula ngokukhawuleza.
- I-glucophage (i-metformin) isetyenziselwa kwisifo sikashukela kodwa sinokunciphisa ubunzima ngokunciphisa inani le-glucose eveliswe sisibindi ngelixa ukwandisa ukuxutywa kwe-glucose kwimisipha.
- I-Qsymia (i-phentermine kunye ne-topiramate) idibanisa isondlo esinomdla kunye ne-anticonvulsant ikholelwa ukuba igalelo ekulahlekeni kwesisindo.
- I-Xenical (orlistat) iyanciphisa ukunyuswa kwamafutha emathunjini ngokuvimbela i-enzyme ye-pancreatic ephula amanqatha.
Bariatric Surgery
Utyando lweBariatric ngenye yezinto eziphambili zibandakanya amayeza e-bariatric. Abagqirha be-Bariatric badinga ubudlelwane bonyaka okanye ngaphezulu emva kokugqitywa kokuhlala ngokubanzi. Olu qeqesho oluphambili lunikeza amava ngezandla ekusebenzeni iintlobo ezahlukahlukeneyo zokuhlinzwa ngokulahleka.
Utyando lweBariatric ngokuqhelekileyo lubonwa ngabantu abane-mass index index (BMI) ye-40 kg / m 2 okanye ngaphezulu apho ukungenelelo okungahambanga ngophando kungaphumeleli.
Phakathi kokukhethwa kwendlela:
- Ukuguqulwa kwegastric banding (eyaziwa njengebhodi yebhanti) yenziwa i-laparoscopically kwaye iquka ukusetyenziswa kwebhanki engasigxina ye-silicone evimba ubungakanani besisu.
- Utyando lwe-gastric surpass (uhlobo oluqhelekileyo lwe-Roux-en-Y bypass) lusetyenziswe ukunciphisa inani lokutya umntu anako ukutya ukusika isahlulo sesisu.
- Ibhaluni ye-gastric yindlela echanekileyo yokungena ekubandakanyeni ibhaluni ehlanjululwe ngaphakathi esiswini esithatyathwa ukuba sinciphise indawo yesisu.
- I-Sleeve gastrectomy (eyaziwa nangokuthi i-gastric sleeve) iquka ukunciphisa okungenakubuyiselwa kwesisu malunga neepesenti ezili-15 ngokususa isahlulo esifana nesandla somzimba.
- I-gastroplasty eqhelekileyo eqhelekileyo (eyaziwa nangokuthi ukunyanyiswa kwesisu okanye inkqubo yeMason) ibandakanya ukutsalwa ngokusisigxina kwesisu ukuze wenze isikhwama esincinci esiswini.
ILizwi
Ubungcali be-bariatrics buyinto entsha, kodwa kuqhutywe phambili ukunyanga kokunyameka kokubili kunye nokuhlinzwa ngaphandle. Kubantu abagqithiseleyo, zininzi iintlobo zonyango olufumanekayo ukususela kumanyathelo angenelelo kwindlela yokucoca ukwenzela ukunciphisa iikhalori ezikhoyo kumzimba. Kuba umntu ogqithiseleyo kwaye angathanda ukulahlekelwa ngamanqatha amaninzi, kukho ezininzi iindlela ezikhoyo.
> Umthombo:
> Gloy, V .; Bhatt, D .; Kashyap, S. et al. "Utyando lweBariatric ngokubhekiselele kwonyango olungenanto yokunyanyisa: ukuphononongwa ngendlela echanekileyo kunye nokuhlaziywa kwemeta yezilingo ezilawulwa ngononophelo." BMJ . 2013; 347: f5934. INGXELO: 10.1136 / bmj.f5934.