Sesiqala ukushicilela uchungechunge lwezihloko ezikhuluma ngomuthi we-bariatric (ukuhlinzwa ukukhuluphala). Umeluleki wethu kulolu daba ungomunye wochwepheshe abahamba phambili kulo mkhakha - udokotela ohlinzayo, Udokotela Ohloniphekile waseRussia u-Bekkhan Bayalovich Khatsiev, osebenza ngesisekelo somtholampilo wokuhlinzwa kwe-endoscopic kanye nokuhlinzwa okuncane kwe-Stavropol State Medical University (Stavropol Territory) .
Kuzwakala kanjani ukukhuluphala? Abantu baba bakhulu kanjani? Labo abaye bakhathazeka impilo yabo yonke mayelana namakhilogremu angu-2 engeziwe okhalweni ngeke baqonde imizwa yomuntu onesisindo esingaphezu kwe-100 kg ...
Yebo, othile ubelokhu "eyi-donut" ngenxa yezakhi zofuzo. Othile unqoba izakhi zofuzo nsuku zonke ngamandla, ezemidlalo nokudla okunomsoco. Abanye, ngokuphambene nalokho, babefana nesigxobo esikoleni, kodwa balulama kakade lapho sebekhulile - besuka endleleni yokuphila engenzi lutho kanye namasemishi amnandi ebusuku.
Wonke umuntu unendaba yakhe. Kodwa kuqinisekile ukuthi ukukhuluphala akukaze kwenze noma ubani abe nempilo enhle noma ajabule. Ngeshwa, kunzima kakhulu ukushintsha kakhulu indlela yakho yokuphila, uhlelo lokudla okunempilo, ukulahlekelwa okungenani ama-30 kg ngokwakho futhi ugcine umphumela ozuziwe, futhi kwabaningi akunakwenzeka. Yebo, bakhona abaphumelele, kodwa bancane kakhulu kunalabo abangaphumelelanga; njengoba umkhuba ubonisa, abantu abangu-2 kwabayi-100.
Mhlawumbe okuwukuphela kwendlela onganciphisa ngayo isisindo unomphela futhi ushintshe kakhulu indlela yakho yokuphila ukuhlinzeka nge-bariatric… Ukuhlinza okunjalo kudume kakhulu ngokuthi “ukuthunga isisu”. Le nkulumo izwakala ithusa, ngakho-ke leli themba liyethusa futhi lixoshe abaningi. "Unqamule ingxenye yesitho esinempilo ukuze uthole imali yakho?" Lokhu, yiqiniso, indlela yamaphilistine. EYurophu, imisebenzi enjalo ifakiwe kumshwalense wesiguli futhi inqunyelwe isisindo esiphezulu se-pathologically. Udinga nje ukuqonda ukuthi yini ngempela esibhekene nayo.
Iqiniso lonke mayelana nokukhuluphala kanye nokuhlinzwa kwe-bariatric
Ukuhlinzwa ukukhuluphala kuwushintsho olwenzeka ku-anatomy ye-gastrointestinal tract (i-digestive tract), okuwumphumela wokuthi umthamo wokudla othathwe nokumuncwa ushintshe, futhi isiguli silahlekelwe isisindo somzimba saso sonke ngokulinganayo nangokungaguquguquki.
1. Ukuhlinzwa kwe-Bariatric akuhlangene nokuhlinzwa okufana nokukhipha amafutha, i-liposuction, nezinye izinqubo zepulasitiki nezimonyo. Lezi akuzona izindlela zezimonyo zesikhashana zokuncipha kancane kwesisindo, le nqubo ihloselwe ekugcineni ukuqeda amakhilogremu engeziwe.
2. Ingqikithi yokuhlinzwa kwe-bariatric ukushintsha uhlelo lokudla okunempilo, ukunciphisa isisindo ngokwemvelo kumazinga ajwayelekile futhi kugcinwe lo mphumela esikhathini esizayo. Into ebaluleke kakhulu, njenganoma yikuphi ukungenelela kwezokwelapha, ukwelashwa nguchwepheshe oqeqeshwe kakhulu emtholampilo ofakazelwe.
3. Akukho "i-metabolism ephansi kakhulu" noma "ukungasebenzi kahle kohlelo lwamahomoni ekuqaleni", kukhona ukudla ngokweqile, okuyinto abaningi abakweleta inqwaba yamaphawundi engeziwe. Ngaphezu kwalokho, ngisho nezifo ezithile, isibonelo, uma kuziwa ekukhuluphaleni kwe-endocrine, isisindo ngeke sikhule ngokushesha njengokudla okuvamile okuhlelekile.
4. Abaningi bangalahlekelwa isisindo futhi balondoloze imingcele oyifunayo ngenxa yendlela yokuphila efanele. Kodwa-ke, iphesenti labantu abakwazi ukulahlekelwa isisindo ngokwabo liphakeme kakhulu kunalabo abakwazi ukugcina umphumela futhi bathola isisindo esizinzile. “Ziningi izifundo ezithokozisayo nezinezithombe ngalesi sihloko. I-dietitian, physiotherapist kanye ne-psychotherapist babelwa emaqenjini eziguli ezilahlekelwa isisindo. Ngempela, bonke ababambiqhaza ekuhlolweni balahlekelwa isisindo, kodwa kuphela kusuka ku-1 kuya ku-4% yenani eliphelele leziguli ezikwazi ukugcina le miphumela izinyanga ezingu-3-6, "kusho udokotela. .
5. Ukuhlinzwa kwe-Bariatric kwelapha isifo sikashukela sohlobo lwe-XNUMX (okungaxhomekile ku-insulin, lapho kukhiqizwa i-insulin eningi). Kakade ngesonto lokuqala ngemuva kokuhlinzwa, izinga le-glucose egazini liqala ukwehla, okungukuthi, asikho isidingo sokuthatha amadivaysi akhethekile. Ukulahlekelwa isisindo esikhathini esizayo kuzosiqeda ngokuphelele lesi sifo.
6… Ngemva kokuhlinzwa, awusoze wakwazi ukudla kakhulu njengangaphambi kokuhlinzwa! Ngokwengqondo, yiqiniso, akulula ukucabanga ukuthi ngeke usakwazi ukudla i-kebab skewer noma ibhakede lamaphiko athosiwe. Ngeke kwenzeke ngokomzimba (uzozizwa ungakhululekile, isicanucanu), kodwa umzimba wakho ngeke ube nalutho, ngakho-ke jwayela ukudla kancane kancane, kodwa kaningi.
7… Ngaphambi kokuhlinzwa, uzocelwa ukuthi okungenani ungatholi isisindo, kodwa njengesilinganiso esiphezulu ukulahlekelwa amakhilogremu ambalwa. Lokhu akwenziwa ngenxa yokulimaza kodokotela. Isibindi esikhulu kakhulu singaphazamisa ukufinyelela okudingekayo kwesisu (uma usazuza amakhilo ambalwa ngesisindo esiningi, isibindi sizokhula), kanye nesibindi ngokwaso, ngokuthola isisindo esiningi nakakhulu, singaba ngaphezulu. sengozini futhi ijwayele ukulimala. Ngemininingwane enjalo, isiguli singase senqatshelwe ukuhlinzwa, ngoba umthetho obaluleke kakhulu AKUWULIMALI. Isibonelo, emitholampilo eminingi yaseYurophu, e-Australia naseMelika, ukuncipha kwesisindo ngaphambi kokuhlinzwa cishe kuyisidingo sakho.
8. Ngemuva kokuhlinzwa, kufanele ulandele ngokuqinile izincomo zodokotela, ngaphandle kwalokho ungazilimaza, uthole izinkinga futhi, ngenxa yalokho, ungawutholi umphumela oyifunayo. Amaviki ama-2 okuqala azoba nzima kakhulu (awukwazi ukudla amagremu angaphezu kuka-200 oketshezi kanye nokudla okunama-mushy ngosuku). Kusukela ngenyanga yesibili ngemva kokuhlinzwa lapho ukudla kwakho kuzoqala ukufana nokudla komuntu ovamile.
Singasho ukuthi ukuhlinzwa kwe-bariatric kuyiphuzu lokuguqula ekuqaleni kwempilo yakho entsha ngesisindo esisha.
Okubaluleke kakhulu ukuxhumana nochwepheshe omuhle ngempela futhi uqiniseke ukuthi ulandela zonke izincomo nemiyalelo. Kunoma yikuphi, udokotela uzohlala ethintana nawe esikhathini se-postoperative.
Isisindo eseqile akuyona ngisho indaba yobuhle, kodwa ngaphezu kwakho konke indaba yezempilo. Ukukhuluphala ngokweqile yizinkinga zenhliziyo (ingakanani igazi elidinga ukumpontshwa ukuze kuqinisekiswe ukusebenza okugcwele komzimba?), Maningi amathuba okuba ne-atherosclerosis (ngenxa yesisindo esiningi, ukungasebenzi kahle kolwelwesi lwemithambo yegazi, okuholela kulokhu ukuxilongwa), isifo sikashukela kanye nendlala yesifo sikashukela (uma kukhona engikufuna ngaso sonke isikhathi), kanye nomthwalo omkhulu oqhubekayo emgogodleni nasemalungeni. Futhi ngalokhu umuntu okhuluphele uphila nsuku zonke - impilo yakhe yonke, kuyilapho ukungakhululeki okuvela ekuhlinzeni kwe-bariatric kuyizinyanga ezingu-2-3.
Esihlokweni esilandelayo, sizoxoxa ngazo zonke izinhlobo zokuhlinzwa kwe-bariatric kanye nazo zonke izixazululo zokuhlinzwa ezingenzeka kule nkinga.