Izindlela eziningana zokuhlinzeka ngesisindo-ukulahlekelwa ziyatholakala ekwelapheni iziguli ezithile ezinokukhuluphala. Ngenkathi ezinye zalezi zinqubo sezilokhu zisebenzisana amashumi eminyaka, ukuthi zingaxhumana kanjani futhi zithinte impilo yengqondo yeziguli ezinokukhuluphala azizange zifundwe ngokujulile. Ukuhlaziywa kwezincwadi ezitholakalayo kuzama ukushintsha lokho, noma kunjalo.
Kuyini Ukuhlinzwa Kwebhatari?
Igama elithi "ukuhlinzeka nge-bariatric" lisebenzisa izinqubo eziningi zokuhlinzekwa eziye zakhiwa ukuphatha ukukhuluphala ngokweqile futhi ukuhlinzeka ngokweqile ukwenza ukulahlekelwa isisindo. Lezi zihlanganisa ukunqunywa kwesisu , isisu sokugcoba , nesisindo somzimba esiswini (inqubo ye-sleeve gastrectomy), phakathi kwezinye, ezenzelwe ukuphathwa kokwelapha ngokweqile.
Ubani Okhethiwe Wokuhlinzwa Kwebariatri?
Ngokusho kwemihlahlandlela yokukhuluphala ekhishwe yi-American Heart Association (AHA), i-American College of Cardiology (ACC), ne-The Obesity Society (TOS), ukuhlinzeka nge-bariatric kungaba yindlela yokuthola iziguli ezikhulile ezihlangabezana nemigomo ethile.
Lezi zinqubo zifaka inkomba ye-mass mass (BMI) engama-40 noma ngaphezulu, noma i-BMI engama-35 noma ngaphezulu kwesiguli esinezinye izimo zezokwelapha (eyaziwa ngokuthi "izimo ze-comorbid") ezibangelwa ukukhuluphala.
Ikomidi lokubhala lokukhuluphala ngokweqile alizange lithole ubufakazi obanele bokuncoma ukuhlinzeka nge-bariatric ngeziguli ezine-BMIs eziwela ngaphansi kwalezi zinsika.
Isiqondiso siqhubeka sinikeza odokotela bokunakekelwa okuyinhloko nabanye abathintekayo iziguli ezinokukhuluphala nge-BMI ephezulu ukuzama "ukwelashwa ngokuziphatha noma ngaphandle kwe-pharmacotherapy" kuqala, bese-ke uma lokhu kungasebenzi kanye nezinye izindlela zokudla nokuphila ukuze kuzuze ukulahlekelwa isisindo esanele, i-bariatric ukuhlinzwa kungacatshangwa.
I-Bariatric Surgery Impact Health Mental kanjani?
Ukuhlaziywa kwe-meta okubukeze izincwadi zokuhlinzeka nge-bariatric ezitholakalayo zathola izincwadi ezingu-68 ezabika ngemibandela yempilo yengqondo ngokuya kokuhlinzwa kwe-bariatric.
Ngokusho kwabalobi bokucwaninga, "Phakathi kweziguli ezifuna nokuhlinzwa ngokuhlinzwa, izimo zempilo yengqondo evamile kakhulu ... kwakuyizidakamizwa nokudakwa kokudla okuphazamisayo ."
Ngokuqondile, iziguli ezingu-19% zitholakale zinesifo sokucindezeleka kanti abangu-17% bathola ukuthi banenkinga yokungadli kahle.
Ngenkathi ukucindezeleka noma ukungadli ngokweqile kutholakala ukuthi kuhlotshaniswa ngokungafani nemiphumela yesisindo ngemuva kokuhlinzwa, kubonakala sengathi ukuhlinzeka nge-bariatric ngokwayo kwaba nomphumela omuhle kwiziguli ezinokucindezeleka.
Abacwaningi bathola ukuthi ukuhlinzeka nge-bariatric kuhlotshaniswa njalo namazinga aphansi okucindezeleka ngemva kokusebenza. Ukuhlinzwa kweBariatric kwahlanganiswa nokunciphisa ubunzima bezimpawu zokucindezeleka.
Ababhali bokucwaninga baphetha ngokuthi "izimo zempilo yengqondo zivamile phakathi kweziguli zokuhlinzeka nge-bariatric-ikakhulukazi, ukucindezeleka nokudla okudliwayo." Baphinde basekela ukusekelwa "kobudlelwane phakathi kokuhlinzeka nge-bariatric kanye namazinga aphansi okucindezeleka ngemva kokuhlinzwa [ngemva kokuhlinzwa]."
Imithombo:
UDawes AJ, Maggard-Gibbons M, Maher AR, et al. Izimo zempilo yengqondo phakathi kweziguli ezifuna futhi zenziwa ngokuhlinzwa: i-meta-analysis. I-JAMA 2016; 315: 150-163.
Jensen MD, Ryan DH, Apovian CM, et al. Umhlahlandlela we-AHA / ACC / TOS ka-2013 wokuphatha ukwedlula ngokweqile nokukhuluphala kubantu abadala: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice kanye ne-Obesity Society [eyanyatheliswa ku-intanethi ngoNovemba 27, 2013]. J Am Coll Cardiol.
UJensen MD, uRyan DH. Imihlahlandlela entsha yokukhuluphala: isithembiso namandla. I-JAMA 2014; 311: 23-24.