Ukwelashwa Kokulahlekelwa Isisindo Kuguqula Ukuphila Kwakho Ezindlela ezingalindelekile
Ingabe ucabangela ukuhlinzeka nge-bariatric? Kungakhathaliseki ukuthi ukuphi ukuhlinzwa kwesisindo osikhethayo, inqubo ingabiza futhi kuzodinga ukuthi wenze izinguquko ezinkulu endleleni yakho yokuphila. Ungase uzibuze ukuthi uma i-gastric bypass iwufanele yini. Noma uma ezinye izinqubo ezifana ne-balloon yesisu, i-gastrectomy yamaslee, noma i-band band kufanelekile ingozi. Ukwenza isinqumo esihle kakhulu, qiniseka ukuthi ukhuluma nodokotela wakho ohlinzayo mayelana nekhwalithi yakho yokuphila emva kokuhlinzwa kwesisindo.
Indlela Ukuguquka Kokuphila Ngemva Kokuhlinzwa Kokulahlekelwa Isisindo
Ukuphila emva kokuhlinzwa kwesisindo akuyona njalo lokho iziguli ezilindele. Omunye wesiguli esilandelayo ngemuva kokuhlinzwa ubeka ngokucacile, "uma ungenzi izinguquko ezinkulu emqondweni wakho, uzophinde uphinde (isisindo)." Izinguquko ezinkulu azisho ukuthi zifaka izinguquko ekudleni kwakho, indlela yakho yokuphila, impilo yakho yomphakathi, ubudlelwane bakho kanye nemizwelo yakho. Ngezinye izikhathi, izinguquko ziyamangaza iziguli ezithemba ukuthi ukuhlinzwa kwesisindo kunganikeza indlela elula yokuphuma kwesisindo sabo sokulahlekelwa isisindo.
Ucwaningo oluningi lubonise ukuthi iziguli zijabulela izinga elihle lokuphila ngemva kokuhlinzwa kwe-bariatric. Kodwa odokotela abaningi kanye neziguli bayokutshela, izinguquko ezinhle zikhona nezinye izinselele kanye nezithiyo, futhi. Ngaphambi kokukhetha ukhetho lokuhlinzwa kwesisindo, qiniseka ukuthi ucabangela ukuhle kanye nezinguquko ezingalungile ongazithola.
Izinguquko ezivamile emva kokuhlinzwa kweBariatric
- Umsebenzi onzima. Ukuhlinzwa kwesisindo akuyona into ehlukile ekudleni nasekuzivocavoca-kungukungeza kokudla nokuzivocavoca. Eqinisweni, imikhuba emihle yokudla nokuvivinya umzimba njalo kubaluleke nakakhulu emva kokuhlinzwa kwe-bariatric. "Kudingeka uchithe usuku ngalunye usebenzise ukuziphatha okunempilo. Kufanele ubhalele ukudla kwakho kokudla, ufunde izincwadi kanye namawebusayithi e-intanethi," kusho esinye isiguli. Kwabanye, ukuzibophezela okungaphezu kokulindelekile.
- Imikhuba emisha yomphakathi . Imisebenzi owayithokozile ngaphambi kokuhlinza kungenzeka ingabi imisebenzi oqhubeka ukuhlanganyela kuyo ngemuva kokuhlinzwa. UDkt Ninh T. Nguyen, MD, udokotela ohlinzayo wase-bariatric kanye nomengameli wangaphambili we-American Society for Metabolic and Bariatric Surgery (ASMBS) uthi lokhu kungabonisa izinkinga ezibalulekile kwezinye iziguli. Uyachaza, "ngeke ukwazi ukuhlanganyela ezimweni zenhlalo eziphathelene nokudla futhi esikhundleni sokufunda ukuhlela ukuvakasha kwezenhlalo okubandakanya umsebenzi wokuzivocavoca esikhundleni."
- Ubuhlobo obulahlekile noma obunzima . Ukushintsha kwakho imikhuba yenhlalakahle kungase kuphazamise futhi kuhlukanise nabangane owaba nabo ngaphambi kokuhlinzwa. "Kudingeka usebenze nomndeni wakho nabangani bakho ukwamukela ukuziphatha okusha ngoba bafuna ukuphila kuhlale lokho," kuchaza isiguli esisodwa. Futhi njengoba uDkt Nguyen enezela, iziguli eziningi zakha umbuthano omusha womphakathi nabangane abasha ngokuphelele abaziphatha kahle.
- Ukudumazeka ngokomzwelo. Uma ulindele ukuhlinzeka isisindo sokulahlekelwa isisindo ukuxazulula izinkinga zomphakathi noma ngokomzwelo futhi wenze impilo ibe ngcono, ungaphelelwa yisikhathi. Abanye abantu abanesisindo basebenzisa ukudla kokududuza ngokomzwelo. Lokhu akuyona inkinga lapho ukuhlinzwa kungasombulula khona. Uma kunezimpikiswano ezingokomzwelo ngaphambi kokuhlinzwa, kungenzeka ukuthi zikhona ngemuva kokuhlinzwa.
- Isikhumba esiphezulu. Ukulahlekelwa isisindo sakho kunganikeza imiphumela emihle esikalini, kodwa usengase ungathandi lokho okubonayo esibukweni. Isikhumba esiningi kunenkinga yeziguli eziningi ezilahlekelwa isisindo. UDkt. Nguyen uthi kuyimbangela enkulu yeziguli eziningi ze-bariatric. Izixazululo zesikhumba esivulekile zingabandakanya ukuhlinzekwa okwengeziwe nokuzivocavoca.
- Ukuphuza utshwala. Ezinye iziguli ezihlinzwa, ikakhulukazi isisu se-gastric andpleeve gastrectomy, sibhekana nezifo zokusebenzisa utshwala eminyakeni edlule ukuhlinzwa. Ucwaningo olunyatheliswa yi- JAMA lithole ukuthi ngenxa yokuthi izinqubo zishintsha indlela utshwala kusetshenzwa ngayo emzimbeni, ezinye iziguli zingase zibe engozini enkulu yokuhlukunyezwa.
- Isisindo sibuyele futhi. Ngenkathi amazinga okuphumelela ekuhlinzekeni kwesisindo aqhubeka nokuthuthukisa, isisindo esithile sibuyele emuva eminyakeni emva kokuhlinzwa kwe-bariatric kuvamile kakhulu. Ngokusho kwe-ASMBS, iziguli zilahlekelwa isisindo esikhulu eminyakeni emibili yokuqala ngemva kokuhlinzwa. Emakhulwini ezinyaka ezinhlanu, ukutholakala kwesisindo kufana nokujwayelekile, kanti iziguli zigcina isilinganiso samaphesenti angu-50 esilahlekelwe ngokweqile.
Ingabe i-Gastric Bypass ibalulekile?
Zonke izindlela zokuhlinzwa zinezingozi nezinzuzo okufanele zicatshangelwe. Kwezinye iziguli, ukuba nenqubo ye-bariatric, njenge-bypass yesisu, kufanelekile. Ngomuthi ozinikele, ukuhlinzwa kwesisindo kuyithuluzi eliphumelelayo lokulahlekelwa isisindo.
Kubuye kuboniswe ukuthi kuphumelele ekunciphiseni umthelela wezimo eziningi ezihlobene nokukhuluphala, okufana nohlobo lwe-2 lwesifo sikashukela, i-apnea yokulala, nesifo senhliziyo
Kodwa kubalulekile ukwenza umsebenzi wesikole ngaphambi kokuhlinzwa. UDkt. Nguyen uthi iningi leziguli zakhe liza kuye ngokulindelekile ngokuphathelene nokuphila ngemva kokuhlinzwa. Uthi kulolu suku nosuku cishe wonke umuntu owazi umuntu oye wayenqubo ye-bariatric ngakho kulula ukuthola umuntu ongakhuluma naye. Noma kunjalo, uchitha cishe izinyanga ezintathu elungiselela iziguli zakhe izinguquko ezingokwenyama nezingokwengqondo ezizobhekana nazo.
Uma ucabangela ukuhlinzwa, funda okuningi ngangokunokwenzeka mayelana nenqubo uqobo kanye nezinguquko ozodingeka wenze empilweni yakho. Khuluma nabangani nomndeni, umhlinzeki wakho wokunakekela oyinhloko kanye nodokotela ohlinzayo oqinisekiswe yibhodi ngaphambi kokwenza isinqumo sokugcina.
Imithombo:
Ukufinyelela Ekunakekelweni. Ukukhuluphala Kwamafutha Omzimba Nokwenziwa Kwezindlela Zokuhlinzeka Ngama-Metabolism neBariatric. I-American Society ye-Metabolic & Bariatric Surgery. https://asmbs.org/
UJohn B. Alley, MD, FACS, uStephen J. Fenton, MD, FACS, uMichael C. Harnisch, MD, uDonovan N. Tapper, MD, uJason M. Pfluke, MD, uRichard M. Peterson, MD, MPH, FACS " Ikhwalithi yokuphila ngemva kwe-handset gastrectomy ne-adjustable banding banding. " Ukuhlinzeka Ngokukhuluphala Nezifo Ezihlobene Njalo March 5, 2011.
Wendy C. King, PhD; UJia-Yuh Chen, MS; UJames E. Mitchell, MD; UMelissa A. Kalarchian, i-PhD; UKristine J. Steffen, PharmD, PhD; UScott G. Engel, i-PhD; U-Anita P. Courcoulas, MD, MPH; UWalter J. Pories, MD; USusan Z. Yanovski, MD. Ukuqhathaniswa kwezidakamizwa zokusetshenziswa kwezidakamizwa ngaphambi nangemva kokuhlinzwa kweBariatric Journal ye-American Medical Association ngoJuni 20, 2012.