Ukuvimbela Nokuphatha Ukondleka Emva Kokukhubazeka Ukushisa Isisindo
Ukungondleki emva kokuhlinzwa kwesisindo kuyinkimbinkimbi engase isongela impilo engakhula ezinyangeni naseminyaka emva kokuhlinzwa. Le ngozi yokuntula ukudla okungondleki iyaziwa futhi iyingxenye yemfundo yangaphambi kokusebenza eyanikezwa iziguli. Izinqubo ezithile, ikakhulukazi i- gastric bypass ukulahlekelwa kwesisindo, cishe ziholela ekungondleki.
Lokho kusho ukuthi kulula iziguli eziningi kakhulu ukungazinaki izingozi ezingase zihlotshaniswe nokuhlinzwa kwesisindo. Kwabaningi, ukuzwa othile ethi enye ingozi yokuhlinzeka "ukulahlekelwa isisindo esiningi" izwakala sengathi iphupho ligcwaliseka, hhayi isimo esingapheli nesiphathisa amandla esingaholela esibhedlela ngisho nokufa.
Ukuqonda ubungozi bokungondleki kanye nokuthi kungathí sina kangakanani, ukuthatha izinyathelo zokuvimbela ukungondleki, nokuthatha isinyathelo ngokushesha uma izibonakaliso zokungondleki zikhona zingasho ukuthuthukiswa okuphawulekayo empilweni yesikhathi eside ngaphandle kokudela imigomo yokulahlekelwa isisindo .
Kuyini Ukungondleki?
Ukungondleki kuyimvelo eyenzeka ngenxa yokuntuleka kwama-micronutrients (amavithamini, amaminerali) ama-macronutrients (ukutholakala kwama-calorie amaningi kumafutha, ama-carbohydrate, namaprotheni). Kunezinhlobo eziningi zokungondleki. Ezinye zivela kwamakholori ambalwa kakhulu, ezinye, njenge-kwashiorkor, zikhula ngokuntula okukhulu kwamaprotheni.
Imiphumela yokungondleki ivela ekungaqondakali kuze kube nzima futhi isongela ukuphila.
Kunezizathu ezimbili eziyinhloko ukuthi iziguli zesisu esiswini siphuthuma ukungondleki: zithatha izakhi ezimbalwa kakhulu, umzimba awukwazi ukucubungula kahle izakhi abazithathayo, noma inhlanganisela yalezi zici ezimbili.
Izingozi Zezingozi
Izindlela zokugaya ezigulini zinomngcipheko ophezulu wokungondleki njengoba ukunciphisa inani isiguli esingadla futhi futhi banciphise inani lomsoco umzimba ongawuthola. Ukunciphisa kwe-biliopancreatic nge-duodenal switch kwenziwa kancane kunakudala e-United States ngenxa yengozi eyaziwayo yokungondleki.
Ukuhlinza ngoRoux En Y kuhlotshaniswa nokuntuleka kwesondlo. Ukwelashwa okunciphisa ubukhulu besisu kodwa akuguquki ikhono lokubamba izakhi, njengokugqoka i-gastric banding noma i-gastrectomy yamaslee, amathuba amancane angabangela ukungondleki.
Iziguli ezakha izinkinga ezingavumelani ezinciphisa ikhono lokubamba izakhi emathunjini nazo zisengozini. Izimo ezifana nesifo sofuba esiswini noma isifo sikaCrohn singenza noma yikuphi ukukhathazeka kokungondleki kahle ngokwengeziwe ekunciphiseni ikhono lomzimba lokuthola izakhi.
Ezinye izingozi zokungondleki zibandakanya ukudla ukudla okungenamsoco, ukukhetha ukudla okungenamsoco phezu kokudla okuphelele, ukuphuza uketshezi oluthile nge-soda noma utshwala esikhundleni sokudla okunomsoco ophezulu, okwehluleka ukulondeka ngokuqhubekayo nodokotela ohlinzayo, nokuhluleka ukuthatha izincomo kanye nezindleko ezinqunyiwe.
Izimpawu Nezibonakaliso
Izimpawu zokungondleki zihluka ngohlobo lokungondleki, kodwa ngokuvamile, ukungondleki kuyabangela ukukhathala, ubuthakathaka, ukunganakwa, isikhumba esomile, nezinwele ezibophayo noma ezinamahloni.
Kwabanye abantu, kungase kube nokushintsha okuphawulekayo eminwebeni yabo, ukuphulukiswa okungalindelekile kwilonda kungase kube khona, noma amehlo omile kanye nezinsini eziphaphayo.
Ukuvimbela
Kunezindlela ezimbili eziyinhloko zokuvimbela ukungondleki emva kokuhlinzwa kwesisu esiswini.
Indlela yokuqala ukudla ukudla okunomsoco wokudla okunomsoco. Lokhu kusho ukudla izithelo, imifino, kanye namaprotheni amaningi aphephile futhi ugweme ama-calories angenalutho kusuka ekusetshenzisweni kokudla, ushukela kanye neziphuzo. Enye indlela ukwengeza ama-supplements ekudleni kwakho kwansuku zonke, lokhu kungase kube amandla okugaya noma atholakale lapho amavithamini athengiswa khona, kuye ngezidingo zakho.
Ngokusho kwe-American Society ye-Metabolic and Bariatric Surgery, izithako ezinyangeni ezilandelayo ukuhlinzwa kufanele zifake, okungenani :
- 1-2 multivitamini omdala namaminerali aqukethe insimbi, i-folic acid, ne-thiamine.
- 1200 kuya ku-1500 mg ye-calcium eyisiqalo kusukela ekudleni nasekugcineni.
- Okungenani amayunithi angu-3000 omhlaba wonke kavithamini D
- I-Vitamin B12
- 45-60 mg we-Iron ukwengeza
Izinketho zokwelapha
Ukwelashwa kokungondleki, uma sekuthuthukile, kuyoba nobudlova ngaphezu kweziphakamiso zokuvimbela. Ukuvimbela kuyisihluthulelo, kepha lapho kungenakwenzeka, ukwelashwa kuyadingeka. Izithako zamandla angaphezu kwamagciwane angasetshenziswa, izithako eziphakeme zokuphuza izakhi zingase zenezelwe ekudleni, futhi ezimweni ezinzima kunazo zonke izikhungo zokwelashwa nokuphathwa kwe-IV okunomsoco zingasetshenziswa.
Izithako Ngemva Kokuhlinzwa
Izithako ezisetshenziselwa ukuvimbela ukungondleki ngeke zinciphise ukulahleka kwesisindo futhi zingakhulisa izinga lamazinga omzimba kanye nemizwa yonke yenhlalakahle, okuzokwenza ngcono umsebenzi nokulahlekelwa isisindo. Ukuthatha izithako ezinqunyiwe, okungenzeka kube umthamo omkhulu kakhulu kunalokho okutholakala phezu kwe-counter, kubalulekile ukugcina impilo enhle.
> Umthombo:
> Society of American for Metabolic and Bariatric Surgery. Imikhombandlela yokusebenza emitholampilo yokusekela kokudla okunomsoco, ukuxhaswa kwemithi nokungaxhasi kwe-patient ye-bariatric yokugulisa i-2013. http://asmbs.org/2013/04/aace-tos-and-asmbs-medical-guidelines-for-clinical-practice-for-the-perioperative-nutritional-metabolic-and-nonsurgical-support-of-the- i-bariatric-ukuhlinzwa-isiguli