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Umxholo

• Xa utyando lungabonakaliswa
• Iindlela zokwenza utyando lwe-bariatric
• Iindidi zotyando lokulahleka kobunzima
• 1. Ibhendi yesisu ukunciphisa umzimba
• 2. Ukudlula esiswini ukunciphisa umzimba
• 3. Ibhaluni ye-intragastric ukunciphisa umzimba
• 4. I-gastrectomy ethe nkqo ukunciphisa umzimba
• Amakhonkco aluncedo:

Utyando lokulahleka kwesisindo, olwaziwa njengotyando lwe-bariatric, olufana nokubopha isisu okanye ukugqitha, umzekelo, ukusebenza ngokuguqula isisu kunye nokutshintsha inkqubo eqhelekileyo yokwetyisa kunye nokufunxa izondlo, ukunceda abantu ukuba banciphise umzimba kwaye bazuze umgangatho wobomi.

Utyando lokunciphisa umzimba lubonakalisiwe kubantu abane-BMI enkulu kunama-35 okanye ama-40, njengoko zithathwa njengezityebileyo okanye ukutyeba okungathethekiyo kwaye, ngesiqhelo, uqhaqho lunceda ukuphulukana phakathi kwe-10% ukuya kwi-40% yesisindo.

Xa utyando lungabonakaliswa

Utyando lokunciphisa umzimba luhlala lucetyiswa ngugqirha xa kungekho sicwangciso sokulahleka kwesisindo esinefuthe, oko kukuthi, xa kungekho nokutya, ukwenza imisebenzi yomzimba, izongezo okanye amayeza umntu akwazi ukunciphisa ubunzima obumiselweyo.

Uhlobo lotyando luyahluka ngokwenjongo yokwehla kobunzima:

• Ukuphuculwa kwempilo, kwezi meko kuyacetyiswa ukuba kwenziweutyando lwebariatric, apho ubukhulu besisu buncitshisiwe khona ukuze ukutya okutyisiweyo kube kuncinci, okukhuthaza ukwehla kobunzima. Olu tyando lubonakalisiwe kubantu abanesifo sokutyeba kakhulu kwaye kubalulekile ukuba emva kotyando umntu, ngaphandle kokuhamba nengcali ye-endocrinologist, unokutya okwaneleyo kunye nokwenza imisebenzi yomzimba;
• I-Aesthetics, apho ukusebenza kweimithambo, ejolise ekususeni amanqatha amanqatha. Olu tyando aluthathelwa ingqalelo njengotyando lokwehla kobunzima, njengoko lungakhuthazi ukuncipha, kodwa utyando lobugcisa apho kunokwenzeka ukuba kupheliswe inani elikhulu lamafutha asekhaya ngokukhawuleza.

Ukusebenza kotyando kufuneka kuboniswe ngugqirha ngokweemfuno zomntu kunye nobudlelwane phakathi kokwehla kobunzima kunye nokuphucula impilo. Ukongeza kotyando, kukho ezinye iindlela zobuhle ezikunceda ukuphelisa amanqatha asekhaya ngaphandle kwesidingo sotyando, njenge-lipocavitation, cryolipolysis kunye ne-radiofrequency, umzekelo. Funda ngakumbi malunga nonyango lokuphulukana nesisu.

Iindlela zokwenza utyando lwe-bariatric

Ngokubanzi, utyando lokulahleka kobunzima lwenziwa phantsi kwe-anesthesia ngokubanzi, kwaye inokwenziwa laparotomy, kusikwa ngokubanzi ukuvula isisu somguli, kushiya isikhumba esimalunga ne-15 ukuya kuma-25 cm ngaphezulu kwesibonda sembumba okanye ukugqitha laparoscopy, eminye imingxunya yenziwe esiswini, apho izixhobo kunye nekhamera yevidiyo idlula ukwenza utyando, ishiya isigulana sinesikreqo esincinci esimalunga ne-1 cm.

Phambi kotyando, isigulana kufuneka sivavanywe ngugqirha, sithathe uvavanyo lwegazi kwaye senze i-endoscopy ephezulu yesisu ukuvavanya ukuba ingaba iyakwazi na ukwenza utyando lwe-bariatric. Ukongeza, kwiimeko eziqhelekileyo, utyando lunokuthatha phakathi kwe-1 kunye neeyure ezingama-3, kwaye ubude bokuhlala esibhedlele bunokwahluka phakathi kweentsuku ezintathu ukuya evekini.

Iindidi zotyando lokulahleka kobunzima

Olona tyando luqhelekileyo lwesisu olukunceda ukuba unciphise umzimba lubandakanya ukubekwa kwebhendi yesisu, ukudlula kwesisu, isisu kunye nebhaluni yangaphakathi.

1. Ibhendi yesisu ukunciphisa umzimba

Ibhendi yesisu kukuhlinzwa okulahlekileyo okubandakanya ukubeka ibhanti kwindawo ephezulu yesisu kunye nokwahlula isisu sibe ngamacandelo amabini, kukhokelela umntu ukuba atye ukutya okuncinci, njengoko isisu sincinci.

Kolu tyando, akukho kunqunyulwa kwenziwa esiswini, kufakwa nje ngokungathi ibhaluni, incipha ngobungakanani. Funda nzulu apha: Ibhanti yesisu ukunciphisa umzimba.

2. Ukudlula esiswini ukunciphisa umzimba

Kwindawo yokudlula esiswini, isisu senziwa esiswini esahlulahlula sibe ziinxalenye ezimbini, esincinci nesikhulu. Elona candelo lincinci lesisu lelona lisebenzayo kwaye elikhulu, nangona lingenamsebenzi, lisemzimbeni.

Ukongeza, unxibelelwano oluthe ngqo lwenziwa phakathi kwesisu esincinci kunye nenxalenye yamathumbu, ethi, ngokuba nendlela emfutshane, ikhokelele ekufunxweni kwexabiso elincinci lezakhamzimba kunye neekhalori. Fumanisa ngakumbi nge: Ukuhamba kwesisu ukunciphisa umzimba.

3. Ibhaluni ye-intragastric ukunciphisa umzimba

Kwindlela ye-balleton ye-intragastric, ibhaluni ibekwe ngaphakathi esiswini, esenziwe nge-silicone kwaye igcwele ityuwa. Xa umntu engenisa ukutya, kuphezu kwebhaluni, kunika imvakalelo yokuhlutha ngokukhawuleza okukhulu.

Olu tyando lwenziwa nge-endoscopy, kungekho mfuneko ye-anesthesia ngokubanzi kwaye ikhokelela ekulahlekelweni ukuya kuthi ga kwi-13% yesisindo somzimba. Nangona kunjalo, ibhaluni kufuneka isuswe kwiinyanga ezi-6 emva kokubekwa. Bona ngakumbi kwi: ibhaluni ye-Intragastric ukunciphisa umzimba

4. I-gastrectomy ethe nkqo ukunciphisa umzimba

I-Gastrectomy inokususa inxenye yasekhohlo yesisu kunye nokususa i-ghrelin, eyihomoni enoxanduva lokuziva ulambile kwaye, ngenxa yoko, ikhokelela ekunciphiseni ukutya kunye nokunciphisa ukutya.

Kolu tyando kwenzeka ukufakwa okuqhelekileyo kwezondlo, njengoko amathumbu engatshintshi, kwaye ukuya kuthi ga kwi-40% yesisindo sokuqala sinokulahleka. Funda nzulu apha: I-gastrectomy ethe nkqo ukunciphisa umzimba.

Amakhonkco aluncedo:

• Ukuzikhulula njani kwiimpawu zokulahla isifo

• Utyando lweBariatric