Kuchita opaleshoni ya kuperewera kwa thupi, komwe kumatchedwanso opaleshoni ya bereatric, ndi imodzi mwa njira zoyenera zothandizira anthu omwe akulimbana ndi kunenepa kwambiri. Kuchita opaleshoniyi sikutanthauza njira yothetsera kulemera kwa thupi kapena kupeza thupi lokongola. Opaleshoni ya bariatric ndi opaleshoni yomwe imachitika ndi cholinga chachikulu chobwezera ndi kuteteza mavuto a thanzi la kunenepa kwambiri.
Zovuta za kunenepa kwambiri zimaphatikizapo shuga, matenda a mtima, kuthamanga kwa magazi , ndi kupwetekedwa . Ambiri mwa zotsatirazi zokhudzana ndi thanzi amadziwika kuti amachititsa kudwala. Ndipotu, matenda a stroke ndiwo moyo wambiri womwe umasintha kwambiri kunenepa kwambiri. Pafupifupi anthu 12 mpaka 18 pa 100 alionse omwe amatha kupwetekedwa sagwidwa ndi moyo pamene anthu omwe apulumuka amakhala ndi moyo wafupikitsa. Akuti anthu opulumuka pa sitiroko amakhala ndi zaka khumi ndi ziwiri zapitazo imfa . Kukhala ngati wopulumuka pafupipafupi nthawi zambiri kumatanthauza zaka zalemala komanso ndalama zodabwitsa za ndalama za stroke .
Komabe, opaleshoni ya opaleshoni ndiyo njira yaikulu yopaleshoni. Ngati mwaganiza za opaleshoni yokhayokha kapena ngati dokotala wakulimbikitsani kuti muyang'ane, muyenera kudziwa zina mwazofunikira zokhudzana ndi ubale wawo ndi chiopsezo cha stroke.
Kodi Chipatala Chogwirira Ntchito N'chiyani?
Kuchita opaleshoni ya opaleshoni ndi opaleshoni yolemetsa ndi opaleshoni yomwe imapangidwa kuti ipangitse kulemera kwa thupi ndi kuteteza kulemera.
Pali mitundu yambiri ya opaleshoni yolemetsa. Mwachitsanzo, chifuwa cha m'mimba ndi njira yomwe imagwirizanitsa kugwirizanitsa pakati pamatumbo ndi m'mimba, ndipo pamapeto pake zimapangitsa kuti zikhale zocheperapo m'thupi. Pambuyo pa njira yochepetsera m'mimba, chakudya chimene munthu amadya chimalowa m'mimba mwachindunji atangofika mmimba.
Mimba ndi kumene chakudya chambiri chimakonzedwa kuti chizikhala m'matumbo aang'ono, choncho nthawi yochepa m'mimba imakhala ndi zakudya zochepa zomwe zimachokera ku chakudya kupita m'thupi.
Gastric resection ndi njira ya m'mimba yothandizira ndi opaleshoni yolemetsa yomwe imaphatikizapo kuchotsa gawo la mimba kuti likhale laling'ono. Pambuyo pa kupweteka kwa m'mimba, mimba imachepetsedwa mu kukula ndipo motero sizosangalatsa kudya mopitirira muyeso. Kudya chakudya chotsatira chitetezo cha m'mimba kungayambitsenso kusanza. Kusadya pang'ono kumatanthauza kuchepa pang'ono, zomwe zimapangitsa kulemera.
Chimodzi mwa mitundu yowonjezereka ya opaleshoni ya bariatric ndikumanga banding'ono. Kujambula m'mimba kumaphatikizira opaleshoni kumagulu a m'mimba kuti awonongeke - ngati kuti mimba yaying'ono. Zomwe zimakhudza chidziwitso chomwe chimachitika mutatha kudya zakudya zochepa zimalepheretsa kudya kwambiri. Njira zonsezi ndi njira zabwino zowonongeka kwa kalori ndipo zimapangitsa kuti thupi lonse lichepe thupi komanso kuchepetsa kulemera.
Ndondomeko monga 'tummy tucks' ndi liposuction si mitundu ya opaleshoni yomwe imatengedwa opaleshoni yolemala kapena opaleshoni yachipatala. Njirazi zimachotsa mafuta kapena khungu kuchokera mthupi kuti 'azijambula' mawonekedwe ndi kukula kwa thupi.
Zilibe zovuta pa kuchuluka kwa makilogalamu omwe munthu angathe kudya ndipo alibe madalitso omwe ali nawo monga opaleshoni ya bereatric.
Kodi Batiriyumu ya Opaleshoni Imathandiza Bwanji Kuteteza Khunyu?
Kunenepa kwambiri kumagwirizanitsidwa ndi chiŵerengero chapamwamba cha stroke. Njira yathanzi yochepetsera thupi nthawi zambiri ndiyo njira yodzisinthika yopangira moyo yomwe imaphatikizapo kudya ndi kuchita masewera olimbitsa thupi. Kudya zakudya zolimbitsa thupi kumafuna kupeza zakudya zofunikira podya chakudya chopatsa thanzi pang'onopang'ono kutaya thupi kupyolera mu chilolezo cha kalori.
Kuchita masewera olimbitsa thupi kumayang'ana nthawi zonse kuntchito zomwe zimagwiritsa ntchito zopatsa mphamvu, monga kuyenda, kapena zochitika za aerobic monga kuyendetsa kapena kuyenda njinga.
Komabe, anthu ena satha kuthetsa kulemera konse kwa moyo wawo wokha. Ndipo, pamene munthu ali woposa kunenepa kwambiri, zingakhale zovuta kuti ufike kulemera kwathanzi kokha kupyolera mu zakudya ndi masewera olimbitsa thupi. Nthendayi yeniyeni kapena chiwerengero cha thupi (BMI) chokwanira kuti mavuto a umoyo akhale osiyana kwa anthu osiyanasiyana. Nthaŵi zina, dokotala wanu angapereke chilakolako cholemetsa kuti mutha kupeŵa zovuta za kunenepa kwambiri monga kupwetekedwa, ndipo, malinga ndi momwe mulili, opaleshoni yowonjezera ikhoza kukulimbikitsidwa ngati njira yanu.
Kodi Bariatric Surgery Imathandiza Kuthandiza Kachilombo?
Gulu lofufuzira lomwe limaphatikizapo Cardiovascular Institute kuchokera ku yunivesite ya Manchester ku UK linapanga zotsatira za maphunziro 14 osiyana pa zotsatira za opaleshoni ya bariatric. Detayi inasonyeza kuti peresenti yochepa ya imfa pakati pa anthu omwe anali ndi opaleshoni yowonjezereka ndi yochepa kwambiri ya chiopsezo ndi matenda a mtima pakati pa ophunzira omwe anali opaleshoni yachipatala.
Gulu lina la ochita kafukufuku wopangidwa ndi gulu kuchokera ku mayunivesite angapo a ku United States, kuphatikizapo University of Utah, University of Alabama ku Birmingham, Brigham Young University ndi College of Medicine ya Weill Cornell, adawonanso zotsatira za opaleshoni yachipatala pa madokotala. Zotsatira zake zasonyeza kuti odwala ambiri omwe anali ndi opaleshoni yachipatala anali ndi mwayi wochepa kwambiri wa kupha imfa poyerekeza ndi anthu omwe anali ochepa kwambiri omwe sankachita opaleshoni.
Chimodzi mwa zotsatira za opaleshoni ya bariatric chinali kuchepa pa chitukuko cha mtundu wa shuga wa mtundu wa 2 komanso kusintha kwa mtundu wa shuga wa mtundu wa 2 pakati pa omwe kale anali nawo. Malingana ndi Journal of the American College of Surgeons, odwala omwe ali ndi matenda a shuga a mtundu wa 2 amene anali ndi opaleshoni yachipatala anapeza kuchepa kwa 60 mpaka 80 peresenti m'makutu monga kupweteka ndi mtima.
Kodi Mtengo / Kupindula Kumtengo Wapatali?
N'zoona kuti kuchitidwa opaleshoni ndizofunika kwambiri, kotero ndikofunika kulingalira ngati ubwino wake ndi wofunikira. Pali zotsatirapo ndi zovuta za opaleshoni ya bariatric, kuphatikizapo kusoŵa zakudya m'thupi, kuchepa kwa magazi m'thupi ndi zosawonongeka. Zonsezi, opaleshoni yolemetsa yasonyezedwa kuti yipewe imfa, ndipo kupewa matenda a stroke ndi chifukwa chachikulu cha phindu limenelo. Ndipotu, malinga ndi nkhani zotulutsidwa ndi American Heart Association, makampani a inshuwalansi a zaumoyo akuwonjezera njira zomwe amagwiritsira ntchito polipira opaleshoni ya bariatric.
Kwa anthu ena, kuopsa kwa opaleshoni yolemetsa ndi kofunika kwambiri pamene ena amawopsa kwambiri pokhapokha phindu la thanzi. Kaya mungakhale opaleshoni yowonongeka kapena ayi, mungakhale ndi njira zopanda kuperekera kuti muwonetseke kulemera kwanu. Zidzakhala ndi zinthu zingapo zomwe muyenera kukambirana ndi gulu lanu la madokotala.
Zotsatira:
Zomwe Zimapangitsa Anthu Kuvutika ndi Zomwe Zimayambitsa Mavuto: Kuwongolera, Adams TD, Mehta TS, Davidson LE, Kuwombola SC, Malipoti Amakono Atherosclerosis, December 2015
Kuchita opaleshoni ya bariatric ndi zotsatira zake pa matenda a mtima ndi kufa: kuyang'anitsitsa ndondomeko komanso kufufuza, Kwok CS, Pradhan A, Khan MA, Anderson SG, Keavney BD, Myint PK, Mamas MA, Loke YK, International Journal of Cardiology, April 2014
Kuchita opaleshoni ya bariatric kumaphatikizapo kuchepetsa mavuto aakulu a macrovascular ndi microvascular mofulumira kuti apirire kwambiri odwala omwe ali ndi matenda a shuga 2, Johnson BL, Blackhurst DW, Latham BB, Cull DL, Bour ES, Oliver TL, Williams B, Taylor SM, Scott JD, Journal of the American College of Surgeons, April 2013