Kuperewera kwa Zakudya Zakudya Zakudya Zakudya Zam'mimba

Kupewa ndi Kuchepetsa Chakudya Chosowa Chopatsa Matenda Atatha Kuchitidwa Opaleshoni

Kuperewera kwa zakudya m'thupi pambuyo pochita opaleshoni yolemetsa ndizovuta kupha moyo zomwe zingathe kumakhala miyezi ndi zaka pambuyo pa opaleshoni. Kuopsa kwa kusowa kwa zakudya m'thupi kumadziwika bwino ndipo ndi mbali ya maphunziro opititsa patsogolo odwala. Njira zina, makamaka chapamimba kupyolera m'mimba operewera, zimawoneka kuti zimayambitsa kusowa kwa zakudya m'thupi.

Izi zikuti, ndi zophweka kwa ovuta kwambiri kunyalanyaza zoopsa zomwe zingayambitse opaleshoni yolemetsa. Kwa anthu ambiri, kumva wina akunena kuti chiopsezo chachikulu cha opaleshoni ndi "kutaya thupi kwambiri" kumawoneka ngati malotowo akukwaniritsidwa, osati zovuta komanso zofooketsa zomwe zingabweretse kuchipatala ngakhale imfa.

Kumvetsetsa chiopsezo cha kusoŵa kwa zakudya m'thupi komanso momwe zingakhalire zovuta, kutenga njira zothetsera vuto la kusowa kwa zakudya m'thupi, ndi kuchita mofulumira pamene zizindikiro za kusowa kwa zakudya m'thupi zimakhala zogwirizana kwambiri ndi kukhala ndi thanzi labwino popanda kuperekera zolinga zolemera .

Kodi Kusadya Zakudya N'kutani?

Kusadya zakudya m'thupi ndi vuto lomwe limapezeka chifukwa cha kusowa kwa micronutrients (mavitamini, mchere) macronutrients (chakudya chonse cha mafuta, mafuta, ndi mapuloteni). Pali mitundu yambiri ya kusowa kwa zakudya m'thupi. Ena amachokera ku ziwerengero zochepa, ena, monga kwashiorkor, amayamba kuchokera ku kusowa kochepa kwa mapuloteni.

Zotsatira za kuperewera kwa zakudya m'thupi zimakhala zosavuta kudziwika komanso zoopsa.

Pali zifukwa zikuluzikulu ziwiri zomwe zimapangitsa kuti odwala azikhala ndi vuto la kusowa zakudya m'thupi: amatenga zakudya zochepa, thupi silingathe kukonza bwino zakudya zomwe amalowa, kapena kuphatikizapo zinthu ziwirizi.

Zowopsa

Njira zowonongeka za m'mimba zimakhala ndi chiopsezo chachikulu cha kusowa kwa zakudya m'thupi monga kuchepetsa kuchuluka kwa ndalama zomwe wodwalayo angadye komanso kuchepetsa kuchuluka kwa zakudya zomwe thupi limatha kuzidya. Kusintha kwa biliopancreatic ndi kusintha kwa duodenal kumachitidwa mochepa kuposa kale ku United States chifukwa cha chidziwitso chotheka cha kusowa kwa zakudya m'thupi.

Opaleshoni ya Roux En Y imayanjananso ndi kusowa kwa zakudya m'thupi. Opaleshoni yomwe imachepetsa kukula kwa m'mimba koma osasintha mphamvu yowonjezera zakudya, monga mimba yamimba kapena kumanja, sizingayambitse vuto la kusowa kwa zakudya m'thupi.

Odwala omwe amakhala ndi mavuto osagwirizana omwe amachepetsa mphamvu yowonjezera zakudya zamatumbo mumatumbo ali pachiopsezo. Matenda monga matenda opweteka a m'mimba kapena matenda a Crohn angapangitse kuti matenda aliwonse osowa zakudya m'thupi akhale ovuta kwambiri mwa kupititsa patsogolo mphamvu ya thupi kuyamwa zakudya.

Zina mwazifukwa zomwe zimayambitsa vuto la kusowa kwa zakudya m'thupi zimaphatikizapo kudyetsa zakudya zopatsa thanzi, kusankha zakudya zopanda thanzi pa zakudya zonse, kumwa zakumwa zam'madzi monga soda kapena mowa mmalo mwa chakudya chambiri chopatsa thanzi, osasunga nthawi zonse ndi dokotalayo, komanso kulephera kutenga ndi kulamula zowonjezera.

Zizindikiro ndi Zizindikiro

Zizindikiro za kusowa kwa zakudya m'thupi zimasiyana ndi kuperewera kwa zakudya m'thupi, koma kawirikawiri, kuperewera kwa zakudya m'thupi kumabweretsa kutopa, kufooka, kusasamala, khungu louma, ndi tsitsi lopsa.

Kwa anthu ena, pangakhale kusintha kwakukulu m'makona awo, machiritso osavulaza amatha kukhalapo, kapena maso owuma ndi ziphuphu zotuluka m'magazi.

Kupewa

Pali njira zikuluzikulu ziwiri zothandizira kuchepetsa vuto la kuperewera kwa zakudya m'thupi pambuyo pa opaleshoni.

Njira yoyamba ndiyo kudya zakudya zowonjezera zakudya zam'mimba. Izi zikutanthauza kudya zipatso, ndiwo zamasamba, ndi mapuloteni okwanira komanso kupewa zakudya zopanda kanthu, chakudya ndi shuga. Njira yina ndiyo kuwonjezera zowonjezereka ku chakudya chanu cha tsiku ndi tsiku, izi zikhoza kukhala mphamvu ya mankhwala kapena kupezeka kumene mavitamini amagulitsidwa, malingana ndi zosowa zanu.

Malingana ndi American Society ya Metabolic ndi Bariatric Surgery, kuwonjezereka m'miyezi ikutsatila opaleshoni iyenera kuphatikizapo, osachepera :

• 1-2 akuluakulu a multivitamini okhala ndi mchere okhala ndi chitsulo, folic acid, ndi thiamine.
• 1200 mpaka 1500 mg ya elemental calcium kuchokera ku zakudya ndi zowonjezereka.
• Mavitamini D osachepera 3,000 padziko lonse
• Vitamini B12
• 45-60 mg ya Iron akuwonjezera

Njira Zothandizira

Chithandizo cha kusowa kwa zakudya m'thupi, kamodzi kamene kamakonzedwa, kadzakhala koopsa kwambiri kusiyana ndi malingaliro oteteza. Kupewa ndikofunika, koma ngati sizingatheke, chithandizo chili chofunikira. Zakudya zowonjezera mavitamini zingagwiritsidwe ntchito, zakumwa zakumwa zapamwamba zowonjezerapo zowonjezerapo zikhoza kuwonjezeredwa ku zakudya, ndipo pakakhala zoopsa kwambiri kuchipatala ndi kuyang'anira zakudya zowonjezera.

Zotsatira Zotsatira Zopaleshoni

Zakudya zowonjezera zomwe zimagwiritsidwa ntchito pofuna kuchepetsa kusowa kwa zakudya m'thupi sizizitha kuchepetsa kulemera kwa thupi ndipo zingathetsere mphamvu zamagetsi ndi chidziwitso cha moyo wabwino, zomwe zingathandizire ntchito ndi kuchepa kwa thupi. Kutenga zakudya zowonjezera, zomwe zingakhale ndi mlingo waukulu kwambiri kusiyana ndi zomwe zilipo pompano, ndizofunika kuti mukhale ndi thanzi labwino.

> Chitsime:

> American Society for Metabolic ndi Bariatric Surgery. Njira zothandizira odwala pafupipafupi, chithandizo chamagetsi ndi chithandizo chamagetsi cha odwala opatsirana pogwiritsa ntchito chithandizo cha 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- odwala-opaleshoni-wodwala