Pali njira zingapo zothandizira odwala opaleshoni. Ngakhale zina mwa njirazi zakhala zikugwira ntchito kwa zaka zambiri, momwe angagwiritsire ntchito ndi kuthandizira thanzi la odwala ndi kunenepa kwambiri sizinaphunzire mwakuya. Kufufuza kwa mabuku omwe alipo kuli kuyesa kusintha, komabe.
Kodi Chipatala Chogwirira Ntchito N'chiyani?
Mawu akuti "opaleshoni yachipatala" amagwiritsidwa ntchito pa njira zingapo zopaleshoni zomwe zapangidwa kuti zisawonongeke kwambiri ndipo opaleshoni imachititsa kuti thupi likhale lolemera. Izi zimaphatikizapo chapamimba chokongoletsa , kutsekemera m'mimba , ndi manja a pamimba (njira yamanja), pakati pa zina, zomwe zapangidwira kuti azitha kunenepa kwambiri.
Kodi Wotani Wopereka Opaleshoni ya Bariatric?
Malingana ndi malangizo obisala kwambiri omwe amalembedwa ndi American Heart Association (AHA), American College of Cardiology (ACC), ndi The Obesity Society (TOS), opaleshoni yokhayokha akhoza kukhala mwayi kwa odwala akulu omwe amakwaniritsa zofunikira zina.
Izi zimaphatikizapo thupi lachimake (BMI) la 40 kapena lalikulu, kapena BMI ya 35 kapena wamkulu mwa wodwala amene ali ndi matenda ena (omwe amadziwika kuti "comorbid conditions") amachititsidwa ndi kunenepa kwambiri.
Komiti yoperewera kwambiri yotsogolerera wodwala sanapeze umboni wokwanira wolimbikitsa opaleshoni yokhala opaleshoni kwa odwala omwe ali ndi BMIs omwe amagwera pansi pa magawowa.
Malangizowo amalangiza madokotala oyang'anira chisamaliro ndi ena omwe akusamalira odwala omwe ali olemera kwambiri ndi BMI kuti ayesere "kuchipatala popanda mankhwala apamtima" choyamba, ndiye ngati izi sizinagwire ntchito limodzi ndi zakudya zina ndi miyeso ya moyo kuti akwaniritse zolemetsa zochepa, ariatric opaleshoni ingaganizidwe.
Kodi Kachipatala Chogwiritsira Ntchito Batikiliya Chimachitika Bwanji?
Kufufuza kwa meta komwe kunawonetsa zochitika zopezeka opaleshoni zomwe zilipo zinapeza mabuku 68 omwe amafotokoza za matenda a umoyo pa nkhani ya opaleshoni ya bariatric.
Olemba mabuku akuti, "Pakati pa odwala ndi opaleshoni yachipatala, matenda okhudza matenda a maganizo ... anali ovutika maganizo komanso odwala matenda ozunguza bongo ."
Mwachindunji, 19% a odwala anapezeka akuvutika maganizo ndipo 17% anapezeka ali ndi vuto la kudya mowa.
Ngakhale kuti kuvutika maganizo kapena kusala kudya kumapezeka kuti nthawi zonse zimagwirizana ndi kusiyana kwa zotsatira zolemera pambuyo pochita opaleshoni, zikuwoneka kuti opaleshoni yokhayo inathandiza kwambiri odwala omwe akuvutika maganizo.
Ofufuzawa anapeza kuti opaleshoni yachipatala inkagwirizanitsidwa ndi kuchepetsedwa kwapang'onopang'ono pambuyo pa opaleshoniyo. Kuchita opaleshoni ya mabatire kunagwirizananso ndi kuchepa kwakukulu kwa zizindikiro za kuvutika maganizo.
Olemba mabukuwo anapeza kuti "matenda amtundu waumphawi amafala pakati pa odwala opaleshoni, makamaka kuvutika maganizo ndi kusokonezeka maganizo." Iwo adanenanso kuti akuthandizira "kugwirizana pakati pa opaleshoni ya opaleshoni ndi kuperewera kwachisoni [pambuyo pa opaleshoni]."
Zotsatira:
Dawes AJ, Maggard-Gibbons M, Maher AR, et al. Mkhalidwe wa thanzi la odwala omwe akufunidwa ndi opaleshoni yachangu: meta-analysis. JAMA 2016; 315: 150-163.
Jensen MD, Ryan DH, Apovian CM, ndi al. 2013 AHA / ACC / TOS chitsogozo cha kulemera kwa kunenepa kwambiri ndi kunenepa kwambiri kwa akuluakulu: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines ndi The Obesity Society [yofalitsidwa pa Intaneti pa November 27, 2013]. J Am Coll Cardiol.
Jensen MD, Ryan DH. Malingaliro atsopano obisala: malonjezo ndi kuthekera. JAMA 2014; 311: 23-24.