Ingabe ngiyikhandidethi elifanele lokuhlinzwa kwe-Bariatric? Okabani?

Ingabe ngiyikhandidethi elifanele lokuhlinzwa kwe-bariatric? Ubani ofanele ukuhlinzwa kwe-bariatric? Lena imibuzo ongase ube nayo uma uhlela le nketho yokwelashwa yokwehlisa isisindo. Kulesi sihloko, sizophendula wona kanye lowo mbuzo. Ukuhlinzwa kwe-Bariatric akuwona wonke umuntu ngoba wonke umuntu okhuluphele akayena umuntu ozongenela lolu hlobo lokuhlinzwa. Bonke abantu abakhuluphele abanawo umqondo ofanayo kanye namakhemikhali omzimba afanayo. Ukuhlinzwa kwe-Bariatric kuyindlela yokwelapha yabantu abakhuluphele abafuna ukususa isisindo somzimba esengeziwe okutholakala ukuthi banokumelana ne-hormone leptin noma ukumelana ne-insulin. Okokuqala, kufanele uthathe umbono kadokotela ohlinzayo we-bariatric ngemuva kokuhlolwa ngokuphelele, zama zonke ezinye izindlela zokunciphisa umzimba, futhi uma uhluleka ukulahlekelwa isisindo ngokusebenzisa ezinye izindlela zokunciphisa umzimba, kufanele uhlele ukuhlinzeka nge-bariatric. Ukuhlinzwa kuzonikeza imiphumela ehlala isikhathi eside kuphela uma uvuma ukuphatha izinguquko zendlela yokuphila kukho konke ukuphila. Kufanele ukhombise ukuzinikela nokuhambisana nezinguquko zendlela yokuphila njengokudla ngesikhathi, ukulala ngesikhathi, ukuphuza amanzi amalitha ama-3 ngosuku, nokuhamba amakhilomitha angu-5 ngemizuzu engu-45 nsuku zonke ukuze uthole imiphumela ehlala isikhathi eside ngemva kokuhlinzwa. Abantu abaningi bakholelwa ukuthi kuyindlela elula futhi izobenza baphile futhi bazacile ngaphandle kokwenza noma yimuphi umzamo kodwa akulona iqiniso. Kodwa, kufanele bazivumelanise nendlela entsha yokuphila, ukucabanga, nendlela entsha yokuphila. Kuneziqondiso ezifanele ezinikezwe isikhungo sikazwelonke sezempilo okufanele zicatshangelwe ngaphambi kokukhetha isiguli sokuhlinzwa kwesisindo.

Imihlahlandlela yokukhetha ikhandidethi elifanele lokuhlinzwa kwe-bariatric:

Imihlahlandlela enikeziwe yokukhetha ikhandidethi elifanele lokuhlinzwa kwe-bariatric ihlanganisa okulandelayo:

• Abantu abahluleka ukwehlisa isisindo ngokulandela ukudla okufanele kanye nohlelo lokuzivocavoca ngemuva kwesithupha noma ngaphezulu
• izinyanga
• Abantu abakhuluphele ngokweqile abane-BMI> 32.5
• Abantu abakhuluphele kakhulu abane-BMI ephakathi kuka-35 no-40 abane-comorbidities.
• Abantu abane-BMI engaphezu kwama-40
• Bazibophezele ekushintsheni imikhuba yabo yokudla
• Abantu abangabuphuzi utshwala noma basebenzise ezinye izidakamizwa
• Abantu abayiqonda kahle imiphumela yokuhlinzwa kwe-bariatric
• Abantu banempilo enhle yengqondo futhi abanazo izinkinga ezingokomzwelo noma ezingokwengqondo ezingase zingqubuzane nokuhlinzwa kwe-bariatric.
• Qonda ubungozi obuhambisana nokuhlinzwa

Ngaphandle kweziqondiso ezingenhla, udokotela uzophinde akucele ukuthi wenze inqubo yokuhlolwa ukuze akhombe ukuthi ungumuntu ofanele yini ohlinzekwe nge-bariatric noma cha. Udokotela uzokwenza ukuhlola okufanele kwanoma yiliphi icala ngaphambi kokusikisela ukuhlinzeka nge-bariatric.

Ukuhlola kuhlanganisa lezi zinto ezilandelayo:

• Ukudla okunomsoco kanye nesisindo somlando wesiguli - Ukudla idlala indima ebalulekile ekutholeni isisindo. Imikhuba emibi yokudla eyatholwa ebuntwaneni kanye neminye imikhuba yokudla yesiguli ngenxa yezizathu zomuntu siqu ingabangela isisindo somzimba esengeziwe. udokotela uzothatha umlando wesisindo sesiguli ngoba kuzosiza udokotela ukuthi athole ukuthi isiguli sikhuluphala kusiphi isigaba nokuthi yiziphi izinto eziholela ekushintsheni kwesisindo. Isiguli kufanele sizibophezele ekuguquleni imikhuba yaso emibi yokudla ngoba ukuhlinzwa kwe-bariatric nakho kunganikeza imiphumela engcono kakhulu uma umuntu ezimisele ukulondoloza indlela yokuphila eshintshile ngemva kokuhlinzwa.
• Isimo sezempilo sesiguli - Odokotela bavame ukunquma isimo sezokwelapha esijwayelekile sesiguli ngemva kwanoma yikuphi ukuhlinzwa. Ngakho, udokotela uzohlola isiguli nganoma yiziphi izingozi. Ezimweni eziningi, ubungozi buncane futhi uma budlula izinzuzo izingozi ziyamukeleka. Lokhu kusho ukuthi abantu abaphethwe yizifo ezingelapheki yibo abahamba phambili ekuhlinzweni kwe-bariatric ngoba ukwehlisa isisindo kuzosiza nasekuthuthukiseni imisebenzi yezinye izitho zomzimba.
• Isimo sengqondo sesiguli - Ukuhlinzwa kwe-Bariatric kunconywa esibhedlela sokuhlinza i-bariatric e-Hyderabad ezigulini ezinenkinga yanoma yiluphi uhlobo lwenkinga yengqondo inqobo nje uma ukuqonda kwazo okunengqondo kutholakala ngokusekelwa komndeni. Umuntu ohlushwa yizinkinga ezibucayi ezingokwengqondo akakwazi ukuba yikhandidethi elilungile lalokhu kuhlinzwa.
• Ubudala - Ubudala bungenye into ebalulekile esetshenziselwa ukukhetha umuntu ofanele ukuhlinzwa kwe-bariatric. Akunconyelwe kubantu abangaphansi kweminyaka eyi-18 nangaphezulu kweminyaka engama-65. abantu abangaphezu kweminyaka engama-65 bangase baphathwe ezinye izinkinga zempilo ezizokwenza bangafaneleki ukuhlinzwa kodwa bazohlinzwa labo abakulungele ngokwezokwelapha njengendlela yokuzikhethela.
• Ukuhlolwa kweziguli ngaphambi kokuhlinzwa kwe-bariatric - Ukuhlolwa kuzokwenziwa ngaphambi kokuhlinzwa ukuze kukhethwe umuntu ofanele. Ukuhlola kuhlanganisa okulandelayo:
• Ukuhlolwa kwengqondo - Ukuhlinzwa kwe-Bariatric kuzoshintsha indlela yokuphila yomuntu kanye nemikhuba yakhe yokudla. Ngakho-ke, ukuhlolwa kwengqondo kubalulekile ngaphambi kokuhlinzwa kwe-bariatric. Ngesikhathi sokuhlolwa, udokotela ohlinzayo uzokufundisa ngezinguquko zokuziphatha ezingasiza ekuzuzeni imiphumela emihle kanye nezinguquko ezingokwengqondo ezingase zenzeke ngemva kokuhlinzwa. Udokotela uzonikeza ulwazi oluphelele lokuthi ungahlala kanjani uzinikele futhi ugqugquzelekile ngemva kokuhlinzwa. Uma umuntu esekulungele ukwamukela izinguquko ezizokwenzeka ngemva kokuhlinzwa khona-ke uzoba umuntu ofanelekayo wokuhlinzwa.
• Ukuhlolwa kwezokwelapha nokuhlinzwa- Ukuhlolwa kwezokwelapha kanye nokuhlinzwa ngaphambi kokuhlinzwa kwe-bariatric kubalulekile ukunquma ukuthi unempilo yokuhlinzwa noma cha. Udokotela ohlinzayo uzoncoma ukuhlolwa okuthile ukuze akhiphe inkinga yezokwelapha noma imbangela yokukhuluphala. Ukuhlola futhi kusiza ukunquma ukuthi uphethwe yini ezinye izifo ezifana nesifo senhliziyo, isifo sikashukela, umfutho wegazi ophakeme, isifo sokuphelelwa umoya, noma izifo zemithambo. Ukuhlolwa okunconyiwe ngaphambi kokuhlinzwa kwe-bariatric kuhlanganisa i-X-ray yesifuba, inani legazi eliphelele, i-ultrasound yesisu, i-ECG, ukuhlolwa kokusebenza kwesibindi, ukuhlolwa kokusebenza kwezinso, ukuhlolwa komsebenzi we-thyroid, iphrofayili ye-lipid, ama-hormone amaningi we-metabolic, njll. Umuntu ongenazo izinkinga zezempilo angaba yikhandidethi elifanele lokuhlinzwa kwe-bariatric.

Ngemuva kokuhlolwa okufanele, udokotela uzokhetha umuntu ozongenela uhlobo olufanele lokuhlinzwa kwe-bariatric. Umqondo womuntu udlala indima ebalulekile ekutholeni imiphumela engcono kakhulu yokuhlinzwa. Uma ukholelwa ukuthi ungadla noma yini oyithandayo ngemuva kokuhlinzwa kwe-bariatric, awuyena umuntu ofanele. Abantu kumele baqonde ukuthi ukuhlinzwa kwe-bariatric kuyindlela yokugcina yokwelapha yokuthi behlise isisindo ngemuva kokuzama zonke ezinye izindlela. Uma bengazibophezele ekushintsheni imikhuba yabo nokugcina indlela yokuphila enhle khona-ke ukuhlinzwa kwe-bariatric akuyona inketho elungile kubo.

Izibhedlela ze-CARE kwamukelwa njengesibhedlela esingcono kakhulu sokuhlinza i-bariatric e-Hyderabad, izipesheli ukwelashwa okuphezulu kwe-bariatric kanye nesevisi ekhetheke kakhulu.