Impilo ngemuva kokuhlinzwa kwesisindo

Kungenzeka ukuthi usanda kuqala ukucabanga ngokuhlinzwa kwesisindo. Noma kungenzeka ususithathile isinqumo sokuhlinzwa. Ukuhlinzwa kwesisindo kungakusiza:

• Ukuncipha emsimbeni
• Thuthukisa noma uqede izinkinga eziningi zempilo
• Thuthukisa ikhwalithi yempilo yakho
• Phila isikhathi eside

Kubalulekile ukuqonda ukuthi kuzoba nezinye izinguquko eziningi empilweni yakho. Lokhu kufaka phakathi indlela odla ngayo, okudlayo, ukuthi udla nini, indlela ozizwa ngayo ngawe, nokunye okuningi.

Ukuhlinzwa ngokunciphisa umzimba akuyona indlela elula yokuphuma. Usazodinga ukwenza umsebenzi onzima wokudla ukudla okunempilo, ukulawula osayizi bezingxenye, nokuzivocavoca umzimba.

Njengoba wehla emzimbeni ngokushesha ezinyangeni ezintathu kuya kwezingu-6 zokuqala, ungazizwa ukhathele noma ubanda kwesinye isikhathi. Ungase futhi ube:

• Ubuhlungu bomzimba
• Isikhumba esomile
• Ukulahleka kwezinwele noma ukuncipha kwezinwele
• Ukushintsha kwemizwelo

Lezi zinkinga kufanele zihambe njengoba umzimba wakho ujwayela ukuncipha futhi isisindo sakho siya sizinza. Kubalulekile ukuthi ulandele izincomo zikadokotela wakho zokudla amaprotheni anele nokuthatha amavithamini.

Ungaba lusizi ngemuva kokuhlinzwa kwesisindo. Iqiniso lempilo ngemuva kokuhlinzwa kungenzeka lingafani ncamashi nethemba noma okulindelwe ngaphambi kokuhlinzwa. Ungamangala ukuthi imikhuba ethile, imizwa, izimo zengqondo, noma ukukhathazeka kusengaba khona, njenge:

• Ubucabanga ukuthi ngeke usakuphuthelwa ukudla ngemuva kokuhlinzwa, futhi intshisekelo yokudla ukudla okunama-khalori aphezulu izobe ingasekho.
• Ubulindele ukuthi abangani nomndeni bazokuphatha ngendlela ehlukile ngemuva kokuncipha.
• Ubunethemba lokuthi imizwa edabukisayo noma enovalo obuyoba nayo izophela ngemuva kokuhlinzwa nokuncipha.
• Uphuthelwa amasiko athile omphakathi njengokuhlanganyela ukudla nabangani noma nomndeni, ukudla ukudla okuthile, noma ukuyodla nabangane.

Izinkinga, noma ukululama kancane ekuhlinzweni, noma konke ukuhambela okulandelayo kungaphikisana nethemba lokuthi konke kuzoba ngcono futhi kube lula ngemuva kwalokho.

Uzoba ekudleni oketshezi noma okuhlanjiwe amasonto ama-2 noma ama-3 ngemuva kokuhlinzwa. Uzongeza kancane ukudla okuthambile bese ukudla okujwayelekile ekudleni kwakho. Kungenzeka ukuthi udla ukudla okujwayelekile emavikini ayisithupha.

Ekuqaleni, uzozizwa ugcwele ngokushesha okukhulu, imvamisa ngemuva kokulunywa okumbalwa kokudla okuqinile. Isizathu ukuthi isikhwama sakho esisha sesisu noma umkhono wesisu uzobamba inani elincane lokudla kungekudala ngemuva kokuhlinzwa. Noma isikhwama sakho noma umkhono wakho mkhulu, ungahle ungabambi ngaphezu kwenkomishi eyodwa (240 milliliters) yokudla okuhlafunwayo. Isisu esijwayelekile singabamba izinkomishi ezi-4 (ilitha elilodwa) lokudla okuhlafunwayo.

Uma usudla ukudla okuqinile, ukuluma ngakunye kufanele kuhlafunwe ngokunensa nangokuphelele, kuze kube izikhathi ezingama-20 noma ezingama-30. Ukudla kufanele kube ubushelelezi noma ubumsulwa ngaphambi kokugwinya.

• Ukuvulwa kwesikhwama sakho esisha sesisu kuzoba kuncane kakhulu. Ukudla okungahlafunwa kahle kungavimba lokhu kuvuleka futhi kungadala ukuthi uhlanze noma ube nezinhlungu ngaphansi kwethambo lakho lesifuba.
• Isidlo ngasinye kuzothatha okungenani imizuzu engama-30.
• Uzodinga ukudla okuncane oku-6 usuku lonke esikhundleni sokudla oku-3 okukhulu.
• Uzodinga ukugwema ukudla okulula phakathi kokudla.
• Okunye ukudla kungadala ubuhlungu noma ukungaphatheki kahle uma ukudla uma kungahlafunwanga kahle. Lokhu kufaka phakathi i-pasta, ilayisi, isinkwa, imifino eluhlaza noma inyama, nanoma ikuphi ukudla okomile, okunamathelayo noma okunamathambo.

Uzodinga ukuphuza kufika ezingilazini eziyi-8 zamanzi noma ezinye iziphuzo ezingenawo ama-calories nsuku zonke.

• Gwema ukuphuza noma yini ngenkathi udla, nemizuzu engama-60 ngaphambi noma ngemuva kokudla. Ukuba noketshezi esikhwameni sakho kuzogeza ukudla kuphume esikhwameni sakho futhi kukwenze ulambe.
• Njengokudla, uzodinga ukuthatha ama-sips amancane hhayi ukugwinya.
• UNGAYisebenzisi imicu ngoba iletha umoya esiswini sakho.

Ukuhlinza ukwehlisa isisindo kungakusiza ukuqeqeshelwe ukudla okuncane. Kepha ukuhlinzwa kuyithuluzi kuphela. Kusafanele wenze ukukhetha okulungile kokudla.

Ngemuva kokuhlinzwa, udokotela wakho, umhlengikazi, noma isazi sokudla uzokufundisa ngokudla ongakudla nokudla okufanele ukugweme. Kubaluleke kakhulu ukulandela indlela odla ngayo. Ukudla kakhulu amaprotheni, izithelo, imifino, nezinhlamvu ezigcwele kusazoba yindlela engcono kakhulu yokwehlisa isisindo nokukugcina kukude.

Usazodinga ukuyeka ukudla uma ususuthi. Ukudla uze uzizwe usuthe ngaso sonke isikhathi kungahle kwelule isikhwama sakho futhi kunciphise isisindo owehlayo.

Usazodinga ukugwema ukudla okunama-calories amaningi. Udokotela wakho noma isazi sokudla cishe uzokutshela:

• UNGAKUDLI ukudla okuqukethe amafutha amaningi, ushukela, noma ama-carbohydrate.
• UNGALUPHUZI uketshezi olunama-calories amaningi noma oluqukethe ushukela, i-fructose, noma isiraphu yommbila.
• UNGAPHUZI iziphuzo ezinekhabhoni (iziphuzo ezinamabhamuza).
• UNGABUPHUZI utshwala. Iqukethe amakhalori amaningi, futhi ayinikeli ngokudla.

Kubalulekile ukuthola wonke umsoco owudingayo ngaphandle kokudla amakhalori amaningi. Ngenxa yokwehla kwesisindo okusheshayo, kuzodingeka uqaphele ukuthi uthola konke ukudla okunomsoco namavithamini owadingayo njengoba ululama.

Uma une-gastric bypass noma i-sleeve sleeve surgery, uzodinga ukuthatha amavithamini namaminerali engeziwe impilo yakho yonke.

Uzodinga ukuhlolwa njalo nodokotela wakho ukulandela ukwehla kwesisindo sakho futhi uqiniseke ukuthi udla kahle.

Ngemuva kokulahlekelwa isisindo esingaka, ungalindela izinguquko ekubunjweni komzimba wakho nasemgqeni. Lezi zinguquko zingabandakanya isikhumba esedlulele noma esilahlekile nokulahleka kwesisindo semisipha. Uma ulahlekelwa isisindo esithe xaxa, isikhumba esithe xaxa noma esisezingeni eliphezulu uzoba naso. Isikhumba eseqile noma esigugile sivamise ukukhombisa kakhulu esiswini, emathangeni, ezinqeni, nasezingalweni ezingaphezulu. Kungakhombisa nasesifubeni sakho, entanyeni, ebusweni nakwezinye izindawo. Khuluma nodokotela wakho ngezinketho zokunciphisa isikhumba esiningi.

I-American Society for Metabolic and Bariatric Surgery iwebhusayithi. Impilo ngemuva kokuhlinzwa nge-bariatric. asmbs.org/patients/life-after-bariatric-surgery. Kufinyelelwe ngo-Ephreli 22, 2019.

UMechanick JI, uYydim A, uJones DB, et al. Imihlahlandlela yokusebenza komtholampilo yokudla okunomsoco okusebenza isikhathi eside, umzimba, kanye nokuhlinzekwa okungasetshenziswanga kwesiguli sokuhlinzwa kwe-bariatric - ukubuyekezwa kuka-2013: okuxhaswe yi-American Association of Clinical Endocrinologists, The Obesity Society, kanye neAmerican Society for Metabolic & Bariatric Surgery. Ukukhuluphala (iSiliva Spring). 2013; 21 Isengezo 1: S1-S27. I-PMID: 23529939 www.ncbi.nlm.nih.gov/pubmed/23529939.

URichards WO. Ukukhuluphala ngokweqile. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 47.