Ukuhlinzwa kwesisindo kanye nezingane

Ukukhuluphala kwezingane nentsha kuyinkinga enkulu yempilo. Cishe ingane eyodwa kwezingu-6 e-United States ikhuluphele.

Ingane ekhuluphele ngokweqile noma ekhuluphele kungenzeka ukuthi ikhuluphale ngokweqile noma ikhuluphale njengoba isikhulile.

Izingane ezinokukhuluphala zinezinkinga zempilo ebezijwayele ukubonwa ngabantu abadala kuphela. Lapho lezi zinkinga ziqala ebuntwaneni, zivame ukuba zimbi kakhulu lapho sebekhulile. Ingane ekhuluphele ngokweqile noma ekhuluphele futhi kungenzeka ukuthi ibe nezinkinga ezifana nalezi:

• Ukuzenyeza
• Amabanga amabi esikoleni
• Ukucindezeleka

Abantu abaningi abadala abahlinzwa isisindo sokulahlekelwa isisindo bayakwazi ukunciphisa isisindo esikhulu. Lokhu kulahleka kwesisindo kungaba nezinzuzo zezempilo ezinjengalezi:

• Ukulawulwa okungcono kwesifo sikashukela
• I-cholesterol ephansi nomfutho wegazi
• Zimbalwa izinkinga zokulala

E-United States, imisebenzi yokwehlisa isisindo isetshenzisiwe ngempumelelo kwentsha. Ngemuva kwanoma yikuphi ukuhlinzwa kokulahlekelwa isisindo, ingane yakho izokwenza:

• Yiba nesisu esincane
• Zizwe usuthi noma unelisekile ngokudla okuncane
• Angikwazi ukudla kakhulu njengakuqala

Ukusebenza okuvame kakhulu manje okunikezwa intsha yi-sleeve eqondile mpo yomgogodla.

Ukubhinca esiswini okuguqukayo kungenye indlela yokuhlinzwa kwesisindo. Kodwa-ke, le nqubo ithathelwe indawo kakhulu yi-sleeve gastrectomy.

Yonke imisebenzi yokwehlisa isisindo ingenziwa ngokusikeka okuncane okungu-5 kuye kwayi-6 esiswini. Lokhu kwaziwa njengokuhlinzwa kwe-laparoscopic.

Iningi lezingane ezinokuhlinzwa kokuncipha kwesisindo nazo zinezinkinga zempilo ezihlobene nesisindo somzimba esengeziwe.

Izinyathelo ezingezansi zomzimba (BMI) ezisetshenziswa odokotela abaningi ukunquma ukuthi ngubani ongasizwa kakhulu ngokuhlinzwa okwehlisa isisindo. Kodwa akubona bonke odokotela abavumayo ngalokhu. Imihlahlandlela ejwayelekile yile:

I-BMI engama-35 noma ngaphezulu nesimo esibi sempilo esihlobene nokukhuluphala, njenge:

• Isifo sikashukela (ushukela ophakeme wegazi)
• I-Pseudotumor cerebri (ingcindezi eyandisiwe ngaphakathi kogebhezi)
• Ukuphefumula okulingene noma okunzima (izimpawu zifaka ukulala kwasemini nokuthimula okukhulu, ukukhefuzela nokubamba umoya ngenkathi ulele)
• Ukuvuvukala okukhulu kwesibindi okubangelwa amafutha amaningi

I-BMI engama-40 noma ngaphezulu.

Ezinye izinto kufanele futhi zibhekwe ngaphambi kokuthi ingane noma osemusha ahlinzwe ukwehlisa isisindo.

• Ingane ayikwazanga ukwehlisa isisindo ngenkathi isohlelweni lokudla nokuzivocavoca okungenani izinyanga eziyisithupha, ngenkathi inakekelwa ngudokotela.
• Umuntu osemusha kufanele aqede ukukhula (imvamisa kuneminyaka eyi-13 noma ngaphezulu yamantombazane neminyaka engu-15 ubudala noma ngaphezulu kubafana).
• Abazali nentsha kumele baqonde futhi bazimisele ukulandela izinguquko eziningi zokuphila ezidingekayo ngemuva kokuhlinzwa.
• Intsha ayisebenzisanga izinto ezingekho emthethweni (utshwala noma izidakamizwa) ezinyangeni eziyi-12 ngaphambi kokuhlinzwa.

Izingane ezinokuhlinzwa kokuncipha kwesisindo kufanele zithole ukunakekelwa esikhungweni sokuhlinza nge-bariatric esentsha. Lapho, iqembu lochwepheshe lizobanikeza ukunakekelwa okukhethekile abakudingayo.

Ucwaningo olwenziwe ngokuhlinzwa kwe-bariatric kwentsha lukhombisa ukuthi le misebenzi iphephile kuleli qembu leminyaka njengabantu abadala. Kodwa-ke, akukwenziwanga ucwaningo oluningi ukukhombisa ukuthi ngabe kukhona yini imiphumela yesikhathi eside ekukhuleni kwentsha ehlinzwa ngokuncipha.

Imizimba yentsha isashintsha futhi iyakhula. Bazodinga ukuthi baqaphele ukuthola izakhi zomzimba ezanele ngesikhathi sokulahlekelwa isisindo ngemuva kokuhlinzwa.

Ukuhlinzwa kwe-gastric bypass kuguqula indlela ezinye izakhamzimba ezingena ngayo. Intsha enalolu hlobo lokuhlinza lokwehlisa isisindo izodinga ukuthatha amavithamini namaminerali athile impilo yawo yonke. Ezimweni eziningi, i-sleeve gastrectomy ayizibangeli izinguquko ekutheni umsoco ufakwa kanjani. Kodwa-ke, intsha ingadinga ukuthatha amavithamini namaminerali.

UBoyett D, uMagnuson T, uSchweitzer M. Izinguquko zeMetabolic ngemuva kokuhlinzwa kwe-bariatric. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; I-2017: isahluko 802-806.

UGahagan S. Ukukhuluphala ngokweqile nokukhuluphala ngokweqile. Ku: Kliegman RM, St Geme JW, Schor NF, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 60.

UMarcdante KJ, uKliegman RM. Ukukhuluphala ngokweqile. Ku: UMarcdante KJ, uKliegman RM, ama-eds. UNelson Essentials Pediatrics. Umhlaka 8. Elsevier; 2019: isahluko 29.

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, i-Obesity Society, ne-American Society for Metabolic and Bariatric Surgery. Ukusebenza kwe-Endocr. 2013; 19 (2): 337-372. I-PMID: 23529351 www.ncbi.nlm.nih.gov/pubmed/23529351.

UPedroso FE, u-Angriman F, u-Endo A, uDasenbrock H, et al. Ukwehla kwesisindo ngemuva kokuhlinzwa kwe-bariatric kwentsha ekhuluphele: ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta. Ukuhlinzwa Obes Relat Dis. 201; 14 (3): 413-422. I-PMID: 29248351 www.ncbi.nlm.nih.gov/pubmed/29248351.