Ukukhuluphala ngokweqile

Ukukhuluphala kusho ukuba namafutha omzimba amaningi kakhulu. Akufani nokukhuluphala ngokweqile, okusho ukuthi ukukala kakhulu. Umuntu angakhuluphala ngokweqile ngenxa yemisipha noma amanzi, kanye nokuba namafutha amaningi.

Womabili la magama asho ukuthi isisindo somuntu siphakeme kunalokho okucatshangwa ukuthi kunempilo ekuphakameni kwakhe.

Ukudla ama-calories amaningi kunokusha komzimba kungabangela ukukhuluphala. Lokhu kungenxa yokuthi umzimba ugcina amakhalori angasetshenzisiwe njengamafutha. Ukukhuluphala kungabangelwa:

• Ukudla ukudla okuningi kunomzimba wakho
• Ukuphuza kakhulu utshwala
• Ukungatholi ukuzivocavoca umzimba okwanele

Abantu abaningi abakhuluphele abalahlekelwa isisindo esikhulu bese bebuye babuye bacabange ukuthi yiphutha labo. Bazibeka icala ngokungabi namandla okuvimba isisindo. Abantu abaningi babuyisa isisindo esikhulu kunalokho abalahlekile.

Namuhla, siyazi ukuthi ibhayoloji yisizathu esikhulu sokuthi kungani abanye abantu bengakwazi ukugcina isisindo sisuswe. Abanye abantu abahlala endaweni efanayo futhi abadla ukudla okufanayo bayakhuluphala, kanti abanye abenzi njalo. Imizimba yethu inohlelo oluyinkimbinkimbi lokugcina isisindo sethu sisezingeni eliphilile. Kwabanye abantu, lolu hlelo alusebenzi ngokujwayelekile.

Indlela esidla ngayo lapho siseyizingane ingaba nomthelela endleleni esidla ngayo njengabantu abadala.

Indlela esidla ngayo eminyakeni eminingi iba umkhuba. Kuthinta lokho esikudlayo, ukuthi sidla nini, nokuthi sidla okungakanani.

Singase sibe nomuzwa wokuthi sizungezwe izinto ezenza kube lula ukudla ngokweqile futhi kube nzima ukuhlala sisebenza.

• Abantu abaningi banomuzwa wokuthi abanaso isikhathi sokuhlela nokwenza ukudla okunempilo.
• Abantu abaningi namuhla basebenza imisebenzi yedeski uma kuqhathaniswa nemisebenzi esebenzayo esikhathini esedlule.
• Abantu abanesikhathi esincane esikhululekile bangaba nesikhathi esincane sokuzivocavoca umzimba.

Igama elithi ukuphazamiseka kwemikhuba lisho iqembu lezimo zezempilo ezinokugxila okungenampilo ekudleni, ekudleni, ekunciphiseni noma ekutholeni isisindo, nasemzimbeni. Umuntu angakhuluphala, alandele ukudla okungenampilo, futhi abe nenkinga yokudla ngasikhathi sinye.

Kwesinye isikhathi, izinkinga zezokwelapha noma ukwelashwa kubangela ukuzuza kwesisindo, kufaka phakathi:

• I-thyroid engasebenzi (i-hypothyroidism)
• Imithi efana namaphilisi okulawula ukubeletha, ama-anti-depressants, kanye ne-antipsychotic

Ezinye izinto ezingadala ukuzuza kwesisindo yilezi:

• Ukuyeka ukubhema - Abantu abaningi abayeka ukubhema bathola amakhilogremu ama-4 kuye kwayi-10 (lb) noma ama-2 kuye ku-5 kilograms (kg) ezinyangeni eziyisithupha zokuqala ngemuva kokuyeka.
• Ukucindezeleka, ukukhathazeka, ukuzizwa udabukile, noma ukungalali kahle.
• Ukunqamuka kokuya esikhathini - Abesifazane bangathola i-12 kuye ku-15 lb (5.5 kuye ku-7 kg) ngesikhathi sokunqamuka kokuya esikhathini.
• Ukukhulelwa - Abesifazane kungenzeka bangalahlekelwa isisindo abasitholile ngesikhathi sokukhulelwa.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza isivivinyo somzimba abuze ngomlando wakho wezokwelapha, imikhuba yokudla, kanye nenkambiso yokuzivocavoca umzimba.

Izindlela ezimbili ezivame kakhulu zokuhlola isisindo sakho futhi ulinganise izingozi zezempilo ezihlobene nesisindo sakho yilezi:

• Inkomba yomzimba womzimba (BMI)
• Umjikelezo wesinqe (isilinganiso sakho sokhalo ngamasentimitha noma amasentimitha)

I-BMI ibalwa kusetshenziswa ubude nesisindo. Wena nomhlinzeki wakho ningasebenzisa i-BMI yakho ukulinganisa ukuthi unamafutha omzimba angakanani.

Ukulinganisa okhalweni lwakho kungenye indlela yokulinganisa ukuthi unamafutha omzimba angakanani. Isisindo esingeziwe esizungeze indawo yakho ephakathi noma esiswini sandisa ubungozi besifo sikashukela sohlobo 2, isifo senhliziyo, nokushaya uhlangothi. Abantu abanemizimba "emise okwe-apula" (okusho ukuthi bathambekele ekugcineni amanoni okhalweni futhi babe nomzimba omncane ozacile) banengozi eyengeziwe yalezi zifo.

Izilinganiso zesikhumba zingathathwa ukubheka amaphesenti omzimba wakho.

Ukuhlolwa kwegazi kungenziwa ukubheka izinkinga ze-thyroid noma ze-hormone ezingaholela ekutholeni isisindo.

Ukushintsha impilo yakho

Indlela yokuphila esebenzayo nokuzivocavoca umzimba okuningi, kanye nokudla okunempilo, kuyindlela ephephe kunazo zonke yokwehlisa isisindo. Ngisho nokwehlisa isisindo ngesizotha kungayithuthukisa impilo yakho. Ungadinga ukwesekwa okuningi okuvela emndenini nakubangane.

Inhloso yakho enkulu kufanele kube ukufunda izindlela ezintsha zokudla ezinempilo futhi uzenze zibe yingxenye yesimiso sakho sansuku zonke.

Abantu abaningi bakuthola kunzima ukushintsha imikhuba yabo yokudla nokuziphatha. Kungenzeka ukuthi wenze imikhuba ethile isikhathi eside kangangokuba ungazi nokuthi ayinampilo, noma uyenza ngaphandle kokucabanga. Udinga ukukhuthazeka ukwenza izinguquko endleleni ophila ngayo. Yenza ushintsho ekuziphatheni lube yingxenye yempilo yakho esikhathini eside esizayo. Yazi ukuthi kuthatha isikhathi ukwenza nokugcina ushintsho endleleni yakho yokuphila.

Sebenza nomhlinzeki wakho nodokotela wezokudla ukusetha izibalo zangempela zekhalori zansuku zonke ezikusiza ukuthi unciphise umzimba ngenkathi uhlala uphilile. Khumbula ukuthi uma wehlisa isisindo kancane nangokuqinile, maningi amathuba okuthi usigcine. I-dietitian yakho ingakufundisa mayelana:

• Ukukhetha ukudla okunempilo ekhaya nasezitolo zokudlela
• Ukudla okulula okunempilo
• Ukufunda amalebula okunomsoco nokuthenga ukudla okunempilo
• Izindlela ezintsha zokupheka ukudla
• Usayizi wezingxenye
• Iziphuzo ezinoshukela

Ukudla okwedlulele (ngaphansi kwama-calories ayi-1,100 ngosuku) kucatshangwa ukuthi kuphephile noma ukusebenza kahle kakhulu. Lezi zinhlobo zokudla ngokuvamile aziqukethe amavithamini namaminerali anele. Iningi labantu elehlisa isisindo ngale ndlela libuyela ekudleni ngokweqile futhi likhuluphele futhi.

Funda izindlela zokulawula ukucindezeleka ngaphandle kokudla okulula. Izibonelo kungaba ukuzindla, i-yoga, noma ukuzivocavoca umzimba. Uma ucindezelekile noma ucindezeleke kakhulu, khuluma nomhlinzeki wakho.

IMITHI NEZILALEKO ZEHERBAL

Ungabona izikhangiso zezithasiselo namakhambi athi azokusiza wehlise isisindo. Ezinye zalezi zimangalo kungenzeka zingabi yiqiniso. Futhi ezinye zalezi zithasiselo zingaba nemiphumela emibi kakhulu. Khuluma nomhlinzeki wakho ngaphambi kokuzisebenzisa.

Ungaxoxa ngemithi yokwehlisa isisindo nomhlinzeki wakho. Abantu abaningi balahlekelwa okungenani ama-5 lb (2 kg) ngokuthatha le mithi, kepha bangaphinda babuyise isisindo lapho beyeka ukuphuza umuthi ngaphandle kokuthi benze ushintsho endleleni yokuphila.

UKUHLINZA

Ukuhlinzwa kwe-Bariatric (kwesisindo) kunganciphisa ubungozi bezifo ezithile kubantu abanokukhuluphala okukhulu. Lezi zingozi zifaka:

• Isifo samathambo
• Isifo sikashukela
• Isifo senhliziyo
• Umfutho wegazi ophezulu
• I-apnea yokulala
• Eminye imidlavuza
• Unhlangothi

Ukuhlinzwa kungasiza abantu asebekhuluphele kakhulu iminyaka engu-5 noma ngaphezulu futhi abangalahlekelwanga isisindo kwezinye izindlela zokwelapha, njengokudla, ukuvivinya umzimba noma imithi.

Ukuhlinzwa kukodwa akuyona impendulo yokwehlisa isisindo. Kungakuqeqesha ukuthi udle kancane, kepha kusamele wenze umsebenzi omningi. Kumele uzibophezele ekudleni nasekuzivocavoca umzimba ngemuva kokuhlinzwa. Khuluma nomhlinzeki wakho ukuze ufunde ukuthi ukuhlinzwa kuyindlela enhle kuwe.

Ukuhlinzwa kokunciphisa isisindo kufaka:

• I-Laparoscopic banding banding
• Ukuhlinzwa kokudlula esiswini
• I-sleeve se-sleeve
• Iswishi ye-duodenal

Abantu abaningi bakuthola kulula ukulandela uhlelo lokudla nokuzivocavoca umzimba uma bejoyina iqembu labantu abanezinkinga ezifanayo.

Imininingwane engaphezulu nokusekelwa kwabantu abanesisindo sokukhuluphala nemindeni yabo kungatholakala ku: Obesity Action Coalition - www.obesityaction.org/community/find-support-connect/find-a-support-group/.

Ukukhuluphala ngokweqile kuyingozi enkulu yezempilo. Isisindo esengeziwe sidala izingozi eziningi empilweni yakho.

Ukukhuluphala ngokweqile; Amafutha - akhuluphele

• Ukuhlinzwa kokudlula esiswini - ukukhipha
• Uwafunda kanjani amalebula okudla
• I-laparoscopic gastric banding - ukukhipha
• Ukudla kwakho ngemuva kokuhlinzwa kokudlula esiswini

• Ukukhuluphala kwengane
• Ukukhuluphala kanye nempilo

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