Kodi mukuganiza opaleshoni ya bariatric? Pali njira zosiyanasiyana zomwe mungasankhire, monga chifuwa chapakati, lap band kapena mankhwala atsopano a ballo. Koma kusankha kuti muchitidwe opaleshoni yolemetsa ndi sitepe yaikulu kuti muyese kufufuza ndi thandizo la dokotala wanu. Musanapite ku ofesi ya opaleshoni, pali zinthu zingapo zoti muziganiza. Opaleshoni ya bariatric si aliyense.
Pali zovuta zowunika, kulingalira zachuma kulingalira ndi nkhani zachipatala zomwe muyenera kuziganizira.
Mayankho a mafunso ofunikirawa akuthandizani kudziwa ngati mukuchita njira yothandizira njirayi ndi njira yochenjera kwambiri paulendo wanu wolemera.
Kodi BMI Yanga Ndi Yotani?
Ngati simukudziwa thupi lanu (BMI), mungagwiritse ntchito kachipangizo kameneka kuti muyesere kapena muyesetse kuyang'aniridwa ndi ofesi yanu. Mukakhala ndi nambala yanu, mungagwiritse ntchito ngati malo oyambira kuti muwone ngati opaleshoni ikhoza kukhala yoyenera kwa inu.
Ngati BMI yanu iposa 40, mabungwe ambiri azachipatala amalimbikitsa kuti opaleshoni ya kulemera kwake ingakhale yololera ngati muli ndi thanzi labwino kuti mukhale ndi moyo. Ngati BMI yanu ili ndi zaka 35 kapena kupitirira, mukhoza kukhala opaleshoni yabwino ya opaleshoni ngati muli ndi matenda amodzi okhudzana ndi kunenepa kwambiri. Ndipo ngati BMI yanu ili ndi zaka zoposa 30 ndipo thanzi lanu limasokonekera ndi matenda a shuga kapena matenda opatsirana pogonana mungayambe kuyankhula ndi dokotala wanu za opaleshoni ya baatric.
"Kwa anthu ambiri, BMI ya makumi atatu ndi imodzi," akutero Dr. Ninh T. Nguyen, MD, yemwe anali Pulezidenti wa American Society for Metabolic and Bariatric Surgery (ASMBS). Akulongosola kuti pamene anthu afika mndandanda wa masentimita a 30, iwo akhoza kulingalira opaleshoni ya bariatric ngati mayesero ena a kulemera kwake alephera.
Kodi Ndili ndi Matenda Olimbana ndi Zolemetsa?
Kulemera kwakukulu kungayambitse kapena kukulitsa matenda monga shuga, kugona tulo, cholesterol, matenda a mtima ndi kuthamanga kwa magazi . Nthawi zina, zikhalidwezi zingakupangitseni kukhala munthu woyenera kuchitidwa opaleshoni yolemetsa. Koma nthawi zina, zimakhudza momwe mungathe kupirira opaleshoniyi. Dokotala wanu adzakuuzani zambiri momwe matenda anu angakhudzire ndondomekoyi.
Kodi Ndayesa Mapulogalamu Ena Othawa Kwambiri?
Kuchita opaleshoni kungakhale njira yabwino pamene njira zina zolemetsa zatha. Kodi mwayesa kutaya thupi ndi zakudya komanso kuchita masewera olimbitsa thupi? Makampani ena a inshuwalansi amangoganizira za njirayi ngati mwayesa njira zowonongeka kwa miyezi isanu ndi umodzi.
Kodi Ndine Wokonzeka Kusintha Moyo Wanga?
Kuchita opaleshoni ya kuperewera kwa thupi sizitsulo zamatsenga. Ngati musankha kuchita opaleshoni, mudzasintha zakudya zanu ndi zakudya zanu . Odwala omwe ali opambana kwambiri ndi opaleshoni ya bariatric amatha kudya zakudya zolimbitsa thupi komanso kuchita masewera olimbitsa thupi kuti akhalebe olemera kwa nthawi yaitali.
Dr. Nguyen akuti moyo umasintha pambuyo pochita upaleshoni ukhoza kukhala gawo lovuta kwambiri lachidziwitso.
Monga gawo la kukonzekera, akulangiza odwala ake za kufunika kozindikiritsa kusintha kwa thupi, maganizo, kusintha kwa anthu zomwe zingachitike pambuyo pa opaleshoni.
Kodi Ndafufuza Mitundu Yosiyanasiyana ya Opaleshoni Yopezeka M'dera Langa?
Pali njira zosiyanasiyana zomwe odwala amatha kuchita opaleshoni. Roux-en-Y chapamimba chodutsa (RYGB), laparoscopic chosinthika chapamimba chamimba (LAGB), ndi laparoscopic manja amadzimadziwa amachitidwe opaleshoni atatu. Njira iliyonse ili ndi ngozi ndi mapindu osiyanasiyana. Muyenera kudziwa zambiri za njira iliyonse musanasankhe chimodzi.
Kodi inshuwalansi idzaphimba ndalama zanga?
Kuwongolera inshuwalansi kumasiyanasiyana ndi wopereka. Mudzafuna kufufuza momwe mungayambitsire opaleshoni yoyamba komanso opaleshoni iliyonse yamtsogolo musanayambe nthawi yambiri yoganizira opaleshoniyi. Malingana ndi lipoti lina, odwala 25 peresenti owona opaleshoni anakanidwa katatu katatu asanalandire chivomerezo.
Kodi Ndingakwanitse Kuchita Opaleshoni Yoyamba ndi Opaleshoni Zonse Zotere Ngati Zili Zofunikira?
Ngati inshuwalansi yanu siilipilira opaleshoniyo, kapena ngati ikulipirirani zokhazokha, kodi mwakonzeka kupereka ndalama zina? Kuchita opaleshoni ya mabatire kumawononga madola 11,500 mpaka $ 26,000. Kukonzanso kwa opaleshoni, ngati kuli kotheka, kukhoza madola 5,000 mpaka $ 10,000.
Kodi Ndipitirizabe Kupeza Chithandizo Chamankhwala?
Ma opaleshoni ambiri amafuna kuti mupitirize kuonana ndi dokotala wanu kuti ayang'ane thanzi lanu m'zaka zotsatira. Dokotala wanu adzayang'anitsitsa kuchepa kwanu, koma amatha kusintha mankhwala ngati kuli kotheka, kupereka malangizo kwa vitamini ndi mineral supplementation, ndipo mwinamwake akusonyeza kusintha kwa opaleshoni yanu. Odwala omwe ali ndi opaleshoni yamagetsi, mwachitsanzo, angafunikire kukula kwa gulu kuti athe kukwaniritsa zofuna zawo.
Kupita pansi pa mpeni ndi chisankho chachikulu komanso kudzipereka kwakukulu. Gwiritsani ntchito mafunso awa monga chiyambi choganizira kuganizira za kuwonongeka kwa kulemera. Mukadziwa mayankhowo, pitirizani kupeza uphungu kuchokera kwa enieni, monga wothandizira zachipatala, opaleshoni yachipatala yovomerezeka, ndi anthu ena omwe adzichita.
Zotsatira:
Kufikira Kusamalira. Kulemera Kwambiri ndi Kugwiritsa Ntchito Mavitamini ndi Bariatric Zolemba. American Société for Metabolic & Bariatric Surgery. http://asmbs.org/
American Société for Metabolic & Bariatric Surgery. http://asmbs.org/
Kusamalira Wodwala Wovuta Kwambiri: Njira Yophatikiza. Mchitidwe wa Allergan Lap Band. Kupitiliza Maphunziro a Zamankhwala. July, 2011
Mapulogalamu Amagetsi ndi Bariatric Zolemba Zolemba za American Society for Metabolic & Bariatric Surgery. http://asmbs.org/
Nguyen, Ninh T., MD, Pulezidenti Wodzipereka, American Society for Metabolic and Bariatric Surgery. Mafunso. July 16, 2012
Mzere Wowonjezera Zowonongeka. Opaleshoni ya Bariatric yolemera kwambiri. National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. http://win.niddk.nih.gov/publications/gastric.htm