Isisindo sokulahlekelwa kwesisindo
Ukuhlinzwa ukulahlekelwa isisindo kuyisinyathelo esifanele kubantu abaningi abaye bazama izinhlelo zokudla nezendabuko ngaphandle kokuphumelela. I-gastric overpass noma enye indlela yokuhlinzwa kwesisindo ingakusiza ukuba ufinyelele isisindo sakho somgomo futhi uthuthukise impilo yakho yonke.
Kuyini Ukuhlinzwa Kwebhatari?
Ukuhlinzwa kweBariatric kungenye igama lokuhlinzwa kwesisindo (WLS) noma ukuhlinzwa kwesisu sokulahlekelwa isisindo. Kunezinhlobo eziningi ezahlukene zokuhlinzwa kwesisindo.
Izinqubo zokuhlinzwa ngokuvamile zenziwa ngumhlinzeki ohlinzekwa yibhodi we-bariatric oqinisekisiwe futhi olulekisa isiguli ngaphambi nangemva kokuhlinzwa.
Imithi yeBariatric, kuhlanganise nokuhlinzwa kwesisindo, yinkambu ekhulayo. Izindlela ezisetshenziselwa ukuhlinza lezo zindlela zilokhu zikhula futhi ziphephile. Kodwa konke ukuhlinzwa kubandakanya ingozi kanye nokutshalwa kwezimali okuphawulekayo. Uma ukhetha ukuhlinzwa kwesisindo kufanele ulungele ukusebenza kanzima futhi wenze ukuzibophezela kwesikhathi eside empilweni yakho ukuze umphumela wakho uphumelele.
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Ingabe i-Vagus Nerve Block iyakhuthaza ukulahlekelwa kwesisindo?
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Ingabe Kufanele Ulinge Iphutha Lesisu Ukuze Ulahlekelwe Isisindo?
Kwabaguli abaningi, inqubo ende iwufanelekile. Ukuhlinzwa kwesisindo kuhlinzeka izinzuzo ezibalulekile iziguli eziningi ezingakwazi ukufinyelela isisindo somgomo wazo nezindlela zendabuko. Ungakwazi ukuxazulula noma ukuthuthukisa ukukhathazeka kwezempilo njengohlobo lwe-2 lwesifo sikashukela, umfutho wegazi ophakeme, i-apnea yokulala, ukungahambisani kwamagciwane, kanye nokuhlukana komzimba nezinhlungu.
Ubani Ongathola Ukuhlinzwa Kwe-Bariatric?
Ukuhlinzwa kweBariatric akufanele wonke umuntu . Uma unesisindo esincane nje sokulahlekelwa , noma ungazange uzame ukunciphisa isisindo nokudla kwendabuko kanye nezinhlelo zokuzivocavoca , cishe akulungile kuwe. Ngokuvamile, abantu abahlinzekwa nge-bariatric kukhona abantu abadala abanombhalo womzimba we-mass (BMI) wama-40 noma ngaphezulu.
Laba ngabantu abavamise amapremu angu-100 noma ngaphezulu ngokweqile. Bangabantu futhi asebevele bazame ukwehlisa isisindo ngezinye izindlela futhi, ngokubalulekile, balungele ukuzinikela kokudla okunempilo nokuzivocavoca .
Uma unayo i-BMI engama-35 noma ngaphezulu, ungase ube ngumuntu omele ukhetho lwenqubo ye-bariatric uma unesifo sezempilo esihlobene nesisindo sakho. Izimo ezinjalo zingabandakanya i-apnea yokulala, uhlobo lwesibili lwesifo sikashukela, nesifo senhliziyo.
Okokugcina, kunezinqubo ezithile ezivunyelwe abantu abanombhalo womzimba omncane ophansi. I- band-gastric bandable adjustable , noma i-band band , i-FDA-evunyelwe abantu abane-BMI engama-40 noma ngaphezulu, noma kubantu abane BMI abaneminyaka engama-30 noma ngaphezulu uma benesimo esibucayi esihlobene nesisindo. I- balloon yesisu ivunyiwe iziguli ezine-BMI ezinama-30 kuya ku-40 futhi ezinezimo ezihlobene nesisindo. I- balloon yesisu ayiyona inqubo yokuhlinzwa, kodwa kunenye indlela abantu abangase bacabange ngokuthola i-WLS.
Izinhlobo Ezihlukene Zokudoba Ukushisa Isisindo
Uma wazi ukuthi ungumuntu omele ukhetho lokuhlinzwa, kunezinqubo eziningana ezihlukene ezingatholakala:
- I-gastric bypass noma iRoux-en-Y: Isisu esincane sakhiwe sisuka esiswini sakho esivele sikhona futhi sinamathele emathunjini amancane.
- I-lap band: I-band inflatable ifakwe nxazonke ezingxenyeni ezingenhla zesisu, okwenza isisu sibe mncane.
- I-gastrectomy ye-Sleeve: Isisu esisimweni esifanayo, sakhiwe ngakho-ke kukhona igumbi elincane lokudla.
- Ukunciphisa kwe-Biliopancreatic nge-duodenal switch (BPD / DS): Isisu esincane, esibulalayo senziwa futhi sinamathele esigabeni samathumbu amancane.
- Idivayisi yokuvimbela i-Vagal (vBloc): Idivaysi ye-elektroniki ifakwa ngaphansi kwesikhumba ukuvimbela izibonakaliso ezilambile phakathi kobuchopho nomzimba wakho.
- Ipompo yesisu : Ipompo libekwe ngaphakathi esiswini elikuvumela ukuba upompe ukudla ngaphandle komzimba wakho ngaphambi kokukhipha ama-khalori.
Ukuhlinzwa okungcono kakhulu kokulahlekelwa isisindo kuwe kuncike ezintweni eziningi ezihlanganisa indlela yakho yokuphila nomlando wezempilo.
Kufanele ufunde kabanzi mayelana nenqubo ngayinye bese ukhuluma nodokotela wakho mayelana nezinketho zokuhlinzwa kwesisindo ezingase zisebenze kangcono kuwe.
Izindleko zokuhlinzwa zokulahlekelwa kwesisindo
Izindleko eziphelele zesipiliyoni sakho sokuhlinzwa kwesisindo sizofaka okungaphezulu nje kwenqubo. Ngaphezu kokuhlinzekwa, kufanele ucabange izindleko zokunakekelwa kokudla, ukudla okukhethekile noma ukuthuthumela okuhlinzekwa ukuthi udokotela wakho ohlinzeka nge-bariatric, nokuhlinzwa okulandelwayo ngezinkinga kanye / noma izinqubo zokuzithokozisa ukuphatha isikhumba esibucayi .
Uma une ukuhlinzwa kwakho okwenziwe esikhungweni se-bariatric, kungenzeka ukuthi izindleko zesipiliyoni sokuhlinzwa kwesisindo sakho sizohlanganiswa sibe yinye isamba semali. Lokhu kusho ukuthi ngeke ukhokhe ngokwehlukana ukuqokwa kwabangaphambi kokuhlinzwa, ukunakekelwa kokunakekelwa, noma ukwelulekwa kokuphila. Ngokuvamile, lezi zinsizakalo zinikezwa phakathi nendawo, kodwa kubalulekile ukubuza ukuze ukwazi ukubala izindleko eziphelele zenqubo yakho ye-bariatric ngendlela efanele.
Ngokusho kwamaNational Institutes of Health, ukuhlinzwa kwakho kokulahlekelwa isisindo kungadla phakathi kuka-$ 15,000 no-$ 20,000, kuye ngohlobo lwenqubo futhi lapho uhlala khona.
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Yini Engayilindela Ngemuva Kokuhlinzwa Kwe-Bariatric
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Indlela Yokuhlinzeka Ngokunakekela Ngemva Kokuhlinzwa Kwebariatari
Ezinye iziguli zikhokha lonke lemali ngokwabo. Uma uhlela ukuzikhokhela, kunezinsizakalo zokuboleka ezempilo ezingase zikusize ukukhokhela inqubo yakho.
Kwezinye izimo, umshuwalense uzofaka izindleko ze-WLS. I-Medicare kanye nezinye izinhlelo zeMedicaid zihlanganisa nezindleko zokuhlinzwa kwezinye izimo. Uyakwazi ukuthola ukukhokhelwa komshuwalense uma uncomeka udokotela kanye nesimo sezokwelapha esingase sithuthukiswe uma ulahlekelwa isisindo. I-Obesity Action Coalition inikeza umhlahlandlela ophelele wokusebenza nomhlinzeki wakho womshuwalense, kufaka phakathi amafomu kanye namathiphu awusizo wokuthola ulwazi.
Indlela Yokuthola I-Surgeon Loss Of Surgery
Enye yezinqumo ezibaluleke kunazo zonke ozodinga ukuzenza uma ucabangela ukuhlinzwa kwesisu ngesisindo sokulahlekelwa yisisindo kuyinto oyikhethayo yodokotela ohlinzayo. Udokotela wakho we-bariatric uyokuqondisa ngenqubo futhi abe yisisetshenziswa sakho emva kokuhlinzwa sekuphelile.
Ukuthola udokotela omkhulu wokulahlekelwa isisindo kusho ukufuna udokotela ohlinzayo oqinisekiswe yibhodi owaziwa ngokukhethekile ngenqubo oyothola kuyo. Kukhona izinhlangano zezokwelapha ezingakusiza ukuthola isidakamizwa esingcono kakhulu sokulahlekelwa isisindo endaweni yakho. I-Obesity Medicine Association ine-thuluzi inthanethi ukukusiza ukuthola udokotela eduze kwasekhaya lakho. Ungathola nodokotela oqeqeshiwe ngokusesha inthanethi ngokusebenzisa i-American Society ye-Metabolic and Bariatric Surgery.
Inqubo yokukhetha udokotela, ungase ufune ukugcina izinto ezimbalwa engqondweni. Udokotela oyingxenye yesikhungo esiphezulu se-bariatric uzovame ukusebenza eduze nabanye ochwepheshe abangakusiza ohambweni lwakho. Abanikazi bokudla ababhalisile, abahlinzeki bezempilo, ngisho nabahlinzeka ngemithi bangase bakuthole kalula ku-isikhungo esizinikezele. Futhi ngenkathi abanye abantu behamba ukuyohlinzwa, ukuthola udokotela eduze kwekhaya kuyasiza. Uma kuphakama izinkinga, ngeke kudingeke uhambe uye emuva ukuze uthole ukunakekelwa okudingayo.
Yini Engayilindela Ngemuva Kokuhlinzwa Kwe-Bariatric
Ezinye iziguli zithola imiphumela emibi emva kokuhlinzwa kwesisindo . Kodwa-ke, ngoba izinqubo zokuhlinza eziningi manje zenziwa ngezindlela zokwenza i-laparoscopic, izinkinga zivame ukuba zinzima kakhulu kunezikhathi ezedlule. Ukuhlinzeka nge-laparoscopic kungavimbi kakhulu kunezinhlobo zendabuko zokuhlinzwa.
Isisindo esivamile sokuhlinzwa kwesisindo somzimba esibizwa ngokuthi i- dumping syndrome . Isimo sivame ukwenzeka ngemuva kokudla futhi singabangela ukucabangela, ukuhlanza, isifo sohudo, noma isizungu. Ezinye iziguli nazo zithola ukuqubuka kwenhliziyo, ukushaywa umoya, nezinkinga zokuhlinzwa ngemva kwenqubo yabo. Kubalulekile ukuxhumana nodokotela wakho mayelana nanoma yimiphi imiphumela emibi engavamile oyithola ngemva kokuhlinzwa.
Ungase uzwe nezinguquko zomphakathi nezomzwelo njengoba ulahlekelwa isisindo. Emva kokuhlinzwa, udinga ukushintsha imikhuba yakho yansuku zonke yokulahlekelwa isisindo okwenzekayo. Ezinye iziguli kufanele zihlukaniswe nabangane noma amalungu omndeni abazama ukuba badle ngokweqile. Ungase futhi ufune izinto ezintsha zokuzilibazisa kanye namaqembu omphakathi asekela indlela yakho yokuphila entsha. Kuyinto engavamile ukuthi iziguli ze-WLS zizwe ezinye zezinga lokucindezeleka ezinyangeni emva kokuba inqubo yabo iqedile.
Ukuthi usheshe ulahlekelwe isisindo emva kokuhlinzwa kuncike ekutheni uhlinzekwe kanjani futhi indlela yakho yokuphila kulandela inqubo. Ngokusho kweNational Institutes of Health, iziguli eziningi zilahlekelwa amakhilogremu angu-10 kuya kwangu-20 ezinyangeni ezimbalwa zokuqala emva kokuhlinzwa. Ngokuvamile, iziguli zilahlekelwa isilinganiso samaphesenti angama-15 kuya kwangu-30 esisindo sokuqala.
Izwi elivela
Ukukhetha ukuhlinzwa kwesisindo kuyisinqumo esikhulu. Kudinga ukuzibophezela okukhulu endleleni yokuphila entsha. Sifuna ukukusekela endleleni eya empilweni nempilo enhle. Sebenzisa umtapo wethu wezinsizakalo zokulahlekelwa kwesisindo, uxhumane neqembu lakho lokunakekelwa kwezempilo, futhi usebenzise usizo ukuze uphumelele ohambweni lwakho ekuthuthukiseni impilo kanye nokuphila kahle.
> Imithombo:
> Ukwelashwa kweBariatric. https://www.niddk.nih.gov/health-information/health-topics/weight-control/bariatric-surgery/Pages/overview.aspx
> I-FDA ivumela idivayisi yokuqala yohlobo lokuphatha ukukhuluphala. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm430223.htm.
> Isikhungo Sokufunda Esibekezelayo - I-American Society ye-Metabolic and Bariatric Surgery. https://asmbs.org/patients.
> Isisindo sokulahlekelwa kwesisindo. https://medlineplus.gov/weightlosssurgery.html.