Tiri kutanga kuburitsa nhevedzano yezvinyorwa pamusoro pemishonga yebariatric (obesity surgery). Chipangamazano wedu munyaya iyi ndemumwe wenyanzvi dzakanakisa mundima iyi - chiremba anovhiya, Anoremekedzwa Chiremba weRussia Bekkhan Bayalovich Khatsiev, anoshanda ari pahwaro hwekiriniki yekuvhiya endoscopic uye kushoma invasive yeStavropol State Medical University (Stavropol Territory) .
Unonzwa sei kufutisa? Vanhu vanokura sei zvachose? Avo vanonetsekana hupenyu hwavo hwese nezve 2 mamwe mapaundi munzvimbo yechiuno havazombonzwisisi manzwiro emunhu ane uremu hunopfuura 100 kg ...
Hongu, mumwe munhu agara ari "donut" nekuda kweiyo genetic predisposition. Mumwe munhu anokunda genetics zuva rega rega nesimba, mitambo uye zvine hutano hutano. Vamwe, pane zvinopesana, vakaita sedanda kuchikoro, asi vakapora vatova munhu mukuru - kubva kumararamiro ekugara uye masangweji anonaka usiku.
Munhu wese ane nyaya yake. Asi ichokwadi chose kuti kufutisa hakuna kumbobvira kwaita kuti munhu ave noutano hwakanaka kana kuti afare. Nehurombo, zvakanyanya kuoma kushandura zvakanyanya mararamiro ako, hurongwa hwekudya, kurasikirwa ne30 kg uri wega uye kuchengetedza mhedzisiro yakawanikwa, uye kune vakawanda hazvigoneke. Hongu, kune vakabudirira, asi kune vashoma kwazvo pane avo vasina kukwanisa; sezvinoratidzwa nemaitiro, vanhu 2 pa100.
Zvichida nzira chete yaunogona kuderedza uremu kamwe chete uye zvachose uye kuchinja zvakanyanya mararamiro ako ndeye chirongwa chebhaatric… Kuvhiya kwakadai kunowanzonzi “stomach suturing”. Uyu mutsara unonzwika unotyisa, saka tarisiro iyi inovhundutsa uye inodzinga vazhinji. "Kucheka chikamu chenhengo ine hutano nemari yako?" Izvi, zvechokwadi, nzira yephilistine. MuEurope, kuvhiyiwa kwakadaro kunosanganisirwa inishuwarenzi yemurwere uye inotarwa kune pathologically yakakwira uremu. Iwe unongoda kunzwisisa kuti chii chaizvo chatiri kubata nacho.
Chokwadi chese pamusoro pekufutisa uye kuvhiyiwa kwebariatric
Obesity kuvhiyiwa i operative shanduko mune anatomy of gastrointestinal turakiti (digestive turakiti), somugumisiro mavhoriyamu echikafu anotorwa uye kunyudzwa kuchinja, uye murwere anorasikirwa uremu muviri wake wose zvakaenzana uye nguva dzose.
1. Kuvhiyiwa kweBariatric hakunei nekuvhiya kwakadai sekubvisa mafuta, liposuction, uye mamwe mapurasitiki uye zvizorwa. Idzi hadzisi dzenguva pfupi dzekushongedza nzira dzekudzikira uremu, nzira iyi inongonangwa pakupedzisira kubvisa mamwe mapaundi.
2. Izvo zvakakosha zvekuvhiyiwa kwebariatric ndeye kushandura hurongwa hwekudya, kudzikisa huremu kune zvakajairika uye kuchengetedza mhedzisiro iyi mune ramangwana. Chinhu chinonyanya kukosha, sekumwe kupindira mune zvekurapa, ndiko kurapwa nenyanzvi ine ruzivo rwakanyanya mukiriniki inopupurirwa.
3. Iko hakuna "yakanyanya kuderera metabolism" kana "pakutanga kusashanda kwehomoni system", kune kudyisa, uko vazhinji vanokwereta makumi emamwe mapaundi. Uyezve, kunyangwe paine zvimwe zvirwere, semuenzaniso, kana zvasvika kune endocrine kufutisa, huremu hahukure nekukurumidza sekunge zvakajairwa kurongeka kudyisa.
4. Vazhinji vanogona kuderedza uremu uye kuchengetedza inodiwa ma paramita nekuda kweiyo chaiyo mararamiro. Zvisinei, chikamu chevanhu vakakwanisa kuderedza uremu pachavo chakanyanya kukwirira kudarika avo vakakwanisa kuchengetedza chigumisiro uye vakawana uremu hwakagadzikana. “Pane akati wandei ezvidzidzo zvinofadza uye zvine mufananidzo panyaya iyi. A dietitian, physiotherapist uye psychotherapist vakagoverwa kumapoka evarwere vakanga vachirasikirwa. Chokwadi, vese vatori vechikamu mukuyedza vakarasikirwa nehuremu, asi kubva pa1 kusvika 4% yehuwandu hwevarwere vakakwanisa kuchengetedza izvi mhedzisiro kwemwedzi 3-6, "anodaro chiremba. .
5. Kuvhiyiwa kweBariatric kunobata rudzi rwechi XNUMX chirwere cheshuga (chisina-insulin chinotsamira, kana insulin yakawandisa ichigadzirwa). Nechekare muvhiki yekutanga mushure mekuvhiyiwa, iyo glucose level muropa inotanga kuderera, ndiko kuti, hapana chikonzero chekutora yakakosha michina. Kurasikirwa uremu mune ramangwana kuchabvisa zvachose chirwere ichi.
6… Mushure mekuvhiyiwa, haufe wakakwanisa kudya zvakanyanya sekutanga kuvhiyiwa! Mupfungwa, hongu, hazvisi nyore kufungidzira kuti hauchakwanisi kudya kebab skewer kana bhakiti remapapiro akakangwa. Zvichave zvisingagoneke mumuviri (iwe uchanzwa kusagadzikana, kusvotwa), asi muviri wako hauzove nechinhu chakasara, saka jaira kudya zvishoma nezvishoma, asi kazhinji.
7… Usati wavhiyiwa, iwe uchakumbirwa kuti urege kuwedzera huremu, asi sehuremu hwekurasikirwa nemakirogiramu mashoma. Izvi hazviitwe nekuda kwekukuvadza kwavanachiremba. Chiropa chakakura kwazvo chinogona kukanganisa kupinda mudumbu (kana iwe uchiri kuwana makirogiramu mashoma nehuremu hwakawanda, chiropa chinozowedzerawo), pamwe nechiropa pachacho, nekutowedzera kurema, chinogona kuwedzera. ari panjodzi uye anogona kukuvara. Ne data rakadaro, murwere anogona kurambwa kuvhiyiwa, nekuti mutemo unonyanya kukosha HAUSI KUNYANYA. Semuenzaniso, mumakiriniki mazhinji eEurope, Australia neAmerica, kurasikirwa uremu kusati kwavhiyiwa kunenge kuri chinhu chinodiwa pazviri.
8. Mushure mekuvhiyiwa, unofanirwa kunyatsotevera kurudziro yevanachiremba, zvikasadaro iwe unogona kuzvikuvadza, kuwana matambudziko uye, semhedzisiro, usawana mhedzisiro yaunoda. Vhiki mbiri dzekutanga dzichava dzakanyanya kuoma (haugone kudya zvinopfuura 2 magiramu emvura uye mushy chikafu pazuva). Kubva pamwedzi wechipiri mushure mekuvhiyiwa ndiko kudya kwako kunotanga kufanana nekudya kwemunhuwo zvake.
Tinogona kutaura kuti kuvhiyiwa kwebariatric inguva yekutendeuka kuenda kunotanga hupenyu hutsva pahuremu hutsva.
Chinhu chinonyanya kukosha ndechekubata nyanzvi yakanaka uye uve nechokwadi chekutevera zvese zvinokurudzirwa nemirairo. Chero zvazvingava, chiremba acharamba achikurukura newe munguva ye postoperative.
Kuwedzera kurema hakusi kunyange nyaya yeaesthetics, asi pamusoro pezvose nyaya yehutano. Kufutisa idambudziko remoyo (iropa rakawanda sei rinoda kupomba kuti ive nechokwadi chekushanda kwakazara kwemuviri?), Pane mukana wakakura weatherosclerosis (nekuda kwekurema kwakanyanya, kusashanda kweiyo lining yemidziyo yeropa kunoitika, izvo zvinotungamira kune zvakadaro. kuongororwa), chirwere cheshuga uye nzara yeshuga (kana iripo ini ndinoida nguva dzese), pamwe nekugara hombe mutoro pamuzongoza nemajoini. Uye neizvi munhu ane mafuta anorarama zuva rega rega - hupenyu hwake hwose, asi kusagadzikana kubva pakuvhiyiwa kwebariatric mwedzi 2-3.
Muchinyorwa chinotevera, tichakurukura marudzi ese ekuvhiyiwa kwebariatric uye zvese zvinogoneka zvekuvhiya mhinduro kudambudziko iri.