Tikuyamba kufalitsa nkhani zingapo zamankhwala a bariatric (opaleshoni ya kunenepa kwambiri). Mlangizi wathu pankhaniyi ndi m'modzi mwa akatswiri abwino kwambiri pankhaniyi - dokotala wa opaleshoni, Wolemekezeka Dokotala waku Russia Bekkhan Bayalovich Khatsiev, yemwe amagwira ntchito pachipatala cha endoscopic komanso opareshoni yocheperako ya Stavropol State Medical University (Stavropol Territory) .
Kodi mumamva bwanji kukhala onenepa? Kodi anthu amakula bwanji? Iwo omwe akhala akuda nkhawa moyo wawo wonse za 2 mapaundi owonjezera m'chiuno sangamvetsetse momwe munthu amamvera kulemera kwake kuposa 100 kg ...
Inde, wina wakhala ali "donut" chifukwa cha chibadwa. Wina amagonjetsa majini tsiku lililonse ndi mphamvu, masewera komanso zakudya zopatsa thanzi. Ena, m'malo mwake, anali ngati mtengo kusukulu, koma adachira atakula - kuchokera ku moyo wongokhala komanso masangweji okoma usiku.
Aliyense ali ndi nkhani yake. Koma nzotsimikizirika kuti kunenepa sikunapangitse munthu kukhala wathanzi kapena wosangalala. Tsoka ilo, ndizovuta kwambiri kusintha moyo wanu, kadyedwe kanu, kutaya makilogalamu 30 nokha ndikusunga zotsatira zomwe mwapeza, ndipo kwa ambiri sizingatheke. Inde, alipo amene apambana, koma alipo ocheperapo kuposa omwe sanathe; monga zikuwonetsera, anthu 2 mwa 100.
Mwina njira yokhayo yomwe mungachepetse thupi kamodzi kokha ndikusintha kwambiri moyo wanu ndi opaleshoni ya bariatric… Opaleshoni yotere imatchedwa “kusudzula m’mimba”. Mawuwa akumveka ngati oopsa, choncho chiyembekezochi chimachititsa mantha ndi kukhumudwitsa ambiri. "Kudula gawo la chiwalo chathanzi ndi ndalama zanu?" Izi, ndithudi, njira ya philistine. Ku Ulaya, ntchito zoterezi zili m'gulu la inshuwaransi ya wodwalayo ndipo zimayikidwa pathologies yolemera kwambiri. Mukungoyenera kumvetsetsa zomwe tikulimbana nazo.
Chowonadi chonse chokhudza kunenepa kwambiri komanso opaleshoni ya bariatric
Opaleshoni kunenepa ndi opareshoni kusintha kwa thunthu la m`mimba thirakiti (m`mimba thirakiti), chifukwa mabuku a chakudya chotengedwa ndi odzipereka kusintha, ndi wodwalayo amataya thupi lake okwana kulemera wogawana ndi mosalekeza.
1. Opaleshoni ya Bariatric ilibe kanthu kochita maopaleshoni monga kuchotsa mafuta, liposuction, ndi njira zina zapulasitiki ndi zodzikongoletsera. Izi si njira zosakhalitsa zodzikongoletsera zochepetsera thupi pang'ono, njira iyi imangofuna kuchotsa mapaundi owonjezera.
2. Chofunika kwambiri cha opaleshoni ya bariatric ndikusintha kachitidwe ka zakudya, mwachibadwa kuchepetsa kulemera kwabwino komanso kusunga zotsatirazi m'tsogolomu. Chofunika kwambiri, monga momwe zilili ndi chithandizo china chilichonse chachipatala, chiyenera kuthandizidwa ndi katswiri wodziwa bwino kwambiri pachipatala chotsimikiziridwa.
3. Palibe "metabolism yotsika kwambiri" kapena "poyamba kusagwira bwino ntchito kwa mahomoni", pali kudya kwambiri, komwe ambiri ali ndi ngongole zambiri za mapaundi owonjezera. Komanso, ngakhale ndi matenda ena, mwachitsanzo, pankhani ya kunenepa kwambiri kwa endocrine, kulemera sikumakula mwachangu monga momwe zimakhalira kudya mwadongosolo.
4. Ambiri amatha kuchepa thupi ndikusunga magawo omwe amafunidwa chifukwa cha moyo wabwino. Komabe, chiŵerengero cha anthu omwe adatha kuonda paokha ndichokwera kwambiri kuposa omwe adatha kusunga zotsatira zake ndikupeza kulemera kokhazikika. "Pali maphunziro angapo osangalatsa komanso owonetsera pamutuwu. Katswiri wazakudya, physiotherapist ndi psychotherapist adapatsidwa magulu a odwala omwe akuonda. Zowonadi, mwamtheradi onse omwe adachita nawo mayesowo adataya thupi, koma kuchokera pa 1 mpaka 4% mwa odwala onse adakwanitsa kusunga zotsatirazi kwa miyezi 3-6, "adatero dokotala. .
5. Opaleshoni ya Bariatric imathandizira matenda amtundu wa XNUMX (osadalira insulini, insulini yochuluka ikapangidwa). Kale mu sabata yoyamba pambuyo pa opaleshoniyo, kuchuluka kwa shuga m'magazi kumayamba kuchepa, ndiye kuti, palibe chifukwa chotenga zida zapadera. Kuonda m'tsogolo kudzathetseratu matendawa.
6… Opareshoni ikatha, simudzatha kudya monga momwe maopareshoni asanachitike! Mwamaganizo, ndithudi, si zophweka kuganiza kuti simungathe kudya kebab skewer kapena chidebe cha mapiko okazinga. Zidzakhala zosatheka mwakuthupi (mudzamva kusapeza bwino, nseru), koma thupi lanu silidzakhala ndi chilichonse, choncho zolowereni kudya pang'onopang'ono, koma kawirikawiri.
7... Pamaso pa opareshoni, mudzafunsidwa kuti osachepera kunenepa, koma pazipita kutaya angapo makilogalamu. Izi sizichitika chifukwa cha kuvulaza kwa madokotala. Chiwindi chachikulu kwambiri chimatha kusokoneza mwayi wopezeka m'mimba (ngati mutapezabe ma kilogalamu angapo ndikulemera kwambiri, chiwindi chimakulanso), komanso chiwindi chokhacho, ndi kunenepa kwambiri, kumatha kukulirakulira. osatetezeka komanso sachedwa kuwonongeka. Ndi deta yotereyi, wodwalayo akhoza kukanidwa opaleshoni, chifukwa lamulo lofunika kwambiri SIKUTI AKULIMBIKITSA. Mwachitsanzo, m'zipatala zambiri za ku Europe, Australia ndi America, kuchepa thupi musanachite opaleshoni ndikofunikira kwambiri.
8. Pambuyo pa opaleshoniyo, muyenera kutsatira mosamalitsa malangizo a madokotala, apo ayi mutha kudzivulaza nokha, kupeza zovuta ndipo, chifukwa chake, osapeza zotsatira zomwe mukufuna. Masabata awiri oyambirira adzakhala ovuta kwambiri (simungadye zoposa 2 magalamu a madzi ndi mushy zakudya patsiku). Kuyambira mwezi wachiwiri pambuyo pa opaleshoni, zakudya zanu zidzayamba kufanana ndi zakudya za munthu wamba.
Titha kunena kuti opaleshoni ya bariatric ndikusintha koyambira moyo wanu watsopano pakulemera kwatsopano.
Chofunika kwambiri ndikulumikizana ndi katswiri wabwino kwambiri ndikuonetsetsa kuti mukutsatira malangizo ndi malangizo onse. Mulimonsemo, dokotala nthawi zonse amalumikizana nanu mu nthawi ya postoperative.
Kulemera kwakukulu sikulinso nkhani ya kukongola, koma koposa zonse nkhani ya thanzi. Kunenepa kwambiri ndizovuta zamtima (kodi magazi amafunikira kupopa kuti thupi lizigwira ntchito mokwanira?), Pali kuthekera kwakukulu kwa atherosulinosis (chifukwa cha kunenepa kwambiri, kusagwira bwino ntchito kwa minyewa yamitsempha yamagazi, zomwe zimatsogolera ku izi. matenda), matenda a shuga ndi njala ya shuga (pakakhala ndimafuna nthawi zonse), komanso kulemedwa kwakukulu kwa msana ndi mfundo. Ndipo ndi izi munthu wonenepa amakhala tsiku lililonse - moyo wake wonse, pamene kusapeza bwino kwa opaleshoni bariatric ndi miyezi 2-3.
M'nkhani yotsatira, tidzakambirana mitundu yonse ya opaleshoni ya bariatric ndi njira zonse zothetsera vutoli.