Ho buuoa ka boima ba 'mele, o tsejoang hape e le opereishene ea bariatric, ke o mong oa mekhoa ea phekolo e khothatsoang ke batho ba loantšang botenya. Mokhoa ona oa opereishene ha o mabapi le tsela e khutšoanyane ea ho lahleheloa ke boima ba 'mele kapa ka ho fumana' mele o motle. Phekolo ea basebetsi ke opereishene e etsoang ka sepheo se seholo sa ho fokotsa le ho thibela mathata a bophelo bo botle ba botenya.
Mathata a ho nona haholo a akarelletsa lefu la tsoekere, lefu la pelo, khatello ea kelello le stroke . Boholo ba litla-morao tse amanang le bophelo bo tsejoa hore bo lebise ho stroke. Ha e le hantle, lefu la stroke ke bophelo bo fetolang bophelo bo feteletseng. Hoo e ka bang karolo ea 12-18 lekholong ea batho ba nang le lefu la stroke ha ba phele ha ba pholohileng phihlelo ba phela nako e khutšoanyane. Ho hakanngoa hore baphonyohi ba lipelo tsa lefu lena ba na le karolelano ea lilemo tse 12 1/2 pele ho lefu . Ho phela joaloka motho ea pholositsoeng ke stroke hangata ho bolela lilemo tsa bokooa hammoho le litšenyehelo tse ngata tsa lichelete tse makatsang.
Leha ho le joalo, ho buuoa ka bongata ke mokhoa o moholo oa ho buoa. Haeba u nahanne ka ho buuoa ka bongata kapa haeba ngaka eu khothalelitse hore u shebahale ho eona, u lokela ho tseba tse ling tsa lintho tsena tsa motheo mabapi le kamano ea eona le kotsi ea ho otloa ke lefu.
Sebaka sa Bariatri ke Eng?
Ho buuoa ha basebetsi le ho buoa ka boima ba 'mele ke mesebetsi ea ho buoa e entsoeng ka boomo ho etsa hore boima ba' mele bo be boima le ho thibela boima ba 'mele.
Ho na le mefuta e 'maloa ea ho buuoa boima ba' mele. Ka mohlala, ho pholletsa le lesea ke mokhoa o tsosang kamano pakeng tsa mala le maleng, qetellong e lebisang ho lik'halori tse nyenyane tse kenngoang 'meleng. Kamor'a mokhoa oa ho pholletsa le lesea, lijo tseo motho a li jang li kenya mala a manyenyane nakoana ka mor'a ho kena ka mpeng.
Kampa ke moo lijo tse ngata li lokiselitsoeng ho kenngoa ka maleng a mangata, kahoo nako e khutšoanyane ka mpeng e fella ka lik'hilojule tse nyenyane tse fumanoang lijong ho kena 'meleng.
Gastric resection le mekhoa e mengata ea ho laola boima ba 'mele e akarelletsa ho tlosa karolo ea mpa ho etsa hore e be nyane. Kamora 'mele o feta ka mpeng, mpa e hlile e fokotsoe ka boholo' me kahoo ha ho phutholohe ho ja haholo. Ho ja lijo tse ngata ka mor'a hore mokhoa o tsamaeang ka mpeng o ka 'na oa fella ka ho hlatsa. Ho ja ho seng kae ho bolela lik'hilojule tse seng kae, tse lebisang ho boima ba 'mele.
E 'ngoe ea mefuta e meng e tloaelehileng ea opereishene ea bariatric ke ho tlama mabanta. Ho roaloa ha litho tsa malapa ho akarelletsa ho beha sehlopha sepakapakeng ho etsa hore motho a ikutloe a e-na le botlalo - joalokaha eka mpa e ne e le nyenyane. Boikutlo bona ba botlalo bo bakoang ke ho ja lijo tse seng kae ho thibela ho ja haholo. Mekhoa ena kaofela ke mekhoa e sebetsang ea khalori e thibeloang 'me e etsa hore bobeli bo be boima' me bo thibele boima ba 'mele.
Mekhoa e kang 'li-monkey tucks' 'me liposuction hase mofuta oa opereishene tse nkoang e le opereishene ea tahlehelo kapa opereishene ea bariatric. Mefuta ena ea mekhoa e tlosa mafura kapa letlalo ho tloha 'meleng ho "hlahisa" sebopeho le boholo ba' mele.
Ha li na tšusumetso ea lik'hilojule tseo motho a ka li jang 'me ha ba na melemo e tšoanang ea bophelo bo botle joaloka opereishene ea bariatric.
Phekolo ea Bariatric e Thusa ho Thibela Kotsi?
Botenya bo amahanngoa le boemo bo phahameng ba stroke. Tsela e nepahetseng ea ho theola boima ba 'mele ke ka tloaelo ka mokhoa o hlophisitsoeng oa phetoho ea bophelo bo akarelletsang ho ja le ho ikoetlisa. Ho ja lijo tse nang le phepo hantle ho lebisa tlhokomelo ea ho fumana limatlafatsi tse hlokahalang ka ho ja lijo tse matlafatsang empa butle-butle ho theola boima ka khalori e thibeloang.
Ho ikoetlisa ho lahleheloa ke boima ba mantlha ho tsepamisitse maikutlo hangata mesebetsing ea 'mele e sebelisang lik'hilojule, tse kang ho tsamaea, kapa ho ikoetlisa tse kang ho matha kapa ho khanna.
Leha ho le joalo, batho ba bang ha ba khone ho lahleheloa ke boima bo feteletseng ka tsela ea bophelo feela. Hape, ha motho a feteletse haholo, ho ka 'na ha e-ba thata ho fihla boima bo botle feela ka ho ja le ho ikoetlisa. Boima ba 'mele kapa boima ba' mele (BMI) bo lekane ho baka mathata a bophelo bo botle ho batho ba fapaneng. Maemong a mang, ngaka ea hau e ka 'na ea laela hore motho a lahleheloe ke boima ba' mele e le hore u ka qoba mathata a botenya joaloka stroke, 'me, ho itšetlehile ka maemo a hao, ho buuoa ka bongatric ho ka buelloa e le khetho ho uena.
Na Bophelo ba Bariatri bo Hlile bo Thusa ho Thibela Setsoe?
Sehlopha sa lipatlisiso se kenyeletsang Motsoako oa Motsoako oa Motsoako oa Univesithing ea Manchester UK se entse lipatlisiso tsa lithuto tse 14 tse fapaneng ka phello ea ho buuoa ka bongatric. Boitsebiso bo bontšitse hore ho na le karolo ea 50 lekholong ea lefu la ba bang har'a barupeluoa ba neng ba e-na le opereishene ea bariatric le kotsi e fokolang haholo ea ho hlokofatsoa ke lefu le ho otloa ke pelo har'a barupeluoa ba neng ba etsoa opereishene ea bariatric.
Sehlopha se seng sa bafuputsi ba entsoeng ke sehlopha se tsoang liunivesithing tse 'maloa tsa United States, ho kopanyelletsa le Univesithi ea Utah, Univesithi ea Alabama Birmingham, Brigham Young University le College ea Weill Cornell ea Meriana, e hlahlobisitse phello ea ho buuoa ka bongata ho mafu a meriana. Liphello li bontšitse hore bakuli ba bangata ba neng ba e-na le opereishene ea bariatric ba ne ba e-na le menyetla e fokolang ea ho bolaoa ke lefu ha ba bapisoa le batho ba neng ba le bobebe ba neng ba sa sebetse.
E 'ngoe ea liphello tsa opereishene ea bariatric e ile ea theoha ho nts'etsopele ea mofuta oa lefu la tsoekere ea mofuta oa 2 esita le phetoho ea lefu la tsoekere la mofuta oa 2 har'a ba neng ba e-na le eona. Ho ea ka Journal of the American College of Surgeons, bakuli ba nang le lefu la tsoekere la mofuta oa 2 ba neng ba e-na le opereishene ea bariatric ba ile ba fokotseha ka liphesente tse 60 ho ea ho 80 lekholong liketsahalong tse sa tšoaneng tse kang ho otloa ke pelo le ho hlaseloa ke pelo.
Na Tefo / Molemo oa Bohlokoa?
Ha e le hantle, ho buoa ho boima ke mokhoa o moholo, kahoo ke habohlokoa ho nahana hore na melemo e ka ba kotsi. Ho na le litla-morao le mathata a opereishene ea bariatric, ho kenyeletsa khaello ea phepo e nepahetseng, khaello ea mali le ho se sebelisoe ha li-hormone. Ka kakaretso, ho buuoa ka boima ba 'mele bo bontšitsoe ho thibela lefu,' me thibelo ea stroke ke lebaka le ka sehloohong la phaello eo. Ha e le hantle, ho ea ka litaba tse lokollotsoeng ke American Heart Association, lik'hamphani tsa inshorense ea bophelo bo eketsa mokhoa oo ba o sebelisang tabeng ea ho lefella opereishene ea bariatric.
Bakeng sa batho ba bang, likotsi tsa ho buoa ka boima ba 'mele li bohlokoa haholo ha ba bang likotsi li ntse li mamelloa haholo ho latela melemo ea bophelo bo botle. Ho sa tsotellehe hore na u tla be u le betere le ho buoa ka boima ba 'mele kapa ka mokhoa o sa buiseng oa ho lahleheloa ke boima ba' mele ho itšetlehile ka lintlha tse ngata tseo u lokelang ho li tšohla le sehlopha sa lingaka.
Lisebelisoa:
Boemo ba Mohloli oa Boemo le Boemo ba Sepheo se Akarelitsoeng le Bariatric Surgery: Tlhahlobo, Adams TD, Mehta TS, Davidson LE, Hunt SC, Tlaleho ea Hona joale ea Atherosclerosis, December 2015
Ho buuoa ka bariatric le phello ea eona ho lefu la pelo le lefu le ho shoa: tlhahlobo e hlophisitsoeng le ho hlahloba litlhahlobo, Kwok CS, Pradhan A, Khan MA, Anderson SG, Keavney BD, Myint PK, Mamas MA, Loke YK, International Journal of Cardiology, April 2014
Ho buuoa ka bariatric ho amahanngoa le ho fokotseha ha mathata a maholo a likokoana-hloko le microvascular ka mokhoa o itekanetseng ho feta bakuli ba nang le lefu la tsoekere la mofuta oa 2, Johnson BL, Blackhurst DW, Latham BB, Cull DL, Bour ES, Oliver TL, Williams B, Taylor SM, Scott JD, Journal of the American College ea Lingaka tsa Ngaka, April 2013