Yini i-Biliopancreatic Diversion ene-Duodenal Switch (BPD-DS)? Inhloso, Inqubo & Imiphumela

I-Biliopancreatic diversion ene-duodenal switch (BPD-DS) ukuhlinzwa kokunciphisa isisindo okuhlanganisa izindlela ezimbili ezinamandla zokukusiza ukuthi ulahlekelwe isisindo. Le nqubo yomibili inciphisa usayizi wesisu sakho futhi ishintsha indlela umzimba wakho ogxilisa ngayo izakhamzimba ezivela ekudleni.

Cabanga nge-BPD-DS njengesixazululo esinamacandelo amabili. Udokotela ohlinzayo wakha isikhwama esincane sesisu, ngakho uzizwa ugcwele ngokushesha. Bese beqondisa amathumbu akho kabusha ukuze banciphise ukuthi zingaki amakhalori nezakhamzimba umzimba wakho ongazigxilisa. Le ndlela ephindwe kabili yenza i-BPD-DS ibe ngesinye sezinqubo zokuhlinzwa zokulahlekelwa isisindo eziphumelela kakhulu ezitholakalayo, nakuba idinga ukuzibophezela ekuphileni konke ekunakekelweni kokudla okunomsoco.

Yini i-Biliopancreatic Diversion ene-Duodenal Switch?

I-BPD-DS ukuhlinzwa okuyinkimbinkimbi kwe-bariatric okushintsha unomphela kokubili usayizi wesisu sakho kanye nenqubo yokugaya ukudla. Ngesikhathi sale nqubo, udokotela ohlinzayo ususa cishe u-80% wesisu sakho, enza isikhwama esinomumo weshubhu esibamba ukudla okuncane kakhulu.

Ingxenye yesibili ihlanganisa ukuqondisa kabusha amathumbu akho amancane. Udokotela ohlinzayo uhlukanisa i-duodenum (ingxenye yokuqala yamathumbu akho amancane) futhi uyixhume engxenyeni engezansi yamathumbu akho amancane. Lokhu kwenza izindlela ezimbili ezihlukene - eyodwa yokudla nenye yezijusi zokugaya ezivela esibindini sakho kanye nendlala yakho ye-pancreas.

Lezi zindlela azihlangani kuze kube ngamasentimitha angu-100 okugcina emathunjini akho amancane. Lokhu kusho ukuthi umzimba wakho unesikhathi esincane kakhulu sokugxilisa amakhalori, amafutha, kanye nezinye izakhamzimba ezivela ekudleni okudlayo. Umphumela ukulahlekelwa isisindo esikhulu, kodwa futhi kudinga ukuqapha ngokucophelela isimo sakho sokudla okunomsoco impilo yakho yonke.

Kungani kwenziwa i-BPD-DS?

I-BPD-DS ngokuvamile incomelwa abantu abakhuluphele kakhulu abangakwazanga ukulahlekelwa isisindo ngokudla, ukuzivocavoca, kanye nezinye izindlela zokwelapha. Udokotela wakho angase asikisele lokhu kuhlinzwa uma i-BMI yakho ingu-40 noma ngaphezulu, noma uma ingu-35 noma ngaphezulu enezimo zempilo ezihlobene nokukhuluphala ezingathi sína.

Le nqubo ilusizo ikakhulukazi kubantu abanesifo sikashukela sohlobo 2, njengoba ingathuthukisa kakhulu ukulawulwa kukashukela egazini. Iziguli eziningi zibona isifo sazo sikashukela sithuthuka noma silungiseke ngokuphelele ngemva kokuhlinzwa. I-BPD-DS futhi iphatha ngempumelelo umfutho wegazi ophezulu, i-sleep apnea, nezinye izimo ezihlobene nesisindo esiningi.

Nokho, i-BPD-DS akuyona inketho yokuqala yawo wonke umuntu. Ithimba lakho lezempilo lizohlola ngokucophelela ukuthi ungumuntu ofanelekayo yini ngokusekelwe empilweni yakho yonke, ikhono lokuzibophezela ekushintsheni ukudla kwempilo yonke, nokuzimisela ukuthatha izithasiselo zansuku zonke. Le nqubo idinga ukunakekelwa okulandelayo okujulile kunezinye izinhlobo zokuhlinzwa zokulahlekelwa isisindo.

Yini inqubo ye-BPD-DS?

I-BPD-DS ivame ukwenziwa kusetshenziswa izindlela ze-laparoscopic ezingahlaseli kakhulu, nakuba ezinye izimo zingase zidinge ukuhlinzwa okuvulekile. Le nqubo ngokuvamile ithatha amahora angu-3 kuya kwangu-4 futhi yenziwa ngaphansi kwe-anesthesia ejwayelekile ngenkathi ulele ngokuphelele.

Udkt. ohlinzayo uqala ngokwenza ukusikwa okuncane okumbalwa esiswini sakho, ngasinye cishe ngamasentimitha angu-1.27 ubude. Bafaka ikhamera encane namathuluzi okuhlinzwa akhethekile ngalezi zimbobo. Isinyathelo sokuqala sihlanganisa ukususa cishe u-80% wesisu sakho ngakunye nokugoba okukhulu, okushiya ipayipi elinjengebhanana elingabamba cishe ama-ounces angu-4 okudla.

Okulandelayo kuza ukuhlelwa kabusha kwamathumbu, okuyingxenye eyinkimbinkimbi yokuhlinzwa. Udkt. ohlinzayo uhlukanisa ngokucophelela i-duodenum yakho eduze kwesisu sakho futhi axhume ingxenye engezansi esigabeni samathumbu amancane cishe ngamasentimitha angu-250 ukusuka emathunjini akho amakhulu. Ingxenye engenhla ye-duodenum ihlala inamathiselwe esibindini sakho ne-pancreas, idala indlela ehlukile yezijusi zokugaya ukudla.

Ekugcineni, udokotela ohlinzayo wakha ukuxhumana phakathi kwalezi zindlela ezimbili cishe ngamasentimitha ayi-100 ngaphambi kwamathumbu akho amakhulu. Lesi 'siteshi esivamile' esifushane yilapho ukudla kuxubana khona nejusi lokugaya ukudla, okuvumela ukumuncwa kwezinye izakhamzimba. Udokotela ohlinzayo ube esevala ukusikeka ngenhlanganisela yokuhlinza noma imithungo emincane.

Ungalungiselela kanjani inqubo yakho ye-BPD-DS?

Ukulungiselela i-BPD-DS ngokuvamile kuqala emasontweni ambalwa ngaphambi kosuku lwakho lokuhlinzwa. Ithimba lakho lokunakekelwa kwezempilo lizokuqondisa ngenqubo yokuhlola ephelele ukuze uqinisekise ukuthi usukulungele le nqubo enkulu.

Kungenzeka udinga ukulandela ukudla okukhethekile ngaphambi kokuhlinzwa amasonto angu-1-2 ngaphambi kokuhlinzwa. Lokhu ngokuvamile kuhilela ukudla ukudla okunama-protein amaningi, ama-carbohydrate aphansi nokugwema ukudla neziphuzo ezinoshukela. Ezinye iziguli zidinga ukulahlekelwa isisindo esithile ngaphambi kokuhlinzwa ukuze kuncishiswe izingozi zokuhlinzwa futhi kunciphise isibindi, okwenza inqubo iphephe.

Ukulungiselela kwakho kuzobandakanya nokuyeka imithi ethile engandisa ingozi yokopha, njengezinciphisi zegazi, i-aspirin, nemithi ethile elwa nokuvuvukala. Udokotela wakho uzohlinzeka ngohlu olugcwele lwemithi okufanele uyigweme futhi angase anikeze ezinye izindlela uma kudingeka. Uzodinga futhi ukuyeka ukubhema ngokuphelele, njengoba ukubhema kwandisa kakhulu ingozi yezinkinga futhi kunciphisa ukuphola.

Ngobusuku obandulela ukuhlinzwa, uzodinga ukuzila ngokuphelele - akukho ukudla noma isiphuzo ngemuva kwamabili. Hlela ukuthi othile akuqhubele esibhedlela futhi akuqhubele, njengoba ngeke ukwazi ukuqhuba izinsuku eziningana ngemuva kwenqubo. Qiniseka ukuthi ikhaya lakho ligcwele ukudla nezithasiselo zangemva kokuhlinzwa ezituswa ngudokotela wakho wokudla.

Ungazifunda kanjani imiphumela yakho ye-BPD-DS?

Impumelelo ngemuva kwe-BPD-DS ilinganiswa ngezindlela eziningi, futhi imiphumela yakho izovela ezinyangeni naseminyakeni kunamaviki. Ukuncipha kwesisindo ngokuvamile kuwumphumela obonakalayo kakhulu, neziguli eziningi zilahlekelwa yi-70-80% yesisindo sabo eseqile phakathi neminyaka emibili yokuqala ngemuva kokuhlinzwa.

Iqembu lakho lezempilo lizolandela intuthuko yakho ngokusebenzisa izivivinyo zegazi ezivamile eziqapha isimo sakho sokudla okunomsoco. Lezi zivivinyo zihlola amazinga kavithamini, amaminerali, namaprotheni ukuqinisekisa ukuthi umzimba wakho uthola okudingayo naphezu kokuncipha kokumuncwa. Izivivinyo ezivamile zihlanganisa uvithamini B12, insimbi, i-calcium, uvithamini D, namazinga amaprotheni.

Uzobona futhi ukuthuthuka ezimweni zempilo ezihlobene nokukhuluphala ngokushesha. Iziguli eziningi zibona ukulawulwa okungcono ushukela wegazi ezinsukwini noma emasontweni ngemuva kokuhlinzwa. Umfutho wegazi ophezulu, i-sleep apnea, nobuhlungu emalungeni ngokuvamile kuthuthuka kakhulu njengoba isisindo sincipha. Udokotela wakho uzoqapha lezi zinguquko ngokusebenzisa ukuhlolwa okuvamile futhi angase alungise imithi uma kudingeka.

Impumelelo yesikhathi eside incike ekuzinikeleni kwakho ezingeni lempilo elidingekayo ngemuva kwe-BPD-DS. Lokhu kufaka phakathi ukudla ukudla okuncane, okunothile ngamaprotheni, ukuthatha izithasiselo zansuku zonke, nokuya ekuqokweni okulandelayo njalo. Iziguli ezinamathela kulezi ziqondiso ngokuvamile zigcina ukulahlekelwa kwazo isisindo nokuthuthuka kwempilo iminyaka eminingi.

Ungayiphatha kanjani ukudla kwakho okunomsoco ngemuva kwe-BPD-DS?

Ukuphatha ukudla kwakho okunomsoco ngemuva kwe-BPD-DS kudinga ukuzibophezela kwempilo yonke nokunaka ngokucophelela lokho okudlayo nokwengeza. Uhlelo lwakho olusha lokugaya ukudla lumunca izakhamzimba ezimbalwa kakhulu, ngakho-ke uzodinga ukwenza konke ukuluma kubaluleke futhi uthathe amavithamini namaminerali nsuku zonke.

Ukudla kwakho kuzothuthuka ezigabeni eziningana ezinyangeni ezimbalwa zokuqala ngemuva kokuhlinzwa. Ekuqaleni, uzodla uketshezi olucacile kuphela, bese uqhubekela kancane kancane ekudleni okuhlanzekile, ukudla okuthambile, futhi ekugcineni ukuthungwa okuvamile. Lokhu kuthuthuka ngokuvamile kuthatha amasonto angu-8-12 futhi kuvumela isisu sakho ukuthi silulame kahle.

Uma usufinyelele esigabeni sokudla okuvamile, uzogxila ekudleni ukudla okunothile ngamaprotheni kuqala kukho konke ukudla. Hlela ukuthola amagremu angu-80-100 wamaprotheni nsuku zonke emithonjeni efana nenyama engenamafutha, izinhlanzi, amaqanda, nemikhiqizo yobisi. Njengoba isisu sakho sincane kakhulu, uzodla ukudla okuncane okungu-6-8 usuku lonke kunokuba kube kathathu okukhulu.

Izithasiselo zansuku zonke zibaluleke kakhulu ngemva kwe-BPD-DS. Ukwelashwa kwakho okujwayelekile cishe kuzohlanganisa i-multivitamin enamandla aphezulu, i-calcium enovithamini D, insimbi, uvithamini B12, novithamini oncibilikayo ngamafutha (A, D, E, K). Ithimba lakho lokunakekelwa kwezempilo lizolungisa lezi zithasiselo ngokusekelwe emiphumeleni yakho yokuhlolwa kwegazi okuvamile ukuvimbela ukuntula.

Ziyini izinzuzo ze-BPD-DS?

I-BPD-DS inikeza eminye yemiphumela yokulahlekelwa isisindo esikhulu nesihlala isikhathi eside kunanoma yisiphi isayensi yokuhlinzwa ye-bariatric. Iziguli eziningi zilahlekelwa yi-70-80% yesisindo sazo eseqile futhi zigcina lokhu kulahlekelwa isikhathi eside uma zilandela izinguquko zokuphila ezinconyiwe.

Le nqubo isebenza kahle ikakhulukazi ekuxazululeni isifo sikashukela sohlobo 2, ngocwaningo olukhombisa amazinga okuxolelwa angama-90% noma ngaphezulu. Iziguli eziningi zinganciphisa noma ziyeke ngokuphelele imithi yazo yesifo sikashukela ezinyangeni ezimbalwa ngemva kokuhlinzwa. Lokhu kuthuthukiswa kwesifo sikashukela kuvame ukwenzeka ngaphambi kokulahlekelwa isisindo okukhulu, okusikisela ukuthi ukuhlinzwa kushintsha indlela umzimba wakho oqhubula ngayo ushukela.

Ngokungafani nokunye ukuhlinzwa kokulahlekelwa isisindo, i-BPD-DS ikuvumela ukuthi udle izingxenye zokudla ezijwayelekile ngemva kokuthi uselaphekile. Ngenkathi uzodinga ukudla amanani amancane kunangaphambi kokuhlinzwa, ngeke uzizwe uvinjelwe njengoba kunjalo ngezindlela zokuvimbela kuphela. Lokhu kungenza ukudla kube lula ukukulandela isikhathi eside.

Le nqubo futhi iphatha ngempumelelo ezinye izimo ezihlobene nokukhuluphala. Umfutho wegazi ophezulu, i-sleep apnea, i-cholesterol ephezulu, nobuhlungu bamalunga kuvame ukuthuthuka kakhulu noma kulungiswe ngokuphelele. Iziguli eziningi zithola ukuthi zinamandla amaningi, ukuhamba okungcono, kanye nekhwalithi yokuphila ethuthukisiwe ngemva kokulahlelelwa isisindo.

Ziyini izingozi nezinkinga ze-BPD-DS?

I-BPD-DS ukuhlinzwa okuyinkimbinkimbi okuthwala kokubili izingozi zokuhlinzwa ngokushesha kanye nezinkinga zesikhathi eside okufanele uziqonde ngaphambi kokwenza isinqumo sakho. Ngenkathi izinkinga ezinzima zingavamile, ukuyinkimbinkimbi kwale nqubo kusho ukuthi izingozi ziphezulu kunezindlela zokuhlinzwa zokulahlekelwa isisindo ezilula.

Izingozi eziphuthumayo zokuhlinzwa zihlanganisa ukopha, ukutheleleka, nezinkinga nge-anesthesia ezingenzeka kunoma yikuphi ukuhlinzwa okukhulu. Ngokuqondene ne-BPD-DS, kunengozi yokuvuza lapho udokotela ohlinzayo wakho enza khona ukuxhumana okusha ohlelweni lwakho lokugaya ukudla. Lokhu kuvuza kungaba kubi futhi kungadinga ukuhlinzwa okwengeziwe ukuze kulungiswe.

Izinkinga zesikhathi eside zihlobene kakhulu nezinguquko ezinkulu endleleni umzimba wakho ogaya ngayo izakhamzimba. Nazi izinto ezinkulu okufanele uziqaphele:

• Ukungondleki kwamaprotheni kungase kwenzeke uma ungadli amaprotheni anele noma ungathathi izithasiselo ezifanele
• Ukuntuleka kwamavithamini namaminerali, ikakhulukazi i-B12, insimbi, i-calcium, namavithamini ancibilika emafutheni
• Isifo samathambo ngenxa yokungagayeki kahle kwe-calcium nevithamini D
• I-Anemia ngenxa yokuntuleka kwensimbi ne-B12
• Ukunyakaza kwamathumbu okuvame, okuxekethile okungaba nzima ukukulawula
• I-Dumping syndrome, ebangela isicanucanu nohudo ngemva kokudla ukudla okuthile

Lezi zinkinga zivame ukuvikeleka ngokudla okunomsoco okufanele, izithasiselo, nokulandelela njalo kwezokwelapha. Nokho, zidinga ukuqapha impilo yakho yonke nokuzibophezela ohlelweni lwakho lokunakekelwa kwezempilo.

Ubani ongumuntu ofanelekayo we-BPD-DS?

I-BPD-DS ngokuvamile inconyelwa abantu abakhuluphele kakhulu abahlangabezana nezindlela ezithile zezokwelapha futhi babonise ukuzibophezela okudingekayo ezingeni lempilo yabo yonke. I-BMI yakho kufanele ibe ngu-40 noma ngaphezulu, noma i-35 noma ngaphezulu ngezimo zezempilo ezihlobene nokukhuluphala ezinjengesifo sikashukela noma umfutho wegazi ophezulu.

Abantu abafanelekayo ngokuvamile yilabo abaye bazama ezinye izindlela zokunciphisa umzimba ngaphandle kwempumelelo ehlala njalo. Kufanele ube nempilo ngokomzimba eyanele ukuhlinzwa okukhulu futhi ulungiswe ngokomzwelo ngezinguquko ezinkulu zokuphila ezidingekayo ngemva kwalokho. Lokhu kuhlanganisa ukuzimisela ukuthatha izithasiselo zansuku zonke, ukuya ekuqokweni okulandelayo njalo, nokushintsha ngokuphelele imikhuba yakho yokudla.

Iqembu lakho lezempilo lizobuye licabange ngeminyaka yakho, ngoba odokotela abaningi abahlinzayo bakhetha iziguli ezineminyaka ephakathi kwengu-18 nengu-65. Kodwa-ke, iminyaka yobudala yodwa ayisikho isizathu sokungafaneleki uma unempilo. Kuzodingeka ukuthi ukhombise ukuthi uyaqonda izingozi nezinzuzo zenqubo futhi unamalungelo aqotho mayelana nemiphumela.

Ezinye izinto zingakwenza ungafaneleki ku-BPD-DS. Lokhu kufaka phakathi ukusetshenziswa kwezidakamizwa okusebenzayo, izimo zempilo yengqondo ezingelashwa, izimo ezithile zezokwelapha ezenza ukuhlinzwa kube yingozi kakhulu, noma ukungakwazi ukuzibophezela ekunakekelweni okulandelayo okudingekayo. Udokotela wakho ohlinzayo uzohlola isimo sakho ngasinye ngokucophelela.

Kwenziwani ngesikhathi sokululama kwe-BPD-DS?

Ukwelulama ku-BPD-DS ngokuvamile kuhilela ukuhlala esibhedlela izinsuku eziyi-2-4, nakuba ezinye iziguli zingase zidinge isikhathi eside uma kuvela izinkinga. Ngesikhathi sokuhlala kwakho esibhedlela, ithimba lakho lezokwelapha lizogada ubuhlungu bakho, likusize ukuthi uqale ukuhamba, futhi liqale ukwethula uketshezi olucacile.

Amasonto ambalwa okuqala ekhaya agxila ekupholiseni nasekuzivumelaniseni nesistimu yakho entsha yokugaya ukudla. Uzo landela ukudla okuqinile oketshezi ekuqaleni, bese uqhubeka kancane kancane uye ekudleni okuthambile phakathi kwamasonto angu-6-8. Ubuhlungu buvame ukulawuleka ngemithi enqunyiwe, futhi iziguli eziningi zingakwazi ukubuyela emisebenzini elula phakathi nesonto.

Ukwelulama okuphelele kuthatha izinyanga eziningana, abantu abaningi bakwazi ukubuyela emisebenzini ejwayelekile ngemva kwamasonto angu-6-8. Uzoqokwa njalo ukuze ulandelele ukuphola kwakho, ulungise ukudla kwakho, futhi uhlole isimo sakho sokudla okunomsoco ngokusebenzisa ukuhlolwa kwegazi. Lokhu kuqokwa kubalulekile ekubambeni noma yiziphi izinkinga ekuqaleni.

Ukuzivumelanisa ngokomzwelo kungaba kubaluleke njengokululama ngokomzimba. Iziguli eziningi ziba nezinguquko ezisheshayo ebudlelwaneni bazo nokudla kanye nesithombe somzimba wazo. Amaqembu okusekela, ukwelulekwa, nokuhlala uxhumene nethimba lakho lezempilo kungakusiza ukuthi uzulazule kulezi zinguquko ngempumelelo.

Ungalahlekelwa isisindo esingakanani nge-BPD-DS?

I-BPD-DS ngokuvamile ikhiqiza ukuncipha kwesisindo okumangalisayo kunanoma yikuphi ukuhlinzwa kwe-bariatric, lapho iziguli eziningi zilahlekelwa yi-70-80% yesisindo sazo eseqile phakathi neminyaka emibili yokuqala. Ngokwesibonelo, uma ukhuluphele ngamakhilogremu ayi-100, ungalindela ukulahlekelwa ngamakhilogremu angama-70-80.

Ukuncipha kwesisindo kwenzeka ngokushesha ngonyaka wokuqala, lapho iziguli eziningi zilahlekelwa yi-60-70% yesisindo sazo eseqile ngalesi sikhathi. Izinga lokuncipha kwesisindo libe selihamba kancane kodwa liyaqhubeka, lapho ukuncipha kwesisindo okuphezulu kuvame ukutholakala ngemuva kwezinyanga eziyi-18-24 ngemuva kokuhlinzwa.

Imiphumela yakho yomuntu ngamunye izoncika ezintweni eziningana, okuhlanganisa isisindo sakho sokuqala, iminyaka, izinga lomsebenzi, nokuthi ulandela kahle kangakanani izincomo zokudla nendlela yokuphila. Iziguli ezinamathela eduze nemigomo yazo yamaprotheni, zithatha izithasiselo zazo, futhi zihlale zisebenza zivame ukulahlekelwa isisindo esiningi futhi sizigcine kangcono.

Ukugcinwa kwesisindo sesikhathi eside kuhle kakhulu nge-BPD-DS uma kuqhathaniswa nokunye ukuhlinzwa kokulahlekelwa isisindo. Izifundo zibonisa ukuthi iziguli eziningi zigcina i-60-70% yokulahlekelwa kwazo isisindo eseqile ngisho neminyaka eyi-10 ngemuva kokuhlinzwa, uma ziqhubeka nokulandela izincomo zethimba labo lezempilo.

Kufanele umbone nini udokotela ngemuva kwe-BPD-DS?

Ukunakekelwa okulandelayo okuvamile kubalulekile ngemuva kwe-BPD-DS, futhi akufanele neze weqe ama-aphoyintimenti ahleliwe ngisho noma uzizwa ulungile. Ithimba lakho lezempilo ngokuvamile lizofuna ukukubona ngemuva kwamasonto ama-2, amasonto ayi-6, izinyanga ezi-3, izinyanga ezi-6, bese kuthi ngonyaka ngamunye impilo yakho yonke.

Nokho, kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezithile zokuxwayisa. Ubuhlungu obukhulu besisu, ukuhlanza okuqhubekayo, ukungakwazi ukugcina uketshezi phansi, noma izimpawu zokuphelelwa amanzi emzimbeni zidinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kungase kubonise izinkinga ezinzima njengokuvaleka kwamathumbu noma ukuvuza.

Kufanele futhi ufune ukunakekelwa kwezokwelapha ngokushesha uma uqaphela izimpawu zokuntuleka kokudla okunomsoco, ngisho noma zibonakala zithambile. Lokhu kungabandakanya ukukhathala okungavamile, ukulahlekelwa izinwele, izinguquko embonweni, ukuba ndikindiki noma ukuluma ezandleni zakho noma ezinzwaneni zakho, noma ubunzima bokugxila. Ukungenelela ngokushesha kungavimbela lezi zinkinga ukuthi zingabi zimbi.

Unganqikazi ukuxhumana nethimba lakho lezempilo uma ukhathazeka ngezinguquko zokudla noma unenkinga engokomzwelo yokujwayela indlela yakho entsha yokuphila. Bangahlinzeka ngezinsiza, ukudluliselwa kokwelulekwa, noma izinguquko ohlelweni lwakho lokwelashwa ukukusiza uphumelele.

Imibuzo evame ukubuzwa mayelana ne-BPD-DS

Q.1 Ingabe i-BPD-DS iyaguquleka?

I-BPD-DS ithathwa njengenqubo engapheli futhi ayiguquleki kalula njengokunye ukuhlinzwa kokulahlekelwa isisindo. Ukuhlinzwa kuhilela ukususa ingxenye enkulu yesisu sakho, okungenakuthathwa indawo. Ngenkathi kungenzeka ngokobuchwepheshe ukuguqula ingxenye yokuhamba kwamathumbu, lokhu kungadinga okunye ukuhlinzwa okukhulu okunezingozi ezinkulu.

Ukuqina kwe-BPD-DS kungenye yezizathu zokuthi kungani ithimba lakho lezempilo lizohlola ngokucophelela ukulungela kwakho inqubo. Bafuna ukuqinisekisa ukuthi uqonda ukuzibophezela kwempilo yonke okudingekayo futhi ulungiselelwe izinguquko ezingapheli ohlelweni lwakho lokugaya ukudla.

Q.2 Ungakhulelwa ngemva kwe-BPD-DS?

Yebo, ungaqala ukukhulelwa okunempilo ngemva kwe-BPD-DS, kodwa kudinga ukuhlela nokugadwa ngokucophelela. Odokotela abaningi batusa ukulinda okungenani izinyanga eziyi-18-24 ngemva kokuhlinzwa ngaphambi kokuzama ukukhulelwa, okuvumela isisindo sakho ukuthi sizinzile futhi umzimba wakho ujwayele izinguquko.

Ngesikhathi sokukhulelwa, uzodinga ukunakekelwa okukhethekile ukuze uqinisekise ukuthi wena nomntwana wakho nithola ukudla okunomsoco okwanele. Ithimba lakho lezempilo lizogada eduze amazinga akho kavithamini namaminerali futhi lingashintsha izithasiselo zakho. Abesifazane abaningi baba nokukhulelwa okuphumelelayo ngemva kwe-BPD-DS, nakuba uzodinga ukuhlolwa okuvamile kunabesifazane abangazange bahlinzwa.

Q.3 Ithatha isikhathi esingakanani ukuhlinzwa kwe-BPD-DS?

I-BPD-DS ngokuvamile ithatha amahora angu-3-4 ukuqedela, okwenza kube ngolunye lokuhlinzwa okuthatha isikhathi eside kokunciphisa isisindo. Isikhathi esiqondile sincike ekwakhekeni komzimba wakho, kunoma yiziphi izinkinga eziphakamayo ngesikhathi sokuhlinzwa, kanye nolwazi lukahlinzwa wakho ngale nqubo.

Ukuhlinzwa kuvame ukwenziwa nge-laparoscopically kusetshenziswa ukusikeka okuncane, okusiza ukunciphisa isikhathi sokululama naphezu kobunzima benqubo. Kwezinye izimo, udokotela ohlinzayo angase adinge ukuguqukela ekuhlinzweni okuvulekile uma ehlangabezana nobunzima obungalindelekile, okungase kwelule isikhathi sokusebenza.

Q.4 Yikuphi ukudla okufanele ukugweme ngemva kwe-BPD-DS?

Ngemva kwe-BPD-DS, uzodinga ukugwema ukudla okunoshukela omningi namafutha, njengoba lokhu kungabangela i-dumping syndrome - isimo esibangela isicanucanu, ukuqaqamba, kanye nohudo. Ukudla okufana namaswidi, amakhukhi, u-ayisikhilimu, nokudla okuthosiwe ngokuvamile akuvunyelwe noma kufanele kudliwe ngamanani amancane kakhulu.

Uzodinga futhi ukuqapha ngokudla okunefayibha njengemifino eluhlaza nenyama eqinile engase ibe nzima ukuyigaya ngesisu sakho esincane. Udokotela wakho wokudla uzohlinzeka ngohlu olubanzi lokudla okufanele ukugweme futhi akusize ukuthi uhlele ukudla okunikeza umsoco owudingayo ngenkathi ugwema izimpawu ezingakhululekile.

Q.5 I-BPD-DS ibiza malini?

Izindleko ze-BPD-DS ziyahlukahluka kakhulu kuye ngendawo yakho, isibhedlela, udokotela ohlinzayo, kanye nomshwalense wakho. Izindleko eziphelele ngokuvamile zisuka ku-$20,000 kuya ku-$35,000, okuhlanganisa izimali zokuhlinza, izindleko zesibhedlela, nezindleko ze-anesthesia.

Izinhlelo eziningi zomshwalense zihlanganisa ukuhlinzwa kwe-bariatric, okuhlanganisa i-BPD-DS, uma uhlangabezana nemibandela yabo yokudingeka kwezokwelapha. Kodwa-ke, ukumbozwa kuyahlukahluka kakhulu, futhi kungase kudingeke ukuthi uqedele izidingo ezithile njengezinhlelo zokunciphisa isisindo eziqondisiwe noma ukuhlolwa kwengqondo. Xhumana nenkampani yakho yomshwalense ekuqaleni kwenqubo ukuze uqonde ukumbozwa kwakho nezindleko eziphuma ephaketheni.