Nzira dzinoverengeka dzokuvhima-kurasika zvinowanikwa pakurapa kwevamwe varwere vane kuneta. Nepo dzimwe dzedzimwe nzira idzi dzave dzichiita kwemakumi emakore, kuti dzinogona kuwirirana sei uye dzinokanganisa utano hwepfungwa hwevarwere vane hupenzi hwakanga husina kudzidza zvakadzama. Kuongorora kwezvinowanikwa mabhuku iri kuedza kuchinja izvozvo, zvisinei.
Chii Chinonzi Bariatric Surgery?
Izwi rokuti "chirongwa chebhaatric" rinoshandisa nzira dzakawanda dzekuvhiya dzakagadzirwa kuti dzishandise kuneta uye kuvhiya zvinokonzera kuora muviri. Izvi zvinosanganisira gastric overpass , gastric banding , uye gastric sleeve (sleeve gastrectomy), pakati pezvimwe, izvo zvakagadzirirwa kurapwa kwekuneta kuneta.
Ndiani Anonzi Bhatiric Surgery?
Maererano nehutano hwekunyanyisa hwakabudiswa neAmerican Heart Association (AHA), American College of Cardiology (ACC), uye The Obesity Society (TOS), chirwere chemaitiro chinogona kuve sarudzo yevarwere vakura vanotarisana nedzimwe nzira.
Izvi zvinosanganisira muviri mashoma index (BMI) ye 40 kana kupfuura, kana BMI ye 35 kana mukuru kune mumwe murwere ane zvimwe zvirwere (zvinonzi "comorbid conditions") zvinokonzerwa nokuneta.
Kuwedzera kwekuwedzera kwekutungamirirwa komiti hauna kuwana hukwani hwakakwana hwokurudzira chirongwa chemajeri kune varwere vane BMIs vanowa pasi pematsetse aya.
Nhungamiro iyi inokurudzira vanachiremba vanonyanya kutarisira uye vamwe vanotarisira varwere vane hutano hwakanyanya nepamusoro BMI kuedza "kurapa maitiro kana pasina pharmacotherapy" kutanga, uye zvino kana izvi zvisati zvashanda pamwe chete nezvimwe kudya uye mararamiro emitambo yekuwana kukwana kurasikirwa kwakakwana, bariatric kuvhiyiwa kunogona kufungwa.
Bariatric Surgery Impact Mental Health?
A meta-analysis iyo yakarongedza mabhuku ekuvhiya aive aripo akawana mabhuku makumi matanhatu nemapfumbamwe akaparidzira nezvehutano hwepfungwa mumamiriro ekushandiswa kweBaratric.
Maererano nevanyori vekudzidza, "Pakati pevarwere vachitsvaga uye vari kuitirwa chirongwa cheraatric, mamiriro ehutano ehutano hwepfungwa ... ainge aora mwoyo uye aine binge kudya chirwere ."
Kunyanya, 19 muzana yevarwere vakawanikwa vane kuora mwoyo uye 17% vakawanikwa vane binge kudya chirwere.
Kunyange zvazvo kusaora mwoyo kana kuderedza chirwere chekudya kwakawanikwa kunogara ichibatanidzwa nekusiyana kwezvinhu zvinorema mushure mekuvhiyiwa, zvinoratidzika kuti chirongwa chebhaatric pachavo chaive nemigumisiro yakanaka kuvarwere vane kuora mwoyo.
Vatsvakurudzi vakaona kuti chirwere chemajini chakange chichibatanidzwa nekuderera kwehuwandu hwekuora mwoyo mushure mekushanda. Kuvhiyiwa kweBariatric kwaibatanidzawo nekuderera kwekuoma kwezviratidzo zvekuora mwoyo.
Vanyori vekudzidza vakagumisa kuti "hutano hwepfungwa hunojairika pakati pevarwere vanovhiya varwere-kunyanya, kuora mwoyo uye kubata chirwere chekudya." Vakatarisawo kutsigira kwe "sangano pakati pekuvhiyiwa nevana uye zvishoma kuderera kwekuora mwoyo pashure pokuvhiya [mushure mekuvhiyiwa]."
Sources:
Dawes AJ, Maggard-Gibbons M, Maher AR, et al. Mamiriro ehutano hwepfungwa pakati pevarwere vari kutsvaga uye vari kuitirwa chirongwa chebhanatric: meta-analysis. JAMA 2016; 315: 150-163.
Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA / ACC / TOS nhungamiro yehutungamiri hwehuwandu hwehuwandu hwehuwandu hwevanhu nekurema kwevanhu vakuru: mushumo weAmerican College of Cardiology / American Heart Association Task Force pamitungamiri yeOkudzidzira uye The Obesity Society [yakabudiswa paIndaneti Musi wa27, 2013]. J Am Coll Cardiol.
Jensen MD, Ryan DH. Nhungamiro itsva yekutapudza: vimbiso uye zvigone. JAMA 2014; 311: 23-24.