Kurasikirwa kwekureruka kwehuremu, inozivikanwawo kuti chirongwa chechiraatric, ndechimwe chezvokurapa zvinorayirwa zvinorapwa kune vanhu vari kurwisa kuneta. Iyi nzira yokuvhiya haisi yechitsvaga chekurema kwekurema kana nezvekuwana muviri unofadza. Kuvhiyirwa kweBariatric chirwere chokuvhiya chinowanikwa nechinangwa chikuru chekudzoka nekudzivirira hutano hwehutano hwekuneta.
Zvinetso zvekuneta kunosanganisira chirwere cheshuga, chirwere chemoyo, chirwere chepfungwa, uye chirwere . Zvizhinji zvehutano hwehutano hwehutano hunozivikanwa kutungamira kurwisa. Kutaura zvazviri, kurohwa ndiko hupenyu hwakawanda hunoshandura kusawirirana kwekuneta. Vanenge 12 kusvika ku18 kubva muzana yevanhu vanoona chirwere havasi vapenyu apo avo vanopona mukana vane upenyu hupfupi. Inofungidzirwa kuti vanopukunyuka vane chirwere vanosangana nemavhareji emakore gumi nemaviri apfuura rufu . Kurarama semupukunyuka wepuroke zvinowanzoreva makore ekuremara pamwe nekudhura kukuru kwemari yekurohwa .
Kunyange zvakadaro, kuvhiyirwa kweBaratric ndiyo nzira huru yekuvhiya. Kana iwe wakamboona chirongwa che chirongwa chechirwere kana kana chiremba wako akakurudzira kuti utarise mazviri, iwe unofanirwa kuziva zvimwe zvezvinyorwa izvi nezvehukama hwahwo nehutano hwekurohwa.
Chii Chinonzi Bariatric Surgery?
Kuvhiyirwa kweBariatric nekuvhiyiwa kwekureruka kunobata mabasa anoshandiswa anoitwa nemaune kuti aite kukura kwemazivi uye kudzivirira kuwedzera kuwanda.
Iko kune marudzi akawanda ekurema kurasikirwa. Somuenzaniso, gastric bypass ndiyo nzira inobatanidza kuwirirana pakati pemukati muduku uye mudumbu, pakupedzisira zvichiita kuti vashoma makoriyumu akaiswa muviri. Mushure mokunge gastric inpass procedure, zvokudya izvo munhu anodya zvinopinda mudumbu duku mushure mekunge apinda mudumbu.
Dumbu nderekuti zvokudya zvakawanda zvakagadzirirwa kuwanika mumutsipa muduku, saka nguva shoma mukati mudumbu inoguma muchechi makirimu anowanikwa kubva pakudya kusvika mumuviri.
Gastric resection uye gastric sleeve nzira ndezvekuita kurasikirwa kwekureruka kunosanganisira kubvisa chikamu chemuviri kuti chiite shoma. Mushure mokunge gastric passpass, mimba inenge yakaderedzwa muhukuru uye naizvozvo hainzwisisi kudya. Kunyanya kudya mushure mekugadzirisa gastric inpass process kunogona kuguma nekurutsa. Kusadya kudarika kunoreva mashoma emakori, izvo zvinoita kuti uwedzere kuora.
Chimwe chezvimwe zvinowanzoshandiswa zvekuropwa kwebhaatric kune gastric banding. Gastric banding inosanganisira kuisa chikwata kune imwe nzvimbo yemudumbu kuti iite chishuvo chekuzadza - sekunge mudumbu waiva muduku. Iyi manzwiro okuzadza anoguma mushure mekudya zvokudya zvishomanana zvinodzivirira kudya kwekudya. Zvose izvi zvinoshandisa nzira dzekugadzirisa zvinokonzerwa nekoriori uye zvinokonzera kuvirima nekudzivirira kuwedzera kuwanda.
Nzira dzakadai se 'tummy tucks' uye liposuction haisi maitiro ezvokuvhiya zvinonzi kuberekwa kurasikirwa kwekurema kana kuvhiyiwa chirwere. Aya maitiro emitemo anobvisa mafuta kana ganda kubva mumuviri 'kuveza' chimiro nekukura kwemuviri.
Hazvive nemigumisiro yehuwandu hweakoriyori munhu anogona kudya uye haane hutano hwakafanana nehutano hwakarongeka.
Bariatric Surgery Inobatsira Sei Kudzivirira Kurwisa?
Kurema kunobatanidzwa nechiitiko chepamusoro chekurohwa. Nzira ine utano yekuderedza uremu kazhinji kuburikidza nehuwandu hwehupenyu hwekushandura chirongwa chinosanganisira kudya uye kuvhidzira. Kurasikirwa kwehutano kweropa kurasikirwa kunonyanya kukoshesa kuwana mishonga inofanirwa nekudya zvokudya zvinovaka muviri asi zvishoma nezvishoma kuora uremu kuburikidza nekoriori kudziviswa.
Kudzidzira kurerutsa kunotarisa nguva dzose mumitambo yepanyama inoshandisa zviyero, zvakadai sokufamba, kana maitiro aerobic zvakadai sokumhanya kana kuti mabhasikoro.
Vamwe vanhu, zvisinei, havakwanise kurasikirwa nehuwandu hunorema kuburikidza nemararamiro ega voga. Uye, kana munhu ari kunyanya kuwandisa, zvinogona kuva zvakaoma kusvika kuhutano hune utano chete kuburikidza nokudya uye kuita zvekurovedza muviri. Icho chiremera chaicho kana muviri mashoma index (BMI) yakakwana kukonzera zvinetso zveutano zvinogona kusiyana kune vanhu vakasiyana. Mune zvimwe zviitiko, chiremba wako anogona kupa chirwere chekurema kuitira kuti iwe unogona kudzivisa zvinetso zvekuneta zvakadai sekurohwa, uye, zvichienderana nemamiriro ako ezvinhu, chirwere chebhanatric chinogona kukurudzirwa sechisarudzo kwauri.
Bariatric Surgery Zvechokwadi Inobatsira Kudzivirira Sitiroko Here?
Rimwe boka rekutsvakurudza rinosanganisira Cardiovascular Institute kubva kuYunivhesiti yeManchester muUnited States rakagadzira mhinduro yezvidzidzo 14 zvakasiyana pamusoro pemigumisiro ye chirongwa chebhaatric. Nhoroondo yacho yakaratidza kuti paiva ne50 muzana yepamusoro yekufa kwevatori vechikamu avo vaive ne chirongwa chebhaatric uye nengozi yakaderedza zvakanyanya yekurohwa uye kurwadziwa kwemoyo pakati pevatori vechikamu vainge vaine chirongwa che chironga.
Rimwe boka revatsvakurudzi vakaitwa neboka kubva kumayunivhesiti akawanda muUnited States, kusanganisira University of Utah, Yunivhesiti yeAlabama kuBirmingham, Brigham Young University uye Weill Cornell College yeMishonga, yakarondedzera kushanda kwechirongwa chechirongwa chezvirwere zvezvemishonga. Zvigumisiro zvakaratidza kuti varwere vese vaiva ne chirongwa cheraatric vaiva nechiitiko chakanyanya kuderera chekurohwa rufu kana vachienzaniswa nevanhu vaifanana zvakaoma avo vakanga vasina kurasikirwa nekurasikirwa.
Imwe yemigumisiro yokuvhiya yebhaatric yakaderera mukurudzirwa kworudzi rwechipiri chirwere cheshuga mellitus uye kunyange kuchinja kwechirwere cheshuga chevamwe pakati peavo vakatova nacho. Maererano neThe Journal of the American College of Surgeons, varwere vane chirwere chechirwere cheshuga mellitus vane chirongwa cheraatric vakaona kupera kwe 60-80 muzana yezviitiko zvevasculaya zvakadai sokurohwa nemwoyo.
Iko Mari Inobhadhara / Inobatsira Kwazvo Here?
Zvechokwadi, kuvhiya kurasikirwa kwekureruka inzira huru, saka zvakakosha kuongorora kana zvikomborero zvakakosha dambudziko. Kune mimwe migumisiro uye zvinetso zvekurowa kwebhaatric, kusanganisira kusadya, kudya ropa uye kusadya kwemasimoni. Kakawanda, kurerutsa kurasikirwa kwakaratidzwa kudzivirira rufu, uye kudzivirira kushungurudzwa ndicho chikonzero chikuru chekubatsira ikoko. Muzvokwadi, maererano nenhau dzakabudiswa neAmerican Heart Association, makambani ezveshuwarhu ehutano hwezvehutano ari kuwedzera nzira yavanoshandisa pazvinouya pakubhadhara chirongwa chearwaatric.
Kune vamwe vanhu, njodzi dzekurasikirwa kwekureruka dzinokosha zvikuru asi kune vamwe njodzi dzinowedzera kushivirira muchengeti wehutano hunobatsira. Zvichida kana kwete iwe ungadai uri nani pane kuvhiya kurasikirwa kana kushaya nzira yekurasikirwa kunorema pane zvimwe zvinhu zvaunoda kuzokurukura neboka rako rechiremba.
Sources:
Zvose-Cause uye Cause-Specific Mortality Inobatanidza neBariatric Surgery: Ongororo, Adams TD, Mehta TS, Davidson LE, Hunt SC, Raporo yeAtherosclerosis Current, December 2015
Kuvhiyiwa kweBariatric uye zvinokonzerwa nehutano hwehutano nekufa: tsanangudzo yekuongorora uye meta-analysis, Kwok CS, Pradhan A, Khan MA, Anderson SG, Keavney BD, Myint PK, Mamas MA, Loke YK, International Journal of Cardiology, April 2014
Kuvhiyiwa kweBariatric kunobatanidza nekuderedza kwekukura kukuru kwemaitiro macrovascular uye microvascular mumwero kuenzanisa zvikuru varwere vane chirwere chechirwere cheshuga chechipiri, Johnson BL, Blackhurst DW, Latham BB, Cull DL, Bour ES, Oliver TL, Williams B, Taylor SM, Scott JD, Journal of the American College of Surgeons, Kubvumbi 2013