Ziyini Izindleko Zokuthola Ukuhlinzwa Kwemetaboliki eTurkey?

Ukulinganiselwa kokusebenza kufanele kube yinjongo ye ukuhlinzwa komzimba (Ukuhlinzwa Kwesifo Sikashukela) eTurkey. Lokhu kungafezwa kuphela ngokusebenzisa i-ileum-indased appetizing hormone neuropeptide ekuqaleni kwenqubo yokondla. Uma amasiginali we-saturation saturation aphela amandla noma efika sekwephuze kakhulu, lowo muntu angadla ngokweqile kuze kube yilapho ukugcwala komzimba kunesimo.

Ukumelana ne-insulin, umfutho wegazi ophakeme, ukwanda kwe-cholesterol, kanye noshukela osheshayo kanye ne-cholesterol enhle konke kuyizimpawu zesifo se-metabolic syndrome, esibangelwa ukukhuluphala okuphakathi (HDL). Kukhona ukuxhumana okuqinile phakathi kohlobo 2 sikashukela nokukhuluphala; cishe abantu abangama-80% abakhuluphele nabo bakhuluphele, njengoba kunjalo cishe ngama-40% alabo abanesifo sikashukela nohlobo 2 lwesifo sikashukela.

I-Metabolic syndrome ichazwa njengomuntu ohlangabezana okungenani nalezi zindlela ezintathu ezilandelayo.

- Abesilisa banomjikelezo okhalweni ongaphezu kuka-102 cm, kanti abesifazane banomjikelezo okhalweni ongaphezu kuka-88 cm.

- Izinga leTriglyceride lingu-150 mg / dL noma ngaphezulu

- I-cholesterol ye-LDL yabesilisa ingaphansi kuka-40 mg / dl, kuyilapho i-cholesterol yamantombazane i-LDL ingaphansi kuka-50 mg / dl.

Umfutho wegazi ophezulu (> 130 /> 85 mmHg) 

Ushukela wegazi ophakeme (> 110 mg / dL) 

Ingabe kukhona umehluko ekuhlinzeni umzimba kohlobo 1 nohlobo 2 sikashukela?

Yebo kunjalo. Uhlobo 1 kanye nohlobo 2 sikashukela yizifo ezimbili ezihlukene. Kusifo sikashukela sohlobo 1, ayikho i-insulin ekhiqizwayo. Uhlobo lwesifo sikashukela sohlobo lwe-2, ngakolunye uhlangothi, lubangela umzimba ukuthi ukhiqize i-insulin kodwa ungakwazi ukusisebenzisa. Singasiza kuphela iziguli ezinesifo sikashukela sohlobo 2. Lokho wukuthi, sivumela umzimba ukuthi usebenzise i-insulin oyikhiqiza ngokwemvelo.

Ingabe inqubo yokwelashwa okuhlinzekwayo yesifo sikashukela sohlobo 2 iyadingeka njengoba ukwelashwa kwendabuko kungasebenzi?

Uhlobo lwesifo sikashukela esingu-2 yisifo esihlukahlukene futhi esinamandla esithonywe ukuhlukahluka okuhlukahlukene. Kuyinqubo engabandakanyi ama-hormonal kuphela, kepha futhi nokuhlukahluka kwemizwa, kwengqondo, kanye nokuhlukahluka kwemvelo. Ukudla nokuvivinya umzimba kuyizisekelo zokwelashwa kwendabuko. Bambalwa abantu, noma kunjalo, abangazibophezela enkambisweni yokufaneleka impilo yabo yonke. Kuzo zonke izifundo, iphesenti leziguli ezikwazi ukugcina ukudla okunempilo nokuzivocavoca ezingeni elidingekayo lingaphansi kuka-5%. 

Futhi izindlela zokwelapha zikwazi ukulawula ushukela wegazi usuku nosuku, hhayi ukushintsha ukuqhubeka kwesifo. Sidinga ukusebenzisa izindlela zokwelapha ezinamandla kakhulu, kodwa ezingezwakali kangako, zokulwa nohlobo 2 lwesifo sikashukela kanye nokulimala komzimba nokulahleka kokusebenza kwabasebenzi.

Kwenziwa Kanjani Ukwelashwa Kokuhlinzwa Kohlobo Lwesifo Sikashukela eTurkey?

Uhlobo Lokuhlinzwa Ukwelashwa Kwesifo Sikashukela eTurkey kungenziwa ngezindlela ezahlukahlukene, kuya ngesimo sesiguli. Ukuhlinzwa ngamakhemikhali kungcono kunokuhlinzwa nge-bariatric uma isiguli sikhuluphele ngokweqile. Uma zonke izingqinamba ze-metabolic kucatshangwa ukuthi zibangelwa yisifo sikashukela, kukhethwa enye yezinqubo zokufakwa kwe-ileal noma izinqubo ze-transit bipartisan. Zombili lezi zindlela zinezindlela ezifanayo, kepha izindlela zazo zokusebenza zehlukile. Ukuthintana kwengxenye yamathumbu nokudla, okukhuthaza ukukhiqizwa kwe-insulin, kuyiswa phambili ekuhlinzweni kwe-ileal interposition. 

Ingxenye yamathumbu evimbela i-hormone insulin ihanjiswa ekugcineni. Kuyenzeka ukuxoxa ngenqubo ephumelela kakhulu yokwehliswa kokumuncwa usebenzisa le ndlela. Ngaphezu kwalokho, ngenxa yokuthi ingxenye yamathumbu omunwe ayishumi nambili ayitholakali, ukuxhumana kwemfihlo ehlukile ye-pancreatic ne-bile nokudla kubambezelekile. Ishadi lokugeleza kwamathumbu lishintshiwe kunokufakwa kokudla ekuhlinzweni kweTransit bipartisan. Ukudla kusetshenzwa ngokushesha lapho kwenziwa ezinye izindlela ezimbili. Lokhu kukhulisa uketshezi lwe-insulin ngenkathi kufihlwa ukusilela kwamavithamini namaminerali.

Ngoba izinqubo ze-metabolic zivumela ukusetshenziswa kwe-insulin esivele ikhona emzimbeni kepha engeke isetshenziswe nganoma iyiphi indlela, amanyikwe wesiguli kufanele akhiqize i- “insulin” ukuze ngoba Ukwelashwa Okuhlinzwa Kwesifo Sikashukela Sohlobo 2 eTurkey ukusebenza. Le misebenzi ngeke isebenze uma ingekho i-insulin emzimbeni. Olunye ucwaningo lungasisiza ukuthi siqonde izinqolobane zomuntu ze-insulin. Ngenxa yezivivinyo, kuzocaca ukuthi ukufanele yini ukuhlinzwa.

Mayelana nalokhu, iyini imiphumela yokuhlinzwa komzimba?

Into ebaluleke kakhulu ukuqinisekisa ukuthi isiguli sinohlobo lwesifo sikashukela 2. Kodwa-ke, lokhu akwenele. Isiguli kufanele sibe nezindawo zokugcina ezanele ze-insulin, kanye nokusebenza komzimba okwanele nomsebenzi. Ngaphezu kwalokho, ama-hormone okumelana asuselwa kwizicubu ezinamafutha kufanele abe muhle, futhi izinto ezibangela ukulimala kumaseli akhiqiza i-insulin kufanele zibe sezingeni elijwayelekile. Vele, into ebaluleke kakhulu okufanele uyicabangele ngaphambi kokuthatha isinqumo ngokuhlinzwa komzimba eTurkey ngukuthi isiguli kufanele singakwazi ukulawula ushukela wegazi laso noma ezinye izingxenye zesifo se-metabolic syndrome ngaphandle kokuhlinzwa. 

Cishe ku-90% weziguli, ukulawulwa kokugula kungagcinwa okungenani iminyaka eyishumi.

Uyini umehluko phakathi kwe-sleeve gastrectomy kanye nokuhlinzwa komzimba?

Ukuhlinzwa kwe-sleeve gastrectomy uhlobo lokuhlinzwa kwe-bariatric olwenziwa kubantu abakhuluphele ngokweqile kepha abanayo i-metabolic syndrome. I-Metabolic syndrome ingazibonakalisa ngesimo soshukela ophakeme wegazi nomfutho wegazi ophakeme. Lawa ma-syndromes we-metabolic aphathwa ngokuhlinzwa komzimba. Ukuhlinzwa kwe-Bariatric kungenziwa futhi nge-Metabolic Surgery uma isiguli sikhuluphele ngokweqile.

Ziyini izindleko zokwelapha uhlobo lwesifo sikashukela eTurkey?

Izizathu zezindleko ezinkulu zokuhlinzwa kwesifo sikashukela zifaka imishini ehlukile edingekayo kule nqubo yobuchwepheshe obuphakeme, kanye neqiniso lokuthi isiguli kufanele silaliswe esibhedlela isikhathi eside, sidinga ukunakekelwa okunamandla usuku olulodwa. Ukuhlinzwa kwesifo sikashukela, okwaziwa nangokuthi ukuhlinzwa komzimba, kuyinqubo engalawula ukusebenza kwazo zonke izitho zesiguli futhi ithuthukise kakhulu izinga lazo lempilo, ngakho-ke akulindelekile ukuthi kuyabiza futhi. Ngoba Thayipha i-2 sikashukela kunomthelela omubi ezithweni nasempilweni yesiguli. Kangangokuthi uma uhlobo lwesifo sikashukela luyekwa lungalashwa, lubeka izingozi ezinkulu njengokuhlaselwa yinhliziyo, isifo sohlangothi, ukwehluleka kwezinso, kanye nempilo ethembele kumshini we-dialysis.

Izindleko zokuhlinzwa kweMetabolic zohlobo lwesifo sikashukela e-2 eTurkey iqala kusuka ku- € 3,500. Xhumana nathi ukuthola isilinganiso somuntu siqu. 

Kungani kufanele iTurkey ikhethelwe Ukwelashwa Kokuhlinzwa Okuhlinziwe Isifo Sikashukela Sohlobo 2?

I-Turkey ingelinye lamazwe anezinketho ezinokwethenjelwa futhi ezahlukahlukene kakhulu ze Thayipha Ukwelashwa Okuhlinzwa Nge-2 Kwesifo Sikashukela. Odokotela abahlinzayo abanokuhlangenwe nakho, izinqubo zokwelashwa ezifanele, izindawo ezihlonyiswe kahle, futhi-ke, izindleko zokwelashwa ezinengqondo zonke izizathu ezizwakalayo zokuvakashela iTurkey.