Zakudya pambuyo banding m'mimba
Munali ndi laparoscopic gastric banding. Opaleshoniyi idapangitsa m'mimba mwanu kuchepa potseka gawo m'mimba mwanu ndi gulu losinthika. Pambuyo pa opaleshoni mudzadya chakudya chochepa, ndipo simudzatha kudya msanga.
Wothandizira zaumoyo wanu akuphunzitsani za zakudya zomwe mungadye komanso zakudya zomwe muyenera kupewa. Ndikofunika kutsatira ndondomekoyi.
Mudya chakudya chamadzimadzi kapena choyera kwa masabata awiri kapena atatu mutachitidwa opaleshoni. Mudzawonjezera pang'onopang'ono zakudya zofewa, kenako zakudya zanthawi zonse.
Mukayambanso kudya zakudya zolimba, mudzamva msanga msanga. Kungolira pang'ono chakudya chotafuna kumadzaza. Izi ndichifukwa choti thumba lanu latsopano lam'mimba limangokhala ndi supuni ya chakudya poyamba, pafupifupi kukula kwa mtedza.
Chikwama chanu chimatha kukula pakapita nthawi. Simukufuna kutambasula, choncho musadye zoposa zomwe woperekayo akulangizani. Thumba lanu likakhala lalikulu, silikhala ndi chikho chimodzi (250 milliliters) cha chakudya chomwe chimatafunidwa. Mimba yabwinobwino imatha kukhala ndi makapu opitilira 4 (1 litre, L) wazakudya zotafuna.
Mutha kuonda msanga m'miyezi itatu kapena isanu ndi umodzi yoyambirira mutachitidwa opaleshoni. Munthawi imeneyi, mutha kukhala ndi:
- Kupweteka kwa thupi
- Kumva kutopa ndi kuzizira
- Khungu louma
- Khalidwe limasintha
- Kutayika tsitsi kapena kupatulira tsitsi
Zizindikiro izi ndi zachilendo. Ayenera kuchoka pamene thupi lanu lizolowera kulemera kwanu.
Kumbukirani kudya pang'onopang'ono ndikutafuna kuluma kulikonse pang'onopang'ono komanso kwathunthu. Osameza chakudya mpaka chikhale chosalala. Kutseguka pakati pa thumba lanu latsopano la m'mimba ndi gawo lalikulu la m'mimba ndikochepa kwambiri. Chakudya chosatafunidwa bwino chikhoza kutseka mpata uwu.
- Tengani mphindi 20 mpaka 30 kuti mudye. Ngati musanza kapena mukumva kuwawa pansi pa chifuwa chanu mukamadya kapena mutadya, mwina mukudya msanga.
- Idyani zakudya zazing'ono zisanu ndi chimodzi masana m'malo mwazakudya zitatu zazikulu. Osadya pang'ono pakudya.
- Lekani kudya mukangomva kukhuta.
- Osadya ngati simumva njala.
- Gwiritsani ntchito mbale zing'onozing'ono ndi ziwiya zothandizira kuwongolera kukula kwa magawo.
Zakudya zina zomwe mumadya zimatha kupweteketsa kapena kusokoneza ngati simukuzitafuna kwathunthu. Zina mwa izi ndi pasitala, mpunga, mkate, ndiwo zamasamba zosaphika, ndi nyama, makamaka nyama yang'ombe. Kuonjezera msuzi wonenepa kwambiri, monga msuzi wa msuzi, kungapangitse kuti zikhale zosavuta kukumba. Zakudya zina zomwe zimatha kusokoneza ndi zakudya zouma, monga mbuluuli ndi mtedza, kapena zakudya zopota, monga udzu winawake ndi chimanga.
Muyenera kumwa makapu 8 (ma ola 64), kapena 2 L, amadzi kapena zakumwa zilizonse zopanda mafuta tsiku lililonse:
- Musamwe chilichonse kwa mphindi 30 mutadya. Komanso, musamamwe chilichonse mukamadya. Madziwo amakudzazani, ndipo izi zingakulepheretseni kudya chakudya chokwanira chokwanira. Kapenanso, imatha kudya mafuta ndikulola kuti mudye kuposa momwe muyenera.
- Tengani pang'ono pokha mukamwa. Osamamwa.
- Funsani omwe akukuthandizani musanagwiritse ntchito udzu, chifukwa umatha kubweretsa mpweya m'mimba mwanu.
Muyenera kuwonetsetsa kuti mukupeza zomanga thupi, mavitamini, ndi mchere wokwanira pomwe mukuchepera thupi msanga.Kudya makamaka mapuloteni, zipatso, ndiwo zamasamba, ndi mbewu zonse kumathandiza thupi lanu kupeza michere yomwe imafunikira.
Mapuloteni akhoza kukhala ofunikira kwambiri pazakudya izi. Thupi lanu limafuna mapuloteni kuti apange minofu ndi ziwalo zina za thupi. Kusankha kwama protein ochepa ndi awa:
- Nkhuku yopanda khungu
- Yatsamira ng'ombe kapena nkhumba
- Nsomba
- Mazira athunthu kapena azungu azungu
- Nyemba
- Zakudya za mkaka, zomwe zimaphatikizapo mafuta ochepa kapena osakaniza mafuta, tchizi kanyumba, mkaka, ndi yogurt
Kuphatikiza zakudya ndi kapangidwe kake pamodzi ndi zomanga thupi kumathandiza anthu omwe ali ndi gulu la m'mimba kukhala okhutira kwakanthawi. Izi zimaphatikizapo zinthu monga saladi wokhala ndi nkhuku yophika kapena chotupitsa ndi tchizi chotsika cha lowfat.
Chifukwa chakuti mukudya pang'ono, thupi lanu mwina silingapeze mavitamini ndi michere yokwanira. Wopereka wanu atha kukupatsirani izi:
- Multivitamin ndi chitsulo
- Vitamini B12
- Calcium (1,200 mg patsiku) ndi vitamini D. Thupi lanu limatha kuyamwa pafupifupi 500 mg ya calcium kamodzi. Gawani calcium yanu muyezo wa 2 kapena 3 patsiku.
Muyenera kuyesedwa pafupipafupi kuti muzindikire kunenepa kwanu ndikuwonetsetsa kuti mukudya bwino. Maulendowa ndi nthawi yabwino yolankhula zamavuto aliwonse omwe mumakhala nawo pachakudya chanu, kapena zina zokhudzana ndi opaleshoni yanu ndikuchira.
Werengani zolemba za chakudya kuti mupewe zakudya zopatsa mphamvu kwambiri. Ndikofunika kupeza michere yambiri momwe mungathere osadya ma calorie ambiri.
- Osadya zakudya zomwe zimakhala ndi mafuta ambiri, shuga, kapena chakudya, makamaka zakudya "zosatsitsa". Izi ndi zakudya zomwe zimasungunuka mosavuta kapena zimadutsa mwachangu pagululo.
- Osamwa mowa wambiri. Mowa uli ndi ma calorie ambiri, koma sapereka zakudya. Pewani kwathunthu ngati mungathe.
- Musamwe madzi omwe ali ndi ma calorie ambiri. Pewani zakumwa zomwe zili ndi shuga, fructose, kapena madzi a chimanga.
- Pewani zakumwa za kaboni, monga soda ndi madzi owala. Lolani soda kuti igwere pansi musanamwe.
Ngati mukulemera kapena kuchepa kwanu kukuchepera kuposa momwe mukuyembekezera, dzifunseni kuti:
- Kodi ndikudya zakudya kapena zakumwa zambiri zonenepetsa?
- Kodi ndimadya pafupipafupi?
- Kodi ndikuchita masewera olimbitsa thupi mokwanira?
Opaleshoni banding yam'mimba - zakudya zanu; Kunenepa kwambiri - zakudya mukatha kumangiriza banding; Kuchepetsa thupi - zakudya mukatha kumanga banding
- Chosinthika chapamimba banding
Mankhwala a JI, Apovian C, Brethauer S, et al. Maupangiri azachipatala othandizira kuti azigwiritsa ntchito moperewera kwa thanzi, kagayidwe kachakudya, komanso kathandizidwe ka opaleshoni yopanga opaleshoni ya bariatric-2019 pomwe: yothandizidwa ndi American Association of Clinical Endocrinologists / American College of Endocrinology, the Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association , ndi American Society of Anesthesiologists. Opaleshoni Obes Rel Dis. Chizindikiro. 2020; 16 (2): 175-247. PMID: 31917200 pubed.ncbi.nlm.nih.gov/31917200/.
(Adasankhidwa) Sullivan S, Edmundowicz SA, Morton JM. Opaleshoni ndi endoscopic chithandizo cha kunenepa kwambiri. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 8.
Tavakkoli A, Cooney RN. Kusintha kwama kagayidwe kachakudya pambuyo pa opaleshoni ya bariatric. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 797-801.
- Opaleshoni Yolemera Kunenepa