Moyo pambuyo pa opaleshoni yochepetsa thupi

Mwinamwake mwangoyamba kumene kuganizira za opaleshoni yochepetsa thupi. Kapenanso mwina mudapanga kale chisankho chakuchitidwa opareshoni. Kuchita opaleshoni yochepetsa thupi kungakuthandizeni:

• Kuchepetsa thupi
• Kupititsa patsogolo kapena kuthetsa mavuto ambiri azaumoyo
• Sinthani moyo wanu
• Khalani ndi moyo wautali

Ndikofunika kumvetsetsa kuti padzakhala zosintha zina zambiri m'moyo wanu. Izi zikuphatikiza momwe mumadyera, zomwe mumadya, nthawi yomwe mumadya, momwe mumadzionera nokha, ndi zina zambiri.

Kuchita opaleshoni yochepetsa thupi si njira yophweka. Mudzafunikirabe kugwira ntchito molimbika kudya zakudya zabwino, kuwongolera kukula kwa magawo, ndi kuchita masewera olimbitsa thupi.

Mukamachepetsa thupi mwachangu m'miyezi itatu kapena isanu ndi umodzi yoyamba, mutha kumva kutopa kapena kuzizira nthawi zina. Muthanso kukhala ndi:

• Kupweteka kwa thupi
• Khungu louma
• Kutayika tsitsi kapena kupatulira tsitsi
• Khalidwe limasintha

Mavutowa akuyenera kutha thupi lanu likayamba kuzolowera ndipo kulemera kwanu kumakhala kolimba. Ndikofunika kuti muzitsatira malingaliro a dokotala wanu pakudya mapuloteni okwanira komanso kumwa mavitamini.

Mutha kukhala achisoni mutachitidwa opaleshoni yochepetsa thupi. Chowonadi cha moyo pambuyo pa opaleshoni sichingafanane ndendende ndi chiyembekezo chanu kapena zoyembekezera musanachite opaleshoni. Mutha kudabwitsidwa kuti zizolowezi zina, malingaliro, malingaliro, kapena nkhawa zimakhalapobe, monga:

• Mumaganiza kuti simudzasowa chakudya mukadzachitidwa opaleshoni, ndipo chidwi chofuna kudya zakudya zopatsa mphamvu kwambiri chitha.
• Mumayembekezera kuti abwenzi ndi abale anu azikusamalirani mosiyanasiyana mutataya thupi.
• Mukuyembekeza kuti chisoni kapena mantha omwe mudali nawo atha pambuyo pakuchitidwa opaleshoni ndikuchepetsa thupi.
• Mumasowa miyambo ina monga kudya chakudya ndi anzanu kapena abale, kudya zakudya zina, kapena kudya ndi anzanu.

Zovuta, kapena kuchira pang'onopang'ono kuchokera kuchipatala, kapena maulendo onse otsatirawa atha kutsutsana ndi chiyembekezo choti zonse zidzakhala bwino ndikophweka pambuyo pake.

Mukhala pachakudya chamadzimadzi kapena chotsukidwa kwa milungu iwiri kapena itatu mutachitidwa opaleshoni. Mudzawonjezera pang'onopang'ono zakudya zofewa kenako zakudya zanthawi zonse pazakudya zanu. Muyenera kuti mukudya zakudya wamba milungu 6.

Poyamba, mudzakhala wokhuta msanga, nthawi zambiri mukangolumidwa pang'ono chakudya chotafuna. Cholinga chake ndikuti thumba lanu lam'mimba latsopano kapena malaya am'mimba azikhala ndi chakudya chochepa mutangochitidwa opaleshoni. Ngakhale thumba lanu kapena malaya anu ali okulirapo, mwina sangakhale ndi chikho chimodzi (240 milliliters) cha chakudya chodyafunidwa. Mimba yabwinobwino imatha kukhala ndi makapu anayi (1 lita) ya chakudya chomwe chimatafunidwa.

Mukamadya chakudya chotafuna, kuluma kulikonse kuyenera kutafunidwa pang'onopang'ono komanso kwathunthu, mpaka nthawi 20 kapena 30. Chakudya chiyenera kukhala chosalala kapena chotsuka musanameze.

• Kutsegulira kwa thumba lanu latsopano lam'mimba kudzakhala kocheperako. Chakudya chosatafunidwa bwino chikhoza kutsekereza kutsegulaku ndipo chingakupangitseni kusanza kapena kumva kuwawa pansi pa chifupa chanu.
• Chakudya chilichonse chimatenga mphindi 30.
• Muyenera kudya zakudya zazing'ono zisanu ndi chimodzi tsiku lonse m'malo mwazakudya zitatu zazikulu.
• Muyenera kupewa zokhwasula-khwasula pakati pa chakudya.
• Zakudya zina zimatha kupweteketsa kapena kusokoneza mukamadya ngati sizimatafunidwa bwino. Izi ndi monga pasitala, mpunga, buledi, ndiwo zamasamba, kapena nyama, ndi zakudya zilizonse zowuma, zomata, kapena zomata.

Muyenera kumwa magalasi okwanira 8 amadzi kapena zakumwa zina zomwe sizikhala ndi zopatsa mphamvu tsiku lililonse.

• Pewani kumwa chilichonse mukamadya, komanso kwa mphindi 60 musanadye kapena mutadya. Kukhala ndi madzi m'thumba lanu kumatsuka chakudya ndikutulutsa njala.
• Monga chakudya, muyenera kumwa pang'ono pang'ono osamwa.
• Musagwiritse ntchito mapesi chifukwa amabweretsa mpweya m'mimba mwanu.

Kuchita opaleshoni yochepetsa thupi kumatha kukuphunzitsani kudya pang'ono. Koma opaleshoni ndi chida chabe. Muyenerabe kupanga zisankho zoyenera pazakudya.

Pambuyo pa opareshoni, adotolo, namwino, kapena wazakudya zimakuphunzitsani za zakudya zomwe mungadye komanso zomwe muyenera kupewa. Ndikofunikira kutsatira zomwe mumadya. Kudya makamaka mapuloteni, zipatso, ndiwo zamasamba, ndi mbewu zonse ikadali njira yabwino yochepetsera thupi ndikupewera.

Muyeneranso kusiya kudya mukakhuta. Kudya mpaka mutakhuta nthawi zonse kumatha kutambasula thumba lanu ndikuchepetsa kulemera kwanu.

Muyeneranso kupewa zakudya zomwe zili ndi ma calories ambiri. Dokotala wanu kapena wazakudya akhoza kukuwuzani:

• OSADYA zakudya zomwe zimakhala ndi mafuta ambiri, shuga, kapena chakudya.
• MUSAMWE madzi omwe ali ndi ma calories ambiri kapena omwe ali ndi shuga, fructose, kapena madzi a chimanga.
• Musamamwe zakumwa za kaboni (zakumwa ndi thovu).
• MUSAMWE mowa. Lili ndi ma calories ambiri, ndipo silipereka zakudya zabwino.

Ndikofunika kupeza zakudya zonse zofunika popanda kudya ma calories ambiri. Chifukwa chakuchepa msanga, muyenera kusamala kuti mupeze zakudya komanso mavitamini onse omwe mumafunikira mukamachira.

Ngati muli ndi m'mimba kapena opaleshoni yamanja yoyenda, muyenera kutenga mavitamini ndi michere m'moyo wanu wonse.

Muyenera kukayezetsa pafupipafupi ndi dokotala kuti muchepetse kunenepa kwanu ndikuwonetsetsa kuti mukudya bwino.

Mutataya kulemera kwambiri, mutha kuyembekezera kusintha kwa mawonekedwe amthupi lanu. Kusintha kumeneku kumatha kuphatikizira khungu lowonjezera kapena lotupa komanso kutayika kwa minofu. Mukataya kulemera kwambiri, mudzakhala ndi khungu lochulukirapo kapena losauka. Khungu lochulukirapo kapena lowoneka bwino limakonda kuwonekera mozungulira pamimba, ntchafu, matako, ndi mikono yakumtunda. Zitha kuwonetsanso m'chifuwa, m'khosi, kumaso, komanso madera ena. Lankhulani ndi dokotala wanu za zomwe mungachite kuti muchepetse khungu.

American Society for Metabolic and Bariatric Surgery tsamba. Moyo pambuyo pa opaleshoni ya bariatric. asmbs.org/patients/life-after-bariatric-surgery. Idapezeka pa Epulo 22, 2019.

Mechanick JI, Youdim A, Jones DB, ndi al. Maupangiri azachipatala othandizira kuti azigwira ntchito mosalekeza, opatsirana, komanso osathandizira opangira opaleshoni ya bariatric - 2013 pomwe: yothandizidwa ndi American Association of Clinical Endocrinologists, The Obesity Society, ndi American Society for Metabolic & Bariatric Surgery. Kunenepa kwambiri (Silver Spring). 2013; 21 Suppl 1: S1-S27. PMID: 23529939 www.ncbi.nlm.nih.gov/pubmed/23529939.

Richards WO. Kunenepa kwambiri. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 47.