Kuchepetsa thupi komwe mungataye ndi opaleshoni ya lap band. Kuchita opaleshoni kumatha kubweretsa kuchepa kwakukulu ndikukhala wathanzi. Komabe, palinso chiopsezo cha zovuta zina nthawi zina. Pambuyo pa ndondomekoyi, muyeneranso kusintha zambiri kuti mupewe mavuto am'mimba ndi zofooka. Chifukwa chake, chisamaliro chabwino pambuyo pa opareshoni ndikofunikira.
Kodi ndichepetsa motani?
KU: Kuchepetsa thupi kumasiyana malinga ndi wodwala ndi wodwala, ndipo kuchuluka kwa kulemera kwanu kumatengera zinthu zingapo. Gulu liyenera kukhala pamalo oyenera ndipo muyenera kudzipereka pamoyo wanu watsopano komanso kadyedwe katsopano. Opaleshoni ya kunenepa kwambiri si mankhwala ozizwitsa, ndipo mapaundi samachoka paokha. Ndikofunikira kwambiri kuti mukhale ndi zolinga zotheka kuyambira kale.
N'zotheka kukwaniritsa kulemera kwa mapaundi awiri kapena atatu pa sabata chaka choyamba pambuyo pa opareshoni, koma mwachidziwikire mudzataya mapaundi sabata. Nthawi zambiri, miyezi 12 mpaka 18 kuchokera opareshoni, kuonda msanga kumabweretsa mavuto azaumoyo ndipo kumatha kubweretsa zovuta zingapo. Cholinga chachikulu ndikupeza kuchepa thupi komwe kumalepheretsa,
Kodi zotsatira zakuchepetsa thupi zimayerekezeredwa bwanji ndi zotsatira za opaleshoni yam'mimba?
KU: Madokotala ochita opaleshoni anena kuti odwala opita opaleshoni ya m'mimba amataya thupi mwachangu mchaka choyamba. Pofika zaka zisanu, komabe, ambiri LAP-BAND odwala akwanitsa kulemera kofanana ndi komwe odwala omwe amachitidwa opaleshoni yam'mimba.
Ganizirani za kuchepa kwakanthawi kwakanthawi ndikumbukira kuti ndikofunikira kutero pang'onopang'ono ndikuchepetsa zovuta zomwe zimakhudzana ndi kunenepa ndikusintha thanzi lanu.
Opaleshoni yochiza kunenepa kwambiri
PantherMedia / belchonock
Kwa anthu omwe ali ndi kunenepa kwambiri kapena zovuta monga matenda ashuga, opareshoni itha kukhala njira yochepetsera kulemera kwakanthawi kochepa - mwachitsanzo, kuchepetsa m'mimba. Njira zoterezi zimatchedwa kuti bariatric (kuyambira baros, Greek: weight) kapena kunenepa kwambiri. Kuchotsa mafuta m'thupi si njira yothandizira kunenepa kwambiri, chifukwa kumakhudza kalori komanso kudya ndipo kumayenderana ndi zoopsa. Kuphatikiza apo, sizinawonetsedwe kuti zikuwongolera thanzi.
Malinga ndi malingaliro apano azachipatala, opareshoni ndi njira ngati
- BMI idatha 40 (grade 3 ya kunenepa kwambiri) kapena
- BMI ili pakati pa 35 ndi 40 (grade 2 obesity) ndipo palinso matenda ena monga matenda ashuga, matenda amtima kapena kugona tulo.
Monga lamulo, kulowererapo kumangoganiziridwa ngati zoyesayesa zina zolephera sizinapambane - mwachitsanzo, ngati pulogalamu yolemetsa yoperekera upangiri wazakudya ndi masewera olimbitsa thupi sizinapangitse kuti muchepetse thupi. Kwa anthu ena, opaleshoni imatha kukhalanso yothandiza osayesa kaye kuonda, mwachitsanzo BMI imodzi yoposa 50 kapena zovuta zazikulu.
Posankha kapena pokana kuchitapo kanthu, ndikofunikira kulingalira mosamala zaubwino ndi zovuta zake. Opaleshoni ya kunenepa kwambiri imatha kubweretsa kuchepa kwakukulu, kukhala ndi thanzi labwino komanso moyo wabwino. Amathandizanso pama comorbidities, makamaka matenda ashuga, Kugona tulo komanso kuthamanga kwa magazi. Koma amathanso kubweretsa zovuta zosiyanasiyana ndipo amakhala ndi zotsatira pamoyo wawo wonse. Kuphatikiza apo, ngati muchepetsa thupi mwachangu kwambiri, muyenera kuyembekezera kuti ziphuphu zidzapangika.
Kutsatira ndondomekoyi, kusintha kwa moyo wautali, monga zakudya, komanso kuwunika pafupipafupi kumafunika. Anthu ambiri amachepetsanso kunenepa patatha zaka zingapo atachitidwa opaleshoni ya kunenepa kwambiri.
Kodi maopaleshoni angathandize bwanji kunenepa kwambiri?
Maopaleshoni osiyanasiyana am'mimba amatha kugwiritsidwa ntchito pochiza kunenepa kwambiri. Njira zomwe amagwiritsidwa ntchito kwambiri ndi izi:
- Pulogalamu ya gulu la m'mimba : Mimba yamangirizidwa ndi bandeji yotanuka kuti isathenso kuyamwa chakudya chochuluka ndipo wakhuta msanga. Izi zitha kusinthidwa.
- the sleeve gastrectomy (kukulunga m'mimba) : Apa, m'mimba mwa opareshoni amachepetsa, kuti athe kuchepetsa mphamvu yake.
- ya kudutsa m'mimba : Izi zidzafupikitsidwa kuphatikiza pakuphatikizira kwam'mimba kwam'mimba, kuti thupi lisagwire chakudya.
Kuchotsa m'mimba ndi opaleshoni yam'mimba kumayambitsanso kusintha kwa mahomoni komwe kumachepetsa chilakolako ndikuthandizira kagayidwe kake, komwe kumathandizanso ku matenda ashuga.
Kuchepetsa thupi kwapangitsa anthu ambiri kumva kuti ali athanzi atachita izi. Kuchita masewera olimbitsa thupi komanso masewera ndizosavuta komanso zosangalatsa. Pambuyo pa opaleshoniyi, ambiri amalandira mayankho abwino komanso opindulitsa kuchokera kwa iwo owazungulira. Anthu ena amanenanso kuti kuyambira opareshoni yawo amadzimva kuti ndi olimba mtima komanso amakwaniritsidwa pogonana.
Kodi maubwino ndi zovuta za gulu la m'mimba ndi ziti?
Gulu la m'mimba limapanikizika m'mimba ndikupanga kukhala laling'ono. Amapangidwa ndi silicone ndipo amaikidwa mozungulira pakhomo la m'mimba mu mphete. Izi zimapanga nkhalango yaying'ono yomwe singathenso kudya chakudya chochuluka, kuti mumve msanga msanga.
Kutsekemera kwa m'mimba: njira yovuta kwambiri yochitira opaleshoni
Gulu la m'mimba limadzaza ndi mchere wamchere motero limatha kukhala locheperako kapena lokulirapo pambuyo poti opareshoni: madzi amatha kutsanulidwa kapena kuwonjezeredwa kudzera mu chubu mothandizidwa ndi syringe. Kufikira kwake (doko) kumamangiriridwa pansi pa khungu ndipo kumakhala ngati kukula kwa ndalama. Mwachitsanzo, ngati musanza chifukwa chapamimba chimakhala cholimba, mutha kuchilimbitsa.
Gulu la m'mimba ndi njira yovuta kwambiri yochitira opaleshoni. Chifukwa chakuti m'mimba ndi mundawo m'mimba simusintha, pamakhala zovuta zochepa zopezera michere. Ndikothekanso kuchotsa gulu la m'mimba kachiwiri, potero kumasintha njirayi. Chifukwa chake ndi njira ina yabwino, makamaka kwa atsikana omwe akufuna kukhala ndi ana. Komabe, nthawi zina mutha kulumikizana kumakhala kovuta kuchotsa gulu la m'mimba.
Nthawi zambiri, thupi limachepetsedwa pozungulira 10 mpaka 25% mchaka choyamba mutayika gulu la m'mimba. Mwamuna yemwe ali wamtali 1.80 mita ndi 130 kilograms atha kuchepa makilogalamu 10 mpaka 30 kulemera. M'chaka chachiwiri ndi chachitatu pambuyo pa ndondomekoyi, kulemera kwake kumatha kuchepa pang'ono.
M'maphunziro ofananizira, kumangiriza m'mimba sikunali kothandiza kuposa opaleshoni yamanja yam'mimba kapena opaleshoni yopita m'mimba. Nthawi zina kuonda sikokwanira. Kenako gulu la m'mimba limatha kuchotsedwa ndikuchitidwa opaleshoni yochepetsa m'mimba.
Zotsatira zoyipa zamagulu am'mimba zimaphatikizapo kutentha pa chifuwa ndi kusanza, mwachitsanzo ngati gulu la m'mimba ndilolimba kwambiri. Gulu la m'mimba amathanso kuterera, kukula, kapena kung'ambika. Nthawi zina zimayenera kusinthidwa kapena kuchotsedwa chifukwa. M'maphunziro, pafupifupi anthu 8 pa 100 omwe adachitidwa opaleshoni yamagulu am'mimba adayamba kukhala ndi vuto. Mpaka anthu 45 mwa 100 aliwonse adzagwiranso ntchito nthawi ina - mwachitsanzo chifukwa sanatayike mokwanira kapena vuto la gastric band lachitika.
Kodi maubwino ndi zoyipa zake za opaleshoni yamanja yam'mimba ndi ziti?
Ndikuchepetsa m'mimba, pafupifupi magawo atatu mwa magawo atatu am'mimba amadulidwa ndikuchotsedwa. Chifukwa mawonekedwe am'mimba ndiye amafanana ndi chubu, njirayi nthawi zina imatchedwa opaleshoni yamanja yam'mimba.
Opaleshoni yamanja yam'mimba
Pambuyo pochepetsa m'mimba, anthu omwe onenepa kwambiri amataya pafupifupi 15 mpaka 25% ya kulemera kwawo mchaka choyamba. Kwa bambo yemwe ali wamtali mita 1.80 ndikulemera makilogalamu 130, izi zitha kutanthauza kuti atha kuyembekezera kuchepa kwa makilogalamu 20 mpaka 30 pambuyo pa opareshoni.
Kuchepetsa m'mimba kumatha kukhala ndi zovuta zina: Ngati mwadya mopitirira muyeso, mutha kumva kutentha pamtima kapena kusanza. Zovuta zimatha kuchitika nthawi ya opareshoni kapena itatha: Mwachitsanzo, ma suture opangira opaleshoni m'mimba amatha kutuluka ndipo angafunike kuchitidwa opaleshoni ina. M'maphunziro, pafupifupi anthu 9 mwa anthu 100 adakumana ndi zovuta nthawi kapena opaleshoni; 3 mwa 100 adayenera kuchitidwanso opaleshoni. Osachepera 1 mwa anthu 100 adamwalira ndi maopareshoni kapena zovuta.
Kuchepetsa m'mimba sikungasinthe. Ngati munthu wonenepa kwambiri sanataye thupi lokwanira pambuyo pa opaleshoni yamanja yam'mimba, kulowererapo kwina kungachitike pambuyo pake, monga kulambalala kwa m'mimba.
Kodi maubwino ake ndi zovuta zake zodutsa m'mimba ndi ziti?
Kudutsa m'mimba kumatenga nthawi yambiri komanso kovuta kuposa kumangiriza m'mimba kapena opaleshoni yamanja yam'mimba. Dzinalo limachokera ku mawu achingerezi akuti (Bypassing), chifukwa chakudyacho sichimayendanso m'mimba monse ndi m'matumbo ang'ono, koma chimangowatsogolera.
Pogwira ntchito, gawo laling'ono la m'mimba (pafupifupi mamililita 20) limadulidwa. Izi zimapanga thumba lomwe limalumikizana ndi matumbo ang'onoang'ono olumikizidwa. Mimba yonse yotsala idasokedwa ndipo siyalumikizananso ndi kholingo. Chakudyacho chimadutsa molunjika kuchokera m'thumba la m'mimba lomwe lakhala m'matumbo ang'onoang'ono.
Kotero kuti timadziti ta m'mimba kuchokera mu ndulu, kapamba ndi m'mimba zotsalira zitha kupitilirabe kulowa m'matumbo, chapamwamba m'matumbo ang'onoang'ono pamalo ena pakatikati pamimba Matumbo ang'onoang'ono amalumikizidwa.
Kudutsa m'mimba
Zofanana ndi opaleshoni yam'mimba, kafukufuku akuwonetsa kuti anthu onenepa kwambiri amakhala ndi zolemera pafupifupi 15 mpaka 25% mchaka choyamba pambuyo pochita opaleshoni ya m'mimba. Izi zimachitika mwachangu. Kulemera kwake kumakhala kotsika chaka chimodzi kapena ziwiri zitachitika.
Malinga ndi zomwe tikudziwa pano, kudutsa m'mimba kumapangitsa kuti muchepetse kunenepa nthawi yayitali kuposa njira zina. Kupyola pamimba kumathandiza makamaka pama comorbidities monga.
Zotsatira zoyipa ndi zoopsa zogwira ntchito
Zotsatira ziwiri zanthawi yayitali zodutsa m'mimba ndizoyambirira komanso mochedwa zotaya syndromes. Ndi matenda otaya msanga, chakudya chambiri chosagayidwa chimalowa m'matumbo ang'onoang'ono mwachangu. Thupi limayesetsa kuchepetsa zakudya zachilendo ndipo mwadzidzidzi madzi ambiri amayenda kuchokera mumitsempha yamagazi kupita m'matumbo aang'ono. Timadzimadzi timeneti sitipezeka m'magazi ndipo kuthamanga kwa magazi kumatsika. Izi zitha kubweretsa kugona, nseru, kupweteka m'mimba ndi thukuta. Matenda otaya msanga amayamba makamaka atadya zakudya zopatsa shuga kwambiri, nthawi zambiri mkati mwa mphindi 30 kuchokera pamenepo.
Munthawi yocheperako yotaya matenda, thupi limatulutsa insulini yochulukirapo yomwe idatulutsa Hypoglycaemia ndi madandaulo monga chizungulire, kufooka ndi thukuta. Zitha kuchitika ola limodzi kapena atatu mutadya, makamaka mukadya zakudya zopatsa mphamvu kwambiri.
Zowopsa za opaleshonizi ndi zipsera m'matumbo aang'ono, zotupa zamkati ndi zotumphukira pamagulu atsopano pakati pamimba ndi matumbo. Zovuta zonsezi zimafunikira kuchitidwa opaleshoni ina. M'maphunziro, anthu 12 pa 100 anali ndi zovuta; Anthu 5 mwa 100 adayenera kuchitidwa opareshoni.
Mavuto owopseza moyo samachitika nthawi ya opareshoni kapena milungu ingapo pambuyo pake. Mwachitsanzo, poyizoni wamagazi amatha kuchitika ngati chimodzi mwazinthu zolumikizira zatsopano chikutuluka ndipo m'mimba mulowa m'mimba. M'maphunziro, ochepera munthu m'modzi mwa anthu 100 adamwalira pakuchitidwa opareshoni kapena chifukwa chazovuta zochitidwa opaleshoni ya m'mimba.
Kodi opareshoniyo imakonzedwa motani?
Pakatha milungu ingapo kuti muchite opaleshoni, nthawi zambiri amalimbikitsidwa kuti muchepetse kunenepa kudzera muzakudya kapena mankhwala. Izi zikuyenera kuti zikhale zosavuta kuchita opaleshoniyo, mwazinthu zina chifukwa imafinya chiwindi pang'ono ndikuthandizira kugwira ntchito yolumikizana pakati pam'mimba ndi m'mimba.
Kuyesedwa kosiyanasiyana kudzachitika opaleshoni isanachitike kuti zitsimikizire kuti palibe zifukwa zachipatala zotsutsira izi. Izi zikuphatikiza mayeso osiyanasiyana a labotale, gastroscopy ndi ultrasound yamimba. Kuyezetsa magazi kumathandizanso - mwachitsanzo, ngati pali vuto lakudya lomwe lingakhale ndi zifukwa zamaganizidwe.
Ndi opaleshoni iti yomwe ndiyabwino kwa ine ndipo imagwira ntchito bwanji?
Ndi ntchito iti yomwe imaganiziridwa kutengera zomwe mukuyembekezera komanso kuwunika kwanu zaubwino ndi zoyipa zake, mwazinthu zina, zaumoyo, kulemera ndi matenda omwe angakhale nawo. Zochitikazo zitha kuthandizanso pakupanga chisankho. Ndizomveka kufunafuna chithandizo kwa madokotala omwe akudziwa njira yomwe agwiritsidwira ntchito. Malo ochiritsira omwe ali ovomerezeka ndi Germany Society for General and Visceral Surgery (DGAV) a opaleshoni ya kunenepa kwambiri amakwaniritsa zofunikira zapadera ndi zida ndi mankhwalawa.
Ntchito za kunenepa kwambiri tsopano zachitika endoscopically (zochepa kwambiri). Pochita opaleshoni yocheperako, opareshoniyo imachitika mothandizidwa ndi ma endoscopes apadera omwe amalowetsedwa m'mimba kudzera pamalingaliro ang'onoang'ono a laparoscopy). Opaleshoni yotseguka siyofala.
Kukhala mchipatala masiku ochepa kumakhala kofunikira kuchitidwa opaleshoni yocheperako pang'ono.
Kodi ndiyenera kusintha bwanji moyo wanga nditatha opaleshoni?
Pambuyo pa opaleshoniyi, mungafunikire kupewa chakudya cholimba kwa milungu ingapo. Kutengera ndi njirayi, mumangodya madzi (mwachitsanzo madzi ndi msuzi) kenako ndi zakudya zofewa (monga yogati, mbatata yosenda, mbatata yosenda). Pakatha milungu ingapo, zakudya zolimba zimayambitsidwa pang'onopang'ono kuti zizitenganso m'mimba ndi m'matumbo.
Pambuyo pa opaleshoniyi, upangiri wazakudya ndikofunikira kuti mupewe mavuto am'mimba monga kutentha pa chifuwa, kupweteka m'mimba, nseru, ndi kusanza. Kutengera mtundu wa opareshoni, kungakhale kofunikira
- kudya magawo ang'onoang'ono ,
- kudya pang'onopang'ono ndi kutafuna bwino,
- osamwa ndi kudya nthawi yomweyo , popeza m'mimba mulibe mphamvu zokwanira zonse ziwiri. Ndibwino kuti musamamwe mphindi 30 musanadye komanso mutadya.
- Pewani zakudya zokhala ndi mafuta ndi shuga ambiri chifukwa zimatha kubweretsa zovuta m'mimba. Makamaka pambuyo pochita opaleshoni ya m'mimba, zakudya zokhala ndi shuga wambiri zimatha kubweretsa zovuta zoyipa chifukwa chotaya matenda. Izi ndi monga, maswiti, timadziti ta zipatso, kola ndi ayisikilimu.
- Imwani mowa pang'ono , monga momwe thupi limatha kuyamwa mofulumira kwambiri. Izi ndizowona makamaka pambuyo pochita opaleshoni yam'mimba.
Zakudya zamagetsi pambuyo pa opareshoni
Pambuyo pa opaleshoni ya kunenepa kwambiri, makamaka m'mimba pochita opaleshoni, gawo logaya chakudya limatha kukhala ndi Mavitamini ndipo salinso kuyamwa michere bwino. Pofuna kupewa zofooka, m'pofunika kutenga zowonjezera zakudya m'moyo. Izi zimaphatikizapo, mwachitsanzo calcium ndi vitamini D kukhalabe ndi mafupa komanso osteoporosis isanateteze - komanso vitamini B12, Folic acid, Iron, selenium ndi zinc, zomwe ndizofunikira pakupanga magazi ndi chitetezo chamthupi, mwa zina.
Pofuna kuteteza ku kusowa kwa zidziwitso, kuyesa magazi nthawi zonse kumalimbikitsidwanso, koyambirira pakatha miyezi isanu ndi umodzi ndipo kamodzi pachaka. Pali ochepa omwe ali ndi gulu la m'mimba Zakudya zowonjezera zowonjezera zofunika kuposa zam'mimba zam'mimba komanso zodutsa m'mimba.
Palinso chiopsezo kuti thupi lidzatayanso minofu kuwonjezera pa mafuta. Pofuna kupewa izi, tikulimbikitsidwa kuti muzidya zakudya zamapuloteni komanso kuchita masewera olimbitsa thupi pafupipafupi.
Zotsatira zodzikongoletsera
Kuchepetsa thupi nthawi zambiri kumayambitsa khungu. Makanda akhungu ndi ziphuphu zakugwa zakuzindikira amadziwika kuti ambiri ndiosawoneka bwino komanso opanikiza. Ena angakonde atalimbitsa khungu lawo pambuyo pake, koma inshuwaransi yazaumoyo imangolipira pakakhala zovuta zamankhwala kapena kupsinjika kwamaganizidwe. Mwachitsanzo, zikopa zazikulu za khungu zimatha kubweretsa matenda kapena zotupa. Kusamalira khungu kotero ndikofunikira. Ntchito yapadera iyenera kupangidwa kuti ipeze mtengo wa opareshoni yolimbitsa khungu.
Ndingalankhule ndi ndani ndisanapange lingaliro langa?
Opaleshoni ya kunenepa kwambiri ndi njira yayikulu yomwe imafuna kusintha kwakanthawi m'moyo ndi moyo watsiku ndi tsiku. Chifukwa chake musanachite izi, ndizomveka kuti mufufuze zotsatira zake. Mndandanda wa mafunso ukhoza kuthandizira kukonzekera upangiri.
Ndikofunika kukambirana zaubwino ndi zovuta za njira zosiyanasiyana zochitira opaleshoni komanso zosintha pambuyo pochitidwa opaleshoni ndi akatswiri omwe amadziwa bwino zamankhwala. Izi zikuphatikiza akatswiri odziwa za kadyedwe, akatswiri azakudya komanso njira zina zamankhwala, ma psychotherapists ndi zipatala pakuchita opaleshoni ya kunenepa kwambiri. Magulu othandiza amathandizira, mwachitsanzo, kuyankha mafunso okhudza kutumiza fomu yofunsira ku kampani ya inshuwaransi yazaumoyo.
Mafunso omwe angakhalepo ndi awa:
- Kodi opareshoni ndiyotheka kwa ine ndipo ngati ndi choncho, iti?
- Kodi zoopsa zake ndi zoyipa zake ndi ziti?
- Kodi mwayi wopambana ndi wabwino bwanji? Kodi muyenera kuchitanso kangati?
- Kodi ndichepera chiyani chomwe ndingayembekezere nditagwira?
- Ndi Zabwino Ziti Zaumoyo Zomwe Ndingayembekezere?
- Kodi ndingasinthe bwanji zakudya zanga ndikatha opaleshoni?
- Ndi zakudya ziti zomwe sindingathenso kuzipirira pambuyo pa opareshoni?
- Ndi Zakudya zowonjezera ziti zomwe ndikufunika kuti ndikwaniritse zosowa zanga ndikatha opaleshoni?
- Kodi amafunikira kangati pambuyo pa opareshoni?
- Ndani azindisamalira pambuyo pa opaleshoniyi?
Anthu samalandira thandizo ndi uphungu nthawi zonse asanachitike kapena atachitidwa opaleshoni. Izi zitha kubweretsa ziyembekezo zabodza kenako zovuta kumoyo watsiku ndi tsiku. Mabungwe othandizira amathandizanso kupeza njira zothandizira.
Kodi muyenera kusamala ndi chiyani ngati mukufuna kukhala ndi ana?
Kwenikweni, mayi amatha kukhala ndi pakati ndikukhala ndi mwana wathanzi pambuyo pa opaleshoni ya kunenepa kwambiri. Ngati mukufuna kukhala ndi ana, komabe, ndikofunikira kulankhula ndi dokotala wanu za zoopsa zomwe zingachitike - mwachitsanzo, ngati mayeso owonjezera kapena zowonjezera Zakudya ndizofunikira kuti mupewe kusowa kwazotheka. Mimba nthawi zambiri siyamvomerezeka m'miyezi khumi ndi iwiri yoyambirira atachitidwa opareshoni, popeza thupi limachepa kwambiri panthawiyi ndipo mwana wosabadwa sangapeze zakudya zokwanira.
Kodi kampani yanga ya inshuwaransi ya zaumoyo idzalipira opaleshoni yam'mimba?
Mwakutero, makampani a inshuwaransi yalamulo atha kulipira mtengo wakuchita kunenepa kwambiri. Kuti muchite izi, pempholi liyenera kuperekedwa kaye ndi dokotala, kuphatikiza satifiketi yachipatala. Kuti ntchitoyo ivomerezedwe, zofunika zina ziyenera kukwaniritsidwa:
- Kuchita opaleshoniyi ndikofunikira kuchipatala ndipo njira zina zamankhwala zayesedwa popanda kuchita bwino.
- Matenda ochiritsira omwe amatsogolera kunenepa kwambiri sanasankhidwe. Izi zimagwira ntchito, mwachitsanzo, ku chithokomiro chosagwira ntchito kapena adrenal cortex.
- Sitiyenera kukhala ndi zifukwa zofunika zachipatala zotsutsana nazo. Izi zikuphatikizapo, mwachitsanzo, mavuto azaumoyo omwe amachititsa kuti opaleshoni ikhale yoopsa; mimba; Kuledzera kapena kumwa mowa mwauchidakwa komanso matenda amisala omwe atha kukupangitsani kukhala kovuta kusintha zina pambuyo pa opareshoni.
Muyeneranso kuwonetsa kufunitsitsa kuchita masewera olimbitsa thupi okwanira komanso kudya mokwanira pambuyo pa opaleshoniyi. Kuti muchite izi, nthawi zambiri mumalemba kalata yolimbikitsira ndi zikalata zingapo pofunsira kubweza ndalama. Izi zikuphatikiza, mwachitsanzo, ziphaso zakuchita nawo mapulogalamu ochepetsa thupi kapena upangiri wa zakudya, zolemba za chakudya ndi satifiketi yotenga nawo mbali pamasewera amasewera.
Zamkatimu
- Kodi ndichepetsa motani?
- Kodi zotsatira zakuchepetsa thupi zimayerekezeredwa bwanji ndi zotsatira za opaleshoni yam'mimba?
- Opaleshoni yochiza kunenepa kwambiri
- Kodi maopaleshoni angathandize bwanji kunenepa kwambiri?
- Kodi maubwino ndi zovuta za gulu la m'mimba ndi ziti?
- Kodi maubwino ndi zoyipa zake za opaleshoni yamanja yam'mimba ndi ziti?
- Kodi maubwino ake ndi zovuta zake zodutsa m'mimba ndi ziti?
- Zotsatira zoyipa ndi zoopsa zogwira ntchito
- Kodi opareshoniyo imakonzedwa motani?
- Ndi opaleshoni iti yomwe ndiyabwino kwa ine ndipo imagwira ntchito bwanji?
- Kodi ndiyenera kusintha bwanji moyo wanga nditatha opaleshoni?
- Zakudya zamagetsi pambuyo pa opareshoni
- Zotsatira zodzikongoletsera
- Ndingalankhule ndi ndani ndisanapange lingaliro langa?
- Kodi muyenera kusamala ndi chiyani ngati mukufuna kukhala ndi ana?
- Kodi kampani yanga ya inshuwaransi ya zaumoyo idzalipira opaleshoni yam'mimba?
- Malangizo osavuta omwe amakuthandizani kuti mukhale odekha pamavuto
- Mukuvutika ndi mabere oyabwa? Izi zikhoza kukhala zoyambitsa
- Kodi Amayi Oyembekezera Amatha Kudya Ng'ombe Yamafuta?
- Kodi Mungatenge Mimba Ndi Matenda A Bakiteriya?
- JAW ZOKHUMBUTSA PAMBUYO PA ZIGAZO - Fufuzani Zomwe Muyenera Kuchita
- Kodi Amayi Apakati Angagwiritse Ntchito Kutentha Kwambiri?