Munyori: Joan Hall
Zuva Rekusika: 28 Kukadzi 2021
Gadziridza Zuva: 23 Mbudzi 2024
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Vhidhiyo: The EXCRUCIATING Anatomy of Bowel Obstructions

Kuvhiya kwepamuviri kunochinja nzira iyo muviri wako unobata nayo chikafu. Ichi chinyorwa chinokuudza maitiro ekuchinjira kune imwe nzira yekudya mushure mekuvhiyiwa.

Wakave nekuvhiyiwa kwepamuviri. Kuvhiya uku kwakaita kuti dumbu rako rive diki nekuvhara dumbu rako nezvakawanda. Yakachinja mabatiro anoita muviri wako chikafu chaunodya. Uchadya chikafu chidiki, uye muviri wako hautore macalorie ese kubva pachikafu chaunodya.

Anopa hutano hwako anokudzidzisa nezve zvekudya zvaunogona kudya uye chikafu chaunofanirwa kudzivirira. Izvo zvakakosha kuti uteedzere aya madhaidhi malayiti.

Iwe uchadya chikafu chinonwiwa kana chakanatswa kwemasvondo maviri kana matatu mushure mekuvhiyiwa. Iwe unozowedzera zvishoma nezvishoma mune zvakapfava chikafu, wobva wajairwa chikafu.

  • Paunotanga kudya chikafu chakasimba zvakare, iwe unozonzwa kuzara nekukurumidza zvakanyanya pakutanga. Kungorumwa zvishoma kwechikafu chakasimba kunozadza iwe. Izvi zvinodaro nekuti homwe yako nyowani yemudumbu inobata chete chipunu chepuniki yezvokudya pakutanga, nezve saizi yemu walnut.
  • Homwe yako inowedzera kukura nekufamba kwenguva. Iwe haudi kuitambanudza, saka usadya zvinopfuura zvinokurudzirwa nemupi wako. Kana homwe yako iri hombe, haizobate inopfuura inenge 1 mukombe (250 milliliter) yechikafu chakatsengwa. Dumbu rakajairika rinogona kubata zvishoma pamusoro pemikombe mina (1 litre, L) yechikafu chakatsengwa.

Iwe unodzora uremu nekukurumidza pamusoro pemwedzi mitatu kusvika kumitanhatu yekutanga. Munguva ino, unogona:


  • Iva nemaronda emuviri
  • Inzwa kuneta uye kutonhora
  • Iva neganda rakaoma
  • Iva nemafungiro ekuchinja
  • Iva nevhudzi kurasikirwa kana kuonda bvudzi

Zviratidzo izvi zvakajairika. Ivo vanofanirwa kuenda sezvaunotora mamwe mapuroteni uye macalorie sezvo muviri wako uchizojairira yako uremu kurasikirwa.

Rangarira kudya zvishoma uye kutsenga kuruma kwega kwega zvishoma nezvishoma uye zvakakwana. Usamedze chikafu kusvika chatsetseka. Iko kuvhura pakati pehomwe yako nyowani homwe uye ura hwako idiki kwazvo. Chikafu chisina kutsengwa zvakanaka chingavhara kuvhurika uku.

  • Tora kanokwana makumi maviri kusvika makumi matatu maminetsi kuti udye kudya. Kana iwe ukarutsa kana uine marwadzo pasi pechifuva chako panguva kana mushure mekudya, unogona kunge uchidya nekukurumidza.
  • Idya zvitanhatu zvidiki mukati mezuva rese pane kudya kukuru katatu. Usadya chikafu pakati pekudya.
  • Regedza kudya uchingoguta.

Zvimwe zvekudya zvaunodya zvinogona kukonzera marwadzo kana kusagadzikana kana ukasazvitsenga zvachose. Mimwe yeiyi pasta, mupunga, chingwa, miriwo mbishi, uye nyama, kunyanya nyama yemombe. Kuwedzera muto wakaderera-mafuta, muto, kana girafu zvinogona kuita kuti zvive nyore kugaya. Zvimwe zvekudya zvinogona kukonzera kusagadzikana ndezvakaomeswa zvekudya, zvakadai semapopu uye nzungu, kana chikafu chine tambo, senge celery nechibage.


Unofanira kunwa kusvika pamikombe misere (2 L) yemvura kana zvimwe zvinwiwa zvisina macalorie mazuva ese. Tevera aya marongero ekunwa.

  • Usanwa chero chinhu kwemaminitsi makumi matatu mushure mekudya chikafu. Uyezve, usanwa chero chinhu paunenge uchidya. Mvura inozadza iwe. Izvi zvinogona kukutadzisa kubva pakudya chikafu chine hutano chakaringana. Inogona zvakare kukodza chikafu uye kuita kuti zvive nyore kwauri kuti udye zvakanyanya kupfuura zvaunofanira.
  • Tora sips diki kana uchinwa. Usamedzere.
  • Kumbira mupiki wako usati washandisa uswa, nekuti zvinogona kuunza mweya mudumbu rako.

Iwe unozofanirwa kuve nechokwadi kuti iwe uri kuwana zvakakwana mapuroteni, mavitamini, uye zvicherwa apo iwe uri kurasikirwa uremu nekukurumidza. Kudya kazhinji mapuroteni, michero, miriwo, uye zviyo zvakakwana kunobatsira muviri wako kuwana zvinovaka muviri zvainoda.

Mapuroteni anogona kunge ari akakosha pazvikafu izvi mushure mekuvhiyiwa. Muviri wako unoda mapuroteni ekuvaka mhasuru uye mamwe materu emuviri, uye kupora mushe mushure mekuvhiyiwa. Yakaderera-mafuta mapuroteni sarudzo anosanganisira:


  • Huku isina ganda.
  • Yonda nyama yemombe (nyama yakakangwa inoshivirirwa mushe) kana nyama yenguruve.
  • Hove.
  • Mazai ese kana mazai machena.
  • Bhinzi.
  • Zvigadzirwa zvemukaka, izvo zvinosanganisira zvakaderera-mafuta kana zvisina mafuta akaomeswa chizi, kottage chizi, mukaka, uye yogati.

Mushure mekuvhiyiwa kwepamuviri, muviri wako hautore mavitamini akakosha uye mamineral. Iwe unozofanirwa kutora aya mavitamini uye zvicherwa kwehupenyu hwako hwese:

  • Multivitamin nedare.
  • Vhitamini B12.
  • Calcium (1200 mg pazuva) uye vhitamini D. Muviri wako unokwanisa kungotora chete 500 mg yecalcium panguva. Gurai calcium yako muzvikamu zviviri kana zvitatu masikati. Calcium inofanira kutorwa mu "citrate" fomu.

Ungangoda kutora zvimwe zvekuwedzera zvakare.

Iwe unozofanirwa kugara uchiongororwa pamwe neako mupi kuti uchengetedze huremu hwako uye kuve nechokwadi kuti uri kudya zvakanaka. Uku kushanya inguva yakanaka yekutaura nemupi wako nezve chero matambudziko auri kuva nawo nekudya kwako, kana nezve dzimwe nyaya dzine chekuita nekuvhiyiwa kwako uye kupora.

Dzivisa chikafu chine macalorie mazhinji. Izvo zvakakosha kuti utore zvese izvo zvinovaka muviri iwe zvaunoda usingadye zvakawandisa macalorie.

  • Usadye chikafu chine mafuta akawanda, shuga, kana makabhohaidhiretsi.
  • Usanwa doro rakawanda. Doro rine macalorie mazhinji, asi haripe zvinovaka muviri.
  • Usanwa zvinwiwa zvine macalorie mazhinji. Dzivisa zvinwiwa zvine shuga, fructose, kana sirasi yegorosi mavari.
  • Dzivisa zvinwiwa zvine kabhoni (zvinwiwa nemabhuru), kana kuti zviite kuti zvipfuure zvakadzika usati wanwa.

Zvikamu uye hukuru hwekushandira zvichiri kuverenga. Nyanzvi yako yezvokudya kana wezvekudya zvinovaka muviri anogona kukupa iwo mazano ekushandira saizi yezvikafu mune zvaunodya.

Kana iwe ukawedzera huremu mushure mekuvhiyiwa kwepamuviri, zvibvunze kuti:

  • Ndiri kudya zvakawandisa zvine macalorie chikafu kana zvinwiwa here?
  • Ndiri kuwana mapuroteni akakwana here?
  • Ndiri kudya kakawanda here?
  • Ndiri kurovedza muviri zvakakwana here?

Fonera mupiki wako kana:

  • Iwe uri kuwedzera uremu kana iwe kurega kumira uremu.
  • Uri kurutsa wapedza kudya.
  • Une manyoka mazuva mazhinji.
  • Unonzwa kuneta nguva dzose.
  • Une dzungu kana kudikitira.

Gastric bypass kuvhiyiwa - chikafu chako; Kufutisa - kudya mushure mekudarika; Kurera huremu - kudya mushure mekudarika

  • Roux-en-Y kuvhiyiwa mudumbu kwekurema uremu

Heber D, Greenway FL, Kaplan LM, uye al. Endocrine uye manejimendi manejimendi yeiyo post-bariatric kuvhiya murwere: iyo Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2010; 95 (11): 4823-4843. PMID: 21051578 pubmed.ncbi.nlm.nih.gov/21051578/.

Mechanick JI, Apovian C, Brethauer S, et al. Clinical tsika nhungamiro yeiyo perioperative zvinovaka muviri, metabolic, uye nonsurgical tsigiro yebariatric kuvhiya murwere - 2019 kugadzirisa: cosponsored neAmerican Association of Clinical Endocrinologists / American College ye Endocrinology, iyo Obesity Society, American Society yeMetabolic & Bariatric Kuvhiya, Kufutisa Medicine Association , uye American Society yeAnesthesiologists. Kuvhiya Obes Relat Dis. 2020; 16 (2): 175-247. PMID: 31917200 pubmed.ncbi.nlm.nih.gov/31917200/.

Sullivan S, Edmundowicz SA, Morton JM. Kuvhiya uye endoscopic kurapwa kwekuneta. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 8.

Tavakkoli A, Cooney RN. Metabolic shanduko inotevera bariatric kuvhiyiwa. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 797-801.

  • Gastric bypass kuvhiyiwa
  • Laparoscopic gastric bhendi
  • Kufutisa
  • Mushure mekuvhiyiwa-kurasikirwa nekuvhiyiwa - chii chekubvunza chiremba wako
  • Usati waremerwa-kurasikirwa uremu - chii chekubvunza chiremba wako
  • Gastric bypass kuvhiya - kubuda
  • Laparoscopic gastric banding - kubuda
  • Kurasikirwa Kwehuremu

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