Hupenyu mushure mekuremerwa-kurasikirwa kuvhiyiwa

Iwe unogona kunge uchangotanga kufunga nezve uremu-kurasikirwa kuvhiya. Kana kuti unogona kunge watoita sarudzo yekuvhiyiwa. Kurera-kurasikirwa kuvhiyiwa kunogona kukubatsira:

• Deredza uremu
• Kuvandudza kana kubvisa akawanda matambudziko ehutano
• Natsiridza hupenyu hwako
• Rarama kwenguva yakareba

Izvo zvakakosha kuti unzwisise kuti kuchave nezvimwe zvakawanda shanduko muhupenyu hwako. Izvi zvinosanganisira nzira yaunodya, zvaunodya, nguva yaunodya, manzwiro aunoita pamusoro pako, nezvimwe zvakawanda.

Kurema-kurasikirwa nekuvhiya haisiyo nzira iri nyore yekubuda. Iwe unenge uchiri kuda kuita basa rakaomarara rekudya chikafu chine hutano, kudzora chikamu chemazana, uye kurovedza muviri.

Sezvo iwe paunodzikira uremu nekukurumidza pamusoro pemwedzi mitatu kusvika kumitanhatu yekutanga, unogona kunzwa kuneta kana kutonhora dzimwe nguva. Unogona zvakare kuva:

• Muviri unorwadza
• Ganda rakaoma
• Bvudzi kurasikirwa kana bvudzi kuonda
• Maitiro anochinja

Aya matambudziko anofanirwa kuenda sezvo muviri wako uchizojairira kuonda uye huremu hwako hunogadzikana. Izvo zvakakosha kuti iwe utevere zvawakakurudzirwa nachiremba wako zvekudya zvakakwana mapuroteni uye kutora mavitamini.

Unogona kusuwa mushure mekuvhiyiwa uremu. Ichokwadi chehupenyu mushure mekuvhiyiwa chingasave chakanyatsoenderana netariro yako kana zvaunotarisira usati wavhiyiwa. Iwe unogona kushamisika kuti dzimwe tsika, manzwiro, maitiro, kana kunetseka zvinogona kunge zvichiripo, zvakadai se:

• Iwe waifunga kuti hauchazopotsa chikafu mushure mekuvhiyiwa, uye shungu yekudya yakanyanya-macalorie chikafu yaizove yaenda.
• Iwe waitarisira shamwari nemhuri vaizokubata zvakasiyana kana warasikirwa nehuremu.
• Iwe waitarisira kuti kusuruvara kana kutya manzwiro awanga uine aizoenda mushure mekuvhiyiwa uye kuonda.
• Iwe unosuwa dzimwe tsika dzemagariro sekugovana chikafu neshamwari kana mhuri, kudya zvimwe zvekudya, kana kudya kunze neshamwari.

Zvinetso, kana kunonoka kupora kubva pakuvhiyiwa, kana kushanya kwese kwekutevera kunogona kupokana netariro yekuti zvese zvaizove nani uye nyore mushure.

Iwe unenge uri pane chinwiwa kana chakacheneswa chikafu chikafu kwemasvondo maviri kana matatu mushure mekuvhiyiwa. Iwe unozowedzera zvishoma nezvishoma zvinyoro nyoro uye wobva wajaira zvekudya kuchikafu chako. Iwe ungangove uri kudya chikafu chinowanzoitwa nemavhiki matanhatu.

Pakutanga, iwe unozonzwa kuzara nekukurumidza, kazhinji mushure mekurumwa kushoma kwechikafu chakasimba. Icho chikonzero ndechekuti yako nyowani dumbu homwe kana gastric sleeve inongobata chete shoma shoma chikafu mushure mekuvhiyiwa. Kunyangwe homwe yako kana sleeve iri hombe, inogona kusabata zvinopfuura 1 mukombe (240 milliliters) yechikafu chakatsengwa. Dumbu rakajairika rinogona kubata makapu mana (1 litre) yechikafu chakatsengwa.

Paunenge uchinge uchidya chikafu chakasimba, kuruma kwega kwega kunofanirwa kutsengwa zvishoma nezvishoma uye zvakakwana, kusvika makumi maviri kana makumi matatu nguva. Chikafu chinofanirwa kuve chakatsetseka kana chakacheneswa usati wamedza.

• Kuvhura kwehomwe yako nyowani hombodo ichave iri diki kwazvo. Chikafu chisina kutsengwa zvakanaka chingavhara kuvhurika uku uye chingakonzera kuti urutse kana kurwadziwa pasi pechifuva chako.
• Kudya kwega kwega kunotora maminetsi makumi matatu.
• Iwe unozofanirwa kudya zvidiki zvitanhatu mukati mezuva rese pane kudya katatu kukuru.
• Iwe unozofanirwa kudzivirira kunwa mukati mekudya.
• Zvimwe zvekudya zvinogona kukonzera marwadzo kana kusagadzikana kana uchizvidya kana zvisina kutsengwa zvakanaka. Izvi zvinosanganisira pasita, mupunga, chingwa, miriwo mbishi, kana nyama, uye chero chikafu chakaoma, chinonamira, kana chine tambo.

Unofanira kunwa anosvika magirazi masere emvura kana zvimwe zvinwiwa zvisina macalorie mazuva ese.

• Dzivisa kunwa chero chinhu paunenge uchidya, uye kwemaminitsi makumi matanhatu usati kana mushure mekudya. Kuva nemvura muhomwe yako kuchashambidza chikafu kubva muhomwe yako uye kunokuita kuti uve nenzara.
• Kufanana nechikafu, iwe unozofanirwa kutora zvidiki sips uye kwete kumedza.
• Usashandise mashanga nekuti anounza mweya mudumbu rako.

Kurera-kurasikirwa kwekuvhiya kunogona kubatsira kudzidzisa iwe kudya zvishoma. Asi kuvhiya ingori chishandiso. Iwe uchiri kufanira kuita sarudzo dzakakodzera dzekudya.

Mushure mekuvhiyiwa, chiremba wako, mukoti, kana chiremba wezvekudya achakudzidzisa nezve chikafu chaunogona kudya uye chikafu chaunofanira kudzivirira. Izvo zvakakosha kuti uteedzere kudya kwako. Kudya zvakanyanya mapuroteni, michero, miriwo, uye zviyo zvakazara ichave iri nzira yakanakisa yekudzora huremu uye kuzvichengeta.

Iwe unenge uchiri kuda kumira kudya kana iwe waguta. Kudya kusvikira iwe uchinzwa kuzara nguva dzese kunogona kutambanudza homwe yako uye kudzikamisa huwandu hwehuremu hwaunorasikirwa.

Iwe unenge uchiri kuda kudzivirira chikafu chakakwira macalorie. Chiremba wako kana chiremba wezvekudya angangokuudza:

• Usadye chikafu chine mafuta akawanda, shuga, kana makabhohaidhiretsi.
• USAZWA zvinwiwa zvine macalorie mazhinji kana zvine shuga, fructose, kana manyuchi echibage.
• Usanwa zvinwiwa zvine kabhoni (zvinwiwa nemabhuru).
• Usanwe doro. Iine macalorie mazhinji, uye haipe zvinovaka muviri.

Izvo zvakakosha kuti utore zvese izvo zvinovaka muviri iwe zvaunoda usingadye zvakawandisa macalorie. Nekuda kwekukurumidza kurasikirwa uremu, iwe uchafanirwa kuve nekuchenjerera kuti iwe uwane zvese izvo zvinovaka muviri uye mavitamini aunoda iwe sezvaunopora.

Kana uine gastric yokunzvenga kana wehunyambiri ruoko pokuvhiyiwa, unofanira kutora mamwe mavhitaminzi uye zvicherwa nokuda kwoupenyu hwako.

Iwe unozoda kugara uchiongororwa nachiremba wako kuti uteedzere uremu hwako uye uone kuti uri kudya zvakanaka.

Mushure mekudzora huremu hwakawanda, unogona kutarisira shanduko mune yako muviri chimiro uye contour. Idzi shanduko dzinogona kusanganisira yakawandisa kana saggy ganda uye kurasikirwa kwemhasuru mashoma. Ukawedzera huremu hwaunorasikirwa, hunowedzera kuwanda kana saggy ganda raunenge uine. Ganda rakawandisa kana reganda rinowanzo kuratidza zvakanyanya kutenderera dumbu, zvidya, magaro, nemaoko ekumusoro. Inogona zvakare kuratidza mubhokisi rako, mutsipa, kumeso, uye dzimwe nzvimbo futi. Taura nachiremba wako pamusoro pesarudzo dzekudzora iro rakawandisa ganda.

American Society yeMetabolic uye Bariatric Kuvhiya webhusaiti. Hupenyu mushure mekuvhiyiwa bariatric. asmbs.org/patients/life-after-bariatric-surgery. Yakasvika muna Kubvumbi 22, 2019.

Mechanick JI, Youdim A, Jones DB, et al. Clinical tsika nhungamiro yeiyo perioperative zvinovaka muviri, metabolic, uye nonsurgical tsigiro yebariatric kuvhiya murwere - 2013 gadziriso: cosponsored neAmerican Association of Clinical Endocrinologists, The Obesity Society, uye American Society yeMetabolic & Bariatric Kuvhiya. Kufutisa (Sirivha Chitubu). 2013; 21 Suppl 1: S1-S27. PMID: 23529939 www.ncbi.nlm.nih.gov/pubmed/23529939.

Richards WO. Kufuta zvakanyanya. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 47.