Kurera-kurasikirwa kuvhiyiwa uye vana

Kufutisa muvana nevechiri kuyaruka idambudziko rakakomba rehutano. Vanenge mwana mumwe muvatanhatu muUnited States vakafutisa.

Mwana anenge akafuta kana kufutisa anowanzo kwana kana kufuta kana kufutisa semunhu mukuru.

Vana vane kufutisa vane matambudziko ehutano aimboonekwa chete kuvanhu vakuru. Kana izvi zvinetso zvikatanga muhudiki, zvinowanzoita zvakanyanya mukukura. Mwana akafuta zvakanyanya kana kufutisa anogona zvakare kuve nematambudziko akadai se:

• Kuzvitarisira pasi
• Makosi mashoma kuchikoro
• Kushungurudzika

Vazhinji vanhu vakuru vane huremu-kurasikirwa kuvhiya vanokwanisa kurasikirwa nehukuru hwakawanda huremu. Uku kurasikirwa nekurema kunogona kuve nehutano hwakadai se:

• Zviri nani kudzora chirwere cheshuga
• Lower cholesterol uye BP
• Matambudziko mashoma ekurara

MuUnited States, mashandiro ekudzikisa uremu akashandiswa nekubudirira mune vechidiki. Mushure mekuvhiyiwa kwekurema-kurasikirwa, mwana wako anozo:

• Iva nedumbu diki
• Inzwa kuguta kana kugutsikana nechikafu chidiki
• Kusakwanisa kudya zvakanyanya sepakutanga

Iko kushanda kwakajairika ikozvino kunopihwa kune vechidiki ndeye yakatwasuka sleeve gastrectomy.

Chinogadziriswa gastric bhendi ndeimwe mhando yekurema-kurasikirwa kuvhiyiwa. Nekudaro, maitiro aya akanyanya kutsiviwa neiyo sleeve gastrectomy.

Zvese zvehuremu mashandiro anogona kuitwa kuburikidza mashanu kusvika matanhatu madiki akacheka padumbu. Izvi zvinozivikanwa sekuvhiya kwepaparoscopic.

Vazhinji vana vane uremu-kurasikirwa kuvhiyiwa vanewo matambudziko ehutano ayo anoenderana nehuremu hwemuviri.

Iyo body mass index (BMI) matanho pazasi anoshandiswa navanachiremba vazhinji kusarudza kuti ndiyani anogona kubatsirwa zvakanyanya nekuremerwa-kurasikirwa kuvhiyiwa. Asi havasi vese vanachiremba vanobvumirana pamusoro peizvi. Iyo general mirayiridzo ndeiyi:

BMI yemakumi matatu nemashanu kana kupfuura uye hwakakomba hutano mamiriro ane chekuita nekufutisa, senge:

• Chirwere cheshuga (yakakwira ropa shuga)
• Pseudotumor cerebri (kuwedzerwa kumanikidza mukati mehenya.
• Kuzvinyima kana kurara zvakanyanya kufema kwekufema (zviratidzo zvinosanganisira kurara masikati uye kuridza ruzha, kufema, uye kubata mweya paunenge wakarara)
• Kunyanya kuzvimba kwechiropa kunokonzerwa nemafuta akawandisa

BMI ye40 kana kupfuura.

Zvimwe zvinhu zvinofanirwawo kutariswa mwana kana wechidiki asati avhiyiwa uremu.

• Mwana haana kukwanisa kudzikisa huremu panguva yekudya uye chirongwa chekurovedza muviri kweinenge mwedzi mitanhatu, achiri pasi pekuchengetwa nachiremba.
• Wechidiki anofanirwa kunge apedza kukura (kazhinji 13-makore-ekukura kana kupfuura evasikana uye 15-makore-ekukura kana mukuru kune vakomana).
• Vabereki nevechiri kuyaruka vanofanirwa kunzwisisa uye vade kutevedzera shanduko dzakawanda dzehupenyu dzinodiwa mushure mekuvhiyiwa.
• Iye wechidiki haana kushandisa chero zvisiri pamutemo zvinhu (doro kana zvinodhaka) mukati memwedzi gumi nemaviri asati avhiyiwa.

Vana vane uremu-kurasikirwa kuvhiyiwa vanofanirwa kupihwa rubatsiro kune vechidiki bariatric kuvhiyiwa nzvimbo. Ikoko, timu yenyanzvi ichavapa iyo chaiyo hanya yavanoda.

Dzidzo dzakaitwa pakuvhiya kwevaviri muvechidiki dzinoratidza kuti mashandiro aya akachengeteka kune iri zera reboka sevanhu vakuru. Nekudaro, kwete sekutsvagurudza kwakawanda kwakaitwa kuratidza kana paine chero marefu-marefu mhedzisiro pakukura kwevachiri kuyaruka vanovhiyiwa uremu.

Mitumbi yevechidiki ichiri kuchinja nekukura. Vanozofanira kuve vanongwarira kuti vawane zvinovaka muviri zvakakwana panguva yekudzikira uremu zvichitevera kuvhiyiwa.

Gastric bypass kuvhiyiwa inoshandura nzira iyo zvimwe zvinovaka muviri zvinovezwa. Vechidiki vane rudzi urwu rwekuremerwa-kurasikirwa kuvhiyiwa vachazoda kutora mamwe mavhitaminzi uye mamineral kwehupenyu hwavo hwese. Muzviitiko zvakawanda, sleeve gastrectomy haikonzeri shanduko mumaitiro manyowa. Zvisinei, vechidiki vangave vachiri kuda kutora mavitamini nemaminera.

Boyett D, Magnuson T, Schweitzer M. Metabolic shanduko zvichitevera kuvhiya bariatric. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: chits. 802-806.

Gahagan S. Kufutisa uye kufutisa. Mune: Kliegman RM, St. Geme JW, Schor NF, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 60.

Marcdante KJ, Kliegman RM. Kufutisa. Mune: Marcdante KJ, Kliegman RM, eds. Nelson Zvakakosha zvePediatrics. 8th ed. Elsevier; 2019: chitsiko 29.

Mechanick JI, Youdim A, Jones DB, et al. Clinical tsika nhungamiro yeiyo perioperative zvinovaka muviri, metabolic, uye nonsurgical tsigiro yebariatric kuvhiya murwere - 2013 kugadzirisa: cosponsored neAmerican Association of Clinical Endocrinologists, iyo Obesity Society, uye American Society yeMetabolic neBariatric Kuvhiya. Endocr Dzidzira. 2013; 19 (2): 337-372. PMID: 23529351 www.ncbi.nlm.nih.gov/pubmed/23529351.

Pedroso FE, Angriman F, Endo A, Dasenbrock H, et al. Kurera huremu mushure mekuvhiyiwa bariatric muvechiri kuyaruka: ongororo yakarongeka uye meta-ongororo. Kuvhiya Obes Relat Dis. 201; 14 (3): 413-422. PMID: 29248351 www.ncbi.nlm.nih.gov/pubmed/29248351.