Weight Doctors – iya ekhasini lokuqalaUMsombuluko–uLwesihlanu 08:00–20:00 · uMgqibelo 09:00–15:00
Uma isisindo esengeziwe esigxile esiswini sihambisana okungenani nezinye izinkinga ezimbili ze-metabolism, odokotela bakhuluma nge-metabolic syndrome. Lapho-ke kuvame ukuba nzima ukwehlisa isisindo ngokuzimela unomphela.
Kuhlolwe ngudokotelaDr. med. Roland MörmelUdokotela ochwepheshe wezifo zangaphakathiKubuyekezwe:
Isisu esikhulu siyabakhathaza abantu abaningi, kanti abanye bayaziqhenya ngamakhilogremu abo. Kodwa uma kuhambisana namafutha egazi noshukela wegazi ophakeme, i-HDL cholesterol encishisiwe nomfutho wegazi ophakeme (arterial), sekumayelana nokungaphezu kakhulu kobuhle: ingozi yezifo zenhliziyo nemithambo yegazi kanye nesifo sikashukela iyakhuphuka.
Uma isisu esikhulu ngenxa yokukhuluphala sihambisana okungenani nezimbili zalezi zifo, odokotela bakhuluma nge-metabolic syndrome. Igama elithi “metabolic” livela olimini lwesiGreki futhi libhekisela ezinqubweni ze-metabolism eziphazamisekile. Njengoba lesi sifo sivela ikakhulukazi emazweni athuthukile ezimbonini, sibizwa nangokuthi yisifo sokunotha (affluence syndrome).
Kungani abantu abanesisindo esengeziwe esigxile esiswini, okuthiwa yisimo se-apula, bethinteka kakhulu yi-metabolic syndrome? Ochwepheshe lapha bakhuluma ngokukhuluphala kwesisu (abdominal obesity): amafutha aqoqana emgodini wesisu ovulekile futhi azungeze izitho zangaphakathi. Lawa maseli amafutha akhipha ama-triglyceride amaningi kunamafutha angaphansi kwesikhumba emathangeni, ezingalweni noma ezinqeni. Ngaphezu kwalokho, anokungazweli okukhulu ku-insulin (insulin resistance) futhi akhiqiza izinto eziningi ezibangela ukuvuvukala.
Amafutha esisu yiwona kuphela uphawu olubonakalayo lwe-metabolic syndrome. Izinkinga ezine ze-metabolism ezivame ukuhambisana nawo, ngakolunye uhlangothi, zihlala zingabonakali isikhathi eside. Ukuthi nawe usengozini yini, uzothola ku-Ingabe uthintekile?
I-metabolic syndrome akusona isifo esithile, kodwa ukusebenzisana kwezici eziningana zengozi eziqinisanayo. Ushukela wegazi ophakeme ungaholela ekungazweleni kwe-insulin (insulin resistance) ngaleyo ndlela uholele esifweni sikashukela. Ngaphezu kwalokho, uphazamisa i-metabolism yamafutha, kangangokuthi ama-triglyceride egazini ayakhuphuka. Lokhu kuthinta amazinga e-cholesterol: i-HDL cholesterol, ebizwa ngokuthi yi-“cholesterol enhle” ngenxa yomthelela wayo omuhle ekugayweni kwamafutha, iyehla – futhi izinga lamafutha egazi liqhubeka likhuphuka.
Ushukela namafutha amaningi egazini kuholela ekuqineni kwemithambo yegazi, kuvele umfutho wegazi ophakeme (arterial). Ngenxa ye-arteriosclerosis imithambo yegazi iyancipha; uma umfutho wegazi ophakeme uqhubeka, izicubu nezitho azisatholi igazi elanele. Lokhu kungaholela ezifweni zenhliziyo nemithambo yegazi nasekulimaleni kwezitho. Uma inhliziyo ingasatholi umoya-mpilo owanele, kungalandela ukuhlaselwa yinhliziyo, kanti ebuchosheni unhlangothi.
I-metabolic syndrome iyisici sengozi empilweni okufanele sithathwe ngokungathi sína. Ukuxhumana okuseduze kwezinkinga ze-metabolism ngazinye kwenza nokwelashwa ngemithi kube nzima: umuthi wesifo sikashukela ungathuthukisa amazinga eshukela wegazi, kodwa ngaphansi kwezimo ezithile ungakhuphula amazinga amafutha egazi bese uqinisa i-metabolic syndrome. Kuze kube manje akukho muthi owelapha zonke izingxenye ze-metabolic syndrome.
Ngisho nangaphandle kwemithi, i-metabolic syndrome ingelashwa ngempumelelo – ngokunyakaza nokudla okunempilo. Lokho okuzwakala kulula, nokho, kunzima kulabo abathintekayo ukukwenza: ikakhulukazi abantu abane-metabolic syndrome kubanzima kakhulu ukunciphisa ukudla abakudlayo.
Ngenxa yokungazweli kwe-insulin, amaseli athatha i-glucose encane futhi athumela njalo izimpawu zendlala ebuchosheni. Ngokuhamba kweminyaka, abathintekayo ngaleyo ndlela bandisa izingxenye zabo zokudla ngaphandle kokwazi, futhi isisu sijwayela ukudla okuningi: ukuze umuntu azizwe esuthi, kudingeka ukudla okwengeziwe njalo. Isisindo esengeziwe siyanda, kanye naso amazinga amafutha egazi noshukela wegazi; i-metabolic syndrome iyaqina futhi umuzwa wendlala uqhubeka ukhula – kuvela umjikelezo wokukhuluphala.
Indlela yokuphuma kulo mjikelezo kungaba ukwehlisa isisindo ngebhaluni yesisu (gastric balloon) – ngaphandle kwemithi futhi ngaphandle kokuhlinzwa. Ibhaluni ingumsizi wesikhashana, wezinyanga ezingu-6 noma ezingu-12: ifakwa nge-endoscope ngomminzo noma igwinywe njengekhaphusula futhi inciphisa umthamo wesisu. Ngenxa yalokho, umuzwa wokusutha ungafika kusenesikhathi kukho konke ukudla, kangangokuthi izingxenye zokudla ziba zincane.
Ngokwesilinganiso, iziguli zehlisa cishe amakhilogremu angu-15 ngebhaluni yesisu. Ngokwelashwa okulandelayo, isisindo singaqhubeka sehla.
Imiphumela ngebhaluni yesisu iyahlukahluka kumuntu nomuntu.
Ukwehlisa isisindo kungaba yinzuzo empilweni. Uma kudliwa ushukela namafutha amancane, amazinga eshukela wegazi namafutha egazi angathuthuka – kanye nawo, amazinga e-cholesterol, ukungazweli kwe-insulin futhi ikakhulukazi umfutho wegazi ophakeme.
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