Ungalahlekelwa isisindo esingakanani ngokuhlinzwa kwe-lap band. Ukuhlinzwa kungaholela ekulahlekelweni kwesisindo okubalulekile futhi kuthuthukise impilo. Kodwa-ke, kunengozi yokuba nezinkinga ezinkulu kwesinye isikhathi. Ngemuva kwenqubo, kufanele futhi ushintshe okuningi ukuze ugweme izinkinga zokugaya ukudla nezimpawu zokushoda. Ngakho-ke, ukunakekelwa okuhle ngemuva kokuhlinzwa kubalulekile.
Ngizokwehlisa isisindo esingakanani?
KUYA: Imiphumela yokwehlisa isisindo iyahlukahluka kuye ngesiguli nesiguli, futhi nenani lesisindo osinciphayo sincike ezintweni ezithile. Ibhendi kumele libe sesimweni esifanele futhi kufanele uzibophezele endleleni yakho yokuphila entsha nemikhuba yakho yokudla emisha. Ukuhlinzwa ngokweqile akuyona ikhambi eliyisimangaliso, futhi amakhilogremu awahambi ngokwawo. Kubaluleke kakhulu ukuthi uzibekele imigomo yokufinyeleleka kwesisindo efinyelelekayo kusukela ekuqaleni.
Kungenzeka ukufeza ukwehla kwesisindo samakhilogremu ama-2 kuye kwayi-3 ngesonto ngonyaka wokuqala ngemuva kokuhlinzwa, kepha kungenzeka ulahlekelwe yiphawundi ngesonto. Ngokuvamile, izinyanga eziyi-12 kuya kwezingu-18 ngemuva kokuhlinzwa, ukuncipha ngokushesha okukhulu kudala izingozi empilweni futhi kungaholela ezinkingeni eziningi. Inhloso enkulu ukufeza ukwehla kwesisindo okuvimbela,
Ngabe imiphumela yokwehlisa isisindo yohlelo lwe-lap-band iqhathaniswa kanjani nemiphumela yokuhlinzwa kokudlula esiswini?
KUYA: Odokotela abahlinzayo babike ukuthi iziguli ezihlinzayo zesisu zinciphisa isisindo ngokushesha onyakeni wokuqala. Ngeminyaka emihlanu, noma kunjalo, eziningi I-LAP-BAND iziguli zithole ukwehla kwesisindo okufana nalokho okutholwe yiziguli ezenziwa ukuhlinzwa okudlula esiswini.
Gxila ekulahlekelweni kwesisindo isikhathi eside futhi ukhumbule ukuthi kubalulekile ukukwenza kancane kancane ngenkathi unciphisa izingozi ezihlobene nokukhuluphala nokuthuthukisa impilo yakho.
Ukuhlinzwa ukwelapha ukukhuluphala
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Kubantu abanesisindo sokukhuluphala ngokweqile noma ama-comorbidities anjengesifo sikashukela, ukuhlinzwa kungaba yindlela yokunciphisa isisindo esiningi ngesikhathi esifushane - ngokwesibonelo, ukunciphisa isisu. Ukungenelela okunjalo kubizwa ngemisebenzi ye-bariatric (kusuka kubaros, Greek: weight) noma imisebenzi yokukhuluphala. Ukumunca amafutha omzimba akuyona inketho yokwelapha ukukhuluphala, ngoba kunomthelela omncane ekudleni nasekwenziweni kwekhalori futhi kuhlotshaniswa nobungozi. Ngaphezu kwalokho, akuboniswanga ukwenza ngcono impilo.
Ngokuya ngezincomo zamanje zemiphakathi yezokwelapha, ukusebenza kuyindlela ongakhetha kuyo uma
- i-BMI ingaphezu kwama-40 (ibanga lokukhuluphala 3) noma
- i-BMI iphakathi kuka-35 no-40 (ibanga lesibili lokukhuluphala) kanti kukhona nezinye izifo ezinjengesifo sikashukela, isifo senhliziyo noma i-apnea yokulala.
Njengomthetho, noma kunjalo, ukungenelela kubhekwa kuphela uma eminye imizamo yokwehlisa isisindo ingaphumelelanga - ngokwesibonelo, uma uhlelo lokuhambisana nesisindo oluhambisana nezeluleko zokudla okunempilo nokuvivinya umzimba kungabanga nomphumela wokwehla kwesisindo okwanele. Kwabanye abantu, ukuhlinzwa kungasiza futhi ngaphandle kokuzama ukuqala ukunciphisa isisindo, ngokwesibonelo i-BMI eyodwa engaphezu kwama-50 noma ama-comorbidities abucayi.
Lapho uthatha isinqumo noma uphikisana nokungenelela, kubalulekile ukukala ngokucophelela okuhle nokubi. Ukuhlinzwa ngokweqile kungaholela ekwehliseni isisindo okukhulu, kuthuthukise impilo nekhwalithi yempilo. Futhi zinomphumela omuhle kuma-comorbidities, ikakhulukazi isifo sikashukela, i-Sne apnea yokulala nomfutho wegazi ophezulu. Kepha futhi kungaholela ezinkingeni ezahlukahlukene futhi kube nemiphumela yokuphila kwakho konke. Ngaphezu kwalokho, uma ulahlekelwa isisindo ngokushesha okukhulu, kufanele ulindele ukuthi kuzokwakhiwa amatshe enyongo.
Ukulandela inqubo, izinguquko zendlela yokuphila yesikhathi eside, njengokudla, kanye nokuhlolwa okujwayelekile kuyadingeka. Abantu abaningi babuyisa isisindo kalula eminyakeni eminingana ngemuva kokuhlinzwa ukukhuluphala.
Ukuhlinzwa kungasiza kanjani ngokukhuluphala?
Ukuhlinzwa okuhlukahlukene kwesisu kungasetshenziswa ukwelapha ukukhuluphala. Izinqubo ezisetshenziswa kakhulu yilezi:
- I- ibhande lesisu : Isisu siboshwe ngebhande lokunwebeka ukuze singabe sisakwazi ukumunca ukudla okungaka bese usutha ngokushesha okukhulu. Lokhu kungenelela kungabuyiselwa emuva.
- i i-sleeve gastrectomy (ukufakwa kwesisu) : Lapha, isisu sincishisiwe ngokuhlinzwa, ukuze sinciphise umthamo waso.
- ye ukudlula esiswini : Lokhu kuzofinyezwa ngaphezu kokufakwa kwesisu komgudu wokugaya ukudla, ukuze umzimba unciphise izakhamzimba namakhalori angadla ekudleni.
Ukudlula esiswini nokuhlinzwa kwemikhono esiswini nakho kubangela ushintsho lwehomoni olunqanda isifiso sokudla futhi lube nomthelela ekuguqulweni komzimba, nakho okunomphumela omuhle kusifo sikashukela.
Ukwehla kwesisindo kwenze abantu abaningi bazizwa bephilile emzimbeni ngemuva kwenqubo. Ukuzivocavoca nemidlalo kulula futhi kumnandi futhi. Ngemuva kokuhlinzwa, abaningi bathola impendulo enhle nezuzisayo evela kulabo ababazungezile. Abanye abantu baphinde babike ukuthi kusukela ekusebenzeni kwabo bazizwa beqina ngokwengeziwe futhi beneliseka ngokocansi futhi emsebenzini.
Ziyini izinzuzo nezinkinga zebhande lesisu?
Ibhande le-gastric licindezela isisu futhi ngokwenza kube lula lisenze libe lincane. Yenziwe nge-silicone futhi ibekwe ngasesangweni lesisu eringini. Lokhu kwakha umuthi omncane wehlathi ongasakwazi ukuthatha ukudla okungaka, ukuze uzizwe ugcwele ngokushesha okukhulu.
Ukubopha kwe-Gastric: inqubo encane yokuhlinza engenayo
Ibhande lesisu ligcwele isisombululo sikasawoti ngakho-ke lingenziwa linciphe noma libanzi ngemuva kokuhlinzwa: uketshezi kungakhishwa noma kungezwe ngepayipi ngosizo lwesirinji. Ukufinyelela kuso (itheku) kunamathiselwe ngaphansi kwesikhumba futhi kucishe kube ngosayizi wohlamvu lwemali. Isibonelo, uma uhlanza ngoba ibhande lesisu liqinile, ungagcina likhuphukile.
Ibhande lesisu yinkqubo yokuhlinza engenakuqhathaniswa. Ngoba isisu nomgudu wokugaya ukudla awushintshiwe, kunezinkinga ezimbalwa zokumunca izakhamzimba. Kungenzeka futhi ukukhipha ibhande lesisu futhi, ngaleyo ndlela kuguqulwe inqubo. Ngakho-ke kuyindlela enengqondo, ikakhulukazi kwabesifazane abasebasha abafuna ukuba nezingane. Kodwa-ke, kwesinye isikhathi i-canhesAdhesions yenza kube nzima ukususa ibhande lesisu.
Imvamisa, isisindo somzimba sehliswa cishe nge-10 kuye ku-25% onyakeni wokuqala ngemuva kokufaka ibhande lesisu. Indoda engamamitha angu-1.80 ubude namakhilogremu angu-130 ingalahlekelwa isisindo samakhilogremu ayi-10 kuye kwangama-30. Ngonyaka wesibili nowesithathu ngemuva kwenqubo, isisindo sisengancipha kancane.
Ezifundweni eziqhathaniswayo, ukubopha isisu bekungasebenzi kahle kunokuhlinzwa komkhono esiswini noma ukuhlinzwa okudlula esiswini. Kwesinye isikhathi ukwehla kwesisindo akwanele. Ngemuva kwalokho ibhande lesisu lingasuswa futhi kubhekwe ukuhlinzwa okwehlisa isisu.
Imiphumela emibi engaba khona yebhande lesisu ifaka phakathi isilungulela nokuhlanza, isibonelo uma ibhande lesisu liqinile kakhulu. Ibhande lesisu lingashibilika, likhule ngaphakathi, noma lidabuke. Kwesinye isikhathi kufanele kubuyiselwe noma kususwe njengomphumela. Ezifundweni, abantu ababalelwa kwabangu-8 kwabangu-100 abahlinzwa ibhande esiswini baba nenkinga. Kuze kube ngabantu abangama-45 kwabangu-100 abazohlinzwa kabusha ngesikhathi esithile - ngokwesibonelo ngoba abalahlekanga isisindo esanele noma kube nenkinga ngebhande lesisu.
Yiziphi izinzuzo nezinkinga zokuhlinzwa kwemikhono esiswini?
Ngokunciphisa isisu, cishe izingxenye ezintathu kwezine zesisu ziyahlinzwa futhi zisuswe. Ngoba ukwakheka kwesisu bese kufana neshubhu, inqubo leyo kwesinye isikhathi ibizwa ngokuthi ukuhlinzwa kwesikhono esiswini.
Ukuhlinzwa kwesisu semikhono
Ngemuva kokuncipha kwesisu, abantu abakhuluphele ngokweqile balahla cishe i-15 kuye ku-25% yesisindo sabo ngonyaka wokuqala. Kumuntu onobude obungamamitha angu-1.80 futhi onesisindo esingamakhilogremu ayi-130, lokhu kungasho ukuthi angalindela ukwehla kwesisindo samakhilogremu angama-20 kuya kwangama-30 ngemuva kokuhlinzwa.
Ukwehliswa kwesisu kungaba nemiphumela engemihle ehlukahlukene: Uma ngabe udle kakhulu, ungahlaselwa isilungulela noma uhlanze. Izinkinga zingavela ngesikhathi noma ngemuva kokuhlinzwa: Isibonelo, imisipha yokuhlinzwa esiswini ingaba nokuvuza futhi idinge ukuhlinzwa okuqhubekayo. Ezifundweni, abantu ababalelwa kwabangu-9 kwabali-100 baba nenkinga ngesikhathi sokuhlinzwa noma ngemuva kwaso; Abathathu kwabayikhulu kwadingeka baphinde bafakwe. Abantu abangaphansi koyedwa kwabayikhulu babulawa ukuhlinzwa noma izinkinga.
Ukwehliswa kwesisu akunakulungiseka. Uma umuntu okhuluphele engalahlile isisindo esanele ngemuva kokuhlinzwa kwemikhono esiswini, ukungenelela okungeziwe kungenzeka ngemuva kwesikhathi, njengokudlula esiswini.
Yiziphi izinzuzo nezinkinga zokudlula kwesisu?
Ukudlula esiswini kudla isikhathi futhi kuyinkimbinkimbi kunokubhinca esiswini noma ukuhlinzwa kwemikhono esiswini. Leli gama lisuselwa egameni lesiNgisi elithi bypass (Bypassing), ngoba ukudla ngaleso sikhathi akusahambi esiswini sonke namathumbu amancane, kepha kukhokhelwa kakhulu kubo.
Ngesikhathi sokuhlinzwa, kunqunywa ingxenye encane yesisu (cishe amamitha ayi-20). Lokhu-ke kwakha isikhwama esixhuma emathunjini amancane axhunyiwe. Esinye isisu sithungiwe savalwa futhi asisaxhunyanisiwe nomqala. Ukudla bese kudlula ngqo kusuka esikhwameni sesisu esisungule amathumbu amancane.
Ukuze ujusi wokugaya ukudla ovela esinyongweni, amanyikwe kanye nesisu esisele ungaqhubeka ungene emathunjini, ithumbu elincane elingaphezulu kwenye indawo lapho kuthengiswa khona isisu Ithumbu elincane lixhunyiwe.
Ukudlula esiswini
Ngokufana nokuhlinzwa kwesisu, ucwaningo lukhombisa ukuthi abantu abakhuluphele ngokwejwayelekile balahlekelwa isisindo sabo esiseduze no-15 kuye ku-25% ngonyaka wokuqala ngemuva kokuhlinzwa kokudlula esiswini. Lokhu kwenzeka ngokushesha okukhulu. Isisindo sivame ukwehla unyaka owodwa kuya kwemibili ngemuva kwenqubo.
Ngokwolwazi lwamanje, ukudlula esiswini kuholela ekunciphiseni kwesisindo esikhathini eside kunezinye izinqubo. Ukudlula esiswini kuzuzisa ikakhulukazi ama-comorbidities anjenge.
Imiphumela emibi kanye nezingozi zokusebenza
Imiphumela emibili ejwayelekile yesikhathi eside yokudlula esiswini ngama-syndromes okulahla kusenesikhathi futhi sekwephuzile. Nge-dumping syndrome yokuqala, inani elikhulu lokudla okungagayiwe ngokushesha lingena emathunjini amancane. Umzimba uzama ukunciphisa inani elingajwayelekile lezakhamzimba futhi ngokungazelelwe amanzi amaningi ageleza evela emithanjeni yegazi aye emathunjini amancane. Lo mketshezi ke awukho egazini bese umfutho wegazi wehla. Lokhu kungaholela ukozela, isicanucanu, ubuhlungu besisu nokujuluka. Isifo sokulahla kusenesikhathi sivela ikakhulukazi ngemuva kokudla ukudla okunoshukela kakhulu, imvamisa kungakapheli imizuzu engama-30.
Esikhathini esingajwayelekile sokulahla isikhathi sokulahla, umzimba uthola i-insulin eningi kakhulu yakhipha lokho okwaba yiHypoglycaemia ngezikhalazo ezijwayelekile ezifana nesiyezi, ubuthakathaka nokujuluka. Kungenzeka ngemuva kwehora elilodwa kuya kwamathathu ngemuva kokudla, ikakhulukazi ngemuva kokudla ukudla okune-carbohydrate ephezulu.
Izingozi zokuhlinzwa zifaka phakathi ukusikeka emathunjini amancane, ama-hernias angaphakathi nama-suture avuzayo emajoyinini amasha aphakathi kwesisu namathumbu. Zonke lezi zinkinga zingadinga ukuhlinzwa okuqhubekayo. Ezifundweni, abantu abangu-12 kwabangu-100 babenenkinga; Abantu abahlanu kwabayi-100 bekufanele bahlinzwe.
Izinkinga ezisongela impilo azivamile ukwenzeka ngesikhathi sokuhlinzwa noma emasontweni ambalwa okuqala ngemuva kwalokho. Isibonelo, ubuthi begazi bungavela uma enye yezindawo zokuxhuma ezintsha zivuza nokuqukethwe yisisu kungena esiswini. Ezifundweni, bangaphansi koyedwa kubantu abayi-100 abashonile ngesikhathi sokuhlinzwa noma ezinkingeni ezivela ekuhlinzweni kwesisu esiswini.
Ngabe umsebenzi ulungiswa kanjani?
Emasontweni aholela ekuhlinzweni, kuvame ukunconywa ukuthi wehlise isisindo ngokudla noma ngemithi. Lokhu kufanele kube lula ukusebenza uqobo, phakathi kokunye ngoba kunciphisa isibindi ngandlela thile futhi kwenza kube lula ukusebenza lapho kuhlangana khona umphimbo nesisu.
Kuzokwenziwa izivivinyo ezahlukahlukene ngaphambi kokuhlinzwa ukuze kuqinisekiswe ukuthi azikho izizathu zokwelashwa eziphikisana nalokhu. Lokhu kufaka phakathi izivivinyo ezahlukahlukene zelebhu, i-gastroscopy kanye ne-ultrasound yesisu. Ukuhlolwa kwengqondo nakho kungasiza - ngokwesibonelo, uma kunenkinga yokudla engaba nezizathu ezingokwengqondo.
Yikuphi ukuhlinzwa okungifanele futhi kusebenza kanjani?
Yikuphi ukuhlinzwa okucatshangelwayo kuncike kulokho okulindele kanye nasekuhloleni kwakho ubuhle nobubi, phakathi kokunye, esimweni sempilo, isisindo kanye nezifo ezihambisana nakho. Umsebenzi wobungcweti nawo ungadlala indima esinqumweni. Kunengqondo ukufuna ukwelashwa kodokotela abanolwazi ngendlela esetshenzisiwe. Izikhungo zokwelashwa eziqinisekiswe yiJalimane Society for General and Visceral Surgery (DGAV) yokuhlinzwa ngokweqile zihlangabezana nezidingo ezikhethekile zesipiliyoni nemishini ngalezi zindlela zokwelapha.
Ukusebenza kokukhuluphala manje sekwenziwa ngokungapheli (kungena kancane). Ekuhlinzekeni okuncane okungahlaseli, ukuhlinzekwa kwenziwa ngosizo lwama-endoscopes akhethekile afakwa emgodini wesisu ngokusebenzisa ukusikeka okuncane okuningana kwe-laparoscopy). Ukuhlinzwa okuvulekile akusavamile.
Ukuhlala esibhedlela izinsuku ezimbalwa ngokuvamile kuyadingeka ukuze kwenziwe ukuhlinzwa okuncane.
Kufanele ngiyishintshe kanjani impilo yami ngemuva kokuhlinzwa?
Ngemuva kokuhlinzwa, kungadingeka ukuthi ugweme ukudla okuqinile amasonto ambalwa. Ngokuya ngenqubo, ekuqaleni udla uketshezi kuphela (isibonelo amanzi nomhluzi) bese udla nokudla okuthambile (ngokwesibonelo iyogathi, amazambane acubuziwe, amazambane acubuziwe). Ngemuva kwamasonto ambalwa, kancane kancane kwethulwa ukudla okuqinile ukuze isisu namathumbu sikujwayele futhi.
Ngemuva kokuhlinzwa, izeluleko ngokudla okunempilo kubalulekile ukugwema izinkinga zokugaya ukudla ezifana nesilungulela, ubuhlungu besisu, isicanucanu nokuhlanza. Ngokuya ngohlobo lokuhlinzwa, kungadingeka
- ukudla izingxenye ezincane ,
- ukudla kancane futhi uhlafune kahle,
- ukungaphuzi nokudla ngasikhathi sinye , njengoba isisu singenawo amandla anele womabili. Kunconywa ukuthi ungaphuzi emizuzwini engama-30 ngaphambi nangemva kokudla.
- Gwema ukudla okunothe ngamafutha noshukela njengoba kungaholela ezinkingeni zokugaya ukudla. Ikakhulukazi ngemuva kokuhlinzwa kokudlula esiswini, ukudla okugcwele ushukela kungaholela emiphumeleni emibi kakhulu ngenxa yokulahla isifo. Lokhu kufaka phakathi, isibonelo, amaswidi, amajusi wezithelo, i-cola ne-ayisikhilimu.
- Phuza utshwala ngokulinganisela , njengoba umzimba ungamunca ngokushesha okukhulu. Lokhu kuyiqiniso ikakhulukazi ngemuva kokuhlinzwa kokudlula esiswini.
Ukunikezwa komsoco ngemuva kokuhlinzwa
Ngemuva kokuhlinzwa ngokweqile, ikakhulukazi ukuhlinzwa okudlula esiswini, umgudu wokugaya ukudla ungavithamini futhi awusamunci izakhamzimba kahle. Ukuvimbela izimpawu zokushoda, kubalulekile ukuthatha izithasiselo zokudla impilo yakho yonke. Lokhu kufaka phakathi, isibonelo i-calcium novithamini D ukugcina uketshezi lwamathambo naphambi kwamathambo ukuvikela - kepha futhi novithamini B12, i-Folic acid, i-Iron, i-selenium ne-zinc, okudingeka ukwakheka kwegazi namasosha omzimba, phakathi kwezinye izinto.
Ukuvikela kwizimpawu zokushoda, kunconywa nokuhlolwa kwegazi njalo, okokuqala ngemuva kwezinyanga eziyisithupha futhi kamuva kanye ngonyaka. Kukhona okumbalwa ngebhande lesisu Izengezo zokudla ezidingekayo kunesikhono esiswini kanye nokudlula esiswini.
Kukhona nengozi yokuthi umzimba uzophinde ulahlekelwe yisisindo semisipha ngaphezu kwamafutha. Ukuvimbela lokhu, kunconywa ukuthi udle ukudla okunamaprotheni amaningi futhi uvivinye umzimba njalo ngemuva kokuhlinzwa.
Imiphumela yezimonyo
Ukwehla kwesisindo okunzima kuvame ukuholela esikhunjeni esigugayo. Imigoqo yesikhumba nokugoqa kwesikhumba okulengayo kubonwa ngabaningi njengokungabukeki nokucindezelayo. Abanye bangathanda ukuthi isikhumba sabo siqiniswe ngemuva kwalokho, kepha imishwalense yezempilo izoyikhokhela kuphela uma kuba nezinkinga zezokwelapha noma ukucindezeleka kwengqondo okukhulu. Isibonelo, amafolda amakhulu esikhumba angaholela ekutheleleni noma ukuqubuka. Ukunakekelwa kahle kwesikhumba ngakho-ke kubalulekile. Kufanele kwenziwe isicelo esehlukile ukukhokhela izindleko zomsebenzi wokuqinisa isikhumba.
Ngingakhuluma nobani ngaphambi kokuba ngithathe isinqumo?
Ukuhlinzwa ngokweqile kuyindlela enkulu edinga izinguquko zesikhathi eside empilweni nasempilweni yansuku zonke. Ngakho-ke ngaphambi kokuba uthathe isinqumo sokwenza, kunengqondo ukwenza ucwaningo ngemiphumela. Uhlu lwemibuzo lungasiza ukulungiselela izikhathi zokwelulekwa.
Kungcono ukuxoxa ngobuhle nobubi bezinqubo ezahlukahlukene zokuhlinzwa kanye nezinguquko ngemuva kokuhlinzwa nochwepheshe abazi kahle ukwelashwa. Lokhu kufaka phakathi izazi zokudla okunesipiliyoni, izazi zokudla okunempilo kanye nemikhuba yezokwelapha ekhethekile, odokotela bezengqondo kanye nemitholampilo ekuhlinzeni ukukhuluphala. Amaqembu okuzisiza angasiza, ngokwesibonelo, ukuphendula imibuzo mayelana nokufaka isicelo enkampanini yomshuwalense wezempilo.
Imibuzo engenzeka, ngokwesibonelo:
- Ingabe ukusebenza kuyindlela engikhetha ngayo futhi uma kunjalo, iyiphi?
- Ziyini izingozi nemiphumela emibi futhi zivame kangakanani?
- Mahle kangakanani amathuba okuphumelela? Kufanele usebenzise kaningi kangakanani?
- Yikuphi ukulahleka kwesisindo engingakulindela ngemuva kwenqubo?
- Yiziphi Izinzuzo Zezempilo Engingazilindela?
- Kufanele ngikushintshe kanjani ukudla engikudlayo ngemuva kokuhlinzwa?
- Yikuphi ukudla engingabe ngisakubekezelela futhi ngemuva kokuhlinzwa?
- Yiziphi izithako zokudla engizidingayo ukuhlangabezana nezidingo zami zokudla okunempilo ngemuva kokuhlinzwa?
- Kudingeka kangaki ukuhlolwa ngemuva kokuhlinzwa?
- Ngubani ozonginakekela ngemuva kokuhlinzwa?
Abantu abahlali bethola ukwesekwa nezeluleko abazidingayo ngaphambi nangemva kokuhlinzwa. Lokhu kungaholela ekulindeni okungamanga bese kuba nezinkinga empilweni yansuku zonke. Izinhlangano ezizisizayo zingasiza ekutholeni izinketho zokusekelwa.
Yini okufanele uyiqaphele uma ufuna ukuba nezingane?
Ngokuyisisekelo, owesifazane angakhulelwa futhi abe nengane enempilo ngemuva kokuhlinzwa ngokweqile. Uma ufuna ukuba nezingane, noma kunjalo, kubalulekile ukukhuluma nodokotela wakho ngezingozi ezingaba khona - ngokwesibonelo, noma ngabe izivivinyo ezengeziwe noma izengezo zokudla ziyadingeka yini ukugwema izimpawu zokushoda okungenzeka. Ukukhulelwa ngokuvamile akunconywa ezinyangeni eziyishumi nambili zokuqala ngemuva kokuhlinzwa, njengoba umzimba ulahlekelwa isisindo esiningi ngalesi sikhathi futhi umntwana ongakazalwa ebengeke athole izakhamzimba ezanele.
Ngabe inkampani yami yomshuwalense wezempilo izokhokhela ukuhlinzwa esiswini?
Empeleni, izinkampani zomshuwalense wezempilo ezisemthethweni zingakwazi ukukhokhela izindleko zomsebenzi wokukhuluphala. Ukuze wenze lokhu, isicelo kumele kuqala silethwe nodokotela, kufaka phakathi isitifiketi sikadokotela. Ukuze umsebenzi uvunyelwe, kufanele kuhlangatshezwane nezidingo ezithile:
- Ukuhlinzwa kuyadingeka ngokwezokwelapha kanti ezinye izindlela zokwelashwa ziye zazanywa ngaphandle kwempumelelo eyenele.
- Izifo ezingelaphekayo eziholela ekukhuluphaleni okukhulu azikhishwe. Lokhu kusebenza, isibonelo, ku-thyroid engasebenzi noma i-adrenal cortex engasebenzi.
- Akufanele kube nezizathu ezibalulekile zezokwelapha ngokumelene nalo. Lokhu kufaka, isibonelo, izinkinga zempilo ezenza ukuhlinzwa kube yingozi kakhulu; ukukhulelwa; umlutha wezidakamizwa noma wotshwala nokugula kwengqondo okunzima okungenza kube nzima ukwenza ukulungisa indlela yokuphila ngemuva kokuhlinzwa.
Kufanele futhi ukhombise ukuzimisela ukuzivocavoca ngokwanele futhi udle okunempilo ngemuva kokuhlinzwa. Ukuze wenze lokhu, uvamise ukufaka incwadi yokugqugquzela kanye nemibhalo ehlukahlukene esicelweni sokubuyiselwa kwezindleko. Lokhu kufaka, isibonelo, izitifiketi zokubamba iqhaza ezinhlelweni zokwehlisa isisindo noma izeluleko ngokudla okunempilo, idayari yokudla nezitifiketi zokubamba iqhaza ezifundweni zezemidlalo.
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