Bangakanani ubunzima onokuthi ubulahle ngotyando lwebhendi. Utyando lunokukhokelela ekulahlekeni kwesisindo kunye nokuphucula impilo. Nangona kunjalo, kukho umngcipheko ngamanye amaxesha iingxaki ezinzulu. Emva kwenkqubo, kuya kufuneka utshintshe okuninzi ukuthintela iingxaki zokwetyisa kunye neempawu zokusilela. Ke ngoko, unonophelo olulungileyo emva kotyando kubalulekile.
Ndiza kuncipha kangakanani?
KU: Iziphumo zokuphulukana nobunzima ziyahluka ukusuka kwisigulana ukuya kwisigulana, kwaye isixa sobunzima obuphulukayo buxhomekeke kwizinto ezininzi. Ibhendi kufuneka ibekwindawo echanekileyo kwaye kufuneka uzinikele kwindlela yakho entsha kunye nokutya okutsha. Utyando lokutyeba kakhulu alunyangi, kwaye iiponti azihambi ngokwazo. Kubaluleke kakhulu ukuba usete iinjongo zokulahleka kwesisindo ezinokufikeleleka kwasekuqaleni.
Kuyenzeka ukuba kufezekiswe ukulahleka kobunzima beepawundi ezi-2 ukuya kwezi-3 ngeveki kunyaka wokuqala emva kotyando, kodwa uya kuphulukana neponti ngeveki. Ngokubanzi, kwiinyanga ezili-12 ukuya kwezili-18 emva kotyando, ukwehla emzimbeni ngokukhawuleza kwenza ingozi kwimpilo kwaye kunokukhokelela kwiingxaki ezininzi. Eyona njongo iphambili kukufezekisa ukunciphisa umzimba okuthintela,
Iziphumo zokulahleka kwesisindo zenkqubo ye-lap-band zithelekisa njani neziphumo zotyando lokudlula kwesisu?
KU: Oogqirha baye baxela ukuba abaguli abatyandayo esiswini baphulukana nobunzima ngokukhawuleza kunyaka wokuqala. Kwiminyaka emihlanu, nangona kunjalo, baninzi I-LAP-BAND Izigulana ziye zaphumelela ukulahleka kobunzima obufanayo nobo bufunyenwe zizigulana ezenziwa utyando lokudlula esiswini.
Gxila ekulahlekeni kobunzima bexesha elide kwaye ukhumbule ukuba kubalulekile ukwenza njalo ngokuthe ngcembe ngelixa unciphisa umngcipheko onxulumene nokutyeba kunye nokuphucula impilo yakho.
Utyando lokunyanga ukutyeba kakhulu
I-PantherMedia / ibelchonock
Kubantu abanesifo sokutyeba kakhulu okanye iimeko ezinje ngesifo seswekile, utyando lunokuba lukhetho lokulahla ubunzima obuninzi ngexesha elifutshane- umzekelo, ukunciphisa isisu. Ungenelelo olunje lubizwa ngokuba yimisebenzi ye-bariatric (ukusuka kwi-baros, isiGrike: ubunzima) okanye imisebenzi yokutyeba kakhulu. Ukufunxa amanqatha omzimba ayisiyiyo indlela yokonyango ekutyebeni, njengoko inefuthe elincinci kukutya ikhalori kunye nokusetyenziswa kwayo kwaye inxulunyaniswa nomngcipheko. Ukongeza, ayiboniswanga ukuphucula impilo.
Ngokwengcebiso zangoku zemibutho yezonyango, utyando lukhetho ukuba
- i-BMI ingaphezulu kwama-40 (ibanga lesi-3 lokutyeba) okanye
- i-BMI iphakathi kwama-35 nama-40 (ibanga lesi-2 lokutyeba) kwaye kukwakho nezinye izifo ezinjengeswekile, isifo sentliziyo okanye i-apnea yokulala.
Njengomthetho, nangona kunjalo, ungenelelo luthathelwa ingqalelo kuphela ukuba ezinye iinzame zokunciphisa umzimba aziphumelelanga- umzekelo, ukuba inkqubo yokuhamba kwesisindo ehamba kunye neengcebiso zesondlo kunye nokuzilolonga khange kubangele ukwehla kobunzima obaneleyo. Abanye abantu, utyando lunokuba luncedo ngaphandle kokuzama ukuqala ukunciphisa umzimba, umzekelo, enye ye-BMI engaphezulu kwama-50 okanye ubunzima obunzima.
Xa uthatha isigqibo okanye ungenelela ngongenelelo, kubalulekile ukuba ujonge ngononophelo izibonelelo kunye nezinto ezingalunganga. Utyando lokutyeba kakhulu kunokubangela ukunciphisa umzimba, ukuphucula impilo kunye nomgangatho wobomi. Zinefuthe elihle kwizinto ezixakekisayo, ngakumbi isifo seswekile, i-apnea yokulala kunye noxinzelelo lwegazi. Kodwa zinokukhokelela kwiingxaki ezahlukeneyo kwaye zibe neziphumo zobomi bonke. Ukongeza, ukuba unciphisa umzimba ngokukhawuleza okukhulu, kufuneka ulindele ukuba inyongo inyuswe.
Ukulandela inkqubo, utshintsho lwexesha elide lokuphila, njengokutya, kunye nokuhlolwa rhoqo kuyafuneka. Abantu abaninzi baphinda babuyise ubunzima ngokulula kwiminyaka eliqela emva kotyando lokutyeba kakhulu.
Unyango lunokunceda njani ukutyeba kakhulu?
Zininzi iindlela zotyando esiswini ezinokusetyenziselwa ukunyanga ukutyeba. Ezona nkqubo ziqhelekileyo zisetyenziswayo zezi:
- Inkqubo ye- band esiswini Isisu sibotshwe ngebhanti e-elastic ukuze singabinako ukufunxa ukutya okuninzi kwaye ugcwele ngokukhawuleza. Olu ngenelelo lunokubuyiselwa umva.
- i umkhono we-gastrectomy (ukusika isisu) : Apha, isisu siyancitshiswa, ukuze sinciphise amandla aso.
- ye ukudlula esiswini : Oku kuya kuncitshiswa ukongeza ekubambeni isisu kwendlela yokwetyisa, ukuze umzimba ube nezakhamzimba ezincinci kunye neekhalori ukuze zikwazi ukufunxa ukutya.
Ukudlula esiswini kunye nokuhlinzwa kwemikhono esiswini nako kunokubangela utshintsho kwihomoni ethintela ukutya kwaye ichaphazele imetabolism, enesiphumo esifanelekileyo kwisifo seswekile.
Ukulahleka kobunzima kuye kwenza abantu abaninzi ukuba bazive bephilile emzimbeni emva kwenkqubo. Ukuzivocavoca kunye nemidlalo kulula kwaye kumnandi kwakhona. Emva kotyando, abaninzi bafumana ingxelo eyakhayo neyingenelo evela kwabo babangqongileyo. Abanye abantu bakwachaza ukuba ukusukela ukusebenza kwabo baziva bomelele kwaye bezanelisa ngokwesondo kwakhona emsebenzini.
Zithini izibonelelo kunye nokungalunganga kwebhendi yesisu?
Ibhendi yesisu icinezela isisu kwaye ngokungeyomfuneko iyenza incinci. Yenziwe nge-silicone kwaye ibekwe ngakwisango lesisu eliringi. Oku kudala ihlathi elincinci elingena kuphinda lithathe ukutya okuninzi, ukuze uzive ukhawuleze ngokukhawuleza.
Ukubopha ngamathumbu esiswini: inkqubo encinci yotyando yokungenelela
Ibhendi yesisu igcwele isisombululo se-saline kwaye ke inokwenziwa inciphise okanye ibanzi emva kotyando: ulwelo lunokutsalwa okanye longezwe ngombhobho ngoncedo lwesirinji. Ukufikelela kuyo (izibuko) kuqhotyoshelwe phantsi kolusu kwaye malunga nobungakanani bengqekembe. Umzekelo, ukuba uyagabha kuba ibhendi yesisu ixinene kakhulu, ungayigcina.
Ibhendi yesisu yeyona nkqubo incinci yotyando yokungenelela. Ngenxa yokuba isisu kunye ne-digestive tract azitshintshi, kukho iingxaki ezimbalwa zokufumana izondlo. Kuyenzeka ukuba ususe ibhendi esiswini kwakhona, ngaloo ndlela ubuyisela umva inkqubo. Yindlela efanelekileyo, ngakumbi kubafazi abancinci abafuna ukuba nabantwana. Nangona kunjalo, ngamanye amaxesha unako ukudibanisa kwenza kube nzima ukususa ibhendi yesisu.
Ngokwesiqhelo, ubunzima bomzimba buyehla bujikelezwe nge-10 ukuya kuma-25% kunyaka wokuqala emva kokufaka ibhendi yesisu. Indoda eyi-1.80 yeemitha ubude kunye ne-130 kilograms inokuphulukana ne-10 ukuya kwi-30 yeekhilogram ubunzima. Kunyaka wesibini nowesithathu emva kwenkqubo, ubunzima bunokwehla kancinci.
Kwizifundo zokuthelekisa, ukubopha ibunzi esiswini kwakungasebenzi kakuhle kunotyando lwemikhono esiswini okanye uqhaqho lwesisu esigqitha ngotyando. Ngamanye amaxesha ukunciphisa umzimba akwanelanga. Emva koko ibhendi yesisu ingasuswa kwaye utyando lokunciphisa isisu lunokuqwalaselwa.
Iziphumo ebezingalindelekanga ezinokubakho zebhendi esiswini zibandakanya ukutsha kunye nokugabha, umzekelo ukuba ibhendi yesisu iqine kakhulu. Ibhendi yesisu nayo inokutyibilika, ukukhula ngaphakathi, okanye ukukrazula. Ngamanye amaxesha kuye kufuneke kutshintshwe okanye kususwe njengesiphumo. Kwizifundo, malunga nabantu abasi-8 kwabali-100 ababenotyando lwegastric band bavelisa ingxaki. Ukuya kuthi ga kuma-45 kwabali-100 abantu bayakuphinda baphinde basebenze kwakhona-umzekelo, kuba abalahlekanga ngokwaneleyo okanye ingxaki ye-gastric band yenzekile.
Zithini izibonelelo kunye nezinto ezingalunganga zoqhaqho lomkhono esiswini?
Ngokunciphisa isisu, malunga neekota ezintathu zesisu ziyasikwa kwaye zisuswe. Kuba ukumila kwesisu emva koko kufana netyhubhu, inkqubo ngamanye amaxesha ibizwa ngokuba lityando lesisu esiswini.
Utyando lwesisu semikhono
Emva kokunciphisa isisu, abantu abatyebe kakhulu baphulukana ne-15 ukuya kuma-25% yobunzima babo kunyaka wokuqala. Kwindoda eyi-1.80 yeemitha ubude kwaye inobunzima beekhilogram ezili-130, oku kuya kuthetha ukuba unokulindela ukwehla kobunzima beekhilogram ezingama-20 ukuya kwezingama-30 emva kotyando.
Ukunciphisa isisu kunokuba neziphumo ebezingalindelekanga ezahlukeneyo: Ukuba utye kakhulu, unokufumana isitshisa okanye ukugabha. Iingxaki zinokuvela ngexesha nasemva kotyando: Umzekelo, iisutyi zotyando esiswini zinokuvuza kwaye zifuna olunye utyando. Kwizifundo, malunga ne-9 kubantu be-100 babenengxaki ngexesha okanye emva kotyando; I-3 kwi-100 kuye kwafuneka iphinde iphindwe. Ngaphantsi komntu omnye kwabali-100 basweleke kuqhaqho okanye kubunzima.
Ukunciphisa isisu akunakuguqulwa. Ukuba umntu otyebe kakhulu akalahlekanga ngokwaneleyo emva kotyando lwemikhono esiswini, ungenelelo olongezelelekileyo lunokwenzeka kamva, njengokudlula esiswini.
Zithini izibonelelo kunye nezinto ezingalunganga ngokudlula esiswini?
Ukudlula kwisisu kudla ixesha elininzi kwaye kuyinkimbinkimbi kunokubopha esiswini okanye uqhaqho lomkhono esiswini. Igama lisuselwa kwigama lesiNgesi lokudlula (iBypassing), kuba ukutya emva koko akusahambi ngesisu kunye namathumbu amancinci, kodwa kukhokelwa kakhulu kubo.
Ngethuba lokusebenza, inxalenye encinci yesisu (malunga ne-20 milliliters) iyanqunyulwa. Oku ke kuyila ipokotho edityaniswa namathumbu amancinci axhunyiwe. Esinye isisu sithungiwe kwaye asisaxhunyaniswa nomqala. Ukutya kudlula ngokuthe ngqo ukusuka kwisingxobo sesisu esenziwe ukuba sibe yithumbu elincinci.
Ukuze iijusi zokwetyisa ezisuka kwi-gallbladder, ipancreas kunye nesisu eseleyo ziqhubeke nokungena emathunjini, amathumbu amancinci aphezulu kwenye indawo kwindawo yokuphuma isisu Amathumbu amancinci axhunyiwe.
Ukudlula esiswini
Ngokufana nokuhlinzwa kwesisu, izifundo zibonisa ukuba abantu abatyebe kakhulu baphulukana ne-15 ukuya kuma-25% yobunzima babo kunyaka wokuqala emva koqhaqho lwesisu. Oku kwenzeka ngokukhawuleza. Ubunzima buhlala bukwinqanaba elinye ukuya kwiminyaka emibini emva kwenkqubo.
Ngokolwazi lwangoku, ukudlula esiswini kukhokelela ekunciphiseni ubunzima ekuhambeni kwexesha kunezinye iinkqubo. Ukudlula kwisisu kuluncedo ngokukodwa kwimixube efana ne.
Iziphumo ebezingalindelekanga kunye neengozi zokusebenza
Iziphumo ezibini eziqhelekileyo zexesha elide zokudlula kwesisu zisekuqaleni kunye nexesha lokulahla ii-syndromes. Nge-dumping syndrome, isixa esikhulu sokutya okungagaywanga sikhawuleza singene emathunjini amancinci. Umzimba uzama ukungxenga isixa esingaqhelekanga sezondlo kwaye ngequbuliso amanzi amaninzi aphuma kwimithambo yegazi iye emathunjini amancinci. Olu lwelo ke alukho kwigazi kwaye uxinzelelo lwegazi luyehla. Oku kungakhokelela ukozela, isicaphucaphu, iintlungu zesisu kunye nokubila. Isifo sokulahla kwasekuqaleni kwenzeka ikakhulu emva kokutya ukutya okuneswekile eninzi, ngesiqhelo kwimizuzu engama-30.
Kwi-rarer dumping syndrome, umzimba ufumana i-insulin eninzi kakhulu ekhuphe into eyaba yi-Hypoglycaemiazinezikhalazo eziqhelekileyo ezinje ngesiyezi, ubuthathaka kunye nokubila. Inokwenzeka emva kweeyure enye ukuya kwezintathu emva kokutya, ngakumbi emva kokutya ukutya okunekhabhohayidrethi ephezulu.
Imingcipheko yotyando ibandakanya ukonakala emathunjini amancinci, i-hernias yangaphakathi kunye ne-sutures evuzayo kumalungu amatsha phakathi kwesisu namathumbu. Zonke ezi ngxaki zinokufuna olunye utyando. Kwizifundo, abantu abali-12 kwabali-100 babenengxaki; Abantu aba-5 kwabali-100 kuye kwafuneka benze utyando.
Iingxaki ezisongela ubomi azifane zenzeke ngexesha lokusebenza okanye kwiiveki zokuqala emva koko. Umzekelo, ityhefu yegazi inokwenzeka ukuba enye yeendawo zonxibelelwano ezintsha ziyavuza kwaye neziqulatho zesisu zingena esiswini. Kwizifundo, bangaphantsi kwe-1 kwabali-100 abantu abasweleke ngexesha lotyando okanye kwiingxaki ezivela kutyando lokudlula kwesisu.
Ulungiswa njani umsebenzi?
Kwiiveki ezikhokelela kutyando, kuhlala kucetyiswa ukuba unciphise umzimba ngokutya okanye amayeza. Oku kufanele ukuba kube lula ukwenza umsebenzi ngokwawo, phakathi kwezinye izinto kuba iyasinciphisa isibindi ngandlela ithile kwaye yenza ukuba kube lula ukusebenza kwindibano phakathi komqala nesisu.
Kuya kwenziwa iimvavanyo ezahlukeneyo ngaphambi kotyando ukuqinisekisa ukuba akukho zizathu zonyango malunga noku. Oku kubandakanya iimvavanyo ezahlukeneyo zelebhu, i-gastroscopy kunye ne-ultrasound yesisu. Uviwo lwengqondo lunokuba luncedo- umzekelo, ukuba kukho ingxaki yokutya enokuba nezizathu zengqondo.
Loluphi utyando olulungele mna kwaye lusebenza njani?
Nguwuphi umsebenzi othathelwa ingqalelo kuxhomekeke kulindelo lwakho kunye novavanyo lwakho lobuhle kunye nokungalunganga, phakathi kwezinye izinto, kwimeko yezempilo, ubunzima kunye nezifo ezinokubakho. Umsebenzi wobungcali unokudlala indima kwisigqibo. Iyavakala into yokufuna unyango koogqirha abanamava kwindlela esetyenzisiweyo. Amaziko onyango aqinisekiswe nguMbutho waseJamani woNyango ngokubanzi kunye neVisceral Surgery (DGAV) yotyando lokutyeba kakhulu ehlangabezana neemfuno ezizodwa zamava kunye nezixhobo zonyango.
Ukusebenza ngokutyeba ngoku kwenziwa ngokungapheliyo (ngokungangenisi kangako). Xa utyando oluncinci olungenelelayo, uqhaqho lwenziwa ngoncedo lwee-endoscopes ezikhethekileyo ezifakwe kwisisu ngesisu esincinci esincinci). Utyando oluvulekileyo alusaqhelekanga.
Ukuhlala esibhedlele kweentsuku ezimbalwa kuhlala kufanelekile kutyando oluncinci olungenelelayo.
Ndibutshintshe njani ubomi bam emva kotyando?
Emva kotyando, kungafuneka uphephe ukutya okuqinileyo iiveki ezimbalwa. Kuxhomekeke kwinkqubo, ekuqaleni utya kuphela ulwelo (umzekelo amanzi kunye nomhluzi) kwaye emva koko unokutya okuthambileyo (umzekelo iyogathi, iitapile ezicujiweyo, iitapile ezicujiweyo). Emva kweeveki ezimbalwa, ukutya okuqinileyo kuziswa ngokuthe ngcembe ukuze isisu namathumbu kusetyenziswe kwakhona.
Emva kotyando, ingcebiso ngezesondlo ibalulekile ekuphepheni iingxaki zokugaya ukutya njengokuqaqamba kwentliziyo, iintlungu zesisu, isicaphucaphu kunye nokugabha. Kuxhomekeka kuhlobo lotyando, kunokuba yimfuneko
- ukutya iinxalenye ezincinci ,
- ukutya kancinci kwaye uhlafune kakuhle,
- bangaseli batye ngaxeshanye , njengoko isisu singenawo amandla awoneleyo kuzo zombini. Kuyacetyiswa ukuba ungaseli kwimizuzu engama-30 ngaphambi nasemva kokutya.
- Kuphephe ukutya okunotyebileyo kumanqatha neswekile njengoko zinokukhokelela kwiingxaki zokwetyisa. Ngokukodwa emva kotyando lokudlula kwesisu, ukutya okuneswekile eninzi kunokukhokelela kwiziphumo ebezingalindelekanga ezibi ngenxa yokulahla isifo. Oku kubandakanya, umzekelo, iilekese, iijusi yeziqhamo, icola kunye neayiskhrim.
- Sela utywala ngobungcathu , njengoko umzimba unokuyifunxa ngokukhawuleza okukhulu. Oku kuyinyani ngakumbi emva kotyando lokudlula kwesisu.
Ukubonelelwa kwesondlo emva kotyando
Emva kotyando lokutyeba kakhulu, ngakumbi utyando lokudlula kwisisu, indawo yokugaya ukutya inokuba neeVithamini kwaye ayisenako ukufunxa izondlo kakuhle. Ukuthintela ukusilela kweempawu, kufuneka uthathe izongezo zokutya ebomini. Oku kubandakanya, umzekelo i-calcium kunye novithamini D ukugcina ithambo kunye naphambi kwamathambo ukukhusela- kodwa kunye nevithamini B12, i-Folic acid, i-Iron, i-selenium kunye ne-zinc, eziyimfuneko ekwakhiweni kwegazi nakwisistim somzimba, phakathi kwezinye izinto.
Ukukhusela ngokuchasene neempawu zokusilela, uvavanyo lwegazi rhoqo luyacetyiswa, okokuqala emva kweenyanga ezintandathu kwaye kamva kube kanye ngonyaka. Kukho okumbalwa ngebhanti esiswini Amachiza okutya afunekayo kunemikhono esiswini kunye nokudlula esiswini.
Kukho umngcipheko wokuba umzimba uya kuphulukana nobunzima bemisipha ukongeza kumanqatha. Ukuthintela oku, kuyacetyiswa ukuba utye ukutya okuneproteni ephezulu kwaye wenze umthambo rhoqo emva kotyando.
Iziphumo zokuthambisa
Ukwehla kobunzima kakhulu kuhlala kukhokelela kulusu olusele. Ulusu olusongekileyo kunye nokugoba kwesikhumba kuqondwa ngabaninzi ngokungabukeki kunye noxinzelelo. Abanye banqwenela ukuba isikhumba sabo siqiniswe emva koko, kodwa iinshurensi zezempilo ziya kuzihlawula kuphela xa kukho iingxaki zonyango okanye uxinzelelo olukhulu lwengqondo. Umzekelo, iifolokhwe ezinkulu zolusu zingakhokelela kusulelo okanye irhashalala. Unonophelo lolusu lubalulekile. Isicelo esahlukileyo kufuneka senziwe ukuhlawula iindleko zotyando lokuqinisa ulusu.
Ndingathetha nabani ngaphambi kokuba ndenze isigqibo?
Utyando lokutyeba kakhulu yinkqubo ephambili efuna utshintsho lwexesha elide ebomini nakwimpilo yemihla ngemihla. Ke ngaphambi kokuba uthathe isigqibo sokwenza, kusengqiqweni ukwenza uphando ngeziphumo. Uluhlu lwemibuzo lunokunceda ukulungiselela iiseshoni zokunika iingcebiso.
Kungcono ukuxoxa ngoncedo kunye nokungalunganga kweenkqubo ezahlukeneyo zotyando kunye notshintsho emva kotyando kunye neengcali ezinolwazi kakuhle ngonyango. Oku kubandakanya izazi ezinesondlo ezinamava, izondlo kunye neendlela ezizodwa zonyango, iingcali zengqondo kunye neeklinikhi kutyando lokutyeba kakhulu. Amaqela okuzinceda anokunceda, umzekelo, ukuphendula imibuzo malunga nokufaka isicelo kwinkampani yeinshurensi yezempilo.
Imibuzo enokubakho yile, umzekelo:
- Ngaba utyando lukhetho kum kwaye ukuba kunjalo, loluphi?
- Buphi ubungozi kunye neziphumo ebezingalindelekanga kwaye zixhaphake kangakanani?
- Akulunge kangakanani amathuba okuphumelela? Kukangaphi kufuneka uphinde usebenze kwakhona?
- Yeyiphi ilahleko endinokuyilindela emva kwenkqubo?
- Zeziphi izibonelelo zeMpilo endinokuzilindela?
- Ndingayitshintsha njani indlela enditya ngayo emva kotyando?
- Kukuphi ukutya endinokungakwazi ukukunyamezela nasemva kotyando?
- Zeziphi izongezo zokutya endizifunayo ukuhlangabezana neemfuno zam zesondlo emva kotyando?
- Kukhethwa kangaphi emva kotyando?
- Ngubani ozakundijonga emva kotyando?
Abantu abasoloko befumana inkxaso kunye nengcebiso abayifunayo ngaphambi nasemva kotyando. Oku kunokukhokelela kulindelo olungelulo kwaye emva koko kwiingxaki kubomi bemihla ngemihla. Imibutho yokuzinceda inokukunceda ufumane iinketho zenkxaso.
Yintoni omele uyijonge xa ufuna ukuba nabantwana?
Ngokusisiseko, umfazi unokukhulelwa kwaye abe nomntwana ophilileyo emva kotyando lokutyeba kakhulu. Ukuba ufuna ukuba nabantwana, nangona kunjalo, kubalulekile ukuba uthethe nogqirha wakho malunga nemingcipheko enokwenzeka - umzekelo, nokuba ngaba iimviwo ezongezelelweyo okanye isongezelelo sokutya ziyimfuneko ukuthintela iimpawu ezinokubakho zokusilela. Ukukhulelwa akukhuthazwa rhoqo kwiinyanga ezilishumi elinesibini zokuqala emva kotyando, njengoko umzimba uphulukana nobunzima ngeli xesha kwaye umntwana ongekazalwa ebengenakufumana izondlo ezaneleyo.
Ngaba inkampani yam yeinshurensi yezempilo iya kuyihlawulela utyando lwesisu?
Ngokomgaqo, iinkampani zeinshurensi yezempilo ezinokumelana neendleko zomsebenzi wokutyeba kakhulu. Ukwenza oku, kufuneka kuqala kungeniswe kugqirha, kubandakanya nesatifikethi sonyango. Ukuze umsebenzi uvumeleke, kufuneka kufezekiswe iimfuno ezithile:
- Olu tyando luyimfuneko kwezonyango kwaye ezinye iindlela zonyango ziye zazanywa ngaphandle kwempumelelo eyaneleyo.
- Izifo ezinokunyangwa ezikhokelela ekutyebeni kakhulu azifakwanga. Oku kusebenza, umzekelo, kwi-thyroid engasebenziyo okanye i-adrenal cortex engaphezulu.
- Akufanele kubekho izizathu ezibalulekileyo zonyango malunga naloo nto. Oku kubandakanya, umzekelo, iingxaki zempilo ezenza utyando lube yingozi kakhulu; ukukhulelwa; iziyobisi okanye utywala kunye nokugula ngengqondo okunokwenza ukuba kube nzima ukwenza uhlengahlengiso kwindlela ophila ngayo emva kotyando.
Kuya kufuneka ubonise ukukulolonga ngokwaneleyo kwaye utye okusempilweni emva kotyando. Ukwenza oku, uhlala ukongeza ileta yenkuthazo kunye namaxwebhu ahlukeneyo kwisicelo sokubuyiselwa kweendleko. Oku kubandakanya, umzekelo, izatifikethi zokuthatha inxaxheba kwiinkqubo zokwehla kobunzima okanye iingcebiso ngezondlo, idayari yokutya kunye nezatifikethi zokuthatha inxaxheba kwizifundo zemidlalo.
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