<prompt> Fingqa isihloko: Intsha eneminyaka engu-16 ubudala eBirmingham iye yahlinzwa ukuze yehlise isisindo isithombe sesithombe Intsha ekhuluphele eneminyaka engu-16 ubudala iye yahlinzwa i-gastric band ngezimali ze-NHS, imibiko emisha ekhathazayo ibonisa. Futhi esikhathini esiyiminyaka emine, inani labantu abaneminyaka engaphansi kwengu-30 ubudala abahlinzwa ukuze banciphise umzimba eBirmingham landa ngokuphindwe kabili. Ukuhlinzwa kwe-gastric band nokususa isisu kuyenziwa kuphela kuyi-NHS lapho ukuphila kwesiguli kubhekwa njengokusengozini. Ukuhlinzwa okunjalo kuyisinyathelo sokugcina, futhi ngaphambi kokuba kucatshangelwe, isiguli sicelwa ukuba senze izinguquko ezinkulu endleleni yaso yokuphila ukuze sizame ukunciphisa umzimba ngendlela engokwemvelo. Iziqondiso zithi ingane engamamitha amahlanu nesigamu ubude ngeke ibhekwe njengelungele inqubo enzima ngaphandle uma inesisindo esingaphansi kwamakhilogremu angu-15. Phakathi naleso sikhathi, umuntu omude ngamamitha angu-1,5 nangamasentimitha angu-8 kwakudingeka abe nesisindo esingamakhilogremu angu-17 ngaphambi kokuba anikezwe imvume yokuhlinzwa. Izibalo ezivela eHealth and Social Care Information Centre ezikhishwe ngaphansi koMthetho Wenkululeko Yokuthola Ulwazi zibonisa ukuthi eminyakeni emihlanu edlule intsha eyisithupha eneminyaka engu-18 nangaphansi yayihlinzwe i-bariatric surgery. Laba babehlanganisa ababili abaneminyaka engu-16 ubudala, ababili abaneminyaka engu-17 ubudala nababili abaneminyaka engu-18 ubudala. Ngokuvamile phakathi kuka-2008-09 no-2011-12 inani lemisebenzi eyinkimbinkimbi eyenziwa kubantu abangaphansi kweminyaka engu-30 lenyuka lisuka ku-35 laya ku-71 - ukwanda ngamaphesenti angu-102. Lokhu kuza njengoba izibalo ezintsha kule mpelasonto zembule ukuthi amakhulu ezingane azalwa enesisindo esikhulu ngokwelashwa unyaka ngamunye. Kusukela ngo - 2011, izingane ezisanda kuzalwa ezingu - 1 403 ziye zahlukaniswa njengezikhuluphele - ezinesisindo esingamakhilogremu angu - 9 noma ngaphezulu, kwembule isicelo se - Freedom of Information. Ngonyaka odlule kwavela ukuthi abantu baseWest Midland bangabesibili abakhuluphele kakhulu ezweni lonke, kanti izibalo zeNHS eNgilandi zembula ukuthi abantu abangamaphesenti angu-65.7 bakhuluphele ngokweqile noma bakhuluphele ngokweqile. Izibalo ezintsha ezikhishwe ngoJanuary walo nyaka zaqokomisa izindaba ezikhathazayo zokuthi cishe izingane ezine kweziyishumi eBirmingham zibhekwa ngokusemthethweni njengezikhuluphele ngokweqile noma ezikhuluphele kakhulu lapho zineminyaka engu-11. Kuye kwaphakanyiswa ukukhathazeka ngokuthi abantu bakhetha ukuhlinzwa isisu njengokukhetha okulula kunokuzikhandla ukuze bashintshe indlela yabo yokuphila, badle ukudla okunempilo futhi...  <response>: Intsha ekhuluphele eBirmingham eyahlinzwa kanzima ukuze yehlise umzimba. Esikhathini esiyiminyaka emihlanu, intsha eyisithupha engaphansi kweminyaka engu - 18 yanikezwa ama - gastric bands noma i - bypass. Amacala amabi kakhulu kubantu abangaphansi kweminyaka engu-30 anyuka esuka ku-35 aya ku-71 - ukwanda ngo-102. Ukuhlinzwa kwe-bariatric kuyindlela yokugcina, esetshenziswa kuphela lapho ukuphila kweziguli kusengozini. 