<prompt> Pfupisa nyaya yacho: Nzira itsva inobatanidza kukotama dumbu kuva mapfundo iri kuedzwa sorudzi rwokuvhiya rwusingaoneki rune ngozi zvikuru rwokuderedza uremu. Haibatanidzi kudimburwa, muitiro wose unogona kuitwa kupfurikidza netubhu inopfuudzwa muura uye murwere anogona kuenda kumusha zuva rimwe chetero. Kuvhiya kwekuderedza uremu, kunonziwo kuvhiya kwebhariatric, kunowanikwa paNHS kune avo vakafutisa zvakanyanya vane body mass index BMI inodarika 40 kana kune avo vane BMI ye35 kusvika 40, asi vane huremu hunokonzera kunyunyuta kwakakomba, kwehutano hune chekuita nekufutisa, senge chirwere cheshuga cherudzi rwechipiri. Dzorera pasi kuti uone vhidhiyo. Kuvhiya kutsva uku hakumbodi kuti munhu aite majekiseni uye kunosanganisira kupeta dumbu kuti rive nemapfundo, kuriita duku uye kuriita kuti risawedzere kukura kuti rigone kugamuchira zvokudya. Zviuru zvinotoitwa oparesheni iyi gore roga roga uye, munguva pfupi yapfuura, National Institute of Health and Care Excellence yakakurudzira kuti vaya vachangobva kuongororwa kuti vane chirwere cheshuga chorudzi rwechipiri vane BMI ye30 kana kuti kupfuura vanofanirawo kuongororwa. Pari zvino, mashandiro anowanzoitwa anosanganisira kushandisa bhandi remudumbu rinoita kuti mudumbu uve muduku, saka zvokudya zvishoma zvinodiwa kuti unzwe waguta, kana kuti kuvhiya mudumbu. Ikoku kunobatanidza kutungamirirazve dumbu kunobatanidza rutivi rwomukati rwomukati, kuderedza ukuru hwomudumbu uye kudarika rutivi rwomukati muduku, kuchideredza uwandu hwemacalorie uye zvinovaka muviri zvinonwiwa. Imwe nzira ndeyokubvisa dumbu, kunosanganisira kubviswa kwechikamu chedumbu. Zvisinei, zvose izvi zvinosanganisira kubaya mudumbu, uko kune ngozi yokutapukirwa kunobata anenge munhu mumwe mu20, kugwamba kweropa mumakumbo kana mapapu uye kubuda ropa mukati, chimwe nechimwe chazvo chinobata anenge munhu mumwe mu100. Varwere vanofanirawo kugara muchipatara kwehusiku humwe chete, kana kuti kupfuura. Nzira itsva iyi, inonzi Primary Obesity Surgery Endolumenal, haipindi zvakanyanya uye, vanotsvakurudza vanoti, inoderedza marwadzo anokonzerwa nokuvhiyiwa, inoderedza ngozi yeutachiona uye haisi kusiya mavanga. Chiremba anovhiya achishandisa chubhu kana kuti endoscope, iyo inodzika nomumuromo ichienda mudumbu. Kamwe panzvimbo, iyo...  <response>: Inonzi Primary Obesity Surgery Endolumenal uye haipindi zvakanyanya. Nzira yacho inopeta dumbu kuva mapfundo, ichidzivisa kuwedzera zvokudya. Muitiro wacho wose unoitwa nomutsipa unopfuudzwa nomuhuro. Vanhu vazhinjisa vanogona kudzokera kubasa mukati memazuva maviri kana matatu okuvhiyiwa. 