Gastric Balloon Costs, zotsatira zoyipa ndi zotsatira zotheka
Chotupa cha m'mimba ndichabechabechabe chosakaniza munthu wamkulu wamkulu kuposa odwala omwe sangathe kulemera ndi njira zachikhalidwe. Mwachidule, njira yowonongeka, yomwe imapangidwira pulogalamuyi imayikidwa mmimba. Bhaluni imakhala m'malo kwa miyezi isanu ndi umodzi kuthandiza wodwala kumverera bwino, kudya pang'ono ndi kuchepa thupi. Odwala angasankhe kuchokera ku ReShape kapena Orbera kapena Obalon pamimba mabuloni omwe akhala akuvomerezedwa ndi FDA kuti awonongeke.
N'chifukwa Chiyani Mukuyesera?
Ngati mwakhala mukulimbana ndi kulemera kwanu ndipo mwayesera kugwiritsa ntchito zakudya ndi masewera olimbitsa thupi popanda kupambana, mungakhale woyenera pa bulononi. Chipangizocho, chomwe chimatchedwanso bulloon kapena kupopera kulemera kwake, ndi njira yowonongeka ya FDA yovomerezeka ya FDA yomwe ingakuthandizeni kuchepa pansi popanda kugwa pansi pa mpeni.
"Izi sizikuchitidwa opaleshoni, koma mukupindulabe," akutero Dr. John Morton, Mkulu wa Bariatric ndi Minimally Invasive Surgery ku Stanford University School of Medicine. "Anthu ayenera kukhala ndi zosankha," akutero. Dr. Rachel L. Moore akuvomereza. Dr. Moore ndi katswiri wa mankhwala ochepetsa kunenepa kwambiri, opaleshoni ya opaleshoni ndi woyambitsa wa Moore Metabolics Bariatric Weight Loss Surgery ku New Orleans, Louisiana. "Izi ndi njira zomwe tingapereke zomwe zimagwera pakati pa mankhwala ndi opaleshoni," akutero.
Odwala amakhalanso ngati kuti m'mimba mwachisawawa ndi kanthawi kochepa.
Buluni ya m'mimba imakhala m'malo kwa miyezi isanu ndi umodzi ndipo ingachotsedwe mwamsanga ngati mukukumana ndi mavuto kapena kukhala ndi maganizo achiwiri. Dr. Morton anati: "Anthu amatha kuphunzira luso la moyo limene amafunikira kuti awonongeke m'miyezi isanu ndi umodzi imene baluniyo ili."
Pali njira zitatu zosiyana zamatumbo zomwe zimapezeka kwa odwala ndipo chipangizo chilichonse ndi gawo la mapulogalamu omwe akuphatikizapo zakudya, masewera olimbitsa thupi, ndi uphungu.
ReShape Gastric Balloon
ReShape Integrated Dual Balloon ndi imodzi mwa zipangizo ziwiri zomwe zimapezeka kwa odwala omwe akufuna kuyesa kuperewera kwa thupi.
Kodi ReShape Dual Balloon imagwira ntchito bwanji? Izi FDA-kuvomerezedwa kutayika dongosolo lili ndi awiri ojambulidwa balloons amene amalowetsedwa m'mimba mwako. Pakulembera, mumakhala pansi mofatsa kuti mutonthoze ndi chitetezo. Dokotala amachititsa endoscope kudzera m'kamwa mwako ndipo amagwiritsa ntchito chipangizo chofewa, chophweka kuti apange mabuloni osasakaniza mosamala m'mimba mwako. Pamene mabuloni ali pamalo, amadzaza ndi mankhwala a saline (madzi a mchere) ndi utoto wabuluu. Njirayi imatenga pafupi maminiti makumi awiri.
Mabuloni amatha kukhala m'malo kwa miyezi isanu ndi umodzi, kutenga mpata m'mimba mwathu ndikuthandizani kuti muzimva bwino kuti mudye pang'ono. Panthawi imeneyo, mumalandira uphungu kuti mukhale ndi zakudya zabwino komanso zolimbitsa thupi. Ngati mabuloni akuduka, utoto wabuluu umawoneka mkodzo. Pambuyo pa miyezi isanu ndi umodzi, mapuloteni amagwiritsidwanso ntchito kuchotsa mabuloni m'mimba mwako. Kupereka uphungu kumapitirira kwa miyezi isanu ndi umodzi chipangizocho chitachotsedwa kuti chikuthandizeni kupita patsogolo mu ulendo wanu wolemera, kufika kulemera kwanu kwapamwamba ndi / kapena kusunga kulemera kwanu.
Ndani angatenge ReShape? Izi zimathandiza kuti odwala ali ndi chiwerengero cha masentimita 30-40 kg / m2 komanso omwe ali ndi vuto lolemera. Matenda a shuga, kuthamanga kwa magazi, kapena cholesterol yapamwamba ndi zinthu zomwe nthawi zambiri zimakhala zolemera. Odwala ayenera kukhala okonzeka kuchita nawo pulogalamu yowononga kulemera komwe kumaphatikizapo zakudya, masewera olimbitsa thupi, ndi uphungu.
Ndani sayenera kupeza ReShape? Ngati mudakhala ndi opaleshoni ya antiatric m'mbuyomo, ndiye ReShape si inu. Palinso zovuta zina zomwe dokotala wanu angayang'anire zomwe zingathetsere ReShape ngati njira yanu.
Odwala ndi matenda a m'mimba otupa, kumimba kwa m'mimba, kapena nthendayi, mwachitsanzo, sayenera kugwiritsa ntchito ReShape. Chipangizocho sichivomerezedwanso kwa amayi omwe ali ndi pakati kapena oyamwitsa.
Zotsatira za ReShape: Musanayambe ndondomeko dokotala wanu adzafotokozera kuti pali zoopsa zomwe zimagwirizanitsidwa ndi sedation. Zotsatira zoyandikana ndi ballo zimaphatikizapo zilonda, kupweteka kwa m'mimba, kupweteka kwa m'mimba, kunyozetsa, kusanza, kuphulika, kupweteka, kupweteka kwa mtima, kutaya thupi, ndi kupweteka. Ngati zizindikiro zimakhala zovuta, buluni amatha kuchotsedwa. Dokotala wanu wofooka akhoza kufotokozera mndandanda wa zotsatira zake ndi zoopsa panthawi yoyenera kutsogolo.
Mapulogalamu othandizira: Panthawi ya maphunziro a miyezi isanu ndi umodzi omwe anaphatikiza odwala 326, omwe amagwiritsira ntchito Reshape anatala kwambiri ndi chipangizocho komanso chakudya choyang'aniridwa komanso kuchita masewera olimbitsa thupi kuposa odwala omwe ankalowa nawo pulogalamu yochita masewero olimbitsa thupi. Atatha kugwiritsa ntchito chipangizochi kwa miyezi isanu ndi umodzi, odwala ReShape adasowa makilogalamu 14.3 poyerekeza ndi zakudya ndi gulu lochita masewera olimbitsa thupi lomwe linataya mapaundi 7.2. Pambuyo pa miyezi isanu ndi umodzi (pambuyo pa chipangizocho chitachotsedwa kwa miyezi 6), odwala a ReShape anakhalabe olemera thupi la mapaundi 9.9.
Orbera Gastric Balloon
Mchitidwe Woperekera Kugonjetsa Amtundu wa Orbera wakhala ukupezeka m'mayiko ena kwazaka zingapo, koma FDA inavomerezedwa ku United States mu 2015, pafupi nthawi yomweyo monga ReShape Dual Balloon System.
Kodi Orbera chapamimba chogwiritsira ntchito chimagwira bwanji ntchito? Ngati mutasankha Orbera, mudzadutsa njira yofanana yopewera (endoscopic) monga relohape ya ReShape. Koma Orbera ndi imodzi yokha yachitsulo dongosolo. Pambuyo poika bulloon yofewa, yokhazikika, imadzaza ndi mankhwala a saline kuti ikhale ngati kukula kwa mphesa. Bulloon ya m'mimba imatenga pafupifupi gawo limodzi mwa magawo atatu a m'mimba mwanu. Chipangizocho chikhalabe kwa miyezi isanu ndi umodzi pamene mutenga nawo gawo limodzi la zakudya, masewera olimbitsa thupi, ndi uphungu. Pambuyo pa miyezi isanu ndi umodzi, chipangizochi chikuchotsedwa ndipo mupitiriza uphungu kwa miyezi isanu ndi umodzi kuti mupitirize ulendo wanu wolemera.
Ndani angapeze Orbera ? Bulogalamu iyi yokhayo ndi FDA-yovomerezeka kwa odwala omwe ali ndi mliri wa thupi (BM-) wa 30-40 kg / m2 ndipo omwe ayesa njira zina zolemetsa zopanda phindu. Ngati musankha Orbera, muyenera kukhala okonzeka kuchita zakudya zolimbitsa thupi komanso kuchita masewera olimbitsa thupi kuti mukhale ndi thanzi labwino komanso kulemera.
Ndani sayenera kupeza Orbera? Odwala ena sayenera kugwiritsa ntchito Orbera ndipo adokotala angakuuzeni ngati ndinu mmodzi wa iwo . Ngati muli ndi pakati, mukukonzekera kutenga mimba mkati mwa miyezi isanu ndi umodzi, kapena kuyamwitsa ndiye kuti musamapeze Orbera. Kuonjezerapo, ngati mwachita opaleshoni yamasitric kapena ngati muli ndi matenda ena okhudza kutupa m'mimba, chilakolako chotha msinkhu, kapena kutsika kwa m'mimba m'mimba mwathu simungakhale woyenera ku Orbera.
Zotsatira za Orbera . Dokotala wanu adzafotokozera kuti pali ngozi zina zomwe zimagwirizanitsidwa ndi mild sedation ndi endoscopy. Mavuto ndi chipangizo cha Orbera chingaphatikizepo kutsekeka kwa matumbo ndi buluni, kusokonezeka m'mimba, kunyoza, kusanza, kupweteka m'mimba kapena kupweteka kumbuyo, kapena kupuma kwa asidi. Dokotala wanu woperewera kulemera kwake akhoza kufotokozera mndandanda wa zotsatira zake panthawi yoyenera kutsatila.
Mabala a orbera amatsatira: Mu phunziro lachipatala cha miyezi 9 lomwe linali ndi odwala 255, odwala omwe anagwiritsa ntchito Orbera anataya kulemera kuposa odwala omwe anali kugwiritsa ntchito pulogalamu yokonzanso khalidwe. Atapanga Orbera m'malo mwa miyezi isanu ndi umodzi, odwala omwe anali ndi chipangizocho anataya mapepala 21.8 poyerekeza ndi kusintha kwa khalidwe komwe gulu lomwe linataya mapaundi asanu ndi awiri. Potsatira miyezi 9 (miyezi itatu kuchokera pamene chipangizocho chinachotsedwa), odwala omwe amagwiritsa ntchito Orbera ankasunga kulemera kwalemera kwa mapaundi oposa 19. Odwala omwe amagwiritsa ntchito zakudya komanso kuchita masewera olimbitsa thupi okha, amakhalabe olemera makilogalamu asanu ndi awiri.
Obalon Gastric Balloon
The Obalon Balloon System ndi mankhwala atsopano omwe amapezeka kwa odwala. Obalon ndi dongosolo lovomerezeka la katatu lovomerezedwa ndi FDA mu 2016. Obalon m'mimba mabuloni amadzazidwa ndi mpweya m'malo mwa madzi.
Kodi Obalon m'mimba mwavuni amatani? Odwala omwe amasankha Obalon amatsitsa kapule yaing'ono ya baluni. Kapsule imagwirizanitsidwa ndi catheter yopyapyala imene imagwiritsidwa ntchito kupangira buluni ndi mpweya. Mpaka matani atatu akhoza kuikidwa pang'onopang'ono pa miyezi itatu. Bululi lililonse limakhala ndi kapu imodzi ya m'mimba ndipo imakhala yaikulu ya lalanje. Ndi mabuloni omwe alipo, odwala amamva bwino ndipo safuna kudya kwambiri. Nthawi zonse komanso panthawi ya chithandizo, odwala amalandira uphungu kuti awathandize kuphunzira miyambo yoyenera kudya ndi kuchita masewera olimbitsa thupi. Pamapeto pa chithandizo, mabuloni amatetezedwa ndipo amachotsedwa ndi njira yotsiriza.
Ndani angapeze Obalon ? Bulogalamu iyi yokhayo ndi FDA-yovomerezeka kwa odwala omwe ali ndi mliri wa thupi (BM-) wa 30-40 kg / m2 ndipo omwe ayesa njira zina zolemetsa zopanda phindu. Monga wityh ena mavitamini masewera machitidwe, muyenera kukhala wokonzeka kuchita ku mankhwala ochiritsidwa ndi masewera olimbitsa thupi pulogalamu ya bwino thanzi ndi kulemera.
Ndani sayenera kupeza Obalon? Odwala ena sayenera kugwiritsa ntchito Orbera ndipo adokotala angakuuzeni ngati ndinu mmodzi wa iwo . Utsogoleri wa Zakudya ndi Zamankhwala umaphatikizaponso mndandanda wa odwala omwe sayenera kugwiritsa ntchito chipangizochi. Mndandandandawu muli anthu omwe ali ndi vuto lomwe lingakhudze kumeza, omwe apanga ma opaleshoni am'mbuyo, omwe amachititsa kuti mimba ikhale yochepa, komanso omwe amamwa mankhwala omwe angasokoneze m'mimba mwawo kuphatikizapo NSAIDS kapena aspirin.
Zotsatira za Obalon. Odwala omwe amasankha Obalon amatha kupweteka m'mimba kapena mseru. Zotsatira zochepa zomwe zimafala zimaphatikizapo kusanza, kuthamangitsidwa, kutsegula m'mimba, kutsekula m'mimba, kupweteka kwa m'mimba kapena kutaya mwazi, kutaya magazi kapena kutaya magazi, kudzimbidwa kapena kuvutika. Dokotala wanu woperewera kulemera kwake akhoza kufotokozera mndandanda wa zotsatira zake panthawi yoyenera kutsatila.
Obalon balloon zotsatira: Phunziro lachipatala lomwe linali ndi odwala oposa 400, linasonyeza kuti awo omwe adagwiritsa ntchito Obalon pamodzi ndi zakudya ndi maulendo olimbitsa thupi ataya kulemera kwambiri kuposa omwe adalandira chakudya ndi uphungu wokha. Odwala omwe analandira Obalon Balloon System anasiya pafupifupi 14.4 mapaundi kapena 6.6 peresenti ya kulemera kwa thupi lawo lonse pamene odwala omwe adalandira zakudya ndi uphungu wokhawokha amatha kupitirira mapaundi 7.4 kapena 3.42 peresenti ya thupi lawo lonse.
Kodi Ndikoyenera Kwanga?
Ndiye mungadziwe bwanji kuti chophika chapamimba chosankha? Ngati mukupeza dokotala wolemetsa , mungapeze kuti akatswiri ambiri a bariatric asankha kupereka chipangizo chimodzi pa china.
Obalon ndi chipangizo chatsopano kuti agwire pamsika. Dr. Shelby Sullivan, Mtsogoleri wa Gastroenterology Bariatric ndi Metabolic Programme ku University of Colorado School of Medicine anaphatikizidwa mu mayesero a chipatala a obalon dongosolo. Amanena kuti kupindula kwakukulu kwa mabuloni odzaza mpweya ndi katundu wolemera. Iye akuti chipangizo cholemera chowunikira chimapangitsa kuti asakhale ndi nseru zochepa komanso osamva bwino kwa odwala. M'masulidwe adafotokoza kuti odwala nthawi zambiri amafunikira nthawi yochira pambuyo poika malo olembera kuti "izi n'zosiyana ndi zipangizo zina zomwe zimagwiritsidwa ntchito masiku ano, zomwe odwala ambiri sangathe kubwerera nthawi yomweyo."
Dr. Moore, yemwe amapereka kalata ya Orbera kwa odwala ake, akuti anasankha kalogalamu imodzi chifukwa ali ndi mbiri ya chitetezo ndi maiko ena m'mayiko ena. Iye akunena kuti ngakhale chipangizochi chiri chatsopano ku United States, chagwiritsidwa ntchito kwambiri ndipo chimatchuka kwambiri m'mayiko ena kuphatikizapo Brazil, Italy, ndi Spain.
Dr. Morton amapereka odwala ake a ReShape. Amanena kuti amagwiritsa ntchito ReShape chifukwa mukamagwiritsa ntchito mabuloni awiri mungapewe mavuto omwe angachitike ngati buluni imodzi imatha. Ndipo chifukwa chakuti Reshape ndi yaikulu ndipo imakhala ndi mimba zambiri, iye akuti wapeza zochepa zosunthira zizindikiro ndi odwala.
Dr. Trace Curry amapereka Obera ndi ReShape pa malo ake olemera. Dr. Curry ndi dokotala wamkulu wa opaleshoni wodziwika bwino komanso wotsogolera zachipatala wa Metabolic Weight Loss Centers ku Cincinnati, Ohio. Iye anali dokotala wa opaleshoni woyamba ku Ohio kuti apereke mabotoni a Orbera ndi ReShape. Akunena kuti odwala ake akamamufunsa kuti asankhe chotani, amawauza kuti zotsatira zawo zidzadalira kwambiri ntchito zawo kusiyana ndi chizindikiro chimene amasankha.
"Kutsegula ndikumsika kwambiri," akutero. Koma mwapeza kuti pali mavuto ochepa ndi ma balloon system. "Koma Orbera," akutero, "wasonyeza kulemera kochepa kwambiri m'mayesero a zachipatala."
Awonjezeranso kuti zonsezi zimapatsa phindu. Ndipo Dr. Morton akuvomereza. "" Kulimbana kulikonse kulibwino kuposa kuposa, "akutero Dr. Morton. Koma madokotala onse amatsimikizira kuti baluni si njira yanyenga yothetsera kulemera. Ngati mukufuna kulemera thupi ndi buluni, muyenera kukhala wokonzeka kudzipereka kwa nthawi yaitali.
Gastric Balloon Costs
Mtengo wa bulloon wanu wam'mimba umasiyana malinga ndi malo anu, dokotala wanu ndi chipangizo chimene mumasankha. Ndalama zonse zapasoni zowonongeka zimatha kuchoka pa $ 6,500 - $ 10,000. Makanki ambiri amapereka ntchito pafupifupi $ 7,500.
Ndalama zonse za dongosolo la m'mimba ya baluni ziyenera kuphatikizapo chipangizo, kulowetsa, kuchotsa, kulangiza uphungu pamwezi wa miyezi isanu ndi umodzi ndi uphungu kwa miyezi isanu ndi umodzi mutatha kuchotsedwa.
Gulumu ya balononi sichikuphimbidwa ndi inshuwalansi ku United States, koma madokotala atatu omwe adafunsidwa adanena kuti anali ndi chiyembekezo kuti kufotokozera kudzaperekedwa. Padakali pano, odwala angagwiritse ntchito akaunti yopezera zaumoyo kapena thandizo la zachuma (za ngongole) kuti awononge mtengo wa ndondomekoyi.
Kumbukirani kuti muyenera kutengera ndalama zowonjezereka mukasankha bulononi ndi dokotala kuti muikepo chipangizocho. Akatswiri amalangiza kuti nthawizonse muziyang'ana dokotala wodziwika bwino yemwe ali ndi chidziwitso choika chipangizocho. Ngati dokotala wanu ali mbali ya malo operewera olemera, mutha kupeza uphungu wa maso ndi maso umene ungakuthandizeni kuti mukhalebe paulendo. Ndipo ndithudi, popeza chitetezo chili chofunika nthawizonse, funani malo omwe akuvomerezedwa kudzera bungwe ladziko monga The Accreditation Association for Ambulatory Health Care (AAAHC) kapena American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).
Zotsatira:
Zida zamankhwala. US Food and Drug Administration. Pulogalamu ya Integrated Dual Balloon ReShape - P140012 Idapezeka: April 6, 2016. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm456293.htm
Zida zamankhwala. US Food and Drug Administration. Pulogalamu ya ORBERA ™ Yowonongeka - P140008 Kufikira: April 6, 2016. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm457416.htm
Orbera. Apollo Endosurgery. Idapezeka: April 6, 2016. https://www.orbera.com/
ReShape. ReShape Medical. Idapezeka: April 6, 2016. https://reshapeready.com/