Njira Zothandizira Zamankhwala Zofooka Kwambiri

Kuchepa kwa Kulemera kwa Thupi

Kuchita opaleshoni ya kuperewera kwa thupi ndi njira yabwino kwa anthu ambiri omwe adayesa zakudya zamakono ndi zochita masewera olimbitsa thupi popanda kupambana. Kupwetekedwa kwa m'mimba kapena mtundu wina wa opaleshoni yolemetsa kungakuthandizeni kukwaniritsa zolemetsa zanu ndikukhala ndi thanzi labwino.

Kodi Chipatala Chogwirira Ntchito N'chiyani?

Kuchita opaleshoni ya mabatire ndi dzina lina loti opaleshoni yothandizira (WLS) kapena opaleshoni ya m'mimba yolemetsa. Pali mitundu yosiyanasiyana ya opaleshoni yolemetsa.

Njira zopaleshonizi zimagwiritsidwa ntchito ndi dokotala wovomerezeka yemwe ali woyenera kuchitidwa opaleshoni yemwe amamulangiza wodwalayo asanayambe opaleshoni.

Mankhwala a bariatric, kuphatikizapo opaleshoni yolemetsa, ndi munda wochuluka. Njira zomwe amagwiritsira ntchito opaleshoni nthawi zonse zimakhala bwino komanso zimakhala zotetezeka. Koma opaleshoni yonse imaphatikizapo chiopsezo chachikulu komanso ndalama zofunikira. Mukasankha opaleshoni yolemetsa muyenera kukhala okonzeka kugwira ntchito mwakhama ndikudzipereka kwa nthawi yaitali ku thanzi lanu kuti zotsatira zanu zikhale bwino.

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Kwa odwala ambiri, nthawi yayitali ndiyothandiza. Kuchita opaleshoni ya kulemera kwa thupi kumapindulitsa odwala ambiri omwe sangafikire zolemetsa zawo ndi njira zawo. Mungathe kuthetsa kapena kusintha mavuto a zaumoyo monga matenda a shuga a mtundu wa 2, matenda oopsa kwambiri, kupuma kwa kugonana, kusabereka kwa mkodzo, ndi kupweteka kwa thupi.

Kodi Ndani Angapeze Opaleshoni Yabwino?

Opaleshoni ya bariatric si yoyenera kwa aliyense . Ngati muli ndi zolemetsa pang'ono kuti musataye , kapena simunayese kulemera ndi zakudya zamakono ndi mapulogalamu olimbitsa thupi , mwina simukuyenera. Kawirikawiri, anthu omwe akuchita opaleshoni ya bariatric ndi achikulire omwe ali ndi chiwerengero cha thupi (BMI) cha 40 kapena kuposa.

Awa ndi anthu omwe nthawi zambiri amapitirira mapaundi 100 kapena oposa kwambiri. Iwo ndi anthu omwe ayeseratu kuchepa thupi ndi njira zina ndipo ali ofunikira, okonzeka kudzipereka ku zakudya zabwino ndi zochita masewero olimbitsa thupi .

Ngati muli ndi BMI yokwana 35 kapena kuposerapo, mungakhalenso wothandizira pa njira ya bariatric ngati muli ndi matenda omwe akukhudzana ndi kulemera kwanu. Mavuto amenewa angaphatikizepo kupuma kwa kugonana, mtundu wa shuga 2, ndi matenda a mtima.

Pomalizira, pali njira zina zomwe zimavomerezedwa kwa anthu omwe ali ndi chiwerengero cha misala ya thupi. Bungwe lothandizira laparoscopic , kapena lap band , ndi la FDA-lovomerezedwa kwa anthu omwe ali ndi BMI ya 40 kapena kuposa, kapena kwa anthu omwe ali ndi BMI ya 30 kapena kuposa ngati ali ndi matenda okhudzana kwambiri ndi kulemera. Kalulu yamimba imavomerezedwa kwa odwala omwe ali ndi BMI ya 30 mpaka 40 komanso omwe ali ndi vuto lolemera. Chotupa cha m'mimba si njira yopaleshoni, koma ndi njira ina kwa anthu omwe angakhale akuganiza za kupeza WLS.

Mitundu Yosiyanasiyana ya Kuperewera kwa Kulemera kwa Thupi

Ngati mukudziwa kuti ndinu woyenera kuchita opaleshoni, pali njira zosiyanasiyana zomwe zingaganizidwe:

• Gastric overpass kapena Roux-en-Y: Mimba yaing'ono imapangidwira kuchokera m'mimba yomwe ilipo ndipo imagwirizanitsa kumatumbo aang'ono.
• Lap band: An inflatable band amaika kuzungulira kumtunda kwa m'mimba, zomwe zimapangitsa mimba kukhala yochepa.
• Kujambula kwa manja: Chowongolera , m'mimba mwake imapangidwa kotero pali malo ochepetsera chakudya.
• Biliopancreatic diversion ndi kusintha kwa duodenal (BPD / DS): Kachilombo kakang'ono, kamene kamangokhala m'mimba kamangidwe ndipo kamakhala pamtunda wa m'mimba.
• Vagal kutseka chipangizo (vBloc): Chida chogwiritsira ntchito zipangizo zamagetsi chimayikidwa pansi pa khungu kuti chilepheretse zizindikiro za njala pakati pa ubongo ndi thupi lanu.
• Mimba ya m'mimba: Pampu imayikidwa mkati mmimba yomwe imakulolani kuti mupatsidwe chakudya kuchokera mthupi lanu musanalowe makilogalamu.

Kuchita opaleshoni yabwino kwambiri kwa inu kumadalira zinthu zingapo kuphatikizapo moyo wanu ndi mbiri ya umoyo.

Muyenera kuphunzira zambiri za njira iliyonse. Kambiranani ndi dokotala wanu za masewera olimbitsa thupi omwe angakuthandizeni kwambiri.

Kuchepetsa Kufooka kwa Kulemera kwa Mtengo

Mtengo wokwanira wa kuchitidwa opaleshoni yanu yowonjezera umaphatikizapo zambiri kuposa njira yokhayo. Kuphatikiza pa opaleshoni, muyenera kulingalira mtengo wa mankhwalawa, zakudya zapadera zomwe dokotala wanu wa opaleshoni angakulangize, ndi opaleshoni yotsatila chifukwa cha mavuto komanso / kapena njira zodzikongoletsera kuti muzisamala khungu .

Ngati muli ndi opaleshoni yanu ku chipatala cha bariatric, mwinamwake mtengo wa kuchitidwa kwanu kuchitidwa opaleshoni udzaphatikizidwa kukhala imodzi ya ndalama. Izi zikutanthauza kuti simudzalipira payekha pazinthu zisanachitike opaleshoni, aftercare, kapena uphungu wamoyo. Kawirikawiri, misonkhanoyi imaperekedwa mkati, koma ndikofunikira kufunsa kuti mutha kuwerengera mtengo wa njira yanu ya batiatric molondola.

Malingana ndi National Institutes of Health, opaleshoni yanu yolemetsa imatha ndalama zokwana madola 15,000 ndi $ 20,000, malingana ndi momwe mumakhalira komanso kumene mukukhala.

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Odwala ena amapereka ndalama zonsezi paokha. Ngati mukukonzekera kulipira nokha, pali chithandizo cha zachuma chomwe chingakuthandizeni kuti mutha kulipira.

Nthawi zina, inshuwalansi idzapindulitsa mtengo wa WLS. Mankhwala a Medicare ndi ena a Medicaid amapezanso mtengo wa opaleshoni nthawi zina. Mwinanso mumapeza inshuwalansi ngati muli ndi ndondomeko ya dokotala komanso matenda omwe angakhale abwino ngati mutayalemera. Obesity Action Coalition imapereka ndondomeko yambiri yogwira ntchito ndi wothandizira inshuwalansi, kuphatikiza mafomu ndi malangizo othandizira kupeza chithandizo.

Mmene Mungapezere Opaleshoni Yoperekera Kulemera

Chimodzi mwa zisankho zofunika kwambiri zomwe muyenera kuzichita ngati mukuganiza opaleshoni ya m'mimba kuti muthe kuchepa thupi ndi dokotala wanu opaleshoni. Dokotala wanu analiatatric adzakutsogolerani inu mu njira ndikukhala anu-resources pambuyo opaleshoni itatha.

Kupeza dokotala wabwino kwambiri woperewera kulemera kumatanthauza kupeza dokotala wodziwa bwino dokotala yemwe ali ndi mwayi wapadera pazochitika zomwe mungachite. Pali mabungwe azachipatala omwe angathe kukuthandizani kupeza dokotala wabwino kwambiri wocheperako ku dera lanu. Association Of Medicine Obesity ili ndi chida chakuthandizira kuti mupeze dokotala pafupi ndi nyumba yanu. Mungapezenso dokotala woyenera mwa kufufuza pa intaneti kudzera mu American Society for Metabolic and Bariatric Surgery.

Pofuna kusankha dokotala, mungafune kusunga zinthu zingapo m'maganizo. Dokotala yemwe ali m'kati mwa malo osungirako zinthu zakale nthawi zambiri amagwira ntchito limodzi ndi akatswiri ena omwe angakuthandizeni paulendo wanu. Anthu odwala zakudya, odwala, komanso odwala opaleshoni amatha kupezeka mosavuta pa malo odzipereka. Ndipo pamene anthu ena amapita kukachita opaleshoni yolemetsa, kupeza dokotala pafupi ndi nyumba n'kofunika. Ngati mavuto amayamba, simusowa kupita kumbuyo kuti mukapeze chisamaliro chomwe mukufuna.

Zimene Tingayembekezere Pambuyo pa Opaleshoni ya Bariatric

Odwala ena amakumana ndi zotsatira zotsatira za opaleshoni yolemetsa . Komabe, chifukwa njira zambiri zopaleshoni zimagwiritsidwa ntchito pogwiritsa ntchito njira zaparuscopic, mavutowa nthawi zambiri amakhala ochepa kwambiri kuposa kale. Opaleshoni ya laparoscopic imakhala yovuta kwambiri kuposa njira zamakono za opaleshoni.

Matenda ambiri omwe amawathandiza kuchitidwa opaleshoni amatchedwa matenda a dumping . Matendawa amapezeka pambuyo poti amadya ndipo amatha kuyambitsa kunyoza, kusanza, kutsegula m'mimba, kapena chizungulire. Odwala ena amatha kupwetekedwa mtima, kugwiritsidwa ntchito mokwanira, komanso mavuto opaleshoni atatha. Ndikofunika kulankhulana ndi dokotala za zotsatira zosavuta zomwe mumakumana nazo pambuyo pa opaleshoni.

Mwinanso mutha kukhala ndi kusintha kwa chikhalidwe ndi maganizo pamene mutayalemera. Pambuyo pa opaleshoni, muyenera kusintha makhalidwe anu a tsiku ndi tsiku kuti mukhale wolemera. Odwala ena ayenera kusiyanitsa ndi abwenzi kapena achibale omwe amawayesa kuti adye. Muyeneranso kufunafuna zodzikongoletsera komanso magulu omwe mumawathandiza. Si zachilendo kuti odwala a WLS azikhala ndi vuto linalake m'miyezi yomwe ndondomeko yawo itatha.

Kutaya thupi mwamsanga mutatha opaleshoni kumadalira mtundu wa opaleshoni ndi momwe mumakhalira mutatsatira njirayi. Malingana ndi National Institutes of Health, odwala ambiri amataya mapaundi 10 mpaka 20 m'miyezi yochepa yochepa pambuyo pa opaleshoni. Kwachilendo, odwala amatha pafupifupi pafupifupi 15 mpaka 30 peresenti ya kulemera kwawo.

Mawu Ochokera

Kusankha kuchitidwa opaleshoni yolemetsa ndi chisankho chachikulu. Kufunanso kudzipereka kwakukulu pa moyo watsopano. Ife tikufuna kukuthandizani pa njira yowonjezera thanzi ndi ukhondo. Gwiritsani ntchito laibulale yolepheretsa chuma, kuyankhulana ndi gulu lanu la chisamaliro, ndipo funsani thandizo kuti mupambane paulendo wanu kuti mukhale ndi thanzi labwino komanso thanzi.

> Zotsatira:

> Bariatric Surgery. Chigwilo

> FDA imavomereza chipangizo choyambirira choyenera kuchiza. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm430223.htm.

> Patient Learning Center - American Society ya Metabolic ndi Bariatric Surgery. https://asmbs.org/patients.

> Opaleshoni Yoperewera Kwambiri. https://medlineplus.gov/weightlosssurgery.html.