Chifukwa Chakugwiritsira Ntchito Manja Ndiko Kukhalitsa Okhaokha Bariatric Surgery
Mankhwala opangidwa ndi manja, kapena mawonekedwe owona bwino, ndiwo mtundu wa opaleshoni yomwe imasiyanitsa kachigawo kakang'ono ka m'mimba kuti igwiritse ntchito chakudya, kuchepetsa kukula kwa chakudya mpaka pafupifupi ounce pambuyo pa opaleshoni. Kuonjezera kuchititsa kulemera kwa kuperewera kwa chakudya, kupatsa kwa manja kumachepetsanso chilakolako chofuna kudya-hormone yolimbikitsa yotchedwa ghrelin - kotero anthu amamva kuti alibe njala ndipo amadya pang'ono.
Kuchita opaleshoniyo kunkayambidwa kwa anthu omwe anali ochepa kwambiri moti sankafuna kuchita opaleshoni, monga Roux-en-Y kapena biliopancreatic diversion, ndi kuyembekezera kuti opaleshoni yachiwiri idzachitidwa kamodzi kokha. atayika. Tsopano, kafukufuku amasonyeza kuti odwala akhoza kutaya kuchuluka kwake kwa kulemera kwake ndi manja a manja okha ndipo safuna kuchitidwa opaleshoni yachiwiri yolemetsa.
Chifukwa chaichi, opaleshoniyo yatchuka kwambiri, chifukwa imawoneka ngati yochepa kwambiri. Ndipotu, malinga ndi kafukufuku wa 2013 mu Opaleshoni Yokwanira Kwambiri, kumbuyo kwa roux-en-Y, kupatsa mphamvu kwa manja kwachiwiri kunali opaleshoni yachiwiri ya opaleshoni padziko lonse mu 2011.
Njira Yowonongeka ya Vertical Sleeve Gastrectomy
Kuchita opaleshoni kumachitika kuchipatala kapena kuchipatala, pogwiritsa ntchito anesthesia. Kuchita opaleshoni kumachitidwa mwachipatala, zomwe zimathandiza dokotalayo kuti agwire ntchito pogwiritsa ntchito zipangizo zamitundumitundu zomwe zimayikidwa m'thupi kudzera mu masentimita angapo.
Nthaŵi zina, opaleshoniyo idzachitidwa "lotseguka," ndi kukakamizidwa kwakukulu kwa chikhalidwe, kapena opaleshoni yomwe imayambira yotsitsimuka ingasinthidwe ngati dokotalayo akuganiza kuti ndi kofunikira.
Kuchita opaleshoni kumayambira ndi mafupipafupi ambirimbiri m'kati mwa mimba.
Zidazi zimaphatikizidwa kudzera m'maganizo amenewa, ndipo opaleshoni imayamba pochotsa mpaka 85 peresenti ya mmimba. Mimba ya m'mimba imayanjanitsidwa ndi chakudya, ndikusiya m'mimba mochepa ndi tubulare, koma kusunga mitsempha ya pamwamba ndi pansi pa mimba.
Dokotala ataganiza kuti chakudyachi chimakhala chitatsekedwa m'mimba ndipo palibe malo omwe akuwomba, zidazo zimachotsedwa ndipo zofunikila zimatsekedwa, zomwe zimakhala ndi sutures yosakanizika komanso tepi yoyera.
Zotsatira Zowoneka Pambuyo Pa Sleeve Gastrectomy
Malinga ndi zotsatira za kulemera kwa thupi, uthenga wabwino ndi wakuti kafukufuku amasonyeza kuti kulemera kwa kulemera kwaposa 50 peresenti, ngakhale patapita zaka zoposa zisanu ndi chimodzi pambuyo pa opaleshoni. Kuphatikizanso apo, bonasi ina yokhala ndi chithunzi cha manja ndikuti vuto la kusowa kwa zakudya m'thupi lomwe limayang'aniridwa ndi odwala opaleshoni ambiri salipo ndi opaleshoni iyi, pamene thupi limapitirizabe kuyamwa zakudya monga momwe zidachitira opaleshoni.
Chokhumudwitsa n'chakuti anthu ena amayamba kulemera pambuyo pochita opaleshoni, makamaka akamadya chakudya chochuluka chomwe chimatulutsa thumba. Reflux yamadzi ndi zotsatira zina zothandizira opaleshoniyi.
Mfundo Yofunika Kwambiri
Wodwala amene amatsatira njirayi ayenera kusintha kwambiri pa chakudya chake ndi moyo wake kuti njirayo ikwaniritsidwe.
Chifukwa chakuti mimba imatha kutambasula kuti idye chakudya, mimba imatha kukula kwambiri kuchokera ku mphamvu imodzi yomwe opaleshoni imatha. Zakudya ziyenera kukhala zazing'ono - zosachepera theka la chikho - komanso madzi akumwa ndi zakudya akhoza kudzaza thumba, kuteteza kudya chakudya cholimba panthawiyo.
Zotsatira:
Buchwald, H. & Oien, DM (2013). Kuchita opaleshoni yowopsa kwambiri , Apr; 23 (4): 427-36.
Christou, NV, Yang'anani, D., MacLean, LD Phindu lolemera pambuyo pafupipafupi komanso lalitali lamba m'mimba limadutsa kwa zaka zoposa 10. Annals of Surgery, November; 244 (5): 734-40.
Himpens, J., Dobbeleir, J., & Peeters, G. (2010). Zotsatira za nthawi yayitali ya laparoscopic manja yopondaponda kwa kunenepa kwambiri. Annals of Surgery , Ag; 252 (2): 319-24.
National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. (March 2008). Opaleshoni ya Bariatric Kwa Kulemera Kwambiri.
KUDZIZIRANI: Zomwe zili pa tsamba ili ndi zolinga za maphunziro okha. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda .