Opaleshoni Yophatikiza M'mimba
Gulu lotchedwa banded gastroplasty, lomwe limadziwika kuti "kumimba m'mimba" kapena kuti gastroplasty yamanja, ndilopaleshoni yowonongeka yomwe imathandiza kuchepetsa kuchuluka kwa chakudya chimene chingathe kudyetsedwa musanamve bwino. Kuchita opaleshoniyi kumaphatikizapo ziwalo za m'mimba zozizwitsa komanso kumimba kwapakati, koma sizisinthika. Zimangokhalira kusokonezeka ndi njira zina zofananamo, monga ndondomeko yowongoka, yomwe siimaphatikizapo gulu.
Monga njira zina zomwe zimaphatikizapo gulu, sizili zofala masiku ano kusiyana ndi momwe zinaliri kale, monga momwe njira yothandizira minofu imakhala yotchuka.
Kuchita opaleshoni kumaphatikizapo kachigawo kakang'ono ka m'mimba kuti agwiritse ntchito chakudya, kuchepetsa kukula kwa chakudya mpaka pafupifupi imodzi imodzi, ndipo amachepetsa kuperewera kwa chakudya mwa kukakamiza chakudya kudutsa mphete yokakamiza. Ngakhale opaleshoni yamagetsi imagwiritsa ntchito mphete yodula, ma opaleshoni ndi osiyana kwambiri, ma bandolo amafunika kuti asamayesedwe m'mimba pamene phokoso lagastroplasty limapanga mimba m'mimba kuti gulu liziyenda. Kuonjezera apo, gulu la bandu lingasinthidwe ngati kuli kofunikira popanda opaleshoni ndipo gulu loletsedwa lawotchi la gastroplasty silingasinthidwe popanda opaleshoni.
Wodwala amene amatsatira njirayi ayenera kusintha kwakukulu pa chakudya ndi moyo wake kuti zakudya zizikhala bwino m'tsogolo.
Chifukwa chakuti mimba imatha kutambasula kuti idye chakudya, mimba imatha kukula kwambiri kuchokera ku mphamvu imodzi. Zakudya ziyenera kukhala zazing'ono komanso zakumwa zamadzimadzi ndi zakudya zomwe zingathe kudzaza thumba.
The Procedure
Kuchita opaleshoni kumachitika kuchipatala kapena kuchipatala, pogwiritsa ntchito anesthesia.
Ma opaleshoni ambiri amachitidwa opaleshoni, zomwe zimathandiza dokotalayo kugwiritsa ntchito zipangizo zamakono zomwe zimayikidwa m'thupi kudzera mu masentimita masentimita yaitali (m'malo motsegula mimba ndikupanga ululu waukulu). Nthawi zina, opaleshoniyi idzachitidwa "kutseguka" ndi kuwonjezeka kwa chikhalidwe, kapena opaleshoni yomwe imayambira yotsitsimuka ingasinthidwe ngati dokotalayo akuganiza kuti ndizofunikira.
Kuchita opaleshoni kumayambira ndi maulendo angapo-masentimita ataliatali m'mimba. Zidazi zimayikidwa kudzera m'maganizo amenewa ndipo dokotalayo amayamba kupangika m'mimba. Mbali za incision ndizochepa, zimapanga dzenje mmimba momwe zimagwiritsira ntchito gulu loletsedwa, kuchepetsa liwiro limene chakudya chingachoke m'mimba.
Pamwamba pa dzenje latsopanoli, mimba yayamba, kukakamiza chakudya chodyeka kuti chichoke m'mimba kudutsa m'dera lomwelo. Mukamaliza, gawo la m'mimba lomwe limapatsa chakudya limakhala ndi chakudya kapena zochepa.
Pamene dokotalayo akuganiza kuti chakudyacho chimakhala chitatsekedwa m'mimba ndipo palibe malo omwe amaoneka ngati akutha, zidazo zimachotsedwa ndipo zofunidwa zimatsekedwa, makamaka ndi matepi osabala.
Zotsatira Zopambana
Ndondomekoyi imasokoneza zotsatira mu nthawi yaitali, zomwe zimasiyana ndi kubwezeretsa zolemetsa zonse zotayika kusunga 50 peresenti ya kulemera kwathunthu. Odwala ambiri amavutika kukhala ndi mbali zochepa zomwe zimafunika kuti chikwama cha m'mimba chikhale chochepa. Pamene ayamba kudya zigawo zazikulu, kulemera kwake kumayima ndipo phindu lolemera limayamba.
Matumbo samapitirira njirayi ndipo palibe kusintha momwe thupi limaperekera chakudya m'matumbo, kotero palibe chiopsezo cha kusowa kwa zakudya m'thupi chifukwa cha opaleshoni.
Kuwonongeka kwa kulemera kwa thupi ndi kuchepetsa kulemera kwanthawi yaitali ndizochepa kwambiri pochita opaleshoniyi poyerekeza ndi mitundu yonse ya opaleshoni ya opaleshoni yomwe ikuchitika tsopano ku United States, kotero siyotchulidwa kwa anthu omwe ali ndi kulemera kwakukulu kutaya ndi / kapena omwe akufunira njira zina.
Ndipotu, zingakhale bwino kuyesetsa kusintha zinthu zomwe zingasinthike komanso kukhala ndi njira zosiyana mukakhala oyenerera m'malo mochita zomwe mukudziwika kuti muli ndi zochepa zochepa mu nthawi yayitali komanso yaitali.
> Zotsatira:
> Opaleshoni ya Bariatric Kwa Kulemera Kwambiri. Chidziwitso cha Ogulitsa. National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. March 2008. http://win.niddk.nih.gov/publications/gastric.htm
> Jones, Nicolas V. Christou, MD, PhD, Didier Look, MD, ndi Lloyd D. MacLean, MD, PhD. "Kulemera kwa Thupi Pambuyo Panthawi Zakafupi ndi Zambiri Zambiri Zopweteka Kwa Odwala Zotsatira Zakale Zaka 10." Chiwerengero cha Opaleshoni 2006 November; 244 (5): 734-740.