Utyando lweBariatric lungaba yindlela ephumelelayo yokufezekisa ukulahleka kwesisindo kubafazi abane- polycystic ovarian syndrome (i-PCOS). Kodwa ukuzama ukufumanisa uhlobo oluthile lotyando lokulahleka kwesisindo lukulungele ukuba ube yinkqubo enzima yokudideka.
Utyando lweBariatric luye lwajikeleza ukususela nge-1960 kwaye ngoku ezininzi iinkqubo zenziwa i- laparoscopically , ithetha ngoluhlu lwezinto ezincinane eziboniswayo usebenzisa ikhamera ngaphakathi komzimba.
Ukukhetha Uhlobo Olugqithiseleyo Lendlela Yokulahlekelwa Kwisisindo Kuwe
Ukwenza isigqibo sokuba utyando lokulahleka komzimba lukhulu, njengoko ufumana ugqirha wakho kwaye ekugqibeleni, luhlobo luni lokuhlinzwa. Kukho iintlobo ezahlukeneyo zokuhlinzwa kwaye ugqirha wakho uya kuba nokhetho okanye isincomo malunga nokuba yiyiphi enye eya kusebenza kakhulu kwi-PCOS yakho.
Ugqirha wakho uya kuphakamisa indlela ephumelele ngayo, isizathu esibalulekileyo sokuba ufuna udokotela ogqirha onamava asebenza nabasetyhini nge-PCOS. Kukho iintlobo ezininzi zeenkqubo kwaye nganye ineenzuzo kunye nokungahleleki.
Roux-En-Y
I-Laparoscopic Roux-En-Y I-Gastric Bypass yinkqubo eyenziwa kakhulu, kwaye iquka amanyathelo alandelayo:
- Ukulungiswa kwakhona kwiphecana lesisu (GI) ukuze ukutya kudlule ininzi yesisu nesisu esincinci.
- Ingxowa encinci idalwe phezulu kwesisu.
- Isicatshulwa sesibini senziwe kwinqanaba elincinane lesisu esincinci, esixhomekeke kwisikhwama esenziwe phezulu kwesisu.
- Oku kuvumela ukutya ukuba kudlule ininzi inxalenye yephepha (GI) elithatha isondlo kunye neekhalori.
I-roux-en-Y ibonakala iyasebenza kakhulu ekuguquleni ukunganyangeki kwe-insulin, ingxaki ebalulekileyo kubasetyhini abane-PCOS, nangaphambi kokuba isiguli silahlekelwe isisindo.
Ngakolunye uhlangothi, le nkqubo inomngcipheko ophezulu we-malabsorption ezininzi zezondlo.
Oku kudla ngokucwangciswa, kwaye kuthintela, kunye nezongezelelo ezinokuba ziyimfuneko ukukhusela iimpazamo ezinzulu zesondlo. Uyakufuna kwakhona ukujonga esondeleyo kunye nokuqokwa kwamaninzi okulandelelanayo ukugcina iso kwimeko yakho yesondlo.
Kukho ezinye iingozi, ezibandakanya i-gallstones, ukukhutshwa, ukuvuza ngenxa ye-sutures okanye i-staples, kunye ne-dumping syndrome (imeko engeyiyo apho ukutya okanye iziphuzo ezithile zibangelwa ukunyanzeliswa nokurhoxisa kakhulu).
I-Lap Band
I-Lap Band , okanye iLaparoscopic I-Gastric Banding (LAGB) inomsebenzi omfutshane (ngaphantsi kweeyure eziyi-2) kwaye ixesha elincinane elichithwe esibhedlele lifaniswe neRoux-en-Y. Le nkqubo ibandakanya:
- Ukubeka ibhande le-silicone elungelelaniswayo kwiindawo eziphezulu zesisu ezingaqhubekiyo kwaye ziqiniswe ukukhawulela ukutya.
- Ukuqiniswa okanye ukunyuka kwamaxabiso kuyenziwa ngechweba lenkunkuma ebeka phantsi kwesikhumba esiswini.
Ezinye iifundo zibonisa ukuphumelela kwimivuzo efana neRoux-en-Y, nangona kunjalo, isidingo esikhulu sokuhlinzwa ngokuphindaphindiweyo saxelwa kwi-slippage okanye kwiingxaki ze-port.
Sleeve Gastrectomy
Ngokubhekiselele kwiMveli njenge-Laparoscopic Sleeve Gastrectomy (LSG), le nkqubo ibandakanya:
- Ukutshintsha umzo wesisu ukusuka kwifomkhwa ibe ngumkhono omncinci.
- Ingxenye yesisu isuswe ukulungiselela ukuma okutsha, okubangela ukuba umthamo wesisu wehle.
I-LSG yinkqubo entsha kunye nezifundo ezipapashiweyo ezimbalwa. Iingxaki zimele zibe ziphantsi kule nkqubo kuba ayibandakanyi nayiphina i-passpass yokugada kwaye igweme ukufakwa kwezixhobo.
Nangona le nkqubo iphumelela, uphando lubonakala lubonisa ukuba inkqubo yeRoux-en-Y ibaluleke kangcono ekulahlekeni kwesisindo nokuphucula ukuqonda kwe-insulin. Nangona kunjalo, ukulahlekelwa kwesisindo esiphezulu kufunyenwe nale nqubo ngokubhekiselwe kwi-Lap Band ngokusekelwe kuhlalutyo luka-2012 olupapashwe kwi-Journal of World Diabetes.
Luhlobo Luni Lokunyuka Kwemithwalo Yokunyuka Kwemithwalo Eyona Ngcono Kwabesetyhini abane-PCOS?
Inqaku lika-Apreli 2012 kwi-World Journal yeSifo sikashukela lanyathelisa ukuba iRoux-en-Y ikhokelela kwizinga eliphezulu lokulahlekelwa kwesisindo ngaphezu kokubanjwa kweeLap Band kunye neSleeve Gastrectomy. Ukwaneliseka kwesineke kwafunyaniswa nokuba kuphakamileyo kunye neRoux-en-Y.
Kubalulekile ukuba nencoko evulekileyo kunye nodokotela wakho malunga nokukhetha kwakho okukhethayo kunye nenkqubo ekhetha yona (kwaye kutheni). Qinisekisa ukwenza uphando lwakho phambi kokuba uqeshwe kwaye uqonde iinketho zakho kunye neenjongo zokuhlinzwa, njengoko iimpawu zakho ze-PCOS kunye nembali yakho yodwa ingaba yinto eyahlukileyo kunabanye ogqirha wakho osebenze kuyo.
Ukufumana imbono yesibini kuluvo oluhle, ingakumbi ukuba unenkxalabo malunga nenkqubo yakho ecwangcisiweyo.
Imithombo:
American Physiological Society. (2007, ngoMeyi 8). I-Lap Band I-Gastric Bypass Surgery Iphucula Ukunyanzelwa kwe-Insulin.
IiJAMA kunye neeNcwadi zoLondolozo. (2011, Februwari 22). Ugqirha lwe-gastric utyando oludityanisiweyo oluhambelana neziphumo zempilo eziphuculweyo.
Malik, SM, & Traub, ML (2012). Ukucacisa indima yobungqina be-bariatric kwizilwanyana ze-polycystic ovarian syndrome. Umbhalo Wehlabathi WeSwekile