Utyando lweBariatric ligama elisebenzayo kwinani leenkqubo zokugqirha eziye zaphuhliswa ukunyanyisa ukunyameka kwaye ngokugqithisileyo zenza ukuba ilahleko lenzeke. Enye yale nkqubo i-bastric banding.
Ingaba isebenza kanjani
Ukuqhankqalaza kwe-gastric-okubizwa ngokuthi "i-lap-band" xa kwenziwa i-laparoscopically-yindlela yokuhlinzwa ngonyango. Ngendlela yokubamba isisu, esivame ukuba yenziwe i- laparoscopically , ibhendi isetyenziselwe isisu, ihlula isisu ibe ngamapoksi amabini: isikhwama esincinci esiphezulu esiphezulu kwebhodi, kunye nebhokisi eliphantsi elingaphantsi kwebhodi.
Isikhumba esincinci sinciphisa inani lokutya umntu angadla kuyo nayiphi na indawo yokuhlala, kwaye oko kubangela ukuvakalelwa kokuzaliswa ngokutya okuncinci.
Ibhanki ingatshintshwa ngokujova okanye ukususa i-saline kuyo, ngaloo ndlela iyancipha okanye ikhulise ubungakanani bokuvulwa phakathi kweendawo zombini zesisu. Ibhanti isuswa kwaye ayiyikuguqula isigxina sesisu okanye isondlo sokutya.
Ukubhinqa kwe-gastric kuwela phantsi kwecandelo "lokunciphisa" ukunyuka kwe-weight-loss procedures, ngenxa yokunciphisa, okanye ukunciphisa, amandla okusebenza esiswini ukuze athole ukutya.
Impumelelo
Kuhlolisiso oluchanekileyo lwezifundo eziye zapapashwa kuze kube yimhla, elinye iqela labaphandi lafumanisa ukuba ukulahlekelwa kwesisindo esincinci kunye nokubethelwa kwesantya kwakungama-45% ngokwemyinge, ngokunciphisa amazinga angama-28.6%. Ukunciphisa izinga lomfutho wegazi ophezulu (uxinzelelo lwegazi oluphezulu) lalingama-17.4% kunye nebhendi yesisu, kwaye ukunciphisa i-hyperlipidemia (i-cholesterol ephezulu) yayingu-22.7%.
La manani ayengaphantsi kwalawo afunyanwe ne-gastric andpass procedures
Nangona ubu bungqina ngoku, oko kunjalo, iiprogram zokulandelelwana ezide zide zifunekayo, njengoko kungekho zifundo zonyango lwe-bariatric zibonakala zivakalisa iziphumo ezingaphezu kweminyaka emihlanu. Ngaloo ndlela, nangona inani lokulahleka kwesisindo liyaziwa, yintoni engaziwayo kukuba ukulahlekelwa bunzima kugcinwe ngaphaya kweminyaka esixhenxe okanye elishumi okanye ngaphezulu.
Imiphumela
Ngokutsho kweMerika Society ye-Metabolic and Bariatric Surgery, ezinye zeempembelelo ezilandelayo, ezinjenge-"dumping syndrome" kunye nehudo, ezihambelanayo nezinye iinkqubo zokuhlinzwa ezinjenge- gastric bypass azilindeleke ukuba zidibaniswe ne-laparoscopic yokulungiswa kwegastric gastric. Ukugqithiswa, nangona kunjalo, kungenzeka ukuba kwenzeke.
Izigulane ezinamaqabunga okugcoba nazo zinokufumana i-dysphagia (ubunzima bokugwinya), ingakumbi emva kokuba ibhinti igxininiswe, okanye "iguqulwe."
Ngeenkqubo zokunciphisa umzimba ezinjenge-gastric banding, i-malabsorption syndrome ayifumanekanga, ngenxa yokuba ukutya okudliwayo ekugqibeleni kuyayifaka indlela esuka kwipokhethi ephezulu ibe kwisikhwama esingaphantsi, apho ifunyanwa ngokuqhelekileyo njengoko idlula intlungu encinci kunye nayo yonke inkqubo yokutya.
Nangona kunjalo, ngenxa yokuncitshiswa kokutya (oko kukuthi, emva koko konke, ingongoma yale nkqubo), ukungaphumeleli kwintleko kungenzeka, kwaye kuncinci, kucetyiswa ukuba izigulane zokuqhawula izidumbu zithathe i-multivitamin epheleleyo imihla ngemihla. Ezinye izongezelelo zondlo zinganconywa ngokusekelwe kwiimfuno zesigulane ngasinye, kwaye ukulandelelana okufutshane kunye nodokotela wakho kubalulekile.
Imithombo:
Umbutho waseMelika weBariatric Surgery Komphakathi / iKomiti yezeMfundo zoPhuhliso. Utyando lweBariatric: ukukhathazeka emva kokusebenza. Epapashwe ngoFebruwari 2008.
Arteburn DE, Fisher DP. Ubume bobubungqina bokuba utyando lwe-bariatric. Hlela. JAMA 2014; 312: 898-899.
Puzziferri N, Roshek TB, Mayo HG, et al. Ukulandelelwa kwexesha elide emva kokutyunjwa kwe-bariatric: uhlolo oluhlelekile. JAMA 2014; 312: 934-942.