Gastric Bypass ichazwe
I-gastric bypass yindlela yokuxilwa komzimba, kunye nokusetyenziswa kokunciphisa isisu esiswini kunye nokugqithiswa okuyingxenye yamathumbu amancinci ukunciphisa ikhalori. I-downpass ye-gastric iphinda ibhekiswe ngokuba ngu-"roux-en-y" ukuhlinzwa kokulahlekelwa kwesisindo kwaye enye yeyona ndlela iphumelele kakhulu yokuphelelwa kwesisindo sokunyuka kwexesha elide.
Izigulane zegastric bypass ziziva zizele ngokukhawuleza kwaye zihlala ngaloo ndlela zininzi kunokuba ziqhelekile.
Oku kungenxa yokuba isikhombisi senziwe ukuba sihlukanise kuphela isigaba esincinane kwisisu sokusetyenziswa kokutya. Ukongeza, icandelo lomathumbu omncinci liye ladlula ukunciphisa inani lokutya, kwaye ngoko ke iikhalori, ezinokusetyenziswa ngumzimba.
Ukuba uyayifaka le nkqubo, kufuneka wenze utshintsho olukhulu ekutheni ukutya kunye nendlela yokuphila ukuze inkqubo ibe nefuthe eliphezulu. Ukutya emva kokuhlinzwa kufuneka kugqitywe malunga neyunithi nganye; ukusela utywala kunye nokutya kunokuzalisa isikhwama, kwakhona, ngoko ufanele uqikelele ukuba ukwenza oko kunokuthintela ukungenisa ukutya okuqinileyo. Kodwa, ngenxa yokuba isisu sinako ukunweba ukulungiselela ukutya, ungadla iindawo ezinkulu kunokuba ixesha elidlulileyo.
Inkqubo yoBugqirha yeGastric Bypass
Utyando lwe-gastric surpass uqhutyelwa esibhedlele okanye kwisiko lokuhlinzwa, usebenzisa i- General Anesthesia . Inkoliso yexesha, inqubo eyenziwa i-laparoscopically, oku kuthetha ukuba ugqirha usebenzisa izixhobo ezide ukuqhuba ngokusebenzisa izinto ezincinci.
Kwiimeko ezinqabileyo, utyando luya kuba "Vulekile," lwenziwa ngokugqithisileyo, kwenkcubeko. Utyando olwenza i-laparoscopically luyakwazi ukuguqulwa kwinkqubo evulekile ukuba ugqirha ugqibe ukuba kuyimfuneko.
Utyando luqala ngeemitha ezi-inch ezingaphezulu kwimizuzu emide kwiindawo zesisu.
Izixhobo zifakwe ngolu hlobo, kwaye ugqirha uqala ngokudala isikhombisi ukusuka kwindawo yesisu esiseduze ne-esophagus. Ingxowa igxothwe ngokupheleleyo kuyo yonke isisu, esiyi-stapled closed and remains in body (nangona ayiyi kuphinda idle ukutya). I-sphincter muscle, ephethe ukutya esiswini, ihlala isondele kwisiqephu esingasetshenziswanga sesisu; i-sphincter yesisu esisenyakatho iba ngumnyango kwesikhwama.
Emva kwesikhombisi, isisu esincinci sihlala siqhotyoshelwe kwisahlulo sesisu esingazicwangcisi ukutya. Isalathisi esahlula intlungu encinci ibe yinqanaba eliphantsi neliphezulu lenziwe, kunye necandelo eliphezulu ligcinwe ngokuvalwa. Icandelo elisezantsi lesisu sele liqhotyoshelwe kwisikhumba esandul Ingxenye ephezulu yamathumbu amancinci ahlala emzimbeni, eqhotyoshelwe kwisisu esingasetshenziswanga, kodwa, kwakhona, ayisayi kuqhuba ukutya.
Emva kokuba ugqirha unqume ukuba i-staples kunye ne- sutures aziyi kuvuza, izixhobo ziyakhutshwa kwaye izigqibo zivaliwe, ngokuqhelekileyo zine- sutures ezingenakunyuswa kunye ne-tape engenakunyumba.
Umphumo Oyingqamaniso we-Gastric Bypass Surgery
Le nkqubo iphumelele kakhulu kuneenkqubo zokuthintela, njengento yokubamba isisu , kuba ayithembeli kuphela ekuguqulweni kokuziphatha.
Nangona isikhokhelo sinceda ukudala umva wokuzaliswa kwaye akavumeli ukuba ukutya okukhulu kusetshenziswe, iikhalori ezidliwayo azisebenziswanga ngokupheleleyo ngumzimba ngenxa yokugqithiswa kwengxenye yamathumbu amancinci.
Ngenxa yokuba ukulahleka kwesisindo akuxhomekeke ngokupheleleyo ekuqhubeni kokutya ukutya okuncinane kakhulu, izigulane zilahlekelwa ubuncinane ubuncinane be-60% obunzima bobunzima emva kokuhlinzwa; ngaphezu kwesithathu kulahlekelwa ngu-80%. Uninzi lwezigulane zifikelela kwisisindo esiphantsi kweminyaka emibini emva kokuhlinzwa. Olunye uphando olutshanje lubonise ukuba i-90% yezigulane zigcina ukulahlekelwa kwesigalo sabo sokuqala ubunzima bokuqala emva kweminyaka elishumi emva kokuhlinzwa, umphumo oye waboniswa kuphela ngeRoux-en-Y kunye nokuhlinzwa okufanayo, ukuchithwa kwe-biliopancreatic diversion.
Ngelishwa, i-biliopancreatic diversion - ngezinye ii-roux-en-y-kubangela ubunzima ekufumaneni ukondla okwaneleyo kunye nokufumana amavithamini namaminerali aneleyo.
Izinto ezinokuthi zenzeke kwi-Gastric Bypass Surgery
Ewe, kukho imilinganiselo kule - kunye nayiphi na inkqubo. Izigulane ezininzi zifumana i-dumping syndrome, imeko apho ukutya kuhamba ngokukhawuleza sisuka esiswini ukuya emathunjini amancinci, kubangele iimvakalelo, izifungo ezibandayo, ama-chills kunye nesifo sohudo esichukumisayo kunye nentlungu yesifuba. Uninzi lwezigulane zifumanisa ukuba ubungakanani bokutya bokutya kunye nokusetyenziswa kweswekile kuvimbela ukulahlwa kwesifo.
Ukungondleki kusengozini, njengoko le nkqubo inciphisa amandla omzimba wokufumana izondlo, kwaye ezininzi izigulana zidinga i-vitamin kunye ne-mineral supplementation kubo bonke ubomi babo.
Utyando aluyi kubuyiselwa, kodwa utyando oluthile lonyango luyakunqunyulwa ngokutya ngokunyamekayo, okunokuthi ulwebise isikhwama kuze kube yilapho inani lokutya elinakho ukugaya kwaye lisetyenziswe ngumzimba lugcinwe kakhulu kunokuba lucwangciswe ngugqirha. Ukuba unqwenela lo tshintsho, thetha nogqirha wakho ukuze wenze icebo lokukunceda wenze oku ngokukhuselekileyo nangokukhuselekileyo.
Ngokubanzi, i-gastric bypass yindlela yokuhlinzwa yokulahleka kwesisindo ngokuqhelekileyo, kunye neenkqubo ezingama-140,000 ezenziwa eMelika rhoqo ngonyaka. Nangona kukuhlinzwa okunzima kunye neengozi ezibalulekileyo, izigulane ziye zaba nemiphumo engcono ngokulahlekelwa kwesisindo, ukugcinwa kwesisindo sesikhathi eside kunye nokuphuculwa kwezempilo jikelele kunabo abaye bakhetha nayiphi na enye uhlobo lokuhlinzwa kwesisindo.
Imithombo:
I-Bariatric Surgery For Obesity. Uxwebhu loLwazi lwaBathengi. Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Matshi 2008. http://win.niddk.nih.gov/publications/gastric.htm
UJonas, uNicolas V. Christou, MD, PhD, Khangela uDidier, MD, kunye noLloyd D. MacLean, MD, PhD. "Ukunyusa Umzimba Emva kwexesha elifutshane kunye neLong-Limb Gastric Bypass kwizigulane ezilandelwe ixesha elide kuneminyaka eli-10." U-Annal of Surgery 2006 ngoNovemba; 244 (5): 734-740.