Gastric bypass surgery imhando yakabatanidzwa yekuvhiya uye ndiyo inowanzoitwa.. Kuvhiyiwa kweGastric bypass inzira yekurapa inokwevera kutarisisa nemhedzisiro yayo yakabudirira mukuvhiya kupindira kurwisa kufutisa. Chinangwa chikuru chekuvhiyiwa uku ndechekuderedza huwandu hwemudumbu, nepo kutora kwekudya kunoderedzwa nekuti kunopfupisa nzira inotora kumukati mudiki. Chikamu chekutanga chedumbu chinoparadzaniswa nedumbu riripo nenzira yekuti rinoramba riri muchimiro che 30 50 cc. Mushure mekuita uku, chimwe chikamu chemukati mudiki chiripo chinodarika uye kubatana kunoitwa kune ichangobva kuumbwa dumbu diki.. Nekudaro, varwere vane gastric bypass oparesheni vanonzwa kuzara kamwechete nezvikamu zvidiki.. Kutenda kuvhiyiwa kunoitwa nenzira iyi, ine chinangwa chekudzivirira kutorwa kwehuwandu hwehuwandu hwemakoriori ekudya anotorwa panguva imwe chete. Kurasikirwa kwechigarire uye kwakajeka uremu kunotarisirwa mu laparoscopic gastric bypass kuvhiyiwa. Varwere vari kuvhiyiwa vanowana kunzwa kwekuguta nekudya zvimedu zvishoma nekuda kwedumbu ravo richangopfava, zvakafanana nekuvhiya kunongoderedza huwandu.. Kuvhiyiwa kweGastric bypass kunogona kushandiswa patsva kana zvakakodzera.
Mune Zvirwere Zvipi Zvinoitwa Gastric Bypass Surgery Inoshandiswa?
Kuvhiyiwa kweGastric bypass kuvhiyiwa kwekufutisa sechinangwa chikuru, uye gastric bypass kuvhiyiwa uye kurapwa iko zvino kuri kushandiswa kuzvirwere zvakawanda zvinoperekedza kufutisa. Chekutanga cheizvi chirwere cheshuga cherudzi rwechipiri. Type 2 chirwere cheshuga, icho varwere vasingakwanisi kudzora, chinogona kudzorwa nekuvhiya gastric bypass.
Gastric Bypass Surgery Inoitwa Sei?
Vasati vavhiyiwa gastric bypass, varwere vanotarisirwa kuvhiyiwa vanotariswa zvakadzama. Muchiitiko ichi, kunze kwekuongororwa kwemuviri kwevarwere, kutonga kwakazara kunofanira kuitwa ne endocrinology uye nyanzvi dzepfungwa vasati vavhiyiwa. Mushure mekutonga uku, data iripo yemurwere inoongororwa uye kuvhiyiwa kunosarudzwa zvakajeka.
Gastric Bypass Inoitwa Sei?
Gastric bypass kuvhiyiwa kunowanzoitwa nelaparoscopic nzira. Nekudaro, mazuvano, nekufambira mberi kwehunyanzvi, inogona kufarirwa nevarwere sekuvhiya kwerobhoti. Iko kuvhiyiwa kunoitwa nemaburi 1-4 mumurwere ane dhayamita reshiyo ye6 cm. Mukuvhiyiwa kwegastric bypass, dumbu rinoderedzwa nenzira imwechete seyokuvhiya kwegastrectomy. Zvinotarisirwa kuti chikamu che95% chedumbu remurwere ari kuvhiyiwa pari zvino chinenge chadarika. Muchikamu chemaitiro ekuvhiya, ayo akakamurwa kuita maviri, chikamu chekutanga inzira yekubatanidza chikamu chepakati cheura nekunzvenga matumbu gumi nemaviri aripo. Chikamu chechipiri ndiko kushanda kwedumbu nekusabvisa. Chinangwa chemuitiro uyu ndechekudzivirira chikafu chinopedzwa nemurwere kubva pane 12 munwe ura. Chinangwa chikuru chekuvhiya ndechekuona kuti varwere vane gastric bypass kuvhiyiwa vese vanodya zvishoma uye vanotora zvimwe zvekudya zvavanodya, uye hazvisi zvese zvinogadziriswa.
Chii chinofanira kuitwa mushure mekuvhiyiwa?
Varwere vane gastric bypass kuvhiyiwa vanowanzochengetwa muchipatara kwemazuva 3-6. Nepo murwere akavhiyiwa achiburitswa muchipatara, chirongwa chekudya chinovaka muviri kusvika padanho rekutanga chinoendeswa kumurwere nenyanzvi yezvekudya. Mushure mekuvhiyiwa uku, murwere anofanirwa kuteverwa zvakanyanya kwemakore maviri ne endocrinologist, dietitian uye psychiatrist, kunze kwebariatric surgeon.
Ndeipi Mibvunzo Inowanzo bvunzwa neVarwere muGastric Bypass Surgery?
Ndeapi marudzi ematanho anosanganisirwa mukuvhiya kwegastric bypass?
● tsvuku en y gastric kupfuurira: Murudzi urwu rwekuvhiya, huwandu hwedumbu hunosvika 25-30 CC hunoramba huri panosangana dumbu remurwere negurokuro, uye nzvimbo iri pakati pematumbu maviri inokamurwa kuita mativi maviri ane chiridzwa chakatsiga chakasarudzika. Nenzira iyi, homwe diki yemudumbu uye yese yedumbu inosara. Panguva imwecheteyo, mumhando iyi yekuvhiyiwa, kubatana kunoumbwa ne stoma pakati pemukati mudumbu uye homwe diki yemudumbu. Tinodaidza kubatana kutsva pakati pehomwe iyi nedumbu diki kuti roux en y arm. Mukuita uku, kunonangwa kunzvenga chikafu chinobva pasophagus, chikamu chikuru chedumbu uye chikamu chekutanga chedumbu diki.
● Mini gastric kupfuurira kuvhiyiwa: Murudzi urwu rwekuvhiya, nzira inogadzirwa mukati mekuvhiyiwa uye dumbu riripo remurwere rinoumbwa sechubhu uchishandisa maturusi akakosha. Iyi ichangobva kugadzirwa gastric pouch yakakura kudarika roux en y-type. Mukuvhiya uku, kubatana kunoitwa neiyo ichangobva kuumbwa gastric cavity iri chinhambwe chingangoita 200 cm kubva pachikamu chemukati memukati. Musiyano wakanyanya kukosha kubva kune imwe typing ndeyekuti pane nyore uye imwechete yekubatanidza mune yehunyanzvi chimiro. Mune ese ari maviri maitiro, iyo uremu nzira inoshanda zvakafanana mugastric bypass typing.
Ndedzipi Njodzi muGastric Bypass Surgery?
Utachiona, kubuda ropa, kuvharwa kwematumbo mushure mekuvhiyiwa, hernia uye zvinetso zveanesthesia yakawanda panguva yekuvhiyiwa inogona kuonekwa mukuvhiyiwa uku, iyo inogonawo kuonekwa mune dzimwe dzakawanda dzokuvhiya mudumbu. Njodzi yakakomba mukuita, iyo inonzi inonyanya kutyisa nenyanzvi, ndeyekudonha, kuputika kunogona kuitika muhutano huripo pakati pedumbu uye mudumbu muduku, uye kuvhiyiwa kwechipiri kunogona kuitika semugumisiro. Mukuwedzera, imwe njodzi yekuvhiya inogona kuwedzera nekuda kwekufutisa. Kuumbwa kweropa mumapapu kana zvirwere zvemwoyo zvinogona kuitika mutsoka. 10-15 muzana yevarwere vane gastric bypass kuvhiyiwa vanoona mamwe ematambudziko aya. Kazhinji, mamwe Matambudziko akakosha haawanzo uye akajairika matambudziko ndeaya anotariswa uye anorapwa.
Kune Varwere Vapi Kuvhiya Kwegastric Bypass Kwakakodzera?
Kazhinji, kuvhiyiwa kwekufutisa kunoitwa zvichienderana nehuwandu hwehuwandu hwehuwandu hwehuwandu. Kana muviri wemurwere huwandu hwehuwandu hwe40 uye pamusoro, kuvhiyiwa uku kunogona kuitwa. Pamusoro pezvo, varwere vane body mass index iri pakati pe35-40 uye vane zvirwere zvine chekuita nekufutisa senge Type 2 chirwere cheshuga, hypertension, uye kupererwa nehope vanogona kurapwa nekuvhiyiwa uku.
Varwere Vanofanira Kugara Nguva Yakadii Muchipatara Mushure mekuvhiyiwa kweGastric Bypass?
Mushure mekuvhiyiwa, varwere vanowanzokumbirwa kugara muchipatara kwemazuva 3-4 nenyanzvi. Iyi nguva inogona kuwedzerwa nekuda kweiyo iripo preoperative evaluation uye matambudziko anogona kuitika panguva yekuvhiya kupora nguva.
Maitiro ekusimudza Anorema Anogona Kuitwa Mushure mekuvhiyiwa kweGastric Bypass?
Pashure pokuvhiyiwa, vanamazvikokota vanoda kuti murwere adzivise mabasa ake anorema pashure pokunge abuda muchipatara. Mushure mekuvhiyiwa, murwere haafaniri kusimudza mitoro inorema kwemavhiki matanhatu.
Mota Inogona Kushandiswa Rini Mushure mekuvhiyiwa kweGastric Bypass?
Murwere ane gastric bypass operation anogona kufamba zvishoma nezvishoma, kukwira masitepisi uye kugeza kweinenge mavhiki maviri mushure mekuvhiyiwa. Mushure memavhiki maviri, anogona kutanga kutyaira.
Ndirini apo varwere vanogona kudzokera kubasa mushure mekuvhiyiwa gastric bypass?
Murwere akavhiyiwa anogona kudzokera kubasa mushure memavhiki e2-3 kana nzvimbo yebasa iripo yakadzikama. Zvisinei, varwere vane basa rinorema vanofanira kumirira mavhiki e6-8 mushure mekuvhiyiwa.
Iyo Yekurasikirwa Huremu Inotanga Riini muGastric Bypass Surgery?
Mushure mekuvhiyiwa, kuora muviri kunowanikwa zvishoma nezvishoma mumwedzi yekutanga. Makore 1,5-2 anogona kudiwa mushure mekuvhiyiwa kwegastric bypass. Mukuita uku, 70-80% yehuremu hwakawandisa hunotarisirwa kurasika panguva iyi.
Kudya kunofanirwa kutariswa sei mushure mekuvhiyiwa gastric bypass?
Mushure mekuvhiyiwa, zvinofanirwa kuve nechokwadi kuti varwere vanodya kanenge katatu pazuva uye kuti murwere akadyiswa zvakanaka. Kudya kunofanira kunyanya kusanganisira mapuroteni, michero nemiriwo, uye pakupedzisira, mapoka ezviyo zvegorosi. Kunyanya sezvo pachava nekurasikirwa kwemvura mumavhiki maviri ekutanga mushure mekuvhiyiwa, mvura inofanira kupedzwa. Muchiitiko ichi, mavhiki maviri emvura, 3-2-3. mavhiki anofanira kudya puree kushandiswa uye puree zvokudya. Varwere vanofanira kunwa zvinenge 4-5 litres emvura pazuva kuti vadzivise kupera mvura mumuviri. Mune mamwe mazwi, vanogona kushandisa mashoma e1.5-2 magirazi emvura pazuva. Kana iyi nzira isina kuitwa, mamiriro akadai semusoro, chizuru, kushaya simba, kusvotwa, maronda machena parurimi uye weti yakasviba inogona kusangana. Zvokudya zvinyoro uye zvakajeka zvinofanira kusarudzwa nevarwere. Semuenzaniso, kudya uye shuga puddings yakagadzirwa nemukaka wakaderera-mafuta, zviyo zvakakanyiwa nemukaka, cottage cheese, mbatatisi yakakanyiwa, maomelets akapfava uye hove yakakanyiwa inofanira kusarudzwa. Upfu, machubhu eshuga, confectionery zvinotapira zvinobva kunonzi shuga iri nyore zvinofanira kudziviswa. Varwere vanofanira kunyatsotsenga chikafu uye kumedza chikafu kana chave puree. Kana chikafu chiripo chisina kunyatsotsengwa uye pasi, vanogona kuvhara kubuda kwedumbu uye kunzwa kurwadziwa, kurutsa uye kusagadzikana. Mushure mekuvhiyiwa, inofanirwa kuve nechokwadi kuti varwere vanotora mapuroteni akakwana. Anenge magirazi matatu emukaka wakanyungudutswa uye soya-yakavakirwa mukaka pazuva inogona kupa yakakwana protein uye calcium kumurwere kuti arambe aine hutano. Havafanirwe kushandisa mvura uye yakasimba chikafu panguva imwe chete. Kushandisa mvura paunenge uchidya kunozadza dumbu diki rasara uye kukonzera kurutsa mumurwere nekukurumidza. Zvinokonzera kuti dumbu rinzwe kuguta nekukurumidza kupfuura zvakakodzera uye rinokonzera kushushikana kwemudumbu. Paanoita izvi, dumbu rinokurumidza kugezwa uye kunzwa kwekuguta hakusvikike, uye zvinogona kukonzera kudya kwakawanda. Sekurudziro yachiremba, zvinwiwa hazvifanirwe kutorwa maminetsi makumi matatu pamberi uye maminetsi makumi matatu mushure mekudya. Zvokudya zvinodyiwa zvinofanira kudyiwa zvishoma nezvishoma uye mahwendefa maviri ezvokudya anofanira kudyiwa mumaminitsi makumi maviri akazara. Nyanzvi dzakawanda dzinoti nguva iyi inofanira kuchengetwa semaminitsi makumi mana neshanu paavhareji. Kudya uye kunwa kunofanira kumiswa kana kunzwa kwekuzara kana kumanikidzwa kunonzwika pakati pedumbu. Kuchengeta zvikafu zvakadyiwa zuva rega rega uye kunyora zvigumisiro zvichabatsira iwe pakudya kwekudya, uye kana pane kunyunyuta kwekurutsa nguva dzose mumutambo uyu, rubatsiro runofanira kutsvakwa nachiremba.
Ndezvipi Zvokudya Zvinofanirwa Kudziviswa Mushure mekuvhiyiwa?
Chii chisingafaniri kudyiwa;
● Chingwa chitsva
● Saffets
● Zvibereko zvakaita seorenji
● Zvinwiwa zvine asidhi
● Fibrous fruit sweet Chibage celery michero mbishi
Zvimwe zvekudya;
● Toast kana crackers
● Zvimedu zvidiki zvenyama yakabikwa zvishoma nezvishoma
● Muto wemupunga
● Madomasi akasvuurwa akasvuurwa zvishoma nezvishoma uye kwenguva refu broccoli cauliflower
● Muchero wakapepetwa, muto wakanyungudutswa
Varwere Vanovhiyiwa Vanoona Kuzvimbirwa Here?
Sezvo varwere vachidya diki uye shoma chikafu pane chikafu chinopedzwa vasati vavhiyiwa, zvinotarisirwa kuona shanduko mumararamiro avo. Zviri muropa kuti chimbuzi chekutanga chinodiwa mazuva ese 2-3 mushure mekuvhiyiwa. Kuti udzivise mamiriro ezvinhu aya, kudya kwe-high-fiber, gorosi yegorosi yekudya kwemangwanani, zvokudya zvinogadzirwa nemafuta, bhinzi yakabikwa, michero nemiriwo, crackers yakagadzirwa kubva kugorosi inogona kudzivirira kuvimbiswa. Pamusoro pezvikafu izvi zvinodyiwa, zvinofanirwa kuve nechokwadi kuti kanenge 8-10 makapu emvura anopedzwa pakati pekudya.
Chii chinonzi Dumping Syndrome icho Varwere Vanoziva Mushure mekuvhiyiwa kweGastric Bypass uye Ndezvipi Zvikafu Zvisingafanirwe Kudyiwa Munyaya iyi?
Kunyanya kushandiswa kwezvakareruka carbohydrate chikafu mushure mekuvhiyiwa gastric bypass kunokonzera dumping syndrome muvarwere. Murwere anewo chichemo chinoitika kana mudumbu mabuda nekukasika. Dumping syndrome inogona kudzivirirwa nekubvisa zvikafu zvinokonzeresa kubva pachirongwa chekudya. Mukuwedzera, kudya kwakakwana uye kwakaenzana kunogona kupiwa nenyanzvi yezvokudya muchirongwa chekurasikirwa.
Maswiti ane chirwere cheshuga anofanirwa kusarudzwa kune dessert. Zvokudya zvinofanirwa kutariswa kunyanya nevarwere aizikirimu, mayoga emichero, chokoreti yemukaka, sirapu yemuchero, muto wemichero, mabhanzi anotapira, shuga yakawedzerwa muffin, makeke, jelly beans, popsicle, makuki, makeke, tii dzinotapira, kofi, lemonade, shuga. cubes , shuga kutsenga chingamu, uchi, jamu.
Hutano hwekushanya muTurkey hwakaita sei mune General Matemu?
Kunyangwe hurongwa hwehutano muTurkey hunoratidza misiyano yedunhu, inowanzoshanda nemazvo. Zvisinei, pane mamwe matambudziko nemaitiro aya. Kunyanya, pesvedzero yebazi rakazvimirira pamabasa ehutano ndechimwe chezvinhu zvakakosha zvinogadzira mamwe matambudziko mumhando uye kuwanikwa kwehutano hwehutano. Mukuwedzera, nyaya dzakadai sokusaenzana pakati pevamwe vashandi vehutano uye kuchengetedza kwehutano hwehutano huri pakati pezvinhu zvinoda kugadziriswa muhutano hwehutano muTurkey.
Sezvo hutano hweTurkey hwakaita shanduko dzakakosha uye hunyanzvi mumakore achangopfuura, yakagadzirika zvakanyanya kana ichienzaniswa nedzimwe nyika dzakawanda. Shanduko idzi dzinosanganisira kuita kuti masevhisi makuru ehutano awedzere kupararira uye kuwanikwa, kuwedzera kunaka kwemabasa ehutano, kuwedzera kushandiswa kwehunyanzvi hwehutano uye kuve nechokwadi chekuchengetedza kwemari yehutano hwehutano.
Health tourism inonzi munhu ari kushanya nekuda kwehutano. Nzendo dzakadai dzinowanzoitwa kuti uwane rubatsiro rwehutano kana kurapwa kune imwe nyika kana dunhu. Kushanya kwehutano kunogona kuitwa munyika uye kunze kwenyika.
Mumakore achangopfuura, kufarira kushanya kwehutano kwakawedzera zvakanyanya. Kushanya kwehutano kwave nzvimbo yekuenda kuTurkey. Kushanya kwehutano munyika kwave kuwedzera mumazuva achangopfuura nekuda kwezvinhu zvakaita sehutano hwemhando yepamusoro, vanachiremba vane mazvikokota uye zvechizvino-zvino zvekurapa. Iyo ine chinzvimbo chakakosha maererano nekushanya kwehutano, kunyanya muminda yakadai segastric bypass, kuvhiyiwa kwekunaka, kurapwa kwemazino, kuisirwa nhengo, in vitro fertilization, rheumatology uye orthopedics. Kushanya kwehutano muTurkey kunoumba nzvimbo huru kune vashanyi vekunze kusimudzira nyika. Vashanyi vanouya kuTurkey vanokwezvwa neakasiyana emapakeji anopa ese akaderera-mutengo wehutano masevhisi uye mukana wekutora zororo. Mune mamwe mazwi, kushanya kwehutano kunopa maitiro akanaka pahupfumi hweTurkey.
Nekudaro, kushanya kwehutano kunogona kuunza dzimwe njodzi kazhinji. Njodzi idzi dzinosanganisira nyaya dzakadai semhando uye kuchengetedzeka kwemabasa ehutano, kodzero dzevarwere uye inishuwarenzi yehutano. Nechikonzero ichi, zvakakosha zvakanyanya kugamuchira masevhisi kubva kumakambani akavimbika mukushanya kwehutano muTurkey.
Türkiye Mitengo yeGastric Bypass Surgery
Kuvhiyiwa kweGastric bypass kunogona kupihwa kuvarwere pamitengo yakasiyana nezvipatara zvakasiyana uye masangano ehutano muTurkey. Izvi zvinokonzerwa nezvinhu zvakawanda. Semuenzaniso, zvigadzirwa zvemichina zvinoshandiswa, nzvimbo yechipatara, hutano hwehutano hwemurwere uye unyanzvi hwechiremba uyo achaita kupindira kwekuvhiya ndizvo zvinhu zvinoumba zvinhu zvakakosha. Nekudaro, mukuita uku, mutengo wekuvhiya gastric bypass unowanzo kukwanisika muTurkey. Mitengo iyi inosanganisira pre- uye post-operative kucherechedza uye kutevera kwemurwere akavhiyiwa. Chirevo chakakosha chinofanira kuitwa pano ndechekuti gastric bypass kuvhiyiwa kunogona kuvharwa nemakambani einishuwarenzi akazvimirira mune dzimwe nguva, sezvo iri nzira yekurapa kufutisa. gastric muTurkey kupfuurira Unogona kutibata kuti uwane rumwe ruzivo rwakadzama nezvemitengo yekuvhiya.
Siya Mhinduro