Kuvhiya kwegastric sleeve ndeimwe yeanonyanya kushandiswa pakuvhiya kwebariatric. Ichi chishandiso chinonziwo Sleeve Gastrectomy mumutauro wekurapa. Mukuita, dumbu rinoumbwa kuva chubhu nerubatsiro rwekuvhiya maitiro. Kana tikatarisa hurongwa hwekugaya, zvinoonekwa kuti inenge yese iyi iri muchimiro chechubhu. Nepo ura negurokuro zvine chitarisiko chitete uye chakareba, dumbu riri muchimiro chehomwe kuitira kuti ritore zvimwe zvekudya. Nekuvhiyiwa, chikamu chikuru chemudumbu chinobviswa nenzira iyo haigoni kuchinjwa, uye inoshandurwa kuva hurongwa nesophagus uye ipapo matumbo. Mukushandisa uku, hapana chubhu kana muviri wekunze unoiswa mudumbu. Nekuda kwekuti chimiro chedumbu chakafanana nechubhu, kuiswa kunonzi chubhu dumbu.
Kuderedza vhoriyamu yemudumbu haisiriyo yega mhedzisiro mune sleeve gastrectomy maitiro. Kana dumbu raitwa chiumbwa chechubhu nekuchidzikisa, mahomoni enzara anoburitswa kubva mudumbu anokanganisawo zvakanyanya nemamiriro ezvinhu aya. Chishuvo chevanhu chezvokudya chichaderera, uye kunze kwezvo, uropi huchanzwa nzara shoma. Kuvhiyiwa kwegastric sleeve kunokwevera kutarisisa nemaitiro ayo emagetsi pamwe nemhedzisiro yehomoni.
Mune Zvirwere Zvipi Kuvhiyiwa Kwemudumbu KweTube Kunofarirwa?
Tube mudumbu application inonyanya kufarirwa mukurapa kwe morbid obesity. Pamusoro pekufutisa, inopawo mabhenefiti makuru mukurapa kwezvirwere zvakaita serudzi rwechipiri chirwere cheshuga. Zvisinei, kana chinangwa chikuru chisiri kufutisa, asi zvirwere zvakadai sechirwere cheshuga chechipiri, kuvhiyiwa kweboka rebypass kunonyanya kubudirira.
Kuvhiyiwa kwegastric sleeve kunogona kusarudzwa sekuvhiya kwechinguva muvanhu vane kufutisa kwakanyanya. Kuvhiya kwegastric sleeve kunoshandiswa mukugadzirira kuvhiyiwa kweboka rebypass kune varwere vari muboka revarwere vakanyanya kufutisa.
Kuvhiyiwa kweTube Mudumbu Kunoitwa Sei?
Sleeve gastrectomy imwe yekuvhiya inoitwa pasi peanesthesia. Ichi chishandiso chinonyanya kushandiswa chakavharwa, ndiko kuti, laparoscopically. Zvichienderana nechiremba anovhiya kana varwere, kushandiswa kunogona kuitwa kuburikidza negomba rimwe chete kana kuburikidza ne4-5 maburi. Mukuwedzera, zvinokwanisika kuita gastric sleeve kuvhiyiwa nemarobhoti. Sezvo maburi akavhurwa panguva yekushandisa ari madiki kwazvo, haakonzeri matambudziko epamberi maererano neaesthetics.
Kuti usaderedze dumbu zvakanyanya panguva yekuvhiyiwa, calibration chubhu inoiswa mumusuwo wedumbu, yakaenzana nedhayamita yesophagus. Neiyi calibration chubhu, dumbu rinodzikiswa sekuenderera mberi kwegurokuro. Nenzira iyi, matambudziko akadai seyakanyanya stenosis uye kuvharika mudumbu zvinodzivirirwa. Mushure mekutora zvidziviriro zvine chekuita nevascularization uye kubuda ropa, dumbu rinochekwa uchishandisa yakakosha yekucheka nekuvhara maturusi.
Mushure mekuvhiyiwa kwegastric sleeve kwapera, iyo calibration chubhu yakaiswa pakutanga kweoparesheni inobviswa. Panguva yekuvhiyiwa, kushandisa nzira imwe chete kana kupfuura yekuongorora kana paine kudonha mudumbu kunoitwa. Pamusoro pezvo, bvunzo dzakafanana dzinoitwawo mushure mekuvhiyiwa kwegastrectomy.
Kune Varwere Vapi Vakakodzera Kuvhiyiwa KweTube Mudumbu?
Kuvhiyiwa kwegastric sleeve ndeimwe yenzira dzekuvhiya dzinoshandiswa kune vanhu vane varwere vakafuta. Kunyangwe isingashande seyechinyakare metabolic kuvhiyiwa kana gastric bypass kuvhiyiwa, inopa mhedzisiro yakanaka maererano nekugadzirisa Type 2 chirwere cheshuga.
Kuvhiyiwa kweSleeve gastrectomy hakuna kufarirwa kune vanhu vane chirwere cheshuga chisingadzoreki kana matambudziko epamusoro ereflux. Kunze kwekufutisa, kana chirwere cheshuga chiri chinangwa, nzira dzinoshanda dzinosarudzwa. Pamusoro pezvo, zvinokwanisika kushandura sleeve gastrectomy kuvhiya kuita nzira dzekuvhiya dzakasiyana mune ramangwana. Nechikumbiro chechipiri chekuvhiya, sleeve gastrectomy application inogona kushandurwa kuita nzira dzekuvhiya metabolic dzakadai segastric bypass kana Duodenal Switch.
Zvinhu zvekufunga nezvazvo Pamberi peTube Kuvhiyiwa Kwemudumbu
Vasati vavhiyiwa sleeve gastrectomy, vanhu vanofanirwa kuenda nekuongororwa kwakadzama. Inoferefetwa kana paine matambudziko akadai sechirwere chemoyo uye maronda emudumbu anodzivirira kuvhiyiwa kwegastrectomy. Chokutanga pane zvose, matambudziko anodzivirira kuvhiyiwa anobviswa uye vanhu vanogadzirwa kuti vakwanise kuvhiyiwa. Mune zvimwe zviitiko, marapirwo aya anoshandiswa pamberi pekuvhiyiwa kwegastrectomy kunogona kutora mwedzi. Kunze kweizvi, vezvekudya nevarapi vepfungwa vanofanirwawo kutarisa varwere vavo uye kuongorora kukodzera kwavo kuvhiyiwa. Chinhu chakakosha mukuvhiya uku kubvisa matambudziko ekufutisa kwevarwere pasina matambudziko.
Zvirongwa zvekuchipatara zvinoitirwa varwere pazuva rekuvhiyiwa. Mushure mekuvhiyiwa, vanhu vanofanirwa kugara muchipatara kwemazuva 2-3. Kudya kwakakosha kunotanga kushandiswa kwemazuva 10-15 kune vanhu vane matambudziko makuru ekurema uye kunyanya avo vane chiropa chemafuta. Nechirongwa chekudya chakakosha, chiropa chinoderedzwa uye kuvhiyiwa kunoitwa kwakachengeteka zvakanyanya.
Pane Muganho Wezera reKuvhiyiwa Kwepadumbu reTube?
Kazhinji, kuvhiyiwa kwekufutisa, kusanganisira kuvhiyiwa kwechubhu yemudumbu, hakushandiswe kune vanhu vasina kupedza kukura kwavo, kureva kuti, vasina kupedza makore gumi nemasere. Zvisinei, mune dzimwe nguva zvisingawanzoitiki, maitiro ekuvhiya anogona kutariswa kana uremu hwakakwana husingagoni kurasikirwa pasi pekutariswa kwekudya, psychiatry yemwana, endocrine uye nyanzvi dzekukura kwevana kwenguva yakareba uye kana varwere vachiona zvinetso zvakakomba zvemetabolism. Asi izvi zvinoitika kashoma.
Kunze kwezviitiko zvakasarudzika, varwere vasati vasvika makore gumi nemasere havagone kuvhiya dumbu rechubhu kana kumwe kuvhiyiwa kwebariatric. Muganho wepamusoro wekuvhiya kwegastrectomy unoonekwa semakore makumi matanhatu nemashanu. Kana mamiriro ezvinhu evarwere akanaka, anofungidzirwa kuti vanogona kubvisa maitiro ekuvhiya, uye tarisiro yehupenyu inotarisirwa yakareba, kuvhiyiwa uku kunogona kusarudzwa pazera remakore.
Ndeupi huremu hwakakodzera hwekuvhiyiwa kwegastroectomy?
Mukuvhiya kufutisa, kusanganisira sleeve gastrectomy, body mass index inorangarirwa, kwete kuwandisa uremu, pakusarudza nzira dzekuvhiya. Body mass indexes anowanikwa nekupatsanura huremu hwemunhu mumakirogiramu neskweya yehurefu hwavo mumamita. Vanhu vane body mass index pakati pe25 ne30 havabatanidzwe muboka rakafutisa. Vanhu ava vanonzi vakafuta. Nekudaro, vanhu vane body mass index inosvika makumi matatu zvichikwira vari mukirasi yekufutisa. Haasi murwere wese ari mukirasi yakafuta anogona kunge akakodzera sleeve gastrectomy kana mamwe maitiro ekuvhiya. Vanhu vane body mass index inopfuura makumi matatu nemashanu uye vane zvirwere nezvirwere zvinokonzerwa nekufutisa vanogona kuvhiyiwa sleeve gastrectomy. Kunyange zvazvo vanhu vane body mass index pamusoro pe30 vasina kana kusagadzikana, hapana dambudziko pakuvhiya sleeve gastrectomy.
Chirwere cheshuga chisingadzoreki chinosiyana mune izvi kuverenga. Kana matambudziko eshuga evanhu asingakwanise kudzorwa kunyangwe zvese zvekudya uye kurapwa, kuvhiyiwa kwemetabolism kunogona kuitwa kana body mass index iri pakati pe30-35.
Kurasikirwa Kwehuremu Mushure meGastric Sleeve Surgery
Mukuvhiya kwesleeve gastrectomy, dumbu rinodzikiswa sekuenderera mberi kwesophagus uye application inopihwa. Pamusoro pekudzikisa huwandu hwemudumbu, secretion yeghrelin, iyo inonzi nzara hormone, ichadererawo zvakanyanya. Nekuderedzwa kwedumbu muhuwandu uye kushomeka kwehomoni yenzara, kudya kwevanhu kunodererawo. Ruzivo rwezvekudya kwakakodzera runofanira kupihwa kusati kwaitwa uye mushure mekuvhiyiwa kune vanhu vane nzara yakarasika, vanoguta nekukurumidza uye vanodyiswa zvishoma. Sezvo vanhu vachigutsikana nezvokudya zvishomanana mushure mekuvhiyiwa, zvakakosha kuti zvokudya izvi zvive zvemhando yepamusoro uye zvakapfuma muprotein, mavitamini nemaminerari.
Ndiani Asingashandiswe Kukuvhiyiwa Kwese Kwemudumbu?
Vanhu vane chirwere chemoyo chinoshanda, kenza uye kusakwana kwakanyanya kwemapapu hazvina kukodzera kuvhiyiwa kwegastrectomy. Kunze kweizvi, kuvhiyiwa hakukurudzirwe kune varwere vasina mwero wekuziva. Kuvhiya uku hakukurudzirwe kune vanhu vasingazive nezvehupenyu hwavo uye vane mwero wakaderera wekuziva nekuda kwezvirwere zvekuzvarwa kana kuwanikwa. Kuvhiyiwa kweSleeve gastrectomy hakuna kukodzera vanhu vane reflux yepamusoro uye vanhu vasingagamuchire mitemo yehutano mushure mekuvhiyiwa.
Ndezvipi Zvakanakira zveTube Mudumbu Zvikumbiro?
Zvakanakira sleeve gastrectomy kuvhiyiwa anowanzo kuongororwa pasi pemapoka maviri.
Zvakanakira pamusoro Hapana Kuvhiya
Mishonga, chikafu kana mitambo haipe mhedzisiro inobudirira sekuvhiya kufutisa. Muvarwere vakadai, mhedzisiro yekuvhiya inoitwa ne sleeve gastrectomy kana dzimwe nzira dzekuvhiya kufutisa zvinogara zvichipa mhedzisiro iri nani.
Zvakanakira Kuenzaniswa Nezvimwe Zvikumbiro Zvokuvhiya
Kuvhiya kwegastric sleeve kunoshanda zvakanyanya kupfuura nzira yekusimbisa, iri pakati penzira dzekuvhiya kufutisa uye dzaishandiswa kare. Nekuitwa kweSleeve gastrectomy, nzira dzakaita semachira hadziwanzo shandiswa. Mukuvhiya kwegastric sleeve, kuchinja kwezvokudya kunowanzoitika panguva yekudya. Inoenderera muchimiro chesophagus, dumbu uye ura, sevanhuwo zvavo. Panyaya iyi, ndiyo imwe yenzira dzekuvhiya dzakakodzera kushanda kwechisikigo kwemunhu anatomy uye digestive system. Inokwevera pfungwa nechokwadi chokuti iri nyore uye yenguva pfupi yekushandisa maererano nekuvhiyiwa. Sezvo ichiitwa nekukurumidza, nguva yeanesthesia zvakare ipfupi kwazvo. Nokuda kwechikonzero ichi, matambudziko ematambudziko anogona kuitika nekuda kweanesthesia zvakare akaderera zvikuru. Nekuda kweaya mabhenefiti, sleeve gastrectomy kuvhiya ndeimwe yeanofarirwa nzira dzekuvhiya kufutisa pasi rese.
Ndedzipi Njodzi dzeTube Kuvhiya Mudumbu?
Gastric sleeve gastrectomy njodzi dzakakamurwa kuita mapoka matatu.
Kuvhiya Ngozi muVarwere Vakafutisa
Kune njodzi dzakasiyana mukuvhiya kwevarwere vakafuta semapapu, moyo, embolism, kutadza kweitsvo, kupera kwemapapu, kuparadzwa kwetsandanyama. Njodzi idzi hadzingoshande pakuvhiya kwegastroectomy. Njodzi idzi dzinogona kuoneka mune zvese zvekuvhiya zvinoshandiswa kune varwere vakafuta.
Gastric Sleeve Kuvhiya Ngozi
Reflux matambudziko anogona kuitika mune ramangwana muvanhu mushure mekuvhiyiwa kwegastrectomy. Pane njodzi dzakadai sekubuda ropa mudumbu kana kubuda ropa mudumbu. Panogona kunge kune matambudziko ekuwedzera mudumbu, izvo zvinotora chimiro chechubhu. Imwe yenjodzi dzinowanzozivikanwa munguva yekutanga matambudziko ekudonha. Kana dumbu rakawedzera, vanhu vanogona kuwedzera uremu zvakare. Zvinetso pakuburitsa mudumbu uye kuzvimba mudumbu, kusvotwa kana kurutsa zvinogona kuitika.
General Surgery Ngozi
Pane dzimwe njodzi dzinogona kuonekwa muvarwere mune zvese zvekuvhiya. Panogona kuva nemamiriro ezvinhu akadai sekubuda ropa kana utachiona muvarwere vakavhiyiwa. Ese njodzi idzi dzinogonawo kuonekwa kune vanhu vakambovhiyiwa sleeve gastrectomy.
Nutrition Pashure Gastric Sleeve Surgery
Izvo zvakakosha kuti varwere vangwarire nezvekudya mushure mekuvhiyiwa kwegastrectomy. Mushure mekunge sleeve gastrectomy, varwere vanofanira kudyiswa kudya kwemvura mumazuva gumi-10 ekutanga. Mushure mezvo, kudya kwakakosha kwakagadzirirwa nemetabolism uye endocrinology nyanzvi dzinofanirwa kuteverwa kuti utore chikafu chine hutano uye mararamiro.
Kana mudumbu uine dambudziko mukudyisa, panogona kunge kune zviitiko zvekuwedzera zvakare. Muchiitiko ichi, vanhu vanogona kuwedzera uremu zvakare. Mune izvi, sarudzo dzeprotein dzakanyanya kukosha muhutano mushure mekuvhiyiwa. Kuchengetedza kunofanira kutorwa kudya huwandu hweprotein hwakatemerwa varwere mukati mezuva. Inofanirwa kutariswa kudyiwa kwezvikafu zvine mapuroteni zvakaita sehove, turkey, huku, mazai, mukaka uye zvigadzirwa zvemukaka.
Mukuwedzera kune mapuroteni-based diet, zvakakoshawo kuisa zvokudya zvakadai semichero, miriwo uye nuts muzvokudya. Varwere vanofanira kudya kanenge katatu pazuva. Mukuwedzera, kudya 3 snacks kuchava nani maererano nehutano hwehutano. Nokudaro, dumbu harina nzara uye rakazadzwa. Kurasikirwa uremu kuchava nyore sezvo metabolism ichashanda nekukurumidza.
Munguva iyi, kuchengetedza muviri wakazara mvura ndechimwe chinhu chakakosha. Vanhu vanofanira kungwarira kushandisa kanenge 6-8 magirazi emvura pazuva. Kana zvichionekwa zvakakodzera nachiremba, zvinovaka muviri, zvicherwa uye vhitamini zvinowedzera zvinofanirawo kushandiswa nguva dzose.
Huremu Hupi Hwakarasika Nekuvhiyiwa Kwepadumbu KweTube?
Muvanhu vane sleeve gastrectomy oparesheni, inopfuura hafu yehuremu hwavo hwakawandisa hunorasika mukati memakore mashanu mushure mekuvhiyiwa. Sezvo kusabatwa kwezvikafu mukuvhiya kwegastrectomy kuri kushoma pane kuvhiyiwa kwegastric bypass, hapana chikonzero chekuramba uchitora mavhitamini nemamineral mushure mekuvhiyiwa kwegastrectomy.
Huremu Hunowanikwa Mushure mekuvhiyiwa kweGastric Sleeve?
Huremu hudzore mushure mekuvhiyiwa kwegastrectomy kunenge 15%. Nechikonzero ichi, inyaya yakakosha kuita ongororo yekurapa zvine hungwaru kuitira kudzivirira vanhu vakavhiyiwa kuti vawedzere uremu zvakare.
Tube Vanhu vanovhiyiwa gastric vanofanira kuteverwa nguva dzose nezvikwata zvekufutisa. Nenzira iyi, vanhu vanopihwa kurapwa kwakakwana.
Rovedza Kuvhiya Mushure meGastric Sleeve Surgery
Mvumo yachiremba inofanirwa kuwanikwa kuitira kuita mitambo uye kurovedza muviri mushure mekuvhiyiwa kwegastrectomy. Sezvo sleeve gastrectomy iri kuvhiya kwakakosha, maekisesaizi anomanikidza nekumanikidza nzvimbo yacho kunofanirwa kudzivirirwa. Kuita maekisesaizi mushure mekuvhiyiwa gastrectomy kunowanzotangwa mushure memwedzi inenge mitatu mushure mekuvhiyiwa. Kutanga, kufamba-famba kwakanyanyisa kwaizova kwakanaka. Izvo zvakakosha kuti mafambiro aitwe panguva uye tempos yakatarwa nachiremba. Kuedza zvakanyanya kunofanira kudziviswa. Kunyanya kutarisisa kunofanirwa kubhadharwa kudzivirira maekisesaizi akadai sekufamba kwedumbu uye kusimudza uremu mumitambo.
Maekisesaizi anozogadzira tsandanyama nemabhonzo zvimiro zvakanyanya sezvinobvira uyezve kuwedzera mamiriro acho anofanira kufarirwa mukurovedza muviri. Izvo zvakanyanya kukosha kuti vanhu vaite zvemitambo vasinganetese muviri wavo zvakanyanya, asi kuitira kudzivirira deformation inogona kuitika mumuviri nekuda kwekurasikirwa kwavo uremu.
Hupenyu Hwevanhu Pashure Gastric Sleeve Surgery
Kuvhiya kwegastric sleeve kunowanzoitwa pakati pe30-90 maminetsi. Idzi nguva dzinogona kusiyana zvichienderana nechimiro chevanhu uye nevanovhiya. Zvakanyanya kukosha kuti mavhiya aya aitwe nenzira yakanakisa inogoneka.
Mushure mekuvhiyiwa kwesleeve gastrectomy, nguva yekugara muchipatara mazuva 2-3. Varwere vakabudirira kuvhiyiwa uye vasina matambudziko vanogona kudzokera kuhupenyu hwavo hwebasa anenge mazuva mashanu mushure mekuvhiyiwa. Pamusoro pezvo, vanhu vanokwanisawo kuita zviitiko zvakaita sekubuda husiku uye kuenda kumabhaisikopo kana vachida. Zvisinei, mukuita uku, zvakakosha zvikuru kuti vanhu vatevedzere mitemo yezvokudya mushure mekuvhiyiwa.
Kubudirira kweGastric Sleeve Surgery muTurkey
Sezvo Turkey iri imwe yenyika dzakabudirira kuita sleeve gastrectomy surgeries, inowanzofarirwawo maererano nekushanya kwehutano. Kuvhiya uku kunoitwa pasina dambudziko maererano nemidziyo yemakiriniki uye ruzivo rwevavhiyi. Uyezve, nekuda kwekutsinhana kwakanyanya kwekunze muTurkey, varwere vanobva kunze kwenyika vanogona kuita maitiro aya nemitengo inodhura zvakanyanya. Unogona kutibata kuti uwane ruzivo rwakadzama nezvemitengo yekuvhiya gastrectomy uye vanachiremba vane hunyanzvi muTurkey.
Siya Mhinduro