Gastric Balloon Costs, Side Effects uye Zvingazoitika
Iro gondric balloon isati iri -kuraira kurasikirwa nekusarudzwa kwevanhu vakuru vanorega varwere vasingakwanisi kuderedza uremu nemagariro edzimba. Munguva pfupi, nzira shoma-inoparadza, ine inflatable kuora kurasikirwa ibhoti inowanikwa mudumbu. Bhaluni inogara munzvimbo imwe kwemwedzi mitanhatu kubatsira murwere kunzwa achizere, kudya zvishoma uye kuora muviri. Varwere vanogona kusarudza kubva kuReShape kana Orbera kana Obalon gastric balloons ayo ave FDA-akagamuchirwa kuti uwedzere kurasikirwa.
Sei Uchiedza?
Kana iwe wakanetseka nekuremera kwako uye wakamboedza kushandisa kudya uye mapurogiramu ekurovedza muviri pasina kubudirira, iwe unogona kunge uri mukana wakanaka webhokisi yegaston. Chigadzirwa chacho, chinonziwo bhomba yebhomu kana kurerutsa kubhoon, inonzi FDA-inogamuchirwa uremu hwekurasikirwa nzira iyo inogona kukubatsira kudzikisa pasi musingapinde pasi peti.
"Izvi hazvisi kuvhiyiwa, asi iwe uchiri kushaya kurasikirwa," anodaro Dr. John Morton, Chief of Bariatric uye Minimally Invasive Surgery paStanford University School of Medicine. "Vanhu vanofanira kunge vane maitiro," anodaro. Dr. Rachel L. Moore anobvuma. Dr. Moore ndiye chiremba wokunyanyisa kupfutidza muviri, chiremba wechiremba uye nheyo yeMore Metabolics Bariatric Weight Loss Surgery kuNew Orleans, Louisiana. "Iyi ndiyo nzira yatinogona kupa iyo inowira pakati pemishonga uye nzira yekuvhiya," anodaro.
Varwere vanoitawo saizvozvo kuti goriric balloon ndeyechinguva uye inoshandiswa.
Bhoruti yemudumbu inoramba iri panzvimbo kwemwedzi mitanhatu uye inogona kubviswa nokukurumidza kana iwe ukava nematambudziko kana kuti une pfungwa yechipiri. "Vanhu vanogona kudzidza ruzivo rwemararamiro avo rwavanodikanwa nekurasikirwa kwemazivi mumwedzi mitanhatu iyo ibhota iri," anodaro Dr. Morton.
Kune zvitatu zvakasiyana-siyana zvegastric balloon zvinowanikwa kuvarwere uye chimwe nechimwe chikamu chikamu chepurogiramu yakazara inosanganisira kudya, kurovedza muviri, nekupa mazano.
ReShape Gastric Balloon
ReShape Integrated Dual Balloon imwe yezvigadzi zviviri zvinowanikwa kuvarwere vanoda kuedza kwete kushandura kuora kurasika.
ReShape Dual Balloon inoshanda sei? Iyi FDA-inogamuchirwa kurasikirwa kwehutano inosanganisira mabhiriyoni akabatanidzwa anoiswa mukati mako mudumbu. Munguva yekuisa nzira, iwe unonyatsotaridzirwa kuti unyaradze uye kuchengeteka. Chiremba anoisa endoscope kuburikidza nemuromo wako uye anoshandisa chidimbu chine simba, chinotapira kuti uise mabhaloni akasvibiswa mukati mako mudumbu. Kana imwe nguva mabhaluni ari panzvimbo, anozadzwa nesarine solution (mvura yemunyu) uye dhayi rebhuruu. Iyo inotora inenge maminitsi makumi maviri.
Rongai mabhaloni anogara munzvimbo panzvimbo kwemwedzi mitanhatu, kutora nzvimbo mudumbu rako uye kukubatsira kuti unzwe wakakwana kuitira kuti udye zvishoma. Munguva iyoyo, iwe unowanawo mazano ekuvandudza kudya kwako uye maitiro ekurovedza muviri. Kana mabhaluni akaputika, dhayi rebhuruu inoratidzira mumuti wako. Pashure pemwedzi mitanhatu, endoscope inoshandiswa zvakare kubvisa mabhoron kubva mudumbu rako. Kupa mazano kunoenderera kune imwe mwedzi mitanhatu mushure mekunge chigadziro chacho chabviswa kuti chikubatsire mberi mberi mukurema kwako kurasikirwa rwendo, svika kune chinangwa chako chiyero uye / kana kuti uchengetedze kuora muviri .
Ndiani anogona kuwana ReShape? Iyi gastric balloon kushayikwa kwechigadzirwa ichi FDA-inogamuchirwa kune varwere vane hutano hwemuviri hutatu hwe 30-40 kg / m2 uye vane chiremera chakaenderana-nehutano. Chirwere cheshuga, kuwedzera kweropa, kana kuti cholesterol yakakwirira ndiyo mamiriro ezvinhu anowanzoremerwa. Varwere vanofanirawo kunge vachida kuzvipira purogiramu yakazara yekurasikirwa kwezvokudya zvinosanganisira kudya, kurovedza muviri, nekupa mazano.
Ndiani asingafaniri kuwana ReShape? Kana iwe wakanga uine chirongwa chinonzi bariatric munguva yakapfuura, saka ReShape haisi iwe. Pane zvimwe zvehutano izvo chiremba wako achatsvaga izvo zvinogona kubvisa ReShape sechisarudzo kwauri.
Varwere vane chirwere chokuputika kwepamuviri, kubuda kwemimba, kana huta huta, somuenzaniso, havafaniri kushandisa ReShape. Chigadzirwa chacho hachibvumirwiwo kuvakadzi vane pamuviri kana kuti vanoyamwisa.
ReShape madhara: Pamberi peitiro chiremba wako achatsanangura kuti kune dzimwe njodzi dzinobatanidza ne sedation. Migumisiro inobatanidza nebhoti inosanganisira kuonda, kuputika, kurwadziwa mumimba, kushungurudza, kurutsa, kubvisa, kubata, kuora mwoyo, kupera simba, uye maronda. Kana zviratidzo zvikava zvakanyanya, ibhoti yemudumbu inogona kubviswa. Doro rako rinorema chiremba rinogona kutsanangura zvakakwana mazita emagumisiro uye njodzi munguva yako yekutanga kutarisana.
Reshape mabhoon zvinoguma: Mukati memwedzi mitanhatu yekudzidza kwekliniki iyo yaisanganisira 326 varwere, avo vakashandisa Reshape vakarashika kuwedzera kuwanda pamwe chete nechigadziko pamwe chete nekutarisirwa kwepamusoro uye kupindira kwezvirwere pane varwere vakapinda muzvokudya zvakarongedzwa uye chirongwa chekuita muviri chete. Mushure mekunge vane chigadziri panzvimbo panzvimbo kwemwedzi mitanhatu, varwere veReShape vakarasikirwa nechiyero che 14.3 pounds vachifananidzwa nezvokudya uye boka rezvidzidzo iro rakarasikirwa nereji ye7.2 pounds. Mushure medzimwe mwedzi mitanhatu (mushure mekunge chigadzirwa chakanga chabviswa kwemwedzi 6), varwere veReShape vakanga varamba vachireruka kushaya masero e 9,9 pounds.
Orbera Gastric Balloon
IO Orbera Yakatarirwa Nemafuro Okurasikirwa Kwemafuro akave aripo mune dzimwe nyika kwemakore akawanda, asi FDA-yakabvumirwa muUnited States muna 2015, panguva imwecheteyo seReShape Dual Balloon System.
Ko Orbera gastric balloon inoshanda sei? Kana ukasarudza Orbera, iwe uchafamba nenzira isina kufanirwa (endoscopic) yekuisa iyo seBalton ReShape. Asi Orbera isina gastric balloon system. Mushure mokunge bhora rakanyorova, rakasimba, rinorema rinosungirwa, rakazara nesine solution kuitira kuti inenge yakaenzana nehukuru hwemazambiringa. Bhoti iri mudumbu inotora chikamu chimwe chetatu chemudumbu mako. Chigadziri chinoramba chiri panzvimbo kwemwedzi mitanhatu paunenge uchitora purogiramu yakakwana yekudya, kurovedza muviri, nekupa mazano. Pashure pemwedzi mitanhatu, chigadziro chacho chabviswa uye iwe unoramba uchipa mazano kune mamwe mwedzi mitanhatu kuti uenderere mukurema kwako kurasikirwa rwendo.
Ndiani anogona kuwana Orbera ? Iyi ibhoti isina kubhurwa ndiyo FDA-inogamuchirwa kune varwere vane muviri mashoma index (BMI) ye 30-40 kg / m2 uye vakaedza dzimwe nzira yekurasikirwa kwehutano pasina kubudirira. Kana ukasarudza Orbera, iwe unofanirwa kuve uchida kuzvipa kudya kunochengetedzwa nemishonga uye chirongwa chekuita zvekurovedza kwehutano hunovandudzwa nekurasikirwa nekurema.
Ndiani asingafaniri kuwana Orbera? Vamwe varwere havafaniri kushandisa Orbera uye chiremba wenyu anogona kukuudza kana iwe uri mumwe wavo . Kana iwe uri nepamuviri, uchida kuva nepamuviri mukati memwedzi mitanhatu, kana kunwisa iwe haufaniri kuwana Orbera. Mukuwedzera, kana iwe wakamboita chirongwa chebhanatric kana kuti iwe une zvimwe zvirwere zvehutano kusanganisira chirwere chinoputika chemuviri wepamuviri, chirwere chekuberekwa, kana chirwere chepamusoro chekubuda ropa iwe unogona kunge usati uri mukana weOrbera.
Orbera migumisiro. Chiremba wako achatsanangura kuti kune dzimwe njodzi dzinobatanidza nekunyorera sedation uye endoscopy. Matambudziko neOrb device anogona kusanganisira kuvharwa kwechirwere nebharuti, kusagadzikana mumudumbu, kusuruvara, kusuruvara, kumimba kana kurwadziwa shure, kana asidi reflux. Chiremba wako kurasikirwa chiremera chinogona kutsanangura zvakakwana rondedzero yemigumisiro panguva yako yekutanga kutarisana.
Orbera balloon zvinoguma: Mumwedzi wekupera kwemwedzi 9 wakabatanidza varwere 255, varwere vakashandisa Orbera vakarasikirwa kuwedzera kupfuura varwere vakashandisa purogiramu yekuchinja maitiro. Mushure mekunge vane Orbera panzvimbo panzvimbo kwemwedzi mitanhatu, varwere vane chigadzirwa vakarasika 21.8 pounds vachienzaniswa nehutano hwekuchinja boka avo vakarasikirwa neusvondo hwemaundi 7. Pachine mwedzi mitatu yekutsvaga (mwedzi mitatu mushure mekunge chigadziro chacho chabviswa), varwere vakashandisa Orbera vakachengetedza chiyero chekurema kwemafuro emadhora gumi nemana. Varwere vakashandisa kudya uye maitiro ega ega airamba aine kurasikirwa kwemaundi mapaundi paavhareji.
Obalon Gastric Balloon
IObalon Balloon System ndiyo chigadzirwa chitsva chinowanikwa kuvarwere. Obalon inogamuchirwa katatu-mabhoon system yakagamuchira FDA-kugamuchirwa muna 2016. Obalon gourric balloons akazadzwa nemhepo panzvimbo pemvura.
Obalon gastric balloon inoshanda sei? Varwere vanosarudza Obalon kumedza bhoruti kapule. Iyo capsule inonamatira kune catheter ine tsvina iyo inoshandiswa kuisa bhoton nemhepo. Kusvikira pamabhiriyoni matatu anogona kuiswa zvishoma nezvishoma pamusoro pemwedzi mitatu. Bholo rimwe nerimwe rakagadzirwa rine imwe kapu yevhumu mudumbu uye inenge yakaenzana neyorineni. Iine mabhaluni ari munzvimbo, varwere vanonzwa vakakwana uye havadi kutora kudya. Zvose panguva uye pashure pekurapa kwenguva, varwere vanowana mazano ekuvabatsira kudzidza kudya kwakanaka uye miitiro yekurovedza muviri. Pamagumo ekurapwa, mabhaluni akadzivirirwa uye anobviswa nechinangwa chekupedzisira.
Ndiani anogona kuwana Obalon ? Iyi ibhoti isina kubhurwa ndiyo FDA-inogamuchirwa kune varwere vane muviri mashoma index (BMI) ye 30-40 kg / m2 uye vakaedza dzimwe nzira yekurasikirwa kwehutano pasina kubudirira. Sezvo wityh iyo imwe gastric balloon systems, iwe unofanirwa kuva wakagadzirira kuzvipa kudya kunochengetedzwa nemishonga uye chirongwa chekuita zvekurovedza kwehutano hwakanaka uye kurasikirwa kweropa.
Ndiani asingafaniri kuwana Obalon? Vamwe varwere havafaniri kushandisa Orbera uye chiremba wenyu anogona kukuudza kana iwe uri mumwe wavo . Zvokudya neDrug Administration zvinosanganisirawo urongwa hwevarwere vasingafaniri kushandisa chigadzirwa. Nyaya iyi inosanganisira vanhu vane dambudziko rinogona kukanganisa kumedza, avo vakambova nekuvhiyiwa kwepamusoro izvo zvingave zvakakonzera kuderedza kwemuviri wepamuviri, uye avo vanotora mishonga inogona kuvhiringidza gumbo rezvemimba rinosanganisira NSAIDS kana aspirin.
Obalon madhara. Varwere vanosarudza Obalon vanogona kunzwa kurwadziwa kwepamuviri kana kunetseka. Migwagwa isina kufanana inosanganisira kurutsa, indigestion, bloating, kuraramisa, kushungurudza gastric kana kubuda ropa, kubuda ropa kana kuvhiringidza, kuvhiringidzika kana kuoma kurara. Chiremba wako kurasikirwa chiremera chinogona kutsanangura zvakakwana rondedzero yemigumisiro panguva yako yekutanga kutarisana.
Obalon balloon zvinoguma: Chirwere chechipatara chakabatanidza varwere vanopfuura 400, vakaratidza kuti avo vakashandisa Obalon pamwe nekudya uye kushandisa mazano ekurovedza kurasikirwa zvakanyanya kudarika kune avo vakagamuchira kudya uye kurairidzira mazano ekurovedza oga. Varwere vakagamuchira Obalon Balloon System vakarasikirwa nezviyero 14,4 mapaundi kana 6.6 muzana yehuwandu hwavo hwehutachire apo varwere vakagamuchira kudya uye kurairidzira maitiro ega voga vakarasikirwa nehuwandu hwe7,4 pounds kana 3.42 muzana yehuwandu hwavo hwose.
Zvakarurama Kwandiri Here?
Saka iwe unoziva sei kuti gastric balloon inosarudza? Kana iwe uri mukutsvaga kuwana chiremba kurasikirwa chiremba , unogona kuwana kuti nyanzvi dzakawanda dzebriatric dzatove dzasarudza kupa imwe chipu pamusoro peimwe.
Obalon ndiro chigadzirwa chitsva chokurova pamusika. Dr Shelby Sullivan, Mutungamiri weGastroenterology Bariatric uye Chirongwa cheMetabolic paYunivhesiti yeColorado School of Medicine yakabatanidzwa mumakiriniki ekuedzwa kweObalon system. Anotaura kuti ruzivo rwekutanga rwebhiriyoni rakazara nemhepo ndicho chiremera chechigadzirwa. Anoti chikwata chekureruka chinotapira chinotungamirira kumusana muduku uye kusagadzikana kwevarwere. Mukusunungurwa akatsanangura kuti varwere vanowanzoda zvishoma kudarika nguva yekugadzirisa mushure mekuiswa kwebhoton kuwedzera kuti izvi "zvinopesana nezvimwe zvino zvakagamuchirwa zvakagadziriswa mabhaloni zvigadzirwa, umo varwere vazhinji vasingakwanisi kudzoka zvakare kumabasa ezvakanaka."
Dr. Moore, uyo anopa Orbera gastric balloon kune varwere varo, anoti iye akasarudza imwe-balloon system nokuti ine nhoroondo yekuchengeteka uye kubudirira kune dzimwe nyika. Anotaura kuti kunyange zvazvo chigadzirwa ichi chitsva muUnited States, chakashandiswa zvikuru uye chinonyanya kuzivikanwa mune dzimwe nyika kusanganisira Brazil, Italy, neSpain.
Dr. Morton anopa ReShape kuvarwere vake. Anoti anoshandisa ReShape nokuti kana iwe ukashandisa mabhiriyoni maviri unogona kudzivisa zvinetso zvinogona kuitika kana bhoti imwe chete ichiderera. Uye nokuti Reshape yakakura uye inotora zvakawanda zvemuviri, anoti anoti akacherechedza zvishoma kubhodhi kufamba uye kunonoka kudarika mune varwere vake.
Dr. Trace Curry anopa zvose Obera uye ReShape paanorema kurasikirwa. Dr. Curry ibhodi-yakavimbiswa chiremba mukuru uye chiremba mukuru weMetabolic Weight Loss Centers muCincinnati, Ohio. Akanga ari chiremba wokuvhiya wokutanga kuOhio kuti anopa zvose Orbera uye ReShape gastric balloons. Anotaura kuti apo varwere vake vanomubvunza kuti ibhoti raanosarudza anovaudza kuti migumisiro yavo ichava nezvakawanda pane zvavanoita kunze kwechiratidzo chavanosarudza.
"Kudzokorora kunodhura zvishoma," anodaro. Asi akawana mumutambo wake kuti pane zvinetso zvishomanana zvishoma nemaviri e-balloon system. "Asi Orbera," anodaro, "yakaratidza zvishoma nezvishoma kuora muviri kurasikirwa mumatambudziko emakiriniki."
Anowedzera kuti zvose gastric balloons inogona kupa rubatsiro. Uye Dr. Morton anobvumirana. "" Kupindira kupi zvako kuri nani kupfuura chero zvachose, "anodaro Dr. Morton. Asi mumwe wevanachiremba anosimbisa kuti ibhota haisi yemashiripiti yekugadzirisa kurasikirwa. Kana iwe uchida kushaya uremu nebharuti, unofanirwa kunge uine chido chekuzvipira kurarama kwenguva refu.
Gastric Balloon Costs
Mutengo webhoti yako yemimba ichasiyana zvichienderana nenzvimbo yako, chiremba wako uye pachigadzirwa chaunosarudza. Zvose zvinokonzerwa nebhanhire mari inogona kubva kubva ku $ 6,500 - $ 10,000. Makiriniki akawanda anopa basa re $ 7 500.
Iko mari yose yegastric balloon system inofanira kusanganisira chigadziro, kuisa, kubviswa, kupa mazano panguva yemwedzi mitanhatu bhovhoni uye nekupa mazano kwemwedzi mitanhatu mushure mekubviswa.
Izvo goriric balloon iye zvino haifaniri kuvharwa neishuwarisi muUnited States, asi vose vana vatatu vakabvunzurudzwa vakati vaive netarisiro yokuti kugoverwa kwaizozopiwa. Panguva ino, varwere vanogona kushandisa sarudzo yekuchengetedza hutano kana hutano huri kukweretesa mabasa (zvekurapa kwechiremba) kuvhara mari yekuita.
Ramba uchifunga kuti iwe unofanirwa kutora zvinopfuura mari yaunofunga kana iwe ukasarudza girosi yebhokisi uye chiremba kuti uise chigadzirwa. Nyanzvi dzinokurudzira kuti iwe unofanira kugara uchitsvaga chiremba akaremberedzwa ane ruzivo kuisa chigadzirwa. Kana chiremba wako ari chikamu chepfungwa yakareruka yekurasikirwa, unove nekwaniso yekutarisana ne-face-to-face mazano anokwanisa kukubatsira kuti uchengetedze. Uyewo, sezvo kuchengetedza nguva dzose kunokosha, tarisa nzvimbo inobvumirwa kuburikidza nesangano rehurumende rakadai seAccreditation Association yeAmbulatory Health Care (AAAHC) kana The American Association yekubvumirwa kweUkuvhiya Chirwere Chekushandisa (AAAASF).
Sources:
Zvirwere Zvoutano. US Food and Drug Administration. ReShape Integrated Dual Balloon System - P140012 Iripo: April 6, 2016. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm456293.htm
Zvirwere Zvoutano. US Food and Drug Administration. ORBERA ™ Intragastric Balloon System - P140008 Kuwana: April 6, 2016. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm457416.htm
Orbera. Apollo Endosurgery. Yakasvika: April 6, 2016. https://www.orbera.com/
ReShape. ReShape Medical. Yakasvika: April 6, 2016. https://reshapeready.com/