Chikonzero nei Sleeve Gastrectomy Ikozvino Izvozvo Zvisingaoneki Bariatric Surgery
Shanduro yekugadzirisa sleeve, kana kumira sleeve gastrectomy, chiratidzo chekurota chirongwa chinoparadzanisa chikamu chidumbu chemuviri chekugadzira zvokudya, nekudzikisa hukuru hwezvokudya kusvika anenge imwe pashure pokuvhiyiwa. Mukuwedzera pakukonzera kurashikirwa nekugadziriswa kwezvokudya, kushandiswa kwemasikati kunoderedza maitiro ezvokudya-inokonzera hormone inonzi ghrelin - saka vanhu vanonzwa vasina nzara uye vanodya zvishoma.
Kuvhiya kwaiwanzoonekwa sekutanga kwevanhu vakanga vakanyanya kupera zvokuti vakanga vasina kubvumirwa nekugadzirwa kwepamusoro kwepamusoro pemabasa ekuvhiya, saRoux-en-Y kana biliopancreatic diversion, nekutarisira kuti chirwere chechipiri chizoitwa kana uremu hwave huripo vakarasika. Iye zvino, kutsvakurudza kunoratidza kuti varwere vanogona kurasikirwa nehuwandu hwehuwandu hunorema nejecha rekugadzirisa chete uye havadi wechipiri kuyerwa-kurasikirwa kurasikirwa.
Nezvo, chirwere ichi chave chichizivikanwa, sezvo chinonzi chakanga chichigadziriswa. Ichokwadi, maererano nekudzidza muna 2013 muObesity Surgery, mushure me Roux-en-Y, sleeve gastrectomy ndiyo yechipiri yakajairika yekuvhiya pasi rose muna 2011.
The Vertical Sleeve Gastrectomy Process
Kuvhiyiwa kunowanzoitwa muchipatara kana nzvimbo yekuvhiya, uchishandisa anesthesia yakawanda. Kuvhiya kunoitwa laparoscopically, izvo zvinoita kuti chiremba chiremba ashande achishanda achishandisa midziyo yakareba yakaiswa mumuviri kuburikidza nekufungidzira mashoma masentimita kwenguva refu.
Mune zvimwe zviitiko, chirwere ichi chichaitwa "chakazaruka," pamwe nekukurukurwa kwemazuva ose, kana kuvhiyiwa kunotanga laparoscopically kunogona kushandurirwa kuzarurirwa apo chiremba chiremba anoita kuti zvakakosha.
Kuvhiya kunotanga nehafu yakareba inenge yakareba yakareba yakareba mukati memudumbu.
Zvishandiso zvinowanikwa kuburikidza nezviitiko izvi, uye chiremba anovhiya anotanga nekubvisa kusvika kumazana makumi mashanu emudumbu. Mativi emudumbu anobva atanga kubatanidzwa nemashizha, achisiya mudumbu maduku uye tubular muchimiro, asi achichengetedza mitsipa yephincter kumusoro uye pasi pemudumbu.
Kamwe chirwere ichi chichiraira kuti zvinyorwa zviri kubata dumbu rakapfigwa uye hapana nzvimbo dziri kubuda, zvigadzirwa zvinodzingwa uye izvo zvinenge zvichinyatsovharwa, zvinowanzova sutures inogadziriswa uye isina tape.
Migumisiro Inoshamisa Pashure peSleeve Gastrectomy
Mukutaura kwezvinhu zvinorema zvisizvo, nhau dzakanaka ndeyokuti kutsvakurudza kunoratidza kuti kushaya kurasikirwa kwekurema kunopfuura makumi mashanu kubva muzana, kunyange mushure memakore anopfuura matanhatu mushure mekuvhiyiwa. Mukuwedzera, imwe bhonasi ine sleeve gastrectomy ndeyokuti njodzi yekushaya zvokudya zvinovaka muviri iyo inosangana nevakawanda vakawanda vekurapwa chirwere haisipo neanovhiyiwa, sezvo muviri unoramba uchinge wawana mitezo sezvawakaita vasati vavhiyiwa.
Izvo zvakaderera ndezvokuti vamwe vanhu vanodzokororazve mushure mekuvhiyiwa, kunyanya apo vanodya zvokudya zvakawanda zvinotakura chikwama. Acid reflux chimwe chiitiko chinokonzera kushanda kwekuvhiya uku.
The Bottom Line
Murwere anorarama nenzira iyi anofanira kuchinja zvikuru mukudya kwake uye mararamiro ake kuitira kuti nzira yacho ibudirire kwenguva yakareba mugumisiro.
Nemhaka yokuti mudumbu ine simba rokutambanudza kugadzirisa zvokudya, dumbu rinogona kukura zvikuru kubva kune imwechete simba iro chirwere chinobvumira. Zvokudya zvinofanira kuva zviduku-zvishoma kudarika hafu yekapu - uye mvura yekunwa nemishonga inogona kuzadza chikwama, kudzivirira kudya kwezvokudya panguva iyoyo.
Sources:
Buchwald, H. & Oien, DM (2013). Kuvhiyiwa kweMetabolic / bariatric pasi rose 2011. Kuwedzera Kuvhiya , Apr; 23 (4): 427-36.
Christou, NV, Tarisai, D., MacLean, LD Kuwana pfumi mushure mechinguva pfupi uye kwenguva refu gumbo rinowanikwa nevarwere rinotevera kwenguva refu kupfuura makore gumi. Annals of Surgery, November; 244 (5): 734-40.
Himpens, J., Dobbeleir, J., & Peeters, G. (2010). Zvenguva refu zvinoguma zve laparoscopic sleeve gastrectomy yekuneta. Annals of Surgery , Aug; 252 (2): 319-24.
National Institute of Diabetes and Digestive and Kidney Diseases. (March 2008). Bariatric Surgery Nokuda Kwakawanda Kwakawanda.
ZVINOKUDZIDZA: Mashoko ari panzvimbo ino ndeongangwa dzekudzidzisa chete. Icho hachifaniri kushandiswa sechinzvimbo chekuchengetedza iwe pachako nechiremba ane chiremba. Ndapota ona chiremba wako kuti aongororwe uye kurapwa chero kupi zvako pamusoro pezviratidzo kana chirwere chechiremba .