Dumbu rekugadzirisa chirwere
Vertical-banded gastroplasty, inowanzozivikanwa se "mudumbu rekusimudza" kana sleeve gastroplasty, inorambidza kuvhiya kurasika kunobatsira kuburikidza nekuderedza kuwanda kwezvokudya zvinogona kupedzwa vasati vanyatsonzwa. Kuvhiyiwa uku kunobatanidza zvimwe zvekudzivirira kwemimba uye gastric banding, asi haisi kugadziriswa. Zvinonyanya kuvhiringidzwa nemamwe maitiro akafanana, akadai sendima sleeve gastrectomy, iyo isingasanganisi bhande.
Kungofanana nedzimwe nzira dzinosanganisira boka, hazviwanzwi nhasi kudarika zvazvaiva munguva yakapfuura, sezvo shanduro isina kuvhara gumbo inowanikwa mukududzirwa.
Kuvhiyiwa kunogadzirisa chikamu chiduku chemuviri chekugadzira zvokudya, kugadzirisa huwandu hwezvokudya kusvika kune imwe chete, uye kunonoka kudyiwa nekumanikidzira zvokudya kuti zvipfuure nepindori yekudzivirira. Kunyange zvazvo kurapwa kwepabonde kunoshandisa rinyo rinoremedza, kuvhiyiwa kwakasiyana kwazvo, lap band inoda kusarudzwa mukati mudumbu apo vertical-banded gastroplasty inogadzira gomba mudumbu kuitira kuti bhenji ripinde. Mukuwedzera, chikwata-band rinogona kugadziriswa sezvinodiwa pasina upiyona uye boka rinoremekedzwa muzviri-banded gastroplasty haigoni kuchinjwa pasina kuvhiyiwa.
Murwere anorarama nenzira iyi anofanira kuchinja zvikuru mukudya kwavo uye mararamiro avo kuitira kuti nzira yacho ibudirire kubudirira kwenguva refu.
Nemhaka yokuti mudumbu ine simba rokutambanudza kugadzirisa zvokudya, dumbu rinogona kukura zvikuru kubva pane imwechete simba. Zvokudya zvinofanira kuva zviduku zvikuru uye kunwa mvura kunodya zvinogona kuzadza chikwama.
Nzira
Kuvhiyiwa kunowanzoitwa muchipatara kana nzvimbo yekuvhiya, uchishandisa anesthesia yakawanda.
Kuvhiyiwa kwakanyanya kunoitwa laparoscopically, iyo inobvumira chiremba kuti ashandise midziyo yakareba yakaiswa mumuviri kuburikidza nekufungidzirwa mashoma masentimita kwenguva yakareba (panzvimbo yekuzarura mimba yemimba nekuumba ruvara rukuru). Mune zvimwe zviitiko, kunyange kuvhiyiwa kuchaitwa "kuvhurwa" nepamusoro-soro yekugadzirisa tsika, kana kuti chirwere chinotanga laparoscopically chinogona kushandurwa kuti chizarurire apo chiremba chiremba anoona kuti zvakafanira.
Kuvhiya kunotanga nehafu yakareba-inch-long incisions munzvimbo yemudumbu. Zvishandiso zvinowanikwa kuburikidza nezviitiko izvi uye chiremba anovhiya anotanga nekuita kuvhara mukati mudumbu. Mativi ekudzikisa aya akaiswa, achigadzira dumbu mudumbu iro iro bhanhire rinopfigirwa rakasungwa, zvichideredza kukurumidza izvo zvokudya zvinogona kubva mudumbu.
Pamusoro pegomba rachangobva kusikwa, mudumbu inowanikwa, ichimanikidzira zvokudya zvakagadzirwa kuti zvibve mudumbu nechemberi. Kana imwe nguva yakakwana, nzvimbo yepamu inopisa zvokudya inobata imwe yezvokudya kana zvishoma.
Kamwe chirwere ichi chichiraira kuti zvinyorwa zviri kubata dumbu rakapfigwa uye hakuna nzvimbo dzinenge dzichiita seyokudonha, zvigadzirwa zvinodzingwa uye izvo zvinoonekwa zvinopfigwa, kazhinji neine tape isina kuchena.
Mhedzisiro inowanikwa
Iyi nzira yakasangana nemigumisiro yakareba kwenguva refu, iyo inofananidzwa nekudzokazve yese yeiyo yakarashika yekuchengetedza 50 muzana yehuwandu hwehuwandu hwakarasika. Varwere vazhinji vane dambudziko rekuchengetedza zvikamu zviduku zvinoda kuchengetwa mudumbu rechikwama chidiki. Apo pavanotanga kupedza zvikamu zvakakura, kuora kurasika kunopera uye kuwedzera kuwedzera kunotanga.
Utumbo hahuperi nenzira iyi uye hapana kuchinja munzira iyo muviri unopedza kudya mumatumbo, saka hapana ngozi yekushaya zvokudya zvinovaka muviri nekuda kwekuvhiyiwa.
Kwose kurasikirwa kwekuremerwa uye nguva refu yekurema kwekugadzirisa ndiyo yakaderera pakuvhiya uku kana ichifananidzwa nemhando dzose dzekushandiswa kwebhaatric ikozvino kuitika muUnited States, saka hazvibvumirwi kuvanhu vane huwandu hwakawandisa hwekurasikirwa uye / kana avo vanofanirwa kune dzimwe nzira.
Zvechokwadi, zvinogona kunge zviri nani kushanda pakuchinja kuchinja kwezvinhu uye kune nzira yakasiyana apo iwe unokodzera panzvimbo yekuva nemitiro unozivikanwa kuti unorema kuderedza kurasika munguva shoma uye yakareba.
> Sources:
> Bariatric Surgery For Severeity Yakawanda. Consumer Information Sheet. National Institute of Diabetes and Digestive and Kidney Diseases. March 2008. http://win.niddk.nih.gov/publications/gastric.htm
> Jones, Nicolas V. Christou, MD, PhD, Didier Tarisai, MD, uye Lloyd D. MacLean, MD, PhD. "Kurema Kunowanikwa Mushure Mokukurumidza-uye Kwema-Limb Gastric Inpass muvarwere Vanoteverwa Kwemarefu Kupfuura Makore 10." Annals of Surgery 2006 November; 244 (5): 734-740.