Weight Loss Surgery
Kurasikirwa kwekureruka kwepanyama inhanho inonzwisisika kune vanhu vakawanda vakaedza kudya kwechikafu uye mapurogiramu ekurovedza muviri pasina kubudirira. Gastric inpass kana chimwe chimiro chekureruka kwekureruka kunogona kukubatsira kusvika pachinangwa chako kuyerwa nekuvandudza utano hwako hwose.
Chii Chinonzi Bariatric Surgery?
Btariric chirurgic rimwe zita rekuvhima kurasikirwa (WLS) kana chirwere chepamuviri chekutema kurasikirwa. Kune marudzi akawanda akasiyana-siyana ekureruka kurasikirwa.
Kuvhiya kunowanzoitwa nebhodhi-yakagadziridzwa chirongwa chechiremba uyo anorayira murwere mberi uye shure kwekuvhiyiwa.
Mishonga yebariatric, kusanganisira kurasikirwa kwekureruka, inowedzera munda. Nzira dzinoshandiswa kuita chirwere ichi nguva dzose dzinovandudza uye dzinodzivirira. Asi kuvhima kwose kunosanganisira njodzi uye inokosha mari yekutsvaga mari. Kana ukasarudza kurasikirwa kwemazivi iwe unofanirwa kuva wakagadzirira kushanda zvakaoma uye kuita nguva yakareba kuzvipira kwoutano hwako kuitira kuti mugumo wako ubudirire.
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Inogona Kuvhara Nhengo Yevagus Kukurira Kurasikirwa Kwekurema?
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Unofanirwa Kuedza Dumbu reSpomach Kuti Urasire Kurema?
Kune varwere vazhinji, iyo yakareba inobatsira. Kurasikirwa nekurasikirwa kwehuremu kunopa zvipo zvinokosha kuvarwere vakawanda vasingakwanisi kusvika kuchinangwa chekuyera nemitemo yemagariro. Iwe unokwanisa kugadzirisa kana kuvandudza zvinetso zvehutano zvakadai sorudzi rwechirwere cheshuga, hypertension, kubata apnea, urinary incontinence, uye muviri aches nemarwadzo.
Ndiani Angawana Bariatric Surgery?
Kuvhiyiwa kweBariatric hakukodzeri munhu wose . Kana iwe uchinge uine huwandu hwekureruka kurasikirwa , kana iwe usati waedza kuderedza uremu nemafaro ezvokudya uye mapurogiramu ekurovedza muviri , zvichida hazvina kunaka kwauri. Nenzira yakawanda, vanhu vanoita chirongwa chebhaatric ndivo vanhu vakuru vane muviri wehuwandu huwandu (BMI) we 40 kana kupfuura.
Ava ndivo vanhu vanowanzowedzera mapaundi zana kana kupfuura kuwandisa. Ivowo vanhu vakatoedza kutapudza uremu nedzimwe nzira uye, zvinokosha, vakagadzirira kuzvipira kune kudya kwakanaka uye chirongwa chekurovedza muviri mushure mekuvhiyiwa.
Kana uine BMI ye 35 kana kupfuura, iwe unogonawo kunge uri mukana wakanaka weitiro ye-bariatric kana iwe uine chirwere chinoratidzira uremu hwako. Mamiriro ezvinhu akadaro anogona kusanganisira kuberekwa kwepabonde, chirwere chechirwere cheshuga, uye chirwere chemwoyo.
Pakupedzisira, kune dzimwe nzira dzinogamuchirwa kuvanhu vane zvishoma zvishoma pasi mashoma index. Iko- laparoscopic inogadziriswa gastric band , kana kuti band band , ndiyo FDA-inogamuchirwa kune vanhu vane BMI ye40 kana kupfuura, kana kune vanhu vane BMI vane makumi matatu kana kupfuura kana vane chirwere chakakomba chinorwara. Izvo goriric balloon inogamuchirwa kune varwere vane BMI ye 30 kusvika ku40 uye vane chiremera chakaenderana-nehutano. Iro goriric balloon haisi nzira yekuvhiya, asi pane imwe nzira yevanhu vanogona kunge vachifunga nezvekuwana WLS.
Mhando dzakasiyana dzeUkureruka Kurapa Kurapa
Kana iwe uchiziva kuti uri mukana wakanaka wokuvhiya, kune nzira dzakasiyana-siyana dzakasiyana dzinogona kuonekwa:
- Gastric parpass kana Roux-en-Y: Dumbu duku rinoumbwa kubva mudumbu rako riripo uye rakanamatira zvakananga kumucheche muduku.
- Lap band: An inflatable band inowanikwa kumativi ekumusoro emudumbu, izvo zvinoita kuti mudumbu uwedzere.
- Sleeve gastrectomy: A vertical, tube-shaped stomach yakasikwa saka kune nzvimbo shomanana yekudya.
- Biliopancreatic diversion ne duodenal switch (BPD / DS): Chidiki, chirwere chinouraya chinogadzirwa uye chinowanikwa kune chikamu chemukati mudumbu.
- Vagal blocking device (vBloc): Chigadzirwa chemagetsi chinoshandiswa pasi peganda kudzivisa zviratidzo zvekusha pakati pehupi uye muviri.
- Dumbu remupombi: Pombi inogadzirirwa mukati memudumbu inokubvumira kupomesa zvokudya kunze kwemuviri wako vasati vawana makori.
Iyo yakanakisisa kurashikirwa kurasikirwa kwako kunobva pane zvimwe zvinhu zvinosanganisira mararamiro ako uye noutano hwehutano.
Iwe unofanirwa kudzidza zvakawanda pamusoro pega yega yega yega taura nachiremba wako pamusoro pekurasikirwa kwekureruka kwekuremera kunogona kukubatsira zvakanakisisa iwe.
Kurasikirwa Kurasikirwa Kunoshandiswa Kwemari Mari
Zvose zvinodhura zvekureruka kwekureruka kwako chiitiko chinosanganisira zvakawanda kupfuura kungoitwa chete. Pamusoro pekuvhiya, unofanira kufungidzira mari yekuchengetedza, zvokudya zvakakosha kana kudengenyeka uko bhariyori yako yegayanini inogona kukurudzira, uye kuvhima-up-up nokuda kwezvinetso uye / kana kuti zvigadzirwa zvekushambadzira kuchengetedza ganda rakashata .
Kana iwe uine chirwere chako chakaitwa panzvimbo yeBarwaatric, zvinenge zvichida kuti mari yekurasikirwa kwako kurasikirwa kwechiitiko ichi ichabatanidzwa kuva rimwe rega yemari. Izvozvo zvinoreva kuti iwe haungabhadhari pazvikamu zvakasanangana nekugadzwa kwevashandi vasati vashandura, kana pashure, kana mazano ekurarama maitiro. Kazhinji, izvi zvinowanikwa mukati, asi zvakakosha kubvunza kuitira kuti iwe uverenge mari yekutora yako yeBatatric nenzira yakarurama.
Maererano neNational Institutes of Health, kurapa kwako kurasikirwa kunogona kudhura pakati pe $ 15,000 uye $ 20,000, zvichienderana nemhando yemararamiro uye kwaunogara.
Vamwe varwere vanobhadhara mari iyi yose pachavo. Kana ukaronga kuzvipira iwe pachako, kune hutano hwehutano hunobatsira hunoti hukwanisa kukubatsira kuti uwane nzira yako.
Mune zvimwe zviitiko, inshuwarisi ichavhara mari yeWLS. Medicare uye zvimwe zvirongwa zveMedicaid zvinowedzerawo mari yekuvhiya mune dzimwe mamiriro ezvinhu. Iwe unowanzoita kuti uwane inshuwarisi kana iwe uine chirongwa chechiremba uye chirwere chinogona kuvandudzwa kana iwe uchinge uora uremu. IObesity Action Coalition inopa mutungamiri wakazara wekushanda neinishuwarenzi yako, iwe kusanganisira mafomu uye mazano anobatsira okuwana.
Mawaniro Ekuwana Chiremba Chiremba Chiremba
Chimwe chezvisarudzo zvakakosha iwe waunoda kuita kana iwe uchiona chirwere chemuviri chekureruka kwehutano ndicho chisarudzo chako chochiremba. Chiremba wako weBariatric achakutungamirira kuburikidza nekugadzirisa uye kuva kwako kuenda kune rimwe rega mushure mekuvhiyiwa kwapera.
Kuwana yakanakisisa kurasikirwa kwechiremba kunoreva kutsvaga bhodhi-chirwere chechiremba anozivikanwa uyo ane ruzivo rwakakosha mune nzira yauchazoita. Kune mishonga yezvehutano inogona kukubatsira kuti uwane zvakanakisisa kushaya kurasikirwa chiremba munharaunda yako. The Obesity Medicine Association ine chishandiso chekutsvaga kukubatsira kuwana chiremba pedyo neimba yako. Iwe unogonawo kuwana chiremba anoziva nekutsvaga paIndaneti kuburikidza neAmerican Society ye Metabolic uye Bariatric Surgery.
Mukugadzirira kusarudza chiremba, unogona kuchengeta zvinhu zvishoma mupfungwa. Chiremba uyo ari chikamu chepurasitiki yakazara bhaatric inowanzoshanda pamwe chete nedzimwe nyanzvi dzinogona kukubatsira parwendo rwako. Vanyoresa mishonga yezvokudya, therapists, uye kunyange mafiropiti emumumuviri angangodaro awanikwa zviri nyore kwamuri panzvimbo yakatsaurirwa. Uye apo vamwe vanhu vanofamba kuti vawane kurasikirwa kwekurema, kuwana chiremba pedyo neimba kunokosha. Kana zvinetso zvamuka, haufaniri kuenda kune dzimwe nyika kuti uwane rubatsiro rwaunoda.
Zvaunotarisira Pashure peBariatric Surgery
Vamwe varwere vanowirwa nemigumisiro mushure mekuvhiyiwa kuora muviri . Zvisinei, nokuti mamwe maitiro ekuvhiya ikozvino aitwa achishandiswa nzira dzeparoscopic, zvinetso zvinowanzova zvisinganyanyi kudarika zvazvakanga zvakaita munguva yakapfuura. Kuvhiyiwa kwepadoscopic hakusviki kunopisa kupfuura maitiro ehutano hwekuvhiyiwa.
Chimwe chinorema kurasikirwa chirwere chikamu chinonzi dumping syndrome . Izvi zvinowanzoitika mushure mekudya uye zvinogona kukonzera kushungurudza, kushambidzika, chirwere cheshuga, kana chirwere. Vamwe varwere vanoonawo kuora mwoyo, flatulence, uye zvinetso zvekuvhiya mushure mekuita kwavo. Zvakakosha kutaurirana nachiremba wako pamusoro pemhando ipi zvayo isingasviki iyo inowanikwa mushure mekuvhiyiwa.
Iwe unogonawo kuchinjwa kwehukama uye hwepfungwa apo iwe unorema uremu. Mushure mekuvhiyiwa, unofanirwa kuchinja maitiro ako ezuva nezuva ekurasikirwa kwemazivi kuitika. Vamwe varwere vanofanira kuparadzaniswa neshamwari kana nhengo dzemhuri dzinovaedza kuti vadye. Iwe unogonawo kutsvaga zvitsva zvitsva uye mapoka emagariro anotsigira mararamiro enyu matsva. Hazvishamisi kuti varwere veWLS vawane humwe hutano hwemhepo mumwedzi mushure mokunge maitiro avo apera.
Iwe unokurumidza kukura uremu mushure mekuvhiyiwa kunoenderana nerudzi rwekuvhiya uye mararamiro ako maitirwo nzira. Maererano neNational Institutes of Health, varwere vazhinji vanorasikirwa nemamita 10 kusvika ku20 mumwedzi mishoma yapfuura mushure mekuvhiyiwa. Kakawanda, varwere vanorasikirwa nekavhareji ye-15 kusvika ku30 muzana yekutanga kwavo kuyerwa.
Shoko Rinobva
Kusarudza kugoverwa kurasikirwa kwekureruka chisarudzo chikuru. Zvinodawo kuzvipira kukuru kune mararamiro matsva. Isu tinoda kukutsigira iwe munzira yekuvandudza hutano uye hukama. Shandisa mabhuku edu ekureruka mashizha, taurirana neboka rako rekuchengetedza utano, uye shingairira rubatsiro kuti mubudirire murwendo rwenyu kuhutano hwakanaka uye hukama hwakanaka.
> Sources:
> Bariatric Surgery. https://www.niddk.nih.gov/health-information/health-topics/weight-control/bariatric-surgery/Pages/overview.aspx
> FDA Inobvumira Chirongwa Chekutanga-chengetedza Chirwere Chokuita Nesimba. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm430223.htm.
> Patient Learning Center - American Society for Metabolic and Bariatric Surgery. https://asmbs.org/patients.
> Kuora Kurapa Kurapa. https://medlineplus.gov/weightlosssurgery.html.