Kungani i-Gastrectomy Ye-Sleeve manje iyisifo sokubeletha esizimele se-Bariatric
I-gastrectomy yomshini, noma uhlobo lwe-gastrectomy yesigqoko, luhlobo lokuhlinzeka nge-bariatric oluhlukanisa isigaba esincane esiswini sokucubungula ukudla, ukunciphisa usayizi wesidlo cishe cishe i-ounce ngemva kokuhlinzwa. Ngaphezu kokubangela ukulahlekelwa isisindo ngokusebenzisa ukuvinjelwa kokudla, i-gastrectomy ye-sleeve ibuye iyanciphisa amazinga we-hormone eshukumisa ukudla okuthiwa i-ghrelin - ngakho abantu bazizwa belambile kakhulu futhi badla kancane.
Ukuhlinzwa kwakubhekwa njengesiqalo kubantu ababenamahloni kakhulu kangangokuthi bebengewona ukhetho lokuhlinza nge-gastric bypass , njengoRoux-en-Y noma ukuphazamiseka kwe-biliopancreatic, ngokulindela ukuthi ukuhlinzekwa kwesibili kuzokwenziwa uma isisindo senziwe ilahlekile. Manje, ucwaningo lubonisa ukuthi iziguli zingahle zilahlekelwe isisindo esikhulu esisisindo nge-sleeve gastrectomy yedwa futhi ingadingi ukuhlinzwa kokubili kwesisindo-ukulahlekelwa.
Ngalokho, ukuhlinzekwa sekuthole ukuthandwa, njengoba kuqhathaniswa nokunciphisa okuncane. Eqinisweni, ngokusho kocwaningo olwenziwa ngo-2013 lwe- Obesity Surgery, ngemuva kwe-Roux-en-Y, i-gastrectomy yesikhwama sasiyisifo sesibili esivame ukuhlinzwa emhlabeni jikelele ngo-2011.
I-Vertical Sleeve Gastrectomy Inqubo
Ukuhlinzwa kuvame ukwenziwa esibhedlela noma esikhungweni sokuhlinza, usebenzisa i-anesthesia ejwayelekile. Ukwelashwa kwenziwa nge-laparoscopically, okuvumela udokotela ohlinzayo ukuba asebenze esebenzisa amathuluzi amade abekwe emzimbeni ngokusebenzisa izicucu ngamasentimitha ambalwa ubude.
Kwezinye izimo, ukuhlinzekwa kuzokwenziwa "kuvuliwe," ngokufakwa komdabu wendabuko enkulu, noma ukuhlinzwa okuqala ukuguqulwa kungashintshwa ekuvuleleni lapho udokotela ohlinzayo enquma ukuthi kuyadingeka.
Ukuhlinzekwa kuqala nge-inclusive multiple-inch incisions eside endaweni yesisu.
Izinsimbi zifakwe kulezi zici, kanti udokotela ohlinzayo uqala ngokususa amaphesenti angama-85 esiswini. Izinhlangothi zesisu zihlanganiswa iziqu, zishiya isisu esincane futhi sibe nesibindi, kodwa sigcina imisipha ye-sphincter phezulu nangaphansi kwesisu.
Lapho udokotela ohlinzayo ekhetha ukuthi iziqu ezibamba isisu zivaliwe futhi azikho izindawo ezivulekayo, izinsimbi zihoxiswa futhi ukucubungula kuvaliwe, ngokuvamile kutholakala nge-sutures engenakunyaka kanye ne-tape oyinyumba.
Imiphumela Ejwayelekile emva kweSleeve Gastrectomy
Ngokomphumela wokulahlekelwa kwesisindo, izindaba ezinhle ukuthi ukucwaninga kubonisa ukuthi ukulahlekelwa kwesisindo esiphakathi kube ngaphezu kwamaphesenti angama-50, ngisho nangemva kweminyaka engaphezu kweyisithupha emva kokuhlinzwa. Ngaphezu kwalokho, enye ibhonasi ene-sleeve gastrectomy yukuthi ingozi yokungondleki ebhekene neziguli eziningi zokuhlinzeka nge-bariatric ayikho nalokhu kuhlinzwa, njengoba umzimba uqhubeka uthatha izakhi njengoba wenza ngaphambi kokuhlinzwa.
Ukukhathazeka ukuthi abanye abantu baphinde baphinde balinganise ngemuva kokuhlinzwa, ikakhulukazi uma bedla ukudla okuningi okwelula isikhwama. I-reflux ye-Acid iyinye enye impembelelo engaba khona yalokhu kuhlinzwa.
Okubalulekile
Isiguli esibhekene nale nqubo kumele senze izinguquko ezinkulu ekudleni nokuphila kokudla ukuze inqubo ibe nomphumela ophumelelayo wesikhathi eside.
Ngenxa yokuthi isisu sinamandla okwelula ukuze kutholakale ukudla, isisu singanweba kakhulu kusuka kumandla owodwa lapho kuhlinzeka khona ukuhlinzwa. Ukudla kufanele kube mncane - ngaphansi kwengxenye yendebe - nokuphuza amanzi okuphuza ukudla kungagcwalisa isikhwama, ukuvimbela ukudla okuqinile ngaleso sikhathi.
Imithombo:
Buchwald, H. & Oien, DM (2013). Ukuhlinzeka nge-Metabolic / bariatric emhlabeni wonke ngo-2011. Ukuhlinzwa Obesity , Ngo-Apr; 23 (4): 427-36.
U-Christou, NV, Bheka, D., MacLean, LD Inzuzo yokudoba emva kokudla okuncane kanye nezinyathelo ezinomdlavuza ezigulini ezilandelwa isikhathi eside kuneminyaka eyi-10. Ama-Annal of Surgery, ngoNovemba; 244 (5): 734-40.
Himpens, J., Dobbeleir, J., & Peeters, G. (2010). Imiphumela yesikhathi eside ye-laparoscopic sleeve gastrectomy yokukhuluphala. Ama-Annals of Surgery , Aug; 252 (2): 319-24.
I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. (Mashi 2008). Ukwelashwa kweBariatric Ukuze Ukhuluphele Kakhulu.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .