Ukwelashwa Kwesisu Esiyisisindo
I-gastroplasty ene-vertical-banded, eyaziwa ngokuthi "isisu sokugaya isisu" noma i-gastroplasty yomkhono, iyindlela yokuvimbela ukulahlekelwa kwesisindo esebenza ngokunciphisa inani lokudla elikwazi ukudliwa ngaphambi kokuba lizwe ligcwele. Lokhu kuhlinzekwa kuhlanganisa izici zesimiso sokumama nesisu sokugaya, kepha akulungiswa. Kulula ukudideka nezinye izinqubo ezifanayo, njenge-gastrectomy ebonakalayo, engahlanganisi ibhande.
Njengezinye izinqubo ezibandakanya i-band, akuvamile kakhulu namuhla kunanesikhathi esidlule, njengoba inqubo yesikhumba sesisu esiswini esingenalutho ithola ukuthandwa.
Ukuhlinzwa kuhlukanisa ingxenye encane yesisu sokulungisa ukudla, ukunciphisa ubukhulu bokudla kuya cishe ku-ounce eyodwa, futhi kunciphisa ukugaya ngokucindezela ukudla kudlule indandatho yokuvimbela. Ngenkathi ukuhlinzwa kwe-lap-band isebenzisa indandatho yokuvimbela, ukuhlinzekwa kuhluke kakhulu, i-band band ayidingi ukucubungula esiswini ngenkathi i-gastroplasty ene-vertical-banded iveza umgodi esiswini ukuze ibhande lingene. Ngaphezu kwalokho, i-lap-band ingashintshwa njengoba kudingeka ngaphandle kokuhlinzwa futhi ibhande elivimbelayo le-gastroplasty elilinganiselwe alikwazi ukuguqulwa ngaphandle kokuhlinzwa.
Isiguli esibhekana nale nqubo kumele senze izinguquko ezinkulu ekudleni nasekudleni kwazo ukuze inqubo ibe nomphumela ophumelelayo esikhathini eside.
Ngenxa yokuthi isisu sinamandla okwelula ukuze kutholakale ukudla, isisu singakhuphuka kakhulu kusuka kumandla owodwa. Ukudla kufanele kube mncane kakhulu futhi ukuphuza amanzi okuphuza ukudla kungagcwalisa isikhwama.
Inqubo
Ukuhlinzwa kuvame ukwenziwa esibhedlela noma esikhungweni sokuhlinza, usebenzisa i-anesthesia ejwayelekile.
Ukuhlinzwa okuningi kwenziwa nge-laparoscopically, okuvumela udokotela ohlinzayo ukuba asebenzise izinsimbi ezinde ezibekwa emzimbeni ngezingcingo ngamamitha ambalwa ubude (esikhundleni sokuvula isikhumba somzimba nokwenza isibazi esikhulu). Kwezinye izimo, nakuba ukuhlinzekwa kuzokwenziwa "kuvuliwe" ngokuzibandakanya komdabu wendabuko, noma ukuhlinzwa okuqala ukuguqulwa kungahle kuguqulwe inqubo evulekile lapho udokotela ohlinzayo enquma ukuthi kuyadingeka.
Ukuhlinzwa kuqala nge-incision multiple-long-incisions eside endaweni yesisu. Izinsimbi zifakwe ngalezi zici futhi udokotela ohlinzayo uqala ngokushaya ngaphakathi esiswini. Izinhlangothi zomshini we-incision ziyi-stapled, ezenza umgodi esiswini lapho ibhande elivimbelayo lifakwe khona, ukunciphisa isivinini lapho ukudla okungashiya khona esiswini.
Ngenhla emgodini osanda kudalwa, isisu sinqwabelene, ukuphoqeleka ukudla okugayiwe ukushiya esiswini ngendawo eboshiwe. Uma sekuphelile, indawo yesisu okugaya ukudla igcina ukudla okuncane noma okuncane.
Uma udokotela ohlinzayo ekhetha ukuthi izidakamizwa ziphethe isisu ivaliwe futhi azikho izindawo ezibonakala zivuza, izinsimbi zihoxiswa futhi ukucubungula kuvaliwe, ngokuvamile kufakwe ucingo oluyinyumba.
Umphumela Oyingqayizivele
Le nqubo ihlangene nemiphumela esikhathini eside, ehluke ekutholeni konke isisindo esilahlekile ukugcina amaphesenti angu-50 esisindo sonke esilahlekile. Iziguli eziningi zinzima ukugcina izingxenye ezincane ezidingekayo ukuze kugcinwe ubukhulu besisu esikhwameni sesisu. Lapho beqala ukudla izingxenye ezinkulu, ukulahlekelwa kwesisindo kuyayeka futhi inzuzo yesisindo iqala njalo.
Amathumbu akahambisani nale nqubo futhi ayikho inguquko endleleni umzimba odla ngayo ukudla emathunjini, ngakho-ke akusengozini yokungondleki ngenxa yokuhlinzwa.
Isilinganiso sokulahlekelwa kwesisindo kanye nokugcinwa kwesisindo sesikhathi esigcwele yiyona ephansi kunaleyo yokuhlinzwa uma kuqhathaniswa nazo zonke izinhlobo zokuhlinzeka nge-bariatric okwenziwa manje e-United States, ngakho-ke akunconywa abantu abanesisindo esikhulu kakhulu sokulahlekelwa kanye / noma ngubani ozokhethwa ezinye izinqubo.
Eqinisweni, kungase kube kuhle ukusebenzela ukushintsha izinto eziguquguqukayo futhi ube nenqubo ehlukile uma ufaneleka kunokuba nenqubo eyaziwa ukuthi ilahlekelwa isisindo esincane esikhathini esifushane neside.
> Imithombo:
> Ukuhlinzwa Kwebariatri Ukuze Ukhuluphele Kakhulu. Ishidi Lolwazi Lomthengi. I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. Mashi 2008. http://win.niddk.nih.gov/publications/gastric.htm
> Jones, uNicolas V. Christou, MD, PhD, Didier Look, MD, noLloyd D. MacLean, MD, PhD. "Ukuthola Isisindo Ngemuva Kokufushane Kwesikhashana Nama-Long Limb Gastric Bypass Kwaziguli Ezilandelwe Kude Kuneminyaka Engu-10." Ama-Annal of Surgery 2006 NgoNovemba; 244 (5): 734-740.