I-Laparoscopic banding banding

I-Laparoscopic gastric banding luqhaqho ukunceda ukunciphisa umzimba. Ugqirha ubeka ibhendi kwindawo ephezulu yesisu sakho ukwenza isingxobo esincinci sokubamba ukutya. Ibhendi iyanciphisa inani lokutya onokukutya ngokwenza uzive ugcwele emva kokutya ukutya okuncinci.

Emva kotyando, ugqirha wakho unokuhlengahlengisa ibhanti ukwenza ukutya kudlule kancinci okanye ngokukhawuleza kwisisu sakho.

Utyando lokudlula kwesisu sisihloko esinxulumene noko.

Uya kufumana i-anesthesia ngokubanzi ngaphambi kolu tyando. Uya kulala kwaye ungakwazi kuva iintlungu.

Olu tyando lwenziwa kusetyenziswa ikhamera encinci ebekwe esiswini sakho. Olu hlobo lotyando lubizwa ngokuba yi-laparoscopy. Ikhamera ibizwa ngokuba yi-laparoscope. Ivumela ugqirha wakho ukuba abone ngaphakathi kwesisu sakho. Kolu tyando:

• Ugqirha wakho uza kwenza i-1 ukuya kwi-5 ukusika okuncinci esiswini sakho. Ngokusikwa okuncinci, ugqirha uya kubeka ikhamera kunye nezixhobo ezifunekayo ukwenza olu tyando.
• Ugqirha wakho uza kubeka ibhanti ejikeleze indawo ephezulu yesisu sakho ukuze ahlukane nayo emazantsi. Oku kwenza isingxobo esincinci esinomngxunya omncinci ongena kwindawo enkulu, esezantsi yesisu sakho.
• Utyando alubandakanyi ukutyibilika ngaphakathi kwesisu sakho.
• Utyando lwakho lungathabatha kuphela imizuzu engama-30 ukuya kwengama-60 ukuba ugqirha wakho wokwenza ezi nkqubo zininzi.

Xa usitya emva kolu tyando, isingxobo esincinci siya kuzalisa ngokukhawuleza. Uya kuziva uzele emva kokutya ukutya okuncinci. Ukutya okusengxoweni encinci encinci kuya kukhutshwa kancinci kwindawo ephambili yesisu sakho.

Utyando lokulahleka kobunzima kunokuba yinto onokukhetha kuyo ukuba utyebe kakhulu kwaye khange ukwazi ukunciphisa umzimba ngokutya nangokwenza umthambo.

I-Laparoscopic gastric banding ayisiyo "ukulungisa ngokukhawuleza" ukutyeba kakhulu. Iya kuyitshintsha kakhulu indlela ophila ngayo. Kuya kufuneka utye kwaye wenze imithambo emva kolu tyando. Ukuba awukwazi, unokuba neengxaki okanye ukunciphisa umzimba.

Abantu abanolu tyando kufuneka bazinze ngokwengqondo kwaye bangaxhomekeki etywaleni okanye kwiziyobisi ezingekho mthethweni.

Oogqirha bahlala besebenzisa la manqaku alandelayo omzimba (BMI) amanyathelo okuchonga abantu abanokuthi baxhamle kutyando lokulahleka kobunzima. I-BMI eqhelekileyo iphakathi kwe-18.5 ukuya kuma-25. Le nkqubo inokucetyiswa kuwe ukuba:

• I-BMI engama-40 okanye ngaphezulu. Oku kuhlala kuthetha ukuba amadoda anobunzima obuziikhilogram ezingama-45 kwaye abafazi bangama-80 eekhilogram ngaphezu kobunzima babo obufanelekileyo.
• I-BMI engama-35 okanye nangaphezulu kunye nemeko yezonyango enokubuphucula ubunzima bomzimba. Ezinye zezi meko kukuphefumla xa ulala, uhlobo lwesibini lweswekile, uxinzelelo lwegazi kunye nesifo sentliziyo.

Iingozi ze-anesthesia kunye naluphi na utyando lubandakanya:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Amahlwili egazi emilenzeni anokuhamba ukuya emiphungeni yakho
• Ukuphulukana negazi
• Usulelo, kubandakanya indawo yotyando, imiphunga (inyumoniya), okanye isinyi okanye izintso
• Ukuhlaselwa sisifo sentliziyo okanye ukubetha kwentliziyo ngexesha okanye emva kotyando

Iingozi zokubopha ibhetri esiswini zezi:

• I-Gastric band erases ngesisu (ukuba oko kuyenzeka, kufuneka isuswe).
• Isisu sisenokutyibilika kwiqela. (Ukuba oku kuyenzeka, unokufuna utyando olukhawulezileyo.)
• I-Gastritis (ukutsha kwesisu), isilungulela, okanye izilonda zesisu.
• Usulelo echwebeni, olunokufuna i-antibiotics okanye utyando.
• Ukwenzakala kwisisu sakho, amathumbu, okanye amanye amalungu ngexesha lotyando.
• Ukungondleki.
• Ukurhawuzelela ngaphakathi kwesisu sakho, kunokukhokelela ekuvaleni kwisisu sakho.
• Ugqirha wakho ugqirha akanakho ukufikelela kwizibuko lokufikelela ukuze aqinise okanye ayikhulule ibhendi. Uya kudinga utyando oluncinci ukulungisa le ngxaki.
• Izibuko lokungena linokutsiba libheke ezantsi, lenze ukuba kungabikho ukufikelela kulo. Uya kudinga utyando oluncinci ukulungisa le ngxaki.
• Ukutyibilika kufutshane nezibuko lokungena kunokuhlatywa ngengozi ngexesha lokungena kwenaliti. Ukuba oku kuyenzeka, ibhanti ayinakuqiniswa. Uya kudinga utyando oluncinci ukulungisa le ngxaki.
• Ukuphalaza kukutya ngaphezulu kwesingxobo sakho esiswini.

Ugqirha wakho uyakukucela ukuba wenze iimvavanyo kwaye undwendwele nabanye ababoneleli ngempilo ngaphambi kokuba wenze olu tyando. Ezinye zazo zezi:

• Uvavanyo lwegazi kunye nolunye uvavanyo ukuze uqiniseke ukuba usempilweni ngokwaneleyo ukuba unokuhlinzwa.
• Iiklasi zokukunceda ufunde okwenzekayo ngexesha lotyando, into omele uyilindele emva koko, kwaye yeyiphi ingozi okanye iingxaki ezinokubakho.
• Gqibezela uvavanyo lomzimba.
• Iingcebiso ngezondlo.
• Ndwendwela nomboneleli wezempilo yengqondo ukuze uqiniseke ukuba ukulungele ngokwasemoyeni ukwenza utyando olukhulu. Kuya kufuneka ukwazi ukwenza utshintsho olukhulu kubomi bakho emva kotyando.
• Ukutyelelwa ngumboneleli wakho ukuqinisekisa ukuba ezinye iingxaki zonyango onokuba nazo, ezinjengesifo seswekile, uxinzelelo lwegazi, kunye nentliziyo okanye iingxaki zemiphunga, ziphantsi kolawulo.

Ukuba uyatshaya, kuya kufuneka uyeke ukutshaya iiveki ezininzi ngaphambi kotyando kwaye ungaphindi uqale ukutshaya emva kotyando. Ukutshaya kunciphisa ukubuyela umva kwaye kwandisa umngcipheko weengxaki emva kotyando. Xelela umboneleli wakho ukuba ufuna uncedo lokuyeka.

Soloko uxelela umboneleli wakho:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza, iivithamini, imifuno kunye nezinye izongezo ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo

Ngexesha leveki ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), i-vitamin E, i-warfarin (i-Coumadin), kunye nawaphi na amanye amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye.
• Buza ukuba ngawaphi amayeza oza kuwathatha ngosuku lotyando lwakho.

Ngomhla wotyando lwakho:

• SUKUTHI ukutya okanye usele nantoni na iiyure ezi-6 ngaphambi kotyando lwakho.
• Thatha amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.

Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele.

Uya kugoduka ngosuku lotyando. Abantu abaninzi bayakwazi ukuqala imisebenzi yabo yesiqhelo kwintsuku ezi-1 okanye ezi-2 emva kokugoduka. Uninzi lwabantu luthatha iveki enye emsebenzini.

Uya kuhlala kulwelo okanye ukutya okucoliweyo iiveki ezi-2 okanye ezi-3 emva kotyando. Uya kongeza kancinci ukutya okuthambileyo, emva koko ukutya okuqhelekileyo, kukutya kwakho. Kwiiveki ezi-6 emva kotyando, uya kuba nakho ukutya ukutya okuqhelekileyo.

Ibhendi yenziwe ngerabha ekhethekileyo (irabha yesilika). Ingaphakathi lebhendi linebhaluni e-inflatable. Oku kuvumela ibhendi ukuba ihlengahlengiswe. Wena nogqirha wakho ninokuthatha isigqibo sokuyikhulula okanye niyiqinise kwixesha elizayo ukuze nitye ukutya okuninzi okanye okuncinci.

Ibhendi iqhagamshelwe kwizibuko lokufikelela eliphantsi kwesikhumba esiswini sakho. Ibhendi inokuqiniswa ngokubeka inaliti kwizibuko kwaye ugcwalise ibhaluni (ibhendi) ngamanzi.

Ugqirha wakho angenza ukuba ibhendi iqine okanye ikhulule nangaliphi na ixesha emva kolu tyando. Inokuqiniswa okanye ikhululeke ukuba:

• Unengxaki yokutya
• Ukungalahli ubunzima obaneleyo
• Ukuhlanza emva kokuba utyile

Ukwehla kobunzima bokugqibela kunye nokubopha ibhendi esiswini akukho kubanzi njengakwindlela yotyando lokunciphisa umzimba. Ukulahleka komndilili ophakathi malunga nesinye kwisithathu ukuya kwisiqingatha sobunzima obongezelelweyo obuphetheyo. Oku kunokwanela abantu abaninzi. Thetha nomboneleli wakho malunga nenkqubo efanelekileyo kuwe.

Kwiimeko ezininzi, ubunzima buza kuphuma kancinci kunolunye utyando lokulahleka kobunzima. Kuya kufuneka uqhubeke ukunciphisa umzimba ukuya kuthi ga kwiminyaka emithathu.

Ukuphulukana nobunzima obaneleyo emva kotyando kunokuphucula iimeko ezininzi zonyango onokuba nazo, ezinje:

• Isifo sombefu
• Isifo se-reflux sesifo se-Gastroesophageal (GERD)
• Igazi elonyukayo
• Cholesterol ephezulu
• Ukulala ngokuphefumla
• Uhlobo lwe-2 yeswekile

Ukulinganisa kancinci kufuneka kukwenze kube lula kakhulu kuwe ukuba ujikeleze kwaye wenze imisebenzi yakho yemihla ngemihla.

Olu tyando lodwa ayisosisombululo sokunciphisa umzimba. Inokukuqeqesha ukuba utye kancinci, kodwa kusafuneka wenze uninzi lomsebenzi. Ukunciphisa umzimba kunye nokuphepha iingxaki ezivela kwinkqubo, kuya kufuneka ulandele imithambo kunye nezikhokelo zokutya ozinike wena ngumboneleli wakho kunye nesazi sokutya.

I-Lap-Band; I-LAGB; I-Laparoscopic ibhendi esiswini ehlengahlengiswayo; Utyando lwe-Bariatric - i-laparoscopic gastric banding; Ukutyeba kakhulu - ibhanti esiswini; Ukwehla kobunzima - ibhanti esiswini

• Emva kotyando lokwehla kobunzima-yintoni oza kuyibuza ugqirha wakho
• Phambi kotyando lokwehla kobunzima-yintoni oza kuyibuza ugqirha wakho
• Utyando lokudlula kwisisu-ukukhupha
• I-Laparoscopic gastric banding - ukukhutshwa
• Ukutya kwakho emva koqhaqho olwenziwa sisisu

• Ukulungelelanisa i-gastric banding

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URichards WO. Ukutyeba okungathethekiyo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 47.

USullivan S, uEdmundowicz SA, uMorton JM. Unyango kunye nonyango lwe-endoscopic lokutyeba kakhulu. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 8.