Nini ukuya eGastric Bypass ukunciphisa umzimba

Umxholo

• Yintoni ixabiso lotyando
• Kwenziwa njani ukugqitha kwesisu
• Unjani uchacha
• Iingxaki ezinokwenzeka

Ukudlula esiswini, okwaziwa ngokuba yi-Y-bypass ye Roux okanye utyando lwe-Fobi-Capella, luhlobo lotyando lwe-bariatric olunokubangela ilahleko ukuya kuthi ga kwi-70% yesisindo sokuqala kwaye ibandakanya ukunciphisa isisu kunye nokuguqula amathumbu, kubangele ukuba umntu atye kancinci, ekugqibeleni anciphise umzimba.

Njengoluhlobo lotyando oludala utshintsho olukhulu kwinkqubo yokwetyisa, ukugqitha kuboniswa kuphela kubantu abane-BMI enkulu kune-40 kg / m² okanye nge-BMI enkulu kune-35 kg / m², nangona kunjalo, esele beve ubunzima ingxaki ethile yezempilo ethathwe kubunzima obugqithisileyo kwaye, ngokubanzi, yenziwa kuphela xa ezinye iindlela, ezinje ngokubekwa kwebhendi yesisu okanye ibhaluni yesisu, zingenazo iziphumo ezifunwayo.

Yazi ezona ntlobo ziphambili zotyando lwe-bariatric kunye nexesha lokuyisebenzisa.

Ukudlula kweLaparoscopy

Yintoni ixabiso lotyando

Ixabiso lotyando lokudlula kwesisu luxhomekeke kwiklinikhi apho yenziwa khona kunye nokulandela okufunekayo ngaphambi nasemva kotyando, ukusukela phakathi kwe-15,000 kunye ne-45,000 reais, oku sele kubandakanya bonke oochwephesha ababandakanyekayo kwi-pre, intra kunye nasemva kokusebenza, ukongeza onke amayeza ayimfuneko.

Ngamanye amaxesha, ukugqitha kunokwenziwa kwi-SUS ngaphandle kwentlawulo, ngakumbi xa kukho umngcipheko wokukhula kwengxaki zempilo ngenxa yokutyeba kakhulu, kufuna uvavanyo olungqongqo sisifo sezifo zesisu.

Kwenziwa njani ukugqitha kwesisu

Ukudlula kwesisu kw y Roux luvavanyo oluntsonkothileyo olwenziwa phantsi kwe-anesthesia ngokubanzi kwaye luthatha umndilili weeyure ezi-2, kucetyiswa ukuba uhlale phakathi kweentsuku ezi-3 ukuya kwezi-5. Ukwenza ukugqitha, ugqirha kufuneka enze amanyathelo aliqela:

1. Sika isisu namathumbu: kusikwa kwenziwa esiswini ecaleni komqala okuzahlula kubini, inxalenye encinci kakhulu, ngohlobo lwesingxobo, nenxalenye enkulu, ehambelana nesisu esinye kwaye siphulukana nomsebenzi waso. Ukuyeka ukugcina ukutya. Ukongeza, ukusikwa kwenziwa kwinxalenye yokuqala yamathumbu, ebizwa ngokuba yijejunum;
2. Hlanganisa inxalenye yamathumbu kwisisu esincinci:indawo ngqo yokutya ngohlobo lombhobho yenziwe;
3. Qhagamshela indawo yamathumbu eyayifakwe kwinxalenye enkulu yesisu kumbhobho: Olu bambiswano luvumela ukutya, okuvela kwisibophelelo sangaphambili esenziwe, ukudibanisa ne-enzymes yokwetyisa, ukwetyisa okwenzekayo.

Ngokubanzi, olu tyando lwenziwa nge-videolaparoscopy, enemingxunya emi-4 ukuya kwezi-6 esiswini evumela ukuba kudlule kwigumbi elincinci nakwizixhobo zokwenza utyando. Ngokwale ndlela, ugqirha ugqirha ujonga ngaphakathi kwinto ephilayo ngescreen, eyalela izixhobo. Funda nzulu kwi: Videolaparoscopy.

Utyando lunokwenziwa nge-laparotomy, ngokuvula ngokupheleleyo kwesisu, nangona kunjalo, yinkqubo ebonisa umngcipheko ongaphezulu kune-laparoscopy.

Ukudlula esiswini ukunciphisa umzimba kubangela ilahleko ukuya kuthi ga kwi-70% yesisindo sokuqala kwaye ivumela ukugcina le lahleko kule minyaka idlulileyo, kuba ukongeza kwisigulana esikhawulezayo ngokukhawuleza, utshintsho lwamathumbu, lukhokelela ekufunxweni kancinci kwento Ungenile.

Unjani uchacha

Ukubuyiselwa kokudlula kwesisu kuhamba kancinci kwaye kunokuthatha phakathi kweenyanga ezi-6 ukuya kunyaka-1, kunye nokwehla kobunzima ukuba buqatha kwiinyanga ezintathu zokuqala. Ukuqinisekisa ukuba uchacha ngcono, kufuneka uthathe amanyathelo okhuseleko anje ngala:

• Landela ukutya okuboniswe yingcali yesondlo, etshintsha iiveki. Funda nzulu apha: Ukutya emva kotyando lwe-bariatric.
• Ukuthatha izongezo zeevithamini, njenge-iron okanye i-vitamin B12 ngenxa yengozi ye-anemia engapheliyo;
• Ukubopha isisu kwiziko lezempilo kwiveki enye emva kotyando;
• Susa idreyini, esisikhongozeli apho ulwelo olugqithisileyo luphuma kwi-stoma, ngokweengcebiso zonyango.
• Ukuthatha iziyobisi ezithintela imveliso yeasidi, Njengo-Omeprazole ngaphambi kokutya ukukhusela isisu njengoko kuyalelwe ngugqirha;
• Yiphephe imigudu kwiintsuku ezingama-30 zokuqala ukunqanda naziphi na izibopho ekukhululekeni.

Iziphumo zolu tyando lwe-bariatric ziya kuvela kwiiveki, nangona kunjalo, kunokuba yimfuneko ukwenza utyando lwezithambiso, njenge-abdominoplasty, iminyaka emi-1 ukuya kwezi-2 emva koko ukususa ulusu olugqithisileyo.

Funda ngakumbi malunga nokubuyela kwimeko yesiqhelo: Njani ukubuyela kwimeko yoqhaqho lwe-bariatric.

Iingxaki ezinokwenzeka

Kuqhelekile ukuba umntu odlula ngendlela abe nesicaphucaphu, ukugabha, ukuqaqamba kwentliziyo okanye urhudo kwinyanga yokuqala emva kotyando. Nangona kunjalo, ezona ngxaki zinzima zotyando zibandakanya:

• I-Scar fistula isisu okanye amathumbu, anokunyusa amathuba osulelo, njenge-peritonitis okanye i-sepsis, umzekelo;
• Ukopha kakhulu kwindawo yesisu;
• I-anemia engapheliyo, ikakhulu ngenxa yokusilela kweevithamini B12;
• Ukulahla isifo, ezibangela iimpawu ezinjengokugabha, ukuqaqanjelwa ngamathumbu, ukutyhafa kunye norhudo emva kokuba umntu esityile. Bona ngakumbi kwi: Ungazikhulula njani kwiimpawu zokulahla inkunkuma.

Ngamanye amaxesha, umntu usenokufuna olunye uqhaqho ukulungisa ingxaki.

Bukela le vidiyo ilandelayo kwaye ubone ukuba zeziphi iimeko ezenziwa ngotyando lwe-bariatric olucetyiswayo: