Izindleko zokulahlekelwa kwesisindo: Ukushintshwa kweDuodenal
Ukushintshwa kwesisindo sokulahlekelwa kwesisindo kufakwa ngamagama amaningi, kuhlanganise ne-DS ne-biliopancreatic diversion nge-switch duodenal. Le nqubo luhlobo lokuhlinzekwa kwe-malabsorptive nokuvimbela ukulahlekelwa kwesisindo. Lokhu kusho ukuthi inqubo iyanciphisa inani lamakhalori angabanjwa ngamathumbu ngokunciphisa inani lomathumbu elihlangana nokudla futhi liyanciphisa inani lokudla elingasetshenziswa yisisu futhi lisetshenziswe ngumzimba.
Umshini we-duodenal uhlanganisa ukudalwa kwesikhwama semvelo esisisindo esincane ngokweqanda ingxenye yamathumbu amancane . Lokhu kuvumela isiguli ukuba sinciphise isisindo ngaphandle kokushintsha kakhulu imikhuba yabo yokudla - uma kuqhathaniswa nezinye izinhlobo zendlela yokulahleka kwesisindo. Isisu sikwazi ukubamba ama-ounces angaba ngu-5 kuya kwanguyisithupha, kanti ezinye izinqubo ezivamile ziyiyeka ukukwazi ukugcina isigamu esisodwa ku-ounce elilodwa eligcwele.
Inqubo Yokushintshwa Kwe-Duodenal
Inqubo yokushintshwa kwe-duodenal yenziwa esibhedlela noma isikhungo sokuhlinzwa, usebenzisa i- anesthesia ejwayelekile . Inqubo ye- laparoscopic , ukuhlinza kuqala ngezingxenyana eziningana ze-intshi eside endaweni yesisu naphakathi kwesisu.
Isisu sisalokhu sinamathele ingxenye yokuqala yamathumbu amancane, i- duodenum , ehlukaniswa nayo yonke imathumbu encane. I-duodenum isuke ifakwe engxenyeni ephansi kakhulu emathunjini amancane, enqamula iningi lamacandelo wesibili nowesithathu emathumbu amancane.
Lokhu kusho ukuthi izingxenye zomathumbu amancane ezithintekayo azikwazi ukuthola umsoco ekudleni, ngokunciphisa inani lomathumbu elithatha ukudla, amakholori angaphansi kakhulu, amaminerali namavithamini angathathwa.
Udokotela ohlinzayo unquma ukuthi azikho izindawo ezivulekayo, bese izinsimbi zihoxiswa futhi ukucutshungulwa kuvaliwe, ikakhulukazi nge- sutures engenawo noma i-tape oyinyumba.
Ukuphila Ngemva kokushintshwa kwe-Duodenal
Ukuhlinzwa komshini we-Duodenal kunemiphumela emihle kakhulu, nesiguli esiphezulu silahlekelwa ngu-70 kuya ku-80% wesisindo esiningi ngokweqile eminyakeni emibili elandela inqubo. Kodwa-ke, iziguli ezikhetha lolu hlobo lokuhlinzwa zingengozini enkulu kakhulu yokuntuleka kokudla okunomsoco kunamanye izinhlobo zokuhlinzwa kwesisindo. Kungenzeka ukuvimbela ukudla okungondleki emva kwalokhu, kodwa izithako zokudla okunomsoco, okufaka amavithamini namaminerali, cishe kuyodingeka isikhathi sokuphila somguli.
Le nqubo kulindeleke ukuba ibe ngcono kwi-biliopancreatic diversion (BPD), inqubo endala. Odokotela abahlinzayo babekholelwa ukuthi ngokulondoloza i-sphincter e-pyloric evala isisu, ukudla kwakuyoba nethuba lokugonywa kangcono, ukunciphisa izinga lokungondleki kanye nokuntuleka kwevithamini nokuvimbela ukulahla kwesifo ngemuva kokuhlinzwa. Kodwa-ke, ucwaningo luye lwabonisa ukuthi ayikho umehluko emazingeni okungafaneleki kokulandela kokuhlinzwa okubili.
Esikhathini eside, iziguli eziningi ezikhetha lolu hlobo lokuhlinza ziphela ngemiphumela ehlala njalo. Umzimba awukwazi ukugaya konke ukudla okuthathwe, izinguquko zendlela yokuphila azizona ezibaluleke kakhulu njengoba zinjalo nezinye izinhlobo zokuhlinzwa kwe- bariatric .
Ngaphezu kwalokho, iziguli ziyakwazi ukudla izingxenye ezinkulu kunabanye abaneminye imikhakha yokuvimbela isisindo sokulahlekelwa isisindo, okuvumela ukwaneliseka okukhulu kwesiguli.
Yize izinzuzo zokudla ukudla okukhudlwana nokulahleka kwesisindo okungenakwenzeka kuphela kodwa ezikwazi ukugcinwa zikhangisa kakhulu ezigulini ezizobhekana nazo, abahlinzayo abambalwa benza izinqubo, ngakho-ke ukulandela ukuvakashelwa kungase kube inselele emva kokuhlinzwa uma isiguli kufanele sihambe ngokuphawulekayo ibanga lokubona udokotela ohlinzayo. Ukukwazi kwakho ukugcina ama-aphoyintimenti wakho wokulandela emva kokuhlinzwa kufanele kucatshangelwe uma ukhetha lokhu kuhlinzwa - kanye nodokotela ohlinzayo oyokwenza.
Imithombo:
> Ukuhlinzwa Kwebariatri Ukuze Ukhuluphele Kakhulu. Ishidi Lolwazi Lomthengi. I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. Mashi 2008. http: // 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.