Ukuhlinzwa kwe-Bariatric kungaba yindlela ephumelelayo yokufeza isisindo sabesifazane abane- polycystic ovarian syndrome (PCOS). Kodwa ukuzama ukuthola ukuthi yiluphi uhlobo lokuhlinzwa kwesisindo okungcono kakhulu ukuthi ungaba inqubo yokufunda enzima futhi edidekayo.
Ukuhlinzwa kwabakwaBariatric kuye kwaba khona kusukela ngonyaka wama-1960 kanti manje iningi lezinqubo zenziwa laparoscopically , okusho ukuthi uchungechunge lwezinto ezincane ezibandakanya besebenzisa ikhamera ngaphakathi komzimba.
Ukukhetha Uhlobo Oluhle Kwenqubo Yokulahlekelwa Isisindo Kuwe
Ukwenza isinqumo sokuhlinzwa ukulahlekelwa yisisindo esikhulu, njengoba uthola udokotela wakho ohlinzayo futhi ekugcineni, yikuphi uhlobo lokuhlinzwa okufanele ube nakho. Kunezinhlobo eziningi ezihlukahlukene zokuhlinzwa futhi udokotela wakho ohlinzayo cishe uyoba nokuthanda noma ukuncoma ukuthi yikuphi okuzophumelela kakhulu ku-PCOS yakho.
Udokotela wakho cishe uzophakamisa indlela enempumelelo ngayo, isizathu esibalulekile sokuthi kungani ufuna udokotela ohlinzayo onolwazi osebenza nabesifazane nge-PCOS. Kunezinhlobo eziningi zezinqubo futhi ngayinye inezinzuzo nezinkinga zayo.
Roux-En-Y
I-Laparoscopic Roux-En-Y I-Gastric Bypass yinqubo eyenziwa kakhulu kunazo zonke, futhi ifaka izinyathelo ezilandelayo:
- Ukulungisa kabusha umgudu wamathumbu (GI) ukuze ukudla kudlulele iningi lesisu nesisu somzimba.
- Isikhwama esincane sidalwa phezulu kwesisu.
- Ukukhishwa kwesibili kwenziwa engxenyeni engezansi yamathumbu amancane, okuxhunywe esikhwameni esenziwe phezulu kwesisu.
- Lokhu kuvumela ukudla kudlule iningi lenxenye ye-(GI) ipheshana elithatha umsoco namakhalori.
I-roux-en-Y ibonakala iyasebenza kakhulu ekuguquleni ukumelana kwe-insulin, inkinga ebalulekile kwabesifazane abane-PCOS, ngisho nangaphambi kokuba isiguli siphume isisindo.
Ngakolunye uhlangothi, le nqubo ithatha ingozi ephezulu ye-malabsorption yezakhi eziningi.
Lokhu kuvame ukulungiswa, futhi kuvinjelwe, ngezithako ezingase zidingeke ukuvimbela ukukhubazeka okunzima okunomsoco. Uzodinga nokuqapha okusheshayo nokuqokwa okujwayelekile okulandela ukugcina isimo sakho sokudla okunomsoco.
Kukhona nezinye izingozi, kufaka phakathi ama-gallstones, ukuvimba, ukuvuza ngokusebenzisa ama-sutures noma okuyisisekelo, kanye nesifo sokulahla (isimo esingathandeki lapho ukudla okuthile noma iziphuzo ezithile kubangela ukucindezeleka okukhulu nokuhuda).
I-Lap Band
I-Lap Band , noma i-Laparoscopic Adjustable Banding Banding (LAGB) inesikhathi esifushane sokusebenza (ngaphansi kwamahora amabili) nesikhathi esincane esichithe esibhedlela uma kuqhathaniswa neRoux-en-Y. Le nqubo ihilela:
- Ukubeka ibhande le-silicone elungiswayo elizungezile engxenyeni ephezulu yesisu okungase ihlungwe kancane kancane futhi iqiniswe ukuvimbela ukudla okudliwayo.
- Ukuqinisa noma ukwehla kwamandla emali kwenziwa nge-port of reservoir ebeka ngaphansi kwesikhumba esiswini.
Ezinye izifundo zibonisa izinga elifanayo lokuphumelela njengoRoux-en-Y, kodwa, isidingo esikhulu sokuhlinzwa okuphindaphindiwe sabikezelwa ngezinkinga ze-band slippage noma izintambo.
I-Gastrectomy yeSleeve
Ebizwa ngeMalogoscopic Sleeve Gastrectomy (LSG), lokhu kuhilela:
- Ukushintsha ukuma kwesisu ukusuka kwesikhwama semaphoyinti sibe ngumkhono omncane.
- Ingxenye yesisu isuswe ukuze ihambisane nesimo esisha, esibangela ivolumu yokunciphisa isisu.
I-LSG yinkambiso entsha kanye nezifundo ezishicilelwe ezimbalwa. Izinkinga kufanele zinciphwe nale nqubo ngoba ayihlanganisi noma iyiphi i-overpass yokuhlinzwa futhi igweme ukufakwa kwezixhobo.
Ngenkathi le nqubo iphumelela, ucwaningo lubonakala lubonisa ukuthi inqubo yeRoux-en-Y ingcono kakhulu ekulahlekeni kwesisindo futhi ithuthukise ukuzwela kwe-insulin. Kodwa-ke, ukulahlekelwa kwesisindo esiphezulu kwatholakala ngale nqubo ngokuhlinzekwa kwe-Lap Band ngokususelwa ekuhlaziyweni kuka-2012 okushicilelwe kuyi-Journal of World Diabetes.
Yimuphi Uhlobo Lokushiswa Kwemithwalo Yezinsizakalo Okungcono Kwabesifazane Nge-PCOS?
Isihloko sango-Ephreli 2012 ku-World Journal of Diabetes sanyathelisa ukuthi uRoux-en-Y uhola izinga eliphezulu lokulahlekelwa kwesisindo ngaphezu kokubili ukuhlinzwa kwe-Lap Band kanye ne-Sleeve Gastrectomy. Ukwaneliseka kwesineke kwakutholakala nokuthi bekuphakeme neRoux-en-Y.
Kubalulekile ukuba nengxoxo evulekile nodokotela wakho mayelana nezinketho zakho zokuhlinzwa futhi iyiphi inqubo ayithandayo (futhi kungani). Qinisekisa ukwenza ucwaningo lwakho ngaphambi kokuqokwa kwakho futhi uqonde izinketho zakho nezinjongo zokuhlinzwa, njengoba izimpawu ze-PCOS nomlando wakho ungase uhluke kunabanye odokotela bakho abahlinzekele kuwo.
Ukuthola umbono wesibili kuhlale kuwumqondo omuhle, ikakhulu uma unenkinga mayelana nenqubo yakho ehleliwe.
Imithombo:
I-American Physiological Society. (2007, Meyi 8). I-Lap Band I-Gastric Bypass Surgery Ithuthukisa Ukuphikiswa Kwe-Insulin.
Imibiko ye-JAMA ne-Archives. (2011, Februwari 22). Ukuhlinzekwa kwe-gastric bypass okuhlobene nemiphumela yezempilo ethuthukisiwe.
Malik, SM, & Traub, ML (2012). Ukuchaza indima yokuhlinzwa ye-bariatric kuziguli ze-polycystic ovarian syndrome. World Journal of Diabetes