Ukuhlinzwa kweBariatric yisikhathi esisebenza eziningana zokuhlinzekwa okuye kwasungulwa ukuphatha ukukhuluphala ngokweqile nokuhlinzeka ngokweqile ukunciphisa umzimba. Enye yalezi zinqubo i-banding banding.
Indlela Esebenza ngayo
Ukuboshwa kwe-gastric-okuvame ukubizwa ngokuthi "i-lap-band" uma kwenziwa i-laparoscopically-kuyindlela yokuhlinzeka nge-bariatric. Ngenqubo yezinyosi zezinyosi, ngokuvamile eqhutshwa i- laparoscopically , ibhande libekwe nxazonke zesisu, lihlukanisa isisu zibe amaphakheji amabili: isikhwama esincane esiphezulu esiphezulu kwebhodi, neshwama esincane esingaphansi kwebhodi.
Isikhumba esincane sinciphisa inani lokudla umuntu angadla kunoma yikuphi ukuhlala okulodwa, futhi ngaleyo ndlela kubangela umuzwa wokugcwala ngokudla okuncane.
I-band ingalungiswa ngokujova noma ukususa u-saline kuyo, ngaleyo ndlela yehla noma yanda ubukhulu bokuvula phakathi kwezinhlangothi ezimbili zesisu. I-band iyasuswa futhi ayishintshe unomphela isisu esiswini noma umgogodla.
Ukuboshwa kwe-gastric kwehla ngaphansi kwesigaba "sokuvimbela" isisindo sokulahlekelwa kwesisindo, ngoba kunciphisa, noma kuvimbela, amandla okusebenza esiswini ukuze athole ukudla.
Ukuphumelela
Esikhathini sokubuyekezwa okuhlelekile kwezifundo ezishicilelwe kuze kube yimanje, iqembu elilodwa labacwaningi lithole ukuthi ukubikwa kokunciphisa umzimba ngokweqile kwaba nesilinganiso se-45% ngokwesilinganiso, ngokunciphisa izinga lama- diabetes likaThi 2 lama-28.6%. Ukuncipha kwesilinganiso somfutho wegazi ophezulu (umfutho wegazi ophakeme) kwaba ngu-17.4% ne-gastric band, futhi ukuncipha kwe-hyperlipidemia (i-cholesterol ephakeme) yayingu-22.7%.
Lezi zinamba zazingaphansi kwalezo ezibonwe nge-gastric bypass kanye nezinqubo zomkhonto wesisu.
Naphezu kobufakazi kuze kube manje, izifundo ezilandelwayo zesikhathi eside zidingeka, njengoba kungekho zifundo zokuhlinzeka nge-bariatric zibonakala zibika imiphumela engaphezu kweminyaka emihlanu. Ngakho-ke, nakuba izinombolo zokuqala zokulahlekelwa isisindo ziyaziwa, yini engaziwa ukuthi ukulahlekelwa kwesisindo kunakekelwa kangakanani eminyakeni eyisikhombisa noma eyishumi noma ngaphezulu.
Okuqhamuka uma udla imishanguzo
Ngokusho kwe-American Society ye-Metabolic and Bariatric Surgery, ezinye ze-effects emva kwalokhu, njengokuthi "i-dumping syndrome" ne-diarrhea, ehambisana nezinye izinqubo zokuhlinzwa ze-bariatric ezifana ne- gastric bypass akulindelekile ukuba zihlotshaniswe nokuboshwa kwe-gastric esiswini okulungiswa kwe-laparoscopic. Ukuqokwa, noma kunjalo, kungase kwenzeke kakhulu.
Iziguli ezinezinyosi zesisu esisemathunjini zingase zithole i-dysphagia (ubunzima bokugwinya), ikakhulukazi ngemuva kokuthi ibhande liqine, noma "lilungiswe."
Ngezinqubo zokuvimbela isisindo esithintekayo ezifana ne-gastric banding, i-malabsorption syndrome ayitholakali, ngenxa yokuthi ukudla okudliwa ekugcineni kwenza indlela ephuma esikhwameni esiphezulu kuya esikhwameni esingaphansi, lapho sithatha khona ngokuvamile njengoba sidlula umathumbu omncane kanye nayo yonke indlela yokugaya ukudla.
Kodwa-ke, ngenxa yokunciphisa ukudla (okuwukuthi, ngemuva kwakho konke, iphuzu le nqubo), ukuphuleka kokudla okunomsoco kungenzeka, futhi kunconywa, kunconywa ukuthi iziguli zokugaya izigungu zithatha i-multivitamin ephelele nsuku zonke. Ezinye izithako zokudla okunomsoco zingase zinconywe ngokusekelwe kwezidingo zesiguli ngasinye, futhi ukulandelelana okude nomdokotela kubalulekile.
Imithombo:
I-American Society yeBariatric Surgery Ikomidi Lezemfundo Yomphakathi / Professional. Ukuhlinzwa kweBariatric: ukukhathazeka emva kokusebenza. Kushicilelwe ngo-February 2008.
U-Arteburn DE, u-Fisher DP. Isimo samanje sobufakazi bokuhlinzeka nge-bariatric. Ukuhlela. I-JAMA 2014; 312: 898-899.
Puzziferri N, Roshek TB, Mayo HG, et al. Ukulandelwa kwesikhathi eside ngemuva kokuhlinzwa kwe-bariatric: ukubuyekezwa okuhlelekile. I-JAMA 2014; 312: 934-942.