I-Gastric Bypass ichazwe
I-bypass ye-gastric iyindlela yokuhlinza isisindo esixubile, besebenzisa kokubili ukwehla kwesayizi esiswini kanye nokunciphisa okuyingxenye emathunjini amancane ukunciphisa ukungenisa ikhalori. I-bypass ye-gastric ivame ukubizwa ngokuthi "roux-en-y" ukuhlinzwa kokunciphisa umzimba futhi ingenye yezinhlinzeko zokulahlekelwa kwesisindo esiphumelele kunazo zonke ngenxa yokulahleka kwesisindo eside, eside.
Iziguli ezinama-gastric bypass zizwa ngokusheshisa ngokugcwele futhi zihlale ngaleyo ndlela isikhathi eside kakhulu kunokujwayelekile.
Lokhu kungenxa yokuthi isikhwama sakhiwe ukuhlukanisa ingxenye encane yesisu sokucubungula ukudla. Ngaphezu kwalokho, isigaba samathumbu amancane siye sanciphisa ukunciphisa ukudla, ngakho-ke ama-calories, angasetshenziswa ngumzimba.
Uma uhamba ngale nqubo, kufanele wenze izinguquko ezinkulu ekudleni kwakho nokuphila kwakho ukuze inqubo ibe nomthelela omkhulu. Ukudla emva kokuhlinzwa kufanele kulinganiselwe cishe ku-ounce ngamunye; ukuphuza uketshezi nokudla kungagcwalisa isikhwama, ngakho-ke kufanele ukhumbule ukuthi ukwenza kanjalo kungavimbela ukudla okuqinile. Kodwa, ngenxa yokuthi isisu sinamandla okwelula ukuze uthole ukudla, ungadla izingxenye ezinkulu kunaleso sikhathi.
I-Gastric Bypass Surgery Procedure
Ukuhlinzeka ngokuhlinzwa kwe-gastric bypass ngokuvamile kwenziwa esikhungweni noma esikhungweni sokuhlinza, usebenzisa i- General Anesthesia . Esikhathini esiningi, inqubo yenziwa i-laparoscopically, okusho ukuthi udokotela ohlinzayo usebenzisa izinsimbi ezinde ukuze asebenze ngokucubungula okuncane.
Ezimweni ezingavamile, ukuhlinzeka kuyoba "Vula," kwenziwe ngokusebenzisa ukukhishwa okukhulu, kwendabuko. Ukuhlinzwa okuqala i-laparoscopically kungabuye kuguqulwe ngenqubo evulekile uma udokotela ohlinzayo enquma ukuthi kuyadingeka.
Ukuhlinzekwa kuqala nge-inclusive multiple-inch incisions eside endaweni yesisu.
Izinsimbi zifakwe kulezi zici, futhi udokotela ohlinzayo uqala ngokwenza isikhwama esivela endaweni yesisu esiseduzane nesondlo. Isikhwama sinqanyuliwe ngokuphelele kuzo zonke izibeletho, okuyi-stapled ivaliwe futhi ihlala emzimbeni (nakuba ngeke isagcine ukudla). I-sphincter muscle, ephethe ukudla esiswini, ihlala isondelene nengxenye engasetshenziswanga yesisu; i-sphincter yesisu yangaphezulu iba umnyango wesithombeni.
Uma isikhwama sakhiwe, intombazane encane ihlala isondelene nengxenye yesisu engacubungula ukudla. I-incision ehlukanisa amathumbu amancane ibe yingxenye engezansi nephezulu, isigaba esiphezulu sinezinhlamvu ezivaliwe. Ingxenye engezansi yesisu ihlanganiswe esikhwameni esanda kwenziwa. Ingxenyeni engenhla yamathumbu amancane ahlala emzimbeni, ahlanganiswe nesisu esingasetshenziswanga, kodwa futhi, asisakudli ukudla.
Ngemuva kokuthi udokotela ohlinzayo anqume ukuthi ama-staples kanye ne- sutures awaphuli, izinsimbi zihoxiswa futhi ukucutshungulwa kuvaliwe, ikakhulukazi nge- sutures engenakuthola kanye ne-tape oyinyumba.
Umphumela Oyingqayizivele Wokuhlinzwa Kwe-Gastric Bypass Surgery
Le nqubo iphumelele kakhulu kunezinqubo ezivimbelayo, njenge- banding yokugaya , ngoba ayithembeli kuphela ekuguqulweni kokuziphatha.
Ngenkathi isikhwama sisiza ukudala umuzwa wokugcwala futhi awuvumeli ukudla okudliwayo okumele kudliwe, amakholori asetshenzisiwe awasetshenziswanga ngokugcwele ngumzimba ngenxa yokungena kwezingxenye zamathumbu amancane.
Ngoba ukulahlekelwa isisindo akuxhomeke ngokuphelele ekuqhubekeni kokudla ukudla okuncane kakhulu, iziguli zilahlekelwa okungenani okungenani ngamaphesenti angama-60 esisisindo esiningi emva kokuhlinzwa; ngaphezulu kwesithathu kulahlekelwa ngu-80%. Iningi leziguli lifinyelela ngesisindo esincane kakhulu eminyakeni emibili ngemva kokuhlinzwa. Ucwaningo oluthile lwakubonisa ukuthi iziguli ezingu-90% zigcina ukulahlekelwa kwesigamu sabo isisindo somzimba eminyakeni eyishumi emva kokuhlinzwa, umphumela oye waboniswa kuphela ngeRoux-en-Y nokuhlinzwa okufanayo, ukuhanjiswa kwezinto eziphilayo.
Ngeshwa, ukunciphisa kwe-biliopancreatic - futhi ngezinye izikhathi i-roux-en-y-kubangela ubunzima ngokuthola ukudla okunomsoco okwanele futhi kwamukele amavithamini namaminerali ngokwanele.
Izindlela ezingase zenzeke zokuhlinzeka ngokuhlinzwa kwe-Gastric Bypass Surgery
Yiqiniso, kunamabomu kulokhu - nanoma yikuphi - inqubo. Iziguli eziningi zithola ukulahlwa kwesifo, isimo lapho ukudla kuhamba khona masinyane kusuka esiswini kuya emathunjini amancane, okubangela imizwa yokufelwa yisisulu, ukukhukhuza okubandayo, ukukhukhumeza kanye nesifo sohudo esibi kakhulu kanye nobuhlungu besifuba. Iningi leziguli lithola ukuthi ubungako bokudla obunciphisa nokusetshenziswa kweshukela kuvimbela ukulahla kwesifo.
Ukungondleki kuyingozi futhi, njengoba le nqubo inciphisa ikhono lomzimba lokubamba izakhi, kanti iziguli eziningi zidinga i-vitamin kanye ne-mineral supplementation kuzo zonke izimpilo zabo.
Ukuhlinzekwa akubuyiselwa emuva, kepha ukuvimbela ukuhlinzwa kungasuswa ngokudla okudliwayo okuqhubekayo, okungawulula isikhwama kuze kube yilapho inani lokudla elikwazi ukugaya futhi lisetshenziswe umzimba livinjelwe kakhulu kunalokho okuhloswe udokotela ohlinzayo. Uma ufisa lokhu kuguqulwa, khuluma nodokotela wakho ukuze uhlele uhlelo lokukusiza wenze lokhu ngokunethezeka nangokuphepha.
Ngokuvamile, i-bypass yezinyosi yindlela yokuhlinzwa yokulahlekelwa kwesisindo esivame kakhulu, kanye nezinqubo ezingu-140,000 ezenziwa e-United States njalo ngonyaka. Ngenkathi kuhlinzwa okuyinkimbinkimbi ngezingozi eziphawulekayo, iziguli ziye zaba nemiphumela engcono ngokulahlekelwa isisindo esiphelele, ukugcinwa kwesisindo sesikhathi eside kanye nokuthuthukisa impilo yonke kunabo abaye bakhetha noma yiluphi olunye uhlobo lokuhlinzwa kwesisindo.
Imithombo:
Ukwelashwa kweBariatric Ukuze Ukhuluphele Kakhulu. Ishidi Lolwazi Lomthengi. I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. Mashi 2008. http://win.niddk.nih.gov/publications/gastric.htm
UJones, uNicolas V. Christou, MD, PhD, uDidier 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.