ibhaluni esiswiniIfakwa esiswini nge-endoscopy. Ngokujova uketshezi noma umoya kula mabhaluni, kuyaqinisekiswa ukuthi kuthatha umthamo futhi kuthatha isikhala esiswini. Njengoba inqubo yenziwa ngesikhathi isiguli sidakiwe, abukho ubuhlungu noma ukuzwa ubuhlungu.
Silokhu sikhula njalo isibalo sabantu abahlushwa ukukhuluphala ngokweqile kanye nezinkinga zempilo ezihlobene nokukhuluphala ngokweqile ngenxa yokudla okungenampilo nempilo yokunganyakazi emhlabeni wonke. Ngenxa yalesi sizathu, amasu ahlukene aseqalile ukusetshenziswa ekwelapheni ukukhuluphala. I-gastric balloon application, okungenye yezindlela zokunciphisa isisu esingahlinzeki, nayo isetshenziswa kakhulu namuhla.
Ifakwa Kubani Ibhaluni Yesisu?
Kubantu abangafuni ukukhipha isisindo esiningi ngokweqile ngezinqubo zokuhlinzwa, abasengozini ye-metabolic ngokwenza ukuhlinzwa okunjalo, futhi abangakwazi ukwehlisa isisindo ngemidlalo noma ngokudla. ukwelashwa ibhaluni esiswini okukhethayo.
Kuphinde kusize abantu abasesigabeni sokukhuluphala ngokweqile noma ukukhuluphala ngokweqile ukuthi bagqugquzeleke ukwehlisa isisindo ngesikhathi esifushane. I-gastric balloon application nayo isetshenziswa njengenye indlela yokuhlinzwa kwe-bariatric. Ingenye yezicelo ezikhethwa kakhulu kubantu abafuna ukuqeda ukukhuluphala. Kuyaziwa nangokuthi indlela elula kakhulu.
Ingabe I-Gastric Balloon Yenziwa Ngokuhlinza?
Isicelo se-gastric balloon Kuyindlela ekhethwayo ekwelashweni kokuncipha kwesisindo futhi kulula kakhulu uma kuqhathaniswa nokuhlinzwa. Ngemuva kwamahora ayisishiyagalombili wokuzila ukudla, iziguli zilaliswa nge-sedation imizuzu eyi-15-20. Ibhaluni lesisu lifakwa esiswini nge-endoscopy.
Ukufaka ibhaluni esiswini kulula kakhulu njengoba akuyona inqubo yokuhlinzwa. I-endoscopy eyenziwe ayikho phakathi kwezinqubo zokuhlinzwa. Ngemva kwalokho, kuye ngokuthi hlobo luni lwebhaluni, kufakwa i-saline enombala oluhlaza okwesibhakabhaka nge-methylene blue ebhaluni elibekwe. Uma kuyibhaluni lomoya, inqubo iqedwa ngokungeza umoya wegumbi ovamile.
Amabhaluni asesiswini ajwayele ukufuthwa ngo-500 ml womoya noma uketshezi. Njengoba ubukhulu bebhaluni bukhula, umuzwa wokugcwala nokusuthiswa esiswini uyakhula. Kodwa kunzima kakhulu ukuthi isisu sibekezelele lesi simo. Kulokhu, kubaluleke kakhulu ukulungisa ibhalansi. Usawoti onikezwe ibhaluni lesisu yi-methylene eluhlaza okwesibhakabhaka. Uma kukhona ukuvuza ebhaluni, umchamo nendle kuzoba luhlaza okwesibhakabhaka ngombala futhi kulula ukukubona kunjalo.
Ingabe Indlela Yebhaluni Yesisu Ithembekile?
Indlela yebhaluni yesisuKuyinqubo enokwethenjelwa engazanywa ngaphambi kokuhlinzwa kwe-bariatric, futhi imiphumela emihle ingatholakala ngesikhathi esifushane lapho isekelwa ngokuzivocavoca kanye nezinguquko zokudla. Kuwudaba olubalulekile ukwenza izinguquko ezindleleni zokuphila zeziguli kanye nebhaluni. Le ndlela ilula kakhulu, kodwa ukuhlola okuvamile akufanele kunganakwa.
Njengoba inqubo yokufaka ibhaluni yesisu ingekona okokuhlinzwa, amathuba okuba nezinkinga ngemva kwenqubo aphansi kakhulu. Nokho, lawa mabhaluni abicah abekwe esiswini awawuqedi ngokuphelele umuzwa wendlala. Lawa mabhaluni enzelwe ukukhawulela ukudla kwabantu. Isisu sabantu abalashwayo sigcwala ngokushesha kunalapho bedla ngokujwayelekile. Ngale ndlela, ukuncipha kwesisindo kwenzeka ngoba kuncane kakhulu ukudla okudliwayo kunokuvamile. Kodwa-ke, kubaluleke kakhulu ukusebenzisa le ndlela ngokuhlela okuphelele.
I-Gastric Balloon Application ikwenza ube buthakathaka kanjani?
Inqubo ye-gastric balloon ikwenza uzizwe ugcwele ibhaluni eligcwalisa isisu ngaphandle kokubangela noma yimiphi imiphumela emibi emzimbeni. Kuwumkhuba ovimbelayo owehlisa inani lokudla okudliwa ngale ndlela futhi uvumela abantu ukuthi baxebule ngokushesha okukhulu. Njengezinye izindlela ze-bariatric ezisetshenziselwa ukwelapha ukukhuluphala, abantu behlisa isisindo ngesikhathi esifushane njengoba behlisa inani lokudla abakudlayo.
Kungakanani Ukuncipha Kwesisindo Ngebhaluni Yesisu?
Ngemuva kokufakwa kwebhaluni lesisu Isisindo okumele sehliswe siyahlukahluka kuye ngezimo zezempilo ezijwayelekile zeziguli ezilashwayo, ukuphazamiseka kwazo kwe-metabolic okuzovimbela ukuncipha kwesisindo, kanye nesisindo sazo sangaphambilini. Kodwa-ke, uma inani linikezwa ngokwemibandela evamile, abantu abanamabhaluni esisu behlisa isisindo phakathi kokungenani kuka-10 futhi okungenani okungamakhilogremu angu-25. Uma lesi simo silinganiswa nesisindo somzimba, u-15-20% wesisindo somzimba uyalahleka ngenkathi kusetshenziswa ibhaluni lesisu.
Yini Ibhaluni Yesisu Egwinywayo?
ibhaluni lesisu eligwinywayo Ngokungafani nebhaluni le-endoscopic gastric, ligwinywa lisesimweni sephilisi elikhulu elinentambo exhunywe ekugcineni kwalo. Ngesikhathi sokugwinya le nto, kubhekwa ukuthi ifinyelela esiswini ngamadivaysi e-x-ray. Lapho ibhaluni lesisu lifika esiswini, lizovuthwa futhi libe ibhaluni. Ngemuva kokuthi ivuthelwe umoya, ukuxhumana kwayo nekhebula ekugcineni nakho kuyanqanyulwa.
Ezinkathini ezilandelayo, ibhaluni lizikhukhumeza ngokwalo. Ngemva kokukhishwa, ikhishwa ngamathumbu. Umphumela wala mabhaluni uhlukile kumabhaluni e-endoscopic. Kodwa-ke, amabhaluni e-gastric agwinya awathandwa kakhulu.
Ingabe Ikhona Imithelela Emibi Yesicelo Sebhaluni Yesisu?
Ngemva kokwelashwa kwebhaluni lesisu, izimpawu ezinjengokucanuzela kwenhliziyo, amajaqamba esiswini nokuhlanza kungase kwenzeke. Lezi zimpawu zingokwemvelo kakhulu ekuqaleni. Njengoba into engakaze ibonwe futhi engaziwa ingena esiswini, isisu sisabela kulesi simo. Izivikeli zesisu noma izidambisi zinhlungu zingasetshenziswa ukukhulula izimpawu.
Imiphumela emibi, evame ukwenzeka ezinsukwini ezingu-3-4 ngemva kokuba ibhaluni ifakwe esiswini, izoshabalala. Uma izikhalazo ziqhubeka ngemva kokwelashwa kwe-balloon gastric noma uma kungekho ukukhululeka, ibhaluni yesisu kufanele isuswe esigulini. Nakuba kungavamile, kungase kube nezimo lapho umzimba ungalamukeli ibhaluni lesisu. Ngaphezu kwalokho, uma imikhuba yokudla ingalawulwa, iziguli zizokhuluphala futhi esikhathini esifushane ngemva kokuqedwa kokwelashwa kwebhaluni lesisu. Kulokhu, ibhaluni lesisu lilodwa ngeke libe yisixazululo esiqondile sokunciphisa umzimba.
Inqubo Yokususa Ibhaluni Yesisu
Ibhaluni elibekwe esiswini sesiguliIthathwa emzimbeni wesiguli ngokwesimo sesiguli kanye nohlobo lwebhaluni lesisu elisetshenziswayo. Ukuze kukhishwe ibhaluni lesisu, umoya noma uketshezi olukubhaluni elivuthele umoya luqala luthululwe ngezisetshenziswa zokwelashwa ezihlukahlukene.
Amabhaluni akhishiwe akhishwa futhi akhishwe emlonyeni ngosizo lwemishini eyehliswa esiswini isuka emgomeni. Ukukhipha ibhaluni ngale ndlela kuyinkqubo engenabuhlungu ngokuphelele. Ngemuva kokususwa kwebhaluni lesisu, iziguli zingaqhubeka nempilo yazo yansuku zonke.
I-Intragastric slimming balloon Ingasetshenziswa kubantu abaneminyaka engaphezu kwe-18 nangaphansi kweminyaka engama-70. Ingasetshenziswa iziguli ezinezinkomba zesisindo somzimba phakathi kuka-30-40, ezingafuni ukuhlinzwa kwesisu noma ezifuna ukulahlekelwa isisindo esithile ngesikhathi esifushane.
Kukuziphi Izimo Ibhaluni Yesisu Ayifakwanga?
· Ukusetshenziswa kotshwala okuqhubekayo yiziguli
· Ungacabangi ukusebenzisa i-proton pump inhibitor izinyanga eziyisi-6
· Ukuba nenkinga yokuncipha noma izinguquko ze-anatomical emlonyeni nasemphinjeni
· Unenkinga yokudla
· Isifo se-coronary artery esingalashwa noma inkinga yokuhluleka kwenhliziyo
· ngesikhathi sokukhulelwa noma lactation
· ukuba ne-anemia
· Izifo zesibindi
· izinkinga ze-thyroid ezingazinzile
· Isicelo sebhaluni lesisu asisetshenziswa ezigulini ezisebenzisa amaphilisi ezinhlungu isikhathi eside.
Lezi zinkinga zezokwelapha kufanele zelashwe kuqala futhi, uma kufaneleka, kufanele kufakwe ibhaluni lesisu ngemva kokuba ukwelashwa sekuqediwe futhi iziguli zithole isakhiwo esinempilo.
Yiziphi Izinhlobo zamabhaluni e-Gastric?
Izinhlobo ze-gastric balloon Indlela yokuphatha iyahlukahluka kuye ngokwesikhathi sokuhlala esiswini nokuthi iyalungiseka noma cha.
I-Gastric Balloon Eshintshwayo
Amabhaluni wesisu alungisekayo Umthamo wayo ungalungiswa esiswini. Ngemuva kokuthi la mabhaluni abekwe esiswini, aphefumulelwe ku-400-500 ml. Kulezi zinqubo ezilandelayo, kuye ngokuthi isimo sokulahlekelwa kwesisindo seziguli, inani le-liquid lingandiswa noma lehliswe kusukela kuphuzu lokugcwalisa elitholakala ephuzwini lebhaluni futhi likhishwe uma kunesidingo.
Amabhaluni Evolumu Engashintshi
Amabhaluni wevolumu engashintshi Ifakwe ku-400-600 ml esigabeni sokuqala sokubekwa. Akwenzeki ukushintsha ivolumu yalawa mabhaluni kamuva. Bahlala esiswini isikhathi esingangezinyanga eziyisi-6. Ekupheleni kwalesi sikhathi, zingasuswa nge-sedation noma i-endoscopy.
Asikho isidingo senqubo ye-endoscopy yamabhaluni esisu agwinywa, aphakathi kwamabhaluni evolumu engashintshi. Ivalvu esebhaluni ivula ngemva kwezinyanga ezi-4, ibangele ukuthi ibhaluni linciphe. Ibe isikhishwa ngokuzenzakalelayo ngomgudu wamathumbu. I-re-endoscopy ayidingeki ukuze kukhishwe ibhaluni lesisu.
Yiziphi Izinzuzo ze-Gastric Balloon?
Izinzuzo zebhaluni lesisu Ingenye yezindlela ezithandwa kakhulu namuhla.
· Amabhaluni e-gastric angasuswa kalula lapho iziguli zifuna.
· Kungenzeka ukufaka ngesikhathi esifushane endaweni yesibhedlela.
· Ukufaka ibhaluni esiswini kulula kakhulu futhi iziguli azizwa ubuhlungu ngesikhathi senqubo.
· Ngemuva kwenqubo yebhaluni yesisu, kuyenzeka ukuthi abantu babuyele ezimpilweni zabo ezijwayelekile ngaphandle kwesidingo sokulaliswa esibhedlela.
Ukuphila Ngemva Kwe-Gastric Balloon Isicelo
Lapho ibhaluni lesisu lifakwa, isisu sizofuna ukugaya leli bhaluni. Kodwa-ke, njengoba ingafaneleki ukugaya, amajaqamba, isicanucanu nokuhlanza kungenzeka ngesikhathi sokujwayela. Nakuba lezi zimpawu zihluka kumuntu nomuntu, ziyanyamalala ezinsukwini ezingu-3-7. Ukuze kudlule inqubo kalula, izidakamizwa ezidingwa udokotela zimiselwe iziguli.
I-gastric balloon application iyindlela yokuqala yokuthi abantu behlise isisindo. Ngemuva kwalesi sigaba, kubaluleke kakhulu ukuthi iziguli zenze izinguquko endleleni yazo yokuphila nemikhuba yokudla futhi zilondoloze lokhu. Kubaluleke kakhulu ukuthi iziguli zilandele ukudla ezinikezwe zona bese zikwenza ukudla esikhathini esizayo.
Kuyinto evamile ukuthi iziguli zizwe zingakhululekile isikhashana ngemva kokufakwa kwebhaluni lesisu. Kuye ngobunzima balesi simo, kungase kube nezimo lapho udokotela ebeka imithi. Esikhathini samaviki ama-3-6, isifiso sokudla seziguli sizoqala ukubuya. Kodwa ngisho noma abantu bedla ukudla okuncane, bazosutha ngesikhashana nje. Kulesi sigaba, kubalulekile ukuthi abantu bahlole ukudla kancane kanye nanoma yikuphi ukungakhululeki kwangemva kokudla. Ukudla kufanele kuhlelwe futhi kwenziwe ngamabomu. I-Hiccups, isicanucanu, kanye nezikhalazo ze-reflux zesisu ngokuvamile zenzeka lapho udla kakhulu futhi usheshe.
7-12. Emasontweni ambalwa, iziguli zizoqhubeka nokulahlekelwa isisindo. Kodwa uma kuqhathaniswa namasonto okuqala, lokhu kwenzeka kancane kakhulu. Ngalesi sikhathi, iziguli kufanele zikhethe izindlela zokudla nezokuzivocavoca ukuze zinciphise umzimba.
Yiziphi Izinkinga ze-Gastric Balloon?
Ukungalungi kwebhaluni lesisu Nakuba amacala engenzeki kaningi, awavamile ukubonakala. Lezi;
· Ezigabeni zokuqala, izinkinga ze-cramp esiswini zingenzeka.
· Ngemuva kokufakwa kwebhaluni lesisu, iziguli zingase zibe nokungakhululeki kwe-reflux.
· Isicanucanu nokuhlanza kungase kwenzeke phakathi nezinsuku zokuqala ezingu-3-7 ngemva kokufakwa kwebhaluni lesisu.
· Ezimweni ezingavamile, izilonda zesisu zingase zenzeke.
· Inani lesisindo esilahlekile ngebhaluni lesisu liphansi kakhulu uma liqhathaniswa nenani lesisindo esilahleka ngezindlela zokuhlinzwa.
· Ukufaka ibhaluni esiswini kuyindlela yesikhashana. Ngemuva kokususwa kwebhaluni lesisu, kubaluleke kakhulu ukuthi iziguli zilondoloze imikhuba yazo yokudla kanye nezindlela zokuphila. Uma iziguli zingahambisani nokudla kwazo, zingase zibe nezinkinga zokukhuluphala futhi.
Izicelo zebhaluni lesisu ziwukwelapha osekucwaningwe kusukela ngawo-1980. Izinto kanye nobuchwepheshe bokusebenzisa obusetshenziswa kuze kube namuhla sebuthuthukisiwe futhi umonakalo ongenzeka ngesikhathi nangemva kokwelashwa kuzanywe ukuqedwa.
Njengasemisebenzini yezokwelapha, kungase kube nezinkinga ezithile, nakuba zingavamile, kulolu hlobo lokwelapha. ibhaluni ye-endoscopic yesisu Ekufakeni isicelo, kungase kube nezimo zokulimala ku-esophagus noma isisu. Ezimweni ezinjalo, izifo ezifana nezilonda zingase zenzeke. Ezimweni ezingavamile, izinkinga zokuvinjelwa kwamathumbu zingase zenzeke uma ibhaluni lincibilika.
Yiziphi Izingozi Ze-Gastric Balloon?
Izingozi zebhaluni lesisu futhi izinkinga ezingase zenzeke ngemva kwalokho zingenye yezihloko ezifuna ukwazi kakhulu ezigulini. Izinkinga zebhaluni lesisu zingafakwa ngaphansi kwamaqembu amakhulu ama-3. Eyokuqala nevame kakhulu yalezi zingozi zenzeka phakathi nesonto. Izingozi zezinkinga ezingase zenzeke ezikhathini zakamuva azivamile.
Izingozi eziyinkimbinkimbi ezingase zenzeke esikhathini sokuqala zisesimweni sokuhlanza, isicanucanu, ubuthakathaka kanye namajaqamba esiswini. Ezimweni ezinjalo, kungase kwenzeke ukususa ibhaluni lesisu ekuqaleni kwezigaba.
Kamuva, isilungulela, ukuqunjelwa, i-reflux, ukuncipha kokuphuma kwendle nokuphuma kwamathumbu, nokubhodla okunuka kabi kungase kwenzeke.
Izimo ezidinga ukungenelela ngokushesha zenzeka ngenxa yokuncibilika kwebhaluni. Ezimweni ezinjalo, uketshezi olunombala oluhlaza okwesibhakabhaka kubhaluni ye-endoscopic gastric luxubana nomchamo nendle. Ngale ndlela, kungabonwa kusenesikhathi futhi kungenelele.
Ukudla Okunomsoco Ngemva Kokufaka Isicelo Se-Gastric Balloon
Ukudla okunomsoco ngemva kwebhaluni lesisu Ukushintsha imikhuba yokudla kanye nemikhuba yokudla kubaluleke kakhulu ekwehleni kwesisindo esinempilo. Uhlelo lokudla oluningiliziwe olunikezwa udokotela wezokudla kufanele lulandelwe.
· Kubaluleke kakhulu ukuthi kungabi khona imihlambi emide kakhulu phakathi kokudla.
· Ngalesi sikhathi, iziguli kufanele zisebenzise ukudla okulinganiselayo okucebile ngamaprotheni. Ukwenza lokhu kube umkhuba nakho kuyindaba ebaluleke kakhulu.
· Kubaluleke kakhulu ukuthi ukudla okudliwayo kube namaprotheni amaningi futhi kungabikho ushukela.
· Uma iziguli zifuna uphudingi, zingawudla ngokusika izithelo zibe iyogathi. Ngaphezu kwalokho, ukwengeza isinamoni obisini kuzokwanelisa izifiso ezimnandi.
· Abantu kufanele baqaphele ukuthi bangaphuzi uketshezi ngesikhathi bedla. Ukusetshenziswa koketshezi kufanele kumiswe isigamu sehora ngaphambi kokudla. Ngaphezu kwalokho, emva kokudla, kuyadingeka ukulinda isigamu sehora ukuze kusetshenziswe uketshezi.
· Kubalulekile ukuhlafuna ukudla kakhulu mayelana nokwandisa isikhathi sokudla.
· Izindlela zokupheka, ukubilisa, ukubhaka nezokosa, ezinamafutha amancane futhi ezinempilo, zingakhethwa njengezindlela zokupheka.
· Uma iziguli zinenkinga yokubekezelela ukudla okuqinile, kufanele ziyeke ukudla lokho kudla okwesikhashana.
· Iziphuzo ezinoshukela, i-carbonated, carbonated akufanele zidliwe.
· Ukudla okubabayo kakhulu nokunosawoti omningi kufanele kugwenywe ngoba kuzophazamisa isisu.
· Iziguli kufanele zigweme ukuphuza utshwala ngalesi sikhathi.
· Njengesiphuzo, imikhiqizo engenakhalori, engenashukela kanye ne-caffeine kufanele ikhethwe.
· Ukusetshenziswa kwamaprotheni kukho konke ukudla kubaluleke kakhulu.
· Kufanele kuqashelwe ukuphuza 1-1.5 amalitha amanzi nsuku zonke.
Ekusetshenzisweni kwebhaluni yesisu, ukunakwa kufanele kukhokhwe emisebenzini yomzimba kanye nokunaka ukudla okunomsoco. Ukuzivocavoca kuzokwenza iziguli zinciphise isisindo futhi zilondoloze isisindo ezilahlekelwe.
Zinjani Izicelo ze-Gastric Balloon eTurkey?
Izicelo zebhaluni lesisu eTurkey zenziwa ngodokotela abangochwepheshe. Ngaphezu kwalokho, lezi zindlela zokwelapha zithengeka kakhulu kulabo abavela phesheya. Ngalesi sizathu, i-Turkey ivamise ukuncamela izicelo zebhaluni lesisu kwezokuvakasha kwezempilo. Izintengo zebhaluni lesisu eTurkey Ungaxhumana nathi ukuze uthole ulwazi mayelana.
Shiya Amazwana