Ibhaluni le-gastric likhiqizwa ngezinto ze-silicone noma ze-polyurethane. Le nto ifakwa esiswini ngaphandle kokuvuthwa bese ivuthwa ngoketshezi oluyinyumba. Ukukhuluphala ngokweqile ekwelapheni kwabo kaningi esetshenzisiwe izindlela phakathi indawo uthola. Ukufaka ibhaluni lesisu akuyona indlela yokuhlinza. Kodwa-ke, kuye ngezinhlobo zamabhaluni, amanye amabhaluni e-intragastric adinga ukufakwa ngaphansi kwe-anesthesia nge-endoscopy.
Indlela yokusebenza yebhaluni yesisu ukuthi ithatha isikhala esiswini futhi idale umuzwa wokusutha kubantu. Bu indlela abantu ngabanye wakhe ngesikhathi sokudla ngaphezulu az ukudla bayadla. Lokhu kusiza ukwenza ukuncipha kwesisindo kube lula kakhulu. Ukukhuluphala kungenye yezifo ezivame kakhulu esikhathini samanje. I-gastric balloon application iyindlela evame ukusetshenziswa ekwelapheni ukukhuluphala nokukhuluphala.
Kuye ngezinhlobo ze-balloon yesisu, kwanele ukuhlala esiswini izinyanga ezingu-4-12. Bu isikhathi e kwabantu ukusutha ve saturation enozwela Ile yiyek ukuthenga ilinganiselwe. Lokhu kwenza kube lula kakhulu ukuthi abantu balandele indlela abadla ngayo. Ngemva kokushintsha ukudla nemikhuba yokudla, ngemva kokuba ibhaluni liphuma esiswini, abantu bangakwazi ukugcina isisindo sabo esihle ngokuqhubeka nale mikhuba.
Ibhaluni lesisu uhlelo lokusebenza olubuyiseleka emuva. Ngenxa yokuthi ingasetshenziswa futhi, ukwelashwa kunenzuzo kakhulu.
Yiziphi Izinhlobo zamabhaluni e-Gastric?
esiswini ibhamuza Zonke izinhlobo zinendlela efanayo eyisisekelo yokwenza. Ngaphezu kwalokho, kunezinhlobo ezahlukene kuye ngokuthi izici ezifana nesikhathi sokuhlala esiswini, indlela yokufaka isicelo, kungakhathaliseki ukuthi iyalungiswa noma cha.
I-Gastric Balloon Eshintshwayo
Ibhaluni le-gastric elilungisekayo lihlukile kumabhaluni evolumu engashintshi. Ivolumu yaleli bhaluni ingashintshwa kuye ngesidingo ngenkathi isesiswini.. Ngemuva kokuthi la mabhaluni abekwe esiswini, aphefumulelwe ku-400-500 ml.
Ezinkathini ezilandelayo zenqubo ye-balloon ye-gastric eguquguqukayo, kungenzeka ukwandisa noma ukunciphisa inani le-liquid endaweni yokugcwalisa ekugcineni kwebhaluni, ekhishwa uma kudingeka, kuye ngezinqubo zokulahlekelwa isisindo sabantu. Ngaphandle kwebhaluni lesisu eligwinywayo, abantu balaliswa nge-sedation ngesikhathi kufakwa i-gastric balloon esiswini. I-sedation iyindlela yokudambisa emnene kune-anesthesia evamile lapho iziguli zilele. Phakathi nale nqubo, izinto ezisizayo ezidingekayo zokuphefumula azisetshenziswa. Bu ngesizathu jikelele izinzwa indlela Ile hhayi ukudideka kumele. Izingozi zendlela nazo ziphansi kakhulu.
Amabhaluni Evolumu Engashintshi
Amabhaluni anevolumu engaguquki afuthwa abe ngu-400-600 ml lapho ebekwa okokuqala. Ngemva kwalokho, azikho izinguquko ezenziwa kumavolumu. Ngaleli bhaluni, bahlala esiswini isikhathi esingafika ezinyangeni eziyisi-6.. Ngemuva kwalesi sikhathi, ukususwa nge-sedation kanye ne-endoscopy kwenziwa futhi.
Asikho isidingo se-endoscopy yamabhaluni esisu agwinywa, aphakathi kwamabhaluni evolumu engashintshi. Ivalvu esebhaluni lesisu eligwinywayo ikhishwa ngemva kwezinyanga ezi-4 bese ibhaluni liyancibilika. Ibhaluni elincibilikile likhishwa ngomgudu wamathumbu. Ngale ndlela, asikho isidingo sokuphinda kwenziwe i-endoscopy ukuze kususwe.
Ubani Isicelo Sebhaluni Yesisu Esimfanele?
Inqubo ye-gastric balloon iyindlela esetshenziswe isikhathi eside. Ngokuvamile i-10-15% yesisindo ilahlekile ngale ndlela esikhathini se-4-6. Indlela yebhaluni yesisu ingasetshenziswa kubantu abaphakathi kweminyaka eyi-27 nengama-18 abanenkomba yesisindo somzimba engama-70 nangaphezulu futhi abangakaze bahlinzwe ukuncishiswa kwesisu ngaphambilini.. Ngaphezu kwalokho, indlela yebhaluni yesisu ingenye indlela esetshenziswa ezigulini ezisengozini yokubulala izinzwa futhi ezingahlelile ukuhlinzwa.
Ukuze ungabuyiseli isisindo esilahlekile ngendlela ye-gastric balloon esikhathini esizayo, abantu kufanele banake umsoco wabo nendlela yokuphila esikhathini esizayo kanye nebhaluni.
Kukuziphi Izimo lapho Ibhaluni Yesisu Ayisetshenziswanga?
Indlela yebhaluni yesisu ayisetshenziswa kwezinye izimo. Okuvame kakhulu kulezi zimo yi-reflux ehlobene nesisu, isilonda kanye ne-gastric hernia.. Ngaphezu kwalokho, akulungile ukufaka ibhaluni lesisu kubantu abake bahlinzwa i-bariatric ngaphambili, kwabesifazane abakhulelwe noma labo abahlela ukukhulelwa, kulabo abanokuphazamiseka kwengqondo, abasebenzisa kabi utshwala, nalabo abanezinkinga ekuguleni. umminzo kanye nomminzo.
Kwenziwa Kanjani Ukufakwa Kwebhaluni Ye-Gastric?
Ibhaluni le-gastric likhiqizwa ngezinto ze-silicone noma ze-polyurethane. Idonsela ukunaka njengoba iyinto evumelana nezimo lapho incishisiwe.. Esimeni esingashintshiwe, isisu sishutheka ngomlomo nasemqaleni, okuthiwa i-endoscopy, esinamashubhu aguquguqukayo anekhamera nokukhanya ekugcineni.
Ngesikhathi sokubekwa kwebhaluni esiswini, iziguli azizwa ubuhlungu noma ukungakhululeki. Ngenxa yalokhu, iziguli zinikezwa i-sedation elula. Uma ukubekwa kwebhaluni esiswini kuzokwenziwa nge-endoscopy kanye ne-sedation, i-anesthesiologist onguchwepheshe nayo ikhona ngesikhathi sokufaka isicelo.
Ngokuthuthuka kwezobuchwepheshe, i-endoscopy ne-sedation ayidingeki ukuze kubekwe amanye amabhaluni esiswini.. Ngaphambi kokubeka ibhaluni elincibilikisiwe esiswini, kuyabhekwa ukuthi isimo sesisu sifanelekile yini indlela yebhaluni. Kubalulekile ukuthi abantu bangadli noma yikuphi ukudla emahoreni angu-6 okugcina ngaphambi kokuthi kufakwe ibhaluni.
Ngemuva kokuthi ibhaluni lesisu libekwe, ligcwaliswa ngo-400-600 ml we-isotonic saline, cishe ubukhulu be-grapefruit. Umthamo wesisu esijwayelekile uhluka phakathi kwamalitha ayi-1-1,5. Ibhaluni lesisu lingagcwaliswa lifike cishe ku-800 ml.. Kodwa-ke, ukuthi ibhaluni lizofuthwa malini kunqunywa udokotela ecabangela izinqubo ezihlukahlukene.
Umbala wamanzi okugcwaliswa kuwo ibhaluni lesisu usushintshiwe waba luhlaza okwesibhakabhaka nge-methylene eluhlaza okwesibhakabhaka. Ngale ndlela, uma kunembobo noma kuvuza ebhaluni, umchamo uba luhlaza okwesibhakabhaka ngombala. Ezimweni ezinjalo, kubaluleke kakhulu ukubonana nodokotela ukuze akhiphe ibhaluni. Nakulokhu, ukususwa kwebhaluni kwenziwa kusetshenziswa indlela ye-endoscopy.
Yiziphi Izinzuzo ze-Gastric Balloon?
Ibhaluni lesisu liyindlela ethandwa kakhulu namuhla ngenxa yezinzuzo zayo eziningi.
• Ibhaluni lesisu lingasuswa kalula noma nini lapho iziguli zithanda.
• Ukufakwa kwebhaluni lesisu kwenziwa endaweni yesibhedlela nangesikhathi esifushane.
• Isicelo silula kakhulu futhi iziguli azizwa ubuhlungu phakathi nenqubo.
• Ngemuva kokufakwa kwebhaluni lesisu, abantu bangabuyela empilweni yabo evamile ngesikhathi esifushane ngaphandle kwesidingo sokulaliswa esibhedlela.
Izinto Okufanele Uzicabange Ngemva Kokufakwa Kwe-Gastric Balloon
Ngemva kokufakwa kwebhaluni lesisu, isisu sizozama ukugaya leli bhaluni. Kodwa ayikho into enjengokungeniswa. Izimo ezinjengokucanuzela kwenhliziyo, amajaqamba nokuhlanza kungenzeka ngesikhathi senqubo yokujwayela. Nakuba lezi zimpawu ziyehluka kuye ngomuntu, zihlala izinsuku ezi-3 kuya kweziyi-7 bese ziyanyamalala.. Ukuze kudlule le nqubo kalula, odokotela bazonikeza iziguli zabo izidakamizwa ezidingekayo.
Inqubo yebhaluni yesisu iyisiqalo sokuncipha kwesisindo. Ngemuva kwalokho, kubaluleke kakhulu ukugcina lokhu kuye ngendlela yokuphila kanye nemikhuba yokudla. Abantu kumele balandele ukudla abakuphiwayo baguqule lokhu kube yimikhuba yokudla esikhathini esizayo.
Ngemva kokufakwa kwebhaluni lesisu, ukungakhululeki okunjengokucanuzela kwenhliziyo kungase kwenzeke.. Lezi zinkinga zingahlala izinsuku ezimbalwa noma amasonto ambalwa. Kuye ngokuthi lezi zifo zingakanani, odokotela banikeza iziguli imithi.
Emasontweni amabili okuqala, iziguli ngokuvamile zizizwa zigcwele. Ngezinye izikhathi iziguli zingase zibe nesicanucanu ngemva kokudla. Ngaphezu kwalokho, iziguli zithola ukulahlekelwa kwesisindo esikhulu esikhathini esingamasonto amabili.
Phakathi kwamaviki angu-3-6, isifiso sokudla seziguli siqala ukubuya kancane kancane.. Nokho, kule nqubo, iziguli zizizwa zigcwele ngokudla ukudla okuncane. Kulesi sigaba, kubalulekile ukuthi iziguli ziqikelele ukuthi zidla kancane futhi zibheke ukuthi azizizwa yini ukungakhululeki ngemva kokudla. Kubalulekile ukuthi ukudla kweziguli kuhlelwe futhi kuqaphele.. Izinkinga ezinjenge-reflux yesisu, i-hiccups, nesicanucanu ngokuvamile zenzeka ezimeni zokudla okusheshayo nokukhulu.
7-12. Ukuncipha kwesisindo kuyaqhubeka ezigulini phakathi namasonto. Kodwa-ke, uma kuqhathaniswa nesikhathi sokuqala samasonto angu-8, ukulahlekelwa isisindo kubonakala ngenani eliphansi kakhulu. Kulezi zikhathi, kubaluleke kakhulu ukusebenzisa izindlela zokudla nezindlela zokuzivocavoca njengendlela yokuphila yokwehlisa isisindo.
Yibuphi Ububi be-Gastric Balloon Application?
Ukungalungi kwebhaluni lesisu nakho kuyamangaza abantu abacabanga ukwenza le nqubo.
• Nakuba kuyivelakancane, lo mkhuba ungase ubangele izilonda zesisu.
• Abantu bangase babe ne-reflux ngemva kwe-gastric balloon.
• Inani lesisindo esilahlekile ekufakweni kwebhaluni lesisu lincane kakhulu uma liqhathaniswa nezindlela zokuhlinza.
• Izimo ezinjengokucanuzela kwenhliziyo nokuhlanza kungenzeka ezinsukwini ezi-3-7 zokuqala.
• Ukufakwa kwebhaluni esiswini kungokwesikhashana. Kubaluleke kakhulu ukulondoloza imikhuba yokudla kanye nendlela yokuphila etholakala ngemva kokususwa. Uma abantu bengahambisani nokudla kwabo, bangase bahlangane nezinkinga zokukhuluphala futhi.
• Ezigabeni zokuqala, iziguli zingase zibe namajaqamba esiswini.
Yiziphi Izingozi Zokufaka Isicelo Sebhaluni Yesisu?
Isicelo sebhaluni lesisu saqala ukusetshenziswa ngawo-1980. Kuze kube namuhla, izinto zokwakha kanye nobuchwepheshe bokusebenzisa sekwenziwe futhi izifundo zenziwe ukuze kuqedwe umonakalo ongenzeka ngesikhathi nangemva kwesicelo.
Njengasemisebenzini ehlukahlukene yezokwelapha, ezinye izinkinga, nakuba zingavamile, zingase zenzeke kulo mkhuba.. Ekufakweni kwebhaluni le-endoscopic gastric, kungase kube nokulimala komminzo noma isisu. Kulokhu, ukulimala kwesisu kungase kwenzeke. Uma ibhaluni lincibilika, kungase kube nezinkinga zokuvinjwa kwamathumbu.
Yiziphi Izingozi Ze-Gastric Balloon?
Izingozi zebhaluni lesisu kanye nezinkinga ezingase zenzeke ngemva kokufaka isicelo zivame ukubuzwa imibuzo yiziguli. Izingozi zebhaluni lesisu zihlukaniswe ngamaqembu ama-3 amakhulu. Eyokuqala yezinkinga ezivame kakhulu zenzeka phakathi nesonto. Izingozi zezinkinga ezikhathini zakamuva nazo azivamile ukubonakala.. Izinkinga ezidinga ukungenelela okuphuthumayo nazo ziyivelakancane kakhulu.
Izingozi zezinkinga esikhathini sokuqala zisesimweni sokuhlanza, isicanucanu, ubuthakathaka, amajaqamba esiswini. Ezimweni ezinjalo, ukususwa kokuqala kwebhaluni lesisu kungase kwenzeke.. Ezikhathini ezizayo, abantu bangase babe nesilungulela, ukuqunjelwa, ukuqunjelwa, ukubhodla okunuka kabi, ukuncipha kwendle nokuphuma kwamathumbu.
Izimo ezidinga ukungenelela okuphuthumayo, nakuba zingavamile, zenzeka ngenxa yokuncibilika kwebhaluni lesisu. Ezimweni ezinjalo, uketshezi olunombala oluhlaza okwesibhakabhaka kubhaluni ye-endoscopic gastric lungatholwa kusenesikhathi ngokuxuba nomchamo nendle. Ngale ndlela, ukungenelela kusenesikhathi kungenzeka.
Kufanele Kube Kanjani Ukudla Okunomsoco Ngemva Kwebhaluni Yesisu?
Ukushintsha ukudla okunomsoco kanye nemikhuba yokudla ngemva kwebhaluni yesisu kubaluleke kakhulu ekwehleni kwesisindo esinempilo. Ukwengeza ohlelweni oluningiliziwe lokudla olunikezwa isazi sezokudla, kunezinkinga ezithile okufanele zibhekwe;
• Akumele kube nesikhathi esiningi kakhulu phakathi kokudla.
• Ngalesi sikhathi, kubaluleke kakhulu ukuthi iziguli zidle ukudla okunomsoco okunothe ngamaprotheni. Lolu hlelo lokudla kufanele futhi lwenziwe umkhuba.
• Iziguli kufanele ziphuze amalitha angu-1-1,5 amanzi nsuku zonke.
• Iziguli kufanele zigweme ukuphuza utshwala.
• Uma abantu befuna ubumnandi obuningi, ungadliwa ngokusika izithelo zibe iyogathi. Ngaphezu kwalokho, kungenzeka ukuyidla ngokungeza isinamoni obisini. Njengoba ushukela wegazi ulinganisela ngale ndlela, isifiso samaswidi siyacindezelwa.
• Abantu kufanele baphakelwe ngamaprotheni kuqala kukho konke ukudla. Ukusetshenziswa kwezithelo kufanele kube ukukhetha kokugcina.
• Kufanele kuqashelwe ukuthi kunamaprotheni amaningi ekudleni okudliwayo kanye nokungabikho koshukela kukho.
• Angenayo i-caffeine, engenawo amakhalori nangenayo ushukela kufanele adliwe njengoketshezi.
• Izikhathi zokudla kufanele zelulwe ngangokunokwenzeka. Ngaphezu kwalokho, ukudla kufanele kudliwe ngokuhlafuna kakhulu.
• Ukunakekela kufanele kuthathwe ukuze ugweme iziphuzo ezine-carbonated, carbonated and sugary.
• Kubalulekile ukugwema ukusetshenziswa kwamanzi ngesikhathi sokudla. Ukusetshenziswa koketshezi kufanele kuyekwe isigamu sehora ngaphambi kokudla futhi kufanele kulindwe isigamu sehora ngemva kokudla ukuze kusetshenziswe uketshezi.
• Njengoba ukudla okubabayo nokunosawoti kuphazamisa isisu, ukusetshenziswa kwalokhu kudla kufanele kugwenywe.
• Njengezindlela zokupheka, izindlela ezinjengokubilisa, ukubilisa, ukugcoba nokubhaka, okunganamafutha amancane futhi okunempilo, kufanele kube ngcono.
• Uma kunenkinga ekubekezeleleni ukudla okuqinile, ukusetshenziswa kwalokho kudla kufanele kumiswe okwesikhashana.
• Ayikho inkinga yokuthi iziguli ezinebhaluni lesisu zizile ukudla ngesikhathi seRamadan. Nokho, izimo zokudla okunomsoco kufanele zicatshangelwe kulokhu.
Mangaki Ukuncipha Kwesisindo Ngebhaluni Yesisu?
Ukulahlekelwa isisindo kuncike ezintweni ezihlukahlukene ezifana ne-calorie balance, ushintsho ekudleni, isilinganiso se-basal metabolic, ukuzivocavoca, inkomba yesisindo somzimba, izakhi zofuzo. Ukwelashwa kokukhuluphala kuyisinyathelo sokuqala sokuthi abantu behlise isisindo futhi bafinyelele isisindo esifanele. Lezi zindlela zokwelapha zibalulekile ukuze abantu baguqule kalula indlela abadla ngayo.
Kubaluleke kakhulu ukuthi abantu bashintshe indlela yabo yokuphila ngemva kokwelashwa. Kubalulekile ukuqeda izimo ezibangela ukukhuluphala ngokweqile. Ngalesi sizathu, amanani empumelelo yesicelo ayahluka kuye ngabantu.
Ekufakweni kwebhaluni esiswini, kukhona ukwehla kwesisindo phakathi kuka-10 no-75 kg. Kwesinye isikhathi, uma iziguli zibuyela emikhubeni yazo yakudala, zingaphinda zikhule isisindo eminyakeni engu-1-2 ngemuva kwenqubo. Kubaluleke kakhulu ukuqhubeka nemikhuba ezuzwe kule nqubo ngemva kokwelashwa kwebhaluni lesisu.
Kunini Ukwehla Kwesisindo Ngemva Kokufakwa Kwebhaluni Yesisu?
Kulabo abasebenzisa ibhaluni lesisu, ukuncipha kwesisindo esiningi ngemuva kokufakwa kwesicelo kwenzeka ku-trimester yokuqala. Lapho ibhaluni likhishwa ngemva kwenyanga yesi-6, kubaluleke kakhulu ukuthi abantu badle ngendlela efanele futhi baphile ngendlela efanele ukuze balondoloze isisindo abafinyelele kuso. Ngenxa yalesi sizathu, ukuqhubeka kwenqubo ngaphansi kokuqondisa kwesazi sokusebenza kwengqondo kanye nochwepheshe bokudla okunomsoco kanye nokudla kusiza ukunikeza inzuzo engcono kakhulu.. Uma lezi zinganakekelwa, kungase kube nezimo zokuthi abantu babuyele esisindweni sabo esidala.
Kwenzekani Esimeni Sokuqhuma Kwebhaluni Yesisu?
Akwenzeki ukuba ube nesimo esifana nokuqhuma kwebhaluni lesisu. Kodwa-ke, ukubhoboza kungase kwenzeke ngenxa ye-asidi eningi esiswini. Lena inkinga eyivelakancane kakhulu.
Kwenziwe kanjani Ukususwa kwe-Gastric Balloon?
Ukulimala kwebhaluni lesisu yinkinga abantu abaningi abazibuza ngayo. Lolu hlelo lokusebenza alugcini nje ngokulula kakhulu, kodwa futhi luheha ukunakwa ngokuphepha kwalo ngokwedlulele. Nokho, ezimweni ezingavamile, kungase kube nezinkinga. Amabhaluni abekwe esiswini sesiguli kufanele asuswe ekupheleni kwezinyanga ezingu-6-12, kuye ngokuthi isimo seziguli kanye nohlobo lwebhaluni. Ukuze kukhishwe ibhaluni, okokuqala, umoya nopende kubhaluni elivuvukele kuthululwa ngezinsimbi zokwelashwa. Ngemva kokuba ibhaluni selincibilikile, likhishwa emlonyeni weziguli ngemishini ehlukahlukene eyehliselwa esiswini.
I-Gastric Balloon Amanani eTurkey
Izintengo zebhaluni lesisu eTurkey zithengeka kakhulu futhi ukuthengiselana kwenziwa ngempumelelo. Ngalesi sizathu, i-Türkiye ivame ukuthandwa ngaphakathi komkhakha wezokuvakasha kwezempilo. Ungathintana nenkampani yethu ngamanani e-Istanbul gastric balloon, imitholampilo nokunye okuningi.
Shiya Amazwana