Namuhla, ukungenelela kokuhlinzwa okufana ne-sleeve gastrectomy kwenziwa ukuze kusekelwe ukwehla kwesisindo. Lolu hlelo lokusebenza lwaziwa nangokuthi ukuhlinzwa kokunciphisa isisu phakathi kwabantu. Uhlelo lokusebenza olwenziwa ukukhawulela ukudla kwesisu futhi lukhethwa njengesinyathelo sokuqala sokulahlekelwa isisindo. Ngaphezu kwalokho, izicelo zokuhlinza imikhono yesisu nazo zinamandla okunciphisa ukumuncwa kokudla kwesisu, noma ngabe kuphansi.
Ishubhu isilinganiso Abantu abenze inqubo baba nokuncipha kwesifiso sokudla. Ngaphambi kokuncipha kwesisindo, kunezimo lapho ukumelana ne-insulin kuphulwa futhi kuhlala kumazinga ajwayelekile. Kulokhu, kuningi okuzuzisa abantu ekudleni kwabo.
Uyini Umsebenzi Oyinhloko Wokuhlinza Isisu Ngeshubhu?
Ishubhu isilinganiso isicelo kuyinkqubo yokuletha isisu ngendlela yepayipi yepayipi noma ibhanana ezinkambisweni ze-laparoscopic. Uma ibhekwa ngokombono wesistimu, ilandela ishubhu elide, elincanyana elisuka kumminzo ohlelweni lokugaya liye kuzo zonke izitho. Isitho esisodwa esihlukile kulolu hlelo yisisu. Isisu simise okwesaka, hhayi njengepayipi, ngokusebenza njengendawo yokugcina izinto ezinomsoco.
Ishubhu isilinganiso ukuhlinzwa Kuyinqubo yokukhipha ingxenye enkulu yesisu ngokuhlinza ngokwemibandela yokunciphisa ukudla. Kulokhu, akunakwenzeka ukubeka enye into esiswini. Ngokunciphisa isisu, ukudla kuncishisiwe.
Ubani Ukuhlinzwa Kwesisu Kweshubhu Okumfanele?
Mayelana nokunquma ngokuhlinzwa kwe-sleeve gastrectomy, ezinye izimo zezempilo kufanele zicatshangelwe. Abantu abaphakathi kweminyaka engu-18-65, abantu abane-index mass body over 40, abantu abanokukhuluphala kakhulu inqubo ye-tube esiswini esebenzayo. Kungenzeka futhi ukusebenzisa lezi zinqubo kubantu abanenkinga yesifo sikashukela soHlobo 2 ngenxa yesisindo esiningi.
Ukuhlinzwa komkhono wesisu kungasetshenziswa odokotela ezigulini ezinenkinga yokungalali kahle noma umfutho wegazi ophakeme ngenxa yesisindo esiningi. Lezi zinhlelo zokusebenza azisona isicelo sokukhathazeka ngobuhle noma ukubukeka buthaka.
Yenziwa kanjani i-Tube Stomach Procedure?
Ishubhu isilinganiso ukuhlinzwa Kuyinto isicelo ukuthi ngokuvamile kwenziwa ngaphansi kwezinzwa jikelele. Ngaphezu kwalokho, lezi zinqubo zenziwa ngendlela evaliwe, okungukuthi, indlela ye-laparoscopic. Ngemuva kwesinqumo sokuhlinzwa, ukuhlolwa okudingekayo, izilawuli kanye nokuhlaziya kwenziwa ezigulini. Uma yonke idatha ijwayelekile, iziguli ishubhu isilinganiso ukuhlinzwa ayikho inkinga ngakho.
Ngokuya ngesakhiwo somzimba weziguli ngesikhathi sokuhlinzwa, ukuhlinzwa kwenziwa nge-1 noma 4-5 incision. Njengoba lezi zimbobo ze-laparoscopic zincane kakhulu, ayikho inkinga ebusweni besikhumba ngokuphathelene nobuhle. Ngaphezu kwalokho, ayikho into enjengomkhondo.
esiswini ukunciphisa ekuhlinzeni kwakhe Ishubhu lifakwa emnyango wesisu, elilingana nobubanzi be-esophagus, ukuze linganciphisi isisu kakhulu. Leli shubhu ngokwezokwelapha libizwa ngokuthi i-calibration tube. Ngale ndlela, inqubo yokunciphisa isisu ukuze kube ukuqhubeka kwe-esophagus yenziwa. Ngakho-ke, ukuvela kwezinto ezingezinhle ezingathandeki njenge-stenosis noma ukuminyana esiswini kuyavinjelwa.
Ngemuva kokuthi kuthathwe izinyathelo zokuqapha ezidingekayo, isisu sinqunywa ubude nobude. Ngemva kokuphothulwa kwenqubo, ithubhu yokulinganisa ebekwe emnyango wesisu ikhishwa esigabeni sokuqala sokusebenza. Ngemva kwalokho, kusetshenziswa amasu akhethekile ukuhlola ukuthi kukhona yini ukuvuza kunoma iyiphi ingxenye yesisu. Njengoba i-anesthesia ejwayelekile isetshenziswa ezigulini ngesikhathi sokuhlinzwa, akunakwenzeka ukuba abantu bezwe ubuhlungu noma ubuhlungu. Ngemva kokuhlinzwa, iziguli azizwa ubuhlungu obukhulu. esiswini ukuhlinzwa Njengoba kwenziwa ngendlela evaliwe, okungukuthi, indlela ye-laparoscopic, kungenzeka ukwenza izinqubo ngaphandle kwesidingo sokusika imisipha yesisu kanye nolwelwesi. Kuyinto evamile ukuba nengcindezi noma ingcindezi esiswini ezikhathini zokuqala ngemva kokuhlinzwa. Kulokhu, kungenzeka ukuqeda lezi zinkinga ngokusebenzisa ama-painkillers. Ayikho inkinga ezigulini eziqala ukuhamba kusihlwa ngosuku lokuhlinzwa.
Kuthatha Isikhathi Esingakanani Ukuhlinzwa Kokunciphisa Isisu?
Ukwelashwa kwesisu se-tube ngokuvamile kwenziwa emahoreni angu-1,5. Izinqubo ze-Laparoscopic zenziwa ngaphandle kokulimala esithweni. Njengoba i-inlet ne-outlet izingxenye zesisu zivikelwe futhi ukuqhubeka ohlelweni lokugaya kuyaqinisekiswa, izimo zobungozi ngemuva kwe-sleeve gastrectomy nazo ziphansi kakhulu.
Izicelo Zokuhlinza Kwesisu Ngeshubhu
Ishubhu isilinganiso Ukuhlinzwa kuyinqubo esetshenziswa ezigulini ezinokukhuluphala okuthuthukile, inkomba yazo yesisindo somzimba ingaphezu kuka-50 kg/m2 futhi ibizwa ngokuthi ukukhuluphala ngokweqile. Ngaphandle kwalokhu, abantu abanenkomba yesisindo somzimba engaphansi kuka-50 kg/m2 kodwa abasesigabeni sokukhuluphala bangakwazi futhi ukuhlinzwa ngokuphepha kwe-sleeve gastrectomy.
Ishubhu isilinganiso ukuhlinzwa Iningi labantu abanesifo sikashukela balahlekelwa ngaphezu kwengxenye yesisindo sabo esikhathini esifushane sonyaka ongu-1. Amazinga ezinkinga ngenxa yokusebenza acishe abe ngu-8%. Ngakho-ke ishubhu isilinganiso ukuhlinzwa Ingenye yezindlela ezivame ukuphepha ezigulini ezikhuluphele. Ngaphezu kwalokho, ama-66% eziguli akhombisa ukuthi izimpawu ezihlobene nesifo sikashukela ziyanyamalala ngokuphelele. Ngaphezu kwalokho, kubonakala ukuthi isimo sezempilo esijwayelekile seziguli sithuthuka ngokushesha.
Ishubhu isilinganiso ekuhlinzweni Ngokunciphisa umthamo wesisu weziguli, inani lokudla abantu abangakudla ngesikhathi esisodwa kanye nokudla kwabo kwekhalori kuvinjelwe. Ngenxa yalesi sizathu, kungenye yezinhlelo zokusebenza ezikhethwa kakhulu ekuhlinzeni kwe-bariatric. Lolu hlelo lokusebenza lwaziwa ngokuthi i-sleeve gastrectomy ngolimi lwezokwelapha. Kulesi sicelo, cishe u-85% wesisu uyasikwa futhi asuswe umugqa we-stapler, oqala engxenyeni engezansi yesisu ebizwa ngokuthi i-antrum futhi uphele ngokuzwa okuseduze, futhi umthamo wesisu uyancishiswa ngale ndlela. Njengoba ukubonakala kwesisu kufana ne-tube ngemva kwalokhu kusebenza, lolu hlelo lokusebenza ishubhu isilinganiso ukuhlinzwa Ibizwa.
Sleeve i-gastrectomy inqubo Yenziwa ngezindlela ze-laparoscopic, ngokusika imbobo encane odongeni lwesisu futhi ingene ngaleli cala. Njengoba kungadingi ukungenelela okuvulekile kokuhlinzwa, kokubili izikhathi zokululama zifushane futhi izingozi zokutheleleka ngenxa yokuhlinzwa ziyancipha. Kulokhu, kungenye yezinhlelo zokusebenza ezinenzuzo kakhulu ezigulini. Kuyasiza ukulahlekelwa isisindo esikhulu ngisho nasezimeni zokukhuluphala ngokweqile. Ngaphezu kwalokho, kungenzeka ukulondoloza yonke imisipha ye-sphincter ezungeze i-valve yesisu. Ngakho-ke, inesici sokuvikela ukuhlukana phakathi kwesisu kanye nomgudu. Ngalesi sici, kunenzuzo kakhulu kunezinye izindlela zokuhlinza i-bariatric.
Singakanani Isisindo Esilahlekile Ekuhlinzweni Kwesisu Se-Tube?
Ekuhlinzweni kwe-sleeve gastrectomy, umthamo wesisu kuphela uyancishiswa, ngaleyo ndlela kuvinjwe ukudla namakhalori. Ngaphezu kwalokho, njengezinye izindlela, ukumuncwa kwezakhi emathunjini akuthinteki. Ekwelashweni lapho ukumuncwa kwezakhi kuthinteka khona, abantu bangase babe nezimo eziningi zezifo, ikakhulukazi i-anemia yokuntuleka kwensimbi. Ngakho-ke ishubhu isilinganiso ukuhlinzwa Ngaphezu kokwelapha ukukhuluphala, futhi inesici sokuvikela ubuqotho bezempilo jikelele babantu. Kulokhu, inokwethenjelwa ngokwedlulele uma iqhathaniswa nezinye izindlela.
Ngaphezu kwalokho, i-ghrelin, eyaziwa nangokuthi i-hormone yendlala, iyihomoni ephuma engxenyeni yesisu ebizwa ngokuthi i-gastric fundus, futhi ingxenye enkulu ye-gastric fundus ikhishwa ohlelweni lwe-sleeve gastrectomy. Ngenxa yalokho, kukhona ukuncipha kwenani lamahomoni endlala akhishwa esiswini. Ngemva kokuhlinzwa, isifiso sokudla seziguli siyehla kakhulu uma siqhathaniswa nesikhathi esidlule. Ngayo yonke le miphumela, ukwehla kwesisindo kwenzeka ngokushesha futhi unomphela ngemva kokuhlinzwa kwe-sleeve gastrectomy.
Ngenxa yomphumela wokuncipha, ukukhululeka ngokomzimba nangokwengqondo kukhwalithi yempilo yabantu kubonakala ngokusobala. Abantu abakhuluphele ngokweqile balahlekelwa isisindo esiningi ngokweqile phakathi nonyaka ongu-1 ngemva kokuhlinzwa kwe-sleeve gastrectomy. Ezigulini ezikhuluphele ngokweqile, lawa mazinga ahluka phakathi kwamakhilogremu angama-40-50. Ngemva kokuhlinzwa, izingxenye ezintathu kwezine zezifo ezihlobene nokukhuluphala ngokweqile njengesifo sikashukela sohlobo 2 nesifo sokuphelelwa umoya, futhi ngaphezu kwengxenye yezinkinga zomfutho wegazi ophakeme kanye namafutha aphezulu egazini ziyancishiswa. Kunezimo zokuthuthukiswa kwezinkinga eziningi zezinhlungu zamadolo kanye nemithambo ye-varicose yomlenze. Ngokuqala kokuncipha kwesisindo, lezi zinqubo zokubuyisela zihamba zodwa ngaphandle kwesidingo sanoma yikuphi okunye ukwelashwa. Abantu bathola ukuthuthuka okusheshayo empilweni yabo jikelele.
Yiziphi Izingozi Zokuhlinza Isisu Sethubhu?
Ukuhlinzwa komkhono wesisu ngokuvamile kunezingozi ezimaphakathi kuya kweziphakathi kukho konke ukuhlinzwa. Iningi leziguli alibi nazo izinkinga ngemva kokuhlinzwa. Amazinga ezinkinga kulokhu kuhlinzwa nawo ahluka cishe ngo-2%. Njengoba ukuhlinzwa kwenziwa ngendlela evaliwe, iziguli zivuka ngosuku olufanayo. Ngaphezu kwalokho, kuzokwanela ukuthi abantu bahlale esibhedlela izinsuku ezingu-3-4.
iziguli ishubhu isilinganiso ukuhlinzwa Ngemva kwamasonto ambalwa, bangabuyela kalula ekuphileni kwabo okuvamile. Uhlelo lokusebenza olunemiphumela emihle kakhulu yokulandela umkhondo. Iziguli ziqala ukulahlekelwa isisindo ngokushesha ngemva kokuhlinzwa. Esikhathini esifushane, njengezinyanga ezimbalwa, abantu balahlekelwa isisindo.
Ingabe Kukhona Ubuhlungu Ngemva Kokuhlinzwa Kwe-Gastric Sleeve?
Ishubhu isilinganiso ukuhlinzwa Njengoba kuyinqubo ye-laparoscopic eyenziwa ngaphansi kwe-anesthesia ejwayelekile, iphephe kakhulu uma iqhathaniswa nezinye izinqubo zokuhlinzwa. Ngaphezu kwalokho, izingozi eziyinkimbinkimbi zokuhlinzwa kwe-sleeve gastrectomy zincane kakhulu uma ziqhathaniswa nezinhlelo zokusebenza ezifana nozankosi. Ngaphezu kwalokho, kuyindlela enenzuzo kakhulu njengoba inikeza ukulahlekelwa isisindo unomphela isikhathi eside. Ishubhu isilinganiso indlela Ngokutholakala kozankosi kanye nezicelo ezifanayo zaqala ukusetshenziswa. Ukuhlinzwa komkhono wesisu kungenye yezindlela ezithandwa kakhulu zokuhlinza i-beriatric nazo zonke izinzuzo zako. Iziguli zibuyela ekuphileni kwazo okujwayelekile esikhathini esifushane ngemva kwezinsuku ezimbalwa zokulaliswa esibhedlela.
Ingabe kuzoba khona ukunwetshwa kabusha kwesisu ngemva kokuhlinzwa komkhono wesisu?
Nge-sleeve gastrectomy, i-80-85% yesisu iyasuswa. Ngale ndlela, umthamo wesisu wehliselwa cishe ku-100 ml. Ngemva kokuhlinzwa, kuba nokukhuphuka okuncane komthamo wesisu. Kodwa-ke, lapho ukudla okunomsoco kungenziwa ngokuhambisana nezincomo zikadokotela, kunezimo zokukhula ngokweqile kwesisu. Kulokhu, iziguli ziqala ukubuyisela isisindo ezilahlekelwe ngokushesha ngemva kokuhlinzwa. Ishubhu isilinganiso kusukela ekuhlinzweni kwakhe Ukuze ubone izinzuzo ezinhle kakhulu, kubaluleke kakhulu ukulandela izinhlelo zokudla okunomsoco ezilungiselelwe odokotela esikhathini sokuhlinzwa.
Ukudla Okunempilo Ngemva Kokuhlinzwa Kwemikhono Yesisu
Ezinsukwini zokuqala eziyi-10-14 ngemuva kwe-sleeve gastrectomy, iziguli kufanele zondliwe ngokuphelele ngoketshezi. Ngemuva kwalokho, abantu kufanele balandele izinhlelo zokudla ezilungiselelwe bona kanye nochwepheshe be-metabolism kanye ne-endocrinology ukuze bathole ukudla okunempilo nendlela yokuphila.
Uma isisu siphoqeleka ngokudla okunomsoco, kungase kube nezimo zokunwetshwa kabusha. Kulokhu, akunakugwenywa ukukhuluphala futhi. Kulokhu, ukukhethwa kwamaprotheni kungenye yezakhi ezibalulekile ekudleni ngemva kokuhlinzwa. Kufanele kuqashelwe ukusetshenziswa kwansuku zonke kwamanani amaprotheni azonqunyelwa abantu ngabanye.
Ukudla okunamaprotheni amaningi njengenkukhu, i-turkey, inhlanzi, amaqanda, kanye nobisi nemikhiqizo yobisi kufanele kukhethwe. Kubaluleke kakhulu ukufaka ukudla okufana nemifino, izithelo namantongomane ekudleni ngaphezu kokudla okusekelwe kumaprotheni. Abantu kufanele badle okungenani ukudla oku-3 ngosuku. Ngaphezu kwalokhu kudla, kubalulekile futhi ukudla okulula oku-2. Ngakho-ke, isisu ngeke silambe futhi njengoba kungekho ukugcwaliswa ngokweqile, i-metabolism izosebenza ngokushesha.
Ngaphandle kwalokhu, kubalulekile ukuqaphela ukuthi ungashiyi umzimba ngaphandle koketshezi. Kubaluleke kakhulu ukuthi abantu baphuze okungenani izingilazi zamanzi eziyi-6-8 ngosuku. Ngaphezu kwalokho, izithasiselo zokudla okunomsoco, amaminerali namavithamini kufanele zisetshenziswe uma kubonakala kunesidingo ngudokotela.
Ishubhu isilinganiso ukuhlinzwa kwakho bese ukubuyisela isisindo kuzungeze u-15%. Ngenxa yalesi sizathu, ukuhlolwa kwezokwelapha kufanele kwenziwe ngokucophelela kakhulu ukuze abantu abahlinzwe i-sleeve gastrectomy bangaphinde bakhuluphale. Ishubhu isilinganiso ukuhlinzwa Iziguli ezinokukhuluphala ngokweqile kufanele zilandelwe eduze nethimba lokukhuluphala ngokweqile.
Kuyini Ukuhlinzwa Okubukeziwe Ngemva Kokuhlinzwa Kwemikhono Yesisu?
Ukuhlinzwa okubukeziwe kwenziwa ngenxa yezinkinga ezihlukahlukene ezifana nokubuya kwesisindo, i-stenosis noma ukuvuza ngemva kokuhlinzwa kwe-sleeve gastrectomy. Isizathu esibaluleke kakhulu sokuhlinzwa okubukeziwe ukuthi abantu baphinde babhekane nezinkinga zokuzuza isisindo.
Izizathu ezibaluleke kakhulu zokuthi abantu baphinde bakhuluphale azibalandeli abantu ngendlela efanele, kanye nolwazi olunganele lweziguli noma ukungahambisani nenqubo. Ukukhetha okulungile kokuhlinza okubuyekeziwe okusetshenziswa kubantu ngabanye kubaluleke kakhulu. Ukuhlinza okubukeziwe kunzima kakhulu kunokuhlinzwa kokunciphisa isisu. Ukuhlinza okubukeziwe nakho kuvame ukwenziwa njengoba ukuhlinzwa kokukhuluphala kuyanda namuhla.
Njengoba imisipha yesisu kanye nolwelwesi kungasikwa ekuhlinzeni kwe-laparoscopic, abukho ubuhlungu obukhulu ngemva kokuhlinzwa. Ama-Painkillers anikezwa abantu ngezimo ezibuhlungu ezingase zenzeke ngemva kokuhlinzwa.
Abantu abahlinzwe imikhono yesisu baqala ukuhamba kusihlwa kosuku abahlinzwa ngalo. Ikakhulukazi, ngosuku lwe-2, iziguli azizwa ubuhlungu obukhulu. Abantu bangase babe nomuzwa wokungezwani nokucindezela ngosuku lokuqala ngemva kokuhlinzwa. Ezimweni ezinjalo, kuyokwanela ukusebenzisa amaphilisi ezinhlungu ezigulini.
Yiziphi Izingozi Zokuvuza Ngemva Kokuhlinzwa Kwemikhono Yesisu?
Ngemuva kokuhlinzwa kwe-bariatric, iziguli zinikezwa uketshezi lwe-radio-opaque ngomlomo. Ngale ndlela, kulula ukuhlola ukuthi kukhona yini ukuvuza esiswini. Kubalulekile ukuthi zonke iziguli zihlale esibhedlela izinsuku ezintathu ngemuva kokuhlinzwa futhi zilandelwe eduze.
Lapho iziguli zikhishwa ngemva kokuhlinzwa kwe-sleeve gastrectomy noma ukuhlinzwa kwe-gastric bypass, kufanele nakanjani zibone udokotela onguchwepheshe uma kuba nomkhuhlane ongachazeki nobuhlungu obusha besisu.
Zivocavoce Ngemva Kokuhlinzwa Kwemikhono Yesisu
Ukwamukelwa kwezinhlelo zezemidlalo ezijwayelekile ezenziwa ngaphansi kokuqondisa kochwepheshe ngemva kokuhlinzwa kwe-sleeve gastrectomy kudlala indima enkulu empumelelweni yokuhlinzwa kokukhuluphala. Ngale ndlela, ukuphulukiswa kuzokwenzeka ngokushesha. Nokho, kungase kube nzima kubantu abangazange babe nomkhuba wokuzivocavoca ngaphambili ukuba basebenzise izinhlelo zokuzivocavoca. Nokho, ngokuncipha kwesisindo esiningi futhi iziguli zenza izivivinyo ezizithandayo, zithola umkhuba wezemidlalo kalula.
Ishubhu isilinganiso ukuhlinzwa kwakho Ngemuva kwalokho, kufanele kudalwe izinhlelo zokuzivocavoca zomuntu ngamunye. Iziguli akufanele neze ziqale imidlalo ngaphandle kwemvume kadokotela. Kubalulekile ukuthi iziguli ziqale ukujima kancane kancane, cishe izinyanga ezi-3 ngemuva kokuhlinzwa. Ukuze ulahlekelwe isisindo ngokushesha, ukunyakaza akufanele kwenziwe isikhathi eside kunokunconywa.
I-Antalya Tube Ukuhlinzwa Kwesisu
I-Antalya iphakathi kwamadolobha abalulekile ezokuvakasha eTurkey. Ngaphezu kwalokho, i-Antalya ingelinye lamadolobha akhethwa kakhulu kwezokuvakasha kwezempilo, njengoba iphumelela kakhulu ekuhlinzeni imikhono yesisu. Ishubhu isilinganiso ukuhlinzwa Uma ukhetha i-Antalya ngeholide lakho, nobabili ningaba neholide lenu ngamanani athengekayo futhi nihlinzwe ngendlela engcono kakhulu. Ungaxhumana nathi ukuze uthole ulwazi oluningiliziwe mayelana nezintengo zokuhlinzwa kwe-tube esiswini e-Antalya.
Shiya Amazwana