Ukuhlinzwa komkhono wesisu kungenye yezindlela ezisetshenziswa kakhulu ekuhlinzeni i-bariatric. Lolu hlelo lokusebenza lwaziwa nangokuthi i-Sleeve Gastrectomy ngolimi lwezokwelapha. Ngokwenza, isisu sakhiwe sibe yithubhu ngosizo lwezinqubo zokuhlinzwa. Uma sibheka uhlelo lokugaya ukudla, kuyabonakala ukuthi cishe lonke lolu hlelo lusesimweni seshubhu. Nakuba amathumbu nomphimbo kubonakala kuncane futhi kude, isisu sisesimweni sesikhwama ukuze sikwazi ukuthatha ukudla okwengeziwe. Ngokuhlinzwa, ingxenye enkulu yesisu ikhishwa ngendlela yokuthi ayikwazi ukuguqulwa, futhi iguqulwa ibe yisistimu ene-esophagus bese kuba amathumbu. Kulolu hlelo lokusebenza, alikho ishubhu noma umzimba wangaphandle ofakwa esiswini. Ngenxa yokuthi ukwakheka kwesisu kufana neshubhu, isicelo sibizwa nge-tube stomach.
Ukunciphisa umthamo wesisu akuwona kuphela umphumela wenqubo ye-sleeve gastrectomy. Lapho isisu senziwe isimo seshubhu ngokusishwabana, amahomoni endlala aphuma esiswini nawo athinteka kakhulu kulesi simo. Ukulangazelela kwabantu ukudla kuzoncipha, futhi ngaphandle kwalokho, ubuchopho buyozizwa indlala kancane. Ukuhlinzwa komkhono wesisu kudonsela ukunaka ngemiphumela yako yemishini kanye nemiphumela yamahomoni.
Kukuziphi Izifo Okuthandwa Ukuhlinzwa Kwesisu Kweshubhu?
Ukusetshenziswa kwe-tube kwesisu kukhethwa ngokuyinhloko ekwelapheni ukukhuluphala ngokweqile. Ngaphezu kokukhuluphala ngokweqile, futhi inikeza izinzuzo ezinkulu ekwelapheni izifo ezifana nesifo sikashukela sohlobo 2. Kodwa-ke, uma okuhlosiwe okuyinhloko kungekona ukukhuluphala, kodwa izifo ezifana nesifo sikashukela sohlobo 2, ukuhlinzwa kweqembu le-bypass kuphumelela kakhulu.
Ukuhlinzwa komkhono wesisu kungakhethwa njengokuhlinzwa kwesikhashana kubantu abanokukhuluphala kakhulu. Ukuhlinzwa komkhono wesisu kusetshenziselwa ukulungiselela ukuhlinzwa kweqembu le-bypass ezigulini eqenjini leziguli ezikhuluphele kakhulu.
Kusetshenziswa Kanjani Ukuhlinzwa Kwesisu Kwe-Tube?
I-sleeve gastrectomy ingenye yokuhlinzwa okwenziwa ngaphansi kwe-anesthesia jikelele. Lolu hlelo lokusebenza lusetshenziswa kakhulu luvaliwe, okungukuthi, i-laparoscopically. Kuye ngodokotela ohlinzayo noma iziguli, isicelo singenziwa ngembobo eyodwa noma ngezimbobo ezingu-4-5. Ngaphezu kwalokho, kungenzeka ukwenza ukuhlinzwa komkhono wesisu ngamarobhothi. Njengoba izimbobo ezivuliwe ngesikhathi sokufaka isicelo zincane kakhulu, azibangeli izinkinga ezithuthukisiwe mayelana nobuhle.
Ukuze unganciphisi isisu kakhulu ngesikhathi sokuhlinzwa, ishubhu lokulinganisa lifakwa emnyango wesisu, elilingana nobubanzi bomphimbo. Ngaleli shubhu lokulinganisa, isisu siyancishiswa njengokuqhubeka komminzo. Ngale ndlela, izinkinga ezifana ne-stenosis ngokweqile nokuvinjelwa kwesisu kuyavinjelwa. Ngemva kokuthatha izinyathelo zokuphepha ezihlobene ne-vascularization kanye nokopha, isisu sinqunywe kusetshenziswa amathuluzi okusika akhethekile nokuvala.
Ngemva kokuqedwa kokuhlinzwa komkhono wesisu, ishubhu lokulinganisa elibekwe ekuqaleni kokuhlinzwa liyasuswa. Ngesikhathi sokuhlinzwa, kusetshenziswa indlela eyodwa noma ngaphezulu ukuhlola ukuthi kukhona ukuvuza esiswini kwenziwa. Ngaphezu kwalokho, ukuhlolwa okufanayo kuyenziwa futhi ngemva kokuhlinzwa kwe-sleeve gastrectomy.
Yiziphi Iziguli Okufanelekile Ukuhlinzwa Kwesisu Kweshubhu?
Ukuhlinzwa komkhono wesisu kungenye yezindlela zokuhlinza ezisetshenziswa kubantu abaneziguli ezikhuluphele ngokweqile. Yize ingasebenzi njengokuhlinzwa kwe-metabolic yakudala noma ukuhlinzwa kwe-gastric bypass, inikeza imiphumela emihle mayelana nokuxazulula izinkinga zesifo sikashukela sohlobo 2.
Ukuhlinzwa kwe-sleeve gastrectomy akukhethwa kubantu abanesifo sikashukela esingalawuleki noma izinkinga ezithuthukisiwe ze-reflux. Ngaphandle kokukhuluphala ngokweqile, uma kuhloswe ngazo izifo zesifo sikashukela, kukhethwa izindlela ezisebenza kahle kakhulu. Ngaphezu kwalokho, kungenzeka ukuguqula ukuhlinzwa kwe-sleeve gastrectomy kube amasu okuhlinza ahlukene esikhathini esizayo. Ngohlelo lwesibili lokuhlinzwa, izinhlelo zokusebenza ze-sleeve gastrectomy zingaguqulelwa kumasu okuhlinzwa okwenziwa kwe-metabolic okufana ne-gastric bypass noma i-Duodenal Switch.
Izinto Okumele Uzicabange Ngaphambi Kokuhlinzwa Kwesisu Kwe-Tube
Ngaphambi kokuhlinzwa kwe-sleeve gastrectomy, abantu kufanele bahlole ukuhlolwa okubanzi. Kuyaphenywa ukuthi azikho yini izinkinga ezifana nesifo senhliziyo nezilonda zesisu ezivimbela ukuhlinzwa kwe-sleeve gastrectomy. Okokuqala, izinkinga ezivimbela ukuhlinzwa ziyaqedwa futhi abantu benziwa bafanele izinqubo zokuhlinzwa. Kwezinye izimo, lezi zindlela zokwelapha ezisetshenziswa ngaphambi kokuhlinzwa kwe-sleeve gastrectomy kungase kuthathe izinyanga. Ngaphandle kwalokhu, ongoti bokudla kanye nodokotela bengqondo kufanele bahlole iziguli zabo futhi bahlole ukuthi zikulungele yini ukuhlinzwa. Okubalulekile kulokhu kuhlinzwa wukuqeda izinkinga zokukhuluphala kweziguli ngaphandle kwezinkinga.
Izinqubo zokulaliswa esibhedlela zenziwa ezigulini ngosuku lokuhlinzwa. Ngemuva kokuhlinzwa, abantu badinga ukuhlala esibhedlela izinsuku ezingama-2-3. Ukudla okukhethekile kuqala kusetshenziswe izinsuku ezingu-10-15 kubantu abanezinkinga ezinkulu zesisindo futhi ikakhulukazi labo abanesibindi esinamafutha. Ngohlelo olukhethekile lokudla, isibindi siyancishiswa futhi ukuhlinzwa kwenziwa kuphephe kakhulu.
Ingabe Kukhona Umkhawulo Weminyaka Wokuhlinza Isisu Ngeshubhu?
Ngokuvamile, ukuhlinzwa ukukhuluphala, kuhlanganise nokuhlinzwa kwe-tube esiswini, akusetshenziselwa abantu abangakaqedi ukuthuthukiswa kwabo siqu, okungukuthi, abangakaqedi iminyaka engu-18. Kodwa-ke, kwezinye izimo ezingavamile, izinqubo zokuhlinza zingase zicatshangelwe uma isisindo esanele asikwazi ukulahlekelwa ngaphansi kokuqondiswa kokudla okunomsoco, kwengqondo yengane, ochwepheshe be-endocrine kanye nokuthuthukiswa kwengane isikhathi eside futhi uma iziguli zithola izinkinga ezinkulu ze-metabolism. Kodwa lokhu kwenzeka kuyaqabukela.
Ngaphandle kwezimo ezingavamile, iziguli ngaphambi kweminyaka engu-18 azikwazi ukuhlinzwa kwesisu se-tube noma okunye ukuhlinzwa kwe-bariatric. Umkhawulo ophezulu wokuhlinzwa kwe-sleeve gastrectomy uthathwa njengeminyaka yobudala engama-65. Uma isimo esijwayelekile seziguli sisihle, kucatshangwa ukuthi zingasusa izinqubo zokuhlinzwa, futhi isikhathi sokuphila esilindelekile side, lokhu kuhlinzwa kungakhethwa eminyakeni yobudala.
Isiphi isisindo esifanele sokuhlinzwa kwe-sleeve gastrectomy?
Ekuhlinzweni kokukhuluphala, okuhlanganisa i-sleeve gastrectomy, inkomba yesisindo somzimba iyacatshangelwa, hhayi isisindo eseqile, lapho kunqunywa izinqubo zokuhlinzwa. Izinkomba zesisindo somzimba zitholakala ngokuhlukanisa isisindo somuntu ngamakhilogremu ngesikwele sobude bawo ngamamitha. Abantu abanenkomba yesisindo somzimba phakathi kuka-25 no-30 abafakiwe eqenjini lokukhuluphala. Laba bantu kuthiwa bakhuluphele ngokweqile. Nokho, abantu abanenkomba yesisindo somzimba engu-30 nangaphezulu basesigabeni sokukhuluphala ngokweqile. Akuzona zonke iziguli ezisekilasini lokukhuluphala okungenzeka zifanelekele i-sleeve gastrectomy noma ezinye izinqubo zokuhlinza i-bariatric. Abantu abanesisindo somzimba esingaphezu kweminyaka engama-35 futhi abanezifo nezifo ezibangelwa ukukhuluphala bangenza ukuhlinzwa kwe-sleeve gastrectomy. Nakuba abantu abanesisindo somzimba esingaphezu kuka-40 bengenakho ukuphatheka kabi, ayikho inkinga ekuhlinzweni kwe-sleeve gastrectomy.
Isifo sikashukela esingalawuleki sihlukile kulezi zibalo. Uma izinkinga zesifo sikashukela kubantu zingakwazi ukulawulwa naphezu kwakho konke ukudla nokwelashwa, ukuhlinzwa kwe-metabolic kungenziwa uma inkomba yesisindo somzimba iphakathi kuka-30-35.
Ukuncipha Kwesisindo Ngemva Kokuhlinzwa Kwemikhono Yesisu
Emisebenzini ye-sleeve gastrectomy, isisu siyancishiswa njengokuqhubeka komminzo futhi isicelo siyanikezwa. Ngaphezu kokunciphisa umthamo wesisu, ukugcinwa kwe-ghrelin, okubizwa ngokuthi i-hormone yendlala, kuzokwehla kakhulu. Njengoba isisu sincipha ngevolumu futhi i-hormone yendlala ikhishwa kancane, isifiso sabantu siyancipha. Ulwazi mayelana nokudla okufanele kufanele kunikezwe ngaphambi nangemuva kokuhlinzwa kubantu abaphelelwa umdlandla, abasuthi ngokushesha futhi abaphakelwa kancane. Njengoba abantu beneliseka ngokudla okuncane kakhulu ngemva kokuhlinzwa, kubalulekile ukuthi lokhu kudla kube sezingeni eliphezulu futhi kucebile ngamaprotheni, amavithamini namaminerali.
Ubani Ongafakwa Kukho Konke Ukuhlinzwa Kwesisu?
Abantu abanezifo zenhliziyo ezisebenzayo, umdlavuza kanye nokwehluleka kakhulu kwamaphaphu abakulungele ukuhlinzwa kwe-sleeve gastrectomy. Ngaphandle kwalokhu, ukuhlinzwa akunconywa ezigulini ezingenalo izinga elithile lokuqaphela. Lokhu kuhlinzwa akunconyelwe kubantu abaqulekile ngenhlalakahle yabo futhi abanamazinga aphansi okuqonda ngenxa yezifo abazalwa nazo noma abazitholayo. Ukuhlinzwa kwe-sleeve gastrectomy akubafanele abantu abane-reflux ethuthukisiwe kanye nabantu abangayamukeli imithetho yokudla okunempilo ngemva kokuhlinzwa.
Yiziphi Izinzuzo Zokusebenzisa I-Tube Stomach Application?
Izinzuzo zokuhlinzwa kwe-sleeve gastrectomy ngokuvamile zihlolwa ngaphansi kwamaqembu amabili.
Izinzuzo ngaphezu Akukho Ukuhlinzwa
Imithi, izidlo noma ezemidlalo azinikezi imiphumela eyimpumelelo njengokuhlinzwa ukukhuluphala. Ezigulini ezinjalo, imiphumela yokuhlinzwa eyenziwa nge-sleeve gastrectomy noma ezinye izindlela zokuhlinza ukukhuluphala njalo inikeza imiphumela engcono.
Izinzuzo Uma Ziqhathaniswa Nezinye Izicelo Zokuhlinza
Ukuhlinzwa komkhono wesisu kuphumelela kakhulu kunendlela yokubopha, ephakathi kwezindlela zokuhlinza ukukhuluphala futhi eyayisetshenziswa esikhathini esidlule. Ngokusetshenziswa kwe-sleeve gastrectomy, izindlela ezinjengama-clamps azivamile ukusetshenziswa. Ekuhlinzweni kwemikhono yesisu, ukuguqulwa kokudla kwenzeka ngokujwayelekile ngesikhathi sokuncelisa. Iqhubeka ngendlela yomphimbo, isisu namathumbu, njengabantu abavamile. Kulokhu, kungenye yezindlela zokuhlinza ezifanele ukusebenza kwemvelo kwe-anatomy yomuntu kanye nohlelo lokugaya ukudla. Idonsela ukunaka neqiniso lokuthi isicelo esilula futhi esifushane mayelana nokuhlinzwa. Njengoba kwenziwa ngokushesha, ubude be-anesthesia bubuye bufushane kakhulu. Ngenxa yalesi sizathu, amazinga ezinkinga okungenzeka ngenxa ye-anesthesia nawo aphansi kakhulu. Ngenxa yalezi zinzuzo, ukuhlinzwa kwe-sleeve gastrectomy kungenye yezindlela ezithandwayo zokuhlinza ukukhuluphala emhlabeni wonke.
Yiziphi Izingozi Zokuhlinza Isisu Sethubhu?
Izingozi ze-gastrectomy zemikhono yesisu zihlukaniswe ngamaqembu ama-3.
Izingozi Zokuhlinzwa Ezigulini Ezikhuluphele
Kunezingozi ezihlukahlukene ekuhlinzweni kweziguli ezikhuluphele njengamaphaphu, inhliziyo, i-embolism, ukwehluleka kwezinso, ukushabalala kwamaphaphu, ukuwohloka kwemisipha. Lezi zingozi azisebenzi kuphela ekuhlinzweni kwe-sleeve gastrectomy. Lezi zingozi zingabonakala kuzo zonke izinqubo zokuhlinzwa ezisetshenziswa ezigulini ezikhuluphele.
Izingozi Zokuhlinza I-Gastric Sleeve
Izinkinga ze-Reflux zingase zenzeke esikhathini esizayo kubantu ngemva kokuhlinzwa kwe-sleeve gastrectomy. Kunezingozi ezinjengokopha esiswini noma ukopha esiswini. Kungase kube nezinkinga zokukhulisa esiswini, okuthatha isimo seshubhu. Enye yezingozi ezivame kakhulu esikhathini sokuqala izinkinga zokuvuza. Esimeni sokukhula kwesisu, abantu bangaphinda bakhuluphale. Ubunzima bokukhipha isisu kanye nokuvuvukala esiswini, isicanucanu noma ukuhlanza kungase kwenzeke.
Izingozi Zokuhlinza Okujwayelekile
Kukhona ezinye izingozi ezingase zibonakale ezigulini kuzo zonke izinqubo zokuhlinzwa. Kungase kube nezimo ezinjengokopha noma ukutheleleka ezigulini ezihlinziwe. Zonke lezi zingozi zingabonakala nakubantu abake bahlinzwa i-sleeve gastrectomy.
Ukudla Okunempilo Ngemva Kokuhlinzwa Kwemikhono Yesisu
Kubaluleke kakhulu ukuthi iziguli ziqaphele ngokudla okunempilo ngemva kokuhlinzwa kwe-sleeve gastrectomy. Ngemuva kwe-sleeve gastrectomy, iziguli kufanele zinikezwe ukudla okuwuketshezi ezinsukwini zokuqala eziyi-10-14. Ngemuva kwalokho, ukudla okukhethekile okulungiselelwe yi-metabolism kanye nochwepheshe be-endocrinology kufanele kulandelwe ukuze kuthathwe ukudla okunempilo nendlela yokuphila.
Uma isisu sinobunzima bokudla, kungase kube nezimo zokunwetshwa kabusha. Kulokhu, abantu bangaphinda bakhuluphale. Kulokhu, ukukhetha amaprotheni kubaluleke kakhulu ekudleni ngemva kokuhlinzwa. Kufanele kuqashelwe ukuthi kusetshenziswe amanani amaprotheni anqunyelwe iziguli phakathi nosuku. Kufanele kuqashelwe ukusetshenziswa kokudla okunamaprotheni amaningi njengezinhlanzi, i-turkey, inkukhu, amaqanda, ubisi kanye nemikhiqizo yobisi.
Ngaphezu kokudla okusekelwe kumaprotheni, kubalulekile futhi ukufaka ukudla okufana nezithelo, imifino namantongomane ekudleni. Iziguli kufanele zidle okungenani ukudla okuyinhloko oku-3 ngosuku. Ngaphezu kwalokho, ukudla ukudla okulula oku-2 kuzoba ngcono ngokudla okunempilo. Ngakho, isisu asilambile futhi sigcwele ngokweqile. Ukwehlisa isisindo kuzoba lula njengoba i-metabolism izosebenza ngokushesha.
Ngalesi sikhathi, ukugcina umzimba ugcwele amanzi kungenye into ebalulekile. Abantu kufanele baqaphele ukuthi baphuza okungenani izingilazi zamanzi ezingu-6-8 ngosuku. Uma udokotela ekubona kunesidingo, izithasiselo zokudla okunomsoco, amaminerali namavithamini kufanele zisetshenziswe njalo.
Singakanani Isisindo Esilahlekayo Ngokuhlinzwa Kwesisu Kweshubhu?
Kubantu abahlinzwa nge-sleeve gastrectomy, ngaphezu kwengxenye yesisindo sabo eseqile siyalahleka esikhathini esiyiminyaka emi-5 ngemva kokuhlinzwa. Njengoba ukuphazamiseka kokumuncwa kwezakhi ekuhlinzweni kwe-sleeve gastrectomy kuncane kakhulu kunokuhlinzwa kwe-gastric bypass, asikho isidingo sokuthatha amavithamini namaminerali ngokuqhubekayo ngemva kokuhlinzwa kwe-sleeve gastrectomy.
Ingabe Isisindo Esitholiwe Ngemva Kokuhlinzwa Kwemikhono Yesisu?
Ukubuyiselwa kwesisindo ngemva kokuhlinzwa kwe-sleeve gastrectomy cishe ku-15%. Ngenxa yalesi sizathu, kuwudaba olubalulekile ukuhlola ngokucophelela ezokwelashwa ukuze kuvinjwe abantu abahlinzwe ukuthi bakhuluphale futhi.
Ishubhu Abantu abahlinzwa esiswini kufanele balandelwe njalo ngamathimba okukhuluphala. Ngale ndlela, abantu banikezwa ukwelashwa okuphelele.
Zivocavoce Ngemva Kokuhlinzwa Kwemikhono Yesisu
Kufanele kutholwe imvume kadokotela ukuze wenze ezemidlalo nokuzivocavoca ngemva kokuhlinzwa kwe-sleeve gastrectomy. Njengoba i-sleeve gastrectomy iwukuhlinzwa okubalulekile, ukuzivocavoca okuzophoqa futhi kucindezela indawo kufanele kugwenywe. Ukuzivocavoca ngemva kwe-sleeve gastrectomy ngokuvamile kuqalwa ngemva kwezinyanga ezi-3 okungenani ngemva kokuhlinzwa. Okokuqala, ukuhamba ngokushesha kungaba kuhle. Kubalulekile ukuthi ukuhamba kwenziwe ngezikhathi kanye nezikhathi ezinqunywe udokotela. Umzamo oweqile kufanele ugwenywe. Ukunakwa ngokukhethekile kufanele kukhokhwe ekugwemeni ukuvivinya umzimba okufana nokunyakaza kwesisu nokuphakamisa izinsimbi emidlalweni.
Ukuzivocavoca okuzothuthukisa ukwakheka kwemisipha namathambo ngangokunokwenzeka futhi kwandise isimo kufanele kube ngcono ekuzilolongeni. Kubaluleke kakhulu ukuthi abantu benze ezemidlalo ngaphandle kokuyikhathaza kakhulu imizimba yabo, kodwa ukuze bagweme ukuguga okungenzeka emzimbeni ngenxa yesisindo sabo esilahlekile.
Impilo Yezenhlalakahle Ngemva Kokuhlinzwa Kwemikhono Yesisu
Ukuhlinzwa kwemikhono yesisu ngokuvamile kwenziwa phakathi kwemizuzu engama-30-90. Lezi zikhathi zingahluka kuye ngokuthi umuntu ngamunye kanye nodokotela abahlinzayo banjani. Kubaluleke kakhulu ukuthi lokhu kuhlinzwa kwenziwe ngendlela efaneleke kakhulu ngangokunokwenzeka.
Ngemuva kokuhlinzwa kwe-sleeve gastrectomy, isikhathi sokuhlala esibhedlela izinsuku ezingama-2-3. Iziguli ezihlinzwe ngempumelelo futhi ezingenazo izinkinga zingabuyela empilweni yazo yokusebenza cishe izinsuku ezi-5 ngemva kokuhlinzwa. Ngaphezu kwalokho, abantu bangakwazi nokwenza imisebenzi efana nokuphuma ebusuku nokuya kumamuvi uma befuna. Kodwa-ke, kule nqubo, kubaluleke kakhulu ukuthi abantu bahambisane nemithetho yokudla okunempilo ngemva kokuhlinzwa.
Impumelelo Yokuhlinza I-Gastric Sleeve eTurkey
Njengoba iTurkey ingelinye lamazwe enza ngempumelelo ukuhlinzwa kwe-sleeve gastrectomy, ibuye ithandeke kakhulu ngokwezokuvakasha kwezempilo. Lokhu kuhlinzwa kwenziwa ngaphandle kwezinkinga ngokwemishini yemitholampilo kanye nolwazi lodokotela abahlinzayo. Ngaphezu kwalokho, ngenxa yezinga eliphezulu lokushintshisana kwamanye amazwe eTurkey, iziguli ezivela phesheya zingenza lezi zinqubo ngamanani athengekayo kakhulu. Ungaxhumana nathi ukuze uthole ulwazi oluningiliziwe mayelana nezintengo zokuhlinza i-sleeve gastrectomy nodokotela abangochwepheshe eTurkey.
Shiya Amazwana