Opaleshoni ya gastric bypass, yomwe imadziwikanso kuti Roux-en-Y gastric bypass, ndi opaleshoni yochepetsera thupi yomwe imaphatikizapo kupanga kathumba kakang'ono kuchokera m'mimba ndikubwezeretsanso matumbo aang'ono kupita kuthumba latsopanoli. Izi zimalepheretsa kuchuluka kwa chakudya chomwe chingathe kudyedwa ndikuchepetsa kuyamwa kwa ma calories ndi zakudya.
Kodi Opaleshoni ya Gastric Bypass Imagwira Ntchito Motani?
Panthawi ya opaleshoni yodutsa m'mimba, dokotalayo amapanga mabala angapo ang'onoang'ono pamimba ndikuyika laparoscope, yomwe ndi chubu chochepa kwambiri chokhala ndi kamera ndi zida zopangira opaleshoni. Kenako dokotalayo amagaŵa m’mimba m’zigawo ziŵiri, akumadinda chapamwamba ndi kusiya kathumba kakang’ono m’munsi. Thumba limeneli limalumikizidwa mwachindunji ndi matumbo aang’ono, n’kudutsa m’mimba ndi kumtunda kwa matumbo aang’ono.
Ndani Wabwino Wophunzira Opaleshoni ya Gastric Bypass?
Opaleshoni yodutsa m'mimba nthawi zambiri imalimbikitsidwa kwa anthu omwe ali ndi index mass index (BMI) ya 40 kapena apamwamba, kapena BMI ya 35 kapena apamwamba omwe ali ndi matenda okhudzana ndi kunenepa kwambiri monga matenda a shuga a mtundu wa 2, kuthamanga kwa magazi, kapena kupuma movutikira. Ndiwoyeneranso kwa anthu omwe ayesa njira zina zochepetsera thupi monga zakudya ndi masewera olimbitsa thupi koma sanapambane.
Ubwino Wopanga Opaleshoni Yodutsa Chapamimba
Kuwonda Kwakukulu Opaleshoni yodutsa m'mimba yatsimikiziridwa kuti ndi yothandiza kwambiri pakuchepetsa thupi. Odwala amatha kuyembekezera kutaya 50-80% ya kulemera kwawo kwa thupi mkati mwa zaka ziwiri zoyambirira atachitidwa opaleshoni.
Kulimbitsa Moyo Kuonda kungathandize wodwala kukhala ndi moyo wabwino mwa kuchepetsa ngozi ya matenda okhudzana ndi kunenepa kwambiri, monga matenda a shuga, matenda a mtima, ndi kugona.
Kusamvana kwa Co-morbidities Opaleshoni yodutsa m'mimba yapezeka kuti imathandizira kapena kuthetsa zovuta zina monga matenda a shuga amtundu wa 2, kuthamanga kwa magazi, komanso kupuma movutikira.
Kuchepetsa Kufa Kunenepa kwambiri kumalumikizidwa ndi chiwopsezo chowonjezereka cha kufa. Kuchita opaleshoni ya m'mimba kungathandize kuchepetsa chiopsezochi mwa kukonza thanzi labwino komanso kuchepetsa chiopsezo cha matenda okhudzana ndi kunenepa kwambiri.
Zoyipa za Opaleshoni ya Gastric Bypass
Zovuta Zomwe Zingachitike Monga opaleshoni iliyonse, opaleshoni yodutsa m'mimba imakhala ndi zoopsa monga magazi, matenda, ndi magazi. Nthawi zina, odwala amathanso kukumana ndi zovuta monga kutsekeka kwa matumbo, hernias, kapena kutuluka m'mimba kapena m'matumbo.
Mtengo wa opaleshoni yodutsa m'mimba ku Turkey zimasiyanasiyana malinga ndi chipatala, dokotala wa opaleshoni, ndi malo. Komabe, mtengo wake nthawi zambiri umakhala wotsika poyerekeza ndi mayiko ena ambiri, zomwe zimapangitsa kukhala njira yabwino yokopa alendo azachipatala.
Chimodzi mwa zofunika kwambiri pa opaleshoni yodutsa m'mimba ndi kukhala ndi index mass index (BMI) ya 40 kapena apamwamba, kapena BMI ya 35 kapena kupitilira apo ndi matenda okhudzana ndi kunenepa kwambiri monga matenda a shuga a mtundu wa 2, kuthamanga kwa magazi, kapena kupuma movutikira. BMI ndi muyeso wamafuta amthupi potengera kutalika ndi kulemera kwanu. Mutha kuwerengera BMI yanu pogwiritsa ntchito chowerengera cha BMI pa intaneti kapena kukaonana ndi dokotala.
Zofunika Zakale
Odwala omwe amachitidwa opaleshoni ya m'mimba ayenera kukhala azaka zapakati pa 18 ndi 65. Komabe, zoletsa zaka zingasiyane malinga ndi thanzi la wodwalayo komanso mbiri yachipatala.
Mbiri Yachipatala
Asanayambe kuchitidwa opaleshoni yodutsa m'mimba, odwala ayenera kuyesedwa mokwanira ndi dokotala kuti adziwe ngati ali ndi thanzi labwino kuti athe kuchitidwa opaleshoniyo. Izi zingaphatikizepo kuyezetsa magazi, kufufuza zithunzithunzi, ndi kukambirana ndi akatswiri osiyanasiyana azachipatala. Odwala omwe ali ndi matenda ena monga matenda a mtima, matenda a chiwindi, kapena matenda a impso sangakhale oyenerera kuchita izi.
Manja a m'mimba ndi njira yodutsa m'mimba ndi awiri mwa maopaleshoni otchuka ochepetsa thupi, koma odwala nthawi zambiri amadzifunsa kuti ndi njira iti yomwe ili yabwinoko. M'nkhaniyi, tifanizira njira ziwirizi ndikukambirana za ubwino ndi zovuta za aliyense kuti akuthandizeni kupanga chisankho choyenera cha ndondomeko yoyenera kwa inu.
Msuzi Wamphongo
Manja a m'mimba, omwe amadziwikanso kuti sleeve gastrectomy, amaphatikizapo kuchotsa gawo lalikulu la m'mimba kuti apange mimba yaing'ono yonga ngati nthochi. Izi zimalepheretsa kuchuluka kwa chakudya chomwe chingadyedwe ndikuchepetsa kupanga mahomoni anjala.
Ubwino wa Gastric Sleeve
Kuwonda kwakukulu: Odwala amatha kuyembekezera kutaya 50-70% ya kulemera kwawo kwakukulu mkati mwa zaka ziwiri zoyambirira pambuyo pa opaleshoni. Kuwongoleredwa kwa co-morbidities: Manja a m'mimba apezeka kuti akuwongolera kapena kuthetsa zovuta zina monga matenda a shuga amtundu wa 2, kuthamanga kwa magazi, ndi kupuma movutikira. Chiwopsezo chochepa cha zovuta: Manja am'mimba amakhala ndi chiopsezo chocheperako poyerekeza ndi chapamimba.
Zoyipa za Gastric Sleeve
Zosasinthika: Gawo la m'mimba lomwe limachotsedwa panthawi ya opaleshoni ya m'mimba silingalumikizanenso, zomwe zimapangitsa kuti ntchitoyi isasinthe. Kuthekera kwa kuyambiranso kunenepa: Ngakhale manja am'mimba angayambitse kuwonda kwakukulu, odwala amatha kulemeranso pakapita nthawi.
Gastric Bypass
Gastric bypass, yomwe imadziwikanso kuti Roux-en-Y gastric bypass, imaphatikizapo kupanga kathumba kakang'ono ka m'mimba ndikubwezeretsanso matumbo aang'ono kupita kuthumba latsopanoli. Izi zimalepheretsa kuchuluka kwa chakudya chomwe chingathe kudyedwa ndikuchepetsa kuyamwa kwa ma calories ndi zakudya.
Ubwino wa Gastric Bypass
Kuwonda kwakukulu: Odwala amatha kuyembekezera kutaya 50-80% ya kulemera kwawo kwakukulu mkati mwa zaka ziwiri zoyambirira pambuyo pa opaleshoni. Kuwongoleredwa kwa co-morbidities: Kudutsa m'mimba kwapezeka kuti kumathandizira kapena kuthetsa zovuta zina monga matenda a shuga a mtundu wa 2, kuthamanga kwa magazi, ndi kupuma movutikira. Kupititsa patsogolo kagayidwe kachakudya: Kudutsa m'mimba kumatha kupititsa patsogolo kagayidwe kachakudya posintha mahomoni am'matumbo omwe amawongolera chilakolako cha chakudya ndi metabolism.
Zoyipa za Gastric Bypass
Chiwopsezo chachikulu chazovuta: Kudumpha m'mimba kumakhala ndi chiopsezo chachikulu cha zovuta poyerekeza ndi manja am'mimba. Zoletsa pazakudya: Odwala amene amachitidwa opaleshoni yodutsa m’mimba ayenera kutsatira ndondomeko yokhwima ya kadyedwe kake, yomwe imaphatikizapo kudya zakudya zing’onozing’ono, pafupipafupi komanso kupewa zakudya zina monga shuga, mafuta ambiri, ndi mowa. Kutsatira kwa nthawi yayitali: Odwala omwe amachitidwa opaleshoni ya m'mimba amafunikira chisamaliro chotsatira nthawi yayitali, kuphatikizapo kuyang'anitsitsa kulemera kwawo, zakudya, komanso thanzi lawo lonse.
Njira Yabwino Ndi Iti?
Chisankho chochitidwa opaleshoni ya m'mimba kapena opaleshoni yodutsa m'mimba zimatengera thanzi la munthuyo, zolinga zake zochepetsera thupi, komanso moyo wake. Njira zonsezi zatsimikiziridwa kuti ndizothandiza kwambiri pakuchepetsa thupi ndikuwongolera ma co-morbidities. Komabe, manja am'mimba atha kukhala njira yabwinoko kwa odwala omwe akufuna njira yocheperako yomwe ili ndi chiwopsezo chochepa cha zovuta, pomwe chapamimba chodutsa chingakhale njira yabwinoko kwa odwala omwe amafunikira kuwongolera kagayidwe kachakudya ndipo ali okonzeka kutsatira dongosolo lokhazikika lazakudya ndikufunika. chithandizo chanthawi yayitali.
