Kodi Gastric Sleeve Imagwira Ntchito Bwanji? Ndi Yoyenera Kwa Ndani?

Kodi opaleshoni ya m'mimba ndi chiyani?

Gastric Sleeve imaphatikizapo kuchepetsa m'mimba mwa odwala ngati nthochi. Mu chithandizo cham'mimba, chipewa cha chipewa chimachepetsedwa ndi 80%. Kuonjezera apo, wodwalayo amamva njala yochepa kusiyana ndi kale, monga gawo lomwe limatulutsa hormone ya ghrelin, ndiko kuti, hormone ya njala, idzachotsedwa m'mimba mwa wodwalayo. Kuonjezera apo, popeza kuti m'mimba idzachepa, wodwalayo adzatha kukhuta mwa kudya pang'ono.

Kodi manja a m'mimba amachita chiyani?

Mutha kuchepetsa mosavuta kuchuluka kwa chakudya chomwe mungadye panthawi imodzi pochepetsa m'mimba mwanu. Zotsatira zake zimadzadza msanga. Kuonjezera apo, imachepetsa kuchuluka kwa mahomoni omwe amachititsa njala m'mimba mwako. Izi zimachepetsa njala ndi zilakolako ndipo zingathandize kuthana ndi mayesero omwe amachititsa kuti anthu anenepa atataya. Ndi njira yokondedwa kwambiri chifukwa chake.

Kodi opaleshoni yam'mimba imakhala yochuluka bwanji?

Njira yotchuka kwambiri yochepetsera thupi padziko lonse lapansi ndi gastrectomy yamanja. Ku USA, njira zopangira ma sleeve gastrectomy zimapitilira theka la maopaleshoni onse apachaka a bariatric. Pafupifupi njira 150,000 za gastrectomy zimachitidwa padziko lonse lapansi ndi 380,000 ku United States chaka chilichonse. Mankhwalawa, omwe atulutsa zotsatira zabwino kwambiri, amayesa kusintha miyoyo ya anthu onenepa kuyambira pachiyambi. Njira yogwiritsira ntchito m'mimba imatha kukhala ndi zotsatira zabwino kwambiri.

Kodi opaleshoni yam'mimba imathandiza bwanji kuchipatala?

Kunenepa kwambiri sikutanthauza kunenepa chabe. Zimayambitsanso matenda ambiri. Pachifukwa ichi, opaleshoni ya sleeve gastrectomy ndi chithandizo chamankhwala cha kunenepa kwambiri komanso matenda okhudzana ndi kunenepa kwambiri. Amangoperekedwa kwa anthu oyenerera omwe ali ndi matenda okhudzana ndi kunenepa kwambiri kapena omwe ali pachiwopsezo chachikulu chokhala nawo. Opaleshoni yam'mimba imatha kuchiza ndikuchotsa matenda, kuphatikiza:

• Kukana kwa insulin ndi matenda amtundu wa 2.
• Hypertension ndi matenda oopsa a mtima.
• Hyperlipidemia (kuchuluka kwa cholesterol) ndi matenda a arterial.
• Nonalcoholic mafuta a chiwindi matenda ndi steatohepatitis.
• Obesity hypoventilation syndrome ndi obstructive sleep apnea.
• Kupweteka kwa mafupa ndi osteoarthritis.

Kodi mkono wapamimba ndi wotetezeka?

Zowopsa za kunenepa kwambiri komanso matenda omwe amalumikizidwa nawo ndizokulirapo kuposa kuopsa kochitidwa opaleshoni yam'mimba. Komanso, ili ndi zovuta zochepa kuposa njira zina zodziwika bwino monga kusintha m'chiuno ndi opaleshoni ya ndulu. Nthawi zambiri maopaleshoni am'mimba amachitidwa pogwiritsa ntchito njira zopangira maopaleshoni ochepa, zomwe zimapangitsa kuti pakhale kusapeza bwino chifukwa chocheka komanso kuchira msanga.

Kodi Ndiyenera kuchitidwa opaleshoni yam'mimba?

Zofunikira zonse kuti munthu akhale woyenera ndi:

Ngati muli ndi kunenepa kwambiri, ndinu oyenera opaleshoni. Choncho, thupi lanu liyenera kukhala losachepera 40. Kapena muyenera kukhala ndi matenda a shuga a mtundu wa 2 chifukwa cha kunenepa kwambiri. Kuonjezera apo, ngati muli ndi mavuto monga kugona tulo, index mass index ya 35 idzakhala thukuta.

Kodi chimachitika ndi chiyani musanachite opaleshoni yam'mimba?

Gawo lotsatira ndi chakudya chamadzimadzi cha milungu iwiri ngati mukuyenerera kuchita opaleshoni yamanja ya bariatric mutapambana mayeso anu azaumoyo. Mudzapatsidwa malangizo atsatanetsatane oti muzitsatira ndi dokotala wanu wa opaleshoni. Pofuna kuti njirayi ikhale yotetezeka, cholinga chake ndi kukhetsa mbali ya mimba ndi chiwindi mafuta.

Musanagwiritse ntchito, simudzaloledwa kudya kapena kumwa chilichonse kwa maola 12. Izi ndikuwonetsetsa kuti m'mimba mwanu mulibe kanthu pamene mankhwala ayamba. Kudya chakudya kapena zakumwa m'mimba mwanu pamene mukuchitidwa opaleshoni kungakhale ndi zotsatira zoipa kapena zovulaza.

Kodi opaleshoni yam'mimba imachitika bwanji?

Gastrectomy ya manja nthawi zambiri imachitidwa ndi opaleshoni ya laparoscopic kapena robotic. Izi zikutanthawuza kuti dokotala wanu adzachita opaleshoniyo kudzera m'mapang'ono ang'onoang'ono m'malo modula kwambiri (kapena kudula) kuti mutsegule m'mimba mwanu ndikupeza ziwalo zanu. Ngakhale kuti izi zimathandizira kuchira msanga, odwala ena angapindule kwambiri ndi opaleshoni yotsegula, malinga ndi momwe alili.

Kodi chimachitika ndi chiyani pa opaleshoni yam'mimba?

1. Dokotala wanu adzakupatsani anesthesia, kotero inu mudzakhala mukugona panthawi ya ndondomekoyi.
2. Dokotala wanu adzakudulani pang'ono m'mimba mwanu (pafupifupi 1/2 inchi yaitali) ndikuyika doko. Amapopa mpweya wa carbon dioxide kudutsa padoko kuti akulitse mimba yanu.
3. Kenako adzayika kamera yaying'ono yowunikira kanema (laparoscope) kudzera padoko. Kamera idzawonetsa zamkati mwanu pazenera.
4. Kudzera muzowonjezera chimodzi kapena zitatu, dokotala wanu amalowetsa madoko owonjezera ndikumaliza njirayi pogwiritsa ntchito zida zazitali, zopapatiza.
5. Adzayeza manja a m'mimba, kenaka agawane ndikulekanitsa mimba yanu yotsalayo pogwiritsa ntchito stapler ya opaleshoni.
6. Dokotala wanu adzachotsa m'mimba yotsalayo, kenako kutseka zomwe mwapanga.

Kodi opaleshoni yam'mimba imatenga nthawi yayitali bwanji?

Gastrectomy ndi njira yofulumira komanso yosavuta poyerekeza ndi njira zina zopangira maopaleshoni ochepetsa thupi. Pakati pa 60 ndi 90 mphindi kupita. Dokotala wanu akhoza kukulimbikitsani kuti mukhale m'chipatala kwa masiku awiri kapena awiri. Izi zitha kukuthandizani kuthana ndi ululu wanu komanso kwakanthawi kochepa pambuyo pa opaleshoni, monga nseru.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni yam'mimba?

M'masabata ndi miyezi ikubwerayi, mudzachezerana ndi dokotala pafupipafupi kuti mukayezedwe. Adzayang'anitsitsa kuchuluka kwa kulemera komwe mukuchepetsa, zovuta zilizonse zachipatala, ndi zotsatira zoyipa zilizonse za opaleshoni. Pofuna kuti mukhale ndi thanzi labwino komanso kuchepetsa thupi, adzafunanso kudziwa kuti mukudzisamalira bwino komanso kutsatira malamulo oyenerera a moyo.

Kodi ndiyenera kutsatira zakudya pambuyo pa opaleshoni yam'mimba?

Kuti mutsimikizire kuti m'mimba mwanu mumachira bwino posachedwa, muyenera kutsatira malamulo okhwima a zakudya. Mutha kuyamba kudya bwino pakangopita miyezi ingapo, koma mufunikabe kusankha zakudya mwanzeru. Muyenera kuwonetsetsa kuti zomwe mumadya ndizopatsa thanzi kuti mukwaniritse zomwe mukufuna chifukwa simutha kudya monga momwe munkachitira kale. Mwamsanga mutatha opaleshoni, mudzayamba kumwa mavitamini, ndipo muyenera kutero mpaka kalekale.

Ubwino wa njirayi ndi yotani?

Kachitidwe ka manja am'mimba ndizovuta kwambiri, zachangu, komanso zotetezeka kuposa njira zina za opaleshoni ya bariatric. Odwala omwe ali ndi vuto lachipatala amaloledwa kulandira chithandizo cham'manja nthawi zambiri chomwe chingawalepheretse kulandira chithandizo chanthawi yayitali. Njirayi imakhalanso yochepa kwambiri kuti ibweretse vuto lazakudya kwa nthawi yayitali chifukwa sichikukonzanso matumbo anu.

Kuchita opaleshoni ya m'mimba kumaperekabe kulemera kwabwino komanso ubwino wathanzi, ngakhale kuti kulemera kwake kumakhala kochepa kwambiri kusiyana ndi njira zochepetsera thupi. Kusintha kwa duodenal ndi njira ziwiri za opaleshoni ya bariatric yomwe idayamba ndi njirayi. Odwala ambiri atazindikira kuti sanafunikire kumaliza theka lachiwiri, madokotala ochita opaleshoni adayamba kupereka ngati chithandizo chodziyimira pawokha.

Kodi zoopsa zomwe zingatheke kapena zovuta za opaleshoni ya m'mimba ndi ziti?

Nthawi zambiri, palibe zoopsa opaleshoni yamanja yam'mimba. Ululu ndi nseru zimachitika pokhapokha opaleshoni. Komabe, nthawi zina, ndizotheka kukhala ndi zoopsa monga magazi komanso matenda.

Kodi nthawi yochira pambuyo pa opaleshoni yam'mimba ndi iti?

Musanayembekezere kumva bwino kapena kuyambiranso kugwira ntchito mokwanira, dzipatseni mwezi umodzi. Anthu ambiri amatopa kapena kutopa panthawiyi pamene matupi awo amayesa kuchira pamene akukonzekera kuletsa zopatsa mphamvu. Mudzatha kusamalira zakudya zamadzimadzi m'masabata angapo oyambirira. Pambuyo pake mudzasintha kupita ku zakudya zofewa kenako zakudya zolimba.

Kodi mungachepetse kulemera kotani ndi manja am'mimba?

M'chaka choyamba kapena ziwiri, mutha kuyembekezera kutaya 25% mpaka 30% ya kulemera kwa thupi lanu pafupifupi. Izi zikutanthauza kuti mutakhala mapaundi 300 musanachite opaleshoni, mungagwetse mapaundi 100. Malingana ndi makhalidwe omwe mumasankha pambuyo pa opaleshoni, mukhoza kutaya thupi kapena kuchepa. Anthu ena amalemeranso, koma pazaka zisanu, kulemera kwapakati pa 25% mpaka 30% ya kulemera kwa thupi lanu kumakhalabe kokhazikika.

Bwanji ngati sizikugwira ntchito?

Anthu ena amapezanso kulemera kumene amataya ngakhale kuti si zachilendo. Atha kubwereranso ku machitidwe awo akale, kapena pakapita nthawi, mimba yawo imatha kukulirakuliranso. Mutha kuganiza zopanga opaleshoni yokonzanso manja ngati izi zikuchitikirani. Dokotala wanu akhoza kusinthanitsa chapamimba kapena kusintha kwa duodenal m'malo mwa manja oyambirira a m'mimba ngati akukhulupirira kuti akhoza kupeza zotsatira zabwino.