Dhiyabhorosi Vanhu Kuwana Bariatric Kuvhiya muTurkey

Metabolic kuvhiya muTurkey kurapwa kwechirwere cheshuga Mellitus Type 2 iyo inova nzira yekurapa sarudzo yechirwere chaimborapwa chete.

Metabolic kuvhiyiwa iset subset ye bariatric kuvhiyiwa, iyo dzimwe nguva inozivikanwa sekuvhiyiwa kwekushushikana kwakanyanya. Kune mhando mbiri dzekupindira: iyo Gastric Bypass uye iyo Duodenum-jejunal Bypass. Iyo Duodenum-jejunal Bypass inosanganisira kubvisa duodenum uye chikamu chinowedzera chejejunum (chikamu chekutanga chemuura mutete) kubva pakufamba kwekudya, zvichikonzera shanduko mumahormone uye ma receptors munzvimbo ino inobatanidzwa mukudzora glucose.

Kune matatu mafomu echirwere cheshuga:

Tora 1 chirwere cheshuga inogona kubata chero munhu pazera ripi zvaro, zvisinei zvakadaro zvakajairika muvana vari pasi pemakore gumi nemasere. Varwere vane rudzi urwu rwechirwere cheshuga vanoita insulini shoma; semhedzisiro, ivo vanoda yakawanda insulin, iyo yavanogona kuwana nemajekiseni ejekiseni.

Tora 2 chirwere cheshuga ndiyo inonyanya kuzivikanwa chirwere cheshuga, chinokanganisa zvinopfuura makumi mapfumbamwe muzana zvevanhu vane chirwere cheshuga. Muviri haugone kushandisa insulin nemazvo murudzi urwu rwechirwere cheshuga, zvichikonzera kuurayiwa kwehutano hunogona kutungamira kurufu.

Gestational chirwere cheshuga rudzi rwechirwere cheshuga chinobata vese amai nemwana panguva yese yepamuviri. Chirwere cheshuga chinoenda mushure mekuzvitakura, asi mikana yacho inobata mwana yakanyanya kwazvo.

Zvirwere zvekuvhiya zveVarwere cheshuga muTurkey 

Kune sarudzo dzekuvhiya cheshuga, senge bariatric kana metabolic nzira:

Bariatric kuvhiya inzira inobatsira vanhu kurasikirwa nehuremu muTurkey.

Nekuti huwandu hweshuga yeropa uye kuwedzerwa kweropa zviri zviviri zvezvinhu zvakakosha pakurapa chirwere cheshuga, kuvhiyiwa bariatric kunogona kubatsira. Bariatric kuvhiya inobvumira murwere kurarama hupenyu hune hutano nekumudzivirira kubva pakudya zvakawandisa, izvo zvinogona kutungamira kune yakakwira shuga yeropa. Kufutisa zvakare chikonzero chakanangana cheBP uye chirwere cheropa. Nekuda kweizvozvo, kana murwere akavhiyiwa bariatric, anozokwanisa kugadzirisa nyaya iyi futi. Kune akawanda dzakasiyana nzira dzekuvhiya kweBariatric muTurkey:

Adjustable gastric banding

Gastric ruoko

BPD kuwedzera 

BPD inosanganiswa ne switch duodenal

Muvanhu vangangoita makumi mapfumbamwe muzana vane chirwere cheshuga cheshuga, kuvhiyiwa bariatric kunovandudza mamiriro avo ne:

kudzikisa huwandu hweshuga yeropa, kudzikisa madosi emishonga, uye kudzikisa kudiwa kwemishonga inodikanwa, kugadzirisa nyaya dzehutano dzakabatana nerudzi rwechipiri chirwere cheshuga.

Uyezve, maitiro ebariatric anogona kuisa chirwere cheshuga chechipiri mukuregererwa mune vangangoita 2 muzana yevarwere. Nekuda kweizvozvo, bariatric maitiro, mune ese mafomu, akakosha kune vane chirwere cheshuga.

Njodzi uye Bhenefiti yeMetabolic Kuvhiya kwevechirwere cheshuga Varwere 

Sezvambotaurwa, bariatric maitiro muTurkey kubatsira varwere mukukunda chirwere cheshuga mhando 2 nekugadzirisa zvakakosha zvakadai seshuga yeropa uye BP. Ehe, iko kuita kwekudzikisira uremu, asi kunogadzirisa dambudziko hombe nekuda kwenzira yainoshanda nayo, mararamiro ane hutano ayo aanosimudzira, uye nenyaya yekuti inomanikidza murwere kuti adye zvishoma uye zviwitsi.

Ehezve, sekumwe kumwe kuvhiya, kuvhiyiwa bariatric kune dzimwe njodzi. Nekudaro, nekuti murwere wega wega akasarudzika uye ane mamiriro akasarudzika, murwere mumwe nemumwe anofanira kunyatsoongororwa kuti aone kuti chingave chiitiko chei.

Ndeipi nzira yekuvhiya?

Pakati pechikamu chekutanga-kushanda, mhando 2 chirwere cheshuga varwere' insulin haigoni kuita basa rayo padanho remaseru.

Insulini haigoni kupinda muchitokisi kana, kana ikadaro, haigone kuita zvainoita kamwe chete mukati. Insulin kuramba ndiyo izwi reizvi. Iyo yekugaya turakiti mahormone iyo inokonzera insulin kuramba inozopera mushure mekuita.

Iwo mahormone incretin uye ghrelin mune yekugaya system inochinja kwakakura. Nekuda kweizvozvo, kutenderera kwe insulin kudzvinyirira kwakakanganiswa. Insulin inoramba yakasununguka, uye insulin senzwi inokura padanho remaseru. Nekuda kwekuti mahormone ako akachinjwa, shuga yako yeropa ichagadziriswa.

Ndivanaani vanhu vanokodzera kurapwa kweBariatric muTurkey?

Ehe, havasi vese varwere vari vavhoti ve bariatric kuvhiya muTurkey, uye kune mamwe marongero ekutevera:

Kunyangwe hazvo chirwere cheshuga chichidzorwa nemishonga, zvinokurudzirwa kuti zviitwe kana index yemurwere yeBMI yakakura kudarika 40KG / m2.

Izvo zvinokwanisika kana murwere weBMI index iri pakati pe35 uye 39.9 uye chirwere chavo cheshuga chisiri kutarisirwa nemishonga.

Kana murwere weBMI index iri pakati pe30-35 uye chirwere chavo cheshuga chisina kunyatsodzorwa nemushonga, zvinoita kuti zviitwe. 

Vanachiremba vanofanira vachiri kunyatsoongorora varwere uye nekutsvagisa mamiriro avo vasati vaita chero mhedzisiro, sezvo nyaya yemurwere mumwe nemumwe uye zviyero zvakasiyana. Nekuda kweizvozvo, tinokurudzira vese varwere kuti vabvunze nyanzvi yavo vanachiremba muTurkey kune bariatric kuvhiya uye uvape ruzivo rwese uye ruzivo. Inofanira kusanganisira zvirevo zvehutano zvekurapa nekuti zvese zvidiki diki zvakakosha mukuvhiya uku uye zvinogona kushandiswa kudzikisa njodzi kana mhedzisiro pamwe nekuwedzera huwandu hwebudiriro.