Uqhaqho lweGastric Bypass eTurkey: Isikhokelo esiBanzi

Ngaba unengxaki yokutyeba kwaye ujonge isisombululo esisebenzayo sokunciphisa umzimba? Utyando lweGastric bypass lunokuba lukhetho olukhulu kuwe. Yinkqubo ethandwayo yokunciphisa umzimba ebonakaliswe ukunceda abantu abaninzi bafezekise iinjongo zabo zokunciphisa umzimba. Kweli nqaku, siza kuphonononga iinkcukacha zotyando lwe-gastric bypass eTurkey, kubandakanywa nendlela olusebenza ngayo, izibonelelo, iingxaki, kunye neendleko.

Yintoni utyando lweGastric Bypass?

Utyando lwe-gastric bypass, olukwaziwa njenge-Roux-en-Y gastric bypass, lutyando lokuphulukana nobunzima olubandakanya ukwenza isingxobo esincinci esisuka esiswini kunye nokubuyisela amathumbu amancinci kwesi singxobo sitsha. Oku kunciphisa ubungakanani bokutya okunokutyiwa kwaye kunciphisa ukufunxa kweekhalori kunye nezondlo.

Lusebenza njani uTyando lweGastric Bypass?

Ngexesha lotyando lwe-gastric bypass, ugqirha wenza amabala amancinci amancinci kwisisu aze afake i-laparoscope, engumbhobho obhityileyo onekhamera kunye nezixhobo zotyando eziqhotyoshelweyo. Emva koko ugqirha wotyando uyahlula isisu sibe ngamacandelo amabini, avale icandelo elingasentla aze ashiye isingxobo esincinci ezantsi. Esi singxobo sidityaniswa ngokuthe ngqo kwithumbu elincinane, lidlule sonke isisu kunye nenxalenye engaphezulu yethumbu elincinane.

Ngubani uMgqatswa oLungileyo woTyando lweGastric Bypass?

Utyando lwe-gastric bypass ludla ngokucetyiswa kubantu abane-index mass body (BMI) ye-40 okanye ngaphezulu, okanye i-BMI ye-35 okanye ngaphezulu kunye neengxaki zempilo ezinxulumene nokukhuluphala ezifana nohlobo lwe-2 yeswekile, uxinzelelo lwegazi oluphezulu, okanye i-apnea yokulala. Ikwafanele abantu abaye bazama ezinye iindlela zokunciphisa umzimba ezifana nokutya nokuzilolonga kodwa abaphumeleli.

Izibonelelo zoTyando lweGastric Bypass

Ukwehla kobunzima obubalulekileyo
Utyando lwe-gastric bypass lubonakaliswe ukuba luyasebenza ekufezekiseni ukwehla okukhulu kobunzima. Izigulane zinokulindela ukulahlekelwa yi-50-80% yobunzima bomzimba wabo obunzima kwiminyaka emibini yokuqala emva kokuhlinzwa.

Ukuphuculwa koMgangatho woBomi
Ukunciphisa umzimba kunokuphucula umgangatho wobomi bomguli ngokunciphisa ingozi yeengxaki zempilo ezinxulumene nokutyeba ngokugqithiseleyo, njengesifo seswekile, isifo sentliziyo kunye nokulala.

Isisombululo se-Co-morbidities
Utyando lwe-gastric bypass lufunyenwe luphucula okanye lusombulule izifo ezidibeneyo ezifana nohlobo lwe-2 yeswekile, uxinzelelo lwegazi oluphezulu, kunye ne-apnea yokulala.

Umsebenzi ophuculweyo weMetabolic
Utyando lwe-gastric bypass lunokuphucula ukusebenza kwe-metabolic ngokuguqula iihomoni zamathumbu ezilawula ukutya kunye nemetabolism. Oku kunokukhokelela kulawulo olungcono lweswekile yegazi kunye nokuphucula uvakalelo lwe-insulin.

Ukunciphisa izinga lokubhubha
Ukutyeba kakhulu kunxulunyaniswa nomngcipheko wokufa. Utyando lwe-gastric bypass lunokunceda ukunciphisa lo mngcipheko ngokuphucula impilo yonke kunye nokunciphisa umngcipheko wezifo ezinxulumene nokukhuluphala.

Ukungaphumeleli koTyando lweGastric Bypass

Iingxaki ezinokuthi zibekho
Njengalo naluphi na utyando, utyando lwe-gastric bypass luthwala imingcipheko efana nokopha, usulelo, kunye namahlwili egazi. Kwezinye iimeko, izigulana zinokuba neengxaki ezifana nokuvinjelwa kwamathumbu, i-hernias, okanye ukuvuza kwesisu okanye amathumbu.

Izithintelo zokutya
Izigulana ezenza utyando lwe-gastric bypass kufuneka zilandele isicwangciso esingqongqo sokutya, esibandakanya ukutya okuncinci, ukutya rhoqo kunye nokuphepha ukutya okuthile okufana neswekile, ukutya okunamafutha kunye notywala. Ukungaphumeleli ukulandela esi sicwangciso sokutya kunokukhokelela kwiingxaki ezifana nokulahla i-syndrome, ebangela isifo sohudo, isicaphucaphu, kunye neentlungu zesisu.

Ukulandelelwa kwexesha elide
Izigulane ezenza utyando lwe-gastric bypass zifuna ukunakekelwa kwexesha elide, kubandakanywa nokubeka iliso rhoqo ubunzima babo, isimo sesondlo kunye nempilo yonke. Oku kunokubandakanya ukusebenzisana nengcali yokutya okanye ingcali yezondlo ukuqinisekisa ukuba bafumana izondlo ezifunekayo.

Ukunqongophala kweVithamini kunye neeMbiwa

Utyando lwe-gastric bypass lunokukhokelela ekunqongophelweni kweevithamini kunye neeminerali, ezinokubangela iingxaki zempilo xa zinganyangwa. Izigulana kusenokufuneka zithathe izongezo ukuqinisekisa ukuba zifumana izondlo ezizidingayo.

Iindleko zoTyando lweGastric Bypass eTurkey

Iindleko zotyando lwe-gastric bypass eTurkey iyahluka ngokuxhomekeke kwisibhedlele, ugqirha wotyando, kunye nendawo. Nangona kunjalo, iindleko ziphantsi ngokubanzi kunakwamanye amazwe amaninzi, oko kuyenza ibe lukhetho olunomtsalane kukhenketho lwezonyango.

Kutheni ukhetha iTurkey kuTyando lweGastric Bypass?

I-Turkey iya ithandwa kakhulu njengendawo yokhenketho lwezonyango ngenxa yezibonelelo zayo zempilo ezikumgangatho ophezulu, oogqirha botyando abanamava, kunye namaxabiso afikelelekayo. Izibhedlele ezininzi zaseTurkey zibonelela ngamaziko akumgangatho ophezulu kunye nezixhobo zokusebenza, kwaye ilizwe lidume ngokunikezela ngonyango olugqwesileyo.

Ululungiselela njani uTyando lweGastric Bypass eTurkey

Phambi kokwenza utyando lwe-gastric bypass eTurkey, izigulana kuya kufuneka ziphononongwe ngoogqirha ukuze kuqinisekiswe ukuba zisempilweni ngokwaneleyo ukuba zingene kwinkqubo. Oku kusenokuquka uvavanyo lwegazi, uhlolisiso lwemifanekiso eqingqiweyo, nokudibana neengcali ezahlukeneyo zonyango.

Yintoni omele uyilindele ngexesha loTyando lweGastric Bypass

Utyando lwe-gastric bypass luthatha iiyure ezimbini ukuya kwezine ukugqiba, kwaye izigulane ziya kuba phantsi kwe-anesthesia jikelele ngexesha lenkqubo. Emva kotyando, izigulana ziya kuchitha iintsuku ezininzi esibhedlele zichacha.

UkuBuyisa emva koTyando lweGastric Bypass

Izigulane zinokulindela ukuhlala esibhedlele iintsuku ezintathu ukuya ezintlanu emva kokuhlinzwa kwe-gastric bypass, kwaye kuya kufuneka ukuba balandele ukutya okungqongqo kunye nesicwangciso sokuzivocavoca ngexesha lokubuyisela. Kungathatha iiveki ezininzi okanye iinyanga ukuchacha ngokupheleleyo kuqhaqho.

Imingcipheko kunye neengxaki zoTyando lweGastric Bypass

Njengalo naluphi na utyando, utyando lwe-gastric bypass luthwala imingcipheko kunye neengxaki ezinokubakho. Oku kunokubandakanya ukopha, usulelo, amahlwili egazi, ukuvaleka kwamathumbu, i-hernias, okanye ukuvuza kwesisu okanye amathumbu. Izigulane kufuneka zixoxe ngeengozi kunye neenzuzo zenkqubo kunye nogqirha wabo wotyando ngaphambi kokuba benze isigqibo.

Ziziphi iiMfuno zoTyando lweGastric Bypass?

Utyando lwe-gastric bypass yinkqubo enkulu yotyando ebandakanya utshintsho olubalulekileyo kwinkqubo yakho yokwetyisa. Ngoko ke, kubalulekile ukuhlangabezana neendlela ezithile zokuqinisekisa ukuba inkqubo ikhuselekile kwaye iyasebenza.

• Iimfuno ze-BMI

Enye yeemfuno eziphambili zotyando lwe-gastric bypass kukuba ne-body mass index (BMI) ye-40 okanye ngaphezulu, okanye i-BMI ye-35 okanye ngaphezulu kunye neengxaki zempilo ezinxulumene nokutyeba ezifana nohlobo lwe-2 yeswekile, uxinzelelo lwegazi oluphezulu, okanye i-apnea yokulala. I-BMI ngumlinganiselo wamafutha omzimba asekelwe kubude nobunzima bakho. Ungayibala i-BMI yakho usebenzisa i-BMI calculator ekwi-intanethi okanye ngokubonisana nogqirha wakho.

• Iimfuneko zokudala

Izigulana ezenza utyando lwe-gastric bypass kufuneka zibe phakathi kwe-18 kunye ne-65 yeminyaka ubudala. Nangona kunjalo, izithintelo zeminyaka yobudala zinokwahluka ngokuxhomekeke kwimpilo yonke yesigulane kunye nembali yonyango.

• Imbali Yonyango

Ngaphambi kokwenza utyando lwe-gastric bypass, izigulana kufuneka zihlolwe ngoogqirha ngokucokisekileyo ukuze zibone ukuba zisempilweni ngokwaneleyo na ukuba zingene kwinkqubo. Oku kunokuquka uvavanyo lwegazi, uhlolisiso lwemifanekiso, nokunxibelelana neengcali ezahlukeneyo zonyango. Izigulane ezineemeko ezithile zonyango ezifana nesifo senhliziyo, isifo sesibindi, okanye isifo sezintso zingenakufaneleka kwinkqubo.

• Indlela yokuphila

Izigulane ezenza utyando lwe-gastric bypass kufuneka zikulungele ukwenza utshintsho olubalulekileyo lwendlela yokuphila ukuze kuqinisekiswe impumelelo yenkqubo. Oku kuquka ukwamkela ukutya okunempilo, ukwandisa umthambo, nokuphepha ukutshaya nokusela utywala ngokugqithisileyo.

Ungakumisela njani ukuLungela kwakho uTyando lweGastric Bypass

Ukufumanisa ukuba ukulungele na ukwenza utyando lwe-gastric bypass, kufuneka udibane nogqirha oqeqeshiweyo we-bariatric. Ugqirha wotyando uya kuvavanya imbali yakho yonyango, enze uviwo lomzimba, kwaye avavanye impilo yakho yonke kunye neenjongo zokulahleka kwesisindo. Baza kuxoxa kwakhona ngeengozi kunye neenzuzo zenkqubo kwaye bakuncede wenze isigqibo esinolwazi malunga nokuba ungalutyandwa okanye ungalulweli.

Ukongeza kokuhlangabezana neemfuno zokwenza utyando lwe-gastric bypass, izigulane kufuneka zibe nenkqubo yokuxhasa eyomeleleyo yokubanceda ngenkqubo yokubuyisela. Oku kunokuquka amalungu entsapho, abahlobo, okanye amaqela axhasayo anokunika inkxaso yeemvakalelo nokhuthazo.

isiphelo
Utyando lwe-gastric bypass lunokuba sisisombululo esisebenzayo sokunciphisa umzimba kubantu abahlangabezana neemfuno zenkqubo. Nangona kunjalo, kubalulekile ukwenza uvavanyo lwezonyango olucokisekileyo ukuze ubone ukuba ufanelekile na ukwenza utyando. Ngokusebenza nogqirha wotyando oqeqeshiweyo, unokuvavanya ukufaneleka kwakho kwaye wenze isigqibo esinolwazi malunga nokuba wenze utyando lwe-gastric bypass okanye hayi.

Ngaba iGastric Bypass isisigxina?

Utyando lwe-Gastric bypass yinkqubo ethandwayo yokunciphisa umzimba ebandakanya ukudala isingxobo esincinci sesisu kunye nokubuyisela amathumbu amancinci kwesi singxobo sitsha. Oku kunciphisa ubungakanani bokutya okunokutyiwa kwaye kunciphisa ukufunxa kweekhalori kunye nezondlo. Omnye umbuzo oqhelekileyo abantu abanawo malunga noqhaqho lwe-gastric bypass kukuba ingaba iziphumo zisisigxina. Kweli nqaku, siza kuphonononga iziphumo zexesha elide zotyando lwe-gastric bypass kunye nokuba sisisombululo esisisigxina sokuncipha kwesisindo.

Iimpembelelo zeXesha elide zoTyando lweGastric Bypass

Utyando lwe-gastric bypass lubonakaliswe ukuba lusebenza kakuhle ekufezekiseni ukulahleka kwesisindo esibalulekileyo kwixesha elifutshane. Nangona kunjalo, iziphumo zexesha elide zotyando azicacanga kangako. Nangona ezinye izifundo zibonise ukuba izigulane zingakwazi ukugcina ukulahleka kwesisindo esinzima ukuya kwiminyaka eyi-10 emva kokuhlinzwa, abanye baye bafumanisa ukuba ukubuyiswa kwesisindo kuqhelekileyo emva kweminyaka embalwa yokuqala.

Ukongeza ekulahlekeni kwesisindo, utyando lwe-gastric bypass lufunyenwe luphucula okanye lusombulule izifo ezidibeneyo ezifana nohlobo lwe-2 yeswekile, uxinzelelo lwegazi oluphezulu, kunye ne-apnea yokulala. Inokuphucula ukusebenza kwemetabolism ngokuguqula iihomoni zamathumbu ezilawula ukutya kunye nemetabolism.

Nangona kunjalo, utyando lwe-gastric bypass lunokukhokelela ekunqongophelweni kweevithamini kunye neeminerali, ezinokubangela iingxaki zempilo ukuba zinganyangwa. Izigulana kusenokufuneka zithathe izongezo ukuqinisekisa ukuba zifumana izondlo ezizidingayo. Ukongeza, izigulana ezenza utyando lwe-gastric bypass kufuneka zilandele isicwangciso esingqongqo sokutya, esibandakanya ukutya okuncinci, ukutya rhoqo kunye nokuphepha ukutya okuthile okufana neswekile, ukutya okunamafutha kunye notywala.

Yeyiphi eNgcono: Umkhono weGastric okanye iGastric Bypass?

Umkhono wesisu kunye ne-gastric bypass zimbini zolona tyando ludumileyo lokunciphisa umzimba, kodwa izigulana zihlala zizibuza ukuba yeyiphi inkqubo engcono. Kweli nqaku, siya kuthelekisa ezi nkqubo zimbini kwaye sixoxe ngezibonelelo kunye nezithintelo nganye ukuze sikuncede wenze isigqibo esinolwazi malunga nokuba yeyiphi inkqubo ekulungeleyo.

Umkhono wesisu

Umkhono wesisu, okwaziwa njenge-sleeve gastrectomy, kubandakanya ukususa indawo enkulu yesisu ukwenza isisu esincinci, esifana nebhanana. Oku kuthintela umthamo wokutya okunokuthi kusetyenziswe kwaye kunciphisa ukuveliswa kweehomoni zendlala.

Iinzuzo zeGastric Sleeve

Ukulahleka kwesisindo esibalulekileyo: Izigulane zinokulindela ukulahlekelwa yi-50-70% yobunzima babo obunzima kwiminyaka emibini yokuqala emva kokuhlinzwa.
Ukuphuculwa kwe-co-morbidities: Umkhono wesisu ufunyenwe ukuphucula okanye ukusombulula izifo ezidibeneyo ezifana nohlobo lwe-2 yeswekile, uxinzelelo lwegazi oluphezulu, kunye ne-apnea yokulala.
Umngcipheko ophantsi weengxaki: Umkhono wesisu unomngcipheko omncinci weengxaki xa kuthelekiswa ne-gastric bypass.

Ukungaphumeleli komkhono weGastric

Ayinakubuyela umva: Inxalenye yesisu esikhutshwe ngexesha lotyando lomkhono wesisu asinakuphinda siqhagamshelwe, nto leyo eyenza ukuba inkqubo ingajikwa.
Ithuba lokubuyisela ubunzima: Nangona i-gastric sleeve ingakhokelela ekulahlekeni kwesisindo esikhulu, izigulana zinokufumana ubunzima bokubuyisela kwakhona ekuhambeni kwexesha.

Gastric Dlula

I-gastric bypass, ekwaziwa ngokuba yi-Roux-en-Y gastric bypass, ibandakanya ukwenza isingxobo esincinci sesisu kunye nokubuyisela amathumbu amancinci kwesi singxobo sitsha. Oku kunciphisa ubungakanani bokutya okunokutyiwa kwaye kunciphisa ukufunxa kweekhalori kunye nezondlo.

Izibonelelo zeGastric Bypass

Ukulahleka kwesisindo esibalulekileyo: Izigulane zinokulindela ukulahlekelwa yi-50-80% yobunzima babo obunzima kwiminyaka emibini yokuqala emva kokuhlinzwa.
Ukuphuculwa kwe-co-morbidities: I-gastric bypass ifunyenwe ukuba iphucule okanye icombulule i-co-morbidities ezifana nohlobo lwe-2 yeswekile, uxinzelelo lwegazi oluphezulu, kunye ne-apnea yokulala.
Umsebenzi ophuculweyo we-metabolic: I-gastric bypass inokuphucula ukusebenza kwemetabolism ngokuguqula iihomoni zamathumbu ezilawula ukutya kunye nemetabolism.

Ukungaphumeleli kweGastric Bypass

Umngcipheko ophezulu weengxaki: I-gastric bypass inomngcipheko ophezulu weengxaki xa kuthelekiswa nomkhono wesisu.
Izithintelo zokutya: Izigulana ezenziwa utyando lwe-gastric bypass kufuneka zilandele isicwangciso esingqongqo sokutya, esibandakanya ukutya okuncinci, ukutya rhoqo kunye nokuphepha ukutya okuthile okufana neswekile, ukutya okunamafutha kunye notywala.
Ukulandelela ixesha elide: Izigulane ezenza utyando lwe-gastric bypass zifuna ukunakekelwa kwexesha elide, kubandakanywa nokubeka iliso rhoqo ubunzima babo, isimo sesondlo kunye nempilo yonke.

Yeyiphi iNkqubo eNgcono?

Isigqibo sokwenza utyando lwe-gastric bypass okanye i-gastric bypass sixhomekeke kwimpilo yomntu, usukelo lokunciphisa umzimba, kunye nendlela yokuphila. Zombini iinkqubo zibonakaliswe ukuba zisebenza kakuhle ekufezekiseni ukulahleka kwesisindo esibalulekileyo kunye nokuphucula i-co-morbidities. Nangona kunjalo, i-gastric sleeve inokuba lukhetho olungcono kwizigulana ezifuna inkqubo encinci yokuhlasela kunye nomngcipheko ophantsi weengxaki, ngelixa i-gastric bypass inokuba lukhetho olungcono kwizigulana ezifuna umsebenzi ophuculweyo we-metabolic kwaye zizimisele ukulandela isicwangciso sokutya esingqongqo kwaye sifuna. ukhathalelo lokulandela ixesha elide.