Ngaba iGastric Sleeve isebenza? Ifanele bani?

Yintoni utyando lwemikhono yesisu?

I-Gastric Sleeve ibandakanya ukucutha isisu sezigulane ngendlela yebhanana. Kunyango lomkhono wesisu, isisu somnqwazi sincitshiswa ngama-80%. Ukongeza, isigulane siziva silambile kakhulu kunangaphambili, njengoko inxalenye efihla ihomoni ye-ghrelin, oko kukuthi, ihomoni yendlala, iya kususwa kwisisu somguli. Ukongezelela, ekubeni isisu siya kuncipha, isigulane siya kukwazi ukufikelela kwimvakalelo yokuzala ngokutya kancinci.

Wenza ntoni umkhono wesisu?

Unganciphisa ngokulula ukutya onokuthi ukutye ngexesha elinye ngokwenza isisu sakho sincinci. Uya kuzala ngokukhawuleza ngakumbi ngenxa yoko. Ukongeza, iyanciphisa ukuba zingakanani iihomoni ezibangela indlala esiswini sakho. Oku kunciphisa indlala kunye neminqweno kwaye kunokunceda ekukhuseleni izilingo ezikhokelela abantu ukuba batyebe emva kokuba behlile. Yindlela ethandwa kakhulu ngenxa yoko.

Luxhaphake kangakanani utyando lwemikhono yesisu?

Eyona nkqubo idumileyo yokwehla kobunzima kwihlabathi liphela sisitya se-sleeve gastrectomy. E-USA, iinkqubo ze-sleeve gastrectomy zithatha ngaphezu kwesiqingatha salo lonke utyando lonyaka lwe-bariatric. Malunga ne-150,000 yeenkqubo ze-sleeve gastrectomy zenziwa kwihlabathi jikelele kunye nama-380,000 e-United States nyaka ngamnye. Olu nyango, oluye lwavelisa iziphumo ezintle kakhulu, luzama ukuguqula ubomi babantu abatyebe kakhulu kwasekuqaleni. Inkqubo ye-gastric sleeve inokuvelisa iziphumo ezisebenzayo kakhulu.

Zeziphi iimeko zonyango olunceda utyando lwemikhono yesisu?

Ukutyeba asiyomeko nje yokutyeba ngokugqithiseleyo. Kwakhona kubangela izifo ezininzi. Ngesi sizathu, utyando lwe-sleeve gastrectomy lunyango lotyando lokutyeba kakhulu kunye neemeko zonyango ezinxulumene nokutyeba. Inikezelwa kuphela kubantu abaqeqeshiweyo abaneemeko zonyango ezinxulumene nokutyeba kakhulu okanye abasemngciphekweni omkhulu wokuziphuhlisa. Utyando lomkhono wesisu lunokunyanga kwaye ngamanye amaxesha luphelise izifo, kubandakanya:

• Ukuxhatshazwa kwe-insulin kunye nohlobo lwe-2 yeswekile.
• Uxinzelelo lwegazi kunye nesifo senhliziyo.
• I-Hyperlipidemia (i-cholesterol ephezulu) kunye nesifo se-arterial.
• Isifo sesibindi esinamafutha angenatywala kunye ne-steatohepatitis.
• I-Obesity hypoventilation syndrome kunye ne-obstructive sleep apnea.
• Intlungu edibeneyo kunye ne-osteoarthritis.

Ngaba umkhono wesisu ukhuselekile?

Iingozi zokutyeba kakhulu kunye nezifo ezinxulunyaniswa nazo zikhulu kakhulu kunemingcipheko yokwenza utyando lwemikhono yesisu. Kwakhona, ineengxaki ezincinci kunezinye iinkqubo eziqhelekileyo ezifana nokutshintshwa kwe-hip kunye nokuhlinzwa kwe-gallbladder. Uninzi lwemisebenzi ye-gastric sleeve yenziwa kusetyenziswa iindlela zotyando ezincinci, nto leyo ebangela ukungonwabi okuncinci ngenxa yokwenziwa kunye nokuchacha ngokukhawuleza.

Ngaba Ndilulungele utyando lwemikhono yesisu?

Iimfuno jikelele ukuze ufaneleke zezi:

Ukuba utyebe kakhulu, ukulungele utyando. Ngoko ke, ubunzima bomzimba wakho kufuneka bube ubuncinane be-40. Okanye kufuneka ube nohlobo lwe-2 yeswekile ngenxa yokutyeba. Ukongeza, ukuba uneengxaki ezifana ne-apnea yokulala, isalathisi sakho sobunzima bomzimba we-35 siya kubila.

Kwenzeka ntoni ngaphambi kotyando lomkhono wesisu?

Inqanaba elilandelayo kukutya okumanzi okuziiveki ezimbini ukuba ukulungele ukwenza utyando lomkhono webariatric emva kokuphumelela uvavanyo lwakho lwezempilo. Uya kunikwa imiyalelo eneenkcukacha ukuba uyilandele ngugqirha wakho wotyando. Ukuze wenze inkqubo ikhuseleke ngakumbi, ihloselwe ukulahla inxalenye yesisu kunye nesibindi.

Phambi kwenkqubo yakho, awuyi kuvunyelwa ukuba utye okanye usele nantoni na iiyure ezili-12. Oku kukuqinisekisa ukuba isisu sakho asinanto xa unyango luqala. Ukutya ukutya okanye isiselo esiswini sakho ngelixa utyandwa kunokuba neziphumo ebezingalindelekanga ezingathandekiyo okanye eziyingozi.

Kwenziwa njani utyando lwemikhono yesisu?

I-sleeve gastrectomy ngokuqhelekileyo yenziwa nge-laparoscopic okanye utyando lwerobhothi. Oku kuthetha ukuba ugqirha wakho uya kwenza inkqubo ngokusebenzisa izithintelo ezincinci kunokuba enze i-incision enkulu (okanye ukusika) ukuvula indawo yakho yesisu kwaye ufumane ukufikelela kumalungu akho. Nangona oku kunceda ukuchacha ngokukhawuleza, izigulana ezithile zinokuzuza ngakumbi kuqhaqho oluvulekileyo, ngokuxhomekeke kwiimeko zabo.

Kwenzeka ntoni ngexesha lotyando lomkhono wesisu?

1. Ugqirha wakho uya kukunika i-anesthesia jikelele, ngoko uya kulala ngexesha lenkqubo.
2. Ugqirha wakho uya kwenza ukusika okuncinci kwisisu sakho (malunga ne-1/2 intshi ubude) kwaye ufake i-port. Baza kumpompa igesi ye-carbon dioxide kwizibuko ukwandisa isisu sakho.
3. Emva koko baya kubeka ikhamera yevidiyo ekhanyisiweyo encinci (i-laparoscope) kwizibuko. Ikhamera iya kuvelisa izinto zakho zangaphakathi kwiscreen.
4. Ngokusebenzisa enye ukuya kwezintathu ezongezelelweyo, ugqirha wakho uya kufaka izibuko ezongezelelweyo kwaye agqibe inkqubo esebenzisa izixhobo ezinde, ezimxinwa.
5. Baya kulinganisa umkhono wesisu, emva koko bahlule kwaye bahlule intsalela yesisu sakho usebenzisa i-stapler yotyando.
6. Ugqirha wakho uya kususa intsalela yesisu, emva koko uvale izithintelo zakho.

Kuthatha ixesha elingakanani utyando lwemikhono yesisu?

I-sleeve gastrectomy yinkqubo ekhawulezayo kwaye ecacileyo xa ithelekiswa nezinye iindlela zotyando zokuncipha kobunzima. Kudlula imizuzu engama-60 ukuya kwengama-90. Ugqirha wakho wotyando usengacebisa ukuba uchithe intsuku enye ukuya kwezimbini esibhedlele. Ezi ke zingakunceda ekulawuleni iintlungu zakho kunye nalo naliphi na ixesha elifutshane emva kweziphumo zotyando, ezifana nesicaphucaphu.

Kwenzeka ntoni emva kotyando lomkhono wesisu?

Kwiiveki nakwiinyanga ezizayo, uya kutyelela ugqirha wakho wezempilo rhoqo ukuze ahlolwe. Baza kugcina iithebhu malunga nokuba ulahlekelwa bubunzima obungakanani, nayiphi na imiba yezonyango esisiseko, kunye naziphi na iziphumo ebezingalindelekanga zotyando. Ukuze ugcine impilo yakho kunye nokuncipha kobunzima, baya kufuna ukwazi ukuba uzikhathalele kwaye uthobela imithetho efanelekileyo yokuphila.

Ngaba kuya kufuneka ndilandele ukutya emva kotyando lomkhono wesisu?

Ukuqinisekisa ukuba isisu sakho siphiliswa ngokufanelekileyo kwikamva elikufutshane, kufuneka unamathele kwizithintelo eziqinileyo zokutya. Unokuqala ukutya okuqhelekileyo emva kweenyanga ezimbalwa, kodwa kuya kufuneka wenze ukhetho lokutya olunolwazi. Kuya kufuneka uqiniseke ukuba into oyityayo inezondlo ngokwaneleyo ukuba ihlangabezane neemfuno zakho zamandla kuba awuzukwazi ukutya kakhulu njengoko ubuqhele ukwenza. Kungekudala emva kokuhlinzwa, uya kuqala ukuthatha iivithamini, kwaye kuya kufuneka wenze njalo ngokungenasiphelo.

Ziziphi iingenelo zale nkqubo?

Inkqubo yomkhono wesisu ayintsonkothanga, iyakhawuleza, kwaye ikhuselekile kunezinye iinkqubo zotyando lwe-bariatric. I-sleeve gastrectomy isoloko inyanyezelwa zizigulana ezinemiba yonyango enokuthi zibathintele ekubeni bafumane unyango olude. Inkqubo kwakhona ayinakwenzeka kakhulu ukuba ibangele imiba yesondlo yexesha elide kuba ayilungelelanisi amathumbu akho.

Utyando lomkhono weGastric lusabonelela ngelahleko elungileyo yobunzima kunye neenzuzo zempilo, nangona umndilili wokwehla kobunzima bungaphantsi kancinane kuneenkqubo eziphucukileyo zokwehla kobunzima. Ukutshintsha kwe-duodenal lutyando lwe-bariatric enamanyathelo amabini olwaqala ngale nkqubo. Emva kokuba izigulana ezininzi zifumanise ukuba akukho mfuneko yokuba zigqibe isiqingatha sesibini, oogqirha botyando baqala ukubonelela ngonyango oluzimeleyo.

Yeyiphi imingcipheko enokubakho okanye iingxaki zotyando lomkhono wesisu?

Amaxesha amaninzi, akukho mingcipheko utyando lwemikhono esiswini. Iintlungu kunye nesicaphucaphu ziyenzeka kuphela emva kotyando. Nangona kunjalo, kwezinye iimeko, kunokwenzeka ukuba ube nemingcipheko efana nokopha kunye nosulelo.

Liliphi ixesha lokubuyisela emva kotyando lomkhono wesisu?

Ngaphambi kokuba ulindele ukuziva ungcono ngokupheleleyo okanye ukwazi ukuphinda uqalise ukusebenza ngokusemandleni akho ngokupheleleyo, zinike ubuncinci inyanga. Abantu abaninzi bafumana ukudinwa okanye ukudinwa ngeli xesha njengoko imizimba yabo izama ukuchacha ngelixa ihlengahlengisa isithintelo sekhalori. Uya kukwazi ukuphatha ukutya okungamanzi kuphela kwiiveki ezimbalwa zokuqala. Ekugqibeleni uya kutshintshela kukutya okuthambileyo kwaye emva koko ukutya okuqinileyo.

Bungakanani ubunzima obuya kulahlekelwa ngumkhono wesisu?

Kunyaka wokuqala ukuya kwemibini, unokulindela ukuphulukana ne-25% ukuya kwi-30% yobunzima bomzimba wakho ngokomndilili. Oku kuthetha ukuba ukuba ubungama-300 eeponti phambi kotyando, ubuya kulahla i-100 yeeponti. Ngokuxhomekeke kwindlela yokuphila oyikhethayo emva kotyando, unokulahlekelwa ubunzima obungaphezulu okanye obuncinci. Abanye abantu bafumana ubunzima obuthile, kodwa ekuhambeni kweminyaka emihlanu, i-avareji yelahleko yobunzima be-25% ukuya kwi-30% yobunzima bomzimba wakho ihlala izinzile.

Kuthekani ukuba ayisebenzi?

Abanye abantu bayabufumana ubunzima abaphulukana nabo nangona kuqhelekile. Basenokubuyela kwiindlela zabo zokuziphatha zangaphambili, okanye ekuhambeni kwexesha, isisu sabo sinokukhula kwakhona. Unokucinga malunga nokwenza utyando lokuhlaziya umkhono wesisu ukuba oku kwenzeka kuwe. Ugqirha wakho unokwenza i-gastric bypass okanye i-duodenal switch endaweni yomkhono wokuqala wesisu ukuba bakholelwa ukuba banokufumana iziphumo ezingcono.