Ukuhlinzwa Kwemikhono Ye-Gastric vs. Izinqubo ze-Gastric Balloon

Iyini i-Gastric Sleeve?

Lokhu kuhlinzwa, okuvame ukukhethwa emkhakheni wokuhlinzwa kwe-bariatric, kuhlanganisa ukunciphisa isisu sesiguli ngendlela yebhanana. Ngale ndlela, kuhloswe ukuthi isiguli sehlise isisindo. Lezi zindlela zokwelapha azibuyiseleki emuva, ngakho-ke kufanele kwenziwe isinqumo esihle futhi kwenziwe ucwaningo oluhle. Ngakolunye uhlangothi, kuyindlela ewusizo kakhulu. Ivumela isiguli ukuba silahlekelwe isisindo kalula.

Iyini I-Gastric Balloon?

Ibhaluni lesisu yindlela yokwelapha esetshenziselwa ukwehlisa isisindo. Kuyinqubo elula kakhulu kuneGastric Tube. Lezi zinqubo, ezingadingi ukusika noma ukuthungwa, ngezinye izikhathi ingasetshenziswa ukunciphisa umzimba ukuze ulungiselele ukuhlinzwa kwe-sleeve gastrectomy futhi ngezinye izikhathi ukulahlekelwa isisindo yedwa. Kubandakanya ukufutha ibhaluni elibekwe esiswini ngendlela ye-endoscopic. Uma lokhu kusebenza kusekelwa ngokudla kanye nemidlalo, isisindo esiningi silahlekile. Ngokwesilinganiso, kunjalo kungenzeka ulahlekelwe 25% wesisindo samanje.

Nakuba indlela ye-gastric balloon iye yathandwa kakhulu eminyakeni yamuva nje, iye yathuthukiswa ngokwengeziwe. Amabhaluni e-smart gastric aqala ukukhiqizwa. Ngale ndlela, iziguli zingakwazi ukuthatha le nqubo kalula, osekulula kakade. Amabhaluni e-smart gastric ahlanganisa ukugwinya nokufutha ibhaluni ngamanzi emtholampilo kadokotela. Le ndlela isiqalile ukuthandwa kaningi kunendlela yebhaluni yendabuko. Ungasithinta ukuze uthole ulwazi oluthe xaxa mayelana nebhaluni le-gastric elihlakaniphile.

Ingabe I-Gastric Sleeve Yinqubo Eyingozi?

Umkhono wesisu uqukethe izingozi eziningi kunebhaluni lesisu. Nakuba kwenziwa kusetshenziswa indlela ye-laparoscopic, idinga ukusika nokuthungwa. Lokhu kudala ingozi yokutheleleka. Nakuba ukwelashwa kuphumelela, ungase uzwe ubuhlungu. Ngemuva kokwelashwa, kufanele unake kakhulu umsoco wakho futhi uthole ukwesekwa nguchwepheshe wezokudla. Njenganoma yikuphi ukuhlinzwa, kunezingozi;

• ukopha kakhulu
• ukutheleleka
• Ukusabela okungekuhle ku-anesthesia
• amahlule igazi
• Izinkinga zamaphaphu noma zokuphefumula
• Ukuvuza onqenqemeni lwesisu
• ukuvinjelwa kwamathumbu
• i-hernias
• i-reflux yesisu
• ushukela wegazi ophansi
• ukungondleki okwanele
• Ukuvota

Ingabe i-Gastric Balloon iyinqubo enobungozi?

Ukufaka ibhaluni lesisu akuyona inqubo eyingozi. Kuyinqubo elula kakhulu kune-Gastricseleeve. Nokho, kuvamile ukuba ube nesicanucanu ngokushesha ngemva kwenqubo yebhaluni lesisu, lokhu kuzothatha isilinganiso sezinsuku ezi-3. Uma kuthatha isikhathi eside, xhumana nodokotela wakho. Ngaphandle kwalokho, imiphumela emibi engavamile futhi eyingozi yilena;

• Isicanucanu noma ukuhlanza okwenzeka iviki elingu-1 noma ngaphezulu ngemva kokuhlinzwa
• i-pancreatitis enamandla
• isilonda
• ukususwa kwe-balloon yesisu

Ubani Ongathola I-Gastric Sleeve?

• Umkhono wesisu ulungele iziguli ezingakwazi ukwehlisa isisindo ngokuzivocavoca okwanele nokudla okwanele.
• Iziguli ezinenkomba yesisindo somzimba engu-40 nangaphezulu zingathola kalula umkhono weGastric.
• Iziguli kumele okungenani zibe neminyaka eyi-18 ubudala.
• Iziguli ezinenkomba yesisindo somzimba engu-35 kodwa ezinezinkinga zempilo ngenxa yesisindo esiningi nazo zingathola ukwelashwa kwemikhono yesisu.

Ubani Ongathola Ibhaluni Yesisu?

• Inkomba yesisindo somzimba weziguli kufanele ibe phakathi kwama-30 nama-40.
• Iziguli kumele okungenani zibe neminyaka eyi-18 ubudala.
• Iziguli kwakungafanele zihlinzwe ngaphambili kwesisu noma esophageal.

Inqubo Yemikhono Yesisu eTurkey

Ukuhlinzwa kwemikhono yesisu eTurkey kwenziwa nge-laparoscopically ngochungechunge lwe-quarter- kuya kuhhafu-intshi ye-intshi esiswini, okwenza kube inqubo engavamile kakhulu kune-bypass yesisu. Umkhono wesisu uyinqubo yesikhathi esisodwa engakwazi ukuhlehliswa. Enqubweni yomkhono wesisu, cishe amaphesenti angu-75 kuya kwangu-80 esisu ayakhishwa, futhi izingxenye ezisele zesisu zihlanganiswa ukuze zenze umkhono ofana nobhanana.

Ngenxa yokuthi umkhono ulinganiselwa ku-10% kuphela ubukhulu besisu sokuqala, ungagcina ukudla okuningi kuphela, futhi iziguli ngeke zikwazi ukudla kakhulu ngendlela ebezingadla ngaphambi kokwelashwa. Isisu esincane sisho ukugcinwa kokudla okuncane, kodwa leso akusona ukuphela kwesizathu sempumelelo yenqubo ingxenye yesisu ekhiqiza i-ghrelin (ihomoni eyandisa indlala futhi ekhuthaza ukugcinwa kwamafutha) ikhishwa ngesikhathi sokuhlinzwa komkhono wesisu. Ngeke ufise ukudla ukudla okuningi uma une-hormone encane egazini lakho, futhi umzimba wakho uzogcina amafutha amancane.

Ngemva Kokuhlinzwa Kwemikhono Yesisu

Ngemuva kwe-sleeve gastrectomy, impilo yesiguli izoshintsha ngokuphelele. Konke lokhu kumele kubhekwe. Ngenxa yalesi sizathu, konke kufanele kucatshangelwe futhi kufanele kwenziwe isinqumo esihle ngaphambi kokunquma ngokuhlinzwa. Umkhono wesisu udinga izinguquko zokudla impilo yonke.

Kudinga ukudla okugcwele imifino, izithelo kanye nokudla okune-fiber-based empilweni yesiguli. Utshwala noma ukudla okunama-carbohydrate akufanele kudliwe. Ngemuva kokuhlinzwa, isiguli kufanele sizivocavoce uma sesilulama. Kukho konke lokhu, izodinga isazi sokusebenza kwengqondo kanye ne-dietitian. Njengoba kuyisinqumo esiqinile, kungaba nzima ngesiguli ukuhambisana nakho konke lokhu. Kule nqubo, balindele ukuthola ukwesekwa emindenini nakubangane babo.

Singakanani Isisindo Esingenzeka Ukuze Ulahlekelwe Ngomkhono Wesisu?

Iziguli ezinokudla okwanele nokudla okwanele ngemva kwe-sleeve gastrectomy zilahlekelwa u-25-35% wesisindo somzimba wazo phakathi nezinyanga ezimbalwa ngemva kokuhlinzwa kokuqala. Uma uqhubeka nokudla nokuzivocavoca esikhathini esizayo, uzolahlekelwa ngu-50-70% wesisindo.

Igastric Balloon Inqubo ETurkey

Amabhaluni esibelethweni, okwaziwa nangokuthi amabhaluni we-intragastric noma esiswini, kuvame ukubonwa njengokuyekethisa phakathi komuthi nokuhlinzwa. I-capsule kungenzeka iqukethe i-gelatin yengulube noma i-capsule esekwe kwimifino. Ibhaluni lakhiwe ngepulasitiki futhi likhulu ngaphezudlwana kwethebulethi elijwayelekile lamavithamini lapho lisongwe ngaphakathi kwe-capsule. Ukungenisa amaphilisi esiswini sakho, mane uwagwinye.

Ibhaluni lizogcwaliswa futhi ligcwale ngenhlanganisela yegesi ye-nitrogen hexafluoride uma isifikile esiswini sakho, kusetshenziswa ithubhu eliguquguqukayo elixhunywe ohlelweni lokwehla kwamandla emali. Ibhaluni lizofuthwa libe namandla angama-250cc, acishe afane ne-orange encane. Ishubhu eliguquguqukayo lizosuswa futhi likhishwe ngokucophelela emlonyeni uma ibhaluni selifuthisiwe. Ibhaluni lizohamba lizungeze isisu kwazise lintanta mahhala.

Ngemva Kokuhlinzwa Kwe-Gastric Balloon

Ibhaluni yesisu iyindlela yokwelapha evumelekile yezinqubo zezinyanga eziyisi-6 noma eziyi-12. Inqubo ilula kakhulu. Akudingi isinqumo esinqala. Kodwa-ke, uma isiguli sizimisele ukunciphisa umzimba, kufanele sidle ukudla okunempilo futhi senze imidlalo ngesikhathi se-balloon gastric. Iqiniso lokuthi lokhu akuwona umthwalo kuze kube sekupheleni kokuphila kwakhe kwenza umkhono we-Gastric kanye ne-Balloon izici ezimbili ezihlukene.

Singakanani Isisindo Esingenzeka Ukuze Ulahlekelwe Nge-Gastric Balloon?

Uma uthola ukwesekwa kwe-dietitian ngemuva kwebhaluni yesisu, kungenzeka ukuthi ulahlekelwe isisindo kahle. Nakuba lokhu kuwumphumela ohluka kumuntu nomuntu, kungenzeka ukuthi ulahlekelwe u-25% wesisindo somzimba wakho kuphela ngenxa yebhaluni yesisu. Ngemuva kwebhaluni yesisu, uma isiguli siqhubeka nokudla kanye nemidlalo, uzoqhubeka nokulahlekelwa isisindo.

Ingabe Ukhona Umehluko Womphumela Phakathi Kwesikhwama Sokugcoba Nesibunu?

Ngakolunye uhlangothi, umkhono we-Gastric uyisinqumo esiqinile nesihlala njalo, kuyilapho ibhaluni le-Gastric liwukwelashwa kwesikhashana okungasuswa kalula. Nakuba ibhaluni le-Gastric lisetshenziswa ukuze isisu sesiguli sizizwe sigcwele, umkhono we-Gastric uqinisekisa ukuthi isiguli sisuthi ngezingxenye ezimbalwa.

Imiphumela ye-Gastric Sleeve

Iziguli ezinazo ukuhlinzwa kwemikhono esiswini balahlekelwa ngamaphesenti angama-60 kuye kwangama-70 esisindo sabo esengeziwe ngokwesilinganiso. Cishe izinyanga eziyi-12 kuye kwezingu-24 ngemuva kokuhlinzwa, leli zinga lokwehlisa isisindo ngokuvamile liyatholakala.

Emavikini amabili okuqala, iziguli eziningi zilahlekelwa cishe iphawundi ngosuku, futhi ukwehla kwesisindo kuyaqhubeka ngemuva kwalokho. Abantu abaningi babona ukuguqulwa okuguqukayo noma okubonakalayo ekuguleni okuhlobene nokukhuluphala njengomphumela wobuningi obusindayo besisindo esisusiwe.

Imiphumela ye-Gastric Balloon

Ezinyangeni eziyisithupha zokuqala, iziguli zebhaluni zokulahlekelwa kwesisindo esiswini imvamisa balahlekelwa yi-10% kuye ku-15% wesisindo sabo sonke somzimba. Iziguli ezathola ukwelulekwa ngokuziphatha ngaphezu kokuhlinzwa zachitha cishe u-29% wesisindo esengeziwe, ngokusho kocwaningo oluthile. Izifo ezihlobene nokukhuluphala ziyathuthuka futhi, kepha hhayi kakhulu ngokuhlinzwa kwemikhono esiswini ngoba ukunciphisa isisindo akuhlali kubalulekile njalo. Ngoba ibhaluni lisuswa ngemuva kwezinyanga eziyisithupha, imiphumela yenqubo yesikhathi eside incike kakhulu ekuguqulweni kwendlela yokuphila.

Izinzuzo nezingozi ngokuhlinzwa kwe-Gastric Sleeve

Buhle beSleeve seGastric 

• Ungakhipha kuze kufike ku-65% wesisindo somzimba wakho esingeziwe usebenzisa le ndlela.
• Ngoba ukwelashwa okuyisinyathelo esisodwa, ingozi yezinkinga iyancipha.
• Uma kuqhathaniswa nokudlula esiswini, isikhathi sokutakula sifushane.
• Kunezinkinga ezimbalwa ngokumuncwa kwamaminerali novithamini.
• Ukulahla i-syndrome kuyinto engavamile.

Nebubi of Gastric sleeve se

• Uma kuqhathaniswa nokudlula esiswini, kuncipha ukuncipha kwesisindo.
• Ukwehla kwesisindo kunzima kakhulu.
• Akuhlehliseki.
• Inamandla okukhiqiza i-acid reflux.

Izinzuzo nobubi bokuhlinzwa kwe-Gastric Bypass

Buhle beGastric Bypass

• Kungalahleka kuze kufike ku-80% wesisindo sakho somzimba eseqile.
• Ukudlula emathunjini amancane, kumuncwa amakhalori ambalwa.
• Ulahlekelwa isisindo ngokushesha okukhulu kunokuba ngabe wahlinzwa umkhono esiswini.
• Kungenzeka ukuguqula isimo, noma kunzima kangakanani.

Nebubi of Gastric Dula

• Ngoba inqubo yezinyathelo ezimbili, kunethuba elikhulu lezinkinga.
• Isikhathi sokutakula side kakhulu kunangesikhathi sokuhlinzwa komkhono esiswini.
• Ukudlula emathunjini kubangela ukondleka kanye ne-vitamin malabsorption, okungaholela ekushodeni.
• Ukulahlwa kwesifo kuya ngokuya kwanda.

Yiziphi Izingozi Ezibandakanya Ukuhlinzwa Kwe-Gastric Sleeve vs Gastric Bypass?

Ukuhlinzwa kwemikhono yesisu eTurkey inobungozi obuncane benkinga, kepha njenganoma ikuphi ukusebenza, izinkinga ziyenzeka, iningi lenzeka zingakapheli izinsuku ezingama-30 ngemuva kwenqubo. Iziguli zingathola impendulo yokungezwani komzimba ne-anesthetic, kanye nokopha noma ukuvuza kwamathumbu ngenxa yomugqa oyisisekelo. Kukhona ingozi yokuphuma kwesisu esiswini, amahlule egazi, ukutheleleka kanye nesilungulela. Ukungondleki nakho kungenzeka, njengoba uzobe udla ama-calories amancane futhi ungantuleka ku-vitamin B-12, folate, zinc, novithamini D uma ungazithathi izithasiselo ezifanele.

Ukwelashwa kwesibhalisi kwesisindo esiswini eTurkey unengozi encane yezinkinga, iningi lazo livela uma ibhaluni ligcinwa esiswini sakho isikhathi esingaphezu kwezinyanga eziyisithupha. Njengoba umzimba wakho ujwayela ukuba khona kwebhaluni, izinkinga ezinjengokucanuzela kwenhliziyo, ukuhlanza, isifo sohudo, nokungakhululeki esiswini kungenzeka, nebhaluni lingawa, kepha lokhu akujwayelekile.

Yikuphi okungcono kakhulu kuwe?

Izici eziningana zithonya uhlobo lokuhlinzwa kwe-bariatric olungcono kakhulu kuwe (i-gastric sleeve vs ibhaluni yesisu), Kuhlanganise:

• Inkomba yomzimba wakho
• Isizinda sakho sezokwelapha
• Noma yiziphi izingqinamba zezokwelapha ongahle ube nazo
• Ukulindela kwakho

Xoxa ngalezi zinkinga nodokotela wakho ukuze ubone uma ukuhlinzwa nge-bariatric kukufanele. Wena nodokotela wakho ninganquma ukuthi ngabe uhlobo olulodwa lokuhlinzwa lulungele nina. Xhumana nathi ukuthola konke ukuhlinzekwa kokunciphisa isisindo eTurkey ngamanani angabizi kakhulu futhi uthole ulwazi mayelana nezinqubo.