Kuvhiyiwa kweBariatric kunogona kuva nzira inobatsira yekuwana kurasikirwa kwemazimai kwevakadzi vane polycystic ovarian syndrome (PCOS). Asi kuedza kuziva kuti ndeupi rudzi rwekurasikirwa kwekureruka kwakanakisisa iwe unogona kuva dambudziko rakaoma uye rinokanganisa kudzidza.
Bhizinesi rekuvhiya raive rakapoteredza kubvira kuma1960 uye ikozvino dzakawanda dzemitambo dzinoitwa laparoscopically , zvinoreva kuburikidza nehuwandu hwezvinhu zviduku zvichishandisa kamera mukati memuviri.
Kusarudza Yakanakisisa Rudzi Rwenzira Yokurasikirwa Kwemafuro Kwawe
Kuita sarudzo yekurasikirwa kwekureruka inokosha, sekuwana chiremba wako uye pakupedzisira, chirwere chei chekuita. Kune marudzi akawanda akasiyana-siyana ekuvhiya uye chiremba wako anogona kunge ane zvaanoda kana kukurudzira kuti ndezvipi zvichange zvakanyatsoshanda kune PCOS yako.
Chiremba wako angangodaro akaratidza nzira iyo yaanobudirira zvikuru nayo, chikonzero chinokosha chekuda kwaunoita chiremba chiremba ane ruzivo rwekushanda nevakadzi neCPOS. Kune marudzi akawanda emitemo uye imwe neimwe inobatsira uye yakaipa.
Roux-En-Y
Laparoscopic Roux-En-Y Gastric Bypass ndiyo nzira inowanikwa zvikuru, uye inosanganisira zvinotevera:
- Kugadzirisa chirwere chemuviri (GI) kuitira kuti zvokudya zvipfukidze huwandu hwemudumbu uye utumbo hudiki.
- Chikwata chiduku chakasikwa kumusoro kwemukati.
- Chimwe chechipiri chinoshandiswa pachikamu chezasi chemukati mudumbu, iyo yakabatana nehomwe yakagadzirwa pamusoro pemudumbu.
- Izvi zvinobvumira kudya kudarika ruzhinji rwechikamu che (GI) turakiti inobata kudya uye makorikori.
Roux-en-Y inoita seinobudirira zvikuru pakudzosa insulin kusagadzikana, dambudziko guru kune vakadzi vane PCOS, kunyange musati mutevedzeri asati atera.
Kune rumwe rutivi, iyi nzira inotakura njodzi yakanyanya ye malabsorption yezvibereko zvizhinji.
Izvi zvinowanzogadziriswa, uye kudzivirirwa, pamwe nemishonga inogona kuve yakakosha kudzivirira kukanganisa kwakanyanya kwezvokudya. Iwe unodawo kutarisa pedyo uye kugara uchiona maitiro ekuchengetedza kuti uchengetedze maitiro ako ezvekudya.
Kune dzimwewo njodzi, kusanganisira maronda, kuvhara, kuputika kuburikidza ne-sutures kana staples, uye dumping syndrome (iyo isina kufadza apo zvimwe zvikafu kana zvinwiwa zvinokonzera kukanganisa kwakanyanya uye kurwisa).
Lap Band
Lap Band , kana Laparoscopic Kugadzirisa Gastric Banding (LAGB) ine nguva shomanana yokushanda (pasi pemaminetsi maviri) uye nguva shoma inoshandiswa muchipatara ichienzaniswa neRoux-en-Y. Izvi zvinosanganisira:
- Kuisa boka rinoshandiswa silicone kumativi ekumusoro kwedumbu iro rinogona kuenderera mberi uye rakasimbiswa kurega kudya kwekudya.
- Iko kusimbiswa kana kutengesa kwezvinhu kunoitwa kuburikidza nechiteshi chegungwa chakaiswa pasi peganda remuviri.
Zvimwe zvidzidzo zvinoratidzira kubudirira kwehuwandu hwakafanana neRoux-en-Y, zvisinei, chido chikuru chekuvhiyiwazve chakataurwa pamusoro pezvikwata zvebhanji kana matambudziko.
Sleeve Gastrectomy
Mune mazita anonzi Laparoscopic Sleeve Gastrectomy (LSG), izvi zvinosanganisira:
- Kuchinja maitiro emudumbu kubva muchigadzirwa chechikwata kuva sleeve duku.
- Chikamu chemuviri chakabviswa kuti chigadzirire chimiro chitsva, izvo zvinoguma nekuderera kwesimba vhutu.
LSG inzira itsva uye ine zvishoma zvidzidzo zvakabudiswa. Zvinetso zvinofanirwa kunge zvakaderera nemitambo iyi nokuti haisanganisi chero upi zvake hwekuvhiya uye inodzivirira kuiswa kwezvigadzirwa.
Kunyange zvazvo iyi nzira inoshanda, tsvakurudzo inoratidzika kuratidza kuti Roux-en-Y nzira inonyanya kuwedzera pakurasikirwa kwekurema nekuvandudza insulin senzwi. Zvisinei, kuwedzera kurasikirwa kwemazivi kwakawanika neyiyi nzira nepamusoro pekuvhiyiwa kweBap Band zvichienderana nekuongorora kwe2012 kwakabudiswa mu Journal of World Diabetes.
Ndeupi rudzi rwekushaya kurasikirwa kwehutano hwakanaka kune vakadzikadzi vane PCOS?
Nyaya yaApril 2012 mu World Journal Diabetes yakabudisa kuti Roux-en-Y inotungamirira kune imwe yepamusoro yekuwedzera kuderedza kurasikirwa kupfuura zvose Lap Band Surgery uye Sleeve Gastrectomy. Kugutsikana kwevarwere kwakawanikwawo kuti kwaive kwakakwirira neRoux-en-Y.
Zvakakosha kuva nehurukuro yakasununguka nechiremba wako pamusoro pekusarudza kwako uye nzira ipi yaanosarudza iwe (uye nei). Iva nechokwadi chekuita tsvakurudzo yako usati wasarudzwa uye unzwisise zvaunogona kuita uye zvinangwa zvekuvhiyiwa, sezvo zviratidzo zvako zvePCOS uye nhoroondo yako pachako zvingave yakasiyana nezvimwe izvo chiremba wako akashanda.
Kuwana pfungwa yechipiri nguva dzose chinhu chakanakisisa, kunyanya kana uchinetseka pamusoro pehutano hwako hwakarongwa.
Sources:
American Physiological Society. (2007, May 8). Lap Band Gastric Bypass Surgery Inovandudza Insulin Resistance.
JAMA uye Archives Journals. (2011, February 22). Gastric inpass chirurgical inobatanidza nehutano huri nani hwehutano.
Malik, SM, & Traub, ML (2012). Kutsanangura basa rekuvhiyiwa kwevanaatric mu polycystic ovarian syndrome varwere. World Journal Diabetes