Kukosha Kwokurapa Kuwedzerwa Kwakawanda uye Kurasikirwa Kweutoro
Bariatrics ndiro davi remishonga inobata nekudzidza, kurapwa, nekudzivirira kuneta . Izwi rokuti batiatrics rinotorwa kubva muchiGiriki baro baro - zvinoreva kurema kana kukuru. Munda weBariatrics unobatanidza kudya, kurovedza muviri, kurapwa, mishonga, nekuvhiya - zvose zvinotarisirwa kuita nekusimudzira kuora kwekukura.
Mupi wehutano wehutano anogona kunyanya kuongorora bhaari, asi haasi iye chiremba.
Mumwe wezvokudya anonyanya kuzivikanwa neBriatrics angave ari munhu anonyanya kubatsira mukurapa kudzivirira kana kukurira kuneta, sezvinoita mushonga anonyanya kuongorora bhaatrics aizopa rubatsiro rwemashoko kuvanhu ivavo. Nzvimbo dzakawanda dzehutano hwehutano dzinogona kuva nevanhu vanonyanya kugadziriswa.
Kushandiswa kwakajairika kweshoko rokuti "bariatrics" rinoreva kureva nzvimbo yemishonga inobata kunenepa nekusarudza nzira. Kuvhiyiwa kwebariatric kunosanganisira nzira dzekugadzirisa kana kupedza zvachose ukuru hwemimba kana kuderedza chiyero chezvokudya zvinogona kugadzirwa uye zvinoshandiswa semakoriji mumuviri. Mamwe maitiro ariatric anoita zvose, zvakadai se roux en y, iyo nzira iyo iyo inoderedza kukura kwemuviri uye inoderedza kuwanda kwemakori ayo muviri unogona kutora.
Bariatric Vanachiremba: Dzidzo neChikoro
Vanachiremba vanoita mishonga ye-bariatric muUnited States vanogona kunge vane bhokisi-vakavimbiswa neAmerican Board of Obesity Medicine (ABOM).
Kazhinji, chiremba achazadza kugara kwemishonga yemhuri, mushonga wepamberi, kana chirwere chisati chaitwa vasati vawedzera kudzidziswa kuti vawane chikwata cheAABOM.
Bariatric surgeons vanachiremba vakadzidziswa mukuvhiyiwa kusanganisira bariatric chirongwa. Nyanzvi dzisiri dzechiremba dzinoongorora mukurapa kwekuninipiswa dzinozivikanwa sevanhu vasiri vana.
Mukuwedzera pakubata nekunyanyisa, vaharaatori vanowanzozivikanwa mune zvirwere zvinotarisana zvinowanzovapo pamwe chete nokuneta, kusanganisira chirwere cheshuga , arthritis, uye chirwere chemwoyo.
Non-Surgical Treatment Approaches
Kunyange zvazvo vanachizvarwa chechibharo vachinyanya kufunga nezvekupindira kusina kupirisa muhutano hwekutanga, tsvakurudzo inoratidza kuti izvi chete zvinokonzera nguva shomanana kubudirira uye zvakanyanya kusingagumi kwenguva refu kubudirira. Kupindira kwepakutanga kunogona kusanganisira kudya kwakarongeka, zvirongwa zvekuita zvekurovedza muviri, uye maitiro ekunyatsodzidza maitiro ekutsvaga uye kugadzirisa mafambiro akaipa.
Mishonga inogonawo kushandiswa. Pakati pavo:
- Belviq (lorcaserin) inoderedza chishuwo kuburikidza nekugadzira serotonin receptor inodzora chirwere chegumbo.
- Byetta (exenatide) inoshandiswa kurapa rudzi rwechipiri chirwere cheshuga asi inogonawo kukurudzira kuora kura nekuderedza kubudiswa kwemudumbu nekuita kuti munhu anzwe achikurumidza zvakanyanya.
- Glucophage (metformin) inoshandiswawo mune vane chirwere cheshuga asi inogonawo kuderedza uremu kuburikidza nekuderedza kuwanda kweglucose yakagadzirwa nechiropa ichiwedzera kuwedzerwa kweglucose mumasumbu.
- Qsymia (phentermine uye topiramate) inobatanidza chido chinokurudzira ne anticonvulsant chakatenda kuti chinokonzera kuora muviri.
- Xenical (orlistat) inoderedza kunwa kwemazi emukati kuburikidza nekudzivisa pancreatic enzyme dzinoputsa mafuta.
Bariatric Surgery
Kuvhiyiwa kweBariatric chimwe chezvinhu zvakasanganisira zvinosanganisira mishonga yeBaratric. Bariatric mavhiya anoda kushamwaridzana kwegore kana kupfuura mushure mekupedzwa kwekugara kwechiremba. Izvi zvakapfuurira kudzidziswa zvinopa maoko-pane ruzivo mukuita marudzi akasiyana ekureruka kurasikirwa.
Bhizinesi rekuvhiya inowanzoonekwa sevanhu vane muviri wehuwandu huwandu (BMI) we 40 kg / m 2 kana mukuru mune zvisingashandisirwi zvekuvhiya zvakakundikana.
Pakati pezvokuvhiya:
- Kugadziriswa gastric banding (inozivikanwawo sebheti band) inoitwa laparoscopically uye inosanganisira kushandiswa kwebasa risingaperi rinogadzirisa hukuru hwemudumbu.
- Gastric surpass surgery (iyo yakajairika zvikuru iyo iyo Roux-en-Y bypass) yakagadzirirwa kuderedza kuwanda kwezvokudya munhu anokwanisa kudya kuderedza chikamu chemuviri.
- Gastric balloon inzira isingasviki iyo inosanganisira kuiswa kwebhokisi rakasvibiswa mukati memudumbu iyo inokonzerwa kuti ideredze gastric space.
- Sleeve gastrectomy (inozivikanwawo sejasi rinoshandiswa gastric sleeve) inosanganisira kuderedzwa kusingadzoki kwemuviri kunenge makapoteredza 15 muzana nekubvisa chikamu chakafanana sleeve chechirongwa.
- Vertical banded gastroplasty (inozivikanwawo sechibereko chemuviri kana kuti Mason chirongwa) chinosanganisira kugadzirisa kusingaperi kwemudumbu kuumba chikwata chiduku chepamu.
Shoko Rinobva
Kukosha kwebriatatrics kune imwe nzira itsva, asi kuwedzera kukuru kuri kuitwa mukurapa kwekuninipiswa kwepamusoro pamwe nekuvhiyiwa uye kunze. Kune vanhu vanorema, kune marudzi mazhinji ehutano anowanikwa kubva pakudya kwezvokudya kune nzira yekuvhiya kuti kuderedze marori anowanikwa mumuviri. Kune munhu anenge akaoma uye achida kurasikirwa nemafuta akawandisa, pane zvakawanda zvingasarudzwa.
> Kwakabva:
> Gloy, V .; Bhatt, D .; Kashyap, S. et al. "Kuvhiyiwa kwebariatric pamwe nekurapa kusina kupirisa kwekuninipisa: kuongorora kwakarongeka uye meta-kuongororwa kwemiedzo yakarongedzwa yakasarudzwa." BMJ . 2013; 347: f5934. DOI: 10.1136 / bmj.f5934.