Gastric Bypass Tsanangudzo
Gastric bypass chirwere chakakanganiswa kurasikirwa, zvichiita zvose kuderera mukati mekukura kwemuviri uye chikamu chinokonzera chikamu chiduku kuderedza calorie kudya. Gastric bypass inowanzonzi "roux-en-y" kuvhiya kurasikirwa kwekureruka uye ndeimwe yemapurisa ekurasikirwa zvakanyanya kubudirira kwehutano hwakasimba, hurefu hurefu hunoreka.
Gastric inpass varwere vanonzwa vachikurumidza zvakanyanya uye vanogara nenzira iyo yakareba kwenguva yakareba kudarika inowanzoitika.
Izvi ndechokuti chikwama chinogadzirwa kuti chiparadzanise chete chikamu chiduku chemuviri chekugadzirwa kwezvokudya. Mukuwedzera, chikamu chemukati mudumbu chakanyanyisa kuderedza kuwanda kwezvokudya, uye saka zvikori, zvinogona kushandiswa nemuviri.
Kana iwe uchiita izvi, iwe unofanirwa kuchinja zvakanyanya mukudya kwako uye mararamiro ako kuitira kuti urongwa huve nehuwandu hunoita. Zvokudya mushure mekuvhiyiwa zvinofanira kunge zvisingakwanisi imwechete imwe neimwe; kunwa mvura nemishonga kunogona kuzadza chikwama, zvakare, kuitira kuti iwe unofanira kufungisisa kuti kuita kudaro kunogona kudzivirira kudya kwezvokudya zvakasimba. Asi, nokuti mudumbu unokwanisa kutambanudza kuti uwane zvokudya, unogona kudya zvikamu zvakakura kudarika izvo zvakapfuura nguva.
The Gastric Bypass Surgery Procedure
Icho chirwere chekudya chinowanzoitwa chinowanzoitwa muchipatara kana nzvimbo yekuvhiya, uchishandisa General Anesthesia . Kazhinji yenguva, nzira yacho inoitwa laparoscopically, zvinoreva kuti chiremba anovhiya anoshandisa zviridzwa zvenguva refu kuti ashandise kuburikidza nezvakaitwa zvishoma.
Muzviitiko zvisingawanzoitiki, chirwere chichave "Chizarurirwa," chakaitwa kuburikidza nekukura kukuru, kwechihedheni. Kuvhiyiwa kunotanga laparoscopically kunogonawo kushandurudzwa nenzira yakazaruka kana chiremba chiremba achifunga kuti zvakafanira.
Kuvhiya kunotanga nehafu yakareba inenge yakareba yakareba yakareba mukati memudumbu.
Zvishandiso zvinowanikwa kuburikidza nezvisarudzo izvi, uye chiremba anovhiya anotanga nekugadzira chikwama kubva munzvimbo yekudumbu iri pedo kusvika panoputi. Chikwata chacho chakadzimwa zvachose kubva kune imwe yese yemudumbu, iyo yakagadziriswa yakavharwa uye inoramba iri mumuviri (kunyange iyo isingachagoni kudya zvokudya). Mutsipa we sphincter, unobata zvokudya mudumbu, unoramba wakabatana nechikamu chisina kushandiswa chemuviri; iyo yepamusoro inonzi sphincter inova mukova wehomwe.
Kamwe kana chikwama chikaumbwa, hutumbu hudiki hunosimbiswa kune chikamu chemuviri chisingaiti zvokudya. In incision kuparadzanisa tumukati maduku muchikamu chepamusoro uye chepamusoro chinoitwa, uye chikamu chepamusoro chiri stapled chakavharwa. Chikamu chepasi chiri mudumbu zvino chinosungirirwa kuhomwe yakangobva kuitwa. Chikamu chekumusoro chemukati mudumbu chinoramba chiri mumuviri, chakabatanidzwa kune chisina kushandiswa mudumbu, asi, zvakare, hachigadziri kudya.
Mushure mokunge chirwere ichi chichigadzira kuti zvinyorwa uye suture hazvirevi, zvigadzirwa zvinodzingwa uye izvo zvinoshandiswa zvakavharwa, zvinowanzo ne sutures inoputika uye isina tape.
Mhedzisiro inowanikwa yeGastric Bypass Surgery
Iyi nzira inopfurikidza kubudirira kudarika zvinogadzirisa nzira, dzakadai segastric banding , nokuti haisi kuvimba chete pamusoro pekuchinja maitiro.
Kunyange zvazvo chikwama chinobatsira kugadzira manzwiro okuzadza uye asingabvumi kuti zvokudya zvakawanda zvipere, makoriji anopedzwa haashandiswi zvachose nemuviri nekuda kwekudarika kwechikamu chemukati mudumbu.
Nokuti kuora kwekurema hakubatsiri zvachose nekuenderera mberi kwekudya kudya zviduku zvishoma, varwere vanowanzorasikirwa makumi matanhatu kubva muzana yehuwandu hwekuremera mushure mekuvhiyiwa; vanopfuura chetatu vanorasikirwa ne80%. Vakawanda vanorwara vanosvika paurefu hwavo hwakaderera anenge makore maviri mushure mekuvhiyiwa. Imwe yongororo yakangoratidzwa yakaratidza kuti 90% yevarwere vanochengetedza kurasikirwa kwehafu yeuviri yavo yepakutanga kwemairo makore gumi mushure mekuvhiyiwa, mugumisiro wakangoratidzwa chete ne Roux-en-Y uye chirwere chakafanana, biliopancreatic diversion.
Zvinosuruvarisa, maitiro ekurasika-uye-dzimwe nguva roux-en-y - zvinokonzera matambudziko nekuwana kudya kwakakwana uye kunwa mavitamini nemajini.
Zvimwe Zvinogona Kuitika Zvokudya Zvokudya Zvokudya
Zvechokwadi, kune zvikanganiso kune izvi - uye chero-zvinotevera. Varwere vakawanda vanowana dumping syndrome, mamiriro ezvinhu apo zvokudya zvinokurumidza kukurumidza kubva mudumbu kusvika mumukumbo muduku, zvichiita kuti manzwiro ezvinyonganyonga, kusuruvara kunotonhorera, chills uye kazhinji kuora uye kuora mwoyo. Vakawanda varwere vanoona kuti kukura kwekukura kwekudya uye shuga yekudzivirira kunodzivirira dumping syndrome.
Kusagadzikana kwezvokudya zvinovaka muviri kunewo njodzi, sezvo nzira iyi inoderedza kukwanisa kwemuviri kubata mishonga, uye varwere vakawanda vanoda vitamini uye mineral supplementation kweupenyu hwavo hwose.
Kuvhiyiwa hakugadziriswi, asi kuvhiringidzika kwekuvhiyiwa kunogona kubviswa nekusadya zvakakwana, izvo zvinogona kutambanudza chikwama kusvikira chiyero chekudya chinogona kugadzirwa uye kushandiswa nemuviri hachirevi zvishoma kudarika chinangwa chachiremba. Kana uchida kuchinja uku, taura nachiremba wako kuitira kuti ugone kuronga chirongwa chekukubatsira kuita izvi zvakanaka uye zvakachengeteka.
Kakawanda, gastric bypass ndiyo inowanzoitwa kuvhiya kurasikirwa, uye 140,000 maitiro anoitwa muUnited States gore negore. Kunyange zvazvo iri chirwere chakakomba nezviitiko zvakakura, varwere vakambova nemigumisiro iri nani nekurasikirwa kwese kwemazivi, kwenguva refu yekurema kwekugadzirisa nekuvandudzwa kwehutano hwakanyanya kupfuura avo vakasarudza chero humwe rudzi rwekurasikirwa kurasikirwa.
Sources:
Bariatric Surgery Nokuda Kwakawanda Kwakawanda. Consumer Information Sheet. National Institute of Diabetes and Digestive and Kidney Diseases. March 2008. http://win.niddk.nih.gov/publications/gastric.htm
Jones, Nicolas V. Christou, MD, PhD, Didier Tarisai, MD, naLloyd D. MacLean, MD, PhD. "Kurema Kunowanikwa Mushure Mokukurumidza-uye Kwema-Limb Gastric Inpass muvarwere Vanoteverwa Kwemarefu Kupfuura Makore 10." Annals of Surgery 2006 November; 244 (5): 734-740.