Bariatric chirurgic izwi rinoshanda kune dzimwe nzira dzekuvhiya dzakagadzirwa kuti dzishandise kuneta uye kuvhiya zvinokonzera kuora muviri. Imwe yemaitiro aya ndiyo gastric banding.
Iyo Inoshanda Sei
Gastric banding-inowanzonzi "lap-band" kana yaitwa laparoscopically-inoratidzira chirwere chinonzi bariatric. Ne gastric band nzira, iyo inowanzoitwa laparoscopically , bhandi inogadzirirwa kumativi emudumbu, ichiparadzanisa mudumbu muzvikwama zviviri: chikwata chepamusoro chepamusoro chiri pamusoro pebhanhire, nehombodo yakaderera pasi pebhanhire.
Ihombodo shoma inogadzirisa huwandu hwezvokudya izvo munhu angadya pane chero imwechete akagara, uye zvino zvinokonzera kunzwa kwekuzara nechingwa chiduku.
Bhenu inogona kugadziriswa nekujova kana kubvisa saline kubva pairi, nokudaro kuderedza kana kuwedzera ukuru hwekuvhura pakati pemativi maviri emudumbu. Bhenji inobviswa uye haigadziri zvachose kutenderera kwemuviri kana chirwere chekudya.
Gastric banding inowira pasi pechikamu che "kudzivirira" kusima-kurasikirwa nekuvhiya, nokuti inoderedza, kana kuti inodzivisa, simba rinobudirira remuviri kugamuchira zvokudya.
Kubudirira
Mukuongorora kwakarongeka kwezvidzidzo zvakabudiswa kusvika zvino, boka rimwe revatsvakurudzi rakawana kuti kunodzwa kurasikirwa kwekurema nekurembera kwemajoka kwaiva ne 45% pavhareji, nekuderedzwa kwechipiri chechirwere cheshuga che 28.6%. Kuwedzerwa kwehuwandu hwehuwandu hwehutachiona (high blood pressure) wakanga uri 17,4% ne gastric band, uye kuderedzwa kwe hyperlipidemia (high cholesterol) kwaive 22,7%.
Nhamba idzi dzaive dzisingasviki kune dzinoonekwa nechepamusoro-soro uye maitiro emagetsi.
Pasinei nouchapupu huripo iye zvino, zvakadaro, zvidzidzo zvekutsvaga kwenguva refu zvinodiwa, sezvo pasina zvidzidzo zvekuvhiya kwebhaatric inoratidzika kuparidzira migumisiro inopfuura makore mashanu. Nokudaro, kunyange zvazvo nhamba yekutanga yekurasikirwa kwemaima ichizivikanwa, chii chisingazivikanwi kuti kuora kwehuwandu kunorevei kwemakore manomwe kana gumi kana kupfuura.
Migumisiro Yechiri
Maererano neAmerican Society yeMetabolic uye Bariatric Surgery, zvimwe zvezviitiko zvinotevera, zvakadai se "dumping syndrome" uye chirwere chekurara, chinobatanidzwa nemamwe chirongwa chebriatric sezvinoitwa gastric overpass hazvitarisirwi kuti zvibatanidzwe ne laparoscopic inogadziriswa kugadziriswa gastric. Kuvharwa, zvisinei, zvingangodaro zvingaitika.
Varwere vane gastric banding vanogonawo kuva nedysphagia (kuoma kunomedza), kunyanya mushure mekunge boka rakasimbiswa, kana "kuchinjwa."
Nekuregererwa kwero-kurasikirwa-shandiswa kwakadai sekugadzira muviri, malabsorption syndrome hazviitiki, nekuda kwekuti zvokudya zvinodyiwa pakupedzisira zvinokonzera nzira yacho kubva pahomwe yepamusoro kusvika muhomwe yepasi, iyo inowanikwa zvinoenderana sezvainofamba hutumbu hudiki uye humwe hwose hwekudya gumbo.
Zvisinei, nekuda kwekuderedza kudya kwezvokudya (ndiko kuti, shure kwezvose, pfungwa yeiyi nzira), kukanganisa kwekudya kunogona kuitika, uye zvishoma, zvinokurudzirwa kuti vashandi vekubata mabheji vanotora multivitamin yakakwana zuva rimwe nerimwe. Zvimwe zvipo zvekudya zvinogona kukurudzirwa zvichienderana nezvinodiwa nemurwere mumwe nomumwe, uye kufambidzana pedyo nechiremba kunokosha.
Sources:
American Society yeBariatric Surgery Public / Professional Education Committee. Bariatric chirurgic: postoperative kunetseka. Yakabudiswa muna February 2008.
Arteburn DE, Fisher DP. Ikozvino maitiro ehupupuriro hwekuropwa kwebhaatric. Editorial. JAMA 2014; 312: 898-899.
Puzziferri N, Roshek TB, Mayo HG, et al. Nguva yakareba yekutevera mushure mekuvhiyiwa kwainzi bariatric: kurongeka kwehurongwa. JAMA 2014; 312: 934-942.