Gastric bypass kuvhiya - kubuda

Iwe wanga uri muchipatara kuti uvhiywe gastric kuonda. Ichi chinyorwa chinokuudza iwe zvaunoda kuti uzive nezvako mumazuva nemavhiki mushure mekuvhiyiwa.

Iwe wanga uine gastric bypass kuvhiyiwa kuti ikubatsire kurasikirwa nehuremu. Chiremba wako akashandisa zvidimbu kuti apatsanure dumbu rako muchikamu chidiki chepamusoro, chinonzi homwe, uye chikamu chikuru chepasi. Ipapo chiremba wako akavhiya chikamu chemuhomba hwako hudiki kune buri diki mune iri diki dumbu homwe. Chikafu chaunodya chinozopinda muhomwe yako mudumbu, ndokuzopinda mudumbu rako.

Iwe pamwe wakapedza 1 kusvika mazuva matatu uri muchipatara. Paunoenda kumba unenge uchidya zvinwiwa kana chikafu chakacheneswa. Iwe unofanirwa kukwanisa kufamba famba pasina dambudziko rakawandisa.

Iwe unodzora uremu nekukurumidza pamusoro pemwedzi mitatu kusvika kumitanhatu yekutanga. Munguva ino, unogona:

• Iva nemaronda emuviri
• Inzwa kuneta uye kutonhora
• Iva neganda rakaoma
• Iva nemafungiro ekuchinja
• Iva nevhudzi kurasikirwa kana bvudzi kutetepa

Aya matambudziko anofanirwa kuenda sezvo muviri wako uchizojairira uremu hwako uye huremu hwako hunogadzikana. Nekuda kweiyi yekukurumidza kurasikirwa uremu, iwe uchafanirwa kuve unongwarira kuti iwe uwane zvese izvo zvinovaka muviri uye mavitamini aunoda iwe sezvaunopora.

Kurera huremu kunononoka mushure memwedzi gumi nemaviri kusvika gumi nesere.

Iwe unosara pane chinwiwa kana chakacheneswa chikafu kwemasvondo maviri kana matatu mushure mekuvhiyiwa. Iwe unozowedzera zvishoma nezvishoma zvinyoro zvishoma uyezve chikafu chenguva dzose, sekukuudza kwaunoita hutano hwako. Rangarira kudya zvidimbu zvidiki uye kutsenga kuruma kwega kwega zvishoma nezvishoma uye zvakakwana.

Usadya kana kunwa panguva imwe chete. Inwa zvinwiwa kwemaminitsi makumi matatu mushure mekudya. Inwa zvishoma nezvishoma. Sip paunenge uchinwa. Usamedzere. Wako anokupa anogona kukuudza kuti usashandise sadza, nekuti zvinogona kuunza mweya mudumbu rako.

Wako mupi achakudzidzisa nezve zvekudya zvaunofanira kudya uye zvekudya zvaunofanirwa kugara kure nazvo.

Kuva unoshanda munguva pfupi mushure mekuvhiyiwa kunobatsira iwe kupora nekukurumidza. Pakati pevhiki yekutanga:

• Tanga kufamba mushure mekuvhiyiwa. Famba-famba uchitenderera imba uye neshawa, uye shandisa masitepisi epamba.
• Kana zvichirwadza kana iwe ukaita chimwe chinhu, rega kuita icho chiitiko.

Kana iwe uine laparoscopic kuvhiyiwa, iwe unofanirwa kuve uchigona kuita yakawanda yezviitiko zvako zvenguva dzose mumavhiki maviri kusvika mana. Zvinogona kutora kusvika kumavhiki gumi nemaviri kana iwe ukavhiyiwa pachena.

Nguva ino isati yasvika, Usadaro:

• Simudza chero chinhu chinorema kudarika mapaundi gumi kusvika gumi nemashanu (5 kusvika ku7 kg) kusvikira waona wako anokupa
• Ita chero chiitiko chinosanganisira kusunda kana kudhonza
• Zvisundire zvakanyanya. Wedzera kuti unoita sei zvishoma nezvishoma
• Dhiraivha kana shandisa michina kana uri kutora mushonga wekurwadziwa. Iyi mishonga inokuita kuti uve nehope. Kutyaira uye kushandisa michina hakuna njodzi kana iwe uchiatora. Tarisa nemubatsiri wako nezvekuti ungatanga riini kutyaira zvekare mushure mekushanda kwako.

ITA:

• Tora zvishoma kufamba uye kukwira nekudzika masitepisi.
• Edza kumuka uye kufamba-famba kana iwe uchirwadziwa mukati medumbu rako. Zvinogona kubatsira.

Ita shuwa kuti imba yako yakagadzirirwa yako kupora, kudzivirira kuwira uye kuve nechokwadi kuti wakachengeteka muchimbuzi.

Kana mupi wako akati zvakanaka, unogona kutanga chirongwa chekurovedza muviri mavhiki maviri kusvika mana mushure mekuvhiyiwa.

Iwe haufanire kujoina gym yekurovedza muviri. Kana usina kurovedza muviri kana kushanda kwenguva yakareba, ita chokwadi chekutanga zvishoma nezvishoma kudzivirira kukuvara. Kutora kufamba kwemaminetsi mashanu- kusvika kugumi mazuva ese kutanga kwakanaka. Wedzera mari iyi kusvika wave kufamba maminetsi gumi nemashanu kaviri pazuva.

Iwe unogona kuchinja kupfeka zuva rega rega kana mupi wako akakuudza kuti uite saizvozvo. Ive neshuwa yekuchinja kupfeka kwako kana ikasviba kana kunyorova.

Unogona kunge uine maronda akatenderedza maronda ako. Izvi zvakajairika. Ichazoenda yega. Ganda rakakomberedza zvaunofungidzira rinogona kunge rakatsvuka zvishoma. Izvi zvakajairika, futi.

Usapfeke mbatya dzakakamira dzinokwiza pamusoro pezvaunoita pavanopora.

Chengeta kupfeka kwako (bhandeji) paronda rako kwakachena uye kuome. Kana paine sutures (stitches) kana staples, dzinozobviswa anenge manomwe kusvika mazuva gumi mushure mekuvhiyiwa. Zvimwe zvimedu zvinogona kunyungudika zvoga. Mupiki wako anokuudza kana iwe unazvo.

Kunze kwekunge waudzwa neimwe nzira, usageze kusvikira wapedza musangano wako wekutevera nemupi wako. Paunokwanisa kugeza, rega mvura imhanye pamusoro peyako incision, asi usatsvaire kana kurega mvura ichirova pamusoro payo.

Usanyike mubhavhu, dziva rekushambira, kana hot tub kusvikira mupi wako ati zvanaka.

Dhinda piro pamusoro pezvaunoita kana iwe uchida kukosora kana kuhotsira.

Ungangoda kutora mimwe mishonga kana waenda kumba.

• Iwe ungangoda kuzvipa mapfupa pasi peganda reropa-rinotapira mushonga kwemaviri kana anopfuura mavhiki ekudzivirira ropa clot. Wako mupi achakuratidza kuti sei.
• Ungangoda kutora mushonga kudzivirira maturu.
• Iwe unozofanirwa kutora mamwe mavitamini ayo muviri wako ungangotorera mushe kubva muchikafu chako. Maviri eaya vitamini B-12 uye vhitamini D.
• Iwe ungangoda kutora calcium nesimbi zvinowedzera zvakare.

Aspirin, ibuprofen (Advil, Motrin), uye mimwe mishonga inogona kukuvadza mubato wedumbu rako kana kutokonzeresa maronda. Taura nemupi wako usati watora mishonga iyi.

Kuti ikubatsire kupora kubva pakuvhiyiwa uye kugadzirisa shanduko dzese muhupenyu hwako, uchaona chiremba wako anovhiya nevamwe vazhinji vanopa.

Panguva yaunobuda muchipatara, uchave uine musangano wekutevera wakarongwa nachiremba wako mukati memavhiki mashoma. Iwe uchaona chiremba wako anovhiya akati wandei kakawanda mugore rekutanga mushure mekuvhiyiwa kwako.

Iwe unogona zvakare kuve nemagungano ne:

• Chiremba wezvekudya zvinovaka muviri kana wezvekudya, anozokudzidzisa madyiro nemazvo nedumbu rako diki. Iwe zvakare uchadzidza nezve izvo zvekudya uye zvinwiwa zvaunofanirwa kunge uine mushure mekuvhiyiwa.
• Nyanzvi yezvepfungwa, iyo inogona kukubatsira iwe kutevera yako yekudya uye yekurovedza mirayiridzo uye kubata nemanzwiro kana kunetseka kwaungave uine mushure mekuvhiyiwa
• Iwe unozoda kuongororwa kweropa kwehupenyu hwako hwese kuti uve nechokwadi chekuti muviri wako uri kuwana zvakakwana zvakakosha mavitamini uye zvicherwa kubva kuchikafu mushure mekuvhiyiwa kwako.

Fonera mupiki wako kana:

• Une humwe hutsvuku, kurwadziwa, kudziya, kuzvimba, kana kubuda ropa kukomberedza kukwirisa kwako.
• Ronda racho rakakura kana rakadzika kana rinotaridzika serima kana kuomeswa.
• Iyo drainage kubva pane yako incision haina kuderera mumazuva matatu kusvika mashanu kana kuwedzera.
• Iyo drainage inova gobvu, tan kana yero uye ine hwema hwakaipa (pus).
• Tembiricha yako iri pamusoro pe100 ° F (37.7 ° C) kweanopfuura maawa mana.
• Iwe une marwadzo ayo mushonga wako wekurwadziwa usiri kubatsira.
• Unonetseka kufema.
• Une chikosoro chisingapere.
• Iwe haugone kunwa kana kudya.
• Ganda rako kana chena chikamu chemeso ako chinoshanduka kuita yero.
• Zvigaro zvako zvakasununguka, kana kuti une manyoka.
• Uri kurutsa wapedza kudya.

Bariatric kuvhiya - gastric kudarika - kubuda; Roux-en-Y gastric inopfuura - kubuda; Gastric yekupfuura - Roux-en-Y - kubuda; Kufutisa gastric kupfuudza kubuda; Kurera huremu - gastric inodarika kubuda

Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA / ACC / TOS nhungamiro ye manejimendi yehuremu uye kufutisa kune vanhu vakuru: chirevo cheAmerican College yeCardiology / American Heart Association Task Force pane Dzidzira Maitiro uye Iyo Obesity Society. J Ndiri Coll Cardiol. 2014; 63 (25 Pt B): 2985-3023. PMID: 24239920 pubmed.ncbi.nlm.nih.gov/24239920/.

Mechanick JI, Apovian C, Brethauer S, Garvey WT, Joffe AM, Kim J, et al. Clinical tsika nhungamiro yeiyo perioperative zvinovaka muviri, metabolic, uye nonsurgical tsigiro yebariatric kuvhiya murwere-2019 kugadzirisa: cosponsored neAmerican Association of Clinical Endocrinologists / American College yeEndocrinology, iyo Obesity Society, American Society yeMetabolic Bariatric Kuvhiya, Obesity Medicine Association, uye American Society yeAnesthesiologists. Kuvhiya Obes Relat Dis. 2020; 16 (2): 175-247. PMID: 31917200 pubmed.ncbi.nlm.nih.gov/31917200/.

Richards WO. Kufuta zvakanyanya. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 47.

Sullivan S, Edmundowicz SA, Morton JM. Kuvhiya uye endoscopic kurapwa kwekuneta. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 8.

• Muviri mashoma index
• Coronary chirwere chemoyo
• Gastric bypass kuvhiyiwa
• Laparoscopic gastric bhendi
• Kufutisa
• Kuvhiringidza kurara kufema - vanhu vakuru
• Nyora 2 chirwere cheshuga

• Mushure mekuvhiyiwa-kurasikirwa nekuvhiyiwa - chii chekubvunza chiremba wako
• Usati waremerwa-kurasikirwa uremu - chii chekubvunza chiremba wako
• Kumuka pamubhedha mushure mekuvhiyiwa
• Wet-to-yakaoma kupfeka shanduko
• Kudya kwako mushure mekuvhiyiwa kwepamuviri

• Kurasikirwa Kwehuremu