Gastric bypass kuvhiyiwa

Gastric bypass kuvhiyiwa kunokubatsira kurasikirwa nehuremu nekuchinja mabatiro anoita dumbu rako uye ura mudiki chikafu chaunodya.

Mushure mekuvhiyiwa, dumbu rako richava diki. Iwe uchanzwa uzere nechikafu chidiki.

Chikafu chaunodya hachichapinde mune mamwe matumbu ako uye ura hudiki hunopinza chikafu. Nekuda kweizvi, muviri wako haugone kuwana ese macalorie kubva pane chikafu chaunodya.

Iwe unenge uine general anesthesia pamberi pekuvhiyiwa uku. Iwe unenge wakarara uye usina kurwadziwa.

Pane nhanho mbiri panguva yekuvhiya kwepamuviri:

• Nhanho yekutanga inoita kuti dumbu rako rive diki. Chiremba wako anovhiya anoshandisa zvidimbu kuti apatsanure dumbu rako muchikamu chidiki chepamusoro uye chikamu chikuru chepasi. Chikamu chepamusoro chedumbu rako (chinonzi homwe) ndipo panoenda chikafu chaunodya. Homwe inenge yakakura sehuni. Iyo inongobata ingangoita 1 ounce (oz) kana 28 gramu (g) ​​yechikafu. Nekuda kweizvi iwe uchadya zvishoma uye kuonda.
• Nhanho yechipiri kupfuura. Chiremba wako anovhiya chinobatanidza chikamu chidiki chemukati mako (iyo jejunum) kune gomba diki muhomwe yako. Chikafu chaunodya zvino chichafamba kubva muhomwe kupinda mune iri ruva idzva uye kupinda muura hwako hudiki. Nekuda kweizvozvo, muviri wako unotora macalorie mashoma.

Kupfuura kwepamuviri kunogona kuitwa nenzira mbiri. Nekuvhiya kwakashama, chiremba wako anovhiya akacheka hombe kuvhiya dumbu rako. Kupfuura kunoitwa nekushanda padumbu rako, ura hudiki, uye dzimwe nhengo.

Imwe nzira yekuvhiya iyi kushandisa kamera diki, inonzi laparoscope. Iyi kamera inoiswa mudumbu mako. Kuvhiya kunonzi laparoscopy. Iyo chiyero inobvumira chiremba kuti aone mukati medumbu rako.

Mukuvhiya uku:

• Chiremba anovhiya anoita 4 kusvika ku6 zvidiki zvidiki mudumbu rako.
• Chiyero uye zviridzwa zvinodiwa kuita kuvhiya zvinoiswa kuburikidza nekucheka uku.
• Iyo kamera yakabatana neiyo vhidhiyo yekutarisa mukamuri yekushandisa. Izvi zvinobvumira chiremba anovhiya kuti aone mukati medumbu rako paunenge uchiita oparesheni.

Zvakanakira laparoscopy pamusoro pekuvhiya kwakavhurika zvinosanganisira:

• Kugara chipfupi muchipatara nekukurumidza kupora
• Pasina kurwadziwa
• Zvidiki zvidiki maronda uye yakaderera njodzi yekuwana hernia kana hutachiona

Uku kuvhiya kunotora maawa maviri kusvika mana.

Kurera-kurasikirwa nekuvhiya kunogona kuve sarudzo kana iwe wakanyanya kufutisa uye wanga usingakwanise kudzikisa huremu kuburikidza nekudya uye kurovedza muviri.

Vanachiremba vanowanzo shandisa muviri mass index (BMI) uye mamiriro ehutano senge rudzi rwechipiri chirwere cheshuga (chirwere cheshuga chakatanga mukukura) uye kuwedzerwa kweropa kuona kuti ndevapi vanhu vangangobatsirwa nekuremerwa-kurasikirwa kuvhiyiwa.

Gastric bypass kuvhiyiwa haisi yekukurumidza kugadzirisa kuneta. Ichachinja zvakanyanya mararamiro ako. Mushure mekuvhiyiwa uku, unofanirwa kudya chikafu chine hutano, kudzora chikamu chemazana ezvaunodya, uye kurovedza muviri. Kana iwe ukasateedzera aya matanho, unogona kuve nematambudziko kubva pakuvhiyiwa uye kushomeka kuonda.

Ive neshuwa yekukurukura zvakanakira uye njodzi nachiremba wako wechiremba.

Iyi nzira inogona kukurudzirwa kana iwe uine:

• BMI ye40 kana kupfuura. Mumwe munhu ane BMI yemakumi mana kana anopfuura angangoita zana mapaundi (45 kilograms) pamusoro pehuremu hwavo hwakakurudzirwa. BMI yakajairwa iri pakati pe18.5 ne25.
• BMI yemakumi matatu nemashanu kana kupfuura uye yakakomba mamiriro ekurapa ayo anogona kuvandudza nekurema kwekurema. Mimwe yemamiriro aya anodzivirira kufema kufema, rudzi rwechipiri chirwere cheshuga, uye chirwere chemwoyo.

Gastric bypass kuvhiya kukuru uye kune njodzi dzakawanda. Dzimwe dzenjodzi idzi dzakakomba kwazvo. Iwe unofanirwa kukurukura nezvengozi idzi nachiremba wako.

Ngozi dzekuve neanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona
• Zvinetso zvemwoyo

Njodzi dzekupfuura gastric dzinosanganisira:

• Gastritis (inflamed dumbu lining), chirungurira, kana maronda emudumbu
• Kukuvadza mudumbu, ura, kana dzimwe nhengo panguva yekuvhiyiwa
• Kudonha kubva kumutsara uko zvikamu zvemudumbu zvakabatanidzwa pamwechete
• Chikafu chisina kunaka
• Kushatirwa mukati medumbu rako izvo zvinogona kutungamira mukuvharika muura hwako mune ramangwana
• Kusvipa kubva pakudya zvinopfuura homwe yako yemudumbu inogona kubata

Chiremba wako anovhiya anokukumbira kuti uongororwe uye kushanyirwa nevamwe vanopa hutano usati waitwa chirwere ichi. Mimwe yacho ndeiyi:

• Bvunzo yakakwana yemuviri.
• Ropa bvunzo, ultrasound yeguropi yako, uye kumwe kuyedza kuti uve nechokwadi chekuti une hutano zvakakwana kuti uvhiywe.
• Kushanya nachiremba wako kuti uve nechokwadi chekuti mamwe matambudziko ekurapa aungave nawo, akadai seshuga, kuwedzerwa kweropa, uye matambudziko emoyo kana emapapu, ari pasi pekutonga.
• Kurairidzwa kwehutano.
• Makirasi ekukubatsira iwe kudzidza zvinoitika panguva yekuvhiyiwa, zvaunofanira kutarisira mumashure, uye ndedzipi njodzi kana matambudziko anogona kuitika mumashure.
• Iwe ungangoda kushanyira nemupi wezano kuti uve nechokwadi chekuti iwe uri wepamoyo wakagadzirira kuvhiyiwa uku. Iwe unofanirwa kukwanisa kuita shanduko huru mumararamiro ako mushure mekuvhiyiwa.

Kana iwe uchisvuta, unofanirwa kumira mavhiki akati wandei usati wavhiyiwa uye kwete kutanga kuputa zvakare mushure mekuvhiyiwa. Kusvuta kunononoka kupora uye kunowedzera njodzi kumatambudziko. Udza chiremba wako kana mukoti kana iwe uchida rubatsiro kurega.

Udza chiremba wako kana mukoti:

• Kana iwe uri kana ungave uine pamuviri
• Ndeapi mishonga, mavitamini, mahebhu, uye zvimwe zvekuwedzera zvauri kutora, kunyangwe izvo zvawakatenga usina mushonga

Pakati pevhiki usati wavhiyiwa:

• Iwe unogona kukumbirwa kumira kutora mishonga inoita kuti zviomere iro ropa rako kugwamba. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), nezvimwe.
• Kumbira chiremba wako kuti ndeapi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Gadzirira imba yako mushure mekuvhiyiwa.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezve nguva yekurega kudya uye kunwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Svika kuchipatara nenguva.

Vanhu vazhinji vanogara muchipatara kwe1 kusvika kumazuva mana mushure mekuvhiyiwa.

Muchipatara:

• Iwe unozokumbirwa kuti ugare padivi pemubhedha uye ufambe zvishoma pazuva rimwe chete raunovhiyiwa.
• Iwe unogona kunge uine (chubhu) catheter inopinda nemumhino dzako mudumbu rako kwemazuva 1 kana maviri. Iyi chubhu inobatsira kuburitsa mvura kubva mudumbu rako.
• Unogona kunge uine catheter mudundira rako kubvisa weti.
• Iwe haugone kudya kwekutanga 1 kusvika mazuva matatu. Mushure meizvozvo, unogona kuwana zvinwiwa uyezve zvakachena kana zvinyoro chikafu.
• Unogona kunge uine chubhu yakabatana nechikamu chikuru chedumbu rako chakapfuura. Iyo catheter ichabuda kunze kwako uye ichadurura zvinwiwa.
• Iwe uchapfeka akakosha masokisi mumakumbo ako kubatsira kudzivirira kuwumbuka kweropa kubva pakuumba.
• Iwe unogashira kupfura kwemushonga kudzivirira ropa kuwanda.
• Iwe unozogamuchira mushonga wekurwadziwa. Iwe unotora mapiritsi ekurwadziwa kana kugamuchira mushonga wekurwadziwa kuburikidza neIV, catheter inopinda mutsinga yako.

Uchakwanisa kuenda kumba kana:

• Unogona kudya chinwiwa kana chakachena pasina kurutsa.
• Iwe unogona kufamba-famba pasina zvakawanda zvekurwadziwa.
• Iwe haudi mushonga wekurwadziwa kuburikidza neIV kana kupihwa nepfuti.

Ive neshuwa yekutevera mirairo yekuti ungazvichengete sei kumba.

Vanhu vazhinji vanorasikirwa neanosvika gumi kusvika kumakumi maviri emapaunzi (4.5 kusvika 9 makirogiramu) pamwedzi mugore rekutanga mushure mekuvhiyiwa. Kurera huremu kunodzikira nekufamba kwenguva. Nekunamatira kuchikafu chako uye chirongwa chekusimbisa muviri kubva pakutanga, iwe unodzora huremu hwakawanda.

Unogona kurasikirwa nehafu kana kupfuura yehuremu hwako hwekuwedzera mumakore maviri ekutanga. Iwe unodzora uremu nekukurumidza mushure mekuvhiyiwa kana uchiri pane chinwiwa kana chakachena chikafu.

Kurasikirwa uremu hwakakwana mushure mekuvhiyiwa kunogona kuvandudza akawanda marapirwo, kusanganisira:

• Asima
• Gastroesophageal Reflux chirwere (GERD)
• Kuwedzera kweropa
• Cholesterol yakakwira
• Kurambidza kufema kufema
• Nyora 2 chirwere cheshuga

Kuyera zvishoma kunofanirawo kuita kuti zvive nyore kwazvo kuti iwe utenderere uchiita zviitiko zvako zvezuva nezuva.

Kuti uderedze huremu uye kudzivirira kunetsekana kubva munzira yacho, iwe uchafanirwa kuteedzera yekurovedza muviri uye yekudyira nhungamiro iwe yawakapihwa nachiremba wako nedhayeti.

Bariatric kuvhiya - gastric yekudarika; Roux-en-Y gastric inopfuura; Gastric yekupfuura - Roux-en-Y; Kurera-kurasikirwa kuvhiya - gastric yekudarika; Kuwedzera kufutisa - gastric kupfuura

• Mushure mekuvhiyiwa-kurasikirwa nekuvhiyiwa - chii chekubvunza chiremba wako
• Kuchengetedzwa kwekugezera kwevakuru
• Usati waremerwa-kurasikirwa uremu - chii chekubvunza chiremba wako
• Gastric bypass kuvhiya - kubuda
• Laparoscopic gastric banding - kubuda
• Kudzivirira kudonha
• Kuchengeta ronda rekuvhiya - rakavhurika
• Paunenge uine kusvotwa uye kurutsa
• Kudya kwako mushure mekuvhiyiwa kwepamuviri

• Roux-en-Y kuvhiyiwa mudumbu kwekurema uremu
• Adjustable gastric banding
• Vertical yakasungwa gastroplasty
• Biliopancreatic diversion (BPD)
• Biliopancreatic diversion ine duodenal switch
• Dumping chirwere

Buchwald H. Laparoscopic Roux-en-Y gastric inopfuura. Mune: Buchwald H, ed. Buchwald's Atlas yeMetabolic & Bariatric Nzira dzekuvhiya uye Maitiros. Philadelphia, PA: Elsevier Saunders; 2012: chits. 6.

Buchwald H. Vhura Roux-en-Y gastric inopfuura. Mune: Buchwald H, ed. Buchwald's Atlas yeMetabolic & Bariatric Nzira dzekuvhiya nemaitiro. Philadelphia, PA: Elsevier Saunders; 2012: chits.

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.