Laparoscopic gastric bhendi

Laparoscopic gastric bhendi kuvhiyiwa kubatsira nehuremu. Chiremba anovhiya anoisa bhendi kutenderedza chikamu chepamusoro chedumbu rako kuti agadzire homwe diki yekubata chikafu. Iyo bhendi inoganhurira huwandu hwechikafu chaunogona kudya nekuita kuti unzwe kuzara mushure mekudya zvidiki zvezvikafu.

Mushure mekuvhiyiwa, chiremba wako anogona kugadzirisa bhendi kuti chikafu chipfuure zvishoma kana nekukurumidza kuburikidza nedumbu rako.

Gastric yekupfuura kuvhiya inyaya inoenderana.

Iwe unozogamuchira general anesthesia pamberi pekuvhiya uku. Iwe unenge wakarara uye usingakwanise kunzwa kurwadziwa.

Kuvhiya kunoitwa uchishandisa kamera diki inoiswa mudumbu rako. Rudzi urwu rwekuvhiya runonzi laparoscopy. Iyo kamera inonzi laparoscope. Iyo inobvumira chiremba wako kuti aone mukati medumbu rako. Mukuvhiya uku:

• Chiremba wako achaita 1 kusvika ku5 zvidiki zvekuvhiya mudumbu rako. Kubudikidza nezvidimbu zvidiki izvi, chiremba anovhiya anoisa kamera uye zviridzwa zvinodiwa pakuvhiya.
• Chiremba wako anovhiya anoisa bhendi kutenderedza chikamu chepamusoro chedumbu rako kuti aripatsanure kubva kuzasi chikamu. Izvi zvinogadzira homwe diki ine mukova wakamanikana unopinda mune yakakura, yepazasi chikamu chedumbu rako.
• Kuvhiyiwa hakurevi chero chinodyiwa mukati medumbu rako.
• Kuvhiya kwako kunogona kutora chete maminetsi makumi matatu kusvika makumi matanhatu kana chiremba wako akavhiya akawanda maitirwo aya.

Paunodya mushure mekuvhiyiwa, homwe diki inozadza nekukurumidza. Iwe uchanzwa uzere mushure mekudya chingori chidiki chechikafu. Chikafu chiri muhomwe diki yekumusoro chinozobuda zvishoma nezvishoma muchikamu chikuru chedumbu rako.

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

Laparoscopic gastric banding haisi "yekukurumidza kugadzirisa" kufutisa. Ichachinja zvakanyanya mararamiro ako. Iwe unofanirwa kudya uye kurovedza muviri mushure mekuvhiyiwa uku. Ukasadaro, unogona kuve nematambudziko kana kushaya huremu hushoma.

Vanhu vakavhiyiwa ava vanofanirwa kunge vakagadzikana mupfungwa uye vasingavimbe nedoro kana zvinodhaka zvisiri pamutemo.

Vanachiremba vanowanzo shandisa zvinotevera body mass index (BMI) matanho ekuona vanhu vanogona kunge vangangobatsirwa nekuremerwa-kurasikirwa kuvhiyiwa. BMI yakajairwa iri pakati pe18.5 ne25. Maitiro aya anogona kukurudzirwa iwe kana uine:

• BMI ye40 kana kupfuura. Izvi zvinowanzoreva kuti varume vane makirogiramu makumi mashanu (45 kg) vakafuta uye vakadzi vane 80 mapaundi (36 kg) pamusoro pehuremu hwavo hwakanaka.
• BMI yemakumi matatu nemashanu kana kupfuura uye yakakomba mamiriro ekurapa ayo anogona kuvandudza nekurema kwekurema. Mimwe yemamiriro aya kurara kufema, rudzi rwechipiri chirwere cheshuga, BP, uye chirwere chemwoyo.

Ngozi dzeanesthesia uye chero kuvhiyiwa zvinosanganisira:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu ako
• Ropa kurasikirwa
• Utachiona, kusanganisira munzvimbo yekuvhiya, mapapu (pneumonia), kana dundira kana itsvo
• Kurwadziwa kwemoyo kana kurohwa panguva kana mushure mekuvhiyiwa

Njodzi dzegastric banding ndeiyi:

• Gastric band inoputika nepadumbu (kana izvi zvikaitika, inofanira kubviswa).
• Dumbu rinogona kutsvedza kuburikidza nebhendi. (Kana izvi zvikaitika, ungangoda kuvhiya nekukurumidza.)
• Gastritis (inflamed dumbu lining), chirungurira, kana maronda emudumbu.
• Utachiona pachiteshi, izvo zvingangoda maantibayotiki kana kuvhiyiwa.
• Kukuvadza dumbu rako, ura, kana dzimwe nhengo panguva yekuvhiyiwa.
• Chikafu chisina kunaka.
• Kuora mukati memudumbu mako, izvo zvinogona kutungamira mukuvhara muura hwako.
• Chiremba wako anogona kunge asingakwanise kusvika pachiteshi chekupinda kuti asimbise kana kusunungura bhendi. Iwe ungangoda kuvhiyiwa kudiki kugadzirisa dambudziko iri.
• Iyo yekuwana chiteshi inogona kupidiguka yakatarisa pasi, ichiita kuti zvikwanise kuwana. Iwe ungangoda kuvhiyiwa kudiki kugadzirisa dambudziko iri.
• Tubhu padyo nechiteshi chekupinda inogona kurohwa netsaona panguva yekuwana tsono. Kana izvi zvikaitika, bhendi harigone kusimbiswa. Iwe ungangoda kuvhiyiwa kudiki kugadzirisa dambudziko iri.
• Kusvipa kubva pakudya zvinopfuura homwe yako yemudumbu inogona kubata.

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

• Kuongororwa ropa uye kumwe kuyedzwa kuti uve nechokwadi chekuti une hutano zvakakwana kuti uvhiywe.
• Makirasi ekukubatsira iwe kudzidza zvinoitika panguva yekuvhiyiwa, zvaunofanira kutarisira mumashure, uye ndedzipi njodzi kana matambudziko anogona kuitika.
• Pedza bvunzo dzepanyama.
• Kurairidzwa kwehutano.
• Shanya nemubatsiri wehutano hwepfungwa kuti uve nechokwadi chekuti iwe wakagadzirira mupfungwa kuvhiya kukuru. Iwe unofanirwa kukwanisa kuita shanduko huru mumararamiro ako mushure mekuvhiyiwa.
• Kushanya nemupi wako kuti uve nechokwadi chekuti mamwe matambudziko ekurapa aungave nawo, akadai seshuga, kuwedzerwa kweropa, uye matambudziko emoyo kana emapapu, ari pasi pesimba.

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

Nguva dzose udza mupi wako:

• 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 kuti urege kutora aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin), uye chero mimwe mishonga inoita kuti ropa rako rigone kugwamba.
• Bvunza kuti ndeipi mishonga yekutora pazuva rekuvhiyiwa kwako.

Pazuva rekuvhiyiwa kwako:

• Usadye kana kunwa chero chinhu kwemaawa matanhatu usati wavhiyiwa.
• Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kapfu kemvura.

Mupiki wako anokuudza iwe kuti usvike nguvai kuchipatara.

Iwe uchaenda kumba zuva rekuvhiyiwa. Vanhu vazhinji vanokwanisa kutanga zviitwa zvavo zvakajairika 1 kana maviri mazuva vadzokera kumba. Vanhu vazhinji vanotora vhiki rimwe kubva kubasa.

Iwe uchagara pane zvinwiwa kana chikafu chakakwenenzverwa kwemavhiki maviri kana matatu mushure mekuvhiyiwa. Iwe unozowedzera zvishoma nezvishoma zvinyoro zvishoma, wobva wajaira zvekudya, kuchikafu chako. Pamasvondo matanhatu mushure mekuvhiyiwa, iwe unenge wave kukwanisa kudya chikafu chenguva dzose.

Iyo bhendi inogadzirwa neakasarudzika rabha (silastic rabha). Iko mukati meiyo bhendi kune infloatable bharumu. Izvi zvinobvumira bhendi kuti rigadziriswe. Iwe nachiremba wako munogona kusarudza kuisunungura kana kuisimbisa mune ramangwana kuti mugone kudya zvakanyanya kana zvishoma chikafu.

Iyo bhendi yakabatana kune yekuwana chiteshi iyo iri pasi peganda padumbu rako. Iyo bhandi inogona kusimbiswa nekuisa tsono muchiteshi uye nekuzadza chibharumu (bhendi) nemvura.

Chiremba wako anovhiya anogona kuita kuti bhendi riwedzere kana kusununguka chero nguva mushure mekuvhiyiwa uku. Inogona kusimbiswa kana kusunungurwa kana iwe uri:

• Kuva nezvinetso kudya
• Kwete kurasikirwa uremu hwakakwana
• Kusvipa kana wadya

Yekupedzisira kurasikirwa uremu ne gastric banding haina kukura senge nekumwe kurasikirwa kwekuremerwa kuvhiya. Ivhareji yekuremerwa uremu ingangoita chetatu kusvika hafu yehuremu hwakatakurwa hwauri kutakura. Izvi zvinogona kukwana vanhu vazhinji. Taura nemupi wako nezvekuti ndeipi nzira yakakunakira iwe.

Muzviitiko zvakawanda, huremu hunouya zvishoma nezvishoma pane kumwe kuvhiya kwekurema. Iwe unofanirwa kuramba uchirasikirwa nehuremu kweanosvika makore matatu.

Kurasikirwa uremu hwakakwana mushure mekuvhiyiwa kunogona kuvandudza akawanda marapirwo aungave nawo, akadai se:

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

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

Uku kuvhiyiwa chete haisi mhinduro yekudzora huremu. Iyo inogona kukudzidzisa iwe kudya zvishoma, asi iwe uchiri kufanira kuita yakawanda yebasa. Kuti uderedze huremu uye kudzivirira kunetsekana kubva munzira yacho, iwe uchafanirwa kuteedzera yekurovedza muviri uye yekudyira nhungamiro iyo iwe mupi wako uye wezvekudya wakakupa.

Lap-Band; LAGB; Laparoscopic inogadziriswa gastric bhendi; Bariatric kuvhiya - laparoscopic gastric banding; Kufutisa - gastric banding; Kurera uremu - gastric banding

• Mushure mekuvhiyiwa-kurasikirwa nekuvhiyiwa - chii chekubvunza chiremba wako
• Usati waremerwa-kurasikirwa uremu - chii chekubvunza chiremba wako
• Gastric bypass kuvhiya - kubuda
• Laparoscopic gastric banding - kubuda
• Kudya kwako mushure mekuvhiyiwa kwepamuviri

• Adjustable gastric banding

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/.

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.