Vertical ruoko gastrectomy

Vertical sleeve gastrectomy kuvhiyiwa kubatsira nehuremu. Chiremba anovhiya anobvisa chikamu chikuru chedumbu rako.

Iyo nyowani, dumbu diki rakakura senge bhanana. Iyo inoganhurira huwandu hwechikafu chaunogona kudya nekuita kuti unzwe kuzara mushure mekudya zvidiki zvezvikafu.

Iwe unozogamuchira general anesthesia pamberi pekuvhiya uku. Uyu ndiwo mushonga unokuchengetedza iwe kurara uye usina kurwadziwa.

Kuvhiya kunowanzoitwa 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 anovhiya anoita maviri kusvika mashanu madiki akachekwa (akachekwa) 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.
• Gasi risingakuvadzi rinoputirwa mudumbu kuti riwedzere. Izvi zvinopa mukamuri wechiremba kuti ashande.
• Chiremba wako anobvisa dumbu rako rakawanda.
• Izvo zvakasara zvikamu zvemudumbu mako zvakabatanidzwa pamwechete uchishandisa zvekuvhiya zvekudya. Izvi zvinogadzira chubhu refu yakatwasuka kana dumbu rakaumbwa sebhanana.
• Kuvhiya hakurevi kucheka kana kushandura mhasuru dzespincter dzinobvumira chikafu kupinda kana kubuda mudumbu.
• Chiyero uye zvimwe zvishandiso zvinobviswa. Kucheka kwakasonwa kwakavharwa.

Kuvhiya kwacho kunotora maminetsi makumi matanhatu kusvika makumi mapfumbamwe.

Kurera-kurasikirwa kwekuvhiya kunogona kuwedzera njodzi yako kumaguru. Chiremba wako anogona kukurudzira kuve necholecystectomy. Uku kuvhiyiwa kubvisa nduru. Izvo zvinogona kuitwa pamberi pekuremerwa-kurasikirwa kuvhiya kana panguva imwe chete.

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

Vertical sleeve gastrectomy 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.

Iyi nzira inogona kukurudzirwa kana iwe uine:

• Muviri mashoma index (BMI) makumi mana 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.

Vertical sleeve gastrectomy yakagara ichiitwa pane vanhu vanorema zvakanyanya kuchengetedza zvakanaka mamwe marudzi ehuremu-kurasikirwa kuvhiya. Vamwe vanhu vanogona kuzopedzisira voda yechipiri uremu-kurasikirwa kuvhiyiwa.

Maitiro aya haakwanise kudzoserwa kana zvangoitwa.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

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

Ngozi dzeiyo yakatwasuka sleeve gastrectomy ndeiyi:

• Gastritis (inflamed dumbu lining), chirungurira, kana maronda emudumbu
• Kukuvadza dumbu rako, ura, kana dzimwe nhengo panguva yekuvhiyiwa
• Kudonha kubva kumutsara uko zvikamu zvemudumbu zvakabatanidzwa pamwechete
• Kudya kwakashata, kunyangwe kuri kushoma pane kuvhiyiwa kwepamuviri
• 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 vanokupa 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. Kumbira mupiki wako kuti abatsire kurega.

Udza chiremba wako wechiremba:

• 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 ropa rekuonda mishonga. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin, Jantoven), nezvimwe.
• Kumbira chiremba wako kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa kwako.

Pazuva rekuvhiyiwa kwako:

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

Unogona kuenda kumba mazuva maviri mushure mekuvhiyiwa kwako. Iwe unofanirwa kukwanisa kunwa zvinwiwa zvakajeka pazuva mushure mekuvhiyiwa, uye wozoenda pakudya kwakachena nenguva yaunoenda kumba.

Paunoenda kumba, pamwe unozopihwa mapiritsi ekurwadziwa kana zvinwiwa uye mushonga unonzi proton pump inhibitor.

Paunodya mushure mekuvhiyiwa, homwe diki inozadza nekukurumidza. Iwe unonzwa kuzara mushure mekudya chidiki kwazvo chikafu.

Chiremba wechiremba, mukoti, kana chiremba wezvekudya vachakurudzira kudya iwe. Kudya kunofanirwa kuve kudiki kuti usatambanudze dumbu rasara.

Kurasikirwa kwekupedzisira kurasikirwa kunogona kunge kusiri kukuru sekunge gastric inopfuura. Izvi zvinogona kukwana vanhu vazhinji. Taura nachiremba wako nezve nzira ipi yakakunakira iwe.

Kurema kwacho kunowanzo buda zvishoma nezvishoma pane gastric inopfuura. Iwe unofanirwa kuramba uchirasikirwa nehuremu kweanosvika maviri kusvika matatu makore.

Kurasikirwa huremu hwakakwana mushure mekuvhiyiwa kunogona kuvandudza akawanda marapirwo aungave uinewo. Mamiriro ezvinhu anogona kuvandudza asthma, rudzi rwechipiri chirwere cheshuga, arthritis, kukwira kweropa, kutadzisa kurara kufema, cholesterol yakakura, uye chirwere chegastroesophageal (GERD).

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 nzira dzekudya idzo chiremba wako wekuvhiya uye wezvekudya anokupa.

Gastrectomy - ruoko; Gastrectomy - yakakura curvature; Gastrectomy - parietal; Kuderedzwa kwepamuviri; Vertical gastroplasty

• Gastric sleeve maitiro

American Society yeMetabolic uye Bariatric Kuvhiya webhusaiti.Bariatric kuvhiya maitiro. asmbs.org/patients/bariatric-surgery-procedures#sleeve. Yakasvika muna Kubvumbi 3, 2019.

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.

Thompson CC, Morton JM. Kuvhiya uye endoscopic kurapwa kwekuneta. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 8.