Nguva yekuGastric Bypass yekudzora huremu

Zvemukati

• Ndeupi mutengo wekuvhiya
• Sei gastric yekudarika inoitwa
• Kudzoreka sei
• Zvinogona kuitika

Gastric yekupfuura, inozivikanwawo seY-yekudarika ye Roux kana Fobi-Capella kuvhiyiwa, rudzi rwekuvhiya bariatric uko kunogona kutungamira mukurasikirwa kunosvika 70% yehuremu hwekutanga uye kunosanganisira kudzora dumbu nekushandura ura, zvichikonzera kuti munhu adye zvishoma, pakupedzisira achidzikira huremu.

Sezvo iri mhando yekuvhiya inokonzeresa shanduko huru mudumbu, yekudarika inongoratidzwa chete kune vanhu vane BMI inopfuura 40 kg / m² kana neBMI yakakura kudarika 35 kg / m², zvisinei, vakatotambura rimwe dambudziko rehutano rakatorwa nehuremu hwakawandisa uye, kazhinji, rinongoitwa chete kana mamwe maitiro, senge gastric bhendi kuiswa kana gastric balloon, isina zvido zvaidiwa.

Ziva mhando huru dzekuvhiya kweBariatric uye nguva yekuishandisa.

Laparoscopy inopfuura

Ndeupi mutengo wekuvhiya

Kukosha kwekuvhiya kwepamuviri kunoenderana nekiriniki kwayinoitwa uye kutevedzwa kunodikanwa usati uye mushure mekuvhiyiwa, kuri pakati pe15,000 ne45,000 reais, izvi zvave kutobatanidza vese nyanzvi vanobatanidzwa mu pre, intra uye postoperative, kuwedzera kune mishonga yese inodiwa.

Mune zvimwe zviitiko, kupfuura uku kunogona kuitwa paUSUS mahara, kunyanya kana paine njodzi yekukura nematambudziko akakomba ehutano nekuda kwekurema, kuda kuongororwa kwakasimba nachiremba wepamuviri.

Sei gastric yekudarika inoitwa

Iyo gastric inopfuura mu y ye Roux kuvhiya kwakaomarara kunoitwa pasi peanesthesia uye kunotora avhareji yemaawa maviri, uchikurudzirwa kugara pakati pemazuva matatu kusvika mashanu. Kuti uite kudarika, chiremba anofanira kuita matanho akati wandei:

1. Cheka dumbu uye ura: akachekwa anoitwa mudumbu padhuze neziso iro rinopatsanura kuita zvikamu zviviri, chikamu chidiki kwazvo, muchimiro chehomwe, uye chikamu chikuru, chinoenderana nezvedumbu rese uye chinorasikirwa nebasa rahwo rakawanda , kurega kuchengetera chikafu. Mukuwedzera, kucheka kunoitwa muchikamu chekutanga chemukati, chinonzi jejunum;
2. Unganidza chikamu chemuura mudumbu diki:nzira yakananga yezvokudya muchimiro chubhu inogadzirwa;
3. Unganidza chikamu chemuura chakange chakabatana nechikamu chikuru chedumbu kune chubhu: chisungo ichi chinobvumira chikafu, icho chinobva pane yakasungwa zvisungo zvakasikwa, kusanganisa nema enzymes ekugaya, kugaya kunotora nzvimbo.

Kazhinji, kuvhiya uku kunoitwa nevideolaparoscopy, iine maburi mana kusvika matanhatu mudumbu ayo anotendera kuyambuka kweye microchamber nemidziyo yekuvhiya. Zvinoenderana nehunyanzvi uhu, chiremba anovhiya anotarisa mukati meiyo muviri kuburikidza nechiratidziri, achiraira zviridzwa. Dzidza zvakawanda pa: Videolaparoscopy.

Kuvhiya kunogona zvakare kuitwa ne laparotomy, iine kuvhurwa kwakazara kwedumbu, zvisinei, iri nzira inopa njodzi dzakawanda kupfuura laparoscopy.

Iyo gastric yekupfuura kudzikira uremu inokonzeresa kurasikirwa kusvika ku70% yeiyo yekutanga uremu uye inobvumidza kuchengetedza uku kurasikirwa pamusoro pemakore, nekuti mukuwedzera kune murwere achikurumidza kuguta, shanduko yematumbo, inotungamira mukumwa kushoma kweicho inonwa.

Kudzoreka sei

Kudzoreredzwa kwe gastric kudarika kuri kunonoka uye kunogona kutora pakati pemwedzi mitanhatu kusvika pagore rimwe, nekudzikira uremu kuri kuwedzera zvakanyanya mumwedzi yekutanga mitatu Kuona kupora zvirinani, zvinodikanwa kutora matanho akadai se:

• Tevera chikafu chinoratidzwa nachiremba wezvekudya, iyo inochinja kupfuura mavhiki. Dzidza zvakawanda pa: Chikafu mushure mekuvhiyiwa bariatric.
• Kutora mavitamini ekuwedzera, senge iron kana vhitamini B12 nekuda kwenjodzi yekusingaperi kweanemia;
• Bhanhire dumbu kunzvimbo yehutano vhiki imwe mushure mekuvhiyiwa;
• Bvisa drain, inova mudziyo uko mvura zhinji dzinobuda mu stoma, zvinoenderana nemazano ekurapa.
• Kutora mishonga inodzivisa kugadzirwa kweasidhi, saOmeprazole usati wadya kuchengetedza dumbu sekurairwa nachiremba;
• Dzivisa kuedza mumazuva makumi matatu ekutanga kudzivirira chero kusungwa kusasununguka.

Mhedzisiro yeiyi bariatric kuvhiya ichaonekwa mukati memavhiki, zvisinei, zvingave zvakafanira kuita kuvhiya kwekuzora, senge abdominoplasty, 1 kusvika 2 makore mushure mekubvisa iro rakawandisa ganda.

Dzidza zvakawanda nezve kupora pa: Sei kupora kubva kubariatric kuvhiyiwa.

Zvinogona kuitika

Zvakajairika kuti munhu anenge achipfuura nepashure anzwe kuda kusvotwa, kurutsa, kurwadziwa pahosha kana kuita manyoka mumwedzi wekutanga mushure mekuvhiyiwa. Zvisinei, zvinetso zvakakomba zvikuru zvekuvhiya uku zvinosanganisira:

• Scar fistula mudumbu kana ura, izvo zvinogona kuwedzera mikana yehutachiona, senge peritonitis kana sepsis, semuenzaniso;
• Kubuda ropa kwakanyanya munzvimbo yemudumbu;
• Chirwere chekushaya ropa, kunyanya nekuda kwekushomeka kwevhitamini B12;
• Dumping chirwere, iyo inokonzeresa zviratidzo zvakaita sekuti kuda kusvotwa, kuhwa ura, kufenda uye kuita manyoka mushure mekunge munhu adya. Ona zvimwe pa: Maitiro ekugadzirisa zviratidzo zveDumping Syndrome.

Mune zvimwe zviitiko, munhu anogona kutoda kumwe kuvhiyiwa kugadzirisa dambudziko.

Tarisa vhidhiyo inotevera uye uone kuti ndeapi mamiriro ekuvhiyiwa bariatric anokurudzirwa: