Ndiani anogona kuita chirwere chekudzikisa dumbu

Zvemukati

• Mhando dzekuvhiyiwa bariatric
• 1. Gastric bhendi
• 2. Vertical gastrectomy
• 3. Endoscopic gastroplasty
• 4. Kupfuura gastric
• 5. Biliopancreatic shunt
• Ari sei postoperative

Bariatric kuvhiyiwa, inonziwo gastroplasty, chirwere chekudzikisa mudumbu chinoratidzirwa pakuderedza uremu muzviitiko zvekufutisa zvakanyanya zvine chekuita nematambudziko, akadai seshuga uye neBP, semuenzaniso.

Kune nzira dzakasiyana dzekuvhiya uku uye dzinogona kuitwa kune vanhu vanopfuura makore gumi nemasere ekuberekwa, avo vasingakwanise kudzikisa huremu nemimwe mishonga. Mushure mekuvhiyiwa, zvinodikanwa kutevedzera kudya kwakasimba uye kudzidzira chiitiko chemuviri nguva dzose, kuitira kufarira uremu uye kushanda kwakakodzera kwemuviri.

Mhando dzekuvhiyiwa bariatric

Mhando huru dzekuvhiya kweBariatric ndidzo:

1. Gastric bhendi

Uku ndiko kuvhiyiwa kunoratidzirwa seyekutanga sarudzo, sezvo isiri-inokanganisa, ine chibooreso chinoiswa chakatenderedza dumbu, kudzikisa nzvimbo uye kukonzera kunzwa kwekuguta nekukurumidza. Kazhinji, kuvhiyiwa kunokurumidza, kune njodzi shoma uye kune kukurumidza kupora.

Sezvo pasina shanduko mudumbu, iyo gastric bhandi inogona kubviswa mushure mekunge munhu akwanisa kudzikira uremu, pasina kukonzera chero shanduko yechigarire. Nekudaro, vanhu vanoshandisa rudzi urwu rwekuvhiya vanofanirwawo kuteverwa nenyanzvi yezvokudya kuti vachengetedze kudya kwavo mushure mekubvisa bhendi, kuti varege kuzowana huremu.

2. Vertical gastrectomy

Ndirwo rudzi rwekuvhiya kunokanganisa, kunowanzo shandiswa kune vanhu vane kufutisa kunotyisa, umo chikamu chedumbu chinobviswa, zvichideredza nzvimbo inowanikwa chikafu. Munehunyanzvi uhu, kunwa kwemakemikari hakukanganisike, asi munhu anofanirwa kutevera chikafu neanodya, nekuti mudumbu unogona kuwedzera zvakare.

Sezvo kuri kuvhiyiwa uko chikamu chedumbu chinobviswa, kune njodzi huru, pamwe nekupora zvishoma, izvo zvinogona kutora kusvika kumwedzi mitanhatu. Nekudaro, rudzi urwu rwekuvhiya rine mhedzisiro inogara kwenguva refu, kunyanya kune avo vane chinetso chekutevera kudya.

3. Endoscopic gastroplasty

Aya maitiro akafanana neastastomyomy, asi mukuvhiya uku chiremba anogadzira zvidiki mukati medumbu kudzikisa saizi yayo, pachinzvimbo chekucheka. Nenzira iyi, pane nzvimbo shoma yechikafu, zvichitungamira mukumwa kwechikafu chidiki, zvichiita kuti zvive nyore kuonda. Mushure mekudzikira uremu, iyo misono inogona kubviswa uye munhu anodzoka kuzove nenzvimbo yese mudumbu.

Kuvhiya uku kunoratidzwa kunyanya kune avo vasingakwanise kudzikira uremu nekurovedza muviri uye kudya, asi vanokwanisa kuchengetedza kudya kwakaringana.

4. Kupfuura gastric

Inowanzo shandiswa muvanhu vane madhigirii akakwirira ekuneta avo vakashandisa dzimwe nzira dzisinganyanye kukuvadza kuti dzibatsire. Maitiro aya anobatsira kudzikisa huremu nekukurumidza nekuti anoderedza saizi yedumbu zvakanyanya, asi inzira isingadzoreke.

5. Biliopancreatic shunt

Muzviitiko zvakawanda, biliopancreatic diversion inoratidzirwa kune vanhu vasingakwanise kutevera chikafu uye vane kufutisa kunotyisa, kunyangwe mushure mekuyedza kumwe kuvhiyiwa kwebariatric. Mune rudzi urwu rwekuvhiya, chiremba anobvisa chikamu chedumbu uye ura, zvichideredza kunwiwa kwezvinovaka muviri, kunyangwe kana munhu achidya zvakajairika.

Vanhu vanga vaine biliopancreatic diversion kazhinji vanofanirwa kushandisa chikafu chekuwedzera, kuona kuti mavitamini uye zvicherwa zvakakosha mukushanda kwemuviri hazvisi kushomeka.

Tarisa vhidhiyo inotevera uye tarisa mamiriro ezvinhu umo kuvhiyiwa bariatric kunokurudzirwa:

Ari sei postoperative

Iyo post-operative nguva yekuvhiyiwa bariatric inoda chikafu chekudya, zvichibva pane chikafu chemvura, icho chingazogadziriswazve kuchikafu chekudya, uye chinogona kuchinjirwa kuchikafu chakasimba chakajairwa mazuva makumi matatu chete mushure mekuvhiya. Uye zvakare, zvinodikanwa kutora zvekudya zvinowedzerwa nachiremba kuti udzivise matambudziko nekuda kwekushomeka kwehutano, senge kupererwa neropa uye kurasikirwa nevhudzi, semuenzaniso.

Dzidza zvakawanda nezve kupora mushure mekuvhiyiwa bariatric.

Vakadzi vanoshuvira kuve nepamuviri mushure mekuvhiyiwa, vanofanirwa kumirira ingangoita mwedzi gumi nesere kuti vatange kuyedza kubata pamuviri, sezvo kukurumidza kuonda kunogona kutadzisa kukura kwemwana.