Kurapa Kwehuremu Kunoshanda Sei

Zvemukati

• Kana kuvhiyiwa kunogona kuratidzwa
• Matekiniki ekuvhiya kweBariatric
• Mhando dzekurema kwekuvhiya
• 1. Gastric bhendi yekudzikisa huremu
• 2. Gastric inodarika kuti uderedze huremu
• 3. Intragastric balloon yekudzikisa huremu
• 4. Vertical gastrectomy kuonda
• Zvinobatsira zvinongedzo:

Kurema kwekuremerwa kuvhiya, kunozivikanwa sekuvhiya kweBariatric, senge gastric bhendi kana kupfuura, semuenzaniso, shanda nekugadzirisa dumbu uye nekugadzirisa zvakajairika maitiro ekugaya uye kunwa kwezvinovaka muviri, zvichibatsira vanhu kurasikirwa uremu uye kuwana hupenyu hwehupenyu.

Kuvhiya kwekudzikisa huremu kunoratidzwa kune vanhu vane BMI yakakura kudarika makumi matatu nemashanu kana makumi mana, sezvo ivo vachinzi vakafutisa kana vane kufutisa nekuremara uye, kazhinji, kuvhiya kunobatsira kurasikirwa pakati pe10% kusvika 40% yehuremu.

Kana kuvhiyiwa kunogona kuratidzwa

Kuvhiya kwekudzikisa huremu kunowanzo kurudzirwa nachiremba kana pasina imwe nzira yekudzikisa huremu yakave nemhedzisiro, ndiko kuti, kana zvisiri zvekudya, kurovedza muviri, zvinowedzera kana mishonga iyo munhu anokwanisa kurasikirwa nehuremu hwakagadzwa.

Rudzi rwekuvhiya runosiyana zvichienderana nechinangwa chekudzikira uremu:

• Kuvandudza hutano, mune izvi zviitiko zvinokurudzirwa kuitabariatric kuvhiyiwa, umo saizi yemudumbu yakaderedzwa kuitira kuti huwandu hwechikafu chinomedzwa hushoma, izvo zvinokurudzira kuonda. Kuvhiya uku kunoratidzwa kune vanhu vane kufutisa kwekurwadziswa uye zvakakosha kuti mushure mekuvhiyiwa munhu wacho, kunze kwekunge achiperekedzwa nachiremba endocrinologist, ane chikafu chakaringana uye achirovedza muviri;
• Aesthetics, mune iko kuita kweliposuction, iyo inotarisira kubvisa matete emafuta. Kuvhiya uku hakufungidzirwe sekuvhiya kwekuremerwa, sezvo kusingakurudzire uremu, asi kuvhiyiwa kwekushongedza uko zvinokwanisika kubvisa huwandu hwakawanda hwemafuta enzvimbo nekukurumidza.

Iko kushanda kwekuvhiya kunofanirwa kuratidzwa nachiremba zvinoenderana nezvinodiwa nemunhu uye hukama pakati pekudzikira uremu uye hutano hwakavandudzwa. Pamusoro pekuvhiiwa, kune dzimwe nzira dzekushongedza dzinobatsira kubvisa mafuta enzvimbo pasina kudikanwa kwekuvhiyiwa, senge lipocavitation, cryolipolysis uye radiofrequency, semuenzaniso. Dzidza zvakawanda nezvekurapa kurasikirwa nedumbu.

Matekiniki ekuvhiya kweBariatric

Kazhinji, huremu hwekuvhiya uremu hunoitwa pasi peanesthesia, uye inogona kuitwa ne laparotomy, Kucheka kwakadzama kuvhura dumbu remurwere, kuchisiya vanga pakati pe15 kusvika 25 cm pamusoro peganda remumbilical kana kupfuura laparoscopy, mamwe maburi anogadzirwa mudumbu, kuburikidza izvo zviridzwa uye vhidhiyo kamera inopfuura kuti iite kuvhiya, ichisiya murwere aine vanga diki kwazvo riine 1 cm.

Asati avhiyiwa, murwere anofanirwa kuongororwa nachiremba, kutora ongororo yeropa uye kuita yepamusoro gastrointestinal endoscopy kuti aone kana achikwanisa kuvhiyiwa bariatric. Uye zvakare, mune zvakajairika zviitiko, kuvhiyiwa kunogona kutora pakati pe1 ne3 maawa, uye kureba kwekugara muchipatara kunogona kusiyana pakati pemazuva matatu kusvika pasvondo.

Mhando dzekurema kwekuvhiya

Anowanzozivikanwa ekuvhiya mudumbu ayo anobatsira iwe kurasikirwa uremu anosanganisira gastric bhendi kuiswa, gastric kupfuudza, gastrectomy uye iyo intragastric balloon.

1. Gastric bhendi yekudzikisa huremu

Iyo gastric bhendi iri yekuremerwa kurasikirwa kuvhiyiwa iyo inosanganisira kuisa bhandi kutenderedza chikamu chepamusoro chedumbu uye kupatsanura dumbu muzvikamu zviviri, zvichitungamira munhu kuti adye zvishoma chikafu, sezvo dumbu ravo riri diki.

Mukuvhiya uku, hapana kuchekwa kunoitwa mudumbu, kunongosvinwa sekunge raive bharumu, richidzikira pakukura. Dzidza zvakawanda pa: Gastric bhendi yekudzikisa huremu.

2. Gastric inodarika kuti uderedze huremu

Mukudarika kwemudumbu, kucheka kunoitwa mudumbu kunoipatsanura kuita zvikamu zviviri, diki uye hombe. Chikamu chidiki chedumbu ndicho chiri kushanda uye chikuru, kunyangwe chisina basa, chiri mumuviri.

Uye zvakare, kubatana kwakananga kunoitwa pakati pe dumbu diki uye chikamu chemuura icho, nekuve nenzira ipfupi, chinotungamira mukumwiwa kwezvishoma zvidiki zvekudya uye macalorie. Tsvaga zvimwe pa: Gastric yekupfuura kuti uderedze huremu.

3. Intragastric balloon yekudzikisa huremu

Muchidimbu chemabharuni, ibharoni rinoiswa mukati medumbu, iro rakagadzirwa nesilicone uye izere nesaline. Kana munhu achidya chikafu, zviri pamusoro pebhaluni, zvichipa kunzwa kwekuguta nekukurumidza.

Uku kuvhiya kunoitwa kuburikidza neiyo endoscopy, pasina chikonzero cheinowanzoheshesia uye inotungamira mukurasikirwa inosvika 13% yehuremu hwemuviri. Nekudaro, iro bharumu rinofanira kubviswa mwedzi mitanhatu mushure mekuiswa. Ona zvimwe pa: Intragastric balloon kuderedza uremu.

4. Vertical gastrectomy kuonda

Gastrectomy inosanganisira kubvisa chikamu chekuruboshwe chedumbu uye kubvisa ghrelin, inova ihormone inoitisa manzwiro enzara uye, nekudaro, inotungamira pakuderedza kudya uye kuderera kwekudya.

Mukuvhiya uku kunoitika kunwiwa kwezvinovaka muviri, sezvo ura husingashanduke, uye kusvika pa40% yehuremu hwekutanga hunogona kurasikirwa. Dzidza zvimwe pa: Vertical gastrectomy kudzikira uremu.

Zvinobatsira zvinongedzo:

• Nzira Yokusunungura Sei Zviratidzo zveDumping Syndrome

• Bariatric kuvhiya