Vertical gastrectomy: chii zvazviri, zvakanakira kupora

Zvemukati

• Kuvhiyiwa kunoitwa sei
• Main zvazvakanakira
• Njodzi dzinogona kuitika
• Kudzoreka sei

Vertical gastrectomy, inonziwo ruoko kana sleeve gastrectomy, rudzi rwekuvhiya kweBariatric kunoitwa nechinangwa chekurapa kufutisa kunotyisa, zvinosanganisira kubviswa kwechikamu chekuruboshwe chedumbu, icho chinokonzera kudzikira kwesimba remudumbu rekuchengetedza chikafu. Nekudaro, kuvhiya uku kunogona kutungamira mukurasikirwa kunosvika makumi mana muzana ehuremu hwekutanga.

Kuvhiya uku kunoratidzirwa kwekurapa kufutisa kana kushandiswa kweimwe, mamwe mafomu echisikigo asina kuburitsa chero mhedzisiro kunyangwe mushure memakore maviri kana kana munhu wacho atove neBMI yakakura kupfuura 50 kg / m². Uye zvakare, zvinogona zvakare kuitwa mune varwere vane BMI ye35 kg / m² asi zvakare vane moyo, kufema kana decompensated chirwere cheshuga, semuenzaniso.

Ona apo kuvhiyiwa bariatric kunoratidzirwa senzira yekurapa.

Kuvhiyiwa kunoitwa sei

Vertical gastrectomy yekuremerwa uremu kuvhiyiwa kunoitwa pasi pechirwere uye kunotora, paavhareji, maawa maviri. Zvisinei, zvakajairika kuti munhu wacho agamuchirwe kuchipatara kwemazuva kana matatu.

Kazhinji, kuvhiya uku kunoitwa nevideolaparoscopy, umo maburi madiki anogadzirwa mudumbu, kuburikidza nawo machubhu uye zviridzwa zvinoiswa kuita zvidimbu zvidiki mudumbu, pasina kuita kucheka kukuru paganda.

Panguva yekuvhiyiwa, chiremba anoita akacheka akatwasuka, achicheka chikamu chekuruboshwe chedumbu uye achisiya nhengo iri muchimiro chechubhu kana ruoko, yakafanana nebhanana. Mukuvhiya uku kunosvika 85% yemudumbu inobviswa, ichiita diki uye ichikonzera kuti munhu adye zvishoma.

Main zvazvakanakira

Iwo makuru mabhenefiti ehunyambiri gastrectomy pamusoro pemamwe marudzi ebariatric kuvhiya ndeaya:

• Inisa pakati pe50 kusvika 150 ml yezvikafu, panzvimbo ye1 L, inova ndiyo yakajairwa maitiro usati wavhiyiwa;
• Yakakura kurasikirwa uremu pane iyo yakawanikwa neinogona kuchinjika gastric bhendi, pasina kuda bhendi kugadzirisa.
• Shandura gastrectomy kuita kudarika gastric, kana zvichidikanwa;
• Ura haushanduke, neyakajairika kunwiwa kwezvakakosha zvinovaka muviri zvinoitika.

Icho chichiri kuvhiya kwehunyanzvi kuri nyore pane iyo kudarika gastric, ichibvumira kurasikirwa nekurema pamusoro pemakore akati wandei uye uine njodzi shoma yezvinetso

Nekudaro, kunyangwe paine zvakanakira, inoramba iri nzira ine hukasha yehupenyu uye pasina mukana wekudzoserwa, kusiyana nedzimwe nzira dzekuvhiya kuri nyore, senge kuiswa kwebhokisi regastric kana chibharumu.

Njodzi dzinogona kuitika

Vertical gastrectomy inogona kukonzera kusvotwa, kurutsa uye kuora mwoyo. Nekudaro, matambudziko makukutu ekuvhiya uku anosanganisira kutaridzika kwefistula, inova hukama husina kujairika pakati pemudumbu nedumbu, uye izvo zvinogona kuwedzera mikana yezvirwere. Mumamiriro ezvinhu akadaro, kumwe kuvhiya kunogona kudikanwa.

Kudzoreka sei

Kudzoreredza kubva pakuvhiyiwa kunogona kutora pakati pemwedzi mitanhatu kusvika pagore, pamwe nekudzikira uremu uye, pamwe nekudikanwa kwekuchinja mararamiro.

Naizvozvo, munhu anga aine gastrectomy anofanira kutevedzera iwo marongero:

• Kudya inoratidzwa nenyanzvi yezvokudya. Ona kuti chikafu chinofanira kutaridzika sei mushure mekuvhiyiwa bariatric.
• Tora antiemetic saOmeprazole, yakarairwa nachiremba, usati wadya kuchengetedza dumbu;
• Tora mapiritsi ekunyaradza marwadzo nemuromo, senge Paracetamol kana Tramadol, sekurairwa nachiremba, kana uchirwadziwa;
• Tanga tsika yechiedza chiitiko chemuviri mushure memwedzi mumwe kana miviri, maererano nekuongororwa kwachiremba;
• Kupfeka panzvimbo yehutano vhiki imwe mushure mekuvhiyiwa.

Zvese izvi zvekuchengetedza zvinofanirwa kuitwa kuitira kuti kupora kusanyanya kurwadziwa uye nekukurumidza. Ona mamwe marongero chaiwo ezvekuita munguva yekupedzisira yekuvhiya kwe bariatric.