Ni iki cyitwa Endoscopic Sleeve Gastroplasty? Intego, Uburyo & Ibivamo

Endoscopic sleeve gastroplasty ni uburyo bwo kugabanya ibiro butagira ibibazo byinshi bukoreshwa bugabanya urugero rw'igifu cyawe hatabayeho kubaga. Muri ubu buryo bukorerwa hanze y'ibitaro, muganga wawe akoresha endoscope (agahurizo gato, gakora neza gafite kamera) gushyira imitsi imbere mu gifu cyawe, ikora agafuka gato gafite ishusho y'akaboko. Ibi bifasha kumva uhaze vuba kandi ukarisha bike, bigashyigikira kugabanya ibiro birambye iyo byegeranijwe no guhindura imibereho.

Ni iki cyitwa endoscopic sleeve gastroplasty?

Endoscopic sleeve gastroplasty, akenshi yitwa ESG, ni uburyo bushya bwo kugabanya ibiro bugabanya igifu cyawe kuva imbere. Muganga wawe ntashyiraho ibikomere ku ruhu rwawe. Ahubwo, bayobora endoscope yabugenewe banyuze mu kanwa kawe hanyuma bakamanuka mu gifu cyawe kugirango bashyire imitsi ihoraho.

Iyi mitsi iteranya kandi ikubita inkuta z'igifu hamwe, ikora ishusho imeze nk'urukiramende ruto ruri hafi 70% ntoya kuruta igifu cyawe cyambere. Tekereza nkuko ukubita umufuka kugirango ugufashe kuba muto. Ubu buryo busanzwe bufata iminota 60 kugeza kuri 90, kandi mubisanzwe urashobora gutaha uwo munsi.

ESG itanga uburyo bwo hagati hagati y'imirire gakondo n'imyitozo ngororamubiri n'uburyo bwo kubaga bwinshi nka gastric bypass. Yagenewe abantu bakeneye ubufasha burenze guhindura imibereho gusa, ariko bashobora kutaba abakandida cyangwa bakifuza kwirinda kubaga gukomeye.

Kuki endoscopic sleeve gastroplasty ikorwa?

ESG ikorwa cyane cyane kugirango ifashe abantu kugera ku kugabanya ibiro bikomeye iyo ubundi buryo butagize icyo bugeraho. Muganga wawe ashobora kugusaba ubu buryo niba ufite index y'umubiri (BMI) ya 30 cyangwa hejuru kandi warwanyije ibibazo by'ubuzima bifitanye isano no gukabya ibiro.

Ubu buryo bukora bugabanya ingano y'ibiryo igifu cyawe gishobora kwakira. Iyo igifu cyawe ari gito, wumva uhaze ku biryo bicye cyane, ibyo bikagabanya urugero rw'ingano y'ibiryo ufata. Iyi mpinduka mu mubiri, hamwe n'ubujyanama bwiza bw'imirire n'imibereho ihinduka, bishobora gutuma ugabanya ibiro byawe ku buryo bwumvikana.

Impamvu zisanzwe abaganga basaba ESG zirimo diyabete idafashwe neza, umuvuduko ukabije w'amaraso, kubura umwuka mu gihe cy'ibitotsi, cyangwa ibibazo by'ingingo bikomera bitewe n'umubyibuho ukabije. Ibi kandi bitekerezwa ku bantu bifuza kwirinda ingaruka n'igihe cyo koroherwa giherekeza kubagwa gakondo kugira ngo bagabanye ibiro.

Abantu bamwe na bamwe bahitamo ESG nk'intambwe yo gukora ibindi. Niba ufite umubyibuho ukabije, kugabanya ibiro binyuze muri ESG bishobora gutuma uba umukandida mwiza wo gukoresha izindi nzira zo kuvura cyangwa kubagwa nyuma niba bibaye ngombwa.

Ni iki gikorerwa mu kubagwa igifu hifashishijwe endoscope?

Uburyo bwa ESG butangirira ku guhabwa imiti igutera gusinzira, bityo ukaba usinziriye rwose kandi wumva umeze neza. Muganga wawe azashyira mu kanwa kawe endoscope buhoro buhoro ayikurekesha umuhogo winjire mu gifu cyawe.

Akoresheje kamera ya endoscope kugira ngo ayobore, muganga wawe azashyira imitsi myinshi ku gice kinini cy'igifu cyawe. Iyi mitsi ishyirwa mu buryo bwihariye kugira ngo habeho imiterere y'igifu. Ibi byose bikorerwa imbere mu gifu cyawe, bityo ntihaba ibikomere byo hanze.

Ibi nibyo bibaho mu gihe cy'uburyo:

1. Uhabwa imiti igutera gusinzira kugira ngo wumve umeze neza kandi ufate neza
2. Endoscope ishyirwa mu kanwa kawe ikinjizwa mu gifu cyawe
3. Muganga wawe ashyira imitsi 8-12 ku rukuta rw'igifu akoresheje ibikoresho byihariye
4. Imitsi irakomezwa kugira ngo habeho imiterere y'igifu
5. Endoscope iravanwaho, hanyuma ujyanwa mu cyumba cyo koroherwa

Icyo gikorwa cyose muri rusange gifata iminota iri hagati ya 60 na 90. Kubera ko gikorerwa mu buryo butagoye, abantu benshi bashobora gutaha umunsi umwe nyuma yo gukira ibiyobyabwenge.

Uburyo bwo kwitegura gastroplasty ya endoscopic sleeve?

Kwitegura ESG bikubiyemo intambwe z'ingenzi kugirango umutekano wawe n'umusaruro mwiza ushoboke. Muganga wawe ashobora gutanga inama yo gutangira imirire mbere y'igikorwa mbere y'ibyumweru bibiri mbere y'itariki yawe yateganyijwe.

Iyi mirire mbere y'igikorwa ikubiyemo ubusanzwe kurya ibice bito no kwirinda ibiryo bimwe bishobora kubangamira igikorwa. Ubusanzwe uzakenera gukurikiza imirire y'amazi mu masaha 24-48 mbere ya ESG kugirango uruhago rwawe rube rumeze neza kandi rwasukuye.

Ingengabihe yawe yo kwitegura izakubiyemo izi ntambwe z'ingenzi:

• Kuzuza ibizamini by'ubuvuzi mbere y'igikorwa n'akazi k'amaraso
Guheza imiti imwe nkuko byategetswe na muganga wawe
• Gukurikiza imirire yategetswe mbere y'igikorwa mu byumweru 1-2
• Gutegura umuntu wo kukugeza mu rugo nyuma y'igikorwa
• Kwirinda ibiryo n'amazi mu masaha 8-12 mbere y'igikorwa cyawe

Itsinda ryawe ry'ubuzima rizaganira kandi ku miti yose urimo gufata, cyane cyane imiti igabanya amaraso cyangwa imiti ya diyabete, kuko bishobora gukenera guhindurwa. Ni ngombwa gukurikiza amabwiriza yose mbere y'igikorwa nkuko byatanzwe kugirango ugabanye ibyago kandi wemeze ibisubizo byiza.

Uburyo bwo gusoma ibisubizo byawe bya gastroplasty ya endoscopic sleeve?

Intsinzi hamwe na ESG ubusanzwe ipimwa n'umubare w'ibiro byinshi utakaza uko igihe kigenda. Abantu benshi batakaza hafi 15-20% by'uburemere bwabo bwose mu mwaka wa mbere, nubwo ibisubizo bya buri muntu bishobora gutandukana cyane.

Muganga wawe azakurikirana iterambere ryawe binyuze mu biganiro bisanzwe byo gukurikirana. Ntibazakurikirana gusa gutakaza ibiro byawe, ahubwo no guteza imbere ibibazo by'ubuzima bifitanye isano no gukabya urugero, nka diyabete, umuvuduko ukabije w'amaraso, cyangwa apnea yo gusinzira.

Ibisubizo bisanzwe bya ESG birimo:

• Kugabanya ibiro ku kigereranyo cya 15-20% mu mwaka wa mbere
• Kuvura isukari mu maraso ku bantu barwaye diyabete
• Kugabanya umuvuduko w'amaraso na kolesteroli
• Kuryama neza no kugabanya ibimenyetso bya apnea yo mu gihe cyo gusinzira
• Imikorere myiza no kugabanya ububabare bwo mu ngingo

Wibuke ko ESG ari igikoresho kigufasha kugabanya ibiro, atari umuti w'ubumaji. Intsinzi yawe irambye iterwa cyane no guhindura burundu imirire yawe no gukora imyitozo ngororamubiri. Abantu biyemeza guhindura imibereho yabo, akenshi babona ibisubizo byiza kandi birambye.

Ni gute wakomeza ibisubizo byawe nyuma yo kubagwa kwa endoscopic sleeve gastroplasty?

Gukomeza kugabanya ibiro nyuma ya ESG bisaba kwiyemeza ubuzima bwose kurya neza no gukora imyitozo ngororamubiri buri gihe. Iyi nzira iguha igikoresho gikomeye, ariko amahitamo yawe ya buri munsi niyo atuma ugira intsinzi irambye.

Igituntu cyawe gito kizagufasha kumva uhaze vuba, ariko uzakenera guhitamo ibiryo byiza kugira ngo wongere iyi nyungu. Jya wibanda ku kurya ibiryo birimo poroteyine mbere, hanyuma imboga, kandi ugabanye ibiryo byatunganyijwe n'ibinyobwa birimo isukari bishobora kwagura igituntu cyawe uko igihe kigenda.

Ingamba zingenzi zo kubungabunga zirimo:

• Kurya amafunguro mato, kenshi umunsi wose
• Kunyonga ibiryo neza kandi ukarya gahoro
• Kunywa amazi ahagije, ariko wirinde kunywa mu gihe cyo kurya
• Kunywa vitamine n'ibyongerera imbaraga byasabwe
• Gukora imyitozo ngororamubiri buri gihe nkuko byemejwe na muganga wawe
• Kwitabira gahunda zose zo gukurikiranwa

Gukurikiranwa na muganga wawe buri gihe ni ngombwa kugira ngo ugire intsinzi irambye. Bazakurikiza iterambere ryawe, baguhindurire gahunda y'imirire uko bikwiye, kandi bakemure ibibazo byose byagaragara. Abantu benshi basanga amatsinda ashyigikira cyangwa inama zibafasha kuguma bashishikajwe kandi bafite inshingano.

Ni nde ukwiriye kubagwa kwa endoscopic sleeve gastroplasty?

Umuntu ukwiriye gukorerwa ESG ni ufite BMI ya 30 cyangwa hejuru wagerageje uburyo bwo kugabanya ibiro ariko ntibigire icyo bitanga. Ugomba kuba wiyemeje guhindura imibereho yawe burundu kandi ushobore gukurikiza amabwiriza y'imirire nyuma yo kubagwa.

Abantu bakwiriye gukorerwa ubu buryo akenshi baba bafite ibyiringiro bifatika kuri ubu buryo kandi bakumva ko ESG ari igikoresho gisaba imbaraga zihoraho. Ugomba kuba ufite ubuzima bwiza buhagije kugira ngo ukorerwe ubu buryo kandi witeguye mu mutwe guhindura imibereho bisabwa.

Ushobora kuba ukwiriye gukorerwa ubu buryo niba:

• Ufite BMI ya 30 cyangwa hejuru
• Wagerageje kurya no gukora imyitozo ngororamubiri ariko ntibigire icyo bitanga
• Ushaka kwirinda kubagwa gakondo kugira ngo ugabanye ibiro
• Wiyemeje guhindura imibereho yawe mu gihe kirekire
• Nta ndwara zimwe na zimwe zo mu gifu zashobora kubangamira
• Uri hagati y'imyaka 18-65

Ariko, ESG ntikwiriye buri wese. Abantu bafite indwara zimwe na zimwe zo mu gifu, acide reflux ikabije, cyangwa babazwe mu gifu mbere ntibashobora kuba bakwiriye. Muganga wawe azasuzuma uko ubuzima bwawe buhagaze kugira ngo amenye niba ESG ari uburyo bwiza kuri wowe.

Ni ibihe bintu bishobora gutera ingaruka mbi kuri endoscopic sleeve gastroplasty?

Nubwo ESG muri rusange ari nziza kurusha kubagwa gakondo kugira ngo ugabanye ibiro, iracyarimo ibyago ugomba gusobanukirwa mbere yo gukomeza. Ingaruka nyinshi ni nto kandi zibaho igihe gito, ariko ibibazo bikomeye bishobora kubaho rimwe na rimwe.

Ibintu bishobora kongera ibyago byawe birimo kugira indwara zimwe na zimwe, gufata imiti imwe na zimwe, cyangwa kubagwa mu gifu mbere. Muganga wawe azasuzuma neza ibi bintu mu gihe cyo gusuzuma mbere yo kubagwa.

Ibintu bishobora gutera ingaruka mbi birimo:

• Kubagwa mu nda mbere cyangwa ibibazo bikomeye byo mu nda
• Kugira aside nyinshi cyane mu gifu cyangwa ibibazo by'ibisebe mu gifu
• Indwara zo gupfuka kw'amaraso
• Indwara zikomeye z'umutima cyangwa z'ibihaha
• Gukoresha ibiyobyabwenge bikabije
• Kugira ibyiringiro bidafatika ku bijyanye n'umusaruro

Imyaka yawe n'ubuzima bwawe muri rusange nabyo bigira uruhare mu kumenya urwego rw'ibibazo byawe. Abantu barengeje imyaka 65 cyangwa abafite indwara nyinshi bashobora guhura n'ibibazo bikomeye, nubwo benshi bashobora gukorerwa ubu buryo neza bafashijwe n'ubuvuzi bukwiriye.

Ese endoscopic sleeve gastroplasty iruta izindi nzira zo kugabanya ibiro?

ESG itanga inyungu zidasanzwe ugereranyije n'izindi nzira zo kugabanya ibiro, ariko niba ari "nziza" biterwa n'uko ubuzima bwawe buteye n'intego zawe. Ntabwo bigira ingaruka nyinshi nk'uko kubagwa bisanzwe ariko ntibishobora gutuma ugabanya ibiro byinshi nk'inzira nka gastric bypass.

Ugereranyije n'uburyo bwo kubaga, ESG ifite igihe gito cyo koroherwa, ibibazo bike, kandi birashobora guhindurwa niba bibaye ngombwa. Ariko, uburyo bwo kubaga akenshi butuma umuntu agabanya ibiro byinshi kandi bikamara igihe kirekire.

Inyungu za ESG zirimo:

• Nta gukata hanze cyangwa ibisebe
• Gusohoka ku munsi umwe mu bihe byinshi
• Ibibazo bike bikomeye
• Bishobora guhindurwa
• Igihe gito cyo koroherwa

Uburyo bwiza kuri wowe buterwa n'ibintu nk'uko BMI yawe imeze, indwara ufite, ubushake bwo kugabanya ibiro wigeze kugira mbere, n'ibyo ukunda. Muganga wawe ashobora kugufasha gupima ibyiza n'ibibi bya buri kimwe hashingiwe ku miterere yawe yihariye.

Ni izihe ngaruka zishobora guterwa na endoscopic sleeve gastroplasty?

Nubwo ESG muri rusange itagira ibibazo, nk'ubundi buryo bw'ubuvuzi, ishobora kugira ingaruka. Ingaruka nyinshi ni nto kandi zikagenda, ariko ni ngombwa kumva icyo gishobora kuba kugirango ushobore gufata icyemezo gifitiye akamaro.

Ibibazo abantu bahura nabyo cyane ni isesemi, kuruka, no kutumva neza mu nda mu minsi mike ya mbere nyuma yo kubagwa. Ibi bimenyetso mubisanzwe bikira vuba igihe umubiri wawe wimenyereza impinduka.

Ingorane zisanzwe z'igihe gito zirimo:

• Isemesemi no kuruka mu minsi 1-3
• Urubavu mu nda cyangwa kuribwa
• Kugorana kumira mu ntangiriro
• Umunaniro uterwa na anesiteziya
• Urubavu mu muhogo ruturutse kuri endoscope

Ingorane zikomeye ziragoye ariko zirashobora kubaho. Izi zirimo kuva amaraso, kwandura, cyangwa ibibazo bya suture. Mu bihe bidasanzwe cyane, suture zirashobora kurekurwa, bigasaba kuvurwa byiyongereye.

Ingorane zikomeye ariko zidakunze kubaho zirimo:

• Kuva amaraso bisaba kuvurwa byiyongereye
• Kwandura ahantu ha suture
• Ingorane za suture zisaba kuvugururwa
• Kubangamirwa gukomeye kw'inda
• Uko umubiri witwara kuri anesiteziya

Muganga wawe azagukurikiranira hafi ibimenyetso byose by'ingorane kandi azatanga amabwiriza asobanutse igihe ugomba kwihutira kwivuza. Abantu benshi bakira nta kibazo gikomeye.

Ni ryari ngomba kubona muganga nyuma yo kubagwa endoscopic sleeve gastroplasty?

Ugomba guhamagara muganga wawe ako kanya niba uhuye n'ibimenyetso bikomeye nyuma ya ESG, cyane cyane kuruka bidahagarara, urubavu rukomeye mu nda, cyangwa ibimenyetso byo kwandura. Nubwo kutumva neza biba bisanzwe, ibimenyetso bimwe na bimwe bisaba kwitabwaho byihutirwa.

Abantu benshi bagira isesemi n'ububabare mu minsi mike ya mbere, ariko ibi bimenyetso bigomba kugenda bikira buhoro buhoro. Niba birushijeho cyangwa ntibigenda bikira nyuma y'iminsi mike, ni ngombwa kuvugana n'ikipe yawe y'ubuzima.

Hamagara muganga wawe ako kanya niba uhuye na:

• Uburibwe bukomeye cyangwa burushaho mu nda
• Kuruka bidahagarara bikubuza kugumana amazi
• Ibimenyetso by’ubwandu nk'umuriro cyangwa guhinda umushyitsi
• Kugorana kumeza bitagabanuka
• Uburibwe mu gituza cyangwa guhumeka bigoranye
• Kuruka amaraso cyangwa ibintu byijimye

Ugomba kandi kugumana mu buryo bwo kuvugana n’ikipe yawe y’ubuzima kugira ngo ubashe kujya mu biganiro bisanzwe, kabone n’iyo wumva umeze neza. Uru ruzinduko rufasha kumenya neza ko urimo gukira neza kandi ugenda neza mu ntego zawe zo kugabanya ibiro.

Ibikunze kubazwa kuri endoscopic sleeve gastroplasty

Q.1 Ese endoscopic sleeve gastroplasty ni nziza ku barwayi ba diyabete?

Yego, ESG ishobora kuba ingirakamaro cyane ku bantu barwaye diyabete yo mu bwoko bwa 2. Kugabanya ibiro bigerwaho binyuze muri ESG akenshi bituma habaho impinduka zigaragara mu kugenzura isukari mu maraso, kandi abantu bamwe bashobora kugabanya imiti ya diyabete bakoresha.

Ubushakashatsi bwerekana ko abantu benshi barwaye diyabete babona urwego rwabo rwa hemoglobin A1c rugenda ruzamuka mu mezi make nyuma y’iki gikorwa. Ariko, ESG ikora neza cyane iyo ihujwe no kuvura diyabete bikomeza no gukurikiranwa buri gihe n’ikipe yawe y’ubuzima.

Q.2 Ese endoscopic sleeve gastroplasty itera kubura intungamubiri?

ESG ishobora gutera kubura intungamubiri niba udakurikiza amabwiriza akwiye y’imirire nyuma y’iki gikorwa. Kubera ko uzajya ufata ibice bito, ni ngombwa kwibanda ku biribwa bikungahaye ku ntungamubiri no gufata imiti yongera intungamubiri isabwa.

Ikipe yawe y’ubuzima ishobora gusaba vitamine n’imyunyungugu byihariye kugira ngo birinde kubura intungamubiri. Ibizamini by’amaraso bisanzwe bizafasha gukurikirana uko ubuzima bwawe bwifashe mu bijyanye n’intungamubiri kandi bitume habaho impinduka mu buryo bwawe bwo gufata imiti yongera intungamubiri uko bikwiye.

Q.3 Ese endoscopic sleeve gastroplasty imara igihe kingana iki?

Imitsi ishyirwa mu gihe cya ESG yagenewe kuba ihoraho, ariko imikorere yayo irashobora guhinduka uko igihe kigenda. Abantu benshi bagumana igihombo kinini cy'ibiro byabo byibuze imyaka 2-3, nubwo amakuru y'igihe kirekire agikusanwa kuko ari uburyo bushya.

Intsinzi yawe y'igihe kirekire iterwa ahanini no kwitanga kwawe mu guhindura imibereho yawe. Abantu bagumana imirire myiza n'imyitozo ngororamubiri ya buri gihe akenshi babona ibisubizo birambye cyane muri ESG.

Q.4 Ese endoscopic sleeve gastroplasty irashobora gusubizwa inyuma?

Yego, ESG irashobora gusubizwa inyuma, nubwo ibi byasaba uburyo bundi bwo gukoresha endoscopic kugirango bakureho cyangwa bateme imitsi. Iki ni kimwe mu byiza ESG ifite ugereranije n'ubuvuzi busanzwe bwo kugabanya ibiro, akenshi buhoraho.

Ariko, gusubiza inyuma ntibisanzwe kandi byatekerezwa gusa niba ufite ibibazo bikomeye bitashobora gucungwa mu zindi nzira. Abantu benshi bafite ESG ntibakeneye cyangwa ntibashaka gusubizwa inyuma.

Q.5 Nshobora gutegereza gutakaza ibiro bingahe hamwe na endoscopic sleeve gastroplasty?

Abantu benshi batakaza hafi 15-20% by'ibiro byabo byose mu mwaka wa mbere nyuma ya ESG. Urugero, niba upima ibiro 200, ushobora gutegereza gutakaza ibiro 30-40 mu mwaka wa mbere.

Ibisubizo by'umuntu ku giti cye bitandukanye bitewe n'ibintu nk'ibiro byawe utangiriraho, kwitanga mu guhindura imibereho yawe, n'ubuzima bwawe muri rusange. Abantu bamwe batakaza ibiro byinshi, mu gihe abandi bashobora gutakaza bike. Muganga wawe ashobora kuguha ibyiringiro byihariye bishingiye ku miterere yawe yihariye.