Ni iki cyitwa Intragastric Balloon? Intego, Uburyo & Ibivamo

Intragastric balloon ni igikoresho cyo gutakaza ibiro by'agateganyo gishyirwa mu gifu cyawe kugira ngo kigufashe kumva uhaze vuba kandi urye bike. Ni ballon yoroshye, ya silicone yuzuzwa amazi y'umunyu iyo imaze gushyirwa mu gifu cyawe, ifata umwanya ku buryo bisanzwe urya ibice bito. Iyi nzira idakoresha kubaga irashobora kuba uburyo bufasha bwo gukora ku mirire myiza iyo imirire n'imyitozo ngororamubiri byonyine bitatanze ibisubizo urimo gushaka.

Ni iki cyitwa intragastric balloon?

Intragastric balloon ni igikoresho cy'ubuvuzi cyagenewe gufasha gutakaza ibiro mugabanya umubare w'ibiryo igifu cyawe gishobora kwakira. Iyo ballon ikozwe muri silicone yoroshye, iramba kandi iza mu bwoko butandukanye bitewe n'ubwoko bwihariye n'icyifuzo cya muganga wawe.

Iyo imaze gushyirwa mu gifu cyawe, iyo ballon yuzuzwa amazi y'umunyu atari mu buryo bwo kwanduza, akenshi afata hagati ya mililitiri 400-700 z'amazi. Ibi bituma umuntu yumva ahaze bikamufasha kurya ibice bito bisanzwe. Tekereza nk'umufasha w'agateganyo watoza umubiri wawe kumenya ingano zikwiye z'ibiryo.

Iyo ballon imara amezi agera kuri atandatu mu bihe byinshi, nubwo ubwoko bushya bushobora kumara amezi 12. Muri iki gihe, uzakorana bya hafi n'ikipe yawe y'ubuzima kugira ngo utegure imirire irambye n'imibereho bizagufasha neza nyuma yo gukuraho iyo ballon.

Kuki intragastric balloon ikorwa?

Abaganga basaba intragastric balloons ku bantu bakeneye gutakaza ibiro ariko batabonye intsinzi muri gahunda zisanzwe zo kurya no gukora imyitozo ngororamubiri gusa. Iyi nzira ikunze gutekerezwa iyo index yawe y'umubiri (BMI) iri hagati ya 30-40, ikaba igwa mu cyiciro cy'umubyibuho ukabije.

Ushobora kuba ukwiriye niba wagerageje uburyo bwinshi bwo kugabanya ibiro ariko ntibigire icyo bigeraho, cyangwa niba ufite indwara zifitanye isano n'ibiro nk'indwara ya diyabete, umuvuduko ukabije w'amaraso, cyangwa apnea yo gusinzira. Iyi baluni kandi ishobora gufasha niba utiteguye cyangwa utujuje ibisabwa kugira ngo ubage, ariko ukeneye ubufasha bwa muganga kugira ngo utangire urugendo rwo kugabanya ibiro.

Muganga wawe azasuzuma ibintu bitandukanye mbere yo kugusaba ubu buryo, harimo ubuzima bwawe muri rusange, ubwitange bwawe ku mpinduka z'imibereho, n'intego zifatika zo kugabanya ibiro. Ni ngombwa kumva ko iyi baluni ikora neza cyane iyo ihujwe no kugisha inama mu bijyanye n'imirire no gukurikiranwa buri gihe.

Ni iki gikorerwa baluni yo mu gifu?

Uburyo bwa baluni yo mu gifu bukorerwa nk'ubuvuzi bw'abarwayi basohoka, bivuze ko ushobora gutaha uwo munsi. Muganga wawe azakoresha endoscope, ari urushinge rworoshye, rufite kamera, kugira ngo ayobore baluni yataye umwuka mu gifu cyawe unyuze mu kanwa kawe.

Ibi nibyo bikunda kuba mu gihe cy'uburyo:

1. Uzakira imiti igufasha kuruhuka no kugabanya kutumva neza
2. Muganga ashyiraho endoscope unyuze mu kanwa kawe no mu muhogo wawe
3. Baluni yataye umwuka iyoborwa mu gifu cyawe hakoreshejwe endoscope
4. Iyo imaze gushyirwa neza, baluni yuzuzwa umuti wa saline utagira mikorobe
5. Endoscope ikurwaho, igasiga baluni mu mwanya wayo

Uburyo bwose hamwe busanzwe bufata iminota 20-30. Uzagenzurwa mu gihe gito nyuma kugira ngo wemeze ko wumva umeze neza mbere yo gutaha. Abantu benshi bagira isesemi cyangwa kutumva neza mu minsi mike ya mbere umubiri wabo ukimenyereza baluni.

Ni gute witegura uburyo bwawe bwa baluni yo mu gifu?

Kwitegura kubagwa igifu ukoresheje agasururu bisaba kwitegura mu buryo bw'umubiri no mu mutwe kugira ngo ugere ku musaruro mwiza. Itsinda ry'abaganga bazagutanga amabwiriza yihariye, ariko aha hari intambwe rusange ugomba gukurikiza.

Mbere yo kubagwa, ugomba kwiyiriza byibuze amasaha 12, bivuze ko utagomba kurya cyangwa kunywa ikintu icyo aricyo cyose nyuma ya saa sita z'ijoro mbere y'umunsi wo kubagwa. Ibi bituma igifu cyawe kiba cyuzuye kandi bigabanya ibyago byo kugira ibibazo mugihe cyo kubagwa.

Ingengabihe yawe yo kwitegura akenshi irimo:

• Isuzuma ryuzuye ry'ubuvuzi harimo ibizamini by'amaraso ndetse n'ibishoboka bya EKG
• Gu hura n'umuhanga mu by'imirire kugira ngo muganire ku ngengabihe yo kurya nyuma yo kubagwa
• Gu hagarika imiti imwe n'imwe nk'uko byategetswe na muganga wawe
• Gutegura umuntu wo kukujyana mu rugo nyuma yo kubagwa
• Gukurikiza ibyo kurya byihariye mu minsi ibanza kubagwa

Kwitegura mu mutwe ni ingenzi cyane. Fata umwanya wo gusobanukirwa impinduka uzakenera gukora mu mico yawe yo kurya no mu mibereho yawe. Kugira ibyiringiro bifatika n'ubufasha bukomeye bizagufasha gutsinda ukoresheje iki gikoresho cyo kugabanya ibiro.

Ni gute usoma ibisubizo byawe bya agasururu mu gifu?

Kugera ku ntsinzi ukoresheje agasururu mu gifu bipimirwa mu buryo butandukanye, kandi itsinda ry'abaganga bazakurikirana iterambere ryawe buri gihe mu gihe cyose cy'ubuvuzi. Kugabanya ibiro ni icyo gipimo cy'ibanze, ariko ntabwo ari cyo kimenyetso cyonyine cy'intsinzi.

Abantu benshi batakaza hafi 10-15% by'ibiro byabo byose mu gihe cy'agasururu, nubwo ibisubizo by'umuntu ku giti cye bitandukanye cyane. Ku muntu upima ibiro 200, ibi bisobanura ko atakaza ibiro 20-30 mu gihe cy'amezi atandatu.

Muganga wawe azasuzuma iterambere ryawe binyuze muri:

• Kugenzura uburemere n'ingano y'umubiri buri gihe
• Iterambere mu buzima rifitanye isano n'uburemere
• Impinduka mu myifatire yo kurya no kugenzura ibice by'ibiryo
• Iterambere muri rusange ry'imibereho myiza
• Ubushobozi bwo gukomeza gukora imyitozo ngororamubiri

Wibuke ko igipupe ari igikoresho kigufasha kwihugura imyifatire myiza. Uburyo nyabwo bwo gupima intsinzi ni ukumenya niba ushobora gukomeza izi mpinduka nziza nyuma yo gukuraho igipupe.

Ni gute wakomeza kugumana uburemere bwawe nyuma yo gukuraho igipupe cyo mu gifu?

Kugumana uburemere bwawe nyuma yo gukuraho igipupe bisaba gukomeza imyifatire myiza wihuguye mu gihe cy'ubuvuzi. Igipupe gikora nk'igikoresho cyo kwitoza, kandi akazi nyako gatangira no gushyira mu bikorwa impinduka zirambye mu mibereho yawe.

Shyira imbaraga mu kugenzura ibice by'ibiryo, ni cyo kintu cy'ingenzi uziga hamwe n'igipupe. Igifu cyawe kizaba cyaramenyereye ibice bito by'ibiryo, kandi gukomeza iyi myitozo ni ingenzi kugira ngo ugere ku ntsinzi irambye. Komeza kurya gahoro kandi witondere ibimenyetso by'inzara no guhaga.

Ingamba z'ingenzi zo kugumana ibisubizo byawe zirimo:

• Komeza kurya amafunguro yawe buri gihe ufite ibice bigenzurwa
• Gukomeza kunywa amazi menshi ariko wirinda kunywa mu gihe urimo kurya
• Gukomeza gukora imyitozo ngororamubiri buri gihe
• Gukomeza gahunda yo guhura n'abaganga bawe buri gihe
• Kwitabira amatsinda yo gufashanya cyangwa gukorana n'umujyanama niba bikenewe

Ubushakashatsi bwerekana ko abantu bakomeza guhura n'abaganga babo buri gihe kandi bagakomeza gukurikiza amabwiriza y'imirire bagira ubuzima bwiza burambye. Imyifatire wihugura mu gihe cy'igipupe iba urufatiro rw'intsinzi yawe ikomeje.

Ni ibihe bintu byongera ibyago byo kugira ibibazo byatewe n'igipupe cyo mu gifu?

Nubwo ibipupe byo mu gifu muri rusange bifite umutekano, ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ibibazo. Kumva ibi bintu byongera ibyago bifasha wowe n'umuganga wawe gufata icyemezo gifitiye akamaro niba ubu buvuzi bukugirira akamaro.

Abantu bafite indwara zimwe na zimwe bashobora guhura n'ibibazo bikomeye mu gihe cyangwa nyuma y'iki gikorwa. Ibi birimo amateka yo kubagwa mu gifu, indwara ya inflammatory bowel, cyangwa indwara ikomeye ya gastroesophageal reflux (GERD). Muganga wawe azasuzuma neza amateka yawe mbere yo kugusaba gukoresha iyo ballon.

Ibintu bisanzwe bishobora gutera ibibazo birimo:

• Kubagwa mu gifu cyangwa mu mara byabayeho mbere
• Ibibazo by'igifu bikomeye cyangwa acide reflux ikomeye
• Indwara zitera amaraso cyangwa gukoresha imiti ituma amaraso ataguma
• Indwara zikomeye z'umutima cyangwa z'ibihaha
• Gusama cyangwa guteganya gusama
• Kutabasha gukurikiza amabwiriza y'imirire nyuma y'iki gikorwa

Imyaka n'ubuzima muri rusange nabyo bigira uruhare mu kumenya niba ukwiriye gukoresha iki gikorwa. Itsinda ry'abaganga bazakora isuzuma ryimbitse kugirango bagabanye ibibazo bishoboka kandi barebe niba uri umukandida mwiza kuri ubu buryo bwo kuvura.

Ni izihe ngaruka zishobora guterwa na ballon ya intragastric?

Abantu benshi bakoresha neza ballon ya intragastric, ariko nk'uko bimeze ku bindi bikorwa by'ubuvuzi, ibibazo birashobora kubaho. Kumva ibi bibazo bishobora kugufasha kumenya igihe cyo gushaka ubufasha bw'ubuvuzi no gufata icyemezo gifitiye akamaro ku bijyanye n'ubuvuzi.

Ingaruka zisanzwe zigaragara mu minsi mike nyuma yo gushyirwaho kandi zikunze gukemuka uko umubiri wawe wimenyereza iyo ballon. Ibi birimo isesemi, kuruka, n'ububabare mu gifu, bikunze kugira ingaruka ku bantu benshi mu ntangiriro.

Dore ingaruka zishobora kubaho, kuva ku zisanzwe kugeza ku zitabaho cyane:

Ibibazo bisanzwe (bigira ingaruka ku bantu 10-30%):

• Isesemi no kuruka, cyane cyane mu cyumweru cya mbere
• Ububabare mu gifu no kutumva neza
• Acide reflux cyangwa kuribwa mu gituza
• Kumva wuzuye cyangwa kubyimba

Ibibazo bitabaho cyane (bigira ingaruka ku bantu 1-10%):

• Kugabanuka kw'agahimba bigatuma gaca mu mara
• Uburibwe mu gifu cyangwa ibisebe
• Urugimbu rudashira rukenera gukuraho agahimba kare kare
• Umuvumo uterwa no kugorwa no kugumisha amazi mu mubiri

Ingorane zitavugwa ariko zikomeye (zigira ingaruka ku bantu batarenze 1%):

• Kwiruka kw'agahimba bigatuma imara ifungana
• Umuvumo mu gifu mugihe cyo gushyirwaho cyangwa gukurwaho
• Urugero rukabije rwo kwanga imiti
• Umuvumo wa pnewumoniya mugihe cyo gukora icyo gikorwa

Itsinda ryawe ry'ubuzima rizagukurikiranira hafi kandi rigutange amabwiriza asobanutse yerekeye ibimenyetso by'ikibazo bisaba ubufasha bwihuse. Ingorane nyinshi zirashoboka iyo zamenyekanye kare, niyo mpamvu gukurikiza gahunda yawe ya muganga ni ingenzi cyane.

Ni ryari nkwiriye kubona umuganga kubera impungenge z'agahimba ko mu gifu?

Kumenya igihe cyo kuvugana n'umuganga wawe ni ingenzi ku mutekano wawe no gutsinda hamwe n'agahimba ko mu gifu. Nubwo kutumva neza bimwe bisanzwe, cyane cyane muminsi mike, ibimenyetso bimwe bisaba ubufasha bwihuse.

Vugana n'umuganga wawe ako kanya niba ufite kuruka gukabije, kudahagarara bikubuza kugumisha amazi mumubiri amasaha arenga 24. Ibi bishobora gutera umuvumo kandi bishobora gusaba gukuraho agahimba kare kare cyangwa izindi nteruro.

Shaka ubufasha bwihuse niba ufite:

• Uburibwe bukomeye mu nda butagira icyo buhindura hamwe n'imiti
• Kuruka kudahagarara kumara amasaha arenga 24
• Ibimenyetso by'umuvumo nk'izunguzungu, umunwa wumye, cyangwa inkari z'umwijima
• Urubavu rurenze 101°F (38.3°C)
• Kugorwa kumeza cyangwa uburibwe mu gituza
• Imyanda yirabura cyangwa ivuye amaraso
• Guhinduka kwihuse, gukabije cyangwa kutabasha guca gazi

Shyiraho gahunda yo gusubira kwa muganga nk'uko byategetswe, n'iyo wumva umeze neza. Uru ruzinduko rufasha ikipe yawe y'ubuzima gukurikirana iterambere ryawe, gukemura ibibazo byose, no gutanga ubufasha burambye mu rugendo rwawe rwo kugabanya ibiro.

Ibibazo bikunze kubazwa ku bijyanye na baluni yo mu gifu

Q.1 Ese baluni yo mu gifu ifitiye akamaro abarwayi ba diyabete?

Yego, baluni yo mu gifu ishobora kugirira akamaro abantu barwaye diyabete yo mu bwoko bwa 2 bafite umubyibuho ukabije. Kugabanya ibiro bigerwaho na baluni akenshi bituma isukari yo mu maraso igabanuka kandi bishobora kugabanya umubare w'imiti ya diyabete ikenewe.

Abantu benshi babona impinduka nziza mu rugero rwa hemoglobin A1C mu mezi make ya mbere baluni imaze gushyirwamo. Ariko, ni ngombwa gukorana bya hafi n'ikipe yawe yita ku barwayi ba diyabete kugira ngo ukurikirane urugero rw'isukari yo mu maraso yawe kandi uhindure imiti uko bikwiye mu rugendo rwawe rwo kugabanya ibiro.

Q.2 Ese baluni itera impinduka zihoraho mu gifu?

Oya, baluni yo mu gifu ntiter impinduka zihoraho mu miterere y'umubiri w'igifu cyawe. Iyo ikuweho, igifu cyawe gisubira mu bunini bwasanzwe n'imikorere yacyo. Impinduka ubona zishingiye cyane cyane ku myitwarire yo kurya wigiyemo n'imigenzo.

Kuba baluni iriho by'agateganyo bifasha kwitoza ubwonko bwawe kumenya ingano ikwiye y'ibiryo n'uko wumva uhaze. Izi mpinduka z'imyitwarire zirashobora gukomeza nyuma yo gukuraho baluni niba ukomeje gukurikiza uburyo bwo kurya bwiza wize mu gihe uvurwa.

Q.3 Ese nshobora gukora imyitozo nk'ibisanzwe mfite baluni yo mu gifu?

Yego, urashobora kandi ugomba gukora imyitozo buri gihe ufite baluni yo mu gifu, nubwo bishobora kukugora gutangira gahoro gahoro ukagenda wongera urwego rw'ibikorwa byawe. Imyitozo ni igice cy'ingenzi cyo kugabanya ibiro byawe no kunoza ubuzima bwawe muri rusange.

Tangira n'ibikorwa bitagoye cyane nko kugenda, koga, cyangwa yoga yoroheje, cyane cyane mu byumweru bike bya mbere umubiri wawe ukimenyera igipupe. Irinde imyitozo ikomeye ishobora gutera gusimbuka cyangwa guhungabana cyane kugeza wumva umeze neza n'igipupe.

Q.4 Byagenda bite igihe igipupe cyavuyeho umwuka ku buryo butunguranye?

Niba igipupe kivuyemo umwuka, mubisanzwe kizanyura mu nzira yawe yo mu gifu mu buryo busanzwe, nubwo ibi bisaba gukurikiranwa kugirango turebe ko bitateza ibibazo byo guhagarara. Igipupe kirimo irangi ry'ubururu, bityo ushobora kubona inkari zifite ibara ry'ubururu niba ibyo bibaye.

Vugana n'umuganga wawe ako kanya niba ucyeka ko igipupe cyavuyemo umwuka, cyane cyane niba ubonye impinduka zitunguranye mu nzara, isesemi, cyangwa kuribwa mu nda. Nubwo ibipupe byinshi byavuyemo umwuka binyura nta kibazo, gukurikiranwa n'abaganga ni ngombwa kugirango umutekano wawe wizezwe.

Q.5 Nshobora gutegereza gutakaza ibiro bingana iki nkoranye igipupe cyo mu gifu?

Abantu benshi batakaza hagati ya 10-15% by'ibiro byabo byose mugihe cy'igipupe, nubwo ibisubizo by'umuntu ku giti cye bitandukana cyane bitewe n'ibiro byatangiriweho, kwitanga ku mpinduka z'imibereho, n'ibindi bintu.

Urugero, umuntu upima ibiro 200 ashobora gutakaza ibiro 20-30 mumyaka itandatu, mugihe umuntu upima ibiro 300 ashobora gutakaza ibiro 30-45. Wibuke ko igipupe ari igikoresho kigufasha guteza imbere imyifatire myiza, kandi intsinzi yawe irambye iterwa no gukomeza izi mpinduka nyuma yo gukurwaho.