Biliopancreatic diversion ine duodenum switch (BPD/DS)
Nezve bvunzo iyi
Kuparadzaniswa kwebiliopancreatic nekuchinja kwe duodenum (BPD/DS) chirwere chisingawanzoitiki chekuderedza uremu chinoitwa muzvikamu zviviri zvikuru. Danho rekutanga kuita sleeve gastrectomy umo anenge 80% yemudumbu inobviswa. Izvi zvinosiya mudumbu mudiki wakaita sechubhu sa bhanana. Vharuvhu inoburitsa chikafu kuura hwodiki, inonzi pyloric valve, inoramba iripo. Chikamu chidiki cheura hwodiki chinobatanidza mudumbu, chinonzi duodenum, chinorambawo chiripo.
Nei ichiitwa
Kuongororwa kwe-BPD/DS kunoitwa kukubatsira kurasikirwa nemafuta akawandisa uye kuderedza njodzi yezvirwere zvine chekuita nemafuta zvinogona kuuraya, kusanganisira: Zvirwere zvemoyo. Kufuta kwepfupa. Cholesterol yakakwira. Kurara kwakasimba kwenguva refu. Chidhakwa cheshuga chechirudzi chechipiri. Kutambanudzwa. Kenza. Kushaya simba rekubereka. Kuongororwa kwe-BPD/DS kazhinji kunoitirwa chete mushure mekunge waedza kurasikirwa nemafuta nekugadzirisa zvokudya zvako nemabasa emuviri. Asi kuongororwa kwe-BPD/DS hakusi kwevanhu vose vane mafuta akawandisa. Ungangoda kuongororwa kwakakura kuti uone kana wakakodzera. Unofanirawo kuva wakagadzirira kuita shanduko dzisingaperi kuti urarame hupenyu hune hutano usati waongororwa uye mushure mekuongororwa. Izvi zvinogona kusanganisira marongero ekutevera kwenguva refu anobatanidza kutarisa zvokudya zvako, mararamiro ako nemafambisirwo ako, nezvirwere zvako. Tarisa nechirongwa chako chekuchengetedza hutano kana hofisi yako yeMedicare kana Medicaid kuti uone kana polisi yako ichifukidza kuvhiyiwa kwekutadza mafuta.
Ngozi nematambudziko
Kufanana nekuvhiya kukuru kupi zvako, BPD/DS ine njodzi dzehutano dzinobvira, muhupenyu hwenguva pfupi nehurefu. Njodzi dzine chekuita neBPD/DS dzakafanana nedzekuvhiya kwemudumbu uye dzinogona kusanganisira: Kuyerera kweropa kwakanyanya. Hutachiona. Kuita kwemishonga yekurara. Zvikwambo zveropa. Matambudziko emuviri kana ekufemba. Kuyerera kwemukati megastrointestinal system. Njodzi dzehurefu uye matambudziko eBPD/DS anogona kusanganisira: Kuvhara kwematumbu, kunonzi kuvhara. Dumping syndrome, inogona kukonzera manyoka, kusvotwa kana kurutsa. Matombo emarara. Hernias. Shuga yakaderera yeropa, inozivikanwa se hypoglycemia. Kushomeka kwezvinovaka muviri. Kuita gomba mudumbu. Maronda. Kurutsa. Manyoka anoramba aripo. Zvisingawanzoitiki, matambudziko eBPD/DS anogona kuva noutsvina.
Maitiro ekugadzirira
Mumavhiki anosvika kuopereisheni yako, ungadaidzwa kutanga chirongwa chekuita zvemuviri uye kurega chero kushandiswa kwetutsi. Panguva pfupi isati yasvika nzira yako, ungave nemiganho yekudya nekudya uye mishonga yaunogona kutora. Ikozvino nguva yakanaka yekuronga kuporeswa kwako mushure mekuopereisheni. Semuenzaniso, gadzira rubatsiro kumba kana uchifunga kuti ucharida.
Zvekutarisira
BPD/DS inoitirwa muchipatara. Kureruka kwenguva yaucharara muchipatara kuchatenderwa nekupoka kwako uye nechirongwa chauri kuita. Kana kuvhiya kuchikwanisika ne laparoscopy, kureruka kwenguva yaucharara muchipatara kunogona kunge kuri mazuva 1 kusvika ku2.
Kunzwisisa mhedzisiro yako
Mushure mekuita BPD/DS, zvinogoneka kurasikirwa ne70% kusvika ku80% yehuremu hwako hwakawandisa mukati memakore maviri. Zvisinei, huwandu hwehuremu hwaunorasikirwa hunobvawo pazvinhu zvachinja muhupenyu hwako. Kuwedzera pakubatsira kurasikirwa nehuremu, BPD/DS inogona kuvandudza kana kugadzirisa zvirwere zvinowanzobatanidzwa nekukura kwemuviri, kusanganisira: chirwere cheGastroesophageal reflux. Chirwere chemwoyo. Kufuta kweropa. Cholesterol yakakwira. Obstructive sleep apnea. Chidhakwa cheshuga chechirudzi 2. Kutadza kwehuropi. Kushaya simba. BPD/DS inogona zvakare kuvandudza kugona kwako kuita mabasa ezuva nezuva, izvo zvinogona kubatsira kuvandudza hupenyu hwako.