Chii chinonzi Biliopancreatic Diversion with Duodenal Switch (BPD-DS)? Chinangwa, Maitiro & Mhedzisiro

Biliopancreatic diversion with duodenal switch (BPD-DS) kuvhiwa kunobatsira kuderedza uremu kunobatanidza nzira mbiri dzine simba kukubatsira kuderedza uremu. Maitiro aya anodereredza saizi yedumbu rako uye anochinja nzira iyo muviri wako unotora zvinovaka muviri kubva muzvokudya.

Funga nezve BPD-DS semhinduro yezvikamu zviviri. Chiremba anovhiya anogadzira homwe diki yedumbu, saka unonzwa wakaguta nekukurumidza. Vanozotungamira ura hwako kuti hudzivise macalorie akawanda uye zvinovaka muviri muviri wako unogona kutora. Iyi nzira mbiri inoita kuti BPD-DS ive imwe yevhiyi yekurasikirwa nehuremu inoshanda, kunyangwe ichida kuzvipira kweupenyu hwese kune hutano hwezvekudya.

Chii chinonzi Biliopancreatic Diversion with Duodenal Switch?

BPD-DS kuvhiwa kwakaoma kwe bariatric kunogara kuchichinja saizi yedumbu rako uye maitiro ekugaya. Munguva yemaitiro aya, chiremba anovhiya anobvisa anenge 80% yedumbu rako, achigadzira homwe yakaita setubhu inobata chikafu chidiki.

Chikamu chechipiri chinosanganisira kutungamira ura hwako hudiki. Chiremba anovhiya anoparadzanisa duodenum (chikamu chekutanga cheura hwako hudiki) uye anochibatanidza nechikamu chepasi cheura hwako hudiki. Izvi zvinogadzira nzira mbiri dzakasiyana - imwe yechikafu uye imwe yezvinhu zvekugaya kubva muchiropa chako uye pancreas.

Nzira idzi hadzisangane kusvika masendimita zana ekupedzisira eura hwako hudiki. Izvi zvinoreva kuti muviri wako hauna nguva yakawanda yekutora macalorie, mafuta, uye zvimwe zvinovaka muviri kubva muchikafu chaunodya. Mhedzisiro ndeyekurasikirwa nehuremu hwakanyanya, asi zvinodawo kunyatso tarisa hutano hwako hwezvekudya kwehupenyu.

Nei BPD-DS ichiitwa?

BPD-DS inowanzo kurudzirwa kune vanhu vane kufutisa kwakanyanya vasina kukwanisa kurasikirwa nehuremu kuburikidza nekudya, kurovedza muviri, uye mamwe marapirwo. Chiremba wako angakurudzira kuvhiwa uku kana BMI yako iri 40 kana kupfuura, kana iri 35 kana kupfuura iine hutano hwakakomba hunoenderana nekufutisa.

Nzira iyi inobatsira zvikuru vanhu vane chirwere cheshuga che rudzi rwechipiri, sezvo ichigona kuvandudza zvikuru kutonga kweshuga yeropa. Varwere vazhinji vanoona chirwere chavo cheshuga chichivandudzika kana kunyangwe kupedza zvachose mushure mekuvhiyiwa. BPD-DS inobatawo zvakanaka ropa rakakwira, sleep apnea, uye mamwe mamiriro ane chekuita nekurema kwakanyanya.

Zvisinei, BPD-DS haisi yekutanga sarudzo yemumwe nemumwe. Chikwata chako chehutano chichaongorora zvakanyatsonaka kana iwe uri munhu akakodzera zvichienderana nehutano hwako hwese, kugona kuzvipira kuchinja kudya kwemumoyo wese, uye kuda kutora zvinowedzera zuva nezuva. Nzira iyi inoda kutarisirwa kwakanyanya kutevera-kumusoro kupfuura mamwe maoparesheni ekurasikirwa nehuremu.

Ndeipi nzira yeBPD-DS?

BPD-DS inowanzoitwa ichishandisa nzira diki dze laparoscopic, kunyangwe dzimwe nguva dzingada kuvhiyiwa kwakavhurika. Nzira yacho inowanzo tora maawa matatu kusvika ku4 uye inoitwa pasi pe general anesthesia iwe uchivata zvachose.

Chiremba wako anovhiya anotanga nekugadzira zvikamu zvidiki zvakati wandei mudumbu rako, chimwe nechimwe chine hafu inch kureba. Vanopinza kamera diki uye maturusi ekuvhiya akakosha kuburikidza nemavhura aya. Nhanho yekutanga inosanganisira kubvisa anenge 80% yemudumbu rako pamwe chete nekukura kukuru, ichisiya chubhu yakaita sebhanana inogona kubata anenge 4 ounces yechikafu.

Tevere kunouya intestinal rerouting, iyo iri chikamu chakaoma chekuvhiya. Chiremba wako anovhiya anonyatso paradzanisa duodenum yako padyo nemudumbu rako uye anobatanidza mugumo wezasi nechikamu cheura diki anenge 250 centimeters kubva kuura yako hombe. Chikamu chepamusoro cheduodenum chinoramba chakabatana nechiropa chako uye pancreas, ichigadzira nzira yakaparadzana yemajusi ekugaya.

Pakupedzisira, chiremba wako anogadzira hukama pakati penzira mbiri idzi anenge masendimita zana pamberi pemukuru wako. Iyi pfupi "common channel" ndipo chikafu chinosangana nemajusi ekugaya, zvichibvumira kumwe kutora zvinovaka muviri. Chiremba anobva avhara kucheka nemucheka wekuvhiya kana tsono diki.

Maitiro ekugadzirira nzira yako yeBPD-DS?

Kugadzirira BPD-DS kazhinji kunotanga mavhiki akati wandei pamberi pezuva rako rekuvhiya. Chikwata chako chekuchengetedza hutano chichakutungamira kuburikidza nemaitiro ekuongorora akazara kuti uve nechokwadi chekuti wakagadzirira nzira iyi huru.

Unogona kuda kutevera chikafu chakakosha chekuvhiya kwemavhiki 1-2 pamberi pekuvhiya. Izvi zvinowanzo sanganisira kudya chikafu chakakwira-mapuroteni, chakaderera-makabhohaidhireti uye kudzivirira chikafu chinotapira nezvinwiwa. Vamwe varwere vanoda kurasikirwa nehuremu hwakatarwa pamberi pekuvhiya kuti vaderedze njodzi dzekuvhiya uye kuderedza chiropa, zvichiita kuti nzira iyi ive yakachengeteka.

Kugadzirira kwako kuchasanganisirawo kumisa mishonga yakati wandei inogona kuwedzera njodzi yekubuda ropa, senge zvinoderedza ropa, aspirin, uye mamwe madhiragi anorwisa-kuzvimba. Chiremba wako achapa runyorwa rwakazara rwemishonga yekudzivirira uye anogona kuraira dzimwe nzira kana zvichidikanwa. Iwe unozofanirwawo kurega kusvuta zvachose, sezvo kusvuta kunowedzera zvakanyanya njodzi yematambudziko uye kunonotsa kupora.

Usiku hwekumberi kwekuvhiya, unozofanirwa kutsanya zvachose - hapana chikafu kana chinwiwa mushure mepakati peusiku. Ronga kuti uve nemunhu akukwire kuenda nekubva kuchipatara, sezvo usingazokwanisi kutyaira kwemazuva akati wandei mushure mekuvhiya. Ita shuwa kuti imba yako yakazadzwa nezvikafu zvepashure pekuvhiya uye zvinowedzera zvinokurudzirwa nachiremba wako wezvekudya.

Maitiro ekuverenga mhedzisiro yako yeBPD-DS?

Kubudirira mushure meBPD-DS kunoyerwa nenzira dzakawanda, uye mhedzisiro yako ichazara pamusoro pemwedzi nemakore panzvimbo pemavhiki. Kurasikirwa nehuremu kazhinji ndiyo mhedzisiro inooneka zvakanyanya, nevakawanda varwere vachirasikirwa ne70-80% yehuremu hwavo hwakawandisa mukati memakore maviri ekutanga mushure mekuvhiya.

Chikwata chako chekuchengetwa kwehutano chichatevera kufambira mberi kwako kuburikidza nemiedzo yeropa yenguva dzose inotarisa mamiriro ako ekudya. Miedzo iyi inoongorora mazinga emavhitamini, zvicherwa, uye mapuroteni kuti ave nechokwadi chekuti muviri wako uri kuwana zvaunoda pasinei nekuderera kwekunyudzwa. Miedzo yakajairika inosanganisira vhitamini B12, simbi, calcium, vhitamini D, uye mazinga eprotein.

Uchazvionawo kuvandudzwa mumamiriro ehutano ane chekuita nekufutisa nekukurumidza. Varwere vazhinji vanocherechedza kutonga kwakanaka kweshuga yeropa mukati memazuva kana mavhiki mushure mekuvhiyiwa. High blood pressure, sleep apnea, uye kurwadziwa kwemajoini zvinowanzoita zvakanyanya sezvo uremu huchiderera. Chiremba wako achatarisa shanduko idzi kuburikidza nekutarisa nguva dzose uye anogona kugadzirisa mishonga sezvinodiwa.

Kubudirira kwenguva refu kunoenderana nekuzvipira kwako kushanduko yehupenyu inodiwa mushure meBPD-DS. Izvi zvinosanganisira kudya zvidiki, zvekudya zvakapfuma muprotein, kutora zvinowedzera zuva rega rega, uye kupinda mumisangano yekutevera nguva dzose. Varwere vanonamatira kumirairo iyi vanowanzo chengeta kurasikirwa kwavo uremu uye kuvandudzwa kwehutano kwemakore mazhinji.

Maitiro ekugadzirisa chikafu chako mushure meBPD-DS?

Kugadzirisa chikafu chako mushure meBPD-DS kunoda kuzvipira kwehupenyu hwese uye kutarisisa zvakanyanya kune zvaunodya uye zvinowedzera. Gadziriro yako itsva yekugaya inonyudza zvishoma zvikuru zvinovaka muviri, saka uchada kuita kuti kuruma kwega kwega kuverengeke uye kutora mavitamini nemamineral zuva nezuze.

Kudya kwako kuchafambira mberi kuburikidza nematanho akati wandei mumwedzi mishoma yekutanga mushure mekuvhiyiwa. Pakutanga, iwe uchadya chete zvinwiwa zvakajeka, wobva wanyatsofambira mberi kune chikafu chakacheneswa, chikafu chipfava, uye pakupedzisira magadzirirwo enguva dzose. Kufambira mberi uku kunowanzo tora 8-12 mavhiki uye kunobvumira dumbu rako kupora zvakanaka.

Paunosvika padanho rekudya nguva dzose, iwe unozotarisa pakutanga kudya chikafu chakapfuma muprotein pane chikafu chega chega. Chinangwa che80-100 gramu yeprotein zuva rega rega kubva kumabviro akadai senyama yakatetepa, hove, mazai, uye zvigadzirwa zvemukaka. Sezvo dumbu rako rakakura zvishoma, uchadya zvidiki zvidiki 6-8 mukati mezuva panzvimbo yezvikuru zvitatu.

Zvinowedzerwa zvezuva nezuva zvakakosha zvachose mushure meBPD-DS. Zvinhu zvako zvenguva dzose zvinogona kusanganisira multivitamin ine simba rakakura, calcium ine vhitamini D, iron, vhitamini B12, uye mavhitamini anonyungudika nemafuta (A, D, E, K). Chikwata chako chehutano chichagadzirisa zvinowedzerwa izvi zvichienderana nemigumisiro yako yebvunzo yeropa nguva dzose kudzivirira kushomeka.

Ndezvipi zvakanakira zveBPD-DS?

BPD-DS inopa mamwe emhedzisiro yekurasikirwa nehuremu inoshamisa uye inogara kwenguva refu yeimwe kuvhiyiwa kwebariatric. Vazhinji varwere vanorasikirwa ne70-80% yehuremu hwavo hwakawandisa uye vanochengetedza kurasikirwa uku kwenguva refu kana vachitevera shanduko dzemararamiro anokurudzirwa.

Maitiro acho anonyanya kushanda pakugadzirisa chirwere cheshuga chetype 2, nekudzidza kuratidza mitengo yekuregererwa ye90% kana kupfuura. Varwere vazhinji vanogona kuderedza kana kumisa zvachose mishonga yavo yechirwere cheshuga mukati memwedzi yekuvhiyiwa. Kuvandudzwa kwechirwere cheshuga ichi kazhinji kunoitika pamberi pekurasa huremu kwakakosha, zvichiratidza kuti kuvhiyiwa kunochinja maitiro emuviri wako kugadzirisa shuga.

Kusiyana nemamwe maoparesheni ekurasikirwa nehuremu, BPD-DS inokutendera kuti udye zvikamu zvakajairika zvekudya kana wapora. Kunyange iwe uchiri kuda kudya zvishoma pane zvisati zvaitika kuvhiyiwa, hauzonzwe wakadziviswa sezvazvakaita nemaitiro ekudzivirira chete. Izvi zvinogona kuita kuti kudya kuve nyore kutevera kwenguva refu.

Maitiro acho anobatawo zvakanaka mamwe mamiriro ane chekuita nekuwanda kwemafuta. High blood pressure, sleep apnea, high cholesterol, uye kurwadziwa kwemajoini zvinowanzoita zvakanyanya kana kugadzirisa zvachose. Varwere vazhinji vanowana kuti vane simba rakawanda, kufamba kuri nani, uye kunaka kwehupenyu hwakavandudzwa mushure mekurasa huremu.

Ndezvipi njodzi uye matambudziko eBPD-DS?

BPD-DS kuvhiyiwa kwakaoma kunotakura zvese njodzi dzekuvhiya nekukurumidza uye matambudziko enguva refu aunofanirwa kunzwisisa usati waita sarudzo yako. Kunyange zvazvo matambudziko akakomba asingawanzoitiki, kuoma kwemaitiro aya zvinoreva kuti njodzi dzakakwira kupfuura kuvhiyiwa kuri nyore kwekurasikirwa nehuremu.

Njodzi dzekuvhiya dzekukurumidza dzinosanganisira kubuda ropa, hutachiona, uye matambudziko ane anesthesia anogona kuitika nechero kuvhiya kukuru. Zvakanyanya kuBPD-DS, pane njodzi yekuvuza panogadzira chiremba wako hukama hutsva muhurongwa hwako hwekugaya. Kuvuza uku kunogona kuva kwakakomba uye kungada kuvhiya kwakawedzerwa kuti kugadziriswe.

Matambudziko enguva refu akanyanya kukonzerwa nekuchinja kukuru mukuita kwemuviri wako kutora zvinovaka muviri. Hezvino zvinhu zvikuru zvaunofanira kuziva nezvazvo:

• Kushaya zvokudya zvine mapuroteni kunogona kukura kana ukasadya mapuroteni akakwana kana kutora zvinowedzera zvakakodzera
• Kushaikwa kwevhitamini nemamineral, kunyanya B12, iron, calcium, uye mavhitamini anonyungudika nemafuta
• Chirwere chemapfupa nekuda kwekutora calcium uye vhitamini D isina kunaka
• Anemia kubva kushaikwa kweiron uye B12
• Kufamba kwemukati kakawanda, kusununguka kunogona kuva kwakaoma kudzora
• Dumping syndrome, ichikonzera kusvotwa uye manyoka mushure mekudya zvimwe zvekudya

Matambudziko aya anonyanya kudzivirirwa nekudya kwakakodzera, zvinowedzera, uye kutevera nguva dzose kwekurapa. Zvisinei, zvinoda kuchenjerera kweupenyu hwose uye kuzvipira kune hutano hwako.

Ndiani munhu akakodzera BPD-DS?

BPD-DS inowanzo kurudzirwa kune vanhu vane kufutisa kwakanyanya vanosangana nemaitiro akasiyana ekurapa uye vanoratidza kuzvipira kunodiwa kune shanduko dzehupenyu hwese. BMI yako inofanira kuva 40 kana kupfuura, kana 35 kana kupfuura nemamiriro ezvinhu akakomba ane hukama nekufutisa sehutsukukuru kana ropa repamusoro.

Vanhu vakakodzera vanowanzo kuva vanhu vakaedza dzimwe nzira dzekurasikirwa nehuremu vasina kubudirira kwenguva refu. Unofanira kunge uine hutano hwakakwana kuti upinde kuvhiya kukuru uye wakagadzirira mupfungwa shanduko huru dzehupenyu dzinodiwa mushure. Izvi zvinosanganisira kuva akagadzirira kutora zvinowedzera zuva nezuva, kupinda mumisangano yekutevera nguva dzose, uye kuchinja zvachose maitiro ako ekudya.

Vashandi venyu vezvehutano vachafungawo nezve zera renyu, vachivimba kuti vanachiremba vakawanda vanoda varwere vane makore ari pakati pe18 ne65. Zvisinei, zera rega harisi chinhu chinokubvisa kana uine hutano. Muchada kuratidza kuti munonzwisisa njodzi nemabhenefiti ekuvhiyiwa uye muve netarisiro chaiyo pamusoro pemigumisiro.

Zvimwe zvinhu zvinogona kukuita kuti usakodzere BPD-DS. Izvi zvinosanganisira kushandisa zvinodhaka zvakanyanya, matambudziko ehutano hwepfungwa asina kurapwa, mamwe mamiriro ezvinhu ezvokurapa anoita kuti kuvhiyiwa kuve nenjodzi yakanyanya, kana kusakwanisa kuzvipira kutarisirwa kunotevera kunodiwa. Chiremba wako achanyatsoongorora mamiriro ako ega ega.

Chii chinoitika panguva yekupora kubva kuBPD-DS?

Kupora kubva kuBPD-DS kunowanzo sanganisira kugara muchipatara kwemazuva 2-4, kunyangwe vamwe varwere vachigona kuda nguva yakareba kana matambudziko akamuka. Munguva yekugara kwako muchipatara, timu yako yezvokurapa ichatarisa kurwadziwa kwako, kukubatsira kutanga kufamba, uye kutanga kuisa mvura yakajeka.

Mavhiki mashoma ekutanga kumba anotarisa kupora uye kujairana nehurongwa hwako hutsva hwekugaya. Muchatevera chikafu chemvura chakanyanya pakutanga, wobva wazofambira mberi zvishoma nezvishoma kune chikafu chipfava kwemavhiki 6-8. Kurwadziwa kunowanzo manejwa nemishonga yakarairwa, uye varwere vazhinji vanogona kudzokera kuzviitwa zvakareruka mukati mevhiki.

Kupora kwakazara kunotora mwedzi yakati wandei, nevakawanda vachikwanisa kudzokera kuzviitwa zvakajairika mushure memavhiki 6-8. Muchava nemisangano yekutevera nguva dzose kuti mutarise kupora kwenyu, mugadzirise chikafu chenyu, uye muongorore mamiriro enyu ekudya kuburikidza nemiedzo yeropa. Misangano iyi yakakosha pakubata chero matambudziko ekutanga.

Kugadzirisa kwepfungwa kunogona kuve kwakakosha sekupora kwemuviri. Varwere vazhinji vanowana shanduko dzinokurumidza muhukama hwavo nechikafu nemufananidzo wemuviri wavo. Mapoka ekutsigira, mazano, uye kugara wakabatana nechikwata chako chehutano zvinogona kukubatsira kufamba shanduko idzi zvakabudirira.

Unogona kurasikirwa nehuremu hwakadii neBPD-DS?

BPD-DS inowanzoita kuti vanhu vatadze kuwanda uremu zvakanyanya kupfuura chero imwe nzira yekuvhiya yekuderedza uremu, nevanhu vazhinji vachirasikirwa ne70-80% yeuremu hwavo hwakawandisa mukati memakore maviri ekutanga. Semuenzaniso, kana uine uremu hwakawandisa hwe100 pounds, unogona kutarisira kurasikirwa ne70-80 pounds.

Kurasikirwa neuremu kunoitika nekukurumidza mukati megore rekutanga, nevanhu vazhinji vachirasikirwa ne60-70% yeuremu hwavo hwakawandisa panguva iyi. Mwero wekurasikirwa neuremu unobva wanonoka asi unoramba uripo, nekurasa uremu hwakanyanya kunowanzoitika nemwedzi gumi nemasere-24 mushure mekuvhiyiwa.

Mhedzisiro yako pachako ichaenderana nezvinhu zvakati wandei, kusanganisira uremu hwako hwekutanga, zera, mwero wekushanda, uye kuti unotevedza sei zano rezvekudya uye mararamiro. Varwere vanonyatso tevera zvinangwa zvavo zvemapuroteni, vanotora zvinowedzera zvavo, uye vanoramba vachishingaira vanowanzo rasikirwa neuremu hwakawanda uye vanohuchengeta zviri nani.

Kuchengetedza uremu kwenguva refu kwakanaka neBPD-DS zvichienzaniswa nekumwe kuvhiyiwa kwekurasa uremu. Zvidzidzo zvinoratidza kuti vanhu vazhinji vanochengeta 60-70% yekurasikirwa kwavo neuremu hwakawandisa kunyangwe makore gumi mushure mekuvhiyiwa, chero vachiramba vachitevera zano rechikwata chavo chehutano.

Unofanira kuona chiremba rini mushure meBPD-DS?

Kutarisirwa nguva dzose kunokosha mushure meBPD-DS, uye haufaniri kumbobvumira kusvetuka misangano yakarongwa kunyangwe ukanzwa zvakanaka. Chikwata chako chehutano chinowanzo kuda kukuona mumavhiki maviri, mavhiki matanhatu, mwedzi mitatu, mwedzi mitanhatu, uye ipapo gore negore kweupenyu hwako.

Zvisinei, unofanira kubata chiremba wako nokukurumidza kana ukaona zviratidzo zvakati wandei zvekuyambira. Kurwadziwa kwakanyanya mudumbu, kurutsa kusingaperi, kusakwanisa kuchengeta mvura pasi, kana zviratidzo zvekushaya mvura zvinoda kutariswa kwekurapa nekukurumidza. Izvi zvinogona kuratidza matambudziko akakomba sekudziviswa kwematumbu kana kubuda.

Unofanirawo kutsvaga rubatsiro rwekurapa nekukurumidza kana ukaona zviratidzo zvekushaya zvekudya, kunyangwe zvichioneka zvishoma. Izvi zvinogona kusanganisira kuneta kusinganzwisisike, kurasikirwa nebvudzi, shanduko mukuona, kupera nhengo kana kunzwa kunyepedzera mumaoko ako kana tsoka, kana kuoma kufunga. Kupindira kwekutanga kunogona kudzivirira matambudziko aya kuti asaite akakomba.

Usazeze kubata timu yako yehutano kana uri kunetseka nekuchinja kwekudya kana kuva nematambudziko emanzwiro ekugadzirisa mararamiro ako matsva. Vanogona kupa zviwanikwa, kutumira mazano, kana kugadzirisa chirongwa chako chekurapa kuti vakubatsire kubudirira.

Mibvunzo inowanzo bvunzwa nezve BPD-DS

Q.1 BPD-DS inogadziriswa here?

BPD-DS inoonekwa sekuvhiyiwa kusingaperi uye haina kugadziriswa nyore nyore semamwe maoparesheni ekurasikirwa uremu. Kuvhiyiwa kunosanganisira kubvisa chikamu chikuru chemudumbu wako, izvo zvisingagoni kutsiviwa. Kunyangwe zvichikwanisika kugadzirisa chikamu chekufambisa ura, izvi zvinoda imwe kuvhiyiwa kukuru ine njodzi dzakakosha.

Kugara kwenguva refu kweBPD-DS ndechimwe chikonzero nei timu yako yehutano ichanyatsoongorora kugadzirira kwako maitiro acho. Vanoda kuona kuti unonzwisisa kuzvipira kwehupenyu hwese kunodiwa uye wakagadzirira shanduko dzechigarire kuhutano hwako hwekugaya.

Q.2 Unogona kubata pamuviri mushure meBPD-DS?

Hongu, unogona kuva nepamuviri une hutano mushure meBPD-DS, asi zvinoda kuronga nekuchenjerera uye kuongorora. Vanachiremba vazhinji vanokurudzira kumirira angangoita 18-24 mwedzi mushure mekuvhiyiwa usati waedza kubata, zvichibvumira uremu hwako kuti hugadzikane uye muviri wako kuti ugadzirise kuchinja.

Panguva yekuzvitakura, unozoda kutarisirwa kwakakosha kuti uve nechokwadi chekuti iwe nemwana wako muwane chikafu chakakwana. Timu yako yehutano ichanyatsoongorora mavitamini ako nemamineral uye inogona kugadzirisa zvinowedzerwa zvako. Vakadzi vazhinji vane pamuviri dzakabudirira mushure meBPD-DS, kunyangwe iwe uchizoda kuongororwa kakawanda kupfuura vakadzi vasina kuvhiyiwa.

Mubvunzo 3: Kuvhiyiwa kweBPD-DS kunotora nguva yakareba sei?

BPD-DS inowanzo tora maawa 3-4 kuti ipedzwe, zvichiita kuti ive imwe yezvivi zvekurasikirwa nehuremu zvakareba. Nguva chaiyo inoenderana ne anatomy yako yemunhu, chero matambudziko anomuka panguva yekuvhiyiwa, uye ruzivo rwevhiyiya wako ne nzira iyi.

Kuvhiyiwa kunowanzoitwa laparoscopically uchishandisa zvidiki zvidiki, izvo zvinobatsira kuderedza nguva yekupora kunyangwe kuoma kwekuita. Mune dzimwe nguva, chiremba wako anogona kuda kushandura kuita kuvhiyiwa kwakavhurika kana vakasangana nematambudziko asingatarisirwi, izvo zvinogona kuwedzera nguva yekushanda.

Mubvunzo 4: Ndezvipi zvekudya zvaunofanira kudzivisa mushure meBPD-DS?

Mushure meBPD-DS, iwe uchada kudzivisa chikafu chakakwira mushuga nemafuta, sezvo izvi zvinogona kukonzera dumping syndrome - mamiriro anokonzera kusvotwa, cramping, uye manyoka. Zvokudya zvakaita semaswiti, makuki, ice cream, uye zvokudya zvakakangwa zvinowanzoita kunze kwemiganhu kana zvinofanira kudyirwa muzvinhu zvidiki.

Iwe zvakare uchada kungwarira nezvekudya zvine fiber zvakaita semuriwo mbishi uye nyama yakaoma iyo inogona kuoma kugaya mudumbu rako diki. Chiremba wako wezvekudya achapa runyorwa rwakazara rwezvokudya zvekudzivisa uye kukubatsira kuronga zvekudya zvinopa chikafu chaunoda uchidzivisa zviratidzo zvisinganzwisisike.

Mubvunzo 5: BPD-DS inodhura marii?

Mutengo weBPD-DS unosiyana zvakanyanya zvichienderana nenzvimbo yako, chipatara, chiremba, uye inishuwarenzi. Mutengo wese unowanzoita kubva pa $20,000 kusvika $35,000, kusanganisira mari yechiremba, mari yechipatara, uye mari yeanesthesia.

Zvirongwa zvakawanda zveinishuwarenzi zvinovhara kuvhiyiwa kwe bariatric, kusanganisira BPD-DS, kana iwe ukasangana nezvavanoda zvekurapa. Zvisinei, kuvharwa kunosiyana zvakanyanya, uye unogona kuda kupedzisa zvinodiwa zvakaita sezvirongwa zvekurasikirwa nehuremu zvakatarisirwa kana kuongororwa kwepfungwa. Tarisa nekambani yako yeinishuwarenzi kutanga mukuita kuti unzwisise kuvharwa kwako uye mari yekubuda muhomwe.