Chii chinonzi Endoscopic Sleeve Gastroplasty? Chinangwa, Maitiro & Mhedzisiro

Endoscopic sleeve gastroplasty inzira yekurasikirwa uremu isingapindi iyo inoderedza saizi yedumbu rako pasina kuvhiyiwa. Munguva iyi yekubuda kunze, chiremba wako anoshandisa endoscope (tubhu rakatetepa, rinochinjika rine kamera) kuisa sutures mukati memudumbu rako, achigadzira bhegi diki rine chimiro. Izvi zvinokubatsira kuti unzwe wakazara nekukurumidza uye udye zvishoma, uchitsigira kurasikirwa uremu kunogara kuripo kana kwakabatanidzwa nekuchinja mararamiro.

Chii chinonzi endoscopic sleeve gastroplasty?

Endoscopic sleeve gastroplasty, inowanzonzi ESG, inzira itsva yekurasikirwa uremu inoderedza dumbu rako kubva mukati. Chiremba wako haaiti chero kucheka paganda rako. Pane kudaro, vanotungamira endoscope yakakosha nemuromo wako uye pasi mudumbu rako kuti vaise sutures zvachose.

Iyi sutures inounganidza uye kupeta madziro emudumbu pamwechete, ichigadzira chimiro chakaita setubhu chiri 70% diki pane dumbu rako rekutanga. Funga nezvazvo sekusunga bhegi redrawstring kuti riite diki. Maitiro acho anowanzo tora maminitsi makumi matanhatu kusvika makumi mapfumbamwe, uye iwe unowanzoenda kumba zuva rimwe chete.

ESG inopa nzira yepakati pakati pezvekudya zvekare uye nzira dzekurovedza muviri uye dzimwe sarudzo dzekuvhiya dzakanyanya kupinda senge gastric bypass. Yakagadzirirwa vanhu vanoda rubatsiro rwakawanda kupfuura kuchinja mararamiro chete kunogona kupa, asi avo vasingakwanise kana vachida kudzivirira kuvhiyiwa kukuru.

Nei endoscopic sleeve gastroplasty ichiitwa?

ESG inonyanya kuitwa kubatsira vanhu kuti vawane kurasikirwa kukuru kwehuremu kana dzimwe nzira dzisina kubudirira. Chiremba wako angakurudzira iyi nzira kana iwe uine body mass index (BMI) ye30 kana kupfuura uye wakatambura nezvinetso zveutano zvine chekuita nekuwanda kwemuviri.

Maitiro acho anoshanda nekudzora huwandu hwekudya dumbu rako rinogona kubata. Kana dumbu rako rakadiki, unonzwa waguta nekudya kushoma, izvo zvinoderedza kudya kwemakoriyori. Kuchinja uku kwemuviri, pamwe chete nekutungamirirwa kwakakodzera kwezvokudya uye shanduko yehupenyu, zvinogona kutungamirira mukurasikirwa nehuremu hunokosha.

Zvikonzero zvakajairika zvekuti vanachiremba varumbidze ESG zvinosanganisira chirwere cheshuga chisina kudzoreka, ropa rakakwira, sleep apnea, kana matambudziko emajoini anowedzera nekurema kwakanyanya. Inofungidzirwawo kune vanhu vanoda kudzivisa njodzi uye nguva yekupora ine hukama nekuvhiyiwa kwekurasa huremu.

Vamwe vanhu vanosarudza ESG sechirongwa chekutanga. Kana uine huremu hwakanyanya, kurasikirwa nehuremu kuburikidza neESG kungaita kuti uve munhu akakodzera kune dzimwe nzira dzekurapa kana kuvhiyiwa gare gare kana zvichidikanwa.

Ndeipi nzira yekuvhiya endoscopic sleeve gastroplasty?

Maitiro eESG anotanga nekuti iwe unogamuchira general anesthesia, saka uchavata zvakakwana uye kugadzikana. Chiremba wako anobva anyatsoisa endoscope nemuromo wako uye kuenda nayo kumuromo wako mudumbu rako.

Achishandisa kamera yeendoscope kuti itungamirire, chiremba wako achaisa akateedzana emakumbo pamusoro pekurumwa kukuru kwedumbu rako. Makumbo aya anoiswa mune imwe pateni yekugadzira chimiro che sleeve. Maitiro ese anoitwa kubva mukati medumbu rako, saka hapana kucheka kwekunze.

Zvinoitika panguva yemaitiro ndeaya:

1. Unogamuchira general anesthesia yekunyaradza uye kuchengeteka
2. Iyo endoscope inoiswa nemuromo wako mudumbu rako
3. Chiremba wako anoisa 8-12 sutures pamadziro edumbu achishandisa maturusi akakosha
4. Iyo sutures inosungwa kuti igadzire chimiro che sleeve
5. Iyo endoscope inobviswa, uye unoendeswa kunopora

Nzira yacho yose inowanzotora pakati pemaminitsi 60 kusvika ku90. Nekuti haipindi zvakanyanya, vanhu vazhinji vanogona kuenda kumba zuva rimwe chete kana vapora kubva ku anesthesia.

Nzira yekugadzirira sei endoscopic sleeve gastroplasty yako?

Kugadzirira ESG kunosanganisira matanho akati wandei akakosha kuti uve nechokwadi chekuchengeteka kwako uye mhedzisiro yakanaka. Chiremba wako anogona kukurudzira kutanga kudya pamberi pekuvhiyiwa kwemavhiki maviri usati waita zuva rakarongwa.

Kudya uku pamberi pekuvhiyiwa kunowanzo sanganisira kudya zvikamu zvidiki uye kudzivisa zvimwe zvekudya zvinogona kukanganisa nzira yacho. Iwe unowanzo kuda kutevera kudya kwemvura kwemaawa makumi maviri nemana kusvika makumi mana nemasere usati waita ESG kuti uve nechokwadi chekuti dumbu rako rakachena uye rakachena.

Nguva yako yekugadzirira ichasanganisira matanho makuru aya:

• Pedzisa mvumo yekurapa pamberi pekuvhiyiwa uye basa reropa
Mira mishonga yakati wandei sezvakarairwa nachiremba wako
• Tevedza kudya kwakatemwa pamberi pekuvhiyiwa kwemavhiki 1-2
• Gadzirira mumwe munhu kuti akuendesere kumba mushure mekuvhiyiwa
• Kutsanya kubva kuzvokudya nemvura kwemaawa 8-12 usati waita nzira yako

Chikwata chako chekuchengetedza hutano chichakurukurawo chero mishonga yaunotora, kunyanya zvinoderedza ropa kana mishonga yechirwere cheshuga, sezvo izvi zvingada kugadziriswa. Zvakakosha kutevera mirairo yese pamberi pekuvhiyiwa sezvayakapiwa kuti uderedze njodzi uye uve nechokwadi chemhedzisiro yakanaka.

Nzira yekuverenga sei mhedzisiro yako ye endoscopic sleeve gastroplasty?

Kubudirira neESG kunowanzo kuyerwa nepasenti yehuremu hwakawandisa hwaunorasikirwa nekufamba kwenguva. Vanhu vazhinji vanorasikirwa neanenge 15-20% yehuremu hwavo hwese mukati megore rekutanga, kunyangwe mhedzisiro yemunhu inogona kusiyana zvakanyanya.

Chiremba wako achatevera kufambira mberi kwako kuburikidza nekugadzwa kwenguva dzose. Vachatarisa kwete chete kurasikirwa kwako nehuremu, asiwo kuvandudzwa mumamiriro ehutano ane chekuita nekuwanda kwakaita sechirwere cheshuga, high blood pressure, kana kurara apnea.

Mhedzisiro yeESG inowanzo sanganisira:

• Kurasikirwa nehuremu hwemuviri hwese hwe15-20% mugore rekutanga
• Kuvandudzwa mukudzora shuga yeropa kune vanhu vane chirwere cheshuga
• Kuderedzwa kweropa uye mazinga echolesterol
• Kuvandudzwa kwemhando yekurara uye kuderedzwa kwezviratidzo zvekurara apnea
• Kuvandudzwa kwekufamba uye kuderedzwa kwemarwadzo emajoini

Rangarira kuti ESG chishandiso chekukubatsira kurasikirwa nehuremu, kwete mhinduro yemashiripiti. Kubudirira kwako kwenguva refu kunoenderana zvakanyanya nekuchinja zvachose maitiro ako ekudya uye kuramba uchishingaira mumuviri. Vanhu vanozvipira kuchinja kwemararamiro aya vanowanzoona mhedzisiro yakanakisa uye inogara kwenguva refu.

Nzira yekuchengetedza mhedzisiro yako mushure meendoscopic sleeve gastroplasty?

Kuchengetedza kurasikirwa nehuremu mushure meESG kunoda kuzvipira kweupenyu hwese kune hutano hwekudya uye basa remuviri nguva dzose. Maitiro acho anokupa chishandiso chine simba, asi sarudzo dzako dzezuva nezuva dzinotsanangura kubudirira kwako kwenguva refu.

Dumbu rako diki richakubatsira kunzwa wakazara nekukurumidza, asi uchafanirwa kuita sarudzo dzakangwara dzekudya kuti uwane mukana uyu. Tarisa pakutanga kudya chikafu chine mapuroteni akawanda, wobva wamiriwo, uye gonesa chikafu chakagadzirwa uye zvinwiwa zvine shuga zvinogona kutambanudza dumbu rako nekufamba kwenguva.

Nzira dzekuchengetedza dzakakosha dzinosanganisira:

• Idya zvidiki, zvikafu zvinowanzoitika zuva rese
• Tafuna chikafu zvakakwana uye idya zvishoma nezvishoma
• Gara wakanyoroveswa, asi dzivisa kunwa nezvikafu
• Tora mavitamini nemishonga inokurudzirwa
• Rovedza muviri nguva dzose sezvakatenderwa nachiremba wako
• Pinda misangano yese yekutevera

Kutevera nguva dzose nechikwata chako chehutano chakakosha kubudirira kwenguva refu. Vanoongorora kufambira mberi kwako, kugadzirisa chirongwa chako chekudya sezvinodiwa, uye kugadzirisa chero zvinonetsa zvinomuka. Vanhu vazhinji vanowana kuti mapoka ekutsigira ari kuenderera mberi kana kuraira kunovabatsira kuti vagare vakafemerwa uye vane basa.

Ndeupi munhu akakodzera endoscopic sleeve gastroplasty?

Munhu akakodzera ESG munhu ane BMI ye30 kana kupfuura uyo akaedza dzimwe nzira dzekurasikirwa uremu pasina kubudirira kwenguva refu. Unofanira kuzvipira kuita shanduko dzehupenyu dzechigarire uye kukwanisa kutevera gwara rekudya mushure mekuvhiyiwa.

Vanhu vakanaka vanowanzoita netarisiro chaiyo pamusoro pekuvhiyiwa uye vanonzwisisa kuti ESG chishandiso chinoda kuedza kwenguva refu. Unofanira kunge uine hutano hwakakwana hwekuvhiyiwa uye wakagadzirira mupfungwa shanduko dzehupenyu dzinoda.

Ungave uri munhu akakodzera kana iwe:

• Une BMI ye30 kana kupfuura
• Wakaedza kudya uye kurovedza muviri pasina kubudirira kwenguva refu
• Unoda kudzivisa kuvhiyiwa kwechinyakare chekurasikirwa uremu
• Wakazvipira kushanduko dzehupenyu hwenguva refu
• Hauine mamwe mamiriro emudumbu aizokanganisa
• Une makore 18-65

Zvisinei, ESG haina kukodzera munhu wese. Vanhu vane mamiriro emudumbu, acid reflux yakakomba, kana kuvhiyiwa kwemudumbu kare havangave vanhu vakanaka. Chiremba wako achaongorora mamiriro ako ega kuti aone kana ESG iri sarudzo yakanakisa kwauri.

Ndezvipi zvinhu zvine njodzi zvematambudziko ne endoscopic sleeve gastroplasty?

Nepo ESG ichiwanzoita yakachengeteka kupfuura kuvhiyiwa kwechinyakare chekurasikirwa uremu, ichine njodzi dzaunofanira kunzwisisa usati waenderera mberi. Matambudziko mazhinji akapfava uye enguva pfupi, asi nyaya dzakakomba dzinogona kuitika dzimwe nguva.

Zvimwe zvinhu zvinogona kuwedzera njodzi yako zvinosanganisira kuva nemamwe mamiriro ekurapa, kutora mishonga yakatarwa, kana kuva nekuvhiyiwa kwemudumbu kare. Chiremba wako achanyatsoongorora izvi zvinhu panguva yekuongorora kwako usati wavhiyiwa.

Zvimwe zvinhu zvine njodzi zvematambudziko zvinosanganisira:

• Kuvhiyiwa mudumbu kare kana mavanga akakura
• Acid reflux yakanyanya kana maronda mudumbu
• Matambudziko ekuumbwa kweropa
• Zvirwere zvakanyanya zvemtima kana mapapu
• Kushandisa zvinodhaka zvakanyanya
• Tarisiro dzisina musoro pamusoro pemigumisiro

Zera rako uye hutano hwako hwese hunobatsirawo pakuona njodzi yako. Vanhu vane makore anopfuura 65 kana avo vane matambudziko mazhinji ehutano vanogona kusangana nenjodzi huru, kunyangwe vazhinji vachiri kukwanisa kuita maitiro acho zvakachengeteka nekutarisirwa kwakakodzera kwekurapa.

Ko endoscopic sleeve gastroplasty iri nani pane mamwe maitiro ekurasikirwa nehuremu here?

ESG inopa zvakanakira zvakasiyana zvichienzaniswa nemamwe maitiro ekurasikirwa nehuremu, asi kana iri "iri nani" zvinoenderana nemamiriro ako ega uye zvinangwa. Haina kupinda zvakanyanya kupfuura kuvhiyiwa kwechinyakare asi inogona kusatungamira mukurasikirwa nehuremu zvakanyanya semaitiro akadai se gastric bypass.

Ichienzaniswa nemasarudzo ekuvhiya, ESG ine nguva pfupi yekupora, njodzi shoma yematambudziko, uye inogona kudzoserwa kana zvichidikanwa. Zvisinei, maitiro ekuvhiya anowanzoita kuti pave nekurasikirwa nehuremu kwakakura uye kwenguva refu.

Zvakanakira zveESG zvinosanganisira:

• Hapana kucheka kwekunze kana mavanga
• Kuburitswa pazuva rimwechete mune mazhinji
• Njodzi shoma yematambudziko akakomba
• Zvinogona kudzoserwa
• Nguva pfupi yekupora

Maitiro akanakisa kwauri anoenderana nezvinhu zvakaita seBMI yako, mamiriro ehutano, kuyedza kwekurasikirwa nehuremu kare, uye zvaunofarira. Chiremba wako anogona kukubatsira kuyera zvakanakira nezvakaipira sarudzo imwe neimwe zvichibva pamamiriro ako chaiwo.

Ndezvipi zvingaitika zve endoscopic sleeve gastroplasty?

Nepo ESG ichiwanzoita, senge chero maitiro ekurapa, inogona kuve nematambudziko. Mazhinji emigumisiro iri nyoro uye yenguva pfupi, asi zvakakosha kunzwisisa zvingaitika kuitira kuti uite sarudzo ine ruzivo.

Zvinhu zvakajairika zvinowanikwa nevanhu ndizvo kurutsa, kurutsa, uye kusagadzikana mudumbu mumazuva mashoma ekutanga mushure mekuvhiyiwa. Zviratidzo izvi zvinowanzoita zvakanaka nekukurumidza sezvo muviri wako uchigadzirisa kuchinja.

Matambudziko emunguva pfupi anowanzoitika anosanganisira:

• Kurutsa uye kurutsa kwemazuva 1-3
• Kurwadziwa mudumbu kana cramping
• Kutadza kumedza pakutanga
• Kuneta kubva kune anesthesia
• Kukwenya pahuro kubva kuendoscope

Matambudziko akakomba anowanzoitika asi anogona kuitika. Izvi zvinogona kusanganisira kubuda ropa, hutachiona, kana matambudziko nemasutures. Mune zviitiko zvisingawanzoitiki, masutures anogona kusununguka, achida imwe kurapwa.

Matambudziko asingawanzoitiki asi akakomba anosanganisira:

• Kubuda ropa kunoda imwe kurapwa
• Hutachiona panzvimbo dzemasuture
• Suture matambudziko anoda kugadziriswa
• Kuvharika kwakanyanya mudumbu
• Zvisina kunaka zvinokonzerwa neanesthesia

Chiremba wako achakutarisa zvakanyanya chero zviratidzo zvematambudziko uye achapa mirairo yakajeka yekuti ungatsvaga rini kutariswa kwekurapa nekukurumidza. Vanhu vazhinji vanopora vasina matambudziko akakomba.

Ndingatarisana rini nachiremba mushure meendoscopic sleeve gastroplasty?

Unofanira kubata chiremba wako nekukurumidza kana ukaona zviratidzo zvakakomba mushure meESG, kunyanya kurutsa kunoramba kuripo, kurwadziwa mudumbu kwakanyanya, kana zviratidzo zvehutachiona. Nepo kusagadzikana kumwe kuri kwakajairika, zvimwe zviratidzo zvinoda kutariswa kwekurapa nekukurumidza.

Vanhu vazhinji vane kurutsa nekusagadzikana kwemazuva mashoma ekutanga, asi zviratidzo izvi zvinofanira kuvandudza zvishoma nezvishoma. Kana vakaipa kana vasingavandudzi mushure memazuva mashoma, zvakakosha kuti ubate timu yako yekutarisira hutano.

Bata chiremba wako nekukurumidza kana ukaona:

• Kurwadziwa mudumbu kwakanyanya kana kuwedzera
• Kurutsa kunoramba kuripo kunokutadzisa kuchengeta mvura pasi
• Zviratidzo zvehutachiona zvakaita sefivha kana kutonhora
• Kutadza kumedza kusingavandudzi
• Kurwadziwa muchipfuva kana kutadza kufema
• Kurutsa ropa kana zvinhu zvakasviba

Unofanirawo kuramba uchitaurirana nechikwata chako chehutano kuti uende kumisangano yekutevera nguva dzose, kunyangwe uchinzwa zvakanaka. Kushanya uku kunobatsira kuona kuti uri kupora zvakanaka uye kuita kufambira mberi kwakanaka nezvinangwa zvako zvekurasikirwa nehuremu.

Mibvunzo inowanzo bvunzwa nezve endoscopic sleeve gastroplasty

Mubvunzo 1. Ko endoscopic sleeve gastroplasty yakanaka here chirwere cheshuga?

Hongu, ESG inogona kubatsira zvikuru vanhu vane chirwere cheshuga chetype 2. Kurasikirwa nehuremu kunowanikwa kuburikidza neESG kazhinji kunotungamira mukuvandudzwa kukuru mukudzora shuga yeropa, uye vamwe vanhu vanokwanisa kuderedza mishonga yavo yechirwere cheshuga.

Zvidzidzo zvinoratidza kuti vanhu vazhinji vane chirwere cheshuga vanoona mazinga avo ehemoglobin A1c achivandudza mukati memwedzi mishoma mushure mekuvhiyiwa. Zvisinei, ESG inoshanda zvakanakisisa kana yakabatanidzwa nekugadzirisa chirwere cheshuga chiri kuenderera mberi uye kuongororwa nguva dzose nechikwata chako chehutano.

Mubvunzo 2. Ko endoscopic sleeve gastroplasty inokonzera kushaikwa kwezvokudya zvinovaka muviri here?

ESG inogona kukonzera kushaikwa kwezvokudya zvinovaka muviri kana ukasatevedzera gwara rekudya zvakanaka mushure mekuvhiyiwa. Nekuti uchadya zvikamu zviduku, zvakakosha kuti utarise pazvokudya zvine zvokudya zvinovaka muviri uye utore zvinowedzera zvinokurudzirwa.

Chikwata chako chehutano chingakurudzira mavitamini nemamineral akasiyana kuti adzivise kushaikwa. Kuyedzwa kweropa nguva dzose kuchabatsira kuongorora mamiriro ako ezvokudya zvinovaka muviri uye kubvumira kugadzirisa kune yako yekugadzirisa maitiro sezvinodiwa.

Mubvunzo 3. Ko endoscopic sleeve gastroplasty inogara kwenguva yakareba sei?

Tambo dzakaiswa panguva yeESG dzakagadzirirwa kugara zvachose, asi kushanda kwavo kunogona kusiyana nekufamba kwenguva. Vanhu vazhinji vanochengeta kuderedzwa kukuru kwehuremu kwemakore angangoita 2-3, kunyangwe ruzivo rwemakore mazhinji ruchiri kuunganidzwa sezvo iri maitiro matsva.

Kubudirira kwako kwenguva refu kunoenderana zvakanyanya nekuzvipira kwako kuchinja mararamiro. Vanhu vanochengeta tsika dzekudya dzakanaka uye kurovedza muviri nguva dzose vanowanzoona mhedzisiro inogara kwenguva refu kubva kuESG.

Q.4 Endoscopic sleeve gastroplasty inogona kudzoserwa here?

Hongu, ESG inogona kudzoserwa, kunyangwe izvi zvingada imwe nzira yeendoscopic kubvisa kana kucheka tambo. Iri ndiro rimwe bhenefiti ESG ine pamusoro pekuvhiyiwa kwekurasa huremu, iyo inowanzo gara zvachose.

Zvisinei, kudzoserwa hakushandiswi kazhinji uye kungafungwa chete kana iwe ukawana matambudziko akakomba asingagoni kutarisirwa nedzimwe nzira. Vanhu vazhinji vane ESG havadi kana kuda kudzoserwa.

Q.5 Ndingatarisira kurasikirwa nehuremu hwakadii neendoscopic sleeve gastroplasty?

Vanhu vazhinji vanorasikirwa ne15-20% yehuremu hwavo hwese mukati megore rekutanga mushure meESG. Semuenzaniso, kana uremu hwako huri 200 pounds, unogona kutarisira kurasikirwa ne30-40 pounds mugore rekutanga.

Mhedzisiro yemunhu mumwe nemumwe inosiyana zvichienderana nezvinhu zvakaita sehuremu hwako hwekutanga, kuzvipira kuchinja mararamiro, uye hutano hwese. Vamwe vanhu vanorasikirwa nehuremu hwakawanda, nepo vamwe vachigona kurasikirwa zvishoma. Chiremba wako anogona kukupa tarisiro yakanyanya yemunhu zvichienderana nemamiriro ako chaiwo.