Chii chinonzi Gastric Bypass Roux-en-Y? Chinangwa, Maitiro & Mhedzisiro

Gastric bypass Roux-en-Y imhando yekuvhiya yekurasikirwa nehuremu inoshandura nzira iyo dumbu rako nemukati mudiki zvinoita chikafu. Inoonekwa seimwe yeanonyanya kushanda kurapwa kwekuvhiya kwekuwanda kwakanyanya kwemafuta kana dzimwe nzira dzekurasikirwa nehuremu dzisina kushanda. Maitiro aya anogadzira homwe diki kubva mudumbu rako uye inoibatanidza zvakananga kumukati mako mudiki, izvo zvinokubatsira kuti unzwe wakazara nekukurumidza uye kutora macalorie mashoma kubva muchikafu.

Chii chinonzi Gastric Bypass Roux-en-Y?

Gastric bypass Roux-en-Y maitiro ekuvhiya anoita kuti dumbu rako ridiki uye rinodzosera nzira yako yekugaya. Chiremba anovhiya anogadzira homwe diki saizi yezai kubva kumusoro wedumbu rako, wobva wabatanidza homwe iyi zvakananga kuchikamu chemukati mako mudiki.

Chikamu che

Hezvino zvirwere zvikuru zvinogona kubatsirwa ne gastric bypass:

• Type 2 diabetes
• High blood pressure
• Sleep apnea
• High cholesterol
• Heart disease
• Fatty liver disease
• Gastroesophageal reflux disease (GERD)
• Joint problems and arthritis
• Infertility issues

Chiremba wako achafungawo zvinhu zvakaita sezera rako, hutano hwako hwese, uye kuzvipira kwako kuita shanduko dzehupenyu hwenguva refu. Kuvhiyiwa uku kunoda shanduko dzekudya dzehupenyu hwese uye kutevera kurapwa nguva dzose kuti zvibudirire.

Ndeipi Nzira yeGastric Bypass Roux-en-Y?

Nzira ye gastric bypass inowanzoitwa vachishandisa minimally invasive laparoscopic surgery, zvinoreva kuti chiremba wako anovhiya anoita zvidimbu zvidiki mudumbu rako pane kucheka kumwe kukuru. Iwe uchagamuchira general anesthesia, saka uchavata zvachose panguva yekuvhiyiwa.

Kuvhiyiwa kunowanzo tora maawa anenge 2 kusvika ku4, zvichienderana nemamiriro ako chaiwo uye chero matambudziko anogona kumuka. Chiremba wako anovhiya achashandisa kamera diki inonzi laparoscope kuti atungamire nzira iyi kuburikidza nezvidimbu zvidiki.

Hezvino zvinoitika panguva yekuvhiyiwa nhanho nhanho:

1. Chiremba wako anovhiya anogadzira homwe diki kubva kumusoro mudumbu rako achishandisa surgical staples
2. Zvimwe zvese zvedumbu rako zvakaparadzaniswa asi zvasara panzvimbo
3. Chikamu cheura rako diki chinochekwa uye chakabatana nehomwe itsva yedumbu
4. Chikamu chakasara cheura rako diki chinobatanidzwa zvakare kuti chigadzire chimiro cheY
5. Zvese zvinobatanidza zvinotarisiswa zvakanyatso chengetedza kuti zvakachengeteka
6. Zvidimbu zvidiki zvinovharwa neglue yekuvhiya kana stitches

Mune dzimwe nguva, chiremba wako anovhiya angangoda kuchinja kuenda kuvhiyiwa kwakavhurika kana matambudziko akamuka, izvo zvinosanganisira kuita incision yakakura. Izvi zvinowanzoitika kazhinji asi zvinobvumira kuwana kuri nani kana zvichidikanwa panguva yekuita.

Maitiro ekugadzirira kuvhiyiwa kwako kweGastric Bypass?

Kugadzirira kuvhiyiwa kwe gastric bypass kunosanganisira kugadzirira kwemuviri nepfungwa kwemavhiki akati wandei kana mwedzi. Chikwata chako chehutano chichakutungamira kuburikidza nekuongorora kwakazara kuti uve nechokwadi chekuti wagadzirira kuvhiyiwa uye shanduko dzemararamiro dzinotevera.

Uchada kusangana nenyanzvi dzakasiyana-siyana usati waita kuvhiyiwa. Iyi nzira yechikwata inobatsira kuona kuti une mhedzisiro yakanakisa uye unonzwisisa zvekutarisira panguva yekupora.

Hezvino zvinowanzo sanganisira maitiro ako ekugadzirira:

• Kuongororwa kwekurapa ne bvunzo dzeropa, bvunzo dzemoyo, uye zvimwe zviratidzo
• Kupihwa zano rezvokudya kuti udzidze nezve maitiro ekudya mushure mekuvhiyiwa
• Kuongororwa kwepfungwa kuti uongorore kugadzirira kwako shanduko dzemararamiro
• Kusangana nachiremba wako wekuvhiya kuti ukurukure maitiro uye njodzi
• Kudya usati waita kuvhiyiwa kuti udzikise chiropa chako uye kuderedza njodzi dzekuvhiya
• Kumisa mishonga yakati wandei inogona kuwedzera njodzi yekubuda ropa
• Kuronga rubatsiro kumba panguva yekupora kwako

Vanhu vazhinji vanoda kutevera kudya kwakakosha kwemacalorie mashoma, mapuroteni akawanda kwemavhiki 1-2 vasati vavhiyiwa. Izvi zvinobatsira kuderedza saizi yechiropa chako, zvichiita kuti kuvhiyiwa kuve kwakachengeteka uye kuri nyore kuti chiremba wako wekuvhiya aite.

Uchadawo kumisa kusvuta zvachose kana uchisvuta, sezvo kusvuta kunowedzera zvakanyanya njodzi yako yematambudziko panguva uye mushure mekuvhiyiwa. Chikwata chako chehutano chinogona kupa zviwanikwa zvekukubatsira kusiya kana zvichidikanwa.

Maitiro ekuverenga Mhedzisiro yako yeGastric Bypass?

Kubudirira mushure mekuvhiyiwa kwe gastric bypass kunoyerwa nenzira dzakawanda, uye chikwata chako chehutano chichatevera kufambira mberi kwako nguva dzose panguva yekutevera-kumusoro kusangana. Nzira yakajairika yekuyera kubudirira ndeyekurasikirwa uremu, asi kuvandudzwa kwako kwehutano hwese kwakakosha zvakaenzana.

Vanhu vazhinji vanorasikirwa ne60-80% yemafuta avo akawandisa mukati memwedzi 12-18 yekutanga mushure mekuvhiyiwa. Uremu hwakawandisa ndihwo huwandu hwezvaunorema pamusoro pezvinotariswa seuremu hune hutano hurefu hwako.

Chiremba wako achatarisa zviratidzo zvakakosha zvakati wandei kuti aongorore kuti kuvhiyiwa kwako kuri kushanda sei:

• Kufambira mberi kwekurasikirwa uremu nekufamba kwenguva
• Kuvandudzwa kwehutano hunoenderana nekufutisa
• Mazinga eshuga yeropa uye manejimendi echirwere cheshuga
• Kuverenga kweropa
• Cholesterol uye mazinga emalipid
• Zviratidzo zvekurara apnea
• Kurwadziwa kwemajoini uye kuvandudzwa kwekufamba
• Zviyero zvehupenyu hwese

Chikwata chako chehutano chichaongororawo chero kushomeka kwezvekudya kuburikidza nekuongororwa kweropa nguva dzose. Izvi zvakakosha nekuti kuvhiyiwa kunochinja maitiro anoita muviri wako kutora mavhitamini nemamineral akati wandei.

Nzira yekuchengetedza Uremu Hwako Mushure meGastric Bypass?

Kuchengetedza kurasikirwa kwako uremu mushure me gastric bypass kunoda shanduko dzechigarire kumaitiro ako ekudya uye mararamiro. Kuvhiyiwa kunokupa chishandiso chine simba chekurasikirwa uremu, asi kubudirira kwenguva refu kunoenderana nekuzvipira kwako kutevera matungamirirwo anopiwa nechikwata chako chehutano.

Pouch yako itsva yemudumbu inogona chete kubata nezve 1/4 kusvika 1/2 mukombe wechikafu panguva imwe chete pakutanga. Izvi zvinoreva kuti uchada kudya zvikamu zvidiki kwazvo uye kutsenga chikafu chako zvakakwana kuti usadzivise kusagadzikana.

Heano matungamirirwo makuru ekudya aunozofanira kutevera muhupenyu:

• Dya zvikamu zvidiki (2-4 ounces) pachikafu chega chega
• Tsenga chikafu zvakakwana uye udye zvishoma nezvishoma
• Regedza kudya paunonzwa wakazara
• Dzivisa kunwa zvinwiwa nezvikafu
• Tarisa pazvikafu zvakapfuma muprotein kutanga
• Tora zvinowedzera zvevhitamini nemamineral zuva rega rega
• Dzivisa chikafu chine shuga yakawanda uye mafuta akawanda
• Gara uine mvura pakati pezvikafu

Kushanda muviri nguva dzose zvakakoshawo kuchengetedza uremu hwako hwawarasikirwa. Vanhu vazhinji vanogona kutanga nekufamba zvinyoro-nyoro uye zvishoma nezvishoma vawedzere mwero wekushanda kwavo sezvavanopora uye kurasikirwa nehuremu.

Nguva Yakanakisisa Yekuona Mhedzisiro yeGastric Bypass?

Nguva yekuona mhedzisiro yekuvhiyiwa kwe gastric bypass inosiyana kubva kumunhu nemunhu, asi vanhu vazhinji vanotevera maitiro akafanana ekurasikirwa nehuremu nekupora. Kunzwisisa zvekutarisira kunogona kukubatsira kumisa zvinangwa zvechokwadi uye kuramba uchikurudzirwa panguva yerwendo rwako.

Unogona kuona shanduko dzakanyanya mumwedzi yekutanga 6-12 mushure mekuvhiyiwa. Iyi ndiyo nguva iyo kurasikirwa kwako nehuremu kuchave nekukurumidza, uye unogona kuona kuvandudzwa mumamiriro ehutano ane chekuita nekufutisa nekukurumidza.

Heino nguva yakajairika yezvaunogona kutarisira:

• Mavhiki maviri ekutanga: Kupora kwekutanga, chikafu chemvura chete
• Mavhiki 2-8: Kuiswa zvishoma nezvishoma kwezvokudya zvakapfava
• Mwedzi 2-3: Kudzokera kumabasa akajairika, kurasikirwa nehuremu kunoenderera mberi
• Mwedzi 6: Kurasikirwa nehuremu kwakakosha (40-60% yehuremu hwakawandisa)
• Mwedzi 12-18: Kurasikirwa nehuremu kwakanyanya kunowanikwa
• 2+ makore: Tarisa pakuchengetedza uye tsika dzehutano hwenguva refu

Zvimwe zvekugadzirisa hutano zvinogona kuitika nekukurumidza kupfuura kurasikirwa nehuremu pachako. Vanhu vazhinji vane chirwere cheshuga che rudzi rwechipiri vanoona kuvandudzwa mumazinga avo eshuga yeropa mukati memazuva kana mavhiki ekuvhiyiwa, kunyangwe kurasikirwa nehuremu kwakakosha kusati kwaitika.

Ndezvipi Zvinhu Zvinokonzera Njodzi yeGastric Bypass Matambudziko?

Nepo kuvhiyiwa kwe gastric bypass kazhinji kuri kwakachengeteka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yematambudziko panguva kana mushure mekuvhiyiwa. Kunzwisisa izvi zvinhu zvinokonzera njodzi kunobatsira timu yako yehutano kutora matanho akakodzera uye kunokubatsira kuita sarudzo ine ruzivo nezvekuvhiyiwa.

Zera remakore uye hutano hwese hunoita basa rakakosha pakuona njodzi yako yekuvhiyiwa. Vanhu vane makore anopfuura 65 kana avo vane matambudziko mazhinji ehutano vanogona kuva nenjodzi dzakakwirira, kunyange vanhu vakawanda vakuru vachiri kuwana mhedzisiro inobudirira.

Zvikonzero zvakajairika zvinogona kuwedzera mikana yako yematambudziko zvinosanganisira:

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• Kusvuta kana nhoroondo yekusvuta ichangobva kuitika
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• Chirwere chemoyo chakakomba kana kurwisa kwemoyo kwakapfuura
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• Matambudziko ekuumbwa kweropa
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• Severe sleep apnea
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• Kuvhiyiwa mudumbu kwakapfuura
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• Yakakwirira kwazvo BMI (inopfuura 50)
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• Diabetes isina kunyatso kutarisirwa
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• Chirwere chechiropa
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• Matambudziko eitsvo
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Chiremba wako achanyatsoongorora zvese izvi panguva yekuongororwa kwako kwekuvhiyiwa. Mune zvimwe zviitiko, vanogona kukurudzira kugadzirisa nyaya dzehutano dzakatarwa vasati vaenderera mberi nekuvhiyiwa kuti vaderedze njodzi yako.

Zvirinani Kuva neGastric Bypass kana Zvimwe Zvivhiyiwa Zvekurasikirwa Uremu?

Sarudzo pakati pe gastric bypass uye mamwe mavhiyiwa ekurasikirwa uremu inoenderana nemamiriro ako ehutano, zvinangwa zvekurasikirwa uremu, uye zvaunofarira. Rudzi rumwe nerumwe rwekuvhiyiwa rune zvazvinobatsira uye zvazvinofunga, uye zvinoita zvakanaka kune mumwe munhu zvingasava zvakanaka kune mumwe.

Gastric bypass inowanzofungidzirwa se

Chiremba wako achakubatsira kunzwisisa kuti ndeipi sarudzo ingave yakanakira mamiriro ako chaiwo. Vachafunga nezvezvinhu zvakaita seBMI yako, mamiriro ehutano, tsika dzekudya, uye uremu hwakawanda hwaunoda kurasikirwa.

Ndezvipi Zvinogona Kuitika zveGastric Bypass?

Kufanana nekumwe kuvhiyiwa kukuru, gastric bypass inotakura njodzi dzekuoma, kunyangwe matambudziko akakomba asingawanzoitika kana kuvhiyiwa kuchiitwa nevachiremba vane ruzivo. Kunzwisisa izvi zvinogona kuitika kunogona kukubatsira kuti uite sarudzo ine ruzivo uye uzive zviratidzo zvekuchenjerera zvekutarisa.

Zvakawanda zvezvinetso, kana zvikaitika, zvinoitika mukati memavhiki mashoma ekutanga mushure mekuvhiyiwa. Zvisinei, dzimwe nyaya dzinogona kukura mwedzi kana makore gare gare, ndosaka kuchengetwa kwenguva dzose kuchikosha.

Heano matambudziko akajairika ekuziva nezvawo:

• Kubuda ropa panzvimbo yekuvhiya
• Kutapukirwa panzvimbo dzekucheka
• Mavhiri eropa mumakumbo kana mumapapu
• Kuvuza panzvimbo dzekubatanidza
• Kuvharika kwematumbo
• Dumping syndrome (kukurumidza kubuda kwezviri mudumbu)
• Kushaya zvekudya zvinovaka muviri
• Gallstones kubva mukurasikirwa nekukurumidza uremu
• Hernias panzvimbo dzekucheka

Zvisingawanzoitiki asi zvakakomba zvinogona kusanganisira matambudziko emoyo, sitiroko, kana zvirwere zvinotyisa upenyu. Njodzi yese yerufu kubva ku gastric bypass kuvhiyiwa yakaderera kwazvo, ichiitika mune isingasviki 1% yezviitiko panzvimbo dzine ruzivo.

Matambudziko enguva refu anogona kusanganisira kushaya zvekudya zvinovaka muviri, kunyanya vhitamini B12, iron, calcium, uye zvimwe zvinovaka muviri zvakakosha. Ichi ndicho chikonzero nei kutora zvinowedzera zvakarairwa uye kuita bvunzo dzeropa dzenguva dzose zvakakosha muupenyu.

Ndingatarisa Chiremba Rini Mushure meGastric Bypass?

Kuchengetwa kwenguva dzose kwakakosha kubudirira kwenguva refu mushure mekuvhiyiwa kwe gastric bypass. Chikwata chako chehutano chichaita nguva yekugadzwa yenguva dzose yekutarisa kufambira mberi kwako, asi iwe unofanirwawo kuziva kuti ungatsvaga rini kutariswa kwekurapa nekukurumidza.

Kazhinji muchava nekugara muchiita misangano kakawanda mugore rekutanga mushure mekuvhiyiwa, wobva wava kushanya kwegore negore kweupenyu hwese. Misangano iyi inobatsira kubata matambudziko chero api zvawo nekukurumidza uye kuona kuti muri kusangana nezvido zvenyu zvekudya.

Bata chiremba wako wehutano nekukurumidza kana ukaona chero zviratidzo zvinotevera zvekuyambira:

• Kurwadziwa kwakanyanya mudumbu kusingavandudzi
• Kurwadziwa kwemoyo uye kurutsa zvisingamire
• Zviratidzo zveutachiona (fivha, kutonhora, kutsvuka panzvimbo dzekuvhiya)
• Kutadza kumedza kana kuchengeta chikafu pasi
• Kurwadziwa muchipfuva kana kutadza kufema
• Kuzvimba kwemakumbo kana kurwadziwa (kugwamba kweropa kunogoneka)
• Kuneta kusingaite kana kusava nesimba
• Kuwedzera uremu nekukurumidza

Unofanirawo kuronga misangano yenguva dzose nachiremba wako wekutanga kuti uongorore hutano hwako hwese uye chero mamiriro ezvinhu ekurapa ari kuenderera mberi. Vanhu vazhinji vanowana kuti vanoda mishonga mishoma yemamiriro ezvinhu akadai sechirwere cheshuga uye ropa rakakwira mushure mekubudirira kwekurasikirwa nehuremu.

Mibvunzo Inowanzo Bvunzwa Nezve Gastric Bypass Roux-en-Y

Q1: Kuvhiyiwa kwe gastric bypass kwakanaka here kune chirwere cheshuga che mhando 2?

Hongu, kuvhiyiwa kwe gastric bypass kunogona kubudirira zvikuru pakurapa chirwere cheshuga che mhando 2. Vanhu vazhinji vanoona kuvandudzwa kukuru mumazinga avo eshuga yeropa mukati memazuva kana mavhiki ekuvhiyiwa, kazhinji vasati varasikirwa nehuremu hwakawanda. Zvidzidzo zvinoratidza kuti 60-80% yevanhu vane chirwere cheshuga che mhando 2 vanowana remission mushure mekuvhiyiwa kwe gastric bypass.

Kuvhiyiwa kunoita kunge kunochinja maitiro emuviri wako ekugadzirisa glucose uye insulin, kwete chete kuburikidza nekurasikirwa nehuremu asiwo kuburikidza nekuchinja muhomoni dzematumbu. Zvisinei, kuvandudzwa kwechirwere cheshuga hakuvimbiswi kune munhu wese, uye vamwe vanhu vangangoda mishonga kunyange mushure mekuvhiyiwa.

Q2: Gastric bypass inokonzera kushaikwa kwezvokudya zvinovaka muviri here?

Kubvisa mudumbu kunogona kukonzera kushaikwa kwezvokudya zvinovaka muviri nekuti kuvhiyiwa kunochinja nzira iyo muviri wako unotora mamwe mavitamini nemamineral. Kushaikwa kwakajairika kunosanganisira vhitamini B12, simbi, calcium, vhitamini D, uye folate. Ichi ndicho chikonzero nei kutora zvinowedzera zvakarairwa kwehupenyu hwese kwakakosha.

Nekutsigirwa kwakakodzera uye kuongororwa nguva dzose kuburikidza nemiedzo yeropa, kushaikwa kwezvokudya zvinovaka muviri kunogona kudzivirirwa kana kutarisirwa zvinobudirira. Chikwata chako chehutano chichashanda newe kuti ugadzire chirongwa chekuwedzera chinokodzera zvaunoda.

Q3: Ndingatarisira kurasikirwa uremu hwakawanda sei nekubvisa mudumbu?

Vanhu vazhinji vanorasikirwa ne60-80% yehuwandu hwavo hwakawandisa mukati memwedzi gumi nemiviri-18 mushure mekuvhiyiwa kwekubvisa mudumbu. Semuenzaniso, kana iwe uchida kurasikirwa nemapaundi zana kuti usvike kuhuremu hune hutano, unogona kutarisira kurasikirwa nemapaundi 60-80. Mhedzisiro yemunhu mumwe nemumwe inosiyana zvichienderana nezvinhu zvakaita seuremu hwako hwekutanga, zera, danho rekuita, uye kuti unotevedza sei gwara rekudya.

Kurasikirwa nekukurumidza kwemuviri kunowanzoitika mumwedzi mitanhatu-12 yekutanga, wobva wanonoka zvishoma nezvishoma. Vamwe vanhu vanogona kurasikirwa zvakawanda kana zvishoma pane avhareji, uye kuchengetedza kurasikirwa kwemuviri kunoda kuzvipira kwehupenyu hwese kune tsika yekudya uye yekurovedza muviri.

Q4: Ndingava nepamuviri mushure mekuvhiyiwa kwekubvisa mudumbu here?

Hongu, unogona kuva nepamuviri hune hutano mushure mekuvhiyiwa kwekubvisa mudumbu, uye vakadzi vazhinji vanowana kuti kurasikirwa uremu kunovandudza kubereka kwavo. Zvisinei, zvakakosha kumirira angangoita mwedzi gumi nemiviri-18 mushure mekuvhiyiwa usati waedza kutora mimba, sezvo izvi zvichibvumira uremu hwako kuti hugadzikane uye kuderedza njodzi kwauri nemwana wako.

Panguva yekuzvitakura, unozoda kuongororwa pedyo nachiremba wako wevana nevashandi vako vekuvhiya bariatric kuti uve nechokwadi chekuti uri kuwana chikafu chakakodzera. Unogona kuda kuwedzera mavitamini akagadziridzwa uye kuongororwa kakawanda kwemamiriro ako ezvokudya.

Q5: Chii chinonzi dumping syndrome mushure mekubvisa mudumbu?

Dambudziko reDumping syndrome rinoitika kana chikafu chichifamba nekukurumidza kubva muhomwe yako yemudumbu kuenda mudumbu rako diki, kazhinji mushure mekudya chikafu chine shuga yakawanda kana mafuta. Zviratidzo zvinogona kusanganisira kusvotwa, kurutsa, manyoka, dzungu, kutukirwa ziya, uye kunzwa usina simba kana kufenda. Izvi zvinowanzoitika mukati memaminitsi makumi matatu kusvika kumaawa maviri mushure mekudya.

Nepo dumping syndrome ichigona kusagadzikana, vanhu vazhinji vanoona kuti zvinovabatsira kudzivisa chikafu chisina hutano sezvo vachidzidza kubatanidza chikafu ichi nekunzwa kurwara. Mamiriro acho anogona kutarisirwa nekudzivisa chikafu chinokonzera uye kudya zvidiki, chikafu chinowanzoitika.