Chii chinonzi Intragastric Balloon? Chinangwa, Maitiro & Mhedzisiro

Intragastric balloon chishandiso chekurasikirwa nehuremu kwenguva pfupi chinoiswa mudumbu rako kuti chikubatsire kunzwa wakaguta nekukurumidza uye kudya zvishoma. Ibhuruu rakanyorovera, re silicone rinogadzirwa nemvura yemunyu kana raiswa mudumbu rako, richitora nzvimbo kuitira kuti iwe pachako udye zvikamu zvidiki. Iyi sarudzo isiri yekuvhiya inogona kubatsira kubatsira kune tsika dzekudya dzine hutano kana kudya uye kurovedza muviri chete zvisina kupa mhedzisiro yaunotsvaga.

Chii chinonzi intragastric balloon?

Intragastric balloon chishandiso chekurapa chakagadzirirwa kubatsira mukurasikirwa nehuremu nekuderedza huwandu hwekudya dumbu rako rinogona kubata. Ibhuruu rinogadzirwa ne silicone yakapfava, yakasimba uye inouya mumhando dzakasiyana zvichienderana nemhando chaiyo uye kurudziro yachiremba wako.

Kana raiswa mudumbu rako, bhuruu rinogadzirwa nemvura yakachena yemunyu, inowanzoita 400-700 milliliters yemvura. Izvi zvinogadzira kunzwa kwekuguta kunokubatsira kuti udye zvikamu zvidiki zvakasikwa. Funga nezvazvo semubatsiri wenguva pfupi anorovedza muviri wako kuti uzive saizi yakakodzera yezvikamu.

Ibhuruu rinogara munzvimbo kwemwedzi mitanhatu mune mazhinji emakesi, kunyangwe mamwe marudzi matsva anogona kugara kwemwedzi gumi nemiviri. Munguva iyi, iwe unozoshanda padyo nechikwata chako chehutano kuti ugadzire tsika dzekudya dzakasimba uye shanduko yehupenyu iyo ichakushandira zvakanaka mushure mekubviswa kwebhaluni.

Nei intragastric balloon ichiitwa?

Vanachiremba vanokurudzira intragastric balloons kune vanhu vanoda kurasikirwa nehuremu asi vasina kuwana kubudirira nechirongwa chekudya uye kurovedza muviri chete. Iyi nzira inowanzoonekwa kana yako body mass index (BMI) iri pakati pe30-40, iyo inowira muchikamu chekuwanda kwemafuta mumuviri.

Ungave kuve munhu akakodzera kana wakaedza nzira dzakawanda dzekurasikirwa nehuremu pasina mhedzisiro inogara, kana kana uine matambudziko ehutano ane hukama nehuremu senge chirwere cheshuga, ropa rakakwira, kana sleep apnea. Bhaluni rinogona kubatsirawo kana usina kugadzirira kana kusakodzera kuvhiyiwa kwekurasa huremu asi uchida rubatsiro rwekurapa kuti utange rwendo rwako rwekurasa huremu.

Chiremba wako achaongorora zvinhu zvakati wandei asati akurudzira sarudzo iyi, kusanganisira hutano hwako hwese, kuzvipira kuchinja mararamiro, uye zvinangwa zvekurasa huremu zvine musoro. Zvakakosha kunzwisisa kuti bhaluni rinoshanda zvakanyanya kana rakabatana nekupa mazano ekudya uye kutarisirwa nguva dzose.

Ndeipi nzira yebhaluni reintragastric?

Maitiro ebhaluni reintragastric anoitwa sechinhu chekurapa chekunze, zvinoreva kuti unogona kuenda kumba zuva rimwe chete. Chiremba wako achashandisa endoscope, iyo iri chubhu yakatetepa, inochinjika ine kamera, kutungamira bhaluni rakadzimwa mudumbu rako nemuromo wako.

Hezvino zvinowanzoitika panguva yekuita:

1. Uchagamuchira light sedation kuti ikubatsire kuzorora uye kuderedza kusagadzikana
2. Chiremba anopinza endoscope nemuromo wako uye pasi pahuro yako
3. Bhaluni rakadzimwa rinotungamirirwa mudumbu rako richishandisa endoscope
4. Kana yaiswa zvakanaka, bhaluni rinozadzwa nemvura yakachena yesaline
5. Endoscope inobviswa, ichisiya bhaluni panzvimbo

Maitiro ese anowanzo tora maminitsi makumi maviri nemakumi matatu. Uchaongororwa kwenguva pfupi mushure meizvozvo kuti uve nechokwadi chekuti uri kunzwa zvakanaka usati waenda kumba. Vanhu vazhinji vanonzwa kusvotwa kana kusagadzikana kwemazuva mashoma ekutanga sezvo muviri wavo uchigadzirisa kubhaluni.

Maitiro ekugadzirira maitiro ako ebhaluni reintragastric?

Kugadzirira nzira yako yebhaluni reintragastric kunosanganisira kugadzirira kwemuviri nepfungwa kuti uve nechokwadi chekubudirira kwakanaka. Chikwata chako chekuchengetedza hutano chichapa mirairo chaiyo, asi hezvino matanho akajairika aunozofanira kutevera.

Usati waita nzira iyi, uchafanira kutsanya kwemaawa angangoita 12, zvinoreva kuti hapana chikafu kana chinwiwa mushure mepakati pousiku husati hwaitwa. Izvi zvinovimbisa kuti dumbu rako rakazara uye rinoderedza njodzi yematambudziko panguva yacho.

Nguva yako yekugadzirira inowanzo sanganisira:

• Kuongororwa kwakakwana kwekurapa kusanganisira bvunzo dzeropa uye pamwe EKG
• Sangana nemunyanzvi wezvekudya kuti ukurukure zvirongwa zvekudya mushure mekuita
• Mira mishonga yakati wandei sezvakarairwa nachiremba wako
• Gadzirira mumwe munhu kuti akuendesere kumba mushure mekuita
• Tevera chero zvirambidzo zvekudya mumazuva anotungamira nzira yacho

Kugadzirira kwepfungwa kwakakosha zvakaenzana. Tora nguva yekunzwisisa kuti ndeapi shanduko yaunozofanira kuita mumaitiro ako ekudya uye mararamiro. Kuva netarisiro chaiyo uye tsigiro yakasimba ichakubatsira kubudirira nechishandiso ichi chekurasikirwa nehuremu.

Ungaverenga sei mhedzisiro yako yebhaluni reintragastric?

Kubudirira nebhaluni reintragastric kunoyerwa nenzira dzakawanda, uye chikwata chako chekuchengetedza hutano chichatevera kufambira mberi kwako nguva dzose panguva yekurapa. Kurasikirwa nehuremu ndiyo chiyero chekutanga, asi haisi iyo chete chiratidzo chekubudirira.

Vanhu vazhinji vanorasikirwa neanenge 10-15% yehuremu hwavo hwese panguva yebhaluni, kunyangwe mhedzisiro yemunhu mumwe nemumwe ichisiyana zvakanyanya. Kune mumwe munhu anoyera mapaundi mazana maviri, izvi zvinowanzoita kurasikirwa nemapaundi makumi maviri nemakumi matatu pamusoro penguva yemwedzi mitanhatu.

Chiremba wako achaongorora kufambira mberi kwako kuburikidza ne:

• Kuyera uremu nguva dzose nekuyera muviri
• Kuvandudzwa kwehutano hunoenderana neuremu
• Kuchinja maitiro ekudya nekudzora zvikamu zvechikafu
• Kuvandudzwa kwemhando yehupenyu hwese
• Kukwanisa kuenderera mberi nekuita maekisesaizi

Rangarira kuti bhururu chishandiso chekukubatsira kuvaka tsika dzine hutano. Chiyero chaicho chekubudirira ndechekuti unogona here kuchengetedza shanduko idzi dzakanaka mushure mekubviswa kwebhururu.

Nzira yekuchengetedza uremu hwako mushure mekubviswa kwebhururu reintragastric?

Kuchengetedza kurasikirwa kwako uremu mushure mekubviswa kwebhururu kunoda kuenderera mberi netsika dzine hutano dzawakavaka panguva yekurapa. Bhururu rinoshanda sechishandiso chekudzidzisa, uye basa chairo rinotanga nekushandisa shanduko dzinogara kwenguva refu muhupenyu.

Tarisa pakudzora zvikamu zvechikafu, iro riri hunyanzvi hunokosha hwaunozodzidza nebhururu. Dumbu rako richange rakajaira zvikamu zvidiki, uye kuchengetedza tsika iyi kwakakosha kubudirira kwenguva refu. Ramba uchidya zvishoma nezvishoma uye uchiteerera zviratidzo zvekunzwa nzara nekuguta.

Nzira huru dzekuchengetedza mhedzisiro yako dzinosanganisira:

• Ramba uchidya zvikafu zvenguva dzose nezvikamu zvakadzorwa
• Ramba wakanyatsogadzirwa mvura asi dzivisa kunwa panguva yezvikafu
• Ramba uchiita maekisesaizi
• Chengeta nguva dzekuonana nachiremba wako nguva dzose
• Joinha mapoka ekutsigira kana kushanda nemupi wezano kana zvichidikanwa

Zvidzidzo zvinoratidza kuti vanhu vanochengetedza kuonana nguva dzose nechikwata chavo chehutano uye vachienderera mberi nekutevera matanho ekudya vane kuchengetedza uremu kwenguva refu. Tsika dzauinovaka panguva yebhururu dzinova hwaro hwekubudirira kwako kuenderera mberi.

Ndezvipi zvinhu zvinokonzera njodzi yematambudziko ebhururu reintragastric?

Nepo mabhururu eintragastric achiwanzova akachengeteka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yematambudziko. Kunzwisisa zvinhu izvi zvinokubatsira iwe nachiremba wako kuita sarudzo ine ruzivo pamusoro pekuti kurapwa uku kwakakunakira here.

Vanhu vane mamiriro ezvinhu emishonga vangatarisana nenjodzi huru panguva kana mushure mekuvhiyiwa. Izvi zvinosanganisira nhoroondo yekuvhiyiwa mudumbu, chirwere chekuputika mudumbu, kana chirwere chakakomba che gastroesophageal reflux (GERD). Chiremba wako achanyatsoongorora nhoroondo yako yemishonga asati akurudzira bhururu.

Zvikonzero zvakajairika zvinogona kuwedzera matambudziko zvinosanganisira:

• Kuvhiyiwa mudumbu kana ura kare
• Maronda emudumbu anoshanda kana acid reflux yakakomba
• Matambudziko ekubuda ropa kana kushandiswa kwemishonga inoderedza ropa
• Mamiriro emoyo kana mapapu akakomba
• Kuzvitakura kana zvirongwa zvekuva nepamuviri
• Kusagona kutevera gwara rekudya mushure mekuvhiyiwa

Zera uye hutano hwese hunoitawo basa mukusarudza kukodzera kwako maitiro. Chikwata chako chehutano chichaita ongororo yakadzama kuderedza chero njodzi dzinogona kuitika uye kuona kuti uri munhu akakodzera sarudzo iyi yekurapa.

Ndezvipi zvipingamupinyi zvinogona kuitika zve intragastric balloon?

Vanhu vazhinji vanotsungirira zvakanaka intragastric balloons, asi semaitiro emishonga chero api zvawo, matambudziko anogona kuitika. Kunzwisisa nyaya idzi dzinogona kukubatsira kuziva kuti ungatsvaga rini rubatsiro rwemishonga uye kuita sarudzo ine ruzivo nezvekurapa.

Mhedzisiro yakajairika inoonekwa mumazuva mashoma ekutanga mushure mekuiswa uye inowanzo gadzirisa sezvo muviri wako uchigadzirisa kubhururu. Izvi zvinosanganisira kusvotwa, kurutsa, uye kurwadziwa mudumbu, izvo zvinokanganisa vanhu vazhinji kusvika padanho rekutanga.

Heano matambudziko anogona kuitika, kubva kune akajairika kusvika kune asingawanzoitiki:

Matambudziko akajairika (anokanganisa 10-30% yevanhu):

• Kusvotwa uye kurutsa, kunyanya muvhiki yekutanga
• Kurwadziwa mudumbu uye kusagadzikana
• Acid reflux kana heartburn
• Kunzwa kuzara kana kuzvimba

Matambudziko asingawanzoitiki (anokanganisa 1-10% yevanhu):

• Kudzikiswa kwebhaluni kuchitungamira mukupfuura nemumatumbu
• Kutsamwa kwemudumbu kana maronda
• Kurwadziwa kwemwoyo kunoda kubviswa kwebhaluni nekukurumidza
• Kupera mvura mumuviri nekuda kwekuomerwa kuchengeta mvura pasi

Zvisingawanzoitiki asi zvakakomba (zvinokanganisa vanhu vasingasviki 1%):

• Kufamba kwebhaluni kuchikonzera kuvharika kwematumbu
• Kuboorwa kwemudumbu panguva yekuisa kana kubvisa
• Maitiro akakomba ekurwara kune mishonga yekuzorodza
• Pneumonia yekufema panguva yekuita

Vashandi vehutano vachakutarisa zvakanyanya uye vachakupa mirairo yakajeka pamusoro pezviratidzo zvekuyambira zvinoda kutariswa kwekurapa nekukurumidza. Matambudziko mazhinji anogadzirisika kana akabatwa nekukurumidza, ndosaka kutevera nachiremba wako sezvakatarwa zvakakosha.

Ndinofanira kuona chiremba rini nekuda kwezvinhu zvine chekuita nebhaluni remudumbu?

Kuziva nguva yekubata chiremba wako kwakakosha kuchengeteka kwako uye kubudirira nebhaluni remudumbu. Kunyange kusagadzikana kumwe kuri kwakajairika, kunyanya mumazuva mashoma ekutanga, zviratidzo zvakati wandei zvinoda kutariswa kwekurapa nekukurumidza.

Bata chiremba wako nekukurumidza kana uine kurutsa kwakanyanya, kunoramba kuripo kunokutadzisa kuchengeta mvura pasi kwemaawa anopfuura makumi maviri nemana. Izvi zvinogona kutungamira mukupera mvura mumuviri uye zvinogona kuda kubviswa kwebhaluni nekukurumidza kana mamwe maitiro.

Tsvaga kutariswa kwekurapa nekukurumidza kana uine:

• Kurwadziwa kwemudumbu kwakanyanya kusingavandudzi nemishonga
• Kurutsa kunoramba kuripo kwemaawa anopfuura makumi maviri nemana
• Zviratidzo zvekushaya mvura mumuviri senge dzungu, muromo wakaoma, kana weti yakasviba
• Fivha inodarika 101°F (38.3°C)
• Kuomerwa kumedza kana kurwadziwa muchipfuva
• Zvigaro zvitema kana zvine ropa
• Kuzvimba kamwe kamwe, kwakanyanya kana kusakwanisa kupfuudza gasi

Rongedza nguva dzekudzoka kunoona chiremba nguva dzose sezvinokurudzirwa, kunyange kana uchinzwa zvakanaka. Kushanya uku kunobvumira timu yako yehutano kuti iongorore kufambira mberi kwako, kugadzirisa chero zvipingamupinyi, uye kupa rutsigiro rwekuenderera mberi rwendo rwako rwekuonda.

Mibvunzo inowanzo bvunzwa nezve intragastric balloon

Mubvunzo 1. Ko intragastric balloon yakanaka here chirwere cheshuga?

Hongu, intragastric balloons inogona kubatsira zvikuru vanhu vane chirwere cheshuga cheType 2 avo vakafuta kana kuva nemafuta akawandisa. Kurasikirwa uremu kunowanikwa neballoon kazhinji kunotungamira mukuvandudzwa kwekutonga shuga yeropa uye kunogona kuderedza kudiwa kwemishonga yechirwere cheshuga.

Vanhu vazhinji vanoona kuvandudzwa mumazinga avo ehemoglobin A1C mukati memwedzi mishoma yekutanga yekuisa balloon. Zvisinei, zvakakosha kushanda pedyo nechikwata chako chekuchengetwa kwechirwere cheshuga kuti uongorore mazinga eshuga yeropa rako uye kugadzirisa mishonga sezvinodiwa panguva yerwendo rwako rwekuonda.

Mubvunzo 2. Ko balloon inokonzera shanduko dzechigarire mudumbu here?

Aihwa, intragastric balloon haina kukonzera shanduko dzechigarire mumuviri mudumbu rako. Kana yabviswa, dumbu rako rinodzoka kuhukuru hwaro hwakajairika uye basa. Shanduko dzaunosangana nadzo dzakanyanya kuenderana nemaitiro ekudya akadzidzwa uye tsika.

Kuvapo kwenguva pfupi kweballoon kunobatsira kudzidzisa uropi hwako kuti huzive saizi yakakodzera yezvikamu uye manzwiro ekuzara. Shanduko idzi dzemaitiro dzinogona kuramba dziripo mushure mekubviswa kana ukaramba uchishandisa maitiro ekudya ane hutano aunogadzira panguva yekurapa.

Mubvunzo 3. Ndingaita maekisesa zvakajairika ne intragastric balloon here?

Hongu, unogona uye unofanira kurovedza muviri nguva dzose ne intragastric balloon, kunyangwe iwe uchizofanira kutanga zvishoma nezvishoma uye zvishoma nezvishoma kuwedzera chiitiko chako. Kurovedza muviri chikamu chakakosha chekubudirira kwako kwekuonda uye kuvandudzwa kwese kwehutano.

Tangira nemabasa ane simba shoma sekufamba, kushambira, kana yoga yakapfava, kunyanya mumavhiki mashoma ekutanga sezvo muviri wako uchigadzirisa kubhuru. Dzivisa maekisesa ane simba rakanyanya anogona kukonzera kusvetuka kwakanyanya kana kufamba kunovhiringidza kusvikira wanzwa wakasununguka nekuvapo kwebhuru.

Mubvunzo 4. Chii chinoitika kana bhuru rikaputika netsaona?

Kana bhuru rikaputika, rinowanzoenda nemugumbo rako rekugaya chikafu zvakasikwa, kunyangwe izvi zvichida kuongorora kuti uve nechokwadi chekuti harikonzeri kuvharika. Bhuru rine ruvara rwebhuruu, saka unogona kuona weti ine ruvara rwebhuruu kana deflation ikaitika.

Taura nachiremba wako nekukurumidza kana uchifungidzira deflation yebhuru, kunyanya kana uine shanduko dzisingatarisirwi munzara, kusvotwa, kana kurwadziwa mudumbu. Nepo mabhuru akawanda akaputika achipfuura pasina matambudziko, kutariswa kwekurapa kwakakosha kuti uve nechokwadi chekuchengeteka kwako.

Mubvunzo 5. Ndingatarisira kurasikirwa nehuremu hwakadii nebharuni reintragastric?

Vanhu vazhinji vanorasikirwa pakati pe10-15% yehuremu hwavo hwese panguva yebhuru, kunyangwe mhedzisiro yemunhu mumwe nemumwe ichisiyana zvakanyanya zvichienderana nehuremu hwekutanga, kuzvipira kushanduka kwehupenyu, nezvimwe zvinhu.

Semuenzaniso, mumwe munhu anorema mapaundi zana nemazana maviri anogona kurasikirwa nemapaundi makumi maviri nemakumi matatu pamusoro pemwedzi mitanhatu, nepo mumwe munhu anorema mapaundi mazana matatu anogona kurasikirwa nemapaundi makumi matatu nemakumi mana nemashanu. Rangarira kuti bhuru chishandiso chekukubatsira kukudziridza tsika dzine hutano, uye kubudirira kwako kwenguva refu kunoenderana nekuchengeta shanduko idzi mushure mekubviswa.