Chii chinonzi Sleeve Gastrectomy? Chinangwa, Maitiro & Mhedzisiro

Sleeve gastrectomy kuvhiwa kwekurasikirwa uremu uko vanachiremba vanobvisa anenge 80% yemudumbu rako, vachisiya chubhu diki kana "sleeve" inenge yakakura sebhanana. Maitiro aya anokubatsira kurasikirwa uremu nekuderedza zvakanyanya huwandu hwekudya kwaunogona kudya panguva imwe chete uye nekuchinja mahomoni anodzora nzara uye shuga yeropa.

Kuvhiwa uku kwave kumwe kwekuvhiwa kwakakurumbira kwekurasikirwa uremu nekuti kunoshanda, kwakatwasuka, uye hakudi kutenderera matumbu ako semamwe mavhiyo e bariatric. Vanhu vazhinji vanozviwana zvichivabatsira kuwana kukuru, kurasikirwa uremu kwenguva refu kana dzimwe nzira dzisina kushanda.

Chii chinonzi sleeve gastrectomy?

Sleeve gastrectomy maitiro ekuvhiya anobvisa zvachose chikamu chikuru chemudumbu rako kuti akubatsire kurasikirwa uremu. Panguva yekuvhiwa, chiremba anobvisa chikamu chekunze chemudumbu rako, uko kunobva huwandu hwakawanda hwekuwedzera kwemudumbu.

Zvasara mudumbu diki, rine chimiro chechubhu rinobata chikafu chidiki kupfuura kare. Funga nezvazvo sekushandura bhururu hombe kuita chubhu diki. Mudumbu diki iri rinokurumidza kuzara, saka unonzwa wakaguta mushure mekudya chikafu chidiki.

Kuvhiwa kunobvisawo chikamu chemudumbu rako chinogadzira ghrelin, hormone inoita kuti unzwe nzara. Izvi zvinoreva kuti ungangonzwa nzara shoma kupfuura zvaunoita usati waita maitiro, izvo zvinogona kuita kuti zvive nyore kunamatira kuzvikamu zvidiki.

Nei sleeve gastrectomy ichiitwa?

Vanachiremba vanokurudzira sleeve gastrectomy kune vanhu vane kufutisa kwakanyanya vasina kukwanisa kurasikirwa uremu kuburikidza nekudya, kurovedza muviri, uye dzimwe nzira dzisiri dzekuvhiya. Inowanzoonekwa kana body mass index (BMI) yako iri 40 kana kupfuura, kana 35 kana kupfuura kana uine matambudziko makuru ehutano ane chekuita nehuremu hwako.

Kuvhiwa kunogona kubatsira kurapa kana kuvandudza matambudziko mazhinji ehutano ane chekuita nehuremu. Izvi zvinosanganisira chirwere cheshuga che rudzi rwechipiri, ropa rakakwira, sleep apnea, uye matambudziko emajoini. Vanhu vazhinji vanoonawo kuvandudzwa mumazinga avo echolesterol uye kuderedzwa kwenjodzi yechirwere chemoyo.

Kupfuura mabhenefiti emuviri, sleeve gastrectomy inogona kuvandudza zvakanyanya hupenyu. Vanhu vanowanzo shuma kunzwa vane simba rakawanda, vane chivimbo, uye vanokwanisa kutora chikamu muzviitiko zvavaisakwanisa kuita kare. Mabhenefiti epfungwa ekuwana kurasikirwa kwehuremu hunogara kwenguva refu anogona kukosha sekunge ari emuviri.

Ndeipi nzira ye sleeve gastrectomy?

Sleeve gastrectomy inowanzoitwa ichishandisa nzira diki diki dze laparoscopic. Chiremba wako anovhiya anoita zvikamu zvidiki zvakati wandei mudumbu rako uye anoshandisa kamera diki uye zviridzwa zvakakosha kuti aite kuvhiwa.

Nzira iyi inowanzo tora 1 kusvika 2 maawa uye inotevera matanho makuru aya:

1. Uchagamuchira general anesthesia kuti uve nechokwadi chekuti wakarara zvachose panguva yekuvhiwa
2. Chiremba wako anovhiya anoita zvikamu zvidiki 4-6 mudumbu rako, chimwe nechimwe chine hafu inch kureba
3. Laparoscope (kamera diki) inoiswa kuti itungamirire kuvhiwa
4. Zvishandiso zvakakosha zvekugadzira zvinoshandiswa kugovera uye kubvisa anenge 80% yedumbu rako
5. Chikamu chakabviswa chinotorwa kuburikidza neimwe yezvikamu zvidiki
6. Dumbu rinosara rinotarwa kuti rione kana richidonha uye zvikamu zvinovharwa

Vanhu vazhinji vanogara muchipatara kwemazuva 1-2 mushure mekuvhiwa. Zvikamu zvidiki zvinowanzo pora nekukurumidza kupfuura kuvhiwa kwechinyakare, paine marwadzo mashoma uye mavanga.

Maitirwo ekugadzirira sleeve gastrectomy yako?

Kugadzirira sleeve gastrectomy kunosanganisira matanho akati wandei akakosha pamavhiki nemwedzi isati yasvika kuvhiwa kwako. Chikwata chako chehutano chichakutungamirira kuburikidza nekuita kwakazara kwekugadzirira kuti uve nechokwadi chekuwana mhedzisiro yakanaka.

Rwendo rwako rwekugadzirira runowanzo sanganisira zvinhu zvikuru izvi:

• Kuongororwa kwakakwana kwekurapa kusanganisira bvunzo dzeropa, bvunzo dzemoyo, uye ongororo yezvokudya
• Sangana nenyanzvi yezvokudya kuti udzidze nezve tsika dzekudya mushure mekuvhiyiwa
• Pinda mukurapa kwepfungwa kuti ugadzirire shanduko dzehupenyu dziri mberi
• Tevedza chikafu chekuvhiyiwa kwemavhiki 1-2 kuti udzikise chiropa chako uye kuderedza njodzi dzekuvhiya
• Regai kusvuta kanenge mavhiki matanhatu musati mavhiyiwa kana muri mupfuhwira
• Gadzirisa mishonga yakati wandei sezvakarairwa nachiremba wako
• Gadzirisa rubatsiro pamba panguva yekupora kwako

Chiremba wako anogonawo kukurudzira kurasikirwa nehuremu hwakawanda usati wavhiyiwa kana zvichibvira. Izvi zvinogona kuita kuti maitiro acho ave akachengeteka uye anogona kuvandudza mhedzisiro yako. Chikafu chekuvhiyiwa kazhinji hachina macalorie uye macarbohydrates kuti abatsire kugadzirira muviri wako shanduko dziri mberi.

Ungaverenga sei mhedzisiro yako ye sleeve gastrectomy?

Kubudirira mushure me sleeve gastrectomy kunoyerwa nenzira dzakawanda, nekurasikirwa nehuremu ndiyo inonyanya kuoneka asi kwete iyo chete yakakosha. Vanhu vazhinji vanorasikirwa ne50-70% yehuremu hwavo hwakawandisa mukati memakore maviri ekutanga mushure mekuvhiyiwa.

Hezvino zvinoita sekufambira mberi kwakanaka:

• Kurasikirwa nehuremu zvishoma nezvishoma kwe1-2 mapaundi pavhiki mumwedzi mishoma yekutanga
• Kuvandudzwa mumamiriro ehutano ane hukama nehuremu senge chirwere cheshuga kana ropa rakakwira
• Kuwedzera simba uye kugona kuita zvakanyanya zvemuviri
• Kuvandudzwa kwemhando yekurara uye kuderedzwa kwezviratidzo zvekurara apnea
• Kuvandudzwa kwekufamba uye kuderedzwa kwemarwadzo emajoini
• Kuvandudzwa kwemabasa erabhoritari kusanganisira shuga yeropa, cholesterol, uye zviratidzo zvekuputika

Chikwata chako chehutano chichatarisa kufambira mberi kwako kuburikidza nekugadzwa kwekutevera nguva dzose. Vachatevera kwete chete kurasikirwa nehuremu asiwo mamiriro ako ezvokudya, mazinga evhitamini, uye kuvandudzwa kwehutano hwese. Rangarira kuti rwendo rwemunhu wese rwakasiyana, uye kuzvienzanisa nevamwe hakubatsiri.

Maitiro ekuita kuti sleeve gastrectomy yako ibudirire sei?

Kuwana mhedzisiro yakanaka kubva ku sleeve gastrectomy yako kunoda kuzvipira kuchinja mararamiro kwenguva refu. Kuvhiyiwa chishandiso chine simba, asi zvaunosarudza zuva nezuva ndizvo zvinoita kuti ubudirire sei munguva refu.

Kutevera matungamirirwo aya kunogona kukubatsira kuti uwane uye uchengetedze zvinangwa zvako zvekurasikirwa uremu:

• Idya mapurotini kutanga pane chikafu chega chega kuchengetedza tsandanyama uye kusimudzira kupora
• Tora zvimedu zvidiki uye utaune zvakanyatso kuti udzivise kusagadzikana
• Rega kudya paunonzwa wakaguta, kunyangwe chikafu chichiripo pandiro yako
• Inwa mvura pakati pemadyiro, kwete panguva yemadyiro, kuti udzivise kuzadza dumbu rako diki
• Tora mavitamini akanyorwa zuva nezuva kudzivirira kushaikwa kwezvokudya
• Roja muviri nguva dzose, kutanga nekufamba uye zvishoma nezvishoma uchiwedzera simba
• Enda kumisangano yese yekutevera nechikwata chako chehutano

Kuvaka tsika dzakanaka kunotora nguva, saka zviite moyo murefu sezvaunogadzirisa. Vanhu vazhinji vanowana kuti kushanda nemunyori wezvekudya akanyoreswa uye kujoina mapoka ekutsigira kunovabatsira kuti vagare munzira nemararamiro avo matsva.

Ndezvipi zvinhu zvinoita kuti zvive nengozi pakuvhiyiwa kwe sleeve gastrectomy?

Kufanana nekumwe kuvhiyiwa kukuru, sleeve gastrectomy inotakura njodzi, kunyangwe matambudziko akakomba asingawanzoitika kana achiitwa nevavhiyi vane ruzivo. Kunzwisisa njodzi idzi kunokubatsira kuti uite sarudzo ine ruzivo pamusoro pekuti kuvhiyiwa kwakakunakira here.

Zvimwe zvinhu zvinogona kuwedzera njodzi yako yematambudziko:

• Yakakwira kwazvo BMI (inopfuura 50) kana super obesity
• Kuvhiyiwa kwemudumbu kwakapfuura kungave kwakakonzera nyama yemaronda
• Kusvuta, kunokanganisa kupora uye kunowedzera njodzi yekutapukirwa
• Chirwere cheshuga kana mamwe mamiriro ehutano asingaperi
• Sleep apnea kana mamwe matambudziko ekufema
• Chirwere chemoyo kana matambudziko ekuumbwa kweropa
• Zera rinopfuura makore 65, kunyangwe kuvhiyiwa kuchiri kugona kuva kwakachengeteka nekuongororwa kwakakodzera

Chikwata chako chekuvhiya chichanyatsoongorora zvinhu izvi panguva yekutanga kuongororwa usati wavhiyiwa. Vanogona kukurudzira kugadzirisa nyaya dzakaita sekusiya fodya kana kuvandudza kutonga kwechirwere cheshuga, vasati vaenderera mberi nekuvhiyiwa.

Ndezvipi zvipingamupinyi zvinogona kuitika mushure mekuvhiyiwa kwe sleeve gastrectomy?

Nepo sleeve gastrectomy ichiwanzoita zvakanaka, zvakakosha kunzwisisa matambudziko anogona kuitika kuitira kuti uzive zviratidzo zvekuyambira uye kutsvaga rubatsiro kana zvichidikanwa. Vanhu vazhinji havawani matambudziko akakomba, asi kuziva zvinokubatsira kuti uite sarudzo dzakanakisa nezvekuchengetwa kwako.

Matambudziko ekutanga anogona kuitika mukati memavhiki mashoma ekutanga anosanganisira:

• Kubuda ropa kubva panzvimbo yekuvhiya, iyo inogona kuda kumwe kurapwa
• Kutapukirwa panzvimbo dzekucheka kana mukati memudumbu
• Kudonhedzwa kubva pamutsara we staple uko dumbu rako rakachekwa uye rakavharwa
• Mavhiri eropa mumakumbo kana mumapapu, ndosaka kufamba nekukurumidza kuchikurudzirwa
• Maitiro asina kunaka kune anesthesia, kunyangwe izvi zvisingawanzoitiki

Matambudziko enguva refu haawanzoitiki asi anogona kusanganisira:

• Kuvharika kana kudzikira kwedumbu sleeve iyo inogona kuda nzira dzekutambanudza
• Gastroesophageal reflux disease (GERD) kana kuwedzera kweiyo iripo reflux
• Kushaikwa kwezvokudya kana iwe usingatore zvinowedzera nguva dzose
• Gallstones nekuda kwekurasikirwa uremu nekukurumidza
• Ganda rakasununguka rinogona kuda kuvhiyiwa kwepurasitiki

Matambudziko mazhinji anogona kubudirira kurapwa kana akabatwa nekukurumidza. Ichi ndicho chikonzero nei kutevera nechikwata chako chehutano nguva dzose zvakakosha kubudirira kwako kwenguva refu uye hutano.

Ndingashanyira rinhi chiremba mushure me sleeve gastrectomy?

Kuchengetwa kwenguva dzose kunokosha mushure me sleeve gastrectomy, asi iwe unofanirwawo kuziva kuti ungatsvaga rini kutarisirwa kwekurapa nekukurumidza. Chikwata chako chehutano chichagadzirisa nguva dzenguva dzose, asi zviratidzo zvakasiyana zvinoda kuongororwa nekukurumidza.

Taura nachiremba wako nekukasira kana ukaona zvinotevera:

• Kurwadziwa kwakanyanya mudumbu kusingavanduki nekuzorora
• Kurutsa kusingagumi kunokutadzisa kuchengeta mvura mumuviri
• Zviratidzo zvehutachiona zvakaita sefivha, kutonhora, kana kutsvuka kutenderedza nzvimbo dzakavhiyiwa
• Kurwadziwa muchipfuva kana kuoma kufema
• Kuzvimba kwemakumbo kana kurwadziwa zvingaratidza ropa rakavharika
• Kusagona kudya kana kunwa chero chinhu kwemaawa anopfuura makumi maviri nemana

Unofanirawo kutaurirana nechikwata chako chehutano kana ukaona zviratidzo zvematambudziko ekudya. Izvi zvinogona kusanganisira kuneta kusingaite, kurasikirwa nebvudzi, nzara dzakaputsika, kana shanduko mumafungiro ako kana ndangariro. Kuyedzwa kweropa nguva dzose kunogona kubata nyaya idzi pakutanga, asi zvawaona iwe pachako zvakakoshawo.

Usazeza kutaurirana nechikwata chako chekurapa uine zvinokunetsa, kunyangwe zvichioneka sezviri zvidiki. Kupindira nekukasira kunogona kudzivirira matambudziko madiki kubva pakuva makuru.

Mibvunzo inowanzo bvunzwa nezve sleeve gastrectomy

Q1: Sleeve gastrectomy inoshanda here pakurasikirwa uremu kwenguva refu?

Hongu, sleeve gastrectomy inoshanda zvakanyanya pakurasikirwa uremu kwenguva refu kana yakabatana nekuchinja mararamiro. Vanhu vazhinji vanochengeta kurasikirwa uremu kwakakosha makore 5-10 mushure mekuvhiyiwa, kazhinji vachichengeta 50-60% yehuwandu hwavo hweuremu hwakawandisa.

Chinhu chakakosha kubudirira kwenguva refu ndiko kutevera matanho ekudya, kuramba uchishanda, uye kuchengeta kutarisirwa nguva dzose. Nepo vamwe vanhu vachigona kuwana uremu hwakawanda nekufamba kwenguva, vazhinji vanochengeta kurasikirwa uremu kwakakosha kunovandudza hutano hwavo uye hupenyu.

Q2: Ndichada kutora mavitamini kwehupenyu hwangu hwese here?

Hongu, uchada kutora mavitamini nemamineral supplements kwehupenyu mushure me sleeve gastrectomy. Dumbu rako diki rinotora zvinovaka muviri zvakasiyana, uye uchadya zvishoma zvakawanda zvekudya zvachose, zvichiita kuti zvive zvakaoma kuwana zvese zvinovaka muviri zvaunoda kubva mukudya chete.

Zvikuriso Zvinokurudzirwa

Chikwata chako chekuchengetwa kwehutano chichakurudzira zvikuriso zvakakosha, kazhinji zvinosanganisira multivitamin, vhitamini B12, vhitamini D, calcium, uye iron. Kuongororwa kweropa nguva dzose kuchabatsira kuongorora mazinga ako ezvokudya uye kugadzirisa zvikuriso sezvinodiwa.

Q3: Ndingava nepamuviri mushure me sleeve gastrectomy here?

Hongu, unogona kuva nepamuviri une hutano mushure me sleeve gastrectomy, uye vakadzi vazhinji vanozviwana zviri nyore kubata pamuviri mushure mekurasa uremu. Zvisinei, zvakakosha kumirira angangoita 12-18 mwedzi mushure mekuvhiyiwa usati waedza kuva nepamuviri kuti uve nechokwadi chekuti uremu hwako hwagadziriswa.

Panguva yekuzvitakura, uchada kuongororwa pedyo nachiremba wako wekubatsira pamuviri uye chikwata chebariatric kuti uve nechokwadi chekuti uri kuwana chikafu chakakodzera. Vamwe vakadzi vangada kugadzirisa zvikuriso zvavo zvevhitamini kana chirongwa chekudya panguva yekuzvitakura.

Q4: Ndezvipi zvekudya zvandinofanira kudzivisa mushure me sleeve gastrectomy?

Uchada kudzivisa zvimwe zvekudya zvinogona kukonzera kusagadzikana kana kukanganisa zvinangwa zvako zvekurasikirwa nehuremu. Zvokudya zvine shuga yakawanda uye zvinwiwa zvinogona kukonzera dumping syndrome, zvichikonzera kusvotwa, cramping, uye manyoka.

Zvokudya zvekuganhurira kana kudzivisa zvinosanganisira zvinwiwa zvine shuga, zvihwitsi, zvokudya zvakakangwa, nyama yakaoma yakaoma kutsenga, uye zvinwiwa zvine carbonated. Nyanzvi yako yezvokudya ichapa runyorwa rwakazara uye kukubatsira kuronga zvekudya zvinoshanda zvakanaka nehukuru hwako itsvo itsva.

Q5: Sleeve gastrectomy inogona kudzoserwa here?

Aihwa, sleeve gastrectomy haigoni kudzoserwa nekuti chikamu chakabviswa mudumbu rako chinobviswa zvachose panguva yekuvhiyiwa. Ichi ndicho chikonzero nei zvakakosha kuzvipira zvizere kuchinja kwemararamiro kunodiwa kuti ubudirire.

Zvisinei, kana matambudziko akamuka kana kana iwe usingawani kurasikirwa kwakakwana kwehuremu, sleeve dzimwe nguva inogona kushandurwa kune mamwe marudzi ekuvhiyiwa kwe bariatric, senge gastric bypass. Chiremba wako anogona kukurukura izvi kana zvichidikanwa, kunyangwe vanhu vazhinji vachifara ne sleeve gastrectomy yavo kwenguva refu.