Ukuchithwa kwe-biliopancreatic ngokuguqula iduodenal (BPD/DS)
Mayelana nalokhu kuhlolwa
Ukuhlukaniswa kwe-biliopancreatic ngokuguqula i-duodenal (BPD/DS) yindlela yokunciphisa isisindo engavamile kakhulu eyenziwa ngezigaba ezimbili ezinkulu. Isinyathelo sokuqala ukususa ingxenye enkulu yesisu, okuyisigaba esibizwa ngokuthi i-sleeve gastrectomy lapho cishe u-80% wesisu sisuswa khona. Lokhu kushiya isisu esincane esinobukhulu be-banana. I-valve ekhipha ukudla esibindini esincane, ebizwa nge-pyloric valve, ihlala ikhona. Ingxenye encane yesibindini esincane exhumana nesisu, ebizwa nge-duodenum, nayo ihlala ikhona.
Kungani kwenziwa
Ukuhlinzwa kwe-BPD/DS kwenziwa ukusiza ekulahlekelweni kobunzima obuningi nokuncipha komngcipheko wezinkinga zempilo ezihlobene nobunzima ezingabulala, okuhlanganisa: Isikhuthazo senhliziyo. Ukuphindaphindeka kwegazi. I-cholesterol ephezulu. Ukuphefumula okunzima ebusuku. Ubuhlungu beswekile uhlobo 2. Isiguli. Umdlavuza. Ukungabi nambewu. Ngokuvamile, ukuhlinzwa kwe-BPD/DS kwenziwa kuphela uma usuvele uzame ukulahlekelwa yisondo ngokuthuthukisa ukudla kwakho kanye nemikhuba yokuzivocavoca. Kodwa-ke, ukuhlinzwa kwe-BPD/DS akuwona wonke umuntu onesisindo esiningi. Cishe uzoba nenqubo yokuhlola okuningi ukuze ubone ukuthi ufanelekile yini. Kufanele futhi uzimisele ukwenza izinguquko ezihlala njalo ukuze ube nempilo enempilo kokubili ngaphambi nangemuva kokuhinzwa. Lokhu kungafaka izinhlelo zokulandelela isikhathi eside ezihilela ukulandelela ukudla kwakho, indlela yakho yokuphila nokuziphatha, kanye neemeko zakho zempilo. Xhumana nelenani lakho le-inshorensi yempilo noma ihhovisi lakho le-Medicare noma i-Medicaid lesifunda ukuze uthole ukuthi ipolisi yakho ihlanganisa yini ukuhlinzwa kokulahlekelwa yisondo.
Izingozi nezinkinga
Njenganoma iyiphi opharethini enkulu, i-BPD/DS iqukethe izingozi zempilo ezingaba khona, kokubili ngesikhathi esifushane nangesikhathi eside. Izingozi ezihlobene ne-BPD/DS zifana nalezo zanoma iyiphi opharethini yesisu futhi zingafaka: Ukuphuza kakhulu kwegazi. Ukutheleleka. Ukusebenza kwemithi yokulalisa. Iziqumba zegazi. Izinkinga zephunga noma zokuphefumula. Ukuvuza ohlelweni lokugaya ukudla. Izingozi zesikhathi eside kanye nezinhlungu ze-BPD/DS zingafaka: Ukuvinjelwa kwesisu, okuthiwa ukuphazamiseka. I-dumping syndrome, engabangela ukululama, isicanucanu noma ukugabha. Amatye e-gall. I-hernia. I-hypoglycemia, eyaziwa ngokuthi i-hypoglycemia. Ukondleka okungalungile. Ukugwazuka kwesisu. Izilonda. Ukugabha. Ukululama okuqhubekayo. Ngokungavamile, izinhlungu ze-BPD/DS zingabulala.
Indlela yokulungiselela
Emaviki ngaphambi kokuhlinzwa kwakho, ungase uceleke ukuqala uhlelo lokusebenza komzimba nokuphelisa ukusetshenziswa kwesitobha. Ngaphambi nje kwenqubo yakho, ungase ube nemingcele yokudla nokuphuza kanye nezinambuzane ongaziphuza. Manje yisikhathi esihle sokulungiselela ukuphulukiswa kwakho ngemuva kokuhlinzwa. Ngokwesibonelo, lungiselela usizo ekhaya uma ucabanga ukuthi uzolisidinga.
Okulindelekile
Ukucutshungulwa kwe-BPD/DS kwenziwa esibhedlela. Ubude besikhathi sakho esibhedlela kuzolethwa yindlela obuphilisa ngayo kanye nendlela yokwelashwa oyenzayo. Uma ukucutshungulwa kwenziwa ngokusebenzisa i-laparoscopy, ukuhlala kwakho esibhedlela kungathatha usuku olulodwa noma amabili.
Ukuqonda imiphumela yakho
Ngemva kwe-BPD/DS, kungenzeka ukulahlekelwa u-70% kuya ku-80% wesisindo sakho esingaphezulu kweminyaka emibili. Noma kunjalo, inani lesisindo osililahlekileyo liphinde lixhomekeke ekuguqukeni kwemikhuba yakho yokuphila. Ngaphezu kokusiza ekunciphiseni isisindo, i-BPD/DS ingathuthukisa noma ixazulule izimo ezivame ukuhlobene nokuba sisindayo, okuhlanganisa: Isifo sokubuyela emuva kwesisu. Isifo senhliziyo. Uxinzelelo lwegazi oluphezulu. I-cholesterol ephezulu. I-apnea yokulala ephazamisayo. I-diabetes uhlobo 2. Isifo sokuqhaqhazela. Ukungakhulelwa. I-BPD/DS ingabuye ithuthukise ikhono lakho lokwenza imisebenzi yansuku zonke, okungasiza ekuthuthukiseni ikhwalithi yempilo yakho.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.