Yini i-Endoscopic Sleeve Gastroplasty? Inhloso, Inqubo & Imiphumela

I-Endoscopic sleeve gastroplasty iyinqubo yokunciphisa isisindo engahlaseli kakhulu enciphisa usayizi wesisu sakho ngaphandle kokuhlinzwa. Ngesikhathi sale nqubo yeziguli eziphuthumayo, udokotela wakho usebenzisa i-endoscope (ishubhu elincanyana, eliguquguqukayo elinekhamera) ukubeka ama-sutures ngaphakathi kwesisu sakho, enze isikhwama esincane esinomumo we-sleeve. Lokhu kukusiza ukuthi uzizwe ugcwele ngokushesha futhi udle okuncane, ukusekela ukunciphisa isisindo okusimeme uma kuhlanganiswe nezinguquko zokuphila.

Yini i-endoscopic sleeve gastroplasty?

I-Endoscopic sleeve gastroplasty, evame ukubizwa nge-ESG, iyinqubo entsha yokunciphisa isisindo enciphisa isisu sakho ngaphakathi. Udokotela wakho akawenzi noma yikuphi ukusika esikhumbeni sakho. Kunalokho, baqondisa i-endoscope ekhethekile ngomlomo wakho bese behla baye esiswini sakho ukubeka ama-sutures unomphela.

La ma-sutures aqoqa futhi agobe izindonga zesisu ndawonye, ​​enza umumo onjengeshubhu olincane ngama-70% kunesisu sakho sokuqala. Cabanga ngakho njengokubopha isikhwama se-drawstring ukusenza sincane. Le nqubo ngokuvamile ithatha imizuzu engama-60 kuya kwengama-90, futhi ngokuvamile ungaqhubeka uye ekhaya ngosuku olufanayo.

I-ESG inikeza indawo emaphakathi phakathi kwezindlela zokudla nokuzivocavoca zendabuko kanye nezinketho zokuhlinzwa ezingahlaseli kakhulu njenge-gastric bypass. Yenzelwe abantu abadinga ukwesekwa okwengeziwe kunokuthi izinguquko zokuphila zodwa zinganikeza, kodwa okungenzeka ukuthi abafanelekile noma bakhetha ukugwema ukuhlinzwa okukhulu.

Kungani kwenziwa i-endoscopic sleeve gastroplasty?

I-ESG yenziwa ikakhulukazi ukusiza abantu ukuthi bathole ukunciphisa isisindo okukhulu lapho ezinye izindlela zingaphumelelanga. Udokotela wakho angase ancome le nqubo uma unomzimba we-body mass index (BMI) ongu-30 noma ngaphezulu futhi ube nenkinga yezimo zempilo ezihlobene nokukhuluphala.

Le nqubo isebenza ngokukhawulela ukuthi isisu sakho singakwazi ukudla okungakanani. Uma isisu sakho sincane, uzizwa wanelisekile ngokudla okuncane kakhulu, okunciphisa ngokwemvelo ukudla kwakho ama-calories. Lolu shintsho lomzimba, oluhlanganiswe nesiqondiso esifanele sokudla kanye nezinguquko zokuphila, kungaholela ekuncipheni kwesisindo okukhulu.

Izizathu ezivamile odokotela abancoma ngazo i-ESG zihlanganisa isifo sikashukela esingalawuleki, umfutho wegazi ophezulu, i-sleep apnea, noma izinkinga zamalunga eziba zimbi uma isisindo somzimba sikhulu ngokweqile. Iphinde icatshangelwe kubantu abafuna ukugwema izingozi nesikhathi sokululama esihambisana nokuhlinzwa okujwayelekile kokunciphisa isisindo.

Abanye abantu bakhetha i-ESG njengenqubo yokuthatha izinyathelo. Uma unesisindo esikhulu kakhulu, ukulahlekelwa isisindo esithile nge-ESG kungakwenza ube ngumuntu ofanelekayo kwezinye izindlela zokwelapha noma ukuhlinzwa ngokuhamba kwesikhathi uma kudingeka.

Yini inqubo ye-endoscopic sleeve gastroplasty?

Inqubo ye-ESG iqala ngokuthi uthole i-anesthesia ejwayelekile, ngakho-ke uzobe ulele ngokuphelele futhi uzizwe ukhululekile kuyo yonke le nqubo. Udokotela wakho uzobe esefaka ngobumnene i-endoscope ngomlomo wakho bese eyihambisa phansi emqaleni wakho ingene esiswini sakho.

Esebenzisa ikhamera ye-endoscope ukuze aqondise, udokotela wakho uzobeka uchungechunge lwezintambo ngaphesheya kwe-greater curve yesisu sakho. Lezi zintambo zibekwa ngendlela ethile ukuze zakhe ukuma kwe-sleeve. Yonke le nqubo yenziwa ngaphakathi esiswini sakho, ngakho-ke akukho ukusikeka kwangaphandle.

Nakhu okwenzekayo ngesikhathi senqubo:

1. Uthola i-anesthesia ejwayelekile ukuze uzizwe ukhululekile futhi uphephile
2. I-endoscope ifakwa ngomlomo wakho ingene esiswini sakho
3. Udokotela wakho ubeka izintambo eziyi-8-12 ngaphesheya kodonga lwesisu esebenzisa amathuluzi akhethekile
4. Izintambo ziyaqiniswa ukuze zakhe ukuma kwe-sleeve
5. I-endoscope iyasuswa, futhi uyiswa ekululameni

Inqubo yonke ngokuvamile ithatha phakathi kwemizuzu engama-60 kuya kwengama-90. Ngenxa yokuthi ayihlaseli kakhulu, abantu abaningi bangahamba ngosuku olufanayo uma sebeke basinda ekuhlinzweni.

Ungalungiselela kanjani i-endoscopic sleeve gastroplasty yakho?

Ukulungiselela i-ESG kuhilela izinyathelo eziningana ezibalulekile ukuqinisekisa ukuphepha kwakho kanye nomphumela ongcono kakhulu. Udokotela wakho cishe uzoncoma ukuqala ukudla ngaphambi kwenqubo cishe emasontweni amabili ngaphambi kosuku lwakho oluhleliwe.

Lokhu kudla ngaphambi kwenqubo ngokuvamile kufaka phakathi ukudla izingxenye ezincane nokugwema ukudla okuthile okungaphazamisa inqubo. Ngokuvamile uzodinga ukulandela ukudla oketshezi amahora angama-24-48 ngaphambi kwe-ESG ukuqinisekisa ukuthi isisu sakho singenalutho futhi sihlanzekile.

Isikhathi sakho sokulungiselela sizofaka lezi zinyathelo ezibalulekile:

• Qedela imvume yezokwelapha ngaphambi kwenqubo kanye nomsebenzi wegazi
Misa imithi ethile njengoba kuqondiswe udokotela wakho
• Landela ukudla okubekiwe ngaphambi kwenqubo amasonto angu-1-2
• Lungiselela othile ukuthi akuqhubele ekhaya ngemuva kwenqubo
• Zila ukudla noketshezi amahora angu-8-12 ngaphambi kwenqubo yakho

Ithimba lakho lezempilo lizoxoxa ngemithi oyithathayo, ikakhulukazi ama-blood thinners noma imithi yesifo sikashukela, njengoba lezi zingadinga ukulungiswa. Kubalulekile ukulandela yonke imiyalelo ngaphambi kwenqubo ngqo njengoba inikeziwe ukuze kuncishiswe izingozi futhi kuqinisekiswe imiphumela engcono kakhulu.

Ungawafunda kanjani imiphumela yakho ye-endoscopic sleeve gastroplasty?

Impumelelo nge-ESG ngokuvamile ilinganiswa ngephesenti lesisindo esiningi olahlekelwa ngaso ngokuhamba kwesikhathi. Abantu abaningi balahlekelwa cishe u-15-20% wesisindo sabo somzimba wonke ngonyaka wokuqala, nakuba imiphumela yomuntu ngamunye ingahluka kakhulu.

Udokotela wakho uzoqapha intuthuko yakho ngokuqokwa okulandelayo njalo. Bazogada hhayi nje ukulahlekelwa kwakho isisindo, kodwa futhi nokuthuthuka ezimweni zezempilo ezihlobene nokukhuluphala njengesifo sikashukela, umfutho wegazi ophezulu, noma i-sleep apnea.

Imiphumela ejwayelekile ye-ESG ihlanganisa:

• Ukuncipha kwesisindo somzimba esingu-15-20% ngonyaka wokuqala
• Ukuthuthukiswa kokulawulwa kukashukela egazini kubantu abanesifo sikashukela
• Ukwehla kwengcindezi yegazi namazinga e-cholesterol
• Ukuphucuka kwekhwalithi yokulala nokunciphisa izimpawu ze-sleep apnea
• Ukuphucuka kokuhamba nokunciphisa ubuhlungu bamalunga

Khumbula ukuthi i-ESG iyithuluzi lokukusiza ukuthi wehlise isisindo, hhayi ikhambi lomlingo. Impumelelo yakho yesikhathi eside incike kakhulu ekwenzeni izinguquko ezingunaphakade emikhubeni yakho yokudla nokuhlala usebenza ngokomzimba. Abantu abazinikezela kulezi zinguquko zokuphila ngokuvamile babona imiphumela engcono kakhulu nehlala isikhathi eside.

Ungayigcina kanjani imiphumela yakho ngemva kwe-endoscopic sleeve gastroplasty?

Ukugcina ukuncipha kwakho kwesisindo ngemva kwe-ESG kudinga ukuzibophezela impilo yonke ekudleni okunempilo nasemsebenzini womzimba ovamile. Le nqubo ikunikeza ithuluzi elinamandla, kodwa izinqumo zakho zansuku zonke zinquma impumelelo yakho yesikhathi eside.

Isisu sakho esincane sizokusiza ukuthi uzizwe ugcwele ngokushesha, kodwa uzodinga ukwenza izinqumo zokudla ezihlakaniphile ukuze wandise le nzuzo. Gxila ekudleni ukudla okunothile ngamaprotheni kuqala, bese imifino, futhi unqume ukudla okucutshungulwe neziphuzo ezinoshukela ezinganweba isisu sakho ngokuhamba kwesikhathi.

Amaqhinga okugcinwa abalulekile afaka:

• Dla ukudla okuncane, okuvamile usuku lonke
• Hlafuna ukudla kahle futhi udle kancane
• Hlala unamanzi, kodwa gwema ukuphuza ngesikhathi sokudla
• Thatha amavithamini nezinye izithasiselo ezinconyiwe
• Zivocavoce njalo njengoba kuvunywe udokotela wakho
• Hambela wonke ama-aphoyintimenti okulandelayo

Ukwelashwa okuvamile nethimba lakho lezempilo kubalulekile empumelelweni yesikhathi eside. Bazogada inqubekela phambili yakho, balungise uhlelo lwakho lokudla okunomsoco njengoba kudingeka, futhi babhekane nanoma yiziphi izinkathazo eziphakama. Abantu abaningi bathola ukuthi amaqembu okusekela aqhubekayo noma ukwelulekwa kubasiza ukuthi bahlale bekhuthazekile futhi beziphendulela.

Ubani ongumuntu okhethekile we-endoscopic sleeve gastroplasty?

Umuntu olungele i-ESG ngumuntu one-BMI engama-30 noma ngaphezulu oye wazama ezinye izindlela zokunciphisa umzimba ngaphandle kwempumelelo ehlala njalo. Kufanele uzibophezele ekwenzeni izinguquko zokuphila ezingunaphakade futhi ukwazi ukulandela imihlahlandlela yokudla ngemuva kwenqubo.

Abantu abaqokelwe kahle ngokuvamile banamalindelo angokoqobo mayelana nenqubo futhi baqonde ukuthi i-ESG iyithuluzi elidinga umzamo oqhubekayo. Kufanele ube nempilo ngokwanele yenqubo futhi ulungiswe ngengqondo ngezinguquko zokuphila ezidingayo.

Ungase ube ngumuntu olungele kahle uma:

• Une-BMI engama-30 noma ngaphezulu
• Uke wazama ukudla nokuzivocavoca ngaphandle kwempumelelo ehlala njalo
• Ufuna ukugwema ukuhlinzwa okujwayelekile kokunciphisa umzimba
• Uzibophezele ezinguqulweni zokuphila zesikhathi eside
• Awunazo izimo ezithile zesisu ezingaphazamisa
• Uneminyaka engu-18-65 ubudala

Nokho, i-ESG ayilungile kuwo wonke umuntu. Abantu abanezimo ezithile zesisu, i-acid reflux enzima, noma ukuhlinzwa kwesisu kwangaphambilini kungenzeka bangabi ngabantu abaqokelwe kahle. Udokotela wakho uzohlola isimo sakho ngasinye ukuze anqume ukuthi i-ESG iyona ndlela engcono kakhulu kuwe.

Ziyini izici eziyingozi zezinkinga nge-endoscopic sleeve gastroplasty?

Ngenkathi i-ESG ngokuvamile iphephe kunokuhlinzwa okujwayelekile kokunciphisa umzimba, isaziphethe ezinye izingozi okufanele uziqonde ngaphambi kokuqhubeka. Izinkinga eziningi zithambile futhi zesikhashana, kodwa izinkinga ezinzima zingenzeka ngezikhathi ezithile.

Izici ezingase zikhuphule ingozi yakho zihlanganisa ukuba nezimo ezithile zezokwelapha, ukuthatha imithi ethile, noma ukuhlinzwa kwesisu kwangaphambilini. Udokotela wakho uzohlola ngokucophelela lezi zici ngesikhathi sokuhlolwa kwakho ngaphambi kwenqubo.

Izici eziyingozi zezinkinga zihlanganisa:

• Ukuhlinzwa kwesisu kwangaphambilini noma ukulimala okukhulu
• Ukugcwala okukhulu kwe-asidi noma izilonda zesisu
• Izifo zokuqina kwegazi
• Isifo senhliziyo noma samaphaphu esibi kakhulu
• Ukusetshenziswa kwezidakamizwa okusebenzayo
• Ukulindela okungokoqobo mayelana nemiphumela

Iminyaka yakho nempilo yonke nakho kunendima ekunqumeni izinga lakho lengozi. Abantu abaneminyaka engaphezu kwengama-65 noma labo abanezimo zempilo eziningi bangase babhekane nezingozi eziphakeme, nakuba abaningi besengakwazi ukuhlinzwa ngokuphepha ngokuphathwa kahle kwezokwelapha.

Ingabe i-endoscopic sleeve gastroplasty ingcono kunezinye izinqubo zokulahlekelwa isisindo?

I-ESG inikeza izinzuzo eziyingqayizivele uma iqhathaniswa nezinye izinqubo zokulahlekelwa isisindo, kodwa ukuthi 'ingcono' kuncike ezimweni zakho kanye nemigomo yakho. Ayihlaseli kangako kunokuhlinzwa kwendabuko kodwa kungenzeka kungaholeli ekulahlekelweni isisindo esiningi njengezinqubo ezinjenge-gastric bypass.

Uma iqhathaniswa nezinketho zokuhlinzwa, i-ESG inesikhathi esifushane sokululama, ingozi ephansi yezinkinga, futhi ingabuyiselwa emuva uma kunesidingo. Nokho, izinqubo zokuhlinzwa ngokuvamile zibangela ukulahlekelwa isisindo okukhulu nokuhlala isikhathi eside.

Izinzuzo ze-ESG zihlanganisa:

• Akukho ukusikeka kwangaphandle noma izibazi
• Ukukhishwa ngosuku olufanayo ezimweni eziningi
• Ingozi ephansi yezinkinga ezinzima
• Kungenzeka ukuthi ibuyiselwe emuva
• Isikhathi esifushane sokululama

Inqubo engcono kakhulu kuwe incike ezintweni ezinjenge-BMI yakho, izimo zempilo, imizamo yangaphambilini yokulahlekelwa isisindo, nezintandokazi zomuntu siqu. Udokotela wakho angakusiza ukuthi ulinganise izinzuzo nobubi benketho ngayinye ngokusekelwe esimweni sakho esithile.

Ziyini izinkinga ezingenzeka ze-endoscopic sleeve gastroplasty?

Ngenkathi i-ESG ngokuvamile iphephile, njenganoma iyiphi inqubo yezokwelapha, ingaba nezinkinga. Imiphumela eminingi emibi imnene futhi yesikhashana, kodwa kubalulekile ukuqonda ukuthi yini engenzeka ukuze ukwazi ukwenza isinqumo esinolwazi.

Izinkinga ezivame kakhulu abantu abahlangabezana nazo yisicanucanu, ukuhlanza, nokungakhululeki esiswini ezinsukwini ezimbalwa zokuqala ngemva kwenqubo. Lezi zimpawu ngokuvamile zithuthuka ngokushesha njengoba umzimba wakho ujwayela izinguquko.

Izinkinga zesikhashana ezivamile zihlanganisa:

• Isicanucanu nokuhlanza izinsuku eziyi-1-3
• Ubuhlungu besisu noma ukuqaqamba
• Ubunzima bokugwinya ekuqaleni
• Ukukhathala okuvela ku-anesthesia
• Ukuqaqamba komphimbo okuvela ku-endoscope

Izinkinga ezingathi sína zivame kakhulu kodwa zingenzeka. Lokhu kungase kuhlanganise ukopha, ukutheleleka, noma izinkinga ngemithungo. Ezimweni ezingavamile kakhulu, imithungo ingase ikhululeke, idinga ukwelashwa okwengeziwe.

Izinkinga ezingavamile kodwa ezingathi sína zihlanganisa:

• Ukuphuma igazi okudinga ukwelashwa okwengeziwe
• Ukutheleleka ezindaweni zokuthunga
• Izinkinga zemithungo ezidinga ukulungiswa
• Ukuvaleka okukhulu kwesisu
• Ukuphendula okungalungile ku-anesthesia

Udokotela wakho uzokuhlola eduze nganoma yiziphi izimpawu zezinkinga futhi anikeze imiyalelo ecacile mayelana nokuthi kufanele ufune nini ukunakekelwa kwezempilo ngokushesha. Abantu abaningi bayalulama ngaphandle kwanoma yiziphi izinkinga ezingathi sína.

Kufanele ngibone nini udokotela ngemva kwe-endoscopic sleeve gastroplasty?

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezinzima ngemva kwe-ESG, ikakhulukazi ukuhlanza okuqhubekayo, ubuhlungu obukhulu besisu, noma izimpawu zokutheleleka. Ngenkathi ukungakhululeki okuthile kuvamile, ezinye izimpawu zidinga ukunakekelwa kwezempilo ngokushesha.

Abantu abaningi banesicanucanu esithile nokungakhululeki ezinsukwini ezimbalwa zokuqala, kodwa lezi zimpawu kufanele zithuthuke kancane kancane. Uma ziba zimbi kakhulu noma zingathuthuki ngemva kwezinsuku ezimbalwa, kubalulekile ukufinyelela eqenjini lakho lezempilo.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu:

• Ubuhlungu besisu obukhulu noma obuya ngokuya buqina
• Ukunanza ukuhlanza okukuvimbela ukuthi ungagcini uketshezi phansi
• Izimpawu zokutheleleka njengomkhuhlane noma amaqhwa
• Ukushona okunzima okungathuthuki
• Ubuhlungu besifuba noma ubunzima bokuphefumula
• Ukuphalaza igazi noma izinto ezimnyama

Kufanele futhi uhlale uthintana nethimba lakho lokunakekelwa kwezempilo ukuze uthole ama-aphoyintimenti okuqapha njalo, ngisho noma uzizwa kahle. Lokhu kuvakasha kusiza ukuqinisekisa ukuthi uyaphola kahle futhi wenza intuthuko enhle ngemigomo yakho yokulahlekelwa isisindo.

Imibuzo evame ukubuzwa mayelana ne-endoscopic sleeve gastroplasty

Q.1 Ingabe i-endoscopic sleeve gastroplasty ilungele isifo sikashukela?

Yebo, i-ESG ingaba usizo ikakhulukazi kubantu abanesifo sikashukela sohlobo 2. Ukulahlekelwa isisindo okutholwe nge-ESG kuvame ukuholela ekuthuthukisweni okukhulu kokulawulwa kukashukela egazini, futhi abanye abantu bayakwazi ukunciphisa imithi yabo yesifo sikashukela.

Ucwaningo lubonisa ukuthi abantu abaningi abanesifo sikashukela babona amazinga abo e-hemoglobin A1c ethuthuka ezinyangeni ezimbalwa ngemva kwale nqubo. Kodwa-ke, i-ESG isebenza kahle uma ihlanganiswe nokuqhubeka nokuphathwa kwesifo sikashukela nokuqapha njalo yithimba lakho lokunakekelwa kwezempilo.

Q.2 Ingabe i-endoscopic sleeve gastroplasty ibangela ukuntuleka kokudla okunomsoco?

I-ESG ingaholela ekuntulekeni kokudla okunomsoco uma ungalandeli imihlahlandlela efanele yokudla ngemva kwale nqubo. Ngenxa yokuthi uzobe udla izingxenye ezincane, kubalulekile ukugxila ekudleni okunomsoco futhi uthathe izithasiselo ezinconyiwe.

Ithimba lakho lokunakekelwa kwezempilo cishe lizokuncoma amavithamini namaminerali athile ukuze kuvinjelwe ukuntuleka. Ukuhlolwa kwegazi okuvamile kuzosiza ukuqapha isimo sakho sokudla okunomsoco futhi kuvumele ukulungiswa kwendlela yakho yokuthatha izithasiselo njengoba kudingeka.

Q.3 Ingabe i-endoscopic sleeve gastroplasty ihlala isikhathi esingakanani?

Izintambo ezibekwe ngesikhathi se-ESG zenzelwe ukuba zihlale unomphela, kodwa ukusebenza kahle kungahluka ngokuhamba kwesikhathi. Abantu abaningi balahlekelwa isisindo esikhulu okungenani iminyaka engu-2-3, nakuba idatha yesikhathi eside isaqoqwa njengoba kuyinqubo entsha.

Impumelelo yakho yesikhathi eside incike kakhulu ekuzinikeleni kwakho ekushintsheni indlela yokuphila. Abantu abagcina imikhuba yokudla enempilo nokuzivocavoca njalo bavame ukubona imiphumela ehlala isikhathi eside evela ku-ESG.

Q.4 Ingabe i-endoscopic sleeve gastroplasty ingahlehliswa?

Yebo, i-ESG ingahlehliswa, nakuba lokhu kungadinga enye inqubo ye-endoscopic ukuze kususwe noma kusikwe izintambo. Leli elinye lamathuba i-ESG enawo ngaphezu kokuhlinzwa okujwayelekile kokulahlekelwa isisindo, okuvame ukuba unomphela.

Nokho, ukuhlehla akuvamile ukudingeka futhi kungacatshangelwa kuphela uma uhlangabezana nezinkinga ezingathuthukiswa ngezinye izindlela. Abantu abaningi abane-ESG abadingi noma abafuni ukuhlehla.

Q.5 Ngingalindela ukulahlekelwa isisindo esingakanani nge-endoscopic sleeve gastroplasty?

Abantu abaningi balahlekelwa cishe u-15-20% wesisindo sabo somzimba wonke ngonyaka wokuqala ngemva kwe-ESG. Isibonelo, uma unesisindo esingamaphawundi angu-200, ungalindela ukulahlekelwa amaphawundi angu-30-40 ngonyaka wokuqala.

Imiphumela yomuntu ngamunye iyahluka ngokusekelwe ezintweni ezifana nesisindo sakho sokuqala, ukuzibophezela ekushintsheni indlela yokuphila, nempilo yonke. Abanye abantu balahlekelwa isisindo esiningi, kanti abanye bangase balahlekelwe okuncane. Udokotela wakho angakunika okulindelekile okwenzelwe wena ngokuqondile ngokusekelwe esimweni sakho esithile.