Yini i-Intragastric Balloon? Inhloso, Inqubo & Imiphumela

I-intragastric balloon iyithuluzi lokulahlekelwa isisindo lesikhashana elibekwa esiswini sakho ukukusiza uzizwe ugcwele ngokushesha futhi udle kancane. Yibhaluni elithambile, le-silicone eligcwaliswa ngesisombululo se-saline uma selibekwe esiswini sakho, lithatha isikhala ukuze ngokwemvelo udle izingxenye ezincane. Le nketho engeyona yokuhlinzwa ingaba usizo ekuthuthukiseni imikhuba yokudla enempilo lapho ukudla nokuzivocavoca kuphela kungazange kunikeze imiphumela oyifunayo.

Yini i-intragastric balloon?

I-intragastric balloon iyithuluzi lezokwelapha elenzelwe ukusiza ekulahlekelweni isisindo ngokunciphisa inani lokudla isisu sakho esingakwazi ukulibamba. Ibhaluni lenziwe nge-silicone ethambile, eqinile futhi iza ngezinhlobo ezahlukene kuye ngomkhiqizo othile kanye nesincomo sikadokotela wakho.

Uma selibekwe esiswini sakho, ibhaluni ligcwaliswa ngesisombululo se-saline esingenazo izinto eziphilayo, ngokuvamile libamba cishe ama-milliliters angu-400-700 olwamanzi. Lokhu kudala umuzwa wokugcwala okukusiza ukuthi udle izingxenye ezincane ngokwemvelo. Cabanga ngayo njengomsizi wesikhashana oqeqesha umzimba wakho ukuthi ubone usayizi ofanele wezingxenye.

Ibhaluni lihlala endaweni cishe izinyanga eziyisithupha ezimweni eziningi, nakuba ezinye izinhlobo ezintsha zingahlala kuze kube izinyanga eziyi-12. Ngesikhathi esinjalo, uzosebenza eduze nethimba lakho lezempilo ukuze uthuthukise imikhuba yokudla ezinzile kanye nezinguquko zokuphila ezizokusebenzela kahle ngemva kokuthi ibhaluni lisusiwe.

Kungani kwenziwa i-intragastric balloon?

Odokotela batusa ama-intragastric balloons kubantu abadinga ukulahlekelwa isisindo kodwa abangazange baphumelele ngezinhlelo zokudla nokuzivocavoca zendabuko kuphela. Le nqubo ngokuvamile ithathwa njengoba i-body mass index (BMI) yakho iphakathi kuka-30-40, okungena esigabeni sokukhuluphala.

Ungase ube ngumuntu olungile uma uzamile izindlela eziningi zokunciphisa isisindo ngaphandle kwemiphumela ehlala njalo, noma uma unezimo zempilo ezihlobene nesisindo njengobhubhane lukashukela, umfutho wegazi ophezulu, noma i-sleep apnea. Ibhola lingasiza futhi uma ungalungile noma ungafaneleki ukuhlinzwa kokunciphisa isisindo kodwa udinga ukwesekwa kwezokwelapha ukuze uqale uhambo lwakho lokunciphisa isisindo.

Udkt wakho uzohlola izinto eziningana ngaphambi kokuncoma le nketho, okuhlanganisa impilo yakho yonke, ukuzibophezela ekushintsheni indlela yokuphila, kanye nemigomo yokunciphisa isisindo engokoqobo. Kubalulekile ukuqonda ukuthi ibhola lisebenza kahle kakhulu uma lihambisana nokwelulekwa ngokudla kanye nokunakekelwa okuqhubekayo.

Yini inqubo yebhola le-intragastric?

Inqubo yebhola le-intragastric yenziwa njengokwelashwa kwesiguli esiphuma ngaphandle, okusho ukuthi ungaqhubeka uye ekhaya ngosuku olufanayo. Udkt wakho uzosebenzisa i-endoscope, okuyishubhu elincanyana, eliguquguqukayo elinekhamera, ukuze aqondise ibhola elincishisiwe esiswini sakho ngomlomo wakho.

Nakhu okwenzekayo ngesikhathi senqubo:

1. Uzothola ukuthuliswa okuncane ukukusiza uphumule futhi unciphise ukungakhululeki
2. Udkt ufaka i-endoscope ngomlomo wakho nangomphimbo wakho
3. Ibhola elincishisiwe liqondiswa esiswini sakho kusetshenziswa i-endoscope
4. Lapho isibekwe kahle, ibhola ligcwaliswa ngesisombululo se-saline esingenazinzwa
5. I-endoscope iyasuswa, ishiya ibhola endaweni

Inqubo yonke ivame ukuthatha imizuzu engaba ngu-20-30. Uzoqashwa isikhashana ngemva kwalokho ukuze uqinisekise ukuthi uzizwa kahle ngaphambi kokuya ekhaya. Abantu abaningi bazwa isicanucanu noma ukungakhululeki ezinsukwini ezimbalwa zokuqala njengoba umzimba wabo uzivumela ebhola.

Ungalungiselela kanjani inqubo yakho yebhola le-intragastric?

Ukulungiselela inqubo yakho yebhaluni ye-intragastric kuhilela ukulungiselela kokubili ngokomzimba nangokwengqondo ukuqinisekisa umphumela ongcono kakhulu. Ithimba lakho lokunakekelwa kwezempilo lizohlinzeka ngemiyalelo ethile, kodwa nazi izinyathelo ezijwayelekile okudingeka uzilandele.

Ngaphambi kwenqubo, uzodinga ukuzila ukudla okungenani amahora angu-12, okusho ukuthi akukho ukudla noma isiphuzo ngemuva kwamabili ngobusuku obandulela. Lokhu kuqinisekisa ukuthi isisu sakho sikhona futhi kunciphisa ubungozi bezinkinga ngesikhathi senqubo.

Isikhathi sakho sokulungiselela ngokuvamile sihlanganisa:

• Ukuhlolwa okuphelele kwezokwelapha okuhlanganisa ukuhlolwa kwegazi futhi mhlawumbe i-EKG
• Hlangana nodokotela wezempilo ukuze nixoxe ngezinhlelo zokudla ngemuva kwenqubo
• Misa imithi ethile njengoba kuqondiswe udokotela wakho
• Lungiselela othile ukuthi akuqhubekisele ekhaya ngemuva kwenqubo
• Landela noma yikuphi ukudla okuthile okukhawulelayo ezinsukwini eziholela enqotsheni

Ukulungiselela kwengqondo kubaluleke ngokulinganayo. Thatha isikhathi sokuqonda ukuthi yiziphi izinguquko okudingeka uzenze emikhubeni yakho yokudla kanye nendlela yokuphila. Ukuba nokulindela okungokoqobo kanye nohlelo oluqinile lokusekela kuzokusiza ukuthi uphumelele ngaleli thuluzi lokulahlekelwa isisindo.

Ungazifunda kanjani imiphumela yakho yebhaluni ye-intragastric?

Ukuphumelela ngebhaluni ye-intragastric kulinganiswa ngezindlela eziningana, futhi ithimba lakho lokunakekelwa kwezempilo lizolandelela intuthuko yakho njalo ngesikhathi sokwelashwa. Ukulahlekelwa isisindo kuyisilinganiso esiyinhloko, kodwa akuyona kuphela inkomba yempumelelo.

Abantu abaningi balahlekelwa cishe u-10-15% wesisindo sabo somzimba esiphelele ngesikhathi sebhaluni, nakuba imiphumela yomuntu ngamunye ihluka kakhulu. Kumuntu osinda ngamakhilogremu angu-200, lokhu ngokuvamile kusho ukulahlekelwa ngamakhilogremu angu-20-30 ngesikhathi sezinyanga eziyisithupha.

Udokotela wakho uzohlola intuthuko yakho ngokusebenzisa:

• Ukwenziwa kwezilinganiso zesisindo njalo kanye nokulinganisa umzimba
• Ukuthuthukiswa kwezimo zempilo ezihlobene nesisindo
• Ushintsho emikhubeni yokudla kanye nokulawulwa kwezingxenye zokudla
• Ukuthuthukiswa kwekhwalithi yempilo iyonke
• Ikhono lokugcina umsebenzi womzimba

Khumbula ukuthi ibhaluni liyithuluzi lokukusiza ukuthi wakhe imikhuba enempilo. Isilinganiso sangempela sempumelelo ukuthi ngabe ungakwazi yini ukugcina lezi zinguquko ezinhle ngemuva kokuthi ibhaluni lisusiwe.

Ungasigcina kanjani isisindo sakho ngemuva kwebhaluni le-intragastric?

Ukugcina ukulahlekelwa kwakho isisindo ngemuva kokususwa kwebhaluni kudinga ukuqhubeka nemikhuba enempilo oyithuthukise ngesikhathi sokwelashwa. Ibhaluni lisebenza njengethuluzi lokuqeqesha, futhi umsebenzi wangempela uqala ngokusebenzisa izinguquko zokuphila eziqhubekayo.

Gxila ekulawuleni izingxenye zokudla, okuyikhono elibaluleke kakhulu ozolifunda ngebhaluni. Isisu sakho sizobe sesijwayele izingxenye ezincane, futhi ukugcina lo mkhuba kubalulekile empumelelweni yesikhathi eside. Qhubeka udla kancane futhi unake izinkomba zendlala nokusutha.

Amaqhinga abalulekile okugcina imiphumela yakho afaka:

• Qhubeka nokudla njalo ngokulawulwa kwezingxenye
• Hlala umanzi kodwa gwema ukuphuza ngesikhathi sokudla
• Gcina umsebenzi womzimba njalo
• Gcina ama-aphoyintimenti okuqapha njalo neqembu lakho lezempilo
• Joyina amaqembu okusekela noma usebenze nomeluleki uma kudingeka

Ucwaningo lubonisa ukuthi abantu abagcina ukuxhumana njalo neqembu labo lezempilo futhi baqhubeke nokulandela imihlahlandlela yokudla okunomsoco banokugcinwa kwesisindo esingcono esikhathini eside. Imikhuba oyakhayo ngesikhathi sebhaluni iba yisisekelo sempumelelo yakho eqhubekayo.

Yiziphi izici eziyingozi zezinkinga zebhaluni le-intragastric?

Ngenkathi amabhaluni e-intragastric ngokuvamile ephephile, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi nenze isinqumo esinolwazi mayelana nokuthi ngabe lokhu kwelashwa kulungile yini kuwe.

Abantu abanezimo ezithile zezokwelapha bangase babhekane nezingozi eziphakeme ngesikhathi noma ngemva kwale nqubo. Lokhu kuhlanganisa umlando wokuhlinzwa kwesisu, isifo samathumbu esivuvukalayo, noma isifo esibi se-gastroesophageal reflux (GERD). Udokotela wakho uzohlola ngokucophelela umlando wakho wezokwelapha ngaphambi kokuncoma ibhaluni.

Izici eziyingozi ezivamile ezingase zandise izinkinga zihlanganisa:

• Ukuhlinzwa kwesisu noma kwamathumbu kwangaphambilini
• Izilonda zesisu ezisebenzayo noma i-acid reflux enkulu
• Izifo zokuphuma kwegazi noma ukusetshenziswa kwemithi yokunciphisa igazi
• Izimo ezinzima zenhliziyo noma zamaphaphu
• Ukukhulelwa noma izinhlelo zokukhulelwa
• Ukungakwazi ukulandela imihlahlandlela yokudla ngemva kwenqubo

Ubudala kanye nesimo sempilo esiphelele nakho kunendima ekunqumeni ukuthi ulungele yini le nqubo. Ithimba lakho lezempilo lizokwenza ukuhlolwa okuphelele ukuze kuncishiswe noma yiziphi izingozi ezingaba khona futhi kuqinisekiswe ukuthi ungumuntu olungile kule ndlela yokwelapha.

Ziyini izinkinga ezingaba khona zebhaluni le-intragastric?

Abantu abaningi bayakubekezelela kahle amabhaluni e-intragastric, kodwa njenganoma iyiphi inqubo yezokwelapha, izinkinga zingenzeka. Ukuqonda lezi zinkinga ezingaba khona kukusiza ukuthi ubone ukuthi nini okufanele ufune ukwelashwa futhi wenze isinqumo esinolwazi mayelana nokwelashwa.

Imiphumela emibi evame kakhulu yenzeka ezinsukwini ezimbalwa zokuqala ngemva kokufakwa futhi ngokuvamile iyaxazululeka njengoba umzimba wakho uzivumela ebhalunini. Lokhu kuhlanganisa isicanucanu, ukuhlanza, kanye nokubamba isisu, okuthinta abantu abaningi ekuqaleni.

Nawa amathuba okuba khona kwezinkinga, kusukela kokuvamile kuya kokungavamile:

Izinkinga ezivamile (ezithinta u-10-30% wabantu):

• Isicanucanu nokuhlanza, ikakhulukazi ngesonto lokuqala
• Ukubamba isisu nokungakhululeki
• I-Acid reflux noma isilungulela
• Umuzwa wokugcwala noma ukuqunjelwa

Izinkinga ezingavamile (ezithinta u-1-10% wabantu):

• Ukuqaqa kwebhaluni okuholela ekudlulisweni emathunjini
• Ukuvuvukala kwesisu noma izilonda
• Isicanucanu esiqhubekayo esidinga ukususwa kwebhaluni ngaphambi kwesikhathi
• Ukomisa ngenxa yokuba nobunzima bokugcina uketshezi phansi

Izinkinga ezingavamile kodwa ezingathi sína (ezithinta ngaphansi kuka-1% wabantu):

• Ukuthutha kwebhaluni okubangela ukuvaleka kwamathumbu
• Ukugwazwa kwesisu ngesikhathi sokufakwa noma ukususwa
• Ukungezwani komzimba okukhulu nokuthuliswa
• I-aspiration pneumonia ngesikhathi senqubo

Ithimba lakho lokunakekelwa kwezempilo lizokuqapha ngokucophelela futhi linikeze imiyalelo ecacile mayelana nezimpawu zokuxwayisa ezidinga ukunakekelwa kwezempilo ngokushesha. Izinkinga eziningi ziyalawuleka uma zitholwa ngaphambi kwesikhathi, yingakho ukulandela udokotela wakho njengoba kuhleliwe kubaluleke kakhulu.

Kufanele ngibone nini udokotela ngezinkinga zebhaluni elingaphakathi kwesisu?

Ukwazi ukuthi ungaxhumana nini nomhlinzeki wakho wokunakekelwa kwezempilo kubalulekile ekuphepheni kwakho nasekuphumeleleni ngebhaluni elingaphakathi kwesisu. Ngenkathi okunye ukungakhululeki kujwayelekile, ikakhulukazi ezinsukwini ezimbalwa zokuqala, ezinye izimpawu zidinga ukunakekelwa kwezempilo ngokushesha.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nokuhlanza okukhulu, okuqhubekayo okukuvimbela ukuthi ungagcini uketshezi phansi isikhathi esingaphezu kwama-24 amahora. Lokhu kungaholela ekomeni futhi kungase kudingeke ukususwa kwebhaluni ngaphambi kwesikhathi noma ezinye izindlela zokungenelela.

Funani ukunakekelwa kwezempilo ngokushesha uma uhlangabezana nalokhu:

• Ubuhlungu obukhulu besisu obungathuthuki ngemithi
• Ukwenza isicanucanu okuqhubekayo okuhlala ngaphezu kwamahora angama-24
• Izimpawu zokuphelelwa amanzi emzimbeni njengokugajuka, umlomo owomile, noma umchamo omnyama
• Umkhuhlane ongaphezu kuka-101°F (38.3°C)
• Ubunzima bokugwinya noma ubuhlungu besifuba
• Izihlalo ezimnyama noma ezinegazi
• Ukuqubuka okungazelelwe, okukhulu noma ukungakwazi ukukhipha igesi

Hlela ukuqokwa okulandelayo njalo njengoba kunconyiwe, ngisho noma uzizwa kahle. Lokhu kuvakasha kuvumela ithimba lakho lokunakekelwa kwezempilo ukuthi liqaphe intuthuko yakho, libhekane nanoma yiziphi izinkathazo, futhi linikeze ukwesekwa okuqhubekayo ohambweni lwakho lokulahlekelwa isisindo.

Imibuzo evame ukubuzwa mayelana nebhaluni le-intragastric

Umbuzo 1 Ingabe ibhaluni le-intragastric lilungele isifo sikashukela?

Yebo, amabhaluni e-intragastric angaba usizo ikakhulukazi kubantu abanesifo sikashukela sohlobo 2 abakhuluphele noma abakhuluphele ngokweqile. Ukulahlekelwa isisindo okutholwe ngebhaluni kuvame ukuholela ekulawulweni okungcono ushukela wegazi futhi kunganciphisa isidingo semithi yesifo sikashukela.

Abantu abaningi babona ngcono emazingeni abo e-hemoglobin A1C ezinyangeni ezimbalwa zokuqala ngemuva kokufakwa kwebhaluni. Kodwa-ke, kubalulekile ukusebenza eduze nethimba lakho lokunakekelwa kwesifo sikashukela ukuqapha amazinga akho kashukela wegazi futhi ulungise imithi njengoba kudingeka ngesikhathi sohambo lwakho lokulahlekelwa isisindo.

Umbuzo 2 Ingabe ibhaluni libangela izinguquko ezingapheli esiswini?

Cha, ibhaluni le-intragastric alibangeli izinguquko ezingapheli emzimbeni wakho. Uma isusiwe, isisu sakho sibuyela osayizini waso ojwayelekile nokusebenza. Izinguquko ozitholayo zihlobene ikakhulukazi nokuziphatha nemikhuba yokudla okufundiwe.

Ukuba khona okwesikhashana kwebhaluni kusiza ukuqeqesha ubuchopho bakho ukuthi buqaphele usayizi ofanele wezingxenye nemizwa yokugcwala. Lezi zinguquko zokuziphatha zingaqhubeka ngemuva kokususwa uma uqhubeka nokwenza imikhuba yokudla enempilo oyithuthukise ngesikhathi sokwelashwa.

Umbuzo 3 Ngingakwazi yini ukuzivocavoca ngokujwayelekile ngebhaluni le-intragastric?

Yebo, ungaqeqesha futhi kufanele uzivocavoce njalo ngebhaluni le-intragastric, yize kungadingeka uqale kancane kancane futhi wandise kancane izinga lakho lomsebenzi. Ukuzivocavoca kuyingxenye ebalulekile yempumelelo yakho yokulahlekelwa isisindo nokuthuthuka kwempilo yakho yonke.

Qala ngemisebenzi enomthelela ophansi njengokuhamba, ukubhukuda, noma i-yoga ethambile, ikakhulukazi emasontweni ambalwa okuqala njengoba umzimba wakho ujwayela ibhaluni. Gwema ukuzivocavoca okunamandla amakhulu okungase kubangele ukugxuma ngokweqile noma ukunyakaza okushaqisayo uze uzizwe ukhululekile ngobukhona bebhaluni.

Q.4 Kwenzekani uma ibhaluni lehlela ngengozi?

Uma ibhaluni lehlela, ngokuvamile lizodlula ohlelweni lwakho lokugaya ukudla ngokwemvelo, nakuba lokhu kudinga ukuqapha ukuze kuqinisekiswe ukuthi alibangeli ukuvaleka. Ibhaluni liqukethe umbala oluhlaza okwesibhakabhaka, ngakho ungase uqaphele umchamo oluhlaza okwesibhakabhaka uma kwenzeka ukwehla.

Xhumana nodokotela wakho ngokushesha uma usola ukwehla kwebhaluni, ikakhulukazi uma uhlangabezana nezinguquko ezingazelelwe endlaleni, isicanucanu, noma ubuhlungu besisu. Nakuba amabhaluni amaningi ahlisiwe edlula ngaphandle kwezinkinga, ukuqashwa kwezokwelapha kubalulekile ukuqinisekisa ukuphepha kwakho.

Q.5 Ngingalindela ukulahlekelwa isisindo esingakanani ngebhaluni le-intragastric?

Abantu abaningi balahlekelwa phakathi kuka-10-15% wesisindo sabo somzimba esiphelele ngesikhathi sebhaluni, nakuba imiphumela yomuntu ngamunye ihluka kakhulu ngokusekelwe esisindweni sokuqala, ukuzibophezela ezingxenyeni zokuphila, nezinye izinto.

Isibonelo, umuntu osinda ngamakhilogremu angu-200 angase alahlekelwe ngamakhilogremu angu-20-30 ezinyangeni eziyisithupha, kuyilapho umuntu osinda ngamakhilogremu angu-300 angase alahlekelwe ngamakhilogremu angu-30-45. Khumbula ukuthi ibhaluni liyithuluzi lokukusiza ukuthi uthuthukise imikhuba enempilo, futhi impumelelo yakho yesikhathi eside incike ekugcineni lezi zinguquko ngemva kokususwa.