Tiyeni tidziwe zonse zokhudza Gastric Bypass Surgery kuti tichepetse thupi.

Kunenepa kwambiri ndi vuto lalikulu la thanzi lomwe anthu ambiri amakumana nalo m'dziko lathu komanso padziko lonse lapansi masiku ano. Nthawi zina, ngakhale mutachita masewera olimbitsa thupi komanso zakudya zotani, zimakhala zovuta kwambiri kuchepetsa thupi. Nthawi zina madokotala amalangiza anthu ena kuti achite opaleshoni yochepetsa thupi. Lero, tiyeni tikambirane za opaleshoni imodzi yayikulu yotere, opaleshoni ya m'mimba, yomwe ambiri adamvapo. Tiyeni timvetse bwino lomwe, momwe imachitikira, komanso zomwe zimachitika pambuyo pake.

Kodi chimachitika ndi chiyani ndi opaleshoni ya m'mimba iyi?

Mwachidule, opaleshoni iyi ndi ya magawo awiri. Ikuphatikiza njira ziwiri zochepetsera thupi. Tiyeni tiwone zomwe njira ziwirizi zilili.

Gawo 1: Kupanga thumba laling'ono m'mimba

Mu izi, dokotala wa opaleshoni amagawa mimba yanu m'zigawo ziwiri. Gawo limodzi lalikulu, ndi lina laling'ono kwambiri. Kenako, gawo laling'ono limasokedwa kapena kulumikizidwa pamodzi kuti likhale thumba laling'ono. Kuchuluka kwa chakudya chomwe chingaikidwe m'thumba laling'onoli ndi kochepa kwambiri, pafupifupi kukula kwa kapu. Chifukwa chake chifukwa muli ndi mimba yaying'ono kwambiri, mumamva kukhuta ngakhale mutadya pang'ono . Choncho kuchuluka kwa chakudya chomwe mumadya kumachepa zokha. Timatcha njira iyi kuti 'njira yoletsa'. Izi zikutanthauza kuti, imachepetsa kuchuluka kwa chakudya chomwe mungadye.

Gawo Lachiwiri: Lambalala

Tsopano, pali kachikwama kakang'ono kamene kapangidwa, ndipo dokotala amakalekanitsa ndi gawo lalikulu la m'mimba ndi gawo loyamba la m'mimba waung'ono (duodenum). Kenako, kachikwama kakang'ono kameneko kamalumikizidwa mwachindunji ndi gawo la m'mimba waung'ono (jejunum). Njira yopangira opaleshoni iyi imatchedwa "Roux-en-Y." Mukalumikizidwa motere, chakudya chomwe mumadya chimapita mwachindunji kuchokera ku kachikwama kakang'onoko kupita ku gawo la pansi la m'mimba waung'ono. Izi zikutanthauza kuti, chimadutsa gawo loyamba la m'mimba waung'ono. Chifukwa cha izi, thupi limayamwa ma calories ndi michere yochepa kwambiri mu chakudya chomwe mumadya. Njirayi imatchedwa njira ya 'malabsorptive'. Nthawi zambiri, njira zonsezi zimachitika mu opaleshoni yomweyo, ndipo njira yonseyi imatchedwa "Roux-en-Y gastric bypass." Nthawi zambiri, madokotala ochita opaleshoni amachita opaleshoni iyi mwa laparoscopically. Izi zikutanthauza kuti, opaleshoni imachitika poika kamera ndi zida kudzera m'mabowo angapo ang'onoang'ono, m'malo mopanga chotupa chachikulu m'mimba. Komabe, nthawi zina, ngati izi sizingatheke, opaleshoni ingafunike kuchitidwa kudzera mu kudula kwakukulu m'mimba (laparotomy).

Kodi mungayembekezere chiyani mutachita opaleshoni?

Popeza opaleshoniyi ndi yaikulu, ndikofunikira kudziwa zinthu zina. Muyenera kukhala m'chipatala kwa masiku awiri kapena atatu mutatha opaleshoniyi. Zingatenge milungu iwiri kapena itatu musanabwererenso ku ntchito zanu zachizolowezi. Monga momwe zimakhalira ndi opaleshoni zonse, pali zoopsa ndi zovuta zina. Tiyeni tiwone mavuto omwe angakhalepo patebulo ili m'munsimu. Koma kumbukirani, chiopsezochi n'chochepa kwambiri m'zipatala zomwe zili ndi madokotala odziwa bwino ntchito omwe achita opaleshoni yoposa 100. Dokotala wodziwa bwino ntchito akachita opaleshoniyi, chiopsezo cha imfa chimakhala chochepera 0.5% (ndiko kuti, chochepera chimodzi mwa 200). Kuphatikiza apo, kuyamwa kwa michere m'thupi kumachepa, zomwe zingayambitse kusowa kwa zinthu monga chitsulo ndi calcium kwa nthawi yayitali, zomwe zingayambitse matenda monga kuchepa kwa magazi m'thupi ndi kufooka kwa mafupa. Komabe, ngati mutenga zakudya zowonjezera zomwe dokotala wanu wakupatsani molondola ndikuyezetsa magazi anu panthawi yake, mutha kuchepetsa kwambiri chiopsezochi.

Kodi zotsatira za opaleshoniyi ndi ziti?

Kuchepetsa thupi pambuyo pa opaleshoni nthawi zambiri kumakhala kopambana kwambiri. Pa avareji, odwala amataya pafupifupi 60% ya kulemera kwawo kowonjezera . Mwachitsanzo, taganizirani kuti kulemera koyenera kwa munthu ndi 70 kg, koma pakadali pano akulemera 150 kg. Ali ndi kulemera kowonjezera kwa 80 kg. Pambuyo pa opaleshoni iyi, pafupifupi 60% ya kulemera kowonjezerako, ndiko kuti, pafupifupi 48 kg, kumatha kutayika. Pamodzi ndi kuchepetsa thupi, mavuto ambiri azaumoyo omwe amayamba chifukwa cha kunenepa kwambiri, monga matenda a shuga, kuthamanga kwa magazi, mphumu, ndi obstructive sleep apnea, amatha kuchiritsidwa kwathunthu kapena kulamulidwa kwambiri .

Ndi mitundu ina iti ya opaleshoni yochepetsa thupi yomwe ilipo?

Ngati mukuganiza zochitira opaleshoni yochepetsa thupi, pali njira zina zingapo kupatula njira yochotsera thupi m'mimba. Tiyeni tionenso zimenezo.

Mtundu wa opaleshoni	Momwe mungachitire izi ndi mfundo zofunika
Kuchotsa Manja M'mimba	Iyi ndi opaleshoni yochepetsa thupi yomwe imachitidwa kwambiri padziko lonse lapansi. Pa opaleshoni imeneyi, pafupifupi theka la mimba limachotsedwa, ndipo gawo lotsalalo limapangidwa ngati chubu chachitali (manja) ngati mkono. Iyi ndi njira 'yoletsa'.
Gastroplasty Yokhala ndi Mizere Yoyimirira	Uku ndi kuphatikiza kwa kulumikiza m'mimba ndi kulumikiza m'mabande. Komabe, sikuchitidwa kawirikawiri chifukwa cha zovuta zambiri komanso kuchepa thupi.
Kupatuka kwa Biliopancreatic	Izi zikufanana ndi njira yodutsa m'mimba. Komabe, apa thumba la m'mimba limalumikizidwa ndi gawo la pansi la matumbo ang'onoang'ono (ileum). Chifukwa chake, kuchuluka kwa ma calories omwe thupi limayamwa ndi kotsika kwambiri. Komabe, opaleshoni iyi ndi yovuta kuchita ndipo chiopsezo cha kusowa kwa zakudya m'thupi ndi chachikulu kwambiri.

Pomaliza, kuchita opaleshoni ngati iyi ndi chisankho chachikulu pa moyo wanu. Choncho musanasankhe, kambiranani ndi dokotala wanu za zomwe mungasankhe, zabwino ndi zoyipa zake, komanso zomwe zikukuyenderani bwino.

Uthenga Wopita Nawo Kunyumba

• Kupachika m'mimba ndi opaleshoni yaikulu yochepetsera thupi yomwe ili ndi magawo awiri akuluakulu (kuchepetsa m'mimba ndi kupachika m'mimba).
• Izi zitha kuchepetsa kwambiri kulemera ndikuwongolera matenda monga matenda a shuga ndi kuthamanga kwa magazi .
• Monga momwe zimakhalira ndi opaleshoni zonse, pali zoopsa ndi zovuta zina .
• Kupambana kwa opaleshoniyi kumadalira kwathunthu kusintha kwa moyo wanu (zakudya ndi masewera olimbitsa thupi) pambuyo pa opaleshoniyi.
• Ichi si chisankho choyenera kuonedwa mopepuka. Ndikofunikira kukambirana izi ndi dokotala wanu kuti mudziwe ngati opaleshoniyi ndi yoyenera kwa inu.