Kodi mwatopa kuyesa kuchepetsa thupi? Nthawi zina, ngakhale titalamulira bwanji zakudya zathu komanso kuchita masewera olimbitsa thupi, sitipeza zotsatira zomwe tikufuna. Vutoli limakhala lalikulu kwambiri tikakhala ndi vuto lotchedwa kunenepa kwambiri. Chifukwa chake, kwa inu omwe mukuopa kupita ku opaleshoni koma mukufunabe kuchepetsa thupi, tikukuuzani za njira yatsopano, yotsika mtengo kwambiri yamankhwala. Imeneyo ndi Intragastric Balloon.
Mwachidule, kodi buluni ya m'mimba ndi chiyani?
Tangoganizani kuti mwaika buluni yaying'ono, yofewa m'mimba mwanu ndikuidzaza ndi madzi ngati madzi. Iyi ndi njira yomwe timayitcha kuti `Intragastric Balloon`. `Intragastric`` imatanthauza `mkati mwa mimba.` Iyi ndi njira yachipatala yopanda opaleshoni yochepetsera thupi.
Baluni iyi ikakhala m'mimba, imatenga malo ena m'mimba. Choncho mumamva kukhuta ngakhale mutadya pang'ono. Zili ngati mimba ikuchepa. Izi zimachepetsa kuchuluka kwa chakudya chomwe mungadye. Koma izi ndi zakanthawi kochepa . Pambuyo pa miyezi ingapo, baluniyo imachotsedwanso. Panthawi imeneyo, mudzapeza thandizo lalikulu kuti muzolowere kudya zakudya zabwino komanso moyo wabwino.
N’chifukwa chiyani tifunika chithandizo chamtunduwu?
Kunenepa kwambiri kumayambitsa kusintha kwakukulu m'thupi lathu. Chimodzi mwa izo ndi chakuti pakapita nthawi, mimba yathu imakula pang'onopang'ono. Monga momwe lamba la rabara limatambasulidwira, mimba yathu imakulanso. Izi zikutanthauza kuti tiyenera kudya kwambiri kuti tikhute.
Pafupifupi njira iliyonse yochizira yochepetsera thupi imafuna kuchepetsa malo m'mimba mwanjira ina. Komabe, poyerekeza ndi njira zina, njira iyi ili ndi zabwino zingapo:
1. Kwakanthawi: Izi si zokhalitsa. Zimachotsedwa patatha miyezi pafupifupi 6.
2. Osachita opaleshoni: Palibe opaleshoni yaikulu yofunikira kuti muike baluni, kotero palibe zipsera.
3. Palibe chifukwa chogwiritsa ntchito mankhwala oletsa ululu: Njirayi sikutanthauza kuti muyenera kukhala osadziwa chilichonse (mankhwala oletsa ululu). Kawirikawiri, mankhwala ochepetsa ululu okha ndi omwe amaperekedwa.
Pazifukwa izi, ndi njira yabwino kwa iwo omwe sakuyenera opaleshoni ya bariatric, kapena omwe sakufuna kuchitidwa opaleshoni.
Kodi njira yowunikirayi ndi yoyenera kwa ndani ndipo ndi yani yomwe si yoyenera kwa iye?
Si aliyense amene angachite izi. Dokotala adzasankha ngati ndinu woyenera kugwiritsa ntchito njira imeneyi. Tiyeni tiwone amene nthawi zambiri amalangizidwa kugwiritsa ntchito njira imeneyi ndi amene sakulangizidwa.
| Anthu oyenera nthawi zambiri | Kawirikawiri anthu osayenera |
|---|---|
| Kwa iwo omwe ali ndi BMI ya 30 kapena kuposerapo. | Kwa iwo omwe ali ndi zilonda zam'mimba kapena za m'mero (matenda a zilonda zam'mimba). |
| Kwa iwo omwe akufuna njira ina yochepetsera chiopsezo m'malo mwa opaleshoni yochepetsa thupi. | Kwa iwo omwe ali ndi matenda monga hiatal hernia. |
| Opaleshoni ndi yoopsa kwa anthu onenepa kwambiri komanso omwe amafunika kuchepetsa thupi asanachite opaleshoni (monga "njira yolumikizirana"). | Kwa iwo omwe ali ndi vuto la magazi kuundana. |
| Kwa iwo amene akufuna kuwongolera matenda okhudzana ndi kunenepa kwambiri monga matenda a shuga (mtundu wachiwiri wa shuga), kuthamanga kwa magazi, ndi matenda a mtima. | Kwa iwo omwe ali ndi matenda a chiwindi. |
| Kwa iwo omwe sanachitepo opaleshoni ya m'mimba kale. | Kwa iwo omwe ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa. |
Chofunika kwambiri ndichakuti musapange chisankho ichi nokha. Lankhulani ndi dokotala wanu ndipo musankhe nokha ngati izi zili zoyenera kwa inu kutengera thanzi lanu.
Kodi mungachepetse kulemera kotani podumpha?
Pa avareji, munthu akhoza kutaya pafupifupi 10% ya kulemera konse kwa thupi lake kudzera mu njira iyi. Izi zikutanthauza kuti, ngati mulemera makilogalamu 100, mudzataya pafupifupi makilogalamu 10. Izi ndizokwanira kusintha kwambiri thanzi lanu pakapita nthawi yochepa, monga miyezi 6.
Koma kumbukirani, izi si zamatsenga. Zotsatira zake zimatha kusiyana malinga ndi momwe mumatsatira malangizo a dokotala wanu, makamaka zakudya zanu. Komanso, ngati mubwerera ku zizolowezi zanu zakale zoyipa mutamwa mapiritsi, mumakhala ndi mwayi wowonjezera kulemera komwe mudataya .
Kodi njira yolembera voti imachitika bwanji?
Ichi ndi chinthu chomwe chimachitika m'njira zingapo. Tiyeni tiwone.
1. Kukonzekera musanayambe ndondomekoyi
Dokotala wanu akangoona kuti ndinu woyenera, mudzapatsidwa gulu lachipatala kuti likuthandizeni panjira. Gululi likhoza kuphatikizapo katswiri wa zakudya, katswiri wa matenda a m'mimba, dokotala wa matenda amisala, kapena mlangizi. Adzapanga dongosolo lochepetsera thupi lomwe ndi loyenera kwa inu.
Kwa masiku angapo opaleshoni isanachitike, mudzapemphedwa kudya zakudya zamadzimadzi zokha. Izi zidzakuthandizani kuyeretsa m'mimba mwanu. Mudzalangizidwanso kuti musadye kapena kumwa chilichonse pambuyo pa pakati pausiku usiku watha.
2. Kuyika buluni
Baluni nthawi zambiri imayikidwa pogwiritsa ntchito chida chotchedwa endoscope . Ichi ndi chubu chopyapyala, chosinthasintha chokhala ndi kamera yolumikizidwa nacho. Chubuchi chimadutsa pakamwa panu, m'mero, ndi m'mimba mwanu. Mudzapatsidwa mankhwala ochepetsa ululu kuti akuthandizeni kumva bwino.
- Choyamba, dokotala adzayang'ana mkati mwa mimba yanu ndi kamera ya endoscope kuti atsimikizire kuti palibe mavuto omwe angalepheretse kufufuzako.
- Ngati zonse zili bwino, buluni yopanda kanthu imalowetsedwa m'mimba.
- Kenako, madzi amchere amadzazidwa mu buluni kudzera mu chubu.
- Baluni ikadzazidwa kufika pa kukula kofunikira, chubucho chimachotsedwa. Valavu yomwe ili mu baluni imatseka yokha, kuti madziwo asatulukenso.
Njira yonseyi imatenga pafupifupi mphindi 20-30 . Pambuyo pake, muyenera kukhala m'chipatala kwa maola angapo mukuyang'aniridwa. Mudzapatsidwa mankhwala oletsa zinthu monga kupweteka ndi nseru. Mudzaloledwa kupita kunyumba mutatsimikizira kuti mungathe kupirira njira imeneyi.
3. Pambuyo pa ndondomekoyi
Simungabwererenso kudya bwino mukangofika kunyumba. Muyenera kupatsa mimba yanu nthawi yoti muzolowere zakudya zatsopano.
- Zakudya zamadzimadzi m'masiku oyambirira.
- Chotsatira ndi zakudya zophikidwa bwino.
- Kenako, zakudya zofewa monga ndiwo zamasamba zophikidwa ndi mpunga.
- Pamapeto pake, mutha kuzolowera chakudya cha nthawi yayitali chomwe katswiri wanu wa zakudya amapereka.
Gulu lanu lachipatala lidzalumikizana nanu nthawi zonse panthawiyi.
Kuchotsa buluni ndi zotsatirapo zake
Baluni nthawi zambiri imakhala m'mimba mwanu kwa miyezi pafupifupi 6. Panthawiyi, muyenera kuchita zinthu zopatsa thanzi. Pambuyo pa miyezi 6, baluniyo imachotsedwa pogwiritsa ntchito endoscope, monga momwe idalowetsedwa. Dokotala amaboola baluniyo, kuchotsa madzi onse omwe ali mmenemo, ndikutulutsa baluni yopanda kanthu.
Mukachotsa chipolopolocho, mudzalandira thandizo kuchokera kwa gulu lachipatala kwa miyezi pafupifupi 6 kuti muwone ngati mukupitirizabe ndi zizolowezi zanu zatsopano zabwino.
| Zotsatirapo zomwe zingakhalepo ndi zoopsa za balam | |
|---|---|
| Zotsatira zoyipa zofala (zakanthawi) | |
| Kuwawa kwam'mimba | Izi nthawi zambiri zimachitika mkati mwa sabata yoyamba ndipo zimatha kuthetsedwa ndi mankhwala. |
| Kusanza ndi kusanza | Vutoli likhoza kuchitika mpaka thupi litazolowera mawonekedwe ake. |
| Mpweya, kusagaya bwino chakudya | Izi zitha kuchitika ndi kusintha kwa zakudya. |
| Chikhure | Vuto la kanthawi kochepa lomwe limayambitsidwa ndi chubu cha endoscope. |
| Zoopsa zachilendo (zoopsa) | |
| Kutuluka kwa buluni | Ngati mpirawo wabowoka, ukhoza kuyenda m'matumbo ndikukodwa. Izi ndi zadzidzidzi. Ngati izi zitachitika, muyenera kupita ku ETU (Emergency Treatment Unit) nthawi yomweyo . (Chiwopsezo ~1.5%) |
| Pancreatitis yoopsa | Vutoli lingachitike chifukwa cha kupanikizika kwa kapamba kuchokera ku baluni m'mimba. (Nthawi zambiri sizichitika kawirikawiri) |
| Chilonda cha m'mimba kapena kubooka | Kupanikizika kuchokera ku baluni kungayambitse kuvulala kwa khoma la m'mimba kapena, kawirikawiri, kubowoka (chiopsezo ~0.1%). |
Pomaliza, kodi njira imeneyi ndi yopambana bwanji?
Anthu ambiri amatha kuchepetsa thupi bwino pogwiritsa ntchito njira imeneyi yochepetsera thupi. Ndipo amathanso kupeza mpumulo ku mavuto ambiri azaumoyo omwe amayamba chifukwa cha kunenepa kwambiri. Komabe, monga tanenera kale, iyi si njira yokhazikika . Iyi ndi njira yabwino kwambiri yomwe ingakuthandizeni kukhala ndi moyo wathanzi.
Njinga ndi chida chokuthandizani panjira. Koma muyenera kuyendetsa galimoto. Izi zikutanthauza kuti muyenera kupitiriza kudya bwino komanso kuchita masewera olimbitsa thupi omwe mwaphunzira ngakhale mutakwera njinga.
Anthu ena amalemeranso akachotsedwa chotupa cha m'mimba. Nthawi zina, ena amayambiranso kugwiritsa ntchito chotupa cha m'mimba, pomwe ena amaganizira njira zina zamankhwala kapena opaleshoni.
Pomaliza, Intragastric Balloon ndi njira yabwino komanso yotsika mtengo yochizira matenda a kunenepa kwambiri. Komabe, kuti mupindule kwambiri ndi izi, muyenera kudzipereka kusintha moyo wanu kwa nthawi yayitali, mothandizidwa ndi gulu lanu lachipatala.
Uthenga Wopita Nawo Kunyumba
- Baluni ya m'mimba ndi njira yosagwiritsa ntchito opaleshoni, yochepetsera thupi kwakanthawi .
- Izi zimagwira ntchito poika chitseko m'mimba, kupanga kumva kukhuta, ndikuchepetsa kuchuluka kwa chakudya chomwe mumadya.
- Njira iyi si yoyenera aliyense. Muyenera kukambirana izi ndi dokotala kuti mudziwe ngati ndi yoyenera kwa inu.
- Kupambana kwa zotsatira za opaleshoniyi kumadalira kwambiri zakudya ndi moyo womwe mumatsatira panthawi komanso pambuyo pake.
- Ngakhale kuti nthawi zambiri zimakhala ndi zotsatirapo zazing'ono, dziwani zoopsa zomwe sizingachitike kawirikawiri ndipo kambiranani ndi dokotala wanu.
- Izi si matsenga, koma ndi njira yabwino yoyambira moyo wanu kuti mukhale ndi moyo wathanzi.
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