Ese nawe urwaye umubyibuho ukabije, cyangwa nk'uko abaganga babyita, umubyibuho ukabije? Ese urambiwe kurya no gukora imyitozo ngororamubiri? Niba utinya kubagwa cyane, uyu munsi tugiye kuvuga ku gisubizo kikubereye, ariko icyarimwe, abantu benshi ntibakizi. Iki gishobora kuba ikintu gishobora guhindura ubuzima bwawe.
Mu magambo make, Endoscopic Sleeve Gastroplasty (ESG) ni iki?
Izina rishobora kumvikana nk'irigoye, ariko ibiba muri ubu buryo biroroshye cyane. ESG ni uburyo bugezweho bwo kuvura bugabanya ingano y'igifu cyawe (inda) nta gukata ahantu na hamwe ku mubiri wawe. Ubu ni ubundi buryo bwiza bwo kubaga kugabanya ibiro (kubaga bariatric).
Tekereza ... muganga ashyize umuyoboro muto mu muhogo wawe. Uyu muyoboro ufite kamera nto cyane ifatanye ku mpera. Tuyita endoscope. Bakoresheje iyi kamera, bakoresha igikoresho cyihariye kugira ngo badode inkuta z'inda yawe. Hari abantu babyita "accordion procedure" kuko igifu kizingira nk'accordion.
Nyuma y'ibi, igifu cyawe kigabanuka kikagera kuri kimwe cya gatatu (30%) cy'ingano yacyo ya mbere. Hanyuma ibintu bibiri bibaho:
1. Ingano y'ibiryo ushobora kurya icyarimwe ni nke.
2. Iyo igifu cyuzuye, bifata igihe kirekire kugira ngo gishire.
Ibi bituma wumva uhaze nubwo wamaze kurya gato, kandi ntumara igihe kinini wumva ushonje.
Ni nde ubu buvuzi bukwiriye kurusha ubundi?
Ubu buryo bwo kuvura bukunze kwitabwaho n’abantu bafite umubyibuho ukabije. Niba ufite BMI irenga 30 , kandi ukaba waragerageje ubundi buryo bwo kugabanya ibiro ariko ntibigire icyo bitanga, ushobora kubitekerezaho.
Iki ni igisubizo cyiza cyane, cyane cyane ku bantu batemerewe kubagwa mu buryo bukomeye (kubagwa bariatric), cyangwa abadashaka gufata ibyago byo kubagwa. Ntabwo ari ikintu gikomeye nk'ukubagwa, ariko gitanga umusaruro mwiza kurusha indyo n'imyitozo ngororamubiri.
Umubyibuho ukabije si ukwiyongera ibiro gusa. Nanone byongera ibyago byo kurwara indwara nyinshi zikomeye, nka diyabete (Diyabete yo mu bwoko bwa 2), umuvuduko ukabije w'amaraso, indwara z'umutima, n'indwara z'umwijima w'ibinure. Kugabanya ibiro hakoreshejwe uburyo bwa ESG bishobora gufasha mu kugenzura izi ndwara, ndetse rimwe na rimwe no kuzikiza burundu.
Ni iki kibaho mbere no mu gihe cyo kuvurwa?
Wowe na muganga wawe muzafata icyemezo hamwe niba mukwiriye iki gikorwa.
Mbere y'uko igikorwa kirangira
Ubwa mbere, hazakorwa isuzuma ryuzuye rya muganga. Hazakorwa ibizamini byinshi by'amaraso kugira ngo harebwe niba ukwiriye gukoresha ikinya rusange. Muganga azakubwira amateka y'ubuzima bwawe, uburyo urya, imibereho yawe, n'intego zawe zo kugabanya ibiro. Azasobanura kandi ibyiza n'ibibi by'ubu buryo bwo kuvura, ndetse n'impinduka mu mibereho ugomba gukora kugira ngo ugere ku musaruro urambye.
Mu gihe cy'Ibikorwa
Nta kintu na kimwe uzumva, kuko ibi bikorwa usinziriye burundu (uri mu kibuno).
- Ibi bikorwa n'inzobere mu by'igifu, umuganga w'inzobere mu by'igogora.
- Azashyira endoscope mu kanwa kawe ayinyuze mu nda yawe.
- Amashusho ya kamera iri kuri endoscope arebwa kuri ecran, kandi hakoreshwa igikoresho cyihariye kugira ngo gishyirwemo imidomo igera kuri 8-10 mu nda, bigabanye ingano yayo.
| Ukuri | Ibisobanuro birambuye |
|---|---|
| Igihe cyakoreshejwe | Hagati y'isaha 1 na 1.5 (iminota 60-90). |
| Kuba ndi mu bitaro | Akenshi, ushobora gutaha uwo munsi. Nihagira ububabare (ububabare, isesemi) uzakirwa mu bitaro kuvurwa. |
| Ububabare | Hashobora kubaho ububabare bworoheje mu gihe igifu gikira. Ibi bizashira nyuma y'iminsi mike. |
| Gusubira ku kazi | Abantu benshi bashobora gusubira mu bikorwa bisanzwe mu gihe cy'icyumweru kimwe. |
Ni irihe tandukaniro riri hagati ya ESG no kubagwa buri gihe (Gastric Sleeve)?
Intego y'ubu buryo bwombi ni ugukanda igifu no kugihindura nk' "amaboko," cyangwa ishusho isa n'umuyoboro. Ariko hari itandukaniro rinini mu buryo bikorwamo. Uzabyumva byoroshye iyo urebye iyi mbonerahamwe.
| Igice | ESG (uburyo bwo gupima mu jisho) | Amaboko yo mu gifu (kubagwa) |
|---|---|---|
| Uko wabikora | Bikorwa hifashishijwe endoscope inyuze mu kanwa. | Bikorwa hakoreshejwe uduce duto duto mu nda. |
| Bikora iki ku nda? | Igice cy'inda kiradodwa gifunze. Nta gice gikurwamo. | Hafi 80% by'igifu kiracibwa kikavanwaho. |
| Guhoraho | Ihoraho. Iyo bibaye ngombwa, imishono irashobora gukurwaho maze igifu kigasubizwa uko cyari kimeze. | Bihoraho. Igice cyakuweho ntigishobora kongera gushyirwaho. |
| Igihe cyo gukira | Vuba. Bizasubira uko bisanzwe mu minsi mike. | Bitwara igihe kirekire. Bishobora gufata ibyumweru byinshi. |
| Ingaruka ku nzara | Nta ngaruka nyinshi bigira ku misemburo igenzura inzara. | Inzara igabanuka cyane iyo hakuweho igice gikora imisemburo y'inzara. |
Ibisubizo n'ibyo ugomba gukurikiza
Abantu benshi bakora ESG batakaza hagati ya 15% na 20% by'uburemere bwabo bwose mu mwaka wa mbere. Ibi birahagije cyane mu kurwanya indwara ziterwa n'umubyibuho ukabije.
Ariko ibuka ko ibi atari ubumaji. Kugira ngo ugere ku musaruro mwiza mu gihe kirekire, ugomba gukurikiza indyo yuzuye kandi ukagira ubuzima bwiza. Ni ngombwa cyane gukurikiza amabwiriza y'imirire atangwa na muganga (ibikomoka ku mazi -> ibiryo bisukuye -> ibiryo bisanzwe) neza neza mu kwezi kwa mbere nyuma yo kuvurwa.
Umubyibuho ukabije si ikintu cyoroshye kugenzura. Bitewe n'impinduka mu mikorere y'umubiri, rimwe na rimwe biragoye kugabanya ibiro uko waba ugerageza kurya no gukora imyitozo ngororamubiri. Muri ibyo bihe, uburyo bwo kuvura butari ubw'ingaruka mbi nka ESG bushobora kumera nk'inshuti magara ikwereka inzira igana ku buzima bwiza.
Ubutumwa bwo kujyana mu rugo
- ESG ni uburyo bugezweho bwo kuvura bukoresha endoscope kugira ngo bugabanye igifu kandi bugabanye ibiro nta gukata cyangwa kubagwa.
- Ubu ni uburyo bwiza cyane ku bantu bafite umubyibuho ukabije (BMI 30+) ariko batinya cyangwa badashaka kubagwa bikomeye.
- Igihe cyo gukira nyuma yo kuvurwa ni gito kandi ibyago byo kugira ingaruka mbi ni bike cyane.
- Ugereranyije, ushobora kwitega kugabanuka k'ibiro by'umubiri hagati ya 15% na 20%.
- Ubu buryo bwo kuvura bwonyine ntibuhagije. Kugira ngo ubone ibisubizo by'igihe kirekire, ni ngombwa gukurikiza indyo yuzuye n'uburyo bwo kubaho.
- Menya neza ko uganira n'umuganga wawe kuri ubu buryo bwo kuvura kugira ngo arebe niba bukubereye.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.