Waneta here nekuedza zvinhu zvakasiyana-siyana kuti uderedze huremu? Pamwe wanga uchiedza nesimba kudzora kudya kwako uye kurovedza muviri zuva nezuva, asi hauna kuona mhedzisiro yawaitarisira. Iri harisi dambudziko rako chete, vanhu vazhinji vari kunetseka nekufutisa vakasangana neizvi. Saka, semhinduro yeizvi, nhasi tichataura nezvenzira itsva, yakachengeteka yekuderedza huremu pasina kuenda kunovhiyiwa.
Chii chinonzi Endoscopic Sleeve Gastroplasty (ESG)?
Zita racho ringanzwika serakaoma, asi zviri nyore. Muchidimbu, Endoscopic Sleeve Gastroplasty (ESG) inzira inoderedza kukwirira kwedumbu (dumbu) pasina mavanga. Ndiyo nzira yakanaka yekuvhiya pane bariatric.
Funga nezvedumbu rako sebhegi guru rejira. Mukuita uku, pane kucheka bhegi kubva kunze, unorisona kubva mukati woita buri diki. Sekunge panguva yekuongorora gastroscopy, chiremba anoisa chubhu diki (endoscope) ine kamera diki yakasungirirwa mumuromo mako mudumbu mako. Zvadaro, vachishandisa mudziyo wakakosha wakabatanidzwa pachubhu, madziro edumbu anounganidzwa pamwe chete uye anosonerwa pamwe chete. Vamwe vanhu vanodana izvi kuti "Accordion Procedure" nekuti dumbu rinopetwa kubva mukati nenzira iyi.
Mushure mekuita izvi, dumbu rako guru rinoita seruoko rutete, rwakaita sebhanana. Izvi zvinoreva kuti rinodzikira ne30% yehukuru hwaro hwekare.
Izvi zvine zvakanakira zviviri zvikuru:
1. Huwandu hwechikafu chaunogona kudya hushoma nekuti dumbu rako diki. Uchiri kunzwa kuguta kunyangwe ukadya zvishoma.
2. Nekuti dumbu rakaita sechubhu yakatetepa, nguva yarinotora kuti chikafu chifambe nayo inowedzera. Saka haunzwi nzara kwenguva yakareba.
Kurapwa uku kwakakodzera ani?
Kurapwa kweESG kunowanzo kurudzirwa kuvanhu vakuru uye dzimwe nguva vana vadiki vane kufuta kwakanyanya. Kana uri munhu mukuru, ungangoda kufunga nezveizvi kana body mass index yako (BMI) iri pamusoro pe30. Kuvhiyiwa kweBariatric kunowanzo kurudzirwa kuvanhu vane BMI yakakwira zvakanyanya.
Kana wakamboedza kuderedza huremu kuburikidza nekudya uye kurovedza muviri asi ukakundikana, inguva yekufunga nezvekurapa kwakadai. Kune avo vasingakodzeri kuvhiyiwa kukuru, kana kuti vanotya kana kuti vasingade kuvhiyiwa, ESG ndiyo sarudzo yakanakisa pakati pezviviri izvi.
Chinhu chinonyanya kukosha ndechekuti usati wasarudza kana izvi zvakakunakira iwe kana kwete, unofanira kutaura nenyanzvi, kureva gastroenterologist.
Ndezvipi zvimwe zvirwere zvinogona kudzorwa ne (ESG)?
Kufuta hakusi kungowedzera uremu chete. Idambudziko rakaoma rinobata muviri nekufamba kwenguva. Rinowedzerawo njodzi yekubatwa nezvimwe zvirwere zvakawanda zvine njodzi.
Semuyenzaniso:
- Chirwere cheshuga cherudzi rwechipiri
- Kukwira Kweropa
- Kuwedzera kwemazinga echolesterol
- Chirwere chemwoyo
- Chirwere chechiropa chine mafuta
- Kunzwa ngonono uye kufema usina kurara zvakanaka
Kuderedza uremu zvinobudirira kuburikidza nenzira ye (ESG) kunogona kuderedza njodzi yekubatwa nezvirwere izvi. Kana uine chirwere chakadaro, kana uchidzikisa uremu, zviratidzo zvinogona kudzorwa, uye pamwe mishonga yacho inogona kuregedzwa .
Chii chinoitika usati warapwa uye panguva yekurapwa?
Ngatitaurei nezvemaitiro aya nhanho nhanho.
Maitiro Asati Aitwa
Iwe nachiremba wako muchasarudza pamwe chete kana mukakodzera izvi. Muchafanirwa kuongororwa kakawanda kuti muite izvozvo.
- Kuongororwa kwehutano: Kuongororwa kweropa neECG zvinogona kuitwa kuti zvionekwe kana muviri wako wagadzirira mushonga weanesthesia.
- Kubvunzana nachiremba: Chiremba achataura newe kwenguva yakareba nezvenhoroondo yehutano hwako, kudya kwako, mararamiro ako, uye zvinangwa zvako zvekudzikisa uremu.
- Dzidzo: Uchaziviswa zvizere nezvezvakanakira, zvakaipira, uye njodzi dzenzira iyi. Chinonyanya kukosha ndechekuti uchanzwisisa shanduko dzinotora nguva refu dzaunofanira kuita mumararamiro ako kuti ubudirire.
Munguva Yekuita Maitiro
Hauzonzwi chero chinhu paunenge uchizviita, nekuti unopihwa mushonga wekutindivadza muviri uye wakarara zvakanaka.
1. Chiremba ane hunyanzvi (gastroenterologist kana endoscopic surgeon) anoisa chubhu ine kamera inonzi endoscope mumuromo mako oipfuudza nepagurokuro kuenda mudumbu mako.
2. Zvadaro, gasi rinopinzwa mudumbu kuti riwedzere kuzvimba zvishoma. Izvi zvinoita kuti mukati muonekwe zvakajeka.
3. Paanenge achitarisa mifananidzo kubva pakamera achishandisa monitor, chiremba anoshandisa mudziyo wakakosha wakabatanidzwa pa endoscope kuti aunganidze madziro edumbu pamwe chete uye oisa mastitches angangoita masere kusvika gumi.
4. Kana matinji aya akasimbiswa, dumbu guru rinoita sechubhu yakatetepa.
Maitiro ese aya anotora pakati pemaminitsi makumi matanhatu kusvika makumi mapfumbamwe.Chete. Mushure mekumuka kubva pakunzwa kuneta, kana pasina kurwadziwa kukuru, unogona kuenda kumba zuva rimwe chete. Kana uine kurwadziwa kana kuda kurutsa, uchabuda muchipatara mushure mekurapwa.
Unonzwa sei mushure mekurapwa?
Marwadzo acho akaita sei?
Vanhu vazhinji vanogona kurwadziwa zvishoma pavanenge vachipora mudumbu. Vamwe vanogona kurwadziwa zvakanyanya uye kuda kurutsa kwemazuva mashoma. Zvisinei, kusagadzikana uku kunogona kudzorwa nemarwadzo ekurwadziwa. Kana zvichidikanwa, chiremba wako achakupa mishonga.
Pane kudya kwakakosha here?
Ehe, zvechokwadi. Uchafanira kutevedzera kudya kwakasimba kwemwedzi wekutanga kana kupfuura mushure mekurapwa kwako. Izvi zvinoitirwa kuti dumbu rako riwane nguva yekupora mushure mekunge masitichi abviswa. Chiremba wako achakupa mirairo yakazara nezveizvi.
Kudya kunowanzoitwa nenzira iyi:
1. Vhiki rekutanga: Zvinwiwa chete (zvinhu zvakaita sesobho, muto wemichero).
2. Vhiki rechipiri: Zvekudya zvakacheneswa.
3. Vhiki rechitatu nerechina: Chikafu chakasimba zvishoma, chakapfava.
4. Mushure memwedzi: Kujaira zvishoma nezvishoma kudya zvikafu zvakasimba nguva dzose.
Ndezvipi zvakanakira nengozi dzekurapa neESG?
Sekune mamwe marapirwo ekurapa, kune zvakanakira nenjodzi diki. Zvakakosha kusiyanisa izvi zvakajeka uye kuzvinzwisisa.
| Mabhenefiti | Njodzi nematambudziko |
|---|---|
| Kudzikira kwehuremu zvakanyanya: Kazhinji, unogona kudzikira huremu hwemuviri wako ne15%-20% mugore rekutanga. | Kusagadzikana kwenguva pfupi: Kurwadziwa kwemudumbu, kuda kurutsa, uye chirungurira zvinogona kuitika kwemazuva mashoma. |
| Kudzora zvimwe zvirwere: Kuvandudzwa kwezvirwere zvine chekuita nekufutisa zvakaita sechirwere cheshuga neBP. | Mikana yekuwedzera uremu zvakare: Kana mararamiro nekudya zvikasadzorwa nemazvo, nekufamba kwenguva dumbu rinogona kutatamuka zvakare rokura, zvichikonzera kuwedzera uremu. |
| Kupora nekukurumidza: Sezvo isiri kuvhiyiwa, nguva yekupora ipfupi zvikuru. Unogona kudzokera kumabasa ako enguva dzose mukati mevhiki imwe chete. | Njodzi shoma kwazvo: Njodzi yekukuvadzwa kudiki kwedumbu kana gumbo kubva ku endoscope, kana kuti kusanzwa zvakanaka kana munhu akanzwa ane anesthesia, yakaderera zvikuru. |
| Hapana mavanga: Sezvo pasina kucheka kunoitirwa chero kupi zvako pamuviri, hapana mavanga ekunze anosara. |
Chii chakasiyana pakati pekuvhiyiwa kwenguva dzose (Gastric Sleeve) neESG?
Chinangwa chenzira dzese dziri mbiri chakafanana: kuderedza dumbu uye kuderedza huwandu hwechikafu chaunogona kudya. Asi maitiro avanozviita akasiyana zvachose.
- Kuvhiyiwa (Gastric Sleeve): Uku kuvhiyiwa chaiko . Kuchekwa kwakawanda kunoitwa mudumbu uye inenge 80% yedumbu inobviswa . Uku kuchinja kwechigarire. Hazvigone kudzoserwa shure.
- (ESG) Kurapa: Uku hakusi kuvhiyiwa . Hapana mavanga. Hapana chikamu chedumbu chinochekwa chobviswa . Chinongosonekwa chopetwa. Saka, iyi inzira isinganyanyi kukuvadza kupfuura Gastric Sleeve Surgery.
Mumwe musiyano wakakosha ndewekuti mukuvhiyiwa kweGastric Sleeve, chikamu chedumbu chinochekwa uye chinobviswa ndipo panogadzirwa mahormone edu enzara zvakanyanya. Kubvisa chikamu ichocho kunobatsirawo kudzora nzara. Sezvo dumbu risingachekwe uye risingabviswe mu (ESG), mahormone haanyanyi kukanganiswa. Saka, kuvhiyiwa kweGastric Sleeve kungave kunoshanda zvishoma pane (ESG) mukuderedza uremu. Zvisinei, njodzi dzekuvhiyiwa dzakakwirawo.
Kufuta chirwere chakaoma zvikuru. Nekuda kwekuchinja kwemakemikari mumuviri, zvinonetsa vanhu vazhinji kuderedza huremu nekudzora kudya kwavo zvakanaka. Kunyangwe kuvhiyiwa kwekuderedza huremu kuchibatsira, havasi vese vakakodzera. Uyewo, vanhu vazhinji vanotya kuvhiyiwa kukuru. Saka, nzira dzakadai se (ESG) inzira yakanaka kwavari.
Mharidzo Yekuenda Nayo Kumba
- Endoscopic Sleeve Gastroplasty (ESG) inzira yemazuva ano, isiri yekuvhiya inobatsira kuderedza uwandu hwedumbu uye kuderedza huremu.
- Nzira iyi inonyanya kukodzera kune avo vakamboedza dzimwe nzira dzekuderedza uremu asi vakakundikana, asi vasingade kana kuti vasina kukodzera kuvhiyiwa kukuru.
- Pamusoro pekuderedza huremu, izvi zvinobatsirawo zvikuru mukuderedza zvirwere zvakaita sechirwere cheshuga neBP.
- Kuti uwane mhedzisiro inobudirira kubva mukurapwa, zvakakosha kuita shanduko refu mukudya uye mararamiro. Izvi hazvisi zvemashiripiti, uye kushanda nesimba kwako kwakakosha.
- Kuti uone kana nzira iyi yakakunakira, iva nechokwadi chekutsvaga mazano kubva kuna chiremba ane hunyanzvi.
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