Uriwo munhu anotambura nekufuta zvakanyanya here, kana kuti sekudanwa kwazvinoitwa navanachiremba, kufuta zvakanyanya? Waneta nekudya zvishoma nezvishoma uye kurovedza muviri here? Kana uchitya kuvhiyiwa zvakanyanya kuderedza uremu, nhasi tichataura nezvemhinduro yakakunakira, asi panguva imwe chete, vanhu vashoma vanoziva nezvazvo. Izvi zvinogona kuchinja hupenyu hwako.
Zvichitaurwa zviri nyore, chii chinonzi Endoscopic Sleeve Gastroplasty (ESG)?
Zita racho ringanzwika serakaoma, asi zvinoitika mukuita uku zviri nyore kwazvo. ESG mushonga wemazuva ano unoderedza kukura kwedumbu rako (dumbu) pasina kucheka chero kupi zvako mumuviri wako. Iyi inzira yakanaka yekuvhiya kuderedza uremu (bariatric surgery).
Fungidzira... chiremba anoisa chubhu diki pahuro pako. Chubhu iyi ine kamera diki kwazvo yakabatana kumagumo. Isu tinoidaidza kuti endoscope. Vachishandisa kamera iyi, vanoshandisa mudziyo wakakosha kusona madziro edumbu rako pamwe chete. Vamwe vanhu vanoti izvi "accordion procedure" nekuti dumbu rinopeta seaccordion.
Mushure meizvi, dumbu rako rinodzikira kusvika pachikamu chimwe muzvitatu (30%) chehukuru hwaro hwekare. Zvadaro zvinhu zviviri zvinoitika:
1. Huwandu hwechikafu chaunogona kudya panguva imwe chete hwakaganhurirwa.
2. Kana dumbu razara, zvinotora nguva yakareba kuti ribude.
Izvi zvinoita kuti unzwe wakaguta kunyangwe mushure mekudya zvishoma, uye haunzwi nzara kwenguva yakareba.
Kurapwa uku kwakakodzera ani?
Kurapa uku kunowanzo kurudzirwa kuvanhu vakafuta. Kana body mass index yako (BMI) iri pamusoro pe30 , uye wakamboedza dzimwe nzira dzekuderedza huremu asi usingabudirire, ungangoda kufunga nezveizvi.
Iyi mhinduro yakanaka, kunyanya kune avo vasingakodzeri kuvhiyiwa kwakanyanya kwekuderedza uremu (bariatric surgery), kana avo vasingade kutora njodzi dzekuvhiyiwa. Haina kukura sekuvhiyiwa, asi inopa mhedzisiro inobudirira kupfuura kudya uye kurovedza muviri.
Kufuta hakusi kungowedzera uremu chete. Kunowedzerawo njodzi yekubatwa nezvirwere zvakawanda zvakakomba, zvakaita sechirwere cheshuga (Type 2 Diabetes), BP, chirwere chemwoyo, uye chirwere chechiropa chine mafuta akawanda. Kuderedza uremu nekurapwa kwakadai seESG kunogona kubatsira kudzora zvirwere izvi, uye dzimwe nguva kutozvirapa zvachose.
Chii chinoitika usati warapwa uye panguva yekurapwa?
Iwe nachiremba wako muchasarudza pamwe chete kana mukakodzera izvi.
Maitiro Asati Aitwa
Kutanga, kuongororwa kwakazara kwechiremba kuchaitwa. Kuongororwa ropa kwakati wandei kuchaitwa kuti vaone kana wakakodzera mushonga weanesthesia. Chiremba achataura newe nezvenhoroondo yehutano hwako, maitiro ekudya, mararamiro ako, uye zvinangwa zvekuderedza uremu. Achatsanangurawo zvakanakira nezvakaipira zvekurapa uku, pamwe nekuchinja mararamiro aunofanira kuita kuti uwane mhedzisiro yenguva refu.
Munguva Yekuita Maitiro
Hauzonzwi chero chinhu, nekuti izvi zvinoitwa wakarara zvachose (wakarapwa neanesthesia).
- Izvi zvinoitwa nachiremba wezvekudya, chiremba ane hunyanzvi mukugaya chikafu.
- Achaisa endoscope nemuromo wako oipfuudza mudumbu mako.
- Mifananidzo inobva pakamera iri pa endoscope inoonekwa pa monitor, uye mudziyo wakakosha unoshandiswa kuisa mastitches angangoita 8-10 mudumbu, zvichideredza saizi yaro.
| Chokwadi | Tsanangudzo |
|---|---|
| Nguva yakashandiswa | Pakati peawa imwe nehafu (maminitsi 60-90). |
| Ndiri muchipatara | Kazhinji, unogona kuenda kumba zuva rimwe chete iroro. Kana paine kusagadzikana (kurwadziwa, kuda kurutsa) ndipo paunozopinda muchipatara kuti unorapwa. |
| Marwadzo | Panogona kunge paine marwadzo mashoma mudumbu richipora. Izvi zvinopera mushure memazuva mashoma. |
| Kudzokera kubasa | Vanhu vazhinji vanogona kudzokera kumabasa avo enguva dzose mukati mevhiki imwe chete. |
Chii chinosiyanisa ESG nekuvhiyiwa kwekuderedza uremu nguva dzose (Gastric Sleeve)?
Chinangwa chenzira idzi dzese ndechekudzvanya dumbu uye kurigadzira kuita "ruoko," kana kuti chimiro chakafanana nechubhu. Asi pane musiyano mukuru pamaitiro azvinoitwa. Uchanzwisisa izvi zviri nyore kana ukatarisa tafura iyi.
| Chikamu | ESG (nzira ye endoscopic) | Kuvhiyiwa kwemaoko emudumbu (kuvhiyiwa) |
|---|---|---|
| Maitiro ekuita | Izvi zvinoitwa nekuisa endoscope nemuromo. | Zvinoitwa nekucheka zvidimbu zvidiki mudumbu. |
| Zvinoitei padumbu? | Chikamu chedumbu chinosonerwa chakavharwa. Hapana chikamu chinobviswa. | Inenge 80% yedumbu inochekwa yobviswa. |
| Kugara kwenguva refu | Hazvigari kwenguva refu. Kana zvichidikanwa, masitichi anogona kubviswa uye dumbu rinogona kudzorerwa pakare. | Chinogara Chiripo. Chikamu chakabviswa hachigone kudzoserwa. |
| Nguva yekupora | Kurumidza. Zvichadzoka zvakajairika mumazuva mashoma. | Zvinotora nguva yakareba. Zvinogona kutora mavhiki akati wandei. |
| Mhedzisiro panzara | Hazvina simba guru pamahormone anodzora nzara. | Nzara inoderedzwa zvakanyanya nekubvisa chikamu chinogadzira mahormone enzara. |
Mhedzisiro uye zvekutevera
Vanhu vazhinji vanoita ESG vanorasikirwa ne15% kusvika 20% yehuremu hwavo hwese mugore rekutanga. Izvi zvakakwana kudzora zvirwere zvine chekuita nekufutisa.
Asi yeuka, izvi hazvisi zvemashiripiti. Kuti uwane mhedzisiro inobudirira kwenguva refu, unofanirwa kudya zvine hutano uye kurarama hupenyu hune simba. Zvakakosha kutevedzera mirairo yekudya yakapihwa nachiremba (mvura -> chikafu chakacheneswa -> chikafu chenguva dzose) mukati memwedzi wekutanga mushure mekurapwa.
Kufuta hakusi nyore kudzora. Nekuda kwekuchinja kwemakemikari emuviri, dzimwe nguva zvinonetsa kuderedza uremu zvisinei nekuti unoedza kudya zvakadii uye kurovedza muviri. Panguva dzakadaro, kurapwa kusina njodzi, kusina kuvhiyiwa seESG kunogona kuita seshamwari yepamwoyo inokuratidza nzira yekurarama hupenyu hwakanaka.
Mharidzo Yekuenda Nayo Kumba
- ESG inzira yemazuva ano yekurapa inoshandisa endoscope kuderedza dumbu nekuderedza huremu pasina kuchekwa kana kuvhiyiwa.
- Iyi isarudzo yakakodzera kune avo vakafuta zvakanyanya (BMI 30+) asi vachitya kana kuti vasingade kuvhiyiwa zvakanyanya.
- Nguva yekupora mushure mekurapwa ipfupi uye njodzi yemigumisiro yakaipa yakaderera zvikuru.
- Paavhareji, unogona kutarisira kudzikira kwehuremu hwemuviri ne15%-20%.
- Kurapa uku chete hakuna kukwana. Kuti uwane mhedzisiro yenguva refu, zvakakosha kutevedzera kudya kwakanaka uye mararamiro ane hutano.
- Iva nechokwadi chekukurukura nezvekurapa uku nachiremba wako kuti uone kana kwakakunakira.
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