Uri kutamburawo nedambudziko rekuwedzera uremu here? Pamwe wakaedza nzira dzakasiyana-siyana, maekisesaizi, kudya zvishoma nezvishoma kuti uderedze uremu. Asi dzimwe nguva hatiwani mhedzisiro yatinofunga kuti tinoda. Kufutisa hakusi dambudziko rekutaridzika zvakanaka chete, kunovhura mukana wezvirwere zvakakomba zvakaita sechirwere cheshuga neBP. Saka, kunyangwe paine kuvhiyiwa semhinduro yeizvi, vanhu vazhinji vanotya kuvhiyiwa. Kune vanhu vakadaro, nhasi tiri kutaura nezvenzira yakakosha inogona kuvabatsira kuderedza uremu vasina kuvhiyiwa uye nenjodzi shoma. Ndiyo nzira yeIntragastric Balloon.
Chii chaizvo chinonzi nzira iyi yebharumu?
Zvichitaurwa zviri nyore, iyi ipurogiramu yekurapa yekuderedza uremu isiri yekuvhiya. Chinoitika pano ndechekuti bharumu diki rinoiswa mudumbu mako (dumbu). Uku hakusi kuvhiya kukuru. Nekuti bharumu iri rinotora nzvimbo mudumbu mako, unonzwa wakaguta kunyangwe mushure mekudya zvishoma. Izvi zvinoderedza huwandu hwechikafu chaunogona kudya.
Asi iyi haisi bharumu chete. Iyi ipurogiramu yakazara . Izvi zvinoreva kuti pamwe chete nebharumu, uchawanawo mazano nerutsigiro rwaunoda kuti uchinje mararamiro ako nemaitiro ako ekudya kwenguva refu. Chinhu chinonyanya kukosha ndechekuti bharumu iri nderenguva pfupi . Izvi zvinoreva kuti richabviswa mushure menguva yakati.
Sei rudzi urwu rwekurapa ruchidikanwa?
Pane shanduko dzakawanda mumuviri wemunhu ane kufuta. Chimwe ndechekuti huwandu hwedumbu hunowedzera nekufamba kwenguva. Funga nezvazvo sebhandi rerabha, kutambanudza nekushandisa, uye nekufamba kwenguva dumbu rinokurawo. Zvadaro chikafu chakawanda chinodiwa kuzadza dumbu. Izvi zvinoita kuti huremu huwedzere. Nzira dzese dzekurapa dzekuderedza uremu dzinoshanda neimwe nzira kuderedza kugona kwedumbu uku.
Nzira iyi yebharuni yakasiyana nedzimwe nzira nekuda kwezvikonzero zviviri:
1. Izvi ndezvenguva pfupi: Hazvisi shanduko yehupenyu hwese semamwe maoparesheni.
2. Hapana kuvhiyiwa kunodiwa: Izvi hazvidi kuti kuvhiyiwa kukuru kuiswe. Uyewo, hapana chikonzero chekunzwa kuneta.
Saka, iyi sarudzo yakanaka kune avo vasingakodzeri kuvhiyiwa kwekuderedza uremu (Bariatric Surgery), kana kune avo vanotya kuvhiyiwa.
Kurapwa uku kwakakodzera ani?
Kazhinji, inokurudzirwa kuvanhu vane body mass index (BMI) ye30 kana kupfuura uye vanopasa bvunzo dzehutano dzinodiwa kuti vaongororwe. Mune zvimwe zviitiko, nzira yekurova bharumu inogona kushandiswawo se "bhiriji" rekubatsira vanhu vakafuta zvakanyanya kuti vasakwanise kuvhiyiwa.
Nzira iyi inogona kukubatsira kuderedza huremu hwako hwese nechikamu chimwe chete kubva muzana (10%) , kana kuti 30% yehuremu hwako hwekuwedzera.Unogona kuideredza nemacalorie angangoita zana. Huwandu uhu hwakakwana kuti huve nemhedzisiro huru, inochinja hupenyu hwako.
Chii chinoitika bharumu risati raiswa uye mushure mekunge raiswa?
Kutanga, unofanira kukurukura nachiremba wako kana uchikodzera chirongwa ichi. Kana uchida, timu yenyanzvi, kusanganisira nyanzvi yezvekudya, gastroenterologist, uye chiremba wepfungwa, vachakutsigira muchirongwa chose.
Kuisa bharumu
Bharuni iri rinowanzoiswa uchishandisa mudziyo unonzi endoscope. Iri ichubhu diki, inochinjika ine kamera diki inoiswa nemuromo wako. Unopiwa mushonga mudiki wekukuita kuti unzwe hope uye pahuro pako pave nechiveve. Izvi zvinoitirwa kuti usanzwe kurwadziwa kwakanyanya.
Chiremba anoisa bharumu mudumbu kuburikidza nechubhu iyi ozadza nemvura ine saline. Chubhu yacho inobva yabviswa. Maitiro ese anotora maminetsi angangoita makumi maviri kusvika makumi matatu. Unogona kugara muchipatara kwemaawa mashoma wobva waenda kumba.
Hupenyu nebharumu
Bharumu rinogara mudumbu mako kwemwedzi inosvika mitanhatu. Munguva iyi, iwe nechikwata chako chekurapa muchafanira kuchinja kudya kwenyu nemararamiro enyu. Bharumu rinokutadzisai kudya zvakanyanya, uye zvichava nyore kudzora kudya kwenyu nekuti muchanzwa makaguta. Kudzikira kwehuremu kwakawanda kunoitika mukati memwedzi mitatu yekutanga.
Mushure memwedzi mitanhatu, bharumu rinobviswa kuburikidza ne endoscope nenzira imwecheteyo yarakaiswa. Mushure meizvozvo, timu yezvekurapa ichakubatsira kuramba uchichengetedza tsika idzi dzakanaka kweinenge mwedzi mitanhatu inotevera.
| Nyaya apo kurapwa uku hakukurudzirwi | |
|---|---|
| Kana uine maronda emudumbu (Peptic ulcer disease) | Kana uine hiatal hernia |
| Kana uine dambudziko rekugwamba kweropa | Kana uine chirwere chechiropa |
| Kana wakapindwa muropa nezvinodhaka kana doro | Kana wakambovhiyiwa dumbu |
Ndezvipi migumisiro nenjodzi zvirimo?
Sezvinoitwa chero nzira ipi zvayo yekurapa, pane zvimwe zvinogona kukonzera migumisiro yakaipa uye njodzi diki. Zvakakosha kuziva izvi pachine nguva.
| Chinzvimbo | Tsananguro |
|---|---|
| Migumisiro yakajairika (inogona kudzorwa nemishonga) | |
| Kurwadziwa kwemudumbu kwenguva pfupi | Unogona kuzvinzwa kwevhiki yekutanga kusvika dumbu rako rajaira bharumu. |
| Kusvotwa nekurutsa | Zvinoitika kakawanda mumazuva mashoma ekutanga. |
| Gas uye chirungurira | Inogona kukonzerwa neacid reflux. |
| Njodzi dzisiri dzakakomba | |
| Kuderera kwebharumu | Kana bharumu rikaputika, rinogona kufamba nemumatumbu robva ranamatira, zvichikonzera kuvharika kwemudumbu. Izvi zvinokonzeresa emergency. |
| Chirwere chePancreatitis Chinorwadza | Chirwere chinorwadza chinogona kuitika nekuda kwekumanikidzwa kwepancreas kubva mubharumu. |
| Maronda/kuboorwa kwedumbu | Kumanikidzwa kubva kubharumu kunogona kukonzera kukuvara kumadziro edumbu kana, kashoma, buri (Kuboorwa kwemudumbu). Ichi chirwere chine njodzi zvikuru. |
Zvakakosha zvikuru: Kana uchinzwa kurwadziwa kwakanyanya mudumbu, kurutsa nguva dzose, kana zvimwe zviratidzo zvisingawanzoitiki, zivisa chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
Mhedzisiro yenguva refu yakaita sei?
Vanhu vazhinji vanorasikirwa nehuremu hwakawanda vachishandisa nzira iyi, izvo zvinogona kuvandudza hutano hwavo zvikuru. Asi yeuka, kana ukadzokera kune zvawaiita kare mushure mekunge bharumu rabviswa, unogona kuwedzera huremu zvakare.
Kubudirira kunoenderana nekuzvipira kwako. Bharuni chishandiso chekukubatsira. Chinhu chinonyanya kukosha kushandisa simba raunopa uye kujaira mararamiro ane hutano.
Mharidzo Yekuenda Nayo Kumba
- Bharuni remudumbu inzira isingashandisirwe kuvhiyiwa, uye yekurapa kufuta kwakanyanya kwenguva pfupi.
- Izvi zvinosanganisira kuisa bharumu mudumbu uye kuderedza huwandu hwechikafu chaunodya.
- Iyi ipurogiramu yakakwana. Pamwe chete nebharumu, unofanirawo kuchinja kudya kwako nemararamiro ako.
- Nzira iyi haikodzeri munhu wese. Izvi zvinofanira kusarudzwa mushure mekubvunza chiremba wako.
- Kunyange zvazvo migumisiro midiki inogona kuitika, njodzi dzakakomba hadziwanzowaniki.
- Kubudirira kwenguva refu kunoenderana nekuchengetedza tsika dzakanaka kunyangwe bharumu rabviswa.
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