Ngaba udiniwe kuzama ukunciphisa umzimba? Ngamanye amaxesha, nokuba silawula kangakanani ukutya kwethu nokuzilolonga, asifumani ziphumo esizifunayo. Lo mceli mngeni uba mkhulu ngakumbi xa siphila nesifo esibizwa ngokuba kukutyeba kakhulu. Ngoko ke, kwabo banoloyiko lokuya kutyando kodwa besafuna ukunciphisa umzimba, siza kukuxelela ngendlela entsha, engenabungozi kangako kwezonyango. Leyo yi-Intragastric Balloon.
Kalula nje, yintoni iBhaluni ye-Intragastric?
Khawuthelekelele ubeka ibhaluni encinci, ethambileyo esiswini sakho uze uyizalise ngamanzi anjengamanzi. Le yinto esiyibiza ngokuba yinkqubo ye-'Intragastric Balloon'. 'Intragastric'` ithetha `ngaphakathi esiswini.` Le yinkqubo yonyango engeyoyotyando yokunciphisa umzimba.
Xa le bhaluni isesiswini, ithatha indawo ethile esiswini. Ngoko uziva uhluthi nokuba utya kancinci. Kufana nokuba isisu siya sincipha. Oku kunciphisa ukutya onokukutya. Kodwa oku kungokwexeshana . Emva kweenyanga ezimbalwa, ibhaluni iyasuswa kwakhona. Ngeli xesha, uya kufumana uncedo oluninzi ekuqhelaneni nokutya okunempilo kunye nendlela yokuphila.
Kutheni sidinga olu hlobo lonyango?
Ukutyeba kakhulu kubangela utshintsho oluninzi emizimbeni yethu. Enye yazo kukuba ngokuhamba kwexesha, isisu sethu siyakhula kancinci kancinci ngobukhulu. Njengokuba irabha ilulwa, nesisu sethu siyakhula. Oku kuthetha ukuba kufuneka sitye kakhulu ukuze sizalise umzimba.
Phantse yonke inkqubo yezonyango yokunciphisa umzimba ibandakanya ukunciphisa indawo esiswini ngandlela thile. Nangona kunjalo, xa kuthelekiswa nezinye iindlela, le ndlela ineenzuzo ezahlukeneyo:
1. Okwexeshana: Oku akuhlali sisigxina. Kususwa emva kweenyanga ezi-6.
2. Akukho tyando: Akukho tyando lukhulu lufunekayo ukuze kufakwe ibhaluni, ngoko ke akukho zikrweqe.
3. Akukho mfuneko ye-anesthesia jikelele: Le nkqubo ayifuni ukuba ungabikho zingqondweni ngokupheleleyo (i-anesthesia jikelele). Ngokwesiqhelo, kunikwa kuphela i-sedative encinci.
Ngenxa yezi zizathu, lukhetho olufanelekileyo kwabo bangafanelekiyo ukwenza utyando lwe-bariatric, okanye abo bangafuni ukwenza utyando.
Ngubani ofanele le ndlela yokuhlola kwaye ngubani ofanelekelayo?
Asingomntu wonke onokuyenza le nto. Ugqirha uza kugqiba ukuba ufanelekile na kule ndlela. Makhe sijonge ukuba ngubani odla ngokucetyiswa ngale ndlela kwaye ngubani ongacetyiswayo.
| Abantu abafanelekileyo ngokubanzi | Ngokubanzi abantu abangafanelekanga |
|---|---|
| Kwabo bane-body mass index (BMI) engama-30 nangaphezulu. | Kwabo banezilonda zesisu okanye zomqala (isifo sesilonda sePeptic). |
| Kwabo bafuna enye indlela enomngcipheko omncinci kunotyando lokunciphisa umzimba. | Kwabo baneemeko ezifana ne-hiatal hernia. |
| Utyando luyingozi kubantu abatyebe kakhulu nakwabo bafuna ukunciphisa umzimba ngaphambi kotyando (njengendlela "yokunqumla umzimba"). | Kwabo baneengxaki zokujiya kwegazi. |
| Kwabo bafuna ukulawula izifo ezinxulumene nokutyeba kakhulu ezifana nesifo seswekile (isifo seswekile sohlobo lwesibini), uxinzelelo lwegazi oluphezulu, kunye nesifo sentliziyo. | Kwabo banesifo sesibindi. |
| Kwabo bangazange benze utyando lwesisu ngaphambili. | Kwabo baxhomekeke kwiziyobisi okanye utywala. |
Into ebalulekileyo kukuba ungazenzi wedwa esi sigqibo. Thetha nogqirha wakho uze uzigqibele ukuba oku kukulungele na ngokwemeko yakho yempilo.
Ungakanani ubunzima onokubunciphisa ngokutsiba?
Ngokomyinge, umntu unokulahlekelwa malunga ne-10% yobunzima bomzimba wakhe uphela ngale ndlela. Oko kuthetha ukuba, ukuba ubunzima bakho buyi-100 kg, uza kulahlekelwa malunga ne-10 kg. Oku kwanele ukwenza umahluko omkhulu kwimpilo yakho ngexesha elifutshane, njengeenyanga ezi-6.
Kodwa khumbula, oku akuyonto imangalisayo. Iziphumo zinokwahluka ngokuxhomekeke ekubeni uyilandela ngokusondeleyo kangakanani imiyalelo kagqirha wakho, ingakumbi ukutya kwakho. Kwakhona, ukuba ubuyela kwimikhwa yakho emibi yakudala emva kokuba usele ipilisi, kunokwenzeka ukuba ubuye ubunzima obulahlekileyo .
Yenzeka njani inkqubo yokufaka ibhaloti?
Le yinto eyenzekayo ngamanyathelo aliqela. Masiyijonge.
1. Ukulungiselela ngaphambi kwenkqubo
Nje ukuba ugqirha wakho agqibe kwelokuba ukulungele, uza kunikwa iqela lezonyango eliza kukunceda endleleni. Eli qela linokuquka ingcali yesondlo, ingcali yezifo zesisu, ingcali yezifo zengqondo, okanye umcebisi. Baza kwenza isicwangciso sokunciphisa umzimba esifanelekileyo kuwe.
Kwiintsuku ezimbalwa ngaphambi kwenkqubo, uya kucelwa ukuba utye ukutya okucacileyo kuphela. Oku kuya kukunceda ucoce isisu sakho. Uya kuyalelwa nokuba ungatyi okanye usele nantoni na emva kweentsuku ezimnyama ebusuku bangaphambili.
2. Ukufaka ibhaluni
Ibhaluni idla ngokufakwa kusetyenziswa isixhobo esibizwa ngokuba yi-endoscope . Le yityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelwe kuyo. Le tyhubhu idluliselwa emlonyeni wakho, iye kwi-esophagus yakho, iye esiswini sakho. Uza kunikwa isithomalalisi esithambileyo ukukunceda uzive ukhululekile.
- Okokuqala, ugqirha uza kuhlola ingaphakathi lesisu sakho ngekhamera ye-endoscope ukuqinisekisa ukuba akukho ngxaki zingathintela uviwo.
- Ukuba yonke into ilungile, ibhaluni engenanto idluliselwa esiswini.
- Emva koko, isisombululo setyuwa sizaliswa kwibhaluni ngetyhubhu.
- Xa ibhaluni izaliswe ngokobungakanani obufunekayo, ityhubhu iyasuswa. Ivalvu ekwibhaluni ivala ngokuzenzekelayo, ukuze ulwelo lungaphumi kwakhona.
Lonke olu tyando luthatha malunga nemizuzu engama-20-30 . Emva koko, kuya kufuneka uhlale esibhedlele iiyure ezimbalwa ujongiwe. Uza kunikwa amayeza okulawula izinto ezifana neentlungu kunye nesicaphucaphu. Uza kuvunyelwa ukuba uye ekhaya emva kokuba kuqinisekisiwe ukuba ungayinyamezela le nkqubo.
3. Emva kwenkqubo
Awunakubuyela ekutyeni ngendlela eqhelekileyo emva kokuba ufikile ekhaya. Kufuneka unike isisu sakho ixesha lokuziqhelanisa nokutya okutsha.
- Ukutya okumanzi kwiintsuku zokuqala.
- Okulandelayo kukutya okucoliweyo.
- Emva koko ukutya okuthambileyo okufana nemifuno ebilisiweyo kunye nerayisi.
- Ekugqibeleni, ungaqhelana nesicwangciso sokutya sexesha elide esibonelelwa yingcali yakho yesondlo.
Iqela lakho lezonyango liza kuhlala linxibelelana nawe ngeli xesha.
Ukususwa kwebhaluni kunye neziphumo ebezingalindelekanga
Ibhaluni idla ngokuhlala esiswini sakho kangangeenyanga ezi-6 . Ngeli xesha, kufuneka uziqhelise imikhwa esempilweni. Emva kweenyanga ezi-6, ibhaluni isuswa kusetyenziswa i-endoscope, kanye njengoko yayifakiwe. Ugqirha uyayibhoboza ibhaluni, asuse lonke ulwelo olukuyo, aze akhuphe ibhaluni engenanto.
Emva kokuba i-cast isusiwe, uza kufumana inkxaso kwiqela lezonyango kangangeenyanga ezi-6 ukuze ubone ukuba uyaqhubeka na nemikhwa yakho emitsha emihle.
| Iziphumo ebezingalindelekanga kunye neengozi ze-balam | |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo (zexeshana) | |
| Isisu esibuhlungu | Ezi zihlandlo zenzeka kwiveki yokuqala kwaye zinokulawulwa ngamayeza. |
| Isicaphucaphu nokuhlanza | Le meko inokwenzeka de umzimba uqhele inkangeleko. |
| Igesi, ukungagayi kakuhle kokutya | Oku kunokwenzeka ngotshintsho kwindlela yokutya. |
| Umqala obuhkungu | Ingxaki yexeshana ebangelwa yityhubhu ye-endoscope. |
| Iingozi ezingaqhelekanga (ezinzima) | |
| Ukuhla kwebhaluni | Ukuba ibhola ibhobokile, ingahamba iye emathunjini ize ibambeke. Le yimeko engxamisekileyo. Ukuba oku kuyenzeka, kuya kufuneka uye kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko . (Umngcipheko ~1.5%) |
| I-pancreatitis ebukhali | Le meko inokwenzeka ngenxa yoxinzelelo kwi-pancreas oluvela kwibhaluni esiswini. (Ayiqhelekanga kakhulu) |
| Izilonda zesisu okanye ukugqobhoka | Uxinzelelo oluvela kwibhaluni lunokubangela ukwenzakala eludongeni lwesisu okanye, kunqabile kakhulu, ukugqobhoka (umngcipheko ~0.1%). |
Okokugqibela, iphumelela kangakanani le ndlela?
Abantu abaninzi banokunciphisa umzimba ngempumelelo ngale ndlela yokunciphisa umzimba. Banokufumana isiqabu kwiingxaki ezininzi zempilo ezibangelwa kukutyeba kakhulu. Nangona kunjalo, njengoko besitshilo ngaphambili, esi asisosisombululo esihlala sihleli . Le yindlela entle nje eya kukuvumela ukuba uphile ubomi obusempilweni.
Ibhayisekile sisixhobo sokukunceda endleleni. Kodwa kufuneka uqhube imoto. Oko kuthetha ukuba kufuneka uqhubeke nokutya okunempilo kunye nemikhwa yokuzilolonga oyifundileyo nasemva kokuba uphumile ibhayisekile.
Abanye abantu bayatyeba emva kokususwa kwesisu sabo. Ngamaxesha anjalo, abanye abantu baphinda basebenzise unyango lwesisu, ngelixa abanye becinga ngezinye iindlela zonyango okanye utyando.
Ekugqibeleni, i-Intragastric Balloon lukhetho olufanelekileyo nolungenamngcipheko kangako kwabo balwa nokutyeba kakhulu. Nangona kunjalo, ukuze ufumane okuninzi kuyo, kufuneka uzimisele ukwenza utshintsho oluhlala ixesha elide kwindlela yakho yokuphila, ngenkxaso yeqela lakho lezonyango.
Umyalezo Wokuya Ekhaya
- Ibhaluni ye-Intragastric yindlela yokunciphisa umzimba engeyoyotyando, kodwa yesikhashana .
- Oku kusebenza ngokubeka isivalo esiswini, ukudala ukuziva ugcwele, kunye nokunciphisa ukutya okutyayo.
- Le ndlela ayifanelekanga kuye wonke umntu. Kufuneka uxoxe ngale nto nogqirha ukuze agqibe ukuba ikulungele na.
- Impumelelo yeziphumo ezivela kwinkqubo ixhomekeke ngokupheleleyo kwindlela otya ngayo nendlela ophila ngayo ngexesha nasemva kwenkqubo.
- Nangona kuqhelekile ukuba nemiphumo emibi emincinci, qaphela iingozi ezinkulu ezinokwenzeka rhoqo kwaye uxoxe ngazo nogqirha wakho.
- Oku akuyonto imangalisayo, yindlela nje elungileyo yokuqalisa ubomi obusempilweni.
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