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Kwenzekani ngempela ngalokhu kuhlinzwa kwe-gastric bypass?
Kalula nje, lokhu ukuhlinzwa okunezinyathelo ezimbili. Kuhlanganisa izindlela ezimbili zokwehlisa isisindo. Ake sibheke ukuthi ziyini lezo zinyathelo ezimbili.Isinyathelo 1: Ukwakha isikhwama esincane esiswini
Kulokhu, udokotela ohlinzayo uhlukanisa isisu sakho sibe izingxenye ezimbili. Ingxenye enkulu, kanti enye ingxenye encane kakhulu. Bese kuthi ingxenye encane ithungwe noma ihlanganiswe ndawonye ukuze kwakheke isikhwama esincane. Inani lokudla elingafakwa kulesi sikhwama esincane lincane kakhulu, cishe ngobukhulu bendebe ukuze lilingane. Ngakho-ke ngenxa yokuthi unesisu esincane kangaka, uzizwa usuthi ngisho nangemva kokudla okuncane . Ngakho inani olidlayo liyancipha ngokuzenzakalelayo. Sibiza le ndlela ngokuthi indlela 'yokuvimbela'. Okusho ukuthi, ikhawulela inani lokudla ongakudla.Isinyathelo Sesibili: Dlula
Manje, nansi leyo sikhwama esincane esidalwe, bese udokotela esihlukanisa nengxenye enkulu yesisu kanye nengxenye yokuqala yamathumbu amancane (i-duodenum). Bese, leso sikhwama esincane sixhunywe ngqo nengxenye yamathumbu amancane (i-jejunum). Le nqubo yokuhlinzwa ibizwa ngokuthi "i-Roux-en-Y." Uma ixhunywe ngale ndlela, ukudla okudlayo kuhamba ngqo kusuka kuleso sikhwama esincane kuye engxenyeni engezansi yamathumbu amancane. Okusho ukuthi, idlula ingxenye yokuqala yamathumbu amancane. Ngenxa yalokhu, umzimba umunca amakhalori amancane kakhulu nezakhamzimba ekudleni okudlayo. Le nqubo ibizwa ngokuthi inqubo 'engasebenzi kahle'. Ngokuvamile, zombili lezi zinyathelo zenziwa ekuhlinzeni okufanayo, futhi yonke inqubo ibizwa ngokuthi "i-Roux-en-Y gastric bypass." Ngokuvamile, odokotela abahlinzayo benza lokhu kuhlinzwa nge-laparoscopically. Okusho ukuthi, ukuhlinzwa kwenziwa ngokufaka ikhamera namathuluzi ngemigodi emincane eminingana, kunokwenza ukusika okukhulu esiswini. Kodwa-ke, kwezinye izimo, uma lokhu kungenzeki, kungase kudingeke ukuhlinzwa ngokusebenzisa ukusikwa okukhulu esiswini (i-laparotomy).Yini ongayilindela ngemva kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, kubalulekile ukuqaphela izinto ezithile. Kuzodingeka uhlale esibhedlela izinsuku ezimbili kuya kwezintathu ngemva kokuhlinzwa. Kungathatha cishe amasonto amabili kuya kwamathathu ngaphambi kokuthi uqalise imisebenzi evamile. Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi nezinkinga.Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngakho konke lokhu ngaphambi kokuhlinzwa bese ubuza yonke imibuzo yakho.Ake sibheke lezi zinkinga ezingaba khona kuthebula elingezansi.
| Uhlobo lwenkinga | Incazelo kanye nengozi |
|---|---|
| Izinkinga ezivamile | Lokhu kungenzeka kubantu abayi-10 kwabayi-100 (10%) abahlinzwa. Izibonelo: ukutheleleka kwamanxeba, izinkinga zokugaya ukudla, izilonda, ukopha. |
| Izinkinga ezingaba zimbi noma ezisongela impilo | Lezi yizenzakalo ezingavamile kakhulu (1% - 5%). Izibonelo: I-pulmonary embolism, ukuhlaselwa yinhliziyo, ukuvuza okuvela ezindaweni ezixhunywe ngokuhlinzwa, izifo ezinkulu noma ukopha. |
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Check Availability →Iyini imiphumela yokuhlinzwa?
Ukwehla kwesisindo ngemva kokuhlinzwa kuvame ukuphumelela kakhulu. Ngokwesilinganiso, iziguli zilahlekelwa cishe u-60% wesisindo sazo eseqile . Isibonelo, ake sithi isisindo somuntu esifanele singama-70 kg, kodwa okwamanje unesisindo esingu-150 kg. Unesisindo eseqile esingu-80 kg. Ngemva kwalokhu kuhlinzwa, cishe u-60% walowo mzimba oweqile, okungukuthi, cishe u-48 kg, ungalahleka. Kanye nokwehla kwesisindo, izinkinga eziningi zempilo ezibangelwa ukukhuluphala, njengesifo sikashukela, umfutho wegazi ophakeme, i-asthma, kanye ne-obstructive sleep apnea, zingelapheka ngokuphelele noma zilawulwe kakhulu .Kodwa khumbula kahle lokhu. Lokhu kuhlinzwa akuwona umlingo. Uma ufuna ukwehlisa isisindo futhi ungasishiyi,Udinga ukwenza izinguquko ezihlala njalo endleleni yokuphila. Ukudla ukudla okuncane kaningana ngosuku nokuzivocavoca njalo kubalulekile.
Yiziphi ezinye izinhlobo zokuhlinzwa kokunciphisa isisindo ezitholakalayo?
Uma ucabanga ngokuhlinzwa kokwehlisa isisindo, kunezinye izinketho eziningana ngaphandle kwe-gastric bypass. Ake sibheke nalokho futhi.| Uhlobo lokuhlinzwa | Indlela yokukwenza kanye namaphuzu abalulekile |
|---|---|
| Ukuhlinzwa Kwesisu Esinqeni | Lokhu kuyindlela yokuhlinzwa yokwehlisa isisindo evame ukwenziwa emhlabeni. Kulokhu, cishe ingxenye yesisu iyasuswa, bese ingxenye esele ibunjwa ibe yipayipi elide (umkhono) njengengalo. Lena futhi inqubo 'evimbelayo'. |
| I-Gastroplasty Enebhande Eliqondile | Lokhu kuyinhlanganisela yokubopha isisu kanye nokubopha. Kodwa-ke, akusakwenziwa njalo ngenxa yezinkinga ezinkulu kanye nokwehla kwesisindo okuphansi. |
| Ukuphambuka kwe-Biliopancreatic | Lokhu kufana ne-gastric bypass. Kodwa-ke, lapha isikhwama sesisu sixhunywe engxenyeni engezansi yamathumbu amancane (ileum). Ngakho-ke, inani lamakhalori amuncwa ngumzimba liphansi nakakhulu. Kodwa-ke, lokhu kuwukuhlinzwa okunzima ukukwenza futhi ingozi yokuntuleka kokudla okunempilo iphezulu kakhulu. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesisu (gastric bypass) kuyindlela enkulu yokunciphisa isisindo equkethe izinyathelo ezimbili eziyinhloko (ukunciphisa isisu kanye nokuhlinzwa kwesisu).
- Lokhu kunganciphisa kakhulu isisindo futhi kulawule izifo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme .
- Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi nezinkinga ezithile.
- Impumelelo yokuhlinzwa incike ngokuphelele ekushintsheni unomphela indlela yakho yokuphila (ukudla nokuzivocavoca) ngemva kokuhlinzwa.
- Lesi akusona isinqumo okufanele sithathwe kalula. Kubalulekile ukuxoxa ngalokhu nodokotela wakho ukuze kutholakale ukuthi lokhu kuhlinzwa kulungile yini kuwe.
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