Ukhathele ukuzama ukwehlisa isisindo? Ngezinye izikhathi, kungakhathaliseki ukuthi silawula kangakanani ukudla kwethu nokuzivocavoca, asitholi imiphumela esiyifunayo. Le nselele inkulu nakakhulu uma siphila nesimo esibizwa ngokuthi ukukhuluphala. Ngakho-ke, kulabo kini abesaba ukuya kohlinzwa kodwa abasafuna ukwehlisa isisindo, sizonitshela ngendlela entsha, enobungozi obuphansi kwezokwelapha. Leyo yi-Intragastric Balloon.
Kalula nje, iyini ibhaluni yesisu?
Cabanga ukuthi ufaka ibhaluni elincane, elithambile esiswini sakho bese uligcwalisa ngoketshezi olufana namanzi. Yilokhu esikubiza ngokuthi uhlelo lwe-`Intragastric Balloon`. ``Intragastric`` isho ukuthi ``ngaphakathi esiswini.`` Lena inqubo yezokwelapha engeyona eyokuhlinzwa yokwehlisa isisindo.
Uma leli bhaluni lisesiswini, lithatha isikhala esiswini. Ngakho uzizwa usuthi ngisho noma udla kancane. Kunjengokungathi isisu siya siba sincane. Lokhu kunciphisa inani lokudla ongakudla. Kodwa lokhu kungokwesikhashana . Ngemva kwezinyanga ezimbalwa, ibhaluni liyasuswa futhi. Phakathi naleso sikhathi, uzothola usizo olukhulu ekujwayeleni ukudla okunempilo nendlela yokuphila.
Kungani sidinga lolu hlobo lokwelashwa?
Ukukhuluphala ngokweqile kubangela izinguquko eziningana emizimbeni yethu. Esinye sazo ukuthi ngokuhamba kwesikhathi, isisu sethu siyakhula kancane kancane ngobukhulu. Njengoba nje ibhande lerabha linwetshwa, isisu sethu naso siyakhula. Lokhu kusho ukuthi kufanele sidle kakhulu ukuze sigcwalise umzimba.
Cishe yonke inqubo yezokwelapha yokwehlisa isisindo ihilela ukunciphisa isikhala esiswini ngandlela thile. Kodwa-ke, uma kuqhathaniswa nezinye izindlela, le ndlela inezinzuzo eziningana ezihlukile:
1. Okwesikhashana: Lokhu akuhlali njalo. Kususwa ngemva kwezinyanga ezingaba yi-6.
2. Akudingi ukuhlinzwa: Akukho ukuhlinzwa okukhulu okudingekayo ukuze kufakwe ibhaluni, ngakho-ke azikho izibazi.
3. Asikho isidingo sokubulala izinzwa okujwayelekile: Le nqubo ayidingi ukuthi ungazi lutho ngokuphelele (ukubulala izinzwa okujwayelekile). Ngokuvamile, kunikezwa umuthi wokudambisa omncane kuphela.
Ngenxa yalezi zizathu, kuyindlela enhle kulabo abangafaneleki ukuhlinzwa kwe-bariatric, noma abangafuni ukuhlinzwa.
Le ndlela yokuhlola ifanelekela bani futhi ayifanelekeli bani?
Lokhu akuyona into engenziwa yiwo wonke umuntu. Udokotela uzonquma ukuthi uyakufanelekela yini lokhu. Ake sibheke ukuthi ubani ovame ukunconywa ngale ndlela nokuthi ubani onganconyelwanga.
| Ngokuvamile abantu abafanelekile | Ngokuvamile abantu abangafaneleki |
|---|---|
| Kulabo abane-body mass index (BMI) engama-30 noma ngaphezulu. | Kulabo abanezilonda zesisu noma zomqala (isifo sesilonda se-Peptic). |
| Kulabo abafuna enye indlela enobungozi obuphansi kunokuhlinzwa kokunciphisa isisindo. | Kulabo abanezimo ezifana ne-hiatal hernia. |
| Ukuhlinzwa kuyingozi kubantu abanokukhuluphala okukhulu kanye nalabo abadinga ukunciphisa isisindo ngaphambi kokuhlinzwa (njengenqubo "yebhuloho"). | Kulabo abanezinkinga zokujiya kwegazi. |
| Kulabo abafuna ukulawula izifo ezihlobene nokukhuluphala njengesifo sikashukela (isifo sikashukela sohlobo 2), umfutho wegazi ophakeme, kanye nesifo senhliziyo. | Kulabo abanesifo sesibindi. |
| Kulabo abangakaze bahlinzwe isisu ngaphambilini. | Kulabo abalutha izidakamizwa noma utshwala. |
Into ebalulekile ukuthi ungazenzi wedwa lesi sinqumo. Khuluma nodokotela wakho bese uzinqumela ukuthi lokhu kulungile yini kuwe ngokusekelwe esimweni sakho sempilo.
Unganciphisa isisindo esingakanani ngokugxuma?
Ngokwesilinganiso, umuntu angalahlekelwa cishe u-10% wesisindo somzimba wakhe sonke ngale ndlela. Lokho kusho ukuthi, uma unesisindo esingu-100 kg, uzolahlekelwa cishe u-10 kg. Lokhu kwanele ukwenza umehluko omkhulu empilweni yakho ngesikhathi esifushane, njengezinyanga eziyisithupha.
Kodwa khumbula, lokhu akuwona umlingo. Imiphumela ingahluka kuye ngokuthi ulandela imiyalelo kadokotela wakho eduze kangakanani, ikakhulukazi ukudla kwakho. Futhi, uma ubuyela emikhubeni yakho emibi yakudala ngemva kokuphuza iphilisi, cishe uzophinda uthole isisindo osilahlekele .
Inqubo yokufaka ivoti yenzeka kanjani?
Lokhu kuyinto eyenzeka ngezinyathelo eziningana. Ake sibheke.
1. Ukulungiselela ngaphambi kwenqubo
Uma udokotela wakho esenqume ukuthi uphilile, uzonikezwa ithimba lezokwelapha elizokusiza endleleni. Leli thimba lingafaka phakathi udokotela wezokudla, udokotela wezifo zamathumbu, udokotela wezifo zengqondo, noma umeluleki. Bazokwakha uhlelo lokunciphisa isisindo olufanele wena.
Ezinsukwini ezimbalwa ngaphambi kwenqubo, uzocelwa ukuba udle ukudla okuhlanzekile kuphela. Lokhu kuzokusiza ukuhlanza isisu sakho. Uzophinde ufundiswe ukuthi ungadli noma uphuze lutho ngemva kwamabili ebusuku obandulele.
2. Ukufaka ibhaluni
Ibhaluni livame ukufakwa kusetshenziswa ithuluzi elibizwa ngokuthi i-endoscope . Leli yipayipi elincane, eliguquguqukayo elinekhamera elinamathiselwe kulo. Leli payipi lidluliselwa emlonyeni wakho, liye phansi emhubheni wakho, liye esiswini sakho. Uzonikezwa umuthi wokudambisa omnene ukuze uzizwe ukhululekile.
- Okokuqala, udokotela uzohlola ingaphakathi lesisu sakho ngekhamera ye-endoscope ukuqinisekisa ukuthi azikho izinkinga ezingavimbela ukuhlolwa.
- Uma konke kuhamba kahle, ibhaluni elingenalutho lidluliselwa esiswini.
- Ngemuva kwalokho, isixazululo sikasawoti sigcwaliswa ebhaluni ngepayipi.
- Uma ibhaluni ligcwele usayizi odingekayo, ithubhu liyasuswa. Ivalvu ebhaluni ivala ngokuzenzakalelayo, ukuze uketshezi lungaphumi futhi.
Yonke inqubo ithatha cishe imizuzu engama-20-30 . Ngemva kwalokho, kuzodingeka uhlale esibhedlela amahora ambalwa uqashwe. Uzonikezwa imithi yokulawula izinto ezifana nobuhlungu kanye nesicanucanu. Uzovunyelwa ukuya ekhaya ngemva kokuqinisekiswa ukuthi ungakwazi ukubekezelela inqubo.
3. Ngemva kwenqubo
Awukwazi ukubuyela ekudleni ngendlela evamile ngemva kokufika ekhaya. Udinga ukunikeza isisu sakho isikhathi sokujwayela ukudla okusha.
- Ukudla okumanzi ezinsukwini zokuqala.
- Okulandelayo ukudla okucoliwe.
- Bese kuba ukudla okuthambile njengemifino ebilisiwe nelayisi.
- Ekugcineni, ungajwayela uhlelo lokudla lwesikhathi eside olunikezwa yisazi sakho sokudla okunempilo.
Ithimba lakho lezokwelapha lizohlala lixhumana nawe phakathi nalesi sikhathi.
Ukususwa kwebhaluni kanye nemiphumela emibi
Ibhaluni livame ukuhlala esiswini sakho cishe izinyanga eziyisithupha . Phakathi nalesi sikhathi, kufanele uzijwayeze imikhuba enempilo. Ngemva kwezinyanga eziyisithupha, ibhaluni lisuswa kusetshenziswa i-endoscope, njengoba nje lifakiwe. Udokotela ubhoboza ibhaluni, asuse lonke uketshezi olukulo, bese ekhipha ibhaluni elingenalutho.
Ngemva kokususwa kwe-cast, uzothola ukwesekwa yithimba lezokwelapha cishe izinyanga eziyisithupha ukuze ubone ukuthi uyaqhubeka yini nemikhuba yakho emihle emisha.
| Imiphumela emibi engaba khona kanye nezingozi ze-balam | |
|---|---|
| Imiphumela emibi evamile (yesikhashana) | |
| Isisu esibuhlungu | Lokhu kuvame ukwenzeka phakathi nesonto lokuqala futhi kungalawulwa ngemithi. |
| Isicanucanu nokuhlanza | Lesi simo singase senzeke kuze kube yilapho umzimba usujwayele ukubukeka. |
| Igesi, ukungagayi kahle kokudla | Lokhu kungenzeka ngokushintsha kokudla. |
| Umphimbo obuhlungu | Isimo sesikhashana esibangelwa yi-endoscope tube. |
| Izingozi ezingavamile (ezingathi sína) | |
| Ukwehla kwebhaluni | Uma ibhola libhoboziwe, lingahamba liye emathunjini bese libhajwa. Lokhu kuyisimo esiphuthumayo. Uma lokhu kwenzeka, kufanele uye e-ETU (Emergency Treatment Unit) ngokushesha . (Ingozi ~1.5%) |
| I-pancreatitis ebukhali | Lesi simo singabangelwa ukucindezeleka kwe-pancreas kusuka ebhaluni esiswini. (Akuvamile kakhulu) |
| Izilonda zesisu noma ukubhoboka | Ukucindezela okuvela ebhaluni kungabangela ukulimala odongeni lwesisu noma, okungavamile kakhulu, ukubhoboka (ingozi ~0.1%). |
Ekugcineni, iphumelela kangakanani le ndlela?
Abantu abaningi banganciphisa isisindo ngempumelelo ngale ndlela yokunciphisa isisindo. Futhi bangathola impumuzo ezinkingeni eziningi zempilo ezibangelwa ukukhuluphala. Kodwa-ke, njengoba sesishilo ngaphambili, lokhu akusona isisombululo esihlala njalo . Lena nje "indlela" enhle ezokuvumela ukuthi uphile impilo enempilo.
Ibhayisikili liyithuluzi lokukusiza endleleni. Kodwa kufanele ushayele imoto. Lokho kusho ukuthi kufanele uqhubeke nemikhuba yokudla okunempilo nokuzivocavoca oyifundile ngisho nangemva kokuthatha ibhayisikili.
Abanye abantu baphinde bakhuluphale ngemva kokususwa kwesisu sabo. Ngezikhathi ezinjalo, abanye abantu baphinde basebenzise ukwelashwa kwesisu, kanti abanye bacabangela ezinye izindlela zokwelapha noma ukuhlinzwa.
Ekugcineni, i-Intragastric Balloon iyindlela yezokwelapha enhle, enobungozi obuphansi kulabo abalwa nokukhuluphala ngokweqile. Kodwa-ke, ukuze uthole okuningi kuyo, udinga ukuzibophezela ekwenzeni izinguquko zesikhathi eside endleleni yakho yokuphila, ngokusekelwa yithimba lakho lezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- Ibhaluni Yangaphakathi Kwesisu iyindlela yokwehlisa isisindo engeyona eyokuhlinzwa, yesikhashana .
- Lokhu kusebenza ngokufaka isivalo esiswini, ukudala umuzwa wokugcwala, nokunciphisa inani lokudla okudlayo.
- Le ndlela ayifanele wonke umuntu. Kufanele uxoxe ngalokhu nodokotela ukuze unqume ukuthi ikulungele yini.
- Impumelelo yemiphumela evela enkambisweni incike ngokuphelele ekudleni nasendleleni yokuphila oyilandelayo ngesikhathi nangemva kwenqubo.
- Nakuba kuvamile ukuba nemiphumela emibi emincane, qaphela izingozi ezinkulu ezingase zenzeke kaningi bese uxoxa ngazo nodokotela wakho.
- Lokhu akuwona umlingo, kumane kuyindlela enhle yokuthi uqhubekele empilweni enempilo.
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