Opaleshoni yodutsa m'mimba ndi maopaleshoni ophatikizana ndipo ndi omwe amachitidwa kawirikawiri.. Opaleshoni ya gastric bypass ndi njira yochizira yomwe imakopa chidwi ndi zotsatira zake zopambana pakuthana ndi kunenepa kwambiri. Cholinga chachikulu cha opaleshoniyi ndi kuchepetsa kuchuluka kwa m'mimba, pamene kuyamwa kwa zakudya kumachepetsedwa chifukwa kumafupikitsa njira yopita kumatumbo aang'ono. Gawo loyambirira la m'mimba limasiyanitsidwa ndi m'mimba yomwe ilipo m'njira yoti imakhalabe pafupifupi 30 50 cc. Pambuyo pa njirayi, gawo la matumbo aang'ono omwe alipo amadutsa ndipo kugwirizana kumapangidwira m'mimba yaing'ono yatsopano.. Komabe, odwala omwe amachitidwa opaleshoni ya m'mimba amamva kukhutitsidwa nthawi imodzi ndi magawo ang'onoang'ono.. Chifukwa cha maopaleshoni omwe amachitidwa motere, cholinga chake ndi kuletsa kuyamwa kwazakudya zambiri zama calorie ambiri zomwe zimatengedwa nthawi imodzi. Kutaya thupi kosatha komanso kotsimikizika kumayembekezeredwa mu opaleshoni ya laparoscopic chapamimba. Odwala omwe achitidwa opaleshoni amamva kukhuta mwa kudya zakudya zochepa kwambiri chifukwa cha mimba yawo yomwe yangowonongeka kumene, mofanana ndi maopaleshoni omwe amachepetsa mphamvu.. Opaleshoni yodutsa m'mimba imatha kubwezeretsedwanso ngati kuli koyenera.
Ndi Matenda Ati Amene Opaleshoni Yodutsa Chapamimba Amagwiritsidwa Ntchito?
Opaleshoni yodutsa m'mimba ndi njira yopangira opaleshoni ya kunenepa kwambiri monga chandamale chachikulu, ndipo opaleshoni yodutsa m'mimba ndi chithandizo chamankhwala pakali pano akugwiritsidwa ntchito ku matenda ambiri omwe amatsagana ndi kunenepa kwambiri. Choyamba mwa izi ndi matenda a shuga a mtundu wa 2. Matenda a shuga amtundu wa 2, omwe odwala sangathe kuwongolera, amatha kuwongolera ndi opaleshoni ya m'mimba.
Kodi Opaleshoni ya Gastric Bypass Imachitidwa Bwanji?
Asanayambe opaleshoni ya m'mimba, odwala omwe amayembekezeredwa kuchitidwa opaleshoni amafufuzidwa mwatsatanetsatane. Pochita izi, kuwonjezera pakuwunika kwa odwala, kuwongolera kwathunthu kuyenera kuchitidwa ndi endocrinology ndi akatswiri amisala musanachite opaleshoni. Pambuyo pa maulamulirowa, deta yamakono ya wodwalayo imafufuzidwa ndipo opaleshoni imasankhidwa momveka bwino.
Kodi Gastric Bypass Imachitidwa Bwanji?
Opaleshoni yodutsa m'mimba nthawi zambiri imachitidwa ndi njira ya laparoscopic. Komabe, masiku ano, ndi kupita patsogolo kwaukadaulo, itha kukondedwa ndi odwala ngati opaleshoni ya robotic. Ndi ntchito anachita ndi 1-4 mabowo wodwalayo ndi awiri chiŵerengero cha 6 cm. Pochita maopaleshoni a m'mimba, m'mimba imachepetsedwa mofanana ndi opaleshoni ya m'mimba. Zikuyembekezeka kuti pafupifupi 95% ya m'mimba mwa wodwala yemwe akuchitidwa opaleshoni pano alambalale. Pa mbali ya opaleshoni, yomwe imagawidwa pawiri, gawo loyamba ndi njira yolumikizira gawo lapakati la matumbo podutsa matumbo a 12 omwe alipo. Gawo lachiwiri ndi ntchito ya m'mimba posachotsa. Cholinga cha njirayi ndikuletsa chakudya chomwe wodwalayo amadya kuti chisadutse m'matumbo 2. Cholinga chachikulu cha opaleshoniyi ndikuwonetsetsa kuti odwala omwe ali ndi opaleshoni ya m'mimba amadya chakudya chochepa komanso amamwa zakudya zomwe amadya, ndipo sikuti zonse zimakonzedwa.
Zoyenera kuchita pambuyo pa opareshoni?
Odwala ndi chapamimba cholambalalitsa opaleshoni nthawi zambiri m`chipatala kwa 3-6 masiku. Ngakhale kuti wodwalayo akutulutsidwa m'chipatala, ndondomeko ya zakudya mpaka kuwongolera koyamba imaperekedwa kwa wodwalayo ndi katswiri wa zakudya. Pambuyo pochitidwa opaleshoniyi, wodwalayo ayenera kutsatiridwa kwa zaka ziwiri ndi endocrinologist, dietitian ndi psychiatrist, kupatulapo opaleshoni ya bariatric.
Kodi Mafunso Omwe Amafunsidwa Kawirikawiri ndi Odwala Ochita Opaleshoni ya Gastric Bypass?
Ndi njira zotani zomwe zimaphatikizidwa mu maopaleshoni a m'mimba?
● wofiira en y chapamimba kudutsa: Mu opaleshoni yamtunduwu, kuchuluka kwa m'mimba pafupifupi 25-30 CC kumakhalabe pamphambano ya m'mimba ya wodwalayo ndi m'mimba, ndipo malo pakati pa mimba ziwiri amagawidwa mbali ziwiri ndi chida chapadera chokhazikika. Ndi njirayi, kathumba kakang'ono ka m'mimba ndi m'mimba yonseyo imakhalabe. Panthawi imodzimodziyo, mu opaleshoni yamtunduwu, kugwirizana kumapangidwa ndi stoma pakati pa matumbo aang'ono ndi thumba laling'ono la m'mimba. Timatcha kulumikizana kwatsopano pakati pa thumba ili ndi matumbo aang'ono ndi mkono wa roux en y. Pochita izi, cholinga chake ndi kudutsa chakudya chochokera kummero, gawo lalikulu la m'mimba ndi gawo loyamba lamatumbo aang'ono.
● Mini chapamimba kudutsa opaleshoni: Mu opaleshoni yamtunduwu, njira imapangidwa mkati mwa opaleshoniyo ndipo mimba yomwe ilipo ya wodwalayo imapangidwa ngati chubu pogwiritsa ntchito zida zapadera za stapler. Thumba lapamimba lomwe langopangidwa kumeneli ndi lalikulu kuposa mtundu wa roux en y. Pa opaleshoniyi, kulumikizana kumapangidwa ndi chapamimba chomwe changopangidwa kumene pamtunda wa pafupifupi 200 cm kuchokera kumatumbo ang'onoang'ono. Kusiyanitsa kofunika kwambiri kuchokera ku zolemba zina ndikuti pali kugwirizana kosavuta komanso kamodzi muzojambula zamakono. M'njira zonsezi, njira yochepetsera thupi imagwira ntchito chimodzimodzi pakulemba kwapamimba.
Kodi Zowopsa pa Opaleshoni ya Gastric Bypass ndi Chiyani?
Matenda, kutuluka magazi, kutsekeka kwa m'mimba pambuyo pa opaleshoni, chophukacho ndi zovuta za anesthesia panthawi ya opaleshoni zikhoza kuwoneka mu opaleshoniyi, yomwe ingathenso kuwonedwa mu maopaleshoni ena ambiri a m'mimba. Choopsa kwambiri pa ndondomekoyi, chomwe chimatchedwa chiopsezo chachikulu kwambiri ndi akatswiri, ndi kutayikira, kutayikira komwe kungachitike mu mgwirizano womwe ulipo pakati pa mimba ndi matumbo aang'ono, ndi opaleshoni yachiwiri yomwe ingachitike chifukwa. Kuonjezera apo, chiopsezo chowonjezera cha opaleshoni chikhoza kuwonjezeka chifukwa cha kunenepa kwambiri. Kupanga magazi kuundana m'mapapo kapena matenda amtima kumatha kuchitika pamapazi. 10-15 peresenti ya odwala omwe amachitidwa opaleshoni ya m'mimba amakumana ndi zovuta izi. Nthawi zambiri, zovuta zambiri za Vital ndizosowa komanso zovuta zomwe zimachitika nthawi zambiri ndizomwe zimaganiziridwa ndikuchiritsidwa.
Ndi Odwala Otani Amene Opaleshoni Yam'mimba Ndi Yoyenera Kwambiri?
Nthawi zambiri, maopaleshoni a kunenepa kwambiri amachitidwa molingana ndi index mass index. Ngati chiwerengero cha thupi la wodwalayo ndi 40 ndi pamwamba, opaleshoniyi ikhoza kuchitidwa. Kuonjezera apo, odwala omwe ali ndi chiwerengero cha thupi pakati pa 35-40 ndi omwe ali ndi matenda okhudzana ndi kunenepa kwambiri monga matenda a shuga a mtundu wa 2, matenda oopsa kwambiri, ndi matenda obanika kutulo akhoza kuchiritsidwa ndi opaleshoniyi.
Kodi Odwala Azikhala M'chipatala Nthawi Yaitali Bwanji Pambuyo pa Opaleshoni Yodutsa Chapamimba?
Pambuyo pa opaleshoni, odwala nthawi zambiri amafunsidwa kuti azikhala m'chipatala kwa masiku 3-4 ndi akatswiri. Nthawiyi ikhoza kukulitsidwa chifukwa cha kuwunika komwe kulipo kale komanso zovuta zomwe zingachitike panthawi yochira pambuyo pa opaleshoni.
Kodi Njira Zokweza Zolemera Zingachitike Pambuyo pa Opaleshoni Yodutsa Chapamimba?
Pambuyo pa opaleshoniyo, akatswiri amafuna kuti wodwalayo asamachite zinthu zolemetsa akachoka m’chipatala. Pambuyo pa opaleshoni, wodwalayo sayenera kunyamula katundu wolemetsa kwa masabata asanu ndi limodzi.
Kodi Galimoto Ingagwiritsidwe Ntchito Liti Pambuyo pa Opaleshoni Yodutsa Chapamimba?
Wodwala yemwe ali ndi opaleshoni ya m'mimba amatha kuyenda pang'onopang'ono, kukwera masitepe ndi kusamba kwa masabata osachepera awiri pambuyo pa opaleshoniyo. Pambuyo pa masabata awiri, akhoza kuyamba kuyendetsa galimoto.
Kodi odwala angabwerere liti kuntchito pambuyo pa opaleshoni yodutsa m'mimba?
Wodwala yemwe adachitidwa opaleshoniyo akhoza kubwerera kuntchito pambuyo pa masabata a 2-3 ngati malo ogwira ntchito panopa ali bata. Komabe, odwala omwe ali ndi ntchito yolemetsa ayenera kuyembekezera masabata a 6-8 pambuyo pa opaleshoni.
Kodi Njira Yochepetsera Kuwonda Imayamba Liti Pa Opaleshoni Yodutsa Pam'mimba?
Pambuyo pa opaleshoni, kuwonda kumatheka pang'onopang'ono m'miyezi yoyamba. Pazipita zaka 1,5-2 angafunike pambuyo chapamimba kulambalala opaleshoni. Pochita izi, 70-80% ya kulemera kwakukulu kumayembekezeredwa kutayika panthawiyi.
Kodi zakudya ziyenera kuganiziridwa bwanji pambuyo pa opaleshoni ya m'mimba?
Opaleshoni ikachitika, ziyenera kuwonetseredwa kuti odwala amadya zakudya zosachepera 3 patsiku komanso kuti wodwalayo akudya bwino. Chakudya chiyenera kukhala ndi mapuloteni, zipatso ndi ndiwo zamasamba, ndipo potsiriza, magulu a tirigu wathunthu. Makamaka popeza padzakhala kutaya madzimadzi m'masabata awiri oyambirira pambuyo pa opaleshoni, madzi amadzimadzi ayenera kudyedwa. Pochita izi, masabata awiri amadzimadzi, 2-3-4. masabata ayenera kudya puree kudya ndi puree zakudya. Odwala ayenera kumwa malita 5-1.5 amadzimadzi tsiku lililonse kuti apewe kutaya madzi m'thupi. Mwanjira ina, amatha kumwa magalasi amadzi osachepera 2-6 patsiku. Ngati njirayi sichitika, zinthu monga mutu, chizungulire, kufooka, nseru, zilonda zoyera pa lilime ndi mdima mkodzo akhoza anakumana. Zakudya zofewa komanso zomveka bwino ziyenera kukondedwa ndi odwala. Mwachitsanzo, zakudya ndi ma puddings a shuga omwe amakonzedwa ndi mkaka wopanda mafuta ochepa, tirigu wothira mkaka, tchizi chanyumba, mbatata yosenda, omelets ofewa ndi nsomba zosenda. Ufa, ma cubes a shuga, zotsekemera za confectionery zotchedwa shuga wosavuta ziyenera kupewedwa. Odwala ayeneradi kutafuna chakudya bwinobwino ndi kumeza chakudya chikasanduka puree. Ngati chakudya chomwe chilipo sichimatafunidwa mokwanira ndi kugwa, chikhoza kutsekereza kutuluka kwa m'mimba ndikumva kuwawa, kusanza ndi kusapeza bwino. Pambuyo pa opaleshoni, ziyenera kutsimikiziridwa kuti odwalawo amatenga mapuloteni okwanira. Osachepera magalasi atatu a mkaka wosakanizidwa ndi zakudya zokhala ndi mkaka wa soya patsiku angapereke mapuloteni okwanira ndi calcium kuti wodwalayo akhale wathanzi. Asadye zakudya zamadzimadzi ndi zolimba nthawi imodzi. Kumwa zamadzimadzi mukudya kudzadzaza m'mimba yaying'ono yotsalayo ndikuyambitsa kusanza kwa wodwalayo msanga. Zimapangitsa kuti m'mimba mumve kukhuta msanga kuposa momwe ziyenera kukhalira ndipo zimayambitsa kupsinjika kwa m'mimba. Akachita izi, mimba imachapidwa msanga ndipo kumva kukhuta sikufika, ndipo kungayambitse kudya zakudya zambiri. Monga malingaliro a dokotala, zakumwa zisamwedwe mphindi 8 musanadye komanso mphindi 3 mutadya. Zakudya zodyedwa ziyenera kudyedwa pang'onopang'ono ndipo mbale ziwiri za chakudya ziyenera kudyedwa mphindi 30 zonse. Akatswiri ambiri amati nthawiyi iyenera kusungidwa ngati mphindi 30 pa avareji. Kudya ndi kumwa kuyenera kuyimitsidwa pamene kumverera kwakhuta kapena kupanikizika kumamveka pakati pa mimba. Kusunga zakudya zomwe zimadyedwa tsiku ndi tsiku ndikulemba zotsatira zidzakupindulitsani kuti mudye chakudya, ndipo ngati pali kudandaula kwa kusanza nthawi zonse mu ndondomekoyi, chithandizo chiyenera kufunidwa ndi dokotala.
Ndi Zakudya Zotani Zoyenera Kupewa Pambuyo pa Opaleshoni?
Zomwe siziyenera kudyedwa;
● Mkate watsopano
● Masafeti
● Zipatso monga manyumwa
● Zakumwa za asidi
● Zipatso zotsekemera Chimanga udzu winawake zipatso zosaphika
Zakudya zina;
● Tomasi kapena makeke
● Nyama yophwanyidwa kapena yophikidwa pang’onopang’ono
● Msuzi wa mpunga
● Peel pang'onopang'ono ndi wautali wophika tomato kolifulawa wa broccoli
● Zipatso zosenda, madzi osungunuka
Kodi Odwala Ochitidwa Opaleshoni Amakumana ndi Kudzimbidwa?
Popeza odwala amadya chakudya chochepa komanso chochepa kusiyana ndi zakudya zomwe amadya asanachite opaleshoni, zimayembekezereka kusintha matumbo awo. Ndizodziwika kuti chosowa choyamba cha chimbudzi ndi masiku 2-3 aliwonse pambuyo pa opaleshoni. Pofuna kupewa izi, zakudya zokhala ndi ulusi wambiri, chimanga cham'mawa cham'mawa, zakudya zopangidwa ndi groats, nyemba zophikidwa, zipatso ndi ndiwo zamasamba, zokometsera zopangidwa kuchokera ku tirigu zimatha kupewa kudzimbidwa. Kuphatikiza pazakudyazi, ziyenera kuwonetseredwa kuti makapu 8-10 amadzimadzi amamwa pakati pa chakudya.
Kodi Dumping Syndrome Ndi Chiyani Amene Odwala Amakumana Nawo Pambuyo Pa Opaleshoni Yodutsa Chapamimba Ndipo Ndi Zakudya Ziti Zomwe Siziyenera Kudyedwa Pankhani Ino?
Kudya kwambiri zakudya zosavuta zama carbohydrate pambuyo pa opaleshoni ya m'mimba kungayambitse matenda otaya odwala. Wodwala amakhalanso ndi chidandaulo chomwe chimachitika m'mimba ikatulutsidwa mwachangu kwambiri. Dumping syndrome imatha kupewedwa pochotsa zakudya zomwe zimayambitsa pulogalamu yazakudya. Kuonjezera apo, chakudya chokwanira komanso chokwanira chingaperekedwe ndi katswiri wa zakudya mu pulogalamu yochepetsera thupi.
Maswiti a shuga amayenera kukondedwa ngati mchere. Zakudya zomwe ziyenera kuganiziridwa makamaka ndi odwala ayisikilimu, ma yoghuti a zipatso, chokoleti cha mkaka, madzi a zipatso, timadziti ta zipatso, mabasi okoma, ma muffin owonjezera shuga, makeke, nyemba za jelly, popsicle, makeke, makeke, tiyi wotsekemera, khofi wapompopompo, mandimu, shuga. cubes , shuga kutafuna chingamu, uchi, jams.
Kodi Tourism Tourism ku Turkey ili bwanji muzambiri?
Ngakhale machitidwe azaumoyo ku Turkey akuwonetsa kusiyana kwamadera, nthawi zambiri amagwira ntchito bwino. Komabe, pali mavuto ena ndi ndondomekoyi. Makamaka, chikoka cha mabungwe apadera pa ntchito zaumoyo ndi chimodzi mwa zinthu zofunika kwambiri zomwe zimabweretsa mavuto mu ubwino ndi kupezeka kwa chithandizo chaumoyo. Kuonjezera apo, nkhani monga kusagwirizana pakati pa akatswiri ena azaumoyo komanso kukhazikika kwa ndalama zothandizira zaumoyo ndi zina mwazinthu zomwe ziyenera kuchitidwa mu kayendetsedwe ka zaumoyo ku Turkey.
Popeza machitidwe azaumoyo ku Turkey asintha kwambiri komanso zatsopano m'zaka zaposachedwa, zasintha kwambiri poyerekeza ndi mayiko ena ambiri. Kusintha kumeneku kumaphatikizapo kupanga ntchito zazikulu za umoyo kuti zikhale zofala komanso zopezeka, kuonjezera ubwino wa mautumiki a zaumoyo, kuonjezera kugwiritsa ntchito matekinoloje a zaumoyo ndikuonetsetsa kuti ndalama zothandizira zaumoyo zisamayende bwino.
Ntchito yoyendera zaumoyo imatchedwa munthu woyenda chifukwa chaumoyo. Maulendo oterowo kaŵirikaŵiri amapangidwa kuti akapeze chithandizo chamankhwala kapena machiritso okhudza dziko kapena dera. Zoyendera zaumoyo zitha kuchitika mdziko muno komanso kunja.
M'zaka zaposachedwa, chidwi chokopa alendo azaumoyo chawonjezeka kwambiri. Ntchito zokopa alendo zakhala kopita ku Turkey. Kuthekera kwa zokopa alendo mdziko muno kwakhala kukuchulukirachulukira masiku ano chifukwa cha zinthu monga chithandizo chaumoyo, madokotala apadera komanso zida zamakono zamankhwala. Ili ndi udindo wofunikira pazambiri zokopa alendo, makamaka m'magawo monga chapamimba, opaleshoni yokongoletsa, chithandizo cha mano, kuyika ziwalo, umuna wa in vitro, rheumatology ndi mafupa. Ntchito zokopa alendo ku Turkey ndi malo abwino oti alendo akunja atukule dzikolo. Alendo akubwera ku Turkey amakopeka ndi ma phukusi osiyanasiyana omwe amapereka chithandizo chamankhwala chotsika mtengo komanso mwayi wopita kutchuthi. Mwanjira ina, zokopa alendo zaumoyo zimapereka zotsatira zabwino pachuma cha Turkey.
Komabe, zokopa alendo zaumoyo zitha kubweretsa zoopsa zina. Zoopsazi zimaphatikizapo zinthu monga ubwino ndi chitetezo cha ntchito zaumoyo, ufulu wa odwala ndi inshuwalansi ya umoyo. Pachifukwa ichi, ndikofunikira kwambiri kulandira chithandizo kuchokera kumakampani odalirika okopa alendo azaumoyo ku Turkey.
Mitengo ya Türkiye ya Opaleshoni ya Gastric Bypass
Opaleshoni yodutsa m'mimba imatha kuperekedwa kwa odwala pamitengo yosiyanasiyana ndi zipatala zosiyanasiyana ndi mabungwe azaumoyo ku Turkey. Izi zimachitika chifukwa cha zinthu zambiri. Mwachitsanzo, zipangizo zamakono zomwe zimagwiritsidwa ntchito, malo a chipatala, thanzi labwino la wodwalayo komanso luso la dokotala yemwe adzachita opaleshoni ndizomwe zimapanga zinthu zofunika kwambiri. Komabe, pochita izi, mtengo wa opaleshoni yodutsa m'mimba nthawi zambiri umakhala wotsika mtengo ku Turkey. Mitengoyi imaphatikizapo kuyang'anitsitsa kusanachitike komanso pambuyo pa opaleshoni komanso kutsata wodwala yemwe adachitidwa opaleshoniyo. Chofunikira chomwe chiyenera kupangidwa apa ndi chakuti opaleshoni yodutsa m'mimba ikhoza kuchitidwa ndi makampani a inshuwalansi nthawi zina, chifukwa ndi njira yothandizira kunenepa kwambiri. m'mimba ku Turkey kudutsa Mutha kulumikizana nafe kuti mudziwe zambiri zamitengo ya opaleshoni.
Siyani Ndemanga