Opaleshoni yam'mimba ndi imodzi mwamaopaleshoni omwe amagwiritsidwa ntchito kwambiri pa opaleshoni ya bariatric. Ntchitoyi imadziwikanso kuti Sleeve Gastrectomy m'chinenero chachipatala. Pochita, mimba imapangidwa kukhala chubu mothandizidwa ndi opaleshoni. Poyang'ana dongosolo la m'mimba, zikuwoneka kuti pafupifupi zonsezi zimakhala ngati chubu. Ngakhale kuti matumbo ndi kummero zimakhala zopyapyala komanso zazitali, mimba imakhala ngati kathumba kuti itenge chakudya chochuluka. Ndi opaleshoni, gawo lalikulu la m'mimba limachotsedwa kotero kuti silingatembenuzidwe, ndipo limasandulika kukhala dongosolo ndi mphuno ndiyeno matumbo. Pogwiritsa ntchito izi, palibe chubu kapena thupi lachilendo lomwe limayikidwa m'mimba. Chifukwa mawonekedwe a m'mimba amafanana ndi chubu, ntchitoyo imatchedwa chubu.
Kuchepetsa kuchuluka kwa m'mimba sizomwe zimachitika panjira ya gastrectomy. Pamene mimba yapangidwa kukhala chubu choumbika mwa kuchichepetsa, mahomoni anjala otuluka m’mimba amakhudzidwanso kwambiri ndi mkhalidwe umenewu. Chilakolako cha anthu cha chakudya chidzachepa, ndipo kuwonjezera apo, ubongo udzakhala ndi njala yochepa. Opaleshoni yam'mimba ya m'mimba imakopa chidwi ndi zotsatira zake zamakina komanso zotsatira za mahomoni.
Ndi Matenda Ati Amene Opaleshoni Yam'mimba Ya Tube Imakonda?
Kugwiritsa ntchito chubu m'mimba kumakondedwa kwambiri pochiza kunenepa kwambiri. Kuphatikiza pa kunenepa kwambiri, kumaperekanso phindu lalikulu pochiza matenda monga matenda amtundu wa 2. Komabe, ngati cholinga chachikulu sichinali kunenepa kwambiri, koma matenda monga matenda a shuga a mtundu wa 2, maopaleshoni amagulu a bypass ndi opambana kwambiri.
Opaleshoni yam'mimba imatha kukondedwa ngati opaleshoni yosinthira anthu omwe ali ndi kunenepa kwambiri. Opaleshoni ya m'mimba imagwiritsidwa ntchito pokonzekera maopaleshoni a gulu la bypass odwala omwe ali m'gulu la odwala onenepa kwambiri.
Kodi Opaleshoni ya Tube M'mimba Imagwiritsidwa Ntchito Bwanji?
Manja a gastrectomy ndi amodzi mwa maopaleshoni omwe amachitidwa pansi pa anesthesia wamba. Izi ntchito makamaka ntchito chatsekedwa, ndiko kuti, laparoscopically. Kutengera ndi dokotala wa opaleshoni kapena odwala, kugwiritsa ntchito kungapangidwe kudzera pa dzenje limodzi kapena mabowo 4-5. Kuphatikiza apo, ndizotheka kuchita opaleshoni yam'mimba ndi maloboti. Popeza mabowo omwe amatsegulidwa panthawi yogwiritsira ntchito ndi ochepa kwambiri, sizimayambitsa mavuto apamwamba ponena za aesthetics.
Kuti musachepetse m'mimba kwambiri panthawi ya opaleshoni, chubu chowongolera chimayikidwa pakhomo la m'mimba, lofanana ndi kukula kwa mmero. Ndi chubu chowongolera ichi, m'mimba imachepetsedwa ngati kupitiliza kummero. Mwanjira imeneyi, mavuto monga stenosis yochuluka ndi kutsekeka m'mimba amapewa. Pambuyo pochita zodzitetezera zokhudzana ndi vascularization ndi magazi, mimba imadulidwa pogwiritsa ntchito zida zapadera zodula ndi kutseka.
Opaleshoni ya m'mimba ikatha, chubu choyezera chomwe chimayikidwa kumayambiriro kwa opareshoni chimachotsedwa. Panthawi ya opaleshoni, kugwiritsa ntchito njira imodzi kapena zingapo kuyesa ngati pali kutayikira m'mimba kumachitika. Kuphatikiza apo, kuyezetsa kofananako kumachitidwanso pambuyo pa opaleshoni ya manja a gastrectomy.
Kodi Opaleshoni Yam'mimba Ya Tube Ndi Yoyenera Kwa Odwala Ati?
Opaleshoni yam'mimba ndi imodzi mwamaopaleshoni omwe amagwiritsidwa ntchito kwa anthu omwe ali ndi vuto la kunenepa kwambiri. Ngakhale sizothandiza ngati maopaleshoni akale a metabolic kapena maopaleshoni am'mimba, amapereka zotsatira zabwino pothana ndi matenda amtundu wa 2.
Opaleshoni ya sleeve gastrectomy simakonda kwa anthu omwe ali ndi matenda a shuga osalamulirika kapena mavuto apamwamba a reflux. Kupatula kunenepa kwambiri, ngati matenda a shuga ndi omwe amawatsogolera, njira zogwira mtima zimasankhidwa. Kuphatikiza apo, ndizotheka kusintha opareshoni yamanja ya gastrectomy kukhala njira zopangira maopaleshoni osiyanasiyana mtsogolo. Ndi opaleshoni yachiwiri, kugwiritsa ntchito gastrectomy kwa manja kumatha kusinthidwa kukhala njira zama metabolic opaleshoni monga chapamimba kapena Duodenal Switch.
Zomwe Muyenera Kuziganizira Musanachite Opaleshoni Yam'mimba ya Tube
Asanachite opareshoni yamanja ya gastrectomy, anthu ayenera kuyesedwa kwambiri. Amafufuzidwa ngati pali mavuto monga matenda a mtima ndi zilonda zam'mimba zomwe zimalepheretsa opaleshoni ya manja. Choyamba, mavuto omwe amalepheretsa opaleshoni amachotsedwa ndipo anthu amapangidwa kuti akhale oyenera opaleshoni. Nthawi zina, mankhwalawa amagwiritsidwa ntchito musanachite opaleshoni ya gastrectomy imatha kutenga miyezi ingapo. Kupatula izi, akatswiri azakudya ndi akatswiri amisala ayeneranso kuyang'ana odwala awo ndikuwunika ngati akuyenera kuchitidwa opaleshoni. Chofunika kwambiri pa opaleshoniyi ndikuchotsa mavuto a kunenepa kwambiri kwa odwala popanda vuto lililonse.
Njira zogonera m'chipatala zimachitidwa kwa odwala patsiku la opaleshoni. Pambuyo pa opaleshoni, anthu ayenera kukhala m'chipatala kwa masiku 2-3. Chakudya chapadera chimagwiritsidwa ntchito koyamba kwa masiku 10-15 mwa anthu omwe ali ndi vuto lolemera kwambiri komanso makamaka omwe ali ndi chiwindi chamafuta. Ndi pulogalamu yapadera ya zakudya, chiwindi chimachepetsedwa ndipo opaleshoniyo imakhala yotetezeka kwambiri.
Kodi Pali Malire a Zaka Zopangira Opaleshoni Yam'mimba ya Tube?
Kawirikawiri, opaleshoni ya kunenepa kwambiri, kuphatikizapo opaleshoni ya m'mimba ya chubu, siigwiritsidwa ntchito kwa anthu omwe sanamalize chitukuko chawo, ndiko kuti, omwe sanamalize zaka 18. Komabe, nthawi zina, njira zopangira opaleshoni zimatha kuganiziridwa ngati kulemera kokwanira sikungatheke kuyang'aniridwa ndi zakudya, matenda a maganizo a ana, endocrine ndi chitukuko cha ana kwa nthawi yaitali komanso ngati odwala akukumana ndi mavuto aakulu a metabolism. Koma izi zimachitika kawirikawiri.
Kupatula pazochitika zapadera, odwala asanakwanitse zaka 18 sangathe kuchitidwa opaleshoni ya m'mimba ya chubu kapena opaleshoni ina ya bariatric. Malire apamwamba a opaleshoni ya gastrectomy amaonedwa kuti ndi zaka 65. Ngati chikhalidwe cha odwala chili chabwino, amalingalira kuti akhoza kuchotsa njira zopangira opaleshoni, ndipo nthawi yomwe amayembekeza kukhala ndi moyo ndi yaitali, opaleshoniyi ingakhale yokondedwa paukalamba.
Kodi kulemera koyenera kwa opareshoni ya sleeve gastrectomy ndi iti?
M'maopaleshoni a kunenepa kwambiri, kuphatikizapo sleeve gastrectomy, chiwerengero cha kulemera kwa thupi chimaganiziridwa, osati kulemera kwakukulu, posankha njira za opaleshoni. Milozera ya misa ya thupi imapezeka pogawa kulemera kwa munthu mu kilogalamu ndi sikweya ya kutalika kwake mu mita. Anthu omwe ali ndi chiwerengero cha thupi pakati pa 25 ndi 30 sali m'gulu la onenepa. Anthu amenewa amatchedwa onenepa. Komabe, anthu omwe ali ndi index yayikulu ya thupi la 30 ndi kupitilira apo ali mgulu la kunenepa kwambiri. Si odwala onse omwe ali onenepa kwambiri omwe angakhale oyenera kuchitidwa opaleshoni yamanja kapena njira zina za opaleshoni ya bariatric. Anthu omwe ali ndi index ya misa ya thupi yopitilira zaka 35 ndipo ali ndi matenda ndi matenda omwe amayamba chifukwa cha kunenepa kwambiri amatha kuchitidwa opaleshoni yamanja ya gastrectomy. Ngakhale kuti anthu omwe ali ndi chiwerengero cha thupi pamwamba pa 40 sakhala ndi vuto lililonse, palibe vuto kukhala ndi opaleshoni ya manja a gastrectomy.
Matenda a shuga osalamuliridwa ndi osiyana m'mawerengedwe awa. Ngati mavuto a shuga a anthu sangathe kuwongolera ngakhale zakudya zonse ndi chithandizo chamankhwala, opaleshoni ya metabolic imatha kuchitika ngati index mass index ili pakati pa 30-35.
Kuwonda Pambuyo pa Opaleshoni Yam'mimba ya Tube
M'machitidwe a sleeve gastrectomy, m'mimba imachepetsedwa ngati kupitiliza kummero ndipo ntchito imaperekedwa. Kuphatikiza pakuchepetsa kuchuluka kwa m'mimba, kutulutsa kwa ghrelin, komwe kumatchedwa hormone yanjala, kudzachepanso kwambiri. Pamene m'mimba imachepa mphamvu ndipo timadzi ta njala timatulutsidwa mochepa, chilakolako cha anthu chimachepanso. Chidziwitso chokhudza zakudya zopatsa thanzi chiyenera kuperekedwa musanachite opaleshoni komanso pambuyo pake kwa anthu omwe chilakolako chawo chatha, omwe amakhuta mofulumira komanso omwe amadyetsedwa mochepa. Popeza anthu amakhutira ndi chakudya chochepa kwambiri pambuyo pa opaleshoni, nkofunika kuti zakudyazi zikhale zapamwamba komanso zolemera mu mapuloteni, mavitamini ndi mchere.
Ndani Sanapatsidwe Maopaleshoni Onse a M'mimba?
Anthu omwe ali ndi matenda amtima okangalika, khansa komanso kusakwanira bwino m'mapapo sakuyenera kuchitidwa opaleshoni yamanja ya gastrectomy. Kupatula izi, opaleshoni sikuvomerezeka kwa odwala omwe alibe chidziwitso chambiri. Maopaleshoniwa savomerezedwa kwa anthu omwe sadziwa za moyo wawo komanso omwe ali ndi chidziwitso chochepa chifukwa cha matenda obadwa nawo kapena omwe amapezeka. Opaleshoni ya m'mimba ya m'manja si yoyenera kwa anthu omwe ali ndi reflux yapamwamba komanso anthu omwe savomereza malamulo a zakudya pambuyo pa opaleshoni.
Kodi Ubwino Wogwiritsa Ntchito Tube M'mimba Ndi Chiyani?
Ubwino wa opaleshoni ya sleeve gastrectomy nthawi zambiri amawunikidwa m'magulu awiri.
Ubwino Wopanda Kuchita Opaleshoni
Mankhwala, zakudya kapena masewera sizimapereka zotsatira zabwino monga opaleshoni ya kunenepa kwambiri. Odwala oterowo, zotsatira za opaleshoni yochitidwa ndi sleeve gastrectomy kapena njira zina za opaleshoni ya kunenepa kwambiri nthawi zonse zimapereka zotsatira zabwino.
Ubwino Poyerekeza ndi Ntchito Zina Zopangira Opaleshoni
Opaleshoni ya m'mimba ndiyothandiza kwambiri kuposa njira yochepetsera, yomwe ili m'gulu la njira zopangira opaleshoni ya kunenepa kwambiri komanso zomwe zimagwiritsidwa ntchito m'mbuyomu. Ndi kukhazikitsa kwa sleeve gastrectomy, njira monga zomangira sizigwiritsidwa ntchito kawirikawiri. Pa opaleshoni yam'mimba, kusintha kwa chakudya kumachitika nthawi zambiri pakudya. Imapitirira mu mawonekedwe a mmero, m'mimba ndi matumbo, monga mwa anthu wamba. Pachifukwa ichi, ndi imodzi mwa njira zopangira opaleshoni zomwe zimayenera kugwira ntchito mwachilengedwe m'thupi la munthu komanso m'mimba. Imakopa chidwi ndi mfundo yakuti ndi yosavuta komanso yochepa ntchito ponena za opaleshoni. Popeza zimachitika mofulumira, nthawi ya anesthesia imakhalanso yochepa kwambiri. Pachifukwa ichi, zovuta zomwe zingachitike chifukwa cha anesthesia ndizochepa kwambiri. Chifukwa cha maubwinowa, opaleshoni ya manja a gastrectomy ndi imodzi mwamachitidwe opangira opaleshoni ya kunenepa kwambiri padziko lonse lapansi.
Kodi Zowopsa za Opaleshoni ya Tube M'mimba Ndi Chiyani?
Zowopsa za opaleshoni yam'mimba zimagawidwa m'magulu atatu.
Kuopsa kwa Opaleshoni Odwala Onenepa Kwambiri
Pali zoopsa zosiyanasiyana pa maopaleshoni a odwala onenepa monga mapapo, mtima, embolism, kulephera kwa impso, kutha kwa mapapu, kuwonongeka kwa minofu. Zowopsa izi sizimangokhudza maopaleshoni amanja a gastrectomy. Zowopsazi zitha kuwoneka m'njira zonse za opaleshoni zomwe zimagwiritsidwa ntchito kwa odwala onenepa.
Zowopsa Zopangira Opaleshoni Yam'mimba
Mavuto a Reflux amatha kuchitika mtsogolo mwa anthu pambuyo pa opaleshoni ya gastrectomy. Pali zoopsa monga kutuluka magazi m'mimba kapena kutuluka magazi m'mimba. Pakhoza kukhala mavuto okulitsa m'mimba, omwe amatenga mawonekedwe a chubu. Chimodzi mwazowopsa zomwe zimafala nthawi yoyambirira ndi zovuta zotuluka. M'mimba ikakula, anthu amatha kuwondanso. Zovuta pakutulutsa m'mimba ndi kutupa m'mimba, nseru kapena kusanza kumatha kuchitika.
General Surgery Zowopsa
Pali zoopsa zina zomwe zingawoneke kwa odwala muzochitika zonse za opaleshoni. Pakhoza kukhala zinthu monga magazi kapena matenda kwa odwala omwe achitidwa opaleshoni. Zowopsa zonsezi zitha kuwonekanso mwa anthu omwe adachitidwapo opaleshoni ya gastrectomy.
Chakudya Pambuyo pa Opaleshoni Yam'mimba Yam'mimba
Ndikofunika kwambiri kuti odwala asamale za zakudya pambuyo pa opaleshoni ya opaleshoni ya m'mimba. Pambuyo pa opaleshoni yam'mimba, odwala ayenera kudyetsedwa zakudya zamadzimadzi m'masiku 10-14 oyambirira. Pambuyo pake, zakudya zapadera zokonzedwa ndi akatswiri a metabolism ndi endocrinology ziyenera kutsatiridwa kuti mukhale ndi thanzi labwino komanso moyo.
Ngati m'mimba mumavutika kudya, pangakhale milandu yowonjezeranso. Pankhaniyi, anthu akhoza kuwonda kachiwiri. Pachifukwa ichi, kusankha mapuloteni ndikofunika kwambiri pazakudya pambuyo pa opaleshoni. Chisamaliro chiyenera kutengedwa kuti mudye kuchuluka kwa mapuloteni omwe amaperekedwa kwa odwala masana. Chidwi chiyenera kuperekedwa pakudya zakudya zokhala ndi mapuloteni ambiri monga nsomba, Turkey, nkhuku, mazira, mkaka ndi mkaka.
Kuphatikiza pa zakudya zokhala ndi mapuloteni, ndikofunikiranso kuphatikiza zakudya monga zipatso, masamba ndi mtedza muzakudya. Odwala ayenera kudya zakudya zosachepera zitatu patsiku. Kuphatikiza apo, kudya zokhwasula-khwasula 3 kudzakhala bwino pankhani yazakudya zabwino. Choncho, m'mimba si njala ndi kukhuta. Kuchepetsa thupi kumakhala kosavuta chifukwa metabolism imagwira ntchito mwachangu.
Panthawi imeneyi, kusunga thupi ndi madzi ndi chinthu china chofunikira. Anthu ayenera kusamala kuti amwe madzi osachepera makapu 6-8 patsiku. Ngati akuwona kuti ndi koyenera ndi dokotala, zakudya zowonjezera, mchere ndi mavitamini ziyenera kugwiritsidwa ntchito nthawi zonse.
Kodi Kulemera Kwambiri Kumachepa Bwanji Pochita Opaleshoni Yam'mimba ya Tube?
Kwa anthu omwe ali ndi opaleshoni ya sleeve gastrectomy, oposa theka la kulemera kwawo kumatayika m'zaka zisanu pambuyo pa opaleshoniyo. Popeza vuto la mayamwidwe a michere mu opareshoni ya m'manja ndi yocheperako poyerekeza ndi opaleshoni yodutsa m'mimba, palibe chifukwa chotenga mavitamini ndi michere mosalekeza pambuyo pa opaleshoni ya manja.
Kodi Kulemera Kumawonjezeka Pambuyo pa Opaleshoni Yam'mimba?
Kulemeranso pambuyo pa opaleshoni ya gastrectomy ndi pafupifupi 15%. Pachifukwachi, ndikofunikira kuyang'anitsitsa zachipatala kuti anthu omwe achitidwa opaleshoni asanenerenso.
Chubu Anthu omwe ali ndi opaleshoni ya m'mimba ayenera kutsatiridwa nthawi zonse ndi magulu a kunenepa kwambiri. Mwanjira imeneyi, anthu amapatsidwa chithandizo chamankhwala chokwanira.
Kuchita Zolimbitsa Thupi Pambuyo pa Opaleshoni Yam'mimba Yam'mimba
Chilolezo cha dokotala chikuyenera kuperekedwa kuti muzichita masewera olimbitsa thupi pambuyo pa opaleshoni yochotsa manja. Popeza sleeve gastrectomy ndi opaleshoni yofunika, masewera olimbitsa thupi omwe angakakamize ndi kupanikizira malowa ayenera kupewedwa. Kuchita masewera olimbitsa thupi pambuyo pa opaleshoni ya m'manja nthawi zambiri kumayambika pakatha miyezi itatu opareshoniyo itachitika. Poyamba, kuyenda mwachangu kungakhale kwabwino. Ndikofunikira kuti mayendedwe azichitika nthawi ndi tempos zomwe zimatsimikiziridwa ndi dokotala. Khama lopambanitsa liyenera kupeŵedwa. Chisamaliro chapadera chiyenera kuperekedwa popewa kuchita masewera olimbitsa thupi monga kuyenda m'mimba ndi kukweza zolemera mu masewera.
Zochita zolimbitsa thupi zomwe zimakulitsa minofu ndi mafupa momwe zingathere komanso kukulitsa mkhalidwewo ziyenera kukhala zokonda pamasewera olimbitsa thupi. Ndikofunikira kwambiri kuti anthu azichita masewera osatopetsa thupi lawo, koma kuti apewe zopunduka zomwe zingachitike m'thupi chifukwa cha kuchepa thupi.
Moyo Wachikhalidwe Pambuyo pa Opaleshoni Yam'mimba Yam'mimba
Maopaleshoni am'mimba nthawi zambiri amachitidwa pakati pa mphindi 30-90. Nthawizi zimatha kusiyanasiyana malinga ndi momwe thupi la munthu aliyense payekhapayekha komanso madokotala ochita opaleshoni. Ndikofunikira kwambiri kuti maopaleshoniwa achitidwe m'njira yoyenera kwambiri.
Pambuyo pa opaleshoni yam'manja ya gastrectomy, nthawi yokhala m'chipatala ndi masiku 2-3. Odwala omwe adachitidwa opaleshoniyo bwino ndipo alibe vuto akhoza kubwerera kuntchito yawo pafupifupi masiku 5 atachitidwa opaleshoniyo. Kuphatikiza apo, anthu amathanso kuchita zinthu monga kutuluka usiku ndikupita kumafilimu ngati akufuna. Komabe, pochita izi, ndizofunikira kwambiri kuti anthu azitsatira malamulo a zakudya pambuyo pa opaleshoni.
Kuchita Opaleshoni Yam'mimba Yam'mimba ku Turkey
Popeza dziko la Turkey ndi limodzi mwa mayiko omwe amachita bwino maopaleshoni a manja a gastrectomy, nthawi zambiri amakondedwa pankhani yazaumoyo. Maopaleshoniwa amachitidwa popanda vuto lililonse malinga ndi zida za zipatala komanso zochitika za madokotala. Komanso, chifukwa cha kusinthanitsa kwakukulu kwakunja ku Turkey, odwala ochokera kunja amatha kuchita izi pamitengo yotsika mtengo kwambiri. Mutha kulumikizana nafe kuti mumve zambiri zamitengo ya opaleshoni yam'manja ya gastrectomy ndi madokotala apadera ku Turkey.
Siyani Ndemanga