Zomwe Zidzasinthidwa
Opaleshoni ya m'mimba ndi opaleshoni yowonongeka, kuphatikizapo kukula kwa m'mimba komanso kupitirira pang'ono kwa m'mimba kuchepetsa calorie kudya. Mankhwala opatsirana ammimba amachitanso opaleshoni yotaya "roux-en-y" ndipo ndi imodzi mwa opaleshoni yopambana yolemera kwambiri.
Odwala opatsirana pogonana amamva mofulumira kwambiri ndipo amakhala motalika kwambiri kuposa momwe amachitira.
Izi zili choncho chifukwa thumba limapangidwa kuti likhalitse kokha chigawo cha m'mimba kuti mugwiritse ntchito zakudya. Kuonjezerapo, gawo la m'mimba mwachinyamatayo lapitirira kuchepetsa kuchuluka kwa chakudya, ndichifukwa chake zakudya zamagetsi zomwe zingagwiritsidwe ntchito ndi thupi.
Ngati mukuchita izi, muyenera kusintha kwambiri chakudya chanu ndi moyo wanu kuti njirayi ikhale ndi zotsatira zake. Zakudya pambuyo pa opaleshoni ziyenera kukhala zokwanira pafupifupi imodzi imodzi iliyonse; Kumwa madzi ndi zakudya kumatha kudzaza thumba, komanso, kuti mukhale ndi nkhawa kuti kuchita zimenezi kungalepheretse kudya chakudya cholimba. Koma, chifukwa mimba ili ndi mphamvu yokonzera chakudya, mukhoza kudya zigawo zazikulu kusiyana ndi nthawi.
Gastric Bypass Surgery Procedure
Opaleshoni ya opaleshoni yowonongeka imachitika kuchipatala kapena kuchipatala, pogwiritsa ntchito General Anesthesia . Nthaŵi zambiri, ndondomekoyi imachitidwa mwatsatanetsatane, zomwe zikutanthauza kuti dokotalayo amagwiritsa ntchito zipangizo zamakono kuti azigwiritsira ntchito pang'onopang'ono.
Nthawi zambiri, opaleshoniyo idzakhala "yotseguka," yomwe imagwiritsidwa ntchito kupyolera mu chikhalidwe chachikulu. Kuchita opaleshoni yomwe imayambitsa laparoscopically ikhozanso kutsegulidwa ngati dokotalayo akuganiza kuti ndizofunikira.
Kuchita opaleshoni kumayambira ndi mafupipafupi ambirimbiri m'kati mwa mimba.
Zidazi zimayikidwa kudzera m'maganizo amenewa, ndipo opaleshoniyo amayamba polemba chikwama kuchokera kumimba pafupi ndi mimba. Chikwamacho chimachotsedwa kwathunthu m'mimba yonse, yomwe imakhala yotsekedwa ndipo imakhalabe mu thupi (ngakhale kuti sichidzadya chakudya). Mitsempha ya sphincter, yomwe imagwira chakudya mmimba, imakhala yokhazikika pa gawo losagwiritsidwa ntchito mmimba; mpweya wotuluka m'mimba umakhala pakhomo la thumba.
Pamene thumba limapangidwa, katumbu kakang'ono kamangokhala pambali ya m'mimba yomwe sichitha kudya chakudya. Kutseketsa kumagawanika m'matumbo pang'ono kumapangidwe, ndipo gawo lapamwamba limakhala lotsekedwa. Chigawo chapansi cha m'mimba chimaphatikizidwa ndi thumba lopangidwa kumene. Mbali yakumtunda ya intestine yaying'ono imakhalabe mu thupi, yokhazikika pamimba yosagwiritsidwa ntchito, koma iyenso sichikudya chakudya.
Dokotalayo atapanga kuti masamba ndi sutures sagwedezeka, zidazo zimachotsedwa ndipo zofunikila zimatsekedwa, zomwe zimakhala ndi mankhwala osakaniza komanso matepi osabala.
Chotsatira Chachidule cha Kugonjetsa Kwachikazi
Ndondomekoyi ndi yopambana kuposa njira zothetsera ubongo , chifukwa sichidalira kokha kusintha kwa khalidwe.
Ngakhale thumba limathandizira kulenga kumverera kwachidzalo ndipo salola kuti chakudya chachikulu chiwonongeke, zikho zomwe zimanyekedwa sizimagwiritsidwa ntchito kwathunthu ndi thupi chifukwa chodutsa gawo la m'mimba mwaching'ono.
Chifukwa cholemetsa sichidalira kwambiri kupitiriza kudya zakudya zazing'ono zokha, odwala amalephera kupweteka kwambiri 60% pambuyo pa opaleshoni; oposa theka lakutaya 80%. Odwala ambiri amalemera kwambiri zaka ziwiri pambuyo pochita opaleshoni. Kafukufuku wina wam'mbuyo adawonetsa kuti odwala 90% amatha kutayika kwa theka la thupi lawo zaka khumi pambuyo pochita opaleshoni, zotsatira zomwe zakhala zikuwonetsedwa ndi Roux-en-Y komanso opaleshoni yomweyo, biliopancreatic diversion.
Mwamwayi, kuyendetsa biliopancreatic diversion - ndipo nthawizina roux-en-y - zimayambitsa mavuto pakupeza chakudya chokwanira ndikudya mavitamini ndi minerals.
Zovuta Zopangidwira za Opaleshoni Yachiberekero
Inde, pali zotsutsana pa izi - ndi zina - ndondomeko. Odwala ambiri ali ndi matenda otupa, momwe chakudya chimayenda mofulumira kuchokera m'mimba mpaka m'mimba mwazing'ono, kumayambitsa nseru, kutukuda, kuzizira komanso kutsekula m'mimba komanso kupweteka pachifuwa. Odwala ambiri amaona kuti kuchepetsa kukula kwa chakudya ndi shuga kumateteza matenda otupa.
Kusadya zakudya m'thupi ndi kotheka, chifukwa njirayi imachepetsa mphamvu ya thupi kuti imve zakudya, ndipo odwala ambiri amafunikira vitamini ndi mineral supplementation kwa moyo wawo wonse.
Kuchita opaleshoni sikutembenuzidwanso, koma zovuta za opaleshoni zingathetsedwe ndi kudya mopitirira malire, zomwe zingathe kutambasula thumba mpaka chakudya chokhoza kupukutidwa ndi kugwiritsidwa ntchito ndi thupi sichitha kuchepetsedwa kuposa momwe dokotalayo amafunira. Ngati mukufuna kusintha, lankhulani ndi dokotala kuti mutha kukonza dongosolo kuti likuthandizeni kuchita bwino ndi mosamala.
Kwachidziwitso, chifuwa chachikulu ndi opaleshoni yowonongeka, ndipo 140,000 amachitidwa ku United States pachaka. Ngakhale kuti ndi opaleshoni yovuta komanso yoopsa kwambiri, odwala akhala ndi zotsatira zabwino kwambiri ndi kuwonongeka kwathunthu kwa thupi, kulemera kwa thupi kwa nthawi yaitali komanso thanzi labwino kuposa onse omwe asankha kuchita opaleshoni ina iliyonse.
Zotsatira:
Opaleshoni ya Bariatric Kwa Kulemera Kwambiri. Chidziwitso cha Ogulitsa. National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. March 2008. http://win.niddk.nih.gov/publications/gastric.htm
Jones, Nicolas V. Christou, MD, PhD, Didier Look, MD, ndi Lloyd D. MacLean, MD, PhD. "Kulemera kwa Thupi Pambuyo Panthawi Zakafupi ndi Zambiri Zambiri Zopweteka Kwa Odwala Zotsatira Zakale Zaka 10." Chiwerengero cha Opaleshoni 2006 November; 244 (5): 734-740.