Kuchita opaleshoni ya mabatire kungakhale njira yothandiza yoperekera kulemera kwa amayi omwe ali ndi matenda a polycystic ovarian (PCOS). Koma kuyesa kupeza mtundu wa opaleshoni ya kulemera kwabwino ndibwino kuti mukhale njira yovuta komanso yosokoneza.
Kuchita opaleshoni ya bariatric yakhala ikuzungulira kuyambira zaka za m'ma 1960 ndipo tsopano njira zambiri zimagwiritsidwa ntchito mwachisawawa , kutanthauza kupyolera muzithunzi zochepa zomwe zimagwiritsidwa ntchito kamera mkati mwa thupi.
Kusankha Njira Yabwino Kwambiri ya Kuwonongeka kwa Kulemera kwa Mtengo Kwa Inu
Kupanga chisankho chochita opaleshoni yolemetsa ndi chachikulu, monga momwe mukupeza dokotala wanu opaleshoni ndipo potsirizira pake, opaleshoni yamtundu wanji. Pali mitundu yambiri ya opaleshoni ndipo dokotala wanu angakhale ndi zokonda kapena malangizowo omwe angakhale othandiza kwambiri pa PCOS yanu.
Dokotala wanu angayesetse njira yomwe iye wapambana nayo, ndi chifukwa chofunikira cha chifukwa chomwe mukufunira dokotala wa opaleshoni yemwe ali ndi chidziwitso kugwira ntchito ndi akazi ndi PCOS. Pali mitundu yambiri ya njira ndipo aliyense ali ndi ubwino ndi kuipa kwake.
Roux-En-Y
Laparoscopic Roux-En-Y Zosakaniza zapakati ndi njira yowonjezereka kwambiri, ndipo ikuphatikizapo ndondomeko zotsatirazi:
- Kukonzanso kachigawo ka m'mimba (GI) kuti chakudya chidwalitse ambiri m'mimba ndi m'mimba.
- Chikwama chaching'ono chimapangidwa pamwamba pa mimba.
- Katemera wachiwiri amapangidwa m'munsi mwa katumbu kakang'ono kamene kamagwirizanitsidwa ndi thumba lomwe limapangidwa pamwamba pa mimba.
- Izi zimapangitsa kuti chakudya chisadutse gawo lalikulu la (GI) lomwe limatenga chakudya ndi zakudya.
Roux-en-Y zikuwoneka kuti ndi yothandiza kwambiri pochotsa insulini kukana, vuto lalikulu kwa amayi omwe ali ndi PCOS, ngakhale wodwala asanalowe kulemera kwake.
Komano, njirayi imakhala ndi chiopsezo chachikulu cha matenda ophera tizilombo tosiyanasiyana.
Izi nthawi zambiri zimakonzedwa, ndipo zimatetezedwa, ndi zowonjezeretsa zomwe zingakhale zofunikira kuti zisawonongeke zofooka zazikulu za zakudya. Mudzafunanso kuyang'anitsitsa mwatsatanetsatane ndi otsogolera otsogolera kuti muyang'ane za umoyo wanu.
Palinso zoopsa zina, kuphatikizapo mitsempha, kutseka, kuthamanga kupyolera mu sutures kapena zakudya, ndi matenda otupa (zinthu zosasangalatsa zomwe zakudya zina kapena zakumwa zimayambitsa kupweteka kwakukulu ndi kutsekula m'mimba).
Lap Band
Lap Band , kapena Laparoscopic Adjustable Gastric Banding (LAGB) ili ndi nthawi yochepa (osapitirira maola awiri) ndipo nthawi yochuluka yomwe amagwiritsidwa ntchito kuchipatala poyerekeza ndi Roux-en-Y. Njirayi ikuphatikizapo:
- Kuyika gulu la sililicone losinthika kumbali ya pamwamba ya m'mimba yomwe ingapangidwe mowang'onopang'ono ndi kuyimitsidwa kuti iziletsa kudya.
- Kuwongolera kapena kupuma kwa ndalama kumapangidwa kudzera pa doko la malo ogwiritsira ntchito pansi pa khungu la mimba.
Kafukufuku wina amachititsa kuti phindu lofanana ndi Roux-en-Y, komabe, chofunika chachikulu chochitidwa opaleshoni chobwerezabwereza chinafotokozedwa ndi mavuto otseguka kapena kutsegula.
Zojambulajambula Zamanja
Mwamunayo amatchedwa Lapasoscopic Sleeve Gastrectomy (LSG), njirayi ikuphatikizapo:
- Kusintha mawonekedwe a m'mimba kuchokera mu chikwama cha thumba kukhala thumba laling'ono.
- Chigawo cha mimba chimachotsedwa kuti chikhale ndi mawonekedwe atsopano, omwe amachititsa kuti voliyumu yachepetse.
LSG ndi ndondomeko yatsopano ndi maphunziro ochepa ochepa. Mavuto akuyenera kukhala otsika ndi njirayi chifukwa sichiphatikizapo opaleshoni iliyonse yopaleshoni ndipo imapewa kukhazikitsidwa kwa zipangizo.
Ngakhale njirayi ikugwira ntchito, kafukufuku akuwoneka kuti njira ya Roux-en-Y ndi yabwino kwambiri kulemera kwa thupi komanso kupangitsa kuti insulin isamvetse. Komabe, kuperewera kwa kuperewera kunapezedwa ndi ndondomekoyi kupyolera mu opaleshoni ya Lap Band yokhudzana ndi kafukufuku wa 2012 wolembedwa mu Journal of World Diabetes.
Kodi Ndi Opaleshoni Yotani Yoperekera Kuposa Yemwe Amayi Okhala ndi PCOS?
Buku la World Journal of Diabetes la April 2012 linati Roux-en-Y imapangitsa kuti munthu azilemera kwambiri kuposa Opaleshoni ya Lap Band komanso Sightve Gastrectomy. Wokhutira wodwalayo adapezeka kuti wakhala wapamwamba ndi Roux-en-Y.
Ndikofunika kuti mukambirane momasuka ndi dokotala wanu za zosankha zanu komanso njira yomwe amakufunirani (ndi chifukwa chake). Onetsetsani kuti mukuchita kafukufuku wanu musanagwirizanitse ndikumvetsetsa zomwe mungachite ndi zolinga za opaleshoniyo, monga momwe zizindikiro zanu za PCOS ndi mbiri yanu yanu zingakhalire zosiyana ndi zina zomwe dokotala wanu wachita.
Kukhala ndi lingaliro lachiwiri nthawi zonse ndilo lingaliro labwino, makamaka ngati muli ndi nkhaŵa iliyonse za momwe mwakonzekera.
Zotsatira:
American Physiological Society. (2007, May 8). Lap Band Gastric Bypass Surgery Amalimbitsa Kutsutsana kwa Insulini.
JAMA ndi Zolemba Zakale. (2011, February 22). Kuchita opaleshoni yachipatala yowonongeka yogwirizana ndi zotsatira za thanzi labwino.
Malik, SM, & Traub, ML (2012). Kufotokozera udindo wa opaleshoni ya bariatric mu matenda a polycystic ovarian odwala. World Journal ya Chiwindi