Kuchita opaleshoni ya abateli ndi mawu omwe amagwiritsidwa ntchito pazinthu zosiyanasiyana zopaleshoni zomwe zapangidwa kuti zisawonongeke kwambiri komanso opaleshoni zimapangitsa kuti thupi lichepe. Imodzi mwa njirazi ndikumanga banding.
Momwe Ikugwirira Ntchito
Gastric banding-yomwe imatchedwa "lap-band" ikachitidwa laparoscopically-ndiyo mawonekedwe opaleshoni ya bariatric. Ndi njira yamagulu yothandizira, yomwe nthawi zambiri imakhala yopangidwa ndi laparoscopically , gulu limayikidwa kuzungulira mmimba, kugawanika m'mimba kukhala zikwama ziwiri: thumba laling'ono lapamwamba lomwe lili pamwamba pa gulu, ndi thumba laling'ono la pansi pa gulu.
Chikwama chaching'ono chimachepetsa kuchuluka kwa chakudya chomwe munthu angadye kumodzi, ndipo zimayambitsa kukhutitsidwa ndi chakudya chochepa.
Gululo lingasinthidwe ndi jekeseni kapena kuchotsa saline mmenemo, motero kuchepa kapena kuonjezera kukula kwa kutsegula pakati pa magawo awiri a m'mimba. Gululo limachotsedwa ndipo silingasinthe kotheratu kutuluka m'mimba kapena m'mimba.
Gastric banding amagwera pansi pa gulu la "zolemetsa" kulemera-kutaya opaleshoni njira, chifukwa amachepetsa, kapena amaletsa, mphamvu yam'mimba kulandira chakudya.
Mphamvu
Mu kafukufuku wowonongeka wa maphunziro omwe asindikizidwa mpaka lero, gulu lina la ofufuza linapeza kuti kuwonjezeka kwa kuchepa kwa kuchepa kwapakati ndi 45% peresenti, ndi kuchepetsa chiwerengero cha shuga cha mtundu wa 28.6%. Kuchepetsa chiwopsezo cha kuthamanga kwa magazi (kuthamanga kwa magazi) kunali 17.4% ndi chapamimba bulu, ndipo kuchepetsedwa kwa hyperlipidemia (mkulu wa cholesterol) kunali 22.7%.
Ziwerengero zimenezi zinali zocheperapo kuposa zomwe zimawonedwa ndi njira ya m'mimba komanso njira za m'mimba.
Ngakhale pali umboni mpaka pano, maphunziro a nthawi yayitali akufunika, popeza palibe kafukufuku wochita opaleshoni amaoneka ngati akunena zotsatira zopitirira zaka zisanu. Choncho, ngakhale kuti chiwerengero choyamba kulemera kwa thupi chikudziwikiratu, chomwe sichidziwika ndi kuchuluka kwa kulemera kwake kumapitirira zaka zisanu ndi ziwiri kapena khumi kapena kuposa.
Zotsatira Zotsatira
Malingana ndi American Society ya Metabolic ndi Bariatric Surgery, zina mwa zotsatira zake, monga "matenda otupa" ndi kutsekula m'mimba, zomwe zimagwirizanitsidwa ndi njira zina za opaleshoni monga chifuwa chokwanira sizingayembekezedwe kugwirizanitsidwa ndi laparoscopic yokonzedwanso kumimba. Kutsekedwa, komabe, kungakhale kotheka kuchitika.
Odwala omwe ali ndi zikopa zamimba amatha kukhala ndi dysphagia (zovuta kumeza), makamaka atakhala ndi gulu lolimba, kapena "kusintha."
Kulimbana ndi kuperewera kwa thupi monga matenda opatsirana, malabsorption syndrome sichichitika chifukwa chakuti chakudya chimene amadya chimatha kuchoka ku thumba lapamwamba kupita ku thumba la pansi, komwe amachokera nthawi zonse pamene akudutsa utumbo wawung'ono ndi zina zonse zamagetsi.
Komabe, chifukwa cha kuchepa kwa zakudya (zomwe ziri, pambuyo pake, mfundo ya ndondomekoyi), kuchepa kwa zakudya kumachitika, ndipo osachepera, ndi bwino kuti odwala opaleshoni amatha kutenga multivitamin wathunthu tsiku ndi tsiku. Zina zowonjezera zakudya zingalimbikitsidwe malinga ndi zosowa za odwala, ndipo kuyang'anitsitsa pafupi ndi dokotala ndikofunika.
Zotsatira:
American Society for Bariatric Surgery Public / Professional Education Komiti. Opaleshoni ya Bariatric: nkhawa za postoperative. Lofalitsidwa February 2008.
Arteburn DE, Fisher DP. Mkhalidwe wamakono wa umboni wa opaleshoni ya bariatric. Mkonzi. JAMA 2014; 312: 898-899.
Puzziferri N, Roshek TB, Mayo HG, et al. Kutsata kwa nthawi yaitali pambuyo pa opaleshoni ya bariatric: ndondomeko yowonongeka. JAMA 2014; 312: 934-942.