Kumvetsetsa Zoopsya Zogwiritsa Ntchito Manja
Ndondomeko yamanja ya m'mimba, yomwe imadziwikanso ngati khungu lakumanja, ndi opaleshoni yomwe imachepetsa kukula kwa m'mimba kuti lilimbikitse kulemera kwa thupi. Pafupifupi 80 peresenti ya m'mimba amachotsedwa opaleshoni, kusiya gawo la m'mimba mwa chibonga, ndikuchotsa zina zonse. Mimba yotsalayo imatha kugwira pafupifupi ma ounces kapena 120 milliliters, kuchepa kwakukulu kuchokera ku kukula kwa m'mimba.
Uku kuchepa kwakukulu mu kukula kwa mmimba kumatanthauza kuti munthu akhoza kudya kokha chikho chimodzi panthawi, ndipo amaletsa kuchuluka kwa chakudya chomwe chingadye, zomwe zimachepetsa kuchepetsa zakudya zomwe zingatengedwe, zomwe zimapangitsa kulemera kwake.
Ngakhale kuchepa kwa kukula kwa mmimba, opaleshoni ndi chida ndipo akufunabe kuti munthu atsatire malangizo okhudzidwa, kuchepetsa kudya, ndi kutsatira ndondomeko yoperekedwa ndi dokotalayo. N'zotheka kudya mopitirira muyeso komanso kukhala ndi zochepa zowonjezera mutatha opaleshoni. N'zotheka kukhala ndi vuto lalikulu pambuyo poti opaleshoni, kotero ndondomeko iyenera kutengedwa mozama, monga opaleshoni iliyonse.
Mavuto a Nthawi Zakale a Msuzi Wamanja
Pali mitundu iŵiri ya zovuta za opaleshoni yamanja ya m'mimba: yovuta komanso yosapitirira. Zovuta zovuta ndizo zomwe zimachitika posachedwa opaleshoni ndi mavuto aakulu ndi omwe amayamba kapena kupitirira miyezi isanu ndi umodzi pambuyo pa tsiku la opaleshoni. Zovuta zambiri zimaphatikizapo kutuluka magazi, kupweteka, ndi magazi.
Manja apamimba, ambiri, amawoneka otetezeka poyerekeza ndi machitidwe ena omwe amachitidwa opaleshoni. Imfa yochokera ku ndondomekoyi ndi yochepa, ndipo ikachitika ndi dokotala wodziŵa bwino opaleshoni, njirayi ili ndi mavuto aakulu. Izi zinkati, mavuto, pamene zichitika, amatha kuchoka ku zovuta zazing'ono kupita kuzinthu zomwe zingasinthe moyo.
N'kofunikanso kuzindikira kuti uwu ndi opaleshoni yatsopano. Imodzi mwa miyezo yofunika yomwe asayansi akuyang'ana ndi zotsatira za zaka khumi. Pankhaniyi, nkhaniyi ikukhudza momwe odwala akuwonongera kulemera kwao, zomwe zimawonetsa thanzi lawo lonse, ndi mavuto aliwonse omwe angakhale nawo chifukwa cha opaleshoni. Pokhala njira yatsopano, pali deta yosachepera zaka 10 kuposa momwe mukuchitira opaleshoni zina, monga Roux En Y, ndipo mavuto ena a nthawi yaitali angaphatikizedwe mndandanda wam'tsogolo muno.
Kulephera koyamba kutayika: Ichi ndi vuto lalikulu pamene opaleshoniyo ndi yopanda phindu lotha kulemera. Thumba likhoza kukhala lalikulu kwambiri, wodwala akhoza kunyalanyaza malangizo okhudzidwa, kapena vuto lina lingakhale liripo lomwe limaletsa kuchepa kwa thupi.
Kusagwirizana kwa zakudya: Mmodzi mwa ubwino wa njirayi ndikuti zakudya zonse zikhoza kudyedwa potsatira ndondomekoyi, pamene opaleshoni zina zofunikira ziyenera kuti mupewe zakudya zinazake. Izi sizikutanthauza kuti thupi lidzalekerera mitundu yonse ya zakudya, zikutanthauza kuti palibe zakudya zomwe zimaletsedwa potsatira njirayi.
Kusamba kwa manja: M'masiku oyambirira pambuyo pa opaleshoni, thumba la m'mimba lomwe lilipo ndiloling'ono kwambiri ndipo lidzagwira pafupifupi theka chikho cha chakudya nthawi imodzi.
Patapita nthawi, thumbali limatambasula ndipo limatha kupeza chakudya chokwanira pamodzi. Izi zimathandiza kuti chakudya chambiri chikhale chodyeramo ndipo pamapeto pake chikhoza kutsitsa kulemera kwa kulemera kapena kulemera koyamba.
Dyspepsia: Kudziletsa , kapena kupwetekedwa m'mimba, kungakhale kobwerezabwereza pambuyo pa opaleshoni yamanja ya m'mimba.
Kuledzera Kusintha: Ichi ndi chodabwitsa chimene chikuchitika ndi anthu ena pamene sakanatha kugwiritsa ntchito chakudya monga njira yodzipangira mankhwala. Mwachitsanzo, patatha tsiku lovuta kuntchito, sizingatheke kuti apite kunyumba ndikudyera chidebe chonse cha ayisikilimu, sizingagwirizane m'mimba.
Mitundu ina ya zizolowezi zimakhala zokopa kwambiri monga momwe ziriri zotheka ndi kukula kwa m'mimba mowa-kumwa mowa mwauchidakwa, kugwiritsa ntchito mankhwala osokoneza bongo, ndi kugwiritsira ntchito mankhwala osokoneza bongo kukhala pakati pa opaleshoni ambiri.
Kusudzulana: Ngakhale kuti si vuto lenileni pambuyo pa opaleshoni, kusudzulana ndithudi ndi vuto lomwe lingaganizidwe. Ku United States, mabanja okwana 50 peresenti amatha kuthetsa ukwati, pomwe ena amasonyeza kuti chiwerengero cha chisudzulo pambuyo pa opaleshoni ya bariatric ndi 80 peresenti.
Matenda a Reflux (GERD): Kutentha kwa mtima, pamodzi ndi zizindikiro zina za matenda a reflux odwala matenda a gastro omwe amachititsa kuphwanya, kunyowa, kukhudzidwa kwa thupi, kupwetekedwa m'mimba, kumakhala kofala pambuyo pa opaleshoniyi ndipo nthawi zambiri kumafuna mankhwala.
Kutsekeka kwa m'mimba: Kutsegula ndi kutsekula kwa m'mimba, komwe kumatchedwanso stenosis, kungachititse kuti zikhale zovuta kapena zosatheka kupukuta chakudya. Izi zimakhala zokhazikika ndi dotolo yemwe "amatambasula" kapena opaleshoni amakonza dera lomwe lachepetsedwa.
Zosasintha: Kutuluka kwapadera ndi mndandanda wa mankhwala opatsirana (pus) omwe amapanga thupi m'dera la mthumba. Pachifukwa ichi opaleshoni yamanja yokhala ndi mimba yamkati, opomphana amapezeka m'kati mwa nthata, ena amafuna kuti nthata ichotsedwe, koma izi ndizosawerengeka.
Kuchedwa Kutayika: Mitsinje yambiri yosungunuka, yomwe imadziwikanso ngati kusokonezeka kwa mzere wa suture kapena SLD, imapezeka posachedwa opaleshoni. Nthaŵi zina malo am'mimba omwe anagwedezeka pamodzi adzayamba kutuluka miyezi kapena zaka pambuyo pochita opaleshoni. Izi zikutuluka mofulumira kwambiri kuposa zomwe zimapezeka posachedwa opaleshoni koma zingakhalenso zovuta ndipo zingafunike mankhwala, kuchipatala, kapena opaleshoni kukonza.
Zilonda za m'mimba: Zilonda za m'mimba, zotchedwa zilonda zam'mimba kapena matenda a zilonda zam'mimba (PUD), zimakhala zofala pambuyo pa opaleshoni ya mimba, ndipo nthawi zambiri zimapezeka m'kati mwakumapeto kwa wodwalayo atakhala ndi magazi (amaoneka ngati mdima, tarry stool kapena magazi. kusanza) kapena ululu m'mimba.
Nausea: Nausea ndi imodzi mwa zinthu zomwe anthu ambiri amadwala nazo. Kwa ambiri, vutoli limasintha pambuyo pochira opaleshoni, koma kwa ena vuto limapitirira kwa miyezi kapena ngakhale nthawi yaitali. Mankhwala amakhalapo chifukwa cha mseru, zomwe zingakhale zothandiza kwa ena.
Zojambulajambula: Zojambulazo zimakhala zofala pambuyo pa mitundu yonse ya opaleshoni ya opaleshoni, kupanga cholecystectomy (opaleshoni kuchotsa ndulu) wowonjezera odwala opaleshoni. Azimayi a ku Caucasus omwe ali ndi zaka zoposa 40 omwe ali olemera kwambiri, kapena popanda opaleshoni, amafunikira opaleshoni yamakono pa moyo wawo wonse kapena popanda opaleshoni ya bariatric.
Kutsekula m'mimba: Kwa odwala ena, kutsegula m'mimba ndi vuto lalikulu limene lingapitirire opaleshoni. Nthawi zomwe zimatenga nthawi yaitali, dokotala wa opaleshoni kapena gastroenterologist angathandize kuthetsa kutsekula m'mimba, zomwe zingayambitse kuchepa kwa madzi ndi kusowa kwa zakudya m'thupi.
Kufunika kwa zowonjezera mavitamini: Odwala opaleshoni ambiri omwe amagwiritsa ntchito opaleshoni amafunikira mavitamini ndi minerals pambuyo pa opaleshoni. Mosiyana ndi opaleshoni zambiri za opaleshoni, odwala omwe ali ndi mapulogalamu a m'mimba amatha kusintha mavitamini awo m'matumbo, koma kuchepa kwa chakudya choyenera kumabweretsa mavuto okwanira. Izi zingathandizidwe mwa kudya zakudya zonse, koma ngakhale zakudya zabwino sizingakhale zokwanira kupereka zofunika zonse za thupi.
Kubwereranso: Mmodzi mwa mavuto omwe odwala amatha kudandaula nawo kwambiri ndi kutaya thupi pokhapokha kuti adzichepe mofulumira. Kutaya thupi pambuyo pochita ma opaleshoni yokha kuti mupeze kapena kubwezeretsanso kumayambika kumayambira chaka chachitatu chitatha opaleshoni. Ndondomeko ya Bariatric ndi chida chachikulu cholepheretsa kulemera, koma ngati zizoloŵezi sizikusinthika ndi kusungidwa zimatha kupeza zina kapena zolemetsa zambiri mobwerezabwereza.
Permanency: Opaleshoni, yabwino kapena yoipa, ndi kusintha kosatha kwa mimba. Mosiyana ndi ndondomeko ya gulu la gastric, komwe gulu likhoza kuchotsedwa ngati pali vuto, gawo la m'mimba silingasinthidwe ngati pali zovuta kapena nkhani ndi chimbudzi.
Kuperewera kochepa kuposa njira zina: Anthu omwe ali ndi opaleshoni ya opaleshoni amatha kuchepetsa kulemera kwake ndipo amalephera kuchulukitsa kwambiri poyerekeza ndi opaleshoni yamanja. Izi zinati, opaleshoni imeneyi imatha kupereka zosiyana ndi zovuta za nthawi yaitali. Kusankha opaleshoni ndi chisankho chaumwini chomwe wodwala ndi dokotala wawo opaleshoni amapanga, malinga ndi zosowa zawo.
Matenda a shuga , matenda othamanga kwambiri , ndi zina zotero sizimathetsa: Kwa ena, kuthetsa mavuto aakulu a matenda ndi chifukwa chochitira opaleshoni. Kwa anthu ena, mavutowa samatha opaleshoni, kapena amachoka kwa kanthawi kumapeto kwa miyezi kapena zaka pambuyo poti opaleshoni, kenako abwererenso.
Khungu lopweteka: Izi zimakhala zofala ndi opaleshoni zonse zolemetsa ndipo zimakhala chifukwa cha khungu lomwe limatambasula panthawi ya kunenepa kwambiri. Opaleshoni ilipo kuchotsa khungu loposa, koma opaleshoni ambiri amafuna kuyembekezera kuti kulemera kwa wodwalayo kwakhazikika kwa zaka chimodzi kapena ziwiri musanachotse khungu lowonjezera.
Kulephera kutenga chakudya chokwanira: Kutaya kwambiri kulemera kungamve ngati zotsatira zabwino kwa munthu amene akufuna kutaya mapaundi zana kapena kuposerapo, koma zoona zake ndi zosiyana kwambiri. N'zotheka kuti thumba la m'mimba likhale laling'ono kwambiri, kapena chifukwa cha zina zomwe zingapangitse thumba laling'onoting'ono kuti likhale laling'ono kusiyana ndi cholinga, zomwe zimapangitsa kuti asathe kudya kuchuluka kwa chakudya chokwanira kuti pakhale thupi. Magaziniyi siidzakhala yoonekeratu m'miyezi yoyambirira itatha opaleshoni koma idzakhala yoonekeratu komanso yovuta pamene wodwala sangakwanitse kulemera kwake ndikukhala wochepa kwambiri.
Kusadya zakudya m'thupi: Nkhaniyi imabwera m'njira zosiyanasiyana. Pakhoza kuchepetsa kudya mu mchere ndi mavitamini omwe amachititsa kuti asakhale ndi zakudya zowonjezera zofunika. Pakhoza kukhala kulephera kutenga makilogalamu okwanira. Pangakhale vuto ndikumadya makilogalamu okwanira ndi zakudya, chifukwa cha mavuto monga kutsekula m'mimba, nseru, kapena zina. Kusadya zakudya m'thupi kungakhale koopsa kwambiri ndipo kungatenge zakudya zowonjezereka, mankhwala, ndi zina zomwe zingathandize kuti wodwalayo akhale bwino.
Nthenda yosakanikirana : Chomera chimatha kupanga malo ena opangira opaleshoni. Zowopsazi zimachepetsedwa ndi njira zamakono zopangira opaleshoni (laparoscopic), koma kachilombo kamatha kupangika miyezi ndi zaka chitatha opaleshoni. Kawirikawiri, izi zimawoneka ngati kamphindi kakang'ono pamalo ochezera opaleshoni.
Matenda a m'mimba: Ziwalo ndi ziphuphu za mimba zimakhala zowonongeka mwachibadwa, zimawalola kusuntha ndi kusunthirana pambali monga kuyenda, kupotoza, ndi kuyenda. Pambuyo pa opaleshoni, kupweteka kungapangitse tizilomboti kuti "tigwirane" wina ndi mzake, ndipo izi zimayambitsa kukopa komwe kumakhala kosautsa ndi zopweteka ndi kuyenda.
> Zotsatira:
> Kupangika kwa manja kwa laparoscopic kumagwirizanitsa ndi njira zina zochitira opaleshoni: njira yowonongeka ya mayesero osadziwika. https://www.ncbi.nlm.nih.gov/pubmed/23993246
> Yothetsera mwamsanga kapena mankhwala a nthawi yayitali? Mapindu ndi mavuto a opaleshoni ya bariatric. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470459/#!po=29.3103
> Kubwereza kwa kutaya kwa thupi kwa nthawi yayitali zotsatira pambuyo pa laparoscopic manja. https://www.ncbi.nlm.nih.gov/pubmed/24507083