I-Laparoscopic banding banding

I-laparoscopic gastric banding ukuhlinzwa ukusiza ekunciphiseni isisindo. Udokotela ohlinzayo ubeka ibhande elizungeze ingxenye engenhla yesisu sakho ukudala isikhwama esincane sokubamba ukudla. Ibhendi ikhawulela inani lokudla ongakudla ngokukwenza uzizwe ugcwele ngemuva kokudla ukudla okuncane.

Ngemuva kokuhlinzwa, udokotela wakho angalungisa ibhande ukwenza ukudla kudlule kancane noma ngokushesha esiswini sakho.

Ukuhlinzwa kokudlula esiswini yisihloko esihlobene.

Uzothola i-anesthesia ejwayelekile ngaphambi kwalokhu kuhlinzwa. Uzobe ulele futhi ungakwazi ukuzwa ubuhlungu.

Ukuhlinzwa kwenziwa kusetshenziswa ikhamera encane efakwa esiswini sakho. Lolu hlobo lokuhlinzwa lubizwa ngokuthi yi-laparoscopy. Ikhamera ibizwa nge-laparoscope. Ivumela udokotela wakho ohlinzayo ukuthi abone ngaphakathi esiswini sakho. Kulokhu kuhlinzwa:

• Udokotela wakho ohlinzayo uzokwenza ukusikeka oku-1 kuya kwezi-5 okuncane esiswini sakho. Ngalokhu kusikeka okuncane, udokotela ohlinzayo uzobeka ikhamera nezinsimbi ezidingekayo ukwenza ukuhlinzwa.
• Udokotela wakho ohlinzayo uzobeka ibhande elizungeze ingxenye engenhla yesisu sakho ukusihlukanisa nengxenye engezansi. Lokhu kwakha isikhwama esincane esinokuvula okuncane okungena engxenyeni enkulu, engezansi yesisu sakho.
• Ukuhlinzwa akubandakanyi ukufakwa ngaphakathi kwesisu sakho.
• Ukuhlinzwa kwakho kungathatha imizuzu engama-30 kuya kwengu-60 kuphela uma udokotela wakho ohlinzayo enze lezi zinqubo eziningi.

Uma udla ngemuva kokuhlinzwa lokhu, isikhwama esincane sizogcwala ngokushesha. Uzozizwa usuthi ngemuva kokudla inani elincane lokudla. Ukudla okusesikhwameni esincane esincane kuzothululela kancane kancane engxenyeni enkulu yesisu sakho.

Ukuhlinzwa kwesisindo kungaba yindlela ongakhetha kuyo uma ukhuluphele kakhulu futhi ungakwazanga ukwehlisa isisindo ngokudla nangokuzivocavoca umzimba.

I-laparoscopic gastric banding akuyona "indlela esheshayo" yokukhuluphala. Izoshintsha kakhulu indlela ophila ngayo. Kumele udle futhi uvivinye umzimba ngemuva kwalokhu kuhlinzwa. Uma ungakwenzi, ungahle ube nezinkinga noma wehle ngesisindo somzimba.

Abantu abenza lokhu kuhlinzwa kufanele bazinze ngokomqondo futhi banganciki otshwaleni noma ezidakamizweni ezingekho emthethweni.

Odokotela bavame ukusebenzisa izinyathelo ezilandelayo zomzimba womzimba (BMI) ukukhomba abantu okungenzeka ukuthi bazuze ekuhlinzweni kwesisindo. I-BMI ejwayelekile iphakathi kuka-18.5 no-25. Le nqubo inganconyelwa wena uma une:

• I-BMI engama-40 noma ngaphezulu. Lokhu kuvame ukuthi kusho ukuthi amadoda anesisindo esingamakhilogremu angu-45 futhi abesifazane bangamakhilogremu angama-80 ngaphezu kwesisindo sabo esifanele.
• I-BMI engama-35 noma ngaphezulu nesimo esibi sezempilo esingathuthuka ngokulahleka kwesisindo. Ezinye zalezi zimo ukuphefumula ubuthongo, uhlobo 2 sikashukela, umfutho wegazi ophakeme nesifo senhliziyo.

Izingozi ze-anesthesia nanoma yikuphi ukuhlinzwa zifaka:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula
• Amahlule egazi emilenzeni angahambela emaphashini akho
• Ukwehla kwegazi
• Ukutheleleka, kufaka phakathi indawo yokuhlinzwa, amaphaphu (i-pneumonia), noma isinye noma izinso
• Ukuhlaselwa yisifo senhliziyo noma ukushaywa unhlangothi ngesikhathi sokuhlinzwa noma ngemuva kwaso

Izingozi zokuboshwa kwe-gastric yilezi:

• Ibhande le-Gastric liguguleka esiswini (uma lokhu kwenzeka, kufanele lisuswe).
• Isisu singashibilika ngebhendi. (Uma lokhu kwenzeka, ungadinga ukuhlinzwa okuphuthumayo.)
• I-gastritis (ulwelwesi oluvuvukele ulwelwesi), isilungulela, noma izilonda zesisu.
• Ukutheleleka ethekwini, okungadinga ama-antibiotics noma ukuhlinzwa.
• Ukulimala esiswini sakho, emathunjini, noma kwezinye izitho ngesikhathi sokuhlinzwa.
• Ukungondleki kahle.
• Ukuqhuma ngaphakathi esiswini sakho, okungaholela ekuvinjelweni emathunjini akho.
• Udokotela wakho ohlinzayo kungenzeka angakwazi ukufinyelela echwebeni lokufinyelela ukuqinisa noma ukukhulula ibhendi. Uzodinga ukuhlinzwa okuncane ukulungisa le nkinga.
• Imbobo yokungena ingahle ibheke phezulu ubheke phansi, kwenze kungakwazi ukufinyelela kuyo. Uzodinga ukuhlinzwa okuncane ukulungisa le nkinga.
• Ishubhu esiseduze nechweba lokufinyelela lingabhobozwa ngengozi ngesikhathi sokungena kwenaliti. Uma lokhu kwenzeka, iqembu alikwazi ukuqiniswa. Uzodinga ukuhlinzwa okuncane ukulungisa le nkinga.
• Ukuhlanza ekudleni ngaphezu kwesikhwama sakho sesisu kungabamba.

Udokotela wakho ohlinzayo uzokucela ukuthi uhlolwe futhi uvakashelwe nabanye abahlinzeki bakho bezokunakekelwa kwempilo ngaphambi kokuba uhlinzwe. Ezinye zazo yilezi:

• Ukuhlolwa kwegazi nokunye ukuhlola ukuze uqiniseke ukuthi uphilile ngokwanele ukuze uhlinzwe.
• Amakilasi okuzokusiza ufunde ukuthi kwenzekani ngesikhathi sokuhlinzwa, ukuthi yini okufanele uyilindele ngemuva kwalokho, nokuthi yiziphi izingcuphe noma izinkinga ezingaba khona.
• Qedela ukuhlolwa ngokomzimba.
• Ukwelulekwa ngokudla okunempilo.
• Vakashela nomhlinzeki wezempilo yengqondo ukuze uqiniseke ukuthi ukulungele ngokomzwelo ukuhlinzwa okukhulu. Kufanele ukwazi ukwenza izinguquko ezinkulu empilweni yakho ngemuva kokuhlinzwa.
• Ukuhambela nomhlinzeki wakho ukuqiniseka ukuthi ezinye izinkinga zezokwelapha ongahle ube nazo, njengesifo sikashukela, umfutho wegazi ophakeme, nezinkinga zenhliziyo noma zamaphaphu, ziyalawulwa.

Uma ubhema, kufanele uyeke ukubhema emasontweni ambalwa ngaphambi kokuhlinzwa futhi ungaphinde uqale ukubhema ngemuva kokuhlinzwa. Ukubhema kubambezela ukululama futhi kwenyusa ubungozi bezinkinga ngemuva kokuhlinzwa. Tshela umhlinzeki wakho uma udinga usizo lokuyeka.

Njalo utshele umhlinzeki wakho:

• Uma ukhulelwe noma kungenzeka ukhulelwe
• Imiphi imithi, amavithamini, amakhambi, nezinye izithako ozithathayo, ngisho naleyo oyithenge ngaphandle kadokotela

Phakathi nesonto ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), uvithamini E, i-warfarin (i-Coumadin), kanye neminye imithi eyenza kube nzima ukuthi igazi lakho ligodle.
• Buza ukuthi imiphi imithi oyiphuzayo ngosuku lokuhlinzwa kwakho.

Ngosuku lokuhlinzwa kwakho:

• UNGADLI noma uphuze noma yini amahora ayisithupha ngaphambi kokuhlinzwa kwakho.
• Thatha imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.

Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela.

Cishe uzobuyela ekhaya ngosuku lokuhlinzwa. Abantu abaningi bayakwazi ukuqala imisebenzi yabo ejwayelekile ezinsukwini ezi-1 noma ezi-2 ngemuva kokuya ekhaya. Iningi labantu lithatha isonto elilodwa emsebenzini.

Uzohlala kuziphuzo noma ekudleni okugayiwe amasonto ama-2 noma ama-3 ngemuva kokuhlinzwa. Uzongeza kancane ukudla okuthambile, bese ukudla okujwayelekile, ekudleni kwakho. Emasontweni ayisithupha emva kokuhlinzwa, cishe uzokwazi ukudla ukudla okujwayelekile.

Ibhande lenziwe ngenjoloba ekhethekile (irabha lesilika). Ingaphakathi leqembu linebhaluni elifuthwayo. Lokhu kuvumela ukuthi ibhendi ilungiswe. Wena nodokotela wakho ninganquma ukuyikhulula noma niyiyiqinise ngokuzayo ukuze nikwazi ukudla kakhulu noma okuncane.

Ibhendi ixhunywe ethekwini lokungena elingaphansi kwesikhumba esiswini sakho. Ibhande lingaqiniswa ngokufaka inaliti echwebeni bese ligcwalisa ibhaluni (ibhendi) ngamanzi.

Udokotela wakho ohlinzayo angenza ibhande liqine noma likhululeke nganoma yisiphi isikhathi ngemuva kokuhlinzwa lokhu. Kungase kuqiniswe noma kukhululwe uma:

• Unenkinga yokudla
• Ukungalahli isisindo esanele
• Ukuhlanza ngemuva kokudla

Ukwehla kwesisindo sokugcina nge-banding esiswini akukukhulu njengokunye ukuhlinzwa kwesisindo. Ukwehla kwesisindo okumaphakathi cishe ingxenye eyodwa kwezintathu kuya kwengxenye yesisindo esengeziwe osithweleyo. Lokhu kungakwanela abantu abaningi. Khuluma nomhlinzeki wakho mayelana nokuthi iyiphi inqubo ekufanele kakhulu.

Ezimweni eziningi, isisindo sizophuma kancane kakhulu kunokunye ukuhlinzwa kwesisindo. Kufanele uqhubeke nokwehlisa isisindo kuze kube yiminyaka emithathu.

Ukulahlekelwa isisindo esanele ngemuva kokuhlinzwa kungathuthukisa izimo eziningi zezokwelapha ongahle ube nazo, njenge:

• Isifuba Somoya
• Isifo se-reflux se-gastroesophageal (GERD)
• Umfutho wegazi ophezulu
• I-cholesterol ephezulu
• I-apnea yokulala
• Thayipha 2 sikashukela

Ukukala okuncane kufanele futhi kukwenze kube lula kakhulu kuwe ukuhambahamba nokwenza imisebenzi yakho yansuku zonke.

Lokhu kuhlinzwa kukodwa akusona isisombululo sokwehlisa isisindo. Kungakuqeqesha ukuthi udle kancane, kepha kusamele wenze umsebenzi omningi. Ukwehlisa isisindo nokugwema izinkinga ezivela kule nqubo, uzodinga ukulandela ukuzivocavoca kanye nemihlahlandlela yokudla okunikezwe ngumhlinzeki wakho kanye nodokotela wezokudla.

I-Lap-Band; I-LAGB; I-laparoscopic ibhendi esiswini engaguqulwa; Ukuhlinzwa kwe-Bariatric - i-laparoscopic banding gastric; Ukukhuluphala ngokweqile - ukubopha isisu; Ukwehla kwesisindo - ukubopha esiswini

• Ngemuva kokuhlinzwa kwesisindo - yini ongayibuza udokotela wakho
• Ngaphambi kokuhlinzwa kwesisindo - yini okufanele ubuze udokotela wakho
• Ukuhlinzwa kokudlula esiswini - ukukhipha
• I-laparoscopic gastric banding - ukukhipha
• Ukudla kwakho ngemuva kokuhlinzwa kokudlula esiswini

• Ukubhinca esiswini okungaguquguquki

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URichards WO. Ukukhuluphala ngokweqile. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 47.

USullivan S, Edmundowicz SA, uMorton JM. Ukwelashwa kokuhlinzwa kanye ne-endoscopic yokukhuluphala. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 8.