Ufika nini ku-Gastric Bypass ukuze wehlise isisindo

-Delile

• Iyini intengo yokuhlinzwa
• Kwenziwa kanjani ukudlula esiswini
• Lulama kanjani
• Izinkinga ezingenzeka

Ukudlula esiswini, okwaziwa nangokuthi ukudlula kwe-Y URoux noma ukuhlinzwa kweFobi-Capella, uhlobo lokuhlinzwa okungaholela ekulahlekelweni kwesisindo sokuqala esingafika kuma-70% futhi liqukethe ukunciphisa isisu nokuguqula amathumbu, okwenza umuntu adle kancane, ekugcineni anciphe.

Njengoba kuwuhlobo lokuhlinzwa oludala ushintsho olukhulu ohlelweni lokugaya ukudla, ukwedlula kukhonjiswa kuphela kubantu abane-BMI enkulu kuno-40 kg / m² noma nge-BMI enkulu kuno-35 kg / m², noma kunjalo, asebeke bahlupheka enye inkinga yezempilo etholwe isisindo esiningi futhi, ngokuvamile, yenziwa kuphela lapho amanye amasu, njengokufakwa kwebhande le-gastric noma ibhaluni esiswini, engenayo imiphumela ayifunayo.

Yazi izinhlobo eziyinhloko zokuhlinzwa kwe-bariatric nokuthi ungayisebenzisa nini.

Ukudlula kwe-Laparoscopy

Iyini intengo yokuhlinzwa

Inani lokuhlinzwa kokudlula esiswini kuncike emtholampilo lapho wenziwa khona kanye nokulandela okudingekayo ngaphambi nangemva kokuhlinzwa, okuphakathi kuka-15,000 no-45,000 reais, lokhu sekuvele kufaka bonke ochwepheshe ababambe iqhaza ku-pre, intra and postoperative, ngaphezu yonke imithi edingekayo.

Kwezinye izimo, ukwedlula kungenziwa ku-SUS mahhala, ikakhulukazi uma kunengozi yokuba nezinkinga ezinkulu zempilo ngenxa yokukhuluphala ngokweqile, okudinga ukuhlolwa okunzima ngudokotela wesisu.

Kwenziwa kanjani ukudlula esiswini

Ukudlula esiswini ku y URoux ukuhlinzwa okuyinkimbinkimbi okwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kuthatha isilinganiso samahora ama-2, kunconywa ukuhlala phakathi kwezinsuku ezi-3 kuye kwezingu-5. Ukwenza ukudlula, udokotela udinga ukwenza izinyathelo ezimbalwa:

1. Sika isisu namathumbu: kusikwa kwenziwa esiswini eduze komphimbo okukuhlukanisa kube izingxenye ezimbili, ingxenye encane kakhulu, ngesimo sesikhwama, nengxenye enkulu, ehambelana naso sonke isisu futhi elahlekelwa umsebenzi wayo omningi , eyeka ukugcina ukudla. Ngaphezu kwalokho, kuyasikwa engxenyeni yokuqala yamathumbu, ebizwa ngejejunum;
2. Hlanganisa ingxenye yamathumbu esiswini esincane:indawo eqondile yokudla ngendlela yeshubhu idalwa;
3. Xhuma ingxenye yamathumbu ebixhunywe engxenyeni enkulu yesisu kuthumbu. lesi sibopho sivumela ukudla, okuvela kwisibopho sangaphambilini esenziwe, ukuxubana nama-enzyme wokugaya ukudla, ukugaya okwenzekayo.

Ngokuvamile, lokhu kuhlinzwa kwenziwa nge-videolaparoscopy, enemigodi emincane emi-4 kuye kwayi-6 esiswini evumela ukudlula kwegumbi elincane lezinsimbi ukwenza ukuhlinza. Ngokwale nqubo, udokotela ohlinzayo ubheka ingaphakathi lomzimba esikrinini, eyale izinsimbi. Funda kabanzi ku: Videolaparoscopy.

Ukuhlinzwa kungenziwa futhi nge-laparotomy, ngokuvulwa ngokuphelele kwesisu, noma kunjalo, kuyinqubo eletha izingozi eziningi kune-laparoscopy.

Ukudlula esiswini ukwehlisa isisindo kubangela ukulahleka okufika ku-70% wesisindo sokuqala futhi kuvumela ukugcina lokhu kulahleka eminyakeni edlule, ngoba ngaphezu kwesiguli esisuthi ngokushesha, ukuguqulwa kwamathumbu, kuholela ekumungeni okuncane kwalokho kufakiwe.

Lulama kanjani

Ukutholwa kokudlula esiswini kuhamba kancane futhi kungathatha phakathi kwezinyanga eziyisithupha kuya onyakeni owodwa, ngokuncipha kwesisindo kukhulu kakhulu ezinyangeni ezintathu zokuqala. Ukuqinisekisa ukululama okungcono, kuyadingeka ukuthatha izinyathelo ezithile zokuqapha ezifana nalezi:

• Landela indlela yokudla ekhonjiswe yisazi sokudla, eshintsha emavikini. Funda kabanzi ku: Ukudla ngemuva kokuhlinzwa nge-bariatric.
• Ukuthatha izithako zamavithamini, njenge-iron noma i-vithamini B12 ngenxa yengozi ye-anemia engapheli;
• Bopha isisu esikhungweni sezempilo isonto elilodwa ngemuva kokuhlinzwa;
• Susa idreyini, okuyisitsha lapho uketshezi oluningi luphuma khona ku-stoma, ngokusho kweseluleko sezokwelapha.
• Ukuthatha izidakamizwa ezivimbela ukukhiqizwa kwe-asidi, njenge-Omeprazole ngaphambi kokudla ukuvikela isisu njengokuyalelwa ngudokotela;
• Gwema imizamo ezinsukwini ezingama-30 zokuqala ukuvimbela noma yiziphi izibopho ekukhululeni.

Imiphumela yalokhu kuhlinzwa kwe-bariatric izovela emasontweni, noma kunjalo, kungadingeka ukwenza ukuhlinzwa kwezimonyo, njenge-abdominoplasty, unyaka owodwa kuya kwemibili ngemuva kwalokho ukususa isikhumba eseqile.

Funda kabanzi mayelana nokululama ku: Ukululama kanjani ekuhlinzweni kwe-bariatric.

Izinkinga ezingenzeka

Kuvamile ukuthi umuntu onendlela eyeqayo abe nesicanucanu, ukuhlanza, isilungulela noma isifo sohudo ngenyanga yokuqala ngemuva kokuhlinzwa. Kodwa-ke, izinkinga ezinzima kakhulu zalokhu kuhlinzwa zifaka:

• Isibazi fistula isisu noma amathumbu, okungakhuphula amathuba okutheleleka, njenge-peritonitis noma i-sepsis, isibonelo;
• Ukopha kakhulu endaweni yesibazi esiswini;
• I-anemia engapheli, ikakhulukazi ngenxa yokushoda kukavithamini B12;
• Ukulahla isifo, okudala izimpawu ezifana nesicanucanu, amajaqamba emathumbu, ukuquleka kanye nohudo ngemuva kokudla komuntu. Bona okuningi ku-: Ungazikhulula kanjani izimpawu zeDumping Syndrome.

Kwezinye izimo, umuntu angadinga nokuhlinzwa okuqhubekayo ukulungisa inkinga.

Buka le vidiyo elandelayo bese ubona ukuthi yiziphi izimo ezinconyelwa ukuhlinzwa nge-bariatric: