Ukuhlinzwa Kokwehlisa Isisindo Kusebenza Kanjani

-Delile

• Lapho ukuhlinzwa kungaboniswa
• Amasu wokuhlinzwa kwe-bariatric
• Izinhlobo zokuhlinzwa kwesisindo
• 1. Ibhendi ye-Gastric yokwehlisa isisindo
• 2. Ukudlula esiswini ukunciphisa umzimba
• 3. Ibhaluni le-intragastric ukuze unciphise isisindo
• 4. I-gastrectomy evundlile yokwehlisa isisindo
• Izixhumanisi eziwusizo:

Ukuhlinzwa kwesisindo, okwaziwa ngokuthi ukuhlinzekwa kwe-bariatric, okufana nokubopha esiswini noma ukudlula, ngokwesibonelo, kusebenza ngokuguqula isisu nokuguqula inqubo ejwayelekile yokugaya ukudla nokumunca izakhi zomzimba, kusize abantu ukuba banciphise umzimba futhi bathole ikhwalithi yempilo.

Ukuhlinza ukwehlisa isisindo kuboniswa kubantu abane-BMI enkulu kune-35 noma i-40, njengoba kubhekwa njengokukhuluphala noma ukukhuluphala ngokweqile futhi, ngokujwayelekile, ukuhlinzwa kusiza ukwehlisa phakathi kwesisindo esingu-10% kuya ku-40%.

Lapho ukuhlinzwa kungaboniswa

Ukuhlinzwa ukunciphisa umzimba kuvame ukunconywa ngudokotela lapho ingekho enye isu lokunciphisa isisindo elinomphumela, okungukuthi, uma kungenjalo nangokudla, ukuvivinya umzimba, izithasiselo noma imishanguzo umuntu akwazi ukwehlisa isisindo esimisiwe.

Uhlobo lokuhlinzwa luyahlukahluka ngokwenhloso yokwehlisa isisindo:

• Ukwenza ngcono impilo, kulezi zimo kunconywa ukuthi wenzeukuhlinzwa nge-bariatric, lapho kuncishiswa khona ubukhulu besisu ukuze inani lokudla okufakiwe lincane, okukhuthaza ukwehla kwesisindo. Lokhu kuhlinzwa kukhonjiswa kubantu abanesifo sokukhuluphala ngokweqile futhi kubalulekile ukuthi ngemuva kokuhlinzwa lowo muntu, ngaphandle kokuhambisana nodokotela we-endocrinologist, unokudla okwanele futhi enze imikhuba yokuzivocavoca umzimba;
• I-Aesthetics, lapho ukusebenza kwe-ukufakwa liposuction, okuhlose ukususa izingqimba zamafutha. Lokhu kuhlinzwa akubhekwa njengokuhlinzwa kokuncipha, ngoba akukhuthazi ukulahleka kwesisindo, kepha ukuhlinzwa kobuhle lapho kungenzeka khona ukuqeda inani elikhulu lamafutha asendaweni ngokushesha okukhulu.

Ukusebenza kokuhlinzwa kufanele kuboniswe ngudokotela ngokuya ngezidingo zomuntu nobudlelwano phakathi kokuncipha kanye nempilo ethuthukisiwe. Ngaphezu kokuhlinzwa, kunezinye izindlela zobuhle ezisiza ukuqeda amafutha asendaweni ngaphandle kwesidingo sokuhlinzwa, njenge-lipocavitation, cryolipolysis kanye ne-radiofrequency, ngokwesibonelo. Funda kabanzi mayelana nokwelashwa ukuze ulahlekelwe yisisu.

Amasu wokuhlinzwa kwe-bariatric

Ngokuvamile, ukuhlinzwa kwesisindo kwenziwa ngaphansi kwe-anesthesia ejwayelekile, futhi kungenziwa ngu i-laparotomy, lisika kakhulu ukuvula isisu sesiguli, lishiya isibazi esingamasentimitha ayi-15 kuye kwangama-25 ngaphezu kwesibazi senkaba noma phakathi laparoscopy, kwenziwa izimbobo ezithile esiswini, lapho kudlula khona izinsimbi nekhamera yevidiyo ukwenza ukuhlinzwa, kushiye isiguli sinesibazi esincane kakhulu cishe esingu-1 cm.

Ngaphambi kokuhlinzwa, isiguli kufanele sihlolwe ngudokotela, sihlolwe igazi bese senza i-endoscopy ephezulu yamathumbu ukuze sihlole ukuthi siyakwazi yini ukuhlinzwa nge-bariatric. Ngaphezu kwalokho, ezimweni ezijwayelekile, ukuhlinzwa kungathatha phakathi kwehora elilodwa kuya kwele-3, futhi ubude bokuhlala esibhedlela bungahluka phakathi kwezinsuku ezintathu kuya kwesonto.

Izinhlobo zokuhlinzwa kwesisindo

Ukuhlinzwa kwesisu okujwayeleke kakhulu okusiza ukuthi unciphise umzimba kufaka ukubekwa kwebhande le-gastric, ukudlula esiswini, i-gastrectomy kanye nebhaluni le-intragastric.

1. Ibhendi ye-Gastric yokwehlisa isisindo

Ibhande le-gastric wukuhlinzwa kokunciphisa isisindo okubandakanya ukubeka ibhande elizungeze ingxenye engenhla yesisu nokuhlukanisa isisu izingxenye ezimbili, okuholela ekutheni umuntu adle ukudla okuncane, ngoba isisu sakhe sincane.

Kulokhu kuhlinzwa, akukho ukusikwa okwenziwayo esiswini, kucindezelwa kuphela kube sengathi yibhaluni, lehla ngosayizi. Funda kabanzi ku: Ibhendi ye-Gastric ukunciphisa umzimba.

2. Ukudlula esiswini ukunciphisa umzimba

Ekudluleni kwesisu, kwenziwa ukusika esiswini okukuhlukanisa kube izingxenye ezimbili, encane futhi enkulu. Ingxenye encane yesisu iyona esebenzayo futhi enkulu kunazo zonke, yize ingenamsebenzi, isemzimbeni.

Ngaphezu kwalokho, ukuxhumana okuqondile kwenziwa phakathi kwesisu esincane nengxenye yamathumbu okuthi, ngokuba nendlela emfushane, kuholele ekumuncekeni kwezakhamzimba ezincane kanye namakhalori. Thola okuningi ku: Ukudlula esiswini ukunciphisa umzimba.

3. Ibhaluni le-intragastric ukuze unciphise isisindo

Enkambeni yamabhaluni entragastric, ibhaluni lifakwa ngaphakathi esiswini, elenziwe nge-silicone futhi ligcwele usawoti. Lapho umuntu efaka ukudla, kuphezu kwebhaluni, kunikeze umuzwa wokusutha ngokushesha okukhulu.

Lokhu kuhlinzwa kwenziwa nge-endoscopy, ngaphandle kwesidingo se-anesthesia ejwayelekile futhi kuholele ekulahlekelweni kwesisindo somzimba esifinyelela ku-13%. Kodwa-ke, ibhaluni kufanele lisuswe ezinyangeni eziyisithupha ngemuva kokubekwa. Bona okuningi ku: ibhaluni le-Intragastric ukuze unciphise isisindo.

4. I-gastrectomy evundlile yokwehlisa isisindo

I-Gastrectomy iqukethe ukususa ingxenye yesobunxele yesisu nokususa i-ghrelin, eyi-hormone ebhekele umuzwa wendlala, ngakho-ke, iholela ekwehleni kwesifiso nokwehla kokudla.

Kulesi ukuhlinzwa, ukumuncwa okuvamile kwezakhi kwenzeka, njengoba amathumbu engashintshi, kuze kufike ku-40% wesisindo sokuqala kungalahleka. Funda kabanzi ku: I-Ventical gastrectomy ukunciphisa umzimba.

Izixhumanisi eziwusizo:

• Ungazikhulula Kanjani Izimpawu Zesifo Sokulahla Ukulahla

• Ukuhlinzwa kwe-Bariatric