Opaleshoni yolambalala m'mimba - kutulutsa

Munali mchipatala kuti muchitidwe opaleshoni yam'mimba kuti muchepetse kunenepa. Nkhaniyi ikukuuzani zomwe muyenera kudziwa kuti mudzisamalire m'masiku ndi milungu ingapo opaleshoni.

Munali ndi opaleshoni yopanga m'mimba kukuthandizani kuti muchepetse thupi. Dokotala wanu amagwiritsa ntchito chakudya kuti mugawane m'mimba mwanu kachigawo kakang'ono kakang'ono, kotchedwa thumba, ndi gawo lalikulu pansi. Kenako dokotalayo adasoka gawo lina la m'matumbo anu pang'ono mpaka pakabowo kakang'ono m'thumba laling'onoli. Chakudya chomwe mumadya tsopano chimalowa m'thumba lanu laling'ono, kenako ndikumatumbo anu ang'ono.

Mwina mudakhala 1 mpaka 3 masiku mchipatala. Mukapita kunyumba mukakhala mukudya zakumwa kapena zakudya zoyera. Muyenera kuyendayenda popanda vuto lalikulu.

Muchepetsa thupi mwachangu m'miyezi itatu kapena isanu ndi umodzi yoyamba. Munthawi imeneyi, mutha:

• Khalani ndi zowawa za thupi
• Kumva kutopa ndi kuzizira
• Khalani ndi khungu louma
• Khalani ndi kusintha kwa malingaliro
• Tsitsani tsitsi kapena kupatulira tsitsi

Mavutowa ayenera kutha pamene thupi lanu lizolowera kulemera kwanu ndipo kulemera kwanu kumakhala kolimba. Chifukwa cha kuchepa thupi kwakanthawi, muyenera kusamala kuti mupeze zakudya komanso mavitamini onse omwe mumafunikira.

Kuchepetsa thupi kumachepetsa pakatha miyezi 12 mpaka 18.

Mudzakhalabe ndi chakudya chamadzimadzi kapena chotsuka kwa milungu iwiri kapena itatu mutachitidwa opaleshoni. Mudzawonjezera pang'onopang'ono zakudya zofewa kenako chakudya chokhazikika, monga omwe amakuthandizani azaumoyo kuti akuuzeni. Kumbukirani kudya magawo ang'onoang'ono ndikutafuna kuluma kulikonse pang'onopang'ono komanso kwathunthu.

Osadya ndi kumwa nthawi yomweyo. Imwani madzi osachepera mphindi 30 mutadya chakudya. Imwani pang'onopang'ono. Sip mukamwa. Osamamwa. Wothandizira anu akhoza kukuwuzani kuti musagwiritse ntchito udzu, chifukwa ungabweretse mpweya m'mimba mwanu.

Wothandizira anu azikuphunzitsani za zakudya zomwe muyenera kudya komanso zakudya zomwe simuyenera kuzipeza.

Kukhala wachangu posachedwa opaleshoni kudzakuthandizani kuti mupeze msanga. Sabata yoyamba:

• Yambani kuyenda pambuyo pa opaleshoni. Yendani mozungulira nyumba ndikusamba, ndikugwiritsa ntchito masitepe apanyumba.
• Ngati zimakupweteketsani mukamachita zinazake, siyani kuchita izi.

Ngati mwachita opaleshoni yamtundu wa laparoscopic, muyenera kuchita zambiri pazomwe mumachita m'masabata awiri kapena anayi. Zitha kutenga masabata khumi ndi awiri ngati mwachitidwa opareshoni yotseguka.

Isanafike nthawi ino, Osatero:

• Kwezani chilichonse cholemera kuposa mapaundi 10 mpaka 15 mpaka mutawona omwe akukupatsani
• Chitani chilichonse chomwe chikuphatikiza kukankha kapena kukoka
• Dzikakamizeni kwambiri. Onjezani momwe mumachita masewera olimbitsa thupi pang'onopang'ono
• Yendetsani kapena gwiritsani ntchito makina ngati mukumwa mankhwala opweteka. Mankhwalawa amakupangitsani kuti mugone. Kuyendetsa galimoto ndi kugwiritsa ntchito makina sikuli bwino mukamawatenga. Funsani kwa omwe akukuthandizani za nthawi yomwe mungayambire kuyendanso mutatha opaleshoni.

Chitani:

• Yendani pang'ono ndikukwera ndi kutsika masitepe.
• Yesani kudzuka ndikuyenda ngati mukumva kupweteka m'mimba. Zingathandize.

Onetsetsani kuti nyumba yanu yakonzedwa kuti muzitha kuchira, kuti mupewe kugwa ndikuwonetsetsa kuti muli bwino kubafa.

Ngati wothandizira wanu akunena kuti zili bwino, mungayambe pulogalamu yochita masewera olimbitsa thupi masabata awiri kapena anayi mutatha opaleshoni.

Simuyenera kuchita nawo masewera olimbitsa thupi kuti muchite masewera olimbitsa thupi. Ngati simunachite masewera olimbitsa thupi kapena kukhala otanganidwa kwanthawi yayitali, onetsetsani kuti mwayamba pang'onopang'ono kuti mupewe kuvulala. Kuyenda mphindi 5 mpaka 10 tsiku lililonse ndi chiyambi chabwino. Onjezani ndalamayi mpaka mutayenda mphindi 15 kawiri patsiku.

Mutha kusintha mavalidwe tsiku lililonse ngati omwe akukupatsani akukuuzani kuti muchite choncho. Onetsetsani kuti musintha kavalidwe kanu ikafika kodetsa kapena konyowa.

Mutha kukhala ndi zipsera pamabala anu. Izi si zachilendo. Icho chidzachoka chokha. Khungu lozungulira zomwe mumachita limatha kukhala lofiira pang'ono. Izi si zachilendo, inenso.

Osamavala zovala zolimba zomwe zimakupikirani pazomwe mukuchita mukamachira.

Valani (bandage) pachilonda panu paukhondo ndi pouma. Ngati pali ma sutures (stitch) kapena staples, amachotsedwa patatha masiku 7 mpaka 10 atachitidwa opaleshoni. Zitsulo zina zimatha kusungunuka zokha. Wopereka wanu angakuuzeni ngati muli nawo.

Pokhapokha mukauzidwa mwanjira ina, musasambe mpaka mukadzakumananso ndi omwe akukuthandizani. Mukatha kusamba, lolani madzi kuti adutse pamisili yanu, koma osakokolola kapena kulola kuti madziwo ayambe kugunda.

Musati mulowe mu bafa, dziwe losambira, kapena chubu chotentha mpaka wothandizira anu atanena kuti zili bwino.

Sindikizani mtsamiro pazomwe mukuchita mukamayenera kutsokomola kapena kuyetsemula.

Mungafunike kukamwa mankhwala mukamapita kunyumba.

• Mungafunike kudzipatsa zipolopolo pansi pa khungu la mankhwala ochepetsa magazi kwa milungu iwiri kapena kupitilira apo kuti muteteze magazi. Wopereka wanu akuwonetsani momwe mungachitire.
• Mungafunike kumwa mankhwala kuti mupewe miyala yamtengo wapatali.
• Muyenera kumwa mavitamini ena omwe thupi lanu silingatengere bwino pachakudya chanu. Awiri mwa awa ndi vitamini B-12 ndi vitamini D.
• Mungafunike kumwa calcium ndi iron zowonjezera mavitamini.

Aspirin, ibuprofen (Advil, Motrin), ndi mankhwala ena osokoneza bongo atha kupweteketsa mkamwa mwanu kapena kupangitsa zilonda. Lankhulani ndi omwe amakupatsani musanamwe mankhwalawa.

Kukuthandizani kuchira ndikuchita zonse zosintha m'moyo wanu, mudzawona dotolo wanu komanso othandizira ena ambiri.

Mukamachoka kuchipatala, mosakayikira mudzakhala ndi nthawi yoti mudzakambirane ndi dotolo wanu mkati mwa milungu ingapo. Mudzawona dotolo wanu kangapo mchaka choyamba mutatha opaleshoni.

Muthanso kusankhidwa ndi:

• Katswiri wazakudya kapena wazakudya, yemwe akuphunzitseni momwe mungadye moyenera ndi m'mimba mwanu. Muphunziranso za zakudya ndi zakumwa zomwe muyenera kukhala mukatha opaleshoni.
• Katswiri wazamisala, yemwe angakuthandizeni kutsatira malangizo anu pakudya ndi zolimbitsa thupi ndikuthana ndi malingaliro kapena nkhawa zomwe mungakhale nazo mutachitidwa opaleshoni.
• Mufunika kuyesa magazi kwa moyo wanu wonse kuti muwonetsetse kuti thupi lanu likupeza mavitamini ndi michere yokwanira kuchokera pachakudya pambuyo pa opaleshoni yanu.

Itanani omwe akukuthandizani ngati:

• Muli ndi kufiira kambiri, kupweteka, kutentha, kutupa, kapena kutuluka magazi mozungulira incision yanu.
• Chilondacho ndi chokulirapo kapena chozama kapena chimawoneka chakuda kapena chouma.
• Ngalande kuchokera pakatikati panu sikuchepera masiku atatu kapena asanu kapena kuwonjezeka.
• Tsambalo limakhala lakuda, lamtundu kapena lachikaso ndipo limakhala ndi fungo loipa (mafinya).
• Kutentha kwanu kumakhala pamwamba pa 100 ° F (37.7 ° C) kwa maola opitilira 4.
• Muli ndi ululu womwe mankhwala anu opweteka sakuthandizani.
• Mukuvutika kupuma.
• Muli ndi chifuwa chomwe sichitha.
• Simungamwe kapena kudya.
• Khungu lanu kapena gawo loyera la maso anu limasanduka lachikasu.
• Malo anu ndi otayirira, kapena mukutsekula m'mimba.
• Mukusanza mutadya.

Opaleshoni ya Bariatric - kulambalala kwa m'mimba - kutulutsa; Roux-en-Y gastric yolambalala - kutulutsa; Zoyenda m'mimba - Roux-en-Y - kutulutsa; Kunenepa kwambiri m'mimba kumadutsa kumaliseche; Kulemera - gastric kulambalala kumaliseche

Jensen MD, Ryan DH, Apovian CM, ndi al. Chitsogozo cha AHA / ACC / TOS cha 2013 pakuwongolera kunenepa kwambiri ndi kunenepa kwambiri mwa achikulire: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines and The Obesity Society. J Ndine Coll Cardiol. 2014; 63 (25 Pt B): 2985-3023. PMID: 24239920 adatulutsidwa.ncbi.nlm.nih.gov/24239920/.

Mankhwala a JI, Apovian C, Brethauer S, Garvey WT, Joffe AM, Kim J, et al. Maupangiri azachipatala othandizira kuti azigwiritsa ntchito moperewera kwa thanzi, kagayidwe kachakudya, komanso chithandizo chamankhwala osagwiritsa ntchito opaleshoni ya bariatric-2019 pomwe: yothandizidwa ndi American Association of Clinical Endocrinologists / American College of Endocrinology, the Obesity Society, American Society for Metabolic Bariatric Surgery, Obesity Medicine Association, ndi American Society of Anesthesiologists. Opaleshoni Obes Rel Dis. Chizindikiro. 2020; 16 (2): 175-247. PMID: 31917200 pubed.ncbi.nlm.nih.gov/31917200/.

Richards WO. Kunenepa kwambiri. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 47.

(Adasankhidwa) Sullivan S, Edmundowicz SA, Morton JM. Opaleshoni ndi endoscopic chithandizo cha kunenepa kwambiri. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 8.

• Kuchuluka kwa thupi
• Matenda a mtima
• Opaleshoni yodutsa m'mimba
• Laparoscopic chapamimba banding
• Kunenepa kwambiri
• Kulepheretsa kugona tulo - akulu
• Type 2 matenda ashuga

• Pambuyo pa opaleshoni yochepetsa thupi - zomwe mungafunse dokotala wanu
• Musanachite opaleshoni yochepetsa thupi - zomwe mungafunse dokotala wanu
• Kudzuka pabedi pambuyo pa opaleshoni
• Kusintha kouma-kouma kumasintha
• Zakudya zanu mutatha opaleshoni yam'mimba

• Opaleshoni Yolemera Kunenepa