Laparoscopic chapamimba banding

Laparoscopic gastric banding ndi opaleshoni yothandizira kuwonda. Dokotalayo amaika bande kuzungulira kumtunda kwa mimba yanu kuti apange kachikwama kakang'ono kosungira chakudya. Bungweli limachepetsa kuchuluka kwa chakudya chomwe mungadye pakukupangitsani kuti mukhale okhuta mutadya pang'ono.

Pambuyo pa opaleshoni, dokotala wanu amatha kusintha gululi kuti chakudya chiziyenda pang'onopang'ono kapena mwachangu m'mimba mwanu.

Opaleshoni yodutsa m'mimba ndi nkhani yofananira.

Mudzalandira mankhwala ochititsa dzanzi musanachite opaleshoniyi. Mudzakhala mukugona ndipo simungamve ululu.

Kuchita opaleshoniyo kumachitika pogwiritsa ntchito kamera yaying'ono yomwe imayikidwa m'mimba mwanu. Kuchita opaleshoni kotereku kumatchedwa laparoscopy. Kamera imatchedwa laparoscope. Amalola dokotala wanu kuwona mkati mwanu. Pa opaleshoni iyi:

• Dokotala wanu amapanga mabala 1 mpaka 5 ochepera m'mimba mwanu. Pogwiritsa ntchito mabala ang'onoang'ono, dokotalayo amaika kamera ndi zida zofunikira kuti achite opaleshoniyo.
• Dokotala wanu adzaika bande kuzungulira chapamwamba m'mimba mwanu kuti achilekanitse ndi gawo lakumunsi. Izi zimapanga thumba laling'ono lomwe limatseguka pang'ono lomwe limalowa m'mbali yayikulu, m'munsi mwa mimba yanu.
• Kuchita opaleshoniyi sikukuphatikizira zilizonse zomwe zili mkati mwanu.
• Kuchita opaleshoni kwanu kumatha kutenga mphindi 30 mpaka 60 zokha ngati dotolo wanu wachita zambiri mwanjira izi.

Mukamadya mutachitidwa opaleshoniyi, thumba laling'ono limadzaza msanga. Mudzamva kukhala wokhuta mukadya chakudya chochepa chabe. Chakudya chomwe chili mchikwama chaching'ono chapamwamba chimatsanulira pang'onopang'ono m'mimba mwanu.

Kuchita opaleshoni yochepetsa thupi kungakhale kosankha ngati muli onenepa kwambiri ndipo simunathe kuchepetsa thupi kudzera pakudya komanso kuchita masewera olimbitsa thupi.

Laparoscopic gastric banding si "kukonza mwachangu" kwa kunenepa kwambiri. Zidzasintha kwambiri moyo wanu. Muyenera kudya ndi kuchita masewera olimbitsa thupi pambuyo pa opaleshoniyi. Ngati simutero, mutha kukhala ndi zovuta kapena kuchepa thupi.

Anthu omwe achita opaleshoniyi ayenera kukhala okhazikika m'maganizo komanso osangodalira mowa kapena mankhwala osokoneza bongo.

Madokotala nthawi zambiri amagwiritsa ntchito njira zotsatirazi zamagulu (BMI) kuti azindikire anthu omwe atha kupindula ndi opaleshoni yochepetsa thupi. BMI yabwinobwino imakhala pakati pa 18.5 ndi 25. Njira iyi ingakulimbikitseni ngati muli ndi:

• BMI ya 40 kapena kupitilira apo. Izi nthawi zambiri zimatanthauza kuti amuna amalemera makilogalamu 45 ndipo akazi amalemera makilogalamu 36 kuposa kulemera kwawo.
• BMI yazaka 35 kapena kupitilira apo komanso matenda akulu omwe atha kusintha ndikuchepetsa thupi. Zina mwazimenezi ndi matenda obanika kutulo, matenda a shuga a mtundu wachiwiri, kuthamanga kwa magazi, ndi matenda amtima.

Zowopsa za anesthesia ndi opaleshoni iliyonse ndi monga:

• Thupi lawo siligwirizana ndi mankhwala
• Mavuto opumira
• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu anu
• Kutaya magazi
• Matenda, kuphatikizapo malo opangira opaleshoni, mapapo (chibayo), kapena chikhodzodzo kapena impso
• Matenda a mtima kapena kupwetekedwa mtima nthawi kapena opaleshoni

Zowopsa zakumanga m'mimba ndi izi:

• Gastric band imawononga m'mimba (ngati izi zichitika, ziyenera kuchotsedwa).
• Mimba ikhoza kutumphuka kudzera pagululo. (Izi zikachitika, mungafunike kuchitidwa opaleshoni mwachangu.)
• Gastritis (zotupa zotupa m'mimba), kutentha pa chifuwa, kapena zilonda zam'mimba.
• Matendawa padoko, omwe angafunike maantibayotiki kapena opaleshoni.
• Kuvulala m'mimba mwanu, matumbo, kapena ziwalo zina panthawi yochita opaleshoni.
• Chakudya choperewera.
• Kuthyola mkati mwamimba mwanu, komwe kumatha kubweretsa kutsekeka m'matumbo mwanu.
• Dokotala wanu sangakwanitse kufikira doko lolowera kuti amange kapena kumasula gululo. Mungafunike opaleshoni yaying'ono kuti mukonze vutoli.
• Khomo lolowera limatha kugundana mozungulira, ndikupangitsa kuti kusakhale kolowera. Mungafunike opaleshoni yaying'ono kuti mukonze vutoli.
• Machubu yomwe ili pafupi ndi doko lofikira imatha kuboola mwangozi nthawi ya singano. Ngati izi zichitika, gululo silingathe kukhazikika. Mungafunike opaleshoni yaying'ono kuti mukonze vutoli.
• Kusanza posadya thumba lanu la m'mimba.

Dokotala wanu adzakufunsani kuti mukayesedwe ndikuyendera limodzi ndi omwe amakuthandizani musanachite opaleshoniyi. Zina mwa izi ndi izi:

• Kuyezetsa magazi ndi mayeso ena kuti mutsimikizire kuti muli ndi thanzi lokwanira kuchitidwa opaleshoni.
• Makalasi okuthandizani kuphunzira zomwe zimachitika pakuchita opareshoni, zomwe muyenera kuyembekezera pambuyo pake, komanso zovuta kapena zovuta zomwe zingachitike.
• Kuyezetsa thupi kwathunthu.
• Upangiri wathanzi.
• Pitani ndi othandizira azaumoyo kuti mutsimikizire kuti mwakonzeka kuchitidwa opaleshoni yayikulu. Muyenera kusintha zina ndi zina pamoyo wanu mukatha opaleshoni.
• Kuyendera ndi omwe amakupatsani kuti muwonetsetse kuti mavuto ena azachipatala omwe mungakhale nawo, monga matenda ashuga, kuthamanga kwa magazi, komanso mavuto amtima kapena mapapo, akuwongoleredwa.

Ngati mumasuta, muyenera kusiya kusuta milungu ingapo musanachite opareshoni ndipo osayambiranso kusuta pambuyo pa opaleshoni. Kusuta kumachedwetsa kuchira ndikuwonjezera chiopsezo cha mavuto pambuyo pa opaleshoni. Uzani wothandizira wanu ngati mukufuna thandizo kusiya.

Nthawi zonse muuzeni omwe akukuthandizani:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati, mavitamini, zitsamba, ndi zina zowonjezera zomwe mukugwiritsa ntchito, ngakhale zomwe mwagula popanda mankhwala

Sabata isanachitike opaleshoni yanu:

• Mutha kupemphedwa kusiya kumwa aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin), ndi mankhwala ena aliwonse omwe amalepheretsa magazi anu kuphimba.
• Funsani mankhwala omwe mungamwe pa tsiku la opareshoni.

Patsiku la opareshoni yanu:

• Musadye kapena kumwa chilichonse kwa maola 6 musanachite opareshoni.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mutenge ndi madzi pang'ono.

Wothandizira anu adzakuuzani nthawi yoti mufike kuchipatala.

Mutha kupita kwanu tsiku la opareshoni. Anthu ambiri amatha kuchita ntchito zawo masiku 1 kapena awiri atapita kunyumba. Anthu ambiri amatenga tchuthi sabata imodzi kuchokera kuntchito.

Mukhala pazakumwa kapena zakudya zosenda masabata awiri kapena atatu mutachitidwa opaleshoni. Mudzawonjezera pang'onopang'ono zakudya zofewa, kenako zakudya zanthawi zonse, pazakudya zanu. Pakadutsa milungu 6 mutachitidwa opaleshoni, mudzatha kudya zakudya zanthawi zonse.

Bungweli limapangidwa ndi mphira wapadera (silastic labala). Mkati mwa gululi muli buluni wofufuma. Izi zimathandiza kuti gulu lisinthidwe. Inu ndi adotolo mutha kusankha kumasula kapena kukulitsa mtsogolo kuti mudzadye chakudya chocheperako.

Bungweli limalumikizidwa ndi doko lofikira lomwe lili pansi pa khungu pamimba panu. Bungweli limatha kumangidwa poika singano padoko ndikudzaza buluni (band) ndi madzi.

Dokotala wanu amatha kupangitsa gululi kukhala lolimba kapena lotseguka nthawi iliyonse mutachitidwa opaleshoni iyi. Itha kumangidwa kapena kumasulidwa ngati muli:

• Kukhala ndi mavuto pakudya
• Osataya thupi lokwanira
• Kusanza mukamaliza kudya

Kuchepetsa kuchepa komaliza ndi banding yam'mimba sikokulirapo ngati opaleshoni ina yolemetsa. Kuchepetsa kulemera kwapafupifupi ndi gawo limodzi mwa magawo atatu kapena theka la zolemetsa zomwe mwanyamula. Izi zitha kukhala zokwanira anthu ambiri. Lankhulani ndi omwe akukuthandizani za njira zomwe zingakuthandizeni.

Nthaŵi zambiri, kulemerako kumabwera pang'onopang'ono kusiyana ndi opaleshoni ina yolemetsa. Muyenera kupitiriza kuchepa thupi mpaka zaka zitatu.

Kuchepetsa thupi pambuyo poti kuchitidwa opaleshoni kumatha kukupangitsani kukhala ndi matenda ambiri omwe mungakhale nawo, monga:

• Mphumu
• Matenda a reflux a gastroesophageal (GERD)
• Kuthamanga kwa magazi
• Cholesterol wokwera
• Mpweya wogona
• Type 2 matenda ashuga

Kulemera pang'ono kuyeneranso kukupangitsani kukhala kosavuta kuti muziyenda mozungulira ndikuchita zochitika zanu za tsiku ndi tsiku.

Kuchita opareshoni kokha sikungathetseretu kunenepa. Itha kukuphunzitsani kudya pang'ono, komabe muyenera kuchita zambiri pantchitoyo. Kuti muchepetse kunenepa ndikupewa zovuta pazomwe mukuchita, muyenera kutsatira zolimbitsa thupi komanso malangizo azakudya omwe amakupatsani komanso wodyetsa.

Lap-Band; LAGB; Laparoscopic chosinthika chapamimba banding; Bariatric opaleshoni - laparoscopic chapamimba banding; Kunenepa kwambiri - kumangiriza m'mimba; Kuchepetsa thupi - banding yam'mimba

• Pambuyo pa opaleshoni yochepetsa thupi - zomwe mungafunse dokotala wanu
• Musanachite opaleshoni yochepetsa thupi - zomwe mungafunse dokotala wanu
• Opaleshoni yolambalala m'mimba - kutulutsa
• Laparoscopic chapamimba banding - kumaliseche
• Zakudya zanu mutatha opaleshoni yam'mimba

• Chosinthika chapamimba banding

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/.

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.