Ofukula wamanja gastrectomy

Vertical sleeve gastrectomy ndi opaleshoni yothandiza kuwonda. Dokotalayo amachotsa gawo lalikulu m'mimba mwanu.

Mimba yatsopano, yaying'ono ikukula kukula kwa nthochi. Imachepetsa kuchuluka kwa chakudya chomwe mungadye ndikukupangitsani kukhala okhuta mutadya pang'ono.

Mudzalandira mankhwala ochititsa dzanzi musanachite opaleshoniyi. Awa ndi mankhwala omwe amakupangitsani kugona komanso kumva kupweteka.

Kuchita opaleshoniyi kumachitidwa 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 awiri kapena awiri ochepera m'mimba mwanu.
• Kukula ndi zida zofunikira pakuchita opaleshonizi zimalowetsedwa kudzera mdulidwewu.
• Kamera imagwirizanitsidwa ndi kanema kanema m'chipinda chogwirira ntchito. Izi zimathandiza dokotalayo kuti aziwona mkati mwa mimba yanu pochita opaleshoniyo.
• Mpweya wopanda vuto umaponyedwa m'mimba kuti uwonjezere. Izi zimapatsa chipinda chaopaleshoni kuti agwire ntchito.
• Dokotala wanu amachotsa m'mimba mwanu.
• Magawo otsala am'mimba mwanu amalumikizidwa pamodzi pogwiritsa ntchito zakudya zopangira opaleshoni. Izi zimapanga chubu chachitali chowoneka bwino kapena m'mimba wofanana ndi nthochi.
• Kuchita opaleshoniyi sikutanthauza kudula kapena kusintha minofu ya sphincter yomwe imalola kuti chakudya chilowe kapena kuchoka m'mimba.
• Kukula ndi zida zina zimachotsedwa. Zocheka zimasokedwa kutsekedwa.

Kuchita opaleshoni kumatenga mphindi 60 mpaka 90.

Kuchita opaleshoni yolemetsa kungakulitse chiopsezo chanu chazitsulo. Dokotala wanu angakulimbikitseni kukhala ndi cholecystectomy. Uku ndikuchita opareshoni kuchotsa ndulu. Zitha kuchitika asanachite opaleshoni yolemetsa kapena nthawi yomweyo.

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

Mawonekedwe owongoka a gastrectomy sikungowongolera mwachangu kunenepa kwambiri. Zidzasintha kwambiri moyo wanu. Pambuyo pa opaleshoniyi, muyenera kudya zakudya zopatsa thanzi, kuwongolera magawo azomwe mumadya, komanso masewera olimbitsa thupi. Ngati simukutsatira izi, mutha kukhala ndi zovuta kuchokera ku opaleshoniyi komanso kuchepa thupi.

Njirayi ingalimbikitsidwe ngati muli ndi:

• Mndandanda wamagulu (BMI) a 40 kapena kupitilira apo. Wina yemwe ali ndi BMI ya 40 kapena kupitilira apo amakhala osachepera mapaundi 100 (45 kilograms) kuposa kulemera kwakeko. BMI yanthawi zonse imakhala pakati pa 18.5 ndi 25.
• BMI yazaka 35 kapena kupitilira apo komanso matenda akulu omwe atha kusintha ndikuchepetsa thupi. Zina mwazomwe zimachitika ndimatenda obanika kutsekereza, mtundu wachiwiri wa matenda ashuga, ndi matenda amtima.

Vertical sleeve gastrectomy nthawi zambiri imachitidwa kwa anthu omwe ndi olemera kwambiri kuti akhale ndi mitundu ina ya maopareshoni ochepetsa kulemera. Anthu ena pamapeto pake angafunike kuchitidwa opaleshoni yachiwiri yochepetsa.

Njirayi singasinthidwe ikangotha.

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Thupi lawo siligwirizana ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa zakumanja kwamanja gastrectomy ndi izi:

• Gastritis (zotupa zotupa m'mimba), kutentha pa chifuwa, kapena zilonda zam'mimba
• Kuvulala m'mimba mwanu, matumbo, kapena ziwalo zina panthawi yochita opaleshoni
• Kutuluka kuchokera pamzere pomwe ziwalo zam'mimba zidalumikizidwa pamodzi
• Chakudya choperewera, ngakhale chocheperako poyerekeza ndi opaleshoni yam'mimba
• Kuthyola mkati mwamimba mwanu komwe kumatha kubweretsa kutsekeka m'matumbo mwanu mtsogolo
• 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 kwathunthu.
• Mayeso amwazi, ultrasound ya ndulu yanu, ndi mayeso ena kuti mutsimikizire kuti muli ndi thanzi lokwanira kuchitidwa opaleshoni.
• Kuyendera dokotala wanu kuti mutsimikizire kuti mavuto ena azachipatala omwe mungakhale nawo, monga matenda ashuga, kuthamanga kwa magazi, komanso mavuto amtima kapena am'mapapo, akuwongoleredwa.
• Upangiri wathanzi.
• Makalasi okuthandizani kuphunzira zomwe zimachitika pakuchita opareshoni, zomwe muyenera kuyembekezera pambuyo pake, komanso zovuta kapena zovuta zomwe zingachitike pambuyo pake.
• Mungafune kupita kukaonana ndi mlangizi kuti mutsimikizire kuti mwakonzeka kuchita izi. Muyenera kusintha zina ndi zina pamoyo wanu mukatha opaleshoni.

Mukasuta, muyenera kusiya milungu ingapo musanachite opareshoni ndipo musayambenso kusuta mutachitidwa opaleshoni. Kusuta kumachedwetsa kuchira komanso kumawonjezera mavuto. Funsani omwe akukuthandizani kuti akuthandizeni kusiya.

Uzani dokotala wanu wa opaleshoni:

• 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 kufunsidwa kuti musiye kumwa mankhwala ochepetsa magazi. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), vitamini E, warfarin (Coumadin, Jantoven), ndi ena.
• Funsani dokotala wanu mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.

Patsiku la opareshoni yanu:

• Tsatirani malangizo okhudza nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala omwe dokotala adakuwuzani kuti mumwe pang'ono pokha madzi.
• Fikani kuchipatala nthawi yake.

Mutha kupita kunyumba masiku awiri mutachitidwa opaleshoni. Muyenera kumwa zakumwa zomveka bwino tsiku lotsatira opaleshoni, kenako ndikudya zakudya zoyera nthawi yomwe mupita kunyumba.

Mukapita kunyumba, mwina mukapatsidwa mankhwala opweteka kapena zakumwa ndi mankhwala otchedwa proton pump inhibitor.

Mukamadya mutachitidwa opaleshoni iyi, thumba laling'ono limadzaza mwachangu. Mudzamva kukhala wokhuta mukadya chakudya chochepa kwambiri.

Dokotalayo, namwino, kapena katswiri wazakudya akukulangizani zamadyedwe. Zakudya ziyenera kukhala zazing'ono kuti mupewe kutambasula m'mimba otsalira.

Kuchepetsa thupi komaliza sikungakhale kwakukulu ngati kulambalala kwa m'mimba. Izi zitha kukhala zokwanira anthu ambiri. Lankhulani ndi dokotala wanu wa opaleshoni za njira zomwe zingakuthandizeni.

Kulemera kwake kumatuluka pang'onopang'ono kusiyana ndi kudutsa m'mimba. Muyenera kupitiriza kuchepa thupi mpaka zaka ziwiri kapena zitatu.

Kuchepetsa thupi pambuyo poti kuchitidwa opaleshoni kumatha kukupangitsani kukhala ndi matenda ambiri omwe mungakhale nawo. Zinthu zomwe zingasinthe ndi mphumu, mtundu wa 2 shuga, nyamakazi, kuthamanga kwa magazi, kulepheretsa kugona tulo, cholesterol, komanso matenda am'mimba (GERD).

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 dotolo wanu komanso katswiri wazakudya amakupatsani.

Gastrectomy - malaya; Gastrectomy - kupindika kwakukulu; Kudzimbidwa - parietal; Kuchepetsa m'mimba; Ofukula gastroplasty

• Ndondomeko yamanja yam'mimba

American Society for Metabolic and Bariatric Surgery tsamba.Njira zochitira opaleshoni ya Bariatric. asmbs.org/patients/bariatric-surgery-procedures#sleeve. Idapezeka pa Epulo 3, 2019.

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.

Thompson CC, Morton JM. Opaleshoni ndi endoscopic chithandizo cha kunenepa kwambiri. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: mutu 8.