Nthawi yiti kuti Gastric Bypass muchepetse thupi

Zamkati

• Mtengo wa opaleshoniyi ndi wotani
• Momwe kudutsira m'mimba kumachitikira
• Kodi kuchira kuli bwanji?
• Zovuta zotheka

Kudutsa m'mimba, kotchedwanso Y-kulambalala kwa Roux kapena opaleshoni ya Fobi-Capella, ndi mtundu wa opareshoni ya bariatric yomwe ingayambitse kuchepa kwa 70% ya kulemera koyamba ndipo imakhala ndi kuchepetsa m'mimba ndikusintha matumbo, kupangitsa kuti munthu adye pang'ono, pamapeto pake kuwonda.

Popeza ndi mtundu wa opareshoni womwe umayambitsa kusintha kwakukulu m'mimba, kulambalaku kumangowonetsedwa kwa anthu omwe ali ndi BMI yoposa 40 kg / m² kapena BMI yoposa 35 kg / m², komabe, omwe avutika kale vuto lina lathanzi lolemera mopitilira muyeso ndipo, nthawi zambiri, limangochitika pokhapokha ngati njira zina, monga kuyika mabande am'mimba kapena zibaluni zam'mimba, sizinakhale ndi zotsatira zake.

Dziwani mitundu yayikulu ya opareshoni ya bariatric ndi nthawi yoti muigwiritse ntchito.

Laparoscopy kulambalala

Mtengo wa opaleshoniyi ndi wotani

Mtengo wa opaleshoni yodutsa m'mimba umadalira chipatala chomwe amachitiramo komanso kutsatira koyenera asanachitike komanso pambuyo pochitidwa opaleshoni, kuyambira pakati pa 15,000 ndi 45,000 reais, izi zidaphatikizapo akatswiri onse omwe adachita nawo pre, intra ndi postoperative, kuphatikiza mankhwala onse ofunikira.

Nthawi zina, kulambalalako kumatha kuchitika kwa SUS kwaulere, makamaka pakakhala chiopsezo chokhala ndi mavuto azaumoyo chifukwa chonenepa kwambiri, zomwe zimafunikira kuyesedwa kolimba ndi gastroenterologist.

Momwe kudutsira m'mimba kumachitikira

Mimba imadutsa mu y wa Roux Ndi opaleshoni yovuta yomwe imachitidwa pansi pa anesthesia ndipo imatenga maola awiri, kulimbikitsidwa kuti mukhale pakati pa masiku 3 mpaka 5. Kuti achite izi, dokotala amafunika kuchita zingapo:

1. Dulani mimba ndi matumbo: kudula kumapangidwa m'mimba pafupi ndi kholingo lomwe limagawika magawo awiri, gawo laling'ono kwambiri, ngati thumba, ndi gawo lalikulu, lomwe limafanana ndi m'mimba monse komanso lomwe limagwiranso ntchito kwambiri , kuleka kusunga chakudya. Kuphatikiza apo, amadulidwa mbali yoyamba yamatumbo, yotchedwa jejunum;
2. Gwirizanitsani gawo la m'mimba m'mimba yaying'ono:gawo lachindunji la chakudya mu mawonekedwe a chubu limapangidwa;
3. Lumikizani gawo la m'matumbo lomwe limalumikizidwa ndi gawo lalikulu la m'mimba ndi chubu: Mgwirizanowu umalola kuti chakudya, chomwe chimachokera ku mgwirizano wakale, kuti chisakanikirane ndi michere ya m'mimba, chimbudzi chomwe chikuchitika.

Nthawi zambiri, opaleshoniyi imachitika ndi videolaparoscopy, yokhala ndi mabowo ang'onoang'ono 4 mpaka 6 pamimba omwe amalola kudutsa chipinda chaching'ono ndi zida zochitira opaleshoniyo. Malinga ndi njirayi, dokotalayo amayang'ana mkatikati mwa chamoyo kudzera pazenera, ndikuwongolera zida. Dziwani zambiri pa: Videolaparoscopy.

Opaleshoni imatha kuchitidwanso ndi laparotomy, ndikutsegula m'mimba kwathunthu, komabe, ndi njira yomwe imabweretsa zoopsa zambiri kuposa laparoscopy.

Kuchepetsa m'mimba kuchepa thupi kumapangitsa kuchepa kwa 70% ya kulemera koyamba ndipo kumapangitsa kuti izi zitheke kwa zaka zambiri, chifukwa kuwonjezera pa wodwalayo atakhuta msanga, kusintha kwa m'matumbo, kumabweretsa kuyamwa pang'ono kwa kumeza.

Kodi kuchira kuli bwanji?

Kubwezeretsanso kwa m'mimba kumachedwa ndipo kumatha kutenga pakati pa miyezi isanu ndi umodzi mpaka chaka chimodzi, ndikuchepetsa kwambiri m'miyezi itatu yoyambirira. Kuti muwonetsetse kuti mukuchira, ndikofunikira kusamala monga:

• Tsatirani zakudya zomwe wazakudya akuwonetsa, zomwe zimasintha pamasabata. Phunzirani zambiri pa: Chakudya pambuyo pa opaleshoni ya bariatric.
• Kutenga zowonjezera mavitamini, monga chitsulo kapena vitamini B12 chifukwa chowopsa cha kuchepa kwa magazi m'thupi;
• Mangani pamimba kuchipatala sabata imodzi atachitidwa opaleshoni;
• Chotsani kuda, chomwe ndi chidebe chomwe madzi amadzimadzi amachokera ku stoma, malinga ndi upangiri wa zamankhwala.
• Kutenga mankhwala omwe amaletsa kupanga asidi, monga Omeprazole musanadye kuti muteteze m'mimba monga adalangizira;
• Pewani zoyesayesa m'masiku 30 oyamba kuti zofooka zisamasuluke.

Zotsatira za opareshoni ya bariatric zidzawonekera milungu ingapo, komabe, pangafunike kuchita opaleshoni yodzikongoletsa, monga m'mimba, 1 mpaka 2 patatha zaka kuti achotse khungu lowonjezera.

Phunzirani zambiri za kuchira pa: Kodi kuchira bwanji kuchokera ku opaleshoni ya bariatric.

Zovuta zotheka

Zimakhala zachilendo kuti munthu amene amadutsa pafupi amamva nseru, kusanza, kutentha pa chifuwa kapena kutsegula m'mimba mwezi woyamba atachitidwa opaleshoni. Komabe, zovuta zazikulu kwambiri za opaleshoniyi ndi izi:

• Mabala a fistula m'mimba kapena m'matumbo, zomwe zimatha kuwonjezera mwayi wopatsirana, monga peritonitis kapena sepsis, mwachitsanzo;
• Kutaya magazi kwambiri m'dera la chilonda m'mimba;
• Kuchepa kwa magazi m'thupi, makamaka chifukwa cha kuchepa kwa vitamini B12;
• Matenda otaya, zomwe zimayambitsa zizindikiro monga nseru, kukokana m'mimba, kukomoka ndi kutsegula m'mimba munthu atadya kale. Onani zambiri pa: Momwe mungachepetsere matenda a Dumping Syndrome.

Nthawi zina, munthuyo angafunike kuchitidwa opaleshoni ina kuti athetse vutolo.

Onerani vidiyo yotsatirayi kuti muwone momwe angalimbikitsire opaleshoni ya bariatric: