Momwe Opaleshoni Yochepetsa Kunenepa Imagwira

Zamkati

• Pamene opaleshoni ingasonyezedwe
• Njira zopangira opaleshoni ya bariatric
• Mitundu ya maopaleshoni ochepetsa kulemera
• 1. Gulu la m'mimba kuti muchepetse thupi
• 2. Kudutsa m'mimba kuti muchepetse kunenepa
• 3. Chibaluni chosakanikirana kuti muchepetse kunenepa
• 4. Vertical gastrectomy kuti muchepetse kunenepa
• Maulalo othandiza:

Opaleshoni yochepetsa thupi, yotchedwa ma bariatric, monga gastric banding kapena bypass, mwachitsanzo, imagwira ntchito posintha m'mimba ndikusintha njira yanthawi yogaya ndi kuyamwa michere, kuthandiza anthu kuti achepetse thupi ndikukhala ndi moyo wabwino.

Opaleshoni yochepetsa thupi imawonetsedwa kwa anthu omwe ali ndi BMI yoposa 35 kapena 40, chifukwa amawerengedwa kuti ndi onenepa kwambiri kapena onenepa kwambiri ndipo, mwachizolowezi, maopaleshoni amawathandiza kutaya pakati pa 10% mpaka 40% ya kulemera.

Pamene opaleshoni ingasonyezedwe

Maopaleshoni kuti achepetse thupi nthawi zambiri amalimbikitsidwa ndi adotolo pomwe palibe njira ina yochepetsera yomwe yakhala ikukhudza, ndiko kuti, ngakhale atakhala kuti alibe zakudya, masewera olimbitsa thupi, zowonjezera kapena mankhwala omwe munthu amatha kutaya kulemera kwake.

Mtundu wa opaleshoni umasiyanasiyana malinga ndi cholinga chochepetsa thupi:

• Kupititsa patsogolo thanzi, panthawiyi tikulimbikitsidwa kuti tichiteopaleshoni ya bariatric, momwe kukula kwa m'mimba kumachepetsedwera kotero kuti chakudya chomwe chimadyetsedwa sichicheperako, zomwe zimalimbikitsa kuwonda. Kuchita opaleshoniyi kumawonetsedwa kwa anthu omwe ali ndi kunenepa kwambiri ndipo ndikofunikira kuti atachita opareshoni, kuphatikiza pakuphatikizidwa ndi endocrinologist, azikhala ndi chakudya chokwanira ndikuchita masewera olimbitsa thupi;
• Aesthetics, momwe magwiridwe antchito aliposuction, yomwe cholinga chake ndi kuchotsa mafuta. Kuchita opaleshoniyi sikungaganizidwe ngati opaleshoni yolemetsa, chifukwa sikulimbikitsa kuchepa kwa thupi, koma opaleshoni yokongoletsa momwe zingathetsere mafuta ambiri am'derali mwachangu.

Ntchito ya maopaleshoni iyenera kuwonetsedwa ndi adotolo malinga ndi zosowa za munthuyo komanso ubale pakati pa kuchepa thupi ndi thanzi labwino. Kuphatikiza pa maopaleshoni, palinso njira zina zokongoletsa zomwe zimathandizira kuthetsa mafuta am'deralo osafunikira kuchitidwa opaleshoni, monga lipocavitation, cryolipolysis ndi radiofrequency, mwachitsanzo. Dziwani zambiri zamankhwala kuti muchepetse mimba.

Njira zopangira opaleshoni ya bariatric

Nthawi zambiri, maopareshoni ochepetsa thupi amachitidwa pansi pa anesthesia wamba, ndipo amatha kuchitidwa ndi ziphuphu, akumadzicheka kwambiri kuti atsegule mimba ya wodwalayo, kusiya chipsera cha masentimita 15 mpaka 25 pamwamba pachipsera cha umbilical kapena kupyola laparoscopy, mabowo ena amapangidwa pamimba, kudzera momwe zidazo ndi kamera yamavidiyo zimadutsira pochita opaleshoniyi, ndikumusiya wodwalayo ali ndi bala laling'ono kwambiri pafupifupi 1 cm.

Asanachite opareshoni, wodwalayo amayenera kupimidwa ndi adotolo, kukayezetsa magazi ndikuchita endoscopy chapamwamba m'mimba kuti awone ngati angathe kuchitidwa opaleshoni ya bariatric. Kuphatikiza apo, nthawi zambiri, opareshoniyo imatha kutenga pakati pa 1 mpaka 3 maola, ndipo kutalika kwa nthawi yogonera kuchipatala kumatha kusiyanasiyana pakati pa masiku atatu mpaka sabata.

Mitundu ya maopaleshoni ochepetsa kulemera

Maopareshoni ofala kwambiri am'mimba omwe amakuthandizani kuti muchepetse thupi amaphatikizira kuyika ma gastric band, gastric bypass, gastrectomy ndi bulloon ya intragastric.

1. Gulu la m'mimba kuti muchepetse thupi

Gulu la m'mimba ndi opaleshoni yochepetsa thupi yomwe imakhala ndikuyika bande kuzungulira kumtunda kwa m'mimba ndikugawa m'mimba magawo awiri, ndikupangitsa kuti munthu adye chakudya chochepa, popeza m'mimba mwake ndi wocheperako.

Pochita opaleshoniyi, samadulidwa m'mimba, amangofinyidwa ngati kuti ndi buluni, ikuchepa kukula. Dziwani zambiri pa: Gastric band kuti muchepetse kunenepa.

2. Kudutsa m'mimba kuti muchepetse kunenepa

Pakudutsa m'mimba, pamadulidwa pamimba chomwe chimagawika magawo awiri, yaying'ono ndi yayikulupo. Gawo laling'ono kwambiri la m'mimba ndi lomwe likugwira ntchito ndipo lalikulu kwambiri, ngakhale siligwira ntchito, lili mthupi.

Kuphatikiza apo, kulumikizana kwachindunji kumachitika pakati pamimba yaying'ono ndi gawo la m'matumbo lomwe, pokhala ndi njira yayifupi, limabweretsa kuyamwa kwa michere ndi zopatsa mphamvu pang'ono. Dziwani zambiri pa: Kudutsa m'mimba kuti muchepetse kunenepa.

3. Chibaluni chosakanikirana kuti muchepetse kunenepa

Pogwiritsa ntchito buluni, buluni imayikidwa mkati mwa mimba, yopangidwa ndi silicone ndipo imadzazidwa ndi mchere. Munthu akamadya chakudya, chimakhala pa baluni, ndikupatsa kukhuta msanga kwambiri.

Kuchita opaleshoniyi kumachitika kudzera mu endoscopy, osafunikira mankhwala oletsa ululu ndipo kumapangitsa kuti muchepetse thupi mpaka 13%. Komabe, buluni iyenera kuchotsedwa miyezi isanu ndi umodzi kuchokera pomwe mayikidwe. Onani zambiri pa: Intragastric balloon kuti muchepetse thupi.

4. Vertical gastrectomy kuti muchepetse kunenepa

Gastrectomy imakhala ndikuchotsa gawo lakumanzere la m'mimba ndikuchotsa ghrelin, yomwe ndi mahomoni omwe amachititsa kuti munthu akhale ndi njala, chifukwa chake, amachepetsa njala ndikuchepetsa kudya.

Pochita opaleshoniyi, kuyamwa kwabwino kwa michere kumachitika, chifukwa matumbo samasintha, ndipo mpaka 40% ya kulemera koyamba kumatha kutayika. Dziwani zambiri pa: Vertical gastrectomy kuti muchepetse kunenepa.

Maulalo othandiza:

• Momwe Mungathetsere Zizindikiro Za Kutaya Matenda

• Opaleshoni ya Bariatric