Mini Gastric Bypass Surgery

Mini gastric bypass kuvhiyiwa Inozivikanwa sekubatanidzwa kwezvinhu zvakawanda zvekuvhiya mudumbu. Mukuita uku, dumbu refu rinogadzirwa uye kuvhiyiwa kunopedzwa pamwe chete nedumbu diki. Imwe yeanonyanya kuvhiyiwa kufutisa mini gastric bypass kuvhiyiwa Turkey Inoshanda kune vanhu vakafuta. Varwere vane chirwere cheshuga chechipiri vanoda kuderedza uremu kuti vadzivirire BP uye high cholesterol mazinga. Kune rimwe divi, maitiro aya anogona zvakare kuitwa kune varwere vakatadza sleeve gastrectomy kana gastric banding kare.

Kunaani Inogona Kushandiswa Mini Gastric Bypass Surgery?

Mini gastric bypass kuvhiyiwa Kukodzera kweiyo maitiro kunotarwa neakasiyana maitiro. Zvinhu zvakadai sechirwere chemetabolism, zera, dumbu diki, reflux kana kusabudirira reoperation zvinoongororwa kuti zvionekwe kuvhiyiwa. Simba remunhu rinowanikwa rakaderera uye vanonyanya kutadza kushivirira chikafu. Inogona kushandiswa kune varwere vasingakwanisi kubvisa kufutisa uye kuwana chimiro pasinei nekuoma, kana vane matambudziko akadai sekurwisa chirwere cheshuga, kusagadzikana kwemajoini, uye kuwandisa. Gastrectomy, iyo yaive nzira yaiwanzoitwa yekuvhiya kusvika makore mashanu apfuura, yakatanga kudzikira nekupararira kwegastrectomy.

 

Ndiyo yechipiri nzira yekuvhiya (kudzokorora kuvhiyiwa) kune varwere vanowana uremu mushure me gastrectomy. Inogona kuiswa kune vese varwere vakaita strip gastrectomy, gastric flexion kana longitudinal gastric bypass, kwete chete chubhu mudumbu. Aya maitiro ese anoitwa endoscopically.

Mini Gastric Bypass Inoitwa Sei?

Mini gastric bypass kuvhiyiwa, Zvishanu kusvika zvitanhatu 1 cm incisions inoitwa, kuburikidza iyo chiridzwa chinonzi trocar chinopinzwa mudumbu. Iyo kamera nemidziyo yekuvhiya inodiwa pakuvhiya inopinzwa mudumbu remudumbu kuburikidza nepakazaruka yakagadzirwa netrocar. Panyaya iyi, kutariswa kwakanyanya kunofanirwa kubhadharwa kuti kuve nechokwadi chekuti kamera uye midziyo yekuvhiya inoshandiswa panguva yekuvhiya yakareba uye yakatetepa zvakakwana kuti trocar inopinzwa mudumbu ipfuure. Kadiki gastric tube inoumbwa pamusuwo wedumbu, yakaparadzaniswa zvachose kubva kune imwe dumbu. Mushure mekuita, dumbu rekutanga remurwere rinova chikamu chedumbu idzva iri muchimiro chechubhu diki.

 

Zvizhinji zvechikamu chinoputika chedumbu chinoramba chiri mudumbu uye chinoramba chichibudisa zvivharo. Mini gastric bypass kuvhiyiwa Chinangwa chayo chikuru ndechekudzikisa huwandu hwemudumbu uye kuderedza kufutisa nekudzikisa kutorwa kwezvinovaka muviri mudumbu diki. Mhando yekushanda yakavharwa kushanda. 1 incisions idiki pane 5 cm inogadzirwa mudumbu pasina kuita mikuru. Dumbu rinopinzwa nepaburi uchishandisa mudziyo unokosha. Imwe chubhu yakaonda yakaiswa pamusuwo wedumbu, iyo yava kuita sedumbu. Nhengo hadzibviswe kana kuchekwa. Dumbu rakawanda rinoramba riri mudumbu. Kubatanidzwa kwechikamu chiduku uye ura huduku hwakaitwa nekuvhiyiwa hunopedzwawo. Kuvhiya uku kunonzi chikamu chechipiri chekuvhiya.

 

Dumbu nematumbu zvakabatanidzwa nestaple kana suture yakanamatira pachikamu ichi. Kubatana uku kunonzi anastomosis. Iyo suture yekubatanidza inobatsira zvakanyanya kumurwere pane iyo staple connection. Tishu imwe neimwe inorapwa yega nachiremba. Mukana muduku wekudonha. Izvi zvinoita kuti murwere anwe zvinwiwa pakarepo mushure mekuvhiyiwa.

 

Chiremba anovhiya anobva abatanidza chiuno cheura (chinenge 150 cm kureba) kune chikamu chezasi chedumbu idzva, diki (kubatana kunonzi "anastomosis"). Chikafu nokudaro chinopfuura kubva mudumbu diki kuenda kudumbu diki, uko kunobatanidza nejusi rekudya rinogadzirwa muura hukuru.

 

Naizvozvo, macalorie uye zvinovaka muviri zviri muchikafu chaunodya zvinoburitswa kubva mumuviri wako zvisati zvanyura muura hwako. Mini gastric bypass kuvhiyiwa Zvinokubatsira kuderedza uremu nekuderedza dumbu rako uye kuderedza kudya kwako. laparoscopic mini gastric bypass kuvhiyiwaIrwo rudzi rwekuvhiyiwa kwakabatanidzwa umo rutivi-runoderedza rutivi rwakanyanya uye kune chikamu chinodzorwa chinoderedza kunwa. Pakutanga kwedumbu, chubhu inoiswa kuitira kuti inenge 100 ml irambe iripo, sezvakangoita mukuvhiya kwegastrectomy. Iyi chubhu inobuda mudumbu painobatana neduodenum, chikamu chekutanga chemukati mudiki. Saka, duodenal bypass, chinangwa chikuru chekudzikisa kunyura, inoitwa.

 

Iyo ichangobva kuumbwa tubular dumbu inovhura anenge 2 metres kubva pakutanga kwemukati madiki. Nenzira iyi, varwere vane uwandu hudiki kwazvo vanosvika pakuzara nekukurumidza. Chikafu chinounzwa 2 metres kubva mudumbu mudiki, zvichikonzera kuderedzwa kwe30% mukudya kwekudya. Iyi ndiyo nzira yekurasikirwa nayo uremu. Kubatana pakati pemukati mudumbu uye mudumbu mudiki, iyo inoumbwa panguva yemaitiro uye inoshandiswa mune inotevera nzira, inoitika. Nenzira iyi, chikafu chinopinzwa chinopinda muura. Iyi nhanho inoumba chikamu chechipiri chekushanda. Paunenge uchibatanidza ura hudiki hwakagadzirwa nekuvhiyiwa, chikamu chinosvika 2 metres pakureba pakutanga kwemukati madiki chinopfuudzwa uye pakati pemukati memukati memukati medumbu.

 

Mini gastric bypass kuvhiyiwa Chinangwa ndechekudzikisa huremu hwakawandisa ne50% mumakore maviri ekutanga. Mudumbu kuderedza inzwi; mini gastric bypass kuvhiyiwa inoderedza huwandu hwedumbu remurwere. Iyo dumbu diki, iyo idiki huwandu hwekudya kunopedzwa. Kutora zvishoma kubva mudumbu diki; mini gastric bypass kuvhiyiwa 200 cm yenharaunda yekutanga yemukati mudiki inosiya nzira yekudya. Ichi chikamu chakaparadzana chedumbu diki chine basa rekutakura bile uye zvimwe zvinwiwa zvine chekuita nekugayiwa uye kunyura. Mini gastric bypass kuvhiyiwa Zvokudya zvinodarika nemudumbu diki zvakaumbwa mushure mekuiswa zvinotakurwa kusvika pakati pehutumbu hudiki. Sezvo mishonga isingapfuuri nepakati pekutanga 200 cm yemukati mudiki, macalorie akawandisa anokandwa kunze pane kubatwa.

 

Izvi zvinovimbisa kurasikirwa kukuru kwehuremu uye kuchengetedza kwekureruka kunowanikwa. Hormone regulation; mini gastric bypass kuvhiyiwa kunosanganisira kubvisa dumbu rakawanda. Chinangwa ndechekuti chikamu ichi chemudumbu chirasikirwe zvishoma nezvishoma, kudzivirira chikafu kuti chisapfuure kuitira kuti chigare kwenguva refu.

Kunaani Mini Gastric Bypass Inoshandiswa?

Inonyanya kushandiswa kune varwere vasina reflux. Kune varwere vari pasi pemakore gumi nemasere, mamiriro acho achagadziriswa nehuwandu hwekufutisa uye matambudziko ehutano, nekuongororwa kwechiremba uye kubvumirwa kwemuchengeti. Kunyange zvazvo kuvhiyiwa uku kunogona kushandiswa kune vanhu vanopfuura makore e18, tapota funga nezvezvakanaka zvekuvhiyiwa pahutano nekunyaradza kwehupenyu hwemurwere uye hupenyu hurefu hwekuvhiyiwa. Zvinonyanya kukosha kuti murwere aite shanduko huru mukudya kwake, kusiya mararamiro ake ekare, kuisa maekisesaizi zvakanyanya muhupenyu hwake uye kushanda nenyanzvi yezvokudya.

 

Maitiro acho anosanganisira matambudziko ekubuda ropa, utachiona, postoperative ileus (intestinal obstruction), hernia (herniation), uye general anesthesia, iyo inowanikwawo mune kumwe kuvhiya kwakawanda kwemudumbu. Dambudziko guru nderokudonha (kudonha) mukubatana pakati pedumbu uye mudumbu muduku, uye semugumisiro, mukana wekuvhiyiwa kwechipiri. Kufutisa kunowedzera njodzi dzekuvhiyiwa zvakanyanya. Ropa (emboli) uye matambudziko emwoyo anogona kuitika mumakumbo nemapapu. Mamwe ematambudziko ari pamusoro anoitika mu10-15% yevarwere vari kuita chirongwa ichi. Kazhinji, zvinetso zvakakomba hazviwanzoitiki, uye zvinowanzoitika zvinoshivirira uye zvinorapika.

 

gastric bypass kuvhiyiwa Ndeapi varwere yakakodzera? Kuvhiyiwa kweBariatric kunoongororwa nebody mass index. Varwere vane index mass index ye40 nepamusoro kana body mass index ye35-40, vane matambudziko ezvehutano akadai semhando ye2 chirwere cheshuga, high blood pressure, uye apnea ndivo vanoda kuvhiyiwa uku.

Chii Chinofanira Kutariswa Nezve Kuvaka Kwekudya Mushure mekuvhiyiwa kweGastric Bypass?

Idya zvakanaka uye idya zvakanaka kanenge katatu pazuva. Zvokudya zvako zvinofanira kusanganisira kunyanya mapuroteni, michero, miriwo, uye pakupedzisira zviyo. Fluids kunyanya mavhiki maviri ekutanga 3-3-4. Zvokudya zvakachena zvinofanira kudyiwa mumavhiki anotevera. Kuti udzivise kupera mvura, unofanira kunwa zvinenge 5-1,5 malita emvura. (Kanenge 2-6 magirazi emvura pazuva) Zvikasadaro, unogona kunzwa musoro, dzungu, kusvotwa, kushaya simba, mabhuru machena mururimi, weti yakasviba. Semuenzaniso, vanogona kusarudza kudya / kudya kweshuga kunogadzirwa nemukaka usina mafuta, mbatatisi yakakanyiwa, zviyo zvakakanyiwa nemukaka, cottage cheese, omelets yakapfava, uye hove dzepasi. Mashuga akareruka (granules/cubes, candies, sweets, etc.) anofanira kudziviswa.

Zvakakosha kunyatsotsenga chikafu chako uye kuchimedza kana chikafu chachena. Chikafu chisina kunyatsotsengwa chinogona kuvharidzira kuvhurika kwedumbu uye kukonzera marwadzo, kusagadzikana, uye kurutsa. Iva nechokwadi chokuti uri kuwana protein yakakwana. Magirazi matatu emukaka we skim kana soy pazuva anopa mapuroteni akakwana uye calcium kuti urambe uine hutano. Usadya chikafu chakasimba uye chikafu chemvura panguva imwe chete. Fluid yekudya nekudya inozadza dumbu diki rasara uye rinokonzera kurutsa kwekutanga. Inogona kupa kuguta kwekutanga nekutambanudza dumbu, kana kuti inogona kusapa kuguta nekubvisa mudumbu nekukurumidza uye kupa chikafu chakawanda. Usanwa zvinwiwa kwemaminitsi makumi matatu usati wadya uye wapedza.

Zvokudya zvinofanira kudyiwa zvishoma nezvishoma. Unofanira kudya mahwendefa maviri ezvokudya mumaminitsi makumi maviri. Vanhu vazhinji vanopa avhareji yemaminitsi makumi mana nemashanu. Kana iwe uchinzwa kuzara kana kumanikidzwa mukati medumbu rako, unofanirwa kurega kudya kana kunwa. Zvingabatsira kuchengeta dhayari rezvaunodya uye kunyora pasi zvabuda. Kana kurutsa kuchiitika nguva dzose, rubatsiro rwenyanzvi runofanira kutsvakwa. Gastric sleeve kuvhiyiwa Varwere vasina kubudirira vanogona kunyorera kuvhiyiwa uku. Zvidzidzo zvakacherekedza kuti varwere vasingakwanise kuwana hunyanzvi nekudzora kudzora vanowana mibairo yakanaka neiyi maitiro. Ura hudiki, tarisa mamiriro emukati musati wavhiyiwa.

Kuita iyi nzira, ura hudiki hunofanira kunge husina chinhu. Nechikonzero ichi, zvakakosha kuti vanhu vakavhiyiwa mudumbu vasave nedambudziko nekunamatira kudiki. Mini gastric bypass kuvhiyiwa Inogona kushandiswa zvinobudirira muvanhu vakafuta vane reflux chirwere. Mukuvhiya uku kuine mhedzisiro inobudirira murudzi rwe2 chirwere cheshuga, kuita kwemetabolism kwakanyanya kunodzorwa. Naizvozvo, zvakare yakanakira vanhu vane kufutisa uye metabolic syndrome. Iyo inozivikanwa sekuvhiyiwa kwebariatric, iyo inoderedza huwandu hwemudumbu uye zvakare inodzikamisa kunyudzwa kwegastric mudumbu mudiki.

 

 

Kuderedza Uremu neMini Gastrectomy!

Nekuvhiyiwa uku, kurasikirwa uremu kunogona kuwanikwa nenzira nhatu dzakasiyana. Yakaratidzwa kuderedza mudumbu vhoriyamu, kudzora mahormone, uye kudzikisira kubatwa. Mushure mekuvhiyiwa uku, mazhinji emudumbu achange akamira. Mune mamwe mazwi, kufamba kwechirauro kubva kunzvimbo yekushanda hakuna kuvimbiswa. Somugumisiro, basa remudumbu, risina kukurudzirwa nekudya, rinoguma. Ukuru hwemudumbu: Ukuru hwemudumbu hunoderedzwa kuburikidza nekuvhiyiwa. Nedumbu idzva, chikamu chechikamu chichadererawo. gastric bypass kuvhiyiwaIpfupi uye ine yakaderera complication rate. Kurasikirwa kwehuremu kwakafanana. Mitemo yekurapa kwezvirwere zvine chekuita nekufutisa yakafanana.

 

Mini gastric bypass kuvhiyiwa Chikamu chekutanga chinosanganisira kusikwa kwechubhu nekuparadzanisa dumbu. Chikafu chakamedzwa chinopinda mudumbu mudiki aka. Ichi ndicho chikamu chinodzikamisa chekuvhiya kunoshanda panguva yekurasikirwa uremu, zvichireva kuti chikafu chidiki chinogona kudyiwa panguva. Zvokudya zvaunodya zvinofanirwa kuderedza reflux uye dumping syndrome paunenge uchiwedzera uremu. Kurega kudya kunogona kubatsira kuporesa maronda ekugaya uye kudzivirira matambudziko mushure mekuvhiyiwa. Chirongwa chekudya chegiredhi chinoshandiswa ndicho chikafu chakakodzera kwazvo mushure mekuvhiyiwa. Iwe unofanirwa kunwa kanenge 6 kusvika ku8 decaffeinated, zvinwiwa zvisina calorie pazuva. Usanwa chero chinhu maminitsi makumi matatu usati wadya.

 

Nzira yekudzivirira sei kusvotwa. Mushure mekuvhiyiwa, iwe unotanga 5-nhanho kudya. Izvi; Iyo inosanganisira yakajeka chikamu chemvura, yakasviba chikamu chemvura, puree chikamu, yakapfava yakasimba chikamu uye shanduko kune yakasimba chikamu. Imwe nzira yekuvhiya kufutisa ndeye mini gastric bypass. Kuvhiyiwa uku ndiko kuvhiyiwa kwegastric bypass, iyo iri nyore pakati pekuvhiya kwekurapa kufutisa, uye nguva yekuvhiya ipfupi, nguva yekubuda ipfupi, uye mutoro wehupfumi wakaderera. Kurasikirwa kwekurema kwakakwana kunonyorwa mushure mekuvhiyiwa. Mini gastric bypass kuvhiyiwa Inoderedza kukura kwedumbu rako. Nenzira iyi, chiyero chekudya chinopedzwa chakaderedzwa.

 

Iyi nzira yakafanana neiyo sleeve gastrectomy technique. Zvisinei, gastric sleeve kuvhiyiwa kunotsiva gastric chubhu hombe. Mini gastric bypass kuvhiyiwa inoderedza zvakanyanya mudumbu. Mini gastric bypass kuvhiyiwa Mamita maviri ekutanga emudumbu mudiki anosiya nzira yekudya. Basa rechidimbu chakachekwa ndere kutakura mvura inopa kugaya uye kunyura. Mushure mokupfuura nemudumbu richangobva kuumbwa, zvokudya zvinodyiwa zvinotakurwa kuchikamu chepakati chemukati muduku. Kutora kunotanga mumamita maviri ekutanga, kwete pakutanga kweura. Nekuda kweizvozvo, macalorie akawandisa mumuviri haapindi muura uye anoburitswa kubva mumuviri. Kutora zvishoma kunobatsira varwere kuderedza uremu.

 

Varwere vanotevera kudya kwakadzikama nezvokudya zvine utano uye zvikamu zviduku zvinowana utano hwehutano hwekurasikirwa. Mvura yakakwana inodiwa mushure mekuvhiyiwa kudzivirira kupera mvura mumuviri. Muchikamu chekutanga, zvakakosha kuti varwere vanwe zvinokwana 1,2 kusvika ku2 malita emvura pazuva uye vadye zvokudya zvakapfava. Kushandiswa kweshuga, kusanganisira shuga yakanatswa, kunofanira kudziviswa. Kuwana mapuroteni akakwana uye calcium kwakakosha zvikuru. Mukuwedzera, varwere vanorayirwa kuti vasadye chikafu chakasimba uye chemvura panguva imwe chete.

Kudya Mushure meMini Gastric Bypass Surgery

Kudya maererano nekudya mushure me mini gastric bypass ichakanganisa zvakananga mhedzisiro yekuvhiya. Mushure maizvozvi, kudya kwakakora kwemvura kunotanga uye chikamu chekudya chepuree, chinonzi chikafu chakapfava, chinotanga. Sezvo maruva ari chikafu chine fiber, anofanira kutorwa mushure mekudya kwakapfava uye kwakaoma-kuya-kugaya.

 

Kana iwe uchida kudya zvishoma nezvishoma mushure mekuvhiyiwa, shandisa chirongwa chekudya chekudya chiri pedyo nekudya kwakajairika. Mumazuva mashomanana, kudya kwekudya kunoitika nhanho nhanho. Munguva iyi, zvakakosha kutsenga chikafu zvakanaka uye zvakakosha kukudziridza tsika dzakanaka dzekutsenga. Mini gastric bypass kuvhiyiwa Mushure mezvo, mavhitamini ekuwedzera anogona kutorwa kudzivirira kuparara kwemhasuru uye kusangana nemuviri vhitamini nemamineral zvinodiwa panguva yekudya.

Pamusoro pezvokudya zvakasimba, kutarisirwa kunofanira kutorwa kuti udye zvinwiwa. Kunwa kofi hakukurudzirwe kwemwedzi miviri yekutanga mushure mekuvhiyiwa, zvinwiwa zvine acidic zvinofanirwa kudziviswa. Iwe unofanirwa kunwa mvura yakawanda, neavhareji ye 2 malita emvura zuva rega rega. Zvibereko zvinogona kudyiwa mumwedzi miviri yekutanga, asi michero yakaita semaranjisi, mazambiringa, uye tangerines haafarirwe nekuti anovharira dumbu. Kana zvasvika kune zvigadzirwa zvemukaka, zvokudya zvakaderera-mafuta, zvinonzi semi-fat kana chiedza, zvinofanira kusarudzwa. Kuchinja kwekudya kunogona kuitwa zvishoma nezvishoma kune chirongwa chekudya chakanyatsogadzirirwa murwere. Iwe uchapihwa mishonga yekuderedza marwadzo epashure uye kusvotwa. Zvakakosha kuti murwere atore mishonga yose inokurudzirwa nachiremba kuitira kuti murwere akwanise kupedza chirongwa chacho nyore nyore.

Chii Chinofanira Kufungwa Paunenge Uchigadzirira Kuvhiya?

Mini gastric bypass kuvhiyiwa Varwere vanofanira kubhadhara kudya kwavo uye vanosarudza kudya kwakanaka kusvikira zuva rakarongwa. Muchikamu chekutanga, varwere vanokurudzirwa kuti vashandise zvakanyanya sezvinobvira kunze kwekudya kwavo kwemazuva ose. Mini gastric bypass kuvhiyiwa Munguva yekugadzirira kuvhiyiwa, kufamba kwemitambo yakareruka uye kufamba kunobatsira mukubudirira kwekuvhiya kuburikidza nekuita zvakanaka pamwoyo. Kusvuta kunofanira kumiswa panguva yekugadzirira preoperative nguva. Maitiro anokuvadza akadai sekusvuta uye kunwa doro paunenge uchigadzirira kuvhiyiwa kunogona kuwedzera njodzi yekuvhiyiwa uye kukanganisa zvakanyanya mushure mekuita kupora.

Kana murwere ari kutora chero mishonga nguva dzose, inofanira kuudzwa kuna chiremba wake panguva iyi uye inofanira kuve nechokwadi kuti mishonga iyi inoenderera mberi. Unogona kuwana ruzivo kubva kukiriniki yedu uye vanachiremba.