Yaushe zuwa Gastric Bypass don rasa nauyi

Wadatacce

• Menene farashin aikin tiyatar
• Yadda ake yin gastric bypass
• Yaya dawo
• Matsaloli da ka iya faruwa

Gastric bypass, wanda aka fi sani da Y-bypass na Roux ko aikin Fobi-Capella, wani nau'in tiyatar bariatric ne wanda zai iya haifar da asarar kusan kashi 70% na nauyin farko kuma ya kunshi rage ciki da sauya hanji, sa mutum ya ci abinci kadan, daga karshe ya rage kiba.

Tunda nau'ikan tiyata ne wanda ke haifar da babban canji a tsarin narkewar abinci, ana nuna hanyar ne kawai ga mutanen da ke da BMI fiye da 40 kg / m² ko kuma tare da BMI wanda ya fi 35 kg / m², duk da haka, waɗanda suka riga sun wahala wasu matsalolin kiwon lafiya da aka samo daga nauyin nauyi kuma, gabaɗaya, ana yin sa ne kawai lokacin da wasu fasahohi, kamar sanya kayan ciki ko balon ciki, ba su da sakamakon da ake buƙata.

San manyan nau'ikan tiyatar bariatric da lokacin amfani da shi.

Kewayen laparoscopy

Menene farashin aikin tiyatar

Surgeryimar aikin tiyatar ciki ya dogara da asibitin da ake yin sa da kuma bin da ya kamata kafin da bayan aikin, tsakanin 15,000 zuwa 45,000 reais, wannan ya riga ya haɗa da duk ƙwararrun masanan da ke cikin pre, intra da postoperative, ban da duk magungunan da ake bukata.

A wasu lokuta, ana iya yin wucewa a SUS kyauta, musamman ma idan akwai haɗarin ɓullo da manyan matsalolin kiwon lafiya saboda ƙima, wanda ke buƙatar cikakken kimantawa daga likitan ciki.

Yadda ake yin gastric bypass

Kewayen ciki a cikin y na Roux wani hadadden tiyata ne wanda ake yin sa a cikin rigakafin cutar gabaɗaya kuma yakan ɗauki awanni 2, ana ba da shawarar kasancewa tsakanin kwanaki 3 zuwa 5. Don yin hanyar wucewa, likita yana buƙatar yin matakai da yawa:

1. Yanke ciki da hanji: ana yin yanka a cikin ciki kusa da esophagus wanda ya kasu kashi biyu, karamin rabo kaɗan, a cikin sigar jaka, da babban rabo, wanda ya yi daidai da sauran cikin ciki kuma ya rasa aikinsa da yawa. , daina ajiye abinci. Bugu da kari, ana yin yankan ne a farkon bangaren hanji, wanda ake kira da jejunum;
2. Hada wani bangare na hanji zuwa karamin ciki:an ƙirƙiri hanya kai tsaye don abinci a cikin hanyar bututu;
3. Haɗa ɓangaren hanjin da aka haɗa zuwa babban ɓangaren ciki da bututun: wannan haɗin yana ba da abinci, wanda ya fito daga haɗin da aka ƙirƙira na baya, don haɗuwa da enzymes masu narkewa, narkewar abinci yana faruwa.

Gabaɗaya, ana yin wannan aikin ta hanyar bidiyolaparoscopy, tare da ƙananan ramuka 4 zuwa 6 a cikin ciki wanda ke ba da izinin wucewar microchamber da kayan aikin don yin tiyatar. Dangane da wannan dabarar, likitan likitan yana lura da cikin kwayar halitta ta hanyar allo, yana ba da umarnin kayan aikin. Learnara koyo a: Videolaparoscopy.

Hakanan za'a iya yin aikin tiyata ta hanyar laparotomy, tare da buɗe buɗe ciki gabaɗaya, duk da haka, hanya ce da ke gabatar da haɗari fiye da laparoscopy.

Kewayen ciki don rasa nauyi yana haifar da asara har zuwa 70% na nauyin farko kuma yana ba da damar kula da wannan asaran tsawon shekaru, saboda ƙari ga haƙuri da saurin koshi, canjin hanji, yana haifar da ƙarancin shan abin an cinye shi.

Yaya dawo

Saukewar hanyar wucewar ciki yana da jinkiri kuma yana iya ɗaukar tsakanin watanni 6 zuwa shekara 1, tare da asarar nauyi yana da ƙarfi a cikin farkon watanni 3. Don tabbatar da mafi kyawun dawowa, ya zama dole a ɗauki wasu matakan kariya kamar:

• Bi abincin da mai gina jiki ya nuna, wanda ke canzawa tsawon makonni. Ara koyo a: Abinci bayan tiyatar bariatric.
• Shan abubuwan karin bitamin, kamar baƙin ƙarfe ko bitamin B12 saboda haɗarin cutar karancin jini na yau da kullun;
• Bandejin ciki a cibiyar lafiya mako daya bayan tiyata;
• Cire magudanar, wanda shine akwati inda yawan ruwa ke fitowa daga cikin stoma, bisa ga shawarar likita.
• Shan magungunan da ke hana samar da acid, kamar Omeprazole kafin cin abinci don kare ciki kamar yadda likita ya umarta;
• Guji ƙoƙari a cikin kwanaki 30 na farko don hana kowane irin kullewa ya kwance.

Sakamakon wannan tiyatar bariatric zai bayyana tsawon makonni, amma, yana iya zama dole a yi aikin tiyatar kwalliya, kamar su gyaran ciki, shekara 1 zuwa 2 daga baya don cire fatar da ta wuce kima.

Ara koyo game da murmurewa a: Yaya ake murmurewa daga aikin tiyatar bariatric.

Matsaloli da ka iya faruwa

Abu ne na yau da kullun ga mutumin da ke da hanyar wucewa ya fuskanci tashin zuciya, amai, ciwon zuciya ko gudawa a cikin watan farko bayan tiyata. Koyaya, mafi yawan rikitarwa na wannan tiyatar sun haɗa da:

• Fananan fistula ciki ko hanji, wanda zai iya ƙara damar kamuwa, kamar su peritonitis ko sepsis, misali;
• Zubar jini mai tsanani a yankin tabon ciki;
• Karancin jini, galibi saboda ƙarancin bitamin B12;
• Cutar ciwo, wanda ke haifar da alamomi kamar tashin zuciya, ciwon ciki, suma da gudawa bayan mutum ya ci abinci. Duba ƙari a: Yadda za a sauƙaƙe alamun cututtukan Cutar Dumping.

A wasu lokuta, mutum na iya ma buƙatar ƙarin tiyata don gyara matsalar.

Dubi bidiyo mai zuwa ka ga waɗanne yanayi ake ba da shawarar tiyatar bariatric don: