Opaleshoni ya gastric bypass ndi njira yosinthira moyo yomwe ingathandize anthu kuti achepetse thupi komanso kukhala ndi thanzi labwino. Komabe, nthawi zina, anthu omwe achitidwa opaleshoni ya m'mimba angafunikire kuchitidwa opaleshoni yokonzanso. Opaleshoni yobwerezabwereza ya gastric bypass ndi njira yovuta yachipatala yomwe cholinga chake ndi kukonza zovuta zokhudzana ndi opaleshoni yoyamba kapena kuthana ndi zovuta zatsopano zomwe zakhala zikuchitika kuyambira pachiyambi. Mu bukhuli latsatanetsatane, tifufuza za dziko la opaleshoni yodutsa m'mimba, kuwunika nthawi ndi chifukwa chake ikufunikira, mitundu yosiyanasiyana ya kukonzanso, komanso zomwe tingayembekezere panthawi ya opaleshoniyo komanso pambuyo pake.
Kufunika Kwa Opaleshoni Yokonzanso Gastric Bypass
Ngakhale opaleshoni yodutsa m'mimba imakhala yothandiza kwambiri polimbikitsa kuchepetsa thupi komanso kukonza thanzi la kunenepa kwambiri, sizotsatira zonse zomwe zimakhala zofanana. Anthu ena amatha kuwonda mokwanira kapena kuwonda pambuyo pa opaleshoni yoyamba. Kuphatikiza apo, zovuta kapena zovuta zimatha kuchitika pakapita nthawi, zomwe zimafunikira opaleshoni yokonzanso. Nazi zina mwazifukwa zomwe anthu angafunikire opaleshoni yokonzanso gastric bypass:
Opaleshoni yobwerezabwereza ya m'mimba ingakhale yofunikira pazifukwa zosiyanasiyana, kuphatikizapo kuchepa thupi kosakwanira kapena kulemera kwa thupi pambuyo pa opaleshoni, kukula kwa zovuta monga kukulitsa thumba, kukhwima, kapena zilonda, ndi kutuluka kapena kuwonjezereka kwa matenda a reflux a gastroesophageal (GERD). Dumping syndrome, yomwe imadziwika ndi zizindikiro zosasangalatsa monga nseru, kutsekula m'mimba, ndi kutsekula m'mimba chifukwa chakuyenda mwachangu kwa chakudya kudzera m'mimba ndi m'matumbo ang'onoang'ono, imathanso kuyambitsa kufunikira kwa opaleshoni yokonzanso. Kuphatikiza apo, kuperewera kwa zakudya, kuphatikiza vitamini B12, chitsulo, ndi kuchepa kwa calcium, kumatha kukula pakapita nthawi. Mtundu wapadera wa opaleshoni yokonzanso yomwe ikufunika imagwirizana ndi zochitika zapadera za munthu aliyense komanso chifukwa chachikulu cha kukonzanso, ndi zosankha zomwe zimachokera ku kusintha kwa kukula kwa thumba kupita ku njira yosiyana yochepetsera thupi.
Maopaleshoni obwerezabwereza
Opaleshoni ya gastric bypass revision imaphatikizapo njira zingapo zomwe zimapangidwira kuthana ndi zovuta zina. Kusintha kukula kwa thumba la m'mimba, lomwe linapangidwa panthawi ya opaleshoni yoyamba, ndi njira imodzi yowonjezeretsa kulemera kwa thupi. Ngati njira yoyamba yodutsa m'mimba ikuwoneka kuti sikugwira ntchito, ndiye kuti mungafune kutembenuzira ku maopaleshoni ena ochepetsa thupi monga mawondo am'mimba kapena duodenal. Opaleshoni yobwerezanso imathandizanso kwambiri kuthana ndi zovuta monga kukhwima, zilonda zam'mimba, kapena kukulitsa thumba, kuonetsetsa kuti wodwala akupitiliza kukhala bwino. Kuphatikiza apo, anthu omwe poyamba adachitidwa opaleshoni yamtundu wina angafunikire kusinthidwa kukhala Roux-en-Y gastric bypass kuti apeze zotsatira zabwino kapena kuthana ndi zovuta. Nthawi zina, kuika laparoscopic chosinthika chapamimba band (Lap-Band) mozungulira thumba la m'mimba kungagwiritsidwe ntchito kuti awonjezere zotsatira zowonda. Asanayambe ulendo wobwereza, kuunika kokwanira kumachitidwa kuti azindikire zomwe zimayambitsa kuwonda kapena zovuta, zomwe zimathandizira kupanga dongosolo lamankhwala lamunthu.
Kuwunikaku kungaphatikizepo
Njira yowunika isanachitike opaleshoni yokonzanso gastric bypass ili ndi njira zingapo zofunika. Choyamba, kuunikanso mwatsatanetsatane mbiri yachipatala ya wodwalayo komanso kuyezetsa bwino thupi kumachitidwa kuti awone momwe alili panopa. Kuphatikiza apo, endoscopy imagwiritsidwa ntchito, yomwe imathandiza dokotalayo kuti azitha kuwona m'mimba ndi malo opangira opaleshoni yodutsa m'mimba, zomwe zimathandizira kuzindikira zovuta zilizonse kapena zovuta. Ma X-ray kapena maphunziro ena ojambulira angagwiritsidwenso ntchito kuti awone momwe m'mimba ndi matumbo. Kuwonjezera apo, kufufuza kwa zakudya, kuphatikizapo kuyesa magazi kuti azindikire kuperewera kwa zakudya, kumachitidwa kuti adziwe ngati zofooka zilizonse zimafuna kukonzedwa musanachite opaleshoni. Kuwunika kwatsatanetsatane kumeneku kumalizidwa, gulu la opaleshoni limathandizana ndi wodwalayo kupanga dongosolo lachithandizo laumwini. Dongosololi limaphatikizapo zinthu zosiyanasiyana, monga kusintha kwa moyo, kusintha kwa zakudya, komanso chithandizo chamakhalidwe, kuphatikiza pakuchitapo opaleshoni yokha, kuonetsetsa kuti wodwalayo ali ndi njira yokhazikika. Pitani West Medical kudziwa zambiri.
Zomwe Muyenera Kuyembekezera Panthawi Yochita Opaleshoni Yokonzanso Gastric Bypass
Njira yeniyeni yopangira opaleshoni komanso njira zomwe zimagwiritsidwa ntchito panthawi ya opaleshoni yokonzanso m'mimba zimasiyana malinga ndi momwe munthuyo alili komanso zolinga za opaleshoniyo. Komabe, apa pali chidule cha zomwe muyenera kuyembekezera panthawi ya opaleshoni yokonzanso:
Anesthesia: Opaleshoniyo imachitidwa pansi pa anesthesia wamba kuti wodwalayo akhale womasuka komanso wopanda ululu panthawiyi.
Njira Yopangira Opaleshoni: Dokotala wa opaleshoni angagwiritse ntchito njira zochepetsera pang'ono, monga laparoscopy, kuti alowe m'mimba. Laparoscopy imaphatikizapo kupanga mapiko ang'onoang'ono ndikugwiritsa ntchito kamera ndi zida zapadera za opaleshoniyo.
Kubwerezanso Njira: Kutengera mtundu wa kukonzanso kofunikira, dokotalayo adzachita zosintha kapena kuwongolera kofunikira. Izi zingaphatikizepo kukulitsa thumba la m'mimba, kuthana ndi zovuta, kapena kusintha maopaleshoni ena ochepetsa thupi.
Kutseka: Pambuyo pomaliza kukonzanso koyenera, dokotala wa opaleshoni amatseka zodulidwazo, ndipo wodwalayo amasamutsidwira kumalo ochira.
Kuchira ndi Kusamalira Pambuyo Opaleshoni
Kuchira kuchokera ku opaleshoni yokonzanso m'mimba kumasiyanasiyana munthu ndi munthu ndipo zimatengera zovuta za njirayi. Komabe, apa pali malangizo ena okhudza chisamaliro cha pambuyo pa opaleshoni:
Kukhala Pachipatala: Odwala nthawi zambiri amakhala m'chipatala masiku angapo pambuyo pa opaleshoni yokonzanso kuti awonetsetse kuti akuyang'aniridwa ndi kuchira.
Kusintha kwa Kadyedwe: Kusintha kwapang'onopang'ono kuchoka ku zakumwa kupita ku zakudya zofewa kenako kupita ku zakudya zolimba nthawi zambiri kumalimbikitsidwa motsogozedwa ndi katswiri wodziwa zakudya.
Mankhwala: Odwala angafunike mankhwala kuti athetse ululu, kupewa matenda, kapena kuthana ndi zovuta zinazaumoyo.
Chisamaliro Chotsatira : Kukonzekera nthawi zonse ndi gulu la opaleshoni n'kofunikira kuti muwone momwe zikuyendera, kuyesa zakudya, ndi kukonza zofunikira pa dongosolo la chithandizo.
Kusintha kwa Moyo Wanu: Odwala adzalimbikitsidwa kukhala ndi moyo wathanzi, kuphatikizapo kuchita masewera olimbitsa thupi nthawi zonse komanso kutsata zakudya, kuti akwaniritse zotsatira zabwino.
Ubwino Ndi Zowopsa Zomwe Zingatheke
Opaleshoni yobwerezabwereza ya gastric bypass ikhoza kupereka maubwino angapo, kuphatikiza kuwongolera zowonda, kuthetsa zovuta, komanso kukhala ndi thanzi labwino. Komabe, monga njira iliyonse yopangira opaleshoni, imabwera ndi zoopsa, kuphatikizapo matenda, kutuluka magazi, ndi zotsatira zoyipa za anesthesia. Odwala ayenera kukambirana mozama za ubwino ndi zoopsa zomwe zingatheke ndi gulu lawo lachipatala asanapange chisankho.
Kodi Gastric Bypass Revision Ndi Yoyenera Kwa Inu?
Chisankho chochitidwa opaleshoni yokonzanso gastric bypass revision ndichokhazikika payekhapayekha ndipo chiyenera kupangidwa pokambirana ndi achipatala omwe amagwira ntchito ya bariatric. Ndikofunikira kulingalira zinthu monga zifukwa zowunikiranso, mapindu omwe angakhalepo, ndi zoopsa zomwe zingabwere. Kuonjezera apo, odwala ayenera kudzipereka kusintha kusintha kwa moyo wawo kuti athandizidwe kwa nthawi yayitali pambuyo pa opaleshoni yokonzanso.
Kutsiliza
Opaleshoni ya gastric bypass revision ndi njira yovuta koma yomwe ingasinthe moyo wa anthu omwe achitidwapo opaleshoni yodutsa m'mimba ndikukumana ndi zovuta kapena kuchepa thupi mokwanira. Kumvetsetsa zifukwa zowunikiranso, mitundu ya maopaleshoni okonzanso omwe alipo, njira yowunikira, komanso zomwe muyenera kuyembekezera panthawi ya opaleshoni komanso pambuyo pake ndikofunikira kuti mupange zisankho zodziwika bwino za chithandizo chamankhwala ichi. Pamapeto pake, cholinga cha opaleshoni yokonzanso gastric bypass ndikuthandiza anthu kuti akwaniritse zowonda zawo komanso zolinga zowongolera thanzi lawo, kupereka mwayi watsopano wokhala ndi moyo wathanzi komanso wosangalala.
