Ƙaddamar Gastric Explained
Gudun gwadawa shine aikin haɗari na hasara mai nauyi, yin amfani da ƙananan ƙananan ciki da kuma kewaye da ƙananan hanji don iyakance cin abincin calories. Gudun tafiya mai mahimmanci ma ana kiranta "aikin roux-en-y" kuma yana daya daga cikin manyan ciwon hasara na asarar nauyi don ci gaba, asarar nauyi mai tsawo.
Gastric kewaye da marasa lafiya ji dadi sosai sauri kuma zauna wannan hanya fiye da yadda yake na hali.
Wannan shi ne saboda an sanya jakar kuɗi don ware kawai ƙananan sashi na ciki don sarrafa abinci. Bugu da ƙari, an ɓangare wani ɓangare na ƙananan hanji don rage adadin abincin, sabili da haka adadin kuzari, wanda jiki zai iya amfani dasu.
Idan kuna shan wannan tsari, dole ne kuyi canje-canje a cikin abincin ku da kuma salon ku domin hanyar da za ku yi tasiri. Abincin bayan tiyata dole ne a iyakance ga kimanin daya ounce kowace; Shan shan ruwa tare da abinci zai iya cika jakar, don haka ya kamata ku tuna cewa yin haka zai iya hana cin abinci mai kyau. Amma, saboda ciki yana da ikon yadawa don saukar da abinci, za ka iya cinye abin da ya fi girma fiye da wannan a tsawon lokaci.
Hanyar Harkokin Tafiyar Gastric Tafiya
An yi amfani da tiyata mai mahimmanci a asibiti ko cibiyar tiyata, ta amfani da General Anesthesia . Yawancin lokaci, ana gudanar da hanyar laparoscopically, wanda ke nufin likita mai amfani yana amfani da kayan dogon lokaci don yin aiki ta hanyar ƙarami.
A wasu lokuta mawuyacin hali, tiyata za ta kasance "Open," ta hanyar girma, haɗakar gargajiya. Za'a iya canza tiyata wanda zai fara laparoscopically zuwa hanyar bude idan likita mai ƙayyade ya zama dole.
Tiyata yana farawa tare da rabi mai inganci mai zurfi cikin rabi na ciki.
An saka kayan da ake ciki a cikin wadannan abubuwan, kuma likita mai farawa ta fara samar da akwati daga yankin da ke kusa da esophagus. An cire takalma daga sauran ciki, wanda aka rufe shi kuma ya zauna cikin jiki (duk da cewa ba zai sake cin abinci) ba. Gwanin sphincter, wanda yake riƙe da abinci a cikin ciki, ya kasance a haɗe zuwa kashi marar amfani da ciki; ƙananan ciki sphincter zama ƙofar cikin akwati.
Da zarar an kafa jakar, ƙwayar hanzarin ya kasance a haɗe zuwa ɓangaren ciki wanda ba ya sarrafa abinci. An sanya karkatacciyar rarraba ƙananan hanji a cikin sashin ƙananan da babba, tare da ɓangaren ɓangaren da aka rufe a rufe. Ƙananan ɓangaren ciki na ciki sai a haɗe shi zuwa sabon salo. Sashin ɓangaren ƙwayar ƙwayar yana ci gaba a cikin jiki, a haɗe zuwa cikin ciki, amma shi ma, ba ya ci gaba da tafiyar da abinci.
Bayan da likitan likita ya yanke shawarar cewa daskararru da sutures ba su dagewa, an kori kayan da aka rufe, kuma an rufe su tare da sutures da kuma sutures .
Hanyar Hankula na Gastric Circle Tiyata
Wannan tsari ya fi cin nasara fiye da hanyoyin da ba su da hanzari, kamar ladabi , saboda ba ya dogara ne kawai kan gyaran canji.
Yayin da jaka zai taimaka wajen haifar da cikewar cikakke kuma baya yarda da manyan abinci da za a cinye, da adadin kuzari da ake cinyewa bata amfani dashi sosai saboda jiki ta hanyar kewaye da ɓangare na ƙananan hanji.
Saboda rashin asarar nauyi bai dogara ga ci gaba da cin abinci kadan ba, marasa lafiya sukan rasa akalla 60% na nauyin haɗari bayan tiyata; fiye da kashi na uku ya rasa kashi 80%. Yawancin marasa lafiya sun isa mafi ƙasƙanci game da shekaru biyu bayan tiyata. Ɗaya daga cikin binciken da aka yi a baya-bayan nan ya nuna cewa kashi 90 cikin 100 na marasa lafiya suna da asarar rabin nauyin jikin su na tsawon shekaru goma bayan da aka tilasta su tiyata, sakamakon da aka nuna ta tare da Roux-en-Y da kuma irin wannan aikin da ake ciki, ta hanyar tashin hankali.
Abin takaici, raguwa na bil-adama - kuma wani lokacin matsalolin roux-en-y - samun matattun abinci mai gina jiki da kuma karbar cikakken bitamin da ma'adanai.
Kwanan nan da ke da iyakacin haɗuwa da tiyata
Babu shakka, akwai abubuwa masu ban sha'awa ga wannan - kuma kowane - hanya. Mutane da yawa marasa lafiya suna fama da ciwowar dumping, yanayin da abinci ke motsawa sosai daga ciki cikin ƙananan hanji, haifar da jijiyar zuciya, suturar sanyi, jin zafi da kuma lokuta mai tsanani da ciwo mai zafi. Yawancin marasa lafiya sun gano cewa ƙayyade yawan abinci da sukari yana hana ƙin ciwo.
Gurasa mai mahimmanci shine haɗari, saboda wannan hanya ta rage karfin jiki don shayar da abubuwan gina jiki, kuma mafi yawan marasa lafiya suna buƙatar samun karin bitamin da kuma ma'adinai don sauran rayuwarsu.
Tiyata ba abu ne mai sassauci ba, amma ana iya kawar da yanayin haɓakawa ta hanyar maye gurbi, wanda zai iya shimfiɗa tayin har sai yawan abinci da za a iya narkewa da kuma amfani da jiki ba shi da iyakancewa fiye da yadda likitan likitan ya nufa. Idan kuna so wannan canji, kuyi magana da likitanku don ku iya tsara wani shiri don taimaka muku kuyi haka da sauƙi.
Gaba ɗaya, tazarar tazarar ita ce mafi yawan aikin tiyata, tare da hanyoyi 140,000 da aka yi a Amurka a kowace shekara. Yayinda yake da tiyata mai mahimmanci, marasa lafiya suna da kyakkyawar sakamako tare da asarar nauyin nauyi, kiyayewa na tsawon lokaci da inganta lafiyar lafiyar wadanda suka yi amfani da duk wani nau'i na asarar asara.
Sources:
Hanyar Bariatric Don Mai Girma Mabaita. Takardar Bayani mai amfani. Ƙungiyar Cibiyar Ciwon Ciwon sukari da Ciwon Gwaji da Kwayoyi. Maris 2008. http://win.niddk.nih.gov/publications/gastric.htm
Jones, Nicolas V. Christou, MD, PhD, Didier Look, MD, da Lloyd D. MacLean, MD, PhD. "Nauyin da ke Gudanar da Ƙananan Bayanai da Tsare-tsaren Gizon Maɗaukaki a marasa lafiya da suka biyo baya fiye da shekaru 10." Annals na Surgery 2006 Nuwamba; 244 (5): 734-740.