Yin aikin tiyata zai iya zama hanya mai mahimmanci don samun asarar matsala ga mata da ciwon ƙwayar cuta ovarian (PCOS). Amma ƙoƙari ya gano irin nauyin aikin hasara na asarar mafi kyau a gare ka zai iya kasancewa tsari mai wuya da rikitarwa.
Sakin aikin bariatric ya kasance tun daga shekarun 1960s kuma yanzu mafi yawan hanyoyin suna yin laparoscopically , ma'anar ta hanyar jerin ƙananan ƙira ta amfani da kyamara cikin jiki.
Zaɓin hanya mafi kyau na asali na lalacewar ku
Yin yanke shawarar yin aikin hasara ta asarar abu ne mai girma, kamar yadda kake gano likitan likitanka da kuma kyakkyawan aiki, wane irin aikin tiyata. Akwai hanyoyi daban-daban na tiyata kuma likitan likita zai iya samun fifiko ko shawarwari akan abin da zai fi dacewa ga PCOS.
Kwararka zai iya bayar da shawara ga hanyar da ta fi nasara da ita, tare da dalilin da ya sa kake son likitan likita wanda ya kware aiki tare da mata tare da PCOS. Akwai hanyoyi daban-daban kuma kowannensu yana da amfani da rashin amfani.
Roux-En-Y
Laparoscopic Roux-En-Y Gastric Around shi ne hanya mafi girma, kuma ya haɗa da matakai masu zuwa:
- Sake dawo da ƙwayar gastrointestinal (GI) domin abinci ya wuce mafi yawan ciki da ƙananan hanji.
- An halicci kananan jaka a saman ciki.
- Anyi sifa na biyu a ƙananan ƙananan hanji, wadda aka haɗa da tayin da aka yi a saman ciki.
- Wannan yana bada damar cin abincin mafi yawancin ɓangaren (GI) da ke shayar da abinci da adadin kuzari.
Roux-en-Y yana da matukar tasiri a sake juyar da juriyar insulin, matsalar matsala ga mata da PCOS, ko da ma kafin mai haƙuri ya rasa nauyi.
A gefe guda, wannan hanya tana dauke da mummunar haɗari na malabsorption na yawancin abubuwan gina jiki.
An gyara wannan sau da yawa, an hana shi, tare da ƙarin abin da zai zama dole don hana cututtuka mai gina jiki mai tsanani. Haka kuma za ku buƙaci kulawa ta kusa da kuma lokuta masu biyo baya don ci gaba da idanu akan matsayin ku.
Har ila yau, akwai wasu hadarin, ciki har da gallstones, blockage, tagewa ta hanyar sutures ko staples, da kuma dumping ciwo (yanayin rashin lafiya inda wasu abinci ko abin sha suna haifar da mummunan damuwa da zawo).
Lap Band
Lap Band , ko Laparoscopic Adjustable Gastric Banding (LAGB) yana da gajeren lokacin aiki (a cikin sa'o'i 2) da kuma rage lokaci da aka yi a asibiti idan aka kwatanta da Roux-en-Y. Wannan hanya ya shafi:
- Sanya jigilar kamfanoni masu daidaitacce a kusa da ɓangaren ciki na ciki wanda za a iya ci gaba da fadi da kuma karfafawa don hana abincin abinci.
- Ana amfani da ƙarawa ko kumbura ta hanyar tashar jiragen ruwa da aka sanya a karkashin fata na ciki.
Wasu nazarin suna nuna irin nasarorin da suka samu kamar Roux-en-Y, duk da haka, an bukaci karin magungunan sake yin amfani da tiyata don magance tashe-tashen hankula ko tashar jiragen ruwa.
Gastrectomy Manyan
Aiki da ake kira Laparoscopic Sleeve Gastrectomy (LSG), wannan hanya ya shafi:
- Canza siffar ciki daga siffar jaka a cikin hannayen slim.
- An cire wani ɓangare na ciki don saukar da sabuwar siffar, wanda zai haifar da ƙarar girman ciki.
LSG wata hanya ce ta sabuwar hanya tare da taƙaitaccen binciken da aka buga. Dole ne a yi la'akari da matsalolin wannan matsala domin ba ya haɗa da kowane motsi da zai iya hana shi kuma ya hana yin amfani da na'urori.
Duk da yake wannan hanya yana da tasiri, bincike yana nuna cewa hanya na Roux-en-Y tana da kyau mafi kyau ga asarar nauyi kuma inganta ilimin insulin. Duk da haka, an sami asarar hasara mai yawa tare da wannan hanya tare da aikin Lap Band dangane da binciken da aka buga a cikin Journal of World Diabetes a shekara ta 2012.
Menene Irin Rigarar Lalacewar Lafiya Mafi Kyawun Mata Da PCOS?
Littafin Afrilu 2012 a Jaridar Labaran Duniya na Ciwon sukari ya wallafa cewa Roux-en-Y ya kai gagarumin nauyin da ya wuce nauyi fiye da duka Labaran Ƙarƙashin Lap da Cikin Gudun Tsuntsu. Har ila yau an sami gamsar haƙuri don ya kasance mafi girma tare da Roux-en-Y.
Yana da muhimmanci a yi tattaunawa da likitanku game da zabinku da kuma hanyar da ta fi son ku (kuma me yasa). Tabbatar yin bincikenku kafin a yi muku izini kuma ku fahimci zaɓinku da burinku na aikin tiyata, yayin da alamun ku na PCOS da tarihin mutum na iya zama daban-daban fiye da sauran da likitan ku na aiki.
Samun ra'ayi na biyu kyauta ce mai kyau, musamman idan kana da damuwa game da tsarin da aka tsara.
Sources:
American Physiological Society. (2007, Mayu 8). Ƙungiyar Lap Band Ta Yi Wa Tafiyar Tafiyar Taimakawa Insulin Resistance.
JAMA da kuma Jaridu. (2011, Fabrairu 22). Gudanar da tafiya ta hanyar tiyata da ke haɓaka ingantattun sakamako na kiwon lafiya.
Malik, SM, & Traub, ML (2012). Bayyana muhimmancin aikin tiyata a polycystic ovarian marasa lafiya marasa lafiya. Jaridar Duniya na Ciwon sukari