Sakin aikin bariatric wani lokaci ne wanda ya shafi wasu hanyoyin da aka tsara domin magance kiba da kuma haɗari da hasara. Ɗaya daga cikin wadannan hanyoyi shine haɗuwa.
Yadda Yake aiki
Gastric banding-yawanci ake kira a matsayin "band-band" a lokacin da aka aikata laparoscopically-shi ne wani nau'i na aikin tiyata. Tare da hanya mai ɓoye, wadda ake yin laparoscopically , ana sanya band a cikin ciki, rarraba ciki cikin kwando biyu: ƙananan jakar da ke sama da band, kuma ƙaramin ƙananan ƙananan ƙasa a ƙasa da band.
Ƙananan jaka yana ƙayyade adadin abincin wanda zai iya cin abinci a kowane wuri, kuma yana haifar da jin dadi da rashin abinci.
Ana iya gyara band din ta hanyar ƙwayar ko cire saline daga gare ta, saboda haka ragewa ko kara girman buɗewa tsakanin sassa biyu na ciki. Ƙungiyar tana cirewa kuma baya canza yanayin da ke cikin ciki ko ƙwayar nama.
Ƙungiyoyi masu yawa suna ƙarƙashin ɓangaren hanyoyin ƙaddamarwa na ƙuntataccen nauyi, saboda ya rage, ko ƙuntatawa, damar tasiri na ciki don karɓar abinci.
Amfani
A cikin nazari na yau da kullum na binciken da aka wallafa a yau, wata ƙungiyar masu bincike sun gano cewa yawan asarar da aka yi da hasara mai yawa ya kasance 45% a matsakaici, tare da raguwa na yawan ciwon sukari na Type 2 na 28.6%. Raguwa a cikin nauyin hauhawar jini (cutar hawan jini) ya kasance 17.4% tare da raguwa, kuma ragewa a hyperlinkidemia (high cholesterol) ya kasance 22.7%.
Wadannan lambobin sun kasance ƙasa da waɗanda aka gani tare da hanyoyin da ke ciki da kuma hanyoyin hannayen riga.
Duk da irin wannan shaida har yanzu, duk da haka, ana buƙatar nazarin karatun lokaci mai tsawo, saboda babu nazarin aikin tiyata wanda ya bayyana shekaru biyar. Saboda haka, ko da yake an san yawan asarar asalin farko, abin da ba a sani ba shine yadda aka rage yawan asarar nauyi a tsawon shekaru bakwai ko goma ko ma ya fi tsayi.
Hanyoyin Gaba
Bisa ga Cibiyar Amurkan Cibiyoyin Harkokin Ciniki da Taimakon Bariatric, wasu daga cikin abubuwan da suka faru a baya, irin su "dumping syndrome" da cututtukan cututtuka, waɗanda suka haɗa da sauran hanyoyin aikin tiyata kamar ƙuƙwalwar haɗi ba a sa ran za a haɗa su tare da laparoscopic daidaitaccen mahaɗi. Tsarin, duk da haka, zai yiwu ya yiwu ya faru.
Marasa lafiya waɗanda ke da magungunan haruffa zasu iya shawo kan dysphagia (wahalolin haɗuwa), musamman ma bayan da aka kara ƙarfin band, ko "gyara."
Tare da matakan hasara-hasara kamar ƙwayoyin cuta, rashin ciwo na malabsorption ba ya faruwa, saboda gaskiyar cewa abincin da ake cinye shi ya sa hanyar daga cikin jaka a cikin ƙananan ƙananan, inda aka tuna shi kullum kamar yadda ya wuce ƙananan hanji da kuma sauran tsarin narkewa.
Duk da haka, saboda rage yawan abincin abinci (wanda shine, bayan duk, ma'anar wannan hanya), rashin cin abinci mai gina jiki zai iya faruwa, kuma a mafi ƙanƙanta, ana bada shawarar cewa marasa lafiya masu rikitarwa su ɗauki cikakkiyar multivitamin kowace rana. Sauran karin kayan abincin jiki na iya bada shawara dangane da bukatun mutum yana bukatar bukatu, da kuma bin goge bayan likitan likita.
Sources:
{Ungiyar {asashen Amirka don Harkokin Harkokin Bariatric Jama'a / Kwalejin Ilimi. Yin aikin tiyata: abubuwan damuwa. An buga Fabrairu 2008.
Arteburn DE, Fisher DP. Shafin da ke cikin halin yanzu na aikin tiyata. Edita. JAMA 2014; 312: 898-899.
Puzziferri N, Roshek TB, Mayo HG, et al. Tsarin lokaci mai tsawo bayan aikin tiyata: nazari na yau da kullum. JAMA 2014; 312: 934-942.