Gastric banding inzira yekuvhiya yekurapa kufutisa.Iyi imhando yekuvhiya kurasikirwa.Inoshanda nekubata mudumbu, zvichiita kuti munhu anzwe akaguta mushure mekudya zvokudya zvishoma kudarika nguva dzose.
The American Society for Metabolic and Bariatric Surgery (ASMBS) inofungidzira kuti inenge 216,000 kuvhiyiwa kwebariatric kwakaitwa muUnited States muna 2016. Pakati peizvi, 3.4% yakanga ine chokuita negastric banding.Kuvhiyiwa kwemaoko padumbu ndiyo yaive yakajairika mhando, inoverengera 58.1% yehuwandu hwekuvhiya.
Gastric banding imhando yekuvhiyiwa kwebhaatric umo bhendi resilicone rinoiswa pamusoro pemudumbu kuderedza ukuru hwedumbu uye kuderedza kudya.
Chiremba anovhiya anoisa bhandeji kumusoro kwedumbu uye anonamira chubhu pabhandeji.Iyo chubhu inowanikwa kuburikidza nechiteshi pasi peganda padumbu.
Kugadziriswa kunogona kushandura dhigirii yekumanikidza kutenderedza mudumbu.Boka rinoumba kasaga kadiki pamusoro paro, nedumbu rose riri pasi.
Dumbu diki rinoderedza huwandu hwechikafu chinogona kubata mudumbu panguva imwe chete.Chigumisiro ndechekuwedzera kunzwa kwekuguta mushure mekudya chikafu chiduku.Uyezve, izvi zvinoderedza nzara uye zvinobatsira kuderedza kudya kwese.
Kubatsira kwemhando iyi yekuvhiyiwa kwekureruka ndeyekuti inobvumira muviri kugaya chikafu kazhinji pasina malabsorption.
Isa gastric band pasi peanesthesia.Izvi zvinowanzoitwa pachipatara chekunze uye varwere vanowanzodzoka mushure mezuva.
Maitiro acho haaite zvishoma.Inoitwa kuburikidza nekiyi hole incision.Chiremba anoita kuvhiya kudiki kusvika kushanu mudumbu.Kuvhiya kunoitwa pachishandiswa laparoscope, inova chubhu refu yakatetepa ine kamera yakanamirwa pairi.Nzira yacho inowanzotora maminitsi makumi matatu kusvika makumi matanhatu.
Varwere havafanirwe kudya kubva pakati pehusiku pahusiku hwekuvhiyiwa.Vanhu vazhinji vanogona kutangazve mabasa akajairwa mukati memazuva maviri, asi vangangoda svondo rekuzorora.
Kare, nhungamiro dzakakurudzira gastric banding chete kana uine body mass index (BMI) ye35 kana kupfuura.Vamwe vanhu vane BMI ye30–34.9 vanovhiyiwa kana vaine mamwe matambudziko ane chekuita nekufutisa akadai seshuga, BP, kana kutadza kufema munhu akarara.Izvi zvinokonzerwa nehuwandu hwehuwandu hwematambudziko.
Nekudaro, kufambira mberi kwehunyanzvi hwekuvhiya kwakavandudza rekodhi yekuchengetedza maitiro uye kurudziro iyi haichashandi.
Zvinokwanisikawo kubvisa kana kugadzirisa tambo.Kugadziriswa kunoreva kuti inogona kusimbiswa kana kusunungurwa, somuenzaniso, kana kuora muviri kusina kukwana kana kana ukarutsa mushure mekudya.
Paavhareji, unogona kurasikirwa kubva pa40% kusvika 60% yehuremu hwemuviri, asi izvi zvinoenderana nehunhu hwemunhu.
Vanhu vanofanirwa kunyatsotevera kurudziro yezvekudya sezvo kudyisa kunogona kukonzera kurutsa kana kuwedzera esophagus.
Zvisinei, kana munhu ari kuvhiyiwa achitarisira kuti kamwe kamwe kurasikirwa uremu, kana kana kurasikirwa uremu ndicho chikonzero chikuru chavanosarudza kuvhiyiwa, vangaodzwa mwoyo.
Munguva iyi, chiremba anovhiya anosonera dumbu pamwe chete kuti riite diki uye rinobatanidza dumbu rakananga kudumbu diki.Izvi zvinoderedza kudya kwekudya uye kutorwa kwemakoriyumu uye zvimwe zvinovaka muviri.
Zvinokanganisa zvinosanganisira kuti inoshandura mahomoni emudumbu uye inoderedza kutorwa kwechikafu.Zvakaomawo kudzokera shure.
Sleeve gastrectomy: Kubvisa dumbu rakawanda uye kusiya chubhu yakaita sebhanana kana kuti sleeve yakavharwa nemastaples.Izvi zvinoderedza huwandu hwechikafu chinodiwa kugadzira manzwiro ekuguta, asi zvakare kukanganisa metabolism.Hazvidzokere shure.
Vhidhiyo iri pazasi, inogadzirwa naSutter Health, inoratidza zvinoitika kudumbu panguva yekuvhiya gastrectomy.
Duodenal Switch: Iko kushanda kunosanganisira maitiro maviri.Chekutanga, chiremba anovhiya anodzosera chikafu mudumbu diki, senge mune sleeve gastrectomy.Chikafu chinobva chadzoserwa kunzvenga ura huzhinji.Kurasikirwa kwehuremu kunokurumidza, asi kune njodzi dzakakwirira, kusanganisira matambudziko ane chokuita nekuvhiyiwa uye kushomeka kwekudya.
Kuti uwane huremu hwako hwakakodzera, munhu anofanira kufunga zvakawanda, kusanganisira murume kana mukadzi uye nhanho yekuita.Dzidza kuti ungawana sei uremu hwako hwakanaka.
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Nguva yekutumira: Jul-31-2023