Gastric Banding: wongororo pashure pokuvhiyiwa

Laparoscopic gastric banding yezuva ranhasi inonyanya kudiwa nzira. Inobvumira vanhu vane uremu hukuru kuderedza chishuvo chavo chisingadzorwi nekuderedza chiyero chekudya chinopedzwa. Nzira iyi ndiyo kuiswa kwebhande rakasarudzwa panzvimbo yepamuviri pasi pegomba, iro rinogona kuderedza zvakanyanya kukosha kwayo kwepakutanga.

Chikonzero chikuru chekuonekwa kwehuwandu hunorema

Kurasikirwa nechimiro chakanaka chiri nyore. Kuwedzera kukurema kunowedzera kuwedzera nokuda kwehupenyu hwekugara hupenyu uye zvinetso zvinotambudza. Dzimwe nguva chinonyanya kukosha muunganidzwa wei kilogiramu dzisingakoshi chinova chigadziro chemhuri. Zvisinei, pasinei neizvi, mumamiriro ezvinhu ose ekudisa pasina kunze, munhu anogona kutaura nezvechikonzero chikuru chekuonekwa kwechimiro chakadaro, icho chiri mukudarika kwekudya kana kudya. Hakuchina kushandiswa kwehomoni kwakadaro kana kunonoka kushandiswa kwematabolism izvo, kunze kwekuvapo kwechido chisingadzorwiki, zvinokonzera kukura kwegadziriro yekuwana kuwedzerwa kuwedzera.

Ichokwadi kuti vashandi vekudya vanokurudzira kuti varwere vakadaro vafunge nezvemararamiro avo, vafambise mberi, usadya uye usaenzanisa kudya. Zvisinei, izvi hazvigadziri dambudziko racho. Varwere vanorema, ivo pachavo vanonzwisisa zvakakwana zvavanoda kutora kuti vauye uremu hwemuviri kune chimiro chakanaka. Zvisinei, muzviitiko zvakawanda, havakwanise kuzviita ivo pachavo. Izvi hazvirevi verbose. Inosimbiswa neongororo dzakasiyana-siyana umo mapoka evarwere vakanyanya kubatanidzwa. Varwere pakutanga vanobatana nevadzidzisi (psychotherapists, nutritionists uye physiotherapists). Zvisinei, panguva yekuedza yakawanikwa kuti kubvisa uremu hunorema varwere vanogona kungova 1.5-2%, kuchengetedza mhinduro kwemwedzi mitanhatu.

Mumamiriro ezvinhu akadaro, kana munhu ane urombo anonzwisisa kuti haakwanisi kurarama nechirwere ichi chakamubata ari oga, anofanirwa kudzokera kune kliniki apo nyanzvi dzichapiwa nzira dzinobatsira dzekubvisa dambudziko uye kushanda - gastric banding.

Chinokosha chekuita

Makiriniki ekugadzira basa rekugadzira maererano nebasa rakagadzirwa muna 1986 muAmerica. Musiki wayo aiva chiremba chiremba Lubomir Kuzmak, uyo anobva kuUkrainian kubva. Pfungwa huru yemitambo ndeyokuisa mhete pamucheto wepamusoro wemudumbu, iyo munyaya ino inotora maitiro e hourglass. Zvisinei, kusiyana nekuverenga nguva nguva, chirongwa chekudya kwekudya chinopatsanurwa kuva zvikamu zviviri zvakasiyana nehuwandu. Iyo yepamusoro, iyo iri pamusoro pemhete, ine unyanzvi husingaiti. Vhuta rayo rinongova gumi nemashanu kusvika pamakumi maviri emamiriyoni. Iyi ndiyo yehupu yepuniki imwechete. Pakati pediki uye chikamu chikamu chemuviri isimba rakasikwa rakagadzirwa, iro rakakura rinenge 1 cm.

Munhu akave akaputirwa nemudumbu anogona kudya zvishomanana mushure mekushanda. Zvokudya, kupinda mudiki mhepo uye kuchizadza, zvinotarisa munzvimbo iri pamusoro pemhete. Nenguva isipi, chirwere chekudya chinogadzira chiratidzo kune uropi, izvo zvinosimbisa manzwiro evanhu. Murwere anogona kudya zvishoma, somuenzaniso, chikamu chepuro. Kunyange zvakadaro, iye achazonzwa dumbu rinoputika. Iyi nyika inotibvumira kuti tibudirire chinangwa chikuru chekushanda, iyo inosanganisira kuderedza zvakakosha kwehuwandu hwezvokudya zvinodyiwa, uye, nokudaro, mukuderedza kuwanda kwemakoriri anopinda mumuviri.

Kushandisa chigadzirwa chakakosha

Kuti ape mudumbu chimiro che hourglass, vanachiremba vanoshandisa bhandi rinokosha. Iyi inyanzvi inoshandiswa chete mumamiriro ezvinhu apo gastric banding inoshandiswa (ona mufananidzo uri pasi apa).

Pamusoro pechipfuva chacho mukati, mhete yacho yakagadzirwa ne hydraulic system nenzira yechigamba chinokonzerwa nehutachiona. Chimwe chikamu chechishandiswa chinoshandiswa mubasa rekugadzira chinonzi "chikepe". Ichi chikamu chakabatanidza neketani kuburikidza nekadiki tube. Chikwangwani chiri pasi peganda remuviri. Izvo zvakakosha kuitira kuti uzadze iyo yakagadziriswa system nemhinduro yemunyu kana mvura. Izvi zvinokubvumira kuti udzikise huni mukati memhete. Uye, pane kudaro, kubviswa kweimwe gwaro remvura kubva muhurongwa kunotungamirira kukura kwayo. Iko kugadzirisa kunobva pane zvinodiwa zvekwereti. Iyo nzira inoitwa mwedzi miviri mushure mekushanda, apo rhete yakanyatsochengetwa mumatumbu. Zvechokwadi, kuchinja uku kuri nyore. Iko ganda rakananga kuburikidza neganda rinoputirwa nesinono shoma, injecting anenge 5 ml yemvura mukati mayo. Maererano nevarwere, izvi zvinotambudza uye zvinopedza maminetsi matatu kusvika ku5 chete.

Zviratidzo zvekushanda

Ndiani anokurudzira gastric banding? Nyanzvi dzinoti maitiro akadaro anoratidzwa kune avo vatengi vane mutemo wemiviri yavo inodarika 40. Zvisinei, pane zvisiri izvo kune mutemo uyu. Kuvhima kunoitwa nemutumbi wehutu hunokwana 35, kana murwere ane hutano hwakakonzerwa nemaronda evaricose, kukwidziridzwa kweropa kwepamusoro, chirwere cheshuga mellitus uye chirwere chegumbo.

Mukuwedzera, nyanzvi dzekliniki yekunyoresa gondori inonyevera kuti vanhu chete vane nheyo yepamusoro yehutano uye kuzvidzora avo vane chido chikuru chekuchinja mararamiro aripo ehupenyu uye vanogona kushanyira chiremba nguva dzose vanofanira kubvumirana nenzira yakadaro.

Mune zviitiko zvipi iyo gastric banding inogamuchira mhinduro dzisina kunaka? Nechiratidzo chemuviri wepanyama zvinopfuura makumi mashanu. Izvi zvinonyanya kukwirira kuderera. Sei, mumamiriro ezvinhu akadaro, haasi kuvhara dumbu? Mushure mokushandiswa kwekete, varwere vakadaro havakwanisi kurega kudya zvakanyanya kudya. Mumamiriro ezvinhu akadaro, nyanzvi dzinokurudzira kushanda kubvisa chikamu chemuviri, pamwe nemukomana muduku.

Contraindications

Ndiani asingasungiri mudumbu? Mhinduro kubva kune nyanzvi inoratidza kuti iyi nzira haina kunaka:

- varwere vari pasi pemakore gumi nemasere;

- ane zvirwere zvakakomba zvemitsipa yeropa, mapapu nemwoyo;

- vane doro vasingaperi;

- muhupo hwehutachiona hwehutachiona, zvironda zve duodenum kana mudumbu;

- pamuviri;

- kuva nechirwere che "pancreatitis isingaperi" uye "portal hypertension";

- ne-cirrhosis yechiropa;

- mazino anodikanwa ane rudo uye avo vasingakwanisi kutevedzera kudya kwakakodzera;

- kuva nechirwere chisingaperi chisingakanganisa nzvimbo yekushanda;

- nehutachiona hwemotokari yehutachiona;

- muchiitiko chekugara uchinge uchigadzirira hormonal steroid yekugadzirira.

Kugadzirira Kwenzira Yekutengesa

Pamberi pekushanda kuisa sarudzo inokosha mudumbu ichadikanwa kupfuurira miedzo, urongwa hunoenderana nekugadzirira aneshehesia yakawanda. Kwemazuva 10-14 usati wapindira, zvinokurudzirwa kuti uchinje kune kudya kunokubvumira kuderedza chiyero chechiropa. Munguva iyi, kudya kwevarwere kunofanira kusanganisira:

- pasi-fat fat cottage cheese nemukaka;

- nyama nyama;

- mishonga yemichero nemabhuti;

- miriwo nemichero.

Kushandiswa panguva ino yemafuta yemichero nemhuka kunokwanisika, asi vhudzi ravo rinofanira kuderedzwa kusvika zvishoma. Mushure mekudya kwemanheru manheru ekuvhiyiwa, haugoni kudya kana kunwa zvakawanda. Kana murwere achida mishonga, nyaya iyi inokurukurwa nachiremba mberi.

Nzira yekushanda

Inogona kupindira inopindira yokupindira uye kubatana kwepabonde kunofananidzwa here? Kwete, hazvisi. Ichokwadi ndechokuti basa rekuisa sarudzo inokosha mumudumbu inoitwa pa laparoscopic (zvishoma nezvishoma inopisa) nzira. Anofunga kutakura kubva pane zvaanenge apiwa kunze kwekuvhara kwemuviri wemudumbu. Panguva yekushanda, nyanzvi inongoita zviduku zvishoma. Nenzira chiedza chekona uye vhidhiyo kamera inopindirwa mukati mechidziro chemuviri. Mukuwedzera, murwere anoitwa zvinyorwa zvishoma zvishoma. Izvo zvinodiwa kuti zvipinde mudumbu rezviridzwa zvezviridzwa, pasina iyo iyo nzira haigoneki. Chiremba anovhiya anoona nzvimbo yekuvhiya pane chekuona, iyo inoratidza mufananidzo wakatorwa nevhidhiyo kamera.

Iyi nzira inoratidzika nehupamhi hwekuvimbika, zvichibvumira kuti nyanzvi ishande kune iyo nhengo dzomuviri dzisingawanikwi mune zvekugadzirwa kwemajeri.

Makomborero epaparoscopic

Vakawanda veavo vakaita mabhandeji emudumbu, vanoongorora nezvekuvhiya uku kunosiya zvakanaka. Mushure mekuvhiyiwa, panzvimbo pechikara chikuru pamuviri, kune zvishanu zviduku zvishoma. Mukuwedzera, laparoscopic kugadziriswa kwepabonde kunogamuchirwa sekunenge kusina kunetseka. Izvi zvinobvumira murwere kugara muchipatara kwenguva shoma. Nguva yekudzorera mushure mekunge kushanda kwakadai kuri kupfupika, izvo zvinobvumira munhu kudzokera kune hupenyu huripo kare kare.

Ndeapi nyanzvi dzinoongorora mahara eparoscopic yegastric banding? Zviratidzo zvechiremba zvinoratidza kuti vazhinji vavo vanobvuma nzira iyi. Nyanzvi dzinocherechedza kuderera kunoratidzika kwehuwandu hwezvinetso zve postoperative. Mushure mezvose, kana izvi zvichishandiswa hapana kuiswa kukuru, uye, naizvozvo, hakuna kubuda ropa, uye kuvepo kwehutachiona uye kukura kwemaronda kunoderera. Iyo nzira inoita kuti zvibvirire kubvisa matambudziko akadaro ekuvhiya kwechiitiko chinowanzoitwa sepneumonia uye pulmonary exudate, kuwedzerwa ropa kuvhara, nezvimwewo. Mukuwedzera, nzira yacho haipesani kutendeseka kweropa rematumbo.

Vakadzi vakasarudza kuvhara mudumbu, kuongororwa mushure mekushanda kwakanakawo. Uye izvi hazvishamisi. Mushure mezvose, nzira iyi inongobvisa chete chirwere chacho, asi inopawo chigumisiro chakanakisisa kubva kune imwe nzvimbo yekuongorora maonero. Kuti uve nechokwadi pamusoro peizvi, zvakakosha kutarisa kune avo vakatoenda kumhando yegastric banding (mifananidzo mberi uye shure inowanikwa munyaya yacho).

Kukwevedza kwemuitiro wekusimudza kwelaparoscopic uriwo mumashure ayo. Mushure mekupedza kushanda, rin'i rinogona kubviswa pane chimwe chikonzero kana chimwe. Muchiitiko ichi, chimiro chemuviri chichapera zvachose munguva pfupi.

Postoperative period

Murwere uyo akawana chirwere chekuita bhanhire inofanira kuomerera kune mamwe mazano achiremba. Somuenzaniso, manheru uye mangwanani mushure mekuvhiyiwa, haafaniri kudya uye kunwa mvura zhinji. Mvura inongopinda mumuviri muzvikamu zviduku. Zvakwana nguva nenguva yakaitwa imwe kana maviri sips. Chaizvoizvo, ivo vanodiwa kuitira kuti vanyengedze mutsara. Kutanga kunwa vanachiremba vanokurudzira chete mushure memaawa 4-5 mushure mekushanda. Kana pasina dambudziko nekumedza, iwe unogona kutanga kushandisa kushandura pasina zvibvumirano chete zuva rinotevera. Iwe unogona kunwa zvinhu zvose zvisina gesi uye shuga, somuenzaniso:

- pachena mvura;

- Huru dzisina simba rakasimba kana kofi;

- mineral water.

Kana uchida, chinzvimbo cheshuga chinogona kuwedzerwa kune mvura. Izvi zvinotapira uye kunatsiridza tora. Mvura yakadaro inokurudzirwa kutora mazuva matatu, kusvikira chigaro chekutanga (shure kwemaema kana kuti pachako). Pamusoro pevhiki mbiri dzinotevera, unogona kuchinja kune zvinonaka zvemiti kana michero yemichero uye mukaka wakaita mafuta.

Zvikurudzira zvevanyori zvine hanya nemotokari yevashandi. Manheru manheru mushure mekuvhiya, zvinokosha kuti vabve pamubhedha. Unofanira kuita izvi kamwechete kamwe. Izvi zvinoda rubatsiro rwehama kana vashandi vekliniki, uko mabhanhire ari mudumbu. Kuzvimirira pasina kuzvigadzirira hazvidikanwi, sezvo musoro unogona kuva chizoro. Kana murwere achigara ari panzvimbo yakarurama uye asina matambudziko, ipapo anobvumirwa kufamba pasina zvibvumirano. Zvakakosha kuyeuka kuti hurumende inoshandiswa mushure mekushanda ichabatsira kudzivirira kuumbwa kweropa ropa mumakumbo emakumbo uye kudzivirira pakurwisana kwepineumonia.

Mukugadziriswa kwekugadzirisa mushure mekuvhiyiwa kwekuvhiya, zvakakosha kuita kuporesa maitiro. Kana iwe uchida kubvisa huro pako, unongoda kuita izvi. Kuti utsigire kufema kunobatsira, unogona kuisa mabhora kana maikironi emabhaibha. Izvo zvinodiwa kuti uite zvakadaro maitiro kakawanda mukati meawa. Kufuridzirwa maitiro kunokosha zvikuru, sezvavanoramba kudzikira kwemapapu.

Mushure mokunge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitarisa, zvinokosha kuti urege kubvumira kupera kweropa mumumucheto wakadzika, sezvo wakarara pamubhedha mumazuva matatu ekutanga zvinogona kuumba ropa. Rubatsiro mune izvi zvidzidzo zvisiri nyore zvemakumbo, zvinosanganisira kubhururuka nekuwedzerwa kwetsoka.

Dzimwe nguva mushure mekunge vachengeti vekugunzva varwere vanotambura nekushushikana uye kushambidzika. Mamiriro akadaro anofanira kudziviswa nekukumbira vashandi kuti vawane mishonga yezviratidzo izvi.

Munhu uyo akave akasungwa nemudumbu anonzwa sei? Mashoko evarwere anoratidza kuti dzimwe nguva mushure mokunge marwadzo ekuvhiya aonekwa mudumbu remuviri. Kana zvakatove zvakatemwa painkillers hazvina kukwana, saka zvakakosha kuzivisa vashandi vekiriniki nezvazvo.

Sezvo mutemo, mushure mokuvhiyiwa, varwere vanocherechedza kusagadzikana kwemuviri, iyo inoratidzwa nematambudziko mukubviswa kwegezi, pamwe nekushaikwa kwechigaro. Mamiriro akafanana anoitika mumazuva matatu okutanga. Kana mushure mekunge nguva iyo chirwere chemuviri chisati chadzoka, zvino zvinodiwa kuti uite zvinowedzera kukurudzira.

Kana iri chidimbu, pane kazhinji kasina matambudziko nayo. Asi kana vakazoonekwa, ipapo chiremba anofanira kuudzwa nezvazvo.

Multidisciplinary Medical Center

Kushanda kwekuvhara mudumbu kunopa makiriniki muMoscow, St. Petersburg nemamwe maguta emunyika yedu. Mhinduro dzakanaka dzevarwere dzinokodzera nzvimbo yezvokurapa "UMK-utano." Iko iri muguta reYekaterinburg. Iyi ikiriniki yega yega yemhando yakasiyana-siyana, kupa hupamhi hwehutano hwehutano hwekuongororwa kwezvirwere, pamwe nekupa kurapa kune varwere vane kugara kwavo muchipatara. Mune basa rayo, nyanzvi dzepakati inotevedzera mazano anotevera:

- systemic uye yakabatanidzwa;

- kushanda nekuchengeteka kwehutano;

- muteereri - anotungamira nzira ;

- professionalism;

- kuchengetedza nyaradzo uye kupa basa kumatunhu eEurope.

Ikopiki yemazuva ano inguva yakaoma kunzwisisa. Yakagadzirwa uye yakavakirwa pamutemo we "smart home". Semakontare, kambani yakakurumbira yeGerman yakabatanidzwa, yakambovaka makiriniki muIsrael, Germany neSwitzerland.

Pane zvakawanda zvinotungamira zvekurapa kwepakati. Pakati pavo, UMMC-Health (Yekaterinburg) inopa gastric banding kune varwere vayo. Kuongorora kwekushanda uku, vatengi vekambani vanoenda, sekutonga, zvakanaka. Pashure pezvose, vanoisa LapBand mabhandeji akakonzerwa USA. Iyi ndiyo inonyanya kuvimbika uye inopupurirwa yakashandiswa nenzira dzakadaro kwemakore anopfuura makumi maviri.

Ndezvipi zvimwe zvinokwezva avo vakasarudza kubvisa kuneta, kliniki "UMMC-Health" (Yekaterinburg)? Gastric banding (nyanzvi dzinoongorora dzinosimbisa izvi) dzinowanzoitwa nevarwere vane zvirwere zvakadai sehania (mudumbu remadziro kana kuti sophagus), cholelithiasis, nezvimwe. Izvi zvinoda kurapwa, izvo zvinoitwa panguva imwe chete neraparoscopic nzira. Zvose zvinoshandiswa zvinotungamirirwa navanachiremba vane ruzivo vanove vakadzidziswa mumakiriniki anozivikanwa munyika.

Medical Center kuti Yekaterinburg muRussia chete zvinoshanda dzavo varwere vanenge kufutisa, mumwe multi-nechirango kusvika. Akagumisa kuti uremu varwere - dambudziko kwete vanovhiya. Izvi fanirawo nezvezvokudya uye endocrinologists, cardiologists uye psychotherapists. ngwariro kwakadaro kwomudonzvo anosika kupfuura akanaka ezvinhu kuti kubviswa aripo matambudziko.

Reviews varwere kuita nzira nokuda gastric banding (Photo vasati uye pashure dzinoturwa pazasi), kuvhiyiwa kuitwa "UMMC Health" Nyanzvi pakati Naizvozvo inoita kuderedza muviri kurema 5-7 makirogiramu kwemwedzi.

Mukuwedzera, nzira nechokumusoro nokuda pathologies akawanda, kusanganisira chirwere cheshuga mellitus. Uyewo, varwere dzinoshuma normalization pamusoro cardiac basa, kuvandudza BP uye nani hope.