I-Sleeve Gastrectomy-IiNkqubo, Ulungiselelo, Iindleko, kunye noBuyiselo

I-Open Sleeve Gastrectomy yinkqubo yotyando yokwehlisa ubunzima eyenzelwe ukunceda abantu abanengxaki yokutyeba ngokugqithiseleyo. Lo msebenzi ubandakanya ukususwa kwenxalenye ebalulekileyo yesisu, okubangelwa isakhiwo esifana nomkhono ofana nebhanana. Eyona njongo iphambili ye-Open Sleeve Gastrectomy kukunciphisa umthamo wesisu, okuthintela ukutya kunye nokukhuthaza ukuziva ugcwele emva kokutya iinxalenye ezincinci. Ngokuguqula ubungakanani besisu kunye nokumila, le nkqubo ayincedi kuphela ekunciphiseni ubunzima kodwa inceda ukuphucula okanye ukusombulula iimeko zempilo ezinxulumene nokutyeba.

Inkqubo ye-Open Sleeve Gastrectomy yenziwa ngokuqhelekileyo phantsi kwe-anesthesia jikelele kwaye ifuna ukusika okukhulu xa kuthelekiswa nomlingani wayo we-laparoscopic. Le ndlela ingaba yimfuneko kwizigulane ezineengcamango ezithile ze-anatomical okanye abo baye benza utyando lwangaphambili lwesisu olunzima ukufikelela kwi-laparoscopic. Olu tyando lwenziwa ngugqirha wotyando onobuchule osusa isisu esimalunga neepesenti ezingama-80, eshiya ityhubhu okanye umkhono omxinwa. Oku kuncipha kubalulekileyo kubungakanani besisu kukhokelela kutshintsho lwehomoni olunokunciphisa umdla wokutya kunye nokuphucula ukusebenza kwemetabolism.

I-Open Sleeve Gastrectomy iboniswa ikakhulu kubantu abanesalathiso sobunzima bomzimba (BMI) wama-40 okanye ngaphezulu, okanye abo bane-BMI engama-35 okanye ngaphezulu abanengxaki yezempilo enxulumene nokutyeba kakhulu njengohlobo lwe-2 yeswekile, uxinzelelo lwegazi, okanye ukuphelelwa umoya. Inkqubo ayikho nje malunga nokunciphisa umzimba; ikwajolise ekuphuculeni umgangatho wobomi bubonke ngokujongana nezi zigulo.

Kutheni i-Gastrectomy ye-Sleeve evulekile yenziwe?

I-Open Sleeve Gastrectomy ikholisa ukucetyiswa kubantu abangafumananga ukuncipha okukhulu kobunzima ngeendlela zesintu ezifana nokutya, umthambo, okanye amayeza. Ukutyeba kakhulu yimeko entsonkothileyo enokukhokelela kwiingxaki ezahlukeneyo zempilo, kubandakanya nesifo sentliziyo, isifo seswekile, kunye nemiba edibeneyo. Isigqibo sokwenza i-Open Sleeve Gastrectomy kaninzi senziwa emva kokuqwalaselwa ngenyameko kwimbali yonyango yesigulana, imeko yempilo yangoku, kunye neenjongo zokunciphisa umzimba.

Izigulane zinokufumana uluhlu lweempawu ezibakhuthaza ukuba bafune ungenelelo lotyando. Ezi mpawu zinokubandakanya:

• Ubunzima bokwenza imisebenzi yemihla ngemihla ngenxa yobunzima obunzima
• Intlungu edibeneyo okanye imiba yokuhamba
• I-apnea yokulala okanye ezinye iingxaki zokuphefumla
• Uxinzelelo lwegazi oluphezulu okanye amanqanaba aphezulu e-cholesterol
• Uhlobo lwesi-2 seswekile ekunzima ukusilawula ngamayeza
• Imiba yengqondo enxulumene nokutyeba, njengokudakumba okanye ukuzithemba okuphantsi

I-Open Sleeve Gastrectomy iyacetyiswa xa izigulane zizame kwaye zasilela ukunciphisa umzimba ngeendlela ezingezizo utyando. Kwakhona kuqwalaselwa xa ukutyeba kwesigulana kubangela ingozi enkulu kwimpilo kunye nokuphila kakuhle. Inkqubo ayilungiswa ngokukhawuleza; kufuna ukuzinikela ekutshintsheni indlela yokuphila, kubandakanywa ukuguqulwa kokutya kunye nokusebenza ngokomzimba rhoqo, ukufezekisa nokugcina ukulahleka kwesisindo sexesha elide.

Iimpawu zeGastrectomy ye-Sleeve evulekileyo

Iimeko ezininzi zeklinikhi kunye neendlela zokuxilonga zinokwenza isigulana sibe ngumgqatswa ofanelekileyo we-Open Sleeve Gastrectomy. Ezi zibonakaliso ziquka:

• Ukutyeba kakhulu: Izigulane ezine-BMI ye-40 okanye ngaphezulu ziqwalaselwa ngokubanzi kule nkqubo. Abo bane-BMI yama-35 okanye ngaphezulu nabo baneemeko zempilo ezinxulumene nokutyeba kakhulu nabo banokufaneleka.
• IiMeko zezeMpilo ezinxulumene nokutyeba: Iimeko ezifana nesifo sikashukela sohlobo lwe-2, uxinzelelo lwegazi, i-apnea yokulala, kunye neengxaki ezidibeneyo zingabonisa imfuno yongenelelo lotyando. Ukuba ezi meko azilawuleki ngokutshintsha indlela yokuphila okanye amayeza, i-Open Sleeve Gastrectomy inokucetyiswa.
• Akuphumelelanga kwiinzame zangaphambili zokuthoba ubunzima: Abaviwa be-Open Sleeve Gastrectomy banembali yeenzame ezingaphumelelanga zokunciphisa umzimba ngokutya, umthambo, okanye amayeza. Le mbali ibalulekile ekumiseleni ukufaneleka kongenelelo lotyando.
• Ukulungela ngokwengqondo: Izigulane kufuneka zibonise ukuzimisela ukuzibophelela ekutshintsheni indlela yokuphila eyimfuneko ekulahlekeni kwesisindo esiyimpumelelo emva kokuhlinzwa. Oku kuquka ukubambelela kwimigaqo yokutya nokwenza umthambo rhoqo.
• Ukungabikho kweContraindications: Iimeko ezithile zonyango zinokwenza ukuba isigulana singakufanelekeli ukwenza i-Open Sleeve Gastrectomy. Oku kunokubandakanya isifo sentliziyo okanye semiphunga, ukusetyenziswa kakubi kweziyobisi, okanye ukuphazamiseka kwengqondo okunganyangwanga. Ukuphononongwa ngokucokisekileyo liqela lezempilo kubalulekile ukuqinisekisa ukuba isigulane singumgqatswa ofanelekileyo wenkqubo.
• Iingqwalasela zobudala: Nangona kungekho mda weminyaka engqongqo kwi-Open Sleeve Gastrectomy, abaninzi abaviwa ngabantu abadala phakathi kweminyaka eyi-18 kunye ne-65. Nangona kunjalo, izigulane ezincinci zingaqwalaselwa ukuba zifikelele ekukhuleni ngokomzimba kwaye zinemiba ebalulekileyo yempilo enxulumene nokutyeba.

Isishwankathelo, i-Open Sleeve Gastrectomy lukhetho olusebenzayo kubantu abanengxaki yokutyeba kakhulu kunye neemeko zempilo ezinxulumeneyo. Isigqibo sokuqhubeka nolu ngenelelo lotyando lusekelwe kuvavanyo olubanzi lwesimo sempilo yesigulane, imbali yokulahlekelwa kwesisindo, kunye nokulungela ukwamkela utshintsho lwendlela yokuphila oluyimfuneko kwimpumelelo yexesha elide. Ngokuqonda izibonakaliso zale nkqubo, izigulane zinokwenza izigqibo ezinolwazi malunga nohambo lwabo lokulahlekelwa kwesisindo kunye nempilo yonke.

Ukunyangwa kweGastrectomy ye-Sleeve evulekileyo

I-Open Sleeve Gastrectomy yinkqubo yotyando yokunciphisa ubunzima enokuthi ingafanelanga wonke umntu. Ukuqonda i-contraindications kubalulekile ekuqinisekiseni ukhuseleko lwesigulane kunye nokufezekisa iziphumo ezilungileyo. Nazi ezinye iimeko kunye nezinto ezinokuthi zenze isigulana singafaneleki kule nkqubo:

• Imiba yeMpilo eNxulumene nokutyeba kakhulu: Izigulane ezineemeko ezinzima ezifana nesifo sikashukela esingalawulwayo, isifo senhliziyo, okanye iingxaki zokuphefumula zingabi ngabaviwa abafanelekileyo. Ezi meko zinokunyusa umngcipheko weengxaki ngexesha nasemva kotyando.
• Uqhaqho lwangaphambili lwesisu: Abantu abaye benza utyando oluninzi lwesisu banokuba nezicubu ezibomvu (i-adhesions) ezenza nzima inkqubo. Oku kunokukhokelela kwimingcipheko eyongeziweyo yotyando kunye nexesha elide lokubuyisela.
• Ukusetyenziswa Gwenxa Kweziyobisi: Izigulana ezinembali yokusetyenziswa gwenxa kweziyobisi zinokusokola ngokhathalelo lwasemva kotyando kunye nokutshintsha kwendlela yokuphila eyimfuneko ekulahlekeni kobunzima obunempumelelo. Oku kunokuthintela ukusebenza kotyando.
• Iziphazamiso zengqondo: Abo baneemeko zengqondo ezingaphendulwanga, ezifana nokudakumba okukhulu okanye ukuphazamiseka kokutya, banokungakulungeli ukuzibophelela kwiinguqu zokuphila ezifunekayo emva kotyando. Uvandlakanyo lwengqondo lusoloko luyimfuneko ukuvavanya ukulungela.
• Iingqwalasela zobudala: Nangona kungekho mda ungqongqo weminyaka yobudala, abaguli abancinci kakhulu okanye abakhulileyo banokujamelana nemingcipheko ephezulu. Izigulane eziselula zisenokungakhange ziphuhlise ngokupheleleyo izakhono zabo zokwenza izigqibo, ngelixa izigulana ezindala zinokuba neengxaki ezininzi zempilo.
• Ukukhulelwa: Abasetyhini abakhulelweyo okanye abaceba ukukhulelwa kufuneka baluhlehlise utyando. Ukulahlekelwa kwesisindo ngexesha lokukhulelwa kunokuchaphazela ukuphuhliswa komntwana kunye nempilo kamama.
• Ukungakwazi Ukulandela Imiyalelo yasemva kokuSebenza: Iziphumo eziyimpumelelo zixhomekeke kwikhono lesigulana lokuthobela ukutya kunye nokutshintsha kwendlela yokuphila emva kotyando. Abo bangenako ukuzibophelela kolu tshintsho basenokungabi ngabaviwa abafanelekileyo.
• Iimeko ezithile zonyango: Iimeko ezifana nesifo sesibindi, ukungaphumeleli kwezintso, okanye ukuphazamiseka kwegazi kungenza kube nzima utyando kunye nokubuyisela. Uvavanyo olucokisekileyo lwezonyango luyimfuneko ukuze kubonwe nayiphi na imiba esisiseko.
• IKlasi yokutyeba: Izigulane ezichazwe njenge-Class I-obesity (BMI 30-34.9) ayinakufaneleka ukuhlinzwa ngaphandle kokuba inemiba ebalulekileyo yempilo enxulumene nokutyeba. Uninzi lwabaviwa ngokuqhelekileyo lukwiKlasi II (BMI 35-39.9) okanye iKlasi III (BMI 40 nangaphezulu).
• Usulelo okanye Isigulo: Usulelo olusebenzayo okanye izigulo zinokulibazisa utyando. Izigulana kufuneka zibesempilweni entle phambi kokuba zenze utyando.

Uyilungiselela njani iGastrectomy yomkhono ovulekileyo

Ukulungiselela i-Open Sleeve Gastrectomy ibandakanya amanyathelo abalulekileyo okuqinisekisa amava otyando agudileyo kunye nokuchacha. Nantsi into ekufuneka uyazi:

• Ukudibana noGqirha wotyando: Inyathelo lokuqala kukudibana nogqirha wotyando oqeqeshiweyo. Ngethuba lolu thethwano, ugqirha uya kuvavanya imbali yakho yonyango, axoxe ngeenjongo zakho zokunciphisa umzimba, kwaye achaze inkqubo ngokweenkcukacha.
• Uvavanyo lwezonyango: Uvavanyo olubanzi lwezonyango luya kwenziwa, kubandakanywa novavanyo lwegazi, izifundo ze-imaging, kwaye mhlawumbi nesifundo sokulala. Oku kunceda ukuchonga nayiphi na imiba yempilo esisiseko ekufuneka iqwalaselwe phambi kotyando.
• Ukucebisa ngeZondlo: Intlanganiso nengcali yezokutya ebhalisiweyo ibalulekile. Baza kunika isikhokelo malunga nokutshintsha kokutya okukhokelela kuqhaqho kwaye bakuncede uqonde ukutya kwasemva kotyando.
• Uvavanyo lweengqondo: Uvandlakanyo lwezengqondo lungafuneka ukuze kuqinisekiswe ukuba ulungele ngokwengqondo utshintsho oluza notyando. Olu vavanyo lunceda ukuchonga nayiphi na imiqobo enokubakho kwimpumelelo.
• Imiyalelo yokuSebenza kwangaphambili: Ugqirha wakho uya kukunika imiyalelo ethile, enokuquka:
  • Utshintsho ekutyeni: Unokucelwa ukuba ulandele ukutya okuphantsi kweekhalori okanye ukutya okunomanzi kwiiveki ezimbalwa ngaphambi kokuhlinzwa ukunciphisa ubungakanani besibindi kwaye wenze inkqubo ibe lula.
  • Mayeza: Xoxa ngawo nawaphi na amayeza owathathayo nogqirha wakho wotyando. Abanye kusenokufuneka bahlengahlengiswe okanye bayekwe ngaphambi kotyando.
  • Ukuyeka ukutshaya: Ukuba uyatshaya, ukuyeka ubuncinane iiveki ezine ngaphambi kotyando kubalulekile ukuze unciphise iingxaki.
• Ukulungiselela iNkxaso: Kubalulekile ukuba kubekho inkqubo yenkxaso. Lungiselela umntu oza kukunceda ekhaya emva kotyando, njengoko unokufuna uncedo ngexesha lokuchacha kwakho.
• Ukulungiselela ukuBuyisa: Misela ikhaya lakho ukuze uhlaziyeke ngokudala indawo etofotofo apho unokuphumla khona. Thenga izinto eziyimfuneko, ezinje ngeprotein shakes kunye nokutya okuthambileyo, njengoko kucetyisiwe ngugqirha wakho wokutya.
• Ukuqonda Inkqubo: Ziqhelanise nento onokuyilindela ngexesha lotyando kunye nenkqubo yokubuyisela. Olu lwazi lunokukunceda uthobe ukuxhalaba kwaye ulungiselele ingqondo yakho.
• uthutho: Yenza amalungiselelo othutho lokuya nokubuya esibhedlele ngomhla wotyando, njengoko ungenakukwazi ukuziqhubela.
• Ukuqeshwa kokulandelela: Cwangcisa nawaphi na amadinga okulandelelayo ayimfuneko kunye neqela lakho lezempilo ukujonga inkqubela yakho kunye nokujongana nayo nayiphi na inkxalabo emva kotyando.

Vula i-Sleeve Gastrectomy: Inkqubo yeNyathelo ngeNyathelo

Ukuqonda inkqubo yenyathelo ngenyathelo le-Open Sleeve Gastrectomy kunokunceda ukuthomalalisa naliphi na ixhala onokuba nalo malunga nenkqubo. Nantsi into eyenzekayo phambi, ngexesha, nasemva kotyando:

• Phambi kweNkqubo:
  • Ukufika esibhedlele: Ngomhla wotyando, uya kufika esibhedlele kwaye uhlolwe. Uya kusiwa kwindawo yangaphambi kotyando apho uya kutshintsha ube yingubo yesibhedlele.
  • IV Line Ukufakwa: Umgca we-intravenous (IV) uya kufakwa engalweni yakho ukuze ulawule amayeza kunye nolwelo ngexesha lotyando.
  • Anesthesia: Uya kudibana ne-anesthesiologist, oya kuchaza inkqubo ye-anesthesia. Uya kufumana i-anesthesia jikelele, oku kuthetha ukuba uya kulala ngexesha lotyando.
• Ngexesha leNkqubo:
  • Ukuqhawula: Ugqirha wotyando uya kukwenza indawo enkulu kwisisu sakho ukufikelela esiswini. Oku kwahlukile kutyando lwe-laparoscopic, olusebenzisa amanxeba amancinane.
  • UkuNcitshiswa kwesisu: Ugqirha wotyando uya kususa inxalenye ebalulekileyo yesisu sakho, eshiya isingxobo esimile okwemikhono. Oku kunciphisa umthamo wesisu kwaye kunciphise ukutya.
  • Ukuthunga: Isisu esishiyekileyo sithuthwa sivaliwe. Ugqirha wotyando uya kuqinisekisa ukuba akukho kuvuza nokuba isisu sisebenza kakuhle.
  • esweni: Kuyo yonke inkqubo, iimpawu zakho ezibalulekileyo ziya kubekwa esweni ukuqinisekisa ukhuseleko lwakho.
• Emva kwenkqubo:
  • Igumbi lokubuyisela: Emva kokuba utyando lugqityiwe, uya kuthathwa kwigumbi lokubuyisela apho abasebenzi bezonyango baya kukubeka iliso xa uvuka kwi-anesthesia.
  • Ulawulo lwezinhlungu: Usenokuba neentlungu ezithile, eziya kulawulwa ngamayeza. Kubalulekile ukunxibelelana nabasebenzi abongikazi nangakuphi na ukungakhululeki.
  • Ukuhlala esibhedlele: Uninzi lwezigulane zihlala esibhedlele iintsuku ezi-2 ukuya kwezi-3 emva kokuhlinzwa, kuxhomekeke kwinkqubela yabo yokubuyisela. Ngeli xesha, uya kuthi ngokuthe ngcembe uqalise ukwazisa ulwelo olucacileyo kwaye emva koko uqhubele phambili kwisidlo esithambileyo.
  • Imiyalelo yokukhupha: Ngaphambi kokuba uphume esibhedlele, uya kufumana imiyalelo eneenkcukacha yendlela ozinyamekela ngayo usekhaya, kuquka izikhokelo eziphathelele ukutya nemiqathango ebekiweyo yokwenza izinto.

Emva kokukhutshwa, uya kuba nokuqeshwa okulandelwayo kunye nogqirha wakho kunye ne-dietitian ukujonga inkqubela yakho, ukulungelelanisa ukutya kwakho, kwaye uqinisekise ukuba uphilisa ngokufanelekileyo. Oku kukuzinikela ubomi bonke ukuqinisekisa impumelelo yokulawula ubunzima kunye nempilo yesondlo.

Imingcipheko kunye neengxaki zeGastrectomy ye-Sleeve evulekileyo

Njengayo nayiphi na inkqubo yotyando, i-Open Sleeve Gastrectomy ithwala imingcipheko ethile kunye neengxaki ezinokubakho. Kubalulekile ukuzazi ezi ukuze wenze isigqibo esinolwazi:

• Imingcipheko eqhelekileyo:
  • Sulelo: Njengalo naluphi na utyando, kukho umngcipheko wosulelo kwindawo yokusika okanye ngaphakathi.
  • Ukuhlamba: Ezinye izigulana zinokopha ngexesha okanye emva kotyando, nto leyo enokufuna unyango olongezelelweyo.
  • Amahlwili egazi: Kukho umngcipheko wokuphuhlisa i-blood clots emilenzeni (i-deep vein thrombosis) okanye imiphunga (i-pulmonary embolism), ngakumbi ukuba ukuhamba kulinganiselwe emva kokuhlinzwa.
  • Isihlunu kunye nokuHlanza: Izigulana ezininzi zifumana isicaphucaphu kunye nokuhlanza emva kotyando, ngakumbi ngexesha lesigaba sokuqala sokubuyisela.
• Imingcipheko eNcinci:
  • Ukuvuza: Kukho umngcipheko wokuvuza ukusuka kumgca wesiseko apho isisu sasihlanjululwe khona. Oku kunokukhokelela kwiingxaki ezinzulu kwaye kunokufuna utyando olongezelelweyo.
  • Ukunqongophala kweSondlo: Njengoko ubungakanani besisu buncitshisiwe, izigulane azikwazi ukufumana izondlo ngokufanelekileyo, ezikhokelela ekunqongolweni kweevithamini kunye neemaminerali.
  • Isifo seGastroesophageal Reflux (GERD): Ezinye izigulana zinokuphuhlisa okanye zibe namava okuba mandundu kweGERD emva kotyando.
  • Stenosis: Ukunciphisa umkhono kunokwenzeka, okukhokelela ekubeni ubunzima bokugwinya kunye nokuhamba kokutya.
• Imingcipheko enqabileyo:
  • Iingxaki ze-Anesthesia: Iimpendulo kwi-anesthesia zingenzeka, nangona zinqabile. Xoxa ngazo naziphi na izinto ezikuxhalabisayo kunye ne-anesthesiologist yakho.
  • Ukwenzakala kwamalungu: Kukho umngcipheko omncinci wokulimala kwizitho ezijikelezileyo ngexesha lotyando, olunokufuna ukungenelela olongezelelweyo lotyando.
  • Ukufa: Nangona kunqabile kakhulu, nayiphi na inkqubo yotyando inomngcipheko wokusweleka, ngakumbi kwizigulana ezinezigulo ezibalulekileyo.
• Iingcamango Zexesha Elide:
  • Ukunciphisa Ubunzima kwakhona: Ngelixa izigulane ezininzi zifumana ubunzima obukhulu, abanye banokuphinda baphinde batyebe ekuhambeni kwexesha ukuba abahambelani nokutshintsha ukutya kunye nendlela yokuphila.
  • Impembelelo yengqondo: Ukuziqhelanisa nobomi emva kotyando kunokuba lucelomngeni. Ezinye izigulana zinokuba nobunzima beemvakalelo njengoko zijonga ubudlelwane babo obutsha kunye nokutya kunye nomzimba.

Ukuqukumbela, i-Open Sleeve Gastrectomy inokuba yinkqubo yokutshintsha ubomi kwabo banengxaki yokutyeba, kodwa kubalulekile ukuqonda ukuchasana, amanyathelo okulungiselela, inkqubo ngokwayo, kunye neengozi ezinxulumene nazo. Ngokwaziswa kunye nokusebenza ngokusondeleyo neqela lakho lezempilo, unokuzilungiselela uhambo oluyimpumelelo lokunciphisa umzimba.

Ukuchacha emva kweGastrectomy ye-Sleeve evulekileyo

Inkqubo yokubuyisela emva kwe-Open Sleeve Gastrectomy ibalulekile ekuqinisekiseni isiphumo esiyimpumelelo. Izigulana zinokulindela ixesha elicwangcisiweyo kunye neengcebiso ezithile zokhathalelo emva kokulungiselela ukuphiliswa kunye nokuziqhelanisa nendlela yabo yokuphila entsha.

Ixesha elilindelekileyo lokuBuyisa kwakhona

• ISigaba esikhawulezileyo sasemva kokuSebenza (Iintsuku 1-3): Emva kotyando, izigulane zihlala esibhedlele iintsuku ezi-2 ukuya kwezi-3. Ngeli xesha, baya kubekwa esweni naziphi na iingxaki. Ulawulo lweentlungu luphambili, kwaye izigulane zinokufumana i-intravenous fluids. Kwangoko, ukudibanisa ngobumnene, njengokuhamba ngoncedo, kuya kukhuthazwa ukuba kuncede ukubuyiswa kunye nokukhusela ama-blood clots.
• Ukubuyiselwa Kokuqala (Iiveki 1-2): Emva kokukhutshwa, izigulane kufuneka zigxininise ekuphumleni kwaye ngokuthe ngcembe zandise izinga lomsebenzi wabo. Ukutya okumanzi kudla ngokucetyiswa kwiveki yokuqala, ukutshintshela kukutya okucocekileyo ekupheleni kweveki yesibini. Izigulane kufuneka ziphephe ukuphakamisa okunzima kunye nemisebenzi enzima ngeli xesha.
• Ukuchacha okuPhakathi (Iiveki 3-6): Ngeveki yesithathu, izigulane ezininzi zinokuqala ukufaka ukutya okuthambileyo kwisidlo sazo. Imisebenzi elula yomzimba, njengokuhamba, inokuphinda iqalise. Ukulandelelaniswa rhoqo kunye nomboneleli wezempilo kubalulekile ukubeka iliso kwinkqubela phambili.
• Ukubuyiselwa ngokupheleleyo (Iinyanga 2-3): Uninzi lwezigulane zinokubuyela kwimisebenzi yesiqhelo, kuquka nomsebenzi, ekupheleni kwenyanga yesibini, kuxhomekeke kwiimfuno zabo zomzimba. Ngenyanga yesithathu, izigulane kufuneka zikwazi ukutya iindidi ezininzi zokutya, nangona ulawulo lwesahlulo luhlala lubalulekile.

Iingcebiso zasemva kononophelo

• Utshintsho ekutyeni: Landela isicwangciso sokutya esimiselweyo ngokungqongqo. Gxininisa kwiprotheni ephezulu, ukutya okuphantsi kwe-carb kwaye uhlale u-hydrated. Ukongezwa kwevithamini kunye neeminerali ubomi bonke, njengoko kuchaziwe, nako kubalulekile ekuthinteleni ukusilela.
• Ukulandelelwa rhoqo: Yiya kuzo zonke iindibano ezicwangcisiweyo ukujonga ukwehla kobunzima kunye nokutya okunesondlo.
• Umsebenzi wezoMzimba: Ukwandisa ngokuthe ngcembe umsebenzi womzimba ukunceda ukunciphisa umzimba kunye nokuphucula impilo yonke.
• Amaqela enkxaso: Cinga ngokujoyina iqela lenkxaso ukuze ufumane inkxaso yeemvakalelo kunye nangokwengqondo ngexesha lotshintsho.

Iinzuzo zeGastrectomy yomkhono ovulekileyo

I-Open Sleeve Gastrectomy ibonelela ngophuculo oluninzi lwezempilo kunye neziphumo zomgangatho wobomi kwizigulana ezinengxaki yokutyeba. Nazi ezinye iingenelo eziphambili:

• Ukwehla kobunzima obubalulekileyo: Izigulane zinokulindela ukulahlekelwa ubunzima obuninzi, ngokuphindaphindiweyo phakathi kwe-50-70% yobunzima bomzimba obunzima kunyaka wokuqala.
• Ukuphuculwa kweMpilo yeMetabolic: Izigulana ezininzi zifumana ukuphuculwa kweemeko ezinxulumene nokutyeba kakhulu ezifana nohlobo lwe-2 yeswekile, uxinzelelo lwegazi, kunye ne-apnea yokulala. Kwezinye iimeko, isifo seswekile sinokufakwa ekuxolweni.
• Umgangatho woBomi ophuculweyo: Ukunciphisa umzimba kukhokelela ekunyukeni kokuhamba, ukuphucula ukuzithemba, kunye nomgangatho wobomi obungcono. Izigulane zihlala zichaza ukuba ziziva zinamandla kwaye zisebenza.
• Ukunciphisa uMngcipheko woKugula: Ngokunciphisa umzimba, izigulana zinokunciphisa umngcipheko wazo wokuphuhlisa imiba enzulu yezempilo ehambelana nokutyeba, kubandakanywa nesifo senhliziyo kunye nomhlaza othile.
• Impumelelo yexesha elide: Uphononongo lubonisa ukuba izigulane ezenza i-Open Sleeve Gastrectomy zigcina ukulahlekelwa kwesisindo sabo ngcono kunabo bazama iindlela ezingezizo utyando.

Vula iGastrectomy yomkhono vs

Xa ulawula ukutyeba kakhulu, ezimbini zezona ndlela zisebenzayo zotyando yi-Sleeve Gastrectomy kunye ne-Gastric Bypass. Nangona zombini iinkqubo zijolise ekulahlekeni kwesisindo esibalulekileyo kunye nokuphuculwa kweemeko zempilo ezinxulumene nokutyeba, ziyahluka kwiindlela zabo, ukuhlaselwa (ingakumbi xa kuthelekiswa nendlela eqhelekileyo ye-laparoscopic ye-bypass), kunye nemiphumo yexesha elide. Ukhetho oluthile luxhomekeke kwimpilo yesigulane, iinjongo zokunciphisa umzimba, kunye neprofayili yomngcipheko.

Ukuqonda lo mahluko kubalulekile kwizigulana ezixoxa ngeendlela zotyando lwe-bariatric kunye neqela labo lokhathalelo lwempilo.

Inqaku elibalulekileyo: Isigqibo phakathi kwe-Sleeve Gastrectomy (nokuba ivuliwe okanye i-laparoscopic) kunye ne-Gastric Bypass inzima kwaye ixhomekeke kumntu ngamnye. Yenziwe liqela le-bariatric ye-multidisciplinary (ugqirha, i-dietitian, i-psychologist, njl.) Emva kokuphononongwa ngokucokisekileyo kwempilo yesigulane, iinjongo zokunciphisa umzimba, kunye nemingcipheko. Ngelixa le theyibhile ithelekisa "i-Open Sleeve Gastrectomy," kubalulekile ukuqaphela ukuba i-Laparoscopic Sleeve Gastrectomy yeyona nto ixhaphakileyo eyenziwa yi-bariatric utyando kwihlabathi ngoku, kwaye ikwabelana ngeenzuzo ezininzi (i-incisions encinci, ukuchacha ngokukhawuleza) kunye nezinye iinkqubo ze-laparoscopic.

Lithini Iindleko zeGastrectomy ye-Sleeve evulekileyo eIndiya?

Iindleko ze-Open Sleeve Gastrectomy eIndiya ziqhele ukusuka kwi- ₹1,00,000 ukuya kwi- ₹2,50,000. Ziliqela izinto ezinefuthe kwezi ndleko:

• UKhetho lwesibhedlele: Udumo kunye nezibonelelo zesibhedlele zinokuchaphazela kakhulu amaxabiso. Izibhedlele ezikumgangatho ophezulu zinokubiza imali eninzi kodwa zihlala zibonelela ngokhathalelo olungcono.
• Indawo: Iindleko zinokwahluka ngokwesixeko, kwaye iindawo zedolophu zixabisa kakhulu kuneedolophu ezincinci.
• Udidi Room: Ukukhethwa kwegumbi (labucala, elisecaleni, okanye eliqhelekileyo) kunokuchaphazela ixabiso elipheleleyo.
• Iingxaki: Naziphi na iingxaki ezingalindelekanga ngexesha okanye emva kotyando zinokunyusa iindleko zizonke.

Izibhedlele zeApollo zibonelela ngeengenelo ezininzi, kubandakanywa oogqirha botyando abanamava, amaziko akumgangatho ophezulu, kunye nokhathalelo olubanzi lwasemva kotyando, nto leyo eyenza kube lukhetho olukhethwayo kwizigulane ezininzi. Xa kuthelekiswa namazwe aseNtshona, iindleko ze-Open Sleeve Gastrectomy e-Indiya ziphantsi kakhulu, okwenza kube yindlela efikelelekayo kubantu abaninzi abafuna izisombululo zokulahlekelwa kwesisindo.

Ukufumana amaxabiso achanekileyo kunye nolwazi olulolwakho, nceda uqhagamshelane neApollo Hospitals.

Imibuzo Ebuzwa Rhoqo malunga ne-Open Sleeve Gastrectomy

isiphelo

I-Open Sleeve Gastrectomy yinkqubo yokuguqula abantu abanengxaki yokutyeba ngokugqithiseleyo, inika izibonelelo zempilo ezibalulekileyo kunye nokuphucula umgangatho wobomi. Ukuba ucinga ngolu tyando, kubalulekile ukubonisana nochwepheshe bezonyango ukuze uxoxe ngezinto ozikhethayo, izinto ozilindeleyo, kunye nayo nayiphi na inkxalabo onokuba nayo. Ukuthabatha eli nyathelo kunokukhokelela kubomi obusempilweni nobanelisayo.