Muzituluka Banding: ndemanga pambuyo opaleshoni

Laparoscopic chapamimba banding lero - ichi ndi mkulu kwambiri kufunika ndondomeko. Kumawalola ndi kulemera owonjezera, kuchepetsa kudya anu osamvera ndi kuchepetsa kuchuluka kwa chakudya ankadya. ndondomeko yapadera anakuta gulu pa m'mimba pansi kum'mero, amene kwambiri kuchepetsa kusamvana wapachiyambi.

Chifukwa chachikulu cha kulemera owonjezera

Anamwalira kokoma ndi wosavuta. Owonjezera kulemera msanga amasonkhana chifukwa moyo wongokhala ndi nkhawa. Nthawi zina zazikulu chinthu akonzedwa amakhala makilogalamu zosafunika mbiri banja. Komabe, ngakhale, mu milandu onse, kunenepa akhoza kukamba za chinthu chachikulu chomwe chikhalidwe ichi, omwe ali matenda adye kapena kudya. Palibe m'thupi wolephera kapena kagayidwe pang'onopang'ono, womwe mwa iwo okha, popanda pamaso pa amavutitsa kudya, kodi chifukwa cha chitukuko cha asilikali kulemera owonjezera.

Kumene, akatswiri a zinthu zakudya amalangiza odwala ngati kusintha moyo wawo, kusuntha, osati kudya ndi chakudya chamagulu. Komabe, sikuti kuthetsa vutoli. Odwala kunenepa okha zimadziŵa kuti ayenera kutenga kubweretsa thupi ndi lipoti yachibadwa. Komabe, nthawi zambiri, kuchita izo nokha iwo sangathe. Zimenezi si zoona. Iye linatsimikizidwa popereka maphunziro osiyana, zimene zikuphatikizapo gulu la odwala ndi kunenepa. Odwala poyamba chinkhoswe ndi akatswiri (madokotala ndi physiotherapists dieticians). Komabe, m'kupita zimenezo kunapezeka kuti ndiyotani pakuchotsa kulemera owonjezera, odwala amenewa mulole% 1.5-2 yekha, kusunga zotsatirazo pasanathe miyezi sikisi.

Zikatero, munthu ndi wonenepa, amadziwa kuti sangathe kulimbana ndi matenda agwidwa wake, iye ayenera kupita ku chipatala, kumene akatswiri adzapatsidwa mwayi njira bwino kuthetsa mavuto ndi opaleshoni - chapamimba banding.

Akamanena za ndondomeko,

zipatala chapamimba banding ntchito pa njira anayamba mu 1986 ku America. Mlengi wake anali dokotala Lubomir Kuzmak ndi chiyambi Chiyukireniya. Ganizo zoyambirira za ndondomeko lagona mphete overlaying kumtunda kwa m'mimba, omwe motero akutenga mawonekedwe a hourglass ndi. Komabe, mosiyana ndi nthawi n'kulemba wagawo, kudya thupi mbali awiri osiyana ndi buku. Pamwamba pa iwo, pamtunda mphete ali tizilembo timeneti capacitance. buku ake ndi khumi ndi asanu basi kuti Botolo makumi awiri. Ichi ndi kuchuluka kwa supuni imodzi. Pakati pa mbali yaing'ono ndi yaikulu m'mimba ndi chongopeka analenga chiletso amene m'mimba mwake pafupifupi 1 cm.

Munthu amene anachita chapamimba banding, pambuyo ntchito amatha kudya pang'ono kwambiri. The chakudya kulowa ventricle ang'ono ndi kudzaza, ndi anapitiriza m'chigawo pamwamba mphete. Pomwepo m'mimba limba zolandilira popereka chizindikiro ku ubongo, movomerezedwa ndi kumverera kwa satiety. Wodwala kudya pang'ono ndithu, mwachitsanzo, kotala wa apulo. Komabe, adzamvera chidzalo. makhalidwe amenewa amalola kuti akwaniritse cholinga chachikulu cha opaleshoni, chomwe mu kuchepa lakuthwa mu buku la chakudya, ndipo, chotero, kuchepetsa wa zopatsa mphamvu kulowa m'thupi.

Ntchito chipangizo wapadera

Kuti m'mimba hourglass mawonekedwe madokotala ntchito mphete wapadera. Izi ndi chipangizo zovuta kuti ntchito pokha pokha anthu kumene banding chapamimba (onani pansipa chithunzi).

Pa mbali mkati mphete ali okonzeka ndi dongosolo hayidiroliki angathe kufufuma khafu. Mbali inanso ya zida ntchito pa ntchito banding amatchedwa "doko". gawo ili chikugwirizana ndi khafu ndi chubu yaing'ono. Port pansi pa khungu la pamimba ndi chimakwirira. Ndi chofunika kudzaza anaika dongosolo brine kapena madzi. mpheto amenewa akhoza kuchepetsa lumen lamkati la mphete. Mosiyana, kufufutidwa wa buku ena a dongosolo madzimadzi kumabweretsa kukula. Amenewa asinthe wapangidwa zochokera zosowa za kasitomala. Ndondomeko anachita miyezi iwiri pambuyo opaleshoni, pamene mphete ndi molondola analimbitsa mu zimakhala ndi. Kumbali luso, monga lamulo ndi wosavuta. Port mwachindunji kupyolera khungu atabayidwa ndi singano chabwino, kuyambitsa mu izo za 5 ml ya madzi. Feedback kwa odwala, njirayi ndi sabweretsa chisoni zimatha mphindi yokha 3 mpaka 5.

Zikuonetsa kuti Khwelero

Amene analimbikitsa chapamimba banding? Akatswiri Mlendo kuti njira zimenezi asonyezedwa makasitomala amene ali thupi misa index ndi wamkulu kuposa 40. Komabe, lamulo limeneli lili kuchotserapo ake. opaleshoni imagwiridwa ndi thupi misa index 35, ngati wodwalayo akunenepa akuvutika kwa mitsempha varicose, kuthamanga kwa magazi, matenda a shuga ndi matenda a mafupa a mapazi.

Komanso, akatswiri zipatala chapamimba banding akuchenjeza kuti kugwirizana ndondomeko yotere nkofunika anthu okha ndi digiri yapamwamba ya gulu ndi malangizo, ndi chikhumbo chachikulu kusintha njira alipo ndipo ndi kuona dokotala anu nthawi zonse.

Mu zina, chosinthika chapamimba gulu afika ndemanga zoipa? Pamene thupi misa index kuposa 50. Ichi ndi digiri mwachilungamo mkulu wa kunenepa. Bwanji, mu Zikatero si anachita chapamimba banding? Pambuyo banding, odwalawo sangathe kusiya kwambiri kudya chakudya. Zikatero, akatswiri amati opaleshoni kuti achotse gawo la m'mimba ndi intestine yaing'ono.

contraindications

Amene si anachita chapamimba banding? Akatswiri Mlendo kuti njirayi ali osavomerezeka:

- odwala pansi zaka 18;

- ngati lalikulu mtima matenda, mtima ndi mapapo;

- zidakwa aakulu;

- pamaso pa kuvutika kwa kholingo, mmatumbo chilonda kapena khansa chapamimba;

- amayi apakati;

- anapezeka ndi "kapamba aakulu" ndi "Portal oopsa";

- chiwindi matenda enaake;

- mokhudza lokoma dzino, ndi amene sangathe kumvera chofunika magetsi dera;

- kukhala ndi matenda aakulu omwe zingakhudze malo opaleshoni;

- autoimmune pathologies a minofu connective;

- zinachitikira ntchito yopitirira ya mankhwala m'thupi.

Kukonzekera ndondomeko banding

Patsogolo ntchito ya unsembe wa mphete wapadera pa m'mimba ayenera kuyesedwa, mndandanda wa zomwe ndi muyezo pokonzekera mankhwala ochititsa dzanzi ambiri. masiku 10-14 pamaso alowererepo pa Ndi bwino kupita pa zakudya kuti amachepetsa buku la chiwindi. Nthawi imeneyi zakudya wodwalayo pazikhalanso:

- otsika-mafuta kanyumba tchizi ndi mkaka;

- nkhuku;

- masamba soups ndi broths;

- zipatso ndi ndiwo zamasamba.

Kudya pa nthawi zomera ndi nyama mafuta n'zotheka, koma kuchuluka ayenera yafupika yochepa. Pambuyo chakudya chamadzulo dzana opaleshoni sangathenso kudya kapena kumwa. Ngati wodwala akusowa mankhwala madyedwe, nkhaniyi lafotokozedwa pasadakhale ndi dokotala.

Njira ya opaleshoni

Ochiritsira opaleshoni tingaziyerekezere ndi kaya opaleshoni "chapamimba banding"? No. Popeza kuti opareshoni khazikitsa wapadera mphete m'mimba anachita ndi laparoscopy (asang'ambe) njira. Iye anaganiza njirayi popanda kutsegula m'mimba. Pa opaleshoni, katswiri wopanga ang'ambe thupilo yaing'ono. Therethrough mu zonse m'mimba ya gwero kuwala ndi anadzetsa camcorder lapansi. Komanso, wodwalayo akadali anayi amacheka yaing'ono. Iwo ayenera kulowa M'mimbamo zida m'mimba, popanda zomwe n'zosatheka njira kuphedwa. Field ya opaleshoni, dokotalayo akuona pa polojekiti, amene amasonyeza mafano inalembedwa ndi camcorder lapansi.

Njira imeneyi ali mkulu mlingo wa kudalirika zikuthandiza woyendetsa ntchito pa malo a thupi kuti palibe mu ochiritsira opaleshoni lotseguka.

Ubwino wa njira laparoscopic

Ambiri a anthu amene anachita chapamimba banding, amakambirana za opaleshoni masamba positive. Pambuyo opaleshoni, m'malo chipsera chachikulu pa thupi ndi zisanu mabala ang'ono. Komanso, laparoscopic chapamimba mayankho banding monga ndondomeko pafupifupi sabweretsa chisoni. Ichi chizathandiza mtima kochepa kuchuluka kwa nthawi m'chipatalamo. ayambe nthawi pambuyo ntchito yotere lalifupi zokwanira kuti amalola munthu kale kwambiri ndi moyo nthawi zonse.

Monga amanenera akatswiri laparoscopic chapamimba banding? Reviews madokotala kuti ambiri a iwo kuvomereza njira imeneyi. Akatswiri taonani kuchepetsa bwino chiwerengero cha mavuto postoperative. Ndipotu, ngati njirayi si ang'ambe thupilo chachikulu, chotero, palibe magazi ndi zochepa mwayi chotenga matenda hernias. njira amalola pafupifupi kuthetsa mavuto amenewa ochiritsira opaleshoni, monga chibayo ndi m'mapapo exudate, kuchuluka magazi clotting ndi T. D. Komanso pa ndondomeko palibe kuphwanya umphumphu wa m'mimba zimakhala thirakiti.

Akazi amene anaganiza pa chosinthika chapamimba gulu, maganizo pambuyo ndikupeleka yatsala zabwino kwambiri. Zimenezi n'zosadabwitsa. Ndipotu, njira imeneyi osati kamakhala kuchotsa matenda, komanso amapereka zotsatira zabwino kwa mfundo zokongoletsa maganizo. Kuti kutsimikizira izi, m'pofunika kuyang'ana amene kale anayamba njira banding chapamimba (zithunzi isanayambe kapena itatha amene timapemphera m'nkhani).

Chikoka cha njira laparoscopic a mtembo lagona reversibility ake. Pambuyo pochita ntchito mphete chifukwa china akhoza kuchotsedwa. Pankhaniyi, m'mimba thunthu kuchira kwathunthu mkati mwa kanthawi kochepa.

Nthawi postoperative

Odwala amene akhala akukonza ndondomeko ya banding chapamimba, ayenera kutsatira malangizo ena a dokotala. Mwachitsanzo, madzulo ndipo panali m'mawa pambuyo opaleshoni sayenera kudya ndi kumwa wambiri madzi. Madzi ayenera ingested okha chakudya chochepa. Wokwanira anapanga nthawi kumeza mmodzi kapena awiri. Kwenikweni ayenera moisten chabe pakamwa. Yambani kumwa, madokotala amalangiza maola pambuyo 4-5 pambuyo opaleshoni. Ngati Pomeza mavuto ali palibe ndiye palibe zoletsa madzi akhoza kuyamba kugwiritsa ntchito tsiku lotsatira. Onse chakumwa akhoza kuti lilibe mpweya ndi shuga, mwachitsanzo:

- madzi yosavuta;

- ofunda ofooka tiyi kapena khofi;

- madzi mchere.

Ngati anakhumba, inu mukhoza kuwonjezera sweetener madzi. Ndi zokometsera iwo ndi bwino kukoma. madzi amenewa akulangizidwa kuti atenge masiku atatu isanafike mpando oyamba (pambuyo mankhwala kapena palokha). M'sabata ziwiri, mukhoza kupitiriza masamba abwino kapena madzi zipatso ndi mkaka wopanda mafuta.

Ayamikira anapanga nkhawa ndi galimoto ntchito odwala. Madzulo pambuyo opaleshoni m'pofunika kudzuka pabedi. Ziyenera kuchitika kamodzi. Pakuti ichi tinena thandizo la achibale kapena achipatala, kodi chapamimba banding. Kudzuka okha sikuthandiza, chifukwa zimakhala mutu wanu sapota. Ngati wodwala woongoka ndipo alibe mavuto alionse ndi ichi, ndiye iye kupita popanda malamulo alionse. M'pofunikanso kukumbukira kuti mode yogwira pambuyo opaleshoni azipereka kwa kupewa magazi kuundana mu mitsempha mwendo ndi kuteteza motsutsana chitukuko cha kutupa m'mapapo.

Mu ndondomeko ya konzanso pambuyo opaleshoni ayenera kuchitidwa kupuma kokoka. Ngati mukufuna kuchotsa khosi lake likhale lofunika. Kuthandiza yogwira kupuma akhoza mpweya mipira mphira kapena zidole. mpheto amenewa ndi zofunika kuchita kangapo mu ola. Kupuma kokoka kwambiri chifukwa chakuti kupewa chibayo.

Pambuyo banding chapamimba ayenera kupewedwa ndi stagnation magazi mu nthambi m'munsi, ngati pakama mu masiku atatu oyambirira a Mwina mkulu wa magazi kuundana. Thandizo yosavuta Zochita izi kwa miyendo operekedwa flexion ndi kutambasuka amasiya.

Nthawi zina odwala chapamimba banding amadwala kunyansidwa ndi kusanza. wotere ayenera kuzipewa pofunsa anapeza mankhwala ntchito ku zizindikiro zimenezi.

Kodi munthu amene anapanga chapamimba banding? Umboni kuti nthaŵi zina opaleshoni ululu m'mimba kumachitika. Ngati inu kale anatumizidwa analgesics sikokwanira, muyenera awadziwitse chipatala ndodo.

Childs, pambuyo opaleshoni, odwala lipoti kuphwanya chapamimba uziyenda akuwonetseredwa mavuto kudutsa flatus, ndiponso kusapezeka kwa mpando. N'chimodzimodzi anamuona pa masiku atatu oyambirira. Ngati matumbo akadali osati ntchito itatha nthawi iyi, tili ndi kutenga kukondoweza kwache owonjezera.

Pankhani chikhodzodzo, vuto ndi izo, monga ulamuliro, kodi osadzuka. Koma ngati akali kuoneka, ndiye kuti asauze dokotala.

Multidisciplinary pakati zachipatala

chifukwa banding chapamimba zipatala opaleshoni kupereka Moscow, St. Petersburg ndiponso mizinda ina ya dziko lathu. Ambiri mayankho abwino odwala woyeneradi Medical Center "CMB matenda." Iwo ankakhala mu mzinda wa Yekaterinburg. Izi payekha chipatala multidisciplinary mtundu, kupereka mkulu khalidwe chithandizo kwa matenda a matenda, komanso pochita chithandizo cha odwala kuchipatala awo kukhala. M'zochita zake akatswiri likulu la kutsatira mfundo zotsatirazi:

- misonkhano mwadongosolo ndi Integrated;

- efficacy ndi chitetezo;

- kasitomala wokonda njira ;

- Luso;

- kukhalabe chitonthozo ndi kupereka chithandizo pa mlingo European.

chipatala Modern ndi zovuta. Bukuli lakonzedwa ndi kumangidwa ndi mfundo ya "anzeru kunyumba". Monga womanga anali nawo mu kampani odziwika German poyamba kumanga zipatala mu Israel, Germany ndi Switzerland.

Madera a ntchito zachipatala chiwerengero chachikulu cha pakati. Mwa iwo amapereka odwala ake "UGMK-Health" (Ekaterinburg) chapamimba banding. Reviews za makasitomala pakati opareshoni kusiya, zambiri zabwino. Ndipotu, anasonyeza nsalu LapBand, anapanga mu USA. Ichi ndi yodalirika ndi chotsimikiziridwa chida ntchito pochita ndondomeko chimodzimodzi pa zaka makumi awiri.

Kodi wina zimakopa anthu amene asankha lichotse kunenepa chipatala "UGMK-Health" (Ekaterinburg)? Muzituluka banding (mavoti a akatswiri titsimikizire kuti) kawirikawiri ikuchitika pamaso pa pathologies mtima monga chophukacho (khoma m'mimba kapena mipata esophageal), cholelithiasis, ndi zina zotero. D. Pamafunika chithandizo opaleshoni, umene umachitika nthawi imodzi ndi ndondomeko laparoscopic. mwai onse akutsatiridwa ndi madotolo odziwa kwambiri oyenerera, wophunzitsidwa mu zipatala wotchuka wa dziko.

Medical Center wa Yekaterinburg mu Russia limangokhudza odwala awo akudwala kunenepa, njira Mipikisano chilango. Anapeza kuti kuwonda odwala - vuto osati madokotala. Zimenezi Mkhristu akatswiri a zinthu zakudya ndi endocrinologists, cardiologists ndi madokotala. Ndi zinthu ya ndodo amalenga zinthu zabwino kwambiri pofuna kuchotsa mavuto amene alipowa.

Reviews odwala achita njira kwa banding chapamimba (chithunzi isanayambe kapena itatha ali anapereka m'munsimu), opareshoni ikuchitika "UMMC Health" Akatswiri pakati kenako chimathandiza kuchepetsa thupi la makilogalamu 5-7 kwa mwezi umodzi.

Komanso, ndondomeko limakhazikitsa kwa pathologies ambiri, kuphatikizapo shuga. Komanso, odwala lipoti normalization wa ntchito mtima, kusintha magazi ndi bwino kugona.