I ka manawa e Gastric Bypass e lilo kaupaona

Anter

• He aha ke kumukūʻai o ke ʻoki
• Pehea e hoʻopau ai i ka gastric
• Pehea ke ola ʻana
• Nā pilikia i hiki

Gastric bypass, ʻike ʻia ʻo Y-bypass o ʻO Roux aiʻole ke kāpili Fobi-Capella, kahi ʻano o ke kaha bariatric i hiki ke alakaʻi i ka nalo ʻana o 70% o ke kaupaona mua a me ka hōʻemi ʻana i ka ʻōpū a me ka hoʻololi ʻana i ka ʻōpū, e ʻai i ka mea liʻiliʻi, a lilo ka paona.

No ka mea he ʻano ʻoki ia e hoʻololi ai i ka ʻōnaehana digestive, hōʻike wale ʻia ka bypass no ka poʻe me ka BMI i ʻoi aku ma mua o 40 kg / m² a i ʻole me kahi BMI i ʻoi aku ma mua o 35 kg / m², akā naʻe, ua ʻeha ʻia ʻo kekahi pilikia olakino i loaʻa mai i ka nui o ke kaupaona a, ʻo ka mea maʻamau, hana wale ʻia ia i ka wā ʻaʻole i loaʻa nā ʻenehana ʻē aʻe, e like me ke kau ʻana o ka band gastric a i ʻole balloon gastric, i nā hopena i makemake ʻia

E ʻike i nā ʻano nui o ke ʻoki bariatric a i ka wā e hoʻohana ai ia.

Hōʻalo laparoscopy

He aha ke kumukūʻai o ke ʻoki

Aia ka waiwai o ka ʻoki ʻana o ka ʻōpū i ka haukapila kahi e hana ʻia ai a me ka ukali kūpono ma mua a ma hope o ke kaha ʻana, ma waena o 15,000 a me 45,000 reais, ua komo pū kēia me nā ʻoihana āpau i pili i ka pre, intra and postoperative, me ka hoʻohui nā lāʻau pono a pau.

I kekahi mau hihia, hiki ke hana i ka bypass ma SUS me ka uku ʻole, keu hoʻi ke loaʻa ka pilikia i ke kūkulu ʻana i nā pilikia olakino koʻikoʻi ma muli o ke kaumaha nui, e koi ana i ka loiloi koʻikoʻi e ka gastroenterologist.

Pehea e hoʻopau ai i ka gastric

ʻO ke bypass gastric i y o ʻO Roux he ʻoki paʻakikī ia e hana ʻia ma lalo o ka anesthesia ākea a lawe ʻia i awelika o 2 mau hola, ke noi ʻia e noho ma waena o 3 a 5 mau lā. E hana i ka bypass, pono ke kauka i mau ʻanuʻu:

1. ʻOki i ka ʻōpū a me ka ʻōpū: hana ʻia kahi ʻoki i loko o ka ʻōpū e pili ana i ka esophagus e hoʻokaʻawale iā ia i ʻelua mau ʻāpana, kahi ʻāpana liʻiliʻi loa, i ke ʻano o ka ʻeke, a me kahi ʻāpana nui, i kūlike i ke koena o ka ʻōpū a lilo ka hapa nui o kāna hana. , ke hoʻōki nei i ka mālama ʻana i ka meaʻai. Hoʻohui ʻia, hana ʻia kahi ʻoki i ka ʻāpana mua o ka ʻōpū, i kapa ʻia ʻo jejunum;
2. Hoʻohui i kahi ʻāpana o ka ʻōpū i ka ʻōpū liʻiliʻi.hana ʻia kahi ala pololei no ka meaʻai ma ke ʻano o ka paipu;
3. E hoʻohui i ka ʻāpana o ka ʻōpū i pili i ka ʻāpana nui o ka ʻōpū i ka paipu. ʻae kēia hoʻopaʻa i ka meaʻai, i hele mai mai ka hoʻopaʻa mua i hana ʻia, e hui me nā ʻōpena digestive, digestion e hana nei.

ʻO ka maʻamau, hana ʻia kēia ʻoki e videolaparoscopy, me 4 a 6 mau puka liʻiliʻi i loko o ka ʻōpū e ʻae i ka hele ʻana o kahi microchamber a me nā mea kani e hana i ke ʻoki. Wahi a kēia ʻano hana, nānā ka lākōkō i loko o ka meaola ma o ka pale, e kauoha ana i nā mea kani. E aʻo hou aʻe ma: Videolaparoscopy.

Hiki ke hana ʻoki ʻia e ka laparotomy, me ka hāmama ʻana o ka ʻōpū, akā, he hana ia e hōʻike ana i nā mea nui aʻe ma mua o ka laparoscopy.

ʻO ka bypass gastric e lilo i ka kaumaha e lilo i 70% o ke kaupaona mua a hiki ke mālama i kēia nalowale i nā makahiki, no ka mea ma kahi o ka mea maʻi e māʻona koke, ka hoʻololi o ka ʻōpū, hiki i ka liʻiliʻi o ka lawe ʻana i ka mea hoʻokomo ʻia.

Pehea ke ola ʻana

Lohi ka hoʻihoʻi ʻana o ka by gastric a hiki ke hala ma waena o 6 mau mahina a 1 makahiki, me ka lilo o ke kaumaha i ʻoi aku ka ikaika i nā mahina 3 mua. I mea e hōʻoia ai i kahi ola hou aʻe, pono ia e mālama i kahi ʻano palekana e like me:

• E hāhai i ka papaʻai i kuhikuhi ʻia e ka mea hānai, i hoʻololi i nā pule. E aʻo hou aʻe ma: Ka meaʻai ma hope o ke koki bariatric
• Lawe i nā mea hoʻohui wikamina, e like me ka hao a i ʻole ka wikamina B12 ma muli o ka makaʻu o ka anemia maʻi mau;
• E hoʻopili i ka ʻōpū ma ke kikowaena olakino i hoʻokahi pule ma hope o ke kaha ʻana;
• Wehe i ka ʻauwai, kahi ipu kahi e puka ai nā wai keu i waho o ka stoma, e like me ka ʻōlelo aʻoaʻo a ka lāʻau.
• Lawe i nā lāʻau e kāohi i ka hana acid, e like me Omeprazole ma mua o ka ʻai ʻana e pale ai i ka ʻōpū e like me ke kuhikuhi a ke kauka;
• Hōʻalo i nā hoʻoikaika i nā lā he 30 i hala e pale i ka wehe ʻana i nā mea paʻa.

E ʻike ʻia nā hopena o kēia ʻoki bariatric i loko o nā pule, akā naʻe, pono paha e hana i ka ʻokiʻoki cosmetic, e like me ka abdominoplasty, 1 a 2 mau makahiki ma hope e hemo i ka nui o ka ʻili.

E aʻo hou aʻe e pili ana i ka hoʻihoʻi ʻana ma: Pehea ke ola ʻana mai ke kahakaha bariatric.

Nā pilikia i hiki

He mea maʻamau ia no ke kanaka i loaʻa kahi bypass e ʻike i ka nausea, ka luaʻi, ka puʻuwai a i ʻole ka palahī i ka mahina mua ma hope o ke kaha ʻana. Eia nō naʻe, ʻo nā pilikia nui loa o kēia ʻoki ʻana:

• Fistula ʻili ka ʻōpū a i ʻole ka ʻōpū, hiki ke hoʻonui i nā manawa o nā maʻi, e like me ka peritonitis a i ʻole sepsis, no ka laʻana;
• Kahe nui ke koko ma kahi o ka ʻōpū o ka ʻōpū;
• Anemia lōʻihi, ma muli o ka deficit vitamin B12;
• Dumping maʻi maʻi, ke kumu o nā ʻōuli e like me ka nausea, ʻōpū o ka ʻōpū, maule a me ka palahī ma hope o ka ʻai ʻana o ke kanaka. E ʻike hou aʻe ma: Pehea e hoʻomaha ai i nā ʻōuli o Dumping Syndrome.

I kekahi mau hihia, pono paha ke kanaka i kahi ʻoki hou e hoʻoponopono i ka pilikia.

E nānā i ke wikiō e hiki mai ana a ʻike i nā ʻano o ke ʻoki ʻana o bariatric e koi ʻia no: