Gastric Sleeve vs Gastric Bypass: Pali Kusiyana Kotani?

Ngati mukuganiza za opaleshoni yochepetsera thupi, mwina mwapeza njira ziwiri zodziwika bwino: manja am'mimba ndi chapamimba chodutsa. Njira zonsezi zasonyezedwa kuti ndi zothandiza pothandiza anthu kuchepetsa thupi komanso kukhala ndi thanzi labwino. Komabe, pali kusiyana pakati pa njira ziwirizi zomwe muyenera kuzidziwa musanapange chisankho. M'nkhaniyi, tiwona kufanana ndi kusiyana kwa manja a m'mimba ndi chapamimba chodutsa.

Kodi opaleshoni ya m'mimba ndi chiyani?

Opaleshoni ya manja a m'mimba, yomwe imadziwikanso kuti sleeve gastrectomy, ndi opaleshoni yochepetsera thupi yomwe imaphatikizapo kuchotsa gawo la m'mimba kuti apange mimba yaying'ono yooneka ngati nthochi. Mimba yaying'ono yatsopanoyi imachepetsa kuchuluka kwa chakudya chomwe chingathe kudyedwa, zomwe zimayambitsa kuwonda. Opaleshoniyo imachitika mwa laparoscopically ndipo imatenga pafupifupi ola limodzi kuti ithe. Opaleshoni ya m'mimba nthawi zambiri imalimbikitsidwa kwa anthu omwe ali ndi index mass index (BMI) ya 40 kapena kupitilira apo, kapena BMI ya 35 kapena kupitilira apo omwe ali ndi matenda okhudzana ndi kunenepa kwambiri monga matenda amtundu wa 2 kapena matenda obanika kutulo.

Kodi opaleshoni yodutsa m'mimba ndi chiyani?

Opaleshoni ya gastric bypass, yomwe imadziwikanso kuti Roux-en-Y gastric bypass, ndi opaleshoni yochepetsera thupi yomwe imaphatikizapo kupanga kathumba kakang'ono ka m'mimba ndikubwezeretsanso matumbo aang'ono kupita kuthumba latsopanoli. Izi zimalepheretsa kuchuluka kwa chakudya chomwe chingadyedwe ndikuchepetsa kuyamwa kwa ma calories kuchokera ku chakudya. Opaleshoni yolambalala chapamimba imachitidwanso laparoscopically ndipo imatenga pafupifupi maola 2-3 kuti amalize. Opaleshoni yodutsa m'mimba nthawi zambiri imalimbikitsidwa kwa anthu omwe ali ndi BMI ya 40 kapena kupitilira apo, kapena BMI ya 35 kapena kupitilira apo ndi zovuta zokhudzana ndi thanzi.

Kufanana pakati pa manja a m'mimba ndi gastric bypass

Maopaleshoni a m'mimba ndi am'mimba amapangidwa kuti athandize anthu kuchepetsa thupi pochepetsa kuchuluka kwa chakudya chomwe angadye. Maopaleshoni onse awiriwa amachitidwa laparoscopically ndipo amafuna anesthesia wamba. Maopaleshoni onsewa amafuna kuti wodwalayo azitsatira zakudya zolimbitsa thupi komanso zolimbitsa thupi asanachite opaleshoni kuti awonjezere zotsatira zowonda.

Kusiyana pakati pa manja am'mimba ndi chapamimba bypass

Momwe maopaleshoni amachitikira

Kusiyana kwakukulu pakati pa mawondo am'mimba ndi maopaleshoni am'mimba ndi momwe amachitira. Panthawi ya opaleshoni ya m'mimba, gawo lina la m'mimba limachotsedwa kuti likhale laling'ono, lokhala ngati nthochi. Panthawi ya opaleshoni ya m'mimba, kathumba kakang'ono ka m'mimba kamapangidwa ndipo matumbo aang'ono amatumizidwa ku thumba latsopanoli. Izi zimapanga mawonekedwe a "Y" omwe amaletsa kuchuluka kwa chakudya chomwe chingadyedwe ndikuchepetsa kuyamwa kwa ma calories.

Zotsatira zowonda

Maopaleshoni am'mimba ndi am'mimba ndi othandiza pothandiza anthu kuchepetsa thupi. Komabe, opaleshoni yodutsa m'mimba yasonyezedwa kuti imapangitsa kuti thupi likhale lochepa kwambiri kuposa opaleshoni yam'mimba. Malinga ndi kafukufuku wofalitsidwa mu Journal of the American Medical Association, anthu omwe anachitidwa opaleshoni ya gastric bypass anataya pafupifupi 66% ya kulemera kwawo kwakukulu, pamene anthu omwe anachitidwa opaleshoni ya m'mimba adataya pafupifupi 59% ya kulemera kwawo kwakukulu.

Mavuto ndi mavuto

Maopaleshoni am'mimba ndi am'mimba amanyamula zoopsa komanso zovuta zomwe zingachitike. Zowopsa za maopaleshoni onse awiriwa zimaphatikizapo kutuluka magazi, matenda, kutsekeka kwa magazi, komanso zovuta za anesthesia. Komabe, opaleshoni yodutsa m'mimba imakhala ndi chiopsezo chachikulu cha zovuta monga kutaya matenda, zomwe zimachitika pamene chakudya chimayenda mofulumira kwambiri m'mimba ndi m'matumbo aang'ono, zomwe zimayambitsa nseru, kusanza, ndi kutsekula m'mimba. Opaleshoni yam'mimba imakhala ndi chiwopsezo chochepa cha zovuta koma imatha kuyambitsa acid reflux komanso kutuluka m'mimba nthawi zina.

Ndi ndondomeko iti yomwe ili yoyenera kwa inu? Gastric Sleeve vs Gastric Bypass

Kusankha pakati pa manja a m'mimba ndi opaleshoni yodutsa m'mimba kungakhale chisankho chovuta. Ndikofunika kukambirana ubwino ndi kuipa kwa njira iliyonse ndi dokotala wanu komanso dokotala wa opaleshoni yochepetsera thupi. Lingaliro lanu lingadalire mbiri yanu yaumoyo, zolinga zochepetsera thupi, ndi zomwe mumakonda.

Kukonzekera opareshoni

Musanachite opareshoni ya m'mimba kapena opaleshoni yodutsa m'mimba, muyenera kuyesedwa mokwanira ndi dokotala wanu wochepetsa thupi. Izi zingaphatikizepo kuyezetsa magazi, kuyezetsa zithunzi, komanso kuwunika kwamalingaliro. Muyeneranso kutsatira okhwima preoperative zakudya ndi masewera olimbitsa thupi kukonzekera thupi lanu opaleshoni.

Kuchira pambuyo opaleshoni

Nthawi yochira pambuyo pa opaleshoni yam'mimba kapena opaleshoni yodutsa m'mimba imatha kusiyana pakati pa anthu, koma anthu ambiri amatha kubwerera kuntchito ndi ntchito zachizolowezi mkati mwa masabata a 2-4. Muyenera kutsatira zakudya zolimbitsa thupi komanso masewera olimbitsa thupi kwa milungu ingapo mutatha opaleshoni kuti muthandize thupi lanu kuchiritsa ndikusintha kusintha.

Zotsatira za nthawi yayitali ndi kukonza

Opaleshoni ya m'mimba ndi m'mimba imafunikira kudzipereka kwa moyo wonse kuti mukhale ndi moyo wathanzi. Izi zikuphatikizapo kutsatira zakudya zathanzi, kuchita masewera olimbitsa thupi nthawi zonse, ndi kupita kukayezetsa pafupipafupi ndi dokotala wanu wa opaleshoni yochepetsa thupi. Kulephera kutsatira malangizowa kungayambitse kulemera kwa thupi komanso mavuto omwe angakhalepo pa thanzi.

Gastric Bypass Kupambana

Kupambana kwapamimba pamimba

Kupambana kwa opaleshoni yodutsa m'mimba kungasiyane malinga ndi zifukwa zingapo, kuphatikizapo thanzi la wodwalayo asanachite opaleshoni, kutsata kusintha kwa moyo pambuyo pa opaleshoni, ndi zina. Komabe, ponseponse, opaleshoni yodutsa m'mimba yawonetsedwa kuti ili ndi chiwopsezo chachikulu. Malinga ndi kafukufuku wofalitsidwa mu Journal of the American Medical Association, anthu omwe anachitidwa opaleshoni ya gastric bypass anataya pafupifupi 66% ya kulemera kwawo kwakukulu ndipo anakhalabe ndi kulemera kwa zaka zosachepera zisanu.

Zinthu zomwe zingakhudze kupambana kwa gastric bypass

Pali zinthu zingapo zomwe zingakhudze kupambana kwa opaleshoni ya m'mimba. Izi zikuphatikizapo zinthu zomwe zisanachitike opaleshoni, monga thanzi lonse la wodwalayo, msinkhu wake, ndi kulemera kwake, komanso zinthu zomwe zimachitika pambuyo pa opaleshoni, monga kumamatira ku zakudya zopatsa thanzi ndi ndondomeko yolimbitsa thupi.

• Zinthu zomwe zisanachitike opaleshoni

Zinthu zomwe zingakhudze kupambana kwa gastric bypass ndi monga thanzi, zaka, ndi kulemera kwa wodwalayo. Anthu omwe ali ndi matenda enaake, monga matenda a shuga a mtundu wa 2 komanso kupuma movutikira, akhoza kukhala ndi mwayi waukulu wochita opaleshoni ya m'mimba. Odwala ang'onoang'ono angakhalenso ndi chiwongola dzanja chachikulu kuposa odwala okalamba, ndipo odwala omwe ali ndi kulemera koyambira akhoza kutaya thupi lonse.

• Zinthu za postoperative

Zinthu za postoperative zomwe zingakhudze kupambana kwa gastric bypass zimaphatikizapo kutsatira zakudya zabwino komanso masewera olimbitsa thupi. Odwala omwe amatsatira malangizo a dokotala wawo pazakudya komanso kuchita masewera olimbitsa thupi amakhala ndi mwayi wochepetsera thupi komanso kuti achepetse thupi kwa nthawi yayitali. Kuonjezera apo, kuyang'ana nthawi zonse ndi dokotala wochepa thupi kungathandize kuzindikira zomwe zingatheke ndikupereka chithandizo chokhazikika ndi chilimbikitso.

Kupambana kwa Manja a Chapamimba

Kupambana kwa manja am'mimba

Kuchita bwino kwa opaleshoni yam'mimba zingasiyane malinga ndi zifukwa zingapo, kuphatikizapo thanzi la wodwalayo asanachite opaleshoni, kutsatira pambuyo pa opaleshoni kusintha kwa moyo, ndi zina. Komabe, ponseponse, opaleshoni yam'mimba yam'mimba yawonetsedwa kuti ili ndi chiwopsezo chachikulu. Malinga ndi kafukufuku wofalitsidwa m'magazini yotchedwa Obesity Surgery, anthu omwe anachitidwa opaleshoni ya m'mimba anataya pafupifupi 57% ya kulemera kwawo kwakukulu ndipo anakhalabe ndi kulemera kwa zaka zosachepera zisanu.

Zinthu zomwe zingakhudze kupambana kwa manja a m'mimba

Pali zinthu zingapo zomwe zingakhudze kupambana kwa opaleshoni yam'mimba. Izi zikuphatikizapo zinthu zomwe zisanachitike opaleshoni, monga thanzi lonse la wodwalayo, msinkhu wake, ndi kulemera kwake, komanso zinthu zomwe zimachitika pambuyo pa opaleshoni, monga kumamatira ku zakudya zopatsa thanzi ndi ndondomeko yolimbitsa thupi.

• Zinthu zomwe zisanachitike opaleshoni

Zinthu zomwe zingakhudze mphamvu ya m'mimba ndi thanzi la wodwalayo, msinkhu wake, ndi kulemera kwake. Anthu omwe ali ndi matenda enaake, monga matenda a shuga a mtundu wa 2 komanso kupuma movutikira, akhoza kukhala ndi mwayi wochita opaleshoni yam'mimba. Odwala ang'onoang'ono angakhalenso ndi chiwongola dzanja chachikulu kuposa odwala okalamba, ndipo odwala omwe ali ndi kulemera koyambira akhoza kutaya thupi lonse.

• Zinthu za postoperative

Zinthu za postoperative zomwe zingakhudze kupambana kwa manja am'mimba zimaphatikizapo kutsatira zakudya zabwino komanso masewera olimbitsa thupi. Odwala omwe amatsatira malangizo a dokotala wawo pazakudya komanso kuchita masewera olimbitsa thupi amakhala ndi mwayi wochepetsera thupi komanso kuti achepetse thupi kwa nthawi yayitali. Kuonjezera apo, kuyang'ana nthawi zonse ndi dokotala wochepa thupi kungathandize kuzindikira zomwe zingatheke ndikupereka chithandizo chokhazikika ndi chilimbikitso.

Gastric Sleeve vs Bypass: Ubwino ndi Zoipa

Ubwino Wopanga Opaleshoni Yam'mimba

Opaleshoni yam'manja ya m'mimba imakhala ndi chiopsezo chocheperako poyerekeza ndi opaleshoni yodutsa m'mimba.
Nthawi yochira pambuyo pa opaleshoni yam'mimba nthawi zambiri imakhala yayifupi kuposa yapamimba.
Opaleshoniyo sikutanthauza kukonzanso matumbo aang'ono, omwe angachepetse chiopsezo cha zovuta zokhudzana ndi opaleshoni ya m'mimba.
Opaleshoniyo imatha kusintha zina zokhudzana ndi kulemera kwa thupi monga matenda a shuga a 2 komanso kuthamanga kwa magazi.

Zoipa Zochita Opaleshoni Yam'mimba

Kuchita opaleshoni yam'mimba sikungakhale kothandiza ngati opaleshoni yodutsa m'mimba kuti athe kuchepetsa thupi mwa odwala ena.
Opaleshoniyo imatha kuyambitsa acid reflux kapena kutuluka m'mimba nthawi zina.
Opaleshoniyo ndi yosasinthika ndipo sangatembenuzidwe ku opaleshoni yosiyana siyana ngati pakufunika.

Ubwino ndi kuipa kwa chapamimba bypass opaleshoni

Ubwino Wopanga Opaleshoni ya Gastric Bypass

Opaleshoni yodutsa m'mimba yawonetsedwa kuti ndi yothandiza kwambiri pakuchepetsa thupi kwa odwala ambiri.
Opaleshoniyo imatha kupititsa patsogolo zovuta zokhudzana ndi kulemera kwa thupi monga mtundu wa 2 shuga ndi kuthamanga kwa magazi.
Opaleshoniyo ikhoza kusinthidwa kapena kutembenuzidwa ku opaleshoni yosiyana siyana ngati pakufunika.

Zoyipa Zochita Opaleshoni ya Gastric Bypass

Opaleshoni yodutsa m'mimba imakhala ndi chiopsezo chachikulu cha zovuta poyerekeza ndi opaleshoni yam'mimba, kuphatikizapo kutaya magazi, komwe kungayambitse nseru, kusanza, ndi kutsekula m'mimba.
Nthawi yochira pambuyo pa opaleshoni yodutsa m'mimba nthawi zambiri imakhala yayitali kuposa opaleshoni yam'mimba.
Opaleshoniyo imafuna kubwezeretsanso matumbo aang'ono, omwe angapangitse chiopsezo cha zovuta zokhudzana ndi opaleshoni ya m'mimba.

Kufananiza Mtengo Wa Opaleshoni Yam'mimba Yam'mimba ndi Gastric Bypass

Mtengo wapakati

Mtengo wa opaleshoni yam'mimba ukhoza kuchoka ku 3.000€ kufika ku 6.500€, ndi mtengo wapakati wa 3.500 €. Mtengo wa opaleshoni yodutsa m'mimba ukhoza kuchoka ku 3.500 € kufika ku 7.000 €, ndi mtengo wapakati wa 4.000 €. Ndalamazi zimatha kusiyanasiyana malinga ndi malo, ndalama zolipirira chipatala, komanso chindapusa cha maopaleshoni.

Zinthu zomwe zingakhudze mtengo

Zinthu zingapo zingakhudze mtengo wa mawondo am'mimba ndi maopaleshoni am'mimba. Izi zikuphatikizapo:

1. Malo: Mtengo wa opaleshoniyo ukhoza kusiyana malinga ndi malo a chipatala ndi dokotala wa opaleshoni.
2. Ndalama zachipatala: Malipiro akuchipatala angaphatikizepo ndalama zolipirira zipinda zogwirira ntchito, chindapusa cha anesthesia, ndi ndalama zolipirira chipinda chochira.
3. Malipiro a Opaleshoni: Malipiro a opaleshoni amatha kusiyana malinga ndi zomwe dokotala wachita opaleshoniyo komanso malo.
4. Kuyezetsa munthu asanachite opaleshoni: Kuyezetsa magazi asanayambe opaleshoni, monga ntchito ya magazi ndi kujambula zithunzi, kungawonjezere mtengo wa opaleshoniyo.
5. Chisamaliro cha postoperative: Chisamaliro cha postoperative, kuphatikizapo maulendo otsatila ndi chithandizo, chikhoza kuwonjezera pa mtengo wonse wa opaleshoniyo.

Maopaleshoni am'mimba ndi m'mimba ndi njira yabwino kwa anthu omwe akulimbana ndi kunenepa kwambiri komanso zovuta zokhudzana ndi thanzi. Maopaleshoni onsewa ali ndi zofanana ndi zosiyana zomwe ziyenera kuganiziridwa mosamala posankha njira yoyenera kwa inu. Ndikofunika kugwirira ntchito limodzi ndi dokotala wanu wochita opaleshoni kuti mukonzekere opaleshoni, kuonjezera zotsatira zowonda komanso kukhala ndi moyo wathanzi kwa nthawi yaitali. Ngati mukuvutikanso ndi kunenepa kwambiri ndipo mukuganiza kuti ndi opaleshoni iti yomwe ili yoyenera kwa inu, mutha kugwiritsa ntchito mwayi wathu wofunsira pa intaneti. Ndi chithandizo chathu chaulere, chofunsira pa intaneti, titha kukupezerani njira yoyenera kwambiri yothandizirani kuchokera kwa katswiri wathu wa opaleshoni ya bariatric.