Gastric Sleeve vs Gastric Bypass: Ndeupi Musiyano?
Kana uri kufunga nezvekuvhiyiwa kwekuderedza uremu, unogona kunge wakasangana nesarudzo mbiri dzakakurumbira: gastric sleeve uye gastric bypass. Nzira mbiri idzi dzakaratidzwa kuti dzinoshanda mukubatsira vanhu kuderedza uremu nekuvandudza hutano hwavo. Nekudaro, pane mutsauko pakati pemaitiro maviri aya aunofanirwa kuziva usati waita sarudzo. Muchikamu chino, tichaongorora kufanana uye kusiyana pakati pegastric sleeve uye gastric bypass.
Chii chinonzi gastric sleeve surgery?
Kuvhiyiwa kwegastric sleeve, kunonziwo sleeve gastrectomy, kuvhiyiwa kwekurasikirwa nehuremu kunosanganisira kubvisa chikamu chedumbu kugadzira dumbu diki, rakaita sebhanana. Iri dumbu idzva diki rinoganhura huwandu hwechikafu chinogona kudyiwa, zvichiita kuti uremu huremerwe. Kuvhiyiwa kunowanzoitwa laparoscopically uye kunotora inenge awa kuti ipedze. Kuvhiyiwa kwegastric sleeve kunowanzo kukurudzirwa kune vanhu vane body mass index (BMI) ye40 kana kupfuura, kana BMI ye35 kana kupfuura vane hutano hunoenderana nehuremu hwakadai seType 2 chirwere cheshuga kana kufema kwekurara.
Chii chinonzi gastric bypass surgery?
Kuvhiyiwa kweGastric bypass, kunozivikanwawo seRoux-en-Y gastric bypass, kuvhiyiwa kwekurasikirwa nehuremu kunosanganisira kugadzira kabhegi kemudumbu uye kudzorerazve ura hudiki kuenda kuchihomwe chitsva ichi. Izvi zvinomisa huwandu hwechikafu chinogona kudyiwa uye zvinoderedza kutorwa kwemacalorie kubva muchikafu. Kuvhiyiwa kweGastric bypass kunoitwawo laparoscopically uye kunotora maawa maviri-2 kuti apedze. Kuvhiyiwa kweGastric bypass kunowanzo kukurudzirwa kune vanhu vane BMI yemakumi mana kana kupfuura, kana BMI ye3 kana yepamusoro nenyaya dzine chekuita nehuremu.
Kufanana pakati pegastric sleeve uye gastric bypass
Ose ari maviri maoparesheni egastric sleeve uye gastric bypass akagadzirirwa kubatsira vanhu kuderedza uremu nekuderedza huwandu hwekudya kwavanogona kudya. Kuvhiya kwese kunoitwa laparoscopically uye kunoda general anesthesia. Kuvhiyiwa kwese kunoda kuti murwere atevere kudya kwakasimba uye chirongwa chekurovedza muviri pamberi uye mushure mekuvhiyiwa kuti awedzere kurasikirwa nekuremerwa.
Misiyano pakati pegastric sleeve uye gastric bypass
Kuvhiyiwa kunoitwa sei
Musiyano mukuru pakati pegastric sleeve uye gastric bypass maoparesheni maitirwo avanoitwa. Panguva yekuvhiyiwa kwegastric sleeve, chikamu chedumbu chinobviswa kugadzira dumbu diki, rakaita sebhanana. Panguva yekuvhiyiwa kwegastric bypass, kabhegi kadiki yemudumbu inogadzirwa uye ura hudiki hunodzoserwa kuhomwe itsva iyi. Izvi zvinogadzira chimiro che "Y" chinomisa huwandu hwechikafu chinogona kudyiwa uye chinoderedza kutorwa kwemacalorie.
Uremu mhedzisiro
Ose ari maviri gastric sleeve uye gastric bypass maoparesheni anoshanda mukubatsira vanhu kuderedza uremu. Zvakadaro, kuvhiyiwa kwegastric bypass kwakaratidza kukonzeresa kuonda zvakanyanya kupfuura kuvhiyiwa kwegastric sleeve. Maererano neongororo yakabudiswa mu Journal of the American Medical Association, vanhu vakavhiyiwa gastric bypass vakarasikirwa neavhareji ye66% yehuremu hwavo hwakanyanya, asi vanhu vakavhiyiwa gastric sleeve vakarasikirwa neavhareji ye59% yehuremu hwavo hwakanyanya.
Ngozi uye zvinetso
Zvese zviri zviviri gastric sleeve uye gastric bypass kuvhiyiwa zvinotakura njodzi uye zvinogona kunetsa. Njodzi dzekuvhiyiwa kwese dziri mbiri dzinosanganisira kubuda ropa, hutachiona, kugwamba kweropa, uye matambudziko eanesthesia. Zvisinei, kuvhiyiwa kwegastric bypass kune ngozi yakawanda yezvinetso zvakadai se dumping syndrome, iyo inoitika apo zvokudya zvinokurumidza kufamba nemudumbu uye mudumbu mudiki, zvichikonzera kusvotwa, kurutsa, uye manyoka. Kuvhiyiwa kwegastric sleeve kune njodzi yakaderera yematambudziko asi inogona kutungamira kune acid reflux uye mudumbu kudonha muzviitiko zvisingawanzo.
Ndeipi nzira yakakunakira? Gastric Sleeve vs Gastric Bypass
Kusarudza pakati pegastric sleeve uye gastric bypass kuvhiyiwa kunogona kuve sarudzo yakaoma. Zvakakosha kukurukura zvakanakira uye zvakaipira zvega yega nzira nachiremba wako uye uremu wekuvhiya. Sarudzo yako inogona kuenderana nenhoroondo yehutano hwako pachako, zvibodzwa zvekurasikirwa nehuremu, uye zvaunofarira.
Kugadzirira kuvhiyiwa
Usati wavhiyiwa gastric sleeve kana gastric bypass oparesheni, unozofanirwa kuongororwa nachiremba wako wekurasikirwa uremu. Izvi zvinogona kusanganisira kuongororwa ropa, bvunzo dzekufungidzira, uye kuongororwa kwepfungwa. Iwe unozofanirwawo kutevera yakasimba preoperative yekudya uye chirongwa chekurovedza muviri kugadzirira muviri wako kuvhiyiwa.
Kupora mushure mekuvhiyiwa
Nguva yekudzorera mushure mekuvhiyiwa kwegastric bypass kana gastric bypass inogona kusiyana kubva kumunhu kusvika kune munhu, asi vanhu vazhinji vanogona kudzokera kubasa uye mabasa emazuva ose mukati memavhiki e2-4. Iwe unozofanirwa kutevera kudya kwakasimba uye chirongwa chekurovedza muviri kwemavhiki akati wandei mushure mekuvhiyiwa kubatsira muviri wako kupora uye kugadzirisa kune shanduko.
Migumisiro yenguva refu uye kuchengetedza
Zvese zviri zviviri gastric sleeve uye gastric bypass kuvhiyiwa zvinoda kuzvipira kwehupenyu hwese kuchengetedza mararamiro ane hutano. Izvi zvinosanganisira kutevera kudya kunovaka muviri, kurovedza muviri nguva dzose, uye kuenda kunoongororwa nguva dzose nachiremba wako wekurasikirwa uremu. Kukundikana kutevera mazano aya kunogona kukonzera uremu zvakare uye zvinogona kukonzera matambudziko ehutano.
Gastric Bypass Success Rate
Gastric bypass budiriro mwero
Kubudirira kwekuvhiyiwa kwegastric bypass kunogona kusiyana zvichienderana nezvinhu zvakawanda, kusanganisira hutano hwemurwere asati avhiyiwa, kutevedzera kuchinja kwemararamiro mushure mokuvhiyiwa, nezvimwe zvinhu. Zvisinei, zvakazara, gastric bypass kuvhiyiwa kwakaratidzwa kuva nekubudirira kwepamusoro. Maererano neongororo yakabudiswa mu Journal of the American Medical Association , vanhu vakavhiyiwa gastric bypass vakarasikirwa neavhareji ye66% yehuremu hwavo hwakanyanya uye vakachengetedza kurasikirwa kwekureruka kwemakore mashanu.
Zvinhu zvinogona kukanganisa gastric bypass kubudirira
Zvinhu zvakawanda zvinogona kukanganisa kubudirira kwekuvhiyiwa kwegastric bypass. Izvi zvinosanganisira zvinhu zvisati zvambovhiyiwa, zvakadai seutano hwomurwere hwose, zera, uye uremu, pamwe chete nezvinozoitika pashure pokuvhiyiwa, zvakadai sokuomerera kuzvokudya zvine utano uye urongwa hwokurovedza muviri.
- Preoperative factors
Preoperative zvinhu zvinogona kukanganisa gastric bypass kubudirira zvinosanganisira hutano hwemurwere hwese, zera, uye huremu. Vanhu vane humwe hutano hwakadai senge Type 2 chirwere cheshuga uye kufema kwehope, vanogona kuve nemukana wakakura wekubudirira nekuvhiyiwa kwegastric bypass. Varwere vadiki vanogonawo kunge vaine mwero wepamusoro wekubudirira kupfuura varwere vakura, uye varwere vane huremu hwekutanga vanogona kurasikirwa nehuremu hwakawanda.
- Postoperative zvinhu
Postoperative zvinhu zvinogona kukanganisa gastric bypass kubudirira zvinosanganisira kuomerera kune hutano hwekudya uye chirongwa chekurovedza muviri. Varwere vanotevera zvinokurudzirwa nachiremba wavo nezvekudya uye maekisesaizi vanowanzorasikirwa nehuremu uye kuchengetedza uremu hwavo kwenguva refu. Mukuwedzera, kuongororwa nguva dzose nachiremba wekurasikirwa uremu kunogona kubatsira kuziva zvingangoitika uye kupa rubatsiro runoenderera mberi uye kukurudzira.
Gastric Sleeve Success Rate
Gastric sleeve kubudirira mwero
Chiyero chekubudirira kwekuvhiya gastric sleeve zvinogona kusiyana zvichienderana nezvikonzero zvakati kuti, kusanganisira utano hwemurwere asati avhiyiwa, kuomerera kwapashure pekuchinja kwemararamiro, nezvimwe zvinhu. Nekudaro, zvakazara, kuvhiyiwa kwegastric sleeve kwakaratidzwa kuve nekubudirira kwakanyanya. Maererano neongororo yakabudiswa mupepanhau Obesity Surgery, vanhu vakavhiyiwa gastric sleeve vakarasikirwa neavhareji ye57% yehuremu hwavo hwakanyanya uye vakachengetedza kurasikirwa uku kwemakore mashanu.
Zvinhu zvinogona kukanganisa gastric sleeve kubudirira
Zvinhu zvakawanda zvinogona kukanganisa kubudirira kwekuvhiya gastric sleeve. Izvi zvinosanganisira zvinhu zvisati zvambovhiyiwa, zvakadai seutano hwomurwere hwose, zera, uye uremu, pamwe chete nezvinozoitika pashure pokuvhiyiwa, zvakadai sokuomerera kuzvokudya zvine utano uye urongwa hwokurovedza muviri.
- Preoperative factors
Preoperative zvinhu zvinogona kukanganisa gastric sleeve kubudirira zvinosanganisira hutano hwemurwere hwese, zera, uye huremu. Vanhu vane humwe hutano hwakadai serudzi rwechipiri chirwere cheshuga uye kufema kwehope, vanogona kuve nemukana wakakura wekubudirira nekuvhiya gastric sleeve. Varwere vadiki vanogonawo kunge vaine mwero wepamusoro wekubudirira kupfuura varwere vakura, uye varwere vane huremu hwekutanga vanogona kurasikirwa nehuremu hwakawanda.
- Postoperative zvinhu
Postoperative zvinhu zvinogona kukanganisa gastric sleeve kubudirira zvinosanganisira kuomerera kune hutano hwekudya uye chirongwa chekurovedza muviri. Varwere vanotevera zvinokurudzirwa nachiremba wavo nezvekudya uye maekisesaizi vanowanzorasikirwa nehuremu uye kuchengetedza uremu hwavo kwenguva refu. Mukuwedzera, kuongororwa nguva dzose nachiremba wekurasikirwa uremu kunogona kubatsira kuziva zvingangoitika uye kupa rubatsiro runoenderera mberi uye kukurudzira.
Gastric Sleeve vs Bypass: Pros uye Cons
Gastric Sleeve Surgery Pros
Kuvhiya kwegastric sleeve kune njodzi yakaderera yematambudziko kana ichienzaniswa nekuvhiya gastric bypass.
Nguva yekupora mushure mekuvhiyiwa gastric sleeve kazhinji ipfupi pane gastric bypass kuvhiyiwa.
Kuvhiyiwa hakudi kudzoreredza ura hudiki, izvo zvinogona kuderedza njodzi yematambudziko ane chekuita nekuvhiyiwa kwemukati.
Kuvhiyiwa kwacho kunogona kuvandudza humwe hutano hune chekuita nehuremu senge Type 2 chirwere cheshuga uye high blood pressure.
Gastric Sleeve Surgery Cons
Kuvhiyiwa kwegastric sleeve kunogona kusashanda sekuvhiya kwegastric bypass mukuwana kurasikirwa kwakakosha mune vamwe varwere.
Kuvhiyiwa kwacho kunogona kutungamira kune acid reflux kana mudumbu kudonha muzviitiko zvisingawanzo.
Kuvhiyiwa hakuchinjiki uye hakugone kuchinjirwa kune imwe nzira yekurasikirwa uremu kana zvichidikanwa.
Zvakanakira uye zvakaipira gastric bypass kuvhiyiwa
Gastric Bypass Surgery Pros
Kuvhiyiwa kweGastric bypass kwakaratidzwa kuva kunobudirira zvikuru mukuwana kurasikirwa kwakakosha muvarwere vakawanda.
Kuvhiyiwa kwacho kunogona kutungamira kukurumidza kuvandudzwa kwehutano hunoenderana nehuremu senge Type 2 chirwere cheshuga uye high blood pressure.
Kuvhiyiwa kunogona kuchinjwa kana kuchinjwa kune imwe nzira yakasiyana yekurasikirwa nekurema kana zvichidiwa.
Gastric Bypass Surgery Cons
Kuvhiyiwa kweGastric bypass kune njodzi yakakura yezvinetso zvichienzaniswa nekuvhiyiwa kwegastric sleeve, kusanganisira dumping syndrome, inogona kukonzera kusvotwa, kurutsa, uye manyoka.
Nguva yekupora mushure mekuvhiyiwa kwegastric bypass inowanzoreba kupfuura gastric sleeve yekuvhiya.
Kuvhiyiwa kunoda kudzoreredza ura hudiki, izvo zvinogona kuwedzera njodzi yematambudziko ane chekuita nekuvhiyiwa kwemukati.
Mutengo Kuenzanisa KweGastric Sleeve uye Gastric Bypass Surgeries
Avhareji mutengo
Mutengo wekuvhiya gastric sleeve unogona kubva pa3.000€ kusvika 6.500€, neavhareji mutengo wepakati pe3.500€. Mutengo wekuvhiya gastric bypass unogona kubva pa3.500€ kusvika 7.000€, neavhareji mutengo wepakati pe4.000€. Iyi mari inogona kusiyana zvichienderana nenzvimbo, mari yechipatara, uye mari yechiremba.
Zvinhu zvinogona kukanganisa mutengo
Zvinhu zvakawanda zvinogona kukanganisa mutengo wegastric sleeve uye gastric bypass kuvhiyiwa. Izvi zvinosanganisira:
- Nzvimbo: Mari yekuvhiyiwa inogona kusiyana zvichienderana nenzvimbo yechipatara uye chiremba anovhiya.
- Mari yechipatara: Mari yechipatara inogona kusanganisira mari yekamuri yekushanda, mubhadharo weanesthesia, uye mubhadharo wekamuri yekudzorera.
- Mari yeChiremba: Mari yekuvhiya inogona kusiyana zvichienderana neruzivo rwechiremba uye nzvimbo.
- Preoperative test: Preoperative test, yakadai sebasa reropa uye imaging, inogona kuwedzera kumutengo wose wekuvhiya.
- Kuchengetwa kwepashure: Kuchengetwa kwepashure, kusanganisira kushanya kwekutevera uye kutsigirwa, kunogona kuwedzera kune mari yose yekuvhiyiwa.
Gastric sleeve uye gastric bypass kuvhiyiwa zvese zviri zviviri sarudzo dzinoshanda kune vanhu vari kunetseka nekufutisa uye zvine chekuita nenyaya dzehutano. Kuvhiyiwa kwese kune zvakafanana uye mutsauko unofanirwa kunyatso tariswa paunenge uchifunga kuti ndeipi nzira yakakunakira iwe. Zvakakosha kushanda pamwe chete nachiremba wako wekurasikirwa uremu kugadzirira kuvhiyiwa, kuwedzera migumisiro yekurasikirwa uye kuchengetedza mararamiro ane hutano munguva refu. Kana iwe zvakare uchitambura nehuremu hwakawandisa uye uchinetseka kuti ndekupi kuvhiya kwakakukodzera iwe, unogona kutora mukana webasa redu rekubvunza pamhepo. Nesevhisi yedu yemahara, yepamhepo yekubvunzana, tinogona kukuwanira hurongwa hwekurapa hwakakunakira kubva kune nyanzvi yedu bariatric surgeon.
