Umkhono weGastric vs Gastric Bypass: Yintoni uMahluko?

Ukuba ucinga ngotyando lokunciphisa umzimba, kusenokwenzeka ukuba ufumene iindlela ezimbini ezithandwayo: umkhono wesisu kunye ne-gastric bypass. Zombini iinkqubo zibonakaliswe ukuba zisebenza kakuhle ekuncedeni abantu ukuba banciphise umzimba kunye nokuphucula impilo yabo. Nangona kunjalo, kukho iiyantlukwano phakathi kweenkqubo ezimbini omele wazi ngazo ngaphambi kokuba wenze isigqibo. Kweli nqaku, siza kuphonononga ukufana kunye nomahluko phakathi komkhono wesisu kunye ne-gastric bypass.

Yintoni utyando lwemikhono yesisu?

Utyando lomkhono wesisu, okwaziwa ngokuba yi-sleeve gastrectomy, lutyando lokuncipha kobunzima olubandakanya ukususa inxenye yesisu ukwenza isisu esincinci, esimile okwebhanana. Esi sisu esincinci esitsha sinciphisa inani lokutya okungatyiwa, okukhokelela ekulahlekeni kwesisindo. Utyando lwenziwa nge-laparoscopically kwaye kuthatha malunga neyure ukugqiba. Utyando lwe-gastric sleeve luhlala lunconywa kubantu abane-index mass body (BMI) ye-40 okanye ngaphezulu, okanye i-BMI ye-35 okanye ngaphezulu kunye nemiba yempilo enxulumene nobunzima njengohlobo lwe-2 yeswekile okanye i-apnea yokulala.

Yintoni utyando lwe-gastric bypass?

Utyando lwe-gastric bypass, olukwaziwa ngokuba yi-Roux-en-Y gastric bypass, lutyando lokuncipha kobunzima olubandakanya ukwenza isingxobo esincinci sesisu kunye nokubuyisela amathumbu amancinci kwesi singxobo sitsha. Oku kuthintela umthamo wokutya okunokutyiwa kwaye kunciphisa ukufunxa kweekhalori ekutyeni. Utyando lwe-gastric bypass lwenziwa kwakhona nge-laparoscopically kwaye kuthatha malunga neeyure ezi-2-3 ukugqiba. Utyando lwe-gastric bypass lunconywa ngokuqhelekileyo kubantu abane-BMI ye-40 okanye ngaphezulu, okanye i-BMI ye-35 okanye ngaphezulu kunye nemiba yempilo enxulumene nobunzima.

Ukufana phakathi komkhono wesisu kunye ne-gastric bypass

Zombini utyando lwegastric sleeve kunye ne-gastric bypass luyilelwe ukunceda abantu ukuba banciphise umzimba ngokunciphisa ukutya abanokukutya. Zombini utyando lwenziwa i-laparoscopically kwaye lufuna i-anesthesia jikelele. Zombini utyando zifuna isigulana ukuba silandele ukutya okungqongqo kunye nesicwangciso sokuzilolonga ngaphambi nangemva kotyando ukuze kwandiswe iziphumo zokuncipha kobunzima.

Umahluko phakathi komkhono wesisu kunye ne-gastric bypass

Utyando lwenziwa njani

Owona mahluko mkhulu phakathi komkhono wesisu kunye noqhaqho lwe-gastric bypass yindlela olwenziwa ngayo. Ngexesha lotyando lomkhono wesisu, inxalenye yesisu iyasuswa ukudala isisu esincinci, esifana nebhanana. Ngexesha lotyando lwe-gastric bypass, isingxobo esincinci sesisu siyadalwa kwaye amathumbu amancinci abuyiselwa kwesi singxobo sitsha. Oku kudala imilo ethi "Y" ethintela ubungakanani bokutya okunokutyiwa kwaye kunciphise ukufunxwa kweekhalori.

Iziphumo zokunciphisa umzimba

Zombini i-gastric sleeve kunye notyando lwe-gastric bypass luyasebenza ekuncedeni abantu ukuba banciphise umzimba. Nangona kunjalo, utyando lwe-gastric bypass lubonakaliswe ukuba lubangele ukwehla okukhulu kobunzima kunotyando lwe-gastric sleeve. Ngokophononongo olupapashwe kwi-Journal ye-American Medical Association, abantu abaye benza utyando lwe-gastric bypass balahlekelwa ngumyinge we-66% yobunzima babo obunzima, ngelixa abantu abaye benza utyando lwe-gastric sleeve balahlekelwa ngumyinge we-59% yobunzima babo obunzima.

Izingozi kunye neengxaki

Zombini i-gastric sleeve kunye ne-gastric bypass utyando zithwala imingcipheko kunye neengxaki ezinokubakho. Imingcipheko yolu tyando zombini ibandakanya ukopha, usulelo, amahlwili egazi, kunye neengxaki ze-anesthesia. Nangona kunjalo, utyando lwe-gastric bypass lunomngcipheko ophezulu weengxaki ezifana ne-dumping syndrome, eyenzeka xa ukutya kuhamba ngokukhawuleza ngesisu kunye namathumbu amancinci, okubangela isicaphucaphu, ukuhlanza kunye nohudo. Utyando lomkhono weGastric lunomngcipheko ophantsi weengxaki kodwa kunokukhokelela kwi-asidi ye-asidi kunye nokuvuza kwesisu kwiimeko ezinqabileyo.

Yeyiphi inkqubo ekulungeleyo? Umkhono weGastric vs Gastric Bypass

Ukugqiba phakathi komkhono wesisu kunye notyando lwe-gastric bypass kunokuba sisigqibo esinzima. Kubalulekile ukuxoxa ngezibonelelo kunye neengxaki zenkqubo nganye kunye nogqirha wakho kunye nodokotela wokunciphisa umzimba. Isigqibo sakho sinokuxhomekeka kwimbali yakho yezempilo, iinjongo zokunciphisa umzimba, kunye nezinto ozikhethayo.

Ukulungiselela utyando

Ngaphambi kokuba wenze i-gastric sleeve okanye utyando lwe-gastric bypass, kuya kufuneka uhlolwe ngokucokisekileyo ngugqirha wakho wokulahlekelwa ubunzima. Oku kunokubandakanya uvavanyo lwegazi, uvavanyo lwemifanekiso, kunye novavanyo lwengqondo. Kuya kufuneka kwakhona ulandele ukutya okungqongqo kwangaphambi kotyando kunye nesicwangciso sokuzilolonga ukulungiselela umzimba wakho utyando.

Ukuchacha emva kotyando

Ixesha lokubuyisela emva komkhono wesisu okanye utyando lwe-gastric bypass lunokwahluka kumntu nomntu, kodwa abaninzi abantu banokubuyela emsebenzini kunye nemisebenzi eqhelekileyo kwiiveki ezi-2-4. Kuya kufuneka ulandele ukutya okungqongqo kunye nesicwangciso sokuzilolonga kwiiveki ezimbalwa emva kokuhlinzwa ukuze uncede umzimba wakho uphilise kwaye ulungelelanise utshintsho.

Iziphumo zexesha elide kunye nokugcinwa

Zombini umkhono wesisu kunye notyando lwe-gastric bypass kufuna ukuzibophelela ubomi bonke ekugcineni indlela yokuphila esempilweni. Oku kubandakanya ukulandela ukutya okunempilo, ukwenza umthambo rhoqo, kunye nokuya kuvavanyo rhoqo kunye nogqirha wakho wokunciphisa umzimba. Ukungaphumeleli ukulandela ezi zikhokelo kunokukhokelela ekubuyiseleni ubunzima kunye neengxaki zempilo ezinokuthi zibe khona.

IGastric Bypass Ireyithi yeMpumelelo

Izinga lokuphumelela kweGastric bypass

Ukuphumelela kotyando lwe-gastric bypass kunokwahluka ngokuxhomekeke kwizinto eziliqela, kuquka impilo yomguli ngaphambi kotyando, ukubambelela emva kotyando kutshintsho lwendlela yokuphila, kunye nezinye izinto. Nangona kunjalo, ngokubanzi, utyando lwe-gastric bypass lubonakaliswe ukuba lunezinga eliphezulu lempumelelo. Ngokophononongo olupapashwe kwi-Journal ye-American Medical Association, abantu abaye benza utyando lwe-gastric bypass balahlekelwa ngumyinge we-66% yobunzima babo obunzima kwaye bagcina le lahleko yobunzima ubuncinane iminyaka emihlanu.

Izinto ezinokuchaphazela impumelelo ye-gastric bypass

Ziliqela izinto ezinokuchaphazela impumelelo yotyando lwe-gastric bypass. Oku kuquka imiba yangaphambi kotyando, njengempilo xa iyonke yomguli, ubudala, nobunzima bakhe, kwanemiba yasemva kotyando, njengokunamathela kukutya okusempilweni nokucwangcisa umthambo.

• Izinto zangaphambi kotyando

Izinto zangaphambi kotyando ezinokuchaphazela impumelelo ye-gastric bypass ziquka impilo yesigulane iyonke, ubudala, kunye nobunzima. Abantu abaneemeko ezithile zempilo, ezifana nohlobo lwe-2 yeswekile kunye ne-apnea yokulala, banokuba nethuba eliphezulu lokuphumelela ngotyando lwe-gastric bypass. Izigulana ezincinci zinokuba nezinga eliphezulu lempumelelo kunezigulana ezindala, kwaye izigulane ezinobunzima bokuqala obuphezulu zinokulahlekelwa ubunzima ngokubanzi.

• Izinto zasemva kokuhlinzwa

Izinto ze-postoperative ezinokuchaphazela impumelelo ye-gastric bypass ziquka ukuthotyelwa kokutya okunempilo kunye nesicwangciso sokuzivocavoca. Izigulana ezilandela iingcebiso zabo zotyando ngokutya kunye nokuzilolonga kunokwenzeka ukuba banciphise umzimba kwaye bagcine ukuncipha kwabo ixesha elide. Ukongezelela, ukuhlolwa rhoqo kunye nogqirha wokulahlekelwa kwesisindo kunokunceda ukuchonga imiba enokubakho kunye nokubonelela ngenkxaso eqhubekayo kunye nokukhuthaza.

Ireyithi yeMpumelelo yomkhono weGastric

Izinga lokuphumelela kwemikhono yesisu

Izinga lempumelelo yotyando lwemikhono yesisu zinokwahluka ngokuxhomekeke kwizinto eziliqela, kuquka impilo yomguli ngaphambi kotyando, ukubambelela emva kotyando kutshintsho lwendlela yokuphila, kunye nabanye oothunywashe. Nangona kunjalo, ngokubanzi, utyando lomkhono wesisu lubonakaliswe ukuba lunezinga eliphezulu lempumelelo. Ngokophononongo olupapashwe kwiphephancwadi I-Obesity Surgery, abantu abaye benza utyando lwe-gastric sleeve balahlekelwa ngumyinge we-57% yobunzima babo obunzima kwaye bagcina oku kuncipha kobunzima ubuncinane iminyaka emihlanu.

Izinto ezinokuchaphazela impumelelo yemikhono yesisu

Ziliqela izinto ezinokuchaphazela impumelelo yotyando lwesisu esiswini. Oku kuquka imiba yangaphambi kotyando, njengempilo xa iyonke yomguli, ubudala, nobunzima bakhe, kwanemiba yasemva kotyando, njengokunamathela kukutya okusempilweni nokucwangcisa umthambo.

• Izinto zangaphambi kotyando

Izinto zangaphambi kotyando ezinokuchaphazela impumelelo yomkhono wesisu zibandakanya impilo yonke yesigulana, ubudala, kunye nobunzima. Abantu abaneemeko ezithile zempilo, ezifana nohlobo lwe-2 yeswekile kunye ne-apnea yokulala, banokuba nethuba eliphezulu lokuphumelela ngotyando lwe-gastric sleeve. Izigulana ezincinci zinokuba nezinga eliphezulu lempumelelo kunezigulana ezindala, kwaye izigulane ezinobunzima bokuqala obuphezulu zinokulahlekelwa ubunzima ngokubanzi.

• Izinto zasemva kokuhlinzwa

Izinto ze-postoperative ezinokuchaphazela impumelelo ye-gastric sleeve ziquka ukuthotyelwa kokutya okunempilo kunye nesicwangciso sokuzilolonga. Izigulana ezilandela iingcebiso zabo zotyando ngokutya kunye nokuzilolonga kunokwenzeka ukuba banciphise umzimba kwaye bagcine ukuncipha kwabo ixesha elide. Ukongezelela, ukuhlolwa rhoqo kunye nogqirha wokulahlekelwa kwesisindo kunokunceda ukuchonga imiba enokubakho kunye nokubonelela ngenkxaso eqhubekayo kunye nokukhuthaza.

I-Gastric Sleeve vs i-Bypass: ii-Pros and Cons

IiPros zeGastric Sleeve Surgery

Utyando lwemikhono yesisu lunomngcipheko osezantsi weengxaki xa kuthelekiswa notyando lokudlula esiswini.
Ixesha lokuchacha emva kotyando lomkhono wesisu ngokuqhelekileyo lifutshane kunotyando lwe-gastric bypass.
Utyando aludingi ukuhanjiswa kwakhona kwamathumbu amancinci, anokunciphisa umngcipheko weengxaki ezinxulumene noqhaqho lwamathumbu.
Utyando lunokuphucula imiba yempilo enxulumene nobunzima obunje ngohlobo lwe-2 yeswekile kunye noxinzelelo lwegazi oluphezulu.

IiCons zoTyando lwemikhono yeGastric

Utyando lwe-gastric sleeve lusenokungasebenzi njengotyando lwe-gastric bypass ekuphumezeni ukwehla kobunzima obukhulu kwezinye izigulana.
Utyando lunokukhokelela kwi-acid reflux okanye ukuvuza kwesisu kwiimeko ezinqabileyo.
Utyando alunakuguqulwa kwaye alunakuguqulelwa kutyando olwahlukileyo lokulahlekelwa ubunzima xa lufuneka.

Iinzuzo kunye neengozi zotyando lwe-gastric bypass

IGastric Bypass Surgery Pros

Utyando lwe-gastric bypass lubonakaliswe ukuba lusebenza kakhulu ekufezekiseni ukulahleka kwesisindo esibalulekileyo kwizigulane ezininzi.
Utyando lunokukhokelela ekuphuculeni ngokukhawuleza kwimiba yezempilo enxulumene nobunzima njengohlobo lwe-2 yeswekile kunye noxinzelelo lwegazi oluphezulu.
Utyando lunokuguqulwa okanye luguqulelwe kutyando olwahlukileyo lokulahleka kwesisindo xa lufuneka.

UGastric Bypass Surgery Cons

Utyando lwe-gastric bypass lunomngcipheko ophezulu weengxaki xa kuthelekiswa notyando lwe-gastric sleeve, kuquka i-dumping syndrome, enokubangela isicaphucaphu, ukuhlanza, kunye norhudo.
Ixesha lokuchacha emva kotyando lwe-gastric bypass lihlala lide kunotyando lomkhono wesisu.
Utyando lufuna ukuhanjiswa kwakhona kwamathumbu amancinci, anokunyusa umngcipheko weengxaki ezinxulumene noqhaqho lwamathumbu.

Uthelekiso lweendleko zeGastric Sleeve kunye neGastric Bypass Surgery

Ixabiso eliphakathi

Iindleko zotyando lomkhono wesisu zingasuka kwi-3.000 € ukuya kwi-6.500 €, kunye nexabiso eliphakathi kwe-3.500 €. Iindleko zotyando lwe-gastric bypass zingavela kwi-3.500 € ukuya kwi-7.000 €, kunye neendleko eziqhelekileyo malunga ne-4.000 €. Ezi ndleko zinokwahluka ngokuxhomekeke kwindawo, iimali zesibhedlele, kunye nemali yogqirha wotyando.

Izinto ezinokuchaphazela iindleko

Ziliqela izinto ezinokuchaphazela iindleko zemikhono yesisu kunye noqhaqho lwe-gastric bypass. Ezi ziquka:

1. Indawo: Iindleko zotyando zinokuhluka ngokuxhomekeka kwindawo yesibhedlele kunye nogqirha.
2. Imirhumo yesibhedlele: Imirhumo yesibhedlele ingabandakanya iifizi zegumbi lokusebenza, iifizi ze-anesthesia, kunye neemali zegumbi lokubuyisela.
3. Iintlawulo zoGqirha: Iintlawulo zogqirha zingahluka ngokuxhomekeka kumava ogqirha kunye nendawo.
4. Uvavanyo lwangaphambi kotyando: Uvavanyo lwangaphambi kotyando, olufana nomsebenzi wegazi kunye nokwenziwa kwemifanekiso, lunokongeza kwiindleko zotyando lulonke.
5. Ukunyamekela emva kokuhlinzwa: Ukunyamekela emva kokuhlinzwa, kubandakanywa ukutyelela ngokulandelelana kunye nenkxaso, kunokongeza kwiindleko ezipheleleyo zotyando.

Utyando lwegastric sleeve kunye ne-gastric bypass lukhetho olusebenzayo kubantu abanengxaki yokutyeba kakhulu kunye nemiba enxulumene nempilo. Zombini ezi tyando zineemfano kunye nomahluko ekufuneka ziqwalaselwe ngononophelo xa kusenziwa isigqibo sokuba yeyiphi na inkqubo ekulungeleyo. Kubalulekile ukusebenzisana ngokusondeleyo nogqirha wakho wokulahlekelwa ubunzima ukulungiselela utyando, ukwandisa iziphumo zokulahlekelwa kwesisindo kunye nokugcina impilo enempilo kwixesha elide. Ukuba unengxaki yobunzima obugqithisileyo kwaye uyazibuza ukuba loluphi utyando olufanelekileyo kuwe, unokuthatha ithuba lenkonzo yethu yokubonisana kwi-Intanethi. Ngenkonzo yethu yasimahla, yokubonisana kwi-intanethi, sinokufumana esona sicwangciso sifanelekileyo sonyango lwakho kugqirha wethu oyingcali.