I-Gastric Sleeve vs Gastric Bypass: Uyini Umehluko?
Uma ucabangela ukuhlinzwa ukwehlisa isisindo, cishe uhlangabezane nezinketho ezimbili ezidumile: umkhono wesisu kanye ne-gastric bypass. Zombili izinqubo ziboniswe ukuthi ziyasebenza ekusizeni abantu ukuba banciphise isisindo futhi bathuthukise impilo yabo. Kodwa-ke, kunomehluko phakathi kwezinqubo ezimbili okufanele wazi ngaphambi kokwenza isinqumo. Kulesi sihloko, sizohlola ukufana nomehluko phakathi komkhono wesisu kanye ne-gastric bypass.
Kuyini ukuhlinzwa kwemikhono yesisu?
Ukuhlinzwa komkhono wesisu, okwaziwa nangokuthi i-sleeve gastrectomy, ukuhlinzwa kokuncipha kwesisindo okubandakanya ukukhipha ingxenye yesisu ukuze kwakhe isisu esincane, esimise okukabhanana. Lesi sisu esisha esincane sikhawulela inani lokudla okungadliwa, okuholela ekwehleni kwesisindo. Ukuhlinzwa ngokuvamile kwenziwa nge-laparoscopically futhi kuthatha cishe ihora ukuqeda. Ukuhlinzwa komkhono wesisu kuvame ukunconywa kubantu abanenkomba yesisindo somzimba (BMI) engu-40 noma ngaphezulu, noma i-BMI engama-35 noma ngaphezulu abanezinkinga zempilo ezihlobene nesisindo esifana nesifo sikashukela sohlobo 2 noma i-apnea yokulala.
Kuyini ukuhlinzwa kwe-gastric bypass?
Ukuhlinzwa kwe-gastric bypass, okwaziwa nangokuthi i-Roux-en-Y gastric bypass, ukuhlinzwa kokuncipha kwesisindo okubandakanya ukwakha isikhwama sesisu esincane kanye nokuqondisa kabusha amathumbu amancane kulesi sikhwama esisha. Lokhu kunciphisa inani lokudla okungadliwa futhi kunciphisa ukumuncwa kwama-calories ekudleni. Ukuhlinzwa kwe-gastric bypass nakho kwenziwa nge-laparoscopically futhi kuthatha cishe amahora angu-2-3 ukuqeda. Ukuhlinzwa kwe-gastric bypass ngokuvamile kunconywa kubantu abane-BMI engu-40 noma ngaphezulu, noma i-BMI engu-35 noma ngaphezulu abanezinkinga zempilo ezihlobene nesisindo.
Ukufana phakathi komkhono wesisu kanye ne-gastric bypass
Kokubili ukuhlinzwa komkhono wesisu kanye nokuhlinzwa kwe-gastric bypass kuklanyelwe ukusiza abantu ukuba behlise isisindo ngokunciphisa inani lokudla abangakudla. Kokubili ukuhlinzwa kwenziwa nge-laparoscopically futhi kudinga i-anesthesia ejwayelekile. Kokubili ukuhlinzwa kudinga ukuthi isiguli silandele ukudla okuqinile kanye nohlelo lokuzivocavoca ngaphambi nangemva kokuhlinzwa ukuze kwandiswe imiphumela yokuncipha kwesisindo.
Umehluko phakathi komkhono wesisu kanye ne-gastric bypass
Ukuhlinza kwenziwa kanjani
Umehluko omkhulu phakathi komkhono wesisu kanye nokuhlinzwa kwe-gastric bypass yindlela okwenziwa ngayo. Ngesikhathi sokuhlinzwa komkhono wesisu, ingxenye yesisu iyasuswa ukuze kwakhiwe isisu esincane esimise okukabhanana. Ngesikhathi sokuhlinzwa kwe-gastric bypass, kwakhiwa isikhwama esincane sesisu bese ithumbu elincane libuyiselwa kulesi sikhwama esisha. Lokhu kwakha umumo othi “Y” okhawulela inani lokudla okungadliwa futhi wehlise ukumuncwa kwama-calories.
Imiphumela yokuncipha kwesisindo
Kokubili ukuhlinzwa komkhono wesisu kanye nokuhlinzwa kwe-gastric bypass kusebenza kahle ekusizeni abantu ukuba behlise isisindo. Kodwa-ke, ukuhlinzwa kwe-gastric bypass kuye kwaboniswa ukuthi kubangele ukuncipha okukhulu kwesisindo kunokuhlinzwa komkhono wesisu. Ngokocwaningo olwanyatheliswa kuyi-Journal of the American Medical Association, abantu abahlinzwe i-gastric bypass balahlekelwa isilinganiso esingu-66% sesisindo sabo eseqile, kuyilapho abantu abahlinzwe ngemikhono yesisu balahlekelwa isilinganiso esingu-59% sesisindo sabo eseqile.
Izingozi nezinkinga
Kokubili ukuhlinzwa komkhono wesisu kanye nokuhlinzwa kwe-gastric bypass kuthwala ubungozi kanye nezinkinga ezingaba khona. Izingozi zakho kokubili ukuhlinzwa zihlanganisa ukopha, ukutheleleka, amahlule egazi, kanye nezinkinga ze-anesthesia. Kodwa-ke, ukuhlinzwa kwe-gastric bypass kunengozi enkulu yezinkinga ezifana ne-dumping syndrome, eyenzeka lapho ukudla kuhamba ngokushesha kakhulu esiswini namathumbu amancane, okubangela isicanucanu, ukuhlanza, nesifo sohudo. Ukuhlinzwa komkhono wesisu kunengozi ephansi yezinkinga kodwa kungaholela ekuvukeni kwe-asidi kanye nokuvuza kwesisu ezimeni ezingavamile.
Iyiphi inqubo ekufanele? I-Gastric Sleeve vs I-Gastric Bypass
Ukunquma phakathi komkhono wesisu kanye nokuhlinzwa kwe-gastric bypass kungaba yisinqumo esinzima. Kubalulekile ukuxoxa ngobuhle nobubi benqubo ngayinye nodokotela wakho kanye nodokotela ohlinzayo wokulahlekelwa isisindo. Isinqumo sakho singancika emlandweni wakho wezempilo, ezinhlosweni zokuncipha kwesisindo, kanye nezintandokazi zakho.
Ilungiselela ukuhlinzwa
Ngaphambi kokwenza umkhono wesisu noma ukuhlinzwa kwe-gastric bypass, uzodinga ukuhlolwa okuphelele ngudokotela ohlinzayo wokulahlekelwa isisindo. Lokhu kungase kuhlanganise ukuhlolwa kwegazi, ukuhlolwa kwezithombe, nokuhlolwa kwengqondo. Uzodinga futhi ukulandela ukudla okuqinile ngaphambi kokuhlinzwa kanye nohlelo lokuzivocavoca ukuze ulungiselele umzimba wakho ukuhlinzwa.
Ukululama ngemva kokuhlinzwa
Isikhathi sokubuyisela ngemva kokuhlinzwa kwesisu noma ukuhlinzwa kwe-gastric bypass kungahluka kumuntu nomuntu, kodwa abantu abaningi bangabuyela emsebenzini nemisebenzi evamile phakathi kwamaviki angu-2-4. Kuzodingeka ulandele uhlelo oluqinile lokudla kanye nokuzivocavoca amasonto ambalwa ngemva kokuhlinzwa ukuze usize umzimba wakho uphulukise futhi ulungise izinguquko.
Imiphumela yesikhathi eside nokugcinwa
Kokubili umkhono wesisu kanye nokuhlinzwa kwe-gastric bypass kudinga ukuzibophezela impilo yonke ekugcineni impilo enempilo. Lokhu kuhlanganisa ukulandela ukudla okunempilo, ukuvivinya umzimba njalo, nokuhambela ukuhlolwa okuvamile nodokotela wakho ohlinzayo wokulahlekelwa isisindo. Ukwehluleka ukulandela le mihlahlandlela kungaholela ekubuyiseni isisindo kanye nezinkinga zempilo ezingaba khona.
I-Gastric Bypass Isilinganiso Sempumelelo
Izinga lempumelelo ye-gastric bypass
Izinga lokuphumelela lokuhlinzwa kwe-gastric bypass lingahluka kuye ngezici eziningana, okuhlanganisa impilo yesiguli ngaphambi kokuhlinzwa, ukunamathela ngemva kokuhlinzwa ekushintsheni kwendlela yokuphila, nezinye izici. Kodwa-ke, sekukonke, ukuhlinzwa kwe-gastric bypass kuye kwaboniswa kunezinga eliphezulu lempumelelo. Ngokocwaningo olwanyatheliswa kuyi-Journal of the American Medical Association, abantu abahlinzwa nge-gastric bypass balahlekelwa isilinganiso sama-66% wesisindo sabo esiningi futhi bagcina lokhu kuncipha kwesisindo okungenani iminyaka emihlanu.
Izinto ezingathinta impumelelo ye-gastric bypass
Kunezici ezimbalwa ezingathinta impumelelo yokuhlinzwa kwe-gastric bypass. Lezi zihlanganisa izici zangaphambi kokuhlinzwa, njengempilo yesiguli iyonke, ubudala, nesisindo, kanye nezici zangemva kokuhlinzwa, njengokunamathela ekudleni okunempilo nohlelo lokuvivinya umzimba.
- Izici zangaphambi kokuhlinzwa
Izici zangaphambi kokuhlinzwa ezingathinta impumelelo ye-gastric bypass zihlanganisa impilo yesiguli iyonke, ubudala, nesisindo. Abantu abanezimo ezithile zempilo, ezifana nesifo sikashukela sohlobo 2 kanye ne-apnea yokulala, bangase babe nethuba eliphezulu lokuphumelela ngokuhlinzwa kwe-gastric bypass. Iziguli ezisencane nazo zingase zibe nezinga eliphezulu lempumelelo kuneziguli ezindala, futhi iziguli ezinesisindo sokuqalisa esiphezulu zingase zilahlekelwe isisindo esiningi.
- Izici zangemva kokuhlinzwa
Izici ze-postoperative ezingathinta impumelelo ye-gastric bypass zihlanganisa ukunamathela ekudleni okunempilo kanye nohlelo lokuzivocavoca. Iziguli ezilandela izincomo zikadokotela ohlinzayo ngokudla nokuzivocavoca zinamathuba amaningi okuthi zinciphise umzimba futhi zigcine ukuncipha kwazo isikhathi eside. Ngaphezu kwalokho, ukuhlolwa okuvamile nodokotela ohlinzayo wokulahlekelwa isisindo kungasiza ekuboneni izinkinga ezingase zibe khona futhi kunikeze ukusekela okuqhubekayo nokugqugquzela.
Izinga Lempumelelo Yemikhono Yesisu
Izinga lokuphumelela lomkhono wesisu
Izinga lempumelelo yokuhlinzwa kwemikhono yesisu zingahluka kuye ngezici eziningana, okuhlanganisa impilo yesiguli ngaphambi kokuhlinzwa, ukunamathela ngemva kokuhlinzwa ekushintsheni kwendlela yokuphila, nezinye izici. Kodwa-ke, sekukonke, ukuhlinzwa kwemikhono yesisu kuye kwaboniswa kunezinga eliphezulu lempumelelo. Ngokocwaningo olwanyatheliswa kumagazini i-Obesity Surgery, abantu abahlinzwe imikhono yesisu balahlekelwa isilinganiso sama-57% wesisindo sabo eseqile futhi bagcina lokhu kuncipha kwesisindo okungenani iminyaka emihlanu.
Izinto ezingathinta impumelelo yemikhono yesisu
Kunezici eziningana ezingathinta impumelelo yokuhlinzwa kwemikhono yesisu. Lezi zihlanganisa izici zangaphambi kokuhlinzwa, njengempilo yesiguli iyonke, ubudala, nesisindo, kanye nezici zangemva kokuhlinzwa, njengokunamathela ekudleni okunempilo nohlelo lokuvivinya umzimba.
- Izici zangaphambi kokuhlinzwa
Izici zangaphambi kokuhlinzwa ezingathinta impumelelo yomkhono wesisu zihlanganisa impilo yesiguli iyonke, ubudala, nesisindo. Abantu abanezimo ezithile zempilo, ezifana nesifo sikashukela sohlobo 2 kanye ne-apnea yokulala, bangase babe nethuba eliphezulu lokuphumelela ngokuhlinzwa kwemikhono yesisu. Iziguli ezisencane nazo zingase zibe nezinga eliphezulu lempumelelo kuneziguli ezindala, futhi iziguli ezinesisindo sokuqalisa esiphezulu zingase zilahlekelwe isisindo esiningi.
- Izici zangemva kokuhlinzwa
Izici zangemva kokuhlinzwa ezingathinta impumelelo yemikhono yesisu zihlanganisa ukubambelela ekudleni okunempilo nohlelo lokuzivocavoca. Iziguli ezilandela izincomo zikadokotela ohlinzayo ngokudla nokuzivocavoca zinamathuba amaningi okuthi zinciphise umzimba futhi zigcine ukuncipha kwazo isikhathi eside. Ngaphezu kwalokho, ukuhlolwa okuvamile nodokotela ohlinzayo wokulahlekelwa isisindo kungasiza ekuboneni izinkinga ezingase zibe khona futhi kunikeze ukusekela okuqhubekayo nokugqugquzela.
I-Gastric Sleeve vs Bypass: Izinzuzo Nezingozi
I-Gastric Sleeve Surgery Pros
Ukuhlinzwa komkhono wesisu kunengozi ephansi yezinkinga uma kuqhathaniswa nokuhlinzwa kwe-gastric bypass.
Isikhathi sokululama ngemva kokuhlinzwa komkhono wesisu ngokuvamile sifushane kunokuhlinzwa kwe-gastric bypass.
Ukuhlinzwa akudingi ukuqondiswa kabusha kwamathumbu amancane, okunganciphisa ingozi yezinkinga ezihlobene nokuhlinzwa kwamathumbu.
Ukuhlinzwa kungase kuthuthukise izinkinga ezithile zezempilo ezihlobene nesisindo ezifana nesifo sikashukela sohlobo 2 nomfutho wegazi ophakeme.
I-Gastric Sleeve Surgery Cons
Ukuhlinzwa komkhono wesisu kungase kungasebenzi njengokuhlinzwa kwe-gastric bypass ekuzuzeni ukuncipha okukhulu kwesisindo kwezinye iziguli.
Ukuhlinzwa kungase kuholele ku-acid reflux noma ukuvuza kwesisu ezimweni ezingavamile.
Ukuhlinzwa akubuyiseleki emuva futhi akukwazi ukuguqulelwa ekuhlinzeni okuhlukile kwesisindo uma kudingeka.
Izinzuzo nobubi bokuhlinzwa kwe-gastric bypass
I-Gastric Bypass Surgery Pros
Ukuhlinzwa kwe-gastric bypass kuboniswe kuphumelela kakhulu ekuzuzeni ukulahlekelwa kwesisindo esibalulekile ezigulini eziningi.
Ukuhlinzwa kungase kuholele ekuthuthukisweni okusheshayo kwezindaba zezempilo ezihlobene nesisindo ezifana nesifo sikashukela sohlobo 2 nomfutho wegazi ophakeme.
Ukuhlinzwa kungahlehliswa noma kuguqulwe ekuhlinzeni okuhlukile kwesisindo uma kudingeka.
I-Gastric Bypass Surgery Cons
Ukuhlinzwa kwe-gastric bypass kunobungozi obukhulu bezinkinga uma kuqhathaniswa nokuhlinzwa kwemikhono yesisu, okuhlanganisa nesifo sokulahla, esingabangela isicanucanu, ukuhlanza, kanye nesifo sohudo.
Isikhathi sokululama ngemva kokuhlinzwa kwe-gastric bypass ngokuvamile side kunokuhlinzwa kwemikhono yesisu.
Ukuhlinzwa kudinga ukuqondisa kabusha amathumbu amancane, okungase kwenyuse ingozi yezinkinga ezihlobene nokuhlinzwa kwamathumbu.
Ukuqhathaniswa Kwezindleko Zokuhlinza Umkhono Wesisu kanye Nokuhlinzwa Kwe-Gastric Bypass
Izindleko ezimaphakathi
Izindleko zokuhlinzwa komkhono wesisu zingasukela ku-3.000€ ziye ku-6.500€, ngezindleko ezimaphakathi ezingaba ngu-3.500€. Izindleko zokuhlinzwa kwe-gastric bypass zingasukela ku-3.500€ kuya ku-7.000€, ngezindleko ezimaphakathi ezingaba ngu-4.000€. Lezi zindleko zingase zihluke kuye ngendawo, izimali zesibhedlela, kanye nezimali zikadokotela ohlinzayo.
Izinto ezingathinta izindleko
Kunezici eziningana ezingathinta izindleko zemikhono yesisu kanye nokuhlinzwa kwe-gastric bypass. Lokhu kufaka:
- Indawo: Izindleko zokuhlinzwa zingahluka kuye ngendawo yesibhedlela nodokotela ohlinzayo.
- Izimali zesibhedlela: Izimali zesibhedlela zingabandakanya izimali zegumbi lokuhlinza, izimali zokulalisa izinzwa, nezindleko zegumbi lokutakula.
- Izimali zikadokotela ohlinzayo: Izimali zikadokotela ohlinzayo zingahluka kuye ngokuthi udokotela ohlinzayo wabhekana nakho kanye nendawo.
- Ukuhlolwa ngaphambi kokuhlinzwa: Ukuhlolwa ngaphambi kokuhlinzwa, njengokusebenza kwegazi nokuthwebula izithombe, kunganezela ezindlekweni eziphelele zokuhlinzwa.
- Ukunakekelwa kwangemva kokuhlinzwa: Ukunakekelwa kwangemva kokuhlinzwa, okuhlanganisa ukuvakasha kokulandelela nokusekelwa, kunganezela ezindlekweni eziphelele zokuhlinzwa.
Ukuhlinzwa komkhono wesisu kanye nokuhlinzwa kwe-gastric bypass kokubili izinketho ezisebenzayo kubantu abanenkinga yokukhuluphala kanye nezinkinga zempilo ezihlobene. Kokubili ukuhlinzwa kunokufana nokuhluka okufanele kucatshangelwe ngokucophelela lapho unquma ukuthi iyiphi inqubo ekufanele. Kubalulekile ukusebenzisana eduze nodokotela wakho ohlinzayo wokulahlekelwa isisindo ukuze ulungiselele ukuhlinzwa, ukhulise imiphumela yokulahlekelwa isisindo futhi ugcine indlela yokuphila enempilo esikhathini eside. Uma futhi uhlushwa isisindo esiningi futhi uzibuza ukuthi yikuphi ukuhlinzwa okufanele kakhulu kuwe, ungasebenzisa ngokunenzuzo isevisi yethu yokubonisana nge-inthanethi. Ngesevisi yethu yamahhala, yokubonisana ku-inthanethi, singakutholela uhlelo olufaneleka kakhulu lokwelashwa kudokotela wethu ohlinzayo ochwepheshe.
