Ukufakwa kwe-gastric band kuwumsebenzi obuyiselwayo wokuhlinzwa ukukhuluphala (i-gastroplasty) okuhloswe ngayo ukunciphisa ubukhulu besisu. Ngokuvamile kwenziwa nge-laparoscopy. Ukuncipha kwesisindo okulindelekile kungaba ku-40-60% yesisindo eseqile. Ukuze kwandiswe amathuba okuphumelela, ukubekwa kwebhande lesisu kufanele kuhlotshaniswe nokulandelwa kweqembu elihlinzayo ngemva kokuhlinzwa kanye nokuhambisana nemithetho ethile yesiguli, ikakhulukazi mayelana nokudla.

I-Gastroplasty ukuhlinzwa ukukhuluphala okuhloswe ukunciphisa ubukhulu besisu. Kwenza kube nokwenzeka ukunciphisa inani lokudla okumunyisiwe ngokubangela umuzwa wokusutha kusenesikhathi okusiza iziguli ukuthi ziguqule imikhuba yazo yokudla njengengxenye yokulawula okuphelele nesikhathi eside kokukhuluphala kwazo.

Ibhande lesisu

Iringi ye-gastroplasty ifakwa engxenyeni engenhla yesisu ukuze ihlukanise iphakethe elincane. Lesi sisu esincane sigcwala ngokushesha ngesikhathi sokuncelisa, okuholela ekusutheni ekuqaleni. Khona-ke, leli phakethe elincane lithululela kancane kancane engxenyeni yesisu engaphansi kweringi bese ukugaya kwenzeka ngendlela evamile. Le ndandatho ixhunywe ngeshubhu elincane ebhokisini lokulawula elibekwe ngaphansi kwesikhumba. Le ndandatho ingaqiniswa noma ikhululwe ngokujova uketshezi esikhwameni, ngesikhumba. Ukufaka i-gastric band ukuphela kokuhlinzwa ukukhuluphala okubuyiselwa emuva ngokuphelele.

Ezinye izinhlobo ze-gastroplasty

• I-gastric bypass iyindlela ehlanganisa ukwakhiwa kwephakethe elincane engxenyeni engenhla yesisu ebangela ukwehla okukhulu kwamandla esisu, kanye nokujikeleza okufushane kwengxenye yamathumbu ukuze kukhawulwe inani lokudla okufakwe umzimba.
• I-sleeve gastrectomy (noma i-sleeve gastrectomy) ihlanganisa ukukhipha cishe u-2/3 wesisu, futhi ikakhulukazi ingxenye equkethe amaseli akhiqiza ihomoni evuselela isifiso sokudla (i-ghrelin). Isisu sincishiswa sibe yishubhu eliqondile, futhi ukudla kudlula ngokushesha emathunjini.

Ukulungiselela ukubekwa kwebhande lesisu

Ukuhlinzwa kufanele kwandulelwe ukuhlolwa okuphelele okuvumela isiguli ukuba sibe nesikhathi sokucabanga ngaphambi kokuqhubeka nesenzo sokuhlinzwa.

Usuku lokuhlolwa

Isiguli singena esibhedlela ngosuku olwandulela (noma ekuseni) lokuhlinzwa. 

Ukungenelela

Ukuhlinzwa ngokuvamile kwenziwa nge-laparoscopically ngosizo lwekhamera ngokusebenzisa izimbobo ezincane ezisuka ku-5 kuya ku-15 mm. Ezimweni ezingavamile, kungenziwa ngokusebenzisa i-classic incision (laparotomy). Ukuhlinzwa kwenzeka ngaphansi kwe-anesthesia ejwayelekile, futhi kungathatha amahora angu-3.

Njengakho konke ukuhlinzwa kwe-gastroplasty, ukubekwa kwebhande lesisu kungabhekwa kubantu:

• Ngenkomba yesisindo somzimba (BMI) enkulu noma elingana nama-40
• Nge-BMI enkulu noma elingana nabangu-35 abanezinkinga zempilo ezimbi kakhulu ezihlobene nesisindo (isifo sikashukela, umfutho wegazi ophakeme, i-apnea yokulala, ukuhluleka kwenhliziyo)

Imiphumela elindelekile

Isisindo eseqile sihambisana nenani lamakhilogremu engeziwe uma kuqhathaniswa nesisindo esifanele esilindelekile esibalwe ngesisekelo se-BMI phakathi kuka-23 no-25. Ngemva kokufaka ibhande lesisu, ukulahlekelwa kwesisindo okulindelekile njengephesenti lika-l yena isisindo esiningi singu-40-60% . Lokhu kuhambisana nokuncipha kwesisindo esingaba ngu-20 kuya ku-30 ​​kg kumuntu onobude obujwayelekile (1m70) one-BMI elingana nama-40.

Izinkinga ezingenzeka

Ukubekwa kwebhande lesisu kudinga ukuqapha ngokucophelela yithimba labahlinzayo ngemva kokuhlinzwa. Isilinganiso sokuhlala esibhedlela cishe yizinsuku ezi-3, kuvumela ithimba lezokwelapha ukuthi lilawule noma yiziphi izinkinga zangemva kokuhlinzwa (amagciwane, ukopha, njll.) Ukukhuluphala ngokweqile kwandisa ingozi ye-phlebitis (ihlule emithanjeni) kanye ne-pulmonary embolism. Kulokhu, imijovo yokunciphisa igazi kanye namasokisi okucindezela angabhekwa ngemva kokuhlinzwa.

Izinkinga zemishini kamuva zingase zenzeke:

• Izinkinga ezihlobene necala: izifo, ukufuduka kwecala ngaphansi kwesikhumba, ubuhlungu endaweni yecala, ukuphuka kweshubhu elixhuma icala kanye nendandatho;
• Ukushelela kwendandatho nokunwetshwa kwesikhwama ngaphezu kweringi okungaholela ekuhlanzeni okukhulu noma ngisho nokungakwazi ukudla;
• Izifo ze-Esophageal (reflux, esophagitis);
• Izilonda zesisu ezibangelwa indandatho (ukuguguleka kwesisu, ukufuduka kwendandatho).

Umphumela wokungenelela

• Isiguli kufanele sithintane nodokotela waso ohlinzayo kanye nesazi sokudla ukuze silandelelwe isikhathi eside. Kumelwe ahloniphe iseluleko sokudla: yidla okuwuketshezi oluncane bese uqinile, udle kancane, ungaphuzi ngenkathi udla, hlafuna okuqinile kahle.
• Ngemva kokubuyela ekhaya, isiguli kufanele siqaphe ukuvela kwezimpawu ezithile (ukuphefumula, ubuhlungu besisu, imfiva, ukopha ku-anus, ukuhlanza okuphindaphindiwe noma ubuhlungu behlombe) futhi uxhumane nodokotela wakhe ohlinzayo uma kwenzeka omunye wabo. . Ngisho sekwephuzile ngemva kokuhlinzwa, ukuhlanza okuphindaphindiwe kufanele kubikwe kudokotela wakhe.
• Njenganoma yikuphi ukuhlinzwa ukukhuluphala, ukukhulelwa akunconywa phakathi nonyaka wokuqala wangemva kokuhlinzwa.