Mankhwala opangira opaleshoni ya Gastric Bypass kunja. Opaleshoni ya Gastric Bypass kunja
Kupyola m'mimba ndiimodzi mwamitundu yambiri yochita opareshoni ya bariatric, kapena opaleshoni yochepetsa thupi, ndipo imagwiritsidwa ntchito pochiza kunenepa kwambiri. Opaleshoni yodutsa m'mimba imagawika m'mimba mu thumba laling'ono lakumtunda ndi thumba lalikulu lakumunsi kenako ndikulumikiza matumbo ang'onoang'ono onse. Izi zimasintha momwe thupi la wodwalayo limayankhira pachakudya ndikuchepetsa kuchuluka kwa chakudya chomwe m'mimba chitha kugwira nthawi imodzi, nthawi zambiri kumabweretsa kuonda kwakukulu pamiyezi 3 mpaka 6 ndikuchepetsa mavuto azaumoyo okhudzana ndi kulemera.
Kudutsa m'mimba kumatha kugwiritsidwa ntchito kuthana ndi matenda ashuga, kuthamanga kwa magazi, cholesterol, komanso magawo osiyanasiyana amtima. Kuchita opaleshoni ya Gastric Bypass atha kukhala mwayi kwa odwala onenepa kwambiri omwe sangakwaniritse zolinga zowonda kudzera munjira zina ndikukhala ndi thanzi limodzi kapena zingapo zokhudzana ndi kunenepa kwambiri. Oyenerera oyenerera adzakhala ndi index ya mass body (BMI) osachepera 40. Opaleshoni ya Bariatric ndi gawo limodzi chabe la mapulani ochepetsa thupi ndipo akuyenera kutsagana ndi kusintha kwa moyo komwe kumabweretsa kunenepa.
Pali mitundu ingapo ya opareshoni ya m'mimba ndipo dotolo wanu adzakusankhirani mtundu wabwino kwambiri. Opaleshoni ya Gastric Bypass imachitika pansi pa anesthesia ndipo nthawi zambiri amafunika kukhala masiku atatu kapena asanu kuchipatala atachitidwa opaleshoni. Dokotalayo amayamba ndikupanga kangapo m'mimba asanapange thumba m'mimba. Mbali yakumunsi yamatumbo imalumikizidwa ndi thumba, zomwe zikutanthauza kuti chakudya chimadutsa m'mimba monse mochepetsa mphamvu yake mozungulira 3%. Mtundu wamtunduwu wam'mimba nthawi zambiri umatchedwa roux-en-y gastric bypass.
Mtundu wokulirapo wodutsa m'mimba ukupezekanso, wotchedwa Kusokonekera kwa biliopancreatic. Apa gawo lodutsa m'mimba limachotsedwa. Pali zovuta zingapo zomwe zimayembekezereka pambuyo pochitidwa opaleshoni ya m'mimba. Njirayi imachepetsa kuchuluka kwa michere yomwe imayamwa, zomwe zingatanthauze kuti mumatopa kapena kunyansidwa. Zimatengera nthawi yayitali kuti muzolowere mphamvu yatsopano yam'mimba. Odwala nthawi zambiri amatha kupita kwawo akatha kulekerera zakudya zamadzi komanso mankhwala amtundu wowawa, mosiyana ndi omwe amafunika kuperekedwa ndi akatswiri azaumoyo.
Kodi ndingapeze kuti kuti ndikudutsa m'mimba padziko lonse lapansi?
Pali malo osiyanasiyana padziko lonse lapansi kuti mupeze njira yabwino kwambiri yotsika mtengo padziko lonse lapansi. Opaleshoni ya Gastric Bypass ku UAE Opaleshoni ya Gastric yodutsa ku Spain Opaleshoni ya m'mimba kudzera ku Thailand Kuti mumve zambiri, werengani Zosankha za Bariatric Opaleshoni ndi Guide ya Mtengo.
| # | Country | Zowonjezera mtengo | Kuyamba Mtengo | Mtengo Wapamwamba |
|---|---|---|---|---|
| 1 | India | $6571 | $6100 | $7100 |
| 2 | nkhukundembo | $6733 | $6000 | $7100 |
| 3 | United Arab Emirates | $9720 | $9500 | $10000 |
| 4 | Spain | $15365 | $15330 | $15400 |
| 5 | Korea South | $19499 | $19499 | $19499 |
Pali zinthu zambiri zomwe zingakhudze mtengo
Kuchita opaleshoni yowonongeka amachitidwa kuti athandize odwala kuti achepetse thupi pochepetsa kukula kwa m'mimba. Kuchita opaleshoniyo kumachitika kuti athandize odwala omwe achepetsa thupi pambuyo poti njira zopanda opaleshoni monga kusintha kwa zakudya ndi masewera olimbitsa thupi, zalephera kutulutsa zotsatira. Kuchita opaleshoniyi kumachitika kokha kwa odwala omwe ali onenepa kwambiri ndipo ali ndi BMI (index of body mass) yopitilira 40, ndipo atatha njira zina zopanda opaleshoni zochepetsa thupi, monga kusintha kwa zakudya ndi zolimbitsa thupi zalephera. Komabe, itha kuchitidwanso kwa odwala omwe ali ndi BMI ya 35-40 ndipo ali ndi thanzi labwino lomwe lingawopseze thanzi la wodwalayo akaphatikizidwa ndi kunenepa kwambiri, monga matenda ashuga, matenda obanika kutulo, kuthamanga kwa magazi kapena nyamakazi.
Odwala omwe akutsata ndondomekoyi ayenera kukhala okonzeka kusintha moyo wawo wonse pazakudya zawo ndi masewera olimbitsa thupi kuti athandizidwe bwino. Kuchita opaleshoniyo sikungakhale koyenera kwa odwala onse, chifukwa chake mayesero angapo amayenera kuchitidwa ndipo malangizo azachipatala amayenera kutsatiridwa, pozindikira ngati opaleshoniyi ndi yoyenera kwa wodwalayo. Njira yofala kwambiri ndi Njira ya Roux-en-Y, zomwe zimaphatikizapo kutseka gawo la m'mimba ndi chakudya, kulola thumba laling'ono la m'mimba kuti ligwiritsidwe ntchito, kenako ndikuwapachika pa m'matumbo ang'onoang'ono. Izi zimalepheretsa kudya chakudya komanso kuchuluka kwa ma calories ndi michere yomwe imalowa, zomwe zimapangitsa kuti muchepetse kunenepa. Akulimbikitsidwa kwa Odwala omwe ali ndi BMI ya 40 kapena kupitilira apo ndipo alephera kuonda chifukwa cha kusintha kwa zakudya kapena zolimbitsa thupi Odwala omwe ali ndi BMI a 35-40 omwe alinso ndi matenda monga matenda ashuga, kugona tulo, kuthamanga kwa magazi kapena osteoarthritis Nthawi zofunika Chiwerengero cha masiku omwe ali kuchipatala 1 - 3 masiku Avereji ya kutalika kokakhala kunja 2 milungu.
Kuuluka pambuyo pa opaleshoni kumatha kuwonjezera chiopsezo cha mitsempha yayikulu (DVT) ndipo odwala amafunika kuyeretsedwa ndi dotolo asanayambe kuwuluka. Kuchita opaleshoni ya Bariatric kumalimbikitsidwa ngati njira zina zochepetsera thupi sizinagwire ntchito. Zofunika nthawi Number of days in hospital 1 - 3 days Avereji ya kutalika kokakhala kunja milungu iwiri. Kuuluka pambuyo pa opaleshoni kumatha kuwonjezera chiopsezo cha mitsempha yayikulu (DVT) ndipo odwala amafunika kuyeretsedwa ndi dotolo asanayambe kuwuluka. Zofunika nthawi Number of days in hospital 2 - 1 days Avereji ya kutalika kokakhala kunja milungu iwiri. Kuuluka pambuyo pa opaleshoni kumatha kuwonjezera chiopsezo cha mitsempha yayikulu (DVT) ndipo odwala amafunika kuyeretsedwa ndi dotolo asanayambe kuwuluka. Kuchita opaleshoni ya Bariatric kumalimbikitsidwa ngati njira zina zochepetsera thupi sizinagwire ntchito.,
Wodwalayo adzayesedwa kangapo kuti adziwe ngati ali woyenera kuchitidwa opaleshoni. Pokonzekera opaleshoniyi, odwala adzayenera kutsatira dongosolo lazakudya ndipo dokotala wofunsayo amalangiza wodwalayo za kusiya mankhwala aliwonse omwe angakhudze opaleshoniyi. Odwala ayenera kulangizidwa kuti azitsatira pulogalamu yochita masewera olimbitsa thupi komanso kupewa kusuta.
Odwala omwe ali ndi mavuto ovuta atha kupindula akafunsanso lingaliro lina asanayambe njira yothandizira. Lingaliro lachiwiri limatanthauza kuti dokotala wina, nthawi zambiri katswiri wodziwa zambiri, adzawunikanso mbiri yazachipatala ya wodwalayo, zisonyezo, sikani, zotsatira zamayeso, ndi zina zambiri zofunika, kuti apereke njira yodziwira ndi chithandizo.
Wodwalayo amapatsidwa mankhwala osokoneza bongo asanayambe opaleshoni. Roux-en-Y ndi mtundu wofala kwambiri wa opaleshoni yopita m'mimba. Njirayi imagwiritsidwa ntchito ngati opaleshoni yotseguka ndipo imaphatikizapo kusintha kukula kwa mimba kotero kuti gawo laling'ono la m'mimba limagwira ntchito. Thumba laling'onoli, laling'ono limakhala laling'ono kwambiri kukula kwake ndipo limalumikizidwa molunjika ndi gawo lapakati lamatumbo ang'ono, kudutsa m'mimba monse ndi kumtunda kwa m'matumbo ang'onoang'ono.
Njirayi imagwiridwa kwambiri ndi laparoscopically, yomwe imaphatikizapo kuyika makina oonera opaleshoni kudzera pazinthu zing'onozing'ono, zomwe zimayendetsedwa ndi kamera ndipo zimakhala ndi zida zopangira opaleshoni. Kuchita ma laparoscopic sikowopsa kuposa opaleshoni yotseguka ndipo imakhala ndi nthawi yachangu poyerekeza poyerekeza. Mankhwala oletsa kupweteka ambiri. Kutalika kwa Ndondomeko, The Muzituluka kulambalala Opaleshoni amatenga maola 2 kapena 4. Mimba amasinthidwa ndikugawana gawo lake mthumba laling'ono lomwe limalumikizidwa ndi matumbo ang'ono.,
Chisamaliro cha positi Nthawi zambiri ndimamva kuwawa pamalo opareshoni, ndipo odwala amakhala masiku awiri kapena atatu kuchipatala.
Odwala amatha kumva nseru, ndipo adzapatsidwa dongosolo lapadera la zakudya nthawi yomweyo.
Kusapeza komwe kumakhala kovuta Kusamva bwino ndi kupweteka kwachilendo kumakhala kwachilendo kwa masiku ochepa atachitidwa opaleshoni.,
Zotsatirazi ndi zipatala zabwino kwambiri za 10 za Gastric Bypass Surgery padziko lapansi:
| # | Hospital | Country | maganizo | Price | |
|---|---|---|---|---|---|
| 1 | Indraprastha Apollo Hospital Delhi | India | New Delhi | $6200 | |
| 2 | Chipatala cha Chiangmai Ram | Thailand | Chiang Mai | --- | |
| 3 | Acibadem Taksim | nkhukundembo | Istanbul | $7000 | |
| 4 | Chipatala cha Heidelberg University | Germany | Heidelberg | --- | |
| 5 | Mzipatala za Paras | India | Gurgaon | $6100 | |
| 6 | Chipatala cha Chelsea ndi Westminster | United Kingdom | London | --- | |
| 7 | Chipatala cha Medicover Hungary | Hungary | Budapest | --- | |
| 8 | Chipatala cha Max Super Specialty - Gurgaon | India | Gurgaon | --- | |
| 9 | Chipatala cha As-Salam International | Egypt | Cairo | --- | |
| 10 | Chipatala cha P. D Hinduja | India | Mumbai | --- |
Otsatirawa ndi madokotala abwino kwambiri a Opaleshoni ya Gastric Bypass padziko lapansi:
| # | DOTOLO | WAPADERA | KUCHipatala | |
|---|---|---|---|---|
| 1 | Dr. Ajay Kumar Kriplani | Opaleshoni ya Bariatric | Kafukufuku wa Fortis Memorial ... | |
| 2 | dr. Rajnish Monga | Medical Gastroenterologist | Mzipatala za Paras | |
| 3 | Dr Jameel JKA | Opaleshoni ya Bariatric | Apollo Hospital Chennai | |
| 4 | Dr.Anirudh Vij | Opaleshoni ya Bariatric | Pushpawati Singhania Res... | |
| 5 | Dr Rajat Goel | Opaleshoni ya Bariatric | Choyamba Super Specialty Ho... | |
| 6 | Dr. Deep Goel | Opaleshoni ya Bariatric | BLK-MAX Super Specialty H... | |
| 7 | dr. Mahesh Gupta | Opaleshoni ya m'mimba | Dharamshila Narayana Supe... | |
| 8 | dr. Ravindra Vats | Opaleshoni ya Bariatric | BLK-MAX Super Specialty H... |
Opaleshoni yodutsa m'mimba ndi opaleshoni yayikulu yokhala ndi zoopsa zazifupi komanso zazitali. Zowopsa kwakanthawi kochepa zimaphatikizapo kutuluka magazi kwambiri, matenda, magazi kuundana, zovuta kupuma, kutuluka m'mimba, komanso kusowa kwa mankhwala ochititsa dzanzi. Zovuta zazitali zimakhudzana ndikusintha kwa dongosolo lanu lakugaya chakudya kuchokera ku opaleshoniyi ndikuphatikizanso kutsekeka kwa matumbo, matenda otaya, ndulu, ma hernias, hypoglycemia, kuperewera kwa zakudya m'thupi, kuphwanya m'mimba, zilonda, ndi kusanza. Zovuta zambiri kuchokera pamachitidwe opita m'mimba zimatha kupewedwa potsatira kwambiri malangizo a dokotala musanachite opaleshoni kapena pambuyo pake.
N`zotheka kuti asinthe ndi chapafupi gastric. Komabe, izi zimangochitika nthawi zina pomwe pali vuto. Nthawi zambiri kupyola m'mimba kumatsalira, kuthandiza wodwalayo kuti akhale wathanzi.
Madokotala ambiri amachita opaleshoni yopanga m'mimba laparoscopically, kutanthauza kuti m'malo mopanga tinyemba tating'onoting'ono, timagwirira tating'onoting'ono tambiri timagwiritsidwa ntchito kufikira m'mimba. Njira yowonongekayi imatanthauza kuti odwala amatha kutuluka mchipatala pakatha masiku awiri kapena atatu. Pambuyo pa opaleshoniyi, wodwalayo amangokhala ndi zakumwa tsiku loyamba kapena 2, kenako amatha kuyambitsa zakudya pang'onopang'ono. Pambuyo pa mwezi umodzi, odwala ayenera kuchiritsidwa kuchokera ku opaleshoniyi, ndipo akuwonetsa kale zizindikilo zolemetsa.
Pambuyo pa opaleshoniyi, odwala nthawi zambiri amataya kuchuluka kwawo kwakuthupi. Zotsatira zake, matenda ambiri okhudzana ndi kunenepa kwambiri (monga kuthamanga kwa magazi kapena mtundu wachiwiri wa shuga) amatha kapena kutayika kwathunthu. Komabe, opaleshoniyo siyomwe imapangitsa wodwalayo kukhala wathanzi, koma chakudya chopatsa thanzi komanso kuchepa thupi komwe kumachitika pambuyo pa opareshoni.
Njira zodutsira m'mimba ndi njira zina za bariatric zimapangitsa kuti wodwalayo achepetse kunenepa. Komabe, kupambana kwa njirayi pochepetsa kapena kuthetsa kunenepa kwambiri kumadalira momwe wodwalayo amatsata moyo wathanzi atachita opaleshoni. Ndikothekabe kunenepa ngakhale atachitidwa opaleshoni ya bariatric ngati wodwalayo sasintha momwe amakhalira. Kodi opaleshoni yodutsa m'mimba ingabwerezenso? Opaleshoni yodutsa m'mimba nthawi zambiri imachitika kamodzi, ndipo iyenera kuyambitsa kuchepa kwakanthawi. Nthawi zambiri pomwe opaleshoni imasinthidwa, odwala ayenera kukambirana zomwe angasankhe ndi dokotalayo. Nthawi zina opaleshoni yopanga m'mimba imatha kuchitidwanso, komabe, chifukwa cha mabala, dokotalayo angalimbikitse mtundu wina wa opaleshoni yochepetsa thupi.
Maopaleshoni a Bariatric ali pachiwopsezo chachikulu chifukwa nthawi zambiri odwala amakhala ndi mavuto azaumoyo okhudzana ndi kunenepa kwambiri, ndipo mosasamala zaka zawo, adotolo ayenera kuwunika ngati wodwalayo ali ndi thanzi lokwanira. Mwachidziwitso, palibe malire azaka, komabe, zaka wamba za odwala opangira ma bariatric zili pakati pa 18 ndi 65.
Izi zimadalira thanzi lanu komanso mtundu wa ntchito yanu, ndipo dotolo wanu azitha kukupatsani upangiri wokha. Anthu ambiri amatha kubwerera kuntchito mkati mwa sabata limodzi kapena awiri, komabe, mutha kupeza kuti mulibe mphamvu zochepa. Ngati ndi kotheka, ndibwino kuyamba modekha, kugwira ntchito yocheperako kapena tsiku lina lililonse, ndipo pakatha mwezi umodzi kapena kubwereranso mwakale.,
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