Esiswini nisishiye siboshwé ngebhande: Izibuyekezo emva kokuhlinzwa

Laparoscopic nisishiye siboshwé ngebhande esiswini namuhla - lena eliphezulu kakhulu inqubo funa. Kuvumela abantu isisindo okweqile, Zinciphisa isifiso sakho ongalawuleki ngokunciphisa inani ukudla washisa. Inqubo kuyinto Imbondela band ekhethekile esiswini ngaphansi emphinjeni, okuyinto iyehlisa isixazululo yayo yasekuqaleni.

Isizathu esikhulu isisindo okweqile

Ngalahlekelwa sibalo enhle ulula. isisindo okweqile ngokushesha aqoqana ngenxa zokuphila umzimba futhi ukucindezeleka. Ngezinye izikhathi main isici isethi kuba amakhilogremu ezingadingekile umlando womndeni. Nokho, naphezu kwalokhu, ngo zonke izimo, ukukhuluphala kungaba ukukhuluma ngembangela eyinhloko kulesi simo, elisesifundeni kwemikhuba yokudla noma ukudla kakhulu. Akukho ukwehluleka hormone enjalo noma umzimba kancane, okwakuyoholela bebodwa, ngaphandle kobukhona esesuthi zingalawuleki, eyayingabangela ukuthuthukiswa kwe-ukunxenxa of isisindo okweqile.

Yiqiniso, izazi zokudla zitusa iziguli ezinjalo ukuba aphinde acabange ngendlela yabo yokuphila, ukuhambisa ngaphezulu, hhayi kakhulu uma sezidla futhi ukudla ukudla okunomsoco. Nokho, lokhu akusho ukuxazulula inkinga. Iziguli ukukhuluphala ngokwabo bazi kahle ukuthi udinga ukuthatha ukuletha esisindo izibalo evamile. Nokho, ezimweni eziningi, zenzele wena iyehluleka. Leli qiniso besifanele. Yena waqinisekiswa izifundo ezahlukene, okwakuhilela iqembu kweziguli ukukhuluphala. Iziguli ekuqaleni waxhumana Ochwepheshe (therapists kanye physiotherapists dieticians). Nokho, ngokuhamba ukuhlola kwathi ukususa isisindo okweqile, iziguli onjalo% 1.5-2 kuphela, ukugcina imiphumela phakathi nezinyanga eziyisithupha.

Ezimweni ezinjalo, uma umuntu okhuluphele, uyaqonda ukuthi akusiyo ukwazi ukubhekana nalesi sifo sebedlula kokwakhe, kufanele aye emtholampilo, nalapho Ochwepheshe siyonikwa izindlela eziphumelelayo yokuqeda izinkinga kanye nokuhlinzwa - nisishiye siboshwé ngebhande esiswini.

Ingqikithi yalo inqubo,

Esiswini imitholampilo nisishiye siboshwé ngebhande bahlinza inqubo ithuthukiswe 1986 eMelika. umdali kwawo kwakunjengokwetshe udokotela ohlinzayo Lubomir Kuzmak kokuba imvelaphi Ukraine. Umqondo oyinhloko we inqubo itholakala indandatho nekwendlala engxenyeni engenhla esiswini, okuyinto ngaleyo ndlela ithatha ukuma i-hourglass. Nokho, ngokungafani nangesikhathi count iyunithi, umzimba ukudla ihlukaniswe yaba izingxenye ezimbili ezihlukene by volume. Phezulu kubo, lisendaweni engaphezu iringi has capacitance encane. umthamo wayo nje eyishumi nanhlanu namamililitha amabili. Lona inani elilodwa isipuni. Phakathi ingxenye ezincane nezinkulu esiswini is eyayenziwe wadala izivimbelo kabani ubukhulu cishe 1 cm.

Umuntu eyenziwa nisishiye siboshwé ngebhande esiswini, ngemuva kokuhlinzwa uyakwazi ukudla okuncane kakhulu. Ukudla kokufaka i-ventricle amancane uligcwalise, egcinwa esifundeni ngenhla iringi. Ngokushesha wokugaya ukudla isitho receptor adlulisele isignali kuya ebuchosheni, ukwamukelwa umuzwa satiety. Isiguli ungadla impela kancane, isibonelo, ingxenye yesine ka-apula. Nokho, uyozizwa ukugcwala. isimo okunjalo kwenza ukufeza injongo eyinhloko ukusebenza, esakhiwa ngo ukwehla elibukhali ivolumu ukudla kudliwa, futhi ngenxa yalokho, ukuze unciphise inani kilojoule engena emzimbeni.

Usebenzisa idivayisi ekhethekile

Ukuze wenze odokotela abahlinzayo esiswini hourglass ukuma zisebenzisa indandatho ekhethekile. Le idivayisi eziyinkimbinkimbi ukuthi isetshenziswa kuphela lokhu ikakhulukazi ezimweni lapho nisishiye siboshwé ngebhande esiswini (bheka ngezansi isithombe).

Eceleni zayo zangaphakathi iringi ifakwe uhlelo wokubacindezela sikhukhumale uyakwazi cuff. Enye ingxenye amathuluzi asetshenziswa ngesikhathi nisishiye siboshwé ngebhande operation, ngokuthi "Imbobo". Le ngxenye ixhunywe cuff ngumuntu tube encane. Port ngaphansi kwesikhumba esiswini babe izembozo. It liyadingeka ukuze bagcwalise efakwe uhlelo brine noma uketshezi. zokukhwabanisa enjalo kunganciphisa inesikhala kwangaphakathi esiyingini. Ngokuphambene, ukusulwa ivolumu ezithile uhlelo uketshezi kuholela nokwanda kwalo. Kusho ushintsho olunjalo senziwa okusekelwe izidingo iklayenti. Inqubo wenziwa emva kwezinyanga ezimbili kokuhlinzwa, lapho ring thembeke aqiniswa emisipheni. Empeleni, ukuphambanisa izinhlamvu umthethonqubo ezifana ulula. Port ngqo ngokusebenzisa isikhumba punctured ngenaliti esihle, ethula kuwo mayelana 5 ml ketshezi. Impendulo ezigulini, le nqubo kuba kobuhlungu futhi ihlala imizuzu 3 kuphela 5.

Izinkomba esinyathelweni

Ubani Kunconywa nisishiye siboshwé ngebhande esiswini? ochwepheshe lezivakashi bathi lezo zinqubo aboniswa amakhasimende abe Inkomba umzimba mass mkhulu kunezinhliziyo 40. Nokho, lo mthetho has okuhlukile yayo. Ukusebenza wenziwa nomzimba mass index of 35, uma isiguli sifuna ehlupheka okhuluphele kusukela emithanjeni varicose, umfutho wegazi ophakeme, isifo sikashukela kanye nezifo amalunga zezinyawo.

Ngaphezu kwalokho, imitholampilo Ochwepheshe nisishiye siboshwé ngebhande esiswini baxwayisa ngokuthi uyavumelana inqubo enjalo kufanele kuphela abantu ngezinga eliphezulu yenhlangano nesiyalo, unesifiso esikhulu ukushintsha indlela ekhona zokuphila futhi bayakwazi ukubona udokotela wakho njalo.

Kwezinye izimo, le adjustable esiswini band uthola Izibuyekezo ezingezinhle? Lapho Inkomba umzimba mass mkhulu kunezinhliziyo 50. Lena degree kahle eliphezulu ukukhuluphala. Kungani, ezimweni ezinjalo ngeke kwenziwe nisishiye siboshwé ngebhande esiswini? Ngemva nisishiye siboshwé ngebhande, kulezi ziguli abakwazi ukuyeka ngokweqile ukudla. Ezimweni ezinjalo, ochwepheshe basikisela ukuhlinzwa ukhishwe ingxenye isisu emathunjini amancane.

Izimo

Ngubani hhayi lwenziwa nisishiye siboshwé ngebhande esiswini? ochwepheshe lezivakashi bathi le nqubo is hhayi Kunconywa:

- Iziguli ezingamadoda ngaphansi kweminyaka eyi-18;

- uma sina izifo semithambo, inhliziyo namaphaphu;

- yotshwala ezingamahlalakhona;

- khona kwezinso we emphinjeni, isilonda duodenal noma umdlavuza esiswini;

- kwabesifazane abakhulelwe;

- ukuthi nginesifo "pancreatitis okungamahlalakhona" futhi "umfutho wegazi ophakeme Portal";

- isibindi sibe sesomile;

- abanothando izinyo elimnandi, futhi labo abakwazi athobele edingekayo ugesi wesifunda;

- kokuba lesi sifo singalapheki ukuthi bungangcolisa isayithi yokusebenza;

- pathologies sokuhlasela kwamasosha omzimba we ezicutshini;

- endabeni ukusetshenziswa okuqhubekayo kwezidakamizwa hormone.

Ukulungiselela inqubo nisishiye siboshwé ngebhande

Ngaphambi ukusebenza kwe-ukufakwa indandatho ekhethekile ngesidingo esiswini ukuba zihlolwe, uhlu okuyinto ejwayelekile belungiselela ukubulawa kwezinzwa okuvamile. izinsuku 10-14 ngaphambi kokungenela kutuswa umzimba ukuthi kunciphisa umthamo kwesibindi. Ngalesi sikhathi Ukudla lesiguli lifanele lifake hlangana:

- ephansi fat cottage shizi no ubisi;

- inkukhu;

- yemifino isobho broths;

- Izithelo nemifino.

Ukudla ngesikhathi zezitshalo ezilwane kungenzeka, kodwa lemali yabo kufanele kuyehla kube sezingeni eliphansi. Ngemva kokudla isidlo sakusihlwa ngosuku phambi ukusebenza ayisakwazi adle noma aphuze. Uma kudingeka ukuba isiguli sibe imithi eyanele, lolu daba kuxoxwa kusengaphambili nodokotela wakho.

Indlela ukusebenza

ukuhlinzwa Ezivamile lungase lufaniswe futhi ukuthi ukusebenza "nisishiye siboshwé ngebhande esiswini"? Cha Iqiniso lokuthi ukusebenza ngoba kokufaka ekhethekile indandatho esiswini eyenziwa laparoscopy (kancane koda) indlela. Usikisela lokhu inqubo ngaphandle kokuvula esiswini. Phakathi ukusebenza, onguchwepheshe yenza imbobo encane. Therethrough phakathi komgodi ongaphakathi kwamathumbu of umthombo wokukhanya kanye busuka camcorder. Ngaphezu kwalokho, isiguli namanje sebeziqhumbuza ezincane ezine. Badinga ukungena besisu ingaphakathi amathuluzi, ngaphandle okuyinto akunakwenzeka izinqubo kuqalisa. Inkambu ukuhlinzwa, udokotela ohlinzayo ubona ku qapha, okuyinto ubonisa izithombe esalotshwa camcorder.

Le nqubo has ezingeni eliphezulu ngokuthembeka, ukunika amandla opharetha ukusebenza ku lezo zindawo emzimbeni ukuthi awatholakali ezivamile Ukuhlinzwa okukhulu.

Izinzuzo amasu laparoscopic

Iningi labo ababenze nisishiye siboshwé ngebhande esiswini, izibuyekezo mayelana nokusebenza eshiya omuhle. Ngemva kokuhlinzwa, esikhundleni isibazi esikhulu umzimba izibazi ezincane ezinhlanu. Ngaphezu kwalokho, laparoscopic esiswini nisishiye siboshwé ngebhande izimpendulo wathola inqubo cishe kobuhlungu. Lokhu kuvumela lemali nesineke sakugcina isikhathi sokuhlala esibhedlela. inkathi yokutakula emuva kokuhlinzwa enjalo imfushane ngokwanele evumela umuntu ngaphambili kakhulu ukubuyela ekuphileni evamile.

Njengoba kulinganiselwa ngochwepheshe, laparoscopic nisishiye siboshwé ngebhande esiswini? Uphenyo odokotela bathi iningi labo ukwamukela le ndlela. Ochwepheshe uqaphele ukuncipha osobala inombolo yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa. Phela, uma le nqubo akuyona imbobo enkulu, ngakho-ke, akukho ukopha futhi mancane amathuba okuthola izifo kanye hernias. Indlela ivumela cishe ukuqeda yezinkinga ezivamile ezifana ukuhlinzwa, efana ephathwa inyumoniya futhi wamaphaphu exudate, kukhuphuke igazi ekunqandeni futhi t. D. Ngaphezu kwalokho, phakathi naleyo nqubo kungekho ukuphulwa ka ubuqotho wokugaya ukudla ipheshana kwezicubu.

Abafazi ebegade beze wenza isinqumo khona lapho adjustable esiswini band, impendulo ngemva kokwenziwe kwesokunxele omuhle kakhulu. Lokhu akusona isimanga. Phela, le ndlela hhayi kuphela kuqeda isifo, kodwa futhi kunikeza imiphumela emihle kakhulu kusukela iphuzu yobuhle umbono. Ukuze uqinisekise lokhu, kubalulekile ukubheka labo kakade yakhetha indlela nisishiye siboshwé ngebhande esiswini (izithombe ngaphambi nangemva ethulwa esihlokweni).

Ukukhanga indlela laparoscopic ka ukugqumisa itholakala reversibility yayo. Ngemva kokwenza iringi ukusebenza ngasizathu simbe noma ezinye kungaba zisuswe. Kulokhu, anatomy esiswini alulame ngokuphelele kungakapheli isikhathi esifushane.

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa

Iziguli abaye zabhekana inqubo nisishiye siboshwé ngebhande esiswini, kumele zithobele izincomo ezithile kudokotela. Ngokwesibonelo, e-ngukuhlwa, kwaba ngukusa ngemuva kokuhlinzwa kufanele angadli futhi siphuza neziphuzo kakhudlwana. Amanzi kufanele udle kuphela izingxenyana ezincane. Engingakusho wenza njalo elilodwa noma amabili Swallows. Ngokuyinhloko badinga nje moisten umlomo. Qala ukuphuza, odokotela batusa amahora kuphela emva 4-5 ngemva kokuhlinzwa. Uma izinkinga singagwinyi ungekho ke ayikho imikhawulo ketshezi ungaqala ukusebenzisa ngosuku olulandelayo. Zonke isiphuzo ikani ukuthi ayiqukethe igesi kanye noshukela, isibonelo:

- amanzi elula;

- itiye ababuthakathaka efudumele noma ikhofi;

- lamanzi esiphethu.

Uma wayefisa, ungakwazi ukwengeza Sweetener ketshezi. It ukudambisa kubo futhi sithuthukise ukunambitheka. uketshezi okunjalo belulekwa ukuba athathe ngaphambi kwesitulo lokuqala (ngemva enema noma ezimele) izinsuku ezintathu. Ngokuhamba emavikini amabili alandelayo, ungaqhubeka yemifino amnandi noma ijusi yezithelo kanye ubisi olunamafutha amancane.

Izincomo ezenziwe ukukhathazeka futhi umsebenzi motor iziguli. Kusihlwa ngemuva kokuhlinzwa kubalulekile ukuphuma embhedeni. Kumele kwenziwe okungenani kanye. Ngenxa yalesi sidinga usizo izihlobo noma abasebenzi basesibhedlela, lapho wenze nisishiye siboshwé ngebhande esiswini. Ukuze uthole bebodwa akufanele ke, ngoba ungenza ikhanda lakho spin. Uma isiguli uqotho futhi akusho uhlangabezana nezinkinga lokhu, khona-ke kwenza ngaphandle kwemingcele. Kubalulekile nokukhumbula ukuthi imodi esebenzayo ngemuva kokuhlinzwa kuyoba nesandla ekuvimbeleni amahlule lihambe ngemithambo emlenzeni ukuvikela ukuthuthukiswa wamaphaphu ukuvuvukala.

Ngo inqubo nokuvuselelwa emva kokuhlinzwa kufanele kwenziwe ukuphefumula izivivinyo. Uma ufisa ukhwehlele yakhe ukwenza kube kumelwe. Ukuze sisekele ukuphefumula esebenzayo kungenziwa ulele amabhola enjoloba noma amathoyizi. zokukhwabanisa enjalo kuyinto efiselekayo ukwenza izikhathi eziningana ngaphansi kwehora. Breathing izivivinyo abaluleke kakhulu ngoba ukusiza ukugwema i-pneumonia.

Ngemva nisishiye siboshwé ngebhande esiswini kumele uvikelwe futhi yokujama tsi wegazi ezingalweni nasemilenzeni engezansi, njengoba uma elele embhedeni ezinsukwini zokuqala ezintathu awokuthi amahlule. Siza kule umzimba ezilula nemilenze owakhiwa flexion nokwelulwa stop.

Ngezinye izikhathi ngemva iziguli esiswini nisishiye siboshwé ngebhande uhlushwa isicanucanu nokuhlanza. Izimo ezinjalo kufanele kugwenywe ngokubuza wezokwelapha abasebenzi isukela lezi zimpawu.

kuyinto nomuntu owenze nisishiye siboshwé ngebhande esiswini kanjani? Nobufakazi bathi ngezinye izikhathi ngemva kokuhlinzwa ubuhlungu besisu zenzeka. Uma uke analgesics sebevele babelwe akwanele, kufanele wazise abasebenzi basemtholampilo impilo.

Ngokuvamile, ngemva kokuhlinzwa, iziguli kubika ukwephulwa ukusebenza esiswini wabonakaliswa nobunzima ekudluliseleni flatus, futhi ukungabi khona kwesitulo. Namuhla kunesimo esithi asifane siyenzeka ezinsukwini ezintathu zokuqala. Uma wamathumbu namanje ayisebenzi ngemva kwalesi sikhathi, kufanele sizinike ukushukuma wakhe owengeziwe.

Ngokuphathelene isinye, inkinga nalo, njengoba umthetho, asivelanga. Kodwa noma zibonakala ke lokhu kufanele utshele udokotela wakho.

isikhungo sezokwelapha multidisciplinary

I-nisishiye siboshwé ngebhande esiswini imitholampilo ukuhlinzwa ukunikela eMoscow, eSt Petersburg nakwamanye amadolobha wezwe lakithi. izimpendulo eziningi ezinhle iziguli ufanelwe Medical Center "Cmb-impilo." Itholakala emzini eYekaterinburg. Lokhu umtholampilo uhlobo multidisciplinary yangasese, ukuhlinzeka izinga okusezingeni ukunakekelwa ngezokwelashwa ngoba izifo, kanye ofeza nokwelashwa kweziguli kokuhlala kwawo esibhedlela. Emisebenzini yayo Ochwepheshe isikhungo sika banamathele kule migomo elandelayo:

- Amasevisi ehlelekile futhi ihlanganiswe;

- nephephe;

- indlela iklayenti ngamakhasimende ;

- bomsebenzi;

- nokugcina induduzo sipho services ezingeni European.

umtholampilo wesimanje kuyinto eziyinkimbinkimbi. It is zaklama futhi zakha izindawo ngokuvumelana nesimiso esithi "ikhaya smart '. Njengoba usonkontileka eyayihilelekile inkampani owaziwa German ngaphambilini ukwakha nemitholampilo Israyeli, eJalimane naseSwitzerland.

Izindawo womsebenzi yezokwelapha isibalo esikhulu sezithunjwa isikhungo. Phakathi kwabo inikeza iziguli zayo "UGMK-Health" (Ekaterinburg) nisishiye siboshwé ngebhande esiswini. Izibuyekezo ngalokhu amakhasimende operation isikhungo ukuhamba, ngokuvamile omuhle. Phela, lapha setha amabhandeshi LapBand, wenza e-USA. Lena ithuluzi enokwethenjelwa kakhulu futhi kungase kutholakale esetshenziswa ekufezeni izinqubo ezifanayo ngoba engaphezu kweminyaka engamashumi amabili.

Yini enye budonsa labo aye anquma ukuhlala ukubabulala ukukhuluphala umtholampilo "UGMK-Health" (Ekaterinburg)? nisishiye siboshwé ngebhande esiswini (izilinganiso ochwepheshe siliqinisekise) ngokuvamile kwenziwe khona pathologies nesineke ezifana hernia (udonga besisu noma ukuvuleka ngomphimbo), cholelithiasis, nokunye. D. It zidinga ukwelashwa kuhlinzwa, okuyinto eyenziwa kanyekanye nenqubo laparoscopic. Zonke manipulations yenziwa ngodokotela abaqeqeshiwe abanolwazi, abaqeqeshiwe semitholampilo edume kunazo zonke emhlabeni.

Medical Centre of eYekaterinburg Russia kuphela osebenza ku iziguli zabo abaphethwe ukukhuluphala, indlela multi-izigwegwe. Waphetha ngokuthi iziguli kwesisindo - inkinga nje odokotela abahlinzayo. Le nqubo kufanele futhi izazi zokudla kanye endocrinologists, nangodokotela bababhekene nezifo zenhliziyo kanye nodokotela. ukunakwa okunjalo abasebenzi kudala izimo ezikahle kakhulu ukususwa izinkinga ezikhona.

Izibuyekezo iziguli bakwenze umkhuba unendlela nisishiye siboshwé ngebhande esiswini (isithombe ngaphambi nangemva ethulwa ngezansi), ukuhlinzwa kwenziwe "UMMC Impilo" ochwepheshe maphakathi kamuva kwenza ukunciphisa isisindo emzimbeni 5-7 kg ngenyanga.

Ngaphezu kwalokho, le nqubo kuzole ngoba pathologies eziningi, kuhlanganise ngifundise ngesifo sikashukela. Futhi, iziguli ukubika ukuzinza umsebenzi inhliziyo, ubungcono blood pressure kanye ubuthongo ngcono.