Izindleko Zokuhlinzwa Kwe-Gastric Bypass

Ukuhlinzwa kwe-gastric bypass okubizwa nangokuthi i-Roux en Y inqubo yokuhlinzwa yokuncipha kwesisindo ehlanganisa ukwenza isikhwama esincane ukusuka esiswini kuya emathunjini. Ngemva kokudlula i-gastric bypass, ukudla okugwinywe kuzongena kulesi sikhwama esincane sesisu bese kudlulela ngqo emathunjini amancane, ngaleyo ndlela kudlule ingxenye enkulu yesisu sakho kanye nengxenye yokuqala yamathumbu akho amancane. I-bypass yesisu, noma ukuhlinzeka nge-bariatric, kungenziwa ngezindlela ezimbili eziyinhloko:

• I-Laparoscopically ngokwenza imicu emincane engu-5-6 esikhumbeni. 
• Ukuhlinzwa okuvulekile kuhilela ukusika okukhulu esiswini ukuze uthole ukufinyelela esiswini.

Ubani odinga Ukuhlinzwa Kwe-Gastric Bypass?

Ukuhlinzwa kwe-gastric bypass kungase kunconywe kubantu abane-body mass index (BMI) engaphezu kuka-35, ikakhulukazi uma behlushwa izifo ezifana nesifo sikashukela, umfutho wegazi ophezulu, apnea, njll. Abantu abanenkinga yokulahlekelwa isisindo ngenxa yezinkinga ze-metabolic noma ukukhuluphala naphezu kokulandela ukudla okunomkhawulo noma ezinye izimo ezifanayo kungase kubenze bafanelekele ukuhlinzwa i-bariatric. 

Ziyini Izindleko Zokuhlinzwa Kwe-Gastric Bypass eNdiya?

Ngezinsizakalo zokunakekelwa kwezempilo ezingabizi kakhulu ezitholakala ezweni, izindleko zokuhlinza i-gastric bypass eNdiya ziyingxenyana yalokho okungabiza emazweni aseNtshonalanga, njenge-US noma i-UK. Izindleko ezimaphakathi zokuhlinzwa kwe-gastric bypass e-India cishe zingu-R3,00,000. Nokho, kuyehluka kuye ngezici eziningana. Ngakho-ke, iziguli zingalindela ukuthi izindleko zokuhlinzwa kwe-gastric bypass zihluke noma kuphi phakathi kwama-Rs. 2,50,000 /- kanye nama-Rs. 6,00,000/- eNdiya.

Izinto Ezithonya Izindleko Zokuhlinzwa Kwe-Gastric Bypass 

Kunezici ezimbalwa ezithonya izindleko ze-gastric bypass e-India. Ukuzulazula kulezi zici kungasiza iziguli zithole ukwelashwa okungcono kakhulu:

• Ingqalasizinda yesibhedlela nobuchwepheshe: Izibhedlela ezihlome ngezinsiza zesimanje zokwenza ukuhlinzwa zingase zinyuse izindleko zokuhlinzwa kwe-gastric bypass. Ziningi izibhedlela ezitholakalayo ezihlinzeka ngezinsiza ezahlukene zokuhlinza ngamanani ahlukene ongakhetha kuzo ngokuhambisana nezidingo zesiguli.
• Uhlobo Lwenqubo: Ukuhlinzwa kwe-gastric bypass kungase kwenziwe kusetshenziswa izinqubo ezihlukene eziza ngamathegi amanani ahlukene. Ubunkimbinkimbi, ubude besikhathi, kanye nezindawo zokuhlinza ezisetshenziselwa ukwenza ukuhlinzwa kwe-gastric bypass esigulini kunomthelela ezindlekweni eziphelele ze-bypass gastric.
• Ubuchwepheshe bukadokotela ohlinzayo: Ulwazi nolwazi lukadokotela ohlinzayo owenza ukuhlinzwa kwe-gastric bypass nakho kuzoba nomthelela obalulekile ezindlekweni eziphelele zokuhlinza i-gastric bypass. Ngokuvamile, odokotela abahlinzayo abanamakhono aphezulu bakhokhisa imali ephakeme ngobuchwepheshe babo.
• Ukunakekelwa kwangaphambi nangemuva kokuhlinzwa: Ngaphambi kokuba umuntu ahlinzwe i-gastric bypass, udinga ukuhlolwa okubanzi kwempilo yakhe iyonke ukuze kuqinisekiswe ukuthi umuntu unelungelo elifanele. Abanye odokotela abahlinzayo bangase bacele iziguli ukuthi zenze ukuhlolwa okukodwa noma ngaphezulu kwalokhu okulandelayo ngokusekelwe kumlando wazo wezokwelapha:
  • Inani legazi
  • I-X-ray yesifuba 
  • I-ultrasound ye-Gallbladder ukuhlola amatshe enyongo
  • Ukuhlolwa Kokusebenza Kwephaphu (PFT)
  • I-Echocardiogram
  • Ukuhlolwa kwe-GI
  • Ukuhlolwa kwe-Cardiology
  • Ukuhlolwa kwengqondo
  • Izifundo zokulala

Izindleko zangaphambi kokuhlinzwa ziphinde zifaka phakathi izindleko zokubonisana nezindleko zemithi, ezengezwa ezindlekweni eziphelele zokuhlinzwa kwe-gastric bypass. Ukulawulwa kwanoma yiziphi izinkinga ngemva kokuhlinzwa ngokuvamile kudinga ukubandakanyeka kwethimba lochwepheshe bezempilo. 

• Ukufakwa komshwalense: Nakuba ezinye izici zingandisa ukuguquguquka kwezindleko zokuhlinzwa kwe-gastric bypass, ukuba nomshuwalense wezempilo ohlanganisa ingxenye yezindleko kunganciphisa kakhulu umthwalo wezindleko ekuhlinzeni. Iziguli zingathintana nabahlinzeki bazo bomshwalense ukuze ziqonde ukuthi ingakanani izindleko zazo ezizokhandwa futhi zithole isilinganiso sayo yonke imali esetshenziswayo ngokusekelwe esilinganisweni sezindleko zokuhlinzwa kwe-gastric bypass. 

Kungani Kudingeka Ukuhlinzwa Kwe-Gastric Bypass?

Ukuhlinzwa kwe-gastric bypass kunconywa kubantu abane-BMI engaphezu kuka-35 (abakhuluphele), labo abane-comorbidities, nalabo abangaphezulu kweminyaka engama-40 (abakhuluphele ngokweqile) abangenazo ezinye izinkinga zezempilo. Ngokuvamile kuphakanyiswa lapho ukudla nokuzivocavoca kungasebenzanga ukwehlisa isisindo noma lapho kuphakama inkinga yezempilo engathi sína ngenxa yokuba nesisindo somzimba eseqile. Ngokwenza izinguquko ohlelweni lokugaya ukudla, abantu abakhuluphele bangakwazi ukunciphisa umzimba futhi basize ukukhulula uhlu olude lwezimo zempilo ezihlobene nokukhuluphala, kuhlanganise thayipha 2 sikashukela, nomfutho wegazi ophezulu, i-obstructive sleep apnea, kanye ne-GERD (i-chronic acid reflux).

Yiziphi Izingozi Ezihambisana Nokuhlinzwa Kwe-Gastric Bypass?

Ukuhlinzwa kwe-gastric bypass kunokuchayeka okufanayo ezingozini njenganoma yikuphi ukuhlinzwa okukhulu kwesisu. Nakuba izinkinga ezisongela ukuphila, njengokufa, zingavamile, zisengenzeka ngaphansi kwe-1% yamacala. Kodwa-ke, kungase kube nemiphumela emibi ebalulekile yokuhlinzwa, njengezinkinga zezilonda, ubunzima bokugwinya ukudla, izifo, nokucanuzela kwenhliziyo okukhulu, okungenzeka ku-5-10% weziguli.

Disclaimer

Imininingwane yezindleko nezilinganiso ezinikezwe kule webhusayithi ezezinjongo zokwaziswa kuphela futhi zisekelwe ezimweni ezimaphakathi. Azihlanganisi isilinganiso esinqunyiwe noma isiqinisekiso sezindleko zokugcina.

Izibhedlela ze-CARE azimeli noma azikukhuthazi ukuqiniseka kwalezi zibalo zezindleko. Izindleko zakho zangempela zizohluka ngokuya ngohlobo lokwelashwa, izinsiza ezikhethiwe noma izinsizakalo, indawo yesibhedlela, impilo yesiguli, ukuhlinzekwa komshwalense, kanye nezidingo zezokwelapha ezinqunywe udokotela wakho. Ukusebenzisa kwakho okuqukethwe kwale webhusayithi kusho ukuthi uyakwamukela futhi wamukele lokhu kuhlukahluka nokuthi noma yikuphi ukuthembela ezindlekweni ezilinganiselwe kuzifaka engozini ngokwakho. Ukuze uthole ulwazi lwezindleko lwamanje kakhulu nolwenzelwe wena siqu, sicela usithinte ngokuqondile noma usishayele.

Imibuzo Evame Ukubuzwa 

1. Ingabe i-gastric bypass iphephile?

Ukuhlinzwa kwe-gastric bypass kuthathwa njengenqubo ephephile, evame ukwenziwa futhi inezinga lempumelelo elingaphezu kwama-95%. 

2. Kubuhlungu kangakanani ukuhlinzwa kwe-gastric bypass?

Ezimweni eziningi, ukuhlinzwa kwe-gastric bypass kungase kwenziwe nge-laparoscopically, edinga ukusikwa okuncane, ngakho-ke isikhathi sokululama nobuhlungu obuhambisana nokuhlinzwa buncane kakhulu. 

3. Mangaki amahora okuhlinzwa kwe-gastric bypass?

Ukwenza ukuhlinzwa kwe-gastric bypass kungase kuthathe cishe amahora angu-2 kuya kwangu-4, kuye ngohlobo lwenqubo ekhethiwe ukuthi yenziwe.

4. Ngizolahlekelwa yisisindo esingakanani ngemva kokudlula kwesisu?

Ukuncipha kwesisindo ngemva kokuhlinzwa kwe-gastric bypass phakathi neminyaka emibili yokuqala kubaluleke kakhulu njengoba cishe u-70% wesisindo sabo eseqile siyachithwa. 

5. Ungake udle ngokujwayelekile ngemva kokudlula esiswini?

Ngemuva kokuhlinzwa kwe-gastric bypass, iziguli ziphakanyiswa ukuthi zilandele isimiso esithile ukuze ziqinisekise ukululama okuphelele futhi zizisize zibuyele ekudleni ukudla okuqinile. Iziguli zingase ziqale ukudla ukudla okuvamile emasontweni ayisi-6 kuya kwangu-8 ngemva kokuhlinzwa.