Nzira inonyanya kufarirwa mukuvhiya kufutisa ndeyekuvhiya gastric sleeve. Varwere vanoda kubvisa huremu hwavo hwakawandisa vanowana huremu hwavanorota uye kudzokera kuhupenyu hune hutano nekuvhiyiwa kwegastric sleeve.
Kufutisa kuri kuita chirwere chakajairika munyika yedu, sepasirese, zuva nezuva. Pamwe chete nezvimwe zvirwere zvinouya nazvo, hazvingoiti kuti upenyu huome; Hunewo huipi hwakakomba zvikuru pautano hwomunhu. Kufutisa hakungokanganisa chitarisiko chemunhu uye kuzvivimba, asiwo kunokonzera zvirwere zvakakosha zvakadai seshuga neBP, pamwe chete nekukuvadza kwazvinoita pautano.
Op. Dr. Güven GörkemAne makore anopfuura 16 ane ruzivo uye zviuru zvemabasa akabudirira, akatora nzvimbo yake pakati pevanachiremba vanonyanya kukosha veTurkey mune iyi ndima. Anoshanda kuvarwere kwete chete kubva kuTurkey asi kubva kumativi ose enyika uye anovabatsira kuderedza uremu zvinobudirira. Dr. anotsanangura zvakajeka muitiro uyo murwere anofanira kutevera, kwete bedzi panguva yokuvhiyiwa asiwo pamberi uye pashure pokuvhiyiwa. Kuvimba kunoita kuti munhu aderedze uremu nenzira ine utano.
Kuvhiya kwegastric sleeve kunopihwa mumhando dzakasiyana zvichienderana nemamiriro emurwere aripo. Panyaya iyi, kuongororwa kwekutanga kunoitwa kumurwere kunokosha zvikuru. Muchiedza chekuongorora uku uye bvunzo, rudzi rwakakodzera rwekuvhiya runosarudzwa.
Chii chinonzi Gastric Sleeve Surgeries?
Kuita kuvhiya kwakaringana gastric sleeve inyaya yakakosha kuti munhu aderedze uremu zvinobudirira uye zvinobudirira. Iyi sarudzo inoitwa muchiedza chekuongorora uye bvunzo dzinoitwa pamurwere. Munyaya iyi, Op. Dr. Güven Görkem anonyanya kuongorora murwere. Dr. vanoyambira varwere nezvehutano. Görkem anoyambira kuti agare kure nemakiriniki ari pasi pekaunda.
1. Laparoscopic Sleeve Gastrectomy (Sleeve Gastric Surgery)
Laparoscopic sleeve gastrectomy, inonyanya kuzivikanwa sekuti direct sleeve gastrectomy, ine chinangwa chekubvisa 80% yemudumbu. Nekuderera uku kwehuwandu hwemudumbu, satiety inowanikwa nezvikamu zviduku zvikuru.
Kushandisa zvikamu zvidiki zvinoreva kuderera kwekoriori. Kutenda nenzira iyi, munhu wacho anoita seanorasikirwa nekureruka nekukurumidza. Kuvhiyiwa kwegastric sleeve, iyo yakashandiswa kwemakore akawanda uye ine mhedzisiro inopupurirwa, inobvumira varwere kuderedza uremu mukati memakore maviri. Kunyange zvazvo uremu huchiitika nokukurumidza mumwedzi yekutanga, hunoitika zvishoma nezvishoma munguva dzinotevera. Panyaya iyi, murwere anofanirwa kutevedzera kudya uye chirongwa chekurovedza muviri nekutsunga uye nemoyo murefu.
Op. Dr. Güven Görkem Kuvhiya kwegastric sleeve kwakaitwa naDr nechikwata chake kunoitwa pachishandiswa nzira yekuvhiya yakavharwa. Nenzira iyi, chinangwa ndechekuti munhu apore nekukurumidza. Sezvo pasina maitiro makuru, murwere anogona kukurumidza kudzokera kuhupenyu hwake hwemagariro evanhu.
2. Gastric Bypass Surgery (Roux-en-Y Gastric Bypass)
Pamusoro pekuderedza dumbu, nzira iyi inosanganisira kudarika dumbu guru uye duodenum. Chikafu chinodyiwa nemunhu chinosvika mudumbu chaimo kubva mudumbu diki. Zvokudya zvinopfuura nemudumbu guru uye duodenum zvinogayiwa nekukurumidza.
Pane maitiro maviri akasiyana akaenzaniswa nekuvhiya kwegastrectomy kuri nyore;
- Sezvo dumbu rinoderera, satiety inowanikwa nezvikamu zviduku zvikuru.
- Mukuwedzera kune yekutanga mhedzisiro, ine mhedzisiro yakananga pamahomoni anodzora kunzwa kwenzara.
Iyo inzira inoshanda kwazvo kune avo vane Type 2 chirwere cheshuga.
3. Biliopancreatic Diversion (Duodenal Switch)
Mune iyi nzira, nzira yakakura kwazvo yekupfuura inoshandiswa. Mukuwedzera kune dumbu duku riri kugadzirwa, kudya kunotumirwa zvakananga pakati pemukati muduku. Zvokudya zvinodarika chikamu chikuru chedumbu diki saka zvinotorwa zvishoma. Nekuda kwekutora kushoma, macalorie anotorwa kubva muchikafu anongodzikira.
Iyo inzira iyo maitiro maviri akasiyana anoonekwa panguva imwe chete. Dumbu diki rinoita kuti zvikwanise kunzwa kugutsikana nezvikamu zvishoma. Nekusvetuka chikamu chikuru chemukati, kuderera kwekoriori kunowanikwa. Inzira inoshanda zvikuru.
4. Biliopancreatic Diversion
Mushure mokunge chikamu chemudumbu chabviswa, chikamu chakasara chinobatanidzwa kusvika kumagumo emukati muduku. Iyo haiwanzo kufarirwa nekuda kwengozi yayo yakakura yematambudziko.
Zvakanakira Tube Mudumbu Surgery
Op. Dr. Güven Görkem anotsanangura zvakanakira zvakanakira sleeve gastrectomy kuvhiyiwa sezvinotevera;
- Matambudziko emudumbu madiki haaonekwe nekuvhiya kwegastrectomy. Nenzira iyi, hutano hwakanyanya hwekuvhiya hunowanikwa.
- Iko kuvhiya kunoshanda uye kuri nyore kufutisa. Mukuwedzera pakuva nyore uye kushanda, zvinoita kuti zvibvirire kuderedza uremu zvinobudirira.
- Kutenda kune yakavharwa nzira yekuvhiya, murwere anogona kukurumidza kudzokera kuhupenyu hwake hwemagariro. Vashandi vanoshanda nenguva pfupi yezororo vanogonawo kuvhiyiwa sleeve gastrectomy.
- Chero bedzi pasina mamiriro ekuwedzera anoonekwa mushure mekuvhiyiwa, hapana chikonzero chekuvhiyiwa kwechipiri. Hapana chinhu chinosara mudumbu.
- Sezvo dumbu rinoderera, kunzwa kwekuzara kunowanikwa nezvikamu zviduku zvikuru.
- Nekuda kwekuvhiyiwa kwakavharwa, madiki madiki akaitwa. Somugumisiro, kuumbwa kwevanga guru kunodziviswa. Sezvo pane zviduku zvishoma, kuporesa kunoitika nokukurumidza zvikuru.
