Indlela ekhethwa kakhulu ekuhlinzeni ukukhuluphala ukuhlinzwa kwemikhono yesisu. Iziguli ezifuna ukuqeda isisindo esiningi zithola isisindo ezisiphuphayo futhi zibuyele empilweni enempilo ngokuhlinzwa kwemikhono yesisu.
Ukukhuluphala ngokweqile kuba yisifo esivamile ezweni lakithi, njengasemhlabeni, usuku nosuku. Kanye nezinye izifo eza nazo, akwenzi nje ukuphila kube nzima; Kuphinde kube nomthelela omubi kakhulu empilweni yomuntu. Ukukhuluphala ngokweqile akuthinti nje kuphela ukubukeka komuntu nokuzethemba, kodwa futhi kubangela izifo ezibalulekile ezifana nesifo sikashukela nomfutho wegazi, kanye nomonakalo owudalayo empilweni.
Kuhle. UDkt. Güven GörkemNjengoba eseneminyaka engaphezu kwengu-16 yokuhlangenwe nakho nezinkulungwane zokuhlinzwa okuphumelelayo, uye wathatha indawo yakhe phakathi kodokotela ababaluleke kakhulu baseTurkey kulo mkhakha. Uhlinza iziguli hhayi kuphela ezivela eTurkey kodwa ezivela emhlabeni wonke futhi uyazisiza ukuba zehlise isisindo ngempumelelo. UDkt. uyichaza ngokucacile inqubo isiguli okumelwe siyilandele, hhayi nje phakathi nokuhlinzwa kodwa nangaphambi nangemva kokuhlinzwa. Ukuzethemba kwenza umuntu akwazi ukuncipha ngendlela enempilo.
Ukuhlinzwa kwemikhono yesisu kunikezwa ngezinhlobo ezahlukene kuye ngesimo sesiguli samanje. Kulokhu, ukuhlolwa kokuqala okufanele kwenziwe esigulini kubaluleke kakhulu. Ngokwalokhu kuhlolwa nokuhlolwa, kunqunywa uhlobo olufanele lokuhlinzwa.
Kuyini Ukuhlinzwa Kwemikhono Yesisu?
Ukwenza ukuhlinzwa okufanele komkhono wesisu kuyindaba ebaluleke kakhulu ukuze umuntu ehlise isisindo ngempumelelo nangempumelelo. Lesi sinqumo senziwa ngenxa yokuhlolwa nokuhlolwa okwenziwa esigulini. Kulokhu, u-Op. UDkt. UGüven Görkem uhlola isiguli ngokuyinhloko. UDkt uxwayisa iziguli ngezempilo. UGörkem uxwayisa ngokuthi angahambi emitholampilo engaphansi kwekhawunta.
1. I-Laparoscopic Sleeve Gastrectomy (Ukuhlinzwa Kwesisu Kwemikhono)
I-laaparoscopic sleeve gastrectomy, edume ngokuthi i-direct sleeve gastrectomy, ihlose ukususa cishe amaphesenti angama-80 esisu. Ngalokhu kuncipha kwevolumu yesisu, ukugcwala kutholakala ngezingxenye ezincane kakhulu.
Ukusebenzisa izingxenye ezincane kusho ukudla okuncane kwekhalori. Ngenxa yale ndlela, umuntu ubonakala elahlekelwa isisindo ngokushesha. Ukuhlinzwa komkhono wesisu, osekusetshenziswe iminyaka eminingi futhi kunomphumela ofakazelwe, kuvumela iziguli ukuba zilahlekelwe isisindo phakathi nenkathi yeminyaka emi-2. Nakuba inqubo yokulahlekelwa isisindo yenzeka ngokushesha kakhulu ezinyangeni zokuqala, iyenzeka kancane kancane ezikhathini ezilandelayo. Kulokhu, isiguli sidinga ukulandela uhlelo lokudla kanye nokuzivocavoca ngokuzimisela nangesineke.
Kuhle. UDkt. Güven Görkem Ukuhlinzwa kwemikhono yesisu okwenziwa uDkt nethimba lakhe kwenziwa kusetshenziswa indlela yokuhlinzwa evaliwe. Ngale ndlela, inhloso iwukuba umuntu alulame ngokushesha okukhulu. Njengoba kungekho zimbobo ezinkulu, isiguli singabuyela ngokushesha empilweni yaso yomphakathi.
2. Ukuhlinzwa Kwe-Gastric Bypass (Roux-en-Y Gastric Bypass)
Ngaphezu kokunciphisa isisu, le ndlela ihlanganisa ukudlula isisu esikhulu ne-duodenum. Ukudla umuntu akudlayo kufinyelela emathunjini amancane ngokuqondile esuka esiswini esincane. Ukudla okudlula esiswini esikhulu kanye ne-duodenum kugaywa ngokushesha okukhulu.
Kunemiphumela emibili ehlukene uma kuqhathaniswa nokuhlinzwa okulula kwe-sleeve gastrectomy;
- Njengoba isisu sincipha, ukusutha kutholakala ngezingxenye ezincane kakhulu.
- Ngaphezu komphumela wokuqala, unomphumela oqondile kuma-hormone alawula umuzwa wendlala.
Kuyindlela ephumelela kakhulu kulabo abanesifo sikashukela sohlobo 2.
3. I-Biliopancreatic Diversion (I-Duodenal Switch)
Kule ndlela, inqubo enkulu kakhulu yokudlula isetshenziswa. Ngaphezu kokudalwa kwesisu esincane, izakhi zithunyelwa ngqo phakathi kwamathumbu amancane. Izakhamzimba ezidlula ingxenye enkulu yamathumbu amancane zimunca kancane kakhulu. Ngenxa yokumuncwa okuncane, amakhalori athathwa ekudleni ayancipha ngokuzenzakalelayo.
Kuyindlela lapho imiphumela emibili ehlukene ibonakala ngesikhathi esisodwa. Isisu esincane senza kube nokwenzeka ukuzizwa unelisekile ngezingxenye ezimbalwa. Ngokweqa ingxenye enkulu yamathumbu, ukuthathwa kwekhalori encane kufinyelelwa. Kuyindlela ephumelela kakhulu.
4. I-Biliopancreatic Diversion
Ngemva kokususwa kwengxenye yesisu, ingxenye esele ixhunywe ekugcineni komathumbu omncane. Ayithandwa kakhulu ngenxa yengozi yayo ephezulu yezinkinga.
Izinzuzo Zokuhlinza Kwesisu Ngeshubhu
Kuhle. UDkt. UGüven Görkem uchaza izinzuzo ezivelele zokuhlinzwa kwe-sleeve gastrectomy kanje;
- Izinkinga zamathumbu amancane azibonwa ngokuhlinzwa kwe-sleeve gastrectomy. Ngale ndlela, inqubo yokuhlinzwa enempilo kakhulu ifinyelelwa.
- Kuwukuhlinzwa okusebenziseka kalula futhi okulula ukukhuluphala. Ngaphezu kokulula futhi okusebenzayo, kwenza kube lula ukulahlekelwa isisindo ngokuphumelelayo.
- Ngenxa yendlela yokuhlinzwa evaliwe, isiguli singabuyela ngokushesha ekuphileni kwaso komphakathi. Izisebenzi ezisebenza ngekhefu elifushane kakhulu zingase zihlinzwe i-sleeve gastrectomy.
- Uma nje kungekho isimo esengeziwe esivela ngemva kokuhlinzwa, asikho isidingo sokuhlinzwa okwesibili. Ayikho into esele esiswini.
- Njengoba isisu sincipha, umuzwa wokugcwala ufinyelelwa ngezingxenye ezincane kakhulu.
- Ngenxa yokuhlinzwa okuvaliwe, kwenziwa izimbobo ezincane kakhulu. Ngenxa yalokho, ukwakheka kwesibazi esikhulu kuyavinjelwa. Njengoba kunezicucu ezincane, inqubo yokuphulukisa yenzeka ngokushesha okukhulu.
