Ibhaluni esiswini: Intengo ukubuyekezwa. Inqubo kokufaka ibhaluni esiswini

inkinga ukhuluphele ezweni lanamuhla kakade ozuza umlingisi kwalolubhubhane. Yonke indawo in the media, ungathola izihloko ezahlukene ngemiphumela engemihle ukukhuluphala. Ukuqeda Kilos extra lasavele asungule izindlela ezihlukahlukene.

indlela yokudla ehambisana nempilo ezahlukene, kokubili elingalodwa futhi lihambisana umsebenzi, ukuqeqeshwa ukuqina izindawo, yoga nezinye amasu, kwemithi kanye kuhlinzwa ukulungiswa - hhayi uhlu oluphelele izici dietetics yesimanje. Kodwa konke kuhilela esiqinile kwemithetho yokudla. Kulabo abane amandla obuthakathaka basungula indlela ekhethekile lokulawula isisindo, esakhiwa ngo "nenkohliso 'isihlobo umzimba yenqwaba ukudla kudliwa - ibhaluni esiswini.

Anatomy futhi physiology esiswini. Ingemuva

Esiswini kuyingxenye eyisikhathi umsele alimentary phakathi emphinjeni kanye duodenum. Nge imali evamile umuntu omdala amalitha amabili, lo "isikhwama induku" kunesithembiso ukudla ihora noma amabili, eneka ayo yakhe esiswini. Njengengxenye isixazululo wokugaya ukudla of hydrochloric acid Ngaphezu kwalokho, kukhona eziningi enzyme. Injongo eyinhloko ye-juice esiswini kuyinto ukuwohloka chemical amaprotheni udle ukudla.

esiswini Akhiwe kwesokunxele quadrant engenhla. Anatomically, ngaphandle kokuya imininingwane, sikude: phansi, umzimba kanye pyloric ingxenye. Pylorus - indawo ukwedlulela esiswini phakathi duodenum, unikezwa sphincter - umlindisango. umsebenzi wayo ukuba ulungise okukhiphayo of kokudla emathunjini. Emzimbeni ukugayeka isisu kwenzeka ngqo. A ngezansi ethakazelisayo ukuthi, phakathi kwezinye izinto, zitholakala baro-receptor - izindawo ezikhethekile ebucayi, kuwuphawu isikhungo ubuchopho ukugcwaliswa.

Ukukhetha ibhaluni intragastric

Abantu kuwo wonke umlando walo uye wafuna ukuthola izixazululo ezenza ukuphila kube lula. Lesi sici kwaba yisandla ngokuqhubeka. Kuyinto ngenxa yakhe yasungulwa isondo, injini umusi wonke amanye ezibaluleke.

Kusukela umbono okunomsoco yesimanje lapha kungabuye bexhumanisa isetshenziswa kusukela nineties kwekhulu lamashumi amabili, ibhaluni esiswini. okusungulile sakhe ngokoqobo yashintsha izimiso yokulwa nokukhuluphala ngokweqile. Ngenxa kahle elula inqubo yokufaka ibhaluni ngaphakathi esiswini, esiphathiswa Kilos extra akusadingeki uhlushwa ukudla, ukuvivinya umzimba akhathazayo. Asikho isidingo lokufeza izinyathelo olukhulu tekusebenta ukunciphisa ivolumu ngisho ukunqunywa band esiswini.

Ezenye ngemva endoscopic ekuphathweni intragastric ibhaluni hit izinombolo zabo ku ukuncipha bushelelezi futhi okuphawulekayo esisindo. Ngokocwaningo olwenziwa emitholampilo ezihlukahlukene, kanye nakho eside kakhulu le nqubo, ukunciphisa ububanzi phezu izibalo ku 16-23% we isisindo yokuqala isiguli.

ukufakwa isilinda Technique

Ngaphambi uMbhalo ifakiwe, isiguli asitholayo ukuhlolwa saziso. Kuhlanganisa iseluleko okunomsoco futhi gastroenterologist, ukuhlolwa esiyisibopho motor kanye enzymatic umsebenzi esiswini, nokuhlolwa yokulandelana kwayo ngokohlu lwamafinyila. Uhlaziyo kudingekile nocwaningo. I izinkomba nezinga ingozi izinkinga.

Ngaphansi Imiphumela evumayo of inhlolovo isiguli wabelwa ngosuku ukulaliswa esibhedlela. Ukuba esibhedlela kusho usuku olulodwa, futhi ukufakwa ngokwaso ibhaluni esiswini kuthatha cishe isigamu sehora. Kungakhathaliseki ukuthi iyasebenza ngaphansi kokulawulwa gastroscope. Izwakala inqubo isiguli azihlukile kakhulu kusukela fibroezofagogastroduodenoskopii. Anesthesia kuyinto wendawo, nakuba eminye imitholampilo ukuze athole induduzo esengeziwe abanquma ukuba ulahlekelwe isisindo isetshenziswa izinzwa yesikhashana.

ibhaluni engenalutho ufakwa ingaphakathi isisu. Ukuze-ke ngokusebenzisa radiopaque (ebonakalayo radiographs) valve enamathiselwe ipayipi - ngamapayipi nge ububanzi 7 mm nge umqhubi wire ngaphakathi. Ngemva ukwethulwa ibhaluni kuyinto ekhishiwe kanye umqhubi ngokusebenzisa ingaphakathi ipayipi ibhaluni medical abicah iraba egcwele nge nosawoti. Umqulu kuhluka namamililitha 500 kuya 700. I tube bathinteka valve futhi ibuyiselwe. Visual wokuhlola olwenziwa afakwe kahle isilinda, gastroscope ekhishwe - ibhaluni esiswini ukufakwa inqubo iphelile.

Izincomo emva inqubo

Lokujabulela ukuphelela isisu njalo ingakwazi ngezikhathi kuhambisane isicanucanu kanye / noma umuzwa ukungakhululeki (ubuhlungu) esiswini. Futhi, uma kukhona ukugcwaliswa enganele uMbhalo kungenziwa waveza imizwa yindlala. Lapho lezi zimpawu kumele uye emtholampilo, lapho inqubo kwakwenziwa ngoba ukulungiswa ivolumu, noma uthintane onguchwepheshe ukusetshenziswa kwezidakamizwa.

Sibekezele amahora okuqala ngemva kokuhlinzwa kufanele kugcinwe imingcele eqinile ukudla. Ngakho, phakathi ngosuku lokuqala reception bavunyelwe ukudla ketshezi kuphela. Ukwethulwa kancane kancane ukudla okuqinile ekudleni kufanele luyofika ngesikhathi esimisiwe, zaveza nge udokotela ukuba khona. Musa ngaphezu kwenani evumelekile ngesidlo sinye futhi uketshezi. Inani imikhiqizo (ukwandisa asidi of juice esiswini nezinye iziphuzo ezinesoda) bayakhishwa kusukela ekudleni ngokuphelele.

Kuye ukuguqulwa, ibhaluni esiswini isethelwe isikhathi esiyizinyanga eziyisithupha noma unyaka. Sonke leso sikhathi, kudingeka ukusetshenziswa kwezidakamizwa ukuthi kuncishiswe i-asidi kukhishelwa nge udokotela ukuba khona. omeprozola izidakamizwa ngokuvamile ebekiwe.

Futhi phakathi nalesi sikhathi isiguli kufanele ukushintsha indlela yabo yokuphila. Ezemidlalo ukudla ushintsho eziza kuqala Ukuqinisa ekhona ukudla restrictor futhi kakhulu ukuthuthukisa imiphumela yesikhathi eside. Lokhu kuzosiza ekulinganiseni isisindo ngaleso ezingeni.

Izibuyekezo esidlule inqubo nesineke

ukunciphisa ngokwanele ngempumelelo e esisindo ngaphandle imizamo ebalulekile yisiguli ngemva uMbhalo isizinda nomphumela ophambene kungaholela. Izibalo zibonisa ukuthi abantu kuphela yesithathu inqubo zokugcina banamathela izincomo izinguquko yokuphila.

Ngenxa yalesi sizathu, iningi labo isivele ngahlola noma ibhaluni esiswini, ukubuyekezwa ukunikeza ziyaphikisana futhi hhayi inhloso njalo. Okokuqala, kufanele ulalele labo akazange abuyele emva umkhawulo amandla ukuze kuphelele ukusetshenziswa angathikhiwe kilojoule namafa ngokomzimba.

intengo udaba

Abantu abaningi abakhuluphele njengoba indlela ukunciphisa umzimba ukhethe ibhaluni esiswini. Intengo ke kanye ukufakwa kanye isizinda kuyinto oda ezidlula aphansi ukwedlula amathikithi eside inkathi ukuba isikhungo imfanelo, inkambo amaphilisi kwesisindo, ukudla ukudla okunempilo kakhulu. Futhi uma iqhathaniswa nezinye izindlela bariatric le nqubo futhi kancane koda futhi ephephile. isilinda ukufakwa izindleko kubandakanya izinzwa - ruble ayizigidi 50-60. Ukuyisusa esiswini, kuyodingeka bakhokhe-15 000 ruble.

Ukuthola ulwazi olunabile, vakashela

Zonke ukutshela isayithi mayelana ibhaluni esiswini - bariatriya.rf. Liqukethe ulwazi mayelana izindlela, izinqubo, imihlahlandlela, imitholampilo kanye nokunye okuningi. Futhi lapho ungathola ukuthi yini izinyathelo okufanele zithathwe ekufezeni ukuzinza isisindo.

Izimo eliphelele

Kungakhathaliseki emangalisayo kanjani le ndlela, yena, njenganoma iyiphi imithi, enezinto eziningi Izimo. Kasibili sebekubeke sinqatshelwe ukungena ibhaluni esiswini, yilezi:

• yobudala engaphansi kuka-14;
• bekhulelwe nangenkathi bencelisa,
• imisebenzi eyenziwa e ngalo ingaphakathi lesisu .. e t h izifo zabesifazane;
• khona Izifo ukuvuvukala kanye / noma imithombo bezikhali ukopha pheshana emathunjini;
• khona umbhunu diaphragm, imingcele, kanye nezinye kwezinso ukuthuthukiswa pharynx, emphinjeni, noma isisu;
• isidingo ukusetshenziswa okuqhubekayo kwezidakamizwa ezithile;
• ukugula ngengqondo, utshwala, kanye / noma yizidakamizwa nabanye.

Ukuqokwa kwe-esiswini ukufakwa ibhaluni izinqubo kumele sasebenza isidingo salo. Kungenzeka nge ukwehluleka ukwelashwa non-koda futhi kuphela ngemva kokuba ukuxilongwa okujuli- isiguli.