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Gastric sleeve ka thekeniki ya lesoba la senotlolo (keyhole surgery)

Weight Doctors BARIATRICS® Gastric sleeve

Mo karong ya gastric sleeve, bontsi jwa mpa bo a ntshiwa; go sala phaephe e e sesane ya 150–200 ml. Ke ya batho ba ba nang le BMI go simolola ka 40, mme mo maemong a a kgethegileng le ka fa tlase ga moo.

Beeletsa therisanoDitshenyegelo
Kalafi ya gago e rulagantswe jaana

Dikarolo tse pedi.
Leano le le lengwe.

Weight Doctors® MEMBERSHIP ke motheo wa kalafi nngwe le nngwe: taolo ya ngaka, tlhatlhobo ya kgatelopele le tlhokomelo morago. Kalafi e o e tlhophang mmogo le ngaka ya gago e e kgethegileng e agiwa mo motheong o.

Karolo 1

Weight Doctors® MEMBERSHIP

Motheo wa kalafi nngwe le nngwe ya Weight Doctors® – ka didiriswa tse di tshegetsang kalafi ya gago le go kwala kgatelopele ya gago gore e dirisiwe mo dipuisanong le ngaka.

  • Weight Doctors® AppEla tlhoko boima, go ikatisa le boroko, mo iOS le Android
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  • Go fitlhelela dingaka tse di kgethegileng peleka mogala, ka bidio kgotsa fa lefelong, kwa ntle ga go leta lobaka lo loleele
  • Bakatisi ba 360 le Weight Doctors® MiraPhepo le maitsholo mo botshelong jwa letsatsi le letsatsi, tlhokomelo morago le bakatisi ba gago
  • Tirelo ya taelo ya melemo ya dijitaleDitaelo tsa melemo ka dijitale – morago ga tetla ya ngaka
Ka ga Membership
Karolo 2

Gastric sleeve ya Weight Doctors BARIATRICS®

Mo karong ya gastric sleeve, bontsi jwa mpa bo a ntshiwa; go sala phaephe e e sesane ya 150–200 ml. Ke ya batho ba ba nang le BMI go simolola ka 40, mme mo maemong a a kgethegileng le ka fa tlase ga moo.

Tirelo
Karo e e sa tseneleleng thata (thekeniki ya lesoba la senotlolo)
Paka
e ka nna 75 metsotso
Tlhwatlhwa
go simolola ka R 289 000
Ditshenyegelo

Membership ga e emele tshwetso ya ngaka: gore a kalafi e na le mosola, le gore ke efe, go swetsa ngaka ya gago e e kgethegileng morago ga tlhatlhobo ya bongaka.

Re fano ka ntlha ya gagoDr. med. Oliver Scheffel · Karo ya botenya

Kaelo ya gago

Karo ya gastric sleeve ka bokhutshwane

Sengwe le sengwe se o tshwanetseng go se itse pele o tsaya tshwetso – go simolola ka thekeniki, go ya kwa dipoelong tse di ka nnang teng, go fitlha kwa potsong ya gore ke tsamaiso efe e e go tshwanelang.

Kafa gastric sleeve e dirang ka teng

Mo karong ya gastric sleeve, karolo e kgolo go gaisa ya mpa e ntshiwa ka ruri. Go sala phaephe e e sesane ya mpa ya bophara jwa 2–3 cm, e e tsayang tiro ya mpa ya pele – e ka nna bogolo jwa panana e nnye. Le selekanyo se sennye se atolosa lobota la mpa, boboko bo amogela pontsho ya “ke kgotshe” ka bonako, mme o ikutlwa o kgotshe: ke molaomotheo wa go lekanyetsa selekanyo sa dijo (restriction).

  • Mo godimo ga moo, karo e simolola ditiragalo tsa dihormoneGo na le disupo tse di nonofileng tsa gore morago mpa e dira hormone ya tlala ghrelin e nnye, mme go ntshiwa dikemikale tse di romelang melaetsa tse di thibelang keletso ya dijo, jaaka GLP-⁠1 le peptide YY. Seno se ka nna le matswela a a siameng le mo tsamaisong ya dikotla (metabolism); ke ka moo go buiwang ka karo ya metabolism (metabolic surgery).
  • Ga go na go sega mpa ka bogoloKaro e dirwa ka thekeniki ya lesoba la senotlolo (laparoscopy).

Karo ya gastric sleeve e amogetswe lefatshe ka bophara; kwa Jeremane ke yone tirelo e e dirwang thata mo karong ya go nona go feteletseng. E wela mo go Weight Doctors BARIATRICS®, ditsamaiso tsa go fokotsa mpa ka ruri ka karo, mme bogolo e ka nna kgetho mo bathong bao go fokotsa mpa ka endoscope go sa tlhole go ka ba thusa mo go lekaneng.

Setshwantsho: mo gastric sleeve, go sala phaephe e e sesane go latela karolo e nnye e e kobegileng ya mpa (lesser curvature), mme karolo e kgolo ya mpa e a ntshiwa.
Gastric sleeve – e a salae a ntshiwaMola wa dikerebe
  • 2–3 cmke bophara jwa phaephe ya mpa e e setseng
  • 150–200 mlke se mpa e se tshwarang morago – e ka nna panana e nnye
  • e ka nna 75 mts.ke nako ya karo ka thekeniki ya lesoba la senotlolo

Se se kgethegileng ka gastric sleeve

  • Thibelo le dihormoneMpa e e nnye e lekanyetsa selekanyo sa dijo; ka nako e le nngwe, hormone ya tlala e e kwa tlase le dikemikale tse dintsi tse di thibelang keletso ya dijo di ka fokotsa keletso ya dijo.
  • Phokotso ya ruriKarolo e kgolo ya mpa e a ntshiwa: phokotso ke ya ruri e bile e kgolo go feta ya ditsamaiso tsa endoscope.
  • Mo bolwetseng jwa sukiri jwa mofuta wa 2Malwetse a a tsamaisanang jaaka bolwetse jwa sukiri (diabetes mellitus) jwa mofuta wa 2 a ka tokafala. Fa a le masisi thata, go nna motlhofo gore gastric sleeve e nne kgetho e e tshwanelang go feta.
  • Gantsi bosigo bo le bongwe felaMorago ga karo ya gastric sleeve, gantsi o ka boela gae morago ga bosigo bo le 1 fela.
  • O tlhokometswe sentle morago ga karoWeight Doctors® Nationalklinik e na le lefelo la yone la tlhokomelo e e gareng (intermediate care): fa sengwe se se sa solofelwang se diragala morago ga karo, o tswelela o tlhokomelwa gone foo.
  • E ka kopanngwaFa morago ga dingwaga o tlhoka thotloetso e nngwe, gastric sleeve e ka kopanngwa le ditsamaiso tse dingwe tsa Weight Doctors®.

Gastric sleeve e tshwanela mang?

Mo bathong ba bantsi, boima jo bo feteletseng thata ke ntwa ya dingwaga. Boima jo bo feteletseng jo e leng bolwetse (go nona go feteletseng) bo feta potso ya ponalo: bo oketsa kotsi ya malwetse a a masisi a a latelang, bo ka lekanyetsa thata bokgoni jwa mmele le jwa mogopolo, mme bo ka khutshwafatsa nako e motho a solofelwang go e tshela.

Go fokotsa boima thata le ka ruri go ka fokotsa dikotsi tseno thata le go imolola mathata a mantsi. Mo malwetseng a a tsamaisanang a a tlwaelegileng thata go na le bolwetse jwa sukiri (diabetes mellitus) jwa mofuta wa 2 le kgatelelo e e kwa godimo ya madi, e le yone e ka isang kwa malwetseng a pelo; gape go tlwaelegile mathata a go hema le asema, mathata a boroko le dikgaotso tsa go hema fa o robetse, mathata a dikopano tsa marapo mo matsogong le mo maotong, le botlhoko jwa mokwatla.

Ga o nosi mo go seno: boima jo bo feteletseng le go nona go feteletseng di ama batho ba dimilione. Gore karo e ka nna kgetho leng fa BMI e le kwa godimo le fa go na le malwetse a a tsamaisanang, o ka bala gape mo setlhogong Weight Doctors BARIATRICS® fa BMI e le kwa godimo. Mo gastric sleeve go dira tse di latelang:

Ngaka le mogakolodi wa Weight Doctors® mo phaposing ya therisano
  • E atlenegisiwa go simolola ka BMI ya 40, mme mo maemong a a kgethegileng le ka fa tlase ga moo – fela go bagolo ba ba nang le dingwaga di le 18 kgotsa go feta.
  • Mo maikaelelong a go fokotsa boima a a ka nnang 40–50 kg.
  • Fa maiteko a le mantsi a go fokotsa boima, phetogo ya dijo le ya mokgwa wa botshelo, le kalafi e e sa akaretseng karo e e tsamaisiwang ke ngaka di sa tlisa katlego e e nnelang ruri.
  • Fa o ikemiseditse go fetola dijo, maitsholo le boitshidilo ka ruri. Tsaya tshwetso o iketlile, e seng o le mo seemong sa kgatelelo ya maikutlo e e matlhagatlhaga.
  • Ga e a tshwanela fa o setse o na le bolwetse jwa go boela kwa godimo ga esiti ya mpa (reflux) – mo go seno Weight Doctors SLEEVE® jaaka extended sleeve e ka nna kgetho.
  • Ga se kgetho ya ntlha fa boima jwa gago jo bo feteletseng bo tswa bogolo mo dimonamoneng, mo dinong tse di nang le sukiri kgotsa mo bojalweng jo o bo nwang ka metlha: dikhalori tse di ntseng jalo di feta fela mo gastric sleeve. Foo gastric bypass e na le mosola go feta.

“Karo ya gastric sleeve ya Weight Doctors BARIATRICS® e tshwanela bogolo jang balwetse ba ba batlang go fokotsa boima jo bo magareng ga 40 le 50 kg.”

Prof. Dr. med. Karl Miller
  1. BMI go simolola ka 40Gastric sleeve e a atlenegisiwa
  2. BMI go simolola ka 45Gastric bypass e utlwala go feta
Sekala sa BMI go ya ka WHOBala BMI ya gago

Kafa karo e tsamayang ka teng

Pele, tlhatlhobo ya pele ya gastroenterology e tlhomamisa gore a go na le sengwe se se ganetsang karo. Karo ka boyone e tsaya metsotso e ka nna 75:

Dingaka tse pedi tsa karo tse di apereng diborele tsa 3D di dira karo ka thekeniki ya go sega mo gonnye, kwa morago go na le sekirini
  1. Go robadiwa le tsela ya go tsenaKaro e dirwa o robaditswe ka botlalo le ka thekeniki ya lesoba la senotlolo: khamera le didirisiwa tse di potlana di tsenngwa ka matlhabo a se kae a mannye mo lebotong la mpa.
  2. Go bula ponoSebaka sa ka fa teng ga mpa se tladiwa ka khabone daeokesaete. Ka tsela eno ngaka ya karo e bona tsela e e botoka ya go tsena le go bona sentle ditho tsa ka fa teng ga mpa.
  3. Go bopa phaepheSedirisiwa sa go roka ka dikerebe (stapler) se tsamaya go latela karolo e kgolo e e kobegileng ya mpa (greater curvature): se kgaoganya karolo e kgolo ya mpa mme ka nako e le nngwe se tswala phaephe e e sesane ya mpa ya bophara jwa 2–3 cm. Go roka ka seatla go go tsayang nako ga go tlhole go tlhokega.
  4. Go tlhatlhoba gore ga go dutleKarolo ya mpa e e kgaogantsweng e ntshiwa ka kgetsi e e phepa (retrieval bag). Mmala o o tsenngwang ka phaephe ya mpa (gastric tube) o bontsha gore a mola wa dikerebe ga o dutle.
  5. Go nna lobakanyanaMorago gantsi o nna bosigo bo le 1 mo kliniking. Ka tlwaelo o kgona go boela mo botshelong jwa loago morago ga malatsi a le 10–14.

Morago ga karo: kgato ka kgato o boela mo botshelong jwa letsatsi le letsatsi

Dibeke tsa ntlha morago ga karo ya gastric sleeve di botlhokwa thata gore o fole sentle: mpa e tshwanetse go itlwaetsa sebopego sa yone se se fetogileng, mme mola wa dikerebe o tlhoka nako go fola o nonofile.

Ka jalo o aga dijo ka dikgato – pele dijo tse di seedi, morago ga tlhatlhobo dijo tse di bonolo, morago dijo tse dinnye tse di nang le poroteine e ntsi. Ja ka bonya le ka dilomo tse dinnye: go ja ka bofefo, dilomo tse dikgolo le dino tse di nang le gase di ka baka mathata bogolo jang kwa tshimologong. Nwa mo go lekaneng, mme o tile dino tse di nang le sukiri.

Setlhopha sa gago sa kalafi se go tsamaisa mo kgatong nngwe le nngwe. Ka tlwaelo tsela e lebega jaana:

  1. Letsatsi la karoTirelo o robaditswe ka botlaloE ka nna metsotso e le 75 ka thekeniki ya lesoba la senotlolo, morago o tlhokomelwa ke baoki ba ba nang le maitemogelo.
  2. Letsatsi la 1Gantsi o setse o boela gaeKa tlwaelo bosigo bo le 1 mo kliniking; pele o tswa go latela diteko dingwe tsa madi.
  3. morago ga malatsi a le 10–14O siametse go kopana le batho gapeMatlhabo a mannye a fodile, botshelo jwa letsatsi le letsatsi bo a boa.
  4. 4–6 dibekeDijo tse di seedi, morago go aga dijoMorago ga tlhatlhobo, o aga dijo tsa gago gape ka iketlo le bakatisi ba rona.
  5. botshelo jotlheDivitamine le ditlhatlhoboDitlaleletso tsa dijo tse di tsamaisanang le maemo a madi a gago le ditlhatlhobo tsa ka metlha di sireletsa katlego.

Kafa Weight Doctors BARIATRICS® e tlhokomelang polokesego ya gago ka teng

Maikaelelo ke go fokotsa dikotsi tsa kalafi le nako e o sa kgoneng go dira ka yone morago ga karo go ya kwa bokgoning. Ke ka moo kwa Weight Doctors® karo e dirwang ke dingaka tse di kgethegileng tse di nang le maitemogelo a dingwaga di le dintsi mo karong ya go nona go feteletseng. Ditsamaiso tsa Weight Doctors BARIATRICS® di batlisisitswe ka saense mme di tlhomame mo bongakeng.

Go dirisiwa thekenoloji ya gompieno ya laparoscopy, mmogo le didirisiwa le dimatheriale tsa badiri ba ba itsegeng jaaka Aesculap kgotsa Johnson & Johnson. Go tlhatlhoba ka mmala gore mola wa dikerebe ga o dutle ke karolo ya karo nngwe le nngwe ya gastric sleeve.

  • JeremaneNederlaneDr. ScheffelNgaka e e kgethegileng ya karo e e akaretsang le karo ya go nona go feteletseng
  • JeremaneAustriaProf. MillerNgaka e e kgethegileng ya karo e e akaretsang le karo ya ditho tsa mpa
  • JeremanePD Dr. WichmannNgaka e e kgethegileng ya karo ya ditho tsa mpa & moitseanape wa endobariatrics
  • NederlaneProf. GreveNgaka e e kgethegileng ya karo ya ditho tsa mpa le karo ya go nona go feteletseng

Dingaka tsotlhe

Ke dipoelo dife tse di kgonegang?

Dithuto di bontsha gore morago ga karo ya gastric sleeve, balwetse ka palogare ba latlha magareng ga 33 le 83 % ya boima jwa bone jo bo feteletseng, gantsi mo dikgweding di le 6–12. Dithuto tsa ntlha tsa lobaka lo loleele di supa gore katlego e nnela lobaka lo loleele go feta mo mekgweng e mentsi e e sa akaretseng karo.

Sesupo sa matswela a lobaka lo loleele se tswa mo tsamaisong e e tsamaisanang le yone ya bogologolo, karo ya Magenstraße-Mill: le yone e ne e bopa phaephe ya mpa, mme mpa e e setseng e ne e nna mo mmeleng. Mo thutong nngwe, phokotso ya boima jo bo feteletseng morago ga dingwaga di le tlhano e ne e le 60 %.

Dipoelo di farologana go ya ka motho. Phokotso nngwe le nngwe ya mpa – kwa ntle ga tirelo, ka endoscope kgotsa ka karo – e ka dira fela go le kalo ka fa o ikemiseditseng go fetola dijo, maitsholo le boitshidilo ka ruri. Go tsamaisana le seo, go na le katiso ya dijo ya Weight Doctors® 360°.

Mo lobakeng lo loleele, karo ya mpa e ka tlisa gape tse di latelang:

  • Go fokotsega thata ga boima, mo maemong a a siameng go fitlha kwa boimeng jo bo tlwaelegileng
  • Tokafalo mo bolwetseng jwa sukiri (diabetes mellitus) jwa mofuta wa 2
  • Kgatelelo ya madi e e kwa tlase le maemo a kholesteroli a a kwa tlase
  • Dikgaotso di le kalanyana tsa go hema fa o robetse (sleep apnoea), kimologo mo asemeng
  • Dikopano tsa marapo di imologelwa, go tsamaya motlhofo le bokgoni jo bogolo jwa go itshoka
  • Maikutlo a a botoka, go itlotla go go oketsegileng, ditlhaselo di le kalanyana tsa migraine

Dipoelo di farologana go ya ka motho. Ditshwantsho di bontsha balwetse ba Weight Doctors® ba ba dumetseng gore di phasaladiwe.

Dikatlego tsotlhe tsa balwetse

Dikotsi le se o tshwanetseng go se ela tlhoko mo lobakeng lo loleele

Jaaka karo nngwe le nngwe, le karo ya gastric sleeve e na le dikotsi. Go ka nna le tshwaetso e e bakwang ke maro a mpa a a dutlang e e nang le kotsi ya go ruruga ga lera la mpa (peritonitis), tshwaetso ya dintho kwa mafelong a go tlhabiwa, dikgobalo tsa ditho tse dingwe kgotsa tsa ditshika tsa madi tse di nang le go tswa madi, go koafala ga lobota la mpa kgotsa hernia ya lobota la mpa, go kgomarelana ga ditho (adhesions), malwetse a kgetsana ya santlhoko kgotsa majwana a santlhoko, go kgwagala ga madi (blood clots) go go ka bakang go thibelwa ga ditshika tsa makgwafo (pulmonary embolism), tlhaelo ya dibitamine le mathata (a nakwana) a tiro ya mpa le mala. Maemo a tshoganyetso a a beang botshelo mo kotsing le one a ka direga, sekai ka ntlha ya go robadiwa (anaesthesia). Kotsi ya gago ka bowena e ikaegile thata ka seemo sa boitekanelo jwa gago.

Setlhopha sa Weight Doctors® se na le maungo le merogo e e foreshe
  • Go sha ga pelo (reflux)Go boela kwa godimo ga esiti (reflux) le go sha ga sefuba (heartburn) di ka simolola kgotsa tsa nna maswe morago ga karo; ke ka moo fa o setse o na le bolwetse jwa reflux re go gakololang gore o se dire gastric sleeve. Mathata morago ga karo a ka alafiwa – go le gontsi kwa Reflux morago ga gastric sleeve.
  • Dibitamine botshelo jotlheKaro e fetola tshilo ya gago ya dijo ka botlalo. Letsatsi le letsatsi o tsaya dipilisi tsa dibitamine tse dintsi, mme go ya ka maemo a madi a gago gape le ditlaleletso tsa bitamine D, bitamine B, tshipi le khalesiamo. Mala ga a tlhole a kgona go monya bitamine B12 mo go lekaneng; e newa botshelo jotlhe, sekai ka mokento mo mesifing kgotsa ka drip e khutshwane (short infusion). Dipoelo di botoka fa o ja dijo tse di itekanetseng, o tsaya ditlaleletso ka metlha mme o tla mo ditlhatlhobong tsa tlhokomelo.
  • Fa mpa e atologaKa nako, phaephe ya mpa e ka atologa. Foo dikarolo tse dikgolo tsa dijo di tsena gape, mme o ikutlwa o kgotshe moragonyana – o ka ja go le gontsi go feta mo nakong ya ntlha, keletso e kgolo ya dijo e a boa, kgotsa boima bo oketsega ka dikgwedi. Ka tlhatlhobo ya mpa ka endoscope (gastroscopy) le ditshwantsho tsa bongaka (imaging) go ka lekanngwa gore a mpa e atologile le gore e atologile go le kae. Tlhatlhobisa ditshupo tse di ntseng jalo ka bonako – go le gontsi kwa Boima bo oketsegile gape morago ga karo ya mpa.
  • Ga e busediwe morago, mme e ka baakanngwaKarolo ya mpa e e ntshitsweng ga e gole gape, phokotso ke ya ruri. Fa boima bo boa morago ga dingwaga, setlhopha sa gago sa Weight Doctors® se go tshegetsa ka ditirelo tsa dijo le tsa boitshidilo, ka namana le ka dijitale. Fa matswela a fokotsega, go baakanya go a kgonega, sekai re-sleeve kgotsa go fetolela kwa bypass: Weight Doctors® REVISION.

Gastric sleeve,
extended sleeve kgotsa gastric bypass?

Ba bantsi ba tshwanelwa ke go tlhopha: ka bonolo jo bo kgonegang ka go fokotsa mpa kwa ntle ga karo – kgotsa ka bonako karo go tswa mo Weight Doctors BARIATRICS®? Ditsela di le tharo tse di botlhokwa go gaisa ka bokhutshwane:

  • Weight Doctors SLEEVE® (extended sleeve)Ka endoscope ka molomo, kwa ntle ga go sega. Ka diankere tse di potlana le ditlhale, lobota la mpa le a menwa le rokwa mo boleeleng jotlhe, mme mpa e nna sesane le khutshwane. O sa robale mo kliniking, gantsi ka fa tlase ga metsotso e le 60; morago dibeke di le 6–8 tsa dijo tse di seedi, gore diroko di gole di nonofile. Go le gontsi ka Weight Doctors SLEEVE® le ka thekeniki ya pose®2.
  • Gastric sleeveKa karo ka thekeniki ya lesoba la senotlolo, e ka nna metsotso e le 75, gantsi bosigo bo le 1 mo kliniking. Karolo e kgolo go gaisa ya mpa e a ntshiwa, go sala phaephe e e sesane ya bophara jwa 2–3 cm. Phokotso ya 75–80 % ke ya ruri e bile e kgolo go feta ya ditsamaiso tsa endoscope; mo godimo ga moo, hormone ya tlala e e kwa tlase e ka fokotsa keletso ya dijo. E atlenegisiwa go simolola ka BMI ya 40.
  • Gastric bypassPhetogo e kgolo go gaisa mo dikarong tsa mpa. Go tswa mo karolong ya kwa godimo ya mpa go bopiwa kgetsana e nnye (pouch), e karolo nngwe ya mala a mannye e golaganngwang le yone; go fitlha 90 % ya dijo di feta ka fa thoko ga mpa e e setseng le karolo nngwe ya mala a mannye. Mefuta: Roux-en-Y le omega-loop – “mini bypass” ga e tsenelele go le kalanyana. E ka nna metsotso e le 120. Go le gontsi ka gastric bypass.
  • Ke tsela efe e e go tshwanelang?Seno re se tlhomamisa mmogo mo therisanong. Se se botlhokwa ke BMI ya gago, malwetse a a tsamaisanang jaaka bolwetse jwa sukiri kgotsa reflux, mekgwa ya gago ya go ja – sekai dimonamone di le dintsi kgotsa dino tse di nang le sukiri – le maikaelelo a gago a go fokotsa boima. Le melemo jaaka kalafi ya melemo ya GLP-⁠1 (GLP-⁠1 pharmacotherapy) e ka nna le seabe. Papiso ya ditsamaiso tsotlhe o tla e bona mo kakaretsong ya ditirelo.
Tirelo e e abiwangGastric sleeveGastric bypass
ThekenikiSleeve gastrectomy e e tsepameng (LSG)Roux-en-Y kgotsa omega-loop
TsamaisoThekeniki ya go sega mo gonnyeThekeniki ya go sega mo gonnye
BMI e e atlenegisiwanggo simolola ka 40go simolola ka 45
Go fokotsa mpa75–80 %85–90 %
Maikaelelo a go fokotsa boima40–50 kggo feta 40 kg thata
Go robadiwae ka nna 75 metsotsoe ka nna 120 metsotso
Go nna kwa klinikingBosigo bo le 1 kwa klinikingMasigo a le 1–3 kwa kliniking
Weight Doctors® Appgo akareditswego akareditswe

Gastric sleeve

Thekeniki
Sleeve gastrectomy e e tsepameng (LSG)
Tsamaiso
Thekeniki ya go sega mo gonnye
BMI e e atlenegisiwang
go simolola ka 40
Go fokotsa mpa
75–80 %
Maikaelelo a go fokotsa boima
40–50 kg
Go robadiwa
e ka nna 75 metsotso
Go nna kwa kliniking
Bosigo bo le 1 kwa kliniking
Weight Doctors® App
go akareditswe

Gastric bypass

Thekeniki
Roux-en-Y kgotsa omega-loop
Tsamaiso
Thekeniki ya go sega mo gonnye
BMI e e atlenegisiwang
go simolola ka 45
Go fokotsa mpa
85–90 %
Maikaelelo a go fokotsa boima
go feta 40 kg thata
Go robadiwa
e ka nna 120 metsotso
Go nna kwa kliniking
Masigo a le 1–3 kwa kliniking
Weight Doctors® App
go akareditswe

Maikaelelo a go fokotsa boima le dipalo ke dikaelo fela – dipoelo di farologana go ya ka motho.

Gastric sleeve e ja bokae?

Karo ya gastric sleeve, e gape e bidiwang karo ya sleeve, e teng go ba ba ituelelang ka Weight Doctors BARIATRICS® go simolola ka R 289 000; tlhwatlhwa ya tota re e tlhomamisa mo therisanong. Mo tlhwatlhweng go akareditswe ditlhatlhobo tsa pele le tlhokomelo morago tsa ngaka ya poraefete, diteko tsa laboratori, go robadiwa (anaesthesia), go nna mo kliniking, melemo le didirisiwa ka nako ya go nna moo, ngwaga o le mongwe wa Weight Doctors® App le sekale sa dijitale le Weight Doctors® Mira, le 3D Bodyscan di le pedi.

Ditlhwatlhwa tsotlhe

Go duela ka dikarolo: go dirwa jaana

Fa o batla go anamisa ditshenyegelo mo lobakeng lo loleele, go a kgonega go duela ka dikarolo ka molekane wa rona Capitec. O itlhophela bogolo jwa karolo nngwe le nngwe le paka ya tuelo, mme Capitec e sekaseka kopo ya gago ka bonako. O dira kopo mmogo le rona mo therisanong, ka mogala kgotsa mo inthaneteng kwa ntle ga pampiri gotlhelele – go le gontsi mo go Go duela ka dikarolo.

Peelo ke gore o nne le maemo a a lekaneng a go adimiwa madi. Ka botlalo:

  • Lefelo la ntlha la bonno mo Jeremane
  • ga go na dintlha tse di sa siamang mo Schufa
  • o a dira kgotsa o mo penshening, o na le lotseno lo o ka lo dirisang ka kgololesego
  • Baithuti, baithutatiro le batlhokomedi ba ntlo ba ka kwadisa motho wa bobedi wa lelapa le le lengwe e le moadimi – motsadi, ngwana, molekane wa lenyalo kgotsa molekane wa botshelo

Kopa mo inthanetengGo duela ka dikarolo

Instagram · Gastric sleeve

Gaufi thata

Go leba kliniki, setlhopha le kalafi ka fa teng – ka bokhutshwane le ka boammaaruri, jaaka mo kanaleng ya rona ya Instagram.

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Dingaka tsa gago tse di kgethegileng

Mo diatleng tsa dingaka tse di kgethegileng.

Dingaka di le 39 mo Jeremane, Austria, Nederlane, Boritane le Aforika Borwa – mo Weight Doctors® Nationalklinik kwa Wertheim le kwa lefelong la gago.

  • JeremaneNederlaneDr. ScheffelNgaka e e kgethegileng ya karo e e akaretsang le karo ya go nona go feteletseng
  • JeremaneAustriaProf. MillerNgaka e e kgethegileng ya karo e e akaretsang le karo ya ditho tsa mpa
  • JeremanePD Dr. WichmannNgaka e e kgethegileng ya karo ya ditho tsa mpa & moitseanape wa endobariatrics
  • JeremaneM. MargolinsNgaka e e kgethegileng ya karo e e akaretsang
  • JeremaneM. ShalabiNgaka e e kgethegileng ya karo e e akaretsang le karo ya ditho tsa mpa
  • JeremaneNederlaneDr. JennerNgaka e e kgethegileng ya karo ya ditho tsa mpa / karo e e kgethegileng ya ditho tsa mpa
  • JeremaneDr. SchüderNgaka e e kgethegileng ya karo e e akaretsang, karo ya ditho tsa mpa le karo ya ditshika tsa madi / ngaka e e kgethegileng ya karo e e kgethegileng ya ditho tsa mpa
  • JeremaneA. SaberNgaka e e kgethegileng ya orthopaedics le karo ya dikotsi
  • NederlaneProf. GreveNgaka e e kgethegileng ya karo ya ditho tsa mpa le karo ya go nona go feteletseng
  • Aforika BorwaDr. HanningtonNgaka e e kgethegileng ya karo
  • Aforika BorwaDr. MabeNgaka e e kgethegileng ya karo
  • Aforika BorwaDr. WolmaransNgaka e e kgethegileng ya karo

Dingaka tsotlhe

Dipotso tse di botswang gantsi

Dipotso ka gastric sleeve ya Weight Doctors BARIATRICS®

Potso ya gago ga e yo fa? Mo therisanong, ngaka ya gago e e kgethegileng e tla ipha nako ya go e araba.

Karo ya gastric sleeve e tsaya lobaka lo lo kae?

Karo ka boyone e tsaya metsotso e ka nna 75. E dirwa o robaditswe ka botlalo le ka thekeniki ya lesoba la senotlolo, e leng ka matlhabo a se kae a mannye mo lebotong la mpa go na le go sega mpa ka bogolo. Go sala fela dibadi di le mmalwa tse dinnye.

Go direga eng pele le morago ga karo ya gastric sleeve?

Pele, tlhatlhobo ya pele ya gastroenterology e tlhomamisa gore a go na le sengwe se se ganetsang karo. Morago ga tirelo o tlhokomelwa ke baoki ba ba nang le maitemogelo; pele o tswa go latela diteko dingwe tsa madi. Gore o fole sentle, morago o tshwanetse go ja dijo tse di kgethegileng tse di theilweng mo seeding ka dibeke di le 4–6. Morago ga tlhatlhobo ya gastroenterology, o aga dijo tsa gago gape ka iketlo le bakatisi ba rona go fitlha di boela mo maemong a a tlwaelegileng.

Ke nna lobaka lo lo kae mo kliniking morago ga karo?

Gantsi o nna bosigo bo le 1 mo kliniking. Pele o tswa go latela diteko dingwe tsa madi. Ka tlwaelo o kgona go boela mo botshelong jwa loago morago ga malatsi a le 10–14.

Go ntshiwa bokae jwa mpa?

Mpa e fokodiwa ka e ka nna 75–80 %. Go sala phaephe e e sesane ya bophara jwa 2–3 cm e e tshwarang e ka nna 150–200 ml – e ka nna bogolo jwa panana e nnye.

Gastric sleeve e a kgonega go simolola ka BMI efe?

Re atlenegisa karo ya gastric sleeve go simolola ka BMI ya 40, mme mo maemong a a kgethegileng le ka fa tlase ga moo. Go alafiwa fela bagolo ba ba nang le dingwaga di le 18 kgotsa go feta.

Karo ya gastric sleeve e ja bokae?

Weight Doctors BARIATRICS® e teng go simolola ka R 289 000, go akaretsa ditlhatlhobo tsa pele le tlhokomelo morago tsa ngaka ya poraefete. Go duela ka dikarolo ka Capitec go a kgonega. Ditlhwatlhwa tsotlhe ka bokhutshwane: Ditshenyegelo & ditlhwatlhwa.

Nka fokotsa boima jo bo kae ka gastric sleeve?

Gastric sleeve e diretswe maikaelelo a go fokotsa boima a a ka nnang 40–50 kg. Dithuto di bontsha ka palogare phokotso ya 33–83 % ya boima jo bo feteletseng mo dikgweding di le 6–12. Dipoelo di farologana go ya ka motho mme di ikaegile thata ka kafa o fetolang dijo le boitshidilo ka teng ka tlhoafalo.

Gastric sleeve kgotsa gastric bypass – ke efe e e ntshwanelang go feta?

Gastric sleeve gantsi ke kgetho ya ntlha go simolola ka BMI ya 40, gastric bypass bogolo go simolola ka 45 le fa maikaelelo a go fokotsa boima a le magolo thata. Fa boima jwa gago jo bo feteletseng bo tswa bogolo mo dimonamoneng, mo dinong tse di nang le sukiri kgotsa mo bojalweng, kgotsa fa o setse o na le reflux, gantsi bypass e na le mosola go feta. Re swetsa seno mmogo mo therisanong.

A go na le dikotsi tse di amanang le karo ya gastric sleeve?

Ee, jaaka mo karong nngwe le nngwe: tshwaetso e e bakwang ke maro a mpa a a dutlang e e nang le kotsi ya go ruruga ga lera la mpa (peritonitis), tshwaetso ya dintho kwa mafelong a go tlhabiwa, dikgobalo tsa ditho tse dingwe kgotsa tsa ditshika tsa madi tse di nang le go tswa madi, go koafala ga lobota la mpa kgotsa hernia ya lobota la mpa, go kgomarelana ga ditho (adhesions), malwetse a kgetsana ya santlhoko kgotsa majwana a santlhoko, go kgwagala ga madi (blood clots) go go ka bakang go thibelwa ga ditshika tsa makgwafo (pulmonary embolism), tlhaelo ya dibitamine le mathata (a nakwana) a tiro ya mpa le mala. Maemo a tshoganyetso a a beang botshelo mo kotsing le one a ka direga, sekai ka ntlha ya go robadiwa (anaesthesia). Kotsi ya gago ka bowena e ikaegile thata ka seemo sa boitekanelo jwa gago.

A nka nna le go sha ga sefuba (heartburn) morago ga gastric sleeve?

Ee, go boela kwa godimo ga esiti (reflux) le go sha ga sefuba di ka simolola kgotsa tsa nna maswe morago ga karo. Ke ka moo fa o setse o na le bolwetse jwa reflux re go gakololang gore o se dire gastric sleeve. Mathata morago ga karo a ka alafiwa – go le gontsi kwa Reflux morago ga gastric sleeve.

Ke tshwanetse go ela tlhoko eng morago ga gastric sleeve?

Karo ga e kgone go busediwa morago mme e fetola tshilo ya gago ya dijo ka botlalo. Ka jalo o tsaya ditlaleletso tsa dijo botshelo jotlhe: letsatsi le letsatsi dipilisi tsa dibitamine tse dintsi, mme go ya ka maemo a madi a gago gape le ditlaleletso tsa bitamine D, bitamine B, tshipi le khalesiamo. Mala ga a tlhole a kgona go monya bitamine B12 mo go lekaneng; e newa botshelo jotlhe, sekai ka mokento mo mesifing kgotsa ka drip e khutshwane (short infusion). Mo lobakeng lo loleele dipoelo di botoka fa o ja dijo tse di itekanetseng, o tsaya ditlaleletso ka metlha mme o tla mo ditlhatlhobong tsa tlhokomelo.

A gastric sleeve e ka atologa?

Ee, ka nako phaephe ya mpa e ka atologa. Foo dikarolo tse dikgolo tsa dijo di tsena gape, mme o ikutlwa o kgotshe moragonyana. Ditshupo tse di tlwaelegileng: o ka ja go le gontsi go feta mo nakong ya ntlha, keletso e kgolo ya dijo e a boa, kgotsa boima bo oketsega ka dikgwedi. Ka tlhatlhobo ya mpa ka endoscope (gastroscopy) le ditshwantsho tsa bongaka (imaging) go ka lekanngwa gore a mpa e atologile le gore e atologile go le kae. Ka jalo tlhatlhobisa ditshupo tse di ntseng jalo ka bonako – go le gontsi kwa Boima bo oketsegile gape morago ga karo ya mpa.

A nka oketsega boima gape morago ga gastric sleeve?

Ee, mo bathong bangwe boima bo boa morago ga dingwaga. Ka jalo setlhopha sa gago sa Weight Doctors® se go tshegetsa ka ditirelo tsa dijo le tsa boitshidilo, ka namana le ka dijitale. Fa matswela a fokotsega, go baakanya go a kgonega, sekai re-sleeve kgotsa go fetolela kwa bypass: Weight Doctors® REVISION.

A gastric sleeve e ka busediwa morago?

Nnyaa. Karolo ya mpa e e ntshitsweng ga e gole gape, phokotso ke ya ruri. Le fa go ntse jalo, fa matswela a fokotsega morago ga dingwaga kgotsa fa go nna le mathata, go baakanya go a kgonega, sekai re-sleeve kgotsa go fetolela kwa gastric bypass.

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Mabaka a a molemo a go tlhopha Weight Doctors®.

E kgethegile mo selong se le sengwe: go fokotsa boima ka ruri – go tloga ka melemo go ya go karo, le dingaka tse di kgethegileng kwa lefelong la gago le Nationalklinik ya rona ka borona.

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Dikalafi tse dingwe

Ditsela tsotlhe.
Go tloga ka bonolo go ya go karo.

Mokgwa mongwe le mongwe o na le lefelo la one. Fano o bona ka bonako gore tirelo e kgolo go le kae, e tsaya lobaka lo lo kae, le gore o ka lebelela tlhwatlhwa e e simololang ka bokae.

Ditirelo tse dintsi tse di farologaneng
kwa ntle ga tirelo
Karo

Dikalafi tsotlhe

Mafelo

Therisano kwa mafelong a le mantsi

Weight Doctors® Nationalklinik kwa Wertheim e kopanya mafapha otlhe a bongaka, go akaretsa karo ya go nona go feteletseng, wate ya tlhokomelo ya magareng (intermediate care) le tlhokomelo morago, ka fa tlase ga marulelo a le mangwe. Gape re teng go go naya therisano ka go fokotsa mpa kwa mafelong a a latelang – tsenya khoutu ya poso ya gago kgotsa tlhopha toropo ya gago:

Se o se tsentseng se sala mo sebatling sa gago sa inthanete – patlo e dirwa kwa ntle ga ditirelo tsa ba bangwe.

Go fokotsa mpa kwa WertheimGo fokotsa mpa kwa AachenGo fokotsa mpa kwa BerlinGo fokotsa mpa kwa DortmundGo fokotsa mpa kwa DüsseldorfGo fokotsa mpa kwa EindhovenGo fokotsa mpa kwa FrankfurtGo fokotsa mpa kwa FreiburgGo fokotsa mpa kwa HamburgGo fokotsa mpa kwa HanoverGo fokotsa mpa kwa HeidelbergGo fokotsa mpa kwa LeipzigGo fokotsa mpa kwa MunichGo fokotsa mpa kwa NurembergGo fokotsa mpa kwa SalzburgGo fokotsa mpa kwa StuttgartGo fokotsa mpa kwa Wiesbaden
Therisano

Jaanong, ya kwa maitemogelong a gago a Weight Doctors®.

Kgato ya ntlha ke puisano: tlhopha fano mo inthaneteng kalafi, lefelo le nako ya kopano – therisano fa lefelong, ka bidio kgotsa ka mogala.

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