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Izibuyekezo ezingu-3 087zeqembu le-Weight Doctors® · izinga lokuncoma elingu-97%

I-gastric bypass ngendlela yezimbobo ezincane (keyhole surgery)

Weight Doctors BARIATRICS® I-gastric bypass

Isikhwama esincane sesisu nokuphambukiswa kwamathumbu amancane: i-gastric bypass inciphisa isisu ngo-85–90 % futhi isebenza ngezindlela ezimbili. Eyabantu abane-BMI engaphezu kuka-45, ezimweni ezingavamile nangaphansi kwalokho.

Bhukha ukubonisanaIzindleko
Yile ndlela ukwelashwa kwakho okuhlelwe ngayo

Izakhi ezimbili.
Uhlelo olulodwa.

I-Weight Doctors® MEMBERSHIP iyisisekelo sakho konke ukwelashwa: ukuqondisa kukadokotela, ukulandelela inqubekela phambili kanye nokunakekelwa ngemuva. Phezu kwayo kwakhiwa ukwelashwa okukhethayo ndawonye nodokotela wakho ochwepheshe.

Isakhi 1

Weight Doctors® MEMBERSHIP

Isisekelo sakho konke ukwelashwa kwe-Weight Doctors® – namathuluzi asekela ukwelashwa kwakho futhi aqophe inqubekela phambili yezingxoxo nodokotela.

  • Weight Doctors® AppGada isisindo, ukunyakaza nokulala, ku-iOS naku-Android
  • Isikali somzimba sedijithaliIsikali se-Bluetooth, izilinganiso zingena ngqo ku-app
  • 3D BodyscanLinganisa ukwakheka komzimba ngendlela engachemile, kuze kube kabili ngonyaka
  • Ukufinyelela kodokotela abachwepheshe ngokubekwa phambilingocingo, ngevidiyo noma ngqo endaweni, ngaphandle kokulinda isikhathi eside
  • Abaqeqeshi be-360 ne-Weight Doctors® MiraUkudla nokuziphatha empilweni yansuku zonke, ukunakekelwa ngemuva nabaqeqeshi bakho
  • Isevisi yemiyalelo yemithi edijithaliImiyalelo yemithi ngedijithali – ngemuva kokuvunywa ngudokotela
Nge-Membership
Isakhi 2

I-gastric bypass ye-Weight Doctors BARIATRICS®

Isikhwama esincane sesisu nokuphambukiswa kwamathumbu amancane: i-gastric bypass inciphisa isisu ngo-85–90 % futhi isebenza ngezindlela ezimbili. Eyabantu abane-BMI engaphezu kuka-45, ezimweni ezingavamile nangaphansi kwalokho.

Inqubo
Ukuhlinzwa okungangeni kakhulu emzimbeni (indlela yezimbobo ezincane)
Isikhathi
cishe 120–150 imizuzu
Intengo
kusukela ku-R 289 000
Izindleko

I-Membership ayithathi indawo yesinqumo sikadokotela: ukuthi ukwelashwa kuyafaneleka yini nokuthi yikuphi, kunqunywa ngudokotela wakho ochwepheshe ngemuva kokuhlolwa kwezempilo.

Silapha ngenxa yakhoDr. med. Oliver Scheffel · Ukuhlinzwa kokukhuluphala ngokweqile

Umhlahlandlela wakho

I-gastric bypass ngamafuphi

Ukuthi i-bypass isebenza kanjani, ingaba efanele bani nokuthi ukulungiselela nokuhlinzwa kwenzeka kanjani – nokuthi yini ebalulekile ngemuva kwalokho: ukudla, izingozi nezindleko.

Indlela i-gastric bypass esebenza ngayo

Ku-gastric bypass, ingxenye engenhla yesisu yakhiwa isikhwama esincane sesisu, i-pouch – evame ukubizwa nangokuthi isisu esincane sangaphambili. Sinomthamo ongu-50–100 ml kuphela futhi sixhunywa ngqo nesihibe samathumbu amancane. Ngakho ukudla kudlula ku-pouch kungene emathunjini amancane, kudlule eceleni kwesisu; yingakho kuthiwa i-bypass, okusho ukudlula eceleni. Ngokungafani ne-gastric sleeve, ingxenye yesisu esele ihlala emzimbeni, kodwa ayisasebenzi.

Ngakho i-bypass ihlanganisa izindlela ezimbili zokusebenza – futhi yilokhu okuyihlukanisa nebhaluni yesisu (gastric balloon), ibhande lesisu (gastric band), i-gastric sleeve kanye ne-Weight Doctors SLEEVE® eyenziwa nge-endoscope, okusebenza ikakhulukazi ngokunciphisa isisu:

Izandla zethimba lokuhlinza ziqondisa amathuluzi ngezimbobo ezincane odongeni lwesisu
  • Ukukhawulela (restriction)Isikhwama esincane sithatha indawo yomthamo wesisu wokuqala. Ungadla ukudla okuncane kakhulu futhi uzwa umuzwa wokusutha ngisho nangemuva kokudla okuncane.
  • Ukumunca okuncishisiwe (malabsorption)Ngenxa yokuthi amathumbu amancane axhunywa kabusha, ukudla okugayiwe nezincindi zokugaya ezivela enyongweni nasemanyikweni kuhlangana kamuva. Ngakho ingxenye yezakhamzimba ayigaywa futhi ayisetshenziswa njengamandla.
  • Ukusebenza komzimba (metabolism)Ushintsho lwamahomoni ngemuva kwe-bypass lungathuthukisa ushukela osegazini, kaningi ngisho nangaphambi kokuba isisindo sehle – okubalulekile esifweni sikashukela (diabetes mellitus) sohlobo 2.

Okwenza i-gastric bypass ihluke

  • Umphumela ophindwe kabiliIndawo encane yokudla nokumunceka okuncane kwezakhamzimba: i-bypass ihlanganisa ukukhawulela nokumunca okuncishisiwe.
  • Unakekelwa ngokuphepha ngemuva kokuhlinzwaI-Weight Doctors® Nationalklinik inewadi layo lokunakekelwa okuphakathi (intermediate care): uma kwenzeka okuthile okungalindelekile ngemuva kokuhlinzwa, uqhubeka unakekelwa khona lapho.
  • Usizo uma ulangazelela izinto ezinoshukelaI-bypass ifaneleka ikakhulukazi kubantu abakuthola kunzima ukuyeka amaswidi, okudla okulula okunamafutha amaningi noma iziphuzo ezinamakhalori amaningi.
  • Ukunciphisa okukhuluIsisu sincishiswa ngo-85–90 %; isikhwama esisele sinomthamo ongu-50–100 ml kuphela. Kufanelekile lapho inhloso yokwehlisa isisindo ingaphezu kakhulu kuka-40 kg.
  • Nangemuva kwe-bypass yangaphambiliI-Weight Doctors® inikeza nezinqubo zesibili futhi ingasiza nangemuva kokuhlinzwa kwe-gastric bypass kwangaphambili.

I-gastric bypass ifanele bani?

I-body mass index iyinkomba yokuqala ekhombisa ukuthi isisindo esengeziwe sibeka umthwalo ongakanani empilweni. I-BMI engu-40 kowesilisa ivame ukusho isisindo esengeziwe esingaba ngu-50 kg, kowesifazane esingaba ngu-40 kg. I-bypass yenzelwe abantu okufanele behlise isisindo esingaphezu kakhulu kuka-40 kg – nalabo abafanelwa kakhulu yibhalansi yamathuba nezingozi zale nqubo enkulu.

Umeluleki weziguli we-Weight Doctors® etafuleni lakhe lokusebenzela
  • Kunconywa kusukela ku-BMI engaphezu kuka-45, ezimweni ezingavamile nangaphansi kwalokho.
  • Kithina, i-BMI ezungeze u-40 iwumkhawulo ophansi wokuhlinzwa kwesisu – ngaphansi kwalokho, i-Weight Doctors SLEEVE® eyenziwa nge-endoscope iyindlela ethambe kakhudlwana.
  • Ezinhlosweni zokwehlisa isisindo ezingaphezu kakhulu kuka-40 kg.
  • Ikakhulukazi uma kunzima ukuyeka amaswidi, okudla okulula okunamafutha amaningi noma iziphuzo ezinamakhalori amaningi.
  • Uma ama-diet ajwayelekile, imithi nokwelashwa ngokuzivocavoca kungalethanga impumelelo ehlala njalo – lokhu sikucacisa ekubonisaneni okunemininingwane.
  • Izinguquko ngemuva kokuhlinzwa zenzeka ngokushesha. Kufanele ube ukulungele ukuzamukela ngokuqaphela nangokuzinikela.
  • Izimfuneko zakho: ngaphandle kwe-BMI, kubalwa nezifo ezihambisanayo ezifana nesifo sikashukela sohlobo 2, umfutho wegazi ophakeme noma ukuma kokuphefumula ebuthongweni (sleep apnoea). Uneminyaka okungenani engu-18 futhi uzinzile engqondweni; awukhulelwe futhi awuhleli ukukhulelwa maduze.
  1. I-BMI kusukela ku-40Umkhawulo ophansi wokuhlinzwa kwesisu
  2. I-BMI kusukela ku-45I-gastric bypass iyanconywa
Isilinganiso se-BMI ngokwe-WHOBala i-BMI yakho

Cacisa izimfuneko,
ungene ekuhlinzweni ulungiselele kahle

Amathuba empumelelo okuhlinzwa kwesisu makhulu, kodwa akufanele kuthathwe kalula. Ngakho-ke kusengaphambili sicacisa zonke izimfuneko ezibalulekile: ukuthi imizamo yakho evamile yokwehlisa isisindo isiphelile yini, iyiphi inqubo efanele izidingo nokulindela kwakho, nokuthi isimo sakho sempilo siyahambisana yini nayo.

Izinto zingahamba ngokushesha ngemuva kwalokhu kuhlolwa. Lokhu kuhlanganisa lezi zingxenye:

Isisebenzi sesifazane esifake imaski namagilavu siphethe i-endoscope egumbini lokwelapha
  • Ukuhlolwa kwesisu nge-endoscope (gastroscopy)Ngaphambi kokuhlinzwa, sibheka umminzo nesisu sakho ngaphakathi. Ngale ndlela kutholakala ukuvuvukala noma okunye okutholakele okufanele kwelashwe kuqala noma okuphikisana nenqubo.
  • Ukuhlolwa kwegazi namanani okuqalaUkuhlolwa kwegazi okuphelele kuveza ukuntuleka okukhona futhi kunikeza amanani okulandelwa wona ekunakekelweni ngemuva; i-3D Bodyscan iqopha lapho uqala khona.
  • Ukulungiselela ukudla kwakhoNgomhlahlandlela wokudla nokwelulekwa ngokudla, uyazilungiselela ukuthi ngemuva kokuhlinzwa uthole konke okudingayo ngezingxenye zokudla ezincane kakhulu.
  • Uhlelo oluhlanganisa izindlela eziningi (MMK)
  • Usuku lokuhlinzwaUfika e-Weight Doctors® Nationalklinik eWertheim ungadlile, cishe imizuzu engu-40 eningizimu yesikhumulo sezindiza saseFrankfurt, futhi wamukelwa ngosuku lokuhlinzwa.

Indlela ukuhlinzwa okwenzeka ngayo

Akukho msiko omkhulu esiswini: ukuhlinzwa kwenziwa ngendlela yezimbobo ezincane. Lokhu kunciphisa izingozi zokuhlinzwa futhi kungasheshisa kakhulu ukululama – lokhu kubalulekile ikakhulukazi uma isisindo esengeziwe siphezulu. Ukuhlinzwa kuthatha cishe imizuzu engu-120–150, ngezinyathelo ezine:

Igumbi lokuhlinzela le-Weight Doctors® Nationalklinik eWertheim
  1. Ukulaliswa (anaesthesia) nokungenaOdokotela bethu abachwepheshe be-anaesthesia baqala ukukulalisa ngokuphelele. Ngezimbobo ezimbalwa ezingabonakali kahle, udokotela ohlinzayo ufaka amathuluzi amancane, ukukhanya nekhamera yevidiyo engenamagciwane esikhaleni sesisu; i-carbon dioxide encane iphakamisa udonga lwesisu kude nezitho, yenze indawo futhi kubonakale kahle.
  2. Isikhwama esincane sesisuNgaphansi nje komminzo, umshini wokubopha ngezipeleti (stapler) uhlukanisa isisu – usika futhi uvale izicubu ngesinyathelo esisodwa, ngakho ukuthunga ngesandla okuthatha isikhathi eside akudingeki. Kusala isikhwama esincane, esiyindilinga (pouch) esingu-50–100 ml; ingxenye yesisu esele evaliwe ihlala emzimbeni futhi ixhumana nohlelo lokugaya ukudla ngasezansi kuphela.
  3. Ukuxhuma namathumbu amancaneAmathumbu amancane anqunywa endaweni ye-jejunum; isiphetho esingezansi sixhunywa ngqo nesikhwama sesisu (gastrojejunal anastomosis). Ngale ndlela ukudla kudlula eceleni kwesisu.
  4. Ukuxhumana okuyi-YIsiphetho esingenhla, esikhululekile, siphinde sixhunywe namathumbu amancane kude ngezansi (Y-anastomosis). Ukudla okugayiwe nezincindi zokugaya kuhlangana kamuva, futhi kusetshenziswa ingxenye kuphela yezakhamzimba – ngalokhu i-bypass isiphelele.
  • IJalimaneINetherlandsDr. ScheffelUdokotela ochwepheshe wokuhlinza okuvamile nokuhlinza okwelapha ukukhuluphala ngokweqile
  • IJalimaneI-AustriaProf. MillerUdokotela ochwepheshe wokuhlinza okuvamile nokuhlinza izitho zesisu (visceral surgery)
  • IJalimaneDr. SchüderUdokotela ochwepheshe wokuhlinza okuvamile, ukuhlinza izitho zesisu nemithambo yegazi / udokotela ochwepheshe wokuhlinza okukhethekile kwezitho zesisu
  • IJalimaneM. MargolinsUdokotela ochwepheshe wokuhlinza okuvamile

Bonke ochwepheshe

Ngemuva kokuhlinzwa: isinyathelo ngesinyathelo ubuyela empilweni yansuku zonke

Ngisho ngaphandle komsiko omkhulu esiswini, kusala izingozi ezithile ngemuva kokuhlinzwa. Yingakho uhlala amabusuku ambalwa emtholampilo, lapho ithimba lethu labahlengikazi abaqeqeshiwe likunakekela khona.

Ngemuva kwenqubo, siqala sikuqaphe egumbini lokuvuka, bese uya ewodini, lapho maduze uthatha khona izinyathelo zakho zokuqala. Ezinsukwini zasemtholampilo, sinaka kakhulu ukululama kwakho, ukujikeleza kwegazi lakho, izinhlungu zakho nokuthi umzimba wakho wamukela kanjani ukugwinya kokuqala koketshezi. Yile ndlela okuvame ukuqhubeka ngayo:

  1. Ubusuku obungu-1–3Unakekelwa esibhedlelaNgokuhlolwa okulandelayo okumbalwa nokuhlolwa kwegazi ngaphambi kokuphuma.
  2. ngemuva kwezinsuku ezingaba ngu-14Ukubuyela empilweni yansuku zonkeKuze kube yileso sikhathi, ngokuvamile awukakulungeli ukuhlangana nabantu nokusebenza.
  3. impilo yonkeAmavithamini nokuhlolwaIzithasiselo ezikhethwe ngokwamanani egazi lakho zivikela ekuntulekeni.

Ukudla ngemuva kwe-gastric bypass: ukwakha kabusha ukudla ngezigaba ezine

Ngemuva kokuhlinzwa, umzimba wakho uzijwayeza isikhwama esincane sesisu nendlela entsha yokudla, futhi ukuxhumana okusha kudinga isikhathi ukuze kuphole. Yingakho wakha kabusha ukudla kwakho ngezigaba ezinqunyiwe – uhambisana nohlelo lokudla lwamaviki angu-8 okuqala kanye nabaqeqeshi bakho.

Esikhathini eside, okubalulekile yindlela odla ngayo: kancane nangezingcezu ezincane, amaprotheni kuqala, uphuze ngokwanele – futhi nsuku zonke uthathe izithasiselo zokudla ezihambisana namanani egazi lakho. Kungcono ugweme iziphuzo ezinoshukela, ushukela nama-carbohydrate asheshayo: anikeza amakhalori amaningi futhi angadala ukungaphatheki kahle ngemuva kwe-bypass.

Abasebenzi ababili besifazane be-Weight Doctors® abaphethe izithelo nemifino emisha
  1. Ukudla okuwuketsheziEmavikini angu-4–6 okuqala, udla ukudla okusekelwe oketshezini. Ngale ndlela isikhwama sesisu nokuxhumana kungaphola ngokuthula.
  2. Ukudla okuthambileUma ekuhlolweni konke sekuphole kahle, kungezwa ukudla okuthambile, okugayeka kalula – ngamanani amancane.
  3. Ukudla okuncane okunamaprotheni amaningiKancane kancane ukudla okuqinile kuyabuya. Amaprotheni aza kuqala, futhi izingxenye zokudla zihlala zincane.
  4. Ukudla ngokujwayelekile, uhlale uqaphelaEkugcineni uphinde udle ngaphandle kwemikhawulo ethile, kodwa ngamanani amancane kakhulu kunangaphambili.

Yimiphi imiphumela engenzeka?

Imiphumela iyahluka kumuntu nomuntu. Izinguquko ngemuva kokuhlinzwa zifika ngokushesha, emzimbeni nasemizweni, futhi ekuqaleni zingakwehlula. Ukwehla kwesisindo okugcinwa isikhathi eside kuphumelela kuphela ngempilo entsha yansuku zonke yokudla okulinganiselayo nokuzivocavoca – kulokhu usizwa ngumqeqeshi wakho, i-Weight Doctors® App ne-Weight Doctors® Mira kanye nokuqeqeshwa ngokudla kwe-Weight Doctors® 360°.

Esikhathini eside, ukuhlinzwa kwesisu kungaletha lokhu okulandelayo:

  • Ukwehla okukhulu kwesisindo, esimweni esihle kakhulu kuze kufike esisindweni esijwayelekile
  • Ukuthuthuka kwesifo sikashukela (diabetes mellitus) sohlobo 2
  • Umfutho wegazi ophansi kakhudlwana namazinga e-cholesterol aphansi kakhudlwana
  • Ukuma kokuphefumula okumbalwa ebuthongweni (sleep apnoea) nesilungulela esincane, impumuzo kusifuba somoya (asthma)
  • Amalunga anomthwalo omncane, ukunyakaza okwengeziwe namandla amaningi okubekezelela
  • Isimo sengqondo esingcono, ukuzethemba okwengeziwe, ukuhlaselwa yi-migraine okumbalwa

Isikhumba esengeziwe ngemuva kwalokho? Ngemuva kokwehla okukhulu kwesisindo, abaningi basala nesikhumba esengeziwe. I-Weight Doctors® RESHAPE inikeza ukuqinisa isikhumba, ukumunca amafutha (liposuction) noma i-body lift – kwenziwa ngodokotela abachwepheshe be-plastic and aesthetic surgery.

Imiphumela iyahlukahluka kumuntu nomuntu. Izithombe zibonisa iziguli ze-Weight Doctors® ezivumile ukuthi izithombe zazo zishicilelwe.

Yonke impumelelo yeziguli

Izingozi nemiphumela engemihle: okufanele ukwazi kusengaphambili

I-gastric bypass iyinqubo enkulu enemiphumela ehlala njalo ekugayeni ukudla. Njengakunoma yikuphi ukuhlinzwa, kungavela izinkinga, njengokopha ngemuva kokuhlinzwa, ukutheleleka kwamanxeba, ukuvuza ezindaweni ezithungiwe noma amahlule egazi; ingozi yakho siqu incike kakhulu esimweni sakho sempilo. Ngaphezu kwalokho kunemiphumela engemihle evamile ku-bypass:

Izindawo zokuqapha ezinezikrini e-Weight Doctors® Nationalklinik
  • I-dumping syndromeNgenxa yokuthi ukudla kufika emathunjini amancane ngokushesha, ngemuva nje kokudla kungavela isicanucanu, ukushaya kwenhliziyo ngokushesha noma isiyezi, futhi emahoreni angu-1–3 kamuva nokuqhaqhazela nendlala enamandla ngenxa kashukela ophansi egazini. Funda kabanzi nge-dumping syndrome.
  • Ukuntuleka kwezakhamzimbaNgenxa yokuthi ingxenye yamathumbu amancane iyadlulwa, umzimba awumunci kahle amavithamini namaminerali, njengevithamini B12, i-ayoni noma i-calcium. Izithasiselo nokuhlolwa kwegazi njalo kuvikela ekuntulekeni.
  • Amatshe enyongoUkwehla kwesisindo ngokushesha kungenza kube lula ukuthi kwakheke amatshe enyongo nezifo zesikhwama senyongo. Ngakho-ke ukungaphatheki kahle engxenyeni engenhla yesisu kufanele ukuhlolise masinyane.
  • Ukuphinde kwenyuke isisindoNgokuhamba kweminyaka, isikhwama sesisu noma ukuxhumana kunganwebeka, futhi umphumela ungancipha. Lapho-ke i-bypass ingalungiswa nge-endoscope noma ngokuhlinzwa – funda kabanzi ngaphansi kokuthi Ukuphinde kwenyuke isisindo ngemuva kokuhlinzwa kwesisu.

Yile ndlela esinciphisa ngayo izingozi: ngokuhlolwa kwangaphambili okunzulu, ukuhlinzwa ngodokotela abachwepheshe abakhethekile, nokunakekelwa ngemuva okubona ukuntuleka nezinkinga kusenesikhathi. Uma kuvela izinkinga kamuva, ukubonisana kwe-Weight Doctors® REVISION kuyasiza – ngisho noma wahlinzwa kwenye indawo.

I-bypass, i-gastric sleeve noma i-extended sleeve?

Abaningi babhekana nokukhetha: ngendlela ethambe kakhulu ngangokunokwenzeka ngokunciphisa isisu ngaphandle kokuhlinzwa – noma ngokushesha ukuhlinzwa okuvela ku-Weight Doctors BARIATRICS®? Ezinye izindlela esikhundleni se-bypass ngamafuphi:

  • I-extended sleeve (Weight Doctors SLEEVE®)Ngaphandle kokuhlinzwa nhlobo, njengesiguli esingalali futhi ngaphandle kokuhlala emtholampilo. Nge-endoscope, ezimweni eziningi kufakwa imithungo engu-4–6 esiswini ngephethini engu-O noma engu-Z, ehlanganisa izicubu; ekugcineni okungenhla kuphela kusala isitsha esincane. Uma imithungo iminingi, ukunciphisa kuba kukhulu. Funda kabanzi nge-extended sleeve ene-OverStitch.
  • I-gastric sleeveUkuhlinzwa kwesisu okungangeni kakhulu kulokhu okubili, nokululama okusheshayo. Isisu sincishiswa ngobude baso, ingxenye enkulu isuswe; kusala ishubhu elingu-150–200 ml, elisebenza ngokuba nendawo encane nehomoni yendlala encane. Funda kabanzi ngokuhlinzwa kwe-gastric sleeve.
  • I-gastric bypassUshintsho olukhulu kunazo zonke phakathi kokuhlinzwa kwesisu – ngaphezu kwesikhwama esincane sesisu kwengezwa ukuphambukiswa kwamathumbu amancane. Kunengqondo ikakhulukazi uma i-BMI iphezulu kakhulu, inhloso yokwehlisa isisindo inkulu, kune-reflux noma uma kunzima ukuyeka izinto ezinoshukela.
  • Ukunquma ndawonyeUkuthi iyiphi indlela ekufanele, sikucacisa ekubonisaneni – ngokuya nge-BMI yakho, izifo zakho ezihambisanayo, imikhuba yakho yokudla nenhloso yakho yokwehlisa isisindo. Ukuqhathanisa ngqo kwazo zonke izinqubo ukuthola ohlwini lwezinsizakalo.
InsizakaloI-gastric bypassI-gastric sleeve
UbuchwephesheI-Roux-en-Y noma i-omega loopI-sleeve gastrectomy eqondile (LSG)
UmgomoUkunciphisa nokuphambukiswa kwamathumbu amancaneUkunciphisa ngaphandle kokuphambukisa
I-BMI enconywayokusukela ku-45kusukela ku-40
Ukunciphisa isisu85–90 %75–80 %
Inhloso yokwehlisa isisindongaphezu kakhulu kuka-40 kg40–50 kg
Isikhathi sokuhlinzwacishe 120–150 imizuzucishe 75 imizuzu
Ukuhlala emtholampiloUbusuku obungu-1–3 ulele esibhedlelaUbusuku obungu-1 ulele esibhedlela
Kungabuyiselwa emuvangokwethiyori yebo, kodwa kunzima kakhulucha
Weight Doctors® Appkufakiwekufakiwe

I-gastric bypass

Ubuchwepheshe
I-Roux-en-Y noma i-omega loop
Umgomo
Ukunciphisa nokuphambukiswa kwamathumbu amancane
I-BMI enconywayo
kusukela ku-45
Ukunciphisa isisu
85–90 %
Inhloso yokwehlisa isisindo
ngaphezu kakhulu kuka-40 kg
Isikhathi sokuhlinzwa
cishe 120–150 imizuzu
Ukuhlala emtholampilo
Ubusuku obungu-1–3 ulele esibhedlela
Kungabuyiselwa emuva
ngokwethiyori yebo, kodwa kunzima kakhulu
Weight Doctors® App
kufakiwe

I-gastric sleeve

Ubuchwepheshe
I-sleeve gastrectomy eqondile (LSG)
Umgomo
Ukunciphisa ngaphandle kokuphambukisa
I-BMI enconywayo
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Ukunciphisa isisu
75–80 %
Inhloso yokwehlisa isisindo
40–50 kg
Isikhathi sokuhlinzwa
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Ukuhlala emtholampilo
Ubusuku obungu-1 ulele esibhedlela
Kungabuyiselwa emuva
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I-gastric bypass ibiza malini?

Uma uzikhokhela, uthola i-gastric bypass ne-Weight Doctors BARIATRICS® kusukela ku-R 289 000; inani eliqondile silinquma ekubonisaneni. Kufakiwe ukunakekelwa kwangaphambili nangemuva ngudokotela ozimele, ukuhlolwa kwaselabhorethri, i-anaesthesia, ukuhlala emtholampilo kuhlanganise nemithi nempahla, unyaka owodwa we-Weight Doctors® App enesikali sedijithali ne-Weight Doctors® Mira, kanye nama-3D Bodyscan amabili.

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Uma ufuna ukwabela izindleko isikhathi eside, kungenzeka ukukhokha ngezitolimende ngozakwethu i-Capitec. Inani lesitolimende nesikhathi sokukhokha uzinqumela wena, futhi i-Capitec ihlola isicelo sakho ngokushesha. Isicelo usifaka ndawonye nathi engxoxweni yokubonisana, ngocingo noma ku-inthanethi ngaphandle kwamaphepha nhlobo – okwengeziwe ku-Ukukhokha ngezitolimende.

Okudingekayo yisimo sezimali esanele sokuthola isikweletu. Ngokuningiliziwe:

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Odokotela abangu-39 eJalimane, e-Austria, eNetherlands, e-United Kingdom naseNingizimu Afrika – e-Weight Doctors® Nationalklinik eWertheim nasendaweni yakho.

  • IJalimaneINetherlandsDr. ScheffelUdokotela ochwepheshe wokuhlinza okuvamile nokuhlinza okwelapha ukukhuluphala ngokweqile
  • IJalimaneI-AustriaProf. MillerUdokotela ochwepheshe wokuhlinza okuvamile nokuhlinza izitho zesisu (visceral surgery)
  • IJalimanePD Dr. WichmannUdokotela ochwepheshe wokuhlinza izitho zesisu & uchwepheshe wokwelapha ukukhuluphala nge-endoscope (endobariatrics)
  • IJalimaneM. MargolinsUdokotela ochwepheshe wokuhlinza okuvamile
  • IJalimaneM. ShalabiUdokotela ochwepheshe wokuhlinza okuvamile nokuhlinza izitho zesisu (visceral surgery)
  • IJalimaneINetherlandsDr. JennerUdokotela ochwepheshe wokuhlinza izitho zesisu / ukuhlinza okukhethekile kwezitho zesisu
  • IJalimaneDr. SchüderUdokotela ochwepheshe wokuhlinza okuvamile, ukuhlinza izitho zesisu nemithambo yegazi / udokotela ochwepheshe wokuhlinza okukhethekile kwezitho zesisu
  • IJalimaneA. SaberUdokotela ochwepheshe wezamathambo nokuhlinza ukulimala (trauma surgery)
  • INetherlandsProf. GreveUdokotela ochwepheshe wokuhlinza izitho zesisu nokuhlinza okwelapha ukukhuluphala ngokweqile
  • INingizimu AfrikaDr. HanningtonUdokotela ochwepheshe wokuhlinza
  • INingizimu AfrikaDr. MabeUdokotela ochwepheshe wokuhlinza
  • INingizimu AfrikaDr. WolmaransUdokotela ochwepheshe wokuhlinza

Bonke ochwepheshe

Imibuzo evame ukubuzwa

Imibuzo mayelana ne-gastric bypass ye-Weight Doctors BARIATRICS®

Umbuzo wakho awukho lapha? Udokotela wakho ochwepheshe uzowunikeza isikhathi engxoxweni yokubonisana.

Kwenzekani engxenyeni yesisu esele ku-gastric bypass?

Ihlala emzimbeni, kodwa ayisasebenzi: ukudla kudlula esikhwameni esincane sesisu kuye ngqo emathunjini amancane. Ingxenye yesisu esele ihlala ixhumene nomgudu wokugaya ukudla ngamathumbu amancane, ngakho izincindi zayo zokugaya ziyaqhubeka nokugeleza futhi zifike ekudleni okugayiwe kamuva kancane. Lokhu kuhlukanisa i-bypass ne-gastric sleeve, lapho ingxenye enkulu yesisu isuswa khona.

I-gastric bypass ingaba yindlela efanele kusukela kuyiphi i-BMI?

Sincoma i-gastric bypass kusukela ku-BMI engaphezu kuka-45, ezimweni ezingavamile nangaphansi kwalokho. Kithina, i-BMI ezungeze u-40 iwumkhawulo ophansi wokuhlinzwa kwesisu.

Ukuhlinzwa kwe-gastric bypass kuthatha isikhathi esingakanani?

Ukuhlinzwa kuthatha cishe imizuzu engu-120–150 futhi kwenziwa ulaliswe ngokuphelele (general anaesthesia) – ngendlela yezimbobo ezincane, okungukuthi ngokuhlaba okumbalwa okuncane esikhundleni somsiko omkhulu esiswini. Kusala izibazi ezincane ezi-3, cishe ezilingana nebala elincane lesikhumba.

Yini inqubo eqondile yokuhlinzwa kwe-gastric bypass?

Kusengaphambili, ukuhlolwa kwangaphambili kwe-gastroenterology kucacisa ukuthi ikhona yini into ephikisana nokuhlinzwa. Inqubo yenziwa nge-laparoscopy ulaliswe ngokuphelele. Ngemuva kwalokho ngokuvamile uhlala emtholampilo amabusuku angu-1–3, unakekelwa ngabahlengikazi abanolwazi; ngaphambi kokuphuma kulandela ukuhlolwa kwegazi okuthile. Ukuze uphole kahle, ngemuva kwalokho kunqunywa ukudla okukhethekile okusekelwe oketshezini amaviki angu-4–6. Ngemuva kokuhlolwa kokulandelela kwe-gastroenterology, wakha kabusha ukudla kwakho kancane kancane nabaqeqeshi bethu kuze kube sesimweni esijwayelekile.

Ngingabuyela nini emsebenzini ngemuva kwe-bypass?

Lindela ukuthi cishe izinsuku ezingu-14 ungakulungeli ukuhlangana nabantu nokusebenza. Emtholampilo uhlala amabusuku angu-1–3; ukuthi uzophinde ube namandla omzimba ngokuphelele nini, sikuxoxa nawe ngokwesimo sakho.

Umuntu wehlisa isisindo esingakanani nge-gastric bypass?

Lokhu akunakushiwo ngokuqiniseka kusengaphambili: imiphumela iyahluka kumuntu nomuntu. Incike esisindweni sakho sokuqala nasekusebenzeni komzimba wakho, ekutheni ushintsha ngokungaguquki kangakanani ukudla nokuzivocavoca, nokuthi uyakuthatha yini ukunakekelwa ngemuva. I-bypass yenzelwe abantu abanenhloso enkulu yokwehlisa isisindo, ezimweni eziningi engaphezu kakhulu kuka-40 kg. Ukuthi iyiphi inhloso engokoqobo kuwe, sikuxoxa nawe ngokukhululekile.

Uyini umehluko phakathi kwe-Roux-en-Y bypass ne-omega-loop bypass?

Zombili ziyizinhlobo ze-gastric bypass. Ku-Roux-en-Y bypass, amathumbu amancane axhunywa kabusha ngesimo sika-Y. I-omega-loop bypass (OLB) ivame ukubizwa ngokuthi i-mini bypass, kodwa akuyona neze “mini”, futhi ingena emzimbeni okungenani ngokufanayo. Ukuthi iluphi uhlobo olunengqondo kuwe, sikuxoxa nawe.

Ingabe i-gastric bypass ingabuyiselwa emuva?

Ngokwethiyori yebo, ngoba ngokungafani ne-gastric sleeve, ayikho ingxenye yesisu esuswayo: ingxenye yesisu esele ihlala emzimbeni. Kodwa ukubuyisela emuva kunzima kakhulu futhi kunezingozi, yingakho i-bypass yenzelwe ukuba yisixazululo esihlala njalo. Uma kuvela izinkinga noma umphumela uncipha, ukulungiswa okuqondile kungenzeka, isibonelo nge-Weight Doctors® REVISION.

I-gastric bypass ibiza malini?

I-gastric bypass iyingxenye ye-Weight Doctors BARIATRICS®, kulabo abazikhokhelayo kusukela ku-R 289 000, kuhlanganise nokunakekelwa kwangaphambili nangemuva ngudokotela ozimele. Ukukhokha ngezitolimende nge-Capitec kungenzeka. Wonke amanani ngamafuphi: Izindleko & amanani.

Ingabe i-bypass ingcono kune-gastric sleeve uma unesilungulela?

Uma usunesifo se-reflux, asikweluleki ukuthi wenze i-gastric sleeve; lapho-ke i-bypass ivame ukuba yisinqumo esinengqondo kakhudlwana. Nalapho i-reflux ivela ngemuva kwe-gastric sleeve, ukuguqulelwa ku-bypass kungaba yindlela efanele – funda kabanzi ngaphansi kokuthi I-reflux ngemuva kwe-gastric sleeve.

Yini okufanele ngiyinake ngemuva kwe-gastric bypass?

I-bypass iguqula ukugaya kwakho ukudla ngokuyisisekelo. Ngakho-ke uthatha izithasiselo zokudla impilo yakho yonke ukuze uvikele ukungondleki: nsuku zonke amaphilisi amavithamini ahlukahlukene (multivitamin), futhi ngokuya ngamanani egazi lakho nezithasiselo zevithamini D, zevithamini B, ze-ayoni nezo-calcium. Esikhathini eside imiphumela ingcono uma udla ngendlela enempilo, uthatha izithasiselo njalo futhi uhlolwa amanani egazi lakho.

Ngingakuvimbela kanjani ukuphinde ngikhuluphale ngemuva kwe-bypass?

I-bypass iyithuluzi elinamandla – kodwa ukuthi umphumela uhlala isikhathi esingakanani kuncike nasempilweni yakho yansuku zonke. Izizathu ezivame kakhulu zokuphinde kwenyuke isisindo ukungazivocavoci ngokwanele, ukuhlala udla okudla okulula, ukudla okusheshayo (fast food) kanye neziphuzo ezinoshukela, iziphuzo ezi-light neziphuzo ezinotshwala. Ithimba lakho le-Weight Doctors® likusekela ngezinhlelo zokudla nezokuzivocavoca, ubuso nobuso nase-app.

Ingabe zikhona izingozi ezihlobene nokuhlinzwa kwe-gastric bypass?

Yebo, njengakunoma yikuphi ukuhlinzwa. Lokhu kuhlanganisa: ukutheleleka ngenxa yezincindi zesisu ezivuzela esikhaleni sesisu, ukutheleleka kwamanxeba ezindaweni okuhlatshwe kuzo, ukuba buthakathaka kodonga lwesisu noma i-hernia yodonga lwesisu, izifo zesikhwama senyongo noma amatshe enyongo ngenxa yokwehla kwesisindo ngokushesha, amahlule egazi angaholela ekuvalekeni kwemithambo yamaphaphu (pulmonary embolism), kanye nokuntuleka kwamavithamini, okungavinjelwa yizithasiselo, ukunakekelwa ngemuva nokuhlolwa kwegazi. Njengakunoma yikuphi ukuhlinzwa, kungavela izimo eziphuthumayo ezisongela impilo, isibonelo ngenxa yokulaliswa noma inkinga engatholakalanga ngemuva kokuhlinzwa.

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