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

I-gastric sleeve ngendlela yezimbobo ezincane (keyhole surgery)

Weight Doctors BARIATRICS® I-gastric sleeve

Ekuhlinzweni kwe-gastric sleeve, ingxenye enkulu yesisu iyasuswa; kusala ishubhu elingabanzi elingu-150–200 ml. Kwabantu abane-BMI kusukela ku-40, 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
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  • Ukufinyelela kodokotela abachwepheshe ngokubekwa phambilingocingo, ngevidiyo noma ngqo endaweni, ngaphandle kokulinda isikhathi eside
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Nge-Membership
Isakhi 2

I-gastric sleeve ye-Weight Doctors BARIATRICS®

Ekuhlinzweni kwe-gastric sleeve, ingxenye enkulu yesisu iyasuswa; kusala ishubhu elingabanzi elingu-150–200 ml. Kwabantu abane-BMI kusukela ku-40, ezimweni ezingavamile nangaphansi kwalokho.

Inqubo
Ukuhlinzwa okungangeni kakhulu emzimbeni (indlela yezimbobo ezincane)
Isikhathi
cishe 75 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

Ukuhlinzwa kwe-gastric sleeve ngamafuphi

Konke okufanele ukwazi ngaphambi kokuthatha isinqumo – kusukela kubuchwepheshe nemiphumela engaba khona kuya embuzweni wokuthi iyiphi inqubo ekufanele.

Indlela i-gastric sleeve esebenza ngayo

Ekuhlinzweni kwe-gastric sleeve, ingxenye enkulu kakhulu yesisu isuswa unomphela. Kusala ishubhu lesisu elingabanzi elingu-2–3 cm, elithatha umsebenzi wesisu sangaphambili – cishe lilingana nobhanana omncane. Ngisho namanani amancane elula udonga lwesisu, ubuchopho buthola uphawu oluthi “ngisuthi” ngokushesha, bese kuvela umuzwa wokusutha: umgomo wokukhawulela ukudla.

  • Ngaphezu kwalokho, ukuhlinzwa kuqalisa izinqubo zamahomoniKunezinkomba eziqinile zokuthi ngemuva kwalokho isisu senza okuncane kwehomoni yendlala i-ghrelin, nokuthi kukhishwa izithunywa zamakhemikhali ezinqanda isifiso sokudla ezifana ne-GLP-⁠1 ne-peptide YY. Lokhu kungaba nomthelela omuhle nasekusebenzeni komzimba (metabolism); yingakho kubizwa ngokuthi ukuhlinzwa kwe-metabolism (metabolic surgery).
  • Akukho msiko omkhulu esiswiniUkuhlinzwa kwenziwa ngendlela yezimbobo ezincane (laparoscopy).

Ukuhlinzwa kwe-gastric sleeve kwamukelwa emhlabeni wonke; eJalimane kuyinqubo eyenziwa kakhulu ekuhlinzweni kokukhuluphala ngokweqile. Kuyingxenye ye-Weight Doctors BARIATRICS®, izinqubo zokunciphisa isisu unomphela ngokuhlinzwa, futhi kufanele ikakhulukazi abantu ukunciphisa isisu nge-endoscope okungasakwazi ukubasiza ngokwanele.

Umdwebo: ku-gastric sleeve kusala ishubhu elingabanzi eduze nejika elincane lesisu, ingxenye enkulu yesisu iyasuswa.
I-gastric sleeve – iyasalakuyasuswaUmthungo wezipeleti (staple line)
  • 2–3 cmububanzi beshubhu lesisu elisele
  • 150–200 mlumthamo wesisu ngemuva kwalokho – cishe ubhanana omncane
  • cishe 75 imiz.isikhathi sokuhlinzwa ngendlela yezimbobo ezincane

Okwenza i-gastric sleeve ihluke

  • Ukukhawulela namahomoniIsisu esincane kakhudlwana sikhawulela inani lokudla; ngesikhathi esifanayo, ihomoni yendlala encane nezithunywa zamakhemikhali eziningi ezinqanda isifiso sokudla kungehlisa isifiso sokudla.
  • Ukunciphisa unomphelaIngxenye enkulu yesisu iyasuswa: ukunciphisa kuhlala unomphela futhi kukhulu kunasezinqubweni ezenziwa nge-endoscope.
  • Esifweni sikashukela sohlobo 2Izifo ezihambisanayo ezifana nesifo sikashukela (diabetes mellitus) sohlobo 2 zingathuthuka. Uma zinomthelela omkhulu, kuba namathuba amakhulu okuthi i-gastric sleeve ibe yindlela efaneleka kakhudlwana.
  • Ezimweni eziningi ubusuku obubodwa kuphelaNgemuva kokuhlinzwa kwe-gastric sleeve, ezimweni eziningi ungabuyela ekhaya ngemuva kobusuku obungu-1 nje.
  • Unakekelwa ngokuphepha ngemuva kokuhlinzwaI-Weight Doctors® Nationalklinik inewadi layo lokunakekelwa okuphakathi (intermediate care): uma kwenzeka okuthile okungalindelekile ngemuva kokuhlinzwa, uqhubeka unakekelwa khona lapho.
  • KungahlanganiswaUma ngemuva kweminyaka udinga umfutho owengeziwe, i-gastric sleeve ingahlanganiswa nezinye izinqubo ze-Weight Doctors®.

I-gastric sleeve ifanele bani?

Kubantu abaningi, isisindo esengeziwe esikhulu siwumzabalazo weminyaka. Isisindo esengeziwe esiyisifo (ukukhuluphala ngokweqile) singaphezu kwendaba yokubukeka: sikhulisa ingozi yezifo ezinzima ezilandelayo, singanciphisa kakhulu amandla omzimba nawengqondo, futhi singafinyeza isikhathi sokuphila.

Ukwehla kwesisindo okubonakalayo nokuhlala njalo kunganciphisa kakhulu lezi zingozi futhi kudambise izinkinga eziningi. Phakathi kwezifo ezihambisanayo ezivame kakhulu kukhona isifo sikashukela (diabetes mellitus) sohlobo 2 nomfutho wegazi ophakeme, ongaholela ezifweni zenhliziyo; ngaphezu kwalokho kuvamile ubunzima bokuphefumula nesifuba somoya (asthma), ukuphazamiseka kokulala nokuma kokuphefumula ebuthongweni, izinkinga zamalunga ezingalweni nasemilenzeni kanye nobuhlungu bomhlane.

Awuwedwa kulokhu: isisindo esengeziwe nokukhuluphala ngokweqile kuthinta izigidi zabantu. Ukuthi ukuhlinzwa kungaba nini yindlela efanele uma i-BMI iphezulu futhi kunezifo ezihambisanayo, ungakufunda nasesihlokweni esithi I-Weight Doctors BARIATRICS® kuma-BMI aphezulu. Nge-gastric sleeve kusebenza lokhu:

Udokotela nomeluleki wesifazane we-Weight Doctors® egumbini lokubonisana
  • Kunconywa kusukela ku-BMI engu-40, ezimweni ezingavamile nangaphansi kwalokho – kuphela kubantu abadala abaneminyaka engu-18 nangaphezulu.
  • Ezinhlosweni zokwehlisa isisindo ezingaba ngu-40–50 kg.
  • Uma imizamo eminingana yokwehlisa isisindo, ukushintsha ukudla nendlela yokuphila, kanye nezindlela ezingahlinzi ezilandelelwa ngudokotela kungalethanga impumelelo ehlala njalo.
  • Uma usukulungele ukushintsha ukudla, ukuziphatha nokuzivocavoca unomphela. Thatha isinqumo ngokuzola, hhayi ngesikhathi sengcindezi enkulu.
  • Akufanele uma usunesifo se-reflux – lapha i-Weight Doctors SLEEVE® njenge-extended sleeve ingaba yindlela efanele.
  • Akusona isinqumo sokuqala uma isisindo sakho esengeziwe sivela ikakhulukazi ezintweni ezinoshukela, eziphuzweni ezinoshukela noma otshwaleni obuphuzwa njalo: amakhalori anjalo amane adlule nje ku-gastric sleeve. Lapho-ke i-gastric bypass inengqondo kakhudlwana.

“Ukuhlinzwa kwe-gastric sleeve kwe-Weight Doctors BARIATRICS® kufanele ikakhulukazi iziguli ezifuna ukwehlisa isisindo esiphakathi kuka-40 no-50 kg.”

Prof. Dr. med. Karl Miller
  1. I-BMI kusukela ku-40I-gastric sleeve iyanconywa
  2. I-BMI kusukela ku-45I-gastric bypass inengqondo kakhudlwana
Isilinganiso se-BMI ngokwe-WHOBala i-BMI yakho

Indlela ukuhlinzwa okwenzeka ngayo

Kusengaphambili, ukuhlolwa kwangaphambili kwe-gastroenterology kucacisa ukuthi ikhona yini into ephikisana nokuhlinzwa. Ukuhlinzwa uqobo kuthatha cishe imizuzu engu-75:

Odokotela ababili abahlinzayo abafake izibuko ze-3D bahlinza ngembobo encane, ngemuva kwabo kukhona isikrini
  1. Ukulaliswa (anaesthesia) nokungenaUkuhlinzwa kwenziwa ulaliswe ngokuphelele nangendlela yezimbobo ezincane: ikhamera namathuluzi amancane afakwa ngezimbobo ezimbalwa ezincane odongeni lwesisu.
  2. Ukwenza kubonakaleIsikhala sesisu sigcwaliswa nge-carbon dioxide. Ngale ndlela udokotela ohlinzayo uthola indlela engcono yokufinyelela nokubona izitho zesisu.
  3. Ukwakha ishubhuUmshini wokubopha ngezipeleti (stapler) uhamba eduze nejika elikhulu lesisu: uhlukanisa ingxenye enkulu yesisu futhi ngesikhathi esifanayo uvale ishubhu lesisu elingabanzi elingu-2–3 cm. Ukuthunga ngesandla okuthatha isikhathi eside akusadingeki.
  4. Ukuhlola ukuthi akuvuzi yiniIngxenye yesisu ehlukanisiwe isuswa ngesikhwama sokukhipha esingenamagciwane. Udayi ofakwa ngeshubhu lesisu ukhombisa ukuthi umthungo wezipeleti uvaleke kahle yini.
  5. Ukuhlala okufushaneNgemuva kwalokho ezimweni eziningi uhlala emtholampilo ubusuku obungu-1. Ngokuvamile usukulungele ukuhlangana nabantu ngemuva kwezinsuku ezingu-10–14.

Ngemuva kokuhlinzwa: isinyathelo ngesinyathelo ubuyela empilweni yansuku zonke

Amaviki okuqala ngemuva kokuhlinzwa kwe-gastric sleeve abalulekile ekuphileni kahle: isisu kufanele sijwayele isimo saso esisha, futhi umthungo wezipeleti udinga isikhathi ukuze uphole uqine.

Yingakho wakha ukudla kwakho ngezigaba – kuqala okuwuketshezi, ngemuva kokuhlolwa ngokudla okuthambile, bese ngokudla okuncane okunamaprotheni amaningi. Yidla kancane nangezingcezu ezincane: ukudla ngokuphangisa, izingcezu ezinkulu neziphuzo ezinegesi kungadala ukungaphatheki kahle ikakhulukazi ekuqaleni. Phuza ngokwanele, futhi ugweme iziphuzo ezinoshukela.

Ithimba lakho lokwelapha likuhambisa kuso sonke isinyathelo. Yile ndlela uhambo oluvame ukuba ngayo:

  1. Usuku lokuhlinzwaInqubo ulaliswe ngokupheleleCishe imizuzu engu-75 ngendlela yezimbobo ezincane, bese unakekelwa ngabahlengikazi abanolwazi.
  2. Usuku 1Ezimweni eziningi usubuyela ekhayaNgokuvamile ubusuku obungu-1 emtholampilo; ngaphambi kokuphuma kulandela ukuhlolwa kwegazi okuthile.
  3. ngemuva kwezinsuku ezingu-10–14Ukulungela ukuhlangana nabantu futhiIzimbobo ezincane seziphilile, impilo yansuku zonke iyabuya.
  4. 4–6 amavikiUkudla okuwuketshezi, bese ukwakha kabushaNgemuva kokuhlolwa, wakha kabusha ukudla kwakho kancane kancane nabaqeqeshi bethu.
  5. impilo yonkeAmavithamini nokuhlolwaIzithasiselo zokudla ngokwamanani egazi lakho nokuhlolwa njalo kuvikela impumelelo.

Indlela i-Weight Doctors BARIATRICS® eqinisekisa ngayo ukuphepha kwakho

Inhloso ukugcina izingozi zezokwelapha nesikhathi ongasebenzi ngaso ngemuva kokuhlinzwa siphansi ngangokunokwenzeka. Yingakho kwa-Weight Doctors® kuhlinza odokotela abachwepheshe abakhethekile abanolwazi lweminyaka eminingi ekuhlinzweni kokukhuluphala ngokweqile. Izinqubo ze-Weight Doctors BARIATRICS® zicwaningwe ngokwesayensi futhi zisungulekile kwezokwelapha.

Kusetshenziswa ubuchwepheshe bamanje be-laparoscopy kanye namathuluzi nempahla yabakhiqizi abaziwayo abafana ne-Aesculap noma i-Johnson & Johnson. Ukuhlola ngodayi ukuthi umthungo wezipeleti awuvuzi yini kuyingxenye yakho konke ukuhlinzwa kwe-gastric sleeve.

  • 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)
  • INetherlandsProf. GreveUdokotela ochwepheshe wokuhlinza izitho zesisu nokuhlinza okwelapha ukukhuluphala ngokweqile

Bonke ochwepheshe

Yimiphi imiphumela engenzeka?

Ucwaningo lukhombisa ukuthi ngemuva kokuhlinzwa kwe-gastric sleeve, iziguli ngokwesilinganiso zehlisa phakathi kuka-33 no-83 % wesisindo sazo esengeziwe, ezimweni eziningi phakathi nezinyanga ezingu-6–12. Ucwaningo lokuqala lwesikhathi eside lukhombisa ukuthi impumelelo ihlala isikhathi eside kunasezindleleni eziningi ezingahlinzi.

Inkomba yomphumela wesikhathi eside inikezwa yinqubo yangaphambili ehlobene nalena, ukuhlinzwa kwe-Magenstraße-Mill: nakuyo kwakhiwa ishubhu lesisu, kodwa ingxenye yesisu esele yahlala emzimbeni. Ocwaningweni olulodwa, ukwehla kwesisindo esengeziwe ngemuva kweminyaka emihlanu kwakungu-60 %.

Imiphumela iyahluka kumuntu nomuntu. Noma yikuphi ukunciphisa isisu – ngaphandle kwenqubo, nge-endoscope noma ngokuhlinzwa – kungasebenza kahle kuphela ngokulingana nokuzimisela kwakho ukushintsha ukudla, ukuziphatha nokuzivocavoca unomphela. Okuhambisana nalokhu kukhona ukuqeqeshwa ngokudla kwe-Weight Doctors® 360°.

Esikhathini eside, ukuhlinzwa kwesisu kungaletha nalokhu 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), impumuzo kusifuba somoya (asthma)
  • Amalunga anomthwalo omncane, ukunyakaza okwengeziwe namandla amaningi okubekezelela
  • Isimo sengqondo esingcono, ukuzethemba okwengeziwe, ukuhlaselwa yi-migraine okumbalwa

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

Yonke impumelelo yeziguli

Izingozi nokufanele ukunake esikhathini eside

Njengakunoma yikuphi ukuhlinzwa, nokuhlinzwa kwe-gastric sleeve kunezingozi. Kungenzeka ukutheleleka ngenxa yezincindi zesisu ezivuzayo nengozi yokuvuvukala kolwelwesi lwesisu (peritonitis), ukutheleleka kwamanxeba ezindaweni okuhlatshwe kuzo, ukulimala kwezinye izitho noma kwemithambo yegazi kanye nokopha, ukuba buthakathaka kodonga lwesisu noma i-hernia yodonga lwesisu, ukunamathelana kwezicubu (adhesions), izifo zesikhwama senyongo noma amatshe enyongo, amahlule egazi angaholela ekuvalekeni kwemithambo yamaphaphu (pulmonary embolism), ukuntuleka kwamavithamini kanye nokuphazamiseka (kwesikhashana) kokusebenza kwesisu namathumbu. Kungavela nezimo eziphuthumayo ezisongela impilo, isibonelo ngenxa yokulaliswa. Ingozi yakho siqu incike kakhulu esimweni sakho sempilo.

Ithimba le-Weight Doctors® elinezithelo nemifino emisha
  • Isilungulela (reflux)Ukubuyela emuva kwe-asidi (reflux) nesilungulela kungavela okokuqala noma kwande ngemuva kokuhlinzwa; yingakho, uma usunesifo se-reflux, asikweluleki ukuthi wenze i-gastric sleeve. Izinkinga ngemuva kokuhlinzwa zingelashwa – funda kabanzi ngaphansi kokuthi I-reflux ngemuva kwe-gastric sleeve.
  • Amavithamini impilo yonkeUkuhlinzwa kuguqula ukugaya kwakho ukudla ngokuyisisekelo. Nsuku zonke uthatha amaphilisi amavithamini ahlukahlukene (multivitamin), futhi ngokuya ngamanani egazi lakho nezithasiselo zevithamini D, zevithamini B, ze-ayoni nezo-calcium. Amathumbu awasakwazi ukumunca ivithamini B12 ngokwanele; ifakwa impilo yonke, isibonelo ngomjovo emisipheni noma nge-drip emfushane (infusion). Imiphumela ingcono uma udla ngokulinganisela, uthatha izithasiselo njalo futhi uza ekuhlolweni kokulandelela.
  • Uma isisu sinwebekaNgokuhamba kwesikhathi, ishubhu lesisu linganwebeka. Lapho-ke kuphinde kungene izingxenye zokudla ezinkulu, futhi umuzwa wokusutha ufika kamuva – ungadla kakhulu kunasesikhathini sokuqala, ukulangazelela ukudla kuyabuya, noma isisindo siyenyuka phakathi nezinyanga. Ngokuhlolwa kwesisu nge-endoscope (gastroscopy) nokuthwebula izithombe zangaphakathi, kungalinganiswa ukuthi isisu sinwebekile yini futhi kangakanani. Hlolisa lezi zimpawu kusenesikhathi – funda kabanzi ngaphansi kokuthi Ukuphinde kwenyuke isisindo ngemuva kokuhlinzwa kwesisu.
  • Akubuyiseleki emuva, kodwa kungalungiswaIngxenye yesisu esusiwe ayiphinde ikhule, ukunciphisa kuhlala unomphela. Uma isisindo sibuya ngemuva kweminyaka, ithimba lakho le-Weight Doctors® likusekela ngezinhlelo zokudla nezokuzivocavoca, ubuso nobuso nangedijithali. Uma umphumela uncipha, ukulungisa kungenzeka, isibonelo i-re-sleeve noma ukuguqulelwa ku-bypass: Weight Doctors® REVISION.

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

Abaningi babhekana nokukhetha: ngendlela ethambe kakhulu ngangokunokwenzeka ngokunciphisa isisu ngaphandle kokuhlinzwa – noma ngokushesha ukuhlinzwa okuvela ku-Weight Doctors BARIATRICS®? Izindlela ezintathu ezibaluleke kakhulu ngamafuphi:

  • Weight Doctors SLEEVE® (i-extended sleeve)Nge-endoscope ngomlomo, ngaphandle kokusika. Ngama-anchor amancane nemithungo, udonga lwesisu luyagoqwa futhi luthungwe ubude balo bonke, isisu sibe esingabanzi kakhudlwana futhi sifushane. Njengesiguli esingalali, ezimweni eziningi ngaphansi kwemizuzu engu-60; ngemuva kwalokho amaviki angu-6–8 okudla okuwuketshezi, ukuze imithungo iqine kahle. Funda kabanzi nge-Weight Doctors SLEEVE® nangendlela ye-pose®2.
  • I-gastric sleeveNgokuhlinzwa ngendlela yezimbobo ezincane, cishe imizuzu engu-75, ezimweni eziningi ubusuku obungu-1 emtholampilo. Ingxenye enkulu kakhulu yesisu iyasuswa, kusala ishubhu elingabanzi elingu-2–3 cm. Ukunciphisa ngo-75–80 % kuhlala unomphela futhi kukhulu kunasezinqubweni ezenziwa nge-endoscope; ngaphezu kwalokho, ihomoni yendlala encane ingehlisa isifiso sokudla. Kunconywa kusukela ku-BMI engu-40.
  • I-gastric bypassUshintsho olukhulu kunazo zonke phakathi kokuhlinzwa kwesisu. Ingxenye engenhla yesisu yenziwa isikhwama esincane (pouch), esixhunywa nengxenye yamathumbu amancane; kuze kufike ku-90 % wokudla kudlula eceleni kwengxenye yesisu esele nengxenye yamathumbu amancane. Izinhlobo: i-Roux-en-Y ne-omega-loop – i-“mini bypass” ayingeni emzimbeni kancane kunenye. Cishe imizuzu engu-120. Funda kabanzi nge-gastric bypass.
  • Iyiphi indlela ekufanele?Lokhu sikucacisa ndawonye ekubonisaneni. Okubalulekile yi-BMI yakho, izifo ezihambisanayo ezifana nesifo sikashukela noma i-reflux, imikhuba yakho yokudla – isibonelo izinto eziningi ezinoshukela noma iziphuzo ezinoshukela – nenhloso yakho yokwehlisa isisindo. Nemithi ingaba nendima, isibonelo ukwelashwa ngemithi ye-GLP-⁠1 (GLP-⁠1 pharmacotherapy). Ukuqhathanisa ngqo kwazo zonke izinqubo ukuthola ohlwini lwezinsizakalo.
InsizakaloI-gastric sleeveI-gastric bypass
UbuchwephesheI-sleeve gastrectomy eqondile (LSG)I-Roux-en-Y noma i-omega loop
InquboUkuhlinza ngembobo encaneUkuhlinza ngembobo encane
I-BMI enconywayokusukela ku-40kusukela ku-45
Ukunciphisa isisu75–80 %85–90 %
Inhloso yokwehlisa isisindo40–50 kgngaphezu kakhulu kuka-40 kg
Ukulaliswacishe 75 imizuzucishe 120 imizuzu
Ukuhlala emtholampiloUbusuku obungu-1 ulele esibhedlelaUbusuku obungu-1–3 ulele esibhedlela
Weight Doctors® Appkufakiwekufakiwe

I-gastric sleeve

Ubuchwepheshe
I-sleeve gastrectomy eqondile (LSG)
Inqubo
Ukuhlinza ngembobo encane
I-BMI enconywayo
kusukela ku-40
Ukunciphisa isisu
75–80 %
Inhloso yokwehlisa isisindo
40–50 kg
Ukulaliswa
cishe 75 imizuzu
Ukuhlala emtholampilo
Ubusuku obungu-1 ulele esibhedlela
Weight Doctors® App
kufakiwe

I-gastric bypass

Ubuchwepheshe
I-Roux-en-Y noma i-omega loop
Inqubo
Ukuhlinza ngembobo encane
I-BMI enconywayo
kusukela ku-45
Ukunciphisa isisu
85–90 %
Inhloso yokwehlisa isisindo
ngaphezu kakhulu kuka-40 kg
Ukulaliswa
cishe 120 imizuzu
Ukuhlala emtholampilo
Ubusuku obungu-1–3 ulele esibhedlela
Weight Doctors® App
kufakiwe

Inhloso yokwehlisa isisindo namanani kuyizinkomba nje – imiphumela iyahluka kumuntu nomuntu.

I-gastric sleeve ibiza malini?

Ukuhlinzwa kwe-gastric sleeve, okubizwa nangokuthi i-sleeve, kutholakala kulabo abazikhokhelayo ne-Weight Doctors BARIATRICS® kusukela ku-R 289 000; inani eliqondile silinquma ekubonisaneni. Entengweni kufakiwe ukunakekelwa kwangaphambili nangemuva ngudokotela ozimele, ukuhlolwa kwaselabhorethri, i-anaesthesia, ukuhlala emtholampilo, imithi nempahla ngesikhathi sokuhlala, unyaka owodwa we-Weight Doctors® App enesikali sedijithali ne-Weight Doctors® Mira, kanye nama-3D Bodyscan amabili.

Wonke amanani

Ukukhokha ngezitolimende: yile ndlela okwenziwa ngayo

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:

  • Indawo yokuhlala eyinhloko eJalimane
  • akukho okubhaliwe okubi ku-Schufa
  • uyasebenza noma uthathe umhlalaphansi, unemali engenayo ongayisebenzisa ngokukhululeka
  • Abafundi, abafundela umsebenzi kanye nabanakekeli bekhaya bangabhalisa umuntu wesibili wasekhaya elifanayo njengomboleki – umzali, ingane, umlingani womshado noma umlingani wokuphila

Cela ku-inthanethiIzitolimende

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Eduze ngempela

Okubonakala emtholampilo, ethimbeni nasekwelashweni – okufushane futhi okuyiqiniso, njengasesiteshini sethu se-Instagram.

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Odokotela bakho abachwepheshe

Ezandleni zodokotela abachwepheshe.

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 sleeve ye-Weight Doctors BARIATRICS®

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

Ukuhlinzwa kwe-gastric sleeve kuthatha isikhathi esingakanani?

Ukuhlinzwa uqobo kuthatha cishe imizuzu engu-75. Kwenziwa ulaliswe ngokuphelele nangendlela yezimbobo ezincane, okungukuthi ngokuhlaba okumbalwa okuncane odongeni lwesisu esikhundleni somsiko omkhulu esiswini. Kusala izibazi ezincane ezimbalwa kuphela.

Kwenzekani ngaphambi nangemuva kokuhlinzwa kwe-gastric sleeve?

Kusengaphambili, ukuhlolwa kwangaphambili kwe-gastroenterology kucacisa ukuthi ikhona yini into ephikisana nokuhlinzwa. Ngemuva kwenqubo, 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.

Ngihlala isikhathi esingakanani emtholampilo ngemuva kokuhlinzwa?

Ezimweni eziningi uhlala emtholampilo ubusuku obungu-1. Ngaphambi kokuphuma kulandela ukuhlolwa kwegazi okuthile. Ngokuvamile usukulungele ukuhlangana nabantu ngemuva kwezinsuku ezingu-10–14.

Kususwa okungakanani esiswini?

Isisu sincishiswa cishe ngo-75–80 %. Kusala ishubhu elingabanzi elingu-2–3 cm elinomthamo ongaba ngu-150–200 ml – cishe lilingana nobhanana omncane.

I-gastric sleeve ingenzeka kusukela kuyiphi i-BMI?

Sincoma ukuhlinzwa kwe-gastric sleeve kusukela ku-BMI engu-40, ezimweni ezingavamile nangaphansi kwalokho. Kwelashwa abantu abadala abaneminyaka engu-18 nangaphezulu kuphela.

Ukuhlinzwa kwe-gastric sleeve kubiza malini?

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

Ngingehlisa isisindo esingakanani nge-gastric sleeve?

I-gastric sleeve yenzelwe izinhloso zokwehlisa isisindo ezingaba ngu-40–50 kg. Ucwaningo lukhombisa ukwehla ngokwesilinganiso okungu-33–83 % wesisindo esengeziwe phakathi nezinyanga ezingu-6–12. Imiphumela iyahluka kumuntu nomuntu futhi incike kakhulu ekutheni ushintsha ngokungaguquki kangakanani ukudla nokuzivocavoca.

I-gastric sleeve noma i-gastric bypass – yiphi engifanela kangcono?

Ezimweni eziningi i-gastric sleeve iyisinqumo sokuqala kusukela ku-BMI engu-40, kanti i-gastric bypass kakhulu kusukela ku-45 nalapho inhloso yokwehlisa isisindo inkulu kakhulu. Uma isisindo sakho esengeziwe sivela ikakhulukazi ezintweni ezinoshukela, eziphuzweni ezinoshukela noma otshwaleni, noma usune-reflux, i-bypass ivame ukuba nengqondo kakhudlwana. Lokhu sikunquma ndawonye ekubonisaneni.

Ingabe zikhona izingozi ezihlobene nokuhlinzwa kwe-gastric sleeve?

Yebo, njengakunoma yikuphi ukuhlinzwa: ukutheleleka ngenxa yezincindi zesisu ezivuzayo nengozi yokuvuvukala kolwelwesi lwesisu (peritonitis), ukutheleleka kwamanxeba ezindaweni okuhlatshwe kuzo, ukulimala kwezinye izitho noma kwemithambo yegazi kanye nokopha, ukuba buthakathaka kodonga lwesisu noma i-hernia yodonga lwesisu, ukunamathelana kwezicubu (adhesions), izifo zesikhwama senyongo noma amatshe enyongo, amahlule egazi angaholela ekuvalekeni kwemithambo yamaphaphu (pulmonary embolism), ukuntuleka kwamavithamini kanye nokuphazamiseka (kwesikhashana) kokusebenza kwesisu namathumbu. Kungavela nezimo eziphuthumayo ezisongela impilo, isibonelo ngenxa yokulaliswa. Ingozi yakho siqu incike kakhulu esimweni sakho sempilo.

Ingabe ngingaba nesilungulela ngemuva kwe-gastric sleeve?

Yebo, ukubuyela emuva kwe-asidi (reflux) nesilungulela kungavela okokuqala noma kwande ngemuva kokuhlinzwa. Yingakho, uma usunesifo se-reflux, asikweluleki ukuthi wenze i-gastric sleeve. Izinkinga ngemuva kokuhlinzwa zingelashwa – funda kabanzi ngaphansi kokuthi I-reflux ngemuva kwe-gastric sleeve.

Yini okufanele ngiyinake ngemuva kwe-gastric sleeve?

Ukuhlinzwa akubuyiseleki emuva futhi kuguqula ukugaya kwakho ukudla ngokuyisisekelo. Ngakho-ke uthatha izithasiselo zokudla impilo yakho yonke: nsuku zonke amaphilisi amavithamini ahlukahlukene (multivitamin), futhi ngokuya ngamanani egazi lakho nezithasiselo zevithamini D, zevithamini B, ze-ayoni nezo-calcium. Amathumbu awasakwazi ukumunca ivithamini B12 ngokwanele; ifakwa impilo yonke, isibonelo ngomjovo emisipheni noma nge-drip emfushane (infusion). Esikhathini eside imiphumela ingcono uma udla ngokulinganisela, uthatha izithasiselo njalo futhi uza ekuhlolweni kokulandelela.

Ingabe i-gastric sleeve inganwebeka?

Yebo, ngokuhamba kwesikhathi ishubhu lesisu linganwebeka. Lapho-ke kuphinde kungene izingxenye zokudla ezinkulu, futhi umuzwa wokusutha ufika kamuva. Izimpawu ezivamile: ungadla kakhulu kunasesikhathini sokuqala, ukulangazelela ukudla kuyabuya, noma isisindo siyenyuka phakathi nezinyanga. Ngokuhlolwa kwesisu nge-endoscope nokuthwebula izithombe zangaphakathi, kungalinganiswa ukuthi isisu sinwebekile yini futhi kangakanani. Ngakho-ke hlolisa lezi zimpawu kusenesikhathi – funda kabanzi ngaphansi kokuthi Ukuphinde kwenyuke isisindo ngemuva kokuhlinzwa kwesisu.

Ngingaphinde ngikhuluphale ngemuva kwe-gastric sleeve?

Yebo, kwabanye abantu isisindo siyabuya ngemuva kweminyaka. Ngakho-ke ithimba lakho le-Weight Doctors® likusekela ngezinhlelo zokudla nezokuzivocavoca, ubuso nobuso nangedijithali. Uma umphumela uncipha, ukulungisa kungenzeka, isibonelo i-re-sleeve noma ukuguqulelwa ku-bypass: Weight Doctors® REVISION.

Ingabe i-gastric sleeve ingabuyiselwa emuva?

Cha. Ingxenye yesisu esusiwe ayiphinde ikhule, ukunciphisa kuhlala unomphela. Kodwa uma umphumela uncipha ngemuva kweminyaka noma kuvela izinkinga, ukulungisa kungenzeka, isibonelo i-re-sleeve noma ukuguqulelwa ku-gastric bypass.

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Izizathu ezinhle zokukhetha i-Weight Doctors®.

Sigxile entweni eyodwa: ukwehlisa isisindo unomphela – kusukela emithini kuya ekuhlinzweni, nodokotela abachwepheshe endaweni yakho kanye ne-Nationalklinik yethu.

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