I-balloon ye-intragastric yokunciphisa isisindo esiningi yenziwa okokuqala ngo-1980. Yenziwe nguFG Gau, isebenzisana ne-IDC. Ibhodlela lenziwe nge-silicone yezokwelapha injoloba ephezulu. Amamitha angu-400-700 ebhola ibinzana elikwazi ukuhluka. Inqubo yilapho iningi lesisu sesiguli ligcwele ibhaluni elisilo eligcwele amanzi. Ngemuva kwalokho, isiguli asikwazi ukulanda ukudla okuningi njengalapho ngaphambili. Lokhu kukuvumela ukuba unciphise inani lamakholori adliwe, okufaka ekulahlekeni kwesisindo esiphumelelayo.
Ukusebenza kwendlela
I-balloon ye-inflammatory inganciphisa isisindo somzimba wesiguli kusuka ku-5 kuya ku-35 kilogram. Ekupheleni ukwelashwa, kuhlala ezingeni elithile. Kukhona nokuningi okuzimisele ukuhlola le ndlela yokwelapha, okuye kwaqinisekisa ukuphumelela kwayo ngeminyaka eminingi yokuhlangenwe nakho.
Ngemuva kokuba ibhaluni ifakwe, isifiso somuntu sinciphisa. Lokhu kuholela ekunciphiseni kwemvelo nokuhamba kancane kwesisindo esiningi. Kufanele kuqaphele ukuthi emva kokuthatha umzwelo we-satiety isikhathi eside awushiyi umzimba. Ngemuva kwezinyanga ezimbalwa, i-reflex engenakunqunywa ishintshiwe. Umuntu unesimo sengqondo esihlukile esilinganisweni nobuningi bokudla asetshenziswayo.
Isiguli kumele sithathe imithi yokwehlisa i-asidi-omeprazole (omez) lapho iselashwa.
Ukuhlolwa ngaphambi kokufaka ibhaluni ye-intragastric
Udinga ukuhlolwa okuncane ngaphambi kokufaka ibhaluni ye-intragastric. I-Esophagogastroduodenoscopy yinkqubo eyenziwa okokuqala. Ngosizo lwaso, zonke izilonda ezinzima kanye nemisindo ye-mucosa yesisu kulesi siguli ziqedwa. Ukuze uhlole isimo se-carbohydrate ne-lipid metabolism, udinga ukuhlolwa kwegazi ngegazi. Kuzosiza ekuhloleni ukusebenza kokwelashwa ngemuva kokuba ibhaluni lisusiwe.
Izinkomba ze-intragastric application balloon
Kuzo zonke izisindo zokuzivocavoca ngokweqile, i-intragastric balloon inqunywe. Ukuze unqume izinga, udinga ukubala inkomba yomzimba wesiguli. Lona ngumsebenzi wochwepheshe. Kumele futhi kuqaphele ukuthi uma ukukhuluphala kakade sekuseBangeni III, khona-ke ibhaluni lokunciphisa isisindo lisungulwa ukuze lilungiselele ukuhlinzwa okuzayo. Le nqubo izokwehlisa kakhulu amathuba okuthuthukisa noma yikuphi ukucindezeleka ngesikhathi sokuhlinzwa, kanye nenkathi yokuphoqelela.
Ukungafani kokusetshenziswa kwe-balloon ye-intragastric
- Ukutholakala kwezinkinga nezilonda zesisu noma i-duodenum nezifo ezivuthayo emaphethelweni emathunjini.
- Ukusabela okwenziwe nge-allergen kuya kwe-silicone.
- Ukubeletha, ukukhulelwa, noma ukuhlela okuzayo okuzayo kokukhulelwa.
- Isiyaluyalu, noma yikuphi ukuphazamiseka kwengqondo noma ukuphuza utshwala.
- Ukuba khona kwanoma yikuphi ukusebenza emgodini wesisu nangesisu.
- Izifo ezingokwemvelo emaphethelweni emathunjini.
- Ubukhona be-hernias emgodini wokudla we-diaphragm, i-diverticula nezakhiwo ze-pharyngeal, i-oophagus.
- Isiyalo esincane sesiguli, ngenxa yokuthi angeke sithobele ngokugcwele imiyalelo kadokotela omthinta.
- Ukudla njalo kwe-steroids, i-aspirin, i-anticoagulants, izidakamizwa ezicasula isisu, kanye nezidakamizwa ezilwa nokuvuvukala.
- Ukutholakala kwemithombo ekhona yokuphuma egazini lomzimba: i-varicose emithanjeni yesisu nesisu, i-stenosis ne-atresia.
- Inkomba yomzimba wesiguli ingaphansi kuka-30 Ngaphandle uma kunezifo, inkambo enhle exhomeke ngokuphelele ekunciphiseni kwesisindo soguli.
- Ukuba khona kwanoma yiziphi izinkinga zezokwelapha eziphoqelela ukusebenza kwe-gastroscopy.
Inqubo yokufaka i-intragastric balloon
Ukufaka i-cylinder akuyona ukusebenza. Lena inqubo elula elula eyenziwa ngesifo sangasese, ngaphansi kokulawulwa kwe-gastroscopic. Le nqubo ingenziwa futhi ngaphansi kwe-anesthesia engenalutho.
Le nqubo ivela kumaminithi angu-10 ukuya kwangu-20. Ekupheleni kwenqubo, isiguli sidinga ukuphumula okuncane, bese isuka emtholampilo ngokuphepha.
Ukufaka ibhaluni kufana kakhulu nenqubo ye-gastroscopy evamile. Phakathi nenqubo, isiguli singalala ngakwesobunxele noma emuva. I-balloon ye-intragastric, esesimweni esiboshiweyo, egobolini elincanyana elincithakalo le-shell, elawulwa yi-endoscope esiswini sesiguli, ifakwe emlonyeni. Embhaleni kunamakhemikhali, okugcwala ngawo u-saline, ngokushesha ngemva kokukhanya kwesisu.
I-tube ye-silicone evela ku-valve ye-cylinder ixhunyiwe ngemuva kokuthi igcwaliswe futhi isuswe ngesigxobo emlonyeni. Ngemuva kokuphela kwenkambiso, lochwepheshe uhlolisisa indawo ibhaluni, futhi isiguli sithathwe ku-anesthesia.
Izinkinga, okungenzeka ngemuva kokufaka ibhaluni
I-Gastritis, ukuhlanza okwesikhathi eside nokucwenga, ukuthuthukiswa kwezilonda - lezi yizimo ezivame kakhulu ezivela ngemuva kokufakwa ibhaluni.
Lezi zinkinga zingaqedwa ngosizo lwemithi. Kulesi simo, akudingekile ukususa i-cylinder.
Ukukhathazeka eGibhithe nokwanda kwendlala yizibonakaliso ezibonisa ukuthi ivolumu ibhekile ngokuzenzekelayo.
Ukususwa kwe-balloon ye-intragastric
Emva kwezinyanga ezingu-6, ibhaluni kufanele isuswe. Uma kungenjalo, i-hydrochloric acid, eyenziwa yisisu sakho, ingabhubhisa izindonga zebhaluni.
Ukususwa ibhaluni kufana nenqubo yokufaka. Uchwepheshe wenza i-perforation ibhaluni ngosizo lwe-stiletto ekhethekile. Ngemva kwalokhu, udinga ukukhipha isisombululo bese ususa i-membrane ye-silicone emlonyeni. Inqubo ithatha cishe imizuzu engu-20 futhi yenziwa ngaphansi kwe-anesthesia.
Emva kwalokho, isisindo somzimba wesiguli sanda ngokulinganiselwa kwama-kilogram ayi-2-3. Uma kunesidingo, i-cylinder ingafakwa kabusha. Kodwa ngaphambi kwalokhu, ngemuva kwenqubo yokuqala kufanele kuthathe okungenani inyanga eyodwa.