Chirongwa chekudzivirira chibharo chekuderedza kudhura kwakanyanya kwakatanga muna 1980. Yakaitwa naFG Gau, inobatana neDCC. Bhodhi yakagadzirwa nehutano silicone yakakwirira-rubha. 400-700 milliliteri bhora isimba rinogona kusiyana. Iyo nzira ndeyekuti vazhinji vevarwere vechirwere vanozadzwa ne-silicone ibhaluni yakazadzwa nemvura. Mushure mokunge, murwere haakwanisi kuwana zvokudya zvakawanda sezvaakaita kare. Izvi zvinokubvumira kuderedza nhamba yekoriori inopedzwa, iyo inobatsira pakurasikirwa kwemazivi.
Kubudirira kwenzira yacho
Bhatiro inoburitsa inogona kuderedza murwere wehutano hwemurwere kubva pa5 kusvika ku 35 kilogram. Pamagumo ekurapa, inoramba iri pane imwe nzvimbo. Kune vakawanda uye vanoda kuedza nzira iyi yekurapa, iyo yakaratidza kushanda kwayo nemakore akawanda ehutano.
Mushure mokunge bhoron yakaiswa, chido chomunhu chinoderera. Izvi zvinokonzera kukura kwechisikigo uye zvishoma nezvishoma mukurema kwakanyanya. Zvakakosha kuziva kuti mushure mokunge uchinzwa kuora mwoyo kwenguva yakareba hausi kubva mumuviri. Mushure memwedzi mishomanana, mamiriro ezvinhu asina kufungidzirwa anofungidzirwa. Munhu ane maonero akasiyana nehuwandu uye huwandu hwezvokudya zvaanoshandisa.
Murwere anofanira kutora gastric acid-kuderedza mishonga omeprazole (omez) paanenge achirapa.
Kuongorora musati maisa bhora rinopinza
Iwe unofanirwa kuongorora zvinyorwa zvisati zvaiswa mushure mekugadzira bhora re intragastric. Esophagogastroduodenoscopy inzira inotanga kutanga yezvose. Nekubatsira kwayo, zvose zvinokonzera maronda uye zvinokonzerwa nemukati mucosa mumurwere zvinobviswa. Kuti uongorore mamiriro emakinhydrate uye lipid metabolism, unofanirwa kuita biochemical blood test. Ichabatsirawo kuongorora kubudirira kwehutano mushure mekunge bhoron rabviswa.
Zviratidzo zve intragastric balloon application
Pazvireji zvose zvekureruka zvakanyanya, inondastric balloon inorayirwa. Kuti uone chiyero, iwe unoda kuverenga mutumbi mashoma index yemurwere. Iri ndiro basa reyanzvi. Zvakakoshawo kuziva kuti kana kuneta kwekare kwave kuchiri kuvharesi yechitatu, bhaluni rekuderedza kuyerwa rinogadziriswa kuitira kugadzirira kubasa rinotevera raBaratric. Izvi zvinoderedza zvakanyanya kuvepo kwekugadzirisa chero matambudziko panguva yekuvhiyiwa, pamwe chete nenguva inotevera.
Contraindications yekushandiswa kweplastastric balloon
- Kuvapo kwekudzivirira uye zvironda zvepamukati kana duodenum uye zvirwere zvinoputira mumutsara wepamuviri.
- Allergic reaction to silicone.
- Kubereka pamuviri, pamuviri, kana kurongwa huri pedyo hwekusununguka.
- Dhiyabhorosi, chero upi zvake hwepfungwa kana doro.
- Kuvapo kwekushanda chero kupi zvako pamimba uye mudumbu.
- Zvirwere zvepachikafu mumatomu emimba.
- Kuvapo kwemakwenzi ekudyiwa kwezvokudya zvemafura, diverticula uye pharyngeal structures, esophagus.
- Kurohwa kwakanyanya kwomurwere, nokuti haagoni kunyatsoteerera zvirevo zvechiremba anomubata.
- Nguva dzose kudya kweSteroids, aspirin, anticoagulants, zvinodhaka zvinoshungurudza mudumbu, uyewo zvinopesana nezvinokonzera zvinodhaka.
- Kuvapo kwezvinhu zvinogona kubuda kubuda ropa mukati memutsara wepamuviri: varicose maronda emudumbu uye esophagus, stenosis uye atresia.
- Muviri wehutano hwemurwere uri pasi pe30. Kunze kana pane zvirwere, nzira yakanaka iyo inonyanya kuenderana nekuderedza kuora kwemu murwere.
- Kuvapo kwezvinetso zvehutano zvinomanikidza kushanda kwegastroscopy.
Iyo nzira yekuisa iyo intragastric balloon
Kuisa cylinder hakusi kushanda. Iyi ndiyo nzira yakajeka inoshandiswa inoitwa kunze kwepakati, pasi pekutonga kwegastroscopic. Nzira yacho inogonawo kuitwa pasi pesimba reesesthesia.
Nzira yacho inotora kubva pamaminitsi gumi kusvika ku20. Pakuguma kwegadziriro, murwere anoda kuzorora zvishomanana, uye ipapo anokwanisa kubva pakiriniki.
Kuiswa kwebhaluni kwakafanana zvikuru nekugadzirwa kwemazuva ano. Panguva yekufamba, murwere anogona kurara kuruboshwe rwake kana kumashure. Iyo inopastric balloon, iyo iri muvhu rakapetwa, muine nhete ine silicone shell perforated, pasi pesimba rekupedzisira mumurwere mudumbu, inoiswa mumuromo. Mubhoriyo pane catheter, iyo yakazadzwa ne saline, pakarepo mushure mekunge iri mukunya kwemudumbu.
Iyo silicone tube kubva kuvharivha ye cylinder inodonhedzwa mushure mekunge yazadzwa uye yabviswa nehadziro mumuromo. Mushure mokuguma kwegadziriro yacho, nyanzvi inotarisa nzvimbo yebhoti, uye murwere anobviswa kubva kune anesthesia.
Matambudziko, ayo anogona kuitika mushure mekuiswa kwebhokisi
Gastritis, kurutsa kwenguva refu uye kuora mwoyo, kukura kwezvionda - izvi ndizvo zvinetso zvinowanzoitika mushure mekuiswa kwebhokisi.
Izvi zvinetso zvinogona kubviswa nekubatsirwa kwemishonga. Muchiitiko ichi, hazvifaniri kubvisa cylinder.
Kusagadzikana muEgypt uye kuwedzerwa nzara zviratidzo zvinoratidza kuti kuwanda kwebhokisi kwakaderera pakarepo.
Kubviswa kweplastastric balloon
Pashure pemwedzi mitanhatu, bhoruti rinofanira kubviswa. Kana zvisina kudaro, hydrochloric acid, iyo inowedzera mimba yako, inogona kuparadza masvingo ebhaluni.
Kubviswa kwebhokisi kunenge kwakangofanana nekugadzirisa nzira. Muongorori anoita perforation yebhaluni nekubatsirwa kwechikwata chinokosha. Mushure meizvi, unofanirwa kubvisa mhinduro uye kubvisa membrane ye silicone kuburikidza nemuromo. Iyo inotora inenge maminitsi makumi maviri uye inoitwa pasi peanesthesia.
Mushure maizvozvi, mutoro womuviri wehutano unowedzera nezviyero zve 2-3 kilogram. Kana zvichidikanwa, cylinder inogona kuiswa zvakare. Asi zvisati zvaitika, mushure mokutanga nzira inofanira kutora mwedzi mumwe chete.