Pulogalamu yothandizira kuchepetsa kulemera kochulukitsa inayamba mu 1980. Linapangidwa ndi FG Gau, yogwirizana ndi IDC. Bhodolo amapangidwa ndi silicone yachipatala yapamwamba kwambiri. Mililita 400-700 a mpira ndi mphamvu zomwe zingasinthe. Njirayi ndi yakuti mimba ya wodwala imadzaza ndi bulloon yodzaza ndi madzi. Pambuyo pake, wodwalayo sangathe kutenga chakudya chochuluka monga momwe anachitira kale. Izi zimakuthandizani kuti muchepetse chiwerengero cha makilogalamu omwe amadya, zomwe zimapangitsa kuti thupi liwonongeke.
Kugwiritsa ntchito njirayi
Pulogalamu yowonongeka ikhoza kuchepetsa kulemera kwa thupi kwa wodwalayo kuchoka pa 5 mpaka 35 kilogalamu. Mapeto a chithandizochi, amakhalabe pamtunda wina. Pali ambiri omwe akufunitsitsa kuyesa njira imeneyi, yomwe yatsimikiziranso mphamvu yake ndi zaka zambiri.
Bululo likaikidwa, chilakolako cha munthuyo chichepa. Zimenezi zimapangitsa kuti thupi likhale lochepa komanso lochepa kwambiri. Ndikoyenera kudziwa kuti atatha kukhala ndi nthawi yambiri yachisamaliro sasiya thupi. Pambuyo pa miyezi ingapo, chiwerengero cha reflex chosasinthidwa chimakhazikitsidwa. Munthu ali ndi malingaliro osiyana ndi zakudya ndi kuchuluka kwa zakudya zomwe amagwiritsa ntchito.
Wodwala ayenera kutenga mankhwala amchere omeprazole omeprazole (omez) pamene akuchiritsidwa.
Kuyezetsa musanayambe kugwiritsa ntchito bulloon yovuta
Muyenera kuyesa kaye kaye musanamangidwe ndi bulloon yolowera. Esophagogastroduodenoscopy ndi ndondomeko yomwe imachitika poyamba. Ndi chithandizo chake, zilonda zonse zam'mimba ndi zokopa za m'mimba mkati mwa wodwalayo zimachotsedwa. Kuti muwone momwe thupi limakhalira komanso lipid metabolism, muyenera kuyesa magazi. Zidzathandizanso kuti muwone momwe chithandizocho chikuyendera pambuyo pa kuchotsedwa kwa buluni.
Zisonyezo za intragastric balloon ntchito
Pa madigiri onse olemera kwambiri, balloon ya intragastric imayikidwa. Kuti mudziwe mlingo, muyenera kuwerengera mliri wa thupi la wodwalayo. Uwu ndi ntchito ya katswiri. Ndiyeneranso kuzindikira kuti ngati kunenepa kwambiri kumakhala kale pa grade III, ndiye kuti balloon yochepetsera kulemera imakhazikitsidwa pofuna kukonzekera opaleshoni yobwera. Ndondomekoyi idzachepetsa kwambiri kuthekera kwa mavuto onse pa nthawi ya opaleshoni, komanso nthawi yopitiliza ntchito.
Contraindications za ntchito ya intragastric balloon
- Kupezeka kwa ziphuphu ndi zilonda zam'mimba kapena duodenum ndi zotupa m'matumbo.
- Kuthamanga kwa mankhwala ndi silicone.
- Kuyamwitsa, mimba, kapena kukonzekera mtsogolo kwa mimba.
- Kuledzera, vuto lililonse la maganizo kapena uchidakwa.
- Kukhalapo kwa ntchito iliyonse pamimba pamimba ndi mmimba.
- Matenda a zamoyo m'matumbo.
- Kukhalapo kwa hernias mu dzenje la chakudya la diaphragm, diverticula ndi pharyngeal structures, epopus.
- Chilango chochepa cha wodwalayo, chifukwa cha zomwe sangakwanitse kuchita zonse zomwe adokotala amamuchitira.
- Kugwiritsa ntchito mankhwala a steroids nthawi zonse, aspirin, antiticoagulants, mankhwala osokoneza mimba, komanso mankhwala osokoneza bongo.
- Kukhalapo kwa zotheka kupezeka mwazi m'matumbo: ziwindi za varicose za m'mimba ndi mimba, stenosis ndi atresia.
- Mndandanda wa thupi la wodwalayo ndi wosachepera 30. Kupatula ngati pali matenda, njira yabwino yomwe imadalira kwambiri ndi kuchepetsa kulemera kwa wodwalayo.
- Kukhalapo kwa mavuto aliwonse azachipatala omwe amachititsa kuti ntchito yowonongeka ipangidwe.
Ndondomeko ya kukhazikitsa intolastric balloon
Kuika silinda si opaleshoni. Imeneyi ndi njira yophweka yomwe imachitidwa panthawi yopuma, poyang'anitsitsa. Ndondomekoyi ikhonza kuchitidwa poyerekeza ndi kupweteka kwa magazi.
Njirayi imatenga mphindi 10 mpaka 20. Pamapeto pake, wodwalayo amafunika mpumulo pang'ono, kenako amatha kuchoka kuchipatala.
Kuyika balloyo kumakhala kofanana kwambiri ndi njira yowonongeka. Panthawiyi, wodwalayo akhoza kugona kumbali yake ya kumanzere kapena kumbuyo kwake. Cholinga cha bulloon, chomwe chili m'chigawo chophatikizidwa, ndi chigoba chochepa cha silicone chophwanyika, chomwe chimayang'aniridwa ndi endoscope m'mimba mwa wodwalayo, chimayikidwa kudzera pakamwa. Mu baluni pali catheter, yomwe imadzaza ndi saline, mwamsanga mutangokhala mu lumen ya m'mimba.
Silicone chubu kuchokera ku valavu yamagetsi imachotsedwa ikatha kudzazidwa ndi kuchotsedwa pamtunda pakamwa. Mapeto atatha, katswiri amayang'ana malo a baluni, ndipo wodwalayo amachotsedwa ndi anesthesia.
Zovuta, zomwe zingatheke mutatha kukhazikitsa buluni
Gastritis, kusanza kwa nthawi yaitali ndi kunyozetsa, kukula kwa zilonda - izi ndizovuta zomwe zimachitika mutangotsegula buluni.
Zovuta zimenezi zingathetsedwe ndi chithandizo cha mankhwala. Pankhaniyi, sikofunika kuchotsa silinda.
Kusokonezeka ku Egypt ndi kuwonjezeka kwa njala ndi zizindikiro zomwe zimasonyeza kuti voliyumu yafooka mwadzidzidzi.
Kuchotsedwa kwa intolastric balloon
Pambuyo pa miyezi 6, baluni ayenera kuchotsedwa. Apo ayi, hydrochloric acid, yomwe mimba yanu imabala, ikhoza kuwononga makoma a baluni.
Kutulutsidwa kwa buluni kumakhala kofanana ndi njira yowakhazikitsa. Katswiri amapanga perforation ya baluni mothandizidwa ndi ndodo yapadera. Pambuyo pake, muyenera kuchotsa vutoli ndikuchotsa membrane ya silicone kudzera pakamwa. Ndondomekoyi imatenga pafupifupi mphindi 20 ndipo imachitidwa pansi pa anesthesia.
Pambuyo pake, kulemera kwa thupi kwa wodwala kumawonjezeka ndi pafupifupi ma kilogalamu 2-3. Ngati ndi kotheka, silindayi ikhoza kukhazikitsidwa. Koma izi zisanachitike, njira yoyamba iyenera kutenga mwezi umodzi.