I-balloon yangaphakathi yokunciphisa ubunzima obuninzi yenziwa ngo-1980. Yenziwe nguFG Gau, isebenzisana ne-IDC. Ibhotile yenziwe nge-silicone yezokwelapha ephezulu yeerubha. I-400-700 milliliters yebhola yindlela ekwazi ukuhluka. Inkqubo kukuba ininzi yesisu sesigulane igcwele ibhaluni ye-silicone ezele ngamanzi. Emva koko, isiguli asikwazi ukufumana ukutya okuninzi njengoko wakwenza ngaphambili. Oku kukuvumela ukuba unciphise inani leekhalori ezisetyenzisiweyo, ezenza ukuba kulahleke ubunzima.
Ukusebenza kwendlela
I-balloon yesigxina inganciphisa umzimba wesigulane kwisigulane sesi-5 ukuya kuma-35 kilogram. Ekupheleni konyango, uhlala kwinqanaba elithile. Kukho ngokubanzi nangakumbi ukuzama ukuvavanya le ndlela yokonyango, eye yaqinisekisa ukuphumelela kwayo kwiminyaka emininzi yamava.
Emva kokuba ibhaluni ifakwe, ukutya komntu kuncipha. Oku kukhokelela ekunciphiseni okwemvelo nokuhamba ngokunyuka komzimba. Kubalulekile ukuba uqaphele ukuba emva kokuba uthathe uvakalelo lwexesha elide alushiyi umzimba. Emva kweenyanga ezimbalwa, i-reflex engenakunyanzelwanga imiselwe. Umntu unengqondo eyahlukileyo kumgangatho kunye nobungakanani bokutya asebenzisayo.
Isigulane kufuneka sithathe imithi ye-acast-down infringed omeprazole (omez) ngelixa iphathwa.
Uviwo ngaphambi kokufaka ibhaluni ye-intragastric
Kufuneka ufumane uviwo oluncinci ngaphambi kokufaka ibhaluni ye-intragastric. I-Esophagogastroduodenoscopy yinkqubo eyenziwa kuqala. Ngoncedo lwabo, zonke izilonda ezichukumisayo kunye neentsholongwane ze-mucosa esiswini kwisigulane ziyacinywa. Ukuze uhlole imeko ye-carbohydrate kunye ne-lipid metabolism, kufuneka wenze uvavanyo lwegazi lwe-biochemical. Kuya kunceda ukuvavanya ukuphumelela kwonyango emva kokuba ibhaluni isuswe.
Izibonakaliso zesicelo sokubhalisa ibhaluni
Kuzo zonke iidiski zokunyuka ngokweqile, ibhaluni ye-intragastric imiselwe. Ukuze ufumane isigangatho, kufuneka ubale isibalo somzimba wesigulane. Lo ngumsebenzi wengcali. Kuyafaneleka ukuba uqaphele ukuba ukuba ukukhuluphala sele kusele kwibanga lesi-III, kwaye ibhaluni yokunciphisa umzimba isetyenziselwa ukulungiselela ukuhlinzwa okuzayo. Le nkqubo iya kunciphisa kakhulu amathuba okuphuhlisa nayiphi na ingxaki ngexesha lotyando, kunye nexesha lokuhamba emva.
Ukungqinelana kokusetyenziswa kwebhokisi le-intragastric
- Ubuninzi bezilwanyana kunye nezilonda zesisu okanye i-duodenum kunye nezifo ezivuthayo kwisigca esisisu.
- Ukuphendulela kokungena kwi-silicone.
- Ukuncelisa, ukukhulelwa, okanye ukucwangciswa kwexesha elizayo lokukhulelwa.
- Umlutha, nayiphi na ingxaki yengqondo okanye utywala.
- Ubungqina bokuba nayiphi na imisebenzi kwisisu esiswini kunye nesisu.
- Izifo ze-ecological in the tractinal tract.
- Ubuninzi bama-hernias kwindawo yokutya yesigxina, i-diverticula kunye nezakhiwo ze-pharyngeal, isophagus.
- Ukuqeqeshwa okuphantsi kwesigulane, ngenxa yokuba akayi kuthobela ngokupheleleyo imiyalelo kadokotela ophethe.
- Ukudla rhoqo kwe-steroids, i-aspirin, i-anticoagulants, iziyobisi ezicaphukisa isisu, kunye nezidakamizwa ezichasayo.
- Ubukho bemithombo ekhoyo yokuphuma egazini lomzimba: izilonda ze-varicose zesisu kunye nesisu, i-stenosis kunye ne-atresia.
- Isalathisi somzimba wesigulane singaphantsi kwe-30 Ngaphandle kokuba kukho izifo, ikhondo elifanelekileyo lixhomekeke ngokupheleleyo ekunciphiseni kwesisindo somguli.
- Ubukho naziphi na iingxaki zezokwelapha eziba nzima ukusebenza kwe-gastroscopy.
Inkqubo yokufaka ibhaluni ye-intragastric
Ukufaka isilinda akusebenzi. Le nkqubo yinkqubo enobulungisa eyenziwa ngesigulana, phantsi kokulawulwa kwe-gastroscopic. Inqubo inokwenziwa kwakhona phantsi kwe-anesthesia ye-intravenous.
Le nkqubo iqhubeka imizuzu eyi-10 ukuya kwe-20. Ekupheleni kwenkqubo, isigulane sidinga ukuphumla okufutshane, kwaye emva koko angasuka kwiklinikhi ngokuphepha.
Ukufakwa kwebhaluni kuyafana kakhulu nenkqubo yegastroscopy eqhelekileyo. Ngethuba le nkqubo, isiguli sinokulala ngasecaleni okanye ngasemva. I-balloon ye-intragastric, esesigxiniweyo, kwi-silicone encinciweyo yegobolondo, ephantsi kolawulo lwe-endoscope kwisisu sesiguli, ifakwe emlonyeni. Kulo ibhaluni kukho ikhonteyitha, ezaliswe ngayo i-saline, emva kokukhawuleza kwimeko ye-lumen yesisu.
I-tube ye-silicone esuka kwinqwelo ye-cylinder isinqanyuliwe emva kokuba igcwaliswe kwaye isuswe ngesigxina emlonyeni. Emva kokuphela kwenkqubo, oyingcali ubeka indawo kwibhaluni, kwaye isigulane sithathwe kwi-anesthesia.
Iingxaki, ezinokwenzeka emva kokufakwa kwibhaluni
I-Gastritis, ukuhlanza ixesha elide kunye nesiphithiphithi, ukuphuhliswa kwezilonda - ezi ngxaki eziqhelekileyo ezivela emva kokufakwa kwibhaluni.
Ezi ngxaki zinokupheliswa ngoncedo lwamachiza. Kule meko, akufuneki ukususa isilinda.
Ukukhathazeka eYiputa kunye nokwandisa indlala yimiqondiso ebonisa ukuba umthamo webhaluni uye wehla ngokukhawuleza.
Ukususwa kwesibhaloni sangaphakathi
Emva kweenyanga 6, ibhaluni kufuneka isuswe. Ngaphandle koko, i-hydrochloric acid, eyenza isisu sakho sivelise, sinokutshabalalisa indonga ibhaluni.
Ukususwa kwebhaluni kufana nokufana nenkqubo yokufakela. Iingcali zenza i-perforation ibhaluni ngoncedo lwe-stiletto ekhethekileyo. Emva koko, kufuneka ukhuphe isisombululo uze ususe umlenze we-silicone ngomlomo. Inkqubo ithatha malunga nemizuzu engama-20 kwaye yenziwa phantsi kwe-anesthesia.
Emva koko, isisindo somzimba wesiguli sinyuselwa ngumyinge we-2-3 kilogram. Ukuba kuyimfuneko, isilinda sinokufakwa kwakhona. Kodwa ngaphambi kokuba, emva kokuqala inkqubo kufuneka ithathe ubuncinane inyanga enye.