Gastric yekupfuura mhando yekuvhiya yekurapa kufutisa iyo inosanganisira kugadzira homwe diki mudumbu. Iyo inozivikanwa zvakare sekuvhiya kwepamuviri, ndiyo nzira inoshandiswa zvakanyanya muUS nedzimwe nyika, umo chiremba anovhiya dumbu muchikamu chikuru uye chidiki.
Chikamu chidiki chakasonerwa kana kusunganidzwa, chichiumba bhegi rinongobata mukombe mumwe chete wechikafu. Nedumbu diki rakadai vanhu vanonzwa kuguta nekukurumidza uye vanodya zvishoma. Iyi sarudzo inonzi "inoganhurira" nekuti saizi nyowani yedumbu inodzora huwandu hwechikafu chainogona kubata.
Chikamu chechipiri chekuvhiya chine Bypass. Chiremba anovhiya anodambura homwe nyowani, diki dumbu kubva mudumbu zhinji uye chikamu chekutanga chemukati mudumbu (duodenum) yekubatana nechikamu chemuhomba mudiki zvishoma (jejunum). Iyi nzira yekuvhiya inonzi "Roux-Y."
Mushure me "Uye yeRoux", kunwiwa kwemakori uye zvinovaka muviri kunononoka, sezvo chikafu chinopfuura chaicho kubva mudumbu kuenda kujejunum, uchidzivirira duodenum. Nekuda kweizvi, iyi nzira yekuderedza uremu inonzi "malabsorptive."
Kazhinji, kunamira kwedumbu uye «Roux-Y» kunoitwa panguva imwechete yekuvhiya, uye kana zvoitwa pamwe chete, zvinonzi «Gastric pfuura neiyo Roux-Y maitiro». Inowanzoitwa laparosomically (kuburikidza nekucheka kudiki mudumbu), kunyangwe paine zviitiko izvo zvisingaite. Ipapo vanovhiya vanogona kuita laparotomy (rakacheka rakakura pakati padumbu)
Kudzorera
Mushure mekuvhiyiwa kwepamuviri, vanhu vanofanira kugara muchipatara kwemazuva maviri kusvika matatu usati wadzoka kubva kumba - dzimwe nguva inenge iri shoma uye mimwe yakawanda, zvinoenderana nemurwere--, kunyangwe kazhinji zvichikurudzirwa kusajoinha chiitiko zvekarezve mushure memasvondo maviri kusvika matatu.
Zvinetso zvakakomba hazviwanzoitikakunyanya kana maitiro acho achiitwa nachiremba ane ruzivo. Nekudaro, mamwe matambudziko ehutano anogona kuitika semhedzisiro yekuvhiyiwa. Semuenzaniso, kusatora yakawanda simbi kana calcium sepakutanga kunogona kukonzera kupererwa neropa uye osteoporosis. Kutora zvekuwedzera uye kuongororwa nguva nenguva kunogona kudzikisa njodzi yako.