Ukudlula esiswini uhlobo lokuhlinzwa lokwelapha ukukhuluphala okuqukethe ukudala isikhwama esincane esiswini. Eyaziwa nangokuthi ukuhlinzwa kwesisu esiswini, kuyindlela esetshenziswa kakhulu e-US nakwamanye amazwe, lapho udokotela ohlinzayo ehlukanisa isisu sibe yingxenye enkulu nesincane kakhulu.
Ingxenye encane ithungiwe noma ifakiwe, kwakhiwa isikhwama esingahlala kuphela inkomishi eyodwa yokudla. Ngesisu esincane kangaka abantu bazizwa besuthi ngokushesha futhi badle kancane. Lelisu libizwa ngokuthi "ukuvimbela" ngoba usayizi omusha wesisu uvimbela inani lokudla elingakubamba.
Ingxenye yesibili yokuhlinzwa iqukethe iBypass. Udokotela ohlinzayo unqamula isikhwama esisha, esincane sesisu esiswini esiningi nengxenye yokuqala yamathumbu amancane (i-duodenum) ukuxhuma engxenyeni yamathumbu amancane aphansi kancane (i-jejunum). Le nqubo yokuhlinza ibizwa nge- "Roux-Y."
Ngemuva kwe- "Futhi kweRoux", ukumuncwa kwama-calories nezakhi kuyancipha, ngoba ukudla kudlula ngqo kusuka esiswini kuya ku-jejunum, ukugwema i-duodenum. Ngenxa yalokhu, le ndlela yokwehlisa isisindo ibizwa nge- "malabsorptive."
Ngokuvamile, ukufakwa kwesisu kanye ne- «Roux-Y» kwenziwa ngesikhathi sokuhlinzwa okufanayo, lapho kwenziwa ndawonye, kubizwa ngokuthi i- «Gastric bypass with the Roux-Y technique». Imvamisa kwenziwa nge-laparosomically (ngokusebenzisa ukusikeka okuncane esiswini), yize kunezimo lapho kungenzeki khona. Lapho-ke odokotela abahlinzayo bangenza i-laparotomy (ukusika okukhulu phakathi kwesisu)
Ukubuyisela
Ngemuva kokuhlinzwa kokudlula esiswini, abantu kumele bahlale esibhedlela izinsuku ezimbili noma ezintathu ngaphambi kokubuya ekhaya - kwesinye isikhathi kuba kuncane futhi okunye kube kuncane, kuya ngesiguli--, yize kuvame ukwelulekwa ukuthi ungaphinde ujoyine inqubo kuze kube ngemuva kwamasonto amabili kuya kwamathathu.
Izinkinga ezinkulu zivame kakhuluikakhulukazi lapho inqubo yenziwa ngudokotela ohlinzayo onolwazi kakhulu. Kodwa-ke, ezinye izinkinga zempilo zingenzeka ngenxa yokuhlinzwa. Isibonelo, ukungamunci i-iron noma i-calcium eningi njengakuqala kungadala i-anemia ne-osteoporosis. Ukuthatha izithasiselo nokuhlolwa njalo kunganciphisa ubungozi bakho.