Metabolik Cerrahi (tur. Metabolic Kuvhiya) ndeimwe yemasangano anotungamira ekurapa muTurkey neEurope kuvhiya kwemetabolism. Inoitisa inoda kusvika mazana matatu nemazana matatu nemazana mana emakumi mana emabasa akaomesesa erudzi rwechipiri chirwere cheshuga. Alper Celic, Chief Surgeon, akashanda mumakiriniki muJapan, Brazil, neIndia. Iye ndomumwe wevashoma varapi vanokwanisa kuvapa maopisheni akadai saIleal Interposition uye Transit Bipartition uye nekuvadzidzisa zvine hushoma. Anovawo neChipangamazano Chekuongororesa Chezveshuwa neAmerican Society icho chinomuziva iye se "Chiremba wehunyanzvi muBariatric uye Metabolic Surgery." Iko kuvhiyiwa kunoenderana nehunhu hwe mudumbu diki hwematumbo. Kunyanya, pane yayo distal chikamu iyo mahormone, inobatsira kunetseka kwemasero kune insulin, inogadzirwa. Icho chinangwa chekupindira kwekuvhiya ndechekuwedzera kugadzirwa kwehormone iyi.
Ileal Interposition Panguva yekuvhiya, chiremba anovhiya anoisa magumo (distal) uye ekutanga (proximal) emudumbu diki.
Mune zvimwe zviitiko, ileum (distal chikamu chedumbu diki) inoiswa pakati pemudumbu uye chikamu chechipfuva chedumbu diki.
>>>>>>>>>>>>> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> ...> ... ... | Iyo dumbu diki inotemwa muzvikamu zviviri. Nzvimbo yekutanga yakasungirirwa padyo nedumbu rakakura. Iko yakasara yemahara kumagumo mudumbu diki inorungwa nedumbu (inonzi gastroileal anastomosis). Saka, mudumbu unochengetedza nzira mbiri dzinobuda.
Transit bipartition yakagadzirirwa kurwisa hutachiona hwehyperactive proximal gut uye hypoactive distal gut, iyo inokonzera kufutisa uye metabolic syndrome.
Kusiyana neayaimbove akagadzirwa malabsorptive ekuvhiya maitiro, zvinovaka muviri zvinochengetwa mu duodenum uchideredza malabsorption.
Kubatsira kweTransit Bipartition kushanda: Iyo malabsorption syndrome - malabsorption yezv zvinovaka muviri, haikure. 95% yevarwere havafanire kuchengeta hupenyu hwese hwekutsvaga hwezvakawedzerwa mumhando yemavitamini.
Kuvhiya kwese kunoitwa laparoscopically kubvumira kusiya Chipatara mumazuva mashanu uye nekukurumidza kudzokera munzira yakajairika yehupenyu. Vanopfuura 90% yevarwere vakadzora huwandu hweglucose mushure mekupindira kwekushanda.
Kunze kwekuvhiyiwa, nyanzvi dzeMetabolic C terhi dzinoshandisa hafu-yegore gore-yekudzora kutonga kuti vaone kana paine mimwe mishonga yekurapa inodiwa.