I- Metabolik Cerrahi (tur. Metabolic Surgery) lelinye lamaziko aphambili kwezonyango eTurkey naseYurophu ngonyango lwe-metabolic. Iqhuba phantse ngama-300-400 kolona celomngeni lwenzululwazi yesifo seswekile. U-Alper Celic, oyi-Chief Surgeon, wasebenza kwikliniki eJapan, eBrazil naseIndiya. Ungomnye woogqirha abambalwa abanokubonelela ngonyango olunje nge-Ileal Interposition kunye neTrip Transiposition kwaye ubenze ngobuncinci beengxaki. Ukwanesatifikethi seQonga lokuHlaziya oMbutho waseMelika esimqonda ukuba "nguGqirha oGqibeleleyo kwiBariatric nakwi-Metabolic Surgery." Uqhaqho lusekwe kubuchwephesha besisu esincinci samathumbu. Ngokuyintloko, kwicala layo le-distal apho i-hormone, enoxanduva lokuziva kweeseli ukuya kwi-insulin, iveliswa. Isizathu songenelelo ngoncedo kukonyusa ukuveliswa kwale hormone. > > > > > > >
>>>> >>>>>>>>>>>>>>>>>>>> optha utyando lubeka indawo yesiphelo (encal) kunye neyokuqala (proximal) yesisu esincinci.
Kwezinye iimeko, i-ileum (inxenye esekwe yamathumbu amancinci) ibekwa phakathi kwesisu kunye nenxalenye yezibilini ezincinci.
iTransipipition yoGqibelelo
Unyango olunzima kakhulu. Amathumbu amancinci anqunywe kwiinxalenye ezimbini. Indawo yokuqala ithungelwe kufutshane nesisu esikhulu. Ukuphela okushiyekileyo kwesibeleko esincinci kugqitywe ngesisu (okubizwa ngokuba yi-gastroileal anastomosis). Ke, isisu sigcina iindlela ezimbini zokuphuma.
Ukuhanjiswa kotshintsho kwenzelwe ukulwa isisu kunye ne-hypoactive distal gut, ebangela ukukhuluphala kunye ne-metabolic syndrome.
Ngokungafaniyo neendlela ezenziwe ngaphambili zokuhlinzwa ezingalunganga, ukuthuthwa kwesondlo kugcinwa kwi-duodenum ukunciphisa i-malabsorption.
Ithuba lokusebenza kweTrans Transipipipition: Isifo se-malabsorption - malabsorption yezakhamzimba, siyakhula. I-95% yezigulana azidingi ukugcina ixesha elininzi lobomi bezongezo ngendlela yeevithamini.
Lonke ugqirha wotyando lwenziwa laparoscopically ukuvumela ukuphuma kwesibhedlele kwiintsuku ezi-5 kwaye ngokukhawuleza abuyele kwindlela yesiqhelo yobomi. Ngaphezulu kwe-90% yezigulana zizinze kwinqanaba le-glucose emva kokungenelela kokusebenza.
Ngaphandle kotyando, Iingcali zeMetabolic Cerrahi zisebenzisa isigxina seminyaka yonyaka emva kolawulo lwenkqubo ukubona ukuba zikhona ezinye iindlela zonyango ezongezelelweyo ezifunekayo.