د أحمد رشدي

تكميم المعدة

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تكميم المعدة :-

شهدت عملية تكميم المعدة تطور كبير لتصبح الجراحة أكثر تطور وفاعلية.

وذلك من خلال التقنيات المتطورة المستخدمة في الجراحة عملية التكميم عتمد بشكل أساسي على قص نسبة كبيرة من المعدة بهدف تصغير حجمها.

وتقليل قدرتها على استعاب كمية كبيرة من الطعام خلال اليوم. بديلا عن كميات الطعام الكبيرة التي أعتاد عليها المريض قبل بدأ الجراحة.

من هو المرشح الأمثل لتكميم المعدة:-

هو مريض السمنة من يحب تناول الطعام بكميات كبيرة و لديه زيادة فى الوزن عن المثالى أكثر من 30 كجم.فزيادة وزنك بمقدار 30 كيلو جرام عن وزنك المثالي يعتبر أقل وزن لعملية تكميم المعدة.

أو يكون مؤشر كتلة الجسم (الوزن/(الطول)2) أكثر من 40 ،أو 35 فى وجود أمراض أخر ى مثل الضغط و السكر و أمراض العظام.

كيف يتم التحضير لعملية تكميم المعدة

يتم التحضير لعملية تكميم المعدة بإجراء ومعرفة الأمور الاتية:

متابعة التاريخ المرضي بشكل كامل قبل إجراء العملية.

عمل فحوصات دم وبعض الصور الطبية كذلك، للتأكد من استعدادية المريض للعملية وقدرته على تحملها.

معرفة أية أنواع أدوية يأخذها المريض،

التوقف عن التدخين تمامًا إذا كان المريض مدخنًا، فالتدخين يزيد من المدة الافتراضية التي يحتاجها الجسم للتعافي بعد العملية، ويزيد من فرص حصول العدوى والالتهابات.

ماهى مدة عملية تكميم المعدة بالمنظار؟

مدة العملية 45 دقيقة و الإقامة يوم واحد بالمستشفى.

ماهى معايير نجاح عملية تكميم المعدة؟

  1. التخلص من أكثر من 65% من الوزن الزائد.
  2. الحفاظ على ما فقده المريض من الوزن.
  3. الشفاء من مضاعفات السمنة مثل السكر، إرتفاع ضغط الدم، إرتفاع نسبة الكوليسترول بالدم و أمراض العظام، المفاصل و التنفس.

بعد عملية تكميم المعدة

من الضروري وبعد إجراء العملية تغيير العادات الحياتية والغذائية للمريض، وهذه التغييرات تشمل:

تناول كميات أقل من الطعام في كل وجبة خلال النهار.

الابتعاد عن تناول الأطعمة الغنية بالألياف.

التركيز على تناول أطعمة غنية بالكالسيوم والحديد وفيتامين ج وفيتامين د.

تناول مكملات الفيتامينات.

للمزيد عن عملية تكميم المعدة

اضغط لتشغيل الفديو

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