تحويل المسارالمصغر :-
هي عملية يقوم فيها الطبيب بقص جزء كبيرمن المعدة جزء كبير من المعدة وفصل جزء منها عن طريق عمل جيب ثم يقوم الطبيب بتغيير مسار الأمعاء عن طريق الإثنى عشر وتتم هذه العملية عن طريق المنظار بكاميرا عالية الجودة وذلك لكي يتمكن الطبيب من رؤية معدة المريض بشكل واضح وفي هذه العملية يتم تقليل إفراز هرمون الجوع مما يجعل المريض يشعر بالشبع عند تناول كميات قليلة من الطعام.
من هو المرشح الأمثل لعملية تحويل المسار؟
هو مريض السمنة من يحب تناول الحلويات و السكريات بكميات كبيرة. أو مريض السكر. أو من لديه زيادة فى الوزن عن المثالى أكثر من 30 كجم أو مؤشر كتلة الجسم (الوزن/(الطول)2) أكثر من 40 أو 35 فى وجود أمراض أخرى مثل الضغط و السكر و أمراض العظام.
ما هى مميزات المنظار فى عملية تحويل المسار؟
1-ألم أقل من الجراحة المفتوحة.
2-إقامة فى المستشفى لمدة يوم واحد.
3-فترة نقاهة قصيرة فيمكن العودة لممارسة الحياة الطبيعية بعد 5 أيام على الأكثر.
4-الشكل التجميلى أفضل بكثير.
ما هى أنواع عمليات تحويل المسار أو كما يطلق عليها الأوميجا لوب؟
1-عملية تحويل المسار الكلاسيكى.
2-عملية تحويل المسار المصغر.
مميزات عملية تحويل المسار للسمنة المفرطة:
1-تصلح لجميع أنواع السمنة المفرطة و جميع الأوزان.
2-يتم فيها تصغير حجم المعدة بنسبة 80% فيصل المريض للشبع بعد أقل كمية أكل.
3-يتم فيها تحويل مسار الأمعاء فيقل إمتصاص المواد الغذائية و السكريات..فهى تصلح جداً لمحبى الحلويات.
4-يتم فيها قص جزء من المعدة المسئول عن إفراز هرمون الجوع..فيصبح الشعور بالجوع نادراً.
5-تحقق شفاءاً من مرض السكر النوع الثانى نتيجة لتقليلها من إمتصاص السكريات.
6-تحقق شفاءاً من مضاعفات السمنة مثل أمراض التنفس و إرتفاع ضغط الدم و الكوليسترول ،المفاصل و العظام
7-عملية آمنة تماماً .
8-تحقق نتائج ممتازة على المدى البعيد.
9-تتم بالمنظار مما يحقق العديد من المزايا.
10-تحقق نزولاً فى الوزن أعلى من العمليات الأخرى.
11-عملية تحويل المسار هى من أقدم جراحات السمنة و قد ثبتت نتائجها بالتجارب على مر السنين.
12-لا يتم فيها إدخال جسم غريب.
ماذا بعد عملية تحويل المسار؟
1-الإقامة فى المستشفى لمدة يوم واحد و عودة المريض لممارسة عمله بعد أسبوع على الأكثر من العملية.
2-تناول الفيتامينات و المكملات الغذائية الموصوفة من الطبيب لفترة من الزمن يحددها الطبيب.
3-المتابعة المستمرة مع الطبيب.
4-الإلتزام بالأكل الصحى و ممارسة الرياضة للحفاظ على نتائج العملية.
5-تجنب المشروبات الغازية لضغطها على جدار المعدة مما قد يسبب تمدد لها
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