د أحمد رشدي

التكميم المعدل

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ما هي عملية التكميم المعدل؟

تكميم المعدة  المعدل…أحدث ما توصلت إليه جراحات السمنة العالمية. يتم فيها وضع حلقة حول المعدة المكممة فى العملية. فتمنع تمددها فى حالة أن المريض أكثر فى أكله بعد الشبع.

 

وما الفرق بين عملية التكميم المعدل وتكميم المعدة؟ 

يتم في تكميم المعدة قص حوالى 70% من المعدة و بالتالى تصغير حجم المعدة بنسبة كبيرة فيشعر المريض بالشبع بمجرد تناول كمية قليلة من الطعام. و تتم بالمنظار عن طريق 4 فتحات صغيرة طولها لا يتعدى 2 سم. كما يتم التخلص من هرمون الجوع فى العملية فيصبح الشعور بالجوع بعد العملية أمر نادر. أما تكميم المعدة المعدل فيتم وضع حلقة حول المعدة المكممة لضمان عدم تمددها مرة أخرى. 

 

ماذا بعد عملية تكميم المعدة المعدل؟

1-الإقامة فى المستشفى يوم واحد بعد العملية.

2-العودة لممارسة العمل و الحياة الطبيعية بعد أسبوع من العملية على الأكثر.

3-الإلتزام بالمتابعة مع الطبيب و تناول الفيتامينات و المكملات الغذائية لفترة يحددها الطبيب.

4-الإلتزام بتناول الطعام الصحى و ممارسة الرياضة للحفاظ على نتائج العملية.

لماذا أختار عملية تكميم المعدة المعدل؟

1-تتم بالمنظار مما يعنى ألم اقل، شكل تجميلى أفضل و نتائج أفضل.

2-لا يمكن أن يحدث تمدد للمعدة مرة أخرى أو نزول فى الوزن نتيجة وجود حلقة حول المعدة تم إدخالها فى العملية.

3-العملية تحقق نتائج مبهرة فى النزول فى الوزن.

4-تخلصك العملية من مضاعفات السمنة المفرطة مثل السكر و إرتفاع ضغط الدم ،الكوليسترول ، أمراض التنفس ،العظام و المفاصل.

 

ما هى وظيفة الحلقة التى يتم وضعها حول المعدة فى العملية؟

تقوم هذة الحلقة بوظيفتين:

1-تمنع تمدد المعدة و بالتالى الرجوع فى الوزن مرة أخرى إذا أكثر المريض فى تناول الطعام فوق طاقة المعدة.

2-أيضاً تضغط على عصب معين فى المعدة إذا أكثر المريض فى الأكل، معطية المريض الشعور بالشبع فيتوقف عن الأكل.

السؤال الاهم فى جراحات السمنة كيفية اختيار نوع العملية مع د احمد رشدي

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