1. Operacioni p\u00ebr r\u00ebnien n\u00eb pesh\u00eb nuk \u00ebsht\u00eb vet\u00ebm nj\u00eb. Ka disa lloje nd\u00ebrhyrjesh metabolike dhe bariatrike, si\u00e7 i quajn\u00eb doktor\u00ebt. Ato funksionojn\u00eb n\u00eb tre m\u00ebnyra:
\na. Duke kufizuar sasin\u00eb e ushqimit q\u00eb mund t\u00eb mbaj\u00eb stomaku, k\u00ebshtu q\u00eb ham\u00eb m\u00eb pak dhe biem n\u00eb pesh\u00eb.
\nb. Duke penguar sistemin tret\u00ebs t\u00eb thith\u00eb disa nga kalorit\u00eb dhe p\u00ebrb\u00ebr\u00ebsit n\u00eb ushqimet q\u00eb ham\u00eb.
\nc. Duke i p\u00ebrdorur t\u00eb dyja metodat. <\/p>\n
2 \u00c7far\u00eb peshe duhet t\u00eb kemi q\u00eb t’i n\u00ebnshtrohemi nj\u00eb operacioni t\u00eb till\u00eb?
\nP\u00ebr t\u00eb qen\u00eb kandidat p\u00ebr nj\u00eb operacion t\u00eb till\u00eb, duhet t\u00eb kemi shum\u00eb mbipesh\u00eb: Nj\u00eb IMT (indeks i mas\u00ebs trupore) m\u00eb i madh se 40 (afro 50 kg mbipesh\u00eb), ose IMT 35-40 (afro 40 mbipesh\u00eb) dhe s\u00ebmundje si tension t\u00eb lart\u00eb, diabet, astm\u00eb, rikthim t\u00eb ushqimit n\u00eb ezofag, probleme me mbajtjen e urin\u00ebs, marrja e frym\u00ebs n\u00eb gjum\u00eb etj. N\u00eb disa raste, n\u00ebse kemi diabet, apo sindrom\u00ebn metabolike, nd\u00ebrhyrja b\u00ebhet edhe po t\u00eb kemi IMT 30-35. <\/p>\n
3 Tipet e nd\u00ebrhyrjeve kirurgjikale
\nAto jan\u00eb t\u00eb llojeve t\u00eb ndryshme. Disa, si “m\u00ebnga gastrike” ose fasha gastrike, zvog\u00eblojn\u00eb madh\u00ebsin\u00eb e stomakut, prandaj quhen edhe nd\u00ebrhyrje shtr\u00ebnguese. Operacione t\u00eb tjera, si \u00e7el\u00ebsi duodenal, vet\u00ebm b\u00ebjn\u00eb t\u00eb evitohet nj\u00eb pjes\u00eb e zorr\u00ebve, q\u00eb t\u00eb thithet m\u00eb pak ushqim. Doktor\u00ebt, k\u00ebto, i quajn\u00eb nd\u00ebrhyrjet e keqthithjes. <\/p>\n
4 Peshimi i pro-ve dhe kundra-ve
\nDoktori juaj do t’ju vizitoj\u00eb me kujdes, p\u00ebr t\u00eb v\u00ebrtetuar n\u00ebse jeni fizikisht dhe mend\u00ebrisht gati p\u00ebr nd\u00ebrhyrjen, si edhe i p\u00ebrgatitur p\u00ebr t\u00eb b\u00ebr\u00eb ndryshime t\u00eb m\u00ebdha, t\u00eb nevojshme p\u00ebr t\u00eb r\u00ebn\u00eb n\u00eb pesh\u00eb. S\u00eb bashku, ju do t\u00eb diskutoni rreziqet dhe t\u00eb mirat e procedur\u00ebs q\u00eb doni t\u00eb ndiqni. Doktori juaj mund t’ju k\u00ebrkoj\u00eb t\u00eb b\u00ebni disa gj\u00ebra para nd\u00ebrhyrjes, si l\u00ebnien e duhanit, r\u00ebnien pak n\u00eb pesh\u00eb dhe t\u00eb sigurohet se niveli i sheqerit n\u00eb gjak \u00ebsht\u00eb n\u00ebn kontroll. <\/p>\n
5 P\u00ebrgatitja p\u00ebr nd\u00ebrhyrjen
\nDoktori juaj do t’ju thot\u00eb juve sakt\u00ebsisht se \u00e7far\u00eb duhet t\u00eb b\u00ebni. Ju do t\u00eb evitoni aspirin\u00ebn ose ndonj\u00eb produkt q\u00eb e p\u00ebrmban at\u00eb, si edhe tabletat me p\u00ebrmbajtje bimore, nj\u00eb jav\u00eb para operacionit. N\u00eb 24-48 or\u00ebt para nd\u00ebrhyrjes, ju duhet t\u00eb hani vet\u00ebm l\u00ebngje. Gjat\u00eb operacionit, do t’i n\u00ebnshtroheni anestezis\u00eb s\u00eb p\u00ebrgjithshme. <\/p>\n
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\n6. METODAT KIRURGJIKALE
\nDoktori do t\u00eb p\u00ebrdor\u00eb ose metod\u00ebn klasike, ose laparoskopin\u00eb. Kjo e fundit l\u00eb shenja m\u00eb t\u00eb vogla dhe ka m\u00eb pak nd\u00ebrlikime. P\u00ebr k\u00ebt\u00eb arsye, pacienti e merr veten m\u00eb shpejt. P\u00ebr k\u00ebt\u00eb procedur\u00eb, doktori b\u00ebn vet\u00ebm disa vrima t\u00eb vogla. Ajo do t\u00eb p\u00ebrdor\u00eb nj\u00eb veg\u00ebl t\u00eb holl\u00eb, q\u00eb quhet laparoskopi, q\u00eb do t\u00eb tregoj\u00eb se \u00e7far\u00eb ndodh brenda jush n\u00eb nj\u00eb monitor, n\u00eb sall\u00ebn e operacionit. N\u00ebse b\u00ebhet nd\u00ebrhyrja klasike, ai do t\u00eb b\u00ebj\u00eb nj\u00eb hapje 20-25 centimetra n\u00eb barkun tuaj.<\/p>\n
7. Baipasi n\u00eb form\u00eb Y
\nGjat\u00eb k\u00ebsaj procedure, kirurgu do t\u00eb p\u00ebrdor\u00eb kap\u00ebse kirurgjikale p\u00ebr t\u00eb krijuar nj\u00eb xhep t\u00eb vog\u00ebl, q\u00eb do t\u00eb sh\u00ebrbej\u00eb si stomaku juaj i ri. Ky xhep mund t\u00eb mbaj\u00eb deri n\u00eb nj\u00eb filxhan ushqim. Pjesa tjet\u00ebr e stomakut do t\u00eb jet\u00eb aty, por n\u00eb t\u00eb, nuk do t\u00eb shkoj\u00eb ushqim. M\u00eb pas, kirurgu do t\u00eb pres\u00eb zorr\u00ebn e holl\u00eb pas stomakut dhe do ta lidh\u00eb me fundin e xhepit t\u00eb vog\u00ebl, duke krijuar k\u00ebshtu nj\u00eb form\u00eb Y-je. Pjesa tjet\u00ebr e stomakut do t\u00eb jet\u00eb ende aty, ajo do t\u00eb l\u00ebshoj\u00eb l\u00ebngjet e pankreasit p\u00ebr t\u00eb ndihmuar n\u00eb tretjen e ushqimeve q\u00eb vijn\u00eb nga xhepi i vog\u00ebl. Doktor\u00ebt p\u00ebrdorin laparoskopin\u00eb n\u00eb shumic\u00ebn e bajpaseve gastrike. <\/p>\n
8. M\u00ebnga gastrike
\nN\u00eb k\u00ebt\u00eb operacion, doktori do t\u00eb heq\u00eb shumic\u00ebn e stomakut tuaj (75%) dhe t\u00eb krijoj\u00eb nj\u00eb stomak n\u00eb form\u00eb tubi, ose nj\u00eb m\u00ebng\u00eb gastrike, q\u00eb \u00ebsht\u00eb ende e lidhur me zorr\u00ebt. Pas operacionit, stomaku juaj do t\u00eb mund t\u00eb mbaj\u00eb vet\u00ebm 55-85 gram\u00eb ushqim. Ju do t\u00eb ndjeheni t\u00eb ngopur m\u00eb shpejt, sepse stomaku juaj \u00ebsht\u00eb m\u00eb i vog\u00ebl. Nuk do t\u00eb jeni as t\u00eb uritur, sepse shumica e indeve q\u00eb prodhojn\u00eb hormonin e uris\u00eb, t\u00eb quajtur ghrelin, do t\u00eb ket\u00eb ikur. Kjo procedur\u00eb \u00ebsht\u00eb e parikthyeshme. <\/p>\n
9. Unaza e rregullueshme
\nKirurgu do t\u00eb v\u00ebr\u00eb nj\u00eb unaz\u00eb q\u00eb fryhet, n\u00eb maj\u00eb t\u00eb stomakut tuaj. Ai do t\u00eb fryj\u00eb unaz\u00ebn, duke shtr\u00ebnguar nj\u00eb pjes\u00eb t\u00eb stomakut, p\u00ebr t\u00eb krijuar nj\u00eb xhep t\u00eb vog\u00ebl, me nj\u00eb hapje t\u00eb vog\u00ebl n\u00eb pjes\u00ebn tjet\u00ebr t\u00eb organit. Ai mund ta b\u00ebj\u00eb k\u00ebt\u00eb me an\u00eb t\u00eb laparoskopis\u00eb. Kur ju hani, ushqimi shtyn posht\u00eb muret e stomakut dhe i d\u00ebrgon trurit sinjale p\u00ebr t\u00eb ulur oreksin. Madh\u00ebsia e unaz\u00ebs mund t\u00eb rregullohet, ose ajo t\u00eb hiqet kurdoher\u00eb. <\/p>\n
10. Unaza vertikale (ose kapja e stomakut me kap\u00ebse)
\nDoktor\u00ebt nuk e p\u00ebrdorin k\u00ebt\u00eb metod\u00eb aq shpesh sa m\u00eb par\u00eb, sepse tani kan\u00eb dal\u00eb teknika t\u00eb reja, m\u00eb t\u00eb mira. Ajo funksionon k\u00ebshtu: Kirurgu b\u00ebn nj\u00eb vrim\u00eb n\u00eb pjes\u00ebn e sip\u00ebrme t\u00eb stomakut dhe v\u00eb disa kap\u00ebse kirurgjikale n\u00eb stomak, duke b\u00ebr\u00eb nj\u00eb xhep t\u00eb vog\u00ebl. Pas k\u00ebsaj, kirurgu kalon nj\u00eb fash\u00eb plastike n\u00eb vrim\u00eb, duke e lidhur n\u00eb fund t\u00eb xhepit, p\u00ebr t\u00eb parandaluar hapjen e k\u00ebtij t\u00eb fundit. Ushqimi kalon nga xhepi n\u00ebp\u00ebrmjet nj\u00eb vrime t\u00eb vog\u00ebl, n\u00eb pjes\u00ebn tjet\u00ebr t\u00eb stomakut. <\/p>\n
11. Metoda biliopankreatike
\nKjo \u00ebsht\u00eb nj\u00eb procedur\u00eb e keqthithjes, gj\u00eb q\u00eb do t\u00eb thot\u00eb se pak\u00ebsohen kalorit\u00eb dhe p\u00ebrb\u00ebr\u00ebsit q\u00eb thithen nga ushqimi. N\u00eb fillim, kirurgu b\u00ebn nj\u00eb xhep t\u00eb vog\u00ebl n\u00eb stomak. Ky xhep mund t\u00eb mbaj\u00eb vet\u00ebm 110- 220 gram\u00eb ushqim, k\u00ebshtu q\u00eb ju do t\u00eb hani shum\u00eb m\u00eb pak. Pastaj, kirurgu do t\u00eb b\u00ebj\u00eb nj\u00eb bajpas q\u00eb do t\u00eb evitoj\u00eb pjes\u00ebn tjet\u00ebr t\u00eb stomakut dhe shumic\u00ebn e zorr\u00ebve. Doktor\u00ebt ua rezervojn\u00eb k\u00ebto operacione njer\u00ebzve q\u00eb kan\u00eb m\u00eb shum\u00eb pesh\u00eb p\u00ebr t\u00eb humbur, sepse me an\u00eb t\u00eb saj, trupi juaj thith shum\u00eb m\u00eb pak p\u00ebrb\u00ebr\u00ebs t\u00eb nevojsh\u00ebm ushqimor\u00eb. <\/p>\n
12. Pas operacionit
\nPas operacionit, cilidoqoft\u00eb ai, ju do t\u00eb q\u00ebndroni n\u00eb spital disa dit\u00eb, p\u00ebr t’u siguruar q\u00eb jeni mir\u00eb. Gjat\u00eb k\u00ebsaj kohe, do t\u00eb merrni ila\u00e7e kund\u00ebr dhimbjes dhe doktori do t’ju kontrolloj\u00eb vazhdimisht nivelin e sheqerit n\u00eb gjak, dehidratimin, ose ndonj\u00eb koagulim t\u00eb mundsh\u00ebm t\u00eb gjakut. <\/p>\n
13. T\u00eb ngr\u00ebnit pas operacionit
\nN\u00eb fillim, do t\u00eb hani vet\u00ebm gj\u00ebra t\u00eb l\u00ebngshme. Pas nja dy jav\u00ebsh, mund t\u00eb filloni t\u00eb hani ushqime t\u00eb ngurta. Ju do t\u00eb punoni me nj\u00eb nustricionist q\u00eb ka eksperienc\u00eb p\u00ebr k\u00ebto lloj operacionesh, p\u00ebr t\u00eb b\u00ebr\u00eb nj\u00eb plan ushqimi. Ju mund t\u00eb hani ato gj\u00ebra q\u00eb hanit m\u00eb par\u00eb, por duhet t\u00eb hani racione m\u00eb t\u00eb vogla dhe m\u00eb pak kalori. Gjithashtu, duhet t\u00eb siguroheni q\u00eb t\u00eb merrni substancat e nevojshme dhe mbase do t\u00eb keni nevoj\u00eb t\u00eb merrni tableta me vitamina dhe krip\u00ebra minerale.<\/p>\n
14. Sa kilogram\u00eb mund t\u00eb humbisni?
\nR\u00ebnia n\u00eb pesh\u00eb mund t\u00eb jet\u00eb drastike n\u00eb disa raste, si p\u00ebr shembull, gjysm\u00eb kilogrami n\u00eb dit\u00eb, gjat\u00eb tre muajve t\u00eb par\u00eb. Operacioni i kombinuar, q\u00eb shkakton keqthithjen dhe zvog\u00eblon stomakun, \u00e7on n\u00eb nj\u00eb r\u00ebnie peshe m\u00eb t\u00eb madhe sesa ato q\u00eb b\u00ebjn\u00eb vet\u00ebm zvog\u00eblim, por \u00ebsht\u00eb m\u00eb e v\u00ebshtir\u00eb p\u00ebr ju t\u00eb merrni substancat ushqimore p\u00ebr t\u00eb cilat keni nevoj\u00eb.<\/p>\n
15. P\u00ebrfitime t\u00eb tjera p\u00ebr sh\u00ebndetin
\nN\u00ebse keni presion t\u00eb lart\u00eb t\u00eb gjakut, diabet, ose probleme t\u00eb tjera t\u00eb lidhura me pesh\u00ebn, ato mund t\u00eb p\u00ebrmir\u00ebsohen pas operacionit. K\u00ebshillohuni me doktorin p\u00ebr t\u00eb marr\u00eb ila\u00e7et e duhura. R\u00ebnia n\u00eb pesh\u00eb do t\u00eb ndihmoj\u00eb edhe artritin, dhimbjen e ky\u00e7eve, apo marrjen e frym\u00ebs gjat\u00eb gjumit. Gjithashtu, do ta keni m\u00eb t\u00eb leht\u00eb p\u00ebr t’u marr\u00eb me fizkultur\u00eb. <\/p>\n
16. Ndryshimet n\u00eb m\u00ebnyr\u00ebn e jetes\u00ebs, pas operacionit
\nQ\u00eb rezultatet t\u00eb zgjasin dhe kilogram\u00ebt t\u00eb mos rikthehen, duhet t\u00eb b\u00ebni kujdes gjith\u00eb jet\u00ebn. K\u00ebshtu, do t’ju duhet t\u00eb hani shum\u00eb vakte t\u00eb vogla gjat\u00eb dit\u00ebs, t\u00eb ushqeheni n\u00eb m\u00ebnyr\u00eb t\u00eb sh\u00ebndetshme dhe t\u00eb b\u00ebni fizkultur\u00eb \u00e7do dit\u00eb. <\/p>\n
17. Rreziqet e operacionit
\nT\u00eb gjitha operacionet kan\u00eb rrezikun e tyre, por n\u00eb k\u00ebto raste, problemet serioze jan\u00eb t\u00eb rralla. Njer\u00ebzit q\u00eb rrezikojn\u00eb m\u00eb shum\u00eb jan\u00eb t\u00eb moshuarit, ata q\u00eb kan\u00eb probleme me koagulimin e gjakut (tromboz\u00eb) dhe q\u00eb jan\u00eb shum\u00eb obez\u00eb. M\u00ebnyra m\u00eb e mir\u00eb p\u00ebr t\u00eb evituar nd\u00ebrlikimet \u00ebsht\u00eb t\u00eb mbani kontakt t\u00eb ngusht\u00eb me doktorin dhe t\u00eb ndiqni diet\u00ebn ushqimore q\u00eb ju \u00ebsht\u00eb dh\u00ebn\u00eb. <\/p>\n
18. Nd\u00ebrlikimet pas operacionit
\nNjer\u00ebzit q\u00eb kan\u00eb b\u00ebr\u00eb nj\u00eb operacion t\u00eb till\u00eb, rrezikohen nga probleme si k\u00ebto: Infeksion, koagulim gjaku, ul\u00e7era stomaku, gur\u00eb n\u00eb t\u00ebmth p\u00ebr shkak t\u00eb r\u00ebnies n\u00eb pesh\u00eb, mosmarrja e substancave t\u00eb duhura ushqimore. N\u00eb zonat ku ju bini n\u00eb pesh\u00eb, l\u00ebkura mund t\u00eb varet e l\u00ebshohet dhe mbase do t\u00eb mendoni t\u00eb b\u00ebni nj\u00eb operacion plastik p\u00ebr t\u00eb hequr l\u00ebkur\u00ebn e tep\u00ebrt, por duhet t\u00eb prisni t\u00eb pakt\u00ebn 18 muaj para se ta b\u00ebni k\u00ebt\u00eb.<\/p>\n
19. Sindroma e zbrazjes
\nNd\u00ebrhyrja e bajpasit mund t\u00eb b\u00ebj\u00eb q\u00eb ushqimet dhe pijet t\u00eb l\u00ebvizin shum\u00eb shpejt n\u00ebp\u00ebr zorr\u00ebt e holla. Simptomat mund t\u00eb p\u00ebrfshijn\u00eb t\u00eb vjella, dob\u00ebsi, djersitje, ndjesi t\u00eb fik\u00ebti dhe nganj\u00ebher\u00eb, diarre, pasi keni ngr\u00ebn\u00eb. Gjithashtu, ju mund t\u00eb ndjeni dob\u00ebsi pasi keni ngr\u00ebn\u00eb \u00ebmb\u00eblsira. P\u00ebr t\u00eb evituar k\u00ebto probleme, duhet t\u00eb ndiqni k\u00ebshillat e nutricionistit. <\/p>\n
20. Suplementet (tabletat) q\u00eb duhet t\u00eb merrni
\nPas nj\u00eb operacioni t\u00eb tipit t\u00eb keqthithjes, shum\u00eb njer\u00ebz nuk e thithin vitamin\u00ebn A, D, E, K, B12, hekurin, kal\u00e7iumin, bakrin dhe p\u00ebrb\u00ebr\u00ebs t\u00eb tjer\u00eb si m\u00eb par\u00eb. Suplementet mund t’ju ndihmojn\u00eb q\u00eb trupi t\u00eb marr\u00eb substancat p\u00ebr t\u00eb cilat ka nevoj\u00eb dhe parandaluar s\u00ebmundje t\u00eb tilla, si: Anemia dhe osteoporoza. Ju mund t\u00eb duhet t’i merrni k\u00ebto tableta deri n\u00eb fund t\u00eb jet\u00ebs.<\/p>\n
21. Si t\u00eb p\u00ebrshtateni me jet\u00ebn tuaj t\u00eb re?
\nJu mund t\u00eb ndjeni emocione t\u00eb ndryshme, pas operacionit p\u00ebr r\u00ebnien n\u00eb pesh\u00eb. Nga nj\u00ebra an\u00eb, mund t\u00eb jeni t\u00eb k\u00ebnaqur, ose t\u00eb eksituar kur filloni t\u00eb bini n\u00eb pesh\u00eb, por edhe t\u00eb bezdisur nga ndryshimet q\u00eb duhet t\u00eb b\u00ebni n\u00eb t\u00eb ngr\u00ebn\u00eb, n\u00eb aktivitetet dhe m\u00ebnyr\u00ebn e jetes\u00ebs. K\u00ebto ulje-ngritje jan\u00eb normale. Flisni me doktorin n\u00ebse keni shqet\u00ebsime ose pyetje, nd\u00ebrkoh\u00eb q\u00eb m\u00ebsoheni me trupin tuaj t\u00eb ri.<\/p>\n","protected":false},"excerpt":{"rendered":"
1. Operacioni p\u00ebr r\u00ebnien n\u00eb pesh\u00eb nuk \u00ebsht\u00eb vet\u00ebm nj\u00eb. Ka disa lloje nd\u00ebrhyrjesh metabolike dhe bariatrike, si\u00e7 i quajn\u00eb doktor\u00ebt. Ato funksionojn\u00eb n\u00eb tre m\u00ebnyra: a. Duke kufizuar sasin\u00eb e ushqimit q\u00eb mund t\u00eb mbaj\u00eb stomaku, k\u00ebshtu q\u00eb ham\u00eb m\u00eb pak dhe biem n\u00eb pesh\u00eb. b. Duke penguar sistemin tret\u00ebs t\u00eb thith\u00eb disa nga […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49],"tags":[],"class_list":["post-7552","post","type-post","status-publish","format-standard","hentry","category-shendet"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/7552","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=7552"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/7552\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=7552"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=7552"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=7552"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}