Cov Nqi Zog Cov Quav Ntaus, Cov Teebmeem thiab Cov Tau Txiaj Ntsig
Lub plab zais plab yog ib qho tsis yog phais mob hnyav rau cov neeg laus cov neeg mob uas tsis tuaj yeem poob phaus nrog txoj kev cai. Thaum lub sij hawm luv luv, minimally-invasive, lub plab luj poob lub zais zis tso rau hauv plab. Lub zais pa nyob rau hauv qhov chaw rau 6 lub hlis los pab kom tus neeg mob mob siab, noj tsawg thiab poob phaus. Cov neeg tuaj yeem xaiv tau los ntawm Reshape lossis Orbera lossis Obalon gastric balloons uas tau txais FDA tso cai rau qhov poob phaus.
Vim li cas Sim Sim?
Yog tias koj tau tawm tsam nrog koj qhov hnyav thiab koj tau sim siv cov khoom noj thiab kev ua si uas tsis muaj kev vam meej, koj tuaj yeem yog tus neeg sib tw zoo rau kev zais pa. Cov cuab yeej, hu ua lub plab zais pa los yog lub zais pa hnyav, yog FDA qhov kev tso cai hnyav uas yuav pab tau koj ntog tsis mus hauv riam.
"Qhov no tsis yog kev phais, tiam sis koj tseem tau txais cov kev pab cuam los ntawm kev poob phaus," hais tias John Morton, Thawj Tswj Hwm Bariatric thiab Minimally Invasive Surgery ntawm Stanford University School of Medicine. "Cov neeg yuav tsum muaj kev xaiv," nws hais. Dr. Rachel L. Moore pom zoo. Dr. Moore yog ib tus kws kho mob rog, metabolic kws kho mob thiab tus founder ntawm Moore Metabolics Bariatric Poob Phem Surgery hauv New Orleans, Louisiana. "Qhov no yog txoj haujlwm uas peb tuaj yeem muab qhov ntog ntawm kev siv tshuaj thiab ib txoj kev phais mob," nws hais.
Cov neeg mob kuj nyiam tias lub plab zom plab yog ib ntus thiab rov qab kho dua.
Lub plab zais plab nyob hauv qhov chaw rau 6 lub hlis thiab yuav raug muab tshem tawm sai dua yog tias koj muaj teeb meem los yog muaj kev xav ob. "Cov neeg tuaj yeem kawm txog kev ua neej uas lawv xav tau kom poob rau hauv lub rau hli uas lub balloon nyob hauv," hais tias Dr. Morton.
Nws muaj peb lub plab hlaub puav plhaub rau cov neeg mob thiab txhua lub cuab yeej yog ib feem ntawm qhov kev pab cuam uas muaj xws li khoom noj, ce, thiab tawm tswv yim.
ReShape Gastric Balloon
Reshape Integrated Dual Balloon yog ib qho ntawm ob qho khoom siv rau cov neeg mob uas xav sim ua qhov tsis yog phais mob tsis yog phais.
Ua li cas rau Reichape Dual Balloon ua hauj lwm? Lub zog FDA uas tau pom zoo no muaj ob txoj kab npauj npaim uas tso rau hauv koj lub plab. Thaum lub txheej txheem ntxig rau koj, koj muaj mob me me rau kev nplij siab thiab kev nyab xeeb. Tus kws kho mob sau ua qhov kawg ntawm lub qhov ncauj thiab siv lub thev, siv qhov cub kom tso cov npuaj deflated kom zoo rau hauv koj lub plab. Thaum cov balloons yog nyob rau hauv qhov chaw, lawv tau ntim nrog cov dej qab ntsev (dej ntsev) thiab xiav xim. Cov txheej txheem yuav siv li ntawm nees nkaum feeb.
Hloov cov pob khaus kom nyob rau hauv qhov chaw rau 6 lub hlis, noj qhov chaw hauv koj lub plab thiab pab koj kom muaj kev txaus siab kom koj noj tsawg dua. Lub sijhawm ntawd, koj kuj tau txais kev pabcuam los txhim kho koj cov kev noj haus thiab kev ua kom ib ce. Yog tias cov pob tawg tsis so, qhov muag xiav pom hauv koj cov zis. Tom qab rau lub hli, ib qho endoscope siv dua los tshem cov npauj ntawm koj lub plab. Kev tawm tswv yim ntxiv rau lwm lub hli tom qab cov cuab yeej muab tshem tawm kom pab koj txav mus tom ntej hauv koj qhov kev phom sij, mus txog koj lub hom phiaj ntawm lub cev thiab / los yog tswj xyuas qhov poob phaus .
Leej twg thiaj tuaj yeem tau Reshape? Qhov no paug plab zom plab yog qhov FDA-tso cai rau cov neeg mob uas muaj lub cev hnyav ntawm 30-40 kg / m2 thiab leej twg muaj qhov hnyav ntawm tus neeg mob. Mob ntshav qab zib, ntshav siab, los yog muaj roj cholesterol yog cov mob uas feem ntau hnyav. Cov neeg mob kuj yuav tsum mob siab los ua ib qho kev poob phaus suav nrog kev noj haus, kev ua haujlwm, thiab kev sib tham.
Leej twg yuav tsum tsis txhob tau Reshape? Yog tias koj tau txais kev phais mob bariatric yav dhau los, ces Reshape tsis yog rau koj. Muaj lwm yam mob uas koj tus kws kho mob yuav xyuas seb qhov twg yuav tshem tawm Reshape raws li koj xaiv.
Cov neeg mob uas mob plab hnyuv loj, mob plab ntshav, los yog hiatal hernia, piv txwv li, yuav tsum tsis txhob siv Reshape. Cov cuab yeej tseem tsis tau pom zoo rau cov poj niam cev xeeb tub los yog cov niam laus laus.
ReShape cov kev mob tshwm sim: Ua ntej qhov txheej txheem koj tus kws kho mob yuav piav qhia tias muaj qee qhov kev phom sij nrog kev phais. Cov kev mob tshwm sim los ntawm lub zais zis muaj xws li mob nyhav, mob plab, mob plab, xeev siab, ntuav, tsam plab, plab, kub siab, lub cev qhuav, thiab mob caj pas. Yog tias cov tsos mob ua rau mob hnyav, lub plab zom plab yuav raug tshem tawm. Koj tus kws kho mob hnyav tuaj yeem piav qhia tag nrho cov kev phiv tshuaj thiab kev txaus ntshai thaum koj kev pab tswv yim ua ntej.
Kev sojntsuam kev hloov: Thaum lub sijhawm 6-lub hlis kev soj ntsuam kuaj mob uas muaj 326 tus neeg mob, cov neeg uas siv Reshape poob ntau dua qhov hnyav nrog lub cuab yeej nrog rau kev noj haus thiab kev qoj ib ce dua li cov neeg mob uas tau koom nrog ib qho kev saib xyuas noj zaub mov thiab kev ua si ib leeg nkaus xwb. Tom qab muaj qhov chaw nyob rau hauv qhov chaw rau 6 lub hlis, Reshape cov neeg mob tau poob qhov nruab nrab ntawm 14.3 phaus piv rau cov zaub mov thiab cov kev ua pab pawg neeg uas poob qhov nruab nrab ntawm 7.2 phaus. Tom qab ib qho ntxiv rau rau lub hlis (tom qab lub tshuab tshem tawm tau 6 lub hlis lawm), Reshape cov neeg mob tau khaws cia qhov hnyav ntawm 9.9 phaus.
Orbera Gastric Zais pa
Lub Orbera Managed Weight Loss System muaj nyob rau lwm lub teb chaws tau ntau xyoo, tab sis yog FDA tso cai hauv Tebchaws Meskas hauv xyoo 2015, txog tib lub sij hawm xws li Reshape Dual Balloon System.
Npog Orbov plab zom ua haujlwm li cas? Yog tias koj xaiv Orbera, koj yuav dhau los ntawm ib qho kev zoo sib xws tsis yog phais (endoscopic) txoj kev ntxig rau raws li Reichape balloon. Tab sis Orbera yog ib qho hnyuv taum plab. Tom qab cov mos mos, ua haujlwm, lub cev zais zis, nws tau ntim cov tshuaj saline kom nws ua tiav qhov loj ntawm lub txiv lws zoov. Lub plab zom plab yuav siv li ntawm ib feem peb ntawm koj lub plab. Cov cuab yeej nyob hauv chaw rau 6 lub hlis thaum koj koom nrog qhov kev pab cuam noj haus, kev ua haujlwm, thiab kev sib tham. Tom qab rau lub hli, cov cuab yeej raug tshem tawm thiab koj tseem muaj kev pab tswv yim ntxiv rau rau 6 lub hlis ntxiv mus rau hauv koj qhov kev phom sij.
Leej twg tuaj yeem tau Orbera ? Lub zais zais zis no yog FDA tso cai rau cov neeg mob uas muaj lub cev huab hwm coj lub cev (BMI) ntawm 30-40 kg / m2 thiab leej twg sim lwm hom kev poob phaus uas tsis muaj kev vam meej. Yog tias koj xaiv Orbera, koj yuav tsum mob siab rau kev txiav txim siab noj haus thiab kev khiav haujlwm rau kev noj qab haus huv rau kev noj qab haus huv thiab kev poob phaus.
Leej twg yuav tsum tsis txhob txais Orbera? Qee cov neeg mob yuav tsum tsis txhob siv Orbera thiab koj tus kws kho mob tuaj yeem qhia koj yog tias koj yog ib tug ntawm lawv . Yog tias koj cev xeeb tub, npaj plab me nyuam tsis pub dhau rau lub hlis, los yog pub niam mis ces koj yuav tsum tsis txhob txais Orbera. Ntxiv rau, yog tias koj tau txais kev kho mob bariatric yav dhau los lossis yog tias koj muaj qee yam mob rau koj xws li mob kab mob ntawm cov hlab ntsha hauv plab, hiatal hernia, los yog mob hnyav hnyav saum koj lub plab los ntawm Orbera.
Orbera phom sij. Koj tus kws kho mob yuav piav qhia tias muaj qee qhov kev phom sij nrog kev ua kom tsaug zog thiab qhov kawg. Cov teeb meem nrog Orbera cov cuab yeej kuj muaj xws li blockage ntawm cov plab hnyuv siab los ntawm lub zais pa, lub plab tsis xis nyob, xeev siab, ntuav, mob plab los yog mob nraub qaum, los yog cov kua qaub. Koj tus kws kho mob hnyav tuaj yeem piav qhia tag nrho cov kev mob tshwm sim thaum koj kev pab tswv yim ua ntej.
Orbera balloon cov kev ntsuam xyuas: Hauv 9-lub hlis kev tshawb fawb soj ntsuam nrog 255 cov neeg mob, cov neeg mob uas siv Orbera poob ntau dua cov neeg mob uas siv lub cwj pwm kev hloov kho. Tom qab siv Orbera nyob rau hauv qhov chaw rau 6 lub hlis, cov neeg mob uas ntaus ntawv tau poob 21.8 phaus piv rau cov kev hloov kho tus cwj pwm uas poob qhov nruab nrab ntawm 7 phaus. Tom qab 9-lub hlis tom qab (peb lub hlis tom qab tshem tawm cov cuab yeej tawm), cov neeg mob uas siv Orbera ceev ceev qhov qub hnyav dua li ntawm 19 phaus. Cov neeg mob uas siv cov khoom noj thiab ib ce ua ib leeg tsuas tuav lub cev poob ntawm 7 phaus hauv nruab nrab.
Obalon Gastric Zais pa
Lub Obalon Balloon System yog qhov khoom tshiab rau cov neeg mob. Obalon yog ib qho khoom noj uas peb tau txais uas tau txais kev tso cai los ntawm FDA-xyoo 2016. Obones gastric balloons yog puv nrog huab cua es tsis ua kua.
Lub Obale plab zais pa ua haujlwm li cas? Cov neeg mob uas xaiv Obalon nqos tau cov tshuaj balloon me me. Cov tshuaj ntsaws yog txuas rau ib txoj hlua catheter uas yog siv los ua lub zais pa nrog cua. Mus txog peb lub balloons yuav muab tso rau hauv lub peb hlis. Txhua tus zais pa uas muaj tus kabmob muaj li ntawm ib lub khob ntawm lub plab thiab nws roughly qhov loj ntawm lub txiv kab ntxwv. Cov balloons nyob rau hauv qhov chaw, cov neeg mob xav tias tag nrho thiab muaj tsawg inclined rau overeat. Ob lub sij hawm thiab tom qab lub sij hawm kho, cov neeg mob tau txais kev pab tawm tswv yim los pab lawv kawm noj zaub mov zoo thiab qoj ib ce. Qhov kawg ntawm kev kho mob, cov balloons yog deflated thiab muab tshem tawm nrog txoj kev ua kom tiav.
Leej twg thiaj txais tau Obale ? Lub zais zais zis no yog FDA tso cai rau cov neeg mob uas muaj lub cev huab hwm coj lub cev (BMI) ntawm 30-40 kg / m2 thiab leej twg sim lwm hom kev poob phaus uas tsis muaj kev vam meej. Raws li kev sib tw rau lwm lub tshuab zom plab, koj yuav tsum kam ua ib qho kev saib xyuas noj haus thiab ua si kom muaj kev noj qab haus huv thiab yuag poob.
Leej twg yuav tsum tsis txhob txais Obalon? Qee cov neeg mob yuav tsum tsis txhob siv Orbera thiab koj tus kws kho mob tuaj yeem qhia koj yog tias koj yog ib tug ntawm lawv . Cov Khoom Noj thiab Tshuaj Tiv Thaiv kuj muaj xws li cov npe ntawm cov neeg mob uas yuav tsum tsis txhob siv lub cuab yeej. Daim ntawv teev muaj cov neeg uas muaj kev puas tsuaj uas yuav cuam tshuam kev nqos, cov neeg uas tau muaj cov kev phais mob yav dhau los uas tau ua rau qeeb ntawm txoj hnyuv, thiab cov neeg uas noj tshuaj uas yuav ua rau mob plab nyhuv xws li NSAIDS los yog aspirin.
Obalon kev phiv. Cov neeg mob uas xaiv Obalon yuav mob plab los yog xeev siab. Tsis tshua muaj ntau yam tshwm sim muaj xws li ntuav, qaug dab peg, plab zawv plab, mob plab, plab tsiv los yog los ntshav, hlab ntaws ntshav los yog txhaws, cem quav los yog nyuaj pw tsaug zog. Koj tus kws kho mob hnyav tuaj yeem piav qhia tag nrho cov kev mob tshwm sim thaum koj kev pab tswv yim ua ntej.
Obalon balloon cov kev tshwm sim: Ib txoj kev tshawb fawb soj ntsuam uas muaj tshaj li 400 tus neeg mob, pom tias cov neeg uas tau siv Obalon nrog rau kev noj haus thiab qoj ib ce tawm ntau tshaj qhov uas tau txais kev noj haus thiab kev tawm tswv yim ib leeg. Cov neeg mob uas tau txais Obalon Balloon System tau poob qhov nruab nrab ntawm 14.4 phaus los yog 6.6 feem pua ntawm lawv lub cev qhov hnyav tag nrho thaum cov neeg mob tau txais kev noj haus thiab kev tawm tswv yim ib leeg poob ntawm qhov nruab nrab ntawm 7.4 phaus los yog 3.42 feem pua ntawm lawv lub cev tag nrho.
Puas Yog Kuv Txoj Cai?
Yog li cas koj puas paub uas zais plab zom av xaiv? Yog tias koj tab tom nrhiav tus kws kho mob yuag poob , koj yuav pom tau hais tias ntau tus neeg ua haujlwm bariatric tau xaiv los muab ib qho cuab yeej ntawm lwm tus.
Obalon yog qhov cuabyeej tshiab tshaj plaws rau kev ua lag luam. Dr. Shelby Sullivan, Thawj coj ntawm Gastroenterology Bariatric thiab Metabolic Kev Pabcuam ntawm University of Colorado School of Medicine tau koom tes nrog kev soj ntsuam ntawm Obalon system. Nws taw qhia tias qhov kev pabcuam ntawm cov huab cua ntim cov pa balloons yog qhov khoom hnyav. Nws hais tias ib qho hnyav hnyav hnyav ua rau me ntsis xeev siab thiab tsis xis nyob rau cov neeg mob. Nyob rau hauv ib qho kev tso tawm nws tau piav qhia tias cov neeg mob feem ntau xav tau me ntsis sij hawm rov qab los tom qab muab cov zais pa ntxiv tias qhov no "nyob rau hauv qhov sib txawv ntawm lwm qhov kev pom zoo ntawm cov khoom siv cog lus tam sim no, uas feem ntau cov neeg mob tsis tuaj yeem rov qab mus ua ub ua no."
Dr. Moore, leej twg muab Orbera plab zais pa rau nws cov neeg mob, nws hais tias nws tau xaiv lub qhov zais zais zis vim nws muaj cov ntaub ntawv khaws tseg rau kev nyab xeeb thiab kev ua haujlwm ntawm lwm lub teb chaws. Nws taw tawm tias txawm tias cov cuab yeej tshiab hauv Teb Chaws Asmeskas, nws tau siv ntau heev thiab nrov heev hauv lwm lub teb chaws xws li Brazil, Ltalis, thiab Spain.
Dr. Morton muab Reshape rau nws cov neeg mob. Nws hais tias nws siv Reshape vim hais tias thaum koj siv ob balloons koj tuaj yeem zam qhov teeb meem uas tshwm sim yog tias ib qho zais pa tawg ntho. Thiab vim hais tias Reshape yog loj thiab occupies ntau ntawm lub plab, nws hais tias nws tau pom tsawg zog zog thiab tsawg xeev siab hauv nws cov neeg mob.
Dr. Trace Curry muaj ob qho tag nrho Obera thiab Reshape thaum nws qhov chaw yuag poob. Dr. Curry yog ib tus kws kho mob uas muaj ntawv tso cai thiab tus thawj coj kho mob ntawm Metabolic Qhov Poob Lub Nruab Nrab hauv Cincinnati, Ohio. Nws yog thawj tus kws phais hauv Ohio los npaj ob lub Orbera thiab Reshape gastric balloons. Nws hais tias thaum nws cov neeg mob nug nws uas balloon xaiv nws qhia lawv tias lawv cov qhabnias yuav nyob ntawm lawv cov dag zog ntau dua li ntawm cov hom uas lawv xaiv.
"Qhov txawv txav yog me ntsis kim dua," nws hais. Tab sis nws tau pom nyob rau hauv nws xyaum hais tias muaj me ntsis tsawg dua cov nyom nrog ob-zais pa system. "Tab sis Orbera," nws hais li no, "tau qhia me ntsis zoo dua qhov hnyav poob hauv kev soj ntsuam."
Nws ntxiv tias ob leeg puav leej muaj peev xwm muab tau cov txiaj ntsig. Thiab Dr. Morton tau pom zoo. "" Cov kev pabcuam yog zoo dua li tsis muaj kiag li, "hais tias Dr. Morton. Tab sis txhua tus kws kho mob pom tseeb hais tias lub zais pa tsis yog ib hom tshuaj khoob zoo rau qhov poob. Yog tias koj xav poob phaus nrog lub zais pa, koj yuav tsum mob siab ua lub neej hloov mus ntev ntev.
Cov Nqi Zais Pa Nqi
Tus nqi ntawm koj lub plab zawv plab yuav sib txawv nyob ntawm seb koj qhov chaw nyob, koj tus kws kho mob thiab ntawm qhov khoom koj xaiv. Tag nrho cov pa roj carbon monoxide yog cov nqi ntawm $ 6,500 - $ 10,000. Ntau lub tsev kho mob muab kev pab rau li ntawm $ 7,500.
Tag nrho tus nqi ntawm lub plab zais pa yuav tsum muaj lub cuab yeej, muab tshuaj, tshem tawm, kev tawm tswv yim thaum lub sij hawm 6-lub hlis zais pa thiab kev pab tswv yim rau 6 lub hlis tom qab tshem tawm.
Lub plab zais plab yog tam sim no tsis them los ntawm kev tuav pov hwm hauv Tebchaws Meskas, tabsis peb txhua tus kws kho mob tau hais tias lawv tau txais kev cia siab tias qhov kev fajseeb khomob yuav xaus. Lub sijhawm ntawd, cov neeg mob siv tau cov txhab nyiaj nyob hauv kev tiv thaiv lossis kev them nqi kho mob (kev txais nyiaj kho mob) los them cov nqi ntawm txoj haujlwm.
Nco ntsoov tias koj yuav tsum tau them ntau tshaj tus nqi rau kev saib xyuas thaum koj xaiv ib qho kev zais plab thiab ib tus kws kho mob kom muab lub cuab yeej tso. Cov kws khomob pom zoo tias koj yuavtsum saib xyuas cov thawjtsev uas muaj ntawv tso cai los ntawm kev siv cov khoom ntiag tug. Yog tias koj tus kws kho mob yog ib feem ntawm qhov chaw yuag poob, koj tuaj yeem tau txais kev pab tswv yim tim ntsej tim muag uas yuav pab tau kom koj taug qab. Thiab yog vim muaj kev nyab xeeb tseem ceeb, nrhiav lub chaw uas tau txais kev pom zoo los ntawm lub koom haum hauv teb chaws xws li Lub Koom Haum Saib Xyuas Kev Kho Mob (AAAHC) lossis Lub Koomhaum Asmeskas Lub Chaw Lis Haujlwm Saib Xyuas Kev Caws Suab Ambulatory Surgery Facilities (AAAASF).
Qhov chaw:
Kev Kho Mob. US Food thiab Drug Administration. Reshape Integrated Dual Balloon System - P140012 Tau: Lub Plaub Hlis 6, 2016. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm456293.htm
Kev Kho Mob. US Food thiab Drug Administration. ORBERA ™ Intragastric Balloon System - P140008 Tau: Lub Plaub Hlis 6, 2016. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DeviceApprovalsandClearances/Recently-ApprovedDevices/ucm457416.htm
Orbera. Apollo Endosurgery. Tau txais: Lub Plaub Hlis 6, 2016. https://www.orbera.com/
ReShape. Reshape Medical. Tau: Lub Plaub Hlis 6, 2016. https://reshapeready.com/