×ÊѶ±êÌ⣺2020»³»¯28Ìì¼õ·ÊѵÁ·Óª
»³»¯¼õ·ÊÏÄÁîÓªÊÇ»³»¯¼õ·ÊÏÄÁîÓªÅàѵѧУµÄÖØµãѵÁ·ÏîÄ¿£¬»³»¯ÊÐÖªÃûµÄ¼õ·ÊÏÄÁîÓªÅàѵ»ú¹¹£¬½ÌÓýÅàѵ֪ÃûÆ·ÅÆ£¬»³»¯¼õ·ÊÏÄÁîÓªÅàѵѧУʦ×ÊÁ¦Á¿ÐÛºñ£¬È«¹ú¸÷´ó³ÇÊоùÉèÓзÖУÖÐÐÄ£¬»¶ÓÄãµÄ¼ÓÈë¡£
1¡¢×¨ÒµµÄ½ÌʦÍŶӣ¬ÕÆÎÕÇ°ÑØµÄѵÁ··½·¨ 2¡¢½Ìѧ¾Ñé·á¸»£¬ÉÆÓÚ¼¤·¢Ñ§ÉúµÄDZÄÜ 3¡¢ÉÆÓÚ´ø¶¯Ñ§Ô±ÈÚÈëÇé¾°ÌåÑéʽ¿ÎÌÃ
»³»¯¼õ·ÊÏÄÁîÓªÅàѵѧУ·Ö²¼»³»¯Êк׳ÇÇø,ºé½ÊÐ,Öз½ÏØ,ãäÁêÏØ,³½ÏªÏØ,äÓÆÖÏØ,»áÍ¬ÏØ,ÂéÑôÃç×å×ÔÖÎÏØ,лζ±×å×ÔÖÎÏØ,ÜÆ½¶±×å×ÔÖÎÏØ,¾¸ÖÝÃç×å¶±×å×ÔÖÎÏØ,ͨµÀ¶±×å×ÔÖÎÏØµÈµØ,ÊÇ»³»¯Êм«¾ßÓ°ÏìÁ¦µÄ¼õ·ÊÏÄÁîÓªÅàѵ»ú¹¹¡£
Bariatric surgery is usually considered a last resort in treating severe obesity and it consists of two main procedures:gastric bypass and gastric banding.
×÷Ó㺼ÓÇ¿ÍȲ¿¡¢±³²¿¡¢ÉϰëÉí¼¡Èâ¡£·ÀÖ¹ÉϰëÉíÖ¬·¾¶Ñ»ý¡£¶ÍÁ¶ÈËµÄÆ½ºâÁ¦ºÍרעÄÜÁ¦£¬¾ÀÕý²»Á¼Ìå̬£¬Ô¤·ÀðÞÆø¡£
step3ºôÆø£¬±³²¿¹°Æð£¬¼¹ÖùÏòÉ϶¥£¬Ï°ÍÊÕµ½ÐØÇ°¡£Öظ´ÕûÌ×¶¯×÷Ê®´Î¡£
1 ×øÖ±Ñü±³£¬±³²¿Î¢Î¢Ïòºó¡£Ë«½Å¿¿Â££¬ÇüÏ¥½Å°åÌùµØ£¬Ë«ÊÖÖÃÔÚÁ½ÍÈÏ¥¸ÇÏ¡£
step1 ×ø×Ë£¬Ë«ÍÈÍäÇú£¬½ÅÕÆ½ôÌùÔÚÒ»Æð£¬Ë«ÊÖ·öס½ÅÖº´¦£¬±³²¿´òÖ±£¬¼ç°òÏòºó´ò¿ª£¬ÑÛ¾¦Ä¿ÊÓǰ·½¡£
¹¦Ð§£º½ôʵȫÉí¼¡È⣬¿¹¼¡ÈâËÉ¿å £¬°´Ä¦¸¹Ç»£¬¿¹¾ÜˮͰÑüºÍÆ¡¾Æ¶Ç£¬Ç¿»¯Ïû»¯ÄÜÁ¦ £¬Ô¤·À±ãÃØ £¬Ç¿»¯ÌåÖʸÄÉÆÐéÈõ¡£
2˯ǰ¼õ·Êè¤Ù¤¶¯×÷˯ǰè¤Ù¤¶¯×÷Ö®×ø½Çʽ
ÒÔɽʽվÁ¢¡£ºôÆø£¬ÍäÇúÓÒÏ¥£¬Ì§ÓÒÍÈ£¬ÒÔÓÒÊÖÄ´Ö¸¡¢Ê³Ö¸ÒÔ¼°ÖÐָץסÓҽŴó½ÅÖ¸¡£×óÊÖ·ÅÔÚ×óÍÎÉÏ£¬±£³Öƽºâ£¬×ö2¸öÉîºôÎü¡£ºôÆø£¬ÏòǰÉìÕÅ£¬²¢À¶¯ÓÒÍÈ£¬ÓÒÍÈÉìÖ±£¬×ö2¸öÉîºôÎü¡£µ±ÄãÔÚÕâ¸öÌåʽÉÏÎȶ¨ÒÔºó£¬ÓÃÁ½ÊÖÎÕסÓҽţ¬ÏòÉÏÀµÃ¸ü¸ß£¬±£³Ö2¸öÉîºôÎü¡£
ÓÃÓÒÊÖÅÄ´ò×óÐØ£¬9´Î£¬ÓÉÉÏÖÁÏÂÒ»ÌõÖ±ÏßÓнÚ×àÓÐÔÏÂɵØÅÄ´ò£¬È»ºóÅÄ´òÖм䣬×îºóÓÃ×óÊÖÅÄ´òÓÒÐØ9´Î¡£
Virtual gastric band uses hypnosis to make the brain think the stomach is smaller than it really is and hence lower the amount of food ingested. This brings as a consequence weight reduction. This method is complemented with psychological treatment for anxiety management and with hypnopedia. In 1996 a study revealed that hypnosis reinforced with cognitive-behavioral therapy was more effective than just CBT for weight reduction.
3 Ч¹û£ºÕâ¸ö×ËÊÆ°ïÖú´ò¿ªÐØÇ»£¬½â³ý·³ÓÇ£¬ÈÃÌåÄڵġ°Æø¡±Ñ»·µÃ¸üºÃ£¬ºôÎü¸ü˳³©Ò²¸üÉ£¬½ôÕÅÆ£±¹µÄÉíÐĽ«µÃµ½ÊÍ·Å¡£ÉíÌåµÄŤת´ø¶¯ÎÒÃǵļ¹ÖùÏñ±»¡°Å¡¸ÉÍÑË®¡±ËƵØÀ³¤£¬»ýÀÛÒ»ÌìµÄ½ôÕÅ´Ó¶øµÃµ½»º½â¡£
ÕýÈ·ºÈ¿§·È¼õ·ÊµÄ·½·¨
2¼õ·ÊÊÝÉíè¤Ù¤Ìåʽһ¡¢»È³æÊ½
×ö·¨£º¸©ÎÔ£¬Ë«½Å´ò¿ªÍ¬¼ç¿í£¬Ë«ÊÖ±ÛÓëÉíÌå·Ö¿ªÔ¼Á½È¿í;ÎüÆø£¬ËÄÖ«¼°ÉíÌ御Á¿ÏòÉÏ̧ÆðÀëµØ£¬ÊÖ½Åͬ¸ß¡£¾ùÔȵĺôÎü±£³ÖÒ»»á¶ù¡£ºôÆø£¬È«Éí»ØÂäµØÃæ£¬·ÅËÉ¡£¿ÉÖØ¸´×ö4~6×é¡£
¹¦Ð§£º¼õÉÙÑü±³¡¢÷ÅÍβ¿¡¢´óÍÈ´¦¶àÓàÖ¬·¾·Ç³£ÓÐЧ¡£
¶þ¡¢´¬Ê½
1.×øÔÚµæ×ÓÉÏ£¬°ÑÑü²¿Í¦Ö±£¬Á½ÍȲ¢Â££¬Ï¥¸ÇÍäÇú£¬½ÅÕÆÆ½·ÅµØÃ棬˫ÊÖ·ÅÔÚÉí²à¡£
2.Ë«ÊÖÉÔÉÔÏòµØÓÃÁ¦£¬Ë«ÍȨ̀¸ßÖÁСÍÈÓëµØÃæÆ½ÐУ¬½Å±³±ÁÖ±£¬ÉíÌåÉÔÉÔÏòºóÇã¡£
3.Ë«ÊÖÀëµØ£¬ÉìÖ±ÊÖ±Û̧¸ßÖÁÓëСÍÈÆ½ÐУ¬ÕÆÐÄÏòÏ¡£¡¢
Èý¡¢ÑöÎÔÆð×ø
ÖÚËùÖÜÖª£¬ÑöÎÔÆð×øÊÇÊݶÇ×Ó×îÓÐЧµÄÔ˶¯Ö®Ò»£¬ÁÙ˯ǰ×ö5-10·ÖÖÓµÄÑöÎÔÆð×øÄܹ»¶ÍÁ¶¸¹²¿¼¡È⣬¼ÓËÙ¸¹²¿Ö¬·¾µÄȼÉÕ£¬¾Ã¶ø¾ÃÖ®£¬ÄãµÄС¶Ç×ӾͿ´²»¼ûÁË¡£ÃÀüÃǼÇס£¬Õâ¸ö·½·¨×îÖØÒªµÄÒ»µã¾ÍÊǼá³Ö£¬¼á³Ö²ÅÄÜ¿´µ½Ð§¹ûŶ¡£
Èý½Çʽ
1¡¢Á½ÍÈ´ò¿ªÔ¼Ò»¸ö°ë¼ç¿í£¬½ÅÕÆ³É60¶È½Ç£¬Á½ÊÖ´¹·ÅÉí²à
2¡¢Ë«±ÛÏò²à¾Ù¸ßÖÁ¼ç°ò£¬ÎüÆø£¬ÉÏÉí×óÓÒÒ¡»Î¡£
3¡¢ºôÆø£¬ÓÒÊÖÏòÏÂÑÓÉ죬ֱµ½´¥Åö½Åõ×£¬Í¬Ê±×óÊÖ±ÛÏòÉÏÉìÕ¹£¬Ì§Í·¿´Ïò×óÊÖÖ¸¼â¡£ÁíÒ»±ßÒÔͬÑùµÄ·½Ê½Öظ´¶¯×÷¡£
2ÓÐЧµÄè¤Ù¤¼õ·Ê¶¯×÷µ¥ÍÈÏÂȮʽ
4è¤Ù¤ÈëÃÅÖ¸Äϲ»Òª¿Õ¸¹×öè¤çì
ÔÚ·¹ºó×öè¤çì»áÓаè¤çìÁ·Ï°µÄ½øÐУ¬ÎªÁËÈÃÉíÌå¿ÉÒÔÍäÇúµ½Ö¸¶¨µÄè¤çì×ËÊÆ£¬×îºÃ¿Õ¸¹½øÐС£×îºÃÊÇÔÚè¤çìǰµÄÒ»µÄСʱÒÔǰÓòÍÍê±Ï£¬µ«Èç¹ûÀ´²»¼°ÔÚÒ»¸öСʱǰÓò͵«Óֺܶöʱ£¬¿ÉÒÔÔÚè¤çìǰµÄ¶þÊ®·ÖÖÓ³ÔÒ»¸ùÏã½¶£¬¼ÈÄܹ»µÖµ²¼¢¶ö¸ÐÓÖ²»»áÏû»¯²»Á¼¡£
2¡¢ÓÒ½ÅÏ¥¸ÇÍäÇú²¢Ì§Æð£¬ÓÃÊÖ½«ÓÒ½ÅÕÆ·ÅÔÚ×ó´óÍȶþ·ÖÖ®Ò»´¦»òÏ¥¸Ç´¦£¬Ë«ÊÖÏòÌì¿ÕÉìÕ¹²¢ºÏÊ®£¬±£³ÖºôÎü¡£
è¤Ù¤ÇòÊÇÒ»ÖÖÅäºÏ½¡Éí¼õ·ÊµÄ¹¤¾ß£¬ÀûÓÃËüÄÜ×öºÜ¶à¼õ·Ê¶¯×÷£¬³¤ÆÚʹÓÃè¤Ù¤ÇòÄܰïÖú¾ÀÕýÉí×Ë£¬ÍêÃÀÉí²ÄÇúÏߣ¬ËùÒÔ¶ÔÌáÉý¼õ·ÊЧ¹ûÊǺÜÓаïÖúµÄ¡£Ö»Òª¼á³Öè¤Ù¤Çò¶ÍÁ¶£¬ÖÁÉÙ¼á³ÖÒ»Á½¸öÔ£¬Ã¿Ìì¶ÍÁ¶²»ÉÙÓÚ°ëСʱ£¬¶¨ÄÜÓÐËù³ÉЧ¡£
step2 ·ÅµÍÐØ²¿£¬±³²¿ÍêÈ«×ŵأ¬Ë«±ÛÉìÖ±×ÔÈ»ÖÃÓڵذåÉÏ£¬·ÅËÉÉíÌ壬×ö×ÔÈ»ºôÎü¡£
¶þ¡¢×ø×˺óÇüè¤Ù¤
step1 ×ø×Ë£¬Ë«ÍÈÅÌ·Å£¬Ë«ÊÖ×ÔÈ»ÖÃÓÚÏ¥¸ÇÉÏ£¬±³²¿³ÅÖ±£¬¼ç°òÏòºó´ò¿ª£¬Ðز¿Í¦Æð£¬ÑÛ¾¦Ä¿ÊÓǰ·½¡£
»³»¯¼õ·ÊÏÄÁîÓªÅàѵѧУ³É¾ÍÄãµÄÃÎÏëÖ®Â᣼õ·ÊÏÄÁîÓª¾ÍÀ´»³»¯¼õ·ÊÏÄÁîÓªÅàѵѧУ
Åàѵ×Éѯµç»°£ºµã»÷×ó²àÀëÏß±¦Ãâ·Ñ×Éѯ