A wannan zamani, saboda rashin daidaiton salon rayuwa da halaye na cin abinci, yawancin mutane suna saurin kamuwa da kiba da cututtuka masu haɗari da yawa. Amma yana yiwuwa a yi mu'amala da waɗannan tare da ɗabi'a mai kyau da madaidaiciyar hanya. A yau akwai cibiyoyin kiwon lafiya da yawa da asibitoci waɗanda ke ba da cikakken taimako don rage kiba tare da Nagartattun Tsarin Bariatric.

Dalilai Da Sakamakon Kiba

Sanadin	sakamako
Abubuwan da suka shafi tunanin mutum	Hawan jini
Sedentary salon	Ciwon daji na zuciya
Shan taba / Shaye-shaye	ciwon
Overeating	rasa haihuwa
Magunguna	barci apnea
rashin barci
Ƙananan metebolosm

To Menene Tiyatar Rage Nauyi?

Tashin tiyata or Bariatric tiyata ana yinsa akan ciki ko hanji don taimakawa mai kiba wajen rage kiba .

Yana da nau'ikan kamar haka:-

1.  Bandan ciki: A cikin wannan, ana dasa bandeji mai kumbura don matse ciki gida biyu. Sassan har yanzu suna haɗuwa ta ƙaramin tashar jiragen ruwa. Wannan yana rage jinkirin komai na babban jaka. Bayan wannan hanya majiyyaci na iya cin kusan ½ zuwa 1 kofin abinci kuma ya ji gamsuwa.

ribobi:  - Mafi sauki fiye da sauran tiyatar asarar nauyi.
       - Lokacin farfadowa da sauri
       - Reversible a yanayi

fursunoni:  - Hanyar da ba ta da tasiri fiye da sauran kamar yadda mutum ya sake dawo da nauyi a cikin shekaru da sauƙi.
       - Yin amai bayan cin abinci da yawa da gaggawa.
       - Matsaloli tare da bandeji na iya faruwa yayin da zai iya motsawa daga wurinsa, ya yi sako-sako ko yabo.

2. Hannun Gastronomy: Ana cire kashi 75% na ciki ana barin bayan bututu ko hannun rigar ciki wanda ke haɗuwa da hanji.

ribobi:  - Ga masu kiba sosai, aiki ne mafi sauƙi kuma mafi ƙarancin haɗari don asarar nauyi.
       - Anan hanji ya kasance ba ya shafa don haka babu wani tasiri akan sha na gina jiki.

fursunoni:  - Wannan tsari ba zai iya jurewa a yanayi ba.
       Sabbin hanya don haka har yanzu ba a san haɗarin gaba ɗaya ba.
       - Abubuwan da ke haifar da illa sun haɗa da kamuwa da cuta, zubar da hannun riga ko bututu.

3.  Gastric Tafiya Tiyata: Anan ciki ya kasu kashi biyu, yana rufe sashin sama daga ƙasa. Likitan tiyata ya haɗa babban ciki kai tsaye zuwa sashin ƙananan hanji don haka yana haifar da gajeriyar hanyar abinci , ta hanyar wucewar sashin ciki da ƙananan hanji. Tsallake waɗannan sassa na tsarin narkewa yana nufin cewa jiki yana shan ƙarancin adadin kuzari.

ribobi:  - Rage nauyi da sauri. Kusan kashi 50% na nauyin zubarwa a cikin watanni 6 na farko.
       - Taimakawa sosai tare da ciwon sukari, high BP, high cholesterol, arthritis, sleepapnea.
       - Yana da kyakkyawan sakamako na dogon lokaci.

fursunoni:  - Jiki baya samun isassun abubuwan gina jiki. Dole ne mutum ya sha abubuwan gina jiki har tsawon rayuwarsa.
       - Ciwon Ciwon Jiki – A cikin wannan abinci ana zubar da sauri daga ciki zuwa hanji ba tare da an narkar da shi yadda ya kamata ba.
         Alamomi - tashin zuciya, zafi, rauni, gudawa.
       - Hanyar da ba za a iya jurewa ba.
       - Rikici da haɗari fiye da sauran.
       - Hernias suna daidai da wannan tiyata.

4. Vagal Blocade ko V Bloc: Anan ana sanya na'ura mai kama da bugun zuciya mai nisa a ƙarƙashin kejin hakarkarin da ke aika motsin wutar lantarki akai-akai zuwa jijiyar vagus wanda ke nuna kwakwalwar cewa ciki ya cika.

ribobi:  - hanya mafi ƙasƙanci
       - Lokacin tsari yana ɗaukar awa 1 ½ zuwa 2.
       - Low kudi na tsanani rikitarwa.

fursunoni:  - illolin sun haɗa da kamuwa da cuta, jin zafi a wurin dasawa ko matsalolin tiyata.

5.  Balan ciki: Anan an sanya balloon da ba a kwance ba a ciki ta baki.

Da zarar an sanya shi, sai a cika shi da ruwan gishiri wanda ke ba da cikawa ta yadda zai daina yunwa.

ribobi:  - Babu tiyata a ciki.
       - Hanyar wucin gadi kamar yadda balloon ke zama na watanni 6 kacal.

fursunoni:  - Amai , ciwon ciki, tashin zuciya na 'yan kwanaki bayan an sanya shi.
       - FDA a cikin 2017 ta ba da rahoton mutuwar mutane 5 da suka haifar da shi.

Mafi Ingantacciyar Tiya A Tsakanin Duka

Ba za a iya cewa wanne tiyata ne ya fi tasiri a tsakanin duka ba. Kamar yadda ya dogara da lafiya da nau'in jikin wanda abin ya shafa. Zai fi kyau ɗaukar ra'ayi na likitan tiyata wanda ke da ƙwarewa a cikin abubuwan da ke gaba, kafin yin aikin. Wannan tabbas zai iya 

ajiyewa daga kowace irin wahala.

Lokacin farfadowa

An yi ikirarin cewa bayan awa 4 zuwa 5 da aka yi wa tiyatar, majiyyaci na kan tafiya kuma an sallame shi daga asibiti a rana ta uku.

Wanene yakamata ayi tiyatar Bariatric?

Mai zuwa shine ka'idojin yin aikin bariatric:

1. BMI ≥ 40.

2. BMI ≥ 35 tare da cututtuka guda ɗaya ko fiye da suka shafi kiba kamar: nau'in ciwon sukari na II (T2DM), hauhawar jini, barcin barci da sauran cututtuka na numfashi, cututtukan hanta maras giya, ciwon osteoarthritis, rashin daidaituwa na lipid, cututtuka na gastrointestinal, ko cututtukan zuciya.

3. Rashin iya kaiwa ga asarar nauyi mai kyau ko da bayan ƙoƙarin asarar nauyi.

Kudin tiyata A Indiya

Ba kamar Amurka ba, inda matsakaicin kuɗin aikin tiyatar bariatric yake 10 Lakhs- 18 Lakhs, a Indiya ne don 2.5 Lakhs- 5 Lakhs wanda shine dalilin da ya sa yana da tasiri na 50-70% a Indiya akan Amurka da UK.

       - Tiyatar Ketare Gastric: Kusan 4.25 - 4.75 Lakhs ($ 6500)

       - Hannun Gastronomy: 3.75 - 4.25 lakhs (matsakaicin $ 5800)

Murfin Inshora

Hanyar Bariatric ba ta jin daɗin murfin inshora saboda kiba yana da alaƙa da rayuwa. Bugu da ƙari, IRDA tana ɗaukar shi a ƙarƙashin rukunin tiyata na kwaskwarima tunda manufar yin hakan kusan koyaushe kayan kwalliya ne.

Mafi kyawun Asibitocin Bariatric Da Likitoci

1.  BLK Super Specialty Hospital

• An kafa shi a cikin 1959 ta BL Kapur.

• Cibiyar kula da lafiya ta musamman ta sami izini ta JCI & NABH.

• Ya ƙunshi manyan gidajen wasan kwaikwayo na zamani 17 da dakunan marasa lafiya 650.

• Cibiyar kiwon lafiya tana da alaƙa da wasu daga cikin mafi kyawun ilimin likita a Indiya, waɗanda ke ba da magani ga 40 da ƙwarewa.

Dr Deep Goel (Kungiyar MBBS DNB - Tiyatar Bariatric)

• Ya kammala MBBS a Kwalejin Kiwon Lafiya ta Kasturba; da DNB daga babban asibitin Sir Ganga Ram

• Yana da gogewa sama da shekaru 25 kuma sanannen likitan fiɗa ne a fannin Bariatric & Laparoscopic Surgery a Indiya.

• Ya yi nasa horo daga mafi kyaun cibiyoyin kiwon lafiya a duniya ciki har da Dutsen Sinai Medical School (New York), Bourdex (Faransa), da dai sauransu.

2.  Babban Jakadancin Max Max, Saket

• Asibiti ne na musamman wanda NABH ya amince da shi kuma NABL.

• An kuma baiwa asibitin da lambar yabo ta Express Healthcare Award saboda samar da ingantattun ayyukan kiwon lafiya

• An kuma gane su a matsayin Asibitin kore na farko na duniya don shigar da Green OT. (Tabbaci)

Dr Pradeep Chowbey (MBBS, MS)

• (MBBS MS MNAMS - Bariatric Surgery) ,

• Dr Pradeep Chowbey ya shafe kusan shekaru 35 yana aikin tiyatar Lap.

• Ya kammala kusan hanyoyin laparoscopic 77000 masu rikitarwa.

• Ya samu lambobin yabo da dama saboda gudunmawar da ya bayar a fannin likitancin Indiya.

Wasu sanannun sunaye Dr Pradeep Jain (Asibitin Fortis), Dr Bhatia (Asibitin Bhatia) da Dr Ajay Kumar Kriplani (Asibitin Fortis)