Ano aduru a tumi wom a wɔde siesie kɛseyɛ mmoroso: Momma yensua Duodenal Switch oprehyɛn ho ade wɔ nsɛm a ɛnyɛ den mu!

So wo nso woyɛ obi a wohu amane pii wɔ kɛseyɛ mmoroso ho? Ebia woanyɛ biribiara a ɛbɛma wo mu duru so atew. So woabrɛ sɛ wobɛteɛteɛ w’apɔw mu, wobɛhwɛ w’aduan so, na woayɛ biribiara? Sɛ saa a, ɛbɛyɛ sɛ woate sɛ ɛtɔ mmere bi a nnuruyɛfo ka oprehyɛn a wɔde ma obi mu duru so ho asɛm. Yɛfrɛ saa oprehyɛn ahorow a ɛma obi mu duru so tew yi (`Bariatric surgery`). Ɛnnɛ yɛrebɛka oprehyɛn biako a ɛte saa a edii yiye yiye, nanso ɛyɛ den kakra nso ho asɛm. Wɔfrɛ eyi Duodenal Switch. Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm tiawa koraa.

Sɛ yɛbɛka no tiawa a, dɛn ne Duodenal Switch yi?

Duodenal Switch yɛ oprehyɛn a wɔyɛ sɛ ade a wɔde sa kɛseyɛ mmoroso. Ɛfa nneɛma atitiriw abien ho. Biako ne sɛ wubeyi wo yafunu no fã titiriw bi na woayɛ ketewaa. Nea ɛto so abien ne sɛ wobɛma dwensɔtwaa ketewaa, wo nipadua no fã a ɛtwe aduan a wudi no yɛ tiaa.

Susuw ho saa kwan yi so. Ɛte sɛ nea wofa ɔkwan tiawa bi so kɔ aduan a wudi no so. Afei, esiane sɛ aduan no ntu nkɔ akyiri saa nti, calorie dodow a wo nipadua no twetwe no so tew. Eyi ma ɛyɛ yiye sɛ wɔbɛtew wɔn mu duru so yiye.

Akwan atitiriw abien na wɔfa so yɛ oprehyɛn yi:

1. Amanne kwan so kwan: `Biliopancreatic Diversion a Duodenal Switch (BPD/DS)`

2. Ɔkwan a wɔasesa: `Anastomosis Baako Duodeno-ileal bypass a wɔde Sleeve Gastrectomy (SADI-S)`

Ebia edin abien yi nyinaa bɛyɛ te sɛ nea ɛyɛ den kakra, nanso mma ɛnhaw wo. Wo duruyɛfo bɛpaw ɔkwan a eye ma wo na wakyerɛkyerɛ mu akyerɛ wo yiye.

Ɔkwan bɛn so na oprehyɛn yi boa wo ma wo mu duru so tew? Momma yɛnhwehwɛ mu yiye.

Saa oprehyɛn yi wɔ anammɔn atitiriw abien. Wɔyɛ anammɔn abien no nyinaa wɔ oprehyɛn koro mu.

Anamɔn a edi kan: Sleeve Gastrectomy

Wɔ eyi mu no, oduruyɛfo a ɔyɛ oprehyɛn no yi wo yafunu bɛyɛ 80% . Wɔyɛ ɔfã ketewaa a aka no ma ɛyɛ afiri, te sɛ banana. Yɛfrɛ eyi `(Sleeve Gastrectomy)`. Eyi akyi no, worentumi nni aduan pii prɛko pɛ. Sɛ wudi kakra mpo a, wobɛte nka sɛ woama. Esiane eyi nti, wohwɛ aduan dodow a wudi so ara kwa.

Anamɔn a Ɛto so Abien: Intestinal Bypass

Ade a edi hɔ a ɛsɛ sɛ woyɛ ne sɛ wobɛtew wo dwensɔtwaa ketewa no tenten so. Yɛn dwensɔtwaa ketewa no ne baabi a aduannuru dodow no ara a ɛwɔ aduan a yedi mu no kɔ yɛn nipadua mu. Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no twa dwensɔtwaa ketewaa no fã a edi kan no ho na ɔde fã a etwa to no bata yafunu ketewa a wɔayɛ no foforo no ho tẽẽ.

Ɛyɛ akwan abien yi a wɔaka abom na ɛma obi mu duru so tew. Ɛyɛ:

• Dodow a wudi no so tew.
• Calories dodow a nipadua no gye fi nea wudi mu no so tew.

Nea ɛka ho no, oprehyɛn yi nso ka hormone nhyehyɛe a ɛhwɛ ɔkɔm ne aduan a yedi so wɔ yɛn nipadua mu no. Ne saa nti, ɔkɔm so tew na yɛte nka sɛ yɛayɛ ma ntɛmntɛm.

Hena na oprehyɛn yi fata yiye?

Eyi nyɛ oprehyɛn a wɔyɛ ma obiara. Nnuruyɛfo kamfo oprehyɛn yi kyerɛ nnipa a wɔn akwahosan ho asiane kɛse esiane kɛseyɛ mmoroso nti nkutoo. Momma yɛnhwɛ nea mpɛn pii no ɔfata eyi.

Akwahosan ho haw bɛn na kɛseyɛ mmoroso betumi de aba?

• Asikreyare a Ɛto so 2
• Mogya Nhyɛso a Ɛkɔ Anim
• Mogya mu srade a ɛkɔ soro
• Koma mu yare
• Dae mu ahomegye a ɛyɛ den
• Srade mmerɛbo mu yare (Metabolic dysfunction-associated steatotic liver disease) .

Sɛ wowɔ saa ayaresa tebea horow yi a, Duodenal Switch oprehyɛn betumi aboa wo ma wo mu duru so atew na aboa wo nso ma woadi saa ayaresa tebea horow no so.

Dɛn na ɛsɛ sɛ woyɛ ansa na woayɛ wo oprehyɛn?

Sɛ oduruyɛfo no si gyinae sɛ wofata ma oprehyɛn yi a, ɔrenyɛ oprehyɛn no ntɛm ara. Ansa na ɛno bɛba no, ɔkwan bi wɔ hɔ a wɔfa so hwehwɛ wo mu yiye na wosiesie wo ma eyi.

• Aduruyɛ mu nhwehwɛmu: Wɔyɛ mogya mu nhwehwɛmu ne ECG de hwɛ sɛ ebia wo nipadua akwahosan wɔ baabi a ɛbɛma woatumi agyina oprehyɛn ano anaa.
• Subammɔne a wubeyi afi hɔ: Sɛ wonom sigaret anaa wonom nsa a, wɔbɛma wo afotu sɛ wubegyae koraa na sɛ ɛho hia a, wɔbɛma wo ayaresa.
• Adwene ne nneyɛe ho afotu:Eyi yɛ asetra mu nsakrae kɛse. Sɛ woyɛ oprehyɛn wie a, nneɛma pii bɛsesa wɔ w’asetra mu. Wɔde afotu ma de aboa wo ma woasiesie wo ho wɔ w’adwene mu ama saa nsakrae no.
• Nhumu: Wɔyɛ nhyiam ahorow de ma wonya oprehyɛn no ho ntease a edi mũ ne sɛnea wɔbɛtra ase wɔ ɛno akyi.
• Aduan titiriw: Adapɛn kakraa bi ansa na wɔayɛ oprehyɛn no, wɔbɛka akyerɛ wo sɛ di aduan titiriw bi akyi. Nea ɛka eyi ho ne sɛ wubedi nnuan a protein pii wom na srade ne carbohydrates nnim.

Mfaso ne ɔhaw ahorow bɛn na ɛwɔ oprehyɛn no so?

Te sɛ oprehyɛn biara no, eyi wɔ mfaso, ɔhaw ahorow, ne asiane ahorow, na ɛho hia sɛ wunya ho ntease a emu da hɔ.

Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?

Ɛho behia sɛ wotra ayaresabea hɔ da koro anaa nnanu wɔ oprehyɛn no akyi. Ebetumi agye adapɛn abien kosi anan ansa na ne ho atɔ no koraa. Saa bere yi mu no, wo nipadua no bɛfa nsakrae akɛse mu.

Mfiase no, wubetumi anya bere tiaa mu ɔhaw te sɛ:

• Ɔbrɛ ne ɔbrɛ a wɔte nka kɛse
• Abofono
• Adwene mu nneɛma sesa
• Nwi a ɛtɔ (eyi yɛ bere tiaa mu de) .
• Nipadua mu yaw
• Awɔw a wɔte nka sɛ ɛyɛ kɛse sen sɛnea ɛtaa ba

Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkɔ so adi nkitaho. Ɛho behia sɛ wokɔhwɛ wo daa wɔ mfe abien a edi kan no mu, na afei wɔma wɔhwɛ w’akwahosan ne aduannuru dodow bere ne bere mu wɔ w’asetra nyinaa mu.

Momma yɛnhu nsɛnnennen a ebetumi aba bere tenten nso.

Ɛwom sɛ oprehyɛn yi di yiye kɛse de, nanso nneɛma pii wɔ hɔ a ɛsɛ sɛ wɔhwɛ yiye wɔ ho bere tenten.

Aduan pa a wonnya nni

Eyi ne asiane titiriw no . Esiane sɛ wo dwensɔtwaa ketewaa no ntumi nnye aduannuru pii nti, ɛda adi sɛ wubenya vitamin ne mineral a enni wo mu. Enti ɛho behia sɛ wonom vitamin ne mineral a wɔde ma sɛnea wo duruyɛfo akyerɛ wo no wo nkwa nna nyinaa. Ɛho behia nso sɛ woyɛ wo mogya mu nhwehwɛmu bere ne bere mu na ama woahu aduannuru dodow a wowɔ.

Ayamtuo

Esiane sɛ aduan no ntumi nwene yiye nti, tebea horow te sɛ dwensɔtwaa a ɛtaa ba anaa dwensɔtwaa betumi aba. Nanso, sɛ wudi aduan ho akwankyerɛ a wo duruyɛfo de ama wo no akyi pɛpɛɛpɛ a, wobetumi adi eyi so akodu baabi.

Abo a wɔde yɛ akisikuru

Sɛ wo mu duru so tew ntɛmntɛm a, wo mmerɛbo no ma srade pii ba, na ebetumi aboaboa ano wɔ wo akisikuru mu na ayɛ akisikuru mu abo.

Bile Reflux a Ɛsan Fa Nsu Mu

Ɛtɔ mmere bi a, esiane nsakrae a ɛba yafunu no mu ntini ahorow no dwumadi mu nti, bile tumi sen kɔ yafunu no mu.

Wo duruyɛfo bɛhwɛ wo yiye wɔ eyinom nyinaa ho. Enti nea ɛho hia sen biara ne sɛ woremmɔ hu na sɛ wo ho nyɛ wo dɛ a, wobɛka akyerɛ wo duruyɛfo ntɛm ara.