So wote nka sɛ wo ho nyɛ wo dɛ koraa esiane sɛ wo nipadua mu duru akɔ soro akodu baabi a wuntumi nni so, kyerɛ sɛ, kɛseyɛ mmoroso nti? So worepere nyarewa te sɛ asikreyare ne mogya mmoroso? Afei ɛbɛyɛ sɛ woate oprehyɛn a wɔyɛ de tew wo mu duru so ho asɛm. Ɛnnɛ yɛrebɛka oprehyɛn a ɛte saa no biako ho asɛm, oprehyɛn a ɛyɛ den kakra nanso edii yiye yiye, ‘Duodenal Switch’ oprehyɛn. Eyi nyɛ oprehyɛn a obiara yɛ, nanso ɛho hia yiye sɛ wohu eyi.
Sɛ yɛbɛka no tiawa a, dɛn ne Duodenal Switch oprehyɛn?
Duodenal Switch yɛ bariatric oprehyɛn bi a ɛfa nneɛma atitiriw abien ho: biako ne sɛ wobeyi wo yafunu bɛyɛ 80% na woayɛ no nsateaa ketewaa bi . Nea ɛto so abien ne sɛ wobɛtew wo dwensɔtwaa ketewa no tenten so na woayɛ tiaa .
Saa nsakrae abien yi to aduan dodow a wubetumi adi ano hye na ɛtew calorie dodow a wo nipadua no twetwe so kɛse. Nea afi mu aba ne nipadua mu duru a ɛso tew kɛse. Ɛwom sɛ eyi nyɛ oprehyɛn a ɛntaa nsi sɛ wɔde toto oprehyɛn afoforo a wɔde tew mu duru so ho de, nanso mpɛn pii no ɛma obi mu duru so tew kɛse.
Akwan titiriw abien na ɛwɔ hɔ a wɔfa so yɛ eyi:
- Amanne kwan so: Biliopancreatic Diversion a Wɔde Duodenal Switch (BPD/DS) di dwuma .
- Nnɛyi kwan: Anastomosis Duodeno-Ileal bypass biako a wɔde Sleeve Gastrectomy (SADI-S) yɛ .
Ɔkwan bɛn so na oprehyɛn yi boa wo ma wo mu duru so tew?
Fa no sɛ oprehyɛn a wɔyɛ no anammɔn abien.
Anamɔn 1: Oduruyɛfo no yi wo yafunu no fã kɛse (bɛyɛ 80%). Wɔayɛ ɔfã ketewaa a aka no te sɛ banana, te sɛ afiri a wɔde fa nsu mu. Yɛfrɛ eyi `(Sleeve Gastrectomy)`. Esiane sɛ yafunu no sua nti, wuntumi nnidi pii prɛko pɛ. Sɛ wudi kakra mpo a, wobɛte nka sɛ woama.
Anamɔn 2: Afei, wobɛma wo dwensɔtwaa mu kwan a wɔfa so twa wo dwensɔtwaa mu. Wɔtwa wo dwensɔtwaa ketewa no fã a edi kan no ho na wɔde fã a etwa to no bata yafunu a wɔabɔ no foforo no ho tẽẽ. Ɛte sɛ ɔkwan tiawa a wɔfa so kwati kar akwan so. Eyi kyerɛ sɛ aduan a wudi no mu dodow no ara fa wo nipadua mu a wonnyam. Eyi kyerɛ sɛ calories ne aduannuru dodow a wo nipadua no twetwe fi aduan mu no so tew kɛse .
Oprehyɛn yi akyi no, wunni aduan kakraa bi na wo nipadua no twetwe aduan a wudi no kakraa bi. Afei nso, oprehyɛn yi ka wo nipadua mu nkwaadɔm dwumadi. Nkwammoaa a ɛhyɛ ɔkɔm so na ɛma wote nka sɛ amee no nso sesa, na ɛno betumi aboa wo ma wo mu duru so atew.
Henanom na wɔkamfo oprehyɛn yi kyerɛ?
Eyi nyɛ oprehyɛn a wɔyɛ ma obiara. Wɔkamfo kyerɛ wɔn a wɔyɛ kɛse mmoroso sen biara (Klas III kɛseyɛ mmoroso) titiriw. Wo duruyɛfo bɛhwɛ w’akwahosan mu yiye na wasi gyinae sɛ ebia oprehyɛn yi fata wo anaasɛ ɛnfata.
Wɔtaa susuw oprehyɛn yi ho ma wɔn a wodu gyinapɛn ahorow a edidi so yi ho:
| Susudua | Nkyerɛmu |
|---|---|
| Nipadua Mu Nsõ Ho Nsɛnkyerɛnne (BMI) . | Sɛ wo BMI yɛ 40 anaa nea ɛboro saa (Class III Obesity). |
| BMI ne nyarewa afoforo | Sɛ wo BMI yɛ 35 anaa nea ɛboro saa na wowɔ aduruyɛ mu tebea titiriw bi a ɛfa kɛseyɛ mmoroso ho a. |
| Nyarewa a ɛfa kɛseyɛ mmoroso ho nhwɛso: | |
| |
Nea ɛho hia sen biara ne sɛ, nnuruyɛfo kuw bi a wɔhwɛ wo mu na wosi gyinae sɛ wɔbɛyɛ oprehyɛn yi. Enti wo ne wo duruyɛfo nka eyi ho asɛm pefee.
Dɛn na ɛba ansa na wɔayɛ oprehyɛn no?
Sɛ oduruyɛfo no si gyinae sɛ wofata ma oprehyɛn yi a, wɔde wo bɛkɔ akɔyɛ nhwehwɛmu ahorow a ɛtoatoa so.
- Wɔyɛ aduruyɛ mu nhwehwɛmu daa de hwɛ sɛ w’akwahosan te yiye anaa.
- Sɛ wode tawa, nsa, anaa nnubɔne di dwuma a, yɛde mmoa ne ayaresa a wuhia na ama woagyae no ma.
- Saa oprehyɛn yi yɛ nsakrae kɛse wɔ w’asetra mu. Wɔde wo bɛkɔ akɔma wo adwene mu afotuo de ahwɛ sɛ woasiesie wo ho wɔ w’adwene mu ama no anaa.
- Ɛsɛ sɛ wokɔ nhyiam ahorow ase kɔkyerɛkyerɛ wo ho oprehyɛn no ne sɛnea wobɛsesa w’asetra kwan wɔ ɛno akyi.
Sɛ eyi nyinaa wie a, wɔbɛma wo aduan ho nhyehyɛe titiriw bi adapɛn kakraa bi ansa na wɔayɛ oprehyɛn no. Nea ɛka ho ne aduan a protein pii wom, carbohydrates kakraa bi, ne srade kakraa bi.
Mfaso ne ɔhaw bɛn na ɛwɔ so?
Te sɛ biribiara no, oprehyɛn yi wɔ mfaso ne ɔhaw ahorow nyinaa.
| Mfaso a ɛwɔ so | Mfomso & Asiane a Ɛwɔ Mu |
|---|---|
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Dɛn na ɛba wɔ oprehyɛn no akyi?
Sɛ wɔyɛ oprehyɛn no wie a, ɛho behia sɛ wotra ayaresabea hɔ da koro anaa nnanu. Egye bɛyɛ adapɛn abien kosi anan ansa na ne ho atɔ no koraa. Saa bere yi mu no, wo nipadua no bɛfa nsakrae akɛse mu.
Bere tiaa mu sɛnkyerɛnne ahorow a ebetumi aba bere a obi ho retɔ no:
- Ɔbrɛ kɛse a wɔte nka
- Abofono
- Nwi a ɛtɔ (eyi yɛ bere tiaa mu de) .
- Nipadua mu yaw
- Awɔw a wɔte nka wɔ nipadua no mu
- Adwene mu nneɛma sesa
Mpɛn pii no, eyinom so tew bere a bere kɔ so no.
Ade a ɛho hia sen biara ne sɛ wobɛkɔ wo duruyɛfo nkyɛn bere ne bere mu wɔ oprehyɛn no akyi. Wɔbɛhwɛ wo daa wɔ mfe abien a edi kan no mu, na afei wɔahwɛ wo daa wɔ w’asetra nyinaa mu.
Nsɛnnennen a ɛtra hɔ kyɛ ne nea wɔde di dwuma
Esiane sɛ eyi yɛ oprehyɛn kɛse nti, nneɛma pii wɔ hɔ a ɛsɛ sɛ wususuw ho bere tenten.
- Aduan pa a wonnya nni: Eyi ne asɛnnennen kɛse. Esiane sɛ wo dwensɔtwaa ketewaa no nnye aduannuru yiye nti, ebehia sɛ wonom vitamin ne mineral a wɔde ma wo nkwa nna nyinaa . Wo duruyɛfo bɛhwɛ wo mogya bere ne bere mu ahwɛ sɛ aduannuru a ɛwɔ wo mu no fata anaa.
- Atiridiinini: Esiane sɛ aduan ntumi nkɔ yiye nti, nsu betumi ayɛ mmerɛw na ɛtaa ba. Wobetumi adi eyi so denam aduan ho nhyehyɛe a wo duruyɛfo de ama wo no a wubedi so katee so.
- Akisikuru: Sɛ obi mu duru so tew prɛko pɛ a, ɛma asiane a ɛwɔ hɔ sɛ obenya akisikuru no yɛ kɛse. Ebia wɔbɛma wo nnuru de asiw eyi ano.
- Bile Reflux: Wɔ tebea horow bi mu no, bile ne mogya tumi kɔ akyi kɔ yafunu no mu.
Ɔkwan bɛn so na w’adidi su bɛsakra bere a wɔayɛ wo oprehyɛn no?
Worentumi nnidi sɛnea ɛsɛ ntɛm ara wɔ oprehyɛn akyi. Ɛsɛ sɛ woma wo aduan mu nhyehyɛe no bere ma ɛsa yare na ɛyɛ nsakrae wɔ adeyɛ foforo no mu. W’aduan bɛsakra nkakrankakra.
1. Clear Liquid Diet: Nneɛma te sɛ soup nsu, tii a wɔmfa nnuru nhyɛ mu.
2. Full Liquid Diet: Nufusu, yogurt, nsu a wɔde yɛ soup.
3. Puréed Foods: Nnuan a wɔde afra na wɔayam no yiye.
4. Aduane a ɛyɛ mmerɛw: Nneɛma te sɛ nhabannuru a wɔanoa no yiye ne mpataa a ɛyɛ mmerɛw.
Ɛsɛ sɛ woyɛ saa anammɔn yi nyinaa sɛnea wo duruyɛfo ne aduannuru ho ɔbenfo de afotu kyerɛ no. Ebia ebegye ɔsram biako anaa nea ɛboro saa ansa na wasan adi aduan a ɛfata.
Nkrasɛm a Wɔde Kɔ Fie
- Duodenal Switch yɛ oprehyɛn a edi mu yiye, nanso ɛyɛ den ma kɛseyɛ mmoroso a emu yɛ den. Ɛmfata obiara.
- Ɛwom sɛ oprehyɛn yi betumi aboa wo ma wo mu duru so atew kɛse de, nanso ɛhwehwɛ sɛ woyɛ nsakrae akɛse wɔ w’asetra kwan mu.
- Ɛho hia sɛ wonom vitamin ne mineral a wɔde ma wɔ wo nkwa nna nyinaa mu na ama woakwati aduannuru a enni mu.
- Sɛ wɔyɛ oprehyɛn wie mpo a, ɛho hia paa sɛ wobɛkɔ wo duruyɛfo nkyɛn bere ne bere mu na woyɛ nhwehwɛmu a ɛho hia.
- Sɛ woresusuw oprehyɛn a ɛte sɛɛ ho a, wo ne wo duruyɛfo nsusuw ho nsɛm nyinaa ho na si ano aduru a eye ma wo ho gyinae.
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