So wo nso woyɛ obi a wunya nyarewa ahorow te sɛ asikreyare ne mogya mmoroso esiane kɛseyɛ mmoroso nti? Ebia woateɛteɛ w’apɔw mu, woadi w’aduan so, na woayɛ nea wubetumi biara, nanso woda so ara repere sɛ wobɛtew wo mu duru so. Sɛ saa a, ɛbɛyɛ sɛ woate oprehyɛn a wɔde tew wo mu duru so, a wɔsan frɛ no bariatric oprehyɛn ho asɛm. Ɛnnɛ yɛreka oprehyɛn a wɔde twa yafunu mu, oprehyɛn a wɔtaa yɛ wɔ wiase no mu biako ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne yafunu mu oprehyɛn?
Eyi yɛ oprehyɛn a wɔde ma wɔn mu duru so tew na wɔteɛteɛ nipadua mu nneɛma a ɛsakra nso. Wɔde Franse kasa nso frɛ saa oprehyɛn yi, “Roux-en-Y”.
Sɛ yɛbɛka no tiawa a, oprehyɛn yi hwehwɛ sɛ woyɛ nsakrae wɔ wo aduan mu. Ɛma aduan dodow a wudi ano hye na ɛtew calorie dodow a wo nipadua no twetwe so. Nea ɛka eyi ho titiriw ne nsakrae a ɛba wo yafunu ne wo dwensɔtwaa ketewaa mu.
Fa wo yafunu sɛ kotoku kɛse. Saa oprehyɛn yi ma wonya kotoku ketewaa bi a ne kɛse bɛyɛ sɛ ɛmo, gu saa kotoku kɛse no so. Afei aduan a yedi no kɔ kotoku ketewa yi mu tẽẽ. Efi hɔ no, aduan no bata wo dwensɔtwaa ketewa no ase tẽẽ.
Eyi kyerɛ sɛ mprempren aduan a wudi no twa yafunu no fã kɛse ne dwensɔtwaa ketewa no fã a edi kan no ho hyia. Saa kwan a wɔfa so twa kwan yi mma wo nipadua no ntumi nnye aduannuru ne calories a ɛwɔ aduan no mu no koraa. Eyi ne ɔkwan a wofa so tew wo mu duru so.
Henanom na oprehyɛn yi fata ankasa?
Saa oprehyɛn yi nyɛ obiara dea. Nnuruyɛfo kamfo kyerɛ wɔn a wɔayɛ kɛse mmoroso kɛse wɔ ayaresabea nkutoo. Mpɛn pii no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wowie na ama obi afata ama eyi.
| Nneɛma a Wɔde Fata Ho | Nkyerɛmu |
|---|---|
| Kɛse mmoroso a emu yɛ den (Klas III Obesity) . | Sɛ wo nipadua mu duru (BMI) boro 40 a. |
| Kɛse mmoroso ne nyarewa afoforo | Sɛ wo BMI boro 35 na wowɔ aduruyɛ mu tebea biako anaa nea ɛboro saa a kɛseyɛ mmoroso de ba, te sɛ asikreyare, mogya mmoroso, anaa nna mu ahomegye a ɛyɛ den a. |
| Asikreyare a wontumi nni so | Wobetumi akamfo oprehyɛn yi akyerɛ sɛ ɛyɛ den sɛ wobedi Asikreyare a Ɛto so Abien a kɛseyɛ mmoroso de ba no so na BMI boro 30 a. |
Nea ɛho hia sen biara ne sɛ ansa na wɔbɛyɛ wo oprehyɛn yi no, woasi wo bo sɛ wobɛsakra w’asetra kwan ne w’adidi su wo nkwa nna nyinaa. Eyi nyɛ bere tiaa mu ano aduru.
Nea ɛka ho no, nnuruyɛfo kuw ne akwahosan ho abenfo afoforo bɛhwehwɛ wo mu ansa na wɔakamfo oprehyɛn akyerɛ wo.
- So wo honam ne adwene mu yɛ den sɛ wɔbɛyɛ wo oprehyɛn?
- Nsã anaa tawa a wɔnom anaa.
- Yɛsan nso susuw ho sɛ ebia woabɔ mmɔden sɛ wobɛtew wo mu duru so denam akwan afoforo so (apɔw-mu-teɛteɛ, aduan) ansa na woayɛ wo oprehyɛn anaa.
Mfaso bɛn na ɛwɔ oprehyɛn so?
Mfaso kɛse a ɛwɔ eyi so ne sɛ obi mu duru so tew kɛse. Mpɛn pii no, wɔ mfe abien a edi kan wɔ oprehyɛn akyi no, wubetumi atew wo mu duru a ɛboro so no bɛyɛ 70% . Ɛwom sɛ nnipa binom mu duru yɛ kɛse kakra bere kɔ so de, nanso wubetumi akɔ so akura mu duru a ɛso tew bere tenten bɛyɛ 50%.
Wɔ mu duru a wɔtew akyi no, oprehyɛn yi nso boa ma wodi nyarewa pii a kɛseyɛ mmoroso de ba no so anaasɛ ɛsa koraa.
- Asikreyare a Ɛto so 2
- Mogya mmoroso (Hypertension) .
- Srade a ɛdɔɔso wɔ mogya mu (Hyperlipidemia) .
- Koma mu yare
- Mmerɛbo mu yare a srade wom
- Yafunu mu yare ne yafunu mu nsu a ɛsan kɔ nipadua no mu (GERD) .
- Snoring (Obstructive nna mu ahomegye) .
- Nnompe mu ntini mu yare
Nnipa pii tumi gyae nnuru a wɔnom ma nyarewa yi anaasɛ wɔtew so mpo .
Ɔkwan bɛn so na wɔyɛ oprehyɛn no?
Mprempren, wɔde laparoscopic na ɛyɛ yafunu mu oprehyɛn 90% . Eyi hwehwɛ sɛ wɔyɛ ntwitwiridii nketenkete paa (bɛyɛ nsateakwaa fã) 3-5 wɔ yafunu no mu, na wɔfa so de mfoninitwa afiri ne nnwinnade a wɔde yɛ oprehyɛn hyɛ mu. Saa kwan yi ma ɛyaw kakraa bi, ne ho tɔ no ntɛmntɛm, na ɔhaw kakraa bi na ɛba.
Oprehyɛn no gye nnɔnhwerew 2 kosi 4. Ɛsɛ sɛ wotra ayaresabea hɔ bɛyɛ nna abien wɔ oprehyɛn no akyi.
So asiane ne nsɛnnennen a ɛtra hɔ kyɛ nni oprehyɛn mu?
Sɛnea ɛte wɔ oprehyɛn kɛse biara ho no, asiane ahorow bi wɔ hɔ. Nanso, mpɛn pii no, eyinom ntaa mma. Sɛ oduruyɛfo a ne ho akokwaw yɛ oprehyɛn a, asiane ahorow no sua koraa.
| Asiane a Ɛwɔ Hɔ | Nkyerɛmu |
|---|---|
| Asiane a Ɛwɔ Bere Tiaa Mu | |
| Asiane ahorow a ɛwɔ oprehyɛn mu | Kuru mu yare, mogya a ɛtɔ dodo, sɛnea wɔyɛ wɔn ade wɔ aduru a wɔde kum nipadua no ho. |
| Asiane ahorow a ɛfa oprehyɛn ho pɔtee | Hernias, dwensɔtwaa ketewaa a ɛsiw, ne anastomotic leaks. |
| Nsɛnnennen a Ɛtra Hɔ Bere Tenten | |
| Dumping Syndrome a Wɔde Tow Nneɛma Mu | Sɛ wudi nnuan a asikre anaa esiam pii wom a, ɛkɔ dwensɔtwaa ketewa no mu ntɛmntɛm, na ɛde sɛnkyerɛnne ahorow te sɛ akisikuru, yafunu mu akisikuru, ne akisikuru ba. Wubetumi akwati eyi denam w’aduan a wobɛhwɛ so no so. |
| Aduan pa a wonnya nni | Esiane sɛ aduannuru a nipadua no twetwe no so tew nti, ɛho hia sɛ wɔnom vitamin ne mineral a oduruyɛfo akyerɛw ama obi wɔ nkwa nna nyinaa mu. |
| Abo a wɔde yɛ akisikuru | Sɛ obi mu duru so tew ntɛmntɛm a, ɛma asiane a ɛwɔ hɔ sɛ obenya abo wɔ akisikuru mu no yɛ kɛse. |
| Mu duru a wɔsan nya | Sɛ wɔansakra adidi ne asetra kwan a, bere kɔ so no, yafunu no kɛse a ɛso atew no betumi asan ayɛ kɛse na ne mu duru betumi ayɛ kɛse. |
Oprehyɛn akyi asetra te dɛn?
Eyi ne ɔfã a ɛho hia sen biara. Sɛ woyɛ oprehyɛn no wie a, ɛsɛ sɛ wudi aduan ho nhyehyɛe a emu yɛ den akyi.
- Adapɛn kakraa a edi kan: Nsu a wɔde di dwuma nkutoo.
- Adapɛn kakraa a edi hɔ: Aduan a ɛyɛ mmerɛw.
- Asram 2-3 akyi: Fa nnuan a ɛyɛ den fa nkakrankakra.
Ɛho hia sɛ wudi akwankyerɛ a wo duruyɛfo ne aduan ho ɔbenfo de ama wo no akyi pɛpɛɛpɛ.
- Nnuan a protein wom: Ɛho hia sɛ wudi nnuan a protein wom (mpataa, nkesua, nufusu) na ama ntini mu ayɛ den.
- Kwati nnuan a asikre ne starch wom: Ɛsɛ sɛ wɔtew anonne a ɛyɛ dɛ, keeki, bisket, ne paanoo so sɛnea wobetumi.
- Vitamins ne minerals: Ɛsɛ sɛ wonom nnuru a wɔde ka wo ho a wo duruyɛfo akyerɛw wo ama wo wɔ w’asetra nyinaa mu.
- Nom nsu pii: Ɛho hia sɛ anyɛ yiye koraa no wonom nsu lita 2 da biara. Nanso, kwati nsu a wobɛnom bere a woredidi no.
Wɔ bere a wo ho tɔ wo wɔ oprehyɛn no mu no, ebia wubenya bere tiaa mu nsunsuanso bɔne te sɛ ɔbrɛ, nipadua mu yaw, ne wo ti nhwi a ɛtɔ. Eyinom bɛsan ayɛ sɛnea na ɛte kan bere kɔ so no.
Kae sɛ oprehyɛn a wɔde twa yafunu mu no nyɛ nkonyaayi. Ɛyɛ adwinnade a tumi wom a ɛbɛboa wo ma wo mu duru so atew. Sɛ wubenya so mfaso kɛse a, ebehia sɛ wode wo ho hyɛ mu na wobɔ mmɔden kɛse.
Sɛ wo nso worehu amane wɔ kɛseyɛ mmoroso ho a, ɛho hia paa sɛ wo ne wo duruyɛfo kasa na woahu eyi ho nsɛm pii na woasi gyinae sɛ ebia eyi fata wo anaa.
Nkrasɛm a Wɔde Kɔ Fie
- Yafunu mu oprehyɛn yɛ oprehyɛn titiriw a wɔde sa kɛseyɛ mmoroso a emu yɛ den ne nyarewa a ɛbata ho. Ɛnyɛ ade a wosiesie no ntɛm.
- Saa oprehyɛn yi betumi ama obi mu duru so atew kɛse na ebetumi aboa nso ma wɔadi tebea horow te sɛ asikreyare ne mogya mmoroso so.
- Oprehyɛn no nkonimdi gyina wo bo a woasi sɛ wobɛyɛ nsakrae wɔ w’aduan ne w’asetra mu wɔ wo nkwa nna nyinaa mu no so.
- Ɛyɛ ahyɛde sɛ wobɛnom vitamin ne nnuru a oduruyɛfo no akyerɛw ama wo no nkwa nna nyinaa wɔ oprehyɛn akyi.
- Ɛsɛ sɛ wusi gyinae sɛ ebia oprehyɛn yi fata wo bere a wo ne wo duruyɛfo asusuw ho awie no.
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