Kɛse mmoroso yɛ akwahosan ho haw a anibere wom a nnipa pii hyia wɔ yɛn man yi mu ne wiase nyinaa nnɛ. Ɛtɔ mmere bi a, ɛmfa ho sɛnea woteɛteɛ w’apɔw mu na wudi aduan pii no, ɛyɛ den yiye sɛ wobɛtew wo mu duru so. Ɛyɛ mmere a ɛte sɛ eyinom mu na nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ oprehyɛn a ɛbɛma nnipa binom atew wɔn mu duru so. Enti ɛnnɛ, momma yɛnka oprehyɛn kɛse a ɛte saa biako ho asɛm, oprehyɛn a wɔde twa yafunu mu, a nnipa pii ate ho asɛm. Momma yɛnte nea ɛyɛ ankasa, sɛnea wɔyɛ no, ne nea ɛkɔ so wɔ ɛno akyi no ase kɛkɛ.
Dɛn na ɛba ankasa wɔ oprehyɛn a wɔde twa yafunu mu yi ho?
Sɛ yɛbɛka no tiawa a, eyi yɛ oprehyɛn a wɔyɛ no anammɔn abien.
Ɛka akwan abien a wɔfa so tew wɔn mu duru so bom. Ma yɛnhwɛ nea saa anammɔn abien no yɛ.
Anamɔn 1: Wobɛbɔ kotoku ketewaa bi wɔ yafunu no mu
Wɔ eyi mu no, oduruyɛfo a ɔyɛ oprehyɛn no kyekyɛ wo yafunu mu abien. Ɔfã biako yɛ kɛse, na biako nso yɛ ketewaa koraa. Afei, wɔpam ɔfã ketewa no anaasɛ wɔde stape bom ma ɛyɛ kotoku ketewaa bi. Aduan dodow a wobetumi de ahyɛ kotoku ketewa yi mu no sua koraa, sɛ yɛbɛka no pɛpɛɛpɛ a, ne kɛse bɛyɛ sɛ kuruwa. Enti esiane sɛ wowɔ yafunu ketewaa saa nti, wote
nka sɛ wo ho ayɛ wo ma bere a woadi kakra mpo . Enti dodow a wudi no so tew ara kwa. Yɛfrɛ saa kwan yi sɛ ‘restrictive’ kwan. Ɛne sɛ, ɛto aduan dodow a wubetumi adi ano hye.
Anamɔn a Ɛto so Abien: Bypast
Afei, saa kotoku ketewa a wɔabɔ no wɔ hɔ, na oduruyɛfo no tetew mu fi yafunu no fã kɛse ne dwensɔtwaa ketewa (duodenum) no fã a edi kan no ho. Afei, wɔde saa kotoku ketewa no bata dwensɔtwaa ketewa no fã bi (jejunum) ho tẽẽ. Wɔfrɛ saa oprehyɛn yi
"Roux-en-Y." Sɛ wɔde bata ho saa kwan yi so a, aduan a wudi no fi saa kotoku ketewa no mu kɔ dwensɔtwaa ketewa no ase tẽẽ. Ɛne sɛ, ɛtwam dwensɔtwaa ketewa no fã a edi kan no ho. Esiane eyi nti, nipadua no twetwe calorie ne aduannuru a ɛwɔ aduan a wudi mu no kakraa bi koraa. Wɔfrɛ saa adeyɛ yi sɛ ‘malabsorptive’ adeyɛ. Mpɛn pii no, wɔyɛ anammɔn abien yi nyinaa wɔ oprehyɛn koro mu, na wɔfrɛ adeyɛ no nyinaa sɛ
"Roux-en-Y gastric bypass." Mpɛn pii no, nnuruyɛfo a wɔyɛ oprehyɛn yɛ oprehyɛn yi wɔ laparoscopic kwan so. Ɛne sɛ, wɔde mfoninitwa afiri ne nnwinnade a wɔde fa ntokuru nketewa pii mu na ɛyɛ oprehyɛn, sen sɛ wɔbɛtwa yafunu no mu kɛse. Nanso, wɔ tebea horow bi mu no, sɛ eyi ntumi nyɛ yiye a, ebia ɛho behia sɛ wɔfa yafunu no mu ntwitwiridii kɛse (laparotomy) so yɛ oprehyɛn.
Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?
Esiane sɛ eyi yɛ oprehyɛn kɛse nti, ɛho hia sɛ wohu nneɛma bi. Ɛho behia sɛ wotra ayaresabea hɔ nnafua 2 kosi 3 wɔ oprehyɛn no akyi. Ebia ebegye bɛyɛ adapɛn 2 kosi 3 ansa na woatumi asan afi dwumadi ahorow a wotaa yɛ no ase. Sɛnea ɛte wɔ oprehyɛn nyinaa ho no, asiane ne nsɛnnennen wɔ hɔ.
Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa afa eyinom nyinaa ho ansa na woayɛ wo oprehyɛn yi na woabisa wo nsɛm nyinaa.
Momma yɛnhwɛ nsɛnnennen a ebetumi aba yi wɔ pon a ɛwɔ ase ha no so.
| Nsɛnnennen no su | Nkyerɛkyerɛmu ne asiane |
|---|
| Nsɛnnennen a ɛtaa ba | Eyinom betumi aba wɔ nnipa 100 biara mu bɛyɛ 10 (10%) a wɔyɛ wɔn oprehyɛn no mu. Nhwɛso ahorow: kuru mu yare, aduan mu haw, akuru, mogya a ɛtɔ. |
| Nsɛnnennen a ebetumi ayɛ aniberesɛm anaasɛ ɛde nkwa ato asiane mu | Eyinom yɛ nsɛm a ɛntaa nsi (1% - 5%). Nhwɛso ahorow: Ahurututu mu ntini a ɛma mogya tu, komayare, nsu a ɛtwetwe fi mmeae a oprehyɛn wɔ abusuabɔ, nyarewa a emu yɛ den anaa mogya a ɛtɔ. |
Nanso kae sɛ
asiane yi sua koraa wɔ ayaresabea ahorow a nnuruyɛfo a wɔn ho akokwaw a wɔayɛ oprehyɛn a ɛte saa bɛboro 100 wom no mu . Sɛ oduruyɛfo a ne ho akokwaw yɛ oprehyɛn yi a, asiane a ɛwɔ hɔ sɛ obi bewu no nnu 0.5% (kyerɛ sɛ, ennu 200 biara mu biako). Nea ɛka ho no, aduannuru a nipadua no twetwe no so tew, na ɛno betumi ama nneɛma te sɛ iron ne calcium ho atɔ no bere tenten, na ebetumi ama tebea horow te sɛ mogya a ɛtɔ kɔ nipadua no mu ne nnompe mu yare aba. Nanso,
sɛ wonom aduannuru a wɔde ma wo duruyɛfo no pɛpɛɛpɛ na woyɛ wo mogya mu nhwehwɛmu wɔ bere ano a, wubetumi atew asiane yi so kɛse.
Dɛn na efi oprehyɛn no mu ba?
Mpɛn pii no, sɛ obi mu duru so tew bere a wɔayɛ oprehyɛn akyi a, edi mu yiye. Sɛ wɔkyekyem pɛpɛɛpɛ a, ayarefo
mu duru a ɛboro so no so tew bɛyɛ 60% . Sɛ nhwɛso no, fa no sɛ obi mu duru a ɛfata yɛ kilogram 70, nanso mprempren ne mu duru yɛ kilogram 150. Ɔwɔ mu duru a ɛboro so kilogram 80. Wɔ oprehyɛn yi akyi no, saa mu duru a ɛboro so no bɛyɛ 60%, kyerɛ sɛ, bɛyɛ kilogram 48, betumi ayera. Nea ɛka mu duru a ɛso tew ho no,
wobetumi asa akwahosan ho haw pii a kɛseyɛ mmoroso de ba te sɛ asikreyare, mogya mmoroso, ayamtu, ne nna mu ahomegye a esiw kwan no koraa anaasɛ wɔadi so kɛse .
Nanso kae eyi yiye. Saa oprehyɛn yi nyɛ nkonyaayi. Sɛ wopɛ sɛ wo mu duru so tew na wokɔ so a, .Ɛsɛ sɛ woyɛ nsakrae wɔ w’asetra mu daa. Aduan nketenkete pii a wubedi da biara ne apɔw-mu-teɛteɛ daa yɛ ade titiriw.
Oprehyɛn ahorow afoforo bɛn na wɔde ma obi mu duru so tew?
Sɛ woresusuw ho sɛ wobɛyɛ oprehyɛn a ɛbɛma wo mu duru so atew a, akwan foforo pii wɔ hɔ a wubetumi afa so a ɛnyɛ yafunu a wɔde twam. Momma yɛnhwɛ ɛno nso.
| Oprehyɛn ko a wɔyɛ | Sɛnea wɔyɛ no ne nsɛntitiriw a ɛho hia |
|---|
| Nsa a Wɔde Twa Yafunu Mu | Eyi ne oprehyɛn a wɔtaa yɛ a ɛma obi mu duru so tew wɔ wiase. Wɔ eyi mu no, woyi yafunu no bɛyɛ fã, na wɔyɛ ɔfã a aka no sɛ afiri tenten (nsateaa) te sɛ abasa. Eyi nso yɛ adeyɛ a ‘ɛyɛ anohyeto’. |
| Gastroplasty a Wɔde Banded a Ɛgyina Hɔ | Eyi yɛ yafunu mu stapling ne banding a wɔaka abom. Nanso, wɔnyɛ no mpɛn pii bio esiane nsɛnnennen a ɛkɔ soro ne mu duru a ɛba fam nti. |
| Biliopancreatic Nneɛma a Wɔdannan no | Eyi te sɛ gastric bypass. Nanso, ɛha no, wɔde yafunu kotoku no bata dwensɔtwaa ketewa (ileum) no fã a ɛwɔ fam no ho. Enti, calorie dodow a nipadua no gye no sua mpo. Nanso, eyi yɛ oprehyɛn a ɛyɛ den sɛ wɔbɛyɛ na asiane a ɛwɔ hɔ sɛ obi benya aduannuru a enni nipadua mu no dɔɔso yiye. |
Awiei koraa no, oprehyɛn a ɛte sɛɛ a wɔbɛyɛ no yɛ asetra mu gyinaesi kɛse. Enti ansa na wubesi gyinae no, wo ne wo duruyɛfo nkasa mfa nneɛma a wubetumi apaw, mfaso ne ɔhaw ahorow a ɛwom, ne nea ɛyɛ adwuma yiye ma wo ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Gastric bypass yɛ oprehyɛn titiriw a ɛma obi mu duru so tew a ɛwɔ anammɔn atitiriw abien ( yafunu a wɔtew so ne bypass).
- Eyi betumi atew mu duru so kɛse na asiw nyarewa te sɛ asikreyare ne mogya mmoroso so .
- Sɛnea ɛte wɔ oprehyɛn nyinaa ho no, asiane ne nsɛnnennen bi wɔ hɔ .
- Oprehyɛn no nkonimdi gyina wo so koraa sɛ wobɛsakra w’asetra kwan (aduan ne apɔw-mu-teɛteɛ) daa wɔ oprehyɛn no akyi.
- Eyi nyɛ gyinaesi a ɛsɛ sɛ wobu no adewa. Ɛho hia sɛ wo ne wo duruyɛfo susuw eyi ho na ama woahu sɛ ebia oprehyɛn yi fata wo anaa.
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