So wote nka sɛ woayɛ srade dodo? So woanyɛ biribiara a ɛbɛma wo mu duru so atew? So woasɔ adidi ne apɔw-mu-teɛteɛ ahwɛ, nanso wunhuu nea efi mu ba a worehwehwɛ? Ɛtɔ da bi a, sɛ obi mu duru boro so a, ɛnyɛ ahosiesie ho haw kɛkɛ, na mmom ɛyɛ asiane a ɛde nyarewa a emu yɛ den te sɛ asikreyare ne mogya mmoroso nso ba. Wɔ tebea horow a ɛtete saa mu no, ano aduru biako pɛ a ɛwɔ hɔ wɔ aduruyɛ ho nyansahu mu ne ‘Gastric Sleeve’ oprehyɛn a yɛreka ho asɛm nnɛ no.
Sɛ yɛbɛka no tiawa a, dɛn ne Yafunu Nsa Oprehyɛn?
Eyi nso yɛ oprehyɛn bi a wɔde ma obi mu duru so tew. Nnuruyɛfo frɛ no ``bariatric oprehyɛn.'' Saa oprehyɛn yi hwehwɛ sɛ wutwa wo yafunu, kotoku a ɛkura aduan wɔ wo dwensɔtwaa mu no. Fa wo yafunu no sɛ balloon ketewaa bi. Saa oprehyɛn yi hwehwɛ sɛ wotwa saa balloon no bɛyɛ 80% na woyi fi hɔ .
Afei nea aka ara ne yafunu ketewaa bi a ɛte sɛ nsukorade, a ne nsɛso te sɛ banana. Asɛmfua ‘gastrectomy’ no kyerɛ ankasa sɛ ‘yafunu no fã bi a woyi fi hɔ.’ Eyi akyi no, wo yafunu no yɛ ketewaa koraa.
Ɔkwan bɛn so na oprehyɛn yi boa wo ma wo mu duru so tew?
Akwan abien na eyi fa so yɛ adwuma.
1. Aduan dodow a wudi no ano hye: Sɛ wo yafunu sua a, aduan dodow a wubetumi adi bere koro mu no so tew kɛse. Sɛ wudi kakra mpo a, woda so ara te nka sɛ amee. Ɛte sɛ nea wudi fi kuruwa ketewaa bi mu sen sɛ wubedi prɛte kɛse bi mu.
2. Ɔkɔm ano aduru: Eyi ne ade a ɛho hia sen biara. Nkwammoaa bi a yafunu no yɛ na ɛma ɔkɔm ne yɛn akɔnnɔ de ba. Sɛ woyi yafunu no fã kɛse bi a, saa nkwaadɔm a ɛma ɔkɔm yi a wɔyɛ no so tew kɛse . Enti, wodi nneɛma te sɛ ɔpɛ a obi wɔ sɛ odidi ne ɔpɛ a ɔwɔ sɛ obedidi so. Eyi yɛ mmoa kɛse a ɛma wo mu duru nkɔ soro bio bere a wo mu duru so atew akyi.
Gastric Sleeve Surgery ne oprehyɛn a wɔtaa yɛ a ɛma obi mu duru so tew wɔ wiase. Nanso, wɔn a wobetumi anya so mfaso no mu bɛyɛ 1% pɛ na wɔyɛ oprehyɛn no ankasa.
Hena na ɔfata sɛ wɔyɛ no oprehyɛn yi?
Eyi nyɛ oprehyɛn a obiara betumi ayɛ. Sɛ wobɛfata ama eyi a, mpɛn pii no ɛsɛ sɛ wudu saa gyinapɛn ahorow yi ho. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri.
| Fata a Wɔfata | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Kɛseyɛ mmoroso a Ɛyɛ Den | Index bi wɔ hɔ a ɛkyerɛ wo mu duru ma wo tenten (BMI - Body Mass Index) . Sɛ wo BMI boro 40, anaa boro 35 na wowɔ nyarewa afoforo a kɛseyɛ mmoroso de ba (te sɛ asikreyare ne mogya mmoroso) a, wubetumi akɔ saa kuw yi mu. |
| Akwan afoforo di nkogu | Ansa na wobɛyɛ oprehyɛn no, anka ɛsɛ sɛ wosɔ akwan foforo a wobɛfa so atew wo mu duru so (aduan a wodi, apɔw-mu-teɛteɛ) hwɛ. Ebia ɛho behia nso sɛ woyɛ nhyehyɛe a wɔde tew wo mu duru so a nnuruyɛfo hwɛ so asram 3-6. |
| Adwene ne nipadua mu ahosiesie | Eyi yɛ oprehyɛn kɛse. Ɛhwehwɛ nso sɛ wɔyɛ nsakrae wɔ aduan mu wɔ wɔn nkwa nna nyinaa mu. Enti nnuruyɛfo, aduannuru ho abenfo, ne adwene ho animdefo kuw bi bɛhwɛ wo mu de ahwɛ ahu sɛ woasiesie wo ho wɔ nipadua ne adwene mu ama eyi. |
Nyarewa bɛn na wobetumi de oprehyɛn yi asa?
Oprehyɛn yi tumi di nyarewa pii a kɛseyɛ mmoroso de ba no so, na ɛtɔ mmere bi mpo a ɛsa koraa.
- Insulin a wɔko tia ne asikreyare a ɛto so abien
- Mogya mmoroso ne komayare a ɛbata ho
- Mogya mu srade a ɛkɔ soro (Hyperlipidemia) ne ntini mu yare
- mmerɛbo mu yare a srade wom a ɛnyɛ nsa
- Dae mu ahomegye a esiw kwan
- Ntini mu yaw ne ntini mu yare (Osteoarthritis) .
Ɔkwan bɛn so na oprehyɛn no kɔ so?
Eyi yɛ biribi a ɛba wɔ anammɔn kakraa bi mu.
Ansa na wɔreyɛ no oprehyɛn
Sɛ woasi wo bo sɛ wobɛyɛ obi a ɔfata sɛ wɔbɛyɛ wo oprehyɛn wie a, wɔde wo bɛhyɛ nsu a wɔde di dwuma mu bɛyɛ adapɛn abien ansa na wɔayɛ oprehyɛn no. Eyi yɛ nea ɛbɛboa ma srade dodow a ɛwɔ wo yafunu ne wo mmerɛbo mu no so atew na ama oprehyɛn no ayɛ nea ahobammɔ wom. Ɛho behia sɛ wugyae adidi anaa anonne koraa nnɔnhwerew 12 ansa na wɔayɛ oprehyɛn no.
Bere a wɔreyɛ oprehyɛn no
Wɔtaa yɛ saa oprehyɛn yi sɛ "keyhole surgery" (laparoscopic oprehyɛn). Eyi kyerɛ sɛ sɛ́ anka wɔbɛtwa yafunu no mu kɛse no, wɔfa ntwitwiridii nketenkete kakraa bi so na ɛyɛ na wɔde mfoninitwa afiri ne nnwinnade a ɛyɛ mmerɛw hyɛ mu.
1. Nea edi kan no, wɔbɛma wo aduru a ɛma obi dwensɔ koraa (wobɛda).
2. Oduruyɛfo a ɔyɛ oprehyɛn no twa wo yafunu mu ketewaa bi na ɔma wo yafunu no yɛ hyew denam mframa a ɔde fa mu so.
3. Afei wɔde mfoninitwa afiri bi hyɛ mu na wɔhwɛ akwaa a ɛwɔ mu no wɔ monitor so.
4. Fa nnwinnade fa ntokuru nketewa pii mu, susuw yafunu no fã a wopɛ sɛ wokora so no, na yi nea aka no fi hɔWɔtwa akisikuru no 80% na wɔde oprehyɛn stapler yi fi nipadua no mu.
5. Awiei koraa no, sew ntokuru nketewa no a wɔato mu.
Mpɛn pii no oprehyɛn yi nyinaa gye bɛyɛ dɔnhwerew biako ne fã .
Wɔ oprehyɛn no akyi
Wobɛtena ayaresabea da koro anaa nnanu wɔ oprehyɛn no akyi. Adapɛn kakraa a edi kan no, nnuan a ɛyɛ nsu nkutoo na wubetumi adi. Ɛno akyi no, wubetumi de nkakrankakra akɔ aduan a ɛyɛ mmerɛw so, na asram kakraa bi akyi no, wubetumi adan akɔ nnuan a ɛyɛ den a wodi daa so. Nanso, ɛho behia sɛ wonom vitamin ne aduannuru a wɔde ma wo nkwa nna nyinaa , efisɛ wubedidi kakraa bi na ɛsɛ sɛ wohwɛ hu sɛ wo nipadua no renya aduannuru a ehia.
Dɛn ne mfaso horow ne asiane ahorow a ebetumi afi mu aba?
Te sɛ oprehyɛn biara no, asiane ahorow bi wɔ hɔ, nanso asiane ahorow a ɛwɔ kɛseyɛ mmoroso asetra mu no dɔɔso sen saa koraa.
| Mfaso a ɛwɔ so | Asiane & Nsɛnnennen a Ɛba |
|---|---|
| Nsɛnnennen ba wɔ nea ennu 1% mu.
|
Wo mu duru ahe na wubetumi atew?
Mpɛn pii no, wubetumi atew wo nipadua mu duru nyinaa mu 25% kosi 30% wɔ afe biako anaa abien a edi kan no mu. Momma yɛnka sɛ wo mu duru yɛ kilogram 120. Ɛno bɛyɛ bɛyɛ kilogram 30-36. Eyi gyina asetra kwan a wudi akyi wɔ oprehyɛn no akyi no so.
Nea ɛho hia sen biara ne sɛ oprehyɛn yi nyɛ nkonyaayi. Ɛyɛ adwinnade a tumi wom a wowɔ ara kwa. Sɛ wubenya nea ebefi mu aba yiye a, ɛsɛ sɛ wode wo ho hyɛ aduan pa ne asetra kwan a ɛyɛ nnam mu wo nkwa nna nyinaa.
Ɛtɔ mmere bi a, nnipa kakraa bi pɛ betumi asan ayɛ kɛse bere a bere kɔ so no. Sɛ eyi ba a, wubetumi ne wo duruyɛfo akasa afa ho na sɛ ɛho hia a, wobɛdan akɔ ayaresa foforo so.
Nkrasɛm a Wɔde Kɔ Fie
- Gastric Sleeve Surgery yɛ oprehyɛn a woyi wo yafunu bɛyɛ 80%, na ɛtew wo aduan a wudi ne w’akɔnnɔ so.
- Wɔyɛ eyi ma nnipa a wɔayɛ kɛse mmoroso na wɔwɔ nyarewa a ɛbata ho na wɔantumi amfa akwan foforo so antew wɔn mu duru so.
- Esiane sɛ wɔfa safe tokuru mu na ɛyɛ eyi nti, ebetumi asa ntɛmntɛm na asiane no sua koraa.
- Sɛ wubenya nea eye wɔ oprehyɛn akyi a, ɛsɛ sɛ wosakra w’aduan ne w’asetra kwan ma wo nkwa nna nyinaa.
- Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa na woahu nsɛm no nyinaa.
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