So woabrɛ nso sɛ wobɛsɔ akwan horow a wobɛfa so atew wo mu duru so esiane kɛseyɛ mmoroso nti? Ɛtɔ mmere bi a, ɛmfa ho sɛnea yedi yɛn aduan ne apɔw-mu-teɛteɛ so no, yennya nea yɛpɛ. Sɛ obi mu duru boro so a, ɛnyɛ ne honam ani hwɛbea ho haw nko, na mmom ɛde nyarewa a emu yɛ den pii te sɛ asikreyare ne mogya mmoroso nso ba. Enti, wɔ tebea a ɛte saa mu no, yɛrebɛka oprehyɛn titiriw bi a ɛboa ma obi mu duru so tew denam aduruyɛ ho nyansahu mmoa so nnɛ.
Dɛn ne Yafunu mu Nsa Oprehyɛn?
Sɛ yɛbɛka no tiawa a, yafunu nsateaa oprehyɛn yɛ oprehyɛn a ɛma obi mu duru so tew. Nnuruyɛfo frɛ no bariatric oprehyɛn. Nea ɛka ho ne sɛ wobɛtew wo yafunu kɛse so. Fa wo yafunu no sɛ kotoku ketewaa bi. Wɔ saa oprehyɛn yi mu no, wotwa saa kotoku no mu bɛyɛ 80% a ɛyɛ ne fã kɛse no na woyi fi hɔ.
Afei nea aka ara ne yafunu no mu ``sleeve'' ketewaa bi a ɛte sɛ tube, a ne nsusuwii te sɛ banana. Asɛmfua "gastrectomy" no kyerɛ ankasa sɛ wobeyi yafunu no fã bi afi hɔ. Ɛno nti na wɔsan frɛ no ``sleeve gastrectomy''.
Ɔkwan bɛn so na oprehyɛn yi boa wo ma wo mu duru so tew?
Eyi yɛ adwinnade a ɛyɛ mmerɛw yiye. Sɛ wo yafunu so tew a, aduan dodow a wubetumi adi bere koro mu no sua koraa. Ɛno kyerɛ sɛ wuntumi nnidi pii sɛnea na wodi kan no, na wote nka sɛ wo ho ayɛ wo ma bere a woadi kakra mpo no.
Nanso adwuma no nkɔ awiei wɔ hɔ. Biribi foforo a ɛho hia si. Yɛn yafunu ne ade titiriw a ɛma ɔkɔm hormone ahorow ba. Esiane sɛ woyi yafunu no fã kɛse bi fi hɔ nti, saa nkwaadɔm yi a wɔyɛ nso so tew kɛse. Ne saa nti, wodi nneɛma te sɛ ɔkɔm ne akɔnnɔ a ɛkɔ so daa so. Ade titiriw biako nti a obi mu duru yɛ kɛse bere a ne mu duru so atew akyi ne ɔpɛ a wontumi nni so yi sɛ obedidi. Enti oprehyɛn yi nso ma yenya ɛno ano aduru.
Henanom na oprehyɛn yi fata ankasa?
Eyi nyɛ oprehyɛn a wɔyɛ ma obiara. Sɛ wobɛfata ama eyi a, ɛsɛ sɛ wudu gyinapɛn ahorow bi ho. Aduruyɛ kuw bi a wo duruyɛfo di wɔn anim na wobesi eyi ho gyinae. Eyinom ne nneɛma a wɔtaa susuw ho.
| Abodinkrataa | Nkyerɛkyerɛmu a Ɛyɛ Mmerewa |
|---|---|
| Kɛseyɛ mmoroso a Ɛyɛ Den | Ɛsɛ sɛ wo nipadua mu duru (BMI) boro 40. Anaasɛ, ɛsɛ sɛ wo BMI boro 35 na wowɔ aduruyɛ mu tebea foforo a efi wo mu duru boro so (te sɛ asikreyare anaa mogya mmoroso). BMI yɛ wo mu duru a wɔde susuw wo tenten ho. |
| Akwan afoforo di nkogu | Ansa na wobɛyɛ oprehyɛn no, ɛbɛyɛ sɛ wobɔɔ mmɔden sɛ wobɛtew wo mu duru so denam aduan ne apɔw-mu-teɛteɛ so nanso ankosi hwee. Ɛtɔ mmere bi a, insurance nnwumakuw mpo hwehwɛ sɛ wode wo ho hyɛ nhyehyɛe bi a nnuruyɛfo hwɛ so a wɔde tew wo mu duru so mu asram 3-6 ansa na wɔapene oprehyɛn no so. |
| Honam ne adwene mu ahosiesie | Eyi yɛ oprehyɛn kɛse. Na ɛsɛ sɛ wosakra w’asetra kwan koraa wɔ oprehyɛn no akyi. Enti, aduan ho animdefo, adwene ho animdefo, ne animdefo afoforo bɛhwɛ sɛ woasiesie wo ho wɔ nipadua ne adwene mu ama eyi anaa. |
Ade a ɛho hia sen biara ne sɛ wo duruyɛfo na obesi gyinae a etwa to wɔ sɛ ebia oprehyɛn yi fata wo anaa. Enti ka eyi ho asɛm kyerɛ no pefee.
Nyarewa afoforo bɛn na wobetumi de oprehyɛn yi asa?
Ɛnyɛ sɛ yafunu mu nsateaa oprehyɛn sa kɛseyɛ mmoroso nko, na mmom ɛma ahotɔ fi nyarewa afoforo pii a ɛfa ho nso ho. Ebia nyarewa bi mpo betumi asa 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 Srade Yare a Ɛnyɛ Nsã
- Dae mu Ahomegye a Ɛmma Nnipa Ntumi Nkɔ
- Ntini mu yaw ne ntini mu yare (Osteoarthritis) .
Ɔkwan bɛn so na wɔyɛ oprehyɛn no?
Oprehyɛn yi ho adwene betumi ayɛ hu yiye, nanso ɛdenam nnɛyi mfiridwuma so no, wɔtaa fa ntwitwiridii nketenkete paa so na ɛyɛ.
Ahosiesie a wɔyɛ ansa na wɔayɛ oprehyɛn
Sɛ wofata sɛ wɔyɛ wo oprehyɛn wie a, wo duruyɛfo no de wo bɛhyɛ nsu a wɔde di dwuma mu bɛyɛ adapɛn abien. Eyi yɛ nea ɛbɛma srade a ɛwɔ wo yafunu ne wo mmerɛbo mu no bi so atew na ama oprehyɛn no ayɛ nea ahobammɔ wom. Wɔremma wo nnidi anaa nnom biribiara nnɔnhwerew 12 ansa na wɔayɛ wo oprehyɛn. Ma wo yafunu mu da mpan koraa.
Bere a wɔreyɛ oprehyɛn no
Wɔde aduru a wɔde kum nipadua no nyinaa na ɛyɛ oprehyɛn no. Enti wonte biribiara nka. Oduruyɛfo a ɔyɛ oprehyɛn no twa wo yafunu mu nketenkete kakraa bi (bɛyɛ sɛntimita 1-2) na ɔde mfoninitwa afiri (laparoscope) ne nnwinnade pa hyɛ mu. Wɔyɛ oprehyɛn no bere a wɔrehwɛ mfonini ahorow a efi mfoninitwa afiri yi mu wɔ screen so no. Wɔfrɛ saa kwan yi laparoscopic oprehyɛn . Esiane sɛ wɔantwa yafunu no kɛse koraa nti, bere a obi ho tɔ no yɛ tiaa na ɛyaw no sua. Afei, sɛnea yɛadi kan aka no, wɔtetew yafunu no fã a ɛho nhia no mu na wɔde oprehyɛn stapler yi fi hɔ. Oprehyɛn no nyinaa gye bɛyɛ nnɔnhwerew 1-1.5.
Dɛn ne mfaso horow ne asiane ahorow a ebetumi aba?
Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow bi wɔ mu, nanso sɛ wɔde toto nyarewa a kɛseyɛ mmoroso de ba ho a, asiane a ɛwɔ oprehyɛn yi mu no sua koraa.
| Mfaso a ɛwɔ so | Asiane & Nsɛnnennen a Ɛba |
|---|---|
| Ɛyɛ mmerɛw, ɛyɛ ntɛm, na ahobammɔ wom sen oprehyɛn afoforo a wɔde ma obi mu duru so tew. | Asiane a ɛwɔ hɔ bere tiaa mu: Mogya a ɛtɔ, ɔyare mmoawa, sɛnea wɔyɛ wɔn ade wɔ aduru a wɔde kum nipadua no ho, ne nsu a ɛtwetwe fi yafunu a wɔatwa no mu (ɛtaa ba koraa). |
| Esiane sɛ wɔnyɛ nsakrae biara wɔ dwensɔtwaa no mu nti, asiane a ɛwɔ hɔ sɛ aduannuru a enni mu wɔ bere tenten mu no sua. | Nsɛnnennen a ɛtra hɔ kyɛ: aduannuru a enni nipadua mu (a ɛhwehwɛ sɛ wɔde vitamin a wɔde ma wɔn nkwa nna nyinaa), yafunu mu nsu a ɛsan ba, akisikuru mu abo (a ebia ebehia sɛ wotwa cholecystectomy). |
| Ɛma obi mu duru so tew yiye na ɛma akwahosan so mfaso pii. | Ntini a ɛwɔ akuru no ma yafunu no yɛ teateaa na ɛma ɛyɛ den sɛ aduan bɛfa mu (ebetumi ama obi ayɛ akisikuru na wafe). |
Oprehyɛn no akyi asetra te dɛn?
Ɛho behia sɛ wotra ayaresabea hɔ da koro anaa nnanu wɔ oprehyɛn no akyi. Ebia ebegye bɛyɛ ɔsram biako ansa na ne ho atɔ no koraa na wasan akɔ adwuma.
Adidie
Wɔde adapɛn kakraa a edi kan no bedi dwuma wɔ nsu ne mashed `(soft diet)` aduan. Nkakrankakra, wobɛyɛ wo su sɛ wubedi nnuan a ɛyɛ den daa. Nanso worentumi nnidi te sɛ kan no . Ɛsɛ sɛ wunya aduannuru a ɛsen biara fi aduan a wudi no mu. Enti , ɛsɛ sɛ wonom vitamin ne aduannuru a wɔde ma wo nkwa nna nyinaa. Wo duruyɛfo ne aduannuru ho ɔbenfo bɛbɔ wo amanneɛ wɔ eyi ho.
Mu duru a wɔhwɛ kwan sɛ ɛbɛtew
Mpɛn pii no, wubetumi atew bɛyɛ 25% - 30% wɔ wo nipadua mu duru nyinaa mu wɔ afe biako anaa abien a edi kan no mu. Fa no sɛ wo mu duru yɛ kilogram 120. Afei wubetumi atew bɛyɛ kilogram 30-36. Eyi gyina asetra kwan a wudi akyi wɔ oprehyɛn no akyi no so.
Nkrasɛm a Wɔde Kɔ Fie
- Yafunu nsateaa oprehyɛn yɛ nsakrae kɛse a wontumi nsakra, a ɛba nkwa nna nyinaa mu. Eyi nyɛ agoru.
- Eyi yɛ "adwinnade" a ɛbɛboa wo ma wo mu duru so atew kɛkɛ. Sɛ wɔyɛ oprehyɛn no wie a, ɛsɛ sɛ wohyɛ wo ho bɔ sɛ wubedi aduan na woateɛteɛ w’apɔw mu wo nkwa nna nyinaa.
- Oprehyɛn betumi adi nyarewa pii a ɛfa kɛseyɛ mmoroso ho, te sɛ asikreyare ne mogya mmoroso so anaasɛ asa.
- Ansa na wubesi gyinae biara no, wo ne wo duruyɛfo nka mfaso, ɔhaw ahorow, asiane ahorow, ne asetra a ɛwɔ oprehyɛn akyi no ho asɛm yiye, na bisa wo nsɛm nyinaa.
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