So worepere Asikreyare a Ɛto so Abien na worehyia ɔhaw wɔ wo mu duru so? Ebia nnuru a wobɛnom, w’aduan a wudi so, ne apɔw-mu-teɛteɛ mpo remma nea wopɛ. Nanso so wunim sɛ wɔ nnipa binom fam no, ɔkwan a tumi wom bi wɔ hɔ a wobetumi de adi dwuma sɛ ɔhaw abien yi nyinaa ano aduru biako? Ɛno ne oprehyɛn a wɔde ma obi mu duru so tew. Wɔsan frɛ eyi Bariatric Surgery. Wɔ asɛm yi mu no, yɛbɛka sɛnea oprehyɛn ahorow yi betumi asiw asikreyare ano ne sɛ ebia ɛfata wo anaa.
So eyi yɛ adwuma ankasa? Dɛn na nhwehwɛmu no ka?
Yiw, eyi yɛ ɔkwan a edi mu ankasa. Wɔ nnipa binom fam no, asikre dodow a ɛwɔ wɔn mogya mu no san ba sɛnea na ɛte wɔ oprehyɛn yi akyi. Eyi kyerɛ sɛ wɔn asikreyare no sa koraa. Afei ebia wubetumi atew nnuru dodow a wonom so, anaasɛ mpo wubegyae nom koraa.
Nhwehwɛmu kɛse bi a wɔayɛ wɔ asɛmti yi ho no ahu biribi a ɛyɛ nwonwa yiye. Nhwehwɛmu no fa nnipa 400 a wɔwɔ asikreyare a ɛto so abien ho. Wɔyɛɛ wɔn oprehyɛn a ɛma wɔn ho yɛ den akyi mfe asia no, wɔn a wɔyɛɛ wɔn oprehyɛn no mu 62% nni asikreyare ho sɛnkyerɛnne biara. Ɛnyɛ ɛno nko, na mmom na wɔn mogya mmoroso ne srade a ɛwɔ wɔn mu nso anya nkɔso kɛse.
Fa no sɛ, nnipa kuw ketewaa bi pɛ, a efi 6% kosi 8%, a wɔde nnuru nkutoo na edi dwuma na ɛnyɛ oprehyɛn, na wɔanya nneɛma pa a ɛte saa. So eyi nkyerɛ sɛnea oprehyɛn ahorow yi mu yɛ den?
So oprehyɛn yi fata me?
Ansa na wubesusuw eyi ho no, wo duruyɛfo no bedi kan asusuw nneɛma yi ho:
- So wo BMI boro 30? (BMI gyina hɔ ma Body Mass Index. Ɛyɛ nea wɔde susuw sɛ ebia wo mu duru yɛ nea ɛfata ma wo tenten anaa.)
- So wowɔ Asikreyare a Ɛto so 2 anaa Metabolic Syndrome?
- So woasɔ akwan horow a wobɛfa so atew wo mu duru so ahwɛ pɛn na wuntumi nkura mu?
Sɛ nsɛmmisa yi ho mmuae yɛ ‘yiw’ a, afei oduruyɛfo no bɛyɛ nhwehwɛmu a edi mũ ahwɛ sɛ woasiesie wo ho wɔ nipadua ne adwene mu ama oprehyɛn yi anaa. Efisɛ eyi nyɛ biribi a wobetumi de oprehyɛn biako pɛ ayɛ. Ɛho hia yiye nso sɛ wubehu sɛ ebia woasiesie wo ho sɛ wobɛhyɛ bɔ kɛse sɛ wobɛsakra w’adidi ne w’apɔw-mu-teɛteɛ koraa wɔ wo nkwa nna nyinaa mu anaa.
Afei nso, sɛ wowɔ ayaresa mu tebea afoforo te sɛ komayare a, ebehia sɛ wunya kwan fi wo oduruyɛfo titiriw hɔ ma oprehyɛn yi.
Dɛn ne oprehyɛn ahorow yi?
Oprehyɛn ahorow pii wɔ hɔ a wɔde ma obi mu duru so tew. Oprehyɛn ahorow bi ma wo yafunu kɛse so tew, na ɛma wutumi nnidi kakraa bi. Afoforo nso sesa ɔkwan a wo nipadua fa so twetwe calories ne aduannuru a ɛwɔ aduan mu no. Oprehyɛn ahorow nso wɔ hɔ a wɔde akwan abien no nyinaa bom.
Momma yɛnhwɛ oprehyɛn ahorow atitiriw ne mfaso ne ɔhaw ahorow a ɛwom.
| Oprehyɛn ko a wɔyɛ | Mfaso a ɛwɔ so | Mfomso ahorow a ɛwom |
|---|---|---|
| Yafunu mu Bypass Wɔyɛ kotoku ketewaa bi fi yafunu no atifi na wɔde bata dwensɔtwaa ketewa no ho tẽẽ. Aduan twa yafunu no fã kɛse no ara ho hyia. | - ayarefo no mu bɛyɛ 80% nya ahoɔden fi asikreyare ho. - bɛyɛ 60% - 80% a ɛboro so no so tew. | - a nipadua no de vitamin ne mineral a egye no so tew. - a wontumi nsakra. - Dumping Syndrome (awerɛhoɔ a ɛnam aduane a ɛkɔ ntɛmntɛm dodo kɔ dwensɔtwaa ketewa no mu) betumi aba. |
| Yafunu mu Nsa Woyi yafunu no bɛyɛ 80%, na ɛma yafunu ketewa bi a ɛte sɛ banana. | - bɛboro 60% ayarefoɔ nya ahoɔden firi asikreyareɛ mu. - tew mu duru a ɛboro so so bɛyɛ 50%. - Ghrelin, hormone a ɛde ɔkɔm ba no so tew. | - a wontumi nsakra. - a wotumi twetwe vitamin ne minerals no betumi atew. |
| Gastric Band (Yafunu mu Band a Wotumi Sesa) . Wɔde ahama a wɔde mframa gu mu twa yafunu no atifi ho hyia, na ɛma wonya kotoku ketewaa bi. | - a yafunu mu ntwitwiridii anaase dwensɔtwaa mu nsakrae biara nni hɔ. - a efiri akyire a esua. - betumi asiesie anaase wobeyi strap no se ehia a. | - mu duru a ɛso tew no sua sen akwan foforo (40%-50%). - haw te se belt slippage betumi ahia se wosan oprehyen. |
| Biliopancreatic Diversion a Wɔde Duodenal Switch Yɛ Oprehyɛn a ɛyɛ den yiye a woyi yafunu no fã kɛse bi na ɛsakra ɔkwan a aduan fa so fa mu. | - oprehyɛn a edi mu sen biara ma asikreyare. - bɛyɛ 60% - 70% a ɛboro so no so tew. | - oprehyɛn yi wɔ asiane a ɛkorɔn sen biara a ɛbɛma wɔanya nsunsuanso bɔne. - a wodi aduane mu ne aduanenuru a wogye mu haw no na ebu so paa. |
Nnɛyi akwan afoforo
Wɔ oprehyɛn atitiriw yi akyi no, akwan foforo pii wɔ hɔ.
- Electric Implant Device: Wɔde anyinam ahoɔden afiri ketewaa bi hyɛ were no ase wɔ yafunu no mu. Eyi na ɛhwɛ ntini bi (Vagus Nerve) a ɛka amemene ne yafunu bom, na ɛtew ɔkɔm so.
- Gastric Balloon: Eyi nyɛ oprehyɛn. Wɔde balloon bi fa ano no mu hyɛ yafunu no mu na wɔde mframa gu mu, te sɛ endoscopy. Wobetumi agyaw eyi wɔ nea ɛwɔ hɔ bɛyɛ asram 6. Aduan dodow a wudi no so tew efisɛ ɛtew baabi a ɛwɔ yafunu no mu. Eyi yɛ bere tiaa mu de na ne bo nyɛ den.
Te sɛ oprehyɛn kɛse biara no, asiane ahorow wɔ hɔ. Sɛ nhwɛso no, ebetumi aba sɛ mogya bɛtu, ɔyare mmoawa, na atopae wɔ ɛwo mu wɔ oprehyɛn akyi. Ɛno nti na ɛho hia sɛ wɔma wɔyɛ oprehyɛn ahorow yi wɔ oduruyɛfo a ne ho akokwaw a ɔhwɛ oprehyɛn so wɔ ayaresabea pa bi ase no.
Dɛn na ɛba wɔ oprehyɛn no akyi?
Eyi ne ɔfã a ɛho hia sen biara. Oprehyɛn yɛ akwantu bi mfiase ara kwa. Sɛ wobɛkɔ so akura nea efi mu ba no mu a, ɛho behia sɛ wosakra w’asetra kwan daa.
- Adidi su: Worentumi nni aduan kɛse te sɛ kan no da. Ɛsɛ sɛ wudi bɛyɛ kuruwa fã anaa kuruwa biako bere koro mu . Ɛsɛ sɛ wode nnuan a protein wom (mpataa, nam a ɛnyɛ den, bankye, kyiisi a srade nnim, yogurt) ne nhabannuru di kan.
- Apɔw-mu-teɛteɛ: Ɛsɛ sɛ da biara da apɔw-mu-teɛteɛ yɛ su a ɛyɛ ahyɛde.
- Aduandi ho ɔbenfo mmoa: Esiane sɛ ɔkwan a wo nipadua fa so twetwe aduannuru no sesa wɔ oprehyɛn akyi nti, ɛho hia sɛ wohwehwɛ afotu fi aduan ho ɔbenfo hɔ. Eyi bɛboa ma woahwɛ ahu sɛ worenya vitamin ne mineral ahorow a wuhia.
- Wo honam ani a ɛyɛ mmerɛw: Ebia nnipa binom honam ani a ɛyɛ mmerɛw bere a wɔn mu duru so atew kɛse no. Sɛ ɛho hia a, wubetumi asusuw oprehyɛn a wɔde yɛ nipadua no ho akyiri yi. Ɛno yɛ adeyɛ a ɛyɛ soronko.
Nkrasɛm a Wɔde Kɔ Fie
- Oprehyɛn a wɔde tew mu duru so betumi ayɛ ano aduru a etu mpɔn kɛse na tumi wom ama asikreyare a ɛto so abien ne kɛseyɛ mmoroso nyinaa.
- Eyi nyɛ ade a wɔde besiesie ntɛm. Sɛ woyɛ oprehyɛn wie a, ebehia sɛ wohyɛ wo ho bɔ sɛ wubedi aduan na woateɛteɛ w’apɔw mu wɔ wo nkwa nna nyinaa mu.
- Oprehyɛn ahorow pii wɔ hɔ, na ɛsono mfaso, ɔhaw ahorow, ne asiane ahorow a emu biara wɔ.
- Sɛ́ ebia eyi fata wo, ɔkwan bɛn so na eye sen biara, ne asiane ahorow a ɛwom no nyinaa yɛ nneɛma a ɛsɛ sɛ wo ne wo duruyɛfo susuw ho . Mfa nsɛm a wote so nsi gyinae da.
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