Yu taya fɔ tray fɔ lɛf fɔ it bɔku bɔku it dɛn? Yu taya fɔ it, fast, ɛn ɛksesaiz? Sɔntɛnde, fɔ fat nɔto sɔntin we pɔsin kin ebul fɔ kɔntrol izi wan. Insay dɛn kayn tin ya, we ɔl di ɔda we dɛn nɔ wok, wi go tɔk bɔt wan spɛshal sɔlv we dɔktɔ dɛn kin tɔk tide. Dat na ɔpreshɔn fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi, ɔ ɔpreshɔn fɔ mek pɔsin nɔ gɛt bɔku bɔku bɔdi.
Wetin rili na bariatric ɔpreshɔn?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn. Dɛn kin yuse am fɔ ɛp pipul dɛn we fat fɔ lɛf fɔ it bɔku bɔku it. Bɔt nɔto jɔs ɔpreshɔn we de pul fat na di bɔdi lɛk liposuction. Wetin dɛn kin du ya na fɔ mek sɔm chenj dɛn na yu dijestiv sistɛm .
Tink bɔt am dis we, dis ɔpreshɔn de du tu men tin dɛn:
1. Yu bɛlɛ dɔn kɔmprɛs. Dis kin rili stɔp di it we yu kin it wan tɛm. Yu stil fil ful ivin afta yu it smɔl.
2. Insay sɔm kayn ɔpreshɔn, dɛn kin baypas pat pan yu smɔl intestin. Dis min se di bɔdi nɔ de tek bɔku kalori ɛn tin dɛn we de insay di it we yu de it.
Dɛn tu we ya kin ridyus di kalori we yu bɔdi de tek.Nɔto dat nɔmɔ, bɔt afta dis ɔpreshɔn , di ɔmon signal dɛn we de tɛl yu bren se yu angri (angri signal) kin ridyus bak. So di filin fɔ want fɔ it ɔltɛm kin kɔntrol bak.
Di tin we impɔtant pas ɔl na dat dis nɔto jɔs ‘mɛjik’ tritmɛnt fɔ lɔs yu wet. Fɔ mek dis go bifo, yu nid fɔ mek big prɔmis fɔ chenj yu layf ɛn it abit kpatakpata, bifo ɛn afta di ɔpreshɔn.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Bɔku pipul dɛn kin tink se ɛnibɔdi kin lɛf fɔ it bɔku bɔku it dɛn ɛn du ɛksɛsayz. Dat na jɔs tru. Bɔt fɔ pɔsin we gɛt siriɔs fat (klas III fat), i nɔ kin izi so. Risach dɔn sho se pipul dɛn we gɛt dis kayn fat nɔ kin gɛt bɛtɛ wet fɔ lɔng tɛm tru it ɛn ɛksesaiz nɔmɔ.
di rizin na dat we wi bכdi yus fכ ova wet fכ lכng tεm, i de tink se wet na in ‘nכmal wet’. We wi de tray fɔ lɔs wi wet, di bɔdi kin tray ɔltɛm fɔ go bak to da ‘nɔmal’ wet de. Dis ɔpreshɔn de ɛp fɔ chenj da prɔses de ɛn mek wan sityueshɔn usay wi kin rili gɛt rizɔlt frɔm wɛlbɔdi it ɛn ɛksesaiz.
Us ɔda sik dɛn we dis ɔpreshɔn go ebul fɔ kɔntrol?
Fɔ fat nɔto jɔs fɔ fat pasmak. I kin mek bak wi gɛt bɔku sik dɛn we kin mek pɔsin in layf de pan denja. Di gud nyus na dat, bɔrku pan dɛn kayn tin ya kin chenj wit yu wet afta yu dɔn du bariatric ɔpreshɔn.I dɔn impɔtant ɔ dɛn dɔn kɔntrol am ɔltogɛda.
Na sɔm kayn kɔndishɔn dɛn ya:
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Ay Kɔlestɔl | di fεt (lipid) dεm we de na di bכdi de inkrεs. Dɛn tin ya kin de na di blɔd vesel dɛn ɛn blok dɛn. Dis kin mek yu gɛt at atak ɔr strok. |
| Ay Blɔd Prɛshɔn | Di prɛshɔn we kin bɔku we di blɔd de pas na di blɔd vesel dɛn kin go ɔp. Dis kin pwɛl di blɔd vesel dɛm ɛn i kin mek pɔsin gɛt at atak ɛn strok. |
| Tayp 2 Dayabitis | As di bɔdi fat de gɛda, insulin rɛsistɛns kin divɛlɔp. Dis kin mek pɔsin gɛt dayabitis. Dis kכndyushכn kin kכntro bכku bכku wan bay wae yu de lכs yu wet. |
| At sik we pɔsin kin gɛt | If pɔsin fat, dat kin mek di at nɔ wok fayn. I kin mek bak di fat bɔku na di blɔd vesel dɛn, ɛn dis kin mek pɔsin gɛt at atak mɔ ɛn mɔ. |
| Kidni Sik we pɔsin kin gɛt | Sik dɛn we pɔsin kin gɛt we i fat, lɛk ay blɔd prɛshɔn ɛn dayabitis, kin pwɛl di kidni ɛn ivin mek i nɔ wok. |
| Obstructive Slip Apnea we de mek pɔsin nɔ ebul fɔ slip | Wan tin we de mek di trot kin blok ɛn we i de blo bɔku tɛm we i de slip. Dis kin mek di ɔksijɛn nɔ rich di bɔdi in ɔgan dɛn ɛn pwɛl di at. |
| Ɔstiɔ-arayt sik | We yu gɛt bɔku bɔku bɔdi, dat kin mek yu gɛt bɔku prɛshɔn pan di jɔyn dɛn lɛk di ni dɛn. Dis kin mek di jɔyn dɛn west ɛn mek pɔsin fil pen. We yu lɔs yu wet, dis prɛshɔn bak kin go dɔŋ. |
| Kansa | Pan ɔl we di link nɔ klia ɔl, dɛn dɔn si se if pɔsin fat, dat kin mek i gɛt pas 12 kayn kansa. |
Udat fit fɔ gɛt dis ɔpreshɔn?
Dɛn nɔ kin du dis ɔpreshɔn fɔ ɔlman. Sɔm krayteria dɛn de fɔ am. Di men tin we dɛn kin luk na yu bɔdi mas indeks, ɔ BMI (Body Mass Index) . BMI na simpul we fɔ mɛzhɔ if yu gɛt wɛlbɔdi wet fɔ yu ayt.
Jɛnɛral wan, di wan dɛn we kwalifay fɔ ɔpreshɔn na:
- If di BMI na 40 ɔ pas dat , dɛn kin tek dis as pɔsin we fat pasmak.
- If yu gɛt BMI we na 35 ɔ mɔ ɛn wan ɔ mɔ pan di mɛrɛsin dɛn we wi dɔn tɔk bɔt we gɛt fɔ du wit fɔ fat (e.g. dayabitis, ay blɔd prɛshɔn).
Dis ɛligibiliti na yu dɔktɔ go disayd afta i dɔn chɛk yu ɛn du di mɛdikal tɛst dɛn we yu nid.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo dɛn gi yu wan de fɔ mek dɛn du ɔpreshɔn, di mɛdikal tim go mek shɔ se yu bɔdi ɛn maynd rɛdi fɔ am.
- Wan tim we gɛt spɛshal dɔktɔ dɛn go chɛk yu.
- Dɛn go ɛksplen to yu di bɛnifit dɛn, di bad tin dɛn, ɛn di prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn.
- Dɛn kin du di blɔd tɛst ɛn skan we dɛn nid fɔ mek shɔ se dɛn go ebul fɔ du di ɔpreshɔn sef wan.
- If yu de smok, yuz drɔgs, ɔ drink pasmak, yu go nid fɔ stɔp kpatakpata bifo yu fit fɔ gɛt ɔpreshɔn .
- Fɔ sɔm wiks bifo dɛn du di ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ fala spɛshal it (di it bifo dɛn du di ɔpreshɔn we dɛn de du di bariatric). Dis na fɔ ridyus di fat we de na yu bɛlɛ, we go mek di ɔpreshɔn sef ɛn izi.
Wetin na di men kayn ɔpreshɔn fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi?
Bɔku men kayn ɔpreshɔn dɛn de we dɛn kin du fɔ mek pɔsin gɛt bariatric ɔpreshɔn. Yu dɔktɔ go disayd us kayn we go fayn fɔ yu bay aw yu gɛt wɛlbɔdi ɛn wetin yu nid. Bɔku pan dɛn ɔpreshɔn ya na laparoskopik, dɛn kin yuz kamɛra we dɛn kin put tru sɔm smɔl smɔl say dɛn we dɛn kɔt na di bɛlɛ. Dis kin mek i nɔ gɛt bɛtɛ tɛm fɔ wɛl ɛn i nɔ kin gɛt bɔku skata.
| Di kayn ɔpreshɔn we dɛn kin du | Wetin de apin? |
|---|---|
| Gastrik Sliv (Sliv Gastrectomy) . | Dis na di kayn ɔpreshɔn we dɛn kin du pas ɔl na di wɔl tide. i involv fכ pul lεk 80% pan di bεlε, lεf wan sכm sכm tכb we shep lεk banana. Dis kin mek di it we yu kin it nɔ bɔku ɛn i kin mek bak di ɔmon dɛn we de mek yu angri nɔ bɔku. |
| Baypas na di gastric (Roux-en-Y) . | insay dis prosidכs, dεn de pul wan sכmכl paus frכm di כp pat na di bεlε εn kכnekt am dεrekt to di lכw pat pan di sכmכl intestin. dis min se it de baypas di big pat pan di bεlε εn di fכs pat pan di sכmכl intestכn. Dis kin mek di it we dɛn de it ɛn di tin dɛn we di bɔdi de tek nɔ bɔku. |
| Switch we de na di bɔdi (BPD-DS) . | Dis na ɔpreshɔn we dɛn kin du we nɔ izi fɔ du. I involv ɔl tu di ɔpreshɔn fɔ di gastric sleeve ɛn fɔ baypas wan big pat pan di smɔl intestinal. Pan ɔl we na rili fayn we fɔ lɛf fɔ it bɔku bɔku it ɛn fɔ kɔntrol sik dɛn lɛk dayabitis, i de mek bak di risk fɔ mek pɔsin nɔ gɛt bɛtɛ it bikɔs di bɔdi we de tek di tin dɛn we i de it kin ridyus bad bad wan. |
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, bariatric ɔpreshɔn kin gɛt sɔm risk ɛn sayd ɛfɛkt dɛn. Bɔt di tin we impɔtant pas ɔl fɔ mɛmba na dat, bɔku tɛm , di prɔblɛm dɛn we pɔsin kin gɛt we i fat pasmak, pas di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn.
Tu men kayn risk dɛn de.
1. Kɔmɔn kɔmplikeshɔn dɛn we gɛt fɔ du wit ɔpreshɔn: blɔd, infɛkshɔn, blɔd klot, hεnia fɔmɛshɔn, prɔblɛm dɛn we gɛt fɔ du wit anestezi.
2. 2. .di sayd ifekt dεm we kin bi fכ chenj dεm na di dijestiv sistεm:
- Dumping Syndrome: Di sayn dɛm lɛk nɔs, bɛlɛ kramp, dayarɛa, ɛn swet kin apin we it de muf tumɔs kwik kwik wan frɔm di bɛlɛ ɛn go insay di smɔl intestin. Yu kin kɔntrol dis bay we yu chenj di tin dɛn we yu de it.
- Malnutrishɔn: Vitamin ɛn minral dɛfisiɛns kin apin bikɔs di bɔdi nɔ de tek di nyutriɛnt dɛn we de insay di bɔdi. Dis nid fɔ gɛt vaytamɛn sɔpɔtmɛnt fɔ ɔl yu layf lɛk aw dɔktɔ tɛl yu.
- Gal ston: Risk de fɔ mek yu gɛt gal ston we yu de lɔs yu wet kwik kwik wan.
Yu dɔktɔ go ɛksplen to yu ɔl dɛn prɔblɛm ya.
Wetin kin apin afta di ɔpreshɔn?
Yu go nid fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Afta yu go na os, i go tek sɔm wiks fɔ rɛst ɛn go bak to nɔmal tin dɛn.
- Di it: Start wit likwid fɔs, smɔl smɔl chenj to pureed it, soft it, ɛn na afta lɛk 12 wiks nɔmɔ yu kin yus to rɛgyula sɔlid it.
- Mɛdikal Chɛk-ap: Insay di fɔs ia, yu go nid fɔ go to yu dɔktɔ ɔltɛm ɛn du blɔd tɛst fɔ no aw yu de lɔs yu wet ɛn yu wɛlbɔdi.
- We yu de lɔs yu wet: Na avɛj, lɛk 90% pan pipul dɛn kin lɔs pas 50% pan dɛn wet we pasmak. Dis we aw pɔsin kin lɔs in wet kin apin smɔl smɔl insay di fɔs tu ia.
- Skin we pasmak: We yu lɔs bɔku bɔku wet, yu skin kin sag. If nid de, yu kin gɛt sɛpret ɔpreshɔn (bɔdi kɔntɔr ɔpreshɔn) fɔ pul di skin we pasmak afta wan ɔ tu ia.
Mɛsej we dɛn kin kɛr go na os
- Bariatric ɔpreshɔn na di tritmɛnt we kin wok fɔ lɔng tɛm pas ɔl fɔ di wan dɛn we fat pasmak (Klas III Fat).
- Dis nɔto ‘izi rod’; fɔ mek yu gɛt sakrifays, yu nid fɔ liv fayn layf ɛn it fɔ di res ɔf yu layf afta dɛn dɔn ɔpreshɔn yu.
- Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin, so i impɔtant fɔ tɔk bɔt dis wit yu dɔktɔ ɛn wej di gud ɛn bad tin dɛn bifo yu disayd fɔ du sɔntin.
- Dis ɔpreshɔn nɔ jɔs de ɛp fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi, bɔt i de ɛp bak fɔ kɔntrol bɔku siriɔs sik dɛn lɛk dayabitis, ay kɔlɔstrel, ɛn ay blɔd prɛshɔn.
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