Yu na pɔsin bak we de sɔfa bad bad wan bikɔs i fat pasmak? Sɔntɛm yu nɔ du natin fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi. Yu taya fɔ du ɛksɛsayz, kɔntrol di tin dɛn we yu de it, ɛn du ɔltin? If na so, yu go dɔn yɛri se sɔntɛnde dɔktɔ dɛn kin tɔk bɔt ɔpreshɔn fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi. Wi kin kɔl dɛn ɔpreshɔn ya fɔ lɔs yu wet (`Bariatric surgery`). Tide wi go tɔk bɔt wan pan dɛn kayn ɔpreshɔn ya we rili sakrifays, bɔt we kɔmplikt smɔl bak. Dɛn kɔl dis Duodenal Switch. Nɔ wɔri, wi go tɔk bɔt ɔltin rili simpul wan.
Fɔ tɔk am simpul wan, wetin na dis Duodenal Switch?
Duodenal Switch na ɔpreshɔn we dɛn kin du as tritmɛnt fɔ pɔsin we fat pasmak. I gɛt fɔ du wit tu men tin dɛn. Wan na fɔ pul wan impɔtant pat pan yu bɛlɛ ɛn mek i smɔl. Di sɛkɔn wan na fɔ shɔt di smɔl intestin, we na di pat na yu bɔdi we de tek di it we yu de it.
Tink bɔt am dis we. I tan lɛk se yu tek shɔt rod fɔ go na di it we yu de it. Dɔn, bikɔs di it nɔ de travul so, di kalori we yu bɔdi de tek kin ridyus. Dis kin mek i pɔsibul fɔ lɛ yu lɔs yu wet fayn fayn wan.
Tu men we dɛn de fɔ du dis ɔpreshɔn:
1. Tradishכnal mεtכd: `Biliopancreatic Diversion wit Duodenal Switch (BPD/DS)`
2. Modify mεtכd: `Singl Anastomosis Duodeno-ileal baypas wit Sliv Gastrektכmi (SADI-S)`
Dɛn tu nem ya kin tan lɛk se dɛn kɔmplikt smɔl, bɔt nɔ wɔri. Yu dɔktɔ go pik di we we go fayn fɔ yu ɛn ɛksplen am to yu gud gud wan.
Aw dis ɔpreshɔn de ɛp yu fɔ lɛf fɔ it bɔku bɔku it dɛn? Lɛ wi tek tɛm luk gud wan.
Dis ɔpreshɔn gɛt tu men tin dɛn. Dɛn kin du ɔl tu di step dɛn na di sem ɔpreshɔn.
Fɔs step: Sliv Gastrectomy
insay dis, di sajin de pul bכt 80% pan yu bεlε. Dɛn kin mek di smɔl pat we lɛf to tiub, lɛk banana. Wi kin kɔl dis `(Sliv Gastrectomy)`. Afta dis, yu nɔ go ebul fɔ it bɔku it wan tɛm. Ilɛksɛf yu it smɔl, yu go fil ful. Bikɔs ɔf dis, di it we yu de it kin kɔntrol insɛf.
Step Tu: Intestinal Baypas
Di nɛks tin we yu fɔ du na fɔ shɔt di lɔng we yu smɔl intestin gɛt. Wi smɔl intestinal na di say we bɔku pan di tin dɛn we de insay di it we wi de it kin go insay wi bɔdi. insay dis prכsidכs, di sכjaman de baypas di fכs pat pan di sכmכl intestin εn kכnekt di las pat dairekt to di nyu sכm bכdi we dεn mek.
Fɔ tɔk am simpul wan, we di it dɔn rich na di bɛlɛ, i kin pas wan big pat pan di smɔl intestinal ɛn go stret na di an. Dis kin ridyus di tɛm ɛn ples we di bɔdi gɛt fɔ tek di kalori ɛn tin dɛn we de insay di it.
Na we dɛn tu we ya jɔyn togɛda, dat kin mek pɔsin nɔ gɛt bɔku bɔku bɔdi. Dat na:
- Di amount we yu de it de go dɔŋ.
- di kalori we di bכdi de tek frכm wetin yu de it de dכn.
Apat frɔm dat, dis ɔpreshɔn kin afɛkt bak di ɔmon sistɛm we de kɔntrol angri ɛn sati na wi bɔdi. Dis kin mek angri nɔ de igen ɛn wi kin fil ful kwik kwik wan.
Udat dis ɔpreshɔn fit fɔ?
Dis nɔto ɔpreshɔn fɔ ɔlman. Dɔktɔ dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ pipul dɛn nɔmɔ we de pan ay risk fɔ dɛn wɛlbɔdi bikɔs dɛn fat. Lɛ wi tek wan luk pan udat jɔs fit fɔ dis.
| Di wan dɛn we fit fɔ gɛt di wok | Tɔk bɔt |
|---|---|
| Fɔ fat bad bad wan (Klas III Fat pasmak) . | If yu bɔdi mas indeks (BMI) na 40 ɔ pas dat. (BMI na fɔ no if yu gɛt wɛlbɔdi wet fɔ yu ayt.) |
| Fat ɛn ɔda sik dɛn (Klas II Fat wit Kɔmorbiditi) . | If yu BMI na 35 ɔ pas dat, ɛn yu gɛt siriɔs wɛlbɔdi prɔblɛm we yu fat. |
Us wɛlbɔdi prɔblɛm dɛn we pɔsin kin gɛt we i fat?
- Tayp 2 Dayabitis
- Ay Blɔd Prɛshɔn
- Di bɔku bɔku kɔlɔstrel we de na di blɔd
- At sik
- Slip apnɛa fɔ slip
- Fat liva sik (Mεtabolik disfכnkshכn-asכsiet steatotik liva sik) .
If yu gɛt dɛn kayn mɛrɛsin ya, Duodenal Switch ɔpreshɔn kin ɛp yu fɔ lɛf fɔ it bɔku bɔku it ɛn i kin ɛp yu bak fɔ kɔntrol dɛn sik ya.
Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?
If di dɔktɔ disayd se yu fit fɔ du dis ɔpreshɔn, i nɔ go du di ɔpreshɔn wantɛm wantɛm. Bifo dat, wan we de fɔ chɛk yu gud gud wan ɛn rɛdi yu fɔ dis.
- Mɛdikal tɛst: Dɛn kin du blɔd tɛst ɛn ECG fɔ si if yu bɔdi gɛt wɛlbɔdi na di lɛvul we go mek yu ebul fɔ bia wit di ɔpreshɔn.
- Fɔ pul di bad abit dɛn: If yu de smok ɔ drink rɔm, dɛn go gi yu advays fɔ stɔp am kpatakpata ɛn tritmɛnt if nid de.
- Saykolojik advays:Dis na big chenj na layf. Afta dɛn dɔn du di ɔpreshɔn, bɔku tin dɛn go chenj na yu layf. Dɛn kin gi advays fɔ ɛp yu fɔ rɛdi fɔ da chenj de na yu maynd.
- Aw fɔ no: Dɛn kin gɛt wokshɔp fɔ mek pipul dɛn ɔndastand di ɔpreshɔn gud gud wan ɛn aw fɔ liv afta dat.
- Speshal it: Fɔ sɔm wiks bifo dɛn du di ɔpreshɔn, dɛn go aks yu fɔ fala spɛshal it. Dis min se yu fɔ it tin dɛn we gɛt bɔku prɔtin ɛn we nɔ gɛt bɔku fat ɛn kabɔhaydrɛt.
Wetin na di bɛnifit ɛn bad tin dɛn we dɛn kin du we dɛn du di ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, dis wan gɛt in gud, bad, ɛn risk, ɛn i impɔtant fɔ ɔndastand dɛn klia wan.
| Di bɛnifit dɛn we pɔsin kin gɛt | Disavantej & Risk dɛn |
|---|---|
| I kin ridyus di wet pas ɔda ɔpreshɔn dɛn we dɛn kin du fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi. | Risk de fɔ mek yu nɔ gɛt bɛtɛ tin fɔ it, we nid fɔ gɛt vaytamɛn ɛn it fɔ yu layf ɔl. |
| I de gi rili saksesful rizulyt fɔ pipul dɛm wae gɛt Tayp 2 Dayabitis. | Yu kin muv yu bɔdi ɔltɛm ɔ yu kin gɛt dayarɛa. |
| Yu kin it smɔl pas ɔda ɔpreshɔn dɛn. | Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de lɛk fɔ gɛt infɛkshɔn, fɔ blɔd pasmak, fɔ mek pɔsin gɛt anestezi, ɛn fɔ mek blɔd klɔt. |
| di chans de fכ `dumping syndrome` (diskɔmfɔt we kin apin jɔs afta yu it). | Kכmplikεshכn dεm lεk hεnia fכmeshכn εn sכm bכdi we de bכn kin apin. |
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Yu go nid fɔ de na ɔspitul fɔ wan ɔ tu dez afta dɛn dɔn du di ɔpreshɔn. I kin tek tu to 4 wiks fɔ mek i wɛl ɔl. Insay dis tɛm, yu bɔdi go go tru big chenj dɛn.
Fɔs, yu kin gɛt diskɔmfɔt fɔ sɔm tɛm lɛk:
- Fɔ fil se yu taya bad bad wan ɛn yu taya
- Vɔmit
- Di we aw pɔsin de fil kin chenj
- Di ia we de lɔs (dis na fɔ shɔt tɛm nɔmɔ) .
- Bɔdi pen
- Fɔ fil kol pas aw i kin fil
Nɔ wɔri. Bɔku tɛm, dɛn tin ya kin apin fɔ shɔt tɛm nɔmɔ. Dɛn diskɔmfɔt ya go dɔn smɔl smɔl as yu bɔdi de ajɔst to dis nyu chenj.
Di tin we impɔtant pas ɔl na fɔ kɔntinyu fɔ tɔk to yu dɔktɔ. Yu go nid fɔ go fɔ chɛk yu ɔltɛm insay di fɔs tu ia, ɛn afta dat dɛn go chɛk yu wɛlbɔdi ɛn it lɛvɛl wan wan tɛm ɔlsay na yu layf.
Lɛ wi no bak bɔt di prɔblɛm dɛn we kin apin fɔ lɔng tɛm.
Pan ɔl we dis ɔpreshɔn kin rili fayn, bɔku tin dɛn de we wi fɔ tek tɛm wit fɔ lɔng tɛm.
Malnutrishɔn
Dis na di men risk . Bikɔs yu smɔl intestin nɔ kin ebul fɔ tek di tin dɛn we yu nid, i kin izi fɔ mek yu nɔ gɛt bɛtɛ vaytamɛn ɛn minral. So yu go nid fɔ tek vaytamɛn ɛn minral sɔpɔtmɛnt dɛn lɛk aw yu dɔktɔ tɛl yu fɔ di res ɔf yu layf. Yu go nid bak fɔ mek dɛn tɛst yu blɔd ɔltɛm fɔ chɛk di tin dɛn we yu de it.
Rɔnbɛlɛ
Bikɔs di it nɔ de digest fayn, tin dɛn lɛk fɔ muv yu bɔdi ɔltɛm ɔ fɔ gɛt dayarɛa kin apin. Bɔt if yu fala di tin dɛn we yu dɔktɔ tɛl yu fɔ it, yu go ebul fɔ kɔntrol dis bɔku bɔku wan.
Galston dɛn we de na di bɔdi
We yu lɔs yu wet kwik kwik wan, yu liva kin mek mɔ kɔlɔstrel, we kin gɛda na yu gal blad ɛn mek gal ston.
Bayl Riflɔks
sכmtεm, bikoz fכ di chenj dεm we di bכdi valv dεm de wok, di bayl kin fכ fכlכ insay di bεlε.
Yu dɔktɔ go de wach yu gud gud wan fɔ ɔl dis. So di tin we impɔtant pas ɔl na fɔ nɔ panik ɛn tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛnitin we nɔ izi fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Duodenal Switch na wan ɔpreshɔn we rili saksesful ɛn siriɔs fɔ mek pɔsin fat bad bad wan. Dis nɔto disizhɔn we dɛn fɔ tek am layt.
- Dis ɔpreshɔn nɔ de jɔs mek di bɛlɛ smɔl, bɔt i de mek di dijestiv trakt shɔt bak. Dis kin mek pɔsin lɔs in wet kwik kwik wan.
- Di big tin we kin mek dɛn du dis ɔpreshɔn na we pɔsin nɔ gɛt bɛtɛ tin fɔ it. So, yu fɔ tek vaytamɛn ɛn minral sɔpɔtmɛnt fɔ ɔl yu layf.
- I rili impɔtant fɔ mek yu gɛt padi biznɛs wit di dɔktɔ ɔltɛm ɛn fɔ de chɛk yu ɔltɛm ɔlsay na yu layf afta dɛn dɔn du yu ɔpreshɔn.
- Dis ɔpreshɔn na jɔs wan tul. Di sakses fɔ di ɔpreshɔn dipen pan yu kɔmitmɛnt. Fɔ kɔntinyu fɔ it fayn it ɛn fɔ liv aktif layf rili impɔtant.
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