Yu de fil bad bad wan bikɔs yu bɔdi wet dɔn go ɔp to di lɛvɛl we yu nɔ go ebul fɔ kɔntrol, dat na fɔ fat? Yu de sɔfa wit sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn? Dɔn yu go dɔn yɛri bɔt ɔpreshɔn fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi. Tide wi go tɔk bɔt wan pan dɛn kayn ɔpreshɔn ya, wan ɔpreshɔn we kɔmplikt smɔl bɔt we rili saksesful, di ‘Duodenal Switch’ ɔpreshɔn. Dis nɔto ɔpreshɔn fɔ ɔlman, bɔt i rili impɔtant fɔ no bɔt dis.
Fɔ tɔk am simpul wan, wetin na Duodenal Switch ɔpreshɔn?
Duodenal Switch na wan kayn bariatric ɔpreshɔn we gɛt tu men tin: wan na fɔ pul lɛk 80% pan yu bɛlɛ ɛn mek am bi smɔl sliv . Di sɛkɔn wan na fɔ ridyus di lɔng we yu smɔl intestin gɛt ɛn fɔ mek i shɔt .
Dɛn tu chenj ya nɔ de mek yu it di it ɛn i nɔ de mek yu bɔdi nɔ gɛt bɔku kalori. Di rizulyt na we di bɔdi de ridyus bad bad wan. Pan ɔl we dis nɔto ɔpreshɔn we dɛn kin du bɔku tɛm we yu kɔmpia am to ɔda ɔpreshɔn dɛn we kin mek pɔsin nɔ gɛt bɔku bɔku bɔdi, bɔku tɛm i kin mek pɔsin nɔ gɛt bɔku bɔku bɔdi.
Tu men we dɛn de fɔ du dis:
- Tradishכnal mεtכd: Biliopankreas Divεshכn wit Duodenal Switch (BPD/DS) .
- Mɔdan we: Singl Anastomosis Duodeno-Ileal baypas wit Sliv Gastrektomi (SADI-S) .
Aw dis ɔpreshɔn de ɛp yu fɔ lɛf fɔ it bɔku bɔku it dɛn?
Tink bɔt am lɛk tu step ɔpreshɔn.
Step 1: Di dɔktɔ de pul wan big pat pan yu bɛlɛ (lɛk 80%). Di smɔl pat we lɛf gɛt shep lɛk banana, lɛk tiub. Wi kin kɔl dis `(Sliv Gastrectomy)`. Bikɔs di bɛlɛ smɔl, yu nɔ go ebul fɔ it bɔku tin wan tɛm. Ilɛksɛf yu it smɔl, yu go fil ful.
Step 2: Neks, yu go gɛt intestinal bypass. di fכs pat pan yu sכmכl intestכn dεn de baypas am εn di las pat de kכnekt dεrekt to di nyu bεlε we dεn mek. I tan lɛk shɔtkat fɔ avɔyd trafik na rod. Dis min se bɔku pan di it dɛn we yu de it kin pas na yu bɔdi we yu nɔ digest. Dis min se di bɔdi nɔ de tek bɔku kalori ɛn tin dɛn we de insay di it .
Afta dis ɔpreshɔn, yu nɔ kin it bɛtɛ ɛn yu bɔdi kin tek smɔl pan di it we yu de it. Dɔn bak, dis ɔpreshɔn kin afɛkt di ɔmon dɛn we yu bɔdi de du. Di ɔmon dɛm we de kɔntrol angri ɛn mek yu fil ful kin chenj bak, we kin ɛp yu fɔ lɛf fɔ it bɔku bɔku it.
Udat dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ?
Dis nɔto ɔpreshɔn fɔ ɔlman. Dɛn kin rɛkɔmɛnd am mɔ fɔ di wan dɛn we gɛt di ays lɛvɛl fɔ fat (Klas III fat). Yu dɔktɔ go tek tɛm luk yu wɛlbɔdi biznɛs ɛn disayd if dis ɔpreshɔn fayn fɔ yu ɔ nɔ fayn fɔ yu.
Dɛn kin tink bɔt dis ɔpreshɔn fɔ di wan dɛn we mit dɛn tin ya:
| Lɔ dɛn | Tɔk bɔt |
|---|---|
| Di Bɔdi Mas Indeks (BMI) . | If yu BMI na 40 ɔ pas dat (Klas III Ɔbisiti). |
| BMI ɛn ɔda sik dɛn | If yu BMI na 35 ɔ pas dat ɛn yu gɛt big sik we gɛt fɔ du wit fɔ fat. |
| Sɔm ɛgzampul dɛn bɔt sik dɛn we gɛt fɔ du wit fɔ fat: | |
| |
Di tin we impɔtant pas ɔl na dat, na wan tim we gɛt spɛshal pipul dɛn we de chɛk yu fɔ disayd fɔ du dis ɔpreshɔn. So tɔk opin wan wit yu dɔktɔ bɔt dis.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
If di dɔktɔ disayd se yu fit fɔ dis ɔpreshɔn, dɛn go rifer yu fɔ mek dɛn du sɔm tɛst dɛn.
- Dɛn kin du mɛdikal ɛgzamɛn ɔltɛm fɔ chɛk if yu wɛlbɔdi de fayn.
- If yu de yuz tabak, rɔm, ɔ drɔgs, wi de gi yu di ɛp ɛn tritmɛnt we yu nid fɔ stɔp fɔ yuz dɛn.
- Dis ɔpreshɔn na big chenj na yu layf. Dɛn go rifer yu fɔ saykilɔjik kɔyl fɔ asɛs if yu maynd rɛdi fɔ am.
- Yu go gɛt fɔ atɛnd sɛminari fɔ tich yusɛf bɔt di ɔpreshɔn ɛn aw fɔ chenj yu layf afta dat.
We ɔl dis dɔn, dɛn go gi yu spɛshal it plan sɔm wiks bifo dɛn du di ɔpreshɔn. I inklud it we gɛt bɔku prɔtin, we nɔ gɛt bɔku kabɔhaydrɛt, ɛn we nɔ gɛt bɔku fat.
Wetin na di bɛnifit ɛn bad tin dɛn we de apin?
Lɛk ɛnitin, dis ɔpreshɔn gɛt bɛnifit ɛn bad tin dɛn.
| Di bɛnifit dɛn we pɔsin kin gɛt | Disavantej & Risk dɛn |
|---|---|
|
|
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ wan ɔ tu dez. I go tek lɛk tu to 4 wiks fɔ mek i wɛl ɔl. Insay dis tɛm, yu bɔdi go go tru big chenj dɛn.
Sɔmtɛm sɔm kayn sik wae kin kam wae pɔrsin de wɛl:
- Fɔ fil se yu taya bad bad wan
- Vɔmit
- Di ia we de lɔs (dis na fɔ shɔt tɛm nɔmɔ) .
- Bɔdi pen
- Fɔ fil kol na di bɔdi
- Di we aw pɔsin de fil kin chenj
Bɔku tɛm, dɛn tin ya kin stɔp as tɛm de go.
Di tin we impɔtant pas ɔl na fɔ go to yu dɔktɔ ɔltɛm afta dɛn dɔn du di ɔpreshɔn. Dɛn go de chɛk yu ɔltɛm fɔ di fɔs tu ia, ɛn afta dat dɛn go chɛk yu ɔltɛm ɔlsay na yu layf.
Lɔng tɛm kɔmplikeshɔn ɛn manejmɛnt
Bikɔs dis na big ɔpreshɔn, bɔku tin dɛn de we yu fɔ tink bɔt fɔ lɔng tɛm.
- Malnutrishɔn: Dis na di big prɔblɛm. Bikɔs yu smɔl intestin nɔ de tek di tin dɛn we yu nid fayn fayn wan, yu go nid fɔ tek vaytamɛn ɛn minral sɔpɔtmɛnt dɛn fɔ di res ɔf yu layf . Yu dɔktɔ go chɛk yu blɔd wan wan tɛm fɔ mek shɔ se yu it fayn.
- Daya: Bikɔs di it nɔ de digest fayn, di stɔl kin lɔs ɛn i kin kam ɔltɛm. Yu kin kɔntrol dis bay we yu fala di it plan we yu dɔktɔ gi yu strikt wan.
- Gal ston: If yu lɔs bɔku wet wan tɛm, dat kin mek yu gɛt gal ston. Dɛn kin gi yu mɛrɛsin fɔ mek dis nɔ apin.
- Bayl Riflɔks: Sɔntɛnde, bayl ɛn blɔd kin flɔ bak insay di bɛlɛ.
Aw di we aw yu de it go chenj afta dɛn dɔn du yu ɔpreshɔn?
Yu nɔ go ebul fɔ it nɔmal wan wantɛm afta dɛn dɔn du yu ɔpreshɔn. Yu nid fɔ gi yu dijestiv sistɛm tɛm fɔ wɛl ɛn ajɔst to di nyu rutin. Di it we yu de it go chenj smɔl smɔl.
1. Klia Liquid Diet: Tin dɛn lɛk sup wata, ti we nɔ swit.
2. Ful Liquid Diet: Milk, yogɔt, likwid sup.
3. Puréed Foods: Fɔd dɛn we dɛn dɔn miks ɛn grind fayn fayn wan.
4. Sɔft Dayt: Tin dɛn lɛk vegjetabul we dɛn kuk fayn ɛn fish we saf.
Ɔl dɛn step ya fɔ bi lɛk aw yu dɔktɔ ɛn pɔsin we sabi bɔt it dɔn advays. I kin tek wan mɔnt ɔ mɔ fɔ mek i go bak to di nɔmal it.
Mɛsej we dɛn kin kɛr go na os
- Duodenal Switch na wan ɔpreshɔn we rili saksesful, bɔt we kɔmpleks fɔ mek pɔsin fat bad bad wan. I nɔ fayn fɔ ɔlman.
- Pan ɔl we dis ɔpreshɔn kin ɛp yu fɔ lɔs bɔku bɔku wet, i nid fɔ mek big chenj dɛn na yu layf.
- I impɔtant fɔ tek vaytamɛn ɛn minral sɔpɔtmɛnt dɛn ɔlsay na yu layf fɔ mek yu nɔ gɛt bɛtɛ tin fɔ it.
- Ivin afta dɛn dɔn du di ɔpreshɔn, i rili impɔtant fɔ go to yu dɔktɔ ɔltɛm ɛn du di tɛst dɛn we yu nid.
- If yu de tink bɔt dis kayn ɔpreshɔn, tɔk bɔt ɔl di ditil dɛn wit yu dɔktɔ ɛn disayd us sɔlv we go fayn fɔ yu.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt