Yu na pɔsin bak we de sɔfa bikɔs yu fat pasmak, ɔ lɛk aw dɔktɔ dɛn kin kɔl am, yu fat? Yu taya fɔ it ɛn du ɛksɛsayz? If yu de fred fɔ mek dɛn du big ɔpreshɔn fɔ mek yu nɔ gɛt bɔku bɔku bɔdi, tide wi go tɔk bɔt sɔlv we go fayn fɔ yu, bɔt di sem tɛm, nɔto bɔku pipul dɛn no bɔt am. Dis kin bi sɔntin we go chenj yu layf.
Fɔ tɔk am simpul wan, wetin na Ɛndoskopik Sliv Gastroplasti (ESG)?
Di nem kin tan lɛk se i kɔmplikt, bɔt wetin kin apin pan dis prɔsidyu rili simpul. ESG na wan mכdan tritmεnt we de ridyus di sayz fכ yu bεlε (bεlε) we yu nכ de kכt εnisay na yu bכdi. Dis na gud ɔda we fɔ du ɔpreshɔn fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi (bariatric ɔpreshɔn).
Imajin... di dɔktɔ put wan tin tiub dɔŋ yu trot. Dis tiub gɛt wan rili smɔl kamɛra we dɛn tay na di ɛnd. Wi kin kɔl dis ɛndoskɔp. We dɛn de yuz dis kamɛra, dɛn kin yuz spɛshal tin fɔ stich di wɔl dɛn na yu bɛlɛ togɛda. sכm pipul dεn kכl dis "accordion procedure" biכs di bεlε de fold op lεk accordion.
afta dis, yu bεlε de shrin to lεk tכd (30%) pan di sayz we i bin de bifo. Dɔn tu tin dɛn kin apin:
1. Di amount of it we yu kin it wan taim na limited.
2. We di bɛlɛ ful-ɔp, i kin tek lɔng tɛm fɔ ɛmti.
Dis kin mek yu fil ful ivin afta yu it smɔl, ɛn yu nɔ kin fil angri fɔ lɔng tɛm.
Udat dis tritmɛnt fit fɔ?
Dɛn kin advays dis tritmɛnt fɔ pipul dɛm wae fat pasmak. If yu bɔdi mas indeks (BMI) pas 30 , ɛn yu dɔn tray ɔda we dɛn fɔ lɛf fɔ it bɔku bɔku it ɛn yu nɔ ebul fɔ tink bɔt dis.
Dis na fayn sɔlv, mɔ fɔ di wan dɛn we nɔ fit fɔ gɛt big ɔpreshɔn fɔ lɔs dɛn wet (bariatric ɔpreshɔn), ɔ we nɔ want fɔ tek di risk dɛn we dɛn kin gɛt we dɛn du ɔpreshɔn. I nɔ big lɛk ɔpreshɔn, bɔt i kin mek pɔsin gɛt mɔ tin fɔ du pas fɔ it ɛn ɛksesaiz.
Fɔ fat nɔto jɔs fɔ mek yu gɛt bɔku bɔku bɔdi. I kin mek bak di risk fɔ gɛt bɔku siriɔs sik dɛn lɛk dayabitis (Type 2 Diabetes), ay blɔd prɛshɔn, at sik, ɛn fat liva sik. If yu lɔs yu wet wit tritmɛnt lɛk ESG, i kin ɛp fɔ kɔntrol dɛn sik ya, ɛn sɔm tɛm dɛn kin ivin mɛn dɛn ɔl.
Wetin kin apin bifo ɛn we dɛn de trit am?
Yu ɛn yu dɔktɔ go disayd togɛda if yu fit fɔ dis.
Bifo di Prɔsidyu
Fɔs, dɛn go du wan kɔmplit mɛdikal ɛgzam. Dɛn go du bɔku blɔd tɛst fɔ si if yu fit fɔ gɛt jenɛral anestezi. Di dɔktɔ go tɔk to yu bɔt yu wɛlbɔdi istri, aw yu de it, aw yu de liv yu layf, ɛn aw yu want fɔ lɛf fɔ it bɔku bɔku it dɛn. I go ɛksplen bak di gud ɛn bad tin dɛn we dis tritmɛnt gɛt, ɛn bak di chenj dɛn we yu nid fɔ chenj yu layf fɔ mek yu gɛt rizɔlt fɔ lɔng tɛm.
Di tɛm we dɛn de du di wok
Yu nɔ go fil natin, bikɔs dɛn kin du dis we yu dɔn slip ɔl (anestez).
- Na wan dɔktɔ we de mɛn di bɔdi we de na di bɔdi, we na dɔktɔ we spɛshal pan di we aw di bɔdi de digest, de du dis.
- I go put di ɛndoskɔp insay yu mɔt ɛn pas am dɔŋ to yu bɛlɛ.
- di imej dεm we de kכmכt na di kεmεra na di εndoskop dεn de si am pan monita, εn dεn de yuz spεshal tin fכ put lεk 8-10 stich dεm insay di bεlε, we de ridyus in saiz.
| Trut | Patikyula tin |
|---|---|
| Taym we dɛn spɛn | Bitwin 1 ɛn 1.5 awa (60-90 minit). |
| Fɔ de na ɔspitul | Bɔku tɛm, yu kin go na os di sem de. Na if ɛnitin de we nɔ fayn (pen, nɔs) nɔmɔ dɛn go admit yu na ɔspitul fɔ tritmɛnt. |
| Pen | Sɔm smɔl pen kin de as di bɛlɛ de wɛl. Dis go go afta sɔm dez. |
| Fɔ go bak na wokples | Bɔrku pipul kin kam bak to nɔrmal tin fɔ du insay lɛk wan wik. |
Wetin na di difrɛns bitwin ESG ɛn ɔpreshɔn fɔ lɔs yu wet ɔltɛm (Gastric Sleeve)?
di gol fכ dεn tu we dεm ya na fכ kכmprεs di bεlε εn shep am to "sliv," כ shep we lεk tכb. Bɔt big difrɛns de pan aw dɛn kin du am. Yu go ɔndastand dis izi wan we yu luk dis tebul.
| Tin | ESG (ɛndoskopik we fɔ du am) . | Gastrik Sliv (ɔpareshɔn) . |
|---|---|---|
| Aw fɔ du am | Dɛn kin du am bay we dɛn put ɛndoskɔp tru di mɔt. | Dɛn kin du am bay we dɛn mek sɔm smɔl smɔl say dɛn na di bɛlɛ. |
| Wetin i de du to di bɛlɛ? | Dɛn kin stich wan pat pan di bɛlɛ fɔ lɔk. Dɛn nɔ de pul ɛni pat pan di pat. | lεk 80% pan di bεlε dεn kin kכt εn pul am. |
| Fɔ de sote go | Semi-pɔrmanent. If nid de, dɛn kin pul di stich dɛn ɛn mek di bɛlɛ kam bak to nɔmal. | Sote go. Di pat we dɛn dɔn pul nɔ go ebul fɔ instɔl bak. |
| Di tɛm fɔ mek pɔsin wɛl | Kwik. I go kam bak to nɔmal insay sɔm dez. | I kin tek lɔng tɛm. I kin tek sɔm wiks. |
| Ifekt pan angri | I nɔ kin gɛt bɔku ifɛkt pan di ɔmon dɛn we de kɔntrol angri. | Angri kin ridyus bad bad wan bay we dɛn pul di pat we de mek ɔmon fɔ angri. |
Rizult ɛn wetin fɔ fala
Bɔrku pipul dɛm wae de du ESG kin lɔs bitwin 15% ɛn 20% pan dɛn ɔl bɔdi wet insay di fɔs ia. Dis na mɔr pas inof fɔ kɔntrol sik dɛm wae kin kam wae pɔrsin fat pasmak.
Bɔt mɛmba se dis nɔto majik. Fɔ mek yu gɛt sakrifays fɔ lɔng tɛm, yu fɔ rili adopt wɛlbɔdi it ɛn aktif layf stayl. I rili impɔtant fɔ fala di it instrɔkshɔn dɛm we di dɔktɔ gi yu (likwid -> pureed fud -> rɛgyula it) ɛksaktɔli insay di fɔs mɔnt afta tritmɛnt.
Fɔ fat nɔto sɔntin we pɔsin kin ebul fɔ kɔntrol izi wan. Bikɔs ɔf di chenj dɛn we de apin na di bɔdi in kemistri, sɔntɛnde i nɔ kin izi fɔ lɛ yu lɔs yu wet ilɛksɛf yu tray fɔ it ɛn du ɛksɛsayz. Dɛn kayn tɛm ya, tritmɛnt we nɔ gɛt bɔku prɔblɛm, we nɔ gɛt ɔpreshɔn lɛk ESG kin tan lɛk yu bɛst padi we de sho yu di we fɔ gɛt wɛlbɔdi layf.
Mɛsej we dɛn kin kɛr go na os
- ESG na wan mכdan tritmεnt we de yuz εndoskop fכ shrink di bεlε εn ridyus di wet we dεn nכ de insayshכn כ כpεrayshכn.
- Dis na fayn tin fɔ di wan dɛn we fat (BMI 30+) bɔt we de fred ɔ we nɔ want fɔ du big ɔpreshɔn.
- Di tɛm we pɔsin kin wɛl afta di tritmɛnt kin shɔt ɛn di risk fɔ gɛt di sayd ɛfɛkt dɛn kin rili smɔl.
- pan avrej, yu kin εkspεkt 15%-20% lכs pan bכdi wet.
- Dis tritmɛnt nɔmɔ nɔ go du fɔ am. Fɔ mek yu gɛt rizɔlt fɔ lɔng tɛm, i impɔtant fɔ fala di it ɛn layf we fayn.
- Mek shɔ se yu tɔk bɔt dis tritmɛnt wit yu dɔktɔ fɔ si if i fayn fɔ yu.
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