Yu na pɔsin bak we de sɔfa wit difrɛn sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn bikɔs i fat? Sɔntɛm yu dɔn du ɛksɛsayz, kɔntrol di tin dɛn we yu de it, ɛn du ɔl wetin yu ebul, bɔt yu stil de tray tranga wan fɔ lɛf fɔ it bɔku bɔku it dɛn. If na so, yu go dɔn yɛri bɔt ɔpreshɔn fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi, we dɛn kin kɔl bak bariatric ɔpreshɔn. Tide wi de tɔk bɔt gastric bypass surgery, we na wan pan di ɔpreshɔn dɛn we dɛn kin du pas ɔl na di wɔl.
Fɔ tɔk am simpul wan, wetin na gastric bypass surgery?
Dis na ɔpreshɔn we dɛn kin yuz fɔ lɛf fɔ it bɔku bɔku it ɛn bak fɔ kɔrɛkt di we aw pɔsin de wok. Dɛn kin kɔl dis ɔpreshɔn bak wit in Frɛnch nem, “Roux-en-Y”.
Fɔ tɔk am simpul wan, dis ɔpreshɔn kin min fɔ mek chenj dɛn na yu dijestiv sistɛm. I de mek yu nɔ it bɔku it ɛn i de mek di kalori dɛn we yu bɔdi de tek nɔ bɔku. Dis kin min mɔ fɔ chenj yu bɛlɛ ɛn yu smɔl intestinal.
Tink bɔt yu bɛlɛ lɛk big bag. Dis ɔpreshɔn de mek wan smɔl pɔch, we di sayz lɛk eg, pan da big bag de. Dɔn di it we wi de it kin go dairekt insay dis smɔl pɔch. Frɔm de, di it kin kɔnɛkt dairekt to di ɔda pat we de dɔŋ na yu smɔl intestinal.
Dis min se di it we yu de it naw de baypas di big pat na di bɛlɛ ɛn di fɔs pat na di smɔl intestinal. Dis baypas de mek yu bɔdi nɔ ebul fɔ tek di tin dɛn we de insay di it ɛn di kalori dɛn we de insay di it. Dis na aw yu de lɔs yu wet.
Udat dis ɔpreshɔn rili fayn fɔ?
Dis ɔpreshɔn nɔto fɔ ɔlman. Dɔktɔ dɛn kin jɔs tɛl dɛn fɔ du am fɔ di wan dɛn we fat pasmak. Bɔku tɛm, sɔm tin dɛn de we pɔsin fɔ dɔn fɔ mek i kwalifay fɔ dis.
| Krayteria fɔ Kwalifay | Tɔk bɔt |
|---|---|
| Fɔ fat bad bad wan (Klas III Fat pasmak) . | If yu bɔdi mas indeks (BMI) pas 40. |
| Fat pasmak ɛn ɔda sik dɛn | If yu BMI pas 35 ɛn yu gɛt wan ɔ mɔ mɛrɛsin we yu fat, lɛk dayabitis, ay blɔd prɛshɔn, ɔ slip apnɛa. |
| Dayabitis we dɛn nɔ ebul fɔ kɔntrol | Dɛn kin se dɛn fɔ du dis ɔpreshɔn if i nɔ izi fɔ kɔntrol di Tayp 2 Dayabitis we pɔsin kin gɛt we i fat ɛn di BMI pas 30. |
Di tin we impɔtant pas ɔl na dat bifo yu du dis ɔpreshɔn, yu dɔn mekɔp yu maynd fɔ chenj yu layf ɛn it fɔ di res ɔf yu layf. Dis nɔto fɔ sɔlv di prɔblɛm fɔ sɔm tɛm.
Apat frɔm dat, wan tim we gɛt dɔktɔ dɛn ɛn ɔda pipul dɛn we sabi bɔt wɛlbɔdi biznɛs go chɛk yu bifo dɛn tɛl yu fɔ du ɔpreshɔn.
- Yu fit fɔ gɛt ɔpreshɔn pan yu bɔdi ɛn yu maynd?
- Fɔ chɛk fɔ si if yu de yuz rɔm ɔ tabak.
- Wi kin tink bak if yu dɔn tray fɔ lɛf fɔ it bɔku bɔku it dɛn tru ɔda we dɛn (ɛksɛsayz, it) bifo dɛn du yu ɔpreshɔn.
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i du ɔpreshɔn?
Di big bɛnifit fɔ dis na fɔ lɔs bɔku bɔku wet. Bɔku tɛm, insay di fɔs tu ia afta dɛn du di ɔpreshɔn, yu kin lɔs lɛk 70% pan yu wet we pasmak . Pan ɔl we sɔm pipul dɛn kin gɛt smɔl wet as tɛm de go, yu kin kɔntinyu fɔ lɔs dɛn wet fɔ lɔng tɛm we na lɛk 50%.
Apat frɔm we pɔsin de lɔs in wet, dis ɔpreshɔn de ɛp bak fɔ kɔntrol ɔ mɛn bɔku sik dɛn we pɔsin kin gɛt we i fat pasmak.
- Tayp 2 Dayabitis
- Ay blɔd prɛshɔn (Hypertension) .
- Di ay kɔlɔstrel na di blɔd (Hyperlipidemia) .
- At sik
- Fat liva sik
- Gastritis ɛn gastroɛsophageal riflɔks sik (GERD) .
- Snor (Obstructive sleep apnea) we pɔsin kin snor.
- Ɔstiɔ-arayt sik
Bɔrku pipul kin ebul fɔ stɔp ɔr ivin ridyus di mɛrɛsin wae dɛn kin tek fɔ dɛn sik ya.
Aw dɛn kin du di ɔpreshɔn?
Naw, 90% pan di gastric bypass ɔpreshɔn dɛn kin du am wit laparoskopik . dis involv fכ mek 3-5 rili sכm (lεk af inch) insayshכn dεm na di bכdi, tru we dεn de put kεmεra εn כpεrayshכn instrכmεnt dεm. Dis we fɔ du tin kin mek i nɔ gɛt bɔku pen, i kin wɛl kwik kwik wan, ɛn i nɔ kin gɛt bɔku prɔblɛm dɛn.
Di ɔpreshɔn kin tek bitwin 2 ɛn 4 awa. Yu go gɛt fɔ de na di ɔspitul fɔ lɛk tu dez afta dɛn dɔn du di ɔpreshɔn.
Nɔto prɔblɛm dɛn de ɛn prɔblɛm dɛn we kin apin fɔ lɔng tɛm we dɛn du ɔpreshɔn?
Jɔs lɛk ɛni big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt bɔku tɛm, dɛn tin ya nɔ kin bɔku. We dɔktɔ we gɛt ɛkspiriɛns fɔ du ɔpreshɔn, di prɔblɛm dɛn we kin apin kin rili smɔl.
| Risk Tayp | Tɔk bɔt |
|---|---|
| Risk dɛn we kin apin fɔ shɔt tɛm | |
| Risk dɛn we kin apin we dɛn du ɔpreshɔn | Wund infεkshכn, blɔd we de kɔmɔt pasmak, riakshɔn to anestezi. |
| Risk dɛn we spɛshal fɔ ɔpreshɔn | Ɛnia, smɔl bɔdi we de stɔp, ɛn anastomotic lik. |
| Kɔmplikeshɔn dɛn we kin apin fɔ lɔng tɛm | |
| Di sik we dɛn kɔl Dumping Syndrome | We yu it tin dɛn we gɛt bɔku shuga ɔ flawa, dɛn kin muf kwik kwik wan na di smɔl intestinal, ɛn dis kin mek yu gɛt sayn dɛn lɛk nɔs, bɛlɛ kramp, ɛn dayarɛa. Yu kin avɔyd dis if yu kɔntrol di tin dɛn we yu de it. |
| Malnutrishɔn | Bikɔs di bɔdi nɔ de tek di tin dɛn we i nid fɔ it, i nid fɔ tek vaytamɛn ɛn minral sɔpɔtmɛnt dɛn we dɔktɔ dɔn tɛl yu fɔ du ɔl yu layf. |
| Galston dɛn we de na di bɔdi | We yu lɔs yu wet kwik kwik wan, dat kin mek yu gɛt gal ston. |
| We yu gɛt wet bak | If dɛn nɔ chenj di we aw dɛn de it ɛn di we aw dɛn de liv dɛn layf, as tɛm de go di bɛlɛ saiz we dɔn ridyus kin gro bak ɛn di wet kin go ɔp. |
Aw layf tan lɛk afta dɛn dɔn du ɔpreshɔn?
Dis na di pat we impɔtant pas ɔl. Afta di ɔpreshɔn, yu go gɛt fɔ fala wan strikt plan fɔ it.
- Fɔs wik: Liquid diet nɔmɔ.
- Neks wik: Sɔft it.
- Afta 2-3 mɔnt: Smɔl smɔl yu fɔ put sɔlid it dɛn.
I impɔtant fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn pɔsin we sabi bɔt it dɔn gi yu strikt wan.
- Fɔ it tin dɛn we gɛt bɔku prɔtin: I impɔtant fɔ it tin dɛn we gɛt bɔku prɔtin (fish, eg, milk) fɔ mek yu mɔsul dɛn strɔng.
- Nɔ it tin dɛn we gɛt shuga ɛn we gɛt stach: Yu fɔ ridyus di drink dɛn we gɛt swit, kek, biskit, ɛn bred as yu ebul.
- Vitamin ɛn minral: Yu fɔ tek sɔpɔtmɛnt dɛn we yu dɔktɔ tɛl yu fɔ du ɔl yu layf.
- Drink plɛnti wata: I impɔtant fɔ drink at le 2 lita wata ɛvride. Bɔt, nɔ drink wata we yu de it.
Insay di tɛm we yu de wɛl frɔm di ɔpreshɔn, yu kin gɛt sɔm sayd ɛfɛkt dɛn fɔ sɔm tɛm lɛk fɔ taya, bɔdi pen, ɛn yu ia kin lɔs. Dɛn tin ya go kam bak to nɔmal as tɛm de go.
Mɛmba se, ɔpreshɔn fɔ baypas na di bɛlɛ nɔto majik. Na pawaful tin we go ɛp yu fɔ lɛf fɔ it bɔku bɔku it dɛn. Fɔ mek yu go ebul fɔ yuz am di bɛst we, yu go nid fɔ tray tranga wan ɛn tray tranga wan.
If yu de sɔfa bak wit fat, i rili impɔtant fɔ tɔk to yu dɔktɔ fɔ no mɔ bɔt dis ɛn disayd if dis fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Gastric bypass surgery na big ɔspitul prosidur fɔ siriɔs fat ɛn sik dɛn we gɛt fɔ du wit am. I nɔto fɔ sɔlv am kwik kwik wan.
- Dis ɔpreshɔn kin mek yu nɔ gɛt bɔku bɔku bɔdi ɛn i kin ɛp bak fɔ kɔntrol di tin dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn.
- Di sakses fɔ di ɔpreshɔn dipen pan yu kɔmitmɛnt fɔ chenj di it ɛn layf stayl fɔ ɔl yu layf.
- I fɔ tek di vaytamɛn ɛn minral dɛn we di dɔktɔ gi yu fɔ layf afta yu dɔn ɔpreshɔn yu.
- Yu fɔ disayd if dis ɔpreshɔn fayn fɔ yu afta yu dɔn tɔk bɔt am wit yu dɔktɔ.
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