Yu na pɔsin bak we de sɔfa bɔku bikɔs yu fat pasmak, ɔ lɛk aw dɔktɔ dɛn kin kɔl am, yu fat? Sɔntɛm yu nɔ du natin fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi. Yu dɔn tray difrɛn it dɛn, yu dɔn du ɛksɛsayz fɔ lɔng tɛm... bɔt yu nɔ gɛt di rizɔlt we yu want? Na sɔm tɛm lɛk dis kin mek sɔm dɔktɔ dɛn kin tɔk bɔt spɛshal kayn ɔpreshɔn fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi, dat na ‘bariatric ɔpreshɔn’. Wan pan dɛn ɔpreshɔn dɛn de na di gastric band ɔpreshɔn we wi de tɔk bɔt tide.
Wetin na Gastrik Band Ɔpreshɔn (Lap-Band)?
Fɔ tɔk am simpul wan, dis na smɔl tin we dɛn kin du ɔpreshɔn fɔ put insay yu bɔdi. Dɛn kin yuse am fɔ ɛp pipul dɛm wae fat pasmak fɔ lɛf fɔ it. Dis na wan kayn ɔpreshɔn we dɛn kin du fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi. I de stɔp di it we yu kin it wan tɛm.
Imajin se, i nɔ tan lɛk sɔm ɔda ɔpreshɔn dɛn we dɛn kin du fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi, dɛn nɔ kin kɔt di bɛlɛ fɔ ɔltɛm ɔ di intestin dɛn kin chenj. Bifo dat, dɛn kin put smɔl band rawnd di ɔp pat na di bɛlɛ. Dis na wetin wi kin kɔl gastric band. Di men kayn we dɛn de yuz naw na kɔntri dɛn lɛk Amɛrika na di brand nem `(Lap-Band). Na dat mek dɛn kin kɔl dis ɔpreshɔn bak `Lap-Band` ɔpreshɔn.
Aw dis gastric band de wok?
I rili simpul. Dis band na silikon we rili saf. I tan lɛk tyub we dɛn kin blo. Di dɔktɔ kin put am rawnd di tap pat pan yu bɛlɛ, ɛn mek wan ring.
Naw, dis ring gɛt wan smɔl tiub we dɛn tay pan am. Da tiub de dɔn na wan smɔl say ɔnda yu skin. wi kכl am ``pכt.'' Yu dכkta kin yuz nidul tru dis ``pכt'' fכ put salin fכ tayt כ lכs di bכnd. we di band tayt, di pasεj bitwin di כp εn lכw pat na yu bεlε de sכmtεm.
Naw tink bɔt wetin kin apin we yu de it. Di it kin ful-ɔp da smɔl pat de fɔs we de ɔp yu bɛlɛ. Bikɔs i smɔl, yu kin fil ful kwik kwik wan, ilɛksɛf yu it smɔl . Dat na di men prinsipul we de biɛn am. Yu nɔ kin angri, yu nɔ kin it bɛtɛ, ɛn as tɛm de go, yu kin lɛf fɔ it bɔku bɔku it dɛn.
Udat dis ɔpreshɔn fayn fɔ?
Tipikli, dɛn kin du ɔpreshɔn fɔ lɔs dɛn wet pan pipul dɛn we fat ɛn we gɛt ɔda mɛrɛsin lɛk dayabitis ɛn ay blɔd prɛshɔn, ɛn we dɔn tray ɔl ɔda we dɛn (di it, ɛksesaiz) bɔt dɛn nɔ ebul fɔ lɔs dɛn wet.
Yu dɔktɔ go dɔn tɛl yu bɔt di Lap-Band ɔpreshɔn, mɔ if yu de luk fɔ sɔlv we nɔ go ambɔg yu ɛn we go de sote go pas ɔda ɔpreshɔn dɛn. Dis na bikɔs i nɔ de kɔt di bɛlɛ ɔ chenj di insay. Yu kin pul di band ɛnitɛm.
Bɔt wan impɔtant tin de we wi fɔ mɛmba.
We yu kɔmpia am wit ɔda ɔpreshɔn dɛn we dɛn kin du fɔ lɔs yu wet, di wet we pɔsin kin lɔs wit di Lap-Band nɔ kin bɔku. Dɔn bak, afta dɛn dɔn du di ɔpreshɔn, mɔ insay di fɔs ia, yu go nid fɔ go to yu dɔktɔ bɔku tɛm fɔ ajɔst di tayt we di band tayt.
Fɔ dɛn rizin ya, bɔku dɔktɔ dɛn tide de tɔn to ɔda ɔpreshɔn dɛn lɛk sliv gastrectomy ɛn roux-en-Y gastric bypass.
| Di bɛnifit dɛn we pɔsin kin gɛt | Di bad tin dɛn we kin apin |
|---|---|
| Di prɔblɛm dɛn we kin apin wantɛm wantɛm afta dɛn dɔn du di ɔpreshɔn nɔ kin bɔku. | Di wet we pɔsin kin lɔs nɔ kin bɔku pas ɔda ɔpreshɔn dɛn. |
| Dɛn nɔ kin kɔt di bɛlɛ ɔ di insay. | Yu nid fɔ go to di dɔktɔ ɔltɛm fɔ mek dɛn ajɔst di band. |
| Dɛn kin pul di band bak if nid de. | Di risk fɔ gɛt kɔmplikeshɔn kin bɔku fɔ lɔng tɛm. |
Aw bɔku wet yu kin lɔs wit di Lap-Band?
Tipikli, yu kin lכs lεk 40% pan yu εksyכs wet insay tu ia afta yu gεt Lap-Band. Imajin se yu ebi 50 kilo pas di wet we yu fɔ gɛt. Dɔn yu kin lɔs lɛk 20 kilo. Bɔt dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Di tin dɛn we kin apin kin dipen pan aw yu chenj yu layf ɛn aw yu de it afta di ɔpreshɔn.
Yu tink se dis kin mek pɔsin fil fri bak pan sik dɛn we pɔsin kin gɛt we i fat?
Fɔ tru, na yɛs! If yu lɔs yu wet, dat kin mek yu gɛt bɔku rilif frɔm bɔku sik dɛn we pɔsin kin gɛt we i fat. Fɔ ɛgzampul:
- Kɔlestɔl we bɔku
- Di ay blɔd prɛshɔn
- At sik
- Tayp 2 dayabitis
- Obstruktiv slip apnɛa
- Fat liva sik we nɔ gɛt fɔ du wit rɔm
Bɔt i nɔ tan lɛk ɔda ɔpreshɔn dɛn we dɛn kin du fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi, dis nɔ kin rili afɛkt di we aw di bɔdi de wok ɔ di ɔmon dɛn we de na di bɔdi. Na jɔs wan we we de stɔp pɔsin fɔ it atɔl.
Wetin dɛn nid fɔ mek pɔsin fit fɔ gɛt ɔpreshɔn?
Yu dɔktɔ kin tɛl yu bɔt dis kayn ɔpreshɔn pan dɛn tin ya:
- If yu BMI na 40 ɔ pas dat. `BMI (Body Mass Index)` na indikɛtɔ we de mɛzhɔ if yu gɛt wɛlbɔdi wet fɔ yu ayt. If yu BMI pas 40, dat min se yu de pan rili ay risk fɔ gɛt sik dɛn bikɔs yu fat.
- If yu BMI na 35 ɔ pas dat ɛn yu gɛt sik we gɛt fɔ du wit fat (e.g. dayabitis, ay blɔd prɛshɔn).
Apat frɔm dat, yu go nid fɔ du bɔku dɔktɔ tɛst dɛn fɔ si if yu gɛt wɛlbɔdi ɛn dɛn go du ɔpreshɔn pan yu. Dɛn tin ya kin bi fɔ tɛst blɔd ɛn fɔ skan di bɛlɛ. If yu de smok ɔ drink rɔm pasmak, yu go nid fɔ stɔp fɔ smok bifo yu fit fɔ gɛt ɔpreshɔn.
Yu tink se dis na big ɔpreshɔn?
Dis na rili tin we rili impɔtant. Bɔt we yu kɔmpia am to ɔda big big ɔpreshɔn dɛn, di tɛm we dɛn kin tek fɔ du dis ɔpreshɔn ɛn di tɛm we pɔsin kin gɛt fɔ wɛl nɔ kin shɔt. Bikɔs, dɛn tɛm ya, bɔku tɛm dɛn kin du dis ɔpreshɔn as kihol ɔpreshɔn (laparoskopik ɔpreshɔn) .
Dis min se instead fɔ kɔt di bɛlɛ, dɛn kin du di wan ol ɔpreshɔn tru jɔs sɔm smɔl smɔl say dɛn, dɛn kin put kamɛra, ɛn spɛshal tin dɛn insay. Dis kin mek i nɔ gɛt pen, i nɔ kin tek lɔng tɛm fɔ mɛn, ɛn i nɔ kin gɛt bɔku skata.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Lɛ wi tek wan simpul stɛp-by-stɛp luk aw dɛn de du di ɔpreshɔn:
1. Fɔs, dɛn go gi yu jenɛral anestezi. So yu nɔ go fil natin di tɛm we dɛn de du di ɔpreshɔn, yu go de slip.
2. Dɔn di dɔktɔ we de du ɔpreshɔn kin mek smɔl say (kihol) na yu bɛlɛ. Dɛn kin put smɔl pɔmp tru di say we dɛn kɔt am ɛn dɛn kin ful-ɔp di bɛlɛ wit kabɔn dayɔgzayd gas. Dis kin mek dɛn ebul fɔ si di ɔgan dɛn klia wan ɛn i kin mek dɛn ebul fɔ du ɔpreshɔn.
3. Neks, dεn kin put wan sכmכl kεmεra (laparoskop) insay di sem ol. Di pikchɔ dɛn we de na dis kamɛra de sho na big skrin.
4. Di dɔktɔ we de du di ɔpreshɔn kin mek sɔm ɔda smɔl ol dɛn ɛn put lɔng, tin inschrumɛnt dɛn tru dɛn insay di bɛlɛ.
5. afta dat dεn de put di gastric band rawnd di כp pat pan di bεlε εn tayt am fכ mek wan sכmכl paus. Yu bɛlɛ naw tan lɛk awa glas. Wan smɔl pat de ɔp ɛn wan big pat de dɔŋ.
6. as wi bin dכn tכk bכt, di tכb we kכnekt to dis bכnd de kכnekt to di `pכt` כnda di skin.
7. Afta ɔltin dɔn de, dɛn kin pul di gas na di bɛlɛ ɛn siŋ di smɔl smɔl ol dɛn.
Dis ɔl dis kin tek bitwin 30 ɛn 60 minit nɔmɔ .
Aw i kin bi fɔ it ɛn drink afta dɛn dɔn du di ɔpreshɔn?
Dis rili impɔtant. Yu dɔktɔ go gi yu spɛshal tin dɛn fɔ it. Yu go nid fɔ stik to wata we yu de it fɔ di fɔs wik dɛn te yu bɛlɛ wɛl. Dɔn smɔl smɔl yu go go to it dɛn we dɛn dɔn klin, it dɛn we sɔft, ɛn las las, it dɛn we nɔ gɛt wan trɛnk.
We yu bigin fɔ it sɔlid it dɛn bak, yu nid fɔ yus fɔ it smɔl smɔl . Na bikɔs di pat we de ɔp na yu bɛlɛ dɔn rili smɔl naw. If yu it bɔku, dat kin mek yu nɔs ɛn vɔmit. Dɔn bak, yu nid fɔ yus fɔ pik kwaliti it dɛn ɛn it yu it fayn fayn wan so dat yu bɔdi go gɛt di it we i nid.
Wetin na di sayd ɛfɛkt ɛn prɔblɛm dɛn we kin apin?
Lɛk ɛni ɔpreshɔn, risk ɛn prɔblɛm dɛn de we kin apin. I impɔtant fɔ no bɔt dɛn tin ya bifo tɛm.
| Kɔmplikɛshɔn/sayd ɛfɛkt | Diskripshɔn ɛn wetin fɔ no |
|---|---|
| Nɔs ɛn vɔmit | Dis na nɔmal tin insay di fɔs de dɛn afta dɛn dɔn du di ɔpreshɔn. Dis go stɔp as yu de yus fɔ it smɔl smɔl ɛn it fayn fayn wan. |
| Banbɛlɛ | Dis kin apin bikɔs i nɔ kin izi fɔ drink bɔku wata. I impɔtant fɔ drink wata smɔl smɔl ɔl di de, pas fɔ drink am wit it. |
| I nɔ izi fɔ swɛla | Sɔntɛnde, i kin at fɔ swɛla it. Dis kin fiks bay we yu lus di band ɛn it. If nɔto dat, tɛl yu dɔktɔ. |
| Gastroesophageal rεflɔks (GERD) . | Dis de tɔk bɔt pen na in chɛst. Dis kin apin we di band tu tayt. Dis kin dכn we dεn lכs di bכnd, bכt dis kin afekt di wet we yu de lכs. |
| Prɔblɛm dɛn we de wit di pɔt | di `pכt` we de כnda di skin kin muv, tכn כpsayd dכn, lik fכ wata, כ i kin gεt infεkshכn. Dis nid fɔ mek dɛn du smɔl ɔpreshɔn. |
| Obstrukshɔn | Fɔd kin stɔp pan in we frɔm di ɔp pat na yu bɛlɛ to di bɔt. Dɔn yu nɔ go ebul fɔ it. Yu dɔktɔ kin lus di band ɛn pul am. |
| Band slip we dɛn de du | Di band kin slip kɔmɔt na in ples. If dis apin, i kin stɔp fɔ lɛf fɔ it bɔku bɔku it. Bɔt if dis apin wantɛm wantɛm, di bɛlɛ tisu kin day (bɛlɛ nɛkrɔsis). Dis na imejensi. Yu fɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. |
| Band erosion we dɛn kɔl | As tɛm de go, di band kin rɔb pan di bɛlɛ wɔl ɛn push insay di bɛlɛ. Dɔn di band nɔ go wok ɛn i kin mek pɔsin gɛt infɛkshɔn. Na dis tɛm, dɛn go gɛt fɔ pul di band. |
Aw lɔŋ dis Lap-Band de las?
Dɛn mek dis band fɔ las fɔ yu layf, bɔt dɛn nɔ pruv yet se i go las. Sɔv dɔn sho se bitwin 35% ɛn 40% pan pipul dɛn kin pul di band afta 10 ia.
Bɔku rizin kin de fɔ pul di band.
- Nɔ fɔ lɔs in wet.
- Kכmplikεshכn dεm lεk di εsophageal dilayshכn.
- Bɔrku pen na yu chɛst.
- Infεkshכn dεm.
- Di band de slip.
- Band-aid fɔ mek di bɛlɛ big.
- Fɔd pɔyzin.
Sɔm pipul dɛn kin dɔn pul dis band ɛn go to ɔda ɔpreshɔn dɛn we dɛn kin du fɔ lɛ dɛn nɔ gɛt bɔku bɔku bɔdi fɔ ɔltɛm we kin mek dɛn gɛt mɔ sakrifays.
Wetin wi kin ɛkspɛkt fɔ lɔng tɛm?
Ɛni ɔpreshɔn fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi na big big tin we pɔsin fɔ du. Yu nid fɔ tek tɛm tink bɔt di gud ɛn bad tin dɛn. Gastrik band ɔpreshɔn nɔto ɛksɛpshɔn.
Dis kin tan lɛk se i izi fɔ disayd fɔs, bikɔs i nɔ min fɔ kɔt di ɔgan dɛn lɛk ɔda ɔpreshɔn dɛn ɛn dɛn kin pul am if nid de. Bɔt yu nid fɔ mɛmba bak se yu go gɛt fɔ go to yu dɔktɔ ɔltɛm, mek dɛn ajɔst di band, ɛn sɔntɛm yu go gɛt fɔ du ɔpreshɔn bak leta. Yu go gɛt fɔ chenj di we aw yu de it bak fɔ di res ɔf yu layf .
Fɔ sɔm pipul dɛn, dis na di big tin we dɛn nid fɔ mek big chenj na dɛn layf, fɔ lɛf fɔ it bɔku bɔku it, ɛn fɔ liv fayn layf. Fɔ ɔda pipul dɛn, dɛn nɔ kin ebul fɔ lɛf fɔ it bɔku bɔku it dɛn, ɔ dɛn kin gɛt am bak. If dat apin, mɛmba se yu gɛt ɔda tritmɛnt dɛn. Tɔk to yu dɔktɔ bɔt dɛn.
Mɛsej we dɛn kin kɛr go na os
- Gastrik band ɔpreshɔn na wan we we nɔ kin tek bɔku pipul dɛn pas ɔda ɔpreshɔn dɛn we dɛn kin du fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi, bɔt i kin mek bak pɔsin nɔ gɛt bɔku bɔku wet.
- Dis nɔto "majik." Na jɔs wan tul fɔ ɛp yu pan yu weit lɔs joyn. I tek big big kɔmitmɛnt fɔ chenj di we aw yu de it ɛn di we aw yu de liv yu layf fɔ yu layf.
- Afta dɛn dɔn du di ɔpreshɔn, mɔ insay di fɔs ia, i impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ ajɔst di band.
- Yu fɔ no bɔt di prɔblɛm dɛn we kin apin fɔ lɔng tɛm. Tɔk bɔt ɔl dis wit yu dɔktɔ bifo yu du di ɔpreshɔn.
- Dis ɔpreshɔn nɔ fayn fɔ ɔlman. Yu dɔktɔ go disayd if i fayn fɔ yu afta dɛn dɔn chɛk yu gud gud wan.
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