I taksa rihna tihtlem tum hi i chau tawh em? Dieting, chaw nghei leh exercise lak hi i chau tawh em? A châng chuan thau lutuk hi awlsam taka thunun theih a ni lo. Chutiang hunah chuan hmanraw dang zawng zawng a hlawhchham chuan tunlaia doctor-te’n an rawt solution bik kan sawi dawn a ni. Chu chu taksa rihna tihtlem surgery, a nih loh leh bariatric surgery a ni.
Bariatric surgery hi eng nge ni tak tak?
A awlsam zawngin sawi ila, hei hi surgical procedure a ni. Mi thau lutuk te taksa rihna tihtlem nan hman a ni. Mahse liposuction ang maia taksa atanga thau paih chhuahna surgery mai a ni lo. Heta tih tur hi i digestive system ah hian inthlak danglamna engemaw zat siam a ni .
Hetiang hian han ngaihtuah teh, he surgery hian thil pawimawh pahnih a ti a:
1. I pum a ti tawi. Hei hian vawi khata ei tur i ei theih zat chu nasa takin a tikhawtlai a ni. Tlemte ei hnuah pawh i la chawl tih i la hria.
2. Surgery chi thenkhatah chuan i small intestine thenkhat chu bypass a ni. Chumi awmzia chu i chaw ei atang hian taksain calorie leh nutrients a hip tlem zawk tihna a ni.
Heng method pahnih hian i taksain calorie a ei zat a tihtlem a, chu mai ni lovin, he surgery hnu hian , i thluaka i riltam tih hrilhtu hormone signals (hunger signals) te pawh a tlahniam bawk. Chuvangin ei duhna reng reng chu thunun a ni bawk.
A pawimawh ber chu hei hi ‘magic’ hmanga taksa rihna tihtlem nan chauh a ni lo. Hei hi a hlawhtlin theih nan chuan i nunphung leh ei leh in dan te, operation hma leh operation hnuah pawh thlak danglam vek turin thutiam lian tak i siam a ngai a ni.
Engvangin nge hetiang surgery hi i neih a ngai?
Mi tam tak chuan tu pawhin ei leh in tha tak zawm leh exercise lak hian taksa rihna a tihniam thei niin an ngai. Chu chu a tlangpuiin a dik a ni. Mahse thau lutuk (class III thau lutuk) tan chuan chutiang chuan a awlsam lo. Research atanga a lan dan chuan hetiang thau lutuk nei te hian hun rei tak chhung chu ei leh in leh exercise hmang chauhvin an taksa rihna tihtlem an nei tlem zawk a ni.
A chhan chu kan taksa hian rei tak a thau lutuk a thiam chuan rit hi a ‘normal weight’ a ni tih a ngaihtuah thin. Kan taksa rihna tihtlem kan tum hian taksa chuan chu rit ‘normal’-ah chuan kir leh a tum fo thin. He surgery hian chu kalphung chu a thlak danglam a, ei leh in hrisel leh exercise atanga result kan hmuh tak tak theihna tur dinhmun a siam a ni.
He surgery hmang hian natna dang eng nge thunun theih?
Thau lutuk hi thau lutuk mai a ni lo. Nunna atana hlauhawm natna engemaw zat a thlen thei bawk. Thu lawmawm tak chu heng dinhmun tam tak hi bariatric surgery hnua taksa rihna tlahniam hian tihdanglam theih a ni.Hmasawnna nasa tak emaw, control kim vek emaw a ni.
Chutiang condition thenkhat chu hetiang hi a ni:
| Damdawi lam dinhmun | A awlsam zawngin... |
|---|---|
| Cholesterol sang tak a ni | Thisena thau (lipids) tihpun. Chungte chuan thisen kalna kawngah a deposit thei a, a block thei bawk. Hei hian heart attack emaw stroke emaw a thlen thei a ni. |
| Thisen sang lutuk | Thisen kaltlanga thisen a luang chhuah ruala pressure lo pung zel chu a sang chho zel a. Hei hian thisen kalna kawng a tichhe a, heart attack leh stroke neih theihna a tipung bawk. |
| Type 2 Diabetes a ni | Taksa thau a pun zel chuan insulin resistance a lo awm thei a ni. Hei hian zunthlum a thlen thei a ni. He dinhmun hi a tam zawk chu taksa rihna tihtlem hmangin control theih a ni. |
| Lung Natna | Thau lutuk hian thinlung hnathawh a tibuai a. Tin, thisen kalna kawngah thau a tipung bawk a, hei hian heart attack hlauhawmna a tipung a ni. |
| Kidney Natna a awm | Thau lutuk avanga natna, thisen sang leh zunthlum te hian kal (kidney) a tichhe thei a, a hlawhchham phah hial a ni. |
| Mut theih lohna (obstructive Sleep Apnea) a ni | Mut laiin rilru a inkhar a, thawk a tawp nawn fo thinna dinhmun. Hei hian taksa peng hrang hranga oxygen thlen zat a ti tlem a, thinlung a tichhe thei bawk. |
| Osteoarthritis natna a ni | Thau lutuk hian khup ang chi ruh (joint)-ah pressure nasa tak a siam a ni. Hei hian ruh a ti chhe thei a, natna a thlen thei bawk. I taksa rihna i tihtlem chuan he pressure hi a tlahniam bawk. |
| Ngawt | A inzawmna hi chiang taka hriat ni lo mah se, thau lutuk hian cancer chi hrang hrang sawmhnih chuang a vei theihna a tipung tih hmuhchhuah a ni. |
He surgery hi tute nge tih theih?
He surgery hi mi zawng zawng tan tih a ni lo. Chumi atan chuan tehfung engemaw zat a awm. A en ber chu i body mass index, a nih loh leh BMI (Body Mass Index) . BMI hi i san zawng nena inmil tura i taksa rihna hrisel tak i nih leh nih loh tehna awlsam tak a ni.
A tlangpuiin surgery nei thei turte chu:
- BMI 40 aia sang a nih chuan hei hi thau lutuk anga ngaih a ni.
- BMI 35 aia tam i neih a, a chunga kan sawi tak damdawi lam thil pakhat emaw a aia tam emaw, thau lutuk (e.g. zunthlum, thisen sang) i neih chuan.
He eligibility hi i doctor-in a enfiah hnuah leh a tul anga medical test a neih hnuah a ruat thin a ni.
Operation hmain engtin nge i inbuatsaih thin?
Operation nei tura ni khat pek i nih hmain medical team chuan taksa leh rilru lamah chutiang tur chuan i inpeih tawh tih an enfiah ang.
- Specialist doctor team-in an enfiah ang che.
- Surgery a thatna te, a that lohna te leh a hlauhawmna te chipchiar takin kan hrilhfiah ang che.
- Surgery hi him taka tih theih a nih theih nan a tul anga thisen test leh scan te tih a ni.
- Meizial i zu emaw, ruihhlo i hman emaw, zu i in nasa lutuk a nih chuan, operation i neih theih hmain i chawlhsan vek a ngai ang .
- Operation hma kar tlemteah i doctor chuan special diet (pre-bariatric surgery diet) zawm turin a hrilh ang che. Hei hi i pum chhunga thau awm zat tihtlem nan a ni a, surgery hi a him zawkin a awlsam zawk a ni.
Weight loss surgery chi hrang hrang lian ber berte chu engte nge ni?
Bariatric surgery hi chi hrang hrang lian tak tak a awm a. I doctor chuan i hriselna leh mamawh a zirin eng chi nge i tan a tha ber tih a rel ang. Heng surgery tam zawk hi laparoscopic hmanga tih a ni a, pum chhunga incision tenau tlemte hmanga camera dah hmanga tih a ni. Hei hian recovery time a ti tlem a, scarring a ti tlem bawk.
| Surgery chi hrang hrang | Eng thil nge thleng? |
|---|---|
| Gastric Sleeve (Sleeve Gastrectomy) hmanga tihdam theih a ni. | Hei hi tunlai khawvela surgery chi hrang hrang awm tam ber a ni. Chutah chuan pum 80% vel lakchhuah a ngai a, chu chuan banana ang maia siam tube te tak te a hnutchhiah a ni. Hei hian ei tur i ei theih zat a ti tlem a, riltam tirtu hormone siam chhuah pawh a ti tlem bawk. |
| Gastric Bypass (Roux-en-Y) hmanga tih theih a ni. | Hetiang tih danah hian pum chunglam atanga pouch te tak te chu lakchhuah niin, small intestine hnuai lam nen direct-in an inzawm a ni. Chumi awmzia chu chaw ei hian pum chhung hmun zau tak leh small intestine hmun hmasa ber chu a bypass tihna a ni. Hei hian chaw ei tam leh taksain a chhawpchhuah (nutrients) a tihtlem phah a ni. |
| Duodenal Switch (BPD-DS) hmanga tihdam theih a ni. | Hei hi surgery buaithlak deuh a ni. Gastric sleeve surgery leh small intestine hmun tam tak bypass te a huam vek a ni. Rihna tihniamna leh zunthlum ang chi natna control nana hmanraw tangkai tak ni mah se, ei leh in lama tlakchhamna a tipung bawk a, a chhan chu taksain ei leh in a lakluh hi nasa takin a tlahniam a ni. |
He surgery hian eng hlauhawmna nge a neih?
Surgery dang ang bawkin bariatric surgery hian risk leh side effect engemaw zat a nei thei a ni. Mahse, hriat reng tur pawimawh ber chu, a tam zawkah chuan , thau lutuk avanga natna lo awmte hlauhawmna chuan he surgery-a hlauhawmna aiin a tam zawk daih a ni.
Risk chi hnih a awm a.
1. Surgery nena inzawm harsatna tlangpui: thisen chhuah, natna hrik kai, thisen zam, hernia siam, anesthesia nena inzawm harsatna.
2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Digestive system inthlak danglamna avanga side effect awm thei:
- Dumping Syndrome: Chaw ei tur chu pum atanga small intestine-a a kal chak lutuk avangin natna lan chhuah dan, rilru hahna, pum na, ril\am, leh thawk hah ang chi a ni. Hei hi i ei leh in thlak danglamin control theih a ni.
- Malnutrition: Vitamin leh mineral tlakchhamna hi taksain nutrients a lakluh tlem vang a ni thei. Hei hian doctor-in a tih angin dam chhung vitamin supplement a mamawh a ni.
- Gallstones: I taksa rihna tihtlem chak chuan gallstones lo awm theihna a awm.
I doctor chuan heng hlauhawm zawng zawng hi a hrilhfiah ang che.
Surgery hnuah eng nge thleng?
Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. In i haw hnuah chuan chawlh hahdam leh thil tih dan pangngaia i awm leh theih nan kar engemaw zat a ngai dawn a ni.
- Diet: Liquid atanga tan hmasa la, zawi zawiin pureed foods, soft foods ah inthlak la, kar 12 vel hnuah chauh solid foods pangngai i hmang thin.
- Medical Checkups: Kum khatna chhung hian doctor pan fo a ngai ang a, i taksa rihna tlahniam leh hriselna enfiah nan thisen test i neih a ngai bawk ang.
- Weight loss: A vaiin mi 90% velin an taksa rihna tam lutuk 50% aia tam an hloh thin. Hetianga taksa rihna tlahniam hi kum hnih hmasa berah hian zawi zawiin a thleng thin.
- Vun tam lutuk: I taksa rihna tam tak i tihtlem chuan i vun a tlahniam thei. A tul chuan kum khat emaw kum hnih emaw hnuah vun tam lutuk chu paih chhuah nan a hranpa (body contouring surgery) i nei thei bawk.
Take-Home Thuchah a ni
- Bariatric surgery hi hun rei tak chhunga thau lutuk (Class III Obesity) enkawlna hlawhtling ber a ni.
- Hei hi ‘kawng awlsam’ a ni lo; hlawhtling tur chuan operation hnua i dam chhung zawng nunphung leh ei leh in hrisel i hman a ngai a ni.
- Surgery dang ang bawkin, a hlauhawmna a awm a, chuvangin thutlukna i siam hmain i doctor nen sawiho a, a thatna leh that lohna te ngaihtuah hmasa phawt a pawimawh.
- He surgery hian taksa rihna tihtlem nan a pui mai bakah natna khirh tak tak tam tak, zunthlum, cholesterol sang, leh thisen sang te pawh a control thei bawk.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh