Nang pawh hi thau lutuk tuar i ni em? A châng chuan, eng ang pawhin i ei leh in leh exercise i thunun pawhin, i taksa rihna tihtlem chu mumang ang maiin a lang thei. Chutiang hunah chuan hmanraw dang a hlawhchham chuan tunlaia doctor-te’n an rawt solution bik kan sawi dawn a ni. Chu chu taksa rihna tihtlem surgery emaw, damdawi lam sawi chuan Bariatric Surgery emaw a ni.
He taksa rihna tihtlem surgery (Bariatric Surgery) hi eng nge ni?
A awlsam zawngin sawi ila, hei hi surgery chi khat a ni a, mi thau lutuk te chu an taksa rihna tihtlem nan an ti thin. I doctor chuan he surgery chi hi i taksa rihna tihtlem dan dang i lo enchhin tawh a, i thau lutuk hian operation aiin hriselna a tichhe zawk a nih chauhvin a rawt thei ang.
Heng surgery te hian i digestive system ah inthlak danglamna a siam thin . A tam zawkah chuan pum leh a chang chuan small intestine te pawh an huam tel bawk. Hei hian thil pawimawh pahnih a ti a:
1. Vawi khata ei tur i ei theih zat khap tlat ang che.
2. Taksain calorie a lakluh zat a ti tlem.
Chu bâkah, he surgery hian i thluaka i rilṭâm tih hrilhtu rilṭâm signal te pawh a control thei bawk. Mahse hei hi "magic" quick fix a ni lo. He surgery hi a hlawhtlin theih nan chuan inbuatsaihna tha tak neih hmasak a ngai a, operation hnuah pawh dam chhung nunphung tihdanglam a ngai bawk .
Engvangin nge hetiang surgery hi i neih a ngai?
He surgery hi thau lutuk (class III obesity) nei tan chuan hun rei tak chhung, hlawhtling taka taksa rihna tihtlem theihna kawng tha ber a ni. Research atanga a lan dan chuan hetiang level-a mi tan chuan ei leh in leh exercise chauh hmanga taksa rihna tihtlem leh vawn reng chu a harsa hle.
Hetiang hian han ngaihtuah teh. I taksain i rit lutuk chu "normal" a nih thu a hriat chuan chu rit zawng chu a lo let leh a tum a ni. Bariatric surgery hian i taksain i ei tur a process dan a tidanglam thin. Tichuan i ei leh in hrisel leh nunphung thlak danglam hian hna a thawk thei tak zet a, i taksa rihna i tihtlem thei a, hrisel takin i awm thei bawk.
He surgery hmang hian thau lutuk vanga natna chi hrang hrang te chu a reh theih ang?
Thau lutuk hi natna khirh tak tak, nunna atana hlauhawm thei tam tak awm theihna tur risk factor a ni. Mahse thu lawmawm tak chu heng natna tam tak hi taksa rihna tihtlem operation hnuah nasa takin a lo tha chho thei a ni. I doctor-in he surgery hi i mamawh tih a hriat chuan a hnuaia natnate hi i nei tawh mai thei a, a nih loh leh i vei theihna a sang zawk thei bawk.
| Damdawi lam dinhmun | A awlsam zawngin... |
|---|---|
| Cholesterol sang tak a ni | Thisen a thau (lipids) tihpun. Chungte chu thisen kalna kawngah a pungkhawm thei a, a tikhawlo thei a ni. Hei hian stroke emaw heart attack emaw a thlen thei a ni. |
| Thisen sang (Hypertension) 1.1. | Thisen kal tlanga thisen kal chakna hi a sang hle. Hei hian thisen kalna bang a tichhia a, heart attack leh stroke neih theihna a tipung bawk. |
| Thisen sugar level sang leh type 2 diabetes | Taksa thau tam lutuk hian insulin resistance a thlen thin. Hei hi zunthlum lam panna hmasa ber a ni. Enkawl loh chuan nerve, thisen kalna leh taksa peng hrang hrang a tichhe thei a ni. |
| Lung Natna | Thau lutuk hian thinlung hnathawh a tichak lo thei a, thisen kalna kawng (arteries)-ah thau (fatty deposit) a siam thei a, chu chuan heart attack neih theihna a tipung a ni. |
| Kidney Natna a awm | Thau lutuk vanga natna, thisen sang leh zunthlum te hi kal natna rei tak thlentu lian ber an ni. |
| Mut theih lohna (obstructive Sleep Apnea) a ni | Mut lai hian thawkna kawng chunglam chu a inkhar a, thawk pawh a tawp nawn leh thin. Hei hian taksa peng pawimawh tak takte hnena oxygen a thlen zat a tihtlem phah a ni. |
| Osteoarthritis natna a ni | A rihna tam lutuk hian khup ang chi ruh (joint)-ah pressure a pe nasa hle a, chu chuan ruh natna (degenerative joint diseases) vei theihna a tipung a ni. |
| Zu in loh vanga thau natna (NAFLD) . | Taksa hian liver-ah thau tam lutuk a khawlkhawm tan a, chu chuan liver chu hun rei tak chhung a tichhe thei a ni. |
He surgery hi tute nge tih theih?
He surgery hi mi zawng zawng tan a ni lo. Chumi atan chuan qualification thenkhat i tlin a ngai a ni. A en ber chu i Body Mass Index (BMI) a ni. A awlsam zawngin, hei hi i san zawng tehna index a ni.
- If your BMI is 40 or higher , hei hian i rit zawng aiin pound 100 vel (kilogram 45 vel) i rit tihna a ni.
- I BMI 35 aia sang a nih a , thau lutuk (e.g. zunthlum, thisen sang) nena inzawm hriselna lama harsatna i neih chuan.
A pawimawh ber chu he thutlukna hi i doctor-in a siam a ni. A enfiah ang che a, he surgery hi i tan a tha em tih hriat nan a tul ang ang test a ti ang che.
Surgery chi hrang hrang awm tam ber chu engte nge ni?
Bariatric surgery hi chi hrang hrang a awm a. Chung zinga a tam zawk chu laparoscopic hmanga tih a ni. Chumi awmzia chu camera leh instrument te chu incision lian tak siam ai chuan incision tenau engemaw zat kaltlangin dah a ni a, chu chuan a dam rang zawk a, a na a ti tlem zawk a, a hliam a ti tlem zawk bawk. Hengte hi surgery chi hrang hrang zingah chuan a tam ber pawl an ni.
| Surgery neihna hmun hming | A tawi zawngin eng thil nge thleng |
|---|---|
| Gastric Sleeve a ni | Hei hi surgery neih tam ber a ni. Hetianga tihnaah hian pum 80% vel chu lakchhuah a ni a, chu chuan banana ang maia lian tube te tak te a awm ta a ni. Hei hian chaw tlemte ei hnuah pum a ti khat thei a, riltam hormone a ti tlem bawk. |
| Gastric Bypass hmanga tih theih a ni | Hetiang tih danah hian pum chunglam atang hian pouch te tak te siamin small intestine hnuai lam nen an inzawm a ni. Chaw ei hian pum chhung hmun zau tak leh intestine hmun hmasa ber chu a bypass thin. Hei hian chaw ei tam leh ei tur tha (nutrients) a lakluh zat 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 intestinal bypass te a huam vek a ni. Rihna tihtlem nan leh zunthlum ang chi natna control-na kawngah a thawk tha hle. Amaherawhchu, taksain nutrients a lakluh tlem avangin vitamin tlakchhamna a thlen thei a ni. |
Surgery hnuah eng nge thleng? Risk a awm em?
Surgery dang ang bawkin a hlauhawmna leh a nghawng tha lo a awm a, mahse hengte hi thau lutuk nena inzawm hlauhawmna aiin a tlem zawk fo thin.
Surgery nena inzawm hlauhawmna
- Thisen chhuak
- Kaichhawng
- Thisen a chhuak thin
- Bowel obstruction a awm
- Anastomotic leak a awm thin
Operation hnua side effect awm thei
- Dumping Syndrome: Chaw ei tur chu intestines a kal chak lutuk avangin natna lan chhuah dan, luak chhuak, pum na, leh riltam te hi a awm thin. Heng symptoms te hi hun kal zelah a reh tlangpui.
- Malnutrition: Vitamin leh mineral tlakchhamna hi nutrient absorption tlahniam vang a awm thei. Chuvangin doctor-in a pek ang chiah supplement i ei a pawimawh hle.
- Gallstones: Rang taka taksa rihna tlahniam hian gallstones vei theihna a tipung a ni.
I medical team chuan heng zawng zawng hi enkawl turin an pui ang che. Chuvangin ngaihtuahawm tur a awm lo. Surgery zawhah follow-up appointment neih a pawimawh.
Chuti a nih chuan he surgery hian eng hlawkna nge a neih?
A hlauhawmna awm mahse, he surgery hian hlawkna a nei sang hle.
- Significant, permanent weight loss: Hei hi hun rei tak chhunga result hlawhtling tak pe thei awmchhun a ni. Mi 90% vel chuan an taksa rihna tam lutuk 50% an hloh a, an vawng reng bawk.
- Diabetes leh cholesterol control: Mi tam tak chu zunthlum lakah an dam kim thei a, damdawi ei pawh an chawlhsan thei a ni.
- Hriselna tha leh dam rei: Zirchianna atanga a lan dan chuan thau lutuk avanga natna lo awm theihna a tihziaawm mai bakah eng thil avanga thihna pawh 40% velin a tihniam bawk.
- Nunphung tha zawk: I thau loh chuan i hlim zawk a, i lu a fiah zawk thin.Mahni inrintawkna leh thiltih a tipung.
Take-Home Thuchah a ni
- Bariatric surgery hi thau lutuk tan chuan damdawi lam thil pawi tak a ni. Cosmetic procedure emaw "easy fix" emaw a ni lo.
- He surgery hlawhtlinna hi dam chhunga ei leh in leh nunphung thlak danglam tura i inpeknaah a innghat a ni.
- He surgery hian hriselna atana hlawkna nasa tak a neih rualin, hlauhawmna leh side effect engemaw zat a keng tel bawk.
- Hei hi i tan a tha em tih chu i doctor nen thui taka sawiho hnuah i rel tur a ni.
- Nang pawhin thau lutuk i vei a nih chuan he thu hi hriat belh duh leh i duhthlan turte sawipui turin doctor hmu ngei ang che.
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