Nang pawh hi thau lutuk tuar nasa tak i ni em? I taksa rihna tihtlem nan engmah i ti lo mai thei. Exercise tih te, i ei leh in thunun te, leh engkim tih te hi i chau tawh em? Chutiang a nih chuan, a châng chuan doctor-te chuan taksa rihna tihtlem surgery chungchâng an sawi tih i hre tawh ngei ang. Hengte hi taksa rihna tihtlem surgery (`Bariatric surgery`) kan ti a. Vawiin hian chutiang surgery hlawhtling tak, mahse a buaithlak deuh bawk pakhat chungchang kan sawi dawn a ni. Hei hi Duodenal Switch an ti a. Ngaihtuah buai suh, engkim hi awlsam takin kan sawi dawn a ni.
A awlsam zawngin, he Duodenal Switch hi eng nge ni?
Duodenal Switch hi surgical procedure a ni a, thau lutuk enkawlna atana tih a ni. Thil pawimawh pahnih a huam a ni. Pakhat chu i pum chhunga hmun pawimawh tak tak lak chhuah a, a te zawka siam hi a ni. A pahnihna chu i taksa peng, i ei tur hiptu small intestine tih tawi hi a ni.
Hetiang hian han ngaihtuah teh. Chaw ei tur shortcut lak ang mai a ni. Tichuan, chaw chu chutiang khawpa hla a kal loh avangin i taksain calorie a lakluh zat chu a tlahniam ta a ni. Hei hian hlawhtling takin taksa rihna tihtlem theihna a siam a ni.
He surgery hi tih dan tlangpui pahnih a awm a, chungte chu:
1. Hmanlai thil tih dan: `Biliopancreatic Diversion with Duodenal Switch (BPD/DS)`
2. Thil tih dan siam danglam: `Single Anastomosis Duodeno-ileal bypass hmanga Sleeve Gastrectomy (SADI-S)`
Heng hming pahnih hi a buaithlak deuhin a lang thei a, mahse lungngai suh. I doctor chuan i tana tha ber tur a thlang ang a, uluk takin a hrilhfiah ang che.
Engtin nge he surgery hian i taksa rihna tihtlem nan a puih che? Ngun zawkin han thlir ila.
He surgery hi step lian pahnih a awm a. Step pahnih hi surgery khatah tih a ni.
A hmasa ber atan: Sleeve Gastrectomy tih a ni
Hetah hian surgeon chuan i pum 80% vel a la chhuak thin. A bak te chu tube-ah an siam a, banana ang maiin an siam a ni. Hei hi `(Sleeve Gastrectomy)` kan ti a. Hemi hnu hian vawi khatah chaw tam tak i ei thei tawh dawn lo. Tlemte i ei pawhin i chawl ang. Chumi avang chuan i ei tur zat chu automatic-in a control thei a ni.
Step hnihna: Intestinal Bypass tih a ni
A dawt leh tur chu i small intestine sei zawng tih tawi a ni. Kan intestine te tak te hi kan eitur chhunga nutrients tam zawk hi kan taksaah a insiam lut thin a ni. Hetiang tih danah hian surgeon chuan small intestine part hmasa ber chu bypass in a tawp ber chu small stomach siam thar nen direct in a thlunzawm a ni.
A awlsam zawngin, chaw ei hian pum chhunga a thlen chuan, a chhungril (small intestine) hmun zau tak chu a paltlang a, hnute (anus)-ah a kal nghal a ni. Hei hian taksain ei tur chhunga calorie leh nutrients a lakluh hun leh hmun a neih chu nasa takin a ti tlem a ni.
Heng hmanraw pahnih inzawmkhawm hian taksa rihna a tihtlem phah a ni. Chu chu:
- I ei zat a tlahniam.
- I ei atanga taksain calorie a lakluh zat a tlahniam a.
Tin, he surgery hian kan taksaa riltam leh chawhmeh control tu hormonal system a nghawng bawk. Chumi avang chuan riltam a reh a, kan chawh thuai thuai thin.
He surgery hi tute tan nge a inhmeh ber?
Hei hi mi zawng zawng tan surgery a ni lo. Doctor-te chuan he surgery hi thau lutuk vanga hriselna atana hlauhawm tak takte tan chauh an rawt a ni. Hemi atan hian tute nge generally eligible tih hi han thlir ila.
| Eligible theihna tur | Hrilhfiahna |
|---|---|
| Thau lutuk (Class III Obesity) 1.1. | I body mass index (BMI) 40 aia sang a nih chuan. (BMI hi i san zawng nena inmil tura i taksa rihna hrisel takah i awm leh awm loh tehna a ni.) |
| Thau lutuk leh natna dang (Class II Obesity with Comorbidities) . | I BMI 35 aia sang a nih chuan, leh thau lutuk avanga hriselna lama harsatna lian tak i neih chuan. |
Thau lutuk hian eng hriselna lama harsatna nge a thlen theih?
- Type 2 Diabetes a ni
- Thisen sang lutuk
- Thisenah cholesterol level sang tak a awm
- Lung natna
- Mut theih lohna (sleep apnea) a awm
- Fatty liver natna (Metabolic dysfunction nena inzawm steatotic liver natna) .
Hetiang damdawi lam natna chi hrang hrang i neih chuan Duodenal Switch surgery hian i taksa rihna a tihtlem thei a, chutiang damdawi lam natna chu i thunun thei bawk.
Operation hmain eng nge i tih tur?
Doctor-in he surgery atan hian i tling tih a rel chuan surgery chu a ti nghal lovang. Chumi hma chuan uluk taka enfiah che a, chutiang atana inbuatsaih theihna tur kalphung a awm a ni.
- Medical test: Thisen test leh ECG te hi i taksa hriselna chu operation tuar thei tur level-ah a awm em tih enfiah thin a ni.
- Thil \ha lo tihbo dan: Zu i in emaw, zu i in emaw chuan bansan vek tur leh a tul chuan enkawl dan tur thurawn pek i ni ang.
- Psychological counseling pek dan tur: 1.1.Hei hi nun tidanglamna lian tak a ni. Surgery hnuah i nunah thil tam tak a danglam ang. Chu inthlâk danglamna tûra rilru lama inbuatsaihna tûra ṭanpui tûrin counseling pêk a ni.
- Awareness: Surgery chungchang leh a hnua nun dan tur kimchang taka hriat theihna turin workshop neih thin a ni.
- Special diet: Operation neih hma kar engemaw zat hnuah special diet zawm turin an ti ang che. Hei hian protein tamna leh thau leh carbohydrate tlemna ei tur a huam a ni.
Surgery hi eng nge a thatna leh a that lohna?
Surgery dang ang bawkin he surgery hian a thatna, a chhiatna leh a hlauhawmna a nei a, chu chu chiang taka hriatthiam a pawimawh hle.
| A thatna te | A that lohna & A hlauhawmna |
|---|---|
| Weight loss surgery dang aiin a rihna a tihniam tam ber thei . | Nutritional deficiency hi a sang hle a, chu chuan dam chhung atan vitamin leh nutritional supplement a mamawh a ni. |
| Type 2 Diabetes vei tan result hlawhtling tak a pe a ni. | Bowel movement fo emaw, diarrhea emaw a awm thei. |
| Surgery dang aiin tlem chuan i ei tam thei. | Surgery dang ang bawkin, natna hrik kai, thisen chhuah tam lutuk, anesthesia avanga chhanna, leh thisen zam te ang chi hlauhawmna a awm bawk. |
| `dumping syndrome` (ei ei zawh veleh natna lo awm nghal) vei theihna chance a tlem zawk. | Hernia siam leh small bowel obstruction ang chi complication a awm thei. |
Operation hnuah eng nge i beisei theih ang?
Operation hnuah ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai dawn a ni. A dam kim theih nan kar hnih atanga kar li vel a ngai thei. Hemi chhung hian i taksa hian inthlak danglamna lian tak tak a paltlang ang.
A tir lamah chuan hun eng emaw chen atan harsatna i tawk thei a, chungte chu:
- Chau leh chau lutuk anga inhria
- Luhai
- Mood a inthlak danglam thin
- Sam tlakchham (hei hi hun eng emaw chen atan a ni) .
- Taksa natna
- A tlangpui aia lum zawka hriat
Lungngai suh. Chungte chu hun eng emaw chen atan a ni tlangpui. I taksain he inthlak danglamna thar a insiamrem hian heng hrehawmnate hi a bo zauh zauh ang.
A pawimawh ber chu doctor nena inbiak reng hi a ni. Kum hnih hmasa berah chuan checkup neih reng a ngai ang a, chutah chuan i dam chhung zawngin i hriselna leh ei leh in level chu a hun hunah enfiah tir i ngai ang.
Hun rei tak chhunga harsatna awm thei te pawh i hrechiang ang u.
He surgery hi hlawhtling hle mahse, hun rei tak chhunga fimkhur tur thil engemaw zat a awm.
Ei leh in lama harsatna (malnutrition) a awm
Hei hi risk lian ber a ni . I small intestine hian nutrients a lakluh theih loh avangin vitamin leh mineral tlakchhamna i nei tam zawk. Chuvangin i dam chhung zawngin doctor-in a tih angin vitamin leh mineral supplement i ei a ngai dawn a ni. Tin, i thisen chu a hun taka test i neih a ngai bawk ang a, chu chuan i nutritional level a enfiah ang.
Kawthalo
Chaw ei hi a hmin tha lo a, chuvang chuan chaw ei fo emaw, riltam emaw ang chi dinhmun a awm thei. Mahse, i doctor-in ei leh in tur a pek ang chiah kha i zawm chuan hei hi a tam zawkah chuan control theih a ni.
Gallstones a awm
I taksa rihna i tihtlem thuai chuan i liver hian cholesterol a siam tam zawk a, chu chu i gallbladder-ah a pungkhawm thei a, gallstone a siam thei bawk.
Bile Reflux a ni
A chang chuan pum chhunga valve hnathawh dan inthlak danglam avang hian bile chu pum chhungah a luang lut thei bawk.
Heng zawng zawng hi i doctor chuan uluk takin a lo enkawl ang che. Chuvangin a pawimawh ber chu hlauthawng lo tur leh harsatna i neih chuan doctor hnenah hrilh nghal tur a ni.
Take-Home Thuchah a ni
- Duodenal Switch hi thau lutuk tan surgery hlawhtling tak leh serious tak a ni. Hei hi thutlukna awlsam taka lak a ni lo.
- He surgery hian pum a ti te mai bakah chaw ei kawng a ti tawi bawk. Chuvang chuan taksa rihna a tlahniam rang hle.
- He surgery avanga hlauhawm ber chu ei leh in lama harsatna a ni. Chuvangin dam chhung atan vitamin leh mineral supplement ei ngei ngei tur a ni.
- Doctor nena inzawmna neih reng a pawimawh hle a, operation hnuah pawh i dam chhung zawngin checkup neih reng a pawimawh hle.
- He surgery hi hmanrua mai a ni. Surgery hlawhtlinna chu i inpeknaah a innghat a ni. Ei leh in hrisel leh nunphung tha tak neih hi a pawimawh hle.
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