Thau lutuk tan ‘Duodenal Switch’ surgery (Duodenal Switch) chungchanga hriat tur pawimawh te

I taksa rihna thunun theih loh, chu chu thau lutuk tihna a ni em? Zunthlum leh thisen sang ang chi natna te i tawk em? Tichuan, taksa rihna tihtlem surgery chungchang hi i hre tawh ngei ang. Vawiin hian chutiang pakhat, surgery buaithlak deuh mahse hlawhtling tak, ‘Duodenal Switch’ surgery chungchang kan sawi dawn a ni. Hei hi mi zawng zawng tan surgery a ni lova, mahse hei hi hriat chian a pawimawh hle.

A awlsam zawngin Duodenal Switch surgery hi eng nge ni?

Duodenal Switch hi bariatric surgery chi khat a ni a, thil pawimawh pahnih a awm a, pakhat chu i pum 80% vel lakchhuah a, sleeve te tak tea siam a ni A pahnihna chu i small intestine sei zawng tihtlem leh tih tawi hi a ni .

Heng inthlak danglamna pahnih hian ei tur i ei theih zat a tikhawtlai a, i taksain calorie a lakluh zat pawh nasa takin a tihtlem bawk. Chumi rah chhuah chu taksa rihna nasa takin a tlahniam a ni. Hei hi taksa rihna tihtlem surgery dang nena khaikhin chuan tih dan pangngai lo zawk mah se, a tlangpuiin taksa rihna tihtlem tamna ber a ni.

Chumi atana hmanraw lian pahnih a awm a, chungte chu:

• Hmanlai thil tih dan: Duodenal Switch hmanga Biliopancreatic Diversion (BPD/DS) tih hi a ni.
• Tunlai hmanraw: Single Anastomosis Duodeno-Ileal bypass hmanga Sleeve Gastrectomy (SADI-S) tih a ni.

Engtin nge he surgery hian i taksa rihna tihtlem nan a puih che?

Step hnih surgery angin han ngaihtuah teh.

Step 1: Doctor chuan i pum chhung hmun zau tak (80% vel) a la chhuak thin. A la awm te chu banana ang maia siam a ni a, tube ang mai a ni. Hei hi `(Sleeve Gastrectomy)` kan ti a. A pum a te avangin vawi khatah ei tam i ei thei lo. Tlemte i ei pawhin i chawl ang.

Step 2: A dawtah chuan intestinal bypass i nei ang. I small intestine a hmasa ber chu bypass a ni a, a tawp ber chu i pum siam thar nen direct in a inzawm a ni. Kawngpuiah lirthei tlan loh nan shortcut ang mai a ni. Chumi awmzia chu i ei tur tam zawk hi i taksaah ei lohvin a kal tlang tihna a ni. Hei hian i taksain ei tur atanga a lakluh calorie leh nutrients chu nasa takin a tlahniam tihna a ni .

He surgery zawh hian i ei tlem a, i taksain i ei tur a hip tlem bawk. Tin, he surgery hian i taksa hormone activity a nghawng bawk. Riltam thununtu leh chaw ei tirtu hormone te pawh a inthlak a, chu chuan i taksa rihna tihtlem nan a pui thei che a ni.

He surgery hi tute tan nge tih a rawt?

Hei hi mi zawng zawng tan surgery a ni lo. A bik takin thau lutuk (Class III obesity) tan a tha ber. I doctor chuan i hriselna dinhmun uluk takin a enfiah ang a, he surgery hi i tan a tha em tih a rel ang.

He surgery hi a hnuaia criteria zawmtute tan ngaihtuah a ni tlangpui:

Surgery neih hmain eng nge thleng?

Doctor-in he surgery atan hian i tling tih a hriat chuan test hrang hrang nei turin refer i ni ang.

• I hriselna a tha em tih enfiah nan routine medical examination neih thin a ni.
• Zuk leh hmuam, zu, ruihhlo i hman chuan, i hman tawh loh nan i mamawh tanpuina leh enkawlna kan pe a ni.
• He surgery hi i nunah inthlak danglamna lian tak a ni. Chumi atan chuan rilru lamah i inpeih em tih enfiah turin psychological counseling atan refer i ni ang.
• Surgery chungchang leh a hnua i nunphung thlak danglam dan tur inzirtir turin seminar- ah i tel a ngai dawn a ni.

Heng zawng zawng hi a zawh chuan operation hma kar tlemteah special diet plan pek i ni ang. Protein tamna, carbohydrates tlem leh thau tlem ei tur a huam a ni.

A thatna leh that lohna eng nge ni?

Engkim ang bawkin he surgery hian a thatna leh a that lohna a nei vek a ni.

Surgery hnuah eng nge thleng?

Surgery zawhah 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 dawn a ni. Hemi chhung hian i taksa hian inthlak danglamna lian tak tak a paltlang ang.

Dam leh laia hun eng emaw chen atana chhinchhiahna lo awm thei te:

• Chau lutuk nia inhria
• Luhai
• Sam tlakchham (hei hi hun eng emaw chen atan a ni) .
• Taksa natna
• Taksa chhunga vawt tih hriat
• Mood a inthlak danglam thin

Chungte chu hun kal zelah a tlahniam tlangpui.

Hun rei tak chhunga harsatna awm thei leh enkawl dan

Hei hi surgery lian tak a nih avangin hun rei tak chhunga ngaihtuah tur engemaw zat a awm.

• Malnutrition: Hei hi harsatna lian ber a ni. I small intestine hian nutrients a hip tha tawk lo a, chuvang chuan i dam chhung zawng vitamin leh mineral supplement i ei a ngai dawn a ni . I doctor chuan i thisen chu a hun hunah a enfiah ang a, i nutritional level a tling em tih a enfiah ang.
• Diarrhea: Chaw ei that loh avangin ek a lo chhuak thei a, a awm fo thei bawk. Hei hi doctor-in diet plan a pek kha khauh taka zawm chuan control theih a ni.
• Gallstones: Vawi khata taksa rihna tam tak tihtlem hian gallstones vei theihna a tipung a ni. Hei hi ven nan damdawi pek i ni thei bawk.
• Bile Reflux: A then phei chuan bile leh thisen chu hnunglam hawiin pum chhungah a luang lut thei a.

Operation hnuah engtin nge i ei leh in dan a inthlak ang?

Surgery hnuah pawh normal takin i ei nghal thei lo. I digestive system chu a dam theih nan leh routine thar nena insiamrem turin hun i pek a ngai a ni. I ei leh in chu a danglam zauh zauh ang.

1. Clear Liquid Diet: Soup tui, tea thlum loh ang chi thil.

2. Full Liquid Diet: Bawnghnute, yogurt, tui chawhmeh chi hrang hrang.

3. Puréed Foods: Chaw ei tur blended leh finely ground tawh.

4. Soft Diet: Thlai hmin tha leh sangha nêm ang chi thil.

Heng zawng zawng hi doctor leh nutritionist te thurawn angin tih tur a ni. Ei leh in pangngaia kan kir leh theih nan thla khat emaw a aia rei emaw a ngai thei.