I taksa rihna tihtlem nan thil chi hrang hrang tih tum hi i chau tawh em? Nitin i ei leh in leh exercise i tih thunun tumin nasa takin i bei a, mahse i beisei ang result chu i hmu lo mai thei. Hei hi i harsatna chauh a ni lo, thau lutuk avanga harsatna tawk tam tak chuan hetiang hi an tawng tawh a ni. Chuvangin, hei hi chinfelna atan vawiin hian operation kal lovin taksa rihna tihtlem dan thar, him tak kan sawi dawn a ni.
Endoscopic Sleeve Gastroplasty (ESG) tih hi eng nge ni?
A hming hi a buaithlak deuhin a lang thei a, mahse a takah chuan a awlsam khawp mai. A awlsam zawngin sawi ila, Endoscopic Sleeve Gastroplasty (ESG) hi i pum (ril) volume tihhniamna tur a ni a, engmah incision awm lovin a ti tlem a ni. Bariatric surgery ai chuan a tha hle.
I pum chu puan bawm lian tak angin ngaihtuah rawh. Hetiang tih danah hian bag chu pawn lam atanga tan ai chuan a chhung atangin i sew a, hawnna te tak te i siam thin. Gastroscopy neih lai ang bawkin doctor chuan i hmui hmanga camera te tak te dahin i pum chhungah tube te tak te (endoscope) a dah lut a. Tichuan, tube-a bun bik hmanrua hmangin pum chhung bangte chu an inzawm khawm a, an inzawm khawm a ni. Mi thenkhat chuan hei hi "Accordion Procedure" an ti a, a chhan chu hetiang hian pum chhung atang hian a inzawm khawm a ni.
Hetianga tih zawh hian i pum lian tak chu kawrfual te tak te ang mai a ni a, banana ang mai a ni. Hei hian a hmaa a lian zawng aiin 30% velin a tlahniam tihna a ni.
Hei hian thatna lian tak pahnih a nei a, chungte chu:
1. I chaw ei theih zat hi a tlem hle a, a chhan chu i pum a te vang a ni. Tlemte ei pawhin i la chawl tih i la hria.
2. Pum hi tube te tak te ang a nih avangin ei leh in a kal hun chhung chu a pung zel a. Chuvangin rei tak riltam i nei lo.
He enkawlna hi tute tan nge a inhmeh?
ESG enkawl hi puitling leh a chang chuan naupang thau lutuk tan a tha tlangpui. Puitling i nih chuan i body mass index (BMI) 30 aia tam a nih chuan hei hi ngaihtuah i duh mai thei a, BMI sang zawk nei tan chuan bariatric surgery hi tih a tha tlangpui.
Diet leh exercise hmanga i taksa rihna tihtlem i tum tawh a, i hlawhchham a nih chuan hetiang damdawi lam kalphung hi ngaihtuah a hun tawh hle. Surgery lian tham ti thei lo, emaw, zai hlau emaw, tih duh lo emaw tan chuan ESG hi an pahnih inkara duhthlan tur tha ber a ni.
A pawimawh ber chu hei hi i tan a tha em tih i rel hmain specialist, chu chu gastroenterologist i biak ngei ngei tur a ni.
Eng hriselna dinhmun dang nge (ESG) hmanga control theih?
Obesity hi taksa rihna tihpun mai a ni lo. Hun kal zelah taksa tichhe thei dinhmun khirh tak a ni. Tin, natna hlauhawm dang tam tak a thlen theihna a tipung bawk.
Entir nan:
- Type 2 Diabetes a ni
- Thisen sang lutuk
- Cholesterol level a sang chho zel
- Lung leh thisen zam natna
- Fatty liver natna a ni
- Hriselna leh mutthilh theih lohna
(ESG) method hmanga hlawhtling taka taksa rihna tihtlem chuan heng natna vei theihna a ti tlem thei a ni. Chutiang natna i neih tawh chuan, i taksa rihna tihtlem nân, a lan chhuah dân chu thunun theih a ni a, chutiang damdawi pawh chu tihtawp a ni mai thei .
Enkawl hma leh enkawl lai hian eng nge thleng?
Hetiang kalphung hi step by step in i sawi dawn nia.
Procedure hmain
Hemi atan hian in fit tha em tih chu nang leh i doctor in in rel dun ang. Chutiang ti tur chuan test eng emaw zat i neih a ngai dawn a ni.
- Health check: I taksa chu general anesthesia atan a inpeih tawh em tih hriat nan thisen test leh ECG tih theih a ni.
- Damdawi lam inrawn: Doctor chuan i hriselna chanchin, i ei leh in, i nunphung leh i taksa rihna tihtlem tumte chungchang thui takin a sawipui ang che.
- Zirna: Hetiang hmanraw thatna te, a that lohna te leh a hlauhawmna te hi i hre kim vek ang. A pawimawh ber chu, i nunphung hlawhtling tur chuan hun rei tak chhunga i tihdanglam a ngai dawn tih hriatthiamna tha tak pek i ni ang.
Procedure neih chhung hian
Hetianga tih lai hian engmah i hre lovang, a chhan chu full anesthesia pek i ni a, i muhil tha hle bawk.
1. Specialist doctor (gastroenterologist emaw endoscopic surgeon) chuan i hmuiah endoscope an tih camera hmangin tube a thun a, i chaw kawng kaltlangin i pum chhungah a pass lut a.
2. Tichuan, pum chhungah gas inject a, tlem a inflate turin. Hei hian a chhung lam chu chiang takin a hmu thei a ni.
3. Monitor-a camera atanga thlalak a en lai hian doctor chuan endoscope-a dah bik device hmangin pum chhunga bangte chu a rawn hruai khawm a, stitch 8 atanga 10 vel a dah a ni.
4. Heng stitches te hi an tihkhauh chuan pum lian tak chu tube te tak te ang maiin a lo piang ta a ni.
Hetiang zawng zawng hi minute 60 leh 90 inkar a ni.Chauh. Anesthesia atanga i harh hnuah harsatna lian tham a awm loh chuan chu ni vek chuan i haw thei bawk. Natna emaw, rilru hahna emaw i neih chuan enkawl hnuah damdawi in atangin chhuahtir i ni ang.
Enkawl hnuah engtin nge i awm?
Engtin nge a natna chu?
Mi tam zawk chuan an pum a dam laiin natna tlemte an nei thei. Mi thenkhat chuan ni engemaw zat chhung chu natna nasa tak leh rilru hahna engemaw zat an nei thei. Mahse, heng harsatnate hi natna tidamtu damdawi hmangin a thunun theih tlangpui. A tul chuan i doctor chuan damdawi a rawn pe ang che.
Diet bik a awm em?
Ni e, a dik tak zet. I enkawl hnu thla hmasa ber emaw vel chhung chu ei leh in khauh tak i zawm a ngai dawn a ni. Hei hi i pum chu a stitches lakchhuah hnua a dam theih nan hun pek nan a ni. Hemi chungchangah hian i doctor chuan thupek kimchang a pe ang che.
Diet hi hetiang hian a kal tlangpui a:
1. Kar khatna: Liquids chauh (thil, soup, thei tui ang chi).
2. Kar hnihna: Chaw thianghlim (pureed foods).
3. Kar thumna leh kar lina: Tlem a solid, soft foods.
4. Thla khat hnuah: Zawi zawiin solid foods pangngai ei thiam.
ESG enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk. Hengte hi chiang taka thliar hran leh hriatthiam a pawimawh.
| Hlawkpuina | Risk leh complication awm thei te |
|---|---|
| I taksa rihna tihtlem nasat: A tlangpuiin kum khatnaah i taksa rihna zawng zawng atanga 15%-20% vel i hloh thei. | Hun engemaw chen a nuam lo: Ni engemaw zat chhung chu pum na, luak chhuak, leh lungphu a awm thei. |
| Natna dang control: Thau lutuk kaihhnawih natna, zunthlum leh thisen sang te tihchangtlun. | Chance of weight gain again: Nunphung leh ei leh in dan dik taka control loh chuan hun kal zelah pum hi a inzawm leh thei a, a lian leh thei a, chu chuan taksa rihna a tipung thei a ni. |
| Dam thuai: Surgery a nih loh avangin dam hun chhung hi a rei lo hle. Kar khat chhungin hna pangngaiah i kir leh thei ang. | Risk a tlem hle: Endoscope atanga pum emaw chaw kawng emaw hliam tenau emaw, anesthesia avanga thil tha lo thleng emaw a tlem hle. |
| Hriselna nei lo: Taksa khawiah mah incision siam a nih loh avangin pawn lam hliam a awm lo. |
Surgery pangngai (Gastric Sleeve) leh ESG hi eng nge an danglamna?
Thil tih dan pahnih tum ber chu a inang vek a, chu chu pum tihtlem leh ei tur i ei theih zat tihtlem a ni. Mahse an tih dan erawh a danglam vek.
- (Gastric Sleeve) Surgery: Hei hi surgery tak tak a ni . Pum chhungah hian incision engemawzat siam a ni a, pum 80% vel chu lakchhuah a ni . Hei hi inthlak danglamna nghet tak a ni. A let leh thei lo.
- (ESG) Enkawlna: Hei hi operation a ni lo . Incision a awm lo. Pum chhung hmun engmah chu cut chhuakin lakchhuah a ni lo . A sewn up leh fold over mai a ni. Chuvangin hei hi Gastric Sleeve Surgery aiin invasive lo zawk a ni.
A danglamna pawimawh dang chu Gastric Sleeve surgery-ah hian kan pum chhunga kan tan leh lakchhuahna hmun hi kan riltam hormone siam chhuah tamna hmun a ni. Chu part chu paih chhuah chuan riltam thunun thei bawk. Pum hi cut and removed in (ESG) a nih loh avangin hormone te hi chutiang chuan a nghawng lo. Chuvangin, Gastric Sleeve surgery hi (ESG) aiin a hlawk zawk deuh mai thei. Mahse, zai a nih chuan a hlauhawmna a sang zawk bawk.
Obesity hi thil buaithlak tak a ni. Taksa a chemical inthlak danglamna avang hian mi tam tak tan chuan ei leh in dan pangngaia thunun a, taksa rihna tihtlem a harsa hle. Weight loss surgery hian rah tha tak nei mahse, mi zawng zawng hi chutiang tur chuan an tling vek lo. Tin, mi tam tak chuan operation lian tham neih an hlau hle bawk. Chuvangin (ESG) ang chi method te hi an tan chuan solution tha tak a ni.
Take-Home Thuchah a ni
- Endoscopic Sleeve Gastroplasty (ESG) hi tunlai, surgery ni lo, pum chhunga volume tihtlem leh taksa rihna tihtlem nan a pui a ni.
- Hetiang hmanrua hi taksa rihna tihtlem dan dang hmang tawh a, hlawhchham tawh, mahse operation lian tham neih duh lo emaw, tih tling lo emaw tan chuan a tha ber.
- Hei hian taksa rihna a tihniam bakah hian natna chi hrang hrang, zunthlum leh thisen sang tihreh kawngah nasa takin a pui bawk.
- Enkawlna atanga result hlawhtling tak neih theih nan chuan ei leh in leh nunphung lama hun rei tak chhunga inthlak danglamna siam a pawimawh hle. Hei hi magic a ni lo va, i thawhrimna pawh a pawimawh hle.
- Hetiang hmanrua hi i tân a ṭha em tih hriat nân, doctor thiam tak hnênah thurâwn la ngei ang che .
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