Nang pawh hi thau lutuk, a nih loh leh doctor-te sawi angin thau lutuk tuar i ni em? Diet leh exercise i tih hi i chau tawh em? I taksa rihna tihtlem surgery lian tham tih i hlau a nih chuan vawiin hian i tana tha tur solution kan sawi dawn a, mahse chutih rual chuan mi tam takin an hre lo. Hei hi i nun tidanglam thei thil a ni thei.
A awlsam zawngin, Endoscopic Sleeve Gastroplasty (ESG) hi eng nge ni?
A hming hi a buaithlak hlein a lang thei a, mahse he procedure-a thil thleng hi a awlsam hle. ESG hi tunlai damdawi a ni a, i pum (stomach) lian tham tak a ti tlem a, i taksa khawiah mah a tikehsawm lo. Hei hi taksa rihna tihtlem (bariatric surgery) ai chuan a tha hle.
Ngaihtuah teh... doctor chuan i rilruah tube te tak te a rawn dah lut a. He tube hian a tawp lamah camera te tak te tak mai a nei a. Hei hi endoscope kan ti a. He camera hmang hian hmanraw bik hmangin i pum bangte chu an inzawm khawm a ni. Mi thenkhat chuan hei hi "accordion procedure" an ti a, a chhan chu a pum hi accordion ang maia a inzawm tlat vang a ni.
Hemi hnu hian i pum chu a hmaa a lian zawng hmun thuma ṭhena hmun khat (30%) velin a tlahniam ta a ni. Tichuan thil pahnih a lo thleng ta a:
1. Vawi khata ei tur i ei theih zat hi a tlem hle.
2. Pum a khat chuan a ruak hun a duh rei zawk.
Hei hian chaw tlem i ei hnuah pawh i chawl a, rei tak i ril a tam lo.
He enkawlna hi tute tan nge a inhmeh ber?
Hetiang enkawlna hi thau lutuk tan a tha tlangpui. I body mass index (BMI) chu 30 aia tam a nih chuan, i taksa rihna tihtlem dan dang i lo enchhin tawh a, hlawhtling lovin, hei hi i ngaihtuah mai thei.
Hei hi solution tha tak a ni a, a bik takin major weight loss surgery (bariatric surgery) nei thei lo, emaw, surgery risk lak duh lo tan chuan a tha hle. Surgery angin a lian lo hle a, mahse ei leh in leh exercise aiin result hlawhtling zawk a pe a ni.
Obesity hi taksa rihna tihpun mai a ni lo. Tin, natna khirh tak tak tam tak, zunthlum (Type 2 Diabetes), thisen sang, thinlung natna, thau thin natna te a vei theihna a tipung bawk. ESG ang damdawi hmanga taksa rihna tihtlem hian heng natnate hi a thunun thei a, a chang chuan a tidam vek thei bawk.
Enkawl hma leh enkawl lai hian eng nge thleng?
Hemi atan hian in tling em tih chu nang leh i doctor in in rel dun ang.
Procedure hmain
Pakhatnaah chuan medical examination kimchang tak neih a ni ang. General anesthesia atana i fit leh fit loh enfiah nan thisen test eng emaw zat neih a ni ang. Doctor chuan i hriselna chanchin, ei leh in dan, nunphung leh i taksa rihna tihtlem tumte a sawipui ang che. He enkawlna thatna leh that lohna te, hun rei tak chhunga result neih theihna tura nunphung tihdanglam ngai te pawh a sawifiah bawk ang.
Procedure neih chhung hian
Engmah i hre lovang, a chhan chu hei hi i muhil vek (anesthetized) laiin tih a ni.
- Hei hi gastroenterologist, digestive system lama tui doctor-in a ti a ni.
- I hmuiah endoscope chu a dah lut ang a, i pum chhungah a pass thla ang.
- Endoscope-a camera atanga thlalak te chu monitor-ah en a ni a, special device hmangin pum chhungah stitch 8-10 vel dah a ni a, a lian zawng a tihtlem phah a ni.
| Thudik | Chipchiar |
|---|---|
| Hun hman dan | Darkar 1 leh 1.5 inkar (minute 60-90). |
| Damdawi ina awm a nih avangin | A tam zawkah chuan ni khatah i haw thei. Hrisel lohna (na, nausea) a awm chauhvin damdawi inah enkawl i ni ang. |
| Na | Pum a dam deuh deuh chuan natna tlem a awm thei bawk. Hei hi ni engemaw zat hnuah a bo tawh ang. |
| Hnathawh lama kir leh | Mi tam zawk chu kar khat vel chhungin an hnathawh dan pangngaiah an kir leh thei a ni. |
ESG leh regular weight loss surgery (Gastric Sleeve) hi eng nge a danglamna?
Heng hmanraw pahnih hian a tum ber chu pum chu compress a, "sleeve," a nih loh leh tube ang maia siam a ni. Mahse a tih danah hian danglamna lian tak a awm. He table hi i en hian awlsam takin i hrethiam ang.
| Hmelhmang | ESG (endoscopic hmanga tih dan) . | Gastric Sleeve (surgery) tih a ni. |
|---|---|---|
| Tih dan tur | Ka chhunga endoscope dah luh hmanga tih a ni. | Pum chhunga incision te te tlemte siamin tih a ni. |
| Pumpuiah eng nge a tih? | A pum chhung hmun thenkhat chu stitched closed a ni. Part engmah lakchhuah a ni lo. | Pum 80% vel chu tan a, lakchhuah a ni. |
| A awm reng theihna tur | Semi-permanent a ni. A tul chuan stitches te chu lakchhuah theih a ni a, pum chu a pangngai angin a awm leh thei bawk. | Nghet. A removed part chu reinstall theih a ni lo. |
| Recovery hun chhung | Rang. Ni reilote hnuah a pangngaiin a kir leh ang. | Hun rei tak a ngai a ni. Kar engemaw zat a la ngai thei. |
| Riltamna a nghawng dan | riltam thunun thei hormone-ah nghawng a nei vak lo. | Hunger hormone siamtu part chu paih chhuah a nih chuan riltamna nasa takin a tlahniam a ni. |
Results leh zawm tur te
ESG ti thin tam tak chuan kum khatna chhungin an taksa rih zawng zawng atanga 15% leh 20% inkar an hloh thin. Hei hi thau lutuk kaihhnawih natna control nan a tawk aia tam a ni.
Mahse, hei hi magic a ni lo tih hre reng ang che. Hun rei tak chhunga hlawhtling tur chuan ei leh in hrisel leh nunphung active tak i hman a ngai ngei ang. Enkawl hnu thla hmasa berah hian doctor-in ei leh in tur a pek (liquid -> pureed food -> regular food) dik taka zawm a pawimawh hle.
Thau lutuk hi awlsam taka thunun theih thil a ni lo. Taksa chemistry a inthlak danglam avangin a chang chuan eng ang diet leh exercise i tum pawhin taksa rihna tihtlem a harsa thin. Chutiang hunah chuan ESG ang chi, risk tlem, surgery tel lo enkawlna chu nun hrisel tak neih theihna tur kawng kawhhmuhtu ṭhian ṭha ber ang mai a ni thei.
Take-Home Thuchah a ni
- ESG hi tunlai enkawlna hmanrua a ni a, endoscope hmangin pum a ti tlem a, engmah incision emaw surgery emaw awm lovin a rihna a tihziaawm a ni.
- Hei hi thau lutuk (BMI 30+) mahse operation lian tham tih hlau emaw, tih duh loh emaw tan chuan a tha hle.
- Enkawlna hnua dam hun chhung hi a rei lo hle a, side effects a awm theihna pawh a tlem hle.
- A vaiin taksa rihna 15%-20% a tlahniam beisei theih a ni.
- He enkawlna ringawt hi a tawk lo. Hun rei tak chhunga result nei tur chuan ei leh in leh nunphung hrisel zawm a pawimawh hle .
- He enkawlna hi i doctor nen sawiho ngei ngei ang che, i tan a tha em tih en rawh.
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