Nang pawh hi thau lutuk tuar nasa tak i ni em? I taksa rihna tihtlem nan engmah i ti lo mai thei. Diet plan hrang hrang i lo enchhin tawh a, chaw i nghei tawh a, exercise i ti tawh bawk a, i chau tawh hle. Mahse, duhthusam result i la nei lo em ni? Tichuan, taksa rihna tihtlem surgery chungchang hi i hre tawh ngei ang, a bik takin "gastric bypass" surgery chungchang hi i hre tawh ngei ang. Chuvangin vawiinah hian he thu hi sawi ila, thianpa nen kan inbia ang maiin, engkim a chiang tawh.
A awlsam zawngin gastric bypass surgery tih hi eng nge ni?
Hei hi surgery a ni a, i taksa rihna tihtlem leh i metabolism tihchangtlunna tur a ni. Mi thenkhat chuan ``Roux-en-Y'' an ti bawk. A awlsam zawngin sawi ila, he surgery hian i digestive system-ah inthlak danglamna tlemte a siam a ni. He inthlak danglamna hian ei tur i ei theih zat a tihtlem bakah i taksain ei tur atanga a lakluh calorie a tihtlem bawk.
Ngaihtuah teh, hei hian thil pawimawh pahnih a ti ang:
1. Pum tihtlem: I pum chunglam atang hian egg ang vela lian pouch te tak te siam a ni. I pum lian dang zawng zawng chu a awm reng a ni. Chumi awmzia chu vawi khatah chaw tlemte chauh i ei thei tihna a ni. Tlemte ei hnuah pawh i la chawl tih i la hria.
2. Bypass: I ril te tak te hi he pum siam thar nen hian a inzawm tlat a ni. Chumi awmzia chu i chaw ei hian pum chhung hmun lian tak leh small intestine hmun hmasa ber chu a bypass tihna a ni. He bypass hian taksain ei leh in chhunga nutrients leh calorie awm zawng zawng a hip kim theihna a ti tlem a ni.
Hetiang kalphung avang hian "bypass" surgery an ti a ni.
He surgery hi mi zawng zawngin an ti thei tak tak em? A nih loh leh tu tan nge a inhmeh?
Ni lo, hei hi mi zawng zawng tan surgery a ni lo. Doctor te chuan clinically severely obese tan chauh an rawt thin . Tin, thau lutuk avanga natna dang (Type 2 Diabetes, Hypertension, Obstructive Sleep Apnea, leh GERD te ang chi) control nan a pui thei bawk.
A tlangpuiin, he surgery hi i tlin theih nan a hnuaia condition te hi i neih a ngai a ni:
| Eligible theihna tur | Hrilhfiahna |
|---|---|
| Thau lutuk (Class III Obesity) 1.1. | I body mass index, a nih loh leh BMI chu 40 aia sang a ni tur a ni . |
| Thau lutuk leh natna dang | BMI 35 aia sang a nih chuan thau lutuk avanga damdawi lam harsatna pakhat tal i neih a ngai bawk a, chu chu zunthlum emaw thisen sang emaw a ni. |
| Zunthlum thunun theih loh | Type 2 diabetes thau lutuk avanga control harsa tak i neih a, i BMI 30 aia sang a nih chuan i doctor chuan he surgery hi a rawt thei ang. |
Mahse, hre reng ang che, qualification i neih chuan he surgery hi i ti mai thei lo. I doctor leh medical team te chuan uluk takin an enfiah ang che, rilru leh taksa lamah he thil atan hian i inpeih em tih an en ang.
Thil dang doctor-te’n operation hmaa an en thin
- Nunphung lama i inpekna chu a danglam thin: Hei hi magic a ni lo. Operation i neih hnuah chuan i ei leh in dan chu dam chhung atan i thlak a ngai dawn a ni . Chumi atan chuan i inpeih tawh em tih an en ang.
- Taksa leh rilru inbuatsaihna: Thisen leh thinlung test-in surgery hi i tuar thei em tih hriat a ni ang. I rilru dinhmun pawh enfiah a ni ang.
- Thil dang tih tum: A châng chuan, insurance company ang chi pawlte pawhin operation hmaa doctor enkawlna hnuaia diet leh exercise regimen i zawm leh zawm loh an zawt thei bawk.
Surgery hmang hian engzat nge taksa rihna a tlahniam ang?
Hei hi mi tam tak tan chuan harsatna a ni. Operation hnu kum khat emaw kum hnih emaw chhungin i taksa rihna nasa takin a tlahniam ang. A vaiin i taksa rihna tam lutuk 70% vel i hloh ang. Mi thenkhat chu hun kal zelah an thau deuh thei a, mahse kum 20 vel hnuah pawh an thau tam lutuk atanga a vaiin 50% vel vawng reng thei an awm. Chu chu hlawhtlinna ropui tak a ni tak zet a ni.
Engtin nge surgery hi tih a nih?
Tunah chuan he surgery hi laparoscopy tih technique hmangin an ti fo thin. Hei hi "keyhole surgery" an ti bawk. Chumi awmzia chu pum chhunga incision lian tak siam ai chuan incision tenau tak tak 3-5 hmanga tih a ni a, chuta tang chuan camera leh instrument bik dah a ni. Hei hian thisen a chhuah tlem a, natna a ti tlem a, a dam thuai bawk.
Surgery hi darkar 2 leh darkar 4 inkar a ni thei. Chumi hnuah ni hnih vel damdawi inah i awm a ngai dawn a ni.
Hei hi eng nge a hlauhawmna leh a harsatna awm thei te?
Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Hei hi surgery lian tak a nih avangin anmahni hriat chian a pawimawh hle.
| Risk chi hrang hrang | Hrilhfiahna |
|---|---|
| Hun rei lote chhunga hlauhawmna (surgery nena inzawm) . | |
| Infection awm thei te | Germs lut cuts. |
| Thisen chhuak nasa tak a chhuak | Operation lai emaw, operation hnu emawa thisen chhuah tam lutuk. |
| Anesthesia hmanga thil tih dan | Anesthesia damdawi ei avanga taksain a nghawng tha lo. |
| Hun rei tak chhunga harsatna awm thei | |
| Dumping Syndrome a awm a ni | Chaw ei tur chu small intestine kaltlangin rang taka a kal avangin natna lan chhuah dan, rilru hahna, pum na, pum na, thawk hahna te hi a awm thin. Hei hi a bik takin ei tur chini leh chhangphut tamna ei hian a thleng thei a ni. |
| Ei leh in lama tlakchhamna | Nutrients lakluh tlem chuan vitamin leh mineral tlakchhamna (e.g., iron, calcium, vitamin B12) a thlen thei a, dam chhung zawng vitamin supplement a ngai a ni. |
| Gallstones a awm | I taksa rihna tihtlem vat chuan gallstones a awm theihna a awm. |
| Hernia a ni | Incision site atanga bowel ang chi organ rawn chhuak. |
| Weight a pung leh ta | Doctor thupek i zawm tha lo a, i ei leh in i thunun loh chuan i pum chu a lian zauh zauh thei a, i thau leh thei bawk. |
Surgery hnua nun chu engtin nge a awm?
Hei hi a pawimawh ber a ni. Surgery hi kan zinkawng tan chauh a ni.
Recovery hun chhung
In lamah kar engemaw zat chawlh hahdam a ngai dawn a ni. Thla khat leh a chanve vel chu hna rit tak tak i thawk thei dawn lo. Chaw solid ei tan nan thla 2-3 vel a ngai thei. A tir lamah chuan chau tih te, sam tlakchham te, taksa na te hi thil pangngai a ni .
Diet - Hei hi a danglamna lian ber a ni!
I dam chhung zawnga zawm tur diet plan bik pek i ni ang.
- Liquid foods atanga tan: Kar hmasa ber chu liquid leh soup ang chi thila hman thin a ni. Tichuan zawi zawiin mashed, soft foods ah kal leh rawh.
- Protein hi i ei leh in a pawimawh ber a ni: Protein (sangha, sa, artui, lentils) hi a pawimawh ber tur a ni. Hei hi i taksa ruh chakna atan a pawimawh hle.
- Sugar leh flour tamna ei tur ei loh tur: Sugar, sweets, chhang, leh buhfai ang chi thilte chu i tihtlem a ngai a ni. Hengte hian a chunga kan sawi tak ``Dumping Syndrome'' hi a thlen thei a ni.
- Tui in tam: Ni khatah tui litre 2 vel in tur a ni. Mahse ei laia in hi a tha lo. Chaw ei hma emaw, ei zawh hnu emaw minute 30 vel i in tur a ni.
- Vitamin leh mineral supplement: Hei hi a ngai . I dam chhung zawng nitin doctor-in a pek vitamin i ei a ngai a ni.
He surgery hi i hriselna kawnga hmanraw chak tak mai a ni tih hre reng ang che. Mahse a hlawhtlin theih nan chuan i thawhpui a ngai a ni. I inpekna tel lo chuan a thawk dawn lo.
A tawpah chuan gastric bypass surgery hi thutlukna pawimawh tak a ni. Mahse thau lutuk avanga natna lo awm thei te nen a inzawm chuan nun tidanglam thei, hrisel zawka nun dan a ni thei. I ngaihtuah a nih chuan specialist nen inhmukhawm la, i doctor nen a thatna leh that lohna te sawipui la, thutlukna siam rawh.
Take-Home Thuchah a ni
- Gastric bypass surgery hi thau lutuk enkawlna hlawhtling tak a ni.
- Hei hian chaw i ei theih zat leh i taksain calorie a lakluh zat a tihtlem phah a ni.
- Hei hi mi zawng zawng tan a inhmeh lo. Doctor chuan i BMI leh damdawi lam thil dang a zirin hei hi a rawt ang.
- Surgery hlawhtling tur chuan dam chhung atan i ei leh in leh nunphung i thlak danglam a ngai dawn a ni .
- Surgery dang ang bawkin risk leh complication a awm bawk. Hengte hi i doctor nen uluk takin sawiho rawh.
- Operation hnuah chuan dam chhung atan vitamin leh mineral supplement ei ngei ngei tur a ni.
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