I taksa rihna tihtlem nan Gastric Bypass Surgery chungchang zawng zawng i hre vek ang u.

Thau lutuk hi tunlai kan ram leh khawvel hmun hrang hrangah mi tam takin hriselna lama harsatna lian tak an tawh a ni. A chang chuan exercise leh diet engzat pawh ti ila, taksa rihna tihtlem a harsa hle. Hetiang hunah hian doctor-te chuan mi thenkhat tan chuan an taksa rihna tihtlem nan operation neih an rawt thin. Chuvangin vawiin hian chutiang surgery lian tak pakhat, gastric bypass surgery, mi tam takin an hriat tawh chungchang hi han sawi ila. Eng nge a nih tak tak, engtin nge a tih tih leh a hnua thil thlengte chu i hrethiam mai ang u.

He gastric bypass surgery hi eng nge thleng tak tak?

A awlsam zawngin sawi ila, hei hi step hnih surgery a ni. A taksa rihna tihtlem dan pahnih a inzawm khawm a ni . Chu step pahnih chu eng nge ni tih i han thlir teh ang.

Step 1: Pum chhunga pouch te tak te siam

Hetah hian surgeon chuan i pum chu hmun hnih ah a then a. Pakhat chu a lian hle a, a dang chu a tlem hle bawk. Tichuan, a then te chu an sewn emaw, staple emaw hmangin pouch te tak te an siam thin. He pouch te tak te chhunga ei tur dah theih zat hi a tlem hle a, a dik tak chuan cup khat ang vel a ni. Chuvângin, chutiang taka pum tê tak tê i neih avângin, chaw tlem i ei hnuah pawh i khat . Chuvangin i ei zat chu a tlahniam nghal vek a ni. He method hi ‘restrictive’ method kan ti a. Chu chu ei tur i ei theih zat a tihtlem tihna a ni.

Step hnihna: Bypass rawh

Tunah chuan, chu pouch te tak te siam chu a awm ta a, doctor chuan chu chu pum chhung hmun lian tak leh small intestine (duodenum) hmun hmasa ber atang chuan a then hrang ta a ni. Tichuan, chu pouch te tak te chu small intestine (jejunum) hmun khatah direct-in a inzawm ta a ni. Hetiang surgery hi "Roux-en-Y" an ti a. Chutianga inzawm a nih chuan i ei tur chu chu bawm te tak te atang chuan small intestine hnuai lam thlengin a kal nghal vek a ni. Chu chu, small intestine part hmasa ber a bypass tihna a ni. Chuvang chuan taksain i ei tur calorie leh nutrients te chu a hip tlem zawk hle. Hetiang tih dan hi ‘malabsorptive’ tih a ni. A tlangpuiin heng step pahnih hi surgery khatah tih a ni a, a tih dan zawng zawng hi "Roux-en-Y gastric bypass" tih a ni. A tam zawkah chuan surgeon-te chuan he surgery hi laparoscopically-in an ti thin. Chu chu, surgery chu a pum chhungah incision lian tak siam ai chuan, camera leh instruments te chu khur te tak te engemaw zat atanga dahin tih a ni tihna a ni. Mahse, a then phei chuan a theih loh chuan pum chhunga incision lian tak (laparotomy) hmanga operation tih a ngai mai thei.

Operation hnuah eng nge i beisei theih ang?

Hei hi surgery lian tak a nih avangin thil engemaw hriat chian a pawimawh hle. Operation hnuah ni 2 atanga ni 3 chhung damdawi inah i awm a ngai dawn a ni. I hnathawh pangngai i thawh leh theih nan kar 2 atanga kar 3 vel a ngai thei. Surgery zawng zawng ang bawkin risk leh complication a awm. A hnuaia table-ah hian heng harsatna awm thei te hi han en ila. Mahse, hre reng ang che, chutiang operation vawi 100 chuang nei tawh surgeon thiam tak takte awmna damdawi inah chuan he hlauhawmna hi a tlem hle a ni . He operation hi doctor tawnhriat ngah takin a tih chuan thihna hlauhawmna chu 0.5% aia tlem a ni (chu chu mi 200 zinga pakhat aia tlem tihna a ni). Tin, taksain nutrients a lakluhna a tlahniam a, chu chuan hun rei tak chhung iron leh calcium ang chi thil a tlakchham phah thei a, chu chuan thisen tlakchhamna (anemia) leh ruh natna (osteoporosis) ang chi natna a thlen thei bawk. Mahse, i doctor-in a tih tur nutritional supplement i ei dik a, a hun taka i thisen test i tihsak chuan he hlauhawmna hi nasa takin i tihziaawm thei a ni.

Surgery an tih hian eng nge a rah chhuah?

Operation hnua taksa rihna tihtlem hi a hlawhtling hle fo. A vaiin damlote hian an taksa rihna tam lutuk 60% vel an hloh thin . Entirnan, mi pakhatin a rit zawng chu 70 kg ni mah se, tunah chuan 150 kg a ni ang tih han ngaihtuah teh. A rit lutuk chu kg 80 a nei a ni. He surgery hnuah hian chu rit lutuk 60% vel, chu chu kg 48 vel a ni thei. Chu taksa rihna tihtlem rualin, thau lutuk avanga hriselna lama harsatna tam tak, zunthlum, thisen sang, asthma, leh obstructive sleep apnea te chu tihdam vek theih emaw, a tam zawk chu control theih a ni

Eng chi dang nge taksa rihna tihtlem nan hman theih?

Weight loss surgery i ngaihtuah a nih chuan gastric bypass tih loh chu duhthlan tur dang engemaw zat a awm. Chu pawh chu han thlir ila.

Surgery chi hrang hrang	Tih dan tur leh point pawimawh tak tak
Sleeve Gastrectomy tih a ni	Hei hi khawvela weight loss surgery tih tam ber a ni. Hetah hian pum chanve vel chu lakchhuah a ni a, a bak chu kut ang maia tube sei tak (sleeve)-ah siam a ni. Hei hi ‘restrictive’ procedure a ni bawk.
Vertical Banded Gastroplasty hmanga tih a ni	Hei hi gastric stapling leh banding inzawmkhawm a ni. Mahse, harsatna sang tak leh taksa rihna tlahniam vangin chutiang chuan tih a ni tawh lo.
Biliopancreatic lam hawia inthlak danglamna	Hei hi gastric bypass nen a inang hle. Mahse, hetah hian stomach pouch chu small intestine (ileum) hnuai lam nen a inzawm a ni. Chuvangin taksain calorie a lakluh zat hi a tlem zawk daih a ni. Mahse, hei hi surgery tih harsa tak a nih avangin ei leh in lama harsatna awm theihna a sang hle.

A tawpah chuan hetiang surgery neih hi nun thutlukna lian tak a ni. Chuvângin, thutlukna i siam hmain i doctor hnênah i duhthlannate, an ṭhatna leh ṭhat lohna te, leh i tâna ṭha ber tûrte chu sawipui rawh.

Take-Home Thuchah a ni

• Gastric bypass hi taksa rihna tihtlem nana surgery lian tak a ni a, step lian pahnih ( stomach reduction leh bypass) a awm a.
• Hei hian taksa rihna nasa takin a tihziaawm thei a , natna zunthlum leh thisen sang te pawh a control thei bawk .
• Surgery zawng zawng ang bawkin, hlauhawm leh harsatna engemaw zat a awm .
• Surgery hlawhtlinna chu operation hnua i nunphung (diet leh exercise) i thlak danglam rengnaah a innghat vek a ni.
• Hei hi thutlukna awlsam taka lak a ni lo. He surgery hi i tan a tha em tih hriat nan i doctor nen he thu hi sawiho a pawimawh hle.