I thau lutuk angin i inhria em? I taksa rihna tihtlem nan engmah i ti lo em ni? Dieting leh exercise i lo tum tawh a, mahse i result zawn chu i hmu lo em ni? A châng chuan, thau lutuk hi cosmetic problem mai ni lovin, natna khirh tak tak, zunthlum leh thisen sang te pawh a awm thei bawk. Chutiang hunah chuan medical science-a solution awm chhun chu tunlaia kan sawi tur ‘Gastric Sleeve’ surgery hi a ni.
A awlsam zawngin, Gastric Sleeve Surgery hi eng nge ni?
Hei hi taksa rihna tihtlem surgery chi khat a ni bawk. Doctor-te chuan ``bariatric surgery'' an ti a, he surgery hian i pum, i intestines-a ei tur dahna pouch chu i tan chhuak a ni. I pum chu balloon te tak te angin ngaihtuah rawh. He surgery hian chu balloon 80% vel chu tan chhuah a, lakchhuah a ngai a ni .
Tichuan a la awm chhun chu pum te tak te, tube ang maia siam, banana ang maia siam a ni. ‘Gastrectomy’ tih thumal awmzia tak chu ‘rilru thenkhat lak chhuah’ tihna a ni. Hemi hnu hian i pum chu a te zawk hle.
Engtin nge he surgery hian i taksa rihna tihtlem nan a puih che?
Hei hian hna a thawh dan kawng hnih a awm.
1. Chaw ei zat tihtlem: I pum a te chuan vawi khata i ei theih zat chu nasa takin a tlahniam a ni. Tlemte ei pawh nise, i la chawl tih i hria. Plate lian ni lovin no te tak te atanga ei ang mai a ni.
2. Riltam thunun: Hei hi a pawimawh ber a ni. Kan riltam leh duhna hi kan pum atanga hormone thenkhat siam chhuah vang a ni. Pum chhunga hmun tam tak lak chhuah a nih chuan heng riltamna thlentu hormone siam chhuah hi nasa takin a tlahniam a ni . Chuvangin ei duhna leh ei duhna ang chi thilte hi thunun a ni. Hei hi taksa rihna tihtlem hnua taksa rihna tihpun leh tawh lohna tura puitu lian tak a ni.
Gastric Sleeve Surgery hi khawvela taksa rihna tihtlem nana surgery tih tam ber a ni. Mahse, a hlawkna hmu thei zinga 1% vel chauhvin operation hi an nei tak tak a ni.
He surgery hi tute nge tih theih?
Hei hi mi zawng zawngin kan tih theih surgery a ni lo. Hei hi i tlin theih nan chuan heng tehfungte hi i tlin a ngai tlangpui. I doctor chuan hei hi chipchiar zawkin a hrilhfiah ang che.
| Eligible theihna tur | A awlsam zawngin sawifiah a ni |
|---|---|
| Thau lutuk (Severe Obesity) a ni | I san zawng tehna index a awm a (BMI - Body Mass Index) . I BMI chu 40 aia sang, emaw 35 aia tam a nih a, thau lutuk avanga natna dang (zunthlum leh thisen sang ang chi) i neih chuan he category-ah hian i tel thei a ni. |
| Thiltih dan dang pawh a hlawhchham | Operation hma hian taksa rihna tihtlem dan dang (diet, exercise) i lo enchhin tawh tur a ni. Thla 3-6 chhung chu medically supervised weight loss program i neih a ngai thei bawk. |
| Rilru leh taksa inbuatsaihna | Hei hi surgery lian tak a ni. Nun chhung zawnga ei leh in thlak danglam a ngai bawk. Chuvangin doctor, nutritionist leh psychologist team chuan he thil atan hian taksa leh rilru lamah i inpeih em tih enfiah turin an ennawn ang che. |
He surgery hmang hian eng natna nge tihdam theih?
He surgery hian thau lutuk avanga natna tam tak a control thei a, a chang chuan a tidam vek thei bawk.
- Insulin laka invenna leh type 2 diabetes
- Hypertension leh a kaihhnawih thinlung natna te
- Thisen cholesterol sang (Hyperlipidemia) leh thisen kalna kawng natna
- Zu ni lo, thau nei thin liver natna
- Mut theih lohna (obstructive sleep apnea) a awm
- Ruh natna leh ruh natna (Osteoarthritis) .
Engtin nge surgery process hi a awm thin?
Hei hi step tlemtea thleng thin a ni.
Surgery neih hmain
Surgery atana candidate tha tak i nih i tum hnuah, operation hma kar hnih vel liquid diet -ah dah i ni ang. Hei hi i pum leh thin a thau awm zat tihtlem nan leh operation him zawka siam nan a ni. Operation hma darkar 12 chhungin ei leh in i chawlhsan vek a ngai ang.
Surgery neih lai hian
He surgery hi "keyhole surgery" (laparoscopic surgery) angin an ti fo thin. Chumi awmzia chu pum chhunga incision lian tak siam ai chuan incision tenau tlemte hmanga tih a ni a, camera leh instrument nalh tak tak dah a ni.
1. Pakhatnaah chuan anesthetized vek i ni ang (i muhil tawh ang).
2. Surgeon chuan i pum chhungah incision te tak te a siam a, chuta tang chuan gas inject in i pum chu a inflate thin.
3. Chumi hnuah camera dahin a chhunga taksa peng awmte chu monitor-ah kan en a.
4. Instrument te chu khur tenau engemaw zat dang hmangin dah la, i pum chhunga i chhanchhuah duhna hmun chu teh la, a la awm chu la chhuak rawhTumor 80% chu cut a ni a, surgical stapler hmangin taksa atangin lakchhuah a ni.
5. A tawp berah chuan a zung te te kha khar chungin sew rawh.
He surgery zawng zawng hi darkar khat leh a chanve vel a ni tlangpui .
Surgery an neih hnuah
Operation hnuah ni khat emaw ni hnih emaw chhung chu damdawi inah i awm ang. Kar hmasa lamah chuan liquid foods chauh i ei thei ang. Chumi hnuah chuan zawi zawiin soft diet-ah i inthlak thei a, thla engemaw zat hnuah chuan regular solid foods-ah i inthlak thei bawk. Mahse, i dam chhung zawng vitamin leh nutritional supplements i ei a ngai dawn a ni , a chhan chu i ei tlem dawn a, i taksain a mamawh nutrients a dawng tih i chian a ngai dawn a ni.
A hlawkna leh hlauhawmna awm thei te chu engte nge ni?
Surgery dang ang bawkin hlauhawmna engemaw zat a awm a, mahse a tak takah chuan thau lutuk nena nun hi a hlauhawm zawk hle.
| A thatna te | Risk & Complication awm thei te |
|---|---|
| Complication hi 1% aia tlem loah a awm thin.
|
Engzat nge i taksa rihna i tihtlem theih ang?
A tlangpuiin kum khat emaw kum hnih emaw chhungin i taksa rih zawng zawng zawng atanga 25% leh 30% inkar i hloh thei a ni. Kilo 120 i rih ang u. Chu chu kilo 30-36 vel a ni ang. Hei hi operation hnua i nunphung i zawm danah a innghat a ni.
A pawimawh ber chu, he surgery hi magic a ni lo. I neih hmanraw chak tak mai a ni. Hlawhtling taka rah chhuah tur chuan i dam chhung zawng ei leh in hrisel leh active lifestyle i neih a ngai a ni.
A châng chuan mi tlemte chauhvin hun kal zelah an thau leh thei bawk. Chutiang a nih chuan i doctor nen in sawiho thei a, a tul chuan enkawlna dang i pan thei bawk.
Take-Home Thuchah a ni
- Gastric Sleeve Surgery hian i pum 80% vel a paih chhuak a, ei tur leh ei duhna a ti tlem a ni.
- Hei hi thau lutuk leh a kaihhnawih natna nei, kawng dang hmanga taksa rihna tihtlem thei lote tan tih a ni.
- Hei hi keyhole procedure hmanga tih a nih avangin a dam thuai thei a, a hlauhawmna pawh a tlem hle.
- Surgery hnua result tha tak hmu tur chuan dam chhung atan i ei leh in leh nunphung i thlak danglam a ngai a ni.
- Hemi chungchangah hian zawhna dang i neih chuan doctor nen inbiakna neihpui hreh suh la, a chipchiar zawng zawng chu zawng chhuak rawh.
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