Tunlaia mi tam takin harsatna an tawh lian ber pakhat chu taksa rihna hi a ni. An taksa rihna tihtlem nan engmah tih theih a awm lo tluk a ni. Gym-ah an kal a, an ei leh in an thunun a, exercise chi hrang hrang an ti bawk. Mahse mi thenkhat tan chuan eng thil pawh ti se, duhthusam result hmuh chu a harsa hle. Obesity, emaw kan tih angin ``obesity`` hi hmelthatna mai ni lovin, natna khirh tak tak tam tak, zunthlum, thisen sang, leh cholesterol te thlentu a ni bawk. Chuvangin, vawiin hian he thau lutuk vei te tanpui nan damdawi lama hmanraw hlawhtling tak kan sawi dawn a ni. Chu chu gastric sleeve surgery a ni.
A awlsam zawngin gastric sleeve surgery tih hi eng nge ni?
Gastric sleeve surgery, emaw doctor-te'n an tih angin ``sleeve gastrectomy,'' tih hi taksa rihna tihtlem nan surgery a ni. ``Bariatric surgery'' an ti bawk.Hetah hian thil thleng hi a awlsam hle. I pum chhung hmun lian tak, 80% vel chu operation hmangin lakchhuah a ni.
I pum chu pouch te tak te angin ngaihtuah rawh. He surgery zawh hian pouch lian tak chu lakchhuah a ni a, banana ang maia lian, tube ang chi (sleeve) chauh a awm ta a ni. Chuvang chuan gastric sleeve surgery an ti a ni. He surgery-a thil pawimawh ber chu hetiang hian pum hi a te hle a ni.
Okay, engtin nge i pum i tihtlem hian i taksa rihna i tihtlem theih ang?
Tunah chuan, "Engtin nge ka pum tihtlem hmangin ka taksa rihna ka tihtlem theih ang?" Chumi chhan lian tak pahnih a awm.
1. Chaw ei zat tihtlem: I pum a te lutuk avangin vawi khata i ei theih zat chu nasa takin a tlahniam a ni. Plate khat khat i ei thin a nih pawhin, operation hnuah ei tur tlemte chauh i ei chuan i khat ang. A awlsam zawngin, i khat nghal vat ang. Hei hian i taksain calorie a ei zat chu a pianphungah a control a ni.
2. Hunger hormone tlahniam: Hei hi a pawimawh ber a ni. Kan pum hian hormone `(ghrelin),` a siam chhuak a, chu chu riltam thlentu ber hormone a ni. Gastric sleeve surgery neih laiin pum 80% vel lakchhuah a nih avangin he hormone siam chhuah zat pawh nasa takin a tlahniam bawk. Chumi awmzia chu i riltam leh ei duhna nasa takin a tlahniam tihna a ni. Thau tihtlem hnua a rihna a pun leh chhan ber chu thunun theih loh chaw ei duhna vang a ni. He surgery hian chutiang tur chuan solution tha tak a pe bawk.
A pawimawh ber chu hei hi cosmetic surgery a ni lo. Thau lutuk vanga hriselna lama harsatna lian tham tak takte control nana tih a ni.
He surgery hi tute nge tih theih?
Hei hi mi zawng zawng tih theih surgery a ni lo. Doctor chuan uluk takin a enfiah ang che a, he surgery atan hian qualification thenkhat i tlin phawt chuan a refer ang che. Chu qualification te chu eng nge ni tih i en ang u.
| Eligible theihna tur | Hrilhfiahna awlsam tak |
|---|---|
| Thau lutuk (Severe Obesity) a ni | I body mass index, a nih loh leh BMI chu 40 aia sang a ni tur a ni. BMI hi i san zawng nena inmil tura i taksa rihna hrisel takah i awm leh awm loh tehna a ni. A chang chuan i BMI hi 35 vel a nih a, thau lutuk nena inzawm natna dang, zunthlum leh thisen sang te i neih chuan he surgery hi i la ti thei tho a ni. |
| Thiltih dan dang pawh a hlawhchham | Operation hma hian kawng dang, ei leh in leh exercise hmangin i taksa rihna tihtlem i tum tur a ni. Insurance company thenkhat chuan operation an pawm hmain thla 3-6 chhung chu medically supervised weight loss program-ah tel turin an ti thei che a ni. |
| Taksa leh rilru inbuatsaihna | Hei hi surgery lian tak leh dam chhung zawnga inthlak danglamna a ni. Chuvângin, taksa leh rilru lamah pawh inbuatsaih ṭhat a ngai a ni. Surgery-a i tlin leh tlin loh i rel hmain dietitian, psychologist leh specialist dangte team i hmu hmasa phawt ang. |
He surgery hmang hian eng natna dang nge tihdam theih?
Gastric sleeve surgery tum ber chu taksa rihna tihtlem ni mah se, thau lutuk vanga natna dang tam tak pawh a control thei a, a chang chuan a tidam vek thei bawk.
- Insulin do theihna leh type 2 diabetes a nei
- Hypertension leh a kaihhnawih thinlung natna te
- Thisenah cholesterol level sang (Hyperlipidemia) leh thisen kalna kawng (arteriosclerosis) a awm
- Zu ni lo, thau natna (NAFLD) .
- Mut theih lohna (obstructive sleep apnea) a awm
- Joint na leh ruh natna
He surgery hian chutiang natna tam tak lakah hahdamna a pe thei a ni.
Engtin nge surgery process hi a awm thin?
Tunah chuan operation hma, operation neih lai leh operation hnua thil thlengte i lo en ang u.
Operation hmain eng nge i tih tur?
I doctor-te’n operation atana candidate tha tak i nih thu an hriat hnuah, operation hma kar hnih vel chhung chu special liquid diet-ah dah i ni ang. Hei hi i pum leh i thin a thau duh loh thenkhat tihtlem nan a pui a, operation hi a him zawk nan a pui dawn a ni.
Tin, operation hma darkar 12 chhung chu engmah ei leh in phal a ni lovang, operation neih chhung hian i pum chu a hring vek tur a ni.
Engtin nge surgery hi tih a nih?
Tunah chuan a tam zawkah chuan he surgery hi ``laparoscopic surgery'' tih hmanga tih a ni.Chu chu, incision lian tak siam a, pum hawn ai chuan, incision tenau tak tak engemaw zat kaltlangin camera leh instrument bik dahin tih a ni. Hei hi "keyhole surgery" an ti bawk. Hetiang tih dan hi a hrehawm lo zawk a, dam leh hun pawh a tawi zawk hle.
1. A hmasa berin general anesthesia hnuaiah dah i ni ang. Chumi awmzia chu surgery neih chhungin engmah i hre lovang, i muhil dawn tihna a ni.
2. Tichuan surgeon chuan i pum chhungah incision te tak te (inch chanve vel) a siam a, chuta tang chuan tube te tak te a thun lut a.
3. Tube kaltlangin carbon dioxide gas tlem te chu pum chhungah a lut a, chu chuan pum chhung chu a tipung a. Hei hian a chhunga taksa peng hrang hrangte chu chiang takin a hmu thei a ni.
4. A dawtah chuan camera te tak te (laparoscope) chu tube kaltlangin an dah lut a. Doctor chuan camera atanga thlalak te chu monitor-ah a en a, surgery hi a ti thin.
5. Incision te tak te pakhat emaw a aia tam emaw siam a ni a, chuta tang chuan surgery atana hmanraw sei leh te tak te te chu dah a ni.
6. Heng hmanrua hmang hian pum chhunga "sleeve" lai dah ngai chu an teh a, a tul lo tak chu stapler chi khat bik (surgical stapler) hmangin an then a, an tan a ni.
7. A tawp berah chuan pum atanga lakchhuah chu la chhuakin a incision te te chu sewn closed a ni.
He surgery zawng zawng hi darkar khat leh a chanve vel a ni tlangpui.
Surgery hnuah eng nge thleng?
Operation hnuah ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai dawn a ni. Chutih lai chuan medical staff te chuan i natna control nan leh hun eng emaw chen atana side effects, nausea ang chi te enkawl turin an pui ang che.
Damdawi in chhuahsan hnuah doctor i pan a ngai dawn a ni. I taksa rihna tihtlem dan te, damdawi lam thil dang control theih a nih leh nih loh te, operation hnua side effect a awm leh awm loh te a enfiah ang.
Operation hnuah ka ei leh in danah hian inthlak danglamna lian tham ka neih a ngai em?
Ni e, a dik tak zet. Hei hi he zinkawngah hian a harsa ber leh pawimawh ber a ni. Surgery zawhah i dam chhung zawnga i ei leh in tur hi i fimkhur hle a ngai a ni.
- Kar hmasa lamah chuan:Hemi chhung hian tui chauh i ei thei. Soup, bawnghnute, leh thei tui ang chi thil.
- A dawt leh: Zawi zawiin ei leh in nêm, buhfai hmin, thlai hmin, leh yogurt te chu i hmang thei ang.
- Thla engemaw zat hnuah: Zawi zawiin solid foods pangngai i ei tan thei ang.
Mahse, a hma angin chaw i ei thei ngai lo tih hre reng ang che. The food you eat should be very nutritious , a chhan chu i taksa mamawh nutrient zawng zawng chu a tlem berah i hmuh vek a ngai a ni.
Tin, operation hnuah i dam chhung zawng vitamin leh mineral supplement i ei a ngai dawn bawk. Hei hi a chhan chu i taksain a mamawh tur nutrient zawng zawng ei tur a\ang chauha hmuh a harsat chhan chu i ei tur tlem vang a ni.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.
A thatna te
- Bariatric surgery chi dang nena khaikhin chuan hei hi surgery awlsam tak, rang tak leh him tak a ni.
- Surgery hian intestine-ah danglamna a thlen loh avangin hun rei tak chhunga ei leh in lama harsatna awm theihna a tlem hle.
- Hlawhtling takin i thau i tihtlem thei a, chu chuan zunthlum leh thisen sang ang chi natna te chu i control thei a ni.
Risk leh Complication awm thei te
He surgery atanga harsatna awm thei hi a tlem hle (1% aia tlem) a ni. Mahse, fimkhur a pawimawh hle.
| Risk chi hrang hrang | Hrilhfiahna |
|---|---|
| Surgery nena inzawm hun rei lote chhunga hlauhawmna |
|
| Hun rei tak chhunga harsatna awm thei |
|
Engzat nge ka rihna tihtlem theih ang? Ka hlawh let leh dawn em ni?
A tlangpuiin, operation hnu kum khat emaw kum hnih emaw chhungin i taksa rih zawng zawng zawng 25% leh 30% inkar i hloh thei a ni. Entirnan, mi pakhatin kg 120 a rit chuan kg 30-36 vel a hloh thei. Hetiang zat hi operation hnua i nunphung i zawm danah a innghat a ni.
Mi thenkhat chu hun kal zelah an taksa rihna engemaw chen an pung leh thei a, chu chu an ei leh in hlui lama an kir leh vang emaw, hun kal zelah an pum a inzawm vang emaw pawh a ni thei. Chutiang a nih chuan revision surgery chu i ngaihtuah a ngai mai thei. Hei hian surgery hmasa ber siamthat emaw, gastric bypass ang chi, taksa rihna tihtlem surgery danga thlak emaw a huam thei bawk.
Take-Home Thuchah a ni
- Gastric sleeve surgery hi thau lutuk leh a kaihhnawih natna te control nan a tha hle. Cosmetic procedure a ni lo.
- Hei hi thil lian tak, tihdanglam theih loh, dam chhung zawnga inthlak danglamna a ni. Chuvângin, thu tlûkna i siam hmain hriat chian ṭhat hmasak phawt ang che.
- Surgery hlawhtlinna chu 100% in nangmah ah a innghat. Surgery zawhah dam chhung ei leh in, exercise leh nun hrisel i neih a ngai a ni.
- He surgery hian taksa rihna tihtlem nan a pui mai bakah natna engemaw zat, zunthlum, thisen sang, leh cholesterol te tihdamna kawngah pawh a pui bawk.
- He surgery hi i ngaihtuah a nih chuan, i tan a tha em tih leh a thatna leh tha lo chu eng nge ni tih chiang taka hriatthiam theih nan specialist surgeon emaw, i chhungkaw doctor emaw nen zalen takin sawiho rawh.
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