Type 2 Diabetes i vei a, i rihna control harsa i ti em? Damdawi ei te, i ei leh in thunun te, leh exercise i tih te pawhin duhthusam a chhuah lo mai thei. Mahse, mi ṭhenkhat tân chuan heng harsatna pahnih chinfelna pakhat anga hman theih dân chak tak a awm tih i hria em? Chu chu taksa rihna tihtlem surgery a ni. Hei hi Bariatric Surgery an ti bawk. He thuziak ah hian heng surgery te hian zunthlum a control theih dan leh i tan a tha em tih te kan sawi dawn a ni.
Hei hian hna a thawk tak tak em? Research hian eng nge a sawi?
Ni e, hei hi hmanraw hlawhtling tak a ni. Mi thenkhat tan chuan he operation hnuah hian an thisen sugar level chu a pangngaiin a awm leh thin. Chumi awmzia chu an zunthlum chu a dam vek tawh tihna a ni. Tichuan, damdawi i ei zat chu i tihtlem thei a, a nih loh leh i ei kha i chawlhsan vek thei bawk.
He thupui chungchanga zirchianna lian tak chuan thil mak tak mai a hmuchhuak a ni. He zirchiannaah hian type 2 diabetes vei mi 400 an tel a ni. Bariatric surgery an neih hnu kum ruk hnuah, surgery nei zinga 62% chuan zunthlum chhinchhiahna an nei lo. Chu mai ni lovin, an thisen sang leh cholesterol level pawh nasa takin a lo ṭha chho tawh bawk.
Ngaihtuah teh, mi tlemte, 6% leh 8% inkar, damdawi chauh hmang, operation hmang lo chauhvin hetiang result tha hi an hmu thei a ni. Hei hian heng surgery te hi an chak zia a tilang lo em ni?
He surgery hi ka tan a tha em?
Hei hi i ngaihtuah hmain i doctor chuan heng thilte hi a ngaihtuah hmasa ang:
- I BMI hi 30 aia tam a ni em? (BMI hi Body Mass Index tihna a ni. I san zawng nena inmil tura i taksa rihna hrisel takah i awm leh awm loh tehna a ni.)
- Type 2 Diabetes emaw Metabolic Syndrome emaw i nei em?
- Tun hmain i taksa rihna tihtlem dan hrang hrang i lo tum tawh a, i vawng reng thei lo em ni?
Heng zawhnate chhanna hi ‘ni’ a nih chuan doctor chuan he surgery atan hian taksa leh rilru lamah i inpeih tawh em tih enfiahna kimchang a nei ang. A chhan chu hei hi surgery vawi khat chauh hmanga tih theih a nih loh vang a ni. Tin, i dam chhung zawnga i ei leh in leh exercise tih dan thlak danglam vek tura thutiam lian tak siam turin i inpeih em tih hriat a pawimawh hle bawk.
Tin, damdawi dang, thinlung natna ang chi i neih chuan he surgery atan hian i specialist hnen atangin phalna i la a ngai dawn a ni.
Heng surgery chi hrang hrangte hi engte nge ni?
Weight loss surgery hi chi hrang hrang a awm a. Surgery thenkhatah chuan i pum a ti tlem a, chu chuan ei tlem zawkin a siam thei a ni. Mi dangte chuan i taksain ei tur atanga calorie leh nutrient a lakluh dan an thlak danglam thin. Thil pahnih inzawmkhawma surgery pawh a awm bawk.
Surgery chi hrang hrang leh a thatna leh that lohna te han thlir ila.
| Surgery chi hrang hrang | A thatna te | A that lohna te |
|---|---|---|
| Gastric Bypass hmanga tih theih a ni Pum chunglam atang hian pouch te tak te siam a ni a, chu chu small intestine nen direct in a inzawm a ni. Chaw ei hian pum chhung hmun tam zawk a bypass thin. | - Damlo 80% vel chu zunthlum atanga dam chhuak an ni. - Extra weight atanga 60% - 80% vel a tlahniam. | - Taksain vitamin leh mineral a lakluh hi a tlahniam a. - A let leh theih loh. - Dumping Syndrome (chaw chu small intestine-a a kal chak lutuk avanga lungawi lohna) a awm thei. |
| Gastric Sleeve a ni Pum 80% vel chu lakchhuah a ni a, chu chuan pum te tak te banana ang maia siam a awm ta a ni. | - Damlo 60% aia tam chu zunthlum atanga dam chhuak an ni. - Excess weight 50% velin a tihtlem. - riltam thlentu hormone Ghrelin hi a tlahniam a. | - A let leh theih loh. - Vitamin leh minerals absorption a tlahniam thei. |
| Gastric Band (Gastric Band tihdanglam theih) a ni. Pum chunglam vel chu inflatable band dahin, pouch te tak te a siam a ni. | - Gastric incision emaw intestinal modification emaw a awm lo. - Side effects a tlem zawk. - A tul chuan strap hi siamrem emaw, lakchhuah emaw theih a ni. | - Thil dang aiin taksa rihna tihtlem a tlem zawk (40%-50%). - Belt slippage ang chi harsatna a awm chuan operation nawn leh a ngai thei. |
| Biliopancreatic Diversion hmangin Duodenal Switch hmangin a inthlak danglam thei Surgery buaithlak tak, pum chhung hmun zau tak lakchhuah a, ei tur kal dan tur tidanglam thei. | - Zunthlum vei tan surgery hlawhtling ber. - Extra weight atanga 60% - 70% vel a tlahniam. | - He surgery hian side effects a nei sang ber. - Digestive leh nutrient absorption lama harsatna nei hi a tam ber. |
Tunlai hmanraw dangte
Heng surgery lian ber berte bakah hian hmanraw dang engemaw zat a awm bawk.
- Electric Implant Device: Pum chhunga vun hnuaiah electric hmanraw te tak te dah a ni. Hei hian thluak leh pum inzawmkhawmtu nerve (Vagus Nerve) a control a, riltamna a tiziaawm a ni.
- Gastric Balloon: Hei hi surgery a ni lo. Balloon chu ka hmangin pum chhungah dahin inflated a ni a, endoscopy ang chiah a ni. Hei hi thla 6 vel a hmunah dah theih a ni. Chaw ei zat a tlahniam a, a chhan chu pum chhunga hmun a tihtlem avangin. Hei hi hun eng emaw chen atan leh man tlawm tak a ni.
Surgery lian dang ang bawkin risk a awm bawk. Entirnan, operation hnuah thisen chhuak, natna hrik, leh chaw kawng (esophagus) perforation te a awm thei. Chuvangin heng procedure te hi damdawi in tha takah surgeon tawnhriat ngah tak enkawlna hnuaia tih a pawimawh hle.
Surgery hnuah eng nge thleng?
Hei hi a pawimawh ber a ni. Surgery hi zinkawng bul tanna chauh a ni. A rah chhuah vawng reng tur chuan i nunphung chu chatuan atan i thlak a ngai dawn a ni.
- Ei leh in dan: I ei thin angin chaw lian tak i ei thei ngai lovang. Vawi khatah cup chanve emaw cup khat emaw vel i ei a ngai dawn a ni . Protein tamna ei tur (nga, sa thau lo, bean, low-fat cheese, yogurt) leh thlai chi hrang hrang i dah pawimawh ber tur a ni.
- Exercise: Nitin exercise hi tih ngei ngei tur a ni.
- Nutritionist tanpuina: I taksain nutrients a lakluh dan hi operation hnuah a danglam thin avangin nutritionist te thurawn lak a pawimawh hle. Hei hian i mamawh vitamin leh mineral i hmuh theih nan a pui ang.
- Sagging skin: Mi thenkhat chuan an taksa rihna nasa tak an tihtlem hnuah vun a tlahniam thei. A tul chuan a hnuah plastic surgery hi i ngaihtuah thei ang. Chu chu kalphung hran a ni.
Take-Home Thuchah a ni
- Weight loss surgery hi type 2 diabetes leh obesity pahnih tan pawh solution tha tak leh chak tak a ni thei.
- Hei hi a rang thei ang bera tihfel a ni lo. Surgery i neih zawh chuan i dam chhung zawngin ei leh in leh exercise i tih a ngai dawn a ni.
- Surgery chi hrang hrang a awm a, a thatna, a that lohna leh a hlauhawmna hrang hrang a awm vek.
- Hei hi i tan a dik em tih te, eng chi nge tha ber tih te, leh a hlauhawmna te chu i doctor nen i sawiho tur zawng zawng a ni . Thu hriat hmanga thutlukna siam ngai suh.
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