
In Taiwan, the obesity rate has soared past 50%. Recently a 30-year-old woman called Yuki underwent bariatric surgery at MacKay Memorial Hospital. She lost a whopping 31 kg and her fertility improved. Previously it had been hard for her to conceive but nine months after the surgery, she became pregnant. Let’s join Yuki on her wellness journey.
It’s hard to imagine that tall, slender Yuki once weighed 85 kg. Compared with her old pants, her waist is more than 10 cm smaller, and even her tops hang loosely.
Yuki
Patient
As for my food intake, at my peak, I could eat up to 50 dumplings in one meal from chain restaurants. Now, I’d probably eat around five per meal, a tenfold decrease.
After having 75% of her stomach removed, Yuki successfully lost 31 kg. Even ovulation problems caused by her polycystic ovary syndrome gradually improved, allowing her to conceive nine months after surgery, despite previous difficulties getting pregnant.
Wang Po-chun
MacKay Memorial Hospital
The main factor is polycystic ovary syndrome. Obesity leads to fat accumulation, which increases insulin resistance. Elevated insulin resistance can raise androgen levels, potentially impairing ovarian ovulation. When ovulation becomes irregular, it can easily result in infertility.
Doctors recommend bariatric surgery for individuals with a BMI over 32.5 who also have diabetes and hypertension. However, a doctor’s evaluation is necessary before surgery to determine if a patient is suitable. Post-surgery, patients should eat smaller, more frequent meals, avoid overeating, and regularly return to the doctor for checkups to monitor nutrient absorption.
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#bariatricsurgery #PCOS #infertility #weightloss #Taiwanobesity
台灣肥胖率飆破50%,馬偕醫院最近幫一名30歲女姓,進行微創縮胃手術,讓她從85公斤瘦到54公斤,甩肉31公斤,原本一餐要吃50顆水餃,手術後,吃一根薯條就飽整天。就連多囊性卵巢綜合症,導致的排卵障礙,也漸漸改善,手術後9個月就成功懷孕。
身材高挑的yuki,很難想像她之前胖到85公斤,和原本穿的褲子比一比,腰圍小了10幾公分,連上衣都變得鬆垮垮。
[[患者 Yuki]]
“食量的話,以前最頂標的時候,就是可以吃外面市面的,連鎖店的水餃,可以吃到50顆一餐,(現在)應該會到一餐大概5顆左右內,差了10倍”
切除75%的胃,讓yuki成功甩肉31公斤,就連多囊性卵巢綜合症導致的排卵障礙,也漸漸改善,讓不容易懷孕的她,在縮胃9個月後,成功懷孕。
[[馬偕一般外科主治醫師 王柏鈞]]
“最主要的話多囊性卵巢,肥胖造成脂肪堆積,脂肪堆積完之後,你的胰島素阻抗就會上升,胰島素阻抗上升之後,它就會讓你的雄性素量增加,有可能會造成卵巢排卵功能下降,排卵功能一下降之後,排卵不正常,那就容易造成你不孕症的情形發生”
醫生建議BMI超過32.5,合併糖尿病、高血壓,可以建議進行縮胃手術。不過,手術前還是要經過醫生評估,看看適不適合。術後日常更得分次進食,不能暴飲暴食,還得定期回診追蹤營養吸收狀況。
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