Orange Persimmon Interactive Reporter Jin Jing Correspondent Li Wenfang Zhang Yidan
On August 10, 209 pounds, this is the latest weight of 26-year-old Zhen Hao after 9 days of gastric weight loss surgery. From the day of the operation, she weighed 234 pounds, and she had lost 25 pounds.
On August 10, Zhen Hao weighed 104.5 kilograms
Many people have gastric reduction surgery in order to become better, more beautiful and thinner, and Zhen Hao has only one goal: to reach the target weight as soon as possible, improve or disappear his fatty liver, and then cut the liver to save the girl.
Yu Weihua, the chief surgeon of Zhen Hao and deputy chief physician of the Bariatric and Metabolic Surgery Center of Sir Run Run Run Shaw Hospital affiliated to Zhejiang University School of Medicine, said that Zhen Hao needs to lose more than 50 pounds in three months, reverse fatty liver as much as possible, and strive for the opportunity of parental liver transplantation to save the life of his second daughter, who is more than 7 months old.
After the birth of the second daughter, the jaundice did not go away
"Liver transplantation" breaks the peaceful life of a small family
Zhen Hao's hometown of Xuzhou, Jiangsu, on December 23, 2023, under the expectation of his family, his youngest daughter Nuan Nuan was born, and before she had time to feel the joy of a new life, Nuan Nuan began to go to the hospital frequently.
"Just born, the baby's jaundice is very bad, our local hospital treated it as ordinary jaundice, the treatment has no effect for a period of time, and I changed hospitals, and the baby has diarrhea as soon as he takes the medicine for jaundice."
At that time, a doctor mentioned that many children will have jaundice, some of them will go back quickly, some will go back slowly, and they will go home for observation and observation. In addition, the old people in the family also said that there are children in the hometown who have jaundice in three months, so Zhen Hao didn't put this matter at ease and took the baby home to recuperate.
At home, although carefully fed and cared for, 2 months have passed, and the warm jaundice has no intention of receding, and I haven't eaten much, and my stomach is getting more and more bulging. Zhen Hao hurriedly took Nuan Nuan and went to the hospital again. "This jaundice is not normal, there is a possibility of pathology, go to the first level children's hospital quickly."
Hearing the doctor's advice, Zhen was kind like a knife, and the husband and wife went straight to the superior children's hospital with Nuan Nuan.
"There is a lot of ascites, and there is a high possibility of congenital biliary atresia, so I need to be hospitalized immediately for surgery." After the examination, the doctor of the children's hospital immediately issued a hospitalization order.
Hearing the words "biliary atresia", Zhen Hao and her husband were blindsided. Zhen Hao quickly checked the information on the Internet, and the more he checked, the cooler his heart became - this disease is caused by the obstruction of the bile ducts inside and outside the liver, resulting in cholestasis in the liver and unable to be discharged through normal channels, followed by sallowness, and gradually irreversible cholestatic cirrhosis, and finally developed into liver failure, liver coma, resulting in the death of the child.
"Hospitalized immediately", caught the husband and wife off guard. Zhen Hao asked the doctor for half a day off, went back to his hometown to tidy up his things first, and entrusted his eldest daughter to the care of the elderly at home by the way.
The next day, Nuan Nuan was admitted to the hospital and underwent Kasai surgery. During the doctor's preoperative conversation and information inquiry, Zhen Hao initially learned that Kasai surgery is a surgical method for the treatment of congenital biliary atresia, also known as hepatic portal cavity anastomosis, which restores bile drainage by reconstructing the biliary tract so that bile can be discharged smoothly.
During the hospitalization, the ascites of warm cirrhosis was more than 300 ml at most, and the belly was bulging like a small watermelon. After treatment, before discharge, there were still more than 20 ml of ascites. Fortunately, after the Kasai surgery, the warm bile can be discharged smoothly, and the original sallow little face begins to slowly return to its fair and pink skin.
The operation went well, but the doctor also brought bad news, Nuan Nuan came to the treatment after more than 70 days, missed the best time for surgery within 40 days, and the operation found that she had cirrhosis, and a liver transplant was the only way to save her life.
Before being discharged from the hospital, Yu Weihua sent flowers to Zhen Hao Photo by reporter Jin Jing
The matching was successful, and he wanted to cut his liver to save his daughter
Need to lose more than 50 pounds in three months
After three or four months of careful care at home, the condition of Nuan Nuan is still not optimistic, the ascites is affected, the belly is getting bigger and bigger, and the perineum is swollen to the size of an egg. Sleeping has also become a problem, gasping for breath and not being able to lie flat...... Even so, Nuan Nuan is still very well-behaved, not noisy or noisy, drinks milk vigorously when she has an appetite, and does not hum when she drinks medicine more than a dozen times a day, which makes Zhen Hao even more distressed.
After Nuan Nuan fell ill, Zhen Hao frantically checked liver transplant information on the Internet, added patient groups, wanted to know more information, and wanted to fight for the child's life.
Knowing that hospitals in Hangzhou are more experienced in doing liver transplantation for children, Zhen Hao no longer "sat still" and decided to come to Hangzhou with Nuan Nuan to find a glimmer of life. "We're ready for a long fight, and our trunks are stuffed with luggage."
On the first night of coming to Hangzhou, the accident arose again, and Nuan Nuan suddenly had a high fever. After three days in the local hospital, the family of three set off for the Binjiang Campus of Zhejiang University Children's Hospital in Hangzhou.
"After being admitted to the hospital, the doctor made an assessment, first gave the baby ascites drainage, weighed 8.1 kg when he was admitted, weighed 7.1 kg when he was discharged, and put two catties of ascites. In such a small body, with so much ascites, you can imagine how uncomfortable she is, but she is still so well-behaved......"
Matching for a warm liver transplant is the main purpose of this trip. If the match is appropriate, there is no need to wait for liver source for parental liver transplantation, and the rejection reaction after transplantation is small.
Fortunately, Zhen Hao and her husband were successfully matched with Nuan Nuan. Who will cut the liver to save Nuan Nuan, the whole family "quarreled". The husband thinks that he is strong and strong, and he recovers quickly after cutting off part of his liver, but Zhen Hao feels that her husband is the pillar of the family and cannot take this risk. Grandparents and grandparents also rushed to do this.
"The child's father was finally convinced by me that there is still a long way to go after the liver transplant, and he is responsible for earning money to support the family, and his body cannot collapse. Besides, cutting off part of the liver does not affect my health in general, and I insist that I will do it. ”
The matching was successful, and another problem followed. Zhen Hao, who is 234 pounds, has severe fatty liver and an unhealthy liver, so he cannot have a liver transplant. The husband, who weighs more than 170 pounds, also has fatty liver.
After evaluation, Nuan Nuan's current liver function indicators are okay, and Kasai's bile has been drained down after surgery, and his condition has been relatively stable within three months, which has won a certain amount of time for liver transplantation.
There are two paths in front of Zhen Hao: one is to wait for the liver source, but the waiting time is unknown. Second, in these three months, he lost more than 50 pounds and won the opportunity of parental liver transplantation.
Dad pushed Nuan Nuan and waited for Zhen Hao outside the ward Photo by reporter Jin Jing
Desperate to save the child
I decided to have gastric reduction surgery
Weight loss, in Zhen Hao's life, is a process of continuous attempts and failures. Zhen Hao said that she has been a fat girl since she was a child, and her weight has been around 200 pounds over the years.
"I like to eat staple foods, and I also love snacks, milk tea, desserts, etc. I usually don't have much to worry about, and I belong to a wide heart and a fat body. “
When giving birth to her eldest daughter, Zhen Hao lost more than 10 pounds before she became pregnant, and her weight soared to 226 pounds after giving birth, and she lost 180 pounds when her eldest daughter was 5 months old, which was her lightest weight as an adult. After giving birth, Zhen Hao's weight reached nearly 240 pounds.
Zhen Hao knows that it is impossible to lose weight by dieting and exercising on his own in a short period of time. She suddenly thought that during her hospitalization in Xuzhou, a fat mother with the same situation had a gastric weight loss surgery and successfully cut her liver to save the child.
Cut the stomach, lose weight, save the child! Zhen Hao told her husband and family about her thoughts. "Is it still healthy to cut off a large piece of the stomach?" This is a common concern of the husband and the family.
No one can stop a mother from wanting to save her child. After reading a lot of videos and news reports, the husband first changed his mind, and he persuaded his family with the reason that "being too fat will have such and such problems, and losing weight can not only save the child, but also help her own health".
So, where to go for gastric reduction surgery? Soon, Zhen Hao set his sights on the team of Yu Weihua, deputy chief physician of the Bariatric and Metabolic Surgery Center of General Surgery of Sir Run Shaw Hospital, Zhejiang University School of Medicine. "I watched a lot of videos of patients losing weight after surgery, and they were all operated on by the director, which gave me a lot of confidence."
At the end of July 2024, Zhen Hao came to the Qiantang Campus of Sir Run Run Shaw Hospital of Zhejiang University and found Deputy Chief Physician Yu Weihua for outpatient treatment. After learning Zhen Hao's story, Yu Weihua was deeply moved by this maternal love.
Soon, Zhen Hao underwent a comprehensive examination, and Yu Weihua determined a minimally invasive gastric weight loss surgery plan for her - laparoscopic sleeve gastrectomy. "The operation only has three minimally invasive small incisions, and the patient's stomach will be made smaller and thinner through surgery, but the original structure of the stomach will not be changed, and the patient's appetite will be significantly reduced and the appetite will be reduced after the operation."
Yu Weihua said frankly that in the case of Zhen Hao, surgery is the fastest way to achieve weight loss. In general, in the first month after bariatric surgery, 10%-15% of the original body weight can be reduced; Three months after surgery, it can reduce about 25% of the original body weight; After about one year of surgery, the weight will reach a stable period, and the original body weight will be reduced by about 35%-40%.
On August 1, Yu Weihua performed surgery for Zhen Hao, and when he was discharged from the hospital on the third day after surgery, Zhen Hao's weight had lost 8 pounds.
"Both clinically and in the latest research, with significant weight loss after bariatric surgery, the patient's fatty liver disappears or improves significantly."
Over the years, Yu Weihua has led the team to perform nearly 2,000 bariatric surgeries, but the surgery that Zhen Hao has special significance. "Many people come for surgery to transform, to become thinner and more beautiful, and this patient is the first to have bariatric surgery to save the child's life. After this surgery, in addition to winning the child's chance of liver transplant, her own health problems such as insulin resistance, blood lipids, and uric acid will also be significantly improved. ”
Weigh yourself again before being discharged from the hospital Photo by reporter Jin Jing
Hope to meet again at the top of the mountain one day
After the operation, Zhen Hao obviously felt that his appetite had become smaller. In the past, two eggs, a bread, and a bowl of porridge were used as the base for breakfast, but now I am full after drinking some milk.
On the day he was discharged from the hospital, her husband accompanied Zhen Hao to take a walk near the hospital, passing by a food street. ”
On August 6, Zhen Hao's family set off to return to their hometown. She wrote in her circle of friends: "Thank you for the blessings sent by Director Yu's team." We split up and met again at the top of the mountain. ”
When Nuan Nuan's condition worsened, no one knows. Yu Weihua hopes that there will be more time left for this mother. "The more weight is lost, the better the improvement in fatty liver disease, and the greater the benefit for the child after the parent liver transplant."
(For privacy reasons, the names of patients and family members have been changed)
Editor in charge: Jin Jing
Review: Xu Fang, Feng Yunnong