ʻO ʻoe kekahi kanaka e ʻeha nei i ka momona? I kekahi manawa, ʻaʻohe mea pehea ʻoe e kāohi ai i kāu ʻai a me ka hoʻoikaika kino, hiki i ka pohō kaumaha ke like me ka moeʻuhane. I kēlā mau hihia, ke hāʻule nā ʻano hana ʻē aʻe, e kamaʻilio mākou e pili ana i kahi hopena kūikawā a nā kauka e ʻōlelo nei i kēia lā. ʻO ia ke ʻoki pohō kaumaha, a i ʻole ma nā ʻōlelo lapaʻau, ʻo Bariatric Surgery.
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He aha kēia ʻoki kino no ka pohō kaumaha (ʻoki kino Bariatric)?
I ka ʻōlelo maʻalahi, he ʻano hana ʻoki kino kēia i hana ʻia e kōkua i ka poʻe momona loa e hōʻemi i ke kaumaha. Hiki i kāu kauka ke ʻōlelo aku i kēia ʻano hana ʻoki kino inā ua hoʻāʻo ʻoe i nā ʻano hana hōʻemi kaumaha ʻē aʻe a inā ʻoi aku ka nui o nā pilikia olakino o kou momona ma mua o ke ʻoki kino.
ʻO kēia mau ʻoki kino e pili ana i ka hana ʻana i nā hoʻololi i kāu ʻōnaehana hoʻoheheʻe . ʻO ka hapa nui, pili lākou i ka ʻōpū a i kekahi manawa ka ʻōpū liʻiliʻi. Hana kēia i ʻelua mau mea nui:
1. E kaupalena i ka nui o ka meaʻai hiki iā ʻoe ke ʻai i hoʻokahi manawa.
2. Hoʻemi i ka nui o nā calorie i omo ʻia e ke kino.
Eia kekahi, hiki i kēia ʻoki kino ke kāohi i nā hōʻailona pōloli e haʻi aku i kou lolo ua pōloli ʻoe. Akā, ʻaʻole kēia he hoʻoponopono wikiwiki "kilokilo". I mea e holomua ai kēia ʻoki kino, pono ia i ka hoʻomākaukau maikaʻi ma mua, a me nā hoʻololi nohona no ke ola holoʻokoʻa ma hope o ke ʻoki kino .
No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?
ʻO kēia ʻoki kino ke ala maikaʻi loa e hoʻokō ai i ka pohō kaumaha lōʻihi a holomua no kekahi me ke kiʻekiʻe o ka momona (papa III momona). Ua ʻike ʻia e ka noiʻi he mea paʻakikī loa i kekahi ma kēia pae ke pohō kaumaha a mālama iā ia ma o ka ʻai a me ka hoʻoikaika kino wale nō.
E noʻonoʻo i kēia ʻano. Ke ʻike kou kino i kou kaumaha keu he "maʻamau," hoʻāʻo ia e hoʻi i kēlā kaumaha. Hoʻololi ke ʻoki kino Bariatric i ke ʻano o ka hana ʻana o kou kino i kāu mea e ʻai ai. A laila hiki i kāu ʻai olakino a me nā hoʻololi ʻana i ke ʻano o ka nohona ke hana maoli, a hiki iā ʻoe ke hōʻemi i ke kaumaha a noho olakino.
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Check Availability →He aha nā ʻano maʻi i hoʻokumu ʻia e ka momona e hiki ke hoʻōla ʻia e kēia ʻoki kino?
He mea pilikia ka momona no kekahi mau maʻi mau loa e hiki ke hoʻoweliweli i ke ola. Akā ʻo ka nūhou maikaʻi, hiki ke hoʻomaikaʻi nui ʻia kēia mau kūlana ma hope o ke ʻoki pohō kaumaha. Inā hoʻoholo kāu kauka e pono ʻoe i kēia ʻoki, aia paha iā ʻoe nā kūlana ma lalo nei, a i ʻole e piʻi aʻe paha kou pilikia o ka loaʻa ʻana o lākou.
| Kūlana olakino | I ka ʻōlelo maʻalahi... |
|---|---|
| Kolesterol kiʻekiʻe | Ka piʻi ʻana o nā momona (lipids) i loko o ke koko. Hiki i kēia ke hōʻiliʻili i loko o nā kīʻaha koko a ālai iā lākou. Hiki i kēia ke kumu i ka hahau ʻana a i ʻole ka hōʻeha puʻuwai. |
| Ke koko kiʻekiʻe (Hypertension) | He kiʻekiʻe loa ka wikiwiki o ke kahe ʻana o ke koko ma o nā kīʻaha koko. Hoʻopōʻino kēia i nā paia o nā kīʻaha koko a hoʻonui i ka pilikia o nā hōʻeha puʻuwai a me nā hahau. |
| Nā pae kō koko kiʻekiʻe a me ka maʻi diabetes type 2 | ʻO ka momona o ke kino ke alakaʻi i ke kū'ē ʻana o ka insulin. He ʻanuʻu mua kēia i ka maʻi diabetes. Inā ʻaʻole mālama ʻia, hiki iā ia ke hōʻino i nā aʻalolo, nā kīʻaha koko, a me nā ʻōpū. |
| Maʻi puʻuwai | Hiki i ka momona ke hoʻonāwaliwali i ka hana o ka puʻuwai a hoʻoulu i nā waihona momona i loko o nā aʻa, e hoʻonui ana i ka pilikia o ka hōʻeha puʻuwai. |
| Maʻi puʻupaʻa | ʻO nā maʻi e pili ana i ka momona e like me ke koko kiʻekiʻe a me ka maʻi diabetes nā kumu nui o nā maʻi puʻupaʻa mau loa. |
| ʻApnea hiamoe pale | I ka wā hiamoe, ua ālai ʻia ke ala ea o luna a ua pau pinepine ka hanu ʻana. Hoʻemi kēia i ka nui o ka oxygen e hiki ana i nā ʻōpū koʻikoʻi o ke kino. |
| ʻO ka ʻeha puʻuwai | Hoʻokomo ke kaumaha nui i ke kaomi hou ma luna o nā hono e like me nā kuli, kahi e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i nā maʻi hono degenerative. |
| ʻO ka maʻi ʻona momona ʻole (NAFLD) | Hoʻomaka ke kino e mālama i ka momona keu i loko o ke akepaʻa, kahi e hiki ai ke hōʻino i ke akepaʻa i ka wā lōʻihi. |
ʻO wai ka mea kūpono no kēia ʻoki kino?
ʻAʻole no nā kānaka āpau kēia ʻoki kino. Pono ʻoe e hoʻokō i kekahi mau hōʻoia no ia mea. ʻO ka mea nui e nānā ʻia ʻo kāu Body Mass Index (BMI). I ka ʻōlelo maʻalahi, he helu kēia e ana i kou kaumaha no kou kiʻekiʻe.
- Inā he 40 a ʻoi aku paha kou BMI , ʻo ia hoʻi, ua kaumaha ʻoe ma kahi o 100 paona (ma kahi o 45 kilokani) ma mua o kou kaumaha kūpono.
- Inā he 35 a ʻoi aku paha kou BMI a he pilikia olakino kou e pili ana i ka momona (e like me ka maʻi diabetes, ke koko kiʻekiʻe).
ʻO ka mea nui loa, ʻo ia ka hoʻoholo ʻana a kāu kauka. E nānā ʻo ia iā ʻoe a hana i nā hoʻokolohua e pono ai e hoʻoholo ai inā kūpono kēia ʻoki kino iā ʻoe a ʻaʻole paha.
He aha nā ʻano hana ʻoki kino maʻamau?
Aia kekahi mau ʻano o ke ʻoki kino bariatric. Hana ʻia ka hapa nui o kēia mau mea ma ke ʻano laparoscopic. ʻO ke ʻano kēia, ua hoʻokomo ʻia kahi kāmela a me nā mea hana ma o kekahi mau ʻoki liʻiliʻi, ma mua o ka hana ʻana i kahi ʻoki nui, e hopena ana i ka ho'ōla wikiwiki, ka emi ʻana o ka ʻeha, a me ka emi ʻana o ka ʻeha. ʻO kēia kekahi o nā ʻano ʻoki kino maʻamau.
| Inoa o ke ʻoki kino | He aha ka mea e hana nei i ka pōkole |
|---|---|
| ʻUmi lima ʻōpū | ʻO kēia ke ʻoki kino maʻamau. Ma kēia kaʻina hana, ua wehe ʻia ma kahi o 80% o ka ʻōpū, e waiho ana i kahi ʻōmole liʻiliʻi, e like me ka maiʻa. ʻAe kēia i ka ʻōpū e piha ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi, a hoʻemi i nā hormones pōloli. |
| ʻO ke ala ʻōpū | Ma kēia kaʻina hana, hana ʻia kahi ʻeke liʻiliʻi mai ka ʻaoʻao o luna o ka ʻōpū a hoʻopili ʻia i ka ʻaoʻao haʻahaʻa o ka ʻōpū liʻiliʻi. Holo ka meaʻai i ka ʻaoʻao nui o ka ʻōpū a me ka ʻaoʻao mua o ka ʻōpū. Hoʻemi kēia i ka nui o ka meaʻai i ʻai ʻia a me ka nui o nā meaola i omo ʻia. |
| Kuapo Duodenal (BPD-DS) | He ʻano hana paʻakikī kēia. Pili ia i ke ʻoki ʻana i ka ʻōpū a me ke ala ʻōpū. He mea kūpono loa ia i ka hōʻemi kaumaha a me ka kaohi ʻana i nā maʻi e like me ka maʻi diabetes. Eia nō naʻe, hiki iā ia ke hoʻopilikia i nā huaora no ka mea ʻaʻole i omo ke kino i nā meaʻai. |
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Aia kekahi mau pilikia?
E like me nā ʻoki kino āpau, aia nā pilikia a me nā hopena ʻaoʻao, akā ʻoi aku ka liʻiliʻi o kēia mau mea ma mua o nā pilikia e pili ana me ka momona.
Nā pilikia e pili ana i ke ʻoki kino
- Ke kahe ʻana o ke koko
- Maʻi
- Nā ʻūpā koko
- Ka pale ʻana o ka ʻōpū
- Nā leaka anastomotic
Nā hopena ʻaoʻao hiki ke hana ʻia ma hope o ke ʻoki ʻana
- ʻO ka Dumping Syndrome: ʻO nā hōʻailona e like me ka nausea, ka ʻeha o ka ʻōpū, a me ka maʻi kahe e kū mai ana i ka wā e hele wikiwiki ai ka meaʻai ma o nā ʻōpū. Hoʻopau pinepine kēia mau hōʻailona i ka hala ʻana o ka manawa.
- ʻAi ʻole: Hiki ke loaʻa nā hemahema o nā wikamina a me nā minelala ma muli o ka emi ʻana o ka omo ʻana o nā meaʻai. No laila, he mea nui e lawe i nā mea hoʻohui i kauoha ʻia e kāu kauka e like me ke kauoha.
- Nā pōhaku ʻōpū: ʻO ka pohō kaumaha wikiwiki e hoʻonui ai i ka pilikia o ka loaʻa ʻana o nā pōhaku ʻōpū.
E kōkua kāu hui lapaʻau iā ʻoe e hoʻokele i kēia mau mea āpau. No laila, ʻaʻohe mea e hopohopo ai. He mea nui e hele no nā manawa hoʻopaʻa ma hope o ke ʻoki ʻana.
No laila he aha nā pōmaikaʻi o kēia ʻoki kino?
ʻOiai nā pilikia, he kiʻekiʻe loa nā pono o kēia ʻoki kino.
- ʻO ka pohō kaumaha koʻikoʻi a mau loa: ʻO kēia wale nō ke ʻano e hāʻawi ai i nā hopena lōʻihi a holomua. Ma kahi o 90% o ka poʻe e nalowale ana i 50% o ko lākou kaumaha keu a mālama iā ia.
- Ka kaohi ʻana i ka maʻi diabetes a me ka cholesterol: Hiki i nā poʻe he nui ke ho'ōla piha mai ka maʻi diabetes a ho'ōki i ka lawe ʻana i kā lākou mau lāʻau lapaʻau.
- Ola kino maikaʻi a me ke ola lōʻihi: Ua hōʻike ʻia e ka noiʻi ʻaʻole ia e hōʻemi wale i ka pilikia o nā maʻi i hoʻokumu ʻia e ka momona, akā e hōʻemi pū ana hoʻi i ka pilikia o ka make mai kekahi kumu ma kahi o 40%.
- ʻOi aku ka maikaʻi o ke ola: Ke lilo ʻoe i ke kaumaha, ʻoi aku kou hauʻoli, ʻoi aku ka maopopo o kou poʻo .Hoʻonui ka hilinaʻi iā ia iho a me ka hana.
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- He hana lapaʻau koʻikoʻi ke ʻoki ʻana Bariatric no ka momona nui. ʻAʻole ia he hana hoʻonaninani a i ʻole he "hoʻoponopono maʻalahi."
- ʻO ka holomua o kēia ʻoki kino e pili ana i kou kūpaʻa i nā loli i ka meaʻai a me ke ʻano o ka nohona no ke ola holoʻokoʻa.
- ʻOiai he mau pono maikaʻi loa kēia ʻoki kino, aia kekahi mau pilikia a me nā hopena ʻaoʻao.
- Pono ʻoe e hoʻoholo inā kūpono kēia iā ʻoe ma hope o kahi kūkākūkā hohonu me kāu kauka.
- Inā ʻoe e ʻeha nei i ka momona, e ʻike pono i kāu kauka e aʻo hou e pili ana i kēia a kūkākūkā i kāu mau koho.
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