ʻO ʻoe kekahi kanaka e ʻeha nui ana i ka momona? Malia paha ʻaʻohe āu mea i hana ai e hōʻemi i ke kaumaha. Ua luhi ʻoe i ka hoʻoikaika kino, ka kaohi ʻana i kāu ʻai, a me ka hana ʻana i nā mea āpau? Inā pēlā, ua lohe paha ʻoe i kekahi manawa e kamaʻilio ana nā kauka e pili ana i nā ʻoki pohō kaumaha. Kāhea mākou i kēia mau ʻoki pohō kaumaha ('ʻoki Bariatric'). I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻoki holomua loa, akā he ʻoki paʻakikī iki hoʻi. Ua kapa ʻia kēia ʻo Duodenal Switch. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau me ka maʻalahi.
I ka ʻōlelo maʻalahi, he aha kēia Duodenal Switch?
He hana ʻoki kino ʻo Duodenal Switch i hana ʻia ma ke ʻano he lāʻau lapaʻau no ka momona. Pili ia i ʻelua mau mea nui. ʻO kekahi, ʻo ia ka wehe ʻana i kahi ʻāpana nui o kou ʻōpū a hoʻemi iā ia. ʻO ka lua, ʻo ia ka hoʻopōkole ʻana i ka ʻōpū liʻiliʻi, ka ʻāpana o kou kino e omo ana i ka meaʻai āu e ʻai ai.
E noʻonoʻo i kēia ʻano. Ua like ia me ka lawe ʻana i kahi ala pōkole i ka meaʻai āu e ʻai ai. A laila, no ka mea, ʻaʻole hele ka meaʻai i kahi mamao loa, ua emi ka nui o nā calorie a kou kino e omo ai. ʻO kēia ka mea e hiki ai ke hōʻemi i ke kaumaha me ka holomua.
ʻElua mau ʻano nui o kēia ʻoki kino:
1. Ke ʻano kuʻuna: `Biliopancreatic Diversion me Duodenal Switch (BPD/DS)`
2. Ke ʻano hana i hoʻololi ʻia: `Single Anastomosis Duodeno-ileal bypass me Sleeve Gastrectomy (SADI-S)`
He mea paʻakikī paha kēia mau inoa ʻelua, akā mai hopohopo. E koho kāu kauka i ke ʻano hana kūpono loa iā ʻoe a e wehewehe pono iā ʻoe.
Pehea e kōkua ai kēia ʻoki kino iā ʻoe e hōʻemi i ke kaumaha? E nānā pono kākou.
ʻElua mau ʻanuʻu nui o kēia ʻoki kino. Hana ʻia nā ʻanuʻu ʻelua ma ke ʻoki kino hoʻokahi.
Ka hana mua: Gastrectomy lima
Ma kēia, wehe ke kauka lapaʻau ma kahi o 80% o kou ʻōpū. Hana ʻia ka ʻāpana liʻiliʻi i koe i loko o kahi ʻōmole, e like me ka maiʻa. Kāhea mākou i kēia ʻo `(Sleeve Gastrectomy)`. Ma hope o kēia, ʻaʻole hiki iā ʻoe ke ʻai i ka nui o ka meaʻai i ka manawa hoʻokahi. ʻOiai inā ʻai iki ʻoe, e māʻona ʻoe. Ma muli o kēia, ua hoʻomalu ʻia ka nui o ka meaʻai āu e ʻai ai.
KaʻAnuʻu Hana ʻElua: ʻO ke ala ʻōpū
ʻO ka hana aʻe, ʻo ia ka hoʻopōkole ʻana i ka lōʻihi o kou ʻōpū liʻiliʻi. ʻO ko kākou ʻōpū liʻiliʻi kahi e komo ai ka hapa nui o nā meaolaola i loko o ka meaʻai a kākou e ʻai ai i loko o ko kākou kino. Ma kēia kaʻina hana, kāpae ke kauka lapaʻau i ka ʻāpana mua o ka ʻōpū liʻiliʻi a hoʻopili i ka ʻāpana hope loa i ka ʻōpū liʻiliʻi i hana hou ʻia.
I ka ʻōlelo maʻalahi, ke hiki ka meaʻai i ka ʻōpū, e kāpae ia i kahi ʻāpana nui o ka ʻōpū liʻiliʻi a hele pololei i ka anus. Hoʻemi nui kēia i ka manawa a me ka wahi i loaʻa i ke kino e omo ai i nā calorie a me nā meaola i loko o ka meaʻai.
ʻO ka hui pū ʻana o kēia mau ʻano ʻelua e alakaʻi ai i ka pohō kaumaha. ʻO ia hoʻi:
- Ke emi nei ka nui āu e ʻai ai.
- Hoʻemi ʻia ka nui o nā calorie i omo ʻia e ke kino mai ka mea āu e ʻai ai.
Eia kekahi, hoʻopilikia pū kēia ʻoki kino i ka ʻōnaehana hormonal e kāohi ana i ka pōloli a me ka māʻona i loko o ko mākou kino. ʻO ka hopena, ua emi ka pōloli a ua ʻike koke mākou i ka māʻona.
No wai kēia ʻoki kino kūpono loa?
ʻAʻole kēia he ʻoki kino no nā kānaka a pau. Paipai nā kauka i kēia ʻoki kino no ka poʻe wale nō i pilikia nui i ko lākou olakino ma muli o ka momona. E nānā kākou i ka poʻe i kūpono no kēia.
| Kūpono | Wehewehena |
|---|---|
| Momona nui (Papa III Momona) | Inā ʻo kou helu helu nui o ke kino (BMI) he 40 a ʻoi aku paha. (ʻO ka BMI ke ana inā he kaumaha olakino kou no kou kiʻekiʻe.) |
| ʻO ka momona a me nā maʻi ʻē aʻe (Class II Obesity me Comorbidities) | Inā he 35 a ʻoi aku paha kou BMI, a he pilikia olakino koʻikoʻi kou i hoʻokumu ʻia e ka momona. |
He aha nā pilikia olakino e hiki ke hana ʻia e ka momona?
- ʻAno 2 Diabetes
- Ke koko kiʻekiʻe
- Nā pae cholesterol koko kiʻekiʻe
- Maʻi puʻuwai
- ʻAneʻane hiamoe
- Maʻi ʻaʻai momona (maʻi ʻaʻai steatotic e pili ana i ka hana metabolic)
Inā loaʻa iā ʻoe kēia ʻano maʻi, hiki i ke ʻoki ʻana o Duodenal Switch ke kōkua iā ʻoe e hōʻemi i ke kaumaha a kōkua pū iā ʻoe e kaohi i kēlā mau maʻi.
He aha kāu e hana ai ma mua o ke ʻoki kino?
Inā hoʻoholo ke kauka ua kūpono ʻoe no kēia ʻoki kino, ʻaʻole ʻo ia e hana koke i ke ʻoki kino. Ma mua o kēlā, aia kahi kaʻina hana e nānā pono ai iā ʻoe a hoʻomākaukau iā ʻoe no kēia.
- Nā hoʻokolohua lapaʻau: Hana ʻia nā hoʻokolohua koko a me nā ECG e ʻike ai inā aia kou olakino kino i kahi pae e hiki ai iā ʻoe ke kū i ke ʻoki kino.
- Ke hoʻopau ʻana i nā ʻano maikaʻi ʻole: Inā ʻoe e puhipaka a inu waiʻona paha, e hāʻawi ʻia ʻoe i ka ʻōlelo aʻo e hoʻōki loa iā lākou a me ka mālama ʻana inā pono.
- ʻŌlelo aʻoaʻo noʻonoʻo:He loli nui kēia i ke ola. Ma hope o ke ʻoki kino, e loli nā mea he nui i kou ola. Hāʻawi ʻia ke aʻo ʻana e kōkua iā ʻoe e hoʻomākaukau noʻonoʻo no kēlā loli.
- Hoʻomaopopo: Mālama ʻia nā papa hana e hāʻawi i kahi ʻike piha o ke ʻoki kino a pehea e ola ai ma hope.
- ʻAi kūikawā: I kekahi mau pule ma mua o ke ʻoki kino, e noi ʻia ʻoe e hahai i kahi ʻai kūikawā. Pili kēia i ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka protein a haʻahaʻa i ka momona a me nā kalapona.
He aha nā pōmaikaʻi a me nā pōʻino o ke ʻoki kino?
E like me nā hana ʻoki kino a pau, he pono, he pōʻino, a he pilikia ko kēia, a he mea nui e hoʻomaopopo pono iā lākou.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pōʻino |
|---|---|
| Hiki iā ia ke hōʻemi i ke kaumaha nui loa ma mua o nā ʻoki pohō kaumaha ʻē aʻe. | Aia kahi pilikia kiʻekiʻe loa o ka nele i nā meaʻai, e pono ai nā huaora a me nā mea hoʻopihapiha meaʻai no ke ola holoʻokoʻa. |
| Loaʻa nā hopena maikaʻi loa no nā poʻe me ka maʻi diabetes Type 2. | Hiki ke hana pinepine ʻia nā neʻe ʻana o ka ʻōpū a i ʻole ka maʻi pākī. |
| Hiki iā ʻoe ke ʻai iki aʻe ma mua o nā ʻoki kino ʻē aʻe. | E like me nā ʻoki kino āpau, aia nā pilikia e like me nā maʻi, ke kahe koko nui, nā hopena i ka anesthesia, a me nā ʻūpā koko. |
| Ua emi ka manawa kūpono o ka `dumping syndrome` (ʻeha ʻoluʻolu e kū koke ma hope o ka ʻai ʻana). | Hiki ke loaʻa nā pilikia e like me ka hoʻokumu ʻana o ka hernia a me ka pale ʻana o ka ʻōpū liʻiliʻi. |
He aha kāu e manaʻo ai ma hope o ke ʻoki kino?
Pono ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki kino. Hiki ke hala i ʻelua a ʻehā pule e hoʻōla piha ai. I loko o kēia manawa, e loli nui kou kino.
I ka wā mua, hiki iā ʻoe ke loaʻa nā ʻano ʻehaʻeha no ka manawa pōkole e like me:
- Manaʻo luhi loa a me ka paupauaho
- Ka luaʻi
- Nā loli o ke ʻano
- Ka nalowale o ka lauoho (he manawa pōkole kēia)
- ʻEha kino
- Manaʻo anuanu ma mua o ka maʻamau
Mai hopohopo. He manawa pōkole wale nō kēia. E nalo mālie ana kēia mau ʻeha i ka wā e hoʻomaʻamaʻa ai kou kino i kēia loli hou.
ʻO ka mea nui loa, ʻo ia ka launa pū ʻana me kāu kauka. Pono ʻoe e hele no nā hoʻokolohua maʻamau i nā makahiki ʻelua mua, a laila e nānā pinepine ʻia kou olakino a me kou pae meaʻai i kou ola a pau.
E makaʻala hoʻi kākou i nā pilikia lōʻihi e hiki mai ana.
ʻOiai ua holomua loa kēia ʻoki kino, aia kekahi mau mea e makaʻala ai i ka wā lōʻihi.
Ka ʻai ʻole ʻana
ʻO kēia ka pilikia nui . ʻOiai ʻaʻole hiki i kou ʻōpū liʻiliʻi ke omo i nā meaʻai, ʻoi aku ka nui o kou loaʻa ʻana o nā hemahema o ka wikamina a me ka minelala. No laila, pono ʻoe e lawe i nā mea hoʻohui wikamina a me ka minelala e like me ke kauoha a kāu kauka no ke koena o kou ola. Pono nō hoʻi ʻoe e hoʻāʻo ʻia kou koko i nā manawa maʻamau e nānā i kāu pae meaʻai.
Ka maʻi pākī
No ka mea ʻaʻole i hoʻoheheʻe pono ʻia ka meaʻai, hiki ke loaʻa nā kūlana e like me ka neʻe pinepine ʻana o ka ʻōpū a i ʻole ka maʻi diarrhea. Eia nō naʻe, inā ʻoe e hahai pololei i nā ʻōlelo kuhikuhi i hāʻawi ʻia e kāu kauka, hiki ke kāohi ʻia kēia i kahi nui.
Nā pōhaku ʻōpū
Ke hoʻemi koke ʻoe i ke kaumaha, hoʻopuka kou akepaʻa i ka cholesterol hou aʻe, hiki ke hōʻiliʻili i loko o kou gallbladder a hana i nā gallstones.
ʻO ka reflux bile
I kekahi manawa, ma muli o nā loli i ka hana o nā kiwikā o ka ʻōpū, hiki i ka bile ke kahe i loko o ka ʻōpū.
E nānā pono ana kāu kauka iā ʻoe no kēia mau mea a pau. No laila, ʻo ka mea nui loa, ʻaʻole e hopohopo a e haʻi koke aku i kāu kauka inā loaʻa iā ʻoe kekahi ʻano ʻeha.
Leka Lawe-Home
- He hana ʻoki kino holomua a koʻikoʻi hoʻi ʻo Duodenal Switch no ka momona nui. ʻAʻole kēia he hoʻoholo e lawe māmā ʻia.
- ʻAʻole wale kēia ʻoki kino e hoʻemi i ka ʻōpū, akā hoʻopōkole pū i ke ala ʻai. ʻO ka hopena, hiki koke ka pohō kaumaha.
- ʻO ka pilikia nui o kēia ʻoki kino, ʻo ia ka nele i nā meaʻai. No laila, he mea koi ʻia nā mea hoʻohui huaora a me nā mineral no ke ola holoʻokoʻa.
- He mea nui loa ka mālama ʻana i ka pilina mau me ke kauka a hana i nā nānā mau ʻana i kou ola a pau ma hope o ke ʻoki ʻana.
- He mea hana wale nō kēia ʻoki kino. Aia ka holomua o ke ʻoki kino ma kāu kūpaʻa. He mea nui ka mālama ʻana i kahi ʻai olakino a me kahi nohona hana.
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