Ke manaʻo nei ʻoe ua ʻoluʻolu ʻole loa no ka mea ua piʻi ke kaumaha o kou kino i kahi pae hiki ʻole ke hoʻokele ʻia, ʻo ia hoʻi, ka momona? Ke hakakā nei ʻoe me nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe? A laila ua lohe paha ʻoe e pili ana i nā ʻokiʻoki kaumaha. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia mau mea, he ʻokiʻoki paʻakikī iki akā holomua loa, ʻo ia hoʻi ke ʻokiʻoki 'Duodenal Switch'. ʻAʻole kēia he ʻokiʻoki no nā mea āpau, akā he mea nui loa ia e makaʻala i kēia.
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I ka ʻōlelo maʻalahi, he aha ke ʻano o ke ʻoki ʻana o Duodenal Switch?
ʻO Duodenal Switch kahi ʻano hana ʻoki bariatric e pili ana i ʻelua mau mea nui: ʻo kekahi ka wehe ʻana ma kahi o 80% o kou ʻōpū a hana iā ia i loko o kahi lima liʻiliʻi . ʻO ka lua ka hoʻemi ʻana i ka lōʻihi o kou ʻōpū liʻiliʻi a me ka hoʻopōkole ʻana iā ia .
Hoʻemi kēia mau hoʻololi ʻelua i ka nui o ka meaʻai hiki iā ʻoe ke ʻai a hoʻemi nui i ka nui o nā calorie e omo ai kou kino. ʻO ka hopena, he emi nui ke kaumaha o ke kino. ʻOiai he ʻoki kino maʻamau ʻole kēia i hoʻohālikelike ʻia me nā ʻoki kino hōʻemi kaumaha ʻē aʻe, ʻo ka hopena pinepine ia i ka nui o ka hōʻemi kaumaha.
ʻElua mau ʻano nui no kēia:
- ʻAno hana kuʻuna: Biliopancreatic Diversion me Duodenal Switch (BPD/DS)
- Ke ʻano hana hou: Hoʻokahi Anastomosis Duodeno-Ileal bypass me Sleeve Gastrectomy (SADI-S)
Pehea e kōkua ai kēia ʻoki kino iā ʻoe e hoʻemi i ke kaumaha?
E noʻonoʻo iā ia he ʻoki ʻelua ʻanuʻu.
KaʻAnuʻu Hana 1: Wehe ke kauka i kahi ʻāpana nui o kou ʻōpū (ma kahi o 80%). ʻO ke koena liʻiliʻi ua like ke ʻano me ka maiʻa, e like me ka ʻōmole. Kāhea mākou i kēia (Sleeve Gastrectomy). No ka mea, he liʻiliʻi ka ʻōpū, ʻaʻole hiki iā ʻoe ke ʻai nui i ka manawa hoʻokahi. ʻOiai inā ʻai iki ʻoe, e piha ʻoe.
KaʻAnuʻu Hana 2: A laila, e loaʻa iā ʻoe kahi bypass ʻōpū. Hoʻopau ʻia ka hapa mua o kou ʻōpū liʻiliʻi a pili pololei ka hapa hope i ka ʻōpū i hana hou ʻia. Ua like ia me kahi ala pōkole e pale aku ai i ke kaʻa ma ke alanui. ʻO ke ʻano kēia, ʻo ka hapa nui o ka meaʻai āu e ʻai ai e hele ma kou kino me ka ʻole o ka ʻeli ʻia. ʻO ke ʻano kēia, ʻoi aku ka liʻiliʻi o nā calorie a me nā meaola e omo ai ke kino mai ka meaʻai .
Ma hope o kēia ʻoki kino, ʻuʻuku kāu ʻai ʻana a emi iho ka omo ʻana o kou kino i ka meaʻai āu e ʻai ai. Eia kekahi, hoʻopilikia kēia ʻoki kino i ka hana hormonal o kou kino. Hoʻololi pū nā hormones e kāohi ana i ka pōloli a hoʻomāʻona iā ʻoe, hiki ke kōkua iā ʻoe e hōʻemi i ke kaumaha.
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Check Availability →No wai kēia ʻoki kino i ʻōlelo ʻia?
ʻAʻole kēia he ʻoki kino no nā kānaka a pau. Paipai nui ʻia no ka poʻe me ke kiʻekiʻe loa o ka momona (Class III obesity). E nānā pono kāu kauka i kou kūlana olakino a hoʻoholo inā kūpono kēia ʻoki kino iā ʻoe a ʻaʻole paha.
Hoʻomaopopo pinepine ʻia kēia ʻoki kino no ka poʻe e kū nei i nā kūlana i lalo:
| Nā Kūlana | Wehewehena |
|---|---|
| Ka Papa Kuhikuhi o ke Kino (BMI) | Inā he 40 a ʻoi aku paha kou BMI (Class III Obesity). |
| BMI a me nā maʻi ʻē aʻe | Inā he 35 a ʻoi aku paha kou BMI a he maʻi koʻikoʻi kou e pili ana i ka momona. |
| Nā hiʻohiʻona o nā maʻi e pili ana i ka momona: | |
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ʻO ka mea nui loa, ʻo ka hoʻoholo ʻana e hana i kēia ʻoki kino e hana ʻia e kahi hui o nā loea e nānā iā ʻoe. No laila e kamaʻilio ākea me kāu kauka e pili ana i kēia.
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
Inā hoʻoholo ke kauka he kūpono ʻoe no kēia ʻoki kino, e hoʻouna ʻia ʻoe no kekahi mau hoʻokolohua.
- Hana ʻia nā hoʻokolohua lapaʻau maʻamau e nānā inā maikaʻi kou olakino.
- Inā ʻoe e hoʻohana i ka paka, ka waiʻona, a i ʻole nā lāʻau lapaʻau, hāʻawi mākou i ke kōkua a me ka lāʻau lapaʻau āu e pono ai e hoʻōki i ka hoʻohana ʻana iā lākou.
- He hoʻololi nui kēia ʻoki kino i kou ola. E kuhikuhi ʻia ʻoe no ke aʻoaʻo noʻonoʻo e loiloi inā ua mākaukau kou noʻonoʻo no ia mea.
- Pono ʻoe e hele i nā seminā e hoʻonaʻauao iā ʻoe iho e pili ana i ke ʻoki kino a pehea e hoʻololi ai i kou nohona ma hope.
Ke pau kēia mau mea a pau, e hāʻawi ʻia ʻoe i kahi papaʻai kūikawā i kekahi mau pule ma mua o ke ʻoki kino. Loaʻa i loko kahi papaʻai kiʻekiʻe i ka protein, haʻahaʻa i nā carbohydrates, a haʻahaʻa i ka momona.
He aha nā pōmaikaʻi a me nā hemahema?
E like me nā mea āpau, loaʻa i kēia ʻoki nā pono a me nā hemahema.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pōʻino |
|---|---|
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He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no hoʻokahi a ʻelua paha lā. E hala ana ma kahi o ʻelua a ʻehā pule e hoʻōla piha ai. I loko o kēia manawa, e loli nui kou kino.
Nā hōʻailona manawa pōkole e hiki mai ana i ka wā e hoʻōla ai:
- Manaʻo luhi loa
- Ka luaʻi
- Ka nalowale o ka lauoho (he manawa pōkole kēia)
- ʻEha kino
- Ke anu nei ke kino
- Nā loli o ke ʻano
E emi pinepine ana kēia i ka hala ʻana o ka manawa.
ʻO ka mea nui loa, ʻo ia ke ʻike ʻana i kāu kauka i nā manawa maʻamau ma hope o ke ʻoki kino. E nānā mau ʻia ʻoe no nā makahiki ʻelua mua, a laila ma nā manawa maʻamau i kou ola a pau.
Nā pilikia a me ka hoʻokele lōʻihi
Ma muli o kahi hana nui kēia, aia kekahi mau mea e noʻonoʻo ai i ka wā lōʻihi.
- ʻAi ʻole i ka ʻai: ʻO kēia ka pilikia nui loa. No ka mea, ʻaʻole omo maikaʻi kou ʻōpū liʻiliʻi i nā meaʻai, pono ʻoe e lawe i nā mea hoʻohui huaora a me nā mineral no ke koena o kou ola . E nānā pinepine kāu kauka i kou koko e hōʻoia i ka lawa ʻana o kāu mau pae meaʻai.
- Ka maʻi kahe: Ma muli o ka ʻai maikaʻi ʻole ʻana o ka meaʻai, hiki i ka ʻōpala ke palupalu a pinepine. Hiki ke kāohi ʻia kēia ma ka hahai pono ʻana i ka papaʻai i hāʻawi ʻia e kāu kauka.
- Nā pōhaku ʻōpū: ʻO ka lilo ʻana o ke kaumaha nui i ka manawa hoʻokahi e hoʻonui ai i ka pilikia o ka loaʻa ʻana o nā pōhaku ʻōpū. Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e pale aku ai i kēia.
- ʻO Bile Reflux: I kekahi mau hihia, hiki i ka bile a me ke koko ke holo i hope i loko o ka ʻōpū.
Pehea e loli ai kāu mau ʻano ʻai ma hope o ke ʻoki ʻana?
ʻAʻole hiki iā ʻoe ke ʻai maʻamau koke ma hope o ke ʻoki ʻana. Pono ʻoe e hāʻawi i kou ʻōnaehana hoʻoheheʻe i ka manawa e ho'ōla ai a hoʻomaʻamaʻa i ka hana maʻamau hou. E loli mālie kāu ʻai.
1. ʻAi Wai Moakaka: Nā mea e like me ka wai sopa, ke kī ʻono ʻole.
2. ʻAi Wai Piha: Waiū, yogurt, nā sopa wai.
3. Nā Meaʻai i Kuʻi ʻia: Nā meaʻai i hoʻohuihui ʻia a wili maikaʻi ʻia.
4. ʻAi Palupalu: Nā mea e like me nā mea kanu i moʻa maikaʻi ʻia a me nā iʻa palupalu.
Pono e hana ʻia kēia mau ʻanuʻu a pau e like me ke aʻo a kāu kauka a me ka meaʻai meaʻai. Hiki ke hala i hoʻokahi mahina a ʻoi aku paha e hoʻi ai i ka ʻai maʻamau.
Leka Lawe-Home
- He hana ʻoki kino holomua loa ʻo Duodenal Switch, akā he paʻakikī no ka momona nui. ʻAʻole kūpono ia no nā kānaka a pau.
- ʻOiai hiki i kēia ʻoki kino ke kōkua iā ʻoe e lilo i kahi kaumaha nui, pono ia e hana i nā hoʻololi nui i kou nohona.
- He mea nui e lawe i nā mea hoʻopihapiha huaora a me nā mineral i ke ola holoʻokoʻa e pale aku ai i nā hemahema meaʻai.
- ʻOiai ma hope o ke ʻoki ʻana, he mea nui loa e ʻike i kāu kauka i nā manawa maʻamau a hana i nā hoʻokolohua e pono ai.
- Inā ʻoe e noʻonoʻo ana i kēia ʻano hana ʻoki kino, e kūkākūkā i nā kikoʻī āpau me kāu kauka a hoʻoholo i ka hopena kūpono loa iā ʻoe.
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