ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ke ʻoki kino 'Duodenal Switch' no ka momona (Duodenal Switch)

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.

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.

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:

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.

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.

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.