Ua luhi ʻoe i ka hoʻāʻo ʻana i nā mea like ʻole e hōʻemi ai i ke kaumaha? Malia paha ua hoʻāʻo nui ʻoe e kāohi i kāu ʻai a me ka hoʻoikaika kino i kēlā me kēia lā, akā ʻaʻole ʻoe i ʻike i nā hopena āu i manaʻolana ai. ʻAʻole kēia wale nō kou pilikia, ua ʻike ka nui o ka poʻe e hakakā nei me ka momona i kēia. No laila, ma ke ʻano he hopena no kēia, i kēia lā e kamaʻilio mākou e pili ana i kahi ala hou a palekana e hōʻemi ai i ke kaumaha me ka ʻole o ke ʻoki kino.
He aha ka Endoscopic Sleeve Gastroplasty (ESG)?
He mea paʻakikī paha ke kani ʻana o ka inoa, akā he mea maʻalahi loa ia. I ka ʻōlelo maʻalahi, ʻo Endoscopic Sleeve Gastroplasty (ESG) kahi hana e hōʻemi ai i ka nui o kou ʻōpū (ʻōpū) me ka ʻole o nā ʻoki. He koho maikaʻi loa ia no ke ʻoki bariatric.
E noʻonoʻo i kou ʻōpū e like me kahi ʻeke lole nui. Ma kēia kaʻina hana, ma kahi o ka ʻoki ʻana i ka ʻeke mai waho, humuhumu ʻoe mai loko a hana i kahi puka liʻiliʻi. E like me ka wā o ka gastroscopy, hoʻokomo ke kauka i kahi ʻōmole lahilahi (endoscope) me kahi kāmela liʻiliʻi i hoʻopili ʻia ma kou waha i loko o kou ʻōpū. A laila, me ka hoʻohana ʻana i kahi mea kūikawā i hoʻopili ʻia i ka ʻōmole, ua hoʻohui ʻia nā paia o ka ʻōpū a humuhumu ʻia. Kapa kekahi poʻe i kēia ʻo "Accordion Procedure" no ka mea ua pelu ʻia ka ʻōpū mai loko mai ma kēia ʻano.
Ma hope o kēia kaʻina hana, lilo kou ʻōpū nui e like me ka lima lima lahilahi, i ke ʻano e like me ka maiʻa. ʻO ke ʻano kēia e emi ana ma kahi o 30% o kona nui ma mua.
ʻElua mau pono nui o kēia:
1. Ua kaupalena loa ʻia ka nui o ka meaʻai hiki iā ʻoe ke ʻai no ka mea he liʻiliʻi kou ʻōpū. Ua piha nō ʻoe ʻoiai inā ʻai iki ʻoe.
2. No ka mea, ua like ka ʻōpū me kahi ʻōmole lahilahi, hoʻonui ʻia ka manawa e hele ai ka meaʻai ma loko. No laila, ʻaʻole ʻoe e pōloli no ka manawa lōʻihi.
No wai kēia lāʻau lapaʻau kūpono?
ʻO ka maʻamau, ʻōlelo ʻia ka mālama ʻana o ka ESG no nā pākeke a i kekahi manawa nā kamaliʻi ʻōpio i momona loa. Inā he kanaka makua ʻoe, makemake paha ʻoe e noʻonoʻo i kēia inā ʻoi aku kou helu helu kino (BMI) ma mua o 30. ʻO ka maʻamau, ʻōlelo ʻia ke ʻoki ʻana o Bariatric no ka poʻe me ka BMI kiʻekiʻe loa.
Inā ua hoʻāʻo mua ʻoe e hōʻemi i ke kaumaha ma o ka ʻai a me ka hoʻoikaika kino a ua hāʻule, ua hiki i ka manawa e noʻonoʻo ai i kahi hana lapaʻau e like me kēia. No ka poʻe i kūpono ʻole no ke ʻoki kino nui, a makaʻu paha a makemake ʻole paha e hana i ke ʻoki kino, ʻo ESG ke koho maikaʻi loa ma waena o nā mea ʻelua.
ʻO ka mea nui loa, ma mua o ka hoʻoholo ʻana inā kūpono kēia iā ʻoe a ʻaʻole paha, pono ʻoe e kamaʻilio me kahi loea, ʻo ia hoʻi kahi gastroenterologist.
He aha nā kūlana olakino ʻē aʻe e hiki ke kaohi ʻia me (ESG)?
ʻAʻole wale ka momona e pili ana i ka piʻi ʻana o ke kaumaha. He ʻano paʻakikī ia e hoʻopilikia ai i ke kino i ka hala ʻana o ka manawa. Hoʻonui pū ia i ka pilikia o nā maʻi ʻino ʻē aʻe he nui.
ʻo kahi laʻana:
- ʻAno 2 Diabetes
- Ke koko kiʻekiʻe
- Hoʻonui ʻia nā pae cholesterol
- Maʻi cardiovascular
- Maʻi ake momona
- Ka hanu ʻana a me ka apnea hiamoe
ʻO ka hōʻemi kaumaha kūleʻa ma o ke ʻano hana (ESG) hiki ke hōʻemi i ka pilikia o ka loaʻa ʻana o kēia mau maʻi. Inā loaʻa iā ʻoe kēlā ʻano maʻi, me ka hōʻemi kaumaha, hiki ke hoʻomalu ʻia nā hōʻailona, a malia paha e hoʻopau ʻia ka lāʻau lapaʻau no lākou .
He aha ka mea e hana ʻia ma mua a i ka wā o ka mālama ʻana?
E kamaʻilio kākou e pili ana i kēia kaʻina hana ma kēlā me kēia ʻanuʻu.
Ma mua o ke Kaʻina Hana
E hoʻoholo pū ʻoe a me kāu kauka inā he kūpono ʻoe no kēia. Pono ʻoe e hana i kekahi mau hoʻokolohua e hana pēlā.
- Nānā olakino: Hiki ke hana ʻia nā hoʻāʻo koko a me kahi ECG e ʻike ai inā ua mākaukau kou kino no ka anesthesia laulā.
- Kūkākūkā lapaʻau: E kamaʻilio lōʻihi ke kauka me ʻoe e pili ana i kou mōʻaukala olakino, ka ʻai, ke ʻano o ka nohona, a me nā pahuhopu no ka pohō kaumaha.
- Hoʻonaʻauao: E hoʻomaopopo piha ʻia ʻoe e pili ana i nā pono, nā hemahema, a me nā pilikia o kēia ʻano hana. ʻO ka mea nui loa, e hāʻawi ʻia ʻoe i kahi ʻike maikaʻi o nā loli lōʻihi e pono ai ʻoe e hana i kou nohona i mea e holomua ai.
I ka wā o ke kaʻina hana
ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā e hana ʻia ana kēia, no ka mea, ua hāʻawi ʻia ʻoe i ka anesthesia piha a ua hiamoe loa.
1. Hoʻokomo ke kauka loea (gastroenterologist a endoscopic surgeon paha) i kahi ʻōmole me kahi kāmela i kapa ʻia he endoscope ma kou waha a hoʻokomo iā ia ma kou esophagus i loko o kou ʻōpū.
2. A laila, hoʻokomo ʻia ke kinoea i loko o ka ʻōpū e hoʻopiha iki iā ia. ʻO kēia ka mea e ʻike maopopo ai i loko.
3. ʻOiai e nānā ana i nā kiʻi mai ke kāmela ma kahi monitor, hoʻohana ke kauka i kahi mea kūikawā i hoʻopili ʻia i ka endoscope e hoʻohui i nā paia o ka ʻōpū a kau i kahi 8 a 10 mau humuhumu.
4. Ke hoʻopaʻa ʻia kēia mau humuhumu, lilo ka ʻōpū nui i ke ʻano e like me ka ʻōmole lahilahi.
Ma waena o 60 a me 90 mau minuke ka lōʻihi o kēia kaʻina hana holoʻokoʻa.Wale nō. Ma hope o ke ala ʻana mai ka anesthesia, inā ʻaʻohe ʻeha nui, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Inā loaʻa iā ʻoe kekahi ʻeha a nausea paha, e hoʻokuʻu ʻia ʻoe mai ka haukapila ma hope o ka mālama ʻana.
Pehea kou manaʻo ma hope o ka lāʻau lapaʻau?
Pehea ka ʻeha?
Hiki i ka hapa nui o ka poʻe ke loaʻa i kahi ʻeha iki i ka wā e ho'ōla ana ko lākou ʻōpū. Hiki i kekahi poʻe ke loaʻa i kahi ʻeha nui a me ka nausea no kekahi mau lā. Eia nō naʻe, hiki ke hoʻomalu ʻia kēia mau ʻeha me nā mea hōʻeha ʻeha. Inā pono, e kuhikuhi kāu kauka i ka lāʻau lapaʻau.
Aia kekahi papaʻai kūikawā?
ʻAe, ʻoiaʻiʻo nō. Pono ʻoe e hahai i kahi papaʻai paʻa loa no ka mahina mua a i ʻole ma hope o kāu mālama ʻana. ʻO kēia ke hāʻawi i kou ʻōpū i ka manawa e ho'ōla ai ma hope o ka wehe ʻia ʻana o nā humuhumu. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo piha no kēia.
ʻO ka maʻamau, hele ka papaʻai ma kēia ʻano:
1. Pule mua: Nā wai wale nō (nā mea e like me ka sopa, ka wai huaʻai).
2. ʻElua pule: Nā meaʻai i hoʻomoʻa ʻia.
3. Nā pule ʻekolu a me ka hā: Nā meaʻai paʻa a palupalu iki.
4. Ma hope o hoʻokahi mahina: E hoʻomaʻamaʻa mālie i nā meaʻai paʻa maʻamau.
He aha nā pono a me nā pilikia o ka mālama ʻana iā ESG?
E like me nā lāʻau lapaʻau āpau, aia nā pono a me nā pilikia liʻiliʻi. He mea nui e hoʻokaʻawale a hoʻomaopopo pono i kēia mau mea.
| Nā Pōmaikaʻi | Nā pilikia a me nā pilikia |
|---|---|
| Ka pohō kaumaha nui: ʻO ka maʻamau, hiki iā ʻoe ke lilo ma kahi o 15% -20% o kou kaumaha kino holoʻokoʻa i ka makahiki mua. | ʻOluʻolu ʻole no ka manawa pōkole: Hiki ke loaʻa ka ʻeha o ka ʻōpū, ka nausea, a me ka puʻuwai no kekahi mau lā. |
| Ka kaohi ʻana i nā maʻi ʻē aʻe: Ka hoʻomaikaʻi ʻana i nā maʻi e pili ana i ka momona e like me ka maʻi diabetes a me ke koko kiʻekiʻe. | Nā manawa kūpono e piʻi hou ai ke kaumaha: Inā ʻaʻole i kaohi pono ʻia ke ʻano o ka nohona a me ka ʻai ʻana, hiki i ka ʻōpū ke kīkoʻo hou a lilo i mea nui, e hoʻonui ai i ke kaumaha. |
| Hoʻōla wikiwiki: ʻOiai ʻaʻole ia he ʻoki kino, he pōkole loa ka manawa hoʻōla. Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o hoʻokahi pule. | Ka pilikia haʻahaʻa loa: ʻO ka pilikia o ka hōʻeha iki ʻana i ka ʻōpū a i ʻole ka esophagus mai ka endoscope, a i ʻole kahi hopena maikaʻi ʻole i ka anesthesia, he haʻahaʻa loa ia. |
| ʻAʻohe ʻeha: ʻOiai ʻaʻohe ʻoki ʻia ma kekahi wahi o ke kino, ʻaʻohe ʻeha o waho i koe. |
He aha ka ʻokoʻa ma waena o kahi ʻoki kino maʻamau (Gastric Sleeve) a me ESG?
ʻO ka pahuhopu o nā ʻano hana ʻelua ua like ia: e hoʻēmi i ka ʻōpū a kaupalena i ka nui o ka meaʻai hiki iā ʻoe ke ʻai. Akā, ʻokoʻa loa ke ʻano o kā lākou hana ʻana.
- (ʻOki ʻana o ka ʻōpū): He ʻoki maoli kēia. Hana ʻia kekahi mau ʻoki ma ka ʻōpū a ua wehe ʻia ma kahi o 80% o ka ʻōpū. He loli mau loa kēia. ʻAʻole hiki ke hoʻohuli ʻia.
- (ESG) Lapaʻau: ʻAʻole kēia he ʻoki kino . ʻAʻohe ʻoki ʻia. ʻAʻohe ʻāpana o ka ʻōpū i ʻoki ʻia a wehe ʻia . Ua humuhumu wale ʻia a pelu ʻia. No laila, he hana invasive iki kēia ma mua o ke ʻoki kino ʻana o Gastric Sleeve.
ʻO kekahi ʻokoʻa koʻikoʻi, ʻo ia ka ʻoki ʻana o Gastric Sleeve, ʻo ka ʻāpana o ka ʻōpū i ʻoki ʻia a wehe ʻia kahi e hana nui ʻia ai kā mākou mau hormones pōloli. ʻO ka wehe ʻana i kēlā ʻāpana e kōkua pū i ka hoʻomalu ʻana i ka pōloli. ʻOiai ʻaʻole ʻoki ʻia a wehe ʻia ka ʻōpū i loko o (ESG), ʻaʻole nui ka hopena o nā hormones. No laila, ʻoi aku ka maikaʻi o ke ʻoki ʻana o Gastric Sleeve ma mua o (ESG) i ka hōʻemi kaumaha. Eia nō naʻe, ʻoi aku ke kiʻekiʻe o nā pilikia o ke ʻoki ʻana.
He ʻano paʻakikī loa ka momona. Ma muli o nā loli kemika i loko o ke kino, he mea paʻakikī loa i nā poʻe he nui ke lilo i ke kaumaha ma o ka kaohi ʻana i kā lākou ʻai maʻamau. ʻOiai he hopena maikaʻi ke ʻoki pohō kaumaha, ʻaʻole kūpono nā kānaka a pau no ia mea. Eia kekahi, makaʻu ka poʻe he nui i ka hana ʻoki nui ʻana. No laila, ʻo nā ʻano hana e like me (ESG) he hopena maikaʻi ia no lākou.
Leka Lawe-Home
- ʻO ka Endoscopic Sleeve Gastroplasty (ESG) kahi hana hou, ʻaʻohe ʻokiʻoki e kōkua ai i ka hōʻemi ʻana i ka nui o ka ʻōpū a me ka hoʻemi ʻana i ke kaumaha.
- ʻOi aku ka maikaʻi o kēia ʻano hana no ka poʻe i hoʻāʻo i nā ʻano hana ʻē aʻe o ka hōʻemi kaumaha a ua kūleʻa ʻole, akā ʻaʻole makemake a kūpono ʻole paha e hana i ke ʻoki kino nui.
- Ma waho aʻe o ka pohō kaumaha, kōkua nui kēia i ka kaohi ʻana i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
- I mea e loaʻa ai nā hopena holomua mai ka lāʻau lapaʻau, he mea nui e hana i nā hoʻololi lōʻihi i ka meaʻai a me ke ʻano o ka nohona. ʻAʻole kēia he hana kilokilo, a he mea nui kāu hoʻoikaika ʻana.
- No ka ʻike ʻana inā kūpono kēia ʻano hana iā ʻoe, e ʻimi pono i ka ʻōlelo aʻo mai ke kauka kūpono.
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