ʻO ʻoe kekahi kanaka e ʻeha nui ana i ka momona? Malia paha ʻaʻole ʻoe i hana i kekahi mea e hōʻemi ai i ke kaumaha. Ua hoʻāʻo ʻoe i nā ʻano papaʻai like ʻole, hoʻokē ʻai, a hoʻoikaika kino, a ua luhi ʻoe. Akā, ʻaʻole naʻe i loaʻa iā ʻoe nā hopena i makemake ʻia? A laila ua lohe paha ʻoe e pili ana i nā ʻoki pohō kaumaha, ʻoiai ke ʻoki "gastric bypass". No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha, a ua maopopo nā mea āpau.
I ka ʻōlelo maʻalahi, he aha ke ʻoki bypass gastric?
He hana ʻoki kino kēia i hana ʻia no ka hoʻemi ʻana i ke kaumaha a hoʻomaikaʻi i kou metabolism. Ua kapa pū kekahi poʻe iā ia he "Roux-en-Y". I nā huaʻōlelo maʻalahi, hana kēia hana ʻoki kino i kahi hoʻololi liʻiliʻi i kāu ʻōnaehana hoʻoheheʻe. Hoʻopaʻa kēia hoʻololi i ka nui o ka meaʻai hiki iā ʻoe ke ʻai a hoʻemi i ka nui o nā calorie a kou kino e omo ai mai ka meaʻai.
E noʻonoʻo e pili ana i ia mea, e hana ana kēia i ʻelua mau mea nui:
1. Hoʻemi ʻōpū: Hana ʻia kahi ʻeke liʻiliʻi e like me ka nui o ka hua manu mai luna o kou ʻōpū. ʻO ke koena o kou ʻōpū nui e like nō ia. ʻO ia hoʻi, hiki iā ʻoe ke ʻai i kahi meaʻai liʻiliʻi wale nō i ka manawa. Manaʻo mau ʻoe i ka māʻona ma hope o ka ʻai ʻana i kahi mea liʻiliʻi.
2. Ke ala ʻē: Hoʻopili ʻia kahi ʻāpana liʻiliʻi o kou ʻōpū liʻiliʻi i kēia ʻōpū i hana hou ʻia. ʻO ke ʻano kēia, ke ala ʻē nei ka meaʻai āu e ʻai ai i ka ʻāpana nui o ka ʻōpū a me ka ʻāpana mua o ka ʻōpū liʻiliʻi. Hoʻemi kēia ala ʻē i ka hiki o ke kino ke omo piha i nā meaola a me nā calorie i loko o ka meaʻai.
ʻO kēia ke kumu i kapa ʻia ai ʻo ia he ʻoki "bypass".
Hiki maoli ke hana ʻia kēia ʻoki kino e nā kānaka a pau? A i ʻole no wai ia mea kūpono?
ʻAʻole, ʻaʻole kēia he ʻoki kino no nā kānaka a pau. Paipai wale nā kauka iā ia no ka poʻe i momona nui loa . Hiki iā ia ke kōkua i ka kaohi ʻana i nā maʻi ʻē aʻe i hoʻokumu ʻia e ka momona (e like me ka Type 2 Diabetes, Hypertension, Obstructive Sleep Apnea, a me GERD).
Ma keʻano laulā, i mea e kūpono ai no kēia ʻoki kino, pono ʻoe e loaʻa i kēia mau kūlana:
| Kūpono | Wehewehena |
|---|---|
| Momona nui (Papa III Momona) | Pono kou helu helu kino, a i ʻole BMI, he 40 a ʻoi aku paha. |
| Ka momona a me nā maʻi ʻē aʻe | Inā he 35 a ʻoi aku paha kou BMI , pono nō hoʻi iā ʻoe ma ka liʻiliʻi hoʻokahi kūlana olakino i hoʻokumu ʻia e ka momona, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. |
| Ka maʻi diabetes i kāohi ʻole ʻia | Inā loaʻa iā ʻoe ka maʻi diabetes ʻano 2 i paʻakikī ke kaohi ma muli o ka momona a ʻoi aku kou BMI ma mua o 30 , hiki i kāu kauka ke ʻōlelo aku i kēia ʻoki kino. |
Akā e hoʻomanaʻo, ʻaʻole hiki iā ʻoe ke hana i kēia ʻoki kino inā loaʻa iā ʻoe nā mākaukau. E nānā pono kāu kauka a me ka hui lapaʻau iā ʻoe e ʻike inā ua mākaukau ʻoe no ka noʻonoʻo a me ke kino no kēia.
Nā mea ʻē aʻe a nā kauka e nānā ai ma mua o ke ʻoki ʻana
- Kou kūpaʻa i nā loli o ke ʻano o ka nohona: ʻAʻole kēia he hana kilokilo. Ma hope o ke ʻoki kino, pono ʻoe e hoʻololi i kāu mau ʻano ʻai no ke ola a pau . E ʻike lākou inā ua mākaukau ʻoe no kēlā.
- Hoʻomākaukau kino a me ka noʻonoʻo: E hana ʻia nā hoʻāʻo koko a me ka puʻuwai e ʻike ai inā hiki iā ʻoe ke ʻae i ke ʻoki kino. E nānā ʻia hoʻi kou kūlana noʻonoʻo.
- Ke hoʻāʻo nei i nā ʻano hana ʻē aʻe: I kekahi manawa, hiki i nā hui, e like me nā ʻoihana ʻinikua, ke nīnau paha inā ua hahai ʻoe i kahi papaʻai a me ka hoʻoikaika kino ma lalo o ka nānā ʻana o ke kauka ma mua o ke ʻoki ʻana.
ʻEhia ke kaumaha e lilo me ke ʻoki kino?
He pilikia kēia no nā kānaka he nui. E lilo nui ana kou kaumaha i loko o ka makahiki mua a ʻelua paha ma hope o ke ʻoki kino. Ma ka awelika, e lilo ana ʻoe ma kahi o 70% o kou kaumaha keu. Hiki i kekahi poʻe ke piʻi iki ke kaumaha i ka hala ʻana o ka manawa, akā ma hope o 20 mau makahiki, aia kekahi poʻe i mālama i ka awelika o 50% o ko lākou kaumaha keu. He holomua nui kēlā.
Pehea e hana ʻia ai ke ʻoki kino?
I kēia mau lā, hana pinepine ʻia kēia ʻoki kino me ka hoʻohana ʻana i kahi ʻano hana i kapa ʻia ʻo laparoscopy . Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery." ʻO ke ʻano kēia, ma kahi o ka hana ʻana i kahi ʻoki nui i loko o ka ʻōpū, hana ʻia ke ʻoki kino ma o 3-5 mau ʻoki liʻiliʻi loa, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana kūikawā. ʻO ka hopena, emi ke kahe ʻana o ke koko, emi ka ʻeha, a me ka wikiwiki o ka ho'ōla ʻana.
Hiki ke hala ke ʻoki kino ma waena o 2 a me 4 mau hola. Pono ʻoe e noho ma ka haukapila no ʻelua lā ma hope.
He aha nā pilikia a me nā pilikia e hiki mai ana o kēia?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. ʻOiai he ʻoki kino nui kēia, he mea nui loa ia e makaʻala iā lākou.
| ʻAno pilikia | Wehewehena |
|---|---|
| Nā pilikia pōkole (e pili ana i ke ʻoki kino) | |
| Nā maʻi | Nā huakino e komo ana i nā ʻoki. |
| Kahe nui ʻana o ke koko | Ke kahe koko nui ʻana i ka wā a ma hope paha o ke ʻoki kino. |
| Nā hopena i ka anesthesia | Nā hopena maikaʻi ʻole o ke kino i nā lāʻau anesthesia. |
| Nā pilikia lōʻihi | |
| ʻO ka maʻi hoʻolei | ʻIke ʻia nā hōʻailona e like me ka nausea, ka ʻeha o ka ʻōpū, ka pehu ʻana, a me ka hou ʻana i ka wā e neʻe wikiwiki ai ka meaʻai ma o ka ʻōpū liʻiliʻi. Hiki ke hana ʻia kēia i ka wā e ʻai ana i nā meaʻai kiʻekiʻe i ke kō a me ka palaoa. |
| Nā hemahema meaʻai | ʻO ka emi ʻana o ka omo ʻana o nā meaolaola hiki ke alakaʻi i ka nele i nā wikamina a me nā minelala (e.g., hao, calcium, wikamina B12), e pono ai nā mea hoʻohui wikamina no ke ola holoʻokoʻa . |
| Nā pōhaku ʻōpū | Aia kahi pilikia o ka hoʻomohala ʻana i nā pōhaku gall ke lilo koke ke kaumaha. |
| ʻUluʻulu | He ʻano ʻōpū e like me ka ʻōpū e puka mai ana mai kahi i ʻoki ʻia ai. |
| Piʻi hou ke kaumaha | Inā ʻaʻole ʻoe e hahai pono i nā ʻōlelo a kāu kauka a ʻaʻole hoʻi e kaohi i kāu ʻai, e hoʻonui mālie paha kou ʻōpū a e piʻi hou paha kou kaumaha. |
Pehea ke ola ma hope o ke ʻoki kino?
ʻO kēia ka ʻāpana koʻikoʻi loa. ʻO ke ʻoki kino ka hoʻomaka wale nō o ka huakaʻi.
Ka manawa ho'ōla
Pono ʻoe e hoʻomaha ma ka home no kekahi mau pule. ʻAʻole hiki iā ʻoe ke hana i nā hana kaumaha no hoʻokahi mahina a me ka hapa. Hiki ke hala ma kahi o 2-3 mahina e hoʻomaka ai e ʻai i nā meaʻai paʻa ma ke ʻano maʻamau. I ka hoʻomaka ʻana, he mea maʻamau ka luhi, ka nalowale o ka lauoho, a me ka ʻeha o ke kino .
ʻAi - ʻO kēia ka ʻokoʻa nui loa!
E hāʻawi ʻia ʻoe i kahi papaʻai kūikawā e hahai ai no ke koena o kou ola.
- Hoʻomaka me nā meaʻai wai: Hoʻohana ʻia nā pule mua i nā mea e like me nā wai a me nā sopa. A laila e neʻe mālie i nā meaʻai palupalu i kuʻi ʻia.
- ʻO ka protein ka mea nui loa i kāu meaʻai: ʻO ka protein (iʻa, ʻiʻo, hua manu, lentil) ka mea nui. He mea nui kēia no ka mālama ʻana i kou mau ʻiʻo i ikaika.
- E pale i nā meaʻai kiʻekiʻe i ke kō a me ka palaoa: Pono ʻoe e kaupalena i nā mea e like me ke kō, nā mea ʻono, ka berena, a me ka laiki. Hiki i kēia ke hana i ka "Dumping Syndrome" i ʻōlelo ʻia ma luna.
- Ka inu ʻana i ka wai nui: Pono ʻoe e inu ma kahi o 2 lita o ka wai i ka lā. Akā, ʻaʻole maikaʻi ke inu ʻana i ka wā e ʻai ana. Pono ʻoe e inu i 30 mau minuke ma mua a ma hope paha o ka ʻai ʻana.
- Nā mea hoʻohui huaora a me nā minelala: He mea pono kēia. Pono ʻoe e lawe i nā huaora i kuhikuhi ʻia e kāu kauka i kēlā me kēia lā no ke koena o kou ola.
E hoʻomanaʻo, he mea hana ikaika wale nō kēia ʻoki kino i kāu huakaʻi olakino. Akā, pono ʻoe e hana pū me ia e hana ai. ʻAʻole ia e holo pono me ka ʻole o kāu kūpaʻa.
ʻO ka mea hope loa, he hoʻoholo koʻikoʻi ke ʻoki ʻana i ka ʻōpū. Akā i ka hui pū ʻia me nā maʻi e hiki ke hopena mai ka momona nui, hiki iā ia ke lilo i mea hoʻololi ola a olakino hoʻi e ola ai. Inā ʻoe e noʻonoʻo nei, e ʻoluʻolu e hālāwai me kahi loea e kūkākūkā i nā pono a me nā pōʻino o ke kaʻina hana me kāu kauka a hoʻoholo.
Leka Lawe-Home
- He lāʻau lapaʻau kūleʻa loa ka ʻoki bypass gastric no ka momona nui.
- Hoʻemi kēia i ka nui o ka meaʻai āu e ʻai ai a me ka nui o nā calorie i omo ʻia e kou kino.
- ʻAʻole kūpono kēia no nā kānaka a pau. E paipai ke kauka i kēia ma muli o kou BMI a me nā kūlana olakino ʻē aʻe.
- I mea e holomua ai ke ʻoki ʻana, pono ʻoe e hoʻololi i kāu meaʻai a me kou nohona no ke ola a pau .
- E like me nā ʻoki kino āpau, aia nā pilikia a me nā pilikia. E kūkākūkā pono i kēia mau mea me kāu kauka.
- Ma hope o ke ʻoki ʻana, he mea pono e lawe i nā huaora a me nā minela no ke ola a pau.
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