ʻO ʻoe kekahi kanaka e ʻeha nei i nā maʻi like ʻole e like me ka maʻi diabetes a me ke koko kiʻekiʻe ma muli o ka momona? Ua hoʻoikaika kino paha ʻoe, ua kāohi i kāu ʻai, a ua hana i nā mea āpau hiki iā ʻoe, akā ke hakakā nei ʻoe e hōʻemi i ke kaumaha. Inā pēlā, ua lohe paha ʻoe i nā ʻokiʻoki pohō kaumaha, i ʻike ʻia hoʻi he mau ʻokiʻoki bariatric. I kēia lā ke kamaʻilio nei mākou e pili ana i ke ʻokiʻoki bypass gastric, kekahi o nā ʻokiʻoki i hana pinepine ʻia ma ka honua.
I ka ʻōlelo maʻalahi, he aha ke ʻoki bypass gastric?
He ʻoki kino kēia i hoʻohana ʻia no ka hoʻemi ʻana i ke kaumaha a no ka hoʻoponopono ʻana i ka metabolism. Ua ʻike ʻia hoʻi kēia ʻoki kino ma kona inoa Farani, ʻo "Roux-en-Y".
I ka ʻōlelo maʻalahi, pili kēia ʻoki kino i ka hana ʻana i nā hoʻololi i kāu ʻōnaehana hoʻoheheʻe. Hoʻopaʻa ia i ka nui o ka meaʻai āu e ʻai ai a hoʻemi i ka nui o nā calorie a kou kino e omo ai. Pili nui kēia i nā hoʻololi i kou ʻōpū a me kou ʻōpū liʻiliʻi.
E noʻonoʻo i kou ʻōpū e like me kahi ʻeke nui. Hana kēia ʻoki kino i kahi ʻeke liʻiliʻi, e like me ka nui o ka hua manu, ma luna o kēlā ʻeke nui. A laila hele pololei ka meaʻai a mākou e ʻai ai i loko o kēia ʻeke liʻiliʻi. Mai laila mai, pili pololei ka meaʻai i ka ʻaoʻao haʻahaʻa o kou ʻōpū liʻiliʻi.
ʻO ke ʻano kēia, ʻo ka meaʻai āu e ʻai ai i kēia manawa e kāpae ana i ka ʻāpana nui o ka ʻōpū a me ka ʻāpana mua o ka ʻōpū liʻiliʻi. Pale kēia kāpae i kou kino mai ka omo piha ʻana i nā meaola a me nā calorie i loko o ka meaʻai. Penei ʻoe e hōʻemi ai i ke kaumaha.
No wai maoli kēia ʻoki kino?
ʻAʻole no nā kānaka a pau kēia ʻoki kino. Paipai wale nā kauka iā ia no ka poʻe momona loa. Aia kekahi mau mea e pono e hoʻopau ʻia e kūpono ai no kēia.
| Nā Kūlana Kūpono | Wehewehena |
|---|---|
| Momona nui (Papa III Momona) | Inā ʻoi aku ka nui o kou helu helu kino (BMI) ma mua o 40. |
| Ka momona a me nā maʻi ʻē aʻe | Inā ʻoi aku kou BMI ma mua o 35 a loaʻa iā ʻoe hoʻokahi a ʻoi aku paha nā kūlana olakino i hoʻokumu ʻia e ka momona, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka apnea hiamoe. |
| Ka maʻi diabetes i kāohi ʻole ʻia | Hiki ke ʻōlelo ʻia kēia ʻoki kino inā paʻakikī ke kaohi i ka maʻi diabetes Type 2 i hoʻokumu ʻia e ka momona a ʻoi aku ka BMI ma mua o 30. |
ʻO ka mea nui loa, ma mua o kou hana ʻana i kēia ʻoki kino, ua kūpaʻa ʻoe i ka hoʻololi ʻana i kou nohona a me nā ʻano ʻai no ke koena o kou ola. ʻAʻole kēia he hopena no ka manawa pōkole.
Eia kekahi, e nānā kahi hui o nā kauka a me nā loea olakino ʻē aʻe iā ʻoe ma mua o ka ʻōlelo ʻana i ke ʻoki kino.
- Ua olakino kino a noʻonoʻo paha ʻoe no ke ʻoki kino?
- Ke nānā ʻana inā hoʻohana ʻoe i ka waiʻona a i ʻole ka paka.
- Ke noʻonoʻo nei hoʻi mākou inā ua hoʻāʻo ʻoe e hoʻemi i ke kaumaha ma o nā ʻano hana ʻē aʻe (hoʻoikaika kino, ʻai) ma mua o ke ʻoki kino.
He aha nā pōmaikaʻi o ke ʻoki kino?
ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka emi nui o ke kaumaha. ʻO ka maʻamau, i loko o nā makahiki ʻelua mua ma hope o ke ʻoki kino, hiki iā ʻoe ke lilo ma kahi o 70% o kou kaumaha keu . ʻOiai ke piʻi iki nei ke kaumaha o kekahi poʻe i ka hala ʻana o ka manawa, hiki iā ʻoe ke mālama i kahi emi kaumaha lōʻihi ma kahi o 50%.
Ma waho aʻe o ka pohō kaumaha, kōkua pū kēia ʻoki kino i ka kaohi a hoʻōla piha paha i nā maʻi he nui i hoʻokumu ʻia e ka momona.
- ʻAno 2 Diabetes
- Ke koko kiʻekiʻe (Hypertension)
- ʻO ke kolesterol kiʻekiʻe i loko o ke koko (Hyperlipidemia)
- Maʻi puʻuwai
- Maʻi ake momona
- ʻO ka Gastritis a me ka maʻi reflux gastroesophageal (GERD)
- Ka hanu ʻana (Obstructive sleep apnea)
- ʻO ka ʻeha puʻuwai
Hiki i nā poʻe he nui ke hoʻōki a hōʻemi paha i nā lāʻau lapaʻau a lākou e lawe ai no kēia mau maʻi.
Pehea e hana ʻia ai ke ʻoki kino?
I kēia manawa, 90% o nā ʻoki bypass gastric e hana ʻia ma ke ʻano laparoscopic . Pili kēia i ka hana ʻana i 3-5 mau ʻoki liʻiliʻi loa (ma kahi o ka hapalua ʻīniha) ma ka ʻōpū, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana ʻoki. ʻO ka hopena o kēia ʻano hana he emi ka ʻeha, wikiwiki ka hoʻōla ʻana, a me nā pilikia liʻiliʻi.
Ma waena o 2 a me 4 mau hola ka lōʻihi o ke ʻoki kino. Pono ʻoe e noho ma ka haukapila no ʻelua lā ma hope o ke ʻoki kino.
ʻAʻole anei he mau pilikia a me nā pilikia lōʻihi o ke ʻoki kino?
E like me nā ʻoki kino nui a pau, aia kekahi mau pilikia. Eia nō naʻe, he mea maʻamau ʻole kēia mau mea. Ke hana ʻia e ke kauka ʻoki kino akamai, haʻahaʻa loa nā pilikia.
| ʻAno pilikia | Wehewehena |
|---|---|
| Nā Pōpilikia Pōkole | |
| Nā pilikia e pili ana i ke ʻoki kino | ʻO ka maʻi ʻeha, ke kahe koko nui, nā hopena i ka anesthesia. |
| Nā pilikia kūikawā i ke ʻoki kino | ʻO ka hernias, ka pale ʻana o ka ʻōpū liʻiliʻi, a me nā leaka anastomotic. |
| Nā pilikia lōʻihi | |
| ʻO ka maʻi hoʻolei | Ke ʻai ʻoe i nā meaʻai kiʻekiʻe i ke kō a i ʻole ka palaoa, neʻe koke lākou i loko o ka ʻōpū liʻiliʻi, e hana ana i nā hōʻailona e like me ka nausea, ka ʻōpū ʻeha, a me ka maʻi pākī. Hiki ke pale ʻia kēia ma ka kaohi ʻana i kāu ʻai. |
| Ka ʻai ʻole ʻana | Ma muli o ka emi ʻana o ka omo ʻana o ke kino i nā meaolaola, pono e lawe i nā mea hoʻopihapiha huaora a me nā minelala i kauoha ʻia e ke kauka i ke ola holoʻokoʻa. |
| Nā pōhaku ʻōpū | ʻO ka pohō kaumaha wikiwiki e hoʻonui ai i ka pilikia o nā pōhaku gall. |
| Hoʻihoʻi kaumaha | Inā ʻaʻole e loli nā ʻano ʻai a me ke ʻano o ka nohona, i ka hala ʻana o ka manawa, e ulu hou paha ka nui o ka ʻōpū i hoʻemi ʻia a piʻi aʻe paha ke kaumaha. |
Pehea ke ʻano o ke ola ma hope o ke ʻoki kino?
ʻO kēia ka ʻāpana koʻikoʻi loa. Ma hope o ke ʻoki kino, pono ʻoe e hahai i kahi papaʻai paʻa.
- Nā pule mua: ʻAi wai wale nō.
- Nā pule e hiki mai ana: ʻAi palupalu.
- Ma hope o 2-3 mahina: E hoʻolauna mālie i nā meaʻai paʻa.
He mea nui e hahai pono i nā ʻōlelo a ke kauka a me ka meaʻai i hāʻawi ʻia.
- Nā meaʻai waiwai i ka protein: He mea nui e ʻai i nā meaʻai waiwai i ka protein (iʻa, hua manu, waiū) e hoʻoikaika i nā ʻiʻo.
- E hōʻalo i nā meaʻai kō a me nā mea ʻai starch: Pono e hoʻemi ʻia nā mea inu ʻono, nā keke, nā biscuits, a me ka berena i ka hiki.
- Nā wikamina a me nā minelala: Pono ʻoe e lawe i nā mea hoʻohui i kauoha ʻia e kāu kauka i kou ola a pau.
- E inu i ka nui o ka wai: He mea nui e inu ma ka liʻiliʻi he 2 lita o ka wai i ka lā. Eia naʻe, e pale i ka inu ʻana i ka wai i ka wā e ʻai ana.
I ka wā e hoʻōla ai mai ke ʻoki ʻana, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao no ka manawa pōkole e like me ka luhi, nā ʻeha kino, a me ka nalowale o ka lauoho. E hoʻi hou kēia i ka maʻamau i ka hala ʻana o ka manawa.
E hoʻomanaʻo, ʻaʻole he hana kilokilo ke ʻoki ʻana i ka ʻōpū. He mea hana ikaika ia e kōkua iā ʻoe e hōʻemi i ke kaumaha. I mea e loaʻa ai ka pono nui mai ia mea, pono ia i ka nui o ke kūpaʻa a me ka hoʻoikaika ʻana ma kāu ʻaoʻao.
Inā ʻoe e ʻeha nei i ka momona, he mea nui loa e kamaʻilio me kāu kauka e aʻo hou e pili ana i kēia a hoʻoholo inā kūpono kēia iā ʻoe.
Leka Lawe-Home
- He hana ʻoki kino nui ka ʻoki bypass gastric no ka momona nui a me nā maʻi pili. ʻAʻole ia he hoʻoponopono wikiwiki.
- Hiki i kēia ʻoki kino ke alakaʻi i ka pohō kaumaha nui a hiki ke kōkua i ka kaohi ʻana i nā kūlana e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
- ʻO ka holomua o ke ʻoki kino e pili ana i kou kūpaʻa i nā loli i ka meaʻai a me ke ʻano o ka nohona no ke ola holoʻokoʻa.
- He mea koi ʻia e lawe i nā huaora a me nā minelala i kuhikuhi ʻia e ke kauka no ke ola ma hope o ke ʻoki ʻana.
- Pono ʻoe e hoʻoholo inā kūpono kēia ʻoki kino iā ʻoe ma hope o ke kūkākūkā ʻana me kāu kauka.
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