He pilikia olakino koʻikoʻi ka momona e kū nei i nā kānaka he nui ma ko kākou ʻāina a puni ka honua i kēia lā. I kekahi manawa, ʻaʻohe mea nui ka nui o ka hoʻoikaika kino a me ka ʻai āu e hana ai, he mea paʻakikī loa ka lilo ʻana o ke kaumaha. I nā manawa e like me kēia e ʻōlelo ai nā kauka i ka hana ʻoki pohō kaumaha no kekahi poʻe. No laila i kēia lā, e kamaʻilio kākou e pili ana i kekahi ʻano hana nui, ʻo ke ʻoki bypass gastric, kahi i lohe ai nā mea he nui. E hoʻomaopopo wale kākou i ke ʻano maoli, pehea e hana ʻia ai, a me nā mea e hana ʻia ma hope.
He aha ka mea e hana maoli me kēia ʻoki bypass gastric?
I ka ʻōlelo maʻalahi, he ʻoki kino ʻelua ʻanuʻu kēia. Hoʻohui
ia i ʻelua mau ʻano hana o ka hōʻemi kaumaha. E nānā kākou i kēlā mau ʻanuʻu ʻelua.
KaʻAnuʻu Hana 1: Ke hana ʻana i kahi ʻeke liʻiliʻi i loko o ka ʻōpū
Ma kēia, hoʻokaʻawale ke kauka lapaʻau i kou ʻōpū i ʻelua ʻāpana. Hoʻokahi ʻāpana nui, a ʻo kekahi ʻāpana liʻiliʻi loa. A laila, ua humuhumu ʻia a hoʻopaʻa ʻia paha ka ʻāpana liʻiliʻi e hana i kahi ʻeke liʻiliʻi. He liʻiliʻi loa ka nui o ka meaʻai e hiki ke hoʻokomo ʻia i loko o kēia ʻeke liʻiliʻi, e like me ka nui o ke kīʻaha e pololei ai. No laila, no ka mea he ʻōpū liʻiliʻi kou,
ua piha ʻoe ma hope o ka ʻai ʻana i kahi liʻiliʻi . No laila, emi koke ka nui āu e ʻai ai. Kāhea mākou i kēia ʻano hana he ʻano 'kaohi'. ʻO ia hoʻi, kaupalena ia i ka nui o ka meaʻai hiki iā ʻoe ke ʻai.
KaʻAnuʻu Hana ʻElua: E kāpae
I kēia manawa, aia kēlā ʻeke liʻiliʻi i hana ʻia, a hoʻokaʻawale ke kauka iā ia mai ka ʻāpana nui o ka ʻōpū a me ka ʻāpana mua o ka ʻōpū liʻiliʻi (duodenum). A laila, hoʻopili pololei ʻia kēlā ʻeke liʻiliʻi i kahi ʻāpana o ka ʻōpū liʻiliʻi (jejunum). Ua kapa ʻia kēia kaʻina hana ʻoki
he "Roux-en-Y." Ke hoʻopili ʻia ma kēia ʻano, hele pololei ka meaʻai āu e ʻai ai mai kēlā ʻeke liʻiliʻi a i ka ʻāpana haʻahaʻa o ka ʻōpū liʻiliʻi. ʻO ia hoʻi, ke kāpae nei ia i ka ʻāpana mua o ka ʻōpū liʻiliʻi. Ma muli o kēia, ʻoi aku ka liʻiliʻi o ka omo ʻana o ke kino i nā calorie a me nā meaola i loko o ka meaʻai āu e ʻai ai. Ua kapa ʻia kēia kaʻina hana he kaʻina hana 'malabsorptive'. ʻO ka maʻamau, hana ʻia kēia mau ʻanuʻu ʻelua i loko o ke ʻoki like, a ua kapa ʻia ke kaʻina hana holoʻokoʻa he
"Roux-en-Y gastric bypass." ʻO ka hapa pinepine, hana nā kauka ʻoki i kēia ʻoki laparoscopically. ʻO ia hoʻi, hana ʻia ke ʻoki ma ke komo ʻana i kahi kāmela a me nā mea kani ma o kekahi mau lua liʻiliʻi, ma mua o ka hana ʻana i kahi ʻoki nui i loko o ka ʻōpū. Eia nō naʻe, i kekahi mau hihia, inā ʻaʻole hiki kēia, pono paha e hana ʻia ke ʻoki ʻana ma o kahi ʻoki nui ma ka ʻōpū (laparotomy).
He aha kāu e manaʻo ai ma hope o ke ʻoki kino?
ʻOiai he ʻoki kino nui kēia, he mea nui e makaʻala i kekahi mau mea. Pono ʻoe e noho ma ka haukapila no 2 a 3 mau lā ma hope o ke ʻoki kino. Hiki ke hala ma kahi o 2 a 3 mau pule ma mua o kou hiki ke hoʻi hou i nā hana maʻamau. E like me nā ʻoki kino āpau, aia nā pilikia a me nā pilikia.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kēia mau mea a pau ma mua o ka hana ʻana i kēia ʻoki kino a nīnau i kāu mau nīnau a pau.
E nānā kākou i kēia mau pilikia hiki ke loaʻa ma ka papa ma lalo nei.
| ʻAno o ka pilikia | Ka wehewehe a me ka pilikia |
|---|
| Nā pilikia maʻamau | Hiki i kēia mau mea ke hana ma kahi o 10 o 100 poʻe (10%) i hana ʻia ke ʻoki kino. Nā laʻana: ka maʻi ʻeha, nā pilikia ʻōpū, nā ʻōpū, ke kahe ʻana o ke koko. |
| Nā pilikia hiki ke koʻikoʻi a hoʻoweliweli paha i ke ola | He mau hanana kakaikahi loa kēia (1% - 5%). Nā Laʻana: Ka embolism pulmonary, ka hōʻeha puʻuwai, nā kahe ʻana mai nā wahi i pili i ke ʻoki ʻana, nā maʻi koʻikoʻi a i ʻole ke kahe ʻana o ke koko. |
Akā e hoʻomanaʻo,
he haʻahaʻa loa kēia pilikia i nā haukapila me nā kauka ʻokiʻoki akamai i hana ma mua o 100 mau hana like ʻole . Ke hana ʻia kēia hana e ke kauka akamai, ʻoi aku ka liʻiliʻi o ka make ma mua o 0.5% (ʻo ia hoʻi, ʻoi aku ka liʻiliʻi ma mua o hoʻokahi i loko o 200). Eia kekahi, ua emi ka omo ʻana o ke kino i nā meaʻai, hiki ke alakaʻi i nā hemahema lōʻihi o nā mea e like me ka hao a me ka calcium, hiki ke alakaʻi i nā kūlana e like me ka anemia a me ka
osteoporosis. Eia nō naʻe,
inā ʻoe e lawe i nā mea hoʻohui meaʻai i kuhikuhi ʻia e kāu kauka a hana i kāu mau hoʻāʻo koko i ka manawa kūpono, hiki iā ʻoe ke hōʻemi nui i kēia pilikia.
He aha nā hopena o ke ʻoki kino?
He mea holomua pinepine ka hōʻemi kaumaha ma hope o ke ʻoki kino. Ma ka awelika, e nalowale ana nā mea maʻi
ma kahi o 60% o ko lākou kaumaha keu . No ka laʻana, e noʻonoʻo he 70 kg ke kaumaha kūpono o ke kanaka, akā he 150 kg kona kaumaha i kēia manawa. He 80 kg kona kaumaha keu. Ma hope o kēia ʻoki kino, hiki ke nalowale ma kahi o 60% o kēlā kaumaha keu, ʻo ia hoʻi, ma kahi o 48 kg. Me ka hōʻemi kaumaha,
hiki ke hoʻōla piha ʻia a kāohi nui ʻia paha nā pilikia olakino he nui i hoʻokumu ʻia e ka momona, e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka hānō, a me ka obstructive sleep apnea. Akā e hoʻomanaʻo pono i kēia. ʻAʻole kēia hana kilokilo. Inā makemake ʻoe e hoʻemi i ke kaumaha a hoʻomau i ia,Pono ʻoe e hoʻololi mau i kou nohona. ʻO ka ʻai ʻana i kekahi mau ʻai liʻiliʻi i ka lā a me ka hoʻoikaika kino mau ʻana he mea nui ia.
He aha nā ʻano hana hoʻemi kaumaha ʻē aʻe i loaʻa?
Inā ʻoe e noʻonoʻo ana i ke ʻoki kino no ka pohō kaumaha, aia kekahi mau koho ʻē aʻe ma waho aʻe o ka gastric bypass. E nānā pū kākou i kēlā.
| ʻAno o ke ʻoki kino | Pehea e hana ai a me nā kumu nui |
|---|
| ʻO ka Gastrectomy lima | ʻO kēia ke ʻoki kino hoʻemi kaumaha i hana pinepine ʻia ma ka honua. Ma kēia, ua wehe ʻia ma kahi o ka hapalua o ka ʻōpū, a ua hoʻohālike ʻia ke koena i loko o kahi ʻōmole lōʻihi (lima lima) e like me ka lima. He hana 'palena' nō hoʻi kēia. |
| ʻO ka Gastroplasty i hoʻopaʻa ʻia i luna | He hui pū ʻana kēia o ke kāpili ʻana i ka ʻōpū a me ke kāpili ʻana. Eia nō naʻe, ʻaʻole hana pinepine ʻia ma muli o nā pilikia kiʻekiʻe a me ka emi ʻana o ke kaumaha. |
| Hoʻololi ʻana o Biliopancreatic | Ua like kēia me ka gastric bypass. Eia nō naʻe, ma aneʻi ua pili ka ʻeke ʻōpū i ka ʻaoʻao haʻahaʻa o ka ʻōpū liʻiliʻi (ileum). No laila, ʻoi aku ka haʻahaʻa o ka nui o nā calorie i omo ʻia e ke kino. Eia nō naʻe, he hana paʻakikī kēia e hana ai a kiʻekiʻe loa ka pilikia o ka nele i nā meaʻai. |
ʻO ka mea hope loa, he hoʻoholo nui ke ʻano o kēia ʻoki kino. No laila, ma mua o kou hoʻoholo ʻana, e kamaʻilio me kāu kauka e pili ana i kāu mau koho, ko lākou mau pono a me nā pōʻino, a me ka mea e kūpono loa iā ʻoe.
Leka Lawe-Home
- He ʻoki kino nui ka Gastric bypass i ʻelua mau hana nui (hoʻēmi ʻōpū a me ka bypass).
- Hiki i kēia ke hōʻemi nui i ke kaumaha a kaohi i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe .
- E like me nā ʻoki kino āpau, aia kekahi mau pilikia a me nā pilikia .
- ʻO ka holomua o ke ʻoki kino e hilinaʻi wale ʻia ana iā ʻoe e hoʻololi mau i kou nohona (ʻai a me ka hoʻoikaika kino) ma hope o ke ʻoki kino.
- ʻAʻole kēia he hoʻoholo e lawe māmā ʻia. He mea nui e kūkākūkā i kēia me kāu kauka e hoʻoholo ai inā kūpono kēia ʻoki kino iā ʻoe.
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