Manaʻo paha ʻoe ua momona loa ʻoe? ʻAʻole anei ʻoe i hana i kekahi mea e hōʻemi ai i ke kaumaha? Ua hoʻāʻo anei ʻoe i ka ʻai ʻana a me ka hoʻoikaika kino ʻana, akā ʻaʻole anei ʻoe i ʻike i nā hopena āu e ʻimi nei? I kekahi manawa, ʻaʻole wale ka momona he pilikia hoʻonaninani, akā he mea pilikia hoʻi no nā maʻi koʻikoʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe. I ia mau hihia, ʻo ka hopena wale nō i loaʻa i ka ʻepekema lapaʻau ʻo ia ke ʻoki kino 'Gastric Sleeve' a mākou e kamaʻilio nei i kēia lā.
I ka ʻōlelo maʻalahi, he aha ke ʻano o ke ʻoki lima gastric?
He ʻano hana hoʻemi kaumaha nō hoʻi kēia. Ua kapa ʻia e nā kauka he "ʻoki bariatric." ʻO kēia ʻoki e pili ana i ka ʻoki ʻana i kou ʻōpū, ka ʻeke e paʻa ana i ka meaʻai i loko o kou mau ʻōpū. E noʻonoʻo i kou ʻōpū e like me kahi pōpō liʻiliʻi. ʻO kēia ʻoki e pili ana i ka ʻoki ʻana ma kahi o 80% o kēlā pōpō a me ka wehe ʻana .
A laila ʻo ka mea i koe he ʻōpū liʻiliʻi e like me ka paipu, i ke ʻano o ka maiʻa. ʻO ka huaʻōlelo 'gastrectomy' ʻo ia hoʻi 'ka wehe ʻana i kahi ʻāpana o ka ʻōpū.' Ma hope o kēia, lilo kou ʻōpū i mea liʻiliʻi loa.
Pehea e kōkua ai kēia ʻoki kino iā ʻoe e hoʻemi i ke kaumaha?
ʻElua ala e hana ai kēia.
1. Ke kaupalena ʻana i ka nui o ka meaʻai āu e ʻai ai: Ke liʻiliʻi kou ʻōpū, ua emi nui ka nui o ka meaʻai āu e ʻai ai i hoʻokahi manawa. ʻOiai inā ʻai iki ʻoe, ua piha nō ʻoe. Ua like ia me ka ʻai ʻana mai kahi kīʻaha liʻiliʻi ma kahi o kahi pā nui.
2. Kaohi ʻana i ka pōloli: ʻO kēia ka mea nui loa. Hoʻokumu ʻia ko kākou pōloli a me nā makemake e kekahi mau hormones i hana ʻia e ka ʻōpū. Ke wehe ʻia kahi ʻāpana nui o ka ʻōpū, ua emi nui ka hana ʻana o kēia mau hormones e hoʻoulu ai i ka pōloli . No laila, ua kāohi ʻia nā mea e like me ka makemake e ʻai a me ka makemake e ʻai. He kōkua nui kēia i ka loaʻa ʻole o ke kaumaha ma hope o ka emi ʻana o ke kaumaha.
ʻO ke ʻoki lima ʻōpū ka ʻoki kino i hana pinepine ʻia ma ka honua. Eia nō naʻe, ma kahi o 1% wale nō o ka poʻe i loaʻa ka pōmaikaʻi mai ia mea e hana maoli ana i ke ʻoki kino.
ʻO wai ka mea kūpono e hana i kēia ʻoki kino?
ʻAʻole kēia he hana ʻoki kino e hiki i nā kānaka a pau ke hana. I mea e kūpono ai no kēia, pono ʻoe e hoʻokō i kēia mau kūlana. E wehewehe kāu kauka i kēia iā ʻoe me nā kikoʻī hou aku.
| Kūpono | Ua wehewehe maʻalahi ʻia |
|---|---|
| Momona Nui | Aia kekahi ʻōkuhi e helu ana i kou kaumaha no kou kiʻekiʻe (BMI - Body Mass Index) . Inā ʻoi aku kou BMI ma mua o 40, a i ʻole ma luna o 35 a loaʻa iā ʻoe nā maʻi ʻē aʻe i hoʻokumu ʻia e ka momona (e like me ka maʻi diabetes a me ke koko kiʻekiʻe), hiki iā ʻoe ke hāʻule i loko o kēia māhele. |
| ʻAʻole i holomua nā ʻano hana ʻē aʻe | Ma mua o ke ʻoki kino, pono ʻoe e hoʻāʻo i nā ʻano hana ʻē aʻe no ka hōʻemi kaumaha (ʻai, hoʻoikaika kino). Pono paha ʻoe e hana i kahi papahana hōʻemi kaumaha i mālama ʻia e ke kauka no 3-6 mau mahina. |
| Ka hoʻomākaukau noʻonoʻo a me ke kino | He hana ʻoki kino nui kēia. Pono nō hoʻi i nā hoʻololi ʻana i ka meaʻai no ke ola holoʻokoʻa. No laila, e loiloi kahi hui o nā kauka, nā meaʻai, a me nā psychologists iā ʻoe e hōʻoia i kou mākaukau kino a me ka noʻonoʻo no kēia. |
He aha nā maʻi e hiki ke ho'ōla ʻia me kēia ʻoki kino?
Hiki i kēia ʻoki kino ke kaohi, a i kekahi manawa hoʻōla loa, i nā maʻi he nui i hoʻokumu ʻia e ka momona.
- ʻO ke kū'ē ʻana o ka insulin a me ka maʻi diabetes type 2
- ʻO ke koko kiʻekiʻe a me nā maʻi puʻuwai e pili ana
- ʻO ke kolamu koko kiʻekiʻe (Hyperlipidemia) a me nā maʻi arterial
- Maʻi ʻaʻai momona ʻole
- ʻO ka apnea hiamoe obstructive
- ʻEha hui a me ka rumatika (Osteoarthritis)
Pehea e hana ʻia ai ke kaʻina hana?
He mea kēia e hana ʻia i loko o kekahi mau ʻanuʻu.
Ma mua o ke ʻoki kino
Ke hoʻoholo ʻia ʻoe he moho maikaʻi no ke ʻoki ʻana, e kau ʻia ʻoe i kahi papaʻai wai no kahi o ʻelua pule ma mua o ke ʻoki ʻana. ʻO kēia ke kōkua i ka hōʻemi ʻana i ka nui o ka momona i loko o kou ʻōpū a me ke akepaʻa a e palekana ai ke ʻoki ʻana. Pono ʻoe e hoʻōki loa i ka ʻai ʻana a i ʻole ka inu ʻana i 12 mau hola ma mua o ke ʻoki ʻana.
I ka wā o ke ʻoki kino
Hana pinepine ʻia kēia ʻoki kino ma ke ʻano he "ʻoki puka kī" (ʻoki laparoscopic). ʻO ke ʻano kēia, ma kahi o ka hana ʻana i kahi ʻoki nui i loko o ka ʻōpū, hana ʻia ia ma o kekahi mau ʻoki liʻiliʻi a hoʻokomo ʻia kahi kāmela a me nā mea hana palupalu.
1. ʻO ka mea mua, e hoʻomaʻemaʻe loa ʻia ʻoe (e hiamoe ana ʻoe).
2. Hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma kou ʻōpū a hoʻopiha i kou ʻōpū ma ka hoʻokomo ʻana i ke kinoea ma loko.
3. A laila hoʻokomo ʻia kahi kāmela a nānā ʻia nā ʻōpū i loko ma kahi monitor.
4. E hoʻokomo i nā mea hana ma o kekahi mau lua liʻiliʻi hou aʻe, e ana i ka ʻāpana o ka ʻōpū āu e makemake ai e mālama, a wehe i ke koenaUa ʻoki ʻia a wehe ʻia he 80% o ka puʻupuʻu mai ke kino me kahi stapler ʻoki kino.
5. ʻO ka hope loa, e humuhumu i nā lua liʻiliʻi a pani ʻia.
ʻO ka maʻamau, hoʻokahi hola a me ka hapa ka lōʻihi o kēia ʻoki kino holoʻokoʻa.
Ma hope o ke ʻoki kino
E noho ʻoe i ka haukapila no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki kino. No nā pule mua, hiki iā ʻoe ke ʻai i nā meaʻai wai wale nō. Ma hope o kēlā, hiki iā ʻoe ke hoʻololi mālie i kahi meaʻai palupalu, a ma hope o kekahi mau mahina, hiki iā ʻoe ke hoʻololi i nā meaʻai paʻa maʻamau. Eia nō naʻe, pono ʻoe e lawe i nā huaora a me nā mea hoʻohui meaʻai no ke koena o kou ola , no ka mea, e ʻai iki ana ʻoe a pono e hōʻoia i ka loaʻa ʻana o nā meaola e pono ai kou kino.
He aha nā pono a me nā pilikia kūpono?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia, akā ʻo ka ʻoiaʻiʻo, ʻoi aku ka nui o nā pilikia o ka noho ʻana me ka momona.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pilikia |
|---|---|
| Loaʻa nā pilikia ma lalo o 1%.
|
ʻEhia ke kaumaha e hiki ai iā ʻoe ke lilo?
ʻO ka maʻamau, hiki iā ʻoe ke lilo ma waena o 25% a me 30% o kou kaumaha kino holoʻokoʻa i loko o ka makahiki mua a ʻelua paha. E ʻōlelo kākou he 120 paona kou kaumaha. ʻO ia hoʻi ma kahi o 30-36 paona. Pili kēia i ke ʻano o ka nohona āu e hahai ai ma hope o ke ʻoki kino.
ʻO ka mea nui loa, ʻaʻole kēia ʻoki kino he hana kilokilo. He mea hana ikaika wale nō ia āu. No ka hoʻokō ʻana i nā hopena holomua, pono ʻoe e hoʻopaʻa i kahi meaʻai olakino a me kahi nohona hana no ke koena o kou ola.
I kekahi manawa, hiki i kahi poʻe liʻiliʻi loa ke piʻi hou ke kaumaha i ka hala ʻana o ka manawa. Inā hana ʻia kēia, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ia mea a hoʻololi i kahi lāʻau ʻē aʻe inā pono.
Leka Lawe-Home
- ʻO ke ʻoki lima gastric kahi ʻoki e wehe ai ma kahi o 80% o kou ʻōpū, e hōʻemi ana i kāu ʻai a me kāu makemake.
- Hana ʻia kēia no ka poʻe momona loa a loaʻa iā lākou nā maʻi pili a ʻaʻole hiki ke hoʻemi i ke kaumaha ma o nā ʻano hana ʻē aʻe.
- Ma muli o ka hana ʻia ʻana o kēia ma o ke kaʻina hana kī, hiki ke ho'ōla koke ʻia a haʻahaʻa loa ka pilikia.
- No ka loaʻa ʻana o nā hopena maikaʻi ma hope o ke ʻoki ʻana, pono ʻoe e hoʻololi i kāu meaʻai a me ke ʻano o ka nohona no ke ola a pau.
- Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka a e ʻike i nā kikoʻī āpau.
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