ʻO ʻoe kekahi kanaka e ʻeha nei i ka nui o ka ʻeha a me nā maʻi like ʻole ma muli o ke kaumaha nui? Malia paha ua hoʻoikaika kino ʻoe a ke kāohi nei i kāu ʻai a ua luhi ʻoe i kēia manawa. Inā pēlā, he mea nui loa ia iā ʻoe ke ʻike e pili ana i kēia Gastric Sleeve Surgery a mākou e kamaʻilio nei i kēia lā. He ʻoki kino holomua kēia i hoʻohana nui ʻia ma ka honua holoʻokoʻa ma ke ʻano he lāʻau lapaʻau no ka momona. E ʻike kākou i ke ʻano o ia mea a pehea e hana ai.
I ka ʻōlelo maʻalahi, he aha ke ʻoki lima gastric?
ʻO ke ʻoki lima ʻōpū, a i ʻole ma nā huaʻōlelo lapaʻau, ʻo ka gastrectomy lima, he ʻano ʻoki bariatric no ka pohō kaumaha. He maʻalahi loa ka mea e hana ʻia ma ʻaneʻi. Wehe ke kauka lapaʻau i kahi ʻāpana nui loa o kou ʻōpū (ka ʻāpana o kou ʻōpū i loko o kou mau ʻōpū), ma kahi o 80%.
E noʻonoʻo, ua like kou ʻōpū me kahi ʻeke liʻiliʻi. Ma hope o kēia ʻoki kino, he ʻāpana liʻiliʻi wale nō o kēlā ʻeke i koe. ʻO ke koena ua like ke ʻano me ka maiʻa, e like me ka ʻōmole lahilahi. ʻO ka "lima lima" he mea like me ka lima. No laila ua kapa ʻia kēia he "lima lima gastric" no ka mea ua waiho ʻia ka ʻōpū e like me ka lima lahilahi.
ʻElua kumu e hiki ai i kēia ʻoki kino ke hōʻemi i ke kaumaha.
Ke noʻonoʻo nei paha ʻoe pehea e kōkua ai kēia iā ʻoe e hōʻemi i ke kaumaha. ʻElua mau kumu nui.
1. ʻŌpū liʻiliʻi: I kēia manawa, ua liʻiliʻi loa kou ʻōpū. No laila, ua emi loa ka nui o ka meaʻai hiki iā ʻoe ke ʻai i hoʻokahi manawa. ʻAʻole hiki iā ʻoe ke ʻai i kahi pā laiki nui e like me ma mua. Manaʻo ʻoe ua piha ʻoe ma hope o ka ʻai ʻana i kahi mea liʻiliʻi. Ma muli o kēia, ua emi maoli ka nui o nā calorie āu e ʻai ai i kēlā me kēia lā.
2. Nā loli hormonal: ʻO kēia ka mea nui loa. ʻO ka mea e hoʻopōloli ai iā mākou a makemake i ka meaʻai he ʻano hormone. Hoʻopuka nui ʻia kēia mau hormones ma ka ʻāpana nui o ka ʻōpū a mākou e wehe ai i ka wā o ke ʻoki kino. No laila, ke wehe ʻia kēlā ʻāpana, ua emi nui ʻia ka hana ʻana o nā hormones e hoʻoulu ai i ka pōloli. No laila, ua kāohi ʻia nā mea e like me ka makemake e ʻai me ke kumu ʻole, ka makemake nui e ʻai. He kōkua nui nō hoʻi kēia i ka mālama ʻana i kēlā kaumaha ma hope o ka emi ʻana o ke kaumaha.
ʻOiai ʻo kēia ʻoki kino ke ʻoki kino hoʻemi kaumaha i hana pinepine ʻia ma ka honua, he hapa liʻiliʻi wale nō o ka poʻe e hiki ke pōmaikaʻi mai ia mea a kūpono hoʻi e hana maoli i ke ʻoki kino.
No wai maoli kēia ʻoki kino?
ʻAʻole kēia he hana ʻoki kino hiki i nā kānaka a pau ke hana. Pono ʻoe e hoʻokō i kekahi mau hōʻoia no kēia. Hoʻoholo nā kauka i kēia ma hope o ka nānā pono ʻana i kou kūlana olakino.
| Kūpono | Wehewehena |
|---|---|
| Momona Nui | Pono kou helu helu kaumaha kino (BMI) he 40 a ʻoi aku paha. A i ʻole, pono ʻoe he BMI he 35 a ʻoi aku paha a he maʻi pili i ka momona e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol. |
| ʻAʻole i holomua nā ʻano hana ʻē aʻe | Ma mua o ke ʻoki kino, pono ʻoe e hoʻāʻo e hōʻemi i ke kaumaha ma o ka hoʻoikaika kino a me ka ʻai. Pono kekahi mau ʻoihana ʻinikua iā ʻoe e komo i kahi papahana hōʻemi kaumaha i mālama ʻia e ke kauka no 3-6 mau mahina ma mua o ka ʻae ʻana i ke ʻoki kino. |
| Hoʻomākaukau kino a me ka noʻonoʻo | 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 meaʻai, nā psychologists, a me nā loea lapaʻau ʻē aʻe iā ʻoe e hōʻoia i kou mākaukau kino a me ka noʻonoʻo no kēia. |
Nā maʻi ʻē aʻe i mālama ʻia me ke ʻoki lima gastric
ʻOiai ʻo ka pahuhopu nui o kēia ʻoki kino ka hōʻemi kaumaha, hiki iā ia ke kaohi, a i kekahi manawa ho'ōla loa, i kekahi mau maʻi ʻino ʻē aʻe i hoʻokumu ʻia e ke kaumaha nui.
- ʻO ka maʻi diabetes ʻano 2 a me ke kū'ē ʻana o ka insulin
- Ke koko kiʻekiʻe (Hypertension) a me nā maʻi puʻuwai e pili ana
- ʻO ke kolamu koko kiʻekiʻe (Hyperlipidemia) a me nā maʻi arterial
- ʻO ka maʻi ʻaʻai momona ʻole (ka maʻi ʻaʻai momona ʻole)
- ʻO ka apnea hiamoe obstructive
- ʻEha hui a me ka ʻeha kuli (Osteoarthritis)
Pehea e hana ʻia ai ke ʻoki kino?
I kēia manawa, e nānā kākou pehea e hana ʻia ai kēia ʻoki kino. Mai hopohopo, hana pinepine ʻia kēia me ka hoʻohana ʻana i ke ʻoki laparoscopic . ʻO ia hoʻi, ʻaʻole lākou e ʻoki i ka ʻōpū e like me ka wā ma mua. Akā, hana lākou i 3-4 mau lua liʻiliʻi loa i loko o ka ʻōpū a hoʻokomo i kahi kāmela a me nā mea hana ʻoki kino ma o lākou. Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery." ʻO ka hopena, ʻoi aku ka liʻiliʻi o ka ʻeha a me ka wikiwiki o ka hoʻōla ʻana.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino:
1. ʻO ka mea mua, e hoʻomaʻemaʻe piha ʻia ʻoe. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea a hiki i ka pau ʻana o ke ʻoki ʻana, a e hiamoe loa ʻoe.
2. E hana ke kauka ʻoki i kahi ʻoki liʻiliʻi, ma kahi o ka hapalua ʻīniha ka nui, ma kou ʻōpū a hoʻokomo i kahi ʻōmole liʻiliʻi ma loko.
3. Hoʻokomo ʻia kahi liʻiliʻi o ke kinoea kalapona ʻokikene ma o ka ʻōmole e hoʻopiha i ka ʻōpū. ʻO kēia ka mea e ʻike maopopo ʻia ai nā ʻōpū i loko, e ʻae ai i ke ʻoki ʻana.
4. A laila hoʻokomo ʻia kahi kāmela i kapa ʻia he laparoscope. Hōʻike ʻia nā kiʻi mai ia mea ma kahi pale nui.
5. Hoʻokomo ʻia nā mea hana ʻoki ma o nā ʻoki liʻiliʻi ʻē aʻe, a ma kahi o 80% o ka ʻōpū i hoʻokaʻawale ʻia a wehe ʻia me ka hoʻohana ʻana i kahi stapler ʻoki kūikawā.
6. Ua lawe ʻia aku ka ʻāpana hope loa o ka ʻōpū i wehe ʻia a ua humuhumu ʻia nā lua liʻiliʻi i hana ʻia.
ʻO ka maʻamau , hoʻokahi hola a i ʻole hoʻokahi hola a me ka hapa ka lōʻihi o ke ʻoki kino holoʻokoʻa. Pono ʻoe e noho ma ka haukapila no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki kino. E kōkua kēia i ka hoʻokele ʻana i ka ʻeha a me ka nānā ʻana i kou kūlana.
Pehea ke ola ma hope o ke ʻoki kino?
E loli nui kou ola ma hope o ke ʻoki ʻana, ʻoiai hoʻi kāu mau ʻano ʻai.
- ʻAi i nā pule mua: I nā pae mua, pono ʻoe e ʻai i nā wai wale nō. A laila, e hoʻolauna mālie ʻia ʻoe i nā meaʻai hapa-wai e like me ka sopa, a laila i nā meaʻai palupalu a kuʻi ʻia. E hala kekahi mau mahina ma mua o kou hoʻomaka ʻana e ʻai i nā meaʻai paʻa maʻamau.
- Nā wikamina a me nā mea hoʻohui meaʻai: Ma muli o ka liʻiliʻi loa o ka nui o ka meaʻai āu e ʻai ai, ʻaʻole paha e lawa nā meaʻai i kou kino. No laila, pono ʻoe e lawe i nā mea hoʻohui wikamina a me nā minelala i ʻōlelo ʻia e kāu kauka i kou ola a pau .
- Nā hoʻokolohua lapaʻau: Ma hope o ke ʻoki ʻana, pono ʻoe e ʻike i kāu kauka i nā manawa maʻamau e nānā i kou pohō kaumaha, olakino, a me nā pae meaʻai.
He aha nā pono a me nā pilikia?
E like me nā ʻoki kino āpau, he mau pono kēia a me kekahi mau pilikia liʻiliʻi. Akā e hoʻomanaʻo, ʻoi aku ka nui o nā pilikia o ka noho ʻana me ka momona ma mua o nā pilikia o kēia ʻoki kino.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pilikia |
|---|---|
| ʻOi aku ka maʻalahi, ka wikiwiki, a me ka palekana ma mua o nā ʻoki pohō kaumaha ʻē aʻe. | Nā pilikia pōkole (haʻahaʻa loa, ʻaʻole iʻoi aku ma mua o 1%):Ke kahe koko, nā maʻi, nā hopena i ka anesthesia, ka liki ʻana mai ka laina stapler. |
| Ma muli o ka hoʻololi ʻole ʻana i nā ʻōpū, haʻahaʻa ka likelika o nā pilikia meaʻai i ka wā lōʻihi. | Nā pilikia lōʻihi: nā hemahema meaʻai (he mea nui ka lawe ʻana i ka huaora), ka hoʻonui ʻia ʻana a i ʻole ka hoʻomaka hou ʻana o ka reflux gastroesophageal, nā pōhaku gallstones (hiki ke hana me ka pohō kaumaha wikiwiki). |
| Hāʻawi i ka pohō kaumaha maikaʻi loa a me nā pono olakino. | Hiki i ka ʻiʻo ʻōpala ke hoʻohāiki i ka ʻōpū a ālai i ke hele ʻana o ka meaʻai (hiki ke luaʻi a me ka nausea). |
ʻEhia ke kaumaha e 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 ma hope o ke ʻoki kino. E ʻōlelo kākou he 120 paona kou kaumaha. A laila hiki iā ʻoe ke lilo ma kahi o 30-36 paona. Akā pili kēia i ke ʻano o ka nohona āu e hahai ai ma hope o ke ʻoki kino. ʻOi aku ka nui o ke kaumaha o kekahi poʻe.
He hana ʻoki kino hiki ʻole ke hoʻihoʻi ʻia kēia. No laila, inā hoʻoholo ʻoe e hana ia mea, pono ʻoe e mākaukau e hana i kahi kūpaʻa no ke ola holoʻokoʻa e hoʻololi i kāu meaʻai a me kou nohona. Akā inā mākaukau ʻoe e hana i kēlā kūpaʻa, e wehe kēia ʻoki kino i kahi ala hou i kahi ola olakino.
Leka Lawe-Home
- He lāʻau lapaʻau kūpono a palekana hoʻi ke ʻoki lima ʻōpū no ka momona nui.
- ʻAʻole wale kēia e hoʻemi i ka ʻōpū, akā e hōʻemi pū i nā pae o nā hormones e hoʻoulu ai i ka pōloli.
- ʻAʻole kūpono kēia no nā kānaka a pau. Hoʻoholo ʻia ke kūpono ma muli o kou BMI a me nā kūlana olakino ʻē aʻe.
- Ma hope o ke ʻoki ʻana, pono ʻoe e hoʻololi i kahi meaʻai a me ke ʻano o ka nohona hou no ke koena o kou ola. He mea pono ka lawe ʻana i nā mea hoʻohui huaora.
- ʻO ke ala maikaʻi loa e ʻike ai inā kūpono kēia ʻoki kino iā ʻoe, ʻo ia ke kamaʻilio ākea e pili ana i ia mea me kāu kauka a mea hoʻoponopono paha .
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