ʻO kekahi o nā pilikia nui a ka poʻe he nui e kū nei i kēia lā, ʻo ia ka piʻi ʻana o ke kaumaha. ʻAneʻane ʻaʻohe mea hiki iā lākou ke hana e hōʻemi i ke kaumaha. Hele lākou i ka hale hoʻoikaika kino, kāohi i kā lākou ʻai, a hana i nā hoʻoikaika kino like ʻole. Akā no kekahi poʻe, ʻaʻohe mea a lākou e hana ai, he mea paʻakikī loa ka loaʻa ʻana o nā hopena i makemake ʻia. ʻO ka momona, a i ʻole e like me kā mākou e kapa nei, "momona" ʻaʻole ia he pilikia nani wale nō, he kumu hoʻi ia o nā maʻi koʻikoʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano hana holomua loa i ka lāʻau lapaʻau e kōkua i ka poʻe e ʻeha nei i kēia ʻano momona. ʻO ia ke ʻoki lima ʻōpū.
I ka ʻōlelo maʻalahi, he aha ke ʻoki lima gastric?
ʻO ke ʻoki lima ʻōpū, a i ʻole e like me ke kāhea ʻana o nā kauka, "sleeve gastrectomy," he ʻoki pohō kaumaha ia. Ua kapa ʻia hoʻi ʻo ia he "bariatric surgery." He maʻalahi loa ka mea e hana ʻia ma ʻaneʻi. Hoʻopau ʻia kahi hapa nui o kou ʻōpū, ma kahi o 80%, ma ke ʻoki ʻana.
E noʻonoʻo i kou ʻōpū e like me kahi ʻeke liʻiliʻi. Ma hope o kēia ʻoki kino, wehe ʻia kahi ʻāpana nui o ka ʻeke, e waiho ana i kahi ʻāpana liʻiliʻi, ʻano maiʻa, e like me ka paipu (lima). ʻO ia ke kumu i kapa ʻia ai ʻo ke ʻoki kino lima gastric. ʻO ke kumu nui o kēia ʻoki kino, ʻo ia ka hoʻolilo ʻana i ka ʻōpū i mea liʻiliʻi loa ma kēia ʻano.
ʻAe, pehea ʻoe e hōʻemi ai i ke kaumaha ma ka hoʻēmi ʻana i kou ʻōpū?
I kēia manawa ke noʻonoʻo nei paha ʻoe, "Pehea e hiki ai iaʻu ke lilo i ke kaumaha ma ka hoʻēmi ʻana i koʻu ʻōpū?" ʻElua kumu nui no kēlā.
1. Ke kaupalena ʻana i ka nui o ka meaʻai āu e ʻai ai: No ka mea, he liʻiliʻi loa kou ʻōpū, ua emi nui ka nui o ka meaʻai hiki iā ʻoe ke ʻai i hoʻokahi manawa. ʻOiai inā ʻoe i ʻai mua i kahi pā ʻai, ma hope o ke ʻoki ʻana e ʻike ʻoe i ka piha me kahi meaʻai liʻiliʻi wale nō. I ka ʻōlelo maʻalahi, e ʻike koke ʻoe i ka piha. Hoʻomalu maoli kēia i ka nui o nā calorie a kou kino e lawe ai.
2. Ka emi ʻana o nā hormones pōloli: ʻO kēia ka mea nui loa. Hoʻopuka ko kākou ʻōpū i ka hormone `(ghrelin),` ʻo ia ka hormone nui e hoʻoulu ai i ka pōloli. ʻOiai ma kahi o 80% o ka ʻōpū e wehe ʻia i ka wā o ke ʻoki lima gastric, ua emi nui ʻia ka nui o kēia hormone i hana ʻia. ʻO ke ʻano kēia ua emi nui kou pōloli a me kou makemake i ka meaʻai. ʻO ke kumu nui o ka loaʻa hou ʻana o ke kaumaha ma hope o ka emi ʻana o ke kaumaha, ʻo ia ka makemake hiki ʻole ke kāohi ʻia e ʻai. Hāʻawi pū kēia ʻoki i kahi hopena maikaʻi no kēlā.
ʻO ka mea nui loa, ʻaʻole kēia he ʻoki kino hoʻonaninani. Hana ʻia ia no ka kaohi ʻana i nā pilikia olakino koʻikoʻi i hoʻokumu ʻia e ka momona.
ʻO wai ka mea kūpono e hana i kēia ʻoki kino?
ʻAʻole kēia he hana ʻoki kino hiki i nā kānaka a pau ke hana. E nānā pono ke kauka iā ʻoe a kuhikuhi iā ʻoe no kēia hana ʻoki kino inā ʻoe e hoʻokō i kekahi mau hōʻoia. E nānā kākou i kēlā mau hōʻoia.
| Kūpono | He wehewehe maʻalahi |
|---|---|
| Momona Nui | Pono kou helu helu kaumaha kino, a i ʻole BMI, he 40 a ʻoi aku paha. ʻO ka BMI ke ana inā he kaumaha olakino kou no kou kiʻekiʻe. I kekahi manawa, inā ma kahi o 35 kou BMI a loaʻa iā ʻoe nā maʻi ʻē aʻe e pili ana i ka momona, e like me ka maʻi diabetes a me ke koko kiʻekiʻe, hiki nō paha iā ʻoe ke kūpono no kēia ʻoki kino. |
| 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 nā ʻano hana ʻē aʻe, e like me ka ʻai a me ka hoʻoikaika kino. Pono paha 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 a he hoʻololi no ke ola holoʻokoʻa. No laila, pono ʻoe e mākaukau maikaʻi, ma ke kino a me ka noʻonoʻo. Ma mua o ka hoʻoholo ʻana inā kūpono ʻoe no ke ʻoki kino, pono ʻoe e hālāwai me kahi hui o nā meaʻai, nā psychologists, a me nā loea ʻē aʻe. |
He aha nā maʻi ʻē aʻe e hiki ke ho'ōla ʻia me kēia ʻoki kino?
ʻOiai ʻo ka pahuhopu nui o ke ʻoki lima gastric ka pohō kaumaha, hiki iā ia ke kaohi, a i kekahi manawa ho'ōla loa, i nā maʻi ʻē aʻe 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
- Nā pae cholesterol koko kiʻekiʻe (Hyperlipidemia) a me ka arteriosclerosis
- ʻO ka maʻi ʻaʻai momona ʻole (NAFLD)
- ʻO ka apnea hiamoe obstructive
- ʻEha hui a me ka osteoarthritis
Kōkua kēia ʻano hana i ka hōʻoluʻolu mai nā maʻi he nui.
Pehea e hana ʻia ai ke kaʻina hana ʻoki kino?
E nānā kākou i kēia manawa i ka mea e hana ʻia ma mua, i ka wā, a ma hope o ke ʻoki kino.
He aha kāu e hana ai ma mua o ke ʻoki kino?
Ke hoʻoholo kāu mau kauka he moho kūpono ʻoe no ke ʻoki kino, e kau ʻia ʻoe ma kahi papaʻai wai kūikawā no ʻelua pule ma mua o ke ʻoki kino. Ua manaʻo ʻia kēia e kōkua i ka hōʻemi ʻana i kekahi o ka momona i makemake ʻole ʻia i loko o kou ʻōpū a me kou akepaʻa, e palekana ai ke ʻoki kino.
Eia kekahi, ʻaʻole ʻoe e ʻae ʻia e ʻai a inu paha i kekahi mea no 12 mau hola ma mua o ke ʻoki ʻana, no ka mea, pono e hakahaka loa kou ʻōpū i ka wā o ke ʻoki ʻana.
Pehea e hana ʻia ai ke ʻoki kino?
I kēia manawa, ʻo ka hapa nui o ka manawa, hana ʻia kēia ʻoki ʻana me ka hoʻohana ʻana i kahi ʻano i kapa ʻia ʻo "laparoscopic surgery." ʻO ia hoʻi, ma kahi o ka hana ʻana i kahi ʻoki nui a me ka wehe ʻana i ka ʻōpū, hana ʻia ke ʻoki ʻana ma ke komo ʻana i kahi kāmela a me nā mea hana kūikawā ma o kekahi mau ʻoki liʻiliʻi loa. Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery." ʻAʻole ʻeha iki kēia ʻano hana a ʻoi aku ka pōkole o ka manawa hoʻōla.
1. ʻO ka mea mua, e hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana, e hiamoe ana ʻoe.
2. A laila hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi loa (ma kahi o ka hapalua ʻīniha) ma kou ʻōpū a hoʻokomo i kahi ʻōmole liʻiliʻi ma loko.
3. Hoʻokomo ʻia kahi kinoea kalapona ʻokikene liʻiliʻi ma o ka ʻōmole i loko o ka ʻōpū e hoʻopiha i ka lua o ka ʻōpū. ʻAe kēia i nā ʻōpū i loko e ʻike maopopo ʻia.
4. A laila, hoʻokomo ʻia kahi kāmela liʻiliʻi (laparoscope) ma o ka ʻōmole. Hana ke kauka i ke ʻoki kino ma ka nānā ʻana i nā kiʻi mai ke kāmela ma kahi monitor.
5. Hana ʻia hoʻokahi a ʻoi aku paha mau ʻoki liʻiliʻi, kahi e hoʻokomo ʻia ai nā mea lōʻihi a lahilahi e pono ai no ke ʻoki ʻana.
6. Me ka hoʻohana ʻana i kēia mau mea hana, ua ana ʻia ka ʻāpana "lima" o ka ʻōpū e pono ai ke waiho ʻia, a ua hoʻokaʻawale ʻia ka ʻāpana nui pono ʻole a ʻoki ʻia me kahi ʻano stapler kūikawā (stapler ʻokiʻoki).
7. ʻO ka hope loa, ua lawe ʻia ka ʻāpana o ka ʻōpū i wehe ʻia a ua humuhumu ʻia nā ʻoki liʻiliʻi a pani ʻia.
ʻO ka maʻamau, hoʻokahi hola a me ka hapa ka lōʻihi o kēia hana holoʻokoʻa.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Pono ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki ʻana. I loko o ia manawa, e kōkua nā limahana lapaʻau iā ʻoe e kāohi i kou ʻeha a hoʻokele i nā hopena ʻaoʻao manawa pōkole, e like me ka nausea.
Ma hope o kou haʻalele ʻana i ka haukapila, pono ʻoe e ʻike i kāu kauka i nā manawa maʻamau. E nānā ʻo ia i kou pohō kaumaha, inā paha e kaohi ʻia nā kūlana olakino ʻē aʻe, a inā paha he mau hopena ʻaoʻao ma hope o ke ʻoki ʻana.
Pono anei iaʻu e hana i kekahi mau hoʻololi nui i kaʻu mau ʻano ʻai a me ka inu ʻana ma hope o ke ʻoki ʻana?
ʻAe, ʻoiaʻiʻo nō. ʻO kēia ka ʻāpana paʻakikī a koʻikoʻi loa o kēia huakaʻi. Ma hope o ke ʻoki kino, pono ʻoe e makaʻala loa i kāu mea e ʻai ai a inu ai no ke koena o kou ola.
- Nā pule mua:I loko o kēia manawa, hiki iā ʻoe ke ʻai i nā wai wale nō. Nā mea e like me ka sopa, ka waiū, a me ka wai huaʻai.
- Aʻe: Hiki iā ʻoe ke hoʻololi mālie i kahi papaʻai palupalu, e like me ka laiki kuʻi ʻia, nā mea kanu kuʻi ʻia, a me ka yogurt.
- Ma hope o kekahi mau mahina: Hiki iā ʻoe ke hoʻomaka mālie e ʻai i nā meaʻai paʻa maʻamau.
Akā e hoʻomanaʻo, ʻaʻole hiki iā ʻoe ke ʻai i ka nui o ka meaʻai e like me ka wā ma mua. Pono ka meaʻai āu e ʻai ai e momona loa , no ka mea, pono ʻoe e loaʻa nā meaola a pau e pono ai kou kino ma nā ʻāpana liʻiliʻi.
Eia kekahi, ma hope o ke ʻoki ʻana, pono ʻoe e lawe i nā mea hoʻohui huaora a me nā minelala no ke koena o kou ola. ʻO kēia no ka mea he paʻakikī ke loaʻa nā meaolaola a pau e pono ai kou kino mai ka meaʻai wale nō ma muli o ka emi ʻana o ka nui o ka meaʻai āu e ʻai ai.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, loaʻa i kēia kekahi mau pōmaikaʻi a me kekahi mau pōʻino.
Nā Pōmaikaʻi
- Ke hoʻohālikelike ʻia me nā ʻano ʻoki bariatric ʻē aʻe, he hana maʻalahi, wikiwiki, a palekana kēia.
- ʻOiai ʻaʻole hana ke ʻoki ʻana i kekahi hoʻololi i nā ʻōpū, haʻahaʻa ka pilikia o ka nele i nā meaʻai i ka wā lōʻihi.
- Hiki iā ʻoe ke hoʻemi i ke kaumaha me ka holomua nui a no laila e kaohi ai i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
Nā Pōʻino a me nā Pilikia
He haʻahaʻa loa ka pilikia o nā pilikia mai kēia ʻoki kino (ʻaʻole iʻoi aku ma mua o 1%). Eia nō naʻe, he mea nui e makaʻala.
| ʻAno pilikia | Wehewehena |
|---|---|
| Nā pilikia pōkole e pili ana i ke ʻoki kino |
|
| Nā pilikia lōʻihi |
|
ʻEhia ke kaumaha e hiki iaʻu ke lilo? E hoʻihoʻi anei au i ke kaumaha?
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. No ka laʻana, hiki i kahi mea nona ke kaumaha he 120 kg ke lilo ma kahi o 30-36 kg. Pili kēia nui i ke ʻano o ka nohona āu e hahai ai ma hope o ke ʻoki kino.
Hiki i kekahi poʻe ke hoʻi hou i ke kaumaha i ka hala ʻana o ka manawa, no ka mea hoʻi lākou i kā lākou ʻano ʻai kahiko a i ʻole no ka mea ua ʻō aku ko lākou ʻōpū i ka hala ʻana o ka manawa. Inā hana ʻia kēlā, pono paha ʻoe e noʻonoʻo i ke ʻoki hoʻoponopono. Hiki i kēia ke pili i ka hoʻoponopono ʻana i ke ʻoki mua a i ʻole ka hoʻololi ʻana i kahi ʻoki pohō kaumaha ʻē aʻe, e like me ka gastric bypass.
Leka Lawe-Home
- He ala kūpono loa ke ʻoki lima ʻōpū e kāohi ai i ka momona nui a me nā maʻi e pili ana. ʻAʻole ia he hana hoʻonani.
- He loli nui kēia, hiki ʻole ke hoʻohuli ʻia, a no ke ola holoʻokoʻa. No laila e ʻike pono ma mua o ka hoʻoholo ʻana.
- ʻO ka holomua o ke ʻoki kino he 100% ia iā ʻoe. Pono ʻoe e hoʻopaʻa i ka ʻai no ke ola holoʻokoʻa, ka hoʻoikaika kino, a me ke ola olakino ma hope o ke ʻoki kino.
- ʻAʻole wale kēia ʻoki kino e kōkua i ka pohō kaumaha, akā kōkua pū kekahi i ka ho'ōla ʻana i kekahi mau maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol.
- Inā ʻoe e noʻonoʻo ana i kēia ʻoki kino, e kamaʻilio ākea me ke kauka lapaʻau kūikawā a i ʻole kāu kauka ʻohana e pili ana i ia mea e hoʻomaopopo piha ai inā kūpono ia iā ʻoe a me nā pōmaikaʻi a me nā pōʻino.
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