Ua luhi hoʻi ʻoe i ka hoʻāʻo ʻana i nā ʻano like ʻole e hōʻemi ai i ke kaumaha ma muli o ka momona? I kekahi manawa, ʻaʻohe mea nui i ka nui o kā mākou kāohi ʻana i kā mākou ʻai a me ka hoʻoikaika kino, ʻaʻole mākou e loaʻa i nā hopena i makemake ʻia. ʻO ka momona nui ʻaʻole wale ia he pilikia o ke ʻano, akā he kumu hoʻi o nā maʻi koʻikoʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe. No laila, i kēlā kūlana, e kamaʻilio mākou e pili ana i kahi ʻoki kūikawā e kōkua ai i ka hōʻemi ʻana i ke kaumaha me ke kōkua o ka ʻepekema lapaʻau i kēia lā.
He aha ke ʻoki lima ʻōpū?
I ka ʻōlelo maʻalahi, ʻo ke ʻoki lima gastric he ʻoki pohō kaumaha. Ua kapa ʻia ʻo ia e nā kauka ʻo ke ʻoki bariatric. Pili ia i ka hoʻemi ʻana i ka nui o kou ʻōpū. E noʻonoʻo i kou ʻōpū e like me kahi ʻeke liʻiliʻi. Ma kēia ʻoki ʻana, ma kahi o 80% o kēlā ʻeke, he ʻāpana nui ia, ua ʻoki ʻia a wehe ʻia.
A laila, ʻo ka mea i koe he "lima lima" liʻiliʻi o ka ʻōpū, 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. ʻO ia ke kumu i kapa ʻia ai hoʻi he "lima lima gastrectomy".
Pehea e kōkua ai kēia ʻoki kino iā ʻoe e hoʻemi i ke kaumaha?
He ʻano hana maʻalahi loa kēia. Ke emi kou ʻōpū, ua kaupalena nui ʻia ka nui o ka meaʻai hiki iā ʻoe ke ʻai i hoʻokahi manawa. ʻO ia hoʻi , ʻaʻole hiki iā ʻoe ke ʻai nui e like me ka wā ma mua, a ua piha ʻoe ma hope o ka ʻai ʻana i kahi mea liʻiliʻi.
Akā, ʻaʻole i pau ka hana ma laila. Aia kekahi mea nui ʻē aʻe e hana ʻia. ʻO ko kākou ʻōpū ka mea nui e hana ai i nā hormones pōloli. Ma muli o ka wehe ʻia ʻana o kahi hapa nui o ka ʻōpū, ua emi nui ʻia ka hana ʻana o kēia mau hormones. ʻO ka hopena, ua kāohi ʻia nā mea e like me ka pōloli mau a me nā makemake. ʻO kekahi o nā kumu nui no ka piʻi ʻana o ke kaumaha ma hope o ka emi ʻana o ke kaumaha, ʻo ia ka makemake ʻole e ʻai. No laila, hāʻawi pū kēia ʻoki kino i kahi hopena no kēlā.
No wai maoli kēia ʻoki kino?
ʻAʻole kēia he hana ʻoki kino no nā kānaka a pau. I mea e kūpono ai no kēia, pono ʻoe e hoʻokō i kekahi mau kūlana. E hoʻoholo ʻia kēia e kahi hui lapaʻau i alakaʻi ʻia e kāu kauka. ʻO kēia nā mea i noʻonoʻo pinepine ʻia.
| Kūpono | He Wehewehe Maʻalahi |
|---|---|
| Momona Nui | Pono kou helu nui o ke kino (BMI) ma luna o 40. A i ʻole, pono kou BMI ma luna o 35 a loaʻa iā ʻoe kekahi maʻi olakino ʻē aʻe i hoʻokumu ʻia e ka momona nui (e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe). ʻO ka BMI ke ana o kou kaumaha no kou kiʻekiʻe. |
| 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 ʻai a me ka hoʻoikaika kino akā ʻaʻole i kūleʻa. I kekahi manawa, koi nā 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 pono ʻoe e hoʻololi loa i kou nohona ma hope o ke ʻoki kino. No laila, e nānā nā meaʻai, nā psychologists, a me nā loea ʻē aʻe inā ua mākaukau kino a noʻonoʻo ʻoe no kēia. |
ʻO ka mea nui loa, na kāu kauka e hoʻoholo hope loa inā kūpono kēia ʻoki kino iā ʻoe. No laila e kamaʻilio ākea me ia e pili ana i kēia.
He aha nā maʻi ʻē aʻe e hiki ke ho'ōla ʻia me kēia ʻoki kino?
ʻAʻole wale ka mālama ʻana o ke ʻoki lima ʻōpū i ka momona, akā hāʻawi pū kekahi i ka hōʻoluʻolu mai nā maʻi pili ʻē aʻe. Hiki ke ho'ōla loa ʻia kekahi mau maʻi.
- Ke Kū'ē ʻana o ka Insulin a me ka Diabetes Type 2
- ʻO ke koko kiʻekiʻe a me nā maʻi puʻuwai e pili ana
- ʻO ke kolamu koko kiʻekiʻe (Hyperlipidemia) a me ka arteriosclerosis
- Maʻi ʻAke Momona ʻAʻole Waiʻona
- ʻApnea hiamoe pale
- ʻEha hui a me ka rumatika (Osteoarthritis)
Pehea e hana ʻia ai ke ʻoki kino?
Hiki ke hopohopo loa ka manaʻo o kēia ʻoki kino, akā me ka ʻenehana o kēia au, hana pinepine ʻia ia ma o nā ʻoki liʻiliʻi loa.
Hoʻomākaukau ma mua o ke ʻoki kino
Ke kūpono ʻoe no ke ʻoki kino, e kau kāu kauka iā ʻoe i kahi papaʻai wai no kahi o ʻelua pule. ʻO kēia ke hōʻemi i kekahi o ka momona i loko o kou ʻōpū a me ke akepaʻa a e palekana ai ke ʻoki kino. ʻAʻole ʻoe e ʻae ʻia e ʻai a inu paha i kekahi mea no 12 mau hola ma mua o ke ʻoki kino. E mālama i kou ʻōpū i hakahaka loa.
I ka wā o ke ʻoki kino
Hana ʻia ke ʻoki ʻana ma lalo o ka anesthesia laulā. No laila, ʻaʻole ʻoe e manaʻo i kekahi mea. Hana ke kauka ʻoki i kekahi mau ʻoki liʻiliʻi (ma kahi o 1-2 cm) i loko o kou ʻōpū a hoʻokomo i kahi kāmela (laparoscope) a me nā mea hana maikaʻi. Hana ʻia ke ʻoki ʻana i ka wā e nānā ana i nā kiʻi mai kēia kāmela ma kahi pale. Ua kapa ʻia kēia ʻano hana he ʻoki laparoscopic . ʻOiai ʻaʻole i ʻoki nui ʻia ka ʻōpū, ʻoi aku ka pōkole o ka manawa hoʻōla a emi ka ʻeha. A laila, e like me ka mea i ʻōlelo ʻia ma mua, hoʻokaʻawale ʻia ka ʻāpana pono ʻole o ka ʻōpū a wehe ʻia me kahi stapler ʻoki. ʻO ka lōʻihi o ke ʻoki holoʻokoʻa ma kahi o 1-1.5 mau hola.
He aha nā pono a me nā pilikia e hiki mai ana?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana, akā i ka hoʻohālikelike ʻia me nā maʻi i hoʻokumu ʻia e ka momona, ua haʻahaʻa loa nā pilikia o kēia ʻoki kino.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pilikia |
|---|---|
| He maʻalahi, wikiwiki, a palekana hoʻi ma mua o nā ʻoki pohō kaumaha ʻē aʻe. | Nā pilikia pōkole: Ke kahe koko, ka maʻi, nā hopena i ka anesthesia, a me nā kahe ʻana mai ka ʻoki ʻōpū (kākaʻikahi loa). |
| ʻOiai ʻaʻohe loli i hana ʻia i nā ʻōpū, ua haʻahaʻa ka pilikia o ka nele i nā meaʻai i ka wā lōʻihi. | Nā pilikia lōʻihi: nā hemahema meaʻai (koi i ka hoʻohui huaora no ke ola holoʻokoʻa), gastroesophageal reflux, gallstones (hiki ke koi ʻia ka cholecystectomy). |
| Hāʻawi ia i ka pohō kaumaha maikaʻi loa a me nā pono olakino he nui. | Hoʻohaiki ka ʻiʻo ʻōpala i ka ʻōpū a hoʻolilo i ka meaʻai i mea paʻakikī ke hele ma waena (hiki ke kumu i ka nausea a me ka luaʻi). |
Pehea ke ola ma hope o ke ʻoki kino?
Pono ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā ma hope o ke ʻoki kino. Hiki ke hala ma kahi o hoʻokahi mahina e hoʻōla piha ai a hoʻi i ka hana.
ʻAi
E hoʻolilo ʻia nā pule mua ma ka meaʻai wai a me ka meaʻai palupalu. E maʻa mālie ʻoe i nā meaʻai paʻa maʻamau. Akā, ʻaʻole hiki iā ʻoe ke ʻai e like me ma mua . Pono ʻoe e loaʻa ka nui o ka meaʻai mai ka meaʻai āu e ʻai ai. No laila , pono ʻoe e lawe i nā huaora a me nā mea hoʻohui meaʻai no ke koena o kou ola. E haʻi aku kāu kauka a me ka meaʻai meaʻai iā ʻoe e pili ana i kēia.
Ka emi ʻana o ke kaumaha i manaʻo ʻia
ʻO ka maʻamau, hiki iā ʻoe ke lilo ma kahi o 25% - 30% o kou kaumaha kino holoʻokoʻa i loko o ka makahiki mua a ʻelua paha. E noʻonoʻo ʻoe he 120 paona kou kaumaha. A laila hiki iā ʻoe ke lilo ma kahi o 30-36 paona. Pili kēia i ke ʻano o ka nohona āu e hahai ai ma hope o ke ʻoki kino.
Leka Lawe-Home
- He loli nui ka ʻoki lima ʻōpū, ʻaʻole hiki ke hoʻihoʻi ʻia, a no ke ola holoʻokoʻa. ʻAʻole kēia he pāʻani.
- He "mea hana" wale nō kēia e kōkua iā ʻoe e hōʻemi i ke kaumaha. Ma hope o ke ʻoki kino, pono ʻoe e hoʻopaʻa i ka ʻai a me ka hoʻoikaika kino no ke koena o kou ola.
- Hiki i ke ʻoki kino ke kaohi a hoʻōla paha i nā maʻi he nui e pili ana i ka momona, e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
- Ma mua o ka hoʻoholo ʻana i kekahi mau hoʻoholo, e kamaʻilio pono me kāu kauka e pili ana i nā pono, nā pōʻino, nā pilikia, a me ke ola ma hope o ke ʻoki ʻana, a e nīnau i kāu mau nīnau a pau.
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