Ke pilikia nei hoʻi ʻoe i ka pilikia o ka piʻi ʻana o ke kaumaha? Ua hoʻāʻo paha ʻoe i nā ʻano hana like ʻole, nā hoʻoikaika kino, ka ʻai ʻana, a me nā mea ʻē aʻe e hōʻemi ai i ke kaumaha. Akā i kekahi manawa ʻaʻole mākou e loaʻa i nā hopena a mākou e manaʻo ai e makemake ai. ʻAʻole wale ka momona he pilikia o ke ʻano, wehe ia i ka puka i nā maʻi koʻikoʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe. No laila, ʻoiai aia nā ʻoki kino ma ke ʻano he hopena no kēia, makaʻu ka poʻe he nui i ka hana ʻoki kino. No ia poʻe, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano hana kūikawā e hiki ke kōkua iā lākou e hōʻemi i ke kaumaha me ka ʻole o ke ʻoki kino a me ka pilikia haʻahaʻa. ʻO ia ke ʻano Intragastric Balloon.
He aha maoli kēia ʻano hana baluna?
I ka ʻōlelo maʻalahi, he papahana hōʻemi kaumaha lapaʻau ʻole kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ua hoʻokomo ʻia kahi pōpō liʻiliʻi i loko o kou ʻōpū (ʻōpū). ʻAʻole kēia he ʻoki kino nui. No ka mea, lawe kēia pōpō i kahi i loko o kou ʻōpū, ua piha ʻoe ma hope o ka ʻai iki ʻana. Hoʻopaʻa kēia i ka nui o ka meaʻai hiki iā ʻoe ke ʻai.
Akā, ʻaʻole kēia he pōpō wale nō. He papahana piha kēia. ʻO ia hoʻi, me ka pōpō, e loaʻa pū iā ʻoe ka ʻōlelo aʻoaʻo a me ke kākoʻo āu e pono ai e hana i nā hoʻololi lōʻihi i kou nohona a me nā ʻano ʻai. ʻO ka mea nui loa, he manawa pōkole kēia pōpō. ʻO ia hoʻi, e wehe ʻia ma hope o kekahi manawa.
No ke aha he mea e pono ai kēia ʻano lapaʻau?
Aia kekahi mau loli i ke kino o ke kanaka momona. ʻO kekahi, ʻo ia ka piʻi ʻana o ka nui o ka ʻōpū i ka hala ʻana o ka manawa. E noʻonoʻo iā ia e like me ke kaula laholio, e kīkoʻo ana me ka hoʻohana ʻana, a i ka hala ʻana o ka manawa e nui aʻe ana ka ʻōpū. A laila pono ka meaʻai hou aku e hoʻopiha i ka ʻōpū. ʻO kēia ke kumu o ka loaʻa ʻana o ke kaumaha. ʻAneʻane nā ʻano lapaʻau āpau o ka hōʻemi kaumaha e hana ana ma kekahi ʻano e hōʻemi ai i kēia hiki o ka ʻōpū.
He ʻokoʻa kēia ʻano hana baluna mai nā ʻano hana ʻē aʻe no nā kumu ʻelua:
1. He manawa pōkole kēia: ʻAʻole ia he loli no ke ola holoʻokoʻa e like me nā ʻoki kino ʻē aʻe.
2. ʻAʻole pono ke ʻoki kino: ʻAʻole pono kēia e hoʻokomo ʻia ke ʻoki kino nui. Eia kekahi, ʻaʻohe pono no ka anesthesia laulā.
No laila, he koho maikaʻi kēia no ka poʻe i kūpono ʻole no ke ʻoki kino pohō kaumaha (Bariatric Surgery), a i ʻole no ka poʻe makaʻu i ke ʻoki kino.
No wai kēia lāʻau lapaʻau kūpono loa?
ʻO ka maʻamau, ua ʻōlelo ʻia no ka poʻe me ka helu helu kino (BMI) o 30 a ʻoi aku paha a ua hala i nā hoʻokolohua olakino e pono ai no ke kaʻina hana. I kekahi mau hihia, hiki ke hoʻohana ʻia ke kaʻina hana balloon ma ke ʻano he "alahaka" e kōkua i ka poʻe momona loa e hana i ke ʻoki kino.
Hiki i kēia ʻano hana ke kōkua iā ʻoe e lilo i kahi 10% o kou kaumaha holoʻokoʻa, a i ʻole 30% o kou kaumaha keu.Hiki iā ʻoe ke hōʻemi iā ia ma kahi o 100%. Ua lawa kēia nui e loaʻa ai ka hopena nui e hoʻololi ai i ke ola i kou olakino.
He aha ka mea e hana ʻia ma mua a ma hope o ke hoʻokomo ʻia ʻana o ka pōpō?
ʻO ka mea mua, pono ʻoe e kūkākūkā me kāu kauka inā he kūpono ʻoe no kēia papahana. Inā pēlā, e kākoʻo kahi hui o nā loea, me kahi meaʻai meaʻai, gastroenterologist, a me ka psychiatrist, iā ʻoe ma o ka papahana.
Ke hoʻokomo nei i ka pōpō
Hoʻokomo pinepine ʻia kēia pōpō me ka hoʻohana ʻana i kahi mea i kapa ʻia he endoscope. He ʻōmole lahilahi a palupalu kēia me kahi kāmela liʻiliʻi i hoʻopili ʻia i hoʻokomo ʻia ma kou waha. Hāʻawi ʻia ʻoe i kahi lāʻau liʻiliʻi e hoʻohiamoe ai ʻoe a e mae kou puʻu. Hana ʻia kēia i ʻole ʻoe e ʻeha nui.
Hoʻokomo ke kauka i ka pōpō i loko o ka ʻōpū ma o kēia paipu a hoʻopiha iā ia me ka wai saline. A laila wehe ʻia ka paipu. ʻO ke kaʻina hana holoʻokoʻa ma kahi o 20-30 mau minuke. A laila hiki iā ʻoe ke noho i ka haukapila no kekahi mau hola a laila hoʻi i ka home.
Ke ola me ka balloon
Noho ka pōpō i loko o kou ʻōpū no kahi o 6 mau mahina. I loko o kēia manawa, pono ʻoe a me kāu hui lapaʻau e hoʻololi i kāu meaʻai a me kou nohona. E pale aku ka pōpō iā ʻoe mai ka ʻai nui ʻana, a e maʻalahi ka kaohi ʻana i kāu ʻai ʻana no ka mea e māʻona ʻoe. ʻO ka hapa nui o ka pohō kaumaha e hana ʻia i loko o nā mahina 3 mua.
Ma hope o 6 mau mahina, e wehe ʻia ka pōpō ma o kahi endoscope ma ke ʻano like i hoʻokomo ʻia ai. Ma hope o kēlā, e kōkua ke kime lapaʻau iā ʻoe e hoʻomau i ka mālama ʻana i kēia mau ʻano maikaʻi no kahi o 6 mau mahina ʻē aʻe.
| Nā hihia i ka wā ʻaʻole i ʻōlelo ʻia kēia lāʻau lapaʻau | |
|---|---|
| Inā loaʻa iā ʻoe nā ʻōpū ʻōpū (maʻi ʻōpū peptic) | Inā loaʻa iā ʻoe kahi hernia hiatal |
| Inā loaʻa iā ʻoe nā maʻi clotting koko | Inā loaʻa iā ʻoe ka maʻi akepaʻa |
| Inā ʻoe e hoʻohana ana i nā lāʻau lapaʻau a i ʻole ka waiʻona | Inā ua loaʻa iā ʻoe ke ʻoki ʻōpū ma mua |
He aha nā hopena ʻaoʻao a me nā pilikia?
E like me nā hana lapaʻau āpau, aia nā hopena ʻaoʻao a me nā pilikia liʻiliʻi. He mea nui e ʻike mua i kēia mau mea.
| Kūlana | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao maʻamau (hiki ke kāohi ʻia me ka lāʻau lapaʻau) | |
| ʻEha ʻōpū manawa pōkole | Hiki iā ʻoe ke hoʻopā iā ia no ka pule mua a hiki i ka wā e maʻa ai kou ʻōpū i ka pōpō. |
| Ka luaʻi a me ka luaʻi | ʻO ka mea maʻamau ia i nā lā mua. |
| Kinoea a me ka ʻāʻī puʻuwai | Hiki ke hana ʻia e ka reflux acid. |
| Nā pilikia koʻikoʻi kākaʻikahi | |
| Ka hoʻohaʻahaʻa ʻana o ka baluna | Inā pahū ka pōpō, hiki iā ia ke hele ma loko o nā ʻōpū a paʻa, e hoʻopilikia ana i ka ʻōpū. He pilikia kēia. |
| ʻO ka maʻi pancreatitis koʻikoʻi | He ʻeha kahi e hiki mai ana ma muli o ke kaomi ʻana ma luna o ka pancreas mai ka pōpō pehu. |
| ʻEha/perforation o ka ʻōpū | Hiki i ke kaomi mai ka pōpō ke hōʻeha i ka paia o ka ʻōpū a i ʻole, i kakaikahi, he lua (Gastrointestinal perforation). He kūlana weliweli loa kēia. |
He mea nui loa: Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ka luaʻi mau ʻana, a i ʻole kekahi mau hōʻailona ʻē aʻe, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU).
Pehea nā hopena no ka wā lōʻihi?
He nui ka poʻe e lilo i ka nui o ke kaumaha me ka hoʻohana ʻana i kēia ʻano hana, hiki ke hoʻomaikaʻi nui i ko lākou olakino. Akā e hoʻomanaʻo, inā ʻoe e hoʻi i kāu mau hana kahiko ma hope o ka wehe ʻia ʻana o ka pōpō, hiki iā ʻoe ke hoʻihoʻi i ke kaumaha.
Aia ka holomua ma kāu kūpaʻa. He mea hana wale nō ka pōpō e kōkua iā ʻoe. ʻO ka mea nui loa, ʻo ia ka hoʻohana ʻana i ka hoʻomaka āna e hāʻawi ai iā ʻoe a hoʻomaʻamaʻa i kahi nohona olakino.
Leka Lawe-Home
- He hana ʻoki kino ka gastric balloon, he hana manawa pōkole ia no ka mālama ʻana i ka momona nui, ʻaʻole ia he ʻoki kino.
- Hoʻokomo kēia i ke komo ʻana i kahi pōpō i loko o ka ʻōpū a me ka palena ʻana i ka nui o ka meaʻai āu e ʻai ai.
- He papahana piha kēia. Me ka pōpō pehu, pono ʻoe e hoʻololi i kāu meaʻai a me kou nohona.
- ʻAʻole kūpono kēia ʻano hana no nā kānaka a pau. Pono e hoʻoholo ʻia kēia ma ke kūkākūkā ʻana me kāu kauka.
- ʻOiai paha e loaʻa nā hopena ʻaoʻao liʻiliʻi, he mea kakaikahi loa nā pilikia koʻikoʻi.
- ʻO ka holomua lōʻihi e pili ana i ka mālama ʻana i nā ʻano olakino ma hope o ka wehe ʻia ʻana o ka pōpō.
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