Kua hoha koe ki te ngana ki te whakaiti i tō taumaha? Kua hoha koe ki te kai, ki te nohopuku, me te whakakori tinana? I ētahi wā, ehara te momona i te mea e taea te whakahaere ngāwari. I roto i ēnei āhuatanga, ina kore e angitu ngā tikanga katoa, ka kōrero tātou mō tētahi otinga motuhake e tūtohutia ana e ngā tākuta i tēnei rā. Ko te pokanga whakaiti taumaha, te pokanga bariatric rānei.
He aha tonu te pokanga bariatric?
He mahi pokanga tēnei. E whakamahia ana hei āwhina i te hunga momona ki te whakaiti i tō rātou taumaha. Engari ehara i te mea he pokanga tango ngako noa iho i te tinana pērā i te liposuction. Ko te mahi i konei he hanga i ētahi huringa ki tō pūnaha nakunaku .
Whakaarohia pēnei, e rua ngā mahi matua a tēnei pokanga:
1. Ka whakaiti i tō puku. Ka whakawhāitihia te nui o te kai ka taea e koe te kai i te wā kotahi. Ka kī tonu koe ahakoa kua kai iti.
2. I ētahi momo pokanga, ka karohia tetahi wāhanga o tō whekau iti. Ko te tikanga o tēnei, he iti ake ngā kaora me ngā matūkai ka mimitihia e te tinana mai i te kai e kainga ana e koe.
Ka whakaitihia e ēnei tikanga e rua te nui o ngā kaora e kainga ana e tō tinana. Ehara i te mea koinā anake, engari i muri i tēnei pokanga , ka whakaitihia hoki ngā tohu homoni e kī ana ki tō roro kei te hiakai koe (ngā tohu hiakai). Nō reira ka whakahaeretia hoki te kare ā-roto o te hiahia tonu ki te kai.
Ko te mea nui, ehara tēnei i te maimoatanga whakaiti taumaha 'makutu' noa iho. Kia angitu ai tēnei, me whakapau kaha koe ki te whakarerekē katoa i tō momo noho me ō tikanga kai, i mua atu, i muri mai hoki i te pokanga.
He aha koe i hiahia ai ki tēnei momo pokanga?
He tokomaha te hunga e whakaaro ana ka taea e te tangata te whakaiti i tōna taumaha mā te whai i tētahi kai pai me te whakakori tinana. He pono tonu tēnā. Engari mō te tangata he nui te momona (momona akomanga III), ehara i te mea ngāwari. Kua kitea e ngā rangahau he iti ake te tūponotanga o te hunga he momo momona nei ki te pupuri i te whakaiti taumaha mō te wā roa mā te kai me te whakakori tinana anake.
Ko te take, ina taunga te tinana ki te taumaha rawa mō te wā roa, ka whakaaro ia ko tōna taumaha te 'taumaha noa'. Ina ngana tātou ki te whakaiti i te taumaha, ka ngana tonu te tinana ki te hoki ki taua taumaha 'noa'. Ka āwhina tēnei pokanga ki te whakarerekē i taua tukanga, me te waihanga i tētahi āhuatanga ka taea e tātou te whiwhi hua mai i te kai hauora me te whakakori tinana.
He aha atu ngā mate ka taea te whakahaere mā tēnei pokanga?
Ehara i te mea ko te taumaha rawa te take o te momonatanga. Ka taea hoki e ia te arahi ki te maha o ngā mate e morearea ana ki te ora. Ko te rongo pai ko te maha o ēnei āhuatanga ka taea te whakakore mā te whakaheke taumaha i muri i te pokanga bariatric.Kua tino whakapaitia , kua tino whakahaeretia rānei.
Anei ētahi o aua āhuatanga:
| Āhuatanga hauora | Hei whakarāpopototanga... |
|---|---|
| Teitei o te Cholesterol | He pikinga ake o ngā ngako (lipids) i roto i te toto. Ka taea e ēnei te kohikohi i roto i ngā oko toto ka aukati i a rātou. Ka taea e tēnei te arahi ki te mate manawa, ki te whiu rānei. |
| Te toto toto tiketike | Ka piki ake te pēhanga e hangai ana i te rere o te toto i roto i ngā uaua toto. Ka kino ngā uaua toto, ā, ka nui ake te tūponotanga o te mate manawa me te whiu. |
| Mate Huka Momo 2 | I te kohikohinga o te ngako o te tinana, ka puta te ātete ki te insulin. Ka arahi pea tēnei ki te mate huka. Ka taea te whakahaere i tēnei mate mā te whakaiti i te taumaha. |
| Mate Manawa | Ka whakararuraru te momona i te mahi a te ngākau. Ka meinga hoki e ia te ngako kia kohia ki roto i ngā oko toto, ka piki ake te tūponotanga o te mate ngākau. |
| Mate whatukuhu | Ka taea e ngā mate e pā ana ki te momona, pērā i te toto toto tiketike me te mate huka, te kino i ngā whatukuhu, tae atu ki te ngoikore. |
| Apnea Moe Ārai | He āhuatanga e āraia ai te korokoro, ā, ka mutu tonu te manawa i te wā e moe ana. Ka taea e tēnei te whakaiti i te nui o te hāora e tae atu ana ki ngā okana o te tinana, ā, ka kino hoki te ngākau. |
| Matepukupuku | Ka nui te pēhanga o ngā hononga pēnei i ngā turi nā te taumaha rawa. Ka taea e tēnei te whakakino i ngā hononga, ka mamae hoki. Ina heke tō taumaha, ka heke anō hoki tēnei pēhanga. |
| Matepukupuku | Ahakoa kāore i te tino mārama te hononga, kua kitea te momonatanga ka piki ake te mōrearea o te neke atu i te tekau mā rua ngā momo mate pukupuku. |
Ko wai e tika ana mō tēnei pokanga?
Kāore tēnei pokanga e mahia ana mō te katoa. He paearu anō kei reira mō tēnei. Ko te mea matua e tirohia ana ko tō taupū papatipu tinana, ko te BMI rānei (Body Mass Index) . He ine māmā te BMI e ine ana mēnā he taumaha hauora tōu mō tō teitei.
Ko te tikanga, ko te hunga e tika ana mō te pokanga ko:
- Mena he 40, neke atu rānei te BMI , ka kiia tēnei he momona nui.
- Mena he 35, neke atu rānei tō BMI, ā, kotahi, neke atu rānei o ngā āhuatanga hauora kua whakahuatia ake nei e pā ana ki te momona (hei tauira, te mate huka, te toto toto tiketike).
Ka whakatauhia tēnei āheinga e tō tākuta i muri i te tirotiro i a koe me te whakahaere i ngā whakamātautau hauora e tika ana.
Me pēhea te whakarite i mua i te pokanga?
I mua i te wā e tukuna ana he rā mōu hei pokanga, ka whakarite te tīma hauora kei te rite tō tinana me tō hinengaro mō taua mahi.
- Ka tirotirohia koe e tētahi rōpū tākuta tohunga.
- Ka whakamāramahia atu ki a koe ngā painga, ngā ngoikoretanga, me ngā mōrearea o te pokanga.
- Ka mahia ngā whakamātautau toto me ngā matawai e tika ana hei whakarite kia taea te mahi haumaru i te pokanga.
- Mena kei te momi hikareti koe, kei te whakamahi raau taero, kei te inu nui rānei, me mutu rawa tō mahi i mua i te wā e tika ai koe mō te pokanga .
- He torutoru wiki i mua i te pokanga, ka kī atu tō tākuta kia whai koe i tētahi kai motuhake (kai i mua i te pokanga bariatric). Ko tā tēnei he whakaiti i te nui o te ngako i roto i tō puku, kia haumaru ake ai, kia māmā ake ai hoki te pokanga.
He aha ngā momo pokanga matua mō te whakaiti taumaha?
He maha ngā momo pokanga bariatric matua. Mā tō tākuta e whakatau ko tēhea te momo pai mōu i runga i tō hauora me ō hiahia. Ko te nuinga o ēnei pokanga ka mahia mā te laparoscopy, mā te whakamahi i tētahi kāmera ka whakaurua mā roto i ētahi tapahi iti i roto i te puku. Ko te hua o tēnei he poto ake te wā whakaora me te iti ake o te koha.
| Momo pokanga | He aha te mea e tupu ana? |
|---|---|
| Ringaringa Puku (Ringanga Puku) | Koinei te momo pokanga tino noa o te ao i ēnei rā. E 80% pea o te puku e tangohia ana, ka waiho he ngongo iti te āhua, he rite ki te panana. Ka whakaitihia te nui o te kai ka taea e koe te kai, ā, ka whakaitihia hoki te hanga o ngā homoni e whakaoho ana i te hiakai. |
| Te Arai Puku (Roux-en-Y) | I tēnei tikanga, ka tangohia he pēke iti mai i te pito o runga o te puku, ā, ka honoa tika ki te pito o raro o te whekau iti. Ko te tikanga, ka karohia e te kai te pito nui o te puku me te pito tuatahi o te whekau iti. Ka whakaitihia te nui o te kai e kainga ana me te nui o ngā matūkai e mimitihia ana e te tinana. |
| Pātene Duodenal (BPD-DS) | He pokanga uaua tēnei. Kei roto ko te pokanga ringaringa puku me te karo i tētahi wāhanga nui o te whekau iti. Ahakoa he huarahi tino whai hua ki te whakaiti i te taumaha me te whakahaere i ngā mate pēnei i te mate huka, ka piki ake te mōrearea o te kore kai tōtika nā te mea ka tino heke te mimiti o te tinana i ngā matūkai. |
He aha ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, tera pea ētahi mōrearea me ngā pānga taha o te pokanga bariatric. Engari ko te mea nui kia maumahara ko te nuinga o ngā wā , he nui ake te mōrearea o ngā mate e puta mai ana i te momona i ngā mōrearea o tēnei pokanga.
E rua ngā momo mōrearea matua.
1. Ngā raruraru noa e pā ana ki te pokanga: te toto, te mate pāwera, te toto totoka, te hanganga hernia, ngā raruraru e pā ana ki te rongoā whakamoe.
2.Ngā pānga taha pea nā ngā huringa o te pūnaha nakunaku:
- Te Mate Putunga Kai: Ka puta ngā tohu pēnei i te whakapairuaki, te mamae o te puku, te korere, me te werawera i te tere rawa o te neke o te kai mai i te puku ki roto i te whekau iti. Ka taea te whakahaere i tēnei mā te whakarerekē i tō kai.
- Te kore kai pai: Ka puta pea te korenga o ngā huaora me ngā kohuke nā te iti o te mimiti o ngā matūkai e te tinana. Me kai tonu ngā tāpiringa huaora mō te wā katoa e ai ki te tohutohu a te tākuta.
- Ngā kōhatu pūkahukahu: He tūponotanga kei te pā mai ngā kōhatu pūkahukahu ina tere te heke o te taumaha.
Mā tō tākuta koe e whakamārama i ēnei mōrearea katoa.
He aha ngā mea ka tupu i muri i te pokanga?
Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. I muri i tō hokinga ki te kāinga, ka roa pea ētahi wiki hei okioki me te hoki ki ngā mahi o ia rā.
- Kai: Tīmata ki ngā wai i te tuatahi, kātahi ka neke haere ki ngā kai pūreirei, ki ngā kai ngohengohe, ā, i muri i te 12 wiki pea ka taunga koe ki ngā kai totoka noa.
- Ngā Tirotiro Hauora: I te tau tuatahi, me toro atu koe ki tō tākuta i ngā wā katoa, me whakamātau toto hoki hei aroturuki i tō mate taimaha me tō hauora.
- Te whakahekenga taumaha: I te toharite, tata ki te 90% o te tangata ka ngaro neke atu i te 50% o ō rātou taumaha taikaha. Ka puta mārire tēnei whakahekenga taumaha i roto i ngā tau tuatahi e rua.
- Kiri nui: Ina ngaro te taumaha, ka piko pea tō kiri. Mena e tika ana, ka taea e koe te mahi pokanga motuhake (pokanga āhua tinana) hei tango i te kiri nui i muri i te tau, i ngā tau e rua rānei.
Karere Tangohia ki te Kāinga
- Ko te pokanga bariatric te maimoatanga roa tino angitu mō te momona nui (Akomanga III Momona).
- Ehara tēnei i te 'ara ngāwari'; kia angitu ai koe, me whai koe i tētahi momo noho hauora me te kai hauora mō te toenga o tō oranga i muri i te pokanga.
- Pērā i ngā pokanga katoa, he tūponotanga kei roto, nō reira he mea nui kia kōrerohia tēnei ki tō tākuta, kia paunatia hoki ngā painga me ngā huakore i mua i te whakatau.
- Ehara i te mea ka āwhina noa tēnei pokanga ki te whakaiti i te taumaha, engari ka āwhina anō hoki ki te whakahaere i ngā mate kino maha pērā i te mate huka, te cholesterol tiketike, me te toto toto tiketike.
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