He otinga kaha mō te momona: Me ako tātou mō te pokanga Duodenal Switch i roto i ngā kupu māmā noa iho!

He tangata anō hoki koe e pāngia ana e te momona nui? Kāore pea koe i mahi i tetahi mea hei whakaiti i tō taumaha. Kua hoha koe ki te whakakori tinana, ki te whakahaere i tō kai, me te mahi i ngā mea katoa? Mena koinā, kua rongo pea koe i ētahi wā ka kōrero ngā tākuta mō ngā pokanga whakaiti taumaha. Ka karangatia ēnei pokanga whakaiti taumaha ('Pokanga Bariatric'). I tēnei rā ka kōrero tātou mō tētahi pokanga tino angitu, engari he uaua hoki. Ko te ingoa o tēnei ko te Duodenal Switch. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa me te tino māmā.

He aha te tikanga o tēnei pana Duodenal?

He pokanga te Duodenal Switch hei rongoā mō te momona. E rua ngā mahi matua e pā ana ki tēnei. Ko tētahi ko te tango i tētahi wāhanga nui o tō puku, kia iti ake. Ko te tuarua ko te whakapoto i te whekau iti, te wāhanga o tō tinana e mimiti ana i te kai e kainga ana e koe.

Whakaarohia pēnei. He rite ki te whai i tētahi ara poto ki te kai e kainga ana e koe. Kātahi, nā te mea kāore te kai e haere tawhiti rawa, ka whakaitihia te nui o ngā kaora e mimitihia ana e tō tinana. Mā tēnei ka taea te whakaheke taumaha me te angitu.

E rua ngā tikanga matua o tēnei pokanga:

1. Tikanga tuku iho: `Te Whakawhitinga Biliopancreatic me te Whakawhiti Duodenal (BPD/DS)`

2. Tikanga kua whakarerekētia: `Single Anastomosis Duodeno-ileal bypass with Sleeve Gastrectomy (SADI-S)`

Ahakoa te ahua uaua o ēnei ingoa e rua, kaua e manukanuka. Mā tō tākuta e whiriwhiri te tikanga e pai ana māu, ā, māna anō e whakamārama atu ki a koe.

Me pēhea te āwhina a tēnei pokanga i a koe ki te whakaiti i tō taumaha? Kia tirohia tata atu tātou.

E rua ngā mahi matua o tēnei pokanga. Ka mahia ngā mahi e rua i roto i te pokanga kotahi.

Hipanga Tuatahi: Te tango i te Gastrointestinal Gastrectomy

I tēnei mahi, ka tangohia e te taote pokanga te 80% o tō puku. Ko te wāhanga iti e toe ana ka hangaia hei ngongo, pērā i te panana. Ka kiia tēnei he `(Sleeve Gastrectomy)`. Whai muri i tēnei, kāore e taea e koe te kai i te nui o te kai i te wā kotahi. Ahakoa he iti noa te kai ka kī tonu koe. Nā tēnei, ka whakahaeretia aunoatia te nui o te kai e kainga ana e koe.

Hipanga Tuarua: Te Ārai Whekau

Ko te mahi e whai ake nei ko te whakapoto i te roa o tō whekau iti. Kei roto i tō tātou whekau iti te nuinga o ngā matūkai o te kai e kainga ana e tātou e mimiti ana ki roto i ō tātou tinana. I roto i tēnei tikanga, ka karohia e te taote pokanga te wāhanga tuatahi o te whekau iti, ka hono tika te wāhanga whakamutunga ki te puku iti hou kua hangaia.

Ko te whakakotahitanga o ēnei tikanga e rua ka arahi ki te whakaheke taumaha. Arā:

• Ka heke te nui o te kai e kainga ana e koe.
• Ka heke te nui o ngā kaora e mimitihia ana e te tinana mai i ngā mea e kainga ana e koe.

Hei tāpiritanga, ka pāngia hoki te pūnaha homoni e whakahaere ana i te hiakai me te makona i roto i tō tātou tinana e tēnei pokanga. Nō reira, ka heke te hiakai, ā, ka tere ake te kī.

Ko wai te tangata e tino tika ana mō tēnei pokanga?

Ehara tēnei i te pokanga mō te katoa. E taunaki ana ngā tākuta i tēnei pokanga mō te hunga anake e tino mōrearea ana ki tō rātou hauora nā te momona. Me titiro tātou ko wai te hunga e tika ana mō tēnei.

He aha ngā raruraru hauora ka puta mai i te momonatanga?

• Mate Huka Momo 2
• Te toto toto tiketike
• Ngā taumata cholesterol toto tiketike
• Mate ngakau
• Te moe pōrearea
• Te mate ate momona (te mate ate steatotic e pā ana ki te ngoikore o te pūnaha io)

Mena kei a koe ēnei momo mate hauora, ka taea e te pokanga Duodenal Switch te āwhina i a koe ki te whakaiti i tō taumaha, me te āwhina anō hoki i a koe ki te whakahaere i aua mate hauora.

Me aha koe i mua i te pokanga?

Ki te whakatau te tākuta he tika koe mō tēnei pokanga, e kore ia e mahi tonu i te pokanga. I mua i tērā, he tukanga hei tirotiro mārire i a koe me te whakarite i a koe mō tēnei.

• Ngā whakamātautau hauora: Ka whakahaerehia ngā whakamātautau toto me ngā ECG hei tirotiro mēnā kei te taumata tō hauora tinana e āhei ai koe ki te tu atu ki te pokanga.
• Te whakakore i ngā whanonga kino: Ki te kai paipa koe, ki te inu waipiro rānei, ka tohutohuhia koe kia mutu rawa atu i aua whanonga, ā, mēnā e tika ana, ka tukuna he maimoatanga.
• Te tohutohu hinengaro:He huringa nui tēnei i roto i tō ao. Whai muri i te pokanga, ka rerekē ngā mea maha o tō ao. Ka whakaratohia he tohutohu hei āwhina i a koe ki te whakarite hinengaro mō taua huringa.
• Mōhiotanga: Ka tū ngā awheawhe hei whakarato i te māramatanga whānui mō te pokanga me pēhea te noho ora i muri mai.
• Kai motuhake: I mua i te pokanga, ka tonoa koe kia whai i tētahi kai motuhake. Ko te kai i ngā kai he nui te pūmua, he iti te ngako me te warowaihā.

He aha ngā painga me ngā ngoikoretanga o te pokanga?

Pērā i ngā pokanga katoa, he pai, he huakore, he mōrearea hoki ō tēnei pokanga, ā, he mea nui kia mārama pai koe ki ēnei.

He aha tāu e tumanako ai i muri i te pokanga?

Me noho koe ki te hōhipera mō te rā kotahi, e rua rānei i muri i te pokanga. E rua, e whā wiki pea te roa hei whakaora katoa. I tēnei wā, ka pāngia tō tinana e ngā huringa nui.

I te tīmatanga, ka pāngia pea koe e te mamae wā poto pēnei i:

• Tino ngenge, tino ngenge hoki
• Whakapairuaki
• Ngā panonitanga o te wairua
• Te ngaro o te makawe (he wā poto tēnei)
• Mamae tinana
• He mātao ake i te tikanga

Ko te mea nui ko te noho whakapā atu ki tō tākuta. Me haere koe ki ngā tirotiro hauora i ngā tau tuatahi e rua, kātahi ka tirohia tō hauora me tō kai i ia wā, puta noa i tō oranga.

Kia tūpato hoki tātou ki ngā raruraru ka pā mai mō te wā roa.

Ahakoa he tino angitu tēnei pokanga, he maha ngā mea hei tūpato māu mō te wā roa.

Te kore kai

Koinei te mōrearea matua . Nā te mea kāore e taea e tō whekau iti te mimiti i ngā matūkai, ka nui ake te tūponotanga ka pāngia koe e te korenga o ngā huaora me ngā kohuke. Nō reira, me tango e koe ngā tāpiringa huaora me ngā kohuke e ai ki te whakahau a tō tākuta mō te toenga o tō oranga. Me whakamātauhia hoki tō toto i ngā wā katoa hei tirotiro i ō taumata kai.

Korere

Nā te mea kāore te kai e nakunaku tika ana, ka puta pea ngā āhuatanga pēnei i te nekeneke pinepine o te puku, te mate korere rānei. Heoi, ki te whai koe i ngā tohutohu kai a tō tākuta, ka taea te whakahaere i tēnei ki te whānuitanga nui.

Ngā kōhatu o te pūhā

Ina tere tō whakaiti i tō taumaha, ka nui ake te cholesterol ka whakaputaina e tō ate, ka taea e tēnei te kohikohi i roto i tō puku au ka hanga he kohatu au.

Te Whakahokinga o te Au

I ētahi wā, nā ngā panonitanga o te mahi a ngā takirere puku, ka rere te au o te ate ki roto i te puku.

Ka tirotirohia koe e tō tākuta mō ēnei mea katoa. Nō reira, ko te mea nui kia kaua e mataku, me te kōrero tonu atu ki tō tākuta mēnā ka pāngia koe e tētahi mamae.