Kei te raru koe i te pikinga taumaha kāore e taea te whakahaere, arā, te momona? Kei te raru koe i ngā mate pēnei i te mate huka me te toto toto tiketike? Kāti, kua rongo pea koe mō ngā pokanga whakaiti taumaha. I tēnei rā ka kōrero tātou mō tētahi o aua pokanga, he pokanga uaua engari he tino angitu, ko te pokanga 'Duodenal Switch'. Ehara tēnei i te pokanga mō te katoa, engari he mea tino nui kia mōhio koe ki tēnei.
He aha te tikanga o te pokanga Duodenal Switch?
Ko te Duodenal Switch he momo pokanga bariatric e rua ngā mahi matua e whai wāhi ana: ko te tuatahi ko te tango i te 80% o tō puku ka hanga hei ringaringa iti . Ko te tuarua ko te whakaiti i te roa o tō whekau iti me te whakapoto .
Ka whakawhāitihia e ēnei panonitanga e rua te nui o te kai ka taea e koe te kai, ā, ka tino whakaitihia te nui o ngā kaora e mimitihia ana e tō tinana. Ko te mutunga mai he tino hekenga o te taumaha o te tinana. Ahakoa he iti ake te noa o tēnei tikanga ki te whakatauritea ki ētahi atu pokanga whakaiti taumaha, ko te nuinga o te wā ka hua ake te nui o te whakahekenga taumaha.
E rua ngā tikanga matua mō tēnei:
- Tikanga tuku iho: Te Whakawhitinga Biliopancreatic me te Whakawhiti Duodenal (BPD/DS)
- Tikanga hou: Te Anastomosis Duodeno-Ileal bypass kotahi me te Sleeve Gastrectomy (SADI-S)
Me pēhea te āwhina a tēnei pokanga i a koe ki te whakaiti i tō taumaha?
Whakaarohia he pokanga e rua ngā taahiraa.
Hipanga 1: Ka tangohia e te tākuta tētahi wāhanga nui o tō puku (tata ki te 80%). Ko te wāhanga iti e toe ana he rite te āhua ki te panana, he rite ki te ngongo. Ka kiia tēnei ko te `(Sleeve Gastrectomy)`. Nā te iti o te puku, kāore e taea e koe te kai nui i te wā kotahi. Ahakoa he iti noa te kai, ka kī tonu koe.
Hipanga 2: Muri iho, ka whakahaerehia he pokanga whekau. Ka pokangahia te wāhanga tuatahi o tō whekau iti, ā, ka honoa tika te wāhanga whakamutunga ki te puku hou kua hangaia. He rite ki te ara poto hei karo i te waka i runga i te rori. Ko te tikanga o tēnei ko te nuinga o ngā kai e kainga ana e koe ka puta i roto i tō tinana kāore anō kia nakunaku. Ko te tikanga o tēnei ka tino whakaitihia te nui o ngā kaora me ngā matūkai e mimitihia ana e tō tinana mai i te kai .
I muri i tēnei pokanga, ka iti ake tāu kai, ā, ka iti ake te mimiti o te kai e kainga ana e tō tinana. Waihoki, ka pā tēnei pokanga ki te mahi homoni o tō tinana. Ka rerekē anō hoki ngā homoni e whakahaere ana i te hiakai, e mea ana kia mākona koe, ā, ka āwhina i a koe ki te whakaiti i tō taumaha.
Mā wai tēnei pokanga e tūtohu?
Ehara tēnei i te pokanga mō te katoa. Ko te nuinga o te wā ka tūtohutia mō te hunga he nui rawa te momona (Akomanga III momona). Ka āta tirohia e tō tākuta tō āhua hauora, ā, ka whakatau mēnā he pai tēnei pokanga mōu.
Ko te tikanga, ka whakaarohia tēnei pokanga mō te hunga e tutuki ana i ngā paearu e whai ake nei:
| Ngā Paearu | Whakaahuatanga |
|---|---|
| Taupū Papatipu Tinana (BMI) | Mena he 40, neke atu rānei tō BMI (Momonatanga Akomanga III). |
| BMI me ētahi atu mate | Mena he 35, neke atu rānei tō BMI, ā, he mate nui tōu e pā ana ki te momona. |
| Ngā tauira o ngā mate e pā ana ki te momona: | |
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Ko te mea nui ko te whakatau kia mahia tēnei pokanga mā tētahi rōpū tohunga e tirotiro i a koe. Nō reira, kōrerotia tēnei ki tō tākuta.
He aha ngā mea ka tupu i mua i te pokanga?
Ki te whakatau te tākuta he tika koe mō tēnei pokanga, ka tukuna koe mō tētahi raupapa o ngā whakamātautau.
- Ka whakahaerehia ngā whakamātautau hauora o ia rā hei tirotiro mēnā kei te pai tō hauora.
- Mena kei te whakamahi koe i te tupeka, i te waipiro, i ngā raau taero rānei, ka whakaratohia e mātou te āwhina me te maimoatanga e hiahiatia ana e koe hei whakamutu i te whakamahi i aua mea.
- He huringa nui tēnei o tō ao. Ka tukuna koe ki te ratonga tohutohu hinengaro hei aromatawai mēnā kua rite tō hinengaro mō tēnei mahi.
- Me haere koe ki ngā wānanga hei ako i a koe anō mō te pokanga me pēhea te whakarerekē i tō āhua noho i muri mai.
Kia oti katoa ēnei mea, ka tukuna atu he mahere kai motuhake ki a koe i ētahi wiki i mua i te pokanga. Kei roto ko te kai he nui te pūmua, he iti te warowaihā, ā, he iti hoki te ngako.
He aha ngā painga me ngā ngoikoretanga?
Pērā i ngā mahi katoa, he painga, he ngoikoretanga hoki tō tēnei pokanga.
| Ngā Painga | Ngā Huakore me ngā Mōrearea |
|---|---|
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He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō te kotahi, e rua rānei ngā rā. E rua ki te whā wiki pea te roa kia tino ora ai koe. I tēnei wā, ka pāngia tō tinana e ngā huringa nui.
Ngā tohu rangitahi ka puta pea i te wā e ora ana:
- Tino ngenge te ngenge
- Whakapairuaki
- Te ngaro o te makawe (he wā poto tēnei)
- Mamae tinana
- Te mātao o te tinana
- Ngā huringa wairua
Ka heke iho ēnei i te nuinga o te wā.
Ko te mea nui ko te toro atu ki tō tākuta i ngā wā katoa i muri i te pokanga. Ka tirotirohia koe i ngā wā katoa mō ngā tau tuatahi e rua, ā, i ngā wā katoa puta noa i tō oranga.
Ngā raruraru roa me te whakahaere
Nā te mea he pokanga nui tēnei, he maha ngā mea hei whakaaroaro māu mō te wā roa.
- Te kore kai pai: Koinei te wero nui rawa atu. Nā te mea kāore tō whekau iti e mimiti pai i ngā matūkai, me tango e koe ngā tāpiringa huaora me ngā kohuke mō te toenga o tō oranga . Ka tirohia e tō tākuta tō toto i ia wā, i ia wā, kia mōhio ai kei te rawaka ō taumata kai.
- Korere: Nā te koretake o te nakunaku o te kai, ka ngawari, ka auau hoki te tūtae. Ka taea te whakahaere i tēnei mā te whai i te mahere kai i homai e tō tākuta.
- Ngā kōhatu pūkahukahu: Mā te whakaheke taumaha nui i te wā kotahi ka nui ake te tūponotanga o te whakawhanake i ngā kōhatu pūkahukahu. Tērā pea ka hoatu he rongoā ki a koe hei ārai i tēnei.
- Te rerenga o te au o te ate: I ētahi wā, ka rere whakamuri te au me te toto ki roto i te puku.
Ka pēhea te hurihanga o ō tikanga kai i muri i te pokanga?
Kāore e taea e koe te kai tonu i muri i te pokanga. Me hoatu he wā ki tō pūnaha nakunaku kia ora ai, kia urutau ai ki te tikanga hou. Ka huri haere tō kai.
1. Kai Wai Mārama: Ngā mea pēnei i te wai hupa, te tī kāore i te huka.
2. Kai Wai Katoa: Miraka, miraka kawa, hupa wai.
3. Ngā Kai Pūrei: Ngā kai kua whakaranua, kua hurihia kia maeneene.
4. Kai Ngāwari: Ngā mea pēnei i ngā huawhenua kua tunua pai me ngā ika ngāwari.
Me mahi ēnei mahi katoa i runga anō i ngā tohutohu a tō tākuta me tō kaiora. Tērā pea ka roa te kotahi marama, neke atu rānei, kia hoki ai koe ki te kai noa.
Karere Tangohia ki te Kāinga
- He tino angitu te Duodenal Switch, engari he mahi uaua, he pokanga mō te momona nui. Kāore e pai mō te katoa.
- Ahakoa ka taea e tēnei pokanga te āwhina i a koe ki te whakaiti i te taumaha, me hanga he huringa nui ki tō āhua noho.
- He mea nui te tango i ngā tāpiringa huaora me ngā kohuke puta noa i te oranga hei ārai i te korenga o ngā kai totika.
- Ahakoa i muri i te pokanga, he mea tino nui kia kite koe i tō tākuta i ngā wā katoa, kia whai hoki i ngā whakamātautau e tika ana.
- Mena kei te whakaaro koe ki tēnei momo pokanga, kōrerohia ngā taipitopito katoa ki tō tākuta, ka whakatau ko tēhea otinga te mea pai mōu.
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