He tangata anō hoki koe e pāngia ana e te taumaha rawa, e ai ki ngā tākuta, he momona? Kua hoha koe ki te kai me te whakakori tinana? Ki te mataku koe kei pāngia koe e te pokanga nui mō te whakaiti taumaha, i tēnei rā ka kōrero tātou mō tētahi otinga e tika ana māu, engari i te wā anō, kāore i te tokomaha te hunga e mōhio ana ki tēnei mea. Tērā pea he mea tēnei ka huri i tō oranga.
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He aha te Endoscopic Sleeve Gastroplasty (ESG)?
Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho ngā mahi o tēnei tikanga. He maimoatanga hou te ESG e whakaiti ana i te rahi o tō puku ) me te kore e tapahia tetahi wāhi o tō tinana. He huarahi pai tēnei hei whakakapi i te pokanga whakaiti taumaha (pokanga bariatric).
Whakaarohia... ka whakaurua e te tākuta he ngongo angiangi ki roto i tō korokoro. He kāmera iti rawa kei tēnei ngongo e piri ana ki te pito. Ka kiia tēnei he endoscope. Mā te whakamahi i tēnei kāmera, ka whakamahia he taputapu motuhake hei tuitui i ngā pakitara o tō puku. Ka kiia tēnei e ētahi ko te "tikanga akotiona" nā te mea ka piko te puku pērā i te akotiona.
I muri i tēnei, ka mimiti tō puku ki te hautoru (30%) o tōna rahi o mua. Kātahi ka puta ngā mea e rua:
1. He iti noa te nui o te kai ka taea e koe te kai i te wā kotahi.
2. Ina kī te puku, ka roa ake te wā e whakawātea ai.
Mā tēnei ka mākona tonu koe ahakoa he iti noa te kai, ā, kāore koe e roa e hiakai ana.
Mā wai tēnei maimoatanga e tino pai?
Ko tēnei maimoatanga e taunakitia ana mō te hunga momona. Mena kei runga ake i te 30 tō taupū papatipu tinana (BMI) , ā, kua whakamātau koe i ētahi atu tikanga hei whakaiti i tō taumaha engari kāore i angitu, me whakaaro pea koe ki tēnei.
He otinga pai tēnei, inā koa mō te hunga kāore e tika ana mō te pokanga whakaiti taumaha nui (pokanga bariatric), mō te hunga rānei kāore e hiahia ki te tango i ngā mōrearea o te pokanga. Ehara i te mea nui pērā i te pokanga, engari he pai ake ngā hua i te kai me te whakakori tinana.
Ehara i te mea ko te whakanui taumaha anake te take o te momona. Ka whakanui ake hoki i te tūponotanga o te whakawhanake i ngā mate kino maha, pērā i te mate huka (Momo 2 Diabetes), te toto toto tiketike, te mate ngakau, me te mate ate momona. Mā te whakaiti taumaha mā te rongoā pēnei i te ESG ka āwhina i te whakahaere i ēnei mate, ā, i ētahi wā ka ora katoa.
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Check Availability →He aha ngā mahi i mua atu, ā, i te wā e rongoatia ana?
Mā kōrua ko tō tākuta e whakatau tahi mēnā he tika koe mō tēnei.
I mua i te Tukanga
Tuatahi, ka whakahaerehia he whakamātautau hauora katoa. Ka whakahaerehia ētahi whakamātautau toto hei tirotiro mēnā kei te pai koe mō te rongoā whakamoe whānui. Ka kōrero te tākuta ki a koe mō tō hītori hauora, ō tikanga kai, tō momo noho, me ō whāinga whakaiti taumaha. Ka whakamāramahia hoki e ia ngā painga me ngā huakore o tēnei maimoatanga, tae atu ki ngā huringa momo noho me mahi e koe kia tutuki ai ngā hua mō te wā roa.
I te wā o te Tukanga
Kāore koe e rongo i tetahi mea, nā te mea ka mahia tēnei i a koe e moe ana (kua whakamoea).
- Ka mahia tēnei e te tohunga gastroenterologist, he tākuta e tohunga ana ki te pūnaha nakunaku.
- Ka whakaurua e ia te endoscope mā roto i tō waha, ka tukuna ki raro ki tō puku.
- Ka tirohia ngā whakaahua mai i te kāmera i runga i te endoscope i runga i te aroturuki, ā, ka whakamahia he taputapu motuhake hei whakanoho i te 8-10 tuitui ki roto i te puku, kia whakaitihia ai tōna rahi.
| Meka | Taipitopito |
|---|---|
| Te wā i pau | I waenganui i te 1 me te 1.5 hāora (60-90 meneti). |
| Te noho i te hōhipera | I te nuinga o te wā, ka taea e koe te hoki ki te kāinga i taua rā anō. Mēnā he mamae , whakapairuaki) ka whakaurua koe ki te hōhipera mō te maimoatanga. |
| Mamae | Tērā pea ka pā mai he mamae iti i te wā e ora ana te puku. Ka memeha haere tēnei i muri i ētahi rā. |
| Te hoki ki te mahi | Ka taea e te nuinga o te tangata te hoki ki ngā mahi o ia rā i roto i te wiki pea. |
He aha te rerekētanga i waenga i te ESG me te pokanga whakaiti taumaha auau (Gastric Sleeve)?
Ko te whāinga o ēnei tikanga e rua he pēhi i te puku, kia rite ki te "ringaringa", he rite rānei ki te ngongo. Engari he rerekētanga nui kei roto i te āhua o te mahi. Ka mārama ngāwari koe ki tēnei ina tirohia tēnei ripanga.
| Āhuatanga | ESG (tikanga endoscopic) | Pūtu Puku (pokanga) |
|---|---|---|
| Me pēhea te mahi | Ka mahia tēnei mā te whakauru i tētahi endoscope mā te waha. | Ka mahia mā te hanga i ētahi tapahi iti ki te puku. |
| He aha te pānga ki te puku? | Ka tuia tetahi wāhanga o te puku kia katia. Kāore tetahi wāhanga e tangohia. | Tata ki te 80% o te puku ka tapahia, ka tangohia. |
| Te pumau | Āhua-tūturu. Mena e tika ana, ka taea te tango i ngā tuitui, ā, ka taea te whakahoki i te puku ki te āhua noa. | Pūmau. Kāore e taea te tāuta anō i te wāhanga kua tangohia. |
| Te wā whakaora | Tere. Ka hoki anō ki te āhua noa i roto i ētahi rā. | He roa te wā. Tērā pea ka roa pea ētahi wiki. |
| Pānga ki te hiakai | Kāore he pānga nui ki ngā homoni e whakahaere ana i te hiakai. | Ka tino whakaitihia te hiakai mā te tango i te wāhanga e whakaputa ana i ngā homoni hiakai. |
Ngā hua me ngā mea hei whai
He tokomaha te hunga e mahi ana i te ESG ka ngaro i waenga i te 15% me te 20% o tō rātou taumaha tinana katoa i roto i te tau tuatahi. He nui atu tēnei hei whakahaere i ngā mate e pā ana ki te momona.
Engari kia maumahara, ehara tēnei i te mahi makutu. Hei whakatutuki i ngā hua angitu mō te wā roa, me tino whai koe i tētahi kai hauora me tētahi momo noho ora. He mea tino nui kia whai i ngā tohutohu kai i homai e te tākuta (wai -> kai pūreirei -> kai noa) i te marama tuatahi i muri i te maimoatanga.
Ehara te momona i te mea ngāwari ki te whakahaere. Nā ngā panonitanga o ngā matū o te tinana, he uaua ki te whakaiti i te taumaha ahakoa te nui o te kai me te whakakori tinana e ngana ana koe. I ēnei wā, ko te maimoatanga iti-morearea, kore-pokanga pērā i te ESG ka rite ki te hoa pai e whakaatu ana i te ara ki te oranga hauora.
Karere Tangohia ki te Kāinga
- He tikanga maimoatanga hou te ESG e whakamahi ana i te endoscope hei whakaiti i te puku me te whakaiti i te taumaha, me te kore he tapahi, he pokanga rānei.
- He kōwhiringa tino pai tēnei mō te hunga momona (BMI 30+) engari e mataku ana, e kore rānei e pai ki te mahi i tētahi pokanga nui.
- He poto te wā whakaora i muri i te maimoatanga, ā, he iti rawa te mōrearea o ngā pānga taha.
- I te toharite, ka taea e koe te tumanako ka heke te taumaha tinana i waenga i te 15% -20%.
- Kāore e ranea tēnei maimoatanga anake. Mō ngā hua mō te wā roa, he mea nui kia whai i tētahi kai hauora me te noho ora.
- Me kōrero koe ki tō tākuta mō tēnei maimoatanga kia kitea ai mēnā he tika mōu.
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