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 whakamātau koe i ngā mahere kai maha, kua nohopuku, kua whakakorikori tinana, ā, kua ngenge koe. Engari kāore anō kia puta ngā hua e hiahiatia ana? Kātahi pea kua rongo koe mō ngā pokanga whakaiti taumaha, inā koa te pokanga "gastric bypass". Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea, me te mea kei te kōrero tātou ki tētahi hoa, ā, kua mārama ngā mea katoa.
Ki te kī ngāwari, he aha te pokanga bypass puku?
He pokanga tēnei hei whakaiti i te taumaha me te whakapai ake i tō pūnaha pākia. E kiia ana hoki e ētahi ko te "Roux-en-Y". I roto i ngā kupu māmā, he iti noa ngā huringa o tēnei pokanga ki tō pūnaha nakunaku. Ka whakawhāitihia e tēnei huringa te nui o te kai ka taea e koe te kai, ā, ka whakaitihia te nui o ngā kaora ka mimitihia e tō tinana mai i te kai.
Whakaarohia, e rua ngā mahi matua ka mahia e tēnei:
1. Te whakaiti i te puku: Ka hangaia he putea iti, he rite te rahi ki te hua manu, mai i te tihi o tō puku. Ko te toenga o tō puku nui ka noho rite tonu. Ko te tikanga ka taea e koe te kai i te iti noa o te kai i te wā kotahi. Ka kī tonu koe ahakoa he iti te kai.
2. Te Ārai: He wāhanga iti o tō whekau iti e hono ana ki tēnei puku hou. Ko te tikanga o tēnei, ka ārai te kai e kainga ana e koe i te wāhanga nui o te puku me te wāhanga tuatahi o te whekau iti. Ka whakaitihia e tēnei ārai te kaha o te tinana ki te mimiti katoa i ngā matūkai me ngā kaora i roto i te kai.
Nā tēnei tukanga i huaina ai ko te pokanga "takahi taha".
E taea ana tēnei pokanga e te katoa? Mā wai rānei?
Kāo, ehara tēnei i te pokanga mō te katoa. Ka tūtohu noa ngā tākuta mō te hunga e tino momona ana i te taha hauora . Ka taea hoki e ia te āwhina ki te whakahaere i ētahi atu mate e puta mai ana i te momona (pēnei i te Mate Huka Momo 2, te Toto Toto, te Ārai Moe Apnea, me te GERD).
Ko te tikanga, kia tika ai koe mō tēnei pokanga, me whai koe i ngā whakaritenga e whai ake nei:
| Te Whai Mana | Whakaahuatanga |
|---|---|
| Momona nui (Momona Akomanga III) | Me 40, neke atu rānei te taupū papatipu tinana, te BMI rānei . |
| Te momona me ētahi atu mate | Mena he 35, neke atu rānei tō BMI , me pāngia koe e te momotuhi kino, pērā i te mate huka, te toto toto tiketike rānei. |
| Mate huka kāore i te whakahaeretia | Mena he uaua ki te whakahaere i te mate huka momo 2 nā te momona nui, ā, neke atu i te 30 tō BMI , ka tūtohu pea tō tākuta i tēnei pokanga. |
Engari kia maumahara, kāore e taea te mahi noa i tēnei pokanga mēnā kei a koe ngā tohu mātauranga. Ka tirotirohia koe e tō tākuta me tō rōpū hauora kia kite ai mēnā kua rite koe i te hinengaro me te tinana mō tēnei.
Ētahi atu mea ka tirohia e ngā tākuta i mua i te pokanga
- Tō whakapau kaha ki ngā huringa momo noho: Ehara tēnei i te makutu. Whai muri i te pokanga, me huri e koe ō tikanga kai mō te wā katoa . Ka tirohia e rātou mēnā kua rite koe mō tēnā.
- Te whakarite tinana me te hinengaro: Ka mahia ngā whakamātautau toto me te ngākau hei tirotiro mēnā ka taea e koe te manawanui ki te pokanga. Ka tirohia hoki tō āhua hinengaro.
- Te whakamātau i ētahi atu tikanga: I ētahi wā, ka pātai pea ngā whakahaere, pēnei i ngā kamupene inihua, mēnā kua whai koe i tētahi tikanga kai me te whakakori tinana i raro i te tirotiro a te tākuta i mua i te pokanga.
E hia te taumaha ka ngaro i te pokanga?
He raruraru tēnei mō te tini o te tangata. Ka tino heke tō taumaha i roto i te tau tuatahi, i ngā tau e rua rānei i muri i te pokanga. I te toharite, ka heke te 70% o tō taumaha nui. Tērā pea ka piki ake te taumaha o ētahi tāngata i roto i te wā, engari ahakoa i muri i te 20 tau, kei reira tonu ētahi tāngata kua mau tonu te toharite o te 50% o tō rātou taumaha nui. He angitu nui tēnei.
Me pēhea te mahi i te pokanga?
I ēnei rā, he tikanga e kiia nei ko te laparoscopy te tikanga e whakamahia ana mō tēnei pokanga. E kiia ana hoki tēnei ko te "pokanga kōhao kī". Ko te tikanga, kaua e tapahia nuitia te puku, engari ka mahia te pokanga mā roto i ngā tapahi iti rawa e 3-5, ka whakauruhia he kāmera me ngā taputapu motuhake. Ko te hua o tēnei he iti ake te toto, he iti ake te mamae, ā, he tere ake te ora.
E rua ki te whā hāora pea te roa o te pokanga. Me noho koe ki te hōhipera mō ngā rā e rua i muri mai.
He aha ngā mōrearea me ngā raruraru pea o tēnei?
Pērā i ngā pokanga katoa, he tūponotanga kei roto. Nā te mea he pokanga nui tēnei, he mea nui kia mōhio koe ki ēnei.
| Momo mōrearea | Whakaahuatanga |
|---|---|
| Ngā mōrearea wā poto (e pā ana ki te pokanga) | |
| Ngā mate urutā | Ngā iroriki e uru ana ki ngā tapahi. |
| Te toto nui | Te toto nui i te wā o te pokanga, i muri rānei i te pokanga. |
| Ngā tauhohenga ki te rongoā whakamoe | Ngā urupare kino o te tinana ki ngā rongoā whakangote. |
| Ngā raruraru roa | |
| Te Mate Putunga | Ka puta ngā tohu pēnei i te whakapairuaki, te mamae o te puku, te pupuhi, me te werawera i te tere o te neke o te kai i roto i te whekau iti. Ka puta pea tēnei ina kai ana i ngā kai he nui te huka me te paraoa. |
| Ngā ngoikoretanga o te kai | Mā te korenga o te mimiti o ngā matūkai ka hua ake te korenga o ngā huaora me ngā kohuke (hei tauira, te rino, te konupūmā, te huaora B12), ā, me kai ngā tāpiringa huaora mō te wā katoa . |
| Ngā kōhatu o te pūhā | He mōrearea te whakawhanake i ngā kohatu o te pūkahukahu ina tere te whakaiti i te taumaha. |
| Hernia | He okana rite ki te whekau e pūtahi mai ana i te wāhi i tapahia. |
| Te pikinga taumaha anō | Ki te kore koe e whai i ngā tohutohu a tō tākuta, ā, ki te kore koe e whakahaere i tō kai, ka nui haere pea tō puku, ā, ka piki anō tō taumaha. |
He pēhea te oranga i muri i te pokanga?
Koinei te wāhanga tino nui. Ko te pokanga te tīmatanga noa iho o te haerenga.
Te wā whakaora
Me okioki koe i te kāinga mō ētahi wiki. Kāore e taea e koe te mahi i ngā mahi taumaha mō te marama me te hawhe pea. E rua, e toru rānei ngā marama ka tīmata ai te kai i ngā kai totoka. I te tīmatanga, he mea noa te ngenge, te ngaro o te makawe, me te mamae o te tinana .
Kai - Koinei te rerekētanga nui rawa atu!
Ka hoatu he mahere kai motuhake ki a koe hei whai māu mō te toenga o tō oranga.
- Tīmata ki ngā kai wai: Ko ngā wiki tuatahi ka pau ki ngā kai pēnei i ngā wai me ngā hupa. Kātahi ka neke haere ki ngā kai ngohengohe, kuru.
- Ko te pūmua te mea tino nui i roto i tāu kai: Ko te pūmua (ika, mīti, hua manu, pīni) me waiho hei wāhanga matua. He mea nui tēnei hei pupuri i te kaha o ō uaua.
- Āta karohia ngā kai he nui te huka me te paraoa: Me whakawhāiti koe i ngā mea pēnei i te huka, ngā mea reka, te taro, me te raihi. Ka taea e ēnei te hua ake te "Dumping Syndrome" kua whakahuatia ake nei.
- Te inu i te nui o te wai: Me inu e koe kia rua rita wai i te rā. Engari kāore i te pai te inu i te wā e kai ana. Me inu e koe i te 30 meneti i mua atu, i muri rānei i te kai.
- Ngā tāpiringa huaora me ngā kohuke: He mea nui tēnei. Me tango e koe ngā huaora kua tohua e tō tākuta i ia rā, mō te toenga o tō oranga.
Kia maumahara, he taputapu kaha noa iho tēnei pokanga mō tō haerenga hauora. Engari me mahi tahi koe me ia kia angitu ai. E kore e angitu mēnā kāore he whakapau kaha āu.
Hei whakamutunga, he whakatau nui te pokanga taha puku. Engari ina honoa ki ngā mate ka puta mai i te momona nui, ka taea e ia te huri i te ao, te oranga hauora hoki. Ki te whakaaro koe ki tēnei, kia tūtaki koe ki tētahi tohunga ki te matapaki i ngā painga me ngā huakore o te tikanga me tō tākuta, ā, ka whakatau koe.
Karere Tangohia ki te Kāinga
- He tino angitu te pokanga arai puku mō te momona nui.
- Ka whakaitihia e tēnei te nui o te kai ka taea e koe te kai me te maha o ngā kaora ka mimitihia e tō tinana.
- Kāore tēnei e pai mō te katoa. Ka tūtohu te tākuta i tēnei i runga i tō BMI me ētahi atu āhuatanga hauora.
- Kia angitu ai te pokanga, me whakarerekē e koe tō kai me tō momo noho mō te wā roa .
- Pērā i ngā pokanga katoa, he tūponotanga me ngā raruraru kei reira. Kōrerohia ēnei me tō tākuta.
- I muri i te pokanga, he mea whakahau kia tangohia ngā huaora me ngā kohuke mō te wa katoa o te oranga.
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