He tangata anō hoki koe e pāngia ana e ngā mate maha pērā i te mate huka me te toto toto tiketike nā te momona? Tērā pea kua whakakorikori tinana koe, kua whakahaere i tō kai, ā, kua mahia e koe ngā mea katoa e taea ana e koe, engari kei te raru tonu koe ki te whakaiti i tō taumaha. Mēnā koinā, kua rongo pea koe i ngā pokanga whakaiti taumaha, e mōhiotia ana ko ngā pokanga bariatric. I tēnei rā ka kōrero tātou mō te pokanga bypass puku, tētahi o ngā pokanga tino rongonui o te ao.
Ki te kī ngāwari, he aha te pokanga bypass puku?
He pokanga tēnei e whakamahia ana hei whakaiti i te taumaha, hei whakatika hoki i te pākia o te tinana. E mōhiotia ana hoki tēnei pokanga e tōna ingoa Wīwī, ko "Roux-en-Y".
He whakarāpopototanga noa iho tēnei, arā, ko te whakarerekē i tō pūnaha nakunaku. Ka whakawhāitihia te nui o te kai e kainga ana e koe, ka whakaitihia hoki te nui o ngā kaora e mimitihia ana e tō tinana. Ko te nuinga o tēnei ko te whakarerekē i tō puku me tō whekau iti.
Whakaarohia tō puku he pēke nui. Ka hangaia e tēnei pokanga he pēke iti, he rite te rahi ki te hua manu, ki runga i taua pēke nui. Kātahi ka haere tika te kai e kainga ana e tātou ki roto i tēnei pēke iti. Mai i reira, ka hono tika te kai ki te wāhanga o raro o tō whekau iti.
Ko te tikanga o tēnei, ko te kai e kainga ana e koe ināianei ka karo i te wāhanga nui o te puku me te wāhanga tuatahi o te whekau iti. Mā tēnei karo ka ārai i tō tinana ki te mimiti katoa i ngā matūkai me ngā kaora i roto i te kai. Koinei te huarahi e whakaiti ai koe i tō taumaha.
Mā wai tēnei pokanga e tino tika?
Ehara tēnei pokanga i te mea mā te katoa. Ko te hunga anake e tino momona ana i te taha hauora ka tūtohutia e ngā tākuta. He iti noa ngā mea me whakaoti kia tika ai mō tēnei.
| Ngā Paearu Tohu Mātauranga | Whakaahuatanga |
|---|---|
| Momona nui (Momona Akomanga III) | Mena he nui ake i te 40 tō taupū papatipu tinana (BMI). |
| Te momona me ētahi atu mate | Mena kei runga ake i te 35 tō BMI, ā, kotahi, neke atu rānei ngā mate hauora e pā ana ki a koe nā te momonatanga, pērā i te mate huka, te toto toto tiketike, te moe pōrearea rānei. |
| Mate huka kāore i te whakahaeretia | Tērā pea ka tūtohutia tēnei pokanga mēnā he uaua ki te whakahaere i te mate huka momo 2 i puta mai i te momonatanga, ā, he nui ake i te 30 te BMI. |
Ko te mea nui, i mua i tō pokanga, me whakapau kaha koe ki te whakarerekē i tō momo noho me ō tikanga kai mō te toenga o tō oranga. Ehara tēnei i te otinga rangitahi.
Hei tāpiritanga, ka tirotirohia koe e tētahi tīma tākuta me ētahi atu tohunga hauora i mua i te tūtohutanga kia pokangahia.
- Kei te pakari tō tinana, tō hinengaro hoki mō te pokanga?
- Te tirotiro mēnā kei te whakamahi koe i te waipiro, i te tupeka rānei.
- Ka whakaarohia hoki e mātou mēnā kua ngana koe ki te whakaiti i tō taumaha mā roto i ētahi atu tikanga (whakakorikori tinana, kai) i mua i te pokanga.
He aha ngā painga o te pokanga?
Ko te painga nui o tēnei ko te whakahekenga nui o te taumaha. I roto i ngā tau tuatahi e rua i muri i te pokanga, ka taea e koe te whakaheke i te 70% o tō taumaha nui . Ahakoa ka piki ake te taumaha o ētahi tāngata i roto i te wā, ka taea e koe te pupuri i te whakahekenga taumaha mō te wā roa ki te 50%.
Haunga te whakaiti i te taumaha, ka āwhina anō hoki tēnei pokanga ki te whakahaere, ki te whakaora katoa rānei i ngā mate maha e pā mai ana i te momona.
- Mate Huka Momo 2
- Te toto toto tiketike (hypertension)
- Te nui o te cholesterol i roto i te toto (Hyperlipidemia)
- Mate ngakau
- Mate ate momona
- Te gastritis me te mate reflux gastroesophageal (GERD)
- Te ngongoro (te mate moe ārai)
- Matepukupuku
He tokomaha e āhei ana ki te whakamutu, ki te whakaiti rānei i ngā rongoā e tangohia ana e rātou mō ēnei mate.
Me pēhea te mahi i te pokanga?
I tēnei wā, e 90% o ngā pokanga pokanga puku ka mahia mā te laparoscopy . Ko te tikanga o tēnei ko te hanga i ngā tapahi iti rawa e 3-5 (tata ki te hawhe inihi) ki te puku, ka whakauruhia he kāmera me ngā taputapu pokanga. Ko te hua o tēnei tikanga he iti ake te mamae, he tere ake te ora, ā, he iti ake ngā raruraru.
E rua ki te whā hāora te roa o te pokanga. Me noho koe ki te hōhipera mō ngā rā e rua i muri i te pokanga.
Kāore ianei he mōrearea me ngā raruraru mō te wā roa o te pokanga?
Pērā i ngā pokanga nui katoa, he tūponotanga kei reira. Heoi, he mea onge noa iho ēnei. He iti noa iho ngā tūponotanga ina mahia e te taote pokanga mātau.
| Momo Mōrearea | Whakaahuatanga |
|---|---|
| Ngā Mōrearea Poto | |
| Ngā tūponotanga e pā ana ki te pokanga | Te mate o te patunga, te toto nui, ngā tauhohenga ki te rongoā whakamoe. |
| Ngā tūponotanga motuhake ki te pokanga | He hernia, he aukati i te whekau iti, me ngā turuturu anastomosis. |
| Ngā raruraru mō te wā roa | |
| Te Mate Putunga | Ina kai koe i ngā kai he nui te huka, te paraoa rānei, ka tere te neke ki roto i te whekau iti, ka puta ngā tohu pēnei i te whakapairuaki, te mamae o te puku, me te mate korere. Ka taea te karo i tēnei mā te whakahaere i tō kai. |
| Te kore kai | Nā te mea ka whakaitihia te mimiti o ngā matūkai e te tinana, me tango ngā huaora me ngā kohuke kua tohua e te tākuta mō te wā katoa o tōna oranga. |
| Ngā kōhatu o te pūhā | Ka piki ake te mōrearea o ngā kohatu o te puku i te tere o te whakaheke taumaha. |
| Te whakahokinga mai o te taumaha | Ki te kore e whakarerekētia ngā tikanga kai me te momo noho, ka taea e te puku kua iti te tipu anō i roto i te wā, ā, ka piki ake te taumaha. |
He aha te āhua o te oranga i muri i te pokanga?
Koinei te wāhanga tino nui. Whai muri i te pokanga, me whai koe i tētahi mahere kai tino pakari.
- Ngā wiki tuatahi: Kai wai anake.
- Ngā wiki e tū mai nei: Kai ngāwari.
- I muri i te 2-3 marama: Whakatōkia mārire ngā kai mārō.
He mea nui kia tino whai i ngā tohutohu a tō tākuta me tō kaimātai kai.
- Ngā kai whai pūmua: He mea nui kia kai i ngā kai whai pūmua (ika, hua manu, miraka) kia kaha ai ngā uaua.
- Āta karohia ngā kai huka me ngā kai māngaro: Me whakaiti i te nui o ngā inu reka, ngā keke, ngā pihikete me te taro.
- Ngā huaora me ngā kohuke: Me tango e koe ngā tāpiringa kua tohua e tō tākuta puta noa i tō oranga.
- Inumia he nui te wai: He mea nui kia inuhia kia rua rita wai i te rā. Heoi, kaua e inu wai i te wā e kai ana.
I te wā e ora ana koe i te pokanga, tera pea ka pāngia koe e ngā pānga taha rangitahi pēnei i te ngenge, te mamae o te tinana, me te ngaro o te makawe. Ka hoki anō ēnei ki te āhua noa i roto i te wā.
Kia maumahara, ehara te pokanga taha puku i te mahi makutu. He taputapu kaha hei āwhina i a koe ki te whakaiti i tō taumaha. Hei whiwhi i te hua tino pai, me nui te whakapau kaha me te whakapau kaha mai i a koe.
Mena kei te pāngia koe e te momona nui, he mea tino nui kia kōrero koe ki tō tākuta kia mōhio ai koe ki tēnei mea, kia whakatauhia ai hoki mēnā he tika tēnei māu.
Karere Tangohia ki te Kāinga
- He tikanga pokanga nui te pokanga taha puku mō te momona nui me ngā mate e pā ana. Ehara i te otinga tere.
- Ka taea e tēnei pokanga te whakaheke taumaha nui, ā, ka āwhina anō hoki ki te whakahaere i ngā āhuatanga pēnei i te mate huka me te toto toto tiketike.
- Ko te angitu o te pokanga e whakawhirinaki ana ki tō whakapau kaha ki ngā huringa kai me te āhua noho mō te wā katoa.
- He mea whakahau kia tangohia ngā huaora me ngā kohuke i tohua e te tākuta mō te wā katoa i muri i te pokanga.
- Me whakatau koe mēnā he tika tēnei pokanga māu i muri i te kōrero ki tō tākuta.
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