He raruraru hauora nui te momona e pā ana ki te tini o te tangata i tō tātou whenua me te ao whānui i ēnei rā. I ētahi wā, ahakoa te nui o te whakakori tinana me te kai e mahia ana e koe, he tino uaua ki te whakaiti i te taumaha. I ēnei wā ka tūtohu ngā tākuta i te pokanga whakaiti taumaha mō ētahi tāngata. Nō reira, i tēnei rā, me kōrero tātou mō tētahi o ngā pokanga nui, te pokanga bypass puku, kua rongo te tini. Me mārama noa tātou he aha te tikanga, me pēhea te mahi, me te aha ka tupu i muri mai.
He aha rawa ngā mea ka tupu me tēnei pokanga arai puku?
He whakarāpopototanga noa iho tēnei, he pokanga e rua ngā mahi matua.
E whakakotahi ana i ngā tikanga e rua mō te whakaiti taumaha. Me titiro tātou ki aua mahi e rua.
Hipanga 1: Te hanga i tētahi pēke iti i roto i te puku
I tēnei, ka wehea tō puku e te taote pokanga kia rua ngā wāhanga. Ko tētahi wāhanga nui, ko tētahi wāhanga iti rawa. Kātahi ka tuia, ka whakapiripiritia rānei te wāhanga iti kia hanga he pēke iti. He iti rawa te nui o te kai ka taea te whakauru ki roto i tēnei pēke iti, tata ki te rahi o te kapu. Nā te mea he iti tō puku,
ka kī tonu koe ahakoa he iti noa te kai . Nō reira ka heke aunoa te nui o te kai ka kainga e koe. Ka kiia tēnei tikanga he tikanga 'here'. Arā, ka whakawhāiti i te nui o te kai ka taea e koe te kai.
Hipanga Tuarua: Takahi
Nā, kei reira taua pēke iti kua hangaia, ā, ka wehea e te tākuta mai i te wāhanga nui o te puku me te wāhanga tuatahi o te whekau iti (duodenum). Kātahi ka honoa tika taua pēke iti ki tētahi wāhanga o te whekau iti (jejunum). Ka kiia tēnei tikanga pokanga
he "Roux-en-Y." Ina honoa pēnei, ka haere tika te kai e kainga ana e koe mai i taua pēke iti ki te wāhanga o raro o te whekau iti. Arā, ka karohia te wāhanga tuatahi o te whekau iti. Nā tēnei, he iti ake te kaha me ngā matūkai e mimitihia ana e te tinana i roto i te kai e kainga ana e koe. Ka kiia tēnei tikanga he tikanga 'malabsorptive'. I te nuinga o te wā, ka mahia ēnei mahi e rua i roto i te pokanga kotahi, ā, ka kiia te tikanga katoa he
"Roux-en-Y gastric bypass." I te nuinga o te wā, ka mahia tēnei pokanga e ngā taote pokanga mā te laparoscopic. Arā, ka mahia te pokanga mā te whakauru i tētahi kāmera me ngā taputapu mā roto i ētahi kōhao iti, kaua ki te hanga i tētahi tapahi nui ki te puku. Heoi, i ētahi wā, ki te kore e taea tēnei, me mahi pea te pokanga mā te tapahi nui i te puku (laparotomy).
He aha tāu e tumanako ai i muri i te pokanga?
I te mea he pokanga nui tēnei, he mea nui kia mōhio koe ki ētahi mea. Me noho koe ki te hōhipera mō ngā rā e 2 ki te 3 i muri i te pokanga. Tērā pea ka roa pea te 2 ki te 3 wiki i mua i te taea e koe te hoki anō ki ngā mahi o ia rā. Pērā i ngā pokanga katoa, he tūponotanga me ngā raruraru kei reira.
Ko te mea nui ko te kōrero ki tō tākuta mō ēnei mea katoa i mua i te pokanga, me te pātai atu i ō pātai katoa.
Me titiro tātou ki ēnei raruraru pea i roto i te ripanga i raro nei.
| Momo raruraru | Whakaahuatanga me te mōrearea |
|---|
| Ngā raruraru noa | Tērā pea ka pā ēnei ki te 10 o roto i te 100 tāngata (10%) kua pokaina. Hei tauira: te mate pāwera o te patunga, ngā raruraru nakunaku, ngā mate puku, te toto. |
| Ngā raruraru kino ka taea te whakararu i te ora, te mōrearea rānei | He tino onge ēnei āhuatanga (1% - 5%). Hei tauira: Te pakaru o te pūkahukahu, te mate manawa, ngā turuturu mai i ngā wāhi i honoa ki te pokanga, ngā mate kino, te toto rānei. |
Engari kia maumahara,
he tino iti tēnei mōrearea i roto i ngā hōhipera he tākuta pokanga mātau kua mahi i te neke atu i te 100 o aua momo pokanga . Ina mahia tēnei pokanga e te tākuta mātau, he iti iho i te 0.5% te mōrearea o te mate (arā, he iti iho i te kotahi i roto i te 200). Hei tāpiri, ka whakaitihia te mimiti o ngā matūkai e te tinana, ka arahi pea ki te korenga mō te wā roa o ngā mea pēnei i te rino me te konupūmā, ka arahi pea ki ngā āhuatanga pēnei i te anemia me te
osteoporosis. Heoi,
ki te tango koe i ngā tāpiringa kai kua tohua e tō tākuta me te mahi i ō whakamātautau toto i te wā tika, ka taea e koe te whakaiti i tēnei mōrearea.
He aha ngā hua o te pokanga?
He tino angitu te whakaheke taumaha i muri i te pokanga. I te toharite, ka ngaro i ngā tūroro
te 60% o tō rātou taumaha taikaha . Hei tauira, whakaarohia ko te taumaha pai o te tangata he 70 kg, engari ko tōna taumaha i tēnei wā he 150 kg. He 80 kg tōna taumaha taikaha. I muri i tēnei pokanga, tata ki te 60% o taua taumaha taikaha, arā, tata ki te 48 kg, ka taea te ngaro. Haunga te whakaheke taumaha,
he maha ngā raruraru hauora e puta mai ana i te momona, pērā i te mate huka, te toto toto tiketike, te mate huango, me te apnea moe aukati, ka taea te whakaora katoa, te whakahaere whānui rānei .
Engari kia maumahara ki tēnei. Ehara tēnei pokanga i te mahi makutu. Ki te hiahia koe ki te whakaiti i tō taumaha, kia mau tonu ai,Me huri tonu tō āhua noho. Ko te kai i ngā kai iti i te rā, me te whakakori tinana i ia wā, ko ngā mea nui.
He aha atu ngā momo pokanga whakaiti taumaha e wātea ana?
Mena kei te whakaaro koe ki te pokanga whakaiti taumaha, he maha atu anō ngā kōwhiringa i tua atu i te pokanga bypass puku. Me titiro anō tātou ki tēnā.
| Momo pokanga | Me pēhea te mahi me ngā āhuatanga nui |
|---|
| Te tango i te puku o te ringaringa | Koinei te pokanga whakaiti taumaha e tino mahia ana i te ao. I roto i tēnei, ka tangohia te haurua o te puku, ā, ka hangaia te toenga hei ngongo roa (ringaringa) pērā i te ringa. He tikanga 'here' anō hoki tēnei. |
| Te Gastroplasty Whakapiri Poutū | He huinga tēnei o te here i te puku me te here i te whitiki. Heoi, kāore e mahia pinepinetia ana i ēnei rā nā te nui o ngā raruraru me te iti o te whakahekenga taumaha. |
| Te Hurihanga o te Biliopancreatic | He rite tēnei ki te pokanga puku. Heoi, i konei ka honoa te putea puku ki te wāhanga o raro o te whekau iti (ileum). Nō reira, he iti ake te maha o ngā kaora e mimitihia ana e te tinana. Heoi, he pokanga uaua tēnei ki te mahi, ā, he tino teitei te mōrearea o te korenga o ngā kai totika. |
Hei whakamutunga, he whakatau nui tēnei mō te ao. Nō reira, i mua i tō whakatau, kōrero ki tō tākuta mō ō whiringa, ō rātou painga me ō rātou huakore, me te mea e pai ana mōu.
Karere Tangohia ki te Kāinga
- He pokanga whakaiti taumaha nui te pokanga arai puku, e rua ngā mahi matua (te whakaiti i te puku me te arai puku).
- Ka taea e tēnei te whakaiti nui i te taumaha me te whakahaere i ngā mate pēnei i te mate huka me te toto toto tiketike .
- Pērā i ngā pokanga katoa, kei reira ētahi mōrearea me ngā raruraru .
- Ko te angitu o te pokanga e whakawhirinaki ana ki te whakarerekē tuturu i tō momo noho (kai me te korikori tinana) i muri i te pokanga.
- Ehara tēnei i te whakatau hei mahi māmā noa iho. He mea nui kia kōrerohia tēnei ki tō tākuta kia mōhio ai koe mēnā he tika tēnei pokanga māu.
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