Kei te whakaaro koe he momona rawa koe? Kāore anō kia mahia e koe tetahi mea hei whakaiti i tō taumaha? Kua kai kai koe, kua whakakorikori tinana rānei, engari kāore anō kia kitea ngā hua e rapuhia ana e koe? I ētahi wā, ehara i te mea he raruraru āhua noa iho te taumaha rawa, engari he take mōrearea anō hoki mō ngā mate kino pērā i te mate huka me te toto toto tiketike. I roto i ēnei āhuatanga, ko te otinga anake e wātea ana i roto i te pūtaiao hauora ko te pokanga 'Gastric Sleeve' e kōrerohia ana e tātou i tēnei rā.
He aha te tikanga o te Pokanga Ringaringa Kōpū?
He momo pokanga whakaiti taumaha anō hoki tēnei. Ka kiia e ngā tākuta ko te "pokanga bariatric." Ko te tikanga o tēnei pokanga ko te tapahi i tō puku, te putea e pupuri ana i te kai i roto i ō whekau. Whakaarohia tō puku he poihau iti. Ko te tikanga o tēnei pokanga ko te tapahi i te 80% o taua poihau, kātahi ka tangohia .
Kātahi ka toe ko tētahi puku iti, rite tonu ki te ngongo, he rite te āhua ki te panana. Ko te tikanga o te kupu 'gastrectomy' ko te 'tango i tētahi wāhanga o te puku.' I muri i tēnei, ka iti haere tō puku.
Me pēhea te āwhina a tēnei pokanga i a koe ki te whakaiti i tō taumaha?
E rua ngā huarahi e mahi ai tēnei.
1. Te whakawhāiti i te nui o te kai e kainga ana e koe: Ina iti tō puku, ka tino whakaitihia te nui o te kai ka taea e koe te kai i te wā kotahi. Ahakoa he iti noa te kai, ka kī tonu koe. He rite ki te kai mai i tētahi kapu iti, kaua i tētahi pereti nui.
2. Te whakahaere i te hiakai: Koinei te mea tino nui. Ko te hiakai me te hiahia kai ka puta mai i ētahi homoni e hangaia ana e te puku. Ina tangohia he wāhanga nui o te puku, ka tino whakaitihia te hanga o ēnei homoni e whakaoho ana i te hiakai . Nō reira, ka whakahaeretia ngā mea pēnei i te hiahia ki te kai me te hiahia ki te kai. He āwhina nui tēnei kia kore ai e piki anō te taumaha i muri i te whakaiti i te taumaha.
Ko te Pokanga Ringaringa Kōpū te pokanga whakaiti taumaha e tino mahia ana i te ao. Heoi, tata ki te 1% noa iho o te hunga ka whai hua mai i tēnei pokanga ka oti i a rātou te pokanga.
Ko wai te hunga e tika ana kia mahia tēnei pokanga?
Ehara tēnei i te pokanga e taea e te katoa te mahi. Hei whai mana mō tēnei, me tutuki i a koe ēnei paearu. Mā tō tākuta tēnei e whakamārama atu ki a koe me ētahi atu taipitopito.
| Te Whai Mana | He whakamārama ngāwari noa iho |
|---|---|
| Momona Nui | He tātaitai kei reira hei tatau i tō taumaha mō tō teitei (BMI - Body Mass Index) . Mena kei runga ake tō BMI i te 40, kei runga ake rānei i te 35, ā, kei a koe ētahi atu mate i puta mai i te momona (pēnei i te mate huka me te toto toto tiketike), ka uru pea koe ki tēnei kāwai. |
| Kāore e angitu ētahi atu tikanga | I mua i te pokanga, me whakamātau koe i ētahi atu tikanga hei whakaiti i te taumaha (kai, whakakori tinana). Me whai kaupapa whakaiti taumaha pea koe i raro i te tirotiro a te rata mō te 3-6 marama. |
| Te whakarite hinengaro me te tinana | He pokanga nui tēnei. Me whakarerekē hoki te kai mō te wā katoa. Nō reira, ka arotakehia koe e tētahi rōpū tākuta, tohunga kai, me ngā tohunga hinengaro kia mōhio ai kei te rite tinana, kei te rite hinengaro hoki koe mō tēnei. |
He aha ngā mate ka taea te rongoā mā tēnei pokanga?
Ka taea e tēnei pokanga te whakahaere, ā, i ētahi wā ka rongoā katoatia, ngā mate maha e hua mai ana i te momona.
- Te ātete ki te insulin me te mate huka momo 2
- Te toto toto tiketike me ngā mate ngakau e pā ana
- Te cholesterol toto tiketike (Hyperlipidemia) me te mate uaua
- Te mate ate momona kore-waipiro
- Te apnea moe aukati
- Te mamae o ngā hononga me te rumatiki (Osteoarthritis)
Me pēhea te tukanga pokanga?
He mea tēnei e tupu ana i roto i ētahi taahiraa.
I mua i te pokanga
Kia whakatauhia koe he pai mō te pokanga, ka tukuna koe ki te kai wai mō te rua wiki i mua i te pokanga. Hei āwhina i te whakaiti i te nui o te ngako i roto i tō puku me tō ate, kia haumaru ake ai hoki te pokanga. Me mutu rawa te kai, te inu rānei i roto i ngā haora 12 i mua i te pokanga.
I te wā o te pokanga
He maha ngā wā ka mahia tēnei pokanga hei "pokanga kōhao kī" (pokanga laparoscopic). Ko te tikanga, kaua e tapahia nui te puku, engari ka mahia mā roto i ētahi tapahi iti, ā, ka whakauruhia he kāmera me ngā taputapu ātaahua.
1. Tuatahi, ka whakamoea rawatia koe (ka moe koe).
2. Ka tapahia e te taote pokanga he wahi iti ki roto i tō puku, ā, ka pupuhihia tō puku mā te werohanga i te hau mā roto.
3. Kātahi ka whakauruhia he kāmera, ā, ka tirohia ngā okana o roto i runga i te mata tirotiro.
4. Whakauruhia ngā taputapu mā roto i ētahi atu kōhao iti, inehia te horahanga o te puku e hiahia ana koe ki te tiaki, kātahi ka tangohia te toenga.E 80% o te puku ka tapahia, ka tangohia mai i te tinana mā te whakamahi i tētahi tānga tapahi.
5. Hei whakamutunga, tuia ngā kōhao iti kia katia.
Ko te roanga o tēnei pokanga katoa he tata ki te haora me te hawhe .
I muri i te pokanga
Ka noho koe i te hōhipera mō te kotahi, e rua rānei ngā rā i muri i te pokanga. Mō ngā wiki tuatahi, ka taea e koe te kai i ngā kai wai anake. Whai muri i tēnā, ka taea e koe te huri mārire ki te kai ngawari, ā, i muri i ētahi marama, ka taea e koe te huri ki ngā kai totoka noa. Heoi, me kai koe i ngā huaora me ngā tāpiringa kai mō te toenga o tō oranga , nā te mea ka iti ake tāu kai, ā, me whakarite kia whiwhi tō tinana i ngā matūkai e hiahiatia ana e ia.
He aha ngā painga me ngā mōrearea pea?
Pērā i ngā pokanga katoa, he tūponotanga kei reira, engari ko te mea pono he nui ake ngā tūponotanga o te noho me te momona.
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
| Ka puta ngā raruraru i raro iho i te 1%.
|
E hia te taumaha ka taea e koe te whakaiti?
I te nuinga o te wā, ka taea e koe te ngaro i waenga i te 25% me te 30% o tō taumaha tinana katoa i roto i te tau tuatahi, i ngā tau e rua rānei. Me kī tātou he 120 kirokaramu tō taumaha. Tata ki te 30-36 kirokaramu tēnā. Kei te āhua o te noho e whai ana koe i muri i te pokanga tēnei.
Ko te mea nui, ehara tēnei pokanga i te mahi makutu. He taputapu kaha noa iho kei a koe. Hei whakatutuki i ngā hua angitu, me whakapau kaha koe ki tētahi kai hauora me tētahi momo noho ora mō te toenga o tō oranga.
I ētahi wā, ka piki ake te taumaha o te hunga tokoiti i roto i te wā. Mēnā ka puta tēnei, ka taea e koe te kōrero ki tō tākuta mō tēnei mea, ā, ka taea te huri ki tētahi atu maimoatanga mēnā e tika ana.
Karere Tangohia ki te Kāinga
- Ko te Pokanga Ringaringa Kōpū he pokanga e tangohia ai te 80% o tō puku, ka whakaiti i tō kai me tō hiahia kai.
- Ka mahia tēnei mā te hunga e tino momona ana, e pāngia ana hoki e ngā mate e pā ana, ā, kāore anō kia taea te whakaiti i tō rātou taumaha mā ētahi atu tikanga.
- Nā te mea ka mahia tēnei mā te tikanga poka kī, ka tere te ora, ā, he iti rawa te mōrearea.
- Hei whakatutuki i ngā hua pai i muri i te pokanga, me whakarerekē e koe tō kai me tō momo noho mō te wā roa.
- Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta kia kitea ai ngā taipitopito katoa.
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