He tangata anō hoki koe e pāngia ana e te maha o ngā mamae me ngā mate maha nā te taumaha rawa? Tērā pea kua whakakorikori tinana koe, kua whakahaere hoki i tāu kai, ā, kua ngenge koe ināianei. Mēnā koinā, he mea nui kia mōhio koe ki tēnei Pokanga Ringaringa Puku e kōrerohia nei e tātou i tēnei rā. He pokanga angitu tēnei e whakamahia whānuitia ana puta noa i te ao hei rongoā mō te momona. Kia kite tātou he aha tēnei mea, me pēhea hoki tana mahi.
He aha te tikanga o te pokanga ringaringa puku?
Ko te pokanga ringaringa puku, arā, ko te sleeve gastrectomy, he momo pokanga bariatric hei whakaiti i te taumaha. He tino māmā te mahi i konei. Ka tangohia e te taote pokanga he wāhanga nui o tō puku (te wāhanga o tō puku kei roto i ō whekau), tata ki te 80%.
Whakaarohia, he rite tō puku ki tētahi pēke iti. Whai muri i tēnei pokanga, he wāhanga iti noa iho o taua pēke e toe ana. Ko te wāhanga e toe ana he rite ki te panana, he rite ki tētahi ngongo angiangi. Ko te "ringaringa" he rite ki te ringa. Nō reira ka kiia tēnei he "ringaringa puku" nā te mea ka waiho te puku kia rite ki tētahi ringa angiangi.
E rua ngā take e taea ai e tēnei pokanga te whakaheke taumaha.
Tērā pea kei te whakaaro koe me pēhea tēnei e āwhina ai i a koe ki te whakaiti i tō taumaha. E rua ngā take matua.
1. Puku iti: Kua iti ake tō puku ināianei. Nō reira, kua iti ake te nui o te kai ka taea e koe te kai i te wā kotahi. Kāore e taea e koe te kai i tētahi pereti raihi nui pērā i mua. Ka kī tonu koe ahakoa kua kai iti. Nā tēnei, ka heke noa te nui o ngā kaora ka kainga e koe i ia rā.
2. Ngā panonitanga o ngā homoni: Koinei te mea tino nui. Ko te mea e hiakai ai tātou, e hiahia ai ki te kai, he momo homoni. Ko te nuinga o ēnei homoni ka puta i te wāhanga nui o te puku e tangohia ana e tātou i te wā pokanga. Nō reira, ina tangohia taua wāhanga, ka tino whakaitihia te hanga o ngā homoni e hua ai te hiakai. Nō reira, ka whakahaeretia ngā mea pēnei i te hiahia ki te kai me te kore take, te hiahia nui ki te kai. He āwhina nui anō hoki tēnei ki te pupuri i taua taumaha i muri i te whakaiti i te taumaha.
Ahakoa ko tēnei te pokanga whakaiti taumaha e tino mahia ana i te ao, he iti noa te ōrau o te hunga ka whai hua mai i tēnei pokanga, ā, ka āhei hoki ki te mahi i tēnei pokanga.
Mā wai tēnei pokanga e tino tika?
Ehara tēnei i te pokanga e taea e te katoa te mahi. Me tutuki e koe ētahi tohu mō tēnei. Ka whakatauhia tēnei e ngā tākuta i muri i te tirotiro mārire i tō āhua hauora.
| Te Whai Mana | Whakaahuatanga |
|---|---|
| Momona Nui | Me 40, neke atu rānei tō taupū papatipu tinana (BMI). Me 35, neke atu rānei tō BMI, ā, he mate momona tōu pērā i te mate huka, te toto toto tiketike, te cholesterol rānei. |
| Kāore e angitu ētahi atu tikanga | I mua i te pokanga, me ngana koe ki te whakaiti i tō taumaha mā te whakakori tinana me te kai. Ko ētahi kamupene inihua e hiahia ana kia uru koe ki tētahi kaupapa whakaiti taumaha e tirotirohia ana e te rata mō te 3-6 marama i mua i te whakaae i te pokanga. |
| Te whakarite tinana me te hinengaro | He pokanga nui tēnei. Me whakarerekē hoki te kai mō te wā roa. Nō reira, ka arotakehia koe e tētahi rōpū tohunga kai, tohunga hinengaro, me ētahi atu tohunga hauora kia mōhio ai kei te rite tinana, kei te rite hinengaro hoki koe mō tēnei. |
Ko ētahi atu mate e rongoatia ana e te pokanga ringaringa puku
Ahakoa ko te whāinga matua o tēnei pokanga ko te whakaiti i te taumaha, ka taea hoki e ia te whakahaere, ā, i ētahi wā ka whakaora katoa i ētahi atu mate kino e hua mai ana i te taumaha rawa.
- Te mate huka momo 2 me te ātete ki te insulin
- Te toto toto tiketike (hypertension) me ngā mate ngakau e pā ana
- Te cholesterol toto tiketike (Hyperlipidemia) me ngā mate uaua
- Mate ate ngako kore-waipiro (mate ate ngako kore-waipiro)
- Te apnea moe aukati
- Te mamae o ngā hononga me te mamae o te turi (Osteoarthritis)
Me pēhea te mahi i te pokanga?
Nā, kia tirohia tātou me pēhea te mahi i tēnei pokanga. Kaua e manukanuka, he maha ngā wā ka mahia tēnei mā te whakamahi i te pokanga laparoscopic . Ko te tikanga kāore koe e hiahia ki te tapahi i tō puku pērā i mua. Engari, ka hangaia e koe kia 3-4 ngā kōhao iti rawa ki roto i tō puku, ka whakauru i tētahi kāmera me ngā taputapu pokanga mā roto. Ka kiia hoki tēnei ko te "pokanga kōhao kī". Ko te tikanga he iti ake te mamae, ā, he tere ake te wā whakaora.
Ngā mea ka tupu i te wā o te pokanga:
1. Tuatahi, ka whakamoea katoatia tō tinana. Ko te tikanga tēnei kāore koe e rongo i tetahi mea tae noa ki te mutunga o te pokanga, ā, ka moe rawa koe.
2. Ka tapahia e te taote pokanga he tapahi iti, tata ki te hawhe inihi te rahi, ki roto i tō puku, ka whakauru i tētahi ngongo iti mā roto.
3. Ka werohia he iti noa te hau waro hauhā mā roto i te ngongo hei pupuhi i te puku. Mā tēnei ka kitea mārama ngā whekau o roto, ā, ka taea te pokanga.
4. Kātahi ka whakauruhia he kāmera e kiia nei ko te laparoscope. Ka whakaaturia ngā whakaahua mai i taua kāmera ki runga i te mata nui.
5. Ka whakaurua ngā taputapu pokanga mā roto i ētahi atu tapahi iti, ā, tata ki te 80% o te puku ka wehea, ka tangohia mā te whakamahi i tētahi tānga pokanga motuhake.
6. Ka tangohia te wāhanga whakamutunga o te puku i tangohia, ā, ka tuia ngā kōhao iti i hangaia.
Ko te roa o te pokanga katoa he tata ki te haora, ki te haora me te hawhe rānei . Me noho koe ki te hōhipera mō te rā, e rua rānei i muri i te pokanga. Mā tēnei ka āwhina i te whakahaere i te mamae me te aroturuki i tō āhua.
He pēhea te oranga i muri i te pokanga?
Ka nui ngā rerekētanga o tō koiora i muri i te pokanga, inā koa ko ō tikanga kai.
- Kai i ngā wiki tuatahi: I ngā wāhanga tuatahi, me kai wai noa koe. Kātahi ka āta haere, ka whakamōhiotia koe ki ngā kai wai-haurua pērā i te hupa, kātahi ka whakamōhiotia koe ki ngā kai ngohengohe, kuoro. Ka roa pea ētahi marama i mua i te tīmatanga o te kai i ngā kai totoka noa.
- Ngā huaora me ngā tāpiringa kai: Nā te mea he iti noa te nui o te kai e kainga ana e koe, tērā pea kāore e ranea ngā matūkai e whiwhi ana tō tinana. Nō reira, me tango e koe ngā tāpiringa huaora me ngā kohuke i tūtohutia e tō tākuta mō te roanga o tō oranga .
- Ngā tirotiro hauora: I muri i te pokanga, me toro atu koe ki tō tākuta i ngā wā katoa hei tirotiro i tō mate taimaha, tō hauora, me ngā taumata kai.
He aha ngā painga me ngā mōrearea?
Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, me ētahi mōrearea iti. Engari kia maumahara, he nui ake ngā mōrearea o te noho me te momona i ngā mōrearea o tēnei pokanga.
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
| He māmā ake, he tere ake, he haumaru ake i ētahi atu pokanga whakaiti taumaha. | Ngā mōrearea wā poto (tino iti, iti iho i te 1%):Te toto, ngā mate pāwera, ngā tauhohenga ki te rongoā whakamoe, te turuturu mai i te raina tānga. |
| Nā te mea kāore e whakarerekē i ngā whekau, he iti te tūponotanga o ngā raruraru kai mō te wā roa. | Ngā raruraru roa: te korenga o ngā kai (he mea nui te kai huaora), te kino haere, te tīmatanga hou rānei o te reflux gastroesophageal, ngā kohatu o te pūkahukahu (ka puta pea i te tere o te whakahekenga taumaha). |
| Ka whakarato i ngā painga pai mō te whakaiti taumaha me te hauora. | Ka taea e te kiko koha te whakawhāiti i te puku, te aukati hoki i te ara o te kai (tērā pea ka ruaki me te whakapairuaki). |
E hia te taumaha ka ngaro?
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 i muri i te pokanga. Me kī tātou he 120 kirokaramu tō taumaha. Kātahi ka taea e koe te ngaro i te 30-36 kirokaramu. Engari kei te āhua o te noho e whai ana koe i muri i te pokanga tēnei. Ka nui ake te ngaro o te taumaha o ētahi tāngata.
He pokanga kore e taea te whakakore i tēnei. Nō reira, ki te whakatau koe ki te mahi i tēnei, me rite koe ki te whakapau kaha mō te wa katoa ki te whakarerekē i tō kai me tō momo noho. Engari ki te mea kua rite koe ki te whakapau kaha, ka huakina e tēnei pokanga he ara hou ki te oranga hauora.
Karere Tangohia ki te Kāinga
- He maimoatanga tino whai hua, he haumaru hoki te pokanga ringaringa puku mō te momona nui.
- Ehara i te mea ka whakaiti noa i te puku tēnei, engari ka whakaitihia hoki ngā taumata o ngā homoni e hua ai te hiakai.
- Kāore tēnei e pai mō te katoa. Ka whakatauhia te whai wāhitanga i runga i tō BMI me ētahi atu āhuatanga hauora.
- I muri i te pokanga, me urutau koe ki tētahi kai me tētahi momo noho hou mō te toenga o tō oranga. He mea nui te tango i ngā tāpiringa huaora.
- Ko te huarahi pai ki te mōhio mēnā he tika tēnei pokanga māu, ko te kōrero noa atu ki tō tākuta , ki tō kaiwhakaora hinengaro rānei mō tēnei mea.
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