Me ako tātou i ngā mea katoa e pā ana ki te Pokanga Ringaringa Puku hei whakaiti i te taumaha.

Ko tētahi o ngā raruraru nui e pā ana ki te tini o te tangata i ēnei rā ko te pikinga o te taumaha. Kāore rawa he mea e taea e rātou te mahi hei whakaiti i te taumaha. Ka haere rātou ki te whare takaro tinana, ka whakahaere i ā rātou kai, ā, ka mahi i ngā momo korikori tinana. Engari mō ētahi, ahakoa tā rātou mahi, he tino uaua ki te whakatutuki i ngā hua e hiahiatia ana. Ko te momona, e kīia nei ko te "momona" ehara i te mea he take ataahua anake, engari he take anō hoki mō ngā mate kino maha pērā i te mate huka, te toto toto tiketike, me te cholesterol. Nō reira, i tēnei rā ka kōrero tātou mō tētahi tikanga tino angitu i roto i te rongoā hei āwhina i te hunga e pāngia ana e tēnei momo momona. Ko te pokanga ringaringa puku tēnā.

He aha te tikanga o te pokanga ringaringa puku?

Ko te pokanga ringaringa puku, e kiia nei e ngā tākuta, ko te "sleeve gastrectomy," he pokanga whakaiti taumaha. Ka kiia hoki ko te "bariatric surgery." He tino māmā te mahi i konei. He wāhanga nui o tō puku, tata ki te 80%, ka tangohia mā te pokanga.

Whakaarohia tō puku he pēke iti. Whai muri i tēnei pokanga, ka tangohia he wāhanga nui o te pēke, ka toe ko tētahi wāhanga iti, he āhua panana, he rite ki te ngongo (ringa). Koia i huaina ai ko te pokanga ringaringa puku. Ko te kaupapa matua o tēnei pokanga he whakaiti i te puku i tēnei ara.

Āe, me pēhea te whakaiti i tō taumaha mā te whakaiti i tō puku?

Tērā pea kei te whakaaro koe, "Me pēhea taku whakaiti i taku taumaha mā te whakaiti i tōku puku?" E rua ngā take matua mō tēnā.

1. Te whakawhāiti i te nui o te kai e kainga ana e koe: Nā te iti o tō puku, ka tino whakaitihia te nui o te kai ka taea e koe te kai i te wā kotahi. Ahakoa i kai koe i tētahi pereti kai i mua, i muri i te pokanga ka kī tonu koe i te iti noa o te kai. Ki te kī noa, ka tere ake tō kī. Mā tēnei ka whakahaere maoritia te nui o ngā kaora e kainga ana e tō tinana.

2. Te hekenga o ngā homoni hiakai: Koinei te mea nui rawa atu. Ka whakaputahia e tō tātou puku te homoni `(ghrelin),` koinei te homoni matua e hua ai te hiakai. Nā te mea e 80% o te puku ka tangohia i te wā o te pokanga ringaringa puku, ka tino heke hoki te nui o tēnei homoni e whakaputaina ana. Ko te tikanga o tēnei ka tino heke tō hiakai me tō hiahia ki te kai. Ko te take matua mō te pikinga anō o te taumaha i muri i te whakahekenga taumaha ko te hiahia kore e taea te whakahaere ki te kai. He otinga pai hoki tēnei pokanga mō tēnā.

Ko wai te hunga e tika ana kia mahia tēnei pokanga?

Ehara tēnei i te pokanga e taea e te katoa te mahi. Ka tirotirohia koe e te tākuta me te āta tirotiro, ā, ka tukuna koe mō tēnei pokanga mēnā ka tutuki i a koe ētahi tohu. Kia kite tātou he aha aua tohu.

He aha atu ngā mate ka taea te rongoā mā tēnei pokanga?

Ahakoa ko te whāinga matua o te pokanga ringaringa puku ko te whakaiti i te taumaha, ka taea hoki e ia te whakahaere, ā, i ētahi wā ka ora katoa, i ngā mate maha atu i puta mai 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 nui o te cholesterol i roto i te toto (Hyperlipidemia) me te arteriosclerosis
• Te mate ate momona kore-waipiro (NAFLD)
• Te apnea moe aukati
• Te mamae o ngā hononga me te osteoarthritis

Ka āwhina tēnei mahi pokanga ki te whakaora i te maha o ngā mate pēnei.

Me pēhea te tukanga pokanga?

Kia titiro tātou inaianei ki ngā mahi i mua, i te wā, me muri i te pokanga.

Me aha koe i mua i te pokanga?

Kia whakatauhia e ō tākuta he pai koe mō te pokanga, ka tukuna koe ki tētahi kai wai motuhake mō ngā wiki e rua i mua i te pokanga. Ko te kaupapa o tēnei hei āwhina i te whakaiti i ētahi o ngā ngako kāore e hiahiatia i roto i tō puku me tō ate, kia haumaru ake ai te pokanga.

Hei tāpiritanga, kāore koe e whakaaetia kia kai, kia inu rānei i tetahi mea mō ngā hāora 12 i mua i te pokanga, nā te mea me tino kau tō puku i te wā e pokanga ana.

Me pēhea te mahi i te pokanga?

Ināianei, i te nuinga o te wā, ka mahia tēnei pokanga mā te whakamahi i tētahi tikanga e kiia nei ko te "pokanga laparoscopic." Arā, hei utu mō te hanga i tētahi tapahi nui me te whakatuwhera i te puku, ka mahia te pokanga mā te whakauru i tētahi kāmera me ngā taputapu motuhake mā roto i ētahi tapahi iti rawa. Ka kiia hoki tēnei ko te "pokanga kī-pōro." He iti ake te mamae o tēnei tikanga, ā, he poto ake te wā whakaora.

1. Tuatahi, ka tukuna koe ki raro i te rongoā whakamoe whānui. Ko te tikanga tēnei kāore koe e rongo i tetahi mea i te wā o te pokanga, ka moe koe.

2. Kātahi ka tapahia e te taote pokanga he tapahi iti rawa (tata ki te hawhe inihi) ki roto i tō puku, ka whakaurua he ngongo iti ki roto.

3. Ka tukuna he hau waro hauhā iti mā roto i te ngongo ki roto i te puku hei pupuhi i te kōhao puku. Mā tēnei ka kitea mārama ngā whekau o roto.

4. Muri iho, ka whakauruhia he kāmera iti (laparoscope) mā roto i te ngongo. Ka whakahaerehia e te tākuta te pokanga mā te tiro i ngā whakaahua mai i te kāmera i runga i te mata tirotiro.

5. Ka mahia tētahi, neke atu rānei, o ngā tapahi iti, hei whakauru i ngā taputapu roa, angiangi e hiahiatia ana mō te pokanga.

6. Mā te whakamahi i ēnei taputapu, ka inehia te wāhanga "ringaringa" o te puku e hiahiatia ana kia waiho, ā, ka wehea te wāhanga nui kāore e hiahiatia, ka tapahia ki tētahi momo tātaitai motuhake (tātaitai pokanga).

7. Hei whakamutunga, ka tangohia te wāhanga puku kua tangohia, ā, ka tuia ngā tapahi iti kia katia.

Ko te roanga o tēnei pokanga katoa he tata ki te haora me te hawhe.

He aha ngā mea ka tupu i muri i te pokanga?

Me noho koe ki te hōhipera mō te rā kotahi, e rua rānei i muri i te pokanga. I taua wā, ka āwhina ngā kaimahi hauora i a koe ki te whakahaere i tō mamae me te whakahaere i ngā pānga taha rangitahi, pērā i te whakapairuaki.

I muri i tō putanga mai i te hōhipera, me toro atu koe ki tō tākuta i ngā wā katoa. Ka aroturukihia e ia tō whakahekenga taumaha, mēnā kei te whakahaeretia ētahi atu āhuatanga hauora, me mēnā he pānga taha kei muri i te pokanga.

Me huri nui rānei aku tikanga kai me aku tikanga inu i muri i te pokanga?

Āe, tino tika. Koinei te wāhanga tino uaua, tino nui hoki o tēnei haerenga. I muri i te pokanga, me tino tupato koe ki tāu e kai ai, e inu ai mō te toenga o tō oranga.

• Ngā wiki tuatahi:I tēnei wā, ko ngā wai anake ka taea e koe te kai. Ngā mea pēnei i te hupa, te miraka, me te wai hua.
• Panuku: Ka taea e koe te huri mārire ki tētahi kai ngawari, pērā i te raihi kuoro, ngā huawhenua kuoro, me te miraka kawa.
• I muri i ētahi marama: Ka taea e koe te tīmata mārire ki te kai i ngā kai totoka noa.

I muri i te pokanga, me tango e koe ngā tāpiringa huaora me ngā kohuke mō te toenga o tō oranga. Nā te mea he uaua ki te tiki i ngā matūkai katoa e hiahiatia ana e tō tinana mai i te kai anake nā te iti o te kai e kainga ana e koe.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga katoa, he painga, he mōrearea anō hoki tō tēnei pokanga.

Ngā Painga

• Ki te whakaritea ki ētahi atu momo pokanga bariatric, he pokanga māmā noa iho tēnei, he tere, he haumaru hoki.
• Nā te mea kāore te pokanga e huri i ngā whekau, he iti te mōrearea o te korenga o ngā kai totika mō te wā roa.
• Ka taea e koe te whakaiti i tō taumaha me te tino angitu, ā, mā reira ka taea e koe te whakahaere i ngā mate pēnei i te mate huka me te toto toto tiketike.

Ngā Tūponotanga me ngā Whakararuraru

He tino iti te mōrearea o ngā raruraru mai i tēnei pokanga (iti iho i te 1%). Heoi, he mea nui kia mōhio koe.

E hia te taumaha ka taea e au te whakaiti? Ka hoki anō rānei taku taumaha?

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. Hei tauira, ko te tangata he 120 kg te taumaha ka taea e ia te ngaro i te 30-36 kg. Ko tēnei nui ka whakawhirinaki ki te momo noho e whai ana koe i muri i te pokanga.

Tērā pea ka piki ake te taumaha o ētahi tāngata i roto i te wā, nā te mea ka hoki anō rātou ki ā rātou tikanga kai tawhito, nā te mea rānei ka totoro te puku i roto i te wā. Mēnā ka tupu tēnā, me whakaaro pea koe ki te pokanga whakahou. Tērā pea ka uru atu ki tēnei he whakahou i te pokanga taketake, he whakawhiti rānei ki tētahi atu pokanga whakaiti taumaha, pērā i te pokanga bypass puku.