Kua hoha koe ki te ngana ki te whakaiti i tō taumaha? I ētahi wā, ahakoa te nui o tā tātou whakahaere i tā tātou kai me te whakakori tinana, kāore e puta ngā hua e hiahiatia ana e tātou. He nui ake tēnei wero ina noho tātou me te mate e kiia nei ko te momona. Nō reira, mō te hunga o koutou e mataku ana ki te haere ki te pokanga engari e hiahia tonu ana ki te whakaiti i tō taumaha, ka kōrero atu mātou ki a koutou mō tētahi tikanga hou, he iti te mōrearea i roto i te rongoā. Ko te Intragastric Balloon tēnā.
He aha te tikanga o te Intragastric Balloon?
Whakaarohia ka maka e koe he poihau iti, ngohengohe ki roto i tō puku, ka whakakīia ki te wai pērā i te wai. Koinei te mea e kiia nei e mātou ko te pūnaha 'Poihau Intragastric'. Ko te tikanga o te 'Intragastric' ko 'kei roto i te puku.' He tikanga hauora kore-pokanga tēnei hei whakaiti i te taumaha.
Ina kei roto i te puku tēnei poihau, ka nohoia e ia tētahi wāhi i roto i te puku. Nō reira, ka kī tonu koe ahakoa he iti noa te kai. Me te mea nei kei te iti haere te puku. Ka whakawhāitihia e tēnei te nui o te kai ka taea e koe te kai. Engari he wā poto noa iho tēnei. I muri i ētahi marama, ka tangohia anō te poihau. I taua wā, ka nui te āwhina i a koe ki te taunga ki tētahi kai hauora me te āhua noho.
He aha tātou i hiahia ai ki tēnei momo maimoatanga?
He maha ngā huringa o te tinana e pā ana ki te momona. Ko tētahi o ēnei ko te piki haere o te rahi o tō tātou puku i roto i te wā. Pērā i te totoro o te here rapa, ka nui haere hoki tō tātou puku. Ko te tikanga me kai nui tātou kia kī ai.
Tata ki ngā tikanga hauora katoa mō te whakaiti taumaha he whakaiti i te nui o te wāhi i roto i te puku i tētahi ara. Heoi, ki te whakaritea ki ētahi atu tikanga, he maha ngā painga motuhake o tēnei huarahi:
1. Rangitahi: Ehara tēnei i te mea pumau. Ka tangohia i muri i te ono marama pea.
2. Kore-pokanga: Kāore he pokanga nui e hiahiatia ana hei whakauru i te poihau, nō reira kāore he koha.
3. Kāore he take mō te rongoā whakamoe whānui: Kāore tēnei tikanga e hiahia kia kore rawa koe e mōhio (whakamoe whānui). I te nuinga o te wā, he rongoā whakamoe ngawari anake ka hoatu.
Nā ēnei take, he kōwhiringa pai tēnei mō te hunga kāore e tika ana mō te pokanga bariatric, mō te hunga rānei kāore e hiahia ki te mahi pokanga.
Mā wai tēnei tikanga tātari e tika ana, ā, mā wai kāore e tika ana?
Ehara tēnei i te mea ka taea e te katoa te mahi. Mā te tākuta koe e whakatau mēnā he pai koe mō tēnei. Me titiro tātou ko wai ka tūtohutia mō tēnei tikanga, ko wai hoki kāore.
| Ngā tāngata e tika ana mō te nuinga o te wā | Ngā tāngata kāore i te tino tika |
|---|---|
| Mō te hunga he 30, neke atu rānei te taupū papatipu tinana (BMI). | Mō te hunga he mate puku, he mate korokoro rānei (mate puku peptic). |
| Mō te hunga e rapu ana i tētahi huarahi iti ake te mōrearea hei whakakapi i te pokanga whakaiti taumaha. | Mō te hunga e pāngia ana e ngā āhuatanga pēnei i te hiatal hernia. |
| He mōrearea te pokanga mō te hunga momona rawa me te hunga e hiahia ana ki te whakaiti i tō rātou taumaha i mua i te pokanga (hei "tikanga piriti"). | Mō te hunga he mate toto totoka. |
| Mō te hunga e hiahia ana ki te whakahaere i ngā mate e pā ana ki te momona pērā i te mate huka (mate huka momo 2), te toto toto tiketike, me te mate pūnaha toto. | Mō te hunga e mate ana i te ate. |
| Mō te hunga kāore anō kia pokangahia te puku i mua. | Mō te hunga e waranga ana ki ngā raau taero, ki te waipiro rānei. |
Ko te mea nui kia kaua e whakatau ko koe anake. Kōrero ki tō tākuta , ā, whakataua māu ake mēnā he tika tēnei māu i runga i tō āhua hauora.
E hia te taumaha ka taea e koe te ngaro mā te pekepeke?
I te toharite, ka taea e te tangata te ngaro i te 10% o tōna taumaha tinana katoa mā tēnei tikanga. Arā, ki te 100 kg tō taumaha, ka ngaro pea i a koe te 10 kg. He nui tēnei hei hanga i tētahi rerekētanga nui ki tō hauora i roto i te wā poto, pērā i te 6 marama.
Engari kia maumahara, ehara tēnei i te makutu. Tērā pea ka rerekē ngā hua i runga i te kaha o tō whai i ngā tohutohu a tō tākuta, inā koa tō kai. Waihoki, ki te hoki anō koe ki ō tikanga kino o mua i muri i te tango i te pire, ka nui ake te tūponotanga ka hoki anō tō taumaha kua ngaro .
Me pēhea te tukanga whakauru i tētahi pepa pōti?
He mea tēnei e tupu ana i roto i ētahi taahiraa. Me titiro tātou.
1. Te whakarite i mua i te tukanga
Kia whakatau tō tākuta he pai koe, ka tohua he tīma hauora hei āwhina i a koe i te huarahi. Kei roto pea i tēnei tīma he tohunga kai, he tohunga puku, he tohunga hinengaro, he kaiwhakatakoto whakaaro rānei. Mā rātou e waihanga he mahere whakaiti taumaha e tika ana māu.
Mō ētahi rā i mua i te tikanga, me kai noa koe i te wai mārama. Mā tēnei ka āwhina i te horoi i tō puku. Ka tohutohuhia hoki koe kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō o te pō i mua atu.
2. Te whakauru i te poihau
He maha ngā wā ka whakauruhia te poihau mā te whakamahi i tētahi taputapu e kiia nei ko te endoscope . He ngongo angiangi, ngāwari tēnei me tētahi kāmera e piri ana ki a ia. Ka tukuna tēnei ngongo mā roto i tō waha, ka heke iho i tō korokoro, ka tomo ki roto i tō puku. Ka hoatu he rongoā whakangāwari ngawari ki a koe hei āwhina i a koe kia marino.
- Tuatahi, ka tirohia e te tākuta te roto o tō puku mā te whakamahi i tētahi kāmera endoscope hei whakarite kāore he raruraru e aukati ana i te tirotiro.
- Ki te pai ngā mea katoa, ka tukuna te poihau kau ki roto i te puku.
- Kātahi ka whakakīia he otinga tote ki roto i te poihau mā roto i tētahi ngongo.
- Ina whakakīia te poihau ki te rahi e hiahiatia ana, ka tangohia te ngongo. Ka kati aunoa te takirere i roto i te poihau, kia kore ai te wai e puta mai anō.
E 20-30 meneti pea te roa o te tukanga katoa . Whai muri i tēnā, me noho koe ki te hōhipera mō ētahi haora i raro i te tirotiro. Ka hoatu he rongoā ki a koe hei whakahaere i ngā āhuatanga pēnei i te mamae me te whakapairuaki. Ka whakaaetia koe kia hoki ki te kāinga i muri i te whakaūnga ka taea e koe te manawanui ki te tukanga.
3. I muri i te tukanga
Kāore e taea e koe te hoki noa ki te kai noa i muri i tō taenga ki te kāinga. Me hoatu he wā ki tō puku kia urutau ki te kai hou.
- Te kai wai i ngā rā tōmua.
- Ko ngā kai kua paraitia te kai e whai ake nei.
- Kātahi ka kai i ngā kai ngāwari pērā i ngā huawhenua kohuatia me te raihi.
- Hei te mutunga, ka taea e koe te taunga ki te mahere kai roa e whakaratohia ana e tō tohunga kai.
Ka whakapā atu tonu tō tīma hauora ki a koe i tēnei wā.
Te tango i te poihau me ngā pānga taha
E ono marama te roa o te noho o te poihau i roto i tō puku. I tēnei wā, me mahi koe i ngā tikanga hauora. I muri i ngā marama e ono, ka tangohia te poihau mā te whakamahi i te endoscope, i te wā tonu i whakaurua ai. Ka pokaia te poihau e te tākuta, ka tangohia te wai katoa i roto, kātahi ka tangohia te poihau kau.
I muri i te tangohanga o te rapa, ka tautokona koe e te tīma hauora mō te ono marama pea, kia kite ai mēnā kei te mau tonu ō tikanga pai hou.
| Ngā pānga taha pea me ngā mōrearea o te balam | |
|---|---|
| Ngā pānga taha noa (wā poto) | |
| Mamae puku | Ka puta ēnei i roto i te wiki tuatahi, ā, ka taea te whakahaere mā te rongoā. |
| Whakapairuaki me te ruaki | Tērā pea ka puta tēnei āhuatanga kia taunga rā anō te tinana ki te āhua. |
| Hau, koretake o te kai | Ka puta pea ēnei āhuatanga mā te whakarerekētanga o te kai. |
| Korokoro mamae | He āhuatanga rangitahi i puta mai i te ngongo endoscope. |
| Ngā mōrearea onge (tino nui) | |
| Te whakahekenga o te poihau | Ki te poka te pōro, ka taea e ia te heke ki raro i ngā whekau, ka mau. He āhuatanga ohorere tēnei. Ki te puta tēnei, me haere tonu koe ki te ETU (Emergency Treatment Unit) . (Mōrearea ~1.5%) |
| Pancreatitis whakapeka | Ka puta pea tēnei āhuatanga nā te pēhanga o te pūangi i roto i te puku ki runga i te repeure. (He tino onge) |
| Te mate puku, te pakaru rānei | Ka taea e te pēhanga o te poihau te whara i te pakitara o te puku, te pakaru rānei i te puku, he tino onge (mōrearea ~0.1%). |
Hei whakamutunga, e pēhea ana te angitu o tēnei tikanga?
He tokomaha te hunga ka angitu ki te whakaiti i tō rātou taumaha mā tēnei tikanga whakaiti taumaha. Ā, ka taea hoki e rātou te whakaora i ngā raruraru hauora maha e puta mai ana i te momona. Heoi, e ai ki tā mātou i kōrero ai i mua, ehara tēnei i te otinga tuturu . He "ara" pai noa iho tēnei hei āwhina i a koe ki te ora i te oranga hauora.
He taputapu te pahikara hei āwhina i a koe i te huarahi. Engari me taraiwa e koe te motuka. Arā, me haere tonu koe i ngā tikanga kai hauora me te whakakori tinana i akohia e koe ahakoa kua tangohia e koe te pahikara.
Ka hoki anō te taumaha o ētahi tāngata i muri i te tango i te puku whakapiko. I ēnei wā, ka hoki anō ētahi ki te maimoatanga puku whakapiko, ko ētahi ia e whakaaro ana ki ētahi atu maimoatanga hauora, ki te pokanga rānei.
Hei whakamutunga, he kōwhiringa hauora pai te Intragastric Balloon, he iti noa te mōrearea mō te hunga e whawhai ana ki te momona. Heoi, kia tino whai hua ai, me whakapau kaha koe ki te hanga i ngā huringa roa ki tō momo noho, me te tautoko a tō tīma hauora.
Karere Tangohia ki te Kāinga
- Ko te Intragastric Balloon he tikanga whakaiti taumaha rangitahi, kāore he pokanga .
- Ka mahi tēnei mā te whakatakoto i tētahi hiri ki roto i te puku, kia puta ai te kare o te kī, me te whakawhāiti i te nui o te kai e kainga ana e koe.
- Kāore tēnei tikanga e pai mō te katoa. Me kōrero koe ki tētahi tākuta kia mōhio ai koe mēnā he tika mōu.
- Ko te angitu o ngā hua o te tikanga e whakawhirinaki ana ki te kai me te momo noho e whai ana koe i te wā o te tikanga, me muri hoki i muri mai.
- Ahakoa he mea noa te pāngia e ngā pānga taha iti noa, kia tūpato ki ngā mōrearea nui ka puta onge, ā, me kōrero ki tō tākuta.
- Ehara tēnei i te makutu, he "tīmatanga" pai noa iho māu kia anga whakamua ai koe ki te oranga hauora.
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