Kei te raru koe i te mate huka momo 2, ā, kei te uaua koe ki te whakahaere i tō taumaha? Ahakoa te tango rongoā, te whakahaere i tō kai, me te whakakori tinana, kāore pea i te puta ngā hua e hiahiatia ana. Engari i mōhio koe mō ētahi tāngata, he tikanga kaha kei reira hei otinga kotahi mō ēnei raruraru e rua? Ko te pokanga whakaiti taumaha. Ka kiia hoki tēnei ko te Pokanga Bariatric. I roto i tēnei tuhinga, ka kōrerohia e mātou me pēhea te whakahaere i te mate huka e ēnei pokanga, me te mea he pai mōu.
He pono rānei tēnei e whai hua ana? He aha tā te rangahau e kī ana?
Ae, he tikanga tino angitu tēnei. Mō ētahi tāngata, ka hoki anō ō rātou taumata huka toto ki te āhua noa i muri i tēnei pokanga. Ko te tikanga kua ora katoa tō rātou mate huka. Kātahi ka taea e koe te whakaiti i te nui o te rongoā e tangohia ana e koe, te whakamutu rānei i te tango.
Kua kitea tētahi mea tino miharo i roto i tētahi rangahau nui mō tēnei kaupapa. I whai wāhi te rangahau ki te 400 tāngata he mate huka momo 2. E ono tau i muri i tā rātou pokanga bariatric, 62% o te hunga i pokangahia kāore he tohu o te mate huka. Ehara i te mea koinā anake, engari kua tino pai ake hoki ō rātou toto toto tiketike me ngā taumata cholesterol.
Whakaarohia, he rōpū iti noa iho o te tangata, i waenga i te 6% me te 8%, i whakamahi noa i te rongoā, ehara i te pokanga, kua eke ki ngā hua pai. Kāore ianei tēnei e whakaatu ana i te kaha o ēnei pokanga?
He pai tēnei pokanga mōku?
I mua i te whakaaro ki tēnei, ka whakaarohia e tō tākuta ēnei mea tuatahi:
- Kei runga ake i te 30 tō BMI? (Ko te BMI te tikanga mō te Body Mass Index. He tohu tēnei mō te taumaha hauora mō tō teitei.)
- Kei a koe te mate huka momo 2, te mate pāwera rānei?
- Kua whakamātauria e koe ngā tikanga maha hei whakaiti i tō taumaha i mua, ā, kāore anō kia taea te pupuri?
Mena ko te whakautu ki ēnei pātai he 'āe', ka whakahaerehia e te tākuta he tirotiro katoa hei tirotiro mēnā kua rite tō tinana me tō hinengaro mō tēnei pokanga. Nā te mea ehara tēnei i te mea ka taea te mahi mā te pokanga kotahi anake. He mea tino nui hoki kia whakatauhia mēnā kua rite koe ki te whakapau kaha ki te whakarerekē katoa i ō tikanga kai me te whakakori tinana mō te toenga o tō oranga.
Waihoki, ki te mea he mate hauora anō ōu, pērā i te mate manawa, me whiwhi whakaaetanga koe mai i tō tohunga mō tēnei pokanga.
He aha ēnei momo pokanga?
He maha ngā momo pokanga whakaiti taumaha. Ko ētahi pokanga ka whakaiti i te rahi o tō puku, ka taea ai e koe te kai iti iho. Ko ētahi ka huri i te huarahi e mimiti ai tō tinana i ngā kaora me ngā matūkai mai i te kai. Kei reira anō hoki ngā pokanga e whakakotahi ana i ngā tikanga e rua.
Kia tirohia ngā momo pokanga matua me ō rātou painga me ō rātou huakore.
| Momo pokanga | Ngā Painga | Ngā ngoikoretanga |
|---|---|---|
| Te arai puku Ka hangaia he putea iti mai i te pito o runga o te puku, ā, ka hono tika ki te whekau iti. Ka karohia te nuinga o te puku e te kai. | - Tata ki te 80% o ngā tūroro e ora ake ana i te mate huka. - Tata ki te 60% - 80% o te taumaha tāpiri ka whakaitihia. | - Ka heke te mimiti o te tinana i ngā huaora me ngā kohuke. - Kāore e taea te hoki whakamuri. - Tērā pea ka puta te mate Dumping Syndrome (te mamae i puta mai i te tere rawa o te neke o te kai ki roto i te whekau iti). |
| Ringaringa Puku Tata ki te 80% o te puku ka tangohia, ka waiho mai he puku iti he rite te āhua ki te panana. | - Neke atu i te 60% o ngā tūroro e ora ake ana i te mate huka. - Ka whakaiti i te taumaha nui mā te 50%. - Ka heke te ghrelin, te homoni e hua ai te hiakai. | - Kāore e taea te hoki whakamuri. - Tērā pea ka iti te mimiti o ngā huaora me ngā kohuke. |
| Here Puku (He Here Puku Ka Taea te Whakarite) Ka whakatakotoria he here pupuhi ki te taha o runga o te puku, ka hangaia he putea iti. | - Kāore he tapahi i te puku, kāore hoki he whakarerekētanga i roto i te puku. - He iti ake ngā pānga taha. - Ka taea te whakarerekē, te tango rānei i te whitiki mēnā e tika ana. | - He iti iho te whakaheke taumaha i ērā atu tikanga (40%-50%). - Ko ngā raruraru pēnei i te paheke o te whitiki, me mahi pokanga anō pea. |
| Te Hurihanga o te Biliopancreatic me te Whakawhiti Duodenal He pokanga tino uaua e tango ana i tētahi wāhanga nui o te puku, ā, ka whakarerekē i te ara e haere ai te kai mā roto. | - Ko te pokanga tino angitu mō te mate huka. - Tata ki te 60% - 70% o te taumaha tāpiri ka whakaitihia. | - Ko tēnei pokanga te mea tino mōrearea o ngā pānga taha. - Ko ngā raruraru nakunaku me te mimiti matūkai ngā mea e tino kitea ana. |
Ētahi atu tikanga hou
Haunga ēnei pokanga matua, he maha atu anō ngā tikanga.
- Pūrere Whakatō Hiko: Ka whakatōkia he pūrere hiko iti ki raro i te kiri ki roto i te puku. Mā tēnei ka whakahaere i te io (Vagus Nerve) e hono ana i te roro me te puku, ka whakaiti i te hiakai.
- Poihau Kōpū: Ehara tēnei i te pokanga. Ka whakaurua he poihau ki roto i te puku mā te waha, ā, ka pupuhihia, he rite ki te endoscopy. Ka taea tēnei te waiho mō te ono marama pea. Ka iti haere te nui o te kai e kainga ana e koe nā te mea ka whakaitihia te wāhi i roto i te puku. He wā poto tēnei, ā, he iti hoki te utu.
Pērā i ngā pokanga nui katoa, he tūponotanga anō kei reira. Hei tauira, tera pea ka puta he toto, he mate, he pokanga rānei o te korokoro i muri i te pokanga. Koia te mea nui kia mahia ēnei tikanga i raro i te tirotiro a tētahi taote pokanga mātau i roto i tētahi hōhipera pai.
He aha ngā mea ka tupu i muri i te pokanga?
Koinei te wāhanga tino nui. Ko te pokanga te tīmatanga noa iho o tētahi haerenga. Kia mau tonu ai ngā hua, me whakarerekē tonu tō āhua noho.
- Ngā tikanga kai: E kore rawa koe e kaha ki te kai i te kai nui pērā i mua. Me kai koe i te hawhe kapu, i te kotahi kapu rānei i te wā kotahi . Me kai nui koe i ngā kai whai pūmua (ika, mīti kikokore, pīni, tīhi iti te ngako, miraka kawa) me ngā huawhenua.
- Whakakorikori Tinana: Me waiho te whakakorikori tinana i ia rā hei mahi ā-ture.
- Āwhina a te tohunga kai: Nā te mea ka rerekē te āhua o te mimiti o ngā matūkai e tō tinana i muri i te pokanga, he mea nui kia rapu tohutohu mai i te tohunga kai. Mā tēnei ka āwhina kia whiwhi koe i ngā huaora me ngā kohuke e hiahiatia ana e koe.
- Kiri totoro: Tērā pea ka totoro te kiri o ētahi tāngata i muri i te ngaronga o te taumaha. Mēnā e tika ana, ka taea e koe te whakaaro ki te pokanga kirihou i muri mai. He tikanga motuhake tēnā.
Karere Tangohia ki te Kāinga
- He otinga tino angitu, tino whai hua hoki te pokanga whakaiti taumaha mō te mate huka momo 2 me te momona.
- Ehara tēnei i te otinga tere. Whai muri i te pokanga, me whakapau kaha koe ki te kai me te whakakori tinana mō te wā katoa.
- He maha ngā momo pokanga, he rerekē ngā painga, ngā ngoikoretanga, me ngā mōrearea o ia momo pokanga.
- Ahakoa he tika tēnei māu, he aha te momo pai rawa atu, me ngā mōrearea, koinei katoa ngā mea me kōrero e koe ki tō tākuta . Kaua rawa e whakatau i runga i ngā kōrero noa.
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