He aha ka ʻoki bariatric? Ke Kumu, nā Hana & nā Hopena

He hana lapaʻau ka ʻoki bariatric e kōkua ana i ka poʻe me ka momona nui e lilo i ke kaumaha ma ka hoʻololi ʻana i ke ʻano o ka hana ʻana o kā lākou ʻōnaehana digestive. Hoʻemi kēia mau hana i ka ʻōpū, hoʻololi i ke ʻano o ka lawe ʻana o kou kino i nā meaʻai, a i ʻole nā mea ʻelua. E noʻonoʻo iā ia he mea hana ikaika e hana pū ana me ka ʻai olakino a me ka hoʻoikaika kino e kōkua iā ʻoe e loaʻa ka pohō kaumaha mau inā ʻaʻole i holomua nā hana ʻē aʻe.

He aha ka ʻoki bariatric?

E pili ana ka ʻoki bariatric i nā hana ʻoki like ʻole i hoʻolālā ʻia e kōkua i ka poʻe e lilo i ke kaumaha nui. No nā huaʻōlelo Helene mai ka huaʻōlelo

Hiki paha iā ʻoe ke lilo i moho no ke ʻoki bariatric inā he 40 a ʻoi aʻe paha kāu helu kino (BMI), a i ʻole inā he 35 a ʻoi aʻe paha kāu BMI a he mau pilikia olakino koʻikoʻi e pili ana i ke kaumaha. Aia i loko o kēia mau maʻi olakino ka maʻi diabetes type 2, ke koko kiʻekiʻe, ka apnea hiamoe, ka maʻi puʻuwai, a i ʻole ka ʻāʻī nui e paʻakikī ai ka neʻe ʻana me ka ʻoluʻolu.

Hiki i ke ʻoki ke kōkua i ka mālama ʻana a i ʻole ka hoʻomaikaʻi ʻana i nā maʻi olakino e pili ana i ka momona e pili ana i kou maikaʻi o ke ola. Nui ka poʻe i ʻike i ka hoʻomaikaʻi nui ʻana o kā lākou maʻi diabetes, maʻalahi ka mālama ʻana i ko lākou koko kiʻekiʻe, a hiki iā lākou ke hanu maikaʻi i ka pō. Loaʻa i kekahi poʻe i ka hiki ke hōʻemi a hoʻopau loa ʻia kā lākou lāʻau lapaʻau.

Ma waho aʻe o nā pōmaikaʻi kino, kōkua pinepine ke ʻoki bariatric i ka poʻe e loaʻa hou i ka hilinaʻi a hauʻoli i nā hana i hiki ʻole iā lākou ke hana ma mua. ʻO nā mea maʻalahi e like me ka piʻi ʻana i ke alapiʻi, ka pāʻani ʻana me nā keiki, a i ʻole ke komo ʻoluʻolu ʻana i nā noho mokulele e hiki hou.

He aha ke kaʻina hana no ke ʻoki bariatric?

Aia nā ʻanuʻu kikoʻī o kāu ʻoki bariatric i ke ʻano o ke kaʻina hana āu e hana nei. Eia naʻe, hahai ka hapa nui o nā ʻoki bariatric i ke kaʻina hana like a hana ʻia ma lalo o ka anesthesia maʻamau i ka wā e hiamoe loa ai ʻoe.

I ka wā o ka gastric bypass, hana kāu kauka lapaʻau i kahi ʻeke liʻiliʻi ma luna o kou ʻōpū a hoʻopili pololei iā ia i kou ʻōpū liʻiliʻi. ʻO ia hoʻi, hele ka meaʻai i ka hapa nui o kou ʻōpū a me ka ʻāpana mua o kou ʻōpū liʻiliʻi, no laila e ʻoluʻolu ʻoe i ka piha ʻana i ka wā mua a e komo i nā calorie liʻiliʻi mai kāu mea e ʻai ai.

No ka sleeve gastrectomy, wehe kāu kauka lapaʻau ma kahi o 75-80% o kou ʻōpū, e waiho ana i kahi paipu haiki a i ʻole

Me ka hoʻoponopono ʻana i ka gastric banding, ua kau ʻia kahi kaula liʻiliʻi a puni ka ʻāpana luna o kou ʻōpū e hana i kahi ʻeke liʻiliʻi. Hiki ke hoʻopaʻa a wehe paha i ke kaula e like me ka mea e pono ai ma ka hoʻohui ʻana a i ʻole ka wehe ʻana i ka wai paʻakai ma o kahi awa i waiho ʻia ma lalo o kou ʻili.

ʻO ka hapa nui o nā ʻoki bariatric e lawe ma waena o 1-4 mau hola e hoʻopau ai, ma muli o ke paʻakikī o kāu hihia. E nānā pono kāu hui ʻokiʻoki iā ʻoe i ka wā o ke kaʻina hana e hōʻoia i kou palekana a me kou hōʻoluʻolu.

Pehea e hoʻomākaukau ai no kāu ʻoki bariatric?

ʻO ka hoʻomākaukau ʻana no ka ʻoki bariatric e pili ana i kekahi mau ʻanuʻu koʻikoʻi ma luna o kekahi mau pule a i ʻole mau mahina ma mua o kāu kaʻina hana. E alakaʻi kāu hui lapaʻau iā ʻoe ma kēlā me kēia ʻanuʻu e hōʻoia i kou mākaukau e like me ka hiki no ke ʻoki a me ka hoʻōla.

Pono ʻoe e hoʻopau i kahi loiloi lapaʻau piha e pili ana i nā hoʻokolohua koko, nā hoʻokolohua hana puʻuwai a me ka māmā, a i kekahi manawa nā haʻawina kiʻi hou. Makemake kāu kauka e hōʻoia i kou olakino no ke ʻoki a ʻike i nā kūlana e pono ai ka nānā kūikawā i ka wā o kāu kaʻina hana.

Pono ka hapa nui o nā papahana e hālāwai me kahi meaʻai meaʻai a i kekahi manawa he psychologist a i ʻole psychiatrist. Kōkua kēia mau manawa e hōʻoia i kou maopopo i nā loli meaʻai e pono ai ʻoe e hana a ua mākaukau ʻoe i ka naʻau no nā hoʻoponopono ola nui i mua.

E noi paha kāu kauka lapaʻau iā ʻoe e lilo i ke kaumaha ma mua o ke ʻoki ʻana, maʻamau 5-10% o kou kaumaha o kēia manawa. Kōkua kēia i ka hōʻemi ʻana i ka nui o kou ate a maʻalahi a maʻalahi hoʻi ke ʻoki. Hiki ke hāʻawi ʻia iā ʻoe i kahi meaʻai ma mua o ke ʻoki ʻana e hahai ai no 1-2 mau pule ma mua o kāu kaʻina hana.

Pono nō hoʻi ʻoe e hooki i ka puhi ʻana i ka uahi inā puhi ʻoe, no ka mea, hoʻonui nui ka puhi ʻana i kou pilikia o nā pilikia. Hiki i kāu kauka ke ʻōlelo aku e hooki i kekahi mau lāʻau lapaʻau a lawe i nā huaora kikoʻī e hoʻomaikaʻi i kou olakino ma mua o ke ʻoki.

Pehea e heluhelu ai i kāu hopena ʻoki bariatric?

Ana i ka maikaʻi ma hope o ke ʻoki ʻana i ka bariatric i ana ʻia ma nā ʻano like ʻole, a e nānā kāu hui lapaʻau i kou holomua i nā mahina a me nā makahiki. ʻO ke ana maʻamau ka nalowale o ke kaumaha nui, e hoʻohālikelike ana i ka nui o ke kaumaha āu i nalowale ai i ka nui o ke kaumaha nui āu i loaʻa ai ma mua o ke ʻoki.

ʻO ka hopena maikaʻi maʻamau ke manaʻo nei e nalowale ana i ka 50% a ʻoi aku paha o kou kaumaha nui i loko o 12-18 mau mahina ma hope o ke ʻoki. No ka laʻana, inā he 100 paona ke kaumaha nui ma mua o ke ʻoki, ʻo ka nalowale ʻana i 50 paona a ʻoi aku paha e manaʻo ʻia he kūleʻa. Eia naʻe, ʻokoʻa ke ala o kēlā me kēia kanaka, a hiki ke ʻokoʻa nā hopena pilikino.

E nānā pū kāu hui lapaʻau i nā hoʻomaikaʻi ʻana i kou olakino. Nui ka poʻe e ʻike i nā hoʻomaikaʻi nui i kā lākou maʻi diabetes, me kekahi poʻe ʻaʻole pono hou i nā lāʻau lapaʻau diabetes. Hoʻomaikaʻi pinepine ke koko, hiki ke hoʻoponopono ʻia ka apnea hiamoe, a emi pinepine ka ʻeha hui.

He mea nui ka maikaʻi o ke ola e like me nā helu ma ka unahi. E nīnau kāu kauka e pili ana i kou pae ikehu, ka hiki ke komo i nā hana, ka naʻau, a me ka ʻoluʻolu holoʻokoʻa me kāu mau hopena i ka wā o nā manawa ukali.

Aia ka holomua lōʻihi i ka hahai ʻana i kāu mau alakaʻi ma hope o ke ʻoki, me ka ʻai ʻana i nā ʻāpana liʻiliʻi, ke koho ʻana i nā meaʻai momona, ka lawe ʻana i nā huaora, a me ka noho ʻana i ka hana kino. E hāʻawi kāu hui lapaʻau i ke kākoʻo mau e kōkua iā ʻoe e mālama i kou nalowale kaumaha a me nā hoʻomaikaʻi olakino.

Pehea e mālama ai i kou kaumaha ma hope o ke ʻoki bariatric?

ʻO ka mālama ʻana i kou nalowale kaumaha ma hope o ke ʻoki bariatric e koi ana i ka hoʻolaʻa mau ʻana i nā loli ola olakino. He mea hana ikaika kāu ʻoki, akā hana maikaʻi loa ia ke hui pū ʻia me nā loli mau i kāu mau hana ʻai a me ka pae hana.

Pono ʻoe e ʻai i nā ʻāpana liʻiliʻi loa no ke koena o kou ola, ma kahi o 1/4 a i 1/2 kīʻaha meaʻai no ka ʻai ʻana. Hiki i kou ʻōpū hou ke paʻa i ka meaʻai liʻiliʻi, no laila pono ʻoe e nānā i ka loaʻa ʻana o ka meaʻai nui loa mai kēlā me kēia nahu āu e lawe ai.

ʻO ke koho ʻana i nā meaʻai waiwai i ka protein e lilo i mea nui loa no ka mea pono kou kino i ka protein e mālama i ka nui o ka ʻiʻo a hoʻōla pono. E kōkua kāu meaʻai meaʻai iā ʻoe e aʻo i nā meaʻai e hāʻawi ana i ka meaʻai nui loa i nā ʻāpana liʻiliʻi a pehea e pale ai i nā meaʻai e pilikia ai.

ʻO ka hana kino maʻamau e kōkua iā ʻoe e mālama i kou kaumaha a hoʻomaikaʻi i kou olakino holoʻokoʻa. Manaʻo ka hapa nui o nā kauka e hoʻomaka me nā hana mālie e like me ka hele wāwae a hoʻonui mālie i kou pae hana i kou ola hou ʻana a me ka lilo ʻana o ke kaumaha.

He mea nui ka lawe ʻana i nā huaora a me nā mea hoʻohui no ke koena o kou ola no ka mea ʻaʻole paha e komo pono kāu ʻōnaehana digestive i nā meaʻai e like me ka wā ma mua. E kuhikuhi kāu hui lapaʻau i nā huaora kikoʻī a nānā i kāu mau pae meaʻai ma o nā hoʻokolohua koko maʻamau.

He aha nā mea pilikia no nā pilikia o ka ʻoki bariatric?

ʻOiai palekana ka ʻoki bariatric, hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua i kāu hui lapaʻau e mālama i nā hana hou a kōkua iā ʻoe e hana i kahi hoʻoholo i ʻike ʻia e pili ana i ke ʻoki.

He kuleana ko ka makahiki i ka pilikia o ka ʻoki, me ka poʻe ma luna o 65 mau makahiki e loaʻa ana nā helu pilikia kiʻekiʻe iki. Eia naʻe, nui nā mākua kahiko e pōmaikaʻi nui mai ke ʻoki ʻana, a ʻo ka makahiki wale nō ʻaʻole ia e hoʻokaʻawale iā ʻoe mai ka lilo ʻana i moho.

ʻO ka loaʻa ʻana o nā maʻi olakino he nui e like me ka maʻi diabetes, ka maʻi puʻuwai, a i ʻole nā pilikia o ka māmā hiki ke hoʻonui i nā pilikia o ka ʻoki. E loiloi pono kāu hui lapaʻau i kēia mau kūlana a hana e hoʻomaikaʻi i kou olakino ma mua o ke ʻoki ʻana e hōʻemi i nā pilikia hiki ke loaʻa.

Hiki nō hoʻi i kou kaumaha i kēia manawa ke hoʻopilikia i nā pae pilikia. ʻO nā kānaka me nā BMI kiʻekiʻe loa (ma luna o 50) e loaʻa paha nā helu pilikia kiʻekiʻe iki, akā ʻaʻole kēia manaʻo ʻaʻole pono ke ʻoki - ʻo ia wale nō ke ʻano e mālama ai kāu hui i nā hana hou.

Hoʻonui nui ka puhi ʻana i ka pilikia o nā pilikia me ka hoʻōla ʻana i ka ʻeha, nā koko koko, a me nā pilikia hanu. Pono ka hapa nui o nā papahana e haʻalele ʻoe i ka puhi ʻana ma mua o ke ʻoki a hāʻawi i ke kākoʻo e kōkua iā ʻoe e holomua.

Hiki i nā ʻoki ʻōpū ma mua ke hana i kāu kaʻina hana i ʻoi aku ka paʻakikī, akā ʻaʻole pono lākou e pale iā ʻoe mai ka loaʻa ʻana o ke ʻoki bariatric. E nānā kāu kauka lapaʻau i kāu mōʻaukala ʻoki a pono paha e hoʻololi iki i kā lākou hana.

He aha nā pilikia hiki ke loaʻa i ke ʻoki bariatric?

E like me nā ʻoki nui ʻē aʻe, lawe nā kaʻina hana bariatric i kekahi mau pilikia, ʻoiai ʻaʻole maʻamau nā pilikia koʻikoʻi. ʻO ka hapa nui o nā kānaka e ʻike wale i nā pilikia liʻiliʻi a me ka manawa e hoʻoponopono ʻia me ka mālama kūpono a me ka nānā.

ʻO nā pilikia wā pōkole e hiki ke hana i nā pule mua e pili ana i ke kahe ʻana, ka maʻi ma nā wahi ʻoki, a me nā koko koko. Mālama kāu hui lapaʻau iā ʻoe me ka mālama nui no kēia mau pilikia a loaʻa nā lāʻau lapaʻau i hōʻoia ʻia inā loaʻa lākou. Hoʻōla ka hapa nui o nā kānaka i loaʻa i kēia mau pilikia me ka mālama kūpono.

ʻIke kekahi poʻe i ka nausea a me ka luaʻi ʻana i nā pule mua i ko lākou hoʻoponopono ʻana i ko lākou nui ʻōpū hou. Hoʻomaikaʻi maʻamau kēia i kou aʻo ʻana e ʻai i nā nahu liʻiliʻi, nau pono, a me ka hooki ʻana i ka ʻai ʻana ke manaʻo ʻoe ua piha.

Hiki ke hoʻomohala ʻia nā hemahema meaʻai i ka wā lōʻihi inā ʻaʻole ʻoe e lawe i kāu mau huaora i kuhikuhi ʻia a hahai me kāu hui lapaʻau maʻamau. ʻO nā hemahema maʻamau e pili ana i ka huaora B12, hao, calcium, a me ka huaora D. Kōkua nā hoʻokolohua koko maʻamau i ka hopu ʻana iā lākou i ka wā mua i hiki ke hoʻoponopono ʻia.

Hiki ke loaʻa ka maʻi dumping ma hope o ke ʻoki ʻana i ka ʻōpū ke neʻe wikiwiki ka meaʻai mai kou ʻōpū i kou ʻōpū liʻiliʻi. Hoʻokumu kēia i nā hōʻailona e like me ka nausea, ka ʻeha, a me ka maʻi maʻi, ʻoi aku ka nui ma hope o ka ʻai ʻana i nā meaʻai sugary a i ʻole momona. Nui ka poʻe e aʻo e pale i nā meaʻai e hoʻoulu ai a ʻaʻole loa e ʻike i kēia pilikia.

I nā manawa liʻiliʻi loa, hiki ke loaʻa nā pilikia koʻikoʻi, e like me nā leaks ma nā pilina ʻoki a i ʻole nā pilikia meaʻai koʻikoʻi. E wehewehe kāu hui lapaʻau i nā pilikia hiki ke loaʻa a e nānā pono iā ʻoe e hopu i nā pilikia i ka wā mua ke hiki ke mālama ʻia.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ke ʻoki bariatric?

E loaʻa iā ʻoe nā manawa hālāwai maʻamau me kāu hui bariatric no ke koena o kou ola, akā pono nō hoʻi ʻoe e ʻike i ka wā e ʻimi ai i ka lāʻau lapaʻau koke. E hāʻawi kāu hui lapaʻau iā ʻoe i nā alakaʻi kikoʻī e pili ana i ka manawa e kelepona ai a i ʻole e kipa aku i ka lumi pilikia.

E hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i ka ʻeha nui o ka ʻōpū, ka luaʻi mau, nā hōʻailona o ka maʻi e like me ke kuni a i ʻole ka ʻulaʻula a puni kāu ʻoki ʻana, a i ʻole ka pilikia o ka hanu ʻana. Hiki i kēia mau hōʻailona ke hōʻike i nā pilikia e pono ai ka lāʻau lapaʻau wikiwiki.

E kelepona i kāu hui lapaʻau inā ʻaʻole hiki iā ʻoe ke mālama i nā wai no nā hola 24, no ka mea, hiki ke lilo ka dehydration i mea koʻikoʻi ma hope o ke ʻoki bariatric. Pēlā nō, inā ʻoe e ʻike i ka luhi maʻamau, ka nāwaliwali, a i ʻole nā loli i kou maopopo ʻana i ka noʻonoʻo, hiki i kēia mau mea ke hōʻailona o nā hemahema meaʻai.

Pono nō hoʻi ʻoe e ʻimi i ka lāʻau lapaʻau inā ʻike ʻoe i ka ʻeha o ka umauma, ka ʻeha wāwae a i ʻole ka pehu ʻana, a i ʻole ka pōkole o ka hanu ʻana, no ka mea, hiki i kēia mau mea ke hōʻailona o nā koko koko. ʻOiai ʻaʻole maʻamau, hiki i nā koko koko ke koʻikoʻi a pono i ka lāʻau lapaʻau koke.

He mea nui nā manawa hālāwai maʻamau ʻoiai ke maikaʻi nei ʻoe. E nānā kāu hui lapaʻau i kāu holomua pohō kaumaha, e nānā i kou kūlana meaʻai, e hoʻoponopono i kāu mau lāʻau lapaʻau, a e kamaʻilio i nā hopohopo āu e pili ana i kou ola hou.

Nā nīnau i nīnau pinepine ʻia e pili ana i ke ʻoki bariatric

He maikaʻi anei ke ʻoki bariatric no ka maʻi maʻi type 2?

ʻAe, hiki i ke ʻoki bariatric ke maikaʻi loa no ka mālama ʻana i ka maʻi maʻi type 2. Nui ka poʻe e ʻike i ka hoʻomaikaʻi nui ʻana i ka mālama ʻana i ko lākou kōpaʻa koko, a loaʻa i kekahi poʻe ka hoʻōla piha ʻana i kā lākou maʻi maʻi ma hope o ke ʻoki.

Hiki pinepine ka hoʻomaikaʻi ʻana, i kekahi manawa i loko o nā lā a i ʻole nā pule ma hope o ke ʻoki, ma mua o ka lilo ʻana o ke kaumaha. Hōʻike kēia i ka hoʻololi ʻana o ke ʻoki i ke ʻano o ka hana ʻana o kou kino i ka glucose ma nā ʻano ma mua o ka lilo ʻana o ke kaumaha.

Hiki anei ke loaʻa hou ke kaumaha ma hope o ke ʻoki bariatric?

He mea maʻamau a manaʻo ʻia kekahi loaʻa hou ʻana o ke kaumaha ma hope o ke ʻoki bariatric, e hana maʻamau ana i 2-5 mau makahiki ma hope o ke kaʻina hana. Loaʻa hou ka hapa nui o ka poʻe ma kahi o 15-25% o ko lākou kaumaha i nalowale, akā e mālama mau ana i ka lilo ʻana o ke kaumaha nui i hoʻohālikelike ʻia i ko lākou kaumaha ma mua o ke ʻoki.

ʻO ke kī i ka hōʻemi ʻana i ka loaʻa hou ʻana o ke kaumaha, ʻo ia ka hahai mau ʻana i kāu mau alakaʻi ma hope o ke ʻoki, me ka ʻai ʻana i nā ʻāpana kūpono, ke koho ʻana i nā meaʻai momona, ka noho ʻana i ka hana kino, a me ka hele ʻana i nā manawa hālāwai maʻamau me kāu hui lapaʻau.

Hiki iaʻu ke hāpai ma hope o ke ʻoki bariatric?

ʻAe, hiki iā ʻoe ke hāpai palekana ma hope o ke ʻoki bariatric, a ʻike ka nui o nā wahine e hoʻomaikaʻi maoli ana ko lākou momona ma hope o ka lilo ʻana o ke kaumaha. Eia naʻe, ʻōlelo ka hapa nui o nā kauka e kali i 12-18 mau mahina ma hope o ke ʻoki ma mua o ka hoʻāʻo ʻana e hāpai e hōʻoia i ke kūpaʻa o kou kaumaha a me ka maikaʻi o kāu meaʻai.

Pono ʻoe e nānā pono i ka wā e hāpai ai e hōʻoia i ka loaʻa ʻana o ka meaʻai kūpono iā ʻoe a me kāu pēpē. E hana kāu hui lapaʻau me kāu kauka obstetrician e hoʻoponopono i kāu mau mea hoʻohui huaora a nānā i kou kūlana meaʻai i ka wā o kou hāpai ʻana.

Pono anei au i ke ʻoki plastik ma hope o ke ʻoki bariatric?

ʻAʻole pono nā kānaka a pau i ke ʻoki palakiko ma hope o ke ʻoki bariatric, akā koho kekahi poʻe e wehe i ka ʻili keu ke paʻa ko lākou kaumaha. Aia ka nui o ka ʻili keu i nā mea e like me kou makahiki, genetics, ka nui o ke kaumaha āu e lilo ai, a me ka wikiwiki o kou lilo ʻana.

Manaʻo ka hapa nui o nā kauka e kali ma ka liʻiliʻi he 12-18 mau mahina ma hope o ka paʻa ʻana o kou kaumaha ma mua o ka noʻonoʻo ʻana i ke ʻoki palakiko. Hāʻawi kēia i kou ʻili i ka manawa e paʻa maoli ai i ka nui e hiki ai a hōʻoia e mālama ana ʻoe i kāu pohō kaumaha me ka holomua.

Pehea ka lōʻihi o ka hoʻōla ʻana mai ke ʻoki bariatric?

Hoʻi ka hapa nui o nā kānaka i nā hana maʻamau i kēlā me kēia lā i loko o 2-4 mau pule ma hope o ke ʻoki bariatric laparoscopic. Eia naʻe, hiki i kāu hoʻōla piha a me ka hoʻoponopono ʻana i kāu mau ʻano ʻai hou ke lawe i kekahi mau mahina a i hoʻokahi makahiki.

E hoʻomaka maʻamau ʻoe me nā wai no nā lā mua, a laila e holomua i nā meaʻai pureed, nā meaʻai palupalu, a me nā meaʻai maʻamau ma luna o 4-6 mau pule. E alakaʻi kāu hui lapaʻau iā ʻoe ma kēlā me kēia pae o ka hoʻōla a kōkua iā ʻoe e aʻo i nā ʻano ʻai hou e kākoʻo i kāu holomua lōʻihi.