He aha ka Biliopancreatic Diversion me Duodenal Switch (BPD-DS)? Ke Kumu, ke Kaʻina Hana & Nā Hopena

ʻO ka Biliopancreatic diversion me ka duodenal switch (BPD-DS) he ʻoki e hoʻemi ai i ke kaumaha e hui pū ana i ʻelua mau ala ikaika e kōkua iā ʻoe e lilo i ke kaumaha. Hoʻemi kēia kaʻina hana i ka nui o kou ʻōpū a hoʻololi i ke ʻano o kou kino e omo ai i nā meaʻai mai ka meaʻai.

E noʻonoʻo i ka BPD-DS ma ke ʻano he hopena ʻelua ʻāpana. Hana kāu kauka lapaʻau i kahi ʻeke ʻōpū liʻiliʻi, no laila e ʻoluʻolu ʻoe i ka piha ʻana. A laila e hoʻololi lākou i kou ʻōpū e kaupalena i ka nui o nā calorie a me nā meaʻai e hiki ai i kou kino ke omo. ʻO kēia ala pālua e hana i ka BPD-DS i kekahi o nā ʻoki e hoʻemi ai i ke kaumaha i loaʻa, ʻoiai e koi ana i ke ola holoʻokoʻa i ka mālama ʻana i ka meaʻai.

He aha ka Biliopancreatic Diversion me Duodenal Switch?

ʻO BPD-DS kahi ʻoki bariatric paʻakikī e hoʻololi mau i ka nui o kou ʻōpū a me ke kaʻina hana digestive. I ka wā o kēia kaʻina hana, wehe kāu kauka lapaʻau ma kahi o 80% o kou ʻōpū, e hana ana i kahi ʻeke i ke ʻano o ka paipu e paʻa ana i ka meaʻai liʻiliʻi.

ʻO ka lua o ka ʻāpana e pili ana i ka hoʻololi ʻana i kou ʻōpū liʻiliʻi. Māhele kāu kauka lapaʻau i ka duodenum (ka ʻāpana mua o kou ʻōpū liʻiliʻi) a hoʻopili iā ia i ka ʻāpana haʻahaʻa o kou ʻōpū liʻiliʻi. Hana kēia i ʻelua mau ala kaʻawale - hoʻokahi no ka meaʻai a ʻo kekahi no nā wai digestive mai kou ate a me ka pancreas.

ʻAʻole hui kēia mau ala a hiki i ka 100 kenimika hope loa o kou ʻōpū liʻiliʻi. ʻO ia hoʻi, he manawa liʻiliʻi loa kou kino e omo ai i nā calorie, nā momona, a me kekahi mau meaʻai mai ka meaʻai āu e ʻai ai. ʻO ka hopena, he emi nui o ke kaumaha, akā pono nō hoʻi ka nānā pono ʻana i kou kūlana meaʻai no ke ola.

No ke aha e hana ʻia ai ka BPD-DS?

Hoʻomaopopo ʻia ka BPD-DS no ka poʻe me ka momona nui ʻaʻole i hiki ke lilo i ke kaumaha ma o ka ʻai, ka hoʻoikaika kino, a me nā lāʻau lapaʻau ʻē aʻe. Hiki i kāu kauka ke ʻōlelo aku i kēia ʻoki inā he 40 a ʻoi aku paha kāu BMI, a i ʻole he 35 a ʻoi aku paha me nā maʻi olakino e pili ana i ka momona.

He mea kōkua nui kēia hana no ka poʻe me ka maʻi diabetes type 2, no ka mea, hiki iā ia ke hoʻomaikaʻi nui i ka mālama ʻana i ke kō koko. Nui nā maʻi e ʻike i ka hoʻomaikaʻi ʻana o kā lākou maʻi diabetes a i ʻole e hoʻoponopono loa ʻia ma hope o ke ʻoki. Hoʻomaʻamaʻa maikaʻi ʻo BPD-DS i ke koko kiʻekiʻe, ka hiamoe apnea, a me nā maʻi ʻē aʻe e pili ana i ke kaumaha nui.

Eia naʻe, ʻaʻole ʻo BPD-DS ka koho mua no nā mea a pau. E loiloi pono kāu hui mālama ola inā he moho maikaʻi ʻoe e pili ana i kou olakino holoʻokoʻa, ka hiki ke hoʻopaʻa i nā loli meaʻai i ke ola, a me ka makemake e lawe i nā mea hoʻohui i kēlā me kēia lā. Pono ka hana i ka mālama mālama hou aku ma mua o kekahi mau ʻokiʻoki kaumaha ʻē aʻe.

He aha ke kaʻina hana no BPD-DS?

Hana ʻia ʻo BPD-DS me ka hoʻohana ʻana i nā ʻenehana laparoscopic liʻiliʻi, ʻoiai e koi paha kekahi mau hihia i ke ʻoki hāmama. ʻO ka maʻamau, e lawe ana ka hana i 3 a 4 mau hola a hana ʻia ma lalo o ka anesthesia maʻamau i ka wā e hiamoe loa ai ʻoe.

Hoʻomaka kāu kauka lapaʻau ma ka hana ʻana i kekahi mau ʻoki liʻiliʻi i kou ʻōpū, ma kahi o ka hapalua ʻīniha ka lōʻihi. Hoʻokomo lākou i kahi kamera liʻiliʻi a me nā mea hana ʻoki kūikawā ma o kēia mau puka. ʻO ka hana mua e pili ana i ka wehe ʻana ma kahi o 80% o kou ʻōpū ma ka curvature nui, e waiho ana i kahi paipu like me ka maiʻa e hiki ke paʻa ma kahi o 4 auneke o ka meaʻai.

A laila hele mai ka rerouting intestinal, ʻo ia ka ʻāpana paʻakikī o ke ʻoki. Māhele pono kāu kauka lapaʻau i kou duodenum kokoke i kou ʻōpū a hoʻopili i ka hopena haʻahaʻa i kahi ʻāpana o ka ʻōpū liʻiliʻi ma kahi o 250 kenimika mai kou ʻōpū nui. Noho ka ʻāpana luna o ka duodenum i pili i kou ate a me ka pancreas, e hana ana i kahi ala kaʻawale no nā wai digestive.

Ma ka hopena, hana kāu kauka lapaʻau i kahi pilina ma waena o kēia mau ala ʻelua ma kahi o 100 kenimika ma mua o kou ʻōpū nui. ʻO kēia “ala maʻamau” pōkole kahi e hui pū ai ka meaʻai me nā wai digestive, e ʻae ana i kekahi o ka lawe ʻana i nā meaʻai. A laila, pani ka mea lapaʻau i nā ʻokiʻoki me ke kāpili ʻokiʻoki a i ʻole nā humuhumu liʻiliʻi.

Pehea e hoʻomākaukau ai no kāu kaʻina hana BPD-DS?

Hoʻomaka maʻamau ka hoʻomākaukau ʻana no ka BPD-DS i kekahi mau pule ma mua o kāu lā ʻoki. E alakaʻi kāu hui mālama ola iā ʻoe ma kahi kaʻina loiloi piha e hōʻoia ai ua mākaukau ʻoe no kēia kaʻina hana nui.

Pono paha ʻoe e hahai i kahi meaʻai kūikawā ma mua o ka hana ʻana no 1-2 pule ma mua o ke ʻoki ʻana. ʻO ka maʻamau, pili kēia i ka ʻai ʻana i nā meaʻai kiʻekiʻe-protein, haʻahaʻa-carbohydrate a me ka pale ʻana i nā meaʻai a me nā mea inu sugary. Pono kekahi poʻe maʻi e lilo i ke kaumaha kikoʻī ma mua o ke ʻoki ʻana e hōʻemi i nā pilikia ʻoki a hoʻemi i ke ake, e palekana ai ke kaʻina hana.

E komo pū ana kāu hoʻomākaukau ʻana i ka hoʻōki ʻana i kekahi mau lāʻau lapaʻau e hiki ke hoʻonui i ka pilikia o ke kahe ʻana, e like me nā mea lahilahi koko, aspirin, a me kekahi mau lāʻau anti-inflammatory. E hāʻawi kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau e pale aku ai a hiki ke kuhikuhi i nā mea ʻē aʻe inā pono. Pono nō hoʻi ʻoe e hooki loa i ka puhi ʻana, no ka mea, hoʻonui nui ka puhi ʻana i ka pilikia o nā pilikia a hoʻolohi i ka hoʻōla.

I ka pō ma mua o ke ʻoki ʻana, pono ʻoe e hoʻokē ʻai loa - ʻaʻohe meaʻai a i ʻole mea inu ma hope o ke aumoe. E hoʻolālā e loaʻa i kekahi e hoʻokele iā ʻoe i ka haukapila a mai ka haukapila, no ka mea, ʻaʻole hiki iā ʻoe ke hoʻokele no kekahi mau lā ma hope o ke kaʻina hana. E hōʻoia i ka lako ʻia o kou home me nā meaʻai a me nā mea hoʻohui i ka post-surgery i ʻōlelo ʻia e kāu meaʻai.

Pehea e heluhelu ai i kāu mau hopena BPD-DS?

Ana ʻia ka holomua ma hope o ka BPD-DS ma nā ʻano he nui, a e wehe ʻia kāu mau hopena i nā mahina a me nā makahiki ma mua o nā pule. ʻO ka lilo ʻana o ke kaumaha ka hopena i ʻike nui ʻia, me ka hapa nui o nā maʻi e lilo ana i 70-80% o ko lākou kaumaha nui i loko o nā makahiki ʻelua mua ma hope o ke ʻoki ʻana.

E nānā ana kāu hui mālama ola i kou holomua ma o nā hoʻokolohua koko maʻamau e nānā ana i kou kūlana meaʻai. Nānā kēia mau hoʻokolohua i nā pae o nā wikamina, nā minela, a me nā protein e hōʻoia i ka loaʻa ʻana o kou kino i ka mea e pono ai ʻoiai ua emi ka omo ʻana. ʻO nā hoʻokolohua maʻamau e komo pū ana me ka wikamina B12, ka hao, ka calcium, ka wikamina D, a me nā pae protein.

E ʻike nō hoʻi ʻoe i nā hoʻomaikaʻi ʻana i nā kūlana olakino e pili ana i ka momona i ka wikiwiki. Nui nā maʻi e ʻike i ka maikaʻi o ka mālama ʻana i ke kō koko i loko o nā lā a i ʻole nā pule ma hope o ke ʻoki ʻana. ʻO ke koko kiʻekiʻe, ka hiamoe apnea, a me ka ʻeha hui e hoʻomaikaʻi pinepine i ke kaumaha. E nānā kāu kauka i kēia mau loli ma o nā nānā maʻamau a hiki ke hoʻoponopono i nā lāʻau lapaʻau e like me ka mea e pono ai.

Aia ka holomua lōʻihi i kāu kūpaʻa i nā loli ola e pono ai ma hope o ka BPD-DS. Pākuʻi ʻia kēia i ka ʻai ʻana i nā meaʻai liʻiliʻi, waiwai i ka protein, ka lawe ʻana i nā mea hoʻohui i kēlā me kēia lā, a me ka hele ʻana i nā manawa ukali maʻamau. ʻO nā maʻi e pili ana i kēia mau alakaʻi e mālama maʻamau i ko lākou pohō kaumaha a me nā hoʻomaikaʻi olakino no nā makahiki he nui.

Pehea e mālama ai i kāu meaʻai ma hope o ka BPD-DS?

ʻO ka mālama ʻana i kāu meaʻai ma hope o ka BPD-DS e koi i ke kūpaʻa ola a me ka nānā pono ʻana i kāu mea e ʻai ai a me ka hoʻohui. Hoʻomoʻa kāu ʻōnaehana digestive hou i nā meaʻai liʻiliʻi, no laila pono ʻoe e helu i kēlā me kēia nahu a lawe i nā wikamina a me nā minela i kēlā me kēia lā.

E holomua ana kāu ʻai ma o kekahi mau pae i nā mahina mua ma hope o ke ʻoki ʻana. I ka wā mua, e ʻai wale ʻoe i nā wai maʻemaʻe, a laila e holomua mālie i nā meaʻai i hoʻomaʻemaʻe ʻia, nā meaʻai palupalu, a me nā ʻano maʻamau. Lawe maʻamau kēia holomua i 8-12 mau pule a hiki i kou ʻōpū ke hoʻōla pono.

Ke hiki ʻoe i ka pae ʻai maʻamau, e kālele ʻoe i ka ʻai ʻana i nā meaʻai waiwai i ka protein i ka mua i kēlā me kēia meaʻai. E ʻimi i 80-100 grams o ka protein i kēlā me kēia lā mai nā kumu e like me ka ʻiʻo lean, ka iʻa, nā hua manu, a me nā huahana waiū. No ka mea, ʻoi aku ka liʻiliʻi o kou ʻōpū, e ʻai ʻoe i 6-8 mau meaʻai liʻiliʻi i ka lā ma mua o ʻekolu nui.

He mea nui loa nā mea hoʻohui i kēlā me kēia lā ma hope o ka BPD-DS. ʻO kāu papa maʻamau e komo pū ana me ka multivitamin ikaika, calcium me ka huaora D, hao, huaora B12, a me nā huaora hiki ke hoʻoheheʻe ʻia i ka momona (A, D, E, K). E hoʻoponopono kāu hui mālama ola i kēia mau mea hoʻohui e pili ana i nā hopena o kāu mau hoʻokolohua koko maʻamau e pale ai i nā hemahema.

He aha nā pōmaikaʻi o ka BPD-DS?

Hāʻawi ka BPD-DS i kekahi o nā hopena lilo kaumaha nui loa a mau loa o kekahi ʻoki bariatric. Nui ka poʻe maʻi e lilo ana i 70-80% o ko lākou kaumaha keu a mālama i kēia poho no ka wā lōʻihi ke hahai lākou i nā loli ola i ʻōlelo ʻia.

He mea maikaʻi loa ke kaʻina hana no ka hoʻoponopono ʻana i ka maʻi diabetes type 2, me nā haʻawina e hōʻike ana i nā helu remission o 90% a i ʻole ke kiʻekiʻe. Nui nā maʻi e hiki ke hōʻemi a i ʻole ke kāpae loa i kā lākou lāʻau lapaʻau diabetes i loko o nā mahina o ke ʻoki ʻana. ʻO kēia hoʻomaikaʻi ʻana i ka maʻi diabetes e hana pinepine ʻia ma mua o ka lilo ʻana o ke kaumaha nui, e hōʻike ana i ke ʻoki ʻana i ke ʻano o ka hana ʻana o kou kino i ke kō.

ʻAʻole like me kekahi mau ʻoki lilo kaumaha ʻē aʻe, hiki i ka BPD-DS iā ʻoe ke ʻai i nā ʻāpana meaʻai maʻamau ma hope o kou hoʻōla ʻana. ʻOiai e pono ana ʻoe e ʻai i nā mea liʻiliʻi ma mua o ke ʻoki ʻana, ʻaʻole ʻoe e manaʻo e like me ka mea i kaupalena ʻia e like me nā kaʻina hana restrictive wale nō. Hiki i kēia ke maʻalahi ka ʻai e hahai i ka wā lōʻihi.

Hoʻomaʻamaʻa maikaʻi nō hoʻi ke kaʻina hana i nā kūlana ʻē aʻe e pili ana i ka momona. ʻO ke koko kiʻekiʻe, ka apnea hiamoe, ka cholesterol kiʻekiʻe, a me ka ʻeha hui e hoʻomaikaʻi pinepine a hoʻoponopono loa paha. Nui ka poʻe maʻi e ʻike i ka nui o ka ikehu, ka neʻe maikaʻi, a me ka maikaʻi o ke ola ma hope o ka lilo ʻana o ke kaumaha.

He aha nā pilikia a me nā pilikia o ka BPD-DS?

He ʻoki paʻakikī ka BPD-DS e lawe ana i nā pilikia ʻoki koke a me nā pilikia lōʻihi e pono ai ʻoe e hoʻomaopopo ma mua o ka hana ʻana i kāu hoʻoholo. ʻOiai he kakaikahi nā pilikia koʻikoʻi, ʻo ke paʻakikī o kēia kaʻina hana ke ʻano o ka piʻi ʻana o nā pilikia ma mua o nā ʻoki lilo kaumaha maʻalahi.

ʻO nā pilikia koke o ke ʻoki ʻana, ʻo ia ke kahe ʻana o ke koko, ka maʻi, a me nā pilikia me ka anesthesia e hiki ke hana me kekahi ʻoki nui. Pono i ka BPD-DS, aia ka pilikia o nā leaka kahi e hana ai kāu kauka lapaʻau i nā pilina hou i loko o kāu ʻōnaehana digestive. Hiki ke koʻikoʻi kēia mau leaka a pono paha ke ʻoki hou ʻana e hoʻoponopono.

ʻO nā pilikia lōʻihi e pili ana i nā loli nui i ke ʻano o ka lawe ʻana o kou kino i nā meaʻai. Eia nā hopohopo nui e pono ai ʻoe e ʻike:

• Hiki ke ulu ka maʻi ʻai protein inā ʻaʻole ʻoe e ʻai i ka protein lawa a i ʻole e lawe i nā mea hoʻohui kūpono
• Nā hemahema o nā huaora a me nā minerala, ʻo ia hoʻi ʻo B12, hao, calcium, a me nā huaora hiki ke hoʻoheheʻe ʻia i ka momona
• Maʻi iwi ma muli o ka lawe ʻana i ka calcium a me ka huaora D
• Anemia mai ka hao a me ka hemahema B12
• Nā neʻe ʻana o ka ʻōpū pinepine, palahalaha e hiki ke paʻakikī ke kāohi
• ʻO ka maʻi dumping, e hana ana i ka nausea a me ka maʻi ma hope o ka ʻai ʻana i kekahi mau meaʻai

Hiki ke pale ʻia kēia mau pilikia me ka meaʻai kūpono, nā mea hoʻohui, a me ka nānā ʻana i ka lāʻau lapaʻau maʻamau. Eia naʻe, pono lākou i ka makaʻala a me ka hoʻolaʻa ʻana i kāu ʻōnaehana mālama ola.

ʻO wai ka mea kūpono no BPD-DS?

Manaʻo ʻia ʻo BPD-DS no ka poʻe me ka momona nui e kū ana i nā pae lapaʻau kikoʻī a hōʻike i ka hoʻolaʻa e pono ai no nā loli ola i ke ola. Pono kāu BMI he 40 a ʻoi aku paha, a i ʻole 35 a ʻoi aku paha me nā maʻi olakino e pili ana i ka momona e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe.

ʻO nā moho maikaʻi ka poʻe i hoʻāʻo i nā ala hoʻemi kaumaha ʻē aʻe me ka holomua ʻole. Pono ʻoe e olakino kino e hiki ai ke hana i ke ʻoki nui a mākaukau i ka naʻau no nā loli ola nui e pono ai ma hope. Aia kēia me ka makemake e lawe i nā mea hoʻohui i kēlā me kēia lā, hele i nā manawa nānā maʻamau, a hoʻololi loa i kāu mau hana ʻai.

E noʻonoʻo pū ana kāu hui mālama ola i kou makahiki, me ka makemake o ka hapa nui o nā kauka e hana i nā maʻi ma waena o 18 a 65 mau makahiki. Akā, ʻaʻole he mea e kāpae ai ka makahiki wale nō inā olakino ʻoe. Pono ʻoe e hōʻike i kou maopopo i nā pilikia a me nā pōmaikaʻi o ke kaʻina hana a he mau manaʻo maoli e pili ana i nā hopena.

Hiki i kekahi mau mea ke hana ʻaʻole kūpono ʻoe no BPD-DS. Aia kēia mau mea i ka hoʻohana ʻana i nā mea ʻino, nā maʻi olakino noʻonoʻo ʻole ʻia, kekahi mau maʻi e hoʻoweliweli loa ai ke ʻoki, a i ʻole ka hiki ʻole ke hoʻokō i ka mālama ʻana i ka wā e hiki mai ana. E loiloi kāu kauka i kou kūlana pilikino me ka akahele.

He aha ka mea e hana ai i ka wā o ka hoʻōla BPD-DS?

ʻO ka hoʻōla ʻana mai BPD-DS e pili ana i ka noho ʻana i ka haukapila no 2-4 mau lā, ʻoiai e pono paha kekahi mau maʻi i ka lōʻihi inā loaʻa nā pilikia. I ka wā o kou noho ʻana i ka haukapila, e nānā kāu hui lapaʻau i kou ʻeha, kōkua iā ʻoe e hoʻomaka e hele, a hoʻomaka e hoʻolauna i nā wai maʻemaʻe.

ʻO nā pule mua ma ka home e kālele ana i ka hoʻōla a me ka hoʻoponopono ʻana i kāu ʻōnaehana digestive hou. E hahai ʻoe i ka meaʻai wai paʻa i ka wā mua, a laila e holomua mālie i nā meaʻai palupalu ma luna o 6-8 mau pule. Hiki ke mālama ʻia ka ʻeha me nā lāʻau i kauoha ʻia, a hiki i ka hapa nui o nā maʻi ke hoʻi i nā hana māmā i loko o hoʻokahi pule.

He mau mahina ka hoʻōla piha ʻana, me ka hiki ʻana o ka hapa nui o nā kānaka ke hoʻi i nā hana maʻamau ma hope o 6-8 mau pule. E loaʻa iā ʻoe nā manawa e hahai ai e nānā i kou hoʻōla ʻana, e hoʻoponopono i kāu ʻai, a e nānā i kou kūlana meaʻai ma o nā hoʻokolohua koko. He mea nui kēia mau manawa no ka hopu ʻana i nā pilikia i ka wā mua.

Hiki i ka hoʻoponopono ʻana i ka naʻau ke koʻikoʻi e like me ka hoʻōla kino. Nui nā maʻi e ʻike i nā loli wikiwiki i ko lākou pilina me ka meaʻai a me ko lākou kiʻi kino. Hiki i nā hui kākoʻo, ke aʻo ʻana, a me ka noho ʻana i ka pilina me kāu hui mālama ola ke kōkua iā ʻoe e hoʻokele i kēia mau loli me ka holomua.

Ehia ke kaumaha e hiki iā ʻoe ke lilo me BPD-DS?

ʻO ka BPD-DS ke hana maʻamau i ka emi kaumaha nui loa o nā ʻoki bariatric, me ka hapa nui o nā maʻi e nalowale ana i ka 70-80% o ko lākou kaumaha keu i loko o nā makahiki ʻelua mua. No ka laʻana, inā he 100 paona keu kou kaumaha, hiki iā ʻoe ke manaʻo e nalowale i ka 70-80 paona.

Hiki ke emi ke kaumaha i ka makahiki mua, me ka hapa nui o nā maʻi e nalowale ana i ka 60-70% o ko lākou kaumaha keu i loko o kēia manawa. A laila, e lohi ka helu o ka emi kaumaha akā e hoʻomau, me ka emi kaumaha nui loa i loaʻa maʻamau i 18-24 mau mahina ma hope o ke ʻoki.

E hilinaʻi nā hopena pilikino iā ʻoe i nā mea he nui, me kou kaumaha hoʻomaka, makahiki, pae hana, a me ka maikaʻi o kou hahai ʻana i nā ʻōlelo aʻoaʻo meaʻai a me ke ola. ʻO nā maʻi e pili pono ana i kā lākou mau pahuhopu protein, lawe i kā lākou mau mea hoʻohui, a noho ikaika e nalowale i ke kaumaha a mālama maikaʻi iā ia.

He mea maikaʻi ka mālama ʻana i ke kaumaha no ka wā lōʻihi me ka BPD-DS i hoʻohālikelike ʻia me nā ʻoki hoʻemi kaumaha ʻē aʻe. Hōʻike nā haʻawina e mālama ka hapa nui o nā maʻi i ka 60-70% o ko lākou kaumaha keu i nalowale ʻoiai ma hope o 10 mau makahiki ma hope o ke ʻoki, inā e hoʻomau lākou i ka hahai ʻana i nā ʻōlelo aʻoaʻo a kā lākou hui mālama ola.

I ka manawa hea ʻoe e ʻike ai i ke kauka ma hope o ka BPD-DS?

He mea nui ka mālama ʻana i ka wā ma hope o ka BPD-DS, a ʻaʻole pono ʻoe e lele i nā manawa i hoʻonohonoho ʻia ʻoiai inā maikaʻi ʻoe. Makemake maʻamau kāu hui mālama ola e ʻike iā ʻoe ma 2 pule, 6 pule, 3 mahina, 6 mahina, a laila i kēlā me kēia makahiki no ke ola.

Eia naʻe, pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i kekahi mau hōʻailona ʻōlelo aʻo. Pono ka ʻeha nui o ka ʻōpū, ka luaʻi mau, ka hiki ʻole ke mālama i nā wai, a i ʻole nā hōʻailona o ka dehydration i ka lāʻau lapaʻau koke. Hiki i kēia mau mea ke hōʻike i nā pilikia koʻikoʻi e like me ka pale ʻana i ka ʻōpū a i ʻole nā leaka.

Pono nō hoʻi ʻoe e ʻimi i ka mālama olakino wikiwiki inā ʻike ʻoe i nā hōʻailona o nā hemahema meaʻai, ʻoiai inā he maʻalahi lākou. Hiki i kēia mau mea ke komo i ka luhi ʻole, ka nalowale o ka lauoho, nā loli i ka ʻike, ka ʻeha a i ʻole ka ʻūlū ʻana i kou mau lima a i ʻole nā wāwae, a i ʻole ka paʻakikī o ka noʻonoʻo. Hiki i ka hana mua ke pale i kēia mau pilikia mai ka lilo ʻana i mea koʻikoʻi.

Mai kānalua e hoʻokaʻaʻike i kāu hui mālama olakino inā e pilikia ana ʻoe i nā loli meaʻai a i ʻole e loaʻa ana nā pilikia naʻau e hoʻoponopono i kou ola hou. Hiki iā lākou ke hāʻawi i nā kumuwaiwai, nā kuhikuhi ʻōlelo aʻoaʻo, a i ʻole nā hoʻoponopono i kāu hoʻolālā lapaʻau e kōkua iā ʻoe e holomua.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka BPD-DS

Q.1 Hiki ke hoʻohuli ʻia ka BPD-DS?

Manaʻo ʻia ka BPD-DS he hana mau a ʻaʻole hiki ke hoʻohuli ʻia e like me kekahi mau ʻokiʻoki hoʻemi kaumaha. Hoʻopili ka ʻokiʻoki i ka wehe ʻana i kahi ʻāpana nui o kou ʻōpū, ʻaʻole hiki ke pani ʻia. ʻOiai hiki ke hoʻohuli i ka ʻāpana hoʻohuli ʻana o ka ʻōpū, pono kēia i kahi ʻokiʻoki nui ʻē aʻe me nā pilikia nui.

ʻO ka mau o ka BPD-DS kekahi kumu e loiloi pono ai kāu hui mālama olakino i kou mākaukau no ke kaʻina hana. Makemake lākou e hōʻoia e hoʻomaopopo ana ʻoe i ka hoʻohiki ola e pono ai a ua mākaukau no nā loli mau i kāu ʻōnaehana digestive.

Q.2 Hiki iā ʻoe ke hāpai ma hope o ka BPD-DS?

ʻAe, hiki iā ʻoe ke hāpai i kahi hāpai olakino ma hope o ka BPD-DS, akā pono ia i ka hoʻolālā a me ka nānā pono. Manaʻo ka hapa nui o nā kauka e kali ma ka liʻiliʻi he 18-24 mau mahina ma hope o ke ʻokiʻoki ma mua o ka hoʻāʻo ʻana e hāpai, e ʻae ana i kou kaumaha e paʻa a hoʻoponopono kou kino i nā loli.

I ka wā hāpai, pono ʻoe i ka mālama kūikawā e hōʻoia i ka loaʻa ʻana o ka meaʻai kūpono iā ʻoe a me kāu pēpē. E nānā pono kāu hui mālama olakino i kāu mau pae vitamina a me nā minerala a hiki ke hoʻoponopono i kāu mau mea hoʻohui. Nui nā wahine i loaʻa nā hāpai kūleʻa ma hope o ka BPD-DS, akā pono ʻoe i nā nānā pinepine ma mua o nā wahine ʻaʻole i loaʻa ke ʻokiʻoki.

Nīnau 3. Pehea ka lōʻihi o ka hana ʻana o ke ʻoki BPD-DS?

He 3-4 hola ka lōʻihi o ka BPD-DS, e lilo ana ia i kekahi o nā ʻoki e lōʻihi loa ana no ka hoʻēmi ʻana i ke kaumaha. Aia ka manawa pololei ma luna o kou kino ponoʻī, nā pilikia e kū mai ana i ka wā o ke ʻoki, a me ka ʻike o kāu kauka lapaʻau i ke kaʻina hana.

Hoʻohana maʻamau ʻia ke ʻoki ʻana ma ke ʻano laparoscopic me ka hoʻohana ʻana i nā ʻoki liʻiliʻi, e kōkua ana i ka hoʻēmi ʻana i ka manawa hoʻōla ʻoiai ke paʻakikī o ke kaʻina hana. I kekahi mau hihia, pono paha kāu kauka lapaʻau e hoʻololi i kahi ʻoki hāmama inā loaʻa iā lākou nā pilikia i manaʻo ʻole ʻia, e hiki ke hoʻolōʻihi i ka manawa hana.

Nīnau 4. He aha nā meaʻai e pono ai ʻoe e pale aku ma hope o ka BPD-DS?

Ma hope o ka BPD-DS, pono ʻoe e pale i nā meaʻai i kiʻekiʻe i ke kō a me ka momona, no ka mea, hiki i kēia mau mea ke hana i ka maʻi dumping - kahi maʻi e hana ai i ka nausea, ka ʻeha, a me ka maʻi maʻi. ʻAʻole ʻae ʻia nā meaʻai e like me ka lole, nā kuki, ka ice cream, a me nā meaʻai palai a i ʻole e ʻai ʻia i nā mea liʻiliʻi loa.

Pono nō hoʻi ʻoe e mālama i nā meaʻai fibrous e like me nā mea kanu maka a me nā ʻiʻo paʻakikī e paʻakikī paha ke ʻeli me kou ʻōpū liʻiliʻi. E hāʻawi kāu meaʻai meaʻai i kahi papa inoa piha o nā meaʻai e pale aku a kōkua iā ʻoe e hoʻolālā i nā meaʻai e hāʻawi i ka meaʻai e pono ai ʻoe me ka pale ʻana i nā hōʻailona hōʻoluʻolu ʻole.

Nīnau 5. Ehia ke kumukūʻai o ka BPD-DS?

He ʻokoʻa nui ke kumukūʻai o ka BPD-DS ma muli o kou wahi, ka haukapila, ke kauka lapaʻau, a me ka ʻinikua. ʻO ka huina kumukūʻai maʻamau mai $20,000 a $35,000, me nā uku kauka lapaʻau, nā uku haukapila, a me nā kumukūʻai anesthesia.

Ua uhi ka nui o nā hoʻolālā ʻinikua i ke ʻoki bariatric, me ka BPD-DS, inā ʻoe e hoʻokō i kā lākou pae no ka pono olakino. Eia naʻe, ʻokoʻa ka uhi ʻana, a pono paha ʻoe e hoʻopau i nā koi kikoʻī e like me nā papahana hoʻēmi kaumaha i mālama ʻia a i ʻole nā loiloi psychological. E nānā me kāu hui ʻinikua i ka wā mua o ke kaʻina hana e hoʻomaopopo i kāu uhi a me nā kumukūʻai mai ka ʻeke.