He aha ka Sleeve Gastrectomy? Ke Kumu, ke Kaʻina Hana & Nā Hopena

ʻO ka sleeve gastrectomy kahi ʻoki e hoʻemi ai i ke kaumaha kahi e wehe ai nā kauka ma kahi o 80% o kou ʻōpū, e waiho ana i kahi paipu haiki a i ʻole "lima" e like me ka nui o ka maiʻa. Kōkua kēia kaʻina hana iā ʻoe e lilo i ke kaumaha ma ka hoʻemi nui ʻana i ka nui o ka meaʻai hiki iā ʻoe ke ʻai i ka manawa hoʻokahi a ma ka hoʻololi ʻana i nā hormones e kāohi i ka pōloli a me ke kō koko.

Ua lilo kēia ʻoki i kekahi o nā kaʻina hana hoʻemi kaumaha kaulana loa no ka mea he pono, maʻalahi, a ʻaʻole pono e hoʻololi i kou ʻōpū e like me kekahi mau ʻoki bariatric ʻē aʻe. Nui ka poʻe i ʻike he mea kōkua ia iā lākou e hoʻokō i ka lilo ʻana o ke kaumaha nui a lōʻihi ke hana ʻole nā ​​ʻano hana ʻē aʻe.

He aha ka sleeve gastrectomy?

ʻO ka sleeve gastrectomy kahi kaʻina hana ʻoki e wehe mau ai i kahi ʻāpana nui o kou ʻōpū e kōkua i ka lilo ʻana o ke kaumaha. I ka wā o ke ʻoki, wehe kāu kauka lapaʻau i ka ʻaoʻao o waho o kou ʻōpū, kahi e loaʻa ai ka hapa nui o ka hiki ke kikoo o ka ʻōpū.

ʻO ke koena he ʻōpū haiki, ʻano paipu e paʻa ana i ka meaʻai liʻiliʻi ma mua. E noʻonoʻo e like me ka hoʻohuli ʻana i kahi baluna nui i loko o kahi paipu lahilahi. Hoʻopiha koke kēia ʻōpū liʻiliʻi, no laila e piha ana ʻoe ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi.

Wehe pū ka ʻoki i ka ʻāpana o kou ʻōpū e hana ai i ka ghrelin, kahi hormone e hōʻoluʻolu iā ʻoe. ʻO ia hoʻi, e ʻike paha ʻoe i ka pōloli liʻiliʻi ma mua o ka hana ʻana, hiki ke maʻalahi ke pili i nā ʻāpana liʻiliʻi.

No ke aha e hana ʻia ai ka sleeve gastrectomy?

Paipai nā kauka i ka sleeve gastrectomy 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 ʻano hana ʻē aʻe ʻaʻole i hana ʻia. Manaʻo ʻia ia ke 40 a ʻoi aku paha kāu helu kino (BMI), a i ʻole 35 a ʻoi aku paha inā he mau maʻi olakino koʻikoʻi e pili ana i kou kaumaha.

Hiki i ke ʻoki ke kōkua i ka mālama ʻana a i ʻole ka hoʻomaikaʻi ʻana i nā pilikia olakino e pili ana i ke kaumaha. Aia i loko o kēia mau mea ka maʻi diabetes type 2, ke koko kiʻekiʻe, ka apnea hiamoe, a me nā pilikia hui. Nui nā kānaka e ʻike pū i ka hoʻomaikaʻi ʻana i kā lākou pae cholesterol a me ka hōʻemi ʻana i ka pilikia o ka maʻi puʻuwai.

Ma waho aʻe o nā pōmaikaʻi kino, hiki i ka sleeve gastrectomy ke hoʻomaikaʻi nui i ka maikaʻi o ke ola. Hōʻike pinepine ka poʻe i ka manaʻo ikaika, hilinaʻi, a me ka hiki ke komo i nā hana i hiki ʻole iā lākou ke hana ma mua. He mea nui paha nā pōmaikaʻi noʻonoʻo o ka loaʻa ʻana o ka pohō kaumaha mau e like me nā mea kino.

He aha ke kaʻina hana no ka sleeve gastrectomy?

Hoʻokō ʻia ka sleeve gastrectomy me ka hoʻohana ʻana i nā ʻenehana laparoscopic liʻiliʻi. Hana kāu kauka lapaʻau i kekahi mau ʻoki liʻiliʻi i loko o kou ʻōpū a hoʻohana i kahi kamera liʻiliʻi a me nā mea hana kūikawā e hana i ke ʻoki.

ʻO ka maʻamau, lawe ka hana i 1 a 2 mau hola a hahai i kēia mau ʻanuʻu nui:

1. E loaʻa iā ʻoe ka anesthesia maʻamau e hōʻoia e hiamoe loa ʻoe i ka wā o ke ʻoki
2. Hana kāu kauka lapaʻau i 4-6 mau ʻoki liʻiliʻi i loko o kou ʻōpū, ma kahi o ka hapalua ʻīniha ka lōʻihi o kēlā me kēia
3. Hoʻokomo ʻia kahi laparoscope (kamera liʻiliʻi) e alakaʻi i ke ʻoki
4. Hoʻohana ʻia nā mea hana stapling kūikawā e māhele a wehe i kahi 80% o kou ʻōpū
5. Lawe ʻia ka ʻāpana i wehe ʻia ma o kekahi o nā ʻoki liʻiliʻi
6. Nānā ʻia ka ʻōpū i koe no nā leaks a pani ʻia nā ʻoki

Noho ka hapa nui o nā kānaka i ka haukapila no 1-2 mau lā ma hope o ke ʻoki. Hoʻōla maʻamau nā ʻoki liʻiliʻi ma mua o ke ʻoki hāmama kuʻuna, me ka liʻiliʻi o ka ʻeha a me ka ʻeha.

Pehea e hoʻomākaukau ai no kāu sleeve gastrectomy?

ʻO ka hoʻomākaukau ʻana no ka sleeve gastrectomy e pili ana i kekahi mau ʻanuʻu koʻikoʻi i nā pule a me nā mahina ma mua o kāu ʻoki. E alakaʻi kāu hui mālama ola iā ʻoe ma kahi kaʻina hana hoʻomākaukau piha e hōʻoia i ka hopena maikaʻi loa.

Aia kāu huakaʻi hoʻomākaukau i kēia mau mea nui:

• Ka loiloi olakino piha me nā hoʻokolohua koko, nā hoʻokolohua hana puʻuwai, a me nā loiloi meaʻai
• E hui pū me kahi meaʻai e aʻo e pili ana i nā ʻano ʻai ma hope o ke ʻoki ʻana
• E hele i ka ʻōlelo aʻo noʻonoʻo e hoʻomākaukau no nā loli ola e hiki mai ana
• E hahai i ka ʻai ma mua o ke ʻoki ʻana no 1-2 pule e hōʻemi i kou ate a hōʻemi i nā pilikia o ke ʻoki ʻana
• E hooki i ka puhi ʻana i ka paka ma ka liʻiliʻi he 6 pule ma mua o ke ʻoki ʻana inā he mea puhi ʻoe
• E hoʻoponopono i kekahi mau lāʻau lapaʻau e like me ke kuhikuhi ʻana a kāu kauka
• E hoʻonohonoho i ke kōkua ma ka home i ka wā o kou wā hoʻōla

Hiki i kāu kauka ke ʻōlelo aku e lilo i ke kaumaha ma mua o ke ʻoki ʻana inā hiki. Hiki i kēia ke palekana i ke kaʻina hana a hiki ke hoʻomaikaʻi i kāu mau hopena. ʻO ka ʻai ma mua o ke ʻoki ʻana he haʻahaʻa ka nui o nā calorie a me nā carbohydrates e kōkua i ka hoʻomākaukau ʻana i kou kino no nā loli e hiki mai ana.

Pehea e heluhelu ai i kāu mau hopena sleeve gastrectomy?

Ana ʻia ka holomua ma hope o ka sleeve gastrectomy ma nā ʻano like ʻole, me ka lilo ʻana o ke kaumaha ʻo ia ka mea maopopo loa akā ʻaʻole ʻo ia wale nō ka mea nui. ʻO ka hapa nui o nā kānaka e lilo i ka 50-70% o ko lākou kaumaha nui i loko o nā makahiki ʻelua ma hope o ke ʻoki ʻana.

Eia ke ʻano o ka holomua olakino:

• Ka lilo ʻana o ke kaumaha o 1-2 paona i kēlā me kēia pule i nā mahina mua
• Hoʻomaikaʻi i nā kūlana olakino e pili ana i ke kaumaha e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe
• Hoʻonui i ka ikehu a me ka hiki ke hana kino
• ʻOi aku ka maikaʻi o ka hiamoe a me ka hōʻemi ʻana i nā hōʻailona apnea hiamoe
• Hoʻomaikaʻi i ka neʻe ʻana a me ka hōʻemi ʻana i ka ʻeha hui
• ʻOi aku ka maikaʻi o nā waiwai laboratory me ke kō koko, cholesterol, a me nā hōʻailona mumū

E nānā kāu hui mālama ola i kāu holomua ma o nā koho ukali maʻamau. E nānā lākou ʻaʻole wale i kāu lilo ʻana o ke kaumaha akā i kou kūlana meaʻai, nā pae vitamina, a me nā hoʻomaikaʻi olakino holoʻokoʻa. E hoʻomanaʻo he ʻokoʻa ka huakaʻi o kēlā me kēia kanaka, a ʻaʻole kōkua ka hoʻohālikelike ʻana iā ʻoe iho me nā poʻe ʻē aʻe.

Pehea e hoʻomaikaʻi ai i nā hopena o kāu ʻoki sleeve gastrectomy?

No ka loaʻa ʻana o nā hopena maikaʻi loa mai kāu ʻoki sleeve gastrectomy e pono ai ka hoʻopaʻa ʻana i nā loli ola lōʻihi. He mea hana ikaika ka ʻoki, akā ʻo kāu mau koho i kēlā me kēia lā e hoʻoholo ai i ka holomua o kāu hana i ka wā lōʻihi.

Hiki i ka hahai ʻana i kēia mau alakaʻi ke kōkua iā ʻoe e hoʻokō a mālama i kāu mau pahuhopu hoʻemi kaumaha:

• E ʻai mua i ka protein i kēlā me kēia pāʻina e mālama i ka nui o ka ʻiʻo a hoʻoikaika i ka hoʻōla
• E lawe i nā nahu liʻiliʻi a nau pono e pale i ka ʻoluʻolu ʻole
• E hooki i ka ʻai ʻana ke manaʻo ʻoe ua piha, ʻoiai inā he meaʻai i koe ma kāu pā
• E inu i ka wai ma waena o nā meaʻai, ʻaʻole i ka wā ʻai, e pale i ka piha ʻana o kou ʻōpū liʻiliʻi
• E lawe i nā mea hoʻohui huaora i kuhikuhi ʻia i kēlā me kēia lā e pale i nā hemahema meaʻai
• E hoʻoikaika mau, e hoʻomaka me ka hele wāwae a hoʻonui mālie i ka ikaika
• E hele i nā manawa a pau me kāu hui mālama ola

Lawe ka manawa i ke kūkulu ʻana i nā maʻamau olakino, no laila e hoʻomanawanui iā ʻoe iho i ka wā e hoʻoponopono ai ʻoe. Nui ka poʻe i ʻike i ka hana ʻana me kahi meaʻai meaʻai i hoʻopaʻa inoa ʻia a me ke komo ʻana i nā hui kākoʻo e kōkua iā lākou e noho ma ke ala me ko lākou ola hou.

He aha nā mea pilikia no nā pilikia sleeve gastrectomy?

E like me nā ʻoki nui ʻē aʻe, lawe ka sleeve gastrectomy i kekahi mau pilikia, ʻoiai ʻaʻole maʻamau nā pilikia koʻikoʻi ke hana ʻia e nā kauka lapaʻau i ʻike ʻia. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia e kōkua iā ʻoe e hana i kahi hoʻoholo i ʻike ʻia e pili ana inā kūpono ke ʻoki ʻana iā ʻoe.

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia:

• BMI kiʻekiʻe loa (ma luna o 50) a i ʻole ka momona nui
• Nā ʻoki ʻōpū mua i hana paha i ka ʻiʻo ʻeha
• Puhi paka, e hoʻopilikia i ka hoʻōla a hoʻonui i ka pilikia o ka maʻi
• Diabetes a i ʻole nā ​​maʻi olakino maʻi ʻē aʻe
• Sleep apnea a i ʻole nā ​​pilikia hanu ʻē aʻe
• Maʻi puʻuwai a i ʻole nā ​​maʻi hoʻopaʻa koko
• ʻOi aku ka makahiki ma mua o 65, ʻoiai hiki ke palekana ke ʻoki ʻana me ka loiloi kūpono

E loiloi pono kāu hui ʻoki i kēia mau mea i ka wā o kāu loiloi ma mua o ke ʻoki. Hiki iā lākou ke ʻōlelo aku e hoʻoponopono i kekahi mau pilikia, e like me ka haʻalele ʻana i ka puhi ʻana i ka paka a i ʻole ka hoʻomaikaʻi ʻana i ka mālama ʻana i ka maʻi diabetes, ma mua o ka hoʻomau ʻana i ke ʻoki.

He aha nā pilikia hiki ke loaʻa i ka sleeve gastrectomy?

ʻOiai he palekana ka sleeve gastrectomy, he mea nui e hoʻomaopopo i nā pilikia hiki ke loaʻa i hiki iā ʻoe ke ʻike i nā hōʻailona ʻōlelo aʻo a ʻimi i ke kōkua inā pono. ʻAʻole ʻike ka hapa nui o nā kānaka i nā pilikia koʻikoʻi, akā ʻo ka ʻike ʻana e kōkua iā ʻoe e hana i nā hoʻoholo maikaʻi loa e pili ana i kāu mālama.

ʻO nā pilikia mua e hiki ke hana i loko o nā pule mua he:

• Ke kahe ʻana mai kahi ʻoki, e koi ana i ka mālama hou
• Ka maʻi ma nā wahi ʻoki a i loko o ka ʻōpū
• Nā leaks mai ka laina staple kahi i ʻoki ʻia ai kou ʻōpū a sila ʻia
• Nā koko koko i nā wāwae a i ʻole nā ​​māmā, ʻo ia ke kumu e paipai ʻia ai ka neʻe mua
• Nā hopena maikaʻi ʻole i ka anesthesia, ʻoiai he kakaikahi kēia

ʻAʻole maʻamau nā pilikia lōʻihi, akā hiki ke komo:

• Nā palena a i ʻole ka hoʻopaʻa ʻana o ka lima ʻōpū e koi ai i nā kaʻina hana e hohola
• Maʻi reflux gastroesophageal (GERD) a i ʻole ka ʻino ʻana o ka reflux e kū nei
• Nā hemahema meaʻai inā ʻaʻole ʻoe e lawe mau i nā mea hoʻohui
• Nā pōhaku gall ma muli o ka pohō kaumaha wikiwiki
• ʻO ka ʻili ʻili e koi ai i ke ʻoki plastik

Hiki ke mālama maikaʻi ʻia ka hapa nui o nā pilikia ke hopu ʻia i ka wā mua. ʻO ia ke kumu e hahai ai me kāu hui mālama ola i nā manawa maʻamau he mea nui loa ia no kou kūleʻa a me ke olakino.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka sleeve gastrectomy?

He mea nui ka mālama ʻana i ka wā ma hope o ka sleeve gastrectomy, akā pono nō hoʻi ʻoe e ʻike i ka manawa e ʻimi ai i ka lāʻau lapaʻau koke. E hoʻonohonoho kāu hui mālama ola i nā manawa maʻamau, akā pono kekahi mau hōʻailona i ka loiloi wikiwiki.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe:

• ʻEha nui o ka ʻōpū ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Luaʻi mau e pale iā ʻoe mai ka mālama ʻana i nā wai
• Nā hōʻailona o ka maʻi e like me ke kuni, nā anu, a i ʻole ka ʻulaʻula a puni nā ʻoki
• ʻEha o ka umauma a i ʻole ka pilikia o ka hanu
• Ka pehu ʻana o ka wāwae a i ʻole ka ʻeha e hōʻike ana i nā koko koko
• ʻAʻole hiki ke ʻai a inu i kekahi mea no nā hola 24

Pono nō hoʻi ʻoe e hoʻopili i kāu hui mālama ola inā ʻike ʻoe i nā hōʻailona o nā pilikia meaʻai. Hiki i kēia mau mea ke komo i ka luhi maʻamau, ka nalowale o ka lauoho, nā kui palupalu, a i ʻole nā ​​hoʻololi i kou ʻano a i ʻole ka hoʻomanaʻo. Hiki i nā hoʻokolohua koko maʻamau ke hopu i kēia mau pilikia i ka wā mua, akā he mea nui nō hoʻi kāu mau ʻike ponoʻī.

Mai kānalua e hoʻopili i kāu hui lapaʻau me nā hopohopo, ʻoiai inā he mea liʻiliʻi lākou. Hiki i ka hana mua ke pale i nā pilikia liʻiliʻi mai ka lilo ʻana i mea nui.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka sleeve gastrectomy

Q1: He mea maikaʻi anei ka sleeve gastrectomy no ka lilo ʻana o ke kaumaha i ka wā lōʻihi?

ʻAe, he mea maikaʻi loa ka sleeve gastrectomy no ka lilo ʻana o ke kaumaha i ka wā lōʻihi ke hui pū ʻia me nā loli o ke ola. ʻO ka hapa nui o nā kānaka e mālama i ka lilo ʻana o ke kaumaha nui 5-10 mau makahiki ma hope o ke ʻoki ʻana, e mālama ana i ka 50-60% o ko lākou kaumaha nui.

ʻO ke kī i ka holomua i ka wā lōʻihi ʻo ka hahai ʻana i nā alakaʻi ʻai, ka noho ʻana i ka hana, a me ka mālama ʻana i ka mālama maʻamau. ʻOiai e hiki i kekahi poʻe ke loaʻa hou ke kaumaha i ka manawa, mālama ka hapa nui i ka lilo ʻana o ke kaumaha nui e hoʻomaikaʻi ai i ko lākou olakino a me ke ola.

Q2: Pono anei au e lawe i nā huaora no ke koena o koʻu ola?

ʻAe, pono ʻoe e lawe i nā mea hoʻohui huaora a me nā minerala no ke ola ma hope o ka sleeve gastrectomy. Hoʻopili kou ʻōpū liʻiliʻi i nā meaʻai i nā ʻano like ʻole, a e ʻai ana ʻoe i ka meaʻai liʻiliʻi loa, e paʻakikī ai ka loaʻa ʻana o nā meaʻai a pau āu e pono ai mai ka meaʻai wale nō.

E ʻōlelo aku kāu hui mālama ola i nā mea hoʻohui kikoʻī, e like me ka multivitamin, vitamin B12, vitamin D, calcium, a me ka hao. E kōkua nā hoʻokolohua koko maʻamau i ka nānā ʻana i kāu mau pae meaʻai a hoʻoponopono i ka hoʻohui ʻana e like me ka mea e pono ai.

Q3: Hiki iaʻu ke hāpai ma hope o ka sleeve gastrectomy?

ʻAe, hiki iā ʻoe ke hāpai olakino ma hope o ka sleeve gastrectomy, a nui nā wahine i ʻike he maʻalahi ke hāpai ma hope o ka lilo ʻana o ke kaumaha. Eia naʻe, he mea nui e kali ma ka liʻiliʻi he 12-18 mau mahina ma hope o ke ʻoki ʻana ma mua o ka hoʻāʻo ʻana e hāpai e hōʻoia i ka paʻa ʻana o kou kaumaha.

I ka wā hāpai, pono ʻoe e nānā pono ʻia e kāu obstetrician a me ka hui bariatric e hōʻoia ana e loaʻa ana iā ʻoe ka meaʻai kūpono. Pono paha kekahi mau wahine e hoʻoponopono i kā lākou mau mea hoʻohui vitamin a i ʻole ka papa ʻai i ka wā hāpai.

Q4: He aha nā meaʻai e pale ai au ma hope o ka sleeve gastrectomy?

Pono ʻoe e pale i kekahi mau meaʻai e hiki ke hoʻoulu i ka ʻoluʻolu ʻole a i ʻole ke keakea i kāu mau pahuhopu lilo kaumaha. Hiki i nā meaʻai a me nā mea inu kiʻekiʻe i ke kō ke kumu i ka maʻi dumping, e alakaʻi ana i ka nausea, cramping, a me ka maʻi maʻi.

ʻO nā meaʻai e kaupalena a pale paha e pili ana i nā mea inu sugary, nā mea ʻono, nā meaʻai palai, nā ʻiʻo paʻakikī e paʻakikī ke nau, a me nā mea inu carbonated. E hāʻawi kāu meaʻai meaʻai i kahi papa inoa piha a kōkua iā ʻoe e hoʻolālā i nā meaʻai e hana maikaʻi me kou nui ʻōpū hou.

Q5: Hiki ke hoʻohuli ʻia ka sleeve gastrectomy?

ʻAʻole, ʻaʻole hiki ke hoʻohuli ʻia ka sleeve gastrectomy no ka mea ua lawe ʻia ka ʻāpana i wehe ʻia o kou ʻōpū i ka wā o ke ʻoki. ʻO ia ke kumu he mea nui e hoʻolaʻa piha ʻia i nā loli ola e pono ai no ka holomua.

Eia naʻe, inā kū mai nā pilikia a i ʻole inā ʻaʻole ʻoe e loaʻa ka lilo kaumaha kūpono, hiki i ka lima ke hoʻololi ʻia i nā ʻano ʻē aʻe o ka ʻoki bariatric, e like me ka gastric bypass. Hiki i kāu kauka lapaʻau ke kūkākūkā i kēia mau koho inā pono, ʻoiai ka hapa nui o nā kānaka e hana maikaʻi me kā lākou sleeve gastrectomy i ka wā lōʻihi.