Created at:1/13/2025
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Ko te pokanga bariatric he tikanga rongoā e āwhina ana i ngā tāngata whai momomo nui ki te whakaheke taumaha mā te whakarerekē i te mahi o tō rātou pūnaha kūnatu. Ko ēnei mahi ka iti ake te puku, ka whakarerekē rānei i te āhua o tō tinana e ngongo ana i ngā matūkai, i ngā mea e rua rānei. Whakaarohia he taputapu kaha e mahi tahi ana me te kai hauora me te whakakori tinana hei āwhina i a koe ki te whakatutuki i te whakaheke taumaha pumau ina kāore anō ētahi atu tikanga i angitu.
E pā ana te pokanga bariatric ki ētahi momo mahi pokanga rerekē i hangaia hei āwhina i ngā tāngata ki te whakaheke i te nui o te taumaha. Ko te kupu "bariatric" nō ngā kupu Kariki e tikanga ana "taumaha" me te "rongoā." Ko ēnei pokanga e mahi ana mā te whakawhāiti i te nui o te kai ka taea e koe te kai, te whakaiti i te nui o ngā kārohi e ngongo ana tō tinana, te whakakotahi rānei i ngā huarahi e rua.
He maha ngā momo pokanga bariatric matua, he rerekē ngā painga me ngā whakaaro. Ko ngā tikanga tino noa ko te arai puku, te gastrectomy rīhi, me te here puku ka taea te whakatika. Māu e āwhina tō tākuta ki te whiriwhiri i te kōwhiringa pai rawa atu i runga i tō hauora, ngā whāinga whakaheke taumaha, me ngā āhuatanga whaiaro.
Ko ēnei tikanga ka mahia mā te whakamahi i ngā tikanga iti nei te whakaeke, e tikanga ana he iti ake ngā tapahi me te tere ake o te whakaora. Ko te nuinga o ngā pokanga bariatric ka mahia mā te laparoscopically, mā te whakamahi i ngā kāmera iti me ngā taputapu i whakauruhia mā ngā tapahi iti i tō puku.
E taunakitia ana te pokanga bariatric mō ngā tāngata whai momomo nui kāore anō i taea te whakaheke taumaha mā te kai, te whakakori tinana, me te rongoā anake. Ehara i te tikanga whakapaipai, engari he rongoā rongoā mō tētahi āhuatanga hauora nui e taea ai te arahi ki ngā raruraru e whakatuma ana i te ora.
He kaitono pea koe mō te pokanga pātiatiki mēnā he 40 neke atu rānei tō taurangi papatipu tinana (BMI), mēnā rānei he 35 neke atu tō BMI, ā, he raruraru hauora nui tōna e pā ana ki te taumaha. Ko ēnei āhuatanga hauora ko te mate huka momo 2, te pēhanga toto tiketike, te moe āpnea, te mate ngākau, te pūhihi nui rānei e uaua ai te neke haere.
Ka āwhina te pokanga ki te rongoā, ki te whakapai ake rānei i ngā āhuatanga hauora e pā ana ki te momomo e pā ana ki tō kounga o te oranga. He tokomaha ngā tāngata e kite ana ka tino pai ake te mate huka, ka ngāwari ake te whakahaere i te pēhanga toto, ā, ka pai ake te manawa i te pō. Ko ētahi tāngata e kite ana ka taea te whakaiti, te whakakore rānei i ā rātou rongoā.
I tua atu i ngā painga ā-tinana, he maha ngā wā ka āwhina te pokanga pātiatiki i ngā tāngata ki te whakahoki mai i te māia, me te pārekareka ki ngā mahi kāore i taea e rātou i mua. Ko ngā mea ngāwari pēnei i te piki i ngā arawhata, te tākaro ki ngā tamariki, te noho pai rānei i ngā tūru waka rererangi ka taea anō.
Ko ngā mahi motuhake o tō pokanga pātiatiki ka whakawhirinaki ki te momo tikanga e mahia ana e koe. Heoi, ko te nuinga o ngā pokanga pātiatiki e whai ana i tētahi tukanga whānui rite tonu, ā, ka mahia i raro i te rongoā whānui i a koe e moe ana.
I te wā o te pokanga ā-pāhihi puku, ka hangaia e tō tākuta he pūpū iti ki te tihi o tō puku, ā, ka honoa tika ki tō whekau iti. Ko te tikanga tēnei ka pāhihi te kai i te nuinga o tō puku me te wāhanga tuatahi o tō whekau iti, nō reira ka tere ake te pū, ā, ka iti ake ngā kārohi e ngote ana i te kai.
Mō te kōpū hākinakina, ka tangohia e tō tākuta te 75-80% o tō puku, ka waiho he ngongo whāiti, he
Ki te rārangi puku ka taea te whakatika, ka whakatakotoria he rārangi iti ki te wāhanga o runga o tō puku hei hanga i tētahi pōkahu iti. Ka taea te whakakaha, te whakawātea rānei i te rārangi i te mea e tika ana mā te tāpiri, te tango rānei i te otinga tote mā tētahi tauranga i raro i tō kiri.
Ko te nuinga o ngā pokanga bariatric e 1-4 haora te roa ki te whakaoti, i runga i te uaua o tō keehi. Ka aroturukihia koe e tō rōpū pokanga i te wā o te tukanga hei whakarite i tō haumaru me tō whakamarie.
Ko te whakarite mō te pokanga bariatric e whai ana i ētahi mahi nui i roto i ngā wiki, marama rānei i mua i tō tukanga. Ka ārahi tō rōpū hauora i a koe i ia mahi hei whakarite kia rite koe mō te pokanga me te whakaora.
Me whakaoti e koe tētahi arotake hauora whānui e whai ana i ngā whakamātautau toto, ngā whakamātautau mahi ngākau me te pūkahukahu, me ētahi atu rangahau whakaahua i ētahi wā. E hiahia ana tō tākuta ki te whakarite kia hauora koe mō te pokanga me te tautuhi i ngā āhuatanga e hiahia ana kia aro nui i te wā o tō tukanga.
Ko te nuinga o ngā hōtaka e hiahia ana kia tūtaki koe ki tētahi kaiwhakawhanake kai, i ētahi wā ki tētahi kaimātai hinengaro, ki tētahi kaimātai hinengaro rānei. Mā ēnei tūpono ka āwhina i a koe ki te mārama ki ngā huringa kai e hiahia ana koe ki te mahi me te whakarite hinengaro mō ngā whakatikatika nui o te oranga kei mua.
Ka tono pea tō tākuta pokanga ki a koe kia whakaheke i tētahi taumaha i mua i te pokanga, te tikanga 5-10% o tō taumaha o nāianei. Mā tēnei ka āwhina i te whakaiti i te rahi o tō ate me te hanga i te pokanga kia haumaru ake, kia māmā ake hoki te mahi. Ka hoatu pea ki a koe tētahi kai motuhake i mua i te pokanga hei whai mā te 1-2 wiki i mua i tō tukanga.
Me mutu hoki te kai paipa i te katoa mēnā e kai paipa ana koe, nā te mea ka nui ake te tūponotanga o ngā raruraru. Ka tūtohu pea tō tākuta kia mutu ētahi rongoā me te tango i ētahi huaora motuhake hei whakapai ake i tō hauora i mua i te pokanga.
Ka whangangahia te angitu i muri i te pokanga bariatric i roto i nga huarahi maha, ā, ka aroturukihia e tō rōpū hauora tō ahunga whakamua i roto i ngā marama me ngā tau. Ko te ine tino noa ko te ngaronga taumaha nui, e whakatairite ana i te nui o te taumaha kua ngaro i a koe ki te nui o te taumaha nui i a koe i mua i te pokanga.
Ko te hua angitu te tikanga ko te ngaro i te 50% neke atu rānei o tō taumaha nui i roto i te 12-18 marama i muri i te pokanga. Hei tauira, ki te 100 pauna te taumaha nui i mua i te pokanga, ko te ngaro i te 50 pauna neke atu rānei ka kiia he angitu. Heoi, he rerekē te haerenga o ia tangata, ā, ka rerekē pea ō hua takitahi.
Ka aroturukihia hoki e tō rōpū hauora ngā whakapainga i ō āhuatanga hauora. He tokomaha ngā tāngata e kite ana i ngā whakapainga nui i roto i tā rātou mate huka, ā, ko ētahi tāngata kāore anō kia hiahia rongoā mate huka. He maha ngā wā ka pai ake te pēhanga toto, ka ngaro pea te moe apnoea, ā, ka tino heke te mamae tahi.
He mea nui te whakapainga o te kounga o te oranga pērā i ngā tau i runga i te tauine. Ka pātai tō tākuta mō ō taumata pūngao, te kaha ki te whai wāhi ki ngā mahi, te āhua, me te pai katoa ki ō hua i ngā wā whakarite whai-ake.
Ko te angitu mo te wā roa e whakawhirinaki ana ki te whai i ō aratohu i muri i te pokanga, tae atu ki te kai i ngā wāhanga iti, te whiriwhiri i ngā kai whai kiko, te tango i ngā huaora, me te noho kaha tinana. Ka whakawhiwhia e tō rōpū hauora te tautoko tonu hei āwhina i a koe ki te pupuri i tō ngaronga taumaha me ngā whakapainga hauora.
Ko te pupuri i tō ngaronga taumaha i muri i te pokanga bariatric e hiahia ana ki te whakapau kaha tonu ki ngā huringa oranga hauora. He taputapu kaha tō pokanga, engari he pai rawa atu te mahi ina honoa ki ngā huringa pumau ki ō tikanga kai me te taumata mahi.
Me kai koe i ngā wāhanga iti rawa mō te toenga o tō oranga, te tikanga e pā ana ki te 1/4 ki te 1/2 kapu kai mō ia kai. He iti noa te kai ka taea e tō puku hou te pupuri, nō reira me arotahi koe ki te whiwhi i te nuinga o te kai mai i ia ngau e kainga ana e koe.
He mea nui te kōwhiri i ngā kai whai pūmua, nā te mea e hiahia ana tō tinana ki te pūmua hei pupuri i te papatipu uaua me te whakaora tika. Mā tō tohunga kai koe e āwhina ki te ako i ngā kai e whakarato ana i te nuinga o te kai i roto i ngā wāhanga iti me te āwhina i a koe ki te karo i ngā kai ka raru pea.
Ka āwhina te mahi tinana i a koe ki te pupuri i tō whakaheke taumaha me te whakapai ake i tō hauora whānui. E taunaki ana te nuinga o ngā tākuta kia tīmata ki ngā mahi ngawari pēnei i te hīkoi me te whakanui haere i tō taumata mahi i a koe e ora ana me te whakaheke taumaha.
He mea nui te tango i ngā huaora me ngā tāpiringa mō te toenga o tō oranga, nā te mea kāore pea tō pūnaha keri kua huri i te ngāwari ki te tango i ngā matūkai pērā i mua. Mā tō rōpū hauora e whakarite ngā huaora motuhake me te aroturuki i ō taumata matūkai mā ngā whakamātautau toto auau.
Ahakoa te nuinga o te wā he haumaru te pokanga bariatric, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina tō rōpū hauora ki te whai i ngā whakatūpato anō, ā, ka āwhina i a koe ki te whakatau whakatau mō te pokanga.
He mahi nui te tau ki te tūponotanga pokanga, me te hunga neke atu i te 65 tau te pakeke he paku teitei ake te reiti raruraru. Heoi, he nui tonu te painga o te pokanga ki te hunga pakeke, ā, ko te tau anake kāore e whakakore i a koe mai i te noho hei kaitono.
Ko te whai i ngā āhuatanga hauora maha pēnei i te mate huka, te mate ngākau, te raruraru pūkahukahu rānei ka whakanui i ngā tūponotanga pokanga. Ka āta arotakehia e tō rōpū hauora ēnei āhuatanga me te mahi ki te whakapai ake i tō hauora i mua i te pokanga hei whakaiti i ngā raruraru pea.
Ka pānga hoki tō taumaha o nāianei ki ngā taumata tūpono. Ko ngā tāngata he tino tiketike te BMI (nui atu i te 50) tērā pea he paku teitei ake ngā reiti raruraru, engari kāore tēnei e kī ana kāore he painga o te pokanga - ko te tikanga me whai ngā tōmua atu tō rōpū.
Ka nui te whakanui o te kai paipa i tō tūponotanga ki ngā raruraru tae atu ki te kore pai o te whakaora i te patunga, te pūpū toto, me ngā raruraru manawa. Ko te nuinga o ngā hōtaka e hiahia ana kia mutu katoa te kai paipa i mua i te pokanga, me te whakarato tautoko hei āwhina i a koe kia angitu.
Ko ngā pokanga puku o mua ka uaua ake tō tukanga, engari kāore e aukati i a koe ki te whai pokanga bariatric. Ka arotake tō tākuta pokanga i tō hītori pokanga, ā, tērā pea me whakarerekē paku i tā rātou huarahi.
Pērā i ngā pokanga nui katoa, he tūponotanga kei roto i ngā tukanga bariatric, ahakoa he iti noa ngā raruraru nui. Ko te nuinga o ngā tāngata e pā ana ki ngā take iti noa, rangitahi e whakatikahia ana mā te manaaki me te aro tika.
Ko ngā raruraru wā-poto ka puta i ngā wiki tuatahi ko te whakaheke toto, te mate i ngā wāhi tapahi, me ngā pūpū toto. Ka āta aroturukihia koe e tō rōpū hauora mō ēnei take, ā, he rongoā kua whakamatauria mēnā ka puta. Ko te nuinga o ngā tāngata e whanake ana i ēnei raruraru ka ora katoa mā te manaaki tika.
E pā ana ētahi tāngata ki te whakapairuaki me te ruaki i ngā wiki tuatahi i a rātou e whakatika ana ki tō rātou rahi puku hou. Ko te tikanga ka pai ake tēnei i a koe e ako ana ki te kai i ngā ngau iti ake, te ngaungau tino pai, me te mutu te kai i te wā e pīrangi ana koe.
Ka whanake ngā ngoikoretanga kai i te wā roa mēnā kāore koe e tango i ō huaora kua whakaritea, me te whai i tō rōpū hauora i ngā wā katoa. Ko ngā ngoikoretanga noa ko te huaora B12, te rino, te konupūmā, me te huaora D. Ka āwhina ngā whakamātautau toto i ngā wā katoa ki te hopu i ēnei i te wā wawe kia taea ai te whakatika.
Ka puta pea te mate pōpō i muri i te pokanga ārai puku i te wā e tere rawa ana te kai mai i tō puku ki tō whekau iti. Ka puta mai ngā tohumate pēnei i te whakapairuaki, te kōpū, me te pāhau, i muri i te kai i ngā kai huka, ngako rānei. Ko te nuinga o ngā tāngata ka ako ki te karo i ngā kai whakaoho, ā, he iti noa iho te pānga o tēnei raruraru.
I te wā e tino iti ana, ka puta pea ngā raruraru nui ake, pēnei i te turuturu i ngā hononga pokanga, i ngā raruraru kai nui rānei. Mā tō rōpū hauora e whakamārama ngā tūponotanga katoa, ā, ka mātakitaki tata i a koe kia kite wawe i ngā take i te wā e taea ana te rongoā.
Ka whai koe i ngā whakaritenga whai-muri i te wā katoa me tō rōpū ārai taumaha mō te toenga o tō oranga, engari me mōhio hoki koe ki te wā ki te rapu āwhina hauora tonu. Mā tō rōpū hauora e hoatu ki a koe ngā aratohu motuhake mō te wā ki te waea, ki te toro rānei ki te ruma ohorere.
Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe te mamae nui o te puku, te ruaki tonu, ngā tohu o te mate pēnei i te kirika, te whero rānei i te taha o ō tapahi, te uaua rānei ki te hā. Ko ēnei tohumate ka tohu i ngā raruraru e hiahia ana kia aro mai te hauora.
Waea atu ki tō rōpū hauora mēnā kāore e taea e koe te pupuri i ngā wai mō te neke atu i te 24 hāora, i te mea ka tere te piki o te matewai i muri i te pokanga ārai taumaha. Waihoki, mēnā ka kite koe i te ngenge rerekē, te ngoikore, te huringa rānei i tō māramatanga hinengaro, ka tohu pea ēnei i ngā ngoikoretanga kai.
Me rapu hoki koe i te āwhina hauora mēnā ka pā ki a koe te mamae o te uma, te mamae o te waewae, te pōhū rānei, te poto o te manawa, i te mea ka tohu pea ēnei i ngā toto toto. Ahakoa te kore noa, ka nui te raruraru o ngā toto toto, ā, me rongoā tonu.
He mea nui ngā whakaritenga whai-muri i te wā katoa ahakoa kei te pai koe. Mā tō rōpū hauora e mātakitaki i tō ahunga whakamua o te whakaheke taumaha, e tirotiro i tō tūnga kai, e whakatika i ō rongoā, me te aro ki ngā āwangawanga katoa e pā ana ki tō whakaora.
Āe, he tino whai hua te pokanga bariatric mō te rongoā i te mate huka momo 2. He maha ngā tāngata e kite ana i te whakapai ake i te mana whakahaere i te huka toto, ā, ko ētahi tāngata ka eke ki te murunga katoa o te mate huka i muri i te pokanga.
He tere te whakapai ake, i ētahi wā i roto i ngā rā, i ngā wiki rānei i muri i te pokanga, ahakoa kāore anō kia nui te whakaheke taumaha. E whakaatu ana tēnei i te huri o te pokanga i te āhua o te tukatuka a tō tinana i te kūkūhā i ngā huarahi i tua atu i te whakaheke taumaha.
He mea noa, ā, e tika ana kia hoki mai ētahi taumaha i muri i te pokanga bariatric, ko te tikanga ka puta i te 2-5 tau i muri i te tikanga. Ko te nuinga o te tāngata ka hoki mai i te 15-25% o te taumaha i ngaro, engari ka mau tonu te whakaheke taumaha nui i te whakataurite ki te taumaha i mua i te pokanga.
Ko te kī hei whakaiti i te hokinga mai o te taumaha ko te whai i ō aratohu i muri i te pokanga, tae atu ki te kai i ngā wāhanga tika, te whiriwhiri i ngā kai whai kiko, te noho kaha i te taha tinana, me te haere ki ngā whakaritenga whai-a-roto i ngā wā katoa me tō rōpū hauora.
Āe, ka taea e koe te hapū i muri i te pokanga bariatric, ā, he maha ngā wāhine e kite ana ka pai ake tō rātou hua i muri i te whakaheke taumaha. Heoi, e taunaki ana te nuinga o ngā tākuta kia tatari 12-18 marama i muri i te pokanga i mua i te ngana ki te hapū kia mōhio ai kei te pūmau tō taumaha, ā, kei te pai tō kai.
Me tino mātakitaki koe i te wā e hapū ana koe kia mōhio ai koe me tō pēpi ka whiwhi i te kai tika. Ka mahi tō rōpū hauora me tō tākuta whānau kia whakatika i ō tāpiringa huaora me te mātakitaki i tō tūnga kai i te wā e hapū ana koe.
Kāore e hiahiatia e te katoa te pokanga kirihou i muri i te pokanga bariatric, engari ka whiriwhiria e ētahi tāngata kia tangohia te kiri nui i te wā e pūmau ana te taumaha. Ko te nui o te kiri nui e whakawhirinaki ana ki ngā mea pēnei i tō tau, te ira, te nui o te taumaha ka ngaro i a koe, me te tere o tō ngaronga.
E tohutohu ana te nuinga o ngā tākuta kia tatari kia 12-18 marama i muri i te pūmautanga o tō taumaha i mua i te whakaaro ki te pokanga kirihou. Mā tēnei e whai wā ai tō kiri ki te whakakaha i a ia anō i te mea ka taea, me te whakarite kei te angitu koe ki te pupuri i tō ngaronga taumaha.
Ka hoki te nuinga o ngā tāngata ki ngā mahi o ia rā i roto i te 2-4 wiki i muri i te pokanga bariatric laparoscopic. Heoi, ka roa pea te whakaora katoa me te whakatikatika ki ō tauira kai hou i te maha o ngā marama ki te tau.
Ka tīmata koe ki ngā wai mō ngā rā tuatahi, ka haere tonu ki ngā kai pureed, ngā kai ngawari, me te mutunga ko ngā kai auau i roto i te 4-6 wiki. Mā tō rōpū hauora koe e ārahi i ia wāhanga o te whakaora me te āwhina i a koe ki te ako i ngā tikanga kai hou ka tautoko i tō angitu i te wā roa.