He aha te Endoscopic Sleeve Gastroplasty? Te Whāinga, te Hātepe me ngā Hua

Ko te endoscopic sleeve gastroplasty he tikanga whakaheke taumaha iti nei te wawaenga e whakaiti ana i te rahi o tō puku me te kore pokanga. I te wā o tēnei tikanga tūroro waho, ka whakamahi tō tākuta i tētahi endoscope (he ngongo angiangi, ngawari me te kāmera) ki te whakatakoto i ngā tuitui ki roto i tō puku, e hanga ana i tētahi pōkahu iti ake te āhua o te rīhi. Mā tēnei ka āwhina i a koe kia tere te pū, kia iti te kai, e tautoko ana i te whakaheke taumaha tonu ina honoa ki ngā huringa o te oranga.

He aha te endoscopic sleeve gastroplasty?

Ko te endoscopic sleeve gastroplasty, e mōhiotia ana ko ESG, he tikanga whakaheke taumaha hou e whakaheke ana i tō puku mai i roto. Kāore tō tākuta e tapahi i tō kiri. Engari, ka ārahi rātou i tētahi endoscope motuhake mā tō waha, ki raro i tō puku ki te whakatakoto i ngā tuitui tūturu.

Ko ēnei tuitui e kohikohi ana, e takai ana i ngā pakitara o te puku, e hanga ana i tētahi āhua ngongo e tata ana ki te 70% iti ake i tō puku taketake. Whakaarohia me te whakakaha i tētahi pēke aho kia iti ake ai. Ko te tikanga te nuinga ka 60 ki te 90 meneti, ā, ka taea e koe te hoki ki te kāinga i te rā tonu.

E tuku ana a ESG i tētahi wāhi waenga i waenga i ngā huarahi kai me te whakakori tinana tuku iho me ngā kōwhiringa pokanga nui ake pērā i te gastric bypass. I hangaia mō ngā tāngata e hiahia ana i te tautoko nui atu i ngā huringa o te oranga anake e taea ana te whakarato, engari kāore pea i te tika mō, e pai ana rānei ki te karo i te pokanga nui.

He aha i mahia ai te endoscopic sleeve gastroplasty?

Ko te ESG te mea nui e mahia ana hei āwhina i ngā tāngata ki te whakatutuki i te whakaheke taumaha nui i te wā kāore anō i angitu ētahi atu tikanga. Ka tūtohu pea tō tākuta i tēnei tikanga mēnā he taurangi papatipu tinana (BMI) tō 30 neke atu rānei, ā, kua raru koe i ngā āhuatanga hauora e pā ana ki te momona.

Ka mahi te tikanga mā te aukati i te nui o te kai ka taea e tō puku te pupuri. Ki te iti ake tō puku, ka makona koe ki te iti rawa o te kai, e whakaheke ana i tō kai kawā. Ko tēnei huringa tinana, i honoa ki te arataki kai tika me ngā whakarerekētanga o te oranga, ka taea te arahi ki te whakaheke taumaha whai hua.

Ngā take noa e tūtohu ana ngā tākuta i te ESG ko te mate huka kāore i te whakahaerehia, te pēhanga toto tiketike, te moe apinīa, ngā raruraru tahi rānei e kino ake ana i te taumaha nui. Ka whakaarohia hoki mō ngā tāngata e hiahia ana ki te karo i ngā tūponotanga me te wā whakaora e pā ana ki te pokanga whakaheke taumaha tuku iho.

Ko ētahi tāngata e whiriwhiri ana i te ESG hei tikanga takahanga. Ki te tino taumaha koe, mā te whakaheke i tētahi taumaha mā te ESG ka pai ake koe hei kaitono mō ētahi atu maimoatanga, pokanga rānei i muri mai, ki te hiahiatia.

He aha te tikanga mō te endoscopic sleeve gastroplasty?

Ka tīmata te tikanga ESG mā te whiwhi koe i te rongoā whānui, nō reira ka moe katoa koe, ka pai hoki i te wā katoa. Ka whakauru mārire tō tākuta i te endoscope mā tō waha, ka ārahi iho i tō korokoro ki tō puku.

Mā te whakamahi i te kāmera o te endoscope hei ārahi, ka whakatakoto tō tākuta i tētahi rārangi o ngā tūāwhiwhi i te taha o te pihi nui o tō puku. Ka whakatakotohia ēnei tūāwhiwhi i tētahi tauira motuhake hei hanga i te āhua o te rīweti. Ka mahia te katoa o te tukanga mai i roto i tō puku, nō reira kāore he tapahi waho.

Koinei te mea ka pā i te wā o te tikanga:

1. Ka whiwhi koe i te rongoā whānui mō te whakamarie me te haumaru
2. Ka whakauruhia te endoscope mā tō waha ki tō puku
3. Ka whakatakotohia e tō tākuta ngā tūāwhiwhi 8-12 i te taha o te pakitara puku mā te whakamahi i ngā taputapu motuhake
4. Ka whakakaha ngā tūāwhiwhi hei hanga i te āhua o te rīweti
5. Ka tangohia te endoscope, ā, ka haria koe ki te whakaora

E 60 ki te 90 meneti te roa o te tikanga katoa. Na te mea he iti noa te pokanga, ka taea e te nuinga o te tangata te haere ki te kainga i te ra ano ka ora ana i te rongoa whakamaimoa.

Me pehea te whakarite mo to endoscopic sleeve gastroplasty?

Ko te whakarite mo te ESG e whai ana i etahi mahi nui hei whakarite i to haumaru me te putanga pai rawa atu. Ka tohutohu pea to taakuta ki te timata i te kai i mua i te tikanga mo te rua wiki i mua i te ra kua whakaritea.

Ko tenei kai i mua i te tikanga ko te tikanga ko te kai i nga wahanga iti me te karo i etahi kai ka raru pea i te tikanga. Me whai koe i te kai wai mo te 24-48 haora i mua i te ESG kia mohio kei te waatea to puku me te ma.

Ka uru to rarangi whakarite ki enei mahi matua:

• Whakaotia te whakawātea rongoā i mua i te tikanga me te mahi toto
Kati etahi rongoā i runga i te tohutohu a to taakuta
• Whaia te kai i mua i te tikanga mo te 1-2 wiki
• Whakaritea tetahi hei taraiwa i a koe ki te kainga i muri i te tikanga
• Noho nohopuku mai i te kai me te wai mo te 8-12 haora i mua i to tikanga

Ka matapakihia e to roopu hauora nga rongoā e tango ana koe, ina koa nga mea e angiangi ana te toto, nga rongoā mate huka ranei, na te mea me whakatika enei. He mea nui ki te whai i nga tohutohu katoa i mua i te tikanga kia rite tonu ki te whakaiti i nga tupono me te whakarite i nga hua pai rawa atu.

Me pehea te panui i o hua endoscopic sleeve gastroplasty?

Ko te angitu me te ESG e inehia ana e te ōrau o te taumaha nui ka ngaro i a koe i roto i te waa. Ko te nuinga o te tangata ka ngaro i te 15-20% o to ratou taumaha tinana katoa i roto i te tau tuatahi, ahakoa ka tino rereke nga hua takitahi.

Ka aroturukihia e to taakuta to ahunga whakamua ma nga huihuinga whai-ake. Ka aroturukihia e ratou ehara i te mea ko to ngaronga taumaha anake, engari ko nga whakapainga i roto i nga ahuatanga hauora e pa ana ki te momomo, penei i te mate huka, te toto tiketike, te moe moe ranei.

Ko nga hua ESG noa ko:

• 15-20% te whakaheke taumaha katoa i roto i te tau tuatahi
• Te whakapai ake i te whakahaere huka toto mō te hunga mate huka
• Te whakaheke i te pēhanga toto me ngā taumata cholesterol
• Te kounga moe pai ake me te whakaheke i ngā tohumate moe apnea
• Te whakapai ake i te nekeneke me te whakaheke i te mamae tahi

Kia mahara he taputapu te ESG hei āwhina i a koe ki te whakaheke taumaha, ehara i te otinga makutu. Ko tō angitu i te wā roa e tino whakawhirinaki ana ki te whakarereke i ō tikanga kai me te noho kaha tinana. Ko te hunga e whakapau kaha ana ki ēnei huringa oranga ka kite i ngā hua pai me te roa.

Me pēhea te pupuri i ō hua i muri i te endoscopic sleeve gastroplasty?

Ko te pupuri i tō whakaheke taumaha i muri i te ESG e hiahia ana he whakapau kaha mō te oranga katoa ki te kai hauora me te mahi tinana i ngā wā katoa. Ka hoatu e te tikanga he taputapu kaha ki a koe, engari ko āu whiringa i ia rā e whakatau ana i tō angitu i te wā roa.

Ka āwhina tō puku iti ake ki a koe kia ki tonu wawe, engari me whiriwhiri koe i ngā kai mō te mōhiotanga kia whakanuia ai tēnei painga. Arā, me aro ki te kai i ngā kai whai pūmua i te tuatahi, katahi ngā huawhenua, me te whakaiti i ngā kai kua tukatukahia me ngā inu huka e taea ai te whānui o tō puku i te wā.

Ngā rautaki tiaki nui ko:

• Kai i ngā kai iti, i ngā wā maha i te rā
• Ngau tino pai i te kai me te kai pōturi
• Noho wai, engari karo i te inu i te wā kai
• Tangohia ngā huaora me ngā tāpiringa e taunakitia ana
• Whakakorikori tinana i ngā wā katoa i te whakaaetanga a tō tākuta
• Haere ki ngā pōti whai muri katoa

He mea nui te whai muri i ngā wā katoa me tō rōpū hauora mō te angitu i te wā roa. Mā rātou e aroturuki tō ahunga whakamua, e whakatika i tō mahere kai i te mea e tika ana, me te whakatika i ngā āwangawanga ka puta. He maha ngā tāngata e kite ana ko ngā rōpū tautoko e haere tonu ana, ko te tohutohu rānei e āwhina ana i a rātou kia noho hihiri me te kaute.

Ko wai te kaitono pai mō te endoscopic sleeve gastroplasty?

Ko te tangata e tika ana mō te ESG he tangata he BMI o te 30 neke atu rānei, i whakamātau i ētahi atu tikanga whakaheke taumaha kāore i whai hua tonu. Me whai wāhi koe ki te whakarereke i tō oranga mō te wā roa, me te kaha ki te whai i ngā aratohu kai i muri i te tikanga.

Ko ngā tāngata e tika ana, he tāngata e whai tūmanako tūturu ana mō te tikanga, me te mārama he taputapu te ESG e hiahia ana kia kaha tonu te mahi. Me hauora koe i te taha tinana mō te tikanga, me te rite i te taha hinengaro mō ngā whakarerekētanga o te oranga e hiahiatia ana.

He tangata tika pea koe mēnā:

• He BMI tō te 30 neke atu rānei
• I whakamātau koe i te kai me te whakakōkiri tinana kāore i whai hua tonu
• Kei te hiahia koe ki te karo i te pokanga whakaheke taumaha tuku iho
• Kei te whai wāhi koe ki ngā whakarerekētanga o te oranga mō te wā roa
• Kāore ō raru puku e pā ana
• Kei waenganui koe i te 18-65 tau te pakeke

Heoi, kāore te ESG e tika ana mō te katoa. Ko ngā tāngata e pā ana ki ētahi raru puku, te waikawa nui, te pokanga puku o mua rānei, kāore pea he tāngata tika. Mā tō tākuta e arotake tō āhuatanga takitahi kia whakatau mēnā ko te ESG te kōwhiringa pai mōu.

He aha ngā tūponotanga mō ngā raruraru ki te endoscopic sleeve gastroplasty?

Ahakoa te nuinga o te wā he haumaru ake te ESG i te pokanga whakaheke taumaha tuku iho, kei te mau tonu ētahi tūponotanga me mārama koe i mua i te haere tonu. Ko te nuinga o ngā raruraru he ngawari, he wā poto, engari ka puta ētahi take nui i ētahi wā.

Ko ngā āhuatanga ka piki ake ai tō tūponotanga ko te whai i ētahi āhuatanga hauora, te tango i ētahi rongoā motuhake, te pokanga puku o mua rānei. Mā tō tākuta e āta arotake ēnei āhuatanga i te wā o tō aromatawai i mua i te tikanga.

Ko ngā tūponotanga mō ngā raruraru ko:

• He pokanga puku o mua, he nui ranei te kiko maru
• Te nui o te rerenga waikawa, te whewhe puku ranei
• Ngā mate pūhui toto
• Te mate ngakau, te mate pūkahukahu ranei
• Te whakamahi kaha i ngā matū
• Ngā tūmanako kāore i te tūturu mō ngā hua

He wāhi anō tō te tau me te hauora whānui ki te whakatau i tō taumata tūponotanga. Ko ngā tāngata neke atu i te 65 tau, ko te hunga rānei e maha ana ngā āhuatanga hauora, ka nui ake pea ngā tūponotanga, engari he maha tonu ka taea te haere i te tikanga me te whakahaere rongoā tika.

He pai ake te endoscopic sleeve gastroplasty i ētahi atu tikanga whakaheke taumaha?

He painga motuhake te ESG i te whakataurite ki ētahi atu tikanga whakaheke taumaha, engari ko te mea he "pai ake" kei runga i ō āhuatanga me ō whāinga. He iti ake te wawaotanga i te pokanga tuku iho, engari kāore pea e nui te whakaheke taumaha pēnei i ngā tikanga pēnei i te pokanga arai puku.

I te whakataurite ki ngā kōwhiringa pokanga, he poto ake te wā whakaora o te ESG, he iti ake te tūponotanga o ngā raruraru, ā, ka taea te whakahoki mai mehemea e tika ana. Heoi, ko ngā tikanga pokanga te nuinga ka nui ake te whakaheke taumaha me te roa ake.

Ngā painga o te ESG:

• Kāore he tapahi o waho, he kiko maru rānei
• Te tuku i te rā kotahi i te nuinga o ngā wā
• He iti ake te tūponotanga o ngā raruraru nui
• Ka taea te whakahoki mai
• He poto ake te wā whakaora

Ko te tikanga pai mōu kei runga i ngā āhuatanga pēnei i tō BMI, ngā āhuatanga hauora, ngā nganatanga whakaheke taumaha o mua, me ō hiahia whaiaro. Ka taea e tō tākuta te āwhina i a koe ki te whakatau i ngā painga me ngā ngoikoretanga o ia kōwhiringa i runga i tō āhuatanga motuhake.

He aha ngā raruraru ka puta mai i te endoscopic sleeve gastroplasty?

Ahakoa te haumaru o te ESG, pēnei i ētahi atu tikanga rongoā, ka puta pea ngā raruraru. Ko te nuinga o ngā pānga taha he ngawari, he wā poto, engari he mea nui kia mōhio ki ngā mea ka tupu kia taea ai e koe te whakatau whakatau.

Ko ngā raruraru e pā ana ki te nuinga o te tangata ko te whakapairuaki, te ruaki, me te mamae o te puku i ngā rā tuatahi i muri i te tikanga. Ko te tikanga ka tere te pai o ēnei tohumate i te wā e whakatika ana tō tinana ki ngā huringa.

Ngā raruraru rangitahi noa:

• Te whakapairuaki me te ruaki mō te 1-3 rā
• Te mamae o te puku, te kōpū rānei
• Te uaua ki te horo i te tīmatanga
• Te ngenge mai i te rongoā whakamoe
• Te mamae o te korokoro mai i te endoscope

He onge ngā raruraru nui ake, engari ka puta. Ko ēnei pea ko te toto, te mate, rānei ngā raruraru ki ngā tuitui. I ngā wā onge rawa, ka wewete pea ngā tuitui, e hiahia ana ki te rongoā atu.

Ngā raruraru onge engari nui:

• Te toto e hiahia ana ki te rongoā atu
• Te mate i ngā wāhi tuitui
• Ngā raruraru tuitui e hiahia ana ki te whakatikatika
• Te aukati nui o te puku
• Ngā pānga kino ki te rongoā whakamoe

Ka āta titiro tō tākuta ki a koe mō ngā tohu o ngā raruraru, ā, ka hoatu he tohutohu mārama mō te wā hei rapu i te āwhina hauora tonu. Ka ora te nuinga o te tangata me te kore he raruraru nui.

Āhea ahau e kite ai i te tākuta i muri i te endoscopic sleeve gastroplasty?

Me whakapā atu koe ki tō tākuta tonu mēnā ka pā ki a koe ngā tohumate nui i muri i te ESG, ina koa te ruaki tonu, te mamae nui o te puku, rānei ngā tohu o te mate. Ahakoa he mea noa te mamae, me rapu tonu te āwhina hauora mō ētahi tohumate.

He whakapairuaki me te mamae ētahi o te nuinga o te tangata i ngā rā tuatahi, engari me pai haere ēnei tohumate. Mēnā ka kino ake, ka kore rānei e pai i muri i ētahi rā, he mea nui kia whakapā atu ki tō rōpū hauora.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe:

• He mamae puku nui, he kino haere rānei
• Te ruaki tonu e kore ai e taea te pupuri wai
• Ngā tohu o te mate, pērā i te kirika, te wiri rānei
• Te uaua ki te horo, kāore e pai ake
• Te mamae o te uma, te uaua rānei ki te hā
• Te ruaki toto, te mea pouri rānei

Me noho anō koe ki te whakapā atu ki tō rōpū hauora mō ngā tūponotanga whai muri, ahakoa kei te pai koe. Mā ēnei haerenga e āwhina kia mōhio kei te ora tika ana koe, me te pai o te haere o ō whāinga whakaheke taumaha.

Ngā pātai auau mō te endoscopic sleeve gastroplasty

Q.1 He pai te endoscopic sleeve gastroplasty mō te mate huka?

Āe, he tino whai hua te ESG mō te hunga e mate huka momo 2. Ko te whakaheke taumaha i tutuki mā te ESG, he maha ngā whakapainga nui i roto i te whakahaere huka toto, ā, ka taea e ētahi tāngata te whakaiti i ā rātou rongoā mate huka.

E whakaatu ana ngā rangahau he maha ngā tāngata e mate huka ana e kite ana i te pai ake o ā rātou taumata hemoglobin A1c i roto i ngā marama i muri i te tikanga. Heoi, he pai ake te mahi a te ESG ina honoa ki te whakahaere tonu i te mate huka, me te aroturuki auau e tō rōpū hauora.

Q.2 Ka pā te endoscopic sleeve gastroplasty i te korenga kai?

Ka taea e te ESG te arahi ki te korenga kai ki te kore koe e whai i ngā aratohu kai tika i muri i te tikanga. Nā te mea ka kai koe i ngā wāhanga iti, he mea nui ki te arotahi ki ngā kai whai matūkai, me te tango i ngā tāpiringa e tūtohutia ana.

Ka tūtohu pea tō rōpū hauora i ngā huaora me ngā kohuke motuhake hei ārai i te korenga. Mā ngā whakamātautau toto auau e āwhina ki te aroturuki i tō tūnga kai, me te tuku i ngā whakatikatika ki tō tikanga tāpiringa ina hiahiatia.

Q.3 Kia pēhea te roa o te endoscopic sleeve gastroplasty?

Ko ngā tūāhua i whakatakotoria i te wā o te ESG i hangaia kia tū tonu, engari ka rerekē te whai huatanga i roto i te wā. Ko te nuinga o ngā tāngata e mau ana i te whakahekenga taumaha nui mō te 2-3 tau pea, ahakoa kei te kohia tonu ngā raraunga wā-roa mai i te mea he tikanga hou tēnei.

Ko tō angitu wā-roa e whakawhirinaki ana ki tō whakapau kaha ki ngā huringa o te oranga. Ko ngā tāngata e mau ana i ngā tikanga kai hauora me te whakakori tinana i ngā wā katoa te nuinga o ngā hua pumau mai i te ESG.

Q.4 Ka taea te whakahoki i te endoscopic sleeve gastroplasty?

Āe, ka taea te whakahoki i te ESG, ahakoa me whai tikanga endoscopic anō hei tango, hei tapahi rānei i ngā tūāhua. Koinei tētahi painga o te ESG ki runga i te pokanga whakaheke taumaha tuku iho, e tū tonu ana.

Heoi, he uaua te whakahoki, ā, ka whakaarohia anake mēnā ka pā koe i ngā raruraru nui e kore e taea te whakahaere i ētahi atu huarahi. Ko te nuinga o ngā tāngata i te ESG kāore e hiahia ana, e hiahia ana rānei ki te whakahoki.

Q.5 E hia te taumaha ka taea e au te whakaheke i te endoscopic sleeve gastroplasty?

Ko te nuinga o ngā tāngata e whakaheke ana i te 15-20% o tō rātou taumaha tinana katoa i roto i te tau tuatahi i muri i te ESG. Hei tauira, ki te 200 pauna tō taumaha, ka taea e koe te whakaheke i te 30-40 pauna i te tau tuatahi.

Ka rerekē ngā hua takitahi i runga i ngā āhuatanga pēnei i tō taumaha tīmata, te whakapau kaha ki ngā huringa o te oranga, me te hauora whānui. Ko ētahi tāngata e whakaheke ana i te taumaha nui, i te mea ka whakaheke ētahi atu i te iti. Ka taea e tō tākuta te hoatu ki a koe tētahi tūmanako whaiaro ake i runga i tō āhuatanga motuhake.