He aha te Sleeve Gastrectomy? Te Whāinga, te Hātepe & Ngā Hua

Ko te sleeve gastrectomy he pokanga whakaheke taumaha e tangohia ai e ngā tākuta te 80% o tō puku, ka waiho he ngongo whāiti, he "rākau" rānei e rite ana ki te rahi o te panana. Mā tēnei hātepe e āwhina i a koe ki te whakaheke taumaha mā te tino whakaiti i te nui o te kai ka taea e koe te kai i te wā kotahi me te huri i ngā homoni e whakahaere ana i te hiakai me te huka toto.

Kua noho tēnei pokanga hei tētahi o ngā hātepe whakaheke taumaha rongonui, he whai hua, he tika tonu, ā, kāore e hiahiatia te huri i ō whekau pērā i ētahi atu pokanga bariatric. He maha ngā tāngata e kite ana e āwhina ana i a rātou ki te whakatutuki i te whakaheke taumaha nui, mō te wā roa, ina kāore anō ētahi atu tikanga i whai hua.

He aha te sleeve gastrectomy?

Ko te sleeve gastrectomy he hātepe pokanga e tango tonu ana i tētahi wāhi nui o tō puku hei āwhina i te whakaheke taumaha. I te wā o te pokanga, ka tangohia e tō tākuta te piko o waho o tō puku, ko te wāhi tēnei i ahu mai ai te nuinga o te kaha totoro o te puku.

Ko te mea e toe ana he puku whāiti, he āhua ngongo e iti ake ai te kai i mua. Whakaarohia me te huri i tētahi pōro nui ki tētahi ngongo angiangi. Ka tere te whakakiia tēnei puku iti, nō reira ka makona koe i muri i te kai i te iti o te kai.

Ka tangohia hoki e te pokanga te wāhi o tō puku e whakaputa ana i te ghrelin, he homoni e whai ai koe i te hiakai. Ko te tikanga tēnei ka iti ake tō hiakai i mua i te hātepe, mā tēnei e māmā ake ai te piri ki ngā wāhanga iti.

He aha te take i mahia ai te sleeve gastrectomy?

E tūtohu ana ngā tākuta i te sleeve gastrectomy mō ngā tāngata e tino momomo ana, kāore i taea te whakaheke taumaha mā te kai, te whakakori tinana, me ētahi atu tikanga kore pokanga. Ko te tikanga ka whakaarohia ina 40 neke atu rānei te taurangi papatipu tinana (BMI), 35 neke atu rānei mēnā he raruraru hauora nui tōna e pā ana ki tōna taumaha.

Ka taea e te pokanga te āwhina i te rongoa, i te whakapai ake rānei i ngā raruraru hauora e pā ana ki te taumaha. Kei roto i ēnei ko te mate huka momo 2, te toto tiketike, te moe moe, me ngā raruraru tahi. He maha ngā tāngata e kite ana i te whakapai ake i ō rātou taumata cholesterol me te iti ake o te tūponotanga o te mate ngākau.

I tua atu i ngā painga ā-tinana, ka taea e te sleeve gastrectomy te whakapai ake i te kounga o te oranga. He maha ngā tāngata e kī ana he kaha ake te pūngao, te māia, me te kaha ki te whai wāhi ki ngā mahi kāore i taea e rātou i mua. He mea nui pea ngā painga ā-hinengaro o te whakatutuki i te whakahekenga taumaha tonu, pērā i ngā painga ā-tinana.

He aha te tikanga mō te sleeve gastrectomy?

Ko te sleeve gastrectomy te tikanga e mahia ana mā te whakamahi i ngā tikanga laparoscopic iti nei te whakaeke. Ka mahia e tō tākuta he maha ngā tapahi iti i tō puku, ā, ka whakamahi i tētahi kāmera iti me ngā taputapu motuhake hei mahi i te pokanga.

Ko te tikanga e 1 ki te 2 hāora te roa, ā, e whai ana i ēnei mahi matua:

1. Ka whiwhi koe i te rongoā whānui kia mōhio ai koe kei te moe katoa koe i te wā o te pokanga
2. Ka mahia e tō tākuta te 4-6 tapahi iti i tō puku, tata ki te hawhe inihi te roa o ia tapahi
3. Ka whakauruhia tētahi laparoscope (kāmera iti) hei ārahi i te pokanga
4. Ka whakamahia ngā taputapu tūhono motuhake hei wehe me te tango i te 80% o tō puku
5. Ka tangohia te wāhanga kua tangohia mā tētahi o ngā tapahi iti
6. Ka tirohia te puku e toe ana mō ngā rerenga, ā, ka katia ngā tapahi

Ko te nuinga o ngā tāngata e noho ana i te hōhipera mō te 1-2 rā i muri i te pokanga. Ko ngā tapahi iti te tikanga ka tere ake te rongoa i te pokanga tuwhera tuku iho, me te iti ake o te mamae me te kiko.

Me pēhea te whakarite mō tō sleeve gastrectomy?

Ko te whakarite mō te sleeve gastrectomy e hāngai ana ki ētahi mahi nui i ngā wiki me ngā marama i mua i tō pokanga. Mā tō rōpū hauora koe e ārahi i tētahi tukanga whakarite whānui kia mōhio ai koe ki te putanga pai rawa atu.

Ko tō haerenga whakarite te tikanga e hāngai ana ki ēnei mea matua:

• He arotake hauora katoa tae atu ki ngā whakamātautau toto, ngā whakamātautau mahi ngākau, me ngā aromatawai kai
• Whakatau ki tētahi tohunga kai ki te ako mō ngā tikanga kai i muri i te pokanga
• Haere ki te tohutohu hinengaro hei whakarite mō ngā huringa oranga kei mua
• Whaia tētahi kai i mua i te pokanga mō te 1-2 wiki hei whakaiti i tō ate me te whakaiti i ngā tūponotanga pokanga
• Kati te kai paipa i te iti rawa 6 wiki i mua i te pokanga mēnā he kai paipa koe
• Whakarite i ētahi rongoā i runga i ngā tohutohu a tō tākuta
• Whakarite i te āwhina i te kāinga i te wā o tō whakaoranga

Ka tūtohu pea tō tākuta kia whakaiti i tō taumaha i mua i te pokanga mēnā ka taea. Mā tēnei ka pai ake te haumaru o te tikanga, ā, ka pai ake pea ō hua. Ko te kai i mua i te pokanga he iti te pūngao me te warowaihā hei āwhina i tō tinana ki te whakarite mō ngā huringa kei mua.

Me pēhea te pānui i ō hua gastrectomy rīhi?

Ka inea te angitu i muri i te gastrectomy rīhi i roto i ētahi huarahi, ko te whakaiti taumaha te mea tino kitea engari ehara i te mea nui anake. Neke atu i te 50-70% o te taumaha nui o te nuinga o te tangata i roto i ngā tau e rua tuatahi i muri i te pokanga.

Koinei te ahua o te ahunga whakamua hauora:

• Te whakaiti taumaha i te 1-2 pauna ia wiki i ngā marama tuatahi
• Te whakapai ake i ngā āhuatanga hauora e pā ana ki te taumaha pēnei i te mate huka, te toto tiketike rānei
• Te piki ake o te kaha me te kaha ki te kaha ake te mahi tinana
• Te kounga moe pai ake me te whakaiti i ngā tohumate moe moe
• Te pai ake o te nekeneke me te whakaiti i te mamae tahi
• Ngā uara taiwhanga pai ake tae atu ki te huka toto, te cholesterol, me ngā tohu mumura

Ka aroturukihia e tō rōpū hauora tō ahunga whakamua mā ngā whakaritenga whai-ake auau. Ka aroturukihia e rātou ehara i te mea ko tō whakaiti taumaha anake engari ko tō tūnga kai, ngā taumata huaora, me ngā whakapainga hauora whānui. Kia mahara he rerekē te haerenga o te katoa, ā, ko te whakataurite i a koe ki ētahi atu kāore i te whai hua.

Me pēhea te whakanui ake i ngā hua o tō pokanga sleeve gastrectomy?

Ki te whai i ngā hua pai rawa atu mai i tō pokanga sleeve gastrectomy, me whakapau kaha ki te huri i tō oranga mō te wā roa. He taputapu kaha te pokanga, engari nā ō whiringa i ia rā e whakatau ai te angitu i te wā roa.

Mā te whai i ēnei aratohu ka āwhina i a koe ki te whakatutuki me te pupuri i ō whāinga whakaheke taumaha:

• Kai i te pūmua i te tuatahi i ia kai hei tiaki i te uaua me te whakatairanga i te whakaora
• Ngau iti, me te ngaungau tino pai hei ārai i te raruraru
• Kati te kai ina pōturi koe, ahakoa kei te toe kai i runga i tō pereti
• Inu wai i waenga i ngā kai, kaua i te wā o ngā kai, hei karo i te whakaki i tō puku iti
• Tangohia ngā tāpiringa huaora kua tohua i ia rā hei ārai i te ngoikoretanga kai
• Whakangungu i ngā wā katoa, me te tīmata i te hīkoi me te whakanui haere i te kaha
• Haere ki ngā pōhiri whai muri katoa me tō rōpū hauora

He wā ka hiahiatia hei hanga i ngā tikanga hauora, no reira kia manawanui ki a koe i te wā e whakatika ana koe. He tokomaha ngā tāngata e kite ana mā te mahi tahi me tētahi tohunga kai rēhita me te uru atu ki ngā rōpū tautoko ka āwhina i a rātou ki te noho i runga i te ara tika me ō rātou oranga hou.

He aha ngā āhuatanga tūpono mō ngā raruraru sleeve gastrectomy?

Pērā i ētahi atu pokanga nui, he tūpono kei roto i te sleeve gastrectomy, ahakoa he iti noa ngā raruraru nui ina mahia e ngā tākuta whai wheako. Mā te māramatanga ki ēnei tūpono ka āwhina i a koe ki te whakatau i tētahi whakatau mōhio mō te tika o te pokanga mōu.

He maha ngā āhuatanga ka whakanui ake i tō tūpono ki ngā raruraru:

• BMI tino tiketike (nui atu i te 50) rānei te momomo nui
• Ngā pokanga puku o mua i āhei ai te kiko kōpiko
• Te kai paipa, e whakaiti ana i te whakaora me te whakanui ake i te tūpono o te mate
• Te mate huka, ētahi atu āhuatanga hauora rānei
• Te moe apnoea, ētahi atu raruraru manawa rānei
• Te mate ngākau, ngā raruraru toto rānei
• Neke atu i te 65 tau te pakeke, ahakoa ka taea tonu te pokanga me te arotake tika

Ka āta aromatawaihia e tō rōpū tākuta ngā āhuatanga nei i te wā o tō aromatawai i mua i te pokanga. Ka tūtohu pea rātou ki te whakatika i ētahi take, pērā i te whakamutu i te kai paipa, i te whakapai ake rānei i te whakahaere i te mate huka, i mua i te haere tonu ki te pokanga.

He aha ngā raruraru ka puta i te pokanga sleeve gastrectomy?

Ahakoa te nuinga o te wā he haumaru te pokanga sleeve gastrectomy, he mea nui kia mōhio ki ngā raruraru ka puta, kia mōhio ai koe ki ngā tohu whakatūpato, me te rapu āwhina ki te hiahiatia. Kāore te nuinga o te tāngata e pā ana ki ngā raruraru nui, engari mā te mōhio ka āwhina koe ki te whakatau i ngā whakatau pai mō tō tiaki.

Ngā raruraru tōmua ka puta i roto i ngā wiki tuatahi ko:

• Te toto mai i te wāhi pokanga, e hiahia ana pea ki te rongoā atu anō
• Te mate i ngā wāhi tapahi, i roto rānei i te puku
• Te turuturu mai i te rārangi tītina i te wā i tapahia ai, i hīraia ai tō puku
• Ngā pūhui toto i ngā waewae, i ngā pūkahukahu rānei, koinei te take e whakahihiri ana te neke tōmua
• Ngā urupare kino ki te rongoā whakamoe, ahakoa he onge ēnei

Ko ngā raruraru wā-roa he iti noa iho te pā:

• Ngā whāiti, te whāiti rānei o te puku sleeve e hiahia ana pea ki ngā tikanga totoro
• Te mate rerenga waikawa (GERD) te kino rānei o te rerenga waikawa
• Ngā ngoikoretanga kai mēnā kāore koe e tango i ngā tāpiringa i ngā wā katoa
• Ngā kōhatu pāpā, nā te tere o te whakaheke taumaha
• Te kiri wewete e hiahia ana pea ki te pokanga kirihou

Ka taea te rongoā pai i te nuinga o ngā raruraru i te wā e kitea tōmua ana. Koinei te take he mea nui te whai i te rōpū hauora i ngā wā katoa mō tō angitu me tō hauora i te wā-roa.

Āhea au e kite ai i te tākuta i muri i te pokanga sleeve gastrectomy?

He mea nui te tiaki whai-muri i muri i te pokanga sleeve gastrectomy, engari me mōhio hoki koe ki te wā ki te rapu āwhina tākuta tonu. Ka whakarite tō rōpū hauora i ngā tūtohinga auau, engari ko ētahi tohu e hiahia ana ki te aromatawai ohorere.

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

• He mamae nui i te puku kāore e pai ake i te okiokinga
• Te ruaki tonu e ārai ana i a koe ki te pupuri wai
• Ngā tohu o te mate urutā pēnei i te kirika, te wiri, te whero rānei i te taha o ngā tapahi
• Te mamae o te uma, te uaua rānei ki te hā
• Te pūhi o te waewae, te mamae rānei e tohu ana i ngā pūpū toto
• Te kore e taea te kai, te inu rānei i tētahi mea mō te neke atu i te 24 hāora

Me whakapā atu anō koe ki tō rōpū hauora mēnā ka kite koe i ngā tohu o ngā raruraru kai. Ko ēnei pea ko te ngenge rerekē, te ngaro o ngā makawe, ngā whao pakarukaru, ngā huringa rānei i tō āhua, i tō mahara rānei. Ka taea e ngā whakamātautau toto i ia wā te hopu i ēnei take i te wā wawe, engari he mea nui anō āu ake kitenga.

Kaua e whakaroa ki te whakapā atu ki tō rōpū hauora mō ngā āwangawanga, ahakoa he iti noa iho. Mā te wawaotanga wawe ka ārai i ngā raru iti kia kaua e nui ake.

Ngā pātai e pātai pinepine ana mō te pokanga sleeve gastrectomy

Pātai 1: He whai hua te pokanga sleeve gastrectomy mō te whakaheke taumaha i te wā roa?

Āe, he tino whai hua te pokanga sleeve gastrectomy mō te whakaheke taumaha i te wā roa ina honoa ki ngā huringa oranga. Ko te nuinga o te tangata e pupuri ana i te whakaheke taumaha nui 5-10 tau i muri i te pokanga, te tikanga ka ngaro te 50-60% o tō rātou taumaha nui.

Ko te kī ki te angitu i te wā roa ko te whai i ngā aratohu kai, te noho kaha, me te pupuri i te tiaki whai-muri i ia wā. Ahakoa ka hoki mai pea te taumaha i ētahi wā, ko te nuinga e pupuri ana i te whakaheke taumaha nui e whakapai ake ana i tō rātou hauora me te kounga o te oranga.

Pātai 2: Me tango au i ngā huaora mō te toenga o tōku oranga?

Āe, me tango koe i ngā tāpiringa huaora me ngā kohuke mō te oranga i muri i te pokanga sleeve gastrectomy. He rerekē te mimiti o tō puku iti i ngā matūkai, ā, ka kai koe i te iti rawa o te kai i te katoa, e uaua ana ki te tiki i ngā matūkai katoa e hiahia ana koe mai i te kai anake.

Ka tūtohu tō rōpū hauora i ngā tākoha motuhake, ko te tikanga ko te multivitamin, te huaora B12, te huaora D, te konupūmā, me te rino. Mā ngā whakamātautau toto i ngā wā katoa e āwhina i te aroturuki i ō taumata matūkai me te whakatika i te tākoha i te mea e tika ana.

Q3: Ka taea e au te hapū i muri i te pokanga sleeve gastrectomy?

Āe, ka taea e koe te hapū hauora i muri i te pokanga sleeve gastrectomy, ā, he maha ngā wāhine e kite ana he māmā ake te hapū i muri i te whakaheke taumaha. Heoi, he mea nui kia tatari kia 12-18 marama i muri i te pokanga i mua i te ngana ki te hapū kia mōhio ai kua tū te taumaha.

I te wā e hapū ana, me āta aroturuki koe e tō tākuta whakawhānau me te rōpū bariatric kia mōhio ai kei te whiwhi koe i te kai tika. Ko ētahi wāhine ka hiahia ki te whakatika i ā rātou tākoha huaora, i te hōtaka kai rānei i te wā e hapū ana.

Q4: He aha ngā kai me karo au i muri i te pokanga sleeve gastrectomy?

Me karo koe i ētahi kai ka pōrearea, ka raru rānei i ō whāinga whakaheke taumaha. Ko ngā kai me ngā inu nui te huka ka pā te mate dumping, ka puta te whakapairuaki, te kōpū, me te pāhau.

Ko ngā kai hei whakaiti, hei karo rānei ko ngā inu huka, te monamona, ngā kai parai, ngā mīti mārō e uaua ana te ngaungau, me ngā inu waro. Mā tō kaiwhakarato kai e whakarato i te rārangi whānui me te āwhina i a koe ki te whakamahere i ngā kai e pai ana ki tō rahi puku hou.

Q5: Ka taea te whakahoki i te pokanga sleeve gastrectomy?

Kāore, kāore e taea te whakahoki i te pokanga sleeve gastrectomy nā te mea ka tangohia tō taha puku i te wā o te pokanga. Koinei te take he mea nui kia tino whakapau kaha ki ngā huringa oranga e hiahiatia ana mō te angitu.

Heoi, ki te puta ngā raruraru, ki te kore rānei koe e whakatutuki i te whakaheke taumaha tika, i ētahi wā ka taea te huri te sleeve ki ētahi atu momo pokanga bariatric, pēnei i te gastric bypass. Ka taea e tō tākuta pokanga te kōrero i ēnei kōwhiringa ki te hiahiatia, ahakoa te nuinga o ngā tāngata e pai ana ki tā rātou pokanga sleeve gastrectomy i te wā roa.