ʻO ka helu helu kino (BMI) kahi ana e hoʻohana ai i kou kiʻekiʻe a me kou kaumaha e hana ai inā he olakino kou kaumaha.

Hoʻokaʻawale ka helu BMI i ke kaumaha o ke kanaka makua ma nā kilokani me ko lākou kiʻekiʻe ma nā mika huinahā.

Hiki iā ʻoe ke helu i kāu BMI me kēia loulou Helu BMI NHS

Ua hana ʻia nā pūʻolo i helu ʻia ma luna me ka noʻonoʻo ʻana i nā pono like ʻole o kēlā me kēia maʻi. Hiki iā ʻoe ke koho i ka pūʻolo kūpono loa iā ʻoe iho e like me ka ʻike o ka pūʻolo. Loaʻa i kēlā me kēia pūʻolo nā pono like ʻole. Hiki iā ʻoe ke koho i ka pūʻolo kūpono loa iā ʻoe.

ʻAe. Hiki iā ʻoe ke loaʻa ke kūkākūkā pūnaewele manuahi ma ka hoʻouna ʻana iā mākou i kahi leka. Hiki iā ʻoe ke hoʻomaopopo inā kūpono ʻoe no ka mālama ʻana ma ka pane ʻana i nā nīnau a mākou i nīnau ai iā ʻoe i ka wā kūkākūkā.

ʻO Slimmer and fiter kahi keʻena obesity maikaʻi loa i hāʻawi i ka mālama ʻana i nā maʻi he nui. ʻO nā pūʻolo a mākou i hoʻomākaukau ai no kā mākou poʻe maʻi mai nā wahi he nui o ka honua i kāu lawelawe me ka hōʻoiaʻiʻo kumu kūʻai maikaʻi loa. Ma kēia ala, hōʻoia mākou e loaʻa i kā mākou mea kūʻai aku nā hana kūleʻa a loaʻa iā lākou i nā kumukūʻai kūpono. Hiki iā ʻoe ke loaʻa i ka lāʻau lapaʻau me ka slimmer a me ka maikaʻi me ka helu kūleʻa o 99.9%.

Hoʻokaʻawale ʻia nā lāʻau hoʻohaʻahaʻa kaumaha i ka ʻokiʻoki a me ka non-surgical. Inā ʻaʻole ʻoe maopopo e pili ana i ka lima ʻōpū a i ʻole ka ʻoki ʻana i ka ʻōpū, hiki iā ʻoe ke makemake i ka lapaʻau baluna ʻōpū. No laila, ma kahi o ka ʻoki ʻana, hiki iā ʻoe ke loaʻa i kēia mau lāʻau lapaʻau me ka ʻole o nā ʻoki a me nā humuhumu. Eia nō naʻe, hiki iā ʻoe ke loaʻa i kahi kūkākūkā pūnaewele ma ka hoʻouna ʻana iā mākou i kahi leka e ʻike ai i kahi lapaʻau āu e kūpono ai.

Hana ʻia ka ʻōpū o ka paipu ma nā ʻano ʻekolu. ʻO ka mea mua, he kaʻina hana kaohi, ʻo ia hoʻi, hāʻawi ia i ka pohō kaumaha ma ke kaohi ʻana i ka nui o ka meaʻai hiki ke ʻai ʻia. ʻO ka lua, ʻo 80% - 85% o ka ʻōpū e wehe pū me ka hormone pōloli Ghrelin. Hoʻoulu kēia hormone i ka ʻai a me ka pōloli. ʻO ka hoʻopau ʻana i ka hormone ghrelin ke kumu i ka emi nui a i ʻole ka nalowale o ka ʻai. ʻO ka mea hope loa, ʻo ka ʻoki ʻana me ka hoʻololi ʻana i ke ʻano he ala i hōʻoia ʻia e loaʻa ai ka pohō kaumaha no ka poʻe paʻakikī.

He ʻokoʻa kēlā me kēia kanaka, a he nui nā kumu like ʻole e hoʻoholo i ka nui o ke kaumaha a i ʻole ka wikiwiki o ka lilo ʻana o ke kaumaha. Eia naʻe, ʻo ka hapa nui o nā poʻe maʻi o ka ʻōpū e nalowale i ka 70% o ko lākou kaumaha nui i ka makahiki mua a me 80% i nā makahiki 2. A i kou hoʻomaka ʻana e lilo i ke kaumaha, e hoʻomaka ana ʻoe e manaʻo i ke olakino a ʻoi aku ka ikaika.

Aia kekahi nui o ka pilikia me nā lāʻau lapaʻau āpau. Ma muli o kēia, hoʻohana wale mākou i nā kauka lapaʻau kiʻekiʻe loa a akamai. ʻO ka ʻoki ʻana i ka Cuff he hōʻeha liʻiliʻi loa, a i ʻole ka puka kī. Kōkua kēia i ka hoʻohaʻahaʻa ʻana i ka pilikia ma hope o ka ʻoki ʻana.
Hoʻokō wale ʻia nā kaʻina hana inā palekana lākou e hana ma hope o ka hoʻāʻo mua ʻana a me nā kūkākūkā.
Eia hou, ʻo kāu kuleana e hoʻoponopono i nā pilikia olakino me kāu kauka lapaʻau ma mua a e mālama pono i nā ʻōlelo aʻo a pau ma mua a ma hope o ka hana. Ma ka hana ʻana i kēia, hiki iā ʻoe ke hōʻoia ua mākaukau ʻoe a me kāu kauka lapaʻau no ke kaʻina hana a mālama ʻia kou kino ma mua, i ka wā, a ma hope.

• ʻO ka poʻe me ka BMI ma luna o 30 kūpono no ka lima ʻōpū.
• ʻO nā maʻi ma waena o nā makahiki 18-65 kūpono no ka mālama ʻana.

ʻAe, e ʻike ʻoe i kekahi mau kauka i ka hōʻea ʻana i ka haukapila ma mua o kāu hana. ʻO nā hoʻokolohua pre-operative nā:

• Nā ho'āʻo koko
• kālailai mimi
• x-ray
• ke kaha
• ECG
• Polika
• Hoʻoikaika hana
• Endoscopy (E hiamoe ana ʻoe i kēia kaʻina hana)
  E kūkākūkā pū ana ʻoe me kahi mea hoʻomaʻi maʻi, cardiologist, kauka lapaʻau, internist, psychiatrist, a me bariatric surgeon.

ʻAʻole pono ʻoe e ʻai i ka ʻai hoʻemi ʻana o ke akepaʻa a i ʻole ka hahai ʻana i nā meaʻai kūikawā ʻē aʻe ma mua o ka ʻoki ʻana no ka mea ua ʻike nui kā mākou mau kauka lapaʻau hiki iā lākou ke hana me nā ate i hoʻonui ʻia. Loaʻa iā lākou nā mea hana e hiki ai iā lākou ke kōkua me nā momona momona i ka wā o ke kaʻina.

• ʻOiai hiki ke hāʻawi ʻia ke kāʻei bariatric i nā pōmaikaʻi he nui, ʻo nā ʻano hana āpau he mau kaʻina hana nui e hiki ai ke hoʻopilikia koʻikoʻi. E like me nā kaʻina hana koʻikoʻi, ʻo ke kaʻina bariatric e loaʻa i nā pilikia olakino.
  ʻO kēlā mau pilikia e pili ana i kēia kaʻina hana kaʻina hiki ke komo;
• ʻO ka hanu nui
• Hoʻoponopono
• ʻO nā hopena ʻino i ka anesthesia
• Nā pīpī koko
• Nā pilikia o ka leha a me ka hanu ʻana
• Leak i loko o kou ʻōpū
• Make (kakaʻikahi loa)

ʻAe, aia kekahi ʻeke post op (puʻi lāʻau lapaʻau) i hāʻawi ʻia iā ʻoe ma mua o kou hoʻokuʻu ʻia ʻana mai ka haukapila. Aia kēia me nā mea pale o ka ʻōpū, nā ʻinikini hoʻokahe koko, nā huaora a me nā lako lāʻau e pono ai. Ma mua o ka hoʻokuʻu ʻana e aʻo ʻia ʻoe pehea e lawe ai.

ʻOiai ʻoe e hoʻomaha ma hope o kāu ʻoki ʻana, pono ʻoe e hoʻomaha. ʻO ka hopena, ʻo ka mālama pono ʻana iā ʻoe iho i ka wā e hoʻihoʻi ai ʻoe i ka wikiwiki a hoʻomaikaʻi i kou ola hou ʻana. ʻOkoʻa ka manawa e pono ai no ka ho'ōla ʻana mai ka mea maʻi i ka maʻi, ʻoiai naʻe. Eia nō naʻe, hiki iā ʻoe ke kū a hele ma kahi o kekahi mau hola ma hope o kāu ʻoki ʻana bariatric. ʻOiai paha ʻoe e ʻeha a ʻeha paha, ʻano maʻamau kēia mau hōʻailona a pono e hala koke. Hiki ke hoʻohana ʻia nā lāʻau ʻeha o ka waha e mālama i kekahi pilikia. ʻIke ka hapa nui o nā maʻi e hiki ke hoʻomau i kā lākou hana maʻamau i kēlā me kēia lā i 4 a 5 mau lā.

Ma hope o ka ʻoki ʻana, e ʻai ʻoe i ka wai wai no nā pule mua ʻelua. Ma hope o kēlā, e ʻai ʻoe i ka ʻai puree no nā pule ʻelua e hiki mai ana. Ma hope o kēlā, pono ʻoe e hoʻāʻo e hoʻomau i ka ʻai ʻana i nā meaʻai "maʻamau" ma kahi o hoʻokahi mahina ma hope o kāu ʻoki ʻana. Ma hope o ka ʻoki ʻana a ma mua o ka hoʻokuʻu ʻana, e loaʻa iā ʻoe nā ʻōlelo aʻoaʻo piha e pili ana i nā meaʻai e ʻai ʻia a me nā ʻōlelo aʻo mai ka meaʻai meaʻai a me kā mākou limahana. ʻEkolu ʻai liʻiliʻi kāu i kēlā me kēia lā, ʻaʻole i ʻoi aku ma mua o 4-5 mau hola ma hope o 4-5 mau pule. ʻO ka pahuhopu lōʻihi, ʻo ia ka ʻai ʻana i ʻekolu mau ʻai e like me ka nui o ka pā kī i kēlā me kēia lā, me nā meaʻai maikaʻi e like me ka hua, yogurt, a i ʻole nā ​​ʻalemona maka i waena. ʻai liʻiliʻi ma hope o ka ʻoki ʻana a ʻaʻole paha e pōloli. I loko o hoʻokahi makahiki ma hope o kāu hana, he mea maʻamau ka piʻi ʻana o ka nui o kāu ʻāpana i kahi ʻāpana hoʻomaka a i ʻole ka nui o ke keiki.

Aia i loko o ka piko ka ʻili o ka ʻoki lima ʻōpū. ʻO ka hopena, ʻaʻole ʻike ʻia. ʻIke ʻia nā ʻili liʻiliʻi mai ka ʻoki lima lima ʻōpū laparoscopic. Eia nō naʻe, ua emi nui lākou a paʻakikī ke ʻike i ka wā.