ʻO ke kīʻaha Bariatric kahi kahua i kapa ʻia ʻo Bariatric surgery. Makemake lākou i nā ʻokiʻoki i makemake ʻia e ka poʻe maʻi obesity me ka manaʻo e lilo ke kaumaha. ʻOiai ua uhi ʻia ka mālama ʻana i nā poʻe maʻi momona e ka ʻinikua ma nā ʻāina he nui, akā naʻe, ʻo ka lōʻihi o ka kali ʻana a me nā koina ʻinikua e pale aku i ka poʻe maʻi mai ka loaʻa ʻana o ka lāʻau manuahi no ka hōʻoki bariatric.
No laila, loaʻa ka lāʻau lapaʻau ma nā ʻāina like ʻole. I kēia hihia, he mea koʻikoʻi nā kumukūʻai o ka ʻoki ʻana bariatric a me nā helu kūleʻa. Hiki iā ʻoe ke heluhelu i kā mākou ʻike no ka loaʻa ʻana o nā lāʻau lapaʻau bariatric kūleʻa i nā kumukūʻai haʻahaʻa. No laila, hiki iā ʻoe ke loaʻa ka ʻike e pili ana i nā kumukūʻai o Turkey Bariatric Surgery a me nā kaʻina hana. No ka ʻike kikoʻī hou aku, hiki iā ʻoe ke kelepona iā mākou.
ʻO wai ka mea kūpono no Turkey Bariatric Surgery?
Nui nā pae hoʻohālikelike no ka hoʻokō ʻana i ke ʻoki bariatric. Eia naʻe, ua helu ʻia kekahi mau pae hoʻohālike ma lalo nei: Inā kūpono nā hewa i kēia mau pae, hiki iā lākou ke loaʻa ka lāʻau lapaʻau. Eia nō naʻe, ʻoi aku ka pololei o ka loaʻa ʻana o kahi pane maopopo ma muli o nā hoʻokolokolo kūpono. ʻOiai kakaʻikahi loa, ʻaʻole lawa ke ola kino o kekahi poʻe maʻi no ka loaʻa ʻana o ka lāʻau lapaʻau bariatric;
Ke ≥ 40 a ʻoi aku ka nui o ke kino ma mua o 100 paona.
Ke hoʻomau ʻia nei kahi ʻano nui o ke kino (BMI) i ≥ 35 a i ʻole kahi maʻi e pili ana i ke kaumaha nui ma ke ʻano o ka maʻi maʻi type II, sleep apnea, hypertension, osteoarthritis, gastrointestinal disorders, lipid abnormalities, a i ʻole maʻi puʻuwai.
Ke hāʻule nā hana ʻē aʻe e hoʻemi i ke kaumaha, e like me ka ʻai a me ka hoʻoikaika kino.
Nā ʻano o Tureke Bariatric Surgery
Hoʻohana pinepine ʻia ke ʻoki Bariatric i ka mālama ʻana i ka momona.ʻOiai aia he 3 mau koho ʻokoʻa ʻokoʻa, ʻo ka 2 mau koho i makemake nui ʻia;
ʻAi ʻāʻī:ʻO ka Gastric Bypass ka wehe ʻana i kahi hapa nui o ka ʻōpū o nā maʻi a hana i kahi hana ma ka ʻōpū liʻiliʻi.. ʻAʻole hoʻoemi wale ke kāʻei Gastric Bypass i ka ʻōpū o ka poʻe maʻi, akā hiki nō hoʻi i ka mea maʻi ke hoʻolei aku i nā meaʻai āna e ʻai ai me ka ʻole o ka ʻeli ʻana iā lākou me ka hoʻololi aʻu i hana ai i loko o ka ʻōpū. Ma kēiaʻano, hāʻawi ka mea maʻi i ka wikiwiki a me ka holomua o ke kaumaha me kaʻai, ka liʻiliʻi o ka'ōpū a me ka digestion. No ka mea e ʻike ka poʻe maʻi i ka hemahema o ka vitamina ma muli o nā loli digestive, pono e hoʻohana mau i nā mea hoʻohui ma hope o ka mālama ʻana.
Ka lima ʻōpū: ʻO ka Gastric Sleeve kahi lapaʻau i makemake ʻia ma ke kahua o ka ʻokiʻoki bariatric. Hoʻopili pū ʻia ʻo Gastric bypass i ka hōʻemi ʻana o nā ʻōpū o nā maʻi. Hiki i ka mea maʻi ke hiki i ka manaʻo o ka piha wikiwiki. No ka mea ʻaʻole ia e hana i loko o ka ʻōpū, hāʻawi ia i ka pohō kaumaha ʻoi aku ka maikaʻi me ka nele o nā huaora a me nā minela.
ʻO nā pilikia o ke kaʻa ʻana ʻo Bariatric
ʻO ka hanu nui
Hoʻoponopono
Nā hopena maikaʻi ʻole i ka anesthesia
Nā pīpī koko
Nā pilikia o ka leha a me ka hanu ʻana
Lepa i loko o kāu ʻōnaehana gastrointestinal
Make (kakaʻikahi)
Kūlaha pila
ʻO ka Dumping Syndrome, kahi e alakaʻi ai i ka maʻi maʻi, ka ʻulaʻula, ke poʻo māmā, ka nausea a me ka luaʻi
Nā pōhaku nui
ʻO Hernias
Ke kō koko haʻahaʻa (hypoglycemia)
ʻAiʻole
Nā ʻōpū
ʻO ka wai
Ka waila maikaʻi
No ke aha e hele ai ka poʻe i Turkey no ka ʻoki ʻana Bariatric?
Kūʻai kūʻai kūʻai kūʻai kūʻai Bariatric Surgery: ʻO ke kumu kūʻai kūpono ʻo ia kekahi o nā kumu koʻikoʻi no ka poʻe maʻi no ka mea ʻoi aku ka nui o nā kumukūʻai lapaʻau i mea kaumaha no nā maʻi. Hele ka poʻe mai ko lākou ʻāina home i kekahi mau wahi lapaʻau kaulana i ka ʻimi ʻana i ka lāʻau lapaʻau kūpono a kūpono hoʻi. ʻO Turkey kekahi o nā koho e hāʻawi ana i ka mālama kālā pili kālā, ʻoi aku ka maikaʻi o ka mālama olakino i hoʻohālikelike ʻia me nā ʻāina e hāʻawi ana i ka mālama olakino maikaʻi ma nā kumukūʻai kiʻekiʻe.
ʻO ke kumu nui o ke kuleana, ʻo ia ka limahana olakino maikaʻi loa, mālama mālama olakino maikaʻi a me nā huakaʻi i hāʻawi ʻia e Turkey e lilo ia i wahi lapaʻau no nā mākaʻikaʻi olakino ma ka honua holoʻokoʻa.
ʻO ke ʻoki Bariatric kiʻekiʻeNā koho: He mea koʻikoʻi ka maikaʻi i ka ʻoihana olakino a ʻaʻole hiki ke mālama ʻia. ʻO Turkey ke ʻano o nā wahi lapaʻau kahi e mālama nui ai nā ʻoihana olakino i kā lākou poʻe maʻi. Hoʻomaʻamaʻa ʻia nā halemai a me nā keʻena mālama olakino ma Turkey e nā mea hana kiʻekiʻe a me nā ʻenehana lapaʻau kiʻekiʻe. Hāʻawi ʻo Turkey i ka lawelawe olakino maikaʻi loa e like me kāna ʻōlelo.
ʻO ka haʻakikīa me ka pūʻolo hoʻomaha: ʻOiai hiki ke paʻakikī ke hoʻomaha i ko mākou ola paʻa, ʻo ka hoʻohui ʻana i ka mālama a me ka hoʻomaha he manaʻo akamai. Hāʻawi ka ʻāina ʻo Eurasia ma muli o kāna mōʻaukala waiwai, nā monuments kahiko, ka hoʻolālā nani a me nā kūlana climatic maikaʻi. Ma Turkey, nui nā kūlanakauhale i kūpono no ka mālama ʻana a me ka lā hoʻomaha e like me Istanbul, Bodrum, Antalya, kahi e hiki ai iā ʻoe ke hauʻoli i ka nani o ke ʻano a ʻike i nā mea kahiko kahiko. ʻO ia ke kumu he manawa kūpono ʻole e poina e hoʻomaha i kahi ʻāina maikaʻi loa i ka wā e mālama ʻia ai ʻoe.
Nā kikoʻī o ka ʻauʻau ʻana ʻo Bariatric
Pono e nānā ʻia ke ʻoki ʻana o Bariatric ma ke ʻano he 2 mau lapaʻau like ʻole e like me ka lima ʻōpū a me ka bypass ʻōpū. ʻOiai hāʻule lāua ʻelua i loko o ke kahua o ka ʻokiʻoki bariatric, ʻelua mau lāʻau lapaʻau like ʻole. No laila, loaʻa iā lākou nā ʻano like ʻole. Hiki iā ʻoe ke loaʻa ka ʻike kikoʻī e pili ana i ka gastric Slave a me ka gastric Bypass ma ka hoʻomau ʻana i ka heluhelu ʻana i kā mākou ʻike.
He aha ke oki lima lima?
ʻO ka ʻoki lima ʻāʻī kahi ʻano o ka hoʻoemi kaumaha. Ua kapa ʻia ke ʻoki ʻana i ke kaumaha o ke kaumaha. Ua ʻike ʻia kēia ʻoki ʻana ʻo ka gastrectomy lima a i ʻole ka lima lima lima gastrectomy (VSG). Hoʻopaʻa ʻia ka ʻoki lima ʻōpū i kāu ʻai meaʻai, e alakaʻi ana i ka pohō kaumaha. Hiki iā ʻoe ke lilo ma waena o 50 a me 90 paona.
Hana ʻia ia ma ke ʻano he ʻoki laparoscopic me nā ʻoki liʻiliʻi ma ka ʻōpū o luna. Wehe ʻia ka hapa hema o ka ʻōpū. ʻO ka ʻōpū i koe he ʻōpū haiki i kapa ʻia ʻo ka lima ma hope o ia. Mai ka lalo o ka ʻōpū, kahe ka meaʻai i loko o ka ʻōpū liʻiliʻi e like me ke ʻano ma mua o ke ʻoki ʻana. ʻAʻole hana a hoʻololi ʻia ka ʻōpū liʻiliʻi. ʻO ka ʻai ʻana i ka meaʻai liʻiliʻi ma hope o ke ʻoki ʻana e hoʻopiha iā ʻoe.
No ke aha e pono ai iaʻu ke ʻoki lima lima ʻōpū?
Hoʻohana ʻia ka ʻoki lima ʻōpū e mālama i ka momona nui. Manaʻo ʻia no ka poʻe i hoʻāʻo i nā ʻano hana hoʻemi kaumaha ʻaʻole i kūleʻa i ka holo lōʻihi. Inā paʻakikī loa ʻoe me kahi helu helu kino kino (BMI) ma luna o 40, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki ʻoki lima lima. Inā aia kāu BMI ma waena o 35-40 a loaʻa iā ʻoe kahi maʻi olakino e like me ka apnea hiamoe a i ʻole ka uila kiʻekiʻe, hiki nō i kāu kauka ke ʻōlelo aku iā ia, ka maʻi puʻuwai a i ʻole ka maʻi diabetes type 2.
He aha nā pilikia o ke kaʻina gastrectomy lima?
ʻO ke koko, ka maʻi a me ke koko koko i kou mau wāwae he hopena ʻaoʻao paha e hiki mai ana ma hope o kekahi ʻoki. Hiki ke hoʻopilikia i ka hanu a i ʻole nā hopena ʻē aʻe.
I ka wā lōʻihi, pilikia paha ʻoe i ka lawe ʻana i kekahi mau meaʻai. A i ʻole hiki iā ʻoe ke hoʻomohala i kahi hāiki (stenosis) i loko o kou ʻōpū. Hiki i kekahi poʻe ke loaʻa i ka puʻuwai a i ʻole reflux ma hope o ke kaʻina. Inā loaʻa iā ʻoe ka reflux haʻahaʻa a koʻikoʻi, hiki i ka lima ʻōpū ke hōʻino. Hiki paha iā ʻoe ke noʻonoʻo i ka ʻoki ʻoki ʻana i ka ʻōpū. Hiki i kēia ʻano hana ke hoʻopau i ka reflux a me ka ʻeha puʻuwai.
Ma muli o kou olakino, loaʻa paha iā ʻoe nā pilikia ʻē aʻe. E ʻoluʻolu e kamaʻilio me kāu hui mālama ola e pili ana i nā pilikia āu i loaʻa ai ma mua o ka ʻoki ʻana.
Pehea wau e hoʻomākaukau ai no ka ʻoki lima ʻōpū?
Pono e hilinaʻi ʻia kāu hui mālama ola no ka mea he koho maikaʻi ke ʻoki ʻana i ka lima gastrectomy no ʻoe. ʻAʻole ʻōlelo ʻia ke ʻoki ʻana i ke kaumaha no ka poʻe i hoʻohana i ka lāʻau lapaʻau a i ʻole ka waiʻona, a i ʻole hiki ke hoʻololi i ke ola o kā lākou regimen a me nā hana hoʻoikaika kino.
Pono ʻoe e kākau inoa i kahi papahana hoʻomaʻamaʻa hoʻomaʻamaʻa bariatric ma mua o ka hana ʻana. E kōkua kēia iā ʻoe e hoʻomākaukau no ka ʻoki ʻana a no ke ola ma hope o ke ʻoki ʻana. E loaʻa iā ʻoe ka ʻōlelo aʻoaʻo meaʻai. A loaʻa paha iā ʻoe kahi loiloi psychological. Pono ʻoe i nā hoʻokolohua physiological a me nā hoʻokolohua. Pono ʻoe i nā hoʻāʻo koko. Loaʻa paha iā ʻoe nā haʻawina kiʻi o kou ʻōpū a i ʻole he endoscopy luna.
Inā puhi ʻoe, pono ʻoe e haʻalele i kekahi mau mahina ma mua o ka ʻoki ʻana. Makemake paha kāu kauka e hoʻemi i ke kaumaha ma mua o ke kaʻa ʻana. E kōkua kēia i ka hōʻemi ʻana i kou ake a me ka palekana o ke kaʻina. Pono ʻoe e hoʻōki i ka lawe ʻana i ka aspirin, ibuprofen, a me nā mea hoʻokahe koko ʻē aʻe i nā lā ma mua o ke ʻoki ʻana. ʻAʻole pono ʻoe e ʻai a inu i kekahi mea ma hope o ke aumoe ma mua o ke ʻoki ʻana.
He aha ka hana i ka wā o ka ʻoki lima ʻōpū?
E loaʻa iā ʻoe ka anesthesia maʻamau no kāu ʻoki. ʻO kēia ka mea e hiamoe ai ʻoe i ke kaʻina hana. E hoʻohana ana kāu kauka lapaʻau i ka laparoscopy. E hana ʻo ia i kekahi mau ʻoki liʻiliʻi ma kou ʻōpū luna. A laila e hoʻokomo ke kauka lapaʻau i kahi laparoscope a hoʻokomo i nā mea kani liʻiliʻi i loko o kēia mau ʻoki.
A laila e hāʻawi ka mea anesthesiologist i kahi paipu nui ma kou waha i loko o kou ʻōpū. E hoʻohana ke kauka lapaʻau i kahi stapler laparoscopic e puʻunaue i ka ʻōpū, e waiho ana i kahi lima kū pololei. Lawe ʻia ka ʻāpana o ka ʻōpū i waho o ka ʻōpū me kahi ʻoki. A laila hiki i kāu kauka lapaʻau ke hoʻāʻo no nā leaks i loko o ka puʻu me ka hoʻohana ʻana i kahi hoʻāʻo dye a i ʻole kahi endoscopy luna.
He aha ka hana ma hope o ka ʻoki lima ʻōpū?
E hoʻi paha ʻoe i ka home i ka lā ma hope o ke ʻoki ʻana. E ʻai ʻoe i ka wai no ka pule mua a ʻelua paha. E hāʻawi kāu hui ʻokiʻoki iā ʻoe i ka papa inoa o nā ʻano meaʻai no nā pule e hiki mai ana. E neʻe ʻoe mai ka wai i nā meaʻai maʻemaʻe, a ma hope o nā meaʻai palupalu, a laila nā meaʻai maʻamau. Pono e liʻiliʻi loa kēlā me kēia ʻai. Pono ʻoe e mālama pono e ʻai mālie a nahu maikaʻi i kēlā me kēia nahu. Mai hoʻololi koke i nā meaʻai maʻamau. Hiki i kēia ke hana i ka ʻeha a me ka luaʻi. E hana pū me kāu hui mālama ola e ʻimi i ka mea kūpono loa iā ʻoe. Ke ola kou ʻōpū, pono ʻoe e hoʻololi i kāu mau ʻai. Pono ʻoe e ʻai i nā meaʻai liʻiliʻi no kou ʻōpū liʻiliʻi.
Pilikia paha ka poʻe i loaʻa i ka ʻoki ʻana i ke kaumaha i ka lawa ʻana o nā huaora a me nā minela. ʻO kēia no ka mea ʻoi aku ka liʻiliʻi o ka meaʻai a hiki ke komo i ka meaʻai liʻiliʻi. Pono paha ʻoe e lawe i ka multivitamin i kēlā me kēia lā a me nā mea hoʻohui calcium-vitamin D. Pono paha ʻoe i nā meaʻai ʻē aʻe e like me ka huaora B-12 a i ʻole ka hao. Na kāu hui kauka e hāʻawi i nā kuhikuhi.
ke kāpili paʻakikī pili
ʻO ka ʻoki ʻana i ka ʻōpū o ka ʻōpū he ʻano o ka ʻoki ʻana i ka bariatric a i ʻole ke ʻoki kaumaha. I ka wā o ka ʻoki ʻana i ka ʻōpū, hoʻololi kāu kauka e hoʻololi i ke ʻano o kou ʻōpū a me kou ʻōpū liʻiliʻi e hoʻomoʻa a eli i ka meaʻai. Kākoʻo ʻo Gastric bypass i ka pohō kaumaha e like me kēia:
ka kaupalena ʻana i ka nui o ka meaʻai i mālama ʻia e kou ʻōpū
ka palena ʻana i ka nui o nā calorie a me nā meaʻai e komo ai kou kino
ʻO ka hoʻololi ʻana i nā hormones o kou ʻōpū, e kōkua iā ʻoe e piha no ka lōʻihi, kōkua i ka hoʻopau ʻana i ka ʻai a me ka pale ʻana i ka metabolic syndrome i hoʻokumu ʻia e ka momona.
Ua kūpono anei ke ʻoki ʻoki ʻana i ka ʻōpū o ka ʻōpū iaʻu?
ʻO nā pōmaikaʻi o ka ʻoki ʻoki ʻana i ka ʻōpū:
ʻO ka poho kaumaha no ka wā pōkole maikaʻi loa (60 a 80 ka nui o ke kaumaha o ke kaumaha) Nā hopena paʻa, lōʻihi. Hōʻike ka ʻikepili i ka hapa nui o nā poʻe maʻi e mālama ʻoi aku ma mua o 50 ka nui o ko lākou pohō kaumaha nui a hiki i 20 mau makahiki ma hope o ke kaʻina. ʻO ka hopena maikaʻi loa i nā pilikia olakino pili i ka momona Ma UCLA, hāʻawi mākou i nā seminar ʻike me kā mākou poʻe loea i ʻelua manawa i ka mahina e kōkua iā ʻoe e hoʻoholo inā kūpono ke ʻoki ʻoki ʻana i ka ʻōpū iā ʻoe. ʻOiai he nui ʻO nā pōmaikaʻi, nā pōʻino hiki ke komo:
ʻOi aku ka kiʻekiʻe o ka hoʻopiʻi wā lōʻihi ma mua o ke kaʻina gastrectomy lima. Eia naʻe, me ka mālama pono, hiki ke pale ʻia nā pilikia. ʻAʻole ʻae ʻia nā maʻi e lawe i ka aspirin a i ʻole nā NSAIDS ʻē aʻe ma hope o ka ʻoki ʻana. Pono nā poʻe maʻi a pau e lawe i nā huaora no ke ola ma hope o ka ʻoki ʻana. A i ʻole, hiki iā ia ke alakaʻi i ka hemahema o ka huaora/mineral no ka wā lōʻihi, ʻoi aku ka nui o ka huaʻa B12, hao, calcium a me ka hemahema folate.
He aha kaʻu e manaʻo ai ma hope o ka ʻoki ʻana i ka Gastric Bypass?
No ka mahina mua, hiki iā ʻoe ke mālama i nā meaʻai palupalu a me nā wai. Akā liʻiliʻi, hiki iā ʻoe ke hoʻokomo hou i nā meaʻai paʻa i kāu ʻano. Ma hope o ka ʻai ʻana i ʻelua punetēkē o ka meaʻai, e ʻike ʻoe ua piha wikiwiki ʻoe. Hiki i kāu kauka ke ʻōlelo aku e lawe ʻoe i nā meaʻai.
I nā makahiki mua ʻelua, hiki iā ʻoe ke manaʻo e nalowale ma waena o ka hapalua a me ʻelua hapakolu o kou kaumaha kino. E hoʻomau ka poho kaumaha, ma ka hapanui o nā hihia, no hoʻokahi makahiki a me ka hapa ma mua o ka hoʻopaʻa ʻana. Ma UCLA, e hana pū kā mākou poʻe loea me ʻoe a me kāu kauka mālama mua e hōʻoia i ka maʻalahi o kou ola ʻana.
