ʻOki kino kik Gastric - hoʻokuʻu

Ma ka haukapila ʻoe e hana ai i kahi ʻōpū gastric no ka pohō kaumaha. Hōʻike kēia ʻatikala iā ʻoe i ka mea e pono ai e ʻike e mālama iā ʻoe iho i nā lā a me nā pule ma hope o ka hana.

Ua loaʻa iā ʻoe kahi ʻōpū o ka ʻōpū e kōkua iā ʻoe e lilo i ka paona. Ua hoʻohana kāu lāʻau lapaʻau i nā mea ʻai e hoʻokaʻawale i kou ʻōpū i kahi ʻāpana luna liʻiliʻi, i kapa ʻia he ʻeke, a me kahi ʻāpana lalo nui aʻe. A laila humuhumu kāu kauka lapaʻau i kahi ʻāpana o kou ʻōpū liʻiliʻi i kahi puka liʻiliʻi i kēia ʻeke ʻōpū liʻiliʻi. E komo ka meaʻai āu e ʻai ai i loko o kāu ʻeke ʻōpū liʻiliʻi, a laila i loko o kou ʻōpū liʻiliʻi.

Ua hala paha ʻoe i 1 a 3 mau lā i ka haukapila. Ke hoʻi ʻoe i ka home e ʻai ana ʻoe i nā wai a i ʻole nā ​​meaʻai puréed. Hiki iā ʻoe ke neʻe me ka pilikia ʻole.

E lilo wikiwiki ʻoe i ka paona ma mua o 3 a 6 mau mahina. I kēia manawa, hiki iā ʻoe ke:

• E ʻeha ke kino
• Manaʻo luhi a anuanu hoʻi
• Loaʻa kaʻili maloʻo
• Loaʻa nā loli i ke ʻano
• Loaʻa ka lauoho lauoho a lahilahi paha

E hele aku kēia mau pilikia i ka maʻa o kou kino i kou lilo kaumaha a paʻa kou kaumaha. Ma muli o kēia kaupaona wikiwiki ʻana, pono ʻoe e akahele i ka loaʻa ʻana o nā meaʻai āpau a me nā huaora e pono ai ke ola hou ʻoe.

Lohi ke emi o ke kaumaha ma hope o 12 a 18 mau mahina.

E noho ʻoe ma ka meaʻai wai a hoʻomaʻemaʻe paha no 2 a 3 mau pule ma hope o ke kahakaha ʻana. E hoʻohui mālie ʻoe i nā meaʻai palupalu a laila ka meaʻai maʻamau, e like me ka mea a kāu mea mālama ola i ʻōlelo ai iā ʻoe e hana. E hoʻomanaʻo i ka ʻai ʻana i nā ʻāpana liʻiliʻi a me ka nau ʻana i kēlā me kēia nahu me ka lohi a hoʻopau loa hoʻi.

Mai ʻai a inu i ka manawa like. Inu i nā wai ma kahi o 30 mau minuke ma hope o kou ʻai ʻana i ka meaʻai. Inu lohi. Sip inā inu ʻoe. Mai ʻālunu. E haʻi paha kāu mea hāʻawi iā ʻoe ʻaʻole e hoʻohana i kahi mauʻu, no ka mea hiki ke lawe i ka ea i loko o kou ʻōpū.

E aʻo aku kāu mea hāʻawi iā ʻoe e pili ana i nā meaʻai āu e ʻai ai a me nā meaʻai āu e haʻalele ai.

ʻO ka hana ma hope koke o ke kaha ʻana e kōkua iā ʻoe e ola hou me ka wikiwiki. I loko o ka pule mua:

• E hoʻomaka i ka hele wāwae ma hope o ke kaha ʻana. Neʻe a puni ka hale a ʻauʻau, a hoʻohana i ke alapiʻi ma ka home.
• Inā ʻeha ke hana ʻoe i kekahi mea, e hoʻōki i ka hana i kēlā hana.

Inā loaʻa iā ʻoe kahi ʻoki laparoscopic, pono ʻoe e hana i ka hapa nui o kāu mau hana maʻamau i 2 a 4 mau pule. Lawe ʻia i 12 mau pule inā he ʻoki ākea kāu.

Ma mua o kēia manawa, mai:

• E hāpai i kekahi mea ʻoi aku ka nui ma mua o 10 a 15 mau paona (5 a 7 kg) a ʻike ʻoe i kāu mea hāʻawi
• Hana i kekahi hana e pili ana i ka hoʻokuke a huki ʻana paha
• Pākuʻi iā ʻoe iho me ka ʻoʻoleʻa. E hoʻonui i ka nui o kāu hoʻoikaika kino
• Hoʻokele a hoʻohana paha i nā mīkini inā ʻoe e lawe i ka lāʻau narcotic pain pain. E hiamoe ai kēia mau lāʻau. ʻAʻole palekana ka hoʻokele a me ka hoʻohana ʻana i nā mīkini ke lawe ʻoe iā lākou. E hōʻoia me kāu mea hoʻolako e pili ana i kahi manawa e hoʻomaka ai ʻoe e hoʻokele hou ma hope o kāu hana.

Hana:

• Hele wāwae pōkole a piʻi i luna a i lalo i nā ʻanuʻu.
• E hoʻāʻo e ala aʻe a neʻe a puni inā ʻoe e ʻeha ana i kou ʻōpū. Kōkua paha ia.

E hōʻoia i ka hoʻonohonoho ʻana o kou home no kou hoʻōla hou ʻana, e pale i ka hāʻule ʻana a ʻike pono ʻoe e palekana ana i ka lua.

Inā ʻōlelo kāu mea lawelawe ua maikaʻi, hoʻomaka paha ʻoe i kahi papahana hoʻoikaika kino 2 a 4 mau pule ma hope o ke kahakaha ʻana.

ʻAʻole pono ʻoe e hui pū me kahi hale hoʻoikaika kino e hoʻoikaika kino. Inā ʻaʻole ʻoe i hoʻoikaika a hana ʻole paha i kahi manawa lōʻihi, e makaʻala e hoʻomaka mālie e pale i nā hōʻeha. Lawe i kahi 5- a 10 mau minuke hele i kēlā me kēia lā kahi hoʻomaka maikaʻi. E hoʻonui i kēia nui a hiki i kou hele wāwae ʻana i 15 mau minuke i ka lā.

Hiki paha iā ʻoe ke hoʻololi i ke kapa komo i kēlā me kēia lā inā haʻi mai kāu mea lawelawe iā ʻoe e hana pēlā. E hōʻoia e hoʻololi i kouʻaʻaʻahu inā haumia a pulu paha.

Hiki paha iā ʻoe ke palapū a puni kou mau ʻeha. He maʻamau kēia. E hele wale aku nō ia. ʻUlaʻula paha ka ʻili e pili ana i kāu mau ʻokiʻoki. He mea maʻamau kēia pū kekahi.

Mai ʻaʻahu i nā kapa paʻa e ʻānai i kāu mau ʻokiʻoki ke ola lākou.

E mālama i kou ʻaʻahu ʻana (bandage) ma luna o kou ʻeha a maʻemaʻe a maloʻo. Inā loaʻa nā sutures (stitches) a i ʻole staples, e hemo lākou ma kahi o 7 a 10 mau lā ma hope o ke kaha ʻana. Hiki i kekahi mau humuhumu ke hoʻoheheʻe iā lākou iho. E haʻi aku kāu mea hāʻawi iā ʻoe inā loaʻa iā lākou.

Inā ʻaʻole ʻoe e haʻi ʻē aʻe, mai ʻauʻau a hiki i ka manawa o kāu koho ʻana me kāu mea hāʻawi. Ke hiki iā ʻoe ke ʻauʻau, e holo i ka wai ma luna o kāu ʻokiʻoki, akā ʻaʻole e ʻānai a hoʻokuʻu i ka wai e hoʻokau iā ia.

Mai pulu i loko o ka pahu wai, ʻauʻau, a wai ʻauʻau a hiki i ka wā e ʻōlelo ai kāu mea lawelawe ua maikaʻi.

E kaomi i kahi uluna ma luna o kāu mau ʻokiʻoki ke pono ʻoe e kao a hiʻu paha.

Pono paha ʻoe e inu i kekahi lāʻau i kou hoʻi ʻana i ka home.

• Pono paha ʻoe e hāʻawi iā ʻoe iho i nā pana ma lalo o ka ʻili o kahi lāʻau hoʻoliʻiliʻi koko no 2 a ʻoi paha mau pule e pale aku ai i ke kōkō ʻana o ke koko. E hōʻike kāu mea hāʻawi iā ʻoe pehea.
• Pono ʻoe e ʻai i ka lāʻau e pale aku ai i nā gallstones.
• Pono ʻoe e lawe i kekahi mau wikamina i hiki ʻole i kou kino ke ʻae maikaʻi mai kāu meaʻai. ʻElua o kēia mau huaʻai B-12 a me ka huaʻai D.
• Pono paha ʻoe e lawe i nā mea hoʻopiha calcium a me ka hao pū kekahi.

ʻO Aspirin, ibuprofen (Advil, Motrin), a me kekahi mau lāʻau ʻē aʻe e hoʻopōʻino i ka pale o kou ʻōpū a i ʻole ke kumu o nā ulcer. E kamaʻilio me kāu mea hāʻawi ma mua o kou lawe ʻana i kēia lāʻau.

I mea e kōkua hou ai iā ʻoe mai ke ʻoki kino a mālama i nā loli āpau i kou ʻano nohona, ʻike ʻoe i kāu kaukukō a me nā mea lawelawe ʻē aʻe he nui.

I kou manawa e haʻalele ai i ka haukapila, loaʻa paha iā ʻoe kahi manawa e ukali ai me kāu kaukukū i loko o kekahi mau pule. E ʻike hou aku ʻoe i kāu kaukukui ma ka makahiki mua ma hope o kou ʻoki ʻana.

Hiki paha iā ʻoe ke loaʻa nā manawa me:

• ʻO kahi meaʻai a meaʻai meaʻai paha, nāna e aʻo iā ʻoe pehea e ʻai pono ai me kou ʻōpū liʻiliʻi. E aʻo pū ʻoe e pili ana i nā meaʻai a me nā mea inu āu e loaʻa ai ma hope o ke kahakaha ʻana.
• ʻO kahi psychologist, ka mea hiki ke kōkua iā ʻoe e hāhai i kāu papaʻai a me nā alakaʻi hoʻoikaika kino a hana me nā manaʻo a i ʻole nā ​​hopohopo āu e loaʻa ai ma hope o ke kahakaha ʻana.
• Pono ʻoe i nā hoʻokolohua koko no ke koena o kou ola e ʻike pono e loaʻa ana i kou kino nā wikamina a me nā minelala nui mai ka meaʻai ma hope o kāu ʻoki ʻana.

Kāhea i kāu mea hāʻawi inā:

• ʻOi aku ka ʻulaʻula, ʻeha, mehana, ʻōhū, a i ʻole ke kahe ʻana a puni kāu ʻokiʻoki.
• ʻOi aku ka nui o ka ʻeha a hohonu paha a ʻeleʻele a maloʻo paha ke nānā.
• ʻAʻole hoʻemi ke kahawai mai kāu hoʻopaʻa i 3 a 5 mau lā a hoʻonui paha.
• E mānoanoa ke kahawai, ʻeleʻele a melemele paha a ʻala maikaʻi ʻole (pus).
• Aia kou mahana ma luna o 100 ° F (37.7 ° C) no nā hola he 4 a ʻoi.
• Loaʻa iā ʻoe ka ʻeha ke kōkua ʻole kāu lāʻau ʻeha.
• Pilikia ʻoe i ka hanu ʻana.
• He ʻūhū kāu hele ʻole.
• ʻAʻole hiki iā ʻoe ke inu a ʻai paha.
• Melemele kou ʻili a i ʻole ka ʻāpana keʻokeʻo o kou mau maka.
• Lohe kou mau noho, a i ʻole he pākī ʻoe.
• Ke luaʻi nei ʻoe ma hope o ka ʻai ʻana.

ʻOki lāʻau Bariatric - kahe gastric - hoʻokuʻu; Holo kaʻa ʻōhua ʻo Roux-en-Y - hoʻokuʻu; Holo ke Gastric - Roux-en-Y - hoʻokuʻu; Hoʻokuʻu gastric bypass hoʻokuʻu; Ka emi o ke kaupaona - hoʻokuʻu gastric bypass

Jensen MD, Ryan DH, Apovian CM, et al. ʻO 2013 AHA / ACC / TOS alakaʻi no ka mālama ʻana i ka momona a me ka momona o nā mākua: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā papa kuhikuhi hoʻomaʻamaʻa a me ka Obesity Society. ʻO J Am Coll Cardiol. 2014; 63 (25 Pt B): 2985-3023. PMID: 24239920 pubmed.ncbi.nlm.nih.gov/24239920/.

ʻO Mechanick JI, Apovian C, Brethauer S, Garvey WT, Joffe AM, Kim J, et al. Nā ʻōkuhi hoʻomaʻamaʻa lapaʻau no ke kākoʻo nutritional perioperative, metabolic, a me ke kākoʻo nonsurgical o ka bariatric surgery 2019-cosponsored by American Association of Clinical Endocrinologists / American College of Endocrinology, the Obesity Society, American Society for Metabolic Bariatric Surgery, Obesity Medicine Association, a me ʻAmelika Hui Pū ʻIa o Anesthesiologists. ʻO Surg Obes Relat Dis. 2020; 16 (2): 175-247. PMID: 31917200 pubmed.ncbi.nlm.nih.gov/31917200/.

Richards WO. Momona momona. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 47.

Sullivan S, Edmundowicz SA, Morton JM. ʻOki kino a me ka endoscopic lapaʻau o ka momona. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 8.

• Papa kuhikuhi kino lehulehu
• Maʻi maʻi coronary
• ʻOki kino Gastric
• Hoʻopaʻa gastric laparoscopic
• Ka momona
• ʻApena hiamoe ākea - nā mākua
• ʻAno 2 diabetes

• Ma hope o ke kaupaona kaumaha-lilo - he aha e nīnau aku ai i kāu kauka
• Ma mua o ke kaupaona ʻana o ke kaupaona - he aha kāu e noi aku ai i kāu kauka
• Ke hele nei i waho o kahi moe ma hope o ke kaha ʻana
• Hoʻololi nā lole komo pulu-i-maloʻo
• ʻO kāu papaʻai ma hope o ke kahakaha ʻana o ka ʻōpū

• ʻOki kino pohō