ʻO kāu papaʻai ma hope o ke kahakaha ʻana o ka ʻōpū

Hoʻololi ke ʻoki kino Gastric i ke ʻano o ka lawelawe ʻana o kou kino i ka meaʻai. E haʻi kēia ʻatikala iā ʻoe pehea e hoʻomaʻa ai i kahi ala hou o ka ʻai ʻana ma hope o ke kaha ʻana.

Loaʻa iā ʻoe ka ʻōpū o ka gastric. Ua hōʻemi kēia ʻōpū i kou ʻōpū ma ka pani ʻana i ka hapa nui o kou ʻōpū me nā staples. Ua hoʻololi i ka lawelawe ʻana o kou kino i ka meaʻai āu e ʻai ai. E ʻai ʻoe i ka meaʻai liʻiliʻi, a ʻaʻole e lawe kou kino i nā calorie a pau mai nā meaʻai āu e ʻai ai.

E aʻo aku kāu mea mālama ola iā ʻoe e pili ana i nā meaʻai hiki iā ʻoe ke ʻai a me nā meaʻai āu e hōʻalo ai. He mea nui loa e hāhai i kēia mau papa kuhikuhi papaʻai.

E ʻai wale ʻoe i ka meaʻai wai a hoʻomaʻemaʻe paha no 2 a 3 mau pule ma hope o ke kaha. E hoʻohui mālie ʻoe i nā meaʻai palupalu, a laila ka meaʻai maʻamau.

• Ke hoʻomaka hou ʻoe e ʻai i nā meaʻai paʻa, ʻike koke ʻoe i ka piha ma ka mua. ʻO kahi mau nahu o ka meaʻai paʻa e hoʻopiha ai iā ʻoe. ʻO kēia no ka paʻa ʻana o kāu ʻeke ʻōpū hou i hoʻokahi punetēpu o ka meaʻai i ka mua, e like me ka nui o ka wōnati.
• E hoʻonui iki kāu ʻeke i ka manawa. ʻAʻole ʻoe makemake e kīloi iā ia, no laila ʻaʻole e ʻai i nā mea i ʻoi aku ma mua o ka mea a kāu mea e hāʻawi ai. Ke nui aku kāu ʻeke, ʻaʻole ia e paʻa ma mua o 1 mau ʻeke (250 milliliter) o nā meaʻai nau. Hiki i kahi ʻōpū maʻamau ke paʻa ma kahi o 4 mau kīʻaha (1 lita, L) o nā meaʻai nau.

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

Kūleʻa kēia mau ʻōuli. Pono lākou e hele i ka wā e lawe i nā protein a me nā calorie hou aku e like me kou kino e maʻa ai i kāu kaupaona.

E hoʻomanaʻo e ʻai lohi a nau i kēlā me kēia nahu me ka lohi a hoʻopau loa. Mai ale i ka meaʻai a maʻalahi. Liʻiliʻi loa ka wehe ʻana ma waena o kāu ʻeke ʻōpū hou a me kou ʻōpū. Hiki i nā meaʻai ke nau pono ʻole ʻia ke ālai i kēia wehe.

• Lawe ma ka liʻiliʻi he 20 a 30 mau minuke e ʻai i kahi pāʻina. Inā luaʻi ʻoe a ʻeha paha ma lalo o kou umauma i ka wā a ma hope paha o ka ʻai ʻana, ʻai wikiwiki paha ʻoe.
• E ʻai i 6 mau meaʻai liʻiliʻi a puni ka lā ma kahi o 3 mau pāʻina nui. Mai ʻai māmā ma waena o nā meaʻai.
• E hōʻoki i ka ʻai ʻana ke māʻona ʻoe.

ʻO kekahi mau mea ʻai āu e ʻai ai ke kumu o ka ʻeha a me ka hōʻoluʻolu inā ʻaʻole ʻoe e nau pono. ʻO kekahi o kēia mau mea he pasta, laiki, berena, nā lau maka, a me nā meaʻai, ʻo ia hoʻi ka steak. ʻO ka hoʻohui ʻana i kahi ʻono momona momona, ʻo ka ʻai, a i ʻole ka gravy hiki ke maʻalahi iā lākou e palu. ʻO nā meaʻai ʻē aʻe e hoʻonāukiuki ai paha he mau meaʻai maloʻo, e like me popcorn a me nā nati, a i ʻole nā ​​meaʻai fibrous, e like me ka seleri a me ke kō.

Pono ʻoe e inu a i 8 mau kīʻaha (2 L) o ka wai a i ʻole nā ​​wai ʻē aʻe me ka calorie ʻole i kēlā me kēia lā. E hāhai i kēia mau kulekele no ka inu ʻana:

• Mai inu i kekahi mea no 30 mau minuke ma hope o kou ʻai ʻana i ka meaʻai. Eia kekahi, mai inu i kekahi mea i kou wā e ʻai ana. E hoʻopiha ka wai iā ʻoe. Mālama paha kēia iā ʻoe mai ka ʻai ʻana i ka meaʻai olakino. Hiki iā ia ke lubricate i ka meaʻai a maʻalahi iā ʻoe e ʻai i nā mea hou aʻe ma mua o kāu e pono ai.
• Lawe i nā hopa liʻiliʻi ke inu ʻoe. Mai ʻālunu.
• E noi i kāu mea hāʻawi ma mua o ka hoʻohana ʻana i kahi mauʻu, ʻoiai e lawe mai paha ka ea i loko o kou ʻōpū.

Pono ʻoe e hōʻoia i ka lawa ʻana o ka protein, nā wikamina, a me nā minelala ʻoiai ʻoe e lilo wikiwiki nei. ʻO ka ʻai ʻana i ka protein, nā huaʻai, nā lauʻai, a me nā hua nui e kōkua i kou kino e loaʻa nā mea momona e pono ai.

ʻO ka protein ka mea nui o kēia mau meaʻai ma hope koke o ke kaha ʻana. Pono kou kino i ka protein e kūkulu i nā mākala a me nā kino o ke kino, a e hoʻōla maikaʻi hoʻi ma hope o ke kahakaha ʻana. ʻO nā koho protein haʻahaʻa momona me:

• Moa moa ʻole.
• Lean beef (ʻokiʻoki ʻia kaʻiʻo i kālua ʻia) a ʻo ka puaʻa paha.
• Iʻa.
• Nā huamoa holoʻokoʻa a i ʻole nā ​​huamoa hua.
• Mau pi.
• ʻO nā huahana waiū, kahi e hoʻopili ai i nā paila paʻakikī momona a nonfat paha, ka tī liʻiliʻi, ka waiū, a me ka yogurt.

Ma hope o ke kuʻi ʻana o ka gastric, ʻaʻole e lawe kou kino i kekahi mau huaora a me nā minelala nui. Pono ʻoe e lawe i kēia mau huaora a me nā minelala no ke koena o kou ola.

• Multivitamin me ka hao.
• ʻO Vitamin B12.
• Kalipuna (1200 mg i kēlā me kēia lā) a me ka wikamina D. Hiki i kou kino ke omo wale ma kahi o 500 mg o ka calcium i ka manawa. E hoʻokaʻawale i kāu calcium i 2 a i ʻole 3 mau huina i ke ao. Pono e lawe i ka calcium i ka palapala "citrate".

Pono paha ʻoe e lawe i nā mea hoʻohui ʻē aʻe.

Pono ʻoe e nānā maʻamau me kāu mea hoʻolako e nānā i kou kaupaona a e ʻike pono ke ʻai maikaʻi nei ʻoe. ʻO kēia mau kipa kahi manawa kūpono e kamaʻilio pū me kāu mea hoʻolako e pili ana i nā pilikia āu e loaʻa nei me kāu papaʻai, a e pili ana paha i nā pilikia ʻē aʻe e pili ana i kāu ʻoki a me kou hoʻōla.

Hōʻalo i nā meaʻai i kiʻekiʻe i ka nui o nā calories. He mea nui e kiʻi i nā meaʻai āpau āpau āu e pono ai me ka ʻai ʻole ʻana i nā calorie.

• Mai ʻai i nā mea ʻai he nui nā momona, kō, a me nā wai kūpāpā.
• Mai inu nui i ka waiʻona. ʻO ka waiʻona ka nui o nā calories, akā ʻaʻole ia e hāʻawi i ka meaʻai.
• Mai inu i nā wai i loaʻa ka nui o nā calories. Hōʻalo i nā mea inu i kō, kō, a i ʻole ka syrup kānana i loko o lākou.
• Hōʻalo i nā mea inu ʻona (inu me nā huʻa), a i ʻole e hoʻokuʻu pālahalaha ma mua o ka inu ʻana.

Heluhelu ʻia nā ʻāpana a me nā nui lawelawe. Hiki i kāu mea hānai a mea meaʻai meaʻai paha ke hāʻawi iā ʻoe i ka nui o nā meaʻai i kāu papaʻai.

Inā loaʻa ke kaupaona ma hope o ke kahakaha ʻana o ka gastric, e nīnau iā ʻoe iho:

• Keʻai nei paha wau i nā meaʻai calorie kiʻekiʻe a i ʻole nā ​​mea inu?
• Ke lawa pono nei anei wau i ka protein?
• Ke ʻai pinepine nei au?
• Hoʻomaʻamaʻa lawa paha wau?

Kāhea i kāu mea hāʻawi inā:

• Ke hoʻonui nei ʻoe i ke kaupaona a i ʻole oki paha ʻoe i ka lilo ʻana o ka kaumaha.
• Ke luaʻi nei ʻoe ma hope o ka ʻai ʻana.
• Loaʻa ka palaho i kou mau lā.
• Luhi ʻoe i nā manawa āpau.
• He puʻupuʻu ʻoe a ke sweating nei ʻoe.

ʻOki kino Gastric - kāu papaʻai; ʻO ka momona - kaʻai ma hope o ka bypass; Ka hoʻemi kaumaha - ʻai ma hope o ka bypass

• ʻO ke kāpili ʻōpū ʻo Roux-en-Y no ka pohō kaumaha

Heber D, Greenway FL, Kaplan LM, et al. ʻO ka endocrine a me ka mālama ʻana i ka meaʻai o ka mea maʻi ma hope o ka bariatric: kahi Endocrine Society Clinical Practice Guide. ʻO J Clin Endocrinol Metab. 2010; 95 (11): 4823-4843. PMID: 21051578 pubmed.ncbi.nlm.nih.gov/21051578/.

ʻO Mechanick JI, Apovian C, Brethauer S, et al. Nā ʻōkuhi hoʻomaʻamaʻa lapaʻau no ke kākoʻo nutritional perioperative, metabolic, a me ke kākoʻo nonsurgical o ka mea hoʻomanawanui bariatric - 2019 hōʻano hou ʻia: ʻimi ʻia e 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/.

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.

ʻO Tavakkoli A, Cooney RN. Hoʻololi nā metabolic ma hope o ke kahakaha bariatric. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 797-801.

• ʻOki kino Gastric
• Hoʻopaʻa gastric laparoscopic
• Ka momona

• 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
• ʻOki kino kik Gastric - hoʻokuʻu
• Hoʻopaʻa ʻōpū Laparoscopic - hoʻokuʻu

• ʻOki kino pohō