ʻAiʻai ma hope o ka gastric banding
Loaʻa iā ʻoe ka laparoscopic gastric banding. ʻO kēia ʻokiʻoki i hoʻoliʻiliʻi ai kou ʻōpū ma ke pani ʻana i kahi ʻaoʻao o kou ʻōpū me kahi kāwili hoʻoneʻe. Ma hope o ke kaha ʻana e ʻai ʻoe i ka liʻiliʻi o ka meaʻai, a ʻaʻole hiki iā ʻoe ke ʻai wikiwiki.
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 wale ʻia no 2 a 3 mau pule ma hope o kou ʻoki ʻana. E hoʻohui mālie ʻoe i nā meaʻai palupalu, a laila nā meaʻai maʻamau.
Ke hoʻomaka hou ʻoe e ʻai i nā meaʻai paʻa, ʻike koke ʻoe i ka piha. 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 paha kāu ʻeke i ka manawa. ʻAʻole ʻoe makemake e kīloi iā ia, no laila ʻaʻole e ʻai i nā mea hou aʻe ma mua o ka ʻōlelo aʻoaʻo a kāu mea lawelawe. Ke nui aku kāu ʻeke, ʻaʻole ia e paʻa ma mua o kahi o ke kīʻaha (250 milliliters) o nā meaʻai nau. Hiki i kahi ʻōpū maʻamau ke paʻa ma kahi o 4 mau kīʻaha (1 lita, L) o nā meaʻai nau.
Hiki iā ʻoe ke lilo i ke kaupaona me ka wikiwiki i ka 3 a 6 mau mahina ma hope o ke kahakaha ʻana. I kēia manawa, loaʻa paha iā ʻoe:
- ʻEha ke kino
- Manaʻo luhi a anuanu hoʻi
- ʻIli maloʻo
- Hoʻololi ke ʻano
- ʻO ka lauoho lauoho a lahilahi paha
Kūleʻa kēia mau ʻōuli. E hele lākou e like me ka maʻa o kou kino i kāu kaona kaumaha.
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. ʻO ka wehe ma waena o kāu ʻeke ʻōpū hou a me ka ʻāpana nui o ka ʻōpū he liʻiliʻi loa ia. Hiki i nā meaʻai ke nau pono ʻole ʻia ke ālai i kēia wehe.
- Lawe i 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 i ka lā ma kahi o 3 mau pāʻina nui aʻe. Mai ʻai māmā ma waena o nā meaʻai.
- E hōʻoki i ka ʻai ke ʻike ʻoe māʻona.
- Mai ʻai inā ʻaʻole pōloli.
- E hoʻohana i nā pā liʻiliʻi a me nā pono hana e kōkua ai i ka mālama ʻana i nā nui o nā ʻāpana.
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. Ke hoʻohui nei i kahi momona momona momona, e like me ka gravy, hiki ke maʻalahi iā lākou e kaohi. 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 (64 auneke), a i ʻole 2 L, o ka wai a i ʻole nā wai ʻē aʻe me nā calorie-ʻole i kēlā me kēia lā.
- Mai inu i kekahi mea no 30 mau minuke ma hope o ka pāʻina ʻana. Eia kekahi, mai inu i kekahi mea i kou wā e ʻai ana. E hoʻopiha ka wai iā ʻoe, a mālama paha kēia iā ʻoe mai ka ʻai ʻana i ka meaʻai olakino. A i ʻole, lubricate paha ia i ka meaʻai a ʻae iā ʻoe e ʻai i nā mea ʻoi aku ma mua o kāu.
- 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. Pono kou kino i ka protein e kūkulu i nā mākala a me nā kino o ke kino. ʻO nā koho protein haʻahaʻa momona me:
- Moa moa ʻole
- Lean pipi a puaʻa paha
- Iʻa
- Nā huamoa holoʻokoʻa a i ʻole nā huamoa hua manu
- Mau pi
- ʻO nā huahana waiū, kahi e hoʻopili ai i nā paila paona momona momona a nonfat paha, ka tī liʻiliʻi, ka waiū, a me ka yogurt
ʻO ka hoʻohui ʻana i nā meaʻai me ke ʻano me ka protein e kōkua i ka poʻe i loaʻa kahi ʻōpū gastric e māʻona hou. Hoʻopili kēia i nā mea e like me ka salakeke me ka moa i hoʻomoʻa ʻia a i ʻole ka toast me ka tī lowfat.
Ma muli o ka ʻai liʻiliʻi ʻana, ʻaʻole lawa paha o kou kino i kekahi mau huaora a me nā minelala nui. Kauoha paha kāu mea hāʻawi i kēia mau mea hoʻohui:
- Multivitamin me ka hao
- ʻO Vitamin B12
- Kalipuna (1,200 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 lā i kēlā me kēia lā.
Pono ʻoe e nānā i nā manawa maʻamau e nānā i kou kaupaona a e ʻike pono ke ʻai pono nei ʻoe. ʻO kēia mau kipa kahi manawa kūpono e kamaʻilio e pili ana i nā pilikia āu e loaʻa nei me kāu papaʻai, a i ʻole e pili ana i nā pilikia ʻē aʻe e pili ana i kāu ʻoki a me kou hoʻōla.
E heluhelu i nā lepili ʻai e hōʻalo ai i nā meaʻai calorie kiʻekiʻe. He mea nui ia e kiʻi i nā meaola he nui i hiki iā ʻoe me ka ʻai ʻole ʻana i nā calorie.
- Mai ʻai i nā meaʻai i loaʻa ka nui o nā momona, kō, a me nā huʻopaʻa, ʻo ia hoʻi nā meaʻai ʻo "slider". ʻO kēia nā meaʻai e hoʻoheheʻe maʻalahi a hele wikiwiki paha i loko o ke kāʻei.
- Mai inu nui i ka waiʻona. Loaʻa i ka waiʻona ka nui o nā calories, akā ʻaʻole ia e hāʻawi i ka meaʻai. E hōʻalo loa iā ia inā hiki iā ʻoe.
- 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 kalapona, e like me ka soda a me ka wai ʻōlinolino. E hoʻokuʻu i ka soda ma mua o ka inu.
Inā loaʻa kou kaumaha a ʻoi aku ka lohi o kou kaumaha ma mua o ka mea i manaʻo ʻia, e nīnau iā ʻoe iho:
- Keʻai nei paha wau i nā meaʻai calorie kiʻekiʻe a i ʻole nā mea inu?
- Ke ʻai pinepine nei au?
- Hoʻomaʻamaʻa lawa paha wau?
ʻOki kino Gastric - kāu papaʻai; ʻO ka momona - kaʻai ma hope o ke kāʻei; Ka hōʻemi kaumaha - ʻai ma hope o ke kāʻei
- Hoʻopaʻa gastric banding
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 bariatric surgery patient-2019 update: i kūkākūkā ʻia e ka 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 JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 797-801.
- ʻOki kino pohō