ʻO ke ola ma hope o ke kaupaona lilo ʻana
Ua hoʻomaka paha ʻoe e noʻonoʻo e pili ana i ke kaona hōʻemi kaumaha. A i ʻole ua hoʻoholo paha ʻoe e hana i ke ʻoki ʻana. Hiki ke kōkua iā ʻoe i kahi ʻoki hōʻemi kaumaha.
- Lilo kaupaona
- Hoʻonui a hoʻopau paha i nā pilikia olakino he nui
- Hoʻonui i kou maikaʻi o ke ola
- E ola lōʻihi
He mea nui e hoʻomaopopo he nui nā loli hou i kou ola. Hoʻopili kēia i ke ala āu e ʻai ai, nā mea āu e ʻai ai, ke ʻai ʻoe, kou manaʻo e pili ana iā ʻoe iho, a me nā mea hou aku.
ʻAʻole maʻalahi ke ala o ke kaupaona hoʻohaʻahaʻa ʻana. Pono ʻoe e hana i ka hana nui o ka ʻai ʻana i nā meaʻai olakino, ka kaohi ʻana i nā nui o ka ʻāpana, a me ka hoʻoikaika kino.
Ke emi koke nei kou kaumaha ma mua o ka 3 a 6 mau mahina, hiki paha iā ʻoe ke luhi a anuanu paha i kekahi manawa. Loaʻa iā ʻoe kekahi:
- ʻEha ke kino
- ʻIli maloʻo
- ʻO ka lauoho lauoho a lahilahi paha
- Hoʻololi ke ʻano
E hele aku kēia mau pilikia i ka maʻa o kou kino i ka hoʻohaʻahaʻa kaumaha a paʻa pono kou kaumaha. He mea nui e hāhai ʻoe i nā ʻōlelo a ke kauka no ka ʻai ʻana i ka protein a lawa a me ka lawe ʻana i nā wikamina.
E kaumaha paha ʻoe ma hope o ka hōʻoki ʻana i ke kaupaona. ʻAʻole kūlike paha ka ʻoiaʻiʻo o ke ola ma hope o ke kaha ʻana i kāu mau manaʻolana a i ʻole nā mea i manaʻo ʻia ma mua o ke kahakaha ʻana. Kahaha paha ʻoe i ka ʻike mau ʻia o kekahi ʻano, nā manaʻo, nā ʻano, a me nā hopohopo paha, e like me:
- Ua manaʻo ʻoe ʻaʻole ʻoe e nalo hou i ka meaʻai ma hope o ke kaha ʻana, a e pau ka makemake e ʻai i nā meaʻai calorie kiʻekiʻe.
- Ua manaʻo ʻoe e hana ʻokoʻa nā hoaaloha a me nā ʻohana iā ʻoe ma hope o kou lilo ʻana o ka paona.
- Ua lana ka manaʻo e hele aku ke ʻano kaumaha a hopohopo paha āu ma hope o ke kaha ʻana a me ka pohō kaumaha.
- Ua hala ʻoe i kekahi mau hana kaiaulu e like me ka kaʻana like ʻana i ka meaʻai me nā hoaaloha a ʻohana paha, ka ʻai ʻana i kekahi mau meaʻai, a me ka ʻai pū ʻana me nā hoaaloha.
ʻO nā pilikia, a i ʻole ka lohi o ka hoʻōla ʻana mai ke ʻoki ʻana, a i ʻole nā kipa ukali āpau e hakakā paha me ka manaʻolana e maikaʻi a maʻalahi hoʻi nā mea āpau ma hope.
E hele ana ʻoe ma kahi papaʻai wai a me nā mea mālama maʻemaʻe no 2 a 3 mau pule ma hope o ke kahakaha ʻana. E hoʻohui mālie ʻoe i nā meaʻai palupalu a laila nā meaʻai maʻamau i kāu papaʻai. E ʻai paha ʻoe i nā meaʻai maʻamau e 6 mau pule.
I ka mua, ʻike koke ʻoe i ka piha, pinepine ma hope o kekahi mau nahu o ka meaʻai paʻa. ʻO ke kumu o ka ʻūlū o kou ʻōpū hou a i ʻole ka lima gastric e paʻa i kahi meaʻai liʻiliʻi ma hope koke iho o ke ʻoki ʻana. ʻOiai ʻoi aku ka nui o kāu ʻeke a lima paha, ʻaʻole paha e paʻa ma mua o kahi o ke kīʻaha (240 milliliter) o nā meaʻai nau. Hiki i kahi ʻōpū maʻamau ke hoʻopaʻa i 4 mau kīʻaha (1 litera) o nā meaʻai nau.
I ka manawa e ʻai ana i ka meaʻai paʻa, pono e nāu me ka lohi a hoʻopau loa ʻia o nā nahu. 20 a 30 mau manawa. Pono ke ʻano o ka meaʻai i kahi ʻano laumania a hoʻomaʻemaʻe paha ma mua o ka ale ʻana.
- Liʻiliʻi loa ka wehe ʻana no kāu ʻeke ʻōpū hou. Hiki i nā meaʻai ke nau pono ʻole ʻia ke ālai i kēia wehe a hiki iā ʻoe ke luaʻi a i ʻole ʻeha ma lalo o kou umauma.
- E mālama ana kēlā me kēia pāʻina ma ka liʻiliʻi he 30 mau minuke.
- Pono ʻoe e ʻai i 6 mau meaʻai liʻiliʻi a puni ka lā ma kahi o 3 mau pāʻina nui.
- Pono ʻoe e hōʻalo i ka meaʻai māmā ma waena o nā meaʻai.
- Hiki i kekahi mau meaʻai ke hōʻeha i kahi ʻeha a hōʻoluʻolu paha ke ʻai ʻoe iā lākou inā ʻaʻole nau māmā. Hoʻopili kēia i ka pasta, laiki, berena, nā lau maka, a i ʻole nā ʻiʻo, a me nā mea maloʻo, pākuʻi, a i ʻole nā mea stringy.
Pono ʻoe e inu a 8 mau aniani o ka wai a i ʻole nā wai ʻē aʻe i loaʻa ʻole nā calorie i kēlā me kēia lā.
- Hōʻalo i ka inu ʻana i kekahi mea ʻoiai ʻoe e ʻai ana, a no 60 mau minuke ma mua a ma hope paha o kāu ʻai ʻana. ʻO ka loaʻa ʻana o ka wai i loko o kāu ʻeke e holoi ai i ka meaʻai mai kāu ʻeke a hoʻoliʻiliʻi ʻoe.
- E like me ka meaʻai, pono ʻoe e lawe i ka liʻiliʻi a ʻaʻole gulp.
- Mai hoʻohana i nā straws no ka mea lawe lākou i ka ea i loko o kou ʻōpū.
Hiki i ke ʻoki hōʻemi kaumaha ke kōkua iā ʻoe e hōʻemi i ka ʻai. Akā he mea hana wale ke ʻoki. Pono ʻoe e koho i nā koho meaʻai kūpono.
Ma hope o ke kahakaha ʻana, e aʻo aku kāu kauka, kahu hānai, a i ʻole dietitian e pili ana i nā meaʻai hiki iā ʻoe ke ʻai a me nā meaʻai e hōʻalo ai. He mea nui loa e hāhai i kāu papaʻai. ʻO kaʻai ʻana i ka protein, nā huaʻai, nā lauʻai, a me nā hua nui a pau ke ala maikaʻi loa e lilo ke kaupaona a mālama ʻia.
Pono ʻoe e hōʻoki i ka ʻai ke māʻona ʻoe. ʻO ka ʻai ʻana a hiki i kou wā e piha ai i nā manawa āpau e hoʻolōʻihi i kāu ʻeke a hōʻemi i ka nui o ke kaumaha āu i lilo.
Pono ʻoe e hōʻalo i nā meaʻai i kiʻekiʻe i ka nui o nā calories. E haʻi paha kāu kauka a mea ʻaʻai paha iā ʻoe:
- MAI ʻai i nā meaʻai i piha i ka momona, kō, a me nā wai kūpāpā.
- Mai inu i nā wai i loaʻa ka nui o nā calories a i ʻole nā waihona i loko o ke kō, fructose, a i ʻole ka syrup kānana.
- Mai inu i nā mea inu ʻona (inu me nā huʻa).
- MAI inu rama. Loaʻa iā ia he nui o nā calorie, a ʻaʻole hāʻawi i ka meaʻai.
He mea nui e kiʻi i nā meaʻai āpau āpau āu e pono ai me ka ʻai ʻole ʻana i nā calorie. Ma muli o ke 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.
Inā loaʻa iā ʻoe ka gastric bypass a i ʻole ke kī ʻana i ka lima lima, pono ʻoe e lawe i nā huaora a me nā minel keu no ke koena o kou ola.
Pono ʻoe i nā hōʻoia maʻamau me kāu kauka e ukali i kāu kaona kaumaha a hōʻoia ʻoe e ʻai maikaʻi nei.
Ma hope o ka lilo ʻana o ke kaupaona, hiki iā ʻoe ke manaʻo i nā loli o kou kino a me ka contour. Hiki i kēia mau loli ke hoʻopili i ka ʻili ʻoi a palupalu paha a me ka nalo ʻana o ka nui o nā mākala. ʻO ka nui o ke kaumaha e lilo ana, ʻoi aku ka nui o ka ʻili o ka hulu a i ʻole. Hōʻike ka nui o ka ʻili a hū paha i ka hapa nui o ka ʻōpū, nā ʻūhā, ka ʻūhā, a me nā lima kiʻekiʻe. Hōʻike paha ia i kou umauma, ʻāʻī, alo, a me nā wahi ʻē aʻe pū kekahi. E kamaʻilio me kāu kauka e pili ana i nā koho no ka hōʻemi ʻana i ka nui o ka ʻili.
ʻAmelika Hui Pū ʻIa no ka pūnaewele Metabolic a me Bariatric Surgery. ʻO ke ola ma hope o ke kīʻaha bariatric. asmbs.org/patients/life- After-bariatric-surgery. Loaʻa iā ʻApelila 22, 2019.
ʻO Mechanick JI, Youdim A, Jones DB, et al. Nā ʻōkuhi hoʻomaʻamaʻa lapaʻau no ke kōkua nutritional perioperative, metabolic, a me ke kākoʻo nonsurgical o ka mea hoʻomanawanui bariatric - 2013 hōʻano hou: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. ʻO ka momona (Spring Spring). 2013; 21 Hōʻawi 1: S1-S27. PMID: 23529939 www.ncbi.nlm.nih.gov/pubmed/23529939.
Richards WO. Momona momona. I: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 47.