ʻOki kino Gastric

Gastric bypass ka ʻoki kino e kōkua iā ʻoe e lilo i kaupaona ma ka hoʻololi ʻana i ka hopena o kou ʻōpū a me kou ʻōpū liʻiliʻi i ka meaʻai āu e ʻai ai.

Ma hope o ke kahakaha ʻana, e liʻiliʻi ana kou ʻōpū. E piha ʻoe i ka meaʻai.

ʻAʻole e hele hou ka meaʻai āu e ʻai ai i kekahi mau ʻāpana o kou ʻōpū a me kou ʻōpū liʻiliʻi e omo i ka meaʻai. Ma muli o kēia, ʻaʻole e loaʻa i kou kino nā calorie a pau mai nā meaʻai āu e ʻai ai.

E loaʻa iā ʻoe ka anesthesia ākea ma mua o kēia ʻoki ʻana. E hiamoe ʻoe a ʻaʻohe ʻeha.

Aia nā ʻanuʻu 2 i ke kahakaha ʻana o ka gastric:

• ʻO ka hana mua e hoʻoliʻiliʻi i kou ʻōpū. Hoʻohana kāu lāʻau lapaʻau i nā staples e hoʻokaʻawale i kou ʻōpū i kahi ʻāpana luna liʻiliʻi a me kahi ʻāpana lalo nui aʻe. ʻO ka ʻāpana luna o kou ʻōpū (kapa ʻia ka ʻeke) kahi e hele ai ka meaʻai āu e ʻai ai. ʻO ka ʻeke e like me ka nui o ka wōnati. Mālama wale ʻia ma kahi o 1 auneke (oz) a i ʻole 28 mau lika (g) o ka meaʻai. Ma muli o kēia e ʻai ʻoe i ka liʻiliʻi a lilo i ka paona.
• ʻO ka ʻanuʻu ʻelua ka bypass. Hoʻohui kāu kauka lāʻau i kahi ʻāpana o kou ʻōpū liʻiliʻi (ka jejunum) i kahi puka liʻiliʻi i kāu ʻeke. E hele ka meaʻai āu e ʻai ai mai ka ʻeke i kēia wehe hou a i loko o kou ʻōpū liʻiliʻi. A ʻo kahi hopena, e omo kou kino i ka nui o nā calories.

Hiki ke hana i ka bypass Gastric i ʻelua ala. Me kahi ʻoki ākea, hana kāu mea lapaʻau i kahi ʻoki nui e wehe i kou ʻōpū. Hana ʻia ka bypass e ka hana ʻana ma kou ʻōpū, ʻōpū liʻiliʻi, a me nā meaola ʻē aʻe.

ʻO kekahi ala e hana ai i kēia ʻoki ʻo ka hoʻohana ʻana i kahi kāmela liʻiliʻi, i kapa ʻia he laparoscope. Hoʻokomo ʻia kēia pahu paʻi kiʻi i loko o kou ʻōpū. Kapa ʻia ke ʻoki laparoscopy. ʻAe ka laulā i ka kaukōkō e ʻike i loko o kou ʻōpū.

I kēia ʻoki kino:

• Lawe ke kauka iā 4 a 6 mau ʻoki liʻiliʻi i kou ʻōpū.
• Hoʻokomo ʻia ka laulā a me nā mea pono e hana ai i ke kaha ma o kēia mau ʻoki.
• Pili ka kāmela i kahi nānā wikiō i ka lumi hana. ʻAe kēia i ke kaukipō e ʻike i loko o kou ʻōpū i ka hana ʻana i ka hana.

ʻO nā mea maikaʻi o ka laparoscopy ma luna o ke kaha hāmama e komo pū:

• Noho pōkole pōkole a me ka wikiwiki wikiwiki
• ʻOi aku ka ʻeha
• ʻO nā scars liʻiliʻi a me kahi haʻahaʻa o ka loaʻa ʻana o ka hernia a i ʻole ka maʻi

ʻO kēia ʻoki ʻana ma kahi o 2 a 4 mau hola.

He koho paha ke ʻoki hōʻemi kaumaha inā he nui ʻoe i ka momona a ʻaʻole i hiki ke lilo i ka kaumaha ma o kaʻai a me ka hoʻoikaika kino.

Hoʻohana pinepine nā kauka i ka papa kuhikuhi nui o ke kino (BMI) a me nā kūlana olakino e like me ka maʻi diabetes 2 (diabetes i hoʻomaka i ka wā makua) a me ke kahe kiʻekiʻe e hoʻoholo ai i ka poʻe e loaʻa pono ka pōmaikaʻi mai ke kaupaona kaumaha.

ʻAʻole hiki ke hoʻoponopono wikiwiki i ke kahakaha Gastric no ka momona. E hoʻololi loa ia i kou nohona. Ma hope o kēia ʻoki ʻana, pono ʻoe e ʻai i nā meaʻai olakino, kaohi i nā nui o nā mea āu e ʻai ai, a hoʻoikaika. Inā ʻaʻole ʻoe e hāhai i kēia mau ana, loaʻa paha iā ʻoe nā pilikia mai ke ʻoki a me ka pohō kaumaha.

E kūkā kamaʻilio e pili ana i nā pono a me nā pilikia me kāu kauka.

Koi ʻia kēia kaʻina hana inā loaʻa iā ʻoe:

• He BMI o 40 a ʻoi. ʻO kekahi me ka BMI o 40 a ʻoi paha ma kahi o 100 paona (45 kilokilo) ma luna o kā lākou paona i manaʻo ʻia. Aia kahi BMI maʻamau ma waena o 18.5 a me 25.
• ʻO kahi BMI o 35 a ʻoi a me kahi kūlana olakino koʻikoʻi e hoʻomaikaʻi ai me ka pohō kaumaha. ʻO kekahi o kēia mau kūlana he apne moe ālai, ʻano diabetes he 2, a me nā maʻi puʻuwai.

Gastric bypass ka hana nui a he nui nā pilikia. He koʻikoʻi kekahi o kēia mau pilikia. Pono ʻoe e kūkākūkā i kēia mau pilikia me kāu kauka.

Nā pilikia o ka loaʻa ʻana o ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko, maʻi
• Nā pilikia puʻuwai

ʻO nā pilikia no ka bypass gastric me:

• Gastritis (hoʻoliʻiliʻi ʻōpū lining), puʻuwai puʻuwai, a i ʻole nā ​​puʻuwai ʻōpū
• Ka hōʻeha i ka ʻōpū, ʻōpū, a i ʻole nā ​​mea ʻē aʻe i ka wā o ke kaha
• Ke hele nei mai ka laina kahi i staple pū ʻia ai nā ʻāpana o ka ʻōpū
• ʻAnoʻai maikaʻi ʻole
• ʻO ka scarring i loko o kou ʻōpū i hiki ke alakaʻi i kahi blockage i kou ʻōpū i ka wā e hiki mai ana
• ʻO ka luaʻi mai ka ʻai ʻana ma mua o ka ʻūlū o kou ʻōpū ke paʻa

E noi aku kāu kauka iā ʻoe e hana i nā hoʻokolohua a me nā kipa ʻana me nā mea mālama ola ʻē aʻe ma mua o kāu hana ʻana i kēia ʻoki. ʻO kekahi o kēia mau mea:

• He hōʻike kino piha.
• Nā hoʻāʻo koko, ultrasound o kāu gallbladder, a me nā hoʻokolohua ʻē aʻe e ʻike pono ʻoe i ke olakino e hiki ai ke ʻoki ʻia.
• ʻO nā kipa me kāu kauka e hōʻoia i nā pilikia olakino ʻē aʻe āu e loaʻa ai, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me nā pilikia o ka puʻuwai a me ka hanu.
• ʻLelo aʻoaʻo kino.
• Nā papa e kōkua iā ʻoe e aʻo i ka mea e hana ai i ka wā o ke ʻoki ʻana, ka mea āu e manaʻo ai ma hope, a he aha nā pilikia a pilikia paha e hiki mai ana ma hope.
• Makemake paha ʻoe e kipa me kahi kākāʻōlelo e ʻike pono mākaukau ʻoe no kēia ʻoki kino. Hiki iā ʻoe ke hoʻololi i kou nohona ma hope o ke kahakaha ʻana.

Inā puhipaka ʻoe, pono ʻoe e hooki i mau mau pule ma mua o ke kaha ʻana a mai hoʻomaka hou i ka puhipaka ʻana ma hope o ke kaha ʻana. Hoʻohiohi ʻo Smoking i ka hoʻōla a hoʻonui i nā pilikia no nā pilikia. E haʻi i kāu kauka a kahu hānai inā pono ʻoe i ke kōkua e haʻalele.

E haʻi i kāu kaukipoki a kahu wahine paha

• Inā hāpai ʻoe a hāpai paha ʻoe
• He aha nā lāʻau, nā wikamina, nā mea kanu, a me nā mea hoʻopili ʻē aʻe āu e lawe nei, ʻo nā mea āu i kūʻai ai me ka ʻole o ka lāʻau

I loko o ka pule ma mua o kou ʻoki kino:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e paʻakikī i kou koko ke naue. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), a me nā mea ʻē aʻe.
• E noi i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• E hoʻomākaukau i kou home ma hope o ke ʻoki ʻana.

I ka lā o ke kaha ʻana:

• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

Noho ka hapa nui o ka poʻe i ka haukapila no 1 a 4 mau lā ma hope o ke kaha ʻana.

I ka haukapila:

• E noi ʻia ʻoe e noho ma ka ʻaoʻao o kahi moe a hele wāwae iki i ka lā like e ʻoki ai ʻoe.
• Loaʻa paha iā ʻoe kahi catheter (Tube) e hele i loko o kou ihu i loko o kou ʻōpū no 1 a i ʻole 2 mau lā. Kōkua kēia paipu i ka hoʻoheheʻe ʻana i nā wai mai kou ʻōpū.
• Loaʻa paha iā ʻoe kahi catheter i loko o kāu pēke e lawe i ka mimi.
• ʻAʻole hiki iā ʻoe ke ʻai no nā lā 1 a 3 mua. Ma hope o kēlā, hiki iā ʻoe ke loaʻa nā wai a laila hoʻomaʻemaʻe a palupalu paha i nā meaʻai.
• Loaʻa paha kāu paipu i ka hapa nui o kou ʻōpū i kāpae ʻia. E puka mai ka catheter mai kou ʻaoʻao a e hoʻokahe i nā wai.
• E komo ʻoe i nā lāʻau kūikawā ma luna o kou mau wāwae e kōkua ai i ke pale ʻana i ke koko ʻole.
• E loaʻa iā ʻoe nā pana o ka lāʻau e pale aku ai i ke koko koko.
• E loaʻa iā ʻoe ka lāʻau ʻeha. E lawe ʻoe i nā huaale no ka ʻeha a i ʻole loaʻa i nā lāʻau ʻeha ma o ka IV, kahi catheter e hele i kou aa.

Hiki iā ʻoe ke hoʻi i ka home ke:

• Hiki iā ʻoe ke ʻai i ka meaʻai wai a hoʻomaʻemaʻe ʻole ʻia me ka luaʻi ʻole.
• Hiki iā ʻoe ke neʻe me ka ʻeha ʻole.
• ʻAʻole pono ʻoe i ka lāʻau ʻeha ma o ka IV a i ʻole hāʻawi ʻia e ka kī.

E mālama pono i nā ʻōkuhi no ka mālama ʻana iā ʻoe iho ma ka home.

Lilo ka hapa nui o ka poʻe ma kahi o 10 a 20 mau paona (4.5 a 9 kilokilo) i hoʻokahi mahina i ka makahiki mua ma hope o ke kaha ʻana. E hoʻemi ana ka hoʻohaʻahaʻa kaumaha i ka manawa. Ma ka pili ʻana i kāu papaʻai a me kāu papahana hoʻoikaika kino mai kinohi, ua lilo ka nui o kou kaumaha.

Hiki iā ʻoe ke lilo i hoʻokahi hapa a ʻoi o kou kaupaona keu i nā makahiki 2 mua. E lilo ana ke kaupaona wikiwiki ma hope o ke kaha ʻana inā ʻoe e hoʻomau i kaʻai wai a pure paha.

ʻO ka lilo ʻana o ke kaupaona ma hope o ke kaha ʻana hiki ke hoʻomaikaʻi i nā kūlana olakino he nui, e like me:

• Asthma
• ʻO ka maʻi reflux Gastroesophageal (GERD)
• Piʻi koko kiʻekiʻe
• Kolesterol kiʻekiʻe
• ʻAha moe hiamoe
• ʻAno 2 diabetes

ʻO ke kaupaona ʻana he mea liʻiliʻi ka mea e ʻoi ai ka maʻalahi iā ʻoe e neʻe a hana i kāu hana i kēlā me kēia lā.

No ka lilo ʻana o ka kaumaha a me ka hōʻalo ʻana i nā pilikia mai ke kaʻina hana, pono ʻoe e hāhai i nā ʻōkuhi a me nā alakaʻi ʻai e hāʻawi ʻia e kāu kauka a me ka dietitian

ʻOki kino Bariatric - holo kaʻa ʻōhua; Holo kaʻa ʻōhua ʻo Roux-en-Y; Holo ke Gastric - Roux-en-Y; ʻOki kino-kaumaha - gastric bypass; ʻOki kino nui - gastric bypass

• Ma hope o ke kaupaona kaumaha-lilo - he aha e nīnau aku ai i kāu kauka
• Ka palekana i ka lumipaku no nā mākua
• 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
• Pāleʻa ka pale ʻana
• Mālama ʻeha ʻeha - wehe
• Ke loaʻa ka nausea a me ka luaʻi
• ʻO kāu papaʻai ma hope o ke kahakaha ʻana o ka ʻōpū

• ʻO ke kāpili ʻōpū ʻo Roux-en-Y no ka pohō kaumaha
• Hoʻopaʻa gastric banding
• ʻO ka gastroplasty banded vertert
• Hoʻololi Biliopancreatic (BPD)
• Hoʻololi ʻo Biliopancreatic me ka kuapo duodenal
• Dumping maʻi maʻi

ʻO Buchwald H. Laparoscopic Roux-en-Y bypass gastric. I: Buchwald H, ed. ʻO Buchwald's Atlas of Metabolic & Bariatric Surgical Technnik a me ke kaʻina hanas Piladelapia, PA: Elsevier Saunders; 2012: chap 6.

ʻO Buchwald H. E wehe i ka Roux-en-Y bypass gastric. I: Buchwald H, ed. ʻO Buchwald's Atlas of Metabolic & Bariatric Surgical Technnik a me nā kaʻina hana. Piladelapia, PA: Elsevier Saunders; 2012: chap 5.

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.