Hoʻopaʻa gastric laparoscopic

ʻO ka laparoscopic gastric banding kahi ʻoki e kōkua ai me ka pohō kaumaha. Hoʻonoho ke kauka lāʻau i kahi kāʻei a puni ka ʻaoʻao o kou ʻōpū e hana i kahi ʻeke liʻiliʻi e paʻa ai ka meaʻai. Hoʻopau ke kāʻei i ka nui o nā meaʻai hiki iā ʻoe ke ʻai ma ka hana ʻana iā ʻoe e māʻona ma hope o ka ʻai ʻana i nā meaʻai liʻiliʻi.

Ma hope o ke kahakaha ʻana, hiki i kāu kauka ke hoʻoponopono i ke kāʻei e hoʻolōʻihi i ka meaʻai ma mua o ka ʻōpū.

He kumuhana pili i ka ʻoki kino Gastric.

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

Hana ʻia ke kaha me ka hoʻohana ʻana i kahi pahu paʻi liʻiliʻi i kau ʻia i loko o kou ʻōpū. Kapa ʻia kēia ʻano ʻoki lāʻau ʻo laparoscopy. Kāhea ʻia ke kāmela he laparoscope. Hāʻawi ia i kāu mea kauka e ʻike i loko o kou ʻōpū. I kēia ʻoki kino:

• E ʻoki ana kāu kauka lāʻau iā 1 a 5 mau ʻoki liʻiliʻi i loko o kou ʻōpū. Ma o kēia mau ʻoki liʻiliʻi, e kau ka mea kauka i kahi kāmela a me nā pono hana e pono ai ke ʻoki.
• E kau kāu kauka lāʻau i kahi kāʻei a puni ka ʻaoʻao o kou ʻōpū e hoʻokaʻawale iā ia mai ka ʻaoʻao haʻahaʻa. Hana kēia i kahi ʻeke liʻiliʻi e hāmama ana ka puka e komo i ka ʻāpana nui a haʻahaʻa o kou ʻōpū.
• ʻAʻole pili ke kīʻaha i kekahi stapling i loko o kou ʻōpū.
• Lawe wale nō kāu kahakaha ʻana he 30 a 60 mau minuke inā ua hana kāu kauka lāʻau i kēia mau kaʻina hana he nui.

Ke ʻai ʻoe ma hope o kēia ʻoki ʻana, e hoʻopiha koke ka ʻeke liʻiliʻi. E māʻona ʻoe ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi. ʻO ka meaʻai i loko o ka ʻeke ʻuʻuku o luna e waiho mālie i ka ʻāpana nui o kou ʻōpū.

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

ʻAʻole kahi "hoʻoponopono wikiwiki" ʻo Laparoscopic gastric banding no ka momona. E hoʻololi loa ia i kou nohona. Pono ʻoe e ʻai a hoʻoikaika kino ma hope o kēia ʻoki ʻana. Inā ʻaʻole ʻoe, loaʻa paha iā ʻoe nā pilikia a i ʻole ka pohō kaumaha maikaʻi ʻole.

ʻO ka poʻe i loaʻa i kēia ʻoki pono e kūpaʻa i ka noʻonoʻo a mai hilinaʻi i ka wai ʻona a me nā lāʻau kū ʻole i ke kānāwai.

Hoʻohana pinepine nā kauka i ka helu helu nui o ke kino (BMI) e ʻike ai i ka poʻe e loaʻa paha ka pōmaikaʻi mai ke kaila kaumaha-kaumaha. Aia kahi BMI maʻamau ma waena o 18.5 a me 25. E ʻōlelo ʻia kēia kaʻina hana inā loaʻa iā ʻoe:

• He BMI o 40 a ʻoi. ʻO ka manaʻo pinepine o kēia mau kāne he 100 paona (45 kg) kaupaona a ʻo nā wahine he 80 paona (36 kg) ma luna o ko lākou kaupaona kūpono.
• 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 ʻano he apnea moe, ʻano diabetes he 2, ke koko kiʻekiʻe, a me nā maʻi puʻuwai.

Nā pilikia no ka anesthesia a me nā ʻoki pū me:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu
• Huʻi ke koko i nā wāwae e hele paha i kou mau māmā
• Lilo ke koko
• ʻO ka maʻi, e komo pū ana me ka wahi ʻoki, paru (pulumonia), a i ʻole ka maʻi ʻaʻai a me nā puʻupaʻa paha
• Ka hōʻeha puʻuwai a i ʻole hahau i ka wā a ma hope paha o ke kaha

ʻO nā pōpilikia no ka hoʻopili ʻōpū ʻana:

• Holo ka pūpū Gastric ma o ka ʻōpū (inā kū kēia, pono e hemo).
• Hoʻopili paha ka ʻōpū ma o ke kāʻei. (Inā kū kēia, pono ʻoe i kahi ʻoki wikiwiki.)
• Gastritis (hoʻoliʻiliʻi ʻōpū lining), puʻuwai puʻuwai, a i ʻole nā ​​puʻuwai ʻōpū.
• ʻO ka maʻi i loko o ke awa, pono paha ia i nā antibiotic a i ʻole ke ʻoki kino.
• ʻO ka hōʻeha i kou ʻōpū, ʻōpū, a i ʻole nā ​​mea ʻē aʻe i ka wā o ke ʻoki.
• ʻAnoʻai maikaʻi ʻole.
• ʻO ka scarring i loko o kou ʻōpū, kahi e hiki ai i kahi poloka i kou ʻōpū.
• ʻAʻole hiki i kāu kauka lāʻau ke kiʻi i ke awa komo e hoʻopaʻa a hoʻokuʻu paha i ke kāʻei. Pono ʻoe i kahi ʻoki liʻiliʻi e hoʻoponopono i kēia pilikia.
• Hiki i ke awa komo ke hoʻohuli i lalo i lalo, e hiki ʻole ai ke komo. Pono ʻoe i kahi ʻoki liʻiliʻi e hoʻoponopono i kēia pilikia.
• ʻO ka paipu kokoke i ke awa komo hiki ke kuʻi ʻia i ka wā o ke komo o ka nila. Inā kū kēia, ʻaʻole hiki ke hoʻopaʻa i ka pā. Pono ʻoe i kahi ʻoki liʻiliʻi e hoʻoponopono i kēia pilikia.
• 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 kipa pū me kāu poʻe lawelawe olakino ʻē aʻe ma mua o kāu hana ʻana i kēia ʻoki. ʻO kekahi o kēia mau mea:

• Nā ho'āʻo koko a me nā hoʻokolohua ʻē aʻe e ʻike pono ʻoe i ke olakino e hiki ai ke ʻoki ʻia.
• 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 me nā pilikia a pilikia paha.
• Piha hōʻike kino.
• ʻLelo aʻoaʻo kino.
• E kipa aku me kahi mea mālama i ka noʻonoʻo e mākaukau ʻoe no ka ʻoki kino nui. Hiki iā ʻoe ke hoʻololi i kou nohona ma hope o ke kahakaha ʻana.
• ʻO nā kipa me kāu mea lawelawe e ʻike pono i nā pilikia olakino ʻē aʻe āu e loaʻa ai, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me nā pilikia puʻuwai a me nā māmā.

Inā ʻoe he puhipaka, pono ʻoe e haʻalele i ka puhipaka ʻana i mau pule ma mua o ke kaha ʻana a mai hoʻomaka hou ʻoe i ka puhipaka ma hope o ke kaha ʻana Hoʻohiʻa ka puhihihi i ka hoʻōla a hoʻonui i ka makaʻi no nā pilikia ma hope o ke kaha ʻana. E haʻi i kāu mea hāʻawi inā pono ʻoe e kōkua i ka haʻalele ʻana.

E haʻi mau i kāu mea hāʻawi:

• 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 ka aspirin, ibuprofen (Advil, Motrin), nā huaora E, warfarin (Coumadin), a me nā lāʻau ʻē aʻe e paʻakikī i kou koko ke ʻū.
• E nīnau i nā lāʻau e lawe i ka lā o kou ʻoki ʻana.

I ka lā o kou ʻoki kino:

• Mai ʻai a inu paha i kekahi mea no 6 mau hola ma mua o kou ʻoki ʻana.
• E lawe i nā lāʻau a kāu mea hāʻawi i kauoha aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.

E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila.

E hoʻi paha ʻoe i ka hale i ka lā o ke ʻoki. Hiki i nā poʻe he nui ke hoʻomaka i kā lākou hana maʻamau i 1 a i ʻole 2 mau lā ma hope o ka hoʻi ʻana i ka home. Lawe ka hapa nui o ka poʻe i ka hebedoma he 1 mai ka hana.

E noho ʻoe ma luna o nā wai a i ʻole nā ​​meaʻai i hoʻomoʻa ʻia 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. Ma o 6 mau pule ma hope o ke kahakaha ʻana, hiki paha iā ʻoe ke ʻai i nā meaʻai maʻamau.

Hana ʻia ke kāʻei o kahi kāpena kūikawā (silastic rubber). Loaʻa i ka loko o ke kāʻei kahi baluna inflatable. ʻAe kēia e hoʻoponopono i ke kāʻei. Hiki iā ʻoe a me kāu kauka ke hoʻoholo e hoʻokuʻu a hoʻopaʻa iā ia i ka wā e hiki mai ana i hiki ai iā ʻoe ke ʻai i nā mea ʻai a ʻoi a liʻiliʻi paha.

Hoʻopili ke kāʻei i kahi komo komo ma lalo o ka ʻili ma kou ʻōpū. Hiki ke hoʻopaʻa i ke kāʻei ma ke kau ʻana i kahi nila i loko o ke awa a hoʻopiha i ka baluna (band) me ka wai.

Hiki i kāu kaukipoki ke hana i ke kāʻei ʻoi aku ka paʻa a hoʻokuʻu paha i kēlā me kēia manawa ma hope o kāu ʻoki ʻana. E hoʻopaʻa ʻia a hoʻokuʻu ʻia paha inā ʻoe:

• Loaʻa nā pilikia i ka ʻai ʻana
• ʻAʻole e lilo ana ke kaupaona
• ʻO ka luaʻi ma hope o kāu ʻai ʻana

ʻAʻole like ka nui o ka pohō hope me ka gastric banding e like me nā ʻoki kaumaha hou. ʻO ke kaupaona kaupaona ʻana e pili ana i ka hapakolu a i ka hapalua o ke kaumaha keu āu e hali nei. Ua lawa paha kēia no nā poʻe he nui. E kamaʻilio me kāu mea lawelawe e pili ana i ke kaʻina hana kūpono no ʻoe.

I ka hapanui o nā hihia, e hele mālie ke kaupaona ma mua o nā ʻoki kaumaha hou. E mālama ʻoe i ka lilo ʻana o kaupaona a i 3 mau makahiki.

ʻO ka lilo ʻana o ke kaupaona ma hope o ke kaha ʻana hiki ke hoʻomaikaʻi i nā ʻano olakino ʻē aʻe i loaʻa iā ʻoe, e like me:

• Asthma
• ʻO ka maʻi reflux Gastroesophageal (GERD)
• Piʻi koko kiʻekiʻe
• Kolesterol kiʻekiʻe
• ʻAlena moe
• 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.

ʻAʻole kēia ʻoki wale i kahi hopena i ka nalo ʻana o ka paona. Hiki iā ia ke hoʻomaʻamaʻa iā ʻoe e ʻai liʻiliʻi, akā pono ʻoe e hana nui i ka hana. I ka lilo ʻana o ka paona a me ka hōʻalo ʻana i nā pilikia mai ke kaʻina hana, pono ʻoe e hāhai i nā ʻōkuhi a me nā ʻōʻai o ka meaʻai a kāu mea hāʻawi a me kāu dietitian i hāʻawi ai iā ʻoe.

Lap-Band; LAGB; ʻO ka laparoscopic hoʻoliʻiliʻi gastric banding; ʻOki lāʻau Bariatric - laparoscopic gastric banding; ʻO ka momona - gastric banding; Ka hoʻohaʻahaʻa kaumaha - gastric banding

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

• Hoʻopaʻa gastric banding

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/.

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.