kaʻe ʻōpū ʻO ka ʻoki ʻana he hana e hiki ai i ka poʻe ke ʻai liʻiliʻi a hana ʻokoʻa nā hana o ka ʻōpū. Kapa ʻia ʻo Roux-en-Y. ʻO kēia ʻokiʻoki he lapaʻau piha e pili ana i ka hōʻoki bariatric a me ka mālama ʻana i ka momona momona.
ʻO ke kaʻe ʻana o ka ʻōpū kahi hana e hōʻemi ai i ka ʻōpū a me ka ʻōpū o ke kanaka. Mahalo i kēia ʻoki ʻana, hoʻemi ʻia ka lawe ʻana i nā meaʻai. He mea maikaʻi loa ia no ka mea hiki ke hana i ʻelua mau hana. ʻOi aku ke kumukūʻai ma mua o nā ʻano hana hoʻemi kaumaha. ʻAʻole mālama ʻia ka mālama ʻana no ka maʻi hoʻokahi. ʻOiai ua hoʻohana nui ʻia no ka morbid obesity, ua hoʻohana pū ʻia e hana i nā lāʻau lapaʻau e like me ka maʻi diabetes type 2 a me ka apnea hiamoe. Wahi a nā noiʻi i hana ʻia e ka poʻe loea, ʻike ʻia ke hoʻolōʻihi ʻia ke ola o nā maʻi ma hope o ka hana bypass gastric.
Pehea e hana ʻia ai ka ʻoki ʻoki ʻana o Gastric Bypass?
ʻoki ʻoki ʻāʻī Hana ʻia ia ma nā ʻanuʻu 2 e nā kauka lapaʻau akamai. I ka pae mua, wehe ʻia ka ʻāpana o luna o ka ʻōpū. A laila wehe nui ʻia ka ʻāpana haʻahaʻa o ka ʻōpū. Ma kēia ʻano, e hōʻoia ʻia e hōʻiliʻili ʻia nā meaʻai i lawe ʻia ma nā ʻāpana liʻiliʻi. Ma hope o kēia kaʻina hana, ʻo ka hapa liʻiliʻi o ka ʻōpū he 28 grams wale nō. Mahalo i kēia ʻoki, hāʻawi ʻia ke kanaka e ʻai i ka meaʻai liʻiliʻi. E ʻai liʻiliʻi ka mea maʻi ma hope o kēia kaʻina hana. E hōʻea i ka manaʻo o ka saturation wikiwiki. No laila, hiki i kāna pahuhopu me nā ʻanuʻu kūpono i nā hana hoʻemi kaumaha.
ʻO ka hana ʻelua o ka ʻoki ʻoki ʻana i ka ʻōpū ʻo ke alahaka. ʻO ka ʻāpana koʻikoʻi ma kēia pae ʻo ka ʻōpū liʻiliʻi. Hana ʻia nā hoʻololi nui i nā ʻiʻo i loko o ka ʻōpū liʻiliʻi. Ma hope o ka emi ʻana o ka ʻōpū, pōkole ke ala o ka ʻōpū. Me kēia pōkole, hoʻopau ʻia nā meaʻai i ka manawa lōʻihi. I ka wā o ka hana, lele ʻia ka ʻāpana mua o ka ʻōpū liʻiliʻi a pili ka ʻāpana liʻiliʻi o ka ʻōpū a me ka ʻāpana haʻahaʻa o ka ʻōpū. No laila, i ka wā e hānai ai ke kanaka, lele mua ʻo ia i ka ʻāpana liʻiliʻi o ka ʻōpū a laila i ka ʻāpana ʻelua o ka ʻōpū liʻiliʻi. No laila, hiki i ka mea maʻi ke ʻai liʻiliʻi a lilo ke kaumaha i ka manawa pōkole.
He aha nā pōmaikaʻi o ka Gastric Bypass?
ʻO ka momona, ke kaumaha nui a me ka loaʻa ʻana o ke kino momona, i lilo i pilikia pilikanaka, hoʻopilikia maikaʻi hoʻi i ka maikaʻi o ke ola o ke kanaka. ʻO kēia mau pilikia e lawe pū me lākou i nā pilikia olakino. I mea e pale ai i ka hoʻonui hou ʻana i nā pilikia olakino, nā maʻi ʻoki ʻoki ʻāʻī He mea nui ia e hana ai. No ka mea, hoʻolohi ka ʻai ʻana i ka meaʻai a hoʻemi ʻia ka ʻai ʻana o ka meaʻai.
Loaʻa nā pōmaikaʻi bypass gastric me ka inactivation o 95% o ka opu, ka duodenum, a me ka lalo o ka opu liilii. Ma hope o kēia hana, i ka wā e ʻai ai ka mea maʻi i kahi meaʻai, hoʻopololei nā ʻiʻo a loaʻa ka manaʻo o ka piha. No laila, ho'ēmi nā kānaka i kā lākou'āpana. ʻAʻole like nā meaʻai i ʻai ʻia ma mua o ke ʻoki ʻana a me nā meaʻai i lawe ʻia ma hope o ke ʻoki ʻana. Aia nō ka emi ʻana o ka ʻai.
Hoʻonui ka nānā ʻana o nā maʻi i ka mea a lākou e ʻai ai a inu ai ma hope o kēia ʻoki. No ka mea, ke ʻai nui lākou, ʻeha lākou i ka ʻōpū. I ʻole e ʻike i kēia kūlana, pono lākou e nānā nui i kā lākou meaʻai. ʻO ka nānā ʻana i ka meaʻai a ke kanaka, ka nau ʻana i nā ʻāpana me ka mālie, a me nā loli o ka ʻōpū a me ka ʻōpū liʻiliʻi e kōkua i ka lilo ʻana o ke kaumaha. ʻO kēia ka mea i makemake ʻia. ʻO ia ka emi ʻana o ka ʻai a me ka holomua maikaʻi o kāna mau hana ponoʻī.
Hoʻopau ka mea maʻi i nā pilikia olakino he nui ma hope o ke kāʻei ʻana i ka ʻōpū. Hiki ke hoʻopau i nā maʻi he nui e like me ka pōkole o ka hanu, ka palena o ka neʻe ʻana, ka maʻi puʻuwai a me ka apnea hiamoe. Hiki ke ʻoluʻolu ka poʻe me nā pilikia kaumaha nui ma ka hana ʻana i kēia hana.
Nā ʻano o ka ʻoki ʻoki ʻana i ka ʻōpū
Nā ʻano o ka ʻoki ʻoki ʻana i ka ʻōpū Ma muli o ke kūlana o ka mea maʻi a me ka hoʻoholo a ke kauka. Aia 3 ʻano o ka ʻōpū o ka ʻōpū. Hiki iā mākou ke kamaʻilio e pili ana i kēia mau ʻano penei;
· Roux-en-Y (proximal); ʻO ia ka mea kaulana loa ma waena o nā koho ʻokiʻoki ʻokiʻoki. Ma kēia ʻoki ʻana, ua māhele ʻia ka ʻōpū liʻiliʻi ma kahi o 45 cm mai ka ʻāpana ʻōpū. Ma hope o ka pau ʻana o kēia kaʻina hana, hoʻopili ʻia kahi wāwae Roux Y-like e hōʻoia i ke kahe ʻana o ka meaʻai i ka ʻeke o luna o ka ʻōpū. No laila, piha ke kanaka.
· ʻO Roux-en-Y (distal); Aia ka ʻōpū liʻiliʻi ma waena o 600 cm a me 1000 cm ma ka awelika. Mahalo i ke kaʻina hana i hana ʻia ma ʻaneʻi, hiki ke hōʻemi i ka absorption i loko o ka ʻōpū liʻiliʻi. ʻO nā meaʻai i komo ʻole ʻia e hoʻouna pololei ʻia i ka ʻōpū nui.
· ʻAi ʻāʻī liʻiliʻi; Me kēia ʻano hana, mālama ʻia ke kanaka ma ke ʻano o ka metabolic a me ka momona. ʻO kēlā me kēia ala, ʻike ʻia ʻo ia ka hana kūpono loa no nā kānaka.
Na Kumukuai o ka Ope Ope Gastric Bypass
Nā kumu kūʻai o ka ʻoki ʻana i ka ʻōpū He ʻokoʻa ia ma muli o ka ʻike o ke kauka a me ke ʻano hana bypass ʻōpū e loaʻa i ke kanaka. Pēlā nō, ʻokoʻa paha nā kumukūʻai ma muli o nā lako a ka haukapila e hoʻohana ai a me ke keʻena maʻemaʻe a me ka lako pono. Inā ʻike ʻoe i kahi keʻena kikowaena waena, e ʻoluʻolu ʻoe ma ke ʻano o ke kālā. Eia nō naʻe, ʻo kāu mea nui, ʻo ke kauka āu e hana ai i ka hana ʻike a kūleʻa. No kēia kumu, ʻoi aku ka pololei o ka makemake i nā halemai kiʻekiʻe.
ʻAʻole i uhi ʻia ka ʻoki ʻoki ʻana i ka ʻōpū e SSI. ʻAʻole hiki i ka ʻāina ke kūʻai i kēia ʻoki. Eia naʻe, ma kekahi mau ʻāina, ʻoi aku ka maʻalahi o nā kumukūʻai. ʻO nā kumukūʻai haʻahaʻa haʻahaʻa a me ke kumu kūʻai haʻahaʻa o ke ola kekahi mau kumu i ke kumu kūʻai ma muli o ka hoʻololi ʻana i nā kumukūʻai.
Nā Kumu kūʻai ʻo Gastric Bypass ma Tureke
ʻO nā kumukūʻai bypass gastric ma Turkey Hoʻomaka ia mai 850 Euros. Inā ʻoe e ʻimi nei i kahi ʻāina kahi e hiki ai iā ʻoe ke hōʻoki i nā kumukūʻai kūpono e hoʻohālikelike ʻia me nā ʻāina he nui e like me Israel, USA a me UK, hiki iā ʻoe ke koho iā Turkey. Hāʻawi ʻo Turkey i ke kākoʻo i ka poʻe ʻaʻole wale i ke kālā akā i ka ʻuhane. Hāʻawi ʻia nā ʻano ʻoluʻolu āpau ma nā wahi e like me ka noho ʻana, ka halihali ma waena o ke kahua mokulele a me ka haukapila. Inā makemake ʻoe e loaʻa ka lāʻau lapaʻau ma kēia ʻāina, nona nā kauka lapaʻau ʻoihana kiʻekiʻe, hiki iā ʻoe ke hoʻokaʻaʻike mai iā mākou a loaʻa i ka lawelawe kūkākūkā.
Waiho i ka Manao