ʻO ka hoʻokomo ʻana i ka ʻōpū ʻōpū he hana hoʻihoʻi ʻia o ka ʻoki ʻana i ka momona (gastroplasty) i manaʻo e hōʻemi i ka nui o ka ʻōpū. Hana ʻia ia e ka laparoscopy. ʻO ka pohō kaumaha i manaʻo ʻia e hiki ke loaʻa ma kahi o 40-60% o ke kaumaha. No ka hoʻonui ʻana i ka manawa o ka holomua, pono e hoʻopili ʻia ke kau ʻana o kahi hui ʻōpū me ka hahai ʻana ma hope o ka hana ʻana e ka hui ʻoki a me ka hoʻokō ʻana i kekahi mau lula e ka mea maʻi, e pili ana i ka meaʻai.

ʻO ka Gastroplasty kahi ʻoki obesity e hoʻemi i ka nui o ka ʻōpū. Hiki iā ia ke hōʻemi i ka nui o nā meaʻai i ʻai ʻia ma o ka hoʻoulu ʻana i ka manaʻo o ka māʻona mua e kōkua i nā poʻe maʻi e hoʻololi i kā lākou ʻai ʻana ma ke ʻano o ka hoʻokele piha a lōʻihi o ko lākou momona.

ʻĀpana ʻōpū

Hoʻokomo ʻia ke apo gastroplasty a puni ka ʻāpana o luna o ka ʻōpū e hoʻokaʻawale i kahi ʻeke liʻiliʻi. Hoʻopiha koke ʻia kēia ʻōpū liʻiliʻi i ka wā e hānai ai, a laila e māʻona koke. A laila, kahe mālie kēia ʻeke liʻiliʻi i loko o ka ʻāpana o ka ʻōpū ma lalo o ke apo a laila hana maʻamau ka ʻai ʻana. Hoʻopili ʻia kēia apo e kahi paipu liʻiliʻi i kahi pahu hoʻomalu i waiho ʻia ma lalo o ka ʻili. Hiki ke hoʻopaʻa ʻia a wehe ʻia paha kēia apo ma ka hoʻokomo ʻana i kahi wai i loko o ka pahu, ma o ka ʻili. ʻO ke kau ʻana i ka ʻōpū ʻōpū ʻo ia wale nō ke ʻoki obesity hiki ke hoʻohuli.

ʻO nā ʻano gastroplasty ʻē aʻe

• ʻO ka gastric bypass kahi hana e hoʻohui i ke kūkulu ʻana i kahi ʻeke liʻiliʻi ma ka ʻaoʻao o luna o ka ʻōpū e hoʻemi nui ai i ka hiki o ka ʻōpū, a me kahi pōkole o kahi ʻāpana o ka ʻōpū e kaupalena i ka nui o nā meaʻai i hoʻohui ʻia e ke kino.
• ʻO ka lima gastrectomy (a i ʻole ka lima gastrectomy) ʻo ia ka wehe ʻana ma kahi o 2/3 o ka ʻōpū, a ʻo ia hoʻi ka ʻāpana i loaʻa nā cell e hūnā i ka hormone e hoʻoulu ai i ka ʻai (ghrelin). Hoʻemi ʻia ka ʻōpū i kahi paipu kū pololei, a hele wikiwiki ka meaʻai ma ka ʻōpū.

E hoʻomākaukau ana no ka hoʻokomo ʻana i kahi hui ʻōpū

Pono e hana mua ʻia ka hana e ka loiloi piha e hiki ai i ka mea maʻi ke loaʻa ka manawa e noʻonoʻo ai ma mua o ka hoʻomaka ʻana i ka hana ʻoki.

ʻO ka lā o ka hoʻokolokolo

Hoʻokomo ka mea maʻi i ka haukapila i ka lā ma mua (a i ke kakahiaka paha) o ka hana. 

ʻO ka mea komo

Hana ʻia ka hana ma ka laparoscopically me ke kōkua o ke kāmela ma o nā ʻoki liʻiliʻi mai 5 a 15 mm. I nā hihia liʻiliʻi, hiki ke hana ʻia ma o kahi ʻoki maʻamau (laparotomy). Hana ʻia ka hana ma lalo o ka anesthesia āpau, a hiki ke lōʻihi a hiki i 3 mau hola.

E like me nā hana gastroplasty a pau, hiki ke noʻonoʻo ʻia ke kau ʻana o kahi hui gastric i nā kānaka:

• Me ka helu kino kino (BMI) ʻoi aʻe ma mua a i ʻole like me 40
• Me ka BMI ʻoi aʻe ma mua a i like paha me 35 i loaʻa nā pilikia olakino pili i ke kaumaha (ka maʻi maʻi, ke koko kiʻekiʻe, ka hiamoe hiamoe, ka puʻuwai naʻau)

Nā hopena i manaʻo ʻia

ʻO ke kaumaha keu e pili ana i ka helu o nā paona keu i hoʻohālikelike ʻia me kahi paona kūpono i manaʻo ʻia i helu ʻia ma ke kumu o ka BMI ma waena o 23 a me 25. Ma hope o ka hoʻokomo ʻana i ka ʻōpū o ka ʻōpū, ʻo ka pohō kaumaha i manaʻo ʻia ma ka pākēneka o ke kaumaha keu he 40-60% . Pili kēia me ka pohō kaumaha ma kahi o 20 a 30 kg no ke kanaka o ke kiʻekiʻe awelika (1m70) me ka BMI like me 40.

Nā pilikia i hiki

ʻO ka hoʻokomo ʻana i kahi hui ʻōpū e pono ke nānā pono ʻia e ka hui ʻokiʻoki ma hope o ka hana. ʻO ka maʻamau o ka hale maʻi ma kahi o 3 mau lā, hiki i ka hui lapaʻau ke mālama i nā pilikia postoperative (infections, hemorrhages, etc.) Hoʻonui ka momona i ka phlebitis (clot in the veins) a me ka pulmonary embolism. I kēia hihia, hiki ke noʻonoʻo ʻia nā injections e hoʻoheheʻe i ke koko a me nā stockings compression ma hope o ka hana.

Hiki i nā pilikia mechanical ma hope mai:

• Nā pilikia e pili ana i ka hihia: nā maʻi, ka hoʻoneʻe ʻana o ka hihia ma lalo o ka ʻili, ka ʻeha ma kahi o ka hihia, ka haki ʻana o ka paipu e pili ana i ka hihia a me ke apo;
• ʻO ka paheʻe ʻana o ke apo a me ka hoʻomāhuahua ʻana o ka ʻeke ma luna o ke apo e hiki ai i ka luaʻi nui a i ʻole ka hiki ʻole ke ʻai;
• nā maʻi esophageal (reflux, esophagitis);
• ʻO nā ʻeha o ka ʻōpū i hana ʻia e ke apo (erosion of the stomach, migration of the ring).

ʻO ka hopena o ka hana

• Pono ka mea maʻi e nīnau i kāna kauā a me ka meaʻai meaʻai no ka mālama lōʻihi. Pono ʻo ia e mālama i ka ʻōlelo aʻoaʻo meaʻai: ʻai semi-wai a paʻa, ʻai mālie, ʻaʻole inu i ka wā e ʻai ana, nau maikaʻi i nā mea paʻa.
• Ma hope o ka hoʻi ʻana i ka home, pono ka mea maʻi e nānā i ka loaʻa ʻana o kekahi mau hōʻailona (pōkole o ka hanu, ʻeha ʻōpū, ke kuni, ke kahe ʻana mai ka anus, ka luaʻi pinepine ʻana a i ʻole ka ʻeha poʻohiwi) a hoʻopili i kāna kauka lapaʻau inā loaʻa kekahi o ia mau mea. . ʻOiai ma hope o ka hana ʻana, pono e hōʻike ʻia ka luaʻi pinepine ʻana i kāna kauka.
• E like me nā ʻokiʻoki ʻana i ka momona, ʻaʻole ʻōlelo ʻia ka hāpai ʻana i ka makahiki postoperative mua.