ʻO ke kauka kaupale kālepa a lāʻau kālepa paha he kauka i loaʻa i ka hoʻonaʻauao kūikawā ma ka papa o ka lāʻau lapaʻau a iʻole ka mālama lāʻau kaumaha. Hiki i nā kauka lapaʻau ke mālama i nā mea'eleʻaleʻa a me nā mea hōʻaha me kaʻai, ka meaʻai, ka hoʻomehana, keʻano o nā maʻamau, nā lāʻau lapaʻau, ke kāwiliʻana, a me ka huiʻana o kēia mau hōʻailona.
ʻO ka mea i ho'āʻo pinepine a ho'āʻoʻole eʻae i ka kaumaha ma luna o kona pono'ī, pono paha ka waiwai ma ka mālamaʻana ma lalo o ka mālamaʻana o kekahi kauka kauka.
Pehea e Huli ai i kahi Kauka Lapaʻau
Inā ua ho'āʻoʻoe eʻae i ka kaumaha ma oʻoe iho me ka loaʻa ole o ka lanakila, hiki paha iāʻoe ke hele i waho a loaʻa i ke kōkua mai ke kauka kaupale. Hiki i ke kauka kaulike ke kōkua iāʻoe e alakaʻi iāʻoe ma ke kaʻina o ke kaumaha o ke kaumaha me nā lāʻau lapaʻau a me nā kumuwaiwai'ē aʻe i hikiʻole iāʻoe ke komo i kāu iho. Hoʻokomoʻia nā kauka kaulike i nā lāʻau kālepa no ka mālamaʻana i ka momona ma keʻano he maʻi,ʻaʻoleʻo keʻano o keʻano a me keʻano o keʻano o keʻano.
Inā ho'āʻoʻoe e huli i ke kauka lāʻau kālepa,ʻaʻoleʻoe eʻike i ka hua'ōlelo "bariatric" i heluʻia i ka wā e huli aiʻoe ma nā palapala kuhikuhi olakino. Ua wehe 'ia ka hua'ōlelo mai kekahi mau papa inoa no ka mea ua pilikia kekahi mau maʻi. I ka makahiki 2015, ua hoʻololi ka'Āmelika Olakino o Bariatric Physicians i ko lākou inoa i kaʻOihana Medicine Association e kōkua i nā mea hoʻohana e hoʻomaopopo maikaʻi i ka hana a kēia mau kauka.
Hiki iāʻoe keʻimi i ka mea hōʻailona he nui ma ka hoʻohanaʻana i kaʻikepili pūnaewele i ka HuiʻOiʻOiʻOi.
Ma o kēia punawai, hiki iāʻoe ke loaʻa nā inoa no nā kauka, nā kahu kahu, nā kahu kākoʻo, a me nā lawelawe'ē aʻe e hoʻonaʻauaoʻia i ka mālamaʻana i ka momona. Hoʻokomoʻia kēia mauʻoihana e kōkua iāʻoe i ka mālamaʻana i ka meaʻai, ka hana kino, ka halihali, a me ka lāʻau i mea e hiki ai iāʻoe keʻae a mālama pono i ke kaumaha.
ʻAʻole hiki ke heluʻia kāu kauka i loko o kēia papa kuhikuhi aʻaʻole paha he lālā o ka HuiʻOihana Lapaʻau. Akā,ʻaʻole ia he mea hikiʻole iā ia ke kōkua iāʻoe e lilo i ka kaumaha. Ma muli o ke kaumahaʻana o ka peakelike a me ka poona, aia ka nui o nā lawelawe olakino iʻike i ka poho kaumaha a me nā kumu olakino'ē aʻe. Hiki i kāu mea mālama kelepona ke kūkākūkā i kou kaumaha a kuhikuhi iāʻoe i nā mea akamai e hiki ke kōkua iāʻoe i ka emiʻana. Hiki i kēia ke komo i kahi kuni lōʻihi pale.
Pehea e Loaʻa ai i kahi Kekahi Kiʻi
Ināʻoe e noʻonoʻo i ke kaʻina hana o ke kaumaha, ponoʻoe e kamaʻilio i kahi luna lōʻihi pale. ʻO ke kaukō lōʻihi lōʻihiʻo ia kekahi kauka lapaʻau i aʻoʻia i nāʻano kūkoko e kuhikuhi ana i ka momona . Hiki paha i kāu kauka lapaʻau mua ke kuhikuhi iāʻoe i kahi kauka. Loaʻa paha iāʻoe kekahi kāpili lāʻau pale kūikawā ma o ka Polokalamu Hoʻohanohano Metabolic a me Bariatric (CEDA).
ʻO ka MBSAQIP he polokalamu hōʻoia e hoʻohui i nā kumuwaiwai mai ka American Medicine for Metabolic and Bariatric Surgery (ASMBS) a me ka College of Surgeons American (ACS) e kōkua i ka poʻe loaʻa i nā kauā kaukau kūpono a aʻoʻia e kōkua iā lākou ma o ke kaʻina hana o ke kaʻina hana.
Hiki i kekahi'ānā tipiole ke kūkākūkā i nā hihia nui meʻoe:
- ināʻoe he moho maikaʻi no ka hoʻopau paʻakikī kaumaha
- nā hopena a me nā pōmaikaʻi o ke kāpīpopo pa'ū
- nāʻanoʻokoʻa likeʻole no ka pohō kaumaha
- ke ho'āla hou mai i ke kauʻana o ke kaumaha
- ola ma hope o ke kuhiʻana o ke kaumaha
Hiki iāʻoe ke hoʻohana i kaʻikepili pūnaewele ma ASMBS a iʻole ka papa inoa pūnaewele i ka American College of Surgeons e huli ai i kahi kauka lāʻau i kāu wahi. Aia kekahi kōkua kōkua no ka loaʻaʻana o ke kaukoko kūikawā kūpono e kōkua iāʻoe e hōʻalo ma waena o nā kūlana hana a me ka hōʻailona. Hoʻomaopopo pū ka MBSAQIP i nā kikowaena pahuhopu kaumaha e hiki ai iāʻoe ke loaʻa i kahi papahana ma kāu wahi.
Pehea e hana ai me kahi kauka kauā no ka Loilo
ʻAʻole ia he pili inā kohoʻoe i ka lāʻau lapaʻau aiʻole i ka hana maʻamau no ka pohō kaumaha. Aia nā kulekele no ka hana maikaʻiʻana me kāu kauka. ʻO ka mea mua, e kūpaʻa mau i kouʻano noho a me kou mau mea i manaʻo ai. Pono kāu 'oihana mālama ola i ka' ike pololei e hāʻawi iāʻoe i ka mālama maikaʻi.
Aʻo ka lua, mai hopohopo e nīnau i nā nīnau. ʻO kāu kauka ke alakaʻi, akāʻaʻole hiki iā ia ke hana i ka hana paʻakikī o ka poho kaumaha noʻoe. No laila, he mea nui e hoʻomaopopo ponoʻoe i nā kuhikuhi a me nā'ōlelo paipai a lākou e hāʻawi ai. Hiki ke hilinaʻi kou ola ma ke kamaʻilio maikaʻiʻana ma waena oʻoe a me kāu kauka kaulike. No laila, koho i ke kauka i kou hilinaʻi a hana pū i kahi olakino maikaʻi a me ke ola lōʻihi.
* Ua hoʻoponoponoʻia kēiaʻatikala e Malia Frey, .com Kaumaha Loss Expert