减肥手术后的生活
减肥手术可以让你走上一条更健康、更长寿、更充实的生活之路. It is not a cure for obesity but rather a tool to help you lose weight. Long-term success depends on your ability to follow guidelines for diet, 运动和生活方式的改变.
的 UCSF减肥手术中心 offers comprehensive follow-up care, including a 支持组,营养师服务和继续教育,以帮助你实现和维持你的目标.
药物
减肥手术后,你的日常生活将包括短期和长期的药物治疗. 这些包括:
- Omeprazole, which reduces the risk of developing ulcers in the digestive tract. Expect to take this medication for six months after surgery or indefinitely, 根据你的减肥手术小组的指示.
- Ursodiol, 在术后快速减肥期间,哪种方法可以降低胆结石的发生风险. Expect to take it for six months after surgery. This medication is not needed for patients who don't have a gallbladder.
- 普罗雷健康减肥复合维生素, 谁给做过减肥手术的病人补充了铁和其他必要的补充剂. 希望无限期地服用这种药物来预防维生素和矿物质的缺乏.
- 庆祝品牌钙补充剂,其中包括维生素,促进钙的吸收. 手术后无限期服用.
胶囊, chewable and liquid medications can be taken immediately after surgery, but tablet medications need to be broken up or crushed for the first three months. 这可以防止药物卡在消化道或没有被完全吸收. Extended-release medications cannot be broken up, so our pharmacist will recommend alternatives prior to surgery.
手术后, resume taking your usual medicines for other conditions, 除非我们的药剂师另有建议. 我们建议在手术后定期与您的初级保健提供者和其他专家进行检查, as rapid weight loss can necessitate frequent adjustments to medications, such as those for high blood pressure and diabetes.
手术后, you should avoid nonsteroidal anti-inflammatory drugs (NSAIDs), 比如阿司匹林, 布洛芬(布洛芬, Advil和萘普生(Aleve). NSAIDs increase the risk of stomach ulcers. 做过胃旁路手术的患者应无限期避免使用这些药物. 如果你做了袖式胃切除术, 你可以在袖子愈合后(大约手术后三个月)继续服用这些药物。, but consult your bariatric surgery team first.
维生素和矿物质补充剂
防止营养缺乏, 减肥手术患者需要每天服用以下维生素和矿物质补充剂:
- 复合维生素. 手术后, 每天服用针对肥胖的复合维生素有助于弥补营养不足. 针对肥胖的多种维生素包括高剂量的所有必需微量营养素, simplifying your postsurgical supplement regimen. ProCare健康减肥复合维生素无需处方即可在网上购买.
- 钙. 我们建议服用1,000 to 1,500 milligrams of calcium daily to prevent calcium deficiency and bone loss. 柠檬酸钙是首选形式. 促进吸收, 通过在一天中分两次或三次服用来达到每日总剂量. For example, take a 500-mg chewable or capsule supplement two or three times a day.
- 维生素D3. This is in both the multivitamin and calcium supplement we recommend after surgery. 普罗雷健康减肥复合维生素 has 3,000国际单位(IU)的维生素D3, and the Celebrate calcium supplement includes 500 IU per chew or capsule. You are therefore getting about 4,000 IU of vitamin D3 daily.
节育和怀孕
We advise women of childbearing years to use an effective birth control option, 比如宫内节育器, for the first 12 to 18 months following bariatric surgery. 在此期间, 体重的迅速下降和不能正常进食会影响病人的营养状况. 手术后第一年怀孕的生理需求会损害胎儿健康并导致出生缺陷. 为了病人和婴儿的安全, we strongly recommend waiting at least 12 months before starting a pregnancy.
重返工作岗位
许多患者在手术后两到四周恢复工作,没有活动限制. It typically takes five to six weeks for your presurgery energy levels to return.
饮食
To prevent nutritional deficiencies and preserve muscle tissue, dietary guidelines seek to provide balanced meals while limiting calories. 每个病人对食物的耐受性不同,所以在考虑建议时要记住这一点.
你每天的卡路里摄入量应该在500到700卡路里之间,至少在手术后的头12个月, 不超过1,每天1000卡路里. 遵循一个精心设计的饮食方案,高蛋白质和蔬菜,低碳水化合物和糖. Your goal should be to get at least 60 to 80 grams of protein per day. 高蛋白食物包括鸡蛋, 肉, 海鲜(包括金枪鱼及其他鱼类), 家禽, 豆腐和其他豆制品, 牛奶, 松软干酪和希腊酸奶. 手术后可能需要6到8周的时间才能达到常规的蛋白质目标.
成功的关键包括每天记录食量和卡路里,并定期与营养师联系.
以下是一些建议:
- Eat slowly, take small bites, and chew thoroughly.
- 避免米饭, 面包, 生蔬菜, 新鲜的水果, 还有不易咀嚼的肉, 比如猪肉和牛排. 绞碎的肉可能更容易忍受.
- 饮食均衡,分量少. 在手术后的最初阶段, you may only be able to tolerate one to two tablespoons of food at a time.
- Avoid the use of drinking straws, carbonated beverages, chewing gum and ice. 它们会将多余的空气引入手术形成的眼袋,引起不适.
- Avoid sugar, sugary foods and beverages, and fruit juices.
Over time, increase the variety of foods in your diet. Foods that are poorly tolerated initially – such as red 肉, 鸡, 面包, and high-fiber fruits and vegetables – will become easier over time. 保持水分很重要.5 to 2 liters of fluids daily, unless restricted by a medical condition.
酒精饮料会比以前有更强的影响,应该避免. Talk with your bariatric surgery team before consuming alcohol.
参考 "饮食ary Guidelines After 减肥手术" 有关其他建议.
锻炼
每天锻炼30到45分钟, performing an aerobic activity ("cardio") three to five times a week. 我们建议从早上和下午各走五分钟开始. Steadily increase these intervals by five minutes, 是容忍, until you're walking at least 15 minutes twice a day. 在那之后, 你可以给你的计划增加一些变化, 比如配合轻慢跑, 游泳或使用固定自行车.
任何时候你似乎达到了一个平台期, revise your regimen by trying new activities, adding more strenuous exercises or increasing the duration of activities. 每隔两到五分钟在步行和慢跑之间交替进行,可以帮助你突破平台期,燃烧脂肪. For more of a challenge, try alternating between jogging and sprinting. Resistance training builds muscle and burns calories. 这有助于保持体重减轻,因为肌肉组织在休息时比身体脂肪消耗更多的卡路里. 用轻的重量开始这些锻炼, 比如2到5磅, and do three sets of 10 repetitions for each exercise. As you feel your strength increasing, use more weight.
生活方式
你做了一个重大的决定,接受大手术来帮助自己减肥和健康的身体质量指数(BMI). 现在你必须开始一种新的生活方式. Our hope is that the practices you establish early after surgery, such as calorie counting and regular exercise, 成为终生的习惯.
我们建议把每一天都看作是一种新态度的反映:你很重要,你的健康很重要. Be proud of every day that you maintain this commitment to yourself. 成功的关键是十大赌博靠谱网络平台活动, 提醒你的健康目标和支持你的新生活方式的行为和团体, 所以保持你的兴趣爱好, 喜欢的活动和社会团体. Regularly attend your local weight-loss or bariatric 支持组.
支持团体
加州大学旧金山分校减肥手术项目为术前和术后患者提供免费的支持小组. 支持小组为十大赌博靠谱网络平台者提供了与理解他们的人分享和讨论他们的挑战和成功的机会. 更重要的是, 当你有一群人给予你鼓励并帮助你保持在正确的轨道上时,你保持健康体重的机会就会增加. 欲了解更多信息,请访问我们的 减肥手术支持小组 页面. 自2019冠状病毒病大流行爆发以来,我们的支持小组一直通过Zoom进行虚拟会议. Join our email list to receive the monthly Zoom invitation.
长期随访
手术后, 您的血液将定期检查,以确保您的微量营养素水平保持在正常范围内. 血液检查将在手术后3个月、6个月和12个月进行,之后每年进行一次. 测试包括:
- Complete blood count (which can reveal anemia, among other problems)
- 综合代谢小组(提供有关肾脏和肝脏功能的信息)
- Lipid panel (which measures cholesterol and other fats)
- 糖化血红蛋白(糖尿病检测)
- Vitamins: Iron, ferritin, B12, D, A, folate, thiamine, copper, zinc and selenium
加州大学旧金山分校健康 medical specialists have reviewed this information. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.