Genel Cerrahi Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi Kadir Y\u0131ld\u0131r\u0131m, obezite cerrahisine ili\u015fkin, \u201cBu ameliyat estetik kayg\u0131 i\u00e7in yap\u0131lmaz. Ki\u015finin tansiyon, kalp, \u015feker sorunlar\u0131 ortaya \u00e7\u0131kt\u0131ysa solunum fonksiyonlar\u0131 bozulduysa cerrahi m\u00fcdahale hayat kurtar\u0131c\u0131 olabilir\u201d dedi.<\/p>\n
VM Medical Park Samsun Hastanesi\u2019nden Genel Cerrahi Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi Kadir Y\u0131ld\u0131r\u0131m, obezite cerrahisi hakk\u0131nda bilgi verdi. Obezitenin de\u011ferlendirilmesinde kullan\u0131lan en pratik \u00f6l\u00e7\u00fcm\u00fcn kilonun boyun metrekaresine b\u00f6l\u00fcnmesiyle hesaplanan v\u00fccut kitle indeksi (VKI) de\u011feri oldu\u011funu ifade eden Y\u0131ld\u0131r\u0131m, \u201cV\u00fccut kitle indeksi (beden kitle indeksi) hesaplama de\u011feri 30\u2019un \u00fczerinde olan ki\u015fi obez, 40\u2019\u0131n \u00fczeri olan ki\u015fi ise morbid obez olarak kabul edilir\u201d diye konu\u015ftu.<\/p>\n
\u201cYa\u015fam\u0131 uzatmak a\u00e7\u0131s\u0131ndan obezite cerrahisi kan\u0131tlanm\u0131\u015f en etkin tedavidir\u201d<\/p>\n
Obezite cerrahisinin estetik kayg\u0131lardan ziyade ya\u015famsal bir \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 aktaran Dr. Y\u0131ld\u0131r\u0131m, \u201cObezite cerrahisi k\u0131saca sa\u011fl\u0131k problemleri olu\u015fturacak a\u011f\u0131rl\u0131kta, diyet ve egzersiz gibi metotlarla \u00e7\u00f6z\u00fclememi\u015f a\u015f\u0131r\u0131 kilo sorununun \u00e7\u00f6z\u00fcm\u00fc i\u00e7in yap\u0131lan cerrahi m\u00fcdahalelerin tamam\u0131na verilen isimdir. Yap\u0131lan cerrahi, hem kilo kayb\u0131nda hem de \u015feker-tansiyon-karaci\u011fer rahats\u0131zl\u0131\u011f\u0131-uyku apnesi gibi ikincil rahats\u0131zl\u0131klar\u0131n giderilmesine yard\u0131mc\u0131 olmaktad\u0131r. En \u00f6nemlisi, ya\u015fam\u0131 uzatmak a\u00e7\u0131s\u0131ndan obezite cerrahisi kan\u0131tlanm\u0131\u015f en etkin tedavidir\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u201cObezite kaderiniz de\u011fil\u201d<\/p>\n
Obezite tedavisinde uygulanan y\u00f6ntemleri anlatan Y\u0131ld\u0131r\u0131m \u015funlar\u0131 s\u00f6yledi:<\/p>\n
\u201cObezite cerrahisi, temelde etki mekanizmalar\u0131 iki grupta incelenebilir. Bunlar al\u0131nabilecek g\u0131da miktar\u0131n\u0131 k\u0131s\u0131tlay\u0131c\u0131 (restriktif) etki ve g\u0131dalar\u0131n emilimini azaltan (malabsorbtif) etkidir. Bu ameliyatlar laparoskopik olarak yani b\u00fcy\u00fck kar\u0131n kesisi olmadan, kapal\u0131 ameliyatla yap\u0131lmaktad\u0131r. Dolay\u0131s\u0131 ile laparoskopik ameliyatlar\u0131n t\u00fcm avantajlar\u0131 obezite cerrahisinde de aynen s\u00f6z konusudur. Ameliyat sonras\u0131 a\u011fr\u0131 ciddi bir problem olmaz ve a\u011fr\u0131 kesicilerin ilk g\u00fcn kullan\u0131lmas\u0131 yeterli olur. Sonu\u00e7 olarak hastalar ayn\u0131 g\u00fcn aya\u011fa kalk\u0131p, birka\u00e7 g\u00fcn i\u00e7inde taburcu olurlar, g\u00fcnl\u00fck ya\u015famlar\u0131na bir hafta i\u00e7inde d\u00f6nebilirler. Kesi olmad\u0131\u011f\u0131ndan estetik sonu\u00e7 da m\u00fckemmeldir ve kesi iltihaplanmas\u0131, kesi f\u0131t\u0131\u011f\u0131 gibi komplikasyonlar da azd\u0131r. Cerrahide kullan\u0131lan standart bir y\u00f6ntem olmamakla birlikte en s\u0131k yap\u0131lan obezite cerrahi y\u00f6ntemi sleeve gastrektomi (t\u00fcp mide) ameliyat\u0131d\u0131r. Sonras\u0131nda gastrik by-pass, duodenal switch, transit bipartitisyon gibi bir\u00e7ok y\u00f6ntem olmakla birlikte en s\u0131k uygulad\u0131\u011f\u0131m\u0131z y\u00f6ntemler sleeve gastrektomi ve minigastrik by-pass ameliyatlar\u0131d\u0131r. Tedavide en \u00f6nemli ad\u0131m, obezite hastalar\u0131n\u0131n, obezitenin kaderleri olmad\u0131\u011f\u0131n\u0131 bilmeleri ve buna inanmalar\u0131d\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
GENEL CERRAH DR. \u00d6\u011eR. \u00dcYES\u0130 KAD\u0130R YILDIRIM, OBEZ\u0130TE CERRAH\u0130S\u0130NE \u0130L\u0130\u015eK\u0130N, \u201cBU AMEL\u0130YAT ESTET\u0130K KAYGI \u0130\u00c7\u0130N YAPILMAZ. K\u0130\u015e\u0130N\u0130N TANS\u0130YON, KALP, \u015eEKER SORUNLARI ORTAYA \u00c7IKTIYSA SOLUNUM FONKS\u0130YONLARI BOZULDUYSA CERRAH\u0130 M\u00dcDAHALE HAYAT KURTARICI OLAB\u0130L\u0130R\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":148679,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[15293,4778,2773,279,5734,44,16041,376],"class_list":["post-148678","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-kaygi","tag-obezite","tag-ameliyati","tag-dr","tag-estetik","tag-icin","tag-yapilmaz","tag-yildirim"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/dr-yildirim-obezite-ameliyati-estetik-kaygi-icin-yapilmaz_39df5e3.jpg?fit=561%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-CG2","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/148678","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=148678"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/148678\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/148679"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=148678"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=148678"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=148678"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}