Memorial Diyarbak\u0131r Hastanesi Genel Cerrahi B\u00f6l\u00fcm\u00fc\u2019nden Op. Dr. Mehmet Volkan Yi\u011fit, obezitenin cerrahi tedavisi hakk\u0131nda bilgi verdi.<\/p>\n
Op. Dr. Yi\u011fit, bir ki\u015finin obezite hastas\u0131 olup olmad\u0131\u011f\u0131na karar vermek i\u00e7in sadece kilosuna bakman\u0131n yeterli olmayaca\u011f\u0131n\u0131 s\u00f6yledi. Buna g\u00f6re ki\u015finin boy ve kilosunun hesaplanmas\u0131, \u00e7\u0131kacak orana, yani v\u00fccut kitle indeksine g\u00f6re de\u011ferlendirilmesi gerekti\u011fini kaydeden Op. Dr. Yi\u011fit, \u201cV\u00fccut kitle endeksinin 30\u2019un \u00fczerinde olmas\u0131 obezite, 40\u2019\u0131n \u00fczerinde olmas\u0131 morbid obezite ve 50\u2019nin \u00fczerinde olmas\u0131 ise s\u00fcper morbid obezite olarak adland\u0131r\u0131l\u0131r. Bu t\u00fcr obezite hastalar\u0131 kanser, kalp hastal\u0131klar\u0131, metabolik sendrom gibi ya\u015fam\u0131 tehdit eden bir\u00e7ok hastal\u0131\u011fa yakalanma ihtimalleri olduk\u00e7a y\u00fcksektir. Obezite, \u015feker hastal\u0131\u011f\u0131, kalp damar hastal\u0131klar\u0131, kanser, akci\u011fer rahats\u0131zl\u0131klar\u0131, hipertansiyon, eklem a\u011fr\u0131lar\u0131, safra kesesi ta\u015f\u0131, uyku apnesi, refl\u00fc, sindirim bozukluklar, depresyon, sosyal izolasyon, d\u0131\u015flanma, \u00f6zg\u00fcven eksikli\u011fi, d\u00fc\u015f\u00fck benlik sayg\u0131s\u0131 eksikli\u011fine neden oluyor\u201d dedi.<\/p>\n
\u201cObezite tedavisinde ya\u015fam tarz\u0131 de\u011fi\u015fikli\u011fi yeterli de\u011fil\u201d<\/p>\n
Obezite ile m\u00fccadelede diyet ve ya\u015fam tarz\u0131 de\u011fi\u015fikli\u011finin b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 kaydeden Op. Dr. Yi\u011fit, \u015f\u00f6yle devam etti:<\/p>\n
\u201cAncak morbid obezite hastalar\u0131nda kal\u0131c\u0131 kilo kontrol\u00fc i\u00e7in bu yeterli de\u011fildir ve bir\u00e7ok hasta fazla kilolar\u0131ndan kurtulmada ba\u015far\u0131s\u0131z olmaktad\u0131r. A\u015f\u0131r\u0131 kilolu hastalarda kal\u0131c\u0131 kilo kontrol\u00fc i\u00e7in obezite cerrahisi son derece etkili bir y\u00f6ntemdir. Obezite cerrahisi, \u201cgastric sleeve\u201d ad\u0131 verilen mide t\u00fcple\u015ftirme ve bypass operasyonlar\u0131ndan olu\u015fmaktad\u0131r. Hangi cerrahinin uygulanaca\u011f\u0131na, hastan\u0131n durumuna g\u00f6re karar verilir. Sleeve Gastrektomi olarak da bilinen t\u00fcp mide ameliyatlar\u0131nda, midenin hacmi k\u00fc\u00e7\u00fclt\u00fcl\u00fcr ve b\u00f6ylece hastan\u0131n \u00e7ok az g\u0131dayla tokluk hissetmesi hedeflenir. Bu ama\u00e7la, midenin belli bir b\u00f6l\u00fcm\u00fc cerrahi i\u015flemle \u00e7\u0131kar\u0131l\u0131r ve geriye t\u00fcp \u015feklinde bir mide b\u0131rak\u0131l\u0131r. Ayr\u0131ca midenin a\u00e7l\u0131k hormonu salg\u0131layan b\u00f6l\u00fcm\u00fc \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in hastada a\u00e7l\u0131k hissi olmaz. Bu operasyonla sadece al\u0131nan g\u0131dan\u0131n miktar\u0131 k\u0131s\u0131tlan\u0131r, g\u0131dalar\u0131n emilimi ayn\u0131 \u015fekilde devam etti\u011fi i\u00e7in hastan\u0131n yard\u0131mc\u0131 vitamin ya da mineral takviyesi almas\u0131 gerekmemektedir.\u201d<\/p>\n
Doktor \u00f6nerileri dikkate al\u0131nmal\u0131<\/p>\n
Sleeve gastrektomi ameliyat\u0131 sonras\u0131 yeniden kilo al\u0131m riski olduk\u00e7a d\u00fc\u015f\u00fck oldu\u011funu vurgulayan Op. Dr. Yi\u011fit, \u015fu ifadeleri kulland\u0131:<\/p>\n
\u201cAncak uzun s\u00fcre edinilen yeme al\u0131\u015fkanl\u0131klar\u0131 de\u011fi\u015ftirilmeli ve bu fizyolojiden maksimum yarar\u0131n sa\u011flanmas\u0131 i\u00e7in hastan\u0131n sadece doktorun \u00f6nerdi\u011fi \u015fekilde ve belirlenen \u00f6\u011f\u00fcnlerde beslenmesi gerekir. Ameliyattan \u00e7ok sonra tekrar kilo alma g\u00f6r\u00fclen vakalar\u0131n neredeyse tamam\u0131nda, \u00f6\u011f\u00fcn kapasitesinde artma olmamaktad\u0131r. Tekrar kilo al\u0131m\u0131n\u0131n nedeni, \u00f6\u011f\u00fcnler aras\u0131nda \u00f6zellikle de y\u00fcksek kalorili at\u0131\u015ft\u0131rmal\u0131klard\u0131r. Bu nedenle doktorun veya diyetisyenin tavsiyeleri g\u00f6z ard\u0131 edilmemelidir. Cerrahi olarak tedavisi yap\u0131l\u0131p zay\u0131flayan hastalar\u0131n ortalama 10 y\u0131l \u00f6mr\u00fc uzamaktad\u0131r. Diyabet, tansiyon, uyku apnesi gibi bir\u00e7ok hastal\u0131\u011f\u0131n iyile\u015fmesine de olanak sa\u011flamaktad\u0131r. Ayr\u0131ca cerrahi yap\u0131larak obeziteden kurtulan hastalarda kalp ve damar hastal\u0131klar\u0131n\u0131n, kanserlerin, endokrinolojik bozukluklar\u0131n, enfeksiyon hastal\u0131klar\u0131n\u0131n ve psikiyatrik rahats\u0131zl\u0131klar\u0131n geli\u015fme ihtimali azalmaktad\u0131r. Tabi ameliyat sonras\u0131 d\u00fczenli takipler aksat\u0131lmamal\u0131, uzman e\u015fli\u011finde belirlenen beslenme plan\u0131na mutlaka uyulmal\u0131 ve bilin\u00e7siz spor yapmaktan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
MEMOR\u0130AL D\u0130YARBAKIR HASTANES\u0130 GENEL CERRAH\u0130 B\u00d6L\u00dcM\u00dc\u2019NDEN OP. DR. MEHMET VOLKAN Y\u0130\u011e\u0130T, OBEZ\u0130TEN\u0130N CERRAH\u0130 TEDAV\u0130S\u0130 HAKKINDA B\u0130LG\u0130 VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":156862,"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":[4778,1128,12645,19398],"class_list":["post-156861","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-obezite","tag-cerrahisi","tag-omru","tag-uzatiyor"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/obezite-cerrahisi-omru-uzatiyor_0380ca3.jpg?fit=874%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-EO1","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/156861","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=156861"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/156861\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/156862"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=156861"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=156861"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=156861"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}