D\u00fcnyada en s\u0131k g\u00f6r\u00fclen rahats\u0131zl\u0131klar aras\u0131nda yer alan ve g\u00fcnden g\u00fcne de artmaya devam eden diyabet yani halk aras\u0131ndaki tabiriyle bilinen \u015feker hastal\u0131\u011f\u0131 10 y\u0131ld\u0131r tercih edilen “\u0130leal \u0130nterpozisyon” ameliyat\u0131yla ortadan kalkabiliyor. G\u00fcnden g\u00fcne ba\u015far\u0131l\u0131 sonu\u00e7lar do\u011frultusunda \u015feker hastal\u0131\u011f\u0131n\u0131n \u0131\u015f\u0131\u011f\u0131 olan bu ameliyat y\u00f6ntemi ile ilgili Op. Dr. Serkan Ayhan detayl\u0131 bilgilendirmelerde bulundu.<\/p>\n
G\u00fcn\u00fcm\u00fczde Uluslararas\u0131 Diyabet Federasyonu\u2019nun istatistiklerine g\u00f6re 382 milyondan fazla yeti\u015fkin diyabet hastal\u0131\u011f\u0131 ile m\u00fccadele ediyor. 11 yeti\u015fkinden 1\u2019i bu hastal\u0131\u011fa yakalanmakta ve her 6 saniyede 1 ki\u015fi yine bu hastal\u0131k sebebiyle hayat\u0131n\u0131 kaybetmektedir. Hastal\u0131k te\u015fhis konulduktan sonra s\u0131k\u0131 bir diyet program\u0131 ve ila\u00e7larla kontrol alt\u0131na al\u0131nsa bile insanlar \u00f6m\u00fcr boyu bu \u015fekilde ya\u015famak istemiyor. Bu y\u00fczden de d\u00fcnyada en s\u0131k g\u00f6r\u00fclen rahats\u0131zl\u0131klar aras\u0131nda yer alan \u015feker hastal\u0131\u011f\u0131n\u0131n belirtileri ve nas\u0131l \u00f6nlenebilece\u011fi de en fazla ara\u015ft\u0131r\u0131lan konular aras\u0131nda yer al\u0131yor. Tip 2 diyabet ise \u015feker hastal\u0131\u011f\u0131n\u0131n bilinen en yayg\u0131n t\u00fcr\u00fc. Fakat geli\u015fen teknoloji ve ara\u015ft\u0131rmalar sonucunda ortaya \u00e7\u0131kan ve Tip 2 diyabet hastal\u0131\u011f\u0131na sahip ki\u015filer tek bir ameliyatla art\u0131k hastal\u0131\u011f\u0131ndan kurtulup sa\u011fl\u0131kl\u0131 hayat\u0131na geri d\u00f6nebiliyor.<\/p>\n
Hastalar “\u0130leal \u0130nterpozisyon” ameliyat\u0131yla ins\u00fclin ve haplara veda ederken, ayn\u0131 zamanda diyabetin beraberinde getirdi\u011fi hastal\u0131klardan da kurtuluyor. Son y\u0131llarda al\u0131nan ba\u015far\u0131l\u0131 sonu\u00e7lar ve sa\u011fl\u0131\u011f\u0131na kavu\u015fan hastalar\u0131n \u00f6nerisiyle her ne kadar ameliyat\u0131n tercih edilme oran\u0131 artsa da hala daha insanlar\u0131n konuyla ilgili kafas\u0131nda sorular var. Bu anlamda Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi\u2019nden bir\u00e7ok ba\u015far\u0131l\u0131 ameliyata imza atan Op. Dr. Serkan Ayhan ameliyatla ilgili hem sorular\u0131 yan\u0131tlad\u0131 hem de bilgilendirmelerde bulundu.<\/p>\n
Diyabet cerrahisi (Metabolik cerrahi) nedir? Kimlere uygulanabilir?<\/p>\n
\u00d6ncelikle diyabet ameliyat\u0131ndan bahseden ve kimlere uygulanabilir sorusunu yan\u0131tlayan Op. Dr. Serkan Ayhan, \u201cBu ameliyat Tip 2 diyabet hastal\u0131\u011f\u0131n\u0131 kontrol alt\u0131na alan kapal\u0131 cerrahi yani laparoskopik olarak uygulanan ameliyat y\u00f6ntemidir. Yani ins\u00fclin kullanmaks\u0131z\u0131n kan \u015fekerini kontrol alt\u0131na alan cerrahi y\u00f6ntemdir. Laparoskopik \u0130leal \u0130nterpozisyon ameliyat\u0131nda mide k\u00fc\u00e7\u00fclt\u00fclerek a\u00e7l\u0131k hormonu olan \u2018ghrelin\u2019 hormonunun yap\u0131lmas\u0131n\u0131 engellemek suretiyle yemek yeme d\u00fcrt\u00fcs\u00fc k\u0131r\u0131l\u0131r. Ard\u0131ndan ince ba\u011f\u0131rsaklar\u0131n son k\u0131sm\u0131 olan ileumdan GLP-1 hormonu salg\u0131lan\u0131r. GLP-1 hormonu ileumun y\u00fcksek besin i\u00e7eri\u011fi ile kar\u015f\u0131la\u015ft\u0131\u011f\u0131nda yap\u0131m\u0131 artar. Bu da pankreasa gidip ins\u00fclin yap\u0131m\u0131n\u0131 art\u0131r\u0131yor, sonra da kan \u015fekeri d\u00fc\u015f\u00fcyor. Bunun sa\u011flanabilmesi i\u00e7in ileumun mideden sonraki k\u0131sma ta\u015f\u0131nmas\u0131 gerekiyor. Biz de ileumu kesip blok halinde mideden sonraki k\u0131sma transfer ediyoruz. B\u00f6ylelikle harici ins\u00fclin kullanmadan kan \u015fekeri kontrol alt\u0131na al\u0131nm\u0131\u015f oluyor. Bu ameliyattan her Tip 2 diyabetli fayda g\u00f6rmez. Bunun i\u00e7in bir tak\u0131m kriterler olmal\u0131d\u0131r. Kontrols\u00fcz Tip 2 diyabet varl\u0131\u011f\u0131, pankreasta ins\u00fclin \u00fcreten yeterli h\u00fccre rezervi varl\u0131\u011f\u0131, otoantikor olmamas\u0131, kal\u0131c\u0131 organ hasarlar\u0131n\u0131n olu\u015fmamas\u0131 vb. gibi uygun hastalarda ba\u015far\u0131 oran\u0131 t\u00fcm d\u00fcnyada y\u00fczde 87\u2019dir\u201d dedi.<\/p>\n
\u201cDevrim niteli\u011findeki tedavi y\u00f6ntemi\u201d<\/p>\n
\u015eu ana kadar diyabet hastal\u0131\u011f\u0131n\u0131n devrim niteli\u011findeki en etkin tedavisini sa\u011flayan tek y\u00f6ntemin bu ameliyat oldu\u011funu vurgulayan Serkan Ayhan ayr\u0131ca, \u201cAmeliyat, t\u00fcm d\u00fcnyada yakla\u015f\u0131k 10 y\u0131ld\u0131r yayg\u0131n olarak ba\u015far\u0131 ile uygulanan, y\u00fczde 87\u2019lik ba\u015far\u0131 oran\u0131na sahip. Ameliyat\u0131n modifiye versiyonlar\u0131 da mevcuttur. Bu zamana kadar yapm\u0131\u015f oldu\u011fumuz 1500 \u00fczeri ameliyat tecr\u00fcbemiz oldu. En son Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi\u2019nde K\u0131br\u0131s\u2019\u0131n Rum kesimi de dahil olmak \u00fczere ilk ameliyat\u0131n\u0131 ger\u00e7ekle\u015ftirdik. Hastam\u0131z\u0131n ameliyat sonras\u0131 ins\u00fclinsiz olarak 4. g\u00fcnden itibaren a\u00e7l\u0131k kan \u015fekerinin 112 oldu\u011funa \u015fahit olduk. K\u0131br\u0131s\u2019ta bu say\u0131y\u0131 g\u00fcn ge\u00e7tik\u00e7e artt\u0131raca\u011f\u0131z\u201d \u015feklinde konu\u015ftu.<\/p>\n
Ameliyat sonras\u0131 s\u00fcre\u00e7 nas\u0131l ilerliyor? Hasta tam olarak sa\u011fl\u0131\u011f\u0131na kavu\u015fabiliyor mu?<\/p>\n
Son olarak ameliyat sonras\u0131 s\u00fcre\u00e7 ile ilgili de konu\u015fan Ayhan, \u201cAmeliyat sonras\u0131 2 ayl\u0131k hafif bir diyet uyguluyoruz. Amac\u0131m\u0131z mide ve ba\u011f\u0131rsak ba\u011flant\u0131lar\u0131nda ka\u00e7ak olu\u015fmas\u0131n diye. Cerrahinin amac\u0131 \u015feker hastal\u0131\u011f\u0131ndan kurtarma ve hastan\u0131n her \u015feyi yiyebilmesi i\u00e7indir. Bu cerrahi ile 1 hafta ile 2 ay i\u00e7inde \u015feker hastal\u0131\u011f\u0131 kontrol alt\u0131na al\u0131nabilmektedir. Ameliyat\u0131n ertesi g\u00fcn\u00fcnden itibaren a\u011fr\u0131 s\u0131z\u0131 dahi olmad\u0131\u011f\u0131 i\u00e7in normal sa\u011fl\u0131kl\u0131 insanlar gibi ya\u015fay\u0131p hareket edebilmektedirler. \u00c7al\u0131\u015fan hastalar\u0131m\u0131z i\u015f hayatlar\u0131na bir hafta i\u00e7erisinde geri d\u00f6nebilmektedir\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
OP. DR. SERKAN AYHAN, “\u0130LEAL \u0130NTERPOZ\u0130SYON” AMEL\u0130YATIYLA \u0130LG\u0130L\u0130 B\u0130LG\u0130 VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":195955,"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":[7107,49201,13970,1235,13452,1846],"class_list":["post-195954","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-boyu","tag-cekmekten","tag-hastaligi","tag-kurtulabilirsiniz","tag-omur","tag-seker"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/omur-boyu-seker-hastaligi-cekmekten-kurtulabilirsiniz_e3d38a8.jpg?fit=876%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-OYy","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/195954","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=195954"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/195954\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/195955"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=195954"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=195954"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=195954"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}