Obezitenin, v\u00fccuttaki dengeleri alt\u00fcst ederek kanser gibi pek \u00e7ok ciddi hastal\u0131\u011fa ve en \u00f6nemlisi ya\u015fam kayb\u0131na neden olabildi\u011fi bildirildi. Yap\u0131lan ara\u015ft\u0131rmalar\u0131n obezite g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n kad\u0131nlarda y\u00fczde 40\u2019\u0131n \u00fczerinde ve erkeklerin 2 kat\u0131 oldu\u011funu g\u00f6sterdi\u011fi kaydedildi.<\/p>\n
T\u00fcm d\u00fcnyada en \u00f6nemli sa\u011fl\u0131k problemlerinden biri obezite; yanl\u0131\u015f beslenme al\u0131\u015fkanl\u0131klar\u0131, hareketsiz ya\u015fam ve bilgi eksiklikleri nedeniyle ortaya \u00e7\u0131k\u0131yor. Memorial Sa\u011fl\u0131k Grubu Medstar Antalya Hastanesi Genel Cerrahi B\u00f6l\u00fcm\u00fc\u2019nden Op. Dr. Mesut \u00c7aynak, obezite ve tedavisi hakk\u0131nda bilgi verdi. T\u00fcrkiye\u2019de obezite g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n g\u00fcn ge\u00e7tik\u00e7e artt\u0131\u011f\u0131n\u0131 belirten \u00c7aynak, “Obezite, v\u00fccuttaki dengeleri alt\u00fcst ederek kanser gibi pek \u00e7ok ciddi hastal\u0131\u011fa ve en \u00f6nemlisi ya\u015fam kayb\u0131na neden olabiliyor. Yap\u0131lan ara\u015ft\u0131rmalar, obezite g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n kad\u0131nlarda y\u00fczde 40\u2019\u0131n \u00fczerinde ve erkeklerin 2 kat\u0131 oldu\u011funu g\u00f6steriyor. Obezite besinlerle al\u0131nan enerjinin harcanan enerjiden fazla olmas\u0131 ve fazla enerjinin v\u00fccutta ya\u011f olarak depolanmas\u0131 sonucu ortaya \u00e7\u0131kmaktad\u0131r. V\u00fccutta a\u015f\u0131r\u0131 ve anormal ya\u011f birikmesi olarak da tan\u0131mlanabilir. Ya\u015fam s\u00fcresini ve kalitesini olumsuz etkiler. Obezitenin varl\u0131\u011f\u0131 ve derecesi, a\u011f\u0131rl\u0131k ve boy aras\u0131nda ba\u011flant\u0131 kuran V\u00fccut Kitle \u0130ndeksi ile tan\u0131mlan\u0131r. VK\u0130 \/ BMI (Body Mass \u0130ndex) : A\u011f\u0131rl\u0131k(kg) \/ Boy(m)2 form\u00fcl\u00fc ile hesaplan\u0131r. Ki\u015finin Beden Kitle \u0130ndeksinin 30-34.9 kg\/m2 aras\u0131nda olmas\u0131 I.Derece obez, 35-39.9 kg\/m2 aras\u0131nda olmas\u0131 II.Derece obez ve 40 kg\/m2 \u00fczerinde olmas\u0131 ise III.Derece morbid obez oldu\u011funu g\u00f6sterir” ifadelerinde bulundu.<\/p>\n
\u00c7aynak, obezite ile birlikte g\u00f6r\u00fclebilen hastal\u0131klar\u0131 \u015fu \u015fekilde s\u0131ralad\u0131:<\/p>\n
“Tip 2 Diyabet, depresyon, dejeneratif eklem rahats\u0131zl\u0131klar\u0131, bel ve s\u0131rt a\u011fr\u0131lar\u0131, obstruktif uyku apnesi, refl\u00fc hastal\u0131\u011f\u0131, safra ta\u015flar\u0131, hiperlipidemi ve hiperkolesterolemi, ast\u0131m, kalp yetmezli\u011fi, migren, hipertansiyon, derin ven trombozu ve di\u011fer damar hastal\u0131klar\u0131, ven\u00f6z staz \u00fclserleri, idrar ka\u00e7\u0131rma, k\u0131s\u0131rl\u0131k, dismenore, cinsel fonksiyon bozuklu\u011fu, bir\u00e7ok kanser s\u0131kl\u0131\u011f\u0131nda art\u0131\u015f, deride sarkma ve deri enfeksiyonlar\u0131.”<\/p>\n
Kal\u0131c\u0131 kilo kontrol\u00fc i\u00e7in obezite cerrahisi<\/p>\n
“Beslenme al\u0131\u015fkanl\u0131klar\u0131nda de\u011fi\u015fiklik, egzersiz ve davran\u0131\u015f de\u011fi\u015fiklikleri gibi hayat tarz\u0131 d\u00fczenlemeleri obezite tedavisinin ilk basama\u011f\u0131n\u0131 olu\u015fturmaktad\u0131r” diyen \u00c7aynak, “Ciddi obezitesi olan hastalar\u0131n tedavisinde, kan\u0131tlanm\u0131\u015f ve g\u00fcvenilir en etkili tedavi y\u00f6ntemi cerrahidir. Obezite cerrahisi Beden Kitle \u0130ndeksi 40\u2019\u0131n \u00fczerinde olanlara, VK\u0130 35-40 aras\u0131nda olup e\u015flik eden obezite ile ili\u015fkili hastal\u0131\u011f\u0131 bulunanlara \u00f6nerilmektedir. VK\u0130 30 kadar d\u00fc\u015f\u00fck olsa bile, optimal tedaviye ra\u011fmen glisemik kontrol sa\u011flanamayan ki\u015filerde metabolik cerrahi uygulanmas\u0131 faydal\u0131d\u0131r. Ameliyat i\u00e7in t\u0131bbi g\u00f6zetim ve diyetle ba\u015far\u0131s\u0131z olmas\u0131, psikolojik olarak stabil olma \u015fart\u0131 aran\u0131r” ifadelerini kulland\u0131.<\/p>\n
“Metabolik cerrahi ile diyabetten kurtulabilirsiniz”<\/p>\n
Bariatrik cerrahinin, zaman i\u00e7erisinde sadece kilo verdirmekten \u00f6te, cerrahinin metabolik etkileri ve faydalar\u0131na odakland\u0131\u011f\u0131n\u0131 aktaran \u00c7aynak, “Bariatrik cerrahi sonucunda verilen kiloya ba\u011fl\u0131 olarak pek \u00e7ok yanda\u015f hastal\u0131kta d\u00fczelme sa\u011flansa da en \u00e7ok etkilenen metabolik hastal\u0131klar tip 2 diyabet ve metabolik sendromdur. Metabolik sendrom santral obezite, glikoz intolerans\u0131, dislipidemi ve hipertansiyon ile ili\u015fkilidir. Metabolik sendrom nedeniyle g\u00f6r\u00fclen t\u00fcm t\u0131bbi sorunlar kilo kayb\u0131 sa\u011flama ama\u00e7l\u0131 yap\u0131lan cerrahiye yan\u0131t verir. Metabolik cerrahi sonras\u0131, 5 y\u0131ldan k\u0131sa s\u00fcreli diyabeti olan hastalarda y\u00fczde 90\u2019lara varan iyile\u015fme izlenir. Obezite cerrahisi sonras\u0131nda hastalar beslenme al\u0131\u015fkanl\u0131klar\u0131nda de\u011fi\u015fikli\u011fe gitmeli ve egzersiz mutlaka olmal\u0131d\u0131r. Hastan\u0131n cerrahi sonras\u0131 ya\u015fam tarz\u0131n\u0131 d\u00fczenleyerek tedbirler almas\u0131 herhangi bir obezite cerrahisinin uzun vadedeki ba\u015far\u0131s\u0131n\u0131n anahtar\u0131d\u0131r” dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
GENEL CERRAH\u0130 B\u00d6L\u00dcM\u00dc\u2019NDEN OP. DR. MESUT \u00c7AYNAK, “OBEZ\u0130TE, V\u00dcCUTTAK\u0130 DENGELER\u0130 ALT\u00dcST EDEREK KANSER G\u0130B\u0130 PEK \u00c7OK C\u0130DD\u0130 HASTALI\u011eA VE EN \u00d6NEML\u0130S\u0130 YA\u015eAM KAYBINA NEDEN OLAB\u0130L\u0130YOR. YAPILAN ARA\u015eTIRMALAR, OBEZ\u0130TE G\u00d6R\u00dcLME SIKLI\u011eININ KADINLARDA Y\u00dcZDE 40\u2019IN \u00dcZER\u0130NDE VE ERKEKLER\u0130N 2 KATI OLDU\u011eUNU G\u00d6STER\u0130YOR” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":247113,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[4778,61448,279,29423,1130,5897,17415,294],"class_list":["post-247112","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-obezite","tag-caynak","tag-dr","tag-kaybina","tag-neden","tag-olabilir","tag-op","tag-yasam"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/op-dr-caynak-obezite-yasam-kaybina-neden-olabilir_7dd3139.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-12hG","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/247112","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=247112"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/247112\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/247113"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=247112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=247112"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=247112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}