{"id":459,"date":"2024-03-01T04:13:52","date_gmt":"2024-03-01T04:13:52","guid":{"rendered":"https:\/\/istanbulbariatrics.com.tr\/?page_id=459"},"modified":"2024-03-01T04:13:52","modified_gmt":"2024-03-01T04:13:52","slug":"morbid-obezim-ne-yapmaliyim","status":"publish","type":"page","link":"https:\/\/mehmetaliyerdel.com\/?page_id=459","title":{"rendered":"Morbid Obezim. Ne Yapmal\u0131y\u0131m?"},"content":{"rendered":"\t\t
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Morbid Obezim<\/span>.<\/h1>\t\t\t\t<\/div>\n\t\t\t\t
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Ne Yapmal\u0131y\u0131m?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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\u00d6ncelikle konunun ciddiyetini net ve kesin olarak anlamal\u0131s\u0131n\u0131z. A\u015f\u0131r\u0131 \u015fi\u015fmanl\u0131\u011f\u0131n<\/strong> sadece estetik ve sosyal bir handikap olmay\u0131p hayat\u0131n\u0131z\u0131 tehdit eden, tehlikeli bir \u201chastal\u0131k\u201d oldu\u011funu, \u00f6te yandan tedavi \u015fans\u0131n\u0131z\u0131n bulundu\u011funu bilmelisiniz. Sonra da ba\u015fkalar\u0131ndan duyduklar\u0131n\u0131z\u0131 bir kenara b\u0131rak\u0131p, kendinizi de hi\u00e7bir zaman su\u00e7lamamal\u0131 ve t\u0131bbi yard\u0131m aramal\u0131s\u0131n\u0131z. Sitemizin ilgili b\u00f6l\u00fcmlerinde morbid obezite\u2019nin ne oldu\u011fu ve sizi kar\u015f\u0131 kar\u015f\u0131ya b\u0131rakt\u0131\u011f\u0131 t\u00fcm riskler ayr\u0131nt\u0131l\u0131 bi\u00e7imde ele al\u0131nm\u0131\u015ft\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Morbid obezite ciddi bir hastal\u0131kt\u0131r.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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\u00c7\u00fcnk\u00fc morbid obezite hayat\u0131 k\u0131saltan \u00e7ok ciddi bir hastal\u0131kt\u0131r ve bilimsel olarak net bi\u00e7imde kan\u0131tlanm\u0131\u015f en etkili tedavisi ise bariatrik ameliyatlar yani obezite cerrahisi ile m\u00fcmk\u00fcnd\u00fcr. Bu ki\u015filer mide k\u00fc\u00e7\u00fcltme cerrahisi sayesinde 10-15 y\u0131la varan oranda daha uzun ve sa\u011fl\u0131kl\u0131 ya\u015fayabilmektedir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Morbid obez iseniz doktora ba\u015fvurmal\u0131s\u0131n\u0131z.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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E\u011fer \u00e7evrenizde bu konuya \u00f6zelle\u015fmi\u015f bir \u015fi\u015fmanl\u0131k yani obezite tedavisi merkezi<\/em><\/strong> yoksa, ilk olarak bulundu\u011funuz ildeki devlet ya da \u00fcniversite hastanelerindeki metabolizma ya da endokrin merkezlerine ya da bunlar da yoksa deneyimli dahiliyecilere ba\u015fvurabilirsiniz. Bu \u00fcnitelerde mutlak surette diyet, egzersiz ve gerekiyorsa psikolojik destek de alarak bir m\u00fcddet \u201cameliyats\u0131z\u201d tedavileri uygulaman\u0131z \u015fartt\u0131r. Bu a\u015famada doktor g\u00f6zetiminde belki birtak\u0131m ila\u00e7lar da kullan\u0131labilmektedir.<\/p>

Bu \u015fekilde d\u00fcnyan\u0131n en iyi merkezlerinde bile morbid obezlerde kal\u0131c\u0131 bi\u00e7imde ba\u015far\u0131l\u0131 olma \u015fans\u0131 maalesef \u00e7ok d\u00fc\u015f\u00fckt\u00fcr. Hatta rakam verirsek ba\u015far\u0131 \u015fans\u0131 %2-4 aras\u0131ndad\u0131r. Ama bu \u015fans az diye tabi ki hemen ameliyat tercihi de kesin kez yanl\u0131\u015ft\u0131r ve etik de de\u011fildir. \u00c7\u00fcnk\u00fc \u00e7ok s\u0131n\u0131rl\u0131 ve az hastada ba\u015far\u0131l\u0131 da olsa nadiren kal\u0131c\u0131 ba\u015far\u0131 m\u00fcmk\u00fcnd\u00fcr ve bu yol mutlak denenmelidir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t

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Ciddi diyet denemek \u015fartt\u0131r.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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\u00d6te yandan bir morbid obezite hastas\u0131nda diyet en az 2 kez ve en az 6\u2019\u015far ay denenmesine kar\u015f\u0131n ba\u015far\u0131s\u0131z ise, ya da verilen kilolar gerisin geriye geri al\u0131n\u0131yor ise art\u0131k diyette \u0131srar etmenin hi\u00e7bir anlam\u0131 yoktur. Bilimsel \u00e7al\u0131\u015fmalar obezite ameliyat\u0131<\/em><\/strong> \u00f6ncesi hastalar\u0131n iki defa diyetisyen ya da kendilerinin elde etti\u011fi listelerle diyet giri\u015fimini yeterli kabul etmektedir. Daha fazla diyet ve sosyal tedbirlerle u\u011fra\u015fmak VK\u0130<\/strong> 40 \u00fczerinde olan hastalarda sadece zaman kayb\u0131d\u0131r.<\/strong><\/p>

Ayr\u0131ca endokrin uzmanlar\u0131 hastan\u0131n tedavi talebi olan bu erken a\u015famada ba\u015fta Cushing hastal\u0131\u011f\u0131 olmak \u00fczere birtak\u0131m \u015fi\u015fmanl\u0131kla seyreden hormonal bozukluklar\u0131n var olup olmad\u0131\u011f\u0131n\u0131 da \u00f6ncelikle ortaya koymal\u0131d\u0131rlar.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Mide k\u00fc\u00e7\u00fcltme ameliyat\u0131 kime uygun?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
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Kitap bilgisi ise \u015f\u00f6yledir; bu ko\u015fullara uyan; yani diyetle zay\u0131flayamad\u0131\u011f\u0131 kan\u0131tlanm\u0131\u015f ve \u00f6zel hormonal bozuklu\u011fu olmayan t\u00fcm morbid obezler e\u011fer sa\u011fl\u0131k durumlar\u0131 da genel anestezi almalar\u0131na engel olu\u015fturmuyor ise ve 70 ya\u015f\u0131n alt\u0131nda iseler asl\u0131nda mide k\u00fc\u00e7\u00fcltme ameliyat\u0131<\/em><\/strong> aday\u0131d\u0131rlar. Obezite cerrahisi<\/em><\/strong>sayesinde her g\u00fcn y\u00fczlerce morbid obez<\/em><\/strong> t\u00fcm d\u00fcnyada yeniden sa\u011fl\u0131\u011f\u0131na kavu\u015fturulmaktad\u0131r. \u015ei\u015fmanl\u0131k cerrahisi<\/em><\/strong> san\u0131ld\u0131\u011f\u0131n\u0131n aksine son derece makul riskleri olan ve deneyimli ekipler taraf\u0131ndan yap\u0131ld\u0131\u011f\u0131 takdirde ba\u015far\u0131 oran\u0131 son derece y\u00fcksek bir dizi laparoskopik giri\u015fimden ibarettir.<\/p>

Her yolu denemi\u015f, defalarca diyetle kilo vermi\u015f ve geri alm\u0131\u015f, bir\u00e7ok alternatif tedaviyi de uygulam\u0131\u015f ve ba\u015far\u0131l\u0131 olamam\u0131\u015f bir morbid obeze,<\/em><\/strong> mide k\u00fc\u00e7\u00fcltme ameliyat\u0131<\/em><\/strong> se\u00e7ene\u011fini sunmamak ise kesinlikle bir t\u0131bbi hatad\u0131r ve tabiki etik de de\u011fildir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t

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\u00d6zetle, morbid obez iseniz, neler yapmal\u0131s\u0131n\u0131z?<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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Zaman\u0131m\u0131zda bilimsel olarak morbid obezite tedavisinde \u00f6nerilen ve evrensel olarak kabul g\u00f6ren tedavi yakla\u015f\u0131m\u0131n\u0131 \u015f\u00f6yle \u00f6zetleyebiliriz:<\/strong><\/p>

1. \u00d6ncelik diyettedir ve en az 6 ay s\u00fcre ile ve hem de en az iki kez yap\u0131lm\u0131\u015f olmal\u0131d\u0131r. E\u011fer kilo kayb\u0131 ger\u00e7ekle\u015fmi\u015f ve bu da kal\u0131c\u0131 olmu\u015f ise zaten ileri bir tedaviye gerek kalmaz ve morbid obezite<\/strong>saf d\u0131\u015f\u0131 b\u0131rak\u0131lm\u0131\u015f olunur. Bu yakla\u015f\u0131m\u0131n ba\u015far\u0131 oran\u0131 % 2\u2019ler mertebesinde olup \u00e7ok d\u00fc\u015f\u00fckt\u00fcr ama gene de mutlaka denenmelidir.<\/p><\/div><\/div>

2. En az iki kez uygulanan ve en az 6 ay s\u00fcrd\u00fcr\u00fclen diyet\/egzersiz\/psikoljik deste\u011fe kar\u015f\u0131n kilo verilemiyor ya da tekrar morbid obez<\/strong> olunuyorsa ve obezite problemi en az 3 y\u0131ld\u0131r varsa, mutlak surette obezite cerrahisi<\/em><\/strong> tedavi endikasyonu vard\u0131r. \u00c7\u00fcnk\u00fc morbid obezite<\/em><\/strong> \u00f6l\u00fcmc\u00fcl bir hastal\u0131k olup mutlaka giderilmesi gereken \u201chayati\u201d bir rahats\u0131zl\u0131kt\u0131r.<\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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<\/i><\/span>
Bilimsel \u00e7al\u0131\u015fmalar ba\u015far\u0131s\u0131z iki diyet uygulamas\u0131ndan fazlas\u0131n\u0131 gereksiz ve zaman kayb\u0131 olarak g\u00f6rmektedir. \u00c7e\u015fitli diyet, \u00f6zel zay\u0131flama metodlar\u0131n\u0131n obezite tedavisinde biribirine \u00fcst\u00fcnl\u00fc\u011f\u00fc oldu\u011funa dair \u015fu ana kadar bir bilimsel kan\u0131t da yoktur. Unutulmamal\u0131d\u0131r ki; her t\u00fcrl\u00fc diyet ile kilo verilebilir fakat de\u011fi\u015fik s\u00fcrelerde ve genellikle h\u0131zl\u0131 bir \u015fekilde bu kilolar geri al\u0131n\u0131r. Yani morbid obezler i\u00e7in kilo vermede de\u011fil verilen kilonun korunamamas\u0131nda sorun vard\u0131r.<\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Ameliyat<\/strong>, size tek ba\u015f\u0131n\u0131za ba\u015faramayaca\u011f\u0131n\u0131z kilo hedefinize ula\u015fmaya yard\u0131m ediyor.<\/p>

Bu ba\u015far\u0131y\u0131, sa\u011fl\u0131kl\u0131 bir \u015fekilde s\u00fcrd\u00fcrebilmenizde profesyonel ekibimiz<\/em><\/strong>, size \u00f6m\u00fcr boyu destek<\/strong> sunuyor.<\/p>

Amac\u0131m\u0131z; sizi her daim sa\u011fl\u0131kl\u0131, mutlu<\/strong> ve fit<\/strong> g\u00f6rmek.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Morbid Obezim. Ne Yapmal\u0131y\u0131m? \u00d6ncelikle konunun ciddiyetini net ve kesin olarak anlamal\u0131s\u0131n\u0131z. A\u015f\u0131r\u0131 \u015fi\u015fmanl\u0131\u011f\u0131n sadece estetik ve sosyal bir handikap olmay\u0131p hayat\u0131n\u0131z\u0131 tehdit eden, tehlikeli bir [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":286,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-459","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/459","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=459"}],"version-history":[{"count":0,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/459\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/286"}],"wp:attachment":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}