{"id":541,"date":"2024-03-02T06:18:48","date_gmt":"2024-03-02T06:18:48","guid":{"rendered":"https:\/\/istanbulbariatrics.com.tr\/?page_id=541"},"modified":"2024-03-02T06:18:48","modified_gmt":"2024-03-02T06:18:48","slug":"tup-mide-ameliyati-sonrasi-neler-yapilmalidir","status":"publish","type":"page","link":"https:\/\/mehmetaliyerdel.com\/?page_id=541","title":{"rendered":"T\u00fcp Mide Ameliyat\u0131 Sonras\u0131 Neler Yap\u0131lmal\u0131d\u0131r?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"541\" class=\"elementor elementor-541\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d3806f7 elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"d3806f7\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-caf6059\" data-id=\"caf6059\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5d2b40f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5d2b40f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-c2850cc\" data-id=\"c2850cc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db378e4 elementor-widget elementor-widget-heading\" data-id=\"db378e4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">T\u00fcp Mide Ameliyat\u0131 Sonras\u0131 <span style=\"color:#2B6CF5\"><br \/>Neler Yap\u0131lmal\u0131d\u0131r?<\/span><\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88d1f89 elementor-widget elementor-widget-mfn_blockquote\" data-id=\"88d1f89\" data-element_type=\"widget\" data-widget_type=\"mfn_blockquote.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"blockquote\"><span class=\"mfn-blockquote-icon\"><i class=\"icon-quote\" aria-hidden=\"true\"><\/i><\/span><blockquote class=\"mfn-inline-editor\">Obezite hastalar\u0131 i\u00e7in i\u015f ameliyat olmakla bitmez ve bir anlamda yeni ba\u015flar ! Ama\u00e7 uzun d\u00f6nem ba\u015far\u0131 oldu\u011fundan, bu yeni yolun her a\u015famas\u0131nda hastalara da birtak\u0131m g\u00f6rev ve sorumluluklar d\u00fc\u015fecektir!<\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b2e0b9 elementor-widget elementor-widget-text-editor\" data-id=\"5b2e0b9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>T\u00fcp mide ve di\u011fer \u015fi\u015fmanl\u0131\u011f\u0131 giderici ameliyatlar obezite hastalar\u0131na sunulan bir <strong>\u201calt\u0131n anahtar\u201d<\/strong> gibi d\u00fc\u015f\u00fcn\u00fclebilir. Bu \u201calt\u0131n\u201d anahtar sayesinde morbid obezlerkendi ba\u015flar\u0131na hi\u00e7bir zaman a\u00e7amad\u0131klar\u0131 bir kap\u0131y\u0131 a\u00e7arak yeni bir yol ve ya\u015fama do\u011fru ad\u0131m atarlar.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a724182 elementor-widget elementor-widget-heading\" data-id=\"a724182\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Mide K\u00fc\u00e7\u00fcltme Ameliyat\u0131 Sonras\u0131 Nas\u0131l Bir S\u00fcre\u00e7?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f2e1f3 elementor-widget elementor-widget-text-editor\" data-id=\"6f2e1f3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Obezite cerrahisi sonras\u0131 s\u00fcreci\u00a0 \u201cerken\u201d ve \u201cge\u00e7\u201d d\u00f6nem olmak \u00fczere ikiye ay\u0131rarak incelemek yerinde olacakt\u0131r.\u00a0 Kilo kayb\u0131n\u0131n s\u00fcrmesi beklenen \u201cerken d\u00f6nem\u201d kabaca ameliyat sonras\u0131 ilk 1.5 y\u0131l\u0131 i\u00e7erir ve merkezimizde <strong>\u201cbalay\u0131 d\u00f6nemi\u201d<\/strong> olarak nitelendirilir. Ge\u00e7 d\u00f6nem ise kilo kayb\u0131n\u0131n durmas\u0131ndan yani ilk 1.5 y\u0131ldan sonras\u0131n\u0131 tan\u0131mlamaktad\u0131r.<\/p><p>Erken d\u00f6nemdeki temel ama\u00e7 hastalar\u0131n sa\u011fl\u0131kl\u0131 bi\u00e7imde kilo vermesi ve baz\u0131 yanl\u0131\u015f al\u0131\u015fkanl\u0131klar\u0131n\u0131n fark\u0131na varmalar\u0131 iken, ge\u00e7 d\u00f6nemde geri kilo al\u0131nmamas\u0131 ve bu konudaki destek programlar\u0131 \u00f6n plana \u00e7\u0131kacakt\u0131r.<\/p><p>Dolay\u0131s\u0131 ile obezite ameliyat\u0131 sonras\u0131 d\u00f6nem son derece dinamik bir s\u00fcre\u00e7tir ve hastalar\u0131m\u0131z\u0131n s\u00fcrekli de\u011fi\u015fmekte olan farkl\u0131 gereksinimlerine ekip olarak ve hem de \u00f6m\u00fcr boyu tam anlam\u0131 ile destek vermemiz zorunludur.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e3f7d37 elementor-widget elementor-widget-heading\" data-id=\"e3f7d37\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">M\u0130DE K\u00dc\u00c7\u00dcLTME AMEL\u0130YATI SONRASI ERKEN D\u00d6NEM.<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b111283 elementor-widget elementor-widget-text-editor\" data-id=\"b111283\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Bu d\u00f6nemi kendi i\u00e7inde;<\/p><ol><li>Hastanede ge\u00e7irilen ilk 3 g\u00fcn<\/li><li>Eve gidi\u015f ve ilk bir ay\u00a0<\/li><li>\u0130lk 1.5 y\u0131l<\/li><\/ol><p>olarak ay\u0131rabiliriz.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1aa107 elementor-widget elementor-widget-heading\" data-id=\"b1aa107\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Mide K\u00fc\u00e7\u00fcltme Ameliyat\u0131 Sonras\u0131 \u0130lk 3 G\u00fcn.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff7c9ac elementor-widget elementor-widget-text-editor\" data-id=\"ff7c9ac\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h6><strong>A\u011fr\u0131 var m\u0131d\u0131r?<\/strong><\/h6><p>\u00d6ncelikle t\u00fcm \u015fi\u015fmanl\u0131k giderici ameliyatlar\u0131n laparoskopik (kapal\u0131) yani kar\u0131n kesilmeden yap\u0131lan giri\u015fimler olduklar\u0131n\u0131 hat\u0131rlatarak s\u00f6ze ba\u015flamak gerekir.<\/p><p>B\u00fcy\u00fck kar\u0131n kesisi olmad\u0131\u011f\u0131 i\u00e7in; ameliyat sonras\u0131nda a\u011fr\u0131 \u00e7ok azd\u0131r. T\u00fcm laparoskopik ameliyatlardan sonra g\u00f6zlenebilen omuz a\u011fr\u0131lar\u0131 1-2 g\u00fcnde kendili\u011finden ge\u00e7er ve basit a\u011fr\u0131 kesiciler ile rahatl\u0131kla kontrol edilebilir. Ameliyat sonras\u0131 ilk 1-2 g\u00fcn hastalar\u0131n yakla\u015f\u0131k % 20 \u2018sinde bulant\u0131 ve \u00f6\u011f\u00fcrmeler g\u00f6zlenebilir ancak bu da kendi kendini s\u0131n\u0131rlayan ve en fazla 36 saatte ge\u00e7en bir durumdur.\u00a0 Gene ameliyat sonras\u0131 ilk g\u00fcnlerde \u00f6zellikle s\u0131v\u0131 al\u0131m\u0131 ba\u015flad\u0131\u011f\u0131nda hastalar\u0131m\u0131z s\u0131k\u0131\u015ft\u0131r\u0131c\u0131 bir g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 hissedebilirler ancak s\u0131v\u0131lar\u0131 yava\u015f almay\u0131 \u00f6\u011frendiklerinde bu da ciddi bir s\u0131k\u0131nt\u0131 yaratmaz.<\/p><h6><strong>Sonda tak\u0131l\u0131r m\u0131?<\/strong><\/h6><p>Hemen hi\u00e7bir zaman ne burundan ve ne de idrar yollar\u0131ndan bir sonda ya da t\u00fcp tak\u0131lmaz.<\/p><h6><strong>\u0130lk y\u00fcr\u00fcme ne zaman?<\/strong><\/h6><p>T\u00fcm hastalar obezite cerrahisinden 3-4 saat sonra aya\u011fa kald\u0131r\u0131l\u0131r ve y\u00fcr\u00fct\u00fcl\u00fcrler. Erken y\u00fcr\u00fcme ve bacaklara uygulanan \u00f6zel mekanik bask\u0131 \u00e7oraplar\u0131 sayesinde bacaklarda p\u0131ht\u0131 olu\u015fumu riski son derece d\u00fc\u015f\u00fckt\u00fcr.<\/p><h6><strong>Kan suland\u0131r\u0131c\u0131 i\u011fne kullan\u0131l\u0131yor mu?<\/strong><\/h6><p>Bacaklarda p\u0131ht\u0131 olu\u015fumunu engellemek i\u00e7in erken y\u00fcr\u00fctme ve mekanik bask\u0131 \u00e7oraplar\u0131n\u0131n d\u0131\u015f\u0131nda ameliyat \u00f6ncesi saatlerde kan suland\u0131r\u0131c\u0131 i\u011fneye de \u201cmutlaka\u201d ba\u015flan\u0131r. Bu i\u011fneler hastanede iken her g\u00fcn bir kez uygulan\u0131r ve taburcu olduktan sonra da 1 hafta boyunca s\u00fcrd\u00fcr\u00fcl\u00fcr.<\/p><h6><strong>\u0130lk g\u0131da al\u0131m\u0131 ne zaman?<\/strong><\/h6><p>T\u00fcm hastalar\u0131m\u0131za ameliyat sonras\u0131 1. g\u00fcn radyoloji \u00fcnitemizde basit bir \u201cka\u00e7ak\u201d kontrol filmi \u00e7ekilir ve hemen sonras\u0131nda da a\u011f\u0131zdan berrak s\u0131v\u0131larla beslenmeye ba\u015flan\u0131r.<\/p><h6><strong>Protein ve vitaminlere ne zaman ba\u015flan\u0131r?<\/strong><\/h6><p>Ameliyat sonras\u0131 2. g\u00fcn \u00f6zel protein tozlar\u0131na (laktozsuz s\u00fct i\u00e7inde eritilerek) ve a\u011f\u0131zda eriyen vitaminlere ba\u015flan\u0131r. T\u00fcm \u015fi\u015fmanl\u0131k ameliyatlar\u0131 (t\u00fcp mide, gastrik by-pass ve duodenal switch) sonras\u0131nda ilk 3-4 ay boyunca \u201cek\u201d protein deste\u011fi mutlak bir gerekliliktir ve diyet ekibimizin sorumlulu\u011fundad\u0131r. Bunun nedeni en h\u0131zl\u0131 kilo kayb\u0131n\u0131n olu\u015ftu\u011fu ilk aylarda v\u00fccuttaki protein y\u0131k\u0131m\u0131 ve kayb\u0131n\u0131n engellenmesidir. \u00c7\u00fcnk\u00fc bedendeki her protein molek\u00fcl\u00fcn\u00fcn bir i\u015flevi vard\u0131r ve eksiklik durumu mutlaka sorun yaratacakt\u0131r. Hastalar par\u00e7a etlere ilk 3-4 ay ba\u015flayamayaca\u011f\u0131ndan hayvansal kaynakl\u0131 protein al\u0131m\u0131 yetersiz olacakt\u0131r ve bu \u201cek\u201d protein deste\u011fi hayati \u00f6nem ta\u015f\u0131r. Yeterli miktarda par\u00e7a etlerin tolere edilebilece\u011fi 3 veya 4. aydan sonra ise \u201cek\u201d protein deste\u011fine gerek kalmaz. Vitaminler ise ilk 1 ay boyunca a\u011f\u0131zda eriyen \u015fekilde, sonras\u0131nda ilk bir y\u0131l g\u00fcnde 2 adet; birinci y\u0131ldan sonra ise, kan tahlilleri g\u00f6z \u00f6n\u00fcnde al\u0131narak, g\u00fcnde 1 adet.<\/p><h6><strong>Ne zaman taburcu olunur?<\/strong><\/h6><p>Obezite cerrahisi ge\u00e7iren hastalar\u0131m\u0131z\u0131n % 95\u2019i 3. g\u00fcn taburcu olmaktad\u0131r. Hastanede yat\u0131lan 3 g\u00fcn boyunca her sabah diyetisyenlerimiz hasta ve yak\u0131nlar\u0131 ile g\u00f6r\u00fc\u015ferek \u00f6zellikle ilk 1 hafta i\u00e7inde nas\u0131l bir diyet uygulayacaklar\u0131 konusunda bilgilendirilirler. Hastanede ge\u00e7irilen 3 g\u00fcn boyunca t\u00fcm hastalar devaml\u0131 damardan s\u0131v\u0131 alacakt\u0131r. Bunun nedeni a\u011f\u0131z yolu ile yeterli s\u0131v\u0131 al\u0131nmas\u0131n\u0131n ilk g\u00fcnlerde m\u00fcmk\u00fcn olmamas\u0131d\u0131r. Asl\u0131nda t\u00fcm hastalar\u0131m\u0131z\u0131 3 g\u00fcn hastanede tutmam\u0131z\u0131n en \u00f6nemli nedeni de budur.<\/p><h6><strong>Taburculuk tavsiyeleri<\/strong><\/h6><p>3. g\u00fcn hem cerrahlar\u0131m\u0131z ve hem de diyet ekibimizle g\u00f6r\u00fc\u015fen hasta, bir hafta sonra kontrole \u00e7a\u011fr\u0131larak ve evde yapmas\u0131 gerekenler konusunda tam anlam\u0131 ile bilgilendirilerek taburcu edilir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dab2187 elementor-widget elementor-widget-heading\" data-id=\"dab2187\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Mide K\u00fc\u00e7\u00fcltme Ameliyat\u0131 Sonras\u0131 \u0130lk 1 Ay.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fce71e elementor-widget elementor-widget-text-editor\" data-id=\"3fce71e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Eve gidildikten sonra m\u00fcmk\u00fcn olabildi\u011fince hareketli olmak ve g\u00fcnde en az 1.5 litre kadar \u201csu\u201d i\u00e7mek ve protein deste\u011fini hi\u00e7bir \u015fekilde ihmal etmemek en \u00f6nemli \u00f6ncelikler olmal\u0131d\u0131r. Ayr\u0131ca 1 hafta boyunca kan suland\u0131r\u0131c\u0131 i\u011fneye de devam edilmelidir. Taburcu olunduktan sonra tekrar gerisin geriye hastaneye yatman\u0131n birinci nedeni evde yeterince su i\u00e7memek nedeniyle olu\u015fan \u201cDEH\u0130DRATASYON\u201d \u2018dur!<\/p><p><strong>Eve gidildikten sonraki ilk bir hafta boyunca yeni ba\u015flayan bir kar\u0131n a\u011fr\u0131s\u0131 ya da 38 derecenin \u00fcst\u00fcnde bir ate\u015f veya alt-arka bald\u0131r b\u00f6lgesinde \u015fi\u015fme\/a\u011fr\u0131 oldu\u011fu takdirde derhal merkezimize ba\u015fvurulmas\u0131 konusunda t\u00fcm hastalar uyar\u0131l\u0131r!<\/strong><\/p><h6><strong>\u0130\u015fe ne zaman ba\u015flanabilir?<\/strong><\/h6><p>Mide k\u00fc\u00e7\u00fcltme ameliyat\u0131ndan bir hafta sonra rahatl\u0131kla i\u015fe ya da okula ba\u015flanabilir. Bu gene giri\u015fimin laparoskopik yani kar\u0131n kesisi olmamas\u0131 sayesindedir.<\/p><p>\u0130lk bir ayl\u0131k s\u00fcre\u00e7 hastalar\u0131m\u0131z\u0131n yeni midelerine al\u0131\u015ft\u0131klar\u0131 ve kabaca berrak s\u0131v\u0131lardan giderek normale yak\u0131n bir diyete tedrici olarak ge\u00e7tikleri ve deneyimli diyetisyenlerimize en \u00e7ok i\u015fin d\u00fc\u015ft\u00fc\u011f\u00fc d\u00f6nemdir. Bu s\u00fcrecin en ba\u015far\u0131l\u0131 \u015fekilde tamamlanmas\u0131 hasta ve\/veya hasta yak\u0131nlar\u0131n\u0131n diyet ekibimizle \u00e7ok yak\u0131n temasta bulunmas\u0131n\u0131 zorunlu k\u0131lacakt\u0131r. Hangi g\u00fcn hangi yeni g\u0131da maddesine ba\u015flanabilir, s\u0131k\u0131c\u0131 olmayan yeni protein kaynaklar\u0131 diyete eklenebilir mi gibi t\u00fcm sorulara diyetisyenlerimiz ilgili hastaya en uygun \u00e7\u00f6z\u00fcm ve alternatifleri \u00fcretmekle sorumludurlar.<\/p><h6><strong>Ne zaman egzersizlere ba\u015flanmal\u0131?<\/strong><\/h6><p>Y\u00fcr\u00fcme eve gider gitmez derhal te\u015fvik edilir. Ameliyat sonras\u0131 10. g\u00fcnden sonra y\u00fczme ya da kardio tipi (\u00f6rne\u011fin: fitness bisikleti \u00e7evirme) egzersizler b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r. Kas kitlesinin artt\u0131r\u0131lmas\u0131na y\u00f6nelik daha ciddi a\u011f\u0131rl\u0131k egzersizleri ise ameliyat sonras\u0131 40. g\u00fcnden sonra \u00f6nerilirler.<\/p><p>Uzun d\u00f6nemde basit ad\u0131m sayac\u0131 saatleri (bir\u00e7ok telefonda mevcuttur) ile g\u00fcnde 10.000 ad\u0131m atacak \u015fekilde y\u00fcr\u00fcmenin te\u015fvik edilmesi yeterli spor yapamayan hastalar i\u00e7in son derece \u00f6nemlidir.<\/p><p><strong>Uzun d\u00f6nemde egzersiz programlar\u0131na uyan ve bunu bir ya\u015fama bi\u00e7imi haline getirebilen hastalarda geri kilo alma olas\u0131l\u0131\u011f\u0131 b\u00fcy\u00fck \u00f6l\u00e7\u00fcde engellenebilir! Artan kas kitlesi kilo kayb\u0131n\u0131 te\u015fvik edebilir!<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f2f550 elementor-widget elementor-widget-heading\" data-id=\"7f2f550\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Mide K\u00fc\u00e7\u00fcltme Ameliyat\u0131 Sonras\u0131 \u0130lk 1.5 Y\u0131l.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14b0d98 elementor-widget elementor-widget-text-editor\" data-id=\"14b0d98\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Mide k\u00fc\u00e7\u00fcltme ameliyat\u0131 sonras\u0131 ilk bir\/bir bu\u00e7uk y\u0131l; kilo kayb\u0131n\u0131n ka\u00e7\u0131n\u0131lmaz oldu\u011fu, hastan\u0131n ilk kilosuna, \u00e7e\u015fitli \u00f6nerilere uyup uymamas\u0131na ve egzersiz durumuna g\u00f6re 20 \u2013 100 kilo aras\u0131nda \u201cMUTLAKA\u201d zay\u0131flayaca\u011f\u0131 \u201cBALAYI\u201d d\u00f6nemidir.<\/p><p>Bu d\u00f6nemde en \u00f6nemli vazife ba\u015fta hastalara ve bizim a\u00e7\u0131m\u0131zdan da diyetisyenlerimiz ve psikolojik destek ekiplerimize d\u00fc\u015fer. Cerrahlar\u0131m\u0131z k\u0131smen devre d\u0131\u015f\u0131 kal\u0131rlar ve temel ama\u00e7 onlara art\u0131k ileride de bir gereksinim kalmamas\u0131d\u0131r!<\/p><p>Bu maalesef olgular\u0131n tamam\u0131nda m\u00fcmk\u00fcn olamamaktad\u0131r!<\/p><p>Bu s\u00fcre\u00e7te eski yanl\u0131\u015f beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131 anlay\u0131p bunlar\u0131 giderebilen (\u00f6rne\u011fin alkol\u00fc b\u0131rakma veya azaltma, duygusal yemek problemini \u00e7\u00f6zme), egzersiz programlar\u0131na tavsiyelerimize g\u00f6re uymaya gayret eden ve en \u00f6nemlisi bu de\u011fi\u015fiklikleri \u0130\u00c7SELLE\u015eT\u0130REB\u0130LEN hastalarda uzun d\u00f6nemde ba\u015far\u0131 <strong>MUTLAKTIR<\/strong>.<\/p><p>Obezite cerrahisi sonras\u0131 uzun d\u00f6nem ba\u015far\u0131da net ve kesin olarak katk\u0131 sa\u011flad\u0131\u011f\u0131 bilinen bir di\u011fer uygulama ise belli aral\u0131klarla d\u00fczenledi\u011fimiz <strong>&#8220;HASTA DESTEK GRUPLARIDIR&#8221;<\/strong>.<\/p><p>Her ay\u0131n ilk cumartesi g\u00fcn\u00fc <strong>\u201c\u00fccretsiz\u201d<\/strong> olarak yapt\u0131\u011f\u0131m\u0131z bu toplant\u0131larla en az\u0131ndan birka\u00e7 ayda bir bile olsa kat\u0131lma, \u00e7ok \u00f6nemli bir motivasyon kayna\u011f\u0131 olmaktad\u0131r. Ayr\u0131ca bir\u00e7ok yanl\u0131\u015f\u0131n d\u00fczeltilmesi, yeni bilgilerin payla\u015f\u0131lmas\u0131 a\u00e7\u0131lar\u0131ndan da \u015fi\u015fmanl\u0131k cerrahisi merkezlerinin bir olmazsa olmaz\u0131d\u0131r hasta destek gruplar\u0131.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-899b769 elementor-widget elementor-widget-heading\" data-id=\"899b769\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Mide K\u00fc\u00e7\u00fcltme Ameliyat\u0131 Sonras\u0131 Uzun D\u00f6nem.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c3771a elementor-widget elementor-widget-text-editor\" data-id=\"2c3771a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h6><strong>Kilo kayb\u0131 ne zaman durur?<\/strong><\/h6><p>T\u00fcm obezite ameliyatlar\u0131ndan 1 \u2013 1.5 y\u0131l sonra kilo kayb\u0131 duracakt\u0131r.<\/p><p><strong>Ameliyat sonras\u0131nda 2 y\u0131l ge\u00e7mi\u015f olmas\u0131na kar\u015f\u0131n halen kilo kayb\u0131n\u0131n devam etmesi, beslenme d\u00fczeni ve sporun bilin\u00e7li kombinasyonu ile hedeflenen kiloya ula\u015fma ad\u0131na sa\u011flanabilir. Fakat \u00f6nlenemez kilo kayb\u0131 g\u00f6zlendi\u011finde, %1\u2019lik bir durum olan \u201cdarl\u0131k\u201d gibi m\u00fcdahale gerektirebilen bir komplikasyona i\u015faret edebilir.<\/strong><\/p><p>Kilo kayb\u0131n\u0131n durmas\u0131 \u201cbalay\u0131\u201d d\u00f6neminin de bitti\u011fine i\u015faret eder ! Bundan sonra temel ama\u00e7 art\u0131k geri kilo al\u0131nmamas\u0131n\u0131 ba\u015farmakt\u0131r. \u0130lk 1.5 y\u0131l i\u00e7inde do\u011fru beslenme al\u0131\u015fkanl\u0131\u011f\u0131n\u0131, rutin egzersiz yapmay\u0131 benimseyen ve takip protokollerimiz ile hasta destek gruplar\u0131na yeterli kat\u0131l\u0131m\u0131 ger\u00e7ekle\u015ftirebilen hastalarda gerisin geriye kilo alma olas\u0131l\u0131\u011f\u0131 son derece d\u00fc\u015f\u00fckt\u00fcr.<\/p><p>Ancak unutulmamal\u0131d\u0131r ki; obezite kronik bir hastal\u0131kt\u0131r ve b\u00fcy\u00fck olas\u0131l\u0131kla genetik baz\u0131 fakt\u00f6rler de rol oynamaktad\u0131r. Ayr\u0131ca cerrahi ile sadece \u00fcst sindirim sisteminde de\u011fi\u015fiklikler yap\u0131lmakta fakat maalesef hastalar\u0131n genleri, kafa yap\u0131lar\u0131 ya da al\u0131\u015fkanl\u0131k ve huylar\u0131 de\u011fi\u015ftirilememektedir. \u00d6te yandan t\u00fcp mide ameliyat\u0131ndan \u00f6rnek verirsek olu\u015fturulan ince t\u00fcp \u201cmetal bir boru\u201d olmad\u0131\u011f\u0131ndan zaman i\u00e7inde geni\u015fler ve ameliyat\u0131n g\u0131da al\u0131n\u0131m\u0131n\u0131 k\u0131s\u0131tlay\u0131c\u0131 etkisi 3-4 y\u0131l geride b\u0131rak\u0131ld\u0131\u011f\u0131nda bariz olarak azal\u0131r ve nihayetinde hastalar\u0131n \u201ciradesi\u201d tekrar devreye girer ! Bu nedenlerle bir grup hasta mutlaka geri kilo alacak ve hatta tekrar morbid obez ve dolay\u0131s\u0131 ile ikinci kez ameliyat aday\u0131 bile olacakt\u0131r. Bu son durum eldeki bilimsel verilere g\u00f6re hastalar\u0131n % 3-4\u2019\u00fc gibi az\u0131msanamayacak d\u00fczeydedir.<\/p><p>Bu gruba girilmemesi a\u00e7\u0131s\u0131ndan hastalara da b\u00fcy\u00fck sorumluluk d\u00fc\u015fmektedir. Merkez olarak bize d\u00fc\u015fen ise t\u00fcm hastalar\u0131m\u0131za gereken her konuda ve <strong>\u00d6M\u00dcR BOYU<\/strong> destek olmakt\u0131r.<\/p><h6><strong>Cilt sarkmalar\u0131 i\u00e7in estetik ameliyat ne zaman olmal\u0131?<\/strong><\/h6><p>Bu bir t\u0131bbi gereklilik de\u011fildir ancak baz\u0131 hastalar hakl\u0131 olarak talep etmektedirler. Bunun i\u00e7in en uygun zaman kilo kayb\u0131n\u0131n durmas\u0131 ve en az birka\u00e7 ay sabit kiloda kal\u0131nd\u0131ktan sonraki d\u00f6nemdir.<\/p><h6><strong>Ameliyat sonras\u0131 ne zaman hamile kal\u0131nabilir?<\/strong><\/h6><p>\u015ei\u015fmanl\u0131\u011f\u0131 giderici ameliyatlar hamile kalma olas\u0131l\u0131\u011f\u0131n\u0131 ciddi bi\u00e7imde artt\u0131r\u0131rlar. \u00d6te yandan yo\u011fun kilo kayb\u0131n\u0131n olu\u015faca\u011f\u0131 ilk aylar ve kilo kayb\u0131n\u0131n s\u00fcrece\u011fi ilk y\u0131l boyunca hastalar\u0131n <strong>HAM\u0130LE KALMAMALARI ve KORUNMALARI<\/strong> \u00f6nerilir. Ameliyat sonras\u0131 ilk y\u0131l geride kald\u0131ktan sonra ise hamile kal\u0131nmas\u0131nda hi\u00e7bir sak\u0131nca yoktur.<\/p><h6><strong>Ameliyat sonras\u0131 cinsel hayat ne zaman ba\u015flayabilir?<\/strong><\/h6><p>Bu konuda herhangi bir s\u0131n\u0131rlama getirilmez. Sadece han\u0131mlar\u0131n ilk bir y\u0131l boyunca hamile kalmamalar\u0131 konusu vurgulanmal\u0131d\u0131r.<\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-27ec5f29 elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"27ec5f29\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-61825d31\" data-id=\"61825d31\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5218aa4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5218aa4\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7c4fea1\" data-id=\"7c4fea1\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26aaabaa elementor-widget elementor-widget-image\" data-id=\"26aaabaa\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/istanbulbariatrics.com.tr\/wp-content\/uploads\/2022\/10\/bedoctor-icon4.svg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf1a2e8 elementor-widget elementor-widget-text-editor\" data-id=\"cf1a2e8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Ameliyat<\/strong>, size tek ba\u015f\u0131n\u0131za ba\u015faramayaca\u011f\u0131n\u0131z kilo hedefinize ula\u015fmaya yard\u0131m ediyor.<\/p><p>Bu ba\u015far\u0131y\u0131, sa\u011fl\u0131kl\u0131 bir \u015fekilde s\u00fcrd\u00fcrebilmenizde <strong><em>profesyonel ekibimiz<\/em><\/strong>, size <strong>\u00f6m\u00fcr boyu destek<\/strong> sunuyor.<\/p><p>Amac\u0131m\u0131z; sizi her daim sa\u011fl\u0131kl\u0131, <strong>mutlu<\/strong> ve <strong>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":"<p>T\u00fcp Mide Ameliyat\u0131 Sonras\u0131 Neler Yap\u0131lmal\u0131d\u0131r? Obezite hastalar\u0131 i\u00e7in i\u015f ameliyat olmakla bitmez ve bir anlamda yeni ba\u015flar ! Ama\u00e7 uzun d\u00f6nem ba\u015far\u0131 oldu\u011fundan, bu yeni<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":479,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-541","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/541","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=541"}],"version-history":[{"count":0,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/541\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=\/wp\/v2\/pages\/479"}],"wp:attachment":[{"href":"https:\/\/mehmetaliyerdel.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}