﻿{"id":141670,"date":"2015-11-16T12:01:13","date_gmt":"2015-11-16T10:01:13","guid":{"rendered":"http:\/\/www.erzurumflas.com\/cagimizin-hastaligi-obezite\/"},"modified":"2015-11-16T12:01:15","modified_gmt":"2015-11-16T10:01:15","slug":"cagimizin-hastaligi-obezite","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=141670","title":{"rendered":"\u00c7a\u011f\u0131m\u0131z\u0131n Hastal\u0131\u011f\u0131: Obezite"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/11\/cagimizin-hastaligi-obezite_7733ec2.jpg\" width=\"600\">A\u015f\u0131r\u0131 \u015fi\u015fmanl\u0131k ya da obezite \u00e7a\u011f\u0131m\u0131z\u0131n en sinsi ve en tehlikeli kronik hastal\u0131\u011f\u0131.<\/p>\n<p>Obezite ve Genel Cerrahi Uzman\u0131 Do\u00e7.Dr.Osman Y\u0131ld\u0131r\u0131m, obezitenin tehlikelerini, tedavisini ve hangi hastalara obezite cerrahisini \u00f6nerdiklerini t\u00fcm detaylar\u0131 ile a\u00e7\u0131klad\u0131.<\/p>\n<p>Obezite ve Genel Cerrahi Uzman\u0131 Do\u00e7.Dr. Osman Y\u0131ld\u0131r\u0131m, D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn (WHO) obeziteyi \u2018V\u00fccutta hastal\u0131klara neden olacak bi\u00e7im ve oranda anormal, fazla miktarda ya\u011f birikmesi\u2019  olarak&#8221; tan\u0131mlad\u0131\u011f\u0131n\u0131 belirterek, &#8220;Morbid Obeziteyi ise ortaya \u00e7\u0131kard\u0131\u011f\u0131 \u00f6l\u00fcmc\u00fcl sorunlar nedeniyle, ya\u015fam\u0131 ciddi olarak tehdit eden ileri derecede \u015fi\u015fmanl\u0131k olarak tan\u0131mlad\u0131 ve V\u00fccut Kitle \u0130ndeksi (VK\u0130) 40\u2019\u0131n \u00fcst\u00fcnde olanlar morbid obez olarak kabul edilir. v\u00fccutta ya\u011f oran\u0131 ortalama olarak kad\u0131nlarda y\u00fczde 25-30, erkeklerde ise y\u00fczde 15-20 olmal\u0131d\u0131r&#8221; dedi.<\/p>\n<p>Osman Y\u0131ld\u0131r\u0131m, obezitenin v\u00fccudun t\u00fcm sistemlerinde bozuklu\u011fa yol a\u00e7t\u0131\u011f\u0131n\u0131 ve uzmanlar\u0131n obez ki\u015filerin ya\u015f\u0131tlar\u0131na g\u00f6re 12-15 y\u0131l daha az ya\u015fad\u0131\u011f\u0131n\u0131 ifade ederek, obezitenin, Tip 2 Diabetes Mellitus (\u015eeker hastal\u0131\u011f\u0131), hipertansiyon, kalp ve damar hastal\u0131klar\u0131, ya\u011f metabolizmas\u0131 bozukluklar\u0131, uyku apnesi, refl\u00fc, cinsel bozukluklar, kemik ve eklem sorunlar\u0131, solunum sistemi bozukluklar\u0131 gibi bir\u00e7ok hastal\u0131\u011fa neden oldu\u011funu da belirtti. &#8220;Obez hastalar\u0131n d\u0131\u015f g\u00f6r\u00fcn\u00fcmleri bozuldu\u011fu i\u00e7in bu hastalar\u0131n sosyal ya\u015fam ve ruh sa\u011fl\u0131\u011f\u0131 da bozulmakta, depresyon gibi bir\u00e7ok sorunlar ortaya \u00e7\u0131kmaktad\u0131r&#8221; diyen Dr.Y\u0131ld\u0131r\u0131m, obez hastalarda meme ve kal\u0131n barsak kanserleri gibi baz\u0131 kanser t\u00fcrlerinin daha \u00e7ok g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc de s\u00f6zlerine ekledi.<\/p>\n<p>OBEZ\u0130TE TEDAV\u0130S\u0130 NASIL OLMALIDIR?<\/p>\n<p>Dr. Y\u0131ld\u0131r\u0131m, obezite tedavisinde diyet, egzersiz, ila\u00e7 tedavisi ve cerrahi tedavi se\u00e7enekleri gibi se\u00e7enekler oldu\u011funu belirterek, tedavide diyet ve egzersizin b\u00fcy\u00fck rol\u00fc oldu\u011funu da s\u00f6zlerine ekledi. Dr.Y\u0131ld\u0131r\u0131m, \u201c\u00d6ncelikle hastalar ya\u015fam tarz\u0131n\u0131 de\u011fi\u015ftirmelidir. Hastalar iyi bir beslenme e\u011fitimi almal\u0131, bu konudaki yanl\u0131\u015flar\u0131 \u00f6\u011frenmelidir. Egzersiz mutlaka hayat\u0131n i\u00e7inde yer almal\u0131d\u0131r diye tavsiyelerde bulundu\u201d. T\u00fcm bunlar yetersiz kald\u0131\u011f\u0131nda belli grup hastalarda ila\u00e7lar denenebilir diyen Dr.Y\u0131ld\u0131r\u0131m, \u201cAncak bunlar\u0131n da \u00e7o\u011funun ciddi yan etkileri tespit edilmi\u015f olup, g\u00fcn\u00fcm\u00fczde hala \u00e7ok etkili, yan etkisi az bir ila\u00e7 yoktur. Yap\u0131lan \u00e7al\u0131\u015fmalar g\u00f6stermi\u015ftir ki morbid obezite tedavisinde cerrahi d\u0131\u015f\u0131 y\u00f6ntemlerle kal\u0131c\u0131 kilo verme oran\u0131 y\u00fczde 2 civar\u0131ndad\u0131r. G\u00fcn\u00fcm\u00fczde morbid obezitenin kal\u0131c\u0131 ve etkin tedavisi cerrahidir\u201d dedi. Obezite tedavisi tamamen bir ekip i\u015fidir diyen Dr.Y\u0131ld\u0131r\u0131m, endokrinoloji, genel cerrahi, psikiyatri, beslenme ve diyet  uzmanlar\u0131ndan olu\u015fan bir ekip hastay\u0131 de\u011ferlendirmeli, tedavi y\u00f6ntemini belirlemelidir\u201d dedi.<\/p>\n<p>HANG\u0130 OBEZ HASTALARA CERRAH\u0130 TEDAV\u0130 \u00d6NER\u0130L\u0130R?<\/p>\n<p>Dr.Y\u0131ld\u0131r\u0131m, \u201cV\u00fccut Kitle \u0130ndeksi (VK\u0130)= 40 kg \/m2 ve \u00fczeri olan morbid obez hastalarda ek bir yanda\u015f hastal\u0131k olmasa bile ve V\u00fccut Kitle \u0130ndeksi (VK\u0130) =35-40 kg\/m2 aras\u0131ndaki obez hastalarda hipertansiyon, kalp ve damar hastal\u0131klar\u0131,  Tip 2 Diabetes Mellitus (\u015eeker hastal\u0131\u011f\u0131), hiperlipidemi, uyku apne sendromu vb. hastal\u0131klardan en az birinin varl\u0131\u011f\u0131nda cerrahi tedavi endikasyonu vard\u0131r\u201d dedi.<\/p>\n<p>Ameliyat ile her \u015feyin bitemedi\u011finin alt\u0131n\u0131 \u00e7izen Dr.Y\u0131ld\u0131r\u0131m \u201cAmeliyat hastaya b\u00fcy\u00fck bir \u015fans sunuyor. Hasta mutlaka kontrollerini yapt\u0131rmal\u0131, tavsiyelere uymal\u0131, yeni bir ya\u015fam tarz\u0131 benimsemelidir. Vitamin ve mineral takviyelerini unutmamal\u0131d\u0131r. Diyet ve spor hayat\u0131n bir par\u00e7as\u0131 olmal\u0131d\u0131r\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A\u015eIRI \u015e\u0130\u015eMANLIK YA DA OBEZ\u0130TE \u00c7A\u011eIMIZIN EN S\u0130NS\u0130 VE EN TEHL\u0130KEL\u0130 KRON\u0130K HASTALI\u011eI.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[26115,15732,8723],"class_list":["post-141670","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-cagimizin","tag-hastaligi","tag-obezite"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/141670","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=141670"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/141670\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=141670"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=141670"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=141670"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}