﻿{"id":181987,"date":"2015-12-06T10:24:26","date_gmt":"2015-12-06T08:24:26","guid":{"rendered":"http:\/\/www.erzurumflas.com\/obezite-tedavisinde-her-sey-cerrahiden-sonra-basliyor\/"},"modified":"2015-12-06T10:24:29","modified_gmt":"2015-12-06T08:24:29","slug":"obezite-tedavisinde-her-sey-cerrahiden-sonra-basliyor","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=181987","title":{"rendered":"Obezite Tedavisinde Her \u015eey Cerrahiden Sonra Ba\u015fl\u0131yor"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/obezite-tedavisinde-her-sey-cerrahiden-sonra-basliyor_6947467.jpg\" width=\"600\">Fazla kilolar\u0131ndan kurtulmak i\u00e7in, diyet ve sporu deneyen obezite hastalar\u0131ndan sadece y\u00fczde 5\u2019inin kal\u0131c\u0131 bir sonuca ula\u015fabildi\u011fi belirtildi. K\u0131rklareli L\u00fcleburgaz \u00d6zel Balkan Hastanesi Genel Cerrahi Uzman\u0131 Op. Dr. Mehmet Akg\u00fcn Tepeli, kal\u0131c\u0131 kilo vermek i\u00e7in her yolu deneyen ve sonu\u00e7ta cerrahide karar k\u0131lanlar\u0131n ise diyetisyen kontroll\u00fc disiplinli bir programla amac\u0131na ula\u015fabildiklerini s\u00f6yledi.<\/p>\n<p>Op. Dr. Mehmet Akg\u00fcn Tepeli, \u015fi\u015fmanl\u0131k g\u00f6r\u00fcnt\u00fcs\u00fcyle ki\u015finin ya\u015fam kalitesini d\u00fc\u015f\u00fcrmesinin yan\u0131 s\u0131ra kalp ve damar hastal\u0131klar\u0131ndan, diyabete, ast\u0131mdan hipertansiyona kadar ciddi rahats\u0131zl\u0131klara yol a\u00e7an obezitenin cerrahi tedavisindeki ba\u015far\u0131 kriterlerini anlatt\u0131. \u201cObezitenin tedavi se\u00e7enekleri aras\u0131nda yer alan cerrahi, do\u011fru hastaya do\u011fru y\u00f6ntemle uyguland\u0131\u011f\u0131 zaman ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nmas\u0131n\u0131 sa\u011flar\u201d diyen Genel Cerrahi ve Obezite Cerrahisi Uzman\u0131 Op. Dr. Mehmet Akg\u00fcn Tepeli, operasyon sonras\u0131 hasta takibinin ve diyetisyen deste\u011finin \u00f6nemine dikkat \u00e7ekti.<\/p>\n<p>&#8220;HER \u015eEY CERRAH\u0130DEN SONRA BA\u015eLIYOR&#8221;<\/p>\n<p>Cerrahi operasyon sonras\u0131, sa\u011fl\u0131k ekibinin yeterli deneyimden yoksun olmas\u0131 ve hasta takibinde s\u0131k\u0131 ili\u015fkileri devam ettirmemesinin olu\u015fturaca\u011f\u0131 sak\u0131ncalara dikkat \u00e7eken Op. Dr. Tepeli, \u201cHer \u015fey asl\u0131nda cerrahiden sonra ba\u015fl\u0131yor. Uygun hastaya, uygun cerrahi prosed\u00fcrlerin se\u00e7ildi\u011fi ve do\u011fru teknik uygulaman\u0131n yap\u0131ld\u0131\u011f\u0131n\u0131 varsayd\u0131\u011f\u0131m\u0131zda; sorun \u00e7\u00f6z\u00fcmlenmi\u015f gibi g\u00f6r\u00fcnse de, her \u015fey burada ba\u015fl\u0131yor. Genellikle hastalar ameliyat sonras\u0131 komplikasyon risklerinin y\u00fcksek oldu\u011fu ilk iki hafta daha yak\u0131n izlenmekte sonras\u0131nda \u20183 beyazdan uzak durulmal\u0131\u2019 tarz\u0131nda \u00fcst\u00fcnk\u00f6r\u00fc \u00f6nerilerle hastaya veda edilmektedir. Hekimle hasta aras\u0131ndaki ili\u015fki operasyondan sonra  ge\u00e7en zamanda azalmaktad\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n<p>&#8220;\u0130L\u0130\u015eK\u0130 AZALINCA SORUN DA BA\u015eLIYOR&#8221;<\/p>\n<p>Op. Dr. Tepeli, cerrahi hasta ile hekim aras\u0131nda azalan ili\u015fkilerin yol a\u00e7aca\u011f\u0131 sorunlar\u0131 anlat\u0131rken de, \u201cOperasyon sonras\u0131, ekip \u00e7al\u0131\u015fmas\u0131 konusunda ba\u015f g\u00f6steren isteksizlik, obezite cerrahisinde deneyimli diyetisyen yard\u0131m\u0131n\u0131n al\u0131nmay\u0131\u015f\u0131 gibi etkenler ba\u015far\u0131 \u015fans\u0131n\u0131 azalt\u0131yor.  Bu vak\u0131alarda, hekim ve diyetisyenlerin hastalarla yeterli ileti\u015fim sa\u011flanmad\u0131\u011f\u0131ndan; cerrahi ile k\u00fc\u00e7\u00fclm\u00fc\u015f olan mide yava\u015f yava\u015f a\u015f\u0131r\u0131 ve tatl\u0131 yeme tacizlerine dayanamay\u0131p 12. ay sonras\u0131nda bu sava\u015f\u0131 kaybetmeye ve yeniden kilo alma d\u00f6nemine ba\u015fl\u0131yor\u201d dedi.<\/p>\n<p>&#8220;ZAYIFLIK KORUNAB\u0130L\u0130R OLMALI&#8221;<\/p>\n<p>K\u0131rklareli L\u00fcleburgaz \u00d6zel Balkan Hastanesi Genel Cerrahi ve Obezite Cerrahisi Uzman\u0131 Op. Dr. Mehmet Akg\u00fcn Tepeli , obezite cerrahisi sonras\u0131, zay\u0131flaman\u0131n de\u011fil, zay\u0131f kalman\u0131n \u00f6nemli oldu\u011funu vurgulad\u0131. Cerrahi sonras\u0131 diyetisyen deste\u011fi al\u0131nmas\u0131n\u0131n kesinlikle unutulmamas\u0131 ve atlanmamas\u0131 gereken bir etken oldu\u011funu bildiren Op. Dr. Mehmet Akg\u00fcn Tepeli, \u201cOperasyon sonras\u0131 k\u00fc\u00e7\u00fclen midenin mevcut durumunu korumak i\u00e7in en ba\u015fta hasta, cerrah ve diyetisyen, iyi bir ekip olu\u015fturmal\u0131. Sa\u011flanan zay\u0131fl\u0131\u011f\u0131n, kal\u0131c\u0131 olmas\u0131 sa\u011flanmal\u0131. Bir kere kilo verilmi\u015f olmas\u0131 de\u011fil, bu tablonun devaml\u0131l\u0131\u011f\u0131n\u0131 koruyacak davran\u0131\u015flar \u00f6\u011fretilmeli.  Sa\u011fl\u0131kl\u0131 beslenme, hem \u00f6\u011frenilmeli hem de kal\u0131c\u0131l\u0131\u011f\u0131 sa\u011flanmal\u0131\u201d diye konu\u015ftu.<\/p>\n<p>&#8220;CERRAH, HASTAYI TAK\u0130P ETT\u0130\u011e\u0130N\u0130 H\u0130SSETT\u0130RMEL\u0130&#8221;<\/p>\n<p>Op. Dr. Tepeli, \u201cUnutulmamas\u0131 gereken nokta bizlerin yani cerrahi uygulamay\u0131 yapanlar\u0131n, hastalar\u0131m\u0131z \u00fczerindeki etkisi daha fazla oldu\u011fudur. Her ne kadar s\u00fcrekli ve d\u00fczenli diyetisyen deste\u011fi al\u0131nsa da cerrah da, s\u0131k ve d\u00fczenli ileti\u015fim kurarak hastaya, kendisini takip edildi\u011fini hissettirmelidir.  Buradaki \u00f6\u011frenci-\u00f6\u011fretmen ili\u015fkisini baz alarak diyetisyen ile hasta daha s\u0131k ileti\u015fim kurmal\u0131d\u0131r. Ekip \u00e7al\u0131\u015fmas\u0131nda, etkin ileti\u015fim ve en \u00f6nemlisi s\u0131k ileti\u015fim obezite cerrahisi sonras\u0131nda ba\u015far\u0131y\u0131 artt\u0131r\u0131r\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OP. DR. MEHMET AKG\u00dcN TEPEL\u0130, &#8220;ZAYIFLAMAK DE\u011e\u0130L, ZAYIF KALMAK \u00d6NEML\u0130&#8221; DED\u0130.<\/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":[4968,32781,12869,8723,14760,12820,19740],"class_list":["post-181987","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-basliyor","tag-cerrahiden","tag-her","tag-obezite","tag-sey","tag-sonra","tag-tedavisinde"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/181987","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=181987"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/181987\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=181987"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=181987"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=181987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}