{"id":758,"date":"2019-03-13T15:32:11","date_gmt":"2019-03-13T11:32:11","guid":{"rendered":"http:\/\/modernhospital.az\/newsite\/?page_id=758"},"modified":"2023-10-08T15:26:38","modified_gmt":"2023-10-08T11:26:38","slug":"torokaldos-qefesi-cerrahiyye","status":"publish","type":"page","link":"https:\/\/modernhospital.az\/newsite\/bolumler\/cerrahi-bolumler\/torokaldos-qefesi-cerrahiyye\/","title":{"rendered":"Bariatrik c\u0259rrahiyy\u0259"},"content":{"rendered":"

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\n BAR\u0130ATR\u0130K C\u018fRRAH\u0130YY\u018f <\/div>[\/vc_column][\/vc_row][vc_row content_width=”grid”][vc_column width=”2\/3″ css=”.vc_custom_1566050423240{padding-top: 50px !important;}”]\n
\n \u00dcmumi M\u0259lumat <\/div>[vc_empty_space height=”10px”][vc_column_text]M\u0259d\u0259 Ki\u00e7iltm\u0259 \u018fm\u0259liyyat\u0131 n\u0259dir? N\u0259 zamandan t\u0259tbiq edilir?<\/strong><\/p>\n

G\u00fcn\u00fcm\u00fczd\u0259 art\u0131q\u00e7\u0259kililik probleminin artmas\u0131 il\u0259 yana\u015f\u0131 \u00e7ox t\u0259tbiq olunan c\u0259rrahi \u0259m\u0259liyyatlardan biri d\u0259 bariatrik \u0259m\u0259liyyatlard\u0131r. Laporoskopik olaraq, y\u0259ni qapal\u0131 \u0259m\u0259liyyat \u00fcsulu il\u0259 m\u0259d\u0259nin t\u0259xmin\u0259n 70-80%-i g\u00f6t\u00fcr\u00fcl\u0259r\u0259k, m\u0259d\u0259nin h\u0259cmi \u00f6n\u0259mli miqdarda ki\u00e7ildilir. H\u0259m\u00e7inin m\u0259d\u0259ki\u00e7ilm\u0259 \u0259m\u0259liyyat\u0131 zaman\u0131 acl\u0131q hissi yaradan hormonlar da azalm\u0131\u015f olur. N\u0259tic\u0259d\u0259 i\u015ftaha birba\u015fa t\u0259sir ed\u0259n \u0259m\u0259liyyat, daha az qida q\u0259bulunun t\u0259min olunmas\u0131na imkan yarad\u0131r. \u018flav\u0259 olaraq qeyd etm\u0259liyik ki, \u0259m\u0259liyyat sonras\u0131 h\u0259tta ciddi \u00e7\u0259ki itirilm\u0259mi\u015f bel\u0259 pasiyentl\u0259rd\u0259 insulin dir\u0259nci q\u0131r\u0131lm\u0131\u015f olur. N\u0259tic\u0259d\u0259 \u015f\u0259k\u0259rli diabetd\u0259n \u0259ziyy\u0259t \u00e7\u0259k\u0259n pasiyentl\u0259rd\u0259 insulin t\u0259nziml\u0259nmi\u015f olur.<\/p>\n

M\u0259d\u0259 ki\u00e7iltm\u0259 \u0259m\u0259liyyat\u0131 d\u00fcnyada ilk d\u0259f\u0259 1988-ci ild\u0259 edilib. Haz\u0131rda\u00a0b\u00fct\u00fcn d\u00fcnyada \u00e7ox geni\u015f yay\u0131l\u0131b. Az\u0259rbaycanda is\u0259 10 ild\u0259n \u00e7oxdur, h\u0259yata ke\u00e7irilir.<\/p>\n

M\u0259d\u0259 Ki\u00e7iltm\u0259 \u018fm\u0259liyyat\u0131 N\u0259 q\u0259d\u0259r \u00e7\u0259kir?<\/strong><\/p>\n

M\u0259d\u0259ki\u00e7iltm\u0259 \u0259m\u0259liyyat\u0131 t\u0259xmin\u0259n 1-2 saat aral\u0131\u011f\u0131nda \u00e7\u0259kir. M\u0259d\u0259nin \u00e7\u0131x\u0131\u015f v\u0259 giri\u015f b\u00f6l\u00fcm\u00fc qorundu\u011fu \u00fc\u00e7\u00fcn h\u0259zm sistemind\u0259ki h\u0259r hans\u0131 bir l\u0259ngim\u0259y\u0259 s\u0259b\u0259b olmur, \u00fcmumiyy\u0259tl\u0259 is\u0259 riskl\u0259ri v\u0259 yan t\u0259sirl\u0259ri \u00e7ox a\u015fa\u011f\u0131 d\u0259r\u0259c\u0259d\u0259dir.<\/p>\n

M\u0259d\u0259 Ki\u00e7itm\u0259 \u018fm\u0259liyyat\u0131 N\u00f6vl\u0259ri v\u0259 \u018fn \u00c7ox M\u00fcraci\u0259t Olunan M\u0259d\u0259 Ki\u00e7iltm\u0259 \u018fm\u0259liyyat\u0131 N\u00f6v\u00fc?<\/strong><\/p>\n

    \n
  • M\u0259d\u0259ki\u00e7iltm\u0259 \u0259m\u0259liyyat\u0131n\u0131n bir ne\u00e7\u0259 n\u00f6v\u00fc var:<\/li>\n
  • M\u0259d\u0259 \u015euntlama (Gastric bypass)<\/li>\n
  • M\u0259d\u0259nin boruvari rezeksiyas\u0131 (Sleeve gastrectomy)<\/li>\n
  • Mini Qastrik Bypass<\/li>\n
  • M\u0259d\u0259 balonu(Endo Gast)<\/li>\n
  • M\u0259d\u0259 botoxu<\/li>\n<\/ul>\n

    G\u00fcn\u00fcm\u00fczd\u0259 \u0259n \u00e7ox m\u00fcraci\u0259t olunan m\u0259d\u0259ki\u00e7iltm\u0259 \u0259m\u0259liyyat\u0131 n\u00f6v\u00fc Sleeve Qastrektomiyad\u0131r. 20 il\u0259 yax\u0131nd\u0131r t\u0259tbiq edil\u0259n bu n\u00f6v, m\u00fct\u0259x\u0259ssisl\u0259r t\u0259r\u0259find\u0259n daha effektiv, daha az risk qruplu \u0259m\u0259liyyat n\u00f6v\u00fc hesab edilir.<\/p>\n

    Daha uzun zamand\u0131r t\u0259tbiq olunan, haz\u0131rda daha az m\u00fcraci\u0259t olunan bir dig\u0259r n\u00f6v Qastrik Bypass \u0259m\u0259liyyat\u0131d\u0131r. Haz\u0131rda Qastrik Bypass \u0259m\u0259liyyat\u0131na sad\u0259c\u0259 x\u00fcsusi hallarda m\u00fcraci\u0259t olunur. Bu \u0259m\u0259liyyat n\u00f6v\u00fc daha \u00e7ox B\u0259d\u0259n K\u00fctl\u0259 \u0130ndeksi h\u0259ddind\u0259n art\u0131q olan, Tip2 diabet x\u0259st\u0259l\u0259rin\u0259 v\u0259 h\u0259m\u00e7inin ilkin olaraq Sleeve Qastrektomiya \u0259m\u0259liyyat\u0131 t\u0259tbiq olunub u\u011fur qazan\u0131lmam\u0131\u015f v\u0259ya ar\u0131qlad\u0131qdan sonra yenid\u0259n k\u00f6k\u0259lmi\u015f pasiyentl\u0259rd\u0259 t\u0259tbiq olunur.<\/p>\n

    M\u0259d\u0259 balonu qoyulan x\u0259st\u0259l\u0259rd\u0259 \u0259n \u00e7ox qar\u015f\u0131la\u015f\u0131lan problem qusma v\u0259 a\u011fr\u0131d\u0131r. \u0130lk adaptasiya zaman\u0131 (2 h\u0259ft\u0259y\u0259 q\u0259d\u0259r uzanmaqla b\u0259rab\u0259r 3-5 g\u00fcn \u0259rzind\u0259 \u015fikay\u0259tl\u0259r azal\u0131r) g\u00f6r\u00fcl\u0259n bu c\u00fcr probleml\u0259r nizamlana bil\u0259n m\u0259d\u0259 protezind\u0259 g\u00f6r\u00fclm\u00fcr. A\u011f\u0131rl\u0131\u011f\u0131 7 qr. oldu\u011fu \u00fc\u00e7\u00fcn \u015fikay\u0259t\u0259 s\u0259b\u0259b olmur. Endoskopla tax\u0131l\u0131r v\u0259 \u00e7\u0131xard\u0131l\u0131r. G\u00fcn\u00fcm\u00fczd\u0259 son ill\u0259rd\u0259 dem\u0259k ki, daimi olaraq istifad\u0259 olunmur.<\/p>\n

    M\u0259d\u0259 Ki\u00e7iltm\u0259 \u018fm\u0259liyyat\u0131 Ne\u00e7\u0259 Ya\u015fda Edil\u0259 Bil\u0259r?<\/strong><\/p>\n

    M\u0259d\u0259 ki\u00e7iltm\u0259 \u0259m\u0259liyyat\u0131 18-65 ya\u015f aral\u0131\u011f\u0131ndak\u0131 \u0259m\u0259liyyat g\u00f6st\u0259ri\u015fl\u0259rin\u0259 uygun g\u0259l\u0259n h\u0259rk\u0259s\u0259 t\u0259tbiq oluna bil\u0259r. D\u00fcnya S\u0259hiyy\u0259 T\u0259\u015fkilat\u0131n\u0131n(WHO) bunun \u00fc\u00e7\u00fcn \u0259n \u0259sas g\u00f6st\u0259ri\u015f B\u0259d\u0259n K\u00fctl\u0259 \u0130ndeksinin(BK\u0130) 35 \u00fcz\u0259rind\u0259 olmas\u0131n\u0131 g\u00f6st\u0259rir.<\/p>\n

    M\u0259d\u0259 Ki\u00e7iltm\u0259 \u018fm\u0259liyyat\u0131ndan Sonra N\u0259 Q\u0259d\u0259r \u00c7\u0259ki itirilir?<\/strong><\/p>\n

    \u0130tiril\u0259c\u0259k \u00e7\u0259ki dieta v\u0259 qidalanmaya nec\u0259 riya\u0259t edilm\u0259yind\u0259n v\u0259 fiziki m\u0259\u015f\u011f\u0259l\u0259l\u0259rd\u0259n as\u0131l\u0131 olaraq d\u0259yi\u015fir. Ortalama olaraq pasiyentl\u0259r 65-70% \u00e7\u0259kil\u0259rini 1 il \u0259rzind\u0259 izl\u0259m\u0259l\u0259rimizl\u0259 itirdikl\u0259ri m\u00fc\u015fahid\u0259 olunur. X\u0259st\u0259l\u0259rin 80-85% qismi ist\u0259dikl\u0259ri ideal \u00e7\u0259kiy\u0259 \u00e7atma\u011f\u0131 bacar\u0131r v\u0259 10-14 il sonra bel\u0259 \u00e7\u0259kil\u0259rinin 50-60% daimi itirlim\u0259si m\u00fc\u015fahid\u0259 olunur.<\/p>\n

    M\u0259d\u0259 Ki\u00e7iltm\u0259 \u018fm\u0259liyyat\u0131ndan Sonra Qidalanma?<\/strong><\/p>\n

    M\u0259qs\u0259d \u0259m\u0259liyyatdan \u0259vv\u0259l oldu\u011fu kimi yem\u0259k yem\u0259kdirs\u0259, bariatriya bunun \u00fc\u00e7\u00fcn \u00e7ar\u0259 deyildir. H\u0259m \u00e7ox kalorili yem\u0259k yem\u0259k, h\u0259m d\u0259 bununla b\u0259rab\u0259r \u00e7\u0259ki atmaq ist\u0259nilirs\u0259, bunun olmas\u0131 m\u00fcmk\u00fcn deyil. Ona g\u00f6r\u0259 d\u0259 \u201cN\u0259 q\u0259d\u0259r \u00e7ox yem\u0259k yey\u0259 bil\u0259r\u0259m deyil d\u0259, n\u0259 q\u0259d\u0259r \u00e7ox ar\u0131qlaya bil\u0259r\u0259m\u201d fikri \u00fcst\u00fcnd\u0259 adaptasiya olmaq g\u0259r\u0259klidir. Bariatriyan\u0131n is\u0259 biz\u0259 qazand\u0131rd\u0131\u011f\u0131 yey\u0259bil\u0259c\u0259yimiz qida porsiyalar\u0131n\u0131 g\u00f6zl\u0259 g\u00f6r\u00fcl\u0259n \u015f\u0259kild\u0259 ki\u00e7iltm\u0259kdir ki, \u0259ld\u0259 olunan n\u0259tic\u0259 d\u0259 valehedici olacaqd\u0131r.<\/p>\n

    Bariatrik \u018fm\u0259liyyat(M\u0259d\u0259 Ki\u00e7iltm\u0259 \u018fm\u0259liyyat\u0131) risklidirmi?<\/strong><\/p>\n

    H\u0259r bir c\u0259rrahi \u0259m\u0259liyyatda oldu\u011fu kimi burada da riskl\u0259r m\u00fcmk\u00fcnd\u00fcr. Ancaq m\u00f6vcud v\u0259ziyy\u0259td\u0259 piyl\u0259nm\u0259nin meydana \u00e7\u0131xartd\u0131\u011f\u0131 probleml\u0259r \u0259m\u0259liyyatdan daha risklidir. Bel\u0259 insanlar \u0259m\u0259liyyat olunmazsa \u00f6m\u00fcrl\u0259rini 10-15 il daha q\u0131saltm\u0131\u015f olurlar. \u00c7\u00fcnki piyl\u0259nm\u0259 \u00f6z\u00fc \u00f6l\u00fcmc\u00fcl bir x\u0259st\u0259lik hesab edilir. Bel\u0259likl\u0259 0,4%-lik bir risk son d\u0259r\u0259c\u0259 q\u0259bul edil\u0259n bir g\u00f6st\u0259ricidir ki, bu da appendisit \u0259m\u0259liyyat\u0131nda olan riskl\u0259rd\u0259n daha azd\u0131r.<\/p>\n

    M\u0259d\u0259 Ki\u00e7iltm\u0259 \u018fm\u0259liyyat\u0131ndan \u018fvv\u0259l Hans\u0131 M\u00fcayin\u0259l\u0259r Apar\u0131l\u0131r?<\/strong><\/p>\n

    \u0130lk olaraq h\u0259r c\u0259rrahi \u0259m\u0259liyyat zaman\u0131 art\u0131q standart hesab olunan laborator analizl\u0259r: qan\u0131n \u00fcmumi v\u0259 biokimy\u0259vi analizl\u0259ri, sidik analizi, infeksion testl\u0259r <\/em>t\u0259tbiq olunur. \u018flav\u0259 olaraq qan \u015f\u0259k\u0259ri, tireoid testl\u0259r<\/em> apar\u0131l\u0131r. A\u011fciy\u0259rin rentgeni v\u0259 EKQ \u00e7\u0259kilir<\/em>. Qaraciy\u0259rin v\u0259ziyy\u0259tini m\u00fc\u0259yy\u0259nl\u0259\u015fdirm\u0259k, \u00f6d kis\u0259sind\u0259 da\u015f\u0131n olub-olmama\u011f\u0131n\u0131, h\u0259r hans\u0131 daralma v\u0259 ya qar\u0131n bo\u015flu\u011funda patoloji prosesin olmas\u0131n\u0131 m\u00fc\u0259yy\u0259nl\u0259\u015fdirm\u0259k \u00fc\u00e7\u00fcn USM m\u00fcayin\u0259si<\/em> ke\u00e7irilir. Dig\u0259r h\u0259kim konsultasiyalar\u0131 ke\u00e7irilir v\u0259 ehtiyac olduqda ixtisasl\u0131 h\u0259kiml\u0259rin t\u0259yinat\u0131 il\u0259 \u0259lav\u0259 m\u00fcayin\u0259l\u0259r icra olunur.<\/p>\n

    Bariatrik \u018fm\u0259liyyatdan Sonra Diabetd\u0259n Qurtulmaq M\u00fcmk\u00fcnd\u00fcrm\u00fc?<\/strong><\/p>\n

    B\u0259li, II tip \u015f\u0259k\u0259rli diabet c\u0259rrahi olaraq sa\u011fala bilir. Diabetik x\u0259st\u0259l\u0259rin 80% hiss\u0259si piyl\u0259nm\u0259d\u0259n \u0259ziyy\u0259t \u00e7\u0259k\u0259n insanlard\u0131r v\u0259 bariatrik c\u0259rrahiyy\u0259 75-100% hallarda bel\u0259 x\u0259st\u0259l\u0259rd\u0259 normal qan \u015f\u0259k\u0259rini d\u00fcz\u0259ldir. Burada \u0259sas m\u0259s\u0259l\u0259 sad\u0259c\u0259 \u00e7\u0259ki itkisi deyil, oqranizmin insulin\u0259 h\u0259ssasl\u0131\u011f\u0131n\u0131n artmas\u0131 il\u0259 ba\u011fl\u0131d\u0131r.<\/p>\n

    Bariatrik C\u0259rrahiyy\u0259nin N\u0259tic\u0259l\u0259ri Qal\u0131c\u0131d\u0131rm\u0131?<\/strong><\/p>\n

    T\u0259tbiq edil\u0259n Sleeve Qastrektomiya v\u0259 Gastric Bypass \u0259m\u0259liyyatlar\u0131 geri d\u00f6nm\u0259z \u0259m\u0259liyyatlard\u0131r. \u018fslind\u0259 \u00e7ox effektli \u0259m\u0259liyyatlar olsa da Gastric Bypass n\u0259tic\u0259l\u0259ri geri d\u00f6n\u0259 bil\u0259r, burada t\u0259siredici m\u00fc\u0259yy\u0259n faktlar vard\u0131r. Bel\u0259 ki, \u0259m\u0259liyyatdan sonra yen\u0259 b\u00f6y\u00fck miqdarda yem\u0259kl\u0259r yeyilm\u0259si davam ed\u0259rs\u0259, t\u0259yin olunmu\u015f qida rasionuna \u0259m\u0259l edilm\u0259zs\u0259 v\u0259 ya hans\u0131sa bir irsi probleml\u0259r m\u00fc\u015fahid\u0259 olunarsa, ist\u0259nm\u0259y\u0259n n\u0259tic\u0259l\u0259r\u0259 qay\u0131d\u0131la bil\u0259r. Buna g\u00f6r\u0259 d\u0259 bariatriyaya \u00e7ox yem\u0259k yey\u0259r\u0259k \u00e7\u0259ki itirm\u0259k kimi baxmaq deyil, ar\u0131qlamaqda siz\u0259 yard\u0131m\u00e7\u0131 olan dost kimi baxmaq g\u0259r\u0259kdir.<\/p>\n

    Bariatrik C\u0259rrahiy\u0259 \u0130l\u0259 Ar\u0131qlad\u0131qdan Sonra D\u0259rid\u0259 Sallanmalar Olacaqm\u0131?<\/strong><\/p>\n

    \u018fg\u0259r \u00e7ox b\u00f6y\u00fck bir miqdarda \u00e7\u0259ki itiririks\u0259, piy qat\u0131 bo\u015falm\u0131\u015f d\u0259rimizd\u0259 ciddi sallanmalara rast g\u0259lin\u0259 bil\u0259r. Bunun \u00fc\u00e7\u00fcn sallanmalar\u0131n aradan qald\u0131r\u0131lmas\u0131 il\u0259 ba\u011fl\u0131 estetik m\u00fcdaxil\u0259 t\u0259l\u0259b oluna bil\u0259r.<\/p>\n

    Bariatrik C\u0259rrahiyy\u0259 \u018fm\u0259liyyat\u0131ndan Sonra \u0130dman Vacibdirmi?<\/strong><\/p>\n

    M\u0259d\u0259ki\u00e7iltm\u0259 \u0259m\u0259liyyat\u0131 sonras\u0131nda ar\u0131qlamaqa m\u00fcsb\u0259t t\u0259sir ed\u0259c\u0259k, d\u0259rid\u0259ki sallanmalar\u0131n m\u00fc\u0259yy\u0259n d\u0259r\u0259c\u0259 qar\u015f\u0131s\u0131n\u0131 alacaq, qan d\u00f6vran\u0131n\u0131 s\u00fcr\u0259tl\u0259ndir\u0259c\u0259k faktorlardan olan idman \u00e7ox effektiv hesab olunur. Ama m\u00fct\u0259x\u0259ssisl\u0259r idman\u0131n \u0259m\u0259liyyatdan min 3 ay sonra b\u0259rpa olunmas\u0131n\u0131 uygun g\u00f6r\u00fcr.<\/p>\n

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