{"id":1175,"date":"2017-07-13T11:31:52","date_gmt":"2017-07-13T08:31:52","guid":{"rendered":"https:\/\/halukunalp.com\/en\/\/?p=1175"},"modified":"2017-07-13T11:40:22","modified_gmt":"2017-07-13T08:40:22","slug":"transit-bipartisyon-ameliyati","status":"publish","type":"post","link":"https:\/\/halukunalp.com\/en\/transit-bipartisyon-ameliyati\/","title":{"rendered":"Transit Bipartisyon Ameliyat\u0131"},"content":{"rendered":"
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Transit bipartisyon ameliyat\u0131 en k\u00fc\u00e7\u00fc\u011f\u00fc 0,5 cm, en b\u00fcy\u00fc\u011f\u00fc 2 cm\u2019lik be\u015f adet k\u00fc\u00e7\u00fck kesiler ile laparokopik (kapal\u0131) olarak ger\u00e7ekle\u015ftirilir.<\/span><\/p>\n

Kar\u0131n bo\u015flu\u011fu karbondioksit gaz\u0131 ile \u015fi\u015firilir ve\u00a0 yap\u0131lan bu k\u00fc\u00e7\u00fck kesilerden \u00f6zel aletler girilerek ameliyat ger\u00e7ekle\u015ftirilir.<\/span><\/p>\n

Ameliyatta \u00f6nce mide \u00e7\u0131k\u0131\u015f b\u00f6l\u00fcm\u00fcne 6-8 cm mesafeden ba\u015flanarak mide dik bir \u015fekilde t\u00fcp mide ameliyat\u0131na benzer \u015fekilde kesilir midenin yakla\u015f\u0131k %60-70\u2019lik b\u00f6l\u00fcm\u00fc \u00e7\u0131kar\u0131l\u0131r. Bu ameliyatta midede kalan mide hacmi t\u00fcp mide ameliyat\u0131nda b\u0131rak\u0131lan hacimden daha fazla oldu\u011fu i\u00e7in ameliyat sonras\u0131 \u2018ya\u015fam kalitesi\u2019 t\u00fcp mide ameliyat\u0131na g\u00f6re daha fazlad\u0131r. Ameliyatta ince ba\u011f\u0131rsak ile kal\u0131n ba\u011f\u0131rsak birle\u015fim yerinden itibaren geriye do\u011fru 100 cm ba\u011f\u0131rsak \u00f6l\u00e7\u00fcl\u00fcr ve buras\u0131 i\u015faretlenir. Buradan itibaren de 150 cm ba\u011f\u0131rsak say\u0131l\u0131r. Yani toplam 250. Cm den barsak ikiye ayr\u0131l\u0131r. Ayr\u0131lan bu barsa\u011f\u0131n alt ince ba\u011f\u0131rsak ucu, daha \u00f6nce k\u00fc\u00e7\u00fclt\u00fclm\u00fc\u015f midenin \u00e7\u0131k\u0131\u015f b\u00f6l\u00fcm\u00fcne yak\u0131n ba\u011flan\u0131r ve bir pencere a\u00e7\u0131l\u0131r. \u00a0250. Cm den kesilen ince barsa\u011f\u0131n \u00fcst ucu ise 100. Cm den i\u015faretlenen ba\u011f\u0131rsak b\u00f6l\u00fcm\u00fcne a\u011f\u0131zla\u015ft\u0131r\u0131l\u0131r.<\/span><\/p>\n

Bu i\u015flem sonras\u0131nda yenilen g\u0131dalar 2 farkl\u0131 yoldan ince barsa\u011fa ge\u00e7ebilir. Birinci yol midenin orijinal ve fizyolojik olan \u00e7\u0131k\u0131\u015f\u0131 ve 2. Yol ise bizim a\u00e7t\u0131\u011f\u0131m\u0131z yol.<\/span><\/p>\n

Kontrast madde verilerek yap\u0131lan \u00e7al\u0131\u015fmalarda g\u00f6sterilmi\u015ftir ki al\u0131nan g\u0131dalar\u0131n \u00fc\u00e7te biri normal eski yoldan, \u00fc\u00e7te ikisi yeni olu\u015fturulan yoldan (2,5 metrelik yeni yol) b\u00f6l\u00fcm\u00fcne gitmektedir. Bu 2,5 metrelik ince barsak b\u00f6l\u00fcm\u00fcne GLP-1 adl\u0131 hormon salg\u0131lan\u0131r<\/span><\/p>\n

G\u0131dalar bu ince barsak b\u00f6l\u00fcm\u00fcne geldiklerinde hemen GLP-1 adl\u0131 hormon salg\u0131lan\u0131r ve bu hormon pankreastan ins\u00fclin salg\u0131lanmas\u0131n\u0131 uyar\u0131r. Di\u011fer yandan \u00a0bu hormon dokulardaki ins\u00fclinin etkinli\u011fini de art\u0131rmaktad\u0131r. Yani bu hormonun etkisi ile pankreastan hem daha erken, hem daha fazla\u00a0 hormon sak\u0131nmas\u0131 sa\u011flan\u0131rken, ayn\u0131 zamanda dokularda daha etkili bir ins\u00fclin g\u00fcc\u00fc olu\u015fturulmu\u015f olur. B\u00f6ylece tip 2 \u015feker hastal\u0131\u011f\u0131nda %90-95 oran\u0131nda tam bir iyile\u015fme sa\u011flan\u0131r. Ne ins\u00fclin ne \u015feker ilac\u0131na gerek duyulmaz. Kan \u015fekeri normale d\u00f6ner. %5-10 hastan\u0131n \u00e7o\u011funda da ins\u00fclin kullan\u0131m\u0131na gerek kalmaz ve k\u00fc\u00e7\u00fck bir doz tablet kullanakla hasta desteklenir.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Bu ameliyat\u0131n avantajlar\u0131 \u015f\u00f6yle \u00f6zetlenebilir :<\/span><\/strong><\/p>\n

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  1. Geni\u015fletilmi\u015f bir t\u00fcp mide ameliyat\u0131 yaparak hastalar\u0131n mide \u00fcst k\u0131sm\u0131ndan salg\u0131lanan a\u00e7l\u0131k hormonu (Ghrelin) ortadan kald\u0131r\u0131lm\u0131\u015f olur. Hastalar genellikle hi\u00e7 a\u00e7l\u0131k \u00e7ekmezler.<\/span><\/li>\n
  2. Mide hacmi k\u00fc\u00e7\u00fclt\u00fcld\u00fc\u011f\u00fc i\u00e7in \u00e7ok \u00e7abuk doyarlar.<\/span><\/li>\n
  3. G\u0131dalar\u0131n 2\/3 \u00fc yeni yoldan gitti\u011fi i\u00e7in hastalar\u0131n g\u0131da emilimi d\u00fc\u015fer ve b\u00f6ylece y\u00fcksek kalori aksalar dahi sanki s\u00fcrekli ve kontroll\u00fc bir diyet i\u00e7indeymi\u015f gibi olurlar. Ancak diyetten fark\u0131 a\u00e7l\u0131k ve ona ba\u011fl\u0131 etkiler g\u00f6r\u00fclmez.<\/span><\/li>\n
  4. G\u0131dalar\u0131n 1\/3 \u00fc orijinal fizyolojik yoldan gitti\u011fi i\u00e7in, gastrik bypass vb ameliyatlardaki gibi \u00f6m\u00fcr boyu ila\u00e7 kullanmalar\u0131na, vitamin veya demir i\u011fneleri vurulmalar\u0131na gerek kalmaz. Ayl\u0131k kan tahlilleri gerekmez,\u00a0 hastaneye\/hekime ba\u011fl\u0131l\u0131k ortadan kalkar. \u00c7\u00fcnk\u00fc fizyolojik yol demir, vitamin, mineral vs emilimini yapmaktad\u0131r.<\/span><\/li>\n
  5. Kilolu hastalar bu ameliyatla \u2018toplam a\u011f\u0131rl\u0131\u011f\u0131n\u0131n\u2019 \u2018ortalama\u2019 %35-45 sini (fazla kilolar\u0131n\u0131n en az %80\u2019ini) verirler. Yani boyu 160 olan 100 kg l\u0131k hasta 55-65 kiloya iner. \u0130yi bir takip ile verilen kilolar art\u0131r\u0131labilir veya daha y\u00fcksek kalori beslenmesi ile daha fazla kilo vermesi \u00f6nlenebilir.<\/span><\/li>\n
  6. T\u00fcp mide ameliyat\u0131 sonras\u0131 tekrar kilo alma riski %20-30 iken, bu ameliyatla tekrar kilo alma riski %2-3 t\u00fcr.<\/span><\/li>\n
  7. Yukar\u0131da bahsetti\u011fim gibi Tip-2 diyabete etkisi \u00e7ok \u00fcst d\u00fczeydedir.<\/span><\/li>\n
  8. Ayr\u0131ca diyabet ve obeziteye e\u015flik eden di\u011fer ek hastal\u0131klarda da (kolesterol y\u00fcksekli\u011fi, tansiyon y\u00fcksekli\u011fi, uyku apnesi, diz ve eklemlerde a\u011fr\u0131lar, polikistik over, adet d\u00fczensizlikleri, d\u00fc\u015f\u00fckler, horlamalar, solunum hastal\u0131klar gibi) %70-95 oran\u0131nda tamamen d\u00fczelir.<\/span><\/li>\n
  9. Yeni a\u00e7\u0131lan ince barsak yolu mide i\u00e7i bas\u0131nc\u0131n\u0131 d\u00fc\u015f\u00fcrd\u00fc\u011f\u00fc i\u00e7in, 3 ayr\u0131 diki\u015f hatt\u0131 olmas\u0131na ra\u011fmen, beklenenin aksine bu ameliyatlardaki ka\u00e7ak riski t\u00fcp mide ameliyatlar\u0131ndan \u00e7ok daha azd\u0131r (risk 3 kat d\u00fc\u015f\u00fck).<\/span><\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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    Transit bipartisyon ameliyat\u0131 en k\u00fc\u00e7\u00fc\u011f\u00fc 0,5 cm, en b\u00fcy\u00fc\u011f\u00fc 2 cm\u2019lik be\u015f adet k\u00fc\u00e7\u00fck kesiler ile laparokopik (kapal\u0131) olarak ger\u00e7ekle\u015ftirilir. Kar\u0131n bo\u015flu\u011fu karbondioksit gaz\u0131 ile \u015fi\u015firilir ve\u00a0 yap\u0131lan bu k\u00fc\u00e7\u00fck kesilerden \u00f6zel aletler girilerek ameliyat ger\u00e7ekle\u015ftirilir. Ameliyatta \u00f6nce mide \u00e7\u0131k\u0131\u015f b\u00f6l\u00fcm\u00fcne 6-8 cm mesafeden ba\u015flanarak mide dik bir \u015fekilde t\u00fcp mide ameliyat\u0131na benzer \u015fekilde kesilir […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,1],"tags":[189,190,191,192,193,194,195],"class_list":["post-1175","post","type-post","status-publish","format-standard","hentry","category-blog","category-genel","tag-transit-bipartisyon","tag-bi-partisyon","tag-transit-bipartisyon-ameliyati","tag-izmir-transit-bipartisyon","tag-transit-bipartisyon-nedir","tag-transit-bipartisyon-ameliyati-faydalari","tag-transit-bipartisyon-nasil-yapilir"],"_links":{"self":[{"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/posts\/1175"}],"collection":[{"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/comments?post=1175"}],"version-history":[{"count":8,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/posts\/1175\/revisions"}],"predecessor-version":[{"id":1184,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/posts\/1175\/revisions\/1184"}],"wp:attachment":[{"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/media?parent=1175"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/categories?post=1175"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/tags?post=1175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}