{"id":1329,"date":"2017-12-27T16:35:24","date_gmt":"2017-12-27T14:35:24","guid":{"rendered":"https:\/\/halukunalp.com\/en\/\/?p=1329"},"modified":"2017-12-27T16:36:29","modified_gmt":"2017-12-27T14:36:29","slug":"bariatrik-ameliyatindan-sonra-takip","status":"publish","type":"post","link":"https:\/\/halukunalp.com\/en\/bariatrik-ameliyatindan-sonra-takip\/","title":{"rendered":"Bariatrik Ameliyat\u0131ndan Sonra Takip"},"content":{"rendered":"<p><strong>Bariatrik ameliyat\u0131ndan sonra takip<\/strong><br \/>\nOperat\u00f6r doktor genelde hastay\u0131 ameliyattan bir ay sonra ayakta tedavi veren bir klinikte ameliyat sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmek i\u00e7in g\u00f6r\u00fcr. Bunu daha sonra bariatrik doktorunun 12 ila 24 ay aras\u0131nda yapaca\u011f\u0131 kontroller takip eder. Kilo kayb\u0131, s\u0131v\u0131 dengesi ve vitamin takviye terapisinin yeterlili\u011fi bu kontroller s\u0131ras\u0131nda de\u011ferlendirilir. Hasta kilo kaybetmeye devam ettik\u00e7e alt abdomeninde, kas\u0131k ve \u00fcst kollarda sarkma ve deride katlanma ger\u00e7ekle\u015fir ve bunlar\u0131n yok edilmesi i\u00e7in m\u00fcmk\u00fcn olan plastik cerrahi ameliyattan 12-24 ay sonra de\u011ferlendirilmelidir.<br \/>\nBariatrik ameliyat\u0131: Temel sa\u011fl\u0131k bak\u0131m\u0131nda takip<br \/>\nAmeliyattan 12 ila 24 ay sonra takip a\u015fa\u011f\u0131daki de\u011ferlendirmelerin y\u0131ll\u0131k olarak yap\u0131laca\u011f\u0131 temel sa\u011fl\u0131k bak\u0131m\u0131na devredilebilir:<br \/>\n* kilo geli\u015fimi ve ilgili ek hastal\u0131klar\u0131n \u00fcstesinden gelmek i\u00e7in ilaca ihtiya\u00e7<br \/>\nkan tablosu<br \/>\n* plazma elektrolitler<br \/>\n* serum B12 vitamini konsantrasyonu<br \/>\n* serum D vitamini konsantrasyonu<br \/>\n* alyuvar folat konsantrasyonu<br \/>\n* glisemik kontrol (plazma gl\u00fckoz, HbA1ce\u011fer belirtilmi\u015fse)<br \/>\n* e\u011fer ameliyat \u00f6ncesi anormallikler varsa, lipid profil<br \/>\n* e\u011fer gerekli g\u00f6r\u00fcl\u00fcrse karaci\u011fer fonksiyonlar\u0131 testi ve serum kreatinin<br \/>\n* kilo azal\u0131m\u0131n\u0131n \u00f6nemli \u00f6l\u00e7\u00fcde oldu\u011fu durumlarda prealbumin (albumin).<br \/>\n\u00d6zellikle gastrik bypass ameliyat\u0131ndan sonra e\u011fer hasta \u00e7ok kilo kaybettiyse ya da ameliyattan sonra serum D vitamini konsantrasyonu azalm\u0131\u015fsa, kemik yo\u011funlu\u011fu ayr\u0131ca \u00f6l\u00e7\u00fclmelidir. Abdominal a\u011fr\u0131 ile yiyece\u011fin ge\u00e7i\u015fi ile ilgili problemler daima kar\u0131n b\u00f6lgesine i\u015faret eder ve buras\u0131 da ameliyat\u0131n ger\u00e7ekle\u015fti\u011fi k\u0131s\u0131md\u0131r. Demir eksikli\u011fi anemisinin artmas\u0131 besinsel demirin yetersiz al\u0131m\u0131ndan olabilir ama bu ayr\u0131ca anastomoz ka\u00e7a\u011f\u0131n sebebi olabilir ve \u00fcst sindirim borusunda endoskopik inceleme \u00f6ng\u00f6r\u00fcl\u00fcr.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bariatrik ameliyat\u0131ndan sonra takip Operat\u00f6r doktor genelde hastay\u0131 ameliyattan bir ay sonra ayakta tedavi veren bir klinikte ameliyat sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmek i\u00e7in g\u00f6r\u00fcr. Bunu daha sonra bariatrik doktorunun 12 ila 24 ay aras\u0131nda yapaca\u011f\u0131 kontroller takip eder. Kilo kayb\u0131, s\u0131v\u0131 dengesi ve vitamin takviye terapisinin yeterlili\u011fi bu kontroller s\u0131ras\u0131nda de\u011ferlendirilir. Hasta kilo kaybetmeye devam ettik\u00e7e alt [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1329","post","type-post","status-publish","format-standard","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/posts\/1329"}],"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=1329"}],"version-history":[{"count":2,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/posts\/1329\/revisions"}],"predecessor-version":[{"id":1332,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/posts\/1329\/revisions\/1332"}],"wp:attachment":[{"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/media?parent=1329"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/categories?post=1329"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/halukunalp.com\/en\/wp-json\/wp\/v2\/tags?post=1329"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}