{"id":124063,"date":"2015-11-07T11:00:46","date_gmt":"2015-11-07T09:00:46","guid":{"rendered":"http:\/\/www.erzurumflas.com\/obezite-cerrahisi-kemiklerde-kirilma-riskini-artiriyor\/"},"modified":"2015-11-07T11:00:48","modified_gmt":"2015-11-07T09:00:48","slug":"obezite-cerrahisi-kemiklerde-kirilma-riskini-artiriyor","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=124063","title":{"rendered":"Obezite Cerrahisi Kemiklerde K\u0131r\u0131lma Riskini Art\u0131r\u0131yor"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/11\/obezite-cerrahisi-kemiklerde-kirilma-riskini-artiriyor_8ed3b43.jpg\" width=\"600\">Obez bireylerde kilo verdirme ama\u00e7l\u0131 olarak uygulanan obezite cerrahisinin, ameliyat olan ki\u015filerde kemik k\u0131r\u0131lmas\u0131 riskini y\u00fczde 20 art\u0131rd\u0131\u011f\u0131 ortaya \u00e7\u0131kt\u0131.<\/p>\n<p>Obezite g\u00fcn\u00fcm\u00fczde insan sa\u011fl\u0131\u011f\u0131n\u0131 tehdit eden k\u00fcresel bir sorun olarak kar\u015f\u0131m\u0131za \u00e7\u0131karken, son d\u00f6nemde obezite tedavisinde s\u0131k\u00e7a uygulanan obezite cerrahisinin, kemik ve iskelet sistemi \u00fczerinde baz\u0131 olumsuz etkilerinin oldu\u011fu ortaya \u00e7\u0131kt\u0131. ABD\u2019de yap\u0131lan bir \u00e7al\u0131\u015fma, obezite cerrahisi uygulanm\u0131\u015f hastalarda, kemik k\u0131r\u0131lmas\u0131 riskinin artt\u0131\u011f\u0131n\u0131 ortaya koydu. Amerikan Kemik ve Mineral Ara\u015ft\u0131rmalar\u0131 Derne\u011fi\u2019nin 2015 y\u0131l\u0131 toplant\u0131s\u0131nda sunulan ara\u015ft\u0131rmaya g\u00f6re; obezite cerrahisi olmu\u015f, \u00e7o\u011funlu\u011fu orta ya\u015fl\u0131, obez kad\u0131nlar\u0131n olu\u015fturdu\u011fu hastalarda, ameliyat sonras\u0131nda kemik k\u0131r\u0131\u011f\u0131 riskinin y\u00fczde 20 artt\u0131\u011f\u0131 ve k\u0131r\u0131klar\u0131n genellikle ameliyattan sonraki birka\u00e7 y\u0131l i\u00e7inde g\u00f6r\u00fcld\u00fc\u011f\u00fc saptand\u0131. \u00c7al\u0131\u015fmaya g\u00f6re; obezite cerrahisi uygulanm\u0131\u015f bireylerin omuz, kol, dirsek veya el bile\u011finde k\u0131r\u0131k olu\u015fma riski iki kat artarken; kal\u00e7a, bacak ve le\u011fen kemi\u011finde k\u0131r\u0131k g\u00f6r\u00fclme riski \u00fc\u00e7 kat art\u0131yor.<\/p>\n<p>Obezite cerrahisinden sonra k\u0131r\u0131k g\u00f6r\u00fclen b\u00f6lgelerdeki de\u011fi\u015fikli\u011fe neden olarak; \u00f6zellikle mide bypass\u0131 gibi emilim bozucu obezite ameliyatlar\u0131 sonras\u0131nda geli\u015fen besin yetersizli\u011finin k\u0131r\u0131k riskini art\u0131rabilece\u011fi belirtildi. Bunun yan\u0131 s\u0131ra, kilo kayb\u0131n\u0131n fiziksel aktiviteyi art\u0131rabilece\u011fine ba\u011fl\u0131 olarak, sars\u0131nt\u0131 nedenli k\u0131r\u0131k riskinin de artabilece\u011fi ifade edildi. Ara\u015ft\u0131rma ekibinden Dr. Rousseau, obezite cerrahisi ge\u00e7iren hastalar\u0131n kemik k\u0131r\u0131lmas\u0131 a\u00e7\u0131s\u0131ndan y\u00fcksek riskli bir grup oldu\u011funun alt\u0131n\u0131 \u00e7izerek, &#8220;Ameliyat olan bireylerin takip s\u00fcrecinde bu riskin de de\u011ferlendirilmesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. obezite cerrahisi uygulanan hastalar; kemik kay\u0131plar\u0131 ve kemik metabolizmas\u0131nda de\u011fi\u015fiklikler ile kar\u015f\u0131la\u015f\u0131yor. Bu risk daha \u00f6nce belirgin de\u011fildi&#8221; diye konu\u015ftu.<\/p>\n<p>Konu ile ilgili olarak g\u00f6r\u00fc\u015flerini aktaran T\u00fcrkiye Metabolik Cerrahi Vakf\u0131 Ba\u015fkan\u0131 Do\u00e7. Dr. Alper \u00c7elik, kilo verme amac\u0131 veya beklentisi ile yap\u0131lan ameliyatlar\u0131n her y\u00f6n\u00fc ile ele al\u0131nmas\u0131 gerekti\u011fini vurgulad\u0131. Obezite cerrahisi kapsam\u0131nda uygulanan baz\u0131 ameliyatlar\u0131n vitamin ve mineral emilimini bozdu\u011funa dikkat \u00e7eken Do\u00e7. Dr. \u00c7elik \u015funlar\u0131 s\u00f6yledi:<\/p>\n<p>\u201cBu duruma yol a\u00e7an ameliyatlar, genellikle b\u00fcy\u00fck ba\u011f\u0131rsak kesitlerinin yemek ge\u00e7i\u015fine kapat\u0131ld\u0131\u011f\u0131 ameliyatlard\u0131r. Her ameliyat\u0131n etkinli\u011fi, etki mekanizmas\u0131 ve sonu\u00e7lar\u0131 farkl\u0131d\u0131r. Burada hastalar\u0131 bekleyen en \u00f6nemli tehlike, emilim bozuklu\u011funa ba\u011fl\u0131 olarak ilerleyen y\u0131llarda ortaya \u00e7\u0131kabilecek kemik ve eklem sorunlar\u0131n\u0131n yan\u0131 s\u0131ra vitamin ve mineral eksiklikleridir.&#8221;<\/p>\n<p>Hastalara ameliyat\u0131n bilimsel ismini \u00f6\u011frenip, ameliyatlar\u0131 her y\u00f6n\u00fc ile ara\u015ft\u0131rmalar\u0131 ve sonras\u0131nda karar vermeleri gerekti\u011fi tavsiyesinde bulunan \u00c7elik, &#8220;Hastalar ameliyat \u00f6ncesinde \u00f6zellikle \u00f6m\u00fcr boyu vitamin, mineral, demir ve kalsiyum ba\u011f\u0131ml\u0131s\u0131 olup olmayacaklar\u0131n\u0131 mutlaka sorgulamal\u0131d\u0131rlar&#8221; \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00dcRK\u0130YE METABOL\u0130K CERRAH\u0130 VAKFI BA\u015eKANI DO\u00c7. DR. ALPER \u00c7EL\u0130K, K\u0130LO VERME AMACI VEYA BEKLENT\u0130S\u0130 \u0130LE YAPILAN AMEL\u0130YATLARIN HER Y\u00d6N\u00dc \u0130LE ELE ALINMASI GEREKT\u0130\u011e\u0130N\u0130 VURGULADI.<\/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":[16692,18367,22407,22408,8723,16691],"class_list":["post-124063","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-artiriyor","tag-cerrahisi","tag-kemiklerde","tag-kirilma","tag-obezite","tag-riskini"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/124063","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=124063"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/124063\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=124063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=124063"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=124063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}