{"id":200384,"date":"2015-12-15T11:49:53","date_gmt":"2015-12-15T09:49:53","guid":{"rendered":"http:\/\/www.erzurumflas.com\/laparoskopik-reflu-ameliyati-ile-yeniden-dogmak\/"},"modified":"2015-12-15T11:49:57","modified_gmt":"2015-12-15T09:49:57","slug":"laparoskopik-reflu-ameliyati-ile-yeniden-dogmak","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=200384","title":{"rendered":"Laparoskopik Refl\u00fc Ameliyat\u0131 \u0130le Yeniden Do\u011fmak"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/laparoskopik-reflu-ameliyati-ile-yeniden-dogmak_1928425.jpg\" width=\"600\">H\u0131z \u00e7a\u011f\u0131n\u0131n, h\u0131z Hastal\u0131\u011f\u0131 olan \u201cRefl\u00fc\u201d t\u00fcm d\u00fcnyada g\u00fcnl\u00fck hayat\u0131 tehdit etti\u011fini s\u00f6yleyen Genel Cerrahi Uzman\u0131 Op. Dr. Y\u00fccel Polat, \u201c\u00dclkemizde neredeyse her be\u015f ki\u015fiden biri bu hastal\u0131kla birlikte ya\u015famak zorunda kal\u0131yor. Yemek nedeniyle g\u00fcn boyu huzursuzluk ya\u015faman\u0131n do\u011fru tedavi ve uygulamalarla ortadan kald\u0131r\u0131lmas\u0131 m\u00fcmk\u00fcn\u201d dedi.<\/p>\n<p>Medilife Beylikd\u00fcz\u00fc Hastanesi Genel Cerrahi Uzman\u0131 Op. Dr. Y\u00fccel Polat, refl\u00fc ve laparoskopik refl\u00fc ameliyat\u0131 yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, \u201cRefl\u00fc\u2019n\u00fcn kelime anlam\u0131 \u201cGeriye Ka\u00e7\u0131\u015f\u201d demektir. \u201cGastro\u00f6zofageal Refl\u00fc Hastal\u0131\u011f\u0131(G.\u00d6.R.H.)\u201d midedeki g\u0131da  i\u00e7eri\u011finin yemek borusuna geri ka\u00e7mas\u0131d\u0131r. \u201cYemek i\u00e7in mi ya\u015f\u0131yoruz?  yoksa ya\u015famak i\u00e7in mi yiyoruz?\u201d sorular\u0131n\u0131n cevab\u0131n\u0131 ararken Refl\u00fc olduysak \u201cS\u00fcrekli Ek\u015fiyoruz\u201d diyebiliriz\u201d diye konu\u015ftu.<\/p>\n<p>\u201cLEBLEB\u0130, \u00c7EK\u0130RDEK G\u0130B\u0130 M\u0130DE \u0130LACI \u0130ST\u0130YORUZ\u201d<\/p>\n<p>\u00dclkemizde bir\u00e7ok hastal\u0131kta oldu\u011fu gibi \u201cRefl\u00fc\u201d tan\u0131 ve tedavisinde de yanl\u0131\u015flar yap\u0131ld\u0131\u011f\u0131n\u0131 anlatan Op. Dr. Y\u00fccel Polat, \u201c\u00d6nce \u00e7e\u015fitli bilgi kaynaklar\u0131ndan bilgi ediniyoruz. Bilgiye ula\u015fanlar kendi kendilerine veya etraflar\u0131ndakilere hemen tan\u0131 koyuyorlar. Sonraki a\u015famada Kuruyemi\u015f\u00e7iden leblebi \u00e7ekirdek ister gibi \u201cTan\u0131d\u0131k Eczane\u201d\u2019ye gidip \u201cMide \u0130lac\u0131\u201d isteniyor. Tedavi olamay\u0131nca \u201dYine de bir Doktora soral\u0131m a\u015famas\u0131 geliyor. Sonra birka\u00e7 doktor denemesi daha yap\u0131l\u0131yor. Sonunda gelinen noktada \u201cAmeliyats\u0131z ge\u00e7meyecek bir neden oldu\u011fu ortaya \u00e7\u0131kt\u0131\u011f\u0131nda Yemek Borusu, Mide de hasarlar yerle\u015fmi\u015f oluyor\u201d dedi.<\/p>\n<p>\u201cHER REFL\u00dc \u0130LA\u00c7LA TEDAV\u0130 ED\u0130LMEZ\u201d<\/p>\n<p>Refl\u00fc Tedavisinin \u00e7e\u015fitleri ile ilgili bilgi veren Op. Dr. Y\u00fccel Polat, \u201cHer refl\u00fc ila\u00e7 tedavisiyle d\u00fczelmez. Bunlar\u0131 olabildik\u00e7e erken tan\u0131mal\u0131y\u0131z. Tedavinin gecikmesi g\u00f6r\u00fclen zarar\u0131 artt\u0131rarak, hayattan al\u0131nan keyfi de azalt\u0131r. \u0130la\u00e7 tedavisini uygulamayanlar, \u0130la\u00e7 yan etkilerine maruz kalanlar, tedaviye ra\u011fmen \u015eik\u00e2yetleri tekrarlayan \u00f6zellikle gen\u00e7 hastalar, hastan\u0131n kendi tedavisel tercihi, yemek borusu d\u0131\u015f\u0131nda bedenin etkilendi\u011fi ast\u0131m, \u00f6ks\u00fcr\u00fck, larenjit, farenjit, ses teli yaras\u0131, yemek borusunda kanser d\u00f6n\u00fc\u015f\u00fcm\u00fc yapabilecek de\u011fi\u015fimlerin tespit edilmesi, PH Metre ile Refl\u00fc ve \u015eik\u00e2yetlerin tekrar\u0131n\u0131n tespit edilmesi, yemek borusu alt u\u00e7 gev\u015fekli\u011fi, yemek borusu ve mide f\u0131t\u0131klar\u0131, kanamaya neden olan refl\u00fc gibi Anatomik de\u011fi\u015fiklikler olmas\u0131 halinde, Ameliyatla tedavi yap\u0131lmak zorunda kal\u0131nabilir\u201d diye konu\u015ftu.<\/p>\n<p>\u201cLAPAROSKOP\u0130K REFL\u00dc AMEL\u0130YATI\u2019NIN AVANTAJI \u00c7OK\u201d<\/p>\n<p>Laparoskopik Refl\u00fc Ameliyatlar\u0131 ile hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu y\u00fczde 90\u2019dan fazlas\u0131n\u0131n refl\u00fc \u015fikayetlerinden kurtulabildi\u011fini anlatan Op. Dr. Y\u00fccel Polat, \u201cAmeliyat sonras\u0131 ila\u00e7 kullanan hasta say\u0131s\u0131 olduk\u00e7a azd\u0131r. Yemek yeme al\u0131\u015fkanl\u0131klar\u0131n\u0131n, beslenme ve stres kontrol\u00fcn\u00fcn sa\u011fland\u0131\u011f\u0131 hastalarda ilaca bile gerek kalmayabilir. Bu ameliyat \u015feklinde ama\u00e7, varsa mide f\u0131t\u0131\u011f\u0131n\u0131 tamir etmek ve asitin yukar\u0131 ka\u00e7mas\u0131n\u0131 engelleyen sistemi d\u00fczeltip, sa\u011flamla\u015ft\u0131rmakt\u0131r. Bu nedenle en s\u0131k tercih etti\u011fimiz y\u00f6ntem \u201cLaparoskopik Nissen Funduplikasyon\u201d y\u00f6ntemidir. Laparoskopik refl\u00fc ameliyat\u0131 sonras\u0131nda hastalar bir g\u00fcn hastanede yatarlar ve ameliyat sonras\u0131ndaki g\u00fcn g\u0131da alabilirler. Bu y\u00f6ntemde hasta daha az a\u011fr\u0131 \u00e7eker. Hastanede kal\u0131\u015f s\u00fcresi k\u0131sad\u0131r. Genel olarak ameliyat sonras\u0131 1 g\u00fcnl\u00fck hastane s\u00fcresi yeterli oluyor. Ameliyattan sonraki 4.-5. g\u00fcn ki\u015fi normal hayat\u0131na devam edebiliyor. \u00d6zledi\u011fi lezzetlere ula\u015fman\u0131n tarifi tabi ki inan\u0131lmaz. Hastalar\u0131m\u0131z \u201cYeniden Do\u011fmak\u201c gibi diyerek hissettiklerini bizimle payla\u015f\u0131yorlar\u201d dedi.<\/p>\n<p>\u201cESK\u0130 AMEL\u0130YATLARDAN \u00c7OK FARKLI\u201d<\/p>\n<p>Laparoskopik y\u00f6ntemin faydalar\u0131 eski ameliyatlardan \u00e7ok farkl\u0131 oldu\u011funu belirten Op. Dr. Y\u00fccel Polat, \u201dA\u00e7\u0131k ameliyatta yakla\u015f\u0131k 20-30 santim kar\u0131n yaras\u0131 olu\u015fuyor. Bu yaraya ait mikrop kapma riski daha fazla oluyor. Ayr\u0131ca Yakla\u015f\u0131k y\u00fczde 10 hastada bu yaradan f\u0131t\u0131k olu\u015fma riski mevcut. Laparoskopik ameliyatta ise bu t\u00fcr sorunlara \u00e7ok ender rastlan\u0131yor. Laparoskopik ameliyatta 1 santimden k\u00fc\u00e7\u00fck 4 ya da 5 yara oluyor. Bu nedenle sadece sa\u011fl\u0131k de\u011fil, kozmetik olarak da a\u00e7\u0131k ameliyata g\u00f6re belirgin olarak \u00fcst\u00fcnl\u00fck ta\u015f\u0131yor\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>HIZ \u00c7A\u011eININ, HIZ HASTALI\u011eI OLAN REFL\u00dcN\u00dcN T\u00dcM D\u00dcNYADA G\u00dcNL\u00dcK HAYATI TEHD\u0130T ETT\u0130\u011e\u0130 B\u0130LD\u0130R\u0130LD\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":[26767,15576,35295,12830,12657,8986],"class_list":["post-200384","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-laparoskopik","tag-ameliyati","tag-dogmak","tag-ile","tag-reflu","tag-yeniden"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/200384","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=200384"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/200384\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=200384"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=200384"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=200384"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}