{"id":2946,"date":"2022-09-30T08:18:17","date_gmt":"2022-09-30T08:18:17","guid":{"rendered":"https:\/\/www.apexclinic.com.tr\/?p=2946"},"modified":"2022-09-30T08:18:46","modified_gmt":"2022-09-30T08:18:46","slug":"mini-gastrik-bypass-ameliyati","status":"publish","type":"post","link":"https:\/\/www.apexclinic.com.tr\/ro\/mini-chirurgie-bypass-gastric\/","title":{"rendered":"Mini bypass gastric"},"content":{"rendered":"<p><strong>Mini bypass gastric<\/strong> Exist\u0103 opera\u021bii care se efectueaz\u0103 cu o tehnic\u0103 complet \u00eenchis\u0103, care reduce volumul stomacului \u0219i men\u021bine o parte a intestinului sub\u021bire separat\u0103 de func\u021biile de absorb\u021bie. <strong>Mini bypass gastric<\/strong> sunt metode care pot fi aplicate foarte usor. Opera\u021bia de mini bypass gastric este cea mai rapid\u0103 \u0219i mai u\u0219oar\u0103 aplicare dintre opera\u021biile de chirurgie bariatric\u0103.<\/p>\n\n\n\n<p>Procesul de recuperare dup\u0103 opera\u021bie este, de asemenea, o metod\u0103 foarte confortabil\u0103. Opera\u021bia mini bypass gastric este o procedur\u0103 mult mai scurt\u0103 \u0219i mai pu\u021bin costisitoare. Mini bypass-ul gastric este o aplica\u021bie foarte frecvent preferat\u0103 deoarece are rezultate de succes \u0219i este o metod\u0103 rapid\u0103 \u0219i foarte u\u0219oar\u0103.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Aplica\u021bie mini bypass gastric<\/strong><\/h3>\n\n\n\n<p>Procesele mini-chirurgiei de bypass gastric sunt urm\u0103toarele. \u00cen abdomen se fac 5 sau 6 incizii cu diametrul de 1 cm. Uneltele numite trocare sunt introduse \u00een abdomen prin aceste incizii. O camer\u0103 \u0219i instrumentele chirurgicale necesare sunt plasate \u00een abdomen de la intr\u0103rile formate din trocare. \u00cen acest context, camera \u0219i instrumentele chirurgicale folosite \u00een timpul procedurii trebuie s\u0103 fie sub\u021biri \u0219i lungi, capabile s\u0103 treac\u0103 prin dispozitivul trocar introdus \u00een abdomen.<\/p>\n\n\n\n<p>La intrarea \u00een stomac se formeaz\u0103 un tub mic de stomac \u0219i aceast\u0103 parte este separat\u0103 de restul stomacului. Dup\u0103 procedur\u0103, stomacul principal care trebuie utilizat const\u0103 din aceast\u0103 nou\u0103 bucat\u0103 de stomac format\u0103 sub forma unui tub mic. Cealalt\u0103 parte mare a stomacului va r\u0103m\u00e2ne \u00een abdomen \u0219i va continua s\u0103-\u0219i produc\u0103 secre\u021biile.<\/p>\n\n\n\n<p>Se creeaz\u0103 o conexiune \u00eentre stomacul sub\u021bire \u0219i intestinul sub\u021bire, care are loc \u00een timpul interven\u021biei chirurgicale, iar sec\u021biunea de doi metri a intestinului sub\u021bire situat\u0103 \u00een zona ini\u021bial\u0103 este ocolit\u0103, iar o leg\u0103tur\u0103 cu stomacul se realizeaz\u0103 \u00eentr-o regiune apropiat\u0103 de regiunea mijlocie a intestinului sub\u021bire.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Cui se aplic\u0103 mini-chirurgia bypass gastric?<\/strong><\/h3>\n\n\n\n<p>To\u021bi pacien\u021bii care respect\u0103 opera\u021bia bariatric\u0103 \u0219i sunt \u00een stare bun\u0103 de s\u0103n\u0103tate sunt candida\u021bi pentru mini bypass gastric. Cu toate acestea, la pacien\u021bii v\u00e2rstnici, trebuie acordat\u0103 aten\u021bie distan\u021bei de reducere a absorb\u021biei \u0219i ar trebui men\u021binut\u0103 mult mai scurt\u0103.<\/p>\n\n\n\n<p>Persoanele cu obezitate abdominal\u0103 sever\u0103 sau cu sindrom metabolic avansat sunt candida\u021bi foarte potrivi\u021bi pentru mini bypass gastric datorit\u0103 efectelor lor metabolice minunate.<\/p>\n\n\n\n<p>Sunt candida\u021bi potrivi\u021bi pentru mini bypass gastric datorit\u0103 efectului s\u0103u de reducere a presiunii pentru pacien\u021bii obezi cu boal\u0103 de reflux.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Cine nu se poate opera de mini bypass gastric?<\/strong><\/h3>\n\n\n\n<p>&nbsp;\u2013 Persoane care \u00een general sunt incomode s\u0103 aib\u0103 mini bypass gastric,<\/p>\n\n\n\n<p>- \u00een timpul sarcinii<\/p>\n\n\n\n<p>- Boala canceroas\u0103 cunoscut\u0103<\/p>\n\n\n\n<p>\u2013 In infectiile intraabdominale active<\/p>\n\n\n\n<p>\u2013 Ciroza hepatic\u0103 \u00een boala Child C<\/p>\n\n\n\n<p>\u2013 \u00cen st\u0103ri psihopatologice instabile<\/p>\n\n\n\n<p>\u2013 \u00cen dependen\u021b\u0103 activ\u0103 de droguri<\/p>\n\n\n\n<p>\u2013 La pacientii cu risc de anestezie<\/p>\n\n\n\n<p>- Probleme endocrine preexistente insuficiente<\/p>\n\n\n\n<p>\u2013 Fumatul<\/p>\n\n\n\n<p>\u2013 Situa\u021bie economic\u0103 sc\u0103zut\u0103, la nivelul de a nu putea face fa\u021b\u0103 alimenta\u021biei dup\u0103 interven\u021bie chirurgical\u0103<\/p>\n\n\n\n<p>\u2013 \u00cen cazuri de anemie \u0219i deficien\u021be nutri\u021bionale<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Preg\u0103tire pentru mini-chirurgie de bypass gastric<\/strong><\/h2>\n\n\n\n<p>Ca \u00een toate opera\u021biile de chirurgie bariatric\u0103, selec\u021bia corect\u0103 a pacientului, etapele de preg\u0103tire \u0219i preg\u0103tirea sunt foarte importante pentru succes. To\u021bi pacien\u021bii trebuie examina\u021bi \u00een ceea ce prive\u0219te adecvarea pentru interven\u021bie chirurgical\u0103 \u0219i ar trebui verifica\u021bi \u00een detaliu prin cardiologie \u0219i boli toracice. De asemenea, \u00eenainte de interven\u021bie chirurgical\u0103 trebuie efectuate teste de laborator, inclusiv nivelul anumitor vitamine \u0219i minerale. Toate deficien\u021bele care trebuie corectate \u00een acest sens trebuie corectate \u00eenainte de opera\u021bie. \u00cen cele din urm\u0103, to\u021bi pacien\u021bii trebuie s\u0103 \u00eenceteze consumul de alcool, b\u0103uturi carbogazoase \u0219i \u021big\u0103ri \u00eenainte de opera\u021bie.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Dup\u0103 mini bypass gastric<\/strong> <strong>\u0219i Urm\u0103rirea pacientului<\/strong><\/h3>\n\n\n\n<p>&nbsp;O mare pierdere \u00een greutate are loc \u00een primii ani dup\u0103 opera\u021bia de mini bypass gastric \u0219i se administreaz\u0103 % 70 sau mai mult din excesul de greutate. Pierderea \u00een greutate \u00eencetine\u0219te ulterior, dar continu\u0103 \u00een al doilea sau al treilea an.<\/p>\n\n\n\n<p>&nbsp;Rata de pierdere \u00een greutate, care este mai mare de 8-10 ani, este la nivelul % 75-70. Multe publica\u021bii arat\u0103, de asemenea, c\u0103 mini bypass-ul gastric este superior \u00een compara\u021bie cu opera\u021bia de gastrectomie cu m\u00e2nec\u0103.<\/p>\n\n\n\n<p>&nbsp;La pacien\u021bii obezi, \u00een general, exist\u0103 deficien\u021be de vitamine \u0219i minerale \u00eenainte de opera\u021bie, precum \u0219i \u00een urm\u0103rirea pacientului chirurgical;<\/p>\n\n\n\n<p>\u00cen anul 1, \u00een lunile 3\/6\/9\/12 se face un examen complet de biochimie.<\/p>\n\n\n\n<p>\u00cen anul 2 se solicit\u0103 un examen la fiecare 6 luni. Apoi se solicit\u0103 un examen anual.<\/p>\n\n\n\n<p>Vitaminele B1, B12, D sunt monitorizate \u0219i suplimentate dac\u0103 este necesar.<\/p>\n\n\n\n<p>Se fac, de asemenea, nivelul Hb, raportul de calciu, monitorizarea PTH \u0219i suplimentarea.<\/p>\n\n\n\n<p>Testele func\u021biei hepatice<\/p>\n\n\n\n<p>Monitorizarea nivelului de proteine \u0219i albumin\u0103<\/p>\n\n\n\n<p>Ecografia precoce pentru colecistit\u0103<\/p>\n\n\n\n<p>Endoscopia este, de asemenea, foarte recomandat\u0103.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Calitatea vie\u021bii dup\u0103 mini bypass gastric<\/strong><\/h3>\n\n\n\n<p>Persoanele obeze au o calitate a vie\u021bii semnificativ mai sc\u0103zut\u0103. Aceasta include pur fizic\u0103, social\u0103 sau situa\u021bional\u0103. \u00cen cazul interven\u021biilor chirurgicale pentru obezitate, aceste valori sunt corectate mai semnificativ dec\u00e2t alte metode de tratament. Calitatea vie\u021bii este, de asemenea, direct legat\u0103 de cantitatea de greutate pierdut\u0103 \u0219i are mai multe fa\u021bete, cum ar fi \u00eembun\u0103t\u0103\u021birea st\u0103rii mentale, reducerea simptomelor depresiei \u0219i cre\u0219terea \u00eencrederii \u00een sine.<\/p>\n\n\n\n<p>&nbsp;Mini bypass-ul gastric este o tehnic\u0103 mult mai simpl\u0103 \u0219i mai fiabil\u0103 \u00een compara\u021bie cu alte metode chirurgicale. Al\u0103turi de perioadele postoperatorii, ofer\u0103 \u0219i \u00eembun\u0103t\u0103\u021biri foarte semnificative ale calit\u0103\u021bii vie\u021bii.<\/p>","protected":false},"excerpt":{"rendered":"<p>Mini gastrik bypass ameliyat\u0131 tamamen kapal\u0131 bir teknikle ger\u00e7ekle\u015ftirilen, mide hacminin k\u00fc\u00e7\u00fclmesini ve ince ba\u011f\u0131rsaklar\u0131n bir b\u00f6l\u00fcm\u00fcn\u00fcn emilim fonksiyonlar\u0131ndan ayr\u0131 kalmas\u0131n\u0131 sa\u011flayan ameliyatlar olmaktad\u0131r. Mini gastrik bypass i\u015flemi \u00e7ok kolay bir \u015fekilde uygulanabilen y\u00f6ntemler olmaktad\u0131r. Mini gastrik bypass operasyonu obezite cerrahisinde yap\u0131lan ameliyatlar\u0131n i\u00e7inde en h\u0131zl\u0131 ve en kolay bi\u00e7imde ger\u00e7ekle\u015ftirilen uygulamad\u0131r. Operasyon sonras\u0131nda iyile\u015fme [&hellip;]<\/p>","protected":false},"author":3,"featured_media":2948,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_joinchat":[],"footnotes":""},"categories":[6],"tags":[],"class_list":["post-2946","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-estetik"],"modified_by":null,"_links":{"self":[{"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/posts\/2946"}],"collection":[{"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/comments?post=2946"}],"version-history":[{"count":0,"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/posts\/2946\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/media\/2948"}],"wp:attachment":[{"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/media?parent=2946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/categories?post=2946"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.apexclinic.com.tr\/ro\/wp-json\/wp\/v2\/tags?post=2946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}