{"id":161,"date":"2022-08-03T12:05:34","date_gmt":"2022-08-03T09:05:34","guid":{"rendered":"https:\/\/works.pendigital.com\/dr-imad-salih\/?p=161"},"modified":"2022-09-12T16:34:47","modified_gmt":"2022-09-12T13:34:47","slug":"nutrition-after-rny-gastric-bypass","status":"publish","type":"post","link":"https:\/\/imadsalih.com\/en\/nutrition-after-rny-gastric-bypass\/","title":{"rendered":"Nutrition After RNY Gastric Bypass"},"content":{"rendered":"

Operasyon sonras\u0131 beslenme<\/h2>\n

RNY Gastrik Bypass operasyonu<\/b>\u00a0sonras\u0131nda hastalar beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131 sa\u011fl\u0131kl\u0131 bir \u015fekilde de\u011fi\u015ftirmek zorundad\u0131r. \u00c7\u00fcnk\u00fc sa\u011fl\u0131kl\u0131 beslenme diyet olarak tan\u0131mlanmamal\u0131d\u0131r.\u00a0 Sa\u011fl\u0131kl\u0131 beslenme al\u0131\u015fkanl\u0131\u011f\u0131 v\u00fccudumuz i\u00e7in do\u011fru olan\u0131 yapmakt\u0131r.<\/p>\n

Sa\u011fl\u0131kl\u0131 beslenme v\u00fccudun dengeli ve yeterli miktarda ya\u015f, cinsiyet ve g\u00fcnl\u00fck aktivitesine ba\u011fl\u0131 olarak ki\u015fiye g\u00f6re de\u011fi\u015fen; protein, ya\u011f, karbonhidrat ve mineral ihtiyac\u0131n\u0131n kar\u015f\u0131lanmas\u0131d\u0131r. V\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131n kontrol\u00fc i\u00e7in beslenmenin yan\u0131nda d\u00fczenli fiziksel aktiviteye de \u00f6nem verilmelidir. Aktif bir ya\u015fam ve sa\u011fl\u0131kl\u0131 beslenme d\u00fczeni ya\u015fam tarz\u0131 olmal\u0131d\u0131r.<\/p>\n

Bu sayede yenilen g\u0131dalardan al\u0131nacak kalori miktar\u0131n\u0131n da azalmaktad\u0131r. Hasta sa\u011fl\u0131kl\u0131 bir yeme i\u00e7me al\u0131\u015fkanl\u0131\u011f\u0131 edindi\u011finde ve porsiyonlar\u0131n\u0131 \u00f6nerilen seviyede tuttu\u011funda hi\u00e7bir zaman rahats\u0131zl\u0131k ya\u015famayacakt\u0131r. RNY Gastrik Bypass sonras\u0131 s\u0131v\u0131\u00a0 ile beslenme d\u00f6nemi yoktur. Operasyondan 48 saat sonras\u0131nda hasta p\u00fcrelenmi\u015f olmak \u015fart\u0131yla \u00f6nerilen g\u0131da t\u00fcrlerini t\u00fcketebilmektedir.<\/p>\n

Beslenmeyle ilgili \u00f6nerilerimiz a\u015fa\u011f\u0131daki gibidir;<\/strong><\/h3>\n
    \n
  • Midenizin hacminin k\u00fc\u00e7\u00fcld\u00fc\u011f\u00fcn\u00fc unutmamal\u0131s\u0131n\u0131z.<\/li>\n
  • Dengeli beslenmenin \u00f6nemini unutmay\u0131n\u0131z<\/li>\n
  • \u00d6zellikle ameliyattan sonraki ilk ay beslenme \u00f6nerilerine mutlaka uyulmas\u0131 gerekmektedir.<\/li>\n
  • Yemekler iyi \u00e7i\u011fnenerek ve yava\u015f yenmelidir.<\/li>\n
  • S\u0131v\u0131 g\u0131dalar, mutlaka yemekten yar\u0131m saat \u00f6nce veya sonra t\u00fcketilmelidir. Ayn\u0131 anda t\u00fcketirseniz yemekte zorlanabilirsiniz.<\/li>\n
  • G\u00fcnde en az 1,5 \u2013 2 litre su t\u00fcketmeye \u00f6zen g\u00f6stermelisiniz<\/li>\n
  • \u015eekerli g\u0131dalara dikkat ediniz.<\/li>\n
  • \u015eekerli ve ya\u011fl\u0131 g\u0131dalar ince ba\u011f\u0131rsa\u011fa h\u0131zl\u0131 giri\u015f yapt\u0131\u011f\u0131 i\u00e7in dumping sendromu olu\u015fabilmektedir.
    \nDumping sendromu ya\u015fad\u0131\u011f\u0131n\u0131zda bilin ki beslenmenizde bir hata yap\u0131yorsunuz.
    \nDumping sendromu belirtileri: mide bulant\u0131s\u0131, kramplar, ishal, halsizlik, terleme, kalp \u00e7arp\u0131nt\u0131s\u0131.<\/strong><\/li>\n
  • Bu sendrom olu\u015ftu\u011funda yakla\u015f\u0131k yar\u0131m saat s\u00fcrebilir ve paniklememeniz gerekir \u00e7\u00fcnk\u00fc bu durum kendili\u011finden normale d\u00f6necektir.<\/li>\n
  • Bol ya\u011fl\u0131 yiyeceklerin hazm\u0131 zor oldu\u011fu i\u00e7in, ya\u011fl\u0131 bir beslenme \u015feklinden ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. Di\u011fer yandan sa\u011fl\u0131kl\u0131 bir beslenme i\u00e7in g\u00fcnl\u00fck belirli bir miktar ya\u011f al\u0131m\u0131 gerekmektedir. Doymam\u0131\u015f ya\u011flar (zeytinya\u011f\u0131, ay\u00e7i\u00e7ekya\u011f\u0131, f\u0131nd\u0131kya\u011f\u0131\u2026) tercih edilmelidir.<\/li>\n
  • Kola benzeri bol kalorili asitli i\u00e7ecekleri ve alkoll\u00fc i\u00e7ecekleri ilk 3 ay \u00f6nermiyoruz.<\/li>\n
  • Az say\u0131da \u00f6\u011f\u00fcn ve \u00e7ok yemek yerine \u00e7ok say\u0131da \u00f6\u011f\u00fcn ve az miktarda yemeye \u00e7al\u0131\u015f\u0131n\u0131z.<\/li>\n<\/ul>\n

    T\u00fcp Mide Ameliyat\u0131 Sonras\u0131 Beslenme<\/h2>\n

    T\u00fcp Mide operasyonu<\/b>\u00a0sonras\u0131 hastan\u0131n beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131 sa\u011fl\u0131kl\u0131 bir \u015fekilde de\u011fi\u015ftirmesi gerekmektedir. \u00c7\u00fcnk\u00fc sa\u011fl\u0131kl\u0131 beslenme diyet olarak tan\u0131mlanmamal\u0131d\u0131r. Sa\u011fl\u0131kl\u0131 beslenme al\u0131\u015fkanl\u0131\u011f\u0131 v\u00fccudumuz i\u00e7in do\u011fru olan\u0131 yapmakt\u0131r. \u00d6zellikle de sa\u011fl\u0131kl\u0131 beslenme ve egzersiz bir ya\u015fam tarz\u0131 haline getirilmelidir.<\/p>\n

    Bu operasyon sonras\u0131nda hastalara 3 ana ve 3 ara \u00f6\u011f\u00fcn \u00f6nerilmektedir. Hastalar her t\u00fcr g\u0131day\u0131 t\u00fcketebilmektedir ancak ameliyat \u00f6ncesi d\u00f6neme g\u00f6re en b\u00fcy\u00fck fark porsiyonlar\u0131n k\u00fc\u00e7\u00fclt\u00fclmesidir. Hasta sa\u011fl\u0131kl\u0131 bir yeme i\u00e7me al\u0131\u015fkanl\u0131\u011f\u0131 edindi\u011finde ve porsiyonlar\u0131n\u0131 \u00f6nerilen seviyede tuttu\u011funda hi\u00e7bir zaman rahats\u0131zl\u0131k ya\u015famayacakt\u0131r.<\/p>\n

    T\u00fcp Mide operasyonu sonras\u0131 ka\u00e7ak riski, di\u011fer operasyonlara g\u00f6re daha fazla olmas\u0131 sebebiyle hastalar; ilk iki hafta sadece s\u0131v\u0131 g\u0131dalarla beslenmelidir. S\u0131v\u0131 beslenme d\u00f6nemi boyunca hastalara, protein destekli i\u00e7ecekler \u00f6nerilmektedir.<\/p>\n

      \n
    • Beslenmeyle ilgili a\u015fa\u011f\u0131da birka\u00e7 \u00f6nerimiz olacakt\u0131r.<\/li>\n
    • Midenizin hacminin k\u00fc\u00e7\u00fcld\u00fc\u011f\u00fcn\u00fc unutmay\u0131n\u0131z.<\/li>\n
    • Dengeli beslenmenin \u00f6nemini unutmay\u0131n\u0131z.<\/li>\n
    • Az say\u0131da \u00f6\u011f\u00fcn ve \u00e7ok yemek yerine \u00e7ok say\u0131da \u00f6\u011f\u00fcn ve az miktarda yemeye \u00e7al\u0131\u015f\u0131n\u0131z.<\/li>\n
    • Yemekler iyi \u00e7i\u011fnenmeli ve yava\u015f yenmelidir.<\/li>\n
    • \u00d6zellikle \u015fekerli g\u0131dalara dikkat etmelisiniz.<\/li>\n
    • T\u00fcp mide operasyonunun t\u00fcketilen besinlerin emilimini etkilemesi sebebiyle, t\u00fcketilen besinlerin kalorileri tamamiyle al\u0131nacakt\u0131r.<\/li>\n
    • \u00d6zellikle de \u015fekerli g\u0131da t\u00fcketme al\u0131\u015fkanl\u0131klardan vazge\u00e7meyen hastalarda, T\u00fcp Mide operasyonu sonras\u0131 geri kilo al\u0131m\u0131 ihtimali di\u011fer operasyonlara g\u00f6re daha y\u00fcksek olmaktad\u0131r.<\/li>\n
    • Yemek esnas\u0131nda i\u00e7ecek i\u00e7memeli ve asitli i\u00e7eceklerden ka\u00e7\u0131nmal\u0131s\u0131n\u0131z.<\/li>\n
    • Kola benzeri bol kalorili asitli i\u00e7ecekleri ve alkoll\u00fc i\u00e7ecekleri ilk 3 ay \u00f6nermemektedir.<\/li>\n<\/ul>\n

      Alkol T\u00fcketimi<\/h3>\n

      T\u00fcp mide ameliyat\u0131 sonras\u0131 alkol t\u00fcketimi yasak de\u011fildir ancak \u00f6nerildi\u011fi ya da te\u015fvik edildi\u011fi de s\u00f6ylenemez. Sleeve Gastrektomi ameliyat\u0131 sonras\u0131 alkol t\u00fcketimi hakk\u0131nda \u015fu hat\u0131rlatmalar\u0131 yapmak istiyoruz:<\/p>\n

        \n
      • T\u00fcp mide ameliyat\u0131 sonras\u0131 ilk 6 ay alkol t\u00fcketilmemelidir.<\/li>\n
      • Operasyondan sonra alkol t\u00fcketimi cerrahlar taraf\u0131ndan onaylansa dahi \u015fekerli ve gazl\u0131 i\u00e7eri\u011fe sahip alkoll\u00fc i\u00e7eceklerden uzak durulmas\u0131 gerekmektedir.\u00a0 Gazl\u0131 ve y\u00fcksek \u015fekerli i\u00e7ecekler hem \u00e7ok kalorilidir hem de mideyi rahats\u0131z edebilmektedir.<\/li>\n
      • T\u00fcp mide ameliyat\u0131 sonras\u0131nda m\u00fcmk\u00fcn oldu\u011funca az alkol t\u00fcketilmelidir, mide k\u00fc\u00e7\u00fcld\u00fc\u011f\u00fcnden ve alkol do\u011frudan ince ba\u011f\u0131rsa\u011fa gitti\u011finden alkol\u00fcn etkisi y\u00fckselir.<\/li>\n
      • Alkol t\u00fcketimi d\u00fczenli hale gelirse mutlaka profesyonel destek al\u0131nmal\u0131d\u0131r.<\/li>\n<\/ul>\n

        T\u00fcp mide ameliyat\u0131 sonras\u0131 alkol t\u00fcketiminin \u00f6nerilmemesinin farkl\u0131 nedenleri vard\u0131r. \u00d6ncelikle alkol y\u00fcksek kaloriye sahiptir ve \u00f6z\u00fcnde s\u0131v\u0131 bir karbonhidratt\u0131r. Masum g\u00f6r\u00fcnen alkoll\u00fc i\u00e7eceklerden birka\u00e7 kadeh t\u00fcketilmesi g\u00fcnl\u00fck kalori ihtiyac\u0131n\u0131n kar\u015f\u0131lanmas\u0131 anlam\u0131na gelmektedir. Dolay\u0131s\u0131yla temel amac\u0131 kilo vermek olan hastalar\u0131n alkol t\u00fcketerek kilo verme s\u00fcre\u00e7lerini sekteye u\u011fratmalar\u0131 hem cerrahlar hem de hastalar a\u00e7\u0131s\u0131ndan istenen bir durum de\u011fildir.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Operasyon sonras\u0131 beslenme RNY Gastrik Bypass operasyonu\u00a0sonras\u0131nda hastalar beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131 sa\u011fl\u0131kl\u0131 bir \u015fekilde de\u011fi\u015ftirmek zorundad\u0131r. \u00c7\u00fcnk\u00fc sa\u011fl\u0131kl\u0131 beslenme diyet olarak tan\u0131mlanmamal\u0131d\u0131r.\u00a0 Sa\u011fl\u0131kl\u0131 beslenme al\u0131\u015fkanl\u0131\u011f\u0131 v\u00fccudumuz i\u00e7in do\u011fru olan\u0131 yapmakt\u0131r. Sa\u011fl\u0131kl\u0131 beslenme v\u00fccudun dengeli ve yeterli miktarda ya\u015f, cinsiyet ve g\u00fcnl\u00fck aktivitesine ba\u011fl\u0131 olarak ki\u015fiye g\u00f6re de\u011fi\u015fen; protein, ya\u011f, karbonhidrat ve mineral ihtiyac\u0131n\u0131n kar\u015f\u0131lanmas\u0131d\u0131r. V\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131n […]<\/p>\n","protected":false},"author":2,"featured_media":197,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-161","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-guide"],"_links":{"self":[{"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/posts\/161","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/comments?post=161"}],"version-history":[{"count":2,"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/posts\/161\/revisions"}],"predecessor-version":[{"id":240,"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/posts\/161\/revisions\/240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/media\/197"}],"wp:attachment":[{"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/media?parent=161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/categories?post=161"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/imadsalih.com\/en\/wp-json\/wp\/v2\/tags?post=161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}