{"id":10457,"date":"2026-07-01T13:29:59","date_gmt":"2026-07-01T10:29:59","guid":{"rendered":"https:\/\/drnecatkaplan.com\/?page_id=10457"},"modified":"2026-07-07T13:51:14","modified_gmt":"2026-07-07T10:51:14","slug":"transit-bipartisyon","status":"publish","type":"page","link":"https:\/\/drnecatkaplan.com\/ar\/transit-bipartisyon\/","title":{"rendered":"\u062a\u0642\u0633\u064a\u0645 \u0627\u0644\u0646\u0642\u0644"},"content":{"rendered":"
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\"\"Transit bipartisyon ameliyat\u0131 Tip 2 diaybet hastal\u0131\u011f\u0131n\u0131n cerrahi tedavisinde kullan\u0131lan en pop\u00fcler ve en etkin y\u00f6ntemdir. Bu ameliyat ile metabolik sendromun t\u00fcm bile\u015fenlerine etki eden ve bu grup i\u00e7erisindeki t\u00fcm hastal\u0131klara de\u011fi\u015fik oranlarda \u00e7\u00f6z\u00fcm olu\u015fturan bir ameliyat y\u00f6ntemidir. Dolay\u0131s\u0131yla transit bipartisyon ameliyat\u0131 ile sadece diyabetten de\u011fil ayn\u0131 zamanda fazla kilolar\u0131n\u0131zdan, tansiyon hastal\u0131\u011f\u0131n\u0131zdan, kan ya\u011flar\u0131 y\u00fcksekli\u011finden, uyku apnenizden, Karaci\u011fer ya\u011flanmas\u0131nda da kurtulmu\u015f olursunuz.<\/p>\n

Transit bipartisyon ameliyat\u0131nda\u00a0 \u00f6zetle\u00a0 2 a\u015famal\u0131 bir i\u015flem yap\u0131lmaktad\u0131r. Ameliayt\u0131n 1. A\u015famas\u0131nda midenin tepe k\u0131sm\u0131 olan fundus k\u0131sm\u0131\u00a0 \u00e7\u0131kart\u0131l\u0131r. Burada ama\u00e7lanan \u015fey bu b\u00f6lgeden salg\u0131lanan ghrelin hormonunu devre d\u0131\u015f\u0131 b\u0131rakmakt\u0131r. \u00c7\u00fcnk\u00fc grelin hormonu ins\u00fclin drenci olu\u015fturan bir hormondur. Ayr\u0131ca yine fundus k\u0131sm\u0131n\u0131n \u00e7\u0131kart\u0131lmas\u0131 bir miktar mide hacminde azalma sa\u011flayarak hastan\u0131n yeme bozuklu\u011funun d\u00fczenlenmesinde de fayda sa\u011flamaktad\u0131r.<\/p>\n

Ameliyat\u0131n 2. A\u015famas\u0131nda\u00a0 ince barsaklar\u0131n son 250 cm lik k\u0131sm\u0131 ile mide aras\u0131nda yeni bir ba\u011flant\u0131 sa\u011flanarak, g\u0131dalar\u0131n ince barsa\u011f\u0131n bu son k\u0131sm\u0131na erken d\u00f6nmede ula\u015fmas\u0131 hedeflenir. G\u0131dalarla erken d\u00f6nemde bulu\u015fan barsaklar\u0131n bu segmenti, inkreatin ad\u0131 verilen bir\u00e7ok faydal\u0131 hormonun\u00a0 salg\u0131lanmas\u0131na neden olur. Salg\u0131lanan bu hormonlar pankreastan ins\u00fclin \u00fcretimini uyar\u0131r, sal\u0131g\u0131lanan ins\u00fclinin kalitesini y\u00fckseltir, ins\u00fclinin hedef dokulardaki etkinli\u011fini art\u0131r\u0131r ve daha bir\u00e7ok mekanizma ile diyabet \u00fczerine olumlu etkiler olu\u015fturur. Ameliyat sonras\u0131 olu\u015fan yeni sistem ile t\u00fcm metabolik bozukluklarda iyile\u015fmeler olur.<\/p>\n

Transit Bipartisyon Nas\u0131l Yap\u0131l\u0131r?<\/strong><\/h2>\n

Transit bipartisyon ameliyat\u0131yla yap\u0131lan i\u015flemlerin as\u0131l amac\u0131 ins\u00fclin direncine neden olan hormonlar\u0131 devre d\u0131\u015f\u0131 b\u0131rak\u0131p, ins\u00fclin duyarl\u0131l\u0131\u011f\u0131n\u0131 art\u0131ran hormon seviyelerini y\u00fckselterek kan \u015feker seviyesini kontrol alt\u0131na almay\u0131hedefler..\u2028Sindirim sisteminin ba\u015flang\u0131\u00e7 k\u0131s\u0131mlar\u0131ndan Ghrelin , G\u0130P\u00a0 ve glukagon gibi ins\u00fclin diren\u00e7 hormonlar\u0131 ve ince barsa\u011f\u0131n son k\u0131sm\u0131ndaki L h\u00fccrelerinden de GLP-1 ad\u0131 verilen ins\u00fclin duyarl\u0131l\u0131k hormonlar\u0131 salg\u0131lan\u0131r. Bu i\u015flem ile as\u0131l hedeflenen diren\u00e7 hormonlar\u0131n\u0131 azalt\u0131p, duyarl\u0131l\u0131k hormonlar\u0131n\u0131 art\u0131rmakt\u0131r.<\/p>\n

Ameliyat s\u0131ras\u0131nda, \u00f6nce hastaya anestezi uygulan\u0131r, ard\u0131ndan cerrahi i\u015flemler ba\u015flar. Bu a\u015famalarda, midenin \u00f6nemli bir k\u0131sm\u0131 \u00e7\u0131kar\u0131l\u0131r midenin ne kadar \u00e7\u0131kar\u0131laca\u011f\u0131 ki\u015finin kilo fazlal\u0131\u011f\u0131n\u0131n ne kadar oldu\u011fuyla ili\u015fkilidir. A\u015f\u0131r\u0131 obez hastalarda \u00e7\u0131kar\u0131lan k\u0131s\u0131m daha fazla olur. Ancak a\u015f\u0131r\u0131 kilolu olmasa bile midenin en az 1\/3 l\u00fck tepe kesimi \u00e7\u0131kart\u0131lmal\u0131d\u0131r. \u00c7\u00fcnk\u00fc \u00e7\u0131kar\u0131lan bu mide kesiminden sal\u0131nan grelin hormonu ins\u00fclin drenci olu\u015fturan ve \u00f6zellikle karbonhidratlara kar\u015f\u0131 olan ilgimizi art\u0131ran bir hormondur.<\/p>\n

Bu hormonun etkisinden kurtulmak amac\u0131yla mide \u00f6zel bir tak\u0131m cihazlar kullan\u0131larak kesilerek \u00e7\u0131kart\u0131l\u0131r.daha sonra \u00a0ve ince ba\u011f\u0131rsak ile kal\u0131n ba\u011f\u0131rsa\u011f\u0131n birle\u015fim noktas\u0131 belirlenir. Bu noktadan 250 -300 santimetre kadar geriye gidilerek mide antrumu ile ba\u011f\u0131rsak aras\u0131nda bir ba\u011flant\u0131 yap\u0131l\u0131r. Bu \u015fekilde midenin 2. Bir \u00e7\u0131k\u0131\u015f\u0131 olur. Mide i\u00e7erisindeki g\u0131dalar\u0131n yakla\u015f\u0131k yar\u0131s\u0131 kadar\u0131 bu yeni yolu kullanarak incebarsaklar\u0131n son kesimleri olan ileuma daha h\u0131zl\u0131 girmesi sa\u011flanm\u0131\u015f olur. Hen\u00fcz sindirilmemi\u015f g\u0131dalar ileum ile erken d\u00f6nemde bulu\u015ftu\u011funda buradaki barsak h\u00fccrelerinden ba\u015fta GLP olmak \u00fczere inkreatin ad\u0131 verilen hormonlar\u0131n salg\u0131lanmas\u0131na neden olur. Salg\u0131lanan horrmonlar sadece diyabet \u00fczerine de\u011fil di\u011fer metabolik bozukluklar\u0131nda d\u00fczelmesine katk\u0131 sa\u011flar.<\/p>\n

\u00a0Transit Bipartisyon Ameliyat\u0131n\u0131n faydalar\u0131 nelerdir?<\/strong><\/h3>\n