{"id":40208,"date":"2023-07-02T07:52:14","date_gmt":"2023-07-02T07:52:14","guid":{"rendered":"https:\/\/clinicmono.com\/turki%cc%87yede-gastri%cc%87k-kol\/"},"modified":"2026-08-31T19:32:45","modified_gmt":"2026-08-31T19:32:45","slug":"tup-mide-ameliyati","status":"publish","type":"page","link":"https:\/\/clinicmono.com\/tr\/obezite-ve-genel-cerrahi\/tup-mide-ameliyati\/","title":{"rendered":"T\u00fcp Mide Ameliyat\u0131"},"content":{"rendered":"<section class=\"l-section wpb_row height_custom with_img parallax_ver\"><div class=\"l-section-img\" role=\"img\" aria-label=\"G\u00f6rsel\" data-img-width=\"1280\" data-img-height=\"720\" style=\"background-image: url(https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/03\/gastric-sleeve.jpg);background-repeat: no-repeat;\"><\/div><div class=\"l-section-overlay\" style=\"background:rgba(0,0,0,0.47)\"><\/div><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column us_custom_8b3d6790 has_text_color\"><div class=\"wpb_wrapper\"><div class=\"elementor-element elementor-element-5fc21dd3 elementor-widget elementor-widget-heading\" data-id=\"5fc21dd3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-widget-container\">\n<h1 class=\"elementor-heading-title elementor-size-default\" style=\"text-align: center;\">T\u00fcp Mide Ameliyat\u0131 (Sleeve Gastrektomi)<\/h1>\n<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-4bbc6c22 elementor-widget elementor-widget-shortcode\" data-id=\"4bbc6c22\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n<div class=\"elementor-widget-container\">\n<div class=\"elementor-shortcode\" style=\"text-align: center;\"><\/div>\n<\/div>\n<\/div>\n<\/div><\/div><div class=\"w-separator size_small\"><\/div><nav class=\"g-breadcrumbs us_custom_8b3d6790 has_text_color separator_icon align_center\" itemscope itemtype=\"http:\/\/schema.org\/BreadcrumbList\"><div class=\"g-breadcrumbs-item\" itemscope itemprop=\"itemListElement\" itemtype=\"http:\/\/schema.org\/ListItem\"><a itemprop=\"item\" href=\"https:\/\/clinicmono.com\/tr\/\"><span itemprop=\"name\">Giri\u015f<\/span><\/a><meta itemprop=\"position\" content=\"1\"\/><\/div><\/nav><div class=\"w-separator size_small\"><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row us_custom_fca73e28 height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-separator size_small\"><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><div class=\"cm-blog\">\n<div style=\"background: linear-gradient(135deg,#f0f9f5 0%,#ffffff 100%); border-radius: 16px; padding: 32px 24px; margin-bottom: 32px; border: 1px solid #eef2f0;\">\n<p><span style=\"display: inline-block; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: bold; letter-spacing: 0.08em; text-transform: uppercase; padding: 6px 14px; border-radius: 999px; margin-bottom: 16px;\">Obezite Cerrahisi \u00b7 \u0130zmir \u00b7 2026<\/span><\/p>\n<p style=\"font-size: 18px; color: #6b7775; margin-bottom: 20px; line-height: 1.5;\">Midenin yakla\u015f\u0131k %80\u2019i \u00e7\u0131kar\u0131larak muz \u015feklinde dar bir mide olu\u015fturulan t\u00fcp mide ameliyat\u0131 hakk\u0131nda bilmeniz gereken her \u015fey: k\u0131s\u0131tlay\u0131c\u0131 ve hormonal \u00e7ift mekanizma, kimlerin uygun oldu\u011fu, ay ay kilo kayb\u0131 \u00e7izelgesi, hafta hafta beslenme a\u015famalar\u0131, \u00f6m\u00fcr boyu vitamin takibi, staple hatt\u0131 ka\u00e7a\u011f\u0131, refl\u00fc, kilo geri al\u0131m\u0131 ve \u0130zmir\u2019de Clinic Mono arac\u0131l\u0131\u011f\u0131yla s\u00fcre\u00e7 \u2014 interaktif t\u00fcp mide arac\u0131 ile.<\/p>\n<div style=\"display: flex; flex-wrap: wrap; gap: 16px; align-items: center; padding-top: 16px; border-top: 1px solid #e1e8e5; font-size: 14px; color: #6b7775;\"><span>\ud83e\ude79 T\u0131bbi i\u00e7erik denetimi: <strong style=\"color: #1a3a32;\">anla\u015fmal\u0131 uzman hekimler<\/strong><\/span><span><br \/>\n<\/span><span style=\"color: #c0ccc7;\">\u2022<\/span><span>\u23f1 ~12 dk okuma<\/span><\/div>\n<div style=\"display: flex; flex-wrap: wrap; gap: 12px; margin-top: 20px;\"><a style=\"background: #2E8B6F; color: #fff; text-decoration: none; font-weight: bold; padding: 13px 24px; border-radius: 999px; display: inline-block;\" href=\"https:\/\/wa.me\/905448524526?text=Merhaba%2C%20tup%20mide%20ameliyati%20icin%20on%20degerlendirme%20istiyorum.\" rel=\"nofollow noopener\" target=\"_blank\">WhatsApp\u2019tan \u00d6n De\u011ferlendirme Al<\/a><a style=\"border: 2px solid #2E8B6F; color: #1f6b54; text-decoration: none; font-weight: bold; padding: 11px 24px; border-radius: 999px; display: inline-block;\" href=\"#test\">\ud83e\uddea Uygunluk Testini \u00c7\u00f6z<\/a><\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(120px,1fr)); gap: 14px; margin: 32px 0;\">\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; padding: 20px 12px; text-align: center;\"><span style=\"display: block; font-size: 18px; font-weight: 800; color: #2e8b6f; line-height: 1.1; margin-bottom: 6px;\">~1 Saat<\/span><span style=\"font-size: 11px; color: #6b7775; text-transform: uppercase; letter-spacing: 0.04em; font-weight: 600;\">Ameliyat S\u00fcresi<\/span><\/div>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; padding: 20px 12px; text-align: center;\"><span style=\"display: block; font-size: 18px; font-weight: 800; color: #2e8b6f; line-height: 1.1; margin-bottom: 6px;\">Genel<\/span><span style=\"font-size: 11px; color: #6b7775; text-transform: uppercase; letter-spacing: 0.04em; font-weight: 600;\">Anestezi<\/span><\/div>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; padding: 20px 12px; text-align: center;\"><span style=\"display: block; font-size: 18px; font-weight: 800; color: #2e8b6f; line-height: 1.1; margin-bottom: 6px;\">2\u20133 Gece<\/span><span style=\"font-size: 11px; color: #6b7775; text-transform: uppercase; letter-spacing: 0.04em; font-weight: 600;\">Hastanede Kal\u0131\u015f<\/span><\/div>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; padding: 20px 12px; text-align: center;\"><span style=\"display: block; font-size: 18px; font-weight: 800; color: #2e8b6f; line-height: 1.1; margin-bottom: 6px;\">1\u20132 Hafta<\/span><span style=\"font-size: 11px; color: #6b7775; text-transform: uppercase; letter-spacing: 0.04em; font-weight: 600;\">\u0130\u015fe D\u00f6n\u00fc\u015f<\/span><\/div>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; padding: 20px 12px; text-align: center;\"><span style=\"display: block; font-size: 18px; font-weight: 800; color: #2e8b6f; line-height: 1.1; margin-bottom: 6px;\">Laparoskopik<\/span><span style=\"font-size: 11px; color: #6b7775; text-transform: uppercase; letter-spacing: 0.04em; font-weight: 600;\">Y\u00f6ntem<\/span><\/div>\n<\/div>\n<div style=\"background: #f0f9f5; border-left: 4px solid #2E8B6F; border-radius: 12px; padding: 24px; margin: 32px 0;\">\n<p><span style=\"display: inline-block; background: #2E8B6F; color: #ffffff; font-size: 11px; font-weight: bold; letter-spacing: 0.1em; text-transform: uppercase; padding: 4px 12px; border-radius: 999px; margin-bottom: 12px;\">H\u0131zl\u0131 Yan\u0131t<\/span><\/p>\n<p style=\"margin: 0; font-size: 17px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">T\u00fcp mide ameliyat\u0131 (sleeve gastrektomi), midenin yakla\u015f\u0131k %80\u2019inin \u00e7\u0131kar\u0131larak geriye muz (t\u00fcp) \u015feklinde dar bir midenin b\u0131rak\u0131ld\u0131\u011f\u0131 bir obezite cerrahisi y\u00f6ntemidir.<\/strong> Ba\u011f\u0131rsaklara dokunulmaz. Etkisi iki y\u00f6nl\u00fcd\u00fcr: mide hacmi k\u00fc\u00e7\u00fcl\u00fcr (<strong>k\u0131s\u0131tlay\u0131c\u0131 etki<\/strong>) ve a\u00e7l\u0131k hormonu <strong>ghrelin<\/strong>\u2019in esas olarak \u00fcretildi\u011fi \u00fcst mide b\u00f6l\u00fcm\u00fc (<strong>fundus<\/strong>) \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in i\u015ftah ile tatl\u0131 iste\u011fi azal\u0131r (<strong>hormonal etki<\/strong>). Ameliyat genel anestezi alt\u0131nda <strong>laparoskopik<\/strong> olarak, <strong>3\u20135 (tipik 4) k\u00fc\u00e7\u00fck kesi<\/strong> ile yakla\u015f\u0131k <strong>1 saatte (60\u201375 dakika)<\/strong> tamamlan\u0131r; ameliyat i\u00e7inde <strong>ka\u00e7ak testi<\/strong> yap\u0131l\u0131r.\u00a0Fazla kilonun ortalama <strong>%60\u201370\u2019i 12\u201318 ayda<\/strong> verilir; bu de\u011ferler ortalamad\u0131r ve ki\u015fiye g\u00f6re de\u011fi\u015fir, beslenme ve takip kurallar\u0131na uyuma ba\u011fl\u0131d\u0131r. Mide kal\u0131c\u0131 olarak \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in i\u015flem <strong>geri d\u00f6nd\u00fcr\u00fclemez<\/strong>. Clinic Mono\u2019nun anla\u015fmal\u0131 oldu\u011fu T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 onayl\u0131 sa\u011fl\u0131k tesislerinde, anla\u015fmal\u0131 uzman hekimler taraf\u0131ndan yap\u0131l\u0131r.<\/p>\n<\/div>\n<div style=\"background: #ffffff; border: 1px solid #cfe9df; border-radius: 14px; padding: 22px 24px; margin: 24px 0;\">\n<div style=\"display: flex; align-items: center; gap: 10px; margin-bottom: 12px;\"><span style=\"background: #2E8B6F; color: #fff; font-size: 11px; font-weight: 800; letter-spacing: 0.08em; text-transform: uppercase; padding: 4px 12px; border-radius: 999px;\">Anahtar \u00c7\u0131kar\u0131mlar<\/span><span style=\"font-size: 13px; color: #6b7775;\">30 saniyede \u00f6zet<\/span><\/div>\n<ul style=\"list-style: none; padding: 0; margin: 0; font-size: 15px; line-height: 1.7; color: #2d3a35;\">\n<li style=\"padding: 5px 0; display: flex; gap: 10px;\"><span style=\"color: #2e8b6f; font-weight: 800; flex-shrink: 0;\">\u2713<\/span><span>Midenin yakla\u015f\u0131k <strong>%80\u2019i<\/strong> \u00e7\u0131kar\u0131l\u0131r, geriye dar bir t\u00fcp mide kal\u0131r; <strong>ba\u011f\u0131rsaklara dokunulmaz<\/strong>.<\/span><\/li>\n<li style=\"padding: 5px 0; display: flex; gap: 10px;\"><span style=\"color: #2e8b6f; font-weight: 800; flex-shrink: 0;\">\u2713<\/span><span>\u00c7ift mekanizma: <strong>k\u0131s\u0131tlama<\/strong> (hacim k\u00fc\u00e7\u00fcl\u00fcr) + <strong>hormonal etki<\/strong> (ghrelin \u00fcreten fundus \u00e7\u0131kar\u0131l\u0131r).<\/span><\/li>\n<li style=\"padding: 5px 0; display: flex; gap: 10px;\"><span style=\"color: #2e8b6f; font-weight: 800; flex-shrink: 0;\">\u2713<\/span><span>Laparoskopik, <strong>3\u20135 (tipik 4) kesi<\/strong>, genel anestezi, <strong>yakla\u015f\u0131k 1 saat<\/strong>; ameliyat i\u00e7inde <strong>ka\u00e7ak testi<\/strong>.<\/span><span><br \/>\n<\/span><\/li>\n<li style=\"padding: 5px 0; display: flex; gap: 10px;\"><span style=\"color: #2e8b6f; font-weight: 800; flex-shrink: 0;\">\u2713<\/span><span>Fazla kilonun ortalama <strong>%60\u201370\u2019i 12\u201318 ayda<\/strong>; t\u00fcm de\u011ferler ortalamad\u0131r, ki\u015fiye g\u00f6re de\u011fi\u015fir.<\/span><\/li>\n<li style=\"padding: 5px 0; display: flex; gap: 10px;\"><span style=\"color: #2e8b6f; font-weight: 800; flex-shrink: 0;\">\u2713<\/span><span><strong>\u00d6m\u00fcr boyu<\/strong> B12, demir, kalsiyum ve D vitamini takviyesi ile d\u00fczenli kan takibi gerekir.<\/span><\/li>\n<li style=\"padding: 5px 0; display: flex; gap: 10px;\"><span style=\"color: #2e8b6f; font-weight: 800; flex-shrink: 0;\">\u2713<\/span><span>En ciddi erken risk <strong>staple hatt\u0131 ka\u00e7a\u011f\u0131d\u0131r<\/strong>; belirtileri genellikle <strong>ilk 48 saatte<\/strong> g\u00f6r\u00fcl\u00fcr.<\/span><\/li>\n<li style=\"padding: 5px 0; display: flex; gap: 10px;\"><span style=\"color: #2e8b6f; font-weight: 800; flex-shrink: 0;\">\u2713<\/span><span><strong>\u0130leri refl\u00fcs\u00fc olanlarda<\/strong> t\u00fcp mide yerine <strong>gastrik bypass<\/strong> \u00f6nerilir.<\/span><\/li>\n<li style=\"padding: 5px 0; display: flex; gap: 10px;\"><span style=\"color: #2e8b6f; font-weight: 800; flex-shrink: 0;\">\u2713<\/span><span>\u0130\u015flem <strong>geri d\u00f6nd\u00fcr\u00fclemez<\/strong>; ancak gerekti\u011finde bypass\u2019a revizyon yap\u0131labilir.<\/span><\/li>\n<\/ul>\n<\/div>\n<div style=\"background: #fffdf5; border: 1px solid #eadfbf; border-left: 4px solid #d97706; border-radius: 12px; padding: 18px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 14px; line-height: 1.6; color: #6b5a2e;\"><strong style=\"color: #8a6d1f;\">Yasal Bilgilendirme:<\/strong> Clinic Mono bir sa\u011fl\u0131k tesisi de\u011fildir. Uluslararas\u0131 sa\u011fl\u0131k turizmi kapsam\u0131nda arac\u0131l\u0131k ve s\u00fcre\u00e7 koordinasyonu hizmetleri sunar. T\u0131bbi de\u011ferlendirme, tedavi planlamas\u0131 ve t\u0131bbi i\u015flemler, Clinic Mono\u2019nun anla\u015fmal\u0131 oldu\u011fu yetkili sa\u011fl\u0131k tesisleri ve ilgili uzman hekimler taraf\u0131ndan ger\u00e7ekle\u015ftirilir.<\/p>\n<\/div>\n<div style=\"margin: 26px 0;\">\n<div style=\"display: flex; align-items: center; gap: 10px; margin-bottom: 12px;\"><span style=\"background: #2E8B6F; color: #fff; font-size: 11px; font-weight: 800; letter-spacing: 0.08em; text-transform: uppercase; padding: 4px 12px; border-radius: 999px;\">Bir Bak\u0131\u015fta<\/span><span style=\"font-size: 13px; color: #6b7775;\">\u0130\u015flemin temel bilgileri<\/span><\/div>\n<div style=\"overflow-x: auto; border: 1px solid #e1e8e5; border-radius: 12px;\">\n<table style=\"width: 100%; border-collapse: collapse; background: #fff; min-width: 320px;\">\n<tbody>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">\u0130\u015flem<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">Sleeve gastrektomi \u2014 midenin yakla\u015f\u0131k %80\u2019inin \u00e7\u0131kar\u0131lmas\u0131<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">Y\u00f6ntem<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">Laparoskopik, 3\u20135 (tipik 4) kesi<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">S\u00fcre<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">Yakla\u015f\u0131k 1 saat (60\u201375 dakika)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">Anestezi<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">Genel<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">Hastanede kal\u0131\u015f<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">2\u20133 gece<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">\u0130\u015fe d\u00f6n\u00fc\u015f<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">Masa ba\u015f\u0131 i\u015flerde 1\u20132 hafta<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">A\u011f\u0131r egzersiz<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">2 ay yasak<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">Kilo kayb\u0131<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">Fazla kilonun ortalama %60\u201370\u2019i, 12\u201318 ayda (ki\u015fiye g\u00f6re de\u011fi\u015fir)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">Kime uygun<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">BMI 40+ veya BMI 35+ e\u015flik eden hastal\u0131k<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 12px 16px; font-weight: bold; color: #1a3a32; background: #f8faf9; width: 38%; border-bottom: 1px solid #eef2f0; font-size: 14px;\">Geri d\u00f6n\u00fc\u015f<\/td>\n<td style=\"padding: 12px 16px; color: #2d3a35; border-bottom: 1px solid #eef2f0; font-size: 15px;\">Geri d\u00f6nd\u00fcr\u00fclemez; gerekti\u011finde bypass\u2019a revizyon<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<details style=\"background: linear-gradient(135deg,#2E8B6F 0%,#1f6b54 100%); border-radius: 16px; margin: 32px 0; padding: 8px;\">\n<summary style=\"cursor: pointer; color: #ffffff; font-weight: bold; font-size: 17px; padding: 14px 16px;\">\u0130\u00e7indekiler <span style=\"font-weight: 400; font-size: 13px; opacity: 0.85;\">\u2014 29 b\u00f6l\u00fcm<\/span><\/summary>\n<div style=\"background: #ffffff; border-radius: 12px; margin: 6px 4px 4px; padding: 12px; display: grid; grid-template-columns: repeat(auto-fit,minmax(230px,1fr)); gap: 8px;\"><a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#nedir\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">1<\/span>Nedir<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#nasil-calisir\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">2<\/span>Nas\u0131l \u00c7al\u0131\u015f\u0131r (Ghrelin)<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#kimler\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">3<\/span>Kimler \u0130\u00e7in Uygun (BMI)<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#test\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">4<\/span>\u00d6n De\u011ferlendirme<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#arac\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">5<\/span>\u0130nteraktif Ara\u00e7<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#nasil\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">6<\/span>Nas\u0131l Yap\u0131l\u0131r<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#iyilesme\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">7<\/span>\u0130yile\u015fme S\u00fcreci<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#kilo-cizelgesi\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">8<\/span>Kilo Kayb\u0131 \u00c7izelgesi<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#beslenme\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">9<\/span>Beslenme A\u015famalar\u0131<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#vitamin\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">10<\/span>Vitamin ve Kan Takibi<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#kacak\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">11<\/span>Staple Hatt\u0131 Ka\u00e7a\u011f\u0131<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#reflu\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">12<\/span>Refl\u00fc (GERD)<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#postop\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">13<\/span>Sonras\u0131 Bak\u0131m<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#riskler\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">14<\/span>Riskler<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#kimlere-uygun-degil\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">15<\/span>Kimlere Uygun De\u011fil<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#karsilastirma\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">16<\/span>T\u00fcp Mide mi Bypass m\u0131<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#kilo-geri-alimi\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">17<\/span>Kilo Geri Al\u0131m\u0131<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#sarkma\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">18<\/span>Deri Sarkmas\u0131<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#oncesi-sonrasi\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">19<\/span>\u00d6ncesi \/ Sonras\u0131<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#dikkat\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">20<\/span>Nelere Dikkat<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#neden-izmir\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">21<\/span>Neden \u0130zmir\/T\u00fcrkiye<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#neden-mono\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">22<\/span>Neden Clinic Mono<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#hazirlik\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">23<\/span>Haz\u0131rl\u0131k<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#sorular\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">24<\/span>Sorulacak Sorular<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#turizm\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">25<\/span>Yurt D\u0131\u015f\u0131 Hasta<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#fiyat\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">26<\/span>Fiyat<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#sozluk\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">27<\/span>S\u00f6zl\u00fck<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#mitler\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">28<\/span>Mitler ve Ger\u00e7ekler<\/a><br \/>\n<a style=\"display: flex; align-items: center; gap: 11px; text-decoration: none; padding: 10px 12px; border-radius: 10px; background: #f0f9f5; color: #1a3a32; font-size: 14px; font-weight: 600; line-height: 1.3;\" href=\"#sss\"><span style=\"flex-shrink: 0; width: 24px; height: 24px; border-radius: 50%; background: #2E8B6F; color: #ffffff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">29<\/span>S\u0131k Sorulan Sorular<\/a><\/div>\n<\/details>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(220px,1fr)); gap: 12px; margin: 28px 0;\">\n<div style=\"background: #f8faf9; border: 1px solid #e1e8e5; border-top: 4px solid #2E8B6F; border-radius: 12px; padding: 16px 18px;\">\n<p><strong style=\"color: #1a3a32; font-size: 15px;\">T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Onayl\u0131 Tesis<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 13px; color: #6b7775;\">\u0130\u015flemler, Clinic Mono\u2019nun anla\u015fmal\u0131 oldu\u011fu onayl\u0131 sa\u011fl\u0131k tesislerinde yap\u0131l\u0131r.<\/p>\n<\/div>\n<div style=\"background: #f8faf9; border: 1px solid #e1e8e5; border-top: 4px solid #2E8B6F; border-radius: 12px; padding: 16px 18px;\">\n<p><strong style=\"color: #1a3a32; font-size: 15px;\">Anla\u015fmal\u0131 Uzman Hekimler<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 13px; color: #6b7775;\">Obezite ve metabolik cerrahi alan\u0131nda deneyimli anla\u015fmal\u0131 uzman hekimler.<\/p>\n<\/div>\n<div style=\"background: #f8faf9; border: 1px solid #e1e8e5; border-top: 4px solid #2E8B6F; border-radius: 12px; padding: 16px 18px;\">\n<p><strong style=\"color: #1a3a32; font-size: 15px;\">U\u00e7tan Uca S\u00fcre\u00e7 Koordinasyonu<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 13px; color: #6b7775;\">\u00d6n de\u011ferlendirmeden sonras\u0131 takibe kadar tek elden koordinasyon.<\/p>\n<\/div>\n<div style=\"background: #f8faf9; border: 1px solid #e1e8e5; border-top: 4px solid #2E8B6F; border-radius: 12px; padding: 16px 18px;\">\n<p><strong style=\"color: #1a3a32; font-size: 15px;\">\u00c7ok Dilli, KVKK Uyumlu \u0130leti\u015fim<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 13px; color: #6b7775;\">Yurt d\u0131\u015f\u0131 hastalar i\u00e7in \u00e7ok dilli ileti\u015fim; verileriniz KVKK kapsam\u0131nda korunur.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"nedir\" style=\"scroll-margin-top: 90px;\">T\u00fcp Mide Ameliyat\u0131 Nedir?<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> T\u00fcp mide ameliyat\u0131 (sleeve gastrektomi), midenin yakla\u015f\u0131k %80\u2019inin \u00e7\u0131kar\u0131larak geriye muz (t\u00fcp) \u015feklinde dar bir midenin b\u0131rak\u0131ld\u0131\u011f\u0131 bir obezite cerrahisi y\u00f6ntemidir. Ba\u011f\u0131rsaklara dokunulmaz.<\/div>\n<p>T\u00fcp mide ameliyat\u0131, t\u0131pta <strong>sleeve gastrektomi<\/strong> olarak adland\u0131r\u0131lan ve halk aras\u0131nda <strong>mide k\u00fc\u00e7\u00fcltme ameliyat\u0131<\/strong> olarak da bilinen bir obezite cerrahisi y\u00f6ntemidir. Ameliyatta midenin b\u00fcy\u00fck kavis boyunca uzanan geni\u015f b\u00f6l\u00fcm\u00fc \u2014 \u00fcstteki <strong>fundus<\/strong> k\u0131sm\u0131 d\u00e2hil \u2014 \u00e7\u0131kar\u0131l\u0131r. Geriye, yemek borusundan mide \u00e7\u0131k\u0131\u015f\u0131na kadar uzanan, muz veya t\u00fcp g\u00f6r\u00fcn\u00fcm\u00fcnde dar bir mide kal\u0131r.<br \/>\nAmeliyat\u0131n en belirleyici \u00f6zelliklerinden biri, <strong>ba\u011f\u0131rsaklara dokunulmamas\u0131d\u0131r<\/strong>. Gastrik bypass gibi ba\u011f\u0131rsak g\u00fczerg\u00e2h\u0131n\u0131 de\u011fi\u015ftiren y\u00f6ntemlerin aksine, t\u00fcp midede besinler normal sindirim yolunu izlemeye devam eder; yaln\u0131zca midenin hacmi ve hormonal yap\u0131s\u0131 de\u011fi\u015fir. Bu nedenle t\u00fcp mide, teknik olarak daha az karma\u015f\u0131k bir i\u015flem olarak kabul edilir.<br \/>\n\u00c7\u0131kar\u0131lan mide dokusu v\u00fccuda geri konulamaz. Bu nedenle t\u00fcp mide <strong>geri d\u00f6nd\u00fcr\u00fclemez<\/strong> bir ameliyatt\u0131r. Ancak ileride ihtiya\u00e7 do\u011farsa \u2014 \u00f6rne\u011fin diren\u00e7li refl\u00fc veya yetersiz kilo kayb\u0131 durumunda \u2014 <strong>gastrik bypass\u2019a revizyon<\/strong> yap\u0131lmas\u0131 m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-left: 4px solid #2E8B6F; border-radius: 12px; padding: 20px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 15px; line-height: 1.65; color: #2d3a35;\"><strong style=\"color: #1f6b54;\">Bilgilendirme notu:<\/strong> T\u00fcp mide bir zay\u0131flama y\u00f6ntemi de\u011fil, <strong>obezitenin ve e\u015flik eden hastal\u0131klar\u0131n tedavisine y\u00f6nelik bir cerrahi ara\u00e7t\u0131r<\/strong>. Ameliyat tek ba\u015f\u0131na sonucu belirlemez; beslenme d\u00fczeni, vitamin takviyesi, fiziksel aktivite ve d\u00fczenli kontrollere uyum en az ameliyat kadar \u00f6nemlidir. Tedavi plan\u0131n\u0131 anla\u015fmal\u0131 sa\u011fl\u0131k kurulu\u015fundaki hekim ekibi olu\u015fturur; Clinic Mono bu \u00e7er\u00e7evenin \u00f6n g\u00f6r\u00fc\u015fmede a\u00e7\u0131k\u00e7a payla\u015f\u0131lmas\u0131n\u0131 ve s\u00fcrecin t\u00fcm ad\u0131mlar\u0131n\u0131n size aktar\u0131lmas\u0131n\u0131 sa\u011flar.<\/p>\n<\/div>\n<h2 id=\"nasil-calisir\" style=\"scroll-margin-top: 90px;\">Nas\u0131l \u00c7al\u0131\u015f\u0131r? K\u0131s\u0131tlama ve Ghrelin<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> T\u00fcp mide iki mekanizmayla \u00e7al\u0131\u015f\u0131r: midenin hacmi k\u00fc\u00e7\u00fclerek al\u0131nan porsiyon k\u0131s\u0131tlan\u0131r ve a\u00e7l\u0131k hormonu ghrelin\u2019in \u00fcretildi\u011fi fundus \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in i\u015ftah ile tatl\u0131 iste\u011fi azal\u0131r.<\/div>\n<p>T\u00fcp midenin etkisi tek bir mekanizmaya dayanmaz. Ameliyat\u0131n iki ayr\u0131 etkisi vard\u0131r ve bu ikisi birlikte \u00e7al\u0131\u015f\u0131r:<\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(250px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">\u2460 K\u0131s\u0131tlay\u0131c\u0131 etki (mekanik)<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Midenin hacmi belirgin \u015fekilde k\u00fc\u00e7\u00fcl\u00fcr. Bir \u00f6\u011f\u00fcnde al\u0131nabilen besin miktar\u0131 azal\u0131r ve tokluk hissi \u00e7ok daha erken olu\u015fur. Bu etki ameliyattan hemen sonra ba\u015flar.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">\u2461 Hormonal etki (ghrelin)<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">A\u00e7l\u0131k hormonu olarak bilinen <strong>ghrelin<\/strong>, esas olarak midenin \u00e7\u0131kar\u0131lan \u00fcst b\u00f6l\u00fcm\u00fcnde \u2014 <strong>fundus<\/strong>\u2019ta \u2014 \u00fcretilir. Bu b\u00f6l\u00fcm al\u0131nd\u0131\u011f\u0131 i\u00e7in i\u015ftah ve tatl\u0131 iste\u011finde azalma bildirilir.<\/p>\n<\/div>\n<\/div>\n<p>Bu iki mekanizman\u0131n birlikteli\u011fi, t\u00fcp midenin yaln\u0131zca \u2018daha az yemek\u2019 ile a\u00e7\u0131klanamayacak bir etki g\u00f6stermesinin nedenidir. Hastalar\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fc ameliyat sonras\u0131nda a\u00e7l\u0131k hissinin belirgin \u015fekilde azald\u0131\u011f\u0131n\u0131, \u00f6zellikle tatl\u0131 ve at\u0131\u015ft\u0131rmal\u0131k iste\u011finin geriledi\u011fini ifade eder. Bu etkinin d\u00fczeyi ve ne kadar s\u00fcre devam etti\u011fi <strong>ki\u015fiden ki\u015fiye de\u011fi\u015fir<\/strong>.<\/p>\n<p style=\"font-size: 14px; color: #6b7775;\">Hormonal etki zamanla bir miktar zay\u0131flayabilir. Bu nedenle beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n kal\u0131c\u0131 olarak de\u011fi\u015ftirilmesi, uzun vadede sonucun korunmas\u0131nda belirleyici olur.<\/p>\n<h2 id=\"kimler\" style=\"scroll-margin-top: 90px;\">Kimler \u0130\u00e7in Uygundur? (BMI Kriterleri)<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> T\u00fcp mide genel olarak v\u00fccut kitle indeksi (BMI) 40 ve \u00fczerinde olan ki\u015filerde, ya da BMI 35 ve \u00fczerinde olup tip 2 diyabet, hipertansiyon, uyku apnesi veya eklem hastal\u0131\u011f\u0131 gibi e\u015flik eden bir hastal\u0131\u011f\u0131 bulunanlarda de\u011ferlendirilir.<\/div>\n<p>Obezite cerrahisinde aday se\u00e7imi, uluslararas\u0131 kabul g\u00f6rm\u00fc\u015f v\u00fccut kitle indeksi (BMI) e\u015fiklerine ve e\u015flik eden hastal\u0131klara g\u00f6re yap\u0131l\u0131r:<\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(230px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">BMI 40 ve \u00fczeri<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">E\u015flik eden ba\u015fka bir hastal\u0131k aranmaks\u0131z\u0131n obezite cerrahisi de\u011ferlendirilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">BMI 35 ve \u00fczeri + e\u015flik eden hastal\u0131k<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Tip 2 diyabet, hipertansiyon, uyku apnesi veya eklem hastal\u0131\u011f\u0131 gibi obeziteye ba\u011fl\u0131 bir durum varsa cerrahi g\u00fcndeme gelir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">BMI 30\u201335 (se\u00e7ilmi\u015f vakalar)<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Ciddi ve kontrol alt\u0131na al\u0131namayan bir sa\u011fl\u0131k sorunu varsa, se\u00e7ilmi\u015f vakalarda ayr\u0131ca de\u011ferlendirilebilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Diyet ve egzersiz \u00f6yk\u00fcs\u00fc<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kontroll\u00fc kilo verme giri\u015fimlerinden yeterli ve kal\u0131c\u0131 sonu\u00e7 al\u0131namam\u0131\u015f olmas\u0131 beklenir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Uyum ve motivasyon<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u00d6m\u00fcr boyu s\u00fcrecek beslenme d\u00fczenine, vitamin takviyesine ve kontrollere uyum sa\u011flayabilecek olmak gerekir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">\u00c7ok disiplinli onay<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Cerrahi, beslenme, psikoloji ve gerekti\u011finde endokrinoloji de\u011ferlendirmelerinin birlikte tamamlanmas\u0131 gerekir.<\/p>\n<\/div>\n<\/div>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-left: 4px solid #2E8B6F; border-radius: 12px; padding: 20px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 15px; line-height: 1.65; color: #2d3a35;\"><strong style=\"color: #1f6b54;\">Bilgilendirme notu:<\/strong> BMI tek ba\u015f\u0131na karar vermek i\u00e7in yeterli bir \u00f6l\u00e7\u00fc de\u011fildir. Ya\u011f da\u011f\u0131l\u0131m\u0131, e\u015flik eden hastal\u0131klar, ila\u00e7 kullan\u0131m\u0131, refl\u00fc \u00f6yk\u00fcs\u00fc, gebelik plan\u0131 ve psikolojik de\u011ferlendirme sonucu birlikte ele al\u0131n\u0131r. Bu nedenle uygunluk karar\u0131 yaln\u0131zca <strong>muayene ve tetkikler sonras\u0131nda<\/strong>, \u00e7ok disiplinli bir de\u011ferlendirmeyle verilir.<\/p>\n<\/div>\n<h2 id=\"test\" style=\"scroll-margin-top: 90px;\">\ud83e\uddea T\u00fcp Mide Size Uygun mu? H\u0131zl\u0131 \u00d6n De\u011ferlendirme<\/h2>\n<div style=\"background: linear-gradient(180deg,#ffffff,#f0f9f5); border: 1px solid #cfe9df; border-radius: 16px; padding: 24px; margin: 24px 0;\">\n<p><span style=\"display: inline-block; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: bold; text-transform: uppercase; letter-spacing: 0.05em; padding: 5px 14px; border-radius: 999px;\">30 saniye \u00b7 Kay\u0131t yok<\/span><\/p>\n<p style=\"margin: 14px 0 16px; font-size: 17px; color: #1a3a32; line-height: 1.5;\"><strong>Sizi en \u00e7ok tan\u0131mlayan duruma dokunun<\/strong> \u2014 kutu a\u00e7\u0131l\u0131p size \u00f6zel y\u00f6nlendirmeyi g\u00f6sterecek. \ud83d\udc47<\/p>\n<details style=\"border: 2px solid #cfe9df; border-radius: 14px; margin-bottom: 12px; background: #fff;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 15px;\">BMI\u2019m 40 ve \u00fczeri, uzun s\u00fcredir kilo veremiyorum<\/summary>\n<div style=\"padding: 0 20px 20px;\">\n<p><span style=\"display: inline-block; padding: 4px 12px; border-radius: 999px; font-weight: 800; font-size: 13px; color: #fff; background: #2E8B6F; margin-bottom: 10px;\">Olas\u0131 y\u00f6nlendirme<\/span><\/p>\n<p style=\"margin: 0 0 14px; font-size: 15px; line-height: 1.6;\"><strong>Obezite cerrahisi g\u00fcndemde.<\/strong> BMI 40 ve \u00fczerinde, kontroll\u00fc kilo verme giri\u015fimlerinden yeterli sonu\u00e7 al\u0131namam\u0131\u015fsa cerrahi se\u00e7enekler de\u011ferlendirilir. T\u00fcp mide bu grupta s\u0131k konu\u015fulan y\u00f6ntemlerden biridir; kesin y\u00f6ntem se\u00e7imi tetkikler ve \u00e7ok disiplinli de\u011ferlendirme ile belirlenir.<\/p>\n<p><a style=\"display: inline-block; background: #2E8B6F; color: #fff; text-decoration: none; font-weight: bold; padding: 12px 22px; border-radius: 999px;\" href=\"https:\/\/wa.me\/905448524526?text=Merhaba%2C%20bmi%2040%20uzeri%20tup%20mide%20degerlendirmesi%20istiyorum.\" target=\"_blank\" rel=\"noopener nofollow\">WhatsApp\u2019tan \u00d6n De\u011ferlendirme Al<\/a><\/p>\n<\/div>\n<\/details>\n<details style=\"border: 2px solid #cfe9df; border-radius: 14px; margin-bottom: 12px; background: #fff;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 15px;\">BMI\u2019m 35 \u00fczeri ve tip 2 diyabetim \/ uyku apnem var<\/summary>\n<div style=\"padding: 0 20px 20px;\">\n<p><span style=\"display: inline-block; padding: 4px 12px; border-radius: 999px; font-weight: 800; font-size: 13px; color: #fff; background: #2E8B6F; margin-bottom: 10px;\">Olas\u0131 y\u00f6nlendirme<\/span><\/p>\n<p style=\"margin: 0 0 14px; font-size: 15px; line-height: 1.6;\"><strong>E\u015flik eden hastal\u0131k kriteri.<\/strong> BMI 35 ve \u00fczerinde tip 2 diyabet, hipertansiyon, uyku apnesi veya eklem hastal\u0131\u011f\u0131 gibi obeziteye ba\u011fl\u0131 bir durum varsa cerrahi g\u00fcndeme gelir. Hangi y\u00f6ntemin uygun oldu\u011fu ek hastal\u0131klar\u0131n t\u00fcr\u00fcne g\u00f6re de\u011fi\u015fir.<\/p>\n<p><a style=\"display: inline-block; background: #2E8B6F; color: #fff; text-decoration: none; font-weight: bold; padding: 12px 22px; border-radius: 999px;\" href=\"https:\/\/wa.me\/905448524526?text=Merhaba%2C%20bmi%2035%20ustu%20ve%20eslik%20eden%20hastaligim%20var%2C%20degerlendirme%20istiyorum.\" target=\"_blank\" rel=\"noopener nofollow\">WhatsApp\u2019tan \u00d6n De\u011ferlendirme Al<\/a><\/p>\n<\/div>\n<\/details>\n<details style=\"border: 2px solid #cfe9df; border-radius: 14px; margin-bottom: 12px; background: #fff;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 15px;\">\u0130leri derecede refl\u00fc \u015fik\u00e2yetim var<\/summary>\n<div style=\"padding: 0 20px 20px;\">\n<p><span style=\"display: inline-block; padding: 4px 12px; border-radius: 999px; font-weight: 800; font-size: 13px; color: #fff; background: #d97706; margin-bottom: 10px;\">De\u011ferlendirilmeli<\/span><\/p>\n<p style=\"margin: 0 0 14px; font-size: 15px; line-height: 1.6;\"><strong>Bypass konu\u015fulmal\u0131.<\/strong> \u0130leri refl\u00fc veya Barrett \u00f6zofagus varl\u0131\u011f\u0131nda t\u00fcp mide genellikle \u00f6nerilmez; bu durumda gastrik bypass de\u011ferlendirilir. Karar endoskopi ve gerekli tetkiklerden sonra verilir.<\/p>\n<p><a style=\"display: inline-block; background: #2E8B6F; color: #fff; text-decoration: none; font-weight: bold; padding: 12px 22px; border-radius: 999px;\" href=\"https:\/\/wa.me\/905448524526?text=Merhaba%2C%20reflum%20var%2C%20tup%20mide%20mi%20bypass%20mi%20uygun%20ogrenmek%20istiyorum.\" target=\"_blank\" rel=\"noopener nofollow\">WhatsApp\u2019tan Bilgi Al<\/a><\/p>\n<\/div>\n<\/details>\n<details style=\"border: 2px solid #cfe9df; border-radius: 14px; margin-bottom: 12px; background: #fff;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 15px;\">\u00d6n\u00fcm\u00fczdeki bir y\u0131l i\u00e7inde gebelik plan\u0131m var<\/summary>\n<div style=\"padding: 0 20px 20px;\">\n<p><span style=\"display: inline-block; padding: 4px 12px; border-radius: 999px; font-weight: 800; font-size: 13px; color: #fff; background: #d97706; margin-bottom: 10px;\">Zamanlama \u00f6nemli<\/span><\/p>\n<p style=\"margin: 0 0 14px; font-size: 15px; line-height: 1.6;\"><strong>Ameliyat ertelenebilir.<\/strong> H\u0131zl\u0131 kilo kayb\u0131 ve besin eksikli\u011fi riski nedeniyle ameliyattan sonra gebelik i\u00e7in genellikle <strong>12\u201318 ay<\/strong> beklenmesi \u00f6nerilir. Yak\u0131n d\u00f6nemde gebelik plan\u0131 varsa zamanlama birlikte planlan\u0131r.<\/p>\n<p><a style=\"display: inline-block; background: #2E8B6F; color: #fff; text-decoration: none; font-weight: bold; padding: 12px 22px; border-radius: 999px;\" href=\"https:\/\/wa.me\/905448524526?text=Merhaba%2C%20gebelik%20planim%20var%2C%20tup%20mide%20zamanlamasi%20icin%20bilgi%20istiyorum.\" target=\"_blank\" rel=\"noopener nofollow\">WhatsApp\u2019tan Bilgi Al<\/a><\/p>\n<\/div>\n<\/details>\n<details style=\"border: 2px solid #cfe9df; border-radius: 14px; margin-bottom: 0; background: #fff;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 15px;\">\u00d6m\u00fcr boyu vitamin ve takip kurallar\u0131na uyabilir miyim, emin de\u011filim<\/summary>\n<div style=\"padding: 0 20px 20px;\">\n<p><span style=\"display: inline-block; padding: 4px 12px; border-radius: 999px; font-weight: 800; font-size: 13px; color: #fff; background: #d97706; margin-bottom: 10px;\">\u00d6nce konu\u015fulmal\u0131<\/span><\/p>\n<p style=\"margin: 0 0 14px; font-size: 15px; line-height: 1.6;\"><strong>Uyum belirleyicidir.<\/strong> T\u00fcp mide sonras\u0131 \u00f6m\u00fcr boyu vitamin takviyesi ve d\u00fczenli kan takibi gerekir. Bu konuda teredd\u00fcd\u00fcn\u00fcz varsa, ameliyat karar\u0131ndan \u00f6nce beslenme ve psikoloji de\u011ferlendirmesi \u00f6ne al\u0131n\u0131r.<\/p>\n<p><a style=\"display: inline-block; background: #2E8B6F; color: #fff; text-decoration: none; font-weight: bold; padding: 12px 22px; border-radius: 999px;\" href=\"https:\/\/wa.me\/905448524526?text=Merhaba%2C%20ameliyat%20sonrasi%20takip%20ve%20vitamin%20sureci%20hakkinda%20bilgi%20istiyorum.\" target=\"_blank\" rel=\"noopener nofollow\">WhatsApp\u2019tan Bilgi Al<\/a><\/p>\n<\/div>\n<\/details>\n<p style=\"font-size: 13px; color: #6b7775; margin: 16px 0 0;\">Bu ara\u00e7 bilgilendirme ama\u00e7l\u0131d\u0131r; kesin uygunluk ve y\u00f6ntem yaln\u0131zca muayene ile belirlenir.<\/p>\n<\/div>\n<div class=\"wpforms-container wpforms-render-modern\" id=\"wpforms-42168\"><form id=\"wpforms-form-42168\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"42168\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/tr\/wp-json\/wp\/v2\/pages\/40208\" data-token=\"b076fa8592ecde1a536992b37bec6039\" data-token-time=\"1788960576\"><noscript class=\"wpforms-error-noscript\">Bu formu bitirebilmek i\u00e7in taray\u0131c\u0131n\u0131zda JavaScript&#039;i etkinle\u015ftirin.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Bu formu bitirebilmek i\u00e7in taray\u0131c\u0131n\u0131zda JavaScript&#039;i etkinle\u015ftirin.<\/div><div class=\"wpforms-field-container\">\t\t<div id=\"wpforms-42168-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-42168-field_1\" >Telefon and Name<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-42168-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-42168-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"15\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-42168-field_15\" aria-hidden=\"false\">Name and Lastname <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-42168-field_15\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][15]\" placeholder=\"Name and Lastname\" aria-errormessage=\"wpforms-42168-field_15-error\" required><\/div><div id=\"wpforms-42168-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"5\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-42168-field_5\" aria-hidden=\"false\">Telefon <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-42168-field_5\" class=\"wpforms-field-large wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][5]\" aria-label=\"Telefon\" aria-errormessage=\"wpforms-42168-field_5-error\" required><\/div><div id=\"wpforms-42168-field_17-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"17\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-42168-field_17\" aria-hidden=\"false\">Surgery<\/label><select id=\"wpforms-42168-field_17\" class=\"wpforms-field-large\" name=\"wpforms[fields][17]\"><option value=\"Plastic and Aesthetic Surgery\"  class=\"choice-1 depth-1\"  >Plastic and Aesthetic Surgery<\/option><option value=\"Obesity Surgery\"  class=\"choice-2 depth-1\"  >Obesity Surgery<\/option><option value=\"Dentistry\"  class=\"choice-3 depth-1\"  >Dentistry<\/option><option value=\"Hair Transplant\"  class=\"choice-4 depth-1\"  >Hair Transplant<\/option><option value=\"Orthopedics\"  class=\"choice-5 depth-1\"  >Orthopedics<\/option><option value=\"Cancer\"  class=\"choice-6 depth-1\"  >Cancer<\/option><\/select><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-42168-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-42168-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-42168-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"42168\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/pages\/40208\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-42168\" class=\"wpforms-submit\" data-alt-text=\"G\u00f6nderiyorum.\" data-submit-text=\"\u00dccretsiz Dan\u0131\u015fmanl\u0131k Al\u0131n\" aria-live=\"assertive\" value=\"wpforms-submit\">\u00dccretsiz Dan\u0131\u015fmanl\u0131k Al\u0131n<\/button><img decoding=\"async\" src=\"https:\/\/clinicmono.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Y\u00fckleniyor\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<h2 id=\"arac\" style=\"scroll-margin-top: 90px;\">\u0130nteraktif Ara\u00e7: Midenin K\u00fc\u00e7\u00fclt\u00fclmesi ve S\u00fcre\u00e7<\/h2>\n<p>A\u015fa\u011f\u0131daki ara\u00e7la midenin b\u00fcy\u00fck k\u0131sm\u0131n\u0131n nas\u0131l ayr\u0131ld\u0131\u011f\u0131n\u0131 ve geriye nas\u0131l dar bir t\u00fcp mide kald\u0131\u011f\u0131n\u0131 ad\u0131m ad\u0131m g\u00f6rebilir; k\u0131s\u0131tlama, ghrelin, staple hatt\u0131, refl\u00fc ve vitamin takibi ba\u015fl\u0131klar\u0131n\u0131 kar\u015f\u0131la\u015ft\u0131rabilirsiniz. Bir <strong>te\u015fhis arac\u0131 de\u011fildir<\/strong>; hi\u00e7bir veri g\u00f6nderilmez.<\/p>\n<div style=\"width: 100%; max-width: 100%; margin: 24px 0;\"><iframe style=\"width: 100%; min-width: 100%; max-width: 100%; border: 0; min-height: 1540px; display: block;\" title=\"T\u00fcp Mide Bilgi Arac\u0131\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2026\/08\/cm-tupmide-arac.html\" width=\"100%\" scrolling=\"no\"><\/iframe><\/div>\n<h2 id=\"nasil\" style=\"scroll-margin-top: 90px;\">T\u00fcp Mide Ameliyat\u0131 Nas\u0131l Yap\u0131l\u0131r? (Ad\u0131m Ad\u0131m)<\/h2>\n<p>Ameliyat genel anestezi alt\u0131nda, <strong>laparoskopik<\/strong> (kapal\u0131) y\u00f6ntemle yap\u0131l\u0131r. Kar\u0131n b\u00f6lgesine a\u00e7\u0131lan <strong>3\u20135 (tipik 4) k\u00fc\u00e7\u00fck kesiden<\/strong> girilir; b\u00fcy\u00fck bir kesi a\u00e7\u0131lmaz.<\/p>\n<div style=\"display: grid; grid-template-columns: 1fr; gap: 14px; margin: 28px 0;\">\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">1<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">Genel Anestezi ve Haz\u0131rl\u0131k<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Ameliyat genel anestezi alt\u0131nda yap\u0131l\u0131r. Hasta uyutulduktan sonra steril haz\u0131rl\u0131k tamamlan\u0131r ve p\u0131ht\u0131 \u00f6nleyici \u00f6nlemler al\u0131n\u0131r.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">2<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">Laparoskopik Giri\u015fler<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Kar\u0131n b\u00f6lgesine 3\u20135 (tipik olarak 4) k\u00fc\u00e7\u00fck kesi a\u00e7\u0131l\u0131r. Kamera ve ince cerrahi aletler bu kesilerden yerle\u015ftirilir.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">3<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">Midenin Serbestle\u015ftirilmesi<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Midenin b\u00fcy\u00fck kavis boyunca uzanan ba\u011flant\u0131lar\u0131, damar yap\u0131lar\u0131 korunarak dikkatle serbestle\u015ftirilir.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">4<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">Kalibrasyon Sondas\u0131<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Yemek borusundan mideye kalibrasyon sondas\u0131 (buji) yerle\u015ftirilir; kalacak t\u00fcp midenin \u00e7ap\u0131 bu sondaya g\u00f6re belirlenir.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">5<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">Kesme ve Kapama (Staple)<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Mide, lineer stapler ile hem kesilir hem de kapat\u0131l\u0131r. Midenin yakla\u015f\u0131k %80\u2019i \u2014 fundus d\u00e2hil \u2014 \u00e7\u0131kar\u0131l\u0131r ve geriye dar bir t\u00fcp kal\u0131r.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">6<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">Ka\u00e7ak Testi<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Staple hatt\u0131n\u0131n s\u0131zd\u0131rmazl\u0131\u011f\u0131 ameliyat s\u0131ras\u0131nda <strong>ka\u00e7ak testi<\/strong> ile kontrol edilir. Bu ad\u0131m g\u00fcvenlik a\u00e7\u0131s\u0131ndan kritiktir.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">7<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">\u00c7\u0131kar\u0131lan Midenin Al\u0131nmas\u0131<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Ayr\u0131lan mide b\u00f6l\u00fcm\u00fc kesilerden biri geni\u015fletilerek kar\u0131n d\u0131\u015f\u0131na al\u0131n\u0131r ve gerekiyorsa patolojiye g\u00f6nderilir.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">8<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">Kapatma ve Uyanma<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Kesiler kapat\u0131l\u0131r; hasta uyand\u0131r\u0131larak takip odas\u0131na al\u0131n\u0131r. Ameliyat toplamda yakla\u015f\u0131k 1 saat (60\u201375 dakika) s\u00fcrer.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-left: 4px solid #2E8B6F; border-radius: 12px; padding: 20px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 15px; line-height: 1.65; color: #2d3a35;\"><strong style=\"color: #1f6b54;\">Bilgilendirme notu:<\/strong> Kalibrasyon sondas\u0131n\u0131n \u00e7ap\u0131, staple hatt\u0131n\u0131n do\u011fru yerden ge\u00e7mesi ve ka\u00e7ak testinin yap\u0131lmas\u0131, ameliyat\u0131n teknik olarak en belirleyici ad\u0131mlar\u0131d\u0131r. Bu nedenle i\u015flem, obezite cerrahisi deneyimi olan bir ekip taraf\u0131ndan ve gerekli donan\u0131ma sahip bir tesiste yap\u0131lmal\u0131d\u0131r.<\/p>\n<\/div>\n<h2 id=\"iyilesme\" style=\"scroll-margin-top: 90px;\">\u0130yile\u015fme S\u00fcreci<\/h2>\n<div style=\"display: grid; grid-template-columns: 1fr; gap: 14px; margin: 28px 0;\">\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #2E8B6F; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">0\u201324 Saat<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Ameliyat sonras\u0131 ilk saatlerde yo\u011fun takip yap\u0131l\u0131r. Erken d\u00f6nemde aya\u011fa kald\u0131rma ve y\u00fcr\u00fctme, p\u0131ht\u0131 riskini azaltmak i\u00e7in \u00f6nemlidir.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #2E8B6F; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">5\u201310 G\u00fcn<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Kar\u0131n i\u00e7i gaz ve kesi b\u00f6lgesine ba\u011fl\u0131 a\u011fr\u0131 bu d\u00f6nemde belirgindir ve kademeli olarak azal\u0131r. Omuz a\u011fr\u0131s\u0131 hissedilebilir; bu ge\u00e7icidir.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #2E8B6F; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">1\u20132 Hafta<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Masa ba\u015f\u0131 i\u015flere d\u00f6n\u00fc\u015f genellikle bu d\u00f6nemde m\u00fcmk\u00fcn olur. A\u011f\u0131r kald\u0131rma ve zorlay\u0131c\u0131 aktiviteler s\u00fcrd\u00fcr\u00fclmez.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #2E8B6F; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">2\u20134 Hafta<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Beslenme p\u00fcre ve yumu\u015fak a\u015famalara ilerler. Y\u00fcr\u00fcy\u00fc\u015f s\u00fcresi kademeli olarak art\u0131r\u0131l\u0131r.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #2E8B6F; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">2 Ay<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">A\u011f\u0131r egzersiz ve kar\u0131n kaslar\u0131n\u0131 zorlayan sporlar ilk 2 ay yap\u0131lmaz; bu s\u00fcre sonunda hekim onay\u0131yla kademeli ge\u00e7i\u015f yap\u0131l\u0131r.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #2E8B6F; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">3\u20136 Ay<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Kilo kayb\u0131 h\u0131z\u0131n\u0131n en y\u00fcksek oldu\u011fu d\u00f6nem geride kal\u0131r. Kan de\u011ferleri ve vitamin d\u00fczeyleri d\u00fczenli olarak kontrol edilir.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #1f6b54; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">12\u201318 Ay<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Kilo kayb\u0131n\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fc tamamlan\u0131r ve kilo genellikle sabitlenir. Bu d\u00f6nemden itibaren hedef, ula\u015f\u0131lan kilonun korunmas\u0131d\u0131r.<\/p>\n<\/div>\n<\/div>\n<p style=\"font-size: 14px; color: #6b7775;\">S\u00fcreler ortalamad\u0131r; ki\u015fiye, ek hastal\u0131klara ve iyile\u015fme h\u0131z\u0131na g\u00f6re de\u011fi\u015fir. Kesin s\u00fcreleri hekiminiz belirler.<\/p>\n<h2 id=\"kilo-cizelgesi\" style=\"scroll-margin-top: 90px;\">T\u00fcp Mide Ka\u00e7 Kilo Verdirir? Ay Ay \u00c7izelge<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> T\u00fcp mide sonras\u0131 fazla kilonun ortalama %60\u201370\u2019i, 12\u201318 ay i\u00e7inde verilir. T\u00fcm de\u011ferler ortalamad\u0131r; ki\u015fiye, ba\u015flang\u0131\u00e7 kilosuna ve beslenme kurallar\u0131na uyuma g\u00f6re de\u011fi\u015fir.<\/div>\n<p>A\u015fa\u011f\u0131daki \u00e7izelge, t\u00fcp mide sonras\u0131nda s\u0131k g\u00f6zlenen <strong>ortalama<\/strong> seyri g\u00f6sterir. Bu bir taahh\u00fct de\u011fil, beklentiyi do\u011fru kurman\u0131za yard\u0131mc\u0131 olacak bir referanst\u0131r:<\/p>\n<div style=\"margin: 24px 0; overflow-x: auto; border-radius: 12px;\">\n<table style=\"width: 100%; border-collapse: separate; border-spacing: 0; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; overflow: hidden; min-width: 520px;\">\n<thead>\n<tr style=\"background: #2E8B6F;\">\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">D\u00f6nem<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">Ortalama toplam kilo kayb\u0131<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">Fazla kilonun kaybedilen oran\u0131<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">Bu d\u00f6nemde ne olur?<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background: #E8F5F0;\">\n<td style=\"padding: 14px 16px; font-weight: bold; color: #1f6b54;\">1. ay<\/td>\n<td style=\"padding: 14px 16px;\">Ortalama 10\u201315 kg<\/td>\n<td style=\"padding: 14px 16px;\">\u2014<\/td>\n<td style=\"padding: 14px 16px;\">Kayb\u0131n en h\u0131zl\u0131 oldu\u011fu d\u00f6nemdir. S\u0131v\u0131 beslenme ve \u00f6dem kayb\u0131 da bu rakama katk\u0131 verir.<\/td>\n<\/tr>\n<tr style=\"background: #f8faf9;\">\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">3. ay<\/td>\n<td style=\"padding: 14px 16px;\">Ortalama toplam 25\u201335 kg<\/td>\n<td style=\"padding: 14px 16px;\">Yakla\u015f\u0131k \u00fc\u00e7te biri<\/td>\n<td style=\"padding: 14px 16px;\">Ayl\u0131k kay\u0131p h\u00e2l\u00e2 y\u00fcksektir. P\u00fcre ve yumu\u015fak beslenme a\u015famalar\u0131na ge\u00e7ilir.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">6. ay<\/td>\n<td style=\"padding: 14px 16px;\">Ortalama toplam 30\u201340 kg<\/td>\n<td style=\"padding: 14px 16px;\">Yakla\u015f\u0131k %50<\/td>\n<td style=\"padding: 14px 16px;\">Bu noktadan sonra ayl\u0131k kay\u0131p <strong>2\u20134 kg<\/strong> d\u00fczeyine iner; yava\u015flama normaldir.<\/td>\n<\/tr>\n<tr style=\"background: #f8faf9;\">\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">12. ay<\/td>\n<td style=\"padding: 14px 16px;\">Ki\u015fiye g\u00f6re de\u011fi\u015fir<\/td>\n<td style=\"padding: 14px 16px;\">Ortalama %70<\/td>\n<td style=\"padding: 14px 16px;\">Kayb\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fc tamamlanm\u0131\u015ft\u0131r. Protein al\u0131m\u0131 ve egzersiz \u00f6nem kazan\u0131r.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">18. ay<\/td>\n<td style=\"padding: 14px 16px;\">Ki\u015fiye g\u00f6re de\u011fi\u015fir<\/td>\n<td style=\"padding: 14px 16px;\">Ortalama %60\u201370 (plato)<\/td>\n<td style=\"padding: 14px 16px;\">Kilo genellikle sabitlenir. Hedef art\u0131k ula\u015f\u0131lan kilonun korunmas\u0131d\u0131r.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div style=\"background: #fffdf5; border: 1px solid #eadfbf; border-left: 4px solid #d97706; border-radius: 12px; padding: 18px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6; color: #6b5a2e;\"><strong style=\"color: #8a6d1f;\">Plato normaldir:<\/strong> Yakla\u015f\u0131k 6. aydan itibaren ayl\u0131k kilo kayb\u0131 2\u20134 kg d\u00fczeyine iner; zaman zaman haftalarca hi\u00e7 kay\u0131p olmad\u0131\u011f\u0131 d\u00f6nemler ya\u015fanabilir. Buna <strong>plato<\/strong> denir ve s\u00fcrecin beklenen bir par\u00e7as\u0131d\u0131r. Plato d\u00f6neminde beslenme g\u00fcnl\u00fc\u011f\u00fc tutmak, protein al\u0131m\u0131n\u0131 g\u00f6zden ge\u00e7irmek ve fiziksel aktiviteyi art\u0131rmak faydal\u0131 olur; panik yaparak \u00f6\u011f\u00fcn atlamak ise ters etki yarat\u0131r.<\/p>\n<\/div>\n<p style=\"font-size: 14px; color: #6b7775;\">Buradaki t\u00fcm rakamlar <strong>ortalamad\u0131r<\/strong> ve ki\u015fiye g\u00f6re de\u011fi\u015fir. Sonu\u00e7; ba\u015flang\u0131\u00e7 kilosuna, ya\u015fa, metabolizmaya, e\u015flik eden hastal\u0131klara ve en \u00e7ok da beslenme ile aktivite kurallar\u0131na uyuma ba\u011fl\u0131d\u0131r. Kesin bir kilo taahh\u00fcd\u00fc verilmez.<\/p>\n<h2 id=\"beslenme\" style=\"scroll-margin-top: 90px;\">Ameliyat Sonras\u0131 Beslenme: Hafta Hafta A\u015famalar<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> T\u00fcp mide sonras\u0131 beslenme kademeli ilerler: 1\u20132. hafta s\u0131v\u0131, 3\u20134. hafta p\u00fcre, 5\u20136. hafta yumu\u015fak, 7. haftadan sonra kat\u0131 ve dengeli beslenme. Ameliyat \u00f6ncesinde ise karaci\u011fer k\u00fc\u00e7\u00fcltme diyeti uygulan\u0131r.<\/div>\n<p>Beslenme program\u0131, diki\u015fsiz iyile\u015fen staple hatt\u0131n\u0131 korumak ve mideyi kademeli olarak yeni hacmine al\u0131\u015ft\u0131rmak i\u00e7in a\u015famal\u0131 ilerler. A\u015famalar\u0131 atlamak, kusma ve komplikasyon riskini art\u0131r\u0131r:<\/p>\n<div style=\"margin: 24px 0; overflow-x: auto; border-radius: 12px;\">\n<table style=\"width: 100%; border-collapse: separate; border-spacing: 0; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; overflow: hidden; min-width: 520px;\">\n<thead>\n<tr style=\"background: #2E8B6F;\">\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">D\u00f6nem<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">Beslenme a\u015famas\u0131<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">\u00d6ne \u00e7\u0131kan kurallar<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background: #E8F5F0;\">\n<td style=\"padding: 14px 16px; font-weight: bold; color: #1f6b54;\">Ameliyat \u00f6ncesi<\/td>\n<td style=\"padding: 14px 16px;\">Karaci\u011fer k\u00fc\u00e7\u00fcltme diyeti<\/td>\n<td style=\"padding: 14px 16px;\">Genellikle 2 hafta boyunca uygulan\u0131r; karaci\u011ferin k\u00fc\u00e7\u00fclmesini sa\u011flayarak ameliyat\u0131 teknik olarak kolayla\u015ft\u0131r\u0131r. Hekim ve diyetisyen taraf\u0131ndan planlan\u0131r.<\/td>\n<\/tr>\n<tr style=\"background: #f8faf9;\">\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Hafta 1\u20132<\/td>\n<td style=\"padding: 14px 16px;\">Berrak ve tam s\u0131v\u0131<\/td>\n<td style=\"padding: 14px 16px;\">Su, \u015fekersiz s\u0131v\u0131lar, s\u00fczme \u00e7orba ve protein i\u00e7ece\u011fi. <strong>Pipet kullan\u0131lmaz<\/strong> (gaz yapar). K\u00fc\u00e7\u00fck yudumlar h\u00e2linde, g\u00fcn boyu yayarak al\u0131n\u0131r.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Hafta 3\u20134<\/td>\n<td style=\"padding: 14px 16px;\">P\u00fcre k\u0131vam\u0131nda<\/td>\n<td style=\"padding: 14px 16px;\">Blenderdan ge\u00e7irilmi\u015f yumu\u015fak besinler. Her \u00f6\u011f\u00fcnde \u00f6nce protein al\u0131n\u0131r. Yemek s\u0131ras\u0131nda s\u0131v\u0131 i\u00e7ilmez.<\/td>\n<\/tr>\n<tr style=\"background: #f8faf9;\">\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Hafta 5\u20136<\/td>\n<td style=\"padding: 14px 16px;\">Yumu\u015fak kat\u0131<\/td>\n<td style=\"padding: 14px 16px;\">Yumu\u015fak pi\u015fmi\u015f sebze, bal\u0131k, yumurta, k\u0131yma gibi kolay \u00e7i\u011fnenen besinler. Lokmalar k\u00fc\u00e7\u00fck tutulur ve iyice \u00e7i\u011fnenir.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Hafta 7 ve sonras\u0131<\/td>\n<td style=\"padding: 14px 16px;\">Kat\u0131 ve dengeli beslenme<\/td>\n<td style=\"padding: 14px 16px;\">Kademeli olarak normal k\u0131vamda beslenmeye ge\u00e7ilir. Porsiyonlar k\u00fc\u00e7\u00fckt\u00fcr; protein \u00f6nceli\u011fi kal\u0131c\u0131 bir kural h\u00e2line gelir.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(220px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">G\u00fcnl\u00fck su: yakla\u015f\u0131k 2 L<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">K\u00fc\u00e7\u00fck yudumlar h\u00e2linde, g\u00fcn boyuna yayarak. Susuzluk, ameliyat sonras\u0131 en s\u0131k kar\u015f\u0131la\u015f\u0131lan sorunlardand\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Her \u00f6\u011f\u00fcnde \u00f6nce protein<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kas kayb\u0131n\u0131 s\u0131n\u0131rlamak ve sa\u00e7 d\u00f6k\u00fclmesini azaltmak i\u00e7in her \u00f6\u011f\u00fcne proteinle ba\u015flan\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Yemekle birlikte s\u0131v\u0131 yok<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Yemekten yakla\u015f\u0131k 30 dakika \u00f6nce ve 30 dakika sonra s\u0131v\u0131 al\u0131n\u0131r; \u00f6\u011f\u00fcn s\u0131ras\u0131nda i\u00e7ilmez.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Yava\u015f ye, iyi \u00e7i\u011fne<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Her lokma k\u00fc\u00e7\u00fck tutulur ve uzun s\u00fcre \u00e7i\u011fnenir. H\u0131zl\u0131 yemek kusma ve rahats\u0131zl\u0131k yarat\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">\u015eekerli ve gazl\u0131 i\u00e7ecek yok<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Y\u00fcksek kalorili s\u0131v\u0131lar hem kilo kayb\u0131n\u0131 yava\u015flat\u0131r hem de uzun vadede geri al\u0131m\u0131n ba\u015fl\u0131ca nedenidir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Pipet ve sak\u0131z yok<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Yutulan hava \u015fi\u015fkinlik ve a\u011fr\u0131 yapar; erken d\u00f6nemde ka\u00e7\u0131n\u0131l\u0131r.<\/p>\n<\/div>\n<\/div>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-left: 4px solid #2E8B6F; border-radius: 12px; padding: 20px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 15px; line-height: 1.65; color: #2d3a35;\"><strong style=\"color: #1f6b54;\">Bilgilendirme notu:<\/strong> Beslenme program\u0131na uyum, t\u00fcp mide sonras\u0131nda sonucu en \u00e7ok etkileyen tek ba\u015fl\u0131kt\u0131r. Bu nedenle s\u00fcrecin <strong>ilk 12 ay\u0131 boyunca diyetisyen takibi<\/strong> planlan\u0131r; a\u015famalar aras\u0131ndaki ge\u00e7i\u015fler ki\u015fiye g\u00f6re ayarlan\u0131r.<\/p>\n<\/div>\n<h2 id=\"vitamin\" style=\"scroll-margin-top: 90px;\">\u00d6m\u00fcr Boyu Vitamin Takviyesi ve Kan Takibi<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> T\u00fcp mide sonras\u0131 B12, demir, kalsiyum ve D vitamini ile bariatrik multivitamin takviyesi \u00f6m\u00fcr boyu s\u00fcrd\u00fcr\u00fcl\u00fcr. Kan de\u011ferleri 1. y\u0131l 3 ayda bir, 2. y\u0131l 6 ayda bir, sonras\u0131nda y\u0131ll\u0131k olarak kontrol edilir.<\/div>\n<p>Mide hacmi k\u00fc\u00e7\u00fcld\u00fc\u011f\u00fc ve al\u0131nan besin miktar\u0131 azald\u0131\u011f\u0131 i\u00e7in vitamin ve mineral eksiklikleri, t\u00fcp mide sonras\u0131n\u0131n en s\u0131k uzun vadeli sorunudur. Takviye <strong>\u00f6m\u00fcr boyu<\/strong> s\u00fcrd\u00fcr\u00fcl\u00fcr; \u2018kendimi iyi hissediyorum\u2019 diye b\u0131rak\u0131lmaz, \u00e7\u00fcnk\u00fc eksiklikler genellikle uzun s\u00fcre belirti vermeden ilerler.<\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(230px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">B12 vitamini<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Midede \u00fcretilen intrinsik fakt\u00f6r\u00fcn azalmas\u0131 nedeniyle emilimi d\u00fc\u015fer. A\u011f\u0131zdan veya enjeksiyon yoluyla d\u00fczenli takviye edilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Demir<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u00d6zellikle \u00e2det g\u00f6ren kad\u0131nlarda eksiklik s\u0131kt\u0131r. Halsizlik ve sa\u00e7 d\u00f6k\u00fclmesiyle ili\u015fkilidir; C vitamini ile birlikte emilimi artar.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Kalsiyum<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kemik sa\u011fl\u0131\u011f\u0131 i\u00e7in kritiktir. Genellikle kalsiyum sitrat formu tercih edilir ve g\u00fcn i\u00e7inde b\u00f6l\u00fcnm\u00fc\u015f dozlarda al\u0131n\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">D vitamini<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kalsiyum emilimi i\u00e7in gereklidir; obezitesi olan ki\u015filerde ameliyat \u00f6ncesinde de s\u0131kl\u0131kla d\u00fc\u015f\u00fckt\u00fcr.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Bariatrik multivitamin<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u00c7inko, folat, bak\u0131r ve B grubu vitaminleri i\u00e7eren, obezite cerrahisi i\u00e7in form\u00fcle edilmi\u015f kombine takviye.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Protein deste\u011fi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u00d6zellikle ilk aylarda g\u00fcnl\u00fck protein hedefine ula\u015fmak i\u00e7in protein tozu veya i\u00e7ece\u011fi \u00f6nerilebilir.<\/p>\n<\/div>\n<\/div>\n<p><strong style=\"display: block; margin: 22px 0 0; color: #1a3a32; font-size: 17px;\">Kan takibi program\u0131<\/strong><\/p>\n<div style=\"margin: 24px 0; overflow-x: auto; border-radius: 12px;\">\n<table style=\"width: 100%; border-collapse: separate; border-spacing: 0; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; overflow: hidden; min-width: 520px;\">\n<thead>\n<tr style=\"background: #2E8B6F;\">\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">D\u00f6nem<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">Kan tahlili s\u0131kl\u0131\u011f\u0131<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">Bak\u0131lan ba\u015fl\u0131ca de\u011ferler<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background: #E8F5F0;\">\n<td style=\"padding: 14px 16px; font-weight: bold; color: #1f6b54;\">1. y\u0131l<\/td>\n<td style=\"padding: 14px 16px;\">3 ayda bir<\/td>\n<td style=\"padding: 14px 16px;\">B12, ferritin, D vitamini, folat, kalsiyum (ve tam kan say\u0131m\u0131)<\/td>\n<\/tr>\n<tr style=\"background: #f8faf9;\">\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">2. y\u0131l<\/td>\n<td style=\"padding: 14px 16px;\">6 ayda bir<\/td>\n<td style=\"padding: 14px 16px;\">B12, ferritin, D vitamini, folat, kalsiyum<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">3. y\u0131l ve sonras\u0131<\/td>\n<td style=\"padding: 14px 16px;\">Y\u0131lda bir<\/td>\n<td style=\"padding: 14px 16px;\">B12, ferritin, D vitamini, folat, kalsiyum<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p style=\"font-size: 14px; color: #6b7775;\">Buna ek olarak <strong>ilk 12 ay boyunca diyetisyen takibi<\/strong> s\u00fcrd\u00fcr\u00fcl\u00fcr. Takviyelerin dozu, kan sonu\u00e7lar\u0131n\u0131za g\u00f6re hekiminiz taraf\u0131ndan d\u00fczenlenir; kendi karar\u0131n\u0131zla doz de\u011fi\u015ftirmeyin.<\/p>\n<h2 id=\"kacak\" style=\"scroll-margin-top: 90px;\">Staple Hatt\u0131 Ka\u00e7a\u011f\u0131 (Leak): En Ciddi Erken Risk<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> Staple hatt\u0131 ka\u00e7a\u011f\u0131, t\u00fcp mide ameliyat\u0131n\u0131n en ciddi erken riskidir. Belirtileri genellikle ilk 48 saatte ortaya \u00e7\u0131kar; ate\u015f, kalp h\u0131z\u0131nda art\u0131\u015f, kar\u0131n a\u011fr\u0131s\u0131 ve nefes darl\u0131\u011f\u0131 acil de\u011ferlendirme gerektirir.<\/div>\n<p>T\u00fcp midede mide, lineer stapler ile kesilir ve ayn\u0131 anda kapat\u0131l\u0131r. Bu kapama hatt\u0131na <strong>staple (z\u0131mba) hatt\u0131<\/strong> denir. Nadir de olsa bu hatt\u0131n bir noktas\u0131ndan s\u0131z\u0131nt\u0131 olu\u015fabilir; buna <strong>ka\u00e7ak (leak)<\/strong> ad\u0131 verilir ve t\u00fcp midenin en ciddi erken komplikasyonudur.<br \/>\nKa\u00e7ak riskini azaltmak i\u00e7in ameliyat s\u0131ras\u0131nda <strong>ka\u00e7ak testi<\/strong> yap\u0131l\u0131r ve staple hatt\u0131 kontrol edilir. Buna ra\u011fmen erken d\u00f6nemde ortaya \u00e7\u0131kabilece\u011fi i\u00e7in, ilk g\u00fcnlerdeki takip ve uyar\u0131 bulgular\u0131n\u0131n bilinmesi hayati \u00f6nemdedir.<\/p>\n<div style=\"background: #fffdf5; border: 2px solid #d97706; border-radius: 14px; padding: 22px 24px; margin: 26px 0;\">\n<p><span style=\"display: inline-block; background: #d97706; color: #ffffff; font-size: 12px; font-weight: 800; letter-spacing: 0.08em; text-transform: uppercase; padding: 5px 14px; border-radius: 999px; margin-bottom: 12px;\">\u26a0 Acil de\u011ferlendirme gerektiren uyar\u0131 bulgular\u0131<\/span><\/p>\n<p style=\"margin: 0 0 12px; font-size: 15px; line-height: 1.65; color: #6b5a2e;\">A\u015fa\u011f\u0131daki bulgulardan biri veya birka\u00e7\u0131 ortaya \u00e7\u0131karsa <strong>beklemeden<\/strong> ameliyat ekibinize ula\u015f\u0131n ve acil de\u011ferlendirme isteyin. Bu bulgular genellikle <strong>ilk 48 saatte<\/strong> g\u00f6r\u00fcl\u00fcr, ancak sonraki g\u00fcnlerde de ortaya \u00e7\u0131kabilir:<\/p>\n<ul style=\"margin: 0; padding-left: 20px; font-size: 15px; line-height: 1.9; color: #6b5a2e;\">\n<li><strong>Ate\u015f<\/strong> (\u00f6zellikle 38\u00b0C ve \u00fczeri)<\/li>\n<li><strong>Kalp h\u0131z\u0131nda art\u0131\u015f<\/strong> (dinlenirken bile devam eden \u00e7arp\u0131nt\u0131 \u2014 en erken uyar\u0131 i\u015faretlerinden biridir)<\/li>\n<li><strong>Giderek artan kar\u0131n a\u011fr\u0131s\u0131<\/strong> veya karn\u0131n sertle\u015fmesi<\/li>\n<li><strong>Nefes darl\u0131\u011f\u0131<\/strong> veya h\u0131zl\u0131 nefes alma<\/li>\n<li>Sol omuza vuran, ge\u00e7meyen a\u011fr\u0131<\/li>\n<li>Ge\u00e7meyen bulant\u0131, kusma veya s\u0131v\u0131 alamama<\/li>\n<li>Kendini belirgin \u015fekilde k\u00f6t\u00fc hissetme, huzursuzluk<\/li>\n<\/ul>\n<p style=\"margin: 12px 0 0; font-size: 14px; line-height: 1.6; color: #6b5a2e;\">Ka\u00e7ak erken fark edildi\u011finde y\u00f6netimi \u00e7ok daha kolayd\u0131r. \u2018Ge\u00e7er\u2019 diye beklemek en riskli davran\u0131\u015ft\u0131r.<\/p>\n<\/div>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-left: 4px solid #2E8B6F; border-radius: 12px; padding: 20px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 15px; line-height: 1.65; color: #2d3a35;\"><strong style=\"color: #1f6b54;\">Bilgilendirme notu:<\/strong> Yurt d\u0131\u015f\u0131ndan gelen hastalarda d\u00f6n\u00fc\u015f u\u00e7u\u015fu, ka\u00e7ak a\u00e7\u0131s\u0131ndan en riskli pencere ge\u00e7tikten sonra planlan\u0131r. D\u00f6n\u00fc\u015f\u00fcn\u00fczden sonra da 7\/24 ula\u015fabilece\u011finiz bir ileti\u015fim hatt\u0131 sa\u011flan\u0131r.<\/p>\n<\/div>\n<h2 id=\"reflu\" style=\"scroll-margin-top: 90px;\">T\u00fcp Mide ve Refl\u00fc (GERD)<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> T\u00fcp mide sonras\u0131 refl\u00fc ortaya \u00e7\u0131kabilir veya mevcut refl\u00fc k\u00f6t\u00fcle\u015febilir. Y\u00f6netiminde PPI ila\u00e7lar ve beslenme d\u00fczeni kullan\u0131l\u0131r; ayn\u0131 seansta hiatal herni onar\u0131m\u0131 kritiktir. \u0130leri refl\u00fcs\u00fc olanlarda t\u00fcp mide yerine bypass \u00f6nerilir.<\/div>\n<p>Refl\u00fc, t\u00fcp midenin en \u00e7ok konu\u015fulan ve s\u0131kl\u0131kla yeterince anlat\u0131lmayan ba\u015fl\u0131\u011f\u0131d\u0131r. Ameliyattan sonra <strong>daha \u00f6nce refl\u00fcs\u00fc olmayan baz\u0131 ki\u015filerde refl\u00fc ortaya \u00e7\u0131kabilir<\/strong>; h\u00e2lihaz\u0131rda refl\u00fcs\u00fc olanlarda ise \u015fik\u00e2yetler k\u00f6t\u00fcle\u015febilir.<br \/>\n<strong style=\"display: block; margin: 20px 0 0; color: #1a3a32; font-size: 17px;\">Neden olur?<\/strong><\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(230px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Hiatal herni<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Mide f\u0131t\u0131\u011f\u0131 (hiatal herni) varl\u0131\u011f\u0131nda mide-yemek borusu bile\u015fkesinin bariyer i\u015flevi zay\u0131flar; ameliyat sonras\u0131 refl\u00fc belirginle\u015fir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">A\u00e7\u0131 de\u011fi\u015fimi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Mide ile yemek borusu aras\u0131ndaki a\u00e7\u0131 (His a\u00e7\u0131s\u0131) ameliyatla de\u011fi\u015fir; bu de\u011fi\u015fim refl\u00fcy\u00fc kolayla\u015ft\u0131rabilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">T\u00fcp i\u00e7i bas\u0131n\u00e7<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Dar bir t\u00fcp h\u00e2line gelen midede i\u00e7 bas\u0131n\u00e7 artar; bu bas\u0131n\u00e7 mide i\u00e7eri\u011finin yukar\u0131 ka\u00e7mas\u0131na zemin haz\u0131rlar.<\/p>\n<\/div>\n<\/div>\n<p><strong style=\"display: block; margin: 22px 0 0; color: #1a3a32; font-size: 17px;\">Nas\u0131l y\u00f6netilir?<\/strong><\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(230px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">PPI tedavisi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Proton pompa inhibit\u00f6r\u00fc grubu ila\u00e7lar, erken d\u00f6nemde rutin olarak ve gerekti\u011finde daha uzun s\u00fcre kullan\u0131l\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Beslenme d\u00fczeni<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">K\u00fc\u00e7\u00fck porsiyon, ge\u00e7 saatte yememe, yatt\u0131ktan sonra en az 2\u20133 saat bekleme, asitli ve ya\u011fl\u0131 besinlerden ka\u00e7\u0131nma.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Hiatal herni onar\u0131m\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Ameliyat \u00f6ncesi veya s\u0131ras\u0131nda herni saptan\u0131rsa <strong>ayn\u0131 seansta onar\u0131lmas\u0131 kritiktir<\/strong>; bu, sonras\u0131ndaki refl\u00fc \u015fik\u00e2yetlerini azaltmada belirleyicidir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Yatak ba\u015f\u0131 y\u00fckseltme<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Yata\u011f\u0131n ba\u015f k\u0131sm\u0131n\u0131n y\u00fckseltilmesi, gece \u015fik\u00e2yetlerinin azalt\u0131lmas\u0131nda etkili bir basit \u00f6nlemdir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Bypass\u2019a revizyon<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u0130la\u00e7 ve ya\u015fam tarz\u0131 d\u00fczenlemelerine yan\u0131t vermeyen diren\u00e7li refl\u00fcde, gastrik bypass\u2019a revizyon de\u011ferlendirilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">D\u00fczenli endoskopi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Uzun s\u00fcren refl\u00fc \u015fik\u00e2yetlerinde yemek borusunun endoskopi ile takip edilmesi \u00f6nerilir.<\/p>\n<\/div>\n<\/div>\n<div style=\"background: #fffdf5; border: 1px solid #eadfbf; border-left: 4px solid #d97706; border-radius: 12px; padding: 18px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6; color: #6b5a2e;\"><strong style=\"color: #8a6d1f;\">\u00d6nemli:<\/strong> <strong>\u0130leri derecede refl\u00fcs\u00fc veya Barrett \u00f6zofagusu olan ki\u015filerde t\u00fcp mide yerine gastrik bypass \u00f6nerilir.<\/strong> Bypass, refl\u00fc \u015fik\u00e2yetlerini genellikle azaltt\u0131\u011f\u0131 i\u00e7in bu grupta daha uygun bir se\u00e7enektir. Bu nedenle ameliyat \u00f6ncesi refl\u00fc sorgusu ve gerekli g\u00f6r\u00fcl\u00fcrse endoskopi, y\u00f6ntem se\u00e7iminin ayr\u0131lmaz bir par\u00e7as\u0131d\u0131r.<\/p>\n<\/div>\n<h2 id=\"postop\" style=\"scroll-margin-top: 90px;\">Sonras\u0131 Bak\u0131m: Yap\u0131lmas\u0131 ve Ka\u00e7\u0131n\u0131lmas\u0131 Gerekenler<\/h2>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(240px,1fr)); gap: 16px; margin: 28px 0;\">\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; padding: 20px 22px; border-top: 4px solid #2E8B6F;\">\n<h4 style=\"margin: 0 0 14px; font-size: 17px; color: #1a3a32;\">\u2713 Yap\u0131n<\/h4>\n<ul style=\"list-style: none; padding: 0; margin: 0; font-size: 15px;\">\n<li style=\"padding: 6px 0;\"><span style=\"color: #2e8b6f; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Ameliyattan sonra erken d\u00f6nemde aya\u011fa kalk\u0131n ve s\u0131k s\u0131k y\u00fcr\u00fcy\u00fcn<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #2e8b6f; font-weight: bold; margin-right: 8px;\">\u2192<\/span>G\u00fcnde yakla\u015f\u0131k 2 litre suyu k\u00fc\u00e7\u00fck yudumlarla, g\u00fcn boyuna yayarak i\u00e7in<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #2e8b6f; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Her \u00f6\u011f\u00fcne protein ile ba\u015flay\u0131n ve lokmalar\u0131 iyice \u00e7i\u011fneyin<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #2e8b6f; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Vitamin ve mineral takviyelerinizi her g\u00fcn, aksatmadan al\u0131n<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #2e8b6f; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Beslenme a\u015famalar\u0131n\u0131 (s\u0131v\u0131 \u2192 p\u00fcre \u2192 yumu\u015fak \u2192 kat\u0131) s\u0131rayla uygulay\u0131n<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #2e8b6f; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Kan tahlili ve kontrol randevular\u0131n\u0131za zaman\u0131nda gidin<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #2e8b6f; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Ate\u015f, \u00e7arp\u0131nt\u0131, artan kar\u0131n a\u011fr\u0131s\u0131 veya nefes darl\u0131\u011f\u0131nda hemen ekibinize ula\u015f\u0131n<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #2e8b6f; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Diyetisyen ve psikolojik destek g\u00f6r\u00fc\u015fmelerini s\u00fcrd\u00fcr\u00fcn<\/li>\n<\/ul>\n<\/div>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; padding: 20px 22px; border-top: 4px solid #d97706;\">\n<h4 style=\"margin: 0 0 14px; font-size: 17px; color: #1a3a32;\">\u2717 Ka\u00e7\u0131n\u0131n<\/h4>\n<ul style=\"list-style: none; padding: 0; margin: 0; font-size: 15px;\">\n<li style=\"padding: 6px 0;\"><span style=\"color: #d97706; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Pipet kullanmaktan ve sak\u0131z \u00e7i\u011fnemekten<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #d97706; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Yemek s\u0131ras\u0131nda s\u0131v\u0131 i\u00e7mekten (\u00f6ncesi ve sonras\u0131 30 dakika b\u0131rak\u0131n)<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #d97706; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Gazl\u0131, \u015fekerli ve y\u00fcksek kalorili i\u00e7eceklerden<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #d97706; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Beslenme a\u015famalar\u0131n\u0131 atlay\u0131p erken kat\u0131 g\u0131daya ge\u00e7mekten<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #d97706; font-weight: bold; margin-right: 8px;\">\u2192<\/span>\u0130lk 2 ay a\u011f\u0131r egzersiz ve kar\u0131n kaslar\u0131n\u0131 zorlayan hareketlerden<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #d97706; font-weight: bold; margin-right: 8px;\">\u2192<\/span>A\u011f\u0131r kald\u0131rmaktan (hekiminizin belirledi\u011fi s\u00fcre boyunca)<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #d97706; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Sigara ve alkolden (iyile\u015fmeyi ve mide dokusunu olumsuz etkiler)<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #d97706; font-weight: bold; margin-right: 8px;\">\u2192<\/span>Hekim onay\u0131 olmadan a\u011fr\u0131 kesici ve mide tahri\u015f edici ila\u00e7 kullanmaktan<\/li>\n<li style=\"padding: 6px 0;\"><span style=\"color: #d97706; font-weight: bold; margin-right: 8px;\">\u2192<\/span>\u0130lk 12\u201318 ay i\u00e7inde gebelik planlamaktan<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<h2 id=\"riskler\" style=\"scroll-margin-top: 90px;\">Olas\u0131 Riskler ve Komplikasyonlar<\/h2>\n<p>T\u00fcp mide, d\u00fcnya genelinde en s\u0131k uygulanan obezite cerrahisi y\u00f6ntemlerinden biridir; ancak her cerrahi i\u015flem gibi riskleri vard\u0131r. Bu riskleri bilmek, erken belirtileri fark etmenizi sa\u011flar:<\/p>\n<ul>\n<li><strong>Staple hatt\u0131 ka\u00e7a\u011f\u0131 (leak):<\/strong> En ciddi erken risktir. Belirtileri genellikle ilk 48 saatte ortaya \u00e7\u0131kar; ate\u015f, kalp h\u0131z\u0131nda art\u0131\u015f, kar\u0131n a\u011fr\u0131s\u0131 ve nefes darl\u0131\u011f\u0131 acil de\u011ferlendirme gerektirir. (Ayr\u0131nt\u0131 i\u00e7in yukar\u0131daki ka\u00e7ak b\u00f6l\u00fcm\u00fcne bak\u0131n.)<\/li>\n<li><strong>Kanama:<\/strong> Staple hatt\u0131ndan veya damar yap\u0131lar\u0131ndan erken d\u00f6nemde kanama g\u00f6r\u00fclebilir; takip ve gerekti\u011finde giri\u015fimle y\u00f6netilir.<\/li>\n<li><strong>P\u0131ht\u0131 ve emboli (VTE):<\/strong> Obezite cerrahisinde \u00f6nemli bir risk ba\u015fl\u0131\u011f\u0131d\u0131r. Erken hareketlenme, varis \u00e7orab\u0131 ve p\u0131ht\u0131 \u00f6nleyici ila\u00e7larla azalt\u0131l\u0131r.<\/li>\n<li><strong>Enfeksiyon:<\/strong> Kesi yerlerinde veya kar\u0131n i\u00e7inde g\u00f6r\u00fclebilir; steril teknik ve takip ile y\u00f6netilir.<\/li>\n<li><strong>Darl\u0131k (strikt\u00fcr):<\/strong> T\u00fcp midenin bir b\u00f6l\u00fcm\u00fcnde daralma olu\u015fabilir; bulant\u0131, kusma ve yutma g\u00fc\u00e7l\u00fc\u011f\u00fc yapar. Genellikle endoskopik y\u00f6ntemlerle geni\u015fletilir.<\/li>\n<li><strong>Refl\u00fc (GERD):<\/strong> Yeni ortaya \u00e7\u0131kabilir veya mevcut \u015fik\u00e2yet artabilir. \u0130la\u00e7, beslenme d\u00fczeni ve gerekti\u011finde revizyonla y\u00f6netilir.<\/li>\n<li><strong>Besin ve vitamin eksiklikleri:<\/strong> B12, demir, kalsiyum, D vitamini ve folat eksikli\u011fi s\u0131kt\u0131r. \u00d6m\u00fcr boyu takviye ve kan takibi bu nedenle zorunludur.<\/li>\n<li><strong>Safra ta\u015f\u0131:<\/strong> H\u0131zl\u0131 kilo kayb\u0131 safra ta\u015f\u0131 olu\u015fumunu kolayla\u015ft\u0131rabilir; \u015fik\u00e2yet geli\u015firse ayr\u0131ca de\u011ferlendirilir.<\/li>\n<li><strong>Sa\u00e7 d\u00f6k\u00fclmesi:<\/strong> Genellikle 3\u20136. aylarda ge\u00e7ici olarak g\u00f6r\u00fcl\u00fcr; protein ve demir al\u0131m\u0131yla ili\u015fkilidir.<\/li>\n<li><strong>Bulant\u0131 ve kusma:<\/strong> \u00d6zellikle h\u0131zl\u0131 yeme, iyi \u00e7i\u011fnememe ve a\u015famalar\u0131 atlama sonucu ortaya \u00e7\u0131kar.<\/li>\n<li><strong>Mide geni\u015flemesine ba\u011fl\u0131 kilo geri al\u0131m\u0131:<\/strong> Uzun vadede t\u00fcp midenin hacmi bir miktar geni\u015fleyebilir; beslenme al\u0131\u015fkanl\u0131klar\u0131 bozulursa kilo geri al\u0131nabilir.<\/li>\n<li><strong>Anesteziye ba\u011fl\u0131 riskler:<\/strong> Genel anestezinin kendine \u00f6zg\u00fc riskleri, ameliyat \u00f6ncesi de\u011ferlendirmeyle en aza indirilir.<\/li>\n<\/ul>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-left: 4px solid #2E8B6F; border-radius: 12px; padding: 20px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 15px; line-height: 1.65; color: #2d3a35;\"><strong style=\"color: #1f6b54;\">Bilgilendirme notu:<\/strong> Riskler, ameliyat \u00f6ncesi tetkiklerin eksiksiz yap\u0131lmas\u0131, uygun tesis ve ekip se\u00e7imi, ameliyat i\u00e7inde ka\u00e7ak testi, erken mobilizasyon ve p\u0131ht\u0131 \u00f6nleyici \u00f6nlemlerle azalt\u0131labilir. Sizin taraf\u0131n\u0131zdaki en \u00f6nemli katk\u0131 ise <strong>uyar\u0131 bulgular\u0131n\u0131 bilmek ve gecikmeden bildirmektir<\/strong>.<\/p>\n<\/div>\n<h2 id=\"kimlere-uygun-degil\" style=\"scroll-margin-top: 90px;\">Kimlere Uygun De\u011fildir? (Kontrendikasyonlar)<\/h2>\n<p>A\u015fa\u011f\u0131daki durumlarda t\u00fcp mide ameliyat\u0131 \u00f6nerilmez, ertelenir veya farkl\u0131 bir y\u00f6ntem de\u011ferlendirilir:<\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(230px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">\u0130leri refl\u00fc \/ Barrett \u00f6zofagus<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Bu grupta t\u00fcp mide \u015fik\u00e2yetleri k\u00f6t\u00fcle\u015ftirebilir; gastrik bypass de\u011ferlendirilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Aktif kalp hastal\u0131\u011f\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kontrol alt\u0131na al\u0131nmam\u0131\u015f kalp hastal\u0131\u011f\u0131nda ameliyat ertelenir; \u00f6nce kardiyoloji de\u011ferlendirmesi tamamlan\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">\u0130leri akci\u011fer yetmezli\u011fi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Genel anestezi riskini art\u0131rd\u0131\u011f\u0131 i\u00e7in ayr\u0131 bir de\u011ferlendirme ve haz\u0131rl\u0131k gerektirir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Aktif kanser<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Aktif onkolojik tedavi s\u00fcrecinde obezite cerrahisi planlanmaz.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Hormonal nedenli obezite<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Altta yatan hormonal bir neden varsa \u00f6nce bu durumun ara\u015ft\u0131r\u0131lmas\u0131 ve tedavisi gerekir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Alkol veya madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Aktif ba\u011f\u0131ml\u0131l\u0131k varl\u0131\u011f\u0131nda ameliyat sonras\u0131 uyum ve g\u00fcvenlik sa\u011flanamaz; \u00f6nce bu s\u00fcrecin ele al\u0131nmas\u0131 gerekir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Psikiyatrik onay al\u0131namamas\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">De\u011ferlendirmeden onay al\u0131namayan hastalarda ameliyat planlanmaz; destek s\u00fcreci \u00f6nceliklendirilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">12\u201318 ay i\u00e7inde gebelik plan\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">H\u0131zl\u0131 kilo kayb\u0131 ve besin eksikli\u011fi riski nedeniyle bu d\u00f6nemde gebelik \u00f6nerilmez; zamanlama yeniden planlan\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Beslenme kurallar\u0131na uyum sa\u011flayamama<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u00d6m\u00fcr boyu s\u00fcrecek beslenme d\u00fczeni ve vitamin takviyesine uyum sa\u011flanamayacaksa ameliyat karar\u0131 g\u00f6zden ge\u00e7irilir.<\/p>\n<\/div>\n<\/div>\n<p style=\"font-size: 14px; color: #6b7775;\">Bu ba\u015fl\u0131klar\u0131n bir k\u0131sm\u0131 kal\u0131c\u0131 engel de\u011fil, <strong>ameliyat\u0131n ertelenmesini<\/strong> gerektiren durumlard\u0131r. Uygun haz\u0131rl\u0131k ve tedavi sonras\u0131nda yeniden de\u011ferlendirme yap\u0131labilir.<\/p>\n<h2 id=\"karsilastirma\" style=\"scroll-margin-top: 90px;\">T\u00fcp Mide mi, Gastrik Bypass m\u0131, Mide Balonu mu?<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> T\u00fcp midede midenin yakla\u015f\u0131k %80\u2019i \u00e7\u0131kar\u0131l\u0131r ve ba\u011f\u0131rsaklara dokunulmaz; gastrik bypassta ayr\u0131ca ba\u011f\u0131rsak g\u00fczerg\u00e2h\u0131 de\u011fi\u015ftirilir; mide balonu ise cerrahi olmayan, ge\u00e7ici bir uygulamad\u0131r.<\/div>\n<div style=\"margin: 24px 0; overflow-x: auto; border-radius: 12px;\">\n<table style=\"width: 100%; border-collapse: separate; border-spacing: 0; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; overflow: hidden; min-width: 520px;\">\n<thead>\n<tr style=\"background: #2E8B6F;\">\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">Kriter<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">T\u00fcp Mide (Sleeve)<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">Gastrik Bypass<\/th>\n<th style=\"color: #fff; padding: 14px 16px; text-align: left; font-size: 14px;\">Mide Balonu<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background: #E8F5F0;\">\n<td style=\"padding: 14px 16px; font-weight: bold; color: #1f6b54;\">Ne yap\u0131l\u0131r?<\/td>\n<td style=\"padding: 14px 16px;\">Midenin yakla\u015f\u0131k %80\u2019i \u00e7\u0131kar\u0131l\u0131r, dar bir t\u00fcp mide kal\u0131r<\/td>\n<td style=\"padding: 14px 16px;\">K\u00fc\u00e7\u00fck bir mide po\u015fu olu\u015fturulur ve ba\u011f\u0131rsak g\u00fczerg\u00e2h\u0131 de\u011fi\u015ftirilir<\/td>\n<td style=\"padding: 14px 16px;\">Endoskopiyle mideye ge\u00e7ici bir balon yerle\u015ftirilir<\/td>\n<\/tr>\n<tr style=\"background: #f8faf9;\">\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Ba\u011f\u0131rsa\u011fa m\u00fcdahale<\/td>\n<td style=\"padding: 14px 16px;\">Yok<\/td>\n<td style=\"padding: 14px 16px;\">Var<\/td>\n<td style=\"padding: 14px 16px;\">Yok<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Cerrahi mi?<\/td>\n<td style=\"padding: 14px 16px;\">Evet \u2014 laparoskopik<\/td>\n<td style=\"padding: 14px 16px;\">Evet \u2014 laparoskopik<\/td>\n<td style=\"padding: 14px 16px;\">Hay\u0131r \u2014 endoskopik<\/td>\n<\/tr>\n<tr style=\"background: #f8faf9;\">\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Anestezi<\/td>\n<td style=\"padding: 14px 16px;\">Genel<\/td>\n<td style=\"padding: 14px 16px;\">Genel<\/td>\n<td style=\"padding: 14px 16px;\">Sedasyon<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Hastanede kal\u0131\u015f<\/td>\n<td style=\"padding: 14px 16px;\">2\u20133 gece<\/td>\n<td style=\"padding: 14px 16px;\">Genellikle daha uzun<\/td>\n<td style=\"padding: 14px 16px;\">Genellikle ayn\u0131 g\u00fcn<\/td>\n<\/tr>\n<tr style=\"background: #f8faf9;\">\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Geri d\u00f6nd\u00fcr\u00fclebilir mi?<\/td>\n<td style=\"padding: 14px 16px;\">Hay\u0131r (bypass\u2019a revizyon m\u00fcmk\u00fcn)<\/td>\n<td style=\"padding: 14px 16px;\">Hay\u0131r (teknik olarak revizyon m\u00fcmk\u00fcn)<\/td>\n<td style=\"padding: 14px 16px;\">Evet \u2014 balon \u00e7\u0131kar\u0131l\u0131r<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Refl\u00fc \u00fczerine etkisi<\/td>\n<td style=\"padding: 14px 16px;\">Ortaya \u00e7\u0131karabilir veya art\u0131rabilir<\/td>\n<td style=\"padding: 14px 16px;\">Genellikle azalt\u0131r<\/td>\n<td style=\"padding: 14px 16px;\">\u015eik\u00e2yet yaratabilir<\/td>\n<\/tr>\n<tr style=\"background: #f8faf9;\">\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">Vitamin takviyesi<\/td>\n<td style=\"padding: 14px 16px;\">\u00d6m\u00fcr boyu gerekir<\/td>\n<td style=\"padding: 14px 16px;\">\u00d6m\u00fcr boyu gerekir, emilim etkilendi\u011fi i\u00e7in daha kapsaml\u0131<\/td>\n<td style=\"padding: 14px 16px;\">Genellikle gerekmez<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 14px 16px; font-weight: 600; color: #1a3a32;\">\u00d6ne \u00e7\u0131kt\u0131\u011f\u0131 durum<\/td>\n<td style=\"padding: 14px 16px;\">BMI 40+ veya BMI 35+ e\u015flik eden hastal\u0131k; refl\u00fcs\u00fc olmayanlar<\/td>\n<td style=\"padding: 14px 16px;\">\u0130leri refl\u00fc, Barrett, kontrols\u00fcz tip 2 diyabet<\/td>\n<td style=\"padding: 14px 16px;\">Cerrahi d\u00fc\u015f\u00fcnmeyen, daha d\u00fc\u015f\u00fck BMI\u2019li ve ge\u00e7ici destek isteyenler<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p style=\"font-size: 14px; color: #6b7775;\">Bu \u00fc\u00e7 y\u00f6ntem birbirinin alternatifi gibi g\u00f6r\u00fcnse de farkl\u0131 hasta gruplar\u0131n\u0131 hedefler. Do\u011fru se\u00e7im; BMI, e\u015flik eden hastal\u0131klar, refl\u00fc \u00f6yk\u00fcs\u00fc, beslenme al\u0131\u015fkanl\u0131klar\u0131 ve hastan\u0131n uyum kapasitesi de\u011ferlendirilerek yap\u0131l\u0131r.<\/p>\n<h2 id=\"kilo-geri-alimi\" style=\"scroll-margin-top: 90px;\">Kilo Geri Al\u0131n\u0131r m\u0131? Erken Uyar\u0131 Sinyalleri<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> T\u00fcp mide sonras\u0131 kilo geri al\u0131m\u0131, yakla\u015f\u0131k 5. y\u0131ldan itibaren de\u011fi\u015fen derecelerde g\u00f6r\u00fclebilir. Ba\u015fl\u0131ca nedenleri mide hacminin geni\u015flemesi, y\u00fcksek kalorili s\u0131v\u0131 ve at\u0131\u015ft\u0131rmal\u0131k t\u00fcketimi ile metabolik adaptasyondur.<\/div>\n<p>T\u00fcp mide, kilo verme s\u00fcrecini ba\u015flatan ve kolayla\u015ft\u0131ran bir ara\u00e7t\u0131r; ancak tek ba\u015f\u0131na \u00f6m\u00fcr boyu koruma sa\u011flamaz. Literat\u00fcrde ve klinik pratikte, <strong>yakla\u015f\u0131k 5. y\u0131ldan itibaren<\/strong> hastalar\u0131n bir b\u00f6l\u00fcm\u00fcnde de\u011fi\u015fen derecelerde kilo geri al\u0131m\u0131 g\u00f6zlenir. Bunu bilmek karamsarl\u0131k de\u011fil, <strong>\u00f6nlem alma f\u0131rsat\u0131<\/strong> demektir.<br \/>\n<strong style=\"display: block; margin: 20px 0 0; color: #1a3a32; font-size: 17px;\">Neden olur?<\/strong><\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(230px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Mide hacminin geni\u015flemesi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kalan t\u00fcp mide zamanla bir miktar geni\u015fleyebilir; \u00f6zellikle s\u00fcrekli fazla porsiyon al\u0131n\u0131rsa bu s\u00fcre\u00e7 h\u0131zlan\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Y\u00fcksek kalorili s\u0131v\u0131lar<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u015eekerli i\u00e7ecek, meyve suyu, alkol ve kremal\u0131 kahveler tokluk yaratmadan y\u00fcksek kalori sa\u011flar; k\u0131s\u0131tlama mekanizmas\u0131n\u0131 devre d\u0131\u015f\u0131 b\u0131rak\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">S\u00fcrekli at\u0131\u015ft\u0131rma<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">G\u00fcn boyu k\u00fc\u00e7\u00fck ama s\u0131k at\u0131\u015ft\u0131rmalar, k\u00fc\u00e7\u00fck mideye ra\u011fmen toplam kalori al\u0131m\u0131n\u0131 y\u00fckseltir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Metabolik adaptasyon<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kilo kayb\u0131 sonras\u0131 bazal metabolizma yava\u015flar; ayn\u0131 beslenmeyle bile kilo alma e\u011filimi artabilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Fiziksel aktivitenin azalmas\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u0130lk y\u0131l\u0131n motivasyonu ge\u00e7tikten sonra hareketin azalmas\u0131, kas k\u00fctlesinin ve kalori harcamas\u0131n\u0131n d\u00fc\u015fmesine yol a\u00e7ar.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Takibin b\u0131rak\u0131lmas\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Diyetisyen ve kontrol randevular\u0131n\u0131n aksat\u0131lmas\u0131, sapmalar\u0131n fark edilmeden b\u00fcy\u00fcmesine neden olur.<\/p>\n<\/div>\n<\/div>\n<div style=\"background: #fffdf5; border: 1px solid #eadfbf; border-left: 4px solid #d97706; border-radius: 12px; padding: 18px 22px; margin: 24px 0;\">\n<p style=\"margin: 0 0 10px; font-size: 15px; line-height: 1.6; color: #6b5a2e;\"><strong style=\"color: #8a6d1f;\">Erken uyar\u0131 sinyalleri<\/strong> \u2014 bunlardan birini fark ederseniz beklemeden diyetisyeninizle g\u00f6r\u00fc\u015f\u00fcn:<\/p>\n<ul style=\"margin: 0; padding-left: 20px; font-size: 15px; line-height: 1.8; color: #6b5a2e;\">\n<li>Porsiyonlar\u0131n\u0131z\u0131n fark etmeden b\u00fcy\u00fcmesi<\/li>\n<li>\u00d6\u011f\u00fcn aralar\u0131nda s\u00fcrekli at\u0131\u015ft\u0131rma ihtiyac\u0131<\/li>\n<li>\u015eekerli veya gazl\u0131 i\u00e7eceklerin yeniden hayat\u0131n\u0131za girmesi<\/li>\n<li>Tart\u0131ya \u00e7\u0131kmaktan ka\u00e7\u0131nmaya ba\u015flamak<\/li>\n<li>Vitamin takviyelerini aksatmak<\/li>\n<li>Kontrol randevular\u0131n\u0131 ertelemek<\/li>\n<li>Ayn\u0131 miktar\u0131 yerken art\u0131k tokluk hissetmemek<\/li>\n<\/ul>\n<\/div>\n<p><strong style=\"display: block; margin: 22px 0 0; color: #1a3a32; font-size: 17px;\">\u00d6nleme plan\u0131<\/strong><\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(220px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Protein \u00f6nceli\u011fini koruyun<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Her \u00f6\u011f\u00fcne proteinle ba\u015flamak, toklu\u011fu uzat\u0131r ve kas k\u00fctlesini korur.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">S\u0131v\u0131 kalorileri geri sokmay\u0131n<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Y\u00fcksek kalorili i\u00e7ecekler, geri al\u0131m\u0131n en s\u0131k ve en sessiz nedenidir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">D\u00fczenli tart\u0131l\u0131n<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Haftada bir tart\u0131lmak, 2\u20133 kg\u2019l\u0131k sapmalar\u0131n b\u00fcy\u00fcmeden fark edilmesini sa\u011flar.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Hareketi s\u00fcrd\u00fcr\u00fcn<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">D\u00fczenli y\u00fcr\u00fcy\u00fc\u015f ve hekim onay\u0131yla diren\u00e7 egzersizleri, metabolizmay\u0131 destekler.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Takibi b\u0131rakmay\u0131n<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Y\u0131ll\u0131k kontroller ve gerekti\u011finde diyetisyen g\u00f6r\u00fc\u015fmeleri uzun vadede belirleyicidir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Erken destek al\u0131n<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Sapma fark edildi\u011finde erken m\u00fcdahale, aylar sonra yap\u0131lacak m\u00fcdahaleden \u00e7ok daha etkilidir.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"sarkma\" style=\"scroll-margin-top: 90px;\">Kilo Sonras\u0131 Deri Sarkmas\u0131 ve Zamanlamas\u0131<\/h2>\n<div style=\"background: #eef7f2; border: 1px solid #cfe9df; border-left: 4px solid #2E8B6F; border-radius: 10px; padding: 14px 18px; margin: 16px 0 22px; font-size: 15px; line-height: 1.65; color: #1a3a32;\"><strong style=\"color: #1f6b54;\">K\u0131sa yan\u0131t:<\/strong> H\u0131zl\u0131 ve belirgin kilo kayb\u0131ndan sonra kar\u0131n, kol, g\u00f6\u011f\u00fcs ve uyluk b\u00f6lgelerinde deri sarkmas\u0131 g\u00f6r\u00fclebilir. D\u00fczeltici cerrahiler genellikle kilo sabitlendikten sonra, ameliyattan yakla\u015f\u0131k 12\u201318 ay sonra g\u00fcndeme gelir.<\/div>\n<p>T\u00fcp mide sonras\u0131nda verilen kilo miktar\u0131 ne kadar fazlaysa, deri sarkmas\u0131 olas\u0131l\u0131\u011f\u0131 da o kadar artar. Bu, ameliyat\u0131n bir komplikasyonu de\u011fil, h\u0131zl\u0131 ve belirgin kilo kayb\u0131n\u0131n beklenen bir sonucudur. Sarkman\u0131n derecesi; kaybedilen kilo miktar\u0131na, ya\u015fa, cilt elastikiyetine, genetik yap\u0131ya ve sigara kullan\u0131m\u0131na g\u00f6re ki\u015fiden ki\u015fiye de\u011fi\u015fir.<br \/>\n<strong style=\"display: block; margin: 20px 0 0; color: #1a3a32; font-size: 17px;\">Zamanlama<\/strong><\/p>\n<div style=\"display: grid; grid-template-columns: 1fr; gap: 14px; margin: 28px 0;\">\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #2E8B6F; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">0\u201312 Ay<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Kilo kayb\u0131 s\u00fcrerken d\u00fczeltici cerrahi planlanmaz. Bu d\u00f6nemde cilt bak\u0131m\u0131, protein al\u0131m\u0131 ve d\u00fczenli egzersiz \u00f6n plandad\u0131r.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #2E8B6F; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">12\u201318 Ay<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Kilo genellikle sabitlenir. Sarkman\u0131n ger\u00e7ek d\u00fczeyi ancak bu noktada net olarak de\u011ferlendirilebilir.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #2E8B6F; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">18 Ay ve sonras\u0131<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Kilo en az 3\u20136 ayd\u0131r sabitse, kar\u0131n germe, kol germe, g\u00f6\u011f\u00fcs ve uyluk esteti\u011fi gibi d\u00fczeltici i\u015flemler de\u011ferlendirilebilir.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 96px 1fr; gap: 16px; padding: 16px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"background: #1f6b54; color: #fff; border-radius: 999px; padding: 8px 6px; text-align: center; font-size: 12px; font-weight: 800;\">A\u015famal\u0131 planlama<\/div>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Birden fazla b\u00f6lge s\u00f6z konusuysa i\u015flemler genellikle tek seansta de\u011fil, a\u015famal\u0131 olarak planlan\u0131r.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(220px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Cilt bak\u0131m\u0131 ve nemlendirme<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Sarkmay\u0131 t\u00fcm\u00fcyle \u00f6nlemez ancak cilt kalitesini destekler.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Protein ve su al\u0131m\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Yeterli protein, doku kalitesinin korunmas\u0131na katk\u0131 sa\u011flar.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Diren\u00e7 egzersizi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kas k\u00fctlesinin korunmas\u0131, \u00f6zellikle kol ve bacaklarda g\u00f6r\u00fcn\u00fcm\u00fc olumlu etkiler.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Sigaray\u0131 b\u0131rakmak<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Sigara hem cilt elastikiyetini hem de sonras\u0131ndaki cerrahi iyile\u015fmeyi olumsuz etkiler.<\/p>\n<\/div>\n<\/div>\n<p style=\"font-size: 14px; color: #6b7775;\">D\u00fczeltici cerrahi karar\u0131; sarkman\u0131n derecesine, genel sa\u011fl\u0131k durumuna ve kilonun sabitlenmi\u015f olmas\u0131na g\u00f6re verilir. Kilo h\u00e2l\u00e2 de\u011fi\u015fiyorken yap\u0131lan i\u015flemlerde sonucun korunmas\u0131 zorla\u015f\u0131r.<\/p>\n<h2 id=\"oncesi-sonrasi\" style=\"scroll-margin-top: 90px;\">\u00d6ncesi \/ Sonras\u0131<\/h2>\n<p>A\u015fa\u011f\u0131daki alanda i\u015flemin mant\u0131\u011f\u0131n\u0131 g\u00f6steren bilgilendirici g\u00f6rseller yer al\u0131r (ger\u00e7ek hasta g\u00f6rselleri yasal d\u00fczenlemeler gere\u011fi yaln\u0131zca \u00f6zel dan\u0131\u015fmada g\u00f6sterilir):<\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(210px,1fr)); gap: 16px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 14px; padding: 18px; background: #f8faf9; text-align: center;\">\n<p><span style=\"display: inline-block; background: #6b7775; color: #fff; font-size: 12px; font-weight: 800; padding: 3px 12px; border-radius: 6px; margin-bottom: 14px;\">\u00d6NCES\u0130<\/span><\/p>\n<p style=\"margin: 12px 0 0; font-size: 14px; color: #6b7775;\"><img decoding=\"async\" class=\"alignnone size-us_400_400_crop\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2026\/08\/pb-tupmide-oncesi-400x400.png\" alt=\"T\u00fcp mide ameliyat\u0131 \u00f6ncesi: fundus d\u00e2hil tam hacimli normal mide anatomisi\" width=\"400\" height=\"400\" \/>Fundus d\u00e2hil tam hacimli mide; b\u00fcy\u00fck porsiyonlar al\u0131nabilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #2E8B6F; border-radius: 14px; padding: 18px; background: #fff; text-align: center; box-shadow: 0 4px 16px rgba(46,139,111,0.15);\">\n<p><span style=\"display: inline-block; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; padding: 3px 12px; border-radius: 6px; margin-bottom: 14px;\">SONRASI<\/span><\/p>\n<p style=\"margin: 12px 0 0; font-size: 14px; color: #1a3a32; font-weight: 600;\"><img decoding=\"async\" class=\"alignnone size-us_400_400_crop\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2026\/08\/pb-tupmide-sonrasi-400x400.png\" alt=\"T\u00fcp mide ameliyat\u0131 sonras\u0131: midenin yakla\u015f\u0131k y\u00fczde 80\u2019i \u00e7\u0131kar\u0131lm\u0131\u015f, muz \u015feklinde dar t\u00fcp mide ve staple hatt\u0131\" width=\"400\" height=\"400\" \/>Midenin yakla\u015f\u0131k %80\u2019i \u00e7\u0131kar\u0131lm\u0131\u015f; muz \u015feklinde dar t\u00fcp mide ve staple hatt\u0131.<\/p>\n<\/div>\n<\/div>\n<p style=\"font-size: 13px; color: #6b7775;\">G\u00f6rseller \u015fematik ve bilgilendirme ama\u00e7l\u0131d\u0131r; ki\u015fisel sonu\u00e7 ba\u015flang\u0131\u00e7 kilosuna, e\u015flik eden hastal\u0131klara ve beslenme kurallar\u0131na uyuma g\u00f6re de\u011fi\u015fir; kesin sonu\u00e7 taahh\u00fcd\u00fc verilmez.<\/p>\n<h2 id=\"dikkat\" style=\"scroll-margin-top: 90px;\">Klinik ve Ekip Se\u00e7erken Nelere Dikkat Etmelisiniz?<\/h2>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(230px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">\u00c7ok disiplinli de\u011ferlendirme<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Cerrah, diyetisyen, psikolog ve gerekti\u011finde endokrinolog de\u011ferlendirmesinin birlikte yap\u0131ld\u0131\u011f\u0131ndan emin olun.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Tetkiklerin eksiksizli\u011fi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Endoskopi, kan tetkikleri, kalp ve akci\u011fer de\u011ferlendirmesinin ameliyat \u00f6ncesinde tamamlanmas\u0131 gerekir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Refl\u00fc sorgusu<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Refl\u00fc ve hiatal herni de\u011ferlendirilmeden y\u00f6ntem se\u00e7imi yap\u0131lmamal\u0131d\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Ka\u00e7ak testi ve donan\u0131m<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Ameliyat i\u00e7inde ka\u00e7ak testinin yap\u0131ld\u0131\u011f\u0131n\u0131 ve yo\u011fun bak\u0131m deste\u011finin bulundu\u011funu teyit edin.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Uzun vadeli takip plan\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kan takibi, diyetisyen g\u00f6r\u00fc\u015fmeleri ve kontrol randevular\u0131n\u0131n nas\u0131l y\u00fcr\u00fct\u00fclece\u011fini ba\u015ftan sorun.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Onayl\u0131 sa\u011fl\u0131k tesisi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u0130\u015flem yaln\u0131zca T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 onayl\u0131 ve sa\u011fl\u0131k turizmi yetki belgeli bir tesiste yap\u0131lmal\u0131d\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Komplikasyon plan\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Ka\u00e7ak veya ba\u015fka bir sorun geli\u015firse hangi yolun izlenece\u011fi, kimin sorumlu olaca\u011f\u0131 yaz\u0131l\u0131 olarak netle\u015fmelidir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-top: 4px solid #d97706; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1a3a32;\">Sadece fiyat oda\u011f\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Sadece fiyata odaklanmak; takip, g\u00fcvenlik ve ekip kalitesinden \u00f6d\u00fcn anlam\u0131na gelebilir.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"neden-izmir\" style=\"scroll-margin-top: 90px;\">Neden \u0130zmir \/ T\u00fcrkiye\u2019de T\u00fcp Mide Ameliyat\u0131?<\/h2>\n<p>T\u00fcrkiye, t\u00fcp mide ameliyat\u0131 i\u00e7in s\u0131k tercih edilen \u00fclkelerden biridir; nitelikli t\u0131bbi ekipler, onayl\u0131 tesisler ve kapsay\u0131c\u0131 \u2018her \u015fey d\u00e2hil\u2019 paketler ba\u015fl\u0131ca nedenlerdir. \u0130zmir ise deneyimli ekipleri ve ula\u015f\u0131m kolayl\u0131\u011f\u0131yla \u00f6ne \u00e7\u0131kar:<\/p>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(220px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Nitelikli T\u0131bbi Ekip<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Vaka deneyimine sahip anla\u015fmal\u0131 uzman hekimler ve g\u00fcncel cerrahi teknikler.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Her \u015eey D\u00e2hil, \u015eeffaf S\u00fcre\u00e7<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Ameliyat, konaklama, transfer ve takibi kapsayan planl\u0131 bir yolculuk.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Onayl\u0131 Sa\u011fl\u0131k Tesisleri<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 onayl\u0131 ve sa\u011fl\u0131k turizmi yetki belgeli tesisler.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">U\u00e7tan Uca Koordinasyon<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u00c7ok dilli ekip ve 7\/24 ki\u015fisel asistan deste\u011fi.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"neden-mono\" style=\"scroll-margin-top: 90px;\">Neden Clinic Mono?<\/h2>\n<div style=\"background: #f8faf9; border: 1px solid #e1e8e5; border-left: 4px solid #2E8B6F; border-radius: 12px; padding: 20px 22px; margin: 24px 0;\">\n<p style=\"margin: 0; font-size: 15px; line-height: 1.7; color: #2d3a35;\"><strong style=\"color: #1f6b54;\">Rol\u00fcm\u00fcz:<\/strong> Clinic Mono bir sa\u011fl\u0131k kurulu\u015fu de\u011fildir ve t\u0131bbi i\u015flem ger\u00e7ekle\u015ftirmez. Uluslararas\u0131 sa\u011fl\u0131k turizmi kapsam\u0131nda <strong>arac\u0131l\u0131k ve s\u00fcre\u00e7 koordinasyonu<\/strong> hizmeti sunar. Muayene, tan\u0131, tedavi karar\u0131 ve t\u00fcm t\u0131bbi uygulamalar; T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan yetkilendirilmi\u015f anla\u015fmal\u0131 sa\u011fl\u0131k kurulu\u015flar\u0131 ile bu kurulu\u015flarda g\u00f6rev yapan uzman hekimler taraf\u0131ndan, kendi mesleki sorumluluklar\u0131 alt\u0131nda y\u00fcr\u00fct\u00fcl\u00fcr. A\u015fa\u011f\u0131daki maddeler, Clinic Mono\u2019nun <strong>koordinasyon, bilgilendirme ve takip standartlar\u0131n\u0131<\/strong> tan\u0131mlar.<\/p>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 1fr; gap: 14px; margin: 28px 0;\">\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">1<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">\u00d6n De\u011ferlendirmenin Koordinasyonu<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Boy, kilo, BMI, e\u015flik eden hastal\u0131klar\u0131n\u0131z, refl\u00fc \u00f6yk\u00fcn\u00fcz ve gebelik plan\u0131n\u0131z anla\u015fmal\u0131 sa\u011fl\u0131k kurulu\u015funa eksiksiz iletilir; uygunluk ve y\u00f6ntem karar\u0131n\u0131 anla\u015fmal\u0131 hekim verir. Clinic Mono bu bilgi ak\u0131\u015f\u0131n\u0131 d\u00fczenler ve hekimin g\u00f6r\u00fc\u015f\u00fcn\u00fc, t\u00fcp mide uygun bulunmad\u0131ysa gerek\u00e7esiyle birlikte size aktar\u0131r.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">2<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">\u00c7ok Disiplinli Haz\u0131rl\u0131\u011f\u0131n Organizasyonu<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Cerrahi, beslenme ve psikoloji de\u011ferlendirmeleri ile gerekli tetkikler anla\u015fmal\u0131 sa\u011fl\u0131k kurulu\u015funda yap\u0131l\u0131r. Clinic Mono bu randevular\u0131 ameliyat \u00f6ncesinde s\u0131raya koyar ve eksik kalan bir ad\u0131m olup olmad\u0131\u011f\u0131n\u0131 izler.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">3<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">Program ve S\u00fcre\u00e7 \u015eeffafl\u0131\u011f\u0131<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Hastanede kal\u0131\u015f, T\u00fcrkiye\u2019deki toplam program ve d\u00f6n\u00fc\u015f zamanlamas\u0131 i\u015flem \u00f6ncesinde yaz\u0131l\u0131 olarak iletilir. Clinic Mono bu plan\u0131, anla\u015fmal\u0131 hekimin belirledi\u011fi s\u00fcrelere g\u00f6re olu\u015fturur.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">4<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">Takip Program\u0131n\u0131n \u0130letilmesi<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Anla\u015fmal\u0131 sa\u011fl\u0131k kurulu\u015funun belirledi\u011fi 12 ayl\u0131k diyetisyen takibi ile 1. y\u0131l 3 ayda bir, 2. y\u0131l 6 ayda bir, sonras\u0131nda y\u0131ll\u0131k kan takibi program\u0131 ba\u015ftan yaz\u0131l\u0131 olarak verilir. Clinic Mono randevu hat\u0131rlatmalar\u0131n\u0131 ve bilgi ak\u0131\u015f\u0131n\u0131 y\u00fcr\u00fct\u00fcr.<\/p>\n<\/div>\n<\/div>\n<div style=\"display: grid; grid-template-columns: 56px 1fr; gap: 18px; padding: 18px 20px; background: #ffffff; border: 1px solid #e1e8e5; border-radius: 12px; align-items: center;\">\n<div style=\"width: 44px; height: 44px; background: #2E8B6F; color: #fff; border-radius: 50%; display: flex; align-items: center; justify-content: center; font-size: 18px; font-weight: 800;\">5<\/div>\n<div>\n<h4 style=\"margin: 0 0 6px; font-size: 17px; color: #1a3a32;\">U\u00e7tan Uca Koordinasyon ve Terc\u00fcme<\/h4>\n<p style=\"margin: 0; font-size: 15px; line-height: 1.6;\">Yurt d\u0131\u015f\u0131 hastalar i\u00e7in \u00e7ok dilli ileti\u015fim, terc\u00fcme, transfer, konaklama ve d\u00f6n\u00fc\u015f sonras\u0131 ileti\u015fim tek elden y\u00fcr\u00fct\u00fcl\u00fcr. T\u0131bbi sorular\u0131n\u0131z anla\u015fmal\u0131 hekime iletilir, yan\u0131t\u0131 size eksiksiz aktar\u0131l\u0131r.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h2 id=\"hazirlik\" style=\"scroll-margin-top: 90px;\">Ameliyata Haz\u0131rl\u0131k<\/h2>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(220px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Tetkikler<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kan tahlilleri, endoskopi, akci\u011fer grafisi, EKG ve gerekti\u011finde ultrason ile kardiyoloji de\u011ferlendirmesi tamamlan\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Karaci\u011fer k\u00fc\u00e7\u00fcltme diyeti<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Ameliyattan \u00f6nce genellikle 2 hafta uygulan\u0131r; karaci\u011ferin k\u00fc\u00e7\u00fclmesini sa\u011flayarak ameliyat\u0131 teknik olarak kolayla\u015ft\u0131r\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">\u0130la\u00e7 d\u00fczenlemesi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Kan suland\u0131r\u0131c\u0131lar, diyabet ila\u00e7lar\u0131 ve di\u011fer d\u00fczenli ila\u00e7lar hekim onay\u0131yla yeniden d\u00fczenlenir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Sigara ve alkol<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">\u0130yile\u015fmeyi ve solunum fonksiyonlar\u0131n\u0131 olumsuz etkiledi\u011fi i\u00e7in ameliyat \u00f6ncesinde b\u0131rak\u0131lmas\u0131 \u00f6nerilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Psikolojik de\u011ferlendirme<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Ameliyat sonras\u0131 beslenme d\u00fczenine ve ya\u015fam tarz\u0131 de\u011fi\u015fimine uyum a\u00e7\u0131s\u0131ndan de\u011ferlendirme yap\u0131l\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Program planlamas\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">T\u00fcrkiye\u2019de toplam programa ve d\u00f6n\u00fc\u015f sonras\u0131 1\u20132 haftal\u0131k dinlenme s\u00fcresine g\u00f6re planlama yap\u0131l\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Diyetisyen g\u00f6r\u00fc\u015fmesi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Ameliyat sonras\u0131 beslenme a\u015famalar\u0131 \u00f6nceden anlat\u0131l\u0131r; al\u0131\u015fveri\u015finiz buna g\u00f6re haz\u0131rlan\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">Refakat\u00e7i ve konaklama<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Yurt d\u0131\u015f\u0131ndan geliyorsan\u0131z refakat\u00e7i, konaklama ve transfer d\u00fczeni \u00f6nceden planlan\u0131r.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"sorular\" style=\"scroll-margin-top: 90px;\">\u0130lk G\u00f6r\u00fc\u015fmede Sorabilece\u011finiz Sorular<\/h2>\n<p>Do\u011fru karar\u0131 vermeniz i\u00e7in \u00f6n de\u011ferlendirmede \u015funlar\u0131 sorman\u0131z faydal\u0131 olur:<\/p>\n<div style=\"background: #ffffff; border: 1px solid #e1e8e5; border-radius: 14px; padding: 20px 24px; margin: 24px 0;\">\n<ul style=\"list-style: none; padding: 0; margin: 0; font-size: 15px; line-height: 1.6; color: #2d3a35;\">\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">1<\/span><span>BMI\u2019m ve e\u015flik eden hastal\u0131klar\u0131m t\u00fcp mide i\u00e7in uygun mu?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">2<\/span><span>Bende t\u00fcp mide mi yoksa gastrik bypass m\u0131 daha uygun, neden?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">3<\/span><span>Refl\u00fc ve hiatal herni a\u00e7\u0131s\u0131ndan nas\u0131l de\u011ferlendirilece\u011fim; endoskopi yap\u0131lacak m\u0131?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">4<\/span><span>Ameliyat ka\u00e7 kesiyle ve ne kadar s\u00fcrede yap\u0131lacak?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">5<\/span><span>Ameliyat i\u00e7inde ka\u00e7ak testi yap\u0131l\u0131yor mu?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">6<\/span><span>Hastanede ka\u00e7 gece kalaca\u011f\u0131m ve T\u00fcrkiye\u2019de toplam ne kadar kalmam gerekiyor?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">7<\/span><span>Ka\u00e7ak veya ba\u015fka bir komplikasyon geli\u015firse nas\u0131l bir yol izlenir?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">8<\/span><span>Beslenme a\u015famalar\u0131m nas\u0131l planlanacak ve diyetisyen takibi ne kadar s\u00fcrecek?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">9<\/span><span>Hangi vitamin takviyelerini, hangi dozda ve ne kadar s\u00fcre kullanaca\u011f\u0131m?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">10<\/span><span>Kan tahlillerim hangi s\u0131kl\u0131kla yap\u0131lacak?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">11<\/span><span>Ne zaman i\u015fe ve ne zaman spora d\u00f6nebilirim?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">12<\/span><span>Kilo kayb\u0131m i\u00e7in ger\u00e7ek\u00e7i beklenti nedir ve plato ne zaman ba\u015flar?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">13<\/span><span>Uzun vadede kilo geri al\u0131m\u0131n\u0131 nas\u0131l \u00f6nleyebilirim?<\/span><\/li>\n<li style=\"padding: 10px 0; border-bottom: 1px solid #eef4f1; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">14<\/span><span>Gebelik plan\u0131m varsa ne kadar beklemem gerekiyor?<\/span><\/li>\n<li style=\"padding: 10px 0; display: flex; gap: 12px; align-items: flex-start;\"><span style=\"flex-shrink: 0; width: 22px; height: 22px; border-radius: 50%; background: #2E8B6F; color: #fff; font-size: 12px; font-weight: 800; display: flex; align-items: center; justify-content: center;\">15<\/span><span>D\u00f6n\u00fc\u015f\u00fcmden sonra takip ve ileti\u015fim nas\u0131l s\u00fcrd\u00fcr\u00fclecek?<\/span><\/li>\n<\/ul>\n<\/div>\n<h2 id=\"turizm\" style=\"scroll-margin-top: 90px;\">Yurt D\u0131\u015f\u0131ndan Gelen Hastalar \u0130\u00e7in S\u00fcre\u00e7<\/h2>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(200px,1fr)); gap: 14px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">1 \u00b7 Uzaktan \u00f6n de\u011ferlendirme<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Boy, kilo, BMI, mevcut hastal\u0131klar\u0131n\u0131z, kulland\u0131\u011f\u0131n\u0131z ila\u00e7lar ve varsa tetkikleriniz payla\u015f\u0131l\u0131r; \u00f6n uygunluk de\u011ferlendirilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">2 \u00b7 Tetkik ve haz\u0131rl\u0131k<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Gerekli tetkiklerin bir k\u0131sm\u0131 kendi \u00fclkenizde, kalan\u0131 geli\u015finizde tamamlan\u0131r. Karaci\u011fer k\u00fc\u00e7\u00fcltme diyeti \u00f6nceden ba\u015flat\u0131l\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">3 \u00b7 Program ve koordinasyon<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">U\u00e7u\u015f, transfer ve konaklama planlan\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">4 \u00b7 Ameliyat ve hastane takibi<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Ameliyat sonras\u0131 2\u20133 gece hastanede kal\u0131n\u0131r; taburculuk sonras\u0131 kontrol muayenesi yap\u0131l\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">5 \u00b7 D\u00f6n\u00fc\u015f onay\u0131<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">D\u00f6n\u00fc\u015f u\u00e7u\u015fu, erken d\u00f6nem riskler a\u00e7\u0131s\u0131ndan uygun g\u00f6r\u00fcld\u00fckten sonra planlan\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 20px; background: #fff;\">\n<p><strong style=\"color: #1f6b54;\">6 \u00b7 Uzaktan takip<\/strong><\/p>\n<p style=\"margin: 6px 0 0; font-size: 14px; color: #6b7775;\">Beslenme a\u015famalar\u0131, vitamin program\u0131 ve kan takibi d\u00f6n\u00fc\u015f\u00fcn\u00fczden sonra \u00e7ok dilli koordinasyonla s\u00fcrd\u00fcr\u00fcl\u00fcr.<\/p>\n<\/div>\n<\/div>\n<p style=\"font-size: 14px; color: #6b7775;\">Program ki\u015fiye g\u00f6re de\u011fi\u015febilir; kesin s\u00fcreler ameliyat \u00f6ncesi de\u011ferlendirmenizden sonra netle\u015fir.<\/p>\n<h2 id=\"fiyat\" style=\"scroll-margin-top: 90px;\">T\u00fcp Mide Fiyatlar\u0131: \u015eeffaf Bilgilendirme<\/h2>\n<p>Net fiyat, muayene ve tetkikler sonras\u0131nda verilir; \u00e7\u00fcnk\u00fc ek hastal\u0131klar, gerekli tetkiklerin kapsam\u0131, hastanede kal\u0131\u015f s\u00fcresi ve ek i\u015flemler (\u00f6rne\u011fin ayn\u0131 seansta hiatal herni onar\u0131m\u0131) ki\u015fiye g\u00f6re de\u011fi\u015fir. Bu sayfada rakam payla\u015fm\u0131yoruz; neyin d\u00e2hil oldu\u011funu ba\u015ftan bilmeniz i\u00e7in:<\/p>\n<div style=\"background: #f8faf9; border: 1px solid #e1e8e5; border-radius: 12px; padding: 18px 22px; margin: 20px 0;\"><strong style=\"color: #1a3a32; display: block; margin-bottom: 6px;\">Fiyat\u0131 etkileyen ba\u015fl\u0131ca fakt\u00f6rler<\/strong><span style=\"font-size: 15px; color: #2d3a35; line-height: 1.7;\">V\u00fccut kitle indeksi ve e\u015flik eden hastal\u0131klar, gerekli tetkiklerin kapsam\u0131, ameliyat s\u0131ras\u0131nda ek bir i\u015flem yap\u0131l\u0131p yap\u0131lmamas\u0131 (hiatal herni onar\u0131m\u0131 gibi), hastanede kal\u0131\u015f s\u00fcresi, kullan\u0131lan cerrahi sarf malzemeleri, konaklama ve transfer d\u00fczeni ile takip program\u0131n\u0131n kapsam\u0131.<\/span><\/div>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(240px,1fr)); gap: 16px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 20px 22px; background: #fff;\">\n<h4 style=\"margin: 0 0 12px; font-size: 17px; color: #1a3a32;\">Genelde D\u00e2hil Olanlar<\/h4>\n<ul style=\"margin: 0; padding-left: 20px; font-size: 15px;\">\n<li>Ameliyat \u00f6ncesi muayene, tetkikler ve anestezi de\u011ferlendirmesi<\/li>\n<li>Ameliyat, genel anestezi ve cerrahi sarf malzemeleri<\/li>\n<li>Hastanede 2\u20133 gecelik yat\u0131\u015f<\/li>\n<li>Taburculuk sonras\u0131 kontrol muayenesi<\/li>\n<li>Beslenme program\u0131 ve diyetisyen takibi<\/li>\n<li>Konaklama, havaliman\u0131 transferleri ve \u00e7ok dilli s\u00fcre\u00e7 koordinasyonu<\/li>\n<\/ul>\n<\/div>\n<div style=\"border: 1px solid #2E8B6F; border-radius: 12px; padding: 22px; background: linear-gradient(180deg,#fff,#f0f9f5); display: flex; flex-direction: column; justify-content: center; gap: 10px;\"><span style=\"font-size: 12px; text-transform: uppercase; font-weight: 800; color: #6b7775;\">Size \u00f6zel teklif<\/span><span style=\"font-size: 17px; font-weight: 800; color: #1f6b54;\">Boy, kilo ve sa\u011fl\u0131k bilgilerinizi payla\u015f\u0131n, ki\u015fiye \u00f6zel plan al\u0131n<\/span><a style=\"display: inline-block; background: #2E8B6F; color: #fff; text-decoration: none; font-weight: bold; padding: 12px 22px; border-radius: 999px; text-align: center;\" href=\"https:\/\/wa.me\/905448524526?text=Merhaba%2C%20tup%20mide%20icin%20kisiye%20ozel%20degerlendirme%20istiyorum.\" rel=\"nofollow noopener\" target=\"_blank\">Ki\u015fiye \u00d6zel De\u011ferlendirme Al<\/a><\/div>\n<\/div>\n<p style=\"font-size: 14px; color: #6b7775;\">Obezite cerrahisinde as\u0131l belirleyici olan, ameliyat\u0131n kendisi kadar <strong>uzun vadeli takibin kapsam\u0131d\u0131r<\/strong>. Kar\u015f\u0131la\u015ft\u0131rma yaparken takip program\u0131n\u0131n teklife d\u00e2hil olup olmad\u0131\u011f\u0131n\u0131 mutlaka sorun.<\/p>\n<h2 id=\"sozluk\" style=\"scroll-margin-top: 90px;\">S\u00f6zl\u00fck<\/h2>\n<div style=\"display: grid; grid-template-columns: repeat(auto-fit,minmax(240px,1fr)); gap: 12px; margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Sleeve gastrektomi<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">T\u00fcp mide ameliyat\u0131n\u0131n t\u0131bbi ad\u0131; midenin yakla\u015f\u0131k %80\u2019inin \u00e7\u0131kar\u0131lmas\u0131.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Fundus<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Midenin \u00fcst b\u00f6l\u00fcm\u00fc; ghrelin hormonunun esas olarak \u00fcretildi\u011fi ve t\u00fcp midede \u00e7\u0131kar\u0131lan k\u0131s\u0131m.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Ghrelin<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">A\u00e7l\u0131k hormonu olarak bilinen, i\u015ftah\u0131 art\u0131ran hormon.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Staple hatt\u0131<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Midenin lineer stapler ile kesilip kapat\u0131ld\u0131\u011f\u0131 z\u0131mba hatt\u0131.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Ka\u00e7ak (leak)<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Staple hatt\u0131ndan s\u0131z\u0131nt\u0131 olmas\u0131; t\u00fcp midenin en ciddi erken komplikasyonu.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Ka\u00e7ak testi<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Ameliyat s\u0131ras\u0131nda staple hatt\u0131n\u0131n s\u0131zd\u0131rmazl\u0131\u011f\u0131n\u0131n kontrol edilmesi.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Laparoskopi<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">K\u00fc\u00e7\u00fck kesilerden kamera ve ince aletlerle yap\u0131lan kapal\u0131 cerrahi y\u00f6ntem.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">BMI (VK\u0130)<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">V\u00fccut kitle indeksi; kilonun boyun karesine b\u00f6l\u00fcnmesiyle hesaplan\u0131r.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Fazla kilo<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Mevcut kilo ile ideal kilo aras\u0131ndaki fark; kilo kayb\u0131 oranlar\u0131 bu fark \u00fczerinden hesaplan\u0131r.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Plato<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Kilo kayb\u0131n\u0131n belirgin \u015fekilde yava\u015flad\u0131\u011f\u0131 veya durdu\u011fu d\u00f6nem; s\u00fcrecin beklenen par\u00e7as\u0131d\u0131r.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">GERD (refl\u00fc)<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Mide i\u00e7eri\u011finin yemek borusuna ka\u00e7mas\u0131yla ortaya \u00e7\u0131kan \u015fik\u00e2yetler b\u00fct\u00fcn\u00fc.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Hiatal herni<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Midenin bir b\u00f6l\u00fcm\u00fcn\u00fcn diyafram a\u00e7\u0131kl\u0131\u011f\u0131ndan yukar\u0131 kaymas\u0131; mide f\u0131t\u0131\u011f\u0131.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">PPI<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Proton pompa inhibit\u00f6r\u00fc; mide asidini azaltan ila\u00e7 grubu.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Barrett \u00f6zofagus<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Uzun s\u00fcreli refl\u00fcye ba\u011fl\u0131 olarak yemek borusu i\u00e7 y\u00fczeyinde geli\u015fen de\u011fi\u015fiklik.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Revizyon<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Yap\u0131lm\u0131\u015f bir obezite ameliyat\u0131n\u0131n ba\u015fka bir y\u00f6nteme d\u00f6n\u00fc\u015ft\u00fcr\u00fclmesi (\u00f6rne\u011fin bypass\u2019a).<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Bariatrik multivitamin<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Obezite cerrahisi sonras\u0131 ihtiya\u00e7lara g\u00f6re form\u00fcle edilmi\u015f kombine vitamin-mineral takviyesi.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">Strikt\u00fcr<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">T\u00fcp midede olu\u015fabilen darl\u0131k; bulant\u0131 ve kusma yapabilir.<\/span><\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff;\"><strong style=\"display: block; color: #1f6b54; font-size: 15px; margin-bottom: 4px;\">VTE<\/strong><span style=\"font-size: 14px; line-height: 1.6; color: #2d3a35;\">Ven\u00f6z tromboemboli; p\u0131ht\u0131 ve emboli riskini tan\u0131mlayan terim.<\/span><\/div>\n<\/div>\n<h2 id=\"mitler\" style=\"scroll-margin-top: 90px;\">Mitler ve Ger\u00e7ekler<\/h2>\n<p>Bu i\u015flem hakk\u0131nda en s\u0131k kar\u015f\u0131la\u015f\u0131lan yanl\u0131\u015f inan\u0131\u015flar\u0131, do\u011frular\u0131yla birlikte netle\u015ftirelim:<\/p>\n<div style=\"margin: 24px 0;\">\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff; margin-bottom: 12px;\">\n<p style=\"margin: 0 0 6px; color: #b4531f; font-weight: bold; font-size: 15px;\">\u2717 Mit: T\u00fcp mide, kilo vermenin kolay yoludur; ameliyattan sonra hi\u00e7bir \u015fey yapmaya gerek kalmaz.<\/p>\n<p style=\"margin: 0; color: #1f6b54; font-weight: 600; font-size: 15px; line-height: 1.55;\">\u2713 Ger\u00e7ek: T\u00fcp mide bir ara\u00e7t\u0131r, \u00e7\u00f6z\u00fcm\u00fcn tamam\u0131 de\u011fildir. Beslenme d\u00fczeni, vitamin takviyesi, fiziksel aktivite ve d\u00fczenli kontroller \u00f6m\u00fcr boyu s\u00fcrer. Bu kurallara uyum, sonucu belirleyen as\u0131l unsurdur.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff; margin-bottom: 12px;\">\n<p style=\"margin: 0 0 6px; color: #b4531f; font-weight: bold; font-size: 15px;\">\u2717 Mit: Ameliyattan sonra hi\u00e7bir zaman kilo al\u0131nmaz.<\/p>\n<p style=\"margin: 0; color: #1f6b54; font-weight: 600; font-size: 15px; line-height: 1.55;\">\u2713 Ger\u00e7ek: Yakla\u015f\u0131k 5. y\u0131ldan itibaren de\u011fi\u015fen derecelerde kilo geri al\u0131m\u0131 g\u00f6r\u00fclebilir. Nedenleri aras\u0131nda mide hacminin geni\u015flemesi, y\u00fcksek kalorili s\u0131v\u0131lar, s\u00fcrekli at\u0131\u015ft\u0131rma ve metabolik adaptasyon yer al\u0131r.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff; margin-bottom: 12px;\">\n<p style=\"margin: 0 0 6px; color: #b4531f; font-weight: bold; font-size: 15px;\">\u2717 Mit: T\u00fcp mide istenirse geri al\u0131nabilir.<\/p>\n<p style=\"margin: 0; color: #1f6b54; font-weight: 600; font-size: 15px; line-height: 1.55;\">\u2713 Ger\u00e7ek: Mide dokusunun bir k\u0131sm\u0131 kal\u0131c\u0131 olarak \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in i\u015flem geri d\u00f6nd\u00fcr\u00fclemez. Gerekti\u011finde yap\u0131labilecek \u015fey, gastrik bypass\u2019a revizyondur.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff; margin-bottom: 12px;\">\n<p style=\"margin: 0 0 6px; color: #b4531f; font-weight: bold; font-size: 15px;\">\u2717 Mit: T\u00fcp mide refl\u00fcy\u00fc ge\u00e7irir.<\/p>\n<p style=\"margin: 0; color: #1f6b54; font-weight: 600; font-size: 15px; line-height: 1.55;\">\u2713 Ger\u00e7ek: Tam tersine, t\u00fcp mide sonras\u0131 refl\u00fc ortaya \u00e7\u0131kabilir veya mevcut refl\u00fc k\u00f6t\u00fcle\u015febilir. \u0130leri refl\u00fcs\u00fc olanlarda t\u00fcp mide yerine gastrik bypass \u00f6nerilir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff; margin-bottom: 12px;\">\n<p style=\"margin: 0 0 6px; color: #b4531f; font-weight: bold; font-size: 15px;\">\u2717 Mit: Vitamin takviyesi ilk birka\u00e7 ay yeterlidir.<\/p>\n<p style=\"margin: 0; color: #1f6b54; font-weight: 600; font-size: 15px; line-height: 1.55;\">\u2713 Ger\u00e7ek: Takviye \u00f6m\u00fcr boyu s\u00fcrd\u00fcr\u00fcl\u00fcr. Eksiklikler genellikle uzun s\u00fcre belirti vermeden ilerledi\u011fi i\u00e7in kendini iyi hissetmek takviyeyi b\u0131rakmak i\u00e7in bir gerek\u00e7e de\u011fildir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff; margin-bottom: 12px;\">\n<p style=\"margin: 0 0 6px; color: #b4531f; font-weight: bold; font-size: 15px;\">\u2717 Mit: Ba\u011f\u0131rsaklar da kesildi\u011fi i\u00e7in besinler emilmez.<\/p>\n<p style=\"margin: 0; color: #1f6b54; font-weight: 600; font-size: 15px; line-height: 1.55;\">\u2713 Ger\u00e7ek: T\u00fcp midede ba\u011f\u0131rsaklara dokunulmaz. Besinler normal sindirim yolunu izler; etki mide hacminin k\u00fc\u00e7\u00fclmesi ve hormonal de\u011fi\u015fimden gelir.<\/p>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 16px 18px; background: #fff; margin-bottom: 12px;\">\n<p style=\"margin: 0 0 6px; color: #b4531f; font-weight: bold; font-size: 15px;\">\u2717 Mit: T\u00fcp mideden sonra hamile kal\u0131namaz.<\/p>\n<p style=\"margin: 0; color: #1f6b54; font-weight: 600; font-size: 15px; line-height: 1.55;\">\u2713 Ger\u00e7ek: Kal\u0131nabilir. Ancak h\u0131zl\u0131 kilo kayb\u0131 ve besin eksikli\u011fi riski nedeniyle gebelik i\u00e7in genellikle 12\u201318 ay beklenmesi \u00f6nerilir.<\/p>\n<\/div>\n<\/div>\n<h2 id=\"sss\" style=\"scroll-margin-top: 90px;\">S\u0131k Sorulan Sorular<\/h2>\n<div style=\"margin: 28px 0;\">\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">T\u00fcp mide i\u00e7in BMI ka\u00e7 olmal\u0131?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Genel kural olarak v\u00fccut kitle indeksi (BMI) 40 ve \u00fczerinde olan ki\u015filerde ek bir hastal\u0131k aranmaks\u0131z\u0131n obezite cerrahisi de\u011ferlendirilir. BMI 35 ve \u00fczerinde ise tip 2 diyabet, hipertansiyon, uyku apnesi veya eklem hastal\u0131\u011f\u0131 gibi e\u015flik eden bir durum varsa cerrahi g\u00fcndeme gelir. Se\u00e7ilmi\u015f vakalarda, ciddi bir sa\u011fl\u0131k sorunu e\u015flik ediyorsa BMI 30\u201335 aral\u0131\u011f\u0131 da ayr\u0131ca de\u011ferlendirilebilir. Kesin karar muayene, tetkikler ve \u00e7ok disiplinli de\u011ferlendirme ile verilir.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">T\u00fcp mide ka\u00e7 kilo verdirir ve ne kadar s\u00fcrede?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Ortalama olarak fazla kilonun %60\u201370\u2019i 12\u201318 ay i\u00e7inde verilir. Ay baz\u0131nda s\u0131k g\u00f6zlenen seyir \u015f\u00f6yledir: 1. ayda ortalama 10\u201315 kg, 3. ayda toplam ortalama 25\u201335 kg, 6. ayda toplam ortalama 30\u201340 kg (fazla kilonun yakla\u015f\u0131k %50\u2019si), 12. ayda ortalama %70, 18. ayda ise %60\u201370 d\u00fczeyinde bir plato. T\u00fcm bu de\u011ferler ortalamad\u0131r ve ki\u015fiye g\u00f6re de\u011fi\u015fir; sonu\u00e7 beslenme ve aktivite kurallar\u0131na uyuma ba\u011fl\u0131d\u0131r.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">Ameliyat ka\u00e7 saat s\u00fcrer, hastanede ka\u00e7 g\u00fcn kal\u0131n\u0131r?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Ameliyat laparoskopik olarak, 3\u20135 (tipik olarak 4) k\u00fc\u00e7\u00fck kesiden ve genel anestezi alt\u0131nda yap\u0131l\u0131r; yakla\u015f\u0131k 1 saat (60\u201375 dakika) s\u00fcrer. Hastanede 2\u20133 gece kal\u0131n\u0131r.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">T\u00fcp mide geri d\u00f6nd\u00fcr\u00fclebilir mi?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Hay\u0131r. Midenin yakla\u015f\u0131k %80\u2019i kal\u0131c\u0131 olarak \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in i\u015flem geri d\u00f6nd\u00fcr\u00fclemez. Ancak ileride ihtiya\u00e7 do\u011farsa \u2014 \u00f6rne\u011fin diren\u00e7li refl\u00fc veya yetersiz kilo kayb\u0131 durumunda \u2014 gastrik bypass\u2019a revizyon yap\u0131lmas\u0131 m\u00fcmk\u00fcnd\u00fcr.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">T\u00fcp mide riskli bir ameliyat m\u0131?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Her cerrahi i\u015flem gibi riskleri vard\u0131r. Ba\u015fl\u0131calar\u0131 staple hatt\u0131 ka\u00e7a\u011f\u0131, kanama, p\u0131ht\u0131 ve emboli, enfeksiyon, darl\u0131k, refl\u00fc ve uzun vadede besin eksiklikleridir. Riskler; eksiksiz ameliyat \u00f6ncesi de\u011ferlendirme, uygun tesis ve ekip se\u00e7imi, ameliyat i\u00e7inde ka\u00e7ak testi, erken hareketlenme ve p\u0131ht\u0131 \u00f6nleyici \u00f6nlemlerle azalt\u0131l\u0131r. Uyar\u0131 bulgular\u0131n\u0131 bilmek ve gecikmeden bildirmek de en az bunlar kadar \u00f6nemlidir.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">Ka\u00e7ak (leak) nedir, belirtileri neler ve ne zaman g\u00f6r\u00fcl\u00fcr?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Ka\u00e7ak, midenin kesilip kapat\u0131ld\u0131\u011f\u0131 staple hatt\u0131ndan s\u0131z\u0131nt\u0131 olmas\u0131d\u0131r ve t\u00fcp midenin en ciddi erken komplikasyonudur. Belirtileri genellikle ilk 48 saatte ortaya \u00e7\u0131kar: ate\u015f, dinlenirken bile devam eden kalp h\u0131z\u0131 art\u0131\u015f\u0131, giderek artan kar\u0131n a\u011fr\u0131s\u0131 ve nefes darl\u0131\u011f\u0131 ba\u015fl\u0131ca uyar\u0131 bulgular\u0131d\u0131r. Bu bulgulardan biri g\u00f6r\u00fcl\u00fcrse beklemeden acil de\u011ferlendirme istenmelidir. Riski azaltmak i\u00e7in ameliyat s\u0131ras\u0131nda ka\u00e7ak testi yap\u0131l\u0131r.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">T\u00fcp mideden sonra refl\u00fc olur mu, ge\u00e7er mi?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">T\u00fcp mide sonras\u0131 refl\u00fc ortaya \u00e7\u0131kabilir veya mevcut refl\u00fc k\u00f6t\u00fcle\u015febilir. Nedenleri aras\u0131nda hiatal herni, mide ile yemek borusu aras\u0131ndaki a\u00e7\u0131n\u0131n de\u011fi\u015fmesi ve t\u00fcp i\u00e7i bas\u0131n\u00e7 art\u0131\u015f\u0131 yer al\u0131r. Y\u00f6netimde PPI grubu ila\u00e7lar ve beslenme d\u00fczeni kullan\u0131l\u0131r; ameliyat s\u0131ras\u0131nda hiatal herni saptan\u0131rsa ayn\u0131 seansta onar\u0131lmas\u0131 kritiktir. Diren\u00e7li vakalarda gastrik bypass\u2019a revizyon de\u011ferlendirilir. \u0130leri refl\u00fcs\u00fc olanlarda ise ba\u015ftan t\u00fcp mide yerine bypass \u00f6nerilir.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">T\u00fcp mide mi bypass m\u0131 bana uygun?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Bu karar BMI\u2019nize, e\u015flik eden hastal\u0131klar\u0131n\u0131za ve \u00f6zellikle refl\u00fc \u00f6yk\u00fcn\u00fcze g\u00f6re verilir. T\u00fcp midede ba\u011f\u0131rsaklara dokunulmaz ve teknik olarak daha az karma\u015f\u0131kt\u0131r. Gastrik bypass ise ba\u011f\u0131rsak g\u00fczerg\u00e2h\u0131n\u0131 da de\u011fi\u015ftirir; ileri refl\u00fc, Barrett \u00f6zofagus veya kontrols\u00fcz tip 2 diyabet varl\u0131\u011f\u0131nda \u00f6ne \u00e7\u0131kar. Do\u011fru se\u00e7im endoskopi d\u00e2hil tetkikler ve \u00e7ok disiplinli de\u011ferlendirme sonras\u0131nda yap\u0131l\u0131r.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">Ameliyattan sonra ne yenir? (Haftal\u0131k takvim)<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Beslenme kademeli ilerler. Ameliyat \u00f6ncesinde genellikle 2 hafta karaci\u011fer k\u00fc\u00e7\u00fcltme diyeti uygulan\u0131r. Ameliyattan sonra 1\u20132. hafta s\u0131v\u0131 d\u00f6nemidir (pipet kullan\u0131lmaz), 3\u20134. hafta p\u00fcre k\u0131vam\u0131, 5\u20136. hafta yumu\u015fak kat\u0131 ve 7. haftadan itibaren kat\u0131, dengeli beslenmeye ge\u00e7ilir. G\u00fcnde yakla\u015f\u0131k 2 litre su k\u00fc\u00e7\u00fck yudumlarla al\u0131n\u0131r, her \u00f6\u011f\u00fcne protein ile ba\u015flan\u0131r ve yemek s\u0131ras\u0131nda s\u0131v\u0131 i\u00e7ilmez.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">\u00d6m\u00fcr boyu vitamin kullanmak \u015fart m\u0131?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Evet. T\u00fcp mide sonras\u0131 B12, demir, kalsiyum ve D vitamini ile bariatrik multivitamin takviyesi \u00f6m\u00fcr boyu s\u00fcrd\u00fcr\u00fcl\u00fcr. Eksiklikler genellikle uzun s\u00fcre belirti vermeden ilerledi\u011fi i\u00e7in kendini iyi hissetmek takviyeyi b\u0131rakma gerek\u00e7esi olmaz. Kan de\u011ferleri 1. y\u0131l 3 ayda bir, 2. y\u0131l 6 ayda bir, sonras\u0131nda y\u0131lda bir kez kontrol edilir; B12, ferritin, D vitamini, folat ve kalsiyum ba\u015fl\u0131ca bak\u0131lan de\u011ferlerdir.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">T\u00fcp mideden sonra sa\u00e7 d\u00f6k\u00fclmesi olur mu?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Genellikle 3\u20136. aylarda ge\u00e7ici sa\u00e7 d\u00f6k\u00fclmesi g\u00f6r\u00fclebilir. Bunun ba\u015fl\u0131ca nedenleri h\u0131zl\u0131 kilo kayb\u0131, yetersiz protein al\u0131m\u0131 ve demir ile \u00e7inko eksikli\u011fidir. Her \u00f6\u011f\u00fcne protein ile ba\u015flamak, takviyeleri aksatmamak ve kan de\u011ferlerini d\u00fczenli kontrol ettirmek bu d\u00f6nemi hafifletir. D\u00f6k\u00fclme \u00e7o\u011funlukla kilo kayb\u0131 yava\u015flad\u0131k\u00e7a geriler.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">Ne zaman i\u015fe ve ne zaman spora d\u00f6nebilirim?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Ameliyata ba\u011fl\u0131 a\u011fr\u0131 genellikle 5\u201310 g\u00fcn s\u00fcrer. Masa ba\u015f\u0131 i\u015flere d\u00f6n\u00fc\u015f \u00e7o\u011funlukla 1\u20132 hafta i\u00e7inde m\u00fcmk\u00fcn olur; fiziksel g\u00fc\u00e7 gerektiren i\u015flerde bu s\u00fcre uzar. Y\u00fcr\u00fcy\u00fc\u015fe ameliyattan hemen sonra kademeli olarak ba\u015flan\u0131r, ancak a\u011f\u0131r egzersiz ve kar\u0131n kaslar\u0131n\u0131 zorlayan sporlar ilk 2 ay yap\u0131lmaz. Kesin s\u00fcreleri hekiminiz belirler.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">T\u00fcp mideden sonra kilo geri al\u0131n\u0131r m\u0131?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">Yakla\u015f\u0131k 5. y\u0131ldan itibaren de\u011fi\u015fen derecelerde kilo geri al\u0131m\u0131 g\u00f6r\u00fclebilir. Ba\u015fl\u0131ca nedenleri t\u00fcp midenin bir miktar geni\u015flemesi, y\u00fcksek kalorili s\u0131v\u0131 ve at\u0131\u015ft\u0131rmal\u0131k t\u00fcketimi, fiziksel aktivitenin azalmas\u0131 ve metabolik adaptasyondur. Porsiyonlar\u0131n b\u00fcy\u00fcmesi, s\u00fcrekli at\u0131\u015ft\u0131rma ihtiyac\u0131, \u015fekerli i\u00e7eceklerin geri d\u00f6nmesi ve tart\u0131dan ka\u00e7\u0131nmak erken uyar\u0131 sinyalleridir. Erken fark edilip destek al\u0131nd\u0131\u011f\u0131nda y\u00f6netimi \u00e7ok daha kolayd\u0131r.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">Kilo verdikten sonra deri sarkmas\u0131 olur mu, ne yap\u0131l\u0131r?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">H\u0131zl\u0131 ve belirgin kilo kayb\u0131ndan sonra kar\u0131n, kol, g\u00f6\u011f\u00fcs ve uyluk b\u00f6lgelerinde deri sarkmas\u0131 g\u00f6r\u00fclebilir. Derecesi; kaybedilen kilo miktar\u0131na, ya\u015fa, cilt elastikiyetine ve genetik yap\u0131ya g\u00f6re de\u011fi\u015fir. D\u00fczeltici cerrahiler kilo sabitlendikten sonra, genellikle ameliyattan 12\u201318 ay sonra ve kilo en az 3\u20136 ayd\u0131r sabitse g\u00fcndeme gelir. Birden fazla b\u00f6lge s\u00f6z konusuysa i\u015flemler a\u015famal\u0131 planlan\u0131r.<\/div>\n<\/details>\n<details style=\"background: #f0f9f5; border: 1px solid #e1e8e5; border-radius: 12px; margin-bottom: 10px; overflow: hidden;\">\n<summary style=\"cursor: pointer; padding: 16px 20px; font-weight: bold; color: #1a3a32; font-size: 16px;\">T\u00fcp mideden sonra ne zaman hamile kal\u0131nabilir?<\/summary>\n<div style=\"padding: 0 20px 18px; font-size: 15px; line-height: 1.65; color: #2d3a35;\">H\u0131zl\u0131 kilo kayb\u0131 ve besin eksikli\u011fi riski nedeniyle gebelik i\u00e7in genellikle 12\u201318 ay beklenmesi \u00f6nerilir. Bu s\u00fcre sonunda kilo sabitlenmi\u015f ve vitamin d\u00fczeyleri d\u00fczenlenmi\u015f olur. Gebelik plan\u0131n\u0131z varsa bunu ameliyat \u00f6ncesinde mutlaka payla\u015f\u0131n; zamanlama buna g\u00f6re planlan\u0131r.<\/div>\n<\/details>\n<\/div>\n<div style=\"border: 1px solid #e1e8e5; border-radius: 12px; padding: 20px 22px; margin: 28px 0; background: #f8faf9;\">\n<p><strong style=\"display: block; color: #1a3a32; margin-bottom: 8px;\">\u0130\u00e7erik Sorumlulu\u011fu ve Kaynaklar<\/strong><\/p>\n<p style=\"margin: 0 0 8px; font-size: 15px; line-height: 1.6;\"><strong>Clinic Mono<\/strong> \u2014 Genel Cerrahi alan\u0131nda Clinic Mono\u2019nun anla\u015fmal\u0131 oldu\u011fu uzman hekimler. T\u00fcm t\u0131bbi i\u015flemler, Clinic Mono\u2019nun anla\u015fmal\u0131 oldu\u011fu T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 onayl\u0131 sa\u011fl\u0131k tesislerinde ger\u00e7ekle\u015ftirilir. Bu sayfa bilgilendirme ama\u00e7l\u0131d\u0131r, t\u0131bbi tavsiye yerine ge\u00e7mez.<\/p>\n<p><span style=\"font-size: 14px; color: #6b7775;\">Kaynaklar: <a href=\"https:\/\/www.ifso.com\/\" target=\"_blank\" rel=\"noopener nofollow\">IFSO<\/a> \u00b7 <a href=\"https:\/\/asmbs.org\/\" target=\"_blank\" rel=\"noopener nofollow\">ASMBS<\/a><\/span><\/p>\n<\/div>\n<div style=\"background: linear-gradient(135deg,#2E8B6F 0%,#1f6b54 100%); border-radius: 16px; padding: 36px 28px; margin: 40px 0 32px; color: #ffffff; text-align: center;\">\n<h3 style=\"color: #ffffff; font-size: 26px; margin: 0 0 10px;\">T\u00fcp Mide \u00d6n De\u011ferlendirmesi Al\u0131n<\/h3>\n<p style=\"color: rgba(255,255,255,0.92); font-size: 16px; margin: 0 auto 22px; max-width: 560px;\">WhatsApp \u00fczerinden boy, kilo ve sa\u011fl\u0131k bilgilerinizi payla\u015f\u0131n; Clinic Mono koordinasyon ekibi bu bilgileri anla\u015fmal\u0131 sa\u011fl\u0131k kurulu\u015funa iletsin, uygunluk ve y\u00f6ntem de\u011ferlendirmesini anla\u015fmal\u0131 hekim yaps\u0131n.<\/p>\n<div style=\"display: flex; flex-wrap: wrap; justify-content: center; gap: 12px;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; padding: 13px 26px; border-radius: 999px; font-size: 15px; font-weight: bold; text-decoration: none; background: #25D366; color: #ffffff;\" href=\"https:\/\/wa.me\/905448524526\" rel=\"nofollow noopener\" target=\"_blank\">\ud83d\udcac WhatsApp ile Yaz<\/a><a style=\"display: inline-flex; align-items: center; gap: 8px; padding: 13px 26px; border-radius: 999px; font-size: 15px; font-weight: bold; text-decoration: none; background: transparent; color: #ffffff; border: 2px solid rgba(255,255,255,0.6);\" href=\"https:\/\/wa.me\/447418347960\" rel=\"nofollow noopener\" target=\"_blank\">\ud83d\udcf1 WhatsApp (UK)<\/a><\/div>\n<\/div>\n<div class=\"wpforms-container wpforms-render-modern\" id=\"wpforms-42168\"><form id=\"wpforms-form-42168\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"42168\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/tr\/wp-json\/wp\/v2\/pages\/40208\" data-token=\"b076fa8592ecde1a536992b37bec6039\" data-token-time=\"1788960576\"><noscript class=\"wpforms-error-noscript\">Bu formu bitirebilmek i\u00e7in taray\u0131c\u0131n\u0131zda JavaScript&#039;i etkinle\u015ftirin.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Bu formu bitirebilmek i\u00e7in taray\u0131c\u0131n\u0131zda JavaScript&#039;i etkinle\u015ftirin.<\/div><div class=\"wpforms-field-container\">\t\t<div id=\"wpforms-42168-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-42168-field_1\" >Lastname Name and<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-42168-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-42168-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"15\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-42168-field_15\" aria-hidden=\"false\">Name and Lastname <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-42168-field_15\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][15]\" placeholder=\"Name and Lastname\" aria-errormessage=\"wpforms-42168-field_15-error\" required><\/div><div id=\"wpforms-42168-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"5\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-42168-field_5\" aria-hidden=\"false\">Telefon <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-42168-field_5\" class=\"wpforms-field-large wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][5]\" aria-label=\"Telefon\" aria-errormessage=\"wpforms-42168-field_5-error\" required><\/div><div id=\"wpforms-42168-field_17-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"17\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-42168-field_17\" aria-hidden=\"false\">Surgery<\/label><select id=\"wpforms-42168-field_17\" class=\"wpforms-field-large\" name=\"wpforms[fields][17]\"><option value=\"Plastic and Aesthetic Surgery\"  class=\"choice-1 depth-1\"  >Plastic and Aesthetic Surgery<\/option><option value=\"Obesity Surgery\"  class=\"choice-2 depth-1\"  >Obesity Surgery<\/option><option value=\"Dentistry\"  class=\"choice-3 depth-1\"  >Dentistry<\/option><option value=\"Hair Transplant\"  class=\"choice-4 depth-1\"  >Hair Transplant<\/option><option value=\"Orthopedics\"  class=\"choice-5 depth-1\"  >Orthopedics<\/option><option value=\"Cancer\"  class=\"choice-6 depth-1\"  >Cancer<\/option><\/select><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-42168-field_1-container { position: absolute !important; 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Midenin b\u00fcy\u00fck kavis boyunca uzanan ba\u011flant\u0131lar\u0131 serbestle\u015ftirilir, yemek borusundan kalibrasyon sondas\u0131 yerle\u015ftirilir ve mide lineer stapler ile kesilip kapat\u0131l\u0131r. Midenin yakla\u015f\u0131k %80'i, ghrelin hormonunun esas olarak \u00fcretildi\u011fi fundus dahil olmak \u00fczere \u00e7\u0131kar\u0131l\u0131r; geriye muz (t\u00fcp) \u015feklinde dar bir mide kal\u0131r. Ba\u011f\u0131rsaklara dokunulmaz. 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Beslenme kademeli ilerler: 1-2. hafta s\u0131v\u0131 (pipet kullan\u0131lmaz), 3-4. hafta p\u00fcre, 5-6. hafta yumu\u015fak, 7. haftadan itibaren kat\u0131 ve dengeli beslenme; g\u00fcnl\u00fck yakla\u015f\u0131k 2 litre su ve her \u00f6\u011f\u00fcnde protein \u00f6nceli\u011fi. Masa ba\u015f\u0131 i\u015fe d\u00f6n\u00fc\u015f 1-2 hafta; a\u011f\u0131r egzersiz ilk 2 ay yap\u0131lmaz. \u00d6m\u00fcr boyu B12, demir, kalsiyum, D vitamini ve bariatrik multivitamin takviyesi. Kan takibi 1. y\u0131l 3 ayda bir, 2. y\u0131l 6 ayda bir, sonras\u0131nda y\u0131ll\u0131k (B12, ferritin, D vitamini, folat, kalsiyum). \u0130lk 12 ay diyetisyen takibi. Gebelik i\u00e7in 12-18 ay beklenmesi \u00f6nerilir.\", \"expectedPrognosis\": \"Fazla kilonun ortalama %60-70'i 12-18 ay i\u00e7inde verilir; 6. aydan sonra ayl\u0131k kay\u0131p 2-4 kg d\u00fczeyine iner ve plato d\u00f6nemi g\u00f6r\u00fclmesi normaldir. 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Yakla\u015f\u0131k 5. y\u0131ldan itibaren de\u011fi\u015fen derecelerde kilo geri al\u0131m\u0131 g\u00f6r\u00fclebilir. \u0130\u015flem geri d\u00f6nd\u00fcr\u00fclemez; gerekti\u011finde gastrik bypass'a revizyon yap\u0131labilir.\", \"indication\": {\"@type\": \"MedicalIndication\", \"name\": \"V\u00fccut kitle indeksi 40 ve \u00fczeri obezite; ya da v\u00fccut kitle indeksi 35 ve \u00fczeri olup tip 2 diyabet, hipertansiyon, uyku apnesi veya eklem hastal\u0131\u011f\u0131 gibi e\u015flik eden hastal\u0131\u011f\u0131 bulunan ki\u015filer; se\u00e7ilmi\u015f vakalarda v\u00fccut kitle indeksi 30-35 aras\u0131 ve ciddi sa\u011fl\u0131k sorunu bulunanlar.\"}, \"contraindication\": {\"@type\": \"MedicalContraindication\", \"name\": \"\u0130leri derecede refl\u00fc veya Barrett \u00f6zofagus, aktif kalp hastal\u0131\u011f\u0131, ileri akci\u011fer yetmezli\u011fi, aktif kanser, hormonal nedenli obezite, alkol veya madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131, psikiyatrik de\u011ferlendirmeden onay al\u0131namayan hasta, 12-18 ay i\u00e7inde gebelik plan\u0131, beslenme kurallar\u0131na uyum sa\u011flayamama.\"}, \"possibleComplication\": \"Staple hatt\u0131 ka\u00e7a\u011f\u0131 (leak) - en ciddi erken risk, belirtileri genellikle ilk 48 saatte g\u00f6r\u00fcl\u00fcr (ate\u015f, kalp h\u0131z\u0131nda art\u0131\u015f, kar\u0131n a\u011fr\u0131s\u0131, nefes darl\u0131\u011f\u0131); kanama; p\u0131ht\u0131 ve emboli; enfeksiyon; darl\u0131k (strikt\u00fcr); refl\u00fc (GERD); besin ve vitamin eksiklikleri; safra ta\u015f\u0131; ge\u00e7ici sa\u00e7 d\u00f6k\u00fclmesi; bulant\u0131 ve kusma; mide geni\u015flemesine ba\u011fl\u0131 kilo geri al\u0131m\u0131.\"}, {\"@type\": \"LocalBusiness\", \"@id\": \"https:\/\/clinicmono.com\/#clinic\", \"name\": \"Clinic Mono\", \"url\": \"https:\/\/clinicmono.com\/\", \"priceRange\": \"$$$\", \"telephone\": \"+90-544-852-45-26\", \"address\": {\"@type\": \"PostalAddress\", \"addressLocality\": \"\u0130zmir\", \"addressCountry\": \"TR\"}, \"areaServed\": \"TR\", \"openingHoursSpecification\": [{\"@type\": \"OpeningHoursSpecification\", \"dayOfWeek\": [\"Monday\", \"Tuesday\", \"Wednesday\", \"Thursday\", \"Friday\", \"Saturday\"], \"opens\": \"09:00\", \"closes\": \"18:00\"}], \"description\": \"Clinic Mono, \u0130zmir merkezli bir sa\u011fl\u0131k turizmi arac\u0131 kurulu\u015fudur. Sa\u011fl\u0131k kurulu\u015fu de\u011fildir ve t\u0131bbi i\u015flem ger\u00e7ekle\u015ftirmez; muayene, tan\u0131, tedavi karar\u0131 ve t\u0131bbi uygulamalar T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan yetkilendirilmi\u015f anla\u015fmal\u0131 sa\u011fl\u0131k kurulu\u015flar\u0131 ve uzman hekimler taraf\u0131ndan y\u00fcr\u00fct\u00fcl\u00fcr. Clinic Mono arac\u0131l\u0131k ve s\u00fcre\u00e7 koordinasyonu hizmeti sunar.\"}, {\"@type\": \"FAQPage\", \"@id\": \"https:\/\/clinicmono.com\/tr\/obezite-cerrahisi\/tup-mide-ameliyati\/#faq\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"T\u00fcp mide i\u00e7in BMI ka\u00e7 olmal\u0131?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Genel kural olarak v\u00fccut kitle indeksi (BMI) 40 ve \u00fczerinde olan ki\u015filerde ek bir hastal\u0131k aranmaks\u0131z\u0131n obezite cerrahisi de\u011ferlendirilir. BMI 35 ve \u00fczerinde ise tip 2 diyabet, hipertansiyon, uyku apnesi veya eklem hastal\u0131\u011f\u0131 gibi e\u015flik eden bir durum varsa cerrahi g\u00fcndeme gelir. Se\u00e7ilmi\u015f vakalarda, ciddi bir sa\u011fl\u0131k sorunu e\u015flik ediyorsa BMI 30\u201335 aral\u0131\u011f\u0131 da ayr\u0131ca de\u011ferlendirilebilir. Kesin karar muayene, tetkikler ve \u00e7ok disiplinli de\u011ferlendirme ile verilir.\"}}, {\"@type\": \"Question\", \"name\": \"T\u00fcp mide ka\u00e7 kilo verdirir ve ne kadar s\u00fcrede?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Ortalama olarak fazla kilonun %60\u201370&#8217;i 12\u201318 ay i\u00e7inde verilir. Ay baz\u0131nda s\u0131k g\u00f6zlenen seyir \u015f\u00f6yledir: 1. ayda ortalama 10\u201315 kg, 3. ayda toplam ortalama 25\u201335 kg, 6. ayda toplam ortalama 30\u201340 kg (fazla kilonun yakla\u015f\u0131k %50&#8217;si), 12. ayda ortalama %70, 18. ayda ise %60\u201370 d\u00fczeyinde bir plato. T\u00fcm bu de\u011ferler ortalamad\u0131r ve ki\u015fiye g\u00f6re de\u011fi\u015fir; sonu\u00e7 beslenme ve aktivite kurallar\u0131na uyuma ba\u011fl\u0131d\u0131r.\"}}, {\"@type\": \"Question\", \"name\": \"Ameliyat ka\u00e7 saat s\u00fcrer, hastanede ka\u00e7 g\u00fcn kal\u0131n\u0131r?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Ameliyat laparoskopik olarak, 3\u20135 (tipik olarak 4) k\u00fc\u00e7\u00fck kesiden ve genel anestezi alt\u0131nda yap\u0131l\u0131r; yakla\u015f\u0131k 1 saat (60\u201375 dakika) s\u00fcrer. Hastanede 2\u20133 gece kal\u0131n\u0131r. Yurt d\u0131\u015f\u0131ndan gelen hastalar i\u00e7in T\u00fcrkiye&#8217;de toplam 6\u20137 g\u00fcnl\u00fck bir program planlan\u0131r.\"}}, {\"@type\": \"Question\", \"name\": \"T\u00fcp mide geri d\u00f6nd\u00fcr\u00fclebilir mi?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Hay\u0131r. Midenin yakla\u015f\u0131k %80&#8217;i kal\u0131c\u0131 olarak \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in i\u015flem geri d\u00f6nd\u00fcr\u00fclemez. Ancak ileride ihtiya\u00e7 do\u011farsa \u2014 \u00f6rne\u011fin diren\u00e7li refl\u00fc veya yetersiz kilo kayb\u0131 durumunda \u2014 gastrik bypass&#8217;a revizyon yap\u0131lmas\u0131 m\u00fcmk\u00fcnd\u00fcr.\"}}, {\"@type\": \"Question\", \"name\": \"T\u00fcp mide riskli bir ameliyat m\u0131?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Her cerrahi i\u015flem gibi riskleri vard\u0131r. Ba\u015fl\u0131calar\u0131 staple hatt\u0131 ka\u00e7a\u011f\u0131, kanama, p\u0131ht\u0131 ve emboli, enfeksiyon, darl\u0131k, refl\u00fc ve uzun vadede besin eksiklikleridir. Riskler; eksiksiz ameliyat \u00f6ncesi de\u011ferlendirme, uygun tesis ve ekip se\u00e7imi, ameliyat i\u00e7inde ka\u00e7ak testi, erken hareketlenme ve p\u0131ht\u0131 \u00f6nleyici \u00f6nlemlerle azalt\u0131l\u0131r. Uyar\u0131 bulgular\u0131n\u0131 bilmek ve gecikmeden bildirmek de en az bunlar kadar \u00f6nemlidir.\"}}, {\"@type\": \"Question\", \"name\": \"Ka\u00e7ak (leak) nedir, belirtileri neler ve ne zaman g\u00f6r\u00fcl\u00fcr?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Ka\u00e7ak, midenin kesilip kapat\u0131ld\u0131\u011f\u0131 staple hatt\u0131ndan s\u0131z\u0131nt\u0131 olmas\u0131d\u0131r ve t\u00fcp midenin en ciddi erken komplikasyonudur. Belirtileri genellikle ilk 48 saatte ortaya \u00e7\u0131kar: ate\u015f, dinlenirken bile devam eden kalp h\u0131z\u0131 art\u0131\u015f\u0131, giderek artan kar\u0131n a\u011fr\u0131s\u0131 ve nefes darl\u0131\u011f\u0131 ba\u015fl\u0131ca uyar\u0131 bulgular\u0131d\u0131r. Bu bulgulardan biri g\u00f6r\u00fcl\u00fcrse beklemeden acil de\u011ferlendirme istenmelidir. Riski azaltmak i\u00e7in ameliyat s\u0131ras\u0131nda ka\u00e7ak testi yap\u0131l\u0131r.\"}}, {\"@type\": \"Question\", \"name\": \"T\u00fcp mideden sonra refl\u00fc olur mu, ge\u00e7er mi?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"T\u00fcp mide sonras\u0131 refl\u00fc ortaya \u00e7\u0131kabilir veya mevcut refl\u00fc k\u00f6t\u00fcle\u015febilir. Nedenleri aras\u0131nda hiatal herni, mide ile yemek borusu aras\u0131ndaki a\u00e7\u0131n\u0131n de\u011fi\u015fmesi ve t\u00fcp i\u00e7i bas\u0131n\u00e7 art\u0131\u015f\u0131 yer al\u0131r. Y\u00f6netimde PPI grubu ila\u00e7lar ve beslenme d\u00fczeni kullan\u0131l\u0131r; ameliyat s\u0131ras\u0131nda hiatal herni saptan\u0131rsa ayn\u0131 seansta onar\u0131lmas\u0131 kritiktir. Diren\u00e7li vakalarda gastrik bypass&#8217;a revizyon de\u011ferlendirilir. \u0130leri refl\u00fcs\u00fc olanlarda ise ba\u015ftan t\u00fcp mide yerine bypass \u00f6nerilir.\"}}, {\"@type\": \"Question\", \"name\": \"T\u00fcp mide mi bypass m\u0131 bana uygun?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Bu karar BMI&#8217;nize, e\u015flik eden hastal\u0131klar\u0131n\u0131za ve \u00f6zellikle refl\u00fc \u00f6yk\u00fcn\u00fcze g\u00f6re verilir. T\u00fcp midede ba\u011f\u0131rsaklara dokunulmaz ve teknik olarak daha az karma\u015f\u0131kt\u0131r. Gastrik bypass ise ba\u011f\u0131rsak g\u00fczerg\u00e2h\u0131n\u0131 da de\u011fi\u015ftirir; ileri refl\u00fc, Barrett \u00f6zofagus veya kontrols\u00fcz tip 2 diyabet varl\u0131\u011f\u0131nda \u00f6ne \u00e7\u0131kar. Do\u011fru se\u00e7im endoskopi d\u00e2hil tetkikler ve \u00e7ok disiplinli de\u011ferlendirme sonras\u0131nda yap\u0131l\u0131r.\"}}, {\"@type\": \"Question\", \"name\": \"Ameliyattan sonra ne yenir? (Haftal\u0131k takvim)\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Beslenme kademeli ilerler. Ameliyat \u00f6ncesinde genellikle 2 hafta karaci\u011fer k\u00fc\u00e7\u00fcltme diyeti uygulan\u0131r. Ameliyattan sonra 1\u20132. hafta s\u0131v\u0131 d\u00f6nemidir (pipet kullan\u0131lmaz), 3\u20134. hafta p\u00fcre k\u0131vam\u0131, 5\u20136. hafta yumu\u015fak kat\u0131 ve 7. haftadan itibaren kat\u0131, dengeli beslenmeye ge\u00e7ilir. G\u00fcnde yakla\u015f\u0131k 2 litre su k\u00fc\u00e7\u00fck yudumlarla al\u0131n\u0131r, her \u00f6\u011f\u00fcne protein ile ba\u015flan\u0131r ve yemek s\u0131ras\u0131nda s\u0131v\u0131 i\u00e7ilmez.\"}}, {\"@type\": \"Question\", \"name\": \"\u00d6m\u00fcr boyu vitamin kullanmak \u015fart m\u0131?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Evet. T\u00fcp mide sonras\u0131 B12, demir, kalsiyum ve D vitamini ile bariatrik multivitamin takviyesi \u00f6m\u00fcr boyu s\u00fcrd\u00fcr\u00fcl\u00fcr. Eksiklikler genellikle uzun s\u00fcre belirti vermeden ilerledi\u011fi i\u00e7in kendini iyi hissetmek takviyeyi b\u0131rakma gerek\u00e7esi olmaz. Kan de\u011ferleri 1. y\u0131l 3 ayda bir, 2. y\u0131l 6 ayda bir, sonras\u0131nda y\u0131lda bir kez kontrol edilir; B12, ferritin, D vitamini, folat ve kalsiyum ba\u015fl\u0131ca bak\u0131lan de\u011ferlerdir.\"}}, {\"@type\": \"Question\", \"name\": \"T\u00fcp mideden sonra sa\u00e7 d\u00f6k\u00fclmesi olur mu?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Genellikle 3\u20136. aylarda ge\u00e7ici sa\u00e7 d\u00f6k\u00fclmesi g\u00f6r\u00fclebilir. Bunun ba\u015fl\u0131ca nedenleri h\u0131zl\u0131 kilo kayb\u0131, yetersiz protein al\u0131m\u0131 ve demir ile \u00e7inko eksikli\u011fidir. Her \u00f6\u011f\u00fcne protein ile ba\u015flamak, takviyeleri aksatmamak ve kan de\u011ferlerini d\u00fczenli kontrol ettirmek bu d\u00f6nemi hafifletir. D\u00f6k\u00fclme \u00e7o\u011funlukla kilo kayb\u0131 yava\u015flad\u0131k\u00e7a geriler.\"}}, {\"@type\": \"Question\", \"name\": \"Ne zaman i\u015fe ve ne zaman spora d\u00f6nebilirim?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Ameliyata ba\u011fl\u0131 a\u011fr\u0131 genellikle 5\u201310 g\u00fcn s\u00fcrer. Masa ba\u015f\u0131 i\u015flere d\u00f6n\u00fc\u015f \u00e7o\u011funlukla 1\u20132 hafta i\u00e7inde m\u00fcmk\u00fcn olur; fiziksel g\u00fc\u00e7 gerektiren i\u015flerde bu s\u00fcre uzar. Y\u00fcr\u00fcy\u00fc\u015fe ameliyattan hemen sonra kademeli olarak ba\u015flan\u0131r, ancak a\u011f\u0131r egzersiz ve kar\u0131n kaslar\u0131n\u0131 zorlayan sporlar ilk 2 ay yap\u0131lmaz. Kesin s\u00fcreleri hekiminiz belirler.\"}}, {\"@type\": \"Question\", \"name\": \"T\u00fcp mideden sonra kilo geri al\u0131n\u0131r m\u0131?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yakla\u015f\u0131k 5. y\u0131ldan itibaren de\u011fi\u015fen derecelerde kilo geri al\u0131m\u0131 g\u00f6r\u00fclebilir. Ba\u015fl\u0131ca nedenleri t\u00fcp midenin bir miktar geni\u015flemesi, y\u00fcksek kalorili s\u0131v\u0131 ve at\u0131\u015ft\u0131rmal\u0131k t\u00fcketimi, fiziksel aktivitenin azalmas\u0131 ve metabolik adaptasyondur. Porsiyonlar\u0131n b\u00fcy\u00fcmesi, s\u00fcrekli at\u0131\u015ft\u0131rma ihtiyac\u0131, \u015fekerli i\u00e7eceklerin geri d\u00f6nmesi ve tart\u0131dan ka\u00e7\u0131nmak erken uyar\u0131 sinyalleridir. Erken fark edilip destek al\u0131nd\u0131\u011f\u0131nda y\u00f6netimi \u00e7ok daha kolayd\u0131r.\"}}, {\"@type\": \"Question\", \"name\": \"Kilo verdikten sonra deri sarkmas\u0131 olur mu, ne yap\u0131l\u0131r?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"H\u0131zl\u0131 ve belirgin kilo kayb\u0131ndan sonra kar\u0131n, kol, g\u00f6\u011f\u00fcs ve uyluk b\u00f6lgelerinde deri sarkmas\u0131 g\u00f6r\u00fclebilir. Derecesi; kaybedilen kilo miktar\u0131na, ya\u015fa, cilt elastikiyetine ve genetik yap\u0131ya g\u00f6re de\u011fi\u015fir. D\u00fczeltici cerrahiler kilo sabitlendikten sonra, genellikle ameliyattan 12\u201318 ay sonra ve kilo en az 3\u20136 ayd\u0131r sabitse g\u00fcndeme gelir. Birden fazla b\u00f6lge s\u00f6z konusuysa i\u015flemler a\u015famal\u0131 planlan\u0131r.\"}}, {\"@type\": \"Question\", \"name\": \"T\u00fcp mideden sonra ne zaman hamile kal\u0131nabilir?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"H\u0131zl\u0131 kilo kayb\u0131 ve besin eksikli\u011fi riski nedeniyle gebelik i\u00e7in genellikle 12\u201318 ay beklenmesi \u00f6nerilir. Bu s\u00fcre sonunda kilo sabitlenmi\u015f ve vitamin d\u00fczeyleri d\u00fczenlenmi\u015f olur. Gebelik plan\u0131n\u0131z varsa bunu ameliyat \u00f6ncesinde mutlaka payla\u015f\u0131n; zamanlama buna g\u00f6re planlan\u0131r.\"}}]}, {\"@type\": \"BreadcrumbList\", \"@id\": \"https:\/\/clinicmono.com\/tr\/obezite-cerrahisi\/tup-mide-ameliyati\/#breadcrumb\", \"itemListElement\": [{\"@type\": \"ListItem\", \"position\": 1, \"name\": \"Anasayfa\", \"item\": \"https:\/\/clinicmono.com\/\"}, {\"@type\": \"ListItem\", \"position\": 2, \"name\": \"Obezite Cerrahisi\", \"item\": \"https:\/\/clinicmono.com\/tr\/obezite-cerrahisi\/\"}, {\"@type\": \"ListItem\", \"position\": 3, \"name\": \"T\u00fcp Mide Ameliyat\u0131\", \"item\": \"https:\/\/clinicmono.com\/tr\/obezite-cerrahisi\/tup-mide-ameliyati\/\"}]}]}<\/script><\/p>\n<\/div><\/div><div class=\"w-separator size_small\"><\/div><div class=\"w-separator size_small\"><\/div><div class=\"w-separator size_small\"><\/div><div class=\"w-separator size_small\"><\/div><div class=\"w-separator size_small\"><\/div><div class=\"w-separator 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width=\"1024\" height=\"1024\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-1-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-1-1024x1024.jpg 1024w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-1-600x600.jpg 600w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-1-300x300.jpg 300w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-1-500x500.jpg 500w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-1-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-1-150x150.jpg 150w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-1.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastric-sleeve-1\" 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https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-3-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-3-150x150.jpg 150w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-3.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastric-sleeve-3\" href=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-3.jpg\"><\/a><\/div><div class=\"w-gallery-item\"><div class=\"w-gallery-item-img\"><img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-4-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-4-1024x1024.jpg 1024w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-4-600x600.jpg 600w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-4-300x300.jpg 300w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-4-500x500.jpg 500w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-4-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-4-150x150.jpg 150w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-4.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastric-sleeve-4\" href=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-4.jpg\"><\/a><\/div><div class=\"w-gallery-item\"><div class=\"w-gallery-item-img\"><img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-5-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-5-1024x1024.jpg 1024w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-5-600x600.jpg 600w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-5-300x300.jpg 300w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-5-500x500.jpg 500w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-5-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-5-150x150.jpg 150w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-5.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastric-sleeve-5\" href=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-5.jpg\"><\/a><\/div><div class=\"w-gallery-item\"><div class=\"w-gallery-item-img\"><img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-6-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-6-1024x1024.jpg 1024w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-6-600x600.jpg 600w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-6-300x300.jpg 300w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-6-500x500.jpg 500w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-6-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-6-150x150.jpg 150w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-6.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastric-sleeve-6\" href=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-6.jpg\"><\/a><\/div><div class=\"w-gallery-item\"><div class=\"w-gallery-item-img\"><img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-7-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-7-1024x1024.jpg 1024w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-7-600x600.jpg 600w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-7-300x300.jpg 300w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-7-500x500.jpg 500w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-7-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-7-150x150.jpg 150w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-7.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastric-sleeve-7\" href=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-7.jpg\"><\/a><\/div><div class=\"w-gallery-item\"><div class=\"w-gallery-item-img\"><img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-8-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-8-1024x1024.jpg 1024w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-8-600x600.jpg 600w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-8-300x300.jpg 300w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-8-500x500.jpg 500w, 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srcset=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-10-1024x1024.jpg 1024w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-10-600x600.jpg 600w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-10-300x300.jpg 300w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-10-500x500.jpg 500w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-10-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-10-150x150.jpg 150w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-10.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastric-sleeve-10\" href=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-10.jpg\"><\/a><\/div><div class=\"w-gallery-item\"><div class=\"w-gallery-item-img\"><img decoding=\"async\" width=\"1024\" height=\"1024\" 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srcset=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-15-1024x1024.jpg 1024w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-15-600x600.jpg 600w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-15-300x300.jpg 300w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-15-500x500.jpg 500w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-15-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-15-150x150.jpg 150w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-15.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastric-sleeve-15\" href=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-15.jpg\"><\/a><\/div><div class=\"w-gallery-item\"><div class=\"w-gallery-item-img\"><img decoding=\"async\" width=\"1024\" height=\"1024\" 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https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-18-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-18-150x150.jpg 150w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-18.jpg 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastric-sleeve-18\" href=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-18.jpg\"><\/a><\/div><div class=\"w-gallery-item\"><div class=\"w-gallery-item-img\"><img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-19-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-19-1024x1024.jpg 1024w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-19-600x600.jpg 600w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-19-300x300.jpg 300w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-19-500x500.jpg 500w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-19-400x400.jpg 400w, https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-19-150x150.jpg 150w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/div><a class=\"w-gallery-item-link\" aria-label=\"gastrik-kol-19\" href=\"https:\/\/clinicmono.com\/wp-content\/uploads\/2024\/04\/gastric-sleeve-19-scaled.jpg\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"T\u00fcp Mide Ameliyat\u0131 (Sleeve Gastrektomi) Giri\u015f Obezite Cerrahisi \u00b7 \u0130zmir \u00b7 2026 Midenin yakla\u015f\u0131k %80\u2019i \u00e7\u0131kar\u0131larak muz \u015feklinde dar bir mide olu\u015fturulan t\u00fcp mide ameliyat\u0131 hakk\u0131nda bilmeniz gereken her \u015fey: k\u0131s\u0131tlay\u0131c\u0131 ve hormonal \u00e7ift mekanizma, kimlerin uygun oldu\u011fu, ay ay kilo kayb\u0131 \u00e7izelgesi, hafta hafta beslenme a\u015famalar\u0131, \u00f6m\u00fcr boyu vitamin takibi, staple hatt\u0131 ka\u00e7a\u011f\u0131, refl\u00fc,...","protected":false},"author":1,"featured_media":122797,"parent":40220,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":"","_members_access_role":[],"_members_access_error":""},"procedure":[314],"class_list":["post-40208","page","type-page","status-publish","has-post-thumbnail","hentry","procedure-obesity"],"_links":{"self":[{"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/pages\/40208","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/comments?post=40208"}],"version-history":[{"count":0,"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/pages\/40208\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/pages\/40220"}],"wp:attachment":[{"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/media?parent=40208"}],"wp:term":[{"taxonomy":"procedure","embeddable":true,"href":"https:\/\/clinicmono.com\/tr\/wp-json\/wp\/v2\/procedure?post=40208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}