N\u00eb kirurgjin\u00eb e obezitetit p\u00ebrdoren dy mekanizma. E para prej tyre \u00ebsht\u00eb nj\u00eb mekaniz\u00ebm kufizues i v\u00ebllimit dhe i dyti \u00ebsht\u00eb nj\u00eb mekaniz\u00ebm q\u00eb kufizon dhe d\u00ebmton p\u00ebrthithjen nga zorr\u00ebt e vogla. Lidhja e rregullueshme e stomakut (kampa), nj\u00eb nga metodat e kufizimit t\u00eb volumit, p\u00ebrdoret rrall\u00eb sot p\u00ebr shkak t\u00eb komplikimeve q\u00eb krijon.<\/p>\n\n\n\n
Sot, ne kryejm\u00eb m\u00eb s\u00eb shpeshti kirurgjin\u00eb e Gastrektomis\u00eb s\u00eb Sleeve, t\u00eb cil\u00ebn e p\u00ebrkthejm\u00eb n\u00eb turqisht si gastrektomia e m\u00ebng\u00ebs ose operacioni p\u00ebr zvog\u00eblimin e stomakut, si operacion q\u00eb kufizon v\u00ebllimin. Avantazhi i k\u00ebtij operacioni \u00ebsht\u00eb se duke qen\u00eb se nuk ka ndryshim n\u00eb vendndodhjen n\u00eb sistemin e tretjes dhe nuk ka nevoj\u00eb p\u00ebr vitamina dhe element\u00eb gjurm\u00eb n\u00eb terma afatgjat\u00eb, p\u00ebrftohen m\u00eb shum\u00eb rezultate fiziologjike. Sot, operacioni m\u00eb i zakonsh\u00ebm i malabsorbimit \u00ebsht\u00eb ai q\u00eb ne e quajm\u00eb bypass gastrik. N\u00eb k\u00ebt\u00eb operacion, v\u00ebllimi \u00ebsht\u00eb i kufizuar dhe p\u00ebrthithja \u00ebsht\u00eb e d\u00ebmtuar. Si rezultat, nd\u00ebrkoh\u00eb q\u00eb arrihet nj\u00eb humbje efektive e pesh\u00ebs, suplementet me vitamina dhe element\u00eb gjurm\u00eb jan\u00eb t\u00eb nevojsh\u00ebm n\u00eb afat t\u00eb gjat\u00eb. N\u00ebse k\u00ebta pacient\u00eb q\u00eb i n\u00ebnshtrohen operacionit p\u00ebr trajtimin e obezitetit kan\u00eb diabet komorbid, mund t\u00eb arrihet nj\u00eb p\u00ebrmir\u00ebsim prej 40-60%.<\/p>\n\n\n\n
N\u00eb metodat e kirurgjis\u00eb metabolike q\u00eb p\u00ebrdorim n\u00eb trajtimin e diabetit t\u00eb tipit 2, ku obeziteti nuk \u00ebsht\u00eb n\u00eb plan t\u00eb par\u00eb, p\u00ebrdoret efekti sh\u00ebrues i hormoneve t\u00eb zorr\u00ebs s\u00eb holl\u00eb. Fakti q\u00eb rezistenca ndaj insulin\u00ebs dhe diabeti i tipit 2 jan\u00eb m\u00eb t\u00eb zakonsh\u00ebm sot sesa n\u00eb koh\u00ebt primitive, \u00ebsht\u00eb p\u00ebr shkak t\u00eb ngr\u00ebnies s\u00eb ushqimeve t\u00eb rafinuara paralelisht me industrializimin. Tretja e ushqimeve t\u00eb rafinuara p\u00ebrfundon n\u00eb seksionin jejunum 70-80 cm t\u00eb zorr\u00ebs s\u00eb holl\u00eb, af\u00ebr stomakut. Hormonet e zorr\u00ebve t\u00eb vogla q\u00eb organizojn\u00eb \u00e7lirimin e insulin\u00ebs, t\u00eb cilat ne i quajm\u00eb inkretina, sekretohen nga pjesa e zorr\u00ebs s\u00eb holl\u00eb q\u00eb \u00ebsht\u00eb m\u00eb af\u00ebr zorr\u00ebs s\u00eb trash\u00eb, p\u00ebrkat\u00ebsisht ileumi. Pulpa e ushqimit t\u00eb tretur dhe t\u00eb p\u00ebrthithur q\u00eb arrin n\u00eb ileum nuk mund t\u00eb siguroj\u00eb \u00e7lirimin e inkretinave. Si rezultat, hormonet e ileumit q\u00eb rregullojn\u00eb sekretimin e insulin\u00ebs, si GLP-1, peptidi YY dhe oksintomodulina, nuk \u00e7lirohen mjaftuesh\u00ebm dhe si rezultat, shfaqet rezistenca ndaj insulin\u00ebs dhe diabeti i tipit 2 pasues. Prandaj, n\u00eb metodat e kirurgjis\u00eb metabolike q\u00eb p\u00ebrdorim n\u00eb trajtimin e diabetit t\u00eb tipit dy, synohet t\u00eb lidhet zorr\u00eb e holl\u00eb, e cila \u00ebsht\u00eb m\u00eb af\u00ebr zorr\u00ebs s\u00eb trash\u00eb, me stomakun dhe si rezultat, t\u00eb sekretoj\u00eb nj\u00eb sasi efektive t\u00eb hormonet e zorr\u00ebve q\u00eb do t\u00eb thyejn\u00eb rezistenc\u00ebn ndaj insulin\u00ebs. P\u00ebr k\u00ebt\u00eb q\u00ebllim kryhen operacione t\u00eb dyndarjes transitore dhe interpozicionit ileal. Shkalla e rikuperimit n\u00eb pacient\u00ebt q\u00eb i n\u00ebnshtrohen operacionit metabolik p\u00ebr diabetin e tipit 2 jan\u00eb shum\u00eb m\u00eb t\u00eb larta (85-95%) n\u00eb krahasim me operacionin e obezitetit.<\/p>\n\n\n\n
K\u00ebtu, p\u00ebrzgjedhja e pacient\u00ebve q\u00eb do t\u00eb p\u00ebrfitojn\u00eb nga kirurgjia metabolike \u00ebsht\u00eb shum\u00eb e r\u00ebnd\u00ebsishme. Me nj\u00eb s\u00ebr\u00eb analizash t\u00eb kryera para operacionit, vendoset n\u00ebse kandidat\u00ebt me diabet do t\u00eb p\u00ebrfitojn\u00eb nga operacioni metabolik. Organet tona t\u00eb synuara t\u00eb d\u00ebmtuara nga diabeti jan\u00eb kryesisht syt\u00eb, veshkat, zemra dhe sistemi nervor. Pacient\u00ebt tan\u00eb jan\u00eb t\u00eb informuar n\u00ebse d\u00ebmtimi i k\u00ebtyre organeve do t\u00eb jet\u00eb i kthyesh\u00ebm n\u00ebp\u00ebrmjet analizave q\u00eb do t\u00eb b\u00ebjm\u00eb p\u00ebrpara operacionit. Prandaj, individ\u00ebt me diabet tip 2 nuk duhet t\u00eb jetojn\u00eb me diabet p\u00ebr shum\u00eb vite dhe duhet t\u00eb shp\u00ebtojn\u00eb nga kjo s\u00ebmundje duke iu n\u00ebnshtruar nj\u00eb operacioni sa m\u00eb shpejt t\u00eb jet\u00eb e mundur.<\/p>\n","protected":false},"excerpt":{"rendered":"
N\u00eb kirurgjin\u00eb e obezitetit p\u00ebrdoren dy mekanizma. E para prej tyre \u00ebsht\u00eb nj\u00eb mekaniz\u00ebm kufizues i v\u00ebllimit dhe i dyti \u00ebsht\u00eb nj\u00eb mekaniz\u00ebm q\u00eb kufizon dhe d\u00ebmton p\u00ebrthithjen nga zorr\u00ebt e vogla. Lidhja e rregullueshme e stomakut (kampa), nj\u00eb nga metodat e kufizimit t\u00eb volumit, p\u00ebrdoret rrall\u00eb sot p\u00ebr shkak t\u00eb komplikimeve q\u00eb krijon. Sot, […]<\/p>\n","protected":false},"author":1,"featured_media":28164,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[117],"tags":[],"class_list":["post-29163","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-sq"],"_links":{"self":[{"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/posts\/29163","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/comments?post=29163"}],"version-history":[{"count":0,"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/posts\/29163\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/media\/28164"}],"wp:attachment":[{"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/media?parent=29163"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/categories?post=29163"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drburakkavlakoglu.com\/sq\/wp-json\/wp\/v2\/tags?post=29163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}