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Intervensi bedah adalah satu-satunya metode penurunan berat badan yang memberikan hasil jangka panjang dan terjamin.  \n </p>  \n</div>  \n\n<h2>Siapa yang mendapatkan manfaat dari operasi bariatrik?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <p>Operasi diperlukan untuk orang yang kelebihan berat badan dengan indeks massa tubuh (BMI) <a href=\"#patients/who-is-a-candidate-for-bariatric-surgery\">lebih dari 40 kg/m²</a>. Untuk menghitung BMI Anda, Anda perlu membagi berat badan Anda dalam kilogram dua kali dengan tinggi badan Anda dalam meter. Sebagai contoh, berat badan Anda adalah 150 kg dan tinggi badan Anda 1,7 m — BMI = 150 / 1,72 = 51,9 kg/m².  \n </p>  \n <p>Operasi obesitas juga diresepkan <a href=\"https://www.ncbi.nlm.nih.gov/books/NBK513285/\">untuk orang dengan penyakit penyerta</a> — hipertensi, diabetes mellitus, kerusakan sendi. Dalam kasus ini, operasi dilakukan dengan BMI <a href=\"#patients/who-is-a-candidate-for-bariatric-surgery\">30-35 kg/m²</a>.  \n </p>  \n <p>Setelah menghitung indeks massa tubuh Anda, konsultasikan dengan seorang ahli bedah. Hanya dokter yang dapat memutuskan apakah Anda memerlukan prosedur ini, memilih metode operasi bariatrik yang paling efektif dalam kasus spesifik Anda, menjawab semua pertanyaan Anda, dan memprediksi hasil setelah operasi.  \n </p>  \n</div>  \n\n<h2>Apa saja jenis operasi penurunan berat badan?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <p><a href=\"//en.bookimed.com/clinics/procedure=sleeve-resection/\"><strong>Sleeve gastrektomi</strong></a>  \n </p>  \n <p>Selama operasi, <a href=\"#tests-procedures/sleeve-gastrectomy/about/pac-20385183\">80% perut</a> diangkat. Ahli bedah membentuk tabung <a href=\"https://www.webmd.com/diet/obesity/ss/slideshow-weight-loss-surgery\">berdiameter 2-2,5 cm</a>. Dengan demikian, volume perut dan jumlah makanan yang diserap berkurang.  \n </p>  \n <ul>  \n  <li>prosedur berlangsung selama <a href=\"#tests-procedures/sleeve-gastrectomy/about/pac-20385183\">1-2 jam</a></li>  \n  <li>pasien kehilangan <a href=\"#tests-procedures/sleeve-gastrectomy/about/pac-20385183\">60%</a> berat badannya</li>  \n  <li>rawat inap berlangsung <a href=\"#tests-procedures/sleeve-gastrectomy/about/pac-20385183\">1-2 hari</a>.</li>  \n </ul><br /><br />  \n <p><a href=\"//en.bookimed.com/clinics/procedure=roux-en-y-gastric-bypass/\"><strong>Gastric bypass</strong></a>  \n </p>  \n <p>Selama operasi ini, ahli bedah membentuk kantong perut dengan volume <a href=\"https://en.wikipedia.org/wiki/Gastric_bypass_surgery\">15-30 ml</a>. Makanan dari kantong langsung menuju ke usus halus. Akibatnya, pasien merasa kenyang meskipun hanya mengonsumsi sedikit makanan.  \n </p>  \n <ul>  \n  <li>durasi gastric sleeve adalah <a href=\"#tests-procedures/gastric-bypass-surgery/about/pac-20385189\">1,5-2 jam</a></li>  \n  <li>pasien kehilangan <a href=\"#tests-procedures/gastric-bypass-surgery/about/pac-20385189\">60-70%</a> dari kelebihan berat badannya</li>  \n  <li>rawat inap berlangsung <a href=\"https://www.webmd.com/diet/obesity/what-to-expect-after-weight-loss-surgery\">2-3 hari</a>.</li>  \n </ul><br /><br />  \n <p><a href=\"//en.bookimed.com/clinics/procedure=adjustable-gastric-band/\"><strong>Pita lambung</strong></a>  \n </p>  \n <p>Dalam kasus ini, dokter bariatrik menempatkan bagian atas perut dalam manset silikon atau pita lambung. Ini mempersempit rongga perut dan mengatur kecepatan pergerakan makanan melaluinya.  \n </p>  \n <ul>  \n  <li>operasi berlangsung <a href=\"https://www.medicalnewstoday.com/articles/298313#how_is_gastric_band_surgery_performed\">30 menit hingga 1 jam</a></li>  \n  <li>pasien kehilangan <a href=\"https://www.webmd.com/diet/obesity/gastric-banding-surgery-for-weight-loss#1\">35-45%</a> berat badannya</li>  \n  <li>rawat inap biasanya <a href=\"https://www.medicalnewstoday.com/articles/298313#how_is_gastric_band_surgery_performed\">tidak diperlukan</a>.</li>  \n </ul><br /><br />  \n <p><a href=\"//en.bookimed.com/clinics/procedure=gastric-balloon/\"><strong>Balon lambung</strong></a>  \n </p>  \n <p>Selama prosedur, ahli bedah menempatkan balon silikon kosong ke dalam perut. Kemudian spesialis mengisi balon dengan larutan fisiologis hingga volume yang diperlukan. Operasi ini membantu menciptakan rasa kenyang di perut.  \n </p>  \n <ul>  \n  <li>pemasangan balon berlangsung <a href=\"#tests-procedures/intragastric-balloon/about/pac-20394435\">30 menit</a></li>  \n  <li><a href=\"#tests-procedures/intragastric-balloon/about/pac-20394435\">30-47%</a> adalah kehilangan kelebihan berat badan setelah prosedur</li>  \n  <li>rawat inap <a href=\"#tests-procedures/intragastric-balloon/about/pac-20394435\">tidak diperlukan</a>.</li>  \n </ul><br /><br />  \n <p><a href=\"//en.bookimed.com/clinics/procedure=stomach-stapling/\"><strong>Penyulaman perut</strong></a>  \n </p>  \n <p>Selama operasi ini, spesialis metabolik mengurangi volume perut dan membentuk tabung lambung dengan diameter lebih kecil. Sebagian perut tidak diangkat, dan dinding lambung dijahit dengan jahitan multi-baris.  \n </p>  \n <ul>  \n  <li>durasi operasi adalah <a href=\"https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery#1\">1-1,5 jam</a></li>  \n  <li><a href=\"https://www.webmd.com/diet/obesity/what-is-gastric-sleeve-weight-loss-surgery#2\">60%</a> dari berat badan hilang setelah prosedur</li>  \n  <li>rawat inap adalah <a href=\"https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/gastric-restrictive-surgery\">2-3 hari</a>.</li>  \n </ul>  \n</div>  \n\n<h2>Apa kontraindikasinya?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <p>Operasi bariatrik tidak dilakukan pada remaja dan orang dengan ketergantungan alkohol atau narkoba. Lain <a href=\"https://www.ncbi.nlm.nih.gov/books/NBK513285/\">kontraindikasi</a> termasuk:  \n </p>  \n <ul>  \n  <li>indeks massa tubuh kurang dari 30</li>  \n  <li>kehamilan</li>  \n  <li>penyakit Cushing</li>  \n  <li>gangguan tiroid</li>  \n  <li>ulkus peptik atau esofagus</li>  \n  <li>penyakit radang usus</li>  \n  <li>penyakit arteri koroner</li>  \n  <li>penyakit paru-paru</li>  \n  <li>pengobatan kanker aktif</li>  \n  <li>penyakit mental (psikosis, depresi berat).</li>  \n </ul>  \n</div>  \n\n<h2>Apa persiapan pra-operasi untuk operasi obesitas?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <p>Sebelum operasi, Anda harus mematuhi beberapa aturan dan mengikuti rekomendasi dokter. Yang paling penting antara lain adalah:  \n </p>  \n <ul>  \n  <li>Diet pra-operasi — diet jangka pendek (2-6 minggu) sebelum operasi akan menurunkan indeks massa tubuh Anda dan mengurangi risiko komplikasi. Diet pra-operasi biasanya terdiri dari makanan tinggi protein dan rendah karbohidrat, banyak air. </li>  \n </ul>  \n <ul>  \n  <li>Berhenti merokok — setidaknya 6 minggu sebelum menjalani anestesi umum, karena merokok sebelum intervensi meningkatkan risiko komplikasi pasca-operasi (serangan jantung, stroke, tromboemboli, infeksi, pneumonia, dan kematian).</li>  \n </ul>  \n <ul>  \n  <li>Aktivitas fisik — pada periode pra-operasi meningkatkan kesejahteraan, nada umum, kapasitas paru-paru, dan jantung. Selain kegiatan harian Anda (bekerja, berbelanja, dan membersihkan), cobalah bersepeda, berjalan kaki, atau berenang setidaknya setengah jam sehari. Semakin sehat Anda sebelum operasi, semakin cepat pemulihan setelah operasi.</li>  \n </ul>  \n <p>Selengkapnya tentang program pra-operasi dapat ditemukan <a href=\"https://www.upmc.com/services/bariatrics/surgery-process/presurgical-program\">di sini</a>.  \n </p>  \n</div>  \n\n<h2>Apa proses pengobatan penurunan berat badan?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <p>Rencana operasi terutama tergantung pada metode operasi obesitas. Masing-masing berbeda dalam teknik pelaksanaannya. Secara umum, prosedur memakan waktu <a href=\"https://columbiasurgery.org/weight-loss/post-operative-care\">sekitar 3 jam</a>.  \n </p>  \n <p><a href=\"https://www.webmd.com/diet/obesity/what-to-expect-after-weight-loss-surgery\">Rawat inap</a> diperlukan. Biasanya, pasien tinggal di rumah sakit selama <a href=\"https://www.webmd.com/diet/obesity/what-to-expect-after-weight-loss-surgery\">2-3 hari</a>:  \n </p>  \n <ul>  \n  <li>Hari pertama — operasi</li>  \n  <li>Hari kedua — tinggal di unit perawatan intensif</li>  \n  <li>Hari ketiga — tinggal di departemen rawat inap </li>  \n  <li>Hari keempat — keluar dari rumah sakit.</li>  \n </ul>  \n</div>  \n\n<h2>Apa risiko selama operasi?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <p>Operasi bariatrik adalah intervensi bedah serius, sehingga memiliki <a href=\"https://www.upmc.com/services/bariatrics/candidate/risks-and-complications\">beberapa risiko</a>:  \n </p>  \n <ul>  \n  <li>pendarahan</li>  \n  <li>infeksi luka</li>  \n  <li>obstruksi usus atau saluran pencernaan</li>  \n  <li>herniasi internal</li>  \n  <li>muntah</li>  \n  <li>ulkus</li>  \n  <li>gula darah rendah.</li>  \n </ul>  \n <p>Namun, operasi ini bersifat minimal invasif dan <a href=\"https://bookmyscans.com/blog/gastric-bypass-success-stories/\">tingkat keberhasilan operasi penurunan berat badan adalah 98%</a>.  \n </p>  \n</div>  \n\n<h2>Berapa lama masa pemulihan setelah operasi bariatrik?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <ul>  \n  <li>Dalam 2 hari pertama setelah operasi, pasien hanya dapat mengonsumsi cairan.</li>  \n  <li>Pada hari ketiga setelah prosedur, pasien mengonsumsi makanan dalam porsi kecil 5-6 kali sehari. Secara bertahap, pasien mengembangkan kebiasaan nutrisi baru. </li>  \n  <li>Bangun dari tempat tidur diperbolehkan pada hari kedua setelah operasi penurunan berat badan. Secara bertahap, aktivitas fisik meningkat dan langkah demi langkah pasien kembali ke gaya hidup yang umum. </li>  \n  <li>Dalam dua minggu pasien dapat kembali bekerja jika aktivitasnya tidak terkait dengan usaha fisik berat.</li>  \n  <li>Latihan fisik yang intens dilarang selama dua bulan. </li>  \n  <li>Kemudian aktivitas fisik diperlukan: berjalan setidaknya tiga kilometer sehari, berenang, bersepeda, atau aerobik akan membantu mengatasi kesulitan selama periode pemulihan dan kembali ke gaya hidup yang penuh lebih cepat.</li>  \n </ul>  \n <p>Pelajari lebih lanjut tentang rehabilitasi setelah prosedur obesitas <a href=\"https://www.webmd.com/diet/obesity/what-to-expect-after-weight-loss-surgery\">di sini</a>.  \n </p>  \n</div>  \n\n<h2>Seberapa cepat setelah operasi penurunan berat badan Anda bisa hamil?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <p>Jika Anda merencanakan kehamilan, tunda setidaknya <a href=\"https://www.tommys.org/pregnancy-information/im-pregnant/weight-management/pregnant-after-weight-loss-surgery\">18 bulan</a> setelah prosedur. Ini adalah waktu di mana berat badan Anda berkurang sehingga kehamilan akan menjadi beban besar bagi tubuh.  \n </p>  \n <p>Setelah periode ini, kehamilan biasanya lebih aman daripada sebelum operasi — baik bagi ibu maupun bayi. Anda harus memberi tahu ginekolog Anda jenis intervensi apa yang Anda jalani dan jika ada komplikasi setelah prosedur (penggumpalan darah, transfusi darah, dll.).  \n </p>  \n</div>  \n\n<h2>Apa hasil yang dapat Anda harapkan setelah operasi obesitas?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <p><a href=\"https://www.webmd.com/diet/obesity/features/weight-loss-surgery-what-to-expect-the-first-year#1\">Selama setahun setelah operasi</a>, seseorang kehilangan hingga <a href=\"https://www.webmd.com/diet/obesity/features/weight-loss-surgery-what-to-expect-the-first-year#1\">60-70%</a> dari kelebihan berat badannya. Dalam kasus yang jarang, dibutuhkan sekitar 1,5 tahun. Penting bahwa penurunan berat badan tidak dapat dibalik jika pasien mengikuti semua rekomendasi dokter — berat badan akan hilang dan tidak akan kembali. Ini adalah keuntungan utama dari perawatan bedah untuk kelebihan berat badan.  \n </p>  \n <p>Selain itu, setelah operasi penurunan berat badan, pasien juga memperhatikan kemunduran atau menghilangnya penyakit lain yang terkait dengan obesitas — diabetes mellitus tipe 2, hipertensi (tekanan darah tinggi), patologi jantung, hiperlipidemia (kolesterol tinggi), artritis, infertilitas.  \n </p>  \n</div>  \n\n<h2>Apakah Anda perlu mengonsumsi suplemen vitamin atau mineral?</h2>  \n<i class=\"fa fa-angle-down\"></i>  \n\n<div class=\"accordion-item-text\">  \n <p>Ya, biasanya Anda perlu mengonsumsi <a href=\"https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/should-i-take-vitamins-and-supplements-after-weight-loss-surgery\">vitamin dan mineral</a>. Suplemen menyediakan nutrisi penting yang dibutuhkan pasien untuk menjaga kesehatan yang baik. 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