{"id":5865,"date":"2023-09-21T15:37:48","date_gmt":"2023-09-21T12:37:48","guid":{"rendered":"http:\/\/uus.troostkirurgia.ee\/post-operative-period\/"},"modified":"2023-11-29T16:56:27","modified_gmt":"2023-11-29T13:56:27","slug":"post-operative-period","status":"publish","type":"page","link":"http:\/\/uus.troostkirurgia.ee\/en\/post-operative-period\/","title":{"rendered":"Post-operative period"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:104%;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_5 1_5 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:20%;--awb-margin-top-large:0px;--awb-spacing-right-large:9.6%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:9.6%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><nav class=\"awb-menu awb-menu_column awb-menu_em-hover mobile-mode-collapse-to-button awb-menu_icons-left awb-menu_dc-yes mobile-trigger-fullwidth-off awb-menu_mobile-toggle awb-menu_indent-left mobile-size-full-absolute loading mega-menu-loading awb-menu_desktop awb-menu_dropdown awb-menu_expand-right awb-menu_transition-fade\" 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class=\"menu-text\">Home<\/span><\/a><\/li><li  id=\"menu-item-5917\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-5917 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"5917\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_fade\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_fade\"><\/span><a  href=\"http:\/\/uus.troostkirurgia.ee\/en\/bariatric-surgery\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Bariatric surgery<\/span><\/a><\/li><li  id=\"menu-item-5918\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-5918 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"5918\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_fade\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_fade\"><\/span><a  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awb-menu__main-background-default_fade\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_fade\"><\/span><a  href=\"http:\/\/uus.troostkirurgia.ee\/en\/risks-concomitant-with-operation\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Risks concomitant with operation<\/span><\/a><\/li><li  id=\"menu-item-5921\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-5921 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"5921\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_fade\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_fade\"><\/span><a  href=\"http:\/\/uus.troostkirurgia.ee\/en\/post-operative-period\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Post-operative period<\/span><\/a><\/li><\/ul><\/nav><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:0px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color2);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><a href=\"http:\/\/uus.troostkirurgia.ee\/wp-content\/uploads\/2023\/09\/Svent-Troost-Fertilitas-ENG.png\" class=\"fusion-lightbox\" data-rel=\"iLightbox[53b92e9881c85327e2a]\" data-title=\"Svent Troost Fertilitas ENG\" title=\"Svent Troost Fertilitas ENG\"><img decoding=\"async\" width=\"296\" height=\"137\" src=\"http:\/\/uus.troostkirurgia.ee\/wp-content\/uploads\/2023\/09\/Svent-Troost-Fertilitas-ENG.png\" data-orig-src=\"http:\/\/uus.troostkirurgia.ee\/wp-content\/uploads\/2023\/09\/Svent-Troost-Fertilitas-ENG.png\" alt class=\"lazyload img-responsive wp-image-5654\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27296%27%20height%3D%27137%27%20viewBox%3D%270%200%20296%20137%27%3E%3Crect%20width%3D%27296%27%20height%3D%27137%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"http:\/\/uus.troostkirurgia.ee\/wp-content\/uploads\/2023\/09\/Svent-Troost-Fertilitas-ENG-200x93.png 200w, http:\/\/uus.troostkirurgia.ee\/wp-content\/uploads\/2023\/09\/Svent-Troost-Fertilitas-ENG.png 296w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 296px\" \/><\/a><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_4_5 4_5 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:80%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.4%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.4%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-title-text fusion-title-size-two\"><div class=\"title-sep-container title-sep-container-left fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:var(--awb-color3);\"><\/div><\/div><span class=\"awb-title-spacer fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><\/span><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;text-transform:none;--fontSize:42;line-height:var(--awb-typography1-line-height);\">Post-operative period<\/h2><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:var(--awb-color3);\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-1\"><h3>Diet after bariatric operation<\/h3>\n<p>1st \u2013 3rd days \u2013 translucent liquids at room temperature &#8211; water, weak sugarless tea, fat-free vegetable, beef or chicken broth (without solid pieces).<br \/>\nThe goal is to consume at least 1.5 l of liquid per day. The regularly taken drugs must be crushed. Liquids must be ingested by sipping, distributed over relatively equal periods.<br \/>\n4th \u2013 7th days \u2013 in addition to the above the fat-free yoghurt, diluted natural juices, kefir, protein drinks (low fat and sugar content).<br \/>\n8th \u2013 13th days \u2013 in addition, low-fat cream soups.<br \/>\nAfter 2 weeks &#8211; meals reduced to a puree: vegetable, chicken, mashed potatoes, cottage cheese, porridges. Ingestion of vitamins is to be started (see below).<br \/>\nIn the first three weeks, citrus juices and tomato juice are to be avoided. The most suitable is the cranberry juice. Liquids must be consumed in between the meals, not simultaneously with food. Protein-rich nutrients must be preferred.<br \/>\nAfter 3 weeks \u2013 tender foods. Food need not be reduced to a puree however it must be boiled\/cooked very tender and\/or chopped fine (e.g. minced meat).<br \/>\nForbidden during the first months are carbonated (bubble) drinks and alcohol. During the first month the consumption of caffeine-containing drinks is not advised. Smoking during the first months significantly affects the healing process.<br \/>\nMore than one month after operation \u2013 it is recommended, rather to give up feeding on liquid meals and meals reduced to a puree, and to replace them with solid food. Eat 5 \u2013 6 times per day and drink between meals.\u00a0 Consume at least 80 g proteins per day (for example, it is contained in 180 g fillet beef).<br \/>\nAll patients are recommended to use, long after bariatric operation, the multi-vitamins, b12 vitamin, calcium, iron- and D-vitamin preparations. Basing on regular blood analyses, the individual need in the patient\u2019s lifespan for various substances will be determined.<br \/>\nAfter the bypass operation the fat may not fully absorb, therefore eating fat-rich foods may cause diarrhoea, to prevent whereof the amounts of fat consumed should be reduced. After operation, lactose intolerance may often occur, however that is individual for every given patient. Lactose intolerance may be caused by the reduced quantity in organism of the lactose splitting enzymes. With lactose intolerance in evidence, the patient should consume products prepared from soya milk, together with calcium preparations.<\/p>\n<\/div><div style=\"text-align:right;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_gradient_top_color:#3a828b;--button_gradient_bottom_color:#3a828b;--button_gradient_top_color_hover:var(--awb-color5);--button_gradient_bottom_color_hover:var(--awb-color5);\" target=\"_self\" href=\"#registreeri\"><span class=\"fusion-button-text\">Register an appointment for a consultation!<\/span><\/a><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color2);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-text fusion-text-2\"><h3>Vitamins and micro-elements:<\/h3>\n<p>Multi-vitamins, providing 0.8mg folic acid, 36mg iron, Zn, selenium and other elements. For example Apovit polyvitamin 1 tablet 2 times per day. Calcium citrate 800-1200mg per day distributed into 2 doses. For example Calcium Citrate 2 tablets 2 times per day. D-vitamin 400-800 IU per day (is usually contained in calcium preparations), orally ingested b12 vitamin 200-350 micrograms per day, Neuromax Forte or Neuromultivit 1 tablet once per day.<br \/>\nPhysical exercise after bariatric operation<br \/>\nThe aim of bariatric operation is not becoming slim but gaining health, looking better and living longer. The operation will provide you a position giving an advantage for proceeding further. The way you are being nourished further on, is as important as physical exercise.<br \/>\nFor the most part, after operation you can stand up on the first day and stroll a bit. The exercise in the first days is important for thrombosis prophylaxis. Prolong your strolling time by steps and do it every day.<br \/>\nFrom the 10th day on you should walk daily at least 30 \u2013 35 min. The rate of motion must not cause inconvenience and make you breathe very rapidly. Prolong the time of exercise by steps however do not make it too strenuous. Helpful would be the pulse watch, to keep heart rate in check. The excessive heart rate may trigger the catabolic effect &#8211; a condition that is mainly caused by over-exercise along with a lack of sufficient nutrition \u2013 instead of burning fat, hydrocarbons providing energy to brain are burned; to obtain the latter, the organism will proceed to splitting the vital proteins. Besides walking, suitable for exercise in the first months are velo-ergometer, and paddle ergometer.<br \/>\n6 \u2013 8 weeks after operation you must set to planning your future exercise programme. Besides the aerobic exercise you muscles need practice. In longer perspective, increasing of the muscle mass is the best method to burn calories, because it determines the metabolic activity both at rest and in motion. Increasing of the muscle mass by 0.5 kg will enable you to consume 300kcal more in a week without excessive fat generation. The more so, building muscle mass will provide you a better general immunity and also a more appealing outlook. Start with lighter weights taking care not to overstrain. It is advisable to keep protein drinks on your menu.<br \/>\nYou can embark on running and other active sports after you have achieved loss of weight sufficient to avoid excessive stretching of ligaments. For that, you could reckon with one year after operation.<br \/>\nOnce you have got into the habit of a regular exercise, you will not be likely willing to ever drop it thanks to an excellent feeling gained.<\/p>\n<\/div><div style=\"text-align:right;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-2 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_gradient_top_color:#3a828b;--button_gradient_bottom_color:#3a828b;--button_gradient_top_color_hover:var(--awb-color5);--button_gradient_bottom_color_hover:var(--awb-color5);\" target=\"_self\" href=\"#registreeri\"><span class=\"fusion-button-text\">Register an appointment for a consultation!<\/span><\/a><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color2);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-title title fusion-title-2 fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:#3a828b;--awb-font-size:30px;\"><div class=\"title-sep-container title-sep-container-left fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:var(--awb-color3);\"><\/div><\/div><span class=\"awb-title-spacer fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><\/span><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"font-family:var(--awb-typography1-font-family);font-weight:var(--awb-typography1-font-weight);font-style:var(--awb-typography1-font-style);margin:0;font-size:1em;letter-spacing:var(--awb-typography1-letter-spacing);text-transform:var(--awb-typography1-text-transform);--fontSize:30;line-height:1.5;\">Physical exercise after bariatric operation<\/h1><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep- sep-solid\" style=\"border-color:var(--awb-color3);\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-3\"><p>The aim of bariatric operation is not becoming slim but gaining health, looking better and living longer. The operation will provide you a position giving an advantage for proceeding further. The way you are being nourished further on, is as important as physical exercise.<br \/>\nFor the most part, after operation you can stand up on the first day and stroll a bit. The exercise in the first days is important for thrombosis prophylaxis. Prolong your strolling time by steps and do it every day.<br \/>\nFrom the 10th day on you should walk daily at least 30 \u2013 35 min. The rate of motion must not cause inconvenience and make you breathe very rapidly. Prolong the time of exercise by steps however do not make it too strenuous. Helpful would be the pulse watch, to keep heart rate in check. The excessive heart rate may trigger the catabolic effect &#8211; a condition that is mainly caused by over-exercise along with a lack of sufficient nutrition \u2013 instead of burning fat, hydrocarbons providing energy to brain are burned; to obtain the latter, the organism will proceed to splitting the vital proteins. Besides walking, suitable for exercise in the first months are velo-ergometer, and paddle ergometer.<br \/>\n6 \u2013 8 weeks after operation you must set to planning your future exercise programme. Besides the aerobic exercise you muscles need practice. In longer perspective, increasing of the muscle mass is the best method to burn calories, because it determines the metabolic activity both at rest and in motion. Increasing of the muscle mass by 0.5 kg will enable you to consume 300kcal more in a week without excessive fat generation. The more so, building muscle mass will provide you a better general immunity and also a more appealing outlook. Start with lighter weights taking care not to overstrain. It is advisable to keep protein drinks on your menu.<br \/>\nYou can embark on running and other active sports after you have achieved loss of weight sufficient to avoid excessive stretching of ligaments. For that, you could reckon with one year after operation.<br \/>\nOnce you have got into the habit of a regular exercise, you will not be likely willing to ever drop it thanks to an excellent feeling gained.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:104%;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" 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style=\"--awb-bg-size:cover;--awb-width-large:20%;--awb-margin-top-large:0px;--awb-spacing-right-large:9.6%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:9.6%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_3_5 3_5 fusion-flex-column\" 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