{"id":4195,"date":"2022-09-12T11:16:09","date_gmt":"2022-09-12T11:16:09","guid":{"rendered":"https:\/\/onehospital.mk\/?page_id=4195"},"modified":"2022-09-19T12:51:35","modified_gmt":"2022-09-19T12:51:35","slug":"abdominal-and-digestive-surgery","status":"publish","type":"page","link":"https:\/\/onehospital.mk\/sq\/abdominal-and-digestive-surgery\/","title":{"rendered":"Kirurgjia Abdominale dhe Digjestive"},"content":{"rendered":"
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\n\t\t\t\t\t\tKirurgjia Abdominale dhe Digjestive\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\n\t\t\t\t\t\tZbulo m\u00eb shum\u00eb\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Ballina<\/a><\/span><\/span><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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SH\u00cbRBIMET DHE PROCEDURAT<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tHernia e k\u00ebrthiz\u00ebs<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Mjekimi<\/u><\/strong><\/p>

Shumica e hernieve t\u00eb k\u00ebrthiz\u00ebs tek foshnjat mbyllen vet\u00eb n\u00eb mosh\u00ebn 1 ose 2 vje\u00e7. Mjeku juaj mund t\u00eb jet\u00eb n\u00eb gjendje ta shtyj\u00eb fryrjen p\u00ebrs\u00ebri n\u00eb bark gjat\u00eb nj\u00eb ekzaminimi fizik. Sidoqoft\u00eb, mos e provoni k\u00ebt\u00eb vet\u00eb.<\/p>

Edhe pse disa njer\u00ebz pretendojn\u00eb se nj\u00eb hernie mund t\u00eb rregullohet duke ngjitur nj\u00eb monedh\u00eb posht\u00eb mbi fryrje, mos e provoni k\u00ebt\u00eb. Vendosja e shiritit ose e nj\u00eb objekti mbi fryrje nuk ndihmon dhe mikrobet mund t\u00eb grumbullohen n\u00ebn shirit, duke shkaktuar infeksion.<\/p>

P\u00ebr f\u00ebmij\u00ebt, operacioni zakonisht rezervohet p\u00ebr herniet e k\u00ebrthiz\u00ebs q\u00eb:<\/p>

Jan\u00eb t\u00eb dhimbshme<\/p>

Jan\u00eb pak m\u00eb t\u00eb m\u00ebdha se 1\/4 deri n\u00eb 3\/4 in\u00e7 (1 deri n\u00eb 2 centimetra) n\u00eb diamet\u00ebr<\/p>

Jan\u00eb t\u00eb m\u00ebdha dhe nuk zvog\u00eblohen n\u00eb madh\u00ebsi gjat\u00eb dy viteve t\u00eb para t\u00eb jet\u00ebs<\/p>

nuk zhduken deri n\u00eb mosh\u00ebn 5 vje\u00e7are<\/p>

ato bllokohen ose bllokojn\u00eb zorr\u00ebn<\/p>

P\u00ebr t\u00eb rriturit, kirurgjia zakonisht rekomandohet p\u00ebr t\u00eb shmangur komplikimet e mundshme, ve\u00e7an\u00ebrisht n\u00ebse hernia e k\u00ebrthiz\u00ebs b\u00ebhet m\u00eb e madhe ose b\u00ebhet e dhimbshme.<\/p>

Gjat\u00eb operacionit, b\u00ebhet nj\u00eb prerje e vog\u00ebl pran\u00eb k\u00ebrthiz\u00ebs. Indi i herniuar kthehet n\u00eb zgavr\u00ebn e barkut dhe hapja n\u00eb murin e barkut qepet e mbyllur. Tek t\u00eb rriturit, kirurg\u00ebt shpesh p\u00ebrdorin rrjet\u00eb p\u00ebr t\u00eb ndihmuar n\u00eb forcimin e murit t\u00eb barkut.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tKirurgjia e hemorroideve<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

What is hemorrhoid surgery?<\/strong><\/p>

Sot studimet teknologjike dhe mjek\u00ebsore kan\u00eb v\u00ebn\u00eb n\u00eb dispozicion nj\u00eb trajtim kirurgjik alternativ miq\u00ebsor p\u00ebr pacient\u00ebt p\u00ebr hemorroidet:\u00a0 procedura e THD\u00ae Doppler<\/strong><\/em><\/p>

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Metoda Doppler \u00ebsht\u00eb nj\u00eb teknik\u00eb e avancuar kirurgjikale p\u00ebr trajtimin e hemorroideve, p\u00ebrfitimi kryesor i s\u00eb cil\u00ebs \u00ebsht\u00eb ruajtja e anatomis\u00eb anorektale pa hequr hemorroidet.<\/p>

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Gjat\u00eb k\u00ebsaj procedure, kirurgu kolorektal lidh en\u00ebt q\u00eb sjellin gjakun arterial n\u00eb hemorroide, duke reduktuar rrjedhjen e tep\u00ebrt t\u00eb gjakut. Kjo lidhje ndodh n\u00eb nj\u00eb zon\u00eb m\u00eb pak t\u00eb ndjeshme ndaj dhimbjes dhe m\u00eb pas pasohet nga ripozicionimi i hemorroideve t\u00eb prolapsuara n\u00eb vendin e tyre origjinal.<\/p>

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Rezultatet e arritura duke p\u00ebrdorur metod\u00ebn Doppler kan\u00eb \u00e7uar n\u00eb nj\u00eb num\u00ebr n\u00eb rritje t\u00eb kirurg\u00ebve q\u00eb ofrojn\u00eb THD p\u00ebr nj\u00eb num\u00ebr n\u00eb rritje pacient\u00ebsh.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tKirurgji p\u00ebr heqjen e apendiksit (apendektomia)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Testet dhe procedurat e p\u00ebrdorura p\u00ebr t\u00eb diagnostikuar apendicitin p\u00ebrfshijn\u00eb:<\/u><\/strong><\/p>

Nj\u00eb ekzaminim fizik p\u00ebr t\u00eb vler\u00ebsuar dhimbjen tuaj. Mjeku juaj mund t\u00eb ushtroj\u00eb presion t\u00eb leht\u00eb n\u00eb zon\u00ebn e dhimbshme. Kur presioni lirohet papritur, dhimbja e apendicitit shpesh do t\u00eb intensifikohet dhe rritet, duke sinjalizuar se peritoneumi ngjitur \u00ebsht\u00eb i p\u00ebrflakur.<\/p>

Mjeku juaj mund t\u00eb k\u00ebrkoj\u00eb gjithashtu ngurt\u00ebsi t\u00eb barkut dhe nj\u00eb tendenc\u00eb q\u00eb ju t\u00eb ngurt\u00ebsoni muskujt e barkut n\u00eb p\u00ebrgjigje t\u00eb presionit mbi apendiksin e p\u00ebrflakur (mbrojt\u00ebs).<\/p>

Mjeku juaj mund t\u00eb p\u00ebrdor\u00eb nj\u00eb gisht t\u00eb lubrifikuar me doreza p\u00ebr t\u00eb ekzaminuar rektumin tuaj t\u00eb posht\u00ebm (ekzaminimi dixhital rektal). Grat\u00eb n\u00eb mosh\u00eb riprodhuese mund t'i n\u00ebnshtrohen nj\u00eb ekzaminimi t\u00eb legenit p\u00ebr t\u00eb kontrolluar p\u00ebr probleme t\u00eb mundshme gjinekologjike q\u00eb mund t\u00eb shkaktojn\u00eb dhimbje.<\/p>

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Testi i gjakut. Kjo i lejon mjekut tuaj t\u00eb kontrolloj\u00eb p\u00ebr nj\u00eb num\u00ebr t\u00eb lart\u00eb t\u00eb qelizave t\u00eb bardha t\u00eb gjakut, q\u00eb mund t\u00eb tregoj\u00eb nj\u00eb infeksion.<\/p>

Testi i urin\u00ebs. Mjeku juaj mund t\u00eb d\u00ebshiroj\u00eb q\u00eb ju t\u00eb b\u00ebni nj\u00eb analiz\u00eb t\u00eb urin\u00ebs p\u00ebr t'u siguruar q\u00eb nj\u00eb infeksion i traktit urinar ose nj\u00eb gur n\u00eb veshka nuk po shkakton dhimbjen tuaj.<\/p>

Testet imazherike. Mjeku juaj mund t\u00eb rekomandoj\u00eb gjithashtu nj\u00eb radiografi t\u00eb barkut, nj\u00eb ultratinguj abdominal, skanim t\u00eb tomografis\u00eb s\u00eb kompjuterizuar (CT) ose imazhe me rezonanc\u00eb magnetike (MRI) p\u00ebr t\u00eb ndihmuar n\u00eb konfirmimin e apendiksit ose gjetjen e shkaqeve t\u00eb tjera p\u00ebr dhimbjen tuaj.<\/p>

Kirurgji p\u00ebr heqjen e apendiksit (apendektomia)<\/u><\/strong><\/p>

Apendektomia mund t\u00eb kryhet si operacion i hapur duke p\u00ebrdorur nj\u00eb prerje abdominale rreth 2 deri n\u00eb 4 in\u00e7 (5 deri n\u00eb 10 centimetra) t\u00eb gjat\u00eb (laparotomi). Ose operacioni mund t\u00eb b\u00ebhet p\u00ebrmes disa prerjeve t\u00eb vogla t\u00eb barkut (kirurgji laparoskopike). Gjat\u00eb nj\u00eb apendektomie laparoskopike, kirurgu fut mjete speciale kirurgjikale dhe nj\u00eb videokamer\u00eb n\u00eb bark p\u00ebr t\u00eb hequr apendiksin tuaj.<\/p>

N\u00eb p\u00ebrgjith\u00ebsi, kirurgjia laparoskopike ju lejon t\u00eb rikuperoni m\u00eb shpejt dhe t\u00eb sh\u00ebroheni me m\u00eb pak dhimbje dhe dh\u00ebmb\u00ebza. Mund t\u00eb jet\u00eb m\u00eb mir\u00eb p\u00ebr t\u00eb moshuarit dhe njer\u00ebzit me obezitet.<\/p>

Por kirurgjia laparoskopike nuk \u00ebsht\u00eb e p\u00ebrshtatshme p\u00ebr t\u00eb gjith\u00eb. N\u00ebse apendiksi juaj \u00ebsht\u00eb \u00e7ar\u00eb dhe infeksioni \u00ebsht\u00eb p\u00ebrhapur p\u00ebrtej apendiksit ose keni nj\u00eb absces, mund t'ju duhet nj\u00eb apendektomi e hapur, e cila lejon kirurgun tuaj t\u00eb pastroj\u00eb zgavr\u00ebn e barkut.<\/p>

Prisni t\u00eb kaloni nj\u00eb ose dy dit\u00eb n\u00eb spital pas apendektomis\u00eb suaj.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tA do t\u00eb m\u00eb duhet kirurgji p\u00ebr nj\u00eb kist pilonidal?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

N\u00ebse keni nj\u00eb kist pilonidal kronik ose \u00ebsht\u00eb p\u00ebrkeq\u00ebsuar dhe ka formuar nj\u00eb zgav\u00ebr sinusi n\u00ebn l\u00ebkur\u00eb, \u00ebsht\u00eb nj\u00eb rast serioz dhe mund t'ju duhet kirurgji p\u00ebr t\u00eb hequr (hequr) plot\u00ebsisht kistin. Pas k\u00ebsaj, kirurgu mund ta l\u00ebr\u00eb plag\u00ebn t\u00eb hapur\n(duke futur garz\u00eb) ose mbyllni plag\u00ebn me sutura ose me l\u00ebkur\u00eb t\u00eb marr\u00eb nga nj\u00eb pjes\u00eb e sh\u00ebndetshme e trupit tuaj).\nSa her\u00eb q\u00eb keni nj\u00eb operacion, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb kujdeseni mir\u00eb p\u00ebr plag\u00ebn tuaj n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb mos infektohet. Kirurgu juaj do t'ju tregoj\u00eb se si ta mbani plag\u00ebn t\u00eb past\u00ebr (duke p\u00ebrfshir\u00eb rruajtjen\n \nzona) dhe sa koh\u00eb duhet ta mbani t\u00eb mbuluar. Ata gjithashtu do t'ju thon\u00eb\nshenjat paralajm\u00ebruese t\u00eb infeksionit dhe kur t\u00eb telefononi ofruesin tuaj.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tSi trajtohet kruarja anale?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Trajtimi p\u00ebr kruarjen e anusit zakonisht fokusohet fillimisht n\u00eb vendosjen e higjien\u00ebs s\u00eb mir\u00eb anale. Pastroni t\u00ebr\u00ebsisht anusin tuaj pas derdhjes, thani zon\u00ebn dhe aplikoni pluhur talk pa mjekim.<\/p>

N\u00ebse keni pruritis ani dyt\u00ebsor, trajtimi juaj varet nga shkaku specifik.<\/p>

Trajtimet mund t\u00eb p\u00ebrfshijn\u00eb:<\/p>

Antibiotik\u00ebt dhe ila\u00e7et antifungale<\/u><\/strong><\/p>

Ofruesi juaj i kujdesit sh\u00ebndet\u00ebsor mund t\u00eb p\u00ebrshkruaj\u00eb antibiotik\u00eb ose medikamente antifungale n\u00ebse dyshojn\u00eb se nj\u00eb infeksion po shkakton kruarjen e anusit tuaj.<\/p>

Shmangni disa ushqime dhe pije<\/u><\/strong><\/p>

Produktet e qum\u00ebshtit, pijet e gazuara, pijet me kafein\u00eb dhe ushqimet acidike ose pikante mund t\u00eb shkaktojn\u00eb kruajtje anale. \u00cbsht\u00eb m\u00eb mir\u00eb t\u00eb mos shmangni t\u00eb gjitha k\u00ebto ushqime dhe pije n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb. Heqja graduale e nj\u00eb prej k\u00ebtyre artikujve \u00e7do disa dit\u00eb mund t'ju ndihmoj\u00eb t\u00eb p\u00ebrcaktoni se cili ushqim ose pije po shkakton kruarjen e anusit tuaj.<\/p>

Vishni t\u00eb brendshme pambuku<\/u><\/strong><\/p>

T\u00eb brendshmet e pambukut thithin lag\u00ebshtin\u00eb. Sigurohuni q\u00eb t\u00eb brendshmet tuaja t\u00eb p\u00ebrshtaten si\u00e7 duhet dhe nd\u00ebrrojini ato shpesh. P\u00ebrdorni detergjent\u00eb pa arom\u00eb p\u00ebr t\u00eb lar\u00eb t\u00eb brendshmet tuaja.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\u00c7arje anale <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Trajtimet jokirurgjikale<\/u><\/strong><\/p>

Mjeku juaj mund t\u00eb rekomandoj\u00eb:<\/p>

Nitroglicerin\u00eb e aplikuar nga jasht\u00eb (Rectiv), p\u00ebr t\u00eb ndihmuar n\u00eb rritjen e rrjedhjes s\u00eb gjakut n\u00eb \u00e7arje dhe p\u00ebr t\u00eb nxitur sh\u00ebrimin dhe p\u00ebr t\u00eb ndihmuar n\u00eb relaksimin e sfinkterit anal. Nitroglicerina p\u00ebrgjith\u00ebsisht konsiderohet trajtimi mjek\u00ebsor i zgjedhur kur masat e tjera konservatore d\u00ebshtojn\u00eb. Efektet an\u00ebsore mund t\u00eb p\u00ebrfshijn\u00eb dhimbje koke, e cila mund t\u00eb jet\u00eb e r\u00ebnd\u00eb.<\/p>

Kremrat anestezik\u00eb lokal\u00eb si lidokaina hidroklorur (Xylocaine) mund t\u00eb jen\u00eb t\u00eb dobishme p\u00ebr leht\u00ebsimin e dhimbjes.<\/p>

Injeksioni i toksin\u00ebs botulinum t\u00eb tipit A (Botox), paralizon muskulin e sfinkterit anal dhe relakson spazmat.<\/p>

Medikamentet p\u00ebr presionin e gjakut, t\u00eb tilla si nifedipina orale (Procardia) ose diltiazem (Cardizem) mund t\u00eb ndihmojn\u00eb n\u00eb relaksimin e sfinkterit anal. K\u00ebto medikamente mund t\u00eb merren nga goja ose t\u00eb aplikohen nga jasht\u00eb dhe mund t\u00eb p\u00ebrdoren kur nitroglicerina nuk \u00ebsht\u00eb efektive ose shkakton efekte an\u00ebsore t\u00eb r\u00ebnd\u00ebsishme.<\/p>

Kirurgjia:<\/u><\/strong><\/p>

N\u00ebse keni nj\u00eb \u00e7arje kronike anale q\u00eb \u00ebsht\u00eb rezistente ndaj trajtimeve t\u00eb tjera, ose n\u00ebse simptomat tuaja jan\u00eb t\u00eb r\u00ebnda, mjeku juaj mund t\u00eb rekomandoj\u00eb kirurgji. Mjek\u00ebt zakonisht kryejn\u00eb nj\u00eb procedur\u00eb t\u00eb quajtur sfinkterotomi e brendshme an\u00ebsore (LIS), e cila p\u00ebrfshin prerjen e nj\u00eb pjese t\u00eb vog\u00ebl t\u00eb muskulit t\u00eb sfinkterit anal p\u00ebr t\u00eb reduktuar spazm\u00ebn dhe dhimbjen dhe p\u00ebr t\u00eb nxitur sh\u00ebrimin.<\/p>

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Studimet kan\u00eb zbuluar se p\u00ebr \u00e7arjen kronike, operacioni \u00ebsht\u00eb shum\u00eb m\u00eb efektiv se \u00e7do trajtim mjek\u00ebsor. Megjithat\u00eb, operacioni ka nj\u00eb rrezik t\u00eb vog\u00ebl p\u00ebr t\u00eb shkaktuar mosmbajtjeje.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tFistula anale<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Cilat jan\u00eb trajtimet p\u00ebr fistul\u00ebn anale?<\/u><\/strong><\/p>

Kirurgjia \u00ebsht\u00eb pothuajse gjithmon\u00eb e nevojshme p\u00ebr t\u00eb kuruar nj\u00eb fistul\u00eb anale. Operacioni kryhet nga kirurg i zorr\u00ebs s\u00eb trash\u00eb dhe rektalit. Q\u00ebllimi i operacionit \u00ebsht\u00eb nj\u00eb ekuilib\u00ebr midis heqjes s\u00eb fistul\u00ebs duke mbrojtur muskujt e sfinkterit anal, i cili mund t\u00eb shkaktoj\u00eb mosmbajtje n\u00ebse d\u00ebmtohet.<\/p>

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Fistulat n\u00eb t\u00eb cilat nuk ka ose ka pak muskul sfinkter t\u00eb p\u00ebrfshir\u00eb trajtohen me nj\u00eb fistulotomi. N\u00eb k\u00ebt\u00eb procedur\u00eb, l\u00ebkura dhe muskujt mbi tunel priten p\u00ebr ta kthyer at\u00eb nga nj\u00eb tunel n\u00eb nj\u00eb brazd\u00eb t\u00eb hapur. Kjo lejon q\u00eb trakti i fistul\u00ebs t\u00eb sh\u00ebrohet nga posht\u00eb lart.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tCilat jan\u00eb trajtimet e fistul\u00ebs rektovaginale?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Fistula t\u00eb vogla rektovaginale mund t\u00eb sh\u00ebrohen vet\u00eb me kalimin e koh\u00ebs. Ju mund t\u00eb keni nevoj\u00eb p\u00ebr antibiotik\u00eb p\u00ebr infeksione ose medikamente p\u00ebr IBD.<\/p>

Shumica e njer\u00ebzve me fistula rektovaginale kan\u00eb nevoj\u00eb p\u00ebr kirurgji p\u00ebr t\u00eb mbyllur hapjen. Ofruesi juaj i kujdesit sh\u00ebndet\u00ebsor mund t\u00eb p\u00ebrdor\u00eb indet tuaja ose indet e b\u00ebra n\u00eb laborator p\u00ebr t\u00eb riparuar nj\u00eb fistul\u00eb rektovaginale. Rreth 9 n\u00eb 10 njer\u00ebz sh\u00ebrohen plot\u00ebsisht pas operacionit.<\/p>

N\u00ebse hapja \u00ebsht\u00eb e madhe, mund t'ju duhet nj\u00eb kolostomi e p\u00ebrkohshme. Kjo procedur\u00eb e largon jasht\u00ebqitjen nga zorra e trash\u00eb dhe rektumi derisa t\u00eb sh\u00ebrohet fistula. Jasht\u00ebqitja largohet nga trupi juaj p\u00ebrmes nj\u00eb hapjeje kirurgjikale n\u00eb bark t\u00eb quajtur stoma. Mblidhet n\u00eb nj\u00eb qese q\u00eb e nd\u00ebrroni rregullisht. Do t'ju duhet nj\u00eb operacion tjet\u00ebr m\u00eb von\u00eb p\u00ebr t\u00eb rilidhur zorr\u00ebt dhe p\u00ebr t\u00eb mbyllur stom\u00ebn.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tProlapsi rektal <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Si ta rregulloni prolapsin rektal?<\/strong><\/p>

Ka disa qasje kirurgjikale p\u00ebr t\u00eb rregulluar prolapsin rektal. Cila procedur\u00eb do t\u00eb varet nga specifikat e gjendjes suaj. P\u00ebr t\u00eb rriturit p\u00ebrgjith\u00ebsisht t\u00eb sh\u00ebndetsh\u00ebm, zgjedhja e par\u00eb \u00ebsht\u00eb zakonisht rektopeksia, e cila \u00ebsht\u00eb nj\u00eb procedur\u00eb p\u00ebr t\u00eb riparuar rektumin tuaj p\u00ebrmes barkut. Megjithat\u00eb, disa njer\u00ebz mund t\u00eb mos jen\u00eb kandidat\u00eb t\u00eb mir\u00eb p\u00ebr kirurgji abdominale. N\u00eb k\u00ebto raste, operacioni rektal \u00ebsht\u00eb nj\u00eb tjet\u00ebr mund\u00ebsi.<\/p>

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Qasja abdominale (rektopeksia)<\/p>

Kjo procedur\u00eb e rikthen rektumin n\u00eb pozicionin e tij origjinal n\u00eb legen. Kirurgu juaj do t\u00eb bashkoj\u00eb rektumin tuaj n\u00eb murin e pasm\u00eb t\u00eb legenit tuaj (sacrum tuaj) me qepje t\u00eb p\u00ebrhershme. Ata gjithashtu mund ta p\u00ebrforcojn\u00eb at\u00eb me rrjet\u00eb. K\u00ebto do ta mbajn\u00eb rektumin tuaj n\u00eb vend aq gjat\u00eb sa t\u00eb zhvillohet indi mbres\u00eb, i cili do ta mbaj\u00eb at\u00eb n\u00eb vend pas k\u00ebsaj. Rektopeksia ka nj\u00eb shkall\u00eb suksesi afatgjat\u00eb prej 97% n\u00eb rregullimin e prolapsit rektal.<\/p>

N\u00eb var\u00ebsi t\u00eb gjykimit dhe p\u00ebrvoj\u00ebs s\u00eb kirurgut tuaj, ju mund t\u00eb kryeni rektopeksin\u00eb tuaj ose me operacion t\u00eb hapur abdominal ose me kirurgji minimalisht invazive. Kirurgjia e hapur n\u00ebnkupton hapjen e zgavr\u00ebs s\u00eb barkut p\u00ebr t\u00eb hyr\u00eb n\u00eb organet tuaja. Kirurgjia minimale invazive b\u00ebhet p\u00ebrmes prerjeve t\u00eb vogla me \"vrima \u00e7el\u00ebsi\", duke p\u00ebrdorur nj\u00eb kamer\u00eb t\u00eb vog\u00ebl dhe ndonj\u00ebher\u00eb b\u00ebhet me p\u00ebrdorimin e nj\u00eb roboti kirurgjik. T\u00eb dyja procedurat kryhen n\u00ebn anestezi t\u00eb p\u00ebrgjithshme.<\/p>

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N\u00ebse keni pasur nj\u00eb histori t\u00eb kapsll\u00ebkut kronik dhe n\u00ebse ky ishte nj\u00eb faktor kontribues n\u00eb prolapsin tuaj t\u00eb rektumit, kirurgu juaj mund t\u00eb sugjeroj\u00eb nj\u00eb rezeksion t\u00eb pjessh\u00ebm t\u00eb zorr\u00ebve n\u00eb koh\u00ebn e rektopeksis\u00eb suaj. Kjo do t\u00eb thot\u00eb t\u00eb hiqni nj\u00eb pjes\u00eb t\u00eb zorr\u00ebs s\u00eb trash\u00eb. Kirurgu juaj mund t\u00eb identifikoj\u00eb pjes\u00ebn e zorr\u00ebs s\u00eb trash\u00eb ku priren t\u00eb shfaqen v\u00ebshtir\u00ebsi me kapsll\u00ebk. Heqja e seksionit problematik shpesh p\u00ebrmir\u00ebson funksionin e zorr\u00ebve m\u00eb pas.<\/p>

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Qasja rektale (perineale)<\/p>

N\u00ebse operacioni abdominal nuk \u00ebsht\u00eb nj\u00eb opsion ideal p\u00ebr ju, kirurgu juaj mund t'i afrohet prolapsit t\u00eb rektumit p\u00ebrmes anusit tuaj. Kirurgjia rektale nuk k\u00ebrkon gjithmon\u00eb anestezi t\u00eb p\u00ebrgjithshme si\u00e7 k\u00ebrkon kirurgjia abdominale. Disa njer\u00ebz mund ta ken\u00eb me anestezi epidurale. Qasja rektale ose \"perineale\" mund t\u00eb jet\u00eb gjithashtu nj\u00eb zgjedhje m\u00eb e mir\u00eb n\u00ebse keni nj\u00eb prolaps shum\u00eb t\u00eb vog\u00ebl, ose n\u00ebse rektumi juaj \u00ebsht\u00eb i mb\u00ebrthyer nga jasht\u00eb (i burgosur). Ekzistojn\u00eb dy procedura t\u00eb zakonshme:<\/p>

Procedura Altemeier. N\u00eb k\u00ebt\u00eb procedur\u00eb, kirurgu juaj t\u00ebrheq rektumin e prolapsuar p\u00ebrmes anusit dhe e heq at\u00eb. Ata gjithashtu mund t\u00eb heqin pjes\u00ebn e poshtme t\u00eb zorr\u00ebs s\u00eb trash\u00eb (kolon sigmoid) n\u00ebse \u00ebsht\u00eb i p\u00ebrfshir\u00eb n\u00eb prolaps (proctosigmoidectomy). Pastaj ata qepin dy skajet e zorr\u00ebve tuaja t\u00eb m\u00ebdha (kolon\u00ebn e mbetur dhe anusin) p\u00ebrs\u00ebri s\u00eb bashku. Fundi i ri i zorr\u00ebs s\u00eb trash\u00eb tani b\u00ebhet rektumi juaj i ri.<\/p>

Kjo procedur\u00eb \u00ebsht\u00eb m\u00eb pak invazive sesa operacioni i hapur abdominal dhe m\u00eb i leht\u00eb p\u00ebr t'u rikuperuar, por disavantazhi i saj \u00ebsht\u00eb se prolapsi mund t\u00eb p\u00ebrs\u00ebritet m\u00eb pas. Nj\u00eb arsye \u00ebsht\u00eb se rektumi i ri i b\u00ebr\u00eb nga zorra e trash\u00eb nuk \u00ebsht\u00eb aq i fort\u00eb sa ishte rektumi juaj origjinal. P\u00ebr shkak t\u00eb k\u00ebsaj, disa kirurg\u00eb kombinojn\u00eb procedur\u00ebn altemeier me nj\u00eb \"levatoroplastik\u00eb\" - duke shtr\u00ebnguar muskujt e legenit duke i qepur m\u00eb af\u00ebr nj\u00ebri-tjetrit.<\/p>

Procedura Delorme. N\u00ebse keni vet\u00ebm nj\u00eb prolaps t\u00eb mukoz\u00ebs, ose nj\u00eb prolaps t\u00eb vog\u00ebl t\u00eb jasht\u00ebm, kirurgu juaj mund t\u00eb zgjedh\u00eb nj\u00eb procedur\u00eb m\u00eb t\u00eb vog\u00ebl. Procedura Delorme heq vet\u00ebm rreshtimin e mukoz\u00ebs s\u00eb prolapsuar t\u00eb rektumit tuaj. Kirurgu juaj m\u00eb pas palos murin muskulor t\u00eb rektumit n\u00eb vetvete dhe e qep at\u00eb s\u00eb bashku brenda kanalit tuaj anal. Muri i dyfisht\u00eb i muskujve ndihmon n\u00eb p\u00ebrforcimin e rektumit.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tSi trajtohet rektocela?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Rektoceli i but\u00eb mund t\u00eb menaxhohet me ushtrime t\u00eb dyshemes\u00eb s\u00eb legenit p\u00ebr t\u00eb forcuar muskujt e dyshemes\u00eb s\u00eb legenit. Ofruesi juaj i kujdesit sh\u00ebndet\u00ebsor mund t\u00eb rekomandoj\u00eb gjithashtu nj\u00eb pessar. Pesari vaginal \u00ebsht\u00eb nj\u00eb pajisje e l\u00ebvizshme e futur n\u00eb vagin\u00eb tuaj p\u00ebr t\u00eb mb\u00ebshtetur organet e prolapsuara.<\/p>

Me prolaps t\u00eb moderuar deri n\u00eb m\u00eb t\u00eb r\u00ebnd\u00eb, ofruesi juaj i kujdesit sh\u00ebndet\u00ebsor mund t\u00eb rekomandoj\u00eb kirurgji p\u00ebr t\u00eb riparuar rektocel\u00ebn. Ju mund t\u00eb diskutoni sa m\u00eb posht\u00eb me ofruesin tuaj p\u00ebr t\u00eb p\u00ebrcaktuar procedur\u00ebn e duhur:<\/p>

Mosha juaj dhe sh\u00ebndeti i p\u00ebrgjithsh\u00ebm.<\/p>

Shkalla e prolapsit tuaj.<\/p>

D\u00ebshira juaj p\u00ebr shtatz\u00ebnit\u00eb e ardhshme.<\/p>

D\u00ebshira juaj p\u00ebr t\u00eb vazhduar marr\u00ebdh\u00ebnien (nj\u00eb operacion p\u00ebr POP i quajtur colpocleisis mbyll hapjen e vagin\u00ebs).<\/p>

A surgical procedure called posterior colporrhaphy is commonly used to repair rectoceles. During the procedure, your provider removes damaged tissue that’s no longer supporting your pelvic organs and sutures the healthy tissue together for added support.<\/p>

Shpesh, ofruesi juaj kryen operacione rektocele p\u00ebrmes vagin\u00ebs suaj, nj\u00eb qasje q\u00eb nuk l\u00eb shenja.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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