{"id":4270,"date":"2022-09-12T11:43:55","date_gmt":"2022-09-12T11:43:55","guid":{"rendered":"https:\/\/onehospital.mk\/?page_id=4270"},"modified":"2022-09-23T11:16:47","modified_gmt":"2022-09-23T11:16:47","slug":"orthopedics","status":"publish","type":"page","link":"https:\/\/onehospital.mk\/sq\/orthopedics\/","title":{"rendered":"Ortopedia"},"content":{"rendered":"
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\n\t\t\t\t\t\tNd\u00ebrhyrjet ortopedike\t\t\t\t\t<\/h2>\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<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\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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\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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Procedurat dhe nd\u00ebrhyrjet<\/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\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 APLIKOHET TRAJTIMI I SINDROM\u00cbS S\u00cb TUNELIT KARPAL?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Para s\u00eb gjithash, \u00ebsht\u00eb e nevojshme t\u00eb shmangni pun\u00ebt q\u00eb detyrojn\u00eb duart dhe ky\u00e7et e duarve dhe t\u00eb mos b\u00ebni tendosje t\u00eb tep\u00ebrt. Njer\u00ebzit q\u00eb p\u00ebrdorin duart dhe gishtat p\u00ebr arsye profesionale nuk duhet t'i mbajn\u00eb ky\u00e7et e tyre t\u00eb p\u00ebrkulura gjat\u00eb gjith\u00eb koh\u00ebs. Megjithat\u00eb, muskujt duhet t\u00eb forcohen duke b\u00ebr\u00eb ushtrime q\u00eb forcojn\u00eb dor\u00ebn, ky\u00e7in e dor\u00ebs dhe gishtat. Mos l\u00ebnia e pal\u00ebvizshme e k\u00ebtyre zonave \u00ebsht\u00eb pika m\u00eb e r\u00ebnd\u00ebsishme n\u00eb mbrojtje.<\/p>

N\u00eb trajtimin e sindrom\u00ebs s\u00eb tunelit t\u00eb ky\u00e7it t\u00eb dor\u00ebs, \u00ebsht\u00eb e dobishme p\u00ebrdorimi i qet\u00ebsuesve rajonal\u00eb t\u00eb dhimbjes dhe xheleve q\u00eb leht\u00ebsojn\u00eb edem\u00ebn. Megjithat\u00eb, nyjet e ky\u00e7it t\u00eb dor\u00ebs p\u00ebr t'u p\u00ebrdorur vet\u00ebm gjat\u00eb nat\u00ebs dhe injeksionet e kortikosteroideve rreth nervit ofrojn\u00eb trajtim jasht\u00ebzakonisht t\u00eb sigurt dhe efektiv. N\u00eb pacient\u00ebt, ankesat e t\u00eb cil\u00ebve p\u00ebr dhimbje dhe dob\u00ebsi vazhdojn\u00eb pavar\u00ebsisht mjekimeve dhe trajtimeve t\u00eb tjera, ose n\u00eb t\u00eb cilat ata kan\u00eb avancuar, \u00ebsht\u00eb e mundur t\u00eb arrihet sh\u00ebrim i plot\u00eb me nj\u00eb operacion t\u00eb vog\u00ebl q\u00eb zgjat rreth 15 minuta n\u00ebn anestezi t\u00eb thjesht\u00eb dhe lokale. Pas dy jav\u00ebsh pushim duarsh, pacient\u00ebt kthehen n\u00eb jet\u00ebn e tyre normale t\u00eb p\u00ebrditshme.<\/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\tLIGAMENTOPLASTIA\u00a0\u00a0<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

\u00c7far\u00eb \u00ebsht\u00eb ligamentoplastika?<\/p>

Operacioni konsiston n\u00eb mbledhjen dhe m\u00eb pas shartimin e ligamentit nga trupi juaj. Faza e par\u00eb e procedur\u00ebs konsiston n\u00eb mbledhjen e nj\u00eb ligamenti t\u00eb sh\u00ebndetsh\u00ebm, i cili do t\u00eb z\u00ebvend\u00ebsoj\u00eb ligamentin e k\u00ebputur. Ligamentet m\u00eb t\u00eb p\u00ebrdorura jan\u00eb tendoni flexor i gjurit, tendoni patellar dhe tendoni i gjurit.<\/p>

P\u00ebrdorimi i materialeve sintetike rekomandohet vet\u00ebm n\u00ebse ligamenti k\u00ebputet p\u00ebrs\u00ebri. Operacioni zakonisht nuk zgjat m\u00eb shum\u00eb se 45 minuta dhe \u00ebsht\u00eb nj\u00eb procedur\u00eb artroskopike \u2013 nj\u00eb form\u00eb kirurgjikale minimalisht invazive q\u00eb mund t\u00eb lejoj\u00eb gjithashtu kirurgun t\u00eb zgjidh\u00eb \u00e7\u00ebshtje t\u00eb tjera n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb.<\/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\tArthroskopia e gjurit<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Si kryhet artroskopia e gjurit?<\/p>

B\u00ebhen dy prerje n\u00eb an\u00ebt e kup\u00ebs s\u00eb gjurit. Dimensionet e k\u00ebtyre prerjeve jan\u00eb af\u00ebrsisht gjysm\u00eb centimetri. N\u00ebp\u00ebrmjet prerjes s\u00eb b\u00ebr\u00eb, brenda futet nj\u00eb kamer\u00eb gjysm\u00eb centimetri. Fal\u00eb k\u00ebsaj kamere t\u00eb quajtur artroskop, strukturat n\u00eb nyje pasqyrohen n\u00eb ekranin e dhom\u00ebs s\u00eb operacionit dhe analizohen n\u00eb detaje. K\u00ebshtu, zbulohen me sakt\u00ebsi strukturat problematike, t\u00eb d\u00ebmtuara ose t\u00eb d\u00ebmtuara n\u00eb nyje. N\u00ebse \u00ebsht\u00eb e nevojshme, k\u00ebto struktura t\u00eb diagnostikuara mund t\u00eb priten, korrigjohen ose fiksohen me mini-vegla me p\u00ebrmasa disa milimetra duke b\u00ebr\u00eb prerje me madh\u00ebsi jo m\u00eb t\u00eb madhe se 1 centimet\u00ebr. Pas artroskopis\u00eb s\u00eb gjurit, n\u00eb zon\u00ebn e operacionit mund t\u00eb mbeten shenja t\u00eb vogla q\u00eb nuk kalojn\u00eb nj\u00eb centimet\u00ebr. K\u00ebto plag\u00eb nuk jan\u00eb t\u00eb p\u00ebrhershme dhe zhduken brenda disa muajsh.<\/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\tProcedurat e artroskopis\u00eb s\u00eb shpatullave<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

\u00a0<\/p>

Kirurgu juaj mund t\u00eb injektoj\u00eb l\u00ebng n\u00eb shpatull p\u00ebr t\u00eb fryr\u00eb ky\u00e7in. Kjo e b\u00ebn m\u00eb t\u00eb leht\u00eb p\u00ebr t\u00eb par\u00eb t\u00eb gjitha strukturat e shpatull\u00ebs suaj p\u00ebrmes artroskopit. M\u00eb pas kirurgu juaj do t\u00eb b\u00ebj\u00eb nj\u00eb bir\u00eb t\u00eb vog\u00ebl n\u00eb shpatull\u00ebn tuaj (rreth madh\u00ebsis\u00eb s\u00eb nj\u00eb vrime butoni) p\u00ebr artroskopin. L\u00ebngu rrjedh n\u00ebp\u00ebr artroskop p\u00ebr t\u00eb mbajtur pamjen e qart\u00eb dhe p\u00ebr t\u00eb kontrolluar \u00e7do gjakderdhje. Imazhet nga artroskopi projektohen n\u00eb ekranin e videos duke treguar kirurgun tuaj pjes\u00ebn e brendshme t\u00eb shpatull\u00ebs suaj dhe \u00e7do d\u00ebmtim.<\/p>

Pasi problemi t\u00eb identifikohet qart\u00eb, kirurgu juaj do t\u00eb fus\u00eb instrumente t\u00eb tjera t\u00eb vogla p\u00ebrmes prerjeve t\u00eb ve\u00e7anta p\u00ebr ta trajtuar at\u00eb. Instrumentet e specializuara p\u00ebrdoren p\u00ebr detyra si rruajtja, prerja, kapja, kalimi i qepjeve dhe lidhja e nyjeve. N\u00eb shum\u00eb raste, pajisje speciale p\u00ebrdoren p\u00ebr t\u00eb ankoruar qepjet n\u00eb kock\u00eb.<\/p>

\u00a0<\/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\tArthroskopia e ky\u00e7it t\u00eb k\u00ebmb\u00ebs<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Cilat s\u00ebmundje mund t\u00eb trajtohen me artroskopin\u00eb e ky\u00e7it t\u00eb k\u00ebmb\u00ebs?<\/strong><\/p>

\u00a0<\/p>

Ankesat p\u00ebr dhimbje, \u00ebnjtje dhe kufizim n\u00eb l\u00ebvizje, t\u00eb cilat shpesh ndodhin pas ndrydhjes s\u00eb ky\u00e7it t\u00eb k\u00ebmb\u00ebs dhe nuk largohen me gjith\u00eb trajtimin afatgjat\u00eb, ndodhin si pasoj\u00eb e d\u00ebmtimeve t\u00eb k\u00ebrcit dhe ngjeshjes s\u00eb indeve t\u00eb buta, q\u00eb jan\u00eb patologjit\u00eb m\u00eb t\u00eb shpeshta. K\u00ebto patologji t\u00eb k\u00ebrcit dhe indeve t\u00eb buta trajtohen me sukses me ndihm\u00ebn e artroskopis\u00eb s\u00eb ky\u00e7it t\u00eb k\u00ebmb\u00ebs. N\u00eb s\u00ebmundjet reumatizmale, n\u00eb rastet me hemofili dhe gjakderdhje t\u00eb ngjashme intra-artikulare, sinoviti, i cili shfaqet kur indet sinoviale n\u00eb nyje rriten, duke mbushur ky\u00e7in e k\u00ebmb\u00ebs dhe duke shkaktuar \u00ebnjtje, mund t\u00eb trajtohet n\u00eb m\u00ebnyr\u00eb artroskopike. Heqja e tumoreve t\u00eb rralla intra-artikulare kryhet gjithashtu me sukses n\u00eb m\u00ebnyr\u00eb artroskopike.<\/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\tKist i Baker-it (Kist popliteal)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Trajtimi kirurgjik:<\/strong><\/p>

Trajtimi kirurgjik p\u00ebr kistin e Baker-it nevojitet rrall\u00eb. Megjithat\u00eb, mund t\u00eb rekomandohet n\u00ebse keni simptoma t\u00eb dhimbshme q\u00eb nuk leht\u00ebsohen me trajtim jokirurgjikal ose n\u00ebse kisti juaj kthehet n\u00eb m\u00ebnyr\u00eb t\u00eb p\u00ebrs\u00ebritur pas aspirimit.<\/p>

Artroskopia. N\u00eb k\u00ebt\u00eb procedur\u00eb, mjeku juaj b\u00ebn prerje t\u00eb vogla n\u00ebn anestezi, m\u00eb pas fut nj\u00eb kamer\u00eb t\u00eb vog\u00ebl t\u00eb quajtur artroskop n\u00eb nyjen e gjurit. Kamera shfaq imazhe n\u00eb nj\u00eb ekran video dhe mjeku juaj i p\u00ebrdor k\u00ebto imazhe p\u00ebr t\u00eb drejtuar instrumentet miniatur\u00eb kirurgjikale.<\/p>

Artroskopia p\u00ebrdoret p\u00ebr t\u00eb trajtuar gjendjet brenda gjurit, t\u00eb tilla si \u00e7arjet e meniskut, q\u00eb mund t\u00eb shkaktojn\u00eb kist t\u00eb Baker.<\/p>

Ekcizioni. P\u00ebr cistat e m\u00ebdha ose ato q\u00eb shkaktojn\u00eb probleme nervore dhe vaskulare, mjeku juaj mund t\u00eb kryej\u00eb nj\u00eb procedur\u00eb t\u00eb hapur kirurgjikale p\u00ebr t\u00eb hequr (hequr) t\u00eb gjith\u00eb kistin.<\/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\tTumoret beninje t\u00eb indeve t\u00eb buta<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Tumoret beninje t\u00eb indeve t\u00eb buta jan\u00eb m\u00eb t\u00eb zakonshme se tumoret beninje t\u00eb kockave. Ato mund t\u00eb ndodhin pothuajse n\u00eb \u00e7do vend, si brenda ashtu edhe nd\u00ebrmjet muskujve, ligamenteve, nervave dhe en\u00ebve t\u00eb gjakut. K\u00ebto tumore ndryshojn\u00eb shum\u00eb n\u00eb pamje dhe sjellje. Nd\u00ebr tumoret m\u00eb t\u00eb zakonshme q\u00eb mund t\u00eb klasifikohen si tumore beninje t\u00eb indeve t\u00eb buta jan\u00eb lipoma, angiolipoma, fibroma, histiocitoma fibroze beninje, neurofibroma, schwannoma, neurilemmona, hemangioma, tumori me qeliza gjigante t\u00eb mb\u00ebshtjell\u00ebsit t\u00eb tendinit dhe miksoma. Disa kushte, si fasciiti nodular, nuk jan\u00eb tumore, por mund t\u00eb k\u00ebrkojn\u00eb trajtim t\u00eb ngjash\u00ebm. Nj\u00eb num\u00ebr i vog\u00ebl i k\u00ebtyre tumoreve mund t\u00eb jet\u00eb i lidhur me nj\u00eb gjendje t\u00eb trash\u00ebguar.<\/p>

Cilat jan\u00eb opsionet e mia t\u00eb trajtimit?<\/p>

N\u00eb var\u00ebsi t\u00eb llojit t\u00eb tumorit q\u00eb keni, mjeku juaj mund t\u00eb rekomandoj\u00eb ose jo kirurgji. Tumoret hiqen n\u00eb m\u00ebnyr\u00eb kirurgjikale me q\u00ebllim t\u00eb minimizimit t\u00eb rrezikut p\u00ebr en\u00ebt normale t\u00eb gjakut p\u00ebrreth, nervat, muskujt ose kockat.<\/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\tSinovektomia artroskopike<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Kirurgjia e sinovektomis\u00eb b\u00ebhet p\u00ebr t\u00eb hequr indin e p\u00ebrflakur t\u00eb ky\u00e7it (membran\u00ebn sinoviale) q\u00eb po shkakton dhimbje t\u00eb papranueshme ose po kufizon aft\u00ebsin\u00eb tuaj p\u00ebr t\u00eb funksionuar ose gam\u00ebn tuaj t\u00eb l\u00ebvizjes. Ligamentet dhe strukturat e tjera mund t\u00eb zhvendosen m\u00ebnjan\u00eb p\u00ebr t\u00eb hyr\u00eb dhe hequr rreshtimin e inflamuar t\u00eb ky\u00e7it. Procedura mund t\u00eb kryhet duke p\u00ebrdorur artroskopi.<\/p>

Kirurgjia<\/p>

Sinovektomia mund t\u00eb kryhet ose si nj\u00eb procedur\u00eb e hapur kirurgjikale ose me ndihm\u00ebn e artroskopis\u00eb, n\u00eb t\u00eb cil\u00ebn kirurgu ortoped p\u00ebrdor instrumente t\u00eb vogla, teknologji fiberoptike dhe nj\u00eb kamer\u00eb t\u00eb vog\u00ebl t\u00eb futur p\u00ebrmes prerjeve shum\u00eb t\u00eb vogla n\u00eb l\u00ebkur\u00eb. Fotot e zmadhuara nga kamera projektohen n\u00eb nj\u00eb monitor televiziv n\u00eb paket\u00ebn operative, duke e udh\u00ebhequr kirurgun gjat\u00eb gjith\u00eb procedur\u00ebs.<\/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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<\/div>\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\t\t\t<\/div>\n\t\t<\/section>\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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Caktoni termin tani:<\/h2>\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\n\t\t\t\n\t\t\t\n\n\t\t\t\n\t\t\t
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