D\u00ebmtimi i artereve t\u00eb m\u00ebdha n\u00eb qaf\u00eb, t\u00eb cilat e furnizojn\u00eb trurin me gjak, \u00ebsht\u00eb nj\u00eb nga shkaqet kryesore t\u00eb shfaqjes s\u00eb infarktit n\u00eb tru.\u00a0 Dr. Zharko Hristovski , kardiolog intervent\u00a0 k\u00ebshillon se n\u00eb spitalin klinik \u201cAcibadem Sistina\u201d si n\u00eb asnj\u00eb vend tjet\u00ebr t\u00eb rajonit, ekziston mund\u00ebsia e p\u00ebrqasjes s\u00eb integruar\u00a0 me pjes\u00ebmarrje konsultative t\u00eb shum\u00eb ekspert\u00ebve \u00a0p\u00ebr zgjedhjen e m\u00ebnyr\u00ebs s\u00eb v\u00ebrtet\u00eb dhe t\u00eb duhur t\u00eb vendosjes s\u00eb diagnoz\u00ebs, \u00a0dhe p\u00ebr kryerjen e shqyrtimit t\u00eb plot\u00eb t\u00eb s\u00ebmundjeve t\u00eb tjera shoq\u00ebruese, n\u00eb p\u00ebrputhje me standardet m\u00eb t\u00eb larta bot\u00ebrore, duke ndjekur rekomandimet dhe duke zbatuar trajtimet m\u00eb bashk\u00ebkohore t\u00eb s\u00ebmundjes s\u00eb arterieve karotide.<\/p>\n

Arteroskleroza \u00ebsht\u00eb nj\u00eb s\u00ebmundje e en\u00ebve \u00a0t\u00eb gjakut, muret e brendshme t\u00eb t\u00eb cilave d\u00ebmtohen me kalimin e koh\u00ebs. Muri i tyre trashet, humbet elasticitetin dhe b\u00ebhet i thyesh\u00ebm. Arteroskleroza shkaktohet edhe at\u00ebher\u00eb kur n\u00eb murin \u00a0e artereve \u00a0depozitohen yndyra duke b\u00ebr\u00eb q\u00eb hap\u00ebsira e en\u00ebve t\u00eb gjakut t\u00eb ngushtohet dhe duke shkaktuar \u00e7rregullime serioze t\u00eb qarkullimit t\u00eb gjakut. Pik\u00ebrisht p\u00ebr shkak t\u00eb k\u00ebtyre ndryshimeve, arteroskleroza \u00ebsht\u00eb nj\u00eb nga shkaqet kryesore t\u00eb s\u00ebmundjeve kardiovaskulare ( infarkti n\u00eb zem\u00ebr dhe n\u00eb tru, s\u00ebmundja vaskulare periferike, arteroskleroza e veshkave, etj. ), pik\u00ebrisht k\u00ebto s\u00ebmundje jan\u00eb shkaku m\u00eb i zakonsh\u00ebm i vdekjes n\u00eb jet\u00ebn moderne.<\/p>\n

Kur flasim p\u00ebr infarktin n\u00eb tru dhe shkakun e shfaqjes s\u00eb tij, \u00ebsht\u00eb e pamund\u00ebr t\u00eb mos p\u00ebrmendet s\u00ebmundja e arteries karotide (arteroskleroza) \u2013 d\u00ebmtimi iarterieve t\u00eb m\u00ebdha n\u00eb qaf\u00eb, t\u00eb cilat furnizojn\u00eb trurin me gjak.\u00a0 Nd\u00ebr shkaqet kryesore t\u00eb shfaqjes s\u00eb infarktit n\u00eb tru (rreth 30%) \u00ebsht\u00eb ngushtimi dhe bllokimi i arterieve karotide.\u00a0 Nj\u00eb rol tep\u00ebr t\u00eb r\u00ebnd\u00ebsish\u00ebm p\u00ebr shfaqjen e infarktit n\u00eb tru luajn\u00eb ndryshimet e k\u00ebtyre arterieve n\u00eb pjes\u00ebn e qaf\u00ebs, n\u00eb pjes\u00ebn e ndarjes s\u00eb arteries karotide t\u00eb p\u00ebrbashk\u00ebt, t\u00eb brendshme dhe t\u00eb jashtme.<\/p>\n

P\u00ebrse kardiolog\u00ebt kujdesen ndaj ndryshimeve t\u00eb arterieve karotide?<\/h2>\n

Sikurse p\u00ebrmenda, arteroskleroza \u00ebsht\u00eb s\u00ebmundje, ndryshimet e t\u00eb cil\u00ebs manifestohen n\u00eb pjes\u00eb t\u00eb ndryshme, m\u00eb sakt\u00eb, shum\u00eb shpesh kemi p\u00ebrhapje t\u00eb k\u00ebsaj s\u00ebmundje n\u00eb zona t\u00eb ndryshme. Gjat\u00eb shqyrtimeve t\u00eb en\u00ebve t\u00eb gjakut, t\u00eb cilat e ushqejn\u00eb muskulin e zemr\u00ebs, \u00ebsht\u00eb v\u00ebrejtur nj\u00eb p\u00ebrqindje e lart\u00eb e ngushtimit t\u00eb arterieve koronare dhe arterieve karotide n\u00eb t\u00eb njejt\u00ebn koh\u00eb. N\u00eb k\u00ebt\u00eb rast, mjeku kardiolog, n\u00eb baz\u00eb t\u00eb pamjes klinike dhe rezultatit angiografik duhet t\u00eb p\u00ebrcaktoj\u00eb nj\u00eb strategji p\u00ebrsa i p\u00ebrket trajtimit.\u00a0 M\u00ebnyra e kryerjes s\u00eb angiografis\u00eb t\u00eb arterieve karotide \u00ebsht\u00eb identike me regjistrimin e arterieve koronare, por katetrat e kryerjes s\u00eb regjistrimit t\u00eb en\u00ebve t\u00eb gjakut jan\u00eb t\u00eb projektuara pak m\u00eb ndryshe. Me aplikimin e l\u00ebnd\u00ebs (agjentit) s\u00eb kontrastit i b\u00ebjm\u00eb\u00a0 m\u00eb t\u00eb dukshme en\u00ebt e gjakut, dhe n\u00eb baz\u00eb t\u00eb gjetjes (rezultatit) p\u00ebrcaktojm\u00eb metod\u00ebn e terapis\u00eb. \u00a0M\u00ebnyra tjet\u00ebr p\u00ebr p\u00ebrcaktimin e gjendjes s\u00eb arteries karotide \u00ebsht\u00eb me an\u00eb t\u00eb tomografis\u00eb kompjuterike ose rezonanc\u00ebs magnetike, nd\u00ebrsa rrjedhjen e arterieve e p\u00ebrcaktojm\u00eb me ndihm\u00ebn e ultrasonografis\u00eb dupleks.<\/p>\n

Cilat jan\u00eb mund\u00ebsit\u00eb terapeutike gjat\u00eb ngushtimit kritik t\u00eb arterieve karotide?<\/h2>\n

N\u00eb kontekst t\u00eb asaj q\u00eb p\u00ebrmend\u00ebm m\u00eb lart, protokolli p\u00ebr kryerjen e trajtimit varet nga simptomat neurologjike, s\u00ebmundjet e tjera shoq\u00ebruese si dhe nga shum\u00eb faktor\u00eb t\u00eb tjer\u00eb t\u00eb cil\u00ebt favorizojn\u00eb opsione t\u00eb ndryshme t\u00eb trajtimit. Nj\u00eb nga opsionet terapeutike \u00ebsht\u00eb metoda konzervative, me an\u00eb t\u00eb dh\u00ebnies s\u00eb ila\u00e7eve t\u00eb cilat\u00a0 reduktojn\u00eb aft\u00ebsin\u00eb e gjakut p\u00ebr t\u00eb krijuar trombe ( mpiksje t\u00eb gjakut), ila\u00e7e t\u00eb cilat stabilizojn\u00eb mb\u00ebshtjell\u00ebn e en\u00ebve t\u00eb gjakut, dhe ila\u00e7e t\u00eb cilat e korrigjojn\u00eb nivelin e kolesterolit n\u00eb gjak. \u00a0Mund\u00ebsia e dyt\u00eb terapeutike \u00ebsht\u00eb invazive\u00a0 dhe\u00a0 p\u00ebrfshin stentimin karotid. \u00a0Kjo \u00ebsht\u00eb nj\u00eb procedur\u00eb intervente, ku n\u00ebp\u00ebrmjet katetrave n\u00ebp\u00ebrmjet nj\u00eb rruge elegante dhe t\u00eb sigurt\u00eb, zgjerohet segmenti i d\u00ebmtuar i arteries koronare n\u00eb pjes\u00ebn e qaf\u00ebs dhe vendoset protez\u00eb endovaskulare e quajtur ndryshe stent.\u00a0 Mund\u00ebsia e tret\u00eb terapeutike \u00ebsht\u00eb endarterektomia , n\u00eb fakt nj\u00eb zgjidhje e problemit t\u00eb arterieve karotide me an\u00eb t\u00eb kirurgjis\u00eb.<\/p>\n

Cilat jan\u00eb mund\u00ebsit\u00eb q\u00eb ka spitali klinik \u201cAcibadem Sistina\u201d p\u00ebr trajtimin e s\u00ebmundjes s\u00eb arteries karotide?<\/h2>\n

N\u00eb spitalin klinik \u201cAcibadem Sistina\u201d\u00a0 si n\u00eb asnj\u00eb vend tjet\u00ebr t\u00eb rajonit, ekziston mund\u00ebsia e p\u00ebrqasjes s\u00eb integruar\u00a0 me pjes\u00ebmarrje konsultative t\u00eb shum\u00eb ekspert\u00ebve\u00a0 p\u00ebr zgjedhjen e m\u00ebnyr\u00ebs s\u00eb v\u00ebrtet\u00eb dhe t\u00eb duhur t\u00eb vendosjes s\u00eb diagnoz\u00ebs,\u00a0 dhe p\u00ebr kryerjen e shqyrtimit t\u00eb plot\u00eb t\u00eb s\u00ebmundjeve t\u00eb tjera shoq\u00ebruese, n\u00eb p\u00ebrputhje me standardet m\u00eb t\u00eb larta bot\u00ebrore, \u00a0duke ndjekur rekomandimet dhe duke zbatuar trajtimet m\u00eb bashk\u00ebkohore t\u00eb s\u00ebmundjes s\u00eb arteries karotide. P\u00ebr k\u00ebt\u00eb, kemi n\u00eb dispozicion mjek t\u00eb nj\u00eb niveli t\u00eb lart\u00eb n\u00eb fush\u00ebn e neurologjis\u00eb, neurokirurgjis\u00eb, kirurgjis\u00eb vaskulare, neuroradiologjis\u00eb, radiologjis\u00eb intervente, si dhe nj\u00eb ekip t\u00eb plot\u00eb kardiolog\u00ebsh. Aparatet t\u00eb cilat i disponojm\u00eb n\u00eb spitalin ton\u00eb dhe niveli i organizimit, mund\u00ebsojn\u00eb arritjen e rezultateve t\u00eb larta n\u00eb trajtimin e s\u00ebmundjeve komplekse.<\/p>\n","protected":false},"excerpt":{"rendered":"

D\u00ebmtimi i artereve t\u00eb m\u00ebdha n\u00eb qaf\u00eb, t\u00eb cilat e furnizojn\u00eb trurin me gjak, \u00ebsht\u00eb nj\u00eb nga shkaqet kryesore t\u00eb shfaqjes s\u00eb infarktit n\u00eb tru.\u00a0 Dr. Zharko Hristovski , kardiolog intervent\u00a0 k\u00ebshillon se n\u00eb spitalin klinik \u201cAcibadem Sistina\u201d si n\u00eb asnj\u00eb vend tjet\u00ebr t\u00eb rajonit, ekziston mund\u00ebsia e p\u00ebrqasjes s\u00eb integruar\u00a0 me pjes\u00ebmarrje konsultative t\u00eb shum\u00eb ekspert\u00ebve \u00a0p\u00ebr zgjedhjen e m\u00ebnyr\u00ebs s\u00eb v\u00ebrtet\u00eb dhe t\u00eb duhur t\u00eb vendosjes s\u00eb diagnoz\u00ebs, \u00a0dhe p\u00ebr kryerjen e shqyrtimit t\u00eb plot\u00eb t\u00eb s\u00ebmundjeve t\u00eb tjera shoq\u00ebruese, n\u00eb p\u00ebrputhje me standardet m\u00eb t\u00eb larta bot\u00ebrore, duke ndjekur rekomandimet dhe duke zbatuar trajtimet m\u00eb bashk\u00ebkohore t\u00eb s\u00ebmundjes s\u00eb arterieve karotide.<\/p>\n","protected":false},"author":2,"featured_media":5065,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[342],"tags":[],"doktori":[],"class_list":["post-3695","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-srce-vaskularno-zdravje-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3695","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=3695"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3695\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/5065"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=3695"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=3695"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=3695"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=3695"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}