Tumoret n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs renditen n\u00eb vendin e 2-3 \u00a0p\u00ebrsa i p\u00ebrket shpesht\u00ebsis\u00eb s\u00eb shfaqjes \u00a0s\u00eb tyre. Gjithashtu, kjo s\u00ebmundje \u00ebsht\u00eb 2-3 her\u00eb m\u00eb e pranishme tek meshkujt ( ve\u00e7an\u00ebrisht tek meshkujt n\u00eb mosh\u00eb m\u00eb t\u00eb thyer) n\u00eb krahasim me popullat\u00ebn fem\u00ebrore. Por edhe personat m\u00eb t\u00eb rinj duhet t\u00eb tregohen t\u00eb kujdessh\u00ebm, ve\u00e7an\u00ebrisht n\u00ebse v\u00ebrejn\u00eb gjak n\u00eb urin\u00eb, e cila \u00ebsht\u00eb simptoma e par\u00eb e q\u00eb tregon pranin\u00eb e k\u00ebsaj s\u00ebmundje.<\/p>\n

Alarmi i par\u00eb \u2013 gjaku n\u00eb urin\u00eb<\/h2>\n

Urina e shoq\u00ebruar me gjak, e cila nuk \u00ebsht\u00eb e shoq\u00ebruar me dhimbje, \u00ebsht\u00eb shenja e par\u00eb e cila duhet ta detyroj\u00eb pacientin t\u00eb paraqitet tek mjeku dhe ti b\u00ebj t\u00eb gjitha shqyrtimet e nevojshme, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb p\u00ebrjashtohet apo t\u00eb diagnostikohet neoplazma n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs. Sipas Dr. Daniel Petrovskit, kirurg urolog n\u00eb spitalin klinik \u201cAcibadem Sistina\u201d n\u00eb rastin e pranis\u00eb s\u00eb k\u00ebsaj s\u00ebmundje mund t\u00eb shfaqen simptoma n\u00eb pjes\u00ebn e poshtme t\u00eb traktit urinar, si\u00e7 \u00ebsht\u00eb p\u00ebrshembull nevoja p\u00ebr t\u00eb urinuar shpesh, dhimbje n\u00eb pjes\u00ebn e fshik\u00ebz\u00ebs s\u00eb urin\u00ebs, v\u00ebshtir\u00ebsi dhe p\u00ebrpjekje p\u00ebr t\u00eb urinuar. \u201cZakonisht pacient\u00ebt fillimisht paraqiten tek mjeku i familjes\u00a0 i cili duhet ti kushtoj\u00eb v\u00ebmendje t\u00eb ve\u00e7ant\u00eb simptomave t\u00eb p\u00ebrmendura m\u00eb lart, dhe n\u00eb rast se pacienti ka nj\u00eb nga k\u00ebto simptoma, at\u00ebher\u00eb mjeku i familjes duhet ta d\u00ebrgoj\u00eb pacientin p\u00ebr t\u00eb kryer shqyrtime m\u00eb t\u00eb detajuara tek mjeku urolog. \u00c7do vones\u00eb e trajtimit t\u00eb pacientit \u00a0si\u00e7 \u00ebsht\u00eb rasti i cistit hemoragjik, gjakderdhje p\u00ebr shkak t\u00eb pranis\u00eb s\u00eb gurit n\u00eb traktin urinar, apo si\u00e7 \u00ebsht\u00eb gjakderdhja p\u00ebr shkak t\u00eb hiperplaz\u00ebs n\u00eb prostat\u00eb, mund ta \u00e7oj pacientin n\u00eb drejtimin e gabuar\u201d.<\/p>\n

Cistoskopia, mjeti m\u00eb i r\u00ebnd\u00ebsish\u00ebm diagnostikues<\/h2>\n

Shumica e tumoreve t\u00eb fshik\u00ebz\u00ebs s\u00eb urin\u00ebs, rreth 75-80% prej tyre, t\u00eb cilat jan\u00eb t\u00eb njohura si tumore sip\u00ebrfaq\u00ebsore, kan\u00eb prognoz\u00eb m\u00eb t\u00eb mir\u00eb p\u00ebr pacientin n\u00eb krahasim me grupin e tumoreve muskulinvazive t\u00eb cilat prekin muskulatur\u00ebn e fshik\u00ebz\u00ebs s\u00eb urin\u00ebs, dhe shfaqen tek rreth 15-25% e rasteve. P\u00ebr diagnoz\u00ebn e hershme t\u00eb s\u00ebmundjes, sipas Dr. Daniel Petrovskit, p\u00ebrdoret urografi intravenoze, urografia CT, ekzaminimi ultrasonografik, ekzaminimi citologjik i urin\u00ebs dhe testet marker urinare molekulare. M\u00eb e r\u00ebnd\u00ebsishme \u00ebsht\u00eb kryerja e citoskopis\u00eb e cila diagnostikon s\u00ebmundjen dhe pamjen makroskopike t\u00eb tumorit, madh\u00ebsin\u00eb e tij, vendndodhjen dhe numrin e tumoreve.<\/p>\n

M\u00ebnjanimi endoskopik i tumorit<\/h2>\n

Menj\u00ebher\u00eb pas diagnostikimit, b\u00ebhet heqja endoskopike e tumorit. Me an\u00eb t\u00eb k\u00ebtij intervenimi tumori duhet t\u00eb jet\u00eb krejt\u00ebsisht i m\u00ebnjanuar. N\u00ebse b\u00ebhet fjal\u00eb p\u00ebr tumor infiltrues, n\u00eb t\u00eb cilin \u00ebsht\u00eb i p\u00ebrfshir\u00eb muskuli, at\u00ebher\u00eb merret shembull (most\u00ebr) nga tumori dhe b\u00ebhet konfirmimi histologjik. N\u00eb var\u00ebsi t\u00eb gjetjeve histologjike, planifikohet trajtimi i m\u00ebtejsh\u00ebm i pacientit. N\u00eb spitalin klinik \u201cAcibadem Sistina\u201dkur pacienti t\u00eb jet\u00eb shqyrtuar me an\u00eb t\u00eb citoskopis\u00eb, p\u00ebr nj\u00eb periudh\u00eb sa m\u00eb t\u00eb shkurt\u00ebr t\u00eb mundshme, i n\u00ebnshtrohet trajtimit operativ, dhe pas disa dit\u00ebsh kemi rezultatet hispatologjike p\u00ebrfundimtare, dhe mund\u00ebsi t\u00eb m\u00ebtejshme p\u00ebr trajtim t\u00eb plot\u00eb t\u00eb pacientit. Ekzaminimet e plota paraoperative, \u00a0gjetjet histologjike dhe trajtimi operativ, n\u00eb institucionin ton\u00eb sh\u00ebndet\u00ebsor p\u00ebrfundojn\u00eb p\u00ebr vet\u00ebm disa dit\u00eb\u201d – shpjegon Dr. Petrovski.<\/p>\n

M\u00ebnjanimi i plot\u00eb i fshik\u00ebz\u00ebs s\u00eb urin\u00ebs<\/h2>\n

Dr. Daniel Petrovski shpjegon se n\u00ebse gjetjet histologjike konfirmojn\u00eb se b\u00ebhet fjal\u00eb p\u00ebr tumor infiltrues n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs, q\u00eb do t\u00eb thot\u00eb se \u00ebsht\u00eb prekur nj\u00eb shtres\u00eb e muskulit t\u00eb njejt\u00eb, pacienti i n\u00ebnshtrohet nj\u00eb intervenimi nd\u00ebr m\u00eb t\u00eb komplikuarit n\u00eb fush\u00ebn e urologjis\u00eb, q\u00eb \u00ebsht\u00eb m\u00ebnjanimi i plot\u00eb i fshik\u00ebz\u00ebs s\u00eb urin\u00ebs (cistektomi radikale). Tek k\u00ebta pacient\u00eb t\u00eb cil\u00ebt kan\u00eb nevoj\u00eb p\u00ebr m\u00ebnjanim t\u00eb plot\u00eb t\u00eb fshik\u00ebz\u00ebs s\u00eb urin\u00ebs, b\u00ebhet rrjedhja e urin\u00ebs n\u00ebp\u00ebrmjet nj\u00eb vrime apo hapje n\u00eb murin e barkut, ose formohet nj\u00eb fshik\u00ebz tjet\u00ebr urine, n\u00eb disa pjes\u00eb t\u00eb caktuara t\u00eb zorr\u00ebs s\u00eb holl\u00eb. N\u00eb var\u00ebsi t\u00eb gjetjes histologjike nga heqja e fshik\u00ebz\u00ebs s\u00eb urin\u00ebs apo nga nyjet limfatike, \u00a0pacienti do ti n\u00ebnshtrohet kimioterapis\u00eb apo terapis\u00eb me rrezatim. T\u00eb gjitha k\u00ebto nd\u00ebrhyrje komplekse kryhen me sukses n\u00eb spitalin klinik \u201cAcibadem Sistina\u201d. Shum\u00eb e r\u00ebnd\u00ebsishme \u00ebsht\u00eb q\u00eb s\u00ebmundja t\u00eb zbulohet n\u00eb koh\u00eb, nga e cila varet edhe prognoza e trajtimit. Kjo lejon aplikimin e menj\u00ebhersh\u00ebm t\u00eb t\u00eb gjitha mund\u00ebsive terapeutike n\u00eb lidhje me tumorin n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs, duke rritur mund\u00ebsin\u00eb e rim\u00ebk\u00ebmbjes s\u00eb plot\u00eb t\u00eb pacientit.<\/p>\n","protected":false},"excerpt":{"rendered":"

Tumoret n\u00eb fshik\u00ebz\u00ebn e urin\u00ebs renditen n\u00eb vendin e 2-3 \u00a0p\u00ebrsa i p\u00ebrket shpesht\u00ebsis\u00eb s\u00eb shfaqjes \u00a0s\u00eb tyre. Gjithashtu, kjo s\u00ebmundje \u00ebsht\u00eb 2-3 her\u00eb m\u00eb e pranishme tek meshkujt ( ve\u00e7an\u00ebrisht tek meshkujt n\u00eb mosh\u00eb m\u00eb t\u00eb thyer) n\u00eb krahasim me popullat\u00ebn fem\u00ebrore. Por edhe personat m\u00eb t\u00eb rinj duhet t\u00eb tregohen t\u00eb kujdessh\u00ebm, ve\u00e7an\u00ebrisht n\u00ebse v\u00ebrejn\u00eb gjak n\u00eb urin\u00eb, e cila \u00ebsht\u00eb simptoma e par\u00eb e q\u00eb tregon pranin\u00eb e k\u00ebsaj s\u00ebmundje.<\/p>\n","protected":false},"author":2,"featured_media":3872,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[371],"tags":[],"doktori":[],"class_list":["post-3873","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mashko-zdravje-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3873","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=3873"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3873\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/3872"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=3873"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=3873"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=3873"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=3873"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}