{"id":4753,"date":"2019-04-23T10:20:37","date_gmt":"2019-04-23T08:20:37","guid":{"rendered":"https:\/\/health.acibademsistina.mk\/al\/?p=4753"},"modified":"2024-03-04T14:32:30","modified_gmt":"2024-03-04T14:32:30","slug":"trajtimi-kirurgjikal-melcise","status":"publish","type":"post","link":"https:\/\/healthacibadem.unet.mk\/sq\/trajtimi-kirurgjikal-melcise\/","title":{"rendered":"Trajtimi kirurgjikal i m\u00ebl\u00e7is\u00eb"},"content":{"rendered":"

Kirurgjia e m\u00ebl\u00e7is\u00eb shum\u00eb shpesht\u00eb \u00ebsht\u00eb m\u00ebnyra e vetme p\u00ebr trajtimin e ndryshimeve t\u00eb indit t\u00eb m\u00ebl\u00e7is\u00eb. Dr. Vlladimir Avramovski, kirurg digjestiv, shpjegon se p\u00ebr shkak t\u00eb madh\u00ebsis\u00eb s\u00eb organit dhe mekanizmave t\u00eb tij kompensatore, shum\u00eb s\u00ebmundje t\u00eb m\u00ebl\u00e7is\u00eb nuk japin simptoma n\u00eb faz\u00ebn e hershme\u00a0 dhe m\u00eb s\u00eb shpeshti ndryshimet e saj detektohen gjat\u00eb ekzaminimit me ultra z\u00eb. P\u00ebr vler\u00ebsimin e gjendjes dhe p\u00ebr p\u00ebrgatitjen paraoperatve p\u00ebrdoren ekzaminime shtes\u00eb q\u00eb p\u00ebrshijn\u00eb tomografin\u00eb e kompjuterizuar, rezonanc\u00ebn magnetike, biopsin\u00eb e ndryshimit dhe ekzaminimin e saj patohistologjike, si dhe eventualisht PET skan.<\/p>\n

Procedurat kirurgjikale<\/h2>\n

Resekcionet e m\u00ebl\u00e7is\u00eb (heqja e nj\u00eb pjese t\u00eb madhe ose nj\u00eb pjese t\u00eb vog\u00ebl) jan\u00eb procedura m\u00eb t\u00eb shpeshta kirurgjikale q\u00eb kryhen kur b\u00ebhet fjal\u00eb p\u00ebr ndryshim tumoral t\u00eb m\u00ebl\u00e7is\u00eb. Koh\u00ebzgjatja e operacionit nga 2 deri n\u00eb 5 or\u00eb, nd\u00ebrsa n\u00eb disa raste mund t\u00eb zgjat\u00eb edhe m\u00eb shum\u00eb. Ekipi anesteziologjik \u00ebsht\u00eb shum\u00eb i r\u00ebnd\u00ebsish\u00ebm p\u00ebr rrjedhjen e procedur\u00ebs kirurgjikale p\u00ebr shkak t\u00eb specifikave t\u00eb kirurgjis\u00eb s\u00eb m\u00ebl\u00e7is\u00eb.<\/p>\n

Kirurgjia e m\u00ebl\u00e7is\u00eb kryhet n\u00eb qendra t\u00eb larta t\u00eb specializuara.<\/h2>\n

M\u00ebl\u00e7ia \u00ebsht\u00eb organ i madh parenkimatoz me furnizim t\u00eb pasur t\u00eb gjakut dhe nj\u00eb nga karakteristikat e saj kryesore gjat\u00eb ndonj\u00eb l\u00ebndimi shum\u00eb gjakoset edhe gjat\u00eb intervenimit kirurgjik. P\u00ebr shkak t\u00eb specifikimit t\u00eb saj dhe kompleksitetit, \u00e7do kirurg digjestiv nuk \u00ebsht\u00eb profesional p\u00ebr t\u00eb kryer intervenime kirurgjikale t\u00eb m\u00ebl\u00e7is\u00eb. Kirurgjia e m\u00ebl\u00e7is\u00eb punohet n\u00eb qendra t\u00eb lart\u00eb t\u00eb specializuara t\u00eb ekipuara me personel mjek\u00ebsor dhe pajisje mjek\u00ebsore q\u00eb \u00ebsht\u00eb e nevojshme n\u00eb k\u00ebt\u00eb lloj t\u00eb proceduvrave kirurgjikale. N\u00eb Spitalin Klinik \u201cAcibadem Sistina\u201d kirurgjia e m\u00ebl\u00e7is\u00eb \u00ebsht\u00eb nj\u00eb procedur\u00eb rutine kirurgjikale.<\/p>\n

\u00c7far\u00eb pas operacionit?<\/h2>\n

Pas p\u00ebrfundimit t\u00eb operacionit, pacienti i kalon or\u00ebt n\u00eb dhom\u00ebn p\u00ebr sh\u00ebrimin postoperativ ose, n\u00ebse gjendja k\u00ebrkon, mund t\u00eb vendoset n\u00eb nj\u00ebsin\u00eb p\u00ebr trajtim intensiv. M\u00eb von\u00eb pacienti vendoset n\u00eb Repartin e Kirurgjis\u00eb ku fillohet me terapi fizikale dhe mobilizimin e tij gjat\u00eb dit\u00ebs s\u00eb par\u00eb postoperative, nd\u00ebrsa fillohet me ushqim p\u00ebrmes goj\u00ebs. Trajtimi spitalor i pacientit zgjat\u00eb rreth nj\u00eb jave n\u00ebse nuk ka komplikime postoperative.<\/p>\n

Komplikimet<\/h2>\n

M\u00eb se shpeshti pacientet nuk kan\u00eb komplikime postoperative. \u00cbsht\u00eb e mundshme t\u00eb paraqiten gjakderdhjja postoperative, rrjedhje e t\u00ebmthit (l\u00ebngun q\u00eb prodhon m\u00ebl\u00e7ia), rrjedhje e ascitit (p\u00ebrmbajtjen e l\u00ebngshme, q\u00eb e prodhon mbulesa e abdomenit), dhe etj. Ndonj\u00ebher\u00eb \u00ebsht\u00eb e nevojshme reoperacion p\u00ebr kontroll dhe zgjidhjen e komplikimeve postoperative. Te pacientet me s\u00ebmundje t\u00eb tjera shoq\u00ebruese ose me gjendje t\u00eb r\u00ebnd\u00eb paraoperative jan\u00eb t\u00eb mundshme komplikime nga organet e tjera dhe sisteme. V\u00ebshtir\u00ebsit\u00eb ose nd\u00ebrprerja me funksionim t\u00eb m\u00ebl\u00e7is\u00eb vijn\u00eb pas resekcioneve t\u00eb m\u00ebdha t\u00eb m\u00ebl\u00e7is\u00eb. Shpeshher\u00eb k\u00ebto gjendja k\u00ebrkojn\u00eb q\u00eb trajtimi t\u00eb vazhdohet n\u00eb nj\u00ebsin\u00eb e trajtimit intensiv me p\u00ebrfshirjen e specialisteve t\u00eb sferave t\u00eb tjera. Pas nj\u00eb jave pacientet kthehen n\u00eb aktivitetet e p\u00ebrditshme. Pas q\u00ebndrimit n\u00eb spital, pacientet jan\u00eb t\u00eb p\u00ebrgatitur p\u00ebr t\u2019i kryer aktivitetet e p\u00ebrditshme rutine. P\u00ebr cil\u00ebsi m\u00eb t\u00eb mir\u00eb t\u00eb jet\u00ebs, pacienteve u rekomandohet aktivitet m\u00eb t\u00eb madh fizik t\u00eb p\u00ebrditsh\u00ebm me sh\u00ebtitje n\u00eb aj\u00ebr t\u00eb fresk\u00ebt, ushqim t\u00eb sh\u00ebndosh dhe higjien\u00eb. Alkooli \u00ebsht\u00eb i ndaluar p\u00ebr pacientet q\u00eb kan\u00eb s\u00ebmundje n\u00eb m\u00ebl\u00e7i. Jan\u00eb t\u00eb nevojshme ekzaminime t\u00eb rregullta kontrolluese postoperative, nd\u00ebrsa ndonj\u00ebher\u00eb s\u00ebmundja vazhdon me trajtimin onkologjik.<\/p>\n

S\u00ebmundjet e m\u00ebl\u00e7is\u00eb q\u00eb trajtohen n\u00eb m\u00ebnyre kirurgjikale:<\/h2>\n