Vdekshm\u00ebria nga kanceri i gjirit \u00ebsht\u00eb n\u00eb vendin e par\u00eb si n\u00eb Maqedoni ashtu edhe n\u00eb bot\u00eb.\u00a0 Vitin e kaluar n\u00eb vendin ton\u00eb u zbuluan 1200 raste t\u00eb reja . Sipas qendr\u00ebs nd\u00ebrkomb\u00ebtare k\u00ebrkimore p\u00ebr kancer \u2018Globokan\u2019, Maqedonia \u00ebsht\u00eb nj\u00eb nga vendet e pakta n\u00eb Europ\u00eb ku vdekshm\u00ebria nga kanceri i gjirit k\u00ebto 15 vitet e fundit \u00ebsht\u00eb rritur rreth 9%. P\u00ebrsa i p\u00ebrket numrit t\u00eb vdekshm\u00ebris\u00eb nga kanceri i gjirit, Maqedonia renditet n\u00eb vendin e tret\u00eb n\u00eb Europ\u00eb.<\/p>\n

“T\u00eb dh\u00ebnat statistikore n\u00eb vendin ton\u00eb, tregojn\u00eb se t\u00eb njejtat trende nga Europa p\u00ebr rritjen e incidenc\u00ebs s\u00eb rasteve t\u00eb kancerit t\u00eb gjirit, vlejn\u00eb edhe p\u00ebr popullat\u00ebn fem\u00ebrore n\u00eb vendin ton\u00eb. Rastet e kancerit t\u00eb gjirit jan\u00eb n\u00eb rritje. E th\u00ebn\u00eb thjesht\u00eb, \u00e7do grua e tet\u00eb \u00ebsht\u00eb pacient potencial me kancer t\u00eb gjirit” \u2013 u shpreh Dr. Deva Petrova, onkologe \u2013 radioterapeute n\u00eb spitalin klinik “Acibadem Sistina”. \u00a0<\/p>\n

Mjek\u00ebt theksojn\u00eb se p\u00ebr shkak t\u00eb k\u00ebtyre numrave tregues, \u00ebsht\u00eb akoma m\u00eb e r\u00ebnd\u00ebsishme q\u00eb t\u00eb rritet nd\u00ebrgjegj\u00ebsimi se zbulimi n\u00eb koh\u00eb i s\u00ebmundjes \u00ebsht\u00eb tep\u00ebr i r\u00ebnd\u00ebsish\u00ebm p\u00ebr trajtimin e tij dhe p\u00ebr t\u00eb rritur numrin e viteve t\u00eb mbijetes\u00ebs. “Ashtu si me \u00e7do s\u00ebmundje malinje, edhe p\u00ebr kancerin e gjirit \u00ebsht\u00eb tep\u00ebr i r\u00ebnd\u00ebsish\u00ebm zbulimi i hersh\u00ebm i s\u00ebmundjes. Pacientet n\u00eb faz\u00ebn e par\u00eb dhe t\u00eb dyt\u00eb t\u00eb s\u00ebmundjes, at\u00ebher\u00eb kur s\u00ebmundja \u00ebsht\u00eb e lokalizuar n\u00eb gji dhe ka prekur nj\u00eb num\u00ebr t\u00eb vog\u00ebl t\u00eb nyjeve limfatike rajonale, kan\u00eb m\u00eb tep\u00ebr mund\u00ebsi p\u00ebr tu sh\u00ebruar, ndryshe nga pacientet t\u00eb cilat ndodhen n\u00eb faz\u00eb t\u00eb avancuar t\u00eb s\u00ebmundjes. P\u00ebrqindja pes\u00eb vje\u00e7are e mbijetes\u00ebs zvog\u00eblohet me rritjen e faz\u00ebs s\u00eb s\u00ebmundjes” \u2013 u shpre Dr. Petrova.<\/p>\n

Gjith\u00ebsesi, p\u00ebr zbulimin n\u00eb koh\u00eb t\u00eb s\u00ebmundjes, \u00ebsht\u00eb e\u00a0 r\u00ebnd\u00ebsishme q\u00eb t\u00eb kryhen kontrolle t\u00eb rregullta mamografike \u00a0apo skrininze me ultratingull \u00a0p\u00ebr grat\u00eb menj\u00ebher\u00eb pas mosh\u00ebs 40 vje\u00e7are.<\/p>\n

“P\u00ebrve\u00e7 skriningut t\u00eb rregullt, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme q\u00eb t\u00eb rritet edhe nd\u00ebrgjegjsimi p\u00ebr kultur\u00ebn sh\u00ebndet\u00ebsore, dhe sa her\u00eb q\u00eb grat\u00eb t\u00eb ndjejn\u00eb ndryshime t\u00eb gjinjve si skuqje, dhimbje, gjend\u00ebr apo kok\u00ebrr t\u00eb fort\u00eb n\u00eb gji apo n\u00eb sqetull, t\u00ebherqje nga brenda \u00a0t\u00eb l\u00ebkur\u00ebs \u00a0n\u00eb siprfaqen e gjirit, apo t\u00ebrheqje t\u00eb thith\u00ebs s\u00eb gjirit, rrjedhje nga thitha e gjirit apo ndryshim t\u00eb ngjyr\u00ebs s\u00eb l\u00ebkur\u00ebs s\u00eb gjirit, t\u00eb paraqiten menj\u00ebher\u00eb tek mjeku” \u2013 shprehet Dr. Deva Petrova.<\/p>\n

Skriningu i rregullt me kontroll mamografik \u00a0ka hyr\u00eb n\u00eb vendin ton\u00eb n\u00eb muajin prill t\u00eb vitit t\u00eb kaluar p\u00ebr grat\u00eb nga mosha 50 deri 69 vje\u00e7are t\u00eb cilat deri\u00eb tani nuk kan\u00eb b\u00ebr\u00eb nj\u00eb kontroll t\u00eb till\u00eb ose nuk kan\u00eb b\u00ebr\u00eb kontroll \u00a0n\u00eb 5 vitet e fundit. \u00a0<\/p>\n

“Duke pasur parasysh\u00eb se ky \u00ebsht\u00eb viti i par\u00eb , 35 % e grave jan\u00eb paraqitur p\u00ebr kryerjen e kontrolleve, megjithat\u00eb, duhet t\u00eb vazhdoj\u00eb t\u00eb rritet nd\u00ebrgjegj\u00ebsimi tek grat\u00eb se zbulimi i hersh\u00ebm i s\u00ebmundjes, \u00ebsht\u00eb i r\u00ebnd\u00ebsish\u00ebm p\u00ebr trajtimin e saj, pasi kjo s\u00ebmundje mund t\u00eb sh\u00ebrohet” – shprehet Biba Dodeva , presidentja e shoqat\u00ebs antikancer “Borka”.<\/p>\n

Grat\u00eb me mbipesh\u00eb trupore jen\u00eb n\u00ebn rrezik<\/h2>\n

Shkenca ende nuk ka dh\u00ebn\u00eb nj\u00eb p\u00ebrgjigje p\u00ebr shkakun e shfaqjes s\u00eb kancerit t\u00eb gjirit, edhe pse ka shum\u00eb faktor\u00eb rreziku t\u00eb cil\u00ebt kontrimuojn\u00eb n\u00eb shfaqjen e k\u00ebsaj s\u00ebmundje.\u00a0 Rreziku i k\u00ebsaj s\u00ebmundje rritet me rritjen e mosh\u00ebs s\u00eb grave, zakonisht shfaqet tek grat\u00eb pas mosh\u00ebs 50 vje\u00e7are. Tek 25% e grave shfaqet n\u00ebn mosh\u00ebn 50 vje\u00e7are, dhe tek 5% e grave kjo s\u00ebmundje shfaqet n\u00ebn mosh\u00ebn 35 vje\u00e7are.<\/p>\n

“Nd\u00ebr faktor\u00ebt e rrezikut p\u00ebr shfaqjen e kancerit t\u00eb gjirit, para s\u00eb gjithash \u00ebsht\u00eb predispozita gjenetike, m\u00eb pas ndikimi i terrapis\u00eb hormonale me estrogjen,\u00a0 ekspozimi ndaj rrezatimit jonizues. \u00a0Rrezik t\u00eb madhe t\u00eb shfaqjes s\u00eb k\u00ebsaj s\u00ebmundje kan\u00eb edhe grat\u00eb\u00a0 me mbipesh\u00eb trupore dhe grat\u00eb t\u00eb cilat nuk kan\u00eb lindur asnj\u00ebher\u00eb. Studimet m\u00eb t\u00eb fundit tregojne se edhe disa vese t\u00eb caktuara t\u00eb jetes\u00ebs si pirja e duhanit, pirja e alkoholit dhe reduktimi i aktivitetit fizik, ndikojn\u00eb n\u00eb rritjen e rrezikut t\u00eb shfaqjes s\u00eb k\u00ebtij kanceri” \u00a0– shprehet Dr. Petrova.<\/p>\n

K\u00ebrkon qasje multidisiplinare p\u00ebr trajtim<\/h2>\n

P\u00ebrve\u00e7 zbulimit t\u00eb hersh\u00ebm t\u00eb s\u00ebmundjes, p\u00ebr trajtim t\u00eb suksessh\u00ebm \u00ebsht\u00eb e nevojshme qasja multidisiplinare duke filluar nga vendosja e diagnoz\u00ebs deri n\u00eb p\u00ebrcaktimin e terapis\u00eb s\u00eb p\u00ebrshtatshme. P\u00ebr nj\u00eb p\u00ebrqasje t\u00eb till\u00eb mundohen edhe mjek\u00ebt edhe shoqatat e pacient\u00ebve, t\u00eb cil\u00ebt mendojn\u00eb se duhet t\u00eb ket\u00eb qendra t\u00eb ve\u00e7anta p\u00ebr trajtimin e kancerit t\u00eb gjirit, ku pacient\u00ebt do t\u00eb ken\u00eb mund\u00ebsin\u00eb q\u00eb t\u00eb b\u00ebjn\u00eb t\u00eb gjitha testet diagnostikuese \u00a0dhe do t\u00eb mund t\u00eb marrin terapin\u00eb e p\u00ebrshtatshme n\u00eb nj\u00eb vend t\u00eb vet\u00ebm.<\/p>\n

“P\u00ebrve\u00e7 k\u00ebsaj, mundohemi q\u00eb t\u00eb krijohet nj\u00eb fond i ve\u00e7ant\u00eb p\u00ebr pacient\u00ebt me kancer, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb porositet dhe t\u00eb merret terapia m\u00eb e fundit, p\u00ebr t\u00eb cil\u00ebn \u00ebsht\u00eb d\u00ebshmuar n\u00eb bot\u00eb se ka efekt shum\u00eb m\u00eb t\u00eb mir\u00eb \u00a0t\u00eb trajtimit n\u00eb krahasim me at\u00eb q\u00eb mbulohen pacient\u00ebt e Maqedonis\u00eb n\u00ebp\u00ebrmjet sigurimit sh\u00ebndet\u00ebsor” \u2013 shprehet Biba Dodeva.<\/p>\n

N\u00ebse s\u00ebmundja zbulohet n\u00eb faz\u00eb fillestare, \u00a0trajtimi fillon me an\u00eb t\u00eb kirurgjis\u00eb , dometh\u00ebn\u00eb me m\u00ebnjanimin e indeve t\u00eb s\u00ebmura. Trajtimi i m\u00ebtejsh\u00ebm mund t\u00eb p\u00ebrfshij\u00eb kimioterapin\u00eb, terapin\u00eb hormonale apo terapin\u00eb rrezatuese, n\u00eb var\u00ebsi t\u00eb rezultatit postoperativ t\u00eb gjetjeve histopatologjike. N\u00ebse b\u00ebhet fjal\u00eb p\u00ebr tumor m\u00eb t\u00eb madhe apo p\u00ebr nyje limfatike klinikisht t\u00eb prekshme n\u00ebn sqetull,\u00a0 trajtimi fillon me kimioterapi, m\u00eb pas me kirurgji dhe m\u00eb pas me trapi rrezatuese. \u00a0 \u00a0 \u00a0\u00a0\u00a0\u00a0Edhe pacient\u00ebt me metastaza mund t\u00eb jetojn\u00eb n\u00ebs trajtohen n\u00eb m\u00ebnyr\u00ebn e duhur<\/span><\/p>\n

Onkolog\u00ebt thon\u00eb se kjo deg\u00eb e mjek\u00ebsis\u00eb eksplorohet vazhdimisht dhe gjenden ila\u00e7e t\u00eb reja, t\u00eb cilat duhet ti p\u00ebrmir\u00ebsojn\u00eb rezultatet e trajtimit.<\/p>\n

Regjimi i trajtimit t\u00eb kancerit t\u00eb gjirit, p\u00ebrve\u00e7\u00a0 kimioterapis\u00eb standarde,\u00a0 p\u00ebrfshin edhe terapin\u00eb biologjike dhe at t\u00eb synuar. Por jo t\u00eb gjith\u00eb pacient\u00ebt duhet ta marrin k\u00ebt\u00eb lloj t\u00eb terapis\u00eb. \u00a0“Pacient\u00ebt t\u00eb cil\u00ebt kan\u00eb receptor\u00eb specifik\u00a0 n\u00eb disa receptor\u00eb t\u00eb caktuar n\u00eb sip\u00ebrfaqen e qelizave t\u00eb tumorit\u00a0 si\u00e7 jan\u00eb receptor\u00ebt\u00a0 her2, kan\u00eb mund\u00ebsi q\u00eb t\u00eb trajtohen me terapin\u00eb e synuar (sh\u00ebnjest\u00ebr) q\u00eb i bllokon k\u00ebto receptor\u00eb dhe ngadal\u00ebson rritjen \u00a0dhe shumimin e tyre, dhe i shkat\u00ebrron qelizat e tumorit. \u00a0Sot ekziston mund\u00ebsia p\u00ebr p\u00ebrdorimin e preparateve t\u00eb cilat jan\u00eb kombinim i kimioterapis\u00eb me terapin\u00eb biologjike, me an\u00eb t\u00eb t\u00eb cil\u00ebs rritet ndikimi selektiv i terapis\u00eb mbi qelizat e tumorit dhe zvog\u00eblohen efektet an\u00ebsore t\u00eb shkaktuara nga trajtimi. \u00a0Mund t\u00eb kombinohen m\u00eb tep\u00ebr preparate biologjike, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb b\u00ebhet\u00a0 bllokimi i m\u00eb shum\u00eb niveleve t\u00eb qelizave t\u00eb tumorit\u00a0 dhe t\u00eb p\u00ebrmir\u00ebsohet efekti i trajtimit” \u2013 shprehet Dr. Petrova.<\/p>\n

Sipas onkolog\u00ebve, \u00ebsht\u00eb i mundur trajtimi i suksessh\u00ebm i s\u00ebmundjes\u00a0 dhe zgjatja e jet\u00ebs tek ata pacient\u00eb ku s\u00ebmundja ka zhvilluar metastaza,\u00a0 fal\u00eb k\u00ebsaj terapie t\u00eb kombinuar.<\/p>\n

“Terapia m\u00eb bashk\u00ebkohore p\u00ebr trajtimin e k\u00ebsaj s\u00ebmundje, gjendet n\u00eb spitalin klinik \u2018Acibadem Sistina\u2019, n\u00eb praks\u00ebn klinike t\u00eb
\n p\u00ebrditshme n\u00eb departamentin p\u00ebr onkologji dhe radioterapi.\u00a0 Kjo \u00ebsht\u00eb nj\u00eb s\u00ebmundje e cila mund t\u00eb trajtohet me sukses, dhe\u00a0 nj\u00eb dometh\u00ebnje t\u00eb madhe p\u00ebr k\u00ebt\u00eb ka zbulimi n\u00eb koh\u00eb i s\u00ebmundjes , trajtimi i duhur dhe mb\u00ebshtetja psikologjike si nga ana e ekipit mjek\u00ebsor ashtu edhe nga ana e familjar\u00ebve si dhe nga i gjith\u00eb komuniteti shoq\u00ebro” \u2013 u shpreh Dr. Deva Petrova.\u00a0<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"

Vdekshm\u00ebria nga kanceri i gjirit \u00ebsht\u00eb n\u00eb vendin e par\u00eb si n\u00eb Maqedoni ashtu edhe n\u00eb bot\u00eb.\u00a0 Vitin e kaluar n\u00eb vendin ton\u00eb u zbuluan 1200 raste t\u00eb reja . Sipas qendr\u00ebs nd\u00ebrkomb\u00ebtare k\u00ebrkimore p\u00ebr kancer \u2018Globokan\u2019, Maqedonia \u00ebsht\u00eb nj\u00eb nga vendet e pakta n\u00eb Europ\u00eb ku vdekshm\u00ebria nga kanceri i gjirit k\u00ebto 15 vitet e fundit \u00ebsht\u00eb rritur rreth 9%. P\u00ebrsa i p\u00ebrket numrit t\u00eb vdekshm\u00ebris\u00eb nga kanceri i gjirit, Maqedonia renditet n\u00eb vendin e tret\u00eb n\u00eb Europ\u00eb.<\/p>\n","protected":false},"author":2,"featured_media":3507,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[367],"tags":[],"doktori":[],"class_list":["post-5610","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kancer-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5610","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=5610"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5610\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/3507"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=5610"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=5610"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=5610"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=5610"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}