Intervenimet kardiokirurgjike jan\u00eb nd\u00ebr operacionet m\u00eb t\u00eb shpeshta. Me rritjen e numrit t\u00eb s\u00ebmundjeve kardiovaskulare, operacionet e zemr\u00ebs kan\u00eb nj\u00eb rritje t\u00eb ndjeshme n\u00eb mbar\u00eb bot\u00ebn. P\u00ebr shum\u00eb pacient\u00eb t\u00eb cil\u00ebt jan\u00eb n\u00eb pritje p\u00ebr tu operuar, si dhe p\u00ebr ata t\u00eb cil\u00ebt nuk kan\u00eb guxuar t\u00eb paraqiten tek mjeku kardiolog p\u00ebr shkak t\u00eb frik\u00ebs, prof. Dr. Salis Taxher, kardiokirurg n\u00eb \u201cAcibadem Sistina\u201d, iu p\u00ebrgjigjet pyetjeve m\u00eb t\u00eb shpeshta p\u00ebrsa i p\u00ebrket operacionit n\u00eb zem\u00ebr.<\/p>\n
\u00c7far\u00eb \u00ebsht\u00eb operacioni bajpas (By-pass)?<\/span><\/p>\n Bajpasi aortokoronar \u00ebsht\u00eb intervenim gjat\u00eb t\u00eb cilit nj\u00eb apo m\u00eb shum\u00eb arterie koronare lidhen me en\u00ebn e gjakut p\u00ebr \u00a0nj\u00eb funksionim normal t\u00eb qarkullimit t\u00eb gjakut n\u00eb muskujt e zemr\u00ebs dhe p\u00ebr ta furnizuar at\u00eb me oksigjen. Gjat\u00eb k\u00ebtij intervenimi, merret nj\u00eb pjes\u00eb e en\u00ebs s\u00eb gjakut (ven\u00eb ose arterie)nga nj\u00eb pjes\u00eb tjet\u00ebr e trupit n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb b\u00ebhet nj\u00eb rrug\u00eb e t\u00ebrthort\u00eb ose bajpas p\u00ebrreth pjes\u00ebs s\u00eb bllokuar t\u00eb arteries koronare. Ena e gjakut e cila p\u00ebrdoret si bajpas,\u00a0 e cila quhet graft (i marr\u00eb hua), zakonisht merret nga k\u00ebmb\u00ebt, duart ose nga kraharori. Pacienti duhet t\u00eb dij\u00eb se numri i bajpaseve nuk tregon r\u00ebndes\u00ebn apo ashp\u00ebrsin\u00eb e s\u00ebmundjes. Pacienti i cili ka b\u00ebr\u00eb kat\u00ebr bajpase nuk \u00ebsht\u00eb n\u00eb gjendje m\u00eb t\u00eb r\u00ebnd\u00eb sh\u00ebndet\u00ebsore se ai i cili ka b\u00ebr\u00eb nj\u00eb bajpas. R\u00ebndesa e gjendjes sh\u00ebndet\u00ebsore t\u00eb pacientit p\u00ebrcaktohet nga gjendja e en\u00ebve \u00a0t\u00eb gjakut n\u00eb zem\u00ebr, funksioni i ventrikulit t\u00eb majt\u00eb dhe s\u00ebmundjeve t\u00eb tjera shoq\u00ebruese.<\/p>\n Rind\u00ebrtimi apo p\u00ebrparimi i valvul\u00ebs mitrale \u00ebsht\u00eb kirurgjia me hapje t\u00eb zemr\u00ebs, n\u00eb raste t\u00eb stenoz\u00ebs (ngushtimit)\u00a0 ose p\u00ebrshkueshm\u00ebris\u00eb s\u00eb valvul\u00ebs. Numri m\u00eb i madh i valvulave mitrale mund t\u00eb rind\u00ebrtohen, por n\u00eb rast se kjo nuk \u00ebsht\u00eb e mundur, at\u00ebher\u00eb z\u00ebvend\u00ebsohet me valvul mekanike ose biologjike. T\u00eb dyja llojet e valvulave kan\u00eb avantazhet dhe disavantazhet e tyre. \u00a0Vendimin p\u00ebr vendosjen e nj\u00ebr\u00ebs valvul apo t\u00eb valvul\u00ebs tjet\u00ebr e merr mjeku kardiokirurg s\u00ebbashku me pacientin n\u00eb baz\u00eb t\u00eb disa faktor\u00ebve si : mosha e pacientit, s\u00ebmundjeve t\u00eb tjera shoq\u00ebruese, m\u00ebnyr\u00ebn e jetes\u00ebs dhe rrezikut individual.<\/p>\n N\u00eb rast t\u00eb nd\u00ebrhyrjes kirurgjike , pjesa e zgjeruar e aort\u00ebs z\u00ebvend\u00ebsohet me protez\u00eb artificiale, e p\u00ebrb\u00ebr\u00eb nga material sintetik. N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb problemi zgjidhet p\u00ebrgjithmon\u00eb. N\u00ebse s\u00ebmundja e ka prekur dhe d\u00ebmtuar valvul\u00ebn e aort\u00ebs, at\u00ebher\u00eb ajo duhet t\u00eb rind\u00ebrtohet ose t\u00eb z\u00ebvend\u00ebsohet.<\/p>\n Gjat\u00eb operacionit, rrjedhja e gjakut n\u00ebp\u00ebr zem\u00ebr\u00a0 ndalohet n\u00eb m\u00ebnyr\u00eb t\u00eb kontrolluar. N\u00eb k\u00ebt\u00eb rast, zemra \u00ebsht\u00eb e qet\u00eb, k\u00ebshtu q\u00eb mjeku kirurg mund t\u00eb punoj\u00eb me kujdes n\u00eb t\u00eb. Pacienti vendoset n\u00eb aparat p\u00ebr nj\u00eb qarkullim ekstrakorporal i cili merr funksionin e zemr\u00ebs dhe mushk\u00ebrive gjat\u00eb kryerjes s\u00eb intervenimit. Ky \u00ebsht\u00eb nj\u00eb aparat i nd\u00ebrlikuar i cili n\u00ebp\u00ebrmjet nj\u00eb sistemi tubash e merr gjakun nga zemra, e furnizon at\u00eb me oksigjen dhe m\u00eb pas me an\u00eb t\u00eb nj\u00eb presioni t\u00eb caktuar e kthen at\u00eb n\u00eb trup. N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb trupi funksionon normalisht dhe intervenimi kardiokirurgjik p\u00ebrfundon pa pasoja.<\/p>\n Operacioni i zemr\u00ebs \u00ebsht\u00eb nj\u00eb nd\u00ebr nd\u00ebrhyrjet kirurgjike m\u00eb t\u00eb nd\u00ebrlikuara. Koh\u00ebzgjatja varet nga gjendja e pacientit dhe nga kompleksiteti (nd\u00ebrlikimi) i operacionit. P\u00ebr k\u00ebt\u00eb arsye \u00ebsht\u00eb e v\u00ebshtir\u00eb q\u00eb t\u00eb p\u00ebrcaktohet koh\u00ebzgjatja e intervenimit. \u00a0Mesatarisht, koh\u00ebzgjatja e intervenimit kirurgjik zgjat 4-5 or\u00eb.<\/p>\n Pacienti zgjohet pas disa or\u00ebsh nga momenti i kryerjes s\u00eb operacionit. Shumica e pacient\u00ebve jan\u00eb n\u00eb gjendje q\u00eb n\u00eb dit\u00ebn e ardhshme t\u00eb marrin frym\u00eb n\u00eb m\u00ebnyr\u00eb t\u00eb pavarur. Q\u00ebndrimi n\u00eb kujdesin intenziv (reanimacion)zgjat 24 deri 48 or\u00eb. N\u00eb rastet m\u00eb t\u00eb r\u00ebnda, q\u00ebndrimi n\u00eb reanimacion mund t\u00eb vazhdoj\u00eb deri n\u00eb momentin kur gjendja e pacientit t\u00eb stabilizohet plot\u00ebsisht. Zakonisht pas q\u00ebndrimit n\u00eb spital prej\u00a0 5-7 dit\u00ebsh, pacienti mund kthehet n\u00eb sht\u00ebpi.\u00a0<\/p><\/p>\n","protected":false},"excerpt":{"rendered":" Intervenimet kardiokirurgjike jan\u00eb nd\u00ebr operacionet m\u00eb t\u00eb shpeshta. Me rritjen e numrit t\u00eb s\u00ebmundjeve kardiovaskulare, operacionet e zemr\u00ebs kan\u00eb nj\u00eb rritje t\u00eb ndjeshme n\u00eb mbar\u00eb bot\u00ebn. P\u00ebr shum\u00eb pacient\u00eb t\u00eb cil\u00ebt jan\u00eb n\u00eb pritje p\u00ebr tu operuar, si dhe p\u00ebr ata t\u00eb cil\u00ebt nuk kan\u00eb guxuar t\u00eb paraqiten tek mjeku kardiolog p\u00ebr shkak t\u00eb frik\u00ebs, prof. Dr. Salis Taxher, kardiokirurg n\u00eb \u201cAcibadem Sistina\u201d, iu p\u00ebrgjigjet pyetjeve m\u00eb t\u00eb shpeshta p\u00ebrsa i p\u00ebrket operacionit n\u00eb zem\u00ebr.<\/p>\n","protected":false},"author":2,"featured_media":3665,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[342],"tags":[],"doktori":[],"class_list":["post-5633","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\/5633","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=5633"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5633\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/3665"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=5633"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=5633"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=5633"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=5633"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\u00c7far\u00eb \u00ebsht\u00eb rind\u00ebrtimi i valvulave mitrale?<\/h2>\n
Kam aort\u00eb t\u00eb zgjeruar, cila \u00ebsht\u00eb zgjidhja e mundshme?<\/h2>\n
A do t\u00eb punoj\u00eb zemra ime gjat\u00eb operacionit?<\/h2>\n
Sa zgjat operacioni i zemr\u00ebs?<\/h2>\n
Sa koh\u00eb do t\u00eb q\u00ebndroj n\u00eb spital pas kryerjes s\u00eb operacionit?<\/h2>\n