Me terapin\u00eb medikamentoze p\u00ebr artrit reumatoid mund t\u00eb ngadal\u00ebsohet p\u00ebrparimi i s\u00ebmundjes. Trajtimi kirurgjik mund t\u00eb kryhet tek pacient\u00ebt t\u00eb cil\u00ebt kan\u00eb d\u00ebmtim t\u00eb r\u00ebnd\u00eb t\u00eb ky\u00e7eve. N\u00eb rastet kur \u00ebsht\u00eb e pamundur q\u00eb t\u00eb b\u00ebhet operacioni biologjik i kockave dhe indeve t\u00eb buta, at\u00ebher\u00eb kryhet artroplastika apo z\u00ebv\u00ebnd\u00ebsimi i plot\u00eb i ky\u00e7eve, zakonisht i ky\u00e7eve m\u00eb t\u00eb m\u00ebdha.<\/p>\n
Ekzistojn\u00eb disa arsye p\u00ebr kryerjen e trajtimit kirurgjik t\u00eb artritit reumatoid:<\/strong><\/p>\n At\u00ebher\u00eb kur ekzistojn\u00eb d\u00ebme strukturore \u00a0si rezultat i artritit reumatoid, kur p\u00ebrdorimi i ila\u00e7eve nuk mund t\u00eb ndihmoj\u00eb, dhe n\u00eb k\u00ebt\u00eb rast \u00ebsht\u00eb i nevojsh\u00ebm operacioni. \u00a0Vendimi se kur \u00ebsht\u00eb koha m\u00eb e mir\u00eb p\u00ebr kryerjen e trajtimit kirurgjik, merret nga k\u00ebshilli konsultativ\u00a0 i p\u00ebrb\u00ebr\u00eb nga ortoped dhe reumatolog.<\/p>\n Sinovektomia<\/strong> \u2013 kirurgjia p\u00ebr m\u00ebnjanimin e sinoviumit t\u00eb inflamatuar. Sinovektomia mund t\u00eb b\u00ebhet n\u00eb gju, b\u00ebrryl, tek nyjet e gishtave, tek k\u00ebllku, si dhe tek t\u00eb gjitha nyjet e prekura nga artriti reumatoid.<\/p>\n Korrigjim i tendin\u00ebs (dellit)<\/strong> – inflamacioni i nyjeve si pasoj\u00eb e artritit reumatoid mund t\u00eb shkaktoj\u00eb d\u00ebmtim t\u00eb tendin\u00ebs.\u00a0 N\u00eb raste t\u00eb tilla rekomandohet kryerja e operacionit p\u00ebr korrigjimin e tendin\u00ebs (dellit). At\u00ebher\u00eb rekomandohet kryerja e intervenimit kirurgjik p\u00ebr korrigjimin e tendinave rreth ky\u00e7eve. Me operimin e tendinave dhe me zhvendosjen e tyre n\u00eb vende t\u00eb tjera, mund t\u00eb p\u00ebrmir\u00ebsoj\u00eb funksionin e ky\u00e7eve n\u00eb m\u00ebnyr\u00eb t\u00eb ndjeshme.<\/p>\n Osteotomia<\/strong> \u2013 n\u00eb rastet e deformimeve t\u00eb kockave, b\u00ebhen intervenime p\u00ebr korigjimin e k\u00ebtij deformimi \u00a0dhe p\u00ebr p\u00ebrmir\u00ebsimin e funksionit ky\u00e7eve.<\/p>\n Ngurt\u00ebsim i ky\u00e7eve<\/strong> –\u00a0 ky intervenim kirurgjik p\u00ebrfshin bashkimin e kockave n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb \u00e7aktivizohet l\u00ebvizja, duke b\u00ebr\u00eb t\u00eb mundur zhdukjen e dhimbjes dhe \u00a0duke arritur nj\u00eb funksion m\u00eb t\u00eb mir\u00eb t\u00eb k\u00ebmb\u00ebs. Fillimisht kryhet p\u00ebr funksionin e k\u00ebmb\u00ebve, gishtave, shtyll\u00ebs kurrizore, dhe rekomandohet p\u00ebr fazat m\u00eb t\u00eb avancuara t\u00eb artritit reumatoid.<\/p>\n Nyjet n\u00eb pjes\u00ebn e k\u00ebllkut dhe gjurit jan\u00eb zonat t\u00eb cilat k\u00ebrkojn\u00eb m\u00eb shpesh z\u00ebvend\u00ebsim\u00a0 t\u00eb tyre me endoprotez\u00eb tek pacient\u00ebt me artrit reumatoid.\u00a0 Megjithat\u00eb, intervenime t\u00eb tilla b\u00ebhen edhe tek nyjet e tjera n\u00eb trup.\u00a0 Gjat\u00eb intervenimit, m\u00ebnjanohen pjes\u00ebt e d\u00ebmtuara t\u00eb nyjeve dhe z\u00ebvend\u00ebsohen me proteza. Me kujdesin e duhur, si\u00e7 \u00ebsht\u00eb ruajtja e nj\u00eb peshe trupore normale, sh\u00ebndeti i p\u00ebrgjithsh\u00ebm dhe niveli i aktiviteteve fizike, nyja e z\u00ebvend\u00ebsuar zgjat madje mbi 20 vjet.<\/p>\n N\u00ebse keni kufizim t\u00eb l\u00ebvizshm\u00ebris\u00eb, p\u00ebr shkak t\u00eb gjurit t\u00eb s\u00ebmur\u00eb i cili ju pengon q\u00eb t\u00eb kryeni aktivitetet e p\u00ebrditshme, \u00a0nd\u00ebrkoh\u00eb q\u00eb trajtimet e tjera nuk japin asnj\u00eb efekt, at\u00ebher\u00eb rekomandohet z\u00ebvend\u00ebsimi i nyjes s\u00eb d\u00ebmtuar me protez\u00eb. \u00a0N\u00eb k\u00ebt\u00eb rast ekzistojn\u00eb dy m\u00ebnyra.\u00a0 Nj\u00ebra \u00ebsht\u00eb metoda klasike, metoda tjet\u00ebr \u00ebsht\u00eb operacioni minimalisht invaziv. \u00a0Me operacionin minimalisht invaziv, muskujt ruhen, dhe koha e sh\u00ebrimit pas trajtimit \u00ebsht\u00eb e reduktuar, \u00a0dhe funksioni i nyjeve \u00ebsht\u00eb i p\u00ebrmir\u00ebsuar.<\/p>\n Z\u00ebvend\u00ebsimi i k\u00ebllkut \u00ebsht\u00eb nj\u00eb procedur\u00eb kirurgjike\u00a0 gjat\u00eb t\u00eb cil\u00ebs m\u00ebnjanohet k\u00ebllku i \u00a0s\u00ebmur\u00eb apo i d\u00ebmtuar dhe z\u00ebvend\u00ebsohet me k\u00ebllk artificial.\u00a0 Zakonisht rekomandohet at\u00ebher\u00eb kur trajtimet e tjera nuk japin rezultat. Me z\u00ebvend\u00ebsimin e k\u00ebllkut l\u00ebvizja b\u00ebhet m\u00eb e leht\u00eb dhe dhimbja reduktohet.<\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Me terapin\u00eb medikamentoze p\u00ebr artrit reumatoid mund t\u00eb ngadal\u00ebsohet p\u00ebrparimi I s\u00ebmundjes. \u00a0Trajtimi kirurgjik mund t\u00eb kryhet tek pacient\u00ebt t\u00eb cil\u00ebt kan\u00eb d\u00ebmtim t\u00eb r\u00ebnd\u00eb t\u00eb ky\u00e7eve (nyjeve). N\u00eb rastet kur \u00ebsht\u00eb e pamundur q\u00eb t\u00eb b\u00ebhet operacioni biologjik i kockave dhe indeve t\u00eb buta, at\u00ebher\u00eb kryhet artroplastika apo z\u00ebv\u00ebnd\u00ebsimi i plot\u00eb i ky\u00e7eve, zakonisht i ky\u00e7eve m\u00eb t\u00eb m\u00ebdha.<\/p>\n","protected":false},"author":2,"featured_media":5010,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[348],"tags":[],"doktori":[],"class_list":["post-5637","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-koski-muslkuli-zglobovi-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5637","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=5637"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5637\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/5010"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=5637"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=5637"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=5637"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=5637"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
Kur duhet t\u00eb kryhet trajtimi kirurgjik?<\/h2>\n
Cilat intervenime biologjike p\u00ebrdoren p\u00ebr artritin reumatoid?<\/h2>\n
\u00c7far\u00eb \u00ebsht\u00eb z\u00ebvend\u00ebsimi total i nyjeve?<\/h2>\n
Kur rekomandohet z\u00ebvend\u00ebsimi i gjurit?<\/h2>\n
Kur \u00ebsht\u00eb i nevojsh\u00ebm z\u00ebvend\u00ebsimi i k\u00ebllkut?<\/h2>\n