{"id":219,"date":"2024-06-22T11:48:57","date_gmt":"2024-06-22T08:48:57","guid":{"rendered":"https:\/\/www.halukcabuk.com\/al\/?p=219"},"modified":"2024-09-23T12:09:51","modified_gmt":"2024-09-23T09:09:51","slug":"cfare-eshte-suprasti-i-ngurte-frozen-shoulder","status":"publish","type":"post","link":"https:\/\/www.halukcabuk.com\/al\/cfare-eshte-suprasti-i-ngurte-frozen-shoulder\/","title":{"rendered":"\u00c7far\u00eb \u00cbsht\u00eb Suprasti i Ngurt\u00eb (Frozen Shoulder)?"},"content":{"rendered":"

Shoulder frozen, me emrin mjek\u00ebsor “adhesive capsulitis”, \u00ebsht\u00eb nj\u00eb gjendje e karakterizuar nga ngurt\u00ebsimi, trashja e kapsul\u00ebs s\u00eb nyj\u00ebs s\u00eb shpatull\u00ebs dhe formimi i ngjitur q\u00eb \u00e7on n\u00eb kufizimin e l\u00ebvizjes dhe dhimbje. Zakonisht, shkaktar\u00ebt mund t\u00eb jen\u00eb nj\u00eb traum\u00eb e m\u00ebparshme ose s\u00ebmundje sistemike si diabeti, tiroidja dhe s\u00ebmundjet e zemr\u00ebs. Rreth gjysm\u00ebs s\u00eb pacient\u00ebve nuk ka nj\u00eb shkak t\u00eb duksh\u00ebm. Pacient\u00ebt zakonisht p\u00ebrjetojn\u00eb dhimbje n\u00eb rritje dhe lidhur me kufizimin e l\u00ebvizjes n\u00eb nyj\u00ebn e shpatull\u00ebs. P\u00ebr shkak t\u00eb kufizimit t\u00eb l\u00ebvizjes, ata mund t\u00eb ken\u00eb v\u00ebshtir\u00ebsi n\u00eb p\u00ebrmbushjen e aktiviteteve t\u00eb p\u00ebrditshme.<\/p>\n

S\u00ebmundja e shpatull\u00ebs s\u00eb ngrir\u00eb zakonisht ndodh n\u00eb 3 faza.<\/p>\n

Faza e ngrirjes (Freezing Stage)<\/strong>:<\/strong> Dhimbja e shpatull\u00ebs rritet dhe fillon kufizimi i l\u00ebvizjes. Kjo faz\u00eb mund t\u00eb zgjas\u00eb nga disa jav\u00eb deri n\u00eb disa muaj.<\/p>\n

Faza e ngrir\u00eb (Frozen Stage)<\/strong>:<\/strong> Dhimbja zvog\u00eblohet, por l\u00ebvizjet e shpatull\u00ebs jan\u00eb ndjesh\u00ebm t\u00eb kufizuara. Kjo faz\u00eb mund t\u00eb zgjas\u00eb disa muaj.<\/p>\n

Faza e \u00e7lirimit (Thawing Stage)<\/strong>:<\/strong> L\u00ebvizjet e shpatull\u00ebs fillojn\u00eb t\u00eb rikthehen ngadal\u00eb. Kjo faz\u00eb mund t\u00eb zgjas\u00eb nga disa muaj deri n\u00eb disa vite.<\/p>\n

Si diagnostikohet s\u00ebmundja e shpatull\u00ebs s\u00eb ngrir\u00eb?<\/h2>\n

Diagnostikimi i s\u00ebmundjes s\u00eb shpatull\u00ebs s\u00eb ngrir\u00eb kryesisht b\u00ebhet p\u00ebrmes ekzaminimit t\u00eb mjekut. Gjat\u00eb ekzaminimit, n\u00ebse l\u00ebvizja e nyj\u00ebs s\u00eb shpatull\u00ebs nuk rritet as me presion, at\u00ebher\u00eb mund t\u00eb flasim p\u00ebr gjendjen e shpatull\u00ebs s\u00eb ngrir\u00eb. P\u00ebr t\u00eb konfirmuar diagnoz\u00ebn dhe p\u00ebr t\u00eb zbuluar shkaktar\u00ebt e mundsh\u00ebm, mund t\u00eb kryhen radiografi, ultrasonografi dhe MRI e shpatull\u00ebs. N\u00ebse nuk zbulohen probleme t\u00eb tjera n\u00eb imazhin radiologjik, kalojm\u00eb n\u00eb trajtimin e shpatull\u00ebs s\u00eb ngrir\u00eb.<\/p>\n

Si trajtohet s\u00ebmundja e shpatull\u00ebs s\u00eb ngrir\u00eb?<\/h2>\n

Metoda e par\u00eb e trajtimit zakonisht \u00ebsht\u00eb metoda konservative, t\u00eb njohura si metoda jo kirurgjikale. Q\u00ebllimi k\u00ebtu \u00ebsht\u00eb t\u00eb menaxhohet dhimbja, t\u00eb reduktohet inflamacioni dhe t\u00eb rritet l\u00ebvizshm\u00ebria e shpatull\u00ebs. M\u00eb t\u00eb r\u00ebnd\u00ebsishmet p\u00ebrfshijn\u00eb:
\n1. Terapia Fizike dhe Ushtrimet<\/strong><\/p>\n

    \n
  • Ushtrimet e shtrirjes: Kryhen ushtrime speciale shtrirjeje p\u00ebr t\u00eb rritur fleksibilitetin e kapsul\u00ebs s\u00eb shpatull\u00ebs. K\u00ebto ushtrime duhet t\u00eb b\u00ebhen me kujdes, sipas nivelit t\u00eb dhimbjes.<\/li>\n
  • Teknikat e mobilizimit: Specialist\u00ebt e terapis\u00eb fizike mund t\u00eb p\u00ebrdorin teknika manuale p\u00ebr t\u00eb l\u00ebvizur nyj\u00ebn e shpatull\u00ebs.<\/li>\n
  • Ushtrimet e forc\u00ebs: Mund t\u00eb kryhen ushtrime me rezistenc\u00eb t\u00eb ul\u00ebt p\u00ebr t\u00eb forcuar muskujt p\u00ebrreth shpatull\u00ebs.<\/li>\n<\/ul>\n

    2. Trajtimi me Medikamente<\/strong><\/p>\n

      \n
    • Analgetik\u00ebt: Analgetik\u00ebt si NSAID-t\u00eb mund t\u00eb p\u00ebrdoren p\u00ebr t\u00eb reduktuar dhimbjen dhe inflamacionin.<\/li>\n
    • Injeksionet e Kortikosteroideve: Injeksionet e kortikosteroideve n\u00eb nyj\u00ebn e shpatull\u00ebs mund t\u00eb reduktojn\u00eb shpejt inflamacionin dhe dhimbjen. Ky trajtim zakonisht aplikohet s\u00eb bashku me terapin\u00eb fizike.<\/li>\n
    • Aplikimet e Nxeht\u00ebsis\u00eb dhe Akullit<\/li>\n
    • Terapia me Nxeht\u00ebsi: P\u00ebrdorimi i kompresave t\u00eb nxehta ose jast\u00ebk\u00ebve t\u00eb nxeht\u00ebsis\u00eb mund t\u00eb ndihmoj\u00eb n\u00eb relaksimin e muskujve t\u00eb shpatull\u00ebs dhe zvog\u00eblimin e dhimbjes.<\/li>\n
    • Terapia me Akull: P\u00ebrdorimi i akullit, ve\u00e7an\u00ebrisht n\u00eb periudhat akute t\u00eb dhimbjes, mund t\u00eb reduktoj\u00eb dhimbjen dhe \u00ebnjtjen.<\/li>\n<\/ul>\n

      Bashk\u00eb me k\u00ebto, modalitetet e tjera t\u00eb terapis\u00eb fizike mund t\u00eb p\u00ebrdoren n\u00eb faza t\u00eb ndryshme t\u00eb trajtimit.<\/p>\n

      A Mund T\u00eb P\u00ebrdoren Injekcione N\u00eb Nyj\u00ebn E Shpatull\u00ebs N\u00eb Trajtimin E Shpatull\u00ebs S\u00eb Ngrir\u00eb?<\/h2>\n

      Injekcionet n\u00eb nyj\u00ebn e shpatull\u00ebs mund t\u00eb jen\u00eb t\u00eb dobishme ve\u00e7an\u00ebrisht n\u00eb fazat aktive t\u00eb trajtimit. Ve\u00e7an\u00ebrisht, injeksionet e steroidit reduktojn\u00eb inflamacionin dhe \u00ebnjtjen n\u00eb kapsul\u00ebn e nyj\u00ebs s\u00eb shpatull\u00ebs fal\u00eb efektit t\u00eb tyre t\u00eb fuqish\u00ebm anti-inflamator. Kjo ndihmon n\u00eb uljen e dhimbjes, duke leht\u00ebsuar pjes\u00ebmarrjen e pacient\u00ebve n\u00eb terapin\u00eb fizike dhe l\u00ebvizjen e shpatull\u00ebs. Zakonisht, pas injeksionit, mund t\u00eb v\u00ebrehet nj\u00eb ulje e dukshme e dhimbjes brenda disa dit\u00ebsh. Injekcionet e p\u00ebrs\u00ebritura mund t\u00eb b\u00ebhen \u00e7do disa muaj, n\u00ebse \u00ebsht\u00eb e nevojshme. Injekcionet e steroidit duhet t\u00eb b\u00ebhen me kujdes te pacient\u00ebt me diabet.
      \nNj\u00eb metod\u00eb tjet\u00ebr injeksioni jan\u00eb injeksionet e plazm\u00ebs t\u00eb pasura me trombocite (PRP). Nevojitet m\u00eb shum\u00eb k\u00ebrkime p\u00ebr efektivitetin e PRP, por disa studime kan\u00eb treguar se PRP ka potencial p\u00ebr t\u00eb reduktuar inflamacionin dhe p\u00ebr t\u00eb p\u00ebrshpejtuar sh\u00ebrimin. PRP zakonisht merret parasysh p\u00ebr rastet e shpatull\u00ebs s\u00eb ngrir\u00eb q\u00eb nuk p\u00ebrgjigjen ndaj trajtimit konservativ ose q\u00eb p\u00ebrs\u00ebriten.<\/p>\n

      A \u00cbsht\u00eb E Nevojshme Trajtimi Kirurgjik N\u00eb S\u00ebmundjen E Shpatull\u00ebs S\u00eb Ngrir\u00eb?<\/h2>\n

      M\u00ebnyra kirurgjikale p\u00ebr trajtimin e shpatull\u00ebs s\u00eb ngrir\u00eb zakonisht shqyrtohet kur metodat konservative (terapia fizike, trajtimi me ila\u00e7e, injeksionet) nuk japin p\u00ebrmir\u00ebsim t\u00eb mjaftuesh\u00ebm. Trajtimi kirurgjik preferohet n\u00eb rastet kur dhimbja e pacientit vazhdon, l\u00ebvizshm\u00ebria e shpatull\u00ebs \u00ebsht\u00eb seriozisht e kufizuar dhe cil\u00ebsia e jet\u00ebs \u00ebsht\u00eb ndjesh\u00ebm e prekur.
      \nTrajtimi kirurgjik kryhet n\u00eb kriteret e m\u00ebposhtme.<\/p>\n

      1. Pacient\u00ebt Q\u00eb Nuk P\u00ebrgjigjen Ndaj Trajtimit Konservativ:<\/strong><\/p>\n

        \n
      • Pacient\u00ebt q\u00eb nuk arrijn\u00eb p\u00ebrmir\u00ebsim t\u00eb mjaftuesh\u00ebm brenda 6-12 muajve, pavar\u00ebsisht trajtimeve si terapia fizike, ila\u00e7et dhe injeksionet.<\/li>\n
      • Pacient\u00ebt q\u00eb p\u00ebrjetojn\u00eb dhimbje dhe ngurt\u00ebsi t\u00eb zgjatur (zakonisht 1 vit ose m\u00eb shum\u00eb).<\/li>\n<\/ul>\n

        2. Kufizim I R\u00ebnd\u00eb I L\u00ebvizjes:<\/strong><\/p>\n

          \n
        • Rastet kur l\u00ebvizshm\u00ebria e nyj\u00ebs s\u00eb shpatull\u00ebs \u00ebsht\u00eb seriozisht e kufizuar dhe aktivitetet e p\u00ebrditshme jan\u00eb t\u00eb v\u00ebshtira p\u00ebr t’u realizuar.<\/li>\n<\/ul>\n

          3. Dhimbje T\u00eb R\u00ebnda Dhe T\u00eb Vazhdueshme:<\/strong><\/p>\n

            \n
          • Pacient\u00ebt q\u00eb p\u00ebrjetojn\u00eb dhimbje t\u00eb r\u00ebnda dhe shqet\u00ebsuese, edhe kur jan\u00eb n\u00eb pushim.<\/li>\n<\/ul>\n

            4. Rastet Q\u00eb Nuk I P\u00ebrgjigjen Trajtimeve T\u00eb Tjera:<\/strong><\/p>\n

              \n
            • Rastet kur injeksionet e kortikosteroideve, trajtimi PRP dhe metodat e tjera konservative jan\u00eb t\u00eb pasuksesshme.<\/li>\n<\/ul>\n

              Metoda e par\u00eb kirurgjikale \u00ebsht\u00eb manipulimi i nyj\u00ebs s\u00eb shpatull\u00ebs n\u00ebn anestezi. Gjat\u00eb anestezis\u00eb s\u00eb p\u00ebrgjithshme, nyja e shpatull\u00ebs l\u00ebviz pasivisht dhe kapsula e nyj\u00ebs t\u00ebrhiqet p\u00ebr t\u00eb \u00e7liruar ngjitjet. Kjo metod\u00eb p\u00ebrdoret p\u00ebr t\u00eb krijuar nj\u00eb tension t\u00eb papritur n\u00eb kapsul\u00eb.<\/p>\n

              Nj\u00eb tjet\u00ebr opsion \u00ebsht\u00eb zgjatja artroskopike e kapsul\u00ebs. Kjo \u00ebsht\u00eb nj\u00eb metod\u00eb kirurgjikale minimalisht invazive. Kapsula e nyj\u00ebs pritet dhe ngjitjet hiqen p\u00ebrmes prerjeve t\u00eb vogla, duke p\u00ebrdorur artroskopin\u00eb. Kjo metod\u00eb preferohet p\u00ebr shkak se ka nj\u00eb koh\u00eb m\u00eb t\u00eb shkurt\u00ebr rikuperimi dhe rrezik m\u00eb t\u00eb ul\u00ebt p\u00ebr komplikacione.<\/p>\n

              Doktori mund t\u00eb aplikoj\u00eb si metodat artroskopike ashtu edhe manipulimin n\u00eb situata ku e sheh t\u00eb nevojshme.<\/p>\n

              Terapia fizike pas operacionit \u00ebsht\u00eb e r\u00ebnd\u00ebsishme p\u00ebr rikthimin e l\u00ebvizshm\u00ebris\u00eb s\u00eb shpatull\u00ebs dhe forcimin e muskujve. P\u00ebr menaxhimin e dhimbjes pas operacionit, p\u00ebrdoren ila\u00e7e analgjezike dhe trajtime t\u00eb tjera mb\u00ebshtet\u00ebse. Kontrolli i rregullt nga doktori pas operacionit \u00ebsht\u00eb i r\u00ebnd\u00ebsish\u00ebm p\u00ebr t\u00eb monitoruar procesin e rikuperimit.<\/p>\n

              Vendimi p\u00ebr nd\u00ebrhyrjen kirurgjikale duhet t\u00eb merret nga nj\u00eb specialist ortopedik, duke marr\u00eb parasysh gjendjen e p\u00ebrgjithshme sh\u00ebndet\u00ebsore t\u00eb pacientit, mosh\u00ebn, stilin e jet\u00ebs dhe rreziqet e mundshme t\u00eb operacionit. Pr expectativa dhe q\u00ebllimet e pacientit gjithashtu luajn\u00eb nj\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb k\u00ebt\u00eb vendim.<\/p>\n

              P\u00ebrfundimisht, s\u00ebmundja e shpatull\u00ebs s\u00eb ngrir\u00eb \u00ebsht\u00eb nj\u00eb gjendje q\u00eb ndikon n\u00eb jet\u00ebn e p\u00ebrditshme t\u00eb individ\u00ebve dhe ndikon n\u00eb cil\u00ebsin\u00eb e jet\u00ebs. Bashk\u00ebpunimi midis mjekut dhe pacientit \u00ebsht\u00eb shum\u00eb i r\u00ebnd\u00ebsish\u00ebm n\u00eb trajtimin e s\u00ebmundjes dhe terapia duhet t\u00eb kryhet me bashk\u00ebpunimin e nj\u00eb mjeku ortopedik dhe specialist\u00ebve t\u00eb terapis\u00eb fizike dhe fizioterapist\u00ebve.<\/p>\n","protected":false},"excerpt":{"rendered":"

              Shoulder frozen, me emrin mjek\u00ebsor “adhesive capsulitis”, \u00ebsht\u00eb nj\u00eb gjendje e karakterizuar nga ngurt\u00ebsimi, trashja e kapsul\u00ebs s\u00eb nyj\u00ebs s\u00eb shpatull\u00ebs dhe formimi i ngjitur q\u00eb \u00e7on n\u00eb kufizimin e l\u00ebvizjes dhe dhimbje. Zakonisht, shkaktar\u00ebt mund t\u00eb jen\u00eb nj\u00eb traum\u00eb e m\u00ebparshme ose s\u00ebmundje sistemike si diabeti, tiroidja dhe s\u00ebmundjet e zemr\u00ebs. Rreth gjysm\u00ebs s\u00eb […]<\/p>\n","protected":false},"author":1,"featured_media":274,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-219","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/219","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/comments?post=219"}],"version-history":[{"count":6,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/219\/revisions"}],"predecessor-version":[{"id":334,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/219\/revisions\/334"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media\/274"}],"wp:attachment":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media?parent=219"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/categories?post=219"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/tags?post=219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}