{"id":233,"date":"2024-07-11T11:58:23","date_gmt":"2024-07-11T08:58:23","guid":{"rendered":"https:\/\/www.halukcabuk.com\/al\/?p=233"},"modified":"2024-09-23T11:55:42","modified_gmt":"2024-09-23T08:55:42","slug":"dalti-i-suprastit","status":"publish","type":"post","link":"https:\/\/www.halukcabuk.com\/al\/dalti-i-suprastit\/","title":{"rendered":"Dalti i Suprastit"},"content":{"rendered":"<h2>\u00c7far\u00eb \u00ebsht\u00eb D\u00ebmtimi i Shpatull\u00ebs?<\/h2>\n<p>D\u00ebmtimi i shpatull\u00ebs \u00ebsht\u00eb kur kocka e sip\u00ebrme e krahut, humerusi, shk\u00ebputet nga nyja e shpatull\u00ebs. Kjo ndodh zakonisht p\u00ebr shkak t\u00eb traum\u00ebs, r\u00ebnies ose l\u00ebndimeve nga sportet.<br \/>\nPacient\u00ebt mund t\u00eb ndiejn\u00eb dhimbje t\u00eb papritur dhe t\u00eb forta n\u00eb shpatull, si dhe deformim. L\u00ebvizja \u00ebsht\u00eb e kufizuar dhe n\u00eb zon\u00ebn e shpatull\u00ebs mund t\u00eb shfaqen \u00ebnjtje dhe ngjyrosje. Krah\u00ebt zakonisht bien posht\u00eb dhe p\u00ebrpara.<\/p>\n<p>Nyja e shpatull\u00ebs \u00ebsht\u00eb nj\u00eb nga nyjat m\u00eb t\u00eb l\u00ebvizshme n\u00eb trup, dhe ka disa struktura ky\u00e7e q\u00eb e mbajn\u00eb at\u00eb n\u00eb vend, dometh\u00ebn\u00eb stabilitetin e saj:<\/p>\n<ul>\n<li><strong>Kapsula dhe Ligamentet:<\/strong> Ligamentet glenohumerale stabilizojn\u00eb nyj\u00ebn e shpatull\u00ebs. Ve\u00e7an\u00ebrisht ligamentet e poshtme glenohumerale jan\u00eb nd\u00ebr stabilizuesit m\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm.<\/li>\n<li><strong>Labrumi:<\/strong> Labrumi glenoide thellon pjes\u00ebn e socketit t\u00eb nyj\u00ebs s\u00eb shpatull\u00ebs dhe mban n\u00eb vend kok\u00ebn e humerusi.<\/li>\n<li><strong>Muskujt e Rotator Manjet\u00ebs:<\/strong> Muskujt supraspinatus, infraspinatus, teres minor dhe subscapularis stabilizojn\u00eb nyj\u00ebn e shpatull\u00ebs dhe e mund\u00ebsojn\u00eb l\u00ebvizjen e saj.<\/li>\n<li><strong>Tendoni i Bicepsit:<\/strong> Tendoni i gjat\u00eb i bicepsit siguron stabilitet n\u00eb pjes\u00ebn e p\u00ebrparme t\u00eb shpatull\u00ebs.<\/li>\n<li><strong>Stabilizuesit Dinamik\u00eb:<\/strong> Muskujt periskapular\u00eb dhe muskujt e tjer\u00eb p\u00ebrreth shpatull\u00ebs sigurojn\u00eb stabilitet dinamik.<\/li>\n<\/ul>\n<p>D\u00ebmtimet e shpatull\u00ebs zakonisht ndodhin n\u00eb drejtim anterior (p\u00ebrpara) ose posterior (prapa).<\/p>\n<ul>\n<li><strong>D\u00ebmtimi Anterior (P\u00ebrpara):<\/strong> Ky \u00ebsht\u00eb lloji m\u00eb i zakonsh\u00ebm i d\u00ebmtimit t\u00eb shpatull\u00ebs. Zakonisht ndodh si rezultat i abduksionit t\u00eb tepruar (hapja n\u00eb an\u00eb) dhe rotacionit t\u00eb jasht\u00ebm (kthimi jasht\u00eb). N\u00eb k\u00ebt\u00eb rast, koka e humerusi del nga p\u00ebrpara fossa glenoide.<\/li>\n<li><strong>D\u00ebmtimi Posterior (Prapa):<\/strong> Ky ndodh m\u00eb rrall\u00eb. Zakonisht ndodh p\u00ebr shkak t\u00eb elektroshokut, konvulsioneve epileptike ose traumave direkte. Koka e humerusi del nga prapa fossa glenoide.<\/li>\n<\/ul>\n<p>Gjat\u00eb d\u00ebmtimit t\u00eb shpatull\u00ebs, struktura t\u00eb ndryshme mund t\u00eb d\u00ebmtohen:<\/p>\n<ul>\n<li><strong>Kapsula dhe Ligamentet:<\/strong> Kapsula e nyj\u00ebs s\u00eb shpatull\u00ebs mund t\u00eb shqyhet ose t\u00eb zgjatet. Ligamentet glenohumerale mund t\u00eb d\u00ebmtohen.<\/li>\n<li><strong>Labrumi:<\/strong> Nj\u00eb shqyerje labrumi e njohur si lezione Bankart \u00ebsht\u00eb e lidhur me d\u00ebmtimet anterior.<\/li>\n<li><strong>Muskujt e Rotator Manjet\u00ebs:<\/strong> Mund t\u00eb ndodhin shqyerje ose tendiniti n\u00eb muskujt e rotator manjet\u00ebs.<\/li>\n<li><strong>Struktura Kockore:<\/strong> Mund t\u00eb ket\u00eb nj\u00eb fraktur\u00eb n\u00eb kok\u00ebn e humerusi n\u00eb drejtim t\u00eb kund\u00ebrt t\u00eb d\u00ebmtimit t\u00eb shpatull\u00ebs, e njohur si lezione Hill-Sachs. Gjithashtu, mund t\u00eb ndodhin fraktura n\u00eb skajet e glenoidit.<\/li>\n<li><strong>Struktura Nerve dhe Damar:<\/strong> D\u00ebmtimet e nervit aksilar jan\u00eb t\u00eb zakonshme. Gjithashtu, mund t\u00eb ket\u00eb d\u00ebmtime t\u00eb plexus brachialis. D\u00ebmtimi i k\u00ebtyre nervave mund t\u00eb shkaktoj\u00eb v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizjen e krahut dhe shpatull\u00ebs, si dhe humbje force dhe ndjeshm\u00ebrie.<\/li>\n<\/ul>\n<p>D\u00ebmtimi i shpatull\u00ebs zakonisht ndodh si rezultat i ngjarjeve traumatik\u00eb ose l\u00ebvizjeve t\u00eb caktuara. Ve\u00e7an\u00ebrisht n\u00eb rastet e d\u00ebmtimeve kronike, disa l\u00ebvizje mund t\u00eb shkaktojn\u00eb daljen e vazhdueshme t\u00eb shpatull\u00ebs. Ky proces, q\u00eb fillon me nj\u00eb ngjarje traumatike, n\u00ebse nuk trajtohet, mund t\u00eb \u00e7oj\u00eb n\u00eb dalje t\u00eb p\u00ebrs\u00ebritura edhe n\u00eb l\u00ebvizjet e zakonshme t\u00eb p\u00ebrditshme. K\u00ebto l\u00ebvizje mund t\u00eb jen\u00eb thjesht:<\/p>\n<ol>\n<li><strong>Abduksion i Tepruar (Hapja n\u00eb An\u00eb):<\/strong>\n<ul>\n<li>Hapja e tepruar e krahut n\u00eb an\u00eb mund t\u00eb shkaktoj\u00eb ngarkes\u00eb t\u00eb tepruar n\u00eb nyj\u00ebn e shpatull\u00ebs dhe t\u00eb \u00e7oj\u00eb n\u00eb d\u00ebmtim.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Rotacion i Jasht\u00ebm (Kthimi Jasht\u00eb):<\/strong>\n<ul>\n<li>Gjat\u00eb kthimit t\u00eb krahut jasht\u00eb, ve\u00e7an\u00ebrisht gjat\u00eb aktiviteteve sportive (p.sh., hedhja e bejzbollit), nyja e shpatull\u00ebs \u00ebsht\u00eb n\u00eb rrezik.<\/li>\n<\/ul>\n<\/li>\n<li><strong>R\u00ebnia nga Lart:<\/strong>\n<ul>\n<li>Ve\u00e7an\u00ebrisht r\u00ebnia mbi dor\u00eb ose krah shkakton ngarkes\u00eb t\u00eb tepruar n\u00eb nyj\u00ebn e shpatull\u00ebs.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Shkarkimi i Ngarkesave t\u00eb R\u00ebnda:<\/strong>\n<ul>\n<li>Ngarkesat e r\u00ebnda mund t\u00eb d\u00ebmtojn\u00eb stabilitetin e nyj\u00ebs s\u00eb shpatull\u00ebs.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<p>P\u00ebrve\u00e7 k\u00ebtyre l\u00ebvizjeve, historia e d\u00ebmtimeve t\u00eb p\u00ebrs\u00ebritura t\u00eb shpatull\u00ebs n\u00eb familjen e pacient\u00ebve mund t\u00eb tregoj\u00eb nj\u00eb dob\u00ebsi gjenetike n\u00eb indet lidh\u00ebse dhe t\u00eb jet\u00eb nj\u00eb tregues p\u00ebr predispozit\u00ebn p\u00ebr d\u00ebmtim t\u00eb shpatull\u00ebs.<\/p>\n<p>Po ashtu, ata q\u00eb kan\u00eb pasur m\u00eb par\u00eb d\u00ebmtime t\u00eb shpatull\u00ebs mund t\u00eb jen\u00eb kandidat\u00eb p\u00ebr d\u00ebmtime t\u00eb p\u00ebrs\u00ebritura p\u00ebr shkak se ligamentet dhe strukturat q\u00eb mbajn\u00eb shpatull\u00ebn n\u00eb vend mund t\u00eb jen\u00eb dob\u00ebsuar ose d\u00ebmtuar.<\/p>\n<p>S\u00eb fundmi, individ\u00ebt me sindromin e hipermobilitetit (Marfan, Ehler Danlos, sindromi Down, etj.) jan\u00eb persona me rrezik t\u00eb lart\u00eb p\u00ebr d\u00ebmtime t\u00eb p\u00ebrs\u00ebritura t\u00eb shpatull\u00ebs.<\/p>\n<h3><strong>\u00c7far\u00eb duhet t\u00eb b\u00ebj kur t\u00eb kem nj\u00eb d\u00ebmtim t\u00eb par\u00eb t\u00eb shpatull\u00ebs? <\/strong><\/h3>\n<p>D\u00ebmtimi i shpatull\u00ebs \u00ebsht\u00eb nj\u00eb gjendje shum\u00eb e dhimbshme dhe k\u00ebrkon trajtim nga nj\u00eb profesionist sh\u00ebndet\u00ebsor. Ndryshe, mund t\u00eb p\u00ebrballeni me situata m\u00eb t\u00eb v\u00ebshtira p\u00ebr t\u2019u trajtuar.<br \/>\nS\u00eb pari, mos l\u00ebvizni shpatull\u00ebn dhe mbajeni n\u00eb nj\u00eb pozicion t\u00eb pal\u00ebvizsh\u00ebm. Provimi p\u00ebr ta vendosur n\u00eb vend mund t\u00eb shkaktoj\u00eb d\u00ebmtime t\u00eb m\u00ebtejshme.<\/p>\n<p>Pastaj, mbani krahun tuaj t\u00eb lidhur ngusht\u00eb me trupin p\u00ebrmes nj\u00eb mbajt\u00ebsi t\u00eb thjesht\u00eb. K\u00ebshtu, do t\u00eb zvog\u00ebloni dhimbjen dhe do t\u00eb parandaloni d\u00ebmtime t\u00eb tjera t\u00eb mundshme.<\/p>\n<p>N\u00ebse \u00ebsht\u00eb e mundur, aplikoni nj\u00eb paket\u00eb akulli ose xhel akulli. Shkoni n\u00eb institucionin m\u00eb t\u00eb af\u00ebrt sh\u00ebndet\u00ebsor. Atje, pas vler\u00ebsimeve dhe testeve t\u00eb nevojshme, shpatulla juaj do t\u00eb vendoset nga nj\u00eb mjek n\u00ebn efektin e disa medikamenteve p\u00ebr qet\u00ebsim. M\u00eb pas, do t\u00eb stabilizohet.<\/p>\n<p>Pas k\u00ebtyre procedurave, duhet t\u00eb konsultoheni me nj\u00eb ortoped p\u00ebr hetime dhe trajtime t\u00eb m\u00ebtejshme.<\/p>\n<h3><strong>A \u00ebsht\u00eb e nevojshme t\u00eb operohet gjat\u00eb d\u00ebmtimit t\u00eb shpatull\u00ebs? <\/strong><\/h3>\n<p>Vendimi p\u00ebr t\u00eb b\u00ebr\u00eb ose jo operacion pas d\u00ebmtimit t\u00eb par\u00eb t\u00eb shpatull\u00ebs duhet t\u00eb merret duke marr\u00eb parasysh mosh\u00ebn, nivelin e aktiviteteve dhe preferencat personale t\u00eb pacientit. \u00cbsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb vler\u00ebsoni me kujdes avantazhet dhe disavantazhet e opsioneve kirurgjikale dhe konservative.<br \/>\nPas d\u00ebmtimit t\u00eb par\u00eb t\u00eb shpatull\u00ebs, ve\u00e7an\u00ebrisht te pacient\u00ebt e rinj dhe sportiv\u00eb, operacioni ndihmon shum\u00eb p\u00ebr t\u00eb reduktuar ndjesh\u00ebm d\u00ebmtimet e p\u00ebrs\u00ebritura t\u00eb shpatull\u00ebs. N\u00eb grupin e t\u00eb rinjve dhe sportist\u00ebve, n\u00ebse nuk b\u00ebhet riparimi i strukturave t\u00eb d\u00ebmtuara pas d\u00ebmtimit t\u00eb shpatull\u00ebs, mund t\u00eb ket\u00eb nj\u00eb shkall\u00eb t\u00eb p\u00ebrs\u00ebritur t\u00eb d\u00ebmtimit q\u00eb arrin nga 50 deri n\u00eb 90%. Po ashtu, pacient\u00ebt q\u00eb operohen pas d\u00ebmtimit t\u00eb par\u00eb t\u00eb shpatull\u00ebs zvog\u00eblojn\u00eb nevoj\u00ebn p\u00ebr operacione t\u00eb tjera n\u00eb t\u00eb ardhmen me rreth 30%.<\/p>\n<p>Sa m\u00eb t\u00eb rinj t\u00eb jen\u00eb pacient\u00ebt pas d\u00ebmtimit t\u00eb par\u00eb t\u00eb shpatull\u00ebs, aq m\u00eb t\u00eb m\u00ebdha jan\u00eb rreziku p\u00ebr dalje t\u00eb p\u00ebrs\u00ebritura.<\/p>\n<p>Te sportist\u00ebt, pacient\u00ebt q\u00eb operohen pas d\u00ebmtimit t\u00eb shpatull\u00ebs kan\u00eb nj\u00eb shkall\u00eb m\u00eb t\u00eb lart\u00eb p\u00ebr t&#8217;u kthyer n\u00eb sport krahasuar me ata q\u00eb nuk operohen.<\/p>\n<p>Te pacient\u00ebt e moshuar, duhet t\u00eb mbahet parasysh se d\u00ebmtimet e m\u00ebdha t\u00eb muskujve q\u00eb shoq\u00ebrohen me d\u00ebmtimin e shpatull\u00ebs gjithashtu mund t\u00eb k\u00ebrkojn\u00eb operacion.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7far\u00eb \u00ebsht\u00eb D\u00ebmtimi i Shpatull\u00ebs? D\u00ebmtimi i shpatull\u00ebs \u00ebsht\u00eb kur kocka e sip\u00ebrme e krahut, humerusi, shk\u00ebputet nga nyja e shpatull\u00ebs. Kjo ndodh zakonisht p\u00ebr shkak t\u00eb traum\u00ebs, r\u00ebnies ose l\u00ebndimeve nga sportet. Pacient\u00ebt mund t\u00eb ndiejn\u00eb dhimbje t\u00eb papritur dhe t\u00eb forta n\u00eb shpatull, si dhe deformim. L\u00ebvizja \u00ebsht\u00eb e kufizuar dhe n\u00eb zon\u00ebn [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":267,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-233","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\/233","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=233"}],"version-history":[{"count":5,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/233\/revisions"}],"predecessor-version":[{"id":332,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/233\/revisions\/332"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media\/267"}],"wp:attachment":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media?parent=233"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/categories?post=233"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/tags?post=233"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}