{"id":37,"date":"2024-02-15T11:14:59","date_gmt":"2024-02-15T08:14:59","guid":{"rendered":"https:\/\/www.halukcabuk.com\/al\/?p=37"},"modified":"2024-09-23T12:59:40","modified_gmt":"2024-09-23T09:59:40","slug":"kirurgjia-e-protezes-se-gjurit","status":"publish","type":"post","link":"https:\/\/www.halukcabuk.com\/al\/kirurgjia-e-protezes-se-gjurit\/","title":{"rendered":"Kirurgjia E Protez\u00ebs S\u00eb Gjurit"},"content":{"rendered":"<p><strong><a href=\"https:\/\/www.halukcabuk.com\/al\/kirurgjia-e-protezes-se-gjurit\/\">Operacioni i Z\u00ebvend\u00ebsimit t\u00eb Gjurit<\/a> :<\/strong> Dhimbja e gjurit \u00ebsht\u00eb nj\u00eb nga shkaktar\u00ebt kryesor\u00eb t\u00eb dhimbjes q\u00eb zvog\u00eblon aktivitetet e p\u00ebrditshme, ve\u00e7an\u00ebrisht tek grupi i pacient\u00ebve t\u00eb moshuar. Pacient\u00ebt shpesh p\u00ebrballen me nevoj\u00ebn p\u00ebr t\u00eb p\u00ebrdorur gjithnj\u00eb e m\u00eb shum\u00eb ila\u00e7e p\u00ebr shkak t\u00eb dhimbjes, ose reduktojn\u00eb sasin\u00eb e l\u00ebvizjes s\u00eb tyre. P\u00ebrdorimi i tepruar i ila\u00e7eve ka efekte an\u00ebsore n\u00eb m\u00ebl\u00e7i dhe veshka. Reduktimi i l\u00ebvizjes \u00e7on n\u00eb shtim n\u00eb pesh\u00eb dhe dob\u00ebsim t\u00eb muskujve rreth gjurit, duke e b\u00ebr\u00eb dhimbjen edhe m\u00eb t\u00eb r\u00ebnd\u00eb. Kjo dhimbje i ndalon pacient\u00ebt nga aktivitetet e tyre t\u00eb p\u00ebrditshme dhe i b\u00ebn ata m\u00eb t\u00eb varur nga sht\u00ebpia, duke ulur cil\u00ebsin\u00eb e jet\u00ebs dhe duke shkaktuar depresion.<\/p>\n<h2>\u00c7far\u00eb \u00ebsht\u00eb operacioni i z\u00ebvend\u00ebsimit t\u00eb gjurit?<\/h2>\n<p>Operacioni i z\u00ebvend\u00ebsimit t\u00eb gjurit, ose operacioni i plot\u00eb i z\u00ebvend\u00ebsimit t\u00eb gjurit, \u00ebsht\u00eb nj\u00eb procedur\u00eb kirurgjikale ku sip\u00ebrfaqja e d\u00ebmtuar e gjurit z\u00ebvend\u00ebsohet me metal dhe plastik\u00eb t\u00eb avancuar mjek\u00ebsore. Ky operacion zakonisht b\u00ebhet kur d\u00ebmtimi n\u00eb gjunj\u00eb shkakton dhimbje t\u00eb r\u00ebnd\u00eb dhe kufizon aktivitetet e p\u00ebrditshme si ecja apo ngjitja e shkall\u00ebve. Operacioni planifikohet zakonisht kur trajtimet e tjera nuk japin m\u00eb rezultat. Q\u00ebllimi i operacionit \u00ebsht\u00eb t\u00eb reduktoj\u00eb dhimbjen dhe t\u00eb leht\u00ebsoj\u00eb l\u00ebvizjen gjat\u00eb aktiviteteve t\u00eb p\u00ebrditshme.<br \/>\nOperacioni i z\u00ebvend\u00ebsimit t\u00eb gjurit mund t\u00eb b\u00ebhet p\u00ebr t\u00eb gjitha grupmoshat, por shpesh praktikohet te pacient\u00ebt mbi 55-60 vje\u00e7. Vendimi p\u00ebr operacion merret n\u00eb p\u00ebrputhje me gjendjen tuaj sh\u00ebndet\u00ebsore dhe shkall\u00ebn e shqet\u00ebsimit nga dhimbja e gjurit n\u00eb jet\u00ebn e p\u00ebrditshme.<\/p>\n<h3>Kur b\u00ebhet operacioni i z\u00ebvend\u00ebsimit t\u00eb gjurit?<\/h3>\n<p>Operacioni i z\u00ebvend\u00ebsimit t\u00eb gjurit kryhet kur kockat e gjurit jan\u00eb d\u00ebmtuar dhe kjo ndikon n\u00eb aktivitetet tuaja t\u00eb p\u00ebrditshme. Pacient\u00ebt shpesh ndiejn\u00eb dhimbje kur ecin, ngjiten ose zbresin shkall\u00ebt, ose kur ngrihen nga nj\u00eb ulje. N\u00eb raste t\u00eb avancuara, mund t\u00eb ndiej\u00eb dhimbje edhe gjat\u00eb pushimit.<br \/>\nK\u00ebto p\u00ebrfshijn\u00eb:<\/p>\n<p><strong>Artroza e gjurit (e njohur ndryshe si kire\u00e7l\u00ebk):<\/strong> Shkaktuar nga d\u00ebmtimi dhe humbja e funksionit t\u00eb kockave gjat\u00eb viteve.<\/p>\n<p><strong>S\u00ebmundjet reumatike:<\/strong> Shumica e s\u00ebmundjeve reumatike d\u00ebmtojn\u00eb kockat e gjurit, menisk\u00ebt dhe indet lidh\u00ebse brenda gjurit, duke penguar funksionin normal t\u00eb tij.<\/p>\n<p><strong>Artroza pas traum\u00ebs:<\/strong> Pas trajtimit t\u00eb frakturave rreth gjurit, mund t\u00eb ndodh\u00eb humbje e funksionit dhe artroza. N\u00eb raste t\u00eb avancuara, z\u00ebvend\u00ebsimi i gjurit mund t\u00eb jet\u00eb nj\u00eb opsion trajtimi.<\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/QrUULUWtwAM?si=RUd3B3SEBRdGFdxf\" width=\"100%\" height=\"550\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3>\u00c7far\u00eb ndodh gjat\u00eb operacionit?<\/h3>\n<p>Kocka e gjurit \u00ebsht\u00eb e mbuluar me nj\u00eb sip\u00ebrfaqe t\u00eb l\u00ebmuar e cila ndihmon n\u00eb l\u00ebvizjen e saj pa friction. Kur kjo sip\u00ebrfaqe d\u00ebmtoset, ajo b\u00ebhet e ashp\u00ebr dhe shkakton dhimbje.<br \/>\nGjat\u00eb operacionit, sip\u00ebrfaqet e d\u00ebmtuara pastrohen p\u00ebr t&#8217;i b\u00ebr\u00eb ato t\u00eb p\u00ebrshtatshme p\u00ebr implantin e ri. Me ndihm\u00ebn e protez\u00ebs, gjuri do t\u00eb rikthehet n\u00eb nj\u00eb sip\u00ebrfaqe t\u00eb l\u00ebmuar.<\/p>\n<p>Gjat\u00eb operacionit, sip\u00ebrfaqet e kockave t\u00eb kofsh\u00ebs, shinave dhe gjurit q\u00eb formojn\u00eb bashkimin e gjurit ndryshohen.<\/p>\n<h3>P\u00ebrgatitja p\u00ebr operacionin e z\u00ebvend\u00ebsimit t\u00eb gjurit<\/h3>\n<p>Para operacionit, do t\u00eb b\u00ebhen skanime p\u00ebr t\u00eb planifikuar procedur\u00ebn. 2-3 dit\u00eb para operacionit, do t\u00eb takoheni me mjekun e anestezis\u00eb p\u00ebr t\u00eb diskutuar metod\u00ebn e anestezis\u00eb m\u00eb t\u00eb p\u00ebrshtatshme p\u00ebr ju. Operacioni mund t\u00eb kryhet me anestezi t\u00eb plot\u00eb ose me anestezi spinal, e cila anestezon vet\u00ebm pjes\u00ebn e poshtme t\u00eb trupit. Para operacionit, ila\u00e7et q\u00eb hollin gjakun do t\u00eb rregullohen p\u00ebr t\u00eb minimizuar rrezikun e hemorragjis\u00eb. Do t&#8217;ju k\u00ebrkohet t\u00eb mos hani ose pini p\u00ebr rreth 6-8 or\u00eb para operacionit. P\u00ebr t\u00eb parandaluar infeksionin pas operacionit, do t\u00eb merrni antibiotik\u00eb p\u00ebrmes ven\u00ebs.<\/p>\n<h3>Gjat\u00eb operacionit t\u00eb z\u00ebvend\u00ebsimit t\u00eb gjurit<\/h3>\n<p>Gjat\u00eb operacionit, do t\u00eb b\u00ebhet nj\u00eb prerje prej rreth 12-15 cm n\u00eb pjes\u00ebn e p\u00ebrparme t\u00eb gjurit. Nga ky prerje, zona e d\u00ebmtuar do t\u00eb pastrohet dhe proteza do t\u00eb vendoset. Mjeku do ta l\u00ebviz\u00eb gjurin p\u00ebr t\u00eb siguruar stabilitetin e nevojsh\u00ebm dhe m\u00eb pas do t\u00eb mbyll\u00eb plag\u00ebn. Nj\u00eb drenazh do t\u00eb vendoset p\u00ebr t\u00eb parandaluar mbledhjen e gjakut n\u00eb gjurin tuaj dhe do t\u00eb hiqet pa dhimbje brenda 24-48 or\u00ebve.<br \/>\nOperacioni zgjat rreth 1,5-2 or\u00eb.<\/p>\n<h3>Pas operacionit t\u00eb z\u00ebvend\u00ebsimit t\u00eb gjurit<\/h3>\n<p>Pas operacionit, do t\u00eb keni kujdesin e nevojsh\u00ebm p\u00ebr kontrollin e dhimbjes. Do t\u00eb aplikoni akull n\u00eb gjun\u00eb p\u00ebr t\u00eb reduktuar \u00ebnjtjen. N\u00eb dit\u00ebn e par\u00eb pas operacionit, do t\u00eb ndihmohemi p\u00ebr t\u00eb q\u00ebndruar n\u00eb k\u00ebmb\u00eb dhe p\u00ebr t\u00eb ecur me ndihm\u00ebn e mb\u00ebshtetjeve.<br \/>\nP\u00ebr t\u00eb siguruar qarkullimin e duhur t\u00eb gjakut, do t\u00eb merrni ila\u00e7e antikoagulante dhe do t&#8217;ju k\u00ebrkohet t\u00eb l\u00ebvizni ky\u00e7in e k\u00ebmb\u00ebs dhe gjurit sipas udh\u00ebzimeve t\u00eb fizioterapist\u00ebve.<\/p>\n<p>Pas operacionit, do t\u00eb duhet t\u00eb b\u00ebni ushtrime t\u00eb frym\u00ebmarrjes dhe t\u00eb rritni aktivitetin tuaj \u00e7do dit\u00eb. Pas daljes nga spitali, do t&#8217;ju k\u00ebrkohet t\u00eb b\u00ebni ushtrimet e m\u00ebsuara n\u00eb sht\u00ebpi.<\/p>\n<p>N\u00eb periudh\u00ebn pas operacionit, do t&#8217;ju nevojitet nj\u00eb ndihm\u00ebse p\u00ebr t\u00eb ecur, q\u00eb do ta p\u00ebrdorni p\u00ebr rreth 15 dit\u00eb deri n\u00eb nj\u00eb muaj. Pansumani duhet t\u00eb ndryshohet \u00e7do 2-3 dit\u00eb dhe do t&#8217;ju hiqet qepja rreth 15 dit\u00eb pas operacionit. Gjithashtu, p\u00ebr rreth nj\u00eb muaj do t&#8217;ju rekomandohet t\u00eb mbani \u00e7orape speciale p\u00ebr t\u00eb parandaluar \u00ebnjtjen dhe formimin e mpiksjeve t\u00eb gjakut.<\/p>\n<h3>Rezultatet<\/h3>\n<p>Brenda 3 deri 6 jav\u00ebve pas operacionit, do t\u00eb jeni n\u00eb gjendje t\u00eb kryeni aktivitete t\u00eb thjeshta si shkuarja n\u00eb market, pastrimi i sht\u00ebpis\u00eb dhe gatimi. Pas jav\u00ebs s\u00eb tret\u00eb, n\u00ebse mund t\u00eb b\u00ebni l\u00ebvizje t\u00eb mjaftueshme, mund t\u00eb jeni n\u00eb gjendje t\u00eb ngisni makin\u00eb.<br \/>\nPas rikuperimit, mund t\u00eb angazhoheni n\u00eb aktivitete t\u00eb thjeshta si ecja, noti, bi\u00e7ikleta, ose golfi. Aktivitetet me k\u00ebrkes\u00eb t\u00eb lart\u00eb fizike si ski, tenis dhe vrapimi i shpejt\u00eb nuk rekomandohen pas operacionit. Mjeku juaj do t&#8217;ju informoj\u00eb se cilat aktivitete jan\u00eb t\u00eb p\u00ebrshtatshme p\u00ebr ju.<\/p>\n<p>Q\u00ebllimi pas operacionit \u00ebsht\u00eb t\u00eb mund t\u00eb kryeni aktivitetet e p\u00ebrditshme pa ndjer\u00eb dhimbje dhe pa pasur nevoj\u00eb p\u00ebr analgjetik\u00eb, duke p\u00ebrmir\u00ebsuar cil\u00ebsin\u00eb e jet\u00ebs tuaj.<\/p>\n<p>Nj\u00eb protez\u00eb e mir\u00ebsjell\u00eb, e vendosur mir\u00eb, mund t\u00eb q\u00ebndroj\u00eb deri n\u00eb 15-20 vjet pa ndonj\u00eb problem dhe t\u00eb p\u00ebrmir\u00ebsoj\u00eb cil\u00ebsin\u00eb e jet\u00ebs tuaj.<\/p>\n<h3>Rreziqet e operacionit<\/h3>\n<p>Si \u00e7do operacion tjet\u00ebr, operacioni i z\u00ebvend\u00ebsimit t\u00eb gjurit ka rreziqet e tij. Rreziqet kryesore p\u00ebrfshijn\u00eb hemorragji, infeksion, formimin e mpiksjeve n\u00eb venat e k\u00ebmb\u00ebs, dhe d\u00ebmtimin e protez\u00ebs me kalimin e koh\u00ebs.<br \/>\nMjeku do t\u00eb marr\u00eb masat e nevojshme p\u00ebr t\u00eb minimizuar rreziqet e hemorragjis\u00eb dhe infeksionit para dhe gjat\u00eb operacionit. Pas operacionit, do t&#8217;ju jepen \u00e7orape kompresioni dhe ila\u00e7e antikoagulante p\u00ebr t\u00eb reduktuar rrezikun e mpiksjeve.<\/p>\n<p>N\u00ebse proteza b\u00ebhet e lir\u00eb ose nuk funksionon si duhet, mund t\u00eb nevojitet nj\u00eb operacion tjet\u00ebr p\u00ebr ta z\u00ebvend\u00ebsuar at\u00eb.<\/p>\n<p>P\u00ebrve\u00e7 k\u00ebtyre, ndonj\u00eb rrezik specifik mund t\u00eb lidhet me gjendjen tuaj t\u00eb p\u00ebrgjithshme sh\u00ebndet\u00ebsore, s\u00ebmundjet dhe ila\u00e7et q\u00eb merrni. Mjeku juaj do t&#8217;ju informoj\u00eb p\u00ebr k\u00ebto rreziqe.<\/p>\n<h2 class=\"subheader no-margin-top\">Pyetje dhe Pjes\u00eb<\/h2>\n<h3>Doktori im tha se nuk kam nevoj\u00eb p\u00ebr z\u00ebvend\u00ebsim t\u00eb gjurit, a mund t\u00eb vazhdoj me injeksione brenda gjurit?<\/h3>\n<p>Para se t\u00eb merret vendimi p\u00ebr z\u00ebvend\u00ebsim t\u00eb gjurit, mund t\u00eb provoni trajtime t\u00eb tjera, por k\u00ebto zakonisht jan\u00eb t\u00eb destinuara p\u00ebr t\u00eb reduktuar dhimbjen. Ato shpesh nuk jan\u00eb shum\u00eb efektive p\u00ebr t\u00eb parandaluar d\u00ebmtimet n\u00eb gjunj\u00eb. N\u00eb nj\u00eb gjunj\u00eb t\u00eb d\u00ebmtuar r\u00ebnd\u00eb, ka shum\u00eb mund\u00ebsi q\u00eb nuk do t\u00eb ken\u00eb asnj\u00eb efekt.<\/p>\n<h3>T\u00eb dy gjunj\u00ebt e mi m\u00eb dhembin. A mund t\u00eb operohem p\u00ebr t\u00eb dy gjunj\u00ebt nj\u00ebkoh\u00ebsisht?<\/h3>\n<p>N\u00ebse doktori juaj e vler\u00ebson si t\u00eb p\u00ebrshtatshme dhe gjendja juaj sh\u00ebndet\u00ebsore e lejon, mund t\u00eb operoheni p\u00ebr t\u00eb dy gjunj\u00ebt nj\u00ebkoh\u00ebsisht. Kjo mund t\u00eb zgjat\u00eb q\u00ebndrimin tuaj n\u00eb spital p\u00ebr 1-2 dit\u00eb dhe procesin e rehabilitimit p\u00ebr 1-2 jav\u00eb.<\/p>\n<h3>Pasi t\u00eb b\u00ebj z\u00ebvend\u00ebsimin e gjurit, a do t\u00eb kem nevoj\u00eb t\u00eb p\u00ebrdor nj\u00eb baston ose mb\u00ebshtetje t\u00eb p\u00ebrhershme?<\/h3>\n<p>Pasi t\u00eb b\u00ebni z\u00ebvend\u00ebsimin e gjurit, mund t\u00eb keni nevoj\u00eb p\u00ebr mb\u00ebshtetje p\u00ebr 2 deri 4 jav\u00eb. Megjithat\u00eb, n\u00ebse nuk keni ndonj\u00eb s\u00ebmundje ose aft\u00ebsi t\u00eb kufizuar tjet\u00ebr, mund t\u00eb mos keni nevoj\u00eb p\u00ebr mb\u00ebshtetje pas rikuperimit.<\/p>\n<h3>A p\u00ebrdoren t\u00eb nj\u00ebjtat proteza p\u00ebr t\u00eb gjith\u00eb? A ka dallime midis protezave t\u00eb gjurit?<\/h3>\n<p>Ka shum\u00eb lloje t\u00eb ndryshme t\u00eb protezave t\u00eb gjurit dhe nuk aplikohet e nj\u00ebjta protez\u00eb p\u00ebr \u00e7do pacient. Zgjedhja e protez\u00ebs varet nga shkalla e d\u00ebmtimit, s\u00ebmundjet e shoq\u00ebruara dhe gjendja e ligament\u00ebve n\u00eb gjunj\u00eb. Mjeku juaj do t&#8217;ju informoj\u00eb m\u00eb shum\u00eb rreth k\u00ebsaj.<\/p>\n<h3>Doktori im m\u00eb rekomandoi z\u00ebvend\u00ebsimin e gjurit, por un\u00eb nuk d\u00ebshiroj ta b\u00ebj. A do t\u00eb p\u00ebrkeq\u00ebsohet gjendja ime? \u00c7far\u00eb ndodh n\u00ebse nuk operohem?<\/h3>\n<p>Operacioni i z\u00ebvend\u00ebsimit t\u00eb gjurit shpesh \u00ebsht\u00eb nj\u00eb operacion p\u00ebr komoditet dhe b\u00ebhet p\u00ebr t\u2019ju leht\u00ebsuar jet\u00ebn e p\u00ebrditshme. Dhimbja n\u00eb gjunj\u00eb shpesh kufizon aktivitetet dhe \u00e7on n\u00eb shtimin n\u00eb pesh\u00eb. Shtimi n\u00eb pesh\u00eb do t\u00eb p\u00ebrkeq\u00ebsoj\u00eb dhimbjen dhe do ta b\u00ebj\u00eb edhe m\u00eb t\u00eb v\u00ebshtir\u00eb funksionimin. Kjo krijon nj\u00eb cik\u00ebl t\u00eb mbyllur dhimbje-humbje l\u00ebvizshm\u00ebrie-shtim n\u00eb pesh\u00eb. Me kalimin e koh\u00ebs, forcimi i muskujve do t\u00eb zvog\u00eblohet dhe artroza e avancuar ndonj\u00ebher\u00eb nuk mund t\u00eb jap\u00eb rezultatet e d\u00ebshiruara pas operacionit. Gjithashtu, deformiteti dhe humbja e ekuilibrit mund t\u00eb shkaktojn\u00eb r\u00ebnie dhe fraktura n\u00eb zona t\u00eb tjera, ve\u00e7an\u00ebrisht n\u00eb k\u00ebmb\u00eb.<br \/>\nP\u00ebr M\u00eb Shum\u00eb Informacione, Vizitoni Kanalin Tim n\u00eb YouTube: <a href=\"https:\/\/www.youtube.com\/@profdrhalukcabuk\" target=\"_blank\" rel=\"noopener\"><strong>@profdrhalukcabuk<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Operacioni i Z\u00ebvend\u00ebsimit t\u00eb Gjurit : Dhimbja e gjurit \u00ebsht\u00eb nj\u00eb nga shkaktar\u00ebt kryesor\u00eb t\u00eb dhimbjes q\u00eb zvog\u00eblon aktivitetet e p\u00ebrditshme, ve\u00e7an\u00ebrisht tek grupi i pacient\u00ebve t\u00eb moshuar. Pacient\u00ebt shpesh p\u00ebrballen me nevoj\u00ebn p\u00ebr t\u00eb p\u00ebrdorur gjithnj\u00eb e m\u00eb shum\u00eb ila\u00e7e p\u00ebr shkak t\u00eb dhimbjes, ose reduktojn\u00eb sasin\u00eb e l\u00ebvizjes s\u00eb tyre. P\u00ebrdorimi i tepruar [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":305,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-37","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-specializimet"],"_links":{"self":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/37","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=37"}],"version-history":[{"count":7,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/37\/revisions"}],"predecessor-version":[{"id":351,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/37\/revisions\/351"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media\/305"}],"wp:attachment":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media?parent=37"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/categories?post=37"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/tags?post=37"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}