{"id":47,"date":"2024-02-15T11:18:43","date_gmt":"2024-02-15T08:18:43","guid":{"rendered":"https:\/\/www.halukcabuk.com\/al\/?p=47"},"modified":"2024-09-23T12:41:47","modified_gmt":"2024-09-23T09:41:47","slug":"amelija-e-ligamentit-kryesor-te-perparshem","status":"publish","type":"post","link":"https:\/\/www.halukcabuk.com\/al\/amelija-e-ligamentit-kryesor-te-perparshem\/","title":{"rendered":"Amelija e Ligamentit Kryesor t\u00eb P\u00ebrparsh\u00ebm"},"content":{"rendered":"

\u00c7far\u00eb \u00ebsht\u00eb operacioni i lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit?<\/h2>\n

Operacioni i Lidhjes s\u00eb P\u00ebrparme t\u00eb Kryqit<\/a>:<\/strong> Gjat\u00eb l\u00ebvizjes s\u00eb gjurit, kocka femur (kocka e kofsh\u00ebs) rrotullohet mbi kock\u00ebn tibia (kocka e pulp\u00ebs). Gjat\u00eb k\u00ebsaj l\u00ebvizjeje, lidhja e p\u00ebrparme e kryqit \u00ebsht\u00eb nj\u00eb nga strukturat m\u00eb t\u00eb r\u00ebnd\u00ebsishme q\u00eb parandalon l\u00ebvizjen e kock\u00ebs s\u00eb pulp\u00ebs p\u00ebrpara. Lidhja e p\u00ebrparme e kryqit \u00ebsht\u00eb nj\u00eb lidhje q\u00eb shtrihet nga p\u00ebrpara n\u00eb prapa midis femurit dhe tibis\u00eb, dhe s\u00eb bashku me lidhjen e pasme t\u00eb kryqit, \u00ebsht\u00eb thelb\u00ebsore p\u00ebr l\u00ebvizjen e duhur t\u00eb gjurit.<\/p>\n

Cilat jan\u00eb funksionet e lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit?<\/h3>\n

Lidhja e p\u00ebrparme e kryqit siguron koordinimin e l\u00ebvizjes s\u00eb gjurit. Ajo parandalon nxjerrjen e gjurit duke frenuar p\u00ebrkoh\u00ebsisht gjurin n\u00eb pika t\u00eb caktuara gjat\u00eb l\u00ebvizjes. K\u00ebshtu, ne mund t\u00eb vazhdojm\u00eb t\u00eb l\u00ebvizim me siguri.<\/p>\n

Si cop\u00ebtohet lidhja e p\u00ebrparme e kryqit?<\/h3>\n

Lidhja e p\u00ebrparme e kryqit zakonisht cop\u00ebtohet n\u00eb dy m\u00ebnyra t\u00eb ndryshme. E para ndodh gjat\u00eb sporteve traumatik\u00eb (futboll, skijim, basketboll etj.) kur ndodh nj\u00eb l\u00ebvizje e papritur me k\u00ebmb\u00eb t\u00eb pal\u00ebvizshme ose nj\u00eb traumatiz\u00ebm i papritur nga brenda ose jasht\u00eb gjurit. Mund t\u00eb ndodh\u00eb gjat\u00eb ndaljes s\u00eb papritur, ndryshimit t\u00eb drejtimit kur vraponi, ose kur zbresni pas nj\u00eb k\u00ebrcimi. K\u00ebta pacient\u00eb paraqiten me \u00ebnjtje t\u00eb shpejt\u00eb n\u00eb gjurin e tyre, dhimbje t\u00eb mprehta dhe kufizim t\u00eb shpejt\u00eb n\u00eb l\u00ebvizje. Grupi tjet\u00ebr \u00ebsht\u00eb l\u00ebndimi i lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit q\u00eb nuk \u00ebsht\u00eb traumatizues. Ky l\u00ebndim paraqitet si dhimbje e rritur gjat\u00eb l\u00ebvizjeve t\u00eb p\u00ebrs\u00ebritura. Simptomat e tij karakterizohen nga dhimbja q\u00eb rritet gradualisht, pa \u00ebnjtje t\u00eb menj\u00ebhershme, dhe v\u00ebshtir\u00ebsi n\u00eb ecje.<\/p>\n

Si diagnostikohet l\u00ebndimi i lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit?<\/h3>\n

Pacient\u00ebt me dyshim p\u00ebr l\u00ebndim t\u00eb lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit mund t\u00eb diagnostikohen n\u00eb mas\u00eb t\u00eb madhe gjat\u00eb ekzaminimit me disa teste speciale. Megjithat\u00eb, p\u00ebr t\u00eb par\u00eb l\u00ebndimet e tjera shoq\u00ebruese dhe p\u00ebr t\u00eb konfirmuar diagnoz\u00ebn, mund t\u00eb kryhen radiografi dhe MRI t\u00eb gjurit. N\u00eb raste dyshuese, mjeku juaj mund t\u00eb k\u00ebrkoj\u00eb teste t\u00eb tjera.
\nDiagnoza mund t\u00eb b\u00ebhet me nj\u00eb sakt\u00ebsi shum\u00eb t\u00eb lart\u00eb me MRI.<\/p>\n

Kujt i aplikohet operacioni i lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit?<\/h3>\n

Lidhja e p\u00ebrparme e kryqit nuk \u00ebsht\u00eb nj\u00eb lidhje q\u00eb sh\u00ebrohet vet\u00eb. Prandaj, nuk pritet q\u00eb ajo t\u00eb sh\u00ebrohet vet\u00eb, dhe operacioni \u00ebsht\u00eb zakonisht nj\u00eb operacion rekonstruksioni, jo thjesht nj\u00eb riparim.<\/p>\n

    \n
  • Rekonstruksioni i lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit rekomandohet ve\u00e7an\u00ebrisht p\u00ebr ata q\u00eb planifikojn\u00eb t\u00eb vazhdojn\u00eb me sportin.<\/li>\n
  • P\u00ebr pacient\u00ebt me l\u00ebndime n\u00eb disa lidhje.<\/li>\n
  • Kur shoq\u00ebrohet me nj\u00eb \u00e7arje t\u00eb meniskut.<\/li>\n
  • Kur ndiheni me nj\u00eb ndjenj\u00eb t\u00eb papritur t\u00eb zbraz\u00ebtis\u00eb dhe kthes\u00ebs n\u00eb gjurin tuaj gjat\u00eb aktiviteteve t\u00eb p\u00ebrditshme.<\/li>\n
  • Ve\u00e7an\u00ebrisht rekomandohet p\u00ebr t\u00eb rinjt\u00eb me l\u00ebndim t\u00eb lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit.<\/li>\n<\/ul>\n

    N\u00ebse ndiheni t\u00eb pasigurt n\u00eb gjurin tuaj dhe shmangni sportin p\u00ebr shkak t\u00eb k\u00ebsaj pasigurie, por planifikoni t\u00eb b\u00ebni sporte si vrapimi ose skijimi, operacioni rekomandohet p\u00ebr pacient\u00ebt n\u00ebn 55 vje\u00e7 me l\u00ebndim t\u00eb lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit.<\/p>\n

    Para operacionit<\/h3>\n

    Pacient\u00ebt fillojn\u00eb rehabilitimin para operacionit pasi t\u00eb b\u00ebhen vler\u00ebsimet e nevojshme. Para operacionit, \u00ebnjtja n\u00eb gjurin tuaj duhet t\u00eb ket\u00eb r\u00ebn\u00eb. Sugjerohet q\u00eb gjuri juaj t\u00eb arrij\u00eb nj\u00eb l\u00ebvizshm\u00ebri t\u00eb plot\u00eb pa dhimbje dhe forca e muskujve t\u00eb sip\u00ebrm t\u00eb gjurit t\u00eb p\u00ebrmir\u00ebsohet. Ky proces, n\u00eb var\u00ebsi t\u00eb individit, zakonisht zgjat rreth 2-3 jav\u00eb pas l\u00ebndimit.
    \nGjat\u00eb periudh\u00ebs para operacionit, nj\u00eb mjek anestezie do t’ju vler\u00ebsoj\u00eb dhe do t’ju jap\u00eb informacion mbi metod\u00ebn e anestezis\u00eb q\u00eb do t\u00eb aplikohet gjat\u00eb operacionit. Operacionet e lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit mund t\u00eb kryhen n\u00ebn anestezi t\u00eb p\u00ebrgjithshme (kur jeni plot\u00ebsisht i fjetur) ose n\u00ebn anestezi spinale (vet\u00ebm nga beli posht\u00eb). Metoda e p\u00ebrshtatshme p\u00ebr ju do t\u00eb vendoset s\u00eb bashku me mjekun e anestezis\u00eb. N\u00ebse po p\u00ebrdorni ila\u00e7e p\u00ebr hollimin e gjakut, mund t\u00eb jet\u00eb e nevojshme t\u00eb ndaloni p\u00ebrdorimin e tyre p\u00ebr nj\u00eb periudh\u00eb ose t\u2019i z\u00ebvend\u00ebsoni ato me ila\u00e7e t\u00eb tjera.<\/p>\n

    Gjat\u00eb operacionit<\/h3>\n

    Gjat\u00eb operacionit t\u00eb lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit, ju do t\u00eb vendoseni n\u00eb tavolin\u00ebn e operacionit me gjurin e palosur n\u00eb 90 grad\u00eb. Dy vrima t\u00eb vogla do t\u00eb hapen nga t\u00eb dyja an\u00ebt e pjes\u00ebs s\u00eb poshtme t\u00eb gjurit dhe strukturat brenda gjurit do t\u00eb vler\u00ebsohen me artroskop. Nga k\u00ebtu, do t\u00eb raportohet d\u00ebmti n\u00eb lidhjet, meniskus dhe kartilagjin\u00eb. M\u00eb pas, zakonisht b\u00ebhet nj\u00eb prerje 2-3 cm n\u00eb pjes\u00ebn e brendshme t\u00eb tibis\u00eb (kocka e pulp\u00ebs) p\u00ebr t\u00eb marr\u00eb greft\u00ebn q\u00eb do t\u00eb p\u00ebrdoret p\u00ebr rekonstruksionin e lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit. Pastaj, grefta e p\u00ebrgatitur do t\u00eb kaloj\u00eb n\u00ebp\u00ebr tunel\u00ebt e p\u00ebrgatitur n\u00eb gjurin tuaj me ndihm\u00ebn e aparateve t\u00eb ve\u00e7anta dhe do t\u00eb ngjitet me tensionin e nevojsh\u00ebm. Ky operacion zgjat mesatarisht 45 minuta deri n\u00eb 1 or\u00eb.<\/p>\n

    Pasi t\u00eb operacionit<\/h3>\n

    Pasi operacioni i lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit, do t\u00eb merrni ndihm\u00eb p\u00ebr t\u00eb kontrolluar dhimbjen. Do t\u00eb aplikohet kompres\u00eb e ftoht\u00eb n\u00eb gjurin tuaj. Pacient\u00ebt zakonisht q\u00ebndrojn\u00eb nj\u00eb nat\u00eb n\u00eb spital. Dit\u00ebn pas operacionit, pacienti do t\u00eb ngrihet duke p\u00ebrdorur bastun\u00eb p\u00ebr t’u mobilizuar. Ushtrohet forcimi i muskulit quadriceps mbi gjurin dhe ushtrime p\u00ebr l\u00ebvizshm\u00ebrin\u00eb e gjurit fillojn\u00eb menj\u00ebher\u00eb.
    \nPacient\u00ebt zakonisht p\u00ebrdorin bastun\u00eb p\u00ebr rreth 15 dit\u00eb. Pas k\u00ebsaj periudhe, ata do t\u00eb jen\u00eb n\u00eb gjendje t\u00eb kryejn\u00eb pun\u00ebt e p\u00ebrditshme. Ata q\u00eb punojn\u00eb n\u00eb zyr\u00eb mund t\u00eb kthehen n\u00eb pun\u00eb pas 15 dit\u00ebsh. Q\u00ebllimi \u00ebsht\u00eb q\u00eb pacient\u00ebt t\u00eb arrijn\u00eb l\u00ebvizshm\u00ebri t\u00eb plot\u00eb n\u00eb dy jav\u00ebt e para. Pas k\u00ebsaj, ndihma do t\u00eb p\u00ebrqendrohet n\u00eb forcimin e muskujve p\u00ebr 6 jav\u00eb dhe ushtrime p\u00ebr ekuilibrin p\u00ebr 6-12 jav\u00ebt e ardhshme. Pacient\u00ebt fillojn\u00eb t\u00eb vrapojn\u00eb pas muajit t\u00eb tret\u00eb dhe brenda 6-8 muajsh rikthehen n\u00eb sporte jo kontaktuese (not etj.). Rr\u00ebfimi n\u00eb sporte kontaktuese si futbolli dhe basketbolli rekomandohet vet\u00ebm pas nj\u00eb viti, p\u00ebrve\u00e7 p\u00ebr atlet\u00ebt elitar\u00eb.<\/p>\n

    Rehabilitimi i pacient\u00ebve me l\u00ebndime t\u00eb lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit dhe me l\u00ebndime meniskus mund t\u00eb ndryshoj\u00eb n\u00eb var\u00ebsi t\u00eb riparimit t\u00eb \u00e7arjes s\u00eb meniskut. Kur menisku riparohet, pacienti nuk lejohet t\u00eb ngarkoj\u00eb gjurin p\u00ebr rreth nj\u00eb muaj dhe p\u00ebr kat\u00ebr jav\u00ebt e para nuk lejohen l\u00ebvizje q\u00eb kalojn\u00eb 90 grad\u00eb. Pas 6 jav\u00ebsh, pacient\u00ebt fillojn\u00eb ushtrime p\u00ebr forcimin e gjurit t\u00eb operuar. N\u00ebse menisku nuk mund t\u00eb riparohet dhe do t\u00eb b\u00ebhet menisektomi e thjesht\u00eb, at\u00ebher\u00eb do t\u00eb ndiqet programi normal i rehabilitimit t\u00eb lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit.<\/p>\n

    Rreziqet e operacionit<\/h3>\n

    Si n\u00eb \u00e7do operacion tjet\u00ebr, pas artroskopis\u00eb s\u00eb gjurit mund t\u00eb ndodhin komplikacione si infeksioni dhe gjakderdhja. Rreziku i infeksionit \u00ebsht\u00eb 1 n\u00eb 1000. P\u00ebr t\u00eb parandaluar komplikacionet q\u00eb mund t\u00eb ndodhin gjat\u00eb k\u00ebtyre operacioneve, do t\u00eb jepen antibiotik\u00eb para operacionit dhe, n\u00ebse \u00ebsht\u00eb e nevojshme, disa ila\u00e7e do t\u00eb z\u00ebvend\u00ebsohen para operacionit.
    \nP\u00ebrve\u00e7 k\u00ebtyre, mund t\u00eb ket\u00eb rreziqe t\u00eb ve\u00e7anta n\u00eb lidhje me gjendjen tuaj t\u00eb p\u00ebrgjithshme sh\u00ebndet\u00ebsore, s\u00ebmundjet dhe ila\u00e7et q\u00eb p\u00ebrdorni. Mjeku juaj do t’ju informoj\u00eb p\u00ebr k\u00ebt\u00eb.<\/p>\n

    Si n\u00eb \u00e7do operacion tjet\u00ebr, pas rekonstruksionit t\u00eb lidhjes s\u00eb p\u00ebrparme t\u00eb kryqit mund t\u00eb ndodhin komplikacione si infeksioni dhe gjakderdhja. Rreziku i infeksionit \u00ebsht\u00eb 1 n\u00eb 1000. P\u00ebr t\u00eb parandaluar komplikacionet q\u00eb mund t\u00eb ndodhin gjat\u00eb k\u00ebtyre operacioneve, do t\u00eb jepen antibiotik\u00eb para operacionit dhe, n\u00ebse \u00ebsht\u00eb e nevojshme, disa ila\u00e7e do t\u00eb z\u00ebvend\u00ebsohen para operacionit. Disa pacient\u00eb mund t\u00eb p\u00ebrjetojn\u00eb humbje ndjenje n\u00eb nj\u00eb zon\u00eb t\u00eb vog\u00ebl n\u00eb pjes\u00ebn e p\u00ebrparme t\u00eb gjurit.<\/p>\n

    P\u00ebrve\u00e7 k\u00ebtyre, mund t\u00eb ket\u00eb rreziqe t\u00eb ve\u00e7anta n\u00eb lidhje me gjendjen tuaj t\u00eb p\u00ebrgjithshme sh\u00ebndet\u00ebsore, s\u00ebmundjet dhe ila\u00e7et q\u00eb p\u00ebrdorni. Mjeku juaj do t’ju informoj\u00eb p\u00ebr k\u00ebt\u00eb.<\/p>\n