Operacioni i Revizionit t\u00eb Protez\u00ebs s\u00eb Gjurit<\/a>:<\/strong> Te pacient\u00ebt me protez\u00eb gjuri, pas nj\u00eb periudhe t\u00eb caktuar, mund t\u00eb v\u00ebrehet q\u00eb proteza \u00ebsht\u00eb liruar. Lirimi i protez\u00ebs mund t\u00eb shkaktohet nga infeksioni, instabiliteti, konsumimi i polietilenit (plastika speciale midis dy metaleve), ose ndonj\u00eb fraktur\u00eb. N\u00eb k\u00ebt\u00eb rast, \u00ebsht\u00eb e nevojshme t\u00eb z\u00ebvend\u00ebsohet proteza me proteza t\u00eb ve\u00e7anta, pra t\u00eb b\u00ebhet nj\u00eb revizion. Ky proces quhet operacioni i revizionit t\u00eb protez\u00ebs s\u00eb gjurit. Arsyeja m\u00eb e r\u00ebnd\u00ebsishme p\u00ebr revizionin e protez\u00ebs s\u00eb gjurit \u00ebsht\u00eb konsumimi i polietilenit ose humbja e stabilitetit p\u00ebr shkak t\u00eb lirimit n\u00eb sip\u00ebrfaqen metalike t\u00eb kock\u00ebs, q\u00eb shkakton dhimbje dhe shqet\u00ebsime mekanike (z\u00ebra nga gjuri, zvog\u00eblim i gam\u00ebs s\u00eb l\u00ebvizjes, etj.). N\u00eb nj\u00eb rast t\u00eb till\u00eb, n\u00eb nj\u00eb operacion t\u00eb vet\u00ebm, proteza e vjet\u00ebr hiqet dhe vendoset nj\u00eb protez\u00eb e re, duke mund\u00ebsuar q\u00eb pacienti t\u00eb rikthehet sa m\u00eb shpejt n\u00eb jet\u00ebn e p\u00ebrditshme dhe t\u00eb rris\u00eb cil\u00ebsin\u00eb e jet\u00ebs.<\/p>\n N\u00eb rastin e infeksionit, proceset jan\u00eb pak m\u00eb t\u00eb komplikuara. N\u00eb k\u00ebt\u00eb rast, mjeku juaj mund t\u00eb marr\u00eb nj\u00eb vendim p\u00ebr nj\u00eb kirurgji me nj\u00eb ose dy faza, n\u00eb var\u00ebsi t\u00eb llojit t\u00eb bakterit q\u00eb shkakton infeksionin dhe p\u00ebrhapjes s\u00eb tij. Mendimi i pranuar gjer\u00ebsisht \u00ebsht\u00eb se kirurgjia me dy faza \u00ebsht\u00eb e preferueshme. N\u00eb k\u00ebt\u00eb proces, faza e par\u00eb p\u00ebrfshin heqjen e protez\u00ebs s\u00eb infektuar dhe pastrimin e ky\u00e7it, si dhe vendosjen e p\u00ebrkohshme t\u00eb nj\u00eb spaceri (nj\u00eb mbush\u00ebs) t\u00eb p\u00ebrgatitur me antibiotik n\u00eb ky\u00e7in e gjurit. Nga mostrave t\u00eb marra gjat\u00eb k\u00ebsaj kirurgjie, p\u00ebrcaktohet lloji i bakterit q\u00eb shkakton infeksionin dhe cilat antibiotik\u00eb jan\u00eb t\u00eb ndjesh\u00ebm ndaj tij, dhe pacienti merr trajtim me antibiotik\u00eb sipas k\u00ebtyre rezultateve. Mjeku juaj do t\u00eb vendos\u00eb p\u00ebr faz\u00ebn e dyt\u00eb pasi t\u00eb jet\u00eb i sigurt q\u00eb infeksioni ka kaluar (duke shqyrtuar analizat e gjakut dhe vendin e plag\u00ebs). N\u00eb k\u00ebt\u00eb faz\u00eb, spaceri i vendosur hiqet dhe protezat speciale vendosen n\u00eb gjurin tuaj, duke mund\u00ebsuar rikthimin n\u00eb jet\u00ebn e p\u00ebrditshme. N\u00ebse pastrimi i b\u00ebr\u00eb n\u00eb faz\u00ebn e par\u00eb nuk ka qen\u00eb i mjaftuesh\u00ebm p\u00ebr t\u00eb luftuar infeksionin, mund t\u00eb k\u00ebrkohet p\u00ebrs\u00ebritja e procesit disa her\u00eb.<\/p>\n Kjo kirurgji me dy faza zgjat minimum 4 jav\u00eb dhe mund t\u00eb zgjas\u00eb n\u00eb var\u00ebsi t\u00eb p\u00ebrhapjes s\u00eb infeksionit dhe antibiotik\u00ebve q\u00eb do t\u00eb jepen.<\/p>\n Revizionet e protez\u00ebs s\u00eb gjurit jan\u00eb p\u00ebrgjith\u00ebsisht pak m\u00eb t\u00eb m\u00ebdha se protezat primare t\u00eb gjurit. Ato mund t\u00eb ken\u00eb zgjerime q\u00eb shkojn\u00eb brenda kock\u00ebs p\u00ebr t\u00eb rritur sip\u00ebrfaqen e mbajtjes dhe stabilitetin. N\u00eb rastet shum\u00eb t\u00eb avancuara, kur humbja e kock\u00ebs \u00ebsht\u00eb shum\u00eb e madhe dhe lidhjet an\u00ebsore jan\u00eb t\u00eb dob\u00ebta, mund t\u00eb preferohen proteza q\u00eb kufizojn\u00eb l\u00ebvizjen e ky\u00e7it.<\/p>\n Pacient\u00ebt vendosen n\u00eb repart p\u00ebr t\u00eb pushuar pas operacionit. Shumica e pacient\u00ebve ndihmohen t\u00eb q\u00ebndrojn\u00eb n\u00eb k\u00ebmb\u00eb dhe t\u00eb ecin dit\u00ebn pas operacionit. Pas operacionit t\u00eb revizionit t\u00eb protez\u00ebs s\u00eb gjurit, pacient\u00ebt q\u00ebndrojn\u00eb rreth 4-5 dit\u00eb n\u00eb spital p\u00ebr kujdesin e plag\u00ebs dhe marrin trajtim me antibiotik\u00eb n\u00ebp\u00ebrmjet ven\u00ebs. Fatkeq\u00ebsisht, si pasoj\u00eb e madh\u00ebsis\u00eb s\u00eb operacionit dhe rikthimit n\u00eb kirurgji, niveli i infeksioneve n\u00eb revizionet e protez\u00ebs s\u00eb gjurit \u00ebsht\u00eb m\u00eb i lart\u00eb se n\u00eb protezat primare, duke k\u00ebrkuar nj\u00eb ndjekje t\u00eb af\u00ebrt. Po, nj\u00eb film r\u00f6ntgen i thjesht\u00eb mund t\u00eb na jap\u00eb shum\u00eb informacion n\u00eb lidhje me lirimin e protez\u00ebs s\u00eb gjurit. Ve\u00e7an\u00ebrisht n\u00eb grafit\u00eb e ndjekjes (dmth., kur krahasohet me filmat tuaj t\u00eb m\u00ebparsh\u00ebm), \u00e7do ndryshim n\u00eb vendosjen e protez\u00ebs ose ndonj\u00eb hap\u00ebsir\u00eb q\u00eb fillon t\u00eb formohet midis protez\u00ebs dhe kock\u00ebs tregon se proteza \u00ebsht\u00eb liruar.<\/p>\n Pas nj\u00eb revizioni t\u00eb protez\u00ebs s\u00eb gjurit, \u00ebsht\u00eb e mundur t\u00eb b\u00ebhet nj\u00eb tjet\u00ebr revizion. Sigurisht, k\u00ebtu humbjet e kock\u00ebs dhe humbjet n\u00eb lidhje dhe inde t\u00eb buta mund t\u00eb rriten, prandaj proteza m\u00eb e madhe dhe m\u00eb kufizuese mund t\u00eb jet\u00eb e nevojshme. Operacioni i Revizionit t\u00eb Protez\u00ebs s\u00eb Gjurit Operacioni i Revizionit t\u00eb Protez\u00ebs s\u00eb Gjurit: Te pacient\u00ebt me protez\u00eb gjuri, pas nj\u00eb periudhe t\u00eb caktuar, mund t\u00eb v\u00ebrehet q\u00eb proteza \u00ebsht\u00eb liruar. Lirimi i protez\u00ebs mund t\u00eb shkaktohet nga infeksioni, instabiliteti, konsumimi i polietilenit (plastika speciale midis dy metaleve), ose ndonj\u00eb fraktur\u00eb. N\u00eb k\u00ebt\u00eb rast, \u00ebsht\u00eb […]<\/p>\n","protected":false},"author":1,"featured_media":285,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-53","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\/53","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=53"}],"version-history":[{"count":7,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/53\/revisions"}],"predecessor-version":[{"id":340,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/53\/revisions\/340"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media\/285"}],"wp:attachment":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media?parent=53"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/categories?post=53"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/tags?post=53"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nPara operacionit t\u00eb revizionit t\u00eb protez\u00ebs s\u00eb gjurit, duhet t\u00eb identifikohet shkaku i lirimit t\u00eb protez\u00ebs. P\u00ebr k\u00ebt\u00eb, shqyrtohen filmat e gjurit t\u00eb pacientit, dhe, n\u00ebse \u00ebsht\u00eb e nevojshme, tomografia, si dhe analizat e gjakut p\u00ebr infeksionin dhe vlerat reumatike. Diferencimi m\u00eb i r\u00ebnd\u00ebsish\u00ebm \u00ebsht\u00eb t\u00eb p\u00ebrcaktohet n\u00ebse lirimi \u00ebsht\u00eb i lidhur me infeksionin apo me instabilitetin. P\u00ebr k\u00ebt\u00eb, mund t\u00eb k\u00ebrkohen teste t\u00eb ve\u00e7anta si marrja e mostrave t\u00eb gjakut nga pacient\u00ebt, si dhe mostra nga gjuri p\u00ebr kultur\u00eb, skintigrafi kockore ose skintigrafi kockore e markuar me leukocite, si dhe testi i alfa-defansin\u00ebs. N\u00eb baz\u00eb t\u00eb rezultateve t\u00eb k\u00ebtyre testeve, do t\u00eb p\u00ebrcaktohet rruga e veprimit. N\u00ebse pas operacionit t\u00eb par\u00eb keni pasur probleme t\u00eb zgjatura n\u00eb vendin e plag\u00ebs dhe jan\u00eb shfaqur sekrecione, probabiliteti i lirimit t\u00eb protez\u00ebs p\u00ebr shkak t\u00eb infeksionit n\u00eb afat t\u00eb gjat\u00eb \u00ebsht\u00eb m\u00eb i lart\u00eb.<\/p>\nPas operacionit<\/h3>\n
\nPacient\u00ebt ndihmohen t\u00eb ecin me ndihm\u00eb p\u00ebr rreth 1 muaj dhe m\u00eb pas mund t\u00eb ecin pa ndihm\u00eb. Pr expectativa pas operacionit t\u00eb revizionit t\u00eb protez\u00ebs s\u00eb gjurit \u00ebsht\u00eb q\u00eb pacienti t\u00eb ec\u00eb pa dhimbje, t\u00eb b\u00ebj\u00eb pun\u00ebt e tij t\u00eb p\u00ebrditshme n\u00eb m\u00ebnyr\u00eb t\u00eb pavarur dhe t\u00eb ulet e t\u00eb ngrihet leht\u00ebsisht. P\u00ebr shkak t\u00eb natyr\u00ebs kufizuese t\u00eb revizionit t\u00eb protez\u00ebs s\u00eb gjurit, sportet e ashpra nuk rekomandohen pas operacionit. Pacient\u00ebt mund t\u00eb angazhohen n\u00eb sporte m\u00eb t\u00eb lehta si ecja dhe noti.<\/p>\nPyetje dhe P\u00ebrgjigje<\/h2>\n
Ka kaluar shum\u00eb koh\u00eb q\u00eb nga operacioni i protez\u00ebs s\u00eb gjurit dhe tani kam filluar t\u00eb kem dhimbje. A mund t\u00eb kuptohet nga filmat n\u00ebse proteza \u00ebsht\u00eb liruar?<\/h3>\n
Kam pasur nj\u00eb revizion t\u00eb protez\u00ebs s\u00eb gjurit m\u00eb par\u00eb, por tani kam p\u00ebrs\u00ebri dhimbje, m\u00eb than\u00eb se duhet t\u00eb z\u00ebvend\u00ebsohet p\u00ebrs\u00ebri. A \u00ebsht\u00eb e mundur t\u00eb b\u00ebhet nj\u00eb revizion tjet\u00ebr?<\/h3>\n
\nP\u00ebr m\u00eb shum\u00eb informacion, ju lutem vizitoni kanalin tim n\u00eb YouTube: @profdrhalukcabuk<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"