{"id":57,"date":"2024-02-15T11:21:35","date_gmt":"2024-02-15T08:21:35","guid":{"rendered":"https:\/\/www.halukcabuk.com\/al\/?p=57"},"modified":"2024-09-23T12:30:39","modified_gmt":"2024-09-23T09:30:39","slug":"amelija-e-protezes-totale-te-hipit","status":"publish","type":"post","link":"https:\/\/www.halukcabuk.com\/al\/amelija-e-protezes-totale-te-hipit\/","title":{"rendered":"Amelija e Protez\u00ebs Totale t\u00eb Hipit"},"content":{"rendered":"<p><a href=\"https:\/\/www.halukcabuk.com\/al\/amelija-e-protezes-totale-te-hipit\/\"><strong>Operacioni i protez\u00ebs totale t\u00eb hipit<\/strong><\/a> \u00ebsht\u00eb nj\u00eb metod\u00eb trajtimi q\u00eb aplikohet te pacient\u00ebt q\u00eb ndiejn\u00eb dhimbje n\u00eb pjes\u00ebn e p\u00ebrparme t\u00eb hipit dhe t\u00eb kofsh\u00ebs, si dhe p\u00ebr ata q\u00eb kan\u00eb v\u00ebshtir\u00ebsi n\u00eb aktivitetet e p\u00ebrditshme p\u00ebr shkak t\u00eb k\u00ebsaj dhimbjeje.<\/p>\n<p>Artikulimi i hipit \u00ebsht\u00eb nj\u00eb artikulacion lloj topi-socket dhe ka nj\u00eb gam\u00eb t\u00eb gjer\u00eb l\u00ebvizshm\u00ebrie. N\u00ebse ndodh ndonj\u00eb d\u00ebmtim n\u00eb pjes\u00ebn e sip\u00ebrme t\u00eb kock\u00ebs s\u00eb kofsh\u00ebs (topi) ose n\u00eb pjes\u00ebn q\u00eb lidhet me kock\u00ebn e legenit (socket), funksioni i k\u00ebtij artikulimi prish\u00ebt dhe shkakton dhimbje. N\u00eb protez\u00ebn totale t\u00eb hipit, t\u00eb dy pjes\u00ebt e artikulimit z\u00ebvend\u00ebsohen me nj\u00eb artikulim artificial.<\/p>\n<h2>Kur aplikohet proteza totale e hipit?<\/h2>\n<p>Mjeku juaj do t&#8217;ju rekomandoj\u00eb operacionin e protez\u00ebs totale t\u00eb hipit n\u00ebse ndieni dhimbje, keni kufizime n\u00eb l\u00ebvizje dhe d\u00ebmtim t\u00eb artikulimit t\u00eb hipit.<br \/>\n<strong>Proteza totale e hipit;<\/strong><\/p>\n<ul>\n<li>Kur dhimbja \u00ebsht\u00eb e vazhdueshme dhe p\u00ebrs\u00ebrit\u00ebse dhe nuk p\u00ebrgjigjet ndaj ila\u00e7eve p\u00ebr dhimbje<\/li>\n<li>Kur keni nevoj\u00eb p\u00ebr nj\u00eb baston ose p\u00ebr nj\u00eb ndihm\u00ebs p\u00ebr t\u00eb ecur<\/li>\n<li>Kur keni dhimbje n\u00eb hip q\u00eb ju zgjon nga gjumi<\/li>\n<li>Kur keni v\u00ebshtir\u00ebsi t\u00eb ngriheni nga vendi ku po uluni<\/li>\n<li>Kur keni filluar t\u00eb keni v\u00ebshtir\u00ebsi n\u00eb t\u00eb zbritur dhe t\u00eb hipur shkall\u00ebve<\/li>\n<\/ul>\n<p>Kjo mund t\u00eb jet\u00eb nj\u00eb trajtim i p\u00ebrshtatsh\u00ebm p\u00ebr ju.<\/p>\n<h3>Faktor\u00ebt q\u00eb shkaktojn\u00eb d\u00ebmtime n\u00eb artikulimin e hipit<\/h3>\n<p><strong>Osteoartroza;<\/strong> mund t\u00eb ndodhi p\u00ebr shkak t\u00eb konsumimit dhe d\u00ebmtimit t\u00eb k\u00ebrcit n\u00eb artikulimin e hipit me kalimin e koh\u00ebs.<br \/>\n<strong>Artriti reumatoid;<\/strong> s\u00ebmundjet reumatike mund t\u00eb prekin t\u00eb gjitha artikulimet, p\u00ebrfshir\u00eb ato t\u00eb hipit, duke shkaktuar d\u00ebmtim n\u00eb k\u00ebrc dhe inde t\u00eb buta.<\/p>\n<p><strong>Osteonekroza ose nekroza avaskulare;<\/strong> ndodh kur damar\u00ebt q\u00eb furnizojn\u00eb kock\u00ebn e hipit bllokohen p\u00ebr shkak t\u00eb shkaqeve t\u00eb ndryshme, duke shkaktuar d\u00ebmtime t\u00eb pakthyeshme n\u00eb artikulim.<\/p>\n<p><strong>Trauma;<\/strong> sidomos pas frakturave t\u00eb hipit, mjeku juaj mund t\u00eb rekomandoj\u00eb operacionin e protez\u00ebs totale t\u00eb hipit duke marr\u00eb parasysh mosh\u00ebn tuaj dhe gjendjen tuaj sh\u00ebndet\u00ebsore.<\/p>\n<p>N\u00ebse ka nj\u00eb tumor n\u00eb artikulimin e hipit: ky artikulim \u00ebsht\u00eb nj\u00eb zon\u00eb ku shpesh ndodhin tumore, si ato benigne ashtu edhe maligne, dhe operacioni i protez\u00ebs totale t\u00eb hipit mund t\u00eb rekomandohet p\u00ebr trajtimin e k\u00ebtyre tumor\u00ebve.<\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/RtRljvIdmTM?si=n1SBDX2RI-uXQU5d\" width=\"100%\" height=\"550\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3>P\u00ebrgatitja para Operacionit t\u00eb Protez\u00ebs Totale t\u00eb Hipit<\/h3>\n<p>Para operacionit, mjeku juaj do t&#8217;ju kontrolloj\u00eb p\u00ebr t\u00eb regjistruar dhimbjen, kufizimin n\u00eb l\u00ebvizje dhe ndonj\u00eb diferenc\u00eb t\u00eb mundshme n\u00eb gjat\u00ebsin\u00eb e k\u00ebmb\u00ebve. Grafiku i artikulimit t\u00eb hipit zakonisht \u00ebsht\u00eb i mjaftuesh\u00ebm p\u00ebr diagnoz\u00eb. Mjeku juaj mund t\u00eb p\u00ebrdor\u00eb metoda t\u00eb tjera imazherie si tomografia dhe MRI n\u00ebse \u00ebsht\u00eb e nevojshme.<br \/>\nRreth 1 jav\u00eb para operacionit, disa ila\u00e7e mund t\u00eb duhet t\u00eb ndryshohen p\u00ebr nj\u00eb periudh\u00eb t\u00eb p\u00ebrkohshme. 2-3 dit\u00eb para operacionit, nj\u00eb mjek anestezist do t&#8217;ju vler\u00ebsoj\u00eb dhe do t\u00eb p\u00ebrcaktoj\u00eb metod\u00ebn e anestezis\u00eb m\u00eb t\u00eb p\u00ebrshtatshme p\u00ebr ju, duke vler\u00ebsuar gjithashtu gjendjen tuaj sh\u00ebndet\u00ebsore. Para operacionit, zakonisht k\u00ebrkohet t\u00eb jeni pa ushqim dhe uj\u00eb p\u00ebr 6-8 or\u00eb.<\/p>\n<h3>Gjat\u00eb Operacionit:<\/h3>\n<p>Gjat\u00eb operacionit, do t\u00eb p\u00ebrgatiteni n\u00eb nj\u00eb pozicion t\u00eb shtrir\u00eb, ose n\u00eb shpin\u00eb ose me hipin q\u00eb do t\u00eb operohet t\u00eb jet\u00eb lart. P\u00ebr t\u00eb zvog\u00ebluar rrezikun e infeksionit, do t&#8217;ju jepet nj\u00eb antibiotik p\u00ebrmes ven\u00ebs para fillimit t\u00eb operacionit. Nj\u00eb prerje prej rreth 15-20 cm do t\u00eb b\u00ebhet n\u00eb pjes\u00ebn an\u00ebsore ose t\u00eb p\u00ebrparme t\u00eb hipit p\u00ebr t\u00eb ekspozuar artikulimin. Pjes\u00ebt e d\u00ebmtuara t\u00eb kock\u00ebs s\u00eb kofsh\u00ebs dhe legenit do t\u00eb pastrohen dhe do t\u00eb vendoset artikulimi artificial i p\u00ebrshtatsh\u00ebm. Pas operacionit, nj\u00eb drenazh do t\u00eb vendoset p\u00ebr t\u00eb parandaluar grumbullimin e gjakut n\u00eb zon\u00ebn e artikulimit t\u00eb ndryshuar. Ky drenazh do t\u00eb hiqet pa dhimbje brenda 24-48 or\u00ebve.<br \/>\nOperacioni zakonisht zgjat rreth 1,5-2 or\u00eb.<\/p>\n<h3>Proteza e Hipit pas Fraktur\u00ebs<\/h3>\n<p>Pas nj\u00eb frakture t\u00eb hipit, mjeku juaj mund t\u00eb rekomandoj\u00eb protez\u00ebn e hipit duke marr\u00eb parasysh gjendjen tuaj sh\u00ebndet\u00ebsore dhe mosh\u00ebn. Fraktura e hipit \u00ebsht\u00eb nj\u00eb emergjenc\u00eb ortopedike, dhe \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb rikthehet pacienti n\u00eb k\u00ebmb\u00eb sa m\u00eb shpejt q\u00eb t\u00eb jet\u00eb e mundur. Pacient\u00ebt me fraktura t\u00eb hipit operohen shpejt bazuar n\u00eb vler\u00ebsimin e ila\u00e7eve dhe anestezis\u00eb, me q\u00ebllimin q\u00eb t\u00eb mobilizohen dhe t\u00eb parandalojn\u00eb komplikimet si tromboza.<\/p>\n<h3>Pas Operacionit t\u00eb Protez\u00ebs Totale t\u00eb Hipit<\/h3>\n<p>Pas operacionit, do t&#8217;ju \u00e7ojn\u00eb n\u00eb dhom\u00ebn tuaj. Aty do t&#8217;ju jepen ila\u00e7et e nevojshme p\u00ebr kontrollin e dhimbjes p\u00ebrmes ven\u00ebs. Mobilizimi i hersh\u00ebm i pacient\u00ebve \u00ebsht\u00eb i r\u00ebnd\u00ebsish\u00ebm p\u00ebr t\u00eb parandaluar formimin e trombeve. Shumica e pacient\u00ebve fillojn\u00eb ushtrimet brenda shtratit t\u00eb nj\u00ebjt\u00ebn dit\u00eb t\u00eb operacionit. N\u00eb dit\u00ebn pas operacionit, pacienti do t\u00eb nxitet t\u00eb q\u00ebndroj\u00eb n\u00eb k\u00ebmb\u00eb dhe t\u00eb ec\u00eb. Gjat\u00eb 15 dit\u00ebve t\u00eb para, pacient\u00ebt zakonisht ndihmohen me nj\u00eb ndihm\u00ebs p\u00ebr t\u00eb ecur dhe pastaj, zakonisht, arrijn\u00eb t\u00eb ecin n\u00eb m\u00ebnyr\u00eb t\u00eb pavarur.<br \/>\nPas operacionit, do t\u00eb k\u00ebrkohet t\u00eb b\u00ebni ushtrime t\u00eb frym\u00ebmarrjes dhe t\u00eb rritni aktivitetin tuaj \u00e7do dit\u00eb. Pas shkarkimit nga spitali, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb vazhdoni me ushtrimet e m\u00ebsuara n\u00eb sht\u00ebpi.<\/p>\n<p>Pacient\u00ebve u rekomandohet q\u00eb gjat\u00eb periudh\u00ebs s\u00eb sh\u00ebrimit t\u00eb indeve t\u00eb buta, p\u00ebr 6-12 muajt e par\u00eb, t\u00eb vendosin nj\u00eb jast\u00ebk midis k\u00ebmb\u00ebve gjat\u00eb gjumit, t\u00eb mos ulen me k\u00ebmb\u00ebt e kryq\u00ebzuara dhe t\u00eb mos ulen n\u00eb karrige shum\u00eb t\u00eb thella.<\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/V6HTC2beS5w?si=6lRstrFYPKvYfKLN\" width=\"100%\" height=\"550\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3>Rezultatet<\/h3>\n<p>Proteza totale e hipit, kur aplikohet te pacient\u00ebt e duhur, sjell rezultate shum\u00eb t\u00eb k\u00ebnaqshme dhe ju do t\u00eb keni nj\u00eb l\u00ebvizshm\u00ebri t\u00eb qet\u00eb dhe pa dhimbje p\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb. Pacient\u00ebt zakonisht arrijn\u00eb t\u00eb ecin n\u00eb m\u00ebnyr\u00eb t\u00eb pavarur dhe t\u00eb p\u00ebrmbushin detyrat e tyre t\u00eb p\u00ebrditshme brenda 3-4 jav\u00ebve. Pas muajit t\u00eb par\u00eb, mjeku do t&#8217;ju rekomandoj\u00eb nj\u00eb program t\u00eb ve\u00e7ant\u00eb ushtrimesh p\u00ebr t\u00eb forcuar muskujt dhe p\u00ebr t\u00eb rikthyer l\u00ebvizshm\u00ebrin\u00eb.<\/p>\n<p>N\u00eb p\u00ebrfundim, proteza totale e hipit \u00ebsht\u00eb nj\u00eb zgjidhje efektive p\u00ebr pacient\u00ebt q\u00eb vuajn\u00eb nga dhimbje t\u00eb p\u00ebrhershme dhe kufizime t\u00eb l\u00ebvizjes p\u00ebr shkak t\u00eb d\u00ebmtimit t\u00eb artikulimit t\u00eb hipit. Duke ndjekur rekomandimet e mjekut dhe duke kryer ushtrimet e duhura, do t\u00eb arrini nj\u00eb sh\u00ebrim t\u00eb plot\u00eb dhe kthim n\u00eb aktivitetet e p\u00ebrditshme pa dhimbje.<\/p>\n<p>Do t&#8217;ju lutem t\u00eb kontaktoni mjekun tuaj n\u00ebse keni ndonj\u00eb pyetje ose shqet\u00ebsim n\u00eb lidhje me operacionin e protez\u00ebs s\u00eb hipit.<\/p>\n<h2>Pyetje dhe P\u00ebrgjigje<\/h2>\n<h3>A ka proteza t\u00eb ndryshme p\u00ebr hipin? A jan\u00eb t\u00eb nj\u00ebjtat rezultatet e tyre?<\/h3>\n<p>Protezat e hipit mund t\u00eb ndahen n\u00eb disa grupe. Nj\u00ebra prej tyre \u00ebsht\u00eb proteza parciale e hipit, e cila z\u00ebvend\u00ebson vet\u00ebm artikulimin e sip\u00ebrm t\u00eb kock\u00ebs s\u00eb kofsh\u00ebs, nd\u00ebrsa tjetra \u00ebsht\u00eb proteza totale e hipit, e cila z\u00ebvend\u00ebson si artikulimin e sip\u00ebrm t\u00eb kock\u00ebs s\u00eb kofsh\u00ebs ashtu edhe socket-in n\u00eb kock\u00ebn e legenit. Protezat totale t\u00eb hipit preferohen m\u00eb shum\u00eb te pacient\u00ebt aktiv\u00eb q\u00eb mund t\u00eb kryejn\u00eb vet\u00eb aktivitetet e p\u00ebrditshme pa v\u00ebshtir\u00ebsi. Mjeku juaj do t&#8217;ju jap\u00eb informacion rreth protez\u00ebs m\u00eb t\u00eb p\u00ebrshtatshme p\u00ebr ju.<\/p>\n<h3>A mund t\u00eb kem protez\u00eb n\u00ebse kam osteoporoz\u00eb?<\/h3>\n<p>Me kalimin e mosh\u00ebs, osteoporoza b\u00ebhet nj\u00eb problem serioz. Megjithat\u00eb, te pacient\u00ebt me osteoporoz\u00eb, mund t\u00eb preferohen protezat me \u00e7iment q\u00eb bazohen n\u00eb kritere t\u00eb caktuara radiologjike. K\u00ebto proteza nuk ndryshojn\u00eb funksionalisht nga ato pa \u00e7iment, por protezat pa \u00e7iment, q\u00eb tregojn\u00eb nj\u00eb sh\u00ebrim m\u00eb biologjik, preferohen te pacient\u00ebt me cil\u00ebsi t\u00eb mir\u00eb t\u00eb kockave.<\/p>\n<h3>A ka l\u00ebvizje q\u00eb nuk duhet t\u00eb b\u00ebj pas protez\u00ebs s\u00eb hipit?<\/h3>\n<p>Edhe n\u00ebse proteza e hipit \u00ebsht\u00eb integruar mir\u00eb n\u00eb kock\u00eb, p\u00ebr shkak t\u00eb gam\u00ebs s\u00eb gjer\u00eb t\u00eb l\u00ebvizjes s\u00eb artikulimit t\u00eb hipit, ajo mund t\u00eb dal\u00eb nga socket-i n\u00eb disa raste. Kjo mund t\u00eb ndodh\u00eb pas nj\u00eb r\u00ebnieje ose n\u00eb situata si ulja, kryq\u00ebzimi i k\u00ebmb\u00ebve ose ulja me k\u00ebmb\u00eb t\u00eb palosura. Gama e sigurt e l\u00ebvizjes do t\u00eb kontrollohet gjat\u00eb operacionit dhe, n\u00ebse nevojitet, kufizimet pas operacionit do t&#8217;ju shpjegohen nga mjeku juaj.<\/p>\n<h3>Kam b\u00ebr\u00eb protez\u00eb nj\u00eb koh\u00eb t\u00eb gjat\u00eb, dhe tani kam ndjer\u00eb nj\u00eb l\u00ebvizje n\u00eb protez\u00ebn time. A \u00ebsht\u00eb e mundur ta ndryshoj?<\/h3>\n<p>Me kalimin e koh\u00ebs, protezat mund t\u00eb konsumohen ose t\u00eb ken\u00eb l\u00ebvizje. Kjo mund t\u00eb ndodh\u00eb p\u00ebr shkak t\u00eb mosh\u00ebs s\u00eb pacientit, karakteristikave t\u00eb materialeve t\u00eb p\u00ebrdorura gjat\u00eb operacionit, teknik\u00ebs kirurgjikale, aktiviteteve fizike intensive pas operacionit ose s\u00ebmundjeve shoq\u00ebruese. N\u00eb nj\u00eb rast t\u00eb till\u00eb, si\u00e7 ndodhi me operacionin tuaj t\u00eb par\u00eb, mund t\u00eb z\u00ebvendoset vet\u00ebm pjesa e l\u00ebvizshme ose e d\u00ebmtuar e protez\u00ebs, por n\u00eb disa raste mund t\u00eb k\u00ebrkohet z\u00ebvend\u00ebsimi i t\u00eb gjith\u00eb protez\u00ebs. N\u00eb p\u00ebrgjith\u00ebsi, nj\u00eb protez\u00eb pak m\u00eb t\u00eb madhe mund t\u00eb p\u00ebrdoret p\u00ebr operacionin e rivendosjes.<\/p>\n<p>P\u00ebr m\u00eb shum\u00eb informacion, ju lutem vizitoni kanalin tim n\u00eb YouTube:\u00a0<a href=\"https:\/\/www.youtube.com\/@profdrhalukcabuk\" target=\"_blank\" rel=\"noopener\"><strong>@profdrhalukcabuk<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Operacioni i protez\u00ebs totale t\u00eb hipit \u00ebsht\u00eb nj\u00eb metod\u00eb trajtimi q\u00eb aplikohet te pacient\u00ebt q\u00eb ndiejn\u00eb dhimbje n\u00eb pjes\u00ebn e p\u00ebrparme t\u00eb hipit dhe t\u00eb kofsh\u00ebs, si dhe p\u00ebr ata q\u00eb kan\u00eb v\u00ebshtir\u00ebsi n\u00eb aktivitetet e p\u00ebrditshme p\u00ebr shkak t\u00eb k\u00ebsaj dhimbjeje. Artikulimi i hipit \u00ebsht\u00eb nj\u00eb artikulacion lloj topi-socket dhe ka nj\u00eb gam\u00eb t\u00eb [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":281,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-57","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\/57","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=57"}],"version-history":[{"count":8,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/57\/revisions"}],"predecessor-version":[{"id":338,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/posts\/57\/revisions\/338"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media\/281"}],"wp:attachment":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media?parent=57"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/categories?post=57"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/tags?post=57"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}