{"id":14996,"date":"2020-05-22T20:45:09","date_gmt":"2020-05-22T18:45:09","guid":{"rendered":"https:\/\/kojqiqi.com\/?page_id=14996"},"modified":"2020-05-23T00:16:35","modified_gmt":"2020-05-22T22:16:35","slug":"kirurgjia-e-tumorit","status":"publish","type":"page","link":"https:\/\/kojqiqi.com\/sherbimet\/kirurgjia-e-tumorit\/","title":{"rendered":"Kirurgjia e Tumoreve t\u00eb zemr\u00ebs"},"content":{"rendered":"
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Tumoret e zemr\u00ebs<\/h2>\n<\/div>
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Faktor\u00ebt riskues t\u00eb k\u00ebtyre s\u00ebmundjeve kan\u00eb filluar t\u00eb shfaqen n\u00eb mas\u00eb edhe tek t\u00eb rinjt\u00eb. \u00c7el\u00ebsi i eliminimit t\u00eb k\u00ebtyre s\u00ebmundjeve ka t\u00eb b\u00ebj\u00eb me ndjekjen e vizitave dhe konsultave t\u00eb rregullta te mjeku. \u00cbsht\u00eb shum\u00eb e r\u00ebnd\u00ebsishme q\u00eb t\u00eb mbahet nj\u00eb balanc\u00eb e mir\u00eb, nd\u00ebrmjet p\u00ebrdorimit t\u00eb medika\u00ac menteve dhe llojeve t\u00eb tjera t\u00eb terapive mjek\u00eb\u00ac sore p\u00ebr ndalimin e k\u00ebtyre s\u00ebmundjeve. Tumoret e zemr\u00ebs jan\u00eb s\u00ebmundje shum\u00eb t\u00eb rral\u00ac la, t\u00eb cilat ndahen n\u00eb primare apo beninje dhe sekondare apo t\u00eb ashtuquajturat tumore malinje.<\/p>\n

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Tumoret primare <\/h4>\n<\/div>
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Zakonisht e kan\u00eb origjin\u00ebn nga muret e zemr\u00ebs apo edhe nga brend\u00ebsia e dhomave t\u00eb zemr\u00ebs, pra mund t\u00eb jen\u00eb tumore intraventrikular\u00eb apo intraatrial\u00eb. N\u00eb shumic\u00ebn e rasteve jan\u00eb tumore pa pasoja t\u00eb r\u00ebnda p\u00ebr pacientin. Zgjidhja me an\u00eb t\u00eb operacionit, \u00ebsht\u00eb gjithnj\u00eb n\u00eb var\u00ebsi t\u00eb gjendjes klinike t\u00eb pacientit dhe madh\u00ebsis\u00eb s\u00eb tumorit. Tumoret m\u00eb t\u00eb shpeshta jan\u00eb:<\/p>\n

Miksoma<\/strong> – lokalizimi i t\u00eb cilit \u00ebsht\u00eb m\u00eb s\u00eb shpeshti atriumi, origjina e tyre \u00ebsht\u00eb septumi i atriumit, af\u00ebr t\u00eb ashtuquajtur\u00ebs Fosa Ovalis. M\u00eb t\u00eb rralla jan\u00eb ato me origjin\u00eb nga vena pulmonale.<\/p>\n

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M\u00eb t\u00eb shpeshtat jan\u00eb n\u00eb atriumin e majt\u00eb (75 %) dhe rreth 20 % n\u00eb atriumin e djatht\u00eb.<\/p>\n

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Fibroelastoma<\/strong> – e gjejm\u00eb tek valvula mitrale dhe valvula aortale, rrall\u00ebher\u00eb e gjejm\u00eb n\u00eb ventrikul. Nd\u00ebrhyrja kirurgjikale \u00ebsht\u00eb e domosdoshme tek ky lloj tumori.<\/p>\n

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Rabdomiksoma<\/strong> – rradhitet tek tumoret beninje dhe e gjejm\u00eb m\u00eb s\u00eb shpeshti tek f\u00ebmij\u00ebt.<\/p>\n<\/div>\n

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Tumoret sekondare apo malinje <\/h4>\n<\/div>
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Jan\u00eb forma t\u00eb karcinomeve, t\u00eb cil\u00ebt origjin\u00ebn e kan\u00eb nga organet e tjera p\u00ebrreth zemr\u00ebs, pra n\u00eb 95 % t\u00eb rasteve.
\nNd\u00ebrsa rreth 5 % t\u00eb tumoreve malinje e kan\u00eb origjin\u00ebn direkt nga zemra.<\/p>\n

Nga ekzaminimet histologjike kemi t\u00eb b\u00ebjm\u00eb me Rabdomiosarkome, Fibro\u00adSarkome, Angio\u00ad Sarkome dhe Mikso\u00adSarkome.
\nNj\u00eb form\u00eb m\u00eb e rrall\u00eb \u00ebsht\u00eb edhe i ashtuquajturi Kaposi\u00adSarkom.<\/p>\n

Miksoma <\/strong>p\u00ebrb\u00ebn mbi 50 % t\u00eb tumoreve pri\u00ad mare t\u00eb zemr\u00ebs. P\u00ebrb\u00ebhet nga qeliza multipo\u00ad tente mezenkimale. Lokalizohet m\u00eb s\u00eb shpeshti n\u00eb atriumin e majt\u00eb.<\/p>\n

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Diagnostikimi i miksom\u00ebs b\u00ebhet me an\u00eb t\u00eb Eko\u00ad grafis\u00eb kardiake dhe Kompjuterografis\u00eb. Kateterizimi dhe EKG e zemr\u00ebs jan\u00eb t\u00eb pabe\u00ad sueshme n\u00eb diagnostikimin e tumoreve t\u00eb zemr\u00ebs dhe nuk preferohet. P\u00ebr nga konsistenca jan\u00eb t\u00eb but\u00eb dhe kan\u00eb nj\u00eb form\u00eb t\u00eb organizuar pa kon\u00ad tura jan\u00eb t\u00eb lidhur me muret e zemr\u00ebs me nj\u00eb \u201ek\u00ebr\u00ad thiz\u00eb\u201c, e cila i b\u00ebn k\u00ebto tumore edhe t\u00eb l\u00ebvizshme n\u00eb disa raste. Risku i k\u00ebtyre l\u00ebvizjeve konsiston n\u00eb pengimin e funksionalitetit t\u00eb mir\u00ebfillt\u00eb t\u00eb valvul\u00ebs apo edhe ndonj\u00ebher\u00eb n\u00eb shk\u00ebputjen e ndonj\u00eb cop\u00ebze apo pjes\u00eb t\u00eb miksom\u00ebs, e cila mund t\u00eb jet\u00eb me pasoja t\u00eb r\u00ebnda p\u00ebr pacientin.<\/p>\n

Simptomat varen nga madh\u00ebsia dhe lokacioni i tumorit. N\u00ebse tumori (miksoma) \u00ebsht\u00eb e lokali\u00ad zuar af\u00ebr valvul\u00ebs e pengon l\u00ebvizshm\u00ebrin\u00eb e saj. K\u00ebto pengesa tek pacienti shkaktojn\u00eb bllokim t\u00eb frym\u00ebmarrjes, e cila varet nga eforti fizik dhe pozi\u00ad cioni i trupit t\u00eb pacientit. Nga ana tjet\u00ebr n\u00ebse tu\u00ad mori \u00ebsht\u00eb i vendosur n\u00eb muret e zemr\u00ebs, mund t\u00eb shkaktoj\u00eb nj\u00eb dob\u00ebsim t\u00eb muskulit t\u00eb zemr\u00ebs ose e ashtuquajtura insuficienc\u00eb e zemr\u00ebs.<\/p>\n

Tumoret zakonisht kan\u00eb nj\u00eb \u201ck\u00ebrthiz\u00eb\u201c p\u00ebrmes s\u00eb cil\u00ebs jan\u00eb edhe t\u00eb lidhur me muret e zemr\u00ebs, e cila i b\u00ebn edhe t\u00eb l\u00ebvizsh\u00ebm. Risku i k\u00ebtyre \u00ebsht\u00eb shk\u00ebputja e nj\u00eb cop\u00ebze nga tumori. Kalimi i k\u00ebsaj cop\u00ebze n\u00eb qarkullimin e gjakut dhe bllokimi i nj\u00eb arterie n\u00eb tru shkakton nj\u00eb infarkt t\u00eb trurit (Ish\u00ad emi cerebrale). E nj\u00ebjta gj\u00eb, por ndoshta edhe me pasoja m\u00eb t\u00eb r\u00ebnda mund t\u00eb ndodh\u00eb n\u00ebse nj\u00eb cop\u00ebz nga tumori (miksoma) shk\u00ebputet dhe shkon n\u00eb mushk\u00ebri. Simptoma t\u00eb tjera q\u00eb kan\u00eb pacient\u00ebt jan\u00eb humbja n\u00eb pesh\u00eb, temperatur\u00eb por edhe marrje mendsh nga mosfurnizimi i mjaf\u00ad tuesh\u00ebm i trurit me gjak.<\/p>\n<\/div>\n

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Terapia<\/h4>\n<\/div>
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Terapia ideale dhe m\u00eb e p\u00ebrhapur sot \u00ebsht\u00eb nd\u00ebrhyrja kirurgjikale.
\nB\u00ebhet me an\u00eb t\u00eb hapjes s\u00eb toraksit dhe marrjen e pacientit n\u00eb makin\u00ebn ekstrakorporale. \u00cbsht\u00eb makina e cila e z\u00ebvend\u00ebson zemr\u00ebn dhe mush\u00ad k\u00ebrit\u00eb gjat\u00eb operacionit.<\/p>\n

Zakonisht k\u00ebto lloje t\u00eb tumoreve me an\u00eb t\u00eb oper\u00ad acionit largohen komplet. Por ka raste, t\u00eb rralla, kur edhe nuk mund t\u00eb largohen. N\u00eb t\u00eb tilla raste \u00ebsht\u00eb mir\u00eb q\u00eb t\u00eb largohet sa m\u00eb shum\u00eb mas\u00eb tumorale n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb leht\u00ebsohet puna sa m\u00eb efektive e zemr\u00ebs. N\u00ebse p\u00ebr shkak t\u00eb tu\u00ad morit \u00ebsht\u00eb d\u00ebmtuar ndonj\u00ebra nga valvulat, k\u00ebto duhet t\u00eb rekonstruktohen n\u00ebse \u00ebsht\u00eb e mundur, p\u00ebrndryshe dueht t\u00eb z\u00ebvend\u00ebsohen gjat\u00eb operacionit.<\/p>\n

Masa tumorale d\u00ebrgohet n\u00eb laborator p\u00ebr ekzaminim. Kjo b\u00ebhet p\u00ebr arsye t\u00eb terapis\u00eb s\u00eb m\u00ebtejshme t\u00eb pacientit pas operacionit.
\nKrejt tjet\u00ebr paraqitet situata me tumoret ma\u00ad linje, t\u00eb cil\u00ebt n\u00eb shumic\u00ebn e rasteve dep\u00ebrtojn\u00eb n\u00eb zem\u00ebr nga organet e tjera.<\/p>\n

Ky grup i pacient\u00ebve, edhe pas operacionit kan\u00eb nevoj\u00eb p\u00ebr kemoterapi. Edhe pse operacioni ua leht\u00ebson simptomat preoperative.
\nPacient\u00ebt, t\u00eb cil\u00ebt operohen nga miksoma atriale dhe kur tek k\u00ebta pacient\u00eb arrijm\u00eb q\u00eb p\u00ebrmes operacionit ta largojm\u00eb komplet mas\u00ebn tumorale, konsiderohen si t\u00eb trajtuar dhe t\u00eb sh\u00ebruar p\u00ebrfundimisht.<\/p>\n

 <\/p>\n

Dr.Besnik Kojcici<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":12208,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_oct_exclude_from_cache":false,"_glsr_average":0,"_glsr_ranking":0,"_glsr_reviews":0,"footnotes":""},"class_list":["post-14996","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/kojqiqi.com\/wp-json\/wp\/v2\/pages\/14996","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kojqiqi.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kojqiqi.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kojqiqi.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kojqiqi.com\/wp-json\/wp\/v2\/comments?post=14996"}],"version-history":[{"count":5,"href":"https:\/\/kojqiqi.com\/wp-json\/wp\/v2\/pages\/14996\/revisions"}],"predecessor-version":[{"id":15014,"href":"https:\/\/kojqiqi.com\/wp-json\/wp\/v2\/pages\/14996\/revisions\/15014"}],"up":[{"embeddable":true,"href":"https:\/\/kojqiqi.com\/wp-json\/wp\/v2\/pages\/12208"}],"wp:attachment":[{"href":"https:\/\/kojqiqi.com\/wp-json\/wp\/v2\/media?parent=14996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}