{"id":802830,"date":"2026-05-24T22:32:49","date_gmt":"2026-05-24T20:32:49","guid":{"rendered":"https:\/\/www.hashtag.al\/?p=802830"},"modified":"2026-05-24T23:43:05","modified_gmt":"2026-05-24T21:43:05","slug":"pa-qepje-dhe-pothuajse-pa-shenje-mjeket-izraelite-testojne-kirurgjine-revolucionare-me-ultratinguj-per-tunelin-karpal","status":"publish","type":"post","link":"https:\/\/www.hashtag.al\/index.php\/2026\/05\/24\/pa-qepje-dhe-pothuajse-pa-shenje-mjeket-izraelite-testojne-kirurgjine-revolucionare-me-ultratinguj-per-tunelin-karpal\/","title":{"rendered":"Pa qepje e shenja, mjek\u00ebt izraelit\u00eb testojn\u00eb kirurgjin\u00eb revolucionare me ultratinguj p\u00ebr tunelin karpal","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-802831\" src=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/B1hgjc11zx_0_124_3000_1688_0_x-large.jpg\" alt=\"\" width=\"1024\" height=\"576\" srcset=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/B1hgjc11zx_0_124_3000_1688_0_x-large.jpg 1024w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/B1hgjc11zx_0_124_3000_1688_0_x-large-300x169.jpg 300w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/B1hgjc11zx_0_124_3000_1688_0_x-large-768x432.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p><span style=\"color: #000000;\">Shpesh fillon me mpirje ose dhimbje n\u00eb ky\u00e7in e dor\u00ebs apo n\u00eb gishta, vazhdon me zgjime gjat\u00eb nat\u00ebs nga nj\u00eb dor\u00eb e mpir\u00eb dhe, n\u00eb raste t\u00eb avancuara, \u00e7on n\u00eb r\u00ebnien e forc\u00ebs s\u00eb kapjes dhe humbjen e ndjeshm\u00ebris\u00eb. Sindroma e tunelit karpal (CTS) \u00ebsht\u00eb nj\u00eb nga gjendjet m\u00eb t\u00eb zakonshme n\u00eb kirurgjin\u00eb e dor\u00ebs dhe ata q\u00eb vuajn\u00eb prej saj e din\u00eb se \u00ebsht\u00eb shum\u00eb m\u00eb tep\u00ebr se nj\u00eb shqet\u00ebsim kalimtar. Me kalimin e koh\u00ebs, ajo mund t\u00eb d\u00ebmtoj\u00eb pun\u00ebn, gjumin dhe pun\u00ebt e thjeshta t\u00eb p\u00ebrditshme.<\/span><\/p>\n<p><span style=\"color: #000000;\">Kur trajtimi konservativ nuk mjafton m\u00eb, zgjidhja standarde prej dekadash ka qen\u00eb nd\u00ebrhyrja kirurgjikale p\u00ebr t\u00eb liruar nervin e shtypur, por kjo nuk vjen pa mang\u00ebsi. Nj\u00eb studim i ri n\u00eb Qendr\u00ebn Mjek\u00ebsore Sheba po ekzaminon tani nj\u00eb qasje minimalisht invazive t\u00eb udh\u00ebhequr nga ultratingujt (ekografia), e krijuar p\u00ebr t\u00eb arritur t\u00eb nj\u00ebjtin q\u00ebllim p\u00ebrmes nj\u00eb prerjeje t\u00eb vog\u00ebl, me m\u00eb pak dhimbje, rikuperim m\u00eb t\u00eb shpejt\u00eb dhe pothuajse pa asnj\u00eb shenj\u00eb.<\/span><\/p>\n<p><span style=\"color: #000000;\">Dr. Biran, kirurg i lart\u00eb i dor\u00ebs dhe mikrokirurgjis\u00eb n\u00eb Qendr\u00ebn Mjek\u00ebsore Sheba n\u00eb Tel HaShomer \u2013 i cili udh\u00ebheq fush\u00ebn e operacioneve me anestezi lokale, diagnostikimit dhe procedurave minimalisht invazive t\u00eb udh\u00ebhequra nga ultratingujt \u2013 shpjegon se CTS \u00ebsht\u00eb nj\u00eb nga gjendjet m\u00eb t\u00eb zakonshme q\u00eb prek gjymtyr\u00ebt e sip\u00ebrme dhe dor\u00ebn.<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8220;Mendoj se ky \u00ebsht\u00eb operacioni q\u00eb kryejm\u00eb m\u00eb shpesh n\u00eb specialitetin tim,&#8221; thot\u00eb ai. N\u00eb fakt, sipas Dr. Biran, kjo sindrom\u00eb \u00ebsht\u00eb jasht\u00ebzakonisht e p\u00ebrhapur. Nj\u00eb n\u00eb dhjet\u00eb njer\u00ebz do t\u00eb vuaj\u00eb prej saj gjat\u00eb jet\u00ebs s\u00eb tyre. &#8220;Shum\u00eb pacient\u00eb diagnostikohen \u00e7do vit, rreth 30,000 deri n\u00eb 50,000 njer\u00ebz, dhe rreth 40 p\u00ebr qind e tyre do t&#8217;i n\u00ebnshtrohen kirurgjis\u00eb,&#8221; v\u00ebren ai.<\/span><\/p>\n<p><span style=\"color: #000000;\">CTS b\u00ebn pjes\u00eb n\u00eb nj\u00eb grup gjendjesh t\u00eb njohura si sindromat e bllokimit t\u00eb nervit, n\u00eb t\u00eb cilat nj\u00eb nerv q\u00eb kalon n\u00ebp\u00ebr nj\u00eb hap\u00ebsir\u00eb t\u00eb ngusht\u00eb anatomike shtypet nga indet rrethuese. Kur presioni vazhdon, ai mund t\u00eb d\u00ebmtoj\u00eb p\u00ebrcjelljen nervore dhe t\u00eb shkaktoj\u00eb dhimbje, mpirje, ulje t\u00eb ndjeshm\u00ebris\u00eb dhe ndonj\u00ebher\u00eb dob\u00ebsi.<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8220;Ka disa lloje t\u00eb sindromave t\u00eb bllokimit t\u00eb nervit, ku nj\u00eb nerv, qoft\u00eb ndijor apo motorik, bllokohet midis strukturave t\u00eb ndryshme,&#8221; shpjegon Dr. Biran. &#8220;Nd\u00ebr k\u00ebto gjendje, CTS \u00ebsht\u00eb m\u00eb e zakonshmja.&#8221; N\u00eb qend\u00ebr t\u00eb sindrom\u00ebs \u00ebsht\u00eb nervi median, nj\u00eb nga nervat kryesor\u00eb t\u00eb dor\u00ebs. &#8220;Ai \u00ebsht\u00eb i p\u00ebrfshir\u00eb n\u00eb ndjesi, por kryesisht n\u00eb funksionin motorik \u2013 forc\u00ebn e l\u00ebvizjes s\u00eb gishtave dhe gishtit t\u00eb madh \u2013 dhe kalon p\u00ebrmes nj\u00eb strukture anatomike t\u00eb quajtur tuneli karpal,&#8221; thot\u00eb ai. &#8220;\u00cbsht\u00eb nj\u00eb struktur\u00eb relativisht e ngusht\u00eb q\u00eb p\u00ebrmban gjithashtu edhe tendinat p\u00ebrkul\u00ebs t\u00eb gishtave dhe gishtit t\u00eb madh.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">Me mosh\u00ebn, ve\u00e7an\u00ebrisht n\u00eb faza t\u00eb m\u00ebvonshme t\u00eb jet\u00ebs, ky tunel mund t\u00eb ngushtohet dhe t\u00eb ushtroj\u00eb presion mbi nerv. &#8220;Rreth mosh\u00ebs 45 deri n\u00eb 65 vje\u00e7, tuneli ngushtohet dhe shtyp nervin. N\u00eb fillim pacient\u00ebt ankohen p\u00ebr dhimbje n\u00eb ky\u00e7 ose n\u00eb gishta. Simptoma m\u00eb e zakonshme \u00ebsht\u00eb mpirja gjat\u00eb nat\u00ebs. Ata zgjohen n\u00eb mes t\u00eb nat\u00ebs me nj\u00eb ndjesi t\u00eb pak\u00ebndshme mpirjeje n\u00eb gishta dhe n\u00eb raste m\u00eb t\u00eb avancuara kjo shoq\u00ebrohet me r\u00ebnie t\u00eb forc\u00ebs s\u00eb dor\u00ebs dhe humbje t\u00eb ndjeshm\u00ebris\u00eb.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">Dr. Biran thekson se d\u00ebmi nuk kufizohet vet\u00ebm te shqet\u00ebsimi. &#8220;Nga pik\u00ebpamja funksionale \u00ebsht\u00eb shum\u00eb kufizuese, e pak\u00ebndshme, irrituese dhe e dhimbshme. N\u00ebse njer\u00ebzit e injorojn\u00eb at\u00eb, ata mund t\u00eb p\u00ebsojn\u00eb atrofi (tkurrje) t\u00eb muskujve q\u00eb varen nga ky nerv, duke \u00e7uar n\u00eb dob\u00ebsi motorike dhe humbje ndjesie. Ky \u00ebsht\u00eb nj\u00eb d\u00ebmtim i r\u00ebnd\u00ebsish\u00ebm funksional.&#8221;<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-802832\" src=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/S1loAAWyJMg_0_0_1000_527_0_x-large.jpg\" alt=\"\" width=\"1000\" height=\"527\" srcset=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/S1loAAWyJMg_0_0_1000_527_0_x-large.jpg 1000w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/S1loAAWyJMg_0_0_1000_527_0_x-large-300x158.jpg 300w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/S1loAAWyJMg_0_0_1000_527_0_x-large-768x405.jpg 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><strong><span style=\"color: #000000;\">K\u00ebrkimi p\u00ebr nj\u00eb alternativ\u00eb m\u00eb t\u00eb but\u00eb<\/span><\/strong><\/p>\n<p><span style=\"color: #000000;\">N\u00eb fazat e hershme, trajtimi p\u00ebr CTS nuk \u00ebsht\u00eb domosdoshm\u00ebrisht kirurgjikal. &#8220;Opsionet fillestare t\u00eb trajtimit mund t\u00eb p\u00ebrfshijn\u00eb mbajtjen e nj\u00eb fashatimi shtr\u00ebngues (splint) gjat\u00eb nat\u00ebs, terapi profesionale, barna anti-inflamatore ose injeksione lokale me steroide,&#8221; thot\u00eb Dr. Biran. Kur trajtimi konservativ d\u00ebshton dhe pacient\u00ebt vazhdojn\u00eb t\u00eb ken\u00eb mpirje, dhimbje ose r\u00ebnie funksionale, mund t\u00eb k\u00ebrkohet kirurgji p\u00ebr t\u00eb liruar tunelin karpal.<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8220;P\u00ebr dekada me radh\u00eb, standardi ka qen\u00eb kirurgjia e hapur q\u00eb p\u00ebrfshinte nj\u00eb shenj\u00eb prej tre deri n\u00eb pes\u00eb centimetra n\u00eb p\u00ebll\u00ebmb\u00ebn e dor\u00ebs,&#8221; shpjegon ai. &#8220;\u00cbsht\u00eb operacioni m\u00eb i zakonsh\u00ebm n\u00eb kirurgjin\u00eb e dor\u00ebs dhe nj\u00eb nga m\u00eb t\u00eb shpesht\u00ebt n\u00eb kirurgji n\u00eb p\u00ebrgjith\u00ebsi. N\u00eb k\u00ebt\u00eb procedur\u00eb, b\u00ebhet nj\u00eb prerje n\u00eb qend\u00ebr t\u00eb p\u00ebll\u00ebmb\u00ebs dhe arrihet te ligamenti t\u00ebrthor karpal, i njohur si TCL. Ky ligament formon tavanin e tunelit karpal dhe kur ai shtyp nervin median shkakton simptoma. Gjat\u00eb operacionit, ligamenti pritet p\u00ebr t\u00eb hapur tunelin dhe p\u00ebr t\u00eb reduktuar presionin mbi nerv. Kirurgu m\u00eb pas sigurohet q\u00eb nervi t\u00eb jet\u00eb liruar plot\u00ebsisht drejt gishtave dhe drejt ky\u00e7it, dhe e mbyll prerjen me qepje.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">Procedura e hapur \u00ebsht\u00eb konsideruar prej koh\u00ebsh si trajtimi standard dhe n\u00eb shumic\u00ebn e rasteve \u00e7on n\u00eb p\u00ebrmir\u00ebsim t\u00eb ndjesh\u00ebm. Dr. Biran thot\u00eb se shumica e pacient\u00ebve jan\u00eb t\u00eb k\u00ebnaqur me rezultatet, por rikuperimi mund t\u00eb sjell\u00eb shqet\u00ebsime t\u00eb konsiderueshme. &#8220;Nd\u00ebr disavantazhet jan\u00eb dhimbja n\u00eb shenj\u00ebn e operacionit, e cila mund t\u00eb zgjas\u00eb disa muaj, kthimi i vonuar n\u00eb funksion, n\u00eb pun\u00eb ose n\u00eb aktivitetet e p\u00ebrditshme p\u00ebr shkak t\u00eb dhimbjes dhe koh\u00ebs s\u00eb sh\u00ebrimit, si dhe nj\u00eb shenj\u00eb estetikisht m\u00eb pak e k\u00ebndshme. Disa njer\u00ebz sh\u00ebrohen shum\u00eb mir\u00eb dhe t\u00eb tjer\u00eb jo,&#8221; thot\u00eb ai. &#8220;Disa mbeten me nj\u00eb shenj\u00eb q\u00eb \u00ebsht\u00eb disi e dhimbshme ose bezdis\u00ebse.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">K\u00ebto mang\u00ebsi kan\u00eb nxitur p\u00ebrpjekjet gjat\u00eb viteve p\u00ebr t\u00eb zhvilluar alternativa m\u00eb pak invazive. &#8220;Jan\u00eb b\u00ebr\u00eb p\u00ebrpjekje t\u00eb ndryshme p\u00ebr t\u00eb gjetur zgjidhje kirurgjikale minimalisht invazive me q\u00ebllim q\u00eb t\u00eb arrihet i nj\u00ebjti q\u00ebllim pa pasur nevoj\u00eb p\u00ebr nj\u00eb prerje t\u00eb madhe,&#8221; thot\u00eb Dr. Biran. Nj\u00eb p\u00ebrpjekje e till\u00eb ishte kirurgjia endoskopike. &#8220;Ka ende pak kirurg\u00eb n\u00eb bot\u00eb q\u00eb e b\u00ebjn\u00eb k\u00ebt\u00eb. Ajo nuk u p\u00ebrhap gjer\u00ebsisht p\u00ebr disa arsye: \u00ebsht\u00eb teknikisht e v\u00ebshtir\u00eb, pajisjet jan\u00eb t\u00eb shtrenjta dhe operacioni zgjat relativisht shum\u00eb. Kishte gjithashtu t\u00eb dh\u00ebna q\u00eb sugjeronin nj\u00eb rrezik m\u00eb t\u00eb lart\u00eb t\u00eb d\u00ebmtimit t\u00eb nervit, k\u00ebshtu q\u00eb nuk u b\u00eb standardi dhe ne mbet\u00ebm me kirurgjin\u00eb e hapur.&#8221;<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-802833\" src=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/BJlmHA9Ykfe_0_0_1600_1066_0_x-large.jpg\" alt=\"\" width=\"1024\" height=\"682\" srcset=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/BJlmHA9Ykfe_0_0_1600_1066_0_x-large.jpg 1024w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/BJlmHA9Ykfe_0_0_1600_1066_0_x-large-300x200.jpg 300w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/BJlmHA9Ykfe_0_0_1600_1066_0_x-large-768x512.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p><span style=\"color: #000000;\">Alternativa e re q\u00eb po studiohet tani n\u00eb Sheba bazohet n\u00eb nj\u00eb qasje tjet\u00ebr: as kirurgji e hapur dhe as endoskopi, por lirimi i tunelit karpal p\u00ebrmes nj\u00eb prerjeje t\u00eb im\u00ebt n\u00ebn udh\u00ebheqjen e ultratingujve, duke p\u00ebrdorur nj\u00eb teh t\u00eb dedikuar. Kjo teknik\u00eb u zhvillua n\u00eb Franc\u00eb dhe ka marr\u00eb hov n\u00eb vendet evropiane n\u00eb vitet e fundit. Sipas Dr. Biran, ajo ka treguar tashm\u00eb rezultate premtuese n\u00eb aspektin e siguris\u00eb dhe efikasitetit, dhe mund t\u00eb ofroj\u00eb rezultate t\u00eb krahasueshme ose edhe m\u00eb t\u00eb mira se kirurgjia standarde, duke p\u00ebrfshir\u00eb rikuperim m\u00eb t\u00eb shpejt\u00eb, m\u00eb pak dhimbje n\u00eb vendin e prerjes dhe pothuajse asnj\u00eb shenj\u00eb t\u00eb dukshme.<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8220;Teknika e lirimit t\u00eb tunelit karpal n\u00ebn udh\u00ebheqjen e ultratingujve u zhvillua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb Japoni n\u00eb vitet 1990,&#8221; thot\u00eb ai. &#8220;Francez\u00ebt e p\u00ebrmir\u00ebsuan at\u00eb dhe zhvilluan nj\u00eb teh t\u00eb dedikuar t\u00eb projektuar p\u00ebr k\u00ebt\u00eb procedur\u00eb, e cila p\u00ebrdor nj\u00eb prerje shum\u00eb t\u00eb vog\u00ebl. Nj\u00eb studim q\u00eb p\u00ebrshkruan teknik\u00ebn u publikua n\u00eb vitin 2017.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">N\u00eb praktik\u00eb, ultratingulli i lejon kirurgut t\u00eb vizualizoj\u00eb strukturat delikate t\u00eb dor\u00ebs n\u00eb koh\u00eb reale: nervin dhe deg\u00ebt e tij, tendinat, en\u00ebt e gjakut dhe ligamentin q\u00eb shkakton shtypjen. Pasi b\u00ebhet harta e zon\u00ebs, tehu i specializuar futet p\u00ebrmes nj\u00eb prerjeje shum\u00eb t\u00eb vog\u00ebl dhe p\u00ebrdoret p\u00ebr t\u00eb prer\u00eb ligamentin t\u00ebrthor karpal, duke hapur tunelin dhe duke larguar presionin nga nervi median.<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8220;Ti p\u00ebrparon live, nd\u00ebrsa sheh n\u00eb ultratinguj se \u00e7far\u00eb po pret dhe po liron n\u00eb tunel,&#8221; shpjegon Dr. Biran. &#8220;Prerja \u00ebsht\u00eb aq e vog\u00ebl saq\u00eb mbyllet pothuajse pa l\u00ebn\u00eb shenj\u00eb. Nuk ka nevoj\u00eb t\u00eb vendosen apo t\u00eb hiqen qepje, k\u00ebshtu q\u00eb fitohen disa avantazhe: nga ana kozmetike pothuajse nuk ka shenj\u00eb, pothuajse nuk ka dhimbje pas operacionit dhe ka gjasa p\u00ebr nj\u00eb kthim m\u00eb t\u00eb shpejt\u00eb n\u00eb funksion dhe n\u00eb pun\u00eb.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">Ai shton se zhvillimi i k\u00ebsaj teknike \u00ebsht\u00eb i lidhur ngusht\u00eb me p\u00ebrparimet teknologjike t\u00eb viteve t\u00eb fundit, ve\u00e7an\u00ebrisht me disponueshm\u00ebrin\u00eb n\u00eb rritje t\u00eb pajisjeve t\u00eb ultratingujve me cil\u00ebsi t\u00eb lart\u00eb n\u00eb sallat e operacionit dhe n\u00eb klinikat e kirurgjis\u00eb s\u00eb dor\u00ebs. &#8220;Ultratingulli \u00ebsht\u00eb integruar shum\u00eb m\u00eb tep\u00ebr n\u00eb kirurgjin\u00eb e dor\u00ebs. N\u00ebse n\u00eb t\u00eb kaluar\u00ebn p\u00ebrdorej kryesisht n\u00eb gjenekologji ose radiologji, sot ai po p\u00ebrdoret gjithnj\u00eb e m\u00eb shum\u00eb nga vet\u00eb kirurg\u00ebt. Na lejon t\u00eb kryejm\u00eb ekzaminime n\u00eb klinik\u00eb dhe gjithashtu t\u00eb kryejm\u00eb procedura invazive. Ai \u00ebsht\u00eb syri yn\u00eb gjat\u00eb operacionit.&#8221;<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-802834\" src=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/SyYAtMJJGg_0_0_850_479_0_x-large.jpg\" alt=\"\" width=\"850\" height=\"479\" srcset=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/SyYAtMJJGg_0_0_850_479_0_x-large.jpg 850w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/SyYAtMJJGg_0_0_850_479_0_x-large-300x169.jpg 300w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2026\/05\/SyYAtMJJGg_0_0_850_479_0_x-large-768x433.jpg 768w\" sizes=\"auto, (max-width: 850px) 100vw, 850px\" \/><\/p>\n<p><strong><span style=\"color: #000000;\">Ndryshimi i standardit n\u00eb kirurgjin\u00eb e dor\u00ebs<\/span><\/strong><\/p>\n<p><span style=\"color: #000000;\">P\u00ebr t\u00eb p\u00ebrcaktuar n\u00ebse ky premtim p\u00ebrkthehet n\u00eb p\u00ebrfitim real p\u00ebr pacient\u00ebt, Sheba ka nisur nj\u00eb studim t\u00eb ri t\u00eb udh\u00ebhequr nga Dr. Biran q\u00eb krahason kirurgjin\u00eb tradicionale t\u00eb hapur me teknik\u00ebn minimalisht invazive t\u00eb udh\u00ebhequr nga ultratingujt. Q\u00ebllimi \u00ebsht\u00eb t\u00eb vler\u00ebsohet n\u00ebse metoda e re arrin t\u00eb nj\u00ebjtin\u987a lirim t\u00eb nervit dhe leht\u00ebsim t\u00eb simptomave, duke p\u00ebrmir\u00ebsuar gjithashtu rikuperimin: m\u00eb pak dhimbje pas operacionit, kthim m\u00eb t\u00eb shpejt\u00eb n\u00eb rutin\u00eb dhe pun\u00eb, si dhe rezultate t\u00eb p\u00ebrmir\u00ebsuara me pothuajse asnj\u00eb shenj\u00eb kirurgjikale.<\/span><\/p>\n<p><span style=\"color: #000000;\">Studimi po kryhet n\u00eb Departamentin e Kirurgjis\u00eb s\u00eb Dor\u00ebs dhe Kirurgjis\u00eb s\u00eb Shp\u00ebtimit t\u00eb Gjymtyr\u00ebve, t\u00eb udh\u00ebhequr nga Dr. Amir Arami. Departamenti \u00ebsht\u00eb i specializuar n\u00eb kirurgjin\u00eb e dor\u00ebs, gjendjet e nervave periferik\u00eb, mikrokirurgji dhe kirurgji ortoplastike. Q\u00eb nga 7 tetori, ai ka fituar p\u00ebrvoj\u00eb t\u00eb gjer\u00eb n\u00eb trajtimin e l\u00ebndimeve komplekse t\u00eb traum\u00ebs krahas rasteve rutin\u00eb elektive t\u00eb dor\u00ebs, shkruan <a style=\"color: #000000;\" href=\"https:\/\/www.ynetnews.com\/health_science\/article\/r1hr1eexme\">Ynet<\/a>.<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8220;U njoha me k\u00ebt\u00eb teknik\u00eb n\u00eb disa seminare dhe programe trajnimi n\u00eb Evrop\u00eb, n\u00eb Franc\u00eb dhe Belgjik\u00eb, dhe d\u00ebshiroja shum\u00eb ta sjell me vete n\u00eb Izrael,&#8221; thot\u00eb Dr. Biran.<\/span><\/p>\n<p><span style=\"color: #000000;\"> &#8220;Ka studime q\u00eb tregojn\u00eb se ajo \u00ebsht\u00eb sa efektive aq edhe e sigurt, por nuk ka shum\u00eb studime krahasuese q\u00eb krahasojn\u00eb drejtp\u00ebrdrejt dy grupe pacient\u00ebsh, nj\u00ebri i trajtuar me teknik\u00ebn standarde t\u00eb hapur dhe tjetri me teknik\u00ebn e tehut t\u00eb udh\u00ebhequr nga ultratingujt. Ne duam ta b\u00ebjm\u00eb k\u00ebt\u00eb n\u00eb m\u00ebnyr\u00eb formale.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">Studimi, i cili aktualisht po pranon pacient\u00eb, \u00ebsht\u00eb nj\u00eb prov\u00eb krahasuese prospektive. &#8220;Kemi nisur nj\u00eb studim me dy grupe pacient\u00ebsh, me nga 45 n\u00eb secilin grup, dhe secili grup do t&#8217;i n\u00ebnshtrohet nj\u00eb prej teknikave kirurgjikale,&#8221; shpjegon Dr. Biran. &#8220;P\u00ebrzgjedhja \u00ebsht\u00eb e rast\u00ebsishme, p\u00ebr paanshm\u00ebri. Nj\u00ebri grup merr kirurgjin\u00eb standarde t\u00eb hapur dhe tjetri teknik\u00ebn m\u00eb t\u00eb re.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">M\u00eb pas do t\u00eb b\u00ebhet nj\u00eb krahasim i gjer\u00eb midis dy grupeve, duke ekzaminuar jo vet\u00ebm suksesin kirurgjikal, por edhe rikuperimin, kthimin n\u00eb funksion, nivelet e dhimbjes, k\u00ebnaq\u00ebsin\u00eb dhe sigurin\u00eb. &#8220;Ne kryejm\u00eb nj\u00eb vler\u00ebsim t\u00eb rrept\u00eb t\u00eb rezultateve,&#8221; vazhdon ai. &#8220;Pacient\u00ebt plot\u00ebsojn\u00eb pyet\u00ebsor\u00eb standarde t\u00eb funksionit t\u00eb dor\u00ebs, duke vler\u00ebsuar dhimbjen dhe funksionin para operacionit dhe n\u00eb jav\u00ebn e dyt\u00eb, jav\u00ebn e gjasht\u00eb, muajin e tret\u00eb dhe muajin e gjasht\u00eb. Ne i ndjekim ata p\u00ebr gjysm\u00eb viti, q\u00eb \u00ebsht\u00eb nj\u00eb periudh\u00eb e gjat\u00eb pas k\u00ebtij lloji operacioni.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">P\u00ebrve\u00e7 k\u00ebsaj, skanimet me ultratinguj t\u00eb nervit kryhen para dhe pas operacionit n\u00eb t\u00eb nj\u00ebjtat pika kohore p\u00ebr t\u00eb vler\u00ebsuar n\u00ebse \u00ebnjtja e nervit zvog\u00eblohet si shenj\u00eb e largimit t\u00eb presionit. &#8220;Ne gjithashtu masim k\u00ebnaq\u00ebsin\u00eb e pacientit, krahasojm\u00eb se sa shpejt u kthyen n\u00eb pun\u00eb dhe natyrisht vler\u00ebsojm\u00eb sigurin\u00eb dhe n\u00ebse pati ndonj\u00eb ngjarje t\u00eb d\u00ebmshme n\u00eb nj\u00ebrin grup kundrejt tjetrit.&#8221;<\/span><\/p>\n<p><span style=\"color: #000000;\">Dr. Biran nuk e fsheh shpres\u00ebn e tij se studimi do t\u00eb ndihmoj\u00eb n\u00eb krijimin e k\u00ebsaj teknike t\u00eb re n\u00eb Izrael dhe potencialisht do t\u00eb ndryshoj\u00eb standardin e trajtimit p\u00ebr nj\u00eb nga gjendjet m\u00eb t\u00eb zakonshme n\u00eb kirurgjin\u00eb e dor\u00ebs. &#8220;Un\u00eb shpresoj dhe besoj shum\u00eb se do t\u00eb jem n\u00eb gjendje t\u00eb tregoj se metoda inovative \u00ebsht\u00eb t\u00eb pakt\u00ebn po aq e mir\u00eb sa metoda standarde, n\u00ebse jo m\u00eb e mir\u00eb,&#8221; thot\u00eb ai.<\/span><\/p>\n<p><span style=\"color: #000000;\">&#8220;P\u00ebrfundimisht, q\u00ebllimi \u00ebsht\u00eb q\u00eb kjo teknik\u00eb e re t\u00eb b\u00ebhet standardi i ri. Kjo \u00ebsht\u00eb di\u00e7ka q\u00eb \u00ebsht\u00eb e v\u00ebshtir\u00eb t\u00eb arrihet n\u00eb mjek\u00ebsi, ve\u00e7an\u00ebrisht me nj\u00eb operacion q\u00eb \u00ebsht\u00eb kryer p\u00ebr kaq shum\u00eb vite. Shpresoj se mund ta provoj k\u00ebt\u00eb dhe gjithashtu t\u00eb bind t\u00eb tjer\u00ebt se ia vlen ta m\u00ebsojn\u00eb k\u00ebt\u00eb teknik\u00eb, sepse pacient\u00ebt e tyre do t\u00eb p\u00ebrfitojn\u00eb nga nj\u00eb operacion m\u00eb i mir\u00eb. Ky \u00ebsht\u00eb q\u00ebllimi.&#8221;<\/span><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>Shpesh fillon me mpirje ose dhimbje n\u00eb ky\u00e7in e dor\u00ebs apo n\u00eb gishta, vazhdon me zgjime gjat\u00eb nat\u00ebs nga nj\u00eb dor\u00eb e mpir\u00eb dhe, n\u00eb raste t\u00eb avancuara, \u00e7on n\u00eb r\u00ebnien e forc\u00ebs s\u00eb kapjes dhe humbjen e ndjeshm\u00ebris\u00eb. Sindroma e tunelit karpal (CTS) \u00ebsht\u00eb nj\u00eb nga gjendjet m\u00eb t\u00eb zakonshme n\u00eb kirurgjin\u00eb e dor\u00ebs [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":51,"featured_media":802831,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[],"class_list":["post-802830","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fast-foodi"],"gt_translate_keys":[{"key":"link","format":"url"}],"_links":{"self":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/802830","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/users\/51"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/comments?post=802830"}],"version-history":[{"count":99999,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/802830\/revisions"}],"predecessor-version":[{"id":802845,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/802830\/revisions\/802845"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media\/802831"}],"wp:attachment":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media?parent=802830"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/categories?post=802830"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/tags?post=802830"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}