{"id":42373,"date":"2021-07-02T16:58:54","date_gmt":"2021-07-02T13:58:54","guid":{"rendered":"https:\/\/avicennaint.com\/?post_type=project&p=42373"},"modified":"2021-11-17T13:19:24","modified_gmt":"2021-11-17T10:19:24","slug":"ortopedia-dhe-traumatologjia","status":"publish","type":"project","link":"https:\/\/avicennaint.com\/sq\/sherbimet\/ortopedia-dhe-traumatologjia\/","title":{"rendered":"Ortopedia dhe Traumatologjia"},"content":{"rendered":"
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\u00c7far\u00eb \u00ebsht\u00eb Ortopedia dhe Traumatologjia?<\/h2>\n

Ortopedia dhe Traumatologjia \u00ebsht\u00eb deg\u00eb e mjek\u00ebsis\u00eb dhe deg\u00eb e specializuar e kirurgjis\u00eb e cila studion dhe trajton dhe p\u00ebrpiqet t\u00eb parandaloj\u00eb s\u00ebmundjet muskulo-skeletore. \u00cbsht\u00eb nj\u00eb deg\u00eb e specializuar jasht\u00ebzakonisht i pasur me shum\u00eb n\u00ebn-deg\u00eb t\u00eb ndryshme, metoda diagnostikimi dhe trajtimi. Pjes\u00ebt kryesore si krah\u00ebt, k\u00ebmb\u00ebt, legeni, shtylla kurrizore dhe kocka, muskujt, en\u00ebt, nervat, indet e lidhjes s\u00eb palc\u00ebs kurrizore jan\u00eb n\u00eb fush\u00ebn e studimit t\u00eb departamentit t\u00eb Ortopedis\u00eb dhe Traumatologjis\u00eb.<\/p>\n

Nj\u00ebsia e Ortopedis\u00eb dhe Traumatologjis\u00eb, punon n\u00eb koordinim me nj\u00ebsi t\u00eb tjera siq jan\u00eb Terapia Fizike dhe Rehabilitimi, si dhe ka fush\u00ebveprim n\u00eb nj\u00eb zon\u00eb t\u00eb gjer\u00eb nga kirurgjia e duarve deri te procedurat protetike.<\/p>\n

N\u00eb klinik\u00ebn e Ortopedis\u00eb dhe Traumatologjis\u00eb kryhen k\u00ebto sh\u00ebrbime :<\/p>\n

Kirurgjia e duarve \u2013 Mikrokirurgjia<\/h3>\n

Pjesa nga maja e gishtit deri n\u00eb zon\u00ebn e shpatullave hyn n\u00eb zon\u00ebn e kirurgjis\u00eb s\u00eb duarve. Trajtohen problemet siq jan\u00eb frakturat e kockave, k\u00ebputjet e muskujve t\u00eb tendinit, kompresimet nervore q\u00eb ndodhin n\u00eb zon\u00ebn midis dor\u00ebs dhe zon\u00ebs s\u00eb shpatullave. Kirurgjia e duarve \u00ebsht\u00eb nj\u00eb fush\u00eb q\u00eb duhet t\u00eb ndiqet me durim pasi k\u00ebrkon l\u00ebvizje dhe koordinim t\u00eb sakt\u00eb. P\u00ebrve\u00e7 k\u00ebsaj, kirurgjia e duarve mbulon trajtimin e deformimeve t\u00eb duarve t\u00eb shkaktuara nga polidaktilia (6 gishta), sindroma e tunelit ky\u00e7it t\u00eb dor\u00ebs (kompresimi i nervit), sindaktilia (ngjitja e gishtave), pasojat e CP.<\/p>\n

Duke iu falenderuar teknik\u00ebs s\u00eb mikrokirurgjis\u00eb, mund t\u00eb operohet me nerva me diamet\u00ebr m\u00eb t\u00eb vog\u00ebl se 1 mm me ndihm\u00ebn e gjilp\u00ebrave dhe fijeve, t\u00eb cilat jan\u00eb shum\u00eb t\u00eb v\u00ebshtira p\u00ebr t\u2019u par\u00eb edhe me sy t\u00eb lir\u00eb. N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb, organet e k\u00ebputura si krah\u00ebt, duart dhe k\u00ebmb\u00ebt mund t\u00eb rivendosen me shum\u00eb sukses dhe t\u00eb riparohen fijet nervore shum\u00eb t\u00eb holla.<\/p>\n

Kirurgjia kurrizore (S\u00ebmundjet kurrizore dhe kirurgjia)<\/h3>\n

Fushat kryesore dhe rastet m\u00eb t\u00eb shpeshta t\u00eb trajtimit jan\u00eb rastet : Lakimet dhe frakturat e shtyll\u00ebs kurrizore . Skolioza kongjenitale e lindur ose e fituar, spondilolistema, stenoza kurrizore, kyfoza Schuermann, d\u00ebmtimet kurrizore, zhvendosjet dhe infeksionet kurrizore diagnostikohen dhe trajtohen me sukses.<\/p>\n

Kirurgjia e gjurit<\/h3>\n

Indiciet e problemeve tek gjuri \u00ebsht\u00eb shum\u00eb m\u00eb I lart\u00eb, sepse gjuri \u00ebsht\u00eb i ekspozuar ndaj ngarkes\u00ebs m\u00eb t\u00eb lart\u00eb n\u00eb krahasim me nyjet e tjera. Sidomos, mos ngrohja para fillimit t\u00eb sportit dhe mundimi i gjunj\u00ebve n\u00eb m\u00ebnyr\u00eb t\u00eb tepruar mund t\u00eb shkaktoj\u00eb d\u00ebmtim t\u00eb indit t\u00eb k\u00ebrcit n\u00eb k\u00ebt\u00eb zon\u00eb, k\u00ebputje t\u00eb ligamenteve ose grisje n\u00eb menisk, gj\u00eb q\u00eb mund t\u00eb d\u00ebmtoj\u00eb sh\u00ebndetin e gjurit. D\u00ebmtime t\u00eb zonave t\u00eb gjurit, t\u00eb tilla si : menisk, k\u00ebrc artikular, ligament i kryq\u00ebzuar i p\u00ebrparm\u00eb dhe kapsul\u00eb q\u00eb ndodhin n\u00eb nyjen e gjurit, artrit septik (inflamacion brenda artikut), sinovit (trashje e membran\u00ebs s\u00eb p\u00ebrbashk\u00ebt), g\u00eblqerosja e nyjes s\u00eb gjurit dhe thyerje q\u00eb ndodhin n\u00eb artikulacion trajtohen me kirurgji artroskopike.<\/p>\n

Kirurgjia e ky\u00e7it t\u00eb k\u00ebmb\u00ebs<\/h3>\n

N\u00eb zon\u00ebn e quajtur kupol\u00eb talus, trajtohen s\u00ebmundje t\u00eb tilla si shtypja e pjes\u00ebs s\u00eb p\u00ebrparme t\u00eb skajit t\u00eb pjes\u00ebs s\u00eb p\u00ebrparme t\u00eb tibis\u00eb, d\u00ebmtimi osteokondral, tenosinoviti FHL. N\u00eb operacionet e ky\u00e7it t\u00eb k\u00ebmb\u00ebs t\u00eb kryera me metod\u00ebn e artroskopis\u00eb, duke p\u00ebrdorur instrumente fib\u00ebroptike, pjesa e brendshme e artikulacionit trajtohet vizualisht dhe diagnostikimi i s\u00ebmundjeve dhe d\u00ebmtimeve mund t\u00eb zbulohet leht\u00ebsisht. Me artroskopi b\u00ebhen disa prerje t\u00eb vogla t\u00eb l\u00ebkur\u00ebs. K\u00ebto shenja n\u00eb dimensione shum\u00eb t\u00eb vogla, sh\u00ebrohen shum\u00eb m\u00eb shpejt sesa kirurgjia e hapur. Operacioni zgjat mesatarisht 1 or\u00eb dhe pacienti pas nj\u00eb koh\u00eb t\u00eb shkurt\u00ebr lirohet nga spitali. Vet\u00ebm disa dit\u00eb pas operacionit , pacienti jo vet\u00ebm q\u00eb mund t\u00eb shkel n\u00eb k\u00ebmb\u00ebt e veta por mundet edhe t\u00eb drejtoj\u00eb automjetin.<\/p>\n

Kirurgjia e shpatullave<\/h3>\n

Problemet si : lezioni SLAP (d\u00ebmtimi i tendin\u00ebs s\u00eb bicepsit), shpatulla e ngrir\u00eb, goditja (dhimbja e shkaktuar nga zgjatja e kockave), zhvendosja e nyjeve t\u00eb shpatullave, b\u00ebrryli i tenisit dhe zhvendosja radiale e kok\u00ebs trajtohen me operacione t\u00eb mbyllura ose t\u00eb hapura kirurgjikale.<\/p>\n

Pabarazit\u00eb e gjat\u00ebsis\u00eb s\u00eb k\u00ebmb\u00ebve dhe trajtimi i zgjatjes<\/h3>\n

Problemi i pabarabart\u00eb i gjat\u00ebsis\u00eb n\u00eb k\u00ebmb\u00eb ose k\u00ebmb\u00eb t\u00eb shtremb\u00ebr jan\u00eb probleme ortopedike q\u00eb mund t\u00eb trajtohen me metod\u00ebn Ilizarov. Pabarazia e gjat\u00ebsis\u00eb mund t\u00eb m\u00ebnjanohet duke barazuar gjat\u00ebsin\u00eb e k\u00ebmb\u00ebve , gj\u00eb q\u00eb mund t\u00eb b\u00ebhet me shkurtimin e k\u00ebmb\u00ebs s\u00eb gjat\u00eb ose zgjatjen e k\u00ebmb\u00ebs s\u00eb shkurt\u00ebr me metod\u00ebn Ilirazov. Nga ana tjet\u00ebr, trajtimet e lakimit, shkurt\u00ebsis\u00eb ose humbjes s\u00eb indeve t\u00eb buta q\u00eb ndodhin si rezultat i bashkimit n\u00eb frakturat e kockave gjithashtu mund t\u00eb trajtohen.<\/p>\n

N\u00eb metod\u00ebn Ilizarov, kockat jan\u00eb fiksuar me rrath\u00eb dhe tela t\u00eb holl\u00eb, dhe l\u00ebvizja e kontrolluar sigurohet n\u00eb pjes\u00ebt e kockave fal\u00eb menteshave dhe shufrave t\u00eb shtuara. Pabarazit\u00eb e kockave q\u00eb zhvillohen pas problemeve t\u00eb tilla si humbja e kockave, s\u00ebmundjet kongjenitale dhe mbyllja e parakohshme e k\u00ebrcit t\u00eb rritjes mund t\u00eb trajtohen si tek f\u00ebmij\u00ebt ashtu edhe tek t\u00eb rriturit. Me metod\u00ebn Ilizarov, n\u00eb t\u00eb v\u00ebrtet\u00eb krijohet nj\u00eb fraktur\u00eb me energji t\u00eb ul\u00ebt n\u00eb kock\u00eb dhe arrihet zgjatja 1 mm n\u00eb dit\u00eb. Zgjatja arrihet deri n\u00eb 80% t\u00eb gjat\u00ebsis\u00eb s\u00eb vet\u00eb kockave n\u00eb zon\u00ebn e d\u00ebshiruar.<\/p>\n

S\u00ebmundje t\u00eb tjera ku mund t\u00eb p\u00ebrdoret metoda Ilizarov p\u00ebrfshijn\u00eb:<\/p>\n

Trajtimin e frakturave jounionale,
\nThyerjet e mbyllura dhe t\u00eb hapura,
\nLakimet e krah\u00ebve dhe k\u00ebmb\u00ebve,
\nProceset e zgjatjes s\u00eb kockave (zgjatja, mbyllja e hershme e k\u00ebrcit t\u00eb rritjes pas infektimit, pasojat e poliomelitit),
\nZakonisht n\u00eb humbjen e kockave q\u00eb zhvillohet pas traum\u00ebs, tumorit ose infeksionit,
\nS\u00ebmundjet metabolike,
\nCrregullimet strukturore t\u00eb kockave,
\nInfeksionet e kockave.<\/p>\n

Kirurgjia Pediatrike<\/h3>\n

Trajtohen zhvendosjet kongjenitale t\u00eb k\u00ebrdhokullave, s\u00ebmundja Perthes, pasojat e k\u00ebmb\u00ebve t\u00eb klubit, d\u00ebmtimi i pleksusit brachial, \u00e7rregullimet e ecjes, Tortikollisi, problemet e k\u00ebmb\u00ebve dhe \u00e7rregullimet e shtyll\u00ebs kurrizore.<\/p>\n

Kirurgjia Onkologjike<\/h3>\n

Trajtohen tumoret beninje ose malinje q\u00eb zhvillohen n\u00eb nj\u00eb zon\u00eb t\u00eb sistemit skeletor si muskujt, kockat, nervat, tendinat dhe artikulacionet.<\/p>\n

Traumatologjia Sportive<\/h3>\n

Sporti \u00ebsht\u00eb nj\u00eb veprim i cili rrit rezistenc\u00ebn organike t\u00eb trupit dhe p\u00ebrmir\u00ebson kapacitetet fiziologjike t\u00eb sistemeve, mir\u00ebpo nj\u00ebkoh\u00ebsisht \u00ebsht\u00eb nj\u00eb preokupim q\u00eb sjell l\u00ebndime dhe d\u00ebmtime kur fillohet pa p\u00ebrgatitjet e duhura. Nyja e gjurit \u00ebsht\u00eb nd\u00ebr rajonet m\u00eb t\u00eb ekspozuara ndaj traumave n\u00eb aktivitetet sportive, n\u00eb 33% t\u00eb rasteve. L\u00ebndimet e tjera m\u00eb t\u00eb zakonshme dhe m\u00eb s\u00eb shumti t\u00eb ekspozuara l\u00ebndimeve jan\u00eb rajoni k\u00ebmb\u00eb-kofsh\u00eb, rajoni i k\u00ebrdhok\u00ebve dhe ij\u00ebve, nyja e shpatullave, nyja e ky\u00e7it dhe b\u00ebrrylit t\u00eb shtyll\u00ebs kurrizore. Diagnostikimi urgjent dhe trajtimi I shpejt\u00eb i t\u00eb gjitha traumave sportive kryhen nga mjek\u00eb specialist\u00eb.<\/p>\n

\u00c7far\u00eb s\u00ebmundjesh trajton\u00eb ortopedia dhe traumatologjia?\u00a0<\/b><\/h2>\n

L\u00ebndimet Sportive dhe Kirurgjia Artroskopike
\nMeniskektomi,
\nOperacionet e rekonstruimit,
\nRiparimi i meniskut,
\nTransformimi i mikrofraktur\u00ebs dhe k\u00ebrcit osteokondral,
\nRiparimi i bankartit artroskopik (n\u00eb zhvendosjen e shpatullave),
\nRiparimi i lotit laboratorik,
\nRiparimi i mb\u00ebshtjell\u00ebsit rrotullues,
\nArtroz\u00eb e p\u00ebrbashk\u00ebt e shpatullave,
\nHeqja e trupit t\u00eb huaj.
\nKirurgjia e k\u00ebmb\u00ebs dhe e ky\u00e7it t\u00eb k\u00ebmb\u00ebs
\nD\u00ebmtime t\u00eb k\u00ebrcit,
\nK\u00ebputjet e ligamentit,
\nFraktura dhe l\u00ebndime sportive,
\nProbleme degjenerative n\u00eb k\u00ebmb\u00eb dhe ky\u00e7in e k\u00ebmb\u00ebs.
\nKirurgjia e b\u00ebrrylit dhe shpatull\u00ebs
\nS\u00ebmundjet e manshetave rrotulluese,
\nArtroza e shpatullave dhe b\u00ebrrylit,
\nDislokime t\u00eb p\u00ebrs\u00ebritura,
\nS\u00ebmundjet traumatike si r\u00ebniet, aksidentet n\u00eb trafik dhe aksidentet n\u00eb pun\u00eb.
\nOrtopedi dhe Traumatologji Pediatrike
\nK\u00ebmb\u00eb t\u00eb shtremb\u00ebr,
\nCrregullime t\u00eb lindura,
\nThembra e sheshte,
\nZhvendosja e k\u00ebrdhokullave,
\nTumoret,
\nTrajtimi i frakturave dhe p\u00ebrcjellja e tyre.
\nKalcifikimi (artroz\u00eb)
\nKalcifikimi i gjurit (gonartroza),
\nKalcifikimi i hip (coxarthrosis),
\nKirurgjit\u00eb rikonstruktive periaketabulare dhe tibiale t\u00eb larta,
\nProtezat e ijeve, gjurit, shpatullave dhe b\u00ebrrylit,
\nInfeksion protez\u00eb,
\nOperacionet e rishikimit n\u00eb zbutjen e protezave
\nKirurgjia e duarve, Ekstremiteti dhe Ekstremiteti i Ep\u00ebrm
\nZgjatja e eshtrave t\u00eb krahut dhe k\u00ebmb\u00ebs,
\nDeformimi i kockave dhe infeksionet,
\nMosngjitja e frakturave,
\nTrauma akute t\u00eb indeve t\u00eb buta,
\nRiparimi i en\u00ebve t\u00eb prera dhe nervave,
\nTransfertat e tendinit,
\nAmputimet<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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