{"id":45415,"date":"2021-08-07T12:40:27","date_gmt":"2021-08-07T09:40:27","guid":{"rendered":"https:\/\/avicennaint.com\/?post_type=project&p=45415"},"modified":"2021-11-17T10:44:06","modified_gmt":"2021-11-17T07:44:06","slug":"neurokirurgjia-kirurgjia-neurologjike","status":"publish","type":"project","link":"https:\/\/avicennaint.com\/sq\/sherbimet\/neurokirurgjia-kirurgjia-neurologjike\/","title":{"rendered":"Neurokirurgjia \u2013 Kirurgjia Neurologjike"},"content":{"rendered":"
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Neurokirurgjia \u2013 Kirurgjia Neurologjike<\/h2>\n

Neurokirurgjia, me fjal\u00eb t\u00eb tjera, trajtimi i s\u00ebmundjeve t\u00eb trurit dhe sistemit nervor, merret me diagnostifikimin dhe trajtimin e s\u00ebmundjeve siq jan\u00eb tumoret me origjin\u00eb nga indet e trurit dhe palc\u00ebs kurrizore, si dhe d\u00ebmtimet e kok\u00ebs dhe palc\u00ebs kurrizore, mbylljet cerebrovaskulare dhe hemorragjit\u00eb cerebrale, ve\u00e7an\u00ebrisht herniet e belit dhe qaf\u00ebs, dhe ato q\u00eb ndodhin n\u00eb en\u00ebt q\u00eb ushqejn\u00eb trurin dhe palc\u00ebn kurrizore. Neurokirurgjia nd\u00ebrhyn n\u00eb m\u00ebnyr\u00eb kirurgjikale n\u00eb s\u00ebmundjet q\u00eb prekin shum\u00eb funksione vitale si ngushtimi i en\u00ebve t\u00eb qaf\u00ebs dhe s\u00ebmundjet q\u00eb zhvillohen gjat\u00eb formimit t\u00eb sistemit nervor tek t\u00eb sapolindurit, epilepsia q\u00eb nuk i prodhon efekte trajtimit me ila\u00e7e dhe rastet e zgjedhura t\u00eb Parkinsonit. Kuptimi etimologjik i fjal\u00ebs neurokirurgji, i cili rrjedh nga fjal\u00ebt neuron dhe kirurgji, \u00ebsht\u00eb “sh\u00ebrimi i plag\u00ebve t\u00eb sistemit nervor”. N\u00eb klinik\u00ebn e s\u00ebmundjeve neurokirurgjike hyjn\u00eb grupet e pacient\u00ebve si t\u00eb rritur ashtu edhe ato pediatrike t\u00eb cil\u00ebt diagnostikohen dhe trajtohen nga s\u00ebmundjet e neurokirurgjike. Kirurg\u00ebt dhe mikrokirurg\u00ebt, t\u00eb cil\u00ebt gjat\u00eb ushtrimit t\u00eb funksionit t\u00eb tyre shfryt\u00ebzojn\u00eb teknologji shum\u00eb t\u00eb avancuara dhe bashkohor\u00eb, marrin pes\u00eb ose gjasht\u00eb vite trajnime specializimi pas 6 vitesh arsimimi n\u00eb fakultetin e mjek\u00ebsis\u00eb. Neurokirurg\u00ebt ose kirurg\u00ebt e neurologjis\u00eb jan\u00eb mjek\u00eb q\u00eb jan\u00eb ekspert\u00eb t\u00eb neurokirurgjis\u00eb t\u00eb cil\u00ebt n\u00eb bashkpunim me departamentet e neurologjis\u00eb, neuroradiologjis\u00eb dhe neuroanestezis\u00eb. aplikojn\u00eb metodat e nevojshme t\u00eb diagnostikimit dhe trajtimit t\u00eb s\u00ebmundjeve.<\/p>\n

S\u00ebmundjet Cerebrovaskulare<\/h2>\n

Meqen\u00ebse s\u00ebmundjet cerebrovaskulare, t\u00eb cilat jan\u00eb t\u00eb zakonshme n\u00eb shoq\u00ebri, jan\u00eb mjaft t\u00eb larmishme, metodat e diagnostikimit dhe trajtimit jan\u00eb gjithashtu t\u00eb shumta. S\u00ebmundjet q\u00eb hasen shpesh n\u00eb neurokirurgji dhe situatat q\u00eb k\u00ebrkojn\u00eb nd\u00ebrhyrje mund t\u00eb renditen si m\u00eb posht\u00eb:<\/p>\n

    \n
  • Goditje dhe paraliz\u00eb p\u00ebr shkaqe t\u00eb ndryshme t\u00eb mbylljes cerebrovaskulare,<\/li>\n
  • Aneurizmat q\u00eb jan\u00eb rezik p\u00ebr jet\u00eb e q\u00eb shfaqen n\u00eb form\u00ebn e flluskave n\u00eb en\u00ebt cerebrale, q\u00eb n\u00eb disa raste t\u00eb shoq\u00ebrohen me gjakderdhje,<\/li>\n
  • Hemorragji cerebrale n\u00eb indet dhe membranat e trurit,<\/li>\n
  • Stenoza karotide, e quajtur edhe mbyllje ose ngushtim i arteries karotide,<\/li>\n
  • Tumoret n\u00eb tru dhe palc\u00ebn kurrizore,<\/li>\n
  • Situatat traumatike t\u00eb shkaktuara nga aksidentet dhe d\u00ebmtimet,<\/li>\n
  • Hernia e belit dhe qaf\u00ebs,<\/li>\n
  • S\u00ebmundjet tumorale dhe vaskulare tek pacient\u00ebt pediatrik\u00eb ose m\u00eb mire th\u00ebn\u00eb tek f\u00ebmij\u00ebt,<\/li>\n
  • Aplikimet e bateris\u00eb s\u00eb trurit p\u00ebr Parkinson dhe pacient\u00eb t\u00eb ngjash\u00ebm.<\/li>\n<\/ul>\n

    Tumoret e Trurit<\/h2>\n

    Shumica d\u00ebrrmuese e tumoreve t\u00eb trurit jan\u00eb masa q\u00eb rriten dhe p\u00ebrhapen shpejt\u00eb n\u00eb m\u00ebnyr\u00eb t\u00eb pakontrollueshme brenda hap\u00ebsir\u00ebs s\u00eb kufizuar. Ekzistojn\u00eb dy n\u00ebnlloje : par\u00ebsore dhe dyt\u00ebsore. Tumoret par\u00ebsore t\u00eb trurit jan\u00eb tumore q\u00eb k\u00ebrc\u00ebnojn\u00eb jet\u00ebn e pacientit dhe burojn\u00eb nga qelizat dhe strukturat n\u00eb tru. Edhe pse ato rrall\u00eb shihen t\u00eb metastazohen p\u00ebr shkak t\u00eb struktur\u00ebs s\u00eb tyre t\u00eb trurit, megjithate ato p\u00ebrhapen n\u00eb rajone t\u00eb tjera p\u00ebrmes qarkullimit t\u00eb gjakut dhe l\u00ebngut cerebrospinal. N\u00eb p\u00ebrgjith\u00ebsi, faktor\u00ebt gjenetik\u00eb dhe mjedisor\u00eb luajn\u00eb nj\u00eb rol n\u00eb formimin e tij. Tumoret sekondare t\u00eb trurit jan\u00eb tumore q\u00eb fillojn\u00eb n\u00eb \u00e7do pjes\u00eb t\u00eb trupit dhe p\u00ebrhapen n\u00eb tru. Sidomos kanceri i zorr\u00ebs s\u00eb trash\u00eb, mushk\u00ebrive, veshkave dhe pankreasit shkakton formimin e tumorit t\u00eb trurit p\u00ebrmes qarkullimit t\u00eb gjakut dhe ndryshon var\u00ebsisht nga personaliteti I pacientit. Ky lloj tumori, i cili duhet t\u00eb trajtohet kirurgjikisht, rritet brenda kafk\u00ebs duke b\u00ebr\u00eb presion mbi indet dhe duke d\u00ebmtuar qarkullimin e gjakut. Metodat e trajtimit ndryshojn\u00eb n\u00eb var\u00ebsi t\u00eb gjendjes aktuale t\u00eb pacientit dhe vendndodhjes dhe llojit t\u00eb tumorit. Tumori i trurit p\u00ebrb\u00ebhet nga kat\u00ebr faza:<\/p>\n

      \n
    • Faza 1 \u00ebsht\u00eb tumori me rritje t\u00eb ngadalt\u00eb.<\/li>\n
    • Faza 2 \u00ebsht\u00eb tumor me rritje t\u00eb ngadalt\u00eb q\u00eb vjen n\u00eb kontakt me indet e af\u00ebrta.<\/li>\n
    • Faza 3 jan\u00eb tumore n\u00eb t\u00eb cilat qelizat anormale rriten dhe k\u00ebshtu d\u00ebmtojn\u00eb indet e sh\u00ebndetshme.<\/li>\n
    • Faza 4 \u00ebsht\u00eb lloji i tumoreve q\u00eb rriten me shpejt\u00ebsi dhe p\u00ebrhapen me shpejt\u00ebsi n\u00eb indet e af\u00ebrta duke formuar en\u00eb t\u00eb reja p\u00ebr p\u00ebrhapje.<\/li>\n<\/ul>\n

      Gjakderdhja e Trurit<\/h2>\n

      \u00cbsht\u00eb gjakderdhja q\u00eb ndodh si rezultat I dob\u00ebsimit t\u00eb murit arterial n\u00eb tru p\u00ebr shkaqe nga m\u00eb t\u00eb ndryshmet dhe k\u00ebputjes s\u00eb struktur\u00ebs s\u00eb formuar si tullumbace . Kjo gjendje, e cila zhvillohet kur gjaku rrjedh n\u00eb indet e trurit dhe shkakton shkat\u00ebrrimin e indeve, zakonisht zhvillohet spontanisht ose p\u00ebr shkak t\u00eb traumave. Ajo manifestohet me simptoma t\u00eb tilla si dhimbje koke t\u00eb papritura dhe t\u00eb forta, p\u00ebrgjumje, dob\u00ebsi, nauze dhe t\u00eb vjella, humbje t\u00eb vet\u00ebdijes, v\u00ebshtir\u00ebsi n\u00eb t\u00eb folur dhe g\u00eblltitje, humbje t\u00eb ekuilibrit dhe shikimit. Hemorragjia n\u00eb \u00e7do pjes\u00eb t\u00eb kafk\u00ebs quhet intrakraniale dhe gjakderdhja n\u00eb indet e trurit quhet hemorragji intracerebrale. Shkaqet e hemorragjive t\u00eb trurit p\u00ebrfshijn\u00eb presionin e lart\u00eb t\u00eb gjakut, traumat e kok\u00ebs, formimin e aneurizm\u00ebs, d\u00ebshtimin e veshkave, anomalit\u00eb vaskulare, \u00e7rregullimet e gjakut, tumorin e trurit, p\u00ebrdorimi I alkoolit dhe p\u00ebrdorimi i drog\u00ebs. N\u00eb hemorragjin\u00eb cerebrale, ku trajtimi i hersh\u00ebm \u00ebsht\u00eb shum\u00eb i r\u00ebnd\u00ebsish\u00ebm, oksigjenimi adekuat i trurit \u00ebsht\u00eb thelb\u00ebsor. N\u00eb shumic\u00ebn e rasteve, k\u00ebrkohet nd\u00ebrhyrje kirurgjikale.<\/p>\n

      Goditje n\u00eb Tru<\/h2>\n

      Ndodh si rezultat i bllokimit t\u00eb furnizimit t\u00eb trurit me gjak . N\u00ebse qarkullimi i gjakut n\u00eb tru bllokohet ose ndalet plot\u00ebsisht, fillon vdekja e qelizave n\u00eb tru. Si rezultat I gjith\u00eb k\u00ebsaj vie si deri te d\u00ebmtimi i trurit poashtu ndodh\u00eb q\u00eb edhe t\u00eb rrezikoj\u00eb seriozisht jet\u00ebn. Ekzistojn\u00eb dy lloje t\u00eb ndryshme, ishemike dhe hemorragjike. P\u00ebrderisa lloji Ishemik \u00ebsht\u00eb nj\u00eb mpiksje gjaku q\u00eb shkakton goditje ishemike, goditja hemorragjike \u00ebsht\u00eb nj\u00eb gjendje q\u00eb ndodh nga d\u00ebmtimi I trurit si rezultat i shp\u00ebrthimit n\u00eb nj\u00ebr\u00ebn prej en\u00ebve q\u00eb ushqejn\u00eb trurin, p\u00ebr shkak t\u00eb presionit t\u00eb lart\u00eb t\u00eb gjakut P\u00ebrve\u00e7 k\u00ebsaj, nj\u00eb sulm ishemik kalimtar \u00ebsht\u00eb nj\u00eb lloj goditjeje q\u00eb ndodh si rezultat i nj\u00eb nd\u00ebrprerje t\u00eb p\u00ebrkohshme t\u00eb rrjedhjes s\u00eb gjakut n\u00eb tru. Simptomat e tij nuk zgjasin shum\u00eb dhe zakonisht cfaqen papritmas. Ato cfaqen n\u00eb form\u00eb t\u00eb p\u00ebrgjumjes, lodhjes, pal\u00ebvizshm\u00ebri ose zhvendosje e nj\u00eb pjese t\u00eb fytyr\u00ebs, marramendjes, v\u00ebshtir\u00ebsi n\u00eb t\u00eb folur dhe kuptuar dhe shfaqen si dhimbje t\u00eb forta koke. Pirja e duhanit dhe p\u00ebrdorimi i alkoolit, presioni i lart\u00eb i gjakut, obeziteti, kolesteroli i lart\u00eb dhe diabeti jan\u00eb nd\u00ebr shkaktar\u00ebt e goditjes n\u00eb tru. N\u00eb var\u00ebsi t\u00eb shkakut t\u00eb goditjes, ndryshon edhe metoda e trajtimit. Mund t\u00eb trajtohet si me ila\u00e7e ashtu edhe nd\u00ebrhyrje kirurgjike.<\/p>\n

      S\u00ebmundjet Kurrizore<\/h2>\n

      S\u00ebmundjet e shtyll\u00ebs kurrizore lidhen kryesisht me pleq\u00ebrin\u00eb. Shpina, e cila \u00ebsht\u00eb e ekspozuar ndaj ngarkes\u00ebs m\u00eb t\u00eb madhe gjat\u00eb gjith\u00eb jet\u00ebs, lodhet me kalimin e koh\u00ebs. Si rezultat, dhimbjet e muskujve dhe nyjeve, herniet e mesit dhe qaf\u00ebs, si dhe lezionet e lidhura me traumat, tumoret, \u00e7rregullimet e lindura, infeksioni i shtyll\u00ebs kurrizore dhe deformimi jan\u00eb disa nga s\u00ebmundjet e shtyll\u00ebs kurrizore. Ekzistojn\u00eb dy lloje t\u00eb ndryshme t\u00eb deformimeve. E para nga k\u00ebto \u00ebsht\u00eb skolioza, dometh\u00ebn\u00eb lakimi anash I shtyll\u00ebs kurrizore dhe e dyta \u00ebsht\u00eb kifoza, lakimi p\u00ebrpara i shtyll\u00ebs kurrizore. S\u00ebmundjet kurrizore trajtohen sipas diagnoz\u00ebs s\u00eb s\u00ebmundjes. N\u00ebse keni ankesa n\u00eb lidhje me shtyll\u00ebn kurrizore, pa hezitim duhet t\u00eb kontrolloheni nga nj\u00eb mjek specialist.<\/p>\n

      Traumat<\/h2>\n

      Trauma \u00ebsht\u00eb d\u00ebmtimi i indeve dhe organeve i shkaktuar nga faktor\u00eb t\u00eb jasht\u00ebm. Trauma e palc\u00ebs kurrizore \u00ebsht\u00eb emri i p\u00ebrgjithsh\u00ebm i dh\u00ebn\u00eb d\u00ebmtimit t\u00eb indit nervor n\u00eb shpin\u00eb. Zakonisht mund t\u00eb shkaktohet nga sporti ose mund t\u00eb shfaqen pas ngjarjeve siq jan\u00eb aksidentet e trafikut, r\u00ebnia nga nj\u00eb lart\u00ebsi dhe plag\u00ebt e arm\u00ebs. N\u00ebse shtylla kurrizore \u00ebsht\u00eb e d\u00ebmtuar, mund t\u00eb ndodh\u00eb humbja e ndjesis\u00eb dhe l\u00ebvizjes. Pamjet radiologjike t\u00eb p\u00ebrdorura p\u00ebr diagnostifikimin e Traum\u00ebs s\u00eb shtyll\u00ebs kurrizore, trajtohen kirurgjikisht nga neurokirurg\u00ebt. Metodat kirurgjike t\u00eb p\u00ebrdorura ndryshojn\u00eb n\u00eb var\u00ebsi nga dhuna q\u00eb I u \u00ebsht\u00eb ekspozuar shtylla kurizore. Traumat e kok\u00ebs, ndodhin p\u00ebr arsye t\u00eb ngjashme me traumat kurrizore. Sidoqoft\u00eb, \u00ebsht\u00eb m\u00eb e shprehur midis moshave 15-24 vje\u00e7 dhe \u00ebsht\u00eb 2-3 her\u00eb m\u00eb e shprehur tek burrat sesa tek grat\u00eb.Tek traumat e kok\u00ebs, diagnoza duhet t\u00eb jet\u00eb e shpejt\u00eb dhe efektive . Imazhet radiologjike shpesh p\u00ebrdoren p\u00ebr p\u00ebrcaktimin e diagnoz\u00ebs. Para s\u00eb gjithash, shqyrtohet d\u00ebmi i shkaktuar nga goditja.M\u00eb pas vler\u00ebsohen d\u00ebmtimet dyt\u00ebsore q\u00eb mund t\u00eb zhvillohen pas traum\u00ebs. N\u00eb var\u00ebsi t\u00eb d\u00ebmit t\u00eb shkaktuar nga trauma, neurokirurgu zbaton trajtimin e nevojsh\u00ebm.<\/p>\n

      S\u00ebmundjet e Trurit dhe Nervave t\u00eb Mosh\u00ebs F\u00ebmij\u00ebrore<\/h2>\n

      Neurokirurgjia pediatrike merret me s\u00ebmundjet e trurit dhe nervave q\u00eb ndodhin q\u00eb nga barku i n\u00ebn\u00ebs deri n\u00eb mosh\u00ebn 18 vje\u00e7. Disa nga k\u00ebto s\u00ebmundje jan\u00eb:<\/p>\n

        \n
      • Hemorragji t\u00eb lindura t\u00eb trurit<\/li>\n
      • \u00c7rregullime t\u00eb lindura t\u00eb sistemit nervor<\/li>\n
      • Rritje e l\u00ebngut cerebrospinal<\/li>\n
      • Deformimet e shtyll\u00ebs kurrizore<\/li>\n
      • L\u00ebndimet e kok\u00ebs dhe palc\u00ebs kurrizore<\/li>\n
      • S\u00ebmundjet e palc\u00ebs kurrizore dhe vaskulare<\/li>\n
      • Deformimet e kafk\u00ebs<\/li>\n
      • Defektet e mbylljes s\u00eb palc\u00ebs kurrizore<\/li>\n
      • Tumoret e trurit dhe palc\u00ebs kurrizore<\/li>\n
      • Grumbullimi i ujit n\u00eb tru<\/li>\n
      • Epilepsia dhe \u00e7rregullime t\u00eb tjera t\u00eb l\u00ebvizjes<\/li>\n<\/ul>\n

        Cilat S\u00ebmundje Diagnostikohen dhe Trajtohen n\u00eb Departamentin Ton\u00eb?<\/h2>\n
          \n
        • Tumoret e trurit, shtyll\u00ebs kurrizore dhe palc\u00ebs kurrizore<\/li>\n
        • T\u00eb gjitha llojet e s\u00ebmundjeve t\u00eb shtyll\u00ebs kurrizore, ve\u00e7an\u00ebrisht hernie t\u00eb belit dhe qaf\u00ebs<\/li>\n
        • Aneuriz\u00ebm (tullumbace)<\/li>\n
        • Keqformimi arteriovenoz (AVM)<\/li>\n
        • Kavernoma<\/li>\n
        • S\u00ebmundjet q\u00eb zhvillohen gjat\u00eb formimit t\u00eb sistemit nervor q\u00eb ndodhin me lindjen (si\u00e7 \u00ebsht\u00eb meningomyelocele)<\/li>\n
        • S\u00ebmundje t\u00eb tjera t\u00eb f\u00ebmij\u00ebris\u00eb<\/li>\n
        • Hidrocefalus<\/li>\n
        • Tuneli i ky\u00e7it t\u00eb dor\u00ebs dhe bllokime t\u00eb tjera nervore<\/li>\n
        • L\u00ebndimet e kok\u00ebs, shpin\u00ebs dhe palc\u00ebs kurrizore<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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          <\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":32,"featured_media":59514,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","format":"standard","meta":{"footnotes":""},"pj-categs":[],"pj-tags":[],"class_list":["post-45415","project","type-project","status-publish","format-standard","has-post-thumbnail","hentry"],"yoast_head":"\nNeurokirurgjia \u2013 Kirurgjia Neurologjike | Avicenna Hastanesi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/avicennaint.com\/sq\/sherbimet\/neurokirurgjia-kirurgjia-neurologjike\/\" \/>\n<meta property=\"og:locale\" content=\"sq_AL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neurokirurgjia \u2013 Kirurgjia Neurologjike\" \/>\n<meta property=\"og:url\" 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