{"id":9652,"date":"2018-10-16T10:36:19","date_gmt":"2018-10-16T10:36:19","guid":{"rendered":"https:\/\/www.pzujurukovski.mk\/?p=9652"},"modified":"2018-10-16T10:36:19","modified_gmt":"2018-10-16T10:36:19","slug":"histeroskopia-hsc","status":"publish","type":"post","link":"https:\/\/www.pzujurukovski.mk\/sq\/histeroskopia-hsc\/","title":{"rendered":"HISTEROSKOPIA (HSC)"},"content":{"rendered":"<p>Histeroskopia \u00ebsht\u00eb metod\u00eb operative e cila zhvillohet me q\u00ebllim t\u00eb vendosjes s\u00eb diagnoz\u00ebs dhe terapis\u00eb. \u00a0Q\u00ebllimi \u00ebsht\u00eb inspektimi i brend\u00ebsis\u00eb s\u00eb mitr\u00ebs me ndihm\u00ebn e instrumentit t\u00eb quajtur histeroskop i cili n\u00ebp\u00ebrmjet cerviksit futet n\u00eb brend\u00ebsin\u00eb e mitr\u00ebs. \u00a0M\u00eb mir\u00eb \u00ebsht\u00eb intervenimi t\u00eb kryhet gjat\u00eb periudh\u00ebs kur endometriumi\u00a0 (shtresa e brendshme e mitr\u00ebs) \u00ebsht\u00eb m\u00eb i holl\u00eb, respektivisht menj\u00ebher\u00eb pas p\u00ebrfudnimit t\u00eb ciklit menstrual. \u00a0B\u00ebhet me anestezion lokal ose t\u00eb p\u00ebrgjithsh\u00ebm.<\/p>\n<p><strong><em>Si realizohet intervenimi? <\/em><\/strong><\/p>\n<p>Intervenimi fillon me diletim (zgjerimin) e kanalit t\u00eb cerviksit. \u00a0P\u00ebr k\u00ebt\u00eb q\u00ebllim p\u00ebrdoren t\u00eb a.q. dilatator\u00eb. Vijon vendosja e histeroskopit n\u00eb t\u00eb cilin \u00ebsht\u00eb instaluar kamer\u00eb nd\u00ebrsa e gjith\u00eb procedura ndiqet n\u00eb ekran. Brend\u00ebsia e mitr\u00ebs \u00ebsht\u00eb nj\u00eb zbraz\u00ebtir\u00eb virtuale nd\u00ebrsa muret e saj shtrihen nj\u00ebri mbi tjetrin. \u00a0N\u00eb m\u00ebnyr\u00eb q\u00eb brend\u00ebsia e mitr\u00ebs t\u00eb b\u00ebhet m\u00eb e dukshme, e nj\u00ebjta mbushet me l\u00ebng ose gaz. \u00a0Zakonisht p\u00ebrdoret l\u00ebng i cili p\u00ebrve\u00e7 zgjerimin, mund\u00ebson edhe pastrimin e gjakut dhe mbetjeve nga endometriumi. \u00a0Me k\u00ebt\u00eb fitohet nj\u00eb imazh i qart\u00eb i brend\u00ebsis\u00eb s\u00eb mitr\u00ebs q\u00eb \u00ebsht\u00eb kryesore p\u00ebr suksesin e intervenimit. \u00a0Gjat\u00eb gjith\u00eb procedur\u00ebs \u00ebsht\u00eb me r\u00ebnd\u00ebsi t\u00eb madhe kontrolli i l\u00ebngut q\u00eb futet dhe del me q\u00ebllim t\u00eb parandalohet teprimi dhe intoksikimi i pacientes.<\/p>\n<p>N\u00ebse zbulohet \u00e7far\u00eb do lloj ndryshimi i cili reteron nga konstatimi normal, histeroskopia diagnostikuese z\u00ebvend\u00ebsohet me operative pas zgjerimit plot\u00ebsues t\u00eb kanalit t\u00eb cerviksit. \u00a0E gjith\u00eb procedura operative ndiqet n\u00eb ekran deri n\u00eb p\u00ebrfundimin e saj.<\/p>\n<p><strong><em>Kur realizohet histeroskopia? <\/em><\/strong><\/p>\n<ul>\n<li>Thurje (septum) n\u00eb mit\u00ebr. Hiqet her\u00ebn e par\u00eb ose disa her\u00eb me radh\u00eb var\u00ebsisht nga madh\u00ebsia<\/li>\n<li>Polip n\u00eb mit\u00ebr ose cerviks<\/li>\n<li>Miom submukoz (miom i cili rritet n\u00eb brend\u00ebsin\u00eb e mitr\u00ebs)<\/li>\n<li>Ablacion endometrial &#8211; heqja e endometriumit deri n\u00eb thell\u00ebsi t\u00eb caktuar n\u00eb drejtim t\u00eb murit t\u00eb mitr\u00ebs<\/li>\n<li>Heqja e spirales (q\u00eb \u00ebsht\u00eb ngjitur n\u00eb murin e mitr\u00ebs)<\/li>\n<li>Adhezioliza &#8211; shk\u00ebputja e aderencave intrauterinare (ngjitjeve) zakonisht si pasoj\u00eb e sindrom\u00ebs Asherman (Asherman syndom)<\/li>\n<li>Gjakderdhje abnormal t\u00eb mitr\u00ebs<\/li>\n<li>Vizualizim i lidhjes atero &#8211; tubulare<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Histeroskopia \u00ebsht\u00eb metod\u00eb operative e cila zhvillohet me q\u00ebllim t\u00eb vendosjes s\u00eb diagnoz\u00ebs dhe terapis\u00eb. \u00a0Q\u00ebllimi \u00ebsht\u00eb inspektimi i brend\u00ebsis\u00eb s\u00eb mitr\u00ebs me ndihm\u00ebn e instrumentit t\u00eb quajtur histeroskop i cili n\u00ebp\u00ebrmjet cerviksit futet n\u00eb brend\u00ebsin\u00eb e mitr\u00ebs. \u00a0M\u00eb mir\u00eb \u00ebsht\u00eb intervenimi t\u00eb kryhet gjat\u00eb periudh\u00ebs kur endometriumi\u00a0 (shtresa e brendshme e mitr\u00ebs) \u00ebsht\u00eb m\u00eb [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9342,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[74],"tags":[],"_links":{"self":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts\/9652"}],"collection":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/comments?post=9652"}],"version-history":[{"count":2,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts\/9652\/revisions"}],"predecessor-version":[{"id":9654,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts\/9652\/revisions\/9654"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/media\/9342"}],"wp:attachment":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/media?parent=9652"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/categories?post=9652"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/tags?post=9652"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}