{"id":35835,"date":"2019-10-31T22:06:47","date_gmt":"2019-10-31T19:06:47","guid":{"rendered":"https:\/\/prohoster.info\/blog\/chelyustno-litsevaya-hirurgiya-ili-net-vot-v-chem-vopros\/"},"modified":"2019-10-31T22:06:47","modified_gmt":"2019-10-31T19:06:47","slug":"chelyustno-litsevaya-hirurgiya-ili-net-vot-v-chem-vopros","status":"publish","type":"post","link":"https:\/\/prohoster.info\/sq\/blog\/novosti-interneta\/chelyustno-litsevaya-hirurgiya-ili-net-vot-v-chem-vopros","title":{"rendered":"Kirurgjia maxillo-faciale a jet\u00ebson, apo jo? Kjo \u00ebsht\u00eb pyetja","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Kirurgjia
\nT\u00eb dashur miq, ne kemi biseduar tashm\u00eb p\u00ebr llojet e dh\u00ebmb\u00ebve t\u00eb uris\u00eb<\/a><\/noindex>, se \u00e7far\u00eb ndodh, n\u00ebse nuk i prekim ato<\/a><\/noindex>, dhe si kalon vet\u00eb heqja.<\/a><\/noindex>
\n<\/a><\/noindex>
\n\"Kirurgjia
\n
\n\"Kirurgjia
\n
\nDuket se \u00e7far\u00eb \u00ebsht\u00eb e komplikuar n\u00eb k\u00ebt\u00eb?<\/p>\n

Por! Akoma, pacient\u00eb vijn\u00eb p\u00ebr konsultim dhe thon\u00eb, q\u00eb - \"Por n\u00eb klinik\u00ebn tjet\u00ebr doktori tha...\" Q\u00eb k\u00ebta dh\u00ebmb\u00eb shum\u00eb t\u00eb nd\u00ebrlikuar nuk mund t\u00eb hiqen jasht\u00eb spitalit, n\u00eb departamentin e kirurgjis\u00eb maxillo-faciale, dhe nuk mund t\u00eb b\u00ebhet pa anestezi t\u00eb p\u00ebrgjithshme. Si\u00e7 thon\u00eb, ka pasoja.<\/p>\n

Jo vet\u00ebm q\u00eb fjal\u00ebt - \"spital\" dhe \"kirurgjia maxillo-faciale\" shkaktojn\u00eb nj\u00eb ndjenj\u00eb frike tek shum\u00eb pacient\u00eb n\u00eb kufirin e nj\u00eb sulmi paniku, por pas k\u00ebtyre deklaratave \u00ebsht\u00eb jasht\u00ebzakonisht e v\u00ebshtir\u00eb t\u2019i bind\u00ebsh ata p\u00ebr t\u00eb kund\u00ebrt\u00ebn.<\/p>\n

\"Kirurgjia
\n
\nPas k\u00ebtyre frik\u00ebsimeve, dhe nuk e quaj dot ndryshe, shum\u00eb ata shkojn\u00eb n\u00eb spital, b\u00ebjn\u00eb analiza, pranojn\u00eb anestezi intubacioni dhe q\u00ebndrojn\u00eb p\u00ebr disa dit\u00eb n\u00eb shtret\u00ebr, duke shijuar shoq\u00ebrin\u00eb lokale, kujdesin e infermiereve dhe infeksionin e brendsh\u00ebm t\u00eb spitalit.<\/p>\n

Megjithat\u00eb, p\u00ebr pyetjen \u00abE si ju argumentuan nevoj\u00ebn p\u00ebr t\u00eb hequr dh\u00ebmbin vet\u00ebm n\u00eb departamentin e kirurgjis\u00eb maxillofaciale?\u00bb nuk kam marr\u00eb ndonj\u00ebher\u00eb nj\u00eb p\u00ebrgjigje t\u00eb qart\u00eb.<\/p>\n

E vetmja gj\u00eb q\u00eb zakonisht thon\u00eb \u00ebsht\u00eb: \u00abIh, m\u00eb than\u00eb q\u00eb dh\u00ebmbi \u00ebsht\u00eb i komplikuar... \u00ebsht\u00eb thell\u00eb... pran\u00eb nervit...\u00bb. Po, mund ta imagjinoj se kjo \u00ebsht\u00eb e v\u00ebrtet\u00eb, dhe nervi ndodhet atje, dhe gropa \u00ebsht\u00eb thell\u00eb, por... \u00e7far\u00eb ndryshimi themelor ka n\u00eb teknik\u00ebn e heqjes stacionare dhe ambulatoriale?<\/p>\n

\"Kirurgjia
\n
\nKontrolli?<\/p>\n

Eh, tomografia kompjuterizuar (skanimi 3D) mund t\u00eb b\u00ebhet - kudo.<\/p>\n

P\u00ebr \u00e7far\u00eb?<\/p>\n

Eh, sepse ortopantomografia (OPTG, skanimi ose pamja panoramike e dh\u00ebmb\u00ebve) \u00ebsht\u00eb e planizuar, dhe k\u00ebshtu \u00e7do detaj i skanimit do t\u00eb mbivendoset nj\u00ebri mbi tjetrin. Prandaj, nuk \u00ebsht\u00eb e mundur t\u00eb shqyrtohet objekti i hetimit, ve\u00e7an\u00ebrisht zona e dh\u00ebmbit t\u00eb men\u00e7uris\u00eb, q\u00eb ndodhet af\u00ebr nervit mandibular, n\u00eb t\u00eb gjitha planin, n\u00ebn k\u00ebndin tjet\u00ebr apo n\u00eb projektimin tjet\u00ebr. KLLKT (Tomografia kompjuterizuar kono-rajsore), p\u00ebrkundrazi, na jep nj\u00eb mund\u00ebsi t\u00eb till\u00eb.<\/p>\n

\"Kirurgjia
\n
\nNdoshta, n\u00eb ato \u00c7LHX-t\u00eb tuaja, punojn\u00eb doktor\u00eb t\u00eb trajnuar posa\u00e7\u00ebrisht, t\u00eb cil\u00ebt kan\u00eb metod\u00ebn e heqjes pa kontakt t\u00eb dh\u00ebmb\u00ebve? T\u00eb cil\u00ebt pa prerje dhe pa ndonj\u00eb p\u00ebrpjekje, me an\u00eb t\u00eb fuqis\u00eb mendore do t\u00eb b\u00ebjn\u00eb q\u00eb dh\u00ebmbi i 8-t\u00eb t\u00eb zhduket?<\/p>\n

\"Kirurgjia
\n
\nPor k\u00ebt\u00eb ashtu nuk \u00ebsht\u00eb!<\/p>\n

Dhe un\u00eb vazhdoj t\u00eb pyes: \u00abDuket se dh\u00ebmbi u hoq shpejt dhe nuk pati ndonj\u00eb shqet\u00ebsim?\u00bb O Zot! Edhe k\u00ebtu nuk kam r\u00ebn\u00eb n\u00ebllogarin\u00eb.<\/p>\n

Koha mesatare e heqjes s\u00eb dh\u00ebmb\u00ebve t\u00eb posht\u00ebm t\u00eb mb\u00ebrthyer t\u00eb men\u00e7uris\u00eb (ato q\u00eb ndodhen plot\u00ebsisht n\u00ebn mish) n\u00eb k\u00ebto institucione, sipas pacijent\u00ebve, \u00ebsht\u00eb 2.5 or\u00eb. Disa her\u00eb kam d\u00ebgjuar, p\u00ebr t'u menduar, rreth 4(!) or\u00ebve. A mendoni se \u00ebsht\u00eb tejkaluar? N\u00eb k\u00ebt\u00eb koh\u00eb mund t\u00eb b\u00ebsh sinuslifting nga t\u00eb dyja an\u00ebt, t\u00eb vendos\u00ebsh 8 implantate, t\u00eb porosis\u00ebsh nj\u00eb drek\u00eb dhe akoma t\u00eb arrish t\u00eb fl\u00ebsh. P\u00ebr deklaratat e mia si \u00abn\u00eb klinik\u00ebn ton\u00eb heqja e k\u00ebtij lloj dh\u00ebmbi z\u00eb mesatarisht 25-30 minuta, nga anestezia deri n\u00eb q\u00ebndrim\u00bb, shum\u00eb, n\u00eb m\u00ebnyr\u00eb t\u00eb but\u00eb, m\u00eb shikojn\u00eb me habi.<\/p>\n

Mendoj se, pasi kaloni 4 or\u00eb p\u00ebrball\u00eb nj\u00eb dentisti, sidomos ndonj\u00eb profesori t\u00eb pajisur me dekorata, me siguri nuk do t\u00eb besoni se gjith\u00e7ka mund t\u00eb b\u00ebhej \"pak\" m\u00eb shpejt. Dhe n\u00eb nj\u00eb atmosfer\u00eb m\u00eb miq\u00ebsore, t\u00eb qet\u00eb dhe komode. Pa rreziqe t\u00eb panevojshme dhe shqet\u00ebsime.<\/p>\n

\"Kirurgjia
\n
\nPra, pse njer\u00ebzit d\u00ebrgohen n\u00eb nj\u00eb spital p\u00ebr operimin e dh\u00ebmb\u00ebve t\u00eb men\u00e7uris\u00eb? Kush e b\u00ebn k\u00ebt\u00eb?<\/b><\/p>\n

Ja kush:<\/p>\n

\u2014 ose doktori nuk di\/ka frik\u00eb t\u00eb heq\u00eb k\u00ebto dh\u00ebmb\u00eb dhe d\u00ebshiron t\u00eb sigurohet, duke ju d\u00ebrguar te nj\u00eb specialist tjet\u00ebr (\u00e7ka \u00ebsht\u00eb m\u00eb e mundshme)<\/b><\/p>\n

\u2014 ose ju duan t\u00eb b\u00ebni pagesa t\u00eb tep\u00ebrta.<\/b><\/p>\n

P\u00ebr punktin e par\u00eb \u00ebsht\u00eb e qart\u00eb. N\u00ebse nuk ke aft\u00ebsi \u2014 d\u00ebrgo te nj\u00eb tjet\u00ebr. Kjo \u00ebsht\u00eb e drejt\u00eb.<\/p>\n

Por \u00e7far\u00eb lidhje ka kjo me parat\u00eb dhe pse \"t\u00eb b\u00ebni pagesa t\u00eb tep\u00ebrta\"? Sepse ju paguani p\u00ebr sh\u00ebrbime, n\u00eb t\u00eb cilat, si\u00e7 sapo zbuluam, nuk ka asnj\u00eb nevoj\u00eb:<\/p>\n

\u2014 kostot p\u00ebr dit\u00ebt e kaluara n\u00eb spital arrijn\u00eb rreth 4 mij\u00eb rubla. N\u00eb var\u00ebsi t\u00eb faktit se a do t\u00eb keni nj\u00eb dhom\u00eb private, apo do t\u00eb d\u00ebgjoni p\u00ebr disa nat\u00eb dhom\u00ebn e nj\u00ebzet \"fatlum\u00ebve\" t\u00eb tjer\u00eb me dh\u00ebmb\u00eb t\u00eb men\u00e7uris\u00eb q\u00eb g\u00ebrhasin.<\/p>\n

Por kjo nuk \u00ebsht\u00eb gjith\u00e7ka.<\/p>\n

N\u00ebse keni nevoj\u00eb p\u00ebr anestezi t\u00eb p\u00ebrgjithshme, shtoni n\u00eb shumat e shpenzuara p\u00ebr dhom\u00ebn tuaj konsultimin me mjekun anesteziolog-reanimatolog (rreth 1,5 mij\u00eb rubla), ekzaminimet laboratorike t\u00eb nevojshme (n\u00eb mesatar, 3 mij\u00eb rubla), si edhe procedur\u00ebn e anestezis\u00eb s\u00eb p\u00ebrgjithshme. Minimumi \u00ebsht\u00eb dy or\u00eb, por mund t\u00eb jet\u00eb edhe m\u00eb shum\u00eb. Dhe kjo mund t'ju kushtoj\u00eb nga 8 deri n\u00eb 30 mij\u00eb rubla.<\/p>\n

M\u00eb pas, vet\u00eb operacioni kirurgjik ka nj\u00eb \u00e7mim, a jo? Zakonisht, heqja e nj\u00eb dh\u00ebmbi t\u00eb mb\u00ebrthyer kushton nga 14 deri n\u00eb 23 mij\u00eb rubla. Mund t\u00eb supozojm\u00eb se n\u00eb nj\u00eb spital t\u00eb mir\u00eb, kostoja e heqjes do t\u00eb jet\u00eb e krahasueshme (pa llogaritur dhom\u00ebn, anestezin\u00eb, analizat, konsultimet dhe anestezin\u00eb).<\/p>\n

A ndjeni ndryshimin? A \u00ebsht\u00eb kjo nj\u00eb mashtrim? Ju frik\u00ebsojn\u00eb, pastaj ju k\u00ebrkojn\u00eb para. Para t\u00eb konsiderueshme.<\/p>\n

P\u00ebr \u00e7far\u00eb e kam shkruar gjith\u00eb k\u00ebt\u00eb?<\/b><\/p>\n

Dua t'ju them, miq t\u00eb dashur, se praktikisht nuk ka dh\u00ebmb\u00eb mendje q\u00eb t\u00eb mos mund t\u00eb hiqen jasht\u00eb spitalit, n\u00eb nj\u00eb konsultim t\u00eb zakonsh\u00ebm ambulator.<\/b> Duke shpenzuar, maksimumi, dyzet minuta p\u00ebr nj\u00eb konsultim, hetim dhe vet\u00eb operacionin, do ta zgjidhni problemin nj\u00ebher\u00eb e p\u00ebr gjithmon\u00eb. N\u00eb nj\u00eb koh\u00eb t\u00eb shkurt\u00ebr, do t\u00eb jeni s\u00ebrish n\u00eb form\u00eb, do t\u00eb mund t\u00eb merrni p\u00ebrsip\u00ebr \u00e7\u00ebshtjet tuaja, pothuajse pa u devijuar nga stili i zakonsh\u00ebm i jetes\u00ebs. Nuk \u00ebsht\u00eb e nevojshme t\u00eb merrni leje mjek\u00ebsore dhe t\u00eb angazhoni nj\u00eb kujdestar. Jetoni nj\u00eb jet\u00eb normale, por me disa rekomandime dhe kontrollime pas operacionit.<\/p>\n

Faleminderit p\u00ebr v\u00ebmendjen. Do t\u00eb jem i lumtur t'ju p\u00ebrgjigjem pyetjeve tuaja n\u00eb komente!<\/p>\n

Me respekt, Andrey Dashkov<\/p>\n

\u00c7far\u00eb tjet\u00ebr t\u00eb lexoni rreth dh\u00ebmb\u00ebve t\u00eb men\u00e7uris\u00eb dhe heqjes s\u00eb tyre?<\/b><\/p>\n