{"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\/news\/chelyustno-litsevaya-hirurgiya-ili-net-vot-v-chem-vopros","title":{"rendered":"Kirurgjia maxillofaciale ose jo? Kjo \u00ebsht\u00eb pyetja","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Kirurgjia
\nT\u00eb dashur miq, ne kemi diskutuar se \u00e7far\u00eb jan\u00eb dh\u00ebmb\u00ebt e men\u00e7uris\u00eb<\/a><\/noindex>, \u00e7far\u00eb ndodh, n\u00ebse nuk i prek<\/a><\/noindex>, dhe si kalon vet\u00eb heqja.<\/a><\/noindex>
\n<\/a><\/noindex>
\n\"Kirurgjia
\n
\n\"Kirurgjia
\n
\nDuket se nuk ka asgj\u00eb t\u00eb komplikuar n\u00eb k\u00ebt\u00eb.<\/p>\n

Por! Akoma, vijn\u00eb pacient\u00eb p\u00ebr konsultim dhe thon\u00eb se \u2014 \u00abEpo, n\u00eb klinik\u00ebn tjet\u00ebr mjeku tha\u2026\u00bb Si\u00e7 n\u00eb, q\u00eb k\u00ebta dh\u00ebmb\u00eb shum\u00eb t\u00eb komplikuar nuk mund t\u00eb hiqen jasht\u00eb spitalit, n\u00eb departamentin e kirurgjis\u00eb maxillofaciale, dhe pa anestezi t\u00eb p\u00ebrgjithshme nuk mund t\u00eb b\u00ebhet. Kjo, q\u00eb mund t\u00eb ket\u00eb pasoja.<\/p>\n

S\u00eb pari, fjal\u00ebt \u2014 \u00abspital\u00bb dhe \u00abkirurgjia maxillofaciale\u00bb tashm\u00eb i shkaktojn\u00eb shum\u00eb pacient\u00ebve frik\u00eb n\u00eb prag t\u00eb nj\u00eb sulmi paniku, dhe pas deklaratave t\u00eb tilla \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 frik\u00ebsimeve t\u00eb tilla, t\u00eb cilat nuk mund t\u00eb quhen ndryshe, shum\u00eb n\u00eb t\u00eb v\u00ebrtet\u00eb shkojn\u00eb n\u00eb spital, b\u00ebjn\u00eb analiza, pranojn\u00eb anestezin\u00eb intubacionale dhe q\u00ebndrojn\u00eb disa dit\u00eb n\u00eb dhoma, duke shijuar shoq\u00ebrin\u00eb lokale, kujdesin e infermiereve dhe infeksionin intra-spitalor.<\/p>\n

Megjithat\u00eb, n\u00eb pyetjen \u00abSi ju justifikuan nevoj\u00ebn p\u00ebr heqjen e dh\u00ebmbit vet\u00ebm n\u00eb departamentin e kirurgjis\u00eb maxillofaciale?\u00bb un\u00eb nuk kam marr\u00eb kurr\u00eb nj\u00eb p\u00ebrgjigje t\u00eb qart\u00eb.<\/p>\n

E vetmja gj\u00eb q\u00eb zakonisht thon\u00eb \u00ebsht\u00eb: \u00abEpo, m\u00eb than\u00eb se dh\u00ebmbi \u00ebsht\u00eb i komplikuar\u2026 ai \u00ebsht\u00eb thell\u00eb\u2026 pran\u00eb nervit\u2026\u00bb. Po, un\u00eb mund ta imagjinoj se t\u00eb gjitha k\u00ebto jan\u00eb t\u00eb v\u00ebrteta, dhe nervi aty \u00ebsht\u00eb, madje edhe gropa \u00ebsht\u00eb e thell\u00eb, por... \u00e7far\u00eb ndryshimi ka n\u00eb teknik\u00ebn e heqjes spitalore dheambulatore?<\/p>\n

\"Kirurgjia
\n
\nNevoja p\u00ebr hetim?<\/p>\n

Sigurisht, tomografia kompjuterike (imazhi 3D) mund t\u00eb b\u00ebhet \u2014 kudo.<\/p>\n

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

Dhe p\u00ebr at\u00eb q\u00eb ortopantomografia (OPTG, imazhi panoramik i dh\u00ebmb\u00ebve) \u00ebsht\u00eb plane, dhe k\u00ebshtu ndodhin mbivendosjet e \u00e7do detaji t\u00eb imazhit nj\u00eb e mbi t\u00eb tjerin. Prandaj, p\u00ebr t\u00eb par\u00eb objektin e hetimit, n\u00eb ve\u00e7anti, zon\u00ebn e dh\u00ebmbit t\u00eb men\u00e7uris\u00eb, e cila ndodhet pran\u00eb nervit mandible, n\u00eb t\u00eb gjitha plane, nga nj\u00eb k\u00ebnd tjet\u00ebr ose projekti tjet\u00ebr \u00ebsht\u00eb e pamundur. KLC (Tomografia kompjuterike konusale) s\u00eb kund\u00ebrti na jep k\u00ebt\u00eb mund\u00ebsi.<\/p>\n

\"Kirurgjia
\n
\nNdoshta, n\u00eb k\u00ebto kirurgji maxillofaciale t\u00eb juaja, punojn\u00eb mjek\u00eb t\u00eb trajnuar posa\u00e7\u00ebrisht, t\u00eb pajisur me metod\u00ebn e heqjes pa kontakt t\u00eb dh\u00ebmb\u00ebve? T\u00eb cil\u00ebt pa prerje dhe ndonj\u00eb p\u00ebrpjekje p\u00ebrve\u00e7 forc\u00ebs s\u00eb mendjes do t\u00eb b\u00ebjn\u00eb q\u00eb dh\u00ebmbi i tet\u00eb t\u00eb shkoj\u00eb?<\/p>\n

\"Kirurgjia
\n
\nPor nuk ka asgj\u00eb t\u00eb till\u00eb!<\/p>\n

Por vazhdoj t\u00eb pyes: \u00abPadyshim, dora e diellit ishte hequr shpejt dhe nuk kishte asnj\u00eb shqet\u00ebsim?\u00bb Kupa! As k\u00ebtu nuk kam kapur.<\/p>\n

Koha mesatare p\u00ebr heqjen e dh\u00ebmb\u00ebve t\u00eb posht\u00ebm t\u00eb mb\u00ebshtjellur me zgjedhje (ato q\u00eb jan\u00eb plot\u00ebsisht n\u00ebn mishin e dh\u00ebmb\u00ebve) n\u00eb k\u00ebto institucione, sipas pacient\u00ebve, \u00ebsht\u00eb 2.5 or\u00eb. Disa her\u00eb kam d\u00ebgjuar, mendojeni, p\u00ebr 4(!) or\u00eb. A nuk e konsideroni k\u00ebt\u00eb tepric\u00eb? N\u00eb kaq shum\u00eb koh\u00eb mund t\u00eb b\u00ebni nj\u00eb sinuslift nga t\u00eb dyja an\u00ebt, t\u00eb instaloni 8 implante, t\u00eb porositni drek\u00eb dhe t\u00eb keni koh\u00eb t\u00eb flini. P\u00ebr deklaratat e mia si \u00abn\u00eb klinik\u00ebn ton\u00eb heqja e nj\u00eb dh\u00ebmbi t\u00eb till\u00eb zgjat mesatarisht 25-30 minuta, nga ana e anestezis\u00eb deri te qepja\u00bb, shum\u00eb, me t\u00eb drejt\u00eb, shikojn\u00eb me habi.<\/p>\n

Mendoj se, duke kaluar 4 or\u00eb n\u00eb karrigen e stomatologut, madje edhe t\u00eb ndonj\u00eb profesori, i cili \u00ebsht\u00eb i mbushur me tituj, v\u00ebshtir\u00eb se do t\u00eb besoni se gjith\u00e7ka mund t\u00eb ishte b\u00ebr\u00eb \u00abpak\u00bb m\u00eb shpejt. Dhe n\u00eb nj\u00eb atmosfer\u00eb m\u00eb miq\u00ebsore, t\u00eb qet\u00eb dhe t\u00eb rehatshme. Pa rreziqe dhe shqet\u00ebsime t\u00eb panevojshme.<\/p>\n

\"Kirurgjia
\n
\nPra, pse njer\u00ebzit d\u00ebrgojn\u00eb p\u00ebr heqjen e dh\u00ebmb\u00ebve t\u00eb men\u00e7uris\u00eb n\u00eb spitalin e kirurgjis\u00eb maxilofaciale? Kush e b\u00ebn k\u00ebt\u00eb?<\/b><\/p>\n

Ja kush:<\/p>\n

\u2014 ose mjeku 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 (sigurisht q\u00eb k\u00ebtu \u00ebsht\u00eb m\u00eb e mundshme)<\/b><\/p>\n

\u2014 ose duan t'ju mashtrojn\u00eb p\u00ebr para.<\/b><\/p>\n

Me pik\u00ebn e par\u00eb gjith\u00e7ka \u00ebsht\u00eb e qart\u00eb. N\u00ebse nuk e din\u00eb, jepjani dikujt tjet\u00ebr. Kjo \u00ebsht\u00eb e drejte.<\/p>\n

Por \u00e7far\u00eb ka t\u00eb b\u00ebj\u00eb me parat\u00eb dhe pse \u00abt\u00eb mashtrosh\u00bb? Sepse ju paguani p\u00ebr sh\u00ebrbime, p\u00ebr t\u00eb cilat, ashtu si\u00e7 e kemi zbuluar vet\u00ebm pak minuta m\u00eb par\u00eb, nuk ka asnj\u00eb nevoj\u00eb:<\/p>\n

\u2014 kostoja e dit\u00ebve q\u00eb kaloni n\u00eb spital \u00ebsht\u00eb rreth 4 mij\u00eb rubla. N\u00eb var\u00ebsi t\u00eb faktit se a do t\u00eb keni nj\u00eb dhom\u00eb t\u00eb vetme, ose p\u00ebr disa net\u00eb do t\u00eb d\u00ebgjoni frym\u00ebmarrjen e nj\u00ebzet t\u00eb tjer\u00ebve t\u00eb till\u00eb \u00abme fat\u00bb me dh\u00ebmb\u00eb t\u00eb men\u00e7uris\u00eb.<\/p>\n

Por kjo nuk \u00ebsht\u00eb e gjitha.<\/p>\n

N\u00ebse nevojitet anestezi e p\u00ebrgjithshme, shtoni p\u00ebr shpenzimet tuaja p\u00ebr dhom\u00ebn konsultimin me nj\u00eb mjek anesteziolog-reanimator (rreth 1.5 mij\u00eb rubla), testin e nevojsh\u00ebm laboratorik (n\u00eb mesatare, 3 mij\u00eb rubla), dhe vet\u00eb procedur\u00ebn e anestezis\u00eb. Minimalisht, dy or\u00eb, por ndonj\u00ebher\u00eb edhe m\u00eb shum\u00eb. Dhe kjo mund t'ju kushtoj\u00eb nga 8 deri n\u00eb 30 mij\u00eb rubla.<\/p>\n

Porosie, vet\u00ebm operacioni kirurgjik do t\u00eb kushtoj\u00eb di\u00e7ka, apo jo? Si rregull, heqja e nj\u00eb dheu t\u00eb mbajtur 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 ngjashme (pa p\u00ebrfshir\u00eb dhom\u00ebn, anestezin\u00eb, analizat, konsultimet dhe narkoz\u00ebn).<\/p>\n

E ndjeni ndryshimin? A nuk \u00ebsht\u00eb ndonj\u00eb mashtrim? Ju trembin, pastaj ju b\u00ebjn\u00eb t\u00eb paguani. Para t\u00eb konsiderueshme.<\/p>\n

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

Dua t'ju them, miq t\u00eb dashur, se praktikisht nuk ekzistojn\u00eb dh\u00ebmb\u00eb t\u00eb men\u00e7uris\u00eb q\u00eb nuk mund t\u00eb hiqen jasht\u00eb spitalit, n\u00eb nj\u00eb konsult\u00eb normale ambulatorike.<\/b> Duke shpenzuar, max, forty minuta p\u00ebr konsultim, ekzaminim dhe vet\u00eb operacionin, do t\u00eb zgjidhni problemin nj\u00ebher\u00eb e mir\u00eb. N\u00eb nj\u00eb koh\u00eb t\u00eb shkurt\u00ebr do t\u00eb jeni p\u00ebrs\u00ebri n\u00eb form\u00eb, do t\u00eb mund t\u00eb p\u00ebrkushtoheni ndaj pun\u00ebve tuaja, duke mos u larguar pothuajse fare nga stili juaj i zakonsh\u00ebm t\u00eb jet\u00ebs. Nuk ka nevoj\u00eb t\u00eb merrni leje mjek\u00ebsore dhe t\u00eb angazhoni nj\u00eb ndihm\u00ebs. Jetoni nj\u00eb jet\u00eb normale, por me disa rekomandime, receta dhe kontrolle post-operatore.<\/p>\n

Faleminderit p\u00ebr v\u00ebmendjen. Do t\u00eb isha i lumtur t\u00eb p\u00ebrgjigjem n\u00eb pyetjet tuaja n\u00eb komente!<\/p>\n

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

\u00c7far\u00eb tjet\u00ebr t\u00eb lexoni p\u00ebr dh\u00ebmb\u00ebt e men\u00e7uris\u00eb dhe heqjen e tyre?<\/b><\/p>\n