{"id":5944,"date":"2022-02-28T18:57:42","date_gmt":"2022-02-28T16:57:42","guid":{"rendered":"https:\/\/dralexandrostraianos.gr\/?page_id=5944"},"modified":"2025-11-27T09:56:02","modified_gmt":"2025-11-27T07:56:02","slug":"%cf%85%cf%80%ce%bf%ce%b2%ce%bf%ce%b7%ce%b8%ce%bf%cf%85%ce%bc%ce%b5%ce%bd%ce%b7-%ce%b1%ce%bd%ce%b1%cf%80%ce%b1%cf%81%ce%b1%ce%b3%cf%89%ce%b3%ce%b7","status":"publish","type":"page","link":"https:\/\/dralexandrostraianos.gr\/al\/%cf%85%cf%80%ce%bf%ce%b2%ce%bf%ce%b7%ce%b8%ce%bf%cf%85%ce%bc%ce%b5%ce%bd%ce%b7-%ce%b1%ce%bd%ce%b1%cf%80%ce%b1%cf%81%ce%b1%ce%b3%cf%89%ce%b3%ce%b7\/","title":{"rendered":"RIPRODHIMI I ASISTUAR"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"5944\" class=\"elementor elementor-5944\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3be7381 e-flex e-con-boxed e-con e-parent\" data-id=\"3be7381\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;triangle&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 1000 100\" preserveaspectratio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M500,98.9L0,6.1V0h1000v6.1L500,98.9z\"\/>\n<\/svg>\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5e19846 e-con-full e-flex e-con e-child\" data-id=\"5e19846\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-39c3e8c elementor-widget elementor-widget-heading\" data-id=\"39c3e8c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dr. ALEXANDROS TRAIANOS<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-466ca2f elementor-widget elementor-widget-text-editor\" data-id=\"466ca2f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tQENDRA P\u00cbR MJEK\u00cbSIN\u00cb RIPRODUKTIVE DHE MJEK\u00cbSIN\u00cb EMBRIONEVE\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a4eb88 e-flex e-con-boxed e-con e-parent\" data-id=\"6a4eb88\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-385dc5f e-con-full e-flex e-con e-child\" data-id=\"385dc5f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eedf4f7 elementor-widget elementor-widget-text-editor\" data-id=\"eedf4f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Steriliteti p\u00ebrkufizohet si pamund\u00ebsia e nj\u00eb \u00e7ifti p\u00ebr t\u00eb arritur konceptimin dhe p\u00ebr t\u00eb pasur nj\u00eb f\u00ebmij\u00eb pas t\u00eb pakt\u00ebn nj\u00eb viti kontakti t\u00eb rregullt seksual pa mbrojtje kontraceptive.<\/p><p>Hetimi i nj\u00eb \u00e7ifti q\u00eb paraqet problem fertiliteti k\u00ebrkon kontroll metodik p\u00ebr shkak t\u00eb shum\u00ebllojshm\u00ebris\u00eb s\u00eb kushteve q\u00eb mund t\u00eb \u00e7ojn\u00eb n\u00eb infertilitet.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1480f38 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"1480f38\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7b6ea30 e-flex e-con-boxed e-con e-parent\" data-id=\"7b6ea30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4fd3984 e-con-full e-flex e-con e-child\" data-id=\"4fd3984\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-25cacc2 elementor-widget elementor-widget-heading\" data-id=\"25cacc2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">KONTROLLI I FERTILITETIT \u2013 GRUAJA<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f06bf33 elementor-widget elementor-widget-toggle\" data-id=\"f06bf33\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2521\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2521\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">KONTROLLI HORMONAL<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2521\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2521\"><div class=\"vc_empty_space\"><p><strong><img decoding=\"async\" class=\"alignnone size-large wp-image-3614 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-1024x683.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-1024x683.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-300x200.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-768x512.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-1536x1024.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-2048x1365.jpg 2048w\" alt=\"\" width=\"1024\" height=\"683\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-1024x683.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-300x200.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-768x512.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-1536x1024.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-2048x1365.jpg 2048w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-8-1024x683.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/strong><\/p><ul><li class=\"translation-block\"><strong>FSH<\/strong> rritet me mosh\u00ebn si dhe te grat\u00eb me pak vez\u00eb n\u00eb vezore<\/li><li class=\"translation-block\"><strong>LH<\/strong> mund t\u00eb jet\u00eb i ngritur n\u00eb sindrom\u00ebn e vezores policistike<\/li><li><strong>Estradiol<\/strong><\/li><li class=\"translation-block\"><strong>Prolaktina:<\/strong> mund t\u00eb rritet n\u00eb \u00e7rregullimet e ciklit<\/li><li class=\"translation-block\"><strong>Progesteroni<\/strong> : p\u00ebr kontrollin e ovulacionit n\u00eb dit\u00ebn e 21 t\u00eb nj\u00eb cikli 28-ditor<\/li><li><strong>Testimi i funksionit t\u00eb tiroides dhe antitrupat kund\u00ebr tiroides<\/strong><\/li><li class=\"translation-block\"><strong>AMH (Hormon Anti-M\u00fcllerian):<\/strong> \u00cbsht\u00eb tregues i numrit t\u00eb vez\u00ebve n\u00eb vezore dhe parashikon reagimin e vezoreve ndaj stimulimit t\u00eb tyre me hormone n\u00eb rastet e riprodhimit t\u00eb asistuar.<\/li><\/ul><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2522\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2522\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">KONTROLLI I OVULIMIT<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2522\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2522\"><div class=\"vc_empty_space\"><p><img decoding=\"async\" class=\"alignnone size-large wp-image-3866 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6-1024x614.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6-1024x614.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6-300x180.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6-768x460.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6.jpg 1026w\" alt=\"\" width=\"1024\" height=\"614\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6-1024x614.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6-300x180.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6-768x460.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6.jpg 1026w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-6-1024x614.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p><p>Kontrolli i ovulacionit ka nj\u00eb rol qendror n\u00eb hetimin e nj\u00eb gruaje pasi shoq\u00ebrohet me pothuajse 1\/3 e t\u00eb gjitha problemeve t\u00eb infertilitetit. Disa gra kan\u00eb disa simptoma me ovulimin e tyre (dhimbje e leht\u00eb barku q\u00eb zgjat p\u00ebr disa or\u00eb ose sekrecione vaginale kafe). Megjithat\u00eb, shumica e grave nuk kan\u00eb simptoma t\u00eb tilla. P\u00ebrndryshe, nj\u00eb grua mund t\u00eb p\u00ebrdor\u00eb nj\u00eb \u00e7ant\u00eb ovulacioni q\u00eb kontrollon p\u00ebr disa hormone n\u00eb urin\u00eb ose t\u00eb v\u00ebrej\u00eb ndryshime ditore n\u00eb temperatur\u00ebn e trupit dhe mukoz\u00ebn e qaf\u00ebs s\u00eb mitr\u00ebs. Megjithat\u00eb, duke qen\u00eb se k\u00ebto metoda nuk konsiderohen shum\u00eb t\u00eb sakta, mjeku mund t\u00eb konfirmoj\u00eb ovulimin me nj\u00eb kontroll me ultratinguj t\u00eb b\u00ebr\u00eb 2-3 her\u00eb gjat\u00eb ciklit. P\u00ebrve\u00e7 k\u00ebsaj, p\u00ebr t\u00eb konfirmuar ovulacionin dhe p\u00ebr t\u00eb vendosur funksionimin e duhur t\u00eb trupit t\u00eb verdh\u00eb, rekomandohet t\u00eb kontrolloni progesteronin n\u00eb at\u00eb dit\u00eb specifike t\u00eb ciklit q\u00eb do t\u00eb tregoj\u00eb mjeku.<\/p><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2523\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2523\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">KONTROLLI I ANATOMIS S\u00cb MITRAVE<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2523\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2523\"><div class=\"vc_empty_space\">\n<p><img decoding=\"async\" class=\"alignnone size-large wp-image-3874 aligncenter ls-is-cached lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-1024x665.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-1024x665.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-300x195.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-768x499.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2.jpg 1200w\" alt=\"\" width=\"1024\" height=\"665\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-1024x665.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-300x195.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-768x499.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2.jpg 1200w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-1024x665.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\"><\/p>\n<p>Mjedisi i mitr\u00ebs luan nj\u00eb rol shum\u00eb t\u00eb madh n\u00eb procesin e fekondimit dhe kontrolli i plot\u00eb i tij \u00ebsht\u00eb i nevojsh\u00ebm p\u00ebrpara se t\u00eb nxjerrim p\u00ebrfundime p\u00ebr shkaqet e mundshme t\u00eb infertilitetit. Problemet e mundshme q\u00eb mund t\u00eb hasim gjat\u00eb k\u00ebtij kontrolli jan\u00eb:<\/p>\n<ul>\n<li class=\"translation-block\"><strong>Anomalit\u00eb kongjenitale t\u00eb mitr\u00ebs<\/strong> (p.sh., septumi i mitr\u00ebs, mitra bicornuate)<\/li>\n<li><strong>Anomalit\u00eb e fituara t\u00eb mitr\u00ebs&nbsp;<\/strong>(p.sh. ngjitjet endometriale)<\/li>\n<li>&nbsp;<strong>Polipet, fibroidet, adenomioza<\/strong><\/li>\n<\/ul><div><br><\/div>\n<p>T\u00eb gjitha sa m\u00eb sip\u00ebr mund t\u00eb lidhen me v\u00ebshtir\u00ebsi n\u00eb arritjen e shtatz\u00ebnis\u00eb ose aborte spontane. P\u00ebr t&#039;i diagnostikuar ato, ne p\u00ebrdorim nj\u00eb ose m\u00eb shum\u00eb nga testet e m\u00ebposhtme:<\/p>\n<p>Ekografia gjinekologjike: ekografia gjinekologjike intravaginale e organeve t\u00eb brendshme gjenitale ofron nj\u00eb vizualizim t\u00eb drejtp\u00ebrdrejt\u00eb dhe pa dhimbje t\u00eb mitr\u00ebs. Vitet e fundit ne kemi p\u00ebrdorur nj\u00eb form\u00eb m\u00eb t\u00eb ndjeshme t\u00eb ekografis\u00eb, ekografin\u00eb gjinekologjike 3D (tredimensionale), e cila na mund\u00ebson t\u00eb diagnostikojm\u00eb anomalit\u00eb kongjenitale t\u00eb mitr\u00ebs me nj\u00eb sakt\u00ebsi t\u00eb madhe dhe praktikisht ka z\u00ebvend\u00ebsuar \u2013 p\u00ebr k\u00ebt\u00eb q\u00ebllim \u2013 imazhet e rezonanc\u00ebs magnetike.<\/p>\n<p>Histeroskopia: \u00ebsht\u00eb nj\u00eb ekzaminim i thjesht\u00eb n\u00eb t\u00eb cilin nj\u00eb kamer\u00eb futet n\u00eb zgavr\u00ebn endometriale p\u00ebrmes qaf\u00ebs s\u00eb mitr\u00ebs, nd\u00ebrsa gruaja \u00ebsht\u00eb n\u00ebn ndikimin e alkoolit. Duke p\u00ebrdorur nj\u00eb burim t\u00eb p\u00ebrshtatsh\u00ebm drite, ne jemi n\u00eb gjendje t\u00eb monitorojm\u00eb brend\u00ebsin\u00eb e mitr\u00ebs n\u00eb nj\u00eb ekran.<\/p>\n<p>Hidro-ekografia: \u00ebsht\u00eb nj\u00eb metod\u00eb imazherike m\u00eb e re q\u00eb kombinon ekografin\u00eb klasike gjinekologjike (ose edhe ekografin\u00eb 3D) me p\u00ebrdorimin e ujit (p\u00ebr t\u00eb qen\u00eb t\u00eb sakt\u00eb me krip\u00eb normale) brenda mitr\u00ebs. Gjat\u00eb k\u00ebtij ekzaminimi, krip\u00ebrat e kripura ndihmojn\u00eb p\u00ebr t\u00eb par\u00eb qart\u00eb brend\u00ebsin\u00eb e mitr\u00ebs dhe p\u00ebr t\u00eb diagnostikuar n\u00ebse ka apo jo nj\u00eb polip. N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb, ne mund t\u00eb shmangim nj\u00eb histeroskopi potencialisht t\u00eb padobishme.<\/p>\n<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2524\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2524\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">KONTROLLI I KALIMIT T\u00cb GYSATAVE<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2524\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2524\"><div class=\"vc_empty_space\"><h2><strong><img decoding=\"async\" class=\"alignnone size-large wp-image-4067 lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos-1024x536.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos-1024x536.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos-300x157.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos-768x402.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos.jpg 1200w\" alt=\"\" width=\"1024\" height=\"536\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos-1024x536.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos-300x157.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos-768x402.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos.jpg 1200w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/check-up-traianos-1024x536.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/strong><\/h2><p class=\"translation-block\">Funksionimi i mir\u00eb i tubave fallopiane \u00ebsht\u00eb nj\u00eb kusht i domosdosh\u00ebm p\u00ebr t\u00eb arritur shtatz\u00ebnin\u00eb. <strong>Kalueshm\u00ebria<\/strong> e tubave fallopiane kontrollohet me metodat e m\u00ebposhtme:<\/p><p class=\"translation-block\"><strong>Salpingografia:<\/strong> metoda m\u00eb e vjet\u00ebr e p\u00ebrdorur prej dekadash. \u00cbsht\u00eb e detyrueshme n\u00eb nj\u00eb laborator radiologjik. Ai konsiston n\u00eb injektimin e l\u00ebngut kontrast p\u00ebrmes qaf\u00ebs s\u00eb mitr\u00ebs dhe imazhin me rreze X t\u00eb zgavr\u00ebs endometriale si dhe n\u00eb tubat fallopiane.<\/p><p class=\"translation-block\"><strong>Ultratinguj-fallopianografia (HyCoSy):<\/strong> \u00ebsht\u00eb metoda m\u00eb e re e kontrollit t\u00eb tubave fallopiane dhe kombinon efikasitetin me thjesht\u00ebsin\u00eb dhe sigurin\u00eb. Ai konsiston n\u00eb injektimin e nj\u00eb agjenti t\u00eb ve\u00e7ant\u00eb kontrasti n\u00eb zgavr\u00ebn e mitr\u00ebs dhe tubat fallopiane dhe p\u00ebrdorimin e ultraz\u00ebrit p\u00ebr t\u00eb diagnostikuar kalueshm\u00ebrin\u00eb e tubave fallopiane. Me fjal\u00eb t\u00eb tjera, funksionon nj\u00ebsoj si salpingografia klasike, por pa problemin e rrezatimit t\u00eb vezoreve. \u00cbsht\u00eb gjithashtu shum\u00eb m\u00eb pak e dhimbshme se salpingografia klasike dhe zhvillohet n\u00eb mjedisin e njohur t\u00eb nj\u00eb klinike gjinekologjike sesa n\u00eb nj\u00eb laborator me rreze X. P\u00ebrve\u00e7 k\u00ebsaj, me k\u00ebt\u00eb metod\u00eb mund t\u00eb b\u00ebjm\u00eb nj\u00eb ekzaminim t\u00eb plot\u00eb t\u00eb mitr\u00ebs dhe vezoreve n\u00eb koh\u00eb reale.<\/p><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2525\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2525\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">KONTROLLI P\u00cbR INFEKSIONET<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2525\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2525\"><div class=\"vc_empty_space\"><p><img decoding=\"async\" class=\"alignnone size-large wp-image-3566 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-1024x395.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-1024x395.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-300x116.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-768x297.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-1536x593.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-2048x791.jpg 2048w\" alt=\"\" width=\"1024\" height=\"395\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-1024x395.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-300x116.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-768x297.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-1536x593.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-2048x791.jpg 2048w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/pregnancy-straton-1-1024x395.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p><ul><li>Gonorreja<\/li><li>\u00a0Sinusi i hemofilit<\/li><li>HIV<\/li><li>Hepatiti B<\/li><li>Hepatiti C<\/li><li>Citomegalovirus<\/li><li>E kuqe<\/li><li>Toksoplazma<\/li><\/ul><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8346273 e-con-full e-flex e-con e-child\" data-id=\"8346273\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a2351b9 elementor-widget elementor-widget-image\" data-id=\"a2351b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:100,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"700\" height=\"450\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/la-falta-de-sueno-puede-provocar-esta-enfermedad-689038.jpg\" class=\"attachment-large size-large wp-image-3726\" alt=\"\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/la-falta-de-sueno-puede-provocar-esta-enfermedad-689038.jpg 700w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/la-falta-de-sueno-puede-provocar-esta-enfermedad-689038-300x193.jpg 300w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">KONTROLLI I FERTILITETIT \u2013 GRUAJA<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c0b26f7 e-flex e-con-boxed e-con e-parent\" data-id=\"c0b26f7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f71ad83 e-con-full e-flex e-con e-child\" data-id=\"f71ad83\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-317a060 elementor-widget elementor-widget-heading\" data-id=\"317a060\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">KONTROLLI I FERTILITETIT \u2013 MASHKULL<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a46679 elementor-widget elementor-widget-toggle\" data-id=\"0a46679\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1071\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1071\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">DIAGRAMA E SPERMAVE<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1071\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1071\"><div class=\"wpb_text_column wpb_content_element\"><div class=\"wpb_wrapper\"><p><strong><img decoding=\"async\" class=\"alignnone size-large wp-image-3908 aligncenter ls-is-cached lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-1024x576.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-1024x576.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-300x169.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-768x432.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA.jpg 1280w\" alt=\"\" width=\"1024\" height=\"576\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-1024x576.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-300x169.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-768x432.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA.jpg 1280w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-1024x576.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/strong><\/p><p>Faktori mashkullor \u00ebsht\u00eb 40% shkaku i problemit n\u00eb \u00e7iftet infertile.<\/p><p>Vler\u00ebsimi i faktorit mashkullor b\u00ebhet me spermogram. N\u00eb rast se kjo \u00ebsht\u00eb jonormale, mund t\u00eb duhet t\u00eb p\u00ebrs\u00ebritet pas 1 muaji. \u00cbsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb merret nj\u00eb histori e plot\u00eb q\u00eb p\u00ebrfshin pyetje n\u00eb lidhje me s\u00ebmundjet e bashk\u00ebshortit, operacionet apo l\u00ebndimet, mjekimet, historin\u00eb e s\u00ebmundjeve seksualisht t\u00eb transmetueshme, profesionin, duhanin. Mund t\u00eb jet\u00eb i nevojsh\u00ebm edhe vler\u00ebsimi nga nj\u00eb urolog specialist.<\/p><p>N\u00eb rastet e numrit jonormal t\u00eb spermatozoideve, zgjidhja mund t\u00eb jet\u00eb fertilizimi in vitro, qoft\u00eb me metod\u00ebn klasike IVF, qoft\u00eb me injektimin mikrocitoplazmatik t\u00eb sperm\u00ebs - ICSI, ose me biopsi testikulare. Me k\u00ebto teknika, shum\u00eb \u00e7ifte me probleme t\u00eb fertilitetit p\u00ebr shkak t\u00eb faktorit mashkull, kan\u00eb pasur f\u00ebmij\u00eb t\u00eb tyre.<\/p><p><strong>Udh\u00ebzime p\u00ebr mbledhjen e sperm\u00ebs<\/strong><\/p><p>Metoda e marrjes s\u00eb sperm\u00ebs duhet t\u00eb b\u00ebhet sipas udh\u00ebzimeve t\u00eb m\u00ebposhtme:<\/p><ul><li>Duhet t\u00eb ket\u00eb abstenim nga marr\u00ebdh\u00ebniet seksuale ose ejakulimi p\u00ebr nj\u00eb periudh\u00eb 2-ditore.Kjo periudh\u00eb llogaritet pa llogaritur dit\u00ebn e marr\u00ebdh\u00ebnies dhe dit\u00ebn e ekzaminimit.<\/li><li>Mbledhja zakonisht b\u00ebhet n\u00eb laborator.<\/li><li>Mbledhja e sperm\u00ebs mund t\u00eb b\u00ebhet edhe n\u00eb sht\u00ebpin\u00eb tuaj, p\u00ebr sa koh\u00eb q\u00eb transferimi nuk zgjat m\u00eb shum\u00eb se nj\u00eb or\u00eb. Gjat\u00eb transportit mbajeni kampionin n\u00eb nj\u00eb temperatur\u00eb prej 18 \u2013 30 \u00b0C, larg diellit.<\/li><li>N\u00ebse grumbullimi b\u00ebhet n\u00eb sht\u00ebpi, informoni laboratorin p\u00ebr koh\u00ebn e sakt\u00eb t\u00eb grumbullimit.<\/li><li>Para se t\u00eb merrni, lani organet gjenitale dhe duart t\u00ebr\u00ebsisht me sapun dhe shp\u00eblajeni me uj\u00eb t\u00eb bollsh\u00ebm. Vishni t\u00eb brendshme t\u00eb pastra.<\/li><li>Mbledhja b\u00ebhet n\u00eb nj\u00eb en\u00eb sterile q\u00eb mund ta merrni n\u00eb farmaci.<\/li><li>Mbledhja duhet t\u00eb b\u00ebhet me masturbim dhe pa p\u00ebrdorimin e prezervativit.<\/li><li>Mundohuni t\u00eb mblidhni t\u00eb gjith\u00eb materialin n\u00eb en\u00ebn sterile n\u00eb m\u00ebnyr\u00eb q\u00eb testi t\u00eb jet\u00eb i besuesh\u00ebm. N\u00ebse kjo nuk \u00ebsht\u00eb b\u00ebr\u00eb, njoftoni laboratorin.<\/li><\/ul><div>\u00a0<\/div><p><strong>Spermograma \u2013 vlera normale<\/strong><\/p><ul><li>V\u00ebllimi: 2.0 ml ose m\u00eb i madh<\/li><li>pH: 7,2-8,0<\/li><li>Numri i sperm\u00ebs: 15,000,000\/ml ose m\u00eb shum\u00eb<\/li><li>Numri total i spermatozoideve: t\u00eb pakt\u00ebn 40,000,000 p\u00ebr ejakulim<\/li><li>L\u00ebvizshm\u00ebria: 40% me l\u00ebvizshm\u00ebri t\u00eb shk\u00eblqyer deri n\u00eb mesatare<\/li><li>Morfologjia: 3% forma normale t\u00eb pakt\u00ebn<\/li><li>Numri i leukociteve: M\u00eb pak se 1,000,000\/ml<\/li><\/ul><\/div><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1072\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1072\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">FRAGMENTIMI I ADN-s\u00eb<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1072\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1072\"><div class=\"vc_empty_space\"><p><strong><img decoding=\"async\" class=\"alignnone size-large wp-image-3901 lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3-1024x536.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3-1024x536.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3-300x157.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3-768x402.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3.jpg 1200w\" alt=\"\" width=\"1024\" height=\"536\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3-1024x536.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3-300x157.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3-768x402.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3.jpg 1200w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/SPERMODIAGRAMMA-STR-3-1024x536.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/strong><\/p><p>Fragmentimi i ADN-s\u00eb \u00ebsht\u00eb thyerja n\u00eb nj\u00eb ose t\u00eb dy fijet e ADN-s\u00eb t\u00eb kromozomit t\u00eb sperm\u00ebs. Kur kjo ndodh, ne mund t\u00eb kemi pamund\u00ebsi t\u00eb pashpjegueshme p\u00ebr t\u00eb mbetur shtatz\u00ebn\u00eb (me nj\u00eb num\u00ebr normal t\u00eb sperm\u00ebs) ose aborte t\u00eb rregullta.<\/p><p>Vlerat normale t\u00eb fragmentimit t\u00eb ADN-s\u00eb jan\u00eb deri n\u00eb 25%. Faktor\u00ebt p\u00ebrgjegj\u00ebs p\u00ebr rritjen e fragmentimit t\u00eb ADN-s\u00eb jan\u00eb infeksionet, pirja e duhanit, ekspozimi ndaj ndot\u00ebsve mjedisor\u00eb, mosha e shtyr\u00eb, varikocela, episodet e fundit t\u00eb temperatur\u00ebs s\u00eb lart\u00eb dhe situatat q\u00eb predispozojn\u00eb p\u00ebr rritjen e temperatur\u00ebs s\u00eb testisit (p.sh. laptopi midis k\u00ebmb\u00ebve).<\/p><p>P\u00ebr t\u00eb p\u00ebrmir\u00ebsuar vlerat e fragmentimit t\u00eb ADN-s\u00eb, rekomandohet nj\u00eb diet\u00eb e pasur me fruta dhe perime, marrja e suplementeve ushqimore antioksidante, vitamina C, E, koenzima Q 10, karnitin\u00eb, selen, zink, acid folik, nd\u00ebrprerja e duhanit, trajtimi i infeksioneve. Testi p\u00ebr fragmentimin e ADN-s\u00eb s\u00eb sperm\u00ebs b\u00ebhet pik\u00ebrisht si spermogrami (me prodhim t\u00eb thjesht\u00eb t\u00eb sperm\u00ebs nga mashkulli).<\/p><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1073\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1073\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">TEST CITOTGENETIK I SPERMES (TEKNIKA E PESHKIT)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1073\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1073\"><div class=\"wpb_text_column wpb_content_element\"><div class=\"wpb_wrapper\"><p><strong><img decoding=\"async\" class=\"alignnone size-large wp-image-3896 lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3-1024x640.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3-1024x640.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3-300x188.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3-768x480.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3.jpg 1200w\" alt=\"\" width=\"1024\" height=\"640\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3-1024x640.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3-300x188.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3-768x480.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3.jpg 1200w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-3-1024x640.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/strong><\/p><p>Literatura nd\u00ebrkomb\u00ebtare raporton se meshkujt infertil\u00eb me nj\u00eb kariotip normal t\u00eb gjakut periferik kan\u00eb nj\u00eb incidenc\u00eb m\u00eb t\u00eb lart\u00eb t\u00eb anomalive kromozomale n\u00eb sperm\u00eb, krahasuar me meshkujt me num\u00ebr normal t\u00eb sperm\u00ebs. P\u00ebr ilustrim, anomalit\u00eb kromozomale m\u00eb t\u00eb zakonshme jan\u00eb nj\u00eb num\u00ebr jonormal i kromozomeve seksuale ose nj\u00eb anomali strukturore kromozomike (p.sh. zhvendosja e materialit gjenetik nga nj\u00eb kromozom n\u00eb tjetrin). Rrjedhimisht, mund t\u00eb krijohet nj\u00eb num\u00ebr i shtuar i embrioneve me anomali kromozomale, duke ulur shanset e suksesit t\u00eb p\u00ebrpjekjes p\u00ebr IVF.<\/p><p>\u00a0<\/p><p>Kriteret p\u00ebr ekzaminimin citogjenetik t\u00eb sperm\u00ebs dhe apoptoz\u00ebs s\u00eb sperm\u00ebs p\u00ebrfshijn\u00eb:<\/p><p>\u00a0<\/p><p>Shtatz\u00ebnit\u00eb e p\u00ebrs\u00ebritura biokimike\/t\u00eb p\u00ebrs\u00ebritura n\u00eb grat\u00eb n\u00ebn 35 vje\u00e7 me kariotip normal t\u00eb gjakut periferik<\/p><p><strong>Embrione me cil\u00ebsi t\u00eb dob\u00ebt tek grat\u00eb n\u00ebn 35 vje\u00e7 me kariotip normal t\u00eb gjakut periferik<\/strong><\/p><p><strong>Pamund\u00ebsia e sperm\u00ebs p\u00ebr t\u00eb fekonduar<\/strong><\/p><p><strong>Burrat q\u00eb kan\u00eb kryer radioterapi ose kimioterapi<\/strong><\/p><p><strong>Burrat me oligo-asthen-teratozoospermi<\/strong><\/p><p><strong>Sterilitet i pashpjeguesh\u00ebm<\/strong><\/p><\/div><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8edbdc8 e-con-full e-flex e-con e-child\" data-id=\"8edbdc8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-83b6c36 elementor-widget elementor-widget-image\" data-id=\"83b6c36\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:100,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/f710044bf79a4b1f5d8b085e5e5d9711_XL.jpg\" class=\"attachment-large size-large wp-image-3729\" alt=\"\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/f710044bf79a4b1f5d8b085e5e5d9711_XL.jpg 900w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/f710044bf79a4b1f5d8b085e5e5d9711_XL-300x300.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/f710044bf79a4b1f5d8b085e5e5d9711_XL-150x150.jpg 150w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/f710044bf79a4b1f5d8b085e5e5d9711_XL-768x768.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">KONTROLLI I FERTILITETIT \u2013 MASHKULL<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eb0123c e-flex e-con-boxed e-con e-parent\" data-id=\"eb0123c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-18d846e e-con-full e-flex e-con e-child\" data-id=\"18d846e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-61d9cd2 elementor-widget elementor-widget-heading\" data-id=\"61d9cd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">TRAJTIMET<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e1c9a2 elementor-widget elementor-widget-toggle\" data-id=\"6e1c9a2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1151\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1151\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">MONITORIMI I CIKLIT<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1151\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1151\"><div><h2><img decoding=\"async\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3-1024x416.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3-1024x416.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3-300x122.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3-768x312.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3.jpg 1280w\" alt=\"\" width=\"1024\" height=\"416\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3-1024x416.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3-300x122.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3-768x312.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3.jpg 1280w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/oorixia-straton-3-1024x416.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/h2><p>Monitorimi i ciklit menstrual \u00ebsht\u00eb forma m\u00eb e thjesht\u00eb e riprodhimit t\u00eb asistuar. Ndihma e ofruar \u00ebsht\u00eb n\u00eb monitorimin e zhvillimit t\u00eb folikulave, koh\u00ebn e ovulacionit dhe planifikimin e marr\u00ebdh\u00ebnieve seksuale. Ne nuk i stimulojm\u00eb vezoret me ila\u00e7e prandaj \u00ebsht\u00eb m\u00ebnyra m\u00eb natyrale e riprodhimit t\u00eb asistuar<\/p><p>Procesi: Normalisht \u00e7do grua prodhon dhe l\u00ebshon nj\u00eb vez\u00eb \u00e7do muaj. N\u00ebse ajo ka nj\u00eb cik\u00ebl prej 28-30 dit\u00ebsh, ovulacioni (d.m.th. lirimi i vez\u00ebs nga vezorja) ndodh midis dit\u00ebs 12 dhe 16 t\u00eb ciklit. N\u00eb metod\u00ebn e monitorimit t\u00eb ciklit menstrual, nj\u00eb ekografi b\u00ebhet n\u00eb dit\u00ebn e 10-t\u00eb t\u00eb ciklit (dita e par\u00eb \u00ebsht\u00eb dita e par\u00eb e menstruacioneve). Ky ekografi do t\u00eb na tregoj\u00eb madh\u00ebsin\u00eb e folikulit dominues dhe trash\u00ebsin\u00eb dhe natyr\u00ebn e endometrit.<\/p><p>Kur diametri i folikulit arrin nj\u00eb madh\u00ebsi prej 16 mm, gruaja k\u00ebshillohet t\u00eb filloj\u00eb t\u00eb p\u00ebrdor\u00eb testet e ovulacionit (\u00e7do dit\u00eb), t\u00eb cilat mund t&#039;i merrni n\u00eb farmaci. Kur testi i ovulacionit \u00ebsht\u00eb pozitiv, \u00e7ifti k\u00ebshillohet t\u00eb filloj\u00eb marr\u00ebdh\u00ebniet seksuale p\u00ebr tre dit\u00ebt e ardhshme, duke filluar nga dita e testit t\u00eb ovulacionit pozitiv.<\/p><p>Cilat femra duhet t\u00eb ken\u00eb k\u00ebt\u00eb lloj trajtimi?<\/p><ul><li>\u00a0Grat\u00eb q\u00eb kan\u00eb nj\u00eb cik\u00ebl normal menstrual (28-30 dit\u00eb) dhe ovulojn\u00eb \u00e7do muaj<\/li><li>\u00a0Grat\u00eb me infertilitet t\u00eb pashpjeguesh\u00ebm me koh\u00ebzgjatje t\u00eb shkurt\u00ebr (m\u00eb pak se 6 muaj)<\/li><li>\u00a0Grat\u00eb pa probleme hormonale apo anatomike<\/li><\/ul><p>P\u00ebrpar\u00ebsit\u00eb<\/p><ul><li>\u00cbsht\u00eb forma m\u00eb e thjesht\u00eb e riprodhimit t\u00eb asistuar<\/li><li>Gruaja nuk po merr asnj\u00eb mjekim<\/li><li>Nuk ka mund\u00ebsi p\u00ebr nj\u00eb shtatz\u00ebni t\u00eb shum\u00ebfisht\u00eb (pasi nuk b\u00ebjm\u00eb stimulim folikular)<\/li><li>Kostoja e trajtimit \u00ebsht\u00eb shum\u00eb e ul\u00ebt<\/li><\/ul><div>\u00a0<\/div><p>Disavantazhet<\/p><ul><li>Shkalla e shtatz\u00ebnis\u00eb \u00ebsht\u00eb mjaft e ul\u00ebt (m\u00eb pak se 10%)<\/li><li>\u00c7ifti duhet t\u00eb jet\u00eb i duruesh\u00ebm, pasi ekziston mund\u00ebsia q\u00eb t\u00eb duhet m\u00eb shum\u00eb koh\u00eb p\u00ebr t\u00eb arritur konceptimin me k\u00ebt\u00eb metod\u00eb.<\/li><\/ul><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1152\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1152\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">INDUKTIMI I Ejakulacionit FOLIKULAR<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1152\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1152\"><div class=\"vc_empty_space\"><p><img decoding=\"async\" class=\"alignnone wp-image-3532 size-large aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-1024x1024.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-1024x1024.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-300x300.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-150x150.jpg 150w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-768x768.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-1536x1536.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598.jpg 1981w\" alt=\"\" width=\"1024\" height=\"1024\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-1024x1024.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-300x300.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-150x150.jpg 150w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-768x768.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-1536x1536.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598.jpg 1981w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/fetus-straton-traianos-8-e1581433538598-1024x1024.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><strong><br \/><\/strong><\/p><p>\u00cbsht\u00eb nj\u00eb procedur\u00eb p\u00ebr p\u00ebrmir\u00ebsimin e ovulacionit q\u00eb synon rritjen e numrit t\u00eb vez\u00ebve t\u00eb l\u00ebshuara p\u00ebr cik\u00ebl dhe maksimizimin e mund\u00ebsive p\u00ebr ngjizje. N\u00eb rastet e ciklit menstrual t\u00eb paq\u00ebndruesh\u00ebm ose anovulacioni t\u00eb njohur, ne p\u00ebrdorim preparate p\u00ebr t\u00eb nxitur ovulacionin si citrat klomifen dhe si alternativ\u00eb letrozoli (FEMARA).<\/p><p><strong>T\u00eb dh\u00ebna<\/strong><\/p><p><strong>Grat\u00eb me ovulacion anovulues, (ekzaminim i rregullt transvaginal, ekografi)<\/strong><\/p><p><strong>Stimulimi i leht\u00eb ovarian tek grat\u00eb me nj\u00eb p\u00ebrgjigje t\u00eb ul\u00ebt ndaj stimulimit klasik (reagues t\u00eb dob\u00ebt)<\/strong><\/p><p><strong>Mosha m\u00eb pak se 35 vje\u00e7<\/strong><\/p><p><strong>N\u00eb rastet kur stimulimi klasik i vezoreve nuk lejohet p\u00ebr arsye mjek\u00ebsore<\/strong><\/p><p><strong>N\u00eb grat\u00eb me nj\u00eb histori t\u00eb kancerit t\u00eb gjirit (Letrozole\/Femara)<\/strong><\/p><p>Monitorimi i procedur\u00ebs kryhet duke kryer ekografi t\u00eb rregullta transvaginale dhe kontroll t\u00eb hormoneve t\u00eb gjakut p\u00ebr t\u00eb vler\u00ebsuar efektin e administrimit t\u00eb preparateve hormonale dhe p\u00ebr t\u00eb individualizuar doz\u00ebn sipas rezultateve t\u00eb analiz\u00ebs.<\/p><p class=\"translation-block\"><strong>Citrati i klomifenit:<\/strong> Citrati i klomifenit \u00ebsht\u00eb substanca q\u00eb lidhet me receptor\u00ebt e estrogjenit n\u00eb tru, duke i dh\u00ebn\u00eb trurit nj\u00eb mesazh t\u00eb rrem\u00eb se ka munges\u00eb estrogjeni. Ky mesazh stimulon trurin t\u00eb prodhoj\u00eb, n\u00ebp\u00ebrmjet gj\u00ebndrr\u00ebs s\u00eb hipofiz\u00ebs, sasi m\u00eb t\u00eb m\u00ebdha t\u00eb gonadotropinave endogjene (FSH, LH), sesa ato t\u00eb prodhuara n\u00eb nj\u00eb cik\u00ebl natyral, t\u00eb cilat nga ana e tyre stimulojn\u00eb vezoret t\u00eb prodhojn\u00eb m\u00eb shum\u00eb se nj\u00eb folikul.<\/p><p>Zakonisht jepet nga dita e 3-t\u00eb deri n\u00eb dit\u00ebn e 7-t\u00eb t\u00eb ciklit n\u00eb nj\u00eb doz\u00eb prej 100 mg n\u00eb dit\u00eb, me rritjen e doz\u00ebs n\u00eb 150 mg n\u00ebse p\u00ebrgjigja e vezoreve nuk \u00ebsht\u00eb e k\u00ebnaqshme. Folikula, madh\u00ebsia e t\u00eb cilave \u00ebsht\u00eb m\u00eb e madhe se 18 mm n\u00eb diamet\u00ebr bruto, konsiderohen t\u00eb pjekura, n\u00eb t\u00eb cil\u00ebn moment administrohet hormoni hCG p\u00ebr t\u00eb shkaktuar maturimin p\u00ebrfundimtar t\u00eb folikulave, i cili 32-36 or\u00eb m\u00eb von\u00eb do t\u00eb \u00e7oj\u00eb n\u00eb ovulim spontan. N\u00ebse pas 4-6 cikleve t\u00eb trajtimit nuk arrihet shtatz\u00ebnia at\u00ebher\u00eb p\u00ebrdoren preparate m\u00eb aktive, si gonadotrofinat.<\/p><p>P\u00ebrpar\u00ebsit\u00eb e trajtimit jan\u00eb kostoja e ul\u00ebt dhe leht\u00ebsia e marrjes, nd\u00ebrsa disavantazhet p\u00ebrfshijn\u00eb shkall\u00ebn e ul\u00ebt t\u00eb shtatz\u00ebnis\u00eb 8-15% p\u00ebr cik\u00ebl, mund\u00ebsin\u00eb e shtatz\u00ebnis\u00eb binjake ose ektopike, mund\u00ebsin\u00eb e hiperstimulimit ovarian, d\u00ebshtimin e ila\u00e7eve dhe t\u00eb gjitha efektet an\u00ebsore t\u00eb tilla si shqet\u00ebsimet vazomotore dhe ndryshimi i rrjedhshm\u00ebris\u00eb s\u00eb mukusit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs.<\/p><p class=\"translation-block\"><strong>Letrozole (FEMARA):<\/strong> Kjo \u00ebsht\u00eb nj\u00eb substanc\u00eb q\u00eb frenon n\u00eb m\u00ebnyr\u00eb selektive enzim\u00ebn aromatase dhe redukton n\u00eb m\u00ebnyr\u00eb drastike prodhimin e estrogjenit nga indet. Treguesi kryesor i tij \u00ebsht\u00eb administrimi suplementar n\u00eb rastet e grave q\u00eb jan\u00eb operuar p\u00ebr kancer gjiri p\u00ebr t&#039;u mbrojtur nga hormonet e prodhuara nga trupi.<\/p><p>Aft\u00ebsia e tyre p\u00ebr t\u00eb penguar prodhimin e estrogjenit p\u00ebrdoret gjithashtu n\u00eb infertilitet p\u00ebr t\u00eb nxitur ovulacionin.Nivelet e ul\u00ebta t\u00eb estrogjenit b\u00ebjn\u00eb q\u00eb gj\u00ebndrra e hipofiz\u00ebs t\u00eb prodhoj\u00eb sasi m\u00eb t\u00eb m\u00ebdha t\u00eb gonadotrofinave endogjene (FSH, LH) sesa ato t\u00eb prodhuara n\u00eb nj\u00eb cik\u00ebl natyral, t\u00eb cilat nga ana tjet\u00ebr stimulojn\u00eb vezoret t\u00eb prodhojn\u00eb m\u00eb shum\u00eb se nj\u00eb folikul.<\/p><p>Zakonisht jepet nga dita e 3-t\u00eb deri n\u00eb dit\u00ebn e 7-t\u00eb t\u00eb ciklit n\u00eb nj\u00eb doz\u00eb prej 4 mg n\u00eb dit\u00eb, me rritjen e doz\u00ebs n\u00eb 6 mg n\u00ebse p\u00ebrgjigja e vezoreve nuk \u00ebsht\u00eb e k\u00ebnaqshme. Folikulat, madh\u00ebsia e t\u00eb cilave \u00ebsht\u00eb m\u00eb e madhe se 18 mm n\u00eb diamet\u00ebr bruto, konsiderohen t\u00eb pjekura, n\u00eb t\u00eb cil\u00ebn pik\u00eb administrohet hormoni hCG p\u00ebr t\u00eb nxitur maturimin p\u00ebrfundimtar t\u00eb folikulave, i cili, 32-36 or\u00eb m\u00eb von\u00eb, do t\u00eb \u00e7oj\u00eb n\u00eb ovulim spontan.<\/p><p>P\u00ebrpar\u00ebsit\u00eb e trajtimit jan\u00eb kostoja e ul\u00ebt, leht\u00ebsia e marrjes dhe siguria e p\u00ebrdorimit t\u00eb tij tek grat\u00eb me kancer gjiri. Disavantazhet p\u00ebrfshijn\u00eb shkall\u00ebn e ul\u00ebt t\u00eb shtatz\u00ebnis\u00eb 8-15% p\u00ebr cik\u00ebl, mund\u00ebsin\u00eb e shtatz\u00ebnis\u00eb binjake ose ektopike, mund\u00ebsin\u00eb e hiperstimulimit t\u00eb vezoreve, d\u00ebshtimin e ila\u00e7eve dhe efekte t\u00eb tjera an\u00ebsore, kryesisht dhimbje koke dhe keqtrajtim t\u00eb p\u00ebrgjithsh\u00ebm.<\/p><p>Ndryshe nga citrat klomifeni, letrozoli nuk shkakton d\u00ebmtim t\u00eb mukusit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs, ndaj p\u00ebrdorimi i tij nuk ka nevoj\u00eb t\u00eb shoq\u00ebrohet me inseminim intrauterin.<\/p><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1153\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1153\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">SPERMA ENTROMETRIKE<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1153\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1153\"><div class=\"vc_empty_space\"><p><img decoding=\"async\" class=\"alignnone size-large wp-image-3874 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-1024x665.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-1024x665.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-300x195.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-768x499.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2.jpg 1200w\" alt=\"\" width=\"1024\" height=\"665\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-1024x665.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-300x195.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-768x499.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2.jpg 1200w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/UTERUS-STRATON-2-1024x665.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p><p>Inseminimi intrauterin (IUI) \u00ebsht\u00eb injektimi i drejtp\u00ebrdrejt\u00eb i sperm\u00ebs n\u00eb zgavr\u00ebn e brendshme t\u00eb mitr\u00ebs (endometrium) dhe synon t\u00eb rris\u00eb numrin e sperm\u00ebs q\u00eb hyn n\u00eb tubat fallopiane, duke ndihmuar k\u00ebshtu fekondimin e vez\u00ebve. Pavar\u00ebsisht n\u00ebse nj\u00eb most\u00ebr e sperm\u00ebs prodhohet e fresk\u00ebt apo e shkrir\u00eb, ajo duhet t\u00eb p\u00ebrpunohet p\u00ebr t\u00eb ndar\u00eb sperm\u00ebn e q\u00ebndrueshme (aktive) nga p\u00ebrb\u00ebr\u00ebsit e tjer\u00eb t\u00eb l\u00ebngut seminal. N\u00ebse sperma nuk p\u00ebrpunohet si\u00e7 duhet dhe nuk vendoset n\u00eb mit\u00ebr ashtu si\u00e7 \u00ebsht\u00eb, substancat e njohura si prostaglandina mund t\u00eb shkaktojn\u00eb tkurrjen e mitr\u00ebs, gj\u00eb q\u00eb parandalon infuzionin duke rritur rrezikun e infeksionit.<\/p><p>Procedura e inseminimit \u00ebsht\u00eb relativisht e drejtp\u00ebrdrejt\u00eb dhe nuk shkakton dhimbje apo shqet\u00ebsim t\u00eb ve\u00e7ant\u00eb p\u00ebr pacientin. Mjeku specialist fut fillimisht dilatatorin vaginal p\u00ebr t\u00eb gjetur aksesin m\u00eb t\u00eb mir\u00eb n\u00eb qaf\u00ebn e mitr\u00ebs. Pasi t\u00eb lahet vagina, nj\u00eb kateter i holl\u00eb dhe fleksib\u00ebl futet p\u00ebrmes qaf\u00ebs s\u00eb mitr\u00ebs n\u00eb mit\u00ebr. Vendndodhja e sakt\u00eb e tij sqarohet duke p\u00ebrdorur nj\u00eb ultratingull abdominal. Spermatozoidet hiqen ngadal\u00eb n\u00eb qend\u00ebr t\u00eb zgavr\u00ebs s\u00eb mitr\u00ebs, nd\u00ebrsa ultratingulli konfirmon injektimin e suksessh\u00ebm.<\/p><p>Nj\u00eb disavantazh i duksh\u00ebm i inseminimit kur kryhet pas stimulimit hormonal t\u00eb vezoreve \u00ebsht\u00eb mund\u00ebsia e shtatz\u00ebnive t\u00eb shum\u00ebfishta dhe rreziqet shoq\u00ebruese q\u00eb mund t\u00eb pasojn\u00eb, si hiperstimulimi i vezoreve, lindja e parakohshme dhe rritja e shkall\u00ebs s\u00eb abortit.<\/p><p>Normat e suksesit ndryshojn\u00eb n\u00eb var\u00ebsi t\u00eb mosh\u00ebs s\u00eb \u00e7iftit, problemit t\u00eb fertilitetit dhe n\u00ebse trajtimi p\u00ebrfshin stimulim ovarian (rritje t\u00eb numrit t\u00eb vez\u00ebve) ose aplikohet gjat\u00eb nj\u00eb cikli natyral (vet\u00ebm nj\u00eb vez\u00eb). Mesatarisht, shkalla e suksesit me metod\u00ebn e inseminimit \u00ebsht\u00eb 20% p\u00ebr \u00e7do p\u00ebrpjekje t\u00eb re.<\/p><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1154\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1154\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">FEKOLLIMI IN VITRO (IVF) NE NJE CIKLE NATYROR<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1154\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1154\"><p><strong><img decoding=\"async\" class=\"alignnone size-large wp-image-3876 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1-1024x682.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1-1024x682.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1-300x200.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1-768x512.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1.jpg 1400w\" alt=\"\" width=\"1024\" height=\"682\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1-1024x682.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1-300x200.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1-768x512.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1.jpg 1400w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-1-1024x682.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\u00a0<\/strong>P\u00ebrpjekja e par\u00eb e suksesshme IVF n\u00eb Man\u00e7ester n\u00eb 1978 u b\u00eb duke p\u00ebrdorur metod\u00ebn e ciklit natyror. Edhe pse n\u00eb vitet q\u00eb pasuan p\u00ebrdorimi i barnave p\u00ebr stimulimin e vezoreve ndryshoi shum\u00eb gj\u00ebrat, vitet e fundit metoda e ciklit natyror po p\u00ebrdoret gjithnj\u00eb e m\u00eb shum\u00eb si nj\u00eb alternativ\u00eb ndaj p\u00ebrdorimit t\u00eb barnave.<\/p><p>Nj\u00eb cik\u00ebl natyral \u00ebsht\u00eb metoda n\u00eb t\u00eb cil\u00ebn ne nuk administrojm\u00eb barna me q\u00ebllim stimulimin e vezoreve dhe marrjen e shum\u00eb vez\u00ebve, si\u00e7 b\u00ebhet n\u00eb IVF-n\u00eb klasike. P\u00ebrkundrazi, ne monitorojm\u00eb papil\u00ebn t\u00eb cil\u00ebn gruaja e prodhon natyrsh\u00ebm vet\u00eb gjat\u00eb ciklit.<\/p><p>Monitorimi b\u00ebhet me ekografi vaginale, si dhe me matje t\u00eb hormoneve n\u00eb gjak. Kur folikuli \u00ebsht\u00eb rritur mjaftuesh\u00ebm, n\u00eb rreth 16-17 mm, at\u00ebher\u00eb b\u00ebhet nj\u00eb injeksion gonadotropine p\u00ebr maturimin p\u00ebrfundimtar t\u00eb tij (Pregnyl, Ovitrelle) dhe pas 36-38 or\u00ebsh b\u00ebhet marrja e vez\u00ebs. Pasi veza mblidhet dhe fekondohet, embrioni q\u00eb rezulton vendoset n\u00eb mit\u00ebr me metod\u00ebn klasike t\u00eb transferimit t\u00eb embrionit, 2-3 dit\u00eb pas marrjes s\u00eb vez\u00ebs.<\/p><p>Avantazhi i ciklit natyror \u00ebsht\u00eb se ne nuk administrojm\u00eb ila\u00e7e p\u00ebr t\u00eb stimuluar vezoret. Megjith\u00ebse barnat IVF jan\u00eb p\u00ebrdorur p\u00ebr 25 vjet dhe nuk duket se faj\u00ebsohen p\u00ebr efektet sh\u00ebndet\u00ebsore, shum\u00eb gra ngurrojn\u00eb t\u00eb marrin hormone t\u00eb injektueshme. Me metod\u00ebn e ciklit natyral, faza e stimulimit anashkalohet dhe t\u00eb vetmet medikamente q\u00eb p\u00ebrdoren jan\u00eb medikamentet joinjektuese pas ovulacionit, q\u00eb synojn\u00eb p\u00ebrmir\u00ebsimin e mund\u00ebsis\u00eb s\u00eb implantimit t\u00eb embrionit n\u00eb mit\u00ebr dhe arritjen e shtatz\u00ebnis\u00eb.<\/p><p>P\u00ebrve\u00e7 k\u00ebsaj, shmangen nd\u00ebrlikimet kryesore t\u00eb IVF-s\u00eb klasike: Sindroma e Hiperstimulimit t\u00eb Vezoreve dhe Shtatz\u00ebnia e Shum\u00ebfisht\u00eb.<\/p><p>Kjo metod\u00eb p\u00ebrdoret tek grat\u00eb q\u00eb ose nuk mund t\u00eb marrin drog\u00eb p\u00ebr arsye t\u00eb ndryshme mjek\u00ebsore, ose q\u00eb kan\u00eb nj\u00eb p\u00ebrgjigje t\u00eb dob\u00ebt ndaj tyre (Poor Responses). Mund t\u00eb p\u00ebrdoret gjithashtu tek grat\u00eb q\u00eb kan\u00eb pasur p\u00ebrpjekje t\u00eb shumta t\u00eb d\u00ebshtuara me embrione me cil\u00ebsi t\u00eb dob\u00ebt.<\/p><p>Disavantazhi i ciklit natyror \u00ebsht\u00eb se p\u00ebrqindjet e suksesit t\u00eb metod\u00ebs jan\u00eb duksh\u00ebm m\u00eb t\u00eb ul\u00ebta n\u00eb krahasim me ekstrakorporalen klasike me p\u00ebrdorimin e barnave. Mund\u00ebsia q\u00eb nj\u00eb vez\u00eb t\u00eb gjendet n\u00eb marrje, t\u00eb fekondohet dhe t\u00eb zhvillohet nj\u00eb embrion me cil\u00ebsi t\u00eb mir\u00eb n\u00eb laborator \u00ebsht\u00eb rreth 50-60%. Pasi t\u00eb transferohet nj\u00eb embrion me cil\u00ebsi t\u00eb mir\u00eb, mund\u00ebsia e shtatz\u00ebnis\u00eb mund t\u00eb arrij\u00eb n\u00eb 35%, n\u00eb var\u00ebsi t\u00eb mosh\u00ebs s\u00eb gruas.<\/p><p>Si p\u00ebrmbledhje, metoda e ciklit natyror mund t\u00eb p\u00ebrdoret me p\u00ebrqindje mjaft t\u00eb mira suksesi ose te grat\u00eb q\u00eb nuk d\u00ebshirojn\u00eb t\u00eb marrin ila\u00e7e p\u00ebr t\u00eb stimuluar vezoret e tyre, ose te grat\u00eb, p\u00ebrgjigja e t\u00eb cilave ndaj mjekimit \u00ebsht\u00eb e dob\u00ebt.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1155\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1155\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">FEKOLLIM IN VITRO (IVF) ME Stimulim (PERDORIMI I BARNAVE)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1155\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1155\"><p><img decoding=\"async\" class=\"alignnone size-large wp-image-3879 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-1024x630.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-1024x630.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-300x185.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-768x473.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-1536x945.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4.jpg 2000w\" alt=\"\" width=\"1024\" height=\"630\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-1024x630.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-300x185.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-768x473.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-1536x945.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4.jpg 2000w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/GONIMOPOPIISI-4-1024x630.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p><p>P\u00ebr shum\u00eb \u00e7ifte me probleme t\u00eb fertilitetit, fertilizimi in vitro (IVF) \u00ebsht\u00eb zgjidhja m\u00eb e mir\u00eb p\u00ebr t\u00eb arritur shtatz\u00ebnin\u00eb. Mund t\u00eb p\u00ebrdoret p\u00ebr t\u00eb trajtuar nj\u00eb s\u00ebr\u00eb shkaqesh t\u00eb infertilitetit, duke p\u00ebrfshir\u00eb problemet e lehta t\u00eb sperm\u00ebs, endometrioz\u00ebn, d\u00ebmtimin e tubit fallopian ose infertilitetin e pashpjeguesh\u00ebm. N\u00eb procesin klasik t\u00eb IVF-s\u00eb, vez\u00ebt fekondohen nga sperma n\u00eb mjedisin laboratorik (n\u00eb vend t\u00eb tubave fallopiane t\u00eb gruas). Fekondimi mund t\u00eb arrihet ose me an\u00eb t\u00eb procesit klasik t\u00eb fekondimit in vitro (IVF) ose me metod\u00ebn e mikrofertilizimit (injektimi intracitoplazmatik i sperm\u00ebs \u2013 ICSI).<\/p><p><strong>Historia e IVF<\/strong><\/p><p>Robert G. Edwards do t\u00eb b\u00ebhej biologu m\u00eb i famsh\u00ebm i koh\u00ebs s\u00eb tij kur ai njoftoi, m\u00eb 25 korrik 1978, lindjen e Louise Brown, &quot;f\u00ebmija e par\u00eb tub&quot; n\u00eb Angli, s\u00eb bashku me kirurgun obstet\u00ebr Patrick Steptoe dhe mamin\u00eb Jane Purdie. Q\u00eb at\u00ebher\u00eb , zhvillimet kan\u00eb qen\u00eb t\u00eb shpejta: nj\u00eb revolucion sh\u00ebnohet kur mikroinseminimi i suksessh\u00ebm me injeksion intraovarian t\u00eb sperm\u00ebs (ICSI) shpallet n\u00eb 1992 (Palermo) dhe variantet e tij, MESA (Silber &amp; Asch, 1992) dhe TESE (Schoyssman, 1993). Faktori mashkullor i infertilitetit konsiderohet se \u00ebsht\u00eb eliminuar praktikisht.N\u00eb Greqi f\u00ebmija i par\u00eb me metod\u00ebn e fekondimit in vitro lindi m\u00eb 20 janar 1982 dhe ishte f\u00ebmija i 13-t\u00eb me tuba n\u00eb mbar\u00eb bot\u00ebn.<\/p><p><strong>Fazat e IVF - Procesi<\/strong><\/p><p>Cikli i trajtimit IVF p\u00ebrfshin fazat e m\u00ebposhtme:<\/p><p>Hetimi dhe diagnostikimi i infertilitetit<\/p><p>Provimet paraprake<\/p><p>Stimulimi i vezoreve me mjekim (12-14 dite), me synim zhvillimin e shume folikulave. Ne zgjedhim llojin e protokollit bazuar n\u00eb specifikat e ciklit t\u00eb secil\u00ebs grua, mosh\u00ebn, p\u00ebrpjekjet e m\u00ebparshme dhe faktor\u00eb t\u00eb tjer\u00eb q\u00eb vler\u00ebsojm\u00eb<\/p><p>Ndjekja me nj\u00eb s\u00ebr\u00eb ekografish dhe p\u00ebrcaktimesh t\u00eb hormoneve. V\u00ebzhgimi b\u00ebhet \u00e7do dy deri n\u00eb tre dit\u00eb p\u00ebr t\u00eb optimizuar doz\u00ebn ditore t\u00eb barnave dhe p\u00ebr t\u00eb synuar rezultatin m\u00eb t\u00eb mir\u00eb t\u00eb p\u00ebrpjekjes suaj.<\/p><p>Induksioni i maturimit p\u00ebrfundimtar t\u00eb ovocitit (injeksion i vet\u00ebm n\u00eb mbr\u00ebmje). N\u00eb dit\u00ebn q\u00eb folikulat jan\u00eb pjekur mjaftuesh\u00ebm, b\u00ebhet injeksioni i fundit, i cili do t\u00eb caktoj\u00eb maturimin p\u00ebrfundimtar t\u00eb vez\u00ebve dhe ovulimin.<\/p><p>Ovulacioni (Grumbullimi i vez\u00ebve). Vez\u00ebt nxirren nga vezoret n\u00eb m\u00ebnyr\u00eb transvaginale me punksion dhe udh\u00ebzim t\u00eb vazhduesh\u00ebm me ultratinguj. Ovulacioni \u00ebsht\u00eb i shkurt\u00ebr n\u00eb koh\u00ebzgjatje (10-30 minuta) dhe praktikisht pa dhimbje, sepse kryhet n\u00ebn intoksikim.<\/p><p>Inseminimi (Grumbullimi i sperm\u00ebs). Biopsia testikulare (TESE) rekomandohet n\u00eb rastet e azoospermis\u00eb<\/p><p>Fekondimi i vez\u00ebve nga spermatozoidi. N\u00eb k\u00ebt\u00eb faz\u00eb laboratorike vez\u00ebt vijn\u00eb n\u00eb kontakt me spermatozoidet. Kur sperma ka parametra normal\u00eb, zgjidhet metoda klasike e fekondimit in vitro. N\u00eb metod\u00ebn klasike nuk kryhet asnj\u00eb nd\u00ebrhyrje. P\u00ebr shum\u00eb \u00e7ifte me cil\u00ebsi t\u00eb dob\u00ebt t\u00eb sperm\u00ebs, ku sperma nuk \u00ebsht\u00eb n\u00eb gjendje t\u00eb fekondoj\u00eb vez\u00ebn vet\u00eb, mikroinseminimi (ICSI- Intracitoplazmike e Sperm\u00ebs) \u00ebsht\u00eb zgjedhur si metod\u00eb trajtimi, e cila lejon fekondimin e suksessh\u00ebm t\u00eb vez\u00ebve edhe n\u00eb raste t\u00eb v\u00ebshtira t\u00eb oligoasthenoteratospermis\u00eb s\u00eb r\u00ebnd\u00eb. . T\u00eb nes\u00ebrmen embriologu kontrollon dhe regjistron p\u00ebrqindjen e vez\u00ebve t\u00eb fekonduara normalisht<\/p><p>Kultura e embrionit Pas fekondimit, embrionet kultivohen n\u00eb laborator p\u00ebr 2 \u2013 6 dit\u00eb, deri n\u00eb faz\u00ebn e blastocistit. Ndarja e sakt\u00eb e qelizave t\u00eb tyre \u00ebsht\u00eb nj\u00eb kriter ky\u00e7 p\u00ebr cil\u00ebsin\u00eb e tyre<\/p><p>Transferimi i embrionit P\u00ebrzgjedhja e embrioneve m\u00eb t\u00eb mira dhe transferimi i tyre n\u00eb zgavr\u00ebn e mitr\u00ebs. Dy deri n\u00eb gjasht\u00eb dit\u00eb pas ovulacionit, embrionet transferohen n\u00eb mit\u00ebr. \u00cbsht\u00eb nj\u00eb procedur\u00eb pa dhimbje q\u00eb nuk k\u00ebrkon dehje. Me ndihm\u00ebn e nj\u00eb kateteri t\u00eb holl\u00eb embrionet transferohen n\u00eb zgavr\u00ebn endometriale<\/p><p>Testi i shtatz\u00ebnis\u00eb (13 dit\u00eb pas transferimit t\u00eb embrionit me marrjen e mostrave t\u00eb gjakut p\u00ebr p\u00ebrcaktimin e hormonit \u03b2-gonadotropin\u00eb korionike)<\/p><p><strong>Kontrolli klinik i shtatz\u00ebnis\u00eb me ultratinguj transvaginal (4 jav\u00eb pas transferimit t\u00eb embrionit).<\/strong><\/p><p><strong>Kontrolli i zhvillimit t\u00eb shtatz\u00ebnis\u00eb n\u00eb jav\u00ebn e 12-t\u00eb t\u00eb shtatz\u00ebnis\u00eb, pra 10 jav\u00eb pas transferimit t\u00eb embrionit.<\/strong><\/p><p><strong>Procedurat fakultative<\/strong>\u00a0(varet nga historia)<\/p><p class=\"translation-block\"><strong>Ngrirja e embrioneve ose vez\u00ebve.<\/strong> Ngrirja lejon q\u00eb vez\u00ebt, spermatozoidet dhe embrionet t\u00eb ruhen p\u00ebr nj\u00eb periudh\u00eb t\u00eb gjat\u00eb kohore (pes\u00eb vjet ose m\u00eb shum\u00eb). Me aplikimin e metod\u00ebs s\u00eb re t\u00eb ngrirjes, vitrifikimit, duket se shkalla e suksesit t\u00eb mbijetes\u00ebs dhe shtatz\u00ebnis\u00eb \u00ebsht\u00eb m\u00eb e lart\u00eb se me ngrirjen progresive t\u00eb kontrolluar.<\/p><p class=\"translation-block\"><strong>Assisted hatching (Assisted Hatching)<\/strong> , \u00ebsht\u00eb nj\u00eb teknik\u00eb e aplikuar n\u00eb laborator dhe leht\u00ebson \u00e7eljen e embrionit. Rekomandohet kur zona pellucida e embrioneve \u00ebsht\u00eb e trash\u00eb ose e fort\u00eb, n\u00eb embrionet e krioprezervuara, tek grat\u00eb me p\u00ebrpjekje t\u00eb m\u00ebparshme t\u00eb d\u00ebshtuara<\/p><p><strong>Diagnoza gjenetike para implantimit (PGD)<\/strong>\u00a0p\u00ebr zbulimin e anomalive gjenetike dhe Screening Preimplantativ (PGS) me metod\u00ebn e re array CGH, n\u00eb rastet e pacient\u00ebve q\u00eb gjykohen t\u00eb nevojshme.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1156\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1156\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">P\u00cbRGATITJA E ENDOMETRINAVE DHE TRANSFERIMI I BLASTOCISTEVE<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1156\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1156\"><h2><img decoding=\"async\" class=\"alignnone size-full wp-image-4076 lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/proetoimasia-dralexandrostrainos.gr-gynaikologos-thessaloniki.jpg\" sizes=\"(max-width: 640px) 100vw, 640px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/proetoimasia-dralexandrostrainos.gr-gynaikologos-thessaloniki.jpg 640w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/proetoimasia-dralexandrostrainos.gr-gynaikologos-thessaloniki-300x220.jpg 300w\" alt=\"\" width=\"640\" height=\"469\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/proetoimasia-dralexandrostrainos.gr-gynaikologos-thessaloniki.jpg 640w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/proetoimasia-dralexandrostrainos.gr-gynaikologos-thessaloniki-300x220.jpg 300w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/proetoimasia-dralexandrostrainos.gr-gynaikologos-thessaloniki.jpg\" data-sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/h2><p>P\u00ebr shum\u00eb vite, \u00e7iftet q\u00eb i n\u00ebnshtrohen trajtimit IVF kan\u00eb pasur mund\u00ebsin\u00eb e ngrirjes dhe kriopruajtjes s\u00eb embrioneve t\u00eb tep\u00ebrta q\u00eb nuk transferohen n\u00eb mit\u00ebr n\u00eb fund t\u00eb trajtimit. Embrionet ruhen n\u00eb azot t\u00eb l\u00ebngsh\u00ebm dhe mund t\u00eb p\u00ebrdoren n\u00eb nj\u00eb dat\u00eb t\u00eb m\u00ebvonshme.<\/p><p>Embrionet kriokonservohen me metod\u00ebn e re t\u00eb vitrifikimit, pasi embrionet arrijn\u00eb faz\u00ebn e blastocistit (dita e 5-t\u00eb ose e 6-t\u00eb), p\u00ebr t\u00eb siguruar q\u00eb t\u00eb ruhen vet\u00ebm embrionet me potencial t\u00eb mir\u00eb rritjeje. Kur vendoset p\u00ebrdorimi i tyre, k\u00ebto embrione shkrihen dhe n\u00eb faz\u00ebn e duhur t\u00eb ciklit t\u00eb gruas transferohen n\u00eb endometrium.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1157\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1157\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">MBLEDHJA E SPERMAVE ME BIOPSI T\u00cb TESTISIT OSE EPIDINIDIS<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1157\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1157\"><p><img decoding=\"async\" class=\"alignnone size-large wp-image-3773 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2-1024x536.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2-1024x536.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2-300x157.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2-768x402.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2.jpg 1200w\" alt=\"\" width=\"1024\" height=\"536\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2-1024x536.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2-300x157.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2-768x402.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2.jpg 1200w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/ypogonimos-2-1024x536.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\"><\/p>\n<p><strong>Nxjerrja kirurgjikale e sperm\u00ebs (TESE)<\/strong><\/p>\n<p>Mbledhja kirurgjikale e sperm\u00ebs rekomandohet n\u00eb rast t\u00eb azoospermis\u00eb, pamund\u00ebsis\u00eb s\u00eb ejakulimit ose d\u00ebshtimit t\u00eb ejakulimit t\u00eb induktuar nga elektrostimulimi. Operacioni kryhet me analgjezi intravenoze ose lokale. Indi testikular i marr\u00eb p\u00ebrpunohet posa\u00e7\u00ebrisht nga embriologu p\u00ebr t\u00eb gjetur sperm\u00ebn. Pas izolimit t\u00eb spermatozoideve t\u00eb l\u00ebvizshme, vez\u00ebt fekondohen duke p\u00ebrdorur metod\u00ebn e mikrofertilizimit. Sperma e tep\u00ebrt mund t\u00eb ngrihet p\u00ebr p\u00ebrdorim t\u00eb m\u00ebvonsh\u00ebm. Ka disa metoda t\u00eb marrjes kirurgjikale t\u00eb sperm\u00ebs, qoft\u00eb nga epididymis ose nga testikujt.<\/p>\n<p><strong>Mbledhja e spermatozoideve nga epididymis<\/strong><\/p>\n<ul>\n<li>Aspirimi mikrokirurgjik epididymal i sperm\u00ebs (MESA): Rekomandohet n\u00eb rastet e azoospermis\u00eb obstruktive me spermatogjenez\u00eb normale. Ai p\u00ebrfshin hapjen kirurgjikale t\u00eb epididymis duke p\u00ebrdorur nj\u00eb mikroskop dhe aspirimin e l\u00ebngut epididymal p\u00ebr t\u00eb gjetur sperm\u00ebn.<\/li>\n<li>Aspirimi perkutan i sperm\u00ebs epididymal (PESA): Rekomandohet n\u00eb rastet e azoospermis\u00eb obstruktive me spermatogjenez\u00eb normale. Ajo kryhet duke shpuar epididymis duke p\u00ebrdorur nj\u00eb gjilp\u00ebr\u00eb 19-21G.<\/li>\n<\/ul><div><br><\/div>\n<p><strong>Marrja e sperm\u00ebs nga testikujt<\/strong><\/p>\n<ul>\n<li>Aspirimi me gjilp\u00ebr\u00eb t\u00eb im\u00ebt (FNA): Rekomandohet n\u00eb rastet e azoospermis\u00eb obstruktive me spermatogjenez\u00eb normale. Ajo kryhet duke shpuar testikulin duke p\u00ebrdorur nj\u00eb gjilp\u00ebr\u00eb t\u00eb im\u00ebt 21G.<\/li>\n<li>Aspirimi i sperm\u00ebs testikulare (TESA): Rekomandohet n\u00eb rastet e azoospermis\u00eb obstruktive me spermatogjenez\u00eb normale.<\/li>\n<li>Biopsia testikulare (ekstraksioni i sperm\u00ebs testikulare \u2013 TESE): Rekomandohet n\u00eb rastet e azoospermis\u00eb obstruktive dhe jo obstruktive dhe p\u00ebrfshin nj\u00eb biopsi t\u00eb hapur dhe mbledhjen e copave t\u00eb vogla t\u00eb indit testicular.<\/li>\n<\/ul><div><br><\/div>\n<p>Metodat e aspirimit t\u00eb sperm\u00ebs nga epididymis (MESA, PESA) ose nga testikujt (TESA) jan\u00eb m\u00eb t\u00eb thjeshta, por ato jan\u00eb n\u00eb mas\u00eb t\u00eb madhe \u201ct\u00eb verb\u00ebra\u201d, duke shkaktuar d\u00ebmtime t\u00eb indit testikular, si hematoma, fibroz\u00eb dhe atrofi testikulare. Biopsia testikulare (TESE) rekomandohet nga literatura nd\u00ebrkomb\u00ebtare si metoda m\u00eb efektive p\u00ebr gjetjen e sperm\u00ebs dhe shoq\u00ebrohet me nj\u00eb shkall\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb komplikimeve.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1158\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-1158\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">RUAJTJA E SPERMAVE DHE TISTIKUJVE - RUAJTJA<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1158\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-1158\"><p><img decoding=\"async\" class=\"alignnone size-large wp-image-3630 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2-1024x426.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2-1024x426.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2-300x125.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2-768x320.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2.jpg 1280w\" alt=\"\" width=\"1024\" height=\"426\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2-1024x426.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2-300x125.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2-768x320.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2.jpg 1280w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/sperma-straton-2-1024x426.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p><p><strong>Data historike<\/strong><\/p><p>Raporti i par\u00eb mbi mund\u00ebsin\u00eb e ngrirjes s\u00eb sperm\u00ebs u b\u00eb n\u00eb vitin 1776 nga Spallanzani pas eksperimenteve t\u00eb suksesshme q\u00eb ai b\u00ebri me ngrirjen - shkrirjen e sperm\u00ebs njer\u00ebzore n\u00eb d\u00ebbor\u00eb. Megjithat\u00eb, n\u00eb thelb, ngrirja e par\u00eb e sperm\u00ebs ndodhi n\u00eb vitin 1949 kur Polge dhe koleg\u00ebt e tij v\u00ebzhguan efektin krioprojt\u00ebs t\u00eb substanc\u00ebs glicerol n\u00eb sperm\u00ebn e zogjve t\u00eb ngrir\u00eb n\u00eb -76 grad\u00eb Celsius. Kjo u pasua n\u00eb vitin 1953 nga Sherman dhe Bunge t\u00eb cil\u00ebt ishin t\u00eb par\u00ebt q\u00eb ngrin\u00eb sperm\u00ebn njer\u00ebzore n\u00eb nj\u00eb tret\u00ebsir\u00eb t\u00eb glicerin\u00ebs 10% dhe akullit t\u00eb that\u00eb. Shtatz\u00ebnia e par\u00eb nga sperma e ngrir\u00eb n\u00eb nj\u00eb tret\u00ebsir\u00eb t\u00eb glicerin\u00ebs dhe azotit t\u00eb l\u00ebngsh\u00ebm u arrit nga i nj\u00ebjti grup k\u00ebrkimor disa vite m\u00eb von\u00eb. N\u00eb vitet 1970, u krijuan bankat e para t\u00eb kriopruajtjes s\u00eb sperm\u00ebs njer\u00ebzore, nd\u00ebrsa lindja n\u00eb vitin 1979 e f\u00ebmij\u00ebs s\u00eb par\u00eb IVF t\u00eb Louis Brown i dha nj\u00eb shtys\u00eb t\u00eb re p\u00ebrmir\u00ebsimit t\u00eb teknikave t\u00eb ngrirjes s\u00eb sperm\u00ebs.<\/p><p><strong>Si b\u00ebhet krioprezervimi \u2013 ngrirja e sperm\u00ebs?<\/strong><\/p><p>Sperma mund t\u00eb ngrihet p\u00ebrmes nj\u00eb procesi t\u00eb p\u00ebrshtatsh\u00ebm dhe t\u00eb ruhet n\u00eb kontejner\u00eb q\u00eb p\u00ebrmbajn\u00eb azot n\u00eb -196 grad\u00eb Celsius. Metoda m\u00eb e p\u00ebrdorur p\u00ebrfshin shtimin n\u00eb sperm\u00eb t\u00eb nj\u00eb v\u00ebllimi t\u00eb p\u00ebrshtatsh\u00ebm t\u00eb materialit krioprojt\u00ebs si glicerina n\u00eb nj\u00eb p\u00ebrqendrim 5 \u2013 10 % dhe m\u00eb pas ngrirjen e kampionit me ose pa p\u00ebrdorimin e nj\u00eb makinerie gradient ftoh\u00ebs. Pa v\u00ebzhguar ndryshime t\u00eb m\u00ebdha n\u00eb rezultate, vitet e fundit, p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar metod\u00ebn e kriopruajtjes, jan\u00eb p\u00ebrdorur solucione m\u00eb komplekse q\u00eb p\u00ebrmbajn\u00eb substanca t\u00eb tjera p\u00ebrve\u00e7 glicerin\u00ebs, si e verdha e vez\u00ebs, lecitina e soj\u00ebs, aminoacide dhe citrat. Sperma e ngrir\u00eb mund t\u00eb ruhet pa humbur vetit\u00eb dhe kapacitetin fekondues p\u00ebr shum\u00eb vite dhe madje dekada.<\/p><p><strong>Indikacionet - avantazhet e ngrirjes s\u00eb sperm\u00ebs - kriopruajtje.<\/strong><\/p><ul><li>Tek meshkujt q\u00eb do t&#039;i n\u00ebnshtrohen kimioterapis\u00eb ose rrezatimit p\u00ebr kancer, gj\u00eb q\u00eb pritet t\u00eb ndikoj\u00eb ndjesh\u00ebm n\u00eb fertilitetin e tyre. Tek meshkujt q\u00eb do t&#039;i n\u00ebnshtrohen nj\u00eb orkiektomie ose prostatektomie p\u00ebr shkak t\u00eb nj\u00eb tumori beninj ose malinj p\u00ebr t\u00eb ruajtur fertilitetin e tyre n\u00eb t\u00eb ardhmen.<\/li><li>Tek meshkujt q\u00eb do t&#039;i n\u00ebnshtrohen sterilizimit (vazektomia - lidhja e kanaleve spermatike) n\u00eb m\u00ebnyr\u00eb q\u00eb fertiliteti i tyre t\u00eb jet\u00eb i kthyesh\u00ebm.<\/li><li>Tek burrat me cil\u00ebsi t\u00eb dob\u00ebt t\u00eb jet\u00ebs, si pirja e tep\u00ebrt e duhanit, konsumimi i r\u00ebnd\u00eb dhe i p\u00ebrditsh\u00ebm i alkoolit, ekspozimi i p\u00ebrditsh\u00ebm ndaj faktor\u00ebve t\u00eb rrezikut profesional (substanca kimike, rrezatim, nxeht\u00ebsi ekstreme), t\u00eb cil\u00ebt d\u00ebshirojn\u00eb n\u00ebp\u00ebrmjet kriopruajtjes s\u00eb sperm\u00ebs t\u00eb ruajn\u00eb fertilitetin e tyre n\u00eb t\u00eb ardhmen e larg\u00ebt.<\/li><li>\u00c7iftet q\u00eb ndjekin cikle IVF, por prania fizike e bashk\u00ebshortit n\u00eb dit\u00ebn e ovulacionit nuk do t\u00eb jet\u00eb e mundur (udh\u00ebtime t\u00eb gjata pune, ngjarje t\u00eb paparashikuara n\u00eb pun\u00eb) etj.<\/li><li>Tek meshkujt q\u00eb kan\u00eb mosfunksionim erektil dhe nuk jan\u00eb n\u00eb gjendje t\u00eb ejakulojn\u00eb ose kan\u00eb munges\u00eb t\u00eb plot\u00eb t\u00eb sperm\u00ebs n\u00eb derdhje, sperma mund t\u00eb mblidhet direkt nga epididymis dhe testis dhe sperma e mbledhur mund t\u00eb ngrihet p\u00ebr p\u00ebrdorim n\u00eb t\u00eb ardhmen p\u00ebr t\u00eb ruajtur fertilitetin e pacientit.<\/li><li>Tek meshkujt q\u00eb kan\u00eb p\u00ebsuar nj\u00eb aksident (d\u00ebmtim t\u00eb shtyll\u00ebs kurrizore) dhe nuk mund t\u00eb ejakulojn\u00eb shpesh, sasia dhe cil\u00ebsia e sperm\u00ebs ulet me kalimin e koh\u00ebs. N\u00eb k\u00ebto raste ruajtja e sperm\u00ebs sa m\u00eb shpejt q\u00eb t\u00eb jet\u00eb e mundur mund t\u00eb mbroj\u00eb shum\u00eb fertilitetin e tyre.<\/li><li>P\u00ebr burrat q\u00eb d\u00ebshirojn\u00eb t\u00eb ken\u00eb f\u00ebmij\u00eb m\u00eb von\u00eb dhe duan t\u00eb sigurojn\u00eb potencialin e tyre riprodhues, si mas\u00eb paraprake.<\/li><li>Tek meshkujt q\u00eb jan\u00eb trajtuar me sukses p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar cil\u00ebsin\u00eb e sperm\u00ebs, por kan\u00eb pak shanse p\u00ebr t\u00eb ruajtur k\u00ebt\u00eb rezultat, ata mund t\u00eb p\u00ebrdorin krioprezervimin p\u00ebr t\u00eb ngrir\u00eb sperm\u00ebn e tyre, e cila \u00ebsht\u00eb e k\u00ebnaqshme n\u00eb k\u00ebt\u00eb koh\u00eb p\u00ebr nga sasia dhe cil\u00ebsia.<\/li><li>Tek meshkujt me oligoasthenospermi t\u00eb r\u00ebnd\u00eb kur k\u00ebrkohet p\u00ebrqendrimi i materialit ejakulues nga t\u00ebrheqjet e shumta.<\/li><\/ul><div>\u00a0<\/div><p>U b\u00eb e mundur krijimi i bankave t\u00eb sperm\u00ebs dhe p\u00ebrdorimi i dhurimit t\u00eb sperm\u00ebs n\u00eb \u00e7do koh\u00eb, p\u00ebr \u00e7iftet q\u00eb p\u00ebrballeshin me nj\u00eb problem serioz t\u00eb azoospermis\u00eb.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1159\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-1159\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">KRIOPREZERVIMI I EMBRIONET<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1159\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-1159\"><p><img decoding=\"async\" class=\"alignnone size-large wp-image-3887 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10-1024x512.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10-1024x512.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10-300x150.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10-768x384.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10.jpg 1200w\" alt=\"\" width=\"1024\" height=\"512\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10-1024x512.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10-300x150.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10-768x384.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10.jpg 1200w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-stra-10-1024x512.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p><p>Fekondimi in vitro, q\u00eb nga prezantimi i tij n\u00eb 1978, ka qen\u00eb zbulimi m\u00eb i r\u00ebnd\u00ebsish\u00ebm shkencor p\u00ebr trajtimin e infertilitetit. Zhvillimet q\u00eb kan\u00eb ndodhur q\u00eb at\u00ebher\u00eb e kan\u00eb rritur efektivitetin e metod\u00ebs n\u00eb nivele shum\u00eb t\u00eb larta. Nj\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb k\u00ebt\u00eb drejtim ka luajtur zhvillimi i nj\u00eb metode t\u00eb re inovative t\u00eb kriopruajtjes s\u00eb embrioneve, vitrifikimit. Metoda e vitrifikimit lejon ruajtjen e sigurt t\u00eb embrioneve duke arritur norma t\u00eb mbijetes\u00ebs mbi 98% pas shkrirjes!<\/p><p>Efikasiteti i lart\u00eb i metod\u00ebs s\u00eb re t\u00eb kriopruajtjes u mund\u00ebsoi ekspert\u00ebve t\u00eb adoptojn\u00eb praktika t\u00eb reja m\u00eb efektive n\u00eb aplikimin e fekondimit in vitro.<\/p><p>Nj\u00eb praktik\u00eb e till\u00eb n\u00eb zhvillim dhe e r\u00ebnd\u00ebsishme, e cila vitet e fundit po fiton gjithnj\u00eb e m\u00eb shum\u00eb terren nd\u00ebrkomb\u00ebtarisht, \u00ebsht\u00eb kriopservimi i planifikuar i embrioneve dhe transferimi n\u00eb ciklin e ardhsh\u00ebm.<\/p><p>N\u00eb disa raste gjat\u00eb nj\u00eb cikli IVF mund t\u00eb konstatohet se endometriumi nuk ka kushtet ideale p\u00ebr implantim. Faktor\u00ebt q\u00eb mund t\u00eb ndikojn\u00eb n\u00eb funksionin e endometriumit dhe rrjedhimisht n\u00eb procesin e implantimit mund t\u00eb jen\u00eb vet\u00eb mjekimi i p\u00ebrdorur gjat\u00eb IVF-s\u00eb, sindroma e hiperstimulimit ovarian, si dhe gjetjet patologjike q\u00eb mund t\u00eb gjenden gjat\u00eb trajtimit si polipi i endometrit, endometriumi shum\u00eb i holl\u00eb etj. Sot, fal\u00eb metod\u00ebs s\u00eb vitrifikimit, \u00ebsht\u00eb e mundur t\u00eb kriokonservohen t\u00eb gjitha embrionet p\u00ebr aq koh\u00eb sa t\u00eb jet\u00eb e nevojshme, derisa t\u00eb sigurohen kushtet ideale n\u00eb endometrium p\u00ebrpara transferimit t\u00eb embrionit t\u00eb embrioneve t\u00eb \u00e7muara. Krioprezervimi i planifikuar i embrionit dhe transferimi i embrionit me ciklin pasues \u00ebsht\u00eb nj\u00eb qasje e re moderne q\u00eb na lejon t\u00eb transferojm\u00eb embrionet vet\u00ebm kur kushtet endometriale jan\u00eb ideale, duke maksimizuar k\u00ebshtu mund\u00ebsin\u00eb e shtatz\u00ebnis\u00eb.<\/p><p>Ruajtja e embrioneve t\u00eb tep\u00ebrta q\u00eb rezultojn\u00eb, n\u00eb nj\u00eb cik\u00ebl IVF, \u00ebsht\u00eb nj\u00eb metod\u00eb e njohur dhe e njohur p\u00ebr shum\u00eb vite. Por fal\u00eb metod\u00ebs s\u00eb vitrifikimit, efikasiteti i ruajtjes s\u00eb embrionit \u00ebsht\u00eb maksimizuar! Pothuajse 1001 TP3T embrionet mbijetojn\u00eb pas shkrirjes dhe mbeten po aq t\u00eb aft\u00eb p\u00ebr t\u00eb \u00e7uar n\u00eb shtatz\u00ebni sa embrionet e fresk\u00ebta. Kjo ve\u00e7ori e re e avancuar i lejon \u00e7iftit t\u00eb kompletoj\u00eb familjen e tyre pa pasur nevoj\u00eb p\u00ebr procedura t\u00eb p\u00ebrs\u00ebritura trajtimi dhe v\u00eb n\u00eb veprim planin: &quot;nj\u00eb trajtim stimulues - nj\u00eb familje&quot;!<\/p><p>P\u00ebrvoja e deritanishme ka treguar se rezultatet nga implantimi i embrioneve q\u00eb jan\u00eb kriopreservuar me metod\u00ebn e vitrifikimit jan\u00eb po aq t\u00eb mira sa rezultatet e marra nga transferimi i embrionit t\u00eb embrioneve t\u00eb fresk\u00ebta, dhe n\u00eb disa raste, edhe m\u00eb t\u00eb mira, p\u00ebr shkak t\u00eb kushteve ideale t\u00eb endometrium q\u00eb ne sigurojm\u00eb! Si krioprezervimi i tep\u00ebrt i embrionit ashtu edhe krioprezervimi i planifikuar i embrionit dhe transferimi i embrionit n\u00eb ciklin pasues jan\u00eb mjete t\u00eb fuqishme p\u00ebr trajtimin e individualizuar t\u00eb \u00e7do \u00e7ifti.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11510\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-11510\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">KRIORUAJTJA E VEZ\u00cbVE - RUAJTJA E FERTILITETIT<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-11510\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-11510\"><p><img decoding=\"async\" class=\"alignnone wp-image-3869 size-large lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-1024x682.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-1024x682.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-300x200.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-768x511.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-1536x1023.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-2048x1364.jpg 2048w\" alt=\"\" width=\"1024\" height=\"682\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-1024x682.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-300x200.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-768x511.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-1536x1023.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-2048x1364.jpg 2048w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-9-1024x682.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p><p>Kriopservimi i vez\u00ebve t\u00eb pafertilizuara \u00ebsht\u00eb nj\u00eb metod\u00eb q\u00eb ka filluar t\u00eb aplikohet s\u00eb fundmi n\u00eb fush\u00ebn e riprodhimit t\u00eb asistuar dhe aplikohet n\u00eb raste t\u00eb tilla si:<\/p><ul><li>Grat\u00eb me d\u00ebshtim t\u00eb parakohsh\u00ebm t\u00eb vezoreve<\/li><li>Grat\u00eb q\u00eb do t&#039;i n\u00ebnshtrohen trajtimit onkologjik dhe ka nj\u00eb rrezik n\u00eb rritje t\u00eb humbjes s\u00eb fertilitetit<\/li><li>\u00a0Grat\u00eb q\u00eb d\u00ebshirojn\u00eb t\u00eb ruajn\u00eb pjellorin\u00eb e tyre dhe t\u00eb shtyjn\u00eb krijimin e familjes<\/li><li>\u00a0\u00c7iftet q\u00eb p\u00ebr arsye morale ose fetare d\u00ebshirojn\u00eb t\u00eb shmangin ngrirjen e embrionit<\/li><\/ul><div>\u00a0<\/div><p>Raporti i par\u00eb i shtatz\u00ebnis\u00eb nga vez\u00ebt e ngrira u arrit nga Chen n\u00eb vitin 1986. Q\u00eb at\u00ebher\u00eb, pak f\u00ebmij\u00eb kan\u00eb lindur n\u00eb mbar\u00eb bot\u00ebn, sepse procesi i ngrirjes s\u00eb vez\u00ebve t\u00eb pafertilizuara duke p\u00ebrdorur metod\u00ebn e ngrirjes n\u00eb faz\u00eb nuk pati p\u00ebrqindje t\u00eb larta suksesi. Arsyeja kryesore ishte v\u00ebshtir\u00ebsia e kriopruajtjes s\u00eb qelizave me p\u00ebrqindje t\u00eb lart\u00eb uji, si p\u00ebr shembull vez\u00ebt.<\/p><p>P\u00ebrkundrazi, metoda e vitrifikimit e p\u00ebrdorur s\u00eb fundmi, sipas literatur\u00ebs nd\u00ebrkomb\u00ebtare, duket se mund t\u00eb p\u00ebrdoret me sukses p\u00ebr kriopservimin e vez\u00ebve t\u00eb pafertilizuara. Shkalla e mbijetes\u00ebs s\u00eb vez\u00ebve pas shkrirjes tejkalon 90%, shkalla e fekondimit \u00ebsht\u00eb rreth 70% nd\u00ebrsa shkalla e shtatz\u00ebnis\u00eb \u00ebsht\u00eb m\u00eb e madhe se 40%. P\u00ebr t\u00eb mbledhur vez\u00ebt p\u00ebr kriopruajtje, gruaja i n\u00ebnshtrohet stimulimit hormonal t\u00eb vezoreve, si n\u00eb rastin e Fertilizimit In Vitro. Procedura zgjat rreth 9-12 dit\u00eb gjat\u00eb s\u00eb cil\u00ebs ai i n\u00ebnshtrohet nj\u00eb kontrolli me ultratinguj dhe mostrat e gjakut p\u00ebr analiza n\u00eb intervale t\u00eb rregullta. Pasi vez\u00ebt t\u00eb jen\u00eb pjekur mjaftuesh\u00ebm, ato hiqen me nj\u00eb gjilp\u00ebr\u00eb t\u00eb im\u00ebt t\u00eb vendosur p\u00ebrmes vagin\u00ebs n\u00ebn drejtimin e ultraz\u00ebrit. Procedura nuk \u00ebsht\u00eb e dhimbshme, zgjat pak dhe gruaja \u00ebsht\u00eb n\u00ebn intoksikim, nj\u00eb form\u00eb qet\u00ebsimi i leht\u00eb. Vez\u00ebt e mbledhura ngrihen menj\u00ebher\u00eb n\u00eb -196 grad\u00eb Celsius dhe mbeten t\u00eb ruajtura derisa gruaja t\u00eb vendos\u00eb se \u00ebsht\u00eb koha e duhur p\u00ebr t&#039;u b\u00ebr\u00eb n\u00ebn\u00eb.<\/p><p>Kriopservimi i vez\u00ebve t\u00eb pafertilizuara \u00ebsht\u00eb nj\u00eb metod\u00eb premtuese q\u00eb prek kushtet moderne t\u00eb jetes\u00ebs s\u00eb grave greke dhe duket se mund t\u00eb ofroj\u00eb shum\u00eb n\u00eb fush\u00ebn e riprodhimit t\u00eb asistuar.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11511\" class=\"elementor-tab-title\" data-tab=\"11\" role=\"button\" aria-controls=\"elementor-tab-content-11511\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">DHURATA E OR\u00cbVE<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-11511\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"11\" role=\"region\" aria-labelledby=\"elementor-tab-title-11511\"><p><strong><img decoding=\"async\" class=\"alignnone size-large wp-image-3867 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-1024x704.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-1024x704.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-300x206.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-768x528.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-1536x1056.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-2048x1408.jpg 2048w\" alt=\"\" width=\"1024\" height=\"704\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-1024x704.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-300x206.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-768x528.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-1536x1056.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-2048x1408.jpg 2048w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/OARIA-STATON-7-1024x704.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><br \/><\/strong><\/p><p>Fekondimi in vitro duke p\u00ebrdorur vez\u00eb daneze ka t\u00eb b\u00ebj\u00eb me grat\u00eb q\u00eb:<\/p><ul><li>Ata p\u00ebrballen me menopauz\u00eb t\u00eb hershme<\/li><li>Ata kan\u00eb nj\u00eb histori t\u00eb p\u00ebrpjekjeve t\u00eb p\u00ebrs\u00ebritura t\u00eb d\u00ebshtuara IVF<\/li><li>Historia e abortit t\u00eb p\u00ebrs\u00ebritur<\/li><li>Historia e cil\u00ebsis\u00eb s\u00eb ul\u00ebt t\u00eb vez\u00ebve<\/li><li>Historia e s\u00ebmundjes trash\u00ebgimore<\/li><\/ul><div>\u00a0<\/div><p>\u00cbsht\u00eb nj\u00eb proces i provuar shkenc\u00ebrisht me rezultate t\u00eb shk\u00eblqyera q\u00eb n\u00eb nj\u00ebsit\u00eb e specializuara ritmet e suksesit jan\u00eb mbi 50%.<\/p><p>N\u00eb Nj\u00ebsin\u00eb me t\u00eb cil\u00ebn punojm\u00eb, kjo teknik\u00eb aplikohet p\u00ebr m\u00eb shum\u00eb se 15 vjet me rezultate t\u00eb shk\u00eblqyera dhe n\u00eb kuad\u00ebr t\u00eb p\u00ebrgjegj\u00ebsis\u00eb dhe zbatimit t\u00eb kritereve ve\u00e7an\u00ebrisht t\u00eb rrepta shkencore dhe etike.<\/p><p>Bazuar n\u00eb legjislacionin grek n\u00eb fuqi q\u00eb nga viti 2005, donator\u00eb jan\u00eb gra t\u00eb sh\u00ebndetshme greke n\u00ebn mosh\u00ebn 35 vje\u00e7, t\u00eb cilat, si pjes\u00eb e p\u00ebrpjekjeve t\u00eb tyre dhe ofrimit vullnetar ose ndarjes s\u00eb vez\u00ebve, pranojn\u00eb n\u00eb m\u00ebnyr\u00eb anonime ofrimin e nj\u00eb numri t\u00eb caktuar vez\u00ebsh.<\/p><p>Donator\u00ebt japin nj\u00eb histori t\u00eb detajuar personale dhe familjare dhe ekzaminohen<\/p><ul><li>s\u00ebmundjet ngjit\u00ebse (hepatiti, SIDA, sifilizi, etj.),<\/li><li>s\u00ebmundjet hematologjike (anemia mesdhetare, fibroza cistike),<\/li><li>prania e anomalive kromozomale me kariotip.<\/li><\/ul><p>Midis dy grave jan\u00eb simuluar edhe tiparet e jashtme.<\/p><p>Marr\u00ebsja e vez\u00ebs duhet t\u00eb kontrollohet p\u00ebr mir\u00ebqenien e mitr\u00ebs s\u00eb saj dhe p\u00ebrgatitjen e duhur hormonale t\u00eb mitr\u00ebs p\u00ebr marrjen e embrioneve. Koha e pritjes p\u00ebr marrjen e vez\u00ebve \u00ebsht\u00eb 5-6 muaj.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11512\" class=\"elementor-tab-title\" data-tab=\"12\" role=\"button\" aria-controls=\"elementor-tab-content-11512\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">N\u00cbN\u00cb Z\u00cbVEND\u00cbSUESE<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-11512\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"12\" role=\"region\" aria-labelledby=\"elementor-tab-title-11512\"><p>Surrogacia p\u00ebrdoret nga grat\u00eb q\u00eb p\u00ebr arsye mjek\u00ebsore u \u00ebsht\u00eb hequr mitr\u00ebn - por kan\u00eb mbajtur vezoret e tyre - ose mitra e t\u00eb cilave nuk funksionon si\u00e7 duhet ose ka ndonj\u00eb arsye tjet\u00ebr q\u00eb i pengon ato t\u00eb mbeten shtatz\u00ebn\u00eb. Pra, n\u00eb k\u00ebto raste p\u00ebrdoret nj\u00eb grua tjet\u00ebr, n\u00eb mitr\u00ebn e s\u00eb cil\u00ebs vendoset embrioni(et) q\u00eb kan\u00eb lindur nga veza e fekonduar e gruas tjet\u00ebr me sperm\u00ebn e partnerit. Dy femrat luajn\u00eb nj\u00eb rol dominues n\u00eb k\u00ebt\u00eb proces, n\u00ebna biologjike dhe n\u00ebna surrogate ose ndryshe \u201cn\u00ebna e lindjes\u201d, e cila mbart fetusin e s\u00eb par\u00ebs dhe m\u00eb pas lind f\u00ebmij\u00ebn.<\/p><p>Ka nj\u00eb s\u00ebr\u00eb s\u00ebmundjesh dhe \u00e7rregullimesh gjenetike ose t\u00eb fituara q\u00eb mund ta b\u00ebjn\u00eb shtatz\u00ebnin\u00eb t\u00eb pamundur dhe t\u00eb \u00e7ojn\u00eb n\u00eb zgjedhjen e nj\u00eb z\u00ebvend\u00ebsuesi. Shembuj karakteristik jan\u00eb:<\/p><p class=\"translation-block\"><br>\u25cf Histerektomia (heqja kirurgjikale e mitr\u00ebs p\u00ebr arsye mjek\u00ebsore)<br> \u25cf Sindroma Mayer-Rokitansky-K\u00fcster-Hauser (MRKH)<br> \u25cf L\u00ebndimet dhe plag\u00ebt e m\u00ebparshme n\u00eb mit\u00ebr<br> \u25cf Prania e fibroideve t\u00eb shumta n\u00eb mit\u00ebr<br> \u25cf Disa kushte mjek\u00ebsore q\u00eb e b\u00ebjn\u00eb nj\u00eb shtatz\u00ebni t\u00eb rrezikshme (s\u00ebmundje t\u00eb zemr\u00ebs, s\u00ebmundje t\u00eb veshkave, etj.4)<br> \u25cf Rastet e abortit t\u00eb shum\u00ebfisht\u00eb<br> \u25cf D\u00ebshtime t\u00eb shumta n\u00eb p\u00ebrpjekjet p\u00ebr IVF<br> \u25cf Komplikime t\u00eb rrezikshme n\u00eb nj\u00eb shtatz\u00ebni t\u00eb m\u00ebparshme<br> \u25cf Sindroma Asherman (ngjitjet e shum\u00ebfishta endometriale)<\/p><p><strong>Legjislacioni dhe z\u00ebvend\u00ebsimi<\/strong><\/p><p>Bazuar n\u00eb ligjin aktual p\u00ebr riprodhimin e asistuar n\u00eb vendin ton\u00eb, procesi i mbajtjes s\u00eb embrionit t\u00eb nj\u00eb \u00e7ifti nga nj\u00eb grua e tret\u00eb lejohet vet\u00ebm me vendim gjykate. Aplikimi duhet t\u00eb dor\u00ebzohet ekskluzivisht nga gruaja q\u00eb d\u00ebshiron t\u00eb ket\u00eb nj\u00eb f\u00ebmij\u00eb dhe nuk \u00ebsht\u00eb n\u00eb gjendje t\u00eb mbetet shtatz\u00ebn\u00eb p\u00ebr arsye mjek\u00ebsore, nd\u00ebrsa kushti \u00ebsht\u00eb t\u00eb mos i ket\u00eb kaluar 50 vje\u00e7. P\u00ebrve\u00e7 k\u00ebsaj, k\u00ebrkohen dokumente specifike - opinione mjek\u00ebsore - q\u00eb tregojn\u00eb qart\u00eb pamund\u00ebsin\u00eb relative t\u00eb shtatz\u00ebnis\u00eb.<\/p><p><br \/>Kushte t\u00eb ngjashme q\u00eb vlejn\u00eb p\u00ebr n\u00ebn\u00ebn surrogate jan\u00eb q\u00eb mosha e saj t\u00eb jet\u00eb nga 25 deri n\u00eb 45 vje\u00e7, t\u00eb ket\u00eb pasur t\u00eb pakt\u00ebn nj\u00eb f\u00ebmij\u00eb t\u00eb sajin dhe t\u00eb mos ket\u00eb b\u00ebr\u00eb m\u00eb shum\u00eb se dy operacione cezariane. M\u00eb tej, p\u00ebr t\u00eb konstatuar se sa e p\u00ebrshtatshme \u00ebsht\u00eb ajo, kryhen teste diagnostikuese dhe vler\u00ebsim psikologjik. Nj\u00eb kusht i p\u00ebrbashk\u00ebt p\u00ebr t\u00eb dyja grat\u00eb \u00ebsht\u00eb q\u00eb ato t\u00eb jetojn\u00eb n\u00eb Greqi. \u00cbsht\u00eb jetike t\u00eb theksohet se \u00e7do konsiderat\u00eb financiare \u00ebsht\u00eb shprehimisht e ndaluar.<\/p><p>N\u00eb m\u00ebnyr\u00eb t\u00eb p\u00ebrmbledhur, legjislacioni n\u00eb vendin ton\u00eb \u00ebsht\u00eb shum\u00eb specifik, por n\u00eb p\u00ebrgjith\u00ebsi \u00ebsht\u00eb mjaft i favorsh\u00ebm. Udh\u00ebzimet ligjore duhet t\u00eb jen\u00eb gjithmon\u00eb t\u00eb disponueshme p\u00ebr t\u00eb shmangur \u00e7do nd\u00ebrlikim gjat\u00eb procesit. Duhet t\u00eb lidhet edhe nj\u00eb marr\u00ebveshje private mes \u00e7iftit, qendr\u00ebs dhe n\u00ebn\u00ebs surrogate, p\u00ebr t\u00eb mbrojtur t\u00eb gjitha pal\u00ebt.<\/p><p><br \/>Zgjedhja e nj\u00eb z\u00ebvend\u00ebsimi \u00ebsht\u00eb di\u00e7ka q\u00eb mund t\u00eb ndryshoj\u00eb v\u00ebrtet jet\u00ebn tuaj. Ka shum\u00eb informacione dhe procedurat jan\u00eb t\u00eb detajuara, por \u00e7do hap ia vlen. Ne jemi k\u00ebtu p\u00ebr ta b\u00ebr\u00eb at\u00eb me ju!<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-97c9897 e-con-full e-flex e-con e-child\" data-id=\"97c9897\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-56edb42 elementor-widget elementor-widget-image\" data-id=\"56edb42\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:100,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"534\" height=\"533\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-11-e1581603934578.jpg\" class=\"attachment-large size-large wp-image-3617\" alt=\"\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-11-e1581603934578.jpg 534w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-11-e1581603934578-300x300.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/traianos-gonimothta-11-e1581603934578-150x150.jpg 150w\" sizes=\"(max-width: 534px) 100vw, 534px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Trajtimet<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3bbe5df e-flex e-con-boxed e-con e-parent\" data-id=\"3bbe5df\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-1c20fee e-con-full e-flex e-con e-child\" data-id=\"1c20fee\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ebe795 elementor-widget elementor-widget-heading\" data-id=\"8ebe795\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">GJENETIK<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ebfb9ef elementor-widget elementor-widget-toggle\" data-id=\"ebfb9ef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2471\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2471\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">DIAGNOZA GJENETORE PARAIMPLANTIKE (PGD)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2471\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2471\"><div class=\"vc_empty_space\"><p><img decoding=\"async\" class=\"alignnone size-large wp-image-3911 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-1024x448.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-1024x448.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-300x131.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-768x336.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-1536x672.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1.jpg 1600w\" alt=\"\" width=\"1024\" height=\"448\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-1024x448.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-300x131.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-768x336.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-1536x672.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1.jpg 1600w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-2-1-1024x448.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p><p><strong>Diagnoza gjenetike para implantimit (PGD)<\/strong><\/p><p>Diagnoza gjenetike e paraimplantit (PGD) \u00ebsht\u00eb nj\u00eb procedur\u00eb laboratorike e kryer p\u00ebrpara transferimit t\u00eb embrionit p\u00ebr t\u00eb identifikuar s\u00ebmundjet gjenetike t\u00eb trash\u00ebguara n\u00eb embrion. N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb, ne jemi n\u00eb gjendje t\u00eb zbulojm\u00eb mutacione gjenetike t\u00eb lidhura me s\u00ebmundje specifike p\u00ebrpara faz\u00ebs s\u00eb transferimit dhe implantimit t\u00eb embrionit, duke rezultuar n\u00eb parandalimin e s\u00ebmundjeve p\u00ebrpara fillimit t\u00eb shtatz\u00ebnis\u00eb dhe, si rrjedhoj\u00eb, lindjen e f\u00ebmij\u00ebve normal\u00eb. K\u00ebrkohen mutacione gjenesh specifike (duke p\u00ebrdorur metod\u00ebn PCR) q\u00eb jan\u00eb p\u00ebrgjegj\u00ebse p\u00ebr shfaqjen n\u00eb fetus t\u00eb s\u00ebmundjeve t\u00eb njohura, t\u00eb lindura dhe t\u00eb trash\u00ebguara. Teknika mund t\u00eb aplikohet ose n\u00eb faz\u00ebn e vez\u00ebs s\u00eb pjekur t\u00eb pafertilizuar (biopsia e par\u00eb e trupit polar), embrioni i dit\u00ebs s\u00eb tret\u00eb (biopsia blastomere), ose blastocisti (biopsia e trofoblastit).<\/p><p><strong>Pacient\u00ebt p\u00ebr t\u00eb cil\u00ebt indikohet PGD jan\u00eb:<\/strong><\/p><ul><li>\u00c7iftet - bart\u00ebs t\u00eb s\u00ebmundjeve monogjene ose t\u00eb lidhura me seksin.<\/li><li>\u00c7iftet q\u00eb d\u00ebshirojn\u00eb t\u00eb ken\u00eb nj\u00eb f\u00ebmij\u00eb histokompatib\u00ebl, i cili do t\u00eb jet\u00eb dhurues i palc\u00ebs s\u00eb eshtrave p\u00ebr nj\u00eb f\u00ebmij\u00eb tjet\u00ebr t\u00eb s\u00ebmur\u00eb n\u00eb familje.<\/li><\/ul><div>\u00a0<\/div><p>Shembuj t\u00eb s\u00ebmundjeve p\u00ebr t\u00eb cilat aplikohet diagnoza gjenetike paraimplantare jan\u00eb anemia \u03b2-mesdhetare, fibroza cistike etj. Me ecurin\u00eb e vazhdueshme t\u00eb gjenetik\u00ebs, pritet identifikimi i m\u00eb shum\u00eb gjeneve p\u00ebrgjegj\u00ebse p\u00ebr s\u00ebmundje specifike trash\u00ebgimore, duke b\u00ebr\u00eb t\u00eb mundur shmangien e m\u00eb shum\u00eb s\u00ebmundjeve, madje edhe formave t\u00eb kancerit.<\/p><p>Diagnoza gjenetike para implantimit ka p\u00ebrpar\u00ebsi ndaj metodave t\u00eb zakonshme t\u00eb testimit prenatal, p\u00ebrkat\u00ebsisht amniocentez\u00ebs dhe biopsis\u00eb s\u00eb trofoblastit, sepse shmang mund\u00ebsin\u00eb e nd\u00ebrprerjes s\u00eb shtatz\u00ebnis\u00eb n\u00ebse testi jep rezultate pozitive p\u00ebr gjendjen specifike t\u00eb fetusit. S\u00eb fundi, duhet b\u00ebr\u00eb e qart\u00eb se metoda k\u00ebrkon s\u00ebmundje specifike dhe nuk p\u00ebrjashton lindjen e nj\u00eb f\u00ebmije me nj\u00eb form\u00eb tjet\u00ebr t\u00eb d\u00ebmtimit gjenetik.<\/p><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2472\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2472\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">SCRENING GJENETIK PARAIMPLANTIK (PGS)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2472\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2472\"><p><img decoding=\"async\" class=\"alignnone size-large wp-image-3912 aligncenter lazyloaded\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-1024x683.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-1024x683.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-300x200.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-768x512.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-1536x1024.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-2048x1366.jpg 2048w\" alt=\"\" width=\"1024\" height=\"683\" data-srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-1024x683.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-300x200.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-768x512.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-1536x1024.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-2048x1366.jpg 2048w\" data-src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/02\/DNA-STRATON-3-1024x683.jpg\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p><p><strong>PGS (Screening Genetic Preimplantation)<\/strong><\/p><p>Q\u00ebllimi i PGS \u00ebsht\u00eb t\u00eb identifikoj\u00eb anomalit\u00eb kromozomale strukturore ose numerike (aneuploidi), duke p\u00ebrfshir\u00eb shtimin ose zhvendosjen e munguar kromozomale, n\u00eb embrionet e \u00e7ifteve t\u00eb njohura si euploide. 40 deri n\u00eb 60% t\u00eb embrioneve para implantimit jan\u00eb aneuploide, gj\u00eb q\u00eb \u00ebsht\u00eb nj\u00eb arsye e mundshme p\u00ebr efikasitetin relativisht t\u00eb ul\u00ebt t\u00eb implantimit t\u00eb konceptimit natyror dhe IVF. Indikacionet kryesore p\u00ebr p\u00ebrdorimin e PGS n\u00eb trajtimet IVF p\u00ebrfshijn\u00eb mosh\u00ebn e avancuar t\u00eb gruas, d\u00ebshtimin e p\u00ebrs\u00ebritur t\u00eb implantimit dhe abortet e p\u00ebrs\u00ebritura. Suksesi i PGS varet shum\u00eb nga aft\u00ebsit\u00eb teknike, cil\u00ebsia e embrionit dhe prania e mozaicizmit n\u00eb embrionet para implantimit. Qelizat e izoluara kontrollohen p\u00ebr anomali strukturore ose numerike t\u00eb nj\u00eb numri kromozomesh duke p\u00ebrdorur metoda citogjenetike (hibridizimi fluoreshent in situ, FISH). Sot, biopsia n\u00eb embrionet e dit\u00ebs s\u00eb tret\u00eb \u00ebsht\u00eb metoda m\u00eb e zakonshme. Megjithat\u00eb, biopsia e blastocistit po b\u00ebhet me shpejt\u00ebsi metoda e preferuar p\u00ebr shkak t\u00eb nj\u00eb mund\u00ebsie t\u00eb reduktuar t\u00eb mozaicizmit dhe nj\u00eb rritje n\u00eb sasin\u00eb e ADN-s\u00eb n\u00eb dispozicion p\u00ebr diagnoz\u00eb.<\/p><p><strong>Pacient\u00ebt p\u00ebr t\u00eb cil\u00ebt \u00ebsht\u00eb indikuar PGS jan\u00eb:<\/strong><\/p><ul><li>\u00c7iftet ku grat\u00eb jan\u00eb m\u00eb t\u00eb vjetra. M\u00eb shum\u00eb se gjysma e fetuseve nga grat\u00eb e mosh\u00ebs 35-40 vje\u00e7 kan\u00eb anomali kromozomale. Kjo p\u00ebrqindje rritet shum\u00eb me rritjen e mosh\u00ebs s\u00eb gruas.<\/li><li>\u00c7iftet me nj\u00eb histori abortesh t\u00eb p\u00ebrs\u00ebritura dhe\/ose p\u00ebrpjekje t\u00eb d\u00ebshtuara IVF.<\/li><\/ul><div>\u00a0<\/div><p><strong>P\u00ebrfitimet e PGS jan\u00eb:<\/strong><\/p><ul><li>Mund\u00ebsi m\u00eb t\u00eb larta p\u00ebr shtatz\u00ebni<\/li><li>Rreziku i reduktuar i abortit<\/li><li>M\u00eb shum\u00eb besim n\u00eb transferimin e nj\u00eb embrioni, duke shmangur rreziqet q\u00eb lidhen me nj\u00eb shtatz\u00ebni binjake ose t\u00eb shum\u00ebfisht\u00eb<\/li><li>Numri i reduktuar i cikleve IVF t\u00eb nevojshme p\u00ebr t\u00eb arritur shtatz\u00ebnin\u00eb<\/li><li>Sot ka nj\u00eb debat t\u00eb madh n\u00ebse PGS \u00ebsht\u00eb m\u00eb n\u00eb fund nj\u00eb teknik\u00eb q\u00eb mund t\u00eb ndihmoj\u00eb dhe t\u00eb rris\u00eb normat e shtatz\u00ebnis\u00eb. Kjo \u00ebsht\u00eb p\u00ebr shkak t\u00eb mozaicizmit t\u00eb shfaqur nga embrionet dhe mund t\u00eb \u00e7oj\u00eb n\u00eb nj\u00eb diagnoz\u00eb t\u00eb gabuar. P\u00ebr k\u00ebt\u00eb arsye, jan\u00eb duke u zhvilluar k\u00ebrkime p\u00ebr t\u00eb v\u00ebrtetuar n\u00ebse testimi gjenetik para implantimit mund t\u00eb vendoset n\u00eb fush\u00ebn e riprodhimit t\u00eb asistuar dhe t\u00eb ndihmoj\u00eb n\u00eb m\u00ebnyr\u00eb efektive \u00e7iftet infertile.<\/li><\/ul><div>\u00a0<\/div><p>Lidhur me teknologjin\u00eb PGS, dy metoda m\u00eb t\u00eb reja q\u00eb ofrojn\u00eb sakt\u00ebsi diagnostike t\u00eb rritur ndjesh\u00ebm jan\u00eb hibridizimi gjenomik krahasues (CGH) dhe sekuenca e gjenerat\u00ebs s\u00eb re t\u00eb ADN-s\u00eb (NGS).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aa3a873 e-con-full e-flex e-con e-child\" data-id=\"aa3a873\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-07056e9 elementor-widget elementor-widget-image\" data-id=\"07056e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:100,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/GENETICS-2-1024x684.jpg\" class=\"attachment-large size-large wp-image-4009\" alt=\"\" srcset=\"https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/GENETICS-2-1024x684.jpg 1024w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/GENETICS-2-300x200.jpg 300w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/GENETICS-2-768x513.jpg 768w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/GENETICS-2-1536x1025.jpg 1536w, https:\/\/dralexandrostraianos.gr\/wp-content\/uploads\/2020\/03\/GENETICS-2.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\"> GJENETIK<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a2fabc1 e-flex e-con-boxed e-con e-parent\" data-id=\"a2fabc1\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;triangle&quot;,&quot;shape_divider_bottom&quot;:&quot;triangle&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 1000 100\" preserveaspectratio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M500,98.9L0,6.1V0h1000v6.1L500,98.9z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 1000 100\" preserveaspectratio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M500,98.9L0,6.1V0h1000v6.1L500,98.9z\"\/>\n<\/svg>\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-18830f7 e-con-full e-flex e-con e-child\" data-id=\"18830f7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9267545 elementor-widget elementor-widget-heading\" data-id=\"9267545\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">REZERVO TANIMIN<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb1c5ec elementor-widget elementor-widget-heading\" data-id=\"eb1c5ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dr. ALEXANDROS TRAIANOS<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e710686 elementor-widget elementor-widget-text-editor\" data-id=\"e710686\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tQENDRA P\u00cbR MJEK\u00cbSIN\u00cb RIPRODUKTIVE DHE MJEK\u00cbSIN\u00cb EMBRIONEVE\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"jet-popup-target elementor-element elementor-element-16063b6 elementor-align-center elementor-widget elementor-widget-button\" data-jet-popup=\"{&quot;attached-popup&quot;:&quot;jet-popup-6463&quot;,&quot;trigger-type&quot;:&quot;click-self&quot;,&quot;trigger-custom-selector&quot;:&quot;&quot;}\" data-id=\"16063b6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-size-xs elementor-animation-grow\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-calendar-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">REZERVO TANIMIN<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>\u0397\u00a0\u03c5\u03c0\u03bf\u03b3\u03bf\u03bd\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1\u00a0\u03bf\u03c1\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c9\u03c2 \u03b7 \u03b1\u03b4\u03c5\u03bd\u03b1\u03bc\u03af\u03b1 \u03b5\u03bd\u03cc\u03c2 \u03b6\u03b5\u03c5\u03b3\u03b1\u03c1\u03b9\u03bf\u03cd \u03bd\u03b1 \u03b5\u03c0\u03b9\u03c4\u03cd\u03c7\u03b5\u03b9 \u03c3\u03cd\u03bb\u03bb\u03b7\u03c8\u03b7 \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03b1\u03c0\u03bf\u03ba\u03c4\u03ae\u03c3\u03b5\u03b9 \u03c4\u03ad\u03ba\u03bd\u03bf \u03ad\u03c0\u03b5\u03b9\u03c4\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd \u03ad\u03bd\u03b1 \u03ad\u03c4\u03bf\u03c2 \u03c4\u03b1\u03ba\u03c4\u03b9\u03ba\u03ce\u03bd 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