{"id":4333,"date":"2020-11-11T16:01:03","date_gmt":"2020-11-11T14:01:03","guid":{"rendered":"https:\/\/dralexandrostraianos.gr\/?p=4333"},"modified":"2023-05-04T16:10:40","modified_gmt":"2023-05-04T13:10:40","slug":"%ce%b5%ce%bd%ce%b4%ce%bf%ce%bc%ce%b7%cf%84%cf%81%ce%af%cf%89%cf%83%ce%b7-%ce%ba%ce%b1%ce%b9-%ce%bc%ce%b1%ce%b9%ce%b5%cf%85%cf%84%ce%b9%ce%ba%ce%ad%cf%82-%ce%b5%cf%80%ce%b9%cf%80%ce%bb%ce%bf%ce%ba","status":"publish","type":"post","link":"https:\/\/dralexandrostraianos.gr\/al\/%ce%b5%ce%bd%ce%b4%ce%bf%ce%bc%ce%b7%cf%84%cf%81%ce%af%cf%89%cf%83%ce%b7-%ce%ba%ce%b1%ce%b9-%ce%bc%ce%b1%ce%b9%ce%b5%cf%85%cf%84%ce%b9%ce%ba%ce%ad%cf%82-%ce%b5%cf%80%ce%b9%cf%80%ce%bb%ce%bf%ce%ba\/","title":{"rendered":"NDOMETRIUM DHE KOMPLIKIMET OBSTETRIKE"},"content":{"rendered":"<h1>Endometrioza dhe komplikimet obstetrike<\/h1>\n<p><strong>Mjek\u00ebt sugjerojn\u00eb m\u00ebnyra p\u00ebr t\u00eb reduktuar komplikimet obstetrike tek grat\u00eb me endometrioz\u00eb<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">THE <strong>endometrioza<\/strong> \u00ebsht\u00eb nj\u00eb proces patologjik i shoq\u00ebruar me rritje<strong> indet beninje<\/strong> (t\u00eb cilat morfologjikisht dhe funksionalisht jan\u00eb t\u00eb ngjash\u00ebm me endometriumin) jasht\u00eb zgavr\u00ebs s\u00eb mitr\u00ebs. <\/span><span style=\"font-weight: 400;\">N\u00eb <strong>faza premenstruale<\/strong>, <strong>endometrium<\/strong> b\u00ebhet m\u00eb e trash\u00eb dhe n\u00ebse veza nuk fekondohet, ajo hiqet nga zgavra e mitr\u00ebs me menstruacione. <\/span><span style=\"font-weight: 400;\">Kjo procedur\u00eb <strong>\u00ebsht\u00eb pothuajse pa dhimbje te femrat e sh\u00ebndetshme<\/strong>, por te pacient\u00ebt me endometrioz\u00eb shoq\u00ebrohet me <strong>inflamacion i indeve p\u00ebrreth.<\/strong><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pacient\u00eb t\u00eb till\u00eb vuajn\u00eb nga dhimbje kronike t\u00eb legenit, dhimbje menstruale, marr\u00ebdh\u00ebnie t\u00eb dhimbshme dhe shpesh <strong>infertilitetit<\/strong>. 10% deri n\u00eb 15% t\u00eb grave t\u00eb mosh\u00ebs riprodhuese kan\u00eb <strong>endometrioza<\/strong> dhe ekran 30% n\u00eb 40% <strong>komplikimet n\u00eb lindje<\/strong>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nj\u00eb grup mjek\u00ebsh nga Universiteti RUDN me koleg\u00ebt e tyre italian\u00eb kishin studiuar t\u00eb dh\u00ebnat e studimeve ekzistuese mbi <strong>me efektin e endometrioz\u00ebs n\u00eb shtatz\u00ebni dhe lindje<\/strong> dhe sugjeroi m\u00ebnyra p\u00ebr t\u00eb reduktuar komplikimet obstetrike tek grat\u00eb me k\u00ebt\u00eb gjendje. Rezultatet e pun\u00ebs u botuan n\u00eb &quot;The Journal of Maternal-Fetal &amp; Neonatal Medicine&quot;.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pavar\u00ebsisht prevalenc\u00ebs s\u00eb endometrioz\u00ebs, modelet e komplikimeve obstetrike ende nuk jan\u00eb studiuar si\u00e7 duhet. Ekipi i mjek\u00ebve nga Universiteti RUDN me koleg\u00ebt e tyre italian\u00eb <strong>studioi t\u00eb dh\u00ebnat e punimeve t\u00eb m\u00ebparshme dhe sugjeroi m\u00ebnyra p\u00ebr t\u00eb parandaluar komplikimet obstetrike tek grat\u00eb me k\u00ebt\u00eb gjendje.<\/strong><\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0\u201cStudimet e m\u00ebparshme u fokusuan n\u00eb faktor\u00ebt biologjik\u00eb q\u00eb ndikojn\u00eb n\u00eb rrjedh\u00ebn e shtatz\u00ebnis\u00eb tek grat\u00eb me endometrioz\u00eb. Ne e dim\u00eb se z<strong>Pacient\u00ebt me endometrioz\u00eb mund t\u00eb p\u00ebrjetojn\u00eb abort, lindje t\u00eb parakohshme ose komplikime t\u00eb tjera p\u00ebr shkak t\u00eb \u00e7rregullimeve imune dhe endokrine n\u00eb endometrium<\/strong>. <\/span><span style=\"font-weight: 400;\">Megjithat\u00eb, mekanizmi i komplikimeve obstetrike \u00ebsht\u00eb ende nj\u00eb \u00e7\u00ebshtje e paqart\u00eb. Prandaj mbajt\u00ebm nj\u00eb <strong>rishikim sistematik i literatur\u00ebs<\/strong> dhe kemi studiuar <strong>Efektet e endometrioz\u00ebs n\u00eb shtatz\u00ebni<\/strong> duke marr\u00eb parasysh faktor\u00eb t\u00eb till\u00eb si metoda e trajtimit dhe konceptimit, si dhe faz\u00ebn dhe lokalizimin e procesit patologjik. <\/span><span style=\"font-weight: 400;\">Ne gjithashtu sugjeruam <strong>M\u00ebnyrat p\u00ebr t\u00eb parandaluar komplikimet obstetrike<\/strong> n\u00eb pacient\u00ebt me nj\u00eb histori t\u00eb endometrioz\u00ebs. tha nj\u00eb nga studiuesit.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ekipi analizoi rezultatet e studimeve t\u00eb m\u00ebparshme, duke marr\u00eb parasysh \u00e7do nd\u00ebrlikim t\u00eb mundsh\u00ebm:<strong> Lindja e parakohshme, komplikimet hipertensive n\u00eb shtatz\u00ebni, anomalit\u00eb e placent\u00ebs, rreziku i seksionit cezarian, fetusi i d\u00ebmtuar dhe lindja e vdekur.<\/strong> Bazuar n\u00eb rezultatet e studimit, ekipi propozoi disa metoda p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar prognoz\u00ebn e shtatz\u00ebnis\u00eb.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kjo \u00ebsht\u00eb, <strong>laparoskopia<\/strong> u raportua si opsioni kryesor i trajtimit n\u00eb rast ngjitjeje. Laparoskopia \u00ebsht\u00eb nj\u00eb <strong>Metoda moderne kirurgjikale<\/strong> q\u00eb u mund\u00ebson mjek\u00ebve <strong>p\u00ebr t\u00eb shkat\u00ebrruar ngjitjet nd\u00ebrmjet organeve peritoneale dhe legenit<\/strong> duke p\u00ebrdorur pajisje t\u00eb ve\u00e7anta endoskopike. Kjo ndihmon p\u00ebr t\u00eb<strong> luftojn\u00eb infertilitetin<\/strong> dhe redukton shqet\u00ebsimin dhe dhimbjen tek pacient\u00ebt me <strong>endometrioza<\/strong>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sipas ekipit, metodat e konceptimit duhet t\u00eb zgjidhen bazuar n\u00eb fazat e s\u00ebmundjes. Rekomandohet p\u00ebr pacient\u00ebt <strong>me stade t\u00eb avancuara t\u00eb endometrioz\u00ebs t&#039;i n\u00ebnshtrohen terapis\u00eb hormonale dhe grat\u00eb pas operacionit \u2013 fekondim in vitro me transferim embrioni (IVF\/ET). <\/strong><\/span><span style=\"font-weight: 400;\">Grupi kishte sugjeruar q\u00eb t\u00eb gjith\u00eb pacient\u00ebt me nj\u00eb diagnoz\u00eb <strong>endometrioza<\/strong> duhet t\u00eb filloj\u00eb t\u00eb marr\u00eb 400 mikrogram\u00eb acid folik para konceptimit p\u00ebr t\u00eb zvog\u00ebluar rreziqet e lindjes s\u00eb parakohshme.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cRezultatet e studimeve t\u00eb ndryshme jan\u00eb t\u00eb diskutueshme: disa prej tyre nuk kan\u00eb marr\u00eb parasysh terapin\u00eb shoq\u00ebruese t\u00eb hormoneve dhe disa kan\u00eb kufizime metodologjike. Megjithat\u00eb, ne arrit\u00ebm t\u00eb krijonim nj\u00eb pamje mjaft t\u00eb qart\u00eb t\u00eb t\u00eb gjitha komplikimeve t\u00eb mundshme obstetrike n\u00eb pacient\u00ebt me <strong>endometrioza<\/strong>, p\u00ebr t\u00eb vendosur marr\u00ebdh\u00ebnie shkak\u00ebsore dhe p\u00ebr t\u00eb identifikuar \u00e7\u00ebshtjet p\u00ebr diskutim t\u00eb m\u00ebtejsh\u00ebm\u201d, p\u00ebrfundoi drejtuesi i hulumtimit.<\/span><\/p>\n<p><span style=\"color: #00ccff;\"><b>*P\u00ebrmbajtja n\u00eb k\u00ebt\u00eb blog nuk synon si z\u00ebvend\u00ebsim p\u00ebr k\u00ebshilla, diagnoz\u00eb ose trajtim profesional mjek\u00ebsor. Gjithmon\u00eb k\u00ebrkoni k\u00ebshill\u00ebn e ofruesve t\u00eb kualifikuar t\u00eb kujdesit sh\u00ebndet\u00ebsor p\u00ebr pyetjet q\u00eb mund t\u00eb keni n\u00eb lidhje me kushtet mjek\u00ebsore.<\/b><\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>Endometrioza dhe komplikimet obstetrike Mjek\u00ebt sugjerojn\u00eb m\u00ebnyra p\u00ebr t\u00eb reduktuar komplikimet obstetrike tek grat\u00eb me endometrioz\u00eb Endometrioza \u00ebsht\u00eb nj\u00eb proces patologjik i shoq\u00ebruar nga rritja e indeve beninje (i cili morfologjikisht dhe funksionalisht \u00ebsht\u00eb i ngjash\u00ebm me endometriumin) jasht\u00eb zgavr\u00ebs s\u00eb mitr\u00ebs. N\u00eb faz\u00ebn premenstruale, endometriumi b\u00ebhet m\u00eb i trash\u00eb dhe n\u00ebse [...]<\/p>","protected":false},"author":9,"featured_media":4334,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[358,364,360,366,362],"class_list":["post-4333","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-35","tag-358","tag-364","tag-360","tag-366","tag-362"],"_links":{"self":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/4333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/comments?post=4333"}],"version-history":[{"count":0,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/4333\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media\/4334"}],"wp:attachment":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media?parent=4333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/categories?post=4333"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/tags?post=4333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}