{"id":237,"date":"2017-10-04T15:34:16","date_gmt":"2017-10-04T13:34:16","guid":{"rendered":"https:\/\/alsobi.com\/?p=237"},"modified":"2023-01-16T15:38:43","modified_gmt":"2023-01-16T14:38:43","slug":"rezonanca-magnetike-fjala-e-fundit-e-imazherise-se-avancuar-ne-diagnostikimin-e-kancerit-te-gjirit","status":"publish","type":"post","link":"https:\/\/alsobi.com\/sq\/rezonanca-magnetike-fjala-e-fundit-e-imazherise-se-avancuar-ne-diagnostikimin-e-kancerit-te-gjirit\/","title":{"rendered":"REZONANCA MAGNETIKE \u2013 fjala e fundit e Imazheris\u00eb s\u00eb Avancuar n\u00eb diagnostikimin e kancerit t\u00eb gjirit."},"content":{"rendered":"\n

Dr. Shk. Iris Allajbeu
Shefe e Departamentit t\u00eb Imazheris\u00eb s\u00eb Avancuar
Spitali Amerikan
<\/em>
\u00c7far\u00eb \u00ebsht\u00eb Rezonanca Magnetike e Gjirit?<\/p>\n\n\n\n

RM e gjirit \u00ebsht\u00eb ekzaminimi m\u00eb i avancuar diagnostikues p\u00ebr s\u00ebmundjet e gjirit q\u00eb realizohet me an\u00eb t\u00eb nj\u00eb programi t\u00eb posa\u00e7\u00ebm t\u00eb rezonanc\u00ebs magnetike nga specialist\u00ebt p\u00ebrkat\u00ebs. \u00cbsht\u00eb nj\u00eb ekzaminim joinvaziv, pa dhimbje, pa rrezatim dhe pa efekte an\u00ebsore, i sigurt p\u00ebr t\u00eb gjith\u00eb grupmoshat e pacient\u00ebve.<\/p>\n\n\n\n

RM e gjirit jep informacion t\u00eb detajuar p\u00ebr t\u00eb gjitha patologjit\u00eb e gjirit n\u00eb rastet kur metodat e tjera diagnostikuese, si mamografia apo ekoja jan\u00eb t\u00eb pamjaftueshme, duke \u00e7uar n\u00eb diagnostikimin e sakt\u00eb t\u00eb s\u00ebmundjes. Gjithashtu RM e gjirit arrin t\u00eb diagnostikoj\u00eb patologjit\u00eb e gjirit q\u00eb n\u00eb fazat fillestare kur ato nuk jan\u00eb t\u00eb dukshme ende n\u00eb mamografi apo eko.<\/p>\n\n\n\n

N\u00eb cilat raste rekomandohet t\u00eb b\u00ebhet RM e gjirit?<\/p>\n\n\n\n

Rezonance Magnetike nuk \u00ebsht\u00eb nj\u00eb metod\u00eb depistuese p\u00ebr t\u00eb gjith\u00eb popullat\u00ebn, por nj\u00eb metod\u00eb imazherike e avancuar q\u00eb p\u00ebrdoret p\u00ebr grupe t\u00eb caktuara dhe n\u00eb situata t\u00eb caktuara si:<\/p>\n\n\n\n

Depistimi i grave me RISK T\u00cb LART\u00cb p\u00ebr kancerin e gjirit.<\/p>\n\n\n\n

Shoqata Amerikane e Kancerit dhe |ajo Europiane e Imazherise se Gjirit rekomandojne fuqish\u00ebm Rezonanc\u00ebn Magnetike, si metod\u00eb depistuese krahas mamografis\u00eb p\u00ebr grat\u00eb me risk 20-25% m\u00eb t\u00eb lart\u00eb se pjesa tjet\u00ebr e popullat\u00ebs.<\/p>\n\n\n\n

\u2013 N\u00eb k\u00ebt\u00eb grup p\u00ebrfshihen grat\u00eb me histori familjare t\u00eb kancerit t\u00eb gjirit t\u00eb t\u00eb afermve si; n\u00ebna, motra, tezja, n\u00ebn moshe 50 vje\u00e7.<\/p>\n\n\n\n

\u2013 Defektet apo Mutacionet gjenetike BRCA1 dhe BRCA2<\/p>\n\n\n\n

\u2013 Histori e kancerit t\u00eb nj\u00ebrit gji, e cila rrit rrezikun p\u00ebr kancer n\u00eb gjirin tjet\u00ebr<\/p>\n\n\n\n

\u2013 Histori e rrezatimit t\u00eb kraharorit n\u00eb doza t\u00eb larta n\u00eb moshat 10-30 vje\u00e7<\/p>\n\n\n\n

\u2013 Diagnostikimi i lezioneve prekanceroze t\u00eb gjirit n\u00eb biopsi si Hiperplazia atipike duktale,karcinoma insitu lobulare apo duktale.<\/p>\n\n\n\n

RM luan nj\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb planifikimin e nd\u00ebrhyrjes kirurgjikale dhe terapise n\u00eb pacient\u00ebt t\u00eb diagnostikuar me kancer gjiri, pasi jep informacion t\u00eb detajuar p\u00ebr p\u00ebrhapjen e kanceritdhe t\u00eb strukturave p\u00ebrrethdhe vler\u00ebsimin e gjirit tjet\u00ebr p\u00ebr t\u00eb p\u00ebrjashtuar nj\u00eb vat\u00ebr t\u00eb mundshme kanceri.<\/p>\n\n\n\n

*Ndjekje postkirurgjikale e pacient\u00ebve q\u00eb kan\u00eb kryer Kirurgji konservative t\u00eb modifikuar t\u00eb gjirit<\/p>\n\n\n\n

*Diferencimi i lezioneve t\u00eb dyshimta t\u00eb diagnostikuara n\u00eb eko apo mamografi<\/p>\n\n\n\n

*Vler\u00ebsimin e rezultatit t\u00eb kimioterapis\u00eb<\/p>\n\n\n\n

*Vler\u00ebsimin e pacient\u00ebve q\u00eb i jan\u00eb n\u00ebnshtruar nd\u00ebrhyrjeve kirurgjikale plastike t\u00eb gjirit.<\/p>\n\n\n\n

* Vler\u00ebsimi preoperativ i pacient\u00ebve t\u00eb diagnostikuar me kancer t\u00eb gjirit<\/p>\n\n\n\n

N\u00eb disa raste, kanceri i gjirit trajtohet me kimioterapi neoadjuvante para se t\u2019i n\u00ebnshtohet nd\u00ebrhyrjes kirurgjikale. N\u00eb k\u00ebto raste, RM p\u00ebrdoret shpesh p\u00ebr t\u00eb monitoruar trajtimin me kimioterapi, si dhe p\u00ebr t\u00eb rivler\u00ebsuar sasin\u00eb e tumorit ende t\u00eb pranish\u00ebm, para se operacioni t\u00eb jet\u00eb kryer.<\/p>\n\n\n\n

N\u00eb k\u00ebta pacient\u00eb RM p\u00ebrdoret si p\u00ebr vler\u00ebsimin e implanteve n\u00eb rastet kur dyshohet p\u00ebr ruptur\u00eb t\u00eb tyre, ashtu edhe n\u00eb ekzaminimin e lezioneve t\u00eb dyshimta, pasi Ekoja dhe mamografia n\u00eb k\u00ebta pacient\u00eb realizohet m\u00eb me v\u00ebshtir\u00ebsi.<\/p>\n\n\n\n

Cilat jan\u00eb kund\u00ebrindikimet e RM s\u00eb gjirit?<\/p>\n\n\n\n

\u2013 Prezenca e implanteve metalike, pacemakerave etj. n\u00eb trup.<\/p>\n\n\n\n

\u2013 Pacient\u00ebt me histori alergjie nga l\u00ebnda e kontrastit q\u00eb p\u00ebrdoret p\u00ebr ekzaminimet me RM (raste shum\u00eb t\u00eb rralla).<\/p>\n\n\n\n

\u2013 Pacient\u00ebt klaustrofobike. N\u00eb raste t\u00eb tilla mund t\u00eb p\u00ebrdoren forma t\u00eb ndryshme sedacioni.<\/p>\n\n\n\n

-RM \u00ebsht\u00eb ekzaminim radiologjik i avancuar qe kerkon aparatura te posacme dhe specialiste me pervoje per te minimizuar biopsi apo nderhyrje kirurgjikale te panevojshme.<\/p>\n\n\n\n

Ky ekzaminim ashtu si dhe t\u00eb gjitha ekzaminimet e tjera t\u00eb gjirit k\u00ebshillohet t\u00eb kryhet brenda 10 dit\u00ebshit t\u00eb par\u00eb t\u00eb ciklit menstrual, mund\u00ebsisht dit\u00ebn 5-7 t\u00eb ciklit, ku gjiri \u00ebsht\u00eb m\u00eb i qet\u00eb dhe m\u00eb pak i ndikuar nga ndryshimet hormonale.<\/p>\n","protected":false},"excerpt":{"rendered":"

Dr. Shk. Iris AllajbeuShefe e Departamentit t\u00eb Imazheris\u00eb s\u00eb AvancuarSpitali Amerikan\u00c7far\u00eb \u00ebsht\u00eb Rezonanca Magnetike e Gjirit? RM e gjirit \u00ebsht\u00eb ekzaminimi m\u00eb i avancuar diagnostikues p\u00ebr [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":238,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-237","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-sq"],"_links":{"self":[{"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/posts\/237","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/comments?post=237"}],"version-history":[{"count":1,"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/posts\/237\/revisions"}],"predecessor-version":[{"id":240,"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/posts\/237\/revisions\/240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/media\/238"}],"wp:attachment":[{"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/media?parent=237"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/categories?post=237"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/alsobi.com\/sq\/wp-json\/wp\/v2\/tags?post=237"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}