Dr. Gera ka nisur studimet n\u00eb mjek\u00ebsi t\u00eb p\u00ebrgjithshme n\u00eb Boston t\u00eb Shteteve t\u00eb Bashkuara t\u00eb Amerik\u00ebs, m\u00eb pas n\u00eb Rotterdam, Holand\u00eb. Masterin p\u00ebr mjek\u00ebsi estetike e ka p\u00ebrfunduar n\u00eb Lond\u00ebr n\u00eb vitin 2017. Angazhimin profesional e ka ndar\u00eb n\u00eb koh\u00eb mes Tiran\u00ebs, SHBA, Stambollit, Londr\u00ebs dhe Hamburgut. Aktualisht vijon specializimin p\u00ebr kirurgji plastike rikonstruktive duke ndar\u00eb koh\u00ebn profesionale mes Los Angeles, SHBA-s\u00eb dhe Shqip\u00ebris\u00eb.<\/p>\n\n\n\n
Kanceri i l\u00ebkur\u00ebs \u00ebsht\u00eb kanceri m\u00eb i zakonsh\u00ebm q\u00eb haset. Sipas Fondacionit t\u00eb Kancerit t\u00eb L\u00ebkur\u00ebs, nj\u00eb n\u00eb pes\u00eb amerikan\u00eb has kancerin e l\u00ebkur\u00ebs deri n\u00eb mosh\u00ebn 70 vje\u00e7are. Kemi t\u00eb b\u00ebjm\u00eb me t\u00eb dh\u00ebna statistikore shum\u00eb t\u00eb qarta e t\u00eb sakta, n\u00eb dukje t\u00eb frikshme, por q\u00eb vlen t\u00eb theksohet se \u00ebsht\u00eb edhe nj\u00eb nga llojet e kancerit m\u00eb t\u00eb sh\u00ebruesh\u00ebm. <\/p>\n\n\n\n
Edhe melanoma, forma m\u00eb vdekjeprur\u00ebse e kancerit t\u00eb l\u00ebkur\u00ebs, ka nj\u00eb mbijetes\u00eb 99% pes\u00eb-vje\u00e7are, gjithmon\u00eb n\u00ebse zbulohet her\u00ebt. Kjo \u00ebsht\u00eb arsyeja p\u00ebrse \u00ebsht\u00eb kaq e r\u00ebnd\u00ebsishme t\u00eb lini takime me dermatologun tuaj p\u00ebr kontrolle t\u00eb rregullta vjetore t\u00eb l\u00ebkur\u00ebs, si edhe t\u00eb monitoroni rregullisht vet\u00eb l\u00ebkur\u00ebn tuaj.<\/p>\n\n\n\n
Dhe \u00e7far\u00eb ndodh n\u00ebse diagnostikoheni me kancer t\u00eb l\u00ebkur\u00ebs?<\/strong><\/p>\n\n\n\n P\u00ebr karcinomat e qelizave bazale dhe ato skuamoze, dy format m\u00eb t\u00eb zakonshme t\u00eb kancerit t\u00eb l\u00ebkur\u00ebs, si edhe p\u00ebr melanoma, nd\u00ebrhyrja kirurgjikale \u00ebsht\u00eb shpesh i vetmi trajtim i k\u00ebrkuar (gjithmon\u00eb n\u00ebse kanceri kapet her\u00ebt dhe nuk \u00ebsht\u00eb p\u00ebrhapur).<\/p>\n\n\n\n Edhe pse duket si procedur\u00eb rutin\u00eb, ka disa gj\u00ebra t\u00eb r\u00ebnd\u00ebsishme p\u00ebr t\u00eb ditur paraprakisht. Po ndaj me ju pes\u00eb pyetje t\u00eb mundshme t\u00eb cilat mund t\u2019ia b\u00ebni mjekut tuaj p\u00ebrpara \u00e7do lloj nd\u00ebrhyrjeje kirurgjikale p\u00ebr t\u00eb trajtuar kancerin e l\u00ebkur\u00ebs:<\/p>\n\n\n\n 1. A ka ndonj\u00eb mas\u00eb paraprake para operacionit q\u00eb duhet t\u00eb nd\u00ebrmarr?<\/strong><\/em><\/p>\n\n\n\n Shumica e nd\u00ebrhyrjeve t\u00eb kancerit t\u00eb l\u00ebkur\u00ebs – p\u00ebrfshir\u00eb edhe nd\u00ebrhyrjen MOHS, nj\u00eb teknik\u00eb e sakt\u00eb, e ruajtjes s\u00eb l\u00ebkur\u00ebs q\u00eb p\u00ebrdoret shpesh p\u00ebr zonat n\u00eb kok\u00eb dhe qaf\u00eb – nuk k\u00ebrkon anestezi t\u00eb p\u00ebrgjithshme. Por, mbetet nj\u00eb nd\u00ebrhyrje n\u00eb fund t\u00eb dit\u00ebs dhe meriton nj\u00eb diskutim paraprak me mjekun. Pyesni mjekun tuaj n\u00ebse ka ndonj\u00eb medikament, ose suplement q\u00eb duhet t\u00eb merrni ose jo paraprakisht. <\/p>\n\n\n\n P\u00ebr shembull, holluesit e gjakut kan\u00eb potencialin m\u00eb t\u00eb lart\u00eb p\u00ebr t\u00eb ndikuar n\u00eb rezultatet e operacionit dhe faz\u00ebn e sh\u00ebrimit. Zakonisht \u00ebsht\u00eb m\u00eb mir\u00eb t\u2019i q\u00ebndroni besnik medikamenteve t\u00eb p\u00ebrshkruara me recet\u00eb, por ka edhe shtesa t\u00eb mundshme q\u00eb mund t\u00eb merren pa recet\u00eb, t\u00eb tilla si vaji i peshkut, vitamina E dhe gingo, q\u00eb mund t\u00eb shkaktojn\u00eb gjakderdhje dhe zakonisht duhet t\u00eb ndalet p\u00ebrdorimi i tyre q\u00eb dy jav\u00eb para nd\u00ebrhyrjes.<\/p>\n\n\n\n 2. \u00c7far\u00eb lloj aktivitetesh do t\u00eb m\u00eb duhet t\u00eb reduktoj?<\/strong><\/em><\/p>\n\n\n\n Shum\u00eb pacient\u00eb nuk e shoq\u00ebrojn\u00eb kirurgjin\u00eb e kancerit t\u00eb l\u00ebkur\u00ebs me reduktim aktivitetesh (apo ndryshim m\u00ebnyre sjelljeje), ashtu si\u00e7 do t\u00eb b\u00ebnin me operacionet e tjera, por \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb kuptohet se nd\u00ebrhyrja mund t\u00eb jet\u00eb invazive dhe si e till\u00eb t\u00eb k\u00ebrkoj\u00eb nj\u00eb periudh\u00eb reale sh\u00ebrimi.<\/p>\n\n\n\n M\u00eb konkretisht, aktivitet fizike q\u00eb do t\u00eb duhet t\u00eb reduktohen varen kryesisht nga vendi ku \u00ebsht\u00eb i p\u00ebrqendruar kanceri i l\u00ebkur\u00ebs. Plag\u00ebt sh\u00ebrohen m\u00eb mir\u00eb kur l\u00ebkura nuk l\u00ebviz vazhdimisht, k\u00ebshtu q\u00eb n\u00ebse kanceri \u00ebsht\u00eb n\u00eb nj\u00eb zon\u00eb shum\u00eb t\u00eb l\u00ebvizshme, si\u00e7 \u00ebsht\u00eb shpatulla, krahu ose dora, patjet\u00ebr q\u00eb do t\u00eb duhet t\u00eb pyesni p\u00ebr sa koh\u00eb duhet t\u00eb minimizoni st\u00ebrvitjen apo edhe l\u00ebvizjen e rregullt. <\/p>\n\n\n\n \u00cbsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb pyesni p\u00ebr kujdesin q\u00eb duhet t\u00eb tregoni p\u00ebr plag\u00ebn, ve\u00e7an\u00ebrisht si ta mbajm\u00eb at\u00eb t\u00eb past\u00ebr, \u00e7far\u00eb lloj (n\u00ebse ka) produktesh duhet t\u00eb aplikoni, kur duhet t\u00eb riktheheni p\u00ebr heqjen e qepjes, etj. Do t\u00eb ishte mir\u00eb t\u00eb rezervoni takimin p\u00ebr procedur\u00ebn tuaj, kur t\u00eb keni nj\u00eb agjend\u00eb t\u00eb qart\u00eb dhe t\u00eb siguroheni se nuk po planifikoni ndonj\u00eb ngjarje t\u00eb ve\u00e7ant\u00eb. <\/p>\n\n\n\n Kjo do t’ju jap\u00eb koh\u00ebn e nevojshme p\u00ebr tu sh\u00ebruar dhe pushuar (n\u00ebse p\u00ebrfshihen kufizime fizike) si dhe t\u00eb jeni n\u00eb dispozicion p\u00ebr \u00e7do takim vijues t\u00eb nevojsh\u00ebm me mjekun. N\u00ebse nuk \u00ebsht\u00eb nj\u00eb lloj shum\u00eb agresiv i kancerit t\u00eb l\u00ebkur\u00ebs, shumica e mjek\u00ebve do t’ju lejoj\u00eb t\u00eb caktoni nd\u00ebrhyrjen n\u00eb \u00e7do koh\u00eb brenda tre muajsh pas diagnoz\u00ebs.<\/p>\n\n\n\n 3. \u00c7far\u00eb lloj pritshm\u00ebrish mund t\u00eb kem dhe cilat jan\u00eb mund\u00ebsit\u00eb e mia p\u00ebr t\u00eb minimizuar efektet?<\/strong><\/em><\/p>\n\n\n\n Shumica jan\u00eb m\u00eb t\u00eb shqet\u00ebsuar p\u00ebr shenjat afatgjata q\u00eb mund t\u00eb mbeten n\u00eb l\u00ebkur\u00eb se sa p\u00ebr vet\u00eb kancerin aktual. Dhe kjo \u00ebsht\u00eb deri diku e kuptueshme, ve\u00e7an\u00ebrisht n\u00ebse kanceri i l\u00ebkur\u00ebs \u00ebsht\u00eb n\u00eb nj\u00eb zon\u00eb t\u00eb dukshme dhe t\u00eb ndjeshme kozmetike, si\u00e7 \u00ebsht\u00eb fytyra. <\/p>\n\n\n\n \u00cbsht\u00eb sfiduese p\u00ebr \u00e7do mjek, q\u00eb t’ju jap\u00eb nj\u00eb ide t\u00eb sakt\u00eb t\u00eb madh\u00ebsis\u00eb s\u00eb shenj\u00ebs s\u00eb mbetur para kohe; edhe gjat\u00eb operacionit t\u00eb MOHS, ku q\u00ebllimi \u00ebsht\u00eb t\u00eb krijohet nj\u00eb plag\u00eb sa m\u00eb e vog\u00ebl, ajo mund t\u00eb jet\u00eb m\u00eb e madhe se sa pritej dhe kjo shihet rast pas rasti. Por mos u shqet\u00ebsoni n\u00ebse plaga juaj duket e \u00e7uditshme p\u00ebr momentin, pasi me kalimin e koh\u00ebs ajo sh\u00ebrohet. Mavijosjet dhe \u00ebnjtjet fillestare mund t’ju duken t\u00eb frikshme, por \u00ebsht\u00eb krejt\u00ebsisht normale.<\/p>\n\n\n\n N\u00eb druheni se shenja do t\u00eb mbetet e dukshme, ose se ndodhet n\u00eb nj\u00eb vend q\u00eb do t\u2019ju shqet\u00ebsoj\u00eb, pyesni mjekun tuaj se sa shpejt pas k\u00ebsaj mund t\u00eb filloni ta trajtoni at\u00eb dhe cila do t\u00eb jet\u00eb metoda m\u00eb e mir\u00eb. K\u00ebtu vlen t\u00eb sqarohet se p\u00ebrgjigja ndryshon nga pacienti n\u00eb pacient dhe nga lloji i l\u00ebkur\u00ebs suaj, por ka zakonisht p\u00ebrfshihen nga lazerat n\u00eb shirita silikoni deri tek kremrat trajtues s\u00eb plag\u00ebs.<\/p>\n\n\n\n N\u00eb m\u00ebnyr\u00eb t\u00eb ngjashme, n\u00ebse e dini se keni prirjen t\u00eb krijoni plag\u00eb keloide, p\u00ebrmendeni k\u00ebt\u00eb gj\u00eb, n\u00eb m\u00ebnyr\u00eb q\u00eb kirurgu juaj plastik t’ju k\u00ebshilloj\u00eb p\u00ebr m\u00ebnyra specifike t\u00eb minimizimit t\u00eb risqeve.<\/p>\n\n\n\n 4. Cilat jan\u00eb shanset p\u00ebr t\u00eb patur nj\u00eb tjet\u00ebr kancer t\u00eb l\u00ebkur\u00ebs?<\/strong><\/em><\/p>\n\n\n\n Kur nj\u00eb kancer i l\u00ebkur\u00ebs trajtohet me an\u00eb t\u00eb kirurgjis\u00eb, q\u00ebllimi i procedur\u00ebs \u00ebsht\u00eb ta pastroj\u00eb at\u00eb plot\u00ebsisht dhe n\u00eb kufij t\u00eb qart\u00eb. Ekziston nj\u00eb rrezik q\u00eb kanceri i l\u00ebkur\u00ebs t\u00eb p\u00ebrs\u00ebritet pas trajtimit, megjithat\u00eb disa procedura kan\u00eb norma m\u00eb t\u00eb larta t\u00eb sh\u00ebrimit se t\u00eb tjerat. Kjo varet edhe nga karakteristikat e kancerit t\u00eb l\u00ebkur\u00ebs dhe pacientit. Rreziku p\u00ebr t\u00eb pasur nj\u00eb tjet\u00ebr kancer – edhe n\u00ebse \u00ebsht\u00eb i nj\u00eb lloji t\u00eb ndrysh\u00ebm, ose diku tjet\u00ebr n\u00eb trup – \u00ebsht\u00eb m\u00eb i lart\u00eb, ndaj kjo i b\u00ebn sjelljet parandaluese (p\u00ebrdorimi i p\u00ebrditsh\u00ebm i kremit kund\u00ebr diellit) dhe kontrollet e rregullta t\u00eb l\u00ebkur\u00ebs shum\u00eb t\u00eb r\u00ebnd\u00ebsishme p\u00ebr k\u00ebdo q\u00eb ka b\u00ebr\u00eb nj\u00eb operacion t\u00eb kancerit t\u00eb l\u00ebkur\u00ebs. <\/p>\n\n\n\n 5. A duhet t\u00eb shkoj p\u00ebr kontrolle m\u00eb t\u00eb shpeshta t\u00eb l\u00ebkur\u00ebs pas operacionit?<\/strong><\/em><\/p>\n\n\n\n P\u00ebrgjigja \u00ebsht\u00eb \u201cPo\u201d, megjith\u00ebse sakt\u00ebsisht se sa shpesh do t\u00eb varet nga lloji i kancerit t\u00eb l\u00ebkur\u00ebs. P\u00ebr pacient\u00ebt q\u00eb i n\u00ebnshtrohen nj\u00eb operacioni p\u00ebr heqjen e nj\u00eb melanome, zakonisht rekomandoj kontrolle t\u00eb vazhdueshme t\u00eb l\u00ebkur\u00ebs \u00e7do tre muaj dhe p\u00ebr nonmelanomas, \u00e7do gjasht\u00eb muaj, p\u00ebr t\u00eb pakt\u00ebn disa vjet m\u00eb pas. Mjeku juaj do t’ju jap\u00eb m\u00eb shum\u00eb udh\u00ebzime konkrete, por thjesht mbani mend se do t\u2019ju duhet t\u00eb ktheheni m\u00eb shpejt sesa p\u00ebr kontrollet vjetore rutin\u00eb.<\/p>\n","protected":false},"excerpt":{"rendered":" Dr. Gera ka nisur studimet n\u00eb mjek\u00ebsi t\u00eb p\u00ebrgjithshme n\u00eb Boston t\u00eb Shteteve t\u00eb Bashkuara t\u00eb Amerik\u00ebs, m\u00eb pas n\u00eb Rotterdam, Holand\u00eb. Masterin p\u00ebr mjek\u00ebsi estetike e ka p\u00ebrfunduar n\u00eb Lond\u00ebr n\u00eb vitin 2017. Angazhimin profesional e ka ndar\u00eb n\u00eb koh\u00eb mes Tiran\u00ebs, SHBA, Stambollit, Londr\u00ebs dhe Hamburgut. Aktualisht vijon specializimin p\u00ebr kirurgji plastike rikonstruktive duke […]<\/p>\n","protected":false},"author":1,"featured_media":88,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-87","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"mb":[],"mfb_rest_fields":["title"],"_links":{"self":[{"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/posts\/87","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/comments?post=87"}],"version-history":[{"count":0,"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/posts\/87\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/media\/88"}],"wp:attachment":[{"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/media?parent=87"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/categories?post=87"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drgeratagani.com\/sq\/wp-json\/wp\/v2\/tags?post=87"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}