{"id":33373,"date":"2023-01-09T10:06:12","date_gmt":"2023-01-09T10:06:12","guid":{"rendered":"https:\/\/rdnews.al\/?p=33373"},"modified":"2023-01-09T10:06:12","modified_gmt":"2023-01-09T10:06:12","slug":"flet-kirurgu-qe-ka-operuar-ish-futbollistin-gianluca-vialli","status":"publish","type":"post","link":"https:\/\/foltore.al\/index.php\/2023\/01\/09\/flet-kirurgu-qe-ka-operuar-ish-futbollistin-gianluca-vialli\/","title":{"rendered":"Flet kirurgu q\u00eb ka operuar ish-futbollistin Gianluca Vialli"},"content":{"rendered":"

\u201cSimptoma e par\u00eb e tumorit n\u00eb pancreas q\u00eb ka goditur Gianluca Vialli ka qen\u00eb nj\u00eb iter, dometh\u00ebn\u00eb zverdhja e l\u00ebkur\u00ebs dhe e an\u00ebs s\u00eb bardh\u00eb t\u00eb syve\u201d <\/strong><\/p>\n

Flet kirurgu q\u00eb ka operuar ish sulmuesin e Sampdoria dhe Juventusit. S\u00ebmundja q\u00eb mori Vialli godet rreth 14000 pacient\u00eb n\u00eb vit, me nj\u00eb mbijetes\u00eb p\u00ebr 5 vjet rreth 8%. Faktor\u00ebt e rrezikut dhe sesi funksionon nd\u00ebrhyrja…<\/p>\n

S\u00ebmundja q\u00eb i ka marr\u00eb jet\u00ebn Gianluca Vialli \u00ebsht\u00eb tumori n\u00eb pankreas. B\u00ebhet fjal\u00eb p\u00ebr nj\u00eb patologji q\u00eb godet rreth 14000 pacient\u00eb n\u00eb vit. Midis viktimave t\u00eb shquara jan\u00eb tenori Luciano Pavarotti dhe themeluesi i Apple Steve Jobs. Lokalizohet n\u00eb 70% t\u00eb rasteve n\u00eb kok\u00ebn e pankreasit, n\u00eb trupin e tij p\u00ebr 15 \u2013 20%, mbi bisht p\u00ebr 5 \u2013 10%. Aktualisht s\u00ebmundja \u00ebsht\u00eb shkaku i kat\u00ebrt i vdekjes s\u00eb grave dhe i gjashti p\u00ebr burrat, me nj\u00eb mbijetes\u00eb 5 vje\u00e7are me rreth 8%. Vet\u00ebm 3% e kujt s\u00ebmuret arrin t\u2019i mbijetoj\u00eb p\u00ebr 10 vjet. S\u00ebmundja manifestohet n\u00eb forma t\u00eb ndryshme. M\u00eb e r\u00ebndomta \u00ebsht\u00eb adenokarcinoma, por n\u00eb t\u00eb gjitha rastet nuk manifestohet me simptoma t\u00eb njohshme. P\u00ebr k\u00ebt\u00eb motiv nj\u00ebri prej problemeve t\u00eb m\u00ebdhenj \u00ebsht\u00eb diagnoza, q\u00eb shum\u00eb shpesh vjen kur tumori \u00ebsht\u00eb tashm\u00eb n\u00eb nj\u00eb faz\u00eb t\u00eb avancuar dhe ka gjeneruar metastaza.<\/p>\n

S\u00ebmundja e kampionit<\/strong><\/p>\n

Alessandro Zerbi, p\u00ebrgjegj\u00ebs i nj\u00ebsis\u00eb operative t\u00eb kirurgjis\u00eb pankreatike t\u00eb spitalit Humanitas t\u00eb Milanos, shpjegon sot se simptoma e par\u00eb e Vialli ka qen\u00eb nj\u00eb iter. Dometh\u00ebn\u00eb zverdhja e l\u00ebkur\u00ebs dhe e pjes\u00ebs s\u00eb bardh\u00eb t\u00eb syve, por Instituti i Lart\u00eb i Sh\u00ebndet\u00ebsis\u00eb paralajm\u00ebron se \u00e7do s\u00ebmundje q\u00eb interferon m\u00eb transportin e bilirubin\u00ebs nga gjaku n\u00eb m\u00ebl\u00e7i dhe me eliminimin e tij mund ta shkaktoj\u00eb. Shenja t\u00eb tjera t\u00eb iterit jan\u00eb fe\u00e7e me ngjyra t\u00eb qarta dhe urina me ngjyr\u00eb t\u00eb err\u00ebt. Jan\u00eb tre lloje t\u00eb ndryshme. Iteri intrahepatik dhe iteri pashepatik jan\u00eb m\u00eb t\u00eb shpeshtit n\u00eb personat n\u00eb mesin e mosh\u00ebs dhe tek pleqt\u00eb sesa tek t\u00eb rinjt\u00eb. Iteri parahepatik mund t\u00eb godas\u00eb njer\u00ebz t\u00eb t\u00eb gjitha moshave, p\u00ebrfshi f\u00ebmij\u00ebt. Zerbi e ka operuar Vialli n\u00eb 2017. Nga tumori n\u00eb pankreas kan\u00eb vdekur edhe astronautja e par\u00eb amerikane Sally Ride dhe aktoret Anna Magnani dhe Mariangela Melato. N\u00eb bot\u00ebn e futbollit Giacinto Facchetti, Giuseppe Meazza dhe Omar Sivori.<\/p>\n

Operacioni <\/strong><\/p>\n

\u00abAi operacion i duodenocefalopankreasektomia ka shkuar mir\u00eb\u00bb, kujton sot doktori n\u00eb nj\u00eb intervist\u00eb p\u00ebr \u201cIl Giornale\u201d. Operacioni konsiston \u00abn\u00eb heqjen e duodenit dhe t\u00eb kok\u00ebs s\u00eb pankreasit. \u00cbsht\u00eb jasht\u00ebzakonisht kompleks\u00bb, pasi \u00abmund t\u00eb shkaktoj\u00eb infeksione, hemorragji dhe fistula n\u00eb jav\u00ebt e para pas operacionit. Konvaleshenca nuk \u00ebsht\u00eb e shpejt\u00eb, do t\u00eb duhen disa jav\u00eb\u00bb. Faktor\u00ebt e rrezikut, shpjegon Zerbi, jan\u00eb \u00abduhani, mbipesha, nj\u00eb ushqim i pasur me yndyra dhe i varf\u00ebr n\u00eb fibra, si edhe nj\u00eb stil jetese sedentar. Edhe familjariteti i p\u00ebrcaktuar se t\u00eb kesh dy raste familjar\u00ebsh t\u00eb af\u00ebrt q\u00eb jan\u00eb s\u00ebmurur me k\u00ebt\u00eb tumor\u00bb. Mjeku hedh posht\u00eb edhe nj\u00eb legjend\u00eb metropolitane shum\u00eb t\u00eb p\u00ebrhapur: \u00abNuk \u00ebsht\u00eb e v\u00ebrtet\u00eb se tumori p\u00ebrparon m\u00eb ngadal\u00eb n\u00ebse mosha e t\u00eb s\u00ebmurit \u00ebsht\u00eb m\u00eb e lart\u00eb. Sot tumori p\u00ebrparon m\u00eb me shpejt\u00ebsi apo m\u00eb me ngadal\u00ebsi sipas asaj sa \u00ebsht\u00eb agresiv dhe ai i pankreasit \u00ebsht\u00eb nj\u00eb tumor shum\u00eb agresiv nga pik\u00ebpamja biologjike. Aq sa ka nj\u00eb prognoz\u00eb mesatarisht m\u00eb t\u00eb keqe se t\u00eb tjer\u00ebt\u00bb.<\/p>\n

Simptomat e tjera<\/strong><\/p>\n

P\u00ebrtej iterit, simptomat e tjera t\u00eb tumorit n\u00eb pankreas jan\u00eb nj\u00eb pankreatit, dometh\u00ebn\u00eb nj\u00eb inflamacion q\u00eb jep dhimbje shum\u00eb t\u00eb forta, dhe nj\u00eb diabet i papritur, q\u00eb zakonisht \u00ebsht\u00eb simptom\u00eb i nj\u00eb gjendjeje t\u00eb parakohshme t\u00eb s\u00ebmundjes. Nj\u00eb screening<\/em> \u00abfatkeq\u00ebsisht nuk ka. Vet\u00ebm n\u00eb 10% t\u00eb rasteve, dometh\u00ebn\u00eb pacient\u00ebt q\u00eb kan\u00eb familjaritet me s\u00ebmundjen pasi kan\u00eb pasur dy prind\u00ebr t\u00eb s\u00ebmur\u00eb. Mund t\u00eb b\u00ebhen kontrolle periodike: nj\u00eb rezonanc\u00eb magnetike n\u00eb vit p\u00ebr ta mbajtur n\u00ebn kontroll situat\u00ebn. Vet\u00ebm n\u00eb 20 \u2013 30% t\u00eb rasteve pacient\u00ebt e kuptojn\u00eb n\u00eb koh\u00eb\u00bb. N\u00eb k\u00ebto raste nd\u00ebrhyrja m\u00eb e zakonshme \u00ebsht\u00eb \u00abheqja e pankreasit. P\u00ebrndryshe i drejtohet kemioterapis\u00eb apo kurave t\u00eb tjera dhe radioterapis\u00eb. Pas 5 vitesh nga operacioni mbijeton 20\/30% e pacient\u00ebve pasi q\u00eb ka nj\u00eb rrezik t\u00eb lart\u00eb metastaze apo recidiviteti: fatkeq\u00ebsisht \u00ebsht\u00eb kjo q\u00eb ka ndodhur me Vialli\u00bb.<\/p>\n

Onkologu dhe tumori n\u00eb pankreas<\/strong><\/p>\n

N\u00eb nj\u00eb bised\u00eb me agjencin\u00eb e shtypit DIRE, Michele Reni, Profesor i Asociiuar i Onkologjis\u00eb s\u00eb Universitetit Vita e Salute dhe koordinator i zon\u00ebs onkologjike IRCCS San Raffaele t\u00eb Milanos, shpjegon se \u00abterapia e vetme me sh\u00ebnjest\u00ebr q\u00eb ishte demonstruar se kishte nj\u00eb avantazh t\u00eb caktuar n\u00eb kontrollimin e s\u00ebmundjes m\u00eb gjat\u00eb ishte ila\u00e7i Olaparib, i treguar p\u00ebr pacient\u00ebt BRCA t\u00eb ndryshuar, por AIFA nuk e ka lejuar rimbursueshm\u00ebrin\u00eb dhe, p\u00ebr pasoj\u00eb, e pengon q\u00eb t\u00eb p\u00ebrdoret\u00bb. Tumori n\u00eb pankreas, n\u00ebnvizon onkologu, \u00abfatkeq\u00ebsisht nuk b\u00ebn dallime. I godet paksa t\u00eb gjith\u00eb dhe \u00ebsht\u00eb nj\u00eb neoplazi n\u00eb rritje nga pik\u00ebpamja numerike. Faktikisht ne kemi n\u00eb kur\u00eb pacient\u00eb t\u00eb \u00e7do moshe, nga 20 n\u00eb 100 vje\u00e7. \u00cbsht\u00eb e v\u00ebrtet\u00eb se prekja \u00ebsht\u00eb m\u00eb e madhe tek njer\u00ebzit mbi 65 vjepar\u00eb, efektivisht kanceri i pankreasit godet shum\u00eb. Nuk ka nj\u00eb kategori t\u00eb ve\u00e7ant\u00eb njer\u00ebzish n\u00eb rrezik dhe kjo p\u00ebrfaq\u00ebson nj\u00ebr\u00ebn prej v\u00ebshtir\u00ebsive q\u00eb hasim p\u00ebrball\u00eb k\u00ebsaj s\u00ebmundjeje, pasi duke mos mundur ta identifikojm\u00eb me sakt\u00ebsi popullsin\u00eb n\u00eb rrezik, faktikisht nuk mund t\u00eb b\u00ebjm\u00eb screening<\/em>\u00bb.<\/p>\n

(nga open.online<\/em>)<\/p>\n

P\u00ebrgatiti<\/strong><\/p>\n

ARMIN TIRANA<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cSimptoma e par\u00eb e tumorit n\u00eb pancreas q\u00eb ka goditur Gianluca Vialli ka qen\u00eb nj\u00eb iter, dometh\u00ebn\u00eb zverdhja e l\u00ebkur\u00ebs dhe e an\u00ebs s\u00eb bardh\u00eb t\u00eb syve\u201d Flet kirurgu q\u00eb ka operuar ish sulmuesin e Sampdoria dhe Juventusit. S\u00ebmundja q\u00eb mori Vialli godet rreth 14000 pacient\u00eb n\u00eb vit, me nj\u00eb mbijetes\u00eb p\u00ebr 5 vjet rreth …<\/p>\n","protected":false},"author":4,"featured_media":33374,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[39],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/posts\/33373"}],"collection":[{"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/comments?post=33373"}],"version-history":[{"count":0,"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/posts\/33373\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/media\/33374"}],"wp:attachment":[{"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/media?parent=33373"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/categories?post=33373"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/foltore.al\/index.php\/wp-json\/wp\/v2\/tags?post=33373"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}