Dr. Islam Rashiti \u2013 specialist i kirurgjis\u00eb s\u00eb f\u00ebmij\u00ebve n\u00eb Spitalin e Gjilanit ka filluar fakultetin e mjek\u00ebsis\u00eb n\u00eb Prishtin\u00eb nd\u00ebrsa ka diplomuar n\u00eb Universitetin e Sarajev\u00ebs. M\u00eb pas stazhin specialistik e ka mbajtur n\u00eb Institutin p\u00ebr N\u00ebna dhe F\u00ebmij\u00eb dhe n\u00eb Qendr\u00ebn Klinike Spitalore Universitare n\u00eb Beograd, kurse provimin e ka kryer n\u00eb Prishtin\u00eb ku ka marr edhe titullin Master. Rashiti punon si kirurg i f\u00ebmij\u00ebve q\u00eb nga viti 2000.<\/p>\n
Dr. Islam Rashiti vjen n\u00eb nj\u00eb intervist\u00eb n\u00eb rubrik\u00ebn \u201cMjeku i Jav\u00ebs\u201d n\u00eb Gazet\u00ebn Shneta. Ai flet p\u00ebr s\u00ebmundjet akute tek f\u00ebmij\u00ebt t\u00eb cilat k\u00ebrkojn\u00eb intervenim urgjent kirurgjik.<\/p>\n
\u201cGjate karrier\u00ebs sime jam ballafaquar me s\u00ebmundje t\u00eb nduarnduarshme n\u00eb l\u00ebmin e kirurgjis\u00eb s\u00eb f\u00ebmij\u00ebve. T\u00eb gjitha s\u00ebmundjet te f\u00ebmij\u00ebt k\u00ebrkojn\u00eb p\u00ebrkushtim dije dhe trajnim t\u00eb specialializuar, sfid\u00eb p\u00ebr kirurgun e f\u00ebmij\u00ebve gjithnj\u00eb jan\u00eb s\u00ebmundjet akute kirurgjike sepse k\u00ebrkojn\u00eb diagnostikim t\u00eb shpejt\u00eb t\u00eb sakt\u00eb dhe intervenim n\u00eb koh\u00eb optimale. N\u00eb fillim vet\u00ebm do i kisha p\u00ebrmendur s\u00ebmundjet akute kongjenitale te t\u00eb posalindurit q\u00eb k\u00ebrkojn\u00eb trajtim urgjent.<\/p>\n
Atresioni i Esofagut<\/p>\n
Atresioni i duodenit,<\/p>\n
Atresioni i zorreve te holla<\/p>\n
Atresioni i anusit<\/p>\n
K\u00ebto jan\u00eb s\u00ebmundje t\u00eb lindura q\u00eb k\u00ebrkojn\u00eb trajtim urgjent kirurgjik, p\u00ebr shkak se mungon kontinuiteti i organit n\u00eb fjal\u00eb ve\u00e7 e ve\u00e7\u201d, shprehet mjeku Rashiti.<\/p>\n
Ai thot\u00eb se p\u00ebr t\u00eb korrigjuar k\u00ebto anomali te lindura \u00ebsht\u00eb i domosdosh\u00ebm intervenimi kirurgjik q\u00eb t\u00eb vendoset kontinuiteti i k\u00ebtyre organeve dhe t\u00eb sigurohet kalushm\u00ebria e ushqimit. Nuk ka diskutim se k\u00ebto intervenime kirurgjike kur kihet parasysh edhe mosh\u00ebn e t\u00eb posalindurit jan\u00eb sfid\u00eb p\u00ebr kirurgun Pediatrik. Por q\u00eb rezultatet jan\u00eb shum\u00eb t\u00eb mira.<\/p>\n
\u201cTani un\u00eb do koncentrohem m\u00eb tep\u00ebr p\u00ebr abdomenin akut te f\u00ebmij\u00ebt p\u00ebr arsye se nuk ka dit\u00eb q\u00eb nuk ballafaqohemi me k\u00ebt\u00eb sindrome e cila n\u00eb vete mb\u00ebrthen nj\u00eb mori t\u00eb s\u00ebmundjeve intraabdominale, e q\u00eb n\u00eb princip k\u00ebrkon intervenim urgjent operativ. Shfaqet m\u00eb s\u00eb shpeshti si pasoj\u00eb e apendiciteve, invaginacioneve, ileuseve, divertikuliteve, hernieve te incarceruara, etj\u201d, shpjegon kirurgu i f\u00ebmij\u00ebve.<\/p>\n
Diagnoza, thot\u00eb ai, vihet n\u00eb baz\u00eb t\u00eb ekzaminimit klinik, Laboratorik, radiografik, ultrasonogra-fik ,Tomografis\u00eb s\u00eb kompjuterizuar, Rezonanc\u00ebs magnetike.<\/p>\n
\u201cNe preferojm\u00eb diagnostikimin e hersh\u00ebm p\u00ebr arsye t\u00eb q\u00eb mos t\u00eb rrezikohet pastaj f\u00ebmija nga shoku endotoksik., ileuset adhesive postoperative,zgjatja e q\u00ebndrimit n\u00eb spital si dhe ndryshimeve ireverzibile. \u00cbsht\u00eb me r\u00ebnd\u00ebsi p\u00ebr prind\u00ebrit t\u2019i dallojn\u00eb s\u00eb paku simptomet kryesore t\u00eb s\u00ebmundjeve akute kirurgjike, prsh. Apendiciti, p\u00ebr prind \u00ebsht\u00eb me r\u00ebnd\u00ebsi ta dine se p\u00ebrcillet s\u00eb pari me dhembje barku, vjellje dhe temperatur\u00eb, k\u00ebto shenja paraqiten edhe te divertikulumi, dhe ileusi, por q\u00eb te ileusi barku \u00ebsht\u00eb shum\u00eb ma i fryer dhe vjellja \u00ebsht\u00eb me ngjyr\u00eb t\u00eb gjelb\u00ebrt\u201d, ka shpjeguar mjeku Rashiti.<\/p>\n
Te hernia inguinale e inkarceruar kemi ajtje te theksuar n\u00eb ije e cila var\u00ebsisht prej mosh\u00ebs mund t\u00eb l\u00ebshohet edhe n\u00eb qesken skrotale.<\/p>\n
Mjeku tregon se p\u00ebr prind\u00ebrit \u00ebsht\u00eb me rend\u00ebsi t\u00eb identifikojn\u00eb se kur \u00ebsht\u00eb paraqitur ajtja, a po vjell f\u00ebmija dhe a \u00ebsht\u00eb i shqet\u00ebsuar. Intervenimi kirurgjik n\u00ebse hernia \u00ebsht\u00eb e inkarceruar duhet t\u00eb kryhet sa m\u00eb her\u00ebt q\u00eb \u00ebsht\u00eb e mundur.<\/p>\n
\u201cNuk mund t\u00eb anashkaloj edhe nj\u00eb s\u00ebmundje q\u00eb \u00ebsht\u00eb mjaft e shpeshte e q\u00eb \u00ebsht\u00eb torsioni apo p\u00ebrdredhja e tetisit. Paraqitet prej mosh\u00ebs intrauterine e deri n\u00eb mosh\u00ebn e shtyer, me pasqyr\u00eb t\u00eb skrotumit akut\/Skuqje, edhe me dhembje \/e testisit t\u00eb atakuar. B\u00ebn pjes\u00eb n\u00eb urgjencat e kirurgjis\u00eb s\u00eb f\u00ebmij\u00ebve, prognoza eshte shum e mire n\u00ebse intervenimi kirurgjik kryhet n\u00eb 6 or\u00ebt e para, me kalimin e koh\u00ebs suksesi p\u00ebr mbijetimin e testisit drastikisht zvog\u00eblohet. Fatkeq\u00ebsisht n\u00eb pun\u00ebn tone t\u00eb p\u00ebrditshme shpesh hasim n\u00eb faze t\u00eb vonuar kur sh\u00ebrimi \u00ebsht\u00eb i pamundur. K\u00ebshillat p\u00ebr prind\u00ebr duhet t\u00eb ipen nga, mjeku familjar, pediatri por edhe kirurgu i f\u00ebmij\u00ebve\u201d, ka th\u00ebn\u00eb Rashiti.<\/p>\n
Nuk duhet gjithnj\u00eb t\u00eb nisemi nga postulatet se \u00e7do dhembje e barkut \u00ebsht\u00eb problem kirugjik.<\/p>\n
Ka nj\u00eb hierarki te dhembjet e barkut s\u00eb pari duhet f\u00ebmija te referohet nga mjeku familjar te pediatri e pastaj pediatri pas ekzaminimeve t\u00eb nevojshme n\u00ebse dyshon n\u00eb s\u00ebmundja akute kirurgjike t\u00eb referohet pacienti te kirurgu I f\u00ebmij\u00ebve.<\/p>\n
Mjeku Rashiti n\u00eb fund ka th\u00ebn\u00eb se n\u00eb Spitalin e P\u00ebrgjithsh\u00ebm ne Gjilan kryhen t\u00eb gjitha intervenimet akute kirugjike te f\u00ebmij\u00ebt, p\u00ebrjashtim b\u00ebjn\u00eb s\u00ebmundjet akute kirurgjike te neonatus\u00ebt sepse k\u00ebrkojn\u00eb p\u00ebrkujdesje te ve\u00e7ante postoperative. \/Gazeta Shneta\/<\/p>\n","protected":false},"excerpt":{"rendered":"
Dr. Islam Rashiti \u2013 specialist i kirurgjis\u00eb s\u00eb f\u00ebmij\u00ebve n\u00eb Spitalin e Gjilanit ka filluar fakultetin e mjek\u00ebsis\u00eb n\u00eb Prishtin\u00eb nd\u00ebrsa ka diplomuar n\u00eb Universitetin e Sarajev\u00ebs. M\u00eb pas stazhin specialistik e ka mbajtur n\u00eb Institutin p\u00ebr N\u00ebna dhe F\u00ebmij\u00eb dhe n\u00eb Qendr\u00ebn Klinike Spitalore Universitare n\u00eb Beograd, kurse provimin e ka kryer n\u00eb Prishtin\u00eb […]<\/p>\n","protected":false},"author":1,"featured_media":146787,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":{"0":"post-146786","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-shendetesi"},"_links":{"self":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/posts\/146786","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/comments?post=146786"}],"version-history":[{"count":0,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/posts\/146786\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/media\/146787"}],"wp:attachment":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/media?parent=146786"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/categories?post=146786"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/tags?post=146786"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}