{"id":115741,"date":"2026-07-31T14:35:33","date_gmt":"2026-07-31T11:35:33","guid":{"rendered":"https:\/\/prizrenpost.com\/al\/valvula-e-zemres-mund-te-zevendesohet-pa-operacion-te-hapur-pas-shtate-vitesh-rezultatet-jane-befasuese\/"},"modified":"2026-07-31T14:35:33","modified_gmt":"2026-07-31T11:35:33","slug":"valvula-e-zemres-mund-te-zevendesohet-pa-operacion-te-hapur-pas-shtate-vitesh-rezultatet-jane-befasuese","status":"publish","type":"post","link":"https:\/\/prizrenpost.com\/al\/valvula-e-zemres-mund-te-zevendesohet-pa-operacion-te-hapur-pas-shtate-vitesh-rezultatet-jane-befasuese\/","title":{"rendered":"Valvula e zemr\u00ebs mund t\u00eb z\u00ebvend\u00ebsohet pa operacion t\u00eb hapur: Pas shtat\u00eb vitesh, rezultatet jan\u00eb befasuese"},"content":{"rendered":"<figure class=\"post-featured-image\"><img decoding=\"async\" src=\"https:\/\/prizrenpost.com\/al\/wp-content\/uploads\/2026\/07\/13-8.jpg\" alt=\"Valvula e zemr\u00ebs mund t\u00eb z\u00ebvend\u00ebsohet pa operacion t\u00eb hapur: Pas shtat\u00eb vitesh, rezultatet jan\u00eb befasuese\"\/><\/figure>\n<p>Studimi PARTNER 3 tregon rezultate shum\u00eb t\u00eb ngjashme afatgjata te pacient\u00ebt me rrezik t\u00eb ul\u00ebt kirurgjikal, por nj\u00eb nd\u00ebrlikim u shfaq duksh\u00ebm m\u00eb shpesh pas TAVR-it<\/p>\n<p>Z\u00ebvend\u00ebsimi i valvul\u00ebs aortale p\u00ebrmes kateterit, pa pasur nevoj\u00eb p\u00ebr operacion klasik n\u00eb zem\u00ebr t\u00eb hapur, ka treguar q\u00ebndrueshm\u00ebri t\u00eb krahasueshme me nd\u00ebrhyrjen kirurgjikale edhe shtat\u00eb vjet pas procedur\u00ebs.<\/p>\n<p>Rezultatet e studimit PARTNER 3 tregojn\u00eb se te pacient\u00ebt me stenoz\u00eb t\u00eb r\u00ebnd\u00eb simptomatike t\u00eb valvul\u00ebs aortale dhe me rrezik t\u00eb ul\u00ebt kirurgjikal, z\u00ebvend\u00ebsimi transkateterik i valvul\u00ebs aortale (TAVR) dhe z\u00ebvend\u00ebsimi kirurgjikal (SAVR) kishin shkall\u00eb t\u00eb ngjashme t\u00eb d\u00ebmtimit strukturor t\u00eb valvul\u00ebs, d\u00ebshtimit t\u00eb bioprotez\u00ebs dhe nevoj\u00ebs p\u00ebr nd\u00ebrhyrje t\u00eb p\u00ebrs\u00ebritur.<\/p>\n<p>Megjithat\u00eb, tromboza e valvul\u00ebs u regjistrua duksh\u00ebm m\u00eb shpesh pas TAVR-it.<\/p>\n<p>Stenoza aortale shfaqet kur valvula aortale ngushtohet dhe pengon kalimin normal t\u00eb gjakut nga zemra drejt pjes\u00ebs tjet\u00ebr t\u00eb organizmit. Kur s\u00ebmundja b\u00ebhet e r\u00ebnd\u00eb dhe shkakton simptoma, z\u00ebvend\u00ebsimi i valvul\u00ebs mund t\u00eb jet\u00eb i nevojsh\u00ebm.<\/p>\n<p>P\u00ebr shum\u00eb vite, trajtimi standard ka qen\u00eb z\u00ebvend\u00ebsimi kirurgjikal i valvul\u00ebs aortale p\u00ebrmes operacionit n\u00eb zem\u00ebr t\u00eb hapur.<\/p>\n<p>TAVR ofron nj\u00eb alternativ\u00eb m\u00eb pak invazive. Valvula e re vendoset p\u00ebrmes nj\u00eb kateteri, zakonisht duke hyr\u00eb n\u00ebp\u00ebrmjet nj\u00eb arterie, pa qen\u00eb e nevojshme hapja klasike e kraharorit.<\/p>\n<p>Fillimisht kjo metod\u00eb p\u00ebrdorej kryesisht te pacient\u00ebt me rrezik t\u00eb lart\u00eb kirurgjikal, por p\u00ebrdorimi i saj \u00ebsht\u00eb zgjeruar edhe te pacient\u00ebt me rrezik t\u00eb ul\u00ebt. P\u00ebr k\u00ebt\u00eb arsye, jet\u00ebgjat\u00ebsia dhe q\u00ebndrueshm\u00ebria e valvulave TAVR jan\u00eb b\u00ebr\u00eb \u00e7\u00ebshtje ve\u00e7an\u00ebrisht t\u00eb r\u00ebnd\u00ebsishme, transmeton Telegrafi.<\/p>\n<p>PARTNER 3 ishte nj\u00eb studim i randomizuar q\u00eb p\u00ebrfshiu 1.000 pacient\u00eb me stenoz\u00eb t\u00eb r\u00ebnd\u00eb simptomatike t\u00eb valvul\u00ebs aortale dhe me rrezik t\u00eb ul\u00ebt kirurgjikal.<\/p>\n<p>N\u00eb analiz\u00ebn e q\u00ebndrueshm\u00ebris\u00eb s\u00eb valvul\u00ebs, 495 pacient\u00eb iu n\u00ebnshtruan TAVR-it me valvul\u00ebn SAPIEN 3, nd\u00ebrsa 453 u trajtuan me z\u00ebvend\u00ebsim kirurgjikal t\u00eb valvul\u00ebs.<\/p>\n<p>Mosha mesatare e pjes\u00ebmarr\u00ebsve ishte rreth 74 vje\u00e7. Pacient\u00ebt u ndoq\u00ebn p\u00ebr shtat\u00eb vjet dhe funksioni i valvulave u vler\u00ebsua rregullisht, p\u00ebrfshir\u00eb kontrollet ekokardiografike.<\/p>\n<p>Rezultate pothuajse t\u00eb nj\u00ebjta pas shtat\u00eb vitesh<\/p>\n<p>D\u00ebmtimi strukturor i r\u00ebnd\u00ebsish\u00ebm i bioprotez\u00ebs u regjistrua te 7,3 p\u00ebr qind e pacient\u00ebve me TAVR dhe te 7,6 p\u00ebr qind e pacient\u00ebve q\u00eb iu n\u00ebnshtruan kirurgjis\u00eb.<\/p>\n<p>Edhe d\u00ebshtimi i bioprotez\u00ebs nga t\u00eb gjitha shkaqet ishte i ngjash\u00ebm: 6,9 p\u00ebr qind pas TAVR-it dhe 7,5 p\u00ebr qind pas nd\u00ebrhyrjes kirurgjikale.<\/p>\n<p>Nevoja p\u00ebr nj\u00eb nd\u00ebrhyrje tjet\u00ebr n\u00eb valvul u regjistrua te 6 p\u00ebr qind e pacient\u00ebve me TAVR dhe te 5,5 p\u00ebr qind e pacient\u00ebve t\u00eb operuar.<\/p>\n<p>Pas shtat\u00eb vitesh, 73,4 p\u00ebr qind e pacient\u00ebve t\u00eb trajtuar me TAVR dhe 74,8 p\u00ebr qind e atyre q\u00eb iu n\u00ebnshtruan kirurgjis\u00eb ishin gjall\u00eb dhe pa d\u00ebshtim t\u00eb bioprotez\u00ebs.<\/p>\n<p>Tromboza, dallimi kryesor mes dy metodave<\/p>\n<p>Nj\u00eb ndryshim i r\u00ebnd\u00ebsish\u00ebm u vu re te tromboza e valvul\u00ebs.<\/p>\n<p>Mosfunksionimi i valvul\u00ebs i lidhur me tromboz\u00ebn u regjistrua te 5,2 p\u00ebr qind e pacient\u00ebve pas TAVR-it, krahasuar me vet\u00ebm 0,9 p\u00ebr qind pas kirurgjis\u00eb.<\/p>\n<p>Shumica e rasteve pas TAVR-it ndodh\u00ebn gjat\u00eb tri viteve t\u00eb para dhe shum\u00eb prej tyre u zgjidh\u00ebn spontanisht ose pas trajtimit. Vet\u00ebm nj\u00eb num\u00ebr i vog\u00ebl p\u00ebrparoi deri n\u00eb d\u00ebshtim t\u00eb bioprotez\u00ebs.<\/p>\n<p>Nd\u00ebrkoh\u00eb, problemet e lidhura me endokarditin ishin t\u00eb rralla dhe pothuajse t\u00eb nj\u00ebjta n\u00eb t\u00eb dyja grupet.<\/p>\n<p>Rezultatet shtat\u00ebvje\u00e7are jan\u00eb inkurajuese p\u00ebr p\u00ebrdorimin e TAVR-it te pacient\u00ebt me rrezik t\u00eb ul\u00ebt kirurgjikal, por nuk do t\u00eb thot\u00eb se kjo metod\u00eb \u00ebsht\u00eb automatikisht zgjedhja m\u00eb e mir\u00eb p\u00ebr t\u00eb gjith\u00eb.<\/p>\n<p>Mosha, anatomia e valvul\u00ebs dhe en\u00ebve t\u00eb gjakut, gjendja e arterieve koronare, s\u00ebmundjet shoq\u00ebruese dhe jet\u00ebgjat\u00ebsia e pritshme jan\u00eb nd\u00ebr faktor\u00ebt q\u00eb duhet t\u00eb merren parasysh gjat\u00eb zgjedhjes s\u00eb trajtimit.<\/p>\n<p>Rezultatet tregojn\u00eb gjithashtu nevoj\u00ebn p\u00ebr ndjekjen e pacient\u00ebve pas TAVR-it, ve\u00e7an\u00ebrisht p\u00ebr zbulimin e hersh\u00ebm t\u00eb tromboz\u00ebs s\u00eb valvul\u00ebs.<\/p>\n<p>Ndjekja dhjet\u00ebvje\u00e7are e pacient\u00ebve t\u00eb studimit PARTNER 3 pritet t\u00eb jap\u00eb p\u00ebrgjigje edhe m\u00eb t\u00eb qarta p\u00ebr q\u00ebndrueshm\u00ebrin\u00eb shum\u00eb afatgjat\u00eb t\u00eb k\u00ebtyre valvulave.<\/p>\n<hr style=\"margin:30px 0\"\/>\n<p style=\"font-size:13px;color:#666\">Burimi: <strong>mesazhi<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Studimi PARTNER 3 tregon rezultate shum\u00eb t\u00eb ngjashme afatgjata te pacient\u00ebt me rrezik t\u00eb ul\u00ebt kirurgjikal, por nj\u00eb nd\u00ebrlikim u shfaq duksh\u00ebm m\u00eb shpesh pas TAVR-it Z\u00ebvend\u00ebsimi i valvul\u00ebs aortale p\u00ebrmes kateterit, pa pasur nevoj\u00eb p\u00ebr operacion klasik n\u00eb zem\u00ebr t\u00eb hapur, ka treguar q\u00ebndrueshm\u00ebri t\u00eb krahasueshme me nd\u00ebrhyrjen kirurgjikale edhe shtat\u00eb vjet pas procedur\u00ebs. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":115740,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-115741","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shendetesi"],"_links":{"self":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/posts\/115741","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/comments?post=115741"}],"version-history":[{"count":0,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/posts\/115741\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/media\/115740"}],"wp:attachment":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/media?parent=115741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/categories?post=115741"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/tags?post=115741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}