{"id":7908,"date":"2026-04-25T12:44:48","date_gmt":"2026-04-25T10:44:48","guid":{"rendered":"https:\/\/plodnost.com.mk\/?p=7908"},"modified":"2026-04-30T10:12:21","modified_gmt":"2026-04-30T08:12:21","slug":"dr-hristijan-trpchevski-lecture-on-urogynaecology","status":"publish","type":"post","link":"https:\/\/plodnost.com.mk\/sq\/dr-hristijan-trpchevski-lecture-on-urogynaecology\/","title":{"rendered":"Dr. Hristijan Trp\u00e7evski me ligj\u00ebrat\u00eb p\u00ebr urogjinekologji"},"content":{"rendered":"

Kirurgjia moderne gjinekologjike po orientohet gjithnj\u00eb e m\u00eb shum\u00eb drejt procedurave precize, minimalisht invazive dhe t\u00eb fokusuara n\u00eb funksion, ve\u00e7an\u00ebrisht kur b\u00ebhet fjal\u00eb p\u00ebr gjendje q\u00eb ndikojn\u00eb drejtp\u00ebrdrejt n\u00eb cil\u00ebsin\u00eb e jet\u00ebs s\u00eb grave. Nj\u00eb nga k\u00ebto gjendje \u00ebsht\u00eb inkontinenca urinare stresuese, nj\u00eb problem p\u00ebr t\u00eb cilin shum\u00eb paciente heshtin, edhe pse mund t\u00eb ndikoj\u00eb ndjesh\u00ebm n\u00eb jet\u00ebn e p\u00ebrditshme, vet\u00ebbesimin, aktivitetin fizik dhe jet\u00ebn intime.<\/p>\n

N\u00eb kuad\u00ebr t\u00eb seksionit shkencor p\u00ebr urogjinekologji, q\u00eb do t\u00eb mbahet n\u00eb Hotel \u201cCar Samoil\u201d, n\u00eb Strumic\u00eb, m\u00eb 24 prill 2026, Dr. Hristijan Trp\u00e7evski do t\u00eb mbaj\u00eb ligj\u00ebrat\u00eb me tem\u00eb:<\/p>\n

\u201cKolposuspensioni laparoskopik Burch dhe modifikimi \u2018Burch-like TOT\u2019 n\u00eb trajtimin kirurgjik t\u00eb inkontinenc\u00ebs urinare stresuese\u201d<\/p>\n

Ligj\u00ebrata \u00ebsht\u00eb e fokusuar n\u00eb qasjet bashk\u00ebkohore kirurgjike n\u00eb urogjinekologji, me theks n\u00eb precizitetin, trajtimin minimalisht invaziv dhe ndarjen e p\u00ebrvoj\u00ebs praktike klinike.<\/p>\n

    \"Dr<\/p>\n

\u00c7far\u00eb \u00ebsht\u00eb inkontinenca urinare stresuese?<\/h3>\n

Inkontinenca urinare stresuese \u00ebsht\u00eb gjendje n\u00eb t\u00eb cil\u00ebn ndodh rrjedhje e pavullnetshme e urin\u00ebs gjat\u00eb kollitjes, teshtitjes, t\u00eb qeshurit, ngritjes s\u00eb peshave, aktivitetit fizik ose situatave t\u00eb tjera q\u00eb rrisin presionin n\u00eb abdomen.<\/p>\n

Edhe pse kjo gjendje \u00ebsht\u00eb e shpesht\u00eb, shum\u00eb gra e pranojn\u00eb si di\u00e7ka \u201cnormale\u201d pas lindjes, me kalimin e mosh\u00ebs ose pas ndryshimeve t\u00eb caktuara gjinekologjike. Megjithat\u00eb, inkontinenca urinare stresuese nuk duhet t\u00eb jet\u00eb tem\u00eb p\u00ebr t\u00eb cil\u00ebn pacientja hesht. Me vler\u00ebsim t\u00eb duhur dhe trajtim t\u00eb p\u00ebrshtatsh\u00ebm, te shum\u00eb paciente mund t\u00eb p\u00ebrmir\u00ebsohen ndjesh\u00ebm kontrolli, komoditeti dhe funksionimi i p\u00ebrditsh\u00ebm.<\/p>\n

Pse \u00ebsht\u00eb e r\u00ebnd\u00ebsishme urogjinekologjia n\u00eb gjinekologjin\u00eb moderne?<\/h3>\n

Urogjinekologjia \u00ebsht\u00eb fush\u00eb q\u00eb lidh gjinekologjin\u00eb, kirurgjin\u00eb dhe anatomin\u00eb funksionale t\u00eb dyshemes\u00eb pelvike. Ajo merret me gjendje si inkontinenca urinare stresuese, prolapsi i mitr\u00ebs ose vagin\u00ebs, mb\u00ebshtetja e dob\u00ebsuar e organeve pelvike dhe probleme t\u00eb tjera q\u00eb ndikojn\u00eb n\u00eb sh\u00ebndetin e gruas.<\/p>\n

K\u00ebto gjendje nuk jan\u00eb vet\u00ebm diagnoza mjek\u00ebsore. Ato ndikojn\u00eb n\u00eb m\u00ebnyr\u00ebn se si gruaja l\u00ebviz, punon, merret me aktivitet fizik, udh\u00ebton, fle dhe ndihet n\u00eb trupin e saj. Prandaj, qasja moderne nuk fokusohet vet\u00ebm n\u00eb korrigjimin anatomik, por edhe n\u00eb rikthimin e funksionit dhe p\u00ebrmir\u00ebsimin e cil\u00ebsis\u00eb s\u00eb jet\u00ebs.<\/p>\n

Kolposuspensioni laparoskopik Burch: qasje precize me invazivitet minimal<\/h3>\n

Kolposuspensioni laparoskopik Burch \u00ebsht\u00eb teknik\u00eb kirurgjike q\u00eb p\u00ebrdoret n\u00eb trajtimin e inkontinenc\u00ebs urinare stresuese. Q\u00ebllimi i procedur\u00ebs \u00ebsht\u00eb t\u00eb p\u00ebrmir\u00ebsoj\u00eb mb\u00ebshtetjen e uretr\u00ebs dhe murit t\u00eb p\u00ebrparm\u00eb vaginal, duke ulur rrjedhjen e pavullnetshme t\u00eb urin\u00ebs gjat\u00eb sforcimit.<\/p>\n

Qasja laparoskopike mund\u00ebson trajtim p\u00ebrmes prerjeve t\u00eb vogla, me vizualizim m\u00eb t\u00eb mir\u00eb t\u00eb strukturave anatomike dhe precizitet m\u00eb t\u00eb madh kirurgjik. P\u00ebr pacientet, kirurgjia minimalisht invazive shpesh n\u00ebnkupton traum\u00eb m\u00eb t\u00eb vog\u00ebl operative, rikuperim m\u00eb t\u00eb shpejt\u00eb dhe kthim m\u00eb t\u00eb hersh\u00ebm n\u00eb aktivitetet e p\u00ebrditshme, var\u00ebsisht nga gjendja individuale dhe vler\u00ebsimi mjek\u00ebsor.<\/p>\n

N\u00eb k\u00ebto procedura, p\u00ebrvoja e kirurgut, njohja e anatomis\u00eb pelvike dhe p\u00ebrzgjedhja e duhur e pacienteve kan\u00eb r\u00ebnd\u00ebsi thelb\u00ebsore.<\/p>\n

Modifikimi \u201cBurch-like TOT\u201d: mendim klinik dhe p\u00ebrshtatje kirurgjike<\/h3>\n

Tema e ligj\u00ebrat\u00ebs s\u00eb Dr. Hristijan Trp\u00e7evski p\u00ebrfshin edhe modifikimin \u201cBurch-like TOT\u201d n\u00eb trajtimin kirurgjik t\u00eb inkontinenc\u00ebs urinare stresuese. Ky aspekt \u00ebsht\u00eb ve\u00e7an\u00ebrisht i r\u00ebnd\u00ebsish\u00ebm sepse tregon nj\u00eb m\u00ebnyr\u00eb t\u00eb menduari kirurgjik q\u00eb nuk \u00ebsht\u00eb vet\u00ebm teknike, por edhe klinikisht e p\u00ebrshtatur.<\/p>\n

N\u00eb kirurgjin\u00eb urogjinekologjike nuk ekziston nj\u00eb qasje e nj\u00ebjt\u00eb p\u00ebr \u00e7do paciente. Dallimet n\u00eb anatomi, lindjet e m\u00ebparshme, operacionet e m\u00ebparshme, shkalla e inkontinenc\u00ebs dhe gjendja e dyshemes\u00eb pelvike k\u00ebrkojn\u00eb vler\u00ebsim individual.<\/p>\n

Pik\u00ebrisht p\u00ebr k\u00ebt\u00eb arsye, ligj\u00ebrata t\u00eb tilla kan\u00eb vler\u00eb t\u00eb madhe: ato nuk p\u00ebrcjellin vet\u00ebm teori, por edhe p\u00ebrvoj\u00eb praktike nga salla operative, analiz\u00eb t\u00eb qasjes, zgjedhje t\u00eb teknik\u00ebs dhe arsyetim klinik pas \u00e7do vendimi kirurgjik.<\/p>\n

 <\/p>\n

\"Dr<\/p>\n

R\u00ebnd\u00ebsia e ndarjes s\u00eb p\u00ebrvoj\u00ebs klinike<\/h3>\n

Seksionet shkencore dhe takimet profesionale kan\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb zhvillimin e mjek\u00ebsis\u00eb. Ato krijojn\u00eb hap\u00ebsir\u00eb ku mjek\u00ebt mund t\u00eb shk\u00ebmbejn\u00eb p\u00ebrvoja, t\u00eb diskutojn\u00eb qasje bashk\u00ebkohore dhe t\u00eb krahasojn\u00eb metoda t\u00eb ndryshme trajtimi.<\/p>\n

Ligj\u00ebrata e Dr. Hristijan Trp\u00e7evski n\u00eb seksionin p\u00ebr urogjinekologji paraqet mund\u00ebsi p\u00ebr prezantimin e nj\u00eb qasjeje praktike kirurgjike ndaj nj\u00eb gjendjeje q\u00eb \u00ebsht\u00eb e r\u00ebnd\u00ebsishme p\u00ebr shum\u00eb paciente. Fokusi nuk \u00ebsht\u00eb vet\u00ebm te teknika, por edhe te q\u00ebllimi i trajtimit: funksion m\u00eb i mir\u00eb, m\u00eb shum\u00eb siguri dhe cil\u00ebsi m\u00eb e mir\u00eb e jet\u00ebs p\u00ebr grat\u00eb.<\/p>\n

Spitali Plodnost dhe zhvillimi i kirurgjis\u00eb gjinekologjike minimalisht invazive<\/h3>\n

N\u00eb Spitalin Plodnost, kirurgjia gjinekologjike minimalisht invazive ka rol t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb trajtimin e gjendjeve t\u00eb ndryshme gjinekologjike. Procedurat laparoskopike mund\u00ebsojn\u00eb qasje bashk\u00ebkohore, pun\u00eb kirurgjike precize dhe trajtim t\u00eb orientuar drejt pacientes, jo vet\u00ebm drejt diagnoz\u00ebs.<\/p>\n

Pjes\u00ebmarrja e mjek\u00ebve t\u00eb Spitalit Plodnost n\u00eb seksione shkencore, ligj\u00ebrata dhe takime profesionale \u00ebsht\u00eb pjes\u00eb e r\u00ebnd\u00ebsishme e zhvillimit t\u00eb vazhduesh\u00ebm, shk\u00ebmbimit t\u00eb njohurive dhe ndjekjes s\u00eb standardeve bashk\u00ebkohore mjek\u00ebsore.<\/p>\n

Ligj\u00ebrata e Dr. Hristijan Trp\u00e7evski \u00ebsht\u00eb edhe nj\u00eb shembull se si p\u00ebrvoja klinike, praktika kirurgjike dhe diskutimi shkencor lidhen n\u00eb interes t\u00eb trajtimit m\u00eb t\u00eb mir\u00eb p\u00ebr pacientet.<\/p>\n

Caktimi i kontrollit n\u00eb Spitalin Plodnost<\/h3>\n

Grat\u00eb q\u00eb p\u00ebrballen me rrjedhje t\u00eb pavullnetshme t\u00eb urin\u00ebs gjat\u00eb kollitjes, teshtitjes, t\u00eb qeshurit, aktivitetit fizik ose aktiviteteve t\u00eb p\u00ebrditshme nuk duhet ta pranojn\u00eb k\u00ebt\u00eb gjendje si di\u00e7ka q\u00eb duhet duruar.<\/p>\n

Me vler\u00ebsim n\u00eb koh\u00eb, kontroll gjinekologjik dhe qasje individuale, mund t\u00eb diskutohen mund\u00ebsit\u00eb m\u00eb t\u00eb p\u00ebrshtatshme t\u00eb trajtimit.<\/p>\n

P\u00ebr informacione dhe caktim termini n\u00eb Spitalin Plodnost, telefononi n\u00eb:<\/p>\n

Telephone: +389 47 208 880<\/strong>
\nViber\/WhatsApp: +389 75 472 503<\/strong><\/p>\n

Spitali Plodnost mbetet i p\u00ebrkushtuar ndaj kujdesit bashk\u00ebkohor gjinekologjik, vler\u00ebsimit profesional dhe trajtimit q\u00eb ndjek nevojat e secil\u00ebs paciente.<\/p>","protected":false},"excerpt":{"rendered":"

\u0414-\u0440 \u0425\u0440\u0438\u0441\u0442\u0438\u0458\u0430\u043d \u0422\u0440\u043f\u0447\u0435\u0432\u0441\u043a\u0438 \u0441\u043e \u043f\u0440\u0435\u0434\u0430\u0432\u0430\u045a\u0435 \u0437\u0430 \u043b\u0430\u043f\u0430\u0440\u043e\u0441\u043a\u043e\u043f\u0441\u043a\u0430 Burch \u043a\u043e\u043b\u043f\u043e\u0441\u0443\u0441\u043f\u0435\u043d\u0437\u0438\u0458\u0430 \u0438 \u0441\u043e\u0432\u0440\u0435\u043c\u0435\u043d \u0445\u0438\u0440\u0443\u0440\u0448\u043a\u0438 \u0442\u0440\u0435\u0442\u043c\u0430\u043d \u043d\u0430 \u0441\u0442\u0440\u0435\u0441 \u0443\u0440\u0438\u043d\u0430\u0440\u043d\u0430 \u0438\u043d\u043a\u043e\u043d\u0442\u0438\u043d\u0435\u043d\u0446\u0438\u0458\u0430.<\/p>","protected":false},"author":8,"featured_media":7915,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[33,1],"tags":[],"class_list":["post-7908","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-latest-news","category-uncategorised"],"yoast_head":"\n\u0414-\u0440 \u0425\u0440\u0438\u0441\u0442\u0438\u0458\u0430\u043d \u0422\u0440\u043f\u0447\u0435\u0432\u0441\u043a\u0438 \u0441\u043e \u043f\u0440\u0435\u0434\u0430\u0432\u0430\u045a\u0435 \u0437\u0430 \u0443\u0440\u043e\u0433\u0438\u043d\u0435\u043a\u043e\u043b\u043e\u0433\u0438\u0458\u0430 - 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