{"id":763,"date":"2020-04-03T12:04:52","date_gmt":"2020-04-03T12:04:52","guid":{"rendered":"https:\/\/kvsurgerycenter.com\/kirurgji-e-pergjithshme-kirurgji-laparoskopike\/kolelitiza\/"},"modified":"2020-04-03T12:55:29","modified_gmt":"2020-04-03T12:55:29","slug":"kolelitiza","status":"publish","type":"page","link":"https:\/\/kvsurgerycenter.com\/sq\/operacionet-e-kirurgjise\/kirurgji-e-pergjithshme-kirurgji-laparoskopike\/kolelitiza\/","title":{"rendered":"Kolelitiza"},"content":{"rendered":"\t\t
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Operacionet<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Kolelitiza<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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FAQE HYR\u00cbSE<\/a><\/span><\/span><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Cdo dit\u00eb d\u00ebgjojm\u00eb nga miqt\u00eb, t\u00eb njohurit ose t\u00eb af\u00ebrmit p\u00ebrreth nesh q\u00eb thon\u00eb se ata kan\u00eb ‘gur\u00eb’. Ata padyshim do t\u00eb thot\u00eb se kan\u00eb gur\u00eb n\u00eb fshik\u00ebz\u00ebn e t\u00ebmthit.Esht\u00eb e r\u00ebnd\u00ebsishme t\u00eb dim\u00eb sakt\u00ebsisht se \u00e7far\u00eb ndodh me nj\u00eb problem kaq t\u00eb zakonsh\u00ebm, sepse t\u00eb gjith\u00eb e kemi t\u00ebmthin, por “gur\u00ebt e t\u00ebmthit” i \u00a0kan\u00eb vet\u00ebm nj\u00eb 10-25% t\u00eb popullsis\u00eb. Disa frik\u00ebsohen, disa i n\u00ebnvler\u00ebsojn\u00eb dhe ata thjesht nuk din\u00eb si ta trajtojn\u00eb. Por le t\u00eb hedhim nj\u00eb v\u00ebshtrim n\u00eb disa parametra themelor\u00eb t\u00eb problemit.<\/p>\n

Fshik\u00ebza e t\u00ebmthit \u00ebsht\u00eb nj\u00eb qese e vog\u00ebl me madh\u00ebsi dhe form\u00eb si dardha. Ndodhet n\u00eb sip\u00ebrfaqen e poshtme t\u00eb m\u00ebl\u00e7is\u00eb, n\u00eb an\u00ebn e sip\u00ebrme t\u00eb djatht\u00eb t\u00eb abdomenit. Esht\u00eb e lidhur me sistemin kryesor t\u00eb drenazhimit \u00a0te bil\u00ebs me nj\u00eb tub t\u00eb vog\u00ebl, kanalin cistik. Roli kryesor i fshik\u00ebz\u00ebs s\u00eb t\u00ebmthit \u00ebsht\u00eb ruajtja dhe koncentrimi i bil\u00ebs, e cila prodhohet dhe ekskretohet nga m\u00ebl\u00e7ia vazhdimisht. Pas nj\u00eb vakti kryesor me yndyr\u00eb, fshik\u00ebza e t\u00ebmthit kontraktohet dhe d\u00ebrgon nj\u00eb bil\u00eb\u00a0 t\u00eb trash\u00eb n\u00eb zorr\u00eb. Kjo sh\u00ebrben p\u00ebr t\u00eb arritur tretjen kryesisht t\u00eb yndyrnave dhe vitaminave. Pasi t\u00eb mbaroj\u00eb vakti, fshik\u00ebza e t\u00ebmthit relaksohet dhe fillon t\u00eb rimbushet\u00a0 me bil\u00eb.<\/p>\n

Bila \u00a0\u00ebsht\u00eb nj\u00eb l\u00ebng jeshil q\u00eb p\u00ebrmban krip\u00ebra biliare, kolesterol, bilirubin dhe lecithin. M\u00ebl\u00e7ia prodhon rreth 850 m bil\u00eb l \u00a0\u00e7do dit\u00eb.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Si mund t\u00eb p\u00ebsoni gur\u00eb n\u00eb fshik\u00ebz\u00ebn e t\u00ebmthit?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Gur\u00ebt formohen kur ndonj\u00eb prej p\u00ebrb\u00ebr\u00ebsve biliare (ve\u00e7an\u00ebrisht kolesteroli ose bilirubina) ndalojn\u00eb t\u00eb jen\u00eb t\u00eb tretshme (ndoshta p\u00ebr shkak t\u00eb mbisaturimit \u00a0t\u00eb solucionit) dhe shkaktojn\u00eb sedimente dhe kristale. Kjo formon r\u00ebr\u00ebn n\u00eb fshik\u00ebz\u00ebn e t\u00ebmthit dhe gur\u00ebt. Ne nuk e dim\u00eb pse disa shfaqin gur\u00eb n\u00eb t\u00ebmth dhe disa jo. Por ne dim\u00eb disa faktor\u00eb q\u00eb rrisin rrezikun e gur\u00ebve.<\/p>\n

Gjithashtu, m\u00ebnyra se si dieta ndikon \u00ebsht\u00eb e paqart\u00eb, por dietat e larta n\u00eb kolesterol dhe yndyr\u00eb dhe fibra t\u00eb pakta mund t\u00eb rrisin shanset e gur\u00ebve t\u00eb t\u00ebmthit. K\u00ebshtu, pacient\u00ebt me s\u00ebmundje t\u00eb r\u00ebnda t\u00eb m\u00ebl\u00e7is\u00eb ose s\u00ebmundje t\u00eb gjakut shpesh paraqiten me gur\u00eb bilirubine. Sidoqoft\u00eb, m\u00eb shpesh, ne gjejm\u00eb gur\u00eb kolesteroli, ve\u00e7an\u00ebrisht te femrat \u00a0mbi 20 vje\u00e7 (sidomos shtatz\u00ebna) dhe\u00a0 tek meshkujt mbi 50 vje\u00e7, njer\u00ebzit obez\u00eb, njer\u00ebzit n\u00eb dieta t\u00eb p\u00ebrshpejtuara \u00a0me humbje t\u00eb shpejt\u00eb t\u00eb pesh\u00ebs, dhe ata q\u00eb marrin ila\u00e7e (si\u00e7 jan\u00eb kontraceptiv\u00ebt ose ila\u00e7et p\u00ebr kolesterolin).<\/p>\n

Sidoqoft\u00eb, n\u00eb shumic\u00ebn e rasteve nuk ka ndonj\u00eb arsye specifike p\u00ebr pranin\u00eb e gur\u00ebve t\u00eb t\u00ebmthit, p\u00ebrve\u00e7 mosh\u00ebs ose nj\u00eb predispozicioni familjar.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Kolelitiaza: Simptomat<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Simptoma m\u00eb tipike e gur\u00ebve n\u00eb fshik\u00ebz\u00ebn \u00a0e t\u00ebmthit \u00ebsht\u00eb dhimbja e fort\u00eb konstante n\u00eb pjes\u00ebn e sip\u00ebrme t\u00eb djatht\u00eb t\u00eb abdomenit, me reflektime t\u00eb ndryshme (te stomaku, shpina, midis shpatullave, shpatulla e djatht\u00eb dhe gjetk\u00eb). Mund t\u00eb zgjas\u00eb deri n\u00eb 15 minuta ose or\u00eb, mund t\u00eb shoq\u00ebrohet me nauzea, t\u00eb vjella ose djersitje dhe mund t\u00eb shoq\u00ebrohet me ethe dhe \/ ose verdh\u00ebz (zverdhje). Episodet e dhimbjes mund t\u00eb vijn\u00eb papritmas me intervale jav\u00ebsh, muajsh apo madje vite pa dhimbje fare.<\/p>\n

Dhimbja e kolelitiaz\u00ebs \u00a0vjen nga bllokimi i kanalit t\u00eb t\u00ebmthit nga nj\u00eb gur. Kur bllokimi zgjatet (p\u00ebr disa or\u00eb) fshik\u00ebza e t\u00ebmthit fillon t\u00eb inflamohet. Kjo gjendje quhet kolecistititi akut dhe karakterizohet nga ethe, dhimbje e zgjatur dhe\u00a0 eventualisht p\u00ebrkeq\u00ebsim i p\u00ebrmbajtjes s\u00eb fshik\u00ebz\u00ebs s\u00eb t\u00ebmthit. N\u00eb k\u00ebt\u00eb rast, shtrimi n\u00eb Klinik\u00eb, mjekimi dhe shpesh operacioni urgjent jan\u00eb t\u00eb nevojshme. Simptoma t\u00eb tjera atipike t\u00eb kolelitiaz\u00ebs jan\u00eb dispepsi (meteoriz\u00ebm, skuqje), nauze difuze n\u00eb bark, ve\u00e7an\u00ebrisht pas vakteve yndyrore, \u00e7rregullim i ngjyr\u00ebs s\u00eb jasht\u00ebqitjes, dhimbje \u00a0stomaku ose n\u00eb shpin\u00eb.<\/p>\n

Komplikacione m\u00eb serioze mund t\u00eb ndodhin kur gur\u00ebt kalojn\u00eb n\u00ebp\u00ebr kanalin biliar, dometh\u00ebn\u00eb tubin q\u00eb lidh m\u00ebl\u00e7in\u00eb me intestinin. At\u00ebher\u00eb mund t\u00eb shkaktoj\u00eb inflamacion t\u00eb r\u00ebnd\u00eb n\u00eb kanalin biliar dhe mund t\u00eb shkaktoj\u00eb kolangitit akut ose inflamacion ascendent q\u00eb\u00a0 arrin n\u00eb m\u00ebl\u00e7i dhe\u00a0 krijon abscese t\u00eb m\u00ebl\u00e7is\u00eb. N\u00ebse gur\u00ebt bllokojn\u00eb duktin pankreatik (i cili d\u00ebrgon l\u00ebngun pankreatik – enzimat – n\u00eb intestin), at\u00ebher\u00eb mund t\u00eb shkaktoj\u00eb nj\u00eb s\u00ebmundje shum\u00eb k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn: pankreatitin akut. T\u00eb gjitha k\u00ebto situata jan\u00eb t\u00eb rrezikshme dhe duhet t\u00eb trajtohen me kujdes t\u00eb duhur n\u00eb nj\u00eb Klinik\u00eb apo Spital.<\/p>\n

Shum\u00eb njer\u00ebz me gur\u00eb n\u00eb t\u00ebmth nuk kan\u00eb simptoma, dhe i zbulojn\u00eb rast\u00ebsisht nd\u00ebrsa ekzaminohen p\u00ebr nj\u00eb arsye tjet\u00ebr. Cdo vit 1-3% e popullsis\u00eb do t\u00eb ket\u00eb kolik biliar, nd\u00ebrsa 20-33% e pacient\u00ebve do t\u00eb ken\u00eb simptoma mbi 20 vjet. Shumica e pacient\u00ebve kan\u00eb simptoma para se t\u00eb nd\u00ebrlikohen. Pas kolik\u00ebs biliare, 3-9% e pacient\u00ebve p\u00ebsojn\u00eb simptoma t\u00eb r\u00ebnda \u00e7do vit, 1-3% kan\u00eb komplikacione t\u00eb r\u00ebnda dhe 3-8% i n\u00ebnshtrohen kolecistektomis\u00eb. 50% e personave me simptoma t\u00eb lehta do t\u00eb ken\u00eb komplikacione brenda 20 viteve.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Si diagnostikohet kolelithiaza?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Pjesa m\u00eb e r\u00ebnd\u00ebsishme e procesit diagnostikues \u00ebsht\u00eb marrja e nj\u00eb anamneze t\u00eb mir\u00eb t\u00eb pacientit, p\u00ebrshkrimi i simptomave t\u00eb pacientit dhe ekzaminimi klinik i mjekut. Teste shtes\u00eb t\u00eb gjakut jan\u00eb t\u00eb nevojshme p\u00ebr t\u00eb kontrolluar funksionin e m\u00ebl\u00e7is\u00eb dhe drenazhin biliar. Nj\u00eb element kryesor i diagnoz\u00ebs \u00ebsht\u00eb konfirmimi i \u00e7do dyshimi me an\u00eb t\u00eb ndonj\u00eb metode imazherie.<\/p>\n

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M\u00eb t\u00eb zakonshmet jan\u00eb EKO dhe \u00a0tomografia kompjuterike (CT Scans). N\u00eb raste t\u00eb jasht\u00ebzakonshme, kur gur\u00ebt kan\u00eb hyr\u00eb n\u00eb duktin\u00a0 komun hepatik ose duktin koledok, mund te nevojiten MRCP ose madje edhe procedura m\u00eb invasive. Kolangiopankreatografia\u00a0 Reverse Endoskopike (ERCP), ku kryhet nj\u00eb ekzaminim i ngjash\u00ebm.dukti biliar \u00a0mund t\u00eb kontrollohet dhe pastrohet. Zgjedhja e metod\u00ebs s\u00eb duhur varet nga mjeku specialist i cili \u00ebsht\u00eb p\u00ebrgjegj\u00ebs p\u00ebr ekzaminimin dhe zgjidhjen e problemit t\u00eb pacientit.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Trajtimi \/ Terapia<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Kolecistektomia \u00ebsht\u00eb operacioni q\u00eb indikohet n\u00eb secilin rast t\u00eb kolelithiaz\u00ebs, ose pas episodeve t\u00eb kolecistitit litik \/ kolangitit ose pankreatitit. Nuk ka absolutisht asnj\u00eb m\u00ebnyr\u00eb tjet\u00ebr p\u00ebr t\u00eb hequr gur\u00ebt nga fshik\u00ebza e t\u00ebmthit. Zbatimi i litotripsis\u00eb, si\u00e7 \u00ebsht\u00eb rasti me gur\u00eb t\u00eb m\u00ebdhenj n\u00eb veshka, nuk ka aspak efikasitet \u00a0ne bile dhe, nga ana tjet\u00ebr, mund t\u00eb shkaktoj\u00eb probleme dhe komplikacione t\u00eb r\u00ebnd\u00ebsishme. Nuk ekzistojn\u00eb \u00a0ila\u00e7et q\u00eb “th\u00ebrrmojn\u00eb” gur\u00ebt. Kolecistektomia \u00ebsht\u00eb kryesisht nj\u00eb procedur\u00eb paraprake, pasi b\u00ebhet p\u00ebr t\u00eb parandaluar t\u00eb gjitha nd\u00ebrlikimet e m\u00ebsip\u00ebrme.<\/p>\n

Nj\u00ebzet –\u00a0 nj\u00ebzet e pes\u00eb vjet m\u00eb par\u00eb, \u00a0kolecistektomia\u00a0 \u00a0b\u00ebhej \u00a0‘e hapur’, dometh\u00ebn\u00eb me nj\u00eb incision\u00a0 t\u00eb madh n\u00eb pjes\u00ebn e sip\u00ebrm\u00eb t\u00eb djatht\u00eb t\u00eb barkut. Pacienti duhej t\u00eb q\u00ebndronte n\u00eb spital p\u00ebr 4-6 dit\u00eb pas k\u00ebtij operacioni, dhe vuante nga dhimbje t\u00eb forta pas operacionit. Tani, kirurgjia laparoskopike, e kryer nga kirurg\u00eb t\u00eb specializuar dhe t\u00eb trajnuar adekuat, ka zgjidhur k\u00ebto probleme t\u00eb kirurgjis\u00eb s\u00eb hapur.<\/p>\n

Kolecistektomia laparoskopike kryhet me 3-4 vrima t\u00eb vogla n\u00eb abdomen, pacienti q\u00ebndron n\u00eb spital p\u00ebr m\u00eb pak se 24 or\u00eb, mobilizimi dhe sh\u00ebrimi i tij \u00ebsht\u00eb i menj\u00ebhersh\u00ebm, dhe dhimbja \u00ebsht\u00eb pothuajse inekzistente.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\n\t\t\t\t\t\t\t\n\t\t\t\tNd\u00ebrhyrje Laparoskopike\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Nd\u00ebrhyrje Laparoskopike<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t \u039b\u03b1\u03c0\u03b1\u03c1\u03bf\u03c3\u03ba\u03bf\u03c0\u03b9\u03ba\u03ae \u03c7\u03bf\u03bb\u03bf\u03ba\u03c5\u03c3\u03c4\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tApendektomi laparoskopike<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t Hernie Inguinale (EkstraPeritoniale Totale)<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t Hernie Inguinale (EkstraPeritoniale Totale)<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tHernia femorale<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tHernia umbilikal<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tHernie incizionale<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tHernie e Linjes mediale<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t Sports hernia<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t Riparim Laparoskopik i Hernies Hiatale<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t Terapia laparoskopike e achalasia<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t Kolektomia laparoskopike<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t S\u00ebmundjet beninje (divertikuliti)<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t S\u00ebmundje malinje<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t Reseksioni laparoskopik i m\u00ebl\u00e7is\u00eb, kisti renal dhe splenik<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t Terapia laparoskopike e adezioneve<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tLaparoskopia diagnostike<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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    PRENOTONI NJE TAKIM <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Dr. Vlachos \u00ebsht\u00eb i disponuesh\u00ebm vet\u00ebm me takim. Ju lutemi kontaktoni Recepsionin ose p\u00ebrmes telefonit ose e-mailit p\u00ebr t\u00eb prenotuar nj\u00eb takim. Kontaktoni me ne n\u00eb : +3026511 81081 & 6976 111850 n\u00eb orarin 10:00 - 20:00.E H\u00ebn\u00eb - E Premte .Ose mund t\u00eb na d\u00ebrgoni e-mail n\u00eb info@kvsurgerycenter.com ose duke klikuar formularin e kontaktit m\u00eb posht\u00eb: formulari i kontaktit..<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    Operacionet Cdo dit\u00eb d\u00ebgjojm\u00eb nga miqt\u00eb, t\u00eb njohurit ose t\u00eb af\u00ebrmit p\u00ebrreth nesh q\u00eb thon\u00eb se ata kan\u00eb ‘gur\u00eb’. Ata padyshim do t\u00eb thot\u00eb se kan\u00eb gur\u00eb n\u00eb fshik\u00ebz\u00ebn e t\u00ebmthit.Esht\u00eb e r\u00ebnd\u00ebsishme t\u00eb dim\u00eb sakt\u00ebsisht se \u00e7far\u00eb ndodh me nj\u00eb problem kaq t\u00eb zakonsh\u00ebm, sepse t\u00eb gjith\u00eb e kemi t\u00ebmthin, por “gur\u00ebt e t\u00ebmthit” […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":735,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"acf":[],"yoast_head":"\nKolelitiza - KV Surgery Center | Dr Konstantinos Vlachos<\/title>\n<meta name=\"description\" content=\"\u00ab\u03c7\u03bf\u03bb\u03ae\u00bb \u03ad\u03c7\u03bf\u03c5\u03bc\u03b5 \u03cc\u03bb\u03bf\u03b9, \u00ab\u03c7\u03bf\u03bb\u03bf\u03bb\u03b9\u03b8\u03af\u03b1\u03c3\u03b7\u00bb \u03cc\u03bc\u03c9\u03c2 \u03ad\u03c7\u03b5\u03b9 \u03bc\u03cc\u03bd\u03bf \u03ad\u03bd\u03b1 10-25% \u03c4\u03bf\u03c5 \u03c0\u03bb\u03b7\u03b8\u03c5\u03c3\u03bc\u03bf\u03cd. \u039a\u03ac\u03c0\u03bf\u03b9\u03bf\u03b9 \u03c4\u03c1\u03bf\u03bc\u03bf\u03ba\u03c1\u03b1\u03c4\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9, \u03ba\u03ac\u03c0\u03bf\u03b9\u03bf\u03b9 \u03c4\u03bf \u03c5\u03c0\u03bf\u03c4\u03b9\u03bc\u03bf\u03cd\u03bd \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03b5\u03bd\u03b7\u03bc\u03b5\u03c1\u03c9\u03bc\u03ad\u03bd\u03bf\u03b9 \u03b1\u03c0\u03bb\u03ac \u03b3\u03bd\u03c9\u03c1\u03af\u03b6\u03bf\u03c5\u03bd \u03c0\u03ce\u03c2 \u03bd\u03b1 \u03c4\u03bf \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03c3\u03bf\u03c5\u03bd.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kvsurgerycenter.com\/sq\/operacionet-e-kirurgjise\/kirurgji-e-pergjithshme-kirurgji-laparoskopike\/kolelitiza\/\" \/>\n<meta property=\"og:locale\" content=\"sq_AL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kolelitiza - 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