Radiologjia ka nj\u00eb tradit\u00eb relativisht t\u00eb gjat\u00eb. N\u00eb k\u00ebt\u00eb drejtim mjek\u00ebsor orientohen pacient\u00ebt p\u00ebr t\u00eb vijuar procedurat diagnostikuese mjek\u00ebsore dhe p\u00ebr t\u00eb zbuluar s\u00ebmundjet e tyre.<\/strong><\/p>\n\n\n\n Dr.Sh.M. Ilirian La\u00e7i dashurin\u00eb p\u00ebr mjek\u00ebsin\u00eb e bart q\u00eb nga f\u00ebmij\u00ebria, nd\u00ebrkaq sot e kultivon n\u00eb praktik\u00eb me pasion e zell t\u00eb pashoq.<\/strong><\/p>\n\n\n\n \u00cbsht\u00eb k\u00ebnaq\u00ebsi t\u00eb bisedosh me nj\u00eb mjek i cili reflekton pozitivitet duke dhuruar buz\u00ebqeshje me optimiz\u00ebm n\u00eb \u00e7do moment.<\/strong><\/p>\n\n\n\n Dr.Sh.M. Ilirian La\u00e7i ka punuar dhe botuar shum\u00eb artikuj brenda dhe jasht\u00eb Shqip\u00ebris\u00eb, ka qen\u00eb pjes\u00ebmarr\u00ebs dhe referues n\u00eb shum\u00eb konferenca brenda dhe jasht\u00eb vendit, si dhe autor teksti monografie. <\/strong><\/p>\n\n\n\n Radiologjia si shkenc\u00eb dhe profesion mjek\u00ebsor ka z\u00ebn\u00eb vend t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb aplikim dhe n\u00eb diagnoz\u00eb, por edhe n\u00eb intervenime \u00ebsht\u00eb b\u00ebr\u00eb e pashmangshme, dhe k\u00ebt\u00eb do e m\u00ebsoni nga kjo intervist\u00eb n\u00eb tetorin roz\u00eb, muajin kund\u00ebr kancerit t\u00eb gjirit, me Dr.Sh.M. Ilirian La\u00e7i!<\/strong><\/p>\n\n\n\n -Doktor La\u00e7i, po e nisim k\u00ebt\u00eb intervist\u00eb me nj\u00eb pyetje q\u00eb ndoshta do t\u2019ju kthej\u00eb edhe ju pas n\u00eb koh\u00eb. \u00c7fa\u00eb ju shtyu q\u00eb t\u00eb orientoheni drejt mjek\u00ebsis\u00eb duke ditur se ky profesion aq sa \u00ebsht\u00eb human, por i shoq\u00ebruar po aq edhe me rrezikshm\u00ebri? <\/strong><\/p>\n\n\n\n -Ka qen\u00eb nj\u00eb d\u00ebshir\u00eb e f\u00ebmij\u00ebris\u00eb t\u00eb isha mjek, por nuk e mohoj q\u00eb edhe shtys\u00eb e familjes sigurisht. <\/p>\n\n\n\n Pas p\u00ebrfundimit t\u00eb fakultetit t\u00eb mjek\u00ebsis\u00eb si mjek i p\u00ebrgjithsh\u00ebm kam patur fatin t\u00eb punoja si mjek urgjence. Kjo ishte nj\u00eb pun\u00eb shum\u00eb e v\u00ebshtir\u00eb, por pata fatin p\u00ebr tu ndjer\u00eb shum\u00eb shpejt mjek n\u00eb kuptimin q\u00eb menj\u00ebher\u00eb fillon dhe ndihesh i dobish\u00ebm,e k\u00ebshtu fillon nj\u00eb rreth vicioz pozitiv ku fillon ta duash pun\u00ebn dhe profesionin.<\/p>\n\n\n\n Puna si mjek urgjence ishte universitet m\u00eb vete, n\u00eb nj\u00eb koh\u00eb t\u00eb shkurt\u00ebr duhej t\u00eb diagnostikoj\u00eb e t\u00eb trajtoj\u00eb, k\u00ebrkonte shum\u00eb intuit\u00eb. Pun\u00eb e cila t\u00eb b\u00ebnte multidisiplinar, t\u00eb njihje kardiologjin\u00eb, s\u00ebmundjet interne, kirurgjin\u00eb, reanimimin, kirurgjin\u00eb etj.Fillimisht m\u00eb dukej si periudh\u00eb rutine dhe jo shum\u00eb e dobishme por sot e ndjej t\u00eb jet\u00eb pjes\u00eb e r\u00ebnd\u00ebsishme e formimit tim si mjek.<\/p>\n\n\n\n -\u2026dhe pse pik\u00ebrisht zgjodh\u00ebt radiologjin\u00eb? Mendoni se keni patur sinjale q\u00eb posedoni talent p\u00ebr k\u00ebt\u00eb deg\u00eb t\u00eb mjek\u00ebsis\u00eb?<\/strong><\/p>\n\n\n\n -Pas disa vitesh fillova specializimin n\u00eb radiologji, t\u00eb cilin e kam zgjedhur pas influencave t\u00eb koh\u00ebs ku ndihej \u201catmosfera\u201d e teknologjis\u00eb dhe roli i saj n\u00eb sektorin mjek\u00ebsor.Pas p\u00ebrfundimit t\u00eb specializimit si mjek radiolog kam p\u00ebrfunduar studimet e doktoratur\u00ebs.<\/p>\n\n\n\n -Puna juaj \u00ebsht\u00eb dinamike dhe n\u00ebnkupton nj\u00eb p\u00ebrgjegj\u00ebsi t\u00eb lart\u00eb. Sa arrini t\u2019u vini n\u00eb ndihm\u00eb pacient\u00ebve q\u00eb k\u00ebrkojn\u00eb trajtim? <\/strong><\/p>\n\n\n\n -Q\u00eb gjat\u00eb koh\u00ebs s\u00eb specializimit jam p\u00ebrpjekur t\u00eb marr eksperienca n\u00eb qendra dhe spitale t\u00eb tjera brenda dhe jasht\u00eb vendit si Austri, Turqi dhe Itali. Pas p\u00ebrfundimit t\u00eb specializimit fillova pun\u00eb si mjek radiolog n\u00eb QSUT e m\u00eb pas n\u00eb disa struktura t\u00eb tjera n\u00eb Tiran\u00eb nd\u00ebrkoh\u00eb fillova t\u00eb ndjek disa trajnime kryesisht n\u00eb Itali dhe Austri.Trajnime n\u00eb Radiologji Diagnostike, Mjek\u00ebsi Nukleare etj. M\u00eb pas trajnim afatgjat\u00eb n\u00eb Universita Cattolica Di Sacro Quore Gemelli, ku p\u00ebr her\u00eb t\u00eb par\u00eb fillova nj\u00eb trajnim n\u00eb Radiologji Intervencionuese gj\u00eb e cila m\u00eb p\u00eblqeu shum\u00eb. Vlen t\u00eb p\u00ebrmend q\u00eb kam qen\u00eb me fat q\u00eb kam punuar me nje staf dhe mjek\u00eb t\u00eb shk\u00eblqyer.<\/p>\n\n\n\n Ishte nj\u00eb moment ku gjeta veten. Pas atij trajnimi jam kthyer dhe kam punuar vazhdimisht p\u00ebr \u00ebndrr\u00ebn time. Kam punuar fillimish me pak pacient\u00eb , pak raste ,me v\u00ebshtir\u00ebsi si teknike, ku futen munges\u00eb pajisjesh, por edhe munges\u00eb p\u00ebrvoje e institucioneve ku un\u00eb punoja, por vazhdimisht kam ndjer\u00eb suportin e koleg\u00ebve dhe akoma m\u00eb shum\u00eb t\u00eb miqve p\u00ebr t\u00eb m\u00eb inkurajuar.<\/p>\n\n\n\n Pas disa rasteve t\u00eb suksessh\u00ebm njer\u00ebzit fillojn\u00eb besojn\u00eb, e k\u00ebshtu vijn\u00eb pacient\u00eb t\u00eb tjer\u00eb akoma m\u00eb kompleks e lind nevoja p\u00ebr t\u00eb tjera trajnime.Kam qen\u00eb n\u00eb MD Anderson Texas, Houston, Vien\u00eb, Salzburg,Stamboll,Dusseldor,Beograd, Athin\u00eb, Bologna,Trapani etj<\/p>\n\n\n\n M\u00eb pas master n\u00eb Policlinico Tor Vergata, n\u00eb Radiologji Intervencionuse. Profesor\u00ebt dhe mjek\u00ebt nga t\u00eb cil\u00ebt kam m\u00ebsuar jan\u00eb t\u00eb shumt\u00eb n\u00eb num\u00ebr disa prej tyre t\u00eb njohur nd\u00ebrkomb\u00ebtarisht n\u00eb forumet shkencore.<\/p>\n\n\n\n -A ofron puna e radiologut edhe kreativitet apo teknologjia ka procedura t\u00eb ngurta t\u00eb paracaktuara?<\/strong><\/p>\n\n\n\n -Mjek\u00ebsia sigurisht \u00ebsht\u00eb e v\u00ebshtir\u00eb dhe pun\u00eb me shum\u00eb p\u00ebrgjegj\u00ebsi dhe radiologjia gjithashtu, por radiologjia intervencionuese \u00ebsht\u00eb akoma m\u00eb e rrezikshme, k\u00ebrkon precizion, sakt\u00ebsi dhe suksesi e mossuksesi ndodh menj\u00ebher\u00eb n\u00eb tavolin\u00ebn operatore.<\/p>\n\n\n\n -Sigurisht p\u00ebr pun\u00ebn q\u00eb b\u00ebni merrni fal\u00ebnderime nga pacient\u00ebt, por edhe nga koleg\u00ebt profesionist\u00eb. \u00c7far\u00eb ndjesish ju krijon kjo gj\u00eb?<\/strong><\/p>\n\n\n\n -\u00cbsht\u00eb e jasht\u00ebzakonshme ndjenja e suksesit.<\/p>\n\n\n\n -Radiologjia si shkenc\u00eb a ka hap\u00ebsir\u00eb p\u00ebr zgjerim e zbulim t\u00eb mund\u00ebsive dhe metodave t\u00eb reja, praktikidht ka arritur limitet e veta apo ka inovacione? N\u00ebse po cilat jan\u00eb ato?<\/strong><\/p>\n\n\n\n -Radiologjia intervencionuese \u00ebsht\u00eb nj\u00eb deg\u00eb relativisht e re e mjek\u00ebsis\u00eb krahasuar me mij\u00ebra e qindra vite q\u00eb ekzistojn\u00eb disiplinat e tjera t\u00eb mjek\u00ebsis\u00eb. Radiologjia intervencionuese \u00ebsht\u00eb shum\u00eb e re n\u00eb vende t\u00eb zhvilluara e akoma m\u00eb e re n\u00eb vendin ton\u00eb.<\/p>\n\n\n\n Por \u00ebsht\u00eb e jasht\u00ebzakonshme dhe mendoj q\u00eb \u00ebsht\u00eb mjek\u00ebsia e t\u00eb ardhmes. K\u00ebshtu mund t\u2019ju them q\u00eb radiologjia intervencionuese mund t\u00eb trajtoj\u00eb en\u00ebt e bllokuara t\u00eb gjakut, n\u00eb k\u00ebmb\u00eb duke parandaluar prerjen e k\u00ebmb\u00ebs n\u00eb paciente diabetike. Mund t\u00eb trajtohen n\u00eb stente arteriet q\u00eb furnizojn\u00eb trurin me gjak duke parandaluar infarktin e trurit por mund t\u00eb hiqet trombi n\u00eb nj\u00eb arterie t\u00eb bllokuar t\u00eb trurit gjithashtu. Mund t\u00eb mbyllet me rrug\u00eb endovaskulare nj\u00eb arterie apo ven\u00eb e organizmit e ca p\u00ebr arsye traumatike duke shp\u00ebtuar jet\u00ebn e pacientit, por edhe organin jet\u00ebsor. T\u00eb gjitha k\u00ebto pa e operuar pacientin tradicionalisht (me kirurgji t\u00eb hapur) por me nj\u00eb shpim minimal sa mund t\u00eb kalohet nj\u00eb katater i holl\u00eb arrihet t\u00eb kryhet nd\u00ebrhyrja.<\/p>\n\n\n\n Vlejn\u00eb t\u00eb p\u00ebrmenden trajtimi i tumoreve me metoda termike si (microwave ablation, cryoablation dhe radiofrequence ablation )me rrug\u00eb perkutane n\u00ebp\u00ebrmjet nj\u00eb shpimi t\u00eb vet\u00ebm. Procedura realizohet me nj\u00eb anestezi lokale, pacienti \u00ebsht\u00eb i zgjuar, flet, dhe komunikon normalisht dhe n\u00eb saj\u00eb t\u00eb nj\u00eb elektrode e cila krijon efekt termik t\u00eb kontrolluar mund t\u00eb shkat\u00ebrrojm\u00eb tumore t\u00eb tiroides, gjirit, m\u00ebl\u00e7is\u00eb, mushk\u00ebris\u00eb, kockave etj. Pacienti q\u00ebndron disa or\u00eb n\u00eb spital e m\u00eb pas kthehet n\u00eb sht\u00ebpi. Trajtim i tumorit me TACE Injektim i Kimioterapis\u00eb dhe substanc\u00ebs embolizuese n\u00eb tumor. Efekt shkat\u00ebrrimi i tumorit si dhe efekt i bllokimit t\u00eb arterieve q\u00eb furnizojn\u00eb tumorit nj\u00ebkoh\u00ebsisht. Efekt i dyfisht\u00eb tumori nuk furnizohet m\u00eb n\u00eb gjak nd\u00ebrkoh\u00eb q\u00eb kimioterapia vepron n\u00eb brend\u00ebsi t\u00eb tumorit. T\u00eb gjitha k\u00ebto metoda njihen me emrin si kirurgjia pa gjak. Ka plot procedura t\u00eb tjera t\u00eb radiologjis\u00eb intervencionuese si trajtimi i patologjive t\u00eb kolon\u00ebs spinale, varikocelat pelvike e testikulare, vendosja e Port A Cath, etj. T\u00eb gjitha procedura n\u00eb ndihm\u00eb t\u00eb pacient\u00ebve me metoda mininvazive.<\/p>\n\n\n\n -Ju jeni edhe pedagog, sipas mendimit tuaj, a ofron sot sistemi arsimor mund\u00ebsi solide q\u00eb student\u00ebt t\u00eb arrijn\u00eb shkatht\u00ebsit\u00eb dhe dijet p\u00ebr pun\u00eb?<\/strong><\/p>\n\n\n\n -Gjat\u00eb pun\u00ebs time si pedagog jam p\u00ebrpjekur t\u00eb jem pran\u00eb student\u00ebve m\u00eb t\u00eb rejat e shkenc\u00ebs.<\/p>\n\n\n\n Student\u00ebt gjithmon\u00eb paraqesin interes shum\u00eb t\u00eb madh dhe p\u00ebrqafojn\u00eb shpejt k\u00ebto informacione duke u b\u00ebr\u00eb aleat\u00ebt m\u00eb t\u00eb fort\u00eb.<\/p>\n\n\n\n -Doktor, duke qen\u00eb edhe n\u00eb tetor, muajin e kancerit t\u00eb gjiriz, nj\u00eb nga problemet m\u00eb t\u00eb shpeshta q\u00eb haset tek femrat e m\u00eb pak tek meshkujt \u00ebsht\u00eb pik\u00ebrisht ky lloj kanceri. \u00c7far\u00eb e shkakton kancerin e gjirit? Si diagnostikohet dhe cila \u00ebsht\u00eb m\u00ebnyra m\u00eb e mir\u00eb p\u00ebr t\u2019a parandaluar e trajtuar?<\/strong><\/p>\n\n\n\n -Meq\u00ebn\u00ebse jemi n\u00eb muajin tetor lidhur me zbulimin e kancerit t\u00eb gjirit radiologjia diagnostike ka rol t\u00eb madh, por radiologjia intervencionuese me biopsin\u00eb n\u00ebn eko, n\u00ebn mamografi, rezonanc\u00eb, luajn\u00eb nj\u00eb rol t\u00eb jasht\u00ebzakonsh\u00ebm. Vlen t\u00eb p\u00ebrmendet q\u00eb disa metoda inovative t\u00eb radiologjis\u00eb intervencionuese si Cryoablation dhe Vacuum Assisted Biopsy luajn\u00eb rol t\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb trajtimin e s\u00ebmundjeve t\u00eb gjirit.<\/p>\n\n\n\n -N\u00eb fund \u00e7far\u00eb lam\u00eb pa th\u00ebn\u00eb, nj\u00eb mesazh n\u00eb tetorin roz\u00eb\u2026?<\/strong><\/p>\n\n\n\n -Nj\u00eb mesazh p\u00ebr muajin tetor \u00ebsht\u00eb diagnostikohuni sa m\u00eb shpejt shp\u00ebtoni jet\u00ebn.<\/p>\n\n\n\n Nj\u00eb mesazh n\u00eb p\u00ebrgjith\u00ebsi: Edhe s\u00ebmundjet malinje kurohet dhe \u00ebsht\u00eb rritur shum\u00eb suksesi, por suksesi varet shum\u00eb nga sakt\u00ebsia diagnostike dhe mjekimi korrekt.<\/p>\n","protected":false},"excerpt":{"rendered":" Intervistoi: Fabjola Kuburi Radiologjia ka nj\u00eb tradit\u00eb relativisht t\u00eb gjat\u00eb. N\u00eb k\u00ebt\u00eb drejtim mjek\u00ebsor orientohen pacient\u00ebt p\u00ebr t\u00eb vijuar procedurat diagnostikuese mjek\u00ebsore dhe p\u00ebr t\u00eb zbuluar s\u00ebmundjet e tyre. Dr.Sh.M. Ilirian La\u00e7i dashurin\u00eb p\u00ebr mjek\u00ebsin\u00eb e bart q\u00eb nga f\u00ebmij\u00ebria, nd\u00ebrkaq sot e kultivon n\u00eb praktik\u00eb me pasion e zell t\u00eb pashoq. \u00cbsht\u00eb k\u00ebnaq\u00ebsi t\u00eb […]<\/p>\n","protected":false},"author":5,"featured_media":29396,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[3549,1058],"class_list":["post-29389","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeku","tag-dr-ilirian-laci","tag-mjeku"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/29389","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=29389"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/29389\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/29396"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=29389"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=29389"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=29389"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"\"](\"https:\/\/intervista.al\/web\/wp-content\/uploads\/2022\/10\/F97EF12F-07DE-4DC6-8467-D359D95F75C8.jpeg\")
<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n<\/figure>\n\n\n\n