{"id":43295,"date":"2026-08-11T12:24:25","date_gmt":"2026-08-11T10:24:25","guid":{"rendered":"https:\/\/faktiditor.ch\/?p=43295"},"modified":"2026-08-11T12:24:25","modified_gmt":"2026-08-11T10:24:25","slug":"kanceri-i-stomakut-nga-operacioni-te-trajtimet-me-te-reja-ja-cfare-mund-te-beje-mjekesia-moderne","status":"publish","type":"post","link":"https:\/\/faktiditor.ch\/?p=43295","title":{"rendered":"Kanceri i stomakut, nga operacioni te trajtimet m\u00eb t\u00eb reja: Ja \u00e7far\u00eb mund t\u00eb b\u00ebj\u00eb mjek\u00ebsia moderne"},"content":{"rendered":"

Trajtimi varet nga faza dhe vendndodhja e tumorit, nd\u00ebrsa n\u00eb shum\u00eb raste kombinohen kirurgjia, kimioterapia, imunoterapia dhe terapit\u00eb e synuara<\/strong><\/p>\n

Trajtimi i kancerit t\u00eb stomakut p\u00ebrcaktohet sipas faz\u00ebs s\u00eb s\u00ebmundjes, madh\u00ebsis\u00eb dhe vendndodhjes s\u00eb tumorit, si dhe gjendjes s\u00eb p\u00ebrgjithshme t\u00eb pacientit. P\u00ebr k\u00ebt\u00eb arsye, plani i trajtimit zakonisht hartohet nga nj\u00eb ekip multidisiplinar dhe mund t\u00eb p\u00ebrfshij\u00eb disa metoda t\u00eb kombinuara.<\/p>\n

Nd\u00ebrhyrjet kryesore<\/strong><\/p>\n

Kur operacioni \u00ebsht\u00eb i mundur,\u00a0gastrektomia<\/strong>\u00a0n\u00ebnkupton heqjen e nj\u00eb pjese ose t\u00eb t\u00eb gjith\u00eb stomakut. N\u00eb var\u00ebsi t\u00eb tumorit, hiqen edhe nyjet limfatike pran\u00eb tij. Sipas American Cancer Society, n\u00eb SHBA rekomandohet q\u00eb gjat\u00eb gastrektomis\u00eb t\u00eb hiqen t\u00eb pakt\u00ebn 16 nyje limfatike, nd\u00ebrsa praktikat mund t\u00eb ndryshojn\u00eb sipas udh\u00ebzimeve dhe qendr\u00ebs s\u00eb trajtimit.<\/p>\n

Nd\u00ebrhyrja zgjidhet sipas faz\u00ebs dhe vendndodhjes s\u00eb tumorit:<\/p>\n

Rezeksioni endoskopik i mukoz\u00ebs<\/strong>\u00a0\u2013 Mund t\u00eb p\u00ebrdoret te disa pacient\u00eb me kancer shum\u00eb t\u00eb hersh\u00ebm dhe tumore t\u00eb vogla me rrezik t\u00eb ul\u00ebt p\u00ebr p\u00ebrhapje n\u00eb nyjet limfatike. N\u00eb k\u00ebt\u00eb procedur\u00eb, indi i prekur hiqet p\u00ebrmes nj\u00eb endoskopi, pa pasur nevoj\u00eb p\u00ebr kirurgji t\u00eb hapur.<\/p>\n

Gastrektomia e pjesshme<\/strong>\u00a0\u2013 N\u00eb k\u00ebt\u00eb rast hiqet pjesa e stomakut ku ndodhet tumori, s\u00eb bashku me nyjet limfatike p\u00ebrreth. Pjesa e mbetur e stomakut lidhet m\u00eb pas me zorr\u00ebn e holl\u00eb.<\/p>\n

Gastrektomia totale<\/strong>\u00a0\u2013 Mund t\u00eb jet\u00eb e nevojshme kur tumori prek nj\u00eb pjes\u00eb t\u00eb madhe t\u00eb stomakut ose ndodhet n\u00eb zona ku heqja e plot\u00eb \u00ebsht\u00eb m\u00eb e p\u00ebrshtatshme. Pas heqjes s\u00eb stomakut, ezofagu lidhet drejtp\u00ebrdrejt me zorr\u00ebn e holl\u00eb, n\u00eb m\u00ebnyr\u00eb q\u00eb ushqimi t\u00eb mund t\u00eb kaloj\u00eb n\u00eb traktin tret\u00ebs, transmeton Telegrafi.<\/p>\n

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Kimioterapia dhe radioterapia<\/strong><\/p>\n

Kimioterapia mund t\u00eb p\u00ebrdoret\u00a0para operacionit<\/strong>, p\u00ebr t\u00eb zvog\u00ebluar tumorin dhe p\u00ebr ta b\u00ebr\u00eb nd\u00ebrhyrjen m\u00eb t\u00eb mundshme, ose\u00a0pas operacionit<\/strong>, p\u00ebr t\u00eb luftuar qelizat kancerogjene q\u00eb mund t\u00eb ken\u00eb mbetur. N\u00eb disa raste p\u00ebrdoret edhe n\u00eb kombinim me radioterapin\u00eb.<\/p>\n

Radioterapia nuk \u00ebsht\u00eb e nevojshme p\u00ebr \u00e7do pacient. Ajo mund t\u00eb p\u00ebrdoret n\u00eb situata t\u00eb caktuara pas operacionit ose p\u00ebr leht\u00ebsimin e simptomave te s\u00ebmundja e avancuar, p\u00ebr shembull p\u00ebr t\u00eb kontrolluar gjakderdhjen, dhimbjen ose bllokimin e stomakut.<\/p>\n

Terapit\u00eb e synuara sjellin mund\u00ebsi t\u00eb reja<\/strong><\/p>\n

Trajtimet moderne mund t\u00eb synojn\u00eb karakteristika t\u00eb caktuara t\u00eb qelizave tumorale. P\u00ebr shembull, te disa pacient\u00eb tumori ka nj\u00eb sasi t\u00eb lart\u00eb t\u00eb protein\u00ebs\u00a0HER2<\/strong>, ndaj mund t\u00eb p\u00ebrdoren barna q\u00eb e synojn\u00eb k\u00ebt\u00eb protein\u00eb. Para fillimit t\u00eb nj\u00eb trajtimi t\u00eb till\u00eb, tumori duhet t\u00eb testohet p\u00ebr HER2.<\/p>\n

Ekzistojn\u00eb edhe terapi q\u00eb synojn\u00eb faktor\u00eb t\u00eb tjer\u00eb t\u00eb tumorit, nd\u00ebrsa zgjedhja varet nga rezultatet e analizave dhe karakteristikat molekulare t\u00eb kancerit.<\/p>\n

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Imunoterapia<\/strong><\/p>\n

Imunoterapia ndihmon sistemin imunitar t\u00eb njoh\u00eb dhe t\u00eb luftoj\u00eb qelizat kancerogjene. Ajo mund t\u00eb p\u00ebrdoret te disa pacient\u00eb me kancer t\u00eb avancuar, shpesh n\u00eb kombinim me kimioterapin\u00eb.<\/p>\n

Megjithat\u00eb,\u00a0nuk \u00ebsht\u00eb nj\u00eb trajtim q\u00eb funksionon nj\u00ebsoj p\u00ebr t\u00eb gjith\u00eb<\/strong>. P\u00ebrzgjedhja e pacient\u00ebve mund t\u00eb bazohet n\u00eb tregues t\u00eb caktuar biologjik\u00eb t\u00eb tumorit, si PD-L1, MSI-H ose dMMR. Disa barna imunoterapeutike p\u00ebrdoren n\u00eb var\u00ebsi t\u00eb k\u00ebtyre karakteristikave.<\/p>\n

Trajtimi p\u00ebrcaktohet p\u00ebr \u00e7do pacient ve\u00e7mas<\/strong><\/p>\n

Nuk ekziston nj\u00eb trajtim i vet\u00ebm p\u00ebr t\u00eb gjith\u00eb personat me kancer t\u00eb stomakut.\u00a0Faza e s\u00ebmundjes, vendndodhja e tumorit, gjendja e p\u00ebrgjithshme sh\u00ebndet\u00ebsore dhe karakteristikat biologjike t\u00eb tumorit<\/strong>\u00a0ndikojn\u00eb n\u00eb zgjedhjen e terapis\u00eb.<\/p>\n

P\u00ebr k\u00ebt\u00eb arsye, kirurgjia mund t\u00eb kombinohet me kimioterapi, imunoterapi, terapi t\u00eb synuar ose, n\u00eb raste t\u00eb caktuara, radioterapi. P\u00ebr pacient\u00ebt me s\u00ebmundje t\u00eb avancuar mund t\u00eb p\u00ebrdoren edhe trajtime q\u00eb synojn\u00eb kontrollin e s\u00ebmundjes dhe leht\u00ebsimin e simptomave.<\/p>\n","protected":false},"excerpt":{"rendered":"

Trajtimi varet nga faza dhe vendndodhja e tumorit, nd\u00ebrsa n\u00eb shum\u00eb raste kombinohen kirurgjia, kimioterapia,…<\/p>\n","protected":false},"author":9,"featured_media":43298,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[],"class_list":["post-43295","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeksi"],"_links":{"self":[{"href":"https:\/\/faktiditor.ch\/index.php?rest_route=\/wp\/v2\/posts\/43295","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/faktiditor.ch\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/faktiditor.ch\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/faktiditor.ch\/index.php?rest_route=\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/faktiditor.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=43295"}],"version-history":[{"count":1,"href":"https:\/\/faktiditor.ch\/index.php?rest_route=\/wp\/v2\/posts\/43295\/revisions"}],"predecessor-version":[{"id":43304,"href":"https:\/\/faktiditor.ch\/index.php?rest_route=\/wp\/v2\/posts\/43295\/revisions\/43304"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/faktiditor.ch\/index.php?rest_route=\/wp\/v2\/media\/43298"}],"wp:attachment":[{"href":"https:\/\/faktiditor.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/faktiditor.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43295"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/faktiditor.ch\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}