{"id":1741,"date":"2026-06-08T06:28:58","date_gmt":"2026-06-08T06:28:58","guid":{"rendered":"https:\/\/nevrohirurgija.mk\/?p=1741"},"modified":"2026-06-08T06:28:58","modified_gmt":"2026-06-08T06:28:58","slug":"trajtimi-inovativ-per-epilepsine-farmakorezistente","status":"publish","type":"post","link":"https:\/\/nevrohirurgija.mk\/?p=1741&lang=sq","title":{"rendered":"Trajtimi inovativ p\u00ebr epilepsin\u00eb farmakorezistente"},"content":{"rendered":"<p>ISHP Klinika Universitare e Neurokirurgjis\u00eb pran\u00eb QKU &#8220;N\u00ebn\u00eb Tereza&#8221; &#8211; Shkup, e prezanton metod\u00ebn moderne dhe t\u00eb d\u00ebshmuar p\u00ebr trajtimin e epilepsis\u00eb farmakorezistente &#8211;<strong> Vagus Nerve Stimulation (VNS) Therapy.<\/strong><\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/4eHChlTaZN0?si=af5YVogfunNPT_kw\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/p>\n<p>Kjo procedur\u00eb u prezantua n\u00eb klinik\u00ebn ton\u00eb pas trajnimit dhe edukimit profesional t\u00eb kryer nga ana e Vlladimir Bash\u00e7areviqit, profesor i neurokirurgjis\u00eb n\u00eb Qendr\u00ebn Klinike n\u00eb Republik\u00ebn e Serbis\u00eb, i cili e udh\u00ebhoqi t\u00eb gjith\u00eb programin e mentorimit dhe edukimit.<\/p>\n<p>Pas p\u00ebrfundimit t\u00eb trajnimit dhe p\u00ebrmbushjes s\u00eb t\u00eb gjitha parakushteve profesionale dhe teknike, terapia VNS \u00ebsht\u00eb futur si nj\u00eb procedur\u00eb e rregullt dhe rutine n\u00eb klinik\u00ebn ton\u00eb n\u00eb trajtimin e epilepsis\u00eb farmakorezistente.<\/p>\n<p>Nj\u00eb ekip neurokirurgjik \u00ebsht\u00eb i p\u00ebrfshir\u00eb n\u00eb zbatimin e k\u00ebsaj terapie moderne neuromoduluese, n\u00eb bashk\u00ebpunim t\u00eb ngusht\u00eb me ekipin multidisiplinar nga Klinika e Neurologjis\u00eb, n\u00eb t\u00eb cilin marrin pjes\u00eb: prof. dr. Emilija Cvetkovska dhe prof. dr. Bojan Boshkovski.<\/p>\n<p>Me k\u00ebt\u00eb, klinika jon\u00eb ka vendosur qasjen e integruar dhe moderne p\u00ebr mjekimin e pacient\u00ebve me epilepsi t\u00eb v\u00ebshtir\u00eb t\u00eb kontrolluar, n\u00eb p\u00ebrputhje me standardet evropiane dhe bot\u00ebrore aktuale.<\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1576 alignleft\" src=\"https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/1731684997-blueman-sentiva-320x260.avif\" alt=\"\" width=\"320\" height=\"260\" srcset=\"https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/1731684997-blueman-sentiva-320x260.avif 320w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/1731684997-blueman-sentiva-1200x975.avif 1200w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/1731684997-blueman-sentiva-768x624.avif 768w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/1731684997-blueman-sentiva-540x439.avif 540w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/1731684997-blueman-sentiva.avif 1208w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/strong><\/p>\n<p><strong>\u00c7far\u00eb \u00ebsht\u00eb VNS Therapy?<\/strong><\/p>\n<p>Vagus Nerve Stimulation (VNS) Therapy \u00ebsht\u00eb pajisja mjek\u00ebsore e implantueshme q\u00eb, n\u00ebp\u00ebrmjet stimulimit elektrik t\u00eb kontrolluar t\u00eb nervit vagus t\u00eb majt\u00eb, d\u00ebrgon impulse n\u00eb tru, me q\u00ebllim t\u00eb modulimit t\u00eb aktivitetit t\u00eb trurit dhe kontrollit m\u00eb t\u00eb mir\u00eb t\u00eb sulmeve epileptike.<\/p>\n<p>Terapia zbatohet si trajtim adjuvant tek pacient\u00ebt me forma fokale dhe t\u00eb p\u00ebrgjith\u00ebsuara farmakokrezistente t\u00eb epilepsis\u00eb, tek t\u00eb cil\u00ebt terapia medikamentoze nuk ofron kontroll t\u00eb k\u00ebnaqsh\u00ebm t\u00eb sulmeve.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Si kryhet nd\u00ebrhyrja?<\/strong><\/p>\n<p>Implantimi i sistemit VNS kryhet n\u00eb anestezi t\u00eb plot\u00eb (t\u00eb p\u00ebrgjithshme) dhe \u00ebsht\u00eb nj\u00eb procedur\u00eb kirurgjikale minimalisht invazive. P\u00ebr t\u00eb nevojitet instrumentariumi special dhe mikroskopi neurokirurgjik.<\/p>\n<p>Sistemi p\u00ebrb\u00ebhet nga:<\/p>\n<ul>\n<li>puls-gjeneratori i vog\u00ebl q\u00eb vendoset n\u00ebn l\u00ebkur\u00eb n\u00eb pjes\u00ebn e kraharorit;<\/li>\n<li>elektroda e holl\u00eb q\u00eb lidhet me nervin vagus t\u00eb majt\u00eb n\u00eb qaf\u00eb.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Kjo procedur\u00eb nuk \u00ebsht\u00eb operacion n\u00eb tru.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1577 size-full\" src=\"https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/nevrohirugija.jpg\" alt=\"\" width=\"1043\" height=\"419\" srcset=\"https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/nevrohirugija.jpg 1043w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/nevrohirugija-320x129.jpg 320w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/nevrohirugija-768x309.jpg 768w, https:\/\/nevrohirurgija.mk\/wp-content\/uploads\/2026\/02\/nevrohirugija-540x217.jpg 540w\" sizes=\"auto, (max-width: 1043px) 100vw, 1043px\" \/><\/p>\n<p><strong>Qasja dhe ndjekja e personalizuar<\/strong><\/p>\n<p>Pas implantimit, pajisja aktivizohet dhe programohet individualisht sipas nevojave klinike t\u00eb secilit pacient. Stimulimi fillon me parametrat m\u00eb t\u00eb ul\u00ebt, t\u00eb cil\u00ebt p\u00ebrshtaten gradualisht me q\u00ebllim t\u00eb arritjes s\u00eb efektit terapeutik optimal dhe toleranc\u00eb t\u00eb mir\u00eb.<\/p>\n<p>Sistemet moderne VNS mund\u00ebsojn\u00eb:<\/p>\n<ul>\n<li>stimulim automatik gjat\u00eb ndryshimeve fiziologjike q\u00eb mund t\u00eb paraprijn\u00eb n\u00eb nj\u00eb sulm epileptik;<\/li>\n<li>evidenc\u00ebn e aktiviteteve dhe sulmeve;<\/li>\n<li>kontrollin shtes\u00eb manual n\u00ebp\u00ebrmjet byzylykut magnetik, me t\u00eb cilin pacienti mund t\u00eb aktivizoj\u00eb ose \u00e7aktivizoj\u00eb p\u00ebrkoh\u00ebsisht stimulimin (n\u00eb p\u00ebrputhje me udh\u00ebzimet e mjekut).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>P\u00ebrvoja dhe rezultatet tona<\/strong><\/p>\n<p>Bazuar n\u00eb p\u00ebrvoj\u00ebn e deritanishme klinike tek pacient\u00ebt me sistemet VNS t\u00eb implantuara, v\u00ebrehet:<\/p>\n<ul>\n<li>zvog\u00eblimi i frekuenc\u00ebs dhe pesh\u00ebs s\u00eb sulmeve epileptike;<\/li>\n<li>sh\u00ebrimi m\u00eb i shpejt\u00eb dhe m\u00eb i leht\u00eb pas sulmit;<\/li>\n<li>funksionaliteti dhe kthimi m\u00eb i mir\u00eb n\u00eb aktivitetet e p\u00ebrditshme;<\/li>\n<li>kontrolli i p\u00ebrmir\u00ebsuar i sulmeve p\u00ebrmes funksioneve automatike t\u00eb pajisjes.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Me futjen e VNS Therapy, ISHP Klinika Universitare e Neurokirurgjis\u00eb vazhdon t&#8217;i ndjek\u00eb standardet m\u00eb moderne bot\u00ebrore n\u00eb trajtimin e epilepsis\u00eb, duke ofruar zgjidhje inovative, t\u00eb sigurta dhe efikase me nj\u00eb q\u00ebllim t\u00eb qart\u00eb &#8211; p\u00ebrmir\u00ebsimin e cil\u00ebsis\u00eb s\u00eb jet\u00ebs s\u00eb pacient\u00ebve.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ISHP Klinika Universitare e Neurokirurgjis\u00eb pran\u00eb QKU &#8220;N\u00ebn\u00eb Tereza&#8221; &#8211; Shkup, e prezanton metod\u00ebn moderne dhe t\u00eb d\u00ebshmuar p\u00ebr trajtimin e epilepsis\u00eb farmakorezistente &#8211; Vagus Nerve Stimulation (VNS) Therapy. Kjo procedur\u00eb u prezantua n\u00eb klinik\u00ebn ton\u00eb pas trajnimit dhe edukimit profesional t\u00eb kryer nga ana e Vlladimir Bash\u00e7areviqit, profesor i neurokirurgjis\u00eb n\u00eb Qendr\u00ebn Klinike n\u00ebLeer M\u00e1s<\/p>\n","protected":false},"author":5,"featured_media":1577,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[101],"tags":[],"class_list":["post-1741","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-sq"],"_links":{"self":[{"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/posts\/1741","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1741"}],"version-history":[{"count":1,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/posts\/1741\/revisions"}],"predecessor-version":[{"id":1742,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/posts\/1741\/revisions\/1742"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=\/wp\/v2\/media\/1577"}],"wp:attachment":[{"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1741"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nevrohirurgija.mk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}