Informacioni Pacientit

Gjuha shqipe

Trajtimi i gurve n veshka dhe ureter

)MDOsWHQsQYL]XDUDMDQsWsVKsQXDUDQsIMDORU
Ju jeni diagnostikuar me gur n veshk apo ureter.
.MR HWsSDORVMH SsUVKNUXDQ PXQGsVLWs H QGU\VKPH
WsWUDMWLPLWWsFLODWPXQGWLGLVNXWRQLPHPMHNXQWXDM
6sEDVKNXPXQGWsYHQGRVQLVHFLODPsQ\UssVKWsH
duhura pr ju.

veshka e
majt

Veshka e
djatht

Faktort q ndikojn n marrjen e vendimit prfshijn:

t

t

t

t

t

ureteret

Simptomat tuaja
Karakteristikat e gurit
Historin tuaj mjeksore
/ORMLQHWUDMWLPLWQsGLVSR]LFLRQQsVSLWDOLQWXDMGKH
HNVSHUWL]DHPMHNXW
3UHIHUHQFDWWXDMDSHUVRQDOHGKHYOHUDW

fshikza e urins

Jo t gjith gurt krkojn trajtim. Ju keni nevoj pr

WUDMWLPQsVHJXULVKNDNWRQVKTHWsVLPGKHQXNNDORQ
QDW\UVKsPPHXULQs'RNWRULMXDMPXQGWMXNsVKLOORMs
gjithashtu trajtim n qoft se ju keni para-kushtet
HN]LVWXHVHPMHNsVRUH
.DPHWRGDWsQGU\VKPHWsWUDMWLPLWSsUVLWXDWDXUJMHQWH
dhe jo-urgjente

uretra

Fig. 1:Trakti urinar.

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

Faqe 1 / 11

Trajtimi i situatave urgjente

Kolika renale akute
.ROLND UHQDOH sht nj situat akute, e dhimbshme
H VKNDNWXDU QJD QMs JXU Ts EOORNRQ XUHWHULQ 6KNRQL
WHN PMHNX L IDPLOMHV RVH Qs THQGUsQ Ps Ws DIsUW
t urgjencs sa m shpejt t jet e mundur pr t
OHKWsVXDUGKLPEMHQ
'KLPEMDOLURKHW]DNRQLVKWPHAIJSLODoHDQWLLDPDWRUH
MRVWHURLGH Ws FLODW MX PXQG WL PHUUQL VL WDEOHWs RVH
VXSRVWD1sVHN\KDSLSDUsLWUDMWLPLWQXNQGLKPRQ
do t merrni qetsues t m t fort t dhimbjeve t
quajtura opoide. Zakonisht, ato injektohen direkt n
YHQs'LVDYDQWD]KLLRSRLGHYHsVKWsVHDWDPXQGWMX
VKNDNWRMQsWsSsU]LHUD

veshka
Stenti-JJ

ureteri

1s UDVWH Ws UUDOOD LODoHW QXN IXQNVLRQRMQs 1s NsWs

UDVWPMHNXPXQGWsNHWsQHYRMsWs]EUD]sXULQsQQJD
veshka. Kjo quhet dekompresion.
.DG\PHWRGDWsGHNRPSUHVLRQLW

gur i ureterit

t
'XNHYHQGRVXQQMsStent-JJXUHWHUDOHQsXUHWHU
prmes uretrs (Fig. 2)

t
'XNH IXWXU tubin perkutan pr nefrostomi n

YHVKNsQWXDMGUHMWSsUGUHMWQsSsUOsNXUs(Fig. 3a
dhe 3b)
7sG\MDPHWRGDWMDQsQMsOORMHIHNWLYH

Fig. 2: Stenti-JJ sht futur pr t siguruar

rrjedhjen e urins npr traktin urinar.

fshikza e urins

uretra

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

Faqe 2 / 11

tubi nefrostomik
perkutan

lkura

tubi nefrostomik
perkutan

qesja e
kateterit
fshikza e
urins

Fig. 3a: tubi nefrostomik perkutan sht prdor

pr t zbrazur direkt urinn nga veshka n
qesen e kateterit.

Fig. 3b: Tubi nefrostomik perkutan brenda

veshks.

Veshkat me obstruksion dhe t infektuara

1sVHMXNHQLNROLNsUHQDOHGKHHWKHQMsNRKsVLVKWRVHQsTRIWsVHQGLKHQLMDVKWs]DNRQLVKWWsORGKXUGXKHWWsVKNRQL
PHQMsKHUsQsGHSDUWDPHQWLQPsWsDIsUW8URORJMLN'RWsNU\HQLDQDOL]DWsJMDNXWGKHXULQsVSsUWsSDUsQsVHNHQL
QMsYHVKNsWsLQIHNWXDUPHREVWUXNVLRQ1sVHSRGXKHWWsEsQLGHNRPSUHVLRQWsPHQMsKHUVKsPSsUWsOHKWsVXDU
presionin n veshkn tuaj.
Pas dekompresionit do t merrni antibiotik pr t pastruar infeksionin. Mund t trajtoheni pr
ODUJLPLQHJXULWYHWsPSDVLLQIHNVLRQLWsNHWsNDOXDU

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

Faqe 3 / 11

Trajtimi i situatave jo-urgjente

1sVH NHQL QMs JXU Qs YHVKNs DSR XUHWHU L FLOL QXN
shkakton shqetsim, n prgjithsi nuk do t merrni
WUDMWLP0MHNXGRWMXMDSsQMsSURJUDPNRKRUSsUYL]LWD
Ws UUHJXOOWD SsU WX VLJXUXDU Ts JMHQGMD MXDM QXN SR
prkeqsohet.
1sVHJXULMXDMNDWsQJMDUsWsNDORMsPHXULQsPMHNX

GXKHWWsNRQWUROORMsQsVHJXULYD]KGRQWsOsYL]sGKH
QsVHYHVKNDWWXDMDYD]KGRMQsWsIXQNVLRQRMQsPLUs
Nse keni shum dhimbje, keni infeksion, apo n
qoft se veshkat tuaja nuk funksionojn mir, MET
nuk sht nj mundsi. Mjeku do t diskutoj me ju
mundsi t tjera trajtimi.

PXQG Ws OsVKRMs UHFHWs SsU EDUQD SsU Ws OHKWsVXDU

NsWsSURFHV.\TXKHWPMHNLPNRQVHUYDWLY

Shprbrja e gurit
Nse vuani nga gurt e acidit urik, mund t jet e

1sVHJXULMXDMYD]KGRQWsUULWHWRVHVKNDNWRQGKLPEMH

mundur shprbrja e gurit tuaj. Kjo bhet duke e rritur

t shpeshta dhe t rnda, ju do t merrni mjekim aktiv.

YOHUsQ H S+ Ws XULQsV VXDM SsU WD EsUs DWs DONDOLQH
n vend q t jet acide. Mjekimi nga goja si citrati

Trajtimi konservativ

DONDOLQDSRELNDUERQDWLLVRGLXPLWSsUJMLWKsVLVKWMHSHW

Shumica e gurve n veshka apo ureter do t

PH UHFHWs 1s QMs QLYHO Ws S+  JXUL GR Ws

ODUJRKHQQJDWUXSLMXDMQGsUVDXULQRQL0HJMLWKDWsQs

]YRJsORKHWQsPDGKsVLGKHPXQGHGKHWsVKSsUEsKHW

varsi t madhsis dhe vendndodhjes s gurit, do

SORWsVLVKW-XPXQGWsNRQWUROORQLPHOHKWsVLYOHUsQH

WsGXKHWSDNNRKsTsJXULWsNDORMs-XPXQGWsYXDQL
QJDNROLNDHYHVKNsVNXUOsYL]JXUL1sVHMXNHQLQMs
JXUVKXPsWsYRJsONDPXQGsVLTsWDNDORQLDWs
brenda 6 javsh.

pH t urins n shtpi duke prdorur nj test shirita.

N prgjithsi, duhet t mbani mend kt:

t
6DPsDIsUIVKLNs]sVVsXULQsVWsMHWsJXULDTPs
HPDGKHsVKWsPXQGsVLDSsUWDNDOXDU

t
6DPsLPDGKWsMHWsJXULDTPsHYRJsOsVKWs
PXQGsVLDSsUWDNDOXDU
Terapia Mjeksore Prjashtuese

Trajtimi aktiv i gurit

Gurt n veshka apo ureter duhet t trajtohen n
qoft se ata shkaktojn simptoma. Nse nuk keni
simptoma, mund t trajtoheni n rast se:

t
*XULYD]KGRQWsUULWHW
t
-HQLQsUUH]LNWsODUWsWsIRUPLPLWWsQMsJXULWMHWsU
(shih Vlersimi Metabolik)

t
Keni nj infeksion
t
Guri juaj sht shum i madh
t
Preferoni trajtimin aktiv

Mjeku juaj mund t jap me recet barna (t quajtur

DOIDEOORNXHVRVHQLIHGLSLQHSsUWMXQGLKPXDUTsJXUL
WsNDORMsPsVKSHMWGKHSsUWsNX]XDUGKLPEMHQQGsUVD
DL OsYL] .MR TXKHW Terapia Mjeksore Prjashtuese
(MET) dhe sht m efektive pr gurt e ureterit.
%OORNXHVLWDOID QXN MDQs Ws UHJMLVWUXDUD VL LODoH SsU
heqjen e gurit, por ato mund t jen t dobishme
JMDWs NDOLPLW Ws JXULW 1sVH MX GRQL 0(7 PMHNX GR

Mjeku juaj do t rekomandoj heqjen e gurit n ureter

nse:

t
$LGXNHWVKXPsLPDGKSsUWsNDOXDUPHXULQs
t
9D]KGRQL Ws YXDQL QJD GKLPEMD QGsUVD PHUUQL
mjekim

t
Veshkat tuaja nuk funksionojn si duhet ose

mund t mos funksionojn si duhet

t diskutoj me ju efektet e mundshme ansore t

barnave.
*MDWs0(7MXGXKHWWDWDNRQLUUHJXOOLVKWPMHNXQVH
sa shpesh varet nga rekomandimi i tij apo i saj. Mjeku

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

Faqe 4 / 11

.D WUH PsQ\UD Ws SsUJMLWKVKPH SsU Ws KHTXU JXUsW OLWRWULSVLD PH YDOs VKRN (SWL), ureteroskopia (URS), dhe
QHIUROLWRWRPLDSHUNXWDQH31/6HFLODSUHMNsW\UHSURFHGXUDYHNDDYDQWD]KHGKHGLVDYDQWD]KHVKWsHUsQGsVLVKPH
TsWsLVQLPHPMHNXQWXDMSsUVLPSWRPHWGKHUH]XOWDWHWHDQDOL]DYHSsUWsJMHWXUPXQGsVLQsPsHoHQWHWsWUDMWLPLW
SsUMX1sED]sWsDVDMVHNXsVKWsQsYHVKNsRVHXUHWHUPMHNXPXQGWsUHNRPDQGRMsPXQGsVLWsQGU\VKPHWUDMWLPL

Litotripsia me val-shok (SWL)

6:/EsKHWPHQMsPDNLQHULHFLODPXQGWLWK\HMsJXUsWQJDMDVKWsWUXSLW3sUWsWK\HUJXULQYDOsWVKRNWsSsUTHQGUXDUD
SXOVHWsVKNXUWUDWsYDOsYHWsWLQJXOOLWPHHQHUJMLWsODUWsWUDQVPHWRKHQQsJXUQsSsUPMHWOsNXUsV*XULHSsUWKLWK
HQHUJMLQsHYDOsYHGKHNMRHWK\HQQsFRSDPsWsYRJOD3DVWDMIUDJPHQWHWHJXULWNDORMQsPHXULQsQ(Fig. 4).
6:/sVKWsHSsUVKWDWVKPHSsUPELWsWsJMLWKsSDFLHQWsYH0HJMLWKDWsVXNVHVLLVDMYDUHWQJDGLVDIDNWRUsVL
NDUDNWHULVWLNDWHJXULWGKHJMHQGMDMXDM]LNH

fragmentet
e gurit

gurt n
veshka

valt shok valt

t fokusuara

Fig. 4: Valt shok t fokusuar e thyejn gurin n fragmente.

Fakt interesant
SWL u prdor pr her t par pr t trajtuar

Shko n internet
6KLNRVLNU\KHW6:/QsNsWsYLGHR<RX7XEH

JXUsWQsYLWLQGKHEUHQGDSDNYLWHVKDMR

nga BUPA:

u b mundsia standarde e trajtimit.

KWWS\RXWXEH2'/H(=&<0

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

)DTH

Si kryhet SWL?
-XYHQGRVHQLQsQMsWDYROLQsRSHULPLPHLMHQWXDMWsSR]LFLRQXDUGUHMWJMHQHUDWRULWWsYDOsYHVKRN(Fig. 5). Vendndodhja
e sakt e gurit tuaj prcaktohet nga XOWUDWLQJXOOLDSRUUH]HW;
*MDWsSURFHGXUsVGRWsMHQLQsJMHQGMHSsUWsGsJMXDUNULMLPLQHYDOsYHVKRNNMRWLQJsOORQVL]KXUPsHGREsWNsUFLWMH
0MHNXMXDMGRWDOORMsPHQLYHOHLQWHQVLWHWLWsXOsWGKHQJDGDOsGRWDUULVsIXTLQsHYDOsYH1XNNDQHYRMsSsUDQHVWH]L,
SRUGRWsPHUUQLLODoHSsUGKLPEMHSsUWMXOHKWsVXDUJMDWsSURFHGXUsV6:/]JMDWUUHWKPLQXWD

rreze-x

gjenerator i
valve-shok

Fig. 5: Lloji i zakonshm i makins SWL.

1sVHNHQLQMsJXUWsPDGKsVKWsSORWsVLVKWH]DNRQVKPHTsWsNHQLQHYRMsSsUVHDQFDWsVKXPsVKWDSsUWsWK\HU
SORWsVLVKWDWs

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

Faqe 6 / 11

Ka disa kundrindikacione pr SWL q kan t bjn

Sa koh m duhet pr tiu kthyer srish

aktiviteteve normale ditore?

RVHPHJMHQGMHQWXDM]LNHRVHPHNDUDNWHULVWLNDWH

N prgjithsi, ju mund ti ktheheni srish aktiviteteve

Kur nuk rekomandohet SWL ?

gurit.

WXDMDWsUUHJXOOWDPHQMsKHUsSDVWUDMWLPLW0HJMLWKDWs
sigurohuni q t bni pak pushim n ditn e

SWL nuk rekomandohet nse:

SURFHGXUsV1sVHNHQLPDUUsLODoHNXQGsUGKLPEMHV
apo pr qetsim, mos i jepni makins apo ndonj

t

t

t

t

t

-HQLVKWDW]sQs

mjeti tjetr me motor brenda 24 orve t para pas

.HQLUUH]LNWsODUWsSsUJMDNGHUGKMHWsUsQGD
.HQLQGRQMsLQIHNVLRQWsSDNRQWUROOXDU

SWL.

.HQLWHQVLRQWsODUWsWsJMDNXWWsSDNRQWUROOXDU
)L]LNXMXDMHEsQWsYsVKWLUsSsUWsDUULWXUGHULWH

Nse nuk keni ndonj dhimbje, sht e rndsishme

guri
-XNHQLQMsDQHXUL]sP

fragmentet e gurit. Mundohuni t pini m shum se 2

QsQJXURVHQsIVKLNs]sQHXULQsV

e para pas procedurs.

e cistins)

'XKHWWsOWURQLXULQsQWXDMSsUWsNDSXUIUDJPHQWHWH
JXULWSsUDQDOL]s

t

t
Keni nj penges anatomike n traktin urinar,
t
*XULMXDMsVKWsVKXPsLIRUWsSsUVKHPEXOOJXUsW
t
1XNPXQGWDNDORQLJXULQSsUVKNDNWsPDGKsVLVs
apo vendndodhjes s tij

A do t jem pa gur menjher pas

trajtimit?
-R 6:/ H WK\HQ JXULQ WXDM Qs FRSD Ws YRJOD .sWR
IUDJPHQWHGRWsNDORMQsPHXULQsQQsGLWsWRVHMDYsW
pas SWL. Mund t prdorni MET pr t ndihmuar
NDOLPLQHIUDJPHQWHYHWsJXULW

Ts Ws SLQL Ps VKXPs VH ]DNRQLVKW SsU Ws Q[MHUUs
OLWUDoGRGLWs1sVHNHQLNROLNsUHQDOHS\HVQLPMHNXQ
WXDMVHVDGXKHWWsSLQL0RVSLQLSLMHDONRROLNHRUsW

0MHNX GR WMX MDSs QMs SURJUDP NRKRU SsU YL]LWDW H

NRQWUROOLWWsUUHJXOOWQsMDYsWHSDUDSDV6:/
'XKHWWsNWKHKHQLPHQMsKHUsQsVSLWDOQsVH

t
Keni temperatur
t
Ndjeni dhimbje n veshk ose ije
t
Keni ende gjak n urinn tuaj m shum se 2 dit
pas trajtimit

Si t prgatitem pr procedurn?
0MHNXGRWMXNsVKLOORMsQsPsQ\UsWsGHWDMXDUVHVLWs
SsUJDWLWHQLSsUSURFHGXUsQ1sVHPHUUQLQGRQMsLODo
SsUWsSDUDQGDOXDUNRDJXOLPLQHJMDNXWGLVNXWRQLPH
PMHNXQWXDMQsVHNHQLQHYRMsSsUWDQGDOXDUDWsSDUD
procedurs. Mos hani asgj 4 or para trajtimit.

Avantazhet e SWL
t

5UH]LNLXOsWLNRPSOLNLPHYH

t

1XNNDQHYRMsSsUDQHVWH]L

Disavantazhet e SWL
t

1XNHKHTJXULQWXDM1sYHQGWsVDMIUDJPHQWHW
HJXULWGRWsNDORMQsQsGLWsWDSRMDYsWQsYLMLPWs
FLODWPXQGWsVKNDNWRMQsNROLNsUHQDOH

t

0XQGWsNHQLQHYRMsSHUVHDQFDWsVKXPsVKWD
pr gur t mdhenj

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

)DTH

Ureteroskopia (URS)
856sVKWsQMsOORMWUDMWLPLTsEsKHWPHQMsendoskop
Ws NDOLEULW Ws YRJsO *XUsW PXQG Ws ORNDOL]RKHQ Ws
shprbhen, dhe t hiqen n nj procedur t vetme.
856sVKWsH]DNRQVKPHQRUPDWHVXNVHVLWMDQsWs
ODUWDGKHUUH]LNXLNRPSOLNLPHYHsVKWsLXOsW

.XUJXULsVKWsLGHQWLNXDUDLPXQGWsODUJRKHWMDVKWs
GXNHSsUGRUXUQMsVKSRUWsWsYHoDQWs(Fig. 7). Nse
JXUL sVKWs WHSsU L PDGK SsU WX KHTXU SORWsVLVKW DL
PXQG Ws IUDJPHQWRKHW GXNH SsUGRUXU OD]HU PH
XOWUDWLQJXMDSRQMsOLWRWULSWHUSQHXPDWLNLFLOLSXQRQVL

Si bhet URS?

QMsoHNLoLYRJsO1sNsWsSLNsWsJMLWKsIUDJPHQWHWH
gurit jan hequr.

3sU 856 MX GR Ws NU\HQL DQHVWH]L t prgjithshme,

VKSLQRUHRVHLQWUDYHQR]H3DVLWsMHQLQsQDQHVWH]L
PMHNX K\Q Qs IVKLNs]sQ WXDM XULQDUH PH HQGRVNRS
prmes uretrs pa br prerje n trupin tuaj. N varsi
t vendndodhjes s gurit, prdoret ureteroskopi
L QJXUWs RVH HNVLEsO 1Ms XUHWHURVNRS HNVLEsO H
OHMRQPMHNXQTsWsDUULMsSUDNWLNLVKWoGRSLNsEUHQGD
veshks (Fig. 6).

1s ED]s Ws DVDM VH VL VKNRQ RSHUDFLRQL PMHNX

mund t ket nevoj q t vendos nj stent-JJ n
ureter pr ta br t sigurt rrjedhjen e urins prmes
sistemit urinar (Fig. 1). Stenti do t hiqet kur rrjedha
MXDMXULQDUHWsMHWsEsUsQRUPDOH.MRPXQGWsNsUNRMs
disa dit deri n disa jav.

veshka

ureter

XUHWHURVNRSHNVLEsO

)LJ8UHWHURVNRSLHNVLEsOHOHMRQPMHNXQWsDUULMsQsoGRSLNsEUHQGDYHVKNsV

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

)DTH

Kur duhet ta marr n konsiderat URS?

Nse guri juaj nuk sht i madh (prgjithsisht nn
 FHQWLPHWUD 856 sVKWs QMs DOWHUQDWLYs SsU 6:/
(GKHSVH856sVKWsPsLQYD]LYHVH6:/GKHNsUNRQ
DQHVWH]LDMRsVKWsQMsDOWHUQDWLYsHVLJXUWGKHHIHNWLYH
pr trajtimin e gurve n veshka apo ureter. Ngaq
fragmentet e gurit hiqen gjat procedurs, ju nuk keni
QHYRMs Ts WL NDORQL Ps SDV -X NHQL QMs PXQGsVL Ws
ODUWsSsUWsTHQsSDJXUsPHQMsRSHUDFLRQWsYHWsP
0MHNXMXDMGRWsGLVNXWRMsSsUQGU\VKLPHWPLGLV6:/
GKH856QsJMHQGMHQWXDMLQGLYLGXDOH

Kur nuk rekomandohet URS ?

Ka disa kundrindikacione pr URS. N prgjithsi
PXQGWsNU\KHWQsSRWKXDMVHoGRSDFLHQWSsUDTNRKs
VD JMHQGMD MXDM OHMRQ H DQHVWH]LQs GKH QXN NHQL QMs
infeksion t rrugve urinare t patrajtuar. URS mund
WsEsKHWHGKHSDLQGsUSUHUsLODoHWSsUNRDJXOLPLQH
gjakut. Megjithat, sht gjithmon e rndsishme q
WsGLVNXWRQLPHPMHNXQJMHQGMHQWXDMLQGLYLGXDOH

Si t prgatitem pr procedurn?
0MHNXGRWMXNsVKLOORMsQsPsQ\UsWsGHWDMXDUVHVLWs

Sa koh m duhet pr tiu kthyer srish

aktiviteteve normale ditore?
=DNRQLVKW MX PXQG Ws GLOQL QJD VSLWDOL  GLWs SDV
SURFHGXUsV GKH WL NWKHKHQL DNWLYLWHWHYH QRUPDOH Ws
prditshme. Urina juaj mund t prmbaj pak gjak
pr disa dit. Nse sht vendosur stenti-JJ gjat
SURFHGXUsV PMHNX GR WXD KHTs DWs NXU UUMHGKD H
XULQsVWsMHWsNWK\HUQsQRUPDOH
'XKHWWsNWKHKHQLPHQMsKHUsQsVSLWDOQsVH

t
Keni temperatur
t
Ndjeni dhimbje ne veshka ose ije

Avantazhet e URS
t

Heqja e menjhershme e gurit

t

5UH]LNLXOsWLNRPSOLNLPHYH

Disavantazhet e URS
t

.sUNRQDQHVWH]L

t

(N]LVWRQQMsUUH]LNLYRJsOSsUGsPWLPLQHXUHWHULW

prgatiteni pr operacionin. Nuk duhet t hani, pini,

DSR Ws SLQL GXKDQ SsU  RUs SDUD SURFHGXUsV SsU
DQHVWH]L

Fig. 7: Guri nxirret nga ureteri duke prdorur shportn.

shporta
ureteri

gur t ureterit

ureteroskopia
fshikza e urins

uretra
ureteroskopi

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

)DTH

Nefrolitotomia perkutane (PNL)

PNL sht operacion pr t hequr gurt e mdhenj
GUHMWSsUGUHMW QJD YHVKND $YDQWD]KL sVKWs VH HGKH
gurt shum t mdhenj hiqen me nj operacion t
vetm (Fig. 8a dhe b). Megjithat, ajo sht shum
LQYD]LYHNUDKDVXDUPH6:/GKH856GKHNDQMsUUH]LN
WsODUWsWsNRPSOLNLPHYH1GsUOLNLPHWPsWsVKSHVKWD
t PNL jan rrjedhja e gjakut dhe temperatura.

N kt pik t gjith fragmentet e gurit jan hequr.

Ndonjher vendoset nj stent-JJ (Fig. 2) ose nj tub
i nefrostomis perkutane (Fig. 3)SsUWXVLJXUXDUTs
XULQDPXQGWsODUJRKHWQJDYHVKND

Kur duhet ta marr n konsiderat PNL?

PNL duhet t merret n konsiderat kur guri sht
shum i madh (m i madh se 2 centimetra) dhe

Si kryhet PNL?
31/ NU\KHW QsQ DQHVWH]LQs H SsUJMLWKVKPH 1GsUVD
MHQL QsQ DQHVWH]L PMHNX H SXQNWRQ YHVKNsQ
PH QMs JMLOSsUs QsSsUPMHW OsNXUsV 0MHNX H EsQ
NDQDOLQ SXQNWXHV PMDIWXHVKsP Ws PDGK SsU Ws IXWXU

QXN ND OsYL]XU Qs XUHWHU 'RNWRUL PXQG WD GLVNXWRMs

gjithashtu PNL si nj mundsi trajtimi nse:

t
Keni m shum se nj gur

t
Guri juaj sht shum i fort

nefroskopin. N varsi t madhsis s gurit ai, ose

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gurt n
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e urins
nefroskopi

Fig. 8a: Nefroskopi prdoret pr t

hequr drejtprdrejt gurt nga veshka.

Fig. 8b: Fragmentet e gurit hiqen me nj

procedur t vetme me nj nefroskop.

Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

)DTH

Kur nuk rekomandohet PNL ?

PNL sht nj procedur e sigurt dhe efektive por
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Disavantazhet e PNL
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t

L vrrag (cikatriks)

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Ky informacion pr her t fundit sht prditsuar n Qershor 2012.

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Informacioni Pacientit - Trajtimi i gurve n veshka dhe ureter

N bashkpunim me:

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