{"id":561,"date":"2024-04-11T11:42:38","date_gmt":"2024-04-11T11:42:38","guid":{"rendered":"https:\/\/www.mollekuqja.mk\/?p=561"},"modified":"2024-10-14T11:47:10","modified_gmt":"2024-10-14T11:47:10","slug":"jo-me-cdo-vit-pap-testi-falas-do-behet-cdo-3-vjet-revoltohen-grate-ne-maqedonine-e-v-vendim-i-gabuar","status":"publish","type":"post","link":"https:\/\/www.mollekuqja.mk\/en\/jo-me-cdo-vit-pap-testi-falas-do-behet-cdo-3-vjet-revoltohen-grate-ne-maqedonine-e-v-vendim-i-gabuar\/","title":{"rendered":"Jo m\u00eb \u00e7do vit, PAP testi falas do b\u00ebhet \u00e7do 3 vjet, revoltohen grat\u00eb n\u00eb Maqedonin\u00eb e V: Vendim i gabuar"},"content":{"rendered":"

Kan\u00eb kaluar disa muaj nga kur Ministria e Sh\u00ebndet\u00ebsis\u00eb solli vendim q\u00eb mjek\u00ebt am\u00eb t\u00eb mos b\u00ebjn\u00eb teste PAP pa pages\u00eb p\u00ebr grat\u00eb secilin vit, por \u00e7do\u00a03<\/strong>\u00a0vjet.<\/p>\n

Burimi:\u00a0Fakulteti.mk<\/a>.<\/strong><\/p>\n

P\u00ebrktheu:\u00a0Fisnik Xhelili.<\/a><\/strong><\/p>\n

Kund\u00ebr k\u00ebtij vendimi reaguan grat\u00eb, t\u00eb cilat pas shum\u00eb vitesh m\u00eb n\u00eb fund ishin motivuan q\u00eb t\u00eb kryejn\u00eb rregullisht testin PAP i cili sh\u00ebrben p\u00ebr parandalim dhe reagim n\u00eb koh\u00eb. Gjinekolog\u00ebt am\u00eb nga ana tjet\u00ebr ankohen se pacient\u00ebt shpesh her\u00eb kritikat i drejtojn\u00eb te ata, nd\u00ebrkoh\u00eb q\u00eb ata vet\u00ebm e zbatojn\u00eb vendimin e ministris\u00eb.<\/p>\n

“Ndoshta nuk \u00ebsht\u00eb shum\u00eb shtrenjt\u00eb p\u00ebr dik\u00eb q\u00eb t\u00eb b\u00ebj\u00eb testin, por ka shum\u00eb gra q\u00eb v\u00ebrtet nuk mund ta p\u00ebrballojn\u00eb at\u00eb. Pap testi falas ishte n\u00eb nj\u00eb far\u00eb m\u00ebnyre nj\u00eb nxitje p\u00ebr grat\u00eb q\u00eb ta b\u00ebnin rregullisht p\u00ebr ta lokalizuar problemin n\u00eb koh\u00eb. Tani besoj se t\u00eb pakt\u00ebn gjysma e grave nuk do t\u00eb shkojn\u00eb rregullisht p\u00ebr ekzaminim. Me k\u00ebt\u00eb vendim t\u00eb gabuar, i cili na kthen nj\u00eb hap prapa, Ministria tregon se nuk kujdeset p\u00ebr sh\u00ebndetin e grave” ,tha Svetlana.<\/p>\n

Nuk ka nevoj\u00eb p\u00ebr Pap test \u00e7do vit<\/strong><\/h5>\n

PAP testi \u00ebsht\u00eb p\u00ebr zbulimin e hersh\u00ebm t\u00eb kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs dhe \u00ebsht\u00eb e r\u00ebnd\u00ebsishme q\u00eb \u00e7do grua ta b\u00ebj\u00eb at\u00eb rregullisht. Gjinekolog\u00ebt kan\u00eb treguar se shum\u00eb gra, kur telefonojn\u00eb p\u00ebr t\u00eb l\u00ebn\u00eb termin p\u00ebr PAP test, e anulojn\u00eb pasi u thon\u00eb se duhet ta paguajn\u00eb vet\u00eb. Ata nuk jan\u00eb konsultuar as p\u00ebr k\u00ebt\u00eb vendim, por vet\u00ebm jan\u00eb informuar.<\/p>\n

Ky vendim \u00ebsht\u00eb mb\u00ebshtetur nga Shoqata e Gjinekolog\u00ebve dhe Obstet\u00ebrve t\u00eb Maqedonis\u00eb s\u00eb Veriut (MAGO). Sipas tyre, vendimi p\u00ebr zgjatjen e intervalit nga nj\u00eb her\u00eb n\u00eb vit n\u00eb \u00e7do tre vjet \u00ebsht\u00eb bazuar n\u00eb prova shkencore dhe rekomandime nga nj\u00eb s\u00ebr\u00eb organizatash\/shoqatash sh\u00ebndet\u00ebsore\/profesionale bot\u00ebrore.<\/p>\n

Arsyeja e ndryshimit q\u00ebndron n\u00eb faktin se ata sot m\u00eb mir\u00eb e kuptojn\u00eb\u00a0 m\u00ebnyr\u00ebn sesi zhvillohet kanceri i qaf\u00ebs s\u00eb mitr\u00ebs me kalimin e koh\u00ebs – e din\u00eb se duhen shum\u00eb vite p\u00ebr t’u zhvilluar. Hulumtimet gjat\u00eb dekadave t\u00eb fundit kan\u00eb treguar se nuk ka asnj\u00eb p\u00ebrpar\u00ebsi n\u00ebse b\u00ebhet PAP testi \u00e7do vit n\u00eb krahasim me \u00e7do tre vjet.<\/p>\n

“N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, p\u00ebrve\u00e7 PAP testit, sot \u00ebsht\u00eb i disponuesh\u00ebm tjet\u00ebr opsion depistimi p\u00ebr zbulimin e kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs – testi HPV (HPV n\u00ebnkupton virusin papilloma human – virus q\u00eb mund t\u00eb shkaktoj\u00eb kancer t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs). Me t\u00eb dyja analizat, qelizat merren nga qafa e mitr\u00ebs dhe testohen. PAP testi k\u00ebrkon qeliza jonormale q\u00eb mund t\u00eb zhvillohen n\u00eb qeliza kanceroze me kalimin e koh\u00ebs. Testi HPV k\u00ebrkon llojet e HPV-s\u00eb q\u00eb kan\u00eb m\u00eb shum\u00eb gjasa t\u00eb shkaktojn\u00eb kancer. N\u00eb shum\u00eb rajone t\u00eb bot\u00ebs, testimi p\u00ebr HPV \u00ebsht\u00eb b\u00ebr\u00eb metoda e preferuar e shqyrtimit t\u00eb kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs dhe po p\u00ebrfshihet gjithnj\u00eb e m\u00eb shum\u00eb n\u00eb protokolle, ve\u00e7an\u00ebrisht p\u00ebr personat e mosh\u00ebs 30 vje\u00e7 e lart, p\u00ebr shkak t\u00eb ndjeshm\u00ebris\u00eb dhe specifik\u00ebs m\u00eb t\u00eb madhe n\u00eb krahasim me testin tradicional t\u00eb Pap testit. Kjo do t\u00eb thot\u00eb se mund t\u00eb identifikoj\u00eb m\u00eb sakt\u00eb pacient\u00ebt n\u00eb rrezik t\u00eb zhvillimit t\u00eb kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs dhe t\u00eb zvog\u00ebloj\u00eb numrin e rezultateve false-negative”, sqarojn\u00eb nga MAGO.<\/p>\n

Ata shtuan se n\u00eb nivel nd\u00ebrkomb\u00ebtar, OBSH publikoi udh\u00ebzues t\u00eb p\u00ebrdit\u00ebsuar t\u00eb shqyrtimit n\u00eb vitin 2021, duke rekomanduar ekzaminimin e kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs n\u00eb t\u00eb gjitha grat\u00eb n\u00eb popullat\u00ebn e p\u00ebrgjithshme, duke filluar nga mosha 30 vje\u00e7, vet\u00ebm me testimin e ADN-s\u00eb HPV n\u00eb vend t\u00eb PAP testit. OBSH rekomandon q\u00eb ky depistim t\u00eb b\u00ebhet \u00e7do pes\u00eb deri n\u00eb dhjet\u00eb vjet deri n\u00eb mosh\u00ebn 50 vje\u00e7, ku depistimi mund t\u00eb nd\u00ebrpritet pas dy testeve negative n\u00eb intervalet e rekomanduara p\u00ebr depisimin e popullat\u00ebs s\u00eb p\u00ebrgjithshme.<\/p>\n

“N\u00eb vendin ton\u00eb ky test \u00ebsht\u00eb i disponuesh\u00ebm n\u00eb Klinik\u00ebn Universitare t\u00eb Gjinekologjis\u00eb dhe Obstetrik\u00ebs n\u00eb kuad\u00ebr t\u00eb depistimit me baz\u00eb HPV- studimi pilot i GAC ka nisur n\u00eb vitin 2020. \u00c7mimi p\u00ebr nj\u00eb test HPV kushton 500 denar\u00eb (5500 denar\u00eb privatisht)”, sqaron MAGO.<\/p>\n

P\u00ebrve\u00e7 kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs, testimi i HPV-s\u00eb mund t\u00eb ndihmoj\u00eb n\u00eb zbulimin dhe parandalimin e kancereve t\u00eb tjera t\u00eb lidhura me HPV-n\u00eb, si kanceri anal, vaginal, vulvar, penile dhe orofaringeal. Zbulimi i hersh\u00ebm p\u00ebrmes testimit t\u00eb HPV mund t\u00eb leht\u00ebsoj\u00eb nd\u00ebrhyrjet n\u00eb koh\u00eb dhe t\u00eb p\u00ebrmir\u00ebsoj\u00eb rezultatet edhe p\u00ebr k\u00ebto lloje kanceri, shton MAGO.<\/p>\n

Rekomandohet vaksinimi kund\u00ebr HPV-s\u00eb<\/strong><\/h5>\n

Sot, vaksinimi HPV \u00ebsht\u00eb mas\u00eb kryesore parandaluese kund\u00ebr infeksionit t\u00eb papillomavirusit njer\u00ebzor (HPV), sepse vaksinat HPV jan\u00eb shum\u00eb efektive n\u00eb parandalimin e infeksionit HPV.<\/p>\n

“Vaksinimi kund\u00ebr HPV-s\u00eb rekomandohet zakonisht si p\u00ebr djemt\u00eb ashtu edhe p\u00ebr vajzat duke filluar nga mosha 9 deri n\u00eb 12 vje\u00e7, megjith\u00ebse mund t\u00eb administrohet deri n\u00eb mosh\u00ebn 26 vje\u00e7 p\u00ebr vajzat e reja dhe deri n\u00eb mosh\u00ebn 21 vje\u00e7 p\u00ebr djemt\u00eb. Preferohet vaksinimi n\u00eb mosh\u00eb m\u00eb t\u00eb re, sepse \u00ebsht\u00eb m\u00eb efektiv kur b\u00ebhet p\u00ebrpara ekspozimit ndaj virusit n\u00ebp\u00ebrmjet aktivitetit seksual. Pothuajse n\u00eb t\u00eb gjitha vendet e Evrop\u00ebs Per\u00ebndimore, t\u00eb dyja gjinit\u00eb jan\u00eb t\u00eb vaksinuara. N\u00eb vendin ton\u00eb, sipas legjislacionit, k\u00ebt\u00eb vaksin\u00eb mund ta marrin vet\u00ebm vajzat 12 vje\u00e7 (dy doza), 15 vje\u00e7 (3 doza) dhe 19 vje\u00e7. Megjithat\u00eb, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb theksohet se rekomandimet e shqyrtimit mund t\u00eb ndryshojn\u00eb n\u00eb var\u00ebsi t\u00eb faktor\u00ebve t\u00eb tjer\u00eb – si mosha e pacientit dhe historia e m\u00ebparshme sh\u00ebndet\u00ebsore. Prandaj, \u00ebsht\u00eb thelb\u00ebsore q\u00eb \u00e7do vajz\u00eb dhe grua t\u00eb konsultohet me gjinekologun am\u00eb t\u00eb tyre p\u00ebr t\u00eb p\u00ebrcaktuar s\u00eb bashku orarin m\u00eb t\u00eb p\u00ebrshtatsh\u00ebm t\u00eb ekzaminimit bazuar n\u00eb rrethanat specifike”, thekson MAGO.<\/p>\n

Vizit\u00eb rutin\u00eb te gjinekologu am\u00eb \u00ebsht\u00eb vendimtare p\u00ebr sh\u00ebndetin e p\u00ebrgjithsh\u00ebm<\/strong><\/h5>\n

Sipas gjinekolog\u00ebve t\u00eb MAGO, pavar\u00ebsisht n\u00ebse duhet t\u00eb kontrolloheni p\u00ebr kancerin e qaf\u00ebs s\u00eb mitr\u00ebs apo jo, \u00e7do vajz\u00eb dhe grua duhet t\u00eb vizitoj\u00eb gjinekologun am\u00eb t\u00eb pakt\u00ebn nj\u00eb her\u00eb n\u00eb vit.<\/p>\n

“Ekzaminimi rutin\u00eb vjetor klinik dhe ekografik \u00ebsht\u00eb mund\u00ebsi p\u00ebr zbulimin e hersh\u00ebm t\u00eb ndryshimeve beninje dhe malinje n\u00eb organet e tjera riprodhuese t\u00eb pacientit (mitra, vezoret, tubat fallopiane, vagin\u00eb dhe vulv\u00eb). Gjat\u00eb ekzaminimit rutin\u00eb vjetor, mund t\u00eb b\u00ebhet testimi p\u00ebr IST (infeksione seksualisht t\u00eb transmetueshme) dhe rekomandimi\/k\u00ebshilla p\u00ebr vaksin\u00ebn HPV. Vizita vjetore te gjinekologu am\u00eb \u00ebsht\u00eb mund\u00ebsi q\u00eb pacienti t\u00eb ndaj\u00eb me gjinekologun e familjes shqet\u00ebsimet e p\u00ebrbashk\u00ebta, si dhimbje t\u00eb vazhdueshme t\u00eb legenit ose gjakderdhje jonormale, v\u00ebshtir\u00ebsi n\u00eb formimin e familjes etj. Vizita rutin\u00eb te gjinekologu am\u00eb \u00ebsht\u00eb \u00e7el\u00ebsi p\u00ebr sh\u00ebndetin e p\u00ebrgjithsh\u00ebm dhe depistimi i kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs \u00ebsht\u00eb vet\u00ebm nj\u00eb pjes\u00eb e vog\u00ebl por e r\u00ebnd\u00ebsishme”, n\u00ebnvizon MAGO.<\/p>\n

Sh\u00ebrbimet sh\u00ebndet\u00ebsore baz\u00eb q\u00eb ofrohen nga mjek\u00eb gjinekolog\u00eb t\u00eb p\u00ebrzgjedhur am\u00eb dhe q\u00eb jan\u00eb pa pages\u00eb jan\u00eb: ekzaminimi klinik diagnostik me ekografi transabdominale ose transvaginale dhe Pap testi. Sipas programit p\u00ebr zbulimin e hersh\u00ebm dhe depistimin e s\u00ebmundjeve malinje n\u00eb Maqedoni p\u00ebr vitin 2024, Pap testi \u00ebsht\u00eb falas p\u00ebr grupmoshat nga 21 deri n\u00eb 59 vje\u00e7 q\u00eb nuk kan\u00eb b\u00ebr\u00eb Pap test n\u00eb 3 vitet e fundit.<\/p>\n

“P\u00ebr Pap testin q\u00eb duhet t\u00eb b\u00ebhet nj\u00eb her\u00eb n\u00eb vit sipas mjek\u00ebsis\u00eb s\u00eb bazuar n\u00eb d\u00ebshmi, bashk\u00ebpagesa q\u00eb duhet t\u00eb paguaj i siguruari \u00ebsht\u00eb 60 denar\u00eb. N\u00ebse Pap testi duhet t\u00eb b\u00ebhet privatisht, \u00e7mimi i tij referenc\u00eb sipas Fondit p\u00ebr Sigurim Sh\u00ebndet\u00ebsor \u00ebsht\u00eb 600 denar\u00eb”, informojn\u00eb nga MAGO.<\/p>\n

Sipas t\u00eb dh\u00ebnave t\u00eb Institutit p\u00ebr Sh\u00ebndet Publik, kanceri i qaf\u00ebs s\u00eb mitr\u00ebs \u00ebsht\u00eb kanceri i gjasht\u00eb m\u00eb i shpesht\u00eb te grat\u00eb n\u00eb Maqedonin\u00eb e Veriut n\u00eb 10 vitet e fundit, me incidenc\u00eb prej 17,57\/100.000 dhe mesatarisht 51 vdekje n\u00eb vit.<\/p>\n