{"id":32270,"date":"2020-03-11T08:08:20","date_gmt":"2020-03-11T08:08:20","guid":{"rendered":"https:\/\/www.shqiperia.com\/blog\/?p=32270"},"modified":"2020-03-11T08:10:40","modified_gmt":"2020-03-11T08:10:40","slug":"mjeku-ne-bergamo-itali-zgjedhim-ke-duhet-te-shpetojme-vendosim-sipas-moshes","status":"publish","type":"post","link":"https:\/\/www.shqiperia.com\/blog\/mjeku-ne-bergamo-itali-zgjedhim-ke-duhet-te-shpetojme-vendosim-sipas-moshes\/","title":{"rendered":"Mjeku n\u00eb Bergamo (Itali) : Zgjedhim k\u00eb duhet t\u00eb shp\u00ebtojm\u00eb, vendosim sipas mosh\u00ebs \u2026"},"content":{"rendered":"

\"\"<\/p>\n

Mjeku n\u00eb Bergamo (Itali) : – Zgjedhim k\u00eb duhet t\u00eb shp\u00ebtojm\u00eb, vendosim sipas mosh\u00ebs\u2026<\/strong><\/p>\n

11 mars \u00a02020<\/p>\n

\u201cNj\u00eb dhom\u00eb e madhe me nj\u00ebzet shtret\u00ebr \u00ebsht\u00eb hapur n\u00eb brend\u00ebsi t\u00eb urgjenc\u00ebs, e cila p\u00ebrdoret vet\u00ebm p\u00ebr ngjarje masive. Ne e quajm\u00eb at\u00eb Pemaf, ose Plani i Urgjenc\u00ebs p\u00ebr maksimumin e fluksit. K\u00ebtu \u00ebsht\u00eb vendi ku b\u00ebhet p\u00ebrzgjedhja\u201d.<\/p>\n

Nuk \u00ebsht\u00eb nj\u00eb bised\u00eb e leht\u00eb me Christian Salaroli, 48 vje\u00e7, i martuar, babai i dy f\u00ebmij\u00ebve, drejtor mjek\u00ebsor, anestezist reanimator i spitalit Papa Giovanni XXIII n\u00eb Bergamo, nj\u00eb nga m\u00eb t\u00eb populluarit e k\u00ebtyre jav\u00ebve.<\/p>\n

\u201cVendoset sipas mosh\u00ebs dhe kushteve sh\u00ebndet\u00ebsore. Si n\u00eb t\u00eb gjitha situatat e luft\u00ebs. Nuk po e them un\u00eb, por manualet me t\u00eb cilat kemi studiuar\u201d. Kjo \u00ebsht\u00eb intervista e tij p\u00ebr Corriere Della Sera.<\/p>\n

At\u00ebher\u00eb \u00ebsht\u00eb e v\u00ebrtet\u00eb?<\/strong>
\nSigurisht q\u00eb \u00ebsht\u00eb. N\u00eb ato shtret\u00ebr pranohen vet\u00ebm grat\u00eb dhe burrat me pneumoni Covid-19, q\u00eb vuajn\u00eb nga insuficienca respiratore. T\u00eb tjer\u00ebt n\u00eb sht\u00ebpi.<\/p>\n

M\u00eb pas \u00e7far\u00eb ndodh?<\/strong>
\nI vendosim ata n\u00eb ventilim jo-invaziv, i cili quhet Niv. Hapi i par\u00eb \u00ebsht\u00eb ky.<\/p>\n

Po hapat e tjer\u00eb?<\/strong>
\nVij tek m\u00eb e r\u00ebnd\u00ebsishmja. N\u00eb m\u00ebngjes her\u00ebt, me t\u00eb kuruarit n\u00eb urgjenc\u00eb kalon reanimatori. Mendimi i tij \u00ebsht\u00eb shum\u00eb i r\u00ebnd\u00ebsish\u00ebm.<\/p>\n

Pse ka kaq shum\u00eb r\u00ebnd\u00ebsi?<\/strong>
\nP\u00ebrve\u00e7 mosh\u00ebs dhe gjendjes s\u00eb p\u00ebrgjithshme, elementi i tret\u00eb \u00ebsht\u00eb aft\u00ebsia e pacientit p\u00ebr t\u2019u rikuperuar nga nj\u00eb nd\u00ebrhyrje reanimatore.<\/p>\n

P\u00ebr \u00e7far\u00eb po flasim?<\/strong>
\nKjo e shkaktuar nga Covid-19 \u00ebsht\u00eb pneumoni intersticiale, nj\u00eb form\u00eb shum\u00eb agresive q\u00eb ndikon aq shum\u00eb n\u00eb oksigjenimin e gjakut. Pacient\u00ebt m\u00eb t\u00eb prekur b\u00ebhen hipoksik\u00eb, dometh\u00ebn\u00eb, ata nuk kan\u00eb m\u00eb sasi t\u00eb mjaftueshme oksigjeni n\u00eb organiz\u00ebm.<\/p>\n

Kur vjen koha p\u00ebr t\u00eb zgjedhur?<\/strong>
\nMenj\u00ebher\u00eb m\u00eb pas. Ne jemi t\u00eb detyruar ta b\u00ebjm\u00eb. N\u00eb dy dit\u00eb, m\u00eb s\u00eb shumti. Ventilimi jo-invaziv \u00ebsht\u00eb vet\u00ebm nj\u00eb faz\u00eb kaluese. Meqen\u00ebse p\u00ebr fat t\u00eb keq ka disproporcion midis burimeve spitalore, shtret\u00ebrve t\u00eb kujdesit intensiv dhe njer\u00ebzve me s\u00ebmundje kritike, jo t\u00eb gjith\u00eb intubohen.<\/p>\n

N\u00eb k\u00ebt\u00eb pik\u00eb \u00e7far\u00eb ndodh at\u00ebher\u00eb?<\/strong>
\nB\u00ebhet e nevojshme q\u00eb ato t\u00eb ventilohen mekanikisht. Ata t\u00eb cil\u00ebt zgjidhen p\u00ebr t\u00eb vazhduar, intubohen t\u00eb gjith\u00eb, ose vendosen me bark posht\u00eb, sepse kjo manov\u00ebr mund t\u00eb favorizoj\u00eb ventilimin e zonave t\u00eb poshtme t\u00eb mushk\u00ebrive.<\/p>\n

A ka ndonj\u00eb rregull t\u00eb shkruar?<\/strong>
\nP\u00ebr momentin, p\u00ebrkund\u00ebr asaj q\u00eb lexoj, jo. Si rregull, edhe n\u00ebse e kuptoj q\u00eb \u00ebsht\u00eb nj\u00eb fjal\u00eb e keqe, vler\u00ebsohen me shum\u00eb kujdes pacient\u00ebt me patologji serioze kardio-respiratore dhe njer\u00ebzit me probleme t\u00eb r\u00ebnda t\u00eb arterieve koronare, sepse ata tolerojn\u00eb hipoksin\u00eb akute dob\u00ebt dhe kan\u00eb pak shanse t\u00eb mbijetojn\u00eb n\u00eb faz\u00ebn kritike.<\/p>\n

Ndonj\u00eb gj\u00eb tjet\u00ebr?<\/strong>
\nN\u00ebse nj\u00eb person midis 80 dhe 95 vje\u00e7\u00ebve ka nj\u00eb insuficenc\u00eb t\u00eb r\u00ebnd\u00eb respiratore, me siguri nuk procedon. N\u00ebse ka nj\u00eb insuficienz\u00eb shum\u00eb-organike t\u00eb m\u00eb shum\u00eb se tre organeve vitale, kjo do t\u00eb thot\u00eb se ai ka nj\u00eb p\u00ebrqindje t\u00eb vdekshm\u00ebris\u00eb nj\u00ebqind p\u00ebr qind. Tashm\u00eb ka ikur.<\/p>\n

E lini t\u00eb vdes\u00eb?<\/strong><\/p>\n

Edhe kjo \u00ebsht\u00eb gjithashtu nj\u00eb fjali e tmerrshme. Por p\u00ebr fat t\u00eb keq \u00ebsht\u00eb e v\u00ebrtet\u00eb. Ne nuk jemi n\u00eb gjendje t\u00eb tentojm\u00eb ato q\u00eb quhen mrekulli. \u00cbsht\u00eb realiteti.<\/p>\n

A nuk \u00ebsht\u00eb gjithmon\u00eb k\u00ebshtu?<\/strong>
\nJo. Sigurisht, edhe n\u00eb koh\u00ebra normale vler\u00ebsohet rast pas rasti, n\u00eb reparte ne p\u00ebrpiqemi t\u00eb kuptojm\u00eb n\u00ebse pacienti mund t\u00eb sh\u00ebrohet nga \u00e7do nd\u00ebrhyrje. Tani po e zbatojm\u00eb k\u00ebt\u00eb diskrecion n\u00eb nj\u00eb shkall\u00eb t\u00eb gjer\u00eb.<\/p>\n

Kush lihet t\u00eb shkoj\u00eb, vdes nga Covid-19 apo nga patologjit\u00eb e m\u00ebparshme?<\/strong>
\nKjo fjal\u00eb, se ata nuk vdesin nga koronavirusi \u00ebsht\u00eb nj\u00eb g\u00ebnjesht\u00ebr q\u00eb m\u00eb hidh\u00ebron. Madje nuk \u00ebsht\u00eb as respekt p\u00ebr ata q\u00eb na l\u00ebn\u00eb. Ata vdesin nga Covid-19, sepse n\u00eb form\u00ebn e tij kritike, pneumonia intersticiale prek problemet e m\u00ebparshme t\u00eb frym\u00ebmarrjes dhe pacienti nuk mund t\u00eb duroj\u00eb m\u00eb. Vdekja shkaktohet nga virusi dhe nga asgj\u00eb tjet\u00ebr.<\/p>\n

Dhe ju mjek\u00ebt, arrini ta p\u00ebrballoni k\u00ebt\u00eb situat\u00eb?<\/strong>
\nDisa dalin t\u00eb shtypur. Kjo i ndodh shefit t\u00eb repartit dhe djalit t\u00eb sapoardhur q\u00eb e gjen veten n\u00eb m\u00ebngjes her\u00ebt, duke vendosur fatin e nj\u00eb qenie njer\u00ebzore. N\u00eb nj\u00eb shkall\u00eb t\u00eb gjer\u00eb, po e p\u00ebrs\u00ebris.<\/p>\n

A nuk t\u00eb shqet\u00ebson t\u00eb jesh arbitri i jet\u00ebs dhe vdekjes s\u00eb nj\u00eb qenie njer\u00ebzore?<\/strong>
\nTani p\u00ebr tani fle nat\u00ebn. Sepse un\u00eb e di se zgjedhja bazohet n\u00eb supozimin se dikush, pothuajse gjithmon\u00eb m\u00eb i ri, ka m\u00eb shum\u00eb mund\u00ebsi t\u00eb mbijetoj\u00eb se tjetri. T\u00eb pakt\u00ebn, \u00ebsht\u00eb nj\u00eb ngush\u00ebllim.<\/p>\n

\u00c7far\u00eb mendoni p\u00ebr masat e fundit t\u00eb qeveris\u00eb?<\/strong>
\nNdoshta jam pak gjenerik. Koncepti i mbylljes s\u00eb virusit n\u00eb zona t\u00eb caktuara \u00ebsht\u00eb i sakt\u00eb, por ai vjen t\u00eb pakt\u00ebn nj\u00eb jav\u00eb me vones\u00eb. Ajo q\u00eb me t\u00eb v\u00ebrtet\u00eb ka r\u00ebnd\u00ebsi \u00ebsht\u00eb nj\u00eb gj\u00eb tjet\u00ebr.<\/p>\n

Cila?<\/strong>
\nQ\u00ebndroni n\u00eb sht\u00ebpi. Q\u00ebndroni n\u00eb sht\u00ebpi. Nuk lodhem duke e p\u00ebrs\u00ebritur. Shoh shum\u00eb njer\u00ebz n\u00eb rrug\u00eb. P\u00ebrgjigja m\u00eb e mir\u00eb p\u00ebr k\u00ebt\u00eb virus nuk \u00ebsht\u00eb q\u00eb t\u00eb mos dilni xhiro. Ju nuk e imagjinoni se \u00e7far\u00eb po ndodh k\u00ebtu. Q\u00ebndroni n\u00eb sht\u00ebpi.<\/p>\n

A ka munges\u00eb t\u00eb personelit?<\/strong>
\nNe t\u00eb gjith\u00eb po b\u00ebjm\u00eb gjith\u00e7ka. Ne anestezist\u00ebt kryejm\u00eb nd\u00ebrrime mb\u00ebshtet\u00ebse n\u00eb dhom\u00ebn ton\u00eb t\u00eb operacionit, e cila menaxhon Bergamon, Brescian dhe Sondrion. Mjek\u00eb t\u00eb tjer\u00eb t\u00eb ambulancave p\u00ebrfundojn\u00eb n\u00eb repart, sot m\u00eb takon mua.<\/p>\n

N\u00eb dhom\u00ebn e madhe?<\/strong>
\nSakt\u00eb. Shum\u00eb nga koleg\u00ebt e mi i v\u00ebn\u00eb fajin k\u00ebsaj situate. Nuk \u00ebsht\u00eb vet\u00ebm ngarkesa e pun\u00ebs, por ajo emocionale, e cila \u00ebsht\u00eb shkat\u00ebrruese. Kam par\u00eb infermiere me tridhjet\u00eb vjet p\u00ebrvoj\u00eb pas tyre q\u00eb qajn\u00eb, njer\u00ebz q\u00eb kan\u00eb kriza nervore dhe befas dridhen. Ju nuk e dini se \u00e7far\u00eb po ndodh n\u00eb spitale, kjo \u00ebsht\u00eb arsyeja pse vendosa t\u00eb flas.<\/p>\n

A ekziston ende e drejta e p\u00ebrkujdesjes?<\/strong>
\nTani p\u00ebr tani \u00ebsht\u00eb e k\u00ebrc\u00ebnuar nga fakti se sistemi nuk \u00ebsht\u00eb n\u00eb gjendje t\u00eb marr\u00eb p\u00ebrsip\u00ebr t\u00eb zakonshmen dhe t\u00eb jasht\u00ebzakonshmen n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb. Pra, trajtimet standarde mund t\u00eb ken\u00eb vonesa serioze.<\/p>\n

A mund t\u00eb m\u00eb jepni nj\u00eb shembull?<\/strong>
\nNormalisht thirrja p\u00ebr nj\u00eb sulm n\u00eb zem\u00ebr procedohet brenda disa minutash. Tani mund t\u00eb ndodh\u00eb q\u00eb t\u00eb prisni edhe p\u00ebr nj\u00eb or\u00eb ose m\u00eb shum\u00eb.<\/p>\n

A gjeni nj\u00eb shpjegim p\u00ebr t\u00eb gjith\u00eb k\u00ebt\u00eb?<\/strong>
\nNuk po e k\u00ebrkoj. Un\u00eb i them vetes \u00ebsht\u00eb si operacionet e luft\u00ebs. Ne vet\u00ebm p\u00ebrpiqemi t\u2019i shp\u00ebtojm\u00eb jet\u00ebn atyre q\u00eb mund t\u2019ia dalin. Kjo \u00ebsht\u00eb ajo q\u00eb po ndodh.<\/p>\n

o.j\/dita<\/p>\n","protected":false},"excerpt":{"rendered":"

Mjeku n\u00eb Bergamo (Itali) : – Zgjedhim k\u00eb duhet t\u00eb shp\u00ebtojm\u00eb, vendosim sipas mosh\u00ebs\u2026 11 mars \u00a02020 \u201cNj\u00eb dhom\u00eb e madhe me nj\u00ebzet shtret\u00ebr \u00ebsht\u00eb hapur n\u00eb brend\u00ebsi t\u00eb urgjenc\u00ebs, e cila p\u00ebrdoret vet\u00ebm p\u00ebr ngjarje masive. Ne e quajm\u00eb at\u00eb Pemaf, ose Plani i Urgjenc\u00ebs p\u00ebr maksimumin e fluksit. K\u00ebtu \u00ebsht\u00eb vendi ku b\u00ebhet […]<\/p>\n","protected":false},"author":9,"featured_media":32271,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[27,10,35],"tags":[],"class_list":["post-32270","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogu-i-udhetarit","category-kultura","category-shoqerore"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.shqiperia.com\/blog\/wp-content\/uploads\/2020\/03\/mjeku-905x450-1.jpg?fit=905%2C450&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5Z6wp-8ou","jetpack-related-posts":[{"id":100070,"url":"https:\/\/www.shqiperia.com\/blog\/spiropali-me-mesazh-te-koduar-ne-europe-shteti-nuk-eshte-prone-e-askujt-dinjiteti-vlen-me-shume-se-forca\/","url_meta":{"origin":32270,"position":0},"title":"Spiropali me mesazh t\u00eb koduar: – N\u00eb Europ\u00eb shteti nuk \u00ebsht\u00eb pron\u00eb e askujt, dinjiteti vlen m\u00eb shum\u00eb se forca","author":"Kurt Farka","date":"May 9, 2026","format":false,"excerpt":"9 Maji 2026 Elisa Spiropali ka zgjedhur Dit\u00ebn e Europ\u00ebs p\u00ebr t\u00eb d\u00ebrguar t\u00eb tjera mesazhe n\u00eb drejtim t\u00eb partis\u00eb s\u00eb saj. Edhe pse kritikat e drejtp\u00ebrdrejta jan\u00eb ndalur pas replik\u00ebs ndaj k\u00ebrc\u00ebnimit t\u00eb Ram\u00ebs me p\u00ebrjashtim, n\u00eb mesazhin p\u00ebr Dit\u00ebn e Europ\u00ebs duket sikur Spiropali flet me kode. Sipas\u2026","rel":"","context":"In "Blogu i Udh\u00ebtarit"","block_context":{"text":"Blogu i Udh\u00ebtarit","link":"https:\/\/www.shqiperia.com\/blog\/category\/blogu-i-udhetarit\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.shqiperia.com\/blog\/wp-content\/uploads\/2026\/05\/683660598_988439043537725_8063354982261626819_n.jpg?fit=848%2C678&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.shqiperia.com\/blog\/wp-content\/uploads\/2026\/05\/683660598_988439043537725_8063354982261626819_n.jpg?fit=848%2C678&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.shqiperia.com\/blog\/wp-content\/uploads\/2026\/05\/683660598_988439043537725_8063354982261626819_n.jpg?fit=848%2C678&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.shqiperia.com\/blog\/wp-content\/uploads\/2026\/05\/683660598_988439043537725_8063354982261626819_n.jpg?fit=848%2C678&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":100042,"url":"https:\/\/www.shqiperia.com\/blog\/opsionet-qe-duhen-hedhur-ne-tryeze-jane-zgjedhjet-e-parakohshme\/","url_meta":{"origin":32270,"position":1},"title":"Opsionet qe duhen hedhur n\u00eb tryez\u00eb jan\u00eb: – Zgjedhjet e parakohshme","author":"Kurt Farka","date":"May 9, 2026","format":false,"excerpt":"9 Maji 2026 Analisti Genc Burimi argumenton se protestat e vazhdueshme t\u00eb opozit\u00ebs nuk jan\u00eb thjesht nj\u00eb \u00e7\u00ebshtje e brendshme, por nj\u00eb mesazh i qart\u00eb drejtuar partner\u00ebve europian\u00eb mbi kriz\u00ebn e thell\u00eb politike n\u00eb vend. Sipas tij, partner\u00ebt nd\u00ebrkomb\u00ebtar\u00eb e shohin si t\u00eb pamundur q\u00eb klima aktuale politike, e karakterizuar\u2026","rel":"","context":"In "Politika"","block_context":{"text":"Politika","link":"https:\/\/www.shqiperia.com\/blog\/category\/politika\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.shqiperia.com\/blog\/wp-content\/uploads\/2026\/05\/Genc-Burimi.jpg?fit=662%2C411&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.shqiperia.com\/blog\/wp-content\/uploads\/2026\/05\/Genc-Burimi.jpg?fit=662%2C411&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.shqiperia.com\/blog\/wp-content\/uploads\/2026\/05\/Genc-Burimi.jpg?fit=662%2C411&ssl=1&resize=525%2C300 1.5x"},"classes":[]},{"id":100098,"url":"https:\/\/www.shqiperia.com\/blog\/tritan-kalo-hantaviruset-jane-prezente-edhe-ne-shqiperi-nuk-ka-vend-per-panik\/","url_meta":{"origin":32270,"position":2},"title":"Tritan Kalo: – Hantaviruset jan\u00eb prezente edhe n\u00eb Shqip\u00ebri, nuk ka vend p\u00ebr panik","author":"Kurt Farka","date":"May 10, 2026","format":false,"excerpt":"11 Maji 2026 Mjeku i mir\u00ebnjohur Tritan Kalo u pyet nga DITA lidhur me shqet\u00ebsimet p\u00ebr hantaviruset, duke sqaruar se k\u00ebto infeksione jan\u00eb t\u00eb njohura prej koh\u00ebsh dhe jan\u00eb t\u00eb pranishme edhe n\u00eb Shqip\u00ebri, kryesisht p\u00ebr shkak t\u00eb kontakteve t\u00eb njer\u00ebzve me minjt\u00eb e arave. 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