{"id":43938,"date":"2025-10-10T14:17:43","date_gmt":"2025-10-10T14:17:43","guid":{"rendered":"https:\/\/radiojehona.com\/?p=43938"},"modified":"2025-10-10T14:17:44","modified_gmt":"2025-10-10T14:17:44","slug":"pacientet-me-kancer-ne-tru-presin-dy-muaj-per-rezultatet-e-rezonances-magnetike-ne-rmv-radiologjia-jemi-te-mbingarkuar-duhet-decentralizim","status":"publish","type":"post","link":"https:\/\/radiojehona.mk\/?p=43938","title":{"rendered":"Pacient\u00ebt me kancer n\u00eb tru presin dy muaj p\u00ebr rezultatet e rezonanc\u00ebs magnetike n\u00eb RMV, Radiologjia: Jemi t\u00eb mbingarkuar, duhet decentralizim"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

N\u00eb Institutin Universitar t\u00eb Radiologjis\u00eb n\u00eb Shkup as pas dy muajsh pacient\u00ebt nuk i kan\u00eb marr\u00eb rezultatet e rezonanc\u00ebs magnetike, nd\u00ebrsa vonohen edhe raportet nga ekzaminimet e tjera. \u201cKjo \u00ebsht\u00eb hera e pest\u00eb q\u00eb vij k\u00ebtu, burri im ka kancer n\u00eb tru, n\u00eb faz\u00ebn e tret\u00eb\u201d, lutet nj\u00eb grua n\u00eb sportelin e Radiologjis\u00eb. \u201cF\u00ebmija u ekzaminua m\u00eb 25 gusht. Termini p\u00ebr ekzaminim neurologjik \u00ebsht\u00eb m\u00eb 15 tetor. Me \u00e7far\u00eb t\u00eb shkoj\u00eb kur ta d\u00ebrgoj p\u00ebr ekzaminim? Duarbosh?\u201d, pyet n\u00ebna, shkruan SDK.mk<\/a>, transmeton Portalb.mk.<\/a><\/strong><\/p>\n\n\n\n

Pas sportelit q\u00ebndron nj\u00eb infermiere q\u00eb nj\u00ebkoh\u00ebsisht k\u00ebrkon n\u00ebp\u00ebr grumbuj letrash \u2013 rezultate t\u00eb pamarra, shfleton dhe k\u00ebrkon emra n\u00eb kompjuter, i p\u00ebrgjigjet secilit pacient individualisht, me nj\u00eb buz\u00ebqeshje, dhe i ngush\u00ebllon: \u201cNuk je vet\u00ebm, kjo \u00ebsht\u00eb situata jon\u00eb. Rezultatet do t\u00eb jen\u00eb t\u00eb disponueshme kudo q\u00eb t\u00eb jen\u00eb, po b\u00ebjm\u00eb \u00e7mos, tamam pun\u00eb t\u00eb mos merrni raport dhe CD\u201d.<\/p>\n\n\n\n

Tollovi e vazhdueshme, vijn\u00eb e shkojn\u00eb njer\u00ebz. Nj\u00eb person vjen p\u00ebr t\u00eb marr\u00eb rezultatet dhe e kthejn\u00eb mbrapsht me nj\u00eb k\u00ebrkes\u00eb p\u00ebr t\u00eb ardhur pas disa dit\u00ebsh.<\/p>\n\n\n\n

Sdk.mk pyeti Institutin Universitar t\u00eb Radiologjis\u00eb pse, edhe pas 2 muajsh skanimesh MRI, rezultatet e pacient\u00ebve nuk jan\u00eb gati?<\/p>\n\n\n\n

\u201cK\u00ebt\u00eb m\u00ebngjes, gruaja e nj\u00eb pacienti me kancer t\u00eb trurit n\u00eb faz\u00ebn 3 reagoi se rezultatet e tij nuk jan\u00eb gati p\u00ebr dy muaj. Pacient\u00eb t\u00eb tjer\u00eb reaguan gjithashtu, duke th\u00ebn\u00eb se pas 5-6-7 dhe m\u00eb shum\u00eb her\u00ebsh q\u00eb vijn\u00eb n\u00eb sportel, rezultatet ende nuk jan\u00eb aty. Cili \u00ebsht\u00eb problemi?\u201d, pyeti Sdk n\u00eb Radiologji.<\/p>\n\n\n\n

Drejtoresha Sonja Nikollova theksoi disa arsye pse rezultatet e skanimeve n\u00eb Radiologji vonohen dhe t\u00eb cilat jan\u00eb m\u00eb t\u00eb r\u00ebnd\u00ebsishmet p\u00ebr ta dhe jan\u00eb pika fillestare p\u00ebr mjek\u00ebt p\u00ebr trajtimin e pothuajse t\u00eb gjitha s\u00ebmundjeve t\u00eb pacient\u00ebve.<\/p>\n\n\n\n

Arsyeja e par\u00eb \u00ebsht\u00eb se me nj\u00eb udh\u00ebzim prioritar, pavar\u00ebsisht n\u00ebse duhet apo jo, t\u00eb gjith\u00eb d\u00ebrgohen n\u00eb Radiologji dhe prej andej nuk duan t\u00eb kthejn\u00eb ask\u00ebnd mbrapsht.<\/p>\n\n\n\n

\u201cRastet onkologjike dhe ato urgjente kan\u00eb gjithmon\u00eb p\u00ebrpar\u00ebsi n\u00eb pun\u00ebn ton\u00eb, si n\u00eb aspektin e caktimit t\u00eb termineve ashtu edhe n\u00eb interpretimin dhe l\u00ebshimin e rezultateve. Ne besojm\u00eb se ka nj\u00eb num\u00ebr t\u00eb kufizuar vonesash administrative, t\u00eb cilat rrjedhin kryesisht nga mungesa e nj\u00eb sistemi qendror p\u00ebr sh\u00ebnimin automatik t\u00eb urgjenc\u00ebs, ve\u00e7an\u00ebrisht tek pacient\u00ebt me udh\u00ebzim \u2018pa termin\u2019 ose \u2018me p\u00ebrpar\u00ebsi\u2019, ku niveli i urgjenc\u00ebs nuk \u00ebsht\u00eb gjithmon\u00eb i p\u00ebrcaktuar qart\u00eb. Pavar\u00ebsisht k\u00ebsaj, asnj\u00eb pacient nuk \u00ebsht\u00eb refuzuar ose l\u00ebn\u00eb pa ekzaminim. P\u00ebrkundrazi, edhe n\u00eb kushtet e stafit t\u00eb kufizuar dhe ngarkes\u00ebs s\u00eb shtuar t\u00eb pun\u00ebs, Instituti b\u00ebn \u00e7do p\u00ebrpjekje \u00e7do dit\u00eb p\u00ebr t\u00eb siguruar q\u00eb t\u00eb gjith\u00eb pacient\u00ebt t\u00eb sh\u00ebrbehen n\u00eb koh\u00ebn e duhur\u201d, thot\u00eb drejtoresha Nikollova.<\/strong><\/p>\n\n\n\n

N\u00eb periudh\u00ebn e kaluar, u kryen edhe dy sh\u00ebrbime m\u00eb t\u00eb gjata t\u00eb pajisjeve t\u00eb rezonanc\u00ebs magnetike, por t\u00eb gjith\u00eb pacient\u00ebt u pranuan dhe u p\u00ebrpunuan n\u00eb turne shtes\u00eb, pa nd\u00ebrprer\u00eb vazhdim\u00ebsin\u00eb e diagnostikimit urgjent.<\/p>\n\n\n\n

Sipas nj\u00eb raporti t\u00eb dor\u00ebzuar s\u00eb fundmi n\u00eb Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb, n\u00eb dy muajt e fundit numri i ekzaminimeve me rezonanc\u00eb magnetike \u00ebsht\u00eb rritur me mbi 30% krahasuar me t\u00eb nj\u00ebjt\u00ebn periudh\u00eb t\u00eb vitit t\u00eb kaluar.<\/p>\n\n\n\n

Nga numri i p\u00ebrgjithsh\u00ebm i ekzaminimeve t\u00eb kryera, 80% jan\u00eb pacient\u00eb me udh\u00ebzime t\u00eb parregulluara ose t\u00eb ri-l\u00ebshuara, m\u00eb shpesh pa konsultim paraprak ose indikacion t\u00eb filtruar, 15% jan\u00eb me udh\u00ebzime prioritare, 5% jan\u00eb me udh\u00ebzime emergjente (urgjente), t\u00eb cilat gjithmon\u00eb kan\u00eb p\u00ebrpar\u00ebsi absolute n\u00eb p\u00ebrpunim.<\/p>\n\n\n\n

Problemi m\u00eb i madh \u00ebsht\u00eb mungesa e stafit.<\/p>\n\n\n\n

\u201cInstituti aktualisht ka angazhuar 24 radiolog\u00eb dhe 2 konsulent\u00eb n\u00eb pension, nga t\u00eb cil\u00ebt 5 jan\u00eb specializant\u00eb, 2 jan\u00eb n\u00eb pushim lindjeje, nd\u00ebrsa 12 mjek\u00eb mbulojn\u00eb departamente dhe turne gatishm\u00ebrie n\u00eb klinikat Universitare dhe qendrat kirurgjikale n\u00eb baza ditore me turne t\u00eb dyta dhe turne gatishm\u00ebrie. P\u00ebrve\u00e7 ekzaminimeve me rezonanc\u00eb magnetike, i nj\u00ebjti ekip kryen CT dhe CT- angiografi klasike dhe me kontrast, diagnostikim me ultratinguj, si dhe procedura intervenuese (vaskulare dhe jo-vaskulare). Instituti ka edhe nj\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm edukativ, p\u00ebrmes edukimit t\u00eb student\u00ebve, specializant\u00ebve dhe profesionist\u00ebve t\u00eb kujdesit sh\u00ebndet\u00ebsor nga e gjith\u00eb vendi\u201d, thot\u00eb Nikollova.<\/p>\n\n\n\n

Sh\u00ebrbimet radiologjike t\u00eb nivelit terciar, edukimi specialistik dhe aktivitetet m\u00ebsimore jan\u00eb p\u00ebrqendruar pik\u00ebrisht n\u00eb k\u00ebt\u00eb Institut, gj\u00eb q\u00eb krijon nj\u00eb v\u00ebllim t\u00eb madh p\u00ebrgjegj\u00ebsie diagnostikuese dhe organizative. Nga gjithsej 19 radiolog\u00eb aktiv\u00eb, pothuajse t\u00eb gjith\u00eb jan\u00eb t\u00eb p\u00ebrfshir\u00eb edhe n\u00eb aktivitete m\u00ebsimore dhe shkencore.<\/p>\n\n\n\n

Instituti kujton se n\u00eb Maqedoni ka edhe institucione t\u00eb tjera sh\u00ebndet\u00ebsore me pajisje dhe staf profesional t\u00eb p\u00ebrshtatsh\u00ebm, t\u00eb trajnuar posa\u00e7\u00ebrisht p\u00ebr to.<\/p>\n\n\n\n

\u201cStafi profesional \u00ebsht\u00eb i trajnuar posa\u00e7\u00ebrisht n\u00eb Institutin ton\u00eb dhe ne besojm\u00eb se decentralizimi i m\u00ebtejsh\u00ebm i sh\u00ebrbimeve do t\u00eb kontribuonte n\u00eb nj\u00eb shp\u00ebrndarje m\u00eb t\u00eb balancuar t\u00eb pacient\u00ebve dhe efikasitet m\u00eb t\u00eb mir\u00eb t\u00eb t\u00eb gjith\u00eb sistemit. Ekzaminimet rutin\u00eb si MRI e gjurit, shpin\u00ebs ose ijeve shpesh kryhen n\u00eb institucionin ton\u00eb p\u00ebr shkak t\u00eb udh\u00ebzimeve nga pjes\u00eb t\u00eb ndryshme t\u00eb vendit, megjith\u00ebse ato mund t\u00eb kryhen edhe n\u00eb qendra t\u00eb tjera t\u00eb kujdesit sh\u00ebndet\u00ebsor. Kjo rrit ndjesh\u00ebm numrin e ekzaminimeve dhe ndikon n\u00eb dinamik\u00ebn n\u00eb institucionin e kujdesit sh\u00ebndet\u00ebsor terciar, fokusi i t\u00eb cilit \u00ebsht\u00eb kryesisht n\u00eb rastet diagnostike komplekse dhe urgjente\u201d, thot\u00eb Instituti.<\/p>\n\n\n\n

Radiologjia krahason se n\u00eb vendet e rajonit \u2013 Serbi, Bosnj\u00eb dhe Hercegovin\u00eb, Slloveni dhe Kroaci \u2013 terminet p\u00ebr imazhe me rezonanc\u00eb magnetike merren m\u00eb shpesh brenda 6 deri n\u00eb 12 muajsh. Ata shtojn\u00eb se rezultatet p\u00ebr ekzaminimet rutin\u00eb l\u00ebshohen pas 2 deri n\u00eb 3 muajsh.<\/p>\n\n\n\n

\u201cEdhe me burime t\u00eb kufizuara, Instituti arrin t\u00eb p\u00ebrpunoj\u00eb pacient\u00ebt e urgjenc\u00ebs dhe onkologjis\u00eb brenda pak dit\u00ebsh. Ju sigurojm\u00eb se po merren t\u00eb gjitha masat e mundshme p\u00ebr t\u00eb optimizuar proceset dhe se problemet po identifikohen dhe adresohen me nj\u00eb qasje serioze, n\u00eb bashk\u00ebpunim me Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe institucione t\u00eb tjera kompetente\u201d, thot\u00eb drejtoresha Nikollova.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Në Institutin Universitar të Radiologjisë në Shkup as pas dy muajsh pacientët nuk i kanë marrë rezultatet e rezonancës magnetike, ndërsa vonohen edhe raportet nga ekzaminimet e tjera. “Kjo është hera e pestë që vij këtu, burri im ka kancer në tru, në fazën e tretë”, lutet një grua në sportelin e Radiologjisë. “Fëmija u […]<\/p>\n","protected":false},"author":2,"featured_media":43939,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-43938","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-vendi"],"_links":{"self":[{"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/posts\/43938","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=43938"}],"version-history":[{"count":1,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/posts\/43938\/revisions"}],"predecessor-version":[{"id":43940,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/posts\/43938\/revisions\/43940"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/media\/43939"}],"wp:attachment":[{"href":"https:\/\/radiojehona.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43938"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43938"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43938"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}