{"id":4280,"date":"2026-10-12T07:39:30","date_gmt":"2026-10-12T07:39:30","guid":{"rendered":"https:\/\/md-medicina.si\/ambulantne-dejavnosti\/specialisticne-ambulante\/uroloska-ambulanta\/ledvicni-kamni\/"},"modified":"2026-10-12T07:39:30","modified_gmt":"2026-10-12T07:39:30","slug":"ledvicni-kamni","status":"publish","type":"page","link":"https:\/\/md-medicina.si\/sq\/ambulantne-dejavnosti\/specialisticne-ambulante\/uroloska-ambulanta\/ledvicni-kamni\/","title":{"rendered":"Gur\u00ebt n\u00eb veshka"},"content":{"rendered":"
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\n \n \n \n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n Kthim n\u00eb klinik\u00ebn e urologjis\u00eb<\/span>\n\n \n \n <\/a>\n\n \n\n\n<\/div>\n<\/div>
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\nGur\u00ebt n\u00eb veshka\n<\/h1>
\nGur\u00ebt e rrug\u00ebve urinare jan\u00eb nj\u00eb s\u00ebmundje urologjike e shpesht\u00eb, n\u00eb t\u00eb cil\u00ebn n\u00eb veshka ose n\u00eb pjes\u00eb t\u00eb tjera t\u00eb rrug\u00ebve urinare formohen formacione t\u00eb forta kristalore, m\u00eb shpesh t\u00eb p\u00ebrb\u00ebra nga krip\u00ebra kalciumi. Gur\u00ebt mund ta pengojn\u00eb rrjedh\u00ebn e urin\u00ebs dhe t\u00eb shkaktojn\u00eb dhimbje t\u00eb fort\u00eb n\u00eb zon\u00ebn e veshkave, gjak n\u00eb urin\u00eb ose v\u00ebshtir\u00ebsi gjat\u00eb urinimit, por mund t\u00eb kalojn\u00eb edhe pa simptoma. Diagnostika moderne mund\u00ebson p\u00ebrcaktimin e sakt\u00eb t\u00eb madh\u00ebsis\u00eb dhe pozicionit t\u00eb gurit, nd\u00ebrsa trajtimi i p\u00ebrshtatet individit \u2013 nga ndjekja dhe trajtimi me barna deri te heqja operative e gurit.\n<\/div>\n<\/div><\/div><\/div>\n<\/section>
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\nUrolitiaza\n<\/h2>
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Gur\u00ebt n\u00eb rrug\u00ebt urinare (urolitiaza), t\u00eb quajtur n\u00eb gjuh\u00ebn e p\u00ebrditshme edhe gur\u00eb n\u00eb veshka, krijohen kur urina \u00ebsht\u00eb shum\u00eb e p\u00ebrqendruar me disa minerale dhe substanca t\u00eb tjera, t\u00eb cilat fillojn\u00eb t\u00eb ve\u00e7ohen n\u00eb form\u00ebn e kristaleve t\u00eb im\u00ebta. Kristalet mund t\u00eb lidhen me nj\u00ebri-tjetrin dhe gradualisht t\u00eb rriten n\u00eb gur. Gur\u00ebt mund t\u00eb ndodhen n\u00eb veshka, n\u00eb ureter, n\u00eb fshik\u00ebz dhe m\u00eb rrall\u00eb n\u00eb pjes\u00eb t\u00eb tjera t\u00eb rrug\u00ebve urinare. Sipas p\u00ebrb\u00ebrjes, m\u00eb t\u00eb shpesht\u00ebt jan\u00eb gur\u00ebt e kalciumit (80%), kryesisht oksalati i kalciumit dhe fosfati i kalciumit, por mund t\u00eb shfaqen edhe lloje t\u00eb tjera gur\u00ebsh, si gur\u00ebt e acidit urik, gur\u00ebt e struvitit (infektiv\u00eb), gur\u00ebt e cistin\u00ebs dhe shum\u00eb t\u00eb tjer\u00eb.<\/p>

Urolitiaza \u00ebsht\u00eb nj\u00eb s\u00ebmundje e shpesht\u00eb e rrug\u00ebve urinare, shpesht\u00ebsia e s\u00eb cil\u00ebs po rritet n\u00eb shum\u00eb vende. Rreziku i formimit t\u00eb gur\u00ebve lidhet me faktor\u00eb gjenetik\u00eb, metabolik\u00eb, ushqimor\u00eb dhe mjedisor\u00eb. Nd\u00ebr faktor\u00ebt m\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm t\u00eb rrezikut b\u00ebjn\u00eb pjes\u00eb marrja e pamjaftueshme e l\u00ebngjeve, urina e p\u00ebrqendruar, ushqimi me shum\u00eb krip\u00eb dhe proteina shtazore, pesha e tep\u00ebrt trupore, sindroma metabolike, disa s\u00ebmundje metabolike, infeksionet e rrug\u00ebve urinare, disa barna, si dhe prirja familjare ose gjenetike. Nj\u00eb faktor i r\u00ebnd\u00ebsish\u00ebm rreziku \u00ebsht\u00eb edhe urolitiaza e m\u00ebparshme, sepse gur\u00ebt shpesh p\u00ebrs\u00ebriten.<\/p>\n<\/div>\n<\/div>

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\nKur shfaqet dhimbja n\u00eb zon\u00ebn e veshkave\n<\/h2>
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Urolitiaza mund t\u00eb kaloj\u00eb pa simptoma ose mund t\u00eb shkaktoj\u00eb probleme karakteristike, kolika renale, sidomos kur guri zhvendoset n\u00eb ureter dhe n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb e bllokon pjes\u00ebrisht ose plot\u00ebsisht rrjedh\u00ebn e urin\u00ebs. P\u00ebr kolik\u00eb renale flasim kur shfaqet nj\u00eb dhimbje e papritur, shum\u00eb e fort\u00eb dhe me ng\u00ebr\u00e7e n\u00eb zon\u00ebn e veshkave, e cila mund t\u00eb p\u00ebrhapet drejt pjes\u00ebs s\u00eb poshtme t\u00eb barkut, ij\u00ebs ose organeve gjenitale. Shpesh kolika shoq\u00ebrohet edhe me gjak n\u00eb urin\u00eb, t\u00eb p\u00ebrzier dhe t\u00eb vjella, nd\u00ebrsa n\u00ebse guri ndodhet n\u00eb pjes\u00ebn e poshtme t\u00eb ureterit, mund t\u00eb ket\u00eb edhe urinim m\u00eb t\u00eb shpesht\u00eb dhe urgjent, si dhe urinim me djegie. Temperatura, t\u00eb dridhurat ose ndjesia e p\u00ebrgjithshme e keqe n\u00eb rast bllokimi t\u00eb rrug\u00ebve urinare mund t\u00eb tregojn\u00eb infeksion dhe k\u00ebrkojn\u00eb trajtim t\u00eb shpejt\u00eb urologjik.<\/p>\n<\/div>\n<\/div><\/div>

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\nTrajtimi diagnostik\n<\/h2>
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N\u00eb baz\u00eb t\u00eb anamnez\u00ebs dhe tablos\u00eb klinike tipike, urologu dyshon p\u00ebr pranin\u00eb e nj\u00eb guri n\u00eb rrug\u00ebt urinare. Diagnostikimi i m\u00ebtejsh\u00ebm synon konfirmimin e pranis\u00eb s\u00eb gurit, p\u00ebrcaktimin e madh\u00ebsis\u00eb dhe pozicionit t\u00eb tij, si dhe vler\u00ebsimin e bllokimit t\u00eb mundsh\u00ebm t\u00eb rrug\u00ebve urinare dhe t\u00eb infeksionit. Kryhen analiza t\u00eb urin\u00ebs dhe, sipas nevoj\u00ebs, t\u00eb gjakut, me t\u00eb cilat n\u00eb urin\u00eb vler\u00ebsojm\u00eb hematurin\u00eb, pranin\u00eb e kristaleve dhe shenjat e infeksionit, nd\u00ebrsa n\u00eb gjak funksionin e veshkave dhe parametra t\u00eb tjer\u00eb sipas situat\u00ebs klinike.<\/p>

Ekografia e rrug\u00ebve urinare shpesh \u00ebsht\u00eb ekzaminimi fillestar me imazheri, sepse mund t\u00eb tregoj\u00eb gur\u00ebt n\u00eb veshka, zgjerimin e sistemit kolektor dhe disa gur\u00eb n\u00eb ureter. P\u00ebr nj\u00eb p\u00ebrcaktim m\u00eb t\u00eb sakt\u00eb t\u00eb gurit, si rregull m\u00eb e p\u00ebrshtatshme \u00ebsht\u00eb CT e barkut pa l\u00ebnd\u00eb kontrasti, e cila mund\u00ebson vler\u00ebsimin e besuesh\u00ebm t\u00eb madh\u00ebsis\u00eb, lokalizimit, numrit dhe densitetit t\u00eb gur\u00ebve, si dhe t\u00eb shkall\u00ebs s\u00eb obstruksionit. Te pacient\u00eb t\u00eb p\u00ebrzgjedhur p\u00ebrdoren edhe metoda t\u00eb tjera imazherike (p.sh. urografia intravenoze).<\/p>\n<\/div>\n<\/div>

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\nMund\u00ebsit\u00eb e trajtimit t\u00eb gur\u00ebve n\u00eb veshka\n<\/h2>
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M\u00ebnyra e trajtimit t\u00eb gur\u00ebve n\u00eb veshka varet natyrisht nga madh\u00ebsia, pozicioni dhe p\u00ebrb\u00ebrja e gurit, nga simptomat, si dhe nga bllokimi i mundsh\u00ebm ose infeksioni i rrug\u00ebve urinare. N\u00ebse ureteri \u00ebsht\u00eb i bllokuar dhe ka infeksion, b\u00ebhet fjal\u00eb p\u00ebr nj\u00eb urgjenc\u00eb urologjike, prandaj nevojitet nj\u00eb vizit\u00eb e menj\u00ebhershme n\u00eb ambulanc\u00ebn urologjike t\u00eb urgjenc\u00ebs dhe drenimi sa m\u00eb i shpejt\u00eb i rrug\u00ebve urinare me stent JJ ose nefrostom\u00eb, nd\u00ebrsa heqja p\u00ebrfundimtare e gurit zakonisht kryhet pasi infeksioni t\u00eb jet\u00eb qet\u00ebsuar. Gur\u00ebt e vegj\u00ebl (deri n\u00eb 10 mm) dhe asimptomatik\u00eb n\u00eb veshka, t\u00eb cil\u00ebt nuk shkaktojn\u00eb bllokim t\u00eb rrug\u00ebve urinare, infeksion ose \u00e7rregullim t\u00eb funksionit t\u00eb veshkave, shpesh ndiqen, sepse shumica e tyre dalin spontanisht; p\u00ebr ta leht\u00ebsuar daljen, pacient\u00ebt marrin \u03b1-bllokues dhe analgjezik\u00eb (NSAID).<\/p>

P\u00ebr gur\u00ebt m\u00eb t\u00eb m\u00ebdhenj se 10 mm, mund\u00ebsia e daljes spontane \u00ebsht\u00eb e vog\u00ebl, prandaj rekomandohet trajtimi aktiv:<\/p>