{"id":1417,"date":"2019-06-11T13:19:50","date_gmt":"2019-06-11T13:19:50","guid":{"rendered":"http:\/\/profertil.local\/?page_id=1417"},"modified":"2022-03-31T11:19:40","modified_gmt":"2022-03-31T09:19:40","slug":"step-by-step","status":"publish","type":"page","link":"https:\/\/profertil.mk\/al\/infertility\/step-by-step\/","title":{"rendered":"Hap pas hapi"},"content":{"rendered":"\n<div class=\"wp-block-cover alignfull is-light\"><span aria-hidden=\"true\" class=\"has-background-dim-0 wp-block-cover__gradient-background has-background-dim\"><\/span><img fetchpriority=\"high\" decoding=\"async\" width=\"2048\" height=\"500\" class=\"wp-block-cover__image-background wp-image-833\" alt=\"\" src=\"http:\/\/profertil.mk\/al\/wp-content\/uploads\/2019\/06\/stufenplan-zum-wunschkind.jpg\" style=\"object-position:67% 35%\" data-object-fit=\"cover\" data-object-position=\"67% 35%\" srcset=\"https:\/\/profertil.mk\/al\/wp-content\/uploads\/2019\/06\/stufenplan-zum-wunschkind.jpg 2048w, https:\/\/profertil.mk\/al\/wp-content\/uploads\/2019\/06\/stufenplan-zum-wunschkind-300x73.jpg 300w, https:\/\/profertil.mk\/al\/wp-content\/uploads\/2019\/06\/stufenplan-zum-wunschkind-768x188.jpg 768w, https:\/\/profertil.mk\/al\/wp-content\/uploads\/2019\/06\/stufenplan-zum-wunschkind-1024x250.jpg 1024w\" sizes=\"(max-width: 2048px) 100vw, 2048px\" \/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<h1 class=\"wp-block-heading\"><span class=\"has-red-color\">\u00c7FAR\u00cb DUHET T\u00cb PRES\u00cbSH<\/span>, <br>N\u00cbSE KE PRITSHM\u00cbRI<\/h1>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group alignfull window-height minus-header center has-red-gradient-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns has-3-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column rounded-border is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center condensed has-text-color has-large-font-size\" style=\"color:#b999a1\">Faza 1<\/p>\n\n\n\n<p class=\"has-text-align-center has-white-color has-text-color\">Vler\u00ebsimi i historis\u00eb mjek\u00ebsore (anamneza), ekzaminimi gjinekologjik, ekografia, protokolli i ciklit, matja e temperatur\u00ebs menj\u00ebher\u00eb pas zgjimit (temperatura bazale), marr\u00ebdh\u00ebniet seksuale n\u00eb koh\u00ebn optimale, analiza e hormoneve.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column rounded-border is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center condensed has-text-color has-large-font-size\" style=\"color:#b999a1\">Faza 2<\/p>\n\n\n\n<p class=\"has-text-align-center has-white-color has-text-color\">Nj\u00eb spermiogram (vler\u00ebsimi i sasis\u00eb, numrit, l\u00ebvizshm\u00ebris\u00eb dhe form\u00ebs s\u00eb sperm\u00ebs) i kryer nga nj\u00eb urolog, monitorimi i ciklit duke p\u00ebrdorur ultratinguj (rreshtimi uterin), analiza t\u00eb hormoneve, marr\u00ebdh\u00ebnie seksuale n\u00eb koh\u00ebn optimale.<\/p>\n\n\n\n<p class=\"has-text-align-center has-white-color has-text-color\"><strong>N\u00ebse spermiograma tregon rezultate anormale, rekomandohet q\u00eb mashkulli t\u00eb filloj\u00eb t\u00eb marr\u00eb PROFERTIL\u00ae n\u00eb k\u00ebt\u00eb faz\u00eb, pasi t\u00eb jet\u00eb konsultuar me nj\u00eb mjek. <\/strong>N\u00eb shum\u00eb raste \u00ebsht\u00eb e mundur t\u00eb shmanget faza e tret\u00eb, d.m.th. far\u00ebzimi artificial.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column rounded-border is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-center condensed has-text-color has-large-font-size\" style=\"color:#b999a1\">Faza 3<\/p>\n\n\n\n<p class=\"has-text-align-center has-white-color has-text-color\">N\u00eb rastin e gjetjeve anormale t\u00eb sperm\u00ebs n\u00eb faz\u00ebn dy ose n\u00ebse femra ka tubat fallopian\u00eb t\u00eb bllokuar, m\u00ebnyra e rekomanduar \u00ebsht\u00eb far\u00ebzimi artificial (IVF).<\/p>\n\n\n\n<p class=\"has-text-align-center has-white-color has-text-color\"><strong>Si shtes\u00eb e trajtimit t\u00eb IVF, PROFERTIL\u00ae rrit mund\u00ebsit\u00eb p\u00ebr sukses.<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center has-white-color has-text-color\">N\u00eb ve\u00e7anti, mund t\u00eb jet\u00eb e mundur t\u00eb arrihet nj\u00eb p\u00ebrmir\u00ebsim gradual, dmth. ideal \u00ebsht\u00eb fakti q\u00eb trajtimi ICSI mund t\u00eb shmanget. Terapia ICSI rekomandohet p\u00ebr cil\u00ebsi shum\u00eb t\u00eb dob\u00ebt t\u00eb sperm\u00ebs (m\u00eb pak se pes\u00eb deri n\u00eb dhjet\u00eb milion p\u00ebr mililit\u00ebr) ose morfologji t\u00eb dob\u00ebt t\u00eb sperm\u00ebs (pamja, forma e spermatozoideve).<\/p>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n\n\n<div id=\"anchorlink-block_5cf3e5465a5a0\" class=\"anchorlink light \">\n            <a href=\"#section2\" data-smooth-scroll data-animation-duration=\"750\" data-animation-easing=\"swing\" data-offset=\"-23\"><i class=\"material-icons pro-pulse\">expand_more<\/i><\/a>\n    <\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group alignfull window-height center has-white-color has-blue-gradient-background-color has-text-color has-background\" id=\"section2\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"has-text-align-center has-white-color has-text-color wp-block-heading\">METODAT E TRAJTIMIT<\/h2>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-table is-style-profertil stack\"><table><tbody><tr><td><strong>Terapia<\/strong><br><strong>Hormonale<\/strong><\/td><td>N\u00ebse shkaku i infertilitetit \u00ebsht\u00eb nj\u00eb \u00e7rregullim i hormoneve tek femra, zakonisht fillohet me trajtimin e hormoneve. Barna t\u00eb ndryshme mund t\u00eb rregullojn\u00eb nj\u00eb cik\u00ebl t\u00eb \u00e7rregullt dhe t\u00eb nxisin ovulimin. N\u00ebse mashkulli nuk mund t\u00eb ngjiz\u00eb nj\u00eb f\u00ebmij\u00eb, mjeku gjithashtu do t\u00eb rekomandoj\u00eb p\u00ebrdorimin e barnave n\u00eb disa raste. Barna t\u00eb tilla mund t\u00eb p\u00ebrdoren p\u00ebr t\u00eb trajtuar \u00e7rregullimet e hormoneve (p.sh. mungesa e testosteronit.<\/td><\/tr><tr><td><strong>Fekondimi<\/strong><br><strong>(transferimi i sperm\u00ebs)<\/strong><\/td><td>&nbsp;Fekondimi p\u00ebrfshin procesin gjat\u00eb t\u00eb cilit mjeku injekton l\u00ebngun seminal t\u00eb purifukuar dhe t\u00eb p\u00ebrqendruar n\u00eb mit\u00ebr, vagin\u00eb, qaf\u00ebn e mitr\u00ebs ose tubat fallopiane. Kjo metod\u00eb konsiderohet n\u00ebse cil\u00ebsia e spermatozoidit \u00ebsht\u00eb pak e d\u00ebmtuar ose n\u00ebse qafa e mitr\u00ebs \u00ebsht\u00eb e d\u00ebmtuar (p\u00ebr shkak t\u00eb infeksionit ose inflamacionit) saq\u00eb spermatozoid\u00ebt kan\u00eb v\u00ebshtir\u00ebsi t\u00eb arrijn\u00eb mitr\u00ebn. Ndonj\u00ebher\u00eb \u00ebsht\u00eb e nevojshme q\u00eb vezoret t\u00eb stimulohen me hormone para far\u00ebzimit.<\/td><\/tr><tr><td><strong>Fertilizimi<\/strong><br><strong> in vitro  (IVF)<\/strong><\/td><td>N\u00eb k\u00ebt\u00eb teknik\u00eb, qeliza vez\u00eb fekondohet jasht\u00eb trupit. IVF konsiderohet n\u00ebse, p\u00ebr shembull, qelizat e vez\u00ebve nuk arrijn\u00eb n\u00eb mit\u00ebr p\u00ebr shkak t\u00eb aft\u00ebsive adezive q\u00eb ka si rezultat i inflamacionit. IVF mund t\u00eb ndihmoj\u00eb gjithashtu n\u00eb shtatz\u00ebni n\u00ebse femra ka mioma n\u00eb mit\u00ebr ose antitrupa kund\u00ebr qelizave t\u00eb sperm\u00ebs, n\u00ebse cil\u00ebsia e sperm\u00ebs \u00ebsht\u00eb e pap\u00ebrshtatshme, ose edhe n\u00ebse mjeku nuk ka gjetur asnj\u00eb shkak p\u00ebr infertilitetin.<\/td><\/tr><tr><td><strong>Injeksioni<br>intracitoplazmatik<br>i sperm<meta charset=\"utf-8\"><strong>\u00eb<\/strong>s (ICSI)<\/strong><\/td><td>P\u00ebrmes metod\u00ebs s\u00eb injeksionit intracitoplazmatik t\u00eb sperm\u00ebs (ICSI), mjeku injekton sperm\u00ebn direkt n\u00eb qeliz\u00ebn vez\u00eb. ICSI konsiderohet kur spermatozidi, n\u00eb gjendje t\u00eb pavarur, nuk mund t\u00eb fekondoj\u00eb qeliz\u00ebn vez\u00eb, qoft\u00eb brenda trupit t\u00eb femr\u00ebs ose n\u00eb nj\u00eb epruvet\u00eb. ICSI mund t\u00eb konsiderohet gjithashtu n\u00eb situata kur femra nuk arrin t\u00eb mbetet shtatz\u00ebn\u00eb, pavar\u00ebsisht nga trajtimi IVF.<\/td><\/tr><tr><td><strong>Ekstraktimimi operacional i sperm<meta charset=\"utf-8\"><strong>\u00eb<\/strong>s<\/strong><\/td><td>Mbledhja e sperm\u00ebs nga epididimi (aspirimi mikrokirurgjikal epididimal i sperm\u00ebs, MESA) mund t\u00eb ndihmoj\u00eb n\u00ebse \u201cvasa deferentia\u201d jan\u00eb t\u00eb mbyllura dhe nuk mund t\u00eb hapen me operacion ose n\u00ebse spermatozoidi n\u00eb mostr\u00ebn e sperm\u00ebs nuk l\u00ebviz. Ky \u00ebsht\u00eb nj\u00eb opsion n\u00ebse mashkulli nuk mund t\u00eb ejakuloj\u00eb, si p\u00ebr shembull n\u00eb rastet kur ai \u00ebsht\u00eb paraplegjik ose ka b\u00ebr\u00eb operacion p\u00ebr nj\u00eb tumor. N\u00ebse MESA nuk mund t\u00eb kryhet, disa mjek\u00eb rekomandojn\u00eb TESE (ekstraktimin e sperm\u00ebs nga testikujt), ku mjeku nxjerr sperm\u00ebn nga testikujt. MESA dhe TESE jan\u00eb gjithmon\u00eb t\u00eb kombinuara me ICSI.<\/td><\/tr><tr><td>Operacione<\/td><td>Nj\u00eb operacion mund t\u00eb ndihmoj\u00eb p\u00ebr t\u00eb arritur shtatz\u00ebnin\u00eb n\u00ebse tubat fallopiane jan\u00eb t\u00eb mbyllura ose adezionet abdominale jan\u00eb duke penguar shtatz\u00ebnin\u00eb. Kirurg\u00ebt ndonj\u00ebher\u00eb mund t\u00eb hapin kanale t\u00eb mbyllura seminale, p\u00ebr shembull pas nj\u00eb operacioni t\u00eb hernies inguinale..<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n\n\n<div id=\"anchorlink-block_5cf3e6095a5a1\" class=\"anchorlink light \">\n            <a href=\"#buynow\" data-smooth-scroll data-animation-duration=\"750\" data-animation-easing=\"swing\" data-offset=\"-23\"><i class=\"material-icons pro-pulse\">expand_more<\/i><\/a>\n    <\/div><\/div><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Faza 1 Vler\u00ebsimi i historis\u00eb mjek\u00ebsore (anamneza), ekzaminimi gjinekologjik, ekografia, protokolli i ciklit, matja e temperatur\u00ebs menj\u00ebher\u00eb pas zgjimit (temperatura bazale), marr\u00ebdh\u00ebniet seksuale n\u00eb koh\u00ebn optimale, analiza e hormoneve. Faza 2 Nj\u00eb spermiogram (vler\u00ebsimi i sasis\u00eb, numrit, l\u00ebvizshm\u00ebris\u00eb dhe form\u00ebs s\u00eb sperm\u00ebs) i kryer nga nj\u00eb urolog, monitorimi i ciklit duke p\u00ebrdorur ultratinguj (rreshtimi uterin),<a class=\"excerpt-read-more\" href=\"https:\/\/profertil.mk\/al\/infertility\/step-by-step\/\" title=\"ReadHap pas hapi\">&#8230; Read more &raquo;<\/a><\/p>\n","protected":false},"author":11,"featured_media":0,"parent":1388,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"template-full-width-no-title.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-1417","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/pages\/1417","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/comments?post=1417"}],"version-history":[{"count":11,"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/pages\/1417\/revisions"}],"predecessor-version":[{"id":6391,"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/pages\/1417\/revisions\/6391"}],"up":[{"embeddable":true,"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/pages\/1388"}],"wp:attachment":[{"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/media?parent=1417"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/categories?post=1417"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/profertil.mk\/al\/wp-json\/wp\/v2\/tags?post=1417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}