Kirurgjia e kataraktit nuk \u00ebsht\u00eb nj\u00eb zgjedhje jetese; kursen shikimin. Nd\u00ebrsa popullsia plaket, k\u00ebrkesa p\u00ebr kirurgji t\u00eb kataraktit vazhdon t\u00eb rritet dhe pa u rritur kapaciteti. pacient\u00ebt do t\u00eb duhet t\u00eb presin edhe m\u00eb gjat\u00eb p\u00ebr kirurgji, duke shtuar rrezik t\u00eb m\u00ebtejsh\u00ebm klinik p\u00ebr perspektiv\u00ebn e tyre.<\/p>\n
Kataraktet jan\u00eb t\u00eb zakonshme<\/strong><\/p>\n Kataraktet jan\u00eb shkaku kryesor i verb\u00ebris\u00eb n\u00eb mbar\u00eb bot\u00ebn dhe n\u00eb mbar\u00eb bot\u00ebn, t\u00eb pakt\u00ebn 94 milion\u00eb njer\u00ebz<\/a> jan\u00eb duke jetuar me nj\u00eb d\u00ebmtim t\u00eb moderuar ose t\u00eb r\u00ebnd\u00eb t\u00eb shikimit ose verb\u00ebri p\u00ebr shkak t\u00eb kataraktit t\u00eb patrajtuar.<\/p>\n N\u00eb Australi, vler\u00ebsohet se 1.5 milion\u00eb njer\u00ebz mbi mosh\u00ebn 55 vje\u00e7 vuajn\u00eb aktualisht nga katarakti; dhe ata jan\u00eb shkaku m\u00eb i zakonsh\u00ebm i humbjes s\u00eb shikimit n\u00eb mesin e australian\u00ebve t\u00eb moshuar. Pothuajse t\u00eb gjith\u00eb do t\u00eb ken\u00eb katarakte deri n\u00eb mosh\u00ebn 80-vje\u00e7are.<\/p>\n Nd\u00ebrsa m\u00eb e zakonshme n\u00eb brezin e vjet\u00ebr, katarakti mund t\u00eb zhvillohet edhe tek t\u00eb rinjt\u00eb dhe disa njer\u00ebz madje lindin me k\u00ebt\u00eb gjendje. Nj\u00eb d\u00ebmtim i syrit ose nj\u00eb operacion i m\u00ebparsh\u00ebm p\u00ebr nj\u00eb problem tjet\u00ebr t\u00eb syrit mund t\u00eb shkaktoj\u00eb gjithashtu zhvillimin e nj\u00eb katarakte.<\/p>\n N\u00eb raste t\u00eb lehta, syzet m\u00eb t\u00eb forta ose dritat m\u00eb t\u00eb ndezura t\u00eb leximit mund t\u00eb ndihmojn\u00eb fillimisht, por shumica e kataraktave p\u00ebrkeq\u00ebsohen gradualisht dhe trajtimi do t\u00eb nevojitet p\u00ebrfundimisht p\u00ebr t\u00eb shmangur nj\u00eb ulje t\u00eb ndjeshme t\u00eb cil\u00ebsis\u00eb s\u00eb jet\u00ebs s\u00eb pacientit. Kirurgjia \u00ebsht\u00eb aktualisht m\u00ebnyra e vetme efektive p\u00ebr t\u00eb hequr nj\u00eb katarakt.<\/p>\n Shumica e studimeve mbi prevalenc\u00ebn e kataraktave raportojn\u00eb se ky \u00ebsht\u00eb nj\u00eb problem n\u00eb rritje. Fakti q\u00eb m\u00eb shum\u00eb njer\u00ebz paraqiten me katarakt nuk do t\u00eb thot\u00eb se m\u00eb shum\u00eb njer\u00ebz po jetojn\u00eb me t\u00eb - numri pasqyron nj\u00eb rritje t\u00eb nd\u00ebrgjegj\u00ebsimit p\u00ebr gjendjen dhe aksesin e trajtimit, q\u00eb do t\u00eb thot\u00eb se m\u00eb shum\u00eb njer\u00ebz diagnostikohen dhe referohen p\u00ebr kirurgji - por ne e dim\u00eb p\u00ebrqindjen e t\u00eb moshuarve n\u00eb mesin e popullat\u00ebs po rritet, q\u00eb do t\u00eb thot\u00eb se prevalenca e kataraktave do t\u00eb rritet n\u00eb t\u00eb ardhmen.<\/p>\n Edhe pse shkalla e rritjes ndryshon midis vendeve, numri i procedurave t\u00eb kataraktit n\u00eb mjediset spitalore ose klinikat e dedikuara t\u00eb syve n\u00eb p\u00ebrgjith\u00ebsi \u00ebsht\u00eb rritur ndjesh\u00ebm gjat\u00eb dekad\u00ebs s\u00eb fundit. Kirurgjia e kataraktit \u00ebsht\u00eb tani nj\u00eb nga operacionet m\u00eb t\u00eb zakonshme zgjedhore.<\/p>\n Kirurgjia shp\u00ebton shikimin<\/strong><\/p>\n N\u00eb thelb, nj\u00eb mjegullim i thjerr\u00ebzave t\u00eb qarta n\u00eb sy, kataraktet mund t\u00eb shkaktojn\u00eb simptoma t\u00eb tilla si shikimi i turbullt, ndjeshm\u00ebria ndaj shk\u00eblqimit, shtremb\u00ebrimi ose shikimi i dyfisht\u00eb dhe nj\u00eb ndjenj\u00eb e shikimit p\u00ebrmes velit ose perdes, ose verb\u00ebri. T\u00eb jetosh me katarakt shpesh do t\u00eb thot\u00eb t\u00eb p\u00ebrjetosh ndryshime t\u00eb m\u00ebdha ose humbje t\u00eb shikimit n\u00eb nj\u00eb mas\u00eb q\u00eb kufizon aktivitetet e p\u00ebrditshme si ngarje ose leximi.<\/p>\n Studimet kan\u00eb treguar se katarakti mund t'i b\u00ebj\u00eb njer\u00ebzit dy her\u00eb m\u00eb shum\u00eb gjasa p\u00ebr t\u00eb r\u00ebn\u00eb<\/a>. Nj\u00eb num\u00ebr m\u00eb i madh i rr\u00ebzimeve dhe aksidenteve t\u00eb shkaktuara nga shikimi i dob\u00ebt mund t\u00eb \u00e7oj\u00eb n\u00eb vizita m\u00eb akute n\u00eb departamentet e urgjenc\u00ebs ose t\u00eb ushtroj\u00eb presion shtes\u00eb n\u00eb pjes\u00eb t\u00eb tjera t\u00eb sistemit t\u00eb kujdesit sh\u00ebndet\u00ebsor. Njer\u00ebzit me shikim t\u00eb dob\u00ebt kan\u00eb gjithashtu m\u00eb shum\u00eb gjasa t\u00eb vuajn\u00eb nga depresioni dhe izolimi i shtuar social p\u00ebr shkak t\u00eb l\u00ebvizjes s\u00eb tyre t\u00eb kufizuar.<\/p>\n Fatmir\u00ebsisht, operacioni i kataraktit \u00ebsht\u00eb nj\u00eb procedur\u00eb jasht\u00ebzakonisht e suksesshme dhe shumica e pacient\u00ebve jan\u00eb jasht\u00ebzakonisht t\u00eb k\u00ebnaqur me rezultatet, me disa q\u00eb raportojn\u00eb p\u00ebrfitime shtes\u00eb, t\u00eb tilla si shikimi i ngjyrave n\u00eb m\u00ebnyr\u00eb m\u00eb t\u00eb gjall\u00eb dhe p\u00ebrjetimi i p\u00ebrmir\u00ebsimit t\u00eb shikimit t\u00eb nat\u00ebs. \u00cbsht\u00eb e qart\u00eb se operacioni mund t\u00eb p\u00ebrmir\u00ebsoj\u00eb jet\u00ebn n\u00eb m\u00ebnyr\u00eb dramatike. Por sa ndryshim mund t\u00eb b\u00ebj\u00eb operacioni?<\/p>\n N\u00eb vitin 2019, nj\u00eb ekip studiuesish n\u00eb Zeland\u00ebn e Re u p\u00ebrpoq\u00ebn t\u00eb p\u00ebrcaktonin cil\u00ebsin\u00eb e p\u00ebrmir\u00ebsuar t\u00eb shikimit. Ekipi hulumtues, nga Universiteti i Otagos, Adapt Research dhe Bordi Sh\u00ebndet\u00ebsor i Distriktit Tairawhiti, p\u00ebrdori nj\u00eb imitues drejtimi p\u00ebr t\u00eb testuar shikimin e pacient\u00ebve para dhe pas operacionit t\u00eb kataraktit n\u00eb nj\u00eb p\u00ebrpjekje p\u00ebr t\u00eb fituar nj\u00eb kuptim m\u00eb t\u00eb mir\u00eb t\u00eb p\u00ebrfitimit t\u00eb v\u00ebrtet\u00eb t\u00eb operacionit t\u00eb kataraktit. Rezultatet treguan se af\u00ebr humbjeve dhe p\u00ebrplasjeve ulur me 48%<\/a> pas operacionit.<\/p>\n Si nj\u00eb procedur\u00eb jo urgjente, disa operacione t\u00eb kataraktit u shtyn\u00eb gjat\u00eb Covid-19, dhe si rezultat u krijuan lista pritjeje. Zakonisht nuk \u00ebsht\u00eb problem t\u00eb kesh nj\u00eb pritje pak m\u00eb t\u00eb gjat\u00eb p\u00ebr k\u00ebt\u00eb lloj procedure; por vonesat prej gjasht\u00eb muajsh ose m\u00eb shum\u00eb mund t\u00eb ken\u00eb nj\u00eb ndikim t\u00eb madh n\u00eb cil\u00ebsin\u00eb e jet\u00ebs s\u00eb pacient\u00ebve.<\/p>\n Koha e pritjes po rritet<\/strong><\/p>\n P\u00ebrfitimet e operacionit t\u00eb kataraktit, si n\u00eb vler\u00eb ashtu edhe n\u00eb rezultatet e pacientit, jan\u00eb t\u00eb larta n\u00eb krahasim me disa nd\u00ebrhyrje t\u00eb tjera sh\u00ebndet\u00ebsore, q\u00eb do t\u00eb thot\u00eb se ofrimi i operacionit n\u00eb koh\u00eb dhe mbajtja n\u00eb krye t\u00eb listave t\u00eb pritjes \u00ebsht\u00eb nj\u00eb investim i mir\u00eb.<\/p>\n Listat e pritjes n\u00eb shum\u00eb vende ishin t\u00eb larta tashm\u00eb para pandemis\u00eb. Sipas t\u00eb dh\u00ebnave t\u00eb OECD<\/a> Koh\u00ebt mesatare t\u00eb pritjes p\u00ebr personat q\u00eb iu n\u00ebnshtruan nj\u00eb operacioni t\u00eb kataraktit n\u00eb 2018\/19 varionin nga rreth 30 dit\u00eb n\u00eb Itali, Hungari dhe Danimark\u00eb, n\u00eb rreth 150 dit\u00eb n\u00eb Estoni dhe 250 dit\u00eb n\u00eb Poloni. P\u00ebrqindja e pacient\u00ebve q\u00eb mbet\u00ebn n\u00eb list\u00ebn e pritjes p\u00ebr nj\u00eb periudh\u00eb prej m\u00eb shum\u00eb se tre muajsh gjat\u00eb t\u00eb nj\u00ebjtit vit varionte nga 7% n\u00eb Hungari n\u00eb mbi 85% n\u00eb Estoni, Poloni dhe Slloveni.<\/p>\n T\u00eb dh\u00ebnat m\u00eb t\u00eb fundit komb\u00ebtare p\u00ebr Australin\u00eb, t\u00eb cilat p\u00ebrfshijn\u00eb marsin 2020 kur ndikimi i pandemis\u00eb filloi t\u00eb evoluoj\u00eb, tregojn\u00eb se numri i procedurave t\u00eb katarakt\u00ebs ra si rezultat i Covid-19. N\u00eb total, U pranuan 60.200 pacient\u00eb<\/a> n\u00eb 2019\/20, duke r\u00ebn\u00eb ndjesh\u00ebm n\u00eb krahasim me vitet e m\u00ebparshme.<\/p>\n T\u00eb dh\u00ebnat m\u00eb t\u00eb fundit p\u00ebr shtetet individuale japin nj\u00eb pamje m\u00eb gjith\u00ebp\u00ebrfshir\u00ebse t\u00eb ndikimit t\u00eb Covid-19. N\u00eb Uellsin e Ri Jugor, p\u00ebr shembull, numri i procedurave t\u00eb kryera ra ndjesh\u00ebm n\u00eb tremujorin e dyt\u00eb 2020, por pa nj\u00eb rritje t\u00eb madhe n\u00eb tremujorin e tret\u00eb, si rezultat i p\u00ebrpjekjeve p\u00ebr t\u00eb rikuperuar terrenin e humbur, duke p\u00ebrfshir\u00eb kontraktimin e jasht\u00ebm n\u00eb spitalet private q\u00eb i ka lejuar spitalet t\u00eb funksionojn\u00eb mbi 100% kapaciteti i zakonsh\u00ebm.<\/p>\n Edhe pse disa shtete, p\u00ebrfshir\u00eb NSW, thon\u00eb se tani pak a shum\u00eb jan\u00eb kapur n\u00eb listat e pritjes, koha e pritjes \u00ebsht\u00eb rritur gradualisht p\u00ebr operacionin e kataraktit me kalimin e koh\u00ebs. T\u00eb dh\u00ebnat kan\u00eb treguar se operacioni i kataraktit kishte disa nga koh\u00ebt m\u00eb t\u00eb gjata t\u00eb pritjes pas pezullimit fillestar t\u00eb p\u00ebrkohsh\u00ebm.<\/p>\n T\u00eb dh\u00ebnat m\u00eb t\u00eb fundit t\u00eb disponueshme p\u00ebrmes portalit t\u00eb ri t\u00eb Byros\u00eb s\u00eb Informacionit Sh\u00ebndet\u00ebsor t\u00eb NSW tregojn\u00eb se koha e pritjes p\u00ebr nxjerrjen e kataraktit n\u00eb NSW<\/a> u rrit me 71 dit\u00eb midis tremujorit t\u00eb dyt\u00eb dhe tremujorit t\u00eb tret\u00eb, p\u00ebr t\u00eb arritur nj\u00eb koh\u00eb mesatare pritjeje n\u00eb shtator n\u00eb 343 dit\u00eb. Megjithat\u00eb, sektori privat, n\u00eb t\u00eb cilin kryhen shum\u00eb operacione katarakte, shpesh ka koh\u00eb m\u00eb t\u00eb shkurtra pritjeje.<\/p>\n N\u00eb Mbret\u00ebrin\u00eb e Bashkuar, shifrat e fundit, t\u00eb cilat kan\u00eb t\u00eb b\u00ebjn\u00eb me shkurtin e 2021 dhe p\u00ebrfshijn\u00eb nj\u00eb mas\u00eb rikuperimi q\u00eb nga piku i Covid-19, tregojn\u00eb se jan\u00eb 493,740 persona n\u00eb list\u00ebn e pritjes p\u00ebr kirurgji okulistike dhe se pavar\u00ebsisht k\u00ebtij rikuperimi, vet\u00ebm 611 TP3T pacient\u00eb u trajtuan brenda 18 jav\u00ebsh nga referimi.<\/p>\n Referime t\u00eb fshehura<\/strong><\/p>\n N\u00eb disa zona ka patur nj\u00eb 'blitz' n\u00eb kirurgjin\u00eb zgjedhore, duke p\u00ebrfshir\u00eb procedurat e kataraktit, me paketa financimi q\u00eb ofrohen nga qeverit\u00eb komb\u00ebtare dhe shtet\u00ebrore, dhe kjo ka \u00e7uar n\u00eb p\u00ebrparim t\u00eb mir\u00eb n\u00eb shum\u00eb fusha. Por ulja e referimeve n\u00eb krahasim me para pandemis\u00eb \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje shqet\u00ebsuese.<\/p>\n Ekziston nj\u00eb num\u00ebr potencialisht i madh pacient\u00ebsh q\u00eb ose nuk kan\u00eb kontaktuar ende nj\u00eb mjek p\u00ebr simptomat e tyre, ose nuk jan\u00eb referuar ende te nj\u00eb specialist gjat\u00eb shp\u00ebrthimit t\u00eb Covid-19. N\u00eb disa zona, spitaleve u \u00ebsht\u00eb k\u00ebrkuar gjithashtu t\u00eb rivler\u00ebsojn\u00eb listat e tyre t\u00eb referimit dhe mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm u \u00ebsht\u00eb k\u00ebrkuar t\u00eb ri-referojn\u00eb pacient\u00ebt pasi kirurgjia zgjedhore ka rifilluar, q\u00eb do t\u00eb thot\u00eb se pacient\u00ebt mund t\u00eb jen\u00eb larguar ose jan\u00eb zhvendosur m\u00eb posht\u00eb n\u00eb list\u00eb.<\/p>\n T\u00eb kap\u00ebsh listat e pritjes nuk do t\u00eb thot\u00eb domosdoshm\u00ebrisht q\u00eb t\u00eb gjith\u00eb ata me katarakt po trajtohen. Disa njer\u00ebz mendojn\u00eb se, gjat\u00eb pandemis\u00eb, shum\u00eb njer\u00ebz e kan\u00eb kuptuar se mund t'ia dalin pa kirurgji dhe p\u00ebr k\u00ebt\u00eb arsye 'mbushja e fshehur' mund t\u00eb mos shfaqet kurr\u00eb. Por nj\u00eb skenar m\u00eb i mundsh\u00ebm \u00ebsht\u00eb q\u00eb njer\u00ebzit po vuajn\u00eb n\u00eb heshtje dhe kan\u00eb shtyr\u00eb raportimin e simptomave t\u00eb tyre ose k\u00ebrkojn\u00eb kujdes nga frika e kontraktimit me Covid-19 ose p\u00ebr t\u00eb shmangur presionin e panevojsh\u00ebm n\u00eb sistemin sh\u00ebndet\u00ebsor. Sapo njer\u00ebzit t\u00eb fillojn\u00eb t\u00eb ndjehen t\u00eb sigurt duke ndjekur s\u00ebrish mjediset sh\u00ebndet\u00ebsore, k\u00ebrkesa mund t\u00eb rritet ndjesh\u00ebm.<\/p>\n Qasja nuk \u00ebsht\u00eb e barabart\u00eb <\/strong><\/p>\n N\u00eb nivel global, prevalenca e d\u00ebmtimeve t\u00eb shikimit n\u00eb rajonet me t\u00eb ardhura t\u00eb ul\u00ebta dhe t\u00eb mesme vler\u00ebsohet t\u00eb jet\u00eb kat\u00ebr her\u00eb m\u00eb e lart\u00eb se n\u00eb rajonet me t\u00eb ardhura t\u00eb larta. Dhe aksesi n\u00eb kujdesin sh\u00ebndet\u00ebsor mund t\u00eb varet gjithashtu nga vendndodhja gjeografike ose statusi ekonomik i pacientit.<\/p>\n Duket se q\u00eb nga fillimi i pandemis\u00eb, nj\u00eb num\u00ebr i madh njer\u00ebzish n\u00eb vende si Australia kan\u00eb hequr dor\u00eb nga kujdesi sh\u00ebndet\u00ebsor privat sepse nuk mund ta p\u00ebrballojn\u00eb m\u00eb at\u00eb. T\u00eb dh\u00ebnat nga Autoriteti Australian i Rregullimit Prudencial tregojn\u00eb se m\u00eb shum\u00eb se 10,000 njer\u00ebz anuluan politikat e tyre<\/a> vet\u00ebm n\u00eb tremujorin e par\u00eb t\u00eb vitit 2020 dhe mbulimi baz\u00eb spitalor ishte n\u00eb nivelin m\u00eb t\u00eb ul\u00ebt n\u00eb m\u00eb shum\u00eb se nj\u00eb dekad\u00eb.<\/p>\n Nj\u00eb studim i fundit<\/a> q\u00eb u botua n\u00eb NZ Medical Journal, p\u00ebr shembull, zbuloi se p\u00ebrqindja e referimeve q\u00eb u refuzuan ndryshonte shum\u00eb nga Bordi Sh\u00ebndet\u00ebsor i Distriktit, duke filluar nga referimi i pak m\u00eb shum\u00eb se 50% q\u00eb aplikohej n\u00eb nj\u00eb zon\u00eb, n\u00eb 93% n\u00eb nj\u00eb DHB tjet\u00ebr. Sondazhi mbuloi t\u00eb gjith\u00eb pacient\u00ebt e referuar p\u00ebr kirurgji t\u00eb kataraktit midis 2014 dhe 2019.<\/p>\n Kjo ndodhi sepse \u00e7do DHB vendos nj\u00eb prag t\u00eb ndrysh\u00ebm p\u00ebr kirurgji dhe ka burime t\u00eb ndryshme, q\u00eb do t\u00eb thot\u00eb se njer\u00ebzit q\u00eb jetojn\u00eb n\u00eb Auckland qendror mund t\u00eb kryejn\u00eb operacionin e kataraktit m\u00eb leht\u00eb se sa ata n\u00eb qarqet Manukau, p\u00ebr shembull. N\u00eb p\u00ebrgjith\u00ebsi, njer\u00ebzit n\u00eb qytete kishin m\u00eb shum\u00eb gjasa t\u00eb referoheshin sesa ata n\u00eb zonat rurale ose t\u00eb larg\u00ebta.<\/p>\n N\u00eb komunitetet e larg\u00ebta dhe n\u00eb mesin e grupeve minoritare, qasja dhe marrja e trajtimit \u00ebsht\u00eb gjithashtu m\u00eb e ul\u00ebt. T\u00ebUdh\u00ebrr\u00ebfyesi p\u00ebr t\u00eb mbyllur hendekun p\u00ebr vizionin<\/a>, u lan\u00e7ua n\u00eb vitin 2012 pas rezultateve t\u00eb Anket\u00ebs Komb\u00ebtare Indigjene t\u00eb Sh\u00ebndetit t\u00eb Syrit q\u00eb tregoi se t\u00eb rriturit Aborigjen\u00eb dhe t\u00eb ishullit Torres Strait ishingjasht\u00eb her\u00eb m\u00eb shum\u00eb gjasa p\u00ebr t\u00eb p\u00ebrjetuar verb\u00ebri<\/a>sesa Australian\u00ebt e tjer\u00eb.<\/p>\n N\u00eb mbi 901 TP3T raste, humbja e shikimit ishte e panevojshme, e parandalueshme ose e trajtueshme, por m\u00eb shum\u00eb se nj\u00eb e treta nuk kishte pasur kurr\u00eb nj\u00eb ekzaminim sysh. Pacient\u00ebt vendas gjithashtu p\u00ebrballen me pritje m\u00eb t\u00eb gjata p\u00ebr takimin fillestar t\u00eb spitalit.<\/p>\n P\u00ebrmir\u00ebsimi i aksesit n\u00eb trajtim<\/strong><\/p>\n Si rritja e kapacitetit n\u00eb p\u00ebrgjith\u00ebsi ashtu edhe p\u00ebrmir\u00ebsimi i aksesit n\u00eb k\u00ebto sh\u00ebrbime jan\u00eb t\u00eb r\u00ebnd\u00ebsishme. N\u00eb vende t\u00eb tjera, si Mbret\u00ebria e Bashkuar, po p\u00ebrdoren objekte t\u00eb l\u00ebvizshme dhe modulare p\u00ebr t\u00eb arritur t\u00eb dyja. Nd\u00ebrsa kontraktimi i sektorit privat \u00ebsht\u00eb nj\u00eb mund\u00ebsi, sjellja e nj\u00eb salle oftalmike t\u00eb dedikuar n\u00eb vendin e spitalit do t\u00eb thot\u00eb kontroll m\u00eb i madh dhe fleksibilitet m\u00eb i lart\u00eb.<\/p>\n Mund t\u00eb lejoj\u00eb nj\u00eb spital t\u00eb rris\u00eb ndjesh\u00ebm aktivitetin p\u00ebr sa i p\u00ebrket operacionit t\u00eb kataraktit, edhe nd\u00ebrsa vazhdon t\u00eb trajtoj\u00eb pacient\u00ebt Covid-19 brenda spitalit. Numri i pacient\u00ebve q\u00eb k\u00ebrkojn\u00eb procedura t\u00eb kataraktit do t\u00eb vazhdoj\u00eb t\u00eb rritet me rritjen e popullsis\u00eb m\u00eb t\u00eb vjet\u00ebr, k\u00ebshtu q\u00eb do t\u00eb nevojiten kapacitete shtes\u00eb, jo vet\u00ebm p\u00ebr t\u00eb trajtuar nj\u00eb rritje t\u00eb p\u00ebrkohshme, por n\u00eb nj\u00eb baz\u00eb m\u00eb t\u00eb vazhdueshme.<\/p>\n Sallat e operacionit mobile mund t\u00eb p\u00ebrdoren gjithashtu p\u00ebr t\u00eb siguruar akses m\u00eb t\u00eb madh p\u00ebr pacient\u00ebt n\u00eb zonat rurale dhe t\u00eb larg\u00ebta, ose p\u00ebr t\u00eb kryer operacione t\u00eb shpejta me k\u00ebrkes\u00eb m\u00eb t\u00eb ul\u00ebt, pasi ato mund t\u00eb zhvendosen leht\u00ebsisht midis vendeve dhe mund t\u00eb vendosen shpejt n\u00eb nj\u00eb vendndodhje t\u00eb re.<\/p>","protected":false},"excerpt":{"rendered":" \u00c7do vit, vler\u00ebsohet se kryhen rreth 27 milion\u00eb operacione t\u00eb kataraktit n\u00eb mbar\u00eb bot\u00ebn, duke e b\u00ebr\u00eb at\u00eb nj\u00eb nga operacionet m\u00eb t\u00eb zakonshme n\u00eb bot\u00eb.<\/p>","protected":false},"author":1,"featured_media":1768,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,123],"tags":[],"class_list":["post-2835","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-procedures"],"acf":[],"yoast_head":"\n