Nd\u00ebrkoh\u00eb q\u00eb Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, ka investuar miliona euro vitet e fundit p\u00ebr rikonstruksionin e spitaleve rajonale dhe p\u00ebrmir\u00ebsimin e kapaciteteve infrastrukturore, ato nuk po shfryt\u00ebzohen p\u00ebr p\u00ebrballimin e CCovid-19. Kujtojm\u00eb se, n\u00eb maj t\u00eb 2018-s, Ministrja e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Ogerta Manastirliu, deklaroi se \u201ckemi nisur tashm\u00eb programin ton\u00eb p\u00ebr fuqizimin e spitaleve rajonale ku po investohen vet\u00ebm p\u00ebr aparatura t\u00eb reja bio-mjek\u00ebsore 4.5 milion euro q\u00eb padyshim p\u00ebrmir\u00ebsojn\u00eb dhe zgjerojn\u00eb sh\u00ebrbimet p\u00ebr qytetar\u00ebt<\/em>\u201d. P\u00ebrmes k\u00ebtyre investimeve n\u00eb spitalin e Lezh\u00ebs, Durr\u00ebsit, Kuk\u00ebsit dhe t\u00eb tjera spitale pjes\u00eb e projektit \u00ebsht\u00eb synuar pajisja me defribilator\u00eb, monitor\u00eb, elektrokardiogram\u00eb, pajisje p\u00ebr fuqizimin e laboratorit, mamografi dhe nj\u00eb s\u00ebr\u00eb pajisjesh si eko obsetrike gjinekologjike, ezhe, inkubator\u00eb etj.<\/p>\n Megjithat\u00eb, p\u00ebrball\u00eb kriz\u00ebs s\u00eb krijuar nga pandemia, spitalet rajonale, as nuk jan\u00eb pjes\u00eb e menaxhimit t\u00eb Covid-19, por nga ana tjet\u00ebr as nuk mbajn\u00eb barr\u00ebn e sh\u00ebrbimeve t\u00eb tjera, p\u00ebrfshir\u00eb realizimin e nd\u00ebrhyrjeve kirurgjikale. Kjo situat\u00eb ka krijuar v\u00ebshtir\u00ebsi qytetar\u00ebve p\u00ebr t\u00eb aksesuar sh\u00ebrbimin sh\u00ebndet\u00ebsor n\u00eb QSUT, pasi mjek\u00ebt kirurg\u00eb i p\u00ebrcjellin tek spitali i Traum\u00ebs. Nd\u00ebrkoh\u00eb q\u00eb spitali i Traum\u00ebs po p\u00ebrballet me nj\u00eb fluks t\u00eb trefishuar. N\u00eb nj\u00eb intervist\u00eb p\u00ebr gazet\u00ebn \u201cSh\u00ebndet Plus\u201d, kirurgu Sami Ko\u00e7eku tregon se dyfishimi dhe trefishimi i pun\u00ebs n\u00eb spitalin e Traum\u00ebs, po menaxhohet me t\u00eb nj\u00ebjtin staf q\u00eb pavioni i Kirurgjis\u00eb ka pasur edhe para p\u00ebrhapjes s\u00eb koronavirusit n\u00eb vendin ton\u00eb.<\/p>\n \u201cQ\u00eb n\u00eb fillim k\u00ebtu u ndaluan operacionet e planifikuara, edhe me VKM edhe me urdhra t\u00eb MSHMS iu hoq e drejta t\u00eb gjitha spitaleve p\u00ebr t\u00eb b\u00ebr\u00eb kirurgji dhe p\u00ebr t\u00eb planifikuar dhe urgjencat. Q\u00eb nga fillimi i pandemis\u00eb dhe deri sot, t\u00eb gjitha urgjencat e Shqip\u00ebris\u00eb, t\u00eb gjitha n\u00eb m\u00ebnyr\u00eb kategorike b\u00ebhen vet\u00ebm k\u00ebtu. Ne kemi pas Traum\u00ebn dhe n\u00eb nj\u00eb dit\u00eb t\u00eb zakonshme traume vijn\u00eb deri n\u00eb 10-170 veta n\u00eb dit\u00eb. Tani \u00ebsht\u00eb shtuar dhe kirurgjia e p\u00ebrgjithshme. Q\u00eb nga data 2-3 mars q\u00eb filloi karantina n\u00eb Shqip\u00ebri, i kemi p\u00ebrballuar t\u00eb gjitha operacionet ne. \u00cbsht\u00eb nj\u00eb pun\u00eb 2-fish apo 3-fish nga nj\u00eb normalitet<\/em>\u201d, tregon Ko\u00e7eku.<\/p>\n Nd\u00ebrkoh\u00eb, n\u00eb adres\u00eb t\u00eb shoqat\u00ebs \u201cTogether for Life\u201d kan\u00eb ardhur ankesa nga pacient\u00ebt n\u00eb list\u00eb pritje p\u00ebr operacione dhe pacient\u00ebt q\u00eb marrin sh\u00ebrbimin e kimioterapis\u00eb dhe radioterapis\u00eb, p\u00ebr shkak se po orientohen drejt sh\u00ebrbimit privat p\u00ebr kryerjen e kirurgjive p\u00ebr shkak t\u00eb bllokimit t\u00eb k\u00ebtij sh\u00ebrbimi n\u00eb sistemin sh\u00ebndet\u00ebsor publik. Qytetar\u00ebt i kan\u00eb shprehur ankesat edhe n\u00eb adres\u00eb t\u00eb kryeministrit z. Edi Rama.<\/p>\n \u201cKur do t\u00eb hapet QSUT p\u00ebr t\u00eb ofruar sh\u00ebrbim spitalor dhe kirurgji p\u00ebr njer\u00ebzit q\u00eb luftojn\u00eb p\u00ebr jet\u00ebn? T\u00eb s\u00ebmur\u00ebt e onkologjikut kan\u00eb nevoja emergjente p\u00ebr nd\u00ebrhyrje kirurgjikale nga specialist\u00ebt e v\u00ebrtet\u00eb. I detyrojn\u00eb t\u00eb shkojn\u00eb n\u00eb spitale private sepse alternative e vetme \u00ebsht\u00eb spitali i Traum\u00ebs, i cili nuk \u00ebsht\u00eb aspak i specializuar p\u00ebr nd\u00ebrhyrje t\u00eb tilla. Mjek\u00ebt specialis\u00eb jan\u00eb n\u00eb QSUT. Sot nj\u00eb e af\u00ebrme me s\u00ebmundje terminale q\u00eb ka nevoj\u00eb urgjente p\u00ebr nd\u00ebrhyrje i\u2019u desh t\u00eb kthehej n\u00eb Vlor\u00eb sepse QSUT nuk kryen nd\u00ebrhyrje. \u00cbsht\u00eb absurde dhe jo humane<\/em>\u201d.<\/p>\n Aktualisht, numri m\u00eb i madh i rasteve aktive (48.13%) \u00ebsht\u00eb i p\u00ebrq\u00ebndruar n\u00eb Tiran\u00eb. Pas Tiran\u00ebs, numrin m\u00eb t\u00eb lart\u00eb t\u00eb rasteve aktive e ka Durr\u00ebsi, Fieri, Kor\u00e7a, Shkodra, Elbasani. Edhe pse spitalet e k\u00ebtyre qyteteve jan\u00eb parashikuar p\u00ebr t\u2019u p\u00ebrshir\u00eb n\u00eb strategjin\u00eb e vjesht\u00eb dimrit, ende Ministria nuk ka marr\u00eb asnj\u00eb hap konkret. N\u00eb nj\u00eb monitorim nga gazeta \u201cSh\u00ebndet Plus\u201d, rezulton se t\u00eb pest\u00eb k\u00ebto spitale e kan\u00eb sh\u00ebrbimin infektivit dhe p\u00ebr rrjedhoj\u00eb kan\u00eb edhe personelin sh\u00ebndet\u00ebsor infeksionist.<\/p>\n N\u00eb lidhje me infrastruktur\u00ebn spitalore sh\u00ebndet\u00ebsore publike, sh\u00ebrbimet mjek\u00ebsore dyt\u00ebsor\u00eb n\u00eb vendin ton\u00eb ofrohen nga 42 spitale publike me 8.185 shtret\u00ebr t\u00eb num\u00ebruara n\u00eb vitin 2018.<\/p>\n Spitalet rajonale fonde p\u00ebr materiale t\u00eb mbrojtjes personale, jo p\u00ebr zhvillimin e kapaciteteve infrastrukturore<\/strong><\/p>\n P\u00ebrqendrimi i pacient\u00ebve me Covid-19 n\u00eb spitalet Covid (1) dhe Covid (2) n\u00eb Tiran\u00eb, gjithashtu ka ndikuar n\u00eb shp\u00ebrndarjen e fondeve p\u00ebr pandemin\u00eb Covid-19. Shumica e fondeve \u00ebsht\u00eb alokuar p\u00ebr dy spitalet Covid-19 n\u00eb Tiran\u00eb. Fondet e alokuara p\u00ebr spitalet rajonale jan\u00eb p\u00ebrdorur kryesisht p\u00ebr t\u00eb mbuluar nevojat p\u00ebr pajisje mbrojt\u00ebse p\u00ebr stafin, p\u00ebr sh\u00ebrbime dezinfektimi dhe p\u00ebr shp\u00ebrblimet e personelit mjek\u00ebsor dhe infermieror q\u00eb \u00ebsht\u00eb n\u00eb vij\u00ebn e par\u00eb t\u00eb kontaktit me infeksionin. P\u00ebr rrejdhoj\u00eb nuk ka patur nj\u00eb investim p\u00ebr rritje t\u00eb kapaciteteve infraktrukturore\/logjistike t\u00eb spitaleve rajonale, p\u00ebr t\u00eb menaxhuar Covid-19.<\/p>\n Shoqata Together for Life ka nisur 12 shkresa zyrtare n\u00eb spitalet rajonale, spitalet e Tiran\u00ebs dhe institucionin e Ministris\u00eb se Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, ku jan\u00eb pyetur lidhur me buxhetin e v\u00ebn\u00eb n\u00eb dispozicion p\u00ebr p\u00ebrballimin e CCovid-19, k\u00ebrkes\u00ebn q\u00eb kan\u00eb b\u00ebr\u00eb spitalet dhe fondin e v\u00ebn\u00eb n\u00eb dispoizcion nga MSHMS, procedurat e tenderit q\u00eb kan\u00eb kryer, dhe donacionet q\u00eb kan\u00eb marr\u00eb.<\/p>\n Bazuar n\u00eb informacionin e siguruar nga korrespondenca me disa nga spitalet kryesore \u00ebsht\u00eb konstatuar se buxheti q\u00eb \u00ebsht\u00eb v\u00ebn\u00eb n\u00eb dispozicion p\u00ebr t\u00eb p\u00ebrballuar situat\u00ebn n\u00eb disa raste ka q\u00ebn\u00eb shum\u00eb m\u00eb i ul\u00ebt sesa ai i k\u00ebrkuar nga spitalet, p\u00ebr shembull: Spitali Universitar “Shefqet Ndroqi” ka marr\u00eb 65 milion lek\u00eb n\u00eb faz\u00ebn e par\u00eb p\u00ebr menaxhimin e Covid-19, megjith\u00ebse nevoja p\u00ebr fonde shtes\u00eb ka qen\u00eb n\u00eb vler\u00ebn 298 milion lek\u00eb. Nd\u00ebrkoh\u00eb, p\u00ebr shkak t\u00eb situat\u00ebs n\u00eb k\u00ebt\u00eb spital, nuk jan\u00eb siguruar t\u00eb ardhura dyt\u00ebsore.<\/p>\n Rritja e shpejt\u00eb e shpenzimeve t\u00eb trajtimit t\u00eb pacient\u00ebve me Covid-19 dhe humbja e t\u00eb ardhurave nga procedurat e anuluara, po ushtron presion mbi spitalet dhe sistemin sh\u00ebndet\u00ebsor n\u00eb Shqip\u00ebri. Spitalet rajonale jan\u00eb p\u00ebrballur edhe me r\u00ebnie t\u00eb t\u00eb ardhurave dyt\u00ebsore, p\u00ebr shkak t\u00eb shtyrjes n\u00eb koh\u00eb t\u00eb rasteve jo urgjente, e cila vendos n\u00eb v\u00ebshtir\u00ebsi q\u00ebndrueshm\u00ebrin\u00eb e tyre financiare. Spitaleve u \u00ebsht\u00eb dashur t\u00eb pezullojn\u00eb ose t\u00eb kufizojn\u00eb procedurat q\u00eb mund t\u00eb presin, t\u00eb cilat jan\u00eb nj\u00eb burim i r\u00ebnd\u00ebsish\u00ebm t\u00eb ardhurash. Nga korrespondenca me spitalet rajonale, raportohet se 100% e tyre kan\u00eb patur r\u00ebnie t\u00eb t\u00eb ardhurave dyt\u00ebsore, \u201csi pasoj\u00eb e reduktimit t\u00eb numrit t\u00eb pacient\u00ebve, dhe normalitetit t\u00eb kryerjes s\u00eb sh\u00ebrbimeve t\u00eb cilat prodhonin t\u00eb ardhura dyt\u00ebsore p\u00ebr spitalin\u201d.<\/em> Gjithashtu spitali Universitar i Traum\u00ebs, raporton se situata e krijuar nga Covid-19 ka ndikuar n\u00eb m\u00ebnyr\u00eb drastike n\u00eb t\u00eb ardhurat dyt\u00ebsore t\u00eb SUT. N\u00eb muajin mars 2020, SUT raportojn\u00eb t\u00eb ardhura n\u00eb nivelin 0.<\/strong> Gjithashtu, Spitali Universitar Shefqet Ndroqi, n\u00eb koh\u00ebn q\u00eb ka q\u00ebn\u00eb Covid-19 ka patur 0 t\u00eb ardhura dyt\u00ebsore<\/strong>, t\u00eb ardhura q\u00eb ark\u00ebtoheshin nga parkingu dhe konsultat.<\/p>\n R\u00ebnie t\u00eb t\u00eb ardhurave dyt\u00ebsore raporton edhe QSUT duke u shprehur se situata e krijuar nga Covid-19 ka ndikuar n\u00eb uljen e t\u00eb ardhurave duke q\u00ebn\u00eb se gjat\u00eb k\u00ebsaj periudhe numri i pacient\u00ebve q\u00eb i jan\u00eb drejtuar spitaleve ka sh\u00ebnuar nj\u00eb ulje.<\/p>\n N\u00eb fakt sipas t\u00eb dh\u00ebnave t\u00eb QSUT-s\u00eb numri i shtrimeve n\u00eb 2020-t\u00ebn krahasuar me vitet e m\u00ebparshme, n\u00eb sh\u00ebrbimet kryesore, ka p\u00ebsuar ulje t\u00eb ndjeshme. Ve\u00e7an\u00ebrisht n\u00eb sh\u00ebrbimet e Kardiologjis\u00eb, enokrinoligjis\u00eb, nefrologjis\u00eb, mjek\u00ebsis\u00eb internet dhe gastrohepatologjis\u00eb, vihet re nj\u00eb r\u00ebnie historike e numrit t\u00eb shtrimeve n\u00eb QSUT. Gjithashtu ky spital terciar ka raportuar edhe r\u00ebnie t\u00eb ndjeshme t\u00eb numrit t\u00eb konsultave n\u00eb k\u00ebto sh\u00ebrbime.<\/p>\n Nga 12 spitalet rajonale refletohet r\u00ebnie e t\u00eb ardhurave dyt\u00ebsore. Trajtimi p\u00ebr COVID-19 ka krijuar k\u00ebrkes\u00eb t\u00eb jasht\u00ebzakonshme p\u00ebr pajisje dhe furnizime t\u00eb caktuara mjek\u00ebsore.<\/p>\n Nj\u00eb analiz\u00eb e Bank\u00ebs Bot\u00ebrore p\u00ebr “Ndikimin e Covid-19 n\u00eb sistemet sh\u00ebndet\u00ebsore t\u00eb Ballkanit Per\u00ebndimor” evidentohet se “Qeverit\u00eb e Ballkanit Per\u00ebndimor do t\u00eb duhet edhe t\u00eb sigurojn\u00eb fonde p\u00ebr t\u00eb financuar sistemet sh\u00ebndet\u00ebsore p\u00ebr t\u2019i b\u00ebr\u00eb m\u00eb t\u00eb forta p\u00ebrball\u00eb epidemive n\u00eb t\u00eb ardhmen. K\u00ebtu p\u00ebrfshihet administrimi i rreziqeve t\u00eb shumta: trysnia imediate p\u00ebr t\u2019i shkurtuar fondet p\u00ebr sh\u00ebndet\u00ebsin\u00eb p\u00ebr shkak t\u00eb r\u00ebnies ekonomike; r\u00ebnia e t\u00eb ardhurave spitalore nga shtyrja n\u00eb koh\u00eb e rasteve jo urgjente, e cila do ta vendos\u00eb n\u00eb v\u00ebshtir\u00ebsi q\u00ebndrueshm\u00ebrin\u00eb e tyre financiare;<\/strong> dhe tkurrja e burimeve t\u00eb financimit p\u00ebr\u00a0sh\u00ebndet\u00ebsin\u00eb p\u00ebr shkak t\u00eb rritjes s\u00eb papun\u00ebsis\u00eb dhe r\u00ebnies s\u00eb d\u00ebrgesave private nga jasht\u00eb. Ka r\u00ebnd\u00ebsi kritike q\u00eb qeverit\u00eb t\u00eb veprojn\u00eb pa vones\u00eb dhe me vendosm\u00ebri p\u00ebr t\u2019i mbrojtur t\u00eb ardhurat p\u00ebr sistemet sh\u00ebndet\u00ebsore, po t\u00eb kemi parasysh se priten epidemi t\u00eb tjera n\u00eb t\u00eb ardhmen”.<\/em><\/p>\n Spitalet rajonale miliona euro investime <\/strong><\/p>\n Edhe pse spitalet rajonale nuk po e ndihmojn\u00eb vendin n\u00eb p\u00ebrballimin e Covid-19, p\u00ebr investimin e tyre investohen miliona euro. Referuar Projekt Buxhetit 2020-2022, financimet n\u00eb spitalet rajonale, kapin vler\u00ebn e miliona eurove.<\/p>\n Financimet nga Buxheti i Shtetit p\u00ebrfshijn\u00eb:<\/p>\n Duke marr\u00eb parasysh q\u00eb Tirana ka rreth 50% t\u00eb numrit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb rasteve t\u00eb infektuara, si dhe shpenzimet e nevojshme t\u00eb b\u00ebra nga MSHMS p\u00ebr p\u00ebrfundimin e spitalit Covid (3) dhe p\u00ebr adaptimin dhe p\u00ebrfundimin e spitalit Covid (4), mund t\u00eb kishte qen\u00eb m\u00eb efikase n\u00ebse n\u00eb vend t\u00eb nd\u00ebrtimit t\u00eb spitaleve t\u00eb reja t\u00eb shfryt\u00ebzoheshin spitalet aktuale rajonale me kapacitetet e tyre.<\/p>\n Vendimi p\u00ebr shfryt\u00ebzimin e ish-godin\u00ebs Kristal<\/strong><\/p>\n Pas shfryt\u00ebzimit t\u00eb kapaciteteve t\u00eb Qendr\u00ebs Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d dhe Spitalit \u201cShefqet Ndroqi\u201d, alternative e rradh\u00ebs ishte ngritja e nj\u00eb spitali Covid 4. Me vendimin nr.2, dat\u00eb 25.3.2020, nisi puna p\u00ebr p\u00ebrshtatjen n\u00eb spital t\u00eb godin\u00ebs s\u00eb ish-universitetit Kristal, n\u00eb autostrad\u00ebn Tiran\u00eb-Durr\u00ebs.<\/p>\n Ministria duke p\u00ebrqendruar gjith\u00e7ka n\u00eb Tiran\u00eb, investoi n\u00eb p\u00ebrshtatjen e nj\u00eb godine ekzsituese n\u00eb spital. Nd\u00ebrkoh\u00eb q\u00eb n\u00ebse do t\u00eb ishte investuar n\u00eb spitalet rajonale (me respirator\u00eb jo-invaziv\u00eb, b-pap, c-pap, infrastruktura oksigjenit) me q\u00ebllim fillimin e trajtimit t\u00eb pacient\u00ebve me Covid-19 sa m\u00eb af\u00ebr vendbanimit, do t\u00eb ulte kostot e trajtimit t\u00eb t\u00eb s\u00ebmur\u00ebve si p\u00ebr familjet shqiptare, ashtu edhe p\u00ebr vet\u00eb shtetin shqiptar.<\/p>\n QSUT realizon 43.2% t\u00eb nd\u00ebrhyrjeve kirurgjikale n\u00eb rang komb\u00ebtar<\/strong><\/p>\n Sipas t\u00eb dh\u00ebnave t\u00eb INSTAT, QSUT ka barr\u00ebn m\u00eb t\u00eb madhe t\u00eb ofrimit t\u00eb sh\u00ebrbimit sh\u00ebndet\u00ebsor, ku thuajse gjysma e operacioneve n\u00eb t\u00eb gjith\u00eb vendin kryhen vet\u00ebm n\u00eb QSUT. Nj\u00eb ngrirje e sh\u00ebrbimeve n\u00eb QSUT, patjet\u00ebr sjell nj\u00eb kriz\u00eb n\u00eb marrjen e sh\u00ebrbimit p\u00ebr shum\u00eb qytetar shqiptar\u00eb.\u00a0 K\u00ebshtu, nd\u00ebrhyrjet kirurgjikale n\u00eb vitin 2018 ishin 64.929, nga t\u00eb cilat 43,2 % e tyre u realizuan n\u00eb Q.S.U.T; nd\u00ebrsa sa i takon shtrimeve: t\u00eb shtruar gjithsej n\u00eb institucionet e sh\u00ebrbimit spitalor ishin 279.018, nga t\u00eb cil\u00ebt 34,5 % jan\u00eb realizuar pran\u00eb QSUT.<\/p>\n Kthimi i sh\u00ebrbimit t\u00eb infektivit dhe sh\u00ebrbimit t\u00eb kirurgjis\u00eb n\u00eb\u00a0 Qendra Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d, n\u00eb spitale Covid, solli nj\u00eb paralizim, me urdh\u00ebr Ministri t\u00eb sh\u00ebrbimeve kirurgjikale. P\u00ebrmes nj\u00eb Urdhri nr. 147, dat\u00eb 09.03.2020 Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale ka vendosur \u201cNd\u00ebrprerjen e nd\u00ebrhyrjeve Kirurgjikale t\u00eb Planifikuara n\u00eb Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d dhe Spitalin Universitar \u201cShefqet Ndroqi\u201d, deri m\u00eb dat\u00eb 3 prill 2020. P\u00ebrjashtim nga rregulli i p\u00ebrcaktuar b\u00ebjn\u00eb vet\u00ebm nd\u00ebrhyrjet kirurgjikale p\u00ebr patologjit\u00eb malinje, t\u00eb cilat do t\u00eb zhvillohen sipas planifikimit. Nd\u00ebrkoh\u00eb q\u00eb barr\u00ebn p\u00ebr p\u00ebrballimin e operacioneve i kaloi spitalit Universitar t\u00eb Traum\u00ebs.<\/p>\n Mjeku epidemiolog Taulant Muka, i pyetur lidhur me shfryt\u00ebzimin e QSUT p\u00ebr menaxhimin e situat\u00ebs s\u00eb Covid, shprehet se \u201cQSUT \u00ebsht\u00eb e vetmja qend\u00ebr e specializuar terciare n\u00eb shqip\u00ebri, dhe duhet jo vet\u00ebm t\u00eb mendoj\u00eb p\u00ebr menaxhimin e situat\u00ebs Covid, por duhet t\u00eb mendoj\u00eb p\u00ebr t\u00eb gjitha urgjencat apo nd\u00ebrhyrjet kirurgjikale q\u00eb nuk mund t\u00eb b\u00ebhen n\u00eb spitale t\u00eb tjera. Kjo p\u00ebr arsye se ne nuk kemi nj\u00eb qend\u00ebr terciare t\u00eb ngjashme me QSUT.\u00a0 Duke patur dy qendra brenda saj p\u00ebr menaxhimin e Covid, rreziku p\u00ebr p\u00ebrhapjen e infeksionit mund t\u00eb kthehet dhe m\u00eb i lart\u00eb, n\u00ebse masat nuk merren seriozisht.<\/em><\/p>\n Problem i vet\u00ebm n\u00eb Shqip\u00ebri nuk \u00ebsht\u00eb vet\u00ebm Covid-19, duhet garantuar kujdesi mjek\u00ebsor p\u00ebr t\u00eb gjith\u00eb ata q\u00eb vuajn\u00eb nga s\u00ebmundje t\u00eb tjera dhe q\u00eb kan\u00eb nevoj\u00eb p\u00ebr nd\u00ebrhyrje t\u00eb specializuar. <\/em><\/p>\n \u00cbsht\u00eb shum\u00eb e r\u00ebnd\u00ebsishme gjithashtu kontrolli i p\u00ebrhapjes s\u00eb infeksionit brenda spitaleve.\u00a0 Pam\u00eb q\u00eb QSUT u kthye n\u00eb nj\u00eb vat\u00ebr infeksioni, duke rrezikuar jet\u00ebn e personave t\u00eb tjer\u00eb q\u00eb kan\u00eb nj\u00eb gjendje kritike sh\u00ebndet\u00ebsor. P\u00ebrq\u00ebndrimi i rasteve t\u00eb Covid-19 dhe moskontrollimi i mir\u00eb i infeksionit, mund t\u00eb ndikoj\u00eb n\u00eb dit\u00ebt\/jav\u00ebt n\u00eb vazhdim n\u00eb p\u00ebrhapje t\u00eb infeksionit. Masat q\u00eb merren duhet t\u00eb jen\u00eb mir\u00ebmenduara\u201d, <\/em>p\u00ebrmbyll komentin e tij Muka.<\/p>\n Mbingarkesa n\u00eb spitalin e Traum\u00ebs, infektohet personeli mjek\u00ebsor<\/strong><\/p>\n P\u00ebrq\u00ebndrimi i pun\u00ebs n\u00eb spitalin Universitar t\u00eb Traum\u00ebs, rrezikon strategjin\u00eb e vjesht\u00eb dimrit, kjo pasi raportohet se nj\u00eb num\u00ebr i konsideruesh\u00ebm i personelit mjek\u00ebsor t\u00eb infektuar me koronavirus. N\u00eb k\u00ebt\u00eb spital, ku q\u00eb prej muajit mars po kryhen t\u00eb gjitha nd\u00ebrhyrjet kirurgjikale urgjente dhe ato t\u00eb patologjive malinje, kan\u00eb rezultuar pozitiv me Covid-19 mjek\u00eb dhe infermier\u00eb, duke rrezikuar mir\u00eb-funksionimin e sh\u00ebrbimit t\u00eb kirurgjis\u00eb 1 dhe n\u00eb sh\u00ebrbimin e s\u00ebmundjeve t\u00eb brendshme.<\/p>\n Kirurgu Sami Ko\u00e7eku shprehet se: \u201cTek ne bluzat e bardha jan\u00eb mang\u00ebt. \u00cbsht\u00eb dyfishuar puna, t\u00eb dyfishohet personeli. Ne kemi 30 shtret\u00ebr, me statistik\u00eb kemi 25, por i kemi shtuar se ka fluks dhe jemi me 2 infermier\u00eb. Jan\u00eb pak n\u00eb kushte qet\u00ebsie, n\u00eb kushte lufte \u00ebsht\u00eb dyfishuar kapaciteti dhe prap\u00eb 2 infermier\u00eb. \u00c7far\u00eb kualiteti mjek\u00ebsor mund t\u2019i jepet t\u00eb s\u00ebmur\u00ebve me 2 infermier\u00eb n\u00eb turn? Terapia do i b\u00ebhet me vones\u00eb\u2026 te ne nuk \u00ebsht\u00eb shtuar personeli. K\u00ebtu \u00ebsht\u00eb ai staf q\u00eb ka qen\u00eb. K\u00ebto dy-tre muajt e fundit na kan\u00eb sjell\u00eb 2 mjek\u00eb q\u00eb b\u00ebjn\u00eb stazh, por dhe ata rrin\u00eb deri n\u00eb 6-7 pasdite dhe pastaj ikin, nuk jan\u00eb t\u00eb kualifikuar. Infermier\u00eb shoh plot fytyra t\u00eb reja, por pun\u00ebn baz\u00eb e b\u00ebn mjeku. Mjek t\u00eb ri nuk kam par\u00eb k\u00ebtu. Nj\u00eb mjeke t\u00eb re kam par\u00eb n\u00eb reanimacion, por \u00ebsht\u00eb vullnetare mesa kam informacion. Mjek\u00eb q\u00eb t\u00eb shtohet stafi nuk ka. Ne kemi 2 infermier\u00eb n\u00eb turn n\u00eb dark\u00eb, si\u00e7 e kemi pas k\u00ebtu e 10 vjet, pa ndryshuar.<\/em><\/p>\n Ekipi mjek\u00ebsor n\u00eb spital \u00ebsht\u00eb 2 kirurg\u00eb, 2 anestezist\u00eb, 2 ortoped\u00eb, 1 radiolog dhe 2\/3 terapeft\u00eb. Ky \u00ebsht\u00eb ekipi te Urgjenca te Trauma. Ky ekip, tani \u00ebsht\u00eb Trauma plus Urgjenc\u00eb Kirurgjikale<\/em>.\u201d<\/p>\n Burime brenda spitalit, konfirmojn\u00eb se n\u00eb sh\u00ebrbimin e s\u00ebmundjeve t\u00eb brendshme numri i personelit t\u00eb infektuar \u00ebsht\u00eb 5. Nd\u00ebrkoh\u00eb q\u00eb jan\u00eb bashkuar n\u00eb 2 pavione. Nd\u00ebrsa edhe n\u00eb sh\u00ebrbimin e kirurgjis\u00eb num\u00ebr 1, \u00ebsht\u00eb infektuar personeli, dhe aktualisht po punon me kapacitet t\u00eb plot\u00eb vet\u00ebm kirurgjia 2.<\/p>\n N\u00eb Spitalin Universitar t\u00eb Traum\u00ebs ka patur nj\u00eb fluks t\u00eb konsideruesh\u00ebm, me mbi 29 mij\u00eb urgjenca kirurgjikale q\u00eb jan\u00eb p\u00ebrballuar nga Marsi, gjat\u00eb gjith\u00eb k\u00ebtyre muajve t\u00eb epidemis\u00eb. Jan\u00eb kryer rreth 520 operacione n\u00eb muaj n\u00eb k\u00ebt\u00eb spital dhe aktualisht jan\u00eb rreth 30 raste t\u00eb urgjenc\u00ebs n\u00eb dit\u00eb p\u00ebrfshir\u00eb edhe traum\u00ebn.<\/p>\n M\u00eb 2 qershor, Kryeministri Rama dhe ministrja e Sh\u00ebndet\u00ebsis\u00eb Manastirliu inaguruan spitalin. Spitali COVID 4 ka nj\u00eb kapacitet prej 108 shtret\u00ebrish, ku af\u00ebrsisht 20% jan\u00eb n\u00eb terapi sub-intensive dhe intensive si edhe \u00ebsht\u00eb i pajisur me linjat e gazrave mjek\u00ebsore p\u00ebr t\u00eb ofruar sh\u00ebrbimet sipas protokolleve. Nd\u00ebrkoh\u00eb q\u00eb p\u00ebrshtatja e godin\u00ebs s\u00eb Universitetit Kristal n\u00eb nj\u00eb spital Covid, i ka kushtuar jo pak buxhetit t\u00eb shtetit.<\/em><\/p>\n Referuar relacionit t\u00eb project buxhetit 2021-2023, p\u00ebrve\u00e7 dy spitaleve COVID t\u00eb Sh\u00ebrbimit Infektiv n\u00eb QSUT (COVID 1) dhe Spitalit Universitar Shefqet Ndroqi (COVID 2), jan\u00eb b\u00ebr\u00eb gati edhe dy spitale COVID, Spitali COVID 3 n\u00eb godin\u00ebn e ish kirurgjive n\u00eb QSUT me nj\u00eb total prej 125 shtret\u00ebrish, si dhe Spitali COVID 4 n\u00eb godin\u00ebn e ish Universitetit Kristal me kapacitet prej 108 shtret\u00ebrish. \u00cbsht\u00eb investuar n\u00eb forcimin e kapaciteve t\u00eb terapis\u00eb intensive dhe subintensive, duke dedikuar 500 shtret\u00ebr, 80% e tyre me linja oksigjeni dhe ku gjysma e tyre jan\u00eb kapacitete t\u00eb reja n\u00eb sistem (COVID 3 dhe 4) – n\u00eb vler\u00ebn 160 milion lek\u00eb. <\/strong><\/p>\n 764.9 milion\u00eb lek\u00eb<\/strong> jan\u00eb p\u00ebrdorur p\u00ebr t\u00eb pajisur me aparatura t\u00eb reja spitalet Covid dhe nj\u00ebsit\u00eb e terapive intensive n\u00eb spitalet rajonale p\u00ebrkat\u00ebsisht 100 shtret\u00ebr t\u00eb rinj reanimacioni, 265 monitor\u00eb multiparametrik, 134 respirator\u00eb invasive dhe joinvazive (\u00ebsht\u00eb rritur me 67% kapaciteti i aparaturave jete-shp\u00ebtuese respiratore n\u00eb terapit\u00eb intensive dhe sub intensive), si dhe jan\u00eb alokuar fondet p\u00ebr blerjen e pajisjeve t\u00eb r\u00ebnda biomjek\u00ebsore p\u00ebr sh\u00ebrbimin e imazheris\u00eb dhe diagnostik\u00ebs.<\/p>\n Megjithat\u00eb pavar\u00ebsisht investimeve n\u00eb vite t\u00eb spitaleve rajonale, me q\u00ebllim rritjen e performanc\u00ebs s\u00eb sh\u00ebrbimeve sh\u00ebndet\u00ebsore dhe investimeve (t\u00eb vona) p\u00ebr menaxhimin e Covid-19, k\u00ebto spitale nuk po shfryt\u00ebzohen, duke ngritur natyrsh\u00ebm pik\u00ebpyetje t\u00eb shumta p\u00ebr autoritetet sh\u00ebndet\u00ebsore. Por, n\u00ebse spitalet rajonale nuk kan\u00eb logjistik\u00ebn e duhur p\u00ebr t\u00eb p\u00ebrballuar Covid-19, pyetja m\u00eb e r\u00ebnd\u00ebsishme \u00ebsht\u00eb: ku vajt\u00ebn 4.5 milion euro?<\/strong><\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":" Denisa Canameti Nd\u00ebrkoh\u00eb q\u00eb Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, ka investuar miliona euro vitet e fundit p\u00ebr rikonstruksionin e spitaleve rajonale dhe p\u00ebrmir\u00ebsimin e kapaciteteve infrastrukturore, ato nuk po […]<\/p>","protected":false},"author":1,"featured_media":29911,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[61],"tags":[80,79],"class_list":["post-29820","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-video-shendet","tag-investigime","tag-lajme"],"yoast_head":"\n![\"\"](\"https:\/\/new.togetherforlife.org.al\/wp-content\/uploads\/2021\/04\/L1-1.jpg\")
<\/p>\n![\"\"](\"https:\/\/new.togetherforlife.org.al\/wp-content\/uploads\/2021\/04\/L1-2-e1618845430905.jpg\")
<\/p>\n![\"\"](\"https:\/\/new.togetherforlife.org.al\/wp-content\/uploads\/2021\/04\/L1-3.jpg.png\")
<\/p>\n![\"\"](\"https:\/\/new.togetherforlife.org.al\/wp-content\/uploads\/2021\/04\/L1-4.jpg.png\")
<\/p>\n![\"\"](\"https:\/\/new.togetherforlife.org.al\/wp-content\/uploads\/2021\/04\/L1-5-e1618845206229.jpg\")
<\/p>\n\n
![\"\"](\"https:\/\/new.togetherforlife.org.al\/wp-content\/uploads\/2021\/04\/l1-6.jpg\")
<\/p>\n