{"id":705,"date":"2026-08-20T17:06:43","date_gmt":"2026-08-20T15:06:43","guid":{"rendered":"https:\/\/4beauty.de\/glossar\/narkosemittel-allergie\/"},"modified":"2026-08-28T11:53:46","modified_gmt":"2026-08-28T09:53:46","slug":"alergji-ndaj-anestetikeve","status":"publish","type":"glossary","link":"https:\/\/4beauty.de\/sq\/glossar\/narkosemittel-allergie\/","title":{"rendered":"Alergjia ndaj anestezis\u00eb: shkaktar\u00ebt, simptomat dhe \u00e7far\u00eb duhet t\u00eb din\u00eb pacient\u00ebt"},"content":{"rendered":"<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Alergji ndaj anestezis\u00eb<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Nj\u00eb reaksion hipersensitiviteti i sistemit imunitar ndaj substancave t\u00eb p\u00ebrdorura gjat\u00eb anestezis\u00eb, p\u00ebrfshir\u00eb relaksuesit e muskujve, propofolin, lateksin ose antibiotik\u00ebt. Ai varion nga reaksionet e lehta t\u00eb l\u00ebkur\u00ebs deri te anafilaksia k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn dhe k\u00ebrkon trajtim mjek\u00ebsor t\u00eb menj\u00ebhersh\u00ebm.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Tabela e p\u00ebrmbajtjes<\/h2><nav><ul><li class=\"\"><a href=\"#echte-allergie-oder-pseudoallergische-reaktion\">Alergji e v\u00ebrtet\u00eb apo reaksion pseudoalergjik?<\/a><\/li><li class=\"\"><a href=\"#haufige-ausloser-und-substanzgruppen\">Shkaktar\u00eb t\u00eb p\u00ebrbashk\u00ebt dhe grupe substancash<\/a><\/li><li class=\"\"><a href=\"#risikofaktoren-wer-ist-besonders-gefahrdet\">Faktor\u00ebt e rrezikut: Kush \u00ebsht\u00eb ve\u00e7an\u00ebrisht n\u00eb rrezik?<\/a><\/li><li class=\"\"><a href=\"#symptome-nach-schweregrad\">Simptomat sipas ashp\u00ebrsis\u00eb<\/a><\/li><li class=\"\"><a href=\"#diagnose-ablauf-und-timing-der-allergiediagnostik\">Diagnostika: Procedura dhe koha e testimit t\u00eb alergjis\u00eb<\/a><\/li><li class=\"\"><a href=\"#akutbehandlung-und-pravention-was-bei-einer-reaktion-im-op-passiert\">Trajtimi akut dhe parandalimi: \u00c7far\u00eb ndodh n\u00eb sall\u00ebn e operacionit n\u00eb rast t\u00eb nj\u00eb reaksioni<\/a><\/li><li class=\"\"><a href=\"#narkosemittel-allergie-und-schonheitsoperationen-finanzielle-folgen-im-blick-behalten\">Alergjit\u00eb ndaj anestezis\u00eb dhe kirurgjia estetike: mbajtja n\u00ebn v\u00ebzhgim e implikimeve financiare<\/a><\/li><li class=\"\"><a href=\"#haufige-fragen-zur-narkosemittel-allergie\">Pyetje t\u00eb shpeshta rreth alergjive ndaj anestezis\u00eb<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Sh\u00ebnim i r\u00ebnd\u00ebsish\u00ebm<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ky artikull \u00ebsht\u00eb vet\u00ebm p\u00ebr q\u00ebllime informuese dhe nuk z\u00ebvend\u00ebson nj\u00eb diagnoz\u00eb ose k\u00ebshill\u00eb mjek\u00ebsore. N\u00ebse keni ndonj\u00eb shqet\u00ebsim, ose n\u00ebse ju nevojitet nj\u00eb plan trajtimi i personalizuar, \u00ebsht\u00eb thelb\u00ebsore t\u00eb konsultoheni me nj\u00eb specialist t\u00eb kualifikuar.<\/p>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Kushdo q\u00eb planifikon kirurgji kozmetike rrall\u00eb e merr parasysh rrezikun e alergjis\u00eb ndaj anestezis\u00eb, megjithat\u00eb ky komplikacion mund t\u00eb prek\u00eb edhe njer\u00ebz pa ndonj\u00eb gjendje t\u00eb m\u00ebparshme t\u00eb njohur. Relaksuesit e muskujve, produktet prej lateksi dhe antibiotik\u00ebt profilaktik\u00eb jan\u00eb shkaktar\u00ebt m\u00eb t\u00eb zakonsh\u00ebm. Kuptimi i simptomave, procedurave diagnostike dhe masave parandaluese ju ndihmon t\u00eb p\u00ebrgatiteni n\u00eb m\u00ebnyr\u00eb efektive dhe t\u00eb mb\u00ebshtesni ekipin mjek\u00ebsor n\u00eb rast emergjence.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-narkosemittel-allergie-berblick-der-h-ufigsten-ausl-ser-wie-.png\" alt=\"Alergjia ndaj anestezis\u00eb: nj\u00eb pasqyr\u00eb e shkaktar\u00ebve m\u00eb t\u00eb zakonsh\u00ebm, si relaksuesit e muskujve, lateksi dhe propofoli\" class=\"wp-image-483\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-narkosemittel-allergie-berblick-der-h-ufigsten-ausl-ser-wie-.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-narkosemittel-allergie-berblick-der-h-ufigsten-ausl-ser-wie--900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-narkosemittel-allergie-berblick-der-h-ufigsten-ausl-ser-wie--300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-narkosemittel-allergie-berblick-der-h-ufigsten-ausl-ser-wie--768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-narkosemittel-allergie-berblick-der-h-ufigsten-ausl-ser-wie--1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-narkosemittel-allergie-berblick-der-h-ufigsten-ausl-ser-wie--18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_01-narkosemittel-allergie-berblick-der-h-ufigsten-ausl-ser-wie--40x27.png 40w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"echte-allergie-oder-pseudoallergische-reaktion\">Alergji e v\u00ebrtet\u00eb apo reaksion pseudoalergjik?<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Pikat kryesore me nj\u00eb v\u00ebshtrim:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Dy lloje reaksionesh: alergji e v\u00ebrtet\u00eb e tipit I (e nd\u00ebrmjet\u00ebsuar nga IgE) dhe reaksion pseudoalergjik (jo i nd\u00ebrmjet\u00ebsuar nga IgE)<\/li>\n\n\n\n<li>T\u00eb dyja mund t\u00eb shkaktojn\u00eb simptoma identike; ato mund t\u00eb dallohen vet\u00ebm p\u00ebrmes testeve specifike diagnostike.<\/li>\n\n\n\n<li>Reaksionet zakonisht ndodhin brenda disa minutash nga marrja e ila\u00e7it.<\/li>\n\n\n\n<li>Nj\u00eb procedur\u00eb e m\u00ebparshme pa komplikacione nuk p\u00ebrjashton nj\u00eb reaksion t\u00eb m\u00ebvonsh\u00ebm.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00eb rastin e nj\u00eb alergjie t\u00eb v\u00ebrtet\u00eb ndaj anestezis\u00eb, sistemi imunitar njeh nj\u00eb p\u00ebrb\u00ebr\u00ebs aktiv si substanc\u00eb t\u00eb huaj dhe prodhon antitrupa IgE (imunoglobulin E). P\u00ebrs\u00ebri n\u00eb kontakt me k\u00ebt\u00eb substanc\u00eb, qelizat mastike dhe bazofilet \u00e7lirojn\u00eb nd\u00ebrmjet\u00ebsues, kryesisht histamin\u00eb. N\u00eb var\u00ebsi t\u00eb rrethanave, kjo \u00e7on n\u00eb vazodilatacion, bronkospasm dhe, n\u00eb disa raste, kolaps t\u00eb r\u00ebnd\u00eb qarkullues.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reaksionet pseudo-alergjike duken nj\u00ebsoj nga jasht\u00eb, por ndodhin pa sensibilizim t\u00eb m\u00ebparsh\u00ebm: disa substanca aktivizojn\u00eb drejtp\u00ebrdrejt qelizat mast pa p\u00ebrfshirjen e antitrupave IgE. Kjo do t\u00eb thot\u00eb se nj\u00eb reaksion pseudoalergjik mund t\u00eb ndodh\u00eb q\u00eb n\u00eb kontaktin e par\u00eb me substanc\u00ebn; nj\u00eb ekspozim i m\u00ebparsh\u00ebm pa probleme nuk ofron asnj\u00eb garanci sigurie. Sipas nj\u00eb artikulli rishikues n\u00eb <em>Springer Mjek\u00ebsi<\/em> (Alergjit\u00eb dhe reaksionet pseudoalergjike ndaj anestetik\u00ebve) Prandaj specialist\u00ebt rekomandojn\u00eb q\u00eb testet p\u00ebr alergji t\u00eb kryhen jo m\u00eb her\u00ebt se 4 deri n\u00eb 6 jav\u00eb pas ngjarjes shkaktare, n\u00eb m\u00ebnyr\u00eb q\u00eb sistemi imunitar t\u00eb mund t\u00eb siguroj\u00eb p\u00ebrs\u00ebri rezultate t\u00eb q\u00ebndrueshme t\u00eb testit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dallimi midis k\u00ebtyre dy llojeve \u00ebsht\u00eb klinikisht i r\u00ebnd\u00ebsish\u00ebm: IgE specifike mund t\u00eb zbulohet vet\u00ebm n\u00eb rastet e alergjis\u00eb s\u00eb v\u00ebrtet\u00eb t\u00eb Tipit I, dhe kjo ndikon n\u00eb substanc\u00ebn alternative q\u00eb anestetisti zgjedh p\u00ebr procedurat e ardhshme.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"haufige-ausloser-und-substanzgruppen\">Shkaktar\u00eb t\u00eb p\u00ebrbashk\u00ebt dhe grupe substancash<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Pikat kryesore me nj\u00eb v\u00ebshtrim:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Relaksuesit e muskujve jan\u00eb p\u00ebrgjegj\u00ebs p\u00ebr shumic\u00ebn e reaksioneve alergjike t\u00eb r\u00ebnda perioperative.<\/li>\n\n\n\n<li>Lateksi, antibiotik\u00ebt dhe propofoli jan\u00eb shkaktar\u00eb t\u00eb tjer\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm.<\/li>\n\n\n\n<li>Reaktiviteti kryq\u00ebzuar midis klasave t\u00eb ndryshme t\u00eb substancave \u00ebsht\u00eb i mundur.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Substancat m\u00eb t\u00eb r\u00ebnd\u00ebsishme q\u00eb kan\u00eb nj\u00eb <strong>reaksion alergjik ndaj anestezis\u00eb<\/strong> q\u00eb mund t\u00eb shkaktoj\u00eb [...], mund t\u00eb kategorizohet sipas frekuenc\u00ebs:<\/p>\n\n\n\n<ol class=\"wp-block-list is-style-step-list\">\n<li><strong>Relaksuesit e muskujve<\/strong> (p.sh. suksametoniumi, vekuroniumi, rokuroniumi), shkaktar\u00ebt m\u00eb t\u00eb zakonsh\u00ebm t\u00eb anafilaksis\u00eb s\u00eb r\u00ebnd\u00eb perioperative, pasi ato mund t\u00eb aktivizojn\u00eb drejtp\u00ebrdrejt qelizat mast. \u00cbsht\u00eb raportuar reaktivitet i kryq\u00ebzuar midis relaksuesve t\u00eb ndrysh\u00ebm t\u00eb muskujve; prandaj, nj\u00eb test i plot\u00eb p\u00ebr alergji duhet t\u00eb p\u00ebrfshij\u00eb t\u00eb gjitha substancat p\u00ebrkat\u00ebse.<\/li>\n\n\n\n<li><strong>Latesh<\/strong> Goma natyrale nga dorezat kirurgjikale, kateter\u00ebt ose maskat e frym\u00ebmarrjes. N\u00eb rastet e alergjis\u00eb ndaj lateksit, shpesh ndodhin alergji kryq\u00ebzuese ndaj avokados, bananes, kiwis dhe kastanjeve (e njohur si alergji kryq\u00ebzuese lateks-frut). F\u00ebmij\u00ebt me malformacione kongjenitale q\u00eb i n\u00ebnshtrohen operacioneve t\u00eb p\u00ebrs\u00ebritura jan\u00eb ve\u00e7an\u00ebrisht n\u00eb rrezik.<\/li>\n\n\n\n<li><strong>Antibiotik\u00eb<\/strong> N\u00eb ve\u00e7anti, penicilinat dhe cefalosporinat, t\u00eb cilat shpesh administrohen profilaktikisht pak para procedur\u00ebs. N\u00ebse pacienti ka nj\u00eb alergji t\u00eb njohur ndaj penicilin\u00ebs, ekipi i anestezis\u00eb duhet t\u00eb informohet paraprakisht.<\/li>\n\n\n\n<li><strong>Propofol<\/strong> anesteziku m\u00eb i p\u00ebrdorur p\u00ebr induktim. Reaksionet e hipersensitivitetit jan\u00eb t\u00eb mundshme, por m\u00eb pak t\u00eb zakonshme se me relaksant\u00ebt muskular\u00eb. Propofoli p\u00ebrmban vaj soje dhe emulione t\u00eb lecitin\u00ebs s\u00eb vez\u00ebve t\u00eb pastruara; ende nuk \u00ebsht\u00eb v\u00ebrtetuar n\u00eb m\u00ebnyr\u00eb p\u00ebrfundimtare nga ekspert\u00ebt n\u00ebse njer\u00ebzit me alergji ndaj vez\u00ebve ose soj\u00ebs jan\u00eb n\u00eb rrezik m\u00eb t\u00eb lart\u00eb.<\/li>\n\n\n\n<li><strong>Opioidet<\/strong> (p.sh. morfin\u00eb, fentanil) mund t\u00eb shkaktojn\u00eb reaksione pseudo-alergjike p\u00ebrmes aktivizimit t\u00eb drejtp\u00ebrdrejt\u00eb t\u00eb qelizave mast, dhe n\u00eb raste t\u00eb rralla, anafilaksi t\u00eb r\u00ebnd\u00eb.<\/li>\n\n\n\n<li><strong>Anestezik\u00eb lokal\u00eb dhe dezinfektues<\/strong> Klorheksidina, e cila p\u00ebrdoret si dezinfektues i l\u00ebkur\u00ebs, njihet gjithnj\u00eb e m\u00eb shum\u00eb si shkaktar i reaksioneve t\u00eb r\u00ebnda intraoperative.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"muskelrelaxantien-der-haufigste-und-gefahrlichste-ausloser\">Relaksuesit e muskujve: shkaktari m\u00eb i zakonsh\u00ebm dhe m\u00eb i rreziksh\u00ebm<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Relaksuesit e muskujve \u2013 substanca q\u00eb paralizojn\u00eb p\u00ebrkoh\u00ebsisht muskujt skeletor\u00eb, duke leht\u00ebsuar k\u00ebshtu intubimin dhe kushtet kirurgjikale \u2013 p\u00ebrb\u00ebjn\u00eb shumic\u00ebn d\u00ebrrmuese t\u00eb reaksioneve t\u00eb r\u00ebnda t\u00eb hipersensitivitetit perioperativ. Suxametoniumi (sukcinilkolina) dhe relaksant\u00ebt jo-depolarizues si vecuroniumi ose rocuroniumi mund t\u00eb shkaktojn\u00eb si reaksione t\u00eb v\u00ebrteta t\u00eb nd\u00ebrmjet\u00ebsuara nga IgE, ashtu edhe reaksione pseudoalergjike.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Problemi \u00ebsht\u00eb se pacient\u00ebt q\u00eb nuk kan\u00eb marr\u00eb kurr\u00eb nj\u00eb relaksues t\u00eb caktuar muskujsh mund t\u00eb jen\u00eb tashm\u00eb t\u00eb sensibilizuar, p\u00ebr shembull p\u00ebrmes produkteve t\u00eb kujdesit personal q\u00eb p\u00ebrmbajn\u00eb p\u00ebrb\u00ebr\u00ebs kat\u00ebrter\u00ebsor\u00eb amoniumi me struktur\u00eb t\u00eb ngjashme. Prandaj, nj\u00eb reaksion \u00ebsht\u00eb i mundur edhe gjat\u00eb p\u00ebrdorimit t\u00eb par\u00eb klinik, pa asnj\u00eb paralajm\u00ebrim.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"latex-allergie-und-kreuzreaktionen-mit-lebensmitteln\">Alergjia ndaj lateksit dhe reaksionet kryq me ushqimet<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Lateksi \u00ebsht\u00eb alergjeni i dyt\u00eb m\u00eb i zakonsh\u00ebm n\u00eb sall\u00ebn e operacioneve. Nj\u00eb alergji ekzistuese ndaj lateksit mund t\u00eb shkaktoj\u00eb nj\u00eb reaksion anafilaktik, i cili ndonj\u00ebher\u00eb mund t\u00eb jet\u00eb i r\u00ebnd\u00eb, n\u00ebse p\u00ebrdoren doreza, kateter\u00eb ose pajisje infuzioni t\u00eb b\u00ebra nga goma natyrale. Alergjia e kryq\u00ebzuar lateks-frut\u00eb \u00ebsht\u00eb ve\u00e7an\u00ebrisht e njohur: Personat q\u00eb reagojn\u00eb ndaj lateksit shpesh nuk tolerojn\u00eb as avokado, banane, kiwi apo kastanjet. P\u00ebrkundrazi, nj\u00eb reagim i theksuar ndaj k\u00ebtyre frutave mund t\u00eb tregoj\u00eb sensibilizim latent ndaj lateksit, nj\u00eb lidhje q\u00eb duhet diskutuar gjat\u00eb konsult\u00ebs para-anestezike.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-latex-allergie-und-kreuzreaktionen-mit-lebensmitteln-wie-avo.png\" alt=\"Alergjia ndaj lateksit dhe reaksionet kryq me ushqime si avokado dhe banane gjat\u00eb anestezis\u00eb\" class=\"wp-image-507\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-latex-allergie-und-kreuzreaktionen-mit-lebensmitteln-wie-avo.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-latex-allergie-und-kreuzreaktionen-mit-lebensmitteln-wie-avo-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-latex-allergie-und-kreuzreaktionen-mit-lebensmitteln-wie-avo-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-latex-allergie-und-kreuzreaktionen-mit-lebensmitteln-wie-avo-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-latex-allergie-und-kreuzreaktionen-mit-lebensmitteln-wie-avo-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-latex-allergie-und-kreuzreaktionen-mit-lebensmitteln-wie-avo-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-latex-allergie-und-kreuzreaktionen-mit-lebensmitteln-wie-avo-40x27.png 40w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"risikofaktoren-wer-ist-besonders-gefahrdet\">Faktor\u00ebt e rrezikut: Kush \u00ebsht\u00eb ve\u00e7an\u00ebrisht n\u00eb rrezik?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Disa grupe njer\u00ebzish kan\u00eb nj\u00eb rrezik m\u00eb t\u00eb lart\u00eb p\u00ebr alergji ndaj anestezis\u00eb. Sipas Shoqat\u00ebs Zvicerane t\u00eb Anesteziologjis\u00eb dhe Mjek\u00ebsis\u00eb Perioperative (SSAPM), reaksionet alergjike jan\u00eb t\u00eb rralla, por komplikacione potencialisht k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn t\u00eb anestezis\u00eb.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-rztin-ber-t-eine-patientin-vor-einer-operation-ber-m-gliche-.png\" alt=\"Nj\u00eb mjek k\u00ebshillon nj\u00eb pacient para nj\u00eb operacioni p\u00ebr faktor\u00ebt e mundsh\u00ebm t\u00eb rrezikut dhe reaksionet alergjike ndaj anestetik\u00ebve.\" class=\"wp-image-537\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-rztin-ber-t-eine-patientin-vor-einer-operation-ber-m-gliche-.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-rztin-ber-t-eine-patientin-vor-einer-operation-ber-m-gliche--900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-rztin-ber-t-eine-patientin-vor-einer-operation-ber-m-gliche--300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-rztin-ber-t-eine-patientin-vor-einer-operation-ber-m-gliche--768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-rztin-ber-t-eine-patientin-vor-einer-operation-ber-m-gliche--1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-rztin-ber-t-eine-patientin-vor-einer-operation-ber-m-gliche--18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-rztin-ber-t-eine-patientin-vor-einer-operation-ber-m-gliche--40x27.png 40w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-group is-layout-grid wp-container-core-group-is-layout-0ddedb66 wp-block-group-is-layout-grid\">\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Atopik<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Personat me ethe polenike, astm\u00eb bronkiale ose dermatit atopik jan\u00eb p\u00ebrgjith\u00ebsisht n\u00eb rrezik m\u00eb t\u00eb lart\u00eb p\u00ebr t\u00eb zhvilluar ndjeshm\u00ebri ndaj substancave t\u00eb huaja.<\/p>\n<\/div>\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Komplikacion i m\u00ebparsh\u00ebm anestezik<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">\u00c7dokush q\u00eb m\u00eb par\u00eb ka p\u00ebrjetuar nj\u00eb reaksion alergjik ose anafilaktik gjat\u00eb anestezis\u00eb \u00ebsht\u00eb n\u00eb rrezik m\u00eb t\u00eb lart\u00eb p\u00ebr p\u00ebrs\u00ebritje, ve\u00e7an\u00ebrisht n\u00ebse shkaku nuk \u00ebsht\u00eb p\u00ebrcaktuar kurr\u00eb.<\/p>\n<\/div>\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Sensibilizim i njohur ndaj lateksit<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Personat me alergji ndaj lateksit k\u00ebrkojn\u00eb nj\u00eb ambient operacioni plot\u00ebsisht pa lateks. Kjo duhet t\u00eb dakordohet shprehimisht me spitalin paraprakisht.<\/p>\n<\/div>\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Procedura t\u00eb shumta<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Njer\u00ebzit q\u00eb kan\u00eb kaluar operacione t\u00eb shumta jan\u00eb ekspozuar ndaj nj\u00eb game m\u00eb t\u00eb gjer\u00eb substancash, gj\u00eb q\u00eb rrit mund\u00ebsin\u00eb e sensibilizimit me kalimin e koh\u00ebs.<\/p>\n<\/div>\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Alergji e njohur ndaj medikamenteve<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Alergjit\u00eb ndaj antibiotik\u00ebve (sidomos penicilinave) ose barnave t\u00eb tjera mund t\u00eb tregojn\u00eb nj\u00eb ndjeshm\u00ebri t\u00eb p\u00ebrgjithshme t\u00eb rritur ndaj reaksioneve.<\/p>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">E r\u00ebnd\u00ebsishme: As mosha e as gjinia nuk p\u00ebrjashtojn\u00eb rrezikun. Jan\u00eb raportuar reaksione t\u00eb r\u00ebnda te burrat dhe te grat\u00eb. Marrja e nj\u00eb historie mjek\u00ebsore t\u00eb plot\u00eb, duke p\u00ebrfshir\u00eb t\u00eb gjitha intolerancat e njohura, para \u00e7do procedure \u00ebsht\u00eb masa parandaluese m\u00eb efektive.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"symptome-nach-schweregrad\">Simptomat sipas ashp\u00ebrsis\u00eb<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Reaksionet alergjike ndaj anestetik\u00ebve zakonisht ndodhin brenda disa minutash nga administrimi i agjentit shkaktar. Duke qen\u00eb se pacient\u00ebt n\u00ebn anestezi nuk mund t\u00eb flasin ose t\u00eb raportojn\u00eb simptomat e tyre, ekipi i anestezis\u00eb duhet t'i monitoroj\u00eb aktivisht p\u00ebr shenja t\u00eb nj\u00eb reaksioni. Shenjat tipike paralajm\u00ebruese p\u00ebrfshijn\u00eb nj\u00eb r\u00ebnie t\u00eb papritur t\u00eb presionit t\u00eb gjakut, takikardi ose nj\u00eb ndryshim n\u00eb rezistenc\u00ebn e ventilimit.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>R\u00ebnd\u00ebsia<\/th><th>Simptomat tipike<\/th><th>Frekuenc\u00eb<\/th><\/tr><\/thead><tbody><tr><td>E leht\u00eb (Grada I)<\/td><td>Kuqerim i l\u00ebkur\u00ebs (flushing), urtikaria (fishekthi), kruarje, \u00ebnjtje e lokalizuar, konjuktivit<\/td><td>T\u00eb zakonshme, zakonisht vet\u00ebkufizuese<\/td><\/tr><tr><td>Mesatar (Grada II)<\/td><td>Hipotension, takikardi, bronkospasm (ngushtim i rrug\u00ebve t\u00eb frym\u00ebmarrjes), nauze, angioedem\u00eb<\/td><td>M\u00eb pak e zakonshme, k\u00ebrkon trajtim t\u00eb menj\u00ebhersh\u00ebm<\/td><\/tr><tr><td>E r\u00ebnd\u00eb (Grada III\/IV, anafilaksi)<\/td><td>Shok cirkulator, v\u00ebshtir\u00ebsi t\u00eb r\u00ebnda n\u00eb frym\u00ebmarrje, humbje e vet\u00ebdijes, ndalim i zemr\u00ebs, emergjenc\u00eb mjek\u00ebsore<\/td><td>I rrall\u00eb, por k\u00ebrc\u00ebnues p\u00ebr jet\u00ebn<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Nj\u00eb ve\u00e7ori e ve\u00e7ant\u00eb gjat\u00eb anestezis\u00eb: reaksionet tipike t\u00eb l\u00ebkur\u00ebs, si skuqje ose gunga, mund t\u00eb mbulojn\u00eb me \u00e7ar\u00e7af\u00eb steril\u00eb ose nga pozicioni i pacientit. Prandaj, anesteziolog\u00ebt me p\u00ebrvoj\u00eb i kushtojn\u00eb v\u00ebmendje t\u00eb ve\u00e7ant\u00eb ndryshimeve kardiovaskulare; nj\u00eb r\u00ebnie e shpejt\u00eb e presionit t\u00eb gjakut e shoq\u00ebruar me rritje t\u00eb presionit ventilator mund t\u00eb jet\u00eb shenja e par\u00eb e dukshme e anafilaksis\u00eb.<\/p>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Udh\u00ebzime praktike<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">\u00c7dokush q\u00eb ka p\u00ebrjetuar m\u00eb par\u00eb nj\u00eb reaksion alergjik gjat\u00eb anestezis\u00eb duhet t\u00eb siguroj\u00eb q\u00eb kjo t\u00eb regjistrohet n\u00eb pasaport\u00ebn e tij t\u00eb alergjive dhe t\u00eb njoftoj\u00eb ekipin e anestezis\u00eb para \u00e7do procedure t\u00eb m\u00ebtejshme. Nj\u00eb ambient operativ pa lateks mund t\u00eb organizohet posa\u00e7\u00ebrisht paraprakisht; nj\u00eb sh\u00ebnim i shkurt\u00ebr gjat\u00eb rezervimit t\u00eb terminit shpesh \u00ebsht\u00eb i mjaftuesh\u00ebm.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"diagnose-ablauf-und-timing-der-allergiediagnostik\">Diagnostika: Procedura dhe koha e testimit t\u00eb alergjis\u00eb<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Pikat kryesore me nj\u00eb v\u00ebshtrim:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>B\u00ebni nj\u00eb test alergjie jo m\u00eb her\u00ebt se 4 deri n\u00eb 6 jav\u00eb pas reagimit.<\/li>\n\n\n\n<li>Testet e l\u00ebkur\u00ebs (prick, intradermale) dhe diagnostika laboratorike (RAST, IgE specifike) plot\u00ebsojn\u00eb nj\u00ebra-tjetr\u00ebn.<\/li>\n\n\n\n<li>Nj\u00eb alergolog \u00ebsht\u00eb p\u00ebrgjegj\u00ebs p\u00ebr k\u00ebt\u00eb, n\u00eb m\u00ebnyr\u00eb ideale n\u00eb konsultim me ekipin e anestezis\u00eb.<\/li>\n\n\n\n<li>Q\u00ebllimi: t\u00eb planifikosh procedurat e ardhshme n\u00eb m\u00ebnyr\u00eb t\u00eb sigurt duke p\u00ebrdorur substanca alternative t\u00eb p\u00ebrshtatshme<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Diagnostikimi i alergjis\u00eb pas nj\u00eb alergjie ndaj anestezis\u00eb \u00ebsht\u00eb nj\u00eb proces i strukturuar q\u00eb fillon menj\u00ebher\u00eb pas nj\u00eb reagimi, por mund t\u00eb mos p\u00ebrfundoj\u00eb plot\u00ebsisht deri pas disa jav\u00ebsh.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"unmittelbar-nach-der-reaktion-serumtryptase\">Menj\u00ebher\u00eb pas reaksionit: triptofanaza e serumit<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Nd\u00ebrsa reagimi \u00ebsht\u00eb ende n\u00eb zhvillim, ose pak m\u00eb von\u00eb, ekipi mjek\u00ebsor merr nj\u00eb most\u00ebr gjaku p\u00ebr t\u00eb p\u00ebrcaktuar <strong>Tryptaza serike<\/strong>, nj\u00eb marker i qelizave mast q\u00eb \u00ebsht\u00eb ndjesh\u00ebm i rritur n\u00eb rastet e anafilaksis\u00eb s\u00eb v\u00ebrtet\u00eb. Niveli kthehet n\u00eb normal brenda disa or\u00ebsh, prandaj mostra duhet t\u00eb merret brenda 1 deri n\u00eb 2 or\u00eb nga ngjarja. Nj\u00eb nivel i lart\u00eb i tryptaz\u00ebs konfirmon aktivizimin e qelizave mast dhe mb\u00ebshtet diagnoz\u00ebn e anafilaksis\u00eb.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"4-bis-6-wochen-spater-haut-und-labortests\">4 deri n\u00eb 6 jav\u00eb m\u00eb von\u00eb: teste t\u00eb l\u00ebkur\u00ebs dhe laboratorike<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Pasi sistemi imunitar t\u00eb ket\u00eb rikthyer gjendjen e tij normale, teste specifike mund t\u00eb identifikojn\u00eb substanc\u00ebn shkaktare. DGAKI (Shoqata Gjermane p\u00ebr Alergologji dhe Imunologji Klinike) rekomandon procedur\u00ebn e m\u00ebposhtme p\u00ebr diagnostikimin e alergjis\u00eb pas reaksioneve perioperative:<\/p>\n\n\n\n<ol class=\"wp-block-list is-style-step-list\">\n<li><strong>Testi me gjilp\u00ebr\u00eb<\/strong> Dilucionet standarde t\u00eb substancave t\u00eb dyshuara aplikohen n\u00eb l\u00ebkur\u00ebn e pjes\u00ebs s\u00eb p\u00ebrparme t\u00eb krahut dhe g\u00ebrvishten. Shfaqja e nj\u00eb \u00ebnjtjeje pas 15\u201320 minutash tregon sensibilizim.<\/li>\n\n\n\n<li><strong>Testi intradermal<\/strong> Substanca testuese injektohet drejtp\u00ebrdrejt n\u00eb l\u00ebkur\u00eb; kjo \u00ebsht\u00eb m\u00eb invazive se testi me gjilp\u00ebr\u00eb, por gjithashtu m\u00eb e prirur t\u00eb shkaktoj\u00eb nj\u00eb reagim. P\u00ebrdoret kryesisht p\u00ebr relaksues muskujsh.<\/li>\n\n\n\n<li><strong>Testi RAST (testi radioalergosorvent)<\/strong> Nj\u00eb test laboratorik p\u00ebr zbulimin e antitrupave specifik\u00eb IgE n\u00eb gjak. Mir\u00eb i vendosur p\u00ebr relaksuesit e muskujve dhe lateksin, por m\u00eb pak i ndjesh\u00ebm p\u00ebr propofolin dhe anestetik\u00ebt lokal\u00eb.<\/li>\n\n\n\n<li><strong>Testi i aktivizimit t\u00eb bazofil\u00ebve (BAT)<\/strong> Nj\u00eb metod\u00eb m\u00eb moderne, n\u00eb t\u00eb cil\u00ebn qelizat e gjakut analizohen me citometri rrjedh\u00ebse pas kontaktit me alergjen\u00ebt, po b\u00ebhet gjithnj\u00eb e m\u00eb e disponueshme n\u00eb qendrat specialistike t\u00eb alergjis\u00eb.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Rezultatet e testit p\u00ebrcaktojn\u00eb se cilat substanca mund t\u00eb p\u00ebrdoren n\u00eb m\u00ebnyr\u00eb t\u00eb sigurt gjat\u00eb procedurave t\u00eb ardhshme. Rezultatet regjistrohen n\u00eb pasaport\u00ebn e alergjis\u00eb dhe duhet t'i dor\u00ebzohen anesteziologut para \u00e7do anestezie.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"akutbehandlung-und-pravention-was-bei-einer-reaktion-im-op-passiert\">Trajtimi akut dhe parandalimi: \u00c7far\u00eb ndodh n\u00eb sall\u00ebn e operacionit n\u00eb rast t\u00eb nj\u00eb reaksioni<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Menaxhimi i nj\u00eb alergjie akute ndaj anestezis\u00eb k\u00ebrkon veprim t\u00eb menj\u00ebhersh\u00ebm nga e gjith\u00eb ekipi i anestezis\u00eb. Si procedur\u00eb standarde, ekipi ndjek nj\u00eb protokoll t\u00eb qart\u00eb, hap pas hapi.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-notfall-adrenalin-und-ein-allergiepass-symbolisieren-behandl.png\" alt=\"Adrenalina e emergjenc\u00ebs dhe karta e alergjis\u00eb simbolizojn\u00eb trajtimin dhe parandalimin n\u00eb rast t\u00eb alergjis\u00eb ndaj anestezis\u00eb n\u00eb sall\u00ebn e operacionit.\" class=\"wp-image-549\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-notfall-adrenalin-und-ein-allergiepass-symbolisieren-behandl.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-notfall-adrenalin-und-ein-allergiepass-symbolisieren-behandl-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-notfall-adrenalin-und-ein-allergiepass-symbolisieren-behandl-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-notfall-adrenalin-und-ein-allergiepass-symbolisieren-behandl-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-notfall-adrenalin-und-ein-allergiepass-symbolisieren-behandl-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-notfall-adrenalin-und-ein-allergiepass-symbolisieren-behandl-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-notfall-adrenalin-und-ein-allergiepass-symbolisieren-behandl-40x27.png 40w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"akuttherapie-bei-intraoperativer-anaphylaxie\">Trajtimi akut i anafilaksis\u00eb intraoperative<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Sapo zbulohet nj\u00eb reaksion alergjik i r\u00ebnd\u00eb, anesteziolog\u00ebt s\u00eb pari ndalojn\u00eb administrimin e agjentit t\u00eb dyshuar dhe kalojn\u00eb n\u00eb nj\u00eb teknik\u00eb anestezie neutrale. Masa e par\u00eb farmakologjike \u00ebsht\u00eb administrimi i <strong>Adrenalina (epinefrina)<\/strong> Kur administrohet n\u00eb m\u00ebnyr\u00eb intravenoze, ai pengon \u00e7lirimin e mediator\u00ebve, stabilizon qarkullimin dhe kund\u00ebrvepron bronkospazm\u00ebn. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, kryhet nj\u00eb terapi agresive e z\u00ebvend\u00ebsimit t\u00eb v\u00ebllimit me kristaloide p\u00ebr t\u00eb trajtuar r\u00ebnien e presionit t\u00eb gjakut.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cortikosteroidet dhe antihistaminik\u00ebt administrohen si trajtim ndihm\u00ebs, por veprojn\u00eb duksh\u00ebm m\u00eb ngadal\u00eb se adrenalina dhe nuk jan\u00eb z\u00ebvend\u00ebsues i saj. Sipas rekomandimeve t\u00eb shoqatave gjermane t\u00eb anesteziologjis\u00eb, t\u00eb gjitha sallat e operacioneve dhe stacionet e pun\u00ebs p\u00ebr anestezi duhet t\u00eb jen\u00eb t\u00eb pajisura me nj\u00eb komplet t\u00eb plot\u00eb emergjence p\u00ebr anafilaksin\u00eb.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"praventive-massnahmen-vor-dem-eingriff\">Masat paraprake para operacionit<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">P\u00ebr pacient\u00ebt me alergji t\u00eb njohur ndaj anestetik\u00ebve ose q\u00eb jan\u00eb n\u00eb rrezik t\u00eb shtuar, ekzistojn\u00eb masa mbrojt\u00ebse t\u00eb vendosura q\u00eb hyjn\u00eb n\u00eb fuqi para operacionit:<\/p>\n\n\n\n<ol class=\"wp-block-list is-style-step-list\">\n<li><strong>Tregoni kart\u00ebn tuaj t\u00eb alergjis\u00eb<\/strong> Ju lutemi dokumentoni t\u00eb gjitha alergjit\u00eb dhe intolerancat e njohura me shkrim dhe njoftoni ekipin e anestezis\u00eb me koh\u00eb, idealisht gjat\u00eb konsult\u00ebs p\u00ebr premedikamentet, e cila zakonisht zhvillohet 1 deri n\u00eb 7 dit\u00eb para procedur\u00ebs.<\/li>\n\n\n\n<li><strong>K\u00ebrkoni nj\u00eb mjedis kirurgjik pa lateks<\/strong> \u00c7dokush q\u00eb ka alergji ndaj lateksit mund t\u00eb k\u00ebrkoj\u00eb posa\u00e7\u00ebrisht nj\u00eb mjedis pa lateks. Spitali ose klinika mund t\u00eb siguroj\u00eb doreza, kateter\u00eb dhe pajisje p\u00ebr ventilim pa lateks.<\/li>\n\n\n\n<li><strong>Paramedikacioni<\/strong> N\u00eb rastet e hipersensitivitetit t\u00eb njohur, anestezisti mund t\u00eb p\u00ebrshkruaj\u00eb trajtim paraprak profilaktik me antihistaminik\u00eb (bllokues H1 dhe H2) dhe kortikosteroide. K\u00ebto reduktojn\u00eb rrezikun e nj\u00eb reaksioni t\u00eb r\u00ebnd\u00eb, por nuk e p\u00ebrjashtojn\u00eb plot\u00ebsisht at\u00eb.<\/li>\n\n\n\n<li><strong>Zgjidhni substanca alternative<\/strong> N\u00ebse rezultati i testit identifikon se disa relaksues muskujsh jan\u00eb shkaktar\u00eb, anestezisti do t\u00eb kaloj\u00eb n\u00eb alternativa t\u00eb testuara dhe mir\u00eb t\u00eb toleruara nga e nj\u00ebjta ose nj\u00eb klas\u00eb tjet\u00ebr substancash.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Ajo q\u00eb k\u00ebto masa nuk mund t\u00eb b\u00ebjn\u00eb \u00ebsht\u00eb t\u00eb parashikojn\u00eb nj\u00eb reaksion alergjik p\u00ebr her\u00eb t\u00eb par\u00eb, t\u00eb m\u00ebparsh\u00ebm t\u00eb panjohur. N\u00eb raste t\u00eb tilla, ekipi i trajnuar i anestezis\u00eb, i pajisur me medikamente emergjente, \u00ebsht\u00eb rrjeti thelb\u00ebsor i siguris\u00eb.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"narkosemittel-allergie-und-schonheitsoperationen-finanzielle-folgen-im-blick-behalten\">Alergjit\u00eb ndaj anestezis\u00eb dhe kirurgjia estetike: mbajtja n\u00ebn v\u00ebzhgim e implikimeve financiare<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Kirurgjia kozmetike, si liposuksioni, ngritja e qepallave ose rinoplastika, kryhet n\u00ebn anestezi t\u00eb p\u00ebrgjithshme ose sedacion; rreziku i alergjis\u00eb ndaj anestezis\u00eb \u00ebsht\u00eb po aq real sa edhe te procedurat e nevojshme mjek\u00ebsore. Dallimi kryesor \u00ebsht\u00eb se procedurat zgjedhore \u2013 dometh\u00ebn\u00eb ato t\u00eb p\u00ebrzgjedhura nga pacienti \u2013 nuk mbulohen nga sigurimi sh\u00ebndet\u00ebsor ligjor, ose mbulohen vet\u00ebm n\u00eb nj\u00eb mas\u00eb shum\u00eb t\u00eb kufizuar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00ebse gjat\u00eb kirurgjis\u00eb estetike ndodh nj\u00eb reaksion alergjik, kjo sjell shpenzime shtes\u00eb p\u00ebr trajtimin stacionar, kujdesin pasues ose procedurat korrigjuese. N\u00eb shum\u00eb raste, pacienti mbulon vet\u00eb k\u00ebto shpenzime kur procedura financohet n\u00eb m\u00ebnyr\u00eb private. A <a href=\"https:\/\/4beauty.de\/sq\/sigurim-per-kujdesin-pas-trajtimit\/\">Sigurim q\u00eb mbulon kostot e kirurgjis\u00eb estetike<\/a> mund t\u00eb mbuloj\u00eb shpenzime t\u00eb tilla t\u00eb paparashikuara dhe k\u00ebshtu t\u00eb ofroj\u00eb siguri financiare, pavar\u00ebsisht n\u00ebse komplikacioni shkaktohet nga nj\u00eb alergji ndaj anestezis\u00eb, nj\u00eb \u00e7rregullim i sh\u00ebrimit t\u00eb plag\u00ebve ose rreziqe t\u00eb tjera kirurgjikale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Informacione t\u00eb m\u00ebtejshme mbi trajtimet e mbuluara dhe pyetjet e shpeshta mund t\u00eb gjenden n\u00eb <a href=\"https:\/\/4beauty.de\/sq\/sigurim-per-kujdesin-pas-trajtimit\/pyetje-dhe-pergjigje\/\">Seksioni i Pyetjeve t\u00eb Shpeshta i 4beauty<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"haufige-fragen-zur-narkosemittel-allergie\">Pyetje t\u00eb shpeshta rreth alergjive ndaj anestezis\u00eb<\/h2>\n\n\n\n<div data-wp-context=\"{ &quot;autoclose&quot;: false, &quot;accordionItems&quot;: [] }\" data-wp-interactive=\"core\/accordion\" role=\"group\" class=\"wp-block-accordion is-layout-flow wp-block-accordion-is-layout-flow\">\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-1&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-1-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-1\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">Cilat anestezi jan\u00eb m\u00eb t\u00eb prira t\u00eb shkaktojn\u00eb reaksione alergjike?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-1\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-1-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Relaksuesit e muskujve, ve\u00e7an\u00ebrisht suksametoniumi, vekuroniumi dhe rokuroniumi, jan\u00eb p\u00ebrgjegj\u00ebs p\u00ebr shumic\u00ebn e reaksioneve alergjike t\u00eb r\u00ebnda perioperative. Ato mund t\u00eb shkaktojn\u00eb si reaksione t\u00eb v\u00ebrteta t\u00eb nd\u00ebrmjet\u00ebsuara nga IgE, ashtu edhe aktivizim pseudoalergjik t\u00eb qelizave mast. Lateksi \u00ebsht\u00eb shkaktari i dyt\u00eb m\u00eb i shpesht\u00eb, i ndjekur nga antibiotik\u00ebt (sidomos penicilinat) dhe, n\u00eb raste m\u00eb t\u00eb rralla, propofoli. Duke qen\u00eb se \u00e7do procedur\u00eb kirurgjikale k\u00ebrkon nj\u00eb kombinim t\u00eb ndrysh\u00ebm t\u00eb substancave, \u00ebsht\u00eb e k\u00ebshillueshme q\u00eb anestezisti t\u00eb kryej\u00eb nj\u00eb vler\u00ebsim individual t\u00eb rrezikut para \u00e7do anestezie.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-2&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-2-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-2\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">Cilat jan\u00eb simptomat e alergjis\u00eb ndaj anestezis\u00eb?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-2\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-2-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Simptomat variojn\u00eb nga reaksionet e lehta t\u00eb l\u00ebkur\u00ebs (skuqje, urtikarie, kruarje) deri te reaksionet e moderuara (ulje e presionit t\u00eb gjakut, takikardi, bronkospasm) dhe anafilaksia e r\u00ebnd\u00eb me shok kardiovaskular dhe humbje t\u00eb vet\u00ebdijes. Duke qen\u00eb se pacient\u00ebt n\u00ebn anestezi nuk mund t\u00eb perceptojn\u00eb simptomat e tyre, ekipi i anestezis\u00eb duhet t\u00eb monitoroj\u00eb vazhdimisht shenjat jet\u00ebsore; ndryshimet e papritura n\u00eb qarkullim dhe rritja e rezistenc\u00ebs ventilatore shpesh jan\u00eb shenjat e para t\u00eb dallueshme.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-3&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-3-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-3\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">Si diagnostikohet alergjia ndaj anestezis\u00eb?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-3\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-3-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Diagnostika kryhet n\u00eb dy faza: Menj\u00ebher\u00eb pas reagimit, matet niveli i tryptaz\u00ebs n\u00eb serum; ky \u00ebsht\u00eb nj\u00eb marker i qelizave mast q\u00eb duhet t\u00eb mblidhet brenda 2 or\u00ebve nga ngjarja. Testet specifike kryhen jo m\u00eb her\u00ebt se 4 deri n\u00eb 6 jav\u00eb m\u00eb von\u00eb: testet e pickimit, testet intradermale dhe testi RAST p\u00ebr t\u00eb zbuluar antitrupat specifik\u00eb IgE. Nj\u00eb alergolog \u00ebsht\u00eb p\u00ebrgjegj\u00ebs p\u00ebr k\u00ebt\u00eb, idealisht n\u00eb konsultim t\u00eb ngusht\u00eb me ekipin e anestezis\u00eb q\u00eb ofron trajtimin. Rezultatet e testeve regjistrohen n\u00eb pasaport\u00ebn e alergjis\u00eb.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-4&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-4-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-4\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">Cilat jan\u00eb alternativat n\u00ebse keni nj\u00eb alergji t\u00eb njohur ndaj anestezis\u00eb?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-4\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-4-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">N\u00eb rastet e intoleranc\u00ebs t\u00eb dokumentuar ndaj substancave specifike, anesteziolog\u00ebt kalojn\u00eb n\u00eb p\u00ebrgatitje alternative, si relaksues t\u00eb tjer\u00eb muskujsh nga nj\u00eb grup jo-reaktiv kryq\u00ebzuar ose, n\u00eb rast alergjie ndaj lateksit, materiale kirurgjikale krejt\u00ebsisht pa lateks. Parap\u00ebrgatitja profilaktike (premedikacioni) me antihistaminik\u00eb dhe kortikosteroide mund t\u00eb reduktoj\u00eb ndjesh\u00ebm rrezikun e p\u00ebrs\u00ebritjes s\u00eb nj\u00eb reaksioni t\u00eb r\u00ebnd\u00eb. Anestezisti p\u00ebrcakton planin e sakt\u00eb gjat\u00eb konsult\u00ebs paraprake operative, bazuar n\u00eb rezultatet e testeve t\u00eb disponueshme.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-5&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-5-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-5\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">A mund t\u00eb trajtohen menj\u00ebher\u00eb reaksionet alergjike ndaj anestezis\u00eb?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-5\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-5-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Po, sipas rekomandimeve t\u00eb shoqatave mjek\u00ebsore gjermane, t\u00eb gjitha sallat e operacioneve duhet t\u00eb jen\u00eb t\u00eb pajisura me nj\u00eb paket\u00eb t\u00eb plot\u00eb emergjente p\u00ebr anafilaksin\u00eb. Adrenalina (epinefrina) \u00ebsht\u00eb trajtimi i zgjedhjes s\u00eb par\u00eb dhe administrohet n\u00eb m\u00ebnyr\u00eb intravenoze. Pas saj vijon terapia e z\u00ebvend\u00ebsimit t\u00eb l\u00ebngjeve, kortikosteroidet dhe antihistaminik\u00ebt. Ekipi i anestezis\u00eb \u00ebsht\u00eb trajnuar p\u00ebr t'u marr\u00eb me k\u00ebt\u00eb urgjenc\u00eb. Sa m\u00eb shpejt t\u00eb njihet dhe t\u00eb trajtohet reagimi, aq m\u00eb e mir\u00eb \u00ebsht\u00eb prognoza, prandaj monitorimi i vazhduesh\u00ebm gjat\u00eb anestezis\u00eb \u00ebsht\u00eb kaq i r\u00ebnd\u00ebsish\u00ebm.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<svg aria-labelledby=\"svg-title-narkose svg-desc-narkose\" role=\"img\" style=\"width:100%; max-width:800px; display:block;\" viewbox=\"0 0 800 400\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <title id=\"svg-title-narkose\">Shkaktar\u00ebt m\u00eb t\u00eb zakonsh\u00ebm t\u00eb alergjis\u00eb ndaj anestezis\u00eb<\/title> <desc id=\"svg-desc-narkose\">Grafiku me shtylla tregon relaksuesit e muskujve si shkaktarin m\u00eb t\u00eb zakonsh\u00ebm (af\u00ebrsisht 60 %), i ndjekur nga lateksi (af\u00ebrsisht 20 %), antibiotik\u00eb (af\u00ebrsisht 12 %) dhe propofol dhe substanca t\u00eb tjera (af\u00ebrsisht 8 %).<\/desc> <style> .svg-heading { font-family: 'Roboto Slab', Georgia, serif; } .svg-label { font-family: 'Montserrat', Arial, sans-serif; } .svg-sub { font-family: 'Montserrat', Arial, sans-serif; fill: #666666; } <\/style> <rect fill=\"#f9fafb\" height=\"400\" rx=\"12\" width=\"800\"><\/rect> <text class=\"svg-heading\" fill=\"#333333\" font-size=\"18\" font-weight=\"600\" text-anchor=\"middle\" x=\"400\" y=\"44\">Shkaktar\u00ebt m\u00eb t\u00eb zakonsh\u00ebm t\u00eb alergjis\u00eb ndaj anestezis\u00eb<\/text> <text class=\"svg-sub\" font-size=\"13\" text-anchor=\"middle\" x=\"400\" y=\"66\">P\u00ebrqindja e reaksioneve perioperative t\u00eb hipersensitivitetit (shifrat e udh\u00ebzimit sipas literatur\u00ebs specialiste)<\/text> <text class=\"svg-label\" fill=\"#444\" font-size=\"12\" x=\"30\" y=\"110\">Grupi i substancave<\/text> <text class=\"svg-label\" fill=\"#333333\" font-size=\"13\" font-weight=\"600\" text-anchor=\"end\" x=\"210\" y=\"115\">Relaksuesit e muskujve<\/text> <text class=\"svg-sub\" font-size=\"11\" text-anchor=\"end\" x=\"210\" y=\"130\">(Suxametonium, Vecuronium)<\/text> <rect fill=\"#f14d97\" height=\"28\" opacity=\"0.95\" rx=\"4\" width=\"0\" x=\"220\" y=\"104\"> <animate attributename=\"width\" begin=\"0.2s\" dur=\"1.0s\" fill=\"freeze\" from=\"0\" to=\"360\"><\/animate> <\/rect> <text class=\"svg-label\" fill=\"#f14d97\" font-size=\"13\" font-weight=\"700\" x=\"590\" y=\"122\"> <animate attributename=\"opacity\" begin=\"1.1s\" dur=\"0.4s\" fill=\"freeze\" from=\"0\" to=\"1\"><\/animate> ~60 % <\/text> <text class=\"svg-label\" fill=\"#333333\" font-size=\"13\" font-weight=\"600\" text-anchor=\"end\" x=\"210\" y=\"175\">Latesh<\/text> <text class=\"svg-sub\" font-size=\"11\" text-anchor=\"end\" x=\"210\" y=\"190\">(doreza, furnizime kirurgjikale)<\/text> <rect fill=\"#cc3578\" height=\"28\" opacity=\"0.9\" rx=\"4\" width=\"0\" x=\"220\" y=\"163\"> <animate attributename=\"width\" begin=\"0.5s\" dur=\"0.8s\" fill=\"freeze\" from=\"0\" to=\"120\"><\/animate> <\/rect> <text class=\"svg-label\" fill=\"#cc3578\" font-size=\"13\" font-weight=\"700\" x=\"350\" y=\"181\"> <animate attributename=\"opacity\" begin=\"1.2s\" dur=\"0.4s\" fill=\"freeze\" from=\"0\" to=\"1\"><\/animate> ~20 % <\/text> <text class=\"svg-label\" fill=\"#333333\" font-size=\"13\" font-weight=\"600\" text-anchor=\"end\" x=\"210\" y=\"235\">Antibiotik\u00eb<\/text> <text class=\"svg-sub\" font-size=\"11\" text-anchor=\"end\" x=\"210\" y=\"250\">(penicilinat, cefalosporinat)<\/text> <rect fill=\"#d63a84\" height=\"28\" opacity=\"0.85\" rx=\"4\" width=\"0\" x=\"220\" y=\"222\"> <animate attributename=\"width\" begin=\"0.7s\" dur=\"0.7s\" fill=\"freeze\" from=\"0\" to=\"72\"><\/animate> <\/rect> <text class=\"svg-label\" fill=\"#d63a84\" font-size=\"13\" font-weight=\"700\" x=\"302\" y=\"240\"> <animate attributename=\"opacity\" begin=\"1.3s\" dur=\"0.4s\" fill=\"freeze\" from=\"0\" to=\"1\"><\/animate> ~12 % <\/text> <text class=\"svg-label\" fill=\"#333333\" font-size=\"13\" font-weight=\"600\" text-anchor=\"end\" x=\"210\" y=\"295\">Propofol dhe t\u00eb tjer\u00eb<\/text> <text class=\"svg-sub\" font-size=\"11\" text-anchor=\"end\" x=\"210\" y=\"310\">(Opioide, anestetik\u00eb p\u00ebr induksion)<\/text> <rect fill=\"#f78db5\" height=\"28\" opacity=\"0.9\" rx=\"4\" width=\"0\" x=\"220\" y=\"282\"> <animate attributename=\"width\" begin=\"0.9s\" dur=\"0.6s\" fill=\"freeze\" from=\"0\" to=\"48\"><\/animate> <\/rect> <text class=\"svg-label\" fill=\"#cc3578\" font-size=\"13\" font-weight=\"700\" x=\"278\" y=\"300\"> <animate attributename=\"opacity\" begin=\"1.4s\" dur=\"0.4s\" fill=\"freeze\" from=\"0\" to=\"1\"><\/animate> ~8 % <\/text> <rect fill=\"#ffe8f3\" height=\"36\" rx=\"8\" width=\"720\" x=\"40\" y=\"348\"><\/rect> <text class=\"svg-label\" fill=\"#cc3578\" font-size=\"12\" text-anchor=\"middle\" x=\"400\" y=\"370\">E r\u00ebnd\u00ebsishme: Reaksionet kryq\u00ebzuese midis relaksant\u00ebve t\u00eb muskujve jan\u00eb t\u00eb zakonshme; nj\u00eb alergji e njohur ndaj nj\u00eb substance rrit rrezikun e nj\u00eb reagimi ndaj t\u00eb tjerave.<\/text> <\/svg>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Shkaktar\u00ebt m\u00eb t\u00eb zakonsh\u00ebm t\u00eb reaksioneve alergjike ndaj anestetik\u00ebve; udh\u00ebzime bazuar n\u00eb literatur\u00ebn mjek\u00ebsore specialistike (sipas korrikut 2026).<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Alergjia ndaj anestezis\u00eb \u00ebsht\u00eb nj\u00eb reaksion hipersensitiv ndaj substancave t\u00eb tilla si relaksues muskular\u00eb, propofol ose lateks \u2013 q\u00eb variojn\u00eb nga reaksionet e l\u00ebkur\u00ebs deri te anafilaksia.<\/p>","protected":false},"template":"","class_list":["post-705","glossary","type-glossary","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/4beauty.de\/sq\/wp-json\/wp\/v2\/glossary\/705","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/4beauty.de\/sq\/wp-json\/wp\/v2\/glossary"}],"about":[{"href":"https:\/\/4beauty.de\/sq\/wp-json\/wp\/v2\/types\/glossary"}],"wp:attachment":[{"href":"https:\/\/4beauty.de\/sq\/wp-json\/wp\/v2\/media?parent=705"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}