{"id":10159,"date":"2015-08-06T19:30:29","date_gmt":"2015-08-06T17:30:29","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=10159"},"modified":"2015-08-06T12:50:22","modified_gmt":"2015-08-06T10:50:22","slug":"e-kam-refuzuar-insulinen-kam-bere-mire","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2015\/08\/e-kam-refuzuar-insulinen-kam-bere-mire\/","title":{"rendered":"E kam refuzuar insulin\u00ebn. Kam b\u00ebr\u00eb mir\u00eb?"},"content":{"rendered":"<p><strong>&#8211; Jam Arbani, 43 vje\u00e7. Kam tre muaj q\u00eb jam diagnostikuar me diabet dhe ndihem shum\u00eb i alarmuar n\u00eb radh\u00eb t\u00eb par\u00eb p\u00ebr s\u00ebmundjen, por edhe p\u00ebr faktin q\u00eb m\u00eb kan\u00eb filluar direkt mjekimin me insulin\u00eb. Nuk vuaj nga s\u00ebmundje t\u00eb tjera dhe n\u00eb p\u00ebrgjith\u00ebsi, ndihem mir\u00eb. Un\u00eb kam refuzuar q\u00eb t\u00eb marr insulin\u00ebn dhe vlerat e sheqerit kan\u00eb qen\u00eb jo m\u00eb shum\u00eb se 150 mg\/dl. Doja t\u00eb dija, a mund t\u00eb fillohet direkt mjekimi me insulin\u00eb t\u00eb diabetit tip 2, si\u00e7 kam edhe un\u00eb? \u00c7far\u00eb m\u00eb rekomandoni m\u00eb tej, si mjekim?<\/strong><\/p>\n<p><strong><em><u>Dr. Dashamir Gjergji endokrinolog-diabetolog:<\/u><\/em><\/strong> &#8211; I nderuar Arben, e lexova me shum\u00eb v\u00ebmendje dhe interes pyetjen tuaj. Gjeta tek ajo pyetje jo vet\u00ebm p\u00ebrshkrimin e problematikave t\u00eb p\u00ebrditshme q\u00eb ne hasim n\u00eb praktik\u00eb, por edhe nj\u00eb \u201canomali\u201d t\u00eb mir\u00ebfunksionimit t\u00eb raportit mjek-pacient. Po e nis shpjegimin tim nga kjo \u201canomali\u201d, ku kam parasysh se problemi q\u00ebndron te moszbatimi i k\u00ebshillave dhe mjekimeve q\u00eb japin mjek\u00ebt. N\u00eb rastin tuaj, n\u00ebse do t\u00eb b\u00ebja nj\u00eb analiz\u00eb t\u00eb fakteve me aq sa ju m\u00eb p\u00ebrshkruani, mund t\u00eb them q\u00eb gjendja nuk \u00ebsht\u00eb edhe aq e r\u00ebnd\u00eb, por nga ana tjet\u00ebr, mendoj se cilido koleg q\u00eb ju ka diagnostikuar nuk ka vendosur n\u00eb m\u00ebnyr\u00eb arbitrare apo t\u00eb pamenduar mir\u00eb mjekimin me insulin\u00eb. A mjekohet tipi i dyt\u00eb me insulin\u00eb?<\/p>\n<p>&#8211; Sigurisht q\u00eb po, madje edhe n\u00eb fillimet e diabetit tip 2 q\u00eb p\u00ebr lexuesit e tjer\u00eb sqaroj se \u00ebsht\u00eb diabeti i t\u00eb rriturve (q\u00eb kryesisht nuk kan\u00eb nevoj\u00eb p\u00ebr insulin\u00eb). Mbi 90 % t\u00eb rasteve, ky diabet fillon le t\u00eb them n\u00eb m\u00ebnyr\u00eb t\u00eb but\u00eb e pa shum\u00eb shenja klinike, me pak etje, tharje goje, urinim t\u00eb shpesht\u00eb dhe r\u00ebnie t\u00eb leht\u00eb n\u00eb pesh\u00eb. N\u00eb t\u00eb gjitha k\u00ebto raste, pacienti nuk paraqitet direkt te mjeku, por zakonisht periudha e kapjes s\u00eb diagnoz\u00ebs zgjat me muaj ose vite. Mendimi se sa m\u00eb e r\u00ebnd\u00eb t\u00eb jet\u00eb s\u00ebmundja m\u00eb shum\u00eb ankesa dhe shqet\u00ebsime ajo paraqet, ekziston edhe p\u00ebr s\u00ebmundjen e diabetit. E them k\u00ebt\u00eb gj\u00eb sepse n\u00eb var\u00ebsi t\u00eb r\u00ebndimit klinik q\u00eb paraqet i s\u00ebmuri, n\u00eb var\u00ebsi t\u00eb vlerave t\u00eb sheqerit q\u00eb ai ka, ne p\u00ebrcaktojm\u00eb tipin e mjekimit. P\u00ebrgjith\u00ebsisht, tipi 2 i diabetit mjekohet me barna nga goja dhe rrall\u00ebher\u00eb ne mund t\u2019ia nisim me fillimin e insulin\u00ebs. Ju keni refuzuar insulin\u00ebn dhe nuk keni b\u00ebr\u00eb mir\u00eb, duhet t\u00eb kishit zbatuar k\u00ebshillen dhe urdh\u00ebrin e mjekut e duhet t\u00eb kishit mbajtur lidhje t\u00eb vazhdueshme p\u00ebr t\u00eb pasqyruar gjendjen tuaj hap pas hapi. Jam i bindur q\u00eb n\u00eb nj\u00eb drejtim ju ka b\u00ebr\u00eb mir\u00eb sugjerimi q\u00eb ka b\u00ebr\u00eb mjeku p\u00ebr fillimin e insulin\u00ebs, q\u00eb n\u00ebnkupton se edhe pse nuk e keni marr\u00eb insulin\u00ebn, ju jeni \u201ctrembur\u201d prej saj dhe kjo ka b\u00ebr\u00eb q\u00eb t\u00eb reflektoni fuqish\u00ebm n\u00eb mbajtjen e diet\u00ebs dhe regjimit ushqimor. K\u00ebt\u00eb konstatim e deduktova nga faktet e dh\u00ebna, pasi me referimin tuaj ju thoni se shifrat e sheqerit n\u00eb gjak kan\u00eb qen\u00eb m\u00eb t\u00eb mira dhe jo m\u00eb shum\u00eb se 150 mg\/dl, pa mjekim. Ky \u00ebsht\u00eb nj\u00eb ekuilib\u00ebr i mir\u00eb dhe i dedikohet totalisht mbajtjes normale t\u00eb diet\u00ebs. Duke p\u00ebrfunduar, ju ftoj t\u00eb b\u00ebni kujdes n\u00eb sh\u00ebndetin tuaj, ta trajtoni seriozisht k\u00ebt\u00eb s\u00ebmundje kronike. Duhet t\u00eb jeni t\u00eb v\u00ebmendsh\u00ebm n\u00eb \u00e7do \u00e7ast t\u00eb jet\u00ebs suaj, n\u00eb shtimin e kontrollit t\u00eb vazhduesh\u00ebm ndaj dietes, aktivitetit fizik, vet\u00ebmonitorimit t\u00eb diabetit etj. Vet\u00ebm k\u00ebshtu do t\u00eb keni sukses dhe jet\u00eb t\u00eb gjat\u00eb. T\u00eb shkuara!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; Jam Arbani, 43 vje\u00e7. Kam tre muaj q\u00eb jam diagnostikuar me diabet dhe ndihem shum\u00eb i alarmuar n\u00eb radh\u00eb t\u00eb par\u00eb p\u00ebr s\u00ebmundjen, por edhe p\u00ebr faktin q\u00eb m\u00eb kan\u00eb filluar direkt mjekimin me insulin\u00eb. Nuk vuaj nga s\u00ebmundje t\u00eb tjera dhe n\u00eb p\u00ebrgjith\u00ebsi, ndihem mir\u00eb. Un\u00eb kam refuzuar q\u00eb t\u00eb marr insulin\u00ebn dhe [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89,219],"tags":[],"class_list":["post-10159","post","type-post","status-publish","format-standard","hentry","category-mjeku","category-pyetje-pergjigje"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/10159","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=10159"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/10159\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=10159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=10159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=10159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}