– Jam Naimi 44 vje\u00e7. Prej tet\u00eb vjet\u00ebsh vuaj me diabet tip 2. Koh\u00ebt e fundit nuk ndihem mir\u00eb, kam r\u00ebn\u00eb shum\u00eb n\u00eb pesh\u00eb dhe shifrat e sheqerit jan\u00eb rritur shum\u00eb. Mjeku i familjes m\u00eb ka th\u00ebn\u00eb t\u00eb filloj insulin\u00ebn, por un\u00eb e kam refuzuar dhe realisht, kam shum\u00eb frik\u00eb ta filloj se mos m\u00eb krijon var\u00ebsi apo m\u00eb d\u00ebmton. Ajo \u00e7far\u00eb dua t\u00eb di \u00ebsht\u00eb: a mund ta vazhdoj mjekimin me ila\u00e7et si\u00e7 i kam gjer tani? Pres p\u00ebrgjigje.
\nDr. Dashamir Gjergji endokrinolog-diabetolog: – I nderuar Naim, duke ju fal\u00ebnderuar p\u00ebr pyetjen interesante q\u00eb b\u00ebni, gjej momentin gjithashtu q\u00eb n\u00ebp\u00ebrmjet p\u00ebrgjigjes p\u00ebr ju, t\u00eb trajtojm\u00eb nj\u00eb tem\u00eb dhe problematik\u00eb interesante n\u00eb diabetologji. Tematika q\u00eb do t\u00eb shtjelloj m\u00eb posht\u00eb ka lidhje me mjekimin e diabetit me insulin\u00eb dhe konkretisht, p\u00ebr rolin dhe r\u00ebnd\u00ebsin\u00eb q\u00eb ka insulina te t\u00eb s\u00ebmur\u00ebt me diabet. Pasi lexova pyetjen, kuptova q\u00eb ju ndiheni frustruar psikologjikisht dhe kjo lidhet me perceptimin dhe formimin mjek\u00ebsor tuajin dhe t\u00eb gjith\u00eb shoq\u00ebris\u00eb, n\u00eb raport me insulin\u00ebn. N\u00eb praktik\u00ebn e gjat\u00eb mjek\u00ebsore m\u00eb ka ndodhur shum\u00eb shpesh q\u00eb diabetik\u00ebt t\u00eb paraqesin rezistenc\u00eb dhe t\u00eb krijojn\u00eb artificialisht barrier\u00eb t\u00eb pajustifikueshme p\u00ebr t\u00eb mos e filluar mjekimin me insulin\u00eb. N\u00eb jo pak raste ata e kan\u00eb refuzuar insulin\u00ebn, madje kan\u00eb refuzuar edhe mjekimet e diabetit n\u00eb t\u00ebr\u00ebsi. Argumentet dhe ndjesit\u00eb q\u00eb ata paraqesin n\u00eb lidhje me insulinen jan\u00eb totalisht subjektive. Shumica e pacient\u00ebve mendojn\u00eb se insulina ose fillimi i insulin\u00ebs \u00ebsht\u00eb \u201cartileri e r\u00ebnd\u00eb\u201d ose mjekimi m\u00eb i r\u00ebnd\u00eb i diabetit. Nj\u00eb pjes\u00eb tjet\u00ebr e p\u00ebrceptojn\u00eb si \u201cdrog\u00eb\u201d q\u00eb n\u00ebse fillohet, nuk mund t\u00eb shk\u00ebputen dot. Ka t\u00eb tjer\u00eb q\u00eb kan\u00eb frik\u00eb se mos jep r\u00ebnie t\u00eb sheqerit, pa p\u00ebrjashtuar k\u00ebtu dhe etiketime t\u00eb ndryshme t\u00eb k\u00ebtij bari si shkaktar i mbipesh\u00ebs, i s\u00ebmundjeve t\u00eb tjera, kancerit etj. Pa u ndalur m\u00eb tej n\u00eb k\u00ebt\u00eb trajtes\u00eb t\u00eb shkurt\u00ebr ju them se insulina \u00ebsht\u00eb mjekimi i art\u00eb p\u00ebr diabetik\u00ebt, por si \u00e7do gj\u00eb e shtrenjt\u00eb, edhe kjo k\u00ebrkon kujdesin e duhur n\u00eb lidhje me fillimin e insulin\u00ebs, me sasin\u00eb e insulin\u00ebs q\u00eb duhet b\u00ebr\u00eb gjat\u00eb dit\u00ebs, me tipin e insulin\u00ebs q\u00eb zgjidhet, me dozat e saj etj.
\n– Par\u00eb n\u00eb k\u00ebt\u00eb pik\u00ebpamje, meqen\u00ebse m\u00eb thoni se keni patur vlera t\u00eb larta dhe humbje t\u00eb madhe n\u00eb pesh\u00eb, shto k\u00ebtu edhe vitet q\u00eb ju vuani me k\u00ebt\u00eb s\u00ebmundje, mendoj se realisht te ju ka ardhur koha p\u00ebr fillimin e insulin\u00ebs. P\u00ebr ju dhe lexuesin e gjer\u00eb, kemi sqaruar se diabeti tip 2 \u00ebsht\u00eb diabeti q\u00eb mjekohet me kokrra ose barna nga goja, por s\u2019duhet t\u00eb harrojm\u00eb se mbi 50 % e diabetik\u00ebve tip 2 gjat\u00eb jet\u00ebs s\u00eb tyre p\u00ebrfundojn\u00eb n\u00eb mjekim me insulin\u00eb. Koha se kur duhet filluar insulina te diabetik\u00ebt tip 2 p\u00ebrcaktohet nga shum\u00eb faktor\u00eb dhe rrethana t\u00eb lidhura jo vet\u00ebm me s\u00ebmundjen p\u00ebrkat\u00ebse, por edhe me problematika t\u00eb tjera, si\u00e7 mund t\u00eb jen\u00eb s\u00ebmundjet bashk\u00ebshoq\u00ebruese, barnat q\u00eb merren p\u00ebr s\u00ebmundje t\u00eb tjera, prania e komplikacioneve t\u00eb diabetit etj. Sot n\u00eb bot\u00eb po diskutohet dendur fenomeni i fillimit t\u00eb hersh\u00ebm t\u00eb insulin\u00ebs te diabetik\u00ebt e tipit 2 dhe ka t\u00eb dh\u00ebna premtuese q\u00eb jet\u00ebgjat\u00ebsia e k\u00ebtyre t\u00eb s\u00ebmur\u00ebve \u00ebsht\u00eb m\u00eb e lart\u00eb sesa n\u00eb rastet kur \u00ebsht\u00eb vonuar fillimi i insulin\u00ebs. Insulina nuk \u00ebsht\u00eb e th\u00ebn\u00eb se n\u00ebse fillohet duhet t\u00eb vazhdoj\u00eb gjith\u00eb jet\u00ebn. N\u00eb jo pak raste, ajo jepet me q\u00ebllim p\u00ebrmir\u00ebsimin e menj\u00ebhersh\u00ebm t\u00eb nj\u00eb t\u00eb s\u00ebmuri q\u00eb mund t\u00eb ket\u00eb nevoj\u00eb p\u00ebr nj\u00eb nd\u00ebrhyrje kirurgjikale, p\u00ebr kimioterapi apo \u00e7do nevoj\u00eb mjek\u00ebsore q\u00eb k\u00ebrkon ekuilibrim t\u00eb diabetit. Nga ana tjet\u00ebr, insulina \u00ebsht\u00eb nj\u00eb produkt krejt natyral q\u00eb nuk paraqet asnj\u00eb ndryshim me insulin\u00ebn normale t\u00eb organizmit jo vet\u00ebm n\u00eb struktur\u00eb, por edhe n\u00eb efektet q\u00eb ajo ka. Fillimi dhe monitorimi i fillimit t\u00eb insulin\u00ebs k\u00ebrkon nj\u00eb p\u00ebrgatitje t\u00eb lart\u00eb shkencore nga mjeku specialist, ndaj koha e fillimit t\u00eb saj dhe planifikimi strategjik i fillimit te \u00e7do diabetik ka r\u00ebnd\u00ebsi t\u00eb madhe n\u00eb suksesin apo mossuksesin e trajtimit. Si p\u00ebrfundim, mos e konceptoni insulin\u00ebn si produkt q\u00eb d\u00ebmton, por si \u201cengj\u00ebllin mbrojt\u00ebs\u201d t\u00eb jet\u00ebs suaj. Kujdes! Fillimi i mjekimit me insulin\u00eb nuk n\u00ebnkupton q\u00eb ju duhet t\u00eb hiqni dor\u00eb nga dieta, aktiviteti fizik, monitorimi i vlerave t\u00eb sheqerit etj. p\u00ebrkundrazi, racionalizimi i k\u00ebtij mjekimi ju k\u00ebrkon t\u00eb jeni m\u00eb t\u00eb informuar dhe m\u00eb skrupuloz\u00eb n\u00eb ndjekjen e k\u00ebshillave p\u00ebr diabetin. T\u00eb shkuara! <\/p>\n","protected":false},"excerpt":{"rendered":"
– Jam Naimi 44 vje\u00e7. Prej tet\u00eb vjet\u00ebsh vuaj me diabet tip 2. Koh\u00ebt e fundit nuk ndihem mir\u00eb, kam r\u00ebn\u00eb shum\u00eb n\u00eb pesh\u00eb dhe shifrat e sheqerit jan\u00eb rritur shum\u00eb. Mjeku i familjes m\u00eb ka th\u00ebn\u00eb t\u00eb filloj insulin\u00ebn, por un\u00eb e kam refuzuar dhe realisht, kam shum\u00eb frik\u00eb ta filloj se mos m\u00eb […]<\/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-10438","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\/10438","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=10438"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/10438\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=10438"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=10438"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=10438"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}