– I nderuar doktor Demiri, jam nj\u00eb 37 vje\u00e7are, n\u00ebn\u00eb e dy f\u00ebmij\u00ebve. Kam nj\u00eb dhimbje t\u00eb madhe pas koke. M\u00eb duket sikur po m\u00eb godet dikush, sikur do t\u00eb plas; dua t\u00eb m\u00eb shtr\u00ebngojn\u00eb e t\u00eb m\u00eb masazhojn\u00eb ose humbas ndjenjat. Shpeshher\u00eb edhe qaj. Jam vizituar dhe m\u00eb kan\u00eb th\u00ebn\u00eb se vuaj nga veshi i mes\u00ebm dhe po pi cinarizin\u00eb 25 mg. Kur i pi rregullisht, jam shum\u00eb mir\u00eb, por dua t\u00eb di: a t\u00eb vazhdoj t\u2019i pi pasi kam 4 vjet q\u00eb i p\u00ebrdor dhe sa i nd\u00ebrpres, m\u00eb fillon dhimbja? Ju lutem, m\u00eb ktheni nj\u00eb p\u00ebrgjigje se m\u00eb duket vetja sikur jam b\u00ebr\u00eb e bezdisshme p\u00ebr familjen; s\u00ebmur\u00eb sot, s\u00ebmur\u00eb nes\u00ebr. Ju lutem, m\u00eb ndihmoni me nj\u00eb p\u00ebrgjigje.
\nDr. Jashar Demiri, psikolog klinicist: – E nderuar 37 vje\u00e7are, ju thoni se keni nj\u00eb dhimbje koke shum\u00eb t\u00eb madhe, sa ju duket sikur po ju \u201cp\u00eblcet\u201d koka, doni masazhim ose koka nuk ju pushon. Thoni se jeni diagnostikuar nga veshi i mes\u00ebm dhe po pini cinarizin\u00eb 25 mg. dhe se kur e pini rregullisht jeni shum\u00eb mir\u00eb. Un\u00eb do t\u00eb shpreh rezervat e mia lidhur me diagnostikimin, por ju nuk m\u00eb thoni n\u00ebse keni b\u00ebr\u00eb apo jo ndonj\u00eb EEG apo EZHE, pra \u00e7far\u00eb ka nxjerr\u00eb shkenca, analizat, pasi simptomat mund t\u00eb jen\u00eb shpesh edhe fallco dhe nuk tregojn\u00eb gjithmon\u00eb s\u00ebmundje. Njer\u00ebzit me shum\u00eb ankth e stres, p\u00ebrjetojn\u00eb t\u00eb tilla simptoma, t\u00eb cilat jan\u00eb aq \u201ctin\u00ebzare\u201d dhe \u201cimituese\u201d saq\u00eb \u00e7orientojn\u00eb edhe vet\u00eb mjek\u00ebt. Prandaj sot nuk operohet m\u00eb si dikur askush vet\u00ebm sepse thot\u00eb \u201cvdiqa se m\u00eb ka plasur apendesiti\u201d, pasi kjo mund t\u00eb jet\u00eb dhimbje \u201cpseudo\u201d ose si\u00e7 thon\u00eb teolog\u00ebt \u201cdhimbje q\u00eb i krijon shejtani\u201d. M\u00eb kan\u00eb ardhur raste si ky i juaji, me pretendimin se kan\u00eb veshin e mes\u00ebm, mir\u00ebpo ata q\u00eb e kan\u00eb k\u00ebt\u00eb diagnoz\u00eb, nuk mbahen dot, nuk l\u00ebvizin dot pa u mbajtur n\u00ebp\u00ebr objekte sepse u \u201crrotullohet\u201d sht\u00ebpia. Para ca dit\u00ebsh m\u00eb erdhi nj\u00eb studente e piktur\u00ebs dhe m\u2019u ankua k\u00ebshtu si ju. Kishte dhimbje t\u00eb forta ther\u00ebse prapa kok\u00ebs. Nj\u00eb mjek, i af\u00ebrm i saj i kishte th\u00ebn\u00eb se ka veshin e mes\u00ebm. Un\u00eb i thash\u00eb se as mjeku i p\u00ebrgjithsh\u00ebm, as un\u00eb nuk mund ta p\u00ebrcaktojm\u00eb k\u00ebt\u00eb gj\u00eb. Nd\u00ebrkoh\u00eb q\u00eb ajo po fliste, dhimbjet e kok\u00ebs i kishte mjaft ther\u00ebse. Iu lut shoqes s\u00eb saj q\u00eb t\u2019i b\u00ebnte pak masazh, por un\u00eb n\u00eb at\u00eb moment vendosa q\u00eb t\u00eb b\u00ebja nj\u00eb eksperiment. Vendosa q\u00eb ta provoja ta trajtoja at\u00eb me teknikat e \u201chumbjes s\u00eb mendjes\u201d ndaj i thash\u00eb shoqes q\u00eb t\u00eb dilte se do t\u2019ia b\u00ebja vet\u00eb masazhin. Ajo shprehu pak habi, por edhe mir\u00ebnjohje. I thash\u00eb klientes q\u00eb t\u00eb dilte te divani p\u00ebrball\u00eb e ajo doli pa u mbajtur askund, madje me nj\u00eb ecje prej balerin\u00eb. Meq\u00eb m\u00eb tha se studionte p\u00ebr piktur\u00eb, vendosa ta p\u00ebrqendroja diku q\u00eb ta shp\u00ebrqendroja nga dhimbjet e saj. P\u00ebrball\u00eb kishim piktur\u00ebn e famshme t\u00eb Mona Liz\u00ebs. I thash\u00eb se piktur\u00ebn e kisha origjinale dhe ajo qeshi me \u201cnaivitetin\u201d tim e m\u00eb tha se orgjinalja ruhet m\u00eb shum\u00eb sesa Sht\u00ebpia e Bardh\u00eb n\u00eb SHBA. Po e shihnim t\u00eb dy piktur\u00ebn \u201cmagjike\u201d e i thash\u00eb se autori e mbante at\u00eb kudo me vete prej shum\u00eb vitesh, nd\u00ebrkoh\u00eb q\u00eb po e punonte. Ajo k\u00ebt\u00eb nuk e dinte ndaj u \u00e7udit. Kulmi ishte kur i thash\u00eb se autori nuk ka piktuar n\u00eb fakt ndonj\u00eb fem\u00ebr, aq m\u00eb tep\u00ebr t\u00eb porsalindur, por nj\u00eb djal\u00eb homoseksual t\u00eb cilin e donte shum\u00eb, por q\u00eb p\u00ebr \u201cmaskim\u201d e b\u00ebri si fem\u00ebr… Ajo vazhdonte t\u00eb \u00e7uditej e nd\u00ebrkoh\u00eb harroi q\u00eb i duhej \u201cpatjet\u00ebr\u201d masazhi. Ishte futur pak e nga pak shum\u00eb thell\u00eb n\u00eb k\u00ebto p\u00ebrshkrime t\u00eb miat. Pas ca minutash un\u00eb e pyeta n\u00ebse vazhdonin dhimbjet ther\u00ebse n\u00eb kok\u00ebn e saj. P\u00ebr \u00e7udi, ato ishin zhdukur! Duke diskutuar, klientja ra dakord se ato nuk mund t\u00eb ishin simptomat e veshit t\u00eb mesit, sepse ajo ecte bukur dhe se po t\u00eb ishte ndonj\u00eb s\u00ebmundje serioze dhimbjet apo t\u00eb therurat nuk mund t\u00eb pushonin sepse ne po flisnim p\u00ebr Mona Liz\u00ebn e famshme. I thash\u00eb q\u00eb t\u00eb shkonte t\u00eb vizitohej te nj\u00eb mjeke specialiste p\u00ebr veshin e mes\u00ebm. Ajo vajti po at\u00eb dit\u00eb dhe doktoresha konkludoi se nuk kishte veshin e mes\u00ebm, por dhimbja e saj e kok\u00ebs ishte reagimi i fuqish\u00ebm nga stresi e ankthi e k\u00ebshtu, u shmang nga mjekimi i gabuar me kosto e me pasoja dhe ajo u sh\u00ebrua vet\u00ebm me hipnoterapi e ila\u00e7e bimore. Po t\u00eb ishte patologji, asnj\u00eb lloj psikoterapie apo sugjestioni nuk mund t\u00eb sillte dobi e ta sh\u00ebronte, por vet\u00ebm barnat, pra, nd\u00ebrhyrja profesionale.
\nEdhe nj\u00eb rast tjet\u00ebr: M\u00eb erdhi nj\u00eb inxhinier me p\u00ebrkeq\u00ebsime t\u00eb dhimbjeve t\u00eb kok\u00ebs. Ai kishte b\u00ebr\u00eb \u00e7do vizit\u00eb e analiz\u00eb dhe i dilnin shk\u00eblqyer t\u00eb gjitha e megjithat\u00eb, nuk i pushonin dhimbjet. I b\u00ebra matjet, nuk kishte as dridhje, as lodhje psikomotore, i kishte t\u00eb gjitha reagimet t\u00eb shk\u00eblqyera, si pilot. Nd\u00ebrkoh\u00eb q\u00eb po punoja me t\u00eb, atij nuk i pushonin dhimbjet. M\u00eb tha se kishte lexuar librat e mi. Un\u00eb u ula n\u00eb tryez\u00eb dhe i vura p\u00ebrpara nj\u00eb flet\u00eb dhe i thash\u00eb: \u201cSupozo se je nj\u00eb nga student\u00ebt e mi ndaj dhe jepi p\u00ebrgjigje k\u00ebsaj teze provimi edhe pse nuk i ke marr\u00eb leksionet. Po t\u00eb marr\u00ebsh mbi 40 pik\u00eb, do t\u00eb t\u00eb kuroj falas, ndaj ja tek i ke 4 pyetjet e pik\u00ebt p\u00ebrkat\u00ebse, 60 pik\u00eb\u201d.
\nKy njeri i drejt\u00eb i zellsh\u00ebm u p\u00ebrqendrua te p\u00ebrgjigjet (me shkrim) dhe p\u00ebr gati 20 minuta q\u00eb un\u00eb po korrigjoja provimet e tjera, ai nuk u ndje. Kur mbaroi \u201cprovimin\u201d, un\u00eb e pyeta: A t\u00eb dhemb koka? \u201cOh, jo, tha ai. Nuk di se ku ik\u00ebn dhimbjet!\u201d. \u201cE shikon pra, se nuk ke asnj\u00eb s\u00ebmundje n\u00eb kok\u00eb, por shkaku i llojit t\u00eb dhimbjes s\u00eb kok\u00ebs \u00ebsht\u00eb vet\u00ebm stresi dhe ankthi? Me k\u00ebt\u00eb fakt q\u00eb ndodhi tani, bazuar dhe n\u00eb p\u00ebrgjigjet e vizitave, un\u00eb konkludoj se dhimbja e kok\u00ebs \u00ebsht\u00eb forma me t\u00eb cil\u00ebn trupi yt u p\u00ebrgjigjet mendimeve e frik\u00ebrave tuaja t\u00eb tanishme. Ju keni katastrofizuar mendimet dhe k\u00ebrkoni t\u00eb gjeni patjet\u00ebr nj\u00eb s\u00ebmundje. K\u00ebsisoj, ju e keni \u201ckrijuar\u201d at\u00eb dhe vet\u00eb dhimbja e kok\u00ebs \u00ebsht\u00eb nj\u00eb burim i r\u00ebnd\u00ebsish\u00ebm stresi. Sidomos kur vazhdon p\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb, te ti mbizot\u00ebrojn\u00eb dy grupe mendimesh. 1. Ja, filloi p\u00ebrs\u00ebri, \u201ckjo dhimbje po ma shkat\u00ebrron jet\u00ebn! Nuk mund t\u00eb funksionoj\u00eb k\u00ebshtu… nuk shtyhet! Mora n\u00eb qaf\u00eb veten, e njer\u00ebzit e sht\u00ebpis\u00eb… 2. Nuk mund t\u00eb b\u00ebj dot asgj\u00eb, ndoshta kam ndonj\u00eb s\u00ebmundje t\u00eb cil\u00ebn ose nuk po ma gjejn\u00eb, ose nuk po ma tregojn\u00eb, me siguri ndonj\u00eb tumor n\u00eb kok\u00eb…\u201d
\nKlienti ixhinier u bind dhe m\u00eb kuptoi shum\u00eb mir\u00eb, porse kjo nuk \u00ebsht\u00eb aq e leht\u00eb p\u00ebr t\u2019u kuptuar, pasi k\u00ebtyre njer\u00ebzve nuk u dhemb koka kur jan\u00eb shum\u00eb t\u00eb z\u00ebn\u00eb me di\u00e7ka apo t\u00eb p\u00ebrqendruar n\u00eb ndonj\u00eb pun\u00eb. Si\u00e7 ndodhi te \u201cteza e provimit\u201d q\u00eb ai n\u00eb fillim e kujtoi p\u00ebr ndonj\u00eb \u201cgallat\u00eb\u201d. K\u00ebtyre m\u00eb shum\u00eb u dhemb koka kur jan\u00eb kot ose t\u00eb qet\u00eb sepse duke e pasur trurin t\u00eb paz\u00ebn\u00eb me pun\u00eb, mendja endet dhe i tmerron e i frik\u00ebson shum\u00eb duke dashur q\u00eb t\u2019u p\u00ebrgjigjet pyetjeve pafund me \u201cpo sikur?\u201d e \u201cpse?\u201d. Kjo \u00ebsht\u00eb edhe arsyeja pse ata kujtojn\u00eb se erdhi nga \u201casgj\u00ebja\u201d se \u201cishin mir\u00eb e bukur, por u zgjua e keqja (ndoshta kanceri(!)\u201d atje brenda. Dhe, duke mos i hequr dot k\u00ebto frik\u00ebra e mendime, duke mos i ndalur ato e as duke mos u dh\u00ebn\u00eb dot p\u00ebrgjigje, dhimbja e kok\u00ebs vazhdon e ky quhet rreth vicioz. Ky djal\u00eb studiues i zgjuar m\u00eb kuptoi shum\u00eb bukur, pasi kishte lexuar shum\u00eb edhe n\u00eb internet porse edhe ky ishte nj\u00eb shkak tjet\u00ebr, pasi ishte p\u00ebrqendruar shum\u00eb te kanceri dhe i k\u00ebrkonte \u201cshenjat\u201d vazhdimisht te vetja, duke u b\u00ebr\u00eb v\u00ebzhgues i keq i trupit t\u00eb tij. Un\u00eb i shpjegova se \u00e7\u2018\u00ebsht\u00eb hipokondriaza dhe ai u zotua se do ta heq\u00eb tani e tutje gjith\u00eb v\u00ebmendjen nga trupi p\u00ebr t\u2019u p\u00ebrqendruar te pun\u00ebt e jeta p\u00ebrreth, te kontestet psikosociale. Ram\u00eb dakord p\u00ebr t\u00eb b\u00ebr\u00eb disa seanca me psikoterapi dhe p\u00ebr nj\u00eb kur\u00eb me ila\u00e7e 100 % bimore. N\u00eb fund, dyshues, si\u00e7 jan\u00eb gjithmon\u00eb k\u00ebta njer\u00ebz, ai p\u00ebrs\u00ebri pyeti: Po pse o doktor, un\u00eb njoh njer\u00ebz q\u00eb jan\u00eb shum\u00eb m\u00eb t\u00eb stresuar se un\u00eb, q\u00eb kan\u00eb 1000 e nj\u00eb halle dhe nuk u dhemb koka. Un\u00eb i shpjegova se \u00e7do njeri reagon ndaj stresit e ankthit sipas m\u00ebnyr\u00ebs s\u00eb vet, p\u00ebr shembull, disa djersiten shum\u00eb, disa skuqen, disa zverdhen, disave u duket sikur po u pushon zemra, sikur po mbyten ose sikur po u bie t\u00eb fik\u00ebt… etj. N\u00eb rastin tuaj, reagimi \u00ebsht\u00eb me dhimbje koke. Pas disa seancash, klienti u qet\u00ebsua e m\u00ebsoi se si t\u00eb relaksohej e t\u00eb mos ia \u201cvarte\u201d dhimbjes, pra, u thye ky \u201crreth vicioz\u201d. N\u00eb rastin tuaj, e nderuar let\u00ebrshkruese, fakti q\u00eb t\u00eb ka b\u00ebr\u00eb mir\u00eb ila\u00e7i \u00ebsht\u00eb lajm i mir\u00eb, megjitaht\u00eb dua q\u00eb t\u2019ju vizitoj vet\u00eb q\u00eb t\u2019ju them m\u00eb shum\u00eb. <\/p>\n","protected":false},"excerpt":{"rendered":"
– I nderuar doktor Demiri, jam nj\u00eb 37 vje\u00e7are, n\u00ebn\u00eb e dy f\u00ebmij\u00ebve. Kam nj\u00eb dhimbje t\u00eb madhe pas koke. M\u00eb duket sikur po m\u00eb godet dikush, sikur do t\u00eb plas; dua t\u00eb m\u00eb shtr\u00ebngojn\u00eb e t\u00eb m\u00eb masazhojn\u00eb ose humbas ndjenjat. Shpeshher\u00eb edhe qaj. Jam vizituar dhe m\u00eb kan\u00eb th\u00ebn\u00eb se vuaj nga veshi […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86,219],"tags":[],"class_list":["post-10818","post","type-post","status-publish","format-standard","hentry","category-psikologu","category-pyetje-pergjigje"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/10818","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=10818"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/10818\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=10818"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=10818"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=10818"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}