{"id":11275,"date":"2015-12-03T19:30:39","date_gmt":"2015-12-03T18:30:39","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=11275"},"modified":"2015-12-03T12:48:01","modified_gmt":"2015-12-03T11:48:01","slug":"3-gjera-qe-duhet-te-dini-per-njollat-e-gjakut","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2015\/12\/3-gjera-qe-duhet-te-dini-per-njollat-e-gjakut\/","title":{"rendered":"3 gj\u00ebra q\u00eb duhet t\u00eb dini p\u00ebr njollat e gjakut"},"content":{"rendered":"<p><strong><em>Menstruacionet tuaja kan\u00eb ikur prej dit\u00ebsh tashm\u00eb, megjithat\u00eb ju vazhdoni t\u00eb keni njolla gjaku n\u00eb mbathje? Ky fenomen n\u00eb anglisht quhet spotting (nga fjala spot- njoll\u00eb). Nd\u00ebrkoh\u00eb q\u00eb nuk i keni me qejf menstruacionet, imagjinoni bezdin\u00eb q\u00eb ato t\u00eb vazhdojn\u00eb edhe p\u00ebr shum\u00eb dit\u00eb (sigurisht, jo aq t\u00eb bollshme). At\u00ebher\u00eb, cilat simptomat, shkaqet dhe k\u00ebshillat e dh\u00ebna nga doktor\u00ebt p\u00ebr k\u00ebt\u00eb fenomen?<\/em><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Simptomat<\/strong><\/p>\n<p>P\u00ebr kujtes\u00eb, cikli menstrual zgjat p\u00ebr nj\u00eb periudh\u00eb nga 21-36 dit\u00eb. Gjat\u00eb k\u00ebsaj periudhe trupi i gruas p\u00ebrgatitet p\u00ebr arritjen e vez\u00ebs s\u00eb pllenuar, duke shkaktuar k\u00ebshtu trashjen e endometrit dhe shtimin e nivelit t\u00eb estrogjeneve dhe t\u00eb progesteronit. Megjithat\u00eb, kur veza nuk \u00ebsht\u00eb e pllenuar, niveli hormonal bie dhe veshja e brendshme e mitr\u00ebs del jasht\u00eb n\u00eb form\u00ebn e menstruacioneve. N\u00ebse, pas nj\u00eb jave, gjaku vazhdon, b\u00ebhet fjal\u00eb p\u00ebr spotting. K\u00ebto dalje jan\u00eb shum\u00eb t\u00eb lehta dhe ndodhin nd\u00ebrmjet menstruacioneve. N\u00eb p\u00ebrgjith\u00ebsi, ato ndodhin n\u00eb \u00e7do cik\u00ebl dhe nuk jan\u00eb problematike. N\u00eb shumic\u00ebn e rasteve \u00ebsht\u00eb faji i progesteronit dhe i estrogjeneve q\u00eb nuk p\u00ebrputhen me nj\u00ebra-tjetr\u00ebn. Megjithat\u00eb, n\u00ebse k\u00ebto gjakrrjedhje jan\u00eb t\u00eb shumta, b\u00ebhet fjal\u00eb p\u00ebr metroragji dhe duhet t\u00eb konsultoheni me nj\u00eb specialist.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Shkaqet e spotting-ut<\/strong><\/p>\n<p>Shkaqet jan\u00eb t\u00eb shumta, por n\u00eb shumic\u00ebn e rasteve, nuk jan\u00eb problematike:<\/p>\n<p><em>Pilula kontraceptive<\/em><\/p>\n<p>Grat\u00eb mendojn\u00eb (nganj\u00ebher\u00eb gabimisht), se me marrjen e pilul\u00ebs, menstruacionet e tyre do t\u00eb rregullohen si me magji, por nj\u00eb dozim i gabuar mund t\u00eb sjell\u00eb \u00e7rregullime hormonale, pra, t\u00eb \u00e7ekuilibroj\u00eb ciklin. Vet\u00ebm kujdes, mos i nd\u00ebrprisni pilulat n\u00ebse keni njolla t\u00eb lehta. Kjo nuk do t\u00eb thot\u00eb se ajo nuk \u00ebsht\u00eb efikase, por vet\u00ebm q\u00eb nuk \u00ebsht\u00eb dozuar si duhet. P\u00ebr m\u00eb tep\u00ebr, nd\u00ebrprerja e pilul\u00ebs rrezikon t\u00eb provokoj\u00eb nj\u00eb ovulim t\u00eb ri dhe k\u00ebshtu, edhe nj\u00eb mund\u00ebsi p\u00ebr t\u00eb ngelur shtatz\u00ebn\u00eb. E nj\u00ebjta gj\u00eb vlen edhe p\u00ebr metoda t\u00eb tjera kontraceptive, si pat\u00e7i, sterileja, diafragma, etj. Sterileja ka tendenc\u00eb q\u00eb t\u00eb zgjas\u00eb menstruacionet, ndaj \u00ebsht\u00eb e kot\u00eb t\u00eb alarmoheni menj\u00ebher\u00eb (p\u00ebrve\u00e7se n\u00ebse kjo situat\u00eb b\u00ebhet e vazhdueshme).<\/p>\n<p><em>Stresi<\/em><\/p>\n<p>Ai \u00ebsht\u00eb shpesh armiku m\u00eb i keq i trupit ton\u00eb. Stresi shkakton nj\u00eb \u00e7rregullim hormonal, ndikon n\u00eb flor\u00ebn vaginale dhe \u00e7ekuilibron ciklin, duke zgjatur menstruacionet.<\/p>\n<p><em>Nj\u00eb udh\u00ebtim i gjat\u00eb<\/em><\/p>\n<p>Udh\u00ebtimi i gjat\u00eb, sidomos kur b\u00ebhet me ndryshim t\u00eb madh orar, ndikon jo vet\u00ebm te gjumi dhe gjendja jon\u00eb e p\u00ebrgjithshme, por edhe te cikli.<\/p>\n<p><em>Nj\u00eb fillim shtatzanie<\/em><\/p>\n<p>N\u00eb disa raste, n\u00eb fillim t\u00eb shtatzanis\u00eb, megjith\u00ebse veza ka z\u00ebn\u00eb vend n\u00eb mit\u00ebr, trupi e vazhdon ciklin normalisht. Zakonisht, kjo ndodh n\u00eb dy-tre muajt e par\u00eb t\u00eb shtatzanis\u00eb. Ky fenomen ndodh te \u00e7ereku i grave shtatz\u00ebna.<\/p>\n<p><em>Fibrom\u00eb n\u00eb muret e mitr\u00ebs<\/em><\/p>\n<p>Nj\u00eb fibrom\u00eb mund t\u00eb shkaktoj\u00eb frik\u00eb p\u00ebr tumor, por n\u00eb shumic\u00ebn e rasteve ato jan\u00eb beninje dhe trajtohen shpejt. Sido q\u00eb t\u00eb jet\u00eb, \u00ebsht\u00eb mir\u00eb t\u00eb vizitoheni te mjeku.<\/p>\n<p><em>Sapo kan\u00eb filluar menstruacionet<\/em><\/p>\n<p>Trupi juaj \u00ebsht\u00eb duke ndryshuar dhe ka nevoj\u00eb p\u00ebr pak koh\u00eb q\u00eb t\u00eb familjarizohet me gjith\u00eb k\u00ebto p\u00ebrmbysje hormonale. K\u00ebshtu, ka gjasa q\u00eb gjat\u00eb dy vjet\u00ebve t\u00eb para t\u00eb menstruacioneve t\u2019ju ndodh\u00eb spotting-u.<\/p>\n<p><em>Jeni n\u00eb paramenopauz\u00eb<\/em><\/p>\n<p>Kjo \u00ebsht\u00eb pak a shum\u00eb nj\u00eblloj si n\u00eb rastin e m\u00ebsip\u00ebrm; trupi do t\u00eb m\u00ebsohet me ndryshimet hormonale, me faktin se nuk ka m\u00eb nevoj\u00eb t\u00eb p\u00ebrgatitet p\u00ebr nj\u00eb vez\u00eb t\u00eb pllenuar dhe, si pasoj\u00eb, nuk ka m\u00eb nevoj\u00eb t\u00eb ket\u00eb menstruacione nj\u00eb her\u00eb n\u00eb muaj. Mos kini frik\u00eb, k\u00ebto gjakrrjedhje t\u00eb lehta do t\u00eb largohen shpejt.<\/p>\n<p>&nbsp;<\/p>\n<p>N\u00eb m\u00ebnyr\u00eb t\u00eb p\u00ebrgjithshme, fenomeni i spottingut nuk \u00ebsht\u00eb i r\u00ebnd\u00eb, njollat e gjakut jan\u00eb t\u00eb pakta dhe nuk shoq\u00ebrohen me dhimbje, por ato nuk duhen neglizhuar n\u00eb \u00e7do rast. Kur ky fenomen b\u00ebhet i vazhduesh\u00ebm dhe ju shkakton probleme n\u00eb jet\u00ebn e p\u00ebrditshme, ai mund t\u00eb jet\u00eb shenj\u00eb e nj\u00eb problemi m\u00eb t\u00eb r\u00ebnd\u00eb. K\u00ebrkojini k\u00ebshill\u00eb gjinekologut tuaj dhe b\u00ebni analiza m\u00eb t\u00eb thelluara. N\u00eb rastin e nj\u00eb fibrome t\u00eb mitr\u00ebs (pra, nj\u00eb tumori jokanceroz), madh\u00ebsia e saj mund t\u00eb ndryshoj\u00eb dhe t\u00eb arrij\u00eb v\u00ebllimin e nj\u00eb shalqiri (nuk ka nevoj\u00eb ta imagjinoni&#8230;). Mjeku juaj, pra, do t\u2019ju b\u00ebj\u00eb ekzaminime t\u00eb ndryshme, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb bindet se \u00ebsht\u00eb nj\u00eb fibrom\u00eb beninje dhe jo e rrezikshme. N\u00ebse ajo b\u00ebhet shum\u00eb e madhe, mund t\u00eb shtyp\u00eb organet e tjera dhe t\u00eb shkaktoj\u00eb nevoja t\u00eb shpeshta p\u00ebr t\u00eb urinuar, mbajtje uji nga trupi, ose ulje pjellorie. N\u00ebse ju mendoni se spotting-u q\u00eb keni \u00ebsht\u00eb pasoj\u00eb e metod\u00ebs kontraceptive q\u00eb p\u00ebrdorni, at\u00ebher\u00eb k\u00ebrkoni bashk\u00eb me gjinekologun nj\u00eb doz\u00eb tjet\u00ebr pilule. Zakonisht, ai ju propozon nj\u00eb analiz\u00eb gjaku, p\u00ebr t\u2019u siguruar q\u00eb niveli juaj hormonal \u00ebsht\u00eb normal.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Menstruacionet tuaja kan\u00eb ikur prej dit\u00ebsh tashm\u00eb, megjithat\u00eb ju vazhdoni t\u00eb keni njolla gjaku n\u00eb mbathje? Ky fenomen n\u00eb anglisht quhet spotting (nga fjala spot- njoll\u00eb). Nd\u00ebrkoh\u00eb q\u00eb nuk i keni me qejf menstruacionet, imagjinoni bezdin\u00eb q\u00eb ato t\u00eb vazhdojn\u00eb edhe p\u00ebr shum\u00eb dit\u00eb (sigurisht, jo aq t\u00eb bollshme). At\u00ebher\u00eb, cilat simptomat, shkaqet dhe k\u00ebshillat [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":11276,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[219,49],"tags":[],"class_list":["post-11275","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pyetje-pergjigje","category-shendet"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/11275","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=11275"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/11275\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/11276"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=11275"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=11275"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=11275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}