{"id":11367,"date":"2015-12-11T15:30:08","date_gmt":"2015-12-11T14:30:08","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=11367"},"modified":"2015-12-11T12:46:57","modified_gmt":"2015-12-11T11:46:57","slug":"cte-bejme-per-hernien-diskale","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2015\/12\/cte-bejme-per-hernien-diskale\/","title":{"rendered":"\u00c7\u2019t\u00eb b\u00ebjm\u00eb p\u00ebr hernien diskale?"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><strong>&#8211; Doktor Agroni, kam nj\u00eb problem me mamin tim. Ajo \u00ebsht\u00eb diagnostikuar me hernie diskale dhe ndenji nj\u00eb jav\u00eb e shtruar n\u00eb spital. Kishte shum\u00eb dhimbje, k\u00ebmb\u00ebn e majt\u00eb nuk e vinte dot n\u00eb tok\u00eb dhe as nuk flinte nat\u00ebn, sado q\u00eb b\u00ebnte gjilp\u00ebra e qet\u00ebsues. Doktoresha e nxori nga spitali dhe i tha t\u00eb operohej n\u00eb Tiran\u00eb, se hernia i ka kapur nervin, por mami nuk pranoi t\u00eb operohej. Doktoresha i dha disa ila\u00e7e dhe mami erdhi n\u00eb sht\u00ebpi. Tani q\u00eb \u00ebsht\u00eb n\u00eb sht\u00ebpi nuk ka dhimbje si n\u00eb spital, por e kapin her\u00eb pas here. Ajo nuk \u00e7ohet nga krevati, rri vet\u00ebm shtrir\u00eb se i dhemb k\u00ebmba. Ngrihet vet\u00ebm p\u00ebr nevoja personale, por duke e mbajtur p\u00ebr krah\u00ebsh. Dhimbjet n\u00eb k\u00ebmb\u00eb nj\u00ebher\u00eb i ndalojn\u00eb, nj\u00ebher\u00eb i fillojn\u00eb. Edhe ca dit\u00eb i mbarojn\u00eb ila\u00e7et dhe nuk dim\u00eb \u00e7\u2019t\u00eb b\u00ebjm\u00eb se nuk ka ndonj\u00eb p\u00ebrmir\u00ebsim t\u00eb madh. T\u00eb b\u00ebhet operacion te neurokirurgu apo ta \u00e7ojm\u00eb diskun e skanerit q\u00eb ka b\u00ebr\u00eb te neurokirurgu dhe t\u2019i jap\u00eb ila\u00e7e t\u00eb tjera? Thon\u00eb se po t\u00eb b\u00ebhesh operacion, hernia rikthehet dhe ka persona q\u00eb jan\u00eb b\u00ebr\u00eb operacion nga 3-4 her\u00eb. Na jepni nj\u00eb mendim se \u00e7far\u00eb t\u00eb b\u00ebjm\u00eb. Ila\u00e7et q\u00eb i dha neurologia jan\u00eb: lyrica 150 mg. 56 kaspula 2 x 1 n\u00eb dit\u00eb dhe barca 600 mg. 10 kapsula. <\/strong><\/p>\n<p><strong><em><u>Dr. Agron Islamaj, neurolog<\/u><\/em><\/strong><strong>: &#8211;<\/strong> N\u00eb p\u00ebrgjigje t\u00eb letr\u00ebs suaj, un\u00eb do t\u00eb thosha q\u00eb hernia diskale, nga e cila vuan edhe n\u00ebna juaj, si\u00e7 e dini, \u00ebsht\u00eb dalja e nj\u00eb k\u00ebrci q\u00eb ndodhet midis dy rruazave e m\u00eb shpesh ajo del n\u00eb nivelin e belit (ose si\u00e7 e quajm\u00eb ne mjek\u00ebt, pjesa lumbare), por mund t\u00eb shfaqet edhe n\u00eb qaf\u00eb e m\u00eb rrall\u00eb, n\u00eb pjes\u00ebn e rruazave t\u00eb gjoksit. Shkaqe jan\u00eb sforcimet, ose l\u00ebvizjet e pakontrolluara t\u00eb kolon\u00ebs n\u00eb k\u00ebt\u00eb nivel, si p\u00ebr shembull, ngritja e peshave t\u00eb r\u00ebnda, ulja e ngritja e pakontrolluar etj. \u00cbsht\u00eb kjo arsyeja pse kjo shihet n\u00eb profesione t\u00eb tilla, si\u00e7 jan\u00eb pun\u00ebt n\u00eb nd\u00ebrtim, n\u00eb bujq\u00ebsi etj. Fillimi \u00ebsht\u00eb i menj\u00ebhersh\u00ebm, me nj\u00eb dhimbje mesi q\u00eb p\u00ebrhapet n\u00eb k\u00ebmb\u00ebn p\u00ebrkat\u00ebse, gjat\u00eb rrug\u00ebs s\u00eb nervit ishiatik kryesisht, ose atij t\u00eb kofsh\u00ebs (n-femoral). Ky i fundit preket m\u00eb rrall\u00eb. Diagnostikimi b\u00ebhet n\u00ebp\u00ebrmjet nj\u00eb radiografie, ose skanerit, apo rezonanc\u00ebs magnetike, t\u00eb kolon\u00ebs n\u00eb pjes\u00ebt e belit. K\u00ebto ekzaminime tregojn\u00eb jo vet\u00ebm pranin\u00eb e hernies, por edhe shkall\u00ebn e daljes s\u00eb k\u00ebrcit n\u00eb k\u00ebt\u00eb nivel, pasi kemi tre grad\u00eb q\u00eb ne gjykojm\u00eb p\u00ebr mjekimin e k\u00ebtyre t\u00eb s\u00ebmur\u00ebve:<\/p>\n<p>&#8211; Grada e par\u00eb e hernies, kur ajo sapo ka dal\u00eb dhe jo t\u00ebr\u00ebsisht, karakterizohet me dhimbje jo t\u00eb forta e shenja jo shum\u00eb t\u00eb shprehura.<\/p>\n<p>&#8211; Grada e dyt\u00eb, kur hernia ka dal\u00eb pothuajse plot\u00ebsisht e shenjat klinike jan\u00eb dhimbja apo pozicioni i t\u00eb s\u00ebmurit e detyron t\u00eb rrij\u00eb shtrir\u00eb.<\/p>\n<p>&#8211; Grada e tret\u00eb, kur hernia diskale (pra, k\u00ebrci), ka dal\u00eb plot\u00ebsisht nga foleja midis dy rruazave dhe shoq\u00ebrohet me dhimbje shum\u00eb t\u00eb forta. N\u00eb faz\u00ebn e par\u00eb, ne mjek\u00ebt tentojm\u00eb t\u00eb p\u00ebrdorim mjekimin me barna t\u00eb kombinuara dhe me procedura riaft\u00ebsuese e t\u00ebrheqje (traksion) t\u00eb kolon\u00ebs, nd\u00ebrsa n\u00eb faz\u00ebn e dyt\u00eb e t\u00eb tret\u00eb, i s\u00ebmuri duhet t\u2019i n\u00ebnshtrohet nd\u00ebrhyrjes neurokirurgjikale, e cila \u00ebsht\u00eb nj\u00eb operacion shum\u00eb i thjesht\u00eb dhe i s\u00ebmuri brenda 24 or\u00ebve \u00e7ohet nga shtrati. Kjo nd\u00ebrhyrje, q\u00eb b\u00ebhet me mjaft sukses nga mjek\u00ebt tan\u00eb specialist\u00eb (neurokirurg\u00eb), nuk ka rip\u00ebrs\u00ebritje, sepse n\u00eb k\u00ebto raste hiqet disku i dal\u00eb dhe p\u00ebr pasoj\u00eb, s\u2019ka arsye q\u00eb t\u00eb rip\u00ebrs\u00ebritet, sidomos n\u00eb at\u00eb nivel. Po ashtu, duhet th\u00ebn\u00eb se pas nd\u00ebrhyrjes, e cila shoq\u00ebrohet me k\u00ebshilla e riaft\u00ebsim, i s\u00ebmuri kthehet brenda nj\u00eb kohe t\u00eb shkurt\u00ebr n\u00eb normalitet. Shtoj se k\u00ebta t\u00eb s\u00ebmur\u00eb duhet t\u00eb shmangin p\u00ebr nj\u00eb periudh\u00eb kohe sforcimet, ngritjen e peshave t\u00eb r\u00ebnda, ose l\u00ebvizjet e sforcuara etj. S\u00eb fundi, p\u00ebr rastin e n\u00ebn\u00ebs suaj do t\u00eb k\u00ebshilloja, n\u00eb qoft\u00eb se mjekimi nuk ka dh\u00ebn\u00eb efekt (pra, barnat e p\u00ebrdorura) dhe vazhdon me dhimbje t\u00eb lokalizuara n\u00eb kolon\u00eb e n\u00eb k\u00ebmb\u00eb, \u00a0at\u00ebher\u00eb ajo duhet t\u2019i n\u00ebnshtrohet nd\u00ebrhyrjes neurokirurgjikale, q\u00eb t\u00eb kthehet n\u00eb normalitet.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &#8211; Doktor Agroni, kam nj\u00eb problem me mamin tim. Ajo \u00ebsht\u00eb diagnostikuar me hernie diskale dhe ndenji nj\u00eb jav\u00eb e shtruar n\u00eb spital. Kishte shum\u00eb dhimbje, k\u00ebmb\u00ebn e majt\u00eb nuk e vinte dot n\u00eb tok\u00eb dhe as nuk flinte nat\u00ebn, sado q\u00eb b\u00ebnte gjilp\u00ebra e qet\u00ebsues. Doktoresha e nxori nga spitali dhe i tha [&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-11367","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\/11367","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=11367"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/11367\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=11367"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=11367"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=11367"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}