{"id":11959,"date":"2016-02-03T12:30:11","date_gmt":"2016-02-03T11:30:11","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=11959"},"modified":"2016-02-02T12:46:59","modified_gmt":"2016-02-02T11:46:59","slug":"jam-me-keq-pas-operimit-te-tiroides","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2016\/02\/jam-me-keq-pas-operimit-te-tiroides\/","title":{"rendered":"Jam m\u00eb keq pas operimit t\u00eb tiroides"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><strong>&#8211; P\u00ebrsh\u00ebndetje doktor Dashamiri. Jam Af\u00ebrdita, 35 vje\u00e7e, nga La\u00e7i. Kam operuar gj\u00ebndr\u00ebn tiroide para kat\u00ebr muajsh n\u00eb Tiran\u00eb dhe pas operacionit, n\u00eb vend q\u00eb t\u00eb p\u00ebrmir\u00ebsohesha, gjendja ime \u00ebsht\u00eb p\u00ebrkeq\u00ebsuar m\u00eb shum\u00eb. Kam shtuar n\u00eb pesh\u00eb mbi 20 kilogram\u00eb, kam shum\u00eb dob\u00ebsi e lodhje, m\u00eb bie si gjendje t\u00eb fik\u00ebti disa her\u00eb gjat\u00eb dit\u00ebs, si dhe kam dridhje t\u00eb muskujve n\u00eb pozicione t\u00eb ndryshme t\u00eb trupit. A mund t\u00eb m\u00eb shpjegoni p\u00ebrse ka ndodhur kjo gj\u00eb n\u00eb trupin tim dhe a \u00ebsht\u00eb e rrezikshme?<\/strong><\/p>\n<p><strong><em><u>Dr. Dashamir Gjergji endokrinolog-diabetolog:<\/u><\/em><\/strong> &#8211; E nderuar Af\u00ebrdita, e lexova me kujdes letr\u00ebn tuaj dhe nuk u ndjeva mir\u00eb p\u00ebr gjith\u00eb problematikat q\u00eb kan\u00eb ndodhur te ju pas operacionit. Duke i analizuar me kujdes shqet\u00ebsimet q\u00eb keni p\u00ebrshkruar, t\u00eb cilat dhe vet\u00eb ju i lidhni me momentin pas operacionit (pasi nuk kan\u00eb ekzistuar m\u00eb par\u00eb), mendoj se te ju ka ndodhur nj\u00eb komplikacion pas operator, q\u00eb n\u00eb gjuh\u00ebn mjek\u00ebsore njihet si hipotireoz\u00eb (pamjaftueshmeri e tiroides ose munges\u00eb e saj) dhe hypokalcemi (ulja e nivelit t\u00eb kalciumit n\u00eb gjak). Pavar\u00ebsisht diagnoz\u00ebs q\u00eb keni patur para operacionit, qoft\u00eb ky rasti m\u00eb ekstrem i nj\u00eb tiroideje t\u00eb zmadhuar me prani t\u00eb shum\u00eb nodujve, po ashtu \u00e7do lloj tjet\u00ebr i s\u00ebmundjes s\u00eb tiroides, nuk e justifikojn\u00eb r\u00ebndimin klinik q\u00eb ju keni momentalisht. Th\u00ebn\u00eb shkurt, edhe n\u00eb rastet kur koleg\u00ebt kirurg\u00eb jan\u00eb t\u00eb detyruar t\u00eb heqin t\u00eb gjith\u00eb tiroiden p\u00ebr shkak t\u00eb nj\u00eb s\u00ebmundjeje t\u00eb r\u00ebnd\u00eb, \u00ebsht\u00eb e pritshme q\u00eb pas operacionit t\u00eb kemi nj\u00eb difi\u00e7it thuajse t\u00eb plot\u00eb t\u00eb hormoneve t\u00eb tiroides. Situata t\u00eb tilla klinike ndodhin shpesh, por korrigjohen shum\u00eb shpejt me fillimin e dh\u00ebnies s\u00eb mjekimit me hormone t\u00eb tiroides nga jasht\u00eb, n\u00eb form\u00eb barnash. Po n\u00eb k\u00ebt\u00eb aspekt gjen shpjegim fakti se p\u00ebrse ju jeni sh\u00ebndoshur koh\u00ebt e fundit. Medoemos duhet t\u00eb ishte filluar mjekimi direkt pas operacionit. Do t\u00eb doja t\u00eb ndalja te t\u00eb gjitha shqet\u00ebsimet e tjera p\u00ebrve\u00e7 mbipesh\u00ebs, n\u00eb nj\u00eb kategori tjet\u00ebr simptomash q\u00eb nuk kan\u00eb lidhje me heqjen e tiroides, por jan\u00eb t\u00eb lidhura me heqjen e paratiroides.<\/p>\n<p>&#8211; Paratioridja (jan\u00eb kat\u00ebr t\u00eb tilla n\u00eb organiz\u00ebm) \u00ebsht\u00eb gj\u00ebndra p\u00ebrgjegj\u00ebse p\u00ebr mbajtjen n\u00eb norm\u00eb t\u00eb niveleve t\u00eb kalciumit n\u00eb gjak. N\u00ebse aksidentalisht, kirurgu i heq t\u00eb kat\u00ebr k\u00ebto gjendra, pas operacionit i s\u00ebmuri (si n\u00eb rastin tuaj) do t\u00eb vuaj\u00eb pasojat, konkretisht, uljen e nivelit t\u00eb kalciumit n\u00eb gjak. P\u00ebr momentin q\u00eb flasim do t\u2019ju k\u00ebshilloja t\u00eb rivendosnit mund\u00ebsin\u00eb e trajtimit me mjekun endokrinolog i cili do t\u00eb p\u00ebrcaktoj\u00eb sakt\u00ebsisht llojin e barit dhe doz\u00ebn p\u00ebrkat\u00ebse, n\u00eb m\u00ebnyr\u00eb q\u00eb defi\u00e7itet e shkaktuara nga operacioni t\u00eb korrigjohen sa m\u00eb shpejt. Vlen t\u00eb p\u00ebrmendet fakti q\u00eb z\u00ebvend\u00ebsimi dhe rikthimi i niveleve t\u00eb kalciumit n\u00eb organiz\u00ebm nuk k\u00ebrkon vet\u00ebm marrjen e kalciumit t\u00eb past\u00ebr, por duhet gjithashtu t\u00eb shoq\u00ebrohet edhe me marrjen e vitamin\u00ebs D, n\u00eb m\u00ebnyr\u00eb t\u00eb vazhdueshme. Duke p\u00ebrfunduar, dua t\u2019i rikthehem edhe nj\u00ebher\u00eb r\u00ebnd\u00ebsis\u00eb q\u00eb ka p\u00ebr ju marrja e rregullt e gjith\u00eb barnave, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb kemi nj\u00eb jet\u00eb t\u00eb sh\u00ebndetshme dhe t\u00eb mos p\u00ebrjetoni komplikacionet e munges\u00ebs s\u00eb k\u00ebtyre dy hormoneve. Mosmarrja si duhet e k\u00ebtyre barnave jua rrezikon seriozisht jet\u00ebn dhe nga ana tjet\u00ebr, mund t\u00eb rip\u00ebrs\u00ebris\u00eb s\u00ebmundjen e tiroides si\u00e7 ishte para se ju t\u00eb operoheshit dhe m\u00eb keq akoma. T\u00eb shkuara.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &#8211; P\u00ebrsh\u00ebndetje doktor Dashamiri. Jam Af\u00ebrdita, 35 vje\u00e7e, nga La\u00e7i. Kam operuar gj\u00ebndr\u00ebn tiroide para kat\u00ebr muajsh n\u00eb Tiran\u00eb dhe pas operacionit, n\u00eb vend q\u00eb t\u00eb p\u00ebrmir\u00ebsohesha, gjendja ime \u00ebsht\u00eb p\u00ebrkeq\u00ebsuar m\u00eb shum\u00eb. Kam shtuar n\u00eb pesh\u00eb mbi 20 kilogram\u00eb, kam shum\u00eb dob\u00ebsi e lodhje, m\u00eb bie si gjendje t\u00eb fik\u00ebti disa her\u00eb gjat\u00eb [&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-11959","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\/11959","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=11959"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/11959\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=11959"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=11959"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=11959"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}