{"id":12072,"date":"2016-02-15T17:30:28","date_gmt":"2016-02-15T16:30:28","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=12072"},"modified":"2016-02-15T12:16:23","modified_gmt":"2016-02-15T11:16:23","slug":"ta-marr-ilacin-e-diabetit","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2016\/02\/ta-marr-ilacin-e-diabetit\/","title":{"rendered":"Ta marr ila\u00e7in e diabetit?"},"content":{"rendered":"<p><strong>&#8211; Jam Artani, 49 vje\u00e7, nga Elbasani, 105 kilogram\u00eb, me nj\u00eb gjat\u00ebsi rreth 170 centimetra. P\u00ebr shkak t\u00eb mbipesh\u00ebs m\u00eb sugjeruan q\u00eb t\u00eb kryeja nj\u00eb bilanc hormonal lidhur me \u00e7rregullimet hormonale t\u00eb tiroides dhe diabetit. Nga bilanci i kryer m\u00eb kan\u00eb dal\u00eb keq vet\u00ebm yndyrnat dhe vitamina D. \u00c7udit\u00ebrisht, mjeku q\u00eb m\u00eb konsultoi, edhe pse nuk isha me diabet, m\u00eb ka rekomanduar t\u00eb marr nj\u00eb bar me emrin Metformine. Ju lutem, doktor, m\u00eb ktheni nj\u00eb p\u00ebrgjigje se \u00e7far\u00eb duhet t\u00eb b\u00ebj&#8230;<\/strong><\/p>\n<p><strong><em><u>Dr. Dashamir Gjergji endokrinolog-diabetolog: <\/u><\/em><\/strong>&#8211; I nderuar Artan, ju fal\u00ebnderoj p\u00ebr pyetjen dhe m\u00ebnyr\u00ebn e trajtimit t\u00eb problemit tuaj, sikur t\u00eb jeni mjek i v\u00ebrtet\u00eb. Q\u00eb n\u00eb fillim t\u00eb p\u00ebrgjigjes sime doja t\u2019ju informoja q\u00eb niveli i lart\u00eb i yndyrnave, i shoq\u00ebruar me nivelin e ul\u00ebt t\u00eb vitamin\u00ebs D, jan\u00eb dy problematika sh\u00ebndet\u00ebsore tep\u00ebr t\u00eb zakonshme te njer\u00ebzit mbipesh\u00eb dhe obez\u00eb si\u00e7 jeni ju. Pesha 105 kilogram\u00eb p\u00ebr nj\u00eb gjat\u00ebsi 170 centimetra korrespondon me tregues t\u00eb mas\u00ebs trupore t\u00eb barabart\u00eb me 34, pra, BMI 34, \u00e7ka ju klasifikon si obez i grad\u00ebs s\u00eb mesme n\u00eb t\u00eb r\u00ebnd\u00eb. Mjafton thjesht mbipesha q\u00eb her\u00ebt a von\u00eb n\u00eb organiz\u00ebm t\u00eb fillojn\u00eb t\u00eb shfaqen problematika t\u00eb t\u00eb gjitha llojeve dhe t\u00eb t\u00eb gjitha sistemeve fiziologjike t\u00eb organizmit. Kryesisht, \u00e7rregullime m\u00eb t\u00eb p\u00ebrhapura tek individet mbi pesh\u00eb dhe obez\u00eb jan\u00eb \u00e7rregullimet metabolike q\u00eb p\u00ebrfshijn\u00eb diabetin e sheqerit, \u00e7rregullimet e yndyrnave, \u00e7rregullimet e proteinave e p\u00ebr pasoj\u00eb do kemi prekje m\u00eb t\u00eb shpesht\u00eb t\u00eb zemr\u00ebs, en\u00ebve t\u00eb gjakut, mushk\u00ebrive etj. Lidhur me nj\u00eb pjes\u00eb t\u00eb pyetjes suaj q\u00eb edhe pse niveli i sheqerit n\u00eb gjak ka rezultuar normal, kolegu e ka menduar q\u00eb t\u2019ju filloj\u00eb mjekim, mund t\u2019ju them prer\u00eb q\u00eb sot n\u00eb mbar\u00eb bot\u00ebn vrojtohen dhe po tentohet gjithmon\u00eb e m\u00eb shum\u00eb t\u00eb shkohet drejt parandalimit t\u00eb diabetit.<\/p>\n<p>&#8211; Nj\u00eb nga format e parandalimit t\u00eb diabetit \u00ebsht\u00eb edhe dh\u00ebnia e disa barnave, si\u00e7 \u00ebsht\u00eb n\u00eb rastin tuaj p\u00ebr shembull, bari Metformine. Personalisht n\u00eb praktik\u00ebn e p\u00ebrditshme mjek\u00ebsore nuk e preferoj shum\u00eb dh\u00ebnien e barnave p\u00ebr t\u00eb parandaluar sepse i m\u00ebshoj m\u00eb shum\u00eb faktit q\u00eb parandalimi m\u00eb i mir\u00eb te k\u00ebta t\u00eb s\u00ebmur\u00eb \u00ebsht\u00eb reduktimi i pesh\u00ebs. P\u00ebr t\u00eb reduktuar pesh\u00ebn ju duhet t\u00eb ndryshoni stilin tuaj t\u00eb jetes\u00ebs dhe konkretisht, duhet t\u00eb hani m\u00eb pak, t\u00eb ulni pra nivelin e kalorazhit ditor, si dhe t\u00eb shtoni aktivitetin fizik. T\u00eb pakt\u00ebn \u00e7do dit\u00eb duhet t\u00eb l\u00ebvizni 60 minuta ecje t\u00eb zakonshme ose t\u00eb shpejt\u00eb. Gradualisht, duhet t\u00eb kaloni n\u00eb sporte me ngarkes\u00eb fizike m\u00eb t\u00eb lart\u00eb, p\u00ebr shembull not, aerobi, atletik\u00eb etj. Vet\u00ebm n\u00eb rastet kur individ\u00ebt obez\u00eb e kan\u00eb t\u00eb pamundur l\u00ebvizjen p\u00ebr shkak t\u00eb s\u00ebmundjeve t\u00eb tjera, at\u00ebher\u00eb do ta merrnim n\u00eb konsiderat\u00eb fillimin e trajtimit me barna duke e vler\u00ebsuar k\u00ebt\u00eb gjendje jo si diabet i mir\u00ebfillt\u00eb, por si paradiabet. N\u00eb nj\u00eb pjes\u00eb tjet\u00ebr t\u00eb pyetjes suaj ju ngrini shqet\u00ebsimin p\u00ebr nivel t\u00eb ul\u00ebt t\u00eb vitamin\u00ebs D. Opinioni im n\u00eb lidhje me k\u00ebt\u00eb \u00e7rregullim si pjes\u00eb p\u00ebrb\u00ebr\u00ebse e obezitetit do ta konsideroja si faktorin m\u00eb shqet\u00ebsues q\u00eb ju keni momentalisht. Nivelet e ul\u00ebta t\u00eb vitamin\u00ebs D, jan\u00eb shum\u00eb t\u00eb rrezikshme jo vet\u00ebm p\u00ebr uljen e fort\u00ebsis\u00eb kockore, por mbi t\u00eb gjitha sepse nivele t\u00eb tilla mund t\u00eb shkaktojn\u00eb s\u00ebmundje t\u00eb r\u00ebnda t\u00eb zemr\u00ebs, en\u00ebve t\u00eb gjakut, si p\u00ebr shembull infarkte, tromboz\u00eb etj. Mungesa e k\u00ebsaj vitamine \u00ebsht\u00eb e lidhur ngusht\u00eb me shum\u00eb \u00e7rregullime t\u00eb imunitetit. Njer\u00ebzit q\u00eb vuajn\u00eb munges\u00ebn e vitamin\u00ebs D s\u00ebmuren m\u00eb shpesh nga gripi dhe infeksione t\u00eb tjera. Gjithashtu, r\u00ebnia e vitamin\u00ebs D n\u00eb organiz\u00ebm mund t\u00eb predispozoj\u00eb p\u00ebr s\u00ebmundje malinje dhe shum\u00eb problematika t\u00eb tjera. Trajtimi m\u00eb i mir\u00eb n\u00eb k\u00ebt\u00eb aspekt do t\u00eb ishte shtimi i ekspozimit n\u00eb diell, shtim i aktivitetit fizik dhe fillimi sa m\u00eb par\u00eb i barnave q\u00eb p\u00ebrmbajn\u00eb vitamin\u00eb D, kryesisht t\u00eb marra me pika nga goja \u00e7do dit\u00eb ose nj\u00eb her\u00eb n\u00eb jav\u00eb. Duke p\u00ebrfunduar, ju uroj sh\u00ebrim dhe r\u00ebnie t\u00eb shpejt\u00eb n\u00eb pesh\u00eb. Suksese!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; Jam Artani, 49 vje\u00e7, nga Elbasani, 105 kilogram\u00eb, me nj\u00eb gjat\u00ebsi rreth 170 centimetra. P\u00ebr shkak t\u00eb mbipesh\u00ebs m\u00eb sugjeruan q\u00eb t\u00eb kryeja nj\u00eb bilanc hormonal lidhur me \u00e7rregullimet hormonale t\u00eb tiroides dhe diabetit. Nga bilanci i kryer m\u00eb kan\u00eb dal\u00eb keq vet\u00ebm yndyrnat dhe vitamina D. \u00c7udit\u00ebrisht, mjeku q\u00eb m\u00eb konsultoi, edhe pse [&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-12072","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\/12072","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=12072"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/12072\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=12072"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=12072"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=12072"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}