{"id":12457,"date":"2016-03-18T11:30:29","date_gmt":"2016-03-18T10:30:29","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=12457"},"modified":"2016-03-17T12:26:36","modified_gmt":"2016-03-17T11:26:36","slug":"vuaj-nga-psoriaza","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2016\/03\/vuaj-nga-psoriaza\/","title":{"rendered":"Vuaj nga psoriaza"},"content":{"rendered":"

– Kam psoriazi vulgaris n\u00eb kok\u00eb dhe n\u00eb shpin\u00eb, prej nj\u00eb viti tashm\u00eb. Kam b\u00ebr\u00eb shum\u00eb vizita dhe kam marr\u00eb edhe mjekime, por asnj\u00eb nuk ka qen\u00eb e suksesshme gjer tani. A ka ndonj\u00eb ila\u00e7 tjet\u00ebr si mund t\u00eb hiqet, se kam frik\u00eb se do t\u00eb m\u00eb p\u00ebrhapet n\u00eb gjith\u00eb trupin?<\/strong><\/p>\n

Dr. Albana Lufi, Ph.D n\u00eb Dermatologji:<\/u><\/em><\/strong> – Psoriasis vulgaris \u00ebsht\u00eb nj\u00eb s\u00ebmundje kronike, inflamatore, jo infektive, mjaft e p\u00ebrhapur. \u00cbsht\u00eb nj\u00eb s\u00ebmundje autoimune dhe p\u00ebr shfaqjen e saj ndikojn\u00eb jo vet\u00ebm faktor\u00ebt gjenetik\u00eb, por edhe faktor\u00eb t\u00eb tjer\u00eb si: Infeksioni. P\u00ebr shembull, infeksionet streptokoksike t\u00eb hapsir\u00ebs s\u00eb goj\u00ebs dhe t\u00eb rrug\u00ebve t\u00eb sip\u00ebrme respiratore (tonsilet, faringitet). Medikamentet: provokimi ose keq\u00ebsimi i nj\u00eb psoriazisi mund t\u00eb vij\u00eb nga p\u00ebrdorimi i nj\u00eb s\u00ebr\u00eb medikamentesh, p\u00ebr shembull, kortikosteroidet, antiinflamtoret josteriode, betabllokuesit, faktor\u00ebt endokrin\u00eb. Pikat kulmore t\u00eb s\u00ebmundjes jan\u00eb puberteti dhe menopauza. Ajo ka tendenc\u00eb t\u00eb p\u00ebrmir\u00ebsohet gjat\u00eb shtatzanis\u00eb, por jo n\u00eb t\u00eb gjitha rastet. Dieta \u00ebsht\u00eb gjithashtu nj\u00eb shkaktar. Mendohet se s\u00ebmundjen mund ta r\u00ebndoj\u00eb edhe alkooli, hypokalcemia, streset dhe rrezet e diellit (n\u00eb p\u00ebrgjith\u00ebsi, rrezet kan\u00eb veprim t\u00eb mir\u00eb n\u00eb p\u00ebrmir\u00ebsimin e s\u00ebmundjes, por rrezatimi i fort\u00eb diellor \u00e7on n\u00eb acarimin e saj). Psoriazisi paraqitet me lezione erythemo-papuloze. N\u00eb fillim lind nj\u00eb njoll\u00eb e vog\u00ebl me ngjyr\u00eb t\u00eb kuqe me kufij t\u00eb prer\u00eb q\u00eb shpejt mbulohet me skuama t\u00eb bardha. Psoriazisi mund t\u00eb prek\u00eb pjes\u00eb t\u00eb ndryshme t\u00eb trupit (b\u00ebrrylat dhe gjunj\u00ebt jan\u00eb vendet m\u00eb t\u00eb zakonshme); kok\u00ebn n\u00eb kufirin midis ballit dhe flok\u00ebve dhe pjes\u00ebt an\u00ebsore t\u00eb kok\u00ebs; n\u00eb palat e l\u00ebkur\u00ebs, n\u00eb p\u00ebll\u00ebmb\u00ebt e duarve dhe n\u00eb shojet e k\u00ebmb\u00ebve; gjithashtu, psoriazisi prek edhe thonjt\u00eb. Mjekimi i psoriazisit \u00ebsht\u00eb lokal dhe sistemik, si\u00e7 \u00ebsht\u00eb terapia lokale.<\/p>\n

– Pacient\u00ebt me psoriazis duhet t\u00eb p\u00ebrdorin \u00e7do dit\u00eb nj\u00eb emolient (krem zbut\u00ebs) i cili ndihmon hidratimin e l\u00ebkur\u00ebs duke parandaluar plasaritjen dhe gjithashtu, ndihmon n\u00eb pak\u00ebsimin e kruarjes. Trajtimi fillestar \u00ebsht\u00eb pastrimi i pllakave psoriatike nga skuamat. Pra, p\u00ebrdoret acid salicilik 5 % q\u00eb redukton sasin\u00eb e skuamave duke leht\u00ebsuar dep\u00ebrtimin e terapis\u00eb s\u00eb m\u00ebtejshme. Kortikosteroid\u00ebt lokal\u00eb t\u00eb cil\u00ebt nuk duhet t\u00eb p\u00ebrdoren rregullisht m\u00eb shum\u00eb se 4 jav\u00eb. Analoge t\u00eb vitamin\u00ebs D3 normalizojn\u00eb proliferimin jonormal t\u00eb keratinociteve. Terapia sistemike: Fototerapia (me rreze ultraviolet). Fotokimioterapia (PUVA). Kombinim i rrezeve ultraviolet me fotosensibilizues. Citostatiket: Metotrexati \u00ebsht\u00eb m\u00eb i p\u00ebrdorshmi n\u00eb trajtimin e formave t\u00eb r\u00ebnda t\u00eb psoriazit. Retinoidet sistemike Tigason, Neotigason. Ka efekt gjithashtu teratogeni, por nuk p\u00ebrdoret te grat\u00eb shtatz\u00ebna ose tek ato q\u00eb kan\u00eb parashikuar shtatzanin\u00eb. Terapia sistemike p\u00ebrdoret n\u00eb format kur psoriazisi prek sip\u00ebrfaqe t\u00eb m\u00ebdha t\u00eb trupit dhe n\u00ebse e lejon gjendja e organizmit, pra, n\u00ebse ekzaminimet laboratorike specifike jan\u00eb normale.<\/p>\n","protected":false},"excerpt":{"rendered":"

– Kam psoriazi vulgaris n\u00eb kok\u00eb dhe n\u00eb shpin\u00eb, prej nj\u00eb viti tashm\u00eb. Kam b\u00ebr\u00eb shum\u00eb vizita dhe kam marr\u00eb edhe mjekime, por asnj\u00eb nuk ka qen\u00eb e suksesshme gjer tani. A ka ndonj\u00eb ila\u00e7 tjet\u00ebr si mund t\u00eb hiqet, se kam frik\u00eb se do t\u00eb m\u00eb p\u00ebrhapet n\u00eb gjith\u00eb trupin? Dr. Albana Lufi, Ph.D […]<\/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-12457","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\/12457","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=12457"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/12457\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=12457"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=12457"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=12457"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}