{"id":12790,"date":"2016-04-20T13:30:10","date_gmt":"2016-04-20T11:30:10","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=12790"},"modified":"2016-04-20T12:48:33","modified_gmt":"2016-04-20T10:48:33","slug":"mjeket-me-kane-thene-te-heq-tiroiden-2","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2016\/04\/mjeket-me-kane-thene-te-heq-tiroiden-2\/","title":{"rendered":"Mjek\u00ebt m\u00eb kan\u00eb th\u00ebn\u00eb t\u00eb heq tiroiden"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><strong><em>&#8211; Jam Elona, 32 vje\u00e7e, nga Tirana. Prej tre vjet\u00ebsh vuaj nga s\u00ebmundja e tiroides. Doktor\u00ebt m\u00eb thon\u00eb se \u00ebsht\u00eb s\u00ebmundja e Bazedovit dhe m\u00eb kan\u00eb rekomanduar t\u00eb marr nj\u00eb mjekim p\u00ebrfundimtar me jod radioaktiv ose me operacion. Problemi \u00ebsht\u00eb se un\u00eb kam nj\u00eb f\u00ebmij\u00eb t\u00eb vog\u00ebl 1 vje\u00e7, ndaj i kam shtyr\u00eb k\u00ebto procedura, por gjendja ime vazhdon t\u00eb jet\u00eb jo e mir\u00eb. \u00c7far\u00eb m\u00eb sugjeroni ju momentalisht? <\/em><\/strong><\/p>\n<p><strong><em><u>Dr. Dashamir Gjergji endokrinolog-diabetolog:<\/u><\/em><\/strong> &#8211; E nderuar Elona, duke ju fal\u00ebnderuar p\u00ebr pyetjen tuaj interesante, doja t\u2019ju vija n\u00eb pah faktin se s\u00ebmundja e Bazedovit \u00ebsht\u00eb nj\u00eb s\u00ebmundje jo e rrall\u00eb e gj\u00ebndr\u00ebs tiroide, n\u00eb baz\u00eb t\u00eb s\u00eb cil\u00ebs q\u00ebndron vet\u00ebshkat\u00ebrrimi i gj\u00ebndr\u00ebs tiroide nga sistemi imunitar i personit q\u00eb e mbart s\u00ebmundjen. Kjo njihet ndryshe si s\u00ebmundje autoimune, pra, s\u00ebmundje q\u00eb vjen nga probleme t\u00eb mbrojtjes imunitare. Duke vazhduar sqarimin p\u00ebr k\u00ebt\u00eb s\u00ebmundje, ju informoj se her\u00ebt a von\u00eb ajo \u00e7on n\u00eb prishje t\u00eb funksionit t\u00eb gj\u00ebndr\u00ebs tiroide q\u00eb me pak fjal\u00eb, do t\u00eb thot\u00eb se tiroidja kalon n\u00eb nj\u00eb gjendje tjet\u00ebr prodhimtarie dhe kryesisht, n\u00eb shtim t\u00eb prodhimit t\u00eb hormoneve t\u00eb saj ose si\u00e7 quhet n\u00eb gjuh\u00ebn mjek\u00ebsore, hipertireoz\u00eb. Meqen\u00ebse \u00ebsht\u00eb s\u00ebmundje q\u00eb prek moshat e reja, edhe kujdesi duhet t\u00eb jet\u00eb m\u00eb i madh, n\u00eb aspektin q\u00eb duhet t\u00eb nd\u00ebrhyhet shpejt me barna, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb mos kemi r\u00ebndim t\u00eb k\u00ebsaj s\u00ebmundjeje dhe shfaqjen e disa komplikacioneve t\u00eb saj. Nuk po ndalem te shenjat klinike t\u00eb s\u00ebmundjes, por duke i dh\u00ebn\u00eb shpjegim pjes\u00ebs s\u00eb dyt\u00eb t\u00eb pyetjes tuaj, pra, n\u00ebse do ishte m\u00eb mir\u00eb t\u00eb bombardohej me jod apo t\u00eb operohet, do t\u00eb thoja q\u00eb vendimmarrja i takon mjekut q\u00eb ju ndjek. Gjykimi rreth terapis\u00eb p\u00ebrfundimtare do t\u00eb varej nga shum\u00eb faktor\u00eb, nga gjendja e p\u00ebrgjithshme, nga d\u00ebmtimet e syve dhe nga s\u00ebmundje t\u00eb tjera bashk\u00ebshoq\u00ebruese apo jo.<\/p>\n<p>&#8211; Parimisht, kjo s\u00ebmundje nuk preferohet t\u00eb bombardohet me jod radioaktiv p\u00ebr shkak se marrja e jodit mund t\u00eb \u00e7oj\u00eb n\u00eb r\u00ebndim t\u00eb problemeve t\u00eb syve dhe kjo do t\u00eb sillte p\u00ebr pasoj\u00eb nj\u00eb s\u00ebmundje t\u00eb dyt\u00eb m\u00eb t\u00eb r\u00ebnd\u00eb se e para. Nj\u00ebkoh\u00ebsisht trajtimi me jod radioaktiv do t\u00eb sillte shkat\u00ebrrim p\u00ebrfundimtar t\u00eb tiroides p\u00ebr arsye se tiroidja e s\u00ebmur\u00eb me k\u00ebt\u00eb s\u00ebmundje \u201cmezi pret\u201d t\u00eb thith\u00eb \u00e7do lloj jodi q\u00eb vjen nga jasht\u00eb, qoft\u00eb ky \u201ci mir\u00eb apo i keq\u201d. Personalisht, nd\u00ebrhyrjen kirurgjikale do ta konsideroja nj\u00eb zgjidhje m\u00eb racionale t\u00eb rastit tuaj. Gjithsesi, n\u00ebse do t\u00eb kisha nj\u00eb panoram\u00eb m\u00eb t\u00eb qart\u00eb t\u00eb analizave dhe t\u00eb ekzaminimeve t\u00eb tjera, do ta kisha m\u00eb t\u00eb leht\u00eb p\u00ebr t\u00eb vler\u00ebsuar gjendjen tuaj funksionale t\u00eb tiroides n\u00eb k\u00ebt\u00eb moment. Vet\u00ebm kur t\u00eb sigurohemi q\u00eb tiroidja \u00ebsht\u00eb me funksion normal (sigurisht q\u00eb ju po mjekoheni me barna p\u00ebr t\u00eb normalizuar funksionin e shtuar) vet\u00ebm at\u00ebher\u00eb mund t\u00eb vazhdoni m\u00eb tej p\u00ebr zgjidhjen p\u00ebrfundimtare n\u00eb heqjen totale t\u00eb gj\u00ebndr\u00ebs tiroide. T\u00eb shkuara.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &#8211; Jam Elona, 32 vje\u00e7e, nga Tirana. Prej tre vjet\u00ebsh vuaj nga s\u00ebmundja e tiroides. Doktor\u00ebt m\u00eb thon\u00eb se \u00ebsht\u00eb s\u00ebmundja e Bazedovit dhe m\u00eb kan\u00eb rekomanduar t\u00eb marr nj\u00eb mjekim p\u00ebrfundimtar me jod radioaktiv ose me operacion. Problemi \u00ebsht\u00eb se un\u00eb kam nj\u00eb f\u00ebmij\u00eb t\u00eb vog\u00ebl 1 vje\u00e7, ndaj i kam shtyr\u00eb k\u00ebto [&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-12790","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\/12790","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=12790"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/12790\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=12790"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=12790"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=12790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}