{"id":13095,"date":"2016-05-26T17:30:58","date_gmt":"2016-05-26T15:30:58","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=13095"},"modified":"2016-05-26T12:48:43","modified_gmt":"2016-05-26T10:48:43","slug":"a-merret-metformina-kur-je-mbi-70-vjec","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2016\/05\/a-merret-metformina-kur-je-mbi-70-vjec\/","title":{"rendered":"A merret Metformina kur je mbi 70 vje\u00e7?"},"content":{"rendered":"<p>&#8211; Doktor Dashamiri, interesohem p\u00ebr maman\u00eb time 75 vje\u00e7e e cila vuan nga diabeti i sheqerit dhe ka rreth 8 vjet q\u00eb merr nj\u00eb bar q\u00eb ka brenda Metformine dhe di\u00e7ka tjet\u00ebr 50\/80 mg, me konsult\u00ebn e mjekut t\u00eb familjes. Mua m\u00eb kan\u00eb th\u00ebn\u00eb se nuk duhet ta marr\u00eb m\u00eb k\u00ebt\u00eb bar p\u00ebr shkak t\u00eb mosh\u00ebs. Ju pyes ju, a \u00ebsht\u00eb i gjykuar profesionalisht korrekt ky q\u00ebndrim?<br \/>\nDr. Dashamir Gjergji endokrinolog-diabetolog: &#8211; Duke ju fal\u00ebnderuar p\u00ebr pyetjen tuaj interesante, gjej momentin t\u00eb trajtoj edhe nj\u00eb problematik\u00eb e cila ka dekada q\u00eb haset r\u00ebndom n\u00ebp\u00ebr ambientet mjek\u00ebsore: A duhet apo jo t\u00eb marrin mjekim me disa lloj barnash (si\u00e7 \u00ebsht\u00eb edhe bari Metfotmine) t\u00eb s\u00ebmur\u00ebt me diabet q\u00eb jan\u00eb mbi 70 vje\u00e7? Dh\u00ebnia e nj\u00eb bari jo vet\u00ebm n\u00eb kushtet e mjek\u00ebsis\u00eb son\u00eb, por n\u00eb t\u00eb gjith\u00eb bot\u00ebn, bazohet mbi disa protokolle t\u00eb caktuara q\u00eb hartohen p\u00ebrgjith\u00ebsisht nga ekspert\u00eb. Shpeshher\u00eb mund t\u2019i konsiderojm\u00eb thjesht si guida apo si instruksione, por jo gjithmon\u00eb ato reflektojn\u00eb situatat individuale p\u00ebr secilin pacient n\u00eb ve\u00e7anti. Personalisht, mendoj se mosha \u00ebsht\u00eb nj\u00eb kriter shum\u00eb i r\u00ebnd\u00ebsish\u00ebm kur konceptojm\u00eb nj\u00eb formul\u00eb mjekimi, por akoma m\u00eb e r\u00ebnd\u00ebsishme \u00ebsht\u00eb gjendja sh\u00ebndet\u00ebsore e t\u00eb s\u00ebmurit. Na rastis n\u00eb klinik\u00eb q\u00eb t\u00eb shikojm\u00eb t\u00eb s\u00ebmur\u00eb mbi 90 vje\u00e7, q\u00eb nga bilancet e analizave t\u00eb tyre, rezultojn\u00eb n\u00eb nj\u00eb situat\u00eb klinike dhe biokimike, sikur t\u00eb ishin 20-30 vjet m\u00eb t\u00eb rinj. Po ashtu, mund t\u00eb ndodh\u00eb e kund\u00ebrta, q\u00eb t\u00eb jen\u00eb m\u00eb t\u00eb rinj n\u00eb mosh\u00eb dhe t\u00eb ken\u00eb probleme serioze n\u00eb analizat e tyre.<br \/>\nMjek\u00ebsia \u00ebsht\u00eb e vjet\u00ebr sa vet\u00eb njer\u00ebzimi. Po ashtu, evolucioni njer\u00ebzor ka kaluar shum\u00eb hallka dhe marr\u00ebveshje profesionale mbi teknologji t\u00eb caktuara, mbi barna dhe formula trajtimi t\u00eb caktuara, por ajo q\u00eb ka mbetur dhe do t\u00eb mbes\u00eb unike \u00ebsht\u00eb qasja individuale p\u00ebr secilin pacient. \u00c7do individ i s\u00ebmur\u00eb paraqet nj\u00eb gjendje t\u00eb caktuar klinike, emocionale e kohore, duke pasqyruar nj\u00eb apo disa problematika t\u00eb tij. Sado t\u00eb tentojm\u00eb ta njehsojm\u00eb k\u00ebt\u00eb me t\u00eb tjer\u00eb, ai do t\u00eb mbetet thjesht i s\u00ebmur\u00eb specifik dhe k\u00ebrkon n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb nj\u00eb qasje specifike p\u00ebr ta trajtuar, mjekuar dhe ndjekur m\u00eb tej. Par\u00eb n\u00eb k\u00ebt\u00eb aspekt, kufizimi i mosh\u00ebs do t\u00eb kishte logjik\u00eb n\u00eb qoft\u00eb se i s\u00ebmuri do t\u00eb paraqiste problematika t\u00eb tilla q\u00eb do t\u00eb p\u00ebrb\u00ebnin penges\u00eb p\u00ebr dh\u00ebnien e nj\u00eb bari, si\u00e7 \u00ebsht\u00eb edhe rasti i mamas\u00eb suaj. Por, n\u00ebse gjendja e p\u00ebrgjithshme, niveli funksional i veshkave (p\u00ebrgjegj\u00ebs p\u00ebr eleminimin e barnave), i m\u00ebl\u00e7is\u00eb, ekuilibri normal acido-bazik do ta lejonte q\u00eb marrja e barit t\u00eb vazhdonte dhe m\u00eb tej, po t\u00eb paraqiste problem, at\u00ebher\u00eb do t\u00eb binim dakord me nd\u00ebrprerjen e k\u00ebtij bari. Si p\u00ebrfundim, duhet t\u00eb b\u00ebni nj\u00eb konsult\u00eb m\u00eb t\u00eb specializuar me nj\u00eb mjek specialist endokrinolog. Shpresoj t\u2019ju kem ardhur n\u00eb ndihm\u00eb sadopak. T\u00eb shkuara. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; Doktor Dashamiri, interesohem p\u00ebr maman\u00eb time 75 vje\u00e7e e cila vuan nga diabeti i sheqerit dhe ka rreth 8 vjet q\u00eb merr nj\u00eb bar q\u00eb ka brenda Metformine dhe di\u00e7ka tjet\u00ebr 50\/80 mg, me konsult\u00ebn e mjekut t\u00eb familjes. Mua m\u00eb kan\u00eb th\u00ebn\u00eb se nuk duhet ta marr\u00eb m\u00eb k\u00ebt\u00eb bar p\u00ebr shkak t\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-13095","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\/13095","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=13095"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/13095\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=13095"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=13095"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=13095"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}