{"id":21365,"date":"2019-03-06T17:00:41","date_gmt":"2019-03-06T16:00:41","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=21365"},"modified":"2019-03-06T13:32:53","modified_gmt":"2019-03-06T12:32:53","slug":"%ef%bb%bfceshte-semundja-e-prostates","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2019\/03\/%ef%bb%bfceshte-semundja-e-prostates\/","title":{"rendered":"\ufeff\u00c7\u2019\u00ebsht\u00eb s\u00ebmundja e prostat\u00ebs?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>&#8211; Doktor Evi! A mund t\u00eb m\u00eb shpjegoni \u00e7far\u00eb \u00ebsht\u00eb s\u00ebmundja e prostat\u00ebs dhe pik\u00ebrisht, hipertrofia beninje? Nj\u00eb 50 vje\u00e7ar.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dr. Evi Dani, seksolog-androlog, Poliklinika Qendrore, 0682213329:-  &#8211; <\/strong>Organet riprodhuese t\u00eb mashkullit p\u00ebrb\u00ebhen nga testet, penisi, vezika seminale dhe prostata. Prostata \u00ebsht\u00eb nj\u00eb gjend\u00ebrr q\u00eb ndodhet direkt n\u00ebn vezik\u00ebn urinare e q\u00eb ka si funksion kryesor formimin e l\u00ebngut spermatik. \u00cbsht\u00eb nj\u00eb gjend\u00ebrr q\u00eb shum\u00eb vet\u00eb nuk e dallojn\u00eb sepse ajo nuk duket, nuk preket me dor\u00eb, por as nuk shikohet. Ka nj\u00eb volum af\u00ebrsisht 30 ml. dhe ka, pak a shum\u00eb, form\u00ebn e nj\u00eb g\u00ebshtenje. Kjo gjend\u00ebrr mund t\u00eb d\u00ebmtohet dhe t\u00eb p\u00ebsoj\u00eb patologji t\u00eb ndryshme, por ato m\u00eb t\u00eb shpeshtat jan\u00eb infeksioni e kanceri i prostat\u00ebs dhe ajo q\u00eb quhet hipertrofi beninje e prostat\u00ebs. N\u00eb shqip, kjo do t\u00eb thot\u00eb, zmadhimi i mir\u00eb i prostat\u00ebs. Do ta quajm\u00eb t\u00eb till\u00eb, p\u00ebr arsye se kemi edhe zmadhim t\u00eb keq t\u00eb saj, n\u00eb rastet e kancerit t\u00eb prostat\u00ebs. Hipertrofia beninje e prostat\u00ebs \u00ebsht\u00eb nj\u00eb patologji e hasur shpesh n\u00eb moshat 40 vje\u00e7are. Me rritjen e mosh\u00ebs, rritet edhe mund\u00ebsia p\u00ebr zmadhimin e saj. Ky zmadhim vjen n\u00eb m\u00ebnyr\u00eb t\u00eb heshtur dhe pacienti nuk ndjen absolutisht asnj\u00eb dhimbje. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Zmadhimi i prostat\u00ebs ndahet\nnga ana klinike n\u00eb tre grad\u00eb: Shenja e par\u00eb e hipertrofis\u00eb s\u00eb prostat\u00ebs \u00ebsht\u00eb\nulja e currilit t\u00eb urin\u00ebs. Mashkulli, ndoshta edhe pa e kuptuar, urinon diku\naty af\u00ebr, derisa arrin n\u00eb nj\u00eb faz\u00eb q\u00eb quhet me nj\u00eb shprehje kuptimplot\u00eb: \u201cSimptoma\ne lagies s\u00eb k\u00ebpuc\u00ebve\u201d. Faza e dyt\u00eb, e cila vjen sigurisht gradualisht, \u00ebsht\u00eb\nkur pacienti fillon ta shtoj\u00eb urinimin nat\u00ebn. Ai shkon shpesh n\u00eb banj\u00eb t\u00eb\nurinoj\u00eb, por nuk e zbraz t\u00ebr\u00ebsisht qesen e urin\u00ebs. N\u00eb t\u00eb ngelet gjithmon\u00eb nj\u00eb\nsasi e konsiderueshme urine, mbi 100 cc. P\u00ebrve\u00e7 k\u00ebsaj, ai fillon t\u00eb ket\u00eb edhe\nshqet\u00ebsime t\u00eb tjera, diegie, infeksione t\u00eb shpeshta urinare, urinim t\u00eb shpesht\u00eb\ndit\u00eb e nat\u00eb. K\u00ebshtu, vjen faza e tret\u00eb kur pacienti bllokohet dhe nuk arrin t\u00eb\nurinoj\u00eb. Urina e sekretuar nga veshkat mbush qesk\u00ebn e urin\u00ebs, gj\u00eb q\u00eb \u00e7on n\u00eb\nbllokimin e kanalit t\u00eb urin\u00ebs dhe barku fillon t\u00eb rritet. Pacienti \u00ebsht\u00eb i\ndetyruar t\u00eb shkoj\u00eb n\u00eb spital n\u00eb m\u00ebnyr\u00eb urgjente dhe atje, n\u00ebp\u00ebrmjet kateterit,\nzbrazet urina nga vezika urinare. Si\u00e7 e thash\u00eb m\u00eb lart, ky proces vjen n\u00eb\nm\u00ebnyr\u00eb t\u00eb heshtur, me muaj ose vite. N\u00eb k\u00ebt\u00eb rast, shkak kryesor \u00ebsht\u00eb rritja e\nvolumit t\u00eb prostat\u00ebs dhe, p\u00ebr pasoj\u00eb, d\u00ebmtimi i sfinkerave t\u00eb vezik\u00ebs urinare. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Mjekimi jepet gjithmon\u00eb n\u00eb\nbaz\u00eb t\u00eb gjendjes dhe stadit t\u00eb s\u00ebmundjes. Fillimisht, pacienti, n\u00eb stadin e\npar\u00eb, n\u00eb momentin kur fillon t\u00eb kuptoj\u00eb currilin e urin\u00ebs, duhet t\u00eb paraqitet\nte nj\u00eb mjek urolog, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb b\u00ebj\u00eb ekzaminimin dhe nj\u00eb ekografi t\u00eb\ndomosdoshme p\u00ebr t\u00eb p\u00ebrcaktuar gjendjen e tij. Mjekimi b\u00ebhet fillimisht me ila\u00e7e\nnga goja. Tashm\u00eb, k\u00ebto preparate jan\u00eb t\u00eb shumta dhe veprojn\u00eb n\u00eb sfinkerin e\nurin\u00ebs dhe n\u00eb indin e prostat\u00ebs, duke rregulluar urinimin apo duke vepruar vet\u00eb\nn\u00eb zmadhimin e saj. N\u00ebp\u00ebrmjet ekos, kuptojm\u00eb q\u00eb nj\u00eb volum mbi 30 mililitra ka\nfilluar. Mjekimi i sot\u00ebm me ila\u00e7et q\u00eb thash\u00eb m\u00eb lart \u00ebsht\u00eb nj\u00eb sukses i atij\nkoeficienti t\u00eb madh meshkujsh q\u00eb kan\u00eb fillimet e hipertrofis\u00eb s\u00eb prostat\u00ebs.\nIla\u00e7et jan\u00eb t\u00eb shumta dhe me efekt t\u00eb mir\u00eb e t\u00eb lart\u00eb. Gjendja komplikohet n\u00eb\nqoft\u00eb se pacienti nuk do t\u00eb mjekohet pran\u00eb mjekut dhe mund t\u00eb shkoj\u00eb deri n\u00eb\nnd\u00ebrhyrjen kirurgjikale, n\u00eb stadin e tret\u00eb t\u00eb s\u00ebmundjes. Kirurgjia konsiston n\u00eb\nnd\u00ebrhyrjen n\u00eb prostat\u00eb dhe rregullimin e pasojave q\u00eb sjell vet\u00eb zmadhimi i saj.\nPo ta marr\u00eb mjekimin q\u00eb n\u00eb stadin e par\u00eb apo t\u00eb dyt\u00eb, pacienti nuk \u00ebsht\u00eb i\ndetyruar t\u00eb shkoj\u00eb deri n\u00eb operacion. Operacioni mund t\u00eb jet\u00eb e vetmja rrug\u00eb\nmjekimi, n\u00eb qoft\u00eb se nuk mjekohet at\u00ebhere kur duhet.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; Doktor Evi! A mund t\u00eb m\u00eb shpjegoni \u00e7far\u00eb \u00ebsht\u00eb s\u00ebmundja e prostat\u00ebs dhe pik\u00ebrisht, hipertrofia beninje? Nj\u00eb 50 vje\u00e7ar. Dr. Evi Dani, seksolog-androlog, Poliklinika Qendrore, 0682213329:- &#8211; Organet riprodhuese t\u00eb mashkullit p\u00ebrb\u00ebhen nga testet, penisi, vezika seminale dhe prostata. Prostata \u00ebsht\u00eb nj\u00eb gjend\u00ebrr q\u00eb ndodhet direkt n\u00ebn vezik\u00ebn urinare e q\u00eb ka si funksion [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":21275,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[1058],"class_list":["post-21365","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeku","tag-mjeku"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/21365","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=21365"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/21365\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/21275"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=21365"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=21365"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=21365"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}