{"id":2150,"date":"2014-08-08T12:02:33","date_gmt":"2014-08-08T12:02:33","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=2150"},"modified":"2014-08-08T12:02:33","modified_gmt":"2014-08-08T12:02:33","slug":"a-do-te-kem-femije","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2014\/08\/a-do-te-kem-femije\/","title":{"rendered":"A do t\u00eb kem f\u00ebmij\u00eb?"},"content":{"rendered":"<p>&#8211; P\u00ebrsh\u00ebndetje Dr. Dani! Kam kryer ekzaminimin e l\u00ebngut seminal dhe p\u00ebrgjigjet jan\u00eb si m\u00eb posht\u00eb: Dit\u00ebt pa kontakt seksual jan\u00eb kat\u00ebr. Volumi i ejakuluar ishte 3.40 ml. Pamja opaleshente. PH \u00ebsht\u00eb 8.00. L\u00ebng\u00ebzimi \u00ebsht\u00eb normal (ulet pas or\u00ebs s\u00eb par\u00eb). Fij\u00ebzimi, jo m\u00eb shum\u00eb se 3.5 cm. Nr. i spermatozoideve 75 milion\/ml. Gjall\u00ebria pas 20 minutash: 70 %. Gjall\u00ebria pas 2 or\u00ebve: 55 %. Treguesi i l\u00ebvizshm\u00ebris\u00eb: 3.50. Treguesi i gjall\u00ebris\u00eb: 36 %. Konfiguracioni normal: 85 %. Sh\u00ebnime n\u00eb mikroskop: 7-8 leukocite p\u00ebr fush\u00eb ose 7700 p\u00ebr ml. 50-60 spermatozoid\u00eb aktive t\u00eb l\u00ebvizsh\u00ebm, me gjall\u00ebri normale, pa deformime. 20-25 spermatozoide jo aktive, t\u00eb pal\u00ebvizsh\u00ebm, pa gjall\u00ebri, 2-3 spermatozoide t\u00eb rinj. Flor\u00eb bakteriale mesatare. Treguesi i fertilitetit: 35.00. Zona t\u00eb spermoaglutinimit jan\u00eb disa. Sipas jush, a jan\u00eb optimale k\u00ebto vlera q\u00eb kan\u00eb dal\u00eb? Po treguesi i fertilitetit, \u00ebsht\u00eb i sakt\u00eb? Si jan\u00eb mund\u00ebsit\u00eb e mia p\u00ebr t\u00eb pasur nj\u00eb f\u00ebmij\u00eb? Faleminderit.<br \/>\nDr. Evi Dani, seksolog-androlog: &#8211; Analiza e l\u00ebngut spermatik \u00ebsht\u00eb nj\u00eb nga analizat m\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb nj\u00eb mashkulli, p\u00ebr t\u00eb par\u00eb aft\u00ebsit\u00eb e tij fertile. Sigurisht, p\u00ebr t\u00eb studiuar dhe  p\u00ebr t\u00eb gjetur nj\u00eb shkak apo nj\u00eb problem pse mashkulli infertil nuk arrin dot t\u00eb ket\u00eb nj\u00eb f\u00ebmij\u00eb, duhen nj\u00eb s\u00ebr\u00eb analizash, vizita dhe ekzaminime, por m\u00eb e r\u00ebnd\u00ebsishmja, pa diskutim, \u00ebsht\u00eb spermograma. N\u00ebp\u00ebrmjet saj, arrijm\u00eb t\u00eb gjejm\u00eb shkaqet e pamund\u00ebsis\u00eb s\u00eb shtatzanis\u00eb te partnerja juaj dhe n\u00eb baz\u00eb t\u00eb rezultateve t\u00eb saj, vendosim \u00e7far\u00eb rruge duhet t\u00eb ndjekim p\u00ebr mjekim. Analizat e l\u00ebngut spermatik b\u00ebhen nga shum\u00eb laboratore t\u00eb p\u00ebrcaktuara sipas kritereve t\u00eb vendosura nga vet\u00eb ato. N\u00eb vitin 1982, p\u00ebr her\u00eb t\u00eb par\u00eb, u vendos nga Organizata Bot\u00ebrore e Sh\u00ebndet\u00ebsis\u00eb q\u00eb t\u00eb gjith\u00eb mjek\u00ebt e t\u00eb gjith\u00eb laborator\u00ebt t\u00eb ken\u00eb nj\u00eb m\u00ebnyr\u00eb realizimi t\u00eb k\u00ebsaj analize, pra, u vendos standardizimi i rezultateve p\u00ebr k\u00ebt\u00eb analiz\u00eb. Q\u00eb nga ajo koh\u00eb e n\u00eb vazhdim, t\u00eb gjith\u00eb laborator\u00ebt serioz\u00eb, shkencor\u00eb apo klinikat q\u00eb merren me infertilitetin, p\u00ebrdorin kriteret e Organizat\u00ebs Bot\u00ebrore t\u00eb Sh\u00ebndet\u00ebsis\u00eb, kritere k\u00ebto q\u00eb edhe ne n\u00eb klinik\u00ebn ton\u00eb, i aplikojm\u00eb prej disa vitesh.<br \/>\n&#8211; Analiza juaj e realizuar nuk e di se ku, sipas mendimit tim, ka disa gj\u00ebra t\u00eb paqarta. P\u00ebr shembull, morfologjia e spermatozoideve \u00ebsht\u00eb ai studim q\u00eb ka t\u00eb b\u00ebj\u00eb me p\u00ebrmasat e kok\u00ebs s\u00eb spermatozoidit, pjes\u00ebs s\u00eb qaf\u00ebs s\u00eb spermatozoidit apo bishtit. Madh\u00ebsia e kok\u00ebs s\u00eb spermatozoidit \u00ebsht\u00eb n\u00eb gjat\u00ebsi 5 mikron, gjer\u00ebsi 2.5-3.5 mikron, forma duhet t\u00eb jet\u00eb ovale, pjesa e akromozomit duhet t\u00eb z\u00ebr\u00eb 40 -70 % t\u00eb kok\u00ebs, qafa nuk duhet t\u00eb jet\u00eb m\u00eb shum\u00eb se 1 mikron, bishti jo m\u00eb pak se 50 mikron dhe disa holl\u00ebsi t\u00eb tjera q\u00eb p\u00ebr momentin, nuk po i them. Sipas eksperienc\u00ebs sime, duhet t\u00eb jet\u00eb normale nj\u00eb sperm\u00eb p\u00ebrsa i p\u00ebrket morfologjis\u00eb n\u00eb qoft\u00eb se 14 % e spermatozoid\u00ebve e m\u00eb shum\u00eb, jan\u00eb n\u00eb form\u00ebn normale. N\u00eb pun\u00ebn time prej gati 30 vjet\u00ebsh, nuk kam par\u00eb dhe v\u00ebshtir\u00eb t\u00eb gjesh spermatozoid\u00eb si\u00e7 i keni ju, me 85 % konfiguracion apo morfologji. N\u00eb k\u00ebt\u00eb rast, ka nj\u00eb dyshim, ndaj dua t\u00eb di \u00e7far\u00eb konsideron normal nj\u00eb person q\u00eb ka realizuar analiz\u00ebn. A i ka patur mund\u00ebsit\u00eb teknike dhe metodat histokimike p\u00ebr t\u00eb p\u00ebrcaktuar morfologjin\u00eb e spermatozoidit? Nj\u00eb pik\u00ebpyetje tjt\u00ebr \u00ebsht\u00eb se \u00e7far\u00eb kupton me: Flora bakteriale mesatare? Nuk e kuptoj k\u00ebt\u00eb! Nuk e kuptoj \u00e7far\u00eb do t\u00eb thot\u00eb 7700 leukocide p\u00ebr ml. N\u00eb k\u00ebt\u00eb rast, do t\u00eb themi q\u00eb p\u00ebr t\u00eb p\u00ebrcaktuar leukocitet, jan\u00eb disa metoda t\u00eb ve\u00e7anta t\u00eb cilat thuhen n\u00eb qoft\u00eb se jan\u00eb mbi 1 milion n\u00eb nj\u00eb ml. Kemi t\u00eb b\u00ebjm\u00eb me infeksion t\u00eb gj\u00ebndrave aksesore dhe skema e mjekimit jepet n\u00eb baz\u00eb t\u00eb shkaktarit q\u00eb e ka krijuar k\u00ebt\u00eb infeksion. Un\u00eb si androlog specialist q\u00eb kam punuar para \u201990-s dhe pas \u201890-s, them q\u00eb laborator\u00ebt q\u00eb b\u00ebjn\u00eb analiz\u00ebn e spermogram\u00ebs, ndoshta p\u00ebr efekte komerciale, jan\u00eb shtuar shum\u00eb, por l\u00ebn\u00eb shum\u00eb p\u00ebr t\u00eb d\u00ebshiruar sa u p\u00ebrket metodave me baza shkencore, duke t\u00eb futur n\u00eb qorrsokak apo n\u00eb rrug\u00eb t\u00eb gabuar. Prandaj, t\u00eb k\u00ebshilloj nj\u00eb konsult\u00eb me mua dhe nj\u00eb analiz\u00eb t\u00eb b\u00ebr\u00eb me profesionalizem, p\u00ebr t\u00eb p\u00ebrcaktuar shkaqet e infertilitetit dhe skem\u00ebn e mjekimit. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; P\u00ebrsh\u00ebndetje Dr. Dani! Kam kryer ekzaminimin e l\u00ebngut seminal dhe p\u00ebrgjigjet jan\u00eb si m\u00eb posht\u00eb: Dit\u00ebt pa kontakt seksual jan\u00eb kat\u00ebr. Volumi i ejakuluar ishte 3.40 ml. Pamja opaleshente. PH \u00ebsht\u00eb 8.00. L\u00ebng\u00ebzimi \u00ebsht\u00eb normal (ulet pas or\u00ebs s\u00eb par\u00eb). Fij\u00ebzimi, jo m\u00eb shum\u00eb se 3.5 cm. Nr. i spermatozoideve 75 milion\/ml. Gjall\u00ebria pas [&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],"tags":[],"class_list":["post-2150","post","type-post","status-publish","format-standard","hentry","category-mjeku"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/2150","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=2150"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/2150\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=2150"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=2150"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=2150"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}