{"id":21902,"date":"2019-04-02T18:30:58","date_gmt":"2019-04-02T16:30:58","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=21902"},"modified":"2019-04-02T17:05:55","modified_gmt":"2019-04-02T15:05:55","slug":"%ef%bb%bfa-rrezikohen-te-gjitha-grate-nga-osteoporoza","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2019\/04\/%ef%bb%bfa-rrezikohen-te-gjitha-grate-nga-osteoporoza\/","title":{"rendered":"\ufeffA rrezikohen t\u00eb gjitha grat\u00eb nga osteoporoza?"},"content":{"rendered":"\n

– \u00c7far\u00eb \u00ebsht\u00eb osteoporoza?<\/strong><\/p>\n\n\n\n

– Osteoporoza \u00ebsht\u00eb\nnj\u00eb pak\u00ebsim i konsideruesh\u00ebm i kock\u00ebs, q\u00eb mund t\u00eb \u00e7oj\u00eb n\u00eb thyerjen e saj.\nOsteoporoza pas menopauz\u00ebs prek af\u00ebrsisht nj\u00eb n\u00eb kat\u00ebr gra dhe p\u00ebrfaq\u00ebson\nnd\u00ebrlikimin kryesor afatgjat\u00eb t\u00eb menopauz\u00ebs. <\/p>\n\n\n\n

– Cilat jan\u00eb\nmekanizmat e osteoporoz\u00ebs?<\/strong><\/p>\n\n\n\n

– Kocka \u00ebsht\u00eb nj\u00eb\nind i gjall\u00eb q\u00eb rinovohet vazhdimisht. Ne formojm\u00eb mas\u00ebn ton\u00eb kockore deri n\u00eb\nmosh\u00ebn 20-25 vje\u00e7are, pastaj ajo q\u00ebndron e pal\u00ebvizshme af\u00ebrsisht deri n\u00eb mosh\u00ebn\n40 vje\u00e7are. Pas k\u00ebsaj moshe, si burrat, ashtu edhe grat\u00eb, e humbasin pak nga\npak mas\u00ebn kockore deri n\u00eb fund t\u00eb jet\u00ebs. Por osteoporoza \u00ebsht\u00eb nj\u00eb s\u00ebmundje q\u00eb\nprek sidomos grat\u00eb, p\u00ebr dy arsye: S\u00eb pari, sepse masa kockore e gruas n\u00eb mosh\u00eb\nt\u00eb rritur \u00ebsht\u00eb m\u00eb e pakt\u00eb se ajo e burrit dhe s\u00eb dyti, sepse pak\u00ebsimi i mas\u00ebs\nkockore p\u00ebrshpejtohet n\u00eb m\u00ebnyr\u00eb t\u00eb konsiderueshme pas menopauz\u00ebs. Nga ana\ntjet\u00ebr, grat\u00eb jetojn\u00eb m\u00eb shum\u00eb se burrat dhe jet\u00ebgjat\u00ebsia \u00ebsht\u00eb faktori kryesor\ni rrezikut p\u00ebr osteoporoz\u00ebn. <\/p>\n\n\n\n

– Cilat jan\u00eb\npasojat e osteoporoz\u00ebs?<\/strong><\/p>\n\n\n\n

– Kur masa kockore\n\u00ebsht\u00eb pak\u00ebsuar shum\u00eb, ajo mund t\u00eb shkaktoj\u00eb fraktura t\u00eb rruazave t\u00eb shtyll\u00ebs\nkurrizore (vertebrave), t\u00eb ky\u00e7it t\u00eb dor\u00ebs dhe m\u00eb von\u00eb, t\u00eb femurit (kock\u00ebs s\u00eb\nkofsh\u00ebs). Fraktura e par\u00eb ndodh shpesh nga ngjeshja n\u00eb vertebr\u00ebn lumbare, nga\nmosha 65 vje\u00e7are. M\u00eb von\u00eb mund t\u00eb ndodhin ngjeshje t\u00eb tjera t\u00eb vertebrave, duke\nshtuar dhimbjet dhe handikapin. Nj\u00ebkoh\u00ebsisht, thyerja e ky\u00e7it t\u00eb dor\u00ebs \u00ebsht\u00eb 6\nher\u00eb m\u00eb e shpesht\u00eb te grat\u00eb sesa te burrat n\u00eb mosh\u00ebn 60 vje\u00e7are. P\u00ebrsa i p\u00ebrket\nthyerjes s\u00eb kok\u00ebs s\u00eb femurit, kjo ndodh m\u00eb von\u00eb, nga mosha 80 vje\u00e7are. <\/p>\n\n\n\n

– Cilat gra\nrrezikohen nga osteoporoza?<\/strong><\/p>\n\n\n\n

– Jo t\u00eb gjitha\ngrat\u00eb s\u00ebmuren nga osteoporoza pas menopauz\u00ebs. \u00cbsht\u00eb pra e r\u00ebnd\u00ebsishme t\u00eb\nkuptohet se cila nga grat\u00eb n\u00eb t\u00eb 50-tat rrezikon t\u00eb zhvilloj\u00eb nj\u00eb ngjeshje t\u00eb\nvertebrave 10 ose 15 vjet m\u00eb von\u00eb. K\u00ebshtu, mund t\u2019u propozohet atyre nj\u00eb\nstrategji parandalimi, nj\u00eb trajtim. Duke u bazuar te studimet epidemiologjike,\njemi munduar t\u00eb p\u00ebrcaktojm\u00eb faktor\u00ebt e rrezikut t\u00eb osteoporoz\u00ebs. P\u00ebrve\u00e7 mosh\u00ebs\ndhe densitetit t\u00eb ul\u00ebt t\u00eb kock\u00ebs, faktor\u00ebt kryesor\u00eb jan\u00eb nj\u00eb fraktur\u00eb e par\u00eb\n(ose nj\u00eb ngjeshje e vertebrave) pas nj\u00eb traumatizmi t\u00eb vog\u00ebl, nj\u00eb precedent\nfamiljar n\u00eb thyerjen e kok\u00ebs s\u00eb femurit, trajtimi i gjat\u00eb me ila\u00e7e kortizonike,\nkonsumimi i rregullt i alkoolit, duhanit, nj\u00eb poliartrit reumatoid, dob\u00ebsia\nshum\u00eb e madhe (me IMT n\u00ebn 20). <\/p>\n\n\n\n

– \u00c7far\u00eb \u00ebsht\u00eb\nosteodensitometri?<\/strong><\/p>\n\n\n\n

– Vler\u00ebsimi i\ndensitetit t\u00eb kockave \u00ebsht\u00eb thelb\u00ebsor p\u00ebr t\u00eb kuptuar se cila nga grat\u00eb\nrrezikohet nga osteoporoza. Nj\u00eb analiz\u00eb osteodensimetri b\u00ebn t\u00eb mundur\nvler\u00ebsimin e densitetit t\u00eb kockave. B\u00ebhet fjal\u00eb p\u00ebr nj\u00eb analiz\u00eb pa dhimbje,\ngjat\u00eb s\u00eb cil\u00ebs p\u00ebrdoren sasi shum\u00eb t\u00eb vogla t\u00eb rrezeve X, q\u00eb mat densitetin e\nkockave n\u00eb nivelin e vertebrave lumbare, ky\u00e7it t\u00eb dor\u00ebs dhe femurit.<\/p>\n\n\n\n

– Mund t\u00eb\nparandalohet osteoporoza me THS (trajtimi hormonal pas menopauz\u00ebs)?<\/strong><\/p>\n\n\n\n

– Kur v\u00ebrtetohet\nrreziku i osteoporoz\u00ebs, THS-ja z\u00eb nj\u00eb vend thelb\u00ebsor n\u00eb parandalimin e humbjes\ns\u00eb mas\u00ebs kockore pas menopauz\u00ebs te grat\u00eb nd\u00ebrmjet mosh\u00ebs 50 e 60 vje\u00e7 q\u00eb kan\u00eb\nshqet\u00ebsime t\u00eb tjera, si p\u00ebr shembull, afshe t\u00eb nxehta. <\/p>\n\n\n\n

– Cilat jan\u00eb\ntrajtimet e tjera parandaluese t\u00eb osteoporoz\u00ebs?<\/strong><\/p>\n\n\n\n

– Ekzistojn\u00eb\ngjithashtu trajtime t\u00eb p\u00ebrcaktuara p\u00ebr kock\u00ebn, ve\u00e7an\u00ebrisht SERM (trajtime me\nhormone), biofosfonatet dhe ranelati i stronciumit. K\u00ebto produkte jan\u00eb efikase te\nkockat, por nuk i trajtojn\u00eb dot afshet e nxehta. Ato p\u00ebrdoren te grat\u00eb pas\nmosh\u00ebs 60 apo 65 vje\u00e7, nganj\u00ebher\u00eb p\u00ebrkrah THS-s\u00eb. <\/p>\n\n\n\n

– \u00c7\u2019rol luan\nm\u00ebnyra e t\u00eb ushqyerit dhe ushtrimet fizike n\u00eb parandalimin e humbjes s\u00eb mas\u00ebs\nkockore?<\/strong><\/p>\n\n\n\n

– Ekzistojn\u00eb m\u00ebnyra\nt\u00eb tjera parandalimi shtes\u00eb, si nj\u00eb ushqim i pasur me kal\u00e7ium, marrja e\nvitamin\u00ebs D q\u00eb favorizon thithjen dhe fiksimin e kal\u00e7iumit n\u00eb kocka, praktikimi\nrregullisht i ushtrimeve fizike. Shpesh, grat\u00eb n\u00eb t\u00eb 50-tat, nuk marrin aq sa\nduhet kal\u00e7ium, nd\u00ebrkoh\u00eb q\u00eb nevojat p\u00ebr t\u00eb, shtohen. K\u00ebshillohet pra konsumimi\nsa m\u00eb i madh i ushqimeve me kalcium, si qum\u00ebshti e n\u00ebnproduktet e tij dhe uji\nmineral, q\u00eb ka kalcium t\u00eb shtuar. Nganj\u00ebher\u00eb \u00ebsht\u00eb e dobishme edhe marrja e\ntabletave t\u00eb kalciumit, q\u00eb shiten n\u00eb farmaci. <\/p>\n","protected":false},"excerpt":{"rendered":"

– \u00c7far\u00eb \u00ebsht\u00eb osteoporoza? – Osteoporoza \u00ebsht\u00eb nj\u00eb pak\u00ebsim i konsideruesh\u00ebm i kock\u00ebs, q\u00eb mund t\u00eb \u00e7oj\u00eb n\u00eb thyerjen e saj. Osteoporoza pas menopauz\u00ebs prek af\u00ebrsisht nj\u00eb n\u00eb kat\u00ebr gra dhe p\u00ebrfaq\u00ebson nd\u00ebrlikimin kryesor afatgjat\u00eb t\u00eb menopauz\u00ebs. – Cilat jan\u00eb mekanizmat e osteoporoz\u00ebs? – Kocka \u00ebsht\u00eb nj\u00eb ind i gjall\u00eb q\u00eb rinovohet vazhdimisht. Ne formojm\u00eb […]<\/p>\n","protected":false},"author":5,"featured_media":21903,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49],"tags":[2400],"class_list":["post-21902","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shendet","tag-osteoporoza"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/21902","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=21902"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/21902\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/21903"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=21902"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=21902"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=21902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}