{"id":22103,"date":"2019-04-15T16:00:04","date_gmt":"2019-04-15T14:00:04","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=22103"},"modified":"2019-04-15T14:53:12","modified_gmt":"2019-04-15T12:53:12","slug":"%ef%bb%bftiroidja-mi-shkakton-abortet","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2019\/04\/%ef%bb%bftiroidja-mi-shkakton-abortet\/","title":{"rendered":"\ufeffTiroidja m\u2019i shkakton abortet?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>&#8211; Jam 40 vje\u00e7e, e martuar. <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Para 6 vjet\u00ebsh kam operuar gj\u00ebndrr\u00ebn tiroide sepse m\u00eb doli diagnoza Struma Nodosa.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong> Po k\u00ebshtu, kam p\u00ebrdorur edhe jodin radioaktiv dhe, q\u00eb nga ajo koh\u00eb, p\u00ebrdor Letrox 100 mg. Dua t\u00eb di, a m\u00eb pengon n\u00eb shtatzani, pasi kam p\u00ebsuar dy aborte? Dua disa k\u00ebshilla nga ana juaj&#8230;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dr. Dashamir Gjergji, Doktor i Shkencave Mjek\u00ebsore, Endokrinolog-Diabetolog, Spitali Amavita, Rruga Pjet\u00ebr Budi, 75\/3, Tiran\u00eb<\/strong>:-  Q\u00eb n\u00eb fillim, ju fal\u00ebnderoj p\u00ebr p\u00ebrshkrimin kon\u00e7iz t\u00eb gjendjes suaj sh\u00ebndet\u00ebsore, edhe pse mungojn\u00eb disa t\u00eb dh\u00ebna t\u00eb tjera q\u00eb do t\u00eb m\u00eb ndihmonin ta kisha m\u00eb t\u00eb qart\u00eb ecurin\u00eb e s\u00ebmundjes tiroidiene q\u00eb keni patur dhe trajtimin. T\u00eb dh\u00ebnat q\u00eb mungojn\u00eb jan\u00eb: P\u00ebrse ju kan\u00eb rekomanduar nd\u00ebrhyrjen? A jeni trajtuar ju p\u00ebrpara operacionit me barna apo jo? Cila ka qen\u00eb p\u00ebrgjigjja histopatologjike apo mbjellja e mas\u00ebs s\u00eb hequr? Sa pjes\u00eb e tiroides ju \u00ebsht\u00eb hequr? Kur e keni marr\u00eb jodin radioaktiv, sa seanca keni p\u00ebrfunduar dhe sa ka qen\u00eb doza e tij? P\u00ebrsa m\u00eb sip\u00ebr, si\u00e7 e kuptoni, ka shum\u00eb element\u00eb esencial\u00eb q\u00eb mungojn\u00eb n\u00eb anamnez\u00eb, por un\u00eb gjithsesi do t\u00eb mundohem t\u00eb b\u00ebj nj\u00eb analiz\u00eb deduktive profesionale, nisur nga t\u00eb dh\u00ebnat q\u00eb m\u00eb jepni. Mund\u00ebsia m\u00eb e madhe \u00ebsht\u00eb q\u00eb ju t\u00eb keni patur noduj t\u00eb dyshimt\u00eb p\u00ebr malinjitet, ndaj edhe keni ndjekur at\u00eb rrug\u00eb trajtimi si\u00e7 e tregoni n\u00eb pyetjen tuaj, por n\u00ebse bindemi p\u00ebr k\u00ebt\u00eb supozim, ju duhet t\u00eb kishit kryer citopunksionin e nodujve t\u00eb tiroides p\u00ebrpara dhe pas nd\u00ebrhyrjes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Gjithsesi, n\u00ebse jeni trajtuar p\u00ebr k\u00ebt\u00eb diagnoz\u00eb,\nju duhet t\u00eb ndiqeni rregullisht edhe pas operacionit p\u00ebr t\u00eb p\u00ebrcaktuar sa m\u00eb\nsakt\u00eb nevojat e organizmit tuaj p\u00ebr mjekimin me hormon z\u00ebvend\u00ebsues\nlevothyroxine (letrox) si dhe a ka mbetur ndonj\u00eb mbeturin\u00eb nga s\u00ebmundja e vjet\u00ebr\napo jo? Ka edhe nj\u00eb mund\u00ebsi tjet\u00ebr n\u00eb lidhje me diagnoz\u00ebn e sakt\u00eb e kjo ka t\u00eb b\u00ebj\u00eb\nme faktin q\u00eb struma juaj nodoze p\u00ebrpara operacionit, ka patur funksion t\u00eb\nshtuar apo hipertireoz\u00eb? Kjo gjendje ka t\u00eb b\u00ebj\u00eb me faktin kur nj\u00eb apo disa\nnoduj dalin jasht\u00eb kontrolleve fiziologjike normale, duke marr\u00eb p\u00ebrsip\u00ebr\nprodhimin e hormoneve t\u00eb tiroides. N\u00eb rastin tuaj konkret, mund t\u00eb jet\u00eb shoq\u00ebruar\nme prodhimin e sasive t\u00eb m\u00ebdha t\u00eb hormoneve tiroidiene. N\u00ebse bazohemi te kjo\ndiagnoz\u00eb e supozuar, mund t\u00eb themi q\u00eb ju mund t\u00eb keni hequr gjat\u00eb operacionit nj\u00eb\npjes\u00eb t\u00eb tiroides. Me kalimin e koh\u00ebs, kjo nd\u00ebrhyrje ndoshta ka rezultuar e\npamjaftueshme p\u00ebr t\u00eb zgjidhur p\u00ebrfundimisht s\u00ebmundjen tuaj e p\u00ebr pasoj\u00eb, mund t\u00eb\nken\u00eb mbetur mbetje t\u00eb s\u00ebmundjes, t\u00eb shoq\u00ebruara s\u00ebrish me mbiprodhimin e jodit. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Duke q\u00ebndruar n\u00eb t\u00eb nj\u00ebjtin kontekst, argumentimi\nshkon m\u00eb tej duke supozuar q\u00eb koleg\u00ebt nuk e kan\u00eb par\u00eb t\u00eb arsyeshme t\u2019ju operojn\u00eb\np\u00ebr her\u00eb t\u00eb dyt\u00eb, ndaj ju kan\u00eb rekomanduar si zgjidhje m\u00eb konservative marrjen\ne jodit radioaktiv. Mjekimi i m\u00ebvonsh\u00ebm me hormon z\u00ebvend\u00ebsues \u00ebsht\u00eb logjik p\u00ebr\nvet\u00eb faktin q\u00eb si operacioni, ashtu edhe trajtimi me jod radioaktiv kan\u00eb sjell\u00eb\nsi pasoj\u00eb zhdukjen totale t\u00eb funksionit t\u00eb tiroides dhe \u00ebsht\u00eb e kuptueshme q\u00eb\npo t\u00eb mos t\u00eb merret hormoni me ila\u00e7e, organizmi yn\u00eb nuk mund t\u00eb funksionoj\u00eb\nnormalisht. Duke e mbyllur komentin hipotetik, ju ftoj t\u00eb rivler\u00ebsoni n\u00eb k\u00ebt\u00eb\nmoment sakt\u00eb gjendjen tuaj, kuptohet, nga nj\u00eb specialist i fush\u00ebs, n\u00eb m\u00ebnyr\u00eb q\u00eb\nt\u00eb jet\u00eb m\u00eb e qart\u00eb \u00e7far\u00eb \u00ebsht\u00eb b\u00ebr\u00eb deri m\u00eb tani e ku duhet t\u00eb shkojm\u00eb me\nprotokollet e mjekimit p\u00ebr ju. R\u00ebnd\u00ebsi n\u00eb k\u00ebt\u00eb moment ka q\u00eb t\u00eb jeni mir\u00eb me sh\u00ebndet\ndhe mjekimi q\u00eb po merrni, t\u00eb ket\u00eb rikthyer vlera normale t\u00eb jodit n\u00eb gjak.\nMendoj q\u00eb k\u00ebtu duhet k\u00ebrkuar p\u00ebrse ju nuk keni patur nj\u00eb shtatzani t\u00eb frytshme\nderi m\u00eb tani e m\u00eb pas gjat\u00eb vizit\u00ebs s\u00eb ardhshme do t\u00eb marr\u00eb p\u00ebrgjigje edhe kjo\npjes\u00eb e r\u00ebnd\u00ebsishme e pyetjes suaj. M\u00eb shkruani s\u00ebrish p\u00ebr \u00e7do shqet\u00ebsim apo\npaqart\u00ebsi. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; Jam 40 vje\u00e7e, e martuar. Para 6 vjet\u00ebsh kam operuar gj\u00ebndrr\u00ebn tiroide sepse m\u00eb doli diagnoza Struma Nodosa. Po k\u00ebshtu, kam p\u00ebrdorur edhe jodin radioaktiv dhe, q\u00eb nga ajo koh\u00eb, p\u00ebrdor Letrox 100 mg. Dua t\u00eb di, a m\u00eb pengon n\u00eb shtatzani, pasi kam p\u00ebsuar dy aborte? Dua disa k\u00ebshilla nga ana juaj&#8230; Dr. [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":21293,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[2439],"class_list":["post-22103","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeku","tag-dr-dashamir-gjerjgi"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/22103","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=22103"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/22103\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/21293"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=22103"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=22103"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=22103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}