{"id":22135,"date":"2019-04-18T14:00:22","date_gmt":"2019-04-18T12:00:22","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=22135"},"modified":"2019-04-18T11:27:57","modified_gmt":"2019-04-18T09:27:57","slug":"22135","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2019\/04\/22135\/","title":{"rendered":""},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>\u00c7\u2019t\u00eb p\u00ebrdor p\u00ebr tiroiden?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>&#8211; P\u00ebrsh\u00ebndetje!<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong> Jam 27 vje\u00e7e dhe kam nj\u00eb pyetje p\u00ebr endokrinologun. <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>P\u00ebr momentin, nuk po p\u00ebrdor asgj\u00eb, por po v\u00ebrej ca komplikime n\u00eb trup. <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>P\u00ebrve\u00e7 nervozizmit, dridhjeve t\u00eb duarve dhe dob\u00ebsimit n\u00eb trup e rrahjeve t\u00eb shpeshta t\u00eb zemr\u00ebs, po v\u00ebrej te vetja edhe nj\u00eb mosdurim t\u00eb nxeht\u00ebsis\u00eb s\u00eb zjarrit. Kur i afrohem, ndjej nj\u00eb avull q\u00eb m\u00eb hip\u00ebn nga k\u00ebmb\u00ebt n\u00eb kok\u00eb e pastaj ndjej plog\u00ebshti. Kam filluar t\u00eb dyshoj mos ka filluar t\u00eb m\u00eb ngrihet tensioni, edhe pse gjithmon\u00eb e kam pasur t\u00eb ul\u00ebt e tani \u00ebsht\u00eb normal. A ka mund\u00ebsi t\u00eb jet\u00eb nga gjendrra tiroide dhe a \u00ebsht\u00eb me rrezik? Gjithashtu, kam shum\u00eb shpesh edhe marrje mendsh, sa her\u00eb q\u00eb ngrihem n\u00eb k\u00ebmb\u00eb. Para pak koh\u00ebsh kam b\u00ebr\u00eb analiz\u00ebn e hormoneve dhe m\u00eb doli T.Sh. 8.57, T4 1.02 dhe 3.17, nd\u00ebrsa gjendja e tiroides \u00ebsht\u00eb: Lobi i djatht\u00eb \u00ebsht\u00eb me diamet\u00ebr 20*20*45 mm, itimusi \u00ebsht\u00eb i gjer\u00eb 4.5 mm, kurse lobi i majt\u00eb, me diamet\u00ebr \u00ebsht\u00eb 16, 14, 40 mm. Parenkima \u00ebsht\u00eb me struktur\u00eb johomogjene. N\u00eb color dopller ka vaskularizim t\u00eb theksuar. P\u00ebrfundimi ishte: Thyrodis chr.hypertrophica. Ju lutem, m\u00eb thoni ju, si e shikoni gjendjen time dhe \u00e7far\u00eb duhet t\u00eb p\u00ebrdor? <\/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>:-   E nderuar lexuese, ju fal\u00ebnderoj q\u00eb m\u00eb keni shkruar dhe p\u00ebr informacionin e plot\u00eb dhe t\u00eb detajuar rreth gjendjes suaj sh\u00ebndet\u00ebsore. N\u00eb rastin tuaj, \u00ebsht\u00eb e qart\u00eb diagnoza. Ju vuani nga tiroiditi Hashimoto ose tiroiditi kronik autoimun. Kur themi tiroidit, n\u00ebnkuptojm\u00eb inflamacion apo d\u00ebmtim t\u00eb indit tiroidien e n\u00eb rastin konkret, nga v\u00ebrshimi i rruazave t\u00eb bardha q\u00eb vijn\u00eb n\u00eb tiroide n\u00eb funksion t\u00eb luftimit t\u00eb nj\u00eb strukture t\u00eb huaj, por n\u00eb t\u00eb v\u00ebrtet\u00eb, d\u00ebmtojn\u00eb vet\u00eb tiroiden. Kjo s\u00ebmundje prek m\u00eb shum\u00eb femrat sesa meshkujt dhe fillon n\u00eb dekadat e treta dhe t\u00eb kat\u00ebrta t\u00eb jet\u00ebs. Duke qen\u00eb se ka baz\u00eb autoimune, shpeshher\u00eb \u00ebsht\u00eb i trash\u00ebguesh\u00ebm, do t\u00eb thot\u00eb q\u00eb me k\u00ebt\u00eb s\u00ebmundje kan\u00eb vuajtur edhe familjar\u00eb e t\u00eb af\u00ebrm t\u00eb tjer\u00eb. S\u00ebmundja nis ngadal\u00eb dhe pa shum\u00eb shenja klinike e kjo ndodh se tiroidja nuk shkat\u00ebrrohet e gjitha q\u00eb n\u00eb fillim, por ky proces degradimi autoimun i saj ndodh gradualisht. Kjo s\u00ebmundje fillon jo rrall\u00ebher\u00eb gjat\u00eb shtatzanive, ose edhe pas lindjes s\u00eb f\u00ebmij\u00ebve. K\u00ebta t\u00eb s\u00ebmur\u00eb preken m\u00eb shpesh se t\u00eb tjer\u00ebt nga shum\u00eb s\u00ebmundje t\u00eb tjera, si: Diabeti, s\u00ebmundjet reumatizmale, s\u00ebmundje t\u00eb stomakut, zorr\u00ebve, l\u00ebkur\u00ebs etj. Edhe alergjit\u00eb e stin\u00ebs e n\u00eb t\u00ebr\u00ebsi jan\u00eb m\u00eb t\u00eb shpeshta te k\u00ebta t\u00eb s\u00ebmur\u00eb. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; Ka shum\u00eb r\u00ebnd\u00ebsi q\u00eb s\u00ebmundja t\u00eb diagnostikohet\nshpejt e t\u00eb fillohet mjekimi sa m\u00eb par\u00eb. Kjo, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb mos kemi r\u00ebndim t\u00eb\nsimptomave t\u00eb k\u00ebsaj s\u00ebmundjeje e t\u00eb mos komplikohet m\u00eb tej, gj\u00eb q\u00eb mund t\u00eb\nsjell\u00eb d\u00ebmtime t\u00eb pakthyeshme n\u00eb organizmin ton\u00eb. Duke qen\u00eb s\u00ebmundje kronike, edhe\nmjekimi \u00ebsht\u00eb i till\u00eb; do t\u00eb thot\u00eb q\u00eb shumica e k\u00ebtyre t\u00eb s\u00ebmur\u00ebve do t\u00eb marrin\nmjekim gjat\u00eb gjith\u00eb jet\u00ebs. Mjekimi \u00ebsht\u00eb i thjesht\u00eb e konsiston n\u00eb dh\u00ebnien e\nhormonit t\u00eb tiroides s\u00eb p\u00ebrgatitur n\u00eb form\u00eb bari. Mjekimi me hormonin\nlevothyroxine, duhet t\u00eb merret \u00e7do m\u00ebngjes es\u00ebll, 30 minuta para ngr\u00ebnies s\u00eb m\u00ebngjesit\ndhe bari duhet t\u00eb merret me nj\u00eb got\u00eb plot me uj\u00eb. Kujdesi gjat\u00eb mjekimit duhet\nt\u00eb jet\u00eb i vazhduesh\u00ebm si nga ana e pacientit, ashtu edhe nga stafi q\u00eb ju ndjek.\nJeni e detyruar q\u00eb \u00e7do 3-6 muaj t\u00eb kryeni matje t\u00eb hormonit stimulues t\u00eb\ntiroides e kjo na jep nj\u00eb panoram\u00eb t\u00eb qart\u00eb n\u00ebse po merrni dozat e duhura t\u00eb\nbarit apo jo. Ky bar nuk ka efekte an\u00ebsore n\u00ebse merret n\u00eb p\u00ebrllogaritje t\u00eb plot\u00eb\nt\u00eb pesh\u00ebs trupore dhe defi\u00e7itit tiroidien. Nisur nga analizat e m\u00ebsip\u00ebrme, mendoj\nq\u00eb duhet ta kishit filluar mjekimin me hormon terapi z\u00ebvend\u00ebsuese, ndaj n\u00ebse\nnuk jeni duke u mjekuar, duhet t\u00eb paraqiteni sa m\u00eb shpejt te mjeku specialist,\np\u00ebr t\u00eb marr\u00eb terapin\u00eb e nevojshme. P\u00ebr \u00e7do nevoj\u00eb apo sqarim, mund t\u00eb m\u00eb\nkontaktoni s\u00ebrish. T\u00eb shkuara!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7\u2019t\u00eb p\u00ebrdor p\u00ebr tiroiden? &#8211; P\u00ebrsh\u00ebndetje! Jam 27 vje\u00e7e dhe kam nj\u00eb pyetje p\u00ebr endokrinologun. P\u00ebr momentin, nuk po p\u00ebrdor asgj\u00eb, por po v\u00ebrej ca komplikime n\u00eb trup. P\u00ebrve\u00e7 nervozizmit, dridhjeve t\u00eb duarve dhe dob\u00ebsimit n\u00eb trup e rrahjeve t\u00eb shpeshta t\u00eb zemr\u00ebs, po v\u00ebrej te vetja edhe nj\u00eb mosdurim t\u00eb nxeht\u00ebsis\u00eb s\u00eb zjarrit. Kur [&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":[2036],"class_list":["post-22135","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeku","tag-dr-dashamir-gjergji"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/22135","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=22135"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/22135\/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=22135"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=22135"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=22135"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}