{"id":22324,"date":"2019-05-03T14:30:38","date_gmt":"2019-05-03T12:30:38","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=22324"},"modified":"2019-05-03T14:24:44","modified_gmt":"2019-05-03T12:24:44","slug":"duhet-te-shqetesohem-per-tiroiden","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2019\/05\/duhet-te-shqetesohem-per-tiroiden\/","title":{"rendered":"Duhet t\u00eb shqet\u00ebsohem p\u00ebr tiroiden?"},"content":{"rendered":"\n<p><strong>&#8211; P\u00ebrsh\u00ebndetje Dr. Dashamiri! <\/strong><\/p>\n\n\n\n<p><strong>Un\u00eb kam probleme me gjendr\u00ebn tiroide. <\/strong><\/p>\n\n\n\n<p><strong>Ekon e fundit e kam b\u00ebr\u00eb para pak koh\u00ebsh dhe n\u00eb t\u00eb, shkruhet k\u00ebshtu:<\/strong><\/p>\n\n\n\n<p><strong> \u201cShenja t\u00eb nj\u00eb gjendre tiroide me shtrirje cervikale, pa shenja p\u00ebr shtrirje retrosternale. Struktura indorelativisht homogjene hyperechoike, me nj\u00eb formacion nodular izoechogjen me hallo hipoechogjene mir\u00eb t\u00eb vaskularizuara me dimension rreth 10 mm x 9 mm p\u00ebr t\u2019u diferencuar me scintigrafi. Lobi i djatht\u00eb me volum 10 ml. n\u00eb kufi sip\u00ebr t\u00eb normales. Lobi i majt\u00eb me volum 8.6 ml. normal. Istmusi me gjer\u00ebsi 5 mm leht\u00ebsisht i trashur. Trahea e medioponuar dhe e pa komplikuar\u201d. Ju lutem, m\u00eb thoni, \u00e7far\u00eb m\u00eb sugjeroni t\u00eb b\u00ebj, scintigrafin apo jo, pasi nj\u00eb mjek tjet\u00ebr m\u00eb ka th\u00ebn\u00eb q\u00eb nuk ka nevoj\u00eb pasi i kam vlerat normale t\u00eb T3 T4 TSH. Para kat\u00ebr muajsh i kam p\u00ebrs\u00ebritur analizat dhe m\u00eb dol\u00ebn k\u00ebshtu: T3 1.6, T4 132.0 dhe TSH 1.38. Terapi nuk kam p\u00ebrdorur kurr\u00eb. Kam dy vjet q\u00eb kam k\u00ebto probleme. Ju, \u00e7far\u00eb m\u00eb thoni? Si t\u00eb veproj? A duhet t\u00eb shqet\u00ebsohem? Anja<\/strong><\/p>\n\n\n\n<p><strong>Dr. Dashamir Gjergji, Doktor i Shkencave Mjek\u00ebsore, Endokrinolog-Diabetolog, Spitali Amavita, Rruga Pjet\u00ebr Budi, 75\/3, Tiran\u00eb<\/strong>:-   &#8211; E nderuar Anja, edhe pse jeni treguar pak e zgjatur n\u00eb pyetjen tuaj, informacionin q\u00eb m\u00eb keni dh\u00ebn\u00eb e konsideroj t\u00eb bollsh\u00ebm dhe shum\u00eb esencial. Q\u00eb n\u00eb fillim dua t\u2019ju them q\u00eb tiroidja juaj nuk konsiderohet tiroide normale dhe k\u00ebt\u00eb konkluzion e nxjerr nga p\u00ebrgjigjja ekografike q\u00eb m\u00eb keni sqaruar m\u00eb lart. Diagnoza, n\u00eb rastin konkret te ju, me terma mjek\u00ebsore quhet Struma Nodulare e Tiroides. Kjo s\u00ebmundje e tiroides \u00ebsht\u00eb e shpesht\u00eb sidomos n\u00eb zona t\u00eb caktuara t\u00eb vendit ton\u00eb q\u00eb kan\u00eb defi\u00e7ite t\u00eb m\u00ebdha t\u00eb nivelit t\u00eb jodit. Si profesionist i fush\u00ebs mendoj q\u00eb shqet\u00ebsimi juaj \u00ebsht\u00eb shum\u00eb her\u00eb m\u00eb i madh sesa \u00ebsht\u00eb realisht \u00e7rregullimi organik i tiroides. Jam i sigurt\u00eb se funksionalisht, tiroidja juaj paraqitet normal, ndaj sa koh\u00eb tiroidja e ruan funksionin dhe ndikimin q\u00eb ajo ka n\u00eb gjith\u00eb trupin ton\u00eb, konsiderohet gjend\u00ebrr n\u00eb parametra normale funksioni. Meqen\u00ebse keni dy vjet me k\u00ebt\u00eb problem, do t\u00eb kishte qen\u00eb mir\u00eb n\u00ebse do kishim parasysh nj\u00eb vler\u00ebsim t\u00eb plot\u00eb gjat\u00eb gjith\u00eb koh\u00ebs s\u00eb problemit tuaj, n\u00eb t\u00eb gjitha etapat kohore q\u00eb ju jeni ekzaminuar dhe trajtuar. <\/p>\n\n\n\n<p>&#8211; P\u00ebrgjigjja p\u00ebrfundimtare\nrreth sugjerimeve n\u00eb rastin konkret eklipsohet pak, p\u00ebr shkak t\u00eb mos pasjes s\u00eb\nnj\u00eb informacioni m\u00eb t\u00eb holl\u00ebsish\u00ebm q\u00eb nga momenti i shfaqjes s\u00eb k\u00ebsaj s\u00ebmundjeje\ndhe konkretisht, do t\u00eb donim t\u00eb dinim n\u00ebse noduli (gunga) q\u00eb ju referoni n\u00eb\npyetje ka ndryshuar n\u00eb dimensione apo ka mbetur i nj\u00ebjt\u00eb. Momentalisht, ju\nmbetet t\u00eb mos e neglizhoni problemin, por ta ndiqni n\u00eb dinamik\u00eb dhe konkretisht,\nme nj\u00eb mjek specialist endokrinolog. S\u00ebmundjet e tiroides jan\u00eb shum\u00eb t\u00eb v\u00ebshtira\nsi p\u00ebr t\u2019u diagnostikuar, ashtu edhe p\u00ebr t\u2019u trajtuar, ndaj kujdesi duhet t\u00eb\njet\u00eb i madh dhe koleg\u00ebt q\u00eb do ken\u00eb rastin t\u00eb menaxhojn\u00eb problemin tuaj sh\u00ebndet\u00ebsor,\nduhet t\u2019ju rekomandojn\u00eb analiza, ekzaminime dhe trajtime konform protokolleve\nnd\u00ebrkomb\u00ebtare t\u00eb trajtimit t\u00eb k\u00ebtyre s\u00ebmundjeve. N\u00ebse do t\u00eb keni paqart\u00ebsi, ju\nlutemi t\u00eb na shkruani s\u00ebrish rreth situat\u00ebs suaj sh\u00ebndet\u00ebsore. Faleminderit. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; P\u00ebrsh\u00ebndetje Dr. Dashamiri! Un\u00eb kam probleme me gjendr\u00ebn tiroide. Ekon e fundit e kam b\u00ebr\u00eb para pak koh\u00ebsh dhe n\u00eb t\u00eb, shkruhet k\u00ebshtu: \u201cShenja t\u00eb nj\u00eb gjendre tiroide me shtrirje cervikale, pa shenja p\u00ebr shtrirje retrosternale. Struktura indorelativisht homogjene hyperechoike, me nj\u00eb formacion nodular izoechogjen me hallo hipoechogjene mir\u00eb t\u00eb vaskularizuara me dimension rreth [&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":[2415],"class_list":["post-22324","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeku","tag-dr-dashamiri"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/22324","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=22324"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/22324\/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=22324"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=22324"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=22324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}