{"id":23069,"date":"2019-08-04T20:20:31","date_gmt":"2019-08-04T18:20:31","guid":{"rendered":"https:\/\/intervista.al\/web\/?p=23069"},"modified":"2019-08-04T20:20:41","modified_gmt":"2019-08-04T18:20:41","slug":"%ef%bb%bfa-kam-ankth-patologjik-apo-psikologjik","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2019\/08\/%ef%bb%bfa-kam-ankth-patologjik-apo-psikologjik\/","title":{"rendered":"\ufeffA kam ankth patologjik apo psikologjik?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>&#8211; I nderuar Dr. Jashar Demiri, <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>ju respektoj dhe ju admiroj p\u00ebr mir\u00ebkuptimin tuaj. <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Un\u00eb q\u00eb po ju shkruaj jam nj\u00eb qytetar nga Kor\u00e7a. Jam 58 vje\u00e7, 1.64 i gjat\u00eb dhe me nj\u00eb pesh\u00eb prej 63 kg. Kam 4 vjet q\u00eb her\u00eb pas here m\u00eb krijohet nj\u00eb gj\u00ebndje ankthi, ku, gjat\u00eb k\u00ebsaj kohe, trembem shum\u00eb dhe zemra m\u00eb rreh shpejt. E vetmja gj\u00eb q\u00eb m\u00eb qet\u00ebson kur jam me ankth \u00ebsht\u00eb t\u00eb shkoj tek doktori. Jam vizituar dhe kam b\u00ebr\u00eb analizat e gjitha, rregullisht nj\u00eb her\u00eb n\u00eb gjasht\u00eb muaj, por t\u00eb gjitha analizat m\u00eb kan\u00eb dal\u00eb t\u00eb rregullta. Gjithashtu, q\u00eb m\u00eb p\u00ebrpara e deri m\u00eb sot, nuk kam vuajtur nga ndonj\u00eb s\u00ebmundje, jam shum\u00eb mir\u00eb me sh\u00ebndetin. Para 4 vjet\u00ebve disa doktor\u00eb m\u00eb than\u00eb se jam nj\u00eb person shum\u00eb i ndjesh\u00ebm, kurse nj\u00eb doktor m\u00eb tha q\u00eb kam tension. B\u00ebra nj\u00eb pushim prej 2 viteve, ku vendosa t\u00eb mos merrja asnj\u00eb mjekim q\u00eb m\u00eb than\u00eb doktorr\u00ebt sepse ata kishim vet\u00ebm dyshime p\u00ebr problemin e ankthit dhe t\u00eb tensionit. Gjat\u00eb k\u00ebsaj periudhe u p\u00ebrpoqa ta qet\u00ebsoja veten duke dal\u00eb sh\u00ebtitje n\u00eb ambiente t\u00eb qeta e t\u00eb past\u00ebrta. Por edhe pse jam p\u00ebrpjekur ta qet\u00ebsoj veten me m\u00ebnyra t\u00eb ndryshme, un\u00eb prap\u00eb kam ankth dhe kur dal sh\u00ebtitje ndjehem i qet\u00eb. Koh\u00ebt e fundit jam konsultuar me nj\u00eb doktor p\u00ebr problemin e ankthit dhe pwr faktin se edhe kur jam mir\u00eb, e nuk kam asnj\u00eb shqet\u00ebsim, tensioni m\u00eb luhatet. Ai m\u00eb tha: Nuk ka asgj\u00eb p\u00ebr tu shqet\u00ebsuar, ju keni ankth dhe tension nervor dhe m\u00eb dha k\u00ebto mjekime: Lorista, 50 mg. \u2013 nj\u00eb her\u00eb n\u00eb dit\u00eb, Amplopin 10 mg. dy her\u00eb n\u00eb dit\u00eb, Hidroklortianid 25 mg. \u00bd n\u00eb dit\u00eb, Magne B6 nj\u00eb her\u00eb n\u00eb dit\u00eb. Dr. Jashari un\u00eb kam 3 pyetje p\u00ebr t\u2019ju drejtuar, ku pres nj\u00eb p\u00ebrgjigje nga ju si psikolog klini\u00e7ist. 1. A kam ankth dhe si kurohet? 2. A kam tension nervor dhe n\u00ebqoft\u00ebse po, si mjekohet? 3. A jan\u00eb t\u00eb rregullta mjekimet q\u00eb po pi m\u00eb lart p\u00ebr problemin q\u00eb m\u00eb shqet\u00ebson? Ju faleminderit p\u00ebr mir\u00ebkuptimin. <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Dr.\nJashar Demiri, psikolog klinicist:<\/em><\/strong> &#8211; I nderuar 58 vje\u00e7ar, paske nj\u00eb sh\u00ebndet p\u00ebr t\u00eb th\u00ebn\u00eb\n\u201cmarshallah\u201d po ashtu edhe nj\u00eb pesh\u00eb trupore prej \u201catleti\u201d. Por \u201cbelaja\u201d e\nmadhe p\u00ebr ty q\u00ebnkan k\u00ebto mendimet, nj\u00eb gjendje \u201calarmi\u201d e vazhdueshme n\u00eb lidhje\nme sh\u00ebndetin e q\u00eb me kalimin e koh\u00ebs kjo gj\u00eb t\u00eb \u00ebsht\u00eb b\u00ebr\u00eb kronike. Por si\u00e7\nthon\u00eb shkodranet \u201cani more burr\u00eb\u201d, se mendimet s\u2019ta prishin sh\u00ebndetin kurr\u00eb\u201d.\nDhe kjo \u00ebsht\u00eb e v\u00ebrtet\u00eb se frika, apo mendimet nuk jan\u00eb s\u00ebmundje, por ato ta\n\u201ctollovisin\u201d humorin deri n\u00eb at\u00eb shkall\u00eb sa ti ke b\u00ebr\u00eb nj\u00eb \u201cngrehin\u00eb\u201d t\u00eb v\u00ebrtet\u00eb\nmendimesh katastrofizuese n\u00eb lidhje me sh\u00ebndetin, je b\u00ebr\u00eb \u201ci fiksuar\u201d dhe i\nvarur nga mjek\u00ebt aq sa gjen vend k\u00ebtu nj\u00eb term psikologjik \u201chipokondriaze\u201d. N\u00eb\nshkenc\u00ebn psikologjike, ky term p\u00ebrdoret p\u00ebr t\u00eb gjith\u00eb ata t\u00eb cil\u00ebt d\u00ebgjojn\u00eb apo\nlexojn\u00eb p\u00ebr s\u00ebmundje t\u00eb ndryshme dhe u \u201cpunon\u201d truri vet\u00ebm p\u00ebr t\u00eb b\u00ebr\u00eb\nkontrollet mjek\u00ebsore \u201cverifikuese\u201d dhe kur t\u00eb gjitha vizitat, apo analizat\ndalin n\u00eb rregull n\u00eb vend q\u00eb t\u00eb g\u00ebzohen, ata sikur p\u00ebrs\u00ebri shqet\u00ebsohen se nuk po\nu gjendet \u201cs\u00ebmundja\u201d dhe n\u00eb k\u00ebto raste p\u00ebrs\u00ebri truri i tyre nuk rri pa\n\u201cshpikur\u201d shpjegime (jo shkencore) dhe \u201cs\u00ebmundje\u201d. Normalisht n\u00ebqoft\u00ebse\nmendimet ankthioze n\u00eb lidhje me s\u00ebmundjet jan\u00eb vet\u00eb burimi i ankthit dhe i\ndepresionit (normal) reagues, dhe kjo trajtohet si nj\u00eb \u201cobsesion\u201d p\u00ebr sh\u00ebndetin,\nat\u00ebher\u00eb kompulsioni k\u00ebtu shihet tek vajtja tek doktor\u00ebt si nj\u00eb \u201critual\u201d qet\u00ebsues,\npra si t\u00eb thuash ti je \u201cm\u00ebsuar\u201d me k\u00ebt\u00eb lloj keqp\u00ebrshtatje si di\u00e7ka ankthioze\n\u201ce q\u00eb hiqet vet\u00ebm me psikoterapi ose m\u00eb sakt\u00eb me hipnoterapi, pasi ai q\u00eb quhet\n\u201cbutoni\u201d i alarmit p\u00ebr sh\u00ebndetin t\u00eb rri i \u201ctakuar\u201d pra dhe duhet \u00e7\u2018aktivizuar.\nKy lloj \u201cfiksimi\u201d p\u00ebr sh\u00ebndetin t\u00eb b\u00ebn ty nj\u00eb fajtor t\u00eb \u201cpafaj\u201d se n\u00eb realitet\nti ndjen \u201csiklete\u201d, por nuk anktohesh kot, porse nuk e kupton se k\u00ebto \u201csiklete\u201d\nti ia shton vetvetes pasi je futur n\u00eb at\u00eb q\u00eb quhet \u201crreth vicioz\u201d. Kjo lloj\ndiagnoze (hipokondriaze) mund t\u00eb ndodh\u00eb aq sa n\u00eb disa raste kap edhe doktor\u00ebt\nose ata q\u00eb kan\u00eb shum\u00eb njohuri mjek\u00ebsore, prandaj dhe nuk lejohet q\u00eb as doktori\nm\u00eb i mir\u00eb t\u2019ia p\u00ebrcaktoj\u00eb diagnoz\u00ebn vetes se si\u00e7 thoshte populli, sqepari nuk e\ngdhend dot bishtin e vet. N\u00eb t\u00eb tilla raste kur un\u00eb p\u00ebrdor termin i \u201cs\u00ebmur\u00eb\u201d pa\ns\u00ebmundje, ai q\u00eb vjen p\u00ebr psikoterapi \u00e7uditet, por edhe trembet edhe pse un\u00eb i\nthemi se fjala \u201cs\u00ebmundje\u201d \u00ebsht\u00eb v\u00ebn\u00eb n\u00eb thonj\u00ebza. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Gjith\u00ebsesi gjat\u00eb seancave ky i \u201cs\u00ebmur\u00eb\u201d\narrin t\u00eb kuptoj\u00eb sesa m\u00eb shum\u00eb t\u00eb rrij\u00eb e t\u00eb mendoj\u00eb p\u00ebr s\u00ebmundjet, aq m\u00eb shum\u00eb\ndo t\u00eb \u201cs\u00ebmuret\u201d e p\u00ebr m\u00eb tep\u00ebr duke vajtur shpesh n\u00ebp\u00ebr doktora, si\u00e7 thot\u00eb\npopulli \u201csi breshka tek nallbani\u201d. Kjo lloj \u201cdashurie\u201d e madhe e juaja p\u00ebr\ndoktor\u00ebt shpjegohet me fobin\u00eb t\u00ebnde n\u00eb lidhje me sh\u00ebndetin, por shyqyr po t\u00eb\nthemi, o kor\u00e7ari 80 vje\u00e7ar, shyqyr q\u00eb nuk paske p\u00ebsuar ndonj\u00eb \u201cajtrogjeni\u201d q\u00eb\ndo t\u00eb thot\u00eb frik\u00eb e madhe dhe e paarsyeshme q\u00eb t\u00eb futin doktor\u00ebt me ca nga ato\nk\u00ebshillat apo \u201ckujdesin\u201d e tepruar, ndoshta edhe p\u00ebr t\u00eb t\u00eb \u201cpeshkuar\u201d kur t\u00eb\nshohin si \u201cmanjak\u201d t\u00eb sh\u00ebndetit \u201csteril\u201d. Fjala \u201csteril\u201d k\u00ebtu \u00ebsht\u00eb p\u00ebrdorur\nsepse nuk ka asnjeri n\u00eb bot\u00eb q\u00eb t\u00eb ket\u00eb nj\u00eb sh\u00ebndet \u201csuper\u201d dometh\u00ebn\u00eb pa asnj\u00eb\nt\u00eb met\u00eb, madje shpesh doktor\u00ebt thon\u00eb se organizmi yn\u00eb \u201cflet\u201d n\u00ebp\u00ebrmjet\ndhimbjeve ose \u201cs\u00ebmundjeve\u201d sepse shpesh ato, i b\u00ebjn\u00eb atij \u201csherbime\u201d pra q\u00eb i\nduhen. T\u00eb mos gabojm\u00eb n\u00ebse ndonj\u00eb doktor na thot\u00eb q\u00eb ti je si n\u00eb depresion\ndometh\u00ebn\u00eb depresion pa depresion. Sepse k\u00ebtu depresioni me emrin (si n\u00eb\ndepresion) \u00ebsht\u00eb tamam depresion i v\u00ebrtet\u00eb, pa thonj\u00ebza, dometh\u00ebn\u00eb patologjike.\nVet\u00ebm se nuk ka hi\u00e7 shenja depresioni pasi depresioni mund t\u00eb jet\u00eb edhe i\n\u201cmaskuar\u201d apo i fsheht\u00eb. Gjetja e k\u00ebtij lloj depresioni k\u00ebrkon nj\u00eb mjesht\u00ebri e\np\u00ebrvoj\u00eb t\u00eb madhe, pasi simptomat jan\u00eb t\u00eb plakura dhe personi me depresion thot\u00eb\nme bindje se: \u201cun\u00eb e dua jet\u00ebn\u201d. Pra, ai e mendon si me frik\u00eb vet\u00ebvrasjen, por\nama n\u00eb nj\u00eb moment me shum\u00eb ngarkesa dhe humbje shpresash edhe mund ta gjej\u00eb\n\u201cguximin\u201d e t\u2019i jap\u00eb fund jet\u00ebs. N\u00eb k\u00ebto raste doktor\u00ebt mund t\u00eb habiten e t\u00eb\nthon\u00eb: po si ka mund\u00ebsi ai (ajo) nuk kishte depresion, madje, e donte jet\u00ebn!?\nJa, pra sesa e v\u00ebshtir\u00eb dhe delikate \u00ebsht\u00eb kjo puna jon\u00eb, aq m\u00eb tep\u00ebr\ndiagnostikimi i sakt\u00eb. Nj\u00eb rast i till\u00eb fatkeq ka ndodhur disa dit\u00eb m\u00eb par\u00eb n\u00eb\nnj\u00eb rreth ku doktor\u00ebt etj. e siguronin personin se e shoqja nuk ka asnj\u00eb lloj s\u00ebmundje\ne kur m\u00eb pas rezultoi q\u00eb ajo vrau veten. E keqja \u00ebsht\u00eb se n\u00ebp\u00ebr rrethe nuk ka\npsikolog\u00eb klini\u00e7ist\u00eb pasi k\u00ebta nevojtar\u00eb si puna jote, i nderuar 58 vje\u00e7ar kan\u00eb\nnevoj\u00eb p\u00ebr psikoterapi n\u00eb disa seanca dhe ca ila\u00e7e 100 % bimore v\u00ebrtet\n\u201cmagjike\u201d t\u00eb cilat heqin si me \u201cmagji\u201d hallin tuaj t\u00eb madh obsesiv e depresiv.\nN\u00eb p\u00ebrgjigje t\u00eb tre pyetjeve tuaja po ju them shkurtimisht: 1. Po, ju keni dy\nlloj ankthi, ankth psikologjik dhe ankth somatik (trupor). Ai kurohet me sukses\nme hipnoze dhe ila\u00e7e 100 % bimore. 2. Nuk jan\u00eb problem luhatjet e tensionit tek\nankthiozet aq m\u00eb tep\u00ebr kur nd\u00ebrmjet dy tensioneve ka diferenc\u00eb mbi 3 njesi.\nTensioni ju luhatet edhe kur ju jeni mir\u00eb sepse e pavet\u00ebdijshmja ju sjell\n\u201chistorin\u00eb\u201d pa i kuptuar apo kujtuar ato pra jo me vet\u00ebdije. Gjat\u00eb pro\u00e7esit t\u00eb\nhipnoterapis\u00eb vet\u00ebdija zgjerohet, forcohet dhe ekuilibrohet, bashk\u00eb me tensionin\nrregullohen. Me kalimin e koh\u00ebs, vet\u00ebdija juaj do ta kuptoj\u00eb k\u00ebt\u00eb \u201ckurth\u201d t\u00eb\npavet\u00ebdijes dhe nuk do t\u2019i \u201chaj\u00eb\u201d m\u00eb \u201cdredhit\u00eb\u201d pas t\u00eb cilave truri jep komanda\nt\u00eb gabuara organeve t\u00eb trupit, \u201cushtar\u00ebve\u201d t\u00eb k\u00ebtij \u201ckomandanti\u201d t\u00eb trembur. 3.\nDoktori q\u00eb t\u00eb ka mjekuar \u00ebsht\u00eb treguar shum\u00eb i sakt\u00eb n\u00eb p\u00ebrcaktimin e diagnozes\nsuaj, po ashtu edhe n\u00eb dh\u00ebnien e ila\u00e7eve t\u00eb cialt duhen p\u00ebrdorur p\u00ebrkoh\u00ebsisht\npor ai duhet t\u00eb t\u00eb kishte rekomanduar edhe psikoterapin\u00eb dhe terapit\u00eb e \u201c\u00ebmbla\u201d\npasi ankthi ka lidhje me mendimet dhe asnj\u00eb lloj ila\u00e7i kimikat nuk i ndryshon\ndot mendimet, pavar\u00ebsisht se t\u00eb qet\u00ebson duke t\u00eb p\u00ebrgjumur. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; I nderuar Dr. Jashar Demiri, ju respektoj dhe ju admiroj p\u00ebr mir\u00ebkuptimin tuaj. Un\u00eb q\u00eb po ju shkruaj jam nj\u00eb qytetar nga Kor\u00e7a. Jam 58 vje\u00e7, 1.64 i gjat\u00eb dhe me nj\u00eb pesh\u00eb prej 63 kg. Kam 4 vjet q\u00eb her\u00eb pas here m\u00eb krijohet nj\u00eb gj\u00ebndje ankthi, ku, gjat\u00eb k\u00ebsaj kohe, trembem shum\u00eb [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":22456,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[],"class_list":["post-23069","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-psikologu"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/23069","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=23069"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/23069\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/22456"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=23069"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=23069"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=23069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}