{"id":2479,"date":"2014-08-23T15:50:00","date_gmt":"2014-08-23T15:50:00","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=2479"},"modified":"2014-08-23T15:52:34","modified_gmt":"2014-08-23T15:52:34","slug":"si-te-pakesoj-dhjamin-ne-bark","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2014\/08\/si-te-pakesoj-dhjamin-ne-bark\/","title":{"rendered":"Si t\u00eb pak\u00ebsoj dhjamin n\u00eb bark?"},"content":{"rendered":"

\"download\"<\/a>Ne kemi marr\u00eb n\u00eb pyetje nj\u00eb doktor n\u00eb lidhje me grumbullimin e dhjamit n\u00eb zon\u00ebn e barkut, gj\u00eb q\u00eb ndodh shpesh tek grat\u00eb dhe ja cilat ishin p\u00ebrgjigjet e tij.<\/p>\n

– Q\u00eb kur kam hyr\u00eb n\u00eb t\u00eb 40-tat, m\u00eb duket sikur shtoj n\u00eb pesh\u00eb vet\u00ebm kur shoh ndonj\u00eb \u00ebmb\u00eblsir\u00eb dhe gjith\u00eb sh\u00ebndeti me shkon n\u00eb bark. Pse ndodh kjo dhe si mund ta pak\u00ebsoj dhjamin e barkut?
\n– Un\u00eb e d\u00ebgjoj shpesh k\u00ebt\u00eb shqet\u00ebsim nga gra t\u00eb mosh\u00ebs suaj. N\u00eb vitet para menopauz\u00ebs, sasia e estrogjeneve pak\u00ebsohet dhe metabolizmi fillon t\u00eb ngadal\u00ebsohet. Muskujt tuaj nuk i diegin m\u00eb kalorit\u00eb ashtu si m\u00eb par\u00eb, k\u00ebshtu q\u00eb shum\u00eb gra i magazinojn\u00eb k\u00ebto kalori n\u00eb form\u00ebn e dhjamit, n\u00eb zon\u00ebn e barkut. Shumica e grave e kan\u00eb trupin n\u00eb form\u00ebn e moll\u00ebs, apo t\u00eb dardh\u00ebs. K\u00ebto t\u00eb fundit e grumbullojn\u00eb dhjamin m\u00eb shum\u00eb n\u00eb ije dhe t\u00eb pasme. N\u00ebse ju e keni trupin n\u00eb form\u00eb molle e grumbulloni dhjamin rrotull belit. Ky quhet edhe dhjami i rreziksh\u00ebm, sepse vesh organet e brendshme dhe \u00e7liron hormone, ndikon n\u00eb metaboliz\u00ebm dhe mund t\u00eb shkaktoj\u00eb s\u00ebmundje t\u00eb ndryshme.
\n– Si ta kuptoj q\u00eb kam tipin e keq t\u00eb dhjamit t\u00eb barkut?
\n– Fillojeni duke matur perimetrin e belit. N\u00ebse ai \u00ebsht\u00eb m\u00eb shum\u00eb se 90 cm, at\u00ebher\u00eb ju rrezikoni p\u00ebr t\u00eb zhvilluar diabetin dhe sindrom\u00ebn metabolike.
\n– \u00c7far\u00eb \u00ebsht\u00eb sindroma metabolike?
\n– Kjo do t\u00eb thot\u00eb se zot\u00ebroni nj\u00eb nga faktor\u00ebt e rrezikut p\u00ebr s\u00ebmundjet e zemr\u00ebs dhe diabetin: Nj\u00eb perimet\u00ebr t\u00eb gjer\u00eb beli, kolesterol HDL (i mir\u00eb) t\u00eb ul\u00ebt, presion t\u00eb lart\u00eb gjaku, nivel t\u00eb lart\u00eb t\u00eb triglicerideve dhe nivel t\u00eb lart\u00eb t\u00eb sheqerit n\u00eb gjak.
\nN\u00ebse keni nivel t\u00eb lart\u00eb sheqeri si nj\u00eb nga k\u00ebto faktor\u00eb, rrezikoni t\u00eb vuani nga diabeti i tipit 2. Ja si ndodh: Normalisht pankreasi juaj prodhon nj\u00eb hormon q\u00eb quhet insulin\u00eb, q\u00eb e lejon sheqerin t\u00eb hyj\u00eb n\u00eb qeliza p\u00ebr ta p\u00ebrdorur si energji. Me sindrom\u00ebn metabolike, trupi juaj b\u00ebhet rezistent ndaj insulin\u00ebs, k\u00ebshtu q\u00eb sheqeri e ka t\u00eb v\u00ebshtir\u00eb t\u00eb futet n\u00eb qeliza dhe grumbullohet n\u00eb gjak. Nd\u00ebrlikime t\u00eb tij p\u00ebrfshijn\u00eb s\u00ebmundje zemre, probleme me veshkat, syt\u00eb dhe d\u00ebmtime t\u00eb nervave, deri edhe t\u00eb trurit.
\n– Un\u00eb kam disa faktor\u00eb rreziku, \u00e7far\u00eb duhet t\u00eb b\u00ebj?
\n– Niveli juaj i sheqerit mund t\u00eb zbulohet vite para se t\u00eb shkaktoj\u00eb simptoma. K\u00ebshtu pra, thojini doktorit tuaj q\u00eb jeni e shqet\u00ebsuar p\u00ebr pesh\u00ebn q\u00eb keni shtuar n\u00eb bel dhe ai do t\u2019ju jap\u00eb analiza p\u00ebr nivelin e sheqerit, kolesterolit dhe insulin\u00ebs. N\u00ebse n\u00eb analiz\u00ebn e gjakut q\u00eb b\u00ebhet es\u00ebll, niveli i sheqerit tuaj \u00ebsht\u00eb 100-125, at\u00ebher\u00eb \u00ebsht\u00eb paradiabet, n\u00ebse \u00ebsht\u00eb mbi 126, \u00ebsht\u00eb diabet. Nj\u00eb tjet\u00ebr analiz\u00eb e quajtur AIC, p\u00ebrcakton nivelin mesatar t\u00eb sheqerit n\u00eb gjak gjat\u00eb tre muajve t\u00eb fundit. N\u00ebse numrat tuaj jan\u00eb nga 5,7- 6,4 at\u00ebher\u00eb \u00ebsht\u00eb paradiabet. N\u00ebse numrat jan\u00eb 6.5 dhe m\u00eb lart, at\u00ebher\u00eb diagnostikohesh me diabet.
\n– N\u00ebse niveli i sheqerit n\u00eb gjak \u00ebsht\u00eb i lart\u00eb, kjo do t\u00eb thot\u00eb se duhet t\u00eb heq dor\u00eb nga \u00ebmb\u00eblsirat?
\n– Duhet t\u00eb heq\u00ebsh dor\u00eb nga gjith\u00eb ushqimet e k\u00ebqija, ve\u00e7an\u00ebrisht sheqeri dhe ato q\u00eb e p\u00ebrmbajn\u00eb at\u00eb si biskota, pije freskuese, bile edhe buka e bardh\u00eb, orizi, makaronat. Duhet t\u00eb hash m\u00eb shum\u00eb peshk, mish pule pa l\u00ebkur\u00eb, perime, fruta dhe drith\u00ebra integrale. Duke hequr dor\u00eb nga sheqernat e tep\u00ebrta dhe yndyrnat, ju i b\u00ebni mir\u00eb edhe metabolizmit.
\n– A duhet t\u00eb b\u00ebj edhe fiskultur\u00eb?
\n– Kryerja e ushtrimeve kardiovaskulare si ecja apo vrapi mund t\u00eb ndihmojn\u00eb, por q\u00eb t\u00eb ndihmoni metabolizmin t\u00eb djeg\u00eb kalorit\u00eb ju duhet t\u00eb shtoni muskujt me ushtrime rezistence. Un\u00eb i k\u00ebshilloj shum\u00eb pacient\u00eb t\u00eb drejtohen tek nj\u00eb trajner personal sepse ju keni nevoj\u00eb t\u00eb digjni kalori, por jo thjesht duke l\u00ebvizur. Lajmi i mir\u00eb \u00ebsht\u00eb se njer\u00ebzit q\u00eb humbasin vet\u00ebm 7% t\u00eb pesh\u00ebs s\u00eb tyre dhe b\u00ebjn\u00eb 30 minuta ushtrime, pes\u00eb dit\u00eb n\u00eb jav\u00eb, mund ta pak\u00ebsojn\u00eb rrezikun e diabetit me m\u00eb shum\u00eb se 50%. Duke ndryshuar stilin e jetes\u00ebs jeni v\u00ebrtet t\u00eb aft\u00eb t\u00eb ndaloni diabetin dhe t\u00eb hiqni qafe nj\u00eb pjes\u00eb t\u00eb dhjamit t\u00eb barkut.<\/p>\n

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Ne kemi marr\u00eb n\u00eb pyetje nj\u00eb doktor n\u00eb lidhje me grumbullimin e dhjamit n\u00eb zon\u00ebn e barkut, gj\u00eb q\u00eb ndodh shpesh tek grat\u00eb dhe ja cilat ishin p\u00ebrgjigjet e tij. – Q\u00eb kur kam hyr\u00eb n\u00eb t\u00eb 40-tat, m\u00eb duket sikur shtoj n\u00eb pesh\u00eb vet\u00ebm kur shoh ndonj\u00eb \u00ebmb\u00eblsir\u00eb dhe gjith\u00eb sh\u00ebndeti me shkon n\u00eb […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49],"tags":[],"class_list":["post-2479","post","type-post","status-publish","format-standard","hentry","category-shendet"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/2479","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=2479"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/2479\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=2479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=2479"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=2479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}