{"id":4973,"date":"2014-10-28T17:00:43","date_gmt":"2014-10-28T16:00:43","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=4973"},"modified":"2014-10-28T10:19:52","modified_gmt":"2014-10-28T09:19:52","slug":"vuaj-nga-semundja-bazedov","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2014\/10\/vuaj-nga-semundja-bazedov\/","title":{"rendered":"Vuaj nga s\u00ebmundja Bazedov"},"content":{"rendered":"<p>&#8211; <strong>Jam Armandi nga Vlora. Vuaj nga s\u00ebmundja Bazedov, jam vizituar para dy vjet\u00ebsh te ju, n\u00eb Poliklinik\u00ebn Qendrore Tiran\u00eb dhe m\u00eb keni th\u00ebn\u00eb se duhet t\u00eb operohem. N\u00eb t\u00eb v\u00ebrtet\u00eb, un\u00eb kisha frik\u00eb nga operacioni dhe vazhdova ila\u00e7et q\u00eb m\u00eb dhat\u00eb n\u00eb recet\u00eb p\u00ebr tepric\u00eb t\u00eb jodit. Rast\u00ebsisht isha n\u00eb Itali dhe kreva nj\u00eb vizit\u00eb te specialisti k\u00ebtu, q\u00eb gjithashtu, m\u00eb sugjeroi operacionin. Pas nj\u00eb periudhe 2 mujore, u binda dhe u operova. Pas operimit kam qen\u00eb mir\u00eb. Tani po marr disa barna, nj\u00ebri \u00ebsht\u00eb \u00e7do m\u00ebngjes dhe m\u00eb kan\u00eb paralajm\u00ebruar q\u00eb nuk duhet ta nd\u00ebrpres. N\u00eb fakt, v\u00ebrej q\u00eb syt\u00eb m\u00eb jan\u00eb acaruar m\u00eb shum\u00eb k\u00ebto muajt e fundit se pas operacionit, i kisha mir\u00eb. Mos m\u00eb \u00ebsht\u00eb rikthyer s\u00ebmundja e \u00e7far\u00eb duhet t\u00eb b\u00ebj, ju lutem? Pres me padurim p\u00ebrgjigjen tuaj. <\/strong><\/p>\n<p><strong><em>Dr. Dashamir Gjergji endokrinolog-diabetolog:<\/em><\/strong> &#8211; I nderuar Armand, ju fal\u00ebnderoj p\u00ebr pyetjen tuaj dhe ndjehem shum\u00eb i k\u00ebnaqur me faktin q\u00eb ju keni arritur t\u2019i jepni nj\u00eb zgjidhje radikale si\u00e7 \u00ebsht\u00eb operacioni q\u00eb keni kryer me heqjen totale t\u00eb tiroides t\u00eb s\u00ebmur\u00eb. S\u00ebmundja q\u00eb ju referoni, p\u00ebr shum\u00eb lexues mund t\u00eb ting\u00eblloj\u00eb nj\u00eb em\u00ebr i \u00e7uditsh\u00ebm, por p\u00ebr ne si specialist\u00eb, do t\u00eb thot\u00eb q\u00eb \u00ebsht\u00eb nj\u00eb s\u00ebmundje jasht\u00ebzakonisht e r\u00ebnd\u00eb, e rrezikshme, sidomos n\u00eb rastet kur nuk dominohet mir\u00eb me barna. Ku organizmi nuk reagon m\u00eb ndaj tyre, kur forma e s\u00ebmundjes paraqitet shum\u00eb e r\u00ebnd\u00eb e sidomos kur p\u00ebrve\u00e7 gjendrr\u00ebs tiroide, kjo s\u00ebmundje ka prekur edhe syt\u00eb dhe m\u00eb gjer\u00eb. S\u00ebmundja quhet Graves Bazedove p\u00ebr nder t\u00eb autor\u00ebve q\u00eb e kan\u00eb p\u00ebrshkruar t\u00eb par\u00ebt n\u00eb literatur\u00eb. Kjo \u00ebsht\u00eb nj\u00eb s\u00ebmundje q\u00eb prek kryesisht moshat e reja, ka karakter autoimun q\u00eb do t\u00eb thot\u00eb q\u00eb tiroidja njihet si struktur\u00eb e huaj nga organizmi dhe sistemi imunitar, e lufton vetvetiu tiroiden. S\u00ebmundja paraqitet zakonisht me zmadhim t\u00eb gjendr\u00ebs tiroide, me fryrje t\u00eb syve, dalje p\u00ebrpara t\u00eb kok\u00ebrdhok\u00ebve, r\u00ebnie t\u00eb madhe n\u00eb pesh\u00eb, r\u00ebndim t\u00eb gjendjes s\u00eb p\u00ebrgjithshme, nxeht\u00ebsi, djers\u00eb t\u00eb shumta, \u00e7rregullime psikologjike, rrahje t\u00eb shpeshta t\u00eb zemr\u00ebs, tension t\u00eb lart\u00eb arterial, dalje t\u00eb shpesht\u00eb n\u00eb form\u00eb diarreje etj.<\/p>\n<p>&#8211; N\u00eb aspektin e paraqitjes klinike, s\u00ebmundja ka paraqitje tipike, e cila na ndihmon n\u00eb diagnostikimin e shpejt\u00eb dhe mjekimi duhet t\u00eb fillohet sa m\u00eb shpejt t\u00eb jet\u00eb e mundur. Si rregull, n\u00ebse trajtohet si duhet, me kalimin e koh\u00ebs, nivelet e larta t\u00eb prodhimit t\u00eb tiroides fillojn\u00eb t\u00eb bien dhe gjendja klinike paraqitet m\u00eb e mir\u00eb. Zakonisht, fillohet me barna nga goja t\u00eb cilat merren n\u00eb var\u00ebsi dhe t\u00eb gjendjes s\u00eb s\u00ebmundjes 2 ose 3 her\u00eb n\u00eb dit\u00eb dhe me mjekim t\u00eb kujdessh\u00ebm. Vlerat e hormoneve t\u00eb tiroides kthehen n\u00eb norm\u00eb p\u00ebr nj\u00eb periudh\u00eb nga 4-8 jav\u00eb. Kur gjendja \u00ebsht\u00eb e r\u00ebnd\u00eb si n\u00eb rastin tuaj, sugjerohet nd\u00ebrhyrje kirurgjikale, duke patur parasysh edhe fenomenet e tjera bashk\u00ebshoq\u00ebruese si\u00e7 mund t\u00eb ket\u00eb qen\u00eb situatat e tjera si gjendja e r\u00ebnd\u00eb klinike e syve dhe zmadhim i madh i gjendrr\u00ebs tiroide. Me pak fjal\u00eb, e kan\u00eb konsideruar si nj\u00eb rast t\u00eb r\u00ebnd\u00eb q\u00eb vet\u00ebm me barna do kishte qen\u00eb e pamundur t\u00eb trajtohej. M\u00eb vjen mir\u00eb q\u00eb edhe koleg\u00ebt italian\u00eb e kan\u00eb par\u00eb n\u00eb t\u00eb nj\u00ebjten optik\u00eb dhe ju kan\u00eb rekomanduar heqjen e menj\u00ebhershme dhe t\u00eb shpejt\u00eb t\u00eb tiroides. Ai p\u00ebr \u00e7ka un\u00eb nuk bie dakord me ju ose m\u00eb mir\u00eb, nuk jam n\u00eb nj\u00eb linj\u00eb mendimi me ju \u00ebsht\u00eb supozimi se pas operacionit, s\u00ebmundja \u00ebsht\u00eb rikthyer. Argumentimi i m\u00ebsip\u00ebrm bazohet edhe mbi t\u00eb dh\u00ebnat q\u00eb ju vet\u00eb e pohoni se pas operacionit, keni marr\u00eb barnat p\u00ebrkat\u00ebse t\u00eb cilat b\u00ebjn\u00eb t\u00eb mundur q\u00eb i s\u00ebmuri t\u00eb mos ket\u00eb nevoj\u00eb p\u00ebr procedur\u00eb apo nd\u00ebrhyrje t\u00eb tjera kirurgjikale dhe aq m\u00eb tep\u00ebr, t\u00eb ekzistoj\u00eb mund\u00ebsia q\u00eb kjo s\u00ebmundje t\u00eb rikthehet. S\u00ebmundja mund t\u00eb rikthehet n\u00eb qoft\u00eb se ju nuk do t\u00eb merrni barnat z\u00ebvend\u00ebsuese p\u00ebr tiroiden q\u00eb \u00ebsht\u00eb hequr. Pjesa m\u00eb delikate e q\u00eb k\u00ebrkon nj\u00eb sqarim m\u00eb t\u00eb kujdessh\u00ebm \u00ebsht\u00eb pjesa e rikthimit t\u00eb problemeve t\u00eb syve. Mendoj q\u00eb k\u00ebt\u00eb her\u00eb kemi t\u00eb b\u00ebjm\u00eb me ndonj\u00eb relaps apo rikthim t\u00eb s\u00ebmundjes, por ndoshta m\u00eb shum\u00eb kemi t\u00eb b\u00ebjm\u00eb me efekte t\u00eb pad\u00ebshiruara apo me element\u00eb t\u00eb tjer\u00eb t\u00eb stimulimit t\u00eb d\u00ebmtimeve t\u00eb syve e k\u00ebtu e kam fjal\u00ebn p\u00ebr p\u00ebrdorimin e cigares. N\u00ebse ju jeni duhanpir\u00ebs, duhet ta nd\u00ebrprisni kategorikisht duhanin. Si p\u00ebrfundim, mbetem n\u00eb pritje t\u00eb ndjekjes s\u00eb m\u00ebtejshme dhe jam i gatsh\u00ebm t\u2019ju ndihmoj n\u00eb \u00e7do situat\u00eb. Faleminderit.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; Jam Armandi nga Vlora. Vuaj nga s\u00ebmundja Bazedov, jam vizituar para dy vjet\u00ebsh te ju, n\u00eb Poliklinik\u00ebn Qendrore Tiran\u00eb dhe m\u00eb keni th\u00ebn\u00eb se duhet t\u00eb operohem. N\u00eb t\u00eb v\u00ebrtet\u00eb, un\u00eb kisha frik\u00eb nga operacioni dhe vazhdova ila\u00e7et q\u00eb m\u00eb dhat\u00eb n\u00eb recet\u00eb p\u00ebr tepric\u00eb t\u00eb jodit. Rast\u00ebsisht isha n\u00eb Itali dhe kreva nj\u00eb [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[],"class_list":["post-4973","post","type-post","status-publish","format-standard","hentry","category-mjeku"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/4973","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=4973"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/4973\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=4973"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=4973"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=4973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}