– P\u00ebrsh\u00ebndetje, doktor Dashamiri! Jam 26 vje\u00e7 dhe kam probleme me gjendrrat tiroide. N\u00eb an\u00ebn e djatht\u00eb kam nj\u00eb nodus me dimension diku 2.5 cm. Doktori q\u00eb m\u00eb ndjek m\u00eb ka th\u00ebn\u00eb ta b\u00ebj operim, por un\u00eb n\u00eb fakt kam preferuar t\u00eb vendos terapi me jod radioaktiv. Doja t\u00eb dija, a \u00ebsht\u00eb e d\u00ebmshme terapia me jod radioaktiv? A ka efekte an\u00ebsore? Ju, \u00e7far\u00eb m\u00eb sugjeroni, trajtim mjek\u00ebsor apo operim? Faleminderit p\u00ebr mir\u00ebkuptimin.
\nDr. Dashamir Gjergji endokrinolog-diabetolog: – M\u00eb vjen keq q\u00eb do ta nis k\u00ebt\u00eb sqarim pa ju drejtuar nj\u00eb fal\u00ebnderim, si\u00e7 normalisht e kemi zakon n\u00eb rubrik\u00ebn e k\u00ebsaj gazete. Kjo ka t\u00eb b\u00ebj\u00eb me faktin se nuk di si t\u2019ju drejtohem, n\u00ebse jeni gjinia mashkullore apo fem\u00ebrore. Plus, nuk mora vesh \u00e7far\u00eb analizash keni b\u00ebr\u00eb, si kan\u00eb dal\u00eb, a jeni duke marr\u00eb ndonj\u00eb mjekim, apo jo? Me pak fjal\u00eb, do t\u00eb kishte qen\u00eb mir\u00eb t\u00eb m\u00eb jepnit m\u00eb shum\u00eb informacion rreth gjendjes suaj sh\u00ebndet\u00ebsore. N\u00eb k\u00ebt\u00eb kontekst, do t\u2019u lutem t\u00eb gjith\u00eb lexuesve t\u00eb tjer\u00eb q\u00eb kur t\u00eb m\u00eb drejtohen me nj\u00eb pyetje n\u00eb k\u00ebt\u00eb rubrik\u00eb, t\u00eb mundohen t\u00eb p\u00ebrshkruajn\u00eb n\u00eb m\u00ebnyr\u00eb t\u00eb sakt\u00eb jo vet\u00ebm ankesat, por edhe t\u00eb gjitha t\u00eb dh\u00ebnat e tjera rreth s\u00ebmundjes dhe problemit q\u00eb ju shqet\u00ebson, pa harruar edhe gjinin\u00eb, mosh\u00ebn etj. Me k\u00ebto t\u00eb dh\u00ebna q\u00eb m\u00eb keni ofruar, mund t\u2019ju sqaroj se prania e nj\u00eb noduli n\u00eb gjendrr\u00ebn tiroide nuk konsiderohet ndonj\u00eb problematik\u00eb ekstremisht mjek\u00ebsore sepse nodujt e gjendrr\u00ebs tiroide jan\u00eb \u00e7rregullime shum\u00eb t\u00eb p\u00ebrhapura n\u00eb popullat\u00ebn ton\u00eb. Kjo, edhe p\u00ebr shkak t\u00eb defi\u00e7itit t\u00eb jodit. Noduli i gjendrr\u00ebs tiroide, n\u00eb rastin tuaj konkret, lipset t\u00eb vler\u00ebsohet mir\u00eb jo vet\u00ebm nga ana ekografike, por edhe nga ana hormonale ose laboratorike dhe, mbi t\u00eb gjitha, nga ana morfologjike apo e form\u00ebs. Vler\u00ebsimi morfologjik ka t\u00eb b\u00ebj\u00eb me shpimin e nodulit, marrjen e nj\u00eb materiali p\u00ebr biopsi dhe m\u00eb von\u00eb, vler\u00ebsimin e k\u00ebsaj biopsie n\u00ebse noduli apo mishi i huaj q\u00eb keni n\u00eb tiroide \u00ebsht\u00eb i karakterit t\u00eb mir\u00eb apo t\u00eb keq, do t\u00eb thot\u00eb, tumoral apo kanceroz?
\n– Duke u nisur nga pjesa e fundit e pyetjes dhe duke i marr\u00eb t\u00eb mir\u00ebqena edhe rekomandimet n\u00eb k\u00ebt\u00eb drejtim, m\u00eb b\u00ebn t\u00eb mendoj q\u00eb noduli q\u00eb keni n\u00eb tiroide nuk \u00ebsht\u00eb inaktiv, por me sa duket, ky nodul prodhon shum\u00eb hormone t\u00eb gjendrr\u00ebs tiroide, pra, prodhon m\u00eb shum\u00eb hormone, ndaj duhet par\u00eb n\u00eb dy aspekte klinike: S\u00eb pari, normalizimi i vlerave t\u00eb k\u00ebtyre hormoneve dhe s\u00eb dyti, vendosja e rrug\u00ebs trajtuese sa m\u00eb t\u00eb mir\u00eb, n\u00eb aspektin e mjekimit me barna, me kirurgji apo me jod radioaktiv. S\u00ebmundjet e tiroides jan\u00eb m\u00eb t\u00eb p\u00ebrhapura n\u00eb moshat e vjetra. Zakonisht, n\u00eb mosh\u00ebn tuaj jan\u00eb t\u00eb karakterit autoimun. Kjo do t\u00eb thot\u00eb q\u00eb procesi i mbiprodhimit kap gjith\u00eb gjendrr\u00ebn tiroide, por gjithsesi, s\u00ebmundja nuk duhet l\u00ebn\u00eb pa mjekim dhe do kujdesin e saj. N\u00eb praktik\u00ebn e p\u00ebrditshme, shum\u00eb rrall\u00eb ndodh q\u00eb n\u00eb vendimarrjen e nj\u00eb mjekimi, p\u00ebrcaktori kryesor t\u00eb jet\u00eb vullneti i pacientit. Kjo, jo p\u00ebr munges\u00eb vler\u00ebsimi, por sepse mjeku specialist \u00ebsht\u00eb ai q\u00eb ka p\u00ebrgjegj\u00ebsin\u00eb n\u00eb trajtimin e nj\u00eb s\u00ebmundjeje. Ndaj, n\u00ebse ju thoni q\u00eb kan\u00eb p\u00ebrzgjedhur jodin radioaktiv, un\u00eb akoma nuk jam i bindur n\u00ebse ju kishit nevoj\u00eb p\u00ebr ta marr\u00eb apo jo sepse kjo varet nga aktiviteti q\u00eb ka noduli, dometh\u00ebn\u00eb, a \u00ebsht\u00eb ai hiperaktiv apo jo, pasi n\u00ebse noduli do t\u00eb ishte i ftoht\u00eb, pa aktivitet, marrja e jodit radioaktiv nuk do t\u00eb kishte asnj\u00eb lloj kuptimi dhe asnj\u00eb lloj logjike profesionale. Kur m\u00eb pyesni n\u00ebse ka efekte an\u00ebsore, apo jo, ju sqaroj q\u00eb \u00e7do lloj procedure mjek\u00ebsore, \u00e7do lloj mjekimi apo nd\u00ebrhyrjeje tjet\u00ebr, n\u00ebse nuk b\u00ebhet konform rregullave dhe protokolleve, mund t\u00eb shoq\u00ebrohet me efekte t\u00eb pad\u00ebshiruara an\u00ebsore apo t\u00eb d\u00ebmshme. Ndaj edhe mjekimi i m\u00ebsip\u00ebrm, n\u00ebse do t\u00eb jepet pa patur indikacionin apo doza e jodit radioaktiv nuk do t\u00eb jet\u00eb ajo e duhura, pa dyshim q\u00eb efektet e pad\u00ebshiruara do t\u00eb ndodhin her\u00ebt a von\u00eb. Sepse jodi radioaktiv ka nj\u00eb specifik\u00eb q\u00eb q\u00ebndron n\u00eb organiz\u00ebm me vite dhe dekada. Si p\u00ebrfundim, pres t\u00eb m\u00eb shkruani s\u00ebrish, duke m\u00eb dh\u00ebn\u00eb m\u00eb shum\u00eb informacion n\u00eb m\u00ebnyr\u00eb q\u00eb un\u00eb t\u00eb kem nj\u00eb qasje sa m\u00eb racionale rreth p\u00ebrcaktimit, rrug\u00ebs dhe m\u00ebnyr\u00ebs m\u00eb t\u00eb mir\u00eb t\u00eb mjekimit p\u00ebr ju. T\u00eb shkuara dhe gjith\u00eb t\u00eb mirat! <\/p>\n","protected":false},"excerpt":{"rendered":"
– P\u00ebrsh\u00ebndetje, doktor Dashamiri! Jam 26 vje\u00e7 dhe kam probleme me gjendrrat tiroide. N\u00eb an\u00ebn e djatht\u00eb kam nj\u00eb nodus me dimension diku 2.5 cm. Doktori q\u00eb m\u00eb ndjek m\u00eb ka th\u00ebn\u00eb ta b\u00ebj operim, por un\u00eb n\u00eb fakt kam preferuar t\u00eb vendos terapi me jod radioaktiv. Doja t\u00eb dija, a \u00ebsht\u00eb e d\u00ebmshme terapia […]<\/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-7388","post","type-post","status-publish","format-standard","hentry","category-mjeku"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/7388","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=7388"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/7388\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=7388"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=7388"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=7388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}