{"id":8320,"date":"2015-03-13T11:00:42","date_gmt":"2015-03-13T10:00:42","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=8320"},"modified":"2015-03-12T18:34:20","modified_gmt":"2015-03-12T17:34:20","slug":"beme-nje-spermograme","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2015\/03\/beme-nje-spermograme\/","title":{"rendered":"B\u00ebm\u00eb nj\u00eb spermogram\u00eb&#8230;"},"content":{"rendered":"<p>&#8211; P\u00ebrsh\u00ebndetje Dr. Dani. Bashk\u00ebshorti im (31 vje\u00e7) b\u00ebri nj\u00eb spermogram\u00eb, pasi po b\u00ebjm\u00eb nj\u00eb vit martes\u00eb dhe kemi d\u00ebshir\u00eb t\u00eb b\u00ebjm\u00eb nj\u00eb f\u00ebmij\u00eb, por ende nuk e kemi arritur q\u00ebllimin. Un\u00eb doja t\u00eb m\u00eb ndihmoni duke m\u00eb shpjeguar pak rezultatet e analiz\u00ebs. Pamja normale, l\u00ebng\u00ebzimi normal, viskoziteti normal, volumi 6.0 ml., l\u00ebvizshm\u00ebria, progresioni i shpejt\u00eb, plus progresioni i ngadal\u00eb = 5.0 l\u00ebvizje jo progresive = 55.0 t\u00eb pal\u00ebvizshme 40.0, aglutinacioni = negativ, dend\u00ebsia 71 milion\/ml, numri total 426 milion qeliza t\u00eb linj\u00ebs spermatike = mjaft\/fush\u00eb, leukocite 0-1\/fush\u00eb. Kjo \u00ebsht\u00eb paraqitja e analiz\u00ebs. Doktoresha gjinekologe q\u00eb e interpretoi analiz\u00ebn, m\u00eb dha nj\u00eb recet\u00eb me 60 kokrra nga 2 kokrra n\u00eb dit\u00eb t\u00eb Profertil. Ju lutem, m\u00eb ktheni nj\u00eb p\u00ebrgjigje se jemi n\u00eb merak. M\u00eb sugjeroni se \u00e7far\u00eb duhet t\u00eb b\u00ebjm\u00eb. Me respekt.<br \/>\nDr. Evi Dani, seksolog-androlog: &#8211; Spermograma \u00ebsht\u00eb nj\u00eb nga momentet m\u00eb t\u00eb r\u00ebnd\u00ebsishme p\u00ebr t\u00eb vler\u00ebsuar aft\u00ebsin\u00eb riprodhuese t\u00eb nj\u00eb mashkulli. Nj\u00eb analiz\u00eb e b\u00ebr\u00eb mir\u00eb, tregon realitetin, nj\u00eb analiz\u00eb e b\u00ebr\u00eb jo me profesionaliz\u00ebm, t\u00eb fut n\u00eb rrug\u00eb t\u00eb shtremb\u00ebr, zgjat koh\u00ebn e mjekimit dhe si p\u00ebrfundim, t\u00eb \u00e7orienton. Un\u00eb, si mjek androlog prej 35 vjet\u00ebsh, mund t\u00eb them q\u00eb tani n\u00eb ekonomin\u00eb e tregut jan\u00eb hapur shum\u00eb laboratore, t\u00eb cilat, midis analizave t\u00eb tjera, pretendojn\u00eb se b\u00ebjn\u00eb edhe analiz\u00ebn e spermogram\u00ebs, n\u00eb pjes\u00ebn m\u00eb t\u00eb madhe, pa profesionaliz\u00ebm. Konkretisht, n\u00eb analiz\u00ebn tuaj bie n\u00eb sy ulja e l\u00ebvizshm\u00ebris\u00eb s\u00eb spermatozoid\u00ebve, q\u00eb \u00ebsht\u00eb shum\u00eb e dob\u00ebt. Nuk e kuptoj dhe duhet t\u00eb sqaroja nj\u00eb element: Qelizat e linj\u00ebs spermatike jan\u00eb shum\u00eb, barabart\u00eb me mjaft! N\u00eb rastin konkret, k\u00ebtu b\u00ebhet nj\u00eb studim p\u00ebr t\u00eb p\u00ebrcaktuar se qelizat e linj\u00ebs spermatike q\u00eb n\u00eb pamje t\u00eb par\u00eb n\u00eb mikroskop, jan\u00eb shum\u00eb t\u00eb ngjashme me leukocidet.<br \/>\n&#8211; N\u00eb k\u00ebt\u00eb rast, b\u00ebhet nj\u00eb studim q\u00eb i diferencon nga nj\u00ebra-tjetra dhe, n\u00eb qoft\u00eb se do t\u00eb kesh mbi 1 milion n\u00eb 1 mililit\u00ebr leokucide, n\u00eb k\u00ebt\u00eb rast mendojm\u00eb se kemi t\u00eb b\u00ebjm\u00eb me nj\u00eb infeksion t\u00eb gjendrrave aksesore dhe mjekimi duhet b\u00ebr\u00eb patjet\u00ebr me antibiotik dhe antiflamator. Nj\u00eb problem tjet\u00ebr n\u00eb k\u00ebt\u00eb q\u00eb m\u00eb p\u00ebrshkruani \u00ebsht\u00eb q\u00eb duhen p\u00ebrcaktuar patjet\u00ebr ndryshimet morfologjike t\u00eb spermatozoid\u00ebve. Spermatozoid\u00ebt kan\u00eb nj\u00eb form\u00eb normale me kok\u00ebn, gjat\u00ebsin\u00eb 4.2 mikron, form\u00eb ovale, gjer\u00ebsi 2.5-3.5 mikron, pjesa e akrozomit duhet t\u00eb jet\u00eb 40-70 % t\u00eb sip\u00ebrfaqes s\u00eb kok\u00ebs, pjesa intermediare, pra, qafa, me trash\u00ebsi m\u00eb pak se 1 mikron dhe bishti duhet t\u00eb jet\u00eb i drejt\u00eb, pa p\u00ebrdredhje, 50 mikron. K\u00ebto jan\u00eb klasifikime ku normat duhet t\u00eb jen\u00eb mbi 4 % (klasifikimi Kruger i vitit 2010). Nj\u00eb studim tjet\u00ebr i koh\u00ebve t\u00eb fundit \u00ebsht\u00eb ai q\u00eb quhet fragmentimi i ADN-s\u00eb, shkaktar i mosrealizimit t\u00eb nj\u00eb f\u00ebmije. Nj\u00eb moment tjet\u00ebr aq m\u00eb tep\u00ebr q\u00eb ju keni l\u00ebvizshm\u00ebri spermatozoid\u00ebsh, \u00ebsht\u00eb p\u00ebrcaktimi i faktor\u00ebve imunologjik\u00eb, ku nj\u00eb t\u00eb dh\u00ebn\u00eb t\u00eb jep p\u00ebrcaktimi i Igg-s\u00eb dhe Igm-ja n\u00eb l\u00ebngun spermatik, gj\u00eb q\u00eb ju nuk e keni realizuar. Pra, me sa kuptoj nga analiza juaj, t\u00eb cil\u00ebn nuk e di se ku e keni b\u00ebr\u00eb, ka shum\u00eb paqart\u00ebsi. Si kjo analiz\u00eb ka pothuajse n\u00eb t\u00eb gjith\u00eb laborator\u00ebt jo profesional\u00eb. N\u00eb rastin konkret, un\u00eb nuk kuptoj nj\u00eb gj\u00eb&#8230; Ju m\u00eb njihni mua, pse nuk duhet t\u00eb vini n\u00eb konsultim direkt, por duhet t\u00eb merrni mendimin e nj\u00eb mjeku dhe konkretisht, nga ana ime, k\u00ebrkoni t\u00eb dini a jua ka dh\u00ebn\u00eb mir\u00eb mjekimin apo jo?! Sidoqoft\u00eb n\u00ebse e shikoni t\u00eb arsyeshme ju mund t\u00eb m\u00eb kontaktoni n\u00eb \u00e7do koh\u00eb p\u00ebr t\u2019ju dh\u00ebn\u00eb shpjegime. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; P\u00ebrsh\u00ebndetje Dr. Dani. Bashk\u00ebshorti im (31 vje\u00e7) b\u00ebri nj\u00eb spermogram\u00eb, pasi po b\u00ebjm\u00eb nj\u00eb vit martes\u00eb dhe kemi d\u00ebshir\u00eb t\u00eb b\u00ebjm\u00eb nj\u00eb f\u00ebmij\u00eb, por ende nuk e kemi arritur q\u00ebllimin. Un\u00eb doja t\u00eb m\u00eb ndihmoni duke m\u00eb shpjeguar pak rezultatet e analiz\u00ebs. Pamja normale, l\u00ebng\u00ebzimi normal, viskoziteti normal, volumi 6.0 ml., l\u00ebvizshm\u00ebria, progresioni i [&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-8320","post","type-post","status-publish","format-standard","hentry","category-mjeku"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/8320","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=8320"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/8320\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=8320"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=8320"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=8320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}