{"id":8706,"date":"2015-04-01T17:00:05","date_gmt":"2015-04-01T15:00:05","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=8706"},"modified":"2015-04-01T12:38:07","modified_gmt":"2015-04-01T10:38:07","slug":"me-eshte-rritur-gjiri-i-majte","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2015\/04\/me-eshte-rritur-gjiri-i-majte\/","title":{"rendered":"M\u00eb \u00ebsht\u00eb rritur gjiri i majt\u00eb"},"content":{"rendered":"<p>&#8211; P\u00ebrsh\u00ebndetje doktor Dashamiri! Jam Ergysi, 24 vje\u00e7. Kam tre vjet q\u00eb dalloj nj\u00eb rritje t\u00eb gjirit t\u00eb majt\u00eb. Kam shkuar te mjek\u00ebt, q\u00eb m\u00eb kan\u00eb dh\u00ebn\u00eb mjekime me Tamoxifen etj. Nuk kam asnj\u00eb p\u00ebrmir\u00ebsim dhe doja t\u2019ju pyes ju, \u00e7far\u00eb duhet t\u00eb b\u00ebj m\u00eb tej?<br \/>\nDr. Dashamir Gjergji endokrinolog-diabetolog: &#8211; I nderuar Ergys, s\u00ebmundja q\u00eb ju p\u00ebrshkruani \u00ebsht\u00eb nj\u00eb problem jo edhe aq i rrall\u00eb n\u00eb t\u00eb p\u00ebrditshmen ton\u00eb mjek\u00ebsore. Fenomeni i zmadhimit t\u00eb nj\u00ebrit gji apo dy gjinjve te meshkujt, n\u00eb terminologjin\u00eb mjek\u00ebsore, konsiderohet gjinekomasti. N\u00eb t\u00eb shumt\u00ebn e rasteve, ky fenomen ndodh n\u00eb nj\u00ebrin krah, p\u00ebr shembull, djathtas dhe po n\u00eb t\u00eb shumt\u00ebn e rasteve, kjo gjendje e ka nj\u00eb shkak. Shkaqet q\u00eb sjellin gjinekomastin\u00eb (zmadhimin e gjoksit) mund t\u00eb variojn\u00eb nga s\u00ebmundje tep\u00ebr t\u00eb r\u00ebnda tumorale t\u00eb vet\u00eb gjoksit, s\u00ebmundje t\u00eb gjendrrave endokrine apo strukturave t\u00eb tjera q\u00eb \u00e7lirojn\u00eb hormone. Nga ana tjet\u00ebr, ky fenomen haset shpesh edhe tek individ\u00eb q\u00eb p\u00ebrdorin barna t\u00eb ndryshme nga goja, tek individ\u00ebt q\u00eb mund t\u00eb konsumojn\u00eb substanca narkotike, te t\u00eb tjer\u00ebt q\u00eb kan\u00eb d\u00ebmtime alkoolike t\u00eb mel\u00e7is\u00eb etj.<br \/>\n&#8211; Duke mos u ndalur me gjith\u00eb shkaqet, mund t\u2019ju sqaroj se p\u00ebrpara se t\u00eb fillohet mjekimi, ju duhet t\u00eb ishit diagnostikuar sakt\u00eb me gjith\u00eb ekzaminimet imazherike, laboratorike, analizat hormonale etj. Par\u00eb n\u00eb t\u00eb nj\u00ebjt\u00ebn pik\u00eb trajtimi, pa gjetur nj\u00eb shkak t\u00eb v\u00ebrtet\u00eb, nuk ka mjekim e aq m\u00eb pak barna aq t\u00eb r\u00ebnda sa ato q\u00eb p\u00ebrshkruani ju n\u00eb pyetjen tuaj. Gjinekomastia k\u00ebrkon mjekim t\u00eb ve\u00e7ant\u00eb sidomos p\u00ebr qet\u00ebsimin e dhimbjes, meqen\u00ebse fryrja e gjirit te disa pacient\u00eb paraqitet shum\u00eb e madhe dhe e dhimbshme. N\u00eb rastet kur k\u00ebt\u00eb s\u00ebmundje e sjellin veset e caktuara, si\u00e7 tham\u00eb m\u00eb lart, duhet medoemos t\u00eb nd\u00ebrpritet vesi (shkaku) dhe t\u00eb mbahet n\u00ebn v\u00ebzhgim p\u00ebr nj\u00eb periudh\u00eb nj\u00eb vje\u00e7are. Pas nd\u00ebrprerjes s\u00eb shkakut, k\u00ebta t\u00eb s\u00ebmur\u00eb manifestojn\u00eb t\u00ebrheqje dhe zbutje t\u00eb k\u00ebtij fenomeni, pasi eleminohet alkooli, droga apo bari q\u00eb mund t\u00eb ket\u00eb sjell\u00eb k\u00ebt\u00eb gjendje. N\u00eb rastin kur gjinekomastia \u00ebsht\u00eb pjes\u00eb p\u00ebrb\u00ebr\u00ebse e shenjave klinike t\u00eb s\u00ebmundjeve t\u00eb tjera, qofshin k\u00ebto tumorale ose jo, duhet t\u00eb trajtohet me shum\u00eb seriozitet dhe n\u00eb m\u00ebnyr\u00eb profesionale, s\u00ebmundja baz\u00eb q\u00eb e ka nxitur k\u00ebt\u00eb problem. Kirurgjia q\u00eb n\u00eb esenc\u00eb konsiston n\u00eb heqjen totale apo zvog\u00eblimin e mas\u00ebs s\u00eb fryr\u00eb t\u00eb gjirit, rezervohet shum\u00eb rrall\u00eb, ve\u00e7an\u00ebrisht kur kemi kancer t\u00eb gjirit, tumor t\u00eb gjirit dhe me fryrje t\u00eb madhe t\u00eb dhimbshme e t\u00eb pandjeshme ndaj barnave. Kirurgjia mund t\u00eb rekomandohet jo vet\u00ebm p\u00ebr q\u00ebllime mjek\u00ebsore, por edhe estetike. Duke u kthyer n\u00eb rastin tuaj konkret, ju sugjeroj se hapi q\u00eb ju duhet t\u00eb nd\u00ebrmerrni \u00ebsht\u00eb t\u00eb konsultoheni me nj\u00eb mjek specialist endokrinolog. Vet\u00ebm mjeku specialist mund t\u00eb p\u00ebrcaktoj\u00eb sakt\u00eb gjendjen tuaj aktuale dhe mjekimin e m\u00ebvonsh\u00ebm. Pres t\u00eb m\u00eb shkruani s\u00ebrish. T\u00eb shkuara. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8211; P\u00ebrsh\u00ebndetje doktor Dashamiri! Jam Ergysi, 24 vje\u00e7. Kam tre vjet q\u00eb dalloj nj\u00eb rritje t\u00eb gjirit t\u00eb majt\u00eb. Kam shkuar te mjek\u00ebt, q\u00eb m\u00eb kan\u00eb dh\u00ebn\u00eb mjekime me Tamoxifen etj. Nuk kam asnj\u00eb p\u00ebrmir\u00ebsim dhe doja t\u2019ju pyes ju, \u00e7far\u00eb duhet t\u00eb b\u00ebj m\u00eb tej? Dr. Dashamir Gjergji endokrinolog-diabetolog: &#8211; I nderuar Ergys, s\u00ebmundja [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89,219],"tags":[],"class_list":["post-8706","post","type-post","status-publish","format-standard","hentry","category-mjeku","category-pyetje-pergjigje"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/8706","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=8706"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/8706\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=8706"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=8706"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=8706"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}