{"id":9606,"date":"2015-06-12T12:21:37","date_gmt":"2015-06-12T10:21:37","guid":{"rendered":"http:\/\/intervista.al\/web\/?p=9606"},"modified":"2015-06-12T12:21:37","modified_gmt":"2015-06-12T10:21:37","slug":"kam-noduj-ne-tiroide","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2015\/06\/kam-noduj-ne-tiroide\/","title":{"rendered":"Kam noduj n\u00eb tiroide"},"content":{"rendered":"

– P\u00ebrsh\u00ebndetje Dr. Dashamiri. Jam 60 vje\u00e7e dhe kam strum\u00eb me nodus n\u00eb lobin e djatht\u00eb prej 12 vjet\u00ebsh. Prej 2 muajsh, kam nodus edhe n\u00eb lobin e majt\u00eb. Kam b\u00ebr\u00eb analizat dhe m\u00eb kan\u00eb dal\u00eb: FT3 – 5.89, FT4 – 15.68, TG – 25.62, TSH – 0.04 dhe p\u00ebrmasat: lobi dexter hipertrofik me noduse izoekogene, m\u00eb i madhi 18 mm, me vask. normale pa kiste, lobi sinister hipertrofik me nodus izoekogen 11 mm, me vask normal, pa ciste, Isthmusi hipertrofik 8mm. Dua nj\u00eb p\u00ebrgjigje nga ana juaj. \u00c7far\u00eb do t\u00eb thot\u00eb kjo dhe p\u00ebr \u00e7far\u00eb mjekimi kam nevoj\u00eb? Faleminderit.<\/strong><\/p>\n

Dr. Dashamir Gjergji endokrinolog-diabetolog:<\/u><\/em><\/strong> – E nderuar zonj\u00eb, duke ju fal\u00ebnderuar p\u00ebr adresimin e sakt\u00eb t\u00eb problemit n\u00ebp\u00ebrmjet pyetjes suaj, po ju sqaroj si m\u00eb posht\u00eb: Diagnoza nga e cila ju vuani, n\u00eb gjuh\u00ebn mjek\u00ebsore quhet strum\u00eb multinodulare me funksion eutiroiden. E th\u00ebn\u00eb n\u00eb gjuh\u00eb m\u00eb t\u00eb thjesht\u00eb: Tiroide e zmadhuar, me prani t\u00eb nodujve (kokrrave) n\u00eb brend\u00ebsi. Ju keni shkruar t\u00eb gjitha ekzaminimet q\u00eb keni b\u00ebr\u00eb dhe ideale do kishte qen\u00eb q\u00eb krahas shifrave n\u00eb an\u00eb tyre, t\u00eb shkruanit edhe vlerat normale q\u00eb ofrojn\u00eb k\u00ebto laboratore. I m\u00ebshoj shum\u00eb k\u00ebtij fakti sepse jo t\u00eb gjith\u00eb laborator\u00ebt kan\u00eb t\u00eb nj\u00ebjtat standarde apo t\u00eb nj\u00ebjtat teknika t\u00eb matjeve hormonale. Duke vazhduar shpjegimin n\u00eb t\u00eb nj\u00ebjtin rrafsh dhe duke patur si pik\u00eb referimi normat nd\u00ebrkomb\u00ebtare, mua m\u00eb rezulton se edhe pse keni \u201ckokrra\u201d n\u00eb tiroide, funksioni \u00ebsht\u00eb normal. E vetmja analiz\u00eb q\u00eb m\u00eb l\u00eb pak dyshim \u00ebsht\u00eb TSH, e cila paraqitet pak e frenuar, por jo gjithmon\u00eb vlerat e k\u00ebsaj analize \u00e7rregullohen vet\u00ebm nga s\u00ebmundjet e tiroides. Jo rrall\u00ebher\u00eb, k\u00ebto shifra mund t\u00eb jen\u00eb t\u00eb pranishme te t\u00eb s\u00ebmuret me s\u00ebmundje t\u00eb kok\u00ebs, ankthit, depresionit, s\u00ebmundje tumorale etj. Ju m\u00eb shkruani edhe p\u00ebr nj\u00eb tjet\u00ebr analiz\u00eb, TG. P\u00ebr lexuesin e gjer\u00eb sqaroj se kjo n\u00ebnkupton nj\u00eb struktur\u00eb me baz\u00eb proteinike shum\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb tiroides e cila reflekton sasin\u00eb e hormoneve rezerv\u00eb q\u00eb ka gjendrra tiroide.<\/p>\n

– Nuk gjej arsye profesionale dhe etike t\u00eb mjaftueshme se p\u00ebrse duhet ta kryeni k\u00ebt\u00eb ekzaminim n\u00eb k\u00ebt\u00eb moment. Me siguri, kolegu q\u00eb ju ka orientuar p\u00ebr t\u00eb kryer k\u00ebt\u00eb ekzaminim do t\u00eb ket\u00eb dashur t\u00eb eleminoj\u00eb ndonj\u00eb ide apo hamend\u00ebsim se mos problemet e tiroides tuaj jan\u00eb me origjin\u00eb malinje apo kancerogjene. Ritrajtuar n\u00eb t\u00eb nj\u00ebjt\u00ebn pik\u00eb v\u00ebshtrimi, shumica e shkenc\u00ebtar\u00ebve t\u00eb fush\u00ebs s\u00eb studimeve n\u00eb bot\u00eb nuk e konsiderojn\u00eb t\u00eb vlefshme, por kosto efektive matjen e k\u00ebtij parametri biologjik p\u00ebrpara operacionit t\u00eb gjendrr\u00ebs tiroide apo n\u00eb shum\u00eb s\u00ebmundje t\u00eb saj q\u00eb trajtohen vet\u00ebm me barna. N\u00eb lidhje me noduset, ato mbeten p\u00ebr t\u2019u par\u00eb q\u00eb p\u00ebrve\u00e7 madh\u00ebsis\u00eb, si paraqiten n\u00eb eko, si \u00ebsht\u00eb forma e tyre, si \u00ebsht\u00eb p\u00ebrmbajtja e tyre, si \u00ebsht\u00eb dinamika e tyre dhe r\u00ebnd\u00ebsi jo t\u00eb vog\u00ebl ka vaskularizimi dhe qarkullimi i gjakut n\u00eb gjith\u00eb tiroiden dhe ve\u00e7an\u00ebrisht, n\u00eb nodul. N\u00eb lidhje me mjekimin q\u00eb ju k\u00ebrkoni, me kaq t\u00eb dh\u00ebna dhe prezantim q\u00eb keni b\u00ebr\u00eb, e kam t\u00eb v\u00ebshtir\u00eb t\u00eb konkludoj me nj\u00eb terapi fikse sepse si\u00e7 zakonisht ndodh, vendimmarrjet mjek\u00ebsore duhen marr\u00eb gjithmon\u00eb pasi t\u00eb kesh par\u00eb t\u00eb s\u00ebmurin, ta kesh ekzaminuar, t\u00eb kesh nxjerr\u00eb nj\u00eb konkluzion t\u00eb gjith\u00eb ekzaminimeve q\u00eb ai ka e sidomos, duke vler\u00ebsuar ecurin\u00eb nga nj\u00ebra vizit\u00eb n\u00eb tjetr\u00ebn. Duke p\u00ebrfunduar, ju k\u00ebshilloj t\u00eb b\u00ebni nj\u00eb vizit\u00eb tjet\u00ebr me nj\u00eb mjek endokrinolog p\u00ebr t\u00eb p\u00ebrcaktuar sakt\u00ebsisht ecurin\u00eb e m\u00ebtejshme t\u00eb trajtimit t\u00eb problemit tuaj. Pres t\u00eb m\u00eb shkruani s\u00ebrish. T\u00eb shkuara.<\/p>\n","protected":false},"excerpt":{"rendered":"

– P\u00ebrsh\u00ebndetje Dr. Dashamiri. Jam 60 vje\u00e7e dhe kam strum\u00eb me nodus n\u00eb lobin e djatht\u00eb prej 12 vjet\u00ebsh. Prej 2 muajsh, kam nodus edhe n\u00eb lobin e majt\u00eb. Kam b\u00ebr\u00eb analizat dhe m\u00eb kan\u00eb dal\u00eb: FT3 – 5.89, FT4 – 15.68, TG – 25.62, TSH – 0.04 dhe p\u00ebrmasat: lobi dexter hipertrofik me noduse […]<\/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-9606","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\/9606","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=9606"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/9606\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=9606"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=9606"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=9606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}