Nga Alket Koroshi, mjek nefrolog <\/p>\n
Simptomat e M\u00ebl\u00e7is\u00eb se dhjamosur <\/p>\n
Shum\u00eb njer\u00ebz q\u00eb vuajn\u00eb nga m\u00ebl\u00e7ia e dhjamosur nuk e din\u00eb q\u00eb e kan\u00eb sepse nuk p\u00ebrjetojn\u00eb ndonj\u00eb simptom\u00eb. Kur njer\u00ebzit p\u00ebrjetojn\u00eb simptoma, ata mund t\u00eb kene humbje t\u00eb oreksit, humbje peshe, plot\u00ebsi t\u00eb barkut, dhimbje barku, lodhje, konfuzion, dob\u00ebsi dhe t\u00eb p\u00ebrziera. Shenjat e m\u00ebl\u00e7is\u00eb yndyrore q\u00eb mund t\u00eb jen\u00eb t\u00eb dukshme p\u00ebr t\u00eb tjer\u00ebt p\u00ebrfshijn\u00eb nj\u00eb zverdhje t\u00eb l\u00ebkur\u00ebs dhe syve (verdh\u00ebz) dhe \u00ebnjtje t\u00eb k\u00ebmb\u00ebve dhe barkut (edem\u00eb). <\/p>\n
Diagnostikimi i M\u00ebl\u00e7is\u00eb Yndyrore <\/p>\n
S\u00ebmundja e m\u00ebl\u00e7is\u00eb yndyrore mund t\u00eb jet\u00eb e v\u00ebshtir\u00eb t\u00eb diagnostikohet, sepse shum\u00eb njer\u00ebz nuk kan\u00eb ndonj\u00eb simptom\u00eb. Testet q\u00eb mjeku mund t\u00eb urdh\u00ebroj\u00eb n\u00ebse dyshojn\u00eb se nj\u00eb pacient ka m\u00ebl\u00e7i t\u00eb yndyrshme p\u00ebrfshijn\u00eb teste gjaku p\u00ebr t\u00eb monitoruar p\u00ebr ngritjen e enzimave t\u00eb m\u00ebl\u00e7is\u00eb, EKO dhe skanimin e tomografis\u00eb kompjuterike (CT). Elastografia \u00ebsht\u00eb nj\u00eb test q\u00eb ndihmon n\u00eb vler\u00ebsimin e nivelit t\u00eb dhjamit n\u00eb m\u00ebl\u00e7i. N\u00eb disa raste, mjeku mund t\u00eb d\u00ebshiroj\u00eb t\u00eb marr\u00eb nj\u00eb most\u00ebr t\u00eb indit t\u00eb m\u00ebl\u00e7is\u00eb (biopsia e m\u00ebl\u00e7is\u00eb) p\u00ebr t\u00eb diagnostikuar s\u00ebmundjen e m\u00ebl\u00e7is\u00eb yndyrore. <\/p>\n
Trajtimi i m\u00ebl\u00e7is\u00eb yndyrore <\/p>\n
Ka shum\u00eb pacient\u00eb q\u00eb mund t\u00eb ndikojne per mire me ndryshimet n\u00eb diet\u00eb dhe m\u00ebnyr\u00ebn e jetes\u00ebs p\u00ebr t\u00eb trajtuar nj\u00eb m\u00ebl\u00e7i t\u00eb yndyrshme. Humbja e pesh\u00ebs n\u00ebse jan\u00eb mbipesh\u00eb ose obeze mund t\u00eb ndihmoj\u00eb m\u00ebl\u00e7in\u00eb. Humbja ne peshe edhe 2-3 kg, mund t\u00eb ndihmoj\u00eb. N\u00eb var\u00ebsi t\u00eb pesh\u00ebs s\u00eb nj\u00eb pacienti, humbja e pesh\u00ebs prej rreth 10 p\u00ebrqind \u00ebsht\u00eb e d\u00ebshirueshme. Mjeku ose nutricionisti mund t\u00eb rekomandoj\u00eb diet\u00ebn m\u00eb t\u00eb mir\u00eb t\u00eb s\u00ebmundjes s\u00eb m\u00ebl\u00e7is\u00eb yndyrore. Ata q\u00eb jan\u00eb shum\u00eb obez\u00eb mund t\u00eb ken\u00eb nevoj\u00eb p\u00ebr nj\u00eb operacion p\u00ebr humbje peshe, i cili mund t\u00eb ndihmoj\u00eb gjithashtu n\u00eb m\u00ebl\u00e7in\u00eb e dhjamosur.
\nMjeku gjithashtu mund t\u00eb p\u00ebrshkruaj\u00eb ila\u00e7e t\u00eb caktuara p\u00ebr t\u00eb trajtuar inflamacionin dhe p\u00ebr t\u00eb ndihmuar n\u00eb mbajtjen n\u00ebn kontroll t\u00eb sheqerit n\u00eb gjak, n\u00ebse pacient\u00ebt kan\u00eb nevoj\u00eb p\u00ebr to. <\/p>\n
Ushtrimet fizike <\/p>\n
Pacient\u00ebt mund t\u00eb jen\u00eb n\u00eb gjendje t\u00eb trajtojn\u00eb dhe t\u00eb permiresojne m\u00ebl\u00e7in\u00eb yndyrore me ndihm\u00ebn e diet\u00ebs dhe ndryshimeve t\u00eb jetes\u00ebs. Ushtrimi p\u00ebr t\u00eb pakt\u00ebn 30 minuta p\u00ebr pes\u00eb dit\u00eb n\u00eb jav\u00eb mund t\u00eb ndihmoj\u00eb njer\u00ebzit t\u00eb humbin pesh\u00eb. Edhe aktivitetet e moderuara si ecja me rit\u00ebm t\u00eb shpejt\u00eb llogariten drejt k\u00ebtij q\u00ebllimi. Njer\u00ebzit t\u00eb cil\u00ebt nuk jan\u00eb ushtruar p\u00ebr nj\u00eb koh\u00eb ose q\u00eb kan\u00eb filluar t\u00eb ushtrohen p\u00ebr her\u00eb t\u00eb par\u00eb duhet t\u00eb konsultohen me mjekun e tyre s\u00eb pari. <\/p>\n
Shmangni alkoolin <\/p>\n
Njer\u00ebzit q\u00eb vuajn\u00eb nga s\u00ebmundja e m\u00ebl\u00e7is\u00eb yndyrore nga alkooli nuk duhet t\u00eb pin\u00eb alkool. Kjo mund t\u00eb thuhet m\u00eb leht\u00eb sesa t\u00eb b\u00ebhet. N\u00eb vitin 2018, pothuajse 15 milion njer\u00ebz n\u00eb Sh.B.A vuanin nga nj\u00eb \u00e7rregullim i p\u00ebrdorimit t\u00eb alkoolit. Dhe ky konsum i tep\u00ebrt i alkoolit mund t\u00eb \u00e7oj\u00eb n\u00eb s\u00ebmundje t\u00eb m\u00ebl\u00e7is\u00eb yndyrore. <\/p>\n
A mund t\u00eb sherohet m\u00ebl\u00e7ia yndyrore? P\u00ebrgjigja \u00ebsht\u00eb po, ve\u00e7an\u00ebrisht n\u00ebse procesi i s\u00ebmundjes diagnostikohet her\u00ebt. Shmangia e alkoolit \u00ebsht\u00eb pjes\u00eb e procesit t\u00eb rim\u00ebk\u00ebmbjes. Pacient\u00ebt me m\u00ebl\u00e7i yndyrore q\u00eb dyshojn\u00eb se kan\u00eb nj\u00eb problem abuzimi me alkoolin duhet t\u00eb flasin me mjek\u00ebt e tyre. Ka trajtime q\u00eb mund t\u00eb ndihmojn\u00eb. <\/p>\n
Kontrollohuni me analiza <\/p>\n
M\u00ebl\u00e7ia e dhjamosur mund t\u00eb rris\u00eb rrezikun e diabetit t\u00eb tipit 2. Pasja e t\u00eb dy kushteve mund ta p\u00ebrkeq\u00ebsoj\u00eb m\u00ebl\u00e7in\u00eb yndyrore n\u00ebse diabeti tip 2 nuk kontrollohet mir\u00eb. Pacient\u00ebt q\u00eb kan\u00eb diabet tip 2 duhet t\u00eb sigurohen se \u00ebsht\u00eb i kontrolluar mir\u00eb. Njer\u00ebzit me m\u00ebl\u00e7i t\u00eb yndyrshme duhet t\u00eb mbajn\u00eb n\u00ebn kontroll lipidet e gjakut, si trigliceridet dhe t\u00eb ashtuquajturin kolesterol \u201ct\u00eb keq\u201d LDL. Kontrolli i presionit t\u00eb lart\u00eb t\u00eb gjakut dhe humbja e pesh\u00ebs gjithashtu ndihmon n\u00eb largimin e m\u00ebl\u00e7is\u00eb. Ata gjithashtu duhet t\u00eb shmangin pirjen e alkoolit. <\/p>\n
Njer\u00ebzit me m\u00ebl\u00e7i t\u00eb yndyrshme duhet t\u00eb ndjekin kontrolle t\u00eb rregullta t\u00eb mjekut p\u00ebr t\u00eb q\u00ebndruar n\u00eb zoterim t\u00eb sh\u00ebndetit t\u00eb tyre. Mjeku mund t\u00eb urdh\u00ebroj\u00eb nj\u00eb EKO p\u00ebr t\u00eb monitoruar m\u00ebl\u00e7in\u00eb e nj\u00eb pacienti s\u00eb bashku me teste t\u00eb rregullta t\u00eb gjakut p\u00ebr t\u00eb monitoruar funksionin e m\u00ebl\u00e7is\u00eb. <\/p>\n
Mbroni M\u00ebl\u00e7in\u00eb <\/p>\n
Njer\u00ebzit q\u00eb vuajn\u00eb nga s\u00ebmundja e m\u00ebl\u00e7is\u00eb yndyrore mund t\u00eb zhvillojn\u00eb nj\u00eb gjendje m\u00eb serioze n\u00ebse s\u00ebmuren me hepatit A, hepatit B, pneumoni ose grip. Kjo \u00ebsht\u00eb arsyeja pse \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb merrni vaksinat kund\u00ebr k\u00ebtyre s\u00ebmundjeve p\u00ebr t\u00eb ulur rrezikun e komplikimeve t\u00eb tjera t\u00eb mundshme. <\/p>\n
M\u00ebl\u00e7ia filtron gjith\u00e7ka q\u00eb ham\u00eb, pim\u00eb dhe marrim; kjo p\u00ebrfshin bar\u00ebra, vitamina, suplemente dhe ila\u00e7e (ila\u00e7e pa recet\u00eb dhe me recet\u00eb). Pacient\u00ebt q\u00eb vuajn\u00eb nga m\u00ebl\u00e7ia e dhjamosur ose gjendje tjet\u00ebr q\u00eb rrezikon funksionin e m\u00ebl\u00e7is\u00eb duhet t\u00eb flasin me mjek\u00ebt e tyre p\u00ebr gjith\u00e7ka q\u00eb marrin. Pacient\u00ebt mund t\u00eb ken\u00eb nevoj\u00eb t\u00eb ndalojn\u00eb marrjen e substancave t\u00eb caktuara ose t\u00eb kalojn\u00eb n\u00eb ila\u00e7e t\u00eb ndryshme q\u00eb nuk d\u00ebmtojn\u00eb m\u00ebl\u00e7in\u00eb. <\/p>\n
Parandaloni m\u00ebl\u00e7in\u00eb e dhjamosur <\/p>\n
Parandalimi \u00ebsht\u00eb gjeja me e mire kur b\u00ebhet fjal\u00eb p\u00ebr s\u00ebmundjen e m\u00ebl\u00e7is\u00eb yndyrore. Pyesni mjekun p\u00ebr dietat m\u00eb t\u00eb mira p\u00ebr parandalimin e s\u00ebmundjes s\u00eb m\u00ebl\u00e7is\u00eb yndyrore. Mbani pesh\u00ebn e ulet duke ngr\u00ebn\u00eb nj\u00eb diet\u00eb t\u00eb arsyeshme dhe duke u ushtruar rregullisht, natyrisht me dijen dhe lejen e mjekut. Shmangni ose kufizoni marrjen e alkoolit. <\/p>\n
Rishikoni t\u00eb gjith\u00eb mjekimet pa recet\u00eb, ila\u00e7et me recet\u00eb, suplementet, vitaminat dhe barishtet me mjekun p\u00ebr tu siguruar q\u00eb nuk po d\u00ebmtojn\u00eb m\u00ebl\u00e7in\u00eb. T\u00eb jetosh nj\u00eb m\u00ebnyr\u00eb jetese t\u00eb sh\u00ebndetshme e mban nen kontroll pesh\u00ebn, presionin e gjakut, lipidet e gjakut, stresin, diabetin dhe s\u00ebmundjet e zemr\u00ebs. Kjo esht\u00eb gjithashtu e mir\u00eb p\u00ebr m\u00ebl\u00e7in\u00eb.
\nsh\u00ebndeticom.al<\/p>\n","protected":false},"excerpt":{"rendered":"
Nga Alket Koroshi, mjek nefrolog Simptomat e M\u00ebl\u00e7is\u00eb se dhjamosur Shum\u00eb njer\u00ebz q\u00eb vuajn\u00eb nga m\u00ebl\u00e7ia e dhjamosur nuk e din\u00eb q\u00eb e kan\u00eb sepse nuk p\u00ebrjetojn\u00eb ndonj\u00eb simptom\u00eb. Kur njer\u00ebzit p\u00ebrjetojn\u00eb simptoma, ata mund t\u00eb kene humbje t\u00eb oreksit, humbje peshe, plot\u00ebsi t\u00eb barkut, dhimbje barku, lodhje, konfuzion, dob\u00ebsi dhe t\u00eb p\u00ebrziera. Shenjat e […]<\/p>\n","protected":false},"author":2,"featured_media":10269,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[107],"tags":[],"class_list":{"0":"post-10268","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-kuriozitete"},"_links":{"self":[{"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts\/10268","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/comments?post=10268"}],"version-history":[{"count":1,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts\/10268\/revisions"}],"predecessor-version":[{"id":10270,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/posts\/10268\/revisions\/10270"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/media\/10269"}],"wp:attachment":[{"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/media?parent=10268"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/categories?post=10268"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neutrale.al\/index.php\/wp-json\/wp\/v2\/tags?post=10268"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}