Pse shum\u00eb shpesh flitet p\u00ebr s\u00ebmundjet kardiovaskulare dhe pse \u00ebsht\u00eb trendi i rritur i paraqitjes s\u00eb tyre?<\/h2>\n

S\u00ebmundjet kardiovaskulare jan\u00eb s\u00ebmundje t\u00eb zemr\u00ebs dhe t\u00eb sistemit qarkullues dhe sipas manifestimeve klinike mund t\u00eb ndahen si s\u00ebmundje t\u00eb zemr\u00ebs ose s\u00ebmundje ishemike t\u00eb zemr\u00ebs, s\u00ebmundje cerebro-vaskulare dhe s\u00ebmundje t\u00eb qarkullimit periferik. Sipas k\u00ebtyre manifestimeve klinike kemi edhe simptoma t\u00eb ndryshme. Numrat trondit\u00ebse t\u00eb pacient\u00ebve t cil\u00ebt \u00e7do dit\u00eb diagnostikohen me s\u00ebmundje t\u00eb sistemit kardiovaskular \u00ebsht\u00eb alarm se duhet t\u00eb b\u00ebhen p\u00ebrpjekje p\u00ebr zvog\u00eblimin e paraqitjes s\u00eb t\u00eb nj\u00ebjtave. M\u00eb shum\u00eb se 50% t\u00eb vdekshm\u00ebris\u00eb n\u00eb bot\u00eb bie mbi k\u00ebto s\u00ebmundje, rreth 17 milion\u00eb pacient\u00eb n\u00eb vjet vdesin prej s\u00ebmundjeve kardiovaskulare n\u00eb bot\u00eb ose n\u00eb Evrop\u00eb rreth 6 milion\u00eb n\u00eb vjet.<\/p>\n

K\u00ebto numra t\u00eb shoq\u00ebruara me vdekshm\u00ebri t\u00eb madhe, morbiditet t\u00eb lart\u00eb, invaliditet t\u00eb lart\u00eb paraqet problem serioz shoq\u00ebror. Organizata Sh\u00ebndet\u00ebsore Bot\u00ebrore nd\u00ebrmori nj\u00eb s\u00ebr\u00eb masash q\u00eb t\u00eb ballafaqohet me k\u00ebto s\u00ebmundje. Prandaj, sot me t\u00eb drejt\u00eb thuhet se s\u00ebmundjet kardiovaskulare jan\u00eb epidemi e koh\u00ebs s\u00eb sotme.<\/p>\n

Cili \u00ebsht\u00eb ndryshimi themelor pato-anatomik q\u00eb ndodh, a ka em\u00ebrim t\u00eb p\u00ebrbashk\u00ebt p\u00ebr gjitha s\u00ebmundjet kardiovaskulare.<\/h2>\n

– N\u00eb baz\u00eb t\u00eb gjitha s\u00ebmundjet kardiovaskulare, diku rreth 95% te s\u00ebmundjet kardiovaskulare fajtori kryesor \u00ebsht\u00eb arteroskleroza. Arteroskleroza \u00ebsht\u00eb proces biologjik q\u00eb zhvillohet me vite, do t\u00eb thot\u00eb jo me muaj po me vite dhe me plakjen n\u00eb mosh\u00ebn m\u00eb t\u00eb kaluar kjo m\u00eb shum\u00eb manifestohet n\u00eb simptomat dhe manifestimet e para t\u00eb saja, k\u00ebshtu q\u00eb var\u00ebsisht nga ajo cilin organ do ta sulmoj\u00eb, fitojm\u00eb s\u00ebmundje t\u00eb zemr\u00ebs, s\u00ebmundje t\u00eb trurit, insulte cerebrovaskulare dhe s\u00ebmundje t\u00eb sistemit qarkullues periferik. Arteroskleroza n\u00eb m\u00ebnyr\u00eb pato-anatomike sjell deri te ngushtimi dhe mbyllja e en\u00ebve t\u00eb gjakut t\u00eb artereve dhe me k\u00ebt\u00eb jep manifestime var\u00ebsisht na ajo se cili \u00ebsht\u00eb organi q\u00ebllimor.<\/p>\n

<\/p>\n

Cilat jan\u00eb gj\u00ebrat ky\u00e7e t\u00eb cilat duhet ti dim\u00eb p\u00ebr parandalimin e s\u00ebmundjeve t\u00eb tilla?<\/h2>\n

– Organizata Sh\u00ebndet\u00ebsore Bot\u00ebrore p\u00ebrmes programeve t\u00eb veta nd\u00ebrmerr nj\u00eb s\u00ebr\u00eb masash p\u00ebr parandalimin e s\u00ebmundjeve kardiovaskulare. Ekzistojn\u00eb edhe programe dhe masa nacionale n\u00eb vende t\u00eb caktuara me q\u00ebllim q\u00eb t\u00eb zvog\u00eblohet vdekshm\u00ebria prej k\u00ebtyre s\u00ebmundjeve, t\u00eb zvog\u00eblohet morbiditeti, invaliditeti me q\u00ebllim t\u00eb zbutet ai efekt financiar negativ, k\u00ebshtu q\u00eb t\u00eb gjitha masat jan\u00eb p\u00ebrqendruar n\u00eb nj\u00eb parandalim primar dhe sekondar t\u00eb s\u00ebmundjeve kardiovaskulare. Parandalimi primar i s\u00ebmundjeve kardiovaskulare ka t\u00eb b\u00ebj\u00eb me popullat\u00ebn e p\u00ebrgjithshme dhe me q\u00ebllim t\u00eb arrij\u00eb sa m\u00eb af\u00ebr popullat\u00ebs s\u00eb p\u00ebrgjithshme, q\u00eb t\u00eb p\u00ebrcillet m\u00ebnyra e sh\u00ebndetshme e jet\u00ebs dhe t\u00eb ushqyerit, q\u00eb t\u00eb flitet p\u00ebr efektet e d\u00ebmshme nga duhani dhe t\u00eb gjith\u00eb faktor\u00ebt e rrezikut, si dhe efekti nga t\u00eb gjith\u00eb k\u00ebto faktor\u00eb t\u00eb rrezikut t\u00eb cil\u00ebt do t\u00eb eliminoheshin, me q\u00ebllim q\u00eb n\u00eb m\u00ebnyr\u00eb edukative t\u00eb veproj\u00eb mbi popullat\u00ebn, e me k\u00ebt\u00eb t\u00eb arrihet efekti mbi zvog\u00eblimin e morbiditetit, vdekshm\u00ebris\u00eb dhe t\u00eb ngrit\u00ebt vet\u00ebdija te njer\u00ebzit p\u00ebr r\u00ebnd\u00ebsin\u00eb e t\u00eb gjitha k\u00ebtyre s\u00ebmundjeve dhe me k\u00ebt\u00eb t\u00eb parandalohet t\u00eb mos vij deri te manifestimi i plot\u00ebsimit t\u00eb s\u00ebmundjeve dhe komplikimeve nga k\u00ebto s\u00ebmundje. N\u00eb parandalimin sekondar, caku jan\u00eb ata pacient\u00eb t\u00eb cil\u00ebt tashm\u00eb jan\u00eb s\u00ebmur\u00eb prej s\u00ebmundjeve kardiovaskulare dhe te k\u00ebta pacient\u00eb veprohet me q\u00ebllim t\u00eb zvog\u00eblohet invaliditeti, vdekshm\u00ebria, q\u00eb t\u00eb mund\u00ebsohet sa m\u00eb shpejt zbulimi i s\u00ebmundjes dhe mjekimit, rehabilitimi i drejt si dhe rekomandimi q\u00eb t\u00eb zvog\u00eblohen t\u00eb gjith\u00eb faktor\u00ebt e rrezikut.<\/p>\n

Cil\u00ebt jan\u00eb faktor\u00ebt e rrezikut t\u00eb cil\u00ebt ndikojn\u00eb negativisht mbi sh\u00ebndetin e zemr\u00ebs<\/h2>\n

– Gjithmon\u00eb tem\u00eb aktuale ka qen\u00eb grupi i faktor\u00ebve t\u00eb rrezikut t\u00eb cil\u00ebt sjellin deri te paraqitja e shpejt\u00eb e s\u00ebmundjeve kardiovaskulare. Ka nj\u00eb ndarje e faktor\u00ebve t\u00eb rrezikut, faktor\u00ebt e rrezikut mbi t\u00eb cil\u00ebt nuk mund t\u00eb veprohet, k\u00ebtu marrin pjes\u00eb gjinia, mosha dhe faktori trash\u00ebgues. Te faktor\u00ebt e rrezikut te t\u00eb cil\u00ebt mund t\u00eb veprohet jan\u00eb m\u00eb shum\u00eb faktor\u00eb rreziku, para s\u00eb gjithash do ta p\u00ebrmendja presionin e ngritur t\u00eb gjakut, duhani, trashja, jo aktiviteti fizik, diabetik\u00ebt, yndyrat e larta n\u00eb gjak et.<\/p>\n

Sa mund t\u00eb kontribuoj\u00eb t\u00eb ushqyerit dhe p\u00ebrdorimi i saj i drejt ose jo i drejt p\u00ebr nj\u00eb jet\u00eb t\u00eb sh\u00ebndetshme?<\/h2>\n

– – Me t\u00eb ushqyerit e drejt dhe pasjen e nj\u00eb jete t\u00eb sh\u00ebndetshme gjithsesi e parandalojm\u00eb paraqitjen e s\u00ebmundjeve t\u00eb caktuara kardiovaskulare. Amerikan\u00ebt kan\u00eb b\u00ebr\u00eb llogaritje me t\u00eb cilat tregojn\u00eb se parandalimi i tyre i drejt viteve t\u00eb fundit e kan\u00eb zvog\u00ebluar numrin e s\u00ebmundjeve kardiovaskulare p\u00ebr 2 milion\u00eb pacient\u00eb p\u00ebr nj\u00eb vit, e me k\u00ebt\u00eb edhe efektin financiar, i cili te ata do t\u00eb ishte 3,7 bilion\u00eb dollar\u00eb, do t\u00eb thot\u00eb efekt i madh financiar q\u00eb \u00ebsht\u00eb arritur vet\u00ebm me parandalim pa ndonj\u00eb investim t\u00eb ve\u00e7ant\u00eb, q\u00eb do t\u00eb thot\u00eb nj\u00eb parandalim i mir\u00eb mund ta zvog\u00ebloj\u00eb duksh\u00ebm numrin e pacient\u00ebve me s\u00ebmundje kardiovaskulare. Sa i p\u00ebrket t\u00eb ushqyerit, ushqimi \u00ebsht\u00eb segment shum\u00eb i r\u00ebnd\u00ebsish\u00ebm n\u00eb shprehit\u00eb e p\u00ebrditshme, k\u00ebshtu q\u00eb gjithmon\u00eb do t\u00eb duhej t\u00eb b\u00ebhet nj\u00eb bilanc, s\u00eb pari t\u00eb marrjes s\u00eb ushqimit dhe t\u00eb harxhimit ditor t\u00eb energjis\u00eb. Normalisht se \u00e7do konsumim i tepric\u00ebs s\u00eb ushqimit n\u00eb krahasim me aktivitetin e njeriut do t\u00eb sjell\u00eb deri te pasoja t\u00eb pad\u00ebshiruara t\u00eb grumbullimit n\u00eb form\u00eb t\u00eb shtresave yndyrore, e me k\u00ebt\u00eb edhe rritja e pesh\u00ebs trupore dhe m\u00eb tej t\u00eb gjitha komplikimet nga kjo. Konkretisht t\u00eb themi se n\u00eb ushqimin e sh\u00ebndetsh\u00ebm rekomandohet t\u00eb shmangen t\u00eb gjitha ato produkte yndyrore, ushqim i yndyrsh\u00ebm. Ve\u00e7an\u00ebrisht te pacient\u00ebt t\u00eb cil\u00ebt kan\u00eb s\u00ebmundje koronare rekomandohet ushqim i sh\u00ebndetsh\u00ebm, pa yndyra, t\u00eb pasur me perime, pem\u00eb ose dy deri tre her\u00eb n\u00eb jav\u00eb t\u00eb konsumohet peshk. Peshku \u00ebsht\u00eb i pasur me omega acide yndyrore t\u00eb cilat jan\u00eb t\u00eb r\u00ebnd\u00ebsishme n\u00eb metabolizmin e njeriut dhe k\u00ebtu para s\u00eb gjithash do ta p\u00ebrmendja salmonin n\u00eb vend t\u00eb par\u00eb, pastaj hareng\u00ebn, sardelen, tona etj. Konsumimi i p\u00ebrditsh\u00ebm i 6 deri 10 gram\u00eb \u00e7okollat\u00eb e zez\u00eb \u00ebsht\u00eb po ashtu e r\u00ebnd\u00ebsishme, pasi q\u00eb n\u00eb bot\u00eb jan\u00eb b\u00ebr\u00eb shum\u00eb studime n\u00eb mij\u00ebra pacient\u00eb ku \u00ebsht\u00eb d\u00ebshmuar dobia nga konsumimi i \u00e7okollat\u00ebs n\u00eb sasi t\u00eb vogla. Gjithnj\u00eb \u00ebsht\u00eb kontestuese n\u00ebse duhet ose nuk duhet t\u00eb konsumohet ver\u00eb e zez\u00eb. Te s\u00ebmundjet kardiovaskulare rekomandohet nj\u00eb deri dy gota n\u00eb dit\u00eb ver\u00eb e zez\u00eb. N\u00eb vendet ku kultivohet vera si tradit\u00eb llogaritet se \u00ebsht\u00eb zvog\u00ebluar numri i s\u00ebmundjeve kardiovaskulare.<\/p>\n

P\u00ebrmend\u00ebt se edhe aktiviteti fizik duhet t\u00eb aplikohet n\u00eb kufi normal, kjo do t\u00eb thot\u00eb se puna n\u00eb zyr\u00eb duhet t\u00eb plot\u00ebsohet me l\u00ebvizje, ecje…<\/h2>\n

– N\u00eb numrin e p\u00ebrgjithsh\u00ebm t\u00eb faktor\u00ebve t\u00eb rrezikut, vendin e vet e z\u00eb edhe jo aktiviteti fizik si faktor rreziku dhe normalisht se \u00e7do aktivitet fizik me doz\u00eb t\u00eb drejt ka m\u00eb shum\u00eb efekte t\u00eb volitshme t\u00eb sistemit kardiovaskular dhe duhet t\u00eb p\u00ebrfshihet n\u00eb vet\u00eb parandalimin e k\u00ebtyre s\u00ebmundjeve. Me shfryt\u00ebzimin e drejt t\u00eb aktivitetit fizik mund t\u00eb zvog\u00eblohet rreziku p\u00ebr paraqitjen e s\u00ebmundjeve kardiovaskulare p\u00ebr 42%, kjo \u00ebsht\u00eb p\u00ebrqindje e madhe t
\ne njer\u00ebzit t\u00eb cil\u00ebt din\u00eb t\u00eb jen\u00eb fizikisht aktiv p\u00ebrmes aktiviteteve t\u00eb ndryshme, kjo \u00ebsht\u00eb ecja e shpejt\u00eb, ngjitja n\u00eb mal, \u00e7iklizmi, fitnes aktivitete t\u00eb ndryshme. T\u00eb gjitha k\u00ebto aktivitete dy deri tre her\u00eb n\u00eb jav\u00eb ndikojn\u00eb mjaft mir\u00eb. Q\u00ebllimi \u00ebsht\u00eb t\u00eb arrihet nj\u00eb nivel i ngarkimit t\u00eb zemr\u00ebs, k\u00ebshtu me k\u00ebt\u00eb trajnim, jo vet\u00ebm q\u00eb zemra fiton n\u00eb zhvillimin e muskulit, por vendoset edhe nj\u00eb baraspesh\u00eb psiko-fizike n\u00eb vet\u00eb njeriun, k\u00ebshtu q\u00eb ka ndikim t\u00eb shum\u00ebfisht\u00eb mbi vet\u00eb njeriun.<\/p>\n

N\u00eb fund t\u2019ju pyes p\u00ebr kontrollet parandaluese, sa shpesh duhet t\u00eb b\u00ebhet te nj\u00eb pacient i sh\u00ebndosh\u00eb?<\/h2>\n

– Kur jemi te kontrollet parandaluese, s\u00eb pari varet nga mosha e pacient\u00ebve, pas mosh\u00ebs 40 vje\u00e7e me rregull do t\u00eb duhej t\u00eb gjith\u00eb njer\u00ebzit t\u00eb vijn\u00eb n\u00eb nj\u00eb kontroll parandalues, pa pasur ndonj\u00eb simptom\u00eb, t\u00eb b\u00ebjn\u00eb kontroll themelor q\u00eb n\u00ebnkupton EKG, auskultim t\u00eb zemr\u00ebs, palpim dhe nj\u00eb bised\u00eb me q\u00ebllim t\u00eb zbulohet n\u00ebse pacienti ka ndonj\u00eb faktor rreziku dhe n\u00ebse momentalisht ka shenja p\u00ebr ndonj\u00eb s\u00ebmundje kardiovaskulare. Dhe normalisht n\u00ebse pacienti ka shenja p\u00ebr s\u00ebmundje kardiovaskulare shkohet deri te diagnostikimi i s\u00ebmundjes, ose n\u00ebse ekzistojn\u00eb faktor\u00eb rreziku t\u00eb caktuar at\u00ebher\u00eb pacientit i caktohet nj\u00eb rit\u00ebm vjetor i kontrolleve kardiologjie, var\u00ebsisht n\u00ebse \u00ebsht\u00eb stres test, eho… Por k\u00ebshilloj \u2013 \u00e7do njeri mbi mosh\u00ebn 40 vje\u00e7are do t duhej t\u00eb pakt\u00ebn nj\u00eb her\u00eb ta vizitoj\u00eb kardiologun.<\/p>\n

\n","protected":false},"excerpt":{"rendered":"

Pse shum\u00eb shpesh flitet p\u00ebr s\u00ebmundjet kardiovaskulare dhe pse \u00ebsht\u00eb trendi i rritur i paraqitjes s\u00eb tyre?<\/h2>\n

S\u00ebmundjet kardiovaskulare jan\u00eb s\u00ebmundje t\u00eb zemr\u00ebs dhe t\u00eb sistemit qarkullues dhe sipas manifestimeve klinike mund t\u00eb ndahen si s\u00ebmundje t\u00eb zemr\u00ebs ose s\u00ebmundje ishemike t\u00eb zemr\u00ebs, s\u00ebmundje cerebro-vaskulare dhe s\u00ebmundje t\u00eb qarkullimit periferik. Sipas k\u00ebtyre manifestimeve klinike kemi edhe simptoma t\u00eb ndryshme. Numrat trondit\u00ebse t\u00eb pacient\u00ebve t cil\u00ebt \u00e7do dit\u00eb diagnostikohen me s\u00ebmundje t\u00eb sistemit kardiovaskular \u00ebsht\u00eb alarm se duhet t\u00eb b\u00ebhen p\u00ebrpjekje p\u00ebr zvog\u00eblimin e paraqitjes s\u00eb t\u00eb nj\u00ebjtave. M\u00eb shum\u00eb se 50% t\u00eb vdekshm\u00ebris\u00eb n\u00eb bot\u00eb bie mbi k\u00ebto s\u00ebmundje, rreth 17 milion\u00eb pacient\u00eb n\u00eb vjet vdesin prej s\u00ebmundjeve kardiovaskulare n\u00eb bot\u00eb ose n\u00eb Evrop\u00eb rreth 6 milion\u00eb n\u00eb vjet.<\/p>\n","protected":false},"author":2,"featured_media":3051,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[342],"tags":[],"doktori":[],"class_list":["post-3053","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-srce-vaskularno-zdravje-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=3053"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3053\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/3051"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=3053"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=3053"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=3053"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=3053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}