{"id":5216,"date":"2021-05-27T13:19:04","date_gmt":"2021-05-27T11:19:04","guid":{"rendered":"https:\/\/health.acibademsistina.mk\/al\/?p=5216"},"modified":"2024-02-26T12:00:43","modified_gmt":"2024-02-26T12:00:43","slug":"hipotiroidizmi-semundja-e-gjendres-tiroide","status":"publish","type":"post","link":"https:\/\/healthacibadem.unet.mk\/sq\/hipotiroidizmi-semundja-e-gjendres-tiroide\/","title":{"rendered":"\u00a0HIPOTIROIDIZMI- S\u00cbMUNDJA E GJ\u00cbNDR\u00cbS TIROIDE"},"content":{"rendered":"

Hipotiroidizmi \u00ebsht\u00eb nj\u00eb s\u00ebmundje kur gj\u00ebndra tiroide nuk sekreton mjaftuesh\u00ebm hormone tiroide. Femrat vuajn\u00eb nga hipotiroidizmi dy her\u00eb m\u00eb shum\u00eb sesa meshkujt. Trajtimi \u00ebsht\u00eb i suksessh\u00ebm n\u00ebse s\u00ebmundja diagnostikohet me koh\u00eb, thot\u00eb Dr. Liljana Muratovska, specialiste n\u00eb mjek\u00ebsin\u00eb nukleare n\u00eb Spitalin Klinik “Acibadem Sistina”<\/p>\n

“Hipotiroidizmi \u00ebsht\u00eb nj\u00eb gjendje e munges\u00ebs s\u00eb hormoneve t\u00eb gj\u00ebndr\u00ebs tiroide n\u00eb organiz\u00ebm ose munges\u00ebs s\u00eb veprimit n\u00eb qeliza. Pesha e s\u00ebmundjes varet nga shkalla e munges\u00ebs hormonale, por edhe nga gjendja e organizmit n\u00eb momentin kur shfaqet s\u00ebmundja \u201d, thot\u00eb Dr. Muratovska.<\/p>\n

Var\u00ebsisht nga niveli i d\u00ebmtimit, shkaku p\u00ebr hipotiroidiz\u00ebm mund t\u00eb jet\u00eb primar – kur problemi \u00ebsht\u00eb n\u00eb gj\u00ebndr\u00ebn tiroide dhe sekondar – kur problemi \u00ebsht\u00eb n\u00eb gj\u00ebndr\u00ebn “komanduese” n\u00eb qendr\u00ebn e trurit (hipofiz\u00eb) ose terciar – kur problemi \u00ebsht\u00eb n\u00eb nj\u00eb pjes\u00eb t\u00eb trurit (hipotalamus). Shkaqet e r\u00ebnies s\u00eb funksionit t\u00eb tiroides, rreth 95 p\u00ebr qind, ndodhen m\u00eb shpesh n\u00eb vet\u00eb gj\u00ebndr\u00ebn.<\/p>\n

“N\u00eb shumic\u00ebn e rasteve, shkaku \u00ebsht\u00eb nj\u00eb s\u00ebmundje autoimune e tiroides – tiroiditi Hashimoto. Nj\u00eb shkak i zakonsh\u00ebm i hipotiroidizmit \u00ebsht\u00eb heqja kirurgjikale e gj\u00ebndr\u00ebs tiroide ose terapia me jod radioaktiv. Rrezatimi i qaf\u00ebs p\u00ebr shkak t\u00eb s\u00ebmundjeve t\u00eb tjera malinje gjithashtu mund t\u00eb shkaktoj\u00eb d\u00ebmtime n\u00eb gj\u00ebndr\u00ebn tiroide. Duhet t\u00eb theksohet se n\u00eb t\u00eb kaluar\u00ebn, kur n\u00eb krip\u00ebn e gatimit nuk kan\u00eb shtuar jod shpeshher\u00eb n\u00eb disa pjes\u00eb t\u00eb vendit u paraqit gjendja e strum\u00ebs endemike e cila shpesh \u00ebsht\u00eb shoq\u00ebruar me funksion t\u00eb ulur t\u00eb tiroides. Sot, kjo gjendje p\u00ebr fat t\u00eb mir\u00eb, po b\u00ebhet m\u00eb e rrall\u00eb,” tha Dr. Muratovska.<\/p><\/blockquote>\n

Hipotiroidizmi ndikon mbi metabolizmin<\/strong><\/p>\n

Funksioni i zvog\u00ebluar i tiroides, si\u00e7 shpjegon Dr. Muratovska, manifestohet me \u00e7rregullime metabolike q\u00eb \u00e7ojn\u00eb deri n\u00eb ngadal\u00ebsim t\u00eb p\u00ebrgjithsh\u00ebm mendor dhe fizik t\u00eb trupit. S\u00ebmundja zakonisht p\u00ebrparon gradualisht. N\u00eb fillim p\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb simptomat shpesh nuk manifestohen, nd\u00ebrsa shum\u00eb prej tyre u atribuohen s\u00ebmundjeve t\u00eb tjera, si\u00e7 jan\u00eb menopauza ose plakja e organizmit. N\u00eb fazat e hershme t\u00eb s\u00ebmundjes n\u00eb m\u00ebnyr\u00eb paradoksale ka tension, nervoziz\u00ebm dhe pagjum\u00ebsi.<\/p>\n

N\u00eb faz\u00ebn e m\u00ebvonshme t\u00eb s\u00ebmundjes shfaqet l simptoma si lodhje, p\u00ebrgjum\u00ebsi, p\u00ebrgjum\u00ebsi, ngjirje e z\u00ebrit, ndjesi t\u00eb ftohti, kapsll\u00ebk, shtim n\u00eb pesh\u00eb (edhe pse nuk kan\u00eb oreksin!), djersitje t\u00eb zvog\u00ebluar, ndjesi t\u00eb mpirjes n\u00eb l\u00ebkur\u00eb dhe shurdhim. Pacient\u00ebt veprojn\u00eb n\u00eb m\u00ebnyr\u00eb t\u00eb ngadalt\u00eb, harrojn\u00eb, jan\u00eb t\u00eb pavullnetsh\u00ebm, me \u00ebnjtje t\u00eb fytyr\u00ebs, e cila \u00ebsht\u00eb pa mimika. L\u00ebkura b\u00ebhet e verdh\u00eb e zbeht\u00eb, e that\u00eb, e ftoht\u00eb dhe me zbokth. Flok\u00ebt dhe thonjt\u00eb b\u00ebhen “t\u00eb ashp\u00ebr” dhe t\u00eb brisht\u00eb. Mund t\u00eb ndodhin \u00e7rregullime n\u00eb ciklin menstrual, infertilitet tek burrat dhe grat\u00eb, nd\u00ebrsa tek f\u00ebmij\u00ebt hipotiroidizmi mund t\u00eb jet\u00eb shkaku i pubertetit t\u00eb parakohsh\u00ebm ose t\u00eb vonuar.<\/p>\n

Hipotiroidizmi i pazbuluar dhe i patrajtuar tek foshnjat shkakton kretiniz\u00ebm. Verdh\u00ebza e zgjatur fiziologjike, letargjia, kapsll\u00ebku, p\u00ebrgjum\u00ebsia, problemet e ngr\u00ebnies dhe vonesat e zhvillimit me tipare t\u00eb dukshme fizike t\u00eb kretinizmit – shtatshkurt\u00ebr, gjuh\u00eb t\u00eb trash\u00ebsuar, linja t\u00eb ashpra t\u00eb fytyr\u00ebs, hund\u00eb t\u00eb gjer\u00eb dhe t\u00eb rrafshuar, flok\u00eb t\u00eb rrall\u00eb, bark\u00eb t\u00eb fryr\u00eb \u2013 hernie n\u00eb k\u00ebrthiz\u00eb, distanc\u00eb t\u00eb madhe midis syve. Forma m\u00eb e r\u00ebnd\u00eb e hipotiroidizmit \u00ebsht\u00eb e ashtuquajtura koma myxedema me nj\u00eb vdekshm\u00ebri prej rreth 80%.<\/p>\n

\"\"<\/p>\n

Diagnostikim p\u00ebrmes analizave laboratorike <\/strong><\/h2>\n

\u201cPavar\u00ebsisht nga shkaktari i hipotiroidizmit, terapia zbatohet me marrjen e hormonit tiroksin\u00eb, i cili mungon. Trajtimi fillon me doza t\u00eb vogla t\u00eb ila\u00e7it, ve\u00e7an\u00ebrisht tek t\u00eb moshuarit dhe pacient\u00ebt e s\u00ebmur\u00eb nga zemra. Doza e ila\u00e7it \u00ebsht\u00eb individuale dhe merret nga nj\u00eb doz\u00eb nj\u00eb her\u00eb n\u00eb dit\u00eb (n\u00eb m\u00ebngjes), 30 minuta para vaktit. M\u00eb s\u00eb shpeshti, pacient\u00ebt e tolerojn\u00eb mir\u00eb terapin\u00eb dhe p\u00ebr disa jav\u00eb gjendja e p\u00ebrgjithshme p\u00ebrmir\u00ebsohet, si dhe normalizohen analizat laboratorike”, thot\u00eb Dr. Muratovska.<\/p>\n

Ajo shton se prognoza \u00ebsht\u00eb e mir\u00eb kur diagnoza vendoset n\u00eb koh\u00eb dhe trajtimi kryhet rregullisht dhe sipas rekomandimeve t\u00eb mjekut. Prognoza p\u00ebr rastet e patrajtuara jan\u00eb raste t\u00eb r\u00ebnda t\u00eb miksedem\u00ebs me ndryshime ateroskleotike. Pacient\u00ebt me funksion t\u00eb zvog\u00ebluar t\u00eb tiroides monitorohen gjat\u00eb gjith\u00eb jet\u00ebs.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Hipotiroidizmi \u00ebsht\u00eb nj\u00eb s\u00ebmundje kur gj\u00ebndra tiroide nuk sekreton mjaftuesh\u00ebm hormone tiroide. Femrat vuajn\u00eb nga hipotiroidizmi dy her\u00eb m\u00eb shum\u00eb sesa meshkujt. Trajtimi \u00ebsht\u00eb i suksessh\u00ebm n\u00ebse s\u00ebmundja diagnostikohet me koh\u00eb, thot\u00eb Dr. Liljana Muratovska, specialiste n\u00eb mjek\u00ebsin\u00eb nukleare n\u00eb Spitalin Klinik “Acibadem Sistina” “Hipotiroidizmi \u00ebsht\u00eb nj\u00eb gjendje e munges\u00ebs s\u00eb hormoneve t\u00eb gj\u00ebndr\u00ebs tiroide […]<\/p>\n","protected":false},"author":5,"featured_media":5219,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[336],"tags":[],"doktori":[],"class_list":["post-5216","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-familijarno-zdravje-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5216","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=5216"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5216\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/5219"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=5216"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=5216"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=5216"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=5216"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}