{"id":4344,"date":"2021-11-22T22:02:17","date_gmt":"2021-11-22T21:02:17","guid":{"rendered":"https:\/\/drdanijela.mk\/soveti\/demenca\/"},"modified":"2021-11-22T22:02:17","modified_gmt":"2021-11-22T21:02:17","slug":"demenca","status":"publish","type":"soveti","link":"https:\/\/drdanijela.mk\/sq\/soveti\/demenca\/","title":{"rendered":"Demenca"},"content":{"rendered":"<h4>\u00c7far\u00eb \u00ebsht\u00eb demenca?<\/h4>\n<p><strong>Demenca <\/strong>\u00ebsht\u00eb nj\u00eb grup simptomash t\u00eb nj\u00eb r\u00ebnie graduale, por progresive t\u00eb funksionit t\u00eb trurit.<br \/>\nEkziston nj\u00eb baz\u00eb organike p\u00ebr k\u00ebt\u00eb r\u00ebnie, d.m.th. vdekja graduale e qelizave nervore dhe atrofia e trurit.<br \/>\nDemenca manifestohet m\u00eb shpesh p\u00ebrmes v\u00ebshtir\u00ebsive me:<\/p>\n<ul>\n<li>funksionet njoh\u00ebse dhe<\/li>\n<li>ndryshime n\u00eb sjellje.<\/li>\n<\/ul>\n<p>N\u00eb fazat e m\u00ebvonshme t\u00eb s\u00ebmundjes, shfaqen ndryshime n\u00eb emocione, t\u00eb folur, humor, motivim, \u00e7orientim kohor dhe hap\u00ebsinor, pamund\u00ebsi p\u00ebr t\u00eb marr\u00eb vendime t\u00eb pavarura, v\u00ebshtir\u00ebsi n\u00eb funksionet motorike ekzekutive, ndryshime n\u00eb domenin social, madje edhe v\u00ebshtir\u00ebsi me kryerjen e kontrolluar t\u00eb funksioneve baz\u00eb fiziologjike. Zakonisht simptomat zhvillohen ngadal\u00eb, por me kalimin e koh\u00ebs gjendja p\u00ebrkeq\u00ebsohet deri n\u00eb at\u00eb pik\u00eb sa lindin probleme n\u00eb funksionimin e p\u00ebrditsh\u00ebm t\u00eb personit, duke e b\u00ebr\u00eb t\u00eb pamundur kujdesin p\u00ebr veten. <\/p>\n<h4>Kush merr demenc\u00eb?<\/h4>\n<p>Demenca \u00ebsht\u00eb m\u00eb shpesh nj\u00eb s\u00ebmundje e popullat\u00ebs s\u00eb moshuar dhe shoq\u00ebrohet me plakjen dhe s\u00ebmundje t\u00eb tjera kronike si faktor\u00eb rreziku. Megjithat\u00eb, nuk duhet t\u00eb konsiderohet nj\u00eb pjes\u00eb normale e procesit t\u00eb plakjes.<br \/>\nEkziston gjithashtu nj\u00eb plakje normale dhe e sh\u00ebndetshme, n\u00eb t\u00eb cil\u00ebn nuk ka s\u00ebmundje kronike ose \u00e7menduri.<br \/>\nDemenca shfaqet n\u00eb nj\u00eb p\u00ebrqindje m\u00eb t\u00eb vog\u00ebl para mosh\u00ebs 65 vje\u00e7, at\u00ebher\u00eb ka t\u00eb ngjar\u00eb t\u00eb jet\u00eb nj\u00eb predispozit\u00eb gjenetike ose s\u00ebmundje q\u00eb kan\u00eb ndodhur te pacient\u00ebt n\u00eb nj\u00eb mosh\u00eb m\u00eb t\u00eb hershme dhe t\u00eb \u00e7ojn\u00eb n\u00eb d\u00ebmtim t\u00eb trurit.<\/p>\n<h4>\u00c7far\u00eb e shkakton demenc\u00ebn?<\/h4>\n<p>Ka shum\u00eb s\u00ebmundje t\u00eb ndryshme q\u00eb shkaktojn\u00eb demenc\u00eb, m\u00eb e shpeshta prej t\u00eb cilave \u00ebsht\u00eb s\u00ebmundja neurodegjenerative progresive e quajtur <em><strong>s\u00ebmundja Alzheimer<\/strong><\/em> , e cila lind nga nj\u00eb mekaniz\u00ebm ende i kuptuar keq, q\u00eb rezulton n\u00eb depozitimin e proteinave patologjike n\u00eb tru dhe vdekjen e qelizave t\u00eb trurit. Kjo s\u00ebmundje shfaqet n\u00eb mbar\u00eb bot\u00ebn, m\u00eb shpesh n\u00eb popullat\u00ebn e rritur &gt; 70 vje\u00e7. Simptoma e par\u00eb \u00ebsht\u00eb harresa, e ndjekur nga nj\u00eb r\u00ebnie globale n\u00eb t\u00eb gjitha funksionet njoh\u00ebse.<br \/>\nS\u00ebmundja e en\u00ebve t\u00eb gjakut n\u00eb tru me qarkullim kronik t\u00eb d\u00ebmtuar \u00ebsht\u00eb shkaku i dyt\u00eb m\u00eb i zakonsh\u00ebm i demenc\u00ebs, i ashtuquajturi. demenca vaskulare. Ndodh si komplikacion te pacient\u00ebt me s\u00ebmundje t\u00eb shumta kronike si: diabeti, tensioni i lart\u00eb, aritmit\u00eb kardiake, \u00e7rregullimet e metabolizmit t\u00eb yndyr\u00ebs&#8230;<br \/>\nKa s\u00ebmundje t\u00eb tjera m\u00eb t\u00eb rralla q\u00eb \u00e7ojn\u00eb n\u00eb demenc\u00eb.  <\/p>\n<h4>A \u00ebsht\u00eb \u00e7menduri?<\/h4>\n<p>P\u00ebr nj\u00eb diagnoz\u00eb t\u00eb sakt\u00eb, \u00ebsht\u00eb e nevojshme t\u00eb kryhen: nj\u00eb ekzaminim neurologjik, testim neuropsikologjik, nj\u00eb panel i zgjeruar i testeve laboratorike dhe shpesh imazhe t\u00eb trurit (CT, MRI truri).<br \/>\nKjo \u00ebsht\u00eb gjithashtu e r\u00ebnd\u00ebsishme sepse ka disa gjendje sh\u00ebndet\u00ebsore q\u00eb mund t&#8217;i ngjajn\u00eb demenc\u00ebs (depresioni tek t\u00eb moshuarit, hipotiroidizmi, mungesa e disa vitaminave, tumoret dhe infeksionet e trurit, l\u00ebndimet e trurit, etj.) dhe mund t\u00eb kurohen ose p\u00ebrmir\u00ebsohen. \u00cbsht\u00eb e r\u00ebnd\u00ebsishme q\u00eb ato t\u00eb diagnostikohen sakt\u00eb dhe n\u00eb koh\u00eb. <\/p>\n<h4>Cilat jan\u00eb shenjat e hershme t\u00eb demenc\u00ebs?<\/h4>\n<ul>\n<li>Humbje e shpesht\u00eb e kujtes\u00ebs q\u00eb gradualisht p\u00ebrkeq\u00ebsohet<\/li>\n<li>Konfuzion dhe humbje<\/li>\n<li>Ndryshimi i personalitetit<\/li>\n<li>Mosinteresimi p\u00ebr mjedisin dhe t\u00ebrheqja n\u00eb vetvete<\/li>\n<li>Humbja e aft\u00ebsis\u00eb p\u00ebr t\u00eb kryer detyrat e p\u00ebrditshme<\/li>\n<\/ul>\n<h4>Si mund t\u00eb ndihmohet?<\/h4>\n<p>Aktualisht nuk ka kur\u00eb p\u00ebr s\u00ebmundjen e Alzheimerit, por ka medikamente q\u00eb mund t\u00eb p\u00ebrmir\u00ebsojn\u00eb simptomat e s\u00ebmundjes, ve\u00e7an\u00ebrisht n\u00ebse terapia fillon her\u00ebt dhe n\u00eb koh\u00eb.<br \/>\nMjeku k\u00ebshillon pacientin dhe familjen p\u00ebr trajtime jo farmakologjike q\u00eb mund t\u00eb jen\u00eb t\u00eb dobishme.<br \/>\nDemenca mund t\u00eb parandalohet me nj\u00eb m\u00ebnyr\u00eb jetese t\u00eb sh\u00ebndetshme, diet\u00eb t\u00eb sh\u00ebndetshme, menaxhim t\u00eb stresit, higjien\u00eb t\u00eb mir\u00eb t\u00eb gjumit, parandalim t\u00eb s\u00ebmundjeve kronike (diabet, hipertension, etj.), aktivitet t\u00eb rregullt fizik, aktivitet social dhe stimulim kognitiv. \u2026<\/p>\n","protected":false},"excerpt":{"rendered":"<p>..p\u00ebrfaq\u00ebson nj\u00eb s\u00ebr\u00eb simptomash t\u00eb nj\u00eb r\u00ebnieje graduale, por progresive t\u00eb funksionit t\u00eb trurit.<\/p>\n","protected":false},"featured_media":4345,"template":"","class_list":["post-4344","soveti","type-soveti","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/drdanijela.mk\/sq\/wp-json\/wp\/v2\/soveti\/4344","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drdanijela.mk\/sq\/wp-json\/wp\/v2\/soveti"}],"about":[{"href":"https:\/\/drdanijela.mk\/sq\/wp-json\/wp\/v2\/types\/soveti"}],"version-history":[{"count":0,"href":"https:\/\/drdanijela.mk\/sq\/wp-json\/wp\/v2\/soveti\/4344\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drdanijela.mk\/sq\/wp-json\/wp\/v2\/media\/4345"}],"wp:attachment":[{"href":"https:\/\/drdanijela.mk\/sq\/wp-json\/wp\/v2\/media?parent=4344"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}