{"id":4346,"date":"2021-11-22T21:47:27","date_gmt":"2021-11-22T20:47:27","guid":{"rendered":"https:\/\/drdanijela.mk\/soveti\/goditja-ne-tru\/"},"modified":"2021-11-22T21:47:27","modified_gmt":"2021-11-22T20:47:27","slug":"goditja-ne-tru","status":"publish","type":"soveti","link":"https:\/\/drdanijela.mk\/sq\/soveti\/goditja-ne-tru\/","title":{"rendered":"Goditja n\u00eb tru"},"content":{"rendered":"<p><strong>Goditja n\u00eb tru \u00ebsht\u00eb nj\u00eb urgjenc\u00eb mjek\u00ebsore n\u00eb t\u00eb cil\u00ebn ka nj\u00eb nd\u00ebrprerje akute t\u00eb furnizimit me gjak n\u00eb nj\u00eb pjes\u00eb t\u00eb indit t\u00eb trurit, p\u00ebr shkak t\u00eb s\u00ebmundjes ose d\u00ebmtimit t\u00eb en\u00ebve t\u00eb gjakut t\u00eb trurit.<\/strong><\/p>\n<p>Gjat\u00eb nj\u00eb goditjeje, rrjedha e oksigjenit dhe sheqerit n\u00eb tru nd\u00ebrpritet papritur dhe n\u00ebse kjo gjendje vazhdon p\u00ebr m\u00eb shum\u00eb se 1 or\u00eb, qelizat e trurit d\u00ebmtohen n\u00eb m\u00ebnyr\u00eb t\u00eb pakthyeshme dhe vdesin. Kur qelizat e trurit shkat\u00ebrrohen, funksioni i qendrave t\u00eb caktuara t\u00eb trurit humbet, duke \u00e7uar n\u00eb nd\u00ebrprerjen e disa funksioneve trupore q\u00eb ato kontrollojn\u00eb. <\/p>\n<p><strong>Ka dy lloje t\u00eb goditjes:<\/strong><\/p>\n<ul>\n<li><strong>Goditja ishemike<\/strong> \u00ebsht\u00eb rezultat i nj\u00eb nd\u00ebrprerjeje t\u00eb rrjedh\u00ebs s\u00eb gjakut n\u00eb nj\u00eb nga en\u00ebt e gjakut t\u00eb trurit dhe \u00ebsht\u00eb lloji m\u00eb i zakonsh\u00ebm i goditjes n\u00eb tru. Ndodh te pacient\u00ebt me: s\u00ebmundje arteriale si ateroskleroz\u00eb, aritmi kardiake (fibrilacion atrial), mpiksje t\u00eb d\u00ebmtuar t\u00eb gjakut me gjendje trombotike etj.<\/li>\n<li><strong>Nj\u00eb goditje hemorragjike<\/strong> ndodh kur nj\u00eb en\u00eb gjaku e trurit shp\u00ebrthen dhe gjaku rrjedh n\u00eb indin p\u00ebrreth trurit.<\/li>\n<\/ul>\n<p>Shpesh pacient\u00ebt kan\u00eb sulme t\u00eb shkurtra ishemike kalimtare (TIA), t\u00eb cilat jan\u00eb nj\u00eb shenj\u00eb paralajm\u00ebruese se s\u00eb shpejti mund t\u00eb ndodh\u00eb nj\u00eb goditje n\u00eb tru. Nj\u00eb TIA duhet t\u00eb konsiderohet gjithmon\u00eb nj\u00eb urgjenc\u00eb dhe duhet t\u00eb kryhen ekzaminime gjith\u00ebp\u00ebrfshir\u00ebse p\u00ebr t\u00eb vler\u00ebsuar rrezikun e goditjes n\u00eb tru dhe p\u00ebr t\u00eb ofruar terapi parandaluese n\u00eb koh\u00eb. <\/p>\n<p>Akronimi <strong>FAST <\/strong>thekson r\u00ebnd\u00ebsin\u00eb e njohjes s\u00eb hershme t\u00eb simptomave m\u00eb t\u00eb zakonshme t\u00eb goditjes n\u00eb tru dhe r\u00ebnd\u00ebsin\u00eb e trajtimit urgjent! Koha eshte tru!!! <\/p>\n<p><strong>B bilanci-humbje e papritur e ekuilibrit<\/strong><\/p>\n<p><strong>R krah\u00ebt &#8211; dob\u00ebsi n\u00eb nj\u00ebrin krah<\/strong><\/p>\n<p><strong>\u00c7rregullim i t\u00eb folurit<\/strong><\/p>\n<p><strong>Rreth syve &#8211; vizion i paqart\u00eb<\/strong><\/p>\n<p>Goditja n\u00eb tru \u00ebsht\u00eb shkaku kryesor i paaft\u00ebsis\u00eb n\u00eb popullat\u00ebn e rritur dhe shkaku i tret\u00eb kryesor i vdekjeve n\u00eb mbar\u00eb bot\u00ebn. \u00cbsht\u00eb m\u00eb e r\u00ebnd\u00ebsishme dhe m\u00eb e leht\u00eb p\u00ebr t\u00eb parandaluar nj\u00eb goditje, \u00ebsht\u00eb m\u00eb e v\u00ebshtir\u00eb p\u00ebr ta trajtuar at\u00eb! <\/p>\n<p>Rekomandohen ekzaminime t\u00eb rregullta parandaluese p\u00ebr popullat\u00ebn geriatrike ( &gt;65 vje\u00e7), por edhe p\u00ebr individ\u00ebt me faktor\u00eb rreziku t\u00eb shum\u00ebfisht\u00eb: presioni i lart\u00eb i gjakut, diabeti, aritmit\u00eb kardiake, pirja e duhanit, obeziteti, pasiviteti dhe nj\u00eb m\u00ebnyr\u00eb jetese sedentare pa aktivitet fizik, pacient\u00ebt me gjendje kronike trombotike, migren\u00eb kronike etj.:<\/p>\n<p>\u041e\u0430\u0430 \u0440\u0438\u0437\u0438\u0447\u043d\u0430 \u0433\u0440\u0443\u043f\u0430 \u043e\u0434 \u043f\u043e\u043f\u0443\u043b\u0430\u0446\u0438\u0458\u0430\u0442\u0430 \u0442\u0440\u0435\u0431\u0430 \u0434\u0430 \u0441\u0435 \u0458\u0430\u0432\u0443\u0432\u0430 \u043d\u0430 \u0440\u0435\u0434\u043e\u0432\u043d\u0438, \u0441\u043a\u0440\u0438\u043d\u0438\u043d\u0433 \u043f\u0440\u0435\u0433\u043b\u0435\u0434\u0438 \u043a\u0430\u0458 \u0441\u0435\u043c\u0435\u0435\u0458\u043d\u0438\u043e\u0442 \u043b\u0435\u043a\u0430\u0440 \u0438 \u043a\u0430\u0458 \u0441\u043f\u0435\u0446\u0438\u0458\u0430\u043b\u0438\u0441\u0442 . \u041f\u0440\u0435\u0433\u043b\u0435\u0434\u0438\u0442\u0435 \u043e\u043f\u0444\u0430\u045c\u0430\u0430\u0442 : \u0440\u0435\u0434\u043e\u0432\u043d\u0430 \u043a\u0430\u0440\u0434\u0438\u043e\u043b\u043e\u0448\u043a\u0430 \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0430, \u043b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u0438\u0441\u043a\u0438 \u0430\u043d\u0430\u043b\u0438\u0437\u0438, \u0443\u043b\u0442\u0440\u0430\u0437\u0432\u0443\u043a \u043d\u0430 \u0432\u0440\u0430\u0442\u043d\u0438\u0442\u0435 \u043a\u0440\u0432\u043d\u0438 \u0441\u0430\u0434\u043e\u0432\u0438 \u0438 \u0434\u0440\u0443\u0433\u0438 \u0434\u043e\u043f\u043e\u043b\u043d\u0438\u0442\u0435\u043b\u043d\u0438 \u0438\u0441\u043f\u0438\u0442\u0443\u0432\u0430\u045a\u0430, \u043f\u043e \u043f\u0440\u043e\u0446\u0435\u043d\u0430 \u043d\u0430 \u0441\u043f\u0435\u0446\u0438\u0458\u0430\u043b\u0438\u0441\u0442\u043e\u0442. <\/p>\n<p>P\u00ebr t\u00eb reduktuar rrezikun e goditjes n\u00eb tru dhe komplikimeve t\u00eb tjera cerebrovaskulare, k\u00ebta pacient\u00eb n\u00eb rrezik k\u00ebshillohen q\u00eb:<\/p>\n<ul>\n<li><strong>Merrni rregullisht terapi parandaluese par\u00ebsore (zakonisht aspirin\u00eb 100, nj\u00eb her\u00eb n\u00eb dit\u00eb)<\/strong><\/li>\n<li><strong>t&#8217;i kushtoni v\u00ebmendje diet\u00ebs<\/strong><\/li>\n<li><strong>p\u00ebr t\u00eb praktikuar nj\u00eb aktivitet t\u00eb rregullt fizik t\u00eb moderuar<\/strong><\/li>\n<li><strong>p\u00ebr t\u00eb par\u00eb pesh\u00ebn e dikujt<\/strong><\/li>\n<li><strong>p\u00ebr t\u00eb shmangur stresin<\/strong><\/li>\n<li><strong>p\u00ebr t\u00eb pasur nj\u00eb gjum\u00eb t\u00eb mir\u00eb<\/strong><\/li>\n<li><strong>konsumoni alkool n\u00eb m\u00ebnyr\u00eb t\u00eb moderuar<\/strong><\/li>\n<li><strong>p\u00ebr t\u00eb l\u00ebn\u00eb duhanin<\/strong><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Nj\u00eb goditje n\u00eb tru ndodh kur ka nj\u00eb nd\u00ebrprerje t\u00eb papritur t\u00eb furnizimit me gjak n\u00eb tru<\/p>\n","protected":false},"featured_media":4347,"template":"","class_list":["post-4346","soveti","type-soveti","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/drdanijela.mk\/sq\/wp-json\/wp\/v2\/soveti\/4346","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\/4346\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drdanijela.mk\/sq\/wp-json\/wp\/v2\/media\/4347"}],"wp:attachment":[{"href":"https:\/\/drdanijela.mk\/sq\/wp-json\/wp\/v2\/media?parent=4346"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}