{"id":2553,"date":"2022-01-17T13:26:45","date_gmt":"2022-01-17T11:26:45","guid":{"rendered":"https:\/\/dermitzaki.gr\/?p=2553"},"modified":"2022-09-22T18:54:51","modified_gmt":"2022-09-22T15:54:51","slug":"%ce%bf-%cf%80%ce%bf%ce%bd%ce%bf%ce%ba%ce%ad%cf%86%ce%b1%ce%bb%ce%bf%cf%82-%cf%89%cf%82-%ce%bd%ce%b5%cf%85%cf%81%ce%bf%ce%bb%ce%bf%ce%b3%ce%b9%ce%ba%ce%ae-%cf%80%ce%ac%ce%b8%ce%b7%cf%83%ce%b7","status":"publish","type":"post","link":"https:\/\/dermitzaki.gr\/sq\/%ce%bf-%cf%80%ce%bf%ce%bd%ce%bf%ce%ba%ce%ad%cf%86%ce%b1%ce%bb%ce%bf%cf%82-%cf%89%cf%82-%ce%bd%ce%b5%cf%85%cf%81%ce%bf%ce%bb%ce%bf%ce%b3%ce%b9%ce%ba%ce%ae-%cf%80%ce%ac%ce%b8%ce%b7%cf%83%ce%b7\/","title":{"rendered":"Dhimbja e kok\u00ebs si nj\u00eb gjendje neurologjike"},"content":{"rendered":"<p><\/p>\n\n\n\n<p>Dhimbja e kok\u00ebs \u00ebsht\u00eb nj\u00eb simptom\u00eb universale dhe t\u00eb gjith\u00eb e dim\u00eb se sa e bezdisshme \u00ebsht\u00eb. Por, \u00e7ka n\u00ebse dhimbjet e kok\u00ebs jan\u00eb t\u00eb shpeshta dhe intensive, t\u00eb shoq\u00ebruara me simptoma t\u00eb tjera (si shqet\u00ebsimi nga drita, tendenca p\u00ebr t\u00eb vjella) dhe \u00e7ojn\u00eb n\u00eb p\u00ebrdorimin dhe abuzimin e rregullt, t\u00eb pamatur t\u00eb qet\u00ebsuesve? Kjo ndodh n\u00eb t\u00eb pakt\u00ebn 15% t\u00eb popullat\u00ebs s\u00eb p\u00ebrgjithshme! Pra, n\u00eb Greqi vler\u00ebsohet se t\u00eb pakt\u00ebn 1.000.000 njer\u00ebz vuajn\u00eb nga nj\u00eb form\u00eb e dhimbjes s\u00eb kok\u00ebs par\u00ebsore (termi shkencor p\u00ebr dhimbjen e kok\u00ebs). Dy llojet m\u00eb t\u00eb zakonshme t\u00eb dhimbjes s\u00eb kok\u00ebs jan\u00eb migrena dhe dhimbje koke tensioni. Studime t\u00eb m\u00ebdha epidemiologjike kan\u00eb treguar se migrena n\u00eb ve\u00e7anti \u00ebsht\u00eb nj\u00eb gjendje q\u00eb \u201cgodit\u201d rreth 12% t\u00eb grave n\u00eb vendet e zhvilluara.<\/p>\n\n\n\n<p><strong><em>Dy dhimbjet m\u00eb t\u00eb zakonshme t\u00eb kok\u00ebs.<\/em><\/strong><strong><em><\/em><\/strong><\/p>\n\n\n\n<p>Por cilat jan\u00eb karakteristikat e tij? <strong>migren\u00eb<\/strong>;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Dhimbje t\u00eb forta n\u00eb gjysm\u00ebn e kafk\u00ebs dhe prapa syrit (si \u00e7ekan ose shp\u00ebrthyese) shoq\u00ebruar me t\u00eb p\u00ebrzier dhe\/ose t\u00eb vjella<\/li><li>Siklet me drit\u00eb dhe\/ose zhurm\u00eb<\/li><li>Koh\u00ebzgjatja e dhimbjes nga disa or\u00eb deri n\u00eb 3 dit\u00eb.<\/li><li>Korrelacioni me periodat (menstruacionet) tek femrat<\/li><li>Mund t\u00eb shkaktohet nga pirja e alkoolit (ve\u00e7an\u00ebrisht ver\u00eb e kuqe) ose nga ushqime t\u00eb tjera ose aromat ose thjesht nga ndryshimet e motit.<\/li><\/ul>\n\n\n\n<p>Cilat jan\u00eb karakteristikat e tij? <strong>dhimbje koke nga tensioni<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Dhimbje n\u00eb t\u00eb gjith\u00eb kok\u00ebn dhe ndoshta edhe n\u00eb qaf\u00eb e cila shtr\u00ebngon (&quot;si nj\u00eb vise&quot;) tempujt.<\/li><li>Pesh\u00eb n\u00eb sy, por pa siklet ndaj drit\u00ebs dhe zhurm\u00ebs<\/li><li>Nuk ka t\u00eb p\u00ebrziera ose t\u00eb vjella<\/li><\/ul>\n\n\n\n<p>Femrat, t\u00eb cilat vuajn\u00eb m\u00eb shpesh nga migrena, nuk mund t\u00eb shijojn\u00eb as ngjarje t\u00eb thjeshta (p.sh. notin n\u00eb det p\u00ebr shkak t\u00eb diellit), kan\u00eb nj\u00eb humor melankolik dhe vet\u00ebbesim t\u00eb ul\u00ebt dhe p\u00ebrgjith\u00ebsisht nj\u00eb cil\u00ebsi t\u00eb reduktuar t\u00eb jet\u00ebs. Ata mbajn\u00eb gjithmon\u00eb n\u00eb \u00e7antat e tyre qet\u00ebsues p\u00ebr k\u00ebt\u00eb arsye. Por sa m\u00eb shum\u00eb qet\u00ebsues t\u00eb marrin, aq m\u00eb shum\u00eb dhemb. Shum\u00eb her\u00eb ata mendojn\u00eb se njer\u00ebzit e af\u00ebrt nuk i kuptojn\u00eb: &quot;<em>aman prap ke dhimbje<\/em>?&quot;, &quot;<em>merrni nj\u00eb qet\u00ebsues<\/em>&quot;,&quot;<em>\u00ebsht\u00eb e gjitha n\u00eb mendjen tuaj<\/em>\u00bb jan\u00eb shprehje t\u00eb gabuara q\u00eb d\u00ebgjojn\u00eb\u2026<\/p>\n\n\n\n<p><strong><em>Kur duhet t\u00eb vizitojm\u00eb specialistin ton\u00eb t\u00eb dhimbjes s\u00eb kok\u00ebs?<\/em><\/strong><strong><em><\/em><\/strong><\/p>\n\n\n\n<p>N\u00eb mbar\u00eb bot\u00ebn ka neurolog\u00eb q\u00eb jan\u00eb specializuar n\u00eb trajtimin e dhimbjeve t\u00eb kok\u00ebs dhe migren\u00ebs. Ju duhet t\u00eb k\u00ebrkoni ndihm\u00eb nga nj\u00eb specialist n\u00eb rastet:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Shfaqja p\u00ebr her\u00eb t\u00eb par\u00eb e nj\u00eb dhimbje koke t\u00eb fort\u00eb sidomos n\u00eb mosh\u00ebn mbi 50 vje\u00e7<\/li><li>Dhimbje koke t\u00eb shpeshta (m\u00eb shum\u00eb se 4 dit\u00eb n\u00eb muaj)<\/li><li>Kur marrja e qet\u00ebsuesve t\u00eb dhimbjes s\u00eb kok\u00ebs \u00ebsht\u00eb e zakonshme, edhe n\u00ebse ato ndihmojn\u00eb.<\/li><li>Kur dhimbja e kok\u00ebs shoq\u00ebrohet me nj\u00eb simptom\u00eb tjet\u00ebr (p.sh. mpirje e fort\u00eb n\u00eb duar, paq\u00ebndrueshm\u00ebri gjat\u00eb ecjes, etj.)<\/li><li>N\u00eb \u00e7do rast, dhimbja e kok\u00ebs ndikon duksh\u00ebm n\u00eb cil\u00ebsin\u00eb e jet\u00ebs s\u00eb pacientit<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong><em>Trajtime p\u00ebr dhimbje koke dhe migren\u00eb.<\/em><\/strong><strong><em><\/em><\/strong><\/p>\n\n\n\n<p>Trajtimi i gabuar i dhimbjes s\u00eb kok\u00ebs dhe mungesa e monitorimit nga nj\u00eb specialist shpesh e \u00e7ojn\u00eb pacientin n\u00eb manipulime mjek\u00ebsore krejt\u00ebsisht t\u00eb gabuara. \u00c7do d\u00ebshtim t\u00eb \u00e7on n\u00eb d\u00ebshp\u00ebrim dhe &quot;besimin&quot; se nuk ka shp\u00ebtim p\u00ebr gjendjen e tij. Megjithat\u00eb, gj\u00ebrat nuk jan\u00eb ashtu dhe shkenca sot ka barna mjaft efektive si p\u00ebr trajtimin e migren\u00ebs, p.sh. n\u00eb momentin e dhimbjes, si dhe p\u00ebr parandalimin e saj. Medikamentet parandaluese t\u00eb migren\u00ebs, ose agjent\u00eb t\u00eb tjer\u00eb jo-farmakologjik\u00eb t\u00eb p\u00ebrdorur (p.sh., neurostimuluesit), reduktojn\u00eb shpesht\u00ebsin\u00eb dhe intensitetin e dhimbjes s\u00eb sulmeve t\u00eb migren\u00ebs. Sidomos p\u00ebr pacient\u00ebt q\u00eb vuajn\u00eb nga migrena kronike torturuese, i vetmi trajtim i p\u00ebrshtatsh\u00ebm \u00ebsht\u00eb injektimi i toksin\u00ebs botulinum tip A (i mir\u00ebnjohuri Botox) me rezultate t\u00eb shk\u00eblqyera n\u00eb pacient\u00ebt 60%. Gjithashtu, s\u00eb shpejti kukura farmaceutike e neurolog\u00ebve do t\u00eb ket\u00eb medikamente t\u00eb reja, t\u00eb dizajnuara posa\u00e7\u00ebrisht (antitrupat monoklonal\u00eb) q\u00eb do ta b\u00ebjn\u00eb edhe m\u00eb efektiv parandalimin e migren\u00ebs. Agjencit\u00eb kompetente n\u00eb SHBA dhe BE tashm\u00eb kan\u00eb dh\u00ebn\u00eb nj\u00eb opinion pozitiv p\u00ebr t\u00eb par\u00ebn.<\/p>\n\n\n\n<p>P\u00ebr ata q\u00eb vuajn\u00eb nga migrena, t\u00eb cil\u00ebt preferojn\u00eb t\u00eb marrin trajtime pa ila\u00e7e, ka preparate bimore dhe\/ose kombinime vitaminash q\u00eb jan\u00eb efektive n\u00eb disa pacient\u00eb. Por kujdes sepse jan\u00eb sigurisht me efekte an\u00ebsore minimale, por k\u00ebrkohet monitorim n\u00eb disa prej tyre, p.sh. t\u00eb funksionit t\u00eb m\u00ebl\u00e7is\u00eb.<\/p>\n\n\n\n<p><strong><em>Shoqatat e pacient\u00ebve<\/em><\/strong><strong><em><\/em><\/strong><\/p>\n\n\n\n<p>Nj\u00eb zhvillim i r\u00ebnd\u00ebsish\u00ebm \u00ebsht\u00eb se q\u00eb nga fundi i vitit 2017 \u00ebsht\u00eb krijuar Shoqata e Pacient\u00ebve me Migren\u00eb dhe Kok\u00ebdhimbje t\u00eb Greqis\u00eb. Shoqatat e ngjashme t\u00eb pacient\u00ebve kan\u00eb ekzistuar n\u00eb Evrop\u00eb prej vitesh. Objektivat e Shoqat\u00ebs Helenike l\u00ebvizin n\u00eb 3 akse: s\u00eb pari, nd\u00ebrgjegj\u00ebsimi i opinionit m\u00eb t\u00eb gjer\u00eb publik (por edhe i strukturave t\u00eb shtetit dhe fondeve t\u00eb sigurimeve) rreth \u00e7\u00ebshtjes s\u00eb dhimbjes s\u00eb kok\u00ebs. M\u00eb pas n\u00eb informimin dhe socializimin e vet\u00eb pacient\u00ebve. Dhe s\u00eb fundi n\u00eb promovimin e k\u00ebrkimit. Detajet e klubit i gjeni n\u00eb fund t\u00eb artikullit.<\/p>\n\n\n\n<p><strong><em>K\u00ebshilla t\u00eb thjeshta p\u00ebr dhimbjen e kok\u00ebs.<\/em><\/strong><strong><em><\/em><\/strong><\/p>\n\n\n\n<p>Pra, n\u00ebse vuani nga dhimbje koke t\u00eb shpeshta, disa udh\u00ebzime t\u00eb thjeshta p\u00ebr gj\u00ebrat q\u00eb mund t\u00eb b\u00ebni derisa t\u00eb shkoni te nj\u00eb specialist:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Mbani nj\u00eb ditar dhimbje koke, ku do t\u00eb regjistroni dit\u00ebt e dhimbjes, intensitetin dhe ila\u00e7et q\u00eb keni marr\u00eb.<\/li><li>Ushqimi i duhur i sh\u00ebndetsh\u00ebm, hidratim i mir\u00eb, gjum\u00eb t\u00eb mjaftuesh\u00ebm.<\/li><li>Tri her\u00eb n\u00eb jav\u00eb palest\u00ebr\/aktivitet fizik.<\/li><li>Gjeni ushqime ose pije q\u00eb shkaktojn\u00eb migren\u00eb dhe shmangni ato.<\/li><li>Shmangni abuzimin e qet\u00ebsuesve.<\/li><\/ul>","protected":false},"excerpt":{"rendered":"<p>\u039f \u03c0\u03bf\u03bd\u03bf\u03ba\u03ad\u03c6\u03b1\u03bb\u03bf\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ad\u03bd\u03b1 \u03ba\u03b1\u03b8\u03bf\u03bb\u03b9\u03ba\u03cc \u03c3\u03cd\u03bc\u03c0\u03c4\u03c9\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03b3\u03bd\u03c9\u03c1\u03af\u03b6\u03bf\u03c5\u03bc\u03b5 \u03cc\u03bb\u03bf\u03b9 \u03c0\u03cc\u03c3\u03bf \u03b5\u03bd\u03bf\u03c7\u03bb\u03b7\u03c4\u03b9\u03ba\u03cc\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9. \u03a4\u03af \u03b3\u03af\u03bd\u03b5\u03c4\u03b1\u03b9 \u03cc\u03bc\u03c9\u03c2 \u03c3\u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03c0\u03c4\u03c9\u03c3\u03b7 \u03c0\u03bf\u03c5 \u03bf\u03b9 \u03c0\u03bf\u03bd\u03bf\u03ba\u03ad\u03c6\u03b1\u03bb\u03bf\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c5\u03c7\u03bd\u03bf\u03af \u03ba\u03b1\u03b9 \u03ad\u03bd\u03c4\u03bf\u03bd\u03bf\u03b9, \u03c3\u03c5\u03bd\u03bf\u03b4\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ac\u03bb\u03bb\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1 (\u03cc\u03c0\u03c9\u03c2 \u03b5\u03bd\u03cc\u03c7\u03bb\u03b7\u03c3\u03b7 \u03b1\u03c0\u03cc \u03c4\u03bf \u03c6\u03c9\u03c2, \u03c4\u03ac\u03c3\u03b7 \u03b3\u03b9\u03b1 \u03b5\u03bc\u03b5\u03c4\u03cc) \u03ba\u03b1\u03b9 \u03bf\u03b4\u03b7\u03b3\u03bf\u03cd\u03bd \u03c3\u03c4\u03b7\u03bd \u03c4\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae, \u03b1\u03bb\u03cc\u03b3\u03b9\u03c3\u03c4\u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u03ac\u03c7\u03c1\u03b7\u03c3\u03b7 \u03c0\u03b1\u03c5\u03c3\u03af\u03c0\u03bf\u03bd\u03c9\u03bd; \u0391\u03c5\u03c4\u03cc \u03c3\u03c5\u03bc\u03b2\u03b1\u03af\u03bd\u03b5\u03b9 \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd \u03c3\u03c4\u03bf 15% \u03c4\u03bf\u03c5 \u03b3\u03b5\u03bd\u03b9\u03ba\u03bf\u03cd \u03c0\u03bb\u03b7\u03b8\u03c5\u03c3\u03bc\u03bf\u03cd! \u039f\u03c0\u03cc\u03c4\u03b5, \u03c3\u03c4\u03b7\u03bd [&hellip;]<\/p>","protected":false},"author":3,"featured_media":2555,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52],"tags":[41,40,33,46,47],"class_list":["post-2553","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-52","tag-41","tag-40","tag-33","tag-46","tag-47"],"_links":{"self":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/2553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/comments?post=2553"}],"version-history":[{"count":2,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/2553\/revisions"}],"predecessor-version":[{"id":2740,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/2553\/revisions\/2740"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media\/2555"}],"wp:attachment":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media?parent=2553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/categories?post=2553"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/tags?post=2553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}