Ata neurolog\u00eb q\u00eb jan\u00eb t\u00eb specializuar p\u00ebr dhimbje koke sigurisht q\u00eb kan\u00eb marr\u00eb telefonata ose vizita nga pacient\u00ebt e tyre q\u00eb pas infektimit me virusin pandemik OSE pas vaksinimit t\u00eb tyre kan\u00eb p\u00ebrjetuar nj\u00eb p\u00ebrkeq\u00ebsim t\u00eb dhimbjes s\u00eb kok\u00ebs dhe\/ose migren\u00ebs. Pra, do t\u00eb duhet t\u00eb shohim se si jan\u00eb t\u00eb dh\u00ebnat deri tani.<\/p>\n\n\n\n
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A e p\u00ebrkeq\u00ebson infeksioni nga virusi dhimbjen e kok\u00ebs\/migren\u00eb?<\/strong><\/p>\n\n\n\n .<\/p>\n\n\n\n P\u00ebrgjigja \u00ebsht\u00eb PO. Nj\u00eb studim n\u00eb JAMA Neurology i t\u00eb dh\u00ebnave t\u00eb pacient\u00ebve tregon se "dhimbja e kok\u00ebs" ishte simptoma m\u00eb e zakonshme e vet\u00eb-raportuar. Nj\u00eb total prej 38% e raportuan at\u00eb, 44% t\u00eb grave dhe 49% t\u00eb pacient\u00ebve m\u00eb t\u00eb rinj se 40 vje\u00e7. Dhe ne gjithashtu e dim\u00eb se pacient\u00ebt q\u00eb kishin nj\u00eb gjendje neurologjike para-ekzistuese (si migrena) ishin m\u00eb t\u00eb ndjesh\u00ebm. K\u00ebshtu thon\u00eb provat. P\u00ebr sa koh\u00eb zgjat ky p\u00ebrkeq\u00ebsim, do t\u00eb m\u00eb duhet t\u00eb citoj p\u00ebrvoj\u00ebn personale nga pacient\u00ebt e mi, sepse nuk ka d\u00ebshmi t\u00eb mjaftueshme n\u00eb literatur\u00ebn nd\u00ebrkomb\u00ebtare: zakonisht \u00ebsht\u00eb 1-2 jav\u00eb, por ka edhe pacient\u00eb q\u00eb raportojn\u00eb p\u00ebrkeq\u00ebsim p\u00ebr 1 muaj. , ndoshta pak m\u00eb shum\u00eb .<\/p>\n\n\n\n .<\/p>\n\n\n\n A e p\u00ebrkeq\u00ebsojn\u00eb migren\u00ebn vaksinat SARS-CoV-2?<\/strong><\/p>\n\n\n\n .<\/p>\n\n\n\n K\u00ebtu p\u00ebrgjigja mund t\u00eb jet\u00eb p\u00ebrs\u00ebri empirike, sepse nuk ka t\u00eb dh\u00ebna bibliografike t\u00eb pakt\u00ebn p\u00ebr momentin. N\u00eb p\u00ebrgjith\u00ebsi \u00ebsht\u00eb e v\u00ebrtet\u00eb q\u00eb VAKSINAT JAN\u00cb E VETMJA ZGJIDHJA P\u00cbR T\u00cb ADREJTUAR PANDEMIK\u00cbN. Ato jan\u00eb shum\u00eb efektive dhe nuk kan\u00eb efekte an\u00ebsore t\u00eb r\u00ebnd\u00ebsishme. Pacient\u00ebt e migren\u00ebs q\u00eb kan\u00eb b\u00ebr\u00eb vaksin\u00ebn Astra Zeneca raportojn\u00eb p\u00ebrkeq\u00ebsim t\u00eb dhimbjes n\u00eb dit\u00ebt pas vaksinimit. Ky p\u00ebrkeq\u00ebsim zakonisht zgjat nga disa dit\u00eb deri n\u00eb 1-2 jav\u00eb. Trajtimi i migren\u00ebs pas vaksin\u00ebs ndoshta do t\u00eb b\u00ebhej m\u00eb mir\u00eb me triptan. Asnj\u00eb pacient me migren\u00eb q\u00eb ka pasur ndonj\u00eb nga vaksinat e tjera nuk ka raportuar p\u00ebr p\u00ebrkeq\u00ebsim tek un\u00eb.<\/p>\n\n\n\n .<\/p>\n\n\n\n \u00c7far\u00eb b\u00ebjm\u00eb me parandaluesin ton\u00eb t\u00eb migren\u00ebs n\u00ebse marrim virusin? \u00c7far\u00eb b\u00ebjm\u00eb me trajtimin parandalues pas vaksinimit?<\/strong><\/p>\n\n\n\n .<\/p>\n\n\n\n N\u00eb t\u00eb dyja rastet: VAZHDOJM\u00cb trajtimin normal. Vet\u00ebm 2 (dy) raste t\u00eb \u00ebnjtjes s\u00eb kafk\u00ebs n\u00eb nj\u00eb pacient me migren\u00eb kronike, i cili \u00ebsht\u00eb vaksinuar me vaksin\u00ebn Moderna dhe \u00ebsht\u00eb trajtuar me botoks t\u00eb tipit A (BOTOX) pas disa dit\u00ebsh jan\u00eb regjistruar nga FDA. \u00cbnjtja ishte n\u00eb vendet e injektimit dhe u qet\u00ebsua brenda pak dit\u00ebsh. P\u00ebrsa i p\u00ebrket pacient\u00ebve q\u00eb marrin antitrupa monoklonale p\u00ebr parandalimin e migren\u00ebs, megjith\u00ebse receptor\u00ebt CGRP jan\u00eb t\u00eb pranish\u00ebm edhe n\u00eb qelizat e sistemit imunitar, antitrupat monoklonal NUK ndikojn\u00eb n\u00eb funksionin imunitar dhe k\u00ebshtu k\u00ebta pacient\u00eb mund t\u00eb vaksinohen gjithashtu. Vet\u00ebm n\u00ebse b\u00ebjn\u00eb antitrupin monoklonal n\u00eb ekstremitetin e sip\u00ebrm, le ta b\u00ebjn\u00eb n\u00eb krahun e kund\u00ebrt q\u00eb kan\u00eb b\u00ebr\u00eb vaksin\u00ebn p\u00ebr at\u00eb muaj. Pra, p\u00ebrs\u00ebri konkludojm\u00eb: ne zakonisht b\u00ebjm\u00eb trajtimin ton\u00eb t\u00eb migren\u00ebs pas vaksinimit!<\/p>","protected":false},"excerpt":{"rendered":" \u038c\u03c3\u03bf\u03b9 \u03bd\u03b5\u03c5\u03c1\u03bf\u03bb\u03cc\u03b3\u03bf\u03b9 \u03b5\u03be\u03b5\u03b9\u03b4\u03b9\u03ba\u03b5\u03cd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03ba\u03b5\u03c6\u03b1\u03bb\u03b1\u03bb\u03b3\u03af\u03b5\u03c2 \u03c3\u03af\u03b3\u03bf\u03c5\u03c1\u03b1 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b4\u03b5\u03c7\u03c4\u03b5\u03af \u03c0\u03bb\u03ad\u03bf\u03bd \u03c4\u03b7\u03bb\u03b5\u03c6\u03c9\u03bd\u03ae\u03bc\u03b1\u03c4\u03b1 \u03ae \u03b5\u03c0\u03b9\u03c3\u03ba\u03ad\u03c8\u03b5\u03b9\u03c2 \u03b1\u03c0\u03cc \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c4\u03bf\u03c5\u03c2 \u03cc\u03c4\u03b9 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03bb\u03bf\u03af\u03bc\u03c9\u03be\u03b7 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03b9\u03cc \u03c4\u03b7\u03c2 \u03c0\u03b1\u03bd\u03b4\u03b7\u03bc\u03af\u03b1\u03c2 \u0389 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd \u03b5\u03bc\u03b2\u03bf\u03bb\u03b9\u03b1\u03c3\u03bc\u03cc \u03c4\u03bf\u03c5\u03c2 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b2\u03b9\u03ce\u03c3\u03b5\u03b9 \u03b5\u03c0\u03b9\u03b4\u03b5\u03af\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03b5\u03c6\u03b1\u03bb\u03b1\u03bb\u03b3\u03af\u03b1\u03c2 \u03ae\/\u03ba\u03b1\u03b9 \u03b7\u03bc\u03b9\u03ba\u03c1\u03b1\u03bd\u03af\u03b1\u03c2 \u03c4\u03bf\u03c5\u03c2. \u039f\u03c0\u03cc\u03c4\u03b5 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b4\u03bf\u03cd\u03bc\u03b5 \u03c0\u03c9\u03c2 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c4\u03b1 \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1 \u03c9\u03c2 \u03c4\u03ce\u03c1\u03b1. . \u03a0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af \u03b7 \u03bb\u03bf\u03af\u03bc\u03c9\u03be\u03b7 \u03bc\u03b5 \u03c4\u03bf\u03bd […]<\/p>","protected":false},"author":3,"featured_media":2577,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[55],"tags":[],"class_list":["post-2575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-55"],"_links":{"self":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/2575","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=2575"}],"version-history":[{"count":2,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/2575\/revisions"}],"predecessor-version":[{"id":2579,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/2575\/revisions\/2579"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media\/2577"}],"wp:attachment":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media?parent=2575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/categories?post=2575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/tags?post=2575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}