{"id":452,"date":"2021-09-15T14:47:08","date_gmt":"2021-09-15T11:47:08","guid":{"rendered":"https:\/\/dermitzaki.gr\/?p=452"},"modified":"2022-09-22T18:55:41","modified_gmt":"2022-09-22T15:55:41","slug":"%cf%83%cf%8d%ce%bd%ce%b4%cf%81%ce%bf%ce%bc%ce%bf-%ce%b1%ce%bd%ce%ae%cf%83%cf%85%cf%87%cf%89%ce%bd-%cf%80%ce%bf%ce%b4%ce%b9%cf%8e%ce%bd","status":"publish","type":"post","link":"https:\/\/dermitzaki.gr\/sq\/%cf%83%cf%8d%ce%bd%ce%b4%cf%81%ce%bf%ce%bc%ce%bf-%ce%b1%ce%bd%ce%ae%cf%83%cf%85%cf%87%cf%89%ce%bd-%cf%80%ce%bf%ce%b4%ce%b9%cf%8e%ce%bd\/","title":{"rendered":"SINDROMI I K\u00cbMB\u00cbVE T\u00cb PUSHTUARA"},"content":{"rendered":"<h3>\u00c7FAR\u00cb \u00cbSHT\u00cb SINDROMA E K\u00cbMB\u00cbVE T\u00cb PRAKTUARA?<\/h3>\n<p>\u00cbsht\u00eb nj\u00eb \u00e7rregullim shqisor-motor kryesisht n\u00eb gjymtyr\u00ebt e poshtme. Kjo do t\u00eb thot\u00eb se ka nj\u00eb \u00e7rregullim q\u00eb p\u00ebrfshin anomalit\u00eb si t\u00eb ndjeshm\u00ebris\u00eb ashtu edhe t\u00eb l\u00ebvizjes n\u00eb k\u00ebmb\u00eb. Simptoma kryesore \u00ebsht\u00eb nj\u00eb imperativ p\u00ebr t\u00eb l\u00ebvizur k\u00ebmb\u00ebt, p\u00ebr shkak t\u00eb shqet\u00ebsimit ose &quot;ndjesi shpimi gjilp\u00ebrash&quot; ose &quot;djegie&quot; ose &quot;si elektriciteti&quot; ose mpirje ose nervoziz\u00ebm ose t\u00ebrheqje ose nj\u00eb ndjenj\u00eb e p\u00ebrgjithshme e \u00e7uditshme, ve\u00e7an\u00ebrisht n\u00eb or\u00ebt e mbr\u00ebmjes dhe t\u00eb nat\u00ebs kur pacienti \u00ebsht\u00eb. pushon ose d\u00ebshiron t\u00eb flej\u00eb. Nj\u00eb leht\u00ebsim i pjessh\u00ebm ose i p\u00ebrkohsh\u00ebm v\u00ebrehet n\u00ebse pacienti ngrihet dhe l\u00ebviz k\u00ebmb\u00ebt. P\u00ebr faktin se k\u00ebto simptoma shfaqen n\u00eb pushim dhe n\u00eb pushim, pacienti zakonisht shmang pal\u00ebvizshm\u00ebrin\u00eb e zgjatur t\u00eb k\u00ebmb\u00ebve si teat\u00ebr, kinema, udh\u00ebtime t\u00eb gjata me makin\u00eb apo avion. Por ajo q\u00eb nuk mund t\u00eb shmanget \u00ebsht\u00eb shtrirja p\u00ebr t\u00eb fjetur, ku simptomat b\u00ebhen intensive dhe mund t\u00eb b\u00ebhen shum\u00eb shqet\u00ebsuese p\u00ebr pacientin.<\/p>\n<p>&nbsp;<\/p>\n<h3>CIL\u00cbT MJEK\u00cb MERREN ME K\u00cbT\u00cb SINDROM?<\/h3>\n<p>P\u00ebr faktin se \u00ebsht\u00eb nj\u00eb \u00e7rregullim i l\u00ebvizjes dhe gjumit, neurolog\u00ebt por edhe psikiat\u00ebr apo pneumolog\u00eb merren me t\u00eb n\u00eb kuadrin e p.sh. e nj\u00eb laboratori gjumi.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>SA \u00cbSHT\u00cb I SHKAKTUAR KJO SINDROM DHE CIL\u00cbT JAN\u00cb &quot;FAKTOR\u00cbT E RREZIKUT&quot; Q\u00cb TA ZHVILLOHET DIKUSH?<\/h3>\n<p>Nd\u00ebrsa p\u00ebr shum\u00eb shekuj ishte nj\u00eb \u00e7rregullim i panjohur, q\u00eb nga ekzistenca e tij (p\u00ebrshkruar q\u00eb nga viti 1945), studimet epidemiologjike tregojn\u00eb se nj\u00eb p\u00ebrqindje e madhe e popullsis\u00eb s\u00eb p\u00ebrgjithshme e ka k\u00ebt\u00eb sindrom\u00eb. Dy studime n\u00eb vitin 2005 n\u00eb SHBA dhe n\u00eb gjasht\u00eb vende evropiane nga dhe bashk\u00ebpun\u00ebtor\u00ebt e tij treguan se p\u00ebraf\u00ebrsisht 5.5% e meshkujve dhe 9-11% e femrave, pra 7.2 deri n\u00eb 8.5% e popullat\u00ebs s\u00eb p\u00ebrgjithshme vuan.<br \/>\nnga ky \u00e7rregullim. Kjo p\u00ebrqindje \u00ebsht\u00eb shum\u00eb e lart\u00eb. N\u00eb praktik\u00eb, kjo do t\u00eb thot\u00eb se n\u00eb Greqi af\u00ebrsisht 850,000 njer\u00ebz kan\u00eb k\u00ebmb\u00eb t\u00eb shqet\u00ebsuara n\u00eb shkall\u00eb t\u00eb ndryshme. Nga k\u00ebto p\u00ebrqindje, por edhe nga shum\u00eb hulumtime q\u00eb e v\u00ebrtetojn\u00eb, duket se gjinia fem\u00ebrore e shfaq m\u00eb shpesh k\u00ebt\u00eb \u00e7rregullim. Nuk \u00ebsht\u00eb plot\u00ebsisht e qart\u00eb pse ndodh kjo, por ndoshta ka t\u00eb b\u00ebj\u00eb me rezervat e hekurit n\u00eb trup dhe shtatz\u00ebnin\u00eb. Grat\u00eb, p\u00ebr shkak t\u00eb periodave, diet\u00ebs dhe shtatz\u00ebnis\u00eb, kan\u00eb nivele m\u00eb t\u00eb ul\u00ebta t\u00eb hekurit n\u00eb trup dhe kjo rrit mund\u00ebsin\u00eb e sindrom\u00ebs. Nj\u00eb studim i vitit 2004 tregoi se grat\u00eb q\u00eb nuk kishin shtatz\u00ebni kishin norma t\u00eb ngjashme me burrat, nd\u00ebrsa sa m\u00eb shum\u00eb shtatz\u00ebni t\u00eb kishte nj\u00eb grua, aq m\u00eb i madh ishte rreziku i saj p\u00ebr sindrom\u00ebn.<\/p>\n<p>Faktor\u00eb t\u00eb tjer\u00eb predispozues jan\u00eb mosha (rritet n\u00eb m\u00ebnyr\u00eb t\u00eb q\u00ebndrueshme n\u00eb frekuenc\u00eb pas mosh\u00ebs 60 vje\u00e7), raca e bardh\u00eb (i rrall\u00eb n\u00eb aziatik\u00ebt), anemia, d\u00ebshtimi i veshkave (dhe uremia) dhe ndoshta s\u00ebmundjet reumatike, diabeti mellitus, neuropatit\u00eb, skleroza e shum\u00ebfisht\u00eb, d\u00ebshtimi i zemr\u00ebs, hipo- ose hipertiroidizmi, gastrektomia dhe mungesa e vitaminave. Gjithashtu barnat si neuroleptik\u00ebt, metoklopramid, antihistaminik\u00eb dhe antidepresiv\u00eb mund t\u00eb shkaktojn\u00eb sindrom\u00ebn.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>\u00c7FAR\u00cb FORMA T\u00cb SINDROM\u00cbS KA?<\/h3>\n<p>Nj\u00eb form\u00eb e rrall\u00eb familjare q\u00eb fillon n\u00eb nj\u00eb mosh\u00eb relativisht t\u00eb re dhe zakonisht ka t\u00eb af\u00ebrm q\u00eb kan\u00eb shqet\u00ebsimet dhe form\u00ebn m\u00eb t\u00eb zakonshme me fillim n\u00eb mosh\u00eb m\u00eb t\u00eb madhe dhe lidhet kryesisht me faktor\u00ebt e rrezikut t\u00eb p\u00ebrmendur m\u00eb sip\u00ebr.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>CILAT S\u00cbMUNDJET DUKEN SI SINDROMA E K\u00cbMB\u00cbVE T\u00cb \u00c7PUSHTUARA DHE DUHET T\u00cb P\u00cbRFASHKOHEN NGA MJEKU?<\/h3>\n<p>Akathisia nga barnat neuroleptike, \u00e7rregullimet e ankthit, parazitizmi parestetik, artriti, pamjaftueshm\u00ebria arteriale ose venoze, s\u00ebmundjet e l\u00ebkur\u00ebs, parasomnit\u00eb, epilepsia e nat\u00ebs, mioklonusi segmental, \u00e7rregullimi i l\u00ebvizjeve ritmike.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>A PREDISPOZON P\u00cbR S\u00cbMUNDJEN E PARKINSONIT SINDROMA E K\u00cbMB\u00cbVE T\u00cb \u00c7QESHT\u00cb?<\/h3>\n<p>P\u00ebr shkak se (si\u00e7 p\u00ebrmendet m\u00eb posht\u00eb) sindroma trajtohet me medikamente t\u00eb dh\u00ebna nga neurolog\u00ebt dhe n\u00eb s\u00ebmundjen e Parkinsonit, marr\u00ebdh\u00ebnia midis k\u00ebtyre dy gjendjeve ka qen\u00eb objekt i shum\u00eb studimeve. Patofiziologjia e k\u00ebtyre dy gjendjeve \u00ebsht\u00eb e ndryshme, p.sh. n\u00eb lidhje me depot e hekurit. Gjithashtu, studimet epidemiologjike q\u00eb jan\u00eb b\u00ebr\u00eb n\u00eb popullatat kaukaziane dhe jo-kaukaziane, n\u00eb pacient\u00ebt me s\u00ebmundjen e Parkinsonit dhe n\u00eb pacient\u00ebt me sindrom\u00ebn e k\u00ebmb\u00ebve t\u00eb qeta, NUK kan\u00eb mundur t\u00eb &quot;bindin&quot; se sindroma lidhet me nj\u00eb probabilitet m\u00eb t\u00eb madh t\u00eb s\u00ebmundjes s\u00eb Parkinsonit.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>CILAT JAN\u00cb TRAJTIMET E SINDROM\u00cbS?<\/h3>\n<p>Pacient\u00ebt me simptoma t\u00eb lehta nuk do t\u00eb ken\u00eb nevoj\u00eb p\u00ebr mjekim - ata mund t\u00eb shmangin kafein\u00ebn, nikotin\u00ebn dhe alkoolin dhe t\u00eb shohin p\u00ebrmir\u00ebsim. Gjithashtu n\u00ebse jan\u00eb duke marr\u00eb disa ila\u00e7e si p.sh. antihistaminet ose antiemetik\u00ebt, ata mund t\u00eb pyesin mjekun n\u00ebse k\u00ebto jan\u00eb fajtor\u00eb. N\u00eb rast se nevojiten mjekime speciale, k\u00ebto barna jan\u00eb shum\u00eb t\u00eb njohura p\u00ebr neurolog\u00ebt, sepse i p\u00ebrdorin n\u00eb s\u00ebmundje t\u00eb tjera t\u00eb ndryshme (kryesisht n\u00eb s\u00ebmundjen e Parkinsonit). Zgjedhja e par\u00eb jan\u00eb agonist\u00ebt e dopamin\u00ebs, t\u00eb cil\u00ebt vijn\u00eb si n\u00eb form\u00eb pilule ashtu edhe n\u00eb form\u00eb t\u00eb p\u00ebrshtatshme patch gjat\u00eb nat\u00ebs. Levodopa, analgjezik kund\u00ebr konvulsioneve ose opioid mund t\u00eb administrohen gjithashtu. N\u00eb p\u00ebrgjith\u00ebsi, megjithat\u00eb, dozat e barnave jan\u00eb shum\u00eb t\u00eb ul\u00ebta dhe efektet an\u00ebsore jan\u00eb t\u00eb pakta. Megjithat\u00eb, p\u00ebr shkak se \u00ebsht\u00eb nj\u00eb s\u00ebmundje kronike dhe p\u00ebr shkak se nj\u00eb trajtim q\u00eb fillimisht ka rezultate t\u00eb mira me kalimin e koh\u00ebs, mund t\u00eb b\u00ebj\u00eb q\u00eb simptomat t\u00eb rishfaqen dhe<br \/>\nduke i forcuar ato, gj\u00ebja e duhur \u00ebsht\u00eb t\u00eb kesh nj\u00eb plan afatgjat\u00eb (p.sh. t\u00eb fillosh me doza t\u00eb ul\u00ebta t\u00eb agonist\u00ebve t\u00eb dopamin\u00ebs) nga terapisti.<br \/>\nmjek.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u03a4\u0399 \u039f\u039d\u039f\u039c\u0391\u0396\u039f\u03a5\u039c\u0395 \u03a3\u03a5\u039d\u0394\u03a1\u039f\u039c\u039f \u0391\u039d\u0397\u03a3\u03a5\u03a7\u03a9\u039d \u03a0\u039f\u0394\u0399\u03a9\u039d; \u0395\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03b1\u03b9\u03c3\u03b8\u03b7\u03c4\u03b9\u03ba\u03bf-\u03ba\u03b9\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ae \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c3\u03c4\u03b1 \u03ba\u03ac\u03c4\u03c9 \u03ac\u03ba\u03c1\u03b1. \u0391\u03c5\u03c4\u03cc \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b9 \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03bc\u03b9\u03b1 \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ae \u03c0\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03b9 \u03b1\u03bd\u03c9\u03bc\u03b1\u03bb\u03af\u03b5\u03c2 \u03c4\u03cc\u03c3\u03bf \u03c4\u03b7\u03c2 \u03b1\u03af\u03c3\u03b8\u03b7\u03c3\u03b7\u03c2 \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03c4\u03b7\u03c2 \u03ba\u03af\u03bd\u03b7\u03c3\u03b7\u03c2 \u03c3\u03c4\u03b1 \u03c0\u03cc\u03b4\u03b9\u03b1. \u03a4\u03bf \u03ba\u03cd\u03c1\u03b9\u03bf \u03c3\u03cd\u03bc\u03c0\u03c4\u03c9\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03b5\u03c0\u03b9\u03c4\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03ac\u03b3\u03ba\u03b7 \u03ba\u03af\u03bd\u03b7\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03c0\u03bf\u03b4\u03b9\u03ce\u03bd, \u03bb\u03cc\u03b3\u03c9 \u03b1\u03bd\u03b7\u03c3\u03c5\u03c7\u03af\u03b1\u03c2 \u03ae \u00ab\u03bc\u03c5\u03c1\u03bc\u03b7\u03b3\u03ba\u03b9\u03ac\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2\u00bb \u03ae \u00ab\u03ba\u03ac\u03c8\u03b9\u03bc\u03bf\u00bb \u03ae \u00ab\u03c3\u03b1\u03bd \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03b9\u03ba\u03cc \u03c1\u03b5\u03cd\u03bc\u03b1\u00bb \u03ae \u03bc\u03bf\u03c5\u03b4\u03b9\u03ac\u03c3\u03bc\u03b1\u03c4\u03bf\u03c2 \u03ae \u03bd\u03b5\u03c5\u03c1\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 [&hellip;]<\/p>","protected":false},"author":3,"featured_media":2238,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[33,34],"class_list":["post-452","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-53","tag-33","tag-34"],"_links":{"self":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/452","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=452"}],"version-history":[{"count":5,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/452\/revisions"}],"predecessor-version":[{"id":2460,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/452\/revisions\/2460"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media\/2238"}],"wp:attachment":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media?parent=452"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/categories?post=452"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/tags?post=452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}