{"id":458,"date":"2021-05-17T11:58:47","date_gmt":"2021-05-17T08:58:47","guid":{"rendered":"https:\/\/dermitzaki.gr\/?p=458"},"modified":"2022-09-22T18:56:22","modified_gmt":"2022-09-22T15:56:22","slug":"%cf%84%ce%af-%ce%b5%ce%af%ce%bd%ce%b1%ce%b9-%ce%bf%ce%b9-%ce%b4%cf%85%cf%83%ce%ba%ce%b9%ce%bd%ce%b7%cf%83%ce%af%ce%b5%cf%82-%ce%ba%ce%b1%ce%b9-%ce%bc%ce%b5-%cf%84%ce%af-%ce%bc%ce%bf%cf%81%cf%86%ce%ae","status":"publish","type":"post","link":"https:\/\/dermitzaki.gr\/sq\/%cf%84%ce%af-%ce%b5%ce%af%ce%bd%ce%b1%ce%b9-%ce%bf%ce%b9-%ce%b4%cf%85%cf%83%ce%ba%ce%b9%ce%bd%ce%b7%cf%83%ce%af%ce%b5%cf%82-%ce%ba%ce%b1%ce%b9-%ce%bc%ce%b5-%cf%84%ce%af-%ce%bc%ce%bf%cf%81%cf%86%ce%ae\/","title":{"rendered":"\u00c7FAR\u00cb JAN\u00cb DISKIKINAT DHE N\u00cb \u00c7FAR\u00cb FORM\u00cb SHFAQEN N\u00cb PACIENT ME S\u00cbMUNDJEN PARKINSON"},"content":{"rendered":"<h3>DISFUNKSIONET<\/h3>\n<p>Diskinezit\u00eb n\u00eb p\u00ebrgjith\u00ebsi p\u00ebrshkruhen si l\u00ebvizje jonormale t\u00eb pavullnetshme n\u00eb \u00e7do pacient. Sidomos te pacient\u00ebt me s\u00ebmundjen e Parkinsonit, diskinezit\u00eb shoq\u00ebrohen me p\u00ebrdorimin e barnave dhe ndahen sipas form\u00ebs q\u00eb marrin dhe koh\u00ebs s\u00eb marrjes s\u00eb barnave antiparkinsoniane. Zakonisht ndodhin te pacient\u00ebt me nj\u00eb p\u00ebrgjigje t\u00eb mir\u00eb ndaj levodop\u00ebs dhe incidenca \u00ebsht\u00eb m\u00eb e lart\u00eb n\u00eb pacient\u00ebt me fillim t\u00eb hersh\u00ebm t\u00eb s\u00ebmundjes. Llojet kryesore t\u00eb diskinezis\u00eb jan\u00eb:<\/p>\n<h3>DISKINEZIT\u00cb E DOZ\u00cbS PIKE<\/h3>\n<p>K\u00ebto l\u00ebvizje automatike ndodhin kur ila\u00e7i \u00ebsht\u00eb n\u00eb p\u00ebrqendrimin maksimal n\u00eb serumin e gjakut t\u00eb pacientit. Jan\u00eb l\u00ebvizje p\u00ebrdredh\u00ebse, si k\u00ebrcimi, t\u00eb pa standardizuara zakonisht n\u00eb gjymtyr\u00ebt e sip\u00ebrme dhe t\u00eb poshtme, por edhe n\u00eb trung dhe kok\u00eb. Ato zhduken kur nivelet e levodop\u00ebs bien n\u00eb gjakun e pacientit.<\/p>\n<h3>DISTONIA E SHKOHUR<\/h3>\n<p>K\u00ebto l\u00ebvizje, p\u00ebrkundrazi, shfaqen kur nivelet e levodop\u00ebs n\u00eb plazm\u00ebn e gjakut kan\u00eb r\u00ebn\u00eb, pra kryesisht gjat\u00eb nat\u00ebs ose n\u00eb m\u00ebngjes para doz\u00ebs s\u00eb par\u00eb t\u00eb barit. Zakonisht \u00ebsht\u00eb nj\u00eb spazm\u00eb e dhimbshme n\u00eb muskujt e gjymtyr\u00ebve t\u00eb poshtme. Ato p\u00ebrmir\u00ebsohen me administrimin e agonist\u00ebve t\u00eb dopamin\u00ebs ose preparateve me \u00e7lirim t\u00eb ngadalt\u00eb t\u00eb levodop\u00ebs.<\/p>\n<h3>DISTONIA DIFAZIKE\/DISKINESIA<\/h3>\n<p>K\u00ebto l\u00ebvizje jan\u00eb relativisht t\u00eb rralla. T\u00eb dyja format ndodhin kur nj\u00eb pacient me s\u00ebmundjen e Parkinsonit \u00ebsht\u00eb n\u00eb faz\u00ebn e p\u00ebrgjigjes s\u00eb mir\u00eb ndaj levodop\u00ebs dhe m\u00eb pas kalon n\u00eb faz\u00ebn ku efekti i ila\u00e7it zbehet kur merr t\u00eb nj\u00ebjt\u00ebn tablet\u00eb levodopa. Edhe k\u00ebtu zakonisht ka l\u00ebvizje t\u00eb ngjashme me k\u00ebrcimin q\u00eb alternohen me distoni dhe zakonisht p\u00ebrfshin gjymtyr\u00ebt e poshtme. N\u00eb p\u00ebrgjith\u00ebsi, kjo lloj diskinezie \u00ebsht\u00eb shum\u00eb e v\u00ebshtir\u00eb p\u00ebr t&#039;u trajtuar dhe trajtimi m\u00eb i mir\u00eb \u00ebsht\u00eb ndoshta trajtimi kirurgjik.<\/p>\n<p><strong>50% e pacient\u00ebve q\u00eb marrin m\u00eb shum\u00eb se 5 vjet levodopa shfaqin diskinezit\u00eb e tilla. Kjo p\u00ebrqindje arrin 90% n\u00eb pacient\u00ebt q\u00eb marrin levodopa p\u00ebr m\u00eb shum\u00eb se 15 vjet.<\/strong><\/p>","protected":false},"excerpt":{"rendered":"<p>\u0394\u03a5\u03a3\u039a\u0399\u039d\u0397\u03a3\u0399\u0395\u03a3 \u03a9\u03c2 \u03b4\u03c5\u03c3\u03ba\u03b9\u03bd\u03b7\u03c3\u03af\u03b5\u03c2 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03ac\u03c6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b3\u03b5\u03bd\u03b9\u03ba\u03ac \u03b1\u03ba\u03bf\u03cd\u03c3\u03b9\u03b5\u03c2 \u03bc\u03b7 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b9\u03bd\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c3\u03b5 \u03bf\u03c0\u03bf\u03b9\u03bf\u03bd\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ae. \u0395\u03b9\u03b4\u03b9\u03ba\u03ac \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u039d\u03cc\u03c3\u03bf \u03c4\u03bf\u03c5 Parkinson \u03bf\u03b9 \u03b4\u03c5\u03c3\u03ba\u03b9\u03bd\u03b7\u03c3\u03af\u03b5\u03c2 \u03c3\u03c5\u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03c4\u03c9\u03bd \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c7\u03c9\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03bd\u03ac\u03bb\u03bf\u03b3\u03b1 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03bc\u03bf\u03c1\u03c6\u03ae \u03c0\u03bf\u03c5 \u03ad\u03c7\u03bf\u03c5\u03bd \u03ba\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03c7\u03c1\u03cc\u03bd\u03bf \u03c4\u03b7\u03c2 \u03bb\u03ae\u03c8\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b1\u03bd\u03c4\u03b9-\u03c0\u03b1\u03c1\u03ba\u03b9\u03bd\u03c3\u03bf\u03bd\u03b9\u03ba\u03ce\u03bd \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd. \u03a3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b5\u03bc\u03c6\u03b1\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03ba\u03b1\u03bb\u03ae \u03b1\u03bd\u03c4\u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03bb\u03b5\u03b2\u03bf\u03bd\u03c4\u03cc\u03c0\u03b1 \u03ba\u03b1\u03b9 \u03b7 [&hellip;]<\/p>","protected":false},"author":3,"featured_media":167,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[],"class_list":["post-458","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-53"],"_links":{"self":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/458","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=458"}],"version-history":[{"count":4,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/458\/revisions"}],"predecessor-version":[{"id":2466,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/458\/revisions\/2466"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media\/167"}],"wp:attachment":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media?parent=458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/categories?post=458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/tags?post=458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}