{"id":4349,"date":"2020-12-28T18:41:00","date_gmt":"2020-12-28T16:41:00","guid":{"rendered":"https:\/\/dralexandrostraianos.gr\/?p=4349"},"modified":"2022-10-01T12:15:39","modified_gmt":"2022-10-01T09:15:39","slug":"%ce%b5%ce%be%ce%b5%cf%84%ce%ac%cf%83%ce%b5%ce%b9%cf%82-%ce%b3%ce%b9%ce%b1-%cf%84%ce%bf%ce%bd-%ce%ad%ce%bb%ce%b5%ce%b3%cf%87%ce%bf-%cf%84%ce%b7%cf%82-%ce%b3%ce%bf%ce%bd%ce%b9%ce%bc%cf%8c%cf%84%ce%b7","status":"publish","type":"post","link":"https:\/\/dralexandrostraianos.gr\/al\/%ce%b5%ce%be%ce%b5%cf%84%ce%ac%cf%83%ce%b5%ce%b9%cf%82-%ce%b3%ce%b9%ce%b1-%cf%84%ce%bf%ce%bd-%ce%ad%ce%bb%ce%b5%ce%b3%cf%87%ce%bf-%cf%84%ce%b7%cf%82-%ce%b3%ce%bf%ce%bd%ce%b9%ce%bc%cf%8c%cf%84%ce%b7\/","title":{"rendered":"TESTET P\u00cbR KONTROLLIN E fertilitetit"},"content":{"rendered":"<p>\u00cbsht\u00eb mir\u00eb t\u00eb k\u00ebrkoni ndihm\u00ebn e nj\u00eb specialisti n\u00eb Mjek\u00ebsin\u00eb Riprodhuese dhe Fetale n\u00ebse jeni n\u00ebn mosh\u00ebn 35 vje\u00e7 dhe nuk keni arritur shtatz\u00ebnin\u00eb n\u00eb 12 muaj. P\u00ebr \u00e7iftet mbi 35 vje\u00e7 rekomandohet pas 6 muajsh p\u00ebrpjekje.<br \/>\nNe e dim\u00eb se ecja n\u00eb nj\u00eb klinik\u00eb fertiliteti p\u00ebr analiza mund t\u00eb jet\u00eb stresuese kur nuk dini \u00e7far\u00eb t\u00eb prisni. P\u00ebr t\u00eb ndihmuar, ekspert\u00ebt tan\u00eb t\u00eb fertilitetit kan\u00eb krijuar k\u00ebt\u00eb artikull duke p\u00ebrshkruar disa gj\u00ebra q\u00eb duhet t\u00eb dini. Ne do t&#039;ju prezantojm\u00eb me llojet e ndryshme t\u00eb testeve t\u00eb infertilitetit dhe do t&#039;ju p\u00ebrgatisim me nj\u00eb ide t\u00eb p\u00ebrgjithshme se \u00e7far\u00eb p\u00ebrb\u00ebn nj\u00eb rezultat pozitiv ose negativ p\u00ebr \u00e7do test.<\/p>\n<p>&nbsp;<\/p>\n<h2>Cilat lloje t\u00eb testeve t\u00eb fertilitetit ekzistojn\u00eb?<\/h2>\n<p>Kur t\u00eb vizitoni Qendr\u00ebn ton\u00eb, specialisti i Mjek\u00ebsis\u00eb Riprodhuese dhe Fetale, Alexandros Traianos do t\u00eb d\u00ebshiroj\u00eb t\u00eb dij\u00eb p\u00ebr historin\u00eb tuaj t\u00eb plot\u00eb mjek\u00ebsore dhe \u00e7do trajtim t\u00eb m\u00ebparsh\u00ebm q\u00eb mund t\u00eb keni pasur, duke p\u00ebrfshir\u00eb nj\u00eb p\u00ebrmbledhje t\u00eb rezultateve t\u00eb testeve t\u00eb m\u00ebparshme t\u00eb infertilitetit.<br \/>\nNj\u00eb ekzaminim i p\u00ebrgjithsh\u00ebm fizik i t\u00eb dy partner\u00ebve, aty ku k\u00ebrkohet, do t\u00eb duhet gjithashtu t\u00eb kryhet p\u00ebr t\u00eb vler\u00ebsuar sh\u00ebndetin tuaj t\u00eb p\u00ebrgjithsh\u00ebm. Jo t\u00eb gjitha llojet e testeve t\u00eb infertilitetit do t\u00eb nevojiten p\u00ebr \u00e7do rast individual, k\u00ebshtu q\u00eb ky vler\u00ebsim baz\u00eb mund t&#039;i jap\u00eb specialistit nj\u00eb ide se ku t\u00eb filloj\u00eb.<br \/>\nTestet e infertilitetit ndahen n\u00eb dy lloje kryesore. S\u00eb pari, ka analiza gjaku: k\u00ebto analiza mund t\u00eb analizojn\u00eb pranin\u00eb dhe\/ose sasin\u00eb e hormoneve t\u00eb ndryshme. Lloji i dyt\u00eb \u00ebsht\u00eb imazheria q\u00eb mund t\u00eb ndihmoj\u00eb specialistin e fertilitetit &quot;t\u00eb shoh\u00eb&quot; brenda sistemit tuaj riprodhues p\u00ebr t\u00eb identifikuar se cili, n\u00ebse ka, \u00ebsht\u00eb problemi. N\u00eb k\u00ebt\u00eb artikull do t\u00eb flasim p\u00ebr analizat e gjakut.<\/p>\n<p>&nbsp;<\/p>\n<h2>Testet e gjakut p\u00ebr infertilitet<\/h2>\n<p>Trupi i njeriut prodhon natyrsh\u00ebm nj\u00eb seri t\u00eb t\u00ebr\u00eb hormonesh t\u00eb fuqishme, secila prej t\u00eb cilave ka nj\u00eb rol t\u00eb ndrysh\u00ebm n\u00eb sistemin kompleks q\u00eb rregullon menstruacionet, ovulimin dhe ciklin riprodhues, p\u00ebrfshir\u00eb shtatz\u00ebnin\u00eb. Gjaku ndihmon nj\u00eb mjek t\u00eb vler\u00ebsoj\u00eb k\u00ebto hormone. Zakonisht, mjeku juaj do t&#039;i k\u00ebrkoj\u00eb ato p\u00ebrpara se t\u00eb filloni ndonj\u00eb trajtim t\u00eb fertilitetit.<br \/>\nKur merren parasysh rezultatet e niveleve t\u00eb ndryshme t\u00eb hormoneve, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb mbani mend se ato ndryshojn\u00eb midis individ\u00ebve dhe mund t\u00eb tregojn\u00eb gj\u00ebra t\u00eb ndryshme sipas shum\u00eb faktor\u00ebve, si mosha dhe historia e p\u00ebrgjithshme e sh\u00ebndetit.<\/p>\n<h3>Estradiol<\/h3>\n<p>Estradioli \u00ebsht\u00eb nj\u00eb nga m\u00eb t\u00eb fuqishmit e grupit t\u00eb hormoneve steroide t\u00eb njohura si estrogjene. Ai kontrollon zhvillimin dhe mir\u00ebmbajtjen e karakteristikave seksuale t\u00eb femr\u00ebs dhe vepron n\u00eb organet riprodhuese t\u00eb femr\u00ebs, duke p\u00ebrfshir\u00eb mukoz\u00ebn e vagin\u00ebs dhe tubat fallopiane. Estradioli prodhohet nga zhvillimi i folikulave, qeseve t\u00eb vogla q\u00eb p\u00ebrmbajn\u00eb vez\u00eb n\u00eb vezore, dhe \u00e7on n\u00eb prodhimin e mukusit pjellor t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs, si dhe p\u00ebrgatitjen e rreshtimit t\u00eb mitr\u00ebs p\u00ebr nj\u00eb vez\u00eb t\u00eb fekonduar ose embrion p\u00ebr t&#039;u implantuar.<\/p>\n<ul>\n<li>Nivelet e estradiolit maten n\u00eb pikogram\u00eb p\u00ebr mililit\u00ebr (pg\/ml).<\/li>\n<li>Nivelet normale ndryshojn\u00eb shum\u00eb n\u00eb var\u00ebsi t\u00eb faz\u00ebs s\u00eb ciklit menstrual dhe mund t\u00eb variojn\u00eb nga 30 deri n\u00eb 400 pg\/ml.<\/li>\n<\/ul>\n<h3>Hormoni anti-inflamator (AMH)<\/h3>\n<p>Hormoni kund\u00ebr rr\u00ebshqitjes prodhohet kryesisht n\u00eb vezoret e nj\u00eb gruaje.<\/p>\n<ul>\n<li>Nivelet e AMH n\u00eb gjak maten n\u00eb nanogram p\u00ebr mililit\u00ebr (ng\/ml).<\/li>\n<li>Nivelet normale konsiderohen t\u00eb pakt\u00ebn mbi 1.0 ng\/ml, megjith\u00ebse nivelet shum\u00eb t\u00eb larta mund t\u00eb tregojn\u00eb nj\u00eb problem tjet\u00ebr.<br \/>\nHormoni stimulues i folikulit (FSH). Hormoni stimulues i folikulit prodhohet nga gj\u00ebndrra e hipofiz\u00ebs n\u00eb tru. Nivelet e gjakut luhaten me ciklin menstrual. Rritja e FSH gjat\u00eb gjysm\u00ebs s\u00eb par\u00eb t\u00eb ciklit stimulon rritjen e folikulave dhe nd\u00ebrsa ato piqen, ajo punon me hormone t\u00eb tjera p\u00ebr t\u00eb shkaktuar ovulimin. Pas ovulacionit, reagimi ndaj gj\u00ebndrr\u00ebs s\u00eb hipofiz\u00ebs pengon lirimin e FSH, duke i b\u00ebr\u00eb nivelet m\u00eb t\u00eb ul\u00ebta.<\/li>\n<li>FSH matet n\u00eb nj\u00ebsi nd\u00ebrkomb\u00ebtare p\u00ebr mililit\u00ebr (mIU\/ml).<\/li>\n<li>Nj\u00eb nivel i mir\u00eb p\u00ebr nj\u00eb test baz\u00eb kur FSH duhet t\u00eb jet\u00eb i ul\u00ebt \u00ebsht\u00eb ndoshta m\u00eb pak se 10 mIU\/ml, por rezultatet kan\u00eb nevoj\u00eb p\u00ebr interpretim t\u00eb kujdessh\u00ebm nga nj\u00eb specialist i fertilitetit si pjes\u00eb e ekuilibrit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb hormoneve.<\/li>\n<li>Nivelet e larta jonormale t\u00eb FSH mund t\u00eb jen\u00eb shenj\u00eb e rezerv\u00ebs s\u00eb ul\u00ebt t\u00eb vezoreve.<\/li>\n<\/ul>\n<h3>hormoni luteinizues (LH)<\/h3>\n<p>Pas stimulimit fillestar t\u00eb folikulave nga FSH gjat\u00eb pjes\u00ebs s\u00eb par\u00eb t\u00eb ciklit menstrual, nj\u00eb rritje e LH e prodhuar nga gj\u00ebndrra e hipofiz\u00ebs stimulon lirimin e nj\u00eb veze nga gj\u00ebndra, ose procesin e njohur si ovulacion. Nj\u00eb matje e k\u00ebsaj vale p\u00ebrdoret shpesh p\u00ebr t\u00eb parashikuar periudh\u00ebn m\u00eb pjellore t\u00eb nj\u00eb gruaje.<\/p>\n<h3>Progesteroni<\/h3>\n<ul>\n<li>Progesteroni p\u00ebrgatit mitr\u00ebn q\u00eb t\u00eb jet\u00eb gati p\u00ebr implantimin e nj\u00eb veze ose embrioni t\u00eb fekonduar pas ovulacionit. N\u00ebse mbeteni shtatz\u00ebn\u00eb pas ovulacionit, nivelet e progesteronit rriten dhe ndihmojn\u00eb n\u00eb ruajtjen e shtatz\u00ebnis\u00eb. N\u00ebse nuk mbeteni shtatz\u00ebn\u00eb, nivelet e progesteronit bien dhe kjo ndihmon n\u00eb fillimin e ciklit menstrual.<\/li>\n<li>N\u00eb nj\u00eb cik\u00ebl normal menstrual, nivelet e progesteronit luhaten gjat\u00eb gjith\u00eb muajit.<\/li>\n<li>Ju do t\u00eb prisnit nivelet m\u00eb t\u00eb larta n\u00eb mes t\u00eb faz\u00ebs luteale t\u00eb ciklit tuaj, dhe zakonisht, p\u00ebrqendrimet mbi 3 ng\/ml tregojn\u00eb se jeni duke ovuluar.<\/li>\n<li>nj\u00eb nivel prej 8-10 10 ng \/ ml jan\u00eb t\u00eb d\u00ebshirueshme p\u00ebr shtatz\u00ebnin\u00eb.<\/li>\n<\/ul>\n<h3>Androgjenet<\/h3>\n<p>\u00cbsht\u00eb normale t\u00eb prodhohen sasi t\u00eb vogla &quot;hormonesh mashkullore&quot; ose androgjene, si testosteroni dhe DHEA-S. Megjithat\u00eb, mbiprodhimi q\u00eb \u00e7on n\u00eb nivele anormalisht t\u00eb larta mund t\u00eb ndikoj\u00eb n\u00eb zhvillimin e folikulave dhe ovulimin. Nivelet e ngritura t\u00eb testosteronit shpesh gjenden n\u00eb sindrom\u00ebn e vezores policistike (PCOS), e cila mund t\u00eb shoq\u00ebrohet me infertilitet.<\/p>\n<ul>\n<li>Testosteroni n\u00eb gjak matet n\u00eb nanogram p\u00ebr dhjetor (ng\/dL).<\/li>\n<li>Nivelet normale te femrat variojn\u00eb nd\u00ebrmjet 15 dhe 70 ng\/dL n\u00eb shumic\u00ebn e laborator\u00ebve.<\/li>\n<li>Nivelet q\u00eb jan\u00eb ose m\u00eb t\u00eb ul\u00ebta ose m\u00eb t\u00eb larta se ky interval mund t\u00eb shkaktojn\u00eb probleme me fertilitetin, si dhe simptoma t\u00eb tjera.<\/li>\n<\/ul>\n<h3>Prolaktina<\/h3>\n<p>Prolaktina ka shum\u00eb funksione, por m\u00eb s\u00eb shpeshti njihet se stimulon prodhimin e qum\u00ebshtit tek ata q\u00eb ushqehen me gji. \u00cbsht\u00eb rritur edhe gjat\u00eb shtatz\u00ebnis\u00eb. N\u00eb munges\u00eb t\u00eb shtatz\u00ebnis\u00eb, trupi zakonisht ka nivele t\u00eb ul\u00ebta t\u00eb k\u00ebtij hormoni. Nivelet e larta mund t\u00eb jen\u00eb nj\u00eb efekt an\u00ebsor i disa ila\u00e7eve ose t\u00eb prodhuara nga nj\u00eb rritje e vog\u00ebl n\u00eb gj\u00ebndr\u00ebn e hipofiz\u00ebs s\u00eb trurit dhe mund t\u00eb \u00e7ojn\u00eb n\u00eb parregullsi menstruale.<\/p>\n<ul>\n<li>Nj\u00eb nivel normal i prolaktin\u00ebs p\u00ebr grat\u00eb jo shtatz\u00ebna ose n\u00eb laktacion n\u00eb shumic\u00ebn e laborator\u00ebve \u00ebsht\u00eb m\u00eb pak se 25 ng\/ml.<\/li>\n<li>Pothuajse t\u00eb gjitha rastet e hiperprolaktinemis\u00eb trajtohen leht\u00ebsisht me medikamente orale.<\/li>\n<\/ul>\n<h3>Hormonet e tiroides<\/h3>\n<p>Nj\u00eb tiroide joaktive njihet si hipotiroidiz\u00ebm. Hulumtimet e fundit nga nj\u00eb ekip n\u00eb Shkoll\u00ebn Mjek\u00ebsore t\u00eb Harvardit treguan se, n\u00eb mesin e grave me infertilitet t\u00eb pashpjeguesh\u00ebm, funksioni i ul\u00ebt i tiroides ishte dy her\u00eb m\u00eb i zakonsh\u00ebm se tek grat\u00eb pa k\u00ebt\u00eb gjendje.<br \/>\nTestet e gjakut p\u00ebr nivelet e tiroides zakonisht matin sasin\u00eb e hormonit stimulues t\u00eb tiroides (TSH) nga gj\u00ebndrra e hipofiz\u00ebs. Me nivele t\u00eb ul\u00ebta t\u00eb qarkullimit t\u00eb hormoneve t\u00eb tiroides, truri punon &quot;jasht\u00eb orarit&quot; p\u00ebr t\u00eb provuar t\u00eb rivendos\u00eb nivelin optimal.<\/p>\n<ul>\n<li>TSH matet n\u00eb kilogram-nj\u00ebsi nd\u00ebrkomb\u00ebtare p\u00ebr lit\u00ebr (mIU\/L).<\/li>\n<li>Nj\u00eb nivel normal i TSH varion nga 0.4 n\u00eb 4.0 mIU\/L, me nivele mbi k\u00ebt\u00eb interval q\u00eb zakonisht tregojn\u00eb nj\u00eb tiroide joaktive. \u00cbsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb mbani mend se me t\u00eb gjitha k\u00ebto teste gjaku,<strong> nj\u00eb mas\u00eb e vetme e nj\u00eb hormoni t\u00eb caktuar nuk mund t\u00eb konsiderohet si diagnostike e fertilitetit ose infertilitetit<\/strong> pasi hormonet jan\u00eb vazhdimisht n\u00eb luhatje. P\u00ebr disa hormone, dita n\u00eb ciklin menstrual q\u00eb b\u00ebhet matja \u00ebsht\u00eb kritike. N\u00eb t\u00eb tjerat, mund t\u00eb ket\u00eb arsye p\u00ebr rezultate jonormale q\u00eb nuk lidhen me fertilitetin. Nj\u00eb specialist i kualifikuar dhe me p\u00ebrvoj\u00eb i fertilitetit \u00ebsht\u00eb thelb\u00ebsor p\u00ebr t\u00eb interpretuar rezultatet e testit t\u00eb gjakut dhe p\u00ebr t\u00eb dh\u00ebn\u00eb rekomandime p\u00ebr trajtimin.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #00ccff;\"><b>*P\u00ebrmbajtja n\u00eb k\u00ebt\u00eb blog nuk synon si z\u00ebvend\u00ebsim p\u00ebr k\u00ebshilla, diagnoz\u00eb ose trajtim profesional mjek\u00ebsor. Gjithmon\u00eb k\u00ebrkoni k\u00ebshill\u00ebn e ofruesve t\u00eb kualifikuar t\u00eb kujdesit sh\u00ebndet\u00ebsor p\u00ebr pyetjet q\u00eb mund t\u00eb keni n\u00eb lidhje me kushtet mjek\u00ebsore.<\/b><\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>\u00cbsht\u00eb mir\u00eb t\u00eb k\u00ebrkoni ndihm\u00ebn e nj\u00eb specialisti n\u00eb Mjek\u00ebsin\u00eb Riprodhuese dhe Fetale n\u00ebse jeni n\u00ebn mosh\u00ebn 35 vje\u00e7 dhe nuk keni arritur shtatz\u00ebnin\u00eb n\u00eb 12 muaj. P\u00ebr \u00e7iftet mbi 35 vje\u00e7 rekomandohet pas 6 muajsh p\u00ebrpjekje. Ne e dim\u00eb se shkuarja n\u00eb nj\u00eb klinik\u00eb fertiliteti p\u00ebr analiza mund t\u00eb jet\u00eb stresuese [\u2026]<\/p>","protected":false},"author":9,"featured_media":4350,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[376,428],"tags":[378],"class_list":["post-4349","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-376","category-428","tag-378"],"_links":{"self":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/4349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/comments?post=4349"}],"version-history":[{"count":0,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/4349\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media\/4350"}],"wp:attachment":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media?parent=4349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/categories?post=4349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/tags?post=4349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}