{"id":5228,"date":"2022-09-24T19:07:05","date_gmt":"2022-09-24T16:07:05","guid":{"rendered":"https:\/\/dralexandrostraianos.gr\/?p=5228"},"modified":"2022-09-30T11:25:12","modified_gmt":"2022-09-30T08:25:12","slug":"%cf%84%ce%bf-%ce%b2%ce%b9%ce%bf%ce%bb%ce%bf%ce%b3%ce%b9%ce%ba%ce%bf-%cf%83%ce%b1%cf%83-%cf%81%ce%bf%ce%bb%ce%bf%ce%b9-%ce%bc%cf%85%ce%b8%ce%bf%cf%83-%ce%b7-%cf%80%cf%81%ce%b1%ce%b3%ce%bc%ce%b1%cf%84","status":"publish","type":"post","link":"https:\/\/dralexandrostraianos.gr\/al\/%cf%84%ce%bf-%ce%b2%ce%b9%ce%bf%ce%bb%ce%bf%ce%b3%ce%b9%ce%ba%ce%bf-%cf%83%ce%b1%cf%83-%cf%81%ce%bf%ce%bb%ce%bf%ce%b9-%ce%bc%cf%85%ce%b8%ce%bf%cf%83-%ce%b7-%cf%80%cf%81%ce%b1%ce%b3%ce%bc%ce%b1%cf%84\/","title":{"rendered":"ORAT TUAJA BIOLOGJIKE: MIT APO REALITET?"},"content":{"rendered":"<p>Shum\u00eb gra kan\u00eb d\u00ebgjuar p\u00ebr &quot;or\u00ebn biologjike&quot; fam\u00ebkeqe riprodhuese, por mund t\u00eb mos e din\u00eb se \u00ebsht\u00eb shum\u00eb e v\u00ebrtet\u00eb. Plakja \u00ebsht\u00eb nj\u00eb proces normal, i pashmangsh\u00ebm. Nd\u00ebrsa rriteni, fertiliteti juaj bie p\u00ebr shkak t\u00eb ndryshimeve t\u00eb lidhura me mosh\u00ebn n\u00eb vezore. Nj\u00eb grua lind me t\u00eb gjitha vez\u00ebt q\u00eb do t\u00eb ket\u00eb ndonj\u00ebher\u00eb, ndryshe nga burrat q\u00eb vazhdojn\u00eb t\u00eb prodhojn\u00eb sperm\u00eb gjat\u00eb gjith\u00eb jet\u00ebs s\u00eb tyre. Nga vez\u00ebt e mbetura n\u00eb pubertet, vet\u00ebm rreth 200 do t\u00eb ovulojn\u00eb gjat\u00eb gjith\u00eb viteve riprodhuese dhe pjesa tjet\u00ebr do t&#039;i n\u00ebnshtrohet atrezis\u00eb. Atresia \u00ebsht\u00eb nj\u00eb proces degjenerues q\u00eb ndodh pavar\u00ebsisht n\u00ebse jeni shtatz\u00ebn\u00eb, keni cikle t\u00eb rregullta menstruale, p\u00ebrdorni kontrollin e lindjes ose i n\u00ebnshtroheni trajtimit t\u00eb infertilitetit. Pirja e duhanit duket se p\u00ebrshpejton atrezin\u00eb dhe shoq\u00ebrohet me menopauz\u00ebn e hershme.<\/p>\n<p>Fatkeq\u00ebsisht, shenjat e jashtme t\u00eb potencialit riprodhues t\u00eb nj\u00eb gruaje jan\u00eb t\u00eb pakta ose aspak. Mund\u00ebsia e konceptimit n\u00eb p\u00ebrgjith\u00ebsi fillon t\u00eb bjer\u00eb rreth mosh\u00ebs 30 vje\u00e7are, megjith\u00ebse mund t\u00eb filloj\u00eb m\u00eb her\u00ebt tek disa gra. N\u00eb mosh\u00ebn 30-vje\u00e7are, nj\u00eb grua e sh\u00ebndetshme dhe pjellore ka nj\u00eb shans 20% p\u00ebr sukses n\u00eb nj\u00eb muaj p\u00ebrpjekjeje. Deri n\u00eb mosh\u00ebn 40 vje\u00e7are, kjo probabilitet ka r\u00ebn\u00eb n\u00eb vet\u00ebm 5%. N\u00eb raste t\u00eb rralla, nj\u00eb grua mund t\u00eb ket\u00eb insuficienc\u00eb ovariane t\u00eb parakohshme dhe vezoret e saj mund t\u00eb ndalojn\u00eb s\u00eb prodhuari vez\u00eb shum\u00eb m\u00eb her\u00ebt, ndoshta n\u00eb fund t\u00eb t\u00eb 20-tave. Jo vet\u00ebm q\u00eb potenciali riprodhues i nj\u00eb gruaje bie me kalimin e mosh\u00ebs, por edhe mund\u00ebsia p\u00ebr derdhje rritet. Kjo rritje \u00ebsht\u00eb ndoshta p\u00ebr shkak t\u00eb cil\u00ebsis\u00eb s\u00eb vez\u00ebve (rritje e numrit t\u00eb vez\u00ebve jonormale) q\u00eb ajo prodhon nd\u00ebrsa rritet.<\/p>\n<p>&nbsp;<\/p>\n<h3>Rezerva ovariane<\/h3>\n<p>Rezerva ovariane i referohet cil\u00ebsis\u00eb dhe sasis\u00eb s\u00eb vez\u00ebve n\u00eb vezore dhe sa mir\u00eb reagojn\u00eb ato ndaj sinjaleve hormonale q\u00eb marrin nga truri. Rezerva e vezoreve mund t\u00eb vler\u00ebsohet n\u00ebp\u00ebrmjet nj\u00eb analize t\u00eb thjesht\u00eb gjaku dhe ultraz\u00ebrit. Testi i gjakut p\u00ebrdoret p\u00ebr t\u00eb matur hormonet FSH (hormoni stimulues i folikulit), LH (hormoni luteinizues) dhe estradiol n\u00eb dit\u00ebn 2, 3 ose 4 t\u00eb ciklit (dita 1 \u00ebsht\u00eb dita e par\u00eb e rrjedh\u00ebs s\u00eb plot\u00eb menstruale). Nivelet e larta t\u00eb FSH tregojn\u00eb se rezerva juaj ovariane \u00ebsht\u00eb e ul\u00ebt dhe p\u00ebr k\u00ebt\u00eb arsye shanset p\u00ebr ngjizje jan\u00eb t\u00eb ul\u00ebta. Mjeku juaj mund t\u00eb kryej\u00eb gjithashtu nj\u00eb ekografi p\u00ebr t\u00eb matur numrin e folikulave t\u00eb vogla ose &quot;karbonate&quot; n\u00eb vezoret tuaja. Nj\u00eb num\u00ebr i ul\u00ebt i folikulave parashikon nj\u00eb rritje t\u00eb gjasave p\u00ebr p\u00ebrgjigje t\u00eb dob\u00ebt ndaj trajtimit dhe nj\u00eb gjas\u00eb t\u00eb zvog\u00ebluar p\u00ebr nj\u00eb lindje t\u00eb gjall\u00eb.<\/p>\n<p>&nbsp;<\/p>\n<h3>Mjekimi<\/h3>\n<p>Ka shum\u00eb trajtime t\u00eb ndryshme p\u00ebr infertilitetin. Vendimi p\u00ebr t\u00eb ndjekur trajtimin e infertilitetit \u00ebsht\u00eb nj\u00eb vendim i r\u00ebnd\u00ebsish\u00ebm dhe duhet diskutuar me partnerin dhe mjekun tuaj. Nd\u00ebrsa nj\u00eb grua plaket, jo vet\u00ebm q\u00eb ulet potenciali i fertilitetit t\u00eb nj\u00eb gruaje, por edhe opsionet efektive t\u00eb trajtimit kufizohen. Stimulimi tradicional hormonal i vezoreve i kombinuar me inseminimin intrauterin mund t\u00eb jet\u00eb trajtimi i preferuar p\u00ebr disa pacient\u00eb n\u00ebn 40 vje\u00e7, por \u00ebsht\u00eb shum\u00eb m\u00eb pak efektiv tek grat\u00eb mbi 40 vje\u00e7. IVF \u00ebsht\u00eb trajtimi m\u00eb efektiv p\u00ebr grat\u00eb e \u00e7do moshe riprodhuese, por shkalla e lindjeve t\u00eb gjalla p\u00ebr grat\u00eb q\u00eb p\u00ebrdorin vez\u00ebt e tyre p\u00ebr IVF bie ndjesh\u00ebm tek grat\u00eb mbi 40 vje\u00e7. Shkalla e suksesit t\u00eb IVF n\u00eb grat\u00eb mbi 40 vje\u00e7 rritet ndjesh\u00ebm me p\u00ebrdorimin e nj\u00eb donatori t\u00eb ri vez\u00ebsh. Nd\u00ebrsa mosha mund t\u00eb ket\u00eb nj\u00eb efekt dramatik n\u00eb vezoret dhe vez\u00ebt e prodhuara, mitra e nj\u00eb gruaje n\u00eb t\u00eb 40-at zakonisht \u00ebsht\u00eb po aq e mir\u00eb sa ajo e nj\u00eb gruaje m\u00eb t\u00eb re. Megjithat\u00eb, shum\u00eb gra do t\u00eb preferonin t\u00eb p\u00ebrdornin vez\u00ebt e tyre n\u00eb vend t\u00eb nj\u00eb dhuruesi t\u00eb vez\u00ebve, dhe p\u00ebr k\u00ebt\u00eb arsye duhet t\u00eb fillojn\u00eb t\u00eb p\u00ebrpiqen t\u00eb mbeten shtatz\u00ebn\u00eb shum\u00eb p\u00ebrpara mosh\u00ebs 40 vje\u00e7are.<\/p>\n<p>&nbsp;<\/p>\n<h3>konkluzioni<\/h3>\n<p>Plakja ka nj\u00eb ndikim t\u00eb thell\u00eb tek t\u00eb gjith\u00eb ne. Shenjat e plakjes n\u00eb kapacitetin riprodhues t\u00eb nj\u00eb gruaje mund t\u00eb jen\u00eb delikate ose plot\u00ebsisht t\u00eb fshehura. Grat\u00eb duhet t\u00eb kuptojn\u00eb se r\u00ebnia e vezoreve \u00ebsht\u00eb nj\u00eb proces normal dhe i vazhduesh\u00ebm pasi ato planifikojn\u00eb p\u00ebr t\u00eb ardhmen e tyre. Fatkeq\u00ebsisht, nuk ka asnj\u00eb trajtim q\u00eb mund t\u00eb rivendos\u00eb vez\u00ebt ose t\u00eb p\u00ebrmir\u00ebsoj\u00eb cil\u00ebsin\u00eb e tyre. Prandaj, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme q\u00eb grat\u00eb t\u00eb jen\u00eb t\u00eb vet\u00ebdijshme p\u00ebr efektet e mundshme t\u00eb plakjes n\u00eb fertilitetin e tyre, duke p\u00ebrfshir\u00eb nj\u00eb ulje t\u00eb p\u00ebrgjithshme t\u00eb fertilitetit, nj\u00eb rrezik m\u00eb t\u00eb madh t\u00eb abortit dhe nj\u00eb rrezik m\u00eb t\u00eb madh t\u00eb anomalive kromozomale tek t\u00eb porsalindurit.<\/p>\n<p>N\u00ebse jeni t\u00eb shqet\u00ebsuar p\u00ebr potencialin tuaj riprodhues ose keni v\u00ebshtir\u00ebsi p\u00ebr t\u00eb mbetur shtatz\u00ebn\u00eb, kontaktoni Qendr\u00ebn p\u00ebr Mjek\u00ebsi Riprodhuese dhe Mjek\u00ebsi Fetale \u201cDr. Alexandros Traianos\u201d p\u00ebr t\u00eb caktuar nj\u00eb takim.<\/p>","protected":false},"excerpt":{"rendered":"<p>Shum\u00eb gra kan\u00eb d\u00ebgjuar p\u00ebr &quot;or\u00ebn biologjike&quot; fam\u00ebkeqe riprodhuese, por mund t\u00eb mos e din\u00eb se \u00ebsht\u00eb shum\u00eb e v\u00ebrtet\u00eb. Plakja \u00ebsht\u00eb nj\u00eb proces normal, i pashmangsh\u00ebm. Me kalimin e mosh\u00ebs, fertiliteti juaj bie p\u00ebr shkak t\u00eb ndryshimeve t\u00eb lidhura me mosh\u00ebn n\u00eb vezore. Nj\u00eb grua lind me t\u00eb gjitha vez\u00ebt q\u00eb do t\u00eb ket\u00eb ndonj\u00ebher\u00eb, ndryshe nga [\u2026]<\/p>","protected":false},"author":9,"featured_media":6438,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-5228","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-35"],"_links":{"self":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/5228","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=5228"}],"version-history":[{"count":0,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/5228\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media\/6438"}],"wp:attachment":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media?parent=5228"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/categories?post=5228"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/tags?post=5228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}