{"id":7499,"date":"2023-06-13T14:30:10","date_gmt":"2023-06-13T11:30:10","guid":{"rendered":"https:\/\/dralexandrostraianos.gr\/?p=7499"},"modified":"2023-06-13T14:30:10","modified_gmt":"2023-06-13T11:30:10","slug":"%ce%b1%ce%b4%ce%b5%ce%bd%ce%bf%ce%bc%cf%85%cf%89%cf%83%ce%b7-%ce%b5%cf%87%ce%b5%ce%b9-%ce%b1%ce%bd%cf%84%ce%b9%ce%ba%cf%84%cf%85%cf%80%ce%bf-%cf%83%cf%84%ce%b7-%ce%b3%ce%bf%ce%bd%ce%b9%ce%bc%ce%bf","status":"publish","type":"post","link":"https:\/\/dralexandrostraianos.gr\/al\/%ce%b1%ce%b4%ce%b5%ce%bd%ce%bf%ce%bc%cf%85%cf%89%cf%83%ce%b7-%ce%b5%cf%87%ce%b5%ce%b9-%ce%b1%ce%bd%cf%84%ce%b9%ce%ba%cf%84%cf%85%cf%80%ce%bf-%cf%83%cf%84%ce%b7-%ce%b3%ce%bf%ce%bd%ce%b9%ce%bc%ce%bf\/","title":{"rendered":"ADENOMIOZA: A NDIKON N\u00cb fertilitet?"},"content":{"rendered":"<p>Adenomyosis \u00ebsht\u00eb nj\u00eb gjendje q\u00eb prek nj\u00eb p\u00ebrqindje relativisht t\u00eb madhe t\u00eb grave t\u00eb mosh\u00ebs riprodhuese. Adenomyosis shfaqet me simptoma q\u00eb p\u00ebrfshijn\u00eb perioda t\u00eb dhimbshme, t\u00eb r\u00ebnda, perioda jasht\u00ebzakonisht t\u00eb gjata, dhimbje t\u00eb forta pelvike dhe marr\u00ebdh\u00ebnie t\u00eb dhimbshme. Adenomyosis gjithashtu shkakton zmadhimin e mitr\u00ebs dhe mund t\u00eb shkaktoj\u00eb infertilitet, aborte t\u00eb p\u00ebrs\u00ebritura ose lindje t\u00eb parakohshme. Me adenomyosis, indi endometrial q\u00eb formohet n\u00eb rreshtimin e mitr\u00ebs pushton dhe rritet brenda murit t\u00eb mitr\u00ebs, ve\u00e7an\u00ebrisht miometriumit q\u00eb \u00ebsht\u00eb muri muskulor i mitr\u00ebs. Indi b\u00ebn q\u00eb mitra t\u00eb fryhet p\u00ebr t\u00eb dyfishuar apo edhe trefishuar madh\u00ebsin\u00eb e saj normale.<\/p>\n<h2>Diagnoza e adenomioz\u00ebs<\/h2>\n<p>Adenomyosis m\u00eb s\u00eb shpeshti diagnostikohet kur nj\u00eb grua k\u00ebrkon ndihm\u00eb mjek\u00ebsore p\u00ebr nj\u00eb nga simptomat, t\u00eb tilla si dhimbje t\u00eb forta, perioda t\u00eb parregullta ose pamund\u00ebsi p\u00ebr t\u00eb mbetur shtatz\u00ebn\u00eb, ose aborte t\u00eb p\u00ebrs\u00ebritura. N\u00ebse dyshohet se adenomyosis \u00ebsht\u00eb e mundur, specialisti do t\u00eb konfirmoj\u00eb diagnoz\u00ebn duke p\u00ebrdorur testet e m\u00ebposhtme:<\/p>\n<ul>\n<li><strong>Ekzaminimi i legenit: <\/strong>Mjeku juaj mund t\u00eb v\u00ebrej\u00eb se keni nj\u00eb mit\u00ebr t\u00eb zmadhuar, e cila \u00ebsht\u00eb m\u00eb e but\u00eb dhe e dhimbshme n\u00eb prekje.<\/li>\n<li><strong>Ekografia transvaginale:<\/strong> P\u00ebrdorimi i val\u00ebve t\u00eb z\u00ebrit p\u00ebr t\u00eb imazhuar organet tuaja t\u00eb legenit mund t\u00eb tregoj\u00eb trashje t\u00eb murit muskulor t\u00eb mitr\u00ebs.<\/li>\n<li><strong>Rezonanca magnetike:<\/strong> Nj\u00eb MRI mund t\u00eb tregoj\u00eb trashje t\u00eb murit t\u00eb mitr\u00ebs ose zgjerim t\u00eb mitr\u00ebs, q\u00eb zakonisht \u00ebsht\u00eb tregues i adenomioz\u00ebs.<\/li>\n<li><strong>Biopsia:<\/strong> N\u00eb raste t\u00eb r\u00ebnda dhe si mjet i fundit, nj\u00eb biopsi e mitr\u00ebs v\u00ebrteton adenomyosis, por kjo mund t\u00eb ndodh\u00eb vet\u00ebm pas nj\u00eb histerektomie (heqje t\u00eb mitr\u00ebs).<\/li>\n<\/ul>\n<h2>Shkaqet, trajtimi dhe rreziqet e mundshme<\/h2>\n<p>P\u00ebr shkak se simptomat e adenomioz\u00ebs jan\u00eb t\u00eb ngjashme me s\u00ebmundjet e tjera, t\u00eb tilla si endometrioza dhe fibroidet e mitr\u00ebs, nj\u00eb diagnoz\u00eb mjek\u00ebsore \u00ebsht\u00eb thelb\u00ebsore. Shumica e rasteve t\u00eb adenomioz\u00ebs ndodhin tek grat\u00eb mbi 35 vje\u00e7. Rritja e indeve brenda murit t\u00eb mitr\u00ebs varet nga estrogjeni, k\u00ebshtu q\u00eb trajtimi mund t\u00eb p\u00ebrfshij\u00eb barna hormonale. Mjek\u00ebt konsiderojn\u00eb gjithashtu opsione t\u00eb tjera trajtimi, duke p\u00ebrfshir\u00eb embolizimin e arteries s\u00eb mitr\u00ebs.<\/p>\n<p>Shkaku i sakt\u00eb i zhvillimit t\u00eb adenomioz\u00ebs nuk dihet, megjithat\u00eb, shum\u00eb studiues besojn\u00eb se shkaku i gjendjes mund t\u00eb jet\u00eb p\u00ebr shkak t\u00eb sa vijon:<\/p>\n<ul>\n<li>Rritja invazive e indeve q\u00eb ndodh kur qelizat pushtojn\u00eb muskujt e murit t\u00eb mitr\u00ebs.<\/li>\n<li>Inflamacioni i mitr\u00ebs pas lindjes mund t\u00eb shkaktoj\u00eb nj\u00eb \u00e7arje n\u00eb rreshtimin e mitr\u00ebs dhe t\u00eb lejoj\u00eb qelizat t\u00eb pushtojn\u00eb.<\/li>\n<li>Zhvillimi i fetusit mund t\u00eb \u00e7oj\u00eb n\u00eb pozicionim jonormal t\u00eb indit endometrial.<\/li>\n<\/ul>\n<p>Rreziqet p\u00ebr zhvillimin e adenomioz\u00ebs p\u00ebrfshijn\u00eb:<\/p>\n<ul>\n<li>Operacioni i m\u00ebparsh\u00ebm n\u00eb mit\u00ebr, si kyretazh, heqja e fibroideve t\u00eb mitr\u00ebs ose seksioni cezarian.<\/li>\n<li>Lindja e f\u00ebmij\u00ebs<\/li>\n<li>mosha mbi 35 vje\u00e7, megjithat\u00eb, koh\u00ebt e fundit, mjek\u00ebt kan\u00eb par\u00eb nj\u00eb rritje t\u00eb diagnozave t\u00eb adenomioz\u00ebs tek grat\u00eb m\u00eb t\u00eb reja.<\/li>\n<\/ul>\n<h2>Si ndikon adenomioza n\u00eb fertilitetin tuaj<\/h2>\n<p>Studimet e fundit tregojn\u00eb se adenomioza ndodh shpesh n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb me gjendje t\u00eb tjera q\u00eb ndikojn\u00eb n\u00eb fertilitet, si endometrioza, polipet e mitr\u00ebs dhe fibroidet. Vet\u00ebm adenomioza mund t\u00eb ndikoj\u00eb n\u00eb implantimin, pranueshm\u00ebrin\u00eb e rreshtimit t\u00eb mitr\u00ebs dhe mund t\u00eb shtremb\u00ebroj\u00eb tubat fallopiane duke parandaluar fekondimin. Si\u00e7 u p\u00ebrmend m\u00eb lart, n\u00ebse mbeteni shtatz\u00ebn\u00eb jeni n\u00eb nj\u00eb rrezik shum\u00eb m\u00eb t\u00eb lart\u00eb p\u00ebr abortin ose lindje t\u00eb parakohshme se normalja. Kjo \u00ebsht\u00eb arsyeja pse \u00ebsht\u00eb kaq e r\u00ebnd\u00ebsishme t\u00eb punoni me nj\u00eb specialist n\u00ebse jeni diagnostikuar me adenomioz\u00eb.<\/p>\n<p>M\u00ebnyra m\u00eb e suksesshme p\u00ebr t\u00eb mbetur shtatz\u00ebn\u00eb \u00ebsht\u00eb p\u00ebrmes IVF e kombinuar me agonist\u00ebt GnRH (Lupron). Lupron \u00ebsht\u00eb nj\u00eb m\u00ebnyr\u00eb e suksesshme p\u00ebr t\u00eb reduktuar estrogjenin dhe p\u00ebr t\u00eb ngadal\u00ebsuar rritjen e adenomioz\u00ebs, duke p\u00ebrmir\u00ebsuar shanset e implantimit p\u00ebrmes IVF. Megjithat\u00eb, p\u00ebr shkak se gjendja mbart dyfishin e rrezikut t\u00eb abortit, n\u00eb shum\u00eb raste tregohet z\u00ebvend\u00ebsimi, s\u00eb bashku me IVF duke p\u00ebrdorur vez\u00ebt tuaja dhe sperm\u00ebn e partnerit tuaj.<\/p>\n<h2>Trajtimi i adenomioz\u00ebs<\/h2>\n<p>N\u00ebse jeni diagnostikuar me adenomioz\u00eb, ju e dini se vet\u00eb gjendja mund t\u00eb sjell\u00eb ndryshime n\u00eb jet\u00ebn tuaj. Dhimbja dhe gjakderdhja e r\u00ebnd\u00eb e b\u00ebjn\u00eb t\u00eb v\u00ebshtir\u00eb t\u00eb b\u00ebni plane dhe k\u00ebto periudha torturuese ju l\u00ebn\u00eb t\u00eb rraskapitur dhe shqet\u00ebsimet p\u00ebr fertilitetin i shtohen. Kjo \u00ebsht\u00eb koha p\u00ebr t\u00eb qen\u00eb sa m\u00eb i sjellsh\u00ebm me veten dhe, me \u00e7do kusht, p\u00ebr t\u00eb k\u00ebrkuar ndihm\u00eb profesionale mjek\u00ebsore. Nd\u00ebrsa shum\u00eb po zbulohen dhe kuptohen ende rreth adenomyosis n\u00eb komunitetin mjek\u00ebsor, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb gjesh nj\u00eb ekip q\u00eb do t\u00eb kujdeset p\u00ebr ju dhe do t&#039;ju ndihmoj\u00eb n\u00eb udh\u00ebtimin tuaj. Ashtu si me \u00e7do diagnoz\u00eb mjek\u00ebsore, p\u00ebrvoja juaj \u00ebsht\u00eb e juaja dhe unike p\u00ebr ju. Kontaktoni sot Qendr\u00ebn p\u00ebr Mjek\u00ebsi Riprodhuese \u201cDr. Alexandros Traianos\u201d dhe s\u00eb bashku do t&#039;ju ndihmojm\u00eb t\u00eb gjeni p\u00ebrgjigjet q\u00eb k\u00ebrkoni. Per informacion telefononi ne tel <span class=\"x3nfvp2 x1j61x8r x1fcty0u xdj266r xhhsvwb xat24cr xgzva0m xxymvpz xlup9mm x1kky2od\"><img decoding=\"async\" src=\"https:\/\/static.xx.fbcdn.net\/images\/emoji.php\/v9\/ta9\/1.5\/16\/260e.png\" alt=\"&#x260e;&#xfe0f;\" width=\"16\" height=\"16\" \/><\/span>(+30) 2310 277 032 ose d\u00ebrgoni nj\u00eb mesazh te <span class=\"x3nfvp2 x1j61x8r x1fcty0u xdj266r xhhsvwb xat24cr xgzva0m xxymvpz xlup9mm x1kky2od\"><img decoding=\"async\" src=\"https:\/\/static.xx.fbcdn.net\/images\/emoji.php\/v9\/t17\/1.5\/16\/1f4e7.png\" alt=\"&#x1f4e7;\" width=\"16\" height=\"16\" \/><\/span>email alexandrostraianos@gmail.com.<\/p>","protected":false},"excerpt":{"rendered":"<p>Adenomyosis \u00ebsht\u00eb nj\u00eb gjendje q\u00eb prek nj\u00eb p\u00ebrqindje relativisht t\u00eb madhe t\u00eb grave t\u00eb mosh\u00ebs riprodhuese. Adenomyosis shfaqet me simptoma q\u00eb p\u00ebrfshijn\u00eb perioda t\u00eb dhimbshme, t\u00eb r\u00ebnda, perioda jasht\u00ebzakonisht t\u00eb gjata, dhimbje t\u00eb forta pelvike dhe marr\u00ebdh\u00ebnie t\u00eb dhimbshme. Adenomyosis gjithashtu shkakton zmadhimin e mitr\u00ebs dhe mund t\u00eb shkaktoj\u00eb infertilitet, aborte t\u00eb p\u00ebrs\u00ebritura ose lindje t\u00eb parakohshme. Me adenomioz\u00eb, [...]<\/p>","protected":false},"author":9,"featured_media":7498,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[408],"tags":[461,308,406,397],"class_list":["post-7499","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-408","tag-461","tag-308","tag-406","tag-397"],"_links":{"self":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/7499","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=7499"}],"version-history":[{"count":0,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/7499\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media\/7498"}],"wp:attachment":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media?parent=7499"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/categories?post=7499"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/tags?post=7499"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}