{"id":84323,"date":"2026-06-01T02:27:41","date_gmt":"2026-06-01T00:27:41","guid":{"rendered":"https:\/\/orthodoxalbania.org\/2026\/ngjallja\/guret-e-temthit-2\/"},"modified":"2026-06-01T02:27:41","modified_gmt":"2026-06-01T00:27:41","slug":"guret-e-temthit-2","status":"publish","type":"ngjallja_article","link":"https:\/\/orthodoxalbania.org\/2026\/ngjallja\/guret-e-temthit-2\/","title":{"rendered":"Gur\u00ebt e t\u00ebmthit"},"content":{"rendered":"<p>Nga Prof. Dr. JosifAdhami<br \/>\n(vijon nga numri i kaluar)<br \/>\nIII. Faktor\u00ebt etnik\u00eb<br \/>\ndhe  gjenetik\u00eb<br \/>\nPredispozicioni gjenetik i gu-<br \/>\nr\u00ebve kolesterinik\u00eb ka qen\u00eb i njo-<br \/>\nhur, por m\u00ebnyra e transferimit<br \/>\nmbetet e pasigurt\u00eb. Gur\u00ebt jan\u00eb m\u00eb<br \/>\nt\u00eb zakonsh\u00ebm n\u00eb disa popullata<br \/>\nt\u00eb zhvilluara, si n\u00eb Evrop\u00ebn Per\u00eb-<br \/>\nndimore, Amerik\u00ebn e Veriut dhe<br \/>\nAustri. Megjithat\u00eb, rastisja e tyre<br \/>\n\u00ebsht\u00eb shum\u00eb e lart\u00eb n\u00eb indian\u00ebt e<br \/>\nAmerik\u00ebs dhe nuk dihet me sigu-<br \/>\nri, n\u00eb se iu detyrohet faktor\u00ebve<br \/>\ngjenetik\u00eb apo atyre ambiental\u00eb.<br \/>\nP\u00ebr k\u00ebt\u00eb mjafton t\u00eb p\u00ebrmendim,<br \/>\nse japonez\u00ebt q\u00eb banojn\u00eb n\u00eb Japoni<br \/>\nrrall\u00eb vuajn\u00eb nga gur\u00eb t\u00eb t\u00ebmthit,<br \/>\nkurse ata q\u00eb kan\u00eb emigruar n\u00eb<br \/>\nSHBA  kan\u00eb nj\u00eb in\u00e7idenc\u00eb m\u00eb t\u00eb<br \/>\nlart\u00eb. Megjithat\u00eb, zanafilla gjeo-<br \/>\ngrafik\u00eb dhe faktor\u00ebt racial\u00eb duket<br \/>\nse luajn\u00eb rol n\u00eb formimin e gur\u00eb-<br \/>\nve. K\u00ebshtu, zezak\u00ebt e Kenias n\u00eb<br \/>\nAfrik\u00eb dhe ata t\u00eb Amerik\u00ebs s\u00eb Ve\u00ad<br \/>\nriut e kan\u00eb bil\u00ebn t\u00eb pangopur (t\u00eb<br \/>\nsubsaturuar) me kolesterol, pra-<br \/>\nndaj -edhe gur\u00ebt jan\u00eb shum\u00eb t\u00eb<br \/>\nrrall\u00eb. Nd\u00ebrsa indian\u00ebt e Ameri-<br \/>\nk\u00ebs s\u00eb Veriut dhe kilian\u00ebt paraqit-<br \/>\nin nj\u00eb mbingopje t\u00eb bil\u00ebs me koles\u00ad<br \/>\nterol dhe gur\u00eb shum\u00eb t\u00eb shpesht\u00eb.<br \/>\nIV. S\u00ebmundjet  predispozuese<br \/>\nKa disa s\u00ebmundje, n\u00eb t\u00eb cilat<br \/>\ngur\u00ebt formohen m\u00eb shpesh. K\u00ebtu<br \/>\nmund t\u00eb p\u00ebrmendim: 1. Cirozat e<br \/>\nm\u00ebl\u00e7is\u00eb. N\u00eb k\u00ebto raste s\u2019\u00ebsht\u00eb fjala<br \/>\np\u00ebr shpesht\u00ebsi t\u00eb gur\u00ebve kole-<br \/>\nsterinik\u00eb, por t\u00eb atyre pigmentar\u00eb<br \/>\nt\u00eb zinj, pasi cirozat shoq\u00ebrohen<br \/>\nshpeshher\u00eb me hiperspleniz\u00ebm,<br \/>\nshkat\u00ebrim t\u00eb eritrociteve, pro-<br \/>\ndhim m\u00eb t\u00eb madh se zakonisht t\u00eb<br \/>\nbilirubin\u00ebs indirekte, e cila, duke<br \/>\nu derdhur n\u00eb fshik\u00ebz\u00ebn e t\u00ebmthit,<br \/>\nmerr pjes\u00eb n\u00eb formimin e gur\u00ebve<br \/>\nnga bilirubinati i kalciumit; 2. S\u00eb-<br \/>\nmundje ose rezeksion t\u00eb zorr\u00ebs s\u00eb<br \/>\nholl\u00eb, q\u00eb mund t\u00eb shoq\u00ebrohen me<br \/>\ngur\u00eb kolesterinik\u00eb, deri n\u00eb rreth<br \/>\n40 p\u00ebr qind t\u00eb rasteve, si pasoj\u00eb e<br \/>\nShkaqet  dhe  masat  p\u00ebr parandalimin  e tyre<br \/>\nmosabsorbimit t\u00eb acideve biliare<br \/>\ne mbigopjeve t\u00eb bil\u00ebs me koleste\u00ad<br \/>\nrol; 3. Heep a e pjes\u00ebshme ose e plot\u00eb<br \/>\ne stomakut apo prerja e nervit va\u00ad<br \/>\ngus bilateral p\u00ebr q\u00ebllime kurative,<br \/>\nmund t\u00eb pasohet nga rritja e p\u00ebr-<br \/>\nqindjes s\u00eb gur\u00ebve biliar\u00eb; 4. u-<br \/>\nshqimi t\u00ebr\u00ebsisht parenteral dhe<br \/>\nmosmarrja e ushqimeve nga goja,<br \/>\nshpeshher\u00eb \u00e7on n\u00eb formimin e<br \/>\nllumit biliar, pastaj t\u00eb gur\u00ebve, se-<br \/>\npse reduktohet prodhimi i koleci-<br \/>\nstokinin\u00ebs dhe nuk stimulohet<br \/>\ntkurrja e fshik\u00ebz\u00ebs s\u00eb t\u00ebmthit (si\u00e7<br \/>\nngjet kur ushqimet merren nga<br \/>\ngoja); 5. Hemolizat, q\u00eb v\u00ebrehen n\u00eb<br \/>\nanemit\u00eb hemolitike kronike<br \/>\nb\u00ebhen shkak p\u00ebr prodhimin e gu-<br \/>\nr\u00ebve pigmentar\u00eb, t\u00eb cil\u00ebt takohen<br \/>\nq\u00eb n\u00eb mosh\u00eb t\u00eb vog\u00ebl.<br \/>\nV. Medikamentet<br \/>\nlitogjene<br \/>\nP\u00ebrve\u00e7 estrogjen\u00ebve dhe ko-<br \/>\nntraceptiv\u00ebve, q\u00eb i kemi p\u00ebrme-<br \/>\nndur m\u00eb lart, nd\u00ebr medikamentet<br \/>\nme veprim litogjen b\u00ebjn\u00eb pjes\u00eb dhe<br \/>\nhipolipemiant\u00eb, si kolibrati e acidi<br \/>\nnikotinik. Ka t\u00eb dh\u00ebna se i pari e<br \/>\nshton 2-4 her\u00eb rrezikun e gur\u00ebve,<br \/>\nnd\u00ebrsa i dyti 1,6 her\u00eb.<br \/>\nKa edhe faktor\u00eb shoq\u00ebrues, si<br \/>\nduhani dhe alkooholi, q\u00eb favorizo-<br \/>\njn\u00eb formimin e k\u00ebtyre gur\u00ebve.<br \/>\nMasat  parandaluese<br \/>\nKur gur\u00ebt jan\u00eb formuar \u00ebsht\u00eb<br \/>\nv\u00ebshtir\u00eb q\u00eb t\u00eb shtrihen ose t\u00eb thy-<br \/>\nhen dhe eliminohen me rrug\u00eb na-<br \/>\ntyrore, pasi dhe kur jan\u00eb koleste-<br \/>\nrinik\u00eb, n\u00eb b\u00ebrtham\u00ebn e tyre ose n\u00eb<br \/>\nshtresat p\u00ebrb\u00ebr\u00ebse mund t\u00eb ven-<br \/>\nFjeti Dhiakon  Spiro Findiku<\/p>\n<p>gur\u00ebt jan\u00eb t\u00eb pand\u00ebrlikuar e a-<br \/>\nsimptomatik\u00eb, njeriu mund t\u00eb rro-<br \/>\nj\u00eb gjith\u00eb jet\u00ebn pa ditur se i ka, por<br \/>\nkur japin shenja klinike me dhi-<br \/>\nmbje t\u00eb forta n\u00eb form\u00eb kolikash<br \/>\nhepatike t\u00eb p\u00ebrs\u00ebritura, q\u00eb mund<br \/>\nt\u00eb shkaktojn\u00eb komplikacione, e<br \/>\nvetmja shpres\u00eb mbetet heqja e<br \/>\nfshikz\u00ebs s\u00eb t\u00ebmthit (bashk\u00eb me<br \/>\ngur\u00ebt q\u00eb ajo p\u00ebrmban) me rrug\u00eb<br \/>\nkirurgjikale, me hapje t\u00eb barkut<br \/>\napo pa hapje t\u00eb k\u00ebtij t\u00eb fundit, me<br \/>\nmetod\u00ebn laparoskopike. Ndaj, r\u00eb-<br \/>\nnd\u00ebsi t\u00eb ve\u00e7ant\u00eb kan\u00eb masat para\u00ad<br \/>\nndaluese, q\u00eb duhen p\u00ebrq\u00ebndruar<br \/>\nkryesisht n\u00eb luft\u00ebn kund\u00ebr obezi-<br \/>\ntetit, e rregullimit t\u00eb metaboli-<br \/>\nzmit t\u00eb yndyrnave, kontrollit pe-<br \/>\nriodik t\u00eb lipidogram\u00ebs (kolesterol-<br \/>\n-trigliceride etj.), sidomos n\u00eb mo-<br \/>\nshat mbi 40-50  vje\u00e7, n\u00eb grat\u00eb me<br \/>\nshum\u00eb f\u00ebmij\u00eb, n\u00eb alkoolist\u00ebt, obe-<br \/>\nz\u00ebt, n\u00eb ata q\u00eb kan\u00eb mbipesh\u00eb, dia-<br \/>\nbetik\u00ebt etj. Duhet luftuar jeta se-<br \/>\ndentare, pa sport, me l\u00ebvizje t\u00eb ku-<br \/>\nfizuara, ngr\u00ebnia e shumt\u00eb me yn-<br \/>\ndyr\u00ebra shtazore e pije alkoolike, q\u00eb<br \/>\nkan\u00eb shum\u00eb kalori, si dhe ajo me<br \/>\nkarbohidrate t\u00eb rafinuara. Ku-<br \/>\nnd\u00ebr obezitetit, mbipesh\u00ebs dhe di-<br \/>\nslipidemis\u00eb duhen kufizuar u-<br \/>\nshqimet q\u00eb p\u00ebrmbajn\u00eb kolesterol,<br \/>\nsi: e verdha e vez\u00ebs, vez\u00ebt e pe-<br \/>\nshkut, dhjami i pul\u00ebs, organet e<br \/>\nbrendshme t\u00eb kafsh\u00ebve etj. Nga<br \/>\nushqimet q\u00eb nuk p\u00ebrmbajn\u00eb kole\u00ad<br \/>\nsterol jan\u00eb barishtet, frutat, dri-<br \/>\nth\u00ebrat. Por, duhet patur parasysh<br \/>\nse edhe ushqimet q\u00eb nuk p\u00ebrmba-<br \/>\njn\u00eb ose p\u00ebrmbajn\u00eb pak kolesterol,<br \/>\nkur kan\u00eb acide yndyrore t\u00eb ngo-<br \/>\nsh\u00ebs s\u00eb Tiran\u00ebs. Por, s\u00ebmundjet<\/p>\n<p>lemis\u00eb. Pra, ka t\u00eb b\u00ebj\u00eb edhe kalo-<br \/>\nrazhi i lart\u00eb q\u00eb shpie n\u00eb mbipesh\u00eb,<br \/>\nobezitet e hiperkolesterolemi, pasi<br \/>\np\u00ebrve\u00e7 kolesterolit eksogjen t\u00eb<br \/>\nmarr\u00eb me ushqime, nj\u00eb pjes\u00eb e ko-<br \/>\nnsiderueshme (madje m\u00eb e ma-<br \/>\ndhe) sintetizohet n\u00eb organiz\u00ebm.<br \/>\nP\u00ebrve\u00e7 yndyr\u00ebrave shtazore,<br \/>\nacide yndyrore t\u00eb ngopura (q\u00eb tra-<br \/>\nnsformohen n\u00eb kolesterol), p\u00ebr-<br \/>\nmbajn\u00eb edhe disa vajra vegjetale,<br \/>\nsi ai i palm\u00ebs, i kokosit, gjalpi i<br \/>\nkakaos, q\u00eb p\u00ebrdoren n\u00eb industrin\u00eb<br \/>\nushqimore, pasi kan\u00eb \u00e7mim m\u00eb t\u00eb<br \/>\nul\u00ebt. K\u00ebshtu, \u00e7okollatat q\u00eb b\u00ebhen<br \/>\nme k\u00ebto vajra, p\u00ebrmbajn\u00eb rreth<br \/>\n55%  acide yndyrore t\u00eb ngopur.<br \/>\nNdryshe nga k\u00ebto, yndyr\u00ebrat me<br \/>\nacide yndyrore t\u00eb pangopura (acide<br \/>\nt\u00eb polijosaturuar), si: vaji i misrit,<br \/>\ni lulediellit, vaji i pambukut, soj\u00ebs<br \/>\ndhe susamit e ulin nivelin e kole\u00ad<br \/>\nsterolit n\u00eb gjak. Prandaj, n\u00eb vend<br \/>\nt\u00eb gjalpit, personave me dislipi-<br \/>\ndemi iu rekomandohet p\u00ebrdorimi<br \/>\ni disa margarinave t\u00eb p\u00ebrgatitu-<br \/>\nra me acide yndyrore t\u00eb polisatu-<br \/>\nruara; kurse vaji i ullirit dhe i<br \/>\nkikirikut p\u00ebrmbajn\u00eb yndyr\u00ebra t\u00eb<br \/>\nmonojosaturuara dhe nuk e ulin<br \/>\nnivelin e kolesterolit gjak.<br \/>\nVlen t\u00eb p\u00ebrmendet se vajrat e<br \/>\ndjegura t\u00eb mbetura pas skuqjes s\u00eb<br \/>\nprodukteve ushqimore (speca,<br \/>\npatate etj.) nuk duhen p\u00ebrdorur,<br \/>\nsepse acidet yndyrore, edhe kur<br \/>\njan\u00eb t\u00eb polijosaturuara transfo-<br \/>\nrmohen n\u00eb acide yndyrore t\u00eb ngo\u00ad<br \/>\npura, rritin nivelin e kolesterolit<br \/>\ne favorizojn\u00eb zhvillimin e kolelitia-<br \/>\nz\u00ebs dhe t\u00eb arterioskleroz\u00ebs.<br \/>\nII<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vijon nga numri i kaluar.<\/p>\n","protected":false},"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"nentitulli":"","numri":"3 (66)","viti":"1998","muaji":"Mars","muaji_numer":"3","dita":"","faqet":"[4]","fjale_kyce":"[\"Gur\u00ebt\", \"t\u00ebmthit\"]","permbledhje":"Vijon nga numri i kaluar.","autori":"","kategoria":"Mjeku pran\u00eb jush","kryeredaktor":"Thoma Dhima"},"ngjallja_kategoria":[10461],"ngjallja_autori":[],"ngjallja_viti":[10448],"ngjallja_kryeredaktor":[9473],"class_list":["post-84323","ngjallja_article","type-ngjallja_article","status-publish","hentry","ngjallja_kategoria-mjeku-prane-jush","ngjallja_viti-10448","ngjallja_kryeredaktor-thoma-dhima"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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