{"id":119101,"date":"2026-10-21T15:11:32","date_gmt":"2026-10-21T12:11:32","guid":{"rendered":"https:\/\/prizrenpost.com\/al\/pse-kolla-vazhdon-per-jave-te-tera-pasi-te-kaloje-semundja\/"},"modified":"2026-10-21T15:11:32","modified_gmt":"2026-10-21T12:11:32","slug":"pse-kolla-vazhdon-per-jave-te-tera-pasi-te-kaloje-semundja","status":"publish","type":"post","link":"https:\/\/prizrenpost.com\/al\/pse-kolla-vazhdon-per-jave-te-tera-pasi-te-kaloje-semundja\/","title":{"rendered":"Pse kolla vazhdon p\u00ebr jav\u00eb t\u00eb t\u00ebra pasi t\u00eb kaloj\u00eb s\u00ebmundja?"},"content":{"rendered":"
\"Pse<\/figure>\n

Temperatura ka r\u00ebn\u00eb, fuqia \u00ebsht\u00eb rikthyer, por kolla nuk ndalet. \u00cbsht\u00eb nj\u00eb nga dukurit\u00eb m\u00eb t\u00eb zakonshme pas gripit dhe ftohjeve, dhe mjek\u00ebt kan\u00eb nj\u00eb em\u00ebr p\u00ebr t\u00eb: koll\u00eb post-infektive.<\/p>\n

Sipas nj\u00eb vler\u00ebsimi t\u00eb botuar n\u00eb revist\u00ebn mjek\u00ebsore kanadeze CMAJ, midis 11 dhe 25 p\u00ebrqind e t\u00eb rriturve zhvillojn\u00eb nj\u00eb koll\u00eb post-infektive pas nj\u00eb infeksioni respirator. \u00cbsht\u00eb nj\u00eb koll\u00eb subakute, e cila zgjat nga tre deri n\u00eb tet\u00eb jav\u00eb.<\/p>\n

Kolegji Amerikan i Mjek\u00ebve t\u00eb Gjoksit (ACCP) e ndan koll\u00ebn sipas koh\u00ebzgjatjes. Kolla akute zgjat m\u00eb pak se tre jav\u00eb, subakute nga tre deri n\u00eb tet\u00eb jav\u00eb dhe kronike m\u00eb shum\u00eb se tet\u00eb jav\u00eb. N\u00ebse kolla ka filluar me nj\u00eb infeksion t\u00eb rrug\u00ebve t\u00eb sip\u00ebrme t\u00eb frym\u00ebmarrjes dhe nuk \u00ebsht\u00eb zhdukur, zakonisht konsiderohet post-infektive.<\/p>\n

Organizata Bot\u00ebrore e Sh\u00ebndet\u00ebsis\u00eb (OBSH) deklaron se shumica e pacient\u00ebve me grip sh\u00ebrohen nga ethet dhe simptomat e tjera brenda nj\u00eb jave, por kolla mund t\u00eb jet\u00eb e fort\u00eb dhe t\u00eb zgjas\u00eb dy jav\u00eb ose m\u00eb shum\u00eb.<\/p>\n

Sipas udh\u00ebzimeve t\u00eb ACCP-s\u00eb, shkaku i sakt\u00eb i k\u00ebsaj kolle \u00ebsht\u00eb i panjohur, por mendohet se shkaktohet nga d\u00ebmtimi i mukoz\u00ebs dhe inflamacioni i p\u00ebrhapur i traktit t\u00eb sip\u00ebrm dhe t\u00eb posht\u00ebm respirator. Si shembull, ata p\u00ebrmendin biopsit\u00eb nga pacient\u00ebt me grip t\u00eb tipit A t\u00eb pakomplikuar, n\u00eb t\u00eb cil\u00ebt u gjet nj\u00eb zhvendosje e gjer\u00eb e qelizave q\u00eb veshin rrug\u00ebt e frym\u00ebmarrjes.<\/p>\n

Derisa t\u00eb rikthehet membrana mukoze, rrug\u00ebt e frym\u00ebmarrjes mbeten t\u00eb inflamuara dhe t\u00eb ndjeshme. Inflamacioni rrit prodhimin e mukusit dhe n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb e b\u00ebn m\u00eb t\u00eb v\u00ebshtir\u00eb nxjerrjen e tij, k\u00ebshtu q\u00eb sekrecionet e mbetura jan\u00eb m\u00eb irrituese.<\/p>\n

Nj\u00eb arsye tjet\u00ebr e r\u00ebnd\u00ebsishme \u00ebsht\u00eb se infeksioni ul pragun n\u00eb t\u00eb cilin aktivizohet refleksi i koll\u00ebs. Nj\u00eb studim i botuar n\u00eb revist\u00ebn Respiratory Medicine ndoqi njer\u00ebz me koll\u00eb t\u00eb zgjatur pas gripit H1N1, dhe tek ata ndjeshm\u00ebria e refleksit t\u00eb koll\u00ebs ishte tre deri n\u00eb n\u00ebnt\u00eb her\u00eb m\u00eb e lart\u00eb se normale. Autor\u00ebt arrit\u00ebn n\u00eb p\u00ebrfundimin se ky \u00ebsht\u00eb mekanizmi kryesor dhe se kolla pas gripit nuk ndryshon nga ajo pas infeksioneve t\u00eb tjera.<\/p>\n

Prandaj, nj\u00eb koll\u00eb mund t\u00eb shkaktohet nga stimuj q\u00eb normalisht nuk jan\u00eb shqet\u00ebsues, si\u00e7 jan\u00eb ajri i ftoht\u00eb, tymi, aromat ose t\u00eb folurit.<\/p>\n

Sipas ACCP-s\u00eb, nj\u00eb koll\u00eb mund t\u00eb shkaktohet edhe nga inflamacioni i hund\u00ebs dhe sinuseve. Kur sekrecionet rrjedhin n\u00eb pjes\u00ebn e pasme t\u00eb fytit ose rrug\u00ebt e sip\u00ebrme t\u00eb frym\u00ebmarrjes jan\u00eb t\u00eb inflamuara, receptor\u00ebt e koll\u00ebs stimulohen vazhdimisht, gj\u00eb q\u00eb mund t\u00eb zgjas\u00eb me jav\u00eb. Refluksi i acidit gastrik, i cili mund t\u00eb ndodh\u00eb si pasoj\u00eb e koll\u00ebs s\u00eb fort\u00eb, p\u00ebrmendet gjithashtu si nj\u00eb shkak i mundsh\u00ebm.<\/p>\n

Medikamentet n\u00eb p\u00ebrgjith\u00ebsi nuk e shkurtojn\u00eb koll\u00ebn.<\/p>\n

Nj\u00eb p\u00ebrmbledhje e botuar n\u00eb CMAJ v\u00ebren se p\u00ebrmbledhjet sistematike t\u00eb studimeve nuk kan\u00eb treguar ndonj\u00eb p\u00ebrfitim nga kortikosteroidet e thithura, bronkodilatator\u00ebt dhe ila\u00e7et orale p\u00ebr k\u00ebt\u00eb lloj kolle. Shumica e pacient\u00ebve sh\u00ebrohen pa ila\u00e7e, dhe autor\u00ebt theksojn\u00eb se \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb dihet se kolla zhduket vetvetiu, n\u00eb m\u00ebnyr\u00eb q\u00eb ila\u00e7et, p\u00ebrfshir\u00eb antibiotik\u00ebt, t\u00eb mos merren pa nevoj\u00eb.<\/p>\n

Sh\u00ebrbimi Sh\u00ebndet\u00ebsor Komb\u00ebtar (NHS) i Mbret\u00ebris\u00eb s\u00eb Bashkuar thot\u00eb se kolla zakonisht zhduket vetvetiu brenda tre deri n\u00eb kat\u00ebr jav\u00ebsh. Ai k\u00ebshillon pushim dhe shum\u00eb l\u00ebngje. Shurupet, ila\u00e7et dhe tabletat p\u00ebr koll\u00eb nuk do ta ndalojn\u00eb at\u00eb, por mund t\u00eb ndihmojn\u00eb. Dekongjestant\u00ebt dhe ata me kodein\u00eb nuk e ndalojn\u00eb at\u00eb, sipas NHS-s\u00eb, dhe ka pak prova q\u00eb ila\u00e7et e ngrohta me limon dhe mjalt\u00eb dhe bim\u00ebt ndihmojn\u00eb.<\/p>\n

Sh\u00ebrbimi Sh\u00ebndet\u00ebsor Komb\u00ebtar k\u00ebshillon q\u00eb t\u00eb konsultoheni me mjekun n\u00ebse kolla zgjat m\u00eb shum\u00eb se tre jav\u00eb dhe nj\u00eb kontroll urgjent n\u00ebse kolla \u00ebsht\u00eb shum\u00eb e fort\u00eb ose p\u00ebrkeq\u00ebsohet me shpejt\u00ebsi, si dhe n\u00ebse personi kollitet me gjak.<\/p>\n

CMAJ deklaron se kolla e mir\u00eb duhet t\u00eb dyshohet n\u00eb rastet e krizave t\u00eb kollitjes t\u00eb ndjekura nga t\u00eb vjella ose nj\u00eb tingull karakteristik gjat\u00eb thithjes. Mjek\u00ebt k\u00ebshillohen t\u00eb japin trajtim shtes\u00eb n\u00ebse kolla nuk zhduket pas tet\u00eb jav\u00ebsh ose n\u00ebse shfaqen simptoma t\u00eb reja.<\/p>\n

\n

Burimi: mesazhi<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Temperatura ka r\u00ebn\u00eb, fuqia \u00ebsht\u00eb rikthyer, por kolla nuk ndalet. \u00cbsht\u00eb nj\u00eb nga dukurit\u00eb m\u00eb t\u00eb zakonshme pas gripit dhe ftohjeve, dhe mjek\u00ebt kan\u00eb nj\u00eb em\u00ebr p\u00ebr t\u00eb: koll\u00eb post-infektive. Sipas nj\u00eb vler\u00ebsimi t\u00eb botuar n\u00eb revist\u00ebn mjek\u00ebsore kanadeze CMAJ, midis 11 dhe 25 p\u00ebrqind e t\u00eb rriturve zhvillojn\u00eb nj\u00eb koll\u00eb post-infektive pas nj\u00eb infeksioni […]<\/p>\n","protected":false},"author":1,"featured_media":119100,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-119101","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shendetesi"],"_links":{"self":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/posts\/119101","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/comments?post=119101"}],"version-history":[{"count":0,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/posts\/119101\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/media\/119100"}],"wp:attachment":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/media?parent=119101"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/categories?post=119101"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/tags?post=119101"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}