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N\u00ebse keni qen\u00eb me fat sa t\u00eb keni nj\u00eb vizion pa probleme gjith\u00eb jet\u00ebn tuaj, mund t\u00eb jet\u00eb e leht\u00eb t\u00eb kesh syt\u00eb e sh\u00ebndetsh\u00ebm e t\u00eb mir\u00ebqen\u00eb. Sidoqoft\u00eb, nd\u00ebrsa plakemi, vizioni yn\u00eb fillon t\u00eb ndryshoj\u00eb – pavar\u00ebsisht n\u00ebse kjo do t\u00eb thot\u00eb t\u00eb keni nevoj\u00eb papritmas p\u00ebr syze leximi ose t\u00eb b\u00ebheni m\u00eb t\u00eb ndjesh\u00ebm ndaj drit\u00ebs dhe shk\u00eblqimit t\u00eb drit\u00ebs.<\/strong> <\/p>\n Nd\u00ebrsa plakeni, syt\u00eb tuaj b\u00ebhen gjithnj\u00eb e m\u00eb t\u00eb ndjesh\u00ebm ndaj nj\u00eb numri kushtesh, t\u00eb tilla si kataraktet, s\u00ebmundjet diabetike t\u00eb syve, shikimi i dob\u00ebt dhe glaukoma.<\/p>\n Nj\u00eb tjet\u00ebr gjendje e zakonshme e lidhur me mosh\u00ebn \u00ebsht\u00eb degjenerimi makular, nj\u00eb s\u00ebmundje q\u00eb prek m\u00eb shum\u00eb se 10 milion amerikan\u00eb, sipas Institutit Komb\u00ebtar t\u00eb Syrit \u00ebsht\u00eb shkaku kryesor i humbjes s\u00eb shikimit tek njer\u00ebzit mbi 50 vje\u00e7. Megjithat\u00eb, pavar\u00ebsisht prevalenc\u00ebs s\u00eb tij, ka akoma shum\u00eb konfuzion rreth degjenerimit makular. P\u00ebr t\u00eb shqyrtuar faktet, revista Health ka biseduar me Yasha Modi, MD, Asistent Profesor Klinik n\u00eb Okulistik\u00eb n\u00eb NYU Langone New York City, p\u00ebr t’iu p\u00ebrgjigjur pyetjeve t\u00eb zakonshme dhe p\u00ebr t\u00eb m\u00ebsuar informacione thelb\u00ebsore n\u00eb lidhje me gjendjen e syve.<\/p>\n \u00c7far\u00eb \u00ebsht\u00eb sakt\u00ebsisht degjenerimi makular?<\/strong><\/p>\n Th\u00ebn\u00eb thjesht, kur d\u00ebgjoni p\u00ebr degjenerimin makular, njer\u00ebzit zakonisht flasin p\u00ebr degjenerimin makular t\u00eb lidhur me mosh\u00ebn (AMD). Kjo i referohet prishjes s\u00eb pjes\u00ebs qendrore t\u00eb retin\u00ebs, e quajtur makul\u00eb, e cila \u00ebsht\u00eb p\u00ebrgjegj\u00ebse p\u00ebr shikimin m\u00eb t\u00eb mpreht\u00eb.<\/p>\n “Edhe pse k\u00ebta pacient\u00eb nuk p\u00ebrfundojn\u00eb kurr\u00eb plot\u00ebsisht t\u00eb verb\u00ebr, ata p\u00ebrfundojn\u00eb me njolla t\u00eb verbra qendrore t\u00eb cilat kufizojn\u00eb r\u00ebnd\u00eb vizionin dhe funksionin e tyre ditor,” thot\u00eb Dr. Modi. <\/p>\n Njer\u00ebzit me AMD m\u00eb t\u00eb p\u00ebrparuar shpesh humbasin aft\u00ebsin\u00eb p\u00ebr t\u00eb lexuar, drejtuar makin\u00ebn, par\u00eb detajet dhe njohin fytyrat dhe ngjyrat.<\/p>\n Gjithashtu \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb theksohet se degjenerimi makular p\u00ebrfshin nj\u00eb spekt\u00ebr s\u00ebmundjesh – zakonisht t\u00eb klasifikuara si AMD “t\u00eb hershme”, “t\u00eb nd\u00ebrmjetme” dhe “t\u00eb vona” – q\u00eb mund t\u00eb p\u00ebrparojn\u00eb me dekada, thot\u00eb Dr. Modi. Format m\u00eb t\u00eb hershme t\u00eb AMD shpesh jan\u00eb asimptomatike. <\/p>\n Sidoqoft\u00eb, me kalimin e koh\u00ebs, “pacient\u00ebt mund t\u00eb v\u00ebrejn\u00eb ndonj\u00eb shtremb\u00ebrim ose turbullim qendror t\u00eb shikimit, nd\u00ebrsa kjo p\u00ebrparon edhe m\u00eb shum\u00eb n\u00eb dh\u00ebmb\u00ebza ose atrofi t\u00eb indeve, ata p\u00ebrfundojn\u00eb me njolla t\u00eb qarta t\u00eb qorruara qendrore”.<\/p>\n Ekzistojn\u00eb gjithashtu dy n\u00ebngrupe t\u00eb AMD: t\u00eb that\u00eb dhe t\u00eb lag\u00ebsht. Me AMD t\u00eb that\u00eb, grumbuj lipidesh dhe proteina t\u00eb quajtura “drusen” grumbullohen n\u00ebn makul\u00ebn dhe me kalimin e koh\u00ebs, retina mund t\u00eb hollohet ose atrofizohet n\u00eb m\u00ebnyr\u00eb progresive. <\/p>\n Nd\u00ebrsa AMD e lagur \u00ebsht\u00eb kur en\u00ebt e gjakut anormale fillojn\u00eb t\u00eb rriten n\u00ebn retin\u00eb, t\u00eb cilat mund t\u00eb rrjedhin gjak ose l\u00ebngje t\u00eb tjera, t\u00eb mbres\u00eb makul\u00ebn dhe t\u00eb shkaktojn\u00eb humbje t\u00eb shikimit. <\/p>\n Sipas Akademis\u00eb Amerikane t\u00eb Okulistik\u00ebs e thata \u00ebsht\u00eb shum\u00eb m\u00eb e zakonshme se e lag\u00ebshta dhe p\u00ebrb\u00ebn rreth 80% t\u00eb rasteve t\u00eb AMD. Sidoqoft\u00eb, Dr. Modi tregon se njer\u00ebzit q\u00eb kan\u00eb AMD t\u00eb lagur, zakonisht kan\u00eb lag\u00ebshtir\u00eb dhe t\u00eb that\u00eb, t\u00eb cilat punojn\u00eb s\u00eb bashku p\u00ebr t\u00eb ndikuar n\u00eb shikimin e tyre. Pra, edhe n\u00ebse forma e lag\u00ebsht korrigjohet, ata p\u00ebrs\u00ebri do t\u00eb ken\u00eb larmin\u00eb e that\u00eb.<\/p>\n Dhe megjith\u00ebse degjenerimi makular m\u00eb shpesh ndodh me mosh\u00ebn, s\u00ebmundja Stargardt \u00ebsht\u00eb nj\u00eb lloj shum\u00eb i rrall\u00eb i degjenerimit makular q\u00eb prek f\u00ebmij\u00ebt dhe adoleshent\u00ebt dhe shkaktohet nga nj\u00eb gjen recesiv, thuhet sipas Fondacionit Amerikan t\u00eb Degjenerimit t\u00eb Makul\u00ebs.<\/p>\n Cilat jan\u00eb simptomat?<\/strong><\/p>\n Simptomat e degjenerimit t\u00eb that\u00eb t\u00eb makul\u00ebs priren t\u00eb shfaqen gradualisht dhe mund t\u00eb ndryshojn\u00eb. Ato mund t\u00eb p\u00ebrfshijn\u00eb: shtremb\u00ebrime vizuale, shikim t\u00eb reduktuar qendror n\u00eb nj\u00ebrin ose t\u00eb dy syt\u00eb, nevoj\u00ebn p\u00ebr drit\u00eb m\u00eb t\u00eb ndritshme kur lexoni, probleme p\u00ebr t\u2019u p\u00ebrshtatur me nivele t\u00eb ul\u00ebta t\u00eb drit\u00ebs (si nj\u00eb restorant i zbeht\u00eb), turbullira gjat\u00eb p\u00ebrpjekjes p\u00ebr t\u00eb lexuar dhe v\u00ebshtir\u00ebsi n\u00eb njohjen e fytyrave.<\/p>\n T\u00eb gjitha k\u00ebto jan\u00eb simptoma t\u00eb AMD-s\u00eb s\u00eb von\u00eb. Por n\u00ebse vini re se shikimi juaj qendror \u00ebsht\u00eb i fikur, ose keni probleme n\u00eb njohjen e ngjyrave dhe detajeve t\u00eb im\u00ebta, ve\u00e7an\u00ebrisht n\u00ebse jeni mbi 50 vje\u00e7, duhet t\u00eb konsulltoheni me mjekun tuaj p\u00ebr t\u00eb zbuluar n\u00ebse po p\u00ebrjetoni shenja t\u00eb hershme.<\/p>\n A ka ndonj\u00eb faktor rreziku?<\/strong><\/p>\n Meqen\u00ebse shumica e njer\u00ebzve diagnostikohen me degjenerim makular t\u00eb lidhur me mosh\u00ebn, faktori m\u00eb i madh i rrezikut \u00ebsht\u00eb t\u00eb jesh mbi 50 vje\u00e7, thot\u00eb Dr. Modi.<\/p>\n Ka edhe disa prova q\u00eb gjenetika luan nj\u00eb rol. “Ne e dim\u00eb se shumica e pacient\u00ebve me degjenerim makular rrjedhin nga prejardhja europiane,” thot\u00eb ai. “Dhe ka sinjale m\u00eb bind\u00ebse se kjo \u00ebsht\u00eb nj\u00eb gjendje e trash\u00ebguar gjenetikisht.” Kjo ende nuk ka asnj\u00eb prov\u00eb shkencore p\u00ebrfundimtare q\u00eb AMD \u00ebsht\u00eb e lidhur me gjenetik\u00ebn.<\/p>\n Nd\u00ebrsa mosha dhe gjenetika jan\u00eb dy gj\u00ebra mbi t\u00eb cilat nuk keni kontroll, mjek\u00ebt kan\u00eb gjetur faktor\u00eb t\u00eb tjer\u00eb t\u00eb rrezikut p\u00ebr AMD, ve\u00e7an\u00ebrisht pirjen e duhanit dhe diet\u00ebn.<\/p>\n “Ne e dim\u00eb q\u00eb pacient\u00ebt q\u00eb pin\u00eb duhan kan\u00eb nj\u00eb rrezik m\u00eb t\u00eb lart\u00eb jo vet\u00ebm t\u00eb p\u00ebrparojn\u00eb n\u00eb fazat e m\u00ebvonshme t\u00eb degjenerimit makular, por gjithashtu t\u00eb ken\u00eb humbje t\u00eb konsiderueshme t\u00eb shikimit nga degjenerimi makular”, thot\u00eb Dr. Modi. Edhe n\u00ebse dikush ka pir\u00eb duhan p\u00ebr disa vite, l\u00ebnia e duhanit menj\u00ebher\u00eb mund t\u00eb zvog\u00ebloj\u00eb rrezikun e AMD.<\/p>\n Dr. Modi thot\u00eb se studimet kan\u00eb treguar se dieta mund t\u00eb luaj\u00eb gjithashtu nj\u00eb rol. Ai rekomandon t\u00eb hani nj\u00eb diet\u00eb t\u00eb ul\u00ebt n\u00eb mish dhe yndyrna shtazore, nd\u00ebrsa merrni shum\u00eb perime dhe zarzavate me gjethe t\u00eb err\u00ebta.<\/p>\n A \u00ebsht\u00eb e sh\u00ebrueshme?<\/strong><\/p>\n Nd\u00ebrsa ende nuk ka nj\u00eb kur\u00eb p\u00ebrfundimtare p\u00ebr degjenerimin makular, Dr. Modi thot\u00eb se ka pasur shum\u00eb sukses n\u00eb trajtimin e pacient\u00ebve me faza t\u00eb hershme t\u00eb degjenerimit makular me “vitamina t\u00eb syve” ose vitamina “AREDS”. <\/p>\n N\u00eb fakt, prova e par\u00eb e Studimit t\u00eb S\u00ebmundjes s\u00eb Syve n\u00eb lidhje me Mosh\u00ebn (AREDS) zbuloi se marrja e nj\u00eb kombinimi t\u00eb vitamin\u00ebs C, vitamin\u00ebs E, beta-karotenit, zinkut dhe bakrit uli rrezikun e formave m\u00eb t\u00eb p\u00ebrparuara t\u00eb AMD me 25%. Studiuesit testuan nj\u00eb formul\u00eb t\u00eb re q\u00eb nd\u00ebrroi lutein\u00ebn dhe zeaksantin\u00ebn p\u00ebr beta-karoten (AREDS2) me rezultate t\u00eb ngjashme.<\/p>\n P\u00ebr rastet e degjenerimit t\u00eb lag\u00ebsht t\u00eb makul\u00ebs, kur ka nj\u00eb rritje t\u00eb en\u00ebve t\u00eb gjakut q\u00eb mund t\u00eb kompromentojn\u00eb shpejt cil\u00ebsin\u00eb e shikimit, mjek\u00ebt do t\u00eb aplikojn\u00eb ila\u00e7e direkt n\u00eb sy, shpjegon Dr. Modi. <\/p>\n Ky trajtim ndihmon n\u00eb ruajtjen e vizionit ekzistues dhe madje edhe n\u00eb rikuperimin e disa shikimeve t\u00eb humbura n\u00ebse filloni mjaft her\u00ebt.<\/p>\n A ka ndonj\u00eb m\u00ebnyr\u00eb p\u00ebr ta parandaluar at\u00eb?<\/strong><\/p>\n Nd\u00ebrsa shum\u00eb shkaqe t\u00eb AMD nuk jan\u00eb t\u00eb parandalueshme, Dr. Yasha tregon se sigurisht nuk d\u00ebmton n\u00ebse i shmangeni pirjes s\u00eb duhanit, p\u00ebrqendrimin n\u00eb mbajtjen e kolesterolit n\u00eb nj\u00eb nivel t\u00eb sh\u00ebndetsh\u00ebm dhe mbajtjen e nj\u00eb jetese t\u00eb sh\u00ebndetshme n\u00eb p\u00ebrgjith\u00ebsi – ve\u00e7an\u00ebrisht n\u00ebse keni nj\u00eb histori familjare t\u00eb degjenerimit makular.<\/p>\n “Gjithashtu \u00ebsht\u00eb e r\u00ebnd\u00ebsishme q\u00eb pacient\u00ebt t\u00eb marrin depistime t\u00eb p\u00ebrshtatshme klinike, ve\u00e7an\u00ebrisht pas mosh\u00ebs 50 vje\u00e7”, thot\u00eb ai. <\/p>\n N\u00eb k\u00ebt\u00eb rast, kjo do t\u00eb thot\u00eb nj\u00eb kontroll vjetor i syve, n\u00eb t\u00eb cilin beb\u00ebzat jan\u00eb t\u00eb zgjeruar dhe retina \u00ebsht\u00eb ekzaminuar plot\u00ebsisht. Ky lloj i depistimit nuk \u00ebsht\u00eb i r\u00ebnd\u00ebsish\u00ebm vet\u00ebm p\u00ebr zbulimin e fazave t\u00eb hershme t\u00eb degjenerimit makular, thot\u00eb ai, por edhe gjendje t\u00eb tjera t\u00eb syve si glaukoma, q\u00eb shpesh jan\u00eb pa simptoma derisa t\u00eb b\u00ebhen m\u00eb serioze. <\/p>\n N\u00eb at\u00eb m\u00ebnyr\u00eb, ju mund ta kapni gjendjen n\u00eb fazat e hershme, potencialisht ta mbani at\u00eb t\u00eb mos p\u00ebrparoj\u00eb, dhe madje t\u00eb ktheni efektet p\u00ebrmes trajtimit.\/Prizren Post\/<\/p>\n","protected":false},"excerpt":{"rendered":" N\u00ebse keni qen\u00eb me fat sa t\u00eb keni nj\u00eb vizion pa probleme gjith\u00eb jet\u00ebn tuaj, mund t\u00eb jet\u00eb e leht\u00eb t\u00eb kesh syt\u00eb e sh\u00ebndetsh\u00ebm e t\u00eb mir\u00ebqen\u00eb. Sidoqoft\u00eb, nd\u00ebrsa plakemi, vizioni yn\u00eb fillon t\u00eb ndryshoj\u00eb – pavar\u00ebsisht n\u00ebse kjo do t\u00eb thot\u00eb t\u00eb keni nevoj\u00eb papritmas p\u00ebr syze leximi ose t\u00eb b\u00ebheni m\u00eb t\u00eb […]<\/p>\n","protected":false},"author":1,"featured_media":61790,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[5809],"class_list":["post-61789","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shendetesi","tag-degjenerimi-makular"],"_links":{"self":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/posts\/61789","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=61789"}],"version-history":[{"count":1,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/posts\/61789\/revisions"}],"predecessor-version":[{"id":61791,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/posts\/61789\/revisions\/61791"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/media\/61790"}],"wp:attachment":[{"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/media?parent=61789"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/categories?post=61789"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/prizrenpost.com\/al\/wp-json\/wp\/v2\/tags?post=61789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}