{"id":25555,"date":"2021-07-15T20:00:53","date_gmt":"2021-07-15T18:00:53","guid":{"rendered":"https:\/\/www.drardi.com\/?p=840"},"modified":"2021-07-15T20:00:53","modified_gmt":"2021-07-15T18:00:53","slug":"check-up-rutine-kur-duhet-filluar","status":"publish","type":"post","link":"https:\/\/drardi.com\/shop\/check-up-rutine-kur-duhet-filluar\/","title":{"rendered":"Check up rutin\u00eb&#8230; Kur duhet filluar?"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>Kur b\u00ebhet fjal\u00eb p\u00ebr kujdesin ndaj sh\u00ebndetit t\u00eb tyre, grat\u00eb p\u00ebrballen me m\u00eb shum\u00eb komplikacione sesa burrat. P\u00ebrvec lindjes s\u00eb f\u00ebmij\u00ebs dhe menopauz\u00ebs, shum\u00eb kushte t\u00eb zakonshme sh\u00ebndet\u00ebsore ndikojn\u00eb ndryshe tek grat\u00eb. P\u00ebr shembull, s\u00ebmundja e zemr\u00ebs \u00ebsht\u00eb shkaku kryesor i vdekjes p\u00ebr burrat dhe grat\u00eb n\u00eb SH.B.A., por grat\u00eb kan\u00eb m\u00eb shum\u00eb t\u00eb ngjar\u00eb t\u00eb vdesin pas nj\u00eb ataku kardiak. Lajmi i mir\u00eb \u00ebsht\u00eb se grat\u00eb jan\u00eb zakonisht aktive me vizitat parandaluese sh\u00ebndet\u00ebsore.<\/p>\n<p>&#8220;Mund t\u00eb duket mbingarkuese, por sa m\u00eb her\u00ebt grat\u00eb t\u00eb fillojn\u00eb me kujdesin parandalues, aq m\u00eb mir\u00eb&#8221;, thot\u00eb Dr. Mary Rosser, nj\u00eb OB-GYN (mjeke obstet\u00ebr gjinekologe) n\u00eb New York-Presbyterian \/ Columbia University Irving Center dhe nj\u00eb profesor asistente e obstetrik\u00ebs dhe gjinekologjis\u00eb n\u00eb Universitetin Columbia Kolegji Vagelos i Mjek\u00ebve dhe Kirurg\u00ebve. \u201cKujdesi i hersh\u00ebm i pacientit p\u00ebr depistimin dhe parandalimin \u00ebsht\u00eb thelb\u00ebsor p\u00ebr t\u00eb ruajtur rezultatet pozitive t\u00eb sh\u00ebndetit. Ne duhet t\u00eb adresojm\u00eb sh\u00ebndetin e p\u00ebrgjithsh\u00ebm t\u00eb grave n\u00eb nj\u00eb m\u00ebnyr\u00eb gjith\u00ebp\u00ebrfshir\u00ebse, t\u00eb personalizuar, n\u00eb m\u00ebnyr\u00eb q\u00eb kujdesi t\u00eb p\u00ebrqendrohet n\u00eb pacientin individual, rrezikun \u00a0dhe nevojat e saj. \u201d<\/p>\n<p>Dr. Rosser \u00ebsht\u00eb kryetare e nj\u00eb Task Force \u00a0t\u00eb Kolegjit Amerikan t\u00eb Obstet\u00ebrve dhe Gjinekolog\u00ebve (ACOG) p\u00ebr t\u2019u p\u00ebrq\u00ebndruar n\u00eb sigurimin e nj\u00eb kujdes m\u00eb t\u00eb efektsh\u00ebm, t\u00eb personalizuar gjat\u00eb gjith\u00eb jet\u00ebs t\u00eb grave.<\/p>\n<p><strong>Kontrollet q\u00eb duhen kryer p\u00ebr vajzat n\u00eb adoleshenc\u00ebn e tyre<\/strong><\/p>\n<ul>\n<li><u>Vizit\u00eb n\u00eb OB-GYN<\/u>: Duke filluar nga 13-17 vje\u00e7, vajzat duhet t\u00eb takohen me nj\u00eb mjek obsteter gjinekolog p\u00ebr t\u00eb filluar t\u00eb kuptojn\u00eb se \u00e7far\u00eb t\u00eb presin n\u00eb vizitat n\u00eb t\u00eb ardhmen dhe t\u00eb marrin informacione se si t\u00eb q\u00ebndrojn\u00eb t\u00eb sh\u00ebndetsh\u00ebme. Pacient\u00ebt adoleshent\u00eb nuk kan\u00eb nevoj\u00eb domosdoshm\u00ebrisht p\u00ebr nj\u00eb ekzaminim pelvik (t\u00eb legenit), edhe n\u00ebse jan\u00eb seksualisht aktiv\u00eb dhe nuk kan\u00eb nevoj\u00eb p\u00ebr Pap test deri n\u00eb mosh\u00ebn 21 vje\u00e7, pasi studimi sugjeron se rreziqet e ofrimit t\u00eb depistimit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs para mosh\u00ebs 21 vje\u00e7 jan\u00eb m\u00eb t\u00eb m\u00ebdha se p\u00ebrfitimet. &#8220;Edhe midis moshave 21-25 vje\u00e7, udh\u00ebzimet e fundit tregojn\u00eb se p\u00ebrfitimi i depistimit \u00ebsht\u00eb jasht\u00ebzakonisht i ul\u00ebt,&#8221; shpjegon Dr. Rosser. \u201cKur jeni n\u00ebn 25 vje\u00e7, \u00ebsht\u00eb e zakonshme t\u00eb keni ndryshime n\u00eb qelizat e qaf\u00ebs s\u00eb mitr\u00ebs &#8211; qelizat jonormale &#8211; dhe k\u00ebto zakonisht zhduken vetvetiu. Marrja e nj\u00eb rezultati jonormal t\u00eb Pap testit shpesh \u00e7on n\u00eb teste pasuese t\u00eb cilat kan\u00eb nj\u00eb shans t\u00eb vog\u00ebl, por real p\u00ebr t\u00eb shkaktuar komplikime. \u201d Kjo vizit\u00eb mund t\u00eb p\u00ebrfshij\u00eb gjithashtu:<\/li>\n<li>K\u00ebshillim kontraceptiv &#8211; pavar\u00ebsisht n\u00ebse nj\u00eb adoleshent \u00ebsht\u00eb ose jo seksualisht aktiv. \u201cM\u00eb p\u00eblqen t\u00eb prezantoj iden\u00eb e aktivitetit seksual, duke u kujdesur p\u00ebr trupin tuaj dhe duke respektuar trupin tuaj s\u00eb pari, si dhe si t\u00eb mbroheni. Ne diskutojm\u00eb p\u00ebr kontracepsionin dhe \u00e7far\u00eb duhet t\u00eb shikojm\u00eb n\u00eb lidhje me marr\u00ebdh\u00ebniet e sh\u00ebndetshme dhe dhun\u00ebn nga partneri, &#8220;thot\u00eb ajo.<\/li>\n<li>Orientimi seksual dhe d\u00ebshirat gjinore. &#8220;\u00cbsht\u00eb me t\u00eb v\u00ebrtet\u00eb e r\u00ebnd\u00ebsishme q\u00eb njer\u00ebzit t\u00eb ndihen rehat me klinicistin q\u00eb ata zgjedhin, n\u00eb m\u00ebnyr\u00eb q\u00eb ata t\u00eb jen\u00eb n\u00eb gjendje t\u00eb flasin p\u00ebr d\u00ebshirat e tyre gjinore dhe orientimin seksual n\u00ebse zgjedhin&#8221;, thot\u00eb Dr. Rosser.<\/li>\n<li>Vaksina kund\u00ebr Virusit t\u00eb Papillom\u00ebs (HPV): Vaksina HPV mbron nga shfaqja e kancerit m\u00eb von\u00eb gjat\u00eb jet\u00ebs, si\u00e7 \u00ebsht\u00eb kanceri i qaf\u00ebs s\u00eb mitr\u00ebs. Qendrat p\u00ebr Kontrollin dhe Parandalimin e S\u00ebmundjeve \u00a0rekomandon q\u00eb t\u00eb gjith\u00eb djemt\u00eb dhe vajzat t\u00eb b\u00ebjn\u00eb vaksin\u00ebn e tyre HPV n\u00eb mosh\u00ebn 11 ose 12 vje\u00e7.<\/li>\n<li>Kontrolli i presionit t\u00eb gjakut: Kjo vler\u00ebson p\u00ebr faktor\u00ebt e rrezikut si diabeti, mbipesha dhe s\u00ebmundjet e zemr\u00ebs. &#8220;Nd\u00ebrsa mund t\u00eb duket her\u00ebt p\u00ebr t\u00eb diskutuar k\u00ebto \u00e7\u00ebshtje, nga p\u00ebrvoja ime, \u00ebsht\u00eb m\u00eb mir\u00eb t\u00eb filloni k\u00ebto biseda m\u00eb shpejt n\u00eb m\u00ebnyr\u00eb q\u00eb vajzat t\u00eb jen\u00eb t\u00eb ditura p\u00ebr t&#8217;u kujdesur p\u00ebr sh\u00ebndetin e tyre dhe trupat e tyre&#8221;, thot\u00eb Dr. Rosser. \u201cSa m\u00eb shum\u00eb q\u00eb flisni p\u00ebr k\u00ebt\u00eb, aq m\u00eb shum\u00eb ata do t\u00eb d\u00ebgjojn\u00eb. T\u00eb m\u00ebsuarit \u00ebsht\u00eb p\u00ebrs\u00ebritje. \u201d<\/li>\n<li>Ekzaminimi i lipideve: Duke filluar n\u00eb vitet e von\u00eb t\u00eb adoleshenc\u00ebs. Kjo test gjaku kontrollon sasin\u00eb e kolesterolit dhe triglicerideve.<\/li>\n<\/ul>\n<p>K\u00ebto vizita sh\u00ebndet\u00ebsore jan\u00eb gjithashtu nj\u00eb mund\u00ebsi p\u00ebr t\u00eb folur n\u00eb lidhje me alkoolin, p\u00ebrdorimin e drog\u00ebs dhe p\u00ebrdorimin e duhanit, si dhe tema t\u00eb tilla si ankthi dhe depresioni&#8221;, shton Dr. Rosser.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Kontrollet q\u00eb duhen kryer p\u00ebr grat\u00eb n\u00eb moshat 20 dhe 30 vje\u00e7<\/strong><\/p>\n<ul>\n<li><u>Vizit\u00eb e kujdesit par\u00ebsor<\/u>: Nj\u00eb her\u00eb n\u00eb vit. &#8220;T\u00eb 20-tat dhe t\u00eb 30-at tuaja jan\u00eb nj\u00eb koh\u00eb e shk\u00eblqyeshme p\u00ebr t\u00eb ruajtur sh\u00ebndetin q\u00eb keni ose p\u00ebr t\u00eb identifikuar faktor\u00ebt tuaj t\u00eb rrezikut p\u00ebr s\u00ebmundje t\u00eb ndryshme, pavar\u00ebsisht n\u00ebse \u00ebsht\u00eb mbipesha, diabeti, historia familjare e \u00e7\u00ebshtjeve si kanceri dhe s\u00ebmundjet e zemr\u00ebs, ose zvog\u00eblimi i rrezikut t\u00eb s\u00ebmundjeve seksualisht t\u00eb transmetueshme&#8221;, thot\u00eb Dr. Rosser.<\/li>\n<li><u>Pap-testi dhe ekzaminimi pelvik<\/u> : Nj\u00eb Pap-test b\u00ebhet gjat\u00eb nj\u00eb vizite t\u00eb OB-GYN p\u00ebr depistimin e kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs dhe HPV. \u00cbsht\u00eb nj\u00eb keqkuptim i zakonsh\u00ebm q\u00eb grat\u00eb kan\u00eb nevoj\u00eb p\u00ebr nj\u00eb Pap test \u00e7do vit, thot\u00eb Dr. Rosser. &#8220;Udh\u00ebzimet nga ACOG dhe organizatat e tjera sh\u00ebndet\u00ebsore t\u00eb grave zakonisht k\u00ebshillojn\u00eb nj\u00eb ulje t\u00eb numrit t\u00eb testeve q\u00eb grat\u00eb marrin gjat\u00eb gjith\u00eb jet\u00ebs s\u00eb tyre p\u00ebr t&#8217;u siguruar se marrin p\u00ebrfitimet e testimit jan\u00eb maksimalle dhe duke minimizuar d\u00ebmin.&#8221;<\/li>\n<\/ul>\n<p>o Grat\u00eb e mosh\u00ebs 21-29 vje\u00e7 duhet t\u00eb kontrollohen p\u00ebr kancer t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs \u00e7do tre vjet. P\u00ebr grat\u00eb e moshave 21-25, p\u00ebrfitimi i nj\u00eb Pap testi \u00ebsht\u00eb shum\u00eb m\u00eb i vog\u00ebl sepse rreziku i kancerit t\u00eb qaf\u00ebs s\u00eb mitr\u00ebs \u00ebsht\u00eb jasht\u00ebzakonisht i ul\u00ebt. Sidoqoft\u00eb, p\u00ebr grat\u00eb q\u00eb nuk kan\u00eb b\u00ebr\u00eb vaksin\u00ebn HPV, shqyrtimi mund t\u00eb konsiderohet. N\u00ebse nuk jeni t\u00eb sigurt, ju lutemi diskutoni me OB-GYN tuaj.<\/p>\n<p>o Grat\u00eb e mosh\u00ebs 30\u201365 vje\u00e7 duhet t\u00eb kontrollohen \u00e7do tre vjet vet\u00ebm p\u00ebr kancerin e qaf\u00ebs s\u00eb mitr\u00ebs, \u00e7do pes\u00eb vjet vet\u00ebm p\u00ebr HPV, ose \u00e7do pes\u00eb vjet n\u00ebse bashk\u00eb-testohet p\u00ebr t\u00eb dy.<\/p>\n<ul>\n<li><u>Ekzaminimi klinik i gjirit<\/u>: Kjo zakonisht fillon n\u00eb mosh\u00ebn 19 vje\u00e7are.<\/li>\n<li><u>Kontrollimi i infeksionit seksualisht t\u00eb transmetuesh\u00ebm<\/u> (IST): T\u00eb gjitha grat\u00eb aktive seksualisht, m\u00eb t\u00eb reja se 25 vje\u00e7 duhet t\u00eb testohen p\u00ebr Gonorrea dhe Klamidia \u00e7do vit. Grat\u00eb 25 vje\u00e7 e lart q\u00eb kan\u00eb partner\u00eb t\u00eb rinj ose t\u00eb shumt\u00eb seksual\u00eb ose nj\u00eb partner q\u00eb ka nj\u00eb IST duhet gjithashtu t\u00eb testohen p\u00ebr Gonorre dhe Klamidia \u00e7do vit. Ekzistojn\u00eb nj\u00eb num\u00ebr shqyrtimesh t\u00eb tjera t\u00eb IST-ve q\u00eb grat\u00eb mund t\u00eb d\u00ebshirojn\u00eb t\u00eb marrin n\u00eb konsiderat\u00eb me mjekun e tyre, ve\u00e7an\u00ebrisht n\u00ebse kan\u00eb partner\u00eb t\u00eb shumt\u00eb seksi. &#8220;N\u00ebse jeni seksualisht aktiv, testimi p\u00ebr IST \u00ebsht\u00eb nj\u00eb nga gj\u00ebrat m\u00eb t\u00eb r\u00ebnd\u00ebsishme q\u00eb mund t\u00eb b\u00ebni p\u00ebr t\u00eb mbrojtur sh\u00ebndetin tuaj&#8221;, shton Dr. Rosser. &#8220;Sigurohuni q\u00eb t\u00eb keni nj\u00eb bised\u00eb t\u00eb hapur dhe t\u00eb sinqert\u00eb n\u00eb lidhje me historin\u00eb tuaj seksuale dhe testin e IST me mjekun tuaj dhe pyesni n\u00ebse duhet t\u00eb testoheni p\u00ebr IST.&#8221;<\/li>\n<\/ul>\n<p>Sh\u00ebnim: Kontrolli p\u00ebr IST gjat\u00eb shtat\u00ebz\u00ebn\u00ebsis\u00eb ndodh n\u00eb intervale specifike.<\/p>\n<ul>\n<li><u> Planifikimi familjar<\/u>: Kjo b\u00ebhet gjat\u00eb nj\u00eb vizite me mejkun obstet\u00ebr gjinekolog ; sjell v\u00ebmendje ndaj kontracepsionit, sh\u00ebndetit riprodhues dhe planifikimit riprodhues, t\u00eb gjitha k\u00ebto jan\u00eb t\u00eb r\u00ebnd\u00ebsishme p\u00ebr grat\u00eb e interesuara p\u00ebr krijimin e nj\u00eb familjeje.<\/li>\n<\/ul>\n<p>o P\u00ebr grat\u00eb q\u00eb kan\u00eb qen\u00eb shtatz\u00ebn\u00eb n\u00eb t\u00eb kaluar\u00ebn, vler\u00ebsimi i historis\u00eb s\u00eb shtatz\u00ebnis\u00eb \u00ebsht\u00eb kritik. P\u00ebr shembull, n\u00ebse dikush ka diabet ose ka pasur probleme t\u00eb presionit t\u00eb gjakut, si\u00e7 \u00ebsht\u00eb preeklampsia nd\u00ebrsa \u00ebsht\u00eb shtatz\u00ebn\u00eb, kjo rrit rrezikun e tyre p\u00ebr t\u00eb pasur s\u00ebmundje t\u00eb zemr\u00ebs gjat\u00eb jet\u00ebs s\u00eb tyre. &#8220;Shtatz\u00ebnia shpesh \u00ebsht\u00eb nj\u00eb dritare n\u00eb sh\u00ebndetin e ardhsh\u00ebm t\u00eb nj\u00eb gruaje&#8221;, thot\u00eb Dr. Rosser.<\/p>\n<ul>\n<li><u>Kontrollimi i presionit t\u00eb gjakut<\/u>: Nj\u00eb her\u00eb n\u00eb vit. P\u00ebr shkak se s\u00ebmundja e zemr\u00ebs \u00ebsht\u00eb shkaku kryesor i vdekjes p\u00ebr grat\u00eb n\u00eb Sh.B.A., Dr. Rosser k\u00ebshillon q\u00eb t&#8217;i kushtohet v\u00ebmendje e madhe presionit t\u00eb gjakut, kolesterolit, menaxhimit t\u00eb pesh\u00ebs dhe faktor\u00ebve t\u00eb jetes\u00ebs si dieta dhe ushtrimet fizike. &#8220;\u00cbsht\u00eb mir\u00eb t\u00eb kontrolloni presionin tuaj t\u00eb gjakut disa her\u00eb n\u00eb vit, jo vet\u00ebm gjat\u00eb kontrollit nj\u00eb her\u00eb n\u00eb vit.&#8221;<\/li>\n<li>Opsionale: <u>Testimi gjenetik<\/u>. &#8220;N\u00ebse ka nj\u00eb histori t\u00eb fort\u00eb familjare t\u00eb kancerit, duke p\u00ebrfshir\u00eb kancerin e gjirit, vezoreve, kancerin e qaf\u00ebs s\u00eb mitr\u00ebs ose kancerin e zorr\u00ebs s\u00eb trash\u00eb, at\u00ebher\u00eb un\u00eb do t&#8217;i referoj k\u00ebto gra tek nj\u00eb k\u00ebshilltar gjenetik&#8221;, thot\u00eb Dr. Rosser.<\/li>\n<\/ul>\n<p>Mendimi i ekspert\u00ebve: &#8221; Grate , ve\u00e7an\u00ebrisht ato q\u00eb l\u00ebn\u00eb pediatrin e tyre dhe kalojn\u00eb \u00a0t\u00eb 20-at, 30-at dhe madje 40-at &#8220;, duhet ti p\u00ebrdorin k\u00ebto vizita me mjekun \u00a0p\u00ebr t&#8217;u p\u00ebrq\u00ebndruar n\u00eb t\u00eb gjith\u00eb aspektet e sh\u00ebndetit t\u00eb gruas.<\/p>\n<p>* K\u00ebto udh\u00ebzime updatohen rregullisht nga organizata t\u00eb ndryshme t\u00eb bazuara n\u00eb k\u00ebrkime dhe ndryshojn\u00eb n\u00eb var\u00ebsi t\u00eb faktit n\u00ebse nj\u00eb grua ka pasur \u00a0histerektomi, nj\u00eb histori t\u00eb lezioneve parakanceroze t\u00eb shkall\u00ebs s\u00eb lart\u00eb, ose \u00ebsht\u00eb e imunokompromentuar. P\u00ebr udh\u00ebzimet m\u00eb t\u00eb fundit, pyesni OB-GYN ose vizitoni <a href=\"https:\/\/www.womenspreventivehealth.org\/\">\u00cbomen&#8217;s Preventive Services Initiative &#8211; \u00cbPSI (\u00ebomenspreventivehealth.org)<\/a> .<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Kontrollet q\u00eb duhen kryer p\u00ebr grat\u00eb n\u00eb t\u00eb 40-at dhe 50-at <\/strong><\/p>\n<ul>\n<li><u> Vizit\u00eb e kujdesit par\u00ebsor<\/u>: T\u00eb pakt\u00ebn nj\u00eb her\u00eb n\u00eb vit ose sa m\u00eb shpesh t\u00eb jet\u00eb e nevojshme.<\/li>\n<li><u>Testet rutinore t\u00eb gjakut dhe shqyrtimi i lipideve<\/u>: Mat presionin e gjakut, sheqerin n\u00eb gjak, kolesterolin, etj. T\u00eb pakt\u00ebn nj\u00eb her\u00eb n\u00eb vit ose aq shpesh sa t\u00eb jet\u00eb e nevojshme.<\/li>\n<li><u> Pap testi dhe ekzaminimi pelvik<\/u>: depistim \u00e7do tre vjet p\u00ebr kancerin e qaf\u00ebs s\u00eb mitr\u00ebs, \u00e7do pes\u00eb vjet p\u00ebr HPV, ose \u00e7do pes\u00eb vjet kur kombinoni t\u00eb dy testet.<\/li>\n<li><u>Depistim p\u00ebr kancerin e gjirit<\/u>: Nj\u00eb her\u00eb n\u00eb vit, duke filluar nga mosha 45 vje\u00e7. Grat\u00eb e mosh\u00ebs 40\u201344 vje\u00e7 kan\u00eb mund\u00ebsin\u00eb e fillimit t\u00eb mamografive vjetore n\u00ebse d\u00ebshirojn\u00eb; grat\u00eb 55 vje\u00e7 e lart mund t\u00eb kalojn\u00eb n\u00eb \u00e7do dy vjet n\u00ebse zgjedhin.<\/li>\n<li><u>Kolonoscopia<\/u>: Shoqata Amerikane e Kancerit rekomandon fillimin e depistimit n\u00eb mosh\u00ebn 45 vje\u00e7 &#8211; m\u00eb her\u00ebt n\u00ebse keni nj\u00eb histori familjare t\u00eb kancerit t\u00eb zorr\u00ebs s\u00eb trash\u00eb. P\u00ebr ata q\u00eb nuk kan\u00eb histori t\u00eb kancerit t\u00eb zorr\u00ebs s\u00eb trash\u00eb, zakonisht rekomandohet t\u00eb b\u00ebjn\u00eb nj\u00eb kolonoskopi \u00e7do 10 vjet pas shqyrtimit fillestar.<\/li>\n<li><u>Shfaqja e kancerit t\u00eb mushk\u00ebrive<\/u>: Task Forca e Sh\u00ebrbimeve Parandaluese t\u00eb Sh.B.A rekomandon q\u00eb t\u00eb rriturit 55vjec e m\u00eb shum\u00eb duhet t\u00eb kontrollohen n\u00ebse kan\u00eb pir\u00eb duhan p\u00ebr 30 vjet dhe aktualisht pin\u00eb duhan ose n\u00ebse e kan\u00eb l\u00ebn\u00eb duhanin brenda 15 viteve t\u00eb fundit.<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Kontrollet q\u00eb duhen kryer p\u00ebr grat\u00eb n\u00eb t\u00eb 60-at dhe m\u00eb t\u00eb vjetra<\/strong><\/p>\n<ul>\n<li><u>Pap-testi dhe ekzaminimi pelvik<\/u> : Bazuar n\u00eb udh\u00ebzimet e fundit , Pap-testi nuk rekomandohet n\u00eb m\u00ebnyr\u00eb rutinore pas mosh\u00ebs 65 vje\u00e7. Vendimi duhet t\u00eb merret midis gruas dhe klinicistit t\u00eb saj dhe bazuar n\u00eb historikun e saj.<\/li>\n<li><u>Testet rutinore t\u00eb gjakut dhe shqyrtimi i lipideve<\/u>: T\u00eb pakt\u00ebn nj\u00eb her\u00eb n\u00eb vit ose aq shpesh sa t\u00eb jet\u00eb e nevojshme. Ndryshon p\u00ebr secilin individ dhe varet nga historia familjare e kancerit t\u00eb zorr\u00ebs s\u00eb trash\u00eb dhe rezultateve t\u00eb kolonoskopis\u00eb. P\u00ebr shumic\u00ebn e njer\u00ebzve q\u00eb jan\u00eb n\u00eb rrezik mesatar, rekomandohet nj\u00eb kolonoskopi nj\u00eb her\u00eb n\u00eb 10 vjet pasi t\u00eb keni mbushur 45 vje\u00e7.<\/li>\n<li><u>Skrining i osteoporoz\u00ebs<\/u>: Grat\u00eb 65 vje\u00e7 e lart me mas\u00eb normale kockore duhet t\u00eb b\u00ebjn\u00eb nj\u00eb test t\u00eb dend\u00ebsis\u00eb minerale t\u00eb kockave (BMD) \u00e7do 15 vjet. Testimi m\u00eb i shpesht\u00eb rekomandohet p\u00ebr grat\u00eb me faktor\u00eb t\u00eb caktuar rreziku p\u00ebr osteoporoz\u00eb, t\u00eb tilla si pirja e duhanit, alkoolizmi, historia fracture legeni n\u00eb nj\u00eb prind, ose artriti reumatoid.<\/li>\n<li><u>Ekzaminimi i kancerit t\u00eb l\u00ebkur\u00ebs:<\/u> Nj\u00eb her\u00eb n\u00eb vit. M\u00eb shpesh n\u00ebse ka nj\u00eb histori familjare t\u00eb kancerit t\u00eb l\u00ebkur\u00ebs ose nj\u00eb histori t\u00eb ekspozimit t\u00eb zgjatur n\u00eb diell.<\/li>\n<li><u>Kontrollimi kardiologjik<\/u>: T\u00eb pakt\u00ebn nj\u00eb her\u00eb n\u00eb vit ose sipas nevoj\u00ebs,keni pasur preeklampsi ose presion t\u00eb lart\u00eb t\u00eb gjakut gjat\u00eb shtatz\u00ebnis\u00eb, ose keni nj\u00eb histori familjare t\u00eb s\u00ebmundjes s\u00eb zemr\u00ebs.<\/li>\n<\/ul>\n<p>Mendimi i \u00a0ekspertit: \u201cN\u00ebse jeni mbi 65 vje\u00e7 dhe d\u00ebshironi t\u00eb vazhdoni me Pap-teste t\u00eb rregullta p\u00ebr shkak t\u00eb rrezikut nga HPV ose shqet\u00ebsime t\u00eb tjera, flisni me mjekun tuaj n\u00eb m\u00ebnyr\u00eb q\u00eb ata t\u00eb vler\u00ebsojn\u00eb rreziqet tuaja dhe ju t\u00eb krijoni nj\u00eb plan s\u00eb bashku, \u201dThot\u00eb Dr. Rosser.<\/p>\n<p>Dr. Rosser \u00ebsht\u00eb nj\u00eb mb\u00ebshtet\u00ebse e grave q\u00eb p\u00ebrfshihen n\u00eb \u00e7do faz\u00eb t\u00eb kujdesit t\u00eb sh\u00ebndetit t\u00eb tyre. &#8220;Njer\u00ebzit ose jan\u00eb v\u00ebrtet t\u00eb angazhuar n\u00eb kujdesin e tyre sh\u00ebndet\u00ebsor ose jan\u00eb t\u00eb shqet\u00ebsuar dhe nervoz\u00eb dhe mund t\u00eb shmangin disa kontrolle dhe vizita&#8221;, thot\u00eb ajo. &#8220;Ne duam t&#8217;i angazhojm\u00eb grat\u00eb n\u00eb kujdesin e tyre sh\u00ebndet\u00ebsor n\u00eb m\u00ebnyr\u00eb q\u00eb ato t\u00eb \u00a0jetojn\u00eb nj\u00eb jet\u00eb t\u00eb gjat\u00eb dhe t\u00eb sh\u00ebndetshme.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p>Dr. Ardi Prushi<\/p>\n<p>P\u00ebrshtati: Nensi Xhaxho<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Kur b\u00ebhet fjal\u00eb p\u00ebr kujdesin ndaj sh\u00ebndetit t\u00eb tyre, grat\u00eb p\u00ebrballen me m\u00eb shum\u00eb komplikacione sesa burrat. P\u00ebrvec lindjes s\u00eb f\u00ebmij\u00ebs dhe menopauz\u00ebs, shum\u00eb kushte t\u00eb zakonshme sh\u00ebndet\u00ebsore ndikojn\u00eb ndryshe tek grat\u00eb. P\u00ebr shembull, s\u00ebmundja e zemr\u00ebs \u00ebsht\u00eb shkaku kryesor i vdekjes p\u00ebr burrat dhe grat\u00eb n\u00eb SH.B.A., por grat\u00eb kan\u00eb m\u00eb shum\u00eb t\u00eb [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":25630,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[237],"tags":[272,236],"class_list":["post-25555","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gjinekologji","tag-checkup-check-up-rutine-kontroll-vizite-mjeksore-rutine","tag-obstetrike-gjinekologji-obgyn-obsgjin-drardi-drprushi-drardiprushi-obstetergjinekolog-shtatzenia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Check up rutin\u00eb... 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