{"id":46429,"date":"2026-02-08T22:19:53","date_gmt":"2026-02-08T22:19:53","guid":{"rendered":"https:\/\/radiojehona.mk\/?p=46429"},"modified":"2026-02-08T22:19:54","modified_gmt":"2026-02-08T22:19:54","slug":"melcia-e-dhjamosur-semundja-e-heshtur-qe-po-prek-miliona-njerez","status":"publish","type":"post","link":"https:\/\/radiojehona.mk\/?p=46429","title":{"rendered":"M\u00ebl\u00e7ia e dhjamosur, s\u00ebmundja e heshtur q\u00eb po prek miliona njer\u00ebz"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

M\u00ebl\u00e7ia \u00ebsht\u00eb nj\u00eb nga organet m\u00eb pun\u00ebtore t\u00eb trupit t\u00eb njeriut: ajo filtron gjakun, metabolizon l\u00ebnd\u00ebt ushqyese, neutralizon toksinat dhe rregullon metabolizmin e yndyrave dhe sheqernave. Megjithat\u00eb, kur d\u00ebmtohet, rrall\u00ebher\u00eb jep dhimbje, t\u00eb pakt\u00ebn n\u00eb fazat e para, ndaj shpesh neglizhohet.<\/p>\n\n\n\n

Pik\u00ebrisht p\u00ebr shkak t\u00eb rolit t\u00eb saj jetik, m\u00ebl\u00e7ia meriton m\u00eb shum\u00eb v\u00ebmendje, ve\u00e7an\u00ebrisht kur b\u00ebhet fjal\u00eb p\u00ebr t\u00eb ashtuquajtur\u00ebn m\u00ebl\u00e7i e dhjamosur, s\u00ebmundja m\u00eb e p\u00ebrhapur e m\u00ebl\u00e7is\u00eb n\u00eb bot\u00eb.<\/p>\n\n\n\n

P\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb \u00ebsht\u00eb konsideruar nj\u00eb problem i leht\u00eb, por sot dihet se te nj\u00eb pjes\u00eb e konsiderueshme e pacient\u00ebve ajo mund t\u00eb p\u00ebrparoj\u00eb drejt formave shum\u00eb m\u00eb t\u00eb r\u00ebnda.<\/p>\n\n\n\n

Sot kjo patologji njihet me nj\u00eb em\u00ebr t\u00eb ri: s\u00ebmundja e m\u00ebl\u00e7is\u00eb steatozike e shoq\u00ebruar me disfunksion metabolik (MASLD), nj\u00eb term q\u00eb ndihmon p\u00ebr t\u00eb kuptuar m\u00eb mir\u00eb shkaqet dhe rreziqet e saj.<\/p>\n\n\n\n

\u00c7far\u00eb \u00ebsht\u00eb MASLD?<\/strong><\/p>\n\n\n\n

MASLD karakterizohet nga grumbullimi i tep\u00ebrt i yndyr\u00ebs n\u00eb qelizat e m\u00ebl\u00e7is\u00eb, i shoq\u00ebruar me \u00e7rregullime metabolike. M\u00eb par\u00eb njihej si NAFLD (steatoz\u00eb hepatike joalkoolike), p\u00ebr t\u00eb theksuar se alkooli nuk \u00ebsht\u00eb shkaku kryesor.<\/p>\n\n\n\n

Sipas mjek\u00ebve, diagnoza e MASLD vendoset kur, p\u00ebrve\u00e7 yndyr\u00ebs n\u00eb m\u00ebl\u00e7i, \u00ebsht\u00eb i pranish\u00ebm t\u00eb pakt\u00ebn nj\u00eb faktor rreziku kardiometabolik, si:<\/p>\n\n\n\n

mbipesha ose obeziteti abdominal
diabeti ose prediabeti
tensioni i lart\u00eb i gjakut
nivele t\u00eb larta t\u00eb kolesterolit ose triglicerideve<\/p>\n\n\n\n

Sindroma metabolike, nj\u00eb problem i p\u00ebrhapur<\/p>\n\n\n\n

N\u00eb Itali, m\u00eb shum\u00eb se 2 n\u00eb 10 persona vuajn\u00eb nga sindroma metabolike, nd\u00ebrsa pas mosh\u00ebs 60 vje\u00e7 kjo shif\u00ebr kalon 40%. Sindroma metabolike p\u00ebrfshin nj\u00eb kombinim \u00e7rregullimesh si obeziteti abdominal, rezistenca ndaj insulin\u00ebs, diabeti i tipit 2, dislipidemia dhe hipertensioni.<\/p>\n\n\n\n

Prania e t\u00eb pakt\u00ebn tre prej k\u00ebtyre faktor\u00ebve mjafton p\u00ebr vendosjen e diagnoz\u00ebs. Personat e prekur kan\u00eb rrezik dyfish m\u00eb t\u00eb lart\u00eb p\u00ebr s\u00ebmundje kardiovaskulare dhe vdekje, si dhe pes\u00eb her\u00eb m\u00eb shum\u00eb gjasa p\u00ebr t\u00eb zhvilluar diabet t\u00eb tipit 2.<\/p>\n\n\n\n

Shifrat alarmante<\/strong><\/p>\n\n\n\n

N\u00eb nivel global, 30-40% e popullsis\u00eb adulte vuan nga m\u00ebl\u00e7ia e dhjamosur. Rreth 80% e pacient\u00ebve me MASLD jan\u00eb mbipesh\u00eb ose obez\u00eb, nd\u00ebrsa 60-70% kan\u00eb dislipidemi, 50% hipertension dhe rreth 60% prediabet ose diabet t\u00eb tipit 2.<\/p>\n\n\n\n

Kur sheqeri kthehet n\u00eb yndyr\u00eb<\/p>\n\n\n\n

MASLD zhvillohet kur m\u00ebl\u00e7ia p\u00ebrballet me m\u00eb shum\u00eb yndyra sesa mund t\u00eb p\u00ebrpunoj\u00eb. Kjo ndodh si pasoj\u00eb e:<\/p>\n\n\n\n

mb\u00ebrritjes s\u00eb sasive t\u00eb m\u00ebdha t\u00eb acideve yndyrore nga ushqimi dhe indi dhjamor
konsumimit t\u00eb tepruar t\u00eb sheqernave, ve\u00e7an\u00ebrisht glukoz\u00ebs dhe fruktoz\u00ebs, q\u00eb gjenden n\u00eb pijet e \u00ebmbla dhe ushqimet ultra-t\u00eb p\u00ebrpunuara<\/p>\n\n\n\n

M\u00ebl\u00e7ia i shnd\u00ebrron k\u00ebta sheqerna n\u00eb yndyr\u00eb p\u00ebrmes nj\u00eb procesi t\u00eb quajtur lipogjenez\u00eb de novo, duke shtuar m\u00eb tej depozitimin e yndyrave n\u00eb qelizat hepatike.<\/p>\n\n\n\n

Simptomat dhe diagnoza<\/strong><\/p>\n\n\n\n

N\u00eb shumic\u00ebn e rasteve, MASLD nuk shoq\u00ebrohet me simptoma t\u00eb qarta. Disa pacient\u00eb mund t\u00eb ndjejn\u00eb lodhje, plog\u00ebshti ose shqet\u00ebsim n\u00eb an\u00ebn e djatht\u00eb t\u00eb barkut. Rreth 50-60% kan\u00eb zmadhim t\u00eb m\u00ebl\u00e7is\u00eb.<\/p>\n\n\n\n

Rreziku kryesor \u00ebsht\u00eb se s\u00ebmundja mund t\u00eb p\u00ebrparoj\u00eb n\u00eb heshtje. 15-40% e pacient\u00ebve mund t\u00eb zhvillojn\u00eb MASH (steatohepatit i shoq\u00ebruar me disfunksion metabolik), nj\u00eb form\u00eb m\u00eb e r\u00ebnd\u00eb q\u00eb \u00e7on n\u00eb inflamacion, fibroz\u00eb, cirroz\u00eb dhe rrit rrezikun p\u00ebr kancer t\u00eb m\u00ebl\u00e7is\u00eb.<\/p>\n\n\n\n

Pse duhet vepruar menj\u00ebher\u00eb?<\/strong><\/p>\n\n\n\n

Sipas specialist\u00ebve, humbja e 7-10% t\u00eb pesh\u00ebs trupore p\u00ebrmir\u00ebson steatoz\u00ebn n\u00eb m\u00eb shum\u00eb se gjysm\u00ebn e rasteve, nd\u00ebrsa nj\u00eb r\u00ebnie mbi 10% mund t\u00eb \u00e7oj\u00eb n\u00eb p\u00ebrmir\u00ebsim t\u00eb ndjesh\u00ebm t\u00eb MASH dhe fibroz\u00ebs.<\/p>\n\n\n\n

Trajtimi bazohet kryesisht n\u00eb:<\/strong><\/p>\n\n\n\n

diet\u00ebn mesdhetare (fruta, perime, drith\u00ebra integrale, peshk, vaj ulliri)
kufizimin e ushqimeve t\u00eb p\u00ebrpunuara, sheqernave dhe alkoolit
aktivitet fizik t\u00eb rregullt (150 minuta ushtrime t\u00eb moderuara n\u00eb jav\u00eb)<\/p>\n\n\n\n

Menaxhimi i obezitetit, diabetit, kolesterolit dhe tensionit t\u00eb lart\u00eb \u00ebsht\u00eb thelb\u00ebsor, pasi shkaku kryesor i vdekjes tek pacient\u00ebt me MASLD jan\u00eb s\u00ebmundjet kardiovaskulare. Aktualisht po studiohen edhe terapi t\u00eb reja medikamentoze. N\u00eb SHBA jan\u00eb miratuar tashm\u00eb resmetirom dhe semaglutide, me rezultate premtuese n\u00eb uljen e inflamacionit dhe p\u00ebrmir\u00ebsimin e fibroz\u00ebs s\u00eb m\u00ebl\u00e7is\u00eb.<\/p>\n\n\n\n

<\/p>\n\n\n\n

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

Mëlçia është një nga organet më punëtore të trupit të njeriut: ajo filtron gjakun, metabolizon lëndët ushqyese, neutralizon toksinat dhe rregullon metabolizmin e yndyrave dhe sheqernave. Megjithatë, kur dëmtohet, rrallëherë jep dhimbje, të paktën në fazat e para, ndaj shpesh neglizhohet. Pikërisht për shkak të rolit të saj jetik, mëlçia meriton më shumë vëmendje, veçanërisht […]<\/p>\n","protected":false},"author":2,"featured_media":46430,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[572],"tags":[],"class_list":["post-46429","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shendeti"],"_links":{"self":[{"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/posts\/46429","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=46429"}],"version-history":[{"count":1,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/posts\/46429\/revisions"}],"predecessor-version":[{"id":46431,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/posts\/46429\/revisions\/46431"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=\/wp\/v2\/media\/46430"}],"wp:attachment":[{"href":"https:\/\/radiojehona.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=46429"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=46429"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/radiojehona.mk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=46429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}