{"id":4274,"date":"2022-06-21T11:22:49","date_gmt":"2022-06-21T10:22:49","guid":{"rendered":"https:\/\/qika.org\/?post_type=lexo-post&p=4274"},"modified":"2022-06-21T11:22:50","modified_gmt":"2022-06-21T10:22:50","slug":"per-ta-kuptuar-me-mire-shendetin-e-grave-duhet-ta-destigmatizojme-gjakun-menstrual","status":"publish","type":"lexo-post","link":"https:\/\/qika.org\/en\/lexo-post\/per-ta-kuptuar-me-mire-shendetin-e-grave-duhet-ta-destigmatizojme-gjakun-menstrual\/","title":{"rendered":"P\u00ebr ta kuptuar m\u00eb mir\u00eb sh\u00ebndetin e grave duhet ta destigmatizojm\u00eb gjakun menstrual"},"content":{"rendered":"\n

S\u00ebmundjet si endometrioza do t\u00eb kishin sh\u00ebrim n\u00ebse ne do t\u00eb flisnim dhe t\u2019i studionim ato pa turp<\/em><\/em><\/p>\n\n\n\n

Grave me endometrioz\u00eb shpeshher\u00eb ju thuhet q\u00eb jan\u00eb p\u00ebrfituese t\u00eb antibiotik\u00ebve dhe hapave kund\u00ebr dhimbjes, artiste mashtruese q\u00eb p\u00ebrpiqen ta shfryt\u00ebzojn\u00eb sistemin sh\u00ebndet\u00ebsor. Quhen \u2018p\u00ebr\u00e7ar\u00ebse\u2019, \u2018t\u00eb \u00e7mendura\u2019, \u2018falsifikuese\u2019 dhe \u2018psikosomatike\u2019. Atyre ju thuhet q\u00eb dhimbja thjesht iu \u00ebsht\u00eb fiksuar n\u00eb kok\u00eb dhe duhet ta kap\u00ebrcejn\u00eb. Duhet t\u00eb ndalojn\u00eb s\u00eb qeni gra. Po flasim p\u00ebr adoleshentet e reja dhe grat\u00eb me endometrioz\u00eb q\u00eb k\u00ebrkojn\u00eb diagnoz\u00eb, trajtim efektiv dhe kujdes. Nuk ka sh\u00ebrim, por k\u00ebto gra e meritojn\u00eb t\u00eb sh\u00ebrohen.<\/p>\n\n\n\n

Endometrioza shkaktohet kur qelizat endometriale rriten si lezione jasht\u00eb mitr\u00ebs \u2013 zakonisht n\u00eb komblik, p\u00ebrreth vezoreve, fshik\u00ebz\u00ebs, zorr\u00ebve dhe vrim\u00ebs anale, por rrall\u00ebher\u00eb edhe n\u00eb mushk\u00ebri dhe pjes\u00eb t\u00eb tjera. Kjo gjendje prek mesatarisht nj\u00eb n\u00eb dhjet\u00eb gra dhe k\u00ebto paciente shpeshher\u00eb vuajn\u00eb p\u00ebr vite – rreth shtat\u00eb vite, para se p\u00ebrfundimisht t\u00eb diagnostikohen, gj\u00eb q\u00eb k\u00ebrkon operim dhe mund t\u00eb zgjas\u00eb edhe m\u00eb shum\u00eb p\u00ebrpara se t\u00eb gjendet trajtimi i duhur.<\/p>\n\n\n\n

Pse nuk kemi diagnoza dhe trajtime m\u00eb t\u00eb mira p\u00ebr k\u00ebt\u00eb s\u00ebmundje? Sepse, mjerisht, sh\u00ebndeti riprodhues i grave nuk studiohet dhe nuk financohet mjaftuesh\u00ebm. T\u00eb jemi t\u00eb sinqert\u00eb, padrejt\u00ebsisht ekziston edhe nj\u00eb faktor i neveritsh\u00ebm; nj\u00eb nga burimet m\u00eb t\u00eb mira t\u00eb materialit biologjik p\u00ebr studimin e sh\u00ebndetit riprodhues t\u00eb grave \u00ebsht\u00eb edhe gjaku menstrual. P\u00ebr shkak t\u00eb stigm\u00ebs ndaj tij, gjaku menstrual rrall\u00ebher\u00eb \u00ebsht\u00eb studiuar n\u00eb imt\u00ebsi.<\/p>\n\n\n\n

Sidomos sot, kur sh\u00ebndeti riprodhues i grave \u00ebsht\u00eb v\u00ebn\u00eb n\u00eb qend\u00ebr t\u00eb v\u00ebmendjes komb\u00ebtare, \u00ebsht\u00eb koha t\u00eb flasim lirsh\u00ebm p\u00ebr t\u00eb dhe t\u00eb hulumtojm\u00eb menstruacionet dhe gjakun menstrual p\u00ebr t\u00eb promovuar sh\u00ebndetin e grave.<\/p>\n\n\n\n

Gjaku menstrual mund t\u00eb ndihmoj\u00eb hulumtuesit si un\u00eb q\u00eb ta kuptojn\u00eb sh\u00ebndetin riprodhues t\u00eb gruas. Ai ofron mund\u00ebsit\u00eb p\u00ebr t\u00eb eksploruar dhe p\u00ebrcaktuar diversitetin qelizor, metabolik, gjenetik dhe epigjenetik\u00eb t\u00eb mitrave t\u00eb sh\u00ebndetshme. K\u00ebto profile mund t\u00eb krahasohen me mitrat n\u00eb situatat e sterilitetit, dismenorres\u00eb (ng\u00ebr\u00e7eve t\u00eb dhimbshme menstruale), infeksioneve t\u00eb mitr\u00ebs (t\u00eb tilla si viruset e lythave dhe endometriti kronik q\u00eb shkaktojn\u00eb kancer), fibroideve t\u00eb mitr\u00ebs, ndryshimeve perimenopauzale dhe kancerit n\u00eb mit\u00ebr. Dhe kjo most\u00ebr biologjike mund t\u00eb mblidhet leht\u00ebsisht pa nd\u00ebrhyrje kirurgjike \u2013 duke p\u00ebrdorur epruvetat menstruale ose sfungjer\u00ebt e jasht\u00ebm grumbullues t\u00eb dizajnuar posa\u00e7\u00ebrisht p\u00ebr k\u00ebt\u00eb q\u00ebllim.<\/p>\n\n\n\n

Qysh prej vitit 2013, bashk\u00eb me koleg\u00ebt e mi jemi fokusuar n\u00eb studimin e gjakut menstrual. Kemi krijuar studimin ROSE (Research OutSmarts Endometriosis) n\u00eb Institutin Feinstein t\u00eb K\u00ebrkimeve Mjek\u00ebsore, p\u00ebr t\u00eb m\u00ebsuar se si gjaku menstrual mund t\u00eb mblidhet dhe t\u00eb p\u00ebrdoret p\u00ebr studimin e endometrioz\u00ebs dhe zhvillimin e testeve diagnostikuese t\u00eb hershme dhe joinvazive, q\u00eb ju nevojiten k\u00ebtyre grave. M\u00eb shum\u00eb se 2,000 pjes\u00ebmarr\u00ebs i jan\u00eb bashkuar studimit ROSE (p\u00ebrfshir\u00eb grat\u00eb me endometrioz\u00eb t\u00eb diagnostikuar, ato me kontrolle t\u00eb sh\u00ebndetshme dhe ato q\u00eb kan\u00eb qen\u00eb n\u00eb pritje t\u00eb rezultateve diagnostikuese). Edhe adoleshentet mund t\u00eb marrin pjes\u00eb. Kemi b\u00ebr\u00eb p\u00ebrparim n\u00eb hulumtimin e gjakut menstrual, kjo nj\u00eb dit\u00eb mund t\u00eb rezultoj\u00eb n\u00eb nj\u00eb diagnoz\u00eb dhe trajtime m\u00eb efektive t\u00eb aprovuara nga FDA (Agjencia p\u00ebr Ushqime dhe Barna e ShBA-ve), t\u00eb cilat mund ta ndalojn\u00eb, madje edhe ta parandalojn\u00eb s\u00ebmundjen.<\/p>\n\n\n\n

Si rezultat i dhimbjes kronike, shum\u00eb adoleshente dhe gra t\u00eb reja me endometrioz\u00eb mungojn\u00eb n\u00eb shkoll\u00eb, duke ju pamund\u00ebsuar p\u00ebrmbushja e potencialit t\u00eb tyre. N\u00eb mosha m\u00eb madhore, k\u00ebto gra kan\u00eb v\u00ebshtir\u00ebsi n\u00eb ngritje n\u00eb detyr\u00eb ose mbajtje t\u00eb pun\u00ebs, p\u00ebr shkak t\u00eb pushimit mjek\u00ebsor t\u00eb zgjatur. Pa nj\u00eb pun\u00eb, ato humbin edhe sigurimin sh\u00ebndet\u00ebsor kaq t\u00eb nevojsh\u00ebm dhe pa nj\u00eb sigurim sh\u00ebndet\u00ebsor, dhimbjet e tyre mbesin t\u00eb pakontrolluara. Disa m\u00eb kan\u00eb treguar q\u00eb e kan\u00eb t\u00eb pamundshme t\u00eb krijojn\u00eb ose mbajn\u00eb marr\u00ebdh\u00ebnie intime. Dhimbja e padurueshme e cila zgjat disa dit\u00eb \u00e7do muaj hidhet posht\u00eb, n\u00ebnvler\u00ebsohet dhe keqkuptohet. Nuk do t\u00eb thoja q\u00eb k\u00ebto gra e vajza po vuajn\u00eb n\u00eb heshtje. Ato po flasin, por vuajtja e tyre po injorohet.<\/p>\n\n\n\n

Momentalisht, mjekimet e vetme n\u00eb dispozicion p\u00ebr endometrioz\u00ebn jan\u00eb hormonet dhe terapit\u00eb e bazuara n\u00eb hormone, t\u00eb cilat mund t\u00eb shkaktojn\u00eb shtim n\u00eb pesh\u00eb, afshe t\u00eb forta dhe i detyrojn\u00eb pacientet t\u00eb futen n\u00eb menopauz\u00eb. K\u00ebto ila\u00e7e i trajtojn\u00eb vet\u00ebm simptomat; ato nuk e ndalin zhvillimin e s\u00ebmundjes. Disa paciente me endometrioz\u00eb thon\u00eb q\u00eb terapit\u00eb hormonale jan\u00eb m\u00eb t\u00eb k\u00ebqija se vet s\u00ebmundja.<\/p>\n\n\n\n

A po e rrezikon sh\u00ebndetin e grave kjo neglizhenc\u00eb e k\u00ebtij \u00e7rregullimi t\u00eb zakonsh\u00ebm nga nj\u00eb paragjykim gjinor i kompanive farmaceutike? P\u00ebr ta trajtuar endometrioz\u00ebn dhe \u00e7do s\u00ebmundje tjet\u00ebr t\u00eb riprodhimit te grat\u00eb, duhet t\u00eb japim m\u00eb shum\u00eb mb\u00ebshtetje dhe m\u00eb pak stigmatizim.<\/p>\n\n\n\n

Me p\u00ebrpjekje serioze nga hulumtues t\u00eb ndrysh\u00ebm dhe bashk\u00ebpunues nga akademia dhe industria, dhe me pjes\u00ebmarr\u00ebsit e p\u00ebrfshir\u00eb n\u00eb studim, gjaku menstrual do t\u00eb zhvillohet n\u00eb nj\u00eb burim t\u00eb dobish\u00ebm klinik p\u00ebr t\u2019i kuptuar m\u00eb mir\u00eb sh\u00ebndetin dhe disfunksionin e mitr\u00ebs, si dhe p\u00ebr q\u00ebllime diagnostikuese. M\u00eb n\u00eb fund gjaku nuk do t\u00eb konsiderohet vet\u00ebm si tepric\u00eb apo pleh\u00ebr  \u2013 di\u00e7ka p\u00ebr t\u2019u hedhur posht\u00eb \u00e7do muaj \u2013 por si nj\u00eb most\u00ebr vitale biologjike p\u00ebr sh\u00ebndetin e grave.<\/p>\n\n\n\n

Ndarja e fondeve do t\u00eb ndiqet me diskutime t\u00eb vazhdueshme dhe k\u00ebrkesa nga publiku dhe mjek\u00ebt klinik\u00eb. Me ndarjen e fondeve do t\u00eb realizohen m\u00eb shum\u00eb hulumtime dhe do t\u00eb ket\u00eb m\u00eb shum\u00eb progres. Le t\u2019i shohim financat n\u00eb perspektiv\u00eb: qysh prej vitit 2008, Instituti Komb\u00ebtar i Sh\u00ebndetit ka ndar\u00eb rreth 176 milion\u00eb dollar\u00eb p\u00ebr t\u00eb financuar k\u00ebrkimet n\u00eb endometrioz\u00eb. Krahasuar me k\u00ebt\u00eb, jan\u00eb ndar\u00eb 2 miliard\u00eb dollar\u00eb p\u00ebr kolitin ul\u00e7eroz, i cili prek rreth 1% t\u00eb amerikan\u00ebve.<\/p>\n\n\n\n

Nd\u00ebrkoh\u00eb q\u00eb zhvillimi i terapive t\u00eb mitr\u00ebs q\u00eb bazohen n\u00eb gjakun menstrual mund t\u00eb marr\u00eb disa vite p\u00ebr t\u2019u zhvilluar, ka gj\u00ebra t\u00eb tjera q\u00eb mund t\u2019i b\u00ebjm\u00eb tani. Duhet ta edukojm\u00eb m\u00eb mir\u00eb komunitetin e kujdesit sh\u00ebndet\u00ebsor dhe ta ngrem\u00eb vet\u00ebdijen p\u00ebr kushtet e sh\u00ebndetit t\u00eb grave. Bazuar n\u00eb diagnozat e gabuara dhe t\u00eb pamjaftueshme t\u00eb endometrioz\u00ebs dhe gjendjeve t\u00eb tjera t\u00eb sh\u00ebndetit t\u00eb mitr\u00ebs, trajnimi i p\u00ebrmir\u00ebsuar duhet t\u00eb sigurohet p\u00ebr personat q\u00eb ndjekin shkollat mjek\u00ebsore, t\u00eb infermieris\u00eb apo asistimit fizik, ashtu q\u00eb ata t\u00eb b\u00ebhen m\u00eb t\u00eb ditur dhe ta kuptojn\u00eb q\u00eb dhimbja e komblikut \u00ebsht\u00eb e v\u00ebrtet\u00eb dhe duhet t\u00eb analizohet me kujdes n\u00eb secilin pacient.<\/p>\n\n\n\n

Duhet ta rrisim standardin e shkenc\u00ebs, t\u00eb p\u00ebrmir\u00ebsojm\u00eb kapacitetet diagnostikuese, t\u00eb ofrojm\u00eb trajtime m\u00eb t\u00eb mira dhe t\u00eb sigurojm\u00eb kujdes sh\u00ebndet\u00ebsor t\u00eb barabart\u00eb p\u00ebr t\u00eb gjith\u00eb. Dhe p\u00ebr ta arritur k\u00ebt\u00eb, na duhet t\u00eb zhvillojm\u00eb bashk\u00ebbisedime p\u00ebr menstruacionet dhe gjakun menstrual kudo, n\u00eb klinikat, sht\u00ebpit\u00eb dhe shoq\u00ebrin\u00eb ton\u00eb.<\/p>\n\n\n\n

Christine Metz<\/strong><\/p>\n\n\n\n

E p\u00ebrktheu: Gentin\u00eb Vrajolli<\/p>\n\n\n\n

Tekstin origjinal mund ta gjeni n\u00eb: https:\/\/www.scientificamerican.com\/article\/to-better-understand-women-rsquo-s-health-we-need-to-destigmatize-menstrual-blood\/?fbclid=IwAR3WOmPSimJ5-3bq9b2GrRoCoNp-69xnBKMr2QmDkezgsLzW3_n2xgZ4_gw<\/a><\/p>\n","protected":false},"featured_media":4275,"template":"","class_list":["post-4274","lexo-post","type-lexo-post","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"\nP\u00ebr ta kuptuar m\u00eb mir\u00eb sh\u00ebndetin e grave duhet ta destigmatizojm\u00eb gjakun menstrual - QIKA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/qika.org\/lexime\/per-ta-kuptuar-me-mire-shendetin-e-grave-duhet-ta-destigmatizojme-gjakun-menstrual\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"P\u00ebr ta kuptuar m\u00eb mir\u00eb sh\u00ebndetin e grave duhet ta destigmatizojm\u00eb gjakun menstrual - QIKA\" \/>\n<meta property=\"og:description\" content=\"S\u00ebmundjet si endometrioza do t\u00eb kishin sh\u00ebrim n\u00ebse ne do t\u00eb flisnim dhe t\u2019i studionim ato pa turp Grave me endometrioz\u00eb shpeshher\u00eb ju thuhet q\u00eb jan\u00eb p\u00ebrfituese t\u00eb antibiotik\u00ebve dhe hapave kund\u00ebr dhimbjes, artiste mashtruese q\u00eb p\u00ebrpiqen ta shfryt\u00ebzojn\u00eb sistemin sh\u00ebndet\u00ebsor. 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