{"id":3704,"date":"2022-03-25T13:48:03","date_gmt":"2022-03-25T13:48:03","guid":{"rendered":"https:\/\/onehospital.mk\/?p=3704"},"modified":"2022-09-12T12:31:12","modified_gmt":"2022-09-12T12:31:12","slug":"hashimoto-thyroiditis-an-inherited-immune-disease-dr-ksenija-bogoeva-kostovska","status":"publish","type":"post","link":"https:\/\/onehospital.mk\/sq\/hashimoto-tiroiditi-nje-semundje-imune-te-trasheguar-dr-ksenija-bogoeva-kostovska\/","title":{"rendered":"Tiroiditi Hashimoto, s\u00ebmundja  imunologjike e trash\u00ebguar! - Dr. Ksenija Bogoeva Kostovska"},"content":{"rendered":"<p>\u00cbsht\u00eb nj\u00eb s\u00ebmundje autoimune n\u00eb t\u00eb cil\u00ebn sistemi imunitar i trupit ndikon n\u00eb m\u00ebnyr\u00eb joadekuate n\u00eb indin tiroide. Kjo gjendje besohet t\u00eb ket\u00eb nj\u00eb baz\u00eb gjenetike. Hashimoto \u00ebsht\u00eb 5 deri n\u00eb 10 her\u00eb m\u00eb e zakonshme tek femrat sesa tek meshkujt. Njer\u00ebzit me k\u00ebt\u00eb s\u00ebmundje mund t\u00eb ken\u00eb s\u00ebmundje t\u00eb tjera autoimune si anemia pernicioze (mungesa e vitamin\u00ebs B12) ose diabeti mellitus i tipit 1.<\/p>\n<h3>\u00c7far\u00eb \u00ebsht\u00eb tiroiditi i Hashimotos?<\/h3>\n<p>Tiroiditi i Hashimotos, ose tiroiditi autoimun, ose s\u00ebmundja kronike e tiroides limfocitare, \u00ebsht\u00eb nj\u00eb nga s\u00ebmundjet m\u00eb t\u00eb zakonshme t\u00eb tiroides. Hashimoto \u00ebsht\u00eb nj\u00eb form\u00eb e tiroiditit, shkaku i t\u00eb cilit nuk dihet ende plot\u00ebsisht; ekzistenca e predispozicionit gjenetik, por edhe faktor\u00ebve mjedisor\u00eb (substanca toksike, jodi i tep\u00ebrt apo edhe infeksione).<\/p>\n<p>Hashimoto shoq\u00ebrohet me s\u00ebmundje t\u00eb tjera autoimune: diabeti i tipit 1 t\u00eb varur nga insulina, pamjaftueshm\u00ebria e veshkave, anemia Biemermer, artriti reumatoid, dermatomioziti, miastenia gravis, vitiligo, etj.<\/p>\n<ul>\n<li><strong>Simptomat e tiroiditit t\u00eb Hashimotos:<\/strong><br \/>\nShenja kryesore e k\u00ebsaj s\u00ebmundjeje \u00ebsht\u00eb nj\u00eb gj\u00ebnd\u00ebr tiroide e zmadhuar, e cila ka nj\u00eb aspekt \u00e7am\u00e7ak\u00ebz dhe zhvillohet gradualisht gjat\u00eb disa muajve.<br \/>\nEvolucioni funksional mund t\u00eb jet\u00eb:<br \/>\nHipotiroidizmi -15%<br \/>\nHipertiroidizmi - 5%<br \/>\nTiroiditi (Funksioni normal i tiroides) -80%.<\/li>\n<li><strong>Testet paraklinike q\u00eb konfirmojn\u00eb diagnoz\u00ebn:<\/strong><br \/>\nDozimi i antitrupave Ab-TG dhe Ab-TPO<br \/>\nDozimi i ekuilibrit hormonal TSH, FT4, FT3<br \/>\nEkografia e gj\u00ebndr\u00ebs tiroide<br \/>\nElektroforeza e proteinave \u2013 hipergamaglobulinemia<\/li>\n<\/ul>\n<h3>Mjekimi<\/h3>\n<p>Kortikosteroidet p\u00ebrdoren shpesh p\u00ebr t\u00eb trajtuar s\u00ebmundjet autoimune, por p\u00ebr tiroiditin e Hashimotos, kortikosteroidet nuk jan\u00eb efektive. Format e hipertiroidizmit trajtohen me barna sintetike antitiroide (ATS). N\u00eb rastet kur rritet v\u00ebllimi i gj\u00ebndr\u00ebs tiroide ose ndodh ngjeshja ose n\u00eb rast t\u00eb diagnozave t\u00eb dyshimta (limfoma ose kancer tiroide) kryhet tiroidektomia.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-3318\" src=\"https:\/\/onehospital.mk\/wp-content\/uploads\/2021\/10\/DSC_0005-2.png\" alt=\"\" width=\"1011\" height=\"886\" srcset=\"https:\/\/onehospital.mk\/wp-content\/uploads\/2021\/10\/DSC_0005-2.png 1000w, https:\/\/onehospital.mk\/wp-content\/uploads\/2021\/10\/DSC_0005-2-300x263.png 300w, https:\/\/onehospital.mk\/wp-content\/uploads\/2021\/10\/DSC_0005-2-768x672.png 768w, https:\/\/onehospital.mk\/wp-content\/uploads\/2021\/10\/DSC_0005-2-14x12.png 14w\" sizes=\"(max-width: 1011px) 100vw, 1011px\" \/><\/p>","protected":false},"excerpt":{"rendered":"<p>It is an autoimmune disease in which the body&#8217;s immune system inadequately affects the thyroid tissue. This condition is believed to have a genetic basis. Hashimoto&#8217;s is 5 to 10 times more common in women than in men. People with this disease may have other autoimmune diseases such as pernicious anemia (vitamin B12 deficiency) or [&hellip;]<\/p>","protected":false},"author":4,"featured_media":3705,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[88,206,61,57,1,75,89,78,77],"tags":[],"class_list":["post-3704","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogu","category-endocrinology-news","category-gynecology-news","category-internal-medicine-news","category-news","category-one-news","category-one-news_sq","category-uncategorized-mk","category-uncategorized-sq"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hashimoto thyroiditis - an inherited immune disease! - Dr. Ksenija Bogoeva Kostovska - One Hospital<\/title>\n<meta name=\"description\" content=\"Corticosteroids are often used to treat autoimmune diseases, but for Hashimoto&#039;s thyroiditis, corticosteroids are not effective. 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