{"id":55087,"date":"2020-05-02T14:11:53","date_gmt":"2020-05-02T13:11:53","guid":{"rendered":"https:\/\/fjala.info\/?p=55087"},"modified":"2020-05-02T21:31:06","modified_gmt":"2020-05-02T20:31:06","slug":"cfare-nuk-dime-per-koronavirusin","status":"publish","type":"post","link":"https:\/\/jehonashqiptare.al\/fjala\/cfare-nuk-dime-per-koronavirusin\/","title":{"rendered":"\u00c7far\u00eb nuk dim\u00eb p\u00ebr koronavirusin?"},"content":{"rendered":"<p><span style=\"color: #999999;\"><em>Covid-19 \u00ebsht\u00eb nj\u00eb s\u00ebmundje e nj\u00eb kompleksiteti t\u00eb jasht\u00ebzakonsh\u00ebm, t\u00eb cilin edhe mjek\u00ebt m\u00eb me p\u00ebrvoj\u00eb po p\u00ebrpiqen ta kuptojn\u00eb. Fotografi nga Sergio Perez \/ Reuters<\/em><\/span><\/p>\n<p><em>Njoftim mjek\u00ebsor<\/em><\/p>\n<p>Nga <a href=\"https:\/\/www.newyorker.com\/contributors\/clifford-marks\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Clifford Marks<\/strong><\/a> and <a href=\"https:\/\/www.newyorker.com\/contributors\/trevor-pour\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Trevor Pour<\/strong><\/a><\/p>\n<blockquote><p><a href=\"https:\/\/www.newyorker.com\/science\/medical-dispatch\/what-we-dont-know-about-covid-19\/\" target=\"_blank\" rel=\"noopener noreferrer\">The New Yorker<\/a>, <em>29 Prill 2020<\/em> &#8211; <em>P\u00ebrktheu <strong>Arben \u00c7okaj<\/strong><\/em><\/p><\/blockquote>\n<p><script async src=\"\/\/player-backend.cnevids.com\/script\/video\/5ea9fcd8bcdfff0bea1a908d.js?iu=\/3379\/newyorker.dart\/share\"><\/script><em>Covid-19 \u00ebsht\u00eb par\u00eb se d\u00ebmton sisteme t\u00eb shumta organesh, duke p\u00ebrfshir\u00eb mushk\u00ebrit\u00eb, zemr\u00ebn, veshkat dhe trurin.<\/em><\/p>\n<p>Ne mendojm\u00eb p\u00ebr Covid-19 si nj\u00eb s\u00ebmundje e traktit respirator. Kur gjeneratat e ardhshme shikojn\u00eb p\u00ebrs\u00ebri n\u00eb k\u00ebt\u00eb pandemi, simboli i tij ikonik do t\u00eb jet\u00eb ventilatori. Por, megjith\u00ebse problemet e frym\u00ebmarrjes jan\u00eb n\u00eb thelb t\u00eb s\u00ebmundjes, Covid-19 ka zbuluar se \u00ebsht\u00eb m\u00eb shum\u00eb se nj\u00eb pneumoni virale e drejtp\u00ebrdrejt\u00eb. Mjek\u00ebt n\u00eb t\u00eb gjith\u00eb bot\u00ebn, p\u00ebrfshir\u00eb n\u00eb departamentin e urgjenc\u00ebs, ku ne punojm\u00eb, n\u00eb Spitalin Mount Sinai, n\u00eb Manhattan &#8211; kan\u00eb m\u00ebsuar rrug\u00ebn e v\u00ebshtir\u00eb q\u00eb koronavirusi nuk i kufizon shkat\u00ebrrimet e tij n\u00eb mushk\u00ebri. Covid-19 mund t&#8217;i \u00e7oj\u00eb veshkat n\u00eb d\u00ebshtim, t\u00eb d\u00ebrgoj\u00eb sistemin imunitar t\u00eb trupit n\u00eb nj\u00eb mbingarkim katastrofik dhe t\u00eb shkaktoj\u00eb mpiksje t\u00eb gjakut, q\u00eb pengon qarkullimin n\u00eb mushk\u00ebri, zem\u00ebr ose tru. \u00cbsht\u00eb nj\u00eb s\u00ebmundje e nj\u00eb kompleksiteti t\u00eb jasht\u00ebzakonsh\u00ebm, t\u00eb cilin edhe mjek\u00ebt m\u00eb me p\u00ebrvoj\u00eb po p\u00ebrpiqen ta kuptojn\u00eb.<\/p>\n<p>N\u00eb blogjet, podcast-et dhe #medtwitter, an\u00ebtar\u00ebt e komunitetit mjek\u00ebsor kan\u00eb b\u00ebr\u00eb tregime dhe teori rreth nd\u00ebrlikimeve t\u00eb Covid-19. Shpesh, biseda e tyre ka ndjekur metodologjin\u00eb e mjek\u00ebve me kujdes kritik. Mjek\u00ebt q\u00eb punojn\u00eb n\u00eb ICU priren t\u00eb flasin jo p\u00ebr simptoma ose s\u00ebmundje &#8211; dhimbje gjoksi, diabeti &#8211; por p\u00ebr sisteme organesh, t\u00eb cilat mund t\u00eb keqfunksionojn\u00eb dhe bashk\u00ebveprojn\u00eb n\u00eb m\u00ebnyra komplekse. Sistem pas sistemi, po shfaqet nj\u00eb pamje e Covid-19. Sqarimi i tij mund t\u00eb n\u00ebnkuptoj\u00eb ndryshimin midis jet\u00ebs dhe vdekjes p\u00ebr mij\u00ebra njer\u00ebz n\u00eb muajt n\u00eb vazhdim.<\/p>\n<p>Gul\u00e7imi q\u00eb \u00ebsht\u00eb m\u00eb karakteristik p\u00ebr Covid-19 \u00ebsht\u00eb kuptuar mir\u00eb. Ai buron n\u00eb qeset e ajrit t\u00eb mushk\u00ebrive, t\u00eb quajtura <em>alveoli<\/em>, ku gjaku dhe ajri ndahen nga membrana t\u00eb tilla t\u00eb holla, q\u00eb oksigjeni dhe dioksidi i karbonit mund t\u00eb kalojn\u00eb brenda dhe jasht\u00eb rrjedh\u00ebs s\u00eb gjakut, p\u00ebrkat\u00ebsisht. Midis tyre, mushk\u00ebrit\u00eb kan\u00eb diku n\u00eb fqinj\u00ebsi rreth gjasht\u00ebqind milion <em>alveole<\/em>. Covid i r\u00ebnd\u00eb b\u00ebn q\u00eb shum\u00eb prej tyre ose t\u00eb shemben ose t\u00eb mbushen me l\u00ebng. Virusi sulmon qelizat q\u00eb rreshtojn\u00eb <em>alveolat<\/em>; sistemet tona imunitare tep\u00ebr aktive, n\u00eb p\u00ebrpjekjen p\u00ebr t\u00eb luftuar virusin, mund t&#8217;i d\u00ebmtojn\u00eb ata gjithashtu. Rezultati \u00ebsht\u00eb se oksigjeni i pamjaftuesh\u00ebm futet n\u00eb gjak.<\/p>\n<p>Mjek\u00ebt q\u00eb p\u00ebrpiqen t\u00eb zgjidhin k\u00ebt\u00eb problem kan\u00eb n\u00eb dispozicion dy mjete themelore: <strong>oksigjenin<\/strong> dhe <strong>presionin<\/strong>. Ata mund t&#8217;u japin pacient\u00ebve oksigjen t\u00eb p\u00ebrqendruar p\u00ebrtej sasive t\u00eb zakonshme, nj\u00ebzet e nj\u00eb p\u00ebrqind, q\u00eb gjendet n\u00eb ajrin normal. P\u00ebrndryshe, duke p\u00ebrdorur nj\u00eb <em>makin\u00eb cpap<\/em> ose <em>ventilator<\/em>, ata mund t\u00eb krijojn\u00eb nj\u00eb lloj presioni t\u00eb q\u00ebndruesh\u00ebm t\u00eb ajrit brenda mushk\u00ebrive &#8211; &#8220;<em>presion pozitiv fundor-ekspresiv<\/em>&#8220;, ose <strong>peep<\/strong> &#8211; i cili i mban alveol\u00ebt t\u00eb hapura, dhe k\u00ebshtu m\u00eb shum\u00eb pranues ndaj oksigjenit, n\u00eb momentet kur mushk\u00ebrit\u00eb zakonisht do t\u00eb kishin boshll\u00ebqe t\u00eb ajrit. (Imagjinoni t\u00eb merrni frym\u00eb brenda dhe jasht\u00eb nd\u00ebrsa mb\u00ebshteteni n\u00eb dritaren e nj\u00eb makine n\u00eb l\u00ebvizje: ajo ndjenj\u00eb e mushk\u00ebrive t\u00eb mbushura me aj\u00ebr quhet peep.) Mjek\u00ebt gjithashtu kan\u00eb p\u00ebrmir\u00ebsuar oksigjenimin duke i &#8220;d\u00ebmtuar&#8221; pacient\u00ebt &#8211; dometh\u00ebn\u00eb, duke i kthyer ata periodikisht t\u00eb shtrir\u00eb n\u00eb bark. Nj\u00eb pozicionim i till\u00eb p\u00ebrfiton nga graviteti p\u00ebr t\u00eb p\u00ebrputhur zonat e mushk\u00ebrive t\u00eb mbushura nga ajri me zonat me rrjedh\u00eb m\u00eb t\u00eb lart\u00eb t\u00eb gjakut.<\/p>\n<p>E gjith\u00eb kjo ka kuptim t\u00eb drejtp\u00ebrdrejt\u00eb mekanik. Sidoqoft\u00eb, misteret rrjedhin rreth siguris\u00eb. Mjek\u00ebt ndjekin \u201cngopjen me oksigjen\u201d t\u00eb pacient\u00ebve me Covid-19 \u2014 monitorojn\u00eb p\u00ebrqindjen e molekulave t\u00eb hemoglobin\u00ebs n\u00eb rrjedh\u00ebn e gjakut, q\u00eb aktualisht mbajn\u00eb oksigjen. Zakonisht, n\u00eb pacient\u00ebt me mushk\u00ebri t\u00eb sh\u00ebndetshme, nj\u00eb nivel i ngopjes s\u00eb oksigjenit n\u00ebn n\u00ebnt\u00ebdhjet\u00eb p\u00ebrqind \u00ebsht\u00eb shkak p\u00ebr shqet\u00ebsim t\u00eb r\u00ebnd\u00eb: kur organet vitale t\u00eb tilla si zemra dhe truri b\u00ebhen t\u00eb uritur p\u00ebr oksigjenin, rreziku i vdekjes shkon n\u00eb qiell. Por mjek\u00ebt zbulojn\u00eb, \u00e7udit\u00ebrisht, q\u00eb disa pacient\u00eb me mosh\u00eb me Covid-19 mund t\u00eb mbeten t\u00eb qet\u00eb subjektivisht t\u00eb rehatsh\u00ebm edhe kur nivelet e tyre t\u00eb ngopjes bien shum\u00eb n\u00ebn k\u00ebto nivele. Kjo &#8220;<em>hipoksemi e heshtur<\/em>&#8221; \u00ebsht\u00eb e frikshme p\u00ebr mjek\u00ebt, t\u00eb cil\u00ebt e lidhin numrin e till\u00eb t\u00eb ul\u00ebt me vdekjen e af\u00ebrt. Dhe \u00ebsht\u00eb thell\u00ebsisht mistifikuese, pasi numrat duken t\u00eb paduksh\u00ebm.<\/p>\n<p><strong>A \u00ebsht\u00eb hipoksemia e heshtur nj\u00eb shenj\u00eb q\u00eb, edhe pse nj\u00eb pacient ndihet relativisht mir\u00eb, fundi \u00ebsht\u00eb gati t\u00eb bjer\u00eb?<\/strong> Apo virusi nd\u00ebrhyn disi me hemoglobin\u00ebn e gjakut, ose n\u00eb pjes\u00ebt e trurit q\u00eb na paralajm\u00ebrojn\u00eb kur kemi nevoj\u00eb p\u00ebr m\u00eb shum\u00eb oksigjen? Teorit\u00eb jan\u00eb t\u00eb shumta. Nd\u00ebrkoh\u00eb, hipoksemia e heshtur e nd\u00ebrlikon vendimin p\u00ebr t\u00eb intubuar. N\u00eb dit\u00ebt e para t\u00eb trajtimit t\u00eb Covid-19, ngopja e ul\u00ebt me oksigjen, q\u00eb nuk arriti t\u00eb p\u00ebrmir\u00ebsohej, p\u00ebrgjith\u00ebsisht, shihej si nj\u00eb tregues se intubacioni ishte i nevojsh\u00ebm menj\u00ebher\u00eb. Por n\u00eb fillim t\u00eb marsit raportet e pacient\u00ebve t\u00eb rehatsh\u00ebm me nivele t\u00eb ul\u00ebta t\u00eb ngopjes n\u00eb m\u00ebnyr\u00eb diskurorante filluan t\u00eb p\u00ebrhapen me shpejt\u00ebsi midis mjek\u00ebve n\u00eb internet.<\/p>\n<p><em>Nj\u00eb imazh ve\u00e7an\u00ebrisht arrestues, i postuar n\u00eb Twitter nga nj\u00eb mjek i ila\u00e7eve t\u00eb urgjenc\u00ebs n\u00eb Nju Jork, tregon nj\u00eb paciente q\u00eb lexon me qet\u00ebsi n\u00eb telefonin e saj, nd\u00ebrsa monitori i saj i sip\u00ebrm zbulon nj\u00eb shkall\u00eb t\u00eb ngopjes prej vet\u00ebm pes\u00ebdhjet\u00eb e kat\u00ebr p\u00ebrqind.<\/em> Derisa ta kuptojm\u00eb m\u00eb mir\u00eb fiziologjin\u00eb, q\u00eb q\u00ebndron pas hipoksemis\u00eb s\u00eb heshtur, dhe pse disa njer\u00ebz e p\u00ebrjetojn\u00eb at\u00eb dhe t\u00eb tjer\u00ebt jo, nuk do t\u00eb kemi zgjidhje tjet\u00ebr p\u00ebrve\u00e7 t\u00eb jetojm\u00eb me misterin, duke shqyrtuar disa pacient\u00eb q\u00eb kan\u00eb nivele oksigjeni n\u00eb vitet shtat\u00ebdhjet\u00eb dhe tet\u00ebdhjet\u00eb, dhe t\u00eb cil\u00ebt mund t\u00eb ken\u00eb nxituar q\u00eb t&#8217;i intubojn\u00eb n\u00eb t\u00eb kaluar\u00ebn.<\/p>\n<p>Brenda disa or\u00ebsh nga nj\u00eb pushtim viral, sistemi imunitar i trupit ndryshon n\u00eb veprim. Sistemi imunitar &#8220;i lindur&#8221;, i cili njeh strukturat e proteinave t\u00eb zakonshme p\u00ebr shum\u00eb patogjen\u00eb, reagon s\u00eb pari, duke l\u00ebshuar nj\u00eb familje t\u00eb sinjaleve t\u00eb shqet\u00ebsimit kimik t\u00eb quajtur <em>citokinat<\/em>. Ata p\u00ebrhapen nga vendi i infeksionit, duke udh\u00ebzuar trupin t\u00eb ngrej\u00eb temperatur\u00ebn e tij dhe t\u00eb devijoj\u00eb rrjedh\u00ebn e gjakut n\u00eb zon\u00ebn e prekur; ato gjithashtu aktivizojn\u00eb qelizat e tjera t\u00eb sistemit imunitar, t\u00eb cilat fillojn\u00eb t\u00eb zhvillojn\u00eb antitrupa, q\u00eb synojn\u00eb posa\u00e7\u00ebrisht pushtuesit. Pa <em>citokinat<\/em>, sistemi imunitar do t\u00eb binte n\u00eb gjum\u00eb, nd\u00ebrsa infeksionet e shkat\u00ebrrojn\u00eb. Por sistemi i <em>citokin\u00ebs<\/em> ka nj\u00eb dob\u00ebsi. Disa patogjen\u00eb mund ta provokojn\u00eb at\u00eb n\u00eb nj\u00eb m\u00ebnyr\u00eb t\u00eb \u00e7oroditur, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb shkoj\u00eb sistemin imunitar n\u00eb t\u00ebr\u00ebsi n\u00eb mbingarkes\u00eb. N\u00eb at\u00eb q\u00eb njihet si nj\u00eb <em>stuhi e citokin\u00ebs<\/em>, ethet dhe pezmatimet largojn\u00eb kontrollin. \u00cbsht\u00eb e paqart\u00eb pse disa pacient\u00eb mund ta p\u00ebrjetojn\u00eb k\u00ebt\u00eb fenomen, nd\u00ebrsa t\u00eb tjer\u00ebt jo.<\/p>\n<p>P\u00ebrball\u00eb nj\u00eb <em>stuhie citokine<\/em> te nj\u00eb pacient, nj\u00eb mjek mund t\u00eb p\u00ebrpiqet t\u00eb moduloj\u00eb p\u00ebrgjigjen e sistemit imunitar. Problemi \u00ebsht\u00eb goditja e ekuilibrit t\u00eb duhur. Nd\u00ebrsa disa pacient\u00eb mund t\u00eb p\u00ebrfitojn\u00eb nga nj\u00eb shkall\u00eb imunosupresioni t\u00eb shkaktuar nga mjekimi, ka t\u00eb tjer\u00eb p\u00ebr t\u00eb cil\u00ebt nj\u00eb nd\u00ebrhyrje e till\u00eb mund t\u00eb shkaktoj\u00eb d\u00ebm t\u00eb madh. Disa spitale kan\u00eb filluar administrimin me kujdes t\u00eb steroideve ose <em>ila\u00e7eve q\u00eb pengojn\u00eb citokin\u00ebn IL-6<\/em>. Por t\u00eb dh\u00ebnat e provave klinike me cil\u00ebsi t\u00eb lart\u00eb, p\u00ebr trajtime t\u00eb tilla nuk do t\u00eb jen\u00eb t\u00eb gatshme p\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb. P\u00ebr m\u00eb tep\u00ebr, edhe n\u00ebse rezultatet e hershme jan\u00eb inkurajuese, do t\u00eb na mbetet akoma t\u00eb b\u00ebjm\u00eb dallimin midis atyre pacient\u00ebve q\u00eb do t\u00eb p\u00ebrfitojn\u00eb nga imunosupresioni dhe ata q\u00eb nuk do t\u00eb b\u00ebjn\u00eb. N\u00eb t\u00eb kaluar\u00ebn, mjek\u00ebt kan\u00eb interpretuar nivelin e ngritur t\u00eb gjakut t\u00eb protein\u00ebs <em>ferritin<\/em>, si nj\u00eb shenj\u00eb se nj\u00eb <em>stuhi citokine<\/em> \u00ebsht\u00eb n\u00eb proces. Disa tani jan\u00eb duke p\u00ebrdorur at\u00eb analiz\u00eb n\u00eb trajtimin e Covid-19. Vet\u00ebm koha do t\u00eb tregoj\u00eb n\u00ebse ata kan\u00eb t\u00eb drejt\u00eb.<\/p>\n<p>Nuk \u00ebsht\u00eb vet\u00ebm sistemi imunitar, q\u00eb duhet t\u00eb mbaj\u00eb nj\u00eb ekuilib\u00ebr delikat. Rrjedha e gjakut gjithashtu ekziston n\u00eb nj\u00eb luft\u00eb t\u00eb p\u00ebrhershme midis gjakderdhjes dhe mpiksjes. Shum\u00eb gjakderdhje, dhe trauma m\u00eb e vog\u00ebl mund t\u00eb shkaktoj\u00eb hemorragji, madje deri n\u00eb pik\u00ebn e vdekjes (rreziku me t\u00eb cilin p\u00ebrballen njer\u00ebzit me hemofili); shum\u00eb larg n\u00eb drejtimin tjet\u00ebr, dhe mpiksjet do t\u00eb formohen n\u00eb munges\u00eb t\u00eb traum\u00ebs, duke penguar potencialisht en\u00ebt e gjakut dhe duke shkaktuar d\u00ebme vdekjeprur\u00ebse n\u00ebse ata kalojn\u00eb n\u00eb zem\u00ebr, mushk\u00ebri ose tru.<\/p>\n<p>Duke matur nj\u00eb protein\u00eb t\u00eb gjakut t\u00eb quajtur D-dimer, mjek\u00ebt mund t\u00eb marrin nj\u00eb sens t\u00eb p\u00ebraf\u00ebrt se sa mpiksja e tep\u00ebrt q\u00eb ndodh n\u00eb rrjedh\u00ebn e gjakut. Shum\u00eb infeksione shkaktojn\u00eb nj\u00eb rritje t\u00eb mpiksjes. Por n\u00eb disa pacient\u00eb t\u00eb Covid-19, mjek\u00ebt po shohin nofullat q\u00eb bien. Disa pacient\u00eb duket se kan\u00eb mpiksje patologjike t\u00eb p\u00ebrhapur. Nj\u00eb nga pacient\u00ebt tan\u00eb, nj\u00eb burr\u00eb i sh\u00ebndetsh\u00ebm n\u00eb vitet pes\u00ebdhjet\u00eb, arriti n\u00eb spitalin ton\u00eb ICU me nj\u00eb nivel D-dimer prej nj\u00eb mij\u00eb t\u00eb ngritur, por t\u00eb paharruesh\u00ebm. Por kur nj\u00eb mjek u p\u00ebrpoq t\u00eb vendoste nj\u00eb IV n\u00eb nj\u00ebr\u00ebn nga venat femurale t\u00eb burrit &#8211; <em>venat m\u00eb t\u00eb m\u00ebdha n\u00eb k\u00ebmb\u00eb<\/em> &#8211; ai zbuloi, p\u00ebrmes p\u00ebrdorimit t\u00eb ultraz\u00ebrit n\u00eb shtrat, se ishte e mbushur me mpiksje. Testi i dyt\u00eb D-dimer, i kryer vet\u00ebm disa or\u00eb pas t\u00eb parit, regjistroi nj\u00eb nivel prej mbi dhjet\u00eb mij\u00eb. Burri vdiq disa or\u00eb m\u00eb von\u00eb.<\/p>\n<p>\u00cbsht\u00eb e mundur q\u00eb <em>stuhit\u00eb e citokin\u00ebs<\/em> po shkaktojn\u00eb koagulim tep\u00ebr aktiv. Por, cilido qoft\u00eb shkaku q\u00eb rezulton t\u00eb jet\u00eb, pacient\u00ebt p\u00ebrballen me nj\u00eb sfid\u00eb. Mjek\u00ebt shpesh japin doza t\u00eb vogla t\u00eb ila\u00e7eve antikoagulante p\u00ebr pacient\u00ebt q\u00eb pranohen n\u00eb spital, thjesht sepse shtrimi n\u00eb shtrat p\u00ebr nj\u00eb periudh\u00eb t\u00eb zgjatur e b\u00ebn mpiksjen m\u00eb t\u00eb mundshme. Por nivelet m\u00eb ekstreme t\u00eb koagulimit k\u00ebrkojn\u00eb antikoagulim m\u00eb agresiv \u2014 dhe mjek\u00ebt duhet t\u00eb kuptojn\u00eb se kur do ta administrojn\u00eb at\u00eb dhe kujt. K\u00ebto ila\u00e7e mbartin rreziqet e tyre. Pacienti q\u00eb vuante nga mpiksja e femurit u vu menj\u00ebher\u00eb n\u00eb ila\u00e7e agresive antikoaguluese. Megjithat\u00eb, vdekja e tij dhe rritja e shpejt\u00eb e D-dimer, sugjeruan q\u00eb nd\u00ebrhyrjet e suksesshme antikoagulante n\u00eb pacient\u00ebt e tjer\u00eb mund t\u00eb ken\u00eb nevoj\u00eb t\u00eb vijn\u00eb m\u00eb her\u00ebt.<\/p>\n<p>Mjek\u00ebt shpesh testojn\u00eb pacient\u00eb t\u00eb s\u00ebmur\u00eb, n\u00eb m\u00ebnyr\u00eb kritike p\u00ebr proteinat specifike kardiake, n\u00eb rrjedh\u00ebn e gjakut, q\u00eb zakonisht gjenden vet\u00ebm n\u00eb muskujt e zemr\u00ebs. Prania e proteinave t\u00eb tilla n\u00eb gjak sugjeron d\u00ebmtimin e zemr\u00ebs. Disa pacient\u00eb t\u00eb r\u00ebnd\u00eb me covid-19 kan\u00eb ngritur nivelin e troponin\u00ebs; zemrat e tyre duket se jan\u00eb t\u00eb d\u00ebmtuara. Ne nuk jemi plot\u00ebsisht t\u00eb sigurt se \u00e7far\u00eb po e shkakton d\u00ebmin, dhe k\u00ebshtu ne nuk dim\u00eb sakt\u00ebsisht se si ta trajtojm\u00eb at\u00eb.<\/p>\n<p>Nj\u00eb nga shkaqet kryesore t\u00eb d\u00ebmtimit t\u00eb zemr\u00ebs \u00ebsht\u00eb uria e oksigjenit: \u00ebsht\u00eb ajo q\u00eb ndodh me nj\u00eb sulm n\u00eb zem\u00ebr, kur bllokimi i papritur i nj\u00eb arterie koronare parandalon oksigjenin t\u00eb arrij\u00eb n\u00eb muskujt e zemr\u00ebs. Vuajtja e uris\u00eb gjithashtu mund t\u00eb ndodh\u00eb kur mushk\u00ebrit\u00eb e d\u00ebshtuara parandalojn\u00eb hyrjen e oksigjenit n\u00eb gjak, ose sepse shkakton nj\u00eb r\u00ebnie t\u00eb till\u00eb t\u00eb presionit t\u00eb gjakut q\u00eb edhe gjaku i oksigjenuar si\u00e7 duhet, nuk mund t\u00eb arrij\u00eb n\u00eb zem\u00ebr aq shpejt. K\u00ebto probleme jan\u00eb dometh\u00ebn\u00ebse, dhe, n\u00eb terma t\u00eb gjer\u00eb, mjek\u00ebt din\u00eb t\u2019i p\u00ebrgjigjen atyre. Sidoqoft\u00eb, ka mund\u00ebsi t\u00eb tjera.<\/p>\n<p>Ndoshta koagulimi i arratisur \u00ebsht\u00eb duke e mbytur anijen e qarkullimit. Raportet e hershme nga Kina, nd\u00ebrkoh\u00eb, sugjeruan q\u00eb koronavirusi mund t\u00eb sulmonte drejtp\u00ebrdrejt muskulin e zemr\u00ebs, duke shkaktuar nj\u00eb sindrom t\u00eb njohur si miokarditi. Askush nuk e di me siguri se cili mund t\u00eb jet\u00eb trajtimi m\u00eb i mir\u00eb p\u00ebr k\u00ebt\u00eb form\u00eb t\u00eb miokarditit. Disa mjek\u00eb kan\u00eb raportuar q\u00eb <em>steroidet <\/em>mund t\u00eb ndihmojn\u00eb \u2014 dhe megjithat\u00eb steroidet gjithashtu veprojn\u00eb si nj\u00eb <em>imunosupresiv<\/em>. N\u00eb kujdesin kritik, shpesh \u00ebsht\u00eb e v\u00ebshtir\u00eb t\u00eb sjell\u00ebsh ekuilibrin e nj\u00eb sistemi organesh pa destabilizuar nj\u00eb tjet\u00ebr.<\/p>\n<p>Nj\u00eb histori e ngjashme duket se po shpaloset rreth veshkave. Veshkat sh\u00ebrbejn\u00eb si filtra t\u00eb gjakut, duke tretur komponime t\u00eb caktuara dhe duke i ekskretuar ato n\u00eb urin\u00eb, nd\u00ebrsa rregullojn\u00eb p\u00ebrb\u00ebrjen e sakt\u00eb t\u00eb elektroliteve q\u00eb lejojn\u00eb funksionimin e qelizave. D\u00ebshtimi i plot\u00eb i veshkave \u00ebsht\u00eb nj\u00eb d\u00ebnim me vdekje n\u00ebse nuk adresohet shpejt. Fatkeq\u00ebsisht, shum\u00eb pacient\u00eb me s\u00ebmundje kritike t\u00eb covid-19 po e zhvillojn\u00eb at\u00eb. Ashtu si ventilator\u00ebt jan\u00eb duke z\u00ebvend\u00ebsuar mushk\u00ebrit\u00eb e d\u00ebshtuara, k\u00ebshtu q\u00eb makinat p\u00ebr dializ\u00eb po marrin p\u00ebrsip\u00ebr pun\u00ebn p\u00ebr veshkat e d\u00ebshtuara. Zonat m\u00eb t\u00eb goditura n\u00eb vend po p\u00ebrballen me munges\u00eb t\u00eb burimeve t\u00eb nevojshme p\u00ebr dializ\u00ebn: makinerit\u00eb e dializ\u00ebs, l\u00ebngu i p\u00ebrdorur n\u00eb procesin e dializ\u00ebs dhe infermier\u00ebt e trajnuar nga dializat.<\/p>\n<p>Ne ende nuk e dim\u00eb se si shfaqet d\u00ebmtimi i veshkave te pacient\u00ebt me s\u00ebmundje t\u00eb covid-19. Ka t\u00eb ngjar\u00eb q\u00eb disa njer\u00ebz t\u00eb rimarrin funksionin e tyre n\u00eb veshka, nd\u00ebrsa t\u00eb tjer\u00ebt mund ta humbin at\u00eb p\u00ebrgjithmon\u00eb. Ne gjithashtu nuk e dim\u00eb pse njer\u00ebzit shkojn\u00eb n\u00eb d\u00ebshtim t\u00eb veshkave n\u00eb radh\u00eb t\u00eb par\u00eb. Ashtu si me zemr\u00ebn, \u00ebsht\u00eb e mundur q\u00eb uria e oksigjenit t\u00eb jet\u00eb problemi. Por disa pacient\u00eb argumentojn\u00eb se virusi po sulmon n\u00eb m\u00ebnyr\u00eb t\u00eb drejtp\u00ebrdrejt\u00eb qelizat e veshkave &#8211; dhe ka t\u00eb dh\u00ebna biopsie nga Kina q\u00eb mb\u00ebshtesin k\u00ebt\u00eb tez\u00eb, gjithashtu.<\/p>\n<p>Edhe sisteme t\u00eb tjera organesh mund t\u00eb p\u00ebrfshihen n\u00eb covid-19. Proteina e receptorit ACE-2, e cila p\u00ebrdoret nga koronavirusi p\u00ebr t\u00eb hyr\u00eb n\u00eb qelizat e njeriut, banon jo vet\u00ebm n\u00eb traktin respirator, por edhe n\u00eb qelizat n\u00eb stomak, zorr\u00ebt, m\u00ebl\u00e7in\u00eb, veshkat dhe trurin. Ekzistojn\u00eb raporte p\u00ebr pacient\u00eb me koronavirus me <em>encefalit<\/em> &#8211; nj\u00eb inflamacion potencialisht fatal i trurit &#8211; dhe shenja t\u00eb nj\u00eb incidence t\u00eb rritur t\u00eb goditjes. N\u00eb spitalin ton\u00eb, kemi par\u00eb disa pacient\u00eb me covid-19, q\u00eb vuajn\u00eb nga nj\u00eb nd\u00ebrlikim i r\u00ebnd\u00eb i diabetit t\u00eb quajtur <em>ketoacidosis diabetik<\/em>, pavar\u00ebsisht se nuk kan\u00eb histori si diabetik\u00eb.<\/p>\n<p>Muajin e kaluar, ne kontrolluam p\u00ebr covid-19, duke pyetur p\u00ebr ethe dhe koll\u00eb. Tani e dim\u00eb se s\u00ebmundja manifestohet n\u00eb m\u00ebnyra t\u00eb tjera, ose ndonj\u00ebher\u00eb vazhdon pa simptoma fare. Nj\u00eb pacient arriti koh\u00ebt e fundit n\u00eb E.R., duke raportuar tre dit\u00eb diarre t\u00eb holluar me uj\u00eb dhe nj\u00eb dit\u00eb <em>nauze<\/em> dhe <em>vjellje<\/em>; ajo tha q\u00eb ndjehej e dob\u00ebt, por nuk kishte p\u00ebrjetuar <em>ethe<\/em>, t\u00eb <em>dridhura<\/em>, <em>djersitje<\/em> ose <em>simptoma t\u00eb frym\u00ebmarrjes<\/em>. Ngopja e saj me oksigjen ishte n\u00eb t\u00eb n\u00ebnt\u00ebdhjetat e ul\u00ebt; X-ray (r\u00f6ntgen) e saj n\u00eb gjoks ishte n\u00eb p\u00ebrputhje me covid-19.<\/p>\n<p>P\u00ebr ne, dhe p\u00ebr shum\u00eb mjek\u00eb q\u00eb njohim, raste si k\u00ebto, jan\u00eb b\u00ebr\u00eb subjekte t\u00eb konsumimit t\u00eb magjepsjes. Gjat\u00eb disa \u00e7asteve tona t\u00eb lira, ne ndajm\u00eb nivelet e D-dimerit t\u00eb lart\u00eb n\u00eb qiell t\u00eb pacient\u00ebve dhe teorit\u00eb i shk\u00ebmbejn\u00eb p\u00ebr burimet e leximeve t\u00eb tyre t\u00eb paq\u00ebndrueshme t\u00eb oksigjenit. N\u00eb munges\u00eb t\u00eb t\u00eb dh\u00ebnave nga gjykimet e rastit, t\u00eb ardhsh\u00ebm, ne k\u00ebrkojm\u00eb p\u00ebrgjigje n\u00eb llogarit\u00eb n\u00eb Twitter t\u00eb koleg\u00ebve, n\u00eb intervista me mjek\u00eb kinez\u00eb ose italian\u00eb dhe n\u00eb tabelat e pacient\u00ebve tan\u00eb. Koleg\u00ebt tan\u00eb n\u00eb <em>Mount Sinai<\/em> po fillojn\u00eb aktivisht me dhjet\u00ebra projekte k\u00ebrkimore, duke filluar nga strategjit\u00eb e menaxhimit t\u00eb ventilatorit e deri tek p\u00ebrcaktuesit shoq\u00ebror\u00eb t\u00eb vdekshm\u00ebris\u00eb s\u00eb covid-19, por do t\u00eb kalojn\u00eb muaj, p\u00ebrpara se k\u00ebto projekte t\u00eb na japin nj\u00eb pasqyr\u00eb objektive t\u00eb s\u00ebmundjes.<\/p>\n<p>D\u00ebshira e d\u00ebshp\u00ebruar p\u00ebr qart\u00ebsi \u00ebsht\u00eb e dukshme n\u00eb \u00e7do nivel t\u00eb profesionit mjek\u00ebsor. N\u00eb fillim t\u00eb k\u00ebtij muaji, <em>New England Journal of Medicine<\/em> publikoi nj\u00eb studim v\u00ebzhgues, pes\u00ebdhjet\u00eb e tre pacient\u00eb t\u00eb <em>remdesivirit<\/em> &#8211; <em>t\u00eb ila\u00e7eve antiviral<\/em>; shum\u00eb v\u00ebzhgues e kritikuan revist\u00ebn p\u00ebr botimin e saj, sepse gjykimi nuk kishte as nj\u00eb grup kontrolli dhe as rast\u00ebsi, dhe k\u00ebshtu q\u00eb asnj\u00eb p\u00ebrfundim statistikor dometh\u00ebn\u00ebs nuk mund t\u00eb nxirret nga rezultatet e tij. (<em>Edhe autor\u00ebt e saj vun\u00eb re se matja aktuale e efikasitetit t\u00eb ila\u00e7eve do t\u00eb k\u00ebrkonte &#8220;gjykime t\u00eb vazhdueshme t\u00eb randomizuara, t\u00eb kontrolluara nga placebo&#8221;<\/em>.)<\/p>\n<p>Megjithat\u00eb, si\u00e7 shkruan historiani i shkenc\u00ebs <em>Lorrene Daston<\/em> n\u00eb nj\u00eb <a href=\"https:\/\/critinq.wordpress.com\/2020\/04\/10\/ground-zero-empiricism\/\" target=\"_blank\" rel=\"noopener noreferrer\">ese t\u00eb koh\u00ebve t\u00eb fundit<\/a>, \u00ebsht\u00eb e natyrshme t\u00eb k\u00ebrkosh p\u00ebrgjigje n\u00eb agimin e nj\u00eb pandemie. &#8220;<em>N\u00eb momente t\u00eb pasiguris\u00eb ekstreme shkencore<\/em>,&#8221; shkruan Daston, &#8220;<em>v\u00ebzhgimi, q\u00eb zakonisht trajtohet si lidhje e dob\u00ebt e eksperimentit dhe statistikave n\u00eb shkenc\u00eb, vjen n\u00eb vetvete<\/em>.&#8221; Duke u p\u00ebrballur me nj\u00eb s\u00ebmundje t\u00eb re, mjek\u00ebt nuk kan\u00eb zgjidhje tjet\u00ebr p\u00ebrve\u00e7 se t\u00eb drejtohen tek &#8220;<em>raste t\u00eb vetme sugjeruese, anomali godit\u00ebse, modele t\u00eb pjes\u00ebshme<\/em>&#8220;. Ngadal\u00eb, pasi idet\u00eb tona p\u00ebr <em>&#8220;\u00e7far\u00eb funksionon dhe \u00e7far\u00eb jo<\/em>&#8221; na ndihmojn\u00eb t\u00eb na thon\u00eb &#8220;<em>\u00e7far\u00eb t\u00eb provosh, \u00e7far\u00eb t\u00eb llogaris\u00ebsh<\/em>&#8220;, sqaron eseja. Deri at\u00ebher\u00eb, &#8220;<em>ne jemi p\u00ebrs\u00ebri n\u00eb shekullin e shtat\u00ebmb\u00ebdhjet\u00eb, epoka e empirizmit n\u00eb tok\u00ebn-zero dhe duke v\u00ebzhguar sikur jeta jon\u00eb varet prej saj<\/em>&#8220;. Nj\u00eb pacient n\u00eb koh\u00ebn e vet, ne duhet t\u00eb punojm\u00eb n\u00eb t\u00eb tashmen.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Covid-19 \u00ebsht\u00eb nj\u00eb s\u00ebmundje e nj\u00eb kompleksiteti t\u00eb jasht\u00ebzakonsh\u00ebm, t\u00eb cilin edhe mjek\u00ebt m\u00eb me p\u00ebrvoj\u00eb po p\u00ebrpiqen ta kuptojn\u00eb. Fotografi nga Sergio Perez \/ Reuters Njoftim mjek\u00ebsor Nga Clifford Marks and Trevor Pour The New Yorker, 29 Prill 2020 &#8211; P\u00ebrktheu Arben \u00c7okaj Covid-19 \u00ebsht\u00eb par\u00eb se d\u00ebmton sisteme t\u00eb shumta organesh, duke p\u00ebrfshir\u00eb [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":55104,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,173],"tags":[],"class_list":["post-55087","post","type-post","status-publish","format-standard","has-post-thumbnail","category-artikuj","category-covid-19"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u00c7far\u00eb nuk dim\u00eb p\u00ebr koronavirusin? - FJALA e LIR\u00cb<\/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:\/\/jehonashqiptare.al\/fjala\/cfare-nuk-dime-per-koronavirusin\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c7far\u00eb nuk dim\u00eb p\u00ebr koronavirusin? - FJALA e LIR\u00cb\" \/>\n<meta property=\"og:description\" content=\"Covid-19 \u00ebsht\u00eb nj\u00eb s\u00ebmundje e nj\u00eb kompleksiteti t\u00eb jasht\u00ebzakonsh\u00ebm, t\u00eb cilin edhe mjek\u00ebt m\u00eb me p\u00ebrvoj\u00eb po p\u00ebrpiqen ta kuptojn\u00eb. 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