{"id":4277,"date":"2026-10-12T07:39:27","date_gmt":"2026-10-12T07:39:27","guid":{"rendered":"https:\/\/md-medicina.si\/ambulantne-dejavnosti\/specialisticne-ambulante\/uroloska-ambulanta\/prekomerno-aktiven-secni-mehur\/"},"modified":"2026-10-12T07:39:27","modified_gmt":"2026-10-12T07:39:27","slug":"prekomerno-aktiven-secni-mehur","status":"publish","type":"page","link":"https:\/\/md-medicina.si\/sq\/ambulantne-dejavnosti\/specialisticne-ambulante\/uroloska-ambulanta\/prekomerno-aktiven-secni-mehur\/","title":{"rendered":"Fshik\u00ebza urinare hiperaktive (OAB)"},"content":{"rendered":"
\n \n \n \n\t\n\n\n\n
\n \n <\/path><\/svg>\n <\/span>\n <\/div>\n
\n \n \n\t\n\n\n\n
\n \n \n \n \n \n \n \n \n \n\n \n \n \n \n \n \n\n \n Kthim n\u00eb klinik\u00ebn e urologjis\u00eb<\/span>\n\n \n \n <\/a>\n\n \n\n\n<\/div>\n<\/div>
\n \n \n\t\n\n\n\n

\nFshik\u00ebza urinare hiperaktive (OAB)\n<\/h1>
\nFshik\u00ebza urinare hiperaktive \u00ebsht\u00eb nj\u00eb \u00e7rregullim i shpesht\u00eb i rrug\u00ebve t\u00eb poshtme urinare, i karakterizuar nga nj\u00eb nevoj\u00eb e papritur dhe e fort\u00eb p\u00ebr t\u00eb urinuar, e cila v\u00ebshtir\u00eb se mund t\u00eb shtyhet. Shpesh shoq\u00ebrohet me urinim m\u00eb t\u00eb shpesht\u00eb, urinim gjat\u00eb nat\u00ebs dhe ndonj\u00ebher\u00eb edhe me rrjedhje t\u00eb pad\u00ebshiruar t\u00eb urin\u00ebs. Problemet mund t\u00eb ndikojn\u00eb ndjesh\u00ebm n\u00eb jet\u00ebn e p\u00ebrditshme, n\u00eb gjum\u00eb dhe n\u00eb funksionimin e p\u00ebrditsh\u00ebm. Me nj\u00eb trajtim t\u00eb p\u00ebrshtatsh\u00ebm urologjik, simptomat mund t\u00eb kontrollohen n\u00eb m\u00ebnyr\u00eb efektive dhe cil\u00ebsia e jet\u00ebs mund t\u00eb p\u00ebrmir\u00ebsohet ndjesh\u00ebm.\n<\/div>\n<\/div><\/div><\/div>\n<\/section>
\n \n \n\t\n\n\n\n
\n \n \n\t\n\n\n\n

\nOAB\n<\/h2>
\n

Fshik\u00ebza urinare hiperaktive (OAB) \u00ebsht\u00eb nj\u00eb sindrom\u00eb klinike me simptoma karakteristike t\u00eb rrug\u00ebve t\u00eb poshtme urinare \u2013 nevoj\u00eb e papritur p\u00ebr t\u00eb urinuar q\u00eb kontrollohet me v\u00ebshtir\u00ebsi (urgjenca), shpesh s\u00eb bashku me urinim t\u00eb shpesht\u00eb (frekuenca) dhe urinim gjat\u00eb nat\u00ebs (nokturia), ndonj\u00ebher\u00eb edhe me inkontinenc\u00eb urinare nga urgjenca.<\/p>

Fshik\u00ebza urinare hiperaktive zakonisht \u00ebsht\u00eb nj\u00eb \u00e7rregullim multifaktorial, shkaku i qart\u00eb i t\u00eb cilit shpesh nuk mund t\u00eb p\u00ebrcaktohet. N\u00eb zhvillimin e OAB-s\u00eb marrin pjes\u00eb ndryshimet n\u00eb kontrollin nervor dhe n\u00eb ndjeshm\u00ebrin\u00eb e fshik\u00ebz\u00ebs, ndryshimet funksionale t\u00eb detrusorit (shtres\u00ebs muskulore t\u00eb fshik\u00ebz\u00ebs urinare) dhe faktor\u00eb t\u00eb ndrysh\u00ebm, si ndryshimet e lidhura me mosh\u00ebn, \u00e7rregullimet e funksionit t\u00eb dyshemes\u00eb s\u00eb legenit, kapsll\u00ebku ose \u00e7rregullimet e funksionit t\u00eb zorr\u00ebve, nd\u00ebrhyrjet e m\u00ebparshme operative n\u00eb legenin e vog\u00ebl ose rrezatimi, si dhe faktor\u00ebt psikologjik\u00eb dhe t\u00eb sjelljes (marrja e tep\u00ebrt e l\u00ebngjeve, kafeina, alkooli). Shpesh jan\u00eb t\u00eb pranish\u00ebm disa faktor\u00eb nj\u00ebkoh\u00ebsisht.<\/p>

\u00cbsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb dallohet OAB nga gjendje t\u00eb tjera q\u00eb mund t\u00eb shkaktojn\u00eb simptoma t\u00eb ngjashme, si infeksionet e rrug\u00ebve urinare, gur\u00ebt, tumoret, \u00e7rregullimet e zbrazjes s\u00eb fshik\u00ebz\u00ebs ose s\u00ebmundjet neurologjike. Prandaj OAB \u00ebsht\u00eb nj\u00eb diagnoz\u00eb klinike, t\u00eb cil\u00ebn e vendosim pas nj\u00eb vler\u00ebsimi baz\u00eb t\u00eb p\u00ebrshtatsh\u00ebm t\u00eb pacientit.<\/p>\n<\/div>\n<\/div>

\n \n \n\t\n\n\n\n

\nSi e njohim\n<\/h2>
\n

Diagnostikimi i fshik\u00ebz\u00ebs urinare hiperaktive p\u00ebrshtatet gjithmon\u00eb p\u00ebr secilin pacient dhe synon p\u00ebrcaktimin e simptomave karakteristike, identifikimin e faktor\u00ebve t\u00eb rrezikut dhe p\u00ebrjashtimin e s\u00ebmundjeve t\u00eb tjera q\u00eb mund t\u00eb shkaktojn\u00eb probleme t\u00eb ngjashme. Trajtimi baz\u00eb urologjik p\u00ebrfshin bised\u00ebn dhe ekzaminimin klinik, analiz\u00ebn e urin\u00ebs dhe nj\u00eb ditar 3-ditor t\u00eb urinimit, me t\u00eb cilin vler\u00ebsojm\u00eb shpesht\u00ebsin\u00eb dhe sasin\u00eb e urinimit, urgjenc\u00ebn, urinimin gjat\u00eb nat\u00ebs dhe rrjedhjen e mundshme t\u00eb urin\u00ebs. Sipas nevoj\u00ebs kryhen edhe ekografia e rrug\u00ebve urinare me matjen e urin\u00ebs s\u00eb mbetur pas urinimit dhe uroflowmetria. N\u00eb rastet e paqarta ose m\u00eb komplekse mund t\u00eb nevojiten ekzaminime shtes\u00eb \u2013 urodinamika, cistoskopia.<\/p>\n<\/div>\n<\/div><\/div>

\n \n \n\t\n\n\n\n

\nTrajtimi\n<\/h2>
\n

Trajtimi i fshik\u00ebz\u00ebs urinare hiperaktive i p\u00ebrshtatet individualisht pacientit. Q\u00ebllimi \u00ebsht\u00eb t\u00eb zvog\u00eblohen simptomat shqet\u00ebsuese dhe n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb t\u00eb p\u00ebrmir\u00ebsohet cil\u00ebsia e jet\u00ebs.<\/p>

Baza e trajtimit jan\u00eb ndryshimet n\u00eb zakonet e jetes\u00ebs dhe t\u00eb urinimit, trajnimi i fshik\u00ebz\u00ebs urinare, forcimi i muskujve t\u00eb dyshemes\u00eb s\u00eb legenit (ushtrimet Kegel), marrja e p\u00ebrshtatshme e l\u00ebngjeve, zvog\u00eblimi i marrjes s\u00eb kafein\u00ebs dhe i faktor\u00ebve t\u00eb tjer\u00eb q\u00eb mund t'i p\u00ebrkeq\u00ebsojn\u00eb simptomat. N\u00ebse problemet vazhdojn\u00eb, mund t\u00eb fillojm\u00eb trajtimin me barna (antimuskarinik\u00eb, agonist\u00eb t\u00eb receptor\u00ebve \u03b23-adrenergjik\u00eb). N\u00ebse efekti i barit \u00ebsht\u00eb i pamjaftuesh\u00ebm, trajtimi mund t\u00eb p\u00ebrshtatet, bari mund t\u00eb nd\u00ebrrohet ose mund t\u00eb p\u00ebrdoret nj\u00eb kombinim barnash. P\u00ebr pacient\u00ebt me simptoma k\u00ebmb\u00ebngul\u00ebse ose m\u00eb t\u00eb v\u00ebshtira p\u00ebr t'u kontrolluar, n\u00eb dispozicion jan\u00eb edhe metoda m\u00eb t\u00eb avancuara, p\u00ebrkat\u00ebsisht aplikimi i botoksit n\u00eb murin e fshik\u00ebz\u00ebs urinare ose neuromodulimi.<\/p>

Trajtimi i p\u00ebrshtatet gjithmon\u00eb llojit dhe shkall\u00ebs s\u00eb simptomave, stilit t\u00eb jetes\u00ebs, s\u00ebmundjeve shoq\u00ebruese dhe p\u00ebrgjigjes ndaj trajtimit t\u00eb m\u00ebparsh\u00ebm, nd\u00ebrsa nevojitet edhe kontroll i rregullt i efektivitetit t\u00eb trajtimit dhe i efekteve an\u00ebsore t\u00eb mundshme.<\/p>\n<\/div>\n<\/div>

\n \n \n\t\n\n\n\n

\nTrajnimi i fshik\u00ebz\u00ebs urinare\n<\/h2>
\n

Trajnimi i fshik\u00ebz\u00ebs urinare \u00ebsht\u00eb nj\u00eb metod\u00eb e sjelljes, me t\u00eb cil\u00ebn zgjatim gradualisht koh\u00ebn midis urinimeve dhe zvog\u00eblojm\u00eb ndjesin\u00eb e urgjenc\u00ebs. Q\u00ebllimi \u00ebsht\u00eb t\u00eb rivendoset nj\u00eb rit\u00ebm m\u00eb i rregullt i urinimit dhe t\u00eb p\u00ebrmir\u00ebsohet kontrolli mbi fshik\u00ebz\u00ebn.<\/p>

Si kryhet trajnimi:<\/p>