{"id":627,"date":"2025-04-29T17:27:52","date_gmt":"2025-04-29T17:27:52","guid":{"rendered":"https:\/\/md-medicina.si\/?page_id=627"},"modified":"2026-03-25T08:10:26","modified_gmt":"2026-03-25T08:10:26","slug":"benigno-povecanje-prostate","status":"publish","type":"page","link":"https:\/\/md-medicina.si\/sq\/ambulantne-dejavnosti\/specialisticne-ambulante\/uroloska-ambulanta\/benigno-povecanje-prostate\/","title":{"rendered":"Zmadhimi beninj i prostat\u00ebs"},"content":{"rendered":"
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\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>
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\nZmadhimi beninj i prostat\u00ebs\n<\/h1>
\nE njohur shpesh edhe si hiperplazia beninje e prostat\u00ebs (HBP), kjo \u00ebsht\u00eb nj\u00eb nga s\u00ebmundjet urologjike beninje m\u00eb t\u00eb shpeshta te burrat m\u00eb t\u00eb moshuar. B\u00ebhet fjal\u00eb p\u00ebr nj\u00eb zmadhim jokanceroz t\u00eb v\u00ebllimit t\u00eb indit t\u00eb prostat\u00ebs, ku plakja dhe hormonet seksuale mashkullore luajn\u00eb nj\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm. Prostata e zmadhuar mund t\u00eb ngushtoj\u00eb pjes\u00ebn e uretr\u00ebs q\u00eb e rrethon dhe t\u00eb shkaktoj\u00eb pengim t\u00eb daljes s\u00eb urin\u00ebs nga fshik\u00ebza, gj\u00eb q\u00eb ndikon n\u00eb cil\u00ebsin\u00eb e urinimit dhe n\u00eb mir\u00ebqenien e p\u00ebrditshme. Rrjedha m\u00eb e dob\u00ebt, urinimi i shpesht\u00eb ose gjat\u00eb nat\u00ebs dhe ndjesia e zbrazjes jo t\u00eb plot\u00eb t\u00eb fshik\u00ebz\u00ebs jan\u00eb shenja q\u00eb nuk duhen injoruar dhe jan\u00eb arsye p\u00ebr ekzaminim te urologu.\n<\/div>\n<\/div><\/div><\/div>\n<\/section>
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\nS\u00ebmundje q\u00eb prek burrat m\u00eb t\u00eb moshuar\n<\/h2>
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Hiperplazia beninje e prostat\u00ebs (HBP) \u00ebsht\u00eb nj\u00eb proces histologjik gjat\u00eb t\u00eb cilit rritet numri i qelizave stromale, t\u00eb muskujve t\u00eb l\u00ebmuar dhe epiteliale, kryesisht n\u00eb zon\u00ebn tranzitore dhe periuretrale t\u00eb prostat\u00ebs. N\u00eb kontekstin klinik flasim p\u00ebr zmadhimin beninj t\u00eb prostat\u00ebs (BPE), i cili mund t\u00eb ngushtoj\u00eb pjes\u00ebn prostatike t\u00eb uretr\u00ebs dhe t\u00eb shkaktoj\u00eb pengim t\u00eb daljes s\u00eb urin\u00ebs nga fshik\u00ebza, si dhe simptoma t\u00eb rrug\u00ebve t\u00eb poshtme urinare (LUTS). Megjithat\u00eb, madh\u00ebsia e prostat\u00ebs n\u00eb vetvete nuk tregon se sa t\u00eb theksuara do t\u00eb jen\u00eb problemet. Nj\u00eb burr\u00eb me prostat\u00eb t\u00eb madhe mund t\u00eb ket\u00eb pak ose aspak simptoma, nd\u00ebrsa nj\u00eb burr\u00eb me prostat\u00eb m\u00eb t\u00eb vog\u00ebl mund t\u00eb ket\u00eb probleme t\u00eb r\u00ebnd\u00ebsishme.<\/p>

Faktori m\u00eb i r\u00ebnd\u00ebsish\u00ebm p\u00ebr rritjen e v\u00ebllimit t\u00eb indit t\u00eb prostat\u00ebs, me diferenc\u00eb t\u00eb madhe, \u00ebsht\u00eb mosha. Me rritjen e mosh\u00ebs ndryshojn\u00eb ndikimet e nd\u00ebrsjella t\u00eb qelizave stromale dhe epiteliale, faktor\u00ebt e rritjes dhe mjedisi hormonal i prostat\u00ebs (vlera e rritur e metabolitit t\u00eb testosteronit, DHT). Shenjat e hiperplazis\u00eb beninje t\u00eb prostat\u00ebs fillojn\u00eb t\u00eb shfaqen kryesisht pas mosh\u00ebs 40 vje\u00e7 dhe shpesht\u00ebsia e tyre rritet gradualisht me mosh\u00ebn.<\/p>\n<\/div>\n<\/div>

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\nSimptomat e rrug\u00ebve t\u00eb poshtme urinare (LUTS)\n<\/h2>
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Rrjedha m\u00eb e dob\u00ebt, fillimi i v\u00ebshtir\u00eb i urinimit, rrjedha e nd\u00ebrprer\u00eb, urinimi m\u00eb i shpesht\u00eb, urinimi gjat\u00eb nat\u00ebs, nevoja e papritur p\u00ebr t\u00eb urinuar dhe ndjesia e zbrazjes jo t\u00eb plot\u00eb t\u00eb fshik\u00ebz\u00ebs jan\u00eb simptomat m\u00eb t\u00eb shpeshta t\u00eb zmadhimit beninj t\u00eb prostat\u00ebs. Prostata e zmadhuar mund ta ngushtoj\u00eb gradualisht uretr\u00ebn dhe ta v\u00ebshtir\u00ebsoj\u00eb daljen e urin\u00ebs. Problemet zakonisht zhvillohen ngadal\u00eb dhe me kalimin e koh\u00ebs mund t\u00eb p\u00ebrkeq\u00ebsohen. Te disa burra simptomat jan\u00eb t\u00eb lehta, nd\u00ebrsa te t\u00eb tjer\u00ebt ndikojn\u00eb ndjesh\u00ebm n\u00eb jet\u00ebn e p\u00ebrditshme dhe n\u00eb gjum\u00eb. Simptomat nuk jan\u00eb gjithmon\u00eb pasoj\u00eb e madh\u00ebsis\u00eb s\u00eb prostat\u00ebs. Me plakjen mund t\u00eb ndryshoj\u00eb edhe funksioni i fshik\u00ebz\u00ebs urinare, prandaj probleme t\u00eb ngjashme mund t\u00eb shkaktohen edhe nga nj\u00eb fshik\u00ebz hiperaktive ose e dob\u00ebsuar.<\/p>

N\u00ebse simptomat b\u00ebhen shqet\u00ebsuese, ndikojn\u00eb n\u00eb gjum\u00eb ose n\u00eb aktivitetet e p\u00ebrditshme, rekomandohet nj\u00eb ekzaminim urologjik.<\/p>\n<\/div>\n<\/div><\/div>

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\nEkzaminimi urologjik\n<\/h2>
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Gjat\u00eb ekzaminimit urologjik vler\u00ebsojm\u00eb simptomat, gjendjen e prostat\u00ebs, funksionin e fshik\u00ebz\u00ebs dhe urin\u00ebn e mundshme t\u00eb mbetur, si dhe p\u00ebrjashtojm\u00eb shkaqe t\u00eb tjera t\u00eb problemeve. Vler\u00ebsimi baz\u00eb p\u00ebrfshin:<\/p>