{"id":20754,"date":"2020-04-01T12:25:18","date_gmt":"2020-04-01T10:25:18","guid":{"rendered":"http:\/\/redaktori.com\/?p=20754"},"modified":"2020-04-01T12:25:18","modified_gmt":"2020-04-01T10:25:18","slug":"a-do-kete-vale-te-dyte-dhe-a-behemi-imune-pasi-infektohemi-gjithcka-qe-ende-nuk-dime-per-koronavirusin","status":"publish","type":"post","link":"https:\/\/redaktori.com\/?p=20754","title":{"rendered":"A do ket\u00eb val\u00eb t\u00eb dyt\u00eb dhe a b\u00ebhemi imun\u00eb pasi infektohemi? Gjith\u00e7ka q\u00eb ende nuk dim\u00eb p\u00ebr koronavirusin"},"content":{"rendered":"

U b\u00ebn\u00eb muaj q\u00eb lexojm\u00eb dhe studiojm\u00eb mbi coronavirusin, por shum\u00eb pyetje mbeten pa p\u00ebrgjigje. Esht\u00eb normale, ve\u00e7an\u00ebrisht kur b\u00ebhet fjal\u00eb p\u00ebr nj\u00eb pandemi: studimet b\u00ebhen m\u00eb me shpejt\u00ebsi dhe vendimet shpesh duhet t\u00eb bazohen n\u00eb hipoteza q\u00eb presin ende verifikim; urgjenca prodhon n\u00ebnvler\u00ebsime ose hartografim t\u00eb dob\u00ebt; shifrat e nj\u00eb infeksioni kaq t\u00eb p\u00ebrhapur jan\u00eb vet\u00ebm provizore, por shpesh mbi ato bazohen p\u00ebrshkrimet e natyr\u00ebs s\u00eb epidemis\u00eb.<\/p>\n

Ka mij\u00ebra gj\u00ebra q\u00eb ende nuk i dim\u00eb p\u00ebr virusin. Kemi hipoteza, por siguria do t\u00eb vij\u00eb vet\u00ebm n\u00eb retrospektiv\u00eb. K\u00ebtu jan\u00eb disa nga pyetjet e pazgjidhura.<\/p>\n

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Nga vjen ekzakt\u00ebsisht?<\/p>\n

Virusi u zbulua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb Vuhan, Kin\u00eb, n\u00eb fund t\u00eb vitit 2019, nga nj\u00eb grup rastesh t\u00eb njer\u00ebzve q\u00eb kishin frekuentuar nj\u00eb treg kafsh\u00ebsh. Koronavirusi, i quajtur zyrtarisht Sars-CoV-2, \u00ebsht\u00eb i lidhur ngusht\u00eb me viruset q\u00eb infektojn\u00eb lakuriq\u00ebt e nat\u00ebs, megjithat\u00eb nuk \u00ebsht\u00eb ende e qart\u00eb se cila ishte kafsha \u201cur\u00eb\u201d mes lakuriqit dhe njeriut. Lidhja q\u00eb mungon, p\u00ebr t\u00eb cil\u00ebn disa spekulojn\u00eb se mund t\u00eb jet\u00eb pangolina, mbetet e panjohur dhe mund t\u00eb jet\u00eb burimi i infeksioneve t\u00eb m\u00ebtejshme n\u00eb t\u00eb ardhmen.<\/p>\n

A do t\u00eb ndryshoj\u00eb virusi?<\/p>\n

Duke folur p\u00ebr karakteristikat e brendshme t\u00eb nj\u00eb virusi, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb kuptoni n\u00ebse ai do t\u00eb ndryshoj\u00eb apo po ndryshon. Viruset ndryshojn\u00eb vazhdimisht, por shumica e ndryshimeve n\u00eb kodin e tyre gjenetik nuk p\u00ebsojn\u00eb nj\u00eb ndryshim t\u00eb r\u00ebnd\u00ebsish\u00ebm. Si rregull i p\u00ebrgjithsh\u00ebm, viruset zakonisht evoluojn\u00eb duke u b\u00ebr\u00eb m\u00eb pak vdekjeprur\u00ebs n\u00eb planin afatgjat\u00eb (si\u00e7 ndodhi me SARS), por kjo nuk \u00ebsht\u00eb e garantuar. Shqet\u00ebsimi lidhet me faktin se n\u00ebse virusi ndryshon, sistemi imunitar nuk e njeh m\u00eb at\u00eb dhe nj\u00eb vaksin\u00eb specifike nuk funksionon m\u00eb (si\u00e7 ndodh me gripin). Tani p\u00ebr tani, ky koronavirus duket se nuk ndryshon, por historia e tij n\u00eb speciet njer\u00ebzore \u00ebsht\u00eb ende e shkurt\u00ebr.<\/p>\n

A b\u00ebhemi imun\u00eb pasi e marrim virusin?<\/p>\n

Mutacionet implikojn\u00eb imunitetin ndaj nj\u00eb s\u00ebmundjeje. Disa viruse zhvillojn\u00eb imunitet t\u00eb p\u00ebrhersh\u00ebm, t\u00eb tjer\u00ebt jo, e et\u00eb tjer\u00ebt t\u00eb p\u00ebrkohsh\u00ebm. Ekspozimi ndaj kat\u00ebr koronaviruseve endemik\u00eb ekzistues prodhon imunitet q\u00eb zgjat m\u00eb shum\u00eb se ai kund\u00ebr gripit, por nuk \u00ebsht\u00eb i p\u00ebrhersh\u00ebm. Tani p\u00ebr tani nuk e dim\u00eb se si do t\u00eb sillet ky virus. Lidhur me lajmet p\u00ebr njer\u00ebzit e sh\u00ebruar q\u00eb e kan\u00eb marr\u00eb at\u00eb p\u00ebr her\u00eb t\u00eb dyt\u00eb, mund t\u00eb themi se n\u00eb k\u00ebt\u00eb rast b\u00ebhet fjal\u00eb p\u00ebr rip\u00ebrs\u00ebritje. Me sa duket virusi nuk ka qen\u00eb eleminuar ende nga trupi, ai ka qen\u00eb latent. \u00c7\u00ebshtja e imunitetit \u00ebsht\u00eb thelb\u00ebsore p\u00ebr t\u00eb kuptuar se \u00e7far\u00eb do t\u00eb ndodh\u00eb n\u00eb afat t\u00eb gjat\u00eb ose n\u00eb rastin e val\u00ebs s\u00eb dyt\u00eb.<\/p>\n

A do t\u00eb ket\u00eb val\u00eb t\u00eb dyt\u00eb?<\/p>\n

Mund t\u00eb filloj\u00eb e gjitha me nj\u00eb riimportim t\u00eb rasteve nga zona t\u00eb bot\u00ebs ku infeksioni ka paur nj\u00eb tendenc\u00eb m\u00eb t\u00eb vonuar. Problemi n\u00eb p\u00ebrgjith\u00ebsi \u00ebsht\u00eb mungesa e sinkronis\u00eb s\u00eb shp\u00ebrthimeve t\u00eb epidemive n\u00eb t\u00eb gjith\u00eb bot\u00ebn. Ne mund t\u00eb sigurohemi kur shohim nj\u00eb ulje t\u00eb konsiderueshme t\u00eb numrit t\u00eb rasteve edhe n\u00eb vendet e tjera. Disa viruse jan\u00eb p\u00ebrs\u00ebrit\u00ebse, p\u00ebr shembull MERS kurr\u00eb nuk ka mbaruar. Shpresa p\u00ebr k\u00ebt\u00eb virus, \u00ebsht\u00eb se do t\u00eb ruaj\u00eb patogjenitetin dhe vdekshm\u00ebrin\u00eb aktuale relativisht t\u00eb kufizuar dhe nuk do t\u00eb ndryshoj\u00eb gjenetikisht. Hipotezat jan\u00eb: kontrolli \u00ebsht\u00eb i suksessh\u00ebm (si me Sars); epidemia mbaron pasi t\u00eb ket\u00eb infektuar sa m\u00eb shum\u00eb njer\u00ebz (si rasti i Zik\u00ebs); virusi humbet intensitetin dhe mbetet endemik si t\u00eb tjer\u00ebt q\u00eb vazhdojn\u00eb t\u00eb qarkullojn\u00eb (si\u00e7 \u00ebsht\u00eb gripi).<\/p>\n

Sa njer\u00ebz jan\u00eb infektuar me t\u00eb v\u00ebrtet\u00eb?<\/p>\n

Esht\u00eb nj\u00eb nga pyetjet m\u00eb themelore, por gjithashtu nj\u00eb nga pyetjet m\u00eb t\u00eb r\u00ebnd\u00ebsishme dhe m\u00eb t\u00eb v\u00ebshtira p\u00ebr t\u2019u p\u00ebrgjigjur. Ka pasur qindra mij\u00ebra raste t\u00eb konfirmuara n\u00eb t\u00eb gjith\u00eb bot\u00ebn, por kjo \u00ebsht\u00eb vet\u00ebm nj\u00eb pjes\u00eb e numrit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb infeksioneve. Dhe numrat ngat\u00ebrrohen m\u00eb tej nga nj\u00eb num\u00ebr i panjohur i rasteve asimptomatike: njer\u00ebzit q\u00eb kan\u00eb virus por nuk ndjehen keq. Zhvillimi i nj\u00eb testi t\u00eb antitrupave do t\u2019i lejoj\u00eb studiuesit t\u00eb shohin sa e kan\u00eb pasur virusin, por studimet n\u00eb mostrat p\u00ebrfaq\u00ebsuese jan\u00eb t\u00eb nevojshme. Numri gjithashtu varet nga m\u00ebnyra se si jan\u00eb b\u00ebr\u00eb tampon\u00ebt dhe si menaxhohet komunikimi i rasteve: disa studime q\u00eb konsiderojn\u00eb t\u00eb gjitha variablat, shum\u00ebzojn\u00eb vler\u00ebn aktuale me dhjet\u00eb, por nuk ka siguri.<\/p>\n

Cila \u00ebsht\u00eb gama e plot\u00eb e simptomave?<\/p>\n

Simptomat kryesore t\u00eb koronavirusit jan\u00eb ethe, koll\u00eb e that\u00eb dhe v\u00ebshtir\u00ebsi n\u00eb frym\u00ebmarrje. N\u00eb disa raste jan\u00eb raportuar gjithashtu dhimbje t\u00eb fytit, dhimbje koke dhe diarre dhe ka hipoteza n\u00eb rritje se nj\u00eb humbje e ndjenj\u00ebs s\u00eb arom\u00ebs dhe shijes \u00ebsht\u00eb karakteristike, ve\u00e7an\u00ebrisht n\u00eb fazat e sh\u00ebrimit. Por pyetja m\u00eb e r\u00ebnd\u00ebsishme \u00ebsht\u00eb n\u00ebse simptoma t\u00eb buta, t\u00eb ftoh\u00ebt, hunda q\u00eb rrjedh apo teshtitjet jan\u00eb t\u00eb pranishme n\u00eb disa pacient\u00eb. Studimet kan\u00eb sugjeruar q\u00eb kjo \u00ebsht\u00eb nj\u00eb mund\u00ebsi dhe se njer\u00ebzit mund t\u00eb jen\u00eb potencialisht infektiv\u00eb pa e ditur q\u00eb ata e kan\u00eb virusin: t\u00eb famshmit asimptomatik\u00eb.<\/p>\n

Pse disa njer\u00ebz p\u00ebrkeq\u00ebsohen?<\/p>\n

Covid-19 \u00ebsht\u00eb nj\u00eb infeksion i but\u00eb shumic\u00ebn e koh\u00ebs. Sidoqoft\u00eb, rreth 20% vazhdojn\u00eb t\u00eb zhvillojn\u00eb s\u00ebmundje m\u00eb serioze, por pse? Gjendja e sistemit imunitar t\u00eb nj\u00eb personi duket se \u00ebsht\u00eb pjes\u00eb e problemit dhe mund t\u00eb ket\u00eb gjithashtu nj\u00eb faktor gjenetik. T\u00eb kuptuarit e k\u00ebsaj mund t\u00eb \u00e7oj\u00eb n\u00eb zhvillimin e sistemeve t\u00eb parandalimit p\u00ebr t\u00eb ulur fluksin e kujdesit intensiv. \/ Il Sole \u2013 Bota.al<\/p>\n","protected":false},"excerpt":{"rendered":"

U b\u00ebn\u00eb muaj q\u00eb lexojm\u00eb dhe studiojm\u00eb mbi coronavirusin, por shum\u00eb pyetje mbeten pa p\u00ebrgjigje. Esht\u00eb normale, ve\u00e7an\u00ebrisht kur b\u00ebhet fjal\u00eb p\u00ebr nj\u00eb pandemi: studimet b\u00ebhen m\u00eb me shpejt\u00ebsi dhe vendimet shpesh duhet t\u00eb bazohen n\u00eb hipoteza q\u00eb presin ende verifikim; urgjenca prodhon n\u00ebnvler\u00ebsime ose hartografim t\u00eb dob\u00ebt; shifrat e nj\u00eb infeksioni kaq t\u00eb p\u00ebrhapur […]<\/p>\n","protected":false},"author":1,"featured_media":20755,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[6,3,20,21],"tags":[],"yoast_head":"\nA do ket\u00eb val\u00eb t\u00eb dyt\u00eb dhe a b\u00ebhemi imun\u00eb pasi infektohemi? 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