{"id":32900,"date":"2019-10-31T21:49:36","date_gmt":"2019-10-31T18:49:36","guid":{"rendered":"https:\/\/prohoster.info\/blog\/samye-nestrashnye-yady\/"},"modified":"2019-10-31T21:49:36","modified_gmt":"2019-10-31T18:49:36","slug":"samye-nestrashnye-yady","status":"publish","type":"post","link":"https:\/\/prohoster.info\/sq\/blog\/news\/samye-nestrashnye-yady","title":{"rendered":"Helmet m\u00eb pak t\u00eb frikshme","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/aefdb39dd7e05dfd58fd7cadfca0dbb4.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\nP\u00ebrsh\u00ebndetje s\u00ebrish, %username%!<\/p>\n<p>Faleminderit t\u00eb gjith\u00ebve q\u00eb e vler\u00ebsuan <noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/450294\/\">opusin tim \"Vijat m\u00eb t\u00eb frikshme t\u00eb helmave\".<\/a><\/noindex><\/p>\n<p>Isha shum\u00eb i interesuar t\u00eb lexoj komentet, pa marr\u00eb parasysh se \u00e7far\u00eb ishin ato, ishte shum\u00eb interesant t\u00eb p\u00ebrgjigjesha.<\/p>\n<p>Jam i lumtur q\u00eb \"top lista\" u p\u00eblqye. N\u00ebse nuk iu p\u00eblqeu - \u00e7far\u00eb t\u00eb b\u00ebj, un\u00eb b\u00ebra gjith\u00e7ka q\u00eb mundja.<\/p>\n<p>Shkrimi i pjes\u00ebs s\u00eb dyt\u00eb u frym\u00ebzua pik\u00ebrisht nga komentet dhe aktiviteti.<\/p>\n<p>Pra, po ju paraqes nj\u00eb tjet\u00ebr dhjet\u00ebshe vdekjeprur\u00ebse!<br \/>\n<noindex><a rel=\"nofollow\" name=\"habracut\"><\/a><\/noindex><\/p>\n<h3>Vendi i dhjet\u00eb<\/h3>\n<p>\n<b class=\"spoiler_title\">Blerimi<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/5a9050f8ff11428f61b16661cfc0eb8a.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nPo, e di, %username%, q\u00eb tani ti do t\u00eb thosh gj\u00ebra si: \"Hurra, p\u00ebrfundimisht klori, i madh dhe i tmerrsh\u00ebm!\" Por nuk \u00ebsht\u00eb ashtu. <\/p>\n<p>S\u00eb pari, n\u00eb blerim t\u00eb bardh\u00eb ka natrium hipoklorit, jo klor. Po, ai p\u00ebrfundimisht shp\u00ebrb\u00ebhet n\u00eb klor, por akoma nuk \u00ebsht\u00eb klor. <\/p>\n<p>S\u00eb dyti - p\u00ebrkund\u00ebr faktit se klori gjithsesi ishte anxh\/ilsi i par\u00eb i helmit luftarak n\u00eb historin\u00eb e njer\u00ebzimit (p\u00ebrdorur p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 1915 gjat\u00eb betej\u00ebs n\u00eb Ypres - po, ai dhe jo ipriti, megjith\u00ebse emri vjen nga atje), ai menj\u00ebher\u00eb \"nuk funksionoi\".<\/p>\n<p>Problemi \u00ebsht\u00eb se njeriu e ndjen klorin shum\u00eb p\u00ebrpara se t\u00eb preket nga helmi. Ai arrin t\u00eb ik\u00eb p\u00ebrpara se t\u00eb ndodh\u00eb.<\/p>\n<p>Mendo vet\u00eb: aroma e klorit do t\u00eb ndjehet nga \u00e7do njeri pa sinusit n\u00eb 0,1-0,3 ppm (edhe pse thon\u00eb q\u00eb sinusiti gjithashtu e ndjen). Koncentrimi 1-3 ppm zakonisht tolerohet p\u00ebr maksimum nj\u00eb or\u00eb - djegia e padurueshme n\u00eb syt\u00eb sjell mendime se ke shum\u00eb pun\u00eb t\u00eb r\u00ebnd\u00ebsishme, por p\u00ebr nj\u00eb arsye t\u00eb \u00e7uditshme larg k\u00ebtu. N\u00eb 30 ppm, menj\u00ebher\u00eb (dhe jo pas nj\u00eb ore) do t\u00eb fillojn\u00eb lot\u00ebt, dhe do t\u00eb ket\u00eb nj\u00eb koll\u00eb t\u00eb dhembshme. N\u00eb 40-60 ppm do t\u00eb fillojn\u00eb problemet me mushk\u00ebrit\u00eb.<\/p>\n<p>Nj\u00eb atmosfer\u00eb me nj\u00eb koncentrim klori 400 ppm p\u00ebr nj\u00eb gjysm\u00eb ore \u00ebsht\u00eb vdekjeprur\u00ebse. Apo disa minuta - me nj\u00eb koncentrim prej 1000 ppm.<\/p>\n<p>Gjata e Luft\u00ebs s\u00eb Par\u00eb Bot\u00ebrore, u p\u00ebrdor nj\u00eb teknik\u00eb e till\u00eb sepse klori \u00ebsht\u00eb rreth dy her\u00eb m\u00eb i r\u00ebnd\u00eb se ajri - k\u00ebshtu q\u00eb e l\u00ebshonin n\u00ebp\u00ebr fush\u00eb, duke i detyruar armikun t\u00eb largohej nga trenchat. Pastaj - ata e shp\u00ebrndanin me m\u00ebnyr\u00ebn e vjet\u00ebr dhe t\u00eb provuar.<\/p>\n<p>Sigurisht, n\u00ebse punoni n\u00eb nj\u00eb fabrik\u00eb klori dhe ju lidhin aty pran\u00eb nj\u00eb cistern\u00eb me klor - ka arsye p\u00ebr tu shqet\u00ebsuar. Por nuk ka nevoj\u00eb t\u00eb pres\u00ebsh q\u00eb t\u00eb helmohesh nga klori kur pastron tualetin ose p\u00ebr shkak t\u00eb elektroliz\u00ebs s\u00eb ujit t\u00eb kripur - thjesht nuk \u00ebsht\u00eb nj\u00eb problem.<\/p>\n<p>Po, n\u00ebse megjithat\u00eb nuk kishe fat - p\u00ebr dijeni: antidoti p\u00ebr klorin nuk ekziston, trajtimi b\u00ebhet me aj\u00ebr t\u00eb fresk\u00ebt. Dhe natyrisht me rikuperimin e indeve t\u00eb djegura.<\/p>\n<h3>Vendi i n\u00ebnt\u00eb<\/h3>\n<p>\n<b class=\"spoiler_title\">Vitamina A \u2014 ose e njohur si retinol<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/9220e1c07b01354f026c5783d6773d1d.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nT\u00eb gjith\u00ebve ju kujtohet p\u00ebr vitaminat. Po ashtu edhe p\u00ebr dobin\u00eb e tyre. Disa i ngat\u00ebrrojn\u00eb vitaminat me alkoolin dhe duhanin \u2014 por ajo \u00ebsht\u00eb nj\u00eb tjet\u00ebr \u00e7\u00ebshtje.<\/p>\n<p>T\u00eb gjitha gjyshet na thonin gjat\u00eb f\u00ebmij\u00ebris\u00eb t\u00eb ham\u00eb moll\u00eb dhe karota. Mua \u2014 m\u00eb thoshin. Un\u00eb thjesht e adhiroja puren e karot\u00ebs nga koha sovjetike n\u00eb ato kuti t\u00eb vogla!<\/p>\n<p>Por mos e ngat\u00ebrroni retinolin e friksh\u00ebm me karotinin natyral (ato q\u00eb e gjeni n\u00eb jojob\u00eb dhe karota): me konsum t\u00eb tepruar t\u00eb karotinoideve, mund t\u00eb ndodhi q\u00eb duar, b\u00ebrryla dhe mukozat t\u00eb ndjehen t\u00eb verdha (n\u00eb fakt, kjo m\u00eb ndodhi n\u00eb f\u00ebmij\u00ebri!), megjithat\u00eb edhe n\u00eb rastet m\u00eb ekstreme nuk jan\u00eb v\u00ebn\u00eb re simptoma t\u00eb helmimit.<\/p>\n<p>Pra, LD50 i retinolit \u00ebsht\u00eb 2 g\/kg p\u00ebr minj, t\u00eb cil\u00ebt e konsumojn\u00eb at\u00eb. Duke e marr\u00eb parasysh q\u00eb vitamina \u00ebsht\u00eb e tretshme n\u00eb yndyr\u00eb, at\u00ebher\u00eb n\u00ebse e shoq\u00ebron me yndyr\u00eb \u2014 do t\u00eb jet\u00eb m\u00eb pak. Te minjt\u00eb u v\u00ebrejt\u00ebn humbje t\u00eb vet\u00ebdijes, konvulsione dhe vdekje.<\/p>\n<p>Me njer\u00ebzit, rastet ishin m\u00eb interesante: doza e vitamin\u00ebs A 25,000 IU\/kg shkakton helmim akute, nd\u00ebrsa konsumimi i nj\u00eb dose t\u00eb p\u00ebrditshme prej 4,000 IU\/kg p\u00ebr 6\u201415 muaj shkakton helmim kronik (p\u00ebr referenc\u00eb: mjek\u00ebt \u2014 ata jan\u00eb njer\u00ebz shum\u00eb t\u00eb komplikuar p\u00ebr t'u kuptuar, dhe kjo nuk \u00ebsht\u00eb vet\u00ebm p\u00ebr shkak t\u00eb shkrimit \u2014 vitamina A e p\u00ebrllogaritin n\u00eb IU \u2014 Nj\u00ebsit\u00eb Mjek\u00ebsore; nj\u00eb nj\u00ebsia IU \u00ebsht\u00eb 0.3 \u03bcg retinoli).<\/p>\n<p>Simptomat e helmimit te njer\u00ebzit karakterizohen nga: inflamacion i korne\u00ebs s\u00eb syrit, humbje t\u00eb apetitit, t\u00eb vjella, zgjerimi i m\u00ebl\u00e7is\u00eb, dhimbje n\u00eb nyje. Helmimi kronik me vitamin\u00eb A v\u00ebrehet me konsum t\u00eb rregullt t\u00eb dozave t\u00eb larta t\u00eb vitamin\u00ebs, sasis\u00eb t\u00eb m\u00ebdha t\u00eb yndyr\u00ebs s\u00eb peshkut. <\/p>\n<p>Rastet e helmimit akute me pasoj\u00eb vdekjen jan\u00eb t\u00eb mundshme me konsumimin e m\u00ebl\u00e7is\u00eb s\u00eb rejk\u00ebs, arush\u00ebs s\u00eb bardh\u00eb, kafsh\u00ebve detare, huskive (mos i torturoni qent\u00eb!). Evropian\u00ebt filluan t\u00eb p\u00ebrballen me k\u00ebt\u00eb t\u00eb pakt\u00ebn q\u00eb nga viti 1597, kur pjes\u00ebmarr\u00ebsit n\u00eb ekspedit\u00ebn e tret\u00eb t\u00eb Barentz u s\u00ebmur\u00ebn seriozisht pas ngr\u00ebnies s\u00eb m\u00ebl\u00e7is\u00eb s\u00eb arush\u00ebs s\u00eb bardh\u00eb.<\/p>\n<p>Forma akute e helmimit shfaqet n\u00eb form\u00ebn e spazmave dhe paraliz\u00ebs. N\u00eb form\u00ebn kronike t\u00eb mbidoz\u00ebs, rritet presioni intrakranial, i cili shoq\u00ebrohet me dhimbje koke, t\u00eb p\u00ebrzier dhe t\u00eb vjella. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, ndodh \u00ebnjtje e njoll\u00ebs s\u00eb verdh\u00eb dhe lidhur me k\u00ebt\u00eb, shfaqen \u00e7rregullime t\u00eb shikimit. Shfaqen hemorragji, si dhe shenja hepatotoksike dhe nefrotoksike t\u00eb dozave t\u00eb m\u00ebdha t\u00eb vitamin\u00ebs A. Mund t\u00eb ndodhin fraktura spontane t\u00eb kockave. Teprica e vitamin\u00ebs A mund t\u00eb shkaktoj\u00eb defekte t\u00eb lindura dhe prandaj nuk duhet t\u00eb kaloj\u00eb norm\u00ebn e rekomanduar ditore, dhe gjat\u00eb shtatz\u00ebnis\u00eb \u00ebsht\u00eb m\u00eb mir\u00eb t\u00eb mos merret fare.<\/p>\n<p>P\u00ebr t\u00eb eliminuar helmimin, em\u00ebrohet mannit, q\u00eb ul presionin intrakranial dhe eliminon simptomat e meningjizmit, glukokortikoide q\u00eb p\u00ebrshpejtojn\u00eb metabolizmin e vitamin\u00ebs n\u00eb m\u00ebl\u00e7i dhe stabilizojn\u00eb membranat e lizosomeve n\u00eb m\u00ebl\u00e7i dhe veshka. Vitamina E gjithashtu stabilizon membranat qelizore.<\/p>\n<p>Pra, %username%, kujto: jo gjith\u00e7ka e dobishme \u00ebsht\u00eb e dobishme n\u00eb sasi t\u00eb m\u00ebdha.<\/p>\n<h3>Vendi i tet\u00eb<\/h3>\n<p>\n<b class=\"spoiler_title\">Hardueri<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/588081f64bd14468de30fe45b9920a76.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nPa dyshim, helmuese \u00ebsht\u00eb hyrja e nj\u00eb \u00e7eliku n\u00eb tru, <noindex><a rel=\"nofollow\" href=\"http:\/\/lamro.org\/2019\/04\/16\/muzhchina-vyzhil-posle-togo-kak-zheleznyy-prut-probil-ego-golovu-naskvoz-foto.html\">megjithat\u00eb kjo nuk \u00ebsht\u00eb e sakt\u00eb.<\/a><\/noindex>.<\/p>\n<p>Dhe po t\u00eb flasim seriozisht, situata me hekurin \u00ebsht\u00eb shum\u00eb e ngjashme me at\u00eb t\u00eb vitamin\u00ebs A.<\/p>\n<p>Disa p\u00ebr t\u00eb eliminuar anemin\u00eb nga mungesa e hekurit em\u00ebrojn\u00eb hekur. E dashura ime gjyshe gjithmon\u00eb k\u00ebshillonte t\u00eb hanim moll\u00eb \u2014 ato kan\u00eb shum\u00eb hekur (dhe t\u00eb gjith\u00eb e din\u00eb k\u00ebt\u00eb anekdot\u00eb t\u00eb njohur).<\/p>\n<p>M\u00eb par\u00eb, hekurin e hanin n\u00eb kuptimin e v\u00ebrtet\u00eb \u2014 n\u00eb foton e m\u00ebsip\u00ebrme \u00ebsht\u00eb hekur karbonyll \u2014 dhe k\u00ebshtu e hanin: n\u00eb stomak ka shum\u00eb acid klorhidrik, k\u00ebshtu q\u00eb hekur i im\u00ebt atje zgjidhet dhe kjo ishte e mjaftueshme.<\/p>\n<p>M\u00eb pas filluan t\u00eb em\u00ebrojn\u00eb sulfatin e hekurit dhe laktatin e hekurit. Truku me hekuri \u00ebsht\u00eb se ai duhet t\u00eb jet\u00eb patjet\u00ebr dyvalent: hekuri trevalent nuk i nevojitet trupit, p\u00ebrve\u00e7 k\u00ebsaj ai bie edhe n\u00eb sediment me pH m\u00eb t\u00eb lart\u00eb se 4.<\/p>\n<p>7-35 g hekuri t\u00eb \u00e7on shum\u00eb sigurish, %username%, n\u00eb bot\u00ebn tjet\u00ebr. Dhe tani nuk po flas p\u00ebr objektin metalik n\u00eb vendin e duhur t\u00eb trupit \u2014 po flas p\u00ebr krip\u00ebrat e hekurt. Me f\u00ebmij\u00ebt \u00ebsht\u00eb edhe m\u00eb e komplikuar (f\u00ebmij\u00ebt \u2014 \u00ebsht\u00eb gjithmon\u00eb e v\u00ebshtir\u00eb): 3 gram hekur jan\u00eb vdekjeprur\u00ebse p\u00ebr f\u00ebmij\u00ebt n\u00ebn mosh\u00ebn 3 vje\u00e7are. Nga statistikat kjo \u00ebsht\u00eb forma m\u00eb e zakonshme e helmimit t\u00eb rast\u00ebsish\u00ebm t\u00eb f\u00ebmij\u00ebve.<\/p>\n<p>Shtypja e tepric\u00ebs s\u00eb hekurit \u00ebsht\u00eb shum\u00eb e ngjashme me helmin nga metalet e r\u00ebnda (dhe, p\u00ebr rastin, trajtohet pothuajse po ashtu. Hekuri mund t\u00eb akumulohet n\u00eb trup, ashtu si metalet e r\u00ebnda - por n\u00eb disa s\u00ebmundje trash\u00ebgimore dhe kronike ose p\u00ebr shkak t\u00eb nj\u00eb sasi t\u00eb tep\u00ebrt t\u00eb furnizimit nga jasht\u00eb. Njer\u00ebzit me p\u00ebrmbajtje t\u00eb tep\u00ebrt hekuri vuajn\u00eb nga dob\u00ebsia fizike, humbasin pesh\u00eb, s\u00ebmuren m\u00eb shpesh. Megjithat\u00eb, t\u00eb heq\u00ebsh qafe tepric\u00ebn e hekurit shpesh \u00ebsht\u00eb m\u00eb e v\u00ebshtir\u00eb se sa t\u00eb eliminosh deficitin e tij.<\/p>\n<p>N\u00eb helmimin e r\u00ebnd\u00eb nga hekuri d\u00ebmtohet mukoz\u00ebn e zorr\u00ebve, zhvillohet d\u00ebshtimi hepatorenal, shfaqen t\u00eb vjella dhe t\u00eb p\u00ebrzier. Karakteristike \u00ebsht\u00eb diarrea dhe e ashtuquajtura \"stoli i zi\" - e merrni vesh. N\u00ebse e l\u00ebreni t\u00eb shkoj\u00eb - forma t\u00eb r\u00ebnda t\u00eb d\u00ebmtimit t\u00eb m\u00ebl\u00e7is\u00eb, koma, takimi me t\u00eb af\u00ebrmit e vdekur prej koh\u00ebsh.<\/p>\n<h3>Vendi i shtat\u00eb<\/h3>\n<p>\n<b class=\"spoiler_title\">Aspirin\u00eb<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/4391548f977978d85213c8bb9dee8570.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nN\u00eb ndonj\u00eb m\u00ebnyr\u00eb tani m\u00eb vijn\u00eb n\u00eb mendje t\u00eb gjitha filmat amerikan\u00eb, n\u00eb t\u00eb cil\u00ebt personazhet, kur kan\u00eb dhimbje koke, han\u00eb me sasi tabletash. O Zot!<\/p>\n<p>Acid acetilsalicilik ose aspirina - si e quajti Felix Hoffmann, i cili m\u00eb 10 gusht 1897 sintetizoi k\u00ebt\u00eb produkt shp\u00ebtimtar n\u00eb laborator\u00ebt e firm\u00ebs Bayer AG, ka LD50 te miq n\u00eb nivelin 200 mg\/kg. Po, kjo \u00ebsht\u00eb shum\u00eb, aq shum\u00eb tableta nuk mund t\u00eb hash, por si \u00e7do ila\u00e7, aspirina ka efekte an\u00ebsore. Dhe ato nuk jan\u00eb fort t\u00eb mira: probleme me traktin gastrointestinal dhe \u00ebnjtje t\u00eb indeve. Megjithat\u00eb, n\u00ebse v\u00ebrtet e tepron me aspirin\u00eb, at\u00ebher\u00eb n\u00eb rastin e mbidozimit akut (kur nj\u00eb her\u00eb - por shum\u00eb) vdekshm\u00ebria \u00ebsht\u00eb 2%. Mbidozimi kronik (kur jan\u00eb sasi t\u00eb larta - dhe p\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb) \u00ebsht\u00eb m\u00eb shpesh fatkeq\u00ebsisht fatal, vdekshm\u00ebria arrin n\u00eb 25%, dhe si me hekurin, mbidozimi kronik mund t\u00eb jet\u00eb ve\u00e7an\u00ebrisht i r\u00ebnd\u00eb p\u00ebr f\u00ebmij\u00ebt.<\/p>\n<p>N\u00eb helmimin nga aspirina v\u00ebrehet shqet\u00ebsim akut t\u00eb stomakut, konfuzion t\u00eb mendjes, psikoz\u00eb, stupor, zhurm\u00eb n\u00eb vesh\u00eb, p\u00ebrgjumje.<\/p>\n<p>Trajtohet si \u00e7do mbidoz\u00eb: me karbon aktiv, dektroz\u00eb intravenoze dhe solucion normal fiziologjik, bikarbonat natriumi dhe dializ\u00eb.<\/p>\n<p>Nj\u00eb v\u00ebmendje t\u00eb ve\u00e7ant\u00eb meriton sindromi Reye \u2013 nj\u00eb s\u00ebmundje e rrall\u00eb, por e r\u00ebnd\u00eb, e karakterizuar nga encefalopatia akute dhe depozita t\u00eb yndyr\u00ebs n\u00eb m\u00ebl\u00e7i. Ky problem mund t\u00eb shfaqet kur f\u00ebmij\u00ebve ose adoleshent\u00ebve u jepet aspirin p\u00ebr ethe ose s\u00ebmundje t\u00eb tjera, ose infeksione. Nga viti 1981 deri n\u00eb 1997, n\u00eb Qendrat p\u00ebr Kontrollin dhe Parandalimin e S\u00ebmundjeve n\u00eb SHBA u regjistruan 1207 raste t\u00eb sindromit Reye te individ\u00eb n\u00ebn 18 vje\u00e7. Prej tyre, 93% raportuan se kishin pasur s\u00ebmundje brenda tre jav\u00ebve q\u00eb paraprin\u00eb shfaqjen e sindromit Reye, m\u00eb shpesh me infeksione respiratore, vari\u00e7el\u00eb ose diarregj\u00eb. <\/p>\n<p>Duket k\u00ebshtu:<\/p>\n<ul>\n<li>Pak dit\u00eb pas fillimit t\u00eb s\u00ebmundjes virale (n\u00eb rastin e vari\u00e7el\u00ebs \u2013 n\u00eb dit\u00ebn 4-5 pas shfaqjes s\u00eb skuqjes) ndodhin papritmas nauze dhe t\u00eb vjella t\u00eb pakontrolluara, t\u00eb shoq\u00ebruara me ndryshime n\u00eb statusin mendor (ndryshimi varion nga letargjia e leht\u00eb deri te koma e thell\u00eb dhe episodet e zhg\u00ebnjimit, shqet\u00ebsimit psikomotor). <\/li>\n<li>Tek f\u00ebmij\u00ebt n\u00ebn 3 vje\u00e7, simptomat kryesore t\u00eb s\u00ebmundjes mund t\u00eb jen\u00eb \u00e7rregullimet e frym\u00ebmarrjes, gjendja e lodhjes dhe krizat, nd\u00ebrsa tek f\u00ebmij\u00ebt e mosh\u00ebs s\u00eb par\u00eb vihen re tensionet e madhe t\u00eb fontanel\u00ebs.<\/li>\n<li>N\u00eb munges\u00eb t\u00eb terapis\u00eb s\u00eb duhur, karakterizohet nga p\u00ebrkeq\u00ebsimi i shpejt\u00eb i gjendjes s\u00eb pacientit: zhvillimi i shpejt\u00eb i kom\u00ebs, krizat, ndalimi i frym\u00ebmarrjes.<\/li>\n<li>Zgjerimi i m\u00ebl\u00e7is\u00eb v\u00ebrehet n\u00eb 40% t\u00eb rasteve, megjithat\u00eb ikterus \u00ebsht\u00eb i rrall\u00eb.<\/li>\n<li>\u00cbsht\u00eb karakteristike rritja e AST, ALT, amoniakut n\u00eb serumet e pacient\u00ebve.<\/li>\n<\/ul>\n<p>\nSi ta parandalojm\u00eb k\u00ebt\u00eb? Mjafton: nuk duhet t\u2019i japim f\u00ebmij\u00ebs aspirin n\u00ebse ai \u00ebsht\u00eb i s\u00ebmur\u00eb me grip, fruth ose vari\u00e7el\u00eb. T\u00eb jemi t\u00eb kujdessh\u00ebm kur p\u00ebrshkruajm\u00eb acidin acetilsalicilik p\u00ebr f\u00ebmij\u00ebt n\u00ebn 12 vje\u00e7 me temperatur\u00eb t\u00eb lart\u00eb. N\u00eb k\u00ebt\u00eb rast rekomandohet z\u00ebvend\u00ebsimi i acidit acetilsalicilik me paracetamol ose ibuprofen. K\u00ebrkoni ndihm\u00eb mjek\u00ebsore menj\u00ebher\u00eb n\u00ebse f\u00ebmija juaj shfaq shenja: t\u00eb vjella, dhimbje t\u00eb forta koke, letargji, irritabilitet, delirium, \u00e7rregullim t\u00eb frym\u00ebmarrjes, ngurt\u00ebsi t\u00eb duarve dhe k\u00ebmb\u00ebve, koma.<\/p>\n<p>Kujdesuni p\u00ebr f\u00ebmij\u00ebt, ata jan\u00eb trash\u00ebgimia jon\u00eb.<\/p>\n<h3>Vendi i gjasht\u00eb<\/h3>\n<p>\n<b class=\"spoiler_title\">Dioxid karboni<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/33ee44eb5f1c0a36fbd7105a1c9f020f.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nPo, t\u00eb gjith\u00eb ne frym\u00ebzojm\u00eb dhe shp\u00ebrndajm\u00eb k\u00ebt\u00eb dioxid karboni. Dhe trupi nuk do ta heq\u00eb dor\u00eb leht\u00eb nga ndonj\u00eb gj\u00eb t\u00eb dobishme! N\u00eb aj\u00ebr, p\u00ebr shembull, dioxid karboni p\u00ebrb\u00ebn rreth 0,04% \u2013 p\u00ebr krahasim, argoni n\u00eb aj\u00ebr \u00ebsht\u00eb 20 her\u00eb m\u00eb shum\u00eb. <\/p>\n<p>P\u00ebrve\u00e7 teje dhe kafsh\u00ebve t\u00eb tjera, dioksidi i karbonit lirohet gjat\u00eb djegies s\u00eb plot\u00eb dhe ndodhet n\u00eb t\u00eb gjith\u00eb pijet me gaz \u2014 si ato pa alkool ashtu edhe disa m\u00eb interesante (p\u00ebr to \u2014 m\u00eb posht\u00eb).<\/p>\n<p>Me nj\u00eb p\u00ebrqendrim prej 0,1 % (k\u00ebso p\u00ebrmbajtjeje dioksidi i karbonit nganj\u00ebher\u00eb v\u00ebrehet n\u00eb ajrin e metropoleve), njer\u00ebzit fillojn\u00eb t\u00eb ndjejn\u00eb dob\u00ebsi, p\u00ebrgjumje \u2014 a e mban mend se si t\u00eb t\u00ebrhiqte t\u00eb gjuaje? Me rritjen deri n\u00eb 7-10 %, zhvillohen simptomat e asfiksis\u00eb, q\u00eb shfaqen n\u00eb form\u00eb dhimbjeje koke, marrje mendsh, d\u00ebmtime t\u00eb d\u00ebgjimit dhe humbje t\u00eb vet\u00ebdijes (simptoma q\u00eb duken si ato t\u00eb s\u00ebmundjes s\u00eb lart\u00ebsis\u00eb), k\u00ebto simptoma zhvillohen, n\u00eb var\u00ebsi t\u00eb p\u00ebrqendrimeve, brenda disa minutash deri n\u00eb nj\u00eb or\u00eb.<\/p>\n<p>P\u00ebrmes frym\u00ebmarrjes s\u00eb ajrit me p\u00ebrqendrime shum\u00eb t\u00eb larta t\u00eb gazit, vdekja ndodh shum\u00eb shpejt nga asfiksia q\u00eb shkaktohet nga hipoksia.<\/p>\n<p>Frym\u00ebmarrja e ajrit me p\u00ebrqendrim t\u00eb lart\u00eb t\u00eb k\u00ebtij gazi nuk shkakton \u00e7rregullime afatgjata sh\u00ebndet\u00ebsore. Pasi t\u00eb hiqet e prekur nga atmosfera me p\u00ebrqendrim t\u00eb lart\u00eb t\u00eb dioksidit t\u00eb karbonit, sh\u00ebndeti dhe ndjenjat rikthehen shpejt.<\/p>\n<p>Dhe gjithashtu, dioksidi i karbonit \u00ebsht\u00eb 1.5 her\u00eb m\u00eb i r\u00ebnd\u00eb se ajri \u2014 dhe kjo duhet marr\u00eb parasysh n\u00eb lidhje me grumbullimin n\u00eb ni\u0161a dhe katakombat.<\/p>\n<p>Ajros dhom\u00ebn t\u00ebnde, %username%!<\/p>\n<h3>Vendi i pest\u00eb<\/h3>\n<p>\n<b class=\"spoiler_title\">Gjiz\u00eb<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/a9d9efe2b53667ac9443b8b41b829e3b.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nSi duket gjiza \u2014 e din\u00eb t\u00eb gjith\u00eb. P\u00ebr debatin \u2014 \u00e7far\u00eb t\u00eb pihet me gjiz\u00eb dhe \u00e7far\u00eb pa t\u00eb: kafe apo \u00e7aj \u2014 nuk do t\u00eb flasim, ai ka marr\u00eb shum\u00eb jet\u00eb.<\/p>\n<p>N\u00eb t\u00eb v\u00ebrtet\u00eb, gjiza (p\u00ebr t\u00eb qen\u00eb sakt\u00eb \u2014 glukoza) \u00ebsht\u00eb nj\u00eb nga p\u00ebrb\u00ebr\u00ebsit kryesor\u00eb ushqyes \u2014 dhe e vetmja q\u00eb p\u00ebrthithet nga indeve nervore. Pa gjiz\u00eb, nuk do t\u00eb mund\u00ebsh t\u00eb mendosh dhe t\u00eb lexosh k\u00ebt\u00eb tekst, %username%!<\/p>\n<p>Megjithat\u00eb, gjiza ka nj\u00eb doz\u00eb toksike \u2014 50% e miqve t\u00eb vegj\u00ebl vdesin kur han\u00eb 30 g\/kg (mos pyet se si ia kuptuan). E mbaj mend si tani vagoni i metros\u00eb n\u00eb New York n\u00eb vitin 2014, ku gjith\u00e7ka i atribuonin gjiz\u00ebs: nga impotenca deri te infarkti. E kam menduar at\u00ebher\u00eb: si ka mbijetuar njer\u00ebzimi pa \u00ebmb\u00eblsues kimik\u00eb?<\/p>\n<p>Si ta kthejm\u00eb, gjiza \u00ebsht\u00eb toksike n\u00eb doza t\u00eb m\u00ebdha (si\u00e7 e keni v\u00ebn\u00eb re \u2014 SHUM\u00cb t\u00eb m\u00ebdha). Simptomat e helmimit jan\u00eb relativisht t\u00eb pakta:<\/p>\n<ul>\n<li><b class=\"spoiler_title\">Gjendje depresive<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/a2c0579fcf70840405a4ad46a6c19bb8.jpeg\" style=\"display:block;margin: 0 auto;\" \/>\n<\/li>\n<li>\u00c7rregullime gastrointestinale.<\/li>\n<\/ul>\n<p>\nPor m\u00eb tep\u00ebr, ka shum\u00eb njer\u00ebz midis nesh p\u00ebr t\u00eb cil\u00ebt sheqeri \u00ebsht\u00eb me t\u00eb v\u00ebrtet\u00eb nj\u00eb helm. K\u00ebta jan\u00eb diabetik\u00eb. Un\u00eb jam kimist, nuk jam mjek, por e di se diabetet jan\u00eb t\u00eb ndryshme n\u00eb lloje, n\u00eb shkall\u00eb, p\u00ebr shkak t\u00eb arsyeve t\u00eb ndryshme dhe trajtohen ndryshe. Prandaj, %username%, n\u00ebse ke v\u00ebn\u00eb re te vetja:<\/p>\n<ul>\n<li>Poliuria \u00ebsht\u00eb prodhimi i rritur i urin\u00ebs, i shkaktuar nga rritja e presionit osmotik t\u00eb urin\u00ebs p\u00ebr shkak t\u00eb glukoz\u00ebs q\u00eb \u00ebsht\u00eb tretur n\u00eb t\u00eb (n\u00eb kushte normale, glukoza nuk duhet t\u00eb ket\u00eb n\u00eb urin\u00eb). Ajo shfaqet me urinim t\u00eb shpesht\u00eb dhe t\u00eb bollsh\u00ebm, p\u00ebrfshir\u00eb gjat\u00eb nat\u00ebs.<\/li>\n<li>Polidipsia (atrofimi i vazhduesh\u00ebm i etjes) \u00ebsht\u00eb e shkaktuar nga humbjet e m\u00ebdha t\u00eb ujit me urin\u00ebn dhe rritjen e presionit osmotik t\u00eb gjakut.<\/li>\n<li>Polifagia \u00ebsht\u00eb nj\u00eb uri e vazhdueshme dhe e pakontrollueshme. Ky simptom\u00eb \u00ebsht\u00eb shkaktuar nga \u00e7rregullimi i metabolizmit n\u00eb diabet, p\u00ebrkat\u00ebsisht paaft\u00ebsia e qelizave p\u00ebr t\u00eb absorbuar dhe p\u00ebrpunuar glukoz\u00ebn n\u00eb munges\u00eb t\u00eb insulin\u00ebs (uri mes boll\u00ebkut).<\/li>\n<li>Humorimi (ve\u00e7an\u00ebrisht karakteristik p\u00ebr diabetin e tipit t\u00eb par\u00eb) \u00ebsht\u00eb nj\u00eb simptom\u00eb e zakonshme e diabetit, e cila zhvillohet pavar\u00ebsisht nga apetit i rritur i pacient\u00ebve. Humori (dhe madje edhe shterp\u00ebsia) \u00ebsht\u00eb n\u00ebn ndikimin e katabolizmit t\u00eb p\u00ebrshpejtuar t\u00eb proteinave dhe yndyrnave p\u00ebr shkak t\u00eb ndalimit t\u00eb glukoz\u00ebs n\u00eb metabolizmin energjitik t\u00eb qelizave.<\/li>\n<li>T\u00eb shfaqen shenjat dyt\u00ebsore: kruajtje e l\u00ebkur\u00ebs dhe mukoz\u00ebs, that\u00ebsi n\u00eb goj\u00eb, dob\u00ebsi t\u00eb p\u00ebrgjithshme muskulore, dhimbje koke, d\u00ebmtime inflamatore t\u00eb l\u00ebkur\u00ebs q\u00eb jan\u00eb t\u00eb v\u00ebshtira p\u00ebr t'u trajtuar, ndotje e shikimit.<\/li>\n<\/ul>\n<p>\n \u2014 shko n\u00eb spital dhe b\u00ebj teste p\u00ebr sheqerin!<\/p>\n<p>Diabeti nuk \u00ebsht\u00eb nj\u00eb d\u00ebnim i sigurt, ai trajtohet, por n\u00ebse nuk trajtohet dhe ha sheqer, te ti do t\u00eb ndodhin: s\u00ebmundje t\u00eb zemr\u00ebs, verbim, d\u00ebmtime t\u00eb veshkave, d\u00ebmtime t\u00eb nervave, ajo q\u00eb quhet k\u00ebmb\u00eb diabetike \u2014 k\u00ebrko n\u00eb Google, do t\u00eb t\u00eb p\u00eblqej\u00eb.<\/p>\n<h3>Vendi i kat\u00ebrt<\/h3>\n<p>\n<b class=\"spoiler_title\">Kripa e kuzhin\u00ebs<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/856dc51f5bb56a7cb350181706fc8575.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\n\u00abKripa dhe sheqeri jan\u00eb armiqt\u00eb tan\u00eb t\u00eb bardh\u00eb\u00bb, a \u00ebsht\u00eb e v\u00ebrtet\u00eb? Prandaj pas sheqerit vjen kripa.<\/p>\n<p>\u00cbsht\u00eb e v\u00ebshtir\u00eb t\u00eb imagjinosh ushqimin ton\u00eb pa krip\u00eb, nd\u00ebrsa, n\u00eb fakt, ne e p\u00ebrdorim at\u00eb ekskluzivisht p\u00ebr preferencat personale: natriumi dhe klori jan\u00eb t\u00eb pranish\u00ebm mjaftuesh\u00ebm n\u00eb produkte, nj\u00eb burim shtes\u00eb nuk \u00ebsht\u00eb thjesht i nevojsh\u00ebm.<\/p>\n<p>Pavar\u00ebsisht se kripa ka nj\u00eb funksion shum\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm mb\u00ebshtetjeje p\u00ebr balanc\u00ebn e ujit dhe krip\u00ebs n\u00eb trup, duke garantuar funksionimin e duhur t\u00eb pothuajse gjith\u00e7kaje \u2014 nga gjaku te veshkat, 3 g\/kg p\u00ebr minj ose 12.5 g\/kg p\u00ebr njer\u00ebzit mund t\u00eb jen\u00eb vdekjeprur\u00ebse.<\/p>\n<p>Arsyeja \u00ebsht\u00eb pik\u00ebrisht shkelja e k\u00ebtij balanci t\u00eb ujit dhe krip\u00ebs, q\u00eb \u00e7on n\u00eb d\u00ebshtimin e funksionit t\u00eb veshkave, rritjen e papritur t\u00eb presionit t\u00eb gjakut dhe vdekjen.<\/p>\n<p>Nuk mendoj se dikush \u00ebsht\u00eb n\u00eb gjendje t\u00eb konsumoj\u00eb kaq shum\u00eb krip\u00eb (p\u00ebrve\u00e7 n\u00ebse e b\u00ebn p\u00ebr nj\u00eb q\u00ebllim \u2014 mir\u00eb, nj\u00eb mund\u00ebsi e mir\u00eb p\u00ebr \u00e7mimin Darwin), megjithat\u00eb, edhe dozimet e vogla t\u00eb krip\u00ebs ndikojn\u00eb jo n\u00eb m\u00ebnyr\u00ebn m\u00eb t\u00eb mir\u00eb: dihet se reduktimi i konsumit t\u00eb krip\u00ebs n\u00eb 1 lug\u00eb \u00e7aji n\u00eb dit\u00eb dhe m\u00eb pak zvog\u00eblon presionin arterial me deri n\u00eb 8 mm Hg. Duke pasur parasysh se <noindex><a rel=\"nofollow\" href=\"https:\/\/www.who.int\/cardiovascular_diseases\/publications\/global_brief_hypertension\/ru\/\">hipertensioni godet njer\u00ebzit m\u00eb r\u00ebnd\u00eb se sida dhe kanceri<\/a><\/noindex>, nuk mendoj se reduktimi i konsumit t\u00eb krip\u00ebs \u00ebsht\u00eb ndonj\u00eb mas\u00eb aq t\u00eb pavler\u00eb p\u00ebr mbijetes\u00ebn.<\/p>\n<h3>Treshja fituese! Vendi i tret\u00eb<\/h3>\n<p>\n<b class=\"spoiler_title\">Kafeina<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/0315d63a575851f3c0c69a2c9a57cde4.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nTani do t\u00eb flasim p\u00ebr pijet. Kafe, \u00e7aj, kola, energjike \u2014 t\u00eb gjitha k\u00ebto p\u00ebrmbajn\u00eb kafein\u00eb. Sa filxhana kafe ke pir\u00eb sot? Un\u00eb, nd\u00ebrsa e shkruaj k\u00ebt\u00eb \u2014 asnj\u00eb, por kam d\u00ebshir\u00eb\u2026<\/p>\n<p>A, po, 1,3,7-trimetilksantin, guaranin\u00eb, kafein\u00eb, matein\u00eb, metiltheobromin\u00eb, tein\u00eb \u2014 jan\u00eb t\u00eb gjitha n\u00eb profil, thjesht emra t\u00eb ndrysh\u00ebm, shpesh t\u00eb shpikur p\u00ebr t\u00eb th\u00ebn\u00eb: \"A po, n\u00eb k\u00ebt\u00eb pije nuk ka asnj\u00eb gram kafeine \u2014 kjo \u00ebsht\u00eb krejt ndryshe dhe shum\u00eb m\u00eb e sh\u00ebndetshme!\" Historia \u00ebsht\u00eb k\u00ebshtu: n\u00eb vitin 1819, kimisti gjerman Ferdinand Runge, q\u00eb donte shum\u00eb t\u00eb flinte, izoloi alkaloidin q\u00eb e quajti kafein\u00eb (p\u00ebrkundrazi, ai ishte nj\u00eb djal\u00eb i mir\u00eb: izoloi kinine, e shpiku p\u00ebrdorimin e klorit si dezinfektues dhe filloi historin\u00eb e ngjyra anilinike). Pastaj, n\u00eb vitin 1827, Udri izoloi nj\u00eb alkaloid t\u00eb ri nga gjethet e \u00e7ajit dhe e quajti at\u00eb tein\u00eb. Ajo q\u00eb ishte m\u00eb e r\u00ebnd\u00ebsishmja, n\u00eb vitin 1838, Jobst dhe G. J. Mulder u ankuan p\u00ebr t\u00eb gjith\u00eb dhe provuan barazimin e tein\u00ebs dhe kafein\u00ebs. Struktura e kafein\u00ebs u p\u00ebrcaktua deri n\u00eb fund t\u00eb shekullit XIX nga Hermann Emil Fischer, i cili gjithashtu ishte personi i par\u00eb q\u00eb sintetizoi kafein\u00ebn n\u00eb m\u00ebnyr\u00eb artificiale. Ai u b\u00eb fitues i \u00c7mimit Nobel p\u00ebr Kimin\u00eb m\u00eb 1902, t\u00eb cilin e mori pjes\u00ebrisht p\u00ebr k\u00ebt\u00eb pun\u00eb \u2014 lufta me gjumin u fitua p\u00ebrfundimisht!<\/p>\n<p>50% e qenve vdesin n\u00ebse konsumojn\u00eb me ushqim 140 mg\/kg kafein\u00eb. Gjat\u00eb k\u00ebsaj, ata p\u00ebrjetojn\u00eb d\u00ebshtim akut t\u00eb veshkave, nauze, t\u00eb vjella, hemorragji t\u00eb brendshme, \u00e7rregullime t\u00eb ritmit t\u00eb zemr\u00ebs, dhe kriz\u00eb. Nj\u00eb vdekje e pak\u00ebndshme, apo jo.<\/p>\n<p>Tek njer\u00ebzit, n\u00eb doza t\u00eb vogla, kafeina ka nj\u00eb efekt stimulues n\u00eb sistemin nervor \u2014 p\u00ebrshtypje q\u00eb t\u00eb gjith\u00eb e kan\u00eb provuar vet\u00eb. Me p\u00ebrdorim t\u00eb gjat\u00eb, mund t\u00eb shkaktoj\u00eb nj\u00eb var\u00ebsi t\u00eb leht\u00eb \u2014 teiz\u00ebm.<\/p>\n<p>N\u00ebn ndikimin e kafein\u00ebs, aktiviteti i zemr\u00ebs p\u00ebrshpejtohet, presioni i gjakut rritet, dhe p\u00ebr rreth 40 minuta, humori p\u00ebrmir\u00ebsohet paksa p\u00ebrmes l\u00ebshimit t\u00eb dopamin\u00ebs, por pas 3-6 or\u00ebsh, efekti i kafein\u00ebs kalon: ndjehet lodhje, apatia dhe ulje e produktivitetit.<\/p>\n<p><b class=\"spoiler_title\">Nj\u00eb mekaniz\u00ebm i m\u00ebrzitsh\u00ebm q\u00eb shpjegon veprimin e kafein\u00ebs.<\/b>Baza e veprimit psiko-stimulues t\u00eb kafein\u00ebs \u00ebsht\u00eb aft\u00ebsia e saj p\u00ebr t\u00eb shtypur aktivitetin e receptor\u00ebve t\u00eb adenozin\u00ebs (A1 dhe A2) n\u00eb cortexin cerebral dhe strukturat subkortikale t\u00eb sistemit nervor qendror. Aktualisht \u00ebsht\u00eb treguar se adenozina funksionon si nj\u00eb neurotransmetues n\u00eb sistemin nervor qendror, duke ndikuar agonist n\u00eb receptor\u00ebt e adenozin\u00ebs t\u00eb vendosur n\u00eb membranat citoplazmatike t\u00eb neuroneve. Aktivizimi i receptor\u00ebve t\u00eb adenozin\u00ebs A1 shkakton nj\u00eb ulje t\u00eb formimit t\u00eb cAMP n\u00eb qelizat e trurit, \u00e7ka p\u00ebrfundimisht \u00e7on n\u00eb shtypjen e aktivitetit t\u00eb tyre funksional. Bllokimi i receptor\u00ebve A1 t\u00eb adenozin\u00ebs ndihmon n\u00eb ndalimin e veprimit t\u00eb dob\u00ebsuar t\u00eb adenozin\u00ebs, q\u00eb klinikisht shfaqet si nj\u00eb rritje e produktivitetit mendor dhe fizik.<\/p>\n<p>Megjithat\u00eb, kafeina nuk ka aft\u00ebsi selektive p\u00ebr t\u00eb bllokuar vet\u00ebm receptor\u00ebt A1 t\u00eb adenozin\u00ebs n\u00eb tru, por gjithashtu bllokon edhe receptor\u00ebt A2 t\u00eb adenozin\u00ebs. \u00cbsht\u00eb provuar se aktivizimi i receptor\u00ebve A2 t\u00eb adenozin\u00ebs n\u00eb sistemin nervor qendror shoq\u00ebrohet me shtypjen e aktivitetit funksional t\u00eb receptor\u00ebve D2 t\u00eb dopamin\u00ebs. Bllokimi i receptor\u00ebve A2 t\u00eb adenozin\u00ebs nga kafeina ndihmon n\u00eb rikthimin e aktivitetit funksional t\u00eb receptor\u00ebve D2 t\u00eb dopamin\u00ebs, \u00e7ka gjithashtu kontribuon n\u00eb efektin psiko-stimulues t\u00eb substanc\u00ebs.<\/p>\n<p>\nN\u00eb p\u00ebrmbledhje, kafeina bllokon di\u00e7ka. Si opiatet. Si LSD. Prandaj, do t\u00eb ket\u00eb var\u00ebsi, por pasi bllokimi nuk \u00ebsht\u00eb aq i fort\u00eb, dhe receptor\u00ebt nuk jan\u00eb aq jetik\u00eb, teizmi nuk \u00ebsht\u00eb narkomani (edhe pse shum\u00eb adhurues t\u00eb kafes\u00eb do t\u00eb debatojn\u00eb).<\/p>\n<p>Simptomet e overdoz\u00ebs s\u00eb kafein\u00ebs p\u00ebrfshijn\u00eb dhimbje t\u00eb stomakut, ankth, trazira, gjendje mendore dhe motorrike t\u00eb ngaz\u00ebllyera, konfuzion t\u00eb mendjes, delir (disociativ), dehidrim, tahikardi, aritmi, hipertermia, urinim i shpesht\u00eb, dhimbje koke, ndjeshm\u00ebri t\u00eb rritur tactile ose ndaj dhimbjes, tremor ose konvulsione muskulore; nausea dhe t\u00eb vjella, ndonj\u00ebher\u00eb me gjak; zhurm\u00eb n\u00eb vesh\u00eb, episodet epileptike (n\u00eb rastin e mbidoz\u00ebs akute - konvulsione toniko-klonike).<\/p>\n<p>Kafeina n\u00eb doza mbi 300 mg n\u00eb dit\u00eb (p\u00ebrfshir\u00eb abuzimin me kafen - m\u00eb shum\u00eb se 4 filxhan\u00eb kafe natyrale prej 150 ml) mund t\u00eb shkaktoj\u00eb gjendje ankthi, dhimbje koke, tremor, konfuzion t\u00eb mendjes, dhe probleme me zemr\u00ebn.<\/p>\n<p>N\u00eb doza 150-200 mg p\u00ebr kilogram pesh\u00eb trupore, kafeina shkakton vdekjen. Ashtu si te qent\u00eb.<\/p>\n<p>Pra, ku \u00ebsht\u00eb kafja ime?<\/p>\n<h3>Vendi i dyt\u00eb<\/h3>\n<p>\n<b class=\"spoiler_title\">Nikotina<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/5c2f39d81eddc4c0489863ac3d53ed49.jpeg\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<br \/>\nT\u00eb gjith\u00eb e din\u00eb p\u00ebr d\u00ebmsh\u00ebm t\u00eb duhanit. Edhe p\u00ebr at\u00eb q\u00eb nikotina \u00ebsht\u00eb helmuese. Por le t'i hedhim nj\u00eb v\u00ebshtrim m\u00eb t\u00eb thell\u00eb.<\/p>\n<p>Toksiciteti i nikotin\u00ebs \u00ebsht\u00eb i lidhur me nj\u00eb rast t\u00eb njohur t\u00eb helmimit n\u00eb Belgjik\u00eb n\u00eb vitin 1850, kur grafi Bokarme u akuzua p\u00ebr helmimin e v\u00ebllait t\u00eb gruas. Si k\u00ebshilltar doli kimisti belg Jean Serv\u00e9 Stas, i cili gjat\u00eb nj\u00eb analize t\u00eb v\u00ebshtir\u00eb jo vet\u00ebm q\u00eb p\u00ebrcaktoi se helmimi ishte b\u00ebr\u00eb me nikotin\u00eb, por zhvilloi gjithashtu nj\u00eb metod\u00eb p\u00ebr t\u00eb zbuluar alkaloid\u00ebt, e cila me disa modifikime p\u00ebrdoret ende sot n\u00eb kimin\u00eb analitike.<\/p>\n<p>Pas k\u00ebsaj, nikotina u studiuar dhe nuk u p\u00ebrcaktua vet\u00ebm nga ata q\u00eb ishin t\u00eb len\u00eb. Aktualisht dihet kjo.<\/p>\n<p>Sapo q\u00eb nikotina hyn n\u00eb trup, ajo p\u00ebrhapet shpejt n\u00eb gjak dhe mund t\u00eb kaloj\u00eb barrier\u00ebn hematoencefalike. Do t\u00eb thot\u00eb, hyn direkt n\u00eb tru. N\u00eb mesatare, mjafton vet\u00ebm 7 sekonda pas thithjes s\u00eb tymit t\u00eb duhanit q\u00eb nikotina t\u00eb arrij\u00eb n\u00eb tru. Koha gjysm\u00ebp\u00ebrjashtimi e nikotin\u00ebs nga trupi \u00ebsht\u00eb rreth dy or\u00eb. Nikotina, e thithur me tym duhani gjat\u00eb pirjes, \u00ebsht\u00eb nj\u00eb pjes\u00eb e vog\u00ebl e nikotin\u00ebs q\u00eb p\u00ebrmban gjethet e duhanit (pjesa m\u00eb e madhe e substanc\u00ebs digjet, keq). Sasia e nikotin\u00ebs q\u00eb absorbohet nga trupi gjat\u00eb pirjes varet nga shum\u00eb faktor\u00eb, p\u00ebrfshir\u00eb llojin e duhanit, n\u00ebse tymi thithet plot\u00ebsisht dhe n\u00ebse p\u00ebrdoret filtri. N\u00eb rastin e duhanit t\u00eb mum\u00eb dhe t\u00eb ngr\u00ebn\u00eb, q\u00eb vendosen n\u00eb goj\u00eb dhe ngjihen ose thithen p\u00ebrmes hund\u00ebs, sasia e nikotin\u00ebs q\u00eb hyn n\u00eb trup \u00ebsht\u00eb shum\u00eb m\u00eb e madhe se gjat\u00eb pirjes s\u00eb duhanit. Nikotina metabolizohet n\u00eb m\u00ebl\u00e7i me ndihm\u00ebn e enzimit citokrom P450 (m\u00eb s\u00eb shumti, CYP2A6, si dhe CYP2B6). Metaboliti themelor \u00ebsht\u00eb kotinina.<\/p>\n<p>Veprimi i nikotin\u00ebs n\u00eb sistemin nervor \u00ebsht\u00eb studiuar mir\u00eb dhe \u00ebsht\u00eb ambigu. Nikotina ndikon n\u00eb receptor\u00ebt nikotinik\u00eb t\u00eb acetikolin\u00ebs: atomi i protonuara i azotit t\u00eb ciklit t\u00eb pirrolidin\u00ebs n\u00eb nikotin imiton atomin kat\u00ebrtiar t\u00eb azotit n\u00eb acetikolin\u00eb, dhe atomi i azotit piridin ka karakterin e baz\u00ebs s\u00eb Lewis-it, ashtu si oksigjeni i grupit ketogjen t\u00eb acetikolin\u00ebs. N\u00eb p\u00ebrqendrime t\u00eb ul\u00ebta, ajo rrit aktivitetin e k\u00ebtyre receptor\u00ebve, \u00e7ka, midis t\u00eb tjerash, \u00e7on n\u00eb rritjen e nivelit t\u00eb hormonit stimuluese adrenalina (epinefrina). Shk\u00ebputja e adrenalin\u00ebs ndihmon n\u00eb shpejtimin e rrahjeve t\u00eb zemr\u00ebs, rritjen e presionit t\u00eb gjakut dhe shpejtimin e frym\u00ebmarrjes, si dhe nj\u00eb nivel m\u00eb t\u00eb lart\u00eb glukoze n\u00eb gjak.<\/p>\n<p>Sistemi nervor simpatik, duke vepruar p\u00ebrmes nervave t\u00eb barkut mbi substanc\u00ebn cerebrale t\u00eb gj\u00ebndr\u00ebs mbiveshkore, stimulon shkarkimin e adrenalin\u00ebs. Acetilkolina, e prodhuar nga fibra t\u00eb para-ganglionare simpatike t\u00eb k\u00ebtyre nervave, ndikon n\u00eb receptor\u00ebt nikotinik\u00eb t\u00eb acetikolin\u00ebs, duke shkaktuar depolarizimin e qelizave dhe fluksin e kalciumit p\u00ebrmes kanaleve kalciumi t\u00eb varur nga potenciali. Kalciumi \u00e7on n\u00eb eksocitoz\u00ebn e granulave kromafin, duke kontribuar k\u00ebshtu n\u00eb shkarkimin e adrenalin\u00ebs (dhe norepinefrin\u00ebs) n\u00eb gjak.<\/p>\n<p>A e kam prekur tashm\u00eb trurin t\u00ebnd m\u00eb keq se nikotina? Po? At\u00ebher\u00eb le t\u00eb flasim p\u00ebr di\u00e7ka m\u00eb t\u00eb k\u00ebndshme.<\/p>\n<p>P\u00ebrve\u00e7 t\u00eb gjitha, nikotina rrit nivelin e dopamin\u00ebs n\u00eb qendrat e k\u00ebnaq\u00ebsis\u00eb n\u00eb tru. \u00cbsht\u00eb zbuluar se duhani ndalon monaminooksidaz\u00ebn \u2013 enzim\u00ebn q\u00eb shkakton shkat\u00ebrrimin e neuro-transmetuesve monoaminik\u00eb (p.sh., dopamin\u00ebn) n\u00eb tru. Mendohet se vet\u00eb nikotina nuk ndalon prodhimin e monaminooksidaz\u00ebs, p\u00ebr k\u00ebt\u00eb p\u00ebrgjigjen p\u00ebrb\u00ebr\u00ebs t\u00eb tjer\u00eb t\u00eb tymit t\u00eb duhanit. Rritja e p\u00ebrqendrimit t\u00eb dopamin\u00ebs aktivizon qendrat e k\u00ebnaq\u00ebsis\u00eb n\u00eb tru, dhe k\u00ebto t\u00eb nj\u00ebjtat qendra jan\u00eb p\u00ebrgjegj\u00ebse p\u00ebr \"pragu i dhimbjes s\u00eb trupit\", prandaj, pyetja n\u00ebse personi q\u00eb pi duhan ndjen k\u00ebnaq\u00ebsi, mbetet e hapur.<\/p>\n<p>Megjith\u00ebse \u00ebsht\u00eb shum\u00eb toksike, kur p\u00ebrdoret n\u00eb doza t\u00eb vogla (p.sh. gjat\u00eb duhanpirjes), nikotina vepron si nj\u00eb psiko-stimulues. Ndikimi i nikotin\u00ebs n\u00eb humor \u00ebsht\u00eb_ndryshe. Duke provokuar lirimin e glukoz\u00ebs nga m\u00ebl\u00e7ia dhe adrenalin\u00ebs (epinefrin\u00eb) nga substanca mbi mbipesh\u00ebn, ai shkakton ngaz\u00ebllim. Nga nj\u00eb perspektiv\u00eb subjektive, kjo shfaqet p\u00ebrmes ndjenja e relaksit, qet\u00ebsis\u00eb dhe gjall\u00ebris\u00eb, si dhe nj\u00eb gjendjeje moderuese euforike.<\/p>\n<p>P\u00ebrdorimi i nikotin\u00ebs \u00e7on n\u00eb nj\u00eb ulje t\u00eb mas\u00ebs trupore, duke reduktuar apetitit si rezultat i stimulimit t\u00eb neuron\u00ebve POMC dhe rritjes s\u00eb nivelit t\u00eb glukoz\u00ebs n\u00eb gjak (glukoza, duke vepruar n\u00eb qendrat e ngopjes dhe uris\u00eb n\u00eb hipotalamusin e trurit, dob\u00ebson ndjenj\u00ebn e uris\u00eb). E v\u00ebrteta \u00ebsht\u00eb se dieta e thjesht\u00eb, e kuptueshme dhe e dobishme \"mos ha shum\u00eb\" funksionon akoma m\u00eb efektivisht.<\/p>\n<p>Si\u00e7 e shohim, veprimi i nikotin\u00ebs \u00ebsht\u00eb mjaft kompleks n\u00eb trup. \u00c7far\u00eb mund t\u00eb nxjerrim prej saj:<\/p>\n<ul>\n<li>Nikotina \u00ebsht\u00eb nj\u00eb substanc\u00eb q\u00eb nd\u00ebrvepron me receptor\u00ebt nervor\u00eb.<\/li>\n<li>Si shum\u00eb substanca t\u00eb ngjashme, nikotina shkakton var\u00ebsi dhe pasion.<\/li>\n<\/ul>\n<p>\nN\u00eb fakt, pacient\u00ebt me \u00e7rregullime mendore kan\u00eb nj\u00eb prirje t\u00eb shtuar ndaj duhanit (a e pi duhanin? \u2014 mendohu dhe shko te nj\u00eb psikiat\u00ebr: nuk ka njer\u00ebz t\u00eb sh\u00ebndosh\u00eb \u2014 ka vet\u00ebm ata q\u00eb nuk jan\u00eb hetuar mjaftuesh\u00ebm). Nj\u00eb num\u00ebr i madh studimesh n\u00eb t\u00eb gjith\u00eb bot\u00ebn d\u00ebshmojn\u00eb se t\u00eb s\u00ebmur\u00ebt me skizofreni jan\u00eb m\u00eb t\u00eb prirur p\u00ebr t\u00eb pir\u00eb duhan (20 vende t\u00eb ndryshme kan\u00eb studiuar gjithsej 7593 pacient\u00eb me skizofreni, prej t\u00eb cil\u00ebve 62 % ishin duhanpir\u00ebs). N\u00eb vitin 2006, n\u00eb SHBA, 80 % ose m\u00eb shum\u00eb e njer\u00ebzve me skizofreni pinin duhan, krahasuar me 20 % t\u00eb popullsis\u00eb s\u00eb p\u00ebrgjithshme q\u00eb nuk pinin (sipas t\u00eb dh\u00ebnave nga NCI). Ekzistojn\u00eb disa hipoteza n\u00eb lidhje me arsyet e k\u00ebsaj prirjeje, q\u00eb e shpjegojn\u00eb si nj\u00eb p\u00ebrpjekje p\u00ebr t\u00eb p\u00ebrballuar simptomat e \u00e7rregullimit, ashtu si dhe p\u00ebrpiqen t\u00eb p\u00ebrballin veprimin negativ t\u00eb antipsikotik\u00ebve. Sipas nj\u00eb hipoteze, nikotina e d\u00ebmton vet\u00eb mendjen.<\/p>\n<p>Nikotina \u00ebsht\u00eb ekstremisht toksike p\u00ebr kafsh\u00ebt e ftohta. Vepron si nj\u00eb neurotoksin, duke shkaktuar paraliz\u00eb t\u00eb sistemit nervor (ndalimin e frym\u00ebmarrjes, ndalimin e aktivitetit t\u00eb zemr\u00ebs, vdekjen). Doza mesatare vdekshme p\u00ebr njeriun \u00ebsht\u00eb 0,5-1 mg\/kg, p\u00ebr minjt\u00eb e bardh\u00eb \u00ebsht\u00eb 140 mg\/kg p\u00ebrmes l\u00ebkur\u00ebs, p\u00ebr miqt\u00eb \u00ebsht\u00eb 0,8 mg\/kg intravenozisht dhe 5,9 mg\/kg p\u00ebrmes administrat\u00ebs intraabdominale. Nikotina \u00ebsht\u00eb toksike p\u00ebr disa insekte, p\u00ebr shkak t\u00eb s\u00eb cil\u00ebs \u00ebsht\u00eb p\u00ebrdorur gjer\u00ebsisht si insekticid n\u00eb t\u00eb kaluar\u00ebn, dhe tani vazhdojn\u00eb t\u00eb p\u00ebrdoren derivate t\u00eb nikotin\u00ebs n\u00eb t\u00eb nj\u00ebjtin kontekst \u2014 si\u00e7 \u00ebsht\u00eb, p\u00ebr shembull, imidaclopridi.<\/p>\n<p>P\u00ebrdorimi i gjat\u00eb mund t\u00eb shkaktoj\u00eb s\u00ebmundje dhe disfunksione si: hiperglikemia, hipertensioni arterial, ateroskleroza, takikardin\u00eb, aritmin\u00eb, angina pectoris, s\u00ebmundjen ishemike t\u00eb zemr\u00ebs, d\u00ebshtimin e zemr\u00ebs. <\/p>\n<p>N\u00eb t\u00eb v\u00ebrtet\u00eb, toksiciteti i nikotin\u00ebs \u00ebsht\u00eb pothuajse asgj\u00eb n\u00eb krahasim me t\u00eb gjitha t\u00eb k\u00ebqijat e tjera, dhe konkretisht:<\/p>\n<ul>\n<li>Rezina gjat\u00eb pirjes s\u00eb duhanit \u2014 kontribuojn\u00eb n\u00eb zhvillimin e s\u00ebmundjeve onkologjike, p\u00ebrfshir\u00eb kancerin e mushk\u00ebrive, gjuh\u00ebs, laringut, ezofagut, stomakut, etj.<\/li>\n<li>Pirja e paigjendshme \u2014 kontribuon n\u00eb zhvillimin e gingivitit dhe stomatitit.<\/li>\n<li>Produkte t\u00eb djegies s\u00eb pjesshme (gaz karboni) \u2014 k\u00ebtu \u00ebsht\u00eb e kuptueshme, lexoni opus-in tim t\u00eb m\u00ebparsh\u00ebm.<\/li>\n<li>Depozitimi i rezinave n\u00eb mushk\u00ebri \u2014 kollitja e m\u00ebngjesit e duhanpir\u00ebsve, bronkitet, emfizema e mushk\u00ebrive dhe kanceri i mushk\u00ebrive.<\/li>\n<\/ul>\n<p>\nAs of now, none of the smoking techniques completely prevent the consequences \u2014 so all your filters, hookahs, and the like \u2014 do not work.<\/p>\n<p>Vapers should not relax either \u2014 and the reason is simple:<\/p>\n<ul>\n<li>Despite using harmless components like glycerin \u2014 <i>they are safe for the food industry.<\/i>! Nobody knows about the effects of exposure and the composition of gases produced during pyrolysis while vaping. Research is currently ongoing (<noindex>for example one<\/noindex> dhe <noindex><a rel=\"nofollow\" href=\"https:\/\/pubs.acs.org\/doi\/abs\/10.1021\/acs.est.6b05145\">two examples<\/a><\/noindex>), and the results are already impressive.<br \/>\n <b class=\"spoiler_title\">Shihni<\/b><img decoding=\"async\" alt=\"Helmet m\u00eb pak t\u00eb frikshme\" src=\"\/wp-content\/uploads\/2019\/05\/e783f6ba31d33c68e8dce9743e40595e.jpeg\" style=\"display:block;margin: 0 auto;\" \/><\/li>\n<li>I\u2019ve already mentioned that nicotine was used as a pesticide. Since 2014, it has hardly been used in the USA, and in the European Union \u2014 it has been completely banned since 2009. However, this does not stop its use in China...<br \/>\n Currently, there is nicotine of pharmaceutical purity (Pharma Grade, USP \/PhEur or USP\/EP) on the market. But there is also an insecticide produced in China. Attention: which one is cheaper? Once again, I am not a vaper, but I would be curious to Google and compare the price of what you bought in that jar with what it should actually cost. You might end up feeling like a cockroach enjoying low-quality nicotine impurities.<\/li>\n<\/ul>\n<p>\nIn short, at present, humanity does not utilize completely safe methods of nicotine consumption. But should it?<\/p>\n<h3>And our winner! Presenting! First place<\/h3>\n<p>\n<b class=\"spoiler_title\">Ethanol<\/b>The Chapayevites managed to take the outpost from the Whites. <br \/>\nWhile inspecting the trophies, Vasily Ivanovich and Petka discovered a tank with alcohol.<br \/>\nTo prevent the fighters from getting drunk, they labeled it C2H5-OH, hoping, <br \/>\nthat the fighters have little knowledge of chemistry. The next morning, everyone was 'in a stupor.' <br \/>\nChapayev shook one of them awake and asked:<br \/>\n \u2014 How did you find it?<br \/>\n \u2014 It was simple. We kept searching, and suddenly saw: something was written on the tank \u2014 and then a dash and 'OH'. We tried it \u2014 it was indeed!<\/p>\n<p>In general, there is even the toxicology of ethanol \u2014 a medical field that studies the toxic substance ethanol (alcohol) and everything related to it. So do not expect that I can condense an entire section of medicine into a few paragraphs.<\/p>\n<p>N\u00eb thelb, njer\u00ebzimi \u00ebsht\u00eb njohur me etanol prej shum\u00eb e shum\u00eb koh\u00ebsh. Enhet e zbuluara nga epoka e gurit me mbetje t\u00eb pijeve t\u00eb fermentuara lejojn\u00eb t\u00eb gjykojm\u00eb se prodhimi dhe konsumimi i pijeve alkoolike ka ekzistuar q\u00eb n\u00eb epok\u00ebn neolitike. Pija e birr\u00ebs dhe e ver\u00ebs jan\u00eb disa nga pijet m\u00eb t\u00eb lashta. Vera \u00ebsht\u00eb b\u00ebr\u00eb nj\u00eb nga simbolet m\u00eb t\u00eb r\u00ebnd\u00ebsishme kulturore p\u00ebr popujt e Mesdheut dhe ka z\u00ebn\u00eb nj\u00eb vend t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb mitologjin\u00eb dhe ritualet e tyre, dhe m\u00eb von\u00eb \u2014 n\u00eb sh\u00ebrbimet kishtare t\u00eb krishtera (shih. Eukaristia). Te popujt q\u00eb kultivojn\u00eb drith\u00ebrat (germa, gruri, zilja), birra ishte pija kryesore e festave.<\/p>\n<p>P\u00ebrve\u00e7 k\u00ebsaj, si produkt an\u00ebsor i metabolizmit t\u00eb glukoz\u00ebs, n\u00eb gjakun e nj\u00eb njeriu t\u00eb sh\u00ebndetsh\u00ebm mund t\u00eb p\u00ebrmbaj\u00eb deri n\u00eb 0,01% etanol endogjen.<\/p>\n<p>Dhe, pavar\u00ebsisht nga gjith\u00e7ka, zgjidhja e shkenc\u00ebs ende nuk \u00ebsht\u00eb e sigurt p\u00ebr:<\/p>\n<ul>\n<li>mekanizmi i veprimit t\u00eb etanol gjat\u00eb q\u00ebndrimit t\u00eb tij n\u00eb sistemin nervor qendror \u2014 dehja<\/li>\n<li>mekanizmi dhe shkaku i hangover-it<\/li>\n<\/ul>\n<p>\nVeprimi i etanolit n\u00eb trup \u00ebsht\u00eb aq i shum\u00ebansh\u00ebm sa merret me nj\u00eb artikull t\u00eb ve\u00e7ant\u00eb. Por, duke qen\u00eb se fillova...<\/p>\n<p>Mendohet se etanoli, me nj\u00eb organotropiz\u00ebm t\u00eb theksuar, akumulon m\u00eb shum\u00eb n\u00eb tru se n\u00eb gjak. Edhe doza t\u00eb ul\u00ebta t\u00eb alkoolit aktivizojn\u00eb aktivitetin e sistemit GABA-inhibitor t\u00eb trurit, dhe ky proces \u00e7on n\u00eb efektin sedativ, i shoq\u00ebruar nga relaksimi i muskujve, somnolenc\u00eb dhe eufori (ndjenja e dehjes). Variacionet gjenetike t\u00eb receptor\u00ebve GABA mund t\u00eb ndikojn\u00eb n\u00eb prirjen p\u00ebr alkooliz\u00ebm.<\/p>\n<p>Aktivizimi i theksuar i receptor\u00ebve t\u00eb dopamin\u00ebs v\u00ebrehet n\u00eb b\u00ebrtham\u00ebn e p\u00ebrgjakshme dhe n\u00eb zonat ventrale t\u00eb mbules\u00ebs s\u00eb trurit. Reagimi i k\u00ebtyre zonave ndaj dopamin\u00ebs q\u00eb lirohet n\u00ebn veprimin e etanolit \u00ebsht\u00eb baza e euforis\u00eb, dhe mund t\u00eb lidhet me mund\u00ebsin\u00eb e shfaqjes s\u00eb var\u00ebsis\u00eb nga alkooli. Etanoli gjithashtu \u00e7on n\u00eb m\u00eb shum\u00eb lirimin e peptidave opioide (p.sh., beta-endorfin\u00ebs), t\u00eb cilat, nga ana e tyre, jan\u00eb t\u00eb lidhura me lirimin e dopamin\u00ebs. Peptidat opioide gjithashtu luajn\u00eb nj\u00eb rol t\u00eb caktuar n\u00eb formimin e euforis\u00eb.<\/p>\n<p>M\u00eb n\u00eb fund, alkooli stimulon sistemin serotonergjik t\u00eb trurit. Ekzistojn\u00eb dallime t\u00eb trash\u00ebguara gjenetike n\u00eb ndjeshm\u00ebrin\u00eb ndaj alkoolit, t\u00eb cilat varen nga alelet e genit t\u00eb proteinave transportuese t\u00eb serotonin\u00ebs.<\/p>\n<p>Aktualisht po studiohet ndjesh\u00ebm ndikimi i alkoolit n\u00eb recepator\u00ebt dhe sistemet e mediator\u00ebve t\u00eb tjer\u00eb n\u00eb tru, duke p\u00ebrfshir\u00eb receptar\u00ebt adrenalinik\u00eb, kanabinoid\u00eb, acetilkolin\u00eb, si dhe sistemet adenosine dhe ato p\u00ebr rregullimin e stresit (si\u00e7 \u00ebsht\u00eb hormoni corticotropin-releasing).<\/p>\n<p>N\u00eb p\u00ebrmbledhje, gjith\u00e7ka \u00ebsht\u00eb shum\u00eb e komplikuar dhe p\u00ebrb\u00ebn nj\u00eb fush\u00eb t\u00eb shk\u00eblqyer p\u00ebr k\u00ebrkimin shkencor mbi alkoolin.<\/p>\n<p>Helmimi nga alkooli etil gjat\u00eb nj\u00eb periudhe afatgjat\u00eb z\u00eb nj\u00eb vend t\u00eb r\u00ebnd\u00ebsish\u00ebm nd\u00ebr helmimet sht\u00ebpiake p\u00ebr numrin e p\u00ebrgjithsh\u00ebm t\u00eb rasteve fatale. M\u00eb shum\u00eb se 60% e t\u00eb gjitha helmimeve fatale n\u00eb Rusi jan\u00eb t\u00eb lidhura me alkoolin. Megjithat\u00eb, n\u00eb lidhje me koncentrat\u00ebn dhe doz\u00ebn vdekjeprur\u00ebse \u2014 gj\u00ebrat nuk jan\u00eb kaq t\u00eb lehta. Mendohet se koncentrata fatale e alkoolit n\u00eb gjak varion nga 5\u20138 g\/l, nd\u00ebrsa doza vdekjeprur\u00ebse e vetme \u00ebsht\u00eb nga 4\u201312 g\/kg (rreth 300 ml 96% etanol), por tek individ\u00ebt me alkooliz\u00ebm kronik toleranca ndaj alkoolit mund t\u00eb jet\u00eb ndjesh\u00ebm m\u00eb e lart\u00eb.<\/p>\n<p>Kjo shpjegohet nga biokemia e ndryshme: shpejt\u00ebsia e dehjes dhe intensiteti i saj ndryshojn\u00eb si midis grupeve t\u00eb ndryshme etnike ashtu edhe midis burrave dhe grave (kjo ndodh p\u00ebr shkak se spektri izofermentik i enzim\u00ebs alkoholdehidrogjenaz\u00eb (ADG ose ADG I) \u00ebsht\u00eb e determinun gjenetikisht \u2014 aktiviteti i izoformave t\u00eb ndryshme t\u00eb ADG ka dallime t\u00eb shprehura midis individ\u00ebve t\u00eb ndrysh\u00ebm). P\u00ebr m\u00eb tep\u00ebr, karakteristikat e dehjes gjithashtu varen nga pesha trupore, lart\u00ebsia, sasia e alkoolit t\u00eb konsumuar dhe lloji i pijes (prania e sheqerit ose substancave tanike, p\u00ebrqindja e dioksidit t\u00eb karbonit, fuqia e pijes, ushqimi i akompanjimit).<\/p>\n<p>N\u00eb trup, ADH oksidon etanolin n\u00eb asetaldehid dhe, n\u00ebse gjith\u00e7ka shkon mir\u00eb, m\u00eb pas n\u00eb acid acetik t\u00eb sigurt dhe jasht\u00ebzakonisht kaloritik \u2014 po, nuk po shaka: \"di\u00e7ka fillon t\u00eb ftohet \u2014 a nuk \u00ebsht\u00eb koha t\u00eb kemi m\u00eb shum\u00eb?\" ka nj\u00eb arsyetim t\u00eb plot\u00eb biokimik n\u00eb k\u00ebt\u00eb: etanoli \u00ebsht\u00eb nj\u00eb produkt jasht\u00ebzakonisht kaloritik. N\u00eb praktik\u00eb, gjith\u00e7ka p\u00ebrkeq\u00ebsohet nga ose mungesa e oksigjenit p\u00ebr oksidimin (dhoma e tymosur, ajri i mbytur \u2014 kjo \u00ebsht\u00eb nga k\u00ebtu), ose tepria e etanolit, ose pasiviteti i ADH \u2014 rezultat i predispozit\u00ebs gjenetike ose thjesht i alkoolizmit. N\u00eb p\u00ebrfundim, gjith\u00e7ka ndalet n\u00eb asetaldehidin \u2014 i cili \u00ebsht\u00eb nj\u00eb substanc\u00eb toksike, mutagjenike dhe kancerogjene. Ekzistojn\u00eb prova t\u00eb kancerogjenesis\u00eb s\u00eb asetaldehidit n\u00eb eksperimente me kafsh\u00eb, p\u00ebrve\u00e7 k\u00ebsaj, asetaldehidi d\u00ebmton ADN-n\u00eb.<\/p>\n<p>E gjith\u00eb e keqja e etanolit lidhet pothuajse krejt\u00ebsisht me asetaldehidin, por n\u00eb t\u00eb v\u00ebrtet\u00eb, veprimi toksik \u00ebsht\u00eb esencialisht unik dhe gjith\u00ebp\u00ebrfshir\u00ebs. Ju lutem, shqyrtoni vet\u00eb:<\/p>\n<ul>\n<li>Shkeljet e aktivitetit t\u00eb traktit digjestiv. Ato shfaqen me dhimbje akute n\u00eb zon\u00ebn e stomakut dhe diare. M\u00eb r\u00ebnd\u00eb ato zhvillohen tek pacient\u00ebt me alkooliz\u00ebm. Dhimbjet n\u00eb zon\u00ebn e stomakut shkaktohen nga d\u00ebmtimi i mukoz\u00ebs s\u00eb stomakut dhe zorr\u00ebs s\u00eb vog\u00ebl, ve\u00e7an\u00ebrisht n\u00eb zorr\u00ebn dhjamore dhe zorr\u00ebn e vog\u00ebl. Diarea \u00ebsht\u00eb nj\u00eb pasoj\u00eb e deficitit t\u00eb shpejt\u00eb t\u00eb laktoz\u00ebs dhe r\u00ebnies s\u00eb toleranc\u00ebs ndaj laktoz\u00ebs, si dhe d\u00ebmtimit t\u00eb absorbimit t\u00eb ujit dhe elektroliteve nga zorrat e vogla. Edhe nj\u00eb konsum i vet\u00ebm i dozave t\u00eb m\u00ebdha t\u00eb alkoolit mund t\u00eb \u00e7oj\u00eb n\u00eb zhvillimin e pankreatitit nekrotizues me nj\u00eb rezultat shpesh vdekjeprur\u00ebs. Konsumi i tepruar i alkoolit rrit probabilitetin e zhvillimit t\u00eb gastritit dhe ulcer\u00ebs n\u00eb stomak, si dhe s\u00ebmundjeve kanceroze t\u00eb traktit digjestiv.<\/li>\n<li>Megjith\u00ebse m\u00ebl\u00e7i \u00ebsht\u00eb nj\u00eb pjes\u00eb e aparatit tret\u00ebs, ka kuptim t\u00eb shqyrtojm\u00eb d\u00ebmtimin e k\u00ebtij organi p\u00ebr shkak t\u00eb alkoolit ve\u00e7mas, pasi biotransformimi i etanolit ndodh kryesisht n\u00eb m\u00ebl\u00e7i \u2014 atje ndodhet ADH. M\u00eb vjen ndonj\u00ebher\u00eb keq p\u00ebr m\u00ebl\u00e7in\u00eb n\u00eb k\u00ebt\u00eb kuptim. Edhe me nj\u00eb konsum t\u00eb vet\u00ebm t\u00eb alkoolit mund t\u00eb vihen re fenomene t\u00eb nekroz\u00ebs tranzitore t\u00eb hepaociteve. Me abuzimin e gjat\u00eb mund t\u00eb zhvillohet steatohepatiti alkoholik. Rritja e \u201cq\u00ebndrueshm\u00ebris\u00eb\u201d ndaj alkoolit (kjo ndodh p\u00ebr shkak t\u00eb rritjes s\u00eb prodhimit t\u00eb enzim\u00ebs alkoholdehidrogjenaz\u00eb (ADH) si nj\u00eb reagim mbrojt\u00ebs i organizmit) ndodh n\u00eb faz\u00ebn e distrofis\u00eb alkoholike t\u00eb m\u00ebl\u00e7is\u00eb \u2014 prandaj, mos u g\u00ebzo, %username%, n\u00ebse papritur ke b\u00ebr\u00eb rekord n\u00eb festat e alkoolit! M\u00eb pas, gjat\u00eb formimit t\u00eb hepatitit alkoholik dhe ciroz\u00ebs s\u00eb m\u00ebl\u00e7is\u00eb, aktiviteti total i enzim\u00ebs ADH bie, por vazhdon t\u00eb mbetet i lart\u00eb n\u00eb hepaocitet e rigjeneruara. Fokus t\u00eb shumt\u00eb t\u00eb nekroz\u00ebs \u00e7ojn\u00eb n\u00eb fibroz\u00eb dhe, n\u00eb fund, n\u00eb ciroz\u00eb t\u00eb m\u00ebl\u00e7is\u00eb. Ciroza zhvillohet, t\u00eb pakt\u00ebn, te 10 % e individ\u00ebve me steatohepatit. Pa m\u00ebl\u00e7i, njer\u00ebzit nuk jetojn\u00eb...<\/li>\n<li>Etanoli \u00ebsht\u00eb nj\u00eb helm\u00eb hemolitike. Prandaj, etanoli n\u00eb p\u00ebrqendrim t\u00eb lart\u00eb, duke hyr\u00eb n\u00eb gjak, mund t\u00eb shkat\u00ebrroj\u00eb eritrocitet (t\u00eb shkaktoj\u00eb hemoliz\u00eb patologjike), e cila mund t\u00eb \u00e7oj\u00eb n\u00eb anemi hemolitike toksike. Shum\u00eb studime kan\u00eb treguar nj\u00eb lidhje t\u00eb qart\u00eb midis doz\u00ebs s\u00eb alkoolit dhe rrezikut t\u00eb rritur p\u00ebr zhvillimin e hipertensionit arterial. Pije alkoolike ushtrojn\u00eb nj\u00eb ndikim toksik n\u00eb muskujt e zemr\u00ebs, aktivizojn\u00eb sistemin simpatoadrenal, duke shkaktuar k\u00ebshtu lirimin e katekolaminave q\u00eb shkakton spazma e en\u00ebve koronare, duke ndikuar n\u00eb ritmin e kontraktimit t\u00eb zemr\u00ebs. Konsumi i tepruar i alkoolit rrit LDL (\u201ckolesteroli i keq\u201d) dhe \u00e7on n\u00eb zhvillimin e kardiomiopatis\u00eb alkoholike dhe lloje t\u00eb ndryshme aritmish (ndryshimet e p\u00ebrmendura v\u00ebrehen mesatarisht kur konsumohet m\u00eb shum\u00eb se 30 g etanol n\u00eb dit\u00eb). Alkooli mund t\u00eb rris\u00eb rrezikun p\u00ebr zhvillimin e goditjes n\u00eb tru, n\u00eb var\u00ebsi t\u00eb sasis\u00eb s\u00eb alkoolit dhe llojit t\u00eb goditjes, dhe shpesh \u00ebsht\u00eb shkak i vdekjes s\u00eb papritur t\u00eb njer\u00ebzve q\u00eb vuajn\u00eb nga s\u00ebmundja ishemike e zemr\u00ebs.<\/li>\n<li>Konsumimi i etanolit mund t\u00eb shkaktoj\u00eb d\u00ebmtime oksidative t\u00eb neuroneve t\u00eb trurit dhe gjithashtu vdekjen e tyre p\u00ebr shkak t\u00eb d\u00ebmtimit t\u00eb barrier\u00ebs hemato-encefalike. Alkolizmi kronik mund t\u00eb \u00e7oj\u00eb n\u00eb reduktimin e volumit t\u00eb trurit \u2014 por ky nuk \u00ebsht\u00eb volumi i dobish\u00ebm. Me konsumimin e gjat\u00eb t\u00eb alkoolit, n\u00eb sip\u00ebrfaqen e korteksit t\u00eb trurit v\u00ebrehen ndryshime organike t\u00eb neuron\u00ebve. K\u00ebto ndryshime ndodhin n\u00eb vendet e gjakderdhjeve dhe nekroz\u00ebs s\u00eb pjes\u00ebve t\u00eb substanc\u00ebs cerebrale. Me konsumimin e sasis\u00eb s\u00eb madhe t\u00eb alkoolit, mund t\u00eb ndodh\u00eb ndarja e kapilar\u00ebve t\u00eb trurit \u2014 prandaj truri dhe \"rritet\".<\/li>\n<li>Me hyrjen e alkoolit n\u00eb trup, p\u00ebrqendrime t\u00eb larta t\u00eb etanolit v\u00ebrehen gjithashtu n\u00eb sekretin e prostatas, testikujve dhe sperm\u00ebs, duke ushtruar ndikim toksik n\u00eb qelizat gjinore. Etanoli gjithashtu kalon shum\u00eb leht\u00eb n\u00ebp\u00ebr placent\u00eb, dep\u00ebrton n\u00eb qum\u00ebsht, rrit rrezikun e lindjes s\u00eb nj\u00eb f\u00ebmije me anomali t\u00eb lindura t\u00eb sistemit nervor dhe mund\u00ebsin\u00eb e mwngjes\u00ebs s\u00eb rritjes. <\/li>\n<\/ul>\n<p>\nUf. Mir\u00eb q\u00eb nuk kam shtuar konjak n\u00eb kafen time, apo jo? Me fjal\u00eb t\u00eb tjera, t\u00eb pir\u00ebt shum\u00eb \u00ebsht\u00eb e d\u00ebmshme. Dhe n\u00ebse nuk pi?<\/p>\n<p>P\u00ebrcaktimi \"doza e moderuar e alkoolit\" rishikohet n\u00eb var\u00ebsi t\u00eb akumulimit t\u00eb t\u00eb dh\u00ebnave t\u00eb reja shkencore. Aktualisht udh\u00ebhiqemi nga p\u00ebrcaktimi i miratuar n\u00eb SHBA: jo m\u00eb shum\u00eb se 24 g etanol n\u00eb dit\u00eb p\u00ebr shumic\u00ebn e meshkujve t\u00eb rritur dhe jo m\u00eb shum\u00eb se 12 g p\u00ebr shumic\u00ebn e grave.<\/p>\n<p>Problemi \u00ebsht\u00eb se \u00ebsht\u00eb praktikisht e pamundur t\u00eb nd\u00ebrtohet nj\u00eb \"eksperiment i past\u00ebr\" \u2014 n\u00eb bot\u00eb nuk \u00ebsht\u00eb e mundur t\u00eb gjendet nj\u00eb grup njer\u00ebzish q\u00eb nuk kan\u00eb pir\u00eb kurr\u00eb. Dhe n\u00ebse \u00ebsht\u00eb e mundur \u2014 nuk \u00ebsht\u00eb e mundur t\u00eb eliminohet ndikimi i faktor\u00ebve t\u00eb tjer\u00eb \u2014 si\u00e7 \u00ebsht\u00eb ajo e mjedisit. Dhe, n\u00ebse \u00ebsht\u00eb e mundur \u2014 nuk \u00ebsht\u00eb e mundur t\u00eb gjenden njer\u00ebz q\u00eb t\u00eb mos ken\u00eb hepatite, t\u00eb ken\u00eb zem\u00ebr t\u00eb sh\u00ebndetshme dhe k\u00ebshtu me radh\u00eb. <\/p>\n<p>Dhe njer\u00ebzit g\u00ebnjejn\u00eb. Kjo gjithashtu e komplikon gjith\u00e7ka.<\/p>\n<p>Mendon se e njeh holivar\u00ebt? Provo t\u00eb k\u00ebrkosh artikuj mbi ndikimin e alkoolit nga Filmora, Harrisi dhe nj\u00eb mori shkenc\u00ebtar\u00ebsh t\u00eb tjer\u00eb, t\u00eb cil\u00ebt i jan\u00eb kushtuar studimit t\u00eb k\u00ebsaj \u00e7\u00ebshtjeje! Mjafton p\u00ebr vet\u00ebm p\u00ebrfitimin e ver\u00ebs s\u00eb kuqe ka nj\u00eb mori debatesh, p.sh., koh\u00ebt e fundit u zbulua se polifenol\u00ebt \u2014 t\u00eb cil\u00ebt gjithashtu lidhen me dobishm\u00ebrin\u00eb e ver\u00ebs s\u00eb kuqe \u2014 ndodhen n\u00eb ver\u00ebn e bardh\u00eb n\u00eb mas\u00ebn e nj\u00ebjt\u00eb.<\/p>\n<p>Dhe n\u00ebse largohemi nga shkenca \u2014 n\u00eb literatur\u00ebn populore mbi p\u00ebrdorimin e alkoolit ka po aq budallall\u00ebk sa edhe mbi d\u00ebmshm\u00ebrin\u00eb e tij (vet\u00ebm hormonat e gjinive fem\u00ebrore n\u00eb birr\u00eb sa vlejn\u00eb).<\/p>\n<p>Derisa k\u00ebto pyetje nuk sqarohen, k\u00ebshillat m\u00eb t\u00eb arsyeshme do t\u00eb jen\u00eb si m\u00eb posht\u00eb:<\/p>\n<ul>\n<li>Ata q\u00eb aktualisht nuk pin\u00eb fare, nuk duhet t\u00eb rekomandojn\u00eb konsumimin e alkoolit vet\u00ebm p\u00ebr q\u00ebllim sh\u00ebndet\u00ebsor, pasi nuk \u00ebsht\u00eb provuar q\u00eb alkooli vet\u00eb \u00ebsht\u00eb faktor shkaktar n\u00eb p\u00ebrmir\u00ebsimin e sh\u00ebndetit.<\/li>\n<li>Personat q\u00eb konsumojn\u00eb alkool dhe nuk jan\u00eb n\u00eb grupin e rrezikut nga problemet me alkoolin (grat\u00eb shtatz\u00ebna ose q\u00eb ushqejn\u00eb me gjidh\u00eb, shofer\u00ebt e mjeteve ose mekanizmave t\u00eb tjer\u00eb potencialisht t\u00eb rreziksh\u00ebm, ata q\u00eb marrin medikamente p\u00ebr t\u00eb cilat alkooli \u00ebsht\u00eb i kund\u00ebrligjsh\u00ebm, njer\u00ebzit me histori familjare t\u00eb alkoolizmit ose ata q\u00eb po sh\u00ebrohen nga alkoolizmi), nuk duhet t\u00eb konsumojn\u00eb m\u00eb shum\u00eb se 12-24 g etanoli n\u00eb dit\u00eb n\u00eb p\u00ebrputhje me rekomandimet e Udh\u00ebzuesit p\u00ebr Dietologji t\u00eb SHBA-s\u00eb.<\/li>\n<li>Personat q\u00eb konsumojn\u00eb alkool p\u00ebrtej dozave t\u00eb moderuara, duhet t\u00eb rekomandojn\u00eb t\u00eb reduktojn\u00eb konsumimin.<\/li>\n<\/ul>\n<p>\nMe sa duket, shkenc\u00ebtar\u00ebt jan\u00eb marr\u00eb vesh p\u00ebr nj\u00eb gj\u00eb \u2014 kjo \u00ebsht\u00eb te vet\u00eb quhet J-Formatting i vdekshm\u00ebris\u00eb. \u00cbsht\u00eb gjetur se lidhja midis sasis\u00eb s\u00eb alkoolit t\u00eb konsumuar dhe vdekshm\u00ebris\u00eb tek meshkujt n\u00eb mesin e mosh\u00ebs dhe m\u00eb t\u00eb vjet\u00ebr duket si letra \u00abJ\u00bb e thyer: nd\u00ebrsa vdekshm\u00ebria e atyre q\u00eb kan\u00eb ndaluar s\u00eb piruri dhe atyre q\u00eb konsumojn\u00eb sasi t\u00eb m\u00ebdha \u00ebsht\u00eb duksh\u00ebm e rritur, vdekshm\u00ebria (n\u00eb t\u00ebr\u00ebsi nga t\u00eb gjitha shkaqet) \u00ebsht\u00eb 15-18% m\u00eb e ul\u00ebt nd\u00ebr ata q\u00eb konsumojn\u00eb n\u00eb sasi t\u00eb vogla (1-2 nj\u00ebsi n\u00eb dit\u00eb) sesa tek ata q\u00eb nuk pin\u00eb. Shkaqet jan\u00eb t\u00eb ndryshme \u2014 nga biokimia e thell\u00eb dhe medicina, ku vet\u00eb djalli do t\u00eb ket\u00eb v\u00ebshtir\u00ebsi, deri te statusi social m\u00eb i mir\u00eb dhe cil\u00ebsia e sh\u00ebndetit t\u00eb atyre q\u00eb pin\u00eb moderuar, por fakti mbetet fakt (madje jan\u00eb b\u00ebr\u00eb edhe studime q\u00eb tregojn\u00eb se dieta e njer\u00ebzve q\u00eb pin\u00eb moderuar p\u00ebrmban m\u00eb pak yndyra dhe kolesterol n\u00eb krahasim me ata q\u00eb nuk pin\u00eb, q\u00eb ata q\u00eb pin\u00eb moderuar shpesh ushtrohen dhe jan\u00eb m\u00eb aktiv\u00eb fizikisht se ata q\u00eb nuk pin\u00eb fare \u2014 n\u00eb p\u00ebrfundim, \u00ebsht\u00eb e qart\u00eb p\u00ebr t\u00eb gjith\u00eb, se as shkenc\u00ebtar\u00ebt nuk duan t\u00eb heqin dor\u00eb plot\u00ebsisht nga alkooli, \u00e7ka po mundojn\u00eb ta justifikojn\u00eb).<\/p>\n<p>Sakt\u00ebsisht dhe t\u00eb gjith\u00eb bien dakord se konsumimi i alkoolit n\u00eb sasi t\u00eb m\u00ebdha \u00e7on n\u00eb nj\u00eb rritje t\u00eb konsiderueshme t\u00eb vdekshm\u00ebris\u00eb. P\u00ebr shembull, nj\u00eb studim n\u00eb SHBA zbuloi se njer\u00ebzit q\u00eb konsumojn\u00eb 5 ose m\u00eb shum\u00eb nj\u00ebsi alkooli n\u00eb dit\u00ebt kur pin\u00eb kan\u00eb nj\u00eb vdekshm\u00ebri 30% m\u00eb t\u00eb lart\u00eb se ata q\u00eb konsumojn\u00eb vet\u00ebm nj\u00eb nj\u00ebsi. Sipas nj\u00eb studimi tjet\u00ebr, ata q\u00eb pin\u00eb gjasht\u00eb ose m\u00eb shum\u00eb nj\u00ebsi alkooli (nj\u00eb her\u00eb) kan\u00eb nj\u00eb vdekshm\u00ebri 57% m\u00eb t\u00eb lart\u00eb se ata q\u00eb pin\u00eb m\u00eb pak.<\/p>\n<p>P\u00ebr m\u00eb tep\u00ebr, nj\u00eb studim mbi lidhjen nd\u00ebrmjet vdekshm\u00ebris\u00eb dhe konsumit t\u00eb duhanit tregoi se nj\u00eb nd\u00ebrprerje e plot\u00eb e duhanit, s\u00eb bashku me konsum t\u00eb moderuar t\u00eb alkoolit, jepte nj\u00eb ulje t\u00eb konsiderueshme t\u00eb vdekshm\u00ebris\u00eb.<\/p>\n<p>Nj\u00eb tjet\u00ebr fush\u00eb e kund\u00ebrth\u00ebnieve ka qen\u00eb roli i llojit t\u00eb pijeve alkoolike t\u00eb preferuara. Paradoxi francez (nivel i ul\u00ebt i vdekshm\u00ebris\u00eb nga s\u00ebmundjet ischemike t\u00eb zemr\u00ebs n\u00eb Franc\u00eb) lejonte t\u00eb supozohej se vera e kuqe \u00ebsht\u00eb ve\u00e7an\u00ebrisht e sh\u00ebndetshme. Ky efekt specifik mund t\u00eb shpjegohet nga pranija e antioksidant\u00ebve n\u00eb ver\u00eb. Por n\u00eb studime nuk \u00ebsht\u00eb arritur t\u00eb demonstrohen dallime substanciale midis rrezikut t\u00eb s\u00ebmundjeve ischemike t\u00eb zemr\u00ebs dhe llojit t\u00eb pijeve alkoolike t\u00eb preferuara. Pse vera e kuqe dhe jo e bardh\u00eb? Pse jo konjak? N\u00eb p\u00ebrmbledhje, gjith\u00e7ka \u00ebsht\u00eb e komplikuar.<\/p>\n<p>Gj\u00ebja q\u00eb me siguri nuk duhet b\u00ebr\u00eb \u00ebsht\u00eb t\u00eb pini gjat\u00eb marrjes s\u00eb ila\u00e7eve.<\/p>\n<p>Si\u00e7 \u00ebsht\u00eb shfaqur m\u00eb sip\u00ebr, ndikimi i alkoolit n\u00eb organiz\u00ebm \u00ebsht\u00eb shum\u00eb kompleks dhe ndonj\u00ebher\u00eb \u2014 edhe i panjohur. Kur n\u00eb k\u00ebt\u00eb p\u00ebrzierje shtohet nj\u00eb medikament farmaceutik, asgj\u00eb nuk \u00ebsht\u00eb e qart\u00eb.<\/p>\n<ul>\n<li>S\u00eb pari, efektiviteti i ila\u00e7it mund t\u00eb ndryshoj\u00eb \u2014 n\u00eb \u00e7do drejtim. P\u00ebr dozimin nuk diskutohet.<\/li>\n<li>S\u00eb dyti \u2014 luhatjet bio-kimike t\u00eb shkaktuara nga etanoli, \u00ebsht\u00eb e paqart\u00eb se si do t\u00eb ndikojn\u00eb n\u00eb ila\u00e7. Mund t\u00eb rrisin efektet an\u00ebsore. Mund ta b\u00ebjn\u00eb t\u00eb pavler\u00eb (jasht\u00eb efektit an\u00ebsor, natyrisht). Ose mund t\u00eb vrasin. Askush nuk e di.<\/li>\n<li>S\u00eb treti \u2014 m\u00ebl\u00e7ia, e cila tashm\u00eb \u00ebsht\u00eb e shqet\u00ebsuar p\u00ebr procesimin e substancave t\u00eb panjohura nga farmacist\u00ebt, nuk do t\u00eb g\u00ebzohet nga nevoja p\u00ebr t\u00eb p\u00ebrpunuar gjithashtu alkoolin. Mund t\u00eb ndaloj\u00eb edhe krejt\u00ebsisht.<\/li>\n<\/ul>\n<p>\nZakonisht n\u00eb udh\u00ebzimet (k\u00eb kush i lexon ato?) p\u00ebr preparatet shkruajn\u00eb rreth mund\u00ebsis\u00eb s\u00eb konsumit me alkool \u2014 kjo \u00ebsht\u00eb n\u00ebse \u00ebsht\u00eb provuar. Mund ta provosh vet\u00eb \u2014 dhe pastaj t\u00eb tregosh p\u00ebr eksperienc\u00ebn t\u00ebnde. Mir\u00eb, n\u00ebse ke nj\u00eb trup tjet\u00ebr n\u00eb rezerv\u00eb.<\/p>\n<p>Nga ata q\u00eb kam shkruar m\u00eb lart:<\/p>\n<ul>\n<li>Konsumimi i nj\u00ebkohsh\u00ebm i aspirin\u00ebs (acidit acetilsalicilik) dhe alkoolit mund t\u00eb \u00e7oj\u00eb n\u00eb ulcerimin e mukoz\u00ebs s\u00eb stomakut dhe t\u00eb gjakderdhjes.<\/li>\n<li>Konsumi i alkoolit ka nj\u00eb ndikim negativ n\u00eb rezultatet e vitaminoterapis\u00eb. N\u00eb ve\u00e7anti, d\u00ebmtimi i aparatit tret\u00ebs \u00e7on n\u00eb p\u00ebrthithjen dhe asimilimin e dob\u00ebt t\u00eb vitaminave t\u00eb marra n\u00eb m\u00ebnyr\u00eb orale, si dhe n\u00eb shnd\u00ebrrimin e tyre n\u00eb form\u00ebn aktive. Kjo \u00ebsht\u00eb ve\u00e7an\u00ebrisht e v\u00ebrtet\u00eb p\u00ebr vitaminat B1, B6, PP, B12, C, A, acidin folik.<\/li>\n<li>P\u00ebrtypja e duhanit intensifikon veprimin toksik t\u00eb alkoolit \u2014 si n\u00eb aspektin e shtypjes s\u00eb proceseve oksidative p\u00ebr shkak t\u00eb munges\u00ebs s\u00eb oksigjenit (nuk harrojm\u00eb p\u00ebr acetaldehidin, po), ashtu edhe n\u00eb aspektin e veprimit bllokues t\u00eb p\u00ebrbashk\u00ebt n\u00eb receptor\u00ebt nga nikotina dhe alkooli.<\/li>\n<\/ul>\n<p>\nMe fjal\u00eb t\u00eb tjera, puna me alkoolin \u00ebsht\u00eb e nd\u00ebrlikuar. \u00cbsht\u00eb mir\u00eb apo keq \u2014 askush nuk e di sakt\u00ebsisht, por nuk po nguten t\u00eb heqin dor\u00eb prej tij.<\/p>\n<p>Ty t\u00eb mbetet ta vendos\u00ebsh.<\/p>\n<p>N\u00eb k\u00ebt\u00eb not\u00eb optimiste \u2014 e l\u00eb nj\u00ebher\u00eb. Shpresoj se isha p\u00ebrs\u00ebri interesant.<\/p>\n<blockquote><p>Ver\u00eb \u2014 shoku yn\u00eb, por n\u00eb t\u00eb fshihet tradhtia: <br \/>\nPije shum\u00eb \u2014 \u00ebsht\u00eb helmi, pi pak \u2014 \u00ebsht\u00eb ila\u00e7i. <br \/>\nMos i shkakto vetes d\u00ebm nga tepria, <br \/>\nPije me mas\u00eb \u2014 dhe do t\u00eb zgjatet mbret\u00ebria e jet\u00ebs...<\/p><\/blockquote>\n<p>\n<i> \u2014 Abu Ali Husein ibn Abdullah ibn al-Hasan ibn Ali ibn Sina (Avicena)<\/i><\/p>\n<p class=\"for_users_only_msg\">Vet\u00ebm p\u00ebrdoruesit e regjistruar mund t\u00eb marrin pjes\u00eb n\u00eb anket\u00eb. <noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/auth\/login\/\">Hyni<\/a><\/noindex>, ju lutem.<\/p>\n<h2 class=\"default-block__polling-title\">Cila pjes\u00eb t\u00eb p\u00eblqeu m\u00eb shum\u00eb?<\/h2>\n<ul class=\"content-list content-list_polling\">\n<li class=\"content-list__item content-list__item_polling\">\n<p>                    Helmet m\u00eb t\u00eb frikshme<\/p>\n<\/li>\n<li class=\"content-list__item content-list__item_polling\">\n<p>                    Helmet m\u00eb pak t\u00eb frikshme<\/p>\n<\/li>\n<\/ul>\n<p>    Kan\u00eb votuar 4 p\u00ebrdorues. U ndal nj\u00eb p\u00ebrdorues.<br \/>\n<br \/>Burimi: <a content=\"nofollow\" rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/post\/450398\/\">habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>\u0418 \u0441\u043d\u043e\u0432\u0430 \u043f\u0440\u0438\u0432\u0435\u0442, %username%! \u0421\u043f\u0430\u0441\u0438\u0431\u043e \u0432\u0441\u0435\u043c, \u043a\u0442\u043e \u043e\u0446\u0435\u043d\u0438\u043b \u043c\u043e\u0439 \u043e\u043f\u0443\u0441 \u00ab\u0421\u0430\u043c\u044b\u0435 \u0441\u0442\u0440\u0430\u0448\u043d\u044b\u0435 \u044f\u0434\u044b\u00bb. \u0411\u044b\u043b\u043e \u043e\u0447\u0435\u043d\u044c \u0438\u043d\u0442\u0435\u0440\u0435\u0441\u043d\u043e \u043f\u043e\u0447\u0438\u0442\u0430\u0442\u044c \u043a\u043e\u043c\u043c\u0435\u043d\u0442\u0430\u0440\u0438\u0438, \u043a\u0430\u043a\u0438\u043c\u0438 \u0431\u044b \u043e\u043d\u0438 \u043d\u0435 \u0431\u044b\u043b\u0438, \u0431\u044b\u043b\u043e \u043e\u0447\u0435\u043d\u044c \u0438\u043d\u0442\u0435\u0440\u0435\u0441\u043d\u043e \u043e\u0442\u0432\u0435\u0447\u0430\u0442\u044c. \u042f \u0440\u0430\u0434, \u0447\u0442\u043e \u00ab\u0445\u0438\u0442-\u043f\u0430\u0440\u0430\u0434\u00bb \u043f\u043e\u043d\u0440\u0430\u0432\u0438\u043b\u0441\u044f. \u0415\u0441\u043b\u0438 \u043e\u043d \u043d\u0435 \u043f\u043e\u043d\u0440\u0430\u0432\u0438\u043b\u0441\u044f \u2014 \u043d\u0443 \u0447\u0442\u043e \u0436, \u044f \u0441\u0434\u0435\u043b\u0430\u043b \u0432\u0441\u0451, \u0447\u0442\u043e \u043c\u043e\u0433. \u041d\u0430 \u043d\u0430\u043f\u0438\u0441\u0430\u043d\u0438\u0435 \u0432\u0442\u043e\u0440\u043e\u0439 \u0447\u0430\u0441\u0442\u0438 \u043c\u0435\u043d\u044f \u0432\u0434\u043e\u0445\u043d\u043e\u0432\u0438\u043b\u0438 \u0438\u043c\u0435\u043d\u043d\u043e \u043a\u043e\u043c\u043c\u0435\u043d\u0442\u0430\u0440\u0438\u0438 \u0438 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u044c. [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":1,"featured_media":24664,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[702],"tags":[],"class_list":["post-32900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.2 - aioseo.com -->\n\t<meta name=\"description\" content=\"\u0418 \u0441\u043d\u043e\u0432\u0430 \u043f\u0440\u0438\u0432\u0435\u0442, %username%! \u0421\u043f\u0430\u0441\u0438\u0431\u043e \u0432\u0441\u0435\u043c, \u043a\u0442\u043e \u043e\u0446\u0435\u043d\u0438\u043b\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"Yuri Gagarin\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/prohoster.info\/sq\/blog\/news\/samye-nestrashnye-yady\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.2\" \/>\n\t\t<meta property=\"og:locale\" content=\"sq_AL\" \/>\n\t\t<meta property=\"og:site_name\" content=\"ProHoster | \u041a\u0443\u043f\u0438\u0442\u044c \u043d\u0430\u0434\u0435\u0436\u043d\u044b\u0439 \u0445\u043e\u0441\u0442\u0438\u043d\u0433 \u0434\u043b\u044f \u0441\u0430\u0439\u0442\u043e\u0432 \u0441 \u0437\u0430\u0449\u0438\u0442\u043e\u0439 \u043e\u0442 DDoS, VPS VDS \u0441\u0435\u0440\u0432\u0435\u0440\u044b\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"\ud83e\udd47\u0421\u0430\u043c\u044b\u0435 \u043d\u0435\u0441\u0442\u0440\u0430\u0448\u043d\u044b\u0435 \u044f\u0434\u044b | ProHoster\" \/>\n\t\t<meta property=\"og:description\" content=\"\u0418 \u0441\u043d\u043e\u0432\u0430 \u043f\u0440\u0438\u0432\u0435\u0442, %username%! \u0421\u043f\u0430\u0441\u0438\u0431\u043e \u0432\u0441\u0435\u043c, \u043a\u0442\u043e \u043e\u0446\u0435\u043d\u0438\u043b\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/prohoster.info\/sq\/blog\/news\/samye-nestrashnye-yady\" \/>\n\t\t<meta property=\"og:image\" content=\"https:\/\/prohoster.info\/wp-content\/uploads\/2021\/11\/logo-350.jpg\" \/>\n\t\t<meta property=\"og:image:secure_url\" content=\"https:\/\/prohoster.info\/wp-content\/uploads\/2021\/11\/logo-350.jpg\" \/>\n\t\t<meta property=\"og:image:width\" content=\"350\" \/>\n\t\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2019-10-31T18:49:36+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2019-10-31T18:49:36+00:00\" \/>\n\t\t<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/prohoster\" \/>\n\t\t<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/prohoster\" \/>\n\t\t<!-- All in One SEO -->\n\n","aioseo_head_json":{"title":"\ud83e\udd47Helm\u00ebsit m\u00eb t\u00eb pad\u00ebmsh\u00ebm | ProHoster","description":"Dhe p\u00ebrs\u00ebri p\u00ebrsh\u00ebndetje, %username%! 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