{"id":105875,"date":"2020-01-31T13:58:47","date_gmt":"2020-01-31T12:58:47","guid":{"rendered":"https:\/\/sdk.mk\/?p=105875"},"modified":"2020-02-01T10:05:02","modified_gmt":"2020-02-01T09:05:02","slug":"__trashed","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/__trashed\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: GRANULOMATOZA E WEGENER"},"content":{"rendered":"<div class=\"f52428582a4b906b2d2e2a7d733c7d27\" data-index=\"7\" style=\"float: none; margin:10px 0 10px 0; text-align:center;\">\n<!-- MSP Ads Asynchronous JS Tag - Generated with Revive Adserver v5.4.1 -->\r\n<ins data-revive-zoneid=\"167\" data-revive-id=\"060fdb01f6430ec164d3519234aa4967\"><\/ins>\r\n<script async src=\"\/\/panel.ads.com.mk\/www\/delivery\/asyncjs.php\"><\/script>\n<\/div>\n<p><strong><em><a href=\"https:\/\/www.youtube.com\/watch?v=SVgE_-X5-yo&amp;list=PLPGcigDEy-qj0I1um2ByEqy4a1IdVRjzf&amp;index=2&amp;t=0s\" target=\"_blank\" rel=\"noopener noreferrer\">Granulomatoza e Wegener<\/a><\/em><\/strong><br \/>\n\u041c\u041a\u0411 M 31.3<br \/>\nWegener&#8217;s granulomatosis<br \/>\nNocioni<br \/>\nGranulomatoza e Wegener (s\u00ebmundja e Wegener, granulomatoza me polangjit) paraqet nj\u00eb form\u00eb t\u00eb rrall\u00eb t\u00eb vaskulitit.<br \/>\nBesohet t\u00eb jet\u00eb nj\u00eb s\u00ebmundje autoimune ku m\u00eb s\u00eb shpeshti p\u00ebsojn\u00eb qelizat endoteliale t\u00eb cilat mb\u00ebshtjellin en\u00ebt e gjakut nga brenda.<br \/>\nGranulomatoza e Wegener \u00ebsht\u00eb nj\u00eb s\u00ebmundje multisistemike q\u00eb mund t\u00eb prek pothuajse t\u00eb gjith\u00eb organet. Ndryshimet m\u00eb t\u00eb shpeshta patologjike v\u00ebrehen tek organet ENT-vesh-hund\u00eb-fyt (gati 100%), n\u00eb mushk\u00ebri (n\u00eb nj\u00eb num\u00ebr t\u00eb madh t\u00eb pacient\u00ebve) dhe n\u00eb veshka (n\u00eb 75% t\u00eb rasteve). ).<br \/>\nGjithashtu shpesh preken nyjet (deri n\u00eb 50% t\u00eb rasteve), si dhe syt\u00eb dhe l\u00ebkura. N\u00ebse tek ndonj\u00eb person nuk jan\u00eb p\u00ebrfshi veshkat, truri ose zorr\u00ebt, at\u00ebher\u00eb besohet se ka nj\u00eb form\u00eb &#8220;t\u00eb kufizuar&#8221; t\u00eb granulomatoz\u00ebs s\u00eb Wegener. Megjithat\u00eb, edhe n\u00eb k\u00ebt\u00eb form\u00eb t\u00eb granulomatoz\u00ebs, polangjiti mund t\u00eb jet\u00eb shum\u00eb i r\u00ebnd\u00eb.<\/p>\n<p>Shkaqet<br \/>\nEnde nuk dihet se \u00e7far\u00eb e shkakton mekanizmin autoimun t\u00eb s\u00ebmundjes s\u00eb Wegener. Mendohet se inflamacioni mund t\u00eb \u00e7oj\u00eb n\u00eb inflamacion sistemik, okluzion vaskular dhe granuloma. Nj\u00eb faktor q\u00eb inicion k\u00ebt\u00eb kaskad\u00eb mund t\u00eb jet\u00eb nj\u00eb infeksion, si\u00e7 \u00ebsht\u00eb nj\u00eb infeksion me parvo-virus ose Staphylococcus aureus.<\/p>\n<p>Disa nga simptomat m\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb k\u00ebsaj s\u00ebmundje jan\u00eb:<br \/>\nSinusiti dhe hunda me rrjedhje;<br \/>\nKoll\u00eb, dhimbje n\u00eb gjoks dhe gul\u00e7im;<br \/>\nFormimi i nj\u00eb abscesi n\u00eb mukoz\u00ebn e hund\u00ebs,<br \/>\nInflamacioni i veshit;<br \/>\nKonjunktiviti dhe inflamacionet e tjera n\u00eb sy;<br \/>\nEthet dhe djersitjet e nat\u00ebs;<br \/>\nHumbja e oreksit dhe humbja e pesh\u00ebs;<br \/>\nDhimbje n\u00eb nyje;<br \/>\nPrania e gjakut n\u00eb urin\u00eb.<br \/>\nN\u00eb raste t\u00eb rralla, nj\u00eb zem\u00ebr e kompromentuar mund t\u00eb ndodh\u00eb, duke \u00e7uar n\u00eb perikardit ose lezione n\u00eb sistemin koronar ose nervor q\u00eb \u00e7ojn\u00eb n\u00eb simptoma neurologjike.<br \/>\nP\u00ebrve\u00e7 k\u00ebsaj, pacient\u00ebt me k\u00ebt\u00eb s\u00ebmundje kan\u00eb nj\u00eb tendenc\u00eb t\u00eb rritur p\u00ebr t\u00eb zhvilluar tromboz\u00eb, andaj v\u00ebmendje e ve\u00e7ant\u00eb duhet t&#8217;i kushtohet simptomave q\u00eb tregojn\u00eb k\u00ebt\u00eb nd\u00ebrlikim, t\u00eb tilla si \u00ebnjtje dhe skuqje t\u00eb gjymtyr\u00ebve.<br \/>\nMjeku mund t\u00eb konfirmoj\u00eb ose mohoj\u00eb diagnoz\u00ebn pas nj\u00eb biopsie.<br \/>\nB\u00ebrja e nj\u00eb diagnoze t\u00eb s\u00ebmundjes s\u00eb dyshuar t\u00eb Wegener p\u00ebrfshin:<br \/>\nAnaliza klinike dhe biokimike e gjakut;<br \/>\nTestet e urin\u00ebs;<br \/>\nEkzaminime me rreze X (imazhet e gjoksit);<br \/>\nBiopsia e l\u00ebkur\u00ebs, mushk\u00ebrit\u00eb, veshkat;<br \/>\nEkzaminimet endoskopike<br \/>\nTomografia e kompjuterizuar.<\/p>\n<p>Trajtimi<br \/>\nTrajtimi i granulomatoz\u00ebs s\u00eb Wegener mund t\u00eb ndahet n\u00eb dy faza:<br \/>\narritja e remizionit<br \/>\nmir\u00ebmbajtje te remizinit.<\/p>\n<p>Barnat kryesore n\u00eb regjimin e trajtimit jan\u00eb ila\u00e7et citotoksike:<br \/>\nCiklofosfamidi (citoxan);<br \/>\nmethotrexate;<br \/>\nAzathioprine (Imuran);<br \/>\nMikofenolatmofetil;<br \/>\nGlukokortikosteroidet (prednizoni).<\/p>\n<p>Nd\u00ebrsa nd\u00ebrhyrja kirurgjikale mund t\u00eb k\u00ebrkohet n\u00eb<br \/>\nDeformime t\u00eb hund\u00ebs;<br \/>\nStenoza e laringut;<br \/>\nObstruksion i kanalit lacrimal;<br \/>\nBronhijalnastenoza;<br \/>\nD\u00ebmtim i veshk\u00ebve (transplatim)<br \/>\nPlani i trajtimit p\u00ebr secilin pacient p\u00ebrgatitet individualisht, sipas form\u00ebs s\u00eb s\u00ebmundjes, ashp\u00ebrsis\u00eb s\u00eb manifestimeve dhe terapis\u00eb p\u00ebrgjegj\u00ebse.<br \/>\n\u00cbsht\u00eb e pamundur t\u00eb kurohet granulomatoza e Wegener, por diagnoza e hershme dhe trajtimi efektiv ndihmojn\u00eb n\u00eb arritjen e remizionit dhe kthimit t\u00eb jet\u00ebs normale.<br \/>\nRemizioni afatgjat\u00eb arrihet dhe mb\u00ebshtetet nga administrimi i dozave t\u00eb duhura t\u00eb ila\u00e7eve, diagnoz\u00eb t\u00eb rregullt dhe puna e p\u00ebrbashk\u00ebt e mjekut dhe pacientit. Ndonj\u00ebher\u00eb remizioni mund t\u00eb zgjas\u00eb deri n\u00eb 20 vjet dhe n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb nj\u00eb person nuk do t\u00eb ket\u00eb nevoj\u00eb t\u00eb marr\u00eb ila\u00e7e citotoksike dhe hormone.<\/p>\n<p>Parashikimi<br \/>\nBesohet se te pacient\u00ebt me polangjit granulomatoz rreziku i vdekjes n\u00eb vitin e par\u00eb t\u00eb s\u00ebmundjes \u00ebsht\u00eb 9 her\u00eb m\u00eb i lart\u00eb se tek njer\u00ebzit e sh\u00ebndetsh\u00ebm. Shkaku i vdekjes mund t\u00eb jet\u00eb infeksioni apo d\u00ebshtimi i veshkave.<\/p>\n<p>Me cilin mjek t\u00eb kontaktoni?<br \/>\nZakonisht, pacient\u00ebt me manifestimet e para t\u00eb Wegener-ogranulomatosis takohen me nj\u00eb specialist t\u00eb ENT i cili i d\u00ebrgon ato te nj\u00eb reumatolog. Me p\u00ebrfshirjen e organeve t\u00eb tjera takime p\u00ebr konsultim caktohen dhe me nj\u00eb okulist, nefrolog, gastroenterolog, pulmonolog, dermatolog, neurology dhe imunolog. Vet\u00ebm tretman gjith\u00ebp\u00ebrshir\u00ebs mund\u00eb t\u00eb shkaktoj\u00eb remizion t\u00eb s\u00ebmundjes dhe t\u00eb ruaj\u00eb cil\u00ebsin\u00eb e jet\u00ebs s\u00eb pacientit.<\/p>\n<p>&nbsp;<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Granulomatoza e Wegener \u041c\u041a\u0411 M 31.3 Wegener&#8217;s granulomatosis Nocioni Granulomatoza e Wegener (s\u00ebmundja e Wegener, granulomatoza me polangjit) paraqet nj\u00eb [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":105827,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"","inline_featured_image":false},"categories":[3085],"tags":[],"imageURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2020\/01\/01-Wegeners-granulomatosis-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2020\/01\/01-Wegeners-granulomatosis-250x141.png","categoryNames":["Histori t\u00eb parr\u00ebfyera"],"feature_caption":"","subtitle":"","views":"5507","source":"\u0421\u043a\u043e\u043f\u0458\u0435, (\u0421\u0410\u041a\u0410\u041c\u0414\u0410\u041a\u0410\u0416\u0410\u041c.\u041c\u041a)","yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v15.0 - 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