{"id":106090,"date":"2020-02-04T08:58:51","date_gmt":"2020-02-04T07:58:51","guid":{"rendered":"https:\/\/sdk.mk\/?p=106090"},"modified":"2020-02-04T08:58:51","modified_gmt":"2020-02-04T07:58:51","slug":"ju-njoftojme-me-semundjet-e-rralla-skleroderma","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/ju-njoftojme-me-semundjet-e-rralla-skleroderma\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: SKLERODERMA"},"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><a href=\"https:\/\/www.youtube.com\/watch?v=3PnhT-PpimI&amp;list=PLPGcigDEy-qj0I1um2ByEqy4a1IdVRjzf&amp;index=5&amp;t=0s\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>Skleroderma (Skleroza sistemike)<\/strong> <\/em><\/a><br \/>\n\u041c\u041a\u0411 M34.0 M34.1 M34.2 M34.8 M34.9<br \/>\nSystemic sclerosis<br \/>\nSkleroderma ose skleroza sistemike \u00ebsht\u00eb nj\u00eb \u00e7rregullim kronik, multi-sistemik (\u00e7rregullim autoimun) q\u00eb prek l\u00ebkur\u00ebn, nyjet, en\u00ebt e gjakut dhe organet e brendshme.<br \/>\nN\u00eb disa njer\u00ebz, skleroderma ndikon vet\u00ebm n\u00eb l\u00ebkur\u00eb, nd\u00ebrsa t\u00eb tjer\u00ebt prekin edhe en\u00ebt e gjakut, organet e brendshme ose traktin tret\u00ebs. Shenjat dhe simptomat ndryshojn\u00eb n\u00eb var\u00ebsi t\u00eb asaj se cila struktur\u00eb \u00ebsht\u00eb prekur.<br \/>\nSkleroderma ndryshon p\u00ebrb\u00ebrjen dhe pamjen e l\u00ebkur\u00ebs, ajo karakterizohet me rritje t\u00eb prodhimit t\u00eb kolagjenit i cili \u00ebsht\u00eb \u00ebsht\u00eb nj\u00eb p\u00ebrb\u00ebr\u00ebs i indit lidh\u00ebs. Karakteristikat e skleroderm\u00ebs mund t\u00eb ndodhin edhe n\u00eb kontekstin e s\u00ebmundjeve t\u00eb tjera ose \u00e7rregullimeve autoimune ose si pjes\u00eb e s\u00ebmundjes s\u00eb indit lidh\u00ebs t\u00eb p\u00ebrzier.<br \/>\nSkleroderma prek grat\u00eb m\u00eb shpesh sesa burrat, dhe m\u00eb s\u00eb shpeshti shfaqet midis moshave 30 dhe 50 vje\u00e7 por mund t\u00eb ndodh\u00eb n\u00eb \u00e7do mosh\u00eb. Edhe pse nuk ka sh\u00ebrim p\u00ebr skleroderm\u00ebn, ekzistojn\u00eb trajtime t\u00eb ndryshme q\u00eb mund t\u00eb ndihmojn\u00eb n\u00eb leht\u00ebsimin e simptomave q\u00eb ndryshojn\u00eb nga personi n\u00eb person dhe p\u00ebrmir\u00ebsojn\u00eb cil\u00ebsin\u00eb e jet\u00ebs s\u00eb pacientit. Parashikimi i e k\u00ebsaj s\u00ebmundjeje \u00ebsht\u00eb p\u00ebrgjith\u00ebsisht e paparashikueshme dhe e pafavorshme.<br \/>\nShkaqet e paraqitjes t\u00eb skleroderm\u00ebs<br \/>\nSkleroderma shfaqet si rezultat i prodhimit hipertensiv dhe akumulimit t\u00eb kolagjenit n\u00eb inde. Edhe pse mjek\u00ebt nuk jan\u00eb t\u00eb sigurt se cili \u00ebsht\u00eb shkaku, sistemi imunitar duket se luan nj\u00eb rol t\u00eb madh n\u00eb k\u00ebt\u00eb.<br \/>\nP\u00ebr disa arsye t\u00eb panjohura, sistemi imunitar sulmon vet\u00ebvehten, duke prodhuar antitrupa kund\u00ebr indeve t\u00eb veta, duke rezultuar n\u00eb mbiprodhim t\u00eb kolagjenit dhe inflamacion.<br \/>\nIncidenca \u00ebsht\u00eb 3-12 raste p\u00ebr milion njer\u00ebz. Shenjat dhe simptomat e skleroz\u00ebs sistemike ndryshojn\u00eb var\u00ebsisht se cilat pjes\u00eb t\u00eb trupit jan\u00eb prekur.<br \/>\nPothuajse \u00e7do pacient v\u00ebren cop\u00ebza t\u00eb err\u00ebta t\u00eb pigmentuara n\u00eb l\u00ebkur\u00eb si nj\u00eb simptom\u00eb e par\u00eb. Skleroderma zakonisht fillon n\u00eb gishta ose n\u00eb fytyr\u00eb. Nj\u00eb nga shenjat m\u00eb t\u00eb hershme \u00ebsht\u00eb mbindjeshm\u00ebria ndaj temperaturave t\u00eb ul\u00ebta ose stresit emocional. Kjo mund t\u00eb shkaktoj\u00eb ngurt\u00ebsi, dhimbje ose ndryshime ((gishta me ngjyr\u00eb gri &#8211; akrocijanoza) n\u00eb gishta.<br \/>\nNj\u00eb nga simptomat e skleroderm\u00ebs \u00ebsht\u00eb l\u00ebvizja e v\u00ebshtir\u00eb e gisht\u00ebrinjve e shoq\u00ebruar me dhimbje dhe \u00ebnjtje. Skleroderma \u00ebsht\u00eb nj\u00eb s\u00ebmundje q\u00eb shkakton probleme estetike si dhe funksionale. Format e r\u00ebnda t\u00eb skleroderm\u00ebs mund t\u00eb ndikojn\u00eb n\u00eb kufizimin e l\u00ebvizshm\u00ebris\u00eb kur b\u00ebhet fjal\u00eb p\u00ebr form\u00ebn difuze t\u00eb k\u00ebsaj s\u00ebmundje. Kjo form\u00eb e skleroderm\u00ebs prek nj\u00ebkoh\u00ebsisht gishtat e dor\u00ebs dhe fytyr\u00ebs. N\u00eb form\u00ebn e shp\u00ebrndar\u00eb t\u00eb s\u00ebmundjes, skleroderma mund p\u00ebrfundimisht t\u00eb p\u00ebrfshij\u00eb t\u00ebr\u00eb l\u00ebkur\u00ebn, por edhe organet e brendshme.<\/p>\n<p>N\u00eb disa njer\u00ebz, skleroderma mund t\u00eb shkaktoj\u00eb probleme n\u00eb apsorbimin e materjeve ushqyese.<br \/>\nRrall\u00eb, skleroderma mund t\u00eb ndikoj\u00eb n\u00eb zem\u00ebr ose mushk\u00ebri \u2013por n\u00ebse paraqitet mund t\u00eb jet\u00eb k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn. Zhvillimi i shenjave cikatrike n\u00eb mushk\u00ebri mund t\u00eb shkaktoj\u00eb v\u00ebshtir\u00ebsi n\u00eb frym\u00ebmarrje kur ato ngarkohet. D\u00ebshtimi i veshkave (d\u00ebshtimi i veshkave) mund t\u00eb rezultoj\u00eb me tension t\u00eb lart\u00eb.<\/p>\n<p>Simptoma t\u00eb tjera q\u00eb mund t\u00eb tregojn\u00eb skleroderma jan\u00eb:<br \/>\nKapsll\u00ebk ose<br \/>\nV\u00ebshtir\u00ebsi n\u00eb g\u00eblltitje<br \/>\nFryerje par ngr\u00ebnjes<br \/>\ndiarre<br \/>\nKoll\u00eb t\u00eb that\u00eb<br \/>\nDhimbje n\u00eb nyje<br \/>\nLodhje e shpejt\u00eb<br \/>\nethe<br \/>\nHumbja e oreksit<br \/>\nHumbja e flok\u00ebve<br \/>\nHumbja e frym\u00ebmarrjes<br \/>\nNyjet n\u00ebnl\u00ebkurore dhe depozitat e kalciumit<br \/>\nNdryshimet e fytyr\u00ebs<br \/>\nN\u00eb fazat e hershme t\u00eb s\u00ebmundjes, njolla t\u00eb kuqe ose roz\u00eb mund t\u00eb v\u00ebrehen n\u00eb zon\u00ebn e prekur t\u00eb l\u00ebkur\u00ebs. Ato mund t\u00eb kthehen n\u00eb ngjyr\u00eb kafe.<br \/>\nSkleroderma e lokalizuar mund t\u00eb ndikoj\u00eb n\u00eb indet n\u00ebn l\u00ebkur\u00eb q\u00eb p\u00ebrfshin muskujt dhe kockat, dhe gjithashtu mund t\u00eb ndikoj\u00eb n\u00eb l\u00ebkur\u00ebn e fytyr\u00ebs. P\u00ebr t\u00eb b\u00ebr\u00eb nj\u00eb diagnoz\u00eb t\u00eb duhur, \u00ebsht\u00eb e domosdoshme nj\u00eb biopsi e l\u00ebkur\u00ebs. Skleroderma e lokalizuar zakonisht zgjat p\u00ebr disa vite. L\u00ebkura do t\u00eb ndaloj\u00eb t\u00eb forcohet p\u00ebr disa vjet pas fillimit t\u00eb s\u00ebmundjes, megjithat\u00eb, s\u00ebmundja mund t\u00eb jet\u00eb aktive p\u00ebr shum\u00eb vite pas nj\u00eb periudhe l\u00ebkura mund t\u00eb b\u00ebhet normale dhe t\u00eb zbutet. Ndryshimet n\u00eb ngjyr\u00ebn e l\u00ebkur\u00ebs p\u00ebr fat t\u00eb keq do t\u00eb mbeten t\u00eb dukshme edhe kur pezmatimi t\u00ebrhiqet. Ndonj\u00ebher\u00eb mund t\u00eb duhen vite para se l\u00ebkura t\u00eb kthehet n\u00eb nj\u00eb gjendje t\u00eb ngjashme me at\u00eb para s\u00ebmundjes.<br \/>\nDiagnoza e skleroderm\u00ebs<br \/>\nShumica e pacient\u00ebve do t\u00eb k\u00ebrkojn\u00eb ndihm\u00eb mjek\u00ebsore pasi t\u00eb v\u00ebrejn\u00eb ndryshime n\u00eb l\u00ebkur\u00eb. Presioni i lart\u00eb i gjakut mund t\u00eb shkaktohet nga ndryshimet n\u00eb veshkat. Mjeku juaj me gjas\u00eb do t\u00eb ju referoj\u00eb t\u00eb kryeni testet e gjakut (antitrupa dhe faktori reumatoid, shkalla e sedimentimit t\u00eb gjakut). Simptomat shpesh mund t\u00eb ngjasojn\u00eb me shum\u00eb me s\u00ebmundje t\u00eb tjera t\u00eb indit lidh\u00ebs. Testet e tjera diagnostikuese q\u00eb duhet t\u00eb b\u00ebhen p\u00ebr t\u00eb diagnostikuar si\u00e7 duhet s\u00ebmundjen jan\u00eb rentgen in\u00e7izimet e gjoksit, analiza e urin\u00ebs, CT e mushk\u00ebrive dhe biopsy t\u00eb l\u00ebkur\u00ebs.<br \/>\nTrajtimi i skleroderm\u00ebs<br \/>\nNuk ka asnj\u00eb ila\u00e7 t\u00eb p\u00ebrdorur p\u00ebr t\u00eb ndaluar mbiprodhimin e kolagjenit. Megjithat\u00eb, shum\u00eb ila\u00e7e mund t\u00eb ndihmojn\u00eb n\u00eb kontrollimin e simptomave ose parandalimin e komplikimeve. P\u00ebr ta arritur k\u00ebt\u00eb, medikamentet e presionit t\u00eb gjakut duhet t\u00eb merren n\u00eb parandalimin e problem\u00ebve t\u00eb mushk\u00ebrive dhe veshkave. Skleroderma trajtohet me kortikosteroide, imunosupresiv\u00eb dhe ila\u00e7e anti-inflamatore jo-steroide. Fizioterapist\u00ebt mund t&#8217;ju ndihmojn\u00eb t\u00eb p\u00ebrmir\u00ebsoni l\u00ebvizshm\u00ebrin\u00eb tuaj dhe t\u00eb fitoni forc\u00eb dhe t\u00eb menaxhoni m\u00eb leht\u00eb dhimbjen. Trajtimet e tjera p\u00ebrfshijn\u00eb terapi t\u00eb leht\u00eb ose ultravjollc\u00eb A1. Pomad\u00eb nitroglicerina mund t\u00eb ndihmoj\u00eb n\u00eb sh\u00ebrimin e zonave t\u00eb prekura t\u00eb l\u00ebkur\u00ebs. Sa I p\u00ebrket operacionit, ky \u00ebsht\u00eb opsioni i fundit. Megjithat\u00eb, n\u00eb raste t\u00eb r\u00ebnda dhe komplikime q\u00eb mund t\u00eb \u00e7oj\u00eb n\u00eb gangren\u00eb, e vetmja mund\u00ebsi \u00ebsht\u00eb amputimi.<br \/>\nPrognoza \u00ebsht\u00eb duksh\u00ebm m\u00eb e keqe p\u00ebr pacient\u00ebt q\u00eb vuajn\u00eb nga d\u00ebmtimet paraprake t\u00eb organeve t\u00eb brendshme. P\u00ebr t\u00eb parandaluar d\u00ebmtimin e m\u00ebtejsh\u00ebm t\u00eb l\u00ebkur\u00ebs, \u00ebsht\u00eb e nevojshme t\u00eb mbani t\u00eb gjith\u00eb trupin t\u00eb ngroht\u00eb dhe t\u00eb merrni ila\u00e7e p\u00ebr t\u00eb stimuluar qarkullimin. Mir\u00ebmbani higjen\u00ebn e trupit, shmangni stresin si dhe braktisja e duhanit jan\u00eb masa q\u00eb ndihmojn\u00eb shum\u00eb n\u00eb kontrollin e s\u00ebmundjes.<\/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>Skleroderma (Skleroza sistemike) \u041c\u041a\u0411 M34.0 M34.1 M34.2 M34.8 M34.9 Systemic sclerosis Skleroderma ose skleroza sistemike \u00ebsht\u00eb nj\u00eb \u00e7rregullim kronik, multi-sistemik [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":106087,"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\/02\/04-Systemic-sclerosis-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2020\/02\/04-Systemic-sclerosis-250x141.png","categoryNames":["Histori t\u00eb parr\u00ebfyera"],"feature_caption":"","subtitle":"","views":"7854","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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