{"id":106267,"date":"2020-02-06T09:18:02","date_gmt":"2020-02-06T08:18:02","guid":{"rendered":"https:\/\/sdk.mk\/?p=106267"},"modified":"2020-02-06T09:18:02","modified_gmt":"2020-02-06T08:18:02","slug":"ju-njoftojme-me-semundjet-e-rralla-neuromielitis-optika","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/ju-njoftojme-me-semundjet-e-rralla-neuromielitis-optika\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: NEUROMIELITIS OPTIKA"},"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=Vgigtt3hoI4&amp;list=PLPGcigDEy-qj0I1um2ByEqy4a1IdVRjzf&amp;index=7&amp;t=0s\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>Neuromielitis optika<\/strong><\/em><\/a><\/p>\n<p>Neuromielitis optika spekt\u00ebr i \u00e7regullimeve (NMOSD ang. Neuromyelitis opctica spectrum of disorders)<br \/>\nNeuromielitis optika spekt\u00ebr i \u00e7regullimeve paraqet nj\u00eb semundje te rall\u00eb, kronike dhe t\u00eb r\u00ebnd\u00eb autoimune t\u00eb sistemit nervor q\u00ebndror e cila fillimisht e d\u00ebmton nervin\/at optik, palc\u00ebn kurizore dhe trurin, duke shkaktuar verbim, dob\u00ebsi muskulore dhe paraliz\u00eb.<\/p>\n<p>Kjo s\u00ebmundje paraqitet 9 her\u00eb m\u00eb shpesh tek grat\u00eb se sa tek burat. M\u00eb s\u00eb shpeshi paraqitet tek personat n\u00eb mosh\u00ebn prej 30 deri n\u00eb 40 vjet, por mund t\u00eb dijagnostifikohet edhe ne mosh\u00ebn e mesme si dhe tek persona m\u00eb te moshuar (mbi 50 vjet), e gjithashtu edhe tek f\u00ebmij\u00ebt. Prevalenca e NMOSDndryshon nga 0,5-10 n\u00eb 100.000 persona, p\u00ebrshembull n\u00eb Europ\u00eb kjo s\u00ebmundje afekton m\u00eb shum\u00eb se 10.000 persona, n\u00eb SHBA 15.000 persona e qindra mij\u00eb njer\u00ebz t\u00eb tjer\u00eb n\u00ebp\u00ebr bot\u00eb. Tek ne, p\u00ebr shkak t\u00eb munges\u00ebs t\u00eb regjistrit t\u00eb pacient\u00ebve, trendi i paraqitjes s\u00eb rasteve t\u00eb reja \u00ebsht\u00eb i panjofsh\u00ebm, por besohet q\u00eb n\u00eb Maqedoni ka reth 20 pacienta me k\u00ebt\u00eb lloj s\u00ebmundje.<br \/>\nPara se t\u00eb zbulohen kriteret specifike per dijagnostifikim, pacientet shpesh her\u00eb kan\u00eb qen\u00eb gabimisht te dijagnostifikuar, gj\u00eb q\u00eb ka kontribuar drejt mjekimit t\u00eb gabuesh\u00ebm dhe progredimit te invaliditetit.<\/p>\n<p>Njer\u00ebzit me NMOSD p\u00ebrjetojn\u00eb relapse t\u00eb r\u00ebnda dhe t\u00eb paparashikueshme t\u00eb cilat drejtperdrejt shkaktojn\u00eb d\u00ebmtim neurologjik kumulativ, t\u00eb p\u00ebrhersh\u00ebm dhe invaliditet. N\u00eb disa raste, relapsi mund te rezulton dhe me vdekje. M\u00eb s\u00eb shpeshti simptomet jan\u00eb verbim, invaliditet, dhimbje, ndjenj\u00eb lodhsie dhe inkontinenc\u00eb, t\u00eb cilat kontribuojn\u00eb drejt zvog\u00eblimit te kualitetit jet\u00ebsor t\u00eb pacient\u00ebve. Si rezultat i relapseve t\u00eb shpeshta dhe serioze, shumica e pacient\u00ebve p\u00ebrjetojn\u00eb invaliditet t\u00eb p\u00ebrhersh\u00ebm, p\u00ebrshembull p\u00ebr 5 vite, 50% t\u00eb pacient\u00ebve me NMOSD do t\u00eb ken\u00eb nevoj\u00eb per karroc\u00eb p\u00ebr invalid\u00eb, kurse 62% t\u00eb pacient\u00ebve do t\u00eb jen\u00eb te verb\u00ebr.<br \/>\nArsyeja e sakt\u00eb p\u00ebr paraqitjen e k\u00ebsaj s\u00ebmundje \u00ebshte ende e panjohur, por besohet q\u00eb interleukin 6 luan rol kyq n\u00eb patogjenez\u00ebn e s\u00ebmundjes. Nivelet t\u00eb interleukin 6 jan\u00eb duksh\u00ebm m\u00eb t\u00eb larta tek pacient\u00ebt me s\u00ebmundje aktive, n\u00eb krahasim me pacient\u00ebt me skleroz\u00eb multiple dhe s\u00ebmundje t\u00eb tjera neurologjike jo-inflamatore. Interleukin 6 \u00ebsht\u00eb protein n\u00eb trupin ton\u00eb i p\u00ebrb\u00ebr\u00eb nga shum\u00eb qeliza imunologjike dhe ka p\u00ebr detyr\u00eb t\u00eb jep sinjal i cili do ta indukoj\u00eb kaskad\u00ebn inflamatore, duke shkaktuar d\u00ebmtim neurologjik dhe invaliditet. P\u00ebrveq k\u00ebsaj, interleukin 6 e zmadhon permeabilitetin e barier\u00ebs hemato-encefalike dhe lejon dep\u00ebrtimin e antirupave akvapurin 4 dhe qelizat pro-inflamatore n\u00eb sistemin nervor q\u00ebndror.<\/p>\n<p>NMOSD m\u00eb s\u00eb shpeshti \u00ebsht\u00eb e asocuar me pranin\u00eb e auto-antitrupave patologjik, t\u00eb ashtuquajtur akvapurin 4, t\u00eb cil\u00ebt d\u00ebmtojn\u00eb nj\u00eb set specifik t\u00eb qelizave t\u00eb quajtura astrocite duke rezultuar me paraqitjen e lezioneve inflamatore t\u00eb nervit ose nervave optik\/e, palc\u00ebs kurizore dhe turit. Antitrupat akvapurin 4 zbulohen ne serumin e gjakut tek p\u00ebraf\u00ebrsisht dy t\u00eb tretat e pacient\u00ebve, dhe paraqet kriterium specifik p\u00ebr dijagnostifikimin e NMOSD<br \/>\nEdhepse shumica e rasteve t\u00eb NMOSD mund t\u00eb jen\u00eb t\u00eb v\u00ebrtetuara n\u00ebp\u00ebmjet testeve per dijagnostifikim, njer\u00ebzit q\u00eb jetojn\u00eb me k\u00ebt\u00eb gjendje shpesh her\u00eb jan\u00eb gabimisht t\u00eb dijagnosfirikuar me skleroz\u00eb multiple. Kjo dukuri paraqitet si rezultat i ngjashm\u00ebrise s\u00eb madhe te karakteristikave klinike tek t\u00eb dy s\u00ebmundjet, duke p\u00ebrfshir\u00eb edhe faktin e prevalenc\u00ebs m\u00eb t\u00eb madhe tek grat\u00eb, simptome te ngjashme dhe fakti q\u00eb t\u00eb dy gjendjet jan\u00eb te karakterizuara me paraqitjen e relapseve.<br \/>\nPraktika momentale n\u00eb tretmanin e NMOSD p\u00ebrfshin p\u00ebrdorimin e ila\u00e7eve imunosupresive me q\u00ebllim q\u00eb te prevenohet paraqitja e relapseve, mir\u00ebpo ky tretman nuk \u00ebsht\u00eb i mjaftuesh\u00ebm. T\u00eb dh\u00ebnat e fundit t\u00eb hulumtimeve klinike jan\u00eb mjaft premtuese dhe inkurajuese, pasi q\u00eb ila\u00e7et ereja n\u00eb kontinuitet tregojn\u00eb efikasitet n\u00eb parandalimin e relapseve dhe pritet q\u00eb ta zvog\u00eblojn\u00eb dhe rat\u00ebn e mortalitetit.<br \/>\nMund\u00ebsia per testim rutinor t\u00eb antitrupave akvapurin 4, ndjekja e udh\u00ebzimeve bashk\u00ebkohore p\u00ebr dijagnostifikim dhe tretman me ila\u00e7e t\u00eb reja p\u00ebr k\u00ebt\u00eb s\u00ebmundje t\u00eb r\u00ebnd\u00eb neurologjike do t\u00eb kontribuojn\u00eb p\u00ebr anvancimin e mbrojtjes sh\u00ebndetsore t\u00eb pacient\u00ebve me NMOSD dhe p\u00ebrmirsim t\u00eb kualitetit t\u00eb tyre jet\u00ebsor.<\/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>Neuromielitis optika Neuromielitis optika spekt\u00ebr i \u00e7regullimeve (NMOSD ang. Neuromyelitis opctica spectrum of disorders) Neuromielitis optika spekt\u00ebr i \u00e7regullimeve paraqet [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":106265,"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\/06-Neuromyelitis-optica-spectrum-disorders-NMOSD-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2020\/02\/06-Neuromyelitis-optica-spectrum-disorders-NMOSD-250x141.png","categoryNames":["Histori t\u00eb parr\u00ebfyera"],"feature_caption":"","subtitle":"","views":"1002","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 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: NEUROMIELITIS OPTIKA - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/ju-njoftojme-me-semundjet-e-rralla-neuromielitis-optika\/\" \/>\n<meta property=\"og:locale\" content=\"mk_MK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: NEUROMIELITIS OPTIKA - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"og:description\" content=\"Neuromielitis optika Neuromielitis optika spekt\u00ebr i \u00e7regullimeve (NMOSD ang. 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