{"id":107129,"date":"2020-02-17T08:44:25","date_gmt":"2020-02-17T07:44:25","guid":{"rendered":"https:\/\/sdk.mk\/?p=107129"},"modified":"2020-02-17T08:44:25","modified_gmt":"2020-02-17T07:44:25","slug":"ju-njoftojme-me-semundjet-e-rralla-polimioziti","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-polimioziti\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: POLIMIOZITI"},"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=wEj3Ue6Xo-w&amp;list=PLPGcigDEy-qj0I1um2ByEqy4a1IdVRjzf&amp;index=18&amp;t=0s\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>Polimioziti<\/strong><\/em><\/a><br \/>\nMKB M33.2<br \/>\nPolymyositis<\/p>\n<p>Polimioziti (PM) \u00ebsht\u00eb s\u00ebmundje pezmatuese e muskujve me prejardhje autoimune. I takon grupit t\u00eb semundjeve muskulore t\u00eb njohura si miopati inflamatore. Ata karakterizohen me nje pezmatim kronik t\u00eb muskujve skeletor (t\u00ebrthoro vijor ) t\u00eb cil\u00ebt jan\u00eb p\u00ebrgjegj\u00ebs p\u00ebr l\u00ebvizje si dhe me dob\u00ebsim t\u00eb muskujve n\u00eb t\u00eb dyja an\u00ebt e trupit.<br \/>\nKjo s\u00ebmundje \u00ebsht\u00eb m\u00eb e zakonshme te grat\u00eb dhe parqitet n\u00eb mosh\u00ebn 30 deri 60 vje\u00e7are, me paraqitje t\u00eb rrall\u00eb te f\u00ebmij\u00ebt.<br \/>\nS\u00ebmundja ka prejardhje autoimune, ku sistemi imunologjik fillon t\u00eb prodhoj antitruptha autoimun (auto antitruptha) t\u00eb cilat i atakojn\u00eb indet e tyre. Shumica e pacient\u00ebve me PM kan\u00eb rritje t\u00eb nivelit t\u00eb antitrupthave n\u00eb gjak. Gjetjet laboratorike ve\u00e7ohen me vlera t\u00eb rritura t\u00eb enzimeve muskulore, ndyshime karakteristike t\u00eb cilat regjistrohen me an\u00eb t\u00eb elektromiografis\u00eb (EMG) si dhe biopsia e musujve t\u00eb cilat perdoren p\u00ebr diagnostikimin e k\u00ebsaj s\u00ebmundje.<\/p>\n<p>Simptomet e s\u00ebmundjes<br \/>\nSimptomet dhe shenjat e polimiozitit paraqiten gradualisht, p\u00ebr at\u00eb shkak \u00ebsht\u00eb e v\u00ebshtir\u00eb t\u00eb konstatohet se kur ka filluar s\u00ebmundja. Sidoqoft, dihet q\u00eb s\u00ebmundja zhvillohet gradualisht, n\u00eb periudh\u00eb prej 3-6 muajsh. Zakonisht, pacient\u00ebt s\u00eb pari v\u00ebrejn\u00eb q\u00eb jan\u00eb t\u00eb lodhur dhe nuk mund t\u00eb ngrihen prej pozit\u00ebs ul\u00ebse dhe se e kan\u00eb t\u00eb v\u00ebshtir\u00eb t\u00eb ngjiten n\u00eb shkall\u00eb. Te rastet m\u00eb t\u00eb r\u00ebnda, s\u00ebmundja fillon ashp\u00ebr me dob\u00ebsi muskulore, ashtu q\u00eb pacienti nuk mund t\u00eb ngrihet nga shtrati, nuk mund t\u00eb g\u00eblltis, kurse pastaj zhvillohet nj\u00eb pneumoni p\u00ebr shkak t\u00eb dob\u00ebsis\u00eb s\u00eb tep\u00ebrt t\u00eb muskujve t\u00eb frym\u00ebmarrjes. Te pacient\u00ebt m\u00eb t\u00eb moshuar, dob\u00ebsia e muskujve mund t\u00eb paraqitet 2-3 vite para fillimit t\u00eb kancerit malinj. Diagnoza zakonisht konfirmohet m\u00eb von\u00eb, kurse historia familjare dhe barnat q\u00eb pacienti i shfryt\u00ebzon na ndihmojn\u00eb n\u00eb p\u00ebrjashtimin e shkaqeve t\u00eb tjera t\u00eb miopatis\u00eb.<br \/>\nManifestimet jasht\u00ebmuskulore t\u00eb s\u00ebmundjes<br \/>\nDhimbjet ne fyt dhe ezofag mund t\u00eb sjellin deri te pneumonia aspiruese. Pacienti me PM mund t\u00eb ket\u00eb edhe dob\u00ebsi sekondare t\u00eb muskujve t\u00eb krah\u00ebrorit dhe t\u00eb diafragm\u00ebs. Pacient\u00ebt t\u00eb cil\u00ebt pranojn\u00eb barna imunosupresive jan\u00eb t\u00eb ekspozuar n\u00eb rezik t\u00eb rritur p\u00ebr infekcione. S\u00ebmundja intersticiale e mushk\u00ebrive ( grup s\u00ebmundjesh t\u00eb cilat shkaktojn\u00eb fibroz\u00eb mushk\u00ebriore), gjithashtu, zhvillohet me kollitje t\u00eb that\u00eb dhe gul\u00e7im.<br \/>\n\u00c7rregullimet e zemr\u00ebs t\u00eb cilat paraqiten te PM jan\u00eb: \u00e7rregullime t\u00eb ritmit, d\u00ebshtim kongjestiv i zemr\u00ebs, perikardit, hipertrension mushk\u00ebrior dhe miokardit.<br \/>\nPacient\u00ebt gjithashtu mund t\u00eb ken\u00eb edhe artralgji ose artrit ( inflamacion i nyjeve). Artriti zakonisht \u00ebsht\u00eb simetrik dhe i p\u00ebrfshin gjunjt, nyjet dhe duart. N\u00eb faz\u00ebn e vonshme t\u00eb s\u00ebmundjes mund t\u00eb paraqiten edhe deponime t\u00eb kalciumit n\u00eb muskuj, l\u00ebkur\u00eb dhe indin lidhor, paraqitje e njohur si kalcinoz\u00eb.<br \/>\nPolimioziti gjithashtu \u00ebsht\u00eb i lidhur me s\u00ebmundje t\u00eb tjera t\u00eb indit lidhor, si\u00e7 jan\u00eb: lupusi eritematoz sistemik, artriti reumatoid, s\u00ebmundje e p\u00ebrzier e indit lidhor, sindromi Sjogren, fenomeni Rejno dhe sklerodermi.<br \/>\nShtat\u00ebzania mund t\u00eb p\u00ebrkeq\u00ebsoj shenjat dhe simptomet te grat\u00eb ku s\u00ebmundja n\u00eb at\u00eb \u00e7ast \u00ebsht\u00eb n\u00eb faz\u00eb aktive. Polimioziti n\u00eb faz\u00ebn aktive gjithashtu mund t\u00eb rris rrezikun p\u00ebr lindje t\u00eb parakohshme ose abort spontan. N\u00ebse s\u00ebmundja \u00ebsht\u00eb n\u00eb remision, reziku nuk \u00ebsht\u00eb edhe aq i madh.<br \/>\nMjeku kryen teste shtes\u00eb:<br \/>\nMatja e enzim\u00ebs kreatinin kinaz\u00eb n\u00eb gjak<br \/>\nZbulim i antitrupthave specifik\u00eb te s\u00ebmundjet autoimune<br \/>\nElektromiografi ( t\u00eb kontrollohet gjendja e muskujve dhe nervave t\u00eb cilat ata i inervojn\u00eb)<br \/>\nRezonanca magnetike<br \/>\nBiopsia e muskujve<br \/>\nTrajtimi i polimiozitit<br \/>\nTerapia jepet n\u00eb baz\u00eb t\u00eb shenjave dhe simptomeve t\u00eb cilat paraqiten te pacienti. Edhe pse tash p\u00ebt tash nuk ka bar, simptomet mund t\u00eb leh\u00ebsohen me ndihm\u00eb t\u00eb:<br \/>\nKortikosteroid\u00ebve dhe barnave imunosupresive<br \/>\nTerapi fizikale p\u00ebr sforcim t\u00eb muskujve<br \/>\nTerapi e t\u00eb folurit<br \/>\nImunoglobulina intravenoze<br \/>\nPrognoza e polimiozitit<br \/>\nPrognoza ndryshon nga pacienti n\u00eb pacient.<br \/>\nShumica e pacient\u00ebve reagojn\u00eb mir\u00eb ne terapin\u00eb e p\u00ebrshkruar dhe e rinovojn\u00eb forc\u00ebn muskulore, edhe pse nj\u00ebfar dob\u00ebsie mund t\u00eb jet\u00eb e pranishme. N\u00eb p\u00ebrgjith\u00ebsi, polimioziti nuk \u00ebsht\u00eb s\u00ebmundje me rrezik jete, mir\u00ebpo nj\u00eb s\u00ebmundje kronike e cila ka nevoj p\u00ebr luftim t\u00eb gjat\u00eb.<br \/>\nN\u00ebse terapia nuk \u00ebsht\u00eb efikase, pacient\u00ebt e till\u00eb mund t\u00eb zhvillojn\u00eb nj\u00eb paaft\u00ebsi t\u00eb konsiderueshme. N\u00eb raste t\u00eb rralla, nj\u00eb p\u00ebrkeq\u00ebsim i till\u00eb mund t\u00eb sjell deri te nj\u00eb pneumoni ose dob\u00ebsi respiratore, kurse v\u00ebshtir\u00ebsit\u00eb n\u00eb g\u00eblltitje sjellin deri n\u00eb kequshqyerje dhe humbje n\u00eb pesh\u00eb.<br \/>\nN\u00eb p\u00ebrgjit\u00ebsi, njer\u00ebzit me polimiozit jan\u00eb n\u00eb rrezik m\u00eb t\u00eb madh t\u00eb zhvillimit t\u00eb s\u00ebmundjeve t\u00eb tjera autoimune, kancerit ose osteoporoz\u00ebs.<\/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>Polimioziti MKB M33.2 Polymyositis Polimioziti (PM) \u00ebsht\u00eb s\u00ebmundje pezmatuese e muskujve me prejardhje autoimune. I takon grupit t\u00eb semundjeve muskulore [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":107127,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"","inline_featured_image":false},"categories":[1794],"tags":[],"imageURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2020\/02\/17-Polymyositis-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2020\/02\/17-Polymyositis-250x141.png","categoryNames":["Uncategorized"],"feature_caption":"","subtitle":"","views":"3983","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: POLIMIOZITI - \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\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-polimioziti\/\" \/>\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: POLIMIOZITI - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"og:description\" content=\"Polimioziti MKB M33.2 Polymyositis Polimioziti (PM) \u00ebsht\u00eb s\u00ebmundje pezmatuese e muskujve me prejardhje autoimune. 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