{"id":107287,"date":"2020-02-20T08:21:21","date_gmt":"2020-02-20T07:21:21","guid":{"rendered":"https:\/\/sdk.mk\/?p=107287"},"modified":"2020-02-20T08:21:21","modified_gmt":"2020-02-20T07:21:21","slug":"ju-njoftojme-me-semundjet-e-rralla-purpura-idiopatike-trombocitopenike","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-purpura-idiopatike-trombocitopenike\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: PURPURA IDIOPATIKE TROMBOCITOPENIKE"},"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=IOdE7mT8Nxc&amp;list=PLPGcigDEy-qj0I1um2ByEqy4a1IdVRjzf&amp;index=21&amp;t=0s\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>Purpura idiopatike trombocitopenike<\/strong><\/em><\/a><\/p>\n<p>MKB D69.3<\/p>\n<p>Immune thrombocytopenic purpura<\/p>\n<p>Purpura idiopatike trombocitopenike (PIT), \u00ebsht\u00eb nj\u00eb gjendje n\u00eb t\u00eb cil\u00ebn trupi nuk ka mjaftuesh\u00ebm trombocite. Trombocitet jan\u00eb qeliza gjaku q\u00eb ndihmojn\u00eb q\u00eb t\u00eb parandalohet gjakderdhja. Idiopatike do t\u00eb thot\u00eb se shkaktari i s\u00ebmundjes nuk dihet.<br \/>\nTrombocitopenike do t\u00eb thot\u00eb pllaka t\u00eb ul\u00ebta gjaku.<br \/>\nPurpur do t\u00eb thot\u00eb se personi ka njolla t\u00eb shumta.<\/p>\n<p>S\u00ebmundja \u00ebsht\u00eb p\u00ebrshkruar p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 1735, nga mjeku gjerman Paul Gotlig Verlhoff, q\u00eb e v\u00ebrejti tek nj\u00eb vajz\u00eb 10-vje\u00e7are dhe shkroi raportin e par\u00eb m\u00eb t\u00eb kompletuar p\u00ebr k\u00ebt\u00eb s\u00ebmundje t\u00eb rrall\u00eb. N\u00eb at\u00eb koh\u00eb, trombocitet ishin t\u00eb panjohura. Emri &#8220;s\u00ebmundja e Verlhofit&#8221; p\u00ebrdorej gjer\u00ebsisht p\u00ebrpara se emrit i tanish\u00ebm p\u00ebrshkrues t\u00eb b\u00ebhej i njohur.<br \/>\nTrombocitet u p\u00ebrshkruan n\u00eb fillimin e shekullit t\u00eb 19\u2013t\u00eb, nd\u00ebrsa n\u00eb vitet 1880 disa studiues e lidh\u00ebn purpurin me anormalitetet n\u00eb numrin e trombociteve.<\/p>\n<p>K\u00ebrkuesit besojn\u00eb se PIT \u00ebsht\u00eb \u00e7rregullim imunitar. Trupi zakonisht prodhon antitrupa q\u00eb t\u00eb luftojn\u00eb infeksionin, por tek PIT k\u00ebto antitrupa i sulmojn\u00eb dhe i shkat\u00ebrrojn\u00eb trombocitet e sh\u00ebndetshme t\u00eb trupit.<\/p>\n<p>Se \u00e7far\u00eb e shkakton k\u00ebt\u00eb s\u00ebmundje nuk dihet. PIT shfaqet tek 50 deri 150 njer\u00ebz n\u00eb nj\u00eb milion \u00e7do vit. Rreth gjysma prej personave t\u00eb prekur jan\u00eb f\u00ebmij\u00eb. PIT mund t\u00eb ndikoj\u00eb tek femrat 2-3 her\u00eb m\u00eb shpesh sesa tek meshkujt.<\/p>\n<p>Ekzistojn\u00eb 2 lloje t\u00eb PIT:<br \/>\nPIT akut q\u00eb \u00ebsht\u00eb i p\u00ebrkohsh\u00ebm ose i tipit afatshkurt\u00ebr i PIT. Zakonisht zgjat m\u00eb pak se 6 muaj. Ky \u00ebsht\u00eb edhe tipi m\u00eb i shpesht\u00eb i PIT dhe shfaqet kryesisht tek f\u00ebmij\u00ebt, djem e vajza, zakonisht n\u00eb mosh\u00ebn 2 dhe 4 vje\u00e7. Ndodh shpesh pasi f\u00ebmija ka infeksion ose \u00ebsht\u00eb i s\u00ebmur\u00eb me virus.<br \/>\nPIT kronik zgjat m\u00eb shum\u00eb, zakonisht duke shkaktuar simptoma p\u00ebr 6 ose m\u00eb shum\u00eb muaj. I prek m\u00eb shpesh t\u00eb rriturit, por ka raste kur prek adoleshent\u00ebt dhe f\u00ebmij\u00ebt.<br \/>\nSimptomat<\/p>\n<p>Simptomat e PIT mund t\u00eb p\u00ebrfshijn\u00eb :<br \/>\nNjolla t\u00eb pakta ose t\u00eb shumta q\u00eb shfaqen pa ndonj\u00eb shkak t\u00eb duksh\u00ebm,<br \/>\nPika t\u00eb vogla t\u00eb kuqe-violet n\u00eb l\u00ebkur\u00eb, sidomos n\u00eb pjes\u00ebn e poshtme t\u00eb k\u00ebmb\u00ebve, t\u00eb shkaktuara nga gjakderdhja n\u00ebn l\u00ebkur\u00eb,<br \/>\nGjakderdhje nga qiellza dhe hunda,<br \/>\nGjak n\u00eb urin\u00eb dhe zorr\u00ebn e trash\u00eb.<\/p>\n<p>Femrat mund t\u00eb ken\u00eb gjakderdhje menstruacionale m\u00eb t\u00eb r\u00ebnda.<\/p>\n<p>Disa pacient\u00eb me PIT t\u00eb leht\u00eb mund t\u00eb ken\u00eb pak ose aspak simptoma.<\/p>\n<p>Diagnostika<\/p>\n<p>Q\u00eb t\u00eb konfirmohet shkaku i reduktimit t\u00eb numrit t\u00eb trombociteve duhet q\u00eb t\u00eb b\u00ebhet nj\u00eb analiz\u00eb e plot\u00eb gjaku: enzimat n\u00eb m\u00ebl\u00e7i, testet e veshkave, vitamina B12, niveli i acidit folik, sedimentacioni i gjakut dhe shk\u00ebmbimi i gjakut periferik.<br \/>\nKjo kontroll tregon n\u00ebse formimi i trombociteve \u00ebsht\u00eb normal ose i reduktuar. Mund t\u00eb detektohen antitrupa tek trombocitet, por testi \u00ebsht\u00eb specifik n\u00eb 80% t\u00eb rasteve.<\/p>\n<p>Kurimi i PIT<\/p>\n<p>Q\u00ebllimi i kurimit \u00ebsht\u00eb q\u00eb t\u00eb arrihet nj\u00eb nivel i sigurt i trombociteve, q\u00eb t\u00eb parandalohet gjakderdhja serioze. Niveli normal i trombociteve mund t\u00eb siguroj\u00eb se PIT \u00ebsht\u00eb tejkaluar, por ky nuk \u00ebsht\u00eb q\u00ebllimi primar. Prandaj, fillimisht duhet t\u00eb vendoset se cil\u00ebve pacient\u00eb iu duhet vet\u00ebm observim dhe cil\u00ebve pacient\u00eb iu nevojitet kurim. Kurimi rrall\u00eb indikohet tek pacient\u00eb me nivel trombocitesh mbi 30x10exp9\/L , n\u00eb munges\u00eb t\u00eb gjakderdhjes. Kortikosteroidet jan\u00eb terapia e par\u00eb standarde, por p\u00ebrdorimi i kortikosteroideve duhet t\u00eb ndiqet me kujdes dhe t\u00eb jet\u00eb i kufizuar n\u00eb koh\u00eb. P\u00ebrdorimi i imunoglobulin\u00ebs mund t\u00eb jet\u00eb adekuat tek ato pacient\u00eb me gjakderdhje, q\u00eb nuk reagojn\u00eb n\u00eb prednizon (ose Prednizolon). N\u00eb rastet e nj\u00eb PIT serioz kronik, terapia refernte \u00ebsht\u00eb splenektomia. Po ashtu, p\u00ebrdoret edhe terapia e antagonist\u00ebve t\u00eb trombopoetin (TPO)- receptor dhe terapia CD20 antitrupave monoklonale.<\/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>Purpura idiopatike trombocitopenike MKB D69.3 Immune thrombocytopenic purpura Purpura idiopatike trombocitopenike (PIT), \u00ebsht\u00eb nj\u00eb gjendje n\u00eb t\u00eb cil\u00ebn trupi nuk [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":107285,"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\/20-Immune-Thrombocytopenic-Purpura-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2020\/02\/20-Immune-Thrombocytopenic-Purpura-250x141.png","categoryNames":["Uncategorized"],"feature_caption":"","subtitle":"","views":"10237","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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