{"id":107856,"date":"2020-02-27T09:40:47","date_gmt":"2020-02-27T08:40:47","guid":{"rendered":"https:\/\/sdk.mk\/?p=107856"},"modified":"2020-02-27T09:40:47","modified_gmt":"2020-02-27T08:40:47","slug":"ju-njoftojme-me-semundjet-e-rralla-semundja-stargard","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-semundja-stargard\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: S\u00cbMUNDJA STARGARD"},"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=kjfdWqpFE3s&amp;list=PLPGcigDEy-qj0I1um2ByEqy4a1IdVRjzf&amp;index=28&amp;t=0s\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>S\u00ebmundja Stargard<\/strong><\/em><\/a><\/p>\n<p>KNS H 35.3<br \/>\nStargardt disease<\/p>\n<p>S\u00ebmundja Stargard \u00ebsht\u00eb forma m\u00eb e shpesht\u00eb e distrofis\u00eb s\u00eb makul\u00ebs q\u00eb prek p\u00ebraf\u00ebrsisht nj\u00eb n\u00eb 10,000 njer\u00ebz. S\u00ebmundja zakonisht manifestohet n\u00eb dekad\u00ebn e par\u00eb apo t\u00eb dyt\u00eb t\u00eb jet\u00ebs, me shpesht\u00ebsi t\u00eb njejt\u00eb te t\u00eb dy gjinit\u00eb.<\/p>\n<p>Mjeku gjerman Karl Stargard i pari e ka p\u00ebrshkruajtur k\u00ebt\u00eb s\u00ebmundje n\u00eb vitin 1909 si nj\u00eb lezion kongjenital i makul\u00ebs s\u00eb syrit, dhe p\u00ebr nder t\u00eb tij s\u00ebmundja e ka fituar emrin s\u00ebmundja Stargard.<\/p>\n<p>S\u00ebmundja Stargard \u00ebsht\u00eb form\u00eb autosomale recisive e distrofis\u00eb s\u00eb retin\u00ebs e cila zakonisht karakterizohet me humbje progresive t\u00eb pamjes qendrore. Kjo vjen si pasoj\u00eb e njollave t\u00eb parregullta n\u00eb fundusin e syrit m\u00eb sakt\u00eb n\u00eb makul\u00eb dhe rreth saj, me ngjyr\u00eb t\u00eb verdh\u00eb dhe t\u00eb bardh\u00eb.<\/p>\n<p>Kjo s\u00ebmundje \u00ebsht\u00eb trash\u00ebguese dhe f\u00ebmija e trash\u00ebgon kur t\u00eb dy prind\u00ebrit bartin mutacione t\u00eb gjenit ABCA4 , por sidoqoft\u00eb nuk do t\u00eb thot\u00eb se t\u00eb gjith\u00eb f\u00ebmij\u00ebt e prind\u00ebrve bart\u00ebs t\u00eb ketij gjeni di t\u00eb jen\u00eb t\u00eb prekur nga kjo s\u00ebmundje. \u00c7do f\u00ebmij\u00eb ka 25% gjasa t\u00eb trash\u00ebgoj\u00eb dy kopje t\u00eb gjenit Stargard (nga nj\u00eb nga secili prind\u00ebr), q\u00eb mund ta shkaktoj\u00eb s\u00ebmundjen. Jo \u00e7do prind mund t\u00eb jet\u00eb i s\u00ebmur\u00eb pasi q\u00eb kan\u00eb vet\u00ebm nj\u00eb kopje t\u00eb gjenit t\u00eb till\u00eb.<\/p>\n<p>Simptoma q\u00eb zakonisht i detyron njer\u00ebzit t\u00eb shkojn\u00eb te mjeku \u00ebsht\u00eb ndryshime n\u00eb pamjen qendore. Mjeku i cili e ekzaminon retin\u00ebn e pacientit me s\u00ebmundjen Stargard, gjat\u00eb ekzaminimit v\u00ebrren njollat karakteristike t\u00eb verdha edhe n\u00ebn makul\u00eb.<\/p>\n<p>S\u00ebmundja zakonisht shfaqet gjat\u00eb dy dekadave t\u00eb para t\u00eb jet\u00ebs, edhe pse simptomat mund t\u00eb shfaqen edhe n\u00eb mosh\u00ebn e pleq\u00ebris\u00eb madje edhe gje n\u00eb dekad\u00ebn e shtat\u00eb t\u00eb jet\u00ebs.<br \/>\nEdhe pse progresioni dhe agravimi i s\u00ebmundjes jan\u00eb t\u00eb ndryshuesh\u00ebm, s\u00ebmundja zakonisht karakterizohet me humbje progresive t\u00eb pamjes q\u00ebndrore gj\u00eb q\u00eb \u00e7on gjer te pamje e turbullt dhe v\u00ebshtir\u00ebsi adaptimi n\u00eb err\u00ebsir\u00eb. Pamja periferike zakonisht \u00ebsht\u00eb normale. Shumica e individ\u00ebve t\u00eb prekur nga kjo s\u00ebmundje gjithashtu kan\u00eb probleme me aft\u00ebsin\u00eb vizuele p\u00ebr dallim t\u00eb ngjyrave.<br \/>\nGjithashu mund t\u00eb jet\u00eb prezente edhe fotofobia.<\/p>\n<p>P\u00ebr shkak t\u00eb llojllojshm\u00ebris\u00eb s\u00eb madhe klinike, prognoza varet nga parametrat e caktuar t\u00eb cil\u00ebt i ndihmojn\u00eb mjekut q\u00eb pacientit ti ofroj\u00eb informat\u00eb p\u00ebr rjedh\u00ebn e s\u00ebmundjes. S\u00ebmundja mund t\u00eb p\u00ebrparoj\u00eb shpejt p\u00ebr disa muaj ose gradualisht gjat\u00eb disa viteve, por sigurisht \u00e7on gjer te humbja e shprehur e mpreht\u00ebsis\u00eb s\u00eb t\u00eb pamurit.<\/p>\n<p>Diagnoza klinike b\u00ebhet n\u00eb baz\u00eb t\u00eb ekzaminimeve oftalmologjike si\u00e7 jan\u00eb caktimi i mpreht\u00ebsis\u00eb vizuele dhe testimi i fush\u00ebs s\u00eb t\u00eb pamurit, oftalmoskopia, elektroretinogafia, angiografia fluoreshente, autofluoreshenca e fundusit dhe tomografia optike, zbulimi i anomalive n\u00eb makul\u00eb dhe zbulimi i njollave t\u00eb rrumbullak\u00ebta dhe t\u00eb verdha q\u00eb mund t\u00eb jen\u00eb prezente vet\u00ebm n\u00eb makul\u00ebn qendrore, por mund t\u00eb zgjerohen edhe jasht\u00eb anastomozave vaskulare (bashkim i en\u00ebve t\u00eb gjakut). Angiografia fluoreshente zbulon nj\u00eb koroid karakteristik t\u00eb err\u00ebt te rreth 86% e pacient\u00ebve.<br \/>\nDiagnoza mund t\u00eb v\u00ebrtetohet me testim gjenetik t\u00eb ABCA4 gjenit.<br \/>\nDiagnoza prenatale \u00ebsht\u00eb e mundshme teknikisht por n\u00eb praks\u00ebn klinike nuk p\u00ebrdoret.<br \/>\nAktualisht nuk ka trajtim t\u00eb disponuesh\u00ebm p\u00ebr s\u00ebmundjen Stargard, por p\u00ebr momentin terapia me z\u00ebvend\u00ebsimin e gjeneve \u00ebsht\u00eb n\u00eb zhvillim e sip\u00ebr. Nj\u00eb tjet\u00ebr mund\u00ebsi trajtimi i cili \u00ebsht\u00eb n\u00ebn vler\u00ebsim, paraqet frenimi i ciklit vizuel me blokimin e veprimit t\u00eb disa enzimave mbi retin\u00ebn.<\/p>\n<p>Masat parandaluese p\u00ebr t\u00eb ngadal\u00ebsuar progredimin e s\u00ebmundjes p\u00ebrfshijn\u00eb mbajtjen e syzeve p\u00ebr dieli q\u00eb t\u00eb shmanget eksponimi i tep\u00ebrt ndaj drit\u00ebs, si dhe mos konsumohen suplemente t\u00eb vitamin\u00ebs A.<br \/>\nRekomandohen vizita t\u00eb rregullta te okulisti.<\/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>S\u00ebmundja Stargard KNS H 35.3 Stargardt disease S\u00ebmundja Stargard \u00ebsht\u00eb forma m\u00eb e shpesht\u00eb e distrofis\u00eb s\u00eb makul\u00ebs q\u00eb prek [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":107853,"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\/27-Stargardt-disease-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2020\/02\/27-Stargardt-disease-250x141.png","categoryNames":["Uncategorized"],"feature_caption":"","subtitle":"","views":"1158","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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