{"id":138870,"date":"2021-02-11T09:54:26","date_gmt":"2021-02-11T08:54:26","guid":{"rendered":"https:\/\/sdk.mk\/?p=138870"},"modified":"2021-02-11T09:54:26","modified_gmt":"2021-02-11T08:54:26","slug":"ju-njoftojme-me-semundjet-e-rralla-kraniogaringeoma","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-kraniogaringeoma\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: KRANIOGARINGEOMA"},"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=qEiQ-bTAy_c&amp;list=PLPGcigDEy-qjbp5PqAn9GhcRLTEx3PuVd&amp;index=11\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>Craniopharyngeoma &#8211; Kraniogaringeoma<\/strong><\/em><\/a><br \/>\nICD D44.4<br \/>\nPrevalenca: 1-9\/100.000<\/p>\n<p>Kraniofaringeoma \u00ebsht\u00eb tumor q\u00eb rritet ngadal\u00eb, me gjenez\u00eb nga epiteli, dhe mund t\u00eb haset n\u00eb regjionin e sell\u00ebs (formacion kockor n\u00eb kafk\u00eb n\u00eb t\u00eb cil\u00ebn \u00ebsht\u00eb e vendosur hipofiza, n\u00eb baz\u00ebn e trurit) ose mbi sell\u00eb.<br \/>\nKraniofaringeomat jan\u00eb tumore q\u00eb nga natyra jan\u00eb beninje, do t\u00eb thot\u00eb nuk kan\u00eb potencial t\u00eb metastazojn\u00eb, por sillen si malinj pasi q\u00eb me rritjen e tyre mund ta d\u00ebmtojn\u00eb indin p\u00ebrreth. K\u00ebta tumore tregojn\u00eb tendenc\u00eb t\u00eb rriten s\u00ebrish pas operacionit.<br \/>\nIncidenca e kraniofaringeomeve \u00ebsht\u00eb p\u00ebraf\u00ebrsisht 13 raste n\u00eb 1.000.000 njer\u00ebz tek popullata e p\u00ebrgjithshme. Shfaqet nj\u00eblloj te t\u00eb gjith\u00eb pa dallim race dhe gjinie. Ata shfaqen me shpesh te femij\u00ebt (n\u00eb mosh\u00ebn prej 5 gjer 14 vje\u00e7), por mund t\u00eb shfaqen edhe te t\u00eb moshuarit mbi 65 vje\u00e7.<br \/>\nFormimi:<br \/>\nEkzistojn\u00eb dy teori p\u00ebr forminin e kraniofaringeomeve. Teoria embrionale bazohet n\u00eb mbetjen e disa strukturave gjat\u00eb zhvillimit t\u00eb embrionit, kurse teoria tjet\u00ebr bazohet n\u00eb metaplazion ose ndryshim i strukturave normale gjat\u00eb zhvillimit t\u00eb k\u00ebtyre tumoreve.<br \/>\nPasqyra klinike:<br \/>\nPasi q\u00eb b\u00ebhet fjal\u00eb p\u00ebr nj\u00eb tumor q\u00eb zhvillohet ngadal\u00eb, kalojn\u00eb shum\u00eb vite gjersa shfaqen simptoma dhe shenja t\u00eb caktuara.<br \/>\nKraniofaringeomet zakonisht shfaqen n\u00eb mosh\u00ebn f\u00ebmij\u00ebrore, edhe pse 45% e pacient\u00ebve n\u00eb koh\u00ebn kur shfaqen shenjat e s\u00ebmundjes jan\u00eb mbi 20 vje\u00e7, nd\u00ebrsa 20% jan\u00eb m\u00eb t\u00eb moshuar se 40 vje\u00e7 n\u00eb \u00e7astin kur p\u00ebrcaktohet diagnoza.<br \/>\nTek f\u00ebmij\u00ebt, s\u00ebmundja fillon me shenja t\u00eb presionit t\u00eb lart\u00eb intrakranial, q\u00eb shfaqet me kok\u00ebdhimbje, t\u00eb vjella dhe edem t\u00eb papil\u00ebs. Shfaqen edhe v\u00ebshtir\u00ebsi me t\u00eb pamurin q\u00eb manifestohen me humbje shikimi ose \u00e7rregullim t\u00eb fush\u00ebs s\u00eb shikimit, ngecje n\u00eb rritje dhe pubertet t\u00eb vonsh\u00ebm. Gjithashtu mund t\u00eb shfaqen \u00e7rregullime psiqike, letargji dhe shtim n\u00eb pesh\u00eb.<br \/>\n(radio jingle I njohim s\u00ebmundjet e rralla)<br \/>\nTek t\u00eb rriurit, shfaqen \u00e7rregullime t\u00eb shikimit, mund t\u00eb shfaqet edem i papil\u00ebs, kok\u00ebdhimbje, ndryshime n\u00eb sjellje, hipogonadiz\u00ebm (zvog\u00eblim i sekretimit t\u00eb hormoneve seksuale), shtim n\u00eb pesh\u00eb. Nj\u00ebri nga \u00e7rregullimet m\u00eb t\u00eb shpeshta endokrinologjike \u00ebsht\u00eb hiperprolaktnemia (haset te nj\u00eb e treta apo gjysma e pacient\u00ebve). Diabetes insipidus gjithashtu \u00ebsht\u00eb i shpesht\u00eb dhe shfaqet me urinim t\u00eb sasive t\u00eb m\u00ebdha t\u00eb urin\u00ebs dhe etje e shprehur.<br \/>\nGati se \u00e7do i dyti pacient ka funksion t\u00eb zvog\u00ebluar t\u00eb gj\u00ebndr\u00ebs tiroide (shtim n\u00eb pesh\u00eb, lodhje, kapsll\u00ebk, tolerance e ul\u00ebt ndaj t\u00eb ftohit).<br \/>\n\u00c7do i kat\u00ebrti pacient ka simptoma dhe shenja t\u00eb funksionit t\u00eb zvog\u00ebluar t\u00eb gj\u00ebndr\u00ebs mbiveshkore, tension t\u00eb ul\u00ebt t\u00eb gjakut, glikemi t\u00eb ul\u00ebt, kalium t\u00eb ul\u00ebt, \u00e7rregullim t\u00eb ritmit t\u00eb zemr\u00ebs, letargji, anoreksi, nauze dhe vjellje.<br \/>\nGjithashtu mund t\u00eb shfaqen probleme me potenc\u00ebn dhe libido e ul\u00ebt.<br \/>\nDiagnostikimi:<br \/>\nAnamneza me pasqyr\u00ebn klinike dhe ekzaminimi fizikal ndihmon shum\u00eb q\u00eb t\u00eb vehet dyshimi p\u00ebr nj\u00eb proces n\u00eb hipofiz\u00eb, por nevojiten analiza shtes\u00eb q\u00eb t\u00eb v\u00ebrtetohet diagnoza p\u00ebrfundimtare.<br \/>\nTestet laboratike p\u00ebr hormonet e tiroides, t\u00eb gj\u00ebndr\u00ebs mbiveshkore dhe hormonet seksuale jan\u00eb t\u00eb patjet\u00ebrsueshme.<br \/>\nDiagnoza definitive p\u00ebrcaktohet n\u00eb baz\u00eb t\u00eb rezultateve t\u00eb fituara nga tomografia kompjuterike (CT) dhe nga rezonanca magnetike. N\u00ebse tumori \u00ebsht\u00eb me kalcifikate mund t\u00eb vizuelizohet edhe n\u00eb radiografi t\u00eb kafk\u00ebs n\u00eb prokesione t\u00eb ndryshme.<br \/>\nP\u00ebr p\u00ebrd\u00ebftim b\u00ebhet edhe ekzaminimi histopatologjik i mas\u00ebs s\u00eb tumorit.<br \/>\nTrajtimi:<br \/>\nEkzistojn\u00eb dy mund\u00ebsi t\u00eb trajtimit. Menjanimi kirurgjik total me qasje radikale, q\u00eb pas intervenimit l\u00eb pasoja apo deficite funkcionale, ose qasje konservative me menjanim t\u00eb pjessh\u00ebm p\u00ebrmes radioterapis\u00eb e cila edhe rekomandohet.<br \/>\nTerapia e z\u00ebvend\u00ebsimit t\u00eb hormoneve q\u00eb mungojn\u00eb gjithashtu \u00ebsht\u00eb shum\u00eb e r\u00ebnd\u00ebsishme.<br \/>\nMedikamentet biologjike, si\u00e7 jan\u00eb interferon alfa, jan\u00eb n\u00eb faza t\u00eb ndryshme t\u00eb hulumtimit.<\/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>Craniopharyngeoma &#8211; Kraniogaringeoma ICD D44.4 Prevalenca: 1-9\/100.000 Kraniofaringeoma \u00ebsht\u00eb tumor q\u00eb rritet ngadal\u00eb, me gjenez\u00eb nga epiteli, dhe mund t\u00eb [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":138867,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"no","inline_featured_image":false},"categories":[3085,1794],"tags":[],"imageURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2021\/02\/11-Kraniofaringeom-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2021\/02\/11-Kraniofaringeom-250x141.png","categoryNames":["Histori t\u00eb parr\u00ebfyera","Uncategorized"],"feature_caption":"","subtitle":"","views":"101","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: KRANIOGARINGEOMA - \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-kraniogaringeoma\/\" \/>\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: KRANIOGARINGEOMA - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"og:description\" content=\"Craniopharyngeoma &#8211; 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