{"id":139026,"date":"2021-02-13T09:13:06","date_gmt":"2021-02-13T08:13:06","guid":{"rendered":"https:\/\/sdk.mk\/?p=139026"},"modified":"2021-02-13T09:13:06","modified_gmt":"2021-02-13T08:13:06","slug":"ju-njoftojme-me-semundjet-e-rralla-sindroma-nunan","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-sindroma-nunan\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: SINDROMA NUNAN"},"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=ZIEHjFdCU3M&amp;list=PLPGcigDEy-qjbp5PqAn9GhcRLTEx3PuVd&amp;index=13\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>Noonan syndrome &#8211; Sindroma Nunan<\/strong><\/em><\/a><br \/>\nICD Q87.1<br \/>\nPrevalenca: E panjohur<\/p>\n<p>Sindroma Nunan \u00ebsht\u00eb malformim kongjenital (i lindur) i cili karakterizohet me anomali t\u00eb shumta t\u00eb fytyr\u00ebs, defekte t\u00eb lindura t\u00eb zemr\u00ebs, rritje t\u00eb ngadalsuar, deformime t\u00eb gjoksit dhe skeletit, anomalii t\u00eb traktit gjenitourinar, t\u00eb syve, t\u00eb sistemit limfatik dhe t\u00eb organeve t\u00eb shumta dhe sistemeve organike.<br \/>\nParaqitet n\u00eb \u00e7do 2.500 t\u00eb porsalindur, pa dallim t\u00eb rac\u00ebs dhe gjinis\u00eb.<br \/>\nSindroma Nunan, \u00ebsht\u00eb em\u00ebrtuar n\u00eb vitin 1963 sipas doktoresh\u00ebs amerikane Zhaklin Nunan, pediatre kardiologe n\u00eb Universitetin n\u00eb Ajova, kur ajo ka v\u00ebrejtur q\u00eb f\u00ebmij\u00ebt me defekt t\u00eb rrall\u00eb t\u00eb zemr\u00ebs, stenoz\u00eb t\u00eb valvul\u00ebs pulmonale, shpesh kan\u00eb nj\u00eb pamje te jashtme specifike, me shtat dhe qaf\u00eb t\u00eb shkurt\u00ebr, vesh\u00eb t\u00eb vendosura m\u00eb ul\u00ebt dhe sy t\u00eb larguara.<br \/>\nEtiologjia:<br \/>\nShkaku p\u00ebr paraqitjen e k\u00ebsaj sindrome \u00ebsht\u00eb mutacioni gjenetik q\u00eb mund t\u00eb trash\u00ebgohet n\u00eb form\u00eb autosomale dominante ose mund t\u00eb jet\u00eb si pasoje e nj\u00eb mutacioni de novo.<br \/>\nPasqyra klinike:<br \/>\nKur lind, foshnja zakonisht \u00ebsht\u00eb me pesh\u00eb dhe gjat\u00ebsi normale.<br \/>\nM\u00eb von\u00eb gjat\u00eb jet\u00ebs, rreth 80% e pacient\u00ebve jan\u00eb me shtat t\u00eb shkurt\u00eb (burrat mesatarisht jan\u00eb t\u00eb lart\u00eb 160 cm kurse grat\u00eb 150 cm).<br \/>\nNga simptomat dhe shenjat karakteristike jan\u00eb: forma trek\u00ebndore t\u00eb fytyr\u00ebs dhe balli i lart\u00eb, distanca e madhe mes k\u00ebndeve t\u00eb brendshme t\u00eb syve, egzoftalmus, kapak\u00eb syri t\u00eb l\u00ebshuara, strabiz\u00ebm, shtat t\u00eb ul\u00ebt, vesh\u00eb t\u00eb vogla, anomalii n\u00eb kanalin e veshit t\u00eb mes\u00ebm dhe infeksione t\u00eb shpeshta t\u00eb vesh\u00ebve, shpesh k\u00ebta persona kan\u00eb degjim t\u00eb d\u00ebmtuar, qaf\u00eb t\u00eb shkurt\u00ebr, gjoks pule, shtremb\u00ebrim an\u00ebsor t\u00eb boshtit kurizor (skolioz\u00eb), probleme me g\u00eblltitje dhe tretje t\u00eb ushqimit, anomalii t\u00eb en\u00ebve t\u00eb gjakut.<br \/>\nDefekte n\u00eb zem\u00ebr: stenoza pulmonale (stenoza e valvul\u00ebs pulmonare), por edhe defekte tjera t\u00eb trash\u00ebguara t\u00eb zemr\u00ebs, kardiomiopati hipertrofike.<br \/>\n(radio jingle I njohim s\u00ebmundjet e rralla)<br \/>\nNdryshime t\u00eb sistemeve tjera: hepatosplenomegali (zmadhim t\u00eb m\u00eblqis\u00eb dhe shp\u00ebnetk\u00ebs), anomali t\u00eb veshkave, testikulle t\u00eb pazbritura (kriptorkiz\u00ebm), elasticitet i madhe i nyjeve dhe dhimbje t\u00eb nyjeve, deformime t\u00eb shpuvate, kontraktura t\u00eb nyjeve, limfedeme t\u00eb duarve dhe t\u00eb k\u00ebmb\u00ebve, hipotoni, dhimbje t\u00eb muskujve, neuropati periferike (d\u00ebmtime t\u00eb nervit periferik), sulme epileptike, shpesh kan\u00eb probleme hematologjike (mpiksje e vonuar e gjakut, num\u00ebr i ul\u00ebt i trombociteve), \u00e7rregullime metabolike (diabet, giht), madje edhe retardim mendor te secili i kat\u00ebrti pacient.<\/p>\n<p>Edhe pse nuk jan\u00eb aq t\u00eb shpeshta, k\u00ebta pacient\u00eb mund t\u00eb ken\u00eb ndryshime n\u00eb en\u00ebt limfatike q\u00eb shpien gjer tek edemat n\u00eb periferi dhe shqetsime me mushk\u00ebrit\u00eb dhe zor\u00ebt. Gjithashtu k\u00ebta pacient\u00eb kan\u00eb prirje m\u00eb t\u00eb madh\u00eb t\u00eb zhvillojn\u00eb leukemi dhe s\u00ebmundje tjera mieloproliferative.<br \/>\nDiagnostikimi:<br \/>\nDiagnoza p\u00ebrcaktohet n\u00eb baz\u00eb t\u00eb pasqyr\u00ebs klinike, statusit fizik t\u00eb pacientit, analizat laboratorike q\u00eb p\u00ebrfshijn\u00eb hemogram\u00ebn, koagulimin e gjakut pasi q\u00eb shum\u00eb shpesh kan\u00eb munges\u00eb t\u00eb faktorit XI. B\u00ebhen ekzaminime si EKG dhe ultraz\u00eb t\u00eb zemr\u00ebs.<br \/>\nDiagnoza definitive e sindrom\u00ebs Nunan p\u00ebrcaktohet vet\u00ebm me testim gjenetik.<br \/>\nDiagnoza prenatale shum\u00eb v\u00ebshtir\u00eb p\u00ebrcaktohet pasi q\u00eb n\u00eb t\u00eb shumt\u00ebn e rasteve ritja e foshnjes gjat\u00eb periudh\u00ebs embrionale \u00ebsht\u00eb krejtsisht normale.<br \/>\nTrajtimi:<br \/>\nNuk ekziston terapi specifike.<br \/>\nP\u00ebr shkak t\u00eb ngecjes n\u00eb rritje, jepet hormon p\u00ebr ritje i cili u mund\u00ebson k\u00ebtyre pacient\u00ebve t\u00eb arrijn\u00eb gati se lart\u00ebsi normale t\u00eb trupit.<br \/>\nDefektet e lindura t\u00eb zemr\u00ebs trajtohen n\u00eb m\u00ebnyr\u00eb kirurgjike.<br \/>\nRekomandohet q\u00eb t\u00eb b\u00ebhet ekzaminim oftalmologjik dhhe otorinolaringologjik \u00e7do 6 muaj, p\u00ebr shkak t\u00eb problemeve t\u00eb p\u00ebrbashk\u00ebta t\u00eb lidhura me d\u00ebgjimin dhe me t\u00eb pamurin.<br \/>\n\u00cbsht\u00eb shum\u00eb e r\u00ebnd\u00ebsishme t\u00eb ndiqet n\u00eb vazhdim\u00ebsi zhvillimi mendor i f\u00ebmij\u00ebs, pasi q\u00eb \u00e7do i kat\u00ebrti f\u00ebmij\u00eb ka ngecje n\u00eb zhvillimin mendor.<\/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>Noonan syndrome &#8211; Sindroma Nunan ICD Q87.1 Prevalenca: E panjohur Sindroma Nunan \u00ebsht\u00eb malformim kongjenital (i lindur) i cili karakterizohet [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":139024,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"no","inline_featured_image":false},"categories":[1794],"tags":[],"imageURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2021\/02\/13-Nunan-sindrom-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2021\/02\/13-Nunan-sindrom-250x141.png","categoryNames":["Uncategorized"],"feature_caption":"","subtitle":"","views":"867","source":"\u0421\u043a\u043e\u043f\u0458\u0435, (\u0421\u0410\u041a\u0410\u041c\u0414\u0410\u041a\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: SINDROMA NUNAN - \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-sindroma-nunan\/\" \/>\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: SINDROMA NUNAN - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"og:description\" content=\"Noonan syndrome &#8211; Sindroma Nunan ICD Q87.1 Prevalenca: E panjohur Sindroma Nunan \u00ebsht\u00eb malformim kongjenital (i lindur) i cili karakterizohet [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-sindroma-nunan\/\" \/>\n<meta property=\"og:site_name\" content=\"\u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"article:published_time\" content=\"2021-02-13T08:13:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sdk.mk\/wp-content\/uploads\/2021\/02\/13-Nunan-sindrom.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n<meta property=\"fb:app_id\" content=\"2407985809428537\" \/>\n<meta name=\"twitter:card\" content=\"summary\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/sdk.mk\/#website\",\"url\":\"https:\/\/sdk.mk\/\",\"name\":\"\\u0421\\u0430\\u043a\\u0430\\u043c \\u0414\\u0430 \\u041a\\u0430\\u0436\\u0430\\u043c\",\"description\":\"\\u0417\\u0430 \\u0441\\u043b\\u043e\\u0431\\u043e\\u0434\\u043e\\u0443\\u043c\\u043d\\u0438\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":\"https:\/\/sdk.mk\/?s={search_term_string}\",\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"mk-MK\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-sindroma-nunan\/#primaryimage\",\"inLanguage\":\"mk-MK\",\"url\":\"https:\/\/sdk.mk\/wp-content\/uploads\/2021\/02\/13-Nunan-sindrom.png\",\"width\":1920,\"height\":1080},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-sindroma-nunan\/#webpage\",\"url\":\"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-sindroma-nunan\/\",\"name\":\"JU NJOFTOJM\\u00cb ME S\\u00cbMUNDJET E RRALLA: SINDROMA NUNAN - \\u0421\\u0430\\u043a\\u0430\\u043c \\u0414\\u0430 \\u041a\\u0430\\u0436\\u0430\\u043c\",\"isPartOf\":{\"@id\":\"https:\/\/sdk.mk\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-sindroma-nunan\/#primaryimage\"},\"datePublished\":\"2021-02-13T08:13:06+00:00\",\"dateModified\":\"2021-02-13T08:13:06+00:00\",\"author\":{\"@id\":\"https:\/\/sdk.mk\/#\/schema\/person\/864d4cb4c82a45f771023b00a4aa5176\"},\"inLanguage\":\"mk-MK\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-sindroma-nunan\/\"]}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/sdk.mk\/#\/schema\/person\/864d4cb4c82a45f771023b00a4aa5176\",\"name\":\"Biljana Nestoroska\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","_links":{"self":[{"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/posts\/139026"}],"collection":[{"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/comments?post=139026"}],"version-history":[{"count":0,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/posts\/139026\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/media\/139024"}],"wp:attachment":[{"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/media?parent=139026"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/categories?post=139026"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sdk.mk\/index.php\/wp-json\/wp\/v2\/tags?post=139026"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}