{"id":139131,"date":"2021-02-15T01:49:33","date_gmt":"2021-02-15T00:49:33","guid":{"rendered":"https:\/\/sdk.mk\/?p=139131"},"modified":"2021-02-15T01:49:33","modified_gmt":"2021-02-15T00:49:33","slug":"ju-njoftojme-me-semundjet-e-rralla-kloaka-persistente","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-kloaka-persistente\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: KLOAKA PERSISTENTE"},"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=vsR13LIuUaE&amp;list=PLPGcigDEy-qjbp5PqAn9GhcRLTEx3PuVd&amp;index=15\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>Cloaca persistent &#8211; Kloaka persistente<\/strong><\/em><\/a><br \/>\nICD Q 43.7<br \/>\nPrevalenca: 1\/25.000<\/p>\n<p>Kloaka \u00ebsht\u00eb struktur\u00eb nga e cila, gjat\u00eb zhvillimit t\u00eb embrionit, zhvillohen organet e sistemit urinar dhe riprodhues. Kloaka persistente \u00ebsht\u00eb nj\u00eb defekt i rrall\u00eb gjat\u00eb lindjes q\u00eb \u00ebsht\u00eb i pranish\u00ebm vet\u00ebm tek femrat. Tek kloaka persistente gjat\u00eb zhvillimit t\u00eb fetusit, rektumi, vagina dhe trakti urinar nuk ndahen ashtu si\u00e7 duhet n\u00eb situata normale. Ajo n\u00eb fakt \u00ebsht\u00eb bashkim i sistemit distal urinar, atij digjestiv dhe gjenital n\u00eb nj\u00eb kanal t\u00eb vet\u00ebm. Kloaka persistente haset n\u00eb nj\u00eb n\u00eb 25,000 t\u00eb sapolindur.<\/p>\n<p>Shkaku i formimit:<\/p>\n<p>Shkaku i sakt\u00eb i klok\u00ebs persistente nuk dihet. Ekzistojn\u00eb teori n\u00eb lidhje me predispozicionin gjenetik, por edhe veprimin e faktor\u00ebve t\u00eb mjedisit gjat\u00eb shtat\u00ebzanis\u00eb (efekti i ila\u00e7eve, rrezatimit, toksinave), por asnj\u00eb teori nuk \u00ebsht\u00eb v\u00ebrtetuar p\u00ebrfundimisht.<\/p>\n<p>Pasqyra klinike:<br \/>\nN\u00eb vendin e hapjes s\u00eb uretr\u00ebs, ka vet\u00ebm nj\u00eb hapje e cila \u00ebsht\u00eb dalja e kanalit i cili i bashkon pjes\u00ebn distale t\u00eb vagin\u00ebs, traktit urinar dhe t\u00eb zor\u00ebs. Gjat\u00ebsia e k\u00ebtij kanali mund t\u00eb jet\u00eb nga 1 deri n\u00eb 10 cm. Organet gjenitale t\u00eb jashtme jan\u00eb m\u00eb t\u00eb vogla se zakonisht.<br \/>\nRreziku m\u00eb i madh i k\u00ebtij defekti t\u00eb rrall\u00eb \u00ebsht\u00eb shfaqja e infeksioneve t\u00eb rrezikshme p\u00ebr jet\u00ebn. Mund t\u00eb shfaqen edhe patologji tjera shoq\u00ebruese, p\u00ebrfshir\u00eb cistat e fshik\u00ebz\u00ebs ose veshkave, hernie, spina bifida, anomali kongjenitale t\u00eb zemr\u00ebs, atresia e ezofagut dhe duodenale, deformime t\u00eb boshtit kurrizor.<\/p>\n<p>Diagnostikimi:<br \/>\nN\u00eb disa raste, kloaka persistente mund t\u00eb diagnostikohet para lindjes s\u00eb foshnj\u00ebs. Shenja p\u00ebr zhvillim jonormal t\u00eb traktit urinar, organeve gjenitale dhe rektumit mund t\u00eb shihen me ultraz\u00eb. Sidoqoft\u00eb, diagnoza m\u00eb shpesh p\u00ebrcaktohet kur lind foshnja, kur \u00ebsht\u00eb e qart\u00eb se ekziston vet\u00ebm nj\u00eb hapje n\u00eb vend t\u00eb tre hapjeve t\u00eb ndryshme (vagina, rektumi dhe uretra). Kjo hapje zakonisht gjendet aty ku uretra normalisht \u00ebsht\u00eb e vendosur.<br \/>\nQ\u00eb t\u00eb konfirmihet gj\u00ebndja e sakt\u00eb kryhet ekzaminim me ultraz\u00eb i legenit, radiografia e legenit dhe e shtyll\u00ebs kurrizore pasi q\u00eb kjo anomali shpesh \u00ebsht\u00eb e shoq\u00ebruar me anomali t\u00eb nyjeve t\u00eb shtyll\u00ebs kurrizore.<br \/>\n(radio jingle I njohim s\u00ebmundjet e rralla)<br \/>\nEkzaminimet endoskopike (cistoskopia, vaginoskopia) jan\u00eb shum\u00eb t\u00eb r\u00ebnd\u00ebsishme p\u00ebr t\u00eb p\u00ebrcaktuar gjat\u00ebsin\u00eb e kanalit t\u00eb p\u00ebrbashk\u00ebt. Tomografia dhe rezonanca magnetike zakonisht kryhen si pjes\u00eb e p\u00ebrgatitjes para operacionit.<br \/>\nKy formacion i vog\u00ebl \u00ebsht\u00eb anomalia m\u00eb sfiduese n\u00eb kiururgjin\u00eb pediatrike sepse duhet t\u00eb arrihet kontrolli i zbrazjes s\u00eb fshik\u00ebz\u00ebs, i zorr\u00ebve dhe funksion seksual normal. Trajtimi kirurgjikal duhet t\u00eb siguroj\u00eb nj\u00eb kanal t\u00eb ve\u00e7ant\u00eb p\u00ebr zbrazjen e organeve urinare, zorr\u00ebs dhe organeve gjenitale. Trajtimi i kloak\u00ebs persistente takon ekskluzivisht n\u00eb fush\u00ebn e nj\u00eb kirurgu pediat\u00ebr. Shpesh, nevojiten m\u00eb shum\u00eb nd\u00ebrhyrje p\u00ebr t\u00eb arritur nj\u00eb efekt t\u00eb duhur. Synimet e trajtimit jan\u00eb vendosja e kontrollit t\u00eb urinimit, zbrazja e zorr\u00ebve dhe rivendosja e funksioneve normale seksuale. Prognoza pas nd\u00ebrhyrjes varet nga kompleksiteti i anomalis\u00eb para operacionit. Te rreth 70% e pacient\u00ebve arrihet kontroll normal i zbrazjes s\u00eb zorr\u00ebve.<\/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>Cloaca persistent &#8211; Kloaka persistente ICD Q 43.7 Prevalenca: 1\/25.000 Kloaka \u00ebsht\u00eb struktur\u00eb nga e cila, gjat\u00eb zhvillimit t\u00eb embrionit, [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":139129,"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\/15-Perzistentna-kloaka-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2021\/02\/15-Perzistentna-kloaka-250x141.png","categoryNames":["Uncategorized"],"feature_caption":"","subtitle":"","views":"153","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: KLOAKA PERSISTENTE - \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-kloaka-persistente\/\" \/>\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: KLOAKA PERSISTENTE - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"og:description\" content=\"Cloaca persistent &#8211; 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