{"id":140271,"date":"2021-02-27T08:41:09","date_gmt":"2021-02-27T07:41:09","guid":{"rendered":"https:\/\/sdk.mk\/?p=140271"},"modified":"2021-02-27T08:41:09","modified_gmt":"2021-02-27T07:41:09","slug":"ju-njoftojme-me-semundjet-e-rralla-ekstrofia-e-fshikezes-urinare","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/uncategorized-sq\/ju-njoftojme-me-semundjet-e-rralla-ekstrofia-e-fshikezes-urinare\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: EKSTROFIA E FSHIK\u00cbZ\u00cbS URINARE"},"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=-dFUVPyyWA8&amp;list=PLPGcigDEy-qjbp5PqAn9GhcRLTEx3PuVd&amp;index=27\" target=\"_blank\" rel=\"noopener noreferrer\"><em><strong>Bladder exstrophy-\u0415kstrofia e fshik\u00ebz\u00ebs urinare<\/strong><\/em><\/a><br \/>\nICD Q64.1<br \/>\nPrevalenca: 1-9\/100.000<\/p>\n<p>Ekstrofia e fshik\u00ebz\u00ebs \u00ebsht\u00eb nj\u00eb keqformim i r\u00ebnd\u00eb dhe i rrall\u00eb kongjenital, n\u00eb t\u00eb cilin fshik\u00ebza nuk \u00ebsht\u00eb e vendosur brenda n\u00eb bark, por n\u00eb murin e p\u00ebrparm\u00eb t\u00eb barkut. Ky keqformom shpesh shoq\u00ebrohet me anomali t\u00eb organeve gjenitale t\u00eb jashtme dhe legenit. Fshik\u00ebza urinare nuk \u00ebsht\u00eb formuar n\u00eb form\u00ebn e saj normale rrethore, por \u00ebsht\u00eb e rrafsht\u00eb, dhe kockat e legenit jan\u00eb t\u00eb ndara gj\u00ebr\u00ebsisht. Te pjesa tjet\u00ebr e traktit urinar t\u00eb posht\u00ebm gjithashtu mund t\u00eb ket\u00eb formim abnormal t\u00eb prostat\u00ebs dhe penisit. Ky defekt kongjenital haset te nj\u00eb n\u00eb 10.000 deri n\u00eb 50.000 lindje t\u00eb gjalla. Dy her\u00eb m\u00eb shpesh haset tek meshkujt. Tek kjo anomali, incidenca e kancerit \u00ebsht\u00eb 200 her\u00eb m\u00eb e lart\u00eb se sa n\u00eb fshik\u00ebz\u00ebn normale.<br \/>\nTe nj\u00eb familje q\u00eb kan\u00eb f\u00ebmij\u00eb me ekstrofi, gjasat q\u00eb t\u00eb lind edhe nj\u00eb f\u00ebmij\u00eb tjet\u00ebr po me t\u00eb njejtin keqformim jan\u00eb nj\u00eb n\u00eb 100. Te rastet kur nj\u00ebri nga prind\u00ebrit ka ekstrofi gjasat q\u00eb t\u00eb lind f\u00ebmij\u00eb me k\u00ebt\u00eb anomali jan\u00eb nj\u00eb n\u00eb 70.<br \/>\nTermi ekstrofi vjen nga fjala greke &#8220;ekstifein&#8221; q\u00eb do t\u00eb thot\u00eb e p\u00ebrdredhur. Anomalia u p\u00ebrshkrua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 1583 nga mjeku gjerman Johann Schenk von Grafenberg, dhe m\u00eb von\u00eb nga Dr. John Wood n\u00eb 1869. Mendohet q\u00eb kjo anomali ndodh gjat\u00eb jav\u00ebs s\u00eb 11-t\u00eb t\u00eb shtatz\u00ebnis\u00eb kur organet zhvillohen. Disa ekspert\u00eb besojn\u00eb se nj\u00eb defekt i fshik\u00ebz\u00ebs s\u00eb urin\u00ebs ndodh kur formohen indet n\u00eb murin e posht\u00ebm t\u00eb barkut. Disa studime kan\u00eb zbuluar se kjo gjendje mund t\u00eb trash\u00ebgohet, por gjeni nuk \u00ebsht\u00eb identifikuar.<\/p>\n<p>(radio jingle I njohim s\u00ebmundjet e rralla)<\/p>\n<p>Ekstrofia e fshik\u00ebz\u00ebs urinare tek f\u00ebmij\u00ebt mund t\u00eb zbulohet menj\u00ebher\u00eb pas lindjes me shenjat e m\u00ebposhtme:<br \/>\nShihet nj\u00eb defekt i duksh\u00ebm n\u00eb pjes\u00ebn e poshtme t\u00eb barkut &#8211; fshik\u00ebza \u00ebsht\u00eb n\u00eb sip\u00ebrfaqe;<br \/>\nUrina rrjedh vazhdimisht p\u00ebr shkak t\u00eb s\u00eb cil\u00ebs ka nj\u00eb skuqje t\u00eb l\u00ebkur\u00ebs n\u00eb zon\u00ebn e zonave intime;<br \/>\nSistemi urinar \u00ebsht\u00eb shum\u00eb af\u00ebr anusit.<br \/>\nEkstrofia e fshik\u00ebz\u00ebs urinare shfaqet n\u00eb tre forma klinike: jo e plot\u00eb, e plot\u00eb ose klasike (ekstrofi &#8211; epispadi &#8211; kompleks) dhe ekstrofia e tret\u00eb, m\u00eb e r\u00ebnd\u00eb, e kloak\u00ebs.<br \/>\nTrajtimi:<br \/>\nMbyllja kirurgjikale duhet t\u00eb kryhet n\u00eb f\u00ebmij\u00ebrin\u00eb e hershme n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb parandalohen pasojat e r\u00ebnda psikofizike t\u00eb shkaktuara nga nj\u00eb anomali e till\u00eb. Metoda e vetme e trajtimit \u00ebsht\u00eb kirurgjia. N\u00ebse nuk intervenohet, rreth gjysma e f\u00ebmij\u00ebve nuk jetojn\u00eb m\u00eb shum\u00eb se 10 vjet, dhe rreth 75% vdesin brenda 15 vjet\u00ebsh. Shkaku kryesor i vdekjes tek f\u00ebmij\u00ebt me k\u00ebt\u00eb anomali \u00ebsht\u00eb nj\u00eb infeksion i traktit urinar q\u00eb \u00e7on n\u00eb zhvillimin e pielonefritit kronik \u2013 insufi\u00e7ienc\u00eb renale. Disa burime t\u00eb literatur\u00ebs kan\u00eb raportuar se pacient\u00ebt e paoperuar mbijetuan deri n\u00eb 50 vjet, por n\u00eb raste t\u00eb tilla gjasat p\u00ebr zhvillim t\u00eb nj\u00eb tumori malinj jan\u00eb shum\u00eb t\u00eb m\u00ebdha.<br \/>\nDuke pasur parasysh faktet e m\u00ebsip\u00ebrme, operacioni p\u00ebr t\u00eb korrigjuar ekstrofin\u00eb e fshik\u00ebz\u00ebs urinare, sidomos tek vajzat, duhet t\u00eb kryhet n\u00eb periudh\u00ebn e foshnjes deri n\u00eb mosh\u00ebn 1-2 vje\u00e7. N\u00eb k\u00ebt\u00eb rast, trajtimi kirurgjikal duhet t\u00eb zgjidh\u00eb problemet e m\u00ebposhtme:<br \/>\nkrijimin e nj\u00eb rezervuari p\u00ebr akumulimin e urin\u00ebs;<br \/>\nparandalimin e infeksioneve t\u00eb sistemit gjenitourinar;<br \/>\np\u00ebrjashtimi i mund\u00ebsis\u00eb s\u00eb traum\u00ebs n\u00eb mukoz\u00ebn e fshik\u00ebz\u00ebs s\u00eb hapur;<br \/>\nformimi i organeve gjenitale t\u00eb jashtme;<br \/>\nkrijimi i nj\u00eb uretre artificiale (tek djemt\u00eb) n\u00eb t\u00eb cil\u00ebn do t\u00eb hapen kanalet e fshik\u00ebzave seminale.<br \/>\nVlen t\u00eb p\u00ebrmendet se ekzaminimi para operacionit ka nj\u00eb r\u00ebnd\u00ebsi t\u00eb madhe, i cili zakonisht p\u00ebrfshin vler\u00ebsimin e funksionit t\u00eb veshkave, testet e gjakut, urografin\u00eb, ultraz\u00ebrin, kolonoskopin\u00eb, irigografin\u00eb. Pas operacionit, rezultati vler\u00ebsohet nga ekzaminimi radiologjik.<\/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>Bladder exstrophy-\u0415kstrofia e fshik\u00ebz\u00ebs urinare ICD Q64.1 Prevalenca: 1-9\/100.000 Ekstrofia e fshik\u00ebz\u00ebs \u00ebsht\u00eb nj\u00eb keqformim i r\u00ebnd\u00eb dhe i rrall\u00eb [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":140269,"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\/27-Ekstrofija-na-mochen-meur-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2021\/02\/27-Ekstrofija-na-mochen-meur-250x141.png","categoryNames":["Uncategorized"],"feature_caption":"","subtitle":"","views":"758","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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