{"id":165397,"date":"2022-02-05T09:42:39","date_gmt":"2022-02-05T08:42:39","guid":{"rendered":"https:\/\/sdk.mk\/?p=165397"},"modified":"2022-02-05T09:42:39","modified_gmt":"2022-02-05T08:42:39","slug":"ju-njoftojme-me-semundjet-e-rralla-keqformimi-arnold-chiari","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/maqedonia\/ju-njoftojme-me-semundjet-e-rralla-keqformimi-arnold-chiari\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: KEQFORMIMI ARNOLD-CHIARI"},"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 class=\"western\" lang=\"mk-MK\"><em><strong>Keqformimi Arnold-Chiari\/Arnold-Chiari malformation<\/strong><\/em><\/p>\n<p class=\"western\" lang=\"mk-MK\">ICD-10: Q 07.0<\/p>\n<p class=\"western\" lang=\"mk-MK\">Prevalenca: e panjohur<\/p>\n<p class=\"western\" lang=\"mk-MK\">Keqformimi Chiari, i njohur m\u00eb mir\u00eb si keqformimi Arnold-Chiari, \u00ebsht\u00eb nj\u00eb anomali strukturore n\u00eb zhvillimin e baz\u00ebs s\u00eb trurit t\u00eb vog\u00ebl. Karakterizohet nga hernia e tonzileve t\u00eb trurit t\u00eb vog\u00ebl n\u00eb kanalin kurrizor. Haset tre her\u00eb m\u00eb shpesh tek femrat sesa tek meshkujt. Prevalenca \u00ebsht\u00eb 1\/1000 t\u00eb porsalindur, por numri mendohet t\u00eb jet\u00eb m\u00eb i lart\u00eb, pasi shumica e rasteve jan\u00eb asimptomatike, ose me simptoma m\u00eb t\u00eb lehta dhe mbeten t\u00eb padiagnostikuara. Numri n\u00eb rritje i pacient\u00ebve t\u00eb diagnostikuar \u00ebsht\u00eb p\u00ebr shkak t\u00eb zhvillimit t\u00eb teknologjis\u00eb s\u00eb rezonanc\u00ebs magnetike. Ky keqformim shoq\u00ebrohet shpesh me syringomyelia, q\u00eb do t\u00eb thot\u00eb, formohen ciste n\u00eb indin e palc\u00ebs kurrizore, t\u00eb shoq\u00ebruara me manifestime neurologjike. Ky keqformim u em\u00ebrua pas patologut austriak Dr. Hans Chiari, i cili p\u00ebrshkroi p\u00ebr her\u00eb t\u00eb par\u00eb llojet 1, 2 dhe 3 kurse njohurit\u00eb p\u00ebr tipin 2 u plot\u00ebsuan nga homologu i tij gjerman, Dr. Julius Arnold.<\/p>\n<p class=\"western\" lang=\"mk-MK\"><strong>Shkaqet:<\/strong><\/p>\n<p class=\"western\" lang=\"mk-MK\">Shkaku i sakt\u00eb i KAC \u00ebsht\u00eb i panjohur. Mendohet t\u00eb jet\u00eb nj\u00eb anomali strukturore e trurit t\u00eb vog\u00ebl dhe boshtit kurrizor. Ky lloj keqformi ndodh gjat\u00eb zhvillimit t\u00eb fetusit. P\u00ebr shkak t\u00eb mutacioneve gjenetike ose munges\u00ebs s\u00eb disa materieve ushqyese te n\u00ebna gjat\u00eb shtatz\u00ebnis\u00eb, hap\u00ebsira kockore n\u00eb baz\u00ebn e kafk\u00ebs \u00ebsht\u00eb anormalisht e vog\u00ebl, nd\u00ebrsa truri i vog\u00ebl \u00ebsht\u00eb me madh\u00ebsi normale. Si rezultat, truri i vog\u00ebl \u00ebsht\u00eb i ngjeshur, dhe qarkullimi i l\u00ebngut cerebrospinal \u00ebsht\u00eb i bllokuar. Shumica e keqformimeve zhvillohen gjat\u00eb zhvillimit t\u00eb fetusit dhe te nj\u00eb p\u00ebrqindje e vog\u00ebl mund t\u00eb ndodh\u00eb m\u00eb von\u00eb, zakonisht si rezultat i d\u00ebmtimit, infeksionit dhe ekspozimit ndaj substancave toksike. Ka shum\u00eb raporte n\u00eb literatur\u00ebn mjek\u00ebsore t\u00eb familjeve ku m\u00eb shum\u00eb se nj\u00eb an\u00ebtar i familjes ka keqformim Arnold-Chiari. Kjo sugjeron q\u00eb n\u00eb disa raste faktor\u00ebt gjenetik\u00eb luajn\u00eb nj\u00eb rol n\u00eb zhvillimin e k\u00ebtij keqformimi. Keqformimi Arnold-Chiari shfaqet si pjes\u00eb e sindromave t\u00eb m\u00ebdhenj si Ehler-Danlos, sindroma Goldenhar, osteodistrofia hereditare Albright.<\/p>\n<p class=\"western\" lang=\"mk-MK\"><strong>Simptomat:<\/strong><\/p>\n<p class=\"western\" lang=\"mk-MK\">Simptomat ndryshojn\u00eb midis pacient\u00ebve. Ka pacient\u00eb q\u00eb jan\u00eb asimptomatik\u00eb dhe diagnostikohen aksidentalisht n\u00eb disa ekzaminime radiografike, nd\u00ebrsa te pacient\u00eb t\u00eb tjer\u00eb shfaqen defi\u00e7ite t\u00eb shprehura neurologjike.<\/p>\n<p class=\"western\" lang=\"mk-MK\">Simptoma m\u00eb e zakonshme te KAC \u00ebsht\u00eb dhimbja e kok\u00ebs. Kjo dhimbje koke lokalizohet n\u00eb pjes\u00ebn e pasme t\u00eb kok\u00ebs me nj\u00eb karakter p\u00ebrhap\u00ebs dhe shkakton dhimbje n\u00eb qaf\u00eb dhe shpatulla. Dhimbja e kok\u00ebs p\u00ebrshkruhet si e ashp\u00ebr dhe pulsuese. Mund t\u00eb shkaktohet ose p\u00ebrkeq\u00ebsohet nga teshtitja dhe kollitja.<\/p>\n<p class=\"western\" lang=\"mk-MK\">Simptoma t\u00eb tjera p\u00ebrfshijn\u00eb diplopin\u00eb (shikim t\u00eb dyfisht\u00eb), fotofobi (mbindjeshm\u00ebri ndaj drit\u00ebs), vizion t\u00eb paqart\u00eb, nistagmus, marramendje, tinitus, probleme t\u00eb koordinimit ose ekuilibrit, dob\u00ebsi muskulore, disfagi (v\u00ebshtir\u00ebsi n\u00eb g\u00eblltitje), v\u00ebshtir\u00ebsi n\u00eb t\u00eb folur, palpitacione, sinkopa, paraestezi, apnea, etj.<\/p>\n<p class=\"western\" lang=\"mk-MK\">Syringomyelia shpesh shoq\u00ebrohet me nj\u00eb larmi simptomash, var\u00ebsisht nga madh\u00ebsia dhe vendndodhja. Simptomat e mundshme jan\u00eb: humbja e mas\u00ebs muskulore, dob\u00ebsia muskulore, humbja e ndjeshm\u00ebris\u00eb, skolioza, sfinkter\u00eb t\u00eb pakontrolluar, dhimbje kronike, kontraksione muskulore, l\u00ebvizje t\u00eb pakoordinuara (ataksi) dhe spazma e muskujve t\u00eb k\u00ebmb\u00ebs.<\/p>\n<p class=\"western\" lang=\"mk-MK\"><strong>Diagnoza:<\/strong><\/p>\n<p class=\"western\" lang=\"mk-MK\">Diagnostikimi b\u00ebhet n\u00eb baz\u00eb t\u00eb simptomave dhe investigimeve radiologjike, pra n\u00eb baz\u00eb t\u00eb teknologjis\u00eb MRI. Rrezet X t\u00eb thjeshta dhe tomografia kompjuterike nuk jan\u00eb t\u00eb mjaftueshme p\u00ebr t\u00eb b\u00ebr\u00eb nj\u00eb diagnoz\u00eb. Diagnoza zakonisht b\u00ebhet rast\u00ebsisht, pasi pacient\u00ebt referohen p\u00ebr reyonanc\u00eb magnetike pas problemeve t\u00eb zgjatura me dhimbje koke, marramendje, dhimbje dhe mpirje n\u00eb ekstremitete dhe qaf\u00eb.<\/p>\n<p class=\"western\" lang=\"mk-MK\"><strong>Llojet:<\/strong><\/p>\n<p class=\"western\" lang=\"mk-MK\">Llojet m\u00eb t\u00eb zakonshme jan\u00eb 1 dhe 2. Lloji 1 manifestohet tek t\u00eb rriturit (20-30 vje\u00e7) ose n\u00eb f\u00ebmij\u00ebrin\u00eb e m\u00ebvonshme. Ky lloj \u00ebsht\u00eb m\u00eb i zakonshmi dhe \u00ebsht\u00eb shkaku kryesor i syringomyelia.<\/p>\n<p class=\"western\" lang=\"mk-MK\">Lloji i 2 \u00ebsht\u00eb nj\u00eb gjendje m\u00eb serioze se lloji 1 dhe manifestohet n\u00eb f\u00ebmij\u00ebrin\u00eb e hershme. Karakterizohet nga nj\u00eb hernie m\u00eb e madhe e trurit t\u00eb vog\u00ebl n\u00eb kanalin kurrizor. Mund t\u00eb shkaktoj\u00eb komplikime t\u00eb rrezikshme p\u00ebr jet\u00ebn gjat\u00eb f\u00ebmij\u00ebris\u00eb s\u00eb hershme. Shpesh shoq\u00ebrohet me spina bifida.<\/p>\n<p class=\"western\" lang=\"mk-MK\"><strong>Trajtimi:<\/strong><\/p>\n<p class=\"western\" lang=\"mk-MK\">Rastet asimptomatike nuk trajtohen, por monitorohen rregullisht p\u00ebr t\u00eb par\u00eb n\u00ebse \u00e7rregullimi po p\u00ebrparon. Rastet simptomatike zgjidhen n\u00eb m\u00ebnyr\u00eb kirurgjikale, zakonisht me dekompresim t\u00eb fos\u00ebs s\u00eb pasme cerebrale, dhe ky \u00ebsht\u00eb i vetmi trajtim p\u00ebr t\u00eb korrigjuar defektin funksional ose p\u00ebr t\u00eb parandaluar ndonj\u00eb faz\u00eb t\u00eb p\u00ebrparuar. Q\u00ebllimi i operacionit \u00ebsht\u00eb t\u00eb leht\u00ebsoj\u00eb presionin n\u00eb tru dhe palc\u00ebn kurrizor\u00eb dhe t\u00eb mund\u00ebsohet rrjedhja normale e l\u00ebngut cerebrospinal. Kirurgjia nuk \u00ebsht\u00eb nj\u00eb kur\u00eb, por nj\u00eb mas\u00eb parandaluese p\u00ebr t\u00eb ndaluar p\u00ebrkeq\u00ebsimin e m\u00ebtejsh\u00ebm t\u00eb gjendjes.<\/p>\n<p class=\"western\" lang=\"mk-MK\">Ndonj\u00ebher\u00eb kraniektomia nuk \u00ebsht\u00eb e mjaftueshme, prandaj nevojitet heqja e nj\u00eb pjese t\u00eb unaz\u00ebs s\u00eb par\u00eb t\u00eb qaf\u00ebs (laminektomi) dhe rimodelim i mb\u00ebshtjell\u00ebsit t\u00eb jasht\u00ebm cerebral (duroplastik\u00eb) p\u00ebr t\u00eb liruar m\u00eb shum\u00eb hap\u00ebsir\u00eb. Trajtimi kirurgjik \u00ebsht\u00eb me sukses t\u00eb ndryshuesh\u00ebm. Disa pacient\u00eb p\u00ebrjetojn\u00eb p\u00ebrmir\u00ebsim dhe leht\u00ebsim t\u00eb simptomave pas operacionit, nd\u00ebrsa te t\u00eb tjer\u00ebt shfaqet dhimbja reziduale, dob\u00ebsia e muskujve dhe humbja e ndjeshm\u00ebris\u00eb.<\/p>\n<p class=\"western\" lang=\"mk-MK\">N\u00eb shumic\u00ebn e rasteve pas dekompresimit, syringomyelia p\u00ebrmir\u00ebsohet, ose mbetet n\u00eb t\u00eb nj\u00ebjt\u00ebn madh\u00ebsi. Operacioni p\u00ebrmir\u00ebson qarkullimin e l\u00ebngut cerebrospinal, gj\u00eb q\u00eb kontribuon n\u00eb zvog\u00eblimin e syringomyelia. Kjo leht\u00ebson simptomat. Shum\u00eb pacient\u00eb, p\u00ebr fat t\u00eb keq, kan\u00eb nevoj\u00eb p\u00ebr m\u00eb shum\u00eb se nj\u00eb intervenim kirurgjikal. Nj\u00eb ekip multidisiplinar i neurolog\u00ebve, fiziat\u00ebrve, pediat\u00ebrve dhe okulist\u00ebve \u00ebsht\u00eb i p\u00ebrfshir\u00eb n\u00eb trajtimin e k\u00ebtij keqformimi, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb leht\u00ebsoj\u00eb dhe trajtoj\u00eb simptomat.<\/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>Keqformimi Arnold-Chiari\/Arnold-Chiari malformation ICD-10: Q 07.0 Prevalenca: e panjohur Keqformimi Chiari, i njohur m\u00eb mir\u00eb si keqformimi Arnold-Chiari, \u00ebsht\u00eb nj\u00eb [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":165398,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"no","inline_featured_image":false},"categories":[3087],"tags":[56868],"imageURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2022\/02\/05-Arnold-Chiari-malformation-1-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2022\/02\/05-Arnold-Chiari-malformation-1-250x141.png","categoryNames":["Maqedonia"],"feature_caption":"","subtitle":"","views":"1027","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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