{"id":167015,"date":"2022-02-27T09:42:21","date_gmt":"2022-02-27T08:42:21","guid":{"rendered":"https:\/\/sdk.mk\/?p=167015"},"modified":"2022-02-27T09:42:21","modified_gmt":"2022-02-27T08:42:21","slug":"ju-njoftojme-me-semundjet-e-rralla-skleroza-multiple-tek-femijet","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/maqedonia\/ju-njoftojme-me-semundjet-e-rralla-skleroza-multiple-tek-femijet\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: SKLEROZA MULTIPLE TEK F\u00cbMIJ\u00cbT"},"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><em><strong>Skleroza multiple tek f\u00ebmij\u00ebt\/Pediatric multiple sclerosis (pediatric MS)<\/strong><\/em><\/p>\n<p>ICD &#8211; 10: G 35<\/p>\n<p>Prevalenca: 0.63\/100.000<\/p>\n<p>Skleroza multiple \u00ebsht\u00eb nj\u00eb s\u00ebmundje kronike-inflamatore e sistemit nervor qendror e karakterizuar nga demielinizimi aksonal dhe degjenerimi. S\u00ebmundja shkakton paaft\u00ebsi dhe \u00ebsht\u00eb shkaku m\u00eb i shpesht\u00eb i aft\u00ebsis\u00eb s\u00eb kufizuar tek popullata e re, menj\u00ebher\u00eb pas aksidenteve t\u00eb trafikut. M\u00eb shpesh prek popullat\u00ebn e re t\u00eb mosh\u00ebs rreth 20-40 vje\u00e7, por gjithnj\u00eb e m\u00eb shum\u00eb njihet edhe n\u00eb mosh\u00ebn f\u00ebmij\u00ebrore. Rreth 3-5% e numrit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb pacient\u00ebve t\u00eb diagnostikuar me MS i p\u00ebrkasin popullat\u00ebs pediatrike.<\/p>\n<p><strong>Epidemiologjia e skleroz\u00ebs multiple pediatrike:<\/strong><\/p>\n<p>Incidenca e skleroz\u00ebs multiple pediatrike ndryshon midis studimeve t\u00eb publikuara dhe ndryshon n\u00eb m\u00ebnyr\u00eb t\u00eb konsiderueshme nga vendi n\u00eb vend. Shumica e studimeve kan\u00eb nj\u00eb incidenc\u00eb prej rreth 1 n\u00eb 100.000 f\u00ebmij\u00eb. Incidenc\u00eb pak m\u00eb e lart\u00eb \u00ebsht\u00eb raportuar te f\u00ebmij\u00ebt n\u00eb Sardenj\u00eb, 2.85 n\u00eb 100.000 f\u00ebmij\u00eb. Prevalenca gjithashtu ndryshon, \u00ebsht\u00eb shum\u00eb e ul\u00ebt n\u00eb Japoni, 0,69 n\u00eb 100.000 f\u00ebmij\u00eb, kurse n\u00eb Sardenj\u00eb 26 raste n\u00eb 100.000 f\u00ebmij\u00eb.<\/p>\n<p><strong>Manifestimi klinik i skleroz\u00ebs multiple:<\/strong><\/p>\n<p>Shenjat klinike ndonj\u00ebher\u00eb mund t\u00eb ndryshojn\u00eb tek f\u00ebmij\u00ebt n\u00eb krahasim me t\u00eb rriturit. Shpesh n\u00eb popullat\u00ebn pediatrike, n\u00ebn 12 vje\u00e7, s\u00ebmundja mund t\u00eb filloj\u00eb nj\u00ebkoh\u00ebsisht n\u00eb disa lokacione n\u00eb sistemin nervor qendror, dhe k\u00ebshtu simptomat do t\u00eb jen\u00eb t\u00eb ndryshme. Te f\u00ebmij\u00ebt n\u00ebn 12 vje\u00e7, s\u00ebmundja ndonj\u00ebher\u00eb i ngjan encefalitit ashtu q\u00eb nuk ka deficit neurologjik me tipare fokale si tek t\u00eb rriturit. Diagnoza e kujdesshme duhet b\u00ebr\u00eb n\u00eb k\u00ebt\u00eb mosh\u00eb, sepse s\u00ebmundja i ngjan m\u00eb shum\u00eb encefalomielitit akut t\u00eb diseminuar (ADEM).<\/p>\n<p>N\u00eb popullat\u00ebn m\u00eb t\u00eb vjet\u00ebr se 12 vje\u00e7, s\u00ebmundja fillon me deficite neurologjike fokale dhe i ngjan skleroz\u00ebs multiple karakteristike p\u00ebr popullat\u00ebn e rritur. Simptomat m\u00eb t\u00eb shpeshta jan\u00eb dob\u00ebsia e ekstremiteteve, shfaqja e imazheve t\u00eb dyfishta, paq\u00ebndrueshm\u00ebria, v\u00ebshtir\u00ebsia n\u00eb ecje, d\u00ebmtimi i shikimit. S\u00ebmundja karakterizohet me relapse.<\/p>\n<p>Popullata e f\u00ebmij\u00ebve ka m\u00eb shum\u00eb relapse n\u00eb nj\u00eb vit sesa popullata e rritur, dhe intervali nd\u00ebrmjet relapseve \u00ebsht\u00eb m\u00eb i shkurt\u00eb. Gjithashtu, progresioni i aft\u00ebsis\u00eb s\u00eb kufizuar mund t\u00eb jet\u00eb m\u00eb i shpejt\u00eb tek f\u00ebmij\u00ebt.<\/p>\n<p><strong>Diagnoza e skleroz\u00ebs multiple pediatrike:<\/strong><\/p>\n<p>Kriteret diagnostikuese ndryshojn\u00eb nga popullata e rritur p\u00ebr shkak t\u00eb mund\u00ebsis\u00eb s\u00eb paraqitjes atipike t\u00eb s\u00ebmundjes. N\u00eb thelb, diagnoza b\u00ebhet me rezonanc\u00eb magnetike ku \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb shihet n\u00ebse ka lezione demielinizuese q\u00eb jan\u00eb t\u00eb p\u00ebrhapura. Gjithmon\u00eb duhet marr\u00eb parasysh manifestimi klinik dhe duhet p\u00ebrjashtuar ADEM, sidomos kur paraqitja \u00ebsht\u00eb difuze. \u00cbsht\u00eb e nevojshme t\u00eb kryhet nj\u00eb punksion lumbal dhe analiza e l\u00ebngut cerebrospinal p\u00ebr t\u00eb p\u00ebrjashtuar infeksionin. Prania e imunoglobulinave oligoklonale n\u00eb l\u00ebngun cerebrospinal \u00ebsht\u00eb karakteristik\u00eb e skleroz\u00ebs multiple.<\/p>\n<p><strong>Terapia e skleroz\u00ebs multiple pediatrike:<\/strong><\/p>\n<p>Relapset akute trajtohen me doz\u00eb t\u00eb lart\u00eb t\u00eb metilprednizolonit (30 deri n\u00eb 50 mg n\u00eb dit\u00eb, por jo m\u00eb shum\u00eb se 1.000 mg n\u00eb dit\u00eb). Terapia zakonisht zgjat 3-5 dit\u00eb. Provat klinike t\u00eb barnave p\u00ebr skleroz\u00ebn multiple kryhen m\u00eb s\u00eb shpeshti n\u00eb popullat\u00ebn e rritur dhe nuk ka prova klinike q\u00eb p\u00ebrfshijn\u00eb f\u00ebmij\u00eb.<\/p>\n<p>Interferoni beta (IFNB), glatiramer acetat dhe fingolimod jan\u00eb miratuar nga EMA p\u00ebr p\u00ebrdorim n\u00eb popullat\u00ebn pediatrike. Por, m\u00eb shpesh p\u00ebr trajtim te f\u00ebmij\u00ebt jepet interferon beta. P\u00ebr shkak se relapset jan\u00eb m\u00eb t\u00eb shpeshta dhe p\u00ebrparimi \u00ebsht\u00eb m\u00eb i shpejt\u00eb, \u00ebsht\u00eb shum\u00eb e r\u00ebnd\u00ebsishme trajtimi t\u00eb fillohet sa m\u00eb shpejt t\u00eb jet\u00eb e mundur p\u00ebr t\u00eb parandaluar paaft\u00ebsin\u00eb.<\/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>Skleroza multiple tek f\u00ebmij\u00ebt\/Pediatric multiple sclerosis (pediatric MS) ICD &#8211; 10: G 35 Prevalenca: 0.63\/100.000 Skleroza multiple \u00ebsht\u00eb nj\u00eb s\u00ebmundje [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":167016,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"no","inline_featured_image":false},"categories":[3087],"tags":[],"imageURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2022\/02\/27-Pediatric-multiple-sclerosis-1-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2022\/02\/27-Pediatric-multiple-sclerosis-1-250x141.png","categoryNames":["Maqedonia"],"feature_caption":"","subtitle":"","views":"1334","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: SKLEROZA MULTIPLE TEK F\u00cbMIJ\u00cbT - \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\/maqedonia\/ju-njoftojme-me-semundjet-e-rralla-skleroza-multiple-tek-femijet\/\" \/>\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: SKLEROZA MULTIPLE TEK F\u00cbMIJ\u00cbT - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"og:description\" content=\"Skleroza multiple tek f\u00ebmij\u00ebt\/Pediatric multiple sclerosis (pediatric MS) ICD &#8211; 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