{"id":167068,"date":"2022-02-28T09:27:39","date_gmt":"2022-02-28T08:27:39","guid":{"rendered":"https:\/\/sdk.mk\/?p=167068"},"modified":"2022-02-28T09:27:39","modified_gmt":"2022-02-28T08:27:39","slug":"ju-njoftojme-me-semundjet-e-rralla-epidermoliza-buloze","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/maqedonia\/ju-njoftojme-me-semundjet-e-rralla-epidermoliza-buloze\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: EPIDERMOLIZA BULOZE"},"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\"><em><strong><span lang=\"en-US\">Epidermoliza buloze\/Epidermolysis bullosa<\/span><\/strong><\/em><\/p>\n<p class=\"western\"><span lang=\"en-US\">ICD: Q 81.0 Q 81.1 Q 81.2 Q 81.8 Q 81.9<\/span><\/p>\n<p class=\"western\"><span lang=\"en-US\">Prevalenca: 1-9\/1.000.000<\/span><\/p>\n<p class=\"western\"><span lang=\"en-US\">Epidermoliza buloze \u00ebsht\u00eb nj\u00eb s\u00ebmundje e rrall\u00eb gjenetike e l\u00ebkur\u00ebs dhe mukozave, dhe manifestohet me formimin e fshik\u00ebzave dhe plag\u00ebve t\u00eb hapura. L\u00ebkura \u00ebsht\u00eb shum\u00eb e ndjeshme dhe me prekjen ose presionin m\u00eb t\u00eb vog\u00ebl, shfaqen plag\u00eb si djegie. Haset te 2 deri n\u00eb 4 persona n\u00eb 100.000 banor\u00eb. F\u00ebmij\u00ebt q\u00eb vuajn\u00eb nga kjo s\u00ebmundje njihen edhe si &#8220;f\u00ebmij\u00eb flutura&#8221;. <\/span><\/p>\n<p class=\"western\"><strong><span lang=\"en-US\">Shkaku i shfaqjes:<\/span><\/strong><\/p>\n<p class=\"western\"><span lang=\"en-US\">L\u00ebkura p\u00ebrb\u00ebhet nga tre shtresa kryesore: epiderm\u00eb, dermis dhe hipoderm\u00eb. Tek njer\u00ebzit e sh\u00ebndetsh\u00ebm, proteinat lidh\u00ebse, keratina dhe kolagjeni, jan\u00eb p\u00ebrgjegj\u00ebse p\u00ebr lidhjen e t\u00eb gjitha qelizave dhe shtresave n\u00eb l\u00ebkur\u00eb. K\u00ebto proteina jan\u00eb t\u00eb organizuara n\u00eb rrjete q\u00eb ofrojn\u00eb forc\u00eb, elasticitet dhe mb\u00ebshtetje p\u00ebr epiderm\u00ebn. Nj\u00eb mutacion n\u00eb gjenin q\u00eb kodifikon keratin\u00ebn ose kolagjenin \u00e7on n\u00eb formimin e proteinave q\u00eb nuk mund t\u00eb grupohen n\u00eb rrjete, duke i b\u00ebr\u00eb qelizat e l\u00ebkur\u00ebs t\u00eb ndjeshme dhe leht\u00eb t\u00eb ndashme. Njer\u00ebzit e lindur me epidermoliz\u00eb buloze nuk kan\u00eb proteina funksionale lidh\u00ebse, k\u00ebshtu q\u00eb shtresat e tyre t\u00eb l\u00ebkur\u00ebs ndahen leht\u00eb, duke shkaktuar nj\u00eb s\u00ebr\u00eb d\u00ebmtimesh. <\/span><\/p>\n<p class=\"western\"><strong><span lang=\"en-US\">Trash\u00ebgimia gjenetike:<\/span><\/strong><\/p>\n<p class=\"western\"><span lang=\"en-US\">S\u00ebmundja mund t\u00eb trash\u00ebgohet n\u00eb form\u00eb autosomale dominuese ose recesive. Trash\u00ebgimia autosomale dominuese do t\u00eb thot\u00eb q\u00eb nj\u00ebri prind t\u00eb ket\u00eb t\u00eb nj\u00ebjt\u00ebn s\u00ebmundje, dhe probabiliteti q\u00eb f\u00ebmija t\u00eb trash\u00ebgoj\u00eb s\u00ebmundjen \u00ebsht\u00eb 50% n\u00eb secil\u00ebn shtatz\u00ebni.<\/span><\/p>\n<p class=\"western\"><span lang=\"en-US\">N\u00ebse prind\u00ebrit nuk tregojn\u00eb simptoma t\u00eb s\u00ebmundjes, kjo nuk do t\u00eb thot\u00eb se ata nuk bartin gjenin p\u00ebr t\u00eb. N\u00eb k\u00ebt\u00eb rast, trash\u00ebgimia \u00ebsht\u00eb autosomale recesive dhe mund\u00ebsia e trash\u00ebgimis\u00eb \u00ebsht\u00eb 25% n\u00eb secil\u00ebn shtatz\u00ebni. S\u00ebmundja gjithashtu mund t\u00eb shkaktohet nga nj\u00eb mutacion gjenesh gjat\u00eb formimit t\u00eb gameteve mashkullore dhe fem\u00ebrore. Kjo m\u00ebnyr\u00eb e shfaqjes s\u00eb s\u00ebmundjes nuk mund t\u00eb parashikohet.<\/span><\/p>\n<p class=\"western\"><span lang=\"en-US\">S\u00ebmundja shfaqet te t\u00eb gjitha racat, dhe prek burrat dhe grat\u00eb nj\u00ebsoj. Sot ka ekzaminime prenatale q\u00eb p\u00ebrcaktojn\u00eb mund\u00ebsin\u00eb e trash\u00ebgimis\u00eb s\u00eb epidermoliz\u00ebs buloze e cila nuk \u00ebsht\u00eb s\u00ebmundje ngjit\u00ebse. <\/span><\/p>\n<p class=\"western\"><strong><span lang=\"en-US\">Simptomat:<\/span><\/strong><\/p>\n<p class=\"western\"><span lang=\"en-US\">Simptomat e formave t\u00eb r\u00ebnda t\u00eb s\u00ebmundjes jan\u00eb t\u00eb dukshme q\u00eb n\u00eb lindje, kurse n\u00eb raste t\u00eb tjera shfaqen kur f\u00ebmija fillon t\u00eb zvarritet, t\u00eb ec\u00eb ose t\u00eb luaj\u00eb sporte n\u00eb pubertet. Simptomat e k\u00ebsaj s\u00ebmundjeje jan\u00eb komplekse dhe specifike n\u00eb var\u00ebsi t\u00eb llojit t\u00eb s\u00ebmundjes dhe stilit t\u00eb jetes\u00ebs. <\/span><\/p>\n<p class=\"western\"><span lang=\"en-US\">Simptomat p\u00ebrfshijn\u00eb: ndjeshm\u00ebri t\u00eb l\u00ebkur\u00ebs ndaj \u00e7do prekjeje, ve\u00e7an\u00ebrisht n\u00eb duar dhe k\u00ebmb\u00eb; dhimbje n\u00eb prekje; thonj\u00eb t\u00eb fort\u00eb q\u00eb nuk formohen si\u00e7 duhet flluska n\u00eb sip\u00ebrfaqen e l\u00ebkur\u00ebs dhe mukozave; humbja e flok\u00ebve dhe d\u00ebmtimi i skalpit; paraqitja e gungave t\u00eb bardha n\u00eb l\u00ebkur\u00eb (milia); v\u00ebshtir\u00ebsi n\u00eb g\u00eblltitje dhe t\u00eb folur; l\u00ebkur\u00eb t\u00eb fort\u00eb n\u00eb shputa dhe p\u00ebll\u00ebmb\u00eb; karies dhe humbje t\u00eb dh\u00ebmb\u00ebve.<\/span><\/p>\n<p class=\"western\"><strong><span lang=\"en-US\">Nd\u00ebrlikimet:<\/span><\/strong><\/p>\n<p class=\"western\"><span lang=\"en-US\">P\u00ebr shkak t\u00eb munges\u00ebs s\u00eb informacionit, hulumtimeve dhe sh\u00ebrimit p\u00ebr k\u00ebt\u00eb s\u00ebmundje, nd\u00ebrlikimet p\u00ebr fat t\u00eb keq jan\u00eb t\u00eb pashmangshme. Kjo perfshin: shfaqja e infeksioneve fungale dhe bakteriale; ngjitja e gishtave dhe l\u00ebvizshm\u00ebri e kufizuar n\u00eb nyje; v\u00ebshtir\u00ebsi n\u00eb ecje; ngushtim i qepallave dhe humbje e shikimit; ushqyerje e v\u00ebshtir\u00eb dhe humbje oreksi; kapsll\u00ebk; tumore malinje t\u00eb l\u00ebkur\u00ebs q\u00eb p\u00ebrhapen me shpejt\u00ebsi; seps\u00eb; vdekje.<\/span><\/p>\n<p class=\"western\"><strong><span lang=\"en-US\">Diagnoza:<\/span><\/strong><\/p>\n<p class=\"western\"><span lang=\"en-US\">Diagnoza konsiston n\u00eb marrjen e nj\u00eb historie t\u00eb plot\u00eb duke p\u00ebrfshir\u00eb mosh\u00ebn n\u00eb t\u00eb cil\u00ebn u shfaq\u00ebn flluskat dhe plag\u00ebt e para. M\u00eb pas kryhet nj\u00eb ekzaminim i holl\u00ebsish\u00ebm klinik p\u00ebr t\u00eb k\u00ebrkuar simptoma karakteristike p\u00ebr disa nga n\u00ebntipet e s\u00ebmundjes. Vler\u00ebsimi laboratorik p\u00ebrfshin marrjen e nj\u00eb pjese t\u00eb l\u00ebkur\u00ebs p\u00ebr nj\u00eb ekzaminim t\u00eb holl\u00ebsish\u00ebm. P\u00ebrve\u00e7 ekzaminimit histologjik klasik, nj\u00eb ekzaminim me mikroskopi elektronike i l\u00ebkur\u00ebs p\u00ebrdoret p\u00ebr t\u00eb treguar disa ndryshime ose defekte n\u00eb l\u00ebkur\u00eb. Teknikat m\u00eb t\u00eb fundit p\u00ebrfshijn\u00eb antitrupa ndaj proteinave t\u00eb caktuara n\u00eb l\u00ebkur\u00eb. Sot ekziston mund\u00ebsia te familjet q\u00eb tashm\u00eb kan\u00eb nj\u00eb f\u00ebmij\u00eb me k\u00ebt\u00eb s\u00ebmundje, ta v\u00ebrtetojn\u00eb ose p\u00ebrjashtojn\u00eb k\u00ebt\u00eb diagnoz\u00eb t\u00eb f\u00ebmija i palindur. Diagnoza mund t\u00eb b\u00ebhet duke marr\u00eb nj\u00eb pjes\u00eb t\u00eb placent\u00ebs (biopsi e vileve korionike) p\u00ebrmes barkut t\u00eb n\u00ebn\u00ebs n\u00eb nj\u00eb faz\u00eb t\u00eb hershme t\u00eb shtatz\u00ebnis\u00eb. <\/span><\/p>\n<p class=\"western\"><strong><span lang=\"en-US\">Trajtimi dhe sh\u00ebrimi:<\/span><\/strong><\/p>\n<p class=\"western\"><span lang=\"en-US\">Kura p\u00ebr k\u00ebt\u00eb s\u00ebmundje gjenetike ende nuk dihet, por ka disa m\u00ebnyra p\u00ebr t\u00eb leht\u00ebsuar d\u00ebmtimin e l\u00ebkur\u00ebs. Ekzistojn\u00eb gjithashtu procedura kirurgjikale dhe parandaluese q\u00eb parandalojn\u00eb ngjitjen e gisht\u00ebrinjve t\u00eb gjymtyr\u00ebve. <\/span><\/p>\n<p class=\"western\"><span lang=\"en-US\">Me kujdesin e duhur mund t\u00eb parandalohen d\u00ebmtime serioze t\u00eb l\u00ebkur\u00ebs, t\u00eb tilla si: veshja e rrobave t\u00eb pambukut; mir\u00ebmbajtja e l\u00ebkur\u00ebs me p\u00ebrdorimin e lubrifikant\u00ebve t\u00eb p\u00ebrshtatsh\u00ebm; fashimi i plag\u00ebve t\u00eb hapura me fasha speciale t\u00eb silikonit; ruajtja e temperatur\u00ebs n\u00eb sht\u00ebpi q\u00eb t\u00eb shmanget mbinxehja; mbulimi i sip\u00ebrfaqeve t\u00eb ashpra ose t\u00eb forta n\u00eb sht\u00ebpi me peshqir ose mbulesa; qasje e but\u00eb ndaj pacientit pa l\u00ebvizje t\u00eb papritura; implantimi i nj\u00eb tubi n\u00eb stomak p\u00ebrmes t\u00eb cilit pacienti do t\u00eb ushqehet gjat\u00eb nat\u00ebs; korrigjimi kirurgjik i gisht\u00ebrinjve t\u00eb ngjitur; ushqim i caktuar me nj\u00eb diet\u00eb shum\u00eb ushqyese dhe kalorike. <\/span><\/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>Epidermoliza buloze\/Epidermolysis bullosa ICD: Q 81.0 Q 81.1 Q 81.2 Q 81.8 Q 81.9 Prevalenca: 1-9\/1.000.000 Epidermoliza buloze \u00ebsht\u00eb nj\u00eb [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":167069,"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\/28-Epidermolysis-bullosa-1-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2022\/02\/28-Epidermolysis-bullosa-1-250x141.png","categoryNames":["Maqedonia"],"feature_caption":"","subtitle":"","views":"763","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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