{"id":188490,"date":"2023-02-10T09:06:15","date_gmt":"2023-02-10T08:06:15","guid":{"rendered":"https:\/\/sdk.mk\/?p=188490"},"modified":"2023-02-10T09:06:15","modified_gmt":"2023-02-10T08:06:15","slug":"ju-njoftojme-me-semundjet-e-rralla-osteogjeneza-e-papersosur","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/maqedonia\/ju-njoftojme-me-semundjet-e-rralla-osteogjeneza-e-papersosur\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: OSTEOGJENEZA E PAP\u00cbRSOSUR"},"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 lang=\"mk-MK\"><em><strong><span style=\"font-size: medium;\">Osteogjeneza e pap\u00ebrsosur<\/span><\/strong><\/em><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">ICD 10 Q78.0<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Prevalenca (prevalenca): 1\/20.000 &#8211; 50.000 t\u00eb sapolindur<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Osteogjeneza e pap\u00ebrsosur \u00ebsht\u00eb nj\u00eb \u00e7rregullim gjenetik i indit lidh\u00ebs dhe karakterizohet nga paaft\u00ebsia p\u00ebr t\u00eb sintetizuar ose p\u00ebrpunuar kolagjenin e tipit 1. Njihet gjithashtu si s\u00ebmundja e kockave t\u00eb brishta dhe karakterizohet nga nj\u00eb prirje n\u00eb rritje p\u00ebr fraktura dhe ulje t\u00eb densitetit t\u00eb kockave. Manifestime t\u00eb tjera t\u00eb s\u00ebmundjes jan\u00eb shfaqja e skler\u00ebs blu, dentinogeneza e pap\u00ebrsosur, shtati i shkurt\u00ebr dhe shurdhimi n\u00eb mosh\u00eb madhore.<\/span><\/p>\n<p lang=\"mk-MK\"><strong><span style=\"font-size: medium;\">Shkaqet:<\/span><\/strong><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Kjo s\u00ebmundje \u00ebsht\u00eb nj\u00eb s\u00ebmundje e rrall\u00eb gjenetike. N\u00eb shumic\u00ebn e rasteve, \u00ebsht\u00eb p\u00ebr shkak t\u00eb mutacioneve n\u00eb gjenet COL1A1 dhe COL1A2. Ekzistojn\u00eb 11 lloje s\u00ebmundjesh bazuar n\u00eb karakteristikat klinike dhe gjenetike. Tradicionalisht, OI ndahet sipas koh\u00ebs s\u00eb shfaqjes: OI kongjenitale (OI congenita), e cila karakterizohet nga frakturat t\u00eb shumta n\u00eb lindje t\u00eb f\u00ebmij\u00ebs dhe OI tarda (OI tarda), n\u00eb t\u00eb cilat frakturat shfaqen m\u00eb von\u00eb. Forma kongjenitale karakterizohet nga nj\u00eb shkall\u00eb e lart\u00eb vdekshm\u00ebrie p\u00ebr shkak t\u00eb hemorragjive intrakraniale ose infeksioneve t\u00eb p\u00ebrs\u00ebritura t\u00eb frym\u00ebmarrjes. Tipi i vonsh\u00ebm shfaqet n\u00eb dekad\u00ebn e par\u00eb t\u00eb jet\u00ebs dhe frakturat nuk jan\u00eb aq t\u00eb shumta dhe t\u00eb r\u00ebnda sa n\u00eb ato t\u00eb lindura. <\/span><\/p>\n<p lang=\"mk-MK\"><strong><span style=\"font-size: medium;\">Simptomat:<\/span><\/strong><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Ekzistojn\u00eb kat\u00ebr shenja klinike karakteristike, dhe ato jan\u00eb: ulja e mas\u00ebs kockore, rritja e brisht\u00ebsis\u00eb s\u00eb kockave, sklera blu, dentinogeneza e pap\u00ebrsosur, shurdhim. Karakteristika t\u00eb tjera p\u00ebrfshijn\u00eb lirshm\u00ebrin\u00eb e ligamenteve dhe rritjen e l\u00ebvizshm\u00ebris\u00eb s\u00eb ky\u00e7eve, si dhe l\u00ebndime t\u00eb lehta. Kockat e gjata te k\u00ebta pacient\u00eb jan\u00eb t\u00eb shkurtra dhe t\u00eb holla, me korteks shum\u00eb t\u00eb holl\u00eb. Shpesh shihen fraktura t\u00eb shumta q\u00eb jan\u00eb n\u00eb faza t\u00eb ndryshme t\u00eb sh\u00ebrimit.Puberteti ka nj\u00eb efekt stabilizues, si pasoj\u00eb e ndikimeve hormonale. \u00cbsht\u00eb shum\u00eb e r\u00ebnd\u00ebsishme ta dallojm\u00eb k\u00ebt\u00eb gjendje nga sindroma e \u201cf\u00ebmij\u00ebs s\u00eb abuzuar\u201d n\u00eb vitin e par\u00eb. Gjithashtu, skolioza \u00ebsht\u00eb nj\u00eb shenj\u00eb e zakonshme klinike, dhe \u00ebsht\u00eb e r\u00ebnd\u00eb n\u00eb dy dekadat e para t\u00eb pacient\u00ebve, si dhe shurdhim p\u00ebr shkak t\u00eb otoskleroz\u00ebs dhe shfaqet n\u00eb t\u00eb 40-tat. <\/span><\/p>\n<p lang=\"mk-MK\"><strong><span style=\"font-size: medium;\">Parashikim:<\/span><\/strong><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Llojet e ndryshme t\u00eb s\u00ebmundjeve kan\u00eb prognoza t\u00eb ndryshme. Koha kur kan\u00eb filluar t\u00eb shfaqen frakturat \u00ebsht\u00eb nj\u00eb faktor i r\u00ebnd\u00ebsish\u00ebm prognostik p\u00ebr mund\u00ebsin\u00eb e ecjes. Mbijetesa varet nga vendndodhja e frakturave, nga ashp\u00ebrsia e tyre dhe nga pamja e p\u00ebrgjithshme e skeletit t\u00eb radiografis\u00eb. F\u00ebmij\u00ebt q\u00eb kan\u00eb qen\u00eb n\u00eb gjendje t\u00eb ulen ose t\u00eb ecin vet\u00eb ose t\u00eb dyja deri n\u00eb mosh\u00ebn 12 vje\u00e7are, m\u00eb n\u00eb fund do t\u00eb jen\u00eb n\u00eb gjendje t\u00eb l\u00ebvizin. F\u00ebmij\u00ebt q\u00eb kan\u00eb qen\u00eb n\u00eb gjendje t\u00eb ulen ose t\u00eb q\u00ebndrojn\u00eb n\u00eb k\u00ebmb\u00eb vet\u00eb ose t\u00eb dyja deri n\u00eb mosh\u00ebn 12 muajshe ndoshta do t\u00eb jen\u00eb n\u00eb gjendje t\u00eb l\u00ebvizin. <\/span><\/p>\n<p lang=\"mk-MK\"><strong><span style=\"font-size: medium;\">Komplikimet: <\/span><\/strong><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Komplikimet e m\u00ebposhtme mund t\u00eb ndodhin n\u00eb pacient\u00ebt me OI:<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">1. kalus hiperplastik <\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">2. Shfaqja e sarkomes osteogjene<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">3. Invaginim bazal me p\u00ebrfshirjen e nervave kranial, ngjeshja e drejtp\u00ebrdrejt\u00eb e trungut t\u00eb trurit, ndryshime n\u00eb dinamik\u00ebn e l\u00ebvizjes s\u00eb lengut.<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">4. Hipertermia malinje, p\u00ebr t\u00eb cil\u00ebn kirurgu dhe anesteziologu duhet t\u00eb ken\u00eb parasysh gjat\u00eb aplikimit t\u00eb anestezis\u00eb.<\/span><\/p>\n<p lang=\"mk-MK\"><strong><span style=\"font-size: medium;\">Mjekimi: <\/span><\/strong><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Trajtimi ndryshon n\u00eb var\u00ebsi t\u00eb mosh\u00ebs, p\u00ebrfshirjes dhe statusit funksional t\u00eb pacientit. N\u00eb nj\u00eb s\u00ebmundje t\u00eb leht\u00eb, rekomandohet kufizimi delikat i ekspozimit ndaj faktor\u00ebve t\u00eb rrezikut, p\u00ebr shembull shmangia e sporteve me kontakt. N\u00eb s\u00ebmundje t\u00eb moderuar deri n\u00eb t\u00eb r\u00ebnd\u00eb nevojiten nd\u00ebrhyrje rehabilituese dhe ortopedike, si dhe kujdesi i frakturave akute dhe skolioz\u00ebs, nd\u00ebrsa n\u00eb format e r\u00ebnda nevojiten operacione t\u00eb shumta p\u00ebr t\u00eb korrigjuar lakimin e kockave t\u00eb gjata.\u00cbsht\u00eb e nevojshme dhe terapi medikamentoze,hormonet seksuale, barnat dhe mineralet e p\u00ebrfshira n\u00eb metabolizmin e kockave.<\/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>Osteogjeneza e pap\u00ebrsosur ICD 10 Q78.0 Prevalenca (prevalenca): 1\/20.000 &#8211; 50.000 t\u00eb sapolindur Osteogjeneza e pap\u00ebrsosur \u00ebsht\u00eb nj\u00eb \u00e7rregullim gjenetik [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":188491,"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\/2023\/02\/10-Osteogenesis-imperfecta-1-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/02\/10-Osteogenesis-imperfecta-1-250x141.png","categoryNames":["Maqedonia"],"feature_caption":"","subtitle":"","views":"50","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: OSTEOGJENEZA E PAP\u00cbRSOSUR - \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-osteogjeneza-e-papersosur\/\" \/>\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: OSTEOGJENEZA E PAP\u00cbRSOSUR - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"og:description\" content=\"Osteogjeneza e pap\u00ebrsosur ICD 10 Q78.0 Prevalenca (prevalenca): 1\/20.000 &#8211; 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