{"id":188536,"date":"2023-02-12T20:15:04","date_gmt":"2023-02-12T19:15:04","guid":{"rendered":"https:\/\/sdk.mk\/?p=188536"},"modified":"2023-02-12T20:15:04","modified_gmt":"2023-02-12T19:15:04","slug":"ju-njoftojme-me-semundjet-e-rralla-sindroma-e-shqetesimit-akut-te-frymemarrjes-tek-foshnjat","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/maqedonia\/ju-njoftojme-me-semundjet-e-rralla-sindroma-e-shqetesimit-akut-te-frymemarrjes-tek-foshnjat\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: SINDROMA E SHQET\u00cbSIMIT AKUT T\u00cb FRYM\u00cbMARRJES TEK FOSHNJAT"},"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;\">Sindroma e shqet\u00ebsimit akut t\u00eb frym\u00ebmarrjes tek foshnjat<\/span><\/strong><\/em><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">ICD 10: P22.0<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Prevalenca (prevalenca): 1 &#8211; 5\/10.000<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Sindroma e shqet\u00ebsimit t\u00eb frym\u00ebmarrjes tek foshnjat \u00ebsht\u00eb nj\u00eb \u00e7rregullim i mushk\u00ebrive q\u00eb tenton t\u00eb prek\u00eb foshnjat e lindura para kohe. Simptomat kryesore p\u00ebrfshijn\u00eb v\u00ebshtir\u00ebsi n\u00eb frym\u00ebmarrje dhe kolaps t\u00eb mushk\u00ebrive, potencialisht q\u00eb k\u00ebrkon ventilim mekanik ose presion pozitiv fund-ekspirator (PEEP). Megjithat\u00eb, sindroma e shqet\u00ebsimit akut t\u00eb frym\u00ebmarrjes tek t\u00eb porsalindurit \u00ebsht\u00eb nj\u00eb \u00e7rregullim i mushk\u00ebrive q\u00eb \u00ebsht\u00eb m\u00eb i zakonsh\u00ebm tek foshnjat e lindura para kohe. shkaktuar nga pamjaftueshm\u00ebria e prodhimit t\u00eb surfaktantit dhe papjekuri strukturore e mushk\u00ebrive. Simptomat zakonisht shfaqen menj\u00ebher\u00eb pas lindjes.<\/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;\">Sindroma e shqet\u00ebsimit t\u00eb frym\u00ebmarrjes tek foshnjat karakterizohet nga marrja e reduktuar e oksigjenit tek foshnjat e lindura para kohe. Membrana e tejdukshme mund t\u00eb shihet duke veshur kanalet alveolare n\u00eb mushk\u00ebri dhe shoq\u00ebrohet me v\u00ebllime t\u00eb reduktuara t\u00eb agjent\u00ebve t\u00eb l\u00ebngsh\u00ebm dhe surfaktantit n\u00eb mushk\u00ebri t\u00eb cilat hidratojn\u00eb rrug\u00ebt e frym\u00ebmarrjes. Surfaktanti \u00ebsht\u00eb nj\u00eb lipoprotein\u00eb me baz\u00eb lecitin\u00eb q\u00eb stabilizon membranat alveolare. Kur ky surfaktant mungon, frym\u00ebmarrja \u00ebsht\u00eb e v\u00ebshtir\u00eb dhe mund t\u00eb \u00e7oj\u00eb n\u00eb kolaps t\u00eb mushk\u00ebrive. I porsalinduri i prekur duhet t\u00eb vendoset n\u00eb nj\u00eb lloj ventilimi, mekanik ose fizik, p\u00ebr t\u00eb vazhduar frym\u00ebmarrjen. Nj\u00eb simptom\u00eb shum\u00eb e zakonshme \u00ebsht\u00eb hipoksemia, derisa simptomat e zakonshme p\u00ebrfshijn\u00eb:anomalit\u00eb e kraharorit, atelektaza, cianoza, pezmatimi i hund\u00ebs, lindja e parakohshme, edema pulmonare, insuficienca respiratore, takipnea etj., dhe simptomat jo t\u00eb zakonshme jan\u00eb: bradikardia, infarkti, hipotensioni, pneumonia, infeksioni, rehabilitimi. Sepsa \u00ebsht\u00eb nj\u00eb simptom e rrall\u00eb.<\/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;\">Sindroma e shqet\u00ebsimit t\u00eb frym\u00ebmarrjes tek foshnjat shkaktohet nga mungesa e nj\u00eb agjenti natyral hidratues (surfaktant) n\u00eb mushk\u00ebrit\u00eb e papjekura t\u00eb foshnjave. P\u00ebr shkak se surfaktanti zakonisht zhvillohet von\u00eb n\u00eb jet\u00ebn para lindjes, ai zakonisht nuk \u00ebsht\u00eb i pranish\u00ebm n\u00eb shum\u00eb foshnja t\u00eb lindura para kohe nga rreth 26 deri n\u00eb 36 jav\u00eb t\u00eb shtatz\u00ebnis\u00eb. Kjo mund t\u00eb rezultoj\u00eb n\u00eb nj\u00eb mosfunksionim t\u00eb alveolave t\u00eb mushk\u00ebrive, duke shkaktuar v\u00ebshtir\u00ebsi n\u00eb frym\u00ebmarrje dhe nj\u00eb kolaps t\u00eb mushk\u00ebrive. Mungesa e protein\u00ebs surfaktant B (SP-B) \u00ebsht\u00eb nj\u00eb lloj i rrall\u00eb i sindrom\u00ebs s\u00eb shqet\u00ebsimit t\u00eb frym\u00ebmarrjes tek foshnjat, i shkaktuar nga nj\u00eb gjen jonormal i surfaktantit pulmonar B. Ky lloj i sindrom\u00ebs s\u00eb shqet\u00ebsimit t\u00eb frym\u00ebmarrjes tek foshnjat pason trash\u00ebgimin\u00eb autosomale recesive. \u00c7rregullimet gjenetike recesive ndodhin kur nj\u00eb individ trash\u00ebgon t\u00eb nj\u00ebjtin gjen anormal p\u00ebr t\u00eb nj\u00ebjtin tipar nga secili prind. N\u00ebse nj\u00eb individ merr nj\u00eb gjen normal dhe nj\u00eb gjen s\u00ebmundjeje, personi do t\u00eb jet\u00eb bart\u00ebs i s\u00ebmundjes, por zakonisht nuk do t\u00eb shfaq\u00eb simptoma. Rreziku q\u00eb t\u00eb dy prind\u00ebrit mbart\u00ebs t\u00eb trash\u00ebgojn\u00eb gjenin e ndryshuar, k\u00ebshtu q\u00eb f\u00ebmija i prekur trash\u00ebgon 25% me \u00e7do shtatz\u00ebni. Mund\u00ebsia q\u00eb nj\u00eb f\u00ebmij\u00eb t\u00eb marr\u00eb gjene normale nga t\u00eb dy prind\u00ebrit dhe t\u00eb jet\u00eb gjenetikisht normal p\u00ebr k\u00ebt\u00eb tipar \u00ebsht\u00eb 25%. Rreziku \u00ebsht\u00eb i nj\u00ebjt\u00eb p\u00ebr burrat dhe grat\u00eb. <\/span><\/p>\n<p lang=\"mk-MK\"><strong><span style=\"font-size: medium;\">Diagnoza:<\/span><\/strong><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">P\u00ebr t\u00eb diagnostikuar k\u00ebt\u00eb sindrom\u00eb dhe p\u00ebr t\u00eb p\u00ebrjashtuar shkaqe t\u00eb tjera t\u00eb mundshme, mund t\u00eb p\u00ebrdoren nj\u00eb s\u00ebr\u00eb testesh. Kjo perfshin: -pamja, ngjyra dhe p\u00ebrpjekja e foshnj\u00ebs p\u00ebr t\u00eb marr\u00eb frym\u00eb dhe k\u00ebto simptoma mund t\u00eb tregojn\u00eb nevoj\u00ebn e foshnj\u00ebs p\u00ebr ndihm\u00eb n\u00eb frym\u00ebmarrje; &#8211; ekzaminim fizik &#8211; analizat e gjakut dhe analizat e gazit p\u00ebr t\u00eb matur sasin\u00eb e oksigjenit n\u00eb gjakun e foshnj\u00ebs dhe p\u00ebr t\u00eb kontrolluar p\u00ebr infeksion; -Testi i oksimetris\u00eb s\u00eb pulsit p\u00ebr t\u00eb matur sasin\u00eb e oksigjenit n\u00eb gjakun e foshnj\u00ebs duke p\u00ebrdorur nj\u00eb sensor t\u00eb ngjitur n\u00eb maj\u00ebn e gishtit, veshit ose gishtit t\u00eb madh; &#8211; Rentgen n\u00eb gjoks p\u00ebr t\u00eb k\u00ebrkuar pamje t\u00eb paqarta karakteristike t\u00eb mushk\u00ebrive me k\u00ebt\u00eb sindrom; &#8211; ekokardiografia e cila \u00ebsht\u00eb e nj\u00eb lloj me ultratinguj p\u00ebr t\u00eb par\u00eb struktur\u00ebn e zemr\u00ebs dhe m\u00ebnyr\u00ebn se si funksionon ajo. Testi ndonj\u00ebher\u00eb p\u00ebrdoret p\u00ebr t\u00eb p\u00ebrjashtuar problemet e zemr\u00ebs q\u00eb mund t\u00eb shkaktojn\u00eb simptoma t\u00eb ngjashme me sindrom\u00ebn e shqet\u00ebsimit t\u00eb frym\u00ebmarrjes. Mjekimi FDA &#8211; trajtim i miratuar nga Administrata e Ushqimit dhe Barnave \u2022 Exosurf Neonatal (colfosceril palmitate) \u00ebsht\u00eb nj\u00eb surfaktant sintetik i mushk\u00ebrive i miratuar p\u00ebr p\u00ebrdorim n\u00eb gusht 1990 nga Administrata e Ushqimit dhe Barnave (FDA) p\u00ebr trajtimin e sindrom\u00ebs. s\u00eb shqet\u00ebsimit t\u00eb frym\u00ebmarrjes tek foshnjat. Trajtimi konsiston n\u00eb nj\u00eb doz\u00eb t\u00eb vetme q\u00eb jepet 30 minuta pas lindjes s\u00eb foshnjave me rrezik t\u00eb lart\u00eb. Surfaktant\u00ebt jan\u00eb ata q\u00eb p\u00ebrdoren p\u00ebr pastrimin (lavazh), reduktimin e f\u00ebrkimit t\u00eb rrug\u00ebve t\u00eb frym\u00ebmarrjes dhe rrug\u00ebve t\u00eb tyre ajrore (zona bronkopulmonare). \u2022 Infasurf &#8211; Ekstrakt aktiv sip\u00ebrfaq\u00ebsor i lavazhit me krip\u00eb t\u00eb mushk\u00ebrive. Indikacion i miratuar nga FDA: trajtimi dhe parandalimi i d\u00ebshtimit t\u00eb frym\u00ebmarrjes p\u00ebr shkak t\u00eb munges\u00ebs s\u00eb surfaktantit pulmonar tek foshnjat e parakohshme. \u2022 Beractant \u2013 Indikacion i miratuar nga FDA: trajtimi i \u201cshp\u00ebtimit\u201d t\u00eb foshnjave premature me k\u00ebt\u00eb sindrom\u00eb t\u00eb konfirmuar me rentgen dhe q\u00eb kan\u00eb nevoj\u00eb p\u00ebr ventilim mekanik. Qendra e Referimit RespiRare n\u00eb Franc\u00eb punon n\u00eb koordinim me Qendr\u00ebn Prit\u00ebse p\u00ebr S\u00ebmundjet e Rralla t\u00eb Mushk\u00ebrive tek t\u00eb Rriturit n\u00eb Sektorin Sh\u00ebndet\u00ebsor F\u00ebmij\u00eb-T\u00eb Rritur RespiFil (www.respifil.fr).Ky grupim i rrjeteve t\u00eb kujdesit lejon q\u00eb pacient\u00ebt t\u00eb kujdesen q\u00eb nga nj\u00eb f\u00ebmij\u00eb tek nj\u00eb i rritur p\u00ebrmes kujdesit t\u00eb duhur t\u00eb pacientit.<\/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>Sindroma e shqet\u00ebsimit akut t\u00eb frym\u00ebmarrjes tek foshnjat ICD 10: P22.0 Prevalenca (prevalenca): 1 &#8211; 5\/10.000 Sindroma e shqet\u00ebsimit t\u00eb [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":188537,"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\/11-Infantile-respiratory-distress-syndrome-IRDS-1-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/02\/11-Infantile-respiratory-distress-syndrome-IRDS-1-250x141.png","categoryNames":["Maqedonia"],"feature_caption":"","subtitle":"","views":"1736","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: SINDROMA E SHQET\u00cbSIMIT AKUT T\u00cb FRYM\u00cbMARRJES TEK FOSHNJAT - \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-sindroma-e-shqetesimit-akut-te-frymemarrjes-tek-foshnjat\/\" \/>\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: SINDROMA E SHQET\u00cbSIMIT AKUT T\u00cb FRYM\u00cbMARRJES TEK FOSHNJAT - \u0421\u0430\u043a\u0430\u043c \u0414\u0430 \u041a\u0430\u0436\u0430\u043c\" \/>\n<meta property=\"og:description\" content=\"Sindroma e shqet\u00ebsimit akut t\u00eb frym\u00ebmarrjes tek foshnjat ICD 10: P22.0 Prevalenca (prevalenca): 1 &#8211; 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