{"id":188765,"date":"2023-02-15T08:32:14","date_gmt":"2023-02-15T07:32:14","guid":{"rendered":"https:\/\/sdk.mk\/?p=188765"},"modified":"2023-02-15T08:32:14","modified_gmt":"2023-02-15T07:32:14","slug":"ju-njoftojme-me-semundjet-e-rralla-aspergilloza","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/maqedonia\/ju-njoftojme-me-semundjet-e-rralla-aspergilloza\/","title":{"rendered":"JU NJOFTOJM\u00cb ME S\u00cbMUNDJET E RRALLA: ASPERGILLOZA"},"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;\">Aspergilloza<\/span><\/strong><\/em><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">ICD B44.0 B44.1 B44.2 B44.7 B44.8 B44.9<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\"><span lang=\"en-GB\">P<\/span>revalenca: e panjohur<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Aspergilloza \u00ebsht\u00eb nj\u00eb s\u00ebmundje mykotike e shkaktuar nga myku Aspergillus, p\u00ebr t\u00eb cilin njihen rreth 180 lloje, por vet\u00ebm rreth 40 e shkaktojn\u00eb s\u00ebmundjen. Myku \u00ebsht\u00eb i p\u00ebrhapur n\u00eb t\u00eb gjith\u00eb bot\u00ebn edhe at\u00eb : n\u00eb tok\u00eb, n\u00eb l\u00ebnd\u00eb organike n\u00eb faz\u00ebn e dekompozimit, n\u00eb sht\u00ebpit\u00eb, n\u00eb pajisjet e ngrohjes dhe ftohjes. Njer\u00ebzit e sh\u00ebndetsh\u00ebm thithin sporet e tyre \u00e7do dit\u00eb dhe m\u00eb pas i nxjerrin ato. Por te njer\u00ebzit me nj\u00eb sistem imunitar t\u00eb dob\u00ebsuar ( n\u00eb terapi imunosupresive, SIDA) ose s\u00ebmundje t\u00eb caktuara t\u00eb mushk\u00ebrive (fibroza cistike, COPD), k\u00ebto spore mund t\u00eb shkaktojn\u00eb kushte serioze dhe madje k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn.<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Aspergilloza bronkopulmonare alergjike zhvillohet tek personat q\u00eb vuajn\u00eb nga astma ose fibroza cistike.Aspergilloza pulmonare kronike v\u00ebrehet m\u00eb shpesh tek personat me tuberkuloz\u00eb, COPD ose sarkoidoz\u00eb, si dhe te personat q\u00eb kan\u00eb kryer operacione n\u00eb mushk\u00ebri n\u00eb t\u00eb kaluar\u00ebn p\u00ebr shkak t\u00eb kancerit ose pneumotoraksit. Aspergilloza invazive zhvillohet tek personat me sistem imunitar t\u00eb dob\u00ebsuar dhe personat q\u00eb kan\u00eb nj\u00eb num\u00ebr t\u00eb ul\u00ebt neutrofilesh n\u00eb gjak, personat q\u00eb i n\u00ebnshtrohen kimioterapis\u00eb, personat q\u00eb marrin medikamente imunosupresive etj.<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Disa k\u00ebrkime kan\u00eb konfirmuar faktin se n\u00eb disa individ\u00eb ekziston nj\u00eb predispozicion gjenetik p\u00ebr zhvillimin e aspergilloz\u00ebs dhe se kombinimi i faktor\u00ebve gjenetik\u00eb me faktor\u00ebt imunologjik\u00eb dhe mjedisor\u00eb mund t\u00eb shkaktoj\u00eb zhvillimin e formave t\u00eb caktuara t\u00eb aspergilloz\u00ebs. Disa forma t\u00eb specieve Aspergillus kan\u00eb p\u00ebrcaktuar gjenomin e tyre, duke hapur dyert p\u00ebr metodat terapeutike m\u00eb t\u00eb reja dhe m\u00eb moderne.<\/span><\/p>\n<p lang=\"mk-MK\"><strong><span style=\"font-size: medium;\">Shenjat dhe simptomat:<\/span><\/strong><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Ka disa forma t\u00eb aspergilloz\u00ebs q\u00eb japin nj\u00eb paraqitje t\u00eb ndryshme klinike: Aspergilloza bronkopulmonare alergjike \u00ebsht\u00eb nj\u00eb reaksion alergjik q\u00eb shfaqet gjat\u00eb thithjes s\u00eb sporeve dhe shkaktohet nga nj\u00eb p\u00ebrgjigje imune joadekuate tek njer\u00ebzit q\u00eb vuajn\u00eb nga astma ose COPD; simptomat p\u00ebrfshijn\u00eb: v\u00ebshtir\u00ebsi n\u00eb frym\u00ebmarrje ose gul\u00e7im, dispne, lodhje, m\u00eb rrall\u00eb edhe dhimbje gjoksi, ekspektim gjaku, toptha me mukoz\u00eb, eozinofili; s\u00ebmundja nuk p\u00ebrhapet n\u00eb organe t\u00eb tjera, por n\u00ebse nuk zbulohet dhe trajtohet n\u00eb koh\u00eb, mund t\u00eb shfaqen komplikime t\u00eb p\u00ebrhershme si bronkiektazia, nj\u00eb form\u00eb e r\u00ebnd\u00eb e vazhdueshme e astm\u00ebs dhe humbja e funksionit t\u00eb mushk\u00ebrive; SAFS \u00ebsht\u00eb nj\u00eb form\u00eb e r\u00ebnd\u00eb e astm\u00ebs persistente q\u00eb shkaktohet nga prania e Aspergillus por edhe nga lloje t\u00eb tjera t\u00eb mykut dhe p\u00ebr k\u00ebt\u00eb arsye nuk i plot\u00ebson kriteret p\u00ebr aspergilloz\u00eb;<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Aspergilloza pulmonare kronike karakterizohet nga krijimi i cikatriceve ose fibroz\u00ebs s\u00eb indit t\u00eb mushk\u00ebrive e cila gradualisht b\u00ebhet jofunksionale; formohen kavitacione ose zgavra, trashje pleural;<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Aspergilloza invazive \u00ebsht\u00eb forma m\u00eb e r\u00ebnd\u00eb dhe k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn e k\u00ebtij infeksioni q\u00eb shfaqet te pacient\u00ebt q\u00eb jan\u00eb n\u00eb terapi imunosupresive, pacient\u00ebt q\u00eb kan\u00eb marr\u00eb palc\u00ebn e eshtrave ose ndonj\u00eb organ; infeksioni fillon n\u00eb mushk\u00ebri dhe prej andej p\u00ebrhapet n\u00eb m\u00ebnyr\u00eb hematogjene n\u00eb tru, veshka, zem\u00ebr, l\u00ebkur\u00eb; pacienti ka ethe, dhimbje koke, kollitet me gjak, ka v\u00ebshtir\u00ebsi n\u00eb frym\u00ebmarrje, dhimbje gjoksi.<\/span><\/p>\n<p lang=\"mk-MK\"><strong><span style=\"font-size: medium;\">Pasojat:<\/span><\/strong><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">N\u00eb var\u00ebsi t\u00eb gjendjes s\u00eb p\u00ebrgjithshme sh\u00ebndet\u00ebsore t\u00eb pacientit, n\u00ebse zbulohet dhe trajtohet n\u00eb koh\u00eb, komplikime m\u00eb t\u00eb r\u00ebnda nuk shfaqen pacient\u00ebt. Gjendja e patrajtuar l\u00eb pasoja t\u00eb p\u00ebrhershme, ve\u00e7an\u00ebrisht n\u00eb mushk\u00ebri, t\u00eb cilat \u00e7ojn\u00eb n\u00eb nj\u00eb tablo t\u00eb r\u00ebnd\u00eb klinike dhe, p\u00ebr fat t\u00eb keq, mund t\u00eb p\u00ebrfundojn\u00eb me vdekje. T\u00eb gjith\u00eb pacient\u00ebt q\u00eb kan\u00eb aspergilloz\u00eb invazive duhet t\u00eb monitorohen me kujdes.<\/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 \u00ebsht\u00eb i ndryshuesh\u00ebm dhe varet nga vendi i infeksionit, lloji dhe stadi i s\u00ebmundjes, si dhe gjendja e p\u00ebrgjithshme e pacientit, q\u00eb do t\u00eb thot\u00eb se disa pacient\u00eb thjesht duhet t\u00eb monitorohen pa ndonj\u00eb terapi shtes\u00eb. Terapia me tableta p\u00ebrfshin barna antifungale si: Vorikonazol\/Vorikonazol i cili \u00ebsht\u00eb i miratuar nga FDA dhe p\u00ebrdoret n\u00eb aspergilloz\u00ebn invazive; Isavuconazole\/Isavuconazole, i cili \u00ebsht\u00eb miratuar nga FDA dhe p\u00ebrdoret n\u00eb m\u00ebnyr\u00eb parandaluese n\u00eb pacient\u00ebt q\u00eb kan\u00eb nivele t\u00eb ul\u00ebta t\u00eb neutrofileve; Iraconazole\/Iraconazole p\u00ebrdoret n\u00eb format kronike dhe alergjike t\u00eb aspergilloz\u00ebs ose n\u00eb raste m\u00eb t\u00eb lehta q\u00eb nuk jan\u00eb k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn; Prednizoni \u00ebsht\u00eb nj\u00eb kortikosteroid q\u00eb p\u00ebrdoret n\u00eb trajtimin e aspergilloz\u00ebs alergjike.<\/span><\/p>\n<p lang=\"mk-MK\"><span style=\"font-size: medium;\">Embolizimi i arteries bronkiale si metod\u00eb p\u00ebrdoret n\u00eb hemoptiz\u00eb kur pacienti ka gjakderdhje. Gjakderdhjet m\u00eb masive, n\u00eb t\u00eb cilat embolizimi nuk ndihmon, zgjidhen n\u00eb m\u00ebnyr\u00eb kirurgjikale.Trajtimi kirurgjik ka nj\u00eb aplikim m\u00eb t\u00eb gjer\u00eb dhe p\u00ebrdoret p\u00ebr heqjen e indeve t\u00eb d\u00ebmtuara, debridimin e plag\u00ebve (l\u00ebkur\u00ebs, kanalit t\u00eb veshit, indit n\u00ebnl\u00ebkuror), heqjes s\u00eb aspergillomave, kirurgjis\u00eb n\u00eb zem\u00ebr., GIT, sinuset etj.<\/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>Aspergilloza ICD B44.0 B44.1 B44.2 B44.7 B44.8 B44.9 Prevalenca: e panjohur Aspergilloza \u00ebsht\u00eb nj\u00eb s\u00ebmundje mykotike e shkaktuar nga myku [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":188766,"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\/15-Aspergillosis-1-650x366.png","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/02\/15-Aspergillosis-1-250x141.png","categoryNames":["Maqedonia"],"feature_caption":"","subtitle":"","views":"165","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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