{"id":193992,"date":"2023-05-01T13:27:19","date_gmt":"2023-05-01T11:27:19","guid":{"rendered":"https:\/\/sdk.mk\/?p=193992"},"modified":"2023-05-01T13:27:19","modified_gmt":"2023-05-01T11:27:19","slug":"shteti-duhet-te-paguaje-testin-qe-zbulon-shume-anomali-ne-fetus-por-vetem-ne-grate-shtatzena-me-rrezik-te-larte-dhe-jo-sipas-deshires-se-tyre-thote-dr-ana-daneva-markova","status":"publish","type":"post","link":"https:\/\/sdk.mk\/index.php\/histori-te-parrefyera\/shteti-duhet-te-paguaje-testin-qe-zbulon-shume-anomali-ne-fetus-por-vetem-ne-grate-shtatzena-me-rrezik-te-larte-dhe-jo-sipas-deshires-se-tyre-thote-dr-ana-daneva-markova\/","title":{"rendered":"SHTETI DUHET T\u00cb PAGUAJ\u00cb TESTIN Q\u00cb ZBULON SHUM\u00cb ANOMALI N\u00cb FETUS, POR VET\u00cbM N\u00cb GRAT\u00cb SHTATZ\u00cbNA ME RREZIK T\u00cb LART\u00cb, DHE JO SIPAS D\u00cbSHIR\u00cbS S\u00cb TYRE, THOT\u00cb DR. ANA DANEVA-MARKOVA"},"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>Shteti duhet t\u00eb gjej\u00eb nj\u00eb m\u00ebnyr\u00eb p\u00ebr t\u00eb mbuluar testin prenatal jo-invaziv p\u00ebr nj\u00eb tregues t\u00eb caktuar mjek\u00ebsor, t\u00eb cilin grat\u00eb shtatz\u00ebna p\u00ebr momentin e paguajn\u00eb n\u00eb laborator\u00eb privat\u00eb, thot\u00eb profesoresha e asociuar Ana Daneva-Markova, nga Klinika e Gjinekologjis\u00eb dhe Obstetrik\u00ebs n\u00eb Shkup (KGJO). Dr. Daneva-Markova, e cila \u00ebsht\u00eb gjithashtu profesoresh\u00eb dhe kryetare e Komitetit p\u00ebr m\u00ebm\u00ebsi t\u00eb sigurt n\u00eb Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb, \u00ebsht\u00eb e vendosur q\u00eb pacient\u00ebt duhet t&#8217;u besojn\u00eb gjinekolog\u00ebve t\u00eb tyre, t\u00eb mos i teprojn\u00eb ekzaminimet sipas d\u00ebshir\u00ebs dhe t\u00eb mos konsultohen me grupet e mediave sociale.<\/p>\n<p>N\u00eb vitet e kaluara, grat\u00eb shtatz\u00ebna n\u00eb vend, me k\u00ebshill\u00ebn e gjinekologut t\u00eb tyre, paguajn\u00eb rreth 36 mij\u00eb denar\u00eb p\u00ebr nj\u00eb test prenatal jo invaziv n\u00eb 5-6 laborator\u00eb privat\u00eb n\u00eb Shkup.<\/p>\n<p>Dr. Daneva-Markova shpjegon se NIPT \u00ebsht\u00eb nj\u00eb test prenatal jo invaziv q\u00eb analizon ADN-n\u00eb e lir\u00eb qelizore q\u00eb qarkullon n\u00eb gjakun e n\u00ebn\u00ebs. \u00cbsht\u00eb mjeti m\u00eb i sofistikuar i shqyrtimit n\u00eb testimin p\u00ebr trisomin\u00eb 21, 18 dhe 13 dhe anomalit\u00eb e tjera kromozomale, i cili ka nj\u00eb avantazh t\u00eb jasht\u00ebzakonsh\u00ebm mbi metodat e tjera t\u00eb skriningut t\u00eb p\u00ebrdorura nga gjinekolog\u00ebt n\u00eb menaxhimin e shtatz\u00ebnis\u00eb. Duke pasur parasysh se NIPT-i shqyrton ADN-n\u00eb q\u00eb qarkullon lirsh\u00ebm, nd\u00ebrsa ndan ADN-n\u00eb e qelizave t\u00eb lira nga shtatz\u00ebnia, fraksioni i fetusit, siguron sakt\u00ebsi dhe besueshm\u00ebri t\u00eb lart\u00eb t\u00eb rezultateve p\u00ebr grupe t\u00eb ndryshme t\u00eb sindromave gjenetike q\u00eb mund t\u00eb ndikojn\u00eb n\u00eb shtatz\u00ebni n\u00eb krahasim me t\u00eb gjitha metodat e tjera t\u00eb shqyrtimit n\u00eb dispozicion (p.sh., Trisomia 21, 99% specifik\u00eb e testit).<\/p>\n<p>Historia fillon disa vjet m\u00eb par\u00eb, kur u b\u00eb e mundur q\u00eb tashm\u00eb pas muajit t\u00eb dyt\u00eb t\u00eb qarkullimit t\u00eb ADN-s\u00eb s\u00eb fetusit, n\u00eb fillim t\u00eb jav\u00ebs s\u00eb 8-t\u00eb t\u00eb shtatz\u00ebnis\u00eb, t\u00eb merret nj\u00eb most\u00ebr gjaku nga n\u00ebna dhe t\u00eb p\u00ebrcaktohet n\u00ebse ekziston rreziku p\u00ebr disa sindroma. N\u00eb fillim kishte 3 anomali gjenetike, sot paleta po zgjerohet n\u00eb m\u00ebnyr\u00eb dramatike. Ka t\u00eb ngjar\u00eb q\u00eb sot, dhe madje edhe m\u00eb shum\u00eb n\u00eb t\u00eb ardhmen, t\u00eb zbulohen shum\u00eb anomali t\u00eb reja gjenetike.\u00a0 Keqkuptimi m\u00eb i madh n\u00eb mesin e pacient\u00ebve, ndoshta n\u00eb mesin e koleg\u00ebve, \u00ebsht\u00eb se cil\u00ebs paciente t&#8217;ia rekomandohet ky ekzaminim.\u00a0 Prej 15 vjet\u00ebsh, shteti siguron skrining biokimik falas, Prisca 1 dhe Prisca 2, p\u00ebr \u00e7do pacient. N\u00ebse n\u00eb vend lindin 20 mij\u00eb foshnje, ne kemi t\u00eb drejt\u00eb t&#8217;u b\u00ebjm\u00eb testin 20 mij\u00eb grave shtatz\u00ebna dhe gruaja shtatz\u00ebn\u00eb ka t\u00eb drejt\u00eb ta b\u00ebj\u00eb at\u00eb dhe \u00ebsht\u00eb falas, sepse vendi e kryen at\u00eb si nj\u00eb skrining, dometh\u00ebn\u00eb n\u00eb tremujorin e par\u00eb t\u00eb shtatz\u00ebnis\u00eb ne b\u00ebjm\u00eb k\u00ebrkim p\u00ebr ndonj\u00eb rrezik, ultratinguj ose rrezik biokimik nga disa keqformime gjenetike. M\u00eb par\u00eb, testi nuk ishte p\u00ebr t\u00eb gjitha k\u00ebto 20 mij\u00eb, por vet\u00ebm p\u00ebr nj\u00eb popullsi me rrezikshm\u00ebri t\u00eb lart\u00eb. Por p\u00ebr fat t\u00eb keq, disa nga k\u00ebto paciente jan\u00eb kontrolluar n\u00eb m\u00ebnyr\u00eb t\u00eb pap\u00ebrshtatshme, ose thjesht jan\u00eb l\u00ebshuar. Pas nj\u00eb kohe t\u00eb caktuar, merret vendimi q\u00eb t\u00eb mos l\u00ebshohen asesi anomalit\u00eb e tilla \u201d, thot\u00eb Dr. Daneva-Markova.<\/p>\n<p>Testi prenatal jo invaziv \u00ebsht\u00eb nj\u00eb avantazh, por duhet t\u00eb jet\u00eb i detyruesh\u00ebm p\u00ebr ata q\u00eb kan\u00eb nj\u00eb rrezik t\u00eb mes\u00ebm, dhe jo p\u00ebr t\u00eb gjith\u00eb pacient\u00ebt me rrezik t\u00eb ul\u00ebt, p\u00ebrve\u00e7 n\u00ebse pacienti d\u00ebshiron ta ket\u00eb k\u00ebt\u00eb konfirmim diagnostik para lindjes, thot\u00eb Dr. Daneva-Markova. Nuk \u00ebsht\u00eb i detyruesh\u00ebm p\u00ebr nj\u00eb paciente q\u00eb \u00ebsht\u00eb m\u00eb pak se 35 vje\u00e7, tek e cila n\u00eb eho gjat\u00eb evaluimit t\u00eb anomalive strukturore n\u00eb fetus nuk do t\u00eb shihet asgj\u00eb e dyshimt\u00eb dhe pa rrezik familjar p\u00ebr anomali gjenetike. Dr. Daneva-Markova beson se p\u00ebr pacientet me indikacion mjek\u00ebsor testi mund t\u00eb jet\u00eb falas nga Fondi, nd\u00ebrsa t\u00eb zvog\u00eblohet numri i testeve Prisca dhe se do t\u00eb ket\u00eb nj\u00eb ekuilib\u00ebr ideal.<\/p>\n<p>\u201cKisha nj\u00eb paciente me probleme sociale, mbi 35 vje\u00e7, q\u00eb kishte nj\u00eb rrezik t\u00eb lart\u00eb p\u00ebr t\u00eb pasur nj\u00eb sindrom\u00eb nga shqyrtimi biokimik dhe me ultratinguj, t\u00eb gjitha k\u00ebto u konfirmuan m\u00eb tej nga amniocinteza. Pacientja b\u00ebri nj\u00eb abort, dhe pastaj mbeti shtatz\u00ebn\u00eb p\u00ebr her\u00eb t\u00eb dyt\u00eb, dhe p\u00ebr her\u00eb t\u00eb dyt\u00eb me t\u00eb nj\u00ebjt\u00ebn sindrom\u00eb n\u00eb fetus. N\u00ebse do t\u00eb kishim k\u00ebt\u00eb mund\u00ebsi, shteti do t&#8217;i siguronte nj\u00eb test falas jo invaziv, nuk do t\u00eb na duhej t\u00eb nd\u00ebrhynim me amniocentez\u00eb, e t\u00eb presim nj\u00eb muaj p\u00ebr rezultate, e t\u00eb vij\u00eb muaji i 5-t\u00eb. Ne mund t\u00eb kishim b\u00ebr\u00eb nj\u00eb test jo invaziv q\u00eb n\u00eb jav\u00ebn e 9-t\u00eb dhe t\u00eb kishim b\u00ebr\u00eb nj\u00eb abort mjek\u00ebsor shum\u00eb m\u00eb her\u00ebt. N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb, pacienti do t\u00eb ket\u00eb mund\u00ebsin\u00eb ta zgjidh\u00eb \u00e7\u00ebshtjen, n\u00ebse ajo bie dakord, n\u00eb jav\u00ebt e para t\u00eb shtatz\u00ebnis\u00eb, kur rreziqet e komplikimeve jan\u00eb m\u00eb t\u00eb vogla \u201d, tha mjeku.<\/p>\n<p>\u201cUn\u00eb gjithmon\u00eb i them pacientes s\u00eb pari: N\u00ebse e b\u00ebj k\u00ebt\u00eb test, v\u00ebrtetoj k\u00ebto gj\u00ebra. Por ndoshta ju jeni gati p\u00ebr t\u00eb pasur nj\u00eb f\u00ebmij\u00eb t\u00eb till\u00eb. Vendimi juaj \u00ebsht\u00eb i fundit dhe gjithmon\u00eb vendimi i duhur si pacient. Edhe pse rrall\u00eb, ka paciente q\u00eb mund t\u00eb m\u00eb thon\u00eb: \u201cNuk ka r\u00ebnd\u00ebsi p\u00ebr mua, dua t\u00eb lind nj\u00eb f\u00ebmij\u00eb t\u00eb gjall\u00eb, nuk m\u00eb intereson n\u00ebse ka ndonj\u00eb t\u00eb met\u00eb\u201d, thot\u00eb Dr. Daneva-Markova.<\/p>\n<p>Ajo thot\u00eb se kjo \u00ebsht\u00eb arsyeja pse testi prenatal jo invaziv n\u00eb nivel shtet\u00ebror \u00ebsht\u00eb nj\u00eb projekt q\u00eb do t\u00eb duhet t\u00eb pilotohet, t\u00eb b\u00ebhet nj\u00eb vler\u00ebsim i mir\u00eb, p\u00ebr t\u00eb par\u00eb se cil\u00ebt jan\u00eb laborator\u00ebt q\u00eb do t\u00eb jen\u00eb n\u00eb gjendje ta b\u00ebjn\u00eb at\u00eb, ata natyrisht duhet t\u00eb ken\u00eb certifikatat e duhura, dhe mbi t\u00eb gjitha, kjo duhet t&#8217;i ofrohet sistemit p\u00ebr t\u00eb b\u00ebr\u00eb nj\u00eb analiz\u00eb financiare. Ne kemi udh\u00ebzime antenatale, udh\u00ebzimi deri m\u00eb tani parasheh Prisca 1 dhe Prisca 2. N\u00eb p\u00ebrdit\u00ebsimin e k\u00ebtij udh\u00ebzimi, q\u00eb \u00ebsht\u00eb planifikuar p\u00ebr k\u00ebt\u00eb vit, ne mund ta vendosim at\u00eb si nj\u00eb avantazh p\u00ebr pacientet dhe t&#8217;i ndajm\u00eb pacientet me rrezik t\u00eb caktuar &#8211; indikacion mjek\u00ebsor, gjegj\u00ebsisht t&#8217;i ridrejtojm\u00eb ato q\u00eb t\u00eb mos e b\u00ebjn\u00eb k\u00ebt\u00eb test, por direkt ADN-n\u00eb e fetusit me nj\u00eb test jo invaziv.<\/p>\n<p>\u201cPak vende n\u00eb Evrop\u00eb e kan\u00eb b\u00ebr\u00eb k\u00ebt\u00eb, por n\u00ebse e marr parasysh faktin se ne e b\u00ebjm\u00eb k\u00ebt\u00eb p\u00ebr 20,000 pacient\u00eb, me nj\u00eb test q\u00eb nuk \u00ebsht\u00eb aq i ndjesh\u00ebm sa p\u00ebrcaktimi i ADN-s\u00eb s\u00eb fetusit, ne do t\u00eb marrim nj\u00eb pjes\u00eb t\u00eb k\u00ebtyre dhe do t&#8217;ua japim atyre q\u00eb jan\u00eb n\u00eb rrezik. Mendoj se \u00ebsht\u00eb e mundur. N\u00ebse duam t\u00eb b\u00ebjm\u00eb rend, duhet ta nd\u00ebrpresim edhe at\u00eb trendin e mbitrajtimit (overtreatment), diagnostifikimit t\u00eb tepruar (overdiagnosis), t\u00eb shkuarit nga nj\u00eb spital n\u00eb tjetrin, hajde nj\u00ebher\u00eb\u00a0 le t&#8217;i edukojm\u00eb pak grat\u00eb. Sot nuk \u00ebsht\u00eb koha e dh\u00ebnies s\u00eb k\u00ebshillave bazuar n\u00eb eksperienca personale, sot \u00ebsht\u00eb koha e digjitalizimit, baza e t\u00eb dh\u00ebnave\u201d, thekson Dr. Daneva-Markova.<\/p>\n<p>Pas ekzaminimit t\u00eb par\u00eb ose pasi t\u00eb shihni anomalit\u00eb e mundshme t\u00eb fetusit n\u00eb muajin e tret\u00eb t\u00eb shtatz\u00ebnis\u00eb, \u00ebsht\u00eb koha p\u00ebr t\u00eb th\u00ebn\u00eb n\u00ebse duhet t\u00eb b\u00ebhet apo jo nj\u00eb test jo-invaziv.<\/p>\n<p>\u201c\u00c7do gj\u00eb para k\u00ebsaj mund t\u00eb jet\u00eb me k\u00ebrkes\u00eb t\u00eb pacientes, por nuk mund t\u00eb ket\u00eb asnj\u00eb tregues, sepse n\u00eb jav\u00ebn e 9-t\u00eb, p\u00ebrve\u00e7 nj\u00eb historie familjare, n\u00ebse ka ndonj\u00eb f\u00ebmij\u00eb t\u00eb m\u00ebhersh\u00ebm me ndonj\u00eb anomali kromozomale, \u00e7do pacient tjet\u00ebr duhet p\u00ebr her\u00eb t\u00eb par\u00eb t\u00eb shihet n\u00eb jav\u00ebn e 12-t\u00eb. Tani piramida \u00ebsht\u00eb kthyer, n\u00ebse m\u00eb her\u00ebt i shikonim anomalit\u00eb strukturore t\u00eb fetusit n\u00eb jav\u00ebn e 20-t\u00eb, tani shohim pothuajse gjith\u00e7ka&#8221;, thot\u00eb mjekja.<\/p>\n<p><em><strong>B. NESTOROSKA<\/strong><\/em><\/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>Shteti duhet t\u00eb gjej\u00eb nj\u00eb m\u00ebnyr\u00eb p\u00ebr t\u00eb mbuluar testin prenatal jo-invaziv p\u00ebr nj\u00eb tregues t\u00eb caktuar mjek\u00ebsor, t\u00eb cilin [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":192442,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"no","inline_featured_image":false},"categories":[3085,3087],"tags":[],"imageURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/04\/dr-ana-daneva-markova-650x420.jpg","thumbURL":"https:\/\/sdk.mk\/wp-content\/uploads\/2023\/04\/dr-ana-daneva-markova-250x162.jpg","categoryNames":["Histori t\u00eb parr\u00ebfyera","Maqedonia"],"feature_caption":" Mjeku apelon q\u00eb pacient\u00ebt t'u besojn\u00eb gjinekolog\u00ebve t\u00eb tyre, t\u00eb mos i teprojn\u00eb ekzaminimet sipas d\u00ebshir\u00ebs dhe t\u00eb mos konsultohen me grupe n\u00eb mediat sociale. (Foto: K.Popov)","subtitle":"Testi prenatal jo invaziv \u00ebsht\u00eb nj\u00eb avantazh, por duhet t\u00eb jet\u00eb i detyruesh\u00ebm p\u00ebr ata q\u00eb kan\u00eb nj\u00eb rrezik t\u00eb mes\u00ebm, dhe jo p\u00ebr t\u00eb gjith\u00eb pacient\u00ebt me rrezik t\u00eb ul\u00ebt, p\u00ebrve\u00e7 n\u00ebse pacienti d\u00ebshiron ta ket\u00eb k\u00ebt\u00eb konfirmim diagnostik para lindjes, thot\u00eb Dr. Daneva-Markova. (Foto: K. Popov)","views":"165","source":"Shkup, (SAKAMDAKAZAM.MK)","yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v15.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>SHTETI DUHET T\u00cb PAGUAJ\u00cb TESTIN Q\u00cb ZBULON SHUM\u00cb ANOMALI N\u00cb FETUS, POR VET\u00cbM N\u00cb GRAT\u00cb SHTATZ\u00cbNA ME RREZIK T\u00cb LART\u00cb, DHE JO SIPAS D\u00cbSHIR\u00cbS S\u00cb TYRE, THOT\u00cb DR. 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