{"id":112359,"date":"2022-04-18T11:47:00","date_gmt":"2022-04-18T09:47:00","guid":{"rendered":"https:\/\/radiostargjilan.com\/web\/?p=112359"},"modified":"2022-04-18T11:51:47","modified_gmt":"2022-04-18T09:51:47","slug":"e-rralle-ne-spitalin-e-gjilanit-specializanti-diagnostifikoi-ne-kohe-pacienten-lehone-me-nje-diagnoze-mjaft-te-rralle-dhe-kercenuese-per-jeten-trombozen-cerebrale-sinovenoze","status":"publish","type":"post","link":"https:\/\/radiostargjilan.com\/web\/e-rralle-ne-spitalin-e-gjilanit-specializanti-diagnostifikoi-ne-kohe-pacienten-lehone-me-nje-diagnoze-mjaft-te-rralle-dhe-kercenuese-per-jeten-trombozen-cerebrale-sinovenoze\/","title":{"rendered":"E rrall\u00eb n\u00eb Spitalin e Gjilanit: Specializanti diagnostifikoi n\u00eb koh\u00eb pacienten-Lehon\u00eb me nj\u00eb diagnoz\u00eb mjaft t\u00eb rrall\u00eb dhe k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn, \u201dTromboz\u00ebn cerebrale sinovenoze\u201d"},"content":{"rendered":"<p>\nN\u00eb Spitalin Rajonal t\u00eb Gjilanit, Dr.Q\u00ebndrim D\u00ebrmaku, specializant i i vitit t\u00eb par\u00eb n\u00eb Neurologji, diagnostifikoi me Tromboz\u00ebn cerebrale sinovenoze pacienten lehon\u00eb t\u00eb moshes s\u00eb re, e cila ishte e shtrir\u00eb n\u00eb Repartin e Gjinekologjis\u00eb.<\/p>\n<p>Tromboza e sinusit venoz cerebral \u00ebsht\u00eb trashje e gjakut n\u00eb sinuset venoze t\u00eb trurit, pra \u00ebsht\u00eb nj\u00eb urgjenc\u00eb mjek\u00ebsore e cila n\u00ebse nuk<br \/>\ndiagnostifikohet n\u00eb koh\u00eb \u00ebsht\u00eb k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn. Kjo diagnoz\u00eb \u00ebsht\u00eb mjaft\u00eb e rrall\u00eb n\u00eb 1-4% t\u00eb rasteve.<\/p>\n<p>P\u00ebr fat t\u00eb keq pacient\u00ebt paraqiten me simptoma t\u00eb ndryshme duke e b\u00ebr\u00eb diagnostifikimin shum\u00eb t\u00eb v\u00ebshtir\u00eb.<\/p>\n<p>Simptomet m\u00eb t\u00eb zakonshme jan\u00eb:<\/p>\n<p>dhimbje e kok\u00ebs, dhimbje veshi,fotofobi,rrjedhje nga veshi,edem\u00eb periorbitale,diplopi,konvulsione.<\/p>\n<p>Faktor\u00ebt e rrezikut p\u00ebr Tromboz\u00ebn e sinusit venoz cerebral jan\u00eb:shtatz\u00ebnat n\u00eb tremujorin e fundit t\u00eb shtatz\u00ebnis\u00eb, infeksionet e sinusve t\u00eb fytyr\u00ebs,dh\u00ebmb\u00ebve,hund\u00ebs,problemet me koagulim t\u00eb gjakut,p\u00ebrdorimi i kontraceptiv\u00ebve oral, lehonat n\u00eb kat\u00ebr jav\u00ebt e para pas lindjes.Mosha mesatare e paraqitjes \u00ebsht\u00eb kryesisht 20-28 vje\u00e7,te femrat m\u00eb shpesh se te meshkujt.<\/p>\n<p>Diagnoza e CVST \u00ebsht\u00eb gjithmon\u00eb nj\u00eb dilem\u00eb klinike p\u00ebr mjekun.Diagnostifikimi b\u00ebhet me CT,MRI,Flebografi intravenoze,analizat e gjakut, si dhe p\u00ebrcaktimi i D-dimer-it.<\/p>\n<p>Trajtimi b\u00ebhet me<br \/>\nantikoagulant,antibiotik,kortikosteroide.Linja e par\u00eb eshte terapia me antikoagulant.Arsyeja p\u00ebr trajtimin me antikoagulant \u00ebsht\u00eb rikanalizimi i ven\u00ebs p\u00ebr t\u00eb parandaluar p\u00ebrhapjen e trombit.Per shkak t\u00eb mos trajtimit me koh\u00eb mund t\u00eb zhvillohen komplikime serioze si:paraliza p\u00ebr shkak t\u00eb  goditjes n\u00eb tru{sulmit n\u00eb tru), sepsa,hipertensioni intrakranial,abcesi i trurit,verb\u00ebri p\u00ebr shkak t\u00eb prekjes s\u00eb nervave kranial,koma si dhe mund te vie deri tek vdekja.<br \/>\nTromboza e sinusve venoz cerebral kishte nj\u00eb shkall\u00eb vdekshm\u00ebrie rreth 80%, por p\u00ebr shkak t\u00eb trajtimit me koh\u00eb shkalla e  vdekshmeris\u00eb ka r\u00ebn\u00eb n\u00ebn 30%.<\/p>\n<p>Kjo shkall\u00eb e lart\u00eb e vdekjeve ishte p\u00ebr shkak t\u00eb diagnostifikimit t\u00eb vonuar.<\/p>\n<p>Pas diagnostfikimit me koh\u00eb dhe trajtimit sot pacientja g\u00ebzon sh\u00ebndet t\u00eb plot\u00eb.\/RadioStar\/<\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u00eb Spitalin Rajonal t\u00eb Gjilanit, Dr.Q\u00ebndrim D\u00ebrmaku, specializant i i vitit t\u00eb par\u00eb n\u00eb Neurologji, diagnostifikoi me Tromboz\u00ebn cerebrale sinovenoze pacienten lehon\u00eb t\u00eb moshes s\u00eb re, e cila ishte e shtrir\u00eb n\u00eb Repartin e Gjinekologjis\u00eb. Tromboza e sinusit venoz cerebral \u00ebsht\u00eb trashje e gjakut n\u00eb sinuset venoze t\u00eb trurit, pra \u00ebsht\u00eb nj\u00eb urgjenc\u00eb mjek\u00ebsore e [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":112362,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":{"0":"post-112359","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-shendetesi"},"_links":{"self":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/posts\/112359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/comments?post=112359"}],"version-history":[{"count":0,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/posts\/112359\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/media\/112362"}],"wp:attachment":[{"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/media?parent=112359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/categories?post=112359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/radiostargjilan.com\/web\/wp-json\/wp\/v2\/tags?post=112359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}