Gur\u00ebt n\u00eb veshka (kalkuloza renale) <\/p>\n\n\n\n
jan\u00eb t\u00eb shpesht\u00eb si n\u00eb mosh\u00ebn e rritur, ashtu edhe at\u00eb pediatrike.<\/p>\n\n\n\n
N\u00eb ndryshim nga t\u00eb rriturit, gur\u00ebt tek f\u00ebmij\u00ebt kan\u00eb me shum\u00eb mund\u00ebsi p\u00ebr t\u00eb l\u00ebn\u00eb pasoja n\u00eb lidhje me funksionimin e veshk\u00ebs. <\/p>\n\n\n\n
P\u00ebr rrjedhoj\u00eb, n\u00eb rast se keni dyshime p\u00ebr nj\u00eb patologji t\u00eb till\u00eb, duhet t\u00eb konsultoheni me urologun pediat\u00ebr af\u00ebr jush.<\/p>\n\n\n\n
N\u00eb vitet e fundit, guret n\u00eb veshka tek femij\u00ebt jan\u00eb shtuar, p\u00ebr shkak t\u00eb ndryshimit t\u00eb m\u00ebnyr\u00ebs se t\u00eb ushqyerit, jet\u00ebs m\u00eb sedentare sesa m\u00eb par\u00eb etj. Edhe s\u00ebmundjet metabolike jan\u00eb n\u00eb nj\u00eb trend rrit\u00ebs n\u00eb t\u00eb gjith\u00eb bot\u00ebn. Rrjedhimisht, kjo p\u00ebrkthehet n\u00eb m\u00eb shum\u00eb f\u00ebmij\u00eb me gur\u00eb n\u00eb veshka. Gur\u00ebt nga \u00e7rregullimet metabolike jan\u00eb nj\u00eb ndryshim rr\u00ebnj\u00ebsor midis f\u00ebmij\u00ebve dhe t\u00eb rriturve. M\u00ebnyra e prezantimit t\u00eb f\u00ebmij\u00ebve ne spital \u00ebsht\u00eb e larmishme, por zakonisht koha e diagnostikimit \u00ebsht\u00eb m\u00eb e madhe se tek t\u00eb rriturit. Kjo p\u00ebr vet\u00eb faktin se f\u00ebmij\u00ebt nuk i shprehin qart\u00eb shqetesimet e tyre, dhe kjo b\u00ebn q\u00eb gur\u00ebt t\u00eb diktohen me vones\u00eb. F\u00ebmij\u00ebt me \u00e7rregullime metabolike mund t\u00eb krijojn\u00eb gur\u00eb q\u00eb muajt e par\u00eb t\u00eb jet\u00ebs dhe shqet\u00ebsimet e k\u00ebsaj moshe zakonisht ngat\u00ebrrohen me dhimbjet e thjeshta t\u00eb barkut ose t\u00eb daljes se dh\u00ebmb\u00ebve t\u00eb rinj. Shpeshher\u00eb gur\u00ebt shoq\u00ebrohen me infeksione urinare, duke e ngat\u00ebrruar mjekun n\u00eb rrug\u00ebn drejt diagnostikimit. <\/p>\n\n\n\n
Megjith\u00ebse problemtatikat e diagnostikimit, kurimi i gur\u00ebve n\u00eb\nveshka \u00ebsht\u00eb m\u00eb i leht\u00eb t\u00eb f\u00ebmij\u00ebt. Shumica e gur\u00ebve \u00ebsht\u00eb me nj\u00eb madh\u00ebsi q\u00eb i\nlejon t\u00eb dalin vetvetiu. Gjithashtu edhe kanalet urinare jan\u00eb me elastike n\u00eb mosha\nt\u00eb vogla. Gjat\u00eb eliminimit t\u00eb gur\u00ebve, f\u00ebmij\u00ebt duhen ndihmuar me sasi lengjesh t\u00eb\nshtuara dhe medikamente p\u00ebr t\u00eb reduktuar dhimbjen e q\u00eb mund t\u00eb ken\u00eb f\u00ebmij\u00ebt.\nDuhet patur parasysh se kapja e gurit q\u00eb del, duhet t\u00eb jet\u00eb prioritet p\u00ebr prind\u00ebrit\ne f\u00ebmij\u00ebs. Guri mund t\u00eb analizohet dhe t\u00eb kuptohet arsyeja pse ky f\u00ebmij\u00eb formon\ngur\u00eb, duke b\u00ebr\u00eb t\u00eb mundur ndryshimin e diet\u00ebs ose dh\u00ebnien e ndonj\u00eb medikamenti\nparandalues p\u00ebr gur\u00ebt.<\/p>\n\n\n\n
N\u00eb madh\u00ebsi m\u00eb shum\u00eb se 6 mm, gur\u00ebt e kan\u00eb t\u00eb v\u00ebshtir\u00eb t\u00eb dalin\nvetvetiu, rrjedhimisht f\u00ebmij\u00ebt kan\u00eb nevoj\u00eb p\u00ebr m\u00ebnyra t\u00eb tjera kurimi. ESWL\n(bombardimi i gureve) \u00ebsht\u00eb nj\u00eb m\u00ebnyr\u00eb relativisht e thjesht\u00eb p\u00ebr thyerjen e\ngur\u00ebve, por p\u00ebrqindja e suksesit nuk \u00ebsht\u00eb m\u00eb shum\u00eb se 80%. Gjithsesi, duke qen\u00eb\nnj\u00eb m\u00ebnyr\u00eb e cila mund t\u00eb aplikohet disa her\u00eb njera pas tjetr\u00ebs, ESWL\npreferohet n\u00eb gur\u00eb m\u00eb t\u00eb vegj\u00ebl se 15 mm, t\u00eb cilat ndodhen n\u00eb veshk\u00eb. Gur\u00ebt t\u00eb\npozicionuar n\u00eb kanalet urinare nuk jan\u00eb t\u00eb volitsh\u00ebm p\u00ebr ESWL sepse\nkomplikacionet jan\u00eb t\u00eb m\u00ebdha. Kirurgjia endoskopike me lazer \u00ebsht\u00eb metoda m\u00eb e\nmir\u00eb n\u00eb gur\u00ebt m\u00eb t\u00eb m\u00ebdhenj se 6 mm. PCNL (nefrolitotomia perkutane) \u00ebsht\u00eb\noperacioni standard p\u00ebr gur\u00ebt m\u00eb t\u00eb m\u00ebdhenj se 15 mm. Komplikacionet jan\u00eb pak m\u00eb\nt\u00eb larta krahasuar me ESWL, por p\u00ebrqindja e suksesit \u00ebsht\u00eb gjithashtu m\u00eb e lart\u00eb.\nGjithsesi, lloji i operacionit varet edhe nga problemet e tjera anatomike q\u00eb\nmund t\u00eb ken\u00eb f\u00ebmij\u00ebt. Mund t\u00eb konsultoheni me urologun pediat\u00ebr p\u00ebr llojet e\nndryshme t\u00eb operacioneve dhe t\u00eb vendosni m\u00eb t\u00eb mir\u00ebn p\u00ebr f\u00ebmij\u00ebn tuaj. Vlen t\u00eb\ntheksohet se nuk ka m\u00eb operacion t\u00eb hapur p\u00ebr gur\u00ebt n\u00eb veshka k\u00ebto 10-15 vjet\u00ebt\ne fundit (p\u00ebrve\u00e7 institucioneve me mungesa n\u00eb infrastruktur\u00eb e\naparatura). <\/p>\n","protected":false},"excerpt":{"rendered":"
Gur\u00ebt n\u00eb veshka (kalkuloza renale) jan\u00eb t\u00eb shpesht\u00eb si n\u00eb mosh\u00ebn e rritur, ashtu edhe at\u00eb pediatrike. N\u00eb ndryshim nga t\u00eb rriturit, gur\u00ebt tek f\u00ebmij\u00ebt kan\u00eb me shum\u00eb mund\u00ebsi p\u00ebr t\u00eb l\u00ebn\u00eb pasoja n\u00eb lidhje me funksionimin e veshk\u00ebs. P\u00ebr rrjedhoj\u00eb, n\u00eb rast se keni dyshime p\u00ebr nj\u00eb patologji t\u00eb till\u00eb, duhet t\u00eb konsultoheni me […]<\/p>\n","protected":false},"author":5,"featured_media":15423,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[2499],"class_list":["post-23746","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeku","tag-dr-artan-koni"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/23746","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=23746"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/23746\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/15423"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=23746"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=23746"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=23746"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}