Nj\u00eb nga problemet m\u00eb t\u00eb hasura tek f\u00ebmij\u00ebt \u00ebsht\u00eb Hidrofrenoza.
Hidronefroza (HN) quhet fryrja e veshk\u00ebs e cila t\u00eb f\u00ebmij\u00ebt, n\u00eb shumic\u00ebn e rasteve, \u00ebsht\u00eb e lindur. Nj\u00eb pjes\u00eb e mir\u00eb e tyre mund t\u00eb kuptohet q\u00eb me ekot gjat\u00eb shtatzanis\u00eb. Gjithsesi, ne shumic\u00ebn d\u00ebrrmuese t\u00eb rasteve, nuk ka nevoj\u00eb p\u00ebr ndonj\u00eb nd\u00ebrhyrje specifike gjat\u00eb shtatzanis\u00eb. Ekoja e b\u00ebr\u00eb fill pas lindjes, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme p\u00ebr t\u00eb kuptuar gravitetin e situat\u00ebs dhe p\u00ebr t\u00eb parashikuar trajtimin e m\u00ebvonsh\u00ebm.
N\u00eb var\u00ebsi t\u00eb t\u00eb qenit fem\u00ebr apo mashkull, HN n\u00eb nj\u00eb veshk\u00eb apo t\u00eb dyja veshkat, HN q\u00eb prek vet\u00ebm veshk\u00ebn apo bashk\u00eb me t\u00eb edhe kanalin urinar, prania ose jo e anomalive t\u00eb tjera t\u00eb traktit urinar, ndryshon edhe lloji i patologjis\u00eb se lindur dhe m\u00ebnyra si kurohet. Le t\u00eb flasim p\u00ebr disa nga patologjit\u00eb q\u00eb hasen m\u00eb shpesh te f\u00eb mij\u00ebt:<\/p>\n\n\n\n
1-Refluksi urinar (VUR), kthimi i urin\u00ebs nga vezika te veshka. \u00cbsht\u00eb patologjia e lindur m\u00eb e shpesht\u00eb t\u00eb f\u00ebmij\u00ebt me HN. VUR haset m\u00eb shpesh te femrat dhe rastet m\u00eb t\u00eb shpeshta jan\u00eb bilaterale. T\u00eb kesh VUR nuk do t\u00eb thot\u00eb domosdoshm\u00ebrisht q\u00eb duhet t\u00eb kemi infeksione urinare t\u00eb shpeshta. Nj\u00eb pjes\u00eb e mir\u00eb e VUR p\u00ebrmir\u00ebsohet vetvetiu deri n\u00eb mosh\u00ebn 1 vje\u00e7are. K\u00ebshtu q\u00eb p\u00ebr sa koh\u00eb f\u00ebmija nuk ka infeksione urinare, mund t\u00eb ndiqet n\u00eb vazhdim\u00ebsi pa ndonj\u00eb kurim t\u00eb caktuar. Ajo pjes\u00eb e VUR e cila nuk kalon deri n\u00eb mosh\u00ebn 1 vje\u00e7are, duhet korrigjuar me nd\u00ebrhyrje kirurgjikale. Operacioni duket i friksh\u00ebm n\u00eb syt\u00eb e prind\u00ebrve, normalisht. Por me teknikat e reja kirurgjikale f\u00ebmij\u00ebt kan\u00eb pak dhimbje, q\u00ebndrojn\u00eb 1 dit\u00eb n\u00eb spital dhe n\u00eb shum\u00eb raste operacioni b\u00ebhet pa bisturi, apo e th\u00ebn\u00eb ndryshe, me nde\u00ebrhyrje endoskopike. N\u00ebse gjat\u00eb shtatzanis\u00eb haset HN te f\u00ebmija, mund t\u00eb b\u00ebni nj\u00eb konsult\u00eb me urologun pediater p\u00ebr t\u00eb diskutuar mbi alternativat e m\u00ebvonshme t\u00eb kurimit.<\/p>\n\n\n\n
2-Patologjia e segmentit (UPJO) \u00ebsht\u00eb ngushtimi i kanalit urinar n\u00eb dalje t\u00eb veshk\u00ebs. Zakonisht \u00ebsht\u00eb nj\u00eb patologji e lindur e cila prek nj\u00ebr\u00ebn veshke, dhe n\u00eb nj\u00eb pjes\u00eb t\u00eb mir\u00eb t\u00eb rasteve, ngushtimi nuk \u00ebsht\u00eb serioz. N\u00eb var\u00ebsi t\u00eb t\u00eb pasurit infeksion urinar apo jo, t\u00eb nj\u00eb HN t\u00eb madhe apo jo, ndryshon edhe trajtimi apo ndjekja e f\u00ebmij\u00ebs. Ashtu si t\u00eb VUR, nj\u00eb pjes\u00eb e mir\u00eb e UPJO kalon vetvetiu, apo p\u00ebrmir\u00ebsohet gjat\u00eb vitit t\u00eb par\u00eb t\u00eb jet\u00ebs. UPJO e cila nuk kalon vetvetiu duhet korrigjuar n\u00eb m\u00ebnyr\u00eb kirurgjikale, pasi rrezikon d\u00ebmtimin e veshkes n\u00eb vitet pasardh\u00ebse. UPJO mund t\u00eb diagnostikohet q\u00eb n\u00eb shtatzani, dhe t\u00eb ndiqet m\u00eb pas me eko ecuria e k\u00ebsaj patologjie.<\/p>\n\n\n\n
3-UVJO, quhet ngushtimi i kanalit urinar n\u00eb hyrje t\u00eb vezik\u00ebs. Zakonisht \u00ebsht\u00eb nj\u00eb patologji e nj\u00ebanshme, e cila pengon kalimin lirsh\u00ebm t\u00eb urin\u00ebs nga veshka te vezika urinare. Megjith\u00ebse mund t\u00eb kaloj\u00eb vetvetiu gjat\u00eb vitit t\u00eb par\u00eb t\u00eb jet\u00ebs, ky p\u00ebrmir\u00ebsim ndodh m\u00eb rrall\u00eb krahasuar me VUR apo UPJO. Si \u00e7do ngushtim tjet\u00ebr n\u00eb kanalin urinar, edhe UVJO mund t\u00eb krijoje infeksione rezistente ndaj kurave t\u00eb ndryshme. Trajtimi definitiv i k\u00ebsaj patologjie konsiston n\u00eb heqjen e atij segmenti t\u00eb ngushtuar t\u00eb kanalit urinar dhe ri-implantimi, apo lidhja e re e kanalit urinar me vezik\u00ebn. Nuk duhet harruar se q\u00ebllimi kryesor i trajtimit \u00ebsht\u00eb parandalimi i d\u00ebmtimit t\u00eb funksionit t\u00eb veshk\u00ebs, d\u00ebmtim i cili nuk ndodh brenda muajsh, por ndodh padiskutim n\u00ebse f\u00ebmija nuk trajtohet p\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb.<\/p>\n\n\n\n
K\u00ebto dhe shum\u00eb probleme t\u00eb tjera jan\u00eb shkaktar\u00ebt e HN te f\u00ebmij\u00ebt. Duhet pasur parasysh s\u00eb k\u00ebto probleme mund t\u00eb jen\u00eb edhe t\u00eb nd\u00ebrthurura me nj\u00ebra-tjetr\u00ebn, apo nj\u00eb f\u00ebmij\u00eb mund t\u00eb ket\u00eb disa nga k\u00ebto probleme nj\u00ebkoh\u00ebsisht. Konsulta me urologun pediat\u00ebr \u00ebsht\u00eb e r\u00ebnd\u00ebsishme p\u00ebr t\u00eb kuptuar drejt patologjit\u00eb e f\u00ebmij\u00ebs dhe p\u00ebr t\u00eb diskutuar mbi m\u00ebnyrat e ndryshme t\u00eb trajtimit.<\/p>\n\n\n\n
Burimi: Humanum.al<\/p>\n","protected":false},"excerpt":{"rendered":"
Nj\u00eb nga problemet m\u00eb t\u00eb hasura tek f\u00ebmij\u00ebt \u00ebsht\u00eb Hidrofrenoza.Hidronefroza (HN) quhet fryrja e veshk\u00ebs e cila t\u00eb f\u00ebmij\u00ebt, n\u00eb shumic\u00ebn e rasteve, \u00ebsht\u00eb e lindur. Nj\u00eb pjes\u00eb e mir\u00eb e tyre mund t\u00eb kuptohet q\u00eb me ekot gjat\u00eb shtatzanis\u00eb. Gjithsesi, ne shumic\u00ebn d\u00ebrrmuese t\u00eb rasteve, nuk ka nevoj\u00eb p\u00ebr ndonj\u00eb nd\u00ebrhyrje specifike gjat\u00eb shtatzanis\u00eb. […]<\/p>\n","protected":false},"author":5,"featured_media":25456,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[1084],"class_list":["post-25455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeku","tag-artan-koni"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/25455","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=25455"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/25455\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/25456"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=25455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=25455"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=25455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}