Ekokardiografia fetale \u00ebsht\u00eb metoda e cila lejon zbulimin e defekteve t\u00eb zemr\u00ebs tek fetusi q\u00eb n\u00eb faz\u00ebn e hershme t\u00eb shtatz\u00ebnis\u00eb. Duke i ndjekur trended globale, por edhe per shkak t\u00eb p\u00ebrqindjes s\u00eb lart\u00eb t\u00eb anomalive t\u00eb lindura n\u00eb zem\u00ebr tek grupet e parrezikuara tek shtatz\u00ebnat, ekokardiografia fetale n\u00eb spitalin klinik \u2018Acibadem Sistina\u2019 \u00ebsht\u00eb futur si nj\u00eb skrining rutin\u00eb n\u00eb diagnoz\u00ebn prenatale t\u00eb anomalive strukturore tek zemra e fetusit. Shum\u00eb prind\u00ebr nuk e din\u00eb se prania e defekteve t\u00eb lindura t\u00eb zemr\u00ebs \u00ebsht\u00eb nga 6-8 nga 1000 lindje t\u00eb gjalla. T\u00eb dh\u00ebnat statistikore t\u00eb marra nga qendrat referente t\u00eb cilat merren me ekografin\u00eb fetale tregojn\u00eb se prania e anomalive t\u00eb zemr\u00ebs t\u00eb lindura, \u00ebsht\u00eb m\u00eb e madhe se 6-8 nga 1000 f\u00ebmij\u00eb t\u00eb porsalindur. Sot, mjek\u00ebsia, teknologjia dhe eksperienca mund t\u00eb ofrojn\u00eb nj\u00eb diagnoz\u00eb t\u00eb sakt\u00eb dhe trajtim t\u00eb p\u00ebrshtatsh\u00ebm pothuajse tek \u00e7do lloj anomalie t\u00eb zemr\u00ebs. P\u00ebr r\u00ebnd\u00ebsin\u00eb e k\u00ebtij skriningu biseduam me Dr. Dashko Dimeski dhe Dr. Svetlanan Krstevska-Blazhevska, kardiolog\u00eb pediat\u00ebr n\u00eb Spitalin klinik \u2018Acibadem Sistina\u2019.\u00a0<\/p>\n

Diagnoza dhe trajtimi i sakt\u00eb p\u00ebr \u00e7do lloj defekti t\u00eb zemr\u00ebs<\/span><\/p>\n

Ekokardiografia fetale si nj\u00eb metod\u00eb ultratingull joinvazive n\u00eb diagnostikimin m\u00eb t\u00eb hersh\u00ebm t\u00eb BCM karakterizohet me nj\u00eb specifikat nga 98%, me ndjeshm\u00ebri prej 92% dhe sakt\u00ebsi n\u00eb gjetjen e diagnoz\u00ebn deri n\u00eb 96%. Me q\u00ebllim q\u00eb t\u00eb arrihet nj\u00eb ndjekje m\u00eb e holl\u00ebsishme e morfologjis\u00eb n\u00eb zemr\u00ebn e fetusit, rekomandohet kryerja e ekografis\u00eb trasvaginale n\u00eb mes t\u00eb jav\u00ebs s\u00eb 12 dhe 16 t\u00eb gestionale tek shtatz\u00ebnat me rrezik t\u00eb lart\u00eb, nd\u00ebrkoh\u00ebm q\u00eb aksesi transabdominal si nj\u00eb skrining i detyruesh\u00ebm rutin\u00eb \u00ebsht\u00eb m\u00eb e p\u00ebrshtatshme t\u00eb kryhet nd\u00ebrmjet jav\u00ebs 198 dhe 24 gestionale. Ekokardiografia fetale p\u00ebrdor teknikat standarte: 1 dimensionale, 2D, 3D dhe 4D teknika Doppler duke p\u00ebrfshir\u00eb dhe Doppler me ngjyra.<\/p>\n

P\u00ebrfitimet e skriningut<\/h2>\n

Ky skrining ka p\u00ebrpar\u00ebsi t\u00eb shumta t\u00eb cilat: zbulimin m\u00eb t\u00eb hersh\u00ebm t\u00eb defekteve t\u00eb lindura t\u00eb zemr\u00ebs, informimin e prind\u00ebrve p\u00ebr gjendjes fetale t\u00eb zemr\u00ebs tek fetusi, planifikimin e koh\u00ebs dhe t\u00eb vendit t\u00eb lindjes pran\u00eb qendr\u00ebs kardiokirurgjike n\u00ebse fetusi \u00ebsht\u00eb bart\u00ebs i (BCM), terapia e mundshme tek aritmit\u00eb zemr\u00ebs s\u00eb fetusit, nd\u00ebrprerja e mundshme e shtatz\u00ebnis\u00eb tek kardiopatit\u00eb komplekse t\u00eb lidhura me \u00e7rregullimet gjenetike, b\u00ebrja e mundur e njohurive shkencore p\u00ebr zhvillimin dhe rrjedh\u00ebn e BCM dhe kardiologjia intervente e fetusit premtues dhe kardiokirurgjia.<\/p>\n

Defektet e lindura t\u00eb zemr\u00ebs tek f\u00ebmij\u00ebt<\/h2>\n

Keqformimet e lindura t\u00eb zemr\u00ebs z\u00ebn\u00eb nj\u00eb vend t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb patologjin\u00eb e p\u00ebrgjithshme t\u00eb anomalive t\u00eb lindurta t\u00eb fetusit. Ato p\u00ebrb\u00ebjn\u00eb 20% t\u00eb vdekshm\u00ebris\u00eb perinatale n\u00eb grupin e anomalive t\u00eb lindura tek fetusi dhe n\u00eb m\u00eb shum\u00eb se gjysma e vdekshm\u00ebris\u00eb s\u00eb p\u00ebrgjithshme t\u00eb keqformimeve t\u00eb lindura n\u00eb f\u00ebmij\u00ebri.<\/p>\n

Skriningu i detyruesh\u00ebm tek zemrat e t\u00eb porsalindurve<\/h2>\n

Diagnoza e anomalive t\u00eb zemr\u00ebs tek f\u00ebmij\u00ebt n\u00eb 40-50% t\u00eb rasteve, gjendet n\u00eb jav\u00ebn e par\u00eb t\u00eb jet\u00ebs, dhe pothuajse 100% deri n\u00eb fund t\u00eb vitit t\u00eb par\u00eb. N\u00eb muajt e pare t\u00eb jet\u00ebs, anomalit\u00eb e zemr\u00ebs manifestohen me cianoz\u00eb dhe\/ose me dob\u00ebsi t\u00eb zemr\u00ebs, me zhurm\u00eb t\u00eb zemr\u00ebs, v\u00ebshtir\u00ebsi n\u00eb frym\u00ebmarrje. Simptoma m\u00eb e zakonshme e anomalive t\u00eb zemr\u00ebs n\u00ebn dhe mbi mosh\u00ebn 4 vje\u00e7are, \u00ebsht\u00eb zhurma e zemr\u00ebs e cila mund t\u00eb d\u00ebgjohet edhe gjat\u00eb kontrolleve rutin\u00eb tekm pediatri. N\u00ebse d\u00ebgjoni zhurm\u00eb n\u00eb zem\u00ebr, ju duhet t\u00eb b\u00ebni kontrolle shtes\u00eb si\u00e7 \u00ebsht\u00eb elektrokardiogrami (EKG) dhe ekogrami (RTG) i zemr\u00ebs dhe mushk\u00ebrive. K\u00ebto ekzaminime preventive jan\u00eb shum\u00eb t\u00eb r\u00ebnd\u00ebsishme p\u00ebr t\u00eb porsalindurit, dhe kryhen me q\u00ebllim q\u00eb t\u00eb zbulohen n\u00eb koh\u00eb anomalit\u00eb e mundshme t\u00eb zemr\u00ebs.<\/p>\n

Si trajtohen anomalit\u00eb e zemr\u00ebs?<\/h2>\n

Disa anomali m\u00eb t\u00eb thjeshta t\u00eb zemr\u00ebs, si hapje t\u00eb vogla n\u00eb pjes\u00ebn e barkushes dhe atriumit mund t\u00eb mbyllen vet\u00eb, k\u00ebshtu q\u00eb nuk k\u00ebrkon trajtim kirurgjik, por vet\u00ebm kontrolle t\u00eb rregullta tek doktori pediat\u00ebr kardiolog. Defektet m\u00eb t\u00eb komplikuara t\u00eb zemr\u00ebs, k\u00ebrkojn\u00eb trajtim kirurgjik ose aplikim t\u00eb kardiologjis\u00eb intervente. Megjithat\u00eb, vendimi p\u00ebr trajtimin e anomalive t\u00eb zemr\u00ebs varet nga lloji dhe tipi i problemit.<\/p>\n

\n","protected":false},"excerpt":{"rendered":"

Ekokardiografia fetale \u00ebsht\u00eb metoda e cila lejon zbulimin e defekteve t\u00eb zemr\u00ebs tek fetusi q\u00eb n\u00eb faz\u00ebn e hershme t\u00eb shtatz\u00ebnis\u00eb. Duke i ndjekur trended globale, por edhe per shkak t\u00eb p\u00ebrqindjes s\u00eb lart\u00eb t\u00eb anomalive t\u00eb lindura n\u00eb zem\u00ebr tek grupet e parrezikuara tek shtatz\u00ebnat, ekokardiografia fetale n\u00eb spitalin klinik \u2018Acibadem Sistina\u2019 \u00ebsht\u00eb futur si nj\u00eb skrining rutin\u00eb n\u00eb diagnoz\u00ebn prenatale t\u00eb anomalive strukturore tek zemra e fetusit. Shum\u00eb prind\u00ebr nuk e din\u00eb se prania e defekteve t\u00eb lindura t\u00eb zemr\u00ebs \u00ebsht\u00eb nga 6-8 nga 1000 lindje t\u00eb gjalla. T\u00eb dh\u00ebnat statistikore t\u00eb marra nga qendrat referente t\u00eb cilat merren me ekografin\u00eb fetale tregojn\u00eb se prania e anomalive t\u00eb zemr\u00ebs t\u00eb lindura, \u00ebsht\u00eb m\u00eb e madhe se 6-8 nga 1000 f\u00ebmij\u00eb t\u00eb porsalindur. Sot, mjek\u00ebsia, teknologjia dhe eksperienca mund t\u00eb ofrojn\u00eb nj\u00eb diagnoz\u00eb t\u00eb sakt\u00eb dhe trajtim t\u00eb p\u00ebrshtatsh\u00ebm pothuajse tek \u00e7do lloj anomalie t\u00eb zemr\u00ebs. P\u00ebr r\u00ebnd\u00ebsin\u00eb e k\u00ebtij skriningu biseduam me Dr. Dashko Dimeski dhe Dr. Svetlanan Krstevska-Blazhevska, kardiolog\u00eb pediat\u00ebr n\u00eb Spitalin klinik \u2018Acibadem Sistina\u2019.\u00a0<\/p>\n","protected":false},"author":2,"featured_media":4843,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[342],"tags":[],"doktori":[],"class_list":["post-2997","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-srce-vaskularno-zdravje-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/2997","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=2997"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/2997\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/4843"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=2997"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=2997"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=2997"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=2997"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}