Anomalit\u00eb e lindura t\u00eb veshkave dhe traktit urinar jan\u00eb t\u00eb pranishme tek 3-6 nga 1000 t\u00eb porsalindur. Dr. Nadica Ristoska Bojkovska,\u00a0 nefrologe pediat\u00ebr n\u00eb “Acibadem Sistina” \u00a0shpjegon t\u00eb gjitha anomalit\u00eb e lindura t\u00eb veshkave dhe nevoj\u00ebn p\u00ebr diagnostikimin e hersh\u00ebm t\u00eb tyre. N\u00eb vijim ju shpjegojm\u00eb anomalit\u00eb m\u00eb t\u00eb shpeshta t\u00eb traktit urinar:<\/p>\n

Hidronefroza e lindur<\/span><\/p>\n

Hidronefoza \u00ebsht\u00eb anomalia m\u00eb e shpesht\u00eb e cila mund t\u00eb zbulohet q\u00eb n\u00eb shtatz\u00ebnin\u00eb e hershme me an\u00eb t\u00eb kontrillit me ultratingull. B\u00ebhet fjal\u00eb p\u00ebr anomali t\u00eb kanaleve t\u00eb veshkave kur jan\u00eb t\u00eb zgjeruara. Tek f\u00ebmij\u00ebt kjo anomali manifestohet me gastro intestinal ose me parehati abdominale, t\u00eb p\u00ebrziera, t\u00eb vjella apo me infeksion urinar. Hidronefroza postnatale diagnostikohet disa dit\u00eb pas lindjes, me an\u00eb t\u00eb kontrollit me eko.\u00a0 N\u00ebse ultrasonogrami \u00ebsht\u00eb n\u00eb rregull,\u00a0 jan\u00eb t\u00eb nevojshme disa kontrolle gjat\u00eb vitit t\u00eb par\u00eb t\u00eb lindjes.\u00a0 N\u00ebse konfirmohet hidronefroza, duhet t\u00eb kryhen disa ekzaminime gjat\u00eb jav\u00ebs s\u00eb 2 deri n\u00eb jav\u00ebn e 4. N\u00ebse hiponefroza \u00ebsht\u00eb me obstruksion (dmth me bllokim t\u00eb plot\u00eb t\u00eb rrjedhjes s\u00eb urin\u00ebs), rekomandohet trajtim kirurgjik. \u00a0Tek foshnjat e tjera\u00a0 ku anomalija nuk shkakton obstruksion dhe ka funksion normal t\u00eb veshkave, trajtohet n\u00eb m\u00ebnyr\u00eb konservative\u00a0 me an\u00eb t\u00eb kontrolleve me eko dhe renogram 3-4 her\u00eb gjat\u00eb 2 viteve t\u00eb para.<\/p>\n

Refluksi veziko ureteral<\/h2>\n

Refluksi veziko ureteral ka t\u00eb b\u00ebj\u00eb me kthimin e urin\u00ebs nga fshik\u00ebza n\u00eb veshka, nd\u00ebrkoh\u00eb q\u00eb rrjedhja normale e urin\u00ebs duhet t\u00eb jet\u00eb n\u00eb nj\u00eb drejtim t\u00eb vet\u00ebm , nga veshka n\u00eb fshik\u00ebz. Urina q\u00eb kthehet n\u00eb veshka \u00ebsht\u00eb nj\u00eb burim i infeksionit n\u00eb veshka dhe n\u00eb urin\u00eb, si dhe mbajtja e urin\u00ebs \u00a0mund t\u00eb d\u00ebmtoj\u00eb veshkat. Anomalia \u00ebsht\u00eb e trash\u00ebguar , 33% e motrave dhe v\u00ebllez\u00ebrve t\u00eb pacient\u00ebve me refluks do t\u00eb jen\u00eb t\u00eb prekur nga kjo anomali, dhe 66% e f\u00ebmij\u00ebve t\u00eb pacient\u00ebve me refluks do t\u00eb ken\u00eb refluks. Trajtimi i k\u00ebsaj anomalie varet nga shum\u00eb faktor\u00eb, ve\u00e7an\u00ebrisht nga mosha e pacientit, koh\u00ebs kur \u00ebsht\u00eb zbuluar, dhe shkall\u00ebs s\u00eb refluksit. \u00a0N\u00eb shumic\u00ebn e rasteve refluksi t\u00ebrhiqet spontanisht. \u00cbsht\u00eb e nevojshme q\u00eb t\u00eb ndiqet rregullisht gjendja dhe t\u00eb kryhen kontrolle t\u00eb rregullta, terapi profilaktike p\u00ebr parandalimin e infeksioneve urinare tek pacienti. N\u00ebse b\u00ebhet fjal\u00eb p\u00ebr nj\u00eb refluks t\u00eb shkall\u00ebs s\u00eb ul\u00ebt, trajtimi \u00ebsht\u00eb konservativ. Tek rastet e reflukseve m\u00eb t\u00eb r\u00ebnda, opsionet jan\u00eb injektim periureteral\u00a0 defluks kolagjen (metoda STING) ose kirurgji e hapur. \u00a0<\/p>\n

Uretrat ektopike<\/h2>\n

Uret\u00ebr ektopike kemi at\u00ebher\u00eb kur hapja e uretr\u00ebs \u00ebsht\u00eb e vendosur jasht\u00eb fshik\u00ebz\u00ebs. Kjo anomali \u00ebsht\u00eb 6 her\u00eb m\u00eb e p\u00ebrhapur tek femrat se sa tek meshkujt. M\u00eb par\u00eb, uretra ektopike diagnostikohej tek vajzat e mosh\u00ebs parashkollore p\u00ebr shkak t\u00eb inlkontenenc\u00ebs (mosmbajtjes s\u00eb urin\u00ebs), n\u00eb rastet me veshka t\u00eb vetme apo t\u00eb dyfishta lidhur me infeksionet urinare.\u00a0 Trajtimi kirurgjik \u00ebsht\u00eb i shpesht\u00eb: ri\u2013implantimi i uretr\u00ebs ektopike n\u00eb fshik\u00ebz p\u00ebr personat me veshk\u00eb funksionale, me nefrektomi (heqje t\u00eb veshk\u00ebs), ose me heminefrektomi p\u00ebr ata t\u00eb cil\u00ebve nuk i\u2019u funksionon veshka.<\/p>\n

Ureterocela<\/h2>\n

Ureterocela \u00ebsht\u00eb zgjerimi i uretr\u00ebs intravezikale. \u00a0Nj\u00eb pjes\u00eb e uretrocel\u00ebs gjendet n\u00eb qaf\u00ebn e fshik\u00ebz\u00ebs apo n\u00eb uret\u00ebr. Uretrocela mund t\u00eb shkaktoj\u00eb kthimin e urin\u00ebs n\u00eb veshka.\u00a0 Trajtohet n\u00eb m\u00ebnyr\u00eb kirurgjike me nj\u00eb shkall\u00eb t\u00eb lart\u00eb suksesi.\u00a0 Mund t\u00eb diagnostikohet q\u00eb n\u00eb shtatz\u00ebni me an\u00eb t\u00eb kontrollit me eko, dhe me nj\u00eb nd\u00ebrhyrje n\u00eb koh\u00eb mund t\u00eb eliminohet rreziku i infeksionit. Incidenca e lart\u00eb e refluksit n\u00eb uret\u00ebr dhe infeksioni urinar shkaktojn\u00eb \u00a0rrezikun e shkakt\u00ebrimit t\u00eb nj\u00eb pjese t\u00eb veshk\u00ebs.<\/p>\n

<\/p>\n

<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Anomalit\u00eb e lindura t\u00eb veshkave dhe traktit urinar jan\u00eb t\u00eb pranishme tek 3-6 nga 1000 t\u00eb porsalindur. Dr. Nadica Ristoska Bojkovska,\u00a0 nefrologe pediat\u00ebr n\u00eb “Acibadem Sistina” \u00a0shpjegon t\u00eb gjitha anomalit\u00eb e lindura t\u00eb veshkave dhe nevoj\u00ebn p\u00ebr diagnostikimin e hersh\u00ebm t\u00eb tyre. N\u00eb vijim ju shpjegojm\u00eb anomalit\u00eb m\u00eb t\u00eb shpeshta t\u00eb traktit urinar:<\/p>\n","protected":false},"author":2,"featured_media":4892,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[338],"tags":[],"doktori":[],"class_list":["post-5572","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-detsko-zdravje-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5572","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=5572"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5572\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/4892"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=5572"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=5572"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=5572"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=5572"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}