Shum\u00eb prind\u00ebr, duke u udh\u00ebhequr nga vlerat e zmadhuara t\u00eb ASTO testit antistreptolizin, f\u00ebmij\u00ebs i japin terapi me q\u00ebllim p\u00ebr ta ulur vler\u00ebn e ASTO. Dr. Svetllana Krstevska Bllazhevska, mjek pediat\u00ebr, shpjegon se vet\u00ebm titri i zmadhuar i ASTO pa manifestimet tjera klinike t\u00eb s\u00ebmundjes tregon se f\u00ebmija ka kap\u00ebrcyer ndonj\u00eb infeksion streptokok\u00eb, dmth. infeksion n\u00eb fyt, p\u00ebrkat\u00ebsisht angjin\u00eb. N\u00eb k\u00ebto raste mjek\u00ebt pediat\u00ebr k\u00ebshillojn\u00eb se nuk ka nevoj\u00eb p\u00ebr terapi. \u00cbsht\u00eb e nevojshme vet\u00ebm t\u00eb ndjeket n\u00eb intervale p\u00ebrkat\u00ebse kohore.<\/p>\n

\u00c7far\u00eb provohet me k\u00ebt\u00eb test?<\/strong><\/h2>\n

Me matjen laboratorike t\u00eb tit\u00ebrit t\u00eb ASTO tregohet prezenca dhe sasia e antitrupave q\u00eb organizmi i ka krijuar kund\u00ebr bateris\u00eb nga grupi A Streptococcus (GAS) ose Streptococcus pyogenes. Kjo bakteri \u00ebsht\u00eb nj\u00eb nga shkaktaret m\u00eb t\u00eb shpeshta t\u00eb infeksioneve midis popullat\u00ebs njer\u00ebzore. Te f\u00ebmij\u00ebt\u00a0 k\u00ebt\u00eb bakteri e shkakton angjin\u00ebn streptokoke, pezmatimin e fytit, pastaj skarlatin\u00eb, inflamacionin e vesh\u00ebve, sinusitin, dhe m\u00eb rrall\u00eb infeksionet e l\u00ebkur\u00ebs, pneumoni dhe artriti.<\/p>\n

Testi pozitiv nuk tregon se f\u00ebmija ka infeksion aktual<\/strong><\/h2>\n

Matja e titrit t\u00eb ASTO nuk ka r\u00ebnd\u00ebsi n\u00eb v\u00ebrtetimin p\u00ebr ekzistimin e faringitit ose tonsilitit (inflamacion i tonsil\u00ebve). ASTO testi pozitiv v\u00ebrteton infeksionin e kaluar. N\u00ebse f\u00ebmija nuk ka temperature, nuk ka parametra t\u00eb zmadhuara p\u00ebr infeksion bakterial ( p.sh. leukocitet, sedimenti, C- protein\u00eb reaktive) dhe n\u00ebse nuk ka simptome t\u00eb tjera si\u00e7 jan\u00eb dhimbja ose \u00ebnjtja n\u00eb ky\u00e7et, urtikaria, testi antiseptolizin nuk ka ndonj\u00eb rend\u00ebsi praktike n\u00eb vendosjen e diagnoz\u00ebs p\u00ebr infeksion aktual me streptokok\u00eb piogene ose komplikim nga infeksioni. P\u00ebr v\u00ebrtetim t\u00eb infeksionit t\u00eb fytit ose tonsil\u00ebt me streptokok\u00eb piogene \u00ebsht\u00eb e nevojshme q\u00eb t\u00eb merret most\u00ebr (strisho) nga fyti.<\/p>\n

ASTO mund t\u00eb detektoj ethe reumatike dhe inflamacion i veshkave <\/strong><\/h2>\n

ASTO- titri pozitiv \u00ebsht\u00eb test i dobish\u00ebm gjat\u00eb vendosjes s\u00eb diagnoz\u00ebs kur dyshohemi p\u00ebr komplikime t\u00eb mundshme t\u00eb streptokok\u00ebs piogene. K\u00ebto komplikime jan\u00eb ethet reumatike dhe glomerulonefrit. K\u00ebto komplikime krijohen shum\u00eb rrall\u00eb n\u00ebse infeksioni aktiv me streptokok\u00eb piogene \u00ebsht\u00eb trajtuar n\u00eb m\u00ebnyr\u00eb p\u00ebrkat\u00ebse me antibiotik. Titri antiseptolizin fillon t\u00eb rritet m\u00eb s\u00eb paku nj\u00eb jav\u00eb pas fillimit t\u00eb infektonit bakterial, nd\u00ebrsa vler\u00ebn m\u00eb t\u00eb madhe e arrin 3-5 jav\u00eb pas fillimit t\u00eb infeksionit me streptokok\u00eb piogene. Gjat\u00eb marrjes s\u00eb vlerave t\u00eb titrit, pas infeksionit me streptokok\u00eb piogene, \u00ebsht\u00eb e nevojshme q\u00eb t\u00eb b\u00ebhet kontroll t\u00eb titrit pas 10-14 dit\u00ebsh nga analiza e m\u00ebparshme.\u00a0 N\u00ebse vlera e ASTO, rritet dometh\u00ebn\u00eb se s\u00ebmundja ende \u00ebsht\u00eb active , n\u00ebse titri ulet, dometh\u00ebn\u00eb se s\u00ebmundja po qet\u00ebsohet.<\/p>\n

M\u00eb se voni gjat\u00eb 12 muajsh pas infeksionit vlerat kthehen n\u00eb nivelin normal<\/strong><\/h2>\n

N\u00ebse infeksionet nuk p\u00ebrs\u00ebriten , titri i ASTO p\u00ebr 6-12 muaj duhet t\u00eb kthehet n\u00eb vler\u00ebn normale. Vazhdimisht vlerat e rritura t\u00eb ASTO tregojn\u00eb se f\u00ebmija ka qen\u00eb n\u00eb kontakt me bakterin streptokok\u00eb piogene. Bakteria e ka nxitur trupin p\u00ebr t\u00eb krijuar antitrupa, p\u00ebrkat\u00ebsisht ASTO, por mbrojtja e brendshme e organizmit ka arritur ta ndaloj\u00eb zhvillimin e s\u00ebmundjes. N\u00ebse n\u00eb periudh\u00eb nga 6-12 muaj titri i ASTO rritet, dhe n\u00ebse shkaku m\u00eb i shpesht\u00eb p\u00ebr k\u00ebt\u00eb jan\u00eb inflamacionet e p\u00ebrs\u00ebritura t\u00eb bajameve pa simptoma tipike, si opsion p\u00ebr zgjidhjen e gjendjes rekomandohet tonsilektomia (heqja e bajameve).<\/p>\n

Vlerat normale e titrit antistreptolizin varen nga mosha e pacientit dhe vlerat referente n\u00eb laboratorin q\u00eb b\u00ebn testin. Megjithat\u00eb, vlera normale e titrit t\u00eb ASTO \u00ebsht\u00eb 150-200IU\/ml.<\/p>\n

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

Shum\u00eb prind\u00ebr, duke u udh\u00ebhequr nga vlerat e zmadhuara t\u00eb ASTO testit antistreptolizin, f\u00ebmij\u00ebs i japin terapi me q\u00ebllim p\u00ebr ta ulur vler\u00ebn e ASTO. Dr. Svetllana Krstevska Bllazhevska, mjek pediat\u00ebr, shpjegon se vet\u00ebm titri i zmadhuar i ASTO pa manifestimet tjera klinike t\u00eb s\u00ebmundjes tregon se f\u00ebmija ka kap\u00ebrcyer ndonj\u00eb infeksion streptokok\u00eb, dmth. infeksion […]<\/p>\n","protected":false},"author":5,"featured_media":5076,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[338],"tags":[],"doktori":[],"class_list":["post-5722","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\/5722","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=5722"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5722\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/5076"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=5722"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=5722"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=5722"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=5722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}