{"id":3941,"date":"2021-05-23T15:27:03","date_gmt":"2021-05-23T15:27:03","guid":{"rendered":"https:\/\/www.njoftime.co\/blog\/?p=3941"},"modified":"2021-05-23T15:27:07","modified_gmt":"2021-05-23T15:27:07","slug":"simptoma-qe-paralajmerojne-rrezikun-e-trombozes","status":"publish","type":"post","link":"https:\/\/www.njoftime.co\/blog\/simptoma-qe-paralajmerojne-rrezikun-e-trombozes.html","title":{"rendered":"Simptoma q\u00eb paralajm\u00ebrojn\u00eb rrezikun e tromboz\u00ebs"},"content":{"rendered":"\n

Sipas t\u00eb dh\u00ebnave aktuale, rreth three milion njer\u00ebz kan\u00eb vdekur nga COVID-19 (S\u00ebmundja e virusit Corona 2019). Q\u00eb nga janari 2021, Agjencia Evropiane e Barnave (EMA) ka aprovuar vaksin\u00ebn AstraZeneca p\u00ebr p\u00ebrdorim.<\/p>\n\n\n\n

Nd\u00ebrsa kjo vaksin\u00eb \u00ebsht\u00eb shum\u00eb e efektshme, \u00ebsht\u00eb v\u00ebrejtur q\u00eb pas administrimit p\u00ebr COVID-19, nj\u00eb nd\u00ebrlikim i rrall\u00eb \u00ebsht\u00eb trombocitopenia dhe tromboza kryesisht n\u00eb rrjetin venoz n\u00eb mushk\u00ebri, bark dhe tru. N\u00eb m\u00ebnyr\u00eb t\u00eb ngjashme, raste t\u00eb tilla t\u00eb rralla jan\u00eb raportuar n\u00eb Shtetet e Bashkuara q\u00eb nga vaksina Johnson-Johnson.<\/p>\n\n\n\n

P\u00ebr cilat vaksina
K\u00ebto raste t\u00eb rralla t\u00eb tromboz\u00ebs jan\u00eb raportuar pas vaksinave AstraZeneca dhe Johnson-Johnson. K\u00ebto mpiksje prekin kryesisht grat\u00eb e mosh\u00ebs mesatare n\u00ebn mosh\u00ebn 55 vje\u00e7, sipas studimeve t\u00eb ndryshme nga 1 \/ 100,000 n\u00eb 1 \/ 500,000. Asnj\u00eb rast i ngjash\u00ebm i vaksinave Pfizer dhe Moderna nuk jan\u00eb raportuar.<\/p>\n\n\n\n

Cilat jan\u00eb simptomat?
Organet kryesore t\u00eb prekura jan\u00eb truri, barku, mushk\u00ebrit\u00eb dhe gjymtyr\u00ebt e poshtme, k\u00ebshtu q\u00eb simptomat varen nga organi i prekur.<\/p>\n\n\n\n

Pra p\u00ebrkat\u00ebsisht kemi:
P\u00ebr trurin simptomat jan\u00eb ndryshimi i shikimit, kriza epileptike, dhimbje koke e r\u00ebnd\u00eb.
P\u00ebr barkun, respektivisht, v\u00ebrehet dhimbje barku.
P\u00ebr mushk\u00ebrit\u00eb, respektivisht, v\u00ebrehet gul\u00e7im dhe dhimbje gjoksi.
P\u00ebr ekstremitetet e poshtme kemi si simptoma dhimbje dhe \u00ebnjtje kryesisht n\u00eb nj\u00ebr\u00ebn ekstremitet.
Jan\u00eb raportuar n\u00eb ve\u00e7anti raste t\u00eb grave n\u00eb mosh\u00eb mesatare pa histori t\u00eb m\u00ebparshme pas doz\u00ebs s\u00eb par\u00eb t\u00eb vaksin\u00ebs AstraZeneca p\u00ebr COVID-19. Vlen t\u00eb p\u00ebrmendet se simptomat filluan n\u00eb dit\u00ebn e 7, 13 dhe 17 pas vaksinimit. K\u00ebto gra paraqit\u00ebn simptoma t\u00eb tromboz\u00ebs cerebrale dhe num\u00ebr t\u00eb ul\u00ebt t\u00eb trombociteve (60,000-92,000 \/ ml). T\u00eb gjith\u00eb pacient\u00ebt mor\u00ebn ila\u00e7e t\u00eb p\u00ebrshtatshme dhe treguan p\u00ebrmir\u00ebsim t\u00eb duksh\u00ebm t\u00eb simptomave dhe nj\u00eb rritje t\u00eb numrit t\u00eb trombociteve brenda dy jav\u00ebsh pa pasur nevoj\u00eb p\u00ebr plazmaferez\u00eb.<\/p>\n\n\n\n

N\u00eb p\u00ebrgjith\u00ebsi dhe n\u00eb m\u00ebnyr\u00eb t\u00eb pavarur nga COVID-19, kjo tromboz\u00eb venoze cerebrale \u00ebsht\u00eb nj\u00eb nd\u00ebrlikim shum\u00eb i rrall\u00eb dhe ndodh n\u00eb popullat\u00ebn e p\u00ebrgjithshme n\u00eb 30-40 raste n\u00eb milion n\u00eb vit. Faktor\u00ebt q\u00eb jan\u00eb p\u00ebrgjegj\u00ebs jan\u00eb mutacionet gjenetike, prishja e faktor\u00ebve t\u00eb tromboz\u00ebs venoze, por edhe faktor\u00eb t\u00eb tjer\u00eb t\u00eb till\u00eb si tumoret, homocisteina e shtuar, kontraceptiv\u00ebt, keqdashja, shtatz\u00ebnia, s\u00ebmundja inflamatore e zorr\u00ebve. Vlen t\u00eb p\u00ebrmendet se n\u00eb nj\u00eb p\u00ebrqindje prej rreth 12% nuk \u200b\u200bka ndonj\u00eb shkak t\u00eb duksh\u00ebm (tromboz\u00eb idiopatike). COVID-19 \u00ebsht\u00eb nj\u00eb nga ato gjendje q\u00eb rrall\u00eb mund t\u00eb shkaktoj\u00eb tromboz\u00eb t\u00eb till\u00eb dhe \u00ebsht\u00eb edhe m\u00eb e rrezikshme, duke pasur parasysh q\u00eb shkalla e vdekshm\u00ebris\u00eb kur bashk\u00ebjeton me s\u00ebmundjen arrin 35-40%. Trajtimi \u00ebsht\u00eb trajtim i duhur dhe me koh\u00eb antikoagulant.<\/p>\n\n\n\n

\u00c7far\u00eb duhet t\u00eb b\u00ebj\u00eb pacienti pas vaksin\u00ebs
N\u00ebse, menj\u00ebher\u00eb pas vaksinimit, pacienti zhvillon simptoma, kontaktoni mjekun e tij kurues ose shkoni n\u00eb spital p\u00ebr analiza t\u00eb p\u00ebrshtatshme, n\u00eb var\u00ebsi t\u00eb simptomave t\u00eb tij, dhe p\u00ebr t\u00eb konfirmuar vendndodhjen e mpiksjes. E r\u00ebnd\u00ebsishme t\u00eb theksohet se trombi shoq\u00ebrohet, si\u00e7 u p\u00ebrmend, nga nj\u00eb num\u00ebr i ul\u00ebt i trombociteve. N\u00ebse trombocitet jan\u00eb mbi 150,000 at\u00ebher\u00eb nuk \u00ebsht\u00eb ndoshta nj\u00eb tromboz\u00eb e k\u00ebsaj etiologjie dhe simptomat mund t\u00eb vijn\u00eb p\u00ebr shkaqe t\u00eb tjera.<\/p>\n\n\n\n

Maten antitrupat ndaj nj\u00eb faktori specifik t\u00eb funksionit t\u00eb trombociteve (PF4) q\u00eb \u00ebsht\u00eb nj\u00eb sh\u00ebnjues specifik p\u00ebr tromboz\u00ebn. N\u00ebse testi \u00ebsht\u00eb pozitiv, at\u00ebher\u00eb diagnoza v\u00ebrtetohet kryesisht. Nevojitet kujdes sepse matja vonohet, n\u00eb m\u00ebnyr\u00eb q\u00eb trajtimi t\u00eb mos vonohet kur ka prova t\u00eb tromboz\u00ebs t\u00eb konfirmuara nga teknikat e imazheve.<\/p>\n\n\n\n

Si trajtohet<\/strong>
Sipas Shoqat\u00ebs Evropiane t\u00eb Trombozave, protokollet e trajtimit jan\u00eb t\u00eb ndryshme dhe varen nga numri i trombociteve.<\/p>\n\n\n\n

Imunoglobulina intravenoze jepet n\u00ebse trombocitet jan\u00eb <50,000 n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb dhe kortizon, nd\u00ebrsa n\u00ebse \u00ebsht\u00eb > 50,000 dhe nuk ka gjakderdhje aktive at\u00ebher\u00eb trajtimi antikoagulant q\u00eb nuk p\u00ebrfshin heparin\u00eb. Mund t\u00eb jepen antikoagulant\u00eb oral\u00eb, por jo antagonist\u00eb t\u00eb vitamin\u00ebs Ok. Pacientit nuk i jepen trombocite.<\/p>\n\n\n\n

Parashikuesit<\/strong>
Si\u00e7 u p\u00ebrmend, kjo tromboz\u00eb u vu re n\u00eb Evrop\u00eb n\u00eb rrjetin venoz t\u00eb grave pas vaksin\u00ebs AstraZeneca n\u00eb gra krejt\u00ebsisht normale pa nj\u00eb histori t\u00eb m\u00ebparshme. Nuk ka teste q\u00eb parashikojn\u00eb se cili pacient \u00ebsht\u00eb n\u00eb rrezik t\u00eb lart\u00eb p\u00ebr tromboemboliz\u00ebm.<\/p>\n\n\n\n

Sidoqoft\u00eb, nj\u00eb grua n\u00eb mosh\u00eb mesatare me histori t\u00eb embolis\u00eb pulmonare ose tromboz\u00ebs venoze \u00ebsht\u00eb n\u00eb rrezik t\u00eb lart\u00eb. Pse grat\u00eb preken ve\u00e7an\u00ebrisht, ve\u00e7an\u00ebrisht n\u00eb k\u00ebt\u00eb mosh\u00eb, \u00ebsht\u00eb e panjohur. Ndoshta p\u00ebr shkak t\u00eb faktor\u00ebve gjenetik\u00eb por edhe faktor\u00ebve hormonal\u00eb q\u00eb dihet se ndryshojn\u00eb.<\/p>\n","protected":false},"excerpt":{"rendered":"

Sipas t\u00eb dh\u00ebnave aktuale, rreth three milion njer\u00ebz kan\u00eb vdekur nga COVID-19 (S\u00ebmundja e virusit Corona 2019). Q\u00eb nga janari 2021, Agjencia Evropiane e Barnave (EMA) ka aprovuar vaksin\u00ebn AstraZeneca p\u00ebr p\u00ebrdorim. Nd\u00ebrsa kjo vaksin\u00eb \u00ebsht\u00eb shum\u00eb e efektshme, \u00ebsht\u00eb v\u00ebrejtur q\u00eb pas administrimit p\u00ebr COVID-19, nj\u00eb nd\u00ebrlikim i rrall\u00eb \u00ebsht\u00eb trombocitopenia dhe tromboza kryesisht […]<\/p>\n","protected":false},"author":1,"featured_media":3942,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[583],"tags":[],"class_list":{"0":"post-3941","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-shendetsore"},"yoast_head":"\nSimptoma q\u00eb paralajm\u00ebrojn\u00eb rrezikun e tromboz\u00ebs - Blogu i njoftimeve<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.njoftime.co\/blog\/simptoma-qe-paralajmerojne-rrezikun-e-trombozes.html\" \/>\n<meta property=\"og:locale\" content=\"sq_AL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Simptoma q\u00eb paralajm\u00ebrojn\u00eb rrezikun e tromboz\u00ebs\" \/>\n<meta property=\"og:description\" content=\"Sipas t\u00eb dh\u00ebnave aktuale, rreth three milion njer\u00ebz kan\u00eb vdekur nga COVID-19 (S\u00ebmundja e virusit Corona 2019). 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