{"id":4283,"date":"2020-06-22T13:13:17","date_gmt":"2020-06-22T10:13:17","guid":{"rendered":"https:\/\/dralexandrostraianos.gr\/?p=4283"},"modified":"2022-01-12T18:43:48","modified_gmt":"2022-01-12T16:43:48","slug":"%ce%ba%ce%bf%cf%81%ce%bf%ce%bd%ce%bf%cf%8a%cf%8c%cf%82-%ce%ba%ce%b1%ce%b9-%ce%b5%ce%b3%ce%ba%cf%85%ce%bc%ce%bf%cf%83%cf%8d%ce%bd%ce%b7-%ce%bd%ce%b5%cf%8c%cf%84%ce%b5%cf%81%ce%b1-%cf%83%cf%84%ce%bf","status":"publish","type":"post","link":"https:\/\/dralexandrostraianos.gr\/al\/%ce%ba%ce%bf%cf%81%ce%bf%ce%bd%ce%bf%cf%8a%cf%8c%cf%82-%ce%ba%ce%b1%ce%b9-%ce%b5%ce%b3%ce%ba%cf%85%ce%bc%ce%bf%cf%83%cf%8d%ce%bd%ce%b7-%ce%bd%ce%b5%cf%8c%cf%84%ce%b5%cf%81%ce%b1-%cf%83%cf%84%ce%bf\/","title":{"rendered":"KORONAVIRUSI DHE SHTATZANIA: P\u00cbRDIT\u00cbSIM MBI GRAT\u00cb SHTATZANTA ME COVID-19\u00a0"},"content":{"rendered":"

Q\u00eb nga dhjetori 2019, manifestimi i s\u00ebmundjes s\u00eb tij koronavirus<\/strong> (COVID-19), i cili e ka origjin\u00ebn n\u00eb Wuhan t\u00eb Kin\u00ebs, \u00ebsht\u00eb kthyer n\u00eb nj\u00eb k\u00ebrc\u00ebnim global p\u00ebr sh\u00ebndetin publik. M\u00eb 28 shkurt 2020, P.O.Y. p\u00ebrmir\u00ebsoi vler\u00ebsimin e rrezikut t\u00eb p\u00ebrhapjes dhe rrezikut t\u00eb ndikimit COVID 19<\/strong> n\u00eb nj\u00eb nivel shum\u00eb t\u00eb lart\u00eb globalisht. THE \u00ebsht\u00eb p\u00ebrhapur epidemia<\/strong> n\u00eb 118 vende t\u00eb bot\u00ebs.<\/span><\/p>\n

Me nj\u00eb gjendje t\u00eb imunosupresionuar dhe ndryshime normale adaptive gjat\u00eb<\/strong> shtatz\u00ebnis\u00eb<\/strong>, grat\u00eb shtatz\u00ebna mund t\u00eb jen\u00eb m\u00eb t\u00eb ndjeshme ndaj infeksionit sesa COVID 19<\/strong> sesa popullsia e p\u00ebrgjithshme. Nd\u00ebrsa virusi p\u00ebrhapet me shpejt\u00ebsi, menaxhimi i n\u00ebn\u00ebs dhe siguria e fetusit<\/strong> jan\u00eb nj\u00eb shqet\u00ebsim i madh, por pak informacion p\u00ebr vler\u00ebsimin dhe menaxhimin disponohet t\u00eb grave shtatz\u00ebna t\u00eb infektuara me COVID-19<\/strong> dhe rreziku i mundsh\u00ebm i transmetimit vertikal \u00ebsht\u00eb i paqart\u00eb. N\u00eb S\u00ebmundjet Infektive Lancet, ata raportojn\u00eb karakteristikat e saj klinike dhe rezultatet obstetrike dhe neonatale shtatz\u00ebnia me pneumoni COVID-19<\/strong> n\u00eb Wuhan t\u00eb Kin\u00ebs. Jan\u00eb ekzaminuar shtat\u00eb gra keni qen\u00eb shtatz\u00ebn\u00eb<\/strong> me pneumoni COVID 19<\/strong> dhe duke paraqitur simptoma ishin t\u00eb ngjashme<\/strong> me ato t\u00eb raportuara n\u00eb t\u00eb rriturit jo shtatz\u00ebna me COVID 19<\/strong>. T\u00eb gjith\u00eb pacient\u00ebt u trajtuan me oksigjen dhe terapi antivirale t\u00eb izoluar. T\u00eb gjith\u00eb pacient\u00ebt e b\u00ebn\u00eb cezariane<\/strong> seksioni<\/strong> pas konsultimit me nj\u00eb ekip multidisiplinar dhe rezultatet e grave shtatz\u00ebna dhe t\u00eb porsalindurve ishin t\u00eb mira. Tre t\u00eb porsalindur u testuan p\u00ebr gjendje t\u00eb r\u00ebnd\u00eb sindromi i sindrom\u00ebs akute t\u00eb frym\u00ebmarrjes<\/strong> (SARS-CoV-2) dhe u zbulua se ishin t\u00eb infektuar me COVID 19<\/strong> 36 or\u00eb pas lindjes. Gjetjet e studimit ofrojn\u00eb disa t\u00eb dh\u00ebna p\u00ebr vler\u00ebsimin klinik dhe menaxhimin e t\u00eb grave shtatz\u00ebna me COVID-19<\/strong>, por mbeten pyetje se si t\u00eb trajtohen grat\u00eb shtatz\u00ebna t\u00eb infektuara.<\/span><\/p>\n

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Si\u00e7 raportohet, pes\u00eb gra shtatz\u00ebna mor\u00ebn steroide m\u00eb pas cezariane<\/strong>. Dy trajtohen gjithashtu me mjek\u00ebsi tradicionale kineze. Megjithat\u00eb, asnj\u00eb prov\u00eb e besueshme nuk sugjeron nj\u00eb t\u00eb caktuar trajtimin e COVID-19<\/strong> p\u00ebr grat\u00eb shtatz\u00ebna<\/strong>. Udh\u00ebzimi i P.O.Y. dhe disa prova klinike nuk rekomandojn\u00eb p\u00ebrdorimin e kortikosteroideve p\u00ebr COVID-19. THE p\u00ebrdorimi i medikamenteve<\/strong> n\u00eb grat\u00eb shtatz\u00ebna duhet t\u00eb bazohet n\u00eb prova t\u00eb forta.<\/span><\/p>\n

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K\u00ebrkohen testet klinike<\/strong> p\u00ebr t\u00eb v\u00ebrtetuar efektivitetin e barnave dhe efektet n\u00eb fetus<\/strong> p\u00ebr t\u00eb krijuar nj\u00eb <\/span>trajtim i standardizuar cnj\u00eb grua shtatz\u00ebn\u00eb me COVID-19.<\/strong><\/span><\/p>\n

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P\u00ebrvoja e m\u00ebparshme e trajtimit nuk arriti n\u00eb p\u00ebrfundim<\/strong> se cila metod\u00eb e administrimit \u00ebsht\u00eb m\u00eb e sigurt n\u00eb k\u00ebt\u00eb popullat\u00eb pacient\u00ebsh. Shkenc\u00ebtar\u00ebt raportuan n\u00ebnt\u00eb gra shtatz\u00ebna me COVID-19<\/strong>. Shtat\u00eb nga grat\u00eb kan\u00eb lindur foshnjat e tyre me cezariane<\/strong> dhe dy me <\/span>lindje vaginale<\/strong>. T\u00eb tre neonat\u00ebt e lindur me lindje vaginale<\/span>(p\u00ebrfshir\u00eb dy q\u00eb ishin binjak\u00eb) kishin nj\u00eb rezultat Apgar t\u00eb pakt\u00ebn 9 dhe a<\/span>Testi negativ i acidit nukleik p\u00ebr SARS-CoV-2.<\/span><\/p>\n

Si\u00e7 u raportua n\u00eb studim, nd\u00ebrsa t\u00eb gjitha n\u00ebnat dhe foshnjat treguan rezultate t\u00eb mira, grat\u00eb ishin n\u00eb tremujorin e tret\u00eb dhe kishin vet\u00ebm simptoma t\u00eb lehta. Prandaj, efekti i infeksionit SARS-CoV-2 n\u00eb fetus<\/strong> gjat\u00eb tremujorit t\u00eb par\u00eb ose t\u00eb dyt\u00eb ose n\u00eb pacient\u00ebt me infeksion mesatar deri n\u00eb t\u00eb r\u00ebnd\u00eb mbetet p\u00ebr t'u hetuar<\/strong><\/span>. Nevojiten k\u00ebrkime t\u00eb m\u00ebtejshme p\u00ebr vler\u00ebsimin e rrezikut<\/strong> dhe p\u00ebr t\u00eb vendosur udh\u00ebzime p\u00ebr koh\u00ebn dhe metodat e dor\u00ebzimit n\u00eb pacient\u00ebt me COVID-19<\/strong>.<\/span><\/p>\n

Sipas nj\u00eb studimi t\u00eb m\u00ebparsh\u00ebm, infeksioni me virusin SARS gjat\u00eb shtatz\u00ebnis\u00eb<\/strong> mund t\u00eb shkaktoj\u00eb lindje e parakohshme.<\/strong> N\u00eb studim tre t\u00eb porsalindur<\/strong> jan\u00eb testuar p\u00ebr SARS-CoV-2<\/strong>, nga t\u00eb cilat dy ishin negative. Nj\u00eb i porsalindur ishte pozitiv, por testet e acidit nukleik viral t\u00eb placent\u00ebs dhe t\u00eb gjakut t\u00eb kordonit k\u00ebrthizor ishin negative n\u00eb k\u00ebt\u00eb rast. N\u00eb fund t\u00eb ndjekjes, nuk u raportuan pneumoni dhe shenja dhe simptoma t\u00eb tjera klinike n\u00eb asnj\u00eb nga k\u00ebta shtat\u00eb t\u00eb sapolindur. Nuk ka asnj\u00eb prov\u00eb t\u00eb besueshme p\u00ebr t\u00eb demonstruar mund\u00ebsin\u00eb e transmetimit vertikal t\u00eb infeksionit COVID-19<\/strong> nga n\u00ebna tek f\u00ebmija. Rezultatet jan\u00eb n\u00eb p\u00ebrputhje me raportet e m\u00ebparshme.<\/span><\/p>\n

Por t\u00eb gjitha k\u00ebto studime t\u00eb vler\u00ebsuara vet\u00ebm nj\u00eb num\u00ebr i vog\u00ebl rastesh<\/strong>. Studimet e ardhshme duhet t\u00eb p\u00ebrfshijn\u00eb nj\u00eb madh\u00ebsi m\u00eb t\u00eb madhe kampioni n\u00eb qendra t\u00eb shumta p\u00ebr t\u00eb p\u00ebrcaktuar n\u00ebse mund t\u00eb ket\u00eb transmetim vertikal midis n\u00ebn\u00ebs dhe t\u00eb porsalindurit<\/strong>.<\/span><\/p>\n

Megjithat\u00eb, mir\u00ebkuptimi i tij SARS-CoV-2,<\/strong> sidomos efekti n\u00eb grat\u00eb shtatz\u00ebna dhe t\u00eb porsalindurit<\/strong>, \u00ebsht\u00eb ende i pamjaftuesh\u00ebm. K\u00ebrkimet duhet t\u00eb forcohen m\u00eb tej p\u00ebr t\u00eb ofruar nj\u00eb baz\u00eb t\u00eb sh\u00ebndosh\u00eb p\u00ebr menaxhimin mjek\u00ebsor p\u00ebr\u00a0 pacient\u00ebt shtatz\u00ebna me COVID-19<\/strong>.<\/span><\/p>\n

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*P\u00ebrmbajtja n\u00eb k\u00ebt\u00eb blog nuk synon si z\u00ebvend\u00ebsim p\u00ebr k\u00ebshilla, diagnoz\u00eb ose trajtim profesional mjek\u00ebsor. Gjithmon\u00eb k\u00ebrkoni k\u00ebshill\u00ebn e ofruesve t\u00eb kualifikuar t\u00eb kujdesit sh\u00ebndet\u00ebsor p\u00ebr pyetjet q\u00eb mund t\u00eb keni n\u00eb lidhje me kushtet mjek\u00ebsore.<\/b><\/span><\/p>","protected":false},"excerpt":{"rendered":"

Q\u00eb nga dhjetori i vitit 2019, shp\u00ebrthimi i s\u00ebmundjes s\u00eb koronavirusit (COVID-19), i cili filloi n\u00eb Wuhan t\u00eb Kin\u00ebs, \u00ebsht\u00eb kthyer n\u00eb nj\u00eb k\u00ebrc\u00ebnim global p\u00ebr sh\u00ebndetin publik. M\u00eb 28 shkurt 2020, OBSH p\u00ebrmir\u00ebsoi vler\u00ebsimin e tij p\u00ebr rrezikun e p\u00ebrhapjes dhe ndikimin e COVID-19 n\u00eb nj\u00eb nivel shum\u00eb t\u00eb lart\u00eb globalisht. [\u2026]<\/p>","protected":false},"author":9,"featured_media":4284,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[425],"tags":[283,294],"class_list":["post-4283","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","tag-covid-19","tag-294"],"_links":{"self":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/4283","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/comments?post=4283"}],"version-history":[{"count":0,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/posts\/4283\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media\/4284"}],"wp:attachment":[{"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/media?parent=4283"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/categories?post=4283"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/al\/wp-json\/wp\/v2\/tags?post=4283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}