{"id":9649,"date":"2018-10-16T10:35:23","date_gmt":"2018-10-16T10:35:23","guid":{"rendered":"https:\/\/www.pzujurukovski.mk\/?p=9649"},"modified":"2018-10-29T17:11:34","modified_gmt":"2018-10-29T17:11:34","slug":"abnormalitete-te-mitres-dhe-fertilitet-sterilitet","status":"publish","type":"post","link":"https:\/\/www.pzujurukovski.mk\/sq\/abnormalitete-te-mitres-dhe-fertilitet-sterilitet\/","title":{"rendered":"ABNORMALITETE T\u00cb MITR\u00cbS DHE FERTILITET \/ STERILITET"},"content":{"rendered":"<p><strong><em>\u00c7far\u00eb do t\u00eb thot\u00eb mit\u00ebr normale?<\/em><\/strong><\/p>\n<p>Mitra (uteri) \u00ebsht\u00eb organ me form\u00eb t\u00eb dardh\u00ebs dhe gjendet n\u00eb legenin (pelvisin) e femr\u00ebs. \u00a0\u00cbsht\u00eb me gjat\u00ebsi rreth 7,7 cm e gjer\u00eb 5 cm dhe e thell\u00eb 2,5- 3 cm. \u00a0Nj\u00eb e treta e poshtme e mitr\u00ebs vazhdon p\u00ebr posht\u00eb n\u00eb vagjin\u00eb dhe quhet qafa (cervix uteri). Pjesa e sip\u00ebrme quhet fundus (fundus uteri) dhe paraqet vendin ku strehohet qeliza vez\u00eb e fekonduar (embrioni) dhe vazhdon t\u00eb rritet n\u00eb bebe (fetus). \u00a0Pjesa e mesme \u00ebsht\u00eb m\u00eb e madhe dhe quhet trupi i mitr\u00ebs (korpus uteri). \u00a0Nga t\u00eb dyja an\u00ebt e mitr\u00ebs vazhdojn\u00eb kanalet t\u00eb ashtu quajturat tuba t\u00eb falopit, secila e lidhur me nj\u00eb vezore (ovarium) plot me qeliza vez\u00eb.<\/p>\n<p>Mitra nj\u00eb pjes\u00ebn e p\u00ebrparme q\u00ebndron n\u00eb pjes\u00ebn e sip\u00ebrme t\u00eb fshik\u00ebz\u00ebs s\u00eb urin\u00ebs. \u00a0P\u00ebr mitr\u00ebn n\u00eb k\u00ebt\u00eb pozit\u00eb themi se \u00ebsht\u00eb n\u00eb antefleksion ose anteversion (anteflexio\/anteversio uteri). Te disa gra mitra \u00ebsht\u00eb e anosur n\u00eb drejtim t\u00eb kund\u00ebrt, n\u00eb drejtim t\u00eb zorr\u00ebs s\u00eb trash\u00eb. \u00a0P\u00ebr mitr\u00ebn n\u00eb k\u00ebt\u00eb pozit\u00eb themi se \u00ebsht\u00eb n\u00eb retrofleksin ose retroversion (retroflexio\/retroversio uteri). \u00cbsht\u00eb e p\u00ebrfaq\u00ebsuar tek rreth 40% e populates fem\u00ebrore. \u00a0Kjo gjendje nuk konsiderohet si anormale. \u00a0Nuk ka ndikim mbi mund\u00ebsin\u00eb t\u00eb ngel\u00eb shtatz\u00ebn\u00eb as mbi aft\u00ebsin\u00eb e spermatozoid\u00ebve t\u00eb hyjn\u00eb n\u00eb brendi t\u00eb mitr\u00ebs, n\u00ebp\u00ebrmjet tubave t\u00eb falopit deri te qeliza vez\u00eb dhe ta fekondojn\u00eb. \u00a0Nocionet p\u00ebrdoren p\u00ebr t\u00eb p\u00ebrcaktuar pozit\u00ebn e mitr\u00ebs n\u00eb raport me fshik\u00ebz\u00ebn e urin\u00ebs.<\/p>\n<p><strong><em>\u00c7far\u00eb do t\u00eb thot\u00eb mit\u00ebr anormale? <\/em><\/strong><\/p>\n<p>P\u00ebrqindje e caktuar e grave kan\u00eb mit\u00ebr e cila dallon nga normalja, n\u00eb struktur\u00ebn e vet ( jo pozit\u00ebn). \u00a0\u00cbsht\u00eb v\u00ebshtir\u00eb t\u00eb p\u00ebrcaktohet p\u00ebrqindja tek popullata e p\u00ebrgjithshme p\u00ebr shkak se gjendje e k\u00ebtill\u00eb ngel e pa zbuluar tek p\u00ebrqindje e caktuar e grave. \u00a0Tek grat\u00eb t\u00eb cilat k\u00ebrkojn\u00eb ndihm\u00eb p\u00ebr shkak t\u00eb v\u00ebshtir\u00ebsis\u00eb t\u00eb ngelin shtatz\u00ebn\u00eb, gjendja \u00ebsht\u00eb e p\u00ebrfaq\u00ebsuar tek 1 nga 13 paciente. \u00a0Te rastet q\u00eb kan\u00eb histori me aborte spontane t\u00eb hershme ose t\u00eb m\u00eb vonshme ose lindje t\u00eb parakohshme, p\u00ebrqindja \u00ebsht\u00eb m\u00eb e lart\u00eb 1 nga 3 paciente.<\/p>\n<p><strong><em>Vall\u00eb mund t\u00eb ngel shtatz\u00ebn\u00eb n\u00ebse kam mit\u00ebr anormale? <\/em><\/strong><\/p>\n<p>Var\u00ebsisht nga lloji i anormalitetit. \u00a0N\u00eb p\u00ebrgjith\u00ebsi, anormalitetet e mitr\u00ebs nuk duhet t\u00eb ndikojn\u00eb n\u00eb aft\u00ebsin\u00eb p\u00ebr t\u00eb ngelur shtatz\u00ebn\u00eb. \u00a0Kur ndodh shtatz\u00ebnia, zakonisht n\u00eb ultra tingull shihet se ekziston anormalitet. \u00a0Megjithat\u00eb, kjo gjendje edhe mund t\u00eb jet\u00eb shkak p\u00ebr abort spontan t\u00eb hersh\u00ebm ose t\u00eb m\u00eb vonsh\u00ebm ose p\u00ebr lindje t\u00eb parakohshme.<\/p>\n<p><strong><em>\u00a0Cilat anomali t\u00eb mitr\u00ebs ekzistojn\u00eb? <\/em><\/strong><\/p>\n<ul>\n<li><em><u>Agenezia (agenesio uteri) <\/u><\/em>&#8211; gjendje shum\u00eb e rrall\u00eb. N\u00eb raste t\u00eb k\u00ebtilla, vagjina nuk \u00ebsht\u00eb formuar n\u00eb m\u00ebnyr\u00ebn e duhur ose \u00ebsht\u00eb shum\u00eb e vog\u00ebl, nd\u00ebrsa mitra \u00ebsht\u00eb shum\u00eb e vog\u00ebl ose nuk ekziston. \u00a0Gjendja zbulohet kur mungon cikli i par\u00eb menstrual. \u00a0Mund\u00ebsia e vetme p\u00ebr gruan e cila ka agenez\u00eb, t\u00eb ket\u00eb f\u00ebmij\u00eb \u00ebsht\u00eb me n\u00ebn\u00eb surrogat. \u00a0Vezoret kan\u00eb form\u00eb dhe funksion normal.<\/li>\n<li><em><u>Uterus diselfus (uterus didelphus<\/u><\/em>) &#8211; gjendja gjat\u00eb s\u00eb cil\u00ebs mitra ka dy zgavra (brend\u00ebsi) \u00a0Secila zgav\u00ebr vazhdon n\u00eb cerviksin e saj dhe n\u00eb vagjin\u00ebn e saj. Secila lidhet me nga nj\u00eb tub\u00eb t\u00eb falopit dhe me nj\u00eb vezore. \u00a0\u00a0Nuk \u00ebsht\u00eb dukuri e shpesht\u00eb. Shtatz\u00ebnia n\u00eb k\u00ebt\u00eb gjendje \u00ebsht\u00eb e mundshme dhe e nj\u00ebjta mund t\u00eb p\u00ebrfundoj\u00eb deri n\u00eb terminin e caktuar. \u00a0Megjithat\u00eb kjo gjendje mund t\u00eb jet\u00eb shkak p\u00ebr lindje t\u00eb parakohshme, malprezantim t\u00eb frytit ( pozit\u00eb e \u00e7rregullt e frytit n\u00eb mit\u00ebr p\u00ebr shkak t\u00eb hap\u00ebsir\u00ebs s\u00eb vog\u00ebl), abort spontan i hersh\u00ebm ose i m\u00ebvonsh\u00ebm, ngecje n\u00eb rritjen e frytit dhe gjakderdhje pos lindjes. Shtatz\u00ebnia zakonisht p\u00ebrfundon me operacion, me prerje cezariane ( n\u00eb rreth 82% t\u00eb rasteve).<\/li>\n<li><em><u>Uterus unikornis (uterus unicornis)<\/u><\/em>&#8211; gjendje n\u00eb t\u00eb cil\u00ebn ekziston agenez\u00eb (nuk ekziston) nj\u00ebri bri i mitr\u00ebs, madh\u00ebsia e saj \u00ebsht\u00eb gjysma e normales dhe ekziston nj\u00eb tub i falopit. Mitra ka form\u00ebn e bananes. \u00a0\u00a0Briri i redumentuar mund t\u00eb ket\u00eb zgav\u00ebr t\u00eb vog\u00ebl me endometrium funksional ( n\u00eb 60% t\u00eb rasteve). \u00a0B\u00ebhet fjal\u00eb p\u00ebr anormalitet t\u00eb rrall\u00eb dhe paraqitet n\u00eb mosh\u00ebn e hershme gjat\u00eb \u00e7ka indi i cili e nd\u00ebrton mitr\u00ebn nuk zhvillohet n\u00eb m\u00ebnyr\u00eb t\u00eb rregullt. \u00a0Zakonisht jan\u00eb n\u00eb pranishme t\u00eb dy vezoret (ovaret) por vet\u00ebm nj\u00ebri \u00ebsht\u00eb i lidhur me tubin e falopit. \u00a0N\u00ebse tubi \u00ebsht\u00eb n\u00eb rregull, nuk ekziston penges\u00eb p\u00ebr shtatz\u00ebni. \u00a0Por p\u00ebr shkak t\u00eb madh\u00ebsis\u00eb s\u00eb mitr\u00ebs rreziku \u00ebsht\u00eb m\u00eb i madh nga aborti spontan dhe lindja e parakohshme e frytit (hap\u00ebsira e zvog\u00ebluar n\u00eb brend\u00ebsin\u00eb e mitr\u00ebs).<\/li>\n<li><em><u>Uterus bikornis (uterus bicornis)<\/u><\/em>&#8211; gjendje gjat\u00eb s\u00eb cil\u00ebs pjesa e sip\u00ebrme e mitr\u00ebs (fundos) \u00ebsht\u00eb e thelluar n\u00eb mit\u00ebr, ka form\u00ebn e zemr\u00ebs. Mund\u00ebsia p\u00ebr t\u00eb ngelur shtatz\u00ebn\u00eb nuk zvog\u00eblohet n\u00eb m\u00ebnyr\u00eb t\u00eb konsiderueshme por rreziku nga aborti spontan dhe lindja e parakohshme, rritet (hap\u00ebsira e brendshme e zvog\u00ebluar e mitr\u00ebs).<\/li>\n<li><em><u>Uterus septus (uterus septus<\/u><\/em>)- gjendje gjat\u00eb s\u00eb cil\u00ebs brend\u00ebsia e mitr\u00ebs \u00ebsht\u00eb e ndar\u00eb me mur muskulor ose fibroid i quajtur septum. I nj\u00ebjti mund t\u00eb zgjatet deri n\u00eb nj\u00eb gjat\u00ebsi t\u00eb caktuar n\u00eb mit\u00ebr (mit\u00ebr parcialisht e ndar\u00eb) ose t\u00eb zgjatet deri n\u00eb cerviks ( mit\u00ebr t\u00ebr\u00ebsisht e ndar\u00eb). \u00a0Mund\u00ebsia p\u00ebr t\u00eb ngelur shtatz\u00ebn\u00eb reduktohet, nd\u00ebrsa n\u00ebse ndodh, rreziku p\u00ebr abort spontan dhe lindje t\u00eb parakohshme \u00ebsht\u00eb m\u00eb i lart\u00eb.<\/li>\n<li><em><u>Uterus akutar (uterus arcuatus)<\/u><\/em>&#8211; gjendja gjat\u00eb s\u00eb cil\u00ebs mitra n\u00eb pjes\u00ebn e sip\u00ebrme (fundos) ka nj\u00eb thellim t\u00eb leht\u00eb. Gjendje e cila paraqitet shpesh. \u00a0Nuk shkakton problem p\u00ebr t\u00eb ngelur shtatz\u00ebn\u00eb as gjat\u00eb shtatz\u00ebnis\u00eb.<\/li>\n<\/ul>\n<p><strong><em>Si t\u00eb zbulohen anormalitetet n\u00eb mit\u00ebr?<\/em><\/strong><\/p>\n<ul>\n<li>Ultratingull me 3D ose 4D sond\u00eb<\/li>\n<li>HSG &#8211; histerosalpingografi<\/li>\n<li>HSC &#8211; histeroskopi<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7far\u00eb do t\u00eb thot\u00eb mit\u00ebr normale? Mitra (uteri) \u00ebsht\u00eb organ me form\u00eb t\u00eb dardh\u00ebs dhe gjendet n\u00eb legenin (pelvisin) e femr\u00ebs. \u00a0\u00cbsht\u00eb me gjat\u00ebsi rreth 7,7 cm e gjer\u00eb 5 cm dhe e thell\u00eb 2,5- 3 cm. \u00a0Nj\u00eb e treta e poshtme e mitr\u00ebs vazhdon p\u00ebr posht\u00eb n\u00eb vagjin\u00eb dhe quhet qafa (cervix uteri). Pjesa [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9333,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[74],"tags":[],"_links":{"self":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts\/9649"}],"collection":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/comments?post=9649"}],"version-history":[{"count":4,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts\/9649\/revisions"}],"predecessor-version":[{"id":9861,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/posts\/9649\/revisions\/9861"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/media\/9333"}],"wp:attachment":[{"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/media?parent=9649"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/categories?post=9649"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pzujurukovski.mk\/sq\/wp-json\/wp\/v2\/tags?post=9649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}