T\u00eb dh\u00ebna nga studime t\u00eb ndryshme epidemiologjike japin shifra se nga 2 deri n\u00eb 10% e f\u00ebmij\u00ebve me konvulsioneve febrile zhvillojn\u00eb epilepsi. N\u00eb shumic\u00ebn e studimeve rreziku i kalimit n\u00eb epilepsi pas nj\u00eb krize febrile t\u00eb vetme nuk \u00ebsht\u00eb i konsideruesh\u00ebm n\u00eb krahasim me popullat\u00ebn normale. Madje dhe n\u00eb popullata me incidenc\u00eb t\u00eb lart\u00eb p\u00ebr konvulsione febrile, si n\u00eb Japoni nuk v\u00ebrehen ndryshime dometh\u00ebn\u00ebse nga popullata me incidenc\u00eb m\u00eb t\u00eb ul\u00ebt.<\/p>\n
Faktor\u00ebt e rrezikut p\u00ebr kalimin e konvulsioneve febrile n\u00eb epilepsi jan\u00eb si m\u00eb posht\u00eb:<\/strong><\/p>\n N\u00eb rastin e konvulsioneve febrile komplekse, sa m\u00eb shum\u00eb manifestime komplekse, aq m\u00eb i madh rreziku. F\u00ebmij\u00ebt me kriza febrile t\u00eb zgjatura dhe fokale, jan\u00eb ve\u00e7an\u00ebrisht n\u00eb risk t\u00eb lart\u00eb p\u00ebr epilepsi.<\/p>\n Sa m\u00eb shum\u00eb nga k\u00ebta faktor\u00eb hasen, aq m\u00eb e madhe \u00ebsht\u00eb mund\u00ebsia e kalimit n\u00eb epilepsi.<\/p>\n Dy nga faktor\u00ebt e rrezikut m\u00eb t\u00eb r\u00ebnd\u00ebsish\u00ebm p\u00ebr kalimin n\u00eb epilepsi jan\u00eb anomalit\u00eb neurologjike dhe anamneza familjare p\u00ebr epilepsi. Nd\u00ebrsa anamneza familjare p\u00ebr konvulsione febrile, mosha n\u00eb kriz\u00ebn febrile t\u00eb par\u00eb, temperatura dhe gjinia nuk kan\u00eb treguar t\u00eb rrisin rrezikun p\u00ebr epilepsi pasuese.<\/p>\n Konvulsionet febrile<\/p>\n Konvulsionet febrile konsiderohen si lloji m\u00eb i shpesht\u00eb i konvulsioneve tek f\u00ebmij\u00ebt e mosh\u00ebs 3 muaj deri 5 vje\u00e7. Konvulsionet jan\u00eb t\u00eb dridhura t\u00eb pavullnetshme t\u00eb ekstremiteteve me tonizim t\u00eb trupit.<\/p>\n Ato diferencohen nga llojet e tjera t\u00eb konvulsioneve qysh prej mesit t\u00eb shekullit XIX. N\u00eb at\u00eb koh\u00eb trajtimi konsistonte n\u00eb eliminimin e shkaktarit t\u00eb temperatur\u00ebs. Me futjen n\u00eb p\u00ebrdorim t\u00eb termometrit n\u00eb fundin e viteve 1880, u kuptua se temperatura ishte faktori primar n\u00eb shkaktimin e konvulsioneve febrile.<\/p>\n Konvulsionet afebrile (pa temperatur\u00eb), mund t\u00eb fillojn\u00eb nga disa muaj pas kriz\u00ebs febrile deri n\u00eb pas 30 vjet\u00ebsh, por 85% fillojn\u00eb pas 4 vjet\u00ebsh.<\/p>\n Risku q\u00eb nj\u00eb f\u00ebmij\u00eb q\u00eb ka kaluar konvulsione febrile t\u00eb b\u00ebj\u00eb konvulsione afebrile \u00ebsht\u00eb:<\/p>\n Konvulsionet febrile mund t\u00eb paraprijn\u00eb forma t\u00eb ndryshme t\u00eb epilepsis\u00eb, si:<\/p>\n Konvulsionet febrile jan\u00eb dy llojesh: t\u00eb thjeshta dhe komplekse<\/strong><\/p>\n Konvulsionet febrile \u201ct\u00eb thjeshta\u201d karakterizohen nga kriza t\u00eb shkurtra, p\u00ebrgjith\u00ebsisht t\u00eb gjeneralizuara me koh\u00ebzgjatje deri 5 apo m\u00eb shum\u00eb minuta, t\u00eb shoq\u00ebruara nga temperatura e lart\u00eb.<\/p>\n Forma e dyt\u00eb e konvulsioneve \u00ebsht\u00eb forma \u201ckomplekse\u201d: karakterizohet nga konvulsione t\u00eb zgjatura mbi 15 minuta, kriza fokale, shpesh t\u00eb dh\u00ebna EEG jonormale.<\/p>\n Zgjatja e kriz\u00ebs ndryshon nga pacienti n\u00eb pacient. Kriza mund t\u00eb paraqitet n\u00eb temperatur\u00eb t\u00eb ndryshme disa her\u00eb gjat\u00eb nj\u00eb dite apo periudha t\u00eb zgjatjes s\u00eb temperatur\u00ebs.<\/p>\n Piku i incidenc\u00ebs s\u00eb konvulsionve febrile \u00ebsht\u00eb grupmosha 9-18 muaj.<\/p>\n K\u00ebto kriza jan\u00eb t\u00eb shoq\u00ebruara nga infeksione, si: tonsilitet, faringitet, otitet, etj.<\/p>\n Studime epidemiologjike kan\u00eb dh\u00ebn\u00eb nj\u00eb kontribut t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb lidhje me frekuenc\u00ebn, historin\u00eb e s\u00ebmundjes dhe prognoz\u00ebn e konvulsioneve febrile.<\/p>\n Pothuaj n\u00eb \u00e7do artikull thuhet se \u201ckonvulsionet febrile jan\u00eb tipi m\u00eb i shpesht\u00eb nd\u00ebr konvulsionet e f\u00ebmij\u00ebve dhe hasen n\u00eb 2\u20135% t\u00eb f\u00ebmij\u00ebve.<\/p>\n Duke p\u00ebrdorur metodologji t\u00eb ndryshme, studime t\u00eb shumta kan\u00eb treguar se konvulsionet febrile hasen n\u00eb p\u00ebrqindje t\u00eb ndryshme n\u00eb f\u00ebmij\u00eb t\u00eb mosh\u00ebs n\u00ebn 5 vje\u00e7. N\u00eb vende t\u00eb ndryshme v\u00ebrehen incidenca t\u00eb ndryshme si p\u00ebr shembull, Angli 2.4%, Izraeli 4.7%, Kili 4%, Japonia 7%, Ishujt Mariani 14%.<\/p>\n Arsyeja e k\u00ebsaj mosp\u00ebrputhje gjeografike mbetet e pashpjeguar, por mund t\u00eb jet\u00eb e lidhur me prirjen gjenetike apo faktor\u00ebt ambiental\u00eb.<\/p>\n N\u00eb 28 f\u00ebmij\u00eb, nj\u00ebri do t\u00eb ket\u00eb konvulsione febrile. Konvulsionet febrile kan\u00eb 3 elemente kritike:<\/p>\n Tendenca p\u00ebr konvulsione febrile \u00ebsht\u00eb e lidhur me nj\u00eb stad t\u00eb caktuar t\u00eb maturimit t\u00eb trurit. Mbetet e paqart\u00eb pse imaturimi i trurit \u00ebsht\u00eb i preksh\u00ebm nga temperatura.<\/p>\n Nd\u00ebr faktor\u00ebt e rrezikut, m\u00eb i r\u00ebnd\u00ebsishmi \u00ebsht\u00eb prania n\u00eb historin\u00eb familjare e konvulsioneve febrile. Sa m\u00eb shum\u00eb t\u00eb af\u00ebrm t\u00eb prekur, aq m\u00eb i lart\u00eb rreziku.<\/p>\n Studime t\u00eb ndryshme kan\u00eb treguar edhe faktor\u00eb rreziku t\u00eb tjer\u00eb, si: pirja e duhanit gjat\u00eb shtatz\u00ebnis\u00eb apo infeksionet respiratore t\u00eb n\u00ebn\u00ebs gjat\u00eb 3-mujorit t\u00eb par\u00eb t\u00eb shtatz\u00ebnis\u00eb.<\/p>\n Faktor\u00ebt e rrezikut p\u00ebr p\u00ebrs\u00ebritje t\u00eb konvulsioneve febrile.<\/p>\n Autor\u00eb t\u00eb ndrysh\u00ebm kan\u00eb studiuar rrezikun p\u00ebr p\u00ebrs\u00ebritje t\u00eb konvulsioneve febrile. Rreth nj\u00eb e treta e f\u00ebmij\u00ebve q\u00eb kan\u00eb pasur nj\u00eb konvulsion febril, do t\u00eb ken\u00eb t\u00eb pakt\u00ebn nj\u00eb p\u00ebrs\u00ebritje.<\/p>\n Studime t\u00eb shumta kan\u00eb identifikuar faktor\u00ebt e m\u00ebposht\u00ebm si rrezik p\u00ebr p\u00ebrs\u00ebritje t\u00eb konvulsioneve febrile.<\/p>\n 50% e rrezikut p\u00ebr p\u00ebrs\u00ebritje realizohet brenda vitit t\u00eb par\u00eb menj\u00ebher\u00eb pas konvulsionit t\u00eb par\u00eb febril. 90% e f\u00ebmij\u00ebve q\u00eb b\u00ebjn\u00eb p\u00ebrs\u00ebritje, kriza mund t\u00eb shfaqet p\u00ebrs\u00ebri brenda 2 viteve.<\/p>\n Mosha \u00ebsht\u00eb faktori p\u00ebrcaktues m\u00eb i q\u00ebndruesh\u00ebm p\u00ebr sa i p\u00ebrket rrezikut t\u00eb p\u00ebrs\u00ebritjes.<\/p>\n Me rritjen e mosh\u00ebs, rreziku p\u00ebr p\u00ebrs\u00ebritje bie. Prania n\u00eb historin\u00eb familjare e konvulsioneve febrile shoq\u00ebrohet me rritje t\u00eb rrezikut nj\u00eb deri dy her\u00eb.<\/p>\n F\u00ebmij\u00ebt q\u00eb kalojn\u00eb shpesh s\u00ebmundje febrile kan\u00eb rrezik t\u00eb lart\u00eb p\u00ebr t\u00eb b\u00ebr\u00eb konvulsione febrile.<\/p>\n Deri n\u00eb 50% e f\u00ebmij\u00ebve q\u00eb b\u00ebjn\u00eb p\u00ebrs\u00ebritje, mund t\u00eb b\u00ebjn\u00eb m\u00eb tep\u00ebr se nj\u00eb p\u00ebrs\u00ebritje.<\/p>\n Faktor\u00eb t\u00eb tjer\u00eb si historia familjare p\u00ebr epilepsia mund t\u00eb luajn\u00eb gjithashtu rol n\u00eb k\u00ebta f\u00ebmij\u00eb q\u00eb tashm\u00eb kan\u00eb b\u00ebr\u00eb t\u00eb pakt\u00ebn nj\u00eb p\u00ebrs\u00ebritje. Faktor\u00eb t\u00eb cil\u00ebt jan\u00eb diskutuar shpesh, por q\u00eb jan\u00eb ende t\u00eb paqart\u00ebsuar mir\u00eb dhe ndikojn\u00eb n\u00eb p\u00ebrs\u00ebritjet e konvulsioneve febrile, p\u00ebrfshijn\u00eb shenjat komplekse, anomalit\u00eb neurologjike.<\/p>\n EEG<\/p>\n Edhe pse nuk \u00ebsht\u00eb metod\u00eb e sigurt n\u00eb parashikimin e prognoz\u00ebs s\u00eb konvulsioneve febrile, EEG si metod\u00eb jo invazive mbetet e r\u00ebnd\u00ebsishme n\u00eb v\u00ebrtetimin e ndryshimeve strukturale t\u00eb SNQ, si dhe si prediktor i kusht\u00ebzuar n\u00eb prognoz\u00ebn e konvulsioneve febrile dhe kalimin e tyre n\u00eb epilepsi.\/<\/p>\n","protected":false},"excerpt":{"rendered":" T\u00eb dh\u00ebna nga studime t\u00eb ndryshme epidemiologjike japin shifra se nga 2 deri n\u00eb 10% e f\u00ebmij\u00ebve me konvulsioneve febrile zhvillojn\u00eb epilepsi. N\u00eb shumic\u00ebn e studimeve rreziku i kalimit n\u00eb epilepsi pas nj\u00eb krize febrile t\u00eb vetme nuk \u00ebsht\u00eb i konsideruesh\u00ebm n\u00eb krahasim me popullat\u00ebn normale. Madje dhe n\u00eb popullata me incidenc\u00eb t\u00eb lart\u00eb p\u00ebr […]<\/p>\n","protected":false},"author":1,"featured_media":1723,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[18],"tags":[],"yoast_head":"\n\n
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