{"id":4535,"date":"2020-06-05T09:07:26","date_gmt":"2020-06-05T09:07:26","guid":{"rendered":"https:\/\/malmed.gov.mk\/?p=4535"},"modified":"2020-06-05T09:07:28","modified_gmt":"2020-06-05T09:07:28","slug":"%d0%b5%d0%bc%d0%b0-%d0%be%d0%b1%d1%98%d0%b0%d0%b2%d0%b8-%d0%bd%d0%be%d0%b2-%d0%bf%d0%be%d1%82%d1%81%d0%b5%d1%82%d0%bd%d0%b8%d0%ba-%d0%b7%d0%b0-%d1%80%d0%b8%d0%b7%d0%b8%d1%86%d0%b8%d1%82%d0%b5-%d0%bf","status":"publish","type":"post","link":"https:\/\/malmed.gov.mk\/sq\/%d0%b5%d0%bc%d0%b0-%d0%be%d0%b1%d1%98%d0%b0%d0%b2%d0%b8-%d0%bd%d0%be%d0%b2-%d0%bf%d0%be%d1%82%d1%81%d0%b5%d1%82%d0%bd%d0%b8%d0%ba-%d0%b7%d0%b0-%d1%80%d0%b8%d0%b7%d0%b8%d1%86%d0%b8%d1%82%d0%b5-%d0%bf\/","title":{"rendered":"EMA shpalli p\u00ebrkujtuesin e ri p\u00ebr rreziqet e lidhura me p\u00ebrdorimin e klorokinit dhe t\u00eb hidroksiklorokinit n\u00eb mjekimin e s\u00ebmundjes COVID-19"},"content":{"rendered":"<p>N\u00eb vazhdim t\u00eb njoftimit t\u00eb m\u00ebhersh\u00ebm, i cili \u00ebsht\u00eb i qassh\u00ebm\u00a0<span style=\"color: #912777;\"><a style=\"color: #912777;\" href=\"https:\/\/malmed.gov.mk\/sq\/\u0435\u043c\u0430-\u043e\u0431\u0458\u0430\u0432\u0438-\u043f\u043e\u0442\u0441\u0435\u0442\u043d\u0438\u043a-\u0437\u0430-\u0440\u0438\u0437\u0438\u043a-\u043e\u0434-\u0441\u0435\u0440\u0438\u043e\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>k\u00ebtu<\/strong><\/a><\/span>Agjencia Evropiane e Barnave (EMA) shpalli p\u00ebrkujtuesine ri p\u00ebr rreziqet e lidhura me p\u00ebrdorimin e klorokinit dhe t\u00eb hidroksiklorokinit n\u00eb mjekimin e s\u00ebmundjes COVID-19, si edhe nevoj\u00ebn e mbik\u00ebqyrjes s\u00eb shtuar t\u00eb pacient\u00ebve q\u00eb i marrin k\u00ebto barna, duke marr\u00eb parasysh reaksionet serioze t\u00eb pad\u00ebshiruara q\u00eb mund t\u00eb lindin gjat\u00eb marrjes s\u00eb tyre.<\/p>\n<p>Klorokini dhe hidroksiklorokini jan\u00eb miratuar p\u00ebr mjekimin e malaries dhe s\u00ebmundje t\u00eb tjera vetimunitare dhe tash p\u00ebr tash po testohen p\u00ebr mjekimin e COVID-19-s, por efikasiteti i sh\u00ebrimit n\u00eb k\u00ebt\u00eb fush\u00eb akoma nuk \u00ebsht\u00eb p\u00ebrcaktuar.<\/p>\n<p>N\u00eb disa studime observatorike \u00ebsht\u00eb p\u00ebrcaktuar lidhshm\u00ebria nd\u00ebrmjet p\u00ebrdorimit t\u00eb klorokinit dhe t\u00eb hidroksiklorokinit dhe rrezikut t\u00eb shtuar nga paraqitja e \u00e7rregullimeve t\u00eb zemr\u00ebs, reaksionete pritshme t\u00eb pad\u00ebshiruara nga p\u00ebrdorimi i k\u00ebtyre barnave.<\/p>\n<p>Gjat\u00eb rekomandimit t\u00eb k\u00ebtyre barnave punonj\u00ebsit sh\u00ebndet\u00ebsor\u00eb duhet t\u2019i marrin parasysh\u00e7rregullimet ekzistuese n\u00eb pun\u00ebn e zemr\u00ebs s\u00eb pacientit, ndryshimin e nivelit t\u00eb kaliumit dhe t\u00eb magneziumit n\u00eb gjak dhe p\u00ebrdorimin e nj\u00ebkohsh\u00ebm t\u00eb barnave q\u00eb mund ta vazhdojn\u00eb intervalin QT, sepse shkaktar\u00ebt e p\u00ebrmendur mund ta rrisin mund\u00ebsin\u00eb e \u00e7rregullimit n\u00eb ritmin e zemr\u00ebs.<\/p>\n<p>Punonj\u00ebsit sh\u00ebndet\u00ebsor\u00eb, gjithashtu duhet t\u00eb ken\u00eb parasysh se \u00e7rregullimet e ritmit t\u00eb zemr\u00ebs jan\u00eb m\u00eb t\u00eb mundshme dhe m\u00eb t\u00eb r\u00ebnda, n\u00ebse jepen doza m\u00eb t\u00eb m\u00ebdha t\u00eb klorokinit dhe t\u00eb hidroksiklorokinit nga dozat e rekomanduara p\u00ebr indikacionet e miratuara, ose n\u00ebse barnat e p\u00ebrmendur jepen bashk\u00ebrisht me antibiotik\u00eb, si\u00e7 \u00ebsht\u00eb azithromycini.<\/p>\n<p>P\u00ebrve\u00e7 reaksioneve t\u00eb pad\u00ebshiruara q\u00eb ndikojn\u00eb n\u00eb zem\u00ebr, \u00ebsht\u00eb e njohur se k\u00ebto barna mund t\u00eb shkaktojn\u00eb edhe \u00e7rregullime neuropsikiatrike, si shqet\u00ebsim, pagjum\u00ebsi, konfuzion, psikoza dhe ide vetvrasjeje. K\u00ebto barna mund t\u00eb ndikojn\u00eb n\u00eb funksionin e m\u00ebl\u00e7is\u00eb, t\u00eb shkaktojn\u00eb d\u00ebmtime t\u00eb qelizave nervore, q\u00eb mund t\u00eb shkaktojn\u00eb konvulsione dhe ta zvog\u00eblojn\u00eb nivelin e sheqerit n\u00eb gjak (hipoglukemi).<\/p>\n<p>Duke pasur parasysh qasshm\u00ebrin\u00eb e rezultateve t\u00eb reja, disa vende an\u00ebtare t\u00eb BE-s\u00eb p\u00ebrkoh\u00ebsisht ose p\u00ebrgjithmon\u00eb i nd\u00ebrpren\u00eb testimet klinike t\u00eb klorokinit dhe t\u00eb hidroksiklorokinit n\u00eb mjekimin e s\u00ebmundjes COVID-19. N\u00eb disa testime, duke p\u00ebrfshir\u00eb edhe testimet klinike t\u00eb Organizat\u00ebs Bot\u00ebrore t\u00eb Sh\u00ebndet\u00ebsis\u00eb (OBSH) me emrin Solidarity, \u00ebsht\u00eb nd\u00ebrprer\u00eb p\u00ebrfshirja e pacinet\u00ebve t\u00eb rinj n\u00eb grupin e atyre q\u00eb i pranojn\u00eb k\u00ebto barna. Vler\u00ebsimi paraprak i testimit klinik Recovery, i cili zbatohet n\u00eb nj\u00eb num\u00ebr t\u00eb madh t\u00eb pacient\u00ebve me COVID-19, nuk i ka p\u00ebrcaktuar shkaqete mjaftueshmep\u00ebr nd\u00ebrprerjen e p\u00ebrkohshme ose t\u00eb p\u00ebrhershme t\u00eb testimeve.<\/p>\n<p>EMA thekson se gjat\u00eb vler\u00ebsimit t\u00eb m\u00ebtutjesh\u00ebm t\u00eb t\u00eb dh\u00ebnave t\u00eb qasshme, klorokini dhe  hidroksiklorokini duhet t\u00eb p\u00ebrdoren p\u00ebr mjekimin e COVID-19-s vet\u00ebm n\u00ebn mbik\u00ebqyrjen e rrept\u00ebt\u00eb testimeve klinike ose si pjes\u00eb e programit p\u00ebr dh\u00ebnien e barit nga dhembshuria. Testimet klinike t\u00eb b\u00ebra sipas p\u00ebrzgjedhjes rast\u00ebsore me metodologji t\u00eb qart\u00eb, me p\u00ebrshtatje t\u00eb ve\u00e7anta, duhet t\u00eb kryhen q\u00eb t\u00eb p\u00ebrftohen t\u00eb dh\u00ebna t\u00eb sakta t\u00eb p\u00ebrfitimit\/rrezikut nga p\u00ebrdorimi i k\u00ebtyre barnave n\u00eb mjekimin e s\u00ebmundjes COVID-19.<\/p>\n<p>Pacient\u00ebt, t\u00eb cil\u00ebve u \u00ebsht\u00eb rekomanduar klorokini dhe hidroksiklorokini p\u00ebr indikacionet e miratuara (sh\u00ebrimi i malaries dhe disa s\u00ebmundjeve vetimune, si artriti reumatik ose lupusi),duhet t\u00eb vazhdojn\u00eb me p\u00ebrdorimin e barit sipas udh\u00ebzimeve nga mjeku i tyre. P\u00ebr t\u00eb gjitha pyetjet pacient\u00ebt duhet t\u00eb drejtohen te mjeku i tyre ose farmacisti.<\/p>\n<p>EMA dhe organet p\u00ebrkat\u00ebse nacionale i ndjekin me kujdes barnat q\u00eb p\u00ebrdoren p\u00ebrmjekimin e s\u00ebmundjes COVID-19 dhe n\u00eb vazhdim\u00ebsi i publikojn\u00eb t\u00eb gjitha informatat e reja. EMA gjithashtu e vazhdon bashk\u00ebpunimin me OBSH-n\u00eb dhe organizatat e tjera nd\u00ebrkomb\u00ebtare.<\/p>\n<p>Po e p\u00ebrkujtojm\u00eb se punonj\u00ebsit sh\u00ebndet\u00ebsor\u00eb medoemos ta paraqesin \u00e7do reaksion t\u00eb pad\u00ebshiruesh\u00ebm t\u00eb barit tek Agjencia e Barnave dhe e Pajisjeve Mjek\u00ebsore (MALMED). Gjithashtu edhe pacient\u00ebt q\u00eb kan\u00eb pasur reaksion t\u00eb pad\u00ebshiruesh\u00ebm nga p\u00ebrdorimi i barit, k\u00ebt\u00eb mund ta paraqesin drejtp\u00ebrdrejt te MALMED-i, me rekomandimin se \u00e7do reaksion t\u00eb pad\u00ebshiruar q\u00eb do ta v\u00ebrejn\u00eb, duhet t\u00eb drejtohen te mjeku i tyre ose farmacisti, p\u00ebr k\u00ebshill\u00eb se si ta vijojn\u00eb terapin\u00eb.<\/p>\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>\u0412\u043e \u043f\u0440\u043e\u0434\u043e\u043b\u0436\u0435\u043d\u0438\u0435 \u043d\u0430 \u043f\u0440\u0435\u0442\u0445\u043e\u0434\u043d\u043e\u0442\u043e \u0438\u0437\u0432\u0435\u0441\u0442\u0443\u0432\u0430\u045a\u0435 \u043a\u043e\u0435 \u0435 \u0434\u043e\u0441\u0442\u0430\u043f\u043d\u043e\u00a0\u0442\u0443\u043a\u0430,\u00a0\u0415\u0432\u0440\u043e\u043f\u0441\u043a\u0430\u0442\u0430 \u0410\u0433\u0435\u043d\u0446\u0438\u0458\u0430 \u0437\u0430 \u043b\u0435\u043a\u043e\u0432\u0438 (\u0415\u041c\u0410) \u043e\u0431\u0458\u0430\u0432\u0438 \u043d\u043e\u0432 \u043f\u043e\u0442\u0441\u0435\u0442\u043d\u0438\u043a \u0437\u0430 \u0440\u0438\u0437\u0438\u0446\u0438\u0442\u0435 \u043f\u043e\u0432\u0440\u0437\u0430\u043d\u0438 \u0441\u043e \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u0430\u0442\u0430 \u0430 \u0445\u043b\u043e\u0440\u043e\u043a\u0438\u043d \u0438 \u0445\u0438\u0434\u0440\u043e\u043a\u0441\u0438\u0445\u043b\u043e\u0440\u043e\u043a\u0438\u043d \u043f\u0440\u0438 \u043b\u0435\u043a\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u0431\u043e\u043b\u0435\u0441\u0442\u0430 COVID-19, \u043a\u0430\u043a\u043e \u0438 \u043f\u043e\u0442\u0440\u0435\u0431\u0430\u0442\u0430 \u043e\u0434 \u0437\u0433\u043e\u043b\u0435\u043c\u0435\u043d \u043d\u0430\u0434\u0437\u043e\u0440 \u0432\u0440\u0437 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u043a\u043e\u0438 \u0433\u0438 \u043f\u0440\u0438\u043c\u0430\u0430\u0442 \u043e\u0432\u0438\u0435 \u043b\u0435\u043a\u043e\u0432\u0438, \u0441\u043e \u043e\u0433\u043b\u0435\u0434 \u043d\u0430 \u0441\u0435\u0440\u0438\u043e\u0437\u043d\u0438\u0442\u0435 \u043d\u0435\u0441\u0430\u043a\u0430\u043d\u0438 \u0440\u0435\u0430\u043a\u0446\u0438\u0438 \u043a\u043e\u0438 \u043c\u043e\u0436\u0435 \u0434\u0430 \u043d\u0430\u0441\u0442\u0430\u043d\u0430\u0442 \u043f\u0440\u0438 \u043d\u0438\u0432\u043d\u0430\u0442\u0430 \u043f\u0440\u0438\u043c\u0435\u043d\u0430. [&hellip;]<\/p>","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16,10],"tags":[],"class_list":["post-4535","post","type-post","status-publish","format-standard","hentry","category-16","category-10"],"_links":{"self":[{"href":"https:\/\/malmed.gov.mk\/sq\/wp-json\/wp\/v2\/posts\/4535","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/malmed.gov.mk\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/malmed.gov.mk\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/malmed.gov.mk\/sq\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/malmed.gov.mk\/sq\/wp-json\/wp\/v2\/comments?post=4535"}],"version-history":[{"count":0,"href":"https:\/\/malmed.gov.mk\/sq\/wp-json\/wp\/v2\/posts\/4535\/revisions"}],"wp:attachment":[{"href":"https:\/\/malmed.gov.mk\/sq\/wp-json\/wp\/v2\/media?parent=4535"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/malmed.gov.mk\/sq\/wp-json\/wp\/v2\/categories?post=4535"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/malmed.gov.mk\/sq\/wp-json\/wp\/v2\/tags?post=4535"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}