{"id":1410,"date":"2023-10-15T20:27:00","date_gmt":"2023-10-15T18:27:00","guid":{"rendered":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/dispepsija-family-medica-oglasi-bogatic\/"},"modified":"2023-10-15T20:27:00","modified_gmt":"2023-10-15T18:27:00","slug":"dispepsija-family-medica-oglasi-bogatic","status":"publish","type":"post","link":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/dispepsija-family-medica-oglasi-bogatic\/","title":{"rendered":"Dispepsija &#8211; Family Medica &#8211; OGLASI BOGATI\u0106"},"content":{"rendered":"<p><\/p>\n<div>\n<p>Dispepsija je klini\u010dki termin koji obuhvata slede\u0107e tegobe: bolove ili neprijatnost u predelu \u017eeluca ili gornjim delovima trbuha, koji su povremeni ili stalni.<\/p>\n<p>Pacijenti od tegoba jo\u0161 obi\u010dno navode:<\/p>\n<ul>\n<li>Nadutost\/nadimanje,<\/li>\n<li>Mu\u010dnine<\/li>\n<li>Podrigivanje<\/li>\n<li>Ose\u0107aj \u201clo\u0161eg varenja\u201d i jo\u0161 dosta toga.<\/li>\n<\/ul>\n<p>Sam termin dispepsija je gr\u010dkog porekla : dys \u2013 \u0161to ozna\u010dava lo\u0161e i peptein \u2013 varenje \u2013\u00a0 \u0161to ve\u0107 dosta govori o tegobama pacijenta.<\/p>\n<p>Uzroci dispepsije mogu biti funkcionalni i organski. Funkcionalnu dispepsiju ima do 60% pacijenata i kod njih se radi o pristunim tegobama\u00a0 a bez organski identifikovanog oboljenja.<\/p>\n<p>\u010cest razlog dispepsije mo\u017ee biti i sam na\u010din ishrane kao \u0161to je dijeta, masna ili za\u010dinjena hrana, gazirani napici i tako dalje.<\/p>\n<p>Kod oko 40% pacijenata ispitivanjem se nalaze promene poput: gastritisa, ulkusne bolesti \u017eeluca i tankog creva, refluksnog ezofagitisa, karcinomi \u017eeluca ili jednjaka, kalkuloza \u017eu\u010dne kese i\/ili bolesti \u017eu\u010dnih puteva, pankreasa i tako dalje.<\/p>\n<p>Uvek\u00a0 je potrebno pa\u017eljivo uzeti anamnezu i obaviti pregled pacijenta sa dispepti\u010dkim tegobama. U anamnezi se posebna pa\u017enja obra\u0107a na uzimanje lekova koji mogu biti ulcerogeni\u00a0 tj. dovesti do pojave o\u0161te\u0107enja sluzoko\u017ee- erozija i ulceracija sluznice. Prevashodno se misli na lekove poput aspirina i nesteroidnih antiinflamatronih lekova (ibuprofen, diklofenak\u2026) ali i drugih lekova kao \u0161to su kortikosteroidi .<\/p>\n<p>Pacijenti koji imaju takozvane alarmne simptome obavezno treba uputiti gastroenterologu na dalju dijagnostiku, ovi simptomi su uglavnom pokazatelji oraganskog oboljenja. Ovi simptomi su: ne\u017eeljeni gubitak te\u017eine, uporno povra\u0107anje, tegobe pri gutanju- disfagija, postojanje mase u trbuhu koja se mo\u017ee napipati- palpirati, te anemija sa ili bez manifestnog digestivnog krvarenja.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-5491 size-full\" src=\"https:\/\/familymedica.rs\/wp-content\/uploads\/2023\/09\/Dyspepsia-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https:\/\/familymedica.rs\/wp-content\/uploads\/2023\/09\/Dyspepsia-1.jpg 2000w, https:\/\/familymedica.rs\/wp-content\/uploads\/2023\/09\/Dyspepsia-1-300x200.jpg 300w, https:\/\/familymedica.rs\/wp-content\/uploads\/2023\/09\/Dyspepsia-1-1536x1024.jpg 1536w, https:\/\/familymedica.rs\/wp-content\/uploads\/2023\/09\/Dyspepsia-1-768x512.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\"\/><\/p>\n<p>Dijagnostika treba da obuhvata, uz navedenu detaljnu anamnezu i pregled, analize krvne slike, biohemije, pokazatelje metabolizma gvo\u017e\u0111a, ultrazvuk abdomena, a kod prisustva alarmnih tegoba neophodna je gastroskopija, koje je suverena metoda i zlatni standard. Gastroskopija je indikovana i kod svih pacijenata starijih od 45 godina. Ovim pregledom mogu\u0107e je uzeti i biopsije- uzorke sluznice koji mogu pokazati i prisustvo bakterije helicobacter pylori, koja zahteva le\u010denje.<\/p>\n<\/div>\n<p><a href=\"https:\/\/familymedica.rs\/dispepsija\/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=dispepsija\" target=\"_blank\" rel=\"noopener\">Source link <\/a><br \/>\n\n Dispepsija &#8211; Family Medica<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dispepsija je klini\u010dki termin koji obuhvata slede\u0107e tegobe: bolove ili neprijatnost u predelu \u017eeluca ili gornjim delovima trbuha, koji su&hellip;<\/p>\n","protected":false},"author":1,"featured_media":1411,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1410","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oglasi-bogatic"],"_links":{"self":[{"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/posts\/1410","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/comments?post=1410"}],"version-history":[{"count":0,"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/posts\/1410\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/media\/1411"}],"wp:attachment":[{"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/media?parent=1410"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/categories?post=1410"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/oglasi.infooglasi.rs\/oglasi\/oglasibogatic\/wp-json\/wp\/v2\/tags?post=1410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}