{"id":36880,"date":"2017-02-15T13:00:34","date_gmt":"2017-02-15T13:00:34","guid":{"rendered":"http:\/\/humanitas.local\/diseases\/torzija-testisa\/"},"modified":"2017-11-09T14:03:54","modified_gmt":"2017-11-09T14:03:54","slug":"torzija-testisa","status":"publish","type":"disease","link":"https:\/\/www.humanitas.net\/sr\/diseases\/torzija-testisa\/","title":{"rendered":"Torzija testisa"},"content":{"rendered":"<h2>Definicija<\/h2>\n<p>Testikularna torzija javlja se prilikom rotacije testisa, pri \u010demu nastaje uvrtanje spermati\u010dne vrpce putem koje se krv dovodi ka skrotumu. Prilikom prekida dotoka krvi u testis, nastaje izuzetan bol i otok testikularne regije.<\/p>\n<p>Testikularna torzija naj\u010de\u0161\u0107e se javlja kod de\u010daka u periodu izme\u0111u 12\u00a0 i 16 godina, ali se poreme\u0107aj mo\u017ee javiti u bilo kom uzrastnom dobu, \u010dak i intrauterino, pre ro\u0111enja.<\/p>\n<p>Le\u010denje testikularne torzije naj\u010de\u0161\u0107e zahteva hitan hirur\u0161ki tretman. U zavisnosti od medicinskog stanja individue, kao i vremenskog perioda proteklog od momenta prekida krvnog toka, uklanjanje testisa mo\u017ee biti neophodno u cilju prevencije daljih komplikacija.<\/p>\n<p>&nbsp;<\/p>\n<h2>Simptomi<\/h2>\n<p>Naj\u010de\u0161\u0107i znaci i simptomi testikularne torzije uklju\u010duju:<\/p>\n<p>Intenzivan bol u predelu testisa<\/p>\n<p>Otok skrotalne regije<\/p>\n<p>Abdominalni bol<\/p>\n<p>Mu\u010dninu i povra\u0107anje<\/p>\n<p>Vrtoglavicu<\/p>\n<p>Bolno uriniranje<\/p>\n<p>Temperaturu<\/p>\n<p>&nbsp;<\/p>\n<h2>Uzroci<\/h2>\n<p>Ta\u010dan etiopatogenetski uzrok testikularne torzije i dalje je nepoznat. Tenziona torzija javlja se prilikom rotacije testisa, uvrtanja spermati\u010dne vrpce. U tom slu\u010daju dotok cirkulacije mo\u017ee biti u potpunosti prekinut, izazivaju\u0107i rapidno o\u0161te\u0107enje zahva\u0107ene regije.<\/p>\n<p>Smatra se da postoji nekoliko faktora koji u\u010destvuju u nastanku testikularne torzije:<\/p>\n<p>Pozitivna porodi\u010dna anamneza testikularne\u00a0torzije<\/p>\n<p>Povreda skrotuma koja rezultuje njegovim oticanjem<\/p>\n<p>Intenzivna fizi\u010dka aktivnost<\/p>\n<p>Niske temperature<\/p>\n<p>Ubrzan rast testisa tokom puberteta<\/p>\n<p>&nbsp;<\/p>\n<h2>Faktori rizika<\/h2>\n<p>Faktori rizika koji pove\u0107avaju rizik za nastanak testikularne torzije podrzumevaju:<\/p>\n<p>Mla\u0111u starosnu dob (naj\u010de\u0161\u0107e kod mladi\u0107a u periodu od 12 do 16 godina)<\/p>\n<p>Prethodna li\u010dna istorija testikularne torzije<\/p>\n<p>Pozitivna porodi\u010dna anamenza testikularne torzije<\/p>\n<p>&nbsp;<\/p>\n<h2>Komplikacije<\/h2>\n<p>Mogu\u0107e komplikacije koje nastaju usled testikularne torzije podrazumevaju:<\/p>\n<p>Redukciju veli\u010dine zahva\u0107enog testisa<\/p>\n<p>Ozbiljno o\u0161te\u0107enje testisa koje mo\u017ee rezultovati kompletnim hirur\u0161kim uklanjanjem testisa<\/p>\n<p>Ozbiljno o\u0161te\u0107enje testisa ili gubitak testisa koje rezultuje infertilitetom<\/p>\n<p>Te\u017eak infektivni proces testisa i skrotalne regije tako\u0111e je mogu\u0107 u slu\u010daju kompromitovanog krvnog protoka u du\u017eem vremenskom periodu<\/p>\n<p>&nbsp;<\/p>\n<h2>Le\u010denje<\/h2>\n<p>Naj\u010de\u0161\u0107i terapeutski pristup le\u010denju testikularne torzije jeste operativni. Kod odre\u0111enih slu\u010dajeva, lekar je u mogu\u0107nosti da na\u010dini detorziju testisa putem aplikacije pritiska na skrotum. Ipak, hirur\u0161ki tretman i dalje je neophodan u cilju prevencije rekurentnosti. Hirur\u0161ki koraci kod postojanja testikularne torzije podrazumevaju:<\/p>\n<p>Uvo\u0111enje u op\u0161tu endotrahealnu anesteziju<\/p>\n<p>Kreiranje manje incizije skrotuma<\/p>\n<p>Izvrtanje spermati\u010dne vrpce<\/p>\n<p>Suturiranje unutra\u0161njh regija testisa i skrotuma, u slu\u010daju neophodnosti<\/p>\n<p>U slu\u010daju da je testikularna torzija podvrgnuta medicinskom tretmanu unutar \u0161est sati od inicijalnog nastanka bola, prisutne su ve\u0107e \u0161anse za o\u010duvanje testikularnog tkiva. Ipak, u slu\u010daju da je osoba podvrgnuta medicinskom tretmanu tek nakon 48 sati od po\u010detka bola, \u0161anse za gubitak testisa pove\u0107avaju se na 90%.<\/p>\n<p>U re\u0111im slu\u010dajevima testikularne torzije kod novor\u0111en\u010deta i fetusa, hirur\u0161ki tretman mo\u017ee biti neophodan u cilju isklju\u010divanja testikulanog karcinoma. Hitnom hirur\u0161kom intervencijom mo\u017ee se ponekad o\u010duvati deo ili ceo testis u slu\u010daju pravovremene dijagnoze kao i prevencije torzije kod zdravog testisa. Le\u010denje testikularne torzije je od vitalnog zna\u010daja kod novoro\u0111en\u010dadi u cilju preveniranja daljih komplikacija udru\u017eenih sa produkcijom mu\u0161kih hormona i fertilitetom.<\/p>\n<p>&nbsp;<\/p>\n<h2>Prevencija<\/h2>\n<p>U odre\u0111enim slu\u010dajevima kod nasle\u0111enih oblika testikularne torzije, primena specifi\u010dne terapeutske mere kao \u0161to je operativni pristup tokom koga se oba testisa povezuju sa unutra\u0161njo\u0161\u0107u skrotalnog tkiva mo\u017ee biti od izuzetnog zna\u010daja.<\/p>\n","protected":false},"author":9,"featured_media":0,"template":"","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Torzija testisa - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanitas.net\/sr\/diseases\/torzija-testisa\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Torzija testisa - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Definicija Testikularna torzija javlja se prilikom rotacije testisa, pri \u010demu nastaje uvrtanje spermati\u010dne vrpce putem koje se krv dovodi ka skrotumu. 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Prilikom prekida dotoka krvi u testis, nastaje izuzetan bol i otok testikularne regije. 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